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FAQs
https://www.caresource.com/providers/education/faqs/...payer claim adjustment group codes as reported on the 835 payment or as identified on the EOP, such as deductible, coinsurance, copayment, contractual obligations and/or non-covered service group codes. Adjustment...
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Past Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/past/...December 2018 10/01/2018 Ambulance Overpayments and Incorrect Payments Recovery 09/27/2018 Q3 2018 Payment Update 09/27/2018 DME Overpayments and Incorrect Payments Recovery Notice 09/27/2018 Home Health Overpayments and Incorrect Payments Recovery...
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Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/...is approved, payment will show on the provider’s Explanation of Payment (EOP). Please note: If you believe a claim processed incorrectly due to incomplete, incorrect or unclear information, you should...
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Become a Participating Provider
https://www.caresource.com/providers/education/become-caresource-provider/...standard bank and card issuer fees apply* Paper Checks *Payment processing fees are what you pay your bank and credit card processor for use of payment via credit card. Need...
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Quick Start Guide
https://www.caresource.com/members/tools-resources/quick-start-guide/...the form for payment. Your online payment will take 3-5 business days to be received and posted to your account. CareSource is now accepting GooglePay® and ApplePay®. MAIL: CareSource P.O....
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FAQs
https://www.caresource.com/members/education/faqs/...you reach your goals. It also links your medical health, developmental disability, and specialty health services. Can a care coordinator help pay my utility bills? A care coordinator can connect...
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Reimbursement Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/reimbursement-policies/...updated to promote accurate coding and policy clarification. These proprietary policies are not a guarantee of payment. Payments for claims may be subject to limitations and/or qualifications. Payment will be...
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False Claims Act
https://www.caresource.com/providers/education/fraud-waste-abuse/false-claims-act/...through programs, agencies or contracts. The False Claims Act applies when a company or person: Knowingly presents a false or fraudulent claim for payment, Knowingly uses a false record or...
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Medical Benefits
https://www.caresource.com/benefits-services__trashed/medical/...Services $225 copay $225 copay Urgent Care $45 copay $35 copay Emergency Care $90 copay $90 copay Lab Services and Other Tests (In-Network) Laboratory Tests $35 copay $0 Diagnostic Tests...
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Plan Documents
https://www.caresource.com/plans/marketplace/plan-documents/...Gold plans have: Higher premiums. You pay more each month for a Gold plan than you would for another metal level. Lower out-of-pocket costs. With a Gold plan, the amount...
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