Claims payment and electronic fund transfers

Your office may be seeing more checks coming to you by mail. Avoid the influx by signing up for electronic fund transfers (EFTs) through PNC Bank’s Remittance Advantage.

Once you sign up for EFT payments, you can receive direct deposits to your bank account(s) and view or download your electronic remittance advices (ERA) online. If you are already registered on PNC for ConnectiCare or other health plans, you don’t have to do anything.

Benefits of direct deposits and ERAs include:

Go to rad.pnc.com to register. But before you do, sign into connecticare.com/provider to get your “pay-to-provider ID number.” You need it to register for EFT payments.

If you have questions about PNC Remittance Advantage, call their help line at 1-877-597-5489 from 8:30 a.m. to 8:30 p.m. Monday through Friday or email remit.advantage@pnc.com.

Please note, if you sign up for EFT through PNC for Medicare claims payment, you will still get EFT payments through Bank of America for Medicare Advantage claims with dates of services prior to Jan. 1, 2020, and for our commercial plans.

Medical policies updated

We have updated the following medical policies:

Please refer to the policies for details.

PCPs play key role in care of children with ADHD

Primary care physicians (PCPs) play an important role in identifying and treating children with attention deficit hyperactivity disorder (ADHD). As you are aware, interventions for the treatment of ADHD fall into two main categories:

Optum Behavioral Health, which manages and administers ConnectiCare’s behavioral health program, can assist you with referrals for psychosocial interventions such as behavioral therapy, teaching social skills, parent/child education about ADHD and appropriate school programming can be useful.

Pharmacological management most often includes, prescribing stimulants and non-stimulants. If medication is prescribed, please be sure to:

As a reminder, follow-up care for children prescribed ADHD medication is a HEDIS measurement. HEDIS, which stands for Health Care Effectiveness Data and Information Set, is the quality measurement tool for the National Committee for Quality Assurance (NCQA).