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Common Compliance Terms
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/common-compliance-terms/...“individually identifiable health information” held or transmitted by a covered entity or its business associate, in any form or media, whether electronic, paper, or oral. “Individually identifiable health information” is...
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Mississippi | TrueCare
https://www.caresource.com/mississippi/...for your practice, allowing more time for patient care.. <0.5 <0.01% 96% 99.2% Days Pending Claim Volume Receipts on Hand Claims Aged over 30 Days Non-Paper Claims Aged over 30...
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Check Eligibility
https://www.caresource.com/providers/provider-portal/check-eligibility/CareSource MyCare Ohio allows individuals to select Medicaid only coverage from the plan managing their CareSource MyCare Ohio benefits. Individuals may choose to have CareSource MyCare Ohio either: Provide their...
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Forms
https://www.caresource.com/providers/tools-resources/forms/...Pharmacy Paper Claims Form Submit this to Express Scripts® (ESI) using the instructions on the form. Provider Standard Claim Dispute Form Submit this form to dispute a standard claim. The...
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Fraud, Waste & Abuse
https://www.caresource.com/providers/education/fraud-waste-abuse/Our Program Integrity Department handles cases of managed care fraud, waste or abuse. It can be done by providers, pharmacies, or members. Fraud means the purposeful misuse of or for...
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Pharmacy
https://www.caresource.com/providers/education/patient-care/pharmacy/Before providing care or prescribing medicine for your patients, please review the CareSource® MyCare Ohio (HMO D-SNP) Medicare Part D formulary and Medicaid List of Covered Drugs. Formulary Use the...
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End or Change Membership
https://www.caresource.com/members/tools-resources/grievance-appeal/change-plans/If you are not happy with CareSource, let us know. We want to make it right. You have the right to change to a different Georgia Families® Georgia Pathways to...
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Eating During Pregnancy
https://www.caresource.com/members/education/pregnancy/eating-during-pregnancy/...out an online application. Print and mail the application. Ask for a paper application by mail. You can also apply by calling DFR at 1-800-403-0864. Call today to get started....
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MyCare Ohio
https://www.caresource.com/plans/mycare/...streamline your health care day-to-day planning. Picture only having one point-of-contact and one plan, so you can cut down on paperwork and phone calls. Choose CareSource for both Medicare and...
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Join TRICARE Prime Demo
https://www.caresource.com/join-tricare-prime/...over 30 Days 0. Non-Paper Claims Aged over 30 Days 96% Claims Systematically Processed Without Manual Intervention 99.2% Claim Payment Financial Accuracy Rate How to Join the TRICARE Prime Demo...
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