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Care And Disease Management
https://www.caresource.com/providers/education/patient-care/care-management-disease-management/...program that strives for member understanding of and satisfaction with their medical care. Our one-on-one personal interaction with outreach specialists and nurse care coordinators helps support your CareSource patient through...
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Behavioral Health
https://www.caresource.com/providers/education/patient-care/behavioral-health/...access the care they need. Coordinating Integrated Care Coordinated care is key to ensuring optimal outcomes for our members. We ensure our providers have access to behavioral health resources and...
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Medicare Prescription Payment Plan
https://www.caresource.com/plans/dsnp/pharmacy/drug-cost-help/mppp/...coverage. Go to www.express-scripts.com/mppp and choose the opt-out option. You can also call 1-866-845-1803. After you leave the program, you will get an invoice each month for the amount you...
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FAQs
https://www.caresource.com/members/education/faqs/...I learn more about the benefits CareSource offers? Check out all of the extra perks you get as a CareSource member. Get a CareSource member ID Card, Plan Documents or...
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Fraud, Waste & Abuse
https://www.caresource.com/members/tools-resources/fraud-waste-abuse/...Treat your member ID card like you would a credit card. Don’t give out policy numbers to door-to-door salespeople, over the phone or on the internet. Watch out for people...
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Prior Authorization
https://www.caresource.com/providers/provider-portal/prior-authorization/...Management department. Please call 1-833-230-2101 for any questions related to post-stabilization services. Advanced Imaging Prior Authorization Ordering physicians must obtain prior authorization for the following outpatient, non-emergent diagnostic imaging procedures:...
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Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/...to submit additional information for expedited clinical appeals. CareSource will outreach to the member within one business day about any information needed to evaluate the expedited appeal and will outreach...
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Plan Documents
https://www.caresource.com/plans/marketplace/plan-documents/Review your CareSource marketplace plan documents to make sure you get the most from your health insurance plan. You can also contact us with any questions you have about your...
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Medicare Prescription Payment Plan
https://www.caresource.com/members/tools-resources/find-my-prescriptions/medicare-prescription-payment-plan/...at any time. It will not affect your benefits or coverage. Go to www.express-scripts.com/mppp and choose the opt-out option. You can also call 1-866-845-1803. After you leave the program, you...
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Cost Saving Tips
https://www.caresource.com/members/tools-resources/tips-to-lower-your-cost-for-care/...not be. Learn more about Urgent Care Clinics. Use Outpatient or Ambulatory Surgical Centers You may need a test or surgery that can be performed at an outpatient center, also...
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