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.
Provider News
Translation/Interpreter Services for Members
Community First provides free, 24-hour access to interpreter services at no cost for Community First Members with limited English proficiency (LEP) or who use sign language. Interpreters are available in more than 200 languages by request. Please use our...
REFUNDING OVERPAYMENT MAILING ADDRESS – IMPORTANT REMINDER
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...
Provider FAQ – Prior Authorization Exemptions
This tip sheet outlines Community First Health Plans, Inc. and Community First Insurance Plan (Community First) requirements for identifying, applying, and maintaining preauthorization exemptions, including correct claim submission procedures and documentation...
TMHP Alert: Medicaid PCNs Starting With “9”: Prior Authorization and Claims
TMHP is aware that some newly issued Texas Medicaid patient control numbers (PCNs) appear as ineligible in certain TMHP systems. Providers that have a client with a Medicaid PCN that begins with a “9” should check the Medicaid Client Portal to verify eligibility. This...
Community First Provider Satisfaction Survey
Community First Health Plans is currently conducting its annual Provider Satisfaction Survey as part of ongoing quality improvement efforts. A random sample of Providers will be selected to participate. The survey gathers feedback on your experience working with...
COMMUNITY FIRST HEALTH PLANS MEMBER E-NEWSLETTER
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