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FAQs
https://www.caresource.com/members/education/faqs/...in place and lined up for you. Your care coordinator can also help with any care related issues. If you would like to talk about the way that your care...
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Fraud, Waste & Abuse
https://www.caresource.com/members/tools-resources/fraud-waste-abuse/...like you would a credit card. Don’t give out policy numbers to door-to-door salespeople, over the phone or on the internet. Watch out for people trying to offer you money...
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Cost Saving Tips
https://www.caresource.com/members/tools-resources/tips-to-lower-your-cost-for-care/...not be. Learn more about Urgent Care Clinics. Use Outpatient or Ambulatory Surgical Centers You may need a test or surgery that can be performed at an outpatient center, also...
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Grievance and Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/...decision we make about the payment for a Part D drug or an exception to our formulary. Organization Determination – A decision we make about covering a medical service (Part...
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Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/...to evaluate the expedited appeal and will outreach and work with the provider to obtain any needed information for the expedited appeal. Notification of Resolution CareSource will decide whether to...
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Fraud, Waste & Abuse
https://www.caresource.com/providers/education/fraud-waste-abuse/...information. This will be kept private as allowed by law. Email fraud@CareSource.com. Fax 1-800-418-0248. *Others may read your email without you knowing or saying it is okay if your email...
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Pharmacy
https://www.caresource.com/providers/education/patient-care/pharmacy/...by a pharmacist to discuss your patients’ medications. We also encourage members to talk with their pharmacist about their medications, as we want to make sure they are getting the...
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Education
https://www.caresource.com/providers/education/...Here Training & Events Training & Events Find out about any upcoming training or events. View Events Learn more about CareSource PASSE™, our programs and other topics to assist you...
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Plan Documents
https://www.caresource.com/plans/marketplace/plan-documents/Review your CareSource marketplace plan documents to make sure you get the most from your health insurance plan. You can also contact us with any questions you have about your...
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Care And Disease Management
https://www.caresource.com/providers/education/patient-care/care-management-disease-management/...program that strives for member understanding of and satisfaction with their medical care. Our one-on-one personal interaction with outreach specialists and nurse care coordinators helps support your CareSource patient through...
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