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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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End or Change Membership
https://www.caresource.com/members/tools-resources/grievance-appeal/change-plans/...of eligibility Existing members – 12 months from the last redetermination date Have the Social Security number and/or DOB handy for the Head of Household Medicaid Member. Other DFCS info...
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General Plan Information
https://www.caresource.com/plans/marketplace/plan-documents/general-plan-information/...with information sufficient to identify the member, shall be deemed notice to us. Submit claims to: CareSource, P.O. Box 8730, Dayton, OH 45401-8730 See your EOC or call Member Services...
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Eligibility for TrueCare™ MississippiCAN
https://www.caresource.com/plans/mississippican/eligibility-for-mississippican/TrueCare serves members through the MississippiCAN program. You must receive Mississippi Medicaid and be a resident of Mississippi to be in this program. Only certain members qualify for MississippiCAN. Below...
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Eligibility and Enrollment
https://www.caresource.com/plans/tricare-prime-demo/eligibility-and-enrollment/...& VeteransTM: Active-duty family members Family members of Guard/Reserve sponsors who are activated Retirees, retiree family members, survivors who aren’t eligible for Medicare Beneficiaries enrolled in the Transitional Compensation Program...
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Marketplace
https://www.caresource.com/plans/marketplace/...difference in our member’s lives, we offer $0 chronic care health plans. These innovative plans support members living with diabetes and heart conditions, in addition to overall improved plan options....
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Contact Us
https://www.caresource.com/providers/contact-us/...status Member eligibility Coordination of benefits, and more Additional Key Contact Information Below is a list of the plan’s phone numbers for general questions, prior authorizations, claim inquiries and more,...
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Eligibility for Children’s Health Insurance Program (CHIP)
https://www.caresource.com/plans/mississippi-chip/eligibility-for-childrens-health-insurance-program-chip/...part of CHIP. Eligibility is based on: Family household income The age of each child The child’s insured status Populations Income Level Newborn to age 1 194% FPL to 209%...
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Fraud, Waste & Abuse
https://www.caresource.com/members/tools-resources/fraud-waste-abuse/...through March 31 we are open the same hours, seven days a week. Member Services: 1-855-202-0729 (TTY: 1-800-255-0056 or 711), Monday – Friday 7 a.m. – 7 p.m.Member Services: 1-844-539-1728...
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Forms
https://www.caresource.com/members/tools-resources/forms/...us who your provider is before you give birth. Member Claim Form – Use this form to submit a claim to us for services. Member Exception Request for Non-Formulary Medication...
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Mem Eligibility