FOR DENIALS BASED ON "NO INFORMATION" |
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WHEN MEMBERS ARE ALREADY DISCHARGED |
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BENEFIT PLAN(S) |
WHAT/HOW/WHERE TO FILE INSTRUCTIONS |
TIME FRAMES |
ADDITIONAL RIGHTS |
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Initial Facility Filing |
ConnectiCare Acknowledges Receipt |
ConnectiCare Determination Notification |
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Commercial/ Medicare |
Unless otherwise directed in the denial letter, write to: ConnectiCare Telephone: |
180 calendar days from receipt of written adverse determination. |
No acknowledgment is generated. |
30 calendar days from receipt for pre-service requests |
N/A |