Provider Billing Reminder

Effective for dates of service on or after April 1, 2022, CarePartners of Connecticut will require providers billing services on UB-04 claim forms to bill occurrence codes and corresponding occurrence dates in the following manner:

  • An occurrence date must be present when billing an occurrence code
  • An occurrence code must be present when billing an occurrence date
  • A distinct occurrence code must not be billed more than once on a single claim

Occurrence codes and corresponding occurrence dates are located at Loop-2300/Segment HI/Element 1271 and Loop-2300/Segment HI/Element 1250, respectively, in the electronic 837 institutional claim format; for paper claims, occurrence codes and dates are reported in Form Locators (FL) 31-34. If any one of this information is missing, the claim will be rejected and the provider will need to resubmit the claim in accordance with timely filing guidelines. For more information, refer to the Provider Payment Dispute Payment Policy.