Effective January 1, 2020, all new CarePartners of Connecticut members will be assigned a Health Navigator (Outreach Specialist) or a Care Manager, who will reach out and conduct a Health Risk Assessment. Members with certain health conditions will be eligible to remain in care management.
Provider Update is CarePartners of Connecticut’s quarterly newsletter for providers, hospital administrators and ancillary providers in the CarePartners of Connecticut network. The newsletter is CarePartners of Connecticut’s primary vehicle for providing 60-day notifications and other critical business-related information to providers.
It is crucial to set up accurate claims submission processes with CarePartners of Connecticut to ensure timely processing and adjudication of claims. CarePartners of Connecticut recommends that electronic submission be made directly to CarePartners of Connecticut, although claims submitted through clearinghouses will also be accepted.
CarePartners of Connecticut's online self-service tools enable providers to submit transactions and/or access information related to claims submission, claims status, referrals, prior authorizations, electronic remittance advice, member eligibility, panel information, etc., electronically.