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Get Credentialed
https://www.caresource.com/providers/education/become-caresource-provider/get-credentialed/...will review the provider’s request and begin building the provider’s contract. CareSource will coordinate with the CVO to confirm the status of providers who request to enroll with us and...
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Utilization Management
https://www.caresource.com/providers/education/patient-care/utilization-management/...with any UM questions. Providers may call 1-855-852-5558 to get help with any UM questions. Providers may call 1-855-202-1091 to get help with any UM questions. Providers may call 1-833-230-2101...
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Grievance and Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/...a timely appointment with a provider. You think the provider’s office staff did not treat you fairly. You are not satisfied with the quality of care you received. CareSource denies...
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Tools & Resources
https://www.caresource.com/members/tools-resources/...materials all in one place. Documents Forms Forms Get the forms you need to make the most of your plan. Forms Where to get Care Where to get Care Get...
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Caregiver Forms
https://www.caresource.com/members/tools-resources/caregiver-resources/forms/Please choose your plan from the drop down list above and click GO to see applicable forms. These forms allow caregivers to work with CareSource on behalf of their loved...
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Dental
https://www.caresource.com/providers/education/patient-care/dental/CareSource’s covered routine dental benefits are administered by Delta Dental. Delta Dental Phone: 1-833-778-7003 Routine Dental Providers Please use the Providers Dental Provider Login menu option of the Provider Portal...
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Forms
https://www.caresource.com/arkansas/forms/Provider Attestation Form – Submit this form to attest to practice competency prior to working with CareSource. CCVS Provider Authorization and Release Form – Submit this form to authorize release...
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Fraud, Waste & Abuse
https://www.caresource.com/members/tools-resources/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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Caregiver Tools
https://www.caresource.com/members/tools-resources/caregiver-resources/caregiver-tools/...Doctor/Provider Use this online tool to find doctors and other providers in the CareSource Network. Find a Doctor/Provider Find a Pharmacy Use this tool to find pharmacies near you. Go...
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Forms
https://www.caresource.com/plans/tricare-prime-demo/forms/...a beneficiary, provider, or pharmacy is taking part in fraud, waste, abuse or overpayment. Grievance and Appeals Form (coming soon): Use this form if you have a complaint about a...
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PROVIDER FORMS