CareSource of North Carolina Co.® is committed to maintaining the quality and appropriateness of health care services provided to our members. The Utilization Management department performs all utilization management (UM)...

...social security number). If you wish to communicate such information please use one of our secure websites, web forms, or phone numbers/mailing addresses provided. If you choose not to provide...

...social security number). If you wish to communicate such information, please use one of our secure websites, web forms, or phone numbers/mailing addresses provided. If you choose not to provide...

...on your Welcome letter. In general, using clean claim forms with legible print will allow for more efficient processing. How soon will I know if my claim was paid? All...

...with your grievance, appeal, or request for an external review. These forms are available online on the Forms page or by calling Member Services for printed copies. If you are...

...Forms We want you to easily find the forms you need for your CareSource plan. Visit the Forms page to find any form when you need it. Questions? Call Member...

...substances from multiple providers or multiple pharmacies Sharing a member ID card Obtaining unnecessary equipment/supplies Changing prescription forms to get more than the amount of medication prescribed by their physician...

...HIV/AIDS. Tobacco, in all forms, also causes many other health issues. These issues can be: Heart disease. Cancer Breathing problems. Dental problems. Eye and ear problems. Bone problems. Reproductive problems....

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Definitions CareSource provides several opportunities for you to request review of dispute or authorization denials. Actions available after a denial include: Claim Appeals A claim appeal is a written request...