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Quality Improvement
https://www.caresource.com/providers/education/quality-improvement/...is a registered trademark of the National Committee for Quality Assurance (NCQA). CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ). Program Purpose The purpose...
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Health Care Links
https://www.caresource.com/providers/education/patient-care/health-care-links/...PASSE to measure their impact on member health outcomes. Review and approval of the guidelines are completed by the Market CareSource PASSE Provider Advisory Committee (PAC). The CareSource PASSE Enterprise...
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Claim Rejection Notifications
https://www.caresource.com/providers/provider-portal/claims/claim-rejection-notifications/...Date of Service after received date How to Fix: Date of Service must be prior to Received Date. Error Number: 255 LOB: Marketplace Error Description: Rejection for Missing Diagnosis Code...
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Past Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/past/We strive to make partnering with us simple. We’re aware things may change in the way we do business with you and want to communicate these changes to you in...
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Plan Documents
https://www.caresource.com/plans/marketplace/plan-documents/...your CareSource marketplace plan. Visit the Forms page to find any form when you need it. Review your CareSource marketplace plan documents to make sure you get the most from...
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Cost Saving Tips
https://www.caresource.com/members/tools-resources/tips-to-lower-your-cost-for-care/Marketplace plans have two types of costs: premium and the cost for care. Premium is the monthly payment you make to keep your coverage and all the benefits and services...
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Fraud, Waste & Abuse
https://www.caresource.com/providers/education/fraud-waste-abuse/...if a CareSource employee acts inappropriately. Some examples are: Receiving gifts or kickbacks from vendors for goods or services purchased by CareSource Inappropriately marketing our company to potential members Behaving...
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CareSource Mobile App
https://www.caresource.com/members/tools-resources/caresource-mobile-app/...App Store® or Google Play®. *iPhone is a registered trademark of Apple, Inc. The App Store is a service mark of Apple, Inc. Google Play and Android are registered trademarks...
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Plans & Services
https://www.caresource.com/producers/plans-services/MARKETPLACE CareSource was the first Marketplace insurer to receive an application at its launch in 2014 and since that time, we’ve covered counties as the only Marketplace insurer when all...
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Welcome
https://www.caresource.com/plans/marketplace/welcome/...a Marketplace plan you may not know or may need to learn more about. Visit the Quick Start page to get an overview of how to use your benefits. Marketplace...
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