Provider News
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,...
Wheeled Mobility Systems: QRP Seating Assessment and Billing Guidance
Community First Health Plans is providing guidance on billing requirements for services performed by a Qualified Rehabilitation Provider (QRP) related to wheeled mobility system and wheelchair seating assessments and fittings. Proper adherence to these billing...