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Where To Get Care
https://www.caresource.com/members/tools-resources/where-to-get-care/...a Doctor tool. Urgent Care Clinics When you get a sudden illness, injury or condition that isn’t an emergency, but needs care right away, an Urgent Care Clinic may be...
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Pharmacy
https://www.caresource.com/providers/education/patient-care/pharmacy/...authorization. Refer to the Authorization Requirements for Medications Under the Medical Benefit. For all prior authorization decisions (standard or urgent), CareSource PASSE™ provides notice to the provider and member as...
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Cost Saving Tips
https://www.caresource.com/members/tools-resources/tips-to-lower-your-cost-for-care/...sickness, an urgent care clinic may be a better choice than an ER. You can get in and out faster, and for a lower copay or coinsurance. Most urgent care...
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General Plan Information
https://www.caresource.com/plans/marketplace/plan-documents/general-plan-information/...27699-1201 Phone: 1-855-408-1212 Fax: 919-807-6865 https://www.ncdoi.gov/consumers/health-insurance/health-claim-denied/request-external-review To request an expedited review for urgent circumstances, select the “Request for Expedited Review” option in the External Review Request Form. Out-of-Network Liability and...
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Quality Improvement
https://www.caresource.com/providers/education/quality-improvement/Our Quality Improvement (QI) Program is designed to ensure the organization delivers on all aspects of care delivery for beneficiaries based on their unique needs. We monitor, analyze and identify...
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Primary Care Provider Roles & Responsibility
https://www.caresource.com/providers/education/patient-care/pcp-roles-responsibilities/...history, etc. Obtaining patient records from facilities visited by CareSource patients for emergency or urgent care if notified of the visit Ensuring demographic and practice information is up to date...
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Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/...Urgent Medical Device Correction - FreeStyle Libre 3 and FreeStyle Libre 3 Plus Sensors 12/26/2025 2026 CareSource Connections Schedule 12/16/2025 Requirements for Including NDC with Certain HCPCS and CPT codes...
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Telehealth
https://www.caresource.com/members/tools-resources/where-to-get-care/telehealth/...see your primary care provider (PCP) or behavioral health provider quickly enough? Thinking of going to the Emergency Room (ER) or Urgent Care Center for a non-emergency health issue? Think...
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FAQs
https://www.caresource.com/members/education/faqs/...Easy access to health care when and where you need it with retail health clinics, urgent care centers and letting you connect with a doctor online An online smoking cessation...
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Contact Us
https://www.caresource.com/members/contact-us/...can help you: Learn about a health problem. Decide when a visit to a provider, urgent care, or an ER visit is needed. Find out more about prescriptions or over-the-counter...
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Urgent