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Provider Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/...behalf of CareSource. Please reference applicable policies from our delegated service providers. Musculoskeletal and Cardiac Surgical Policies TRICARE Prime® Demo by CareSource Military & Veterans™ maintains medical, payment and administrative...
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About Us: The CareSource Difference
https://www.caresource.com/about-us/...programs and offers a variety of health insurance plans including: Medicaid Dual Eligible Special Needs Plan Marketplace TRICARE Prime® Demo by CareSource Military & Veterans™ Founded in 1989, CareSource administers...
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Grievance and Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/...p.m., Monday through Friday. Calls to this number are free. Mail: HAP CareSource, Attention: Grievance & Appeals, P.O. Box 1025, Dayton, OH 45401 If you are unsatisfied with the HAP...
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Patient Care
https://www.caresource.com/providers/education/patient-care/At TRICARE Prime® Demo by CareSource Military & Veterans™, everything we do is centered on improving the lives of our beneficiaries– your patients. Our Patient Care webpages provide information and...
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Care And Disease Management
https://www.caresource.com/providers/education/patient-care/care-management-disease-management/...Care & Disease Management department at 1-800-993-6902. CareSource® offers care and disease management that can provide a broad spectrum of educational and follow-up services for your patients. Care Management Program...
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Provider Manual
https://www.caresource.com/providers/tools-resources/provider-manual/...notice. CareSource PASSE™ posts updates through network notifications on the Updates & Announcements page. Please bookmark and check this page often to stay current with all updates. Provider Services If...
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Prior Authorization
https://www.caresource.com/providers/provider-portal/prior-authorization/...Form Supportive Living Prior Authorization Request Form Therapeutic Communities Prior Authorization Request Form Any changes to the Prior Authorization process will be communicated on our Updates & Announcements Page. If...
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Quality Improvement
https://www.caresource.com/providers/education/quality-improvement/...for Medicare & Medicaid Services (CMS)-issued Children’s Health Insurance Program Reauthorization Act (CHIPRA) Core Set and the Adult Core Set of Quality Measures technical specifications along with the HEDIS and...
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