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Check Eligibility
https://www.caresource.com/providers/provider-portal/check-eligibility/...their care can effectively coordinate their care We recommend that you check member eligibility each time a member presents for services, as member eligibility can fluctuate. Changes in health status...
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Primary Care Provider Roles & Responsibility
https://www.caresource.com/providers/education/patient-care/pcp-roles-responsibilities/...member use. All CareSource® members choose or are assigned a primary care provider (PCP) upon enrollment in the plan. PCPs should help facilitate a medical home for members. This means...
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Patient Administration
https://www.caresource.com/providers/education/patient-care/patient-administration/...members. CareSource PASSE members are informed of their rights and responsibilities via their member handbook. Please review our member rights and responsibilities and ensure your practice is in compliance. We...
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Utilization Management
https://www.caresource.com/providers/education/patient-care/utilization-management/...Members may access Member Services by calling our toll-free number, 1-833-230-2099, 7 a.m. to 7 p.m. (TTY for the hearing impaired: 1-800-743-3333) and following the menu prompts. Members may access...
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FAQs
https://www.caresource.com/members/education/faqs/...member. Get a CareSource member ID Card, Plan Documents or Change Your Doctor How do I get a new CareSource member ID card? Log into your My CareSource account to...
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FAQs
https://www.caresource.com/providers/education/faqs/...the member’s card? Yes! Any participating primary care provider (PCP) may see eligible CareSource members. PCPs are responsible for verifying member eligibility before providing any services. Please log on to...
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COVID-19 Information and Resources
https://www.caresource.com/providers/tools-resources/covid-19-provider-resource-center/The Public Health Emergency (PHE) for COVID-19 has ended. Services like vaccines, treatment, and testing are still available. Some rules changed, stopped, or started again. CareSource continues to watch COVID-19...
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Health Care Links
https://www.caresource.com/providers/education/patient-care/health-care-links/...adopts evidence-based nationally accepted standards and clinical practice guidelines to help inform and guide the provision of clinical care to members. CPGs are identified through member review of member population...
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Claim Rejection Notifications
https://www.caresource.com/providers/provider-portal/claims/claim-rejection-notifications/...detail will be denied. Error Number: 30 Error Description: Member mismatch How to Fix: Either the member had the wrong sex identified on the claim submission, or the member’s address...
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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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Mem Eligibility