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False Claims Act
https://www.caresource.com/providers/education/fraud-waste-abuse/false-claims-act/...Deficit Reduction Act. One such provision requires us to provide you with information about the Federal False Claims Act, state False Claims Acts and other state laws regarding Health Insurance...
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Become a Participating Provider
https://www.caresource.com/providers/education/become-caresource-provider/...box to add. Please also include the following documents: Drug Enforcement Administration (DEA) certificate Malpractice insurance fact sheet Clinical Laboratory Improvement Awards (CLIA) certificate, if applicable Standard Care Agreement (SCA),...
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Cost Saving Tips
https://www.caresource.com/members/tools-resources/tips-to-lower-your-cost-for-care/...share the cost of services. Cost shares are stated as copays, coinsurance, and annual deductible, and apply to most services. Use CareSource24 Call the CareSource24® Nurse Advice Line to make...
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Claim Rejection Notifications
https://www.caresource.com/providers/provider-portal/claims/claim-rejection-notifications/...to Fix: Correct DOS with date after ICD-10 was available. Error Number: 766 Error Description: Services were performed during a Health Insurance Exchange (HIX) premium payment grace period. Error Number:...
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Drug Formulary
https://www.caresource.com/providers/tools-resources/drug-formulary/...Formulary Search Tool. Members may be required to pay cost-share, for prescription drugs. Cost-share amounts vary based on plan, medication, and whether a copay or coinsurance applies. Coinsurance may apply...
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Training & Events
https://www.caresource.com/providers/education/training-events/...you are working with multiple insurance plans. To improve your access to provider training, CareSource has established a learning management system (LMS) called HealthPlanResources.com where we house and manage our...
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Pharmacy
https://www.caresource.com/providers/education/patient-care/pharmacy/Before providing care or prescribing medicine for your patients, please review the CareSource® MyCare Ohio (HMO D-SNP) Medicare Part D formulary and Medicaid List of Covered Drugs. Formulary Use the...
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Understanding Your Costs
https://www.caresource.com/members/tools-resources/understanding-your-costs/...They define how you and CareSource will share the cost of your care. Cost shares are either a copay or coinsurance, based on your plan and the type of service...
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Quick Start Guide
https://www.caresource.com/members/tools-resources/quick-start-guide/We are excited to welcome you as a CareSource member and introduce some of the programs and tools that make CareSource more than just health insurance. We are Health Care...
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Bronze Plans
https://www.caresource.com/plans/marketplace/plan-documents/bronze-plans/Review your CareSource plan documents and other resources to make sure you get the most from your health insurance plan. You can also contact us with any questions you have...
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