WebIf this is a professional claim that is part of an inpatient admission, please complete field 18 (Hospitalization Date: From and To Date) on the claim form. Please submit all OOS inpatient & outpatient retrospective claims to Gainwell Technologies at PO Box 2991, Hartford CT 06104. Gainwell Technologies will scan all claims into their Contact ... WebOct 1, 2024 · additional information, available at www.ctdssmap.com by selecting Information, then Publications and scrolling down to Provider Manual Chapter 5. Providers may adjust claims that exceed the timely filing limit only if the claim adjustment is submitted to pay the same or less than the original claims.
interChange Provider Important Message - ctdssmap.com
WebMedical Assistance Program Provider Bulletin 2024-36 www.ctdssmap.com May 2024 TO: All Providers RE: Electronic Claims Submission, Web Remittance Advice, Check, EFT and ... Need assistance? Call the Provider Assistance Center Mon–Fri 8:00 am – 5:00 pm Toll free 1-800-842-8440 or write to Gainwell Technologies, PO Box 2991, Hartford, CT ... WebPlease enter your Application Tracking Number (ATN) found on your re-enrollment notification letter or contact the Provider Assistance Center at 1-800-842-8440 for assistance in obtaining your ATN. ATN: Required input must be between 1 And 9. megaman x2 snes iso
Medical Equipment, Device, and Supplies (MEDS)
WebNeed assistance? Call the Provider Assistance Center Mon–Fri 8:00 am – 5:00 pm Toll free 1-800-842-8440 or write to Gainwell Technologies, PO Box 2991, Hartford, CT 06104 Program information is available at www.ctdssmap.com The Department of Social Services (DSS) and Gainwell Technologies are publishing the Connecticut Medical … Webwww.ctdssmap.com Connecticut Medical Assistance Program P rovider Bulletin 2024-26. Policy Transmittal 2024-14 20April 23 ... J.D., Commissioner Contact: [email protected] . TO: Methadone Maintenance Providers . RE: Mobile Narcotic Treatment Vehicles . Effective April 1, 2024, providers enrolled in the Connecticut Medical Assistance … WebThird Party Liability Forms. • Legal Notice of Subrogation Form, W-81. • Potential Lawsuit Notification Form, W-80. • Request for Assistance in Obtaining Payments Under 38a-472 of the Connecticut General Statues, W-82. • Third Party Billing Attempt Form, W-1417. • Third Party Liablity (TPL) Information Form. mega man x2 morph moth heart tank