Medical administration contacts

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Search individual contact routes for the team and purpose you need. Each result keeps its own phone, fax, email, address, source and restrictions.

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16,111 contact routes · Page 81 of 323

Community First Health Plans

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Prior authorization fax — LTSS (PCS/PAS, DAHS, meals, ERS, adaptive aids, minor home modifications)

No phone listedFax 210-358-6274

Texas · medicaid · chip · medicare advantage · dsnp · exchange · commercial · Source checked 2026-10-24

Contact details, purpose & sources

fax prior auth

Prior authorization fax — LTSS (PCS/PAS, DAHS, meals, ERS, adaptive aids, minor home modifications)

Official page read

Phone

No phone listed for this route

Fax

210-358-6274

Published hours

Not published in this record

Product, plan and location

medicaid · chip · medicare advantage · dsnp · exchange · commercial
Texas

Mailing address

Not researched for this route

Long-term services and supports authorization fax (STAR Kids/STAR+PLUS).

View source ↗ · Source checked 2026-10-24 · same quick reference guide on Medicare site ↗

Report an update

Community First Health Plans

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Prior authorization fax — medical inpatient only

No phone listedFax 210-358-6388

Texas · medicaid · chip · medicare advantage · dsnp · exchange · commercial · Source checked 2026-10-24

Contact details, purpose & sources

fax prior auth

Prior authorization fax — medical inpatient only

Official page read

Phone

No phone listed for this route

Fax

210-358-6388

Published hours

Not published in this record

Product, plan and location

medicaid · chip · medicare advantage · dsnp · exchange · commercial
Texas

Mailing address

Not researched for this route

Inpatient medical authorization/notification fax.

View source ↗ · Source checked 2026-10-24 · same quick reference guide on Medicare site ↗

Report an update

Community First Health Plans

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Provider assistance after hours and weekends

Phone 800-434-2347

Texas · Source checked 2026-10-22

Contact details, purpose & sources

provider services

Provider assistance after hours and weekends

Official page read

Phone800-434-2347Published hours

After hours and weekends, as published

Product, plan and location

Confirm the exact product or service
Texas

Mailing address

Not researched for this route

These routes are from Community First’s Texas Medicaid/CHIP provider site. Confirm the member’s STAR, STAR Kids, STAR+PLUS or CHIP product; commercial-plan routing is not substituted.

View source ↗ · Source checked 2026-10-22

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Community First Health Plans

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Provider relations / network management (contracts, demographics)

No phone listedFax 210-358-6199Published email

Texas · medicaid · chip · medicare advantage · dsnp · exchange · commercial · Source checked 2026-10-24

Contact details, purpose & sources

provider enrollment credentialing

Provider relations / network management (contracts, demographics)

Official page read

Phone

No phone listed for this route

Fax

210-358-6199

Published email

providerrelations@cfhp.com

Published hours

Not published in this record

Product, plan and location

medicaid · chip · medicare advantage · dsnp · exchange · commercial
Texas

Mailing address

Not researched for this route

Primary provider relations/network management email and fax.

View source ↗ · Source checked 2026-10-24 · same quick reference guide on Medicare site ↗

Report an update

Community Health Center Network Of Idaho, LLC

Accountable care organizations · Explicitly scoped route — read the source and program restrictions

ACO public reporting / administrative contact

Phone 208-898-3828Published email

Idaho · Oregon · Washington · medicare · Source checked 2026-10-22

Contact details, purpose & sources

provider services

ACO public reporting / administrative contact

Official dataset read

Phone208-898-3828Published email

dgarrett@idahopca.org

CMS-designated ACO public reporting / administrative contact; not a secure clinical or claims submission address.

Published hours

Not published in this record

Product, plan and location

medicare
Idaho · Oregon · Washington

Mailing address

Not researched for this route

CMS ACO ID A3554. Public reporting / administrative contact from the CMS PY2026 dataset, modified April 16, 2026. This is not a claims, eligibility, enrollment, or urgent clinical line. State tags identify states containing counties where more than 1% of assigned beneficiaries reside; they are not a statewide service-coverage or eligibility guarantee. The ACO reporting website was supplied in the dataset and was not individually reviewed in this batch.

