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Financial Health
https://www.caresource.com/members/education/financial-health/...free credit report at least once a year: Online at AnnuaCreditReport.com. Call 1-877-322-8228 (TTY: 1-800-821-7232). Fill out the form at AnnualCreditReport.com and mail it to: Annual Credit Report Request Service...
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False Claims Act
https://www.caresource.com/providers/education/fraud-waste-abuse/false-claims-act/...department. Information may be reported anonymously. In addition, federal and state law and CareSource PASSE policy prohibits any retaliation or retribution against persons who report suspected violations of these laws...
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Quality Improvement
https://www.caresource.com/providers/education/quality-improvement/...through routine health plan reporting, annual Healthcare Effectiveness Data and Information Set (HEDIS®). In addition, Marketplace members complete the annual Quality Health Plan (QHP) Enrollee Survey to capture member perspectives...
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Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/Definitions CareSource provides several opportunities for you to request review of dispute or authorization denials. Actions available after a denial include: Claim Appeals A claim appeal is a written request...
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Tools & Resources
https://www.caresource.com/members/tools-resources/...through Friday 7 a.m. to 7 p.m. MyResources MyResources Programs for food, shelter, financial support, and more. MyResources Reporting Fraud, Waste & Abuse Reporting Fraud, Waste & Abuse Report a...
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FAQs
https://www.caresource.com/members/education/faqs/...connect members to local low-cost and no cost programs and services such as food, shelter, financial support and more. What is My CareSource®? My CareSource is a secure personal online...
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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/...Fraud) Written Report: Use the Fraud, Waste and Abuse Reporting Form on www.caresource.com or write a letter and send to: CareSource Attn: Special Investigations Unit P.O. Box 1940 Dayton, OH...
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FAQs
https://www.caresource.com/providers/education/faqs/...one of many services available to our providers 24 hours a day through our secure Provider Portal. The pended claims report is another resource for claim status and it is...
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Primary Care Provider Roles & Responsibility
https://www.caresource.com/providers/education/patient-care/pcp-roles-responsibilities/...objectives based on Pillars of Life Services outlined below. Workforce Development: promote long-term employment opportunities, financial literacy, connection to job training and increasing assets, such as home ownership Housing: increase...
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Patient Administration
https://www.caresource.com/providers/education/patient-care/patient-administration/...may not bill members for any covered services. To charge the member for non-covered services, the provider must obtain written acknowledgement that the member is assuming financial responsibility prior to...
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financial report