Category: Community First Providers

New CES Now Live

Community First is committed to providing ongoing information as we move towards the implementation of new Claims Editing Software (CES). On April 1, 2022, Community First will implement a claims pre-payment auditing process that identifies frequent correct coding...
External Medical Reviews

External Medical Reviews

Senate Bill 1207 – External Medical Reviews In accordance with Tex. Gov’t.  Code Section 531.024162, as amended by Senate Bill 1207, HHSC is required to contract with an independent review organization (IRO) to perform external medical reviews (EMR) when...

Beginning September 1, 2024 Community First Health Plans, Inc. will be adding STAR+PLUS to its line of health care products.

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