Electronic Claims
Submit your claims directly to Community Health Network Of Connecticut
Community Health Network Of Connecticut has two direct connect portals you may use to submit your claims.
Here is how it works. Your software creates a claim file that you can drop off at one of our direct connect websites. This file gets forwarded to us and you will be notified, electronically, of the number of claims received, the number accepted and which claims were rejected. There are additional claims reports that you can run. You can even look up a submitted claim and see it presented on the screen in the same format you would see if it were a printed claim.
You may also see the 835 Electronic Remit or other files coming back to you.
What do you need? Your system must be capable of connecting to a direct connect portal on the internet. This is accomplished using your internet browser and connection. Check with your software vendor to see if you can go direct or produce the necessary HIPAA compliant file formats to upload. Some systems are limited to using a specific clearinghouse so verify that you can connect and use a direct portal. Make sure your system can generate HIPAA compliant transactions.
How do you start? After you have verified that your software can direct connect and supports HIPAA transactions, visit either of our direct connect websites for instructions on how to register. If you need assistance in picking a site, contact your Provider Representative at Community Health Network Of Connecticut. The number is 800-440-5071. You will have to sign a business partner agreement with the operators of the site to start. After the paper work is complete, you will be given instructions on how to access the site. You will need to complete a testing process that includes sending test files or receiving return test files for the transactions you want to use.
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