Provider Resource Center

Accessing InterQual criteria: Some of our Medical Necessity Guidelines utilize InterQual® criteria, as detailed in applicable policies. You may view this criteria on the Optum One Health website. For more information, please refer to these instructions on creating a One Healthcare ID and setting up an authenticator for use with the One Healthcare ID.  

Refer to Coronavirus Updates for Providers for the most up-to-date information about CarePartners of Connecticut’s policies and coverage pertaining to COVID-19.

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An Important Message From Medicare About Your Rights
  • Notices and Letters
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270/271 Health Care Eligibility Inquiry/Response Transactions
  • Online and Electronic Services Guidelines
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277CA Health Care Claim Acknowledgement: Standard Companion Guide Transaction Information
  • Online and Electronic Services Guidelines
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837 Health Care Institutional & Professional Claims Transactions: Standard Companion Guide
  • Online and Electronic Services Guidelines
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Abecma (idecabtagene vicleucel)
  • Medical Necessity Guidelines
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