May 28, 2026 | HHSC News, Provider News, Provider Resource
Community First Health Plans is sharing information regarding TMHP’s implementation of a new login platform, TMHP IAMOnline, which will serve as the single sign‑on entry point for Texas Medicaid Provider portal applications. What Providers Need to Do: Follow the...
May 27, 2026 | Provider News, Provider Resource
As a participating Provider with Community First Health Plans, it is crucial to adhere to our policies regarding Member billing. This notice serves as a reminder of your obligations and our Members’ rights, particularly concerning balance billing practices....
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...
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...
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