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Reimbursement Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/reimbursement-policies/...determined based upon a review of the actual services provided to a beneficiary and will be determined when the claim is received for processing. Providers and their office staff are...
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Understanding Your Costs
https://www.caresource.com/members/tools-resources/understanding-your-costs/...you owe. You will get an EOB in the mail from us after you visit a provider or fill a prescription. We negotiate rates with our network providers to keep...
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CareSource Mobile App
https://www.caresource.com/members/tools-resources/caresource-mobile-app/...your digital member ID card Access your secure My CareSource® member portal account. Find a provider, hospital, or clinic near you and get directions. View your claims. Check your copays,...
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Mental Health
https://www.caresource.com/members/education/mental-health/...741741 to reach the Crisis Lifeline by text. Health Care Terms Providers may use words that you have never heard of to talk about your health. Learn what some of...
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Women's Health
https://www.caresource.com/members/education/preventive-care/womens-health/...and you want a more personal relationship with your provider. Seeing a provider while you are pregnant is key. If you need help finding a provider in your area, call...
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Health Care Terms
https://www.caresource.com/plans/marketplace/benefits-services/behavioral-health/health-care-terms/...your provider to make sure your medications are working. This can be things like reviewing and changing your dosage. Psychiatric Diagnostic Evaluation A mental health provider looks at you and...
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Referrals & Prior Authorization
https://www.caresource.com/plans/medicaid/benefits-services/referrals-prior-authorization/...You can search for participating health partners using the Find a Doctor/Provider tool and schedule an appointment yourself. You can also check your provider directory for a list of participating...
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Plan Documents
https://www.caresource.com/plans/medicaid/plan-documents/...is available through our online Find a Doctor tool. This tool will show you: Primary care providers (PCPs) Primary dental providers (PDPs)/Dental Home Specialists Hospitals Download the machine-readable Provider Directory...
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Diabetes
https://www.caresource.com/plans/marketplace/diabetes/...benefits too! OTHER PLAN HIGHLIGHTS INCLUDE: A strong network of providers: including networks for diabetes targeted health systems and other provider specialties for complex symptom management. Specialist visits do not...
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Medical Benefits
https://www.caresource.com/benefits-services__trashed/medical/...needed emergency services or CareSource specifically authorized the services. Use our Find a Doctor/ProviderFind a Doctor/ProviderFind a Doctor/ProviderFind a Doctor/ProviderFind a Doctor/Provider tool to see if your doctor is in...
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