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Health Assessment & Screening
https://www.caresource.com/members/my-caresource-account/health-assessment-screening/...account and select MyHealth. On paper: You can request an HNA by calling Member Services. Fill it out and return it in the postage-paid reply envelope. My Health Members age...
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Pregnancy & Family Planning
https://www.caresource.com/members/education/pregnancy/We want you to have a healthy pregnancy. Family planning helps: You be healthy before getting pregnant. Put off pregnancy until you are ready. Protect you and your partner from...
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ICD-10
https://www.caresource.com/providers/education/icd-10/...payers. CareSource PASSE™ is committed to meeting the requirements of the ICD-10 code set. Our ICD-10 resources include network notifications, frequently asked questions (FAQs), claim processing and preauthorization updates, as...
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Common Compliance Terms
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/common-compliance-terms/...an ineligible good or service, any duplicate payment, any payment for a good or service not received (except for such payments where authorized by law), and any payment that does...
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Care And Disease Management
https://www.caresource.com/providers/education/patient-care/care-management-disease-management/...identified in the Disease Management programs receive help finding the appropriate level of care for their condition, and they are encouraged to actively participate in the patient-provider relationship. The programs...
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Provider Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/...payment and administrative policies for our health partners. These policies are regularly reviewed, updated, withdrawn or added; and therefore, subject to change. Please check often for updates to health partner...
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Medical Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/medical-policies/...on this site. These medical policies apply to our CareSource PASSE™ plan. Medical policies offer guidance on determination of medical necessity and appropriateness of care for approved benefits. Benefit determinations...
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Archived Reimbursement Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/reimbursement-policies/archived/...Viral Hepatitis I Implantable Pain Pump Implantable Pain Pump Implantable Spinal Cord Stimulator Implantable Spinal Cord Stimulator Influenza Testing Interest Payments Interest Payments Interest Payments Interest Payments J JW Modifier...
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Rights & Responsibilities
https://www.caresource.com/plans/mycare/plan-documents/rights-responsibilities/...on any appropriate or medically necessary treatment options for your condition, regardless of cost or benefit coverage. To be able to take part in decisions about your health care unless...
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Rights & Responsibilities
https://www.caresource.com/plans/plan-documents/rights-responsibilities-ma/...in Braille, in large print, or other alternate formats, etc.). We must treat you with fairness and respect at all times. We must ensure that you get timely access to...
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