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 29, 2026 | Provider News, Provider Resource
Effective June 1, Community First Health Plans will enhance the existing claims processing program to improve the overall accuracy of claim processing in partnership with Cotiviti. We want to share this information in advance, so you are prepared for the upcoming...
Apr 13, 2026 | Provider News, Provider Resource
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...
Apr 28, 2026 | Provider News, Provider Resource
Community First Health Plans is providing guidance on coverage and billing requirements for lung cancer screening with low‑dose computed tomography (LDCT). Proper coding and claims submission support accurate claims processing and compliance with Centers for Medicare...
Apr 28, 2026 | Provider News, Provider Resource
Community First Health Plans is providing guidance on billing requirements for Medical Nutrition Therapy (MNT) services. Proper coding and diagnosis reporting supports accurate claims processing, CMS compliance, and reduces claim denials. Medical Nutrition Therapy...
Apr 21, 2026 | Provider Resource
Community First Health Plans is providing clarification on the appropriate use of laboratory modifiers 59 and 91. These modifiers are valid for many laboratory services and may be required when multiple laboratory services described by a single CPT® code are performed...
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