Claims Submission Tips

CarePartners of Connecticut encourages direct electronic claim submission through electronic data interchange (EDI). However, paper claims are also accepted. Please keep in mind the following, when submitting paper claims:

• Remove all staples from claims and supporting documentation
• Submit claims on the standard red claim forms provided by W.B. Mason
• Complete all mandatory fields on the claim form
• Use industry-standard coding
• Diagnosis code must be entered in priority order

Paper claims will be rejected and returned to the submitter if required information is missing or invalid. For additional information, refer to the Paper Claim Submission Requirements section of the Claims Requirements, Coordination of Benefits and Payment Disputes chapter of the Provider Manual.

As a reminder, provider payment disputes can be submitted electronically through the secure Provider portal. Payment disputes submitted via paper should be accompanied by the Request for Claim Review Form and mailed to:

CarePartners of Connecticut
P.O. Box 518
Canton, MA 02021-0518

Please include only one claim number per form. To expedite the review process, when submitting hospital records, please include the page numbers for the history, physical and discharge summaries. For additional information, refer to the Provider Payment Dispute Policy.