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ConnectCenter

ConnectCenter is a tool medical and behavioral health providers can use to submit claims and to perform most real-time transactions. It is owned and maintained by Change Healthcare.

With ConnectCenter, you can:

  • Check member benefits and eligibility
  • Check the status of your claims
  • Submit and verify referrals
  • Submit and track professional 1500 claims and replacement claims using Direct Data Entry (DDE)

To request authorization or check the status of your authorization requests, use Authorization Manager. Note: You can learn authorization requirements in ConnectCenter. Refer to our Quick Start Guide for more information.

  Screenshots are available in the "Tips for Common Transactions" area below.

New to Provider Central?

Here are the answers to frequently asked questions.

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Who can use ConnectCenter?

Only contracted providers, their staff, and their billing agencies can register for Provider Central and use ConnectCenter. Learn more.

How can I access this tool?

Log in, click eTools>ConnectCenter, and look for the Go Now button. No additional username or password is necessary.

If you are registering for Provider Central, please wait 15 minutes after creating your account before performing a real-time transaction in ConnectCenter. Please wait one business day before submitting a claim in ConnectCenter.

What if I'm not contracted with Blue Cross Blue Shield of Massachusetts?

If you do not participate with us and need to check eligibility, benefits, or claim status, please use our phone-based system, InfoDial. You can reach InfoDial at 1-800-443-6657.

Information for Online Services users

Note: Claim submission functionality in Online Services will be discontinued on July 22. All other functionality will be discontinued on August 12.

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Online Services claims

You can continue to access your Online Services claims from within ConnectCenter for 15 months after submission using the Customer Portal feature. To learn more about this feature, read the section, "Online Services Claims" in our ConnectCenter Claims Quick Tip.

Provider information

If you submitted claims using Online Services, Change Healthcare transferred your Online Services provider information to ConnectCenter. Please verify that the information is complete and accurate by going to the Admin>Provider Management area in ConnectCenter. More instructions are in our ConnectCenter Provider Management Quick Tip.

Trainings and resources

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Videos

Getting started with ConnectCenter
  How to navigate in ConnectCenter (7 min)
How to create a default provider (6 min)

Eligibility
  How to create an eligibility request (5 min) 
How to use response information (3 min)
How to use interactive response views (4 min)

Referrals
  How to use referral screens (7 min)

Claim entry
  How to create a claim (11 min)
Webinar details

To pre-register for a session and receive an email with access information, submit this form.

Please allow 90 minutes for the claims/claim status and real-time transactions webinars and one hour for the webinars about referrals. If you join a webinar and cannot access the audio through your computer, you can dial into any session using the phone number 1-844-245-7693.

June
Date Time Link Content
Friday, June 17 Noon Meeting ID: 2534 930 6677
Join the webinar
Real-time transactions: Eligibility and claim status
Friday, June 24 Noon Meeting ID: 2538 371 8196
Join the webinar
Claim entry and claim status
Tuesday, June 28 10 a.m. Meeting ID: 2538 194 4209
Join the webinar
Claim entry and claim status
July
Date Time Link Content
Friday, July 1 Noon Meeting ID: 2531 470 8788
Join the webinar
Real-time transactions: Eligibility and claim status
Tuesday July 5 10 a.m. Meeting ID: 2539 686 8900
Join the webinar
Real-time transactions: Eligibility and claim status
Wednesday, July 6 3 p.m. Meeting ID: 2536 491 4336
Join the webinar
Referrals
Thursday, July 7 Noon Meeting ID: 2538 608 7074
Join the webinar
Claim entry and claim status
Tuesday, July 12 10 a.m. Meeting ID: 2538 002 0761
Join the webinar
Claim entry and claim status
Friday, July 15 Noon Meeting ID: 2538 062 4396
Join the webinar
Real-time transactions: Eligibility and claim status
Tuesday, July 19 10:30 a.m. Meeting ID: 2530 776 2904
Join the webinar
Real-time transactions: Eligibility and claim status
Friday, July 22 Noon Meeting ID: 2533 807 6261
Join the webinar
Claim entry and claim status
Tuesday, July 26 10:30 a.m. Meeting ID: 2533 735 7541
Join the webinar
Claim entry and claim status
Friday, July 29 Noon Meeting ID: 2538 902 2595
Join the webinar
Real-time transactions: Eligibility and claim status
August
Date Time Link Content
Tuesday, August 2 10 a.m. Meeting ID: 2531 201 9540
Join the webinar
Real-time transactions: Eligibility and claim status
Wednesday, August 3 3 p.m. Meeting ID: 2539 160 6981
Join the webinar
Referrals
Friday, August 5 Noon Meeting ID: 2533 408 9307
Join the webinar
Claim entry and claim status
Tuesday, August 9 10 a.m. Meeting ID: 2532 324 3480
Join the webinar
Claim entry and claim status
Friday, August 12 Noon Meeting ID: 2530 352 7071
Join the webinar
Real-time transactions: Eligibility and claim status
Tuesday, August 16 10 a.m. Meeting ID: 2534 587 6918
Join the webinar
Real-time transactions: Eligibility and claim status
Wednesday, August 17 3 p.m. Meeting ID: 2530 969 2768
Join the webinar
Referrals
Friday, August 19 Noon Meeting ID: 2539 541 6269
Join the webinar
Claim entry and claim status

ConnectCenter best practices

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First, create provider records

Save yourself keystrokes by setting up records in the Provider Management area. Then, set a default Requesting Provider (for real-time transactions). If you will use ConnectCenter to submit claims, set defaults for Billing Provider and Rendering Provider as well.

Instructions are in the Provider Management Quick Tip.

Collapse screen areas you don't need

Most ConnectCenter screens include sections that can be expanded or collapsed ("accordions"). It is helpful to collapse the sections you don't need.

As the example below indicates, inquiry responses appear under the Submit button and may include drop-down menus for changing the information displayed.

Use Worklists

If you submit claims through ConnectCenter, the tool will automatically create Worklists of denied claims, rejected claims, and incomplete claims. When you resolve the problem with a claim, you can delete it from your Worklist.

Tip: You can use claims in your Incomplete Claims Worklist as templates. Learn more in our Quick Start Guide.

Tips for common transactions

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Referrals
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Notes:

  • You can also submit referrals using Authorization Manager. To compare the eTools, visit our Entering and Verifying Referrals page.
  • Reminder: Submit an authorization request—not a referral—for outpatient rehab (PT/OT) and home health care. Use Authorization Manager for these services.
  • You can save keystrokes by starting with an eligibility inquiry. In the Demographic Information row of your results, open the Select Transaction drop-down menu and select a transaction. Then click the button, Use Member For.
How to set up your referral submission

For a specialty referral, select Consultation, Oral Surgery, Maternity, or Infertility. Selecting another option in the Service Type menu will produce an error.

Need help?

  • Change Healthcare’s ConnectCenter support is available at 1-800-527-8133.
    • Select option 2 for claims or claim status.
    • Select option 4 for eligibility.
  • Within the ConnectCenter application, you can request help by going to Help>Create a Support Ticket.
  • For help with Provider Central, please contact Blue Cross Blue Shield’s EDI/Provider Self-Service Support Team at providercentral@bcbsma.com or 1-800-771-4097, option 2.