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FAQs
https://www.caresource.com/members/education/faqs/...your care coordinator contacts you, speak with them directly. Does a care coordinator talk to teachers at schools? Care coordinators will only speak with individuals at a member’s school when...
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Prior Authorization
https://www.caresource.com/providers/provider-portal/prior-authorization/...discuss the utilization management (UM) medical necessity determination of a denial or decrease in level of care with CareSource’s Medical Director/Behavioral Health Medical Director or designee within five business days...
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Patient Administration
https://www.caresource.com/providers/education/patient-care/patient-administration/We realize that you perform administrative tasks in addition to tasks directly related to patient care. To assist you with these tasks, we’ve consolidated the information below. Member Billing Providers...
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Past Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/past/...11/12/2015 Curbing Opioid Overdose with Naloxone – See notification dated 03/14/2016. 11/03/2015 Improved Provider Directory! Your help is needed! 10/29/2015 Quick Reference Guide for Non-Participating Providers – This notification has...
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General Plan Information
https://www.caresource.com/plans/marketplace/plan-documents/general-plan-information/CareSource North Carolina Co., d/b/a/ CareSource Your Responsibilities Be Enrolled and Pay Required Premiums Benefits are available to you only if you are enrolled for coverage under the plan. To...
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MUSCULOSKELETAL AND CARDIAC SURGICAL PROCEDURES
https://www.caresource.com/providers/tools-resources/health-partner-policies/surgical-procedures/...of these clinical guidelines directly from TurningPoint by calling their Provider Relations team at the number listed below, or by emailing providersupport@turningpoint-healthcare.com. Local Phone Toll Free Phone Local Fax Toll...
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Marketplace
https://www.caresource.com/plans/marketplace/...than going uninsured. OFF EXCHANGE ONLY CareSource now offers Off Exchange health insurance plans – coverage you can buy directly from us, outside the usual government exchanges. These plans expand...
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COVID-19 Information and Resources
https://www.caresource.com/providers/tools-resources/covid-19-provider-resource-center/The Public Health Emergency (PHE) for COVID-19 has ended. Services like vaccines, treatment, and testing are still available. Some rules changed, stopped, or started again. CareSource continues to watch COVID-19...
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Utilization Management
https://www.caresource.com/providers/education/patient-care/utilization-management/...Medical Director for further review and determination. Physician reviewers from CareSource of Carolina Co. are available to discuss individual cases with attending physicians upon request. Utilization review determinations are based...
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Pharmacy Residency Program
https://www.caresource.com/providers/education/patient-care/pharmacy/pharmacy-community-programs/pharmacy-residency-program/...we travel on this human journey is not without challenge. At CareSource, our direction was set in 1989 with a conviction that all people deserve access to health care and...
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