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Claim Rejection Notifications
https://www.caresource.com/providers/provider-portal/claims/claim-rejection-notifications/...is unknown, contact Provider Services at 1-800-488-0134. Error Number: 677 Error Description: Rendering National Provider Identifier (NPI) not affiliated to the billing agencies How to Fix: Rendering provider on the...
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General Plan Information
https://www.caresource.com/plans/marketplace/plan-documents/general-plan-information/...authorization. Although your provider should get a prior authorization from us, you may want to ensure that your provider has received our approved prior authorization. Many other services do not...
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Become a Participating Provider
https://www.caresource.com/providers/education/become-caresource-provider/...We are committed to making it easy for you and your staff to do business with us. If you are already a participating provider, we are pleased that you are...
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Claims
https://www.caresource.com/providers/provider-portal/claims/...all providers, including providers with a single case agreement (SCA), are active provider in ODM’s PNM system for the applicable service. Out-of-network providers must obtain an SCA for payment for...
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FAQs
https://www.caresource.com/providers/education/faqs/...document to answer any questions you may have about the program. Find answers below to common questions about how to work with CareSource. Georgia Pathways to Coverage Review the FAQs...
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COVID-19 Information and Resources
https://www.caresource.com/providers/tools-resources/covid-19-provider-resource-center/...Toolkit Coronavirus (COVID-19) Partner Toolkit Centers for Medicaid and Medicare Services (CMS) Go To Toolkit Vaccine Toolkit Vaccine Toolkit Centers for Disease Control and Prevention (CDC) View Vaccine Toolkit For...
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Where To Get Care
https://www.caresource.com/members/tools-resources/where-to-get-care/...at these facilities at much lower costs to you. Simple procedures like knee replacements, shoulder surgeries and more are routinely done at ASCs every day. You may be able to...
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Primary Care Provider Roles & Responsibility
https://www.caresource.com/providers/education/patient-care/pcp-roles-responsibilities/...attempts to collect race and language-specific member data. Staff is available to answer questions and explain race/ethnicity categories to a member, to assure accurate identification of race/ethnicity for all family...
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FAQs
https://www.caresource.com/members/education/faqs/...to HIP and HHW members: MyHealth Rewards for Adults – A health and wellness program that rewards adults age 18 and older. Some reward activities vary by age, gender and...
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Welcome
https://www.caresource.com/providers/welcome/...health and well-being. Together we can transform lives through innovative health and life services Our difference Non-profit organization committed to putting people over profits Focused on individual and family health...
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