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 ... WebThe Provider Assistance Center is the provider's source for information not provided on the Web portal or from the Automated Voice Response System (AVRS). Providers may … The Connecticut Department of Social Services Medical Assistance Program …
Claim Submission and Form Mailing Addresses - ctdssmap.com
WebClients and providers with questions should contact Kepro concerning the RetroDUR program operations or pharmacy restriction by calling toll-free to 1-877-719-3123 or by fax to 1-866-743-9788. Further information about the RetroDUR program is available through the following links: DUR Board Purpose. DUR Board Bylaws. WebMedical Assistance Program Provider Bulletin 2024-43 www.ctdssmap.com June 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 ... rayburn hill pelham tn
Instructions Upon Completion of the Enrollment Wizard - ctdssmap.com
Webwww.ctdssmap.com Web site, under Information > Publications > Chapter 10 Web Portal/AVRS > Web Security Administration. ... (RA) electronically via the secure Provider Web site at www.ctdssmap.com. The paper version of the RA (PDF) can be found on the secure Provider Web account. The ASC X12N 835 Payment/Advice can be 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. WebConnecticut State Department of Social Services. Department of Social Services. * SNAP Recipients: Starting in January 2024, DSS will be texting renewal reminders to recipients who need to submit their renewal forms. Texts will come from the DSS Benefits Center phone number (855-626-6632). Texts will be strictly informational. rayburn homes hattiesburg ms