View source ↗ · Source checked 2026-10-22 · Source published 2026-04-16 · CMS ACO dataset overview ↗ · CMS field definitions ↗

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Community Health Center Network Of Idaho, LLC

Accountable care organizations · National contact — confirm exact product and location

CHCNI ACO primary administrative contact — official website

Phone 208-392-3473Physical address

National · medicare · Source checked 2026-10-22

Contact details, purpose & sources

provider services

CHCNI ACO primary administrative contact — official website

Official page read

Phone208-392-3473Published hours

Not published in this record

Product, plan and location

medicare
National contact — confirm product and location

Mailing address

Not researched for this route

Physical address

1087 W. River Street, Boise, ID 83702

ACO administrative location published in the official ACO name and location section; no claims, medical-records or correspondence destination is inferred.

Published ACO primary administrative contact. This source does not designate a claims, health-plan member-services, billing or urgent clinical line. No office hours or dedicated fax were published in the reviewed section. State tag US is not a service-area assertion. Current official Medicare ACO page publishes this under Community Health Center Network of Idaho (CHCNI). It differs from the existing CMS dataset phone; neither is silently replaced. Association footer email and suite are not imported as ACO-specific channels.

View source ↗ · Source checked 2026-10-22

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Community Health Choice

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Behavioral health appeals — standard requests

No phone listedFax 713-576-0934Mailing address

Texas · medicaid · chip · Source checked 2026-10-24

Contact details, purpose & sources

fax appeals

Behavioral health appeals — standard requests

Official page read

Phone

No phone listed for this route

Fax

713-576-0934

Published hours

Not published in this record

Product, plan and location

medicaid · chip
Texas

Mailing address

Community Health Choice Attn: Behavioral Health Appeals P.O. Box 1411 Houston, TX 77230

Behavioral health appeals

Behavioral health appeals; expedited requests fax 713.576.0935.

View source ↗ · Source checked 2026-10-24

Report an update

Community Health Choice

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Behavioral health inpatient PA fax

No phone listedFax 713-576-0932

Texas · medicaid · medicare advantage · Source checked 2026-10-21

Contact details, purpose & sources

fax prior auth

Behavioral health inpatient PA fax

Official page read

Phone

No phone listed for this route

Fax

713-576-0932

Published hours

Not published in this record

Product, plan and location

medicaid · medicare advantage
Texas

Mailing address

Not researched for this route

View source ↗ · Source checked 2026-10-21

Report an update

Community Health Choice

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Behavioral health outpatient PA fax - Medicare D-SNP

No phone listedFax 713-576-0939

Texas · medicare advantage · Source checked 2026-10-21

Contact details, purpose & sources

fax prior auth

Behavioral health outpatient PA fax - Medicare D-SNP

Official page read

Phone

No phone listed for this route

Fax

713-576-0939

Published hours

Not published in this record

Product, plan and location

medicare advantage
Texas

Mailing address

Not researched for this route

View source ↗ · Source checked 2026-10-21

Report an update

Community Health Choice

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Behavioral health outpatient PA fax - STAR/CHIP

No phone listedFax 713-576-0931

Texas · medicaid · Source checked 2026-10-21

Contact details, purpose & sources

fax prior auth

Behavioral health outpatient PA fax - STAR/CHIP

Official page read

Phone

No phone listed for this route

Fax

713-576-0931

Published hours

Not published in this record

Product, plan and location

medicaid
Texas

Mailing address

Not researched for this route

View source ↗ · Source checked 2026-10-21

Report an update

Community Health Choice

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Claims payment reconsideration (payment disputes) — STAR/CHIP

