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Primary Care Provider Roles & Responsibility
https://www.caresource.com/providers/education/patient-care/pcp-roles-responsibilities/...Assisting with coordination of the member’s overall care, as appropriate for the member. Serving as the ongoing source of primary and preventive care. Recommending referrals to specialists, as required. Triaging...
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Plan Documents
https://www.caresource.com/plans/marketplace/plan-documents/...and gives you a predictable way to control ongoing costs. HDHP Preventive Silver: A balanced silver plan with some of the features of both the Diabetes and Healthy Heart Silver...
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Quality Improvement Program
https://www.caresource.com/members/tools-resources/quality-improvement/qip/...pressing areas of care. Potential quality measures are: Wellness and prevention Preventive screenings (breast cancer, cervical cancer, chlamydia) Well-child care Chronic disease management Comprehensive diabetes care Controlling high blood pressure...
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Why Choosing a PCP is Important
https://www.caresource.com/members/tools-resources/why-choosing-a-pcp-is-important/...for preventive or diagnostic services, such as lab work. A new patient normally does not have preventive care performed during a first visit, and it may not be free if...
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Marketplace
https://www.caresource.com/plans/marketplace/...services. **Limit of one Learn More HDHP PREVENTIVE AND PREVENTIVE HDHP PREVENTIVE AND PREVENTIVE Gold and Silver Plans There can be significant benefits to having a high-deductible health plan, especially...
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Quick Reference Materials
https://www.caresource.com/providers/tools-resources/quick-reference-materials/...Patient Experience Guide (CAHPS resource guide) CPT II Coding Guide Clinical Practice Guidelines CareSource adopts nationally recognized clinical practice and preventive health guidelines from federal agencies and medical professional specialty...
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Archived Reimbursement Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/reimbursement-policies/archived/...Preventive Evaluation and Management Services and Acute Care Visit on Same Date of Service Preventive Services and Sick Visit on Same Date of Service Preventive Services and Sick Visit on...
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Patient Care
https://www.caresource.com/providers/education/patient-care/...resources that help us work together to provide the best care for our members. Health Care Links – Reference nationally recognized clinical practice and preventive health guidelines from TRICARE Prime...
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It’s Your Birthday Month!
https://www.caresource.com/members/education/diabetes-checkup/...Take Charge of Your Health! To stay healthy now and in the future, it’s vital for you to complete your annual preventive health activities, especially if you have diabetes. Plus,...
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Reimbursement Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/reimbursement-policies/These reimbursement policies apply to the TRICARE Prime® Demo by CareSource Military & Veterans™ plan. Reimbursement policies are designed to assist you when submitting claims to us. They are routinely...
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Preventive