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Utilization Management
https://www.caresource.com/providers/education/patient-care/utilization-management/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)...
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FAQs
https://www.caresource.com/providers/education/faqs/...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...
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Terms and Conditions
https://www.caresource.com/about-us/legal/terms-and-conditions/...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...
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TERMS AND CONDITIONS
https://www.caresource.com/about-mstc/legal/terms-and-conditions/...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...
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Plan Documents
https://www.caresource.com/plans/medicaid/plan-documents/...you can use. 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....
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Grievance and Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/...Request form. Return the completed form to us along with your grievance, appeal, or request for an external review. These forms are available online on the Forms page or by...
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Fraud, Waste & Abuse
https://www.caresource.com/providers/education/fraud-waste-abuse/...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...
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Tobacco Use & Chronic Disease
https://www.caresource.com/members/education/smoking-cessation/tobacco-use-chronic-disease/...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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Become a Participating Provider
https://www.caresource.com/providers/education/become-caresource-provider/Florida TRICARE Florida TRICARE Learn More Georgia TRICARE Georgia TRICARE Learn More Michigan Michigan Learn More Mississippi Mississippi Learn More North Carolina North Carolina Learn More Nevada Nevada Learn More...
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Planning Ahead
https://www.caresource.com/members/education/planning-ahead/...one. Having one will not change other insurance. They can be changed or ended at any time. Where do I get advance directive forms? Many of the people and places...
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