...27699-1201 Phone: 1-855-408-1212 Fax: 919-807-6865 https://www.ncdoi.gov/consumers/health-insurance/health-claim-denied/request-external-review To request an expedited review for urgent circumstances, select the “Request for Expedited Review” option in the External Review Request Form. Out-of-Network Liability and...

...and paper claims. Recommended Option: Submit Claims Online Providers have the option to submit claims through our secure, online Provider Portal. You can submit claims, track claim payments and more....

...Vice President, Quality Improvement and Performance Outcomes. On an annual basis, CareSource makes information available about our Quality Management and Improvement program to providers on our website. CareSource gathers and...

...and death from cardiovascular diseases and stroke. Kidney Disease 2024 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease Kidney Disease Outcomes Quality Initiative (KDOQI) U.S Commentary...

...the National Culturally & Linguistically Appropriate Standards (CLAS). Learn more about cultural and linguistically appropriate services. The CareSource Cultural Competency Plan outlines our commitment to providing culturally-competent services to our...

...Plan, but these plans have the highest deductibles and other out-of-pocket costs. Health Care Coverage Your Way. We offer different Bronze plan options so you can choose the one that...

...follow up. Learn more about the importance of following up after an emergency. When You are Outside of our Service Area When you are temporarily outside the service area, you...

...and/or suspensions information, the CareSource Fair Hearing Plan is available on this website. Report Fraud, Waste & Abuse Anonymous Options Non-Anonymous Options Call: 1-800-488-0134 Fax: 1-800-418-0248 Write: CareSource Attn: Program...

...and procedures as outlined in this manual. Complying with the quality standards of our health plans outlined in this manual. Providing 30 days of emergency coverage to any CareSource patient...

...when filling out the form. If you offer medical services and want more information about becoming a participating provider, please submit the New Health Partner Contract Form. Fill out an...