Provider News

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,...

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...

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....

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...

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...