Clear Claim Connection (C3) SSO Now Available on Availity Essentials

What is the Clear Claim Connection^TM (C3) tool?

Clear Claim Connection (C3) is an online reference tool designed to display coding combinations according to Healthfirst claim-editing logic. Providers can use the tool to:

• View the appropriate coding and supporting edit clarifications with references to national coding standards and guidelines.
• Determine the appropriate code or code combination representing the service for accurate billing purposes.
• Access the edit clarifications on a denied claim after a Remittance Advice (RA) statement has been received.

Please note: The C3 tool does not contain all claim edits and rules that Healthfirst uses in the claims adjudication process. In addition, results from the C3 tool should not be considered a guarantee of accurate member eligibility status at the time service was rendered and therefore may not be reflective of the actual Healthfirst live claims-processing results.

How do I access the Clear Claim Connection (C3) tool?

Providers may access the tool by logging into Availity and navigating to the Applications section of Healthfirst’s payer space.

More Information

• Healthfirst for Providers | Enhancing Claims Processing Accuracy with ClaimsXten™
• Latest Availity Essentials News for Healthfirst

Questions?

If you have any questions, please contact your Network Account Manager, or call Provider Services at 1-888-801-1660, Monday to Friday, 8:30am-5:30pm.

Coverage is provided by Healthfirst Health Plan, Inc., Healthfirst PHSP, Inc., and/or Healthfirst Insurance Company, Inc. (together, “Healthfirst”).

Released May 2025