As a participating Provider with Community First Health Plans, it is crucial to adhere to our policies regarding Member billing. This notice serves as a reminder of your obligations and our Members’ rights, particularly concerning balance billing practices....
The information below outlines Community First Health Plans, Inc. and Community First Insurance Plans (Community First) requirements for identifying, applying, and maintaining preauthorization exemptions, including correct claim submission procedures and documentation...
Community First Health Plans is providing guidance on the correct reporting of Servicing Facility Location information on professional claims submitted using the 837P electronic claim format. Accurate reporting of the servicing facility is required when services are...
Dear Valued Zelis® Customer: Zelis® is utilizing a maintenance window for the Core Product from 5:00 P.M. (ET) – 8:00 P.M. (ET) on Saturday, April 18, 2026. The System Availability chart below outlines the affected services.
THIS INFORMATION APPLIES TO PROVIDER REFUNDS ONLY. If you believe you have received an overpayment from Community First Health Plans or we have identified an overpayment and requested a refund, please submit the following : A check issued to Community First Health...
Community First Health Plans is currently conducting its annual Provider Satisfaction Survey as part of ongoing quality improvement efforts. A random sample of Providers will be selected to participate. The survey gathers feedback on your experience working with...
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