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Quality Improvement
https://www.caresource.com/providers/education/quality-improvement/...after hours, patients should be provided the means to contact their PCP or a back-up physician to be triaged for care. It is not acceptable to use a phone message...
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Quick Reference Materials
https://www.caresource.com/providers/tools-resources/quick-reference-materials/...right for them, patient-friendly materials were created based on the Physician Association lists of recommendations of appropriate tests and treatments. Choosing Wisely Helpful materials on healthcare for children from the...
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General Plan Information
https://www.caresource.com/plans/marketplace/plan-documents/general-plan-information/...you are responsible for making full payment to the Non-Network Provider. The fact that a physician has performed or prescribed a procedure or treatment, or that it may be the...
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Check Eligibility
https://www.caresource.com/providers/provider-portal/check-eligibility/...also be used to designate a person to speak on the member’s behalf. This designated representative can be a relative, a friend, a physician, an attorney or some other person...
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Forms
https://www.caresource.com/members/tools-resources/forms/We want you to easily find the forms you need for your CareSource plan. Listed below are all the forms you may need as a CareSource member. To see the...
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Where To Get Care
https://www.caresource.com/members/tools-resources/where-to-get-care/...a network provider. Your PCP is an individual physician, group practice, certified nurse practitioner or physician assistant. Your PCP will work with you to direct your health care. They will...
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Past Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/past/...Funds Transfer – Now Available for All Ohio Providers 08/12/11 CareSource Plan for 5010 Transition 07/26/11 Ohio Debarred Attestation 07/18/11 NDC Requirements for Physician Administered Drugs in an Office Setting...
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Contact Us
https://www.caresource.com/providers/contact-us/...Monday through Friday, 8 a.m. to 5 p.m. CT Pharmacy Benefit Fax: 866-930-0019 Physician Administered Drugs Fax: 888-399-0271 Pharmacy 1-833-230-2100 Monday through Friday, 8 a.m. to 5 p.m. CT Claims...
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Patient Administration
https://www.caresource.com/providers/education/patient-care/patient-administration/...to provide these services. CareSource members can access physicians throughout Georgia without leaving their local area. They can see physicians in over 45 specialties, in addition to primary care, trauma,...
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Reimbursement Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/reimbursement-policies/These reimbursement policies apply to the TRICARE Prime® Demo by CareSource Military & Veterans™ plan. Reimbursement policies are designed to assist you when submitting claims to us. They are routinely...
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physician