Section 17b-262-345 - Billing procedures(a) Billing providers shall submit claims on a hard copy invoice or by electronic transmission to the department in a form and manner specified by the department, together with all information required by the department to process the claim for payment, including, but not limited to, identifying the performing provider on each claim.(b) The amount billed to the department shall represent the billing provider's usual and customary charge for the services delivered.(c) When a client is referred to a provider for consultation, the consultant provider shall include the referring practitioner's name on all applicable claims.(d) When billing for anesthesia services, anesthesiologists shall include the name of the primary surgeon on the claim.(e) The department shall pay the billing provider directly for laboratory services performed in the provider's office and the billing provider shall bill the department for such services as separate line items. When a provider refers a client to a private laboratory for services, the laboratory shall bill the department directly and no laboratory charge shall be paid to the provider.(f) When more than one member of a billing provider provides services, the billing provider shall submit prior authorization requests prior to billing in accordance with the billing instructions in the department's provider manual.Conn. Agencies Regs. § 17b-262-345
Adopted effective January 31, 2008; Amended March 11, 2013