Phone 713-295-2295Fax 713-295-7039Published emailMailing address

Texas · medicaid · chip · Source checked 2026-10-24

Contact details, purpose & sources

claims

Claims payment reconsideration (payment disputes) — STAR/CHIP

Official page read

Phone713-295-2295Fax

713-295-7039

Published email

ProviderWebInquiries@CommunityHealthChoice.org

Published hours

Not published in this record

Product, plan and location

medicaid · chip
Texas

Mailing address

Community Health Choice Attn: Claims Payment Reconsideration 4888 Loop Central Dr. Suite 600 Houston, TX 77081

Claims payment reconsideration

Reconsideration within 120 days of the EOP using the Provider Payment Dispute Form. Phone/fax/email are the Provider Services contacts from the same guide (toll-free 1.888.760.2600).

View source ↗ · Source checked 2026-10-24

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Community Health Choice

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Clinical submission / complex care and discharge planning fax - Medicare D-SNP

No phone listedFax 713-295-7030

Texas · medicare advantage · Source checked 2026-10-21

Contact details, purpose & sources

fax other

Clinical submission / complex care and discharge planning fax - Medicare D-SNP

Official page read

Phone

No phone listed for this route

Fax

713-295-7030

Published hours

Not published in this record

Product, plan and location

medicare advantage
Texas

Mailing address

Not researched for this route

View source ↗ · Source checked 2026-10-21

Report an update

Community Health Choice

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Community Health Choice Marketplace — provider services

Phone 713-295-6704Fax 713-295-2283

Texas · marketplace · Source checked 2026-10-22

Contact details, purpose & sources

provider services

Community Health Choice Marketplace — provider services

Official page read

Phone713-295-6704Fax

713-295-2283

Marketplace provider services fax; not a prior-authorization fax.

Published hours

Not published in this record

Product, plan and location

marketplace
Texas

Mailing address

Not researched for this route

The same phone also appears for Marketplace member services. Provider-specific hours are not assigned from the adjacent member row. Mailing address is withheld because the page contains inconsistent address blocks.

View source ↗ · Source checked 2026-10-22

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Community Health Choice

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Discharge to home (home health) PA fax

No phone listedFax 713-848-6940

Texas · medicaid · Source checked 2026-10-21

Contact details, purpose & sources

fax prior auth

Discharge to home (home health) PA fax

Official page read

Phone

No phone listed for this route

Fax

713-848-6940

Published hours

Not published in this record

Product, plan and location

medicaid
Texas

Mailing address

Not researched for this route

View source ↗ · Source checked 2026-10-21

Report an update

Community Health Choice

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Discharge to LTAC/SNF and admission notification fax

No phone listedFax 713-295-2284

Texas · medicaid · medicare advantage · Source checked 2026-10-21

Contact details, purpose & sources

fax prior auth

Discharge to LTAC/SNF and admission notification fax

Official page read

Phone

No phone listed for this route

Fax

713-295-2284

Published hours

Not published in this record

Product, plan and location

medicaid · medicare advantage
Texas

Mailing address

Not researched for this route

View source ↗ · Source checked 2026-10-21

Report an update

Community Health Choice

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

ECHO Health payments (EFT/ERA)

Phone 833-629-9725

Texas · medicaid · chip · Source checked 2026-10-24

Contact details, purpose & sources

edi clearinghouse support

ECHO Health payments (EFT/ERA)

Official page read

Phone833-629-9725Published hours

Not published in this record

Product, plan and location

medicaid · chip
Texas

Mailing address

Not researched for this route

Questions about payment options through ECHO Health; ERA via providerpayments.com.

View source ↗ · Source checked 2026-10-24

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Community Health Choice

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

FCL Dental provider services (Medicare D-SNP dental / adult dental)

Phone 877-493-6282

Texas · medicare advantage · medicaid · Source checked 2026-10-21

Contact details, purpose & sources

dental

FCL Dental provider services (Medicare D-SNP dental / adult dental)

Official page read

Phone877-493-6282Published hours

Not published in this record

Product, plan and location

medicare advantage · medicaid
Texas

Mailing address

Not researched for this route

View source ↗ · Source checked 2026-10-21

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Community Health Choice

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

General information line

Phone 877-635-6736

Texas · medicaid · medicare advantage · exchange · Source checked 2026-10-21

Contact details, purpose & sources

member services

General information line

Official page read

Phone877-635-6736Published hours

M-F 7am-7pm

Product, plan and location

medicaid · medicare advantage · exchange
Texas

Mailing address

Not researched for this route

Local 713-295-2222.

