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North Carolina
https://www.caresource.com/north-carolina/Why You Should Join the CareSource Network CareSource is dedicated to ensuring high-quality care for North Carolina members by maintaining strong relationships with our North Carolina providers. CareSource is a...
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David Herndon, President, North Carolina Market
https://www.caresource.com/about-us/executive-leadership/david-herndon-president-north-carolina-market/David Herndon is the president of CareSource’s North Carolina Market and has more than 20 years of innovative health care leadership experience. He developed one of the country’s first aged,...
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HIPAA Privacy Practices - North Carolina Marketplace
https://www.caresource.com/about-us/legal/hipaa-privacy-practices/hipaa-privacy-practices-north-carolina-marketplace/This notice describes how health information about you may be used and given out. It also tells how you can get this information. Please review it carefully. We will refer...
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Quality Improvement
https://www.caresource.com/providers/education/quality-improvement/Our Quality Improvement (QI) Program is designed to ensure the organization delivers on all aspects of care delivery for beneficiaries based on their unique needs. We monitor, analyze and identify...
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MUSCULOSKELETAL AND CARDIAC SURGICAL PROCEDURES
https://www.caresource.com/providers/tools-resources/health-partner-policies/surgical-procedures/CareSource® covers both musculoskeletal and cardiac surgeries for our members. Orthopedic, Neuro-Spine and Cardiac providers can access the following tools to help them provide efficient and quality care. Policies Providers...
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Dental
https://www.caresource.com/providers/education/patient-care/dental/...Form Submit this form to request continuation of care for orthodontic services. Orthodontic Evaluation and Predetermination Form Submit this form to request prior authorization for orthodontic services. Orthodontic Form for...
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Utilization Management
https://www.caresource.com/providers/education/patient-care/utilization-management/...Mail: CareSource of North Carolina Co. P.O. Box 1307 Dayton, OH 45401-1307 On an annual basis, CareSource of North Carolina Co. completes an assessment of satisfaction with the UM process...
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Become a Participating Provider
https://www.caresource.com/providers/education/become-caresource-provider/Florida TRICARE Florida TRICARE Learn More Georgia TRICARE Georgia TRICARE Learn More Michigan Michigan Learn More Mississippi Mississippi Learn More North Carolina North Carolina Learn More Nevada Nevada Learn More...
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Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/...Authorization Requirements for Nursing Home Admissions from Hospital No Longer in Effect 04/25/2025 Pharmacy Policy Updates April 2025 04/18/2025 Corrected Claim Submission Requirements 04/11/2025 Prothesis and Orthosis Claims Editing Logic...
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General Plan Information
https://www.caresource.com/plans/marketplace/plan-documents/general-plan-information/CareSource North Carolina Co., d/b/a/ CareSource Your Responsibilities Be Enrolled and Pay Required Premiums Benefits are available to you only if you are enrolled for coverage under the plan. To...
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