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Where To Get Care
https://www.caresource.com/members/tools-resources/where-to-get-care/...need to get care. CareSource works with certain doctors and providers to get you care. We call these in-network providers. To have your health care services covered by your CareSource...
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Quality Improvement
https://www.caresource.com/providers/education/quality-improvement/...non-clinical services. CareSource monitors and evaluates the quality of care, encompassing the safety and service delivered to our members with an emphasis on accessibility to care, availability to care, availability...
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General Plan Information
https://www.caresource.com/plans/marketplace/plan-documents/general-plan-information/CareSource North Carolina Co., d/b/a/ CareSource Your Responsibilities Be Enrolled and Pay Required Premiums Benefits are available to you only if you are enrolled for coverage under the plan. To...
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FAQs
https://www.caresource.com/members/education/faqs/cdmvheart Care Coordination What is a care coordinator? A care coordinator will connect you and your family with community support. They coordinate the services you are already getting and any...
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Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/...will be returned with no action taken. Claim disputes can be submitted to CareSource through the following methods: Provider Portal Fax: 937-531-2398 Mail: CareSource Attn: Provider Appeals P.O. Box 1947...
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Primary Care Provider Roles & Responsibility
https://www.caresource.com/providers/education/patient-care/pcp-roles-responsibilities/...care treatment plans and notifying CareSource of members who may benefit from care coordination. In addition, CareSource PCPs play an integral part in coordinating health care for our members by...
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COVID-19 Information and Resources
https://www.caresource.com/providers/tools-resources/covid-19-provider-resource-center/...Public Health Emergency Guidance COVID-19 Public Health Emergency Guidance Health and Human Services VIEW PUBLIC HEALTH EMERENCY INFORMATION Resources Information for Healthcare Professionals Information for Healthcare Professionals Centers for Disease...
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Care And Disease Management
https://www.caresource.com/providers/education/patient-care/care-management-disease-management/...CareSource® offers care and disease management that can provide a broad spectrum of educational and follow-up services for your patients. Care Management Program CareSource’s Care Management Program fully integrates physical...
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Telehealth
https://www.caresource.com/members/tools-resources/where-to-get-care/telehealth/...see your primary care provider (PCP) or behavioral health provider quickly enough? Thinking of going to the Emergency Room (ER) or Urgent Care Center for a non-emergency health issue? Think...
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Prior Authorization
https://www.caresource.com/providers/provider-portal/prior-authorization/...peer-to-peer process, please call CareSource’s Utilization Management team at 1-833-230-2168. CareSource® evaluates prior authorization requests based on medical necessity, medical appropriateness, and benefit limits. Transition of Care CareSource will coordinate...
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