Modifier Reimbursement Enhancements

Effective for dates of service beginning Jan. 1, 2023, CarePartners of Connecticut will enhance our existing claim editing to improve the overall accuracy of our claims processing.

Enhancements will include, but not are not limited to, pre-payment review of modifiers based on the claim details and the claim history of the patient. When a modifier has been appropriately applied, as determined through the coding validation process, providers will be eligible for reimbursement. In cases where a modifier has been incorrectly applied, payment will be denied.

For more information, refer to CarePartners of Connecticut’s Modifier Payment Policy.