News
Current issue: January 1, 2022 Provider Update
The latest news for our providers, including coverage updates, coding reminders, mandates, plan changes, requirements and more.
CarePartners of Connecticut distributes its Provider Update newsletter by email. In order to receive Provider Update, you must complete the online registration form by registering your email.
Register Your EmailEffective 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...
Each year, the National Committee for Quality Assurance (NCQA) measures the clinical quality performance of health plans across the nation. The assessment in the NCQA’s standardized measurement...
As a reminder, CarePartners of Connecticut would like to clarify that when submitting durable medical equipment (DME) claims, the referring physician’s NPI must be included on the claim. This...
Effective March 1, 2022, CarePartners of Connecticut is partnering with Cotiviti to conduct a retrospective claim reviews related to our HMO and PPO products. Cotiviti’s post-pay audit program will...
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)...