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Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/...CareSource will decide whether to expedite an appeal within 48 hours (2 days). We will make reasonable efforts to provide prompt verbal notification to the member of the decision to...
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Request Patient Services
https://www.caresource.com/providers/tools-resources/request-patient-services/...the 24-Hour Nurse Advice Line toll-free number located on their ID cards 24 hours a day, 7 days a week, 365 days a year. Interpreter Services CareSource offers onsite sign...
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Telehealth
https://www.caresource.com/members/tools-resources/where-to-get-care/telehealth/Telehealth uses your phone, computer, or tablet to speak to a provider. It removes the stress of needing transportation to and from the provider’s office. You can talk to a...
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Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/Quick References COVID-19 information Pharmacy information, including our Preferred Drug Lists (PDLs) Medical, pharmacy, reimbursement and administrative policies We strive to make partnering with us simple. We’re aware things may...
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Health and Social Partnerships
https://www.caresource.com/providers/education/health-equity/...barriers to health care access and earn 10+ hours of free CME/CE credit! Resources: CMS Webinars and Trainings US Department of Health and Human Resources (HHS) Think Cultural Health Our...
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How and When to File an Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/file-appeal/...benefit determination as soon as possible given a member’s medical needs, but not later than 72 hours after we receive the request. You may request an expedited internal appeal of...
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Pharmacy
https://www.caresource.com/providers/education/patient-care/pharmacy/...may request authorization by one of the following mechanisms: Online submission Form for office use English | Spanish Written request via fax: 1-877-251-5896 for oral medications and injectable/specialty medications Toll-free...
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Health Care Terms
https://www.caresource.com/plans/marketplace/benefits-services/behavioral-health/health-care-terms/Dial 9-8-8 or send a text to 988 to reach a crisis counselor 24 hours a day, 7 days a week. Call if you or someone else is: Thinking of...
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Why Choosing a PCP is Important
https://www.caresource.com/members/tools-resources/why-choosing-a-pcp-is-important/...the office. During this visit you will go over your medical history and talk about concerns you may have. You may be given an exam and you may be sent...
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Georgia Pathways to Coverage
https://www.caresource.com/plans/georgia-pathways-to-coverage/...of Family & Children Services (DFCS) office. To find the location and business hours for a DFCS office, visit: dfcs.ga.gov/locations. By mail to your local DFCS office. By phone at...
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