| ConnectiCare Provider Service Numbers |
Contact Name |
Phone Number |
Description |
| Provider Services |
1-800-828-3407 |
Use to contact the Provider Services call
center. |
| Eligibility & Referral Line |
1-800-562-6834 |
Use to verify member eligibility, make a referral,
inquire about a referral, or extend a referral. |
| Utilization Management |
1-800-562-6833 |
Available 8:00 am to 5:00 pm M-F (after hours you may leave a voicemail message). Use to initiate an authorization or if you have utilization management questions |
| ConnectiCare's Provider Services hours |
| ConnectiCare's Provider Service call center hours
are Monday through Thursday from 8:30 a.m. - 5:00 p.m. (EST) and Friday from 9:00 a.m. - 5:00 p.m. (EST)
|
| ConnectiCare Eligibility & Referral Line hours |
ConnectiCare also has an Eligibility and Referral
Line. This line allows providers to verify member eligibility, make a
referral, inquire about a referral, or extend a referral. The Eligibility
and Referral Line is available from:
- Monday through Friday from 7:00 a.m. - 6:00 p.m. and 6:20 p.m. - 9:30 p.m. (EST)
- Saturday from 7:00 a.m. - 2:00 p.m. (EST)
|
| Commonly Used Numbers |
| Contact Name |
Phone Number |
Description |
| Behavioral Health Program |
1-800-349-5365 |
Use to initiate or extend a mental health
authorization |
| Eastern Rehabilitation Network |
1-800-348-4717 |
Use to inquire about ConnectiCare members receiving outpatient therapy (excluding Massachusetts residents). |
| Health Management Programs |
1-800-390-3522 |
Use to inquire about ConnectiCare’s Health Care
Management Programs or log on to our Managing Your Health section. |
| Home Health Care Program |
1-877-995-9964 |
Use to initiate or extend a Home Health Care,
Skilled Nursing or non-customized DME authorization. |
| Radiology Pre-authorization Program |
1-877-607-2363 |
Use to obtain authorization for certain radiology
procedures as listed below:
- CT scans (all diagnostic examinations)
- MRI/MRA (all examinations)
- Nuclear cardiology studies
- PET scans
- Stress echocardiograms (CPT 93250)
Note: These procedures do not require pre-authorization
when done in conjunction with a biopsy or other surgical procedure.
|
