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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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Behavioral Health
https://www.caresource.com/providers/education/patient-care/behavioral-health/...Kit Opioid Tool Kit Care and Disease Management Pregnancy Find a Doctor Transportation & Interpreter Services Addiction Help Forms Preventive Health Guidelines Clinical Care Guidelines Depression Screenings Behavioral Health Coding...
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Fraud, Waste and Abuse (FWA)
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/fraud-waste-and-abuse-fwa/...unnecessary services and prescription drugs Up-coding CPT, HCPCS and DRG codes to obtain a higher rate of reimbursement Separating and billing the individual components of a medical service rather than...
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Dental
https://www.caresource.com/providers/education/patient-care/dental/...of coverage codes, benefit limits, prior authorization requirements and additional information. VISIT THE SKYGEN DENTAL HUB Dental Resources Access the below resources for information about covered benefits, coding and more:...
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Pharmacy
https://www.caresource.com/providers/education/patient-care/pharmacy/Before providing care or prescribing medicine for your patients, please review the CareSource® MyCare Ohio (HMO D-SNP) Medicare Part D formulary and Medicaid List of Covered Drugs. Formulary Use the...
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