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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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Get Credentialed
https://www.caresource.com/providers/education/become-caresource-provider/get-credentialed/...Affordable Quality Healthcare (CAQH) application to be submitted. Please provide your CAQH number and National Provider Identifier (NPI) number to CareSource. CareSource credentials providers using guidelines from the Department of...
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Pharmacy
https://www.caresource.com/providers/education/patient-care/pharmacy/...protocols and guidelines. Providers can submit requests by any of the methods identified below. Providers are required to submit pertinent medical/drug history, prior treatment history and any other necessary supporting...
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Where To Get Care
https://www.caresource.com/members/tools-resources/where-to-get-care/...and providers to get you care. We call these in-network providers. To have your health care services covered by your CareSource plan, you must go to an in-network provider. Use...
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Fraud, Waste & Abuse
https://www.caresource.com/providers/education/fraud-waste-abuse/...send a member ID number, social security number or any health information. Please use the form or phone number above. This can help protect your privacy. You may also report...
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Update Practice Information
https://www.caresource.com/providers/provider-portal/update-practice-information/...on this page’s provider roster. CareSource PASSE Common Roster Template This template should be completed by large facilities needing to add a large number of providers to their practices. New...
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FAQs
https://www.caresource.com/members/education/faqs/...PCSP is an overall plan of care. It includes: What you need: CareSource PASSE phone numbers. Emergency phone numbers. List of people on your Person-Centered Team (PCT). What you and...
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FAQs
https://www.caresource.com/providers/education/faqs/...one of many services available to our providers 24 hours a day through our secure Provider Portal. The pended claims report is another resource for claim status and it is...
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Pharmacist Provider Status
https://www.caresource.com/providers/education/patient-care/pharmacy/pharmacist-provider-status/...a 10-digit number that identifies an individual provider for billing purposes. Each pharmacist who provides services must obtain their own NPI number. Visit https://nppes.cms.hhs.gov/assets/How_to_apply_for_an_NPI_online.pdf for detailed instructions on how to...
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Contact Us
https://www.caresource.com/providers/contact-us/...numbers for general questions, prior authorizations, claim inquiries and more, as well as common fax numbers and addresses. Use this list as a guide to help you find the appropriate...
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