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CareSource Pharmacy Department
https://www.caresource.com/providers/education/patient-care/pharmacy/caresource-pharmacy-department/...& Therapy Recommendations Driving Success CareSource Pharmacy Department works in collaboration with Pharmacies and Providers to achieve optimal results! Our purpose is to create best in class Medication Therapy Management...
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Broker Service Department
https://www.caresource.com/producers/broker-service-department/...Service Department CareSource has a dedicated Broker Services department to support our contracted individual producers throughout the agent lifecycle. We facilitate the CareSource/producer contracting process and verify credentials in order...
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Health Care Links
https://www.caresource.com/members/education/health-care-links/...Poisoning CDC Men: Take Charge of Your Health US Department of Health & Human Services Pregnancy CDC Preventive Guidelines Ages 0-21 American Academy of Pediatrics Preventive Health Screenings U.S. Department...
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COVID-19 Information and Resources
https://www.caresource.com/providers/tools-resources/covid-19-provider-resource-center/...more information, visit the Quick Reference Materials page. State Department of Health Resources Please select your state resources below for specific COVID-19 vaccine guidance. State Information Georgia Department of Public...
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Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/...denials are issued from the CareSource Utilization Management department. You may submit clinical appeals pre- or post-service. All pre-service appeals are clinical appeals, and if not submitted by a physician...
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Utilization Management
https://www.caresource.com/providers/education/patient-care/utilization-management/...Department. If you would like to discuss an adverse decision with physician reviewer, please call the Utilization Management department at 1-800-488-0134 within five business days of the determination. Access to...
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Prior Authorization
https://www.caresource.com/providers/provider-portal/prior-authorization/...services are provided in any emergency department or for services in an observation setting by a participating provider. To request prior authorization for observation services as a nonparticipating provider or...
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Contact Us
https://www.caresource.com/providers/contact-us/...contact for your questions. Department Phone Hours of Operation Additional Information Provider Services 1-833-230-2100 Monday through Friday, 8 a.m. to 5 p.m. Central Time (CT) Member Services 1-833-230-2005 Monday through...
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Health Care Links
https://www.caresource.com/providers/education/patient-care/health-care-links/...Disorder (ASD) Services, Policies & Procedures Georgia Department of Community Health, Division of Medicaid, October 1, 2020 Dementia Dementia Care Practice Recommendations & Dementia Care Practice Recommendations, 2018 Alzheimer’s Association...
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False Claims Act
https://www.caresource.com/providers/education/fraud-waste-abuse/false-claims-act/...on behalf of the government. Anyone who believes that he or she has been subject to any such retribution or retaliation should also report this to the Program Integrity department....
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