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Dental
https://www.caresource.com/providers/education/patient-care/dental/...for prior authorization requests, claim submissions and more: ADA Dental Claim Form Instructions Follow the instructions to fill out the American Dental Association’s (ADA) dental claim form. CareSource TMD Screening...
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Welcome
https://www.caresource.com/providers/welcome/...easier for you to do business with us and to help you serve our members. Educational Resources Welcome to CareSource Putting Members First, Pursuing Better Health Care. Together we can...
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Electronic Visit Verification
https://www.caresource.com/providers/education/patient-care/electronic-visit-verification/...health services claims billed to ODM, went into effect on March 1, 2025. At the time of this change, claims that require EVV must have a matching EVV visit record....
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Caregiver Tools
https://www.caresource.com/members/tools-resources/caregiver-resources/caregiver-tools/...and benefit information, ask for an ID card or change a primary care provider (PCP). Members must log in using their CareSource PASSE member ID found on the member ID...
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Pharmacist Provider Status
https://www.caresource.com/providers/education/patient-care/pharmacy/pharmacist-provider-status/...plan and state for which you would like to become a provider. Fill out the “New Health Partner Contract Form.” Under the “General Information” tab, select “I am not in...
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Additional Services
https://www.caresource.com/plans/medicaid/benefits-services/additional-services/...these groups at your local club or on their website. You will need your CareSource member ID. You will also need the member’s first and last name and date of...
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Administrative Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/administrative-policies/...DAW policy) Medical Benefit Medications Clinical Review for Formulary and Non-Formulary Medications Multi-ingredient Compound Policy # A B C D E F G H I J K L M N...
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COVID-19 Information and Resources
https://www.caresource.com/members/tools-resources/covid19/...of Coverage. You can also call Member Services using the phone number found on the back of your CareSource member ID card. Fraud Warning to Medicaid Members People may try...
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Behavioral Health Carve-In
https://www.caresource.com/providers/education/patient-care/behavioral-health-carve-in/...Provider Portal Submit claims, check claims status, check for known claims processing issues in the Claims Payment Systemic Errors (CPSE) report, review member eligibility, and view payment information. Visit the...
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Benefits and Services
https://www.caresource.com/plans/marketplace/benefits-services/...can also review our prior authorization list. Services We are here to help you. Your services include: Member Services: Our Member Services representatives are available toll-free to answer your questions...
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