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Silver Plans
https://www.caresource.com/plans/marketplace/plan-documents/silver-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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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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State Hearing and External Review
https://www.caresource.com/members/tools-resources/grievance-appeal/state-hearing-external-review/...you can fill out an online complaint form. Kentucky Department of Insurance Division of Consumer Protection P.O. Box 517 Frankfort, KY 40602 https://insurance.ky.gov All external review requests must be in...
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Make a Payment
https://www.caresource.com/members/my-caresource-account/make-payment/Log in to My CareSource, your personal portal account, to view claims and other plan details. If you owe any copayments or coinsurance, please pay these directly to the health...
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Grievance and Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/...you with external reviews at no cost to you. Smart NC helps you file health insurance appeals and complaints, submit external review requests for denied health insurance services or products,...
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Quality Improvement
https://www.caresource.com/providers/education/quality-improvement/...Review), and 42 CFR Part 164 (Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Requirements) Establishing safe clinical practices throughout our provider network Providing quality oversight of all...
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Plans & Services
https://www.caresource.com/producers/plans-services/...other insurers pulled out. We are committed to serving those who don’t have insurance through their employer and don’t qualify for other government programs. CareSource has been covering individuals on...
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Sharing Data Between Health Plans (Payer to Payer Data Exchange)
https://www.caresource.com/members/sharing-data-between-health-plans-payer-to-payer-data-exchange/...are not able to share data with that health plan yet. Private insurance companies may not be able to share with us at this time. Call Member Services at the...
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Health Care Terms
https://www.caresource.com/members/education/health-care-terms/Learn what the terms mean that your provider uses. There are even more word meanings in your member handbook. Term Definition Inpatient Services Inpatient Services are when you spend at...
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Quality Improvement Program
https://www.caresource.com/members/tools-resources/quality-improvement/qip/This page explains the CareSource Indiana Quality Management and Improvement program. This section includes medical and technical terms. If you need help understanding this section, please call Member Services at...
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