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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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Rights & Responsibilities
https://www.caresource.com/plans/plan-documents/rights-responsibilities-ma/...health insurance coverage or prescription drug coverage in addition to our plan, you are required to tell us. Tell your doctor and other health care providers that you are enrolled...
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Healthy Indiana Plan (HIP) Benefits & Services
https://www.caresource.com/plans/medicaid/benefits-services/hip-benefits/...Indiana Plan (HIP) is an insurance program offered by the state of Indiana. HIP gives health care to low-income adults. Go to www.in.gov/fssa/hip to learn more about HIP income limits....
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Hoosier Healthwise (HHW) Benefits & Services
https://www.caresource.com/plans/medicaid/benefits-services/hhw-benefits/...C: Children’s Health Insurance Program (CHIP). Package C is a full-service plan for children up to age 19. There is a small monthly payment and copay for some services. This...
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Terms and Conditions
https://www.caresource.com/about-us/legal/terms-and-conditions/...Services. The secure website services require a password to log in before accessing information. CareSource complies with the privacy and security requirements under the Health Insurance Portability and Accountability Act...
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Common Compliance Terms
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/common-compliance-terms/...enacted as part of the American Recovery and Reinvestment Act of 2009 to promote the adoption and meaningful use of health information technology. HIPAA (Health Insurance Portability and Accountability Act...
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CareSource Founding CEO & President: Pamela B. Morris
https://www.caresource.com/about-us/executive-leadership/caresource-founder-pamela-b-morris/...and the United Way of Greater Dayton Area Board of Directors, and is a past board member for Dayton Power & Light. She also served on the America’s Health Insurance...
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Benefits & Services
https://www.caresource.com/plans/dsnp/benefits-services/...1-833-711-4711 or711) for more information. At CareSource, we are more than just quality health insurance. We care about YOU. Our benefits and services go beyond basic care. You get all...
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