View source ↗ · Source checked 2026-10-21

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Community Health Choice

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

LTSS service coordination prior authorization fax - STAR+PLUS

No phone listedFax 713-848-6958

Texas · medicaid · Source checked 2026-10-21

Contact details, purpose & sources

fax prior auth

LTSS service coordination prior authorization fax - STAR+PLUS

Official page read

Phone

No phone listed for this route

Fax

713-848-6958

Published hours

Not published in this record

Product, plan and location

medicaid
Texas

Mailing address

Not researched for this route

View source ↗ · Source checked 2026-10-21

Report an update

Community Health Choice

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Medical appeals (adverse determinations) — Medical Affairs

No phone listedFax 713-295-7033Mailing address

Texas · medicaid · chip · Source checked 2026-10-24

Contact details, purpose & sources

appeals grievances

Medical appeals (adverse determinations) — Medical Affairs

Official page read

Phone

No phone listed for this route

Fax

713-295-7033

Published hours

Not published in this record

Product, plan and location

medicaid · chip
Texas

Mailing address

Community Health Choice Attn: Medical Affairs - Appeals 4888 Loop Central Dr. Suite 600 Houston, TX 77081

Medical appeals

Appeals of medical/prior authorization denials within 60 days of last disposition.

View source ↗ · Source checked 2026-10-24

Report an update

Community Health Choice

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Medical/acute prior authorization fax - STAR/CHIP

No phone listedFax 713-295-2283

Texas · medicaid · Source checked 2026-10-21

Contact details, purpose & sources

fax prior auth

Medical/acute prior authorization fax - STAR/CHIP

Official page read

Phone

No phone listed for this route

Fax

713-295-2283

Published hours

Not published in this record

Product, plan and location

medicaid
Texas

Mailing address

Not researched for this route

View source ↗ · Source checked 2026-10-21

Report an update

Community Health Choice

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Medical/acute prior authorization fax - STAR+PLUS

No phone listedFax 713-848-6957

Texas · medicaid · Source checked 2026-10-21

Contact details, purpose & sources

fax prior auth

Medical/acute prior authorization fax - STAR+PLUS

Official page read

Phone

No phone listed for this route

Fax

713-848-6957

Published hours

Not published in this record

Product, plan and location

medicaid
Texas

Mailing address

Not researched for this route

View source ↗ · Source checked 2026-10-21

Report an update

Community Health Choice

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Paper claims mailing address and electronic payer ID — STAR/CHIP

No phone listedMailing address

Texas · medicaid · chip · Source checked 2026-10-24

Contact details, purpose & sources

claims

Paper claims mailing address and electronic payer ID — STAR/CHIP

Official page read

Phone

No phone listed for this route

Published hours

Not published in this record

Product, plan and location

medicaid · chip
Texas

Mailing address

Community Health Choice, Inc. PO Box 301404 Houston, TX 77230-1404

Paper claims

From STAR Quick Reference Guide (rev. 10/2024; address effective 8/27/2024). Electronic payer ID 48145 (Availity or Change Healthcare); online Claim Center also available. Refund lockbox: P.O. Box 4818, Houston, TX 77210-4818.

