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Electronic Claims

Community Health Network of CT fully supports HIPAA standard transactions and is capable of processing these transactions electronically. We do not accept claims electronically in any other format. Claims submitted with codes or information that does not conform to HIPAA regulations will be rejected by our system.

Community Health Network of Connecticut accepts claims electronically in two ways. You may use either method to forward your claims to us.


Commercial Clearinghouse

We use WebMD (NEIC/Envoy) as our commercial clearinghouse. The only transactions currently supported by this portal are the 837 Institutional and the 837 Professional. Costs to the provider for any transactions sent via the WebMD portal are the responsibility of the provider.

WebMD provides some reports back to providers for claims submitted via their network but we have no control over these reports and cannot add to them.

To send via the WebMD clearinghouse use our payor number: 62149

McKesson is another clearing house that allows transmission of both 837 formats.  Additionally you can receive the 835 Electronic Remit via McKesson.  Contact your McKesson representative for instructions.

Some other clearinghouses have agreements with WebMD and can forward claims to us via these agreements. If you use ProxyMed, NDC or another clearinghouse, contact your clearinghouse representative and they will assist you in forwarding claims to us.


Direct Connection

We have established two direct connection web portals that are available, free of charge, to our providers. For information regarding setup, go here: (link to Direct Claims Page)

For issues concerning a specific claim(s) call our Claims Department at 800-440-5071


ePower

We also provide a web based claims and eligibility verification system. See the description under ePower.


Companion Guides

Companion Guides from WebMD/Envoy are available from Envoy.

Companion Guides for our Direct Connection are listed below:

837P Professional Claims
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