Provider News
IMPORTANT REMINDER: Upcoming Policy Changes Related to Improvements in Claims Processing
Effective August 3, Community First Health Plans will enhance the existing claims processing program to improve the overall accuracy of claim processing in partnership with Cotiviti. We want to share this information in advance, so you are prepared for the upcoming...
Payspan Portal Production Maintenance – Saturday, July 18, 5:00 P.M. (ET) through 8:00 P.M. (ET)
Zelis will perform scheduled system maintenance for the Payspan Portal from 5:00 P.M. (ET) - 8:00 P.M. (ET) on Saturday, July 18, 2026. The table below lists system availability and service impacts during the maintenance window. Please note that the maintenance window...
Severe Weather Alert: Important Information for Community First Providers
Flash flood and tornado warnings are currently in effect in San Antonio and surrounding counties, Wednesday, July 15. Heavy rainfall is expected to continue through the week. Please share the following information with Community First patients: As storm threats...
Summer 2026 Provider Newsletter Now Available!
The Community First Summer 2026 Provider Newsletter is now available. This issue features important updates, compliance guidance, Provider Portal enhancements, care coordination resources, quality initiatives, and clinical tools designed to support your practice and...
Implant Billing and Reimbursement Guidelines for Inpatient and Outpatient Services
Community First Health Plans is providing guidance on billing and reimbursement requirements for implantable devices for both inpatient and outpatient hospital services. Proper coding and documentation are required to ensure accurate claims processing and to avoid...
Marketplace Grace Periods: Guidance for Providers
Members enrolled in a Marketplace health plan are responsible for paying their premium each month. Members that do not make their premium payments in a timely manner enter a grace period, which begins with the first month a payment is missed.During the grace period,...