View source ↗ · Source checked 2026-10-24

Report an update

Community Health Choice

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Peer-to-peer discussion requests

Phone 713-295-2319

Texas · medicaid · Source checked 2026-10-21

Contact details, purpose & sources

prior authorization

Peer-to-peer discussion requests

Official page read

Phone713-295-2319Published hours

Not published in this record

Product, plan and location

medicaid
Texas

Mailing address

Not researched for this route

View source ↗ · Source checked 2026-10-21

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Community Health Choice

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Pharmacy prior authorization (Navitus) - STAR/CHIP/STAR+PLUS

Phone 877-908-6023

Texas · medicaid · Source checked 2026-10-21

Contact details, purpose & sources

pharmacy prior auth

Pharmacy prior authorization (Navitus) - STAR/CHIP/STAR+PLUS

Official page read

Phone877-908-6023Published hours

Not published in this record

Product, plan and location

medicaid
Texas

Mailing address

Not researched for this route

View source ↗ · Source checked 2026-10-21

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Community Health Choice

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Physical health prior authorization fax - Medicare D-SNP

No phone listedFax 713-295-7059

Texas · medicare advantage · Source checked 2026-10-21

Contact details, purpose & sources

fax prior auth

Physical health prior authorization fax - Medicare D-SNP

Official page read

Phone

No phone listed for this route

Fax

713-295-7059

Published hours

Not published in this record

Product, plan and location

medicare advantage
Texas

Mailing address

Not researched for this route

View source ↗ · Source checked 2026-10-21

Report an update

Community Health Choice

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Provider Services - Medicare Advantage HMO D-SNP

Phone 833-276-8306

Texas · medicare advantage · Source checked 2026-10-21

Contact details, purpose & sources

provider services

Provider Services - Medicare Advantage HMO D-SNP

Official page read

Phone833-276-8306Published hours

M-F 8am-5pm

Product, plan and location

medicare advantage
Texas

Mailing address

Not researched for this route

Local 713-295-5007.

View source ↗ · Source checked 2026-10-21

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Community Health Choice

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Provider Services - STAR Medicaid / CHIP (also PA questions)

Phone 888-760-2600

Texas · medicaid · Source checked 2026-10-21

Contact details, purpose & sources

provider services

Provider Services - STAR Medicaid / CHIP (also PA questions)

Official page read

Phone888-760-2600Published hours

Medicaid M-F 8am-5pm, Sat/Sun/holidays 9am-12pm; CHIP M-F 6am-6pm

Product, plan and location

medicaid
Texas

Mailing address

Not researched for this route

Local 713-295-2295. Contact page lists the same toll-free number as member services.

View source ↗ · Source checked 2026-10-21

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Community Health Choice

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Provider Services - STAR+PLUS

Phone 888-435-2850

Texas · medicaid · Source checked 2026-10-21

Contact details, purpose & sources

provider services

Provider Services - STAR+PLUS

Official page read

Phone888-435-2850Published hours

M-F 8am-5pm

Product, plan and location

medicaid
Texas

Mailing address

Not researched for this route

Local 713-295-2300.

View source ↗ · Source checked 2026-10-21

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Community Health Choice

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Transplant prior authorization and clinical submission fax

No phone listedFax 713-295-7016

Texas · medicaid · Source checked 2026-10-21

Contact details, purpose & sources

fax prior auth

Transplant prior authorization and clinical submission fax

Official page read

Phone

No phone listed for this route

Fax

713-295-7016

Published hours

Not published in this record

Product, plan and location

medicaid
Texas

Mailing address

Not researched for this route

View source ↗ · Source checked 2026-10-21

Report an update

Community Health Group

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Authorization status — non-contracted providers

No phone listedPublished email

California · medicaid · dsnp · medicare advantage · Source checked 2026-10-24

Contact details, purpose & sources

email other

Authorization status — non-contracted providers

Official page read

Phone

No phone listed for this route

Published email

auths@chgsd.com

Published hours

Not published in this record

Product, plan and location

medicaid · dsnp · medicare advantage
California

Mailing address

Not researched for this route

Non-contracted providers only: follow up on authorization request status by email. Contracted providers check status in the provider portal.

View source ↗ · Source checked 2026-10-24

Report an update

Community Health Group

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Non-contracted paper claims mailing — Medi-Cal

No phone listedMailing address

California · medicaid · Source checked 2026-10-24

Contact details, purpose & sources

claims

Non-contracted paper claims mailing — Medi-Cal

Official page read

Phone

No phone listed for this route

Published hours

Not published in this record

Product, plan and location

medicaid
California

Mailing address

Community Health Group PO Box 210100 Chula Vista, CA 91921

Non-contracted provider Medi-Cal paper claims.

