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Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/...that may apply. Also refer to our Updates & Announcements page for notifications of changes that may impact your appeal. Contact Us For any questions regarding CareSource’s processes, please contact...
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Welcome
https://www.caresource.com/providers/welcome/...complex populations Getting Started Working with HAP CareSource Educational Resources Welcome to CareSource North Carolina Co. Our mission is: Putting Members First, Pursuing Better Health Care. Together we can make...
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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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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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Pharmacy
https://www.caresource.com/providers/education/patient-care/pharmacy/...list of drugs that are preferred under the plan. CareSource updates the PDL quarterly. Visit the Drug Formulary page for more information. Prior Authorization Medications covered under the pharmacy benefit...
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Laboratory
https://www.caresource.com/providers/education/patient-care/laboratory/...about our plan and services. As changes occur and as needs arise, we issue network notifications providers via the CareSource Updates & Announcements webpage. Please check these pages often to...
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MUSCULOSKELETAL AND CARDIAC SURGICAL PROCEDURES
https://www.caresource.com/providers/tools-resources/health-partner-policies/surgical-procedures/...network notifications providers via the CareSource Updates & Announcements webpage. Please check these pages often to learn about updates and changes that impact your practice. Contact Us If you have...
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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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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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Provider Manual
https://www.caresource.com/providers/tools-resources/provider-manual/...is subject to change without notice. CareSource PASSE™ posts updates through network notifications on the Updates & Announcements page. Please bookmark and check this page often to stay current with...
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