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Tools & Resources
https://www.caresource.com/members/tools-resources/...Submit a Grievance or Appeal Let us know if do not agree with a decision made by CareSource or our providers. Get Started Need to find a new doctor or...
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Claim Payment Disputes
https://www.caresource.com/providers/provider-portal/claim-payment-disputes/...the original claim adjudication, providers may appeal. Appeals must be submitted within 60 days of the date of the denial. Process for Claim Payment Disputes: Medicare providers who are in...
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Vision
https://www.caresource.com/providers/education/patient-care/vision/CareSource PASSE™ covers vision services for our members. Our vision providers can access the following tools to help them provide efficient and quality care. Eyewear Orders Guide The CareSource PASSE...
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Archived Reimbursement Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/reimbursement-policies/archived/...Payment to Out of Network Providers Payment to Out of Network Providers Payments to Out-of-Network Providers Positive Airway Pressure Devices for Pulmonary Disorders Positive Airway Pressure Devices for Pulmonary Disorders...
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Grievance and Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/Let us know if you are unhappy or do not agree with a decision made by us or our providers. We want to make it right. Please call Member Services...
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Rights and Responsibilities
https://www.caresource.com/plans/mississippican/rights-and-responsibilities/...D.C. 20201 Email: OCRComplaint@hhs.gov Online: https://www.hhs.gov/civil-rights/filing-a-complaint/index.html Your Responsibilities Use providers in the TrueCare network. Go to all of your planned visits to your providers. Be on time. Call 24 hours...
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Rights and Responsibilities
https://www.caresource.com/plans/mississippi-chip/rights-and-responsibilities/...D.C. 20201 Email: OCRComplaint@hhs.gov Online: https://www.hhs.gov/civil-rights/filing-a-complaint/index.html Your Responsibilities Use providers in the TrueCare network. Go to all of your planned visits to your providers. Be on time. Call 24 hours...
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Next Generation Managed Care
https://www.caresource.com/providers/tools-resources/next-generation-managed-care/...for claims, prior authorizations, and other administrative tasks for providers. Submitting Claims and Authorizations ODM is implementing a One Front Door approach to streamline claim and prior authorization submissions. Providers...
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Caregiver Resources
https://www.caresource.com/members/tools-resources/caregiver-resources/...Find network providers or drug coverage information for your loved one. These resources will help you work with us to make sure your loved one gets the best care possible....
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Select Primary Provider
https://www.caresource.com/members/my-caresource-account/select-primary-provider/...Google Play® today! You must use the in-network providers except in emergency or urgent care situations. If you obtain routine care from out-of-network-providers, neither Medicare nor CareSource will be responsible...
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