Mail-only address for non-contracted Medi-Cal claims. CHG prefers EDI; the page lists payer IDs by clearinghouse (e.g., Office Ally 66170 fee-for-service / 66171 capitated professional, Waystar Z1700). First-time submitters must send W-9 and NPI to Provider Enrollment.

View source ↗ · Source checked 2026-10-24

Report an update

Community Health Group

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Non-contracted paper claims mailing — Medicare plans

No phone listedMailing address

California · dsnp · medicare advantage · Source checked 2026-10-24

Contact details, purpose & sources

claims

Non-contracted paper claims mailing — Medicare plans

Official page read

Phone

No phone listed for this route

Published hours

Not published in this record

Product, plan and location

dsnp · medicare advantage
California

Mailing address

Community Health Group PO Box 210157 Chula Vista, CA 91921

Non-contracted provider Medicare paper claims.

Mail-only address for non-contracted Medicare claims (CommuniCare Advantage / Community y Más). EDI preferred; see payer IDs on the source page.

View source ↗ · Source checked 2026-10-24

Report an update

Community Health Group

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Provider Disputes Department — reconsideration requests

Phone 619-240-8933Mailing address

California · medicaid · dsnp · medicare advantage · Source checked 2026-10-24

Contact details, purpose & sources

appeals grievances

Provider Disputes Department — reconsideration requests

Official page read

Phone619-240-8933

Questions about how to submit a dispute.

Published hours

Not published in this record

Product, plan and location

medicaid · dsnp · medicare advantage
California

Mailing address

Community Health Group Provider Disputes Department 2420 Fenton Street, Suite 100 Chula Vista, CA 91914

Written provider disputes / reconsideration requests.

Out-of-network providers may mail reconsideration requests with the CHG Provider Dispute Resolution form and supporting documentation; non-contracted providers for Medicare members must include a waiver of liability. An online disputes tool is also offered. Provider Services can explain how to submit.

View source ↗ · Source checked 2026-10-24

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Community Health Group

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Provider Enrollment — first-time claim submitters (W-9 and NPI)

No phone listedFax 619-382-1214Published emailMailing address

California · medicaid · dsnp · medicare advantage · Source checked 2026-10-24

Contact details, purpose & sources

provider enrollment credentialing

Provider Enrollment — first-time claim submitters (W-9 and NPI)

Official page read

Phone

No phone listed for this route

Fax

619-382-1214

Published email

providerenrollment@chgsd.com

Published hours

Not published in this record

Product, plan and location

medicaid · dsnp · medicare advantage
California

Mailing address

Community Health Group Attn: Provider Enrollment 2420 Fenton St., Suite 100 Chula Vista, CA 91914

W-9 and NPI submission for first-time claim submitters.

Send W-9 and NPI before or with a first claim to avoid processing delays. This is provider record setup, not network contracting or credentialing review.

View source ↗ · Source checked 2026-10-24

Report an update

Community Health Group

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Provider Services Specialists (claims, billing, portal access)

Phone 619-240-8933Published email

California · medicaid · dsnp · medicare advantage · Source checked 2026-10-24

Contact details, purpose & sources

provider services

Provider Services Specialists (claims, billing, portal access)

Official page read

Phone619-240-8933Published email

ooaprov@chgsd.com

Published hours

Not published in this record

Product, plan and location

medicaid · dsnp · medicare advantage
California

Mailing address

Not researched for this route

San Diego Medi-Cal and Medicare (CommuniCare Advantage HMO D-SNP, Community y Más HMO C-SNP) plan. Provider Services Specialists help with claim status, billing questions and provider portal access; non-contracted providers may email for claim status. Not a member line.

