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Your Healthy Heart Plan
https://www.caresource.com/plans/marketplace/plan-documents/your-healthy-heart-plan/...treat them by visiting the Heart Disease Health Center. Find out about tests, how heart disease affects men and women differently, and how to manage it. Use tools and multimedia...
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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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Planning Ahead
https://www.caresource.com/members/education/planning-ahead/...themselves. This is usually due to legal or mental incapacity. In certain situations a minor may also have a guardian chosen for them. How do I get a Guardianship? Only...
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Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/...service that requires a prior authorization, you must submit a retro-authorization request prior to filing a clinical appeal. How to Submit Appeals You can submit appeals through our Provider Portal...
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Quality Improvement
https://www.caresource.com/members/tools-resources/quality-improvement/...Diabetes High blood pressure Care after being in a hospital for a behavioral health condition Care for children taking ADHD medicines We check how quickly our members get care and...
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Eating Healthy
https://www.caresource.com/members/education/eating-healthy/...and tools on this page that can help you make sense of nutrition. You’ll learn a little about the five food groups, how to read a nutrition label and how...
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Pharmacy
https://www.caresource.com/providers/education/patient-care/pharmacy/...completed through the portal and by following the ESI Appeals Process instructions. Pharmaceutical Management Procedures To learn more about how to use our pharmaceutical management procedures, look in the drug...
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Medication Therapy Management
https://www.caresource.com/members/tools-resources/find-my-prescriptions/medication-therapy-management/...and decide if you may need extra attention. They offer ways to help you with your medications and how to take them the right way. They will also work with...
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Find A Pharmacy
https://www.caresource.com/members/tools-resources/find-my-prescriptions/find-a-pharmacy/...choose mail-order delivery through Express Scripts® for drugs that qualify. FIND A PHARMACY Please show your CareSource member ID card to the pharmacy. Your CareSource member ID card will let...
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Pharmacist Provider Status
https://www.caresource.com/providers/education/patient-care/pharmacy/pharmacist-provider-status/...a 10-digit number that identifies an individual provider for billing purposes. Each pharmacist who provides services must obtain their own NPI number. Visit https://nppes.cms.hhs.gov/assets/How_to_apply_for_an_NPI_online.pdf for detailed instructions on how to...
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