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Welcome to the Online ConnectiCare Provider Manual

Find coverage and administrative information to help you provide the best care.

MEDICAL POLICIES

Coverage Guidelines

Find policies on medical treatments and emerging medical technologies.

Medical Policies

PHARMACY

Drug Lists and Criteria

Get up-to-date information on pharmacy benefit services and prescription drug coverage.

Pharmacy Policies

BILLING AND CLAIMS

File Claims and Get Paid on Time

We make billing easy so you can focus on patients, not paperwork.

Claim Policies

Provider Resources

Get Information You Need

Clinical information, quick reference guides, forms, documents, and more.

PROVIDER PORTAL

Sign In for Full Access

With secure, convenient access to the ConnectiCare provider portal, you can:

  • View status of pending bills and claims
  • Keep your profile up to date
  • Manage your secure info with confidence

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Why ConnectiCare?

We work with network providers to close gaps in care, improve outcomes, and create healthier communities.

ConnectiCare’s Response to the Change Healthcare Incident

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Any information provided on this Website is for informational purposes only. It is not medical advice and should not be substituted for regular consultation with your health care provider. If you have any concerns about your health, please contact your health care provider's office.

Also, this information is not intended to imply that services or treatments described in the information are covered benefits under your  plan. Please refer to your Membership Agreement, Certificate of Coverage, Benefit Summary, or other plan documents for specific information about your benefits coverage.