Insurance billing for Connecticut practices, with credentialing available, for 4-8% of collections and no long-term contract. HUSKY Health, Medicare and commercial billing for Hartford, New Haven, Stamford and statewide.
Connecticut runs Medicaid differently from most states. HUSKY Health is administered by the state rather than through capitated managed care plans, so Medicaid claims follow one set of state fee schedules and rules.
On the commercial side, Aetna and Cigna are headquartered in the state, and practices bill Anthem Blue Cross Blue Shield of Connecticut, ConnectiCare and the national carriers. Connecticut law requires payment within 20 days for electronic claims and 60 days for paper claims, with 15% annual interest on late payments.
Why Clinics in Connecticut Choose Medtransic
Connecticut Payer Billing
Each payer billed to its own rules, starting with HUSKY Health
Coders Matched to Your Specialty
Coding handled by people who know your services and how payers treat them
Dedicated Account Manager
A named contact for billing questions, reports and anything urgent
No Long-Term Contract
The cost is 4-8% of collections, and there is no long-term contract
What Care Teams in Connecticut Gain With Medtransic
HUSKY Health Billing
Billing for HUSKY Health and Connecticut Medicaid, plus the state's commercial payers
HIPAA Compliant
We work HIPAA compliant, and you get a dedicated account manager rather than a ticket queue
Hartford is Connecticut's healthcare hub, home to Hartford Hospital, Connecticut Children's Medical Center and Saint Francis Hospital. Insurance company headquarters, government employers and universities mean many patients carry commercial coverage.
Anthem Blue Cross Blue Shield of Connecticut is one of the commercial payers whose plan rules and authorization requirements Hartford-area practices deal with daily.
New Haven is home to Yale New Haven Health System, and the Yale School of Medicine brings academic billing requirements. The region's closeness to New York City means practices see both Connecticut and New York plans.
Yale New Haven's network shapes referral patterns across southern Connecticut.
Southwestern Connecticut sits next to New York City, so many patients carry New York-based insurance plans. That brings cross-state billing and enrollment with payers in both states.
Concierge medicine, direct primary care and boutique specialty practices are common here, so billing often covers non-standard payment arrangements alongside insurance.
Specialties: Cardiology, dermatology, plastic surgery, orthopedics, concierge medicine
Frequently Asked Questions About Medical Billing in Connecticut
How does HUSKY Health (Connecticut Medicaid) billing work?
HUSKY Health is Connecticut's Medicaid and CHIP program, and it is administered by the state rather than through capitated managed care plans. Claims follow one set of Connecticut Medicaid rules and fee schedules, and Connecticut Medicaid allows 12 months from the date of service to file.
Does Connecticut have a prompt-pay law, and what does it require?
Connecticut General Statutes 38a-816(15) requires payment within 20 days of an electronic claim and 60 days of a paper claim, with 15% annual interest on late payments. Self-funded employer plans fall under federal law (ERISA) instead, so the state deadline does not apply to them.
How does Connecticut's surprise billing law affect practices?
Connecticut General Statutes 38a-477aa protects patients from surprise bills for emergency care and certain out-of-network care at in-network facilities, and sets how insurers pay out-of-network emergency providers. Patients on New York-regulated plans fall under New York's rules instead, which matters in the Stamford and Greenwich area.
What filing deadlines apply to insurance claims in Connecticut?
Connecticut Medicaid allows 12 months from the date of service. Medicare gives one year from the date of service to file, under 42 CFR 424.44. Commercial plans, including Aetna and Anthem products, set their own limits in their provider contracts.
Nearby States We Also Serve
Beyond Connecticut, Medtransic serves practices in neighboring states as well:
Get Started with Medical Billing Services in Connecticut
Want a second look at your Connecticut practice's billing? Contact Medtransic for a free, no-obligation practice assessment. Call us at 888-777-0860 or submit a contact form, and let us handle the billing so you can focus on your patients.