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File a Grievance
https://www.caresource.com/members/tools-resources/grievance-appeal/file-grievance/...at 1-833-230-2005 (TDD/TTY: 711) to tell us. We can also mail you a form to send back. Fill out the Grievances and Appeals form. Mail us a letter. Mail the...
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Pharmacy
https://www.caresource.com/providers/education/patient-care/pharmacy/...drug reimbursement. NADAC pricing can be accessed on Medicaid.gov. Pricing information can also be accessed through the secure Express Scripts Provider Portal. Drug pricing appeals can be completed through the...
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Part D Prescription Plan Rights
https://www.caresource.com/members/tools-resources/grievance-appeal/part-d-prescription-plan-rights/...day, 7 days a week. TTY users can call 1-877-486-2048. Grievances, Appeals, and Exceptions Data CareSource keeps records about the receipt and handling of grievances, appeals, and exceptions. We will...
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State Hearing and External Review
https://www.caresource.com/members/tools-resources/grievance-appeal/state-hearing-external-review/...from the date of the internal appeal letter. CareSource Attention: Indiana Member Appeals P.O. Box 1947 Dayton, OH 45401 State Fair Hearing You must file your state fair hearing and...
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Part C Medical Plan Rights
https://www.caresource.com/members/tools-resources/grievance-appeal/part-c-medical-plan-rights/...Exceptions Data CareSource keeps records about the receipt and handling of grievances, appeals, and exceptions. We will also share grievances, appeals and exceptions data to you if you ask. We...
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Claim Payment Disputes
https://www.caresource.com/providers/provider-portal/claim-payment-disputes/...claim denial should be submitted as an appeal. For more information about appeals, review the Appeals of Claim Denials and Adverse Decisions section on this page. If you believe your...
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Claims
https://www.caresource.com/providers/provider-portal/claims/...and/or appeals for denial of claims Get Paid Electronically CareSource has partnered with ECHO Health, Inc. to deliver provider payments. ECHO offers three payment options: Electronic fund transfer (EFT) –...
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Forms
https://www.caresource.com/members/tools-resources/forms/...Grievances and Appeals Form: Use this form if you have a complaint about service you got or do not agree with a decision we made. Fraud Waste and Abuse Reporting...
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Provider Grievances
https://www.caresource.com/providers/provider-portal/provider-grievance/...payment dispute or appeals process. Providers have 30 calendar days from the date of the incident to file a provider complaint: HAP CareSource Attn: Grievances & Appeals P.O. Box 1025...
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Past Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/past/...Chain Reaction 09/22/2017 Clinical Appeals Require Member Consent 09/22/2017 Update on Processing Claims for Enhanced Ambulatory Patient Groups – UPDATE 09/01/2017 Drug Screening Reimbursement Policy – This notification has been...
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