Oral surgery claim submissions for State of Connecticut and Connecticut Partnership Plan members  

State of Connecticut Employer Group and the Connecticut Partnership Plan members have a special benefit for oral surgery. The dental carrier is the primary carrier for these benefits (for members who have elected dental coverage) and Anthem is secondary. Providers must bill these claims to Anthem as secondary and include the secondary insurance information on the claim form (boxes 9a through 9d and box 11d). The dental carrier’s primary coverage explanation of benefits must be included with the claim submission. Failure to do so may cause claims to overpay as primary or reject for coordination of benefits.

 

If your office receives an overpayment, please complete and submit the Overpayment Adjustment Form per our policy as stated in the Anthem Connecticut Provider Manual.

754-0821-WP-CT