WebIf this is a professional claim that is part of an inpatient admission, please complete field 18 (Hospitalization Date: From and To Date) on the claim form. Please submit all OOS inpatient & outpatient retrospective claims to Gainwell Technologies at PO Box 2991, Hartford CT 06104. Gainwell Technologies will scan all claims into their Contact ... WebJan 11, 2024 · All paperwork for redeterminations and interim changes, should be sent to the DSS ConneCT Scanning Center at P.O. Box 1320, Manchester CT 06045 (not to …
TO: RE: Coverage of Dialysis for End Stage Renal Disease
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Connecticut Department of Social Services - ConneCT
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