Sep 30, 2026 | Provider News
A Flood Watch will go into effect Wednesday, September 30 at 7 p.m. for San Antonio and surrounding areas. Heavy rainfall and severe thunderstorms could bring several inches of rain and potentially dangerous flash flooding. Please share the following information with...
Sep 24, 2026 | Provider News
Community First Health Plans is excited to introduce Availity™ as our upcoming Provider Portal platform, launching January 2, 2027. Availity offers a secure, multi-payer experience that helps Providers easily access eligibility and benefits information, manage claims,...
Aug 3, 2026 | Provider News, Provider Resource
Effective January 1, 2027 The American Medical Association (AMA) has released significant revisions to the CPT® Maternity Care Services section that will become effective January 1, 2027. These changes affect how maternity care services are reported and include the...
Jun 8, 2026 | Provider News, Provider Resource
Community First Health Plans is providing guidance on the appropriate use of Modifier 26 (Professional Component) when billing for diagnostic services. Proper use of Modifier 26 supports accurate claims processing, compliance with CMS billing guidelines, and reduces...
Jun 8, 2026 | Provider News, Provider Resource
Community First Health Plans is providing guidance on the appropriate use of Modifier 25 when reporting evaluation and management (E/M) services performed on the same date as a preventive medical visit. Proper use of Modifier 25 supports accurate claims processing,...
Jun 18, 2026 | HHSC News, Provider News, Provider Resource
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...
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