ConnectiCare

Summary

ConnectiCare is a regional health plan, part of EmblemHealth, offering dental, medical, and vision coverage operating in Connecticut. Claims route under payer ID 101259, with 15 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through ConnectiCare Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID

101259Also seen as 06105, 100347, 10303, 10517, 16716, 4471 and 9 more

Also known as

CCI

Uses CAQH

YesApplication route: CAQH application only

Service area

CT

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

Common questions

What is the payer ID for ConnectiCare?

The payer ID for ConnectiCare is 101259. Alternate IDs seen across clearinghouses include 06105, 100347, 10303, 10517.

How long does ConnectiCare provider enrollment take?

ConnectiCare provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.

Does ConnectiCare require CAQH?

Yes. ConnectiCare uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.

Does ConnectiCare require ERA enrollment?

Yes. ConnectiCare requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.

What states does ConnectiCare cover?

ConnectiCare operates in CT. Coverage can differ by plan and product line, so confirm the specific plan before you file.

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