Community First Health Plans offers a comprehensive Provider Portal designed to streamline healthcare administrative processes and enhance provider efficiency. This secure online platform provides healthcare professionals with quick, convenient access to essential patient and practice management tools.
Official Links
- Primary Provider Portal: https://communityfirsthealthplans.com/providerportal/
- Medicaid Provider Portal Resource: https://medicaid.communityfirsthealthplans.com/resources/providers/general-providers/provider-portal/
What Providers Can Do
The Community First Provider Portal offers a robust set of features designed to optimize healthcare administration:
Key Functionality
- Verify member eligibility
- Submit and manage claims
- Initiate prior authorization requests
- Access patient care plans
- View claim status and explanations of payment
- Update practice information
- Contact health plan representatives
- Review authorization statuses
User Access and Registration
Who Can Use the Portal
The portal is exclusively for:
- Primary Care Providers
- Specialists
- Ancillary Providers
- Hospital Providers
- Behavioral Health Providers
Account Creation Process
- Visit the Provider Portal website
- Click “CREATE ACCOUNT/SIGN IN”
- Select “REGISTER TODAY”
- Complete required fields with practice information
- Create username and password
- Wait for verification from Community First
Portal Features Highlights
Comprehensive Provider Tools
- User-friendly, mobile-responsive design
- Enhanced transparency for member health information
- Code lookup for diagnoses, procedures, and drugs
- Efficient patient management capabilities
Privacy and Security
While specific security details are not comprehensively outlined, the portal emphasizes:
- Secure, interactive website
- Controlled access for contracted providers
- Verification of provider status during registration
Customer Support
Provider Relations Support
- Phone: 210-358-6030
- Email: [email protected]
Additional Resources
Community First offers supplementary support through:
- Provider educational sessions
- Provider manuals
- Provider FAQs
- Provider relations directory
Supported Health Plans
The portal serves multiple health plan categories:
- Medicaid (STAR, STAR Kids, STAR+PLUS)
- CHIP
- Medicare
- Marketplace plans
- Commercial health plans
Important Considerations
Providers should note:
- All Community First providers must create a new portal account
- Verification process is required before full access
- Regular updates and new features are continuously implemented
Contact Information
Corporate Office
12238 Silicon Drive, Suite 100
San Antonio, TX 78249
Guadalupe Office
1410 Guadalupe, Suite 222
San Antonio, TX 78207
Phone Numbers
- Local: 210-227-2347
- Toll-free: 1-800-434-2347
The Community First Provider Portal represents a sophisticated, user-centric platform designed to simplify healthcare administration, improve communication, and ultimately enhance patient care delivery.
Unprovided Information
- Specific mobile app availability
- Detailed security protocol specifics
- Comprehensive step-by-step login instructions
Note: Information is current as of the most recent website update in 2024.
https://communityfirsthealthplans.com/providerportal/
The Provider Portal features: verification of member eligibility, managing claims, submitting prior authorizations, and updates to provider information.
https://medicaid.communityfirsthealthplans.com/resources/providers/general-providers/provider-portal/
Community First’s Provider Portal is an interactive secure website offered by our health plan for contracted providers. Features include: Lookup Member