As a reminder, for the most up-to-date information about CarePartners of Connecticut’s coverage of COVID-19 diagnostic testing and treatment, telehealth/telemedicine, pharmacy policies, authorization and any other applicable updates, refer to the Coronavirus (COVID-19) Updates for Providers page
The following claim edits are effective for dates of service on or after April 1, 2021. These claim edits are derived from CMS, the AMA’s CPT Manual, HCPCS, ICD-10, nationally accredited societies and CarePartners of Connecticut payment policies.
CarePartners of Connecticut will implement claim edits for the following:
As a routine business practice, claims are subject to payment edits that are updated at regular intervals and are generally based on CMS (including the National Correct Coding Initiative [NCCI] edits), specialty society guidelines and drug manufacturers’ package label inserts.