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FAQs
https://www.caresource.com/members/education/faqs/...Just call Member Services at 1-833-230-2005 (TDD/TTY: 711) Monday through Friday, 8 a.m. to 5 p.m. CT. You can also contact us online through the Tell Us form. What if...
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Drug Formulary
https://www.caresource.com/providers/tools-resources/drug-formulary/...most up-to-date information, access the online Formulary Search Tool. Helpful Online Drug Formulary Tools Fingertip Formulary Formulary Search Tool Pharmacy Page Download this medical application to your mobile device for...
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Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/...Screening and Resident Review (PASRR) Requirements 05/05/2023 ODM Claims Rejection Logic 05/04/2023 Rejection of Claims Based on the Provider Master File 05/02/2023 Rejection of Claims that Bypass the ODM Fiscal...
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Tools & Resources
https://www.caresource.com/providers/tools-resources/...View COVID-19 Information Drug Formulary Drug Formulary Look up medications for your patient’s plan. Learn More Forms Forms Find forms for contracting, authorization, claim submission and more. View Forms Provider...
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Claim Payment Disputes
https://www.caresource.com/providers/provider-portal/claim-payment-disputes/If you believe the claim was processed incorrectly due to incomplete, incorrect or unclear information on the claim, you should submit a corrected claim. If you believe the claim was...
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Contact Us
https://www.caresource.com/providers/contact-us/...Provider Services 1-833-230-2101 Medical Prior Authorization 1-833-230-2101 Fax: 1-844-676-0372 Pharmacy Prior Authorization 1-833-230-2101 Pharmacy 1-833-230-2101 Claims 1-833-230-2101 CareSource Attn: Claims Department P.O. Box 803 Dayton, OH 45401-0803 Appeals 1-833-230-2101 CareSource...
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Check Eligibility
https://www.caresource.com/providers/provider-portal/check-eligibility/...Form so that all providers involved in their care can effectively coordinate their care. This form is located on the Forms webpage. The HIPAA Authorization Form can also be used...
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Become a Participating Provider
https://www.caresource.com/providers/education/become-caresource-provider/...provider, please submit the following information when completing the New Health Partner Contract Form. Your W-9 tax form Name Specialty CAQH ID number Tax ID number NPI number Need help?...
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Grievance and Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/...authorized representative must complete the Appointment of Representative form or the Internal Appeal Request form. Return the completed form to us along with your grievance, appeal, or request for an...
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Fraud, Waste & Abuse
https://www.caresource.com/providers/education/fraud-waste-abuse/...waste and abuse out of health care. CareSource is required to provide you with information on the False Claims Act, please see details below. False Claims Act Visit False Claims...
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