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Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/...questions about a dispute to a provider disagreeing with a denial. They do not include inquiries that come through ODM’s Provider Web portal (HealthTrack). Provider disputes do include provider disagreements...
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Past Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/past/...Prescribing Providers 09/10/2019 Important Inpatient Covered Days Billing Reminder 09/10/2019 Consent Form Upload Enhancement to the Provider Portal – UPDATE 09/05/2019 Enhancements to Prior Authorization on Provider Portal – This...
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Training & Events
https://www.caresource.com/providers/education/training-events/...Sign-On: If you are registered to use our Provider Portal, you can single sign-on from that platform by choosing HealthPlanResources.com in the left menu bar. No Current Provider Portal Access:...
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Become a Participating Provider
https://www.caresource.com/providers/education/become-caresource-provider/...Form. Provider Maintenance Current CareSource providers should use the provider portal to make any demographic changes. To do this, please log into the provider portal and click the “Provider Maintenance”...
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Claims
https://www.caresource.com/providers/provider-portal/claims/...providers, whether out-of-state or unenrolled providers, who are not active providers on the PNM. Providers can submit an application for screening, enrollment, and credentialing through ODM PNM & Centralized Credentialing...
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Quality Improvement
https://www.caresource.com/providers/education/quality-improvement/...revised with the input from a medical director of like specialty and then reviewed/approved by the Market Provider Advisory Committee and the Enterprise Provider Advisory Committee. To ensure consistent application...
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Prior Authorization
https://www.caresource.com/providers/provider-portal/prior-authorization/...Submission Options Method Contact Info Provider Portal (Preferred) If you need assistance with submitting your prior authorization or have questions regarding submissions via the Provider Portal, please email CiteAutoAssistance@caresource.com and...
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Forms
https://www.caresource.com/providers/tools-resources/forms/...to provide attestation of completing education requirements. Provider Maintenance Form Use the provider portal to alert CareSource to changes in your practice. Login to the portal and select “Provider Maintenance”...
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Newsletters & Communications
https://www.caresource.com/providers/education/newsletters-communications/...ProviderSource Newsletter Fall 2024 ProviderSource Newsletter Spring 2024 ProviderSource Newsletter Spring 2024 ProviderSource Newsletter NCQA Annual Insert Winter 2023 ProviderSource Newsletter Fall 2023 ProviderSource Newsletter Spring 2023 ProviderSource Newsletter Spring...
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FAQs
https://www.caresource.com/providers/education/faqs/...one of many services available to our providers 24 hours a day through our secure Provider Portal. The pended claims report is another resource for claim status and it is...
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provider portal