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Welcome
https://www.caresource.com/plans/marketplace/welcome/...provider while you change to in-network providers with your new plan. Call Member Services to get this started. Get Up and Running! When You Are Coming From Another Plan (another...
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Laboratory
https://www.caresource.com/providers/education/patient-care/laboratory/CareSource® covers laboratory testing services for our members. Laboratory service providers can access the following tools to help them provide efficient and quality care. Policies Providers can view CareSource’s laboratory...
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Behavioral Health
https://www.caresource.com/providers/education/patient-care/behavioral-health/...access the care they need. Coordinating Integrated Care Coordinated care is key to ensuring optimal outcomes for our members. We ensure our providers have access to behavioral health resources and...
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FAQs
https://www.caresource.com/providers/education/faqs/...one of many services available to our providers 24 hours a day through our secure Provider Portal. The pended claims report is another resource for claim status and it is...
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Pharmacy
https://www.caresource.com/providers/education/patient-care/pharmacy/...protocols and guidelines. Providers can submit requests by any of the methods identified below. Providers are required to submit pertinent medical/drug history, prior treatment history and any other necessary supporting...
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Marketplace No Surprises Act Model Notice
https://www.caresource.com/about-us/legal/marketplace-no-surprises-act-model-notice/...care facility that isn’t in your health plan’s network. “Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be permitted to bill...
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Member Rights & Responsibilities
https://www.caresource.com/plans/marketplace/plan-documents/rights-responsibilities/...possible. Be enrolled and pay any required premiums. Pay an annual deductible, copayments and coinsurance. Pay the cost of limited and excluded services. Choose network providers and network pharmacies. Show...
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Forms
https://www.caresource.com/members/tools-resources/forms/...Member Consent/HIPAA Authorization Form: Use this form to share your health information with your providers or someone else: Fill out the form online. Print the form ( English | Spanish)....
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Select Primary Provider
https://www.caresource.com/members/my-caresource-account/select-primary-provider/...Google Play® today! You must use the in-network providers except in emergency or urgent care situations. If you obtain routine care from out-of-network-providers, neither Medicare nor CareSource will be responsible...
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Quick Start Guide
https://www.caresource.com/members/tools-resources/quick-start-guide/...24-Hour Nurse Advice Line. No-cost, 24-hour telehealth care providers through Teladoc®. No-cost telehealth mental health and substance use disorder counseling through Teladoc, 7 a.m. to 9 p.m. Eastern Time, 7...
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