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Become a Participating Provider
https://www.caresource.com/providers/education/become-caresource-provider/Florida TRICARE Florida TRICARE Learn More Georgia TRICARE Georgia TRICARE Learn More Michigan Michigan Learn More Mississippi Mississippi Learn More North Carolina North Carolina Learn More Nevada Nevada Learn More...
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Pharmacist Provider Status
https://www.caresource.com/providers/education/patient-care/pharmacy/pharmacist-provider-status/...and you’d like to modify it or add an additional pharmacist, instead choose “I am a contracted CareSource Health Partner and would like to: add a provider, add a location,...
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Claims
https://www.caresource.com/providers/provider-portal/claims/...for any services rendered to CareSource members, except in emergency situations. CareSource must ensure all providers, including providers with a single case agreement (SCA), are active provider in ODM’s PNM...
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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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COVID-19 Information and Resources
https://www.caresource.com/providers/tools-resources/covid-19-provider-resource-center/...assist you. CONTACT US The Public Health Emergency (PHE) for COVID-19 has ended. Services like vaccines, treatment, and testing are still available. Some rules changed, stopped, or started again. CareSource...
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FAQs
https://www.caresource.com/providers/education/faqs/...with CareSource and the service we provide. However, health partners who are unhappy with CareSource’s action concerning a medical necessity decision or a claim payment may appeal it. Please see...
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Primary Care Provider Roles & Responsibility
https://www.caresource.com/providers/education/patient-care/pcp-roles-responsibilities/...attempts to collect race and language-specific member data. Staff is available to answer questions and explain race/ethnicity categories to a member, to assure accurate identification of race/ethnicity for all family...
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FAQs
https://www.caresource.com/members/education/faqs/...to HIP and HHW members: MyHealth Rewards for Adults – A health and wellness program that rewards adults age 18 and older. Some reward activities vary by age, gender and...
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Where To Get Care
https://www.caresource.com/members/tools-resources/where-to-get-care/...the care you need. You can learn more about our Access Plan by visiting www.caresource.com/WV/AccessPlan. Your Primary Care Provider (PCP) You must choose a PCP who is a network provider....
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Claim Rejection Notifications
https://www.caresource.com/providers/provider-portal/claims/claim-rejection-notifications/Review the various errors below to understand how to correct and resubmit. When viewing your 277CA, all CareSource rejections will have a Claim Status Category Code of A7. The second...
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become a caresource provider