![]() What will I need to use EDI with ConnectiCare? You can submit claims, receive remittance advice, and perform other transactions using EDI. If you have additional questions regarding EFT, please call 80.Įlectronic Data Interchange (EDI) InformationĮlectronic Data Interchange is a way of connecting your systems to our systems to exchange information quickly and efficiently, and typically at high volume. If you are not yet registered, register today. To view your EOP statements online, simply sign in to your provider website account. You will no longer receive via mail a paper copy of your explanation of payment (EOP). Through your secure provider website account, your EOP is available online 3 days following the claims payment date. Will EFT affect the way I receive my explanation of payment (EOP)? Yes, ConnectiCare coordinates EFT for claims for all product types. Will I receive EFT for all types of claims? Claims which are submitted in paper format may also be reimbursed via EFT. EFT is not dependent upon electronic claims submission. (ConnectiCare may also ask that you provide us with a spec sheet from your bank or a copy of a voided check.) In general, you will begin receiving payment electronically within 10 business days from the date we receive your completed form.ĭo I have to submit claims electronically in order to receive EFT? Simply fill out the Electronic Funds Transfer (EFT) Form and return it to ConnectiCare’s Finance Department. When you select to receive funds electronically, you can expect to receive your payment directly into your bank account within 48 hours of each claims payable date. You need to fill out an " Authorization to Disclose Personal Health Information (PDF) if you want someone to be able to call 1-800-MEDICARE on your behalf or you want Medicare to give your personal information to someone other than you.EFT is a quick and easy way for participating providers to receive payment for the claims submitted to ConnectiCare. ![]() On your "Medicare Summary Notice" (MSN). You can also log into your Medicare account to sign up to get your MSNs electronically and view or download them anytime.On the second page of the instructions for the type of claim you’re filing (listed above under "How do I file a claim?").The address for where to send your claim can be found in 2 places: ![]() Any supporting documents related to your claim.A letter explaining in detail your reason for submitting the claim, like your provider or supplier isn’t able to file the claim, your provider or supplier refuses to file the claim, and/or your provider or supplier isn’t enrolled in Medicare.The itemized bill from your doctor, supplier, or other health care provider.The completed claim form (Patient Request for Medical Payment form (CMS-1490S) ).Generally, you’ll need to submit these items: What do I submit with the claim?įollow the instructions for the type of claim you're filing (listed above under "How do I file a claim?"). You can also fill out the CMS-1490S claim form in Spanish (PDF). ![]() If it's close to the end of the time limit and your doctor or supplier still hasn't filed the claim, you should file the claim.įill out the claim form, called the Patient Request for Medical Payment form (CMS-1490S) [PDF, 52KB). TTY: 1-87. Ask for the exact time limit for filing a Medicare claim for the service or supply you got.
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