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Training
https://www.caresource.com/producers/training/...Operations Guide Review this overview for the Marketplace enrollee and member payment process, invoices and grace periods. Read the Revenue Cycle Guide Medicare Online Enrollment Guide Medicare Online Enrollment Guide...
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Gold Plans
https://www.caresource.com/plans/marketplace/plan-documents/gold-plans/...CareSource. It allows you to quickly look up information such as how to contact us, how to request an ID card and how to pay your bill. Select your state...
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Utilization Management
https://www.caresource.com/providers/education/patient-care/utilization-management/...CareSource complies with all Center of Medicare and Medicaid Services (CMS) payment policies and National Coverage Determinations (NCDs). In the absence of a NCD, CareSource follows the applicable Local Coverage...
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Behavioral Health Carve-In
https://www.caresource.com/providers/education/patient-care/behavioral-health-carve-in/...Provider Portal Submit claims, check claims status, check for known claims processing issues in the Claims Payment Systemic Errors (CPSE) report, review member eligibility, and view payment information. Visit the...
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Eating Healthy
https://www.caresource.com/members/education/eating-healthy/...to you. Call 1-800-755-GROW (4769) or visit signupwic.com. WIC helps pay for groceries for you and your family. You can get: Dairy like milk, yogurt, and cheese; Whole grains like...
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File a Grievance
https://www.caresource.com/members/tools-resources/grievance-appeal/file-grievance/...treat you fairly. You are not satisfied with the quality of care you received. CareSource denies a service. CareSource gives partial approval to cover a service. CareSource denies payment of...
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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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Forms
https://www.caresource.com/providers/tools-resources/forms/...Form Mail your refund check, this form and any other required documentation to HAP CareSource. Overpayment Recovery Form Submit this form to offset overpaid claims against a future payment. Itemized...
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Benefits & Services
https://www.caresource.com/plans/georgia-pathways-to-coverage/benefits-services/...services. CareSource covers all medically necessary Medicaid-covered services. Georgia Pathways to Coverage members have no copay. You may need to pay for non-covered services. For more information, refer to your...
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Plan Documents
https://www.caresource.com/plans/plan-documents/...pay when you receive covered services. Access the EOC below that corresponds to your plan: OHIO Find Your County Below Plans Available Ashland, Carroll, Cuyahoga, Geauga, Hancock, Holmes, Lawrence, Licking,...
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