Zelis® is utilizing a maintenance window for the Payspan Portal that will start in 2 separate windows, listed below is the breakdown: Thursday January 15, 8:00 P.M. (EST) through 11:00 P.M. (EST) Saturday January 24, 8:00 P.M. (EST) through Sunday January 25,...
Provider News
Application Notice for Physicians and Providers to Contract with Community First
Community First Insurance Plans is accepting applications from physicians and providers who wish to participate in its EPO network. Applicants must meet the practice standards, qualifications, and other participatory criteria established by Community First Insurance...
Marketplace Enrollment and Inpatient Payment Responsibility
Effective January 1, 2026, and applicable to all Community First Marketplace plans (University Community Care Plan), a patient’s health plan of record at the date of an inpatient admission is responsible for payment of all covered inpatient facility and professional...
Application Notice for Physicians and Providers to Contract with Community First
Community First Health Plans, Inc. is accepting applications from physicians and providers who wish to participate in its Commercial HMO network. Applicants must meet the practice standards, qualifications, and other participatory criteria established by Community...
Newborn Medicaid Coverage Notice – Effective January 1, 2026
In accordance with House Bill 3940 (89th Legislature, Regular Session), effective January 1, 2026, Providers are required to distribute updated information regarding Newborn Medicaid Coverage to the parent or caregiver of a newborn child. Key Details: Newborns are...
Community First Health Plans to Partner With Cotiviti for Payment Integrity Implementation
Over the past several years, Community First Health Plans has been implementing payment policies that reflect guidelines set forth by industry authorities. Our goal is to process claims consistently and in accordance with best practice standards. Starting on...
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