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Silver Plans
https://www.caresource.com/plans/marketplace/plan-documents/silver-plans/...Member Handbook 2025 Member Handbook 2025 Member Handbook 2025 Member Handbook 2025 Member Handbook 2025 Member Handbook EVIDENCE OF COVERAGE (EOC) The EOC is an important legal document that describes...
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Prior Authorization
https://www.caresource.com/providers/provider-portal/prior-authorization/...services are provided in any emergency department or for services in an observation setting by a participating provider. To request prior authorization for observation services as a nonparticipating provider or...
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Utilization Management
https://www.caresource.com/providers/education/patient-care/utilization-management/...Members may access Member Services by calling our toll-free number, 1-833-230-2099, 7 a.m. to 7 p.m. (TTY for the hearing impaired: 1-800-743-3333) and following the menu prompts. Members may access...
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Claim Rejection Notifications
https://www.caresource.com/providers/provider-portal/claims/claim-rejection-notifications/...the member ID, sex, DOB, and first 4 characters of the last name to attempt to identify the correct member. Contact Provider Services at 1-800-488-0134 to resolve this issue Error...
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Care And Disease Management
https://www.caresource.com/providers/education/patient-care/care-management-disease-management/...and coordination of services that is data-driven, person-centered, collaborative, and supported by evidence-based protocols to facilitate improved member access, outcomes and satisfaction. The care management program connects members and their...
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Grievance and Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/...and last name, member ID, phone number and any facts that help explain the issue. HAP CareSource G&A P.O. Box 1025 Dayton, OH 45401 Call: Member Services at 1-833-230-2053 (TTY:...
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FAQs
https://www.caresource.com/providers/education/faqs/...is important to verify member eligibility before providing services. Patients must be eligible CareSource® members at the time of service in order for services to be covered. CareSource offers several...
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Contact Us
https://www.caresource.com/members/contact-us/...transfer you to the hotline, if you want to remain anonymous. Member Services Member Services: 1-833-230-2099 (TTY: 711), 7 a.m. to 7 p.m. ET, Monday through Friday. Member Services is...
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File a Grievance
https://www.caresource.com/members/tools-resources/grievance-appeal/file-grievance/...through the Arkansas Department of Human Services Division of Medical Services. Address: P. O. Box 1437 Slot S-418 Little Rock, AR 72203-1437 Phone: 501-682-8292 (TTY/TDD: 711) Fax: 501-682-1197 Member Services:...
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Forms
https://www.caresource.com/members/tools-resources/forms/...before you give birth. Member Claim Form – Use this form to submit a claim to us for services. Member Exception Request for Non-Formulary Medication Form – Use this form...
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