MedicaidAdministrativeMedium impact
New Explanation of Benefit (EOB) Codes for Manually Priced Claims pdf
Connecticut Medicaid (HUSKY Health)·CT·Provider Bulletin
Effective date
Aug 1, 2017
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid is implementing new EOB codes (6000, 9100, 9101, 9102) to provide clearer status updates for manually priced claims starting August 1, 2017. These codes will appear on remittance advice and web portal claim inquiries to help providers track claim processing status.
Action Required
By August 1, 2017: Billing team must familiarize themselves with four new EOB codes for manually priced claims. Train staff to check PDF Remittance Advice and Secure Web Portal for new status messages. For EOB code 9102, immediately fax medical summary to 1-877-413-4421 with ICN, sender name and contact number noted on first page.