Claims appeals processing timeframe

At this time, we are experiencing a high volume of claims appeals, which has impacted processing timeframes for CarePartners of Connecticut. We strive to deliver excellent service to our provider partners, and are actively working to shorten claims appeals processing timeframes.  

Currently, claims appeals have an average processing timeframe of approximately 180 days.

We encourage providers to allow for the full review timeframe noted above before contacting the Provider Service Center for a status update. If an appeal was submitted within the last 180 days, the Provider Service Center will be unable to provide updates at this time.

Additionally, please do not submit duplicate appeals, as this may further delay processing timelines.

For details on claims appeals, please refer to our online Provider Manual. 

We appreciate your understanding and patience as we continue to make improvements.