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Correctly Billing ConnectiCare Medical vs. Behavioral Claims

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Correctly Billing ConnectiCare Medical vs. Behavioral Claims

03/15/2022

ConnectiCare partners with Optum Health to provide behavioral health care to its members. We’ve learned that Optum Health has been receiving an excessive number of medical claims. Optum should NOT receive medical claims for ConnectiCare members. These claims are being denied and providers must then resubmit the claims to ConnectiCare. To avoid claim processing delays and help you get paid faster, we ask that you bill the correct company. Behavioral health (mental health and substance abuse) claims should be sent to Optum Health and medical claims should be sent to ConnectiCare.

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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.