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Why Choosing a PCP is Important
https://www.caresource.com/members/tools-resources/why-choosing-a-pcp-is-important/...not usually children. Internists have extra training in the body’s internal organ systems. Pediatricians: Providers who care for infants, children, and adolescents, usually to age 18. OB/GYN (Obstetricians/gynecologists):Providers who may...
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Utilization Management
https://www.caresource.com/providers/education/patient-care/utilization-management/...with any UM questions. Providers may call 1-855-852-5558 to get help with any UM questions. Providers may call 1-855-202-1091 to get help with any UM questions. Providers may call 1-833-230-2101...
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Find A Doctor
https://www.caresource.com/members/tools-resources/find-a-doctor/...Health Care Bellin Health Children’s Wisconsin Door County Medical Center ThedaCare Watertown Provider and Hospital Organization & many more independent providers! Our Envision Network has providers in these WI counties...
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Provider Manual
https://www.caresource.com/providers/tools-resources/provider-manual/...and Superior Vision. It provides important information on topics such as benefits, claim submission, ophthalmic materials and laboratories, and network participation. View The Indiana Medicaid Vision Provider Manual Additional Resources...
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Medical Benefits
https://www.caresource.com/benefits-services__trashed/medical/CareSource has a network of doctors, hospitals and other providers. If you use providers who are not in our network, the plan may not pay for these services unless you...
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Check Eligibility
https://www.caresource.com/providers/provider-portal/check-eligibility/...complete a HIPAA Authorization Form so that all providers involved in their care can effectively coordinate their care. Want more information? For questions not addressed on our website, please call...
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Behavioral Health
https://www.caresource.com/providers/education/patient-care/behavioral-health/...optimal outcomes for our members. We ensure that all of our providers have access to behavioral health resources and that behavioral health is integrated across all interventions. We are committed...
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Welcome
https://www.caresource.com/plans/marketplace/welcome/...provider while you change to in-network providers with your new plan. Call Member Services to get this started. Get Up and Running! When You Are Coming From Another Plan (another...
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Quality Improvement Program
https://www.caresource.com/members/tools-resources/quality-improvement/qip/...Medicare and Medicaid Services (CMS) Meeting the requirements of the CareSource Indiana contract with the Office of Medicaid Policy and Planning Establishing safe clinical practices throughout the network of providers...
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Reimbursement Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/reimbursement-policies/...determined based upon a review of the actual services provided to a beneficiary and will be determined when the claim is received for processing. Providers and their office staff are...
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