...Marketplace members complete the annual Quality Health Plan (QHP) Enrollee Survey to capture member perspectives on health care quality. The QHP Enrollee Survey is a consumer experience survey that assesses...

...your Welcome Letter from CareSource North Carolina Co. with your CareSource North Carolina Co. ID number, you have completed the contracting and credentialing process. As you prepare to see CareSource...

...that are not approved by CareSource are forwarded to the Independent External Reviewer (IRE) by CareSource for Level 2 appeal, or in the event that CareSource does not make a...

...secure, online provider portal. You can submit claims and any necessary attachments, track claim payments and more. CareSource offers this service at no cost. SUBMIT CLAIMS ONLINE USING THE CARESOURCE...

...To ensure there is no delay in the review process, be sure to include this medical information when you ask for the exception. Policies CareSource pharmacy policies include drug-specific and...

...Advantage Contract; Continuation of CareSource Medicaid Contracts 11/02/12 CareSource Receives NCQA Accreditation 11/02/12 Enhanced Dental Management Portal Functionality and Claims Processing – Effective 11/26/12 10/26/12 Claims Payment and New EFT...

CareSource North Carolina Co., d/b/a/ CareSource Your Responsibilities Be Enrolled and Pay Required Premiums Benefits are available to you only if you are enrolled for coverage under the plan. To...

...To initiate the peer-to-peer process, please call CareSource’s Utilization Management team at 1-833-230-2101. CareSource® evaluates prior authorization requests based on medical necessity, medical appropriateness, and benefit limits. Services That Require...

...makes sure that computers used by employees are safe by using firewalls and CareSource limits who can access member health information. We make sure that only those employees with a...

...policies. Some benefit management services are provided on behalf of CareSource. Please reference applicable policies from our delegated service providers. These medical polices apply to our CareSource North Carolina Co.®...