Join Our Network

Interested in Joining the CHNCT Network of Providers?
To participate in CHNCT's network, a Practitioner must enter into a contractual agreement with CHNCT and be approved by the CHNCT Credentialing Committee.
CHNCT now participates with CAQH! You can either download and complete the CHNCT Credentialing Application in its entirety OR complete the one page CAQH application. You may either mail or fax your application to:
Community Health Network of Connecticut, Inc.
Attn: Provider Relations
11 Fairfield Blvd., Suite 1
Wallingford CT, 06492
Fax: (203) 265-3590
Please choose the appropriate link below.
Download CHNCT application 
(PDF, 860 KB)
Download CAQH form [PDF] 
(129 KB)
Welcome New Providers
View CHNCT's list of new
providers [PDF] 
(97 KB)
If you are a participating provider, sign up to receive CHNCT's Monthly Provider Reporting Package
The CHNCT Monthly Provider Reports consists of a standard package of reports that include a Claims Activity Report, Claims Turnaround Report, Denied Claims Report, Paid Amount by Check Date Report and a Monthly Patient Roster.
Sign up via E-mail 
DSS Marketing Guidelines
CHNCT is required by the Department of Social Services to provide a copy of the DSS Marketing Guidelines to all its contracted physicians. Please feel free to review these guidelines.
Review the guidelines [PDF] 
(33 KB)
DSS Marketing Guideline Adjustments Effective 04/01/10 
(PDF, 52 KB)
Provider Call Center Hours effective January 1, 2009
Effective January 1, 2009 our Provider Call Center will close for lunch between 12:00pm - 1:00pm Monday through Friday.
Our Provider Call Center Representatives are available to assist you:
Monday - Thursday from 8:00am - 5:00pm.
Friday 9:00am - 5:00pm.
You can reach the Provider Call Center at:
1-800-440-5071 - OPTION 7