© Copyright 2024 – Care N’ Care – All rights reserved. Y0107_24_144_M
Provider FAQ’s
Claims & Payments
When is the cutoff date for Care N’ Care to accept claims?
CNC will accept and process claims through 12/31/2025. Timely filing deadlines still apply.
Where should claims be sent after 12/31/24 for processing?
There will be no changes to existing processes. CNC will continue to accept claims throughout the runout period ending 12/31/2025. Our EDI payer ID will remain 66010. Paper claims should be sent to:
Care N’ Care Insurance Company
Attention Claims
P.O. Box 4375
Scranton, PA 18505
Will EFT continue to be available in 2025 for providers for their claim payments?
Yes, EFT will continue to be available the process will remain the same in 2025.
Who can I contact for claims questions?
Call Provider Support at 844-806-8216 or log into your Availity provider Portal to view claims status details.
Authorizations
What is the last day to request an authorizations?
The last day to submit an authorization request was 12/31/24 with the exception of in-patient admissions.
Will providers have view access to Acuity in 2025 for any requests pertaining to 2024 DOS?
Yes, Providers will have access to Acuity Connect until August of 2025.
General
How do I add a new provider?
After 12/31/24, we will not be adding any new providers.
How can I update a provider’s demographic info?
If you need to update a provider’s demographic information, please go to our website and fill out a Provider Demographic Information Update form: https://cnchealthplan.com/providers
NOTE: Demographic updates are needed only if they will impact processing of claims from 2023 or 2024.
Do providers need to complete their recredentialing?
No recredentialing is required after 12/31/24. If you have any questions, please contact our credentialing vendor, Medallion, at support-swhr-care-n-care@medallion.co
How can I get a copy of my provider agreement?
Please reach out to the Provider Customer Service at 844-806-8216.
Will CNC website be available for providers in 2025?
Yes, the Care N’ Care website will continue to have a Provider section with the foundation information for providers.
Who can I contact for provider related questions?
Provider Info Updates: Providers must fill out a Provider Demographic Information Update form on our website: https://cnchealthplan.com/providers
Recredentialing: Medallion is our credentialing vendor (support-swhr-care-n-care@medallion.co)
SWHR/APO participation: recruitment@Southwesternhealth.org
Provider Notification Letter
