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Tobacco Cessation
https://www.caresource.com/members/education/smoking-cessation/...a leading cause of heart disease, cancer and lung problems. It harms others. Secondhand smoke kills over 50,000 people each year. Babies who breathe secondhand smoke are more likely to...
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Update Practice Information
https://www.caresource.com/providers/provider-portal/update-practice-information/...the Provider Maintenance Form on the provider portal. Simply login to the Portal and select “Provider Maintenance” from the Provider navigation area on the left-hand side of the page. Update...
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Staying Safe From Infections
https://www.caresource.com/members/education/preventive-care/staying-safe-from-infections/...flu, COVID-19, and RSV are: Wash your hands. Stay away from sick people. Disinfect your surfaces. Get all your vaccines. As a CareSource member, you also have access to easy-to-use...
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Fraud, Waste & Abuse
https://www.caresource.com/members/tools-resources/fraud-waste-abuse/Our Program Integrity Department handles cases of managed care fraud, waste or abuse. It can be done by providers, pharmacies, or members. Fraud means the purposeful misuse of or for...
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How and When to File an Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/file-appeal/...quality of health care services; Claims, payments, handling or reimbursement for health care services; or Matters involving the contractual relationship between the member and the plan. Additional Help If you...
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Archived Reimbursement Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/reimbursement-policies/archived/The policies below are in PDF format. If you do not have Adobe Acrobat Reader, you may download it here. # A B C D E F G H I...
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Grievance and Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/...handbook goes over what you need to know about grievances and appeals. Member Services: 1-833-230-2005 (TDD/TTY: 711) Monday through Friday, 8 a.m. – 5 p.m. CT Your Medicare Rights As...
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FAQs
https://www.caresource.com/providers/education/faqs/...designated by the Centers for Medicare & Medicaid Services (CMS), National Uniform Billing Committee (NUBC) and the American Dental Association (ADA). We cannot accept handwritten claims or superbills. Tips for...
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Gold Plans
https://www.caresource.com/plans/marketplace/plan-documents/gold-plans/...to view documents 2025 Member Handbook 2025 Member Handbook 2025 Member Handbook 2025 Member Handbook 2025 Member Handbook 2025 Member Handbook EVIDENCE OF COVERAGE (EOC) The EOC is an important...
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Bronze Plans
https://www.caresource.com/plans/marketplace/plan-documents/bronze-plans/...documents 2025 Member Handbook 2025 Member Handbook 2025 Member Handbook 2025 Member Handbook 2025 Member Handbook 2025 Member Handbook EVIDENCE OF COVERAGE (EOC) The EOC is an important legal document...
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