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Plan Documents
https://www.caresource.com/plans/medicaid/plan-documents/...benefits and services, where to get care and your rights and responsibilities as a member. Member Handbook Member Materials Benefits at a Glance Healthy Indiana Plan (HIP) New Member Booklet...
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Select Primary Provider
https://www.caresource.com/members/my-caresource-account/select-primary-provider/...Doctor tool when you access it here. It is also sorted for providers that are considered PCPs and that are accepting new patients, so finding one is a snap! When...
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Training
https://www.caresource.com/producers/training/...powered by HealthSherpa. Launch Training Marketplace Online Enrollment FAQ Marketplace Online Enrollment FAQ Find answers to frequently asked questions about the HealthSherpa powered Enrollment Portal. Read the Guide Marketplace Revenue...
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FAQs
https://www.caresource.com/providers/education/faqs/...services or HIPAA codes. Adjustment Amount: Submit other payer claim adjustment amounts as reported on the 835 payment or as identified on the EOP, such as deductible, coinsurance, copayment, contractual...
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Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/...pre-service appeal. This is considered a member appeal and will be resolved within 30 days plus any extension, if applicable, for a standard appeal. See ‘Extending an Appeal” for more...
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Tools & Resources
https://www.caresource.com/providers/tools-resources/...policies and programs, as well as claim submission and reimbursement processes, authorizations, member benefits and more. Open Manual Provider Policies View medical, reimbursement, pharmacy and administrative provider policies. Review Policies...
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Pharmacy
https://www.caresource.com/providers/education/patient-care/pharmacy/...pharmacy; and those that are administered in the patient’s home, including drugs administered through a home health agency. CareSource uses evidence-based guidelines to ensure health care services and drugs meet...
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Preferred Drug List
https://www.caresource.com/plans/medicaid/benefits-services/pharmacy/preferred-drug-list/...than one drug for treating a health issue. These are called alternative drugs. Alternative drugs are just as good as other drugs with similar side effects. CareSource also covers many...
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Plan Documents
https://www.caresource.com/plans/plan-documents/...Perry, Pike, Preble, Putnam, Ross, Scioto, Vinton, Warren, Washington 2022 CareSource Advantage (Updated 11/23/2021) Benefits at a Glance 2022 Benefits at a Glance: View your benefits and services at a...
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Disaster Readiness
https://www.caresource.com/members/education/planning-ahead/disaster-readiness/...www.redcross.org. The Federal Emergency Management Agency (FEMA) also has an app that gives alerts as well as crisis safety details. For more info, visit www.fema.gov. In case of a disaster,...
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