Filing Limits

The filing limit for claims submission is 180 days from the date the services were rendered. (The filing limit for some self funded groups may vary.) For more information, contact Provider Services at (860) 674-5850 or 1-800-828-3407. (New York providers should refer to their contract as the filing limit in some contracts may vary.)

Filing Limit Denial: Acceptable Documentation for Appeal

The filing limit for claims submission is 180 days from the date the services were rendered. When submitting the Provider Appeal Request Form, you must provide proof of timely filing. Acceptable documentation includes:

• Electronic vendor statement (“Acceptance Report by Providers”) showing that the data was successfully received by ConnectiCare (i.e., #R022)
• Denial letter, Explanation of Benefits, or take back notice from another carrier that was submitted within six (6) months of the date of denial