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Common Compliance Terms
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/common-compliance-terms/...an ineligible good or service, any duplicate payment, any payment for a good or service not received (except for such payments where authorized by law), and any payment that does...
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Executive Leadership
https://www.caresource.com/about-us/executive-leadership/...Eric Van Allen is the president of CareSource’s Arkansas Market, CareSource PASSE™, responsible for strategy, operations, provider partnerships and member experience to ensure high-quality, coordinated care for members with complex...
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Rewards Programs
https://www.caresource.com/providers/education/patient-care/rewards-programs/...can encourage their patients to sign up for a wellness reward program by visiting our Member Rewards page. Rewards are paid based on claims data; once members join a reward...
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Pregnancy & Family Planning
https://www.caresource.com/members/education/pregnancy/We want you to have a healthy pregnancy. Family planning helps: You be healthy before getting pregnant. Put off pregnancy until you are ready. Protect you and your partner from...
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Medical Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/medical-policies/...to our CareSource PASSE™ plan. Medical policies offer guidance on determination of medical necessity and appropriateness of care for approved benefits. Benefit determinations and coverage decisions are subject to all...
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Provider Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/...payment and administrative policies for our health partners. These policies are regularly reviewed, updated, withdrawn or added; and therefore, subject to change. Please check often for updates to health partner...
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Contact Us
https://www.caresource.com/about-us/contact-us/...via our Tell Us form. A Member Services representative will be happy to answer your questions Monday through Friday, 8 a.m. to 8 p.m. unless otherwise stated below. Our Provider...
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Care And Disease Management
https://www.caresource.com/providers/education/patient-care/care-management-disease-management/...identified in the Disease Management programs receive help finding the appropriate level of care for their condition, and they are encouraged to actively participate in the patient-provider relationship. The programs...
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ICD-10
https://www.caresource.com/providers/education/icd-10/...payers. CareSource PASSE™ is committed to meeting the requirements of the ICD-10 code set. Our ICD-10 resources include network notifications, frequently asked questions (FAQs), claim processing and preauthorization updates, as...
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End or Change Membership
https://www.caresource.com/members/tools-resources/grievance-appeal/change-plans/...the last redetermination date You will need to confirm your income when you renew. You can use pay stubs to do this. Pay Stubs must be less than 90 days...
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