COMMERCIAL AND MEDICARE PLANS |
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BENEFIT PLAN(S) |
WHAT/HOW/WHERE TO FILE HARD COPY* |
TIME FRAMES** |
ADDITIONAL RIGHTS |
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Initial |
ConnectiCare Acknowledges Receipt |
ConnectiCare Determination Notification |
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COMMERCIAL/MEDICARE |
Unless otherwise directed in the denial letter or Explanation of Payment (EOP), write to: ConnectiCare Telephone: |
60 calendar days from event. |
N/A |
Complaint: 30 calendar days from receipt of request. Grievance: 30 calendar days for Medicare and 90 calendar days for commercial from receipt of request. |
Decision is final. |
* ConnectiCare.com/providers is the preferred method for filing.
**Privacy complaints are not subject to the above timeframes.
