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Benefits and Services
https://www.caresource.com/plans/marketplace/benefits-services/Please select your state. CareSource plans provide comprehensive, quality coverage that you can afford, understand and use. We offer individual and family plans with adult vision and fitness coverage. Benefits...
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Member Overview
https://www.caresource.com/members/Need Personal Assistance? If you have any problems reading or understanding this information, please call Member Services. This is a free service. We can read the information out loud for...
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About Us: The CareSource Difference
https://www.caresource.com/about-us/...programs and offers a variety of health insurance plans including: Medicaid Dual Eligible Special Needs Plan Marketplace TRICARE Prime® Demo by CareSource Military & Veterans™ Founded in 1989, CareSource administers...
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Plan Documents
https://www.caresource.com/plans/medicaid/plan-documents/...( English | Spanish | Haitian Creole) Maternal Child Program Overview Brochure More Than Health Insurance - Benefits Flier NEMT Rides for Food Flier New Member from MDWise NICU Member...
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Additional Services
https://www.caresource.com/benefits-services/additional-services/...insurance easier to understand and use. More benefits for YOU! Combined Medicare and Medicaid plan with extra benefits and coordination for simplified planning. Medicaid-only plan providing standard coverage with no...
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Advance Directive
https://www.caresource.com/members/education/planning-ahead/advance-directive/How could you be sure you would receive the medical treatment you choose if you were sick or incapacitated (for example, if you are unable to speak for yourself)? You...
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Administrative Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/administrative-policies/...Carolina Co.® Marketplace plans on the Health Insurance Marketplace. Administrative policies offer guidance on determination of medical necessity, investigation and experimental services. The policies below are in PDF format. If...
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Medical Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/medical-policies/These medical policies apply to the CareSource plan. Medical policies offer guidance on determination of medical necessity and appropriateness of care for approved benefits. Benefit determinations and coverage decisions are...
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Reimbursement Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/reimbursement-policies/...member eligibility. These reimbursement policies apply to our CareSource North Carolina Co.® Marketplace plans on the Health Insurance Marketplace. Reimbursement policies are designed to assist you when submitting claims to...
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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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