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Claims
https://www.caresource.com/providers/provider-portal/claims/...Submit Paper Claims For the most efficient processing of your claims, CareSource PASSE recommends you submit all claims electronically. Paper claim forms are encouraged only for services that require clinical...
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FAQs
https://www.caresource.com/providers/education/faqs/...service or discharge to submit claims. How can I optimize my claim payment timeframe? Claims submitted electronically are typically received and processed more quickly than paper claims. Health partners may...
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Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/...denial include: Claim Disputes If you believe a claim was processed incorrectly due to incomplete, incorrect or unclear information, you should submit a corrected claim through the claim submission process....
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Past Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/past/...10/01/2020 Claim Payment Advice (835) Enhancements 09/23/2020 Emergency BH Hospitalization Initial Medical Necessity Reviews 09/22/2020 Home Health Value Code Requirement 09/16/2020 DentaQuest Transition of Care Reminder 09/10/2020 Claim Remittance Delay...
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Forms
https://www.caresource.com/providers/tools-resources/forms/...Authorization Forms for Medical, Waiver, and Other Services Prior Authorizations forms for medical, waiver, and other services can be found on the Prior Authorization page. Claims Forms Claim Refund Check...
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Forms
https://www.caresource.com/members/tools-resources/forms/We want you to easily find the forms you need for your CareSource plan. Listed below are all the forms you may need as a CareSource member. To see the...
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General Plan Information
https://www.caresource.com/plans/marketplace/plan-documents/general-plan-information/...period. Any claims submitted for you during the second and third months of the grace period will be pended. When a claim is pended, that means no payment will be...
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Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/...for Claim Guidance 06/26/2025 Prior Authorization Requirement Update 06/20/2025 Coding Documentation Guides Available 06/16/2025 Dates Announced: ODM to Roll Out EVV Claims Processing Changes in Seven Phases 06/11/2025 Policy Updates...
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Tools & Resources
https://www.caresource.com/providers/tools-resources/...More Forms Forms Find forms for contracting, authorization, claim submission and more. View Forms Provider Policies Provider Policies View medical, reimbursement, pharmacy and administrative provider policies. Review Policies Quick Reference...
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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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claim forms