Member eligibility changed from one Managed Care Organization (MCO) to another on the date of service. Providers may appeal claims payment recoupments and denials of services by submitting the following information to the appropriate MCO to which the Member...
A Flood Watch will go into effect Wednesday, September 30 at 7 p.m. for San Antonio and surrounding areas. Heavy rainfall and severe thunderstorms could bring several inches of rain and potentially dangerous flash flooding. Please share the following information with...
Community First Health Plans is excited to introduce Availity™ as our upcoming Provider Portal platform, launching January 2, 2027. Availity offers a secure, multi-payer experience that helps Providers easily access eligibility and benefits information, manage claims,...
As our partner in care, we would like to inform our Provider network that University Community Care Plan by Community First has changed its name to Community First Mercado Plan. This name change reflects the evolution of our Marketplace plan while maintaining our...
Effective January 1, 2027 The American Medical Association (AMA) has released significant revisions to the CPT® Maternity Care Services section that will become effective January 1, 2027. These changes affect how maternity care services are reported and include the...
Community First Health Plans is providing guidance on the appropriate use of Modifier 26 (Professional Component) when billing for diagnostic services. Proper use of Modifier 26 supports accurate claims processing, compliance with CMS billing guidelines, and reduces...
Open Enrollment begins November 1! Community First offers qualified health plans on the Health Insurance Marketplace® for every budget and health care need. Questions? Call 1-888-512-2347 to speak with our licensed Marketplace team.
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