ConnectiCare Customer Service — Practical, Expert Guide

Overview and what to expect

ConnectiCare customer service is the central point for members, providers and employers to resolve coverage, claims and care-management questions. Most interactions fall into four buckets: eligibility and ID card requests, prior authorizations and utilization management, claims adjudication and payment, and appeals/grievances. Knowing which bucket your issue belongs to reduces average resolution time from weeks to days.

Typical customer-service performance metrics for regional health plans are useful benchmarks: first-call resolution rates of 65–80%, average speed-to-answer of 2–7 minutes for non-peak lines, and average electronic claim adjudication in 7–14 calendar days. If you encounter much longer waits or repeated escalations, those are valid signals to use formal appeal and external review channels described later.

How to contact ConnectiCare (channels and preparation)

Before you call or submit a ticket, gather these items: member name and ID (exactly as it appears on the ID card), claim number or date(s) of service, provider name and NPI (if available), Explanation of Benefits (EOB) or denial letter, and any supporting clinical records (discharge summaries, labs, CPT/ICD codes). Having the claim or authorization number reduces hold times and prevents duplication of work.

• Primary website: https://www.connecticare.com — use the “Member” or “Provider” sections for self-service tools, secure messaging and forms.
• Member ID card: the phone number for your specific plan and the mailing address for claims/appeals is printed on the back of the ID card — use that exact number when calling about billing or benefits.
• TTY and alternative access: if you or a member needs TTY, use 711 (Relay service) and follow the prompts to reach the ConnectiCare line listed on your ID card.
• Virtual channels: secure member portal and mobile apps (linked from the website) for claims status, EOB downloads, and prior authorization requests.

Phone hours for member services are commonly Monday–Friday, 8:00 a.m.–6:00 p.m. ET for routine issues; urgent clinical lines are typically staffed 24/7 or have a nurse triage line. If you cannot find the number on the website, look at the physical ID card — that number is the authoritative route for benefits-specific inquiries.

Claims, authorizations and appeals — step-by-step

Claims: If a provider submits a claim and it’s denied or paid incorrectly, request a detailed EOB. Cross-check the EOB against the provider invoice (CPT and ICD-10 codes). Most clean electronic claims are adjudicated in 7–14 days; complex or corrected claims can take 30–60 days. If the provider asks you to pay while they appeal, get the request in writing and confirm the appeals status before submitting payment.

Prior authorizations: For services that require prior authorization (advanced imaging, specialty medications, inpatient admissions), submit the request with clinical documentation (progress notes, relevant test results, prior conservative therapy). For urgent authorizations mention “urgent” with reason (e.g., risk to life or limb) — many plans have a 72-hour decision window for urgent requests and 14–30 days for standard requests. Always retain the authorization number and expiration date.

Appeals and grievances: If you disagree with a coverage decision, file an internal appeal first. Write a clear appeal letter, include the member’s name, ID, claim number, date of service, the requested service, medical justification, and supporting records. Mail or upload the appeal to the address/portal specified on the denial letter or your ID card. If the internal appeal is denied, you can request an external independent review; many states and federal programs set specific timelines, so file promptly (typically within 60–180 days of the denial depending on plan and state rules).

Provider support and billing disputes

Providers should use ConnectiCare’s designated provider portal for electronic authorizations, claim submissions and remittances (ERA). When a claim denies for coding or bundling, ask for the precise denial reason code and crosswalk it to the CPT/HCPCS guidance. For reprocessing, submit corrected claims with corrected claim forms (CMS-1500 or UB-04) and indicate it is a corrected/adjusted claim.

For balance-billing disputes where a member is billed after plan payment, document conversations and escalate to provider relations. Insist on itemized bills, EOBs, and medical necessity documentation. If the provider repeatedly refuses to correct billing errors, members can escalate to the insurer’s grievance unit or to state consumer assistance programs (see escalation resources below).

