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Drug Formulary
https://www.caresource.com/benefits-services__trashed/pharmacy/drug-formulary/...For certain drugs, your doctor will need to contact us before you can fill your prescription. Prior Authorization Criteria – For certain drugs, your doctor will need to contact us...
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Navigator Overview
https://www.caresource.com/navigator-overview/...your Navigator name, Application Organization, Business Address CAC# or CDO# and contact information (email/phone). *Kynectors, please provide name, contact information (email/phone) and organization. HAP CareSource is here to assist with...
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Care & Disease Management
https://www.caresource.com/plans/marketplace/benefits-services/care-disease-management/...coordinate your health and non-health care needs. They can contact you by phone: If your doctor requests one to contact you If you request a phone call If our Care...
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HIPAA Privacy Practices - Kentucky
https://www.caresource.com/about-us/legal/hipaa-privacy-practices/hipaa-privacy-practices-kentucky/...the allowed reasons listed above, Humana – CareSource will not use or disclose your data without written permission (authorization) from you. If you do authorize us to use or disclose...
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Find My Prescriptions
https://www.caresource.com/members/tools-resources/find-my-prescriptions/...05/01/2025 You must use in-network pharmacies to access the prescription drug benefit, except under non-routine circumstances when you cannot reasonably use an in-network pharmacy. The comprehensive formulary, pharmacy network and/or...
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Non-Participating Provider Appeals & Disputes
https://www.caresource.com/providers/provider-portal/appeals/non-participating-provider-appeals-disputes/...Attn: Provider Appeals PO Box 1947 Dayton, OH, 45401-1947 CareSource will review the evidence and respond to the dispute within 60 calendar days. For more information, contact Provider Services at...
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Care & Disease Management
https://www.caresource.com/benefits-services__trashed/care-disease-management/...contact a Care Manager by completing the Care Management Contact Form or call 1-844-679-7867 (TTY: 711). Care Management is open 8 a.m. to 5 p.m., Monday through Friday Eastern Standard...
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Form 1099-MISC
https://www.caresource.com/1099-info/...I correct it? Providers with incorrect contact information or TIN should submit the Health Partner Change Request Form. Vendors and contractors with incorrect contact information or TIN should submit an...
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Join TRICARE Prime Demo
https://www.caresource.com/join-tricare-prime/...status. Contacting Us If you have questions or need assistance, please contact us by email. Florida Providers Email Georgia Providers Email FL_Network@CareSource.com GeorgiaContracting@caresource.com Introducing TRICARE Prime Demo Introducing TRICARE Prime...
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Plan Documents
https://www.caresource.com/plans/dsnp/plan-documents/...scheduled. If you have questions about the prior authorization process or status, please call Member Services. Your provider can submit a request for a prior authorization using the Prior Authorization...
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