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Quality Improvement
https://www.caresource.com/providers/education/quality-improvement/...the health and safety of a member requires that medical records must be submitted under a shorter timeframe, providers are expected to comply with the shorter turnaround time. Providers and...
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COVID-19 Information and Resources
https://www.caresource.com/providers/tools-resources/covid-19-provider-resource-center/...more information, visit the Quick Reference Materials page. State Department of Health Resources Please select your state resources below for specific COVID-19 vaccine guidance. State Information Indiana Department of Health...
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General Plan Information
https://www.caresource.com/plans/marketplace/plan-documents/general-plan-information/...services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers can bill you is your plan’s in-network cost-sharing...
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MUSCULOSKELETAL AND CARDIAC SURGICAL PROCEDURES
https://www.caresource.com/providers/tools-resources/health-partner-policies/surgical-procedures/...Providers can view clinical guidelines being used by CareSource at www.myturningpoint-healthcare.com. Providers will initially be asked to “Register for Access”. Upon registration, providers will be able to log into the...
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Training & Events
https://www.caresource.com/providers/education/training-events/...your unique email address and the password of your choice to complete training and manage accounts for all providers in your TIN. *Office Managers/Administrators and providers without an NPI number...
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Primary Care Provider Roles & Responsibility
https://www.caresource.com/providers/education/patient-care/pcp-roles-responsibilities/...as they pertain to provision of services and care CareSource prohibits its providers or partners from refusing to treat, serve or otherwise discriminate against an individual because of race, color,...
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Health and Social Partnerships
https://www.caresource.com/providers/education/health-equity/Our Commitment We are committed to improving our beneficiaries’ health by removing barriers to care and working with our community partners and providers to drive meaningful change. Provider Responsibilities Providers...
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Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/...External Medical Review Providers who disagree with CareSource’s determination on appeal to deny, limit, reduce, suspend, or terminate a covered service for lack of medical necessity may request an External...
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Prior Authorization
https://www.caresource.com/providers/provider-portal/prior-authorization/...Non-Participating Providers Prior authorization must be obtained before sending patients to nonparticipating providers, with the following exceptions. Emergency Services All in-patient services require prior authorization. Please call 1-833-230-2101 to obtain...
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Dr. Cameual Wright, President, Indiana Market
https://www.caresource.com/about-us/executive-leadership/dr-cameual-wright-president-indiana-market/Dr. Cameual Wright oversees all plans CareSource operates in Indiana in her role as president, CareSource Indiana market. Her leadership is centered on improving health outcomes for Hoosiers, focusing on...
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