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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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Fraud, Waste & Abuse
https://www.caresource.com/providers/education/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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Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/...You can use the Consent for Provider to File an Appeal on Patient/Member’s Behalf (coming soon) form to record this consent. Expediting Clinical Appeals If you feel that the standard...
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Training & Events
https://www.caresource.com/providers/education/training-events/...for a training session. We look forward to meeting you in a future event! View the trainings listed below to access valuable resources to help you best serve our members....
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Additional Benefits and Services
https://www.caresource.com/plans/marketplace/benefits-services/additional-services/...information. HSA Bank Members who have enrolled in an HSA eligible plan can easily set up their Health Savings Account through HSA Bank. Members enrolled in one of these plans...
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Opioid Toolkit
https://www.caresource.com/providers/education/patient-care/behavioral-health/opioid-toolkit/As part of our commitment to both health partners and members, we want to provide resources that support your professional practice and encourage best practices in opioid use and pain...
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Contact Us
https://www.caresource.com/members/contact-us/...dental and vision coverage for adults. CareSource is a Qualified Health Plan offered through the Health Insurance Marketplace. You made the right choice. You joined two million members who receive...
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Quality Improvement
https://www.caresource.com/members/tools-resources/quality-improvement/...members learn about health prevention. These guidelines help members get the health screenings and exams that they need. Learn more about the preventive care guidelines. CareSource may also remind you...
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Mental Health
https://www.caresource.com/members/education/mental-health/...CareSource members get more with their benefits. Learn more about what’s covered. Member Handbook Evidence of Coverage and Schedule of Benefits Where to Get Care Substance Use Disorder The path...
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Clinical Innovation
https://www.caresource.com/providers/education/patient-care/pharmacy/clinical-innovation/...caregivers, and community partners to meet the unique needs of our members and communities. We support a wide range of clinical areas with programs specifically tailored to our membership. Key...
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