Updated January 20, 2026: Community First’s partnership with Cotiviti will now launch on August 3, 2026. Please read the notice below for full details. Over the past several years, Community First Health Plans has been implementing payment policies that reflect...
Effective June 15, 2026, and applicable to all Community First Marketplace plans, claims for dates of service during a Member’s policy grace period that were previously paid may be adjusted or recouped if the Member’s coverage is retroactively...
Community First Health Plans is sharing information regarding TMHP’s implementation of a new login platform, TMHP IAMOnline, which will serve as the single sign‑on entry point for Texas Medicaid Provider portal applications. What Providers Need to Do: Follow the...
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...
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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