ConnectiCare enforces correct billing practices by requiring an appropriate modifier for unattended sleep apnea study components. These studies must have their professional and technical components billed separately. Providers can only bill for the components that they have provided.
Billing globally for these studies is not allowed. Claims submitted for unattended sleep apnea studies without the required component modifier(s) will deny for invalid/missing modifier. If claims are denied, providers are allowed to submit corrected claims if they are timely.
