The Provider Resource Center is a central repository on CarePartners of Connecticut’s public Provider website where providers and office staff can find provider documentation including, but not limited to, the Provider Manual, payment policies, forms, and clinical and prior authorization criteria.
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 encourages electronic submission be made directly to CarePartners of Connecticut, though claims submitted through clearinghouses will also be accepted.
Members use CarePartners of Connecticut’s online provider directory, i.e., Doctor Search, to find physicians, specialists and Allied Health providers who fit
CarePartners of Connecticut has a Fraud, Waste and Abuse Hotline to help CarePartners of Connecticut providers, members and vendors who have questions, concerns and complaints related to possible wasteful, fraudulent or abusive activity. Common concerns may include the following:
Effective for dates of service on or after September 9, 2019, athenahealth enabled 270/271 eligibility for CarePartners of Connecticut members. This functionality is now available, upon login, to providers who use athenahealth as a clearinghouse. For questions or technical assistance, providers should call athenahealth at 1.800.981.5084.