May 1, 2026 | Provider News, Provider Resource
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...
Apr 16, 2026 | Provider News
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.
Apr 16, 2026 | Provider News, Provider Resource
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...
Mar 26, 2026 | Provider News, Provider Resource
TMHP is aware that some newly issued Texas Medicaid patient control numbers (PCNs) appear as ineligible in certain TMHP systems. Providers that have a client with a Medicaid PCN that begins with a “9” should check the Medicaid Client Portal to verify eligibility. This...
Mar 24, 2026 | Provider News, Provider Resource
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...
Mar 10, 2026 | Provider News, Provider Resource
A healthier Member is our goal, and it starts with reliable transportation. Community First Health Plans partners with SafeRideHealth to provide an improved Member experience through their transportation benefit program. Non-emergency medical transportation (NEMT)...
