Provider News
Payspan Portal Production Maintenance: Thursday, January 15, 8:00 P.M. (ET) through 11:00 P.M. (ET), and Saturday, January 24, 8:00 P.M. (ET) through Sunday, January 25, 9:00 A.M. (ET)
Zelis® is utilizing a maintenance window for the Payspan Portal that will start in 2 separate windows, listed below is the breakdown: Thursday January 15, 8:00 P.M. (EST) through 11:00 P.M. (EST) Saturday January 24, 8:00 P.M. (EST) through Sunday January 25,...
Application Notice for Physicians and Providers to Contract with Community First
Community First Insurance Plans is accepting applications from physicians and providers who wish to participate in its EPO network. Applicants must meet the practice standards, qualifications, and other participatory criteria established by Community First Insurance...
Marketplace Enrollment and Inpatient Payment Responsibility
Effective January 1, 2026, and applicable to all Community First Marketplace plans (University Community Care Plan), a patient’s health plan of record at the date of an inpatient admission is responsible for payment of all covered inpatient facility and professional...
Community First Health Plans to Partner With Cotiviti for Payment Integrity Implementation
Over the past several years, Community First Health Plans has been implementing payment policies that reflect guidelines set forth by industry authorities. Our goal is to process claims consistently and in accordance with best practice standards. Starting on...
Revalidation Due Dates and Retroactive Enrollment Period Gap Closures Extended
Community First Health Plans is sharing important updates regarding extensions to revalidation due dates and enrollment period gap closures. These changes, offered by the Texas Health and Human Services Commission (HHSC) and the Texas Medicaid & Healthcare...
Translation/Interpreter Services for Members
Community First provides free, 24-hour access to interpreter services at no cost for Community First Members with limited English proficiency (LEP) or who use sign language. Interpreters are available in more than 200 languages by request. Please use our...