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Quality Improvement
https://www.caresource.com/providers/education/quality-improvement/...non-clinical services. CareSource monitors and evaluates the quality of care, encompassing the safety and service delivered to our members with an emphasis on accessibility to care, availability to care, availability...
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Where To Get Care
https://www.caresource.com/members/tools-resources/where-to-get-care/...needs care right away, an Urgent Care Clinic may be a good choice. If you need to get urgent care, you can: Call your PCP for advice. Call CareSource24, our...
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Primary Care Provider Roles & Responsibility
https://www.caresource.com/providers/education/patient-care/pcp-roles-responsibilities/...care treatment plans and notifying CareSource of members who may benefit from care coordination. In addition, CareSource PCPs play an integral part in coordinating health care for our members by...
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FAQs
https://www.caresource.com/members/education/faqs/cdmvheart Care Coordination What is a care coordinator? A care coordinator will connect you and your family with community support. They coordinate the services you are already getting and any...
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General Plan Information
https://www.caresource.com/plans/marketplace/plan-documents/general-plan-information/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...
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Cost Saving Tips
https://www.caresource.com/members/tools-resources/tips-to-lower-your-cost-for-care/...Convenience Care clinics. Visit an Urgent Care Clinic. For more serious injuries and common sickness, an urgent care clinic may be a better choice than an ER. You can get...
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Quick Start Guide
https://www.caresource.com/members/tools-resources/quick-start-guide/We are excited to welcome you as a CareSource member and introduce some of the programs and tools that make CareSource more than just health insurance. We are Health Care...
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Contact Us
https://www.caresource.com/members/contact-us/...access. Information about our Care Management Program, designed to keep you and your family healthy! My CareSource My CareSource is a personal, secure portal account that can help you get...
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Prior Authorization
https://www.caresource.com/providers/provider-portal/prior-authorization/...Peer-to-Peer Process CareSource provides the opportunity for providers to discuss the utilization management (UM) medical necessity determination of a denial or decrease in level of care with CareSource’s Medical Director/Behavioral...
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Utilization Management
https://www.caresource.com/providers/education/patient-care/utilization-management/...detailed information. Transition of Care CareSource will coordinate continuity of care for members who have existing care treatment plans that include scheduled services with non-participating health partners or who transition...
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Urgent care