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Primary Care Provider Roles & Responsibility
https://www.caresource.com/providers/education/patient-care/pcp-roles-responsibilities/All CareSource members choose or are assigned to a primary care provider (PCP) when they enroll in the plan. They can change to another network PCP as often as needed....
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End or Change Membership
https://www.caresource.com/members/tools-resources/grievance-appeal/change-plans/If you are not happy with CareSource, let us know. We want to make it right. You have the right to change to a different Georgia Families® Georgia Pathways to...
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Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/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...
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Behavioral Health
https://www.caresource.com/providers/education/patient-care/behavioral-health/At CareSource, we streamline our business practices to limit the administrative burden on you and our members. Our goal is to make it easier for you to help our members...
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Provider Manual
https://www.caresource.com/providers/tools-resources/provider-manual/...file, you may need to download Adobe Acrobat Reader. View the Georgia Medicaid Provider Manual Access the Provider Manual Insert Access the Georgia Pathways Provider Manual Addendum Updates & Announcements...
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Benefits & Services
https://www.caresource.com/plans/georgia-pathways-to-coverage/benefits-services/As a CareSource member, you can get the same services that are covered by other Georgia Pathways to Coverage health plans. These can include doctor visits, prescription drugs and hospital...
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August 2020 Broker Bulletin
https://www.caresource.com/producers/tools-resources/newsletters/august-2020-broker-bulletin/NETWORK UPDATES University Hospitals (Cleveland, OH area), including all doctors and ancillaries, is now in network for all products. Health Partners Network, LLC a subsidiary of Northeast Georgia Health System...
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Quick Start Guide
https://www.caresource.com/members/tools-resources/quick-start-guide/We are excited to welcome you as a CareSource member and introduce some of the programs and tools that make CareSource more than just health insurance. We are Health Care...
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Accreditations
https://www.caresource.com/about-us/accreditations/NCQA HEALTH PLAN ACCREDITED Georgia Marketplace Georgia Medicaid Indiana Marketplace Indiana Medicaid Kentucky Marketplace Michigan Medicaid Michigan Medicare North Carolina Marketplace Ohio Marketplace Ohio Medicaid West Virginia Marketplace Wisconsin Marketplace...
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Contact Us
https://www.caresource.com/providers/contact-us/...45401 Disease Management 1-844-438-9498 Care Management 1-855-202-0729 Referral fax: 844-417-6255 Behavioral Health 1-855-202-1058 Quality Improvement 1-855-202-1058 Appeals 1-855-202-1058 Fax: 1-937-531-2398 CareSource Attn: Health Partner Appeals-Georgia, P.O. Box 2008 Dayton OH...
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Georgia