Medical billing services in Connecticut
Billing, coding, credentialing and A/R follow-up for providers in Connecticut.
Billing in Connecticut: what is different
HUSKY Health does not use traditional capitated managed care plans; the state runs it through administrative services organizations.
Key payers and contractors in Connecticut
- Medicare Part A/B
- National Government Services, Jurisdiction JKPortal: NGSConnex
- Medicare DME
- Noridian, DME MAC Jurisdiction ADME supplier claims only · Portal: Noridian Medicare Portal (NMP)
- Medicaid
- HUSKY HealthPortal: CT Medical Assistance Program portal
- Blue Cross Blue Shield
- Anthem Blue Cross and Blue Shield
- Medicare Advantage
- UnitedHealthcare, Humana, Aetna, Wellcare, Blue plans and others, depending on the county
Contractor assignments and plan lists change. We confirm the current setup for your practice during onboarding.
How we work with Connecticut providers
- Medicaid enrollment and revalidation with the state, plus credentialing with any managed care or behavioral health plan that applies
- Medicare enrollment through PECOS and claims with National Government Services through NGSConnex
- Credentialing and contracting with commercial and Blue plans
- Eligibility checks that confirm each patient’s coverage and plan before the visit
- Prior authorization tracking by plan
- Denial, appeal and A/R follow-up under each payer’s filing limits
Medical billing in Connecticut: common questions
Do you bill HUSKY Health?
Yes. HUSKY Health pays most claims directly through the state, so we bill it fee-for-service and follow its prior authorization and documentation rules.
Who processes Medicare claims in Connecticut?
Medicare Part A and B claims in Connecticut are processed by National Government Services (Jurisdiction JK), and we submit and track them through NGSConnex. DME supplier claims go to a different contractor, Noridian (DME MAC Jurisdiction A), through the Noridian Medicare Portal (NMP).
Can you credential new providers in Connecticut?
Yes. We handle state Medicaid enrollment, Medicare enrollment, CAQH and credentialing with the commercial and managed care plans you need in Connecticut.
Neighboring states and key payers
Get a free billing audit for your Connecticut practice
Send a few details and we will set up a short call to review your claims, denials and A/R. No cost and no commitment.
We sign a Business Associate Agreement before we handle any patient data.