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Outpatient Crossover Electronic 837I Claim Submission and Pricing Changes pdf

Connecticut Medicaid (HUSKY Health)·CT·Coding
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid is requiring providers to submit Medicare crossover claims with detailed Medicare payment data at the claim line level using specific 837I transaction loops (SVD, CAS, DTP). Providers not compliant with this new format will experience claim denials, and copay information can now be included for outpatient crossover claims.

Action Required

Action needed
Before the final effective date (TBD): Billing team must modify their billing system or work with trading partners to ensure Medicare crossover claims include Medicare payment data in loops 2430 SVD (Line Adjudication Information), 2430 CAS (Line Adjustment Information with CARC codes 1, 2, or 3), and 2430 DTP (Line Adjudication Date). Begin submitting claims in this format immediately to avoid future denials. Contact Provider Assistance Center at 1-800-842-8440 for technical assistance.