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Prior Authorization
https://www.caresource.com/providers/provider-portal/prior-authorization/...a representative will be in contact. This email is only for assistance and questions regarding prior authorizations within the Provider Portal. Phone 1-833-230-2101 Fax 1-844-676-0372 Sick Newborn Fax 1-937-396-3499 Mail...
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Tools & Resources
https://www.caresource.com/providers/tools-resources/...on the latest news. Learn More Visit the resources in the table below to help you deliver the best services for our members. Visit the resources in the table below...
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Request Patient Services
https://www.caresource.com/providers/tools-resources/request-patient-services/...improved access to care. Member Services Representatives are available by telephone Monday through Friday, except on the following holidays: New Year’s Day Martin Luther King Jr. Day – observed Memorial...
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Medical Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/medical-policies/...after receiving a denial from CareSource for the requested non-covered service. Existing clinical policies are regularly reviewed and updated. New policies are added as appropriate, while previous versions are maintained...
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Quality Improvement
https://www.caresource.com/providers/education/quality-improvement/Our Quality Improvement (QI) Program is designed to ensure the organization delivers on all aspects of care delivery for beneficiaries based on their unique needs. We monitor, analyze and identify...
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Open Enrollment Deadlines
https://www.caresource.com/plans/marketplace/open-enrollment-deadlines/Open Enrollment for 2027 Starts November 1 | Ends December 15 Renew Your Plan or Pick a New Plan Do you want to renew your current CareSource plan? Yes, I...
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Utilization Management
https://www.caresource.com/providers/education/patient-care/utilization-management/...2023: New Year’s Day, Martin Luther King Jr. Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, Day after Thanksgiving, Christmas Eve and Christmas Day Members may access Member Services...
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Access & Availability Standards
https://www.caresource.com/providers/provider-portal/access-availability-standards/...Training in the course catalog. View the Access Standards and Survey Questions Resource. View our Access to Care and After-Hours Standards Flier (Coming Soon). News and Announcements Update to After-Hours...
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Six Flu Shot Facts To Know
https://www.caresource.com/members/education/preventive-care/flu-shot-facts/...last flu season may not work this flu season. Because of this, the flu shot also has to change every flu season. By August each year, the new flu shot...
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Financial Health
https://www.caresource.com/members/education/financial-health/...PO Box 105281 Atlanta, GA 30348-5281 Ask for a credit freeze or to add a fraud alert on your file. This stops new accounts from being opened in your name....
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