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Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/...service that has already been completed. Process for Provider Disputes Provider disputes can be submitted via the Provider Call Center, provider advocates or the CareSource Provider Portal. Providers may file...
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Past Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/past/...2020 – UPDATE 04/01/2020 Recent Provider Portal Updates 03/30/2020 FQHC and RHC Provider Billing Reminder 03/27/2020 Issue Resolution: Electronic Remittance Advice (ERA) PLB and Claim Level Adjustments 03/13/2020 Provider Portal...
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Become a Participating Provider
https://www.caresource.com/providers/education/become-caresource-provider/...services and want more information about becoming a participating provider, please submit the New Health Partner Contract Form. Provider Maintenance Current CareSource Providers may use the Health Partner Contract Form...
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Where To Get Care
https://www.caresource.com/members/tools-resources/where-to-get-care/...(like a hospital or outpatient facility) and you get services from an out of network provider. When specifically authorized by CareSource. You can use our Find a Doctor/ProviderFind a Doctor/Provider...
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FAQs
https://www.caresource.com/providers/education/faqs/...order to participate with CareSource PASSE, a provider must be registered with Arkansas Medicaid. Providers can apply at https://humanservices.arkansas.gov/divisions-shared-services/medical-services/provider-enrollment/ for Arkansas Medicaid Provider Enrollment Information. If you are not sure...
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Forms
https://www.caresource.com/providers/tools-resources/forms/...Provider Portal to alert CareSource to changes in your practice. Login to the portal and select “Provider Maintenance” from the navigation. Provider Maintenance Form – Use the Provider Portal to...
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Claims
https://www.caresource.com/providers/provider-portal/claims/...User Guide. Waiver Services Providers MyCare waiver services providers can also submit claims through the Provider Portal, but they do not use the same process as traditional providers, community partners...
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Pharmacy
https://www.caresource.com/providers/education/patient-care/pharmacy/...specialty pharmacy prior authorization requests: Online: Provider Portal (coming soon) Fax: Pharmacy Benefit Fax: 866-930-0019 Medical Benefit Fax: 888-399-0271 Electronic Submission: Pharmacy Benefit: CoverMyMeds or SureScripts Medical Benefit: CareSource Provider...
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Provider Maintenance
https://www.caresource.com/providers/provider-portal/provider-maintenance/...a provider to a group Adding or deleting a group provider Adding a group provider Adding a provider to a group Adding a provider to a group Changing an address...
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Prior Authorization
https://www.caresource.com/providers/provider-portal/prior-authorization/...provider. 2023 Prior Authorization List 2022 Prior Authorization List Prior Authorization Procedures The Provider PortalProvider PortalProvider Portal is the preferred and faster method to request prior authorization for health care...
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PROVIDER FORMS