See our utilization management policy in Connecticut.
Provider dispute resolution form
Challenge, appeal or request reconsideration of a claim.
Quick reference guide
Get an overview of key information for the Connecticut market.
Referral authorization form
Use this form to refer a patient to another provider.
Electronic Remittance Advice (ERA) and Electronic Funds Transfer (EFT) form
Find helpful information to complete your ERA application and enroll in EFT for the Connecticut market.