Provider Claim Inquiry (PCI) Email Requirement

Why this matters:
This small change will make a big difference:

• Providers will get written digital updates, ensuring systematic communication of claim decisions.
• No more wondering—resolution confirmations will be sent directly to the provider via the provided email address.
• Fewer follow-up calls are needed, reducing a time-consuming burden!

How it works:

• When a PCI is submitted to ConnectiCare Network or Provider Services team, the email provided will be used for communication about that inquiry.
• Our claims team will send a digital response with resolution details—no phone calls or manual follow-up needed.

Please note: If a provider cannot provide an email address, we will need to redirect your inquiry to the Availity Essentials portal. This will ensure that your questions and concerns are addressed appropriately and efficiently.

This update does not affect Provider Agreements.

What’s next?
We will keep you posted on updates to the Provider Manuals and any additional documentation. In the meantime, please don't hesitate to contact your Provider Relations representative or Provider Services with any questions or feedback.