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Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/...that are not approved by CareSource are forwarded to the Independent External Reviewer (IRE) by CareSource for Level 2 appeal, or in the event that CareSource does not make a...
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Mental Health And Wellness
https://www.caresource.com/plans/marketplace/benefits-services/behavioral-health/mental-health-and-wellness/...a.m. to 7 p.m. Eastern Time, Monday through Friday. Care Management Our Care Management team can help you navigate the health care system. A Care Manager can help you find...
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Behavioral Health
https://www.caresource.com/providers/education/patient-care/behavioral-health/...Coordination of Healthcare Exchange of Information Form when billing for behavioral health services to receive reimbursement for coordination of care. Coordination of Healthcare Exchange of Information FAQ Member Benefits As...
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Training & Events
https://www.caresource.com/providers/education/training-events/...Education Series CareSource has created a custom library of training and resources on topics important to health care providers. Trainings are short (five to seven minutes) to easily fit into...
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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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Patient Care
https://www.caresource.com/providers/education/patient-care/...best care for our members: Behavioral Health Find behavioral health resources for patients with mental health, substance use and co-occurring medical issues. Care & Disease Management Learn how our care...
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Marketplace
https://www.caresource.com/plans/marketplace/...$0 chronic care medical services. Learn More HEALTHY HEART HEALTHY HEART Gold and Silver Plans CareSource has always been “Health Care with Heart®.” We’re also “Health Care For Your Heart”...
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Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/...Editing Enhancements 10/15/2025 New Claim Condition Code Requirements 10/15/2025 Newborn RSV Prevention 10/03/2025 Close Diabetes Care Gaps and Enhance Diabetes Eye Health Outcomes 10/02/2025 Audaire Health Provider Portal 10/01/2025 October...
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Telehealth
https://www.caresource.com/members/tools-resources/where-to-get-care/telehealth/...about common health problems and behavioral health care, like: General Health Behavioral Health* Talk to a provider 24/7, for non-emergency health care needs like: Cold and flu Sore throat Sinus...
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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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