PROVIDER HOME TOOLS & RESOURCES

Care Management

Find medical policies and procedures, medical necessity criteria, clinical practice guidelines, Rx management information and more.

Medical Policies	Guidelines
Medical Necessity Criteria	More Resources

Credentialing

Learn about office site and medical record reviews, credentialing requirements and network nomination and enrollment forms.

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Contact Us

Contact Carolina Care Plan for any provider inquiry or to update your records.

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Online forms will assist you with submitting provider or member information and allows you to order copies of clinical practice guidelines, numerous member educational materials or useful medical record documentation aids.

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NewsLetters & Bulletins

A variety of newsletters, bulletins, letters/memos, and manuals which inform our providers about contractual issues.

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Manuals

Comprehensive reference manuals which detail the policies, procedures and guidelines providers need to follow to work effectively with us.

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Coming In 2008

Secure Online Provider Portal
Electronic Funds Transfer
Electronic Remittance Advice

You've asked and we've listened! Learn More about new features and functionality coming to your provider website!

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Online Services

In The Spotlight

Quick Links

Provider Search

Find a Provider/Practitioner

Find a Provider

Maximize your cost savings and avoid unexpected charges by finding providers in the Carolina Care Plan network.

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Featured Content

Access exclusive health and wellness information and tools from Carolina Care Plan and the world's premier online source... WebMD.

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