Escalation paths and external resources

• ConnectiCare website (claims, appeals instructions, provider directory): https://www.connecticare.com — the “Contact Us” and “Appeals & Grievances” pages list exact mailing addresses and secure upload options for each plan type.
• Federal Medicare help: 1-800-MEDICARE (1-800-633-4227) or https://www.medicare.gov — if you are on a Medicare Advantage product, call the number on your Medicare card or the number printed on your ConnectiCare Medicare ID.
• State consumer assistance and regulator links: your state’s insurance department or Office of the Healthcare Advocate (search “[your state] insurance department consumer complaint”); these offices can accept complaints, mediate, and publish insurer complaint ratios and timeliness data.

If internal escalation fails, request an external independent review. Keep copies of every submission and track dates: the date you mailed or uploaded documentation is critical for meeting appeal deadlines. Use certified mail or portal receipts to establish the official submission date.

Practical tips to get faster resolution

1) Document every interaction: date, time, representative name, reference number, and summary. This builds a clear record for escalations and appeals. 2) Use secure portal upload whenever possible — portals create timestamped evidence and often expedite routing compared with mailed paper. 3) For billing or coding disputes, include the provider’s corrected claim form and a short clinical justification (one paragraph) tying the service to the diagnosis; reviewers act faster when the rationale is succinct and evidence-based.

Finally, if you are an employer or benefits manager, maintain a point-of-contact at ConnectiCare (provider relations or account manager). Quarterly trend reports (denial reasons, top CPTs denied, average turnaround times) allow you to reduce downstream member calls and control costs. Keeping claims and authorization workflows documented reduces administrative friction and improves member satisfaction scores year over year.

What states does ConnectiCare cover?

ConnectiCare is a leading health plan in the state of Connecticut.

How to live chat with Medicare?

The Medicare Support Hotline, opens a new window – Call 1-800-MEDICARE (1-800-633-4227) to talk with a customer support representative about your Medicare questions and concerns—or visit the Medicare.gov website to start a live chat. TTY users should call 1-877-486-2048.

How do I contact Medicare customer service?

1-800-633-4227
You can also: Call us at 1-800-MEDICARE (1-800-633-4227).

What is the phone number for ConnectiCare bill pay?

Call Customer Service at 800-224-2273 (TTY: 711).

How much is deducted from social security for Medicare Part B?

An AI Overview is not available for this searchCan’t generate an AI overview right now. Try again later.AI Overview The standard Medicare Part B premium deduction for 2025 is $185.00 per month, which is automatically deducted from Social Security checks. However, the amount can vary. Most people pay the standard premium unless they have a higher income, which results in an income-related monthly adjustment amount (IRMAA), or if a “hold harmless rule” limits the increase based on their Social Security cost-of-living adjustment (COLA).  Factors that Affect Your Premium

• Income (IRMAA): Beneficiaries with higher incomes pay higher Part B premiums. 
  • In 2025, this applies to individuals with modified adjusted gross income (MAGI) over $106,000 or couples over $212,000. 
  • Premiums increase on a sliding scale based on income levels. 
• Hold Harmless Provision: Some beneficiaries may pay less than the standard premium because federal law prevents the Part B premium from increasing by more than their Social Security COLA. 
• New Enrollees or Other Payment Methods: If you are a new Part B enrollee, don’t receive Social Security benefits, or are directly billed, you pay the standard premium but it is not deducted from a Social Security check. 

How to Find Your Exact Amount 

• The Social Security Administration (SSA): will send you a letter detailing your specific Part B premium amount and the reason for the determination.
• You can also check your most recent Social Security statement to find your Part B deduction.

AI responses may include mistakes. Learn more2025 Medicare costsMost people pay the standard Part B monthly premium amount ($185 in 2025). Social Security will tell you the exact amount you’ll p…Medicare2025 Medicare Parts A & B Premiums and Deductibles – CMSNov 8, 2024 — Each year, the Medicare Part B premium, deductible, and coinsurance rates are determined according to provisions of the…CMS(function(){
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How do I speak to Medicaid customer service?

★ Department of Health Care Services

1. California State Contacts.
2. Eligibility.
3. Enrollment.
4. ☎ Call the Medi-Cal Helpline: 800-541-5555, or 916-636-1980.