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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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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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Grievance and Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/...Box 1947 Dayton, OH 45401 We hope you are happy with CareSource and the care provided. If you are unhappy or don’t agree with a decision made by CareSource or...
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Claims
https://www.caresource.com/providers/provider-portal/claims/We want to make it as easy as possible to conduct business with us. In addition to information about how to submit claims and check payments, CareSource offers you tools...
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Provider Resources
https://www.caresource.com/providers/provider-portal/...CareSource and HAP offer the benefit of a provider portal. To help streamline your operations, we offer single sign-on from the HAP Portal to the HAP CareSource™ Provider Portal. How...
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FAQs
https://www.caresource.com/members/education/faqs/cdmvheart Care Coordination What is a care coordinator? A care coordinator will connect you and your family with community support. They coordinate the services you are already getting and any...
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Pharmacy
https://www.caresource.com/providers/education/patient-care/pharmacy/Before providing care or prescribing medicine for your patients, please review the CareSource® MyCare Ohio (HMO D-SNP) Medicare Part D formulary and Medicaid List of Covered Drugs. f Formulary Use...
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Contact Us
https://www.caresource.com/members/contact-us/...If you are having trouble finding the information you are looking for on our website or have more questions, please call us. Our Member Services staff will be happy to...
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Prior Authorization
https://www.caresource.com/providers/provider-portal/prior-authorization/CareSource® evaluates prior authorization requests based on medical necessity, medical appropriateness, and benefit limits. Services That Require Prior Authorization Please refer to the Procedure Code Lookup Tool to check whether...
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Quick Reference Materials
https://www.caresource.com/providers/tools-resources/quick-reference-materials/...quick reference guides and additional resources: After-Hours and Appointment Time Access Standards Clinical Practice Registry Guide HAP CareSource Member Rewards HAP CareSource Provider Portal Quick Start Guide HAP CareSource Provider...
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HAP