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Member Overview
https://www.caresource.com/members/...to help! Contact us! At CareSource, we are more than just quality health insurance. We care about YOU. Tools & Resources Tools & Resources Explore helpful tools, view plan documents...
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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/...Flier Life Services Member Flier ( English | Spanish | Haitian Creole) Maternal Child Program Overview Brochure More Than Health Insurance - Benefits Flier NEMT Rides for Food Flier New...
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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/...from our delegated service providers. These medical polices apply to our CareSource North Carolina Co.® plans on the Health Insurance Marketplace. Medical policies offer guidance on determination of medical necessity...
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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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Drug Formulary
https://www.caresource.com/benefits-services__trashed/pharmacy/drug-formulary/...for more information. Limitations, copayments, and restrictions may apply. Benefits and/or copayments/coinsurance may change on January 1 of each year. The Formulary, pharmacy network, and/or provider network may change at...
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