5/3/2013 - Assignment of Benefit: Electronic Claims Processed Based on 5010 Standards

In processing electronic claims, ConnectiCare issues payment based on what providers submitted in the claim. [more]

2/21/2013 - ConnectiCare's Commercial Electronic COB Submission Requirements

We are pleased to announce that effective Monday, March 4, 2013, ConnectiCare will accept electronic submission of Coordination of Benefits (COB) claims. Claims submitted without the required fields will be denied for missing information. [more]

1/9/2013 - 2013 Review of Medicare Patients’ Medical Records Started: Your Assistance Will Be Needed

ConnectiCare, working with Inovalon, has begun this year’s review of the medical records of ConnectiCare VIP Medicare Plan members. This 2013 review, which will require your assistance, is part of an effort to comply with the requirements and standards of the Centers for Medicare & Medicaid Services (CMS). [more]

12/31/2012 - New 2013 Codes

Each year codes are updated annually by the American Medical Association for the purpose of billing for health services. ConnectiCare has completed its review of new 2013 codes and is in the process of updating our system. Claims submitted with new codes for covered services will be noted on the Explanation of Payment (EOP) statement with an explanation code that states "New code, rate not yet established, will be adjudicated by March 15, 2013." This applies to commercial plans only. [more]

12/19/2012 - Now Available: A Provider's Guide to Preventive Services for Your Medicare Patients

ConnectiCare has drafted A Provider's Guide to Preventive Health Services for Your Patients to help Medicare providers with the billing and coding of preventive services for ConnectiCare VIP Medicare Plan members. [more]