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Category: Provider Resource

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...

Claim MD Now Available

Claim MD, a secure electronic transmission method for claim submission, is now integrated into the new Community First Provider Portal. Providers now have the option to use either Claim MD or Availity at any given time to submit claims. To access Claim MD: Log in to...

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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