View source ↗ · Source checked 2026-10-24 · Same number and email for billing questions ↗

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Community Health Group

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Referral and service request form — non-contracted providers

Phone 800-224-7766Fax 800-870-8781

California · medicaid · dsnp · medicare advantage · Source checked 2026-10-24

Contact details, purpose & sources

fax prior auth

Referral and service request form — non-contracted providers

Official page read

Phone800-224-7766

Urgent service requests per the form instructions.

Fax

800-870-8781

Completed referral and service request form with clinical documentation.

Published hours

Not published in this record

Product, plan and location

medicaid · dsnp · medicare advantage
California

Mailing address

Not researched for this route

Non-contracted (out-of-network) providers fax the Referral and Service Request Form; contracted providers submit through the provider portal. Form shows reviewed date 11/30/2022. The phone shown on the form is for urgent service requests and is also the Medi-Cal member services number.

View source ↗ · Source checked 2026-10-24 · Current page: non-contracted providers submit the referral form via fax ↗

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Community Health Options

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Claims submissions

No phone listedMailing address

Maine · Source checked 2026-10-22

Contact details, purpose & sources

claims

Claims submissions

Official page read

Phone

No phone listed for this route

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
Maine

Mailing address

Community Health Options, PO Box 240038, Eagan, MN 55121

Claim submissions.

View source ↗ · Source checked 2026-10-22

Report an update

Community Health Options

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Member services

Phone 855-624-6463

Maine · Source checked 2026-10-22

Contact details, purpose & sources

member services

Member services

Official page read

Phone855-624-6463Published hours

Monday–Friday, 8 a.m.–5 p.m. ET

Product, plan and location

Confirm the exact product or service
Maine

Mailing address

Not researched for this route

View source ↗ · Source checked 2026-10-22

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Community Health Options

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Provider information updates

No phone listedPublished email

Maine · Source checked 2026-10-22

Contact details, purpose & sources

provider enrollment credentialing

Provider information updates

Official page read

Phone

No phone listed for this route

Published email

dataintegrity@healthoptions.org

Provider network form for changes to address, NPI and other provider data.

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
Maine

Mailing address

Not researched for this route

Use the provider network form linked on the official page.

View source ↗ · Source checked 2026-10-22

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Community Health Plan of Washington

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Applied Behavior Analysis (ABA) therapy requests

Phone 844-225-8624

Washington · medicaid · Source checked 2026-10-25

Contact details, purpose & sources

behavioral health

Applied Behavior Analysis (ABA) therapy requests

Official page read

Phone844-225-8624Published hours

Not published in this record

Product, plan and location

medicaid
Washington

Mailing address

Not researched for this route

Direct line to request ABA therapy.

View source ↗ · Source checked 2026-10-25

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Community Health Plan of Washington

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Case management technical assistance (members and providers)

Phone 866-418-7004

Washington · Source checked 2026-10-25

Contact details, purpose & sources

case management

Case management technical assistance (members and providers)

Official page read

Phone866-418-7004Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
Washington

Mailing address

Not researched for this route

Case management technical assistance line for CHPW members and providers.

View source ↗ · Source checked 2026-10-25

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Community Health Plan of Washington

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

General forms and written requests fax

No phone listedFax 206-652-7050Mailing address

Washington · Source checked 2026-10-25

Contact details, purpose & sources

fax other

General forms and written requests fax

Official page read

Phone

No phone listed for this route

Fax

206-652-7050

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
Washington

Mailing address

Community Health Plan of Washington 1111 Third Ave, Suite 400 Seattle, WA 98101

General correspondence.

Fax any forms or written requests to CHPW (members and providers). Not the prior authorization fax.

View source ↗ · Source checked 2026-10-25

Report an update

Community Health Plan of Washington

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

MCO customer service number listed by HCA for providers

Phone 800-440-1561Published email

Washington · medicaid · Source checked 2026-10-20

Contact details, purpose & sources

provider services

MCO customer service number listed by HCA for providers

Official page read

Phone800-440-1561Published email

provider.relations@chpw.org

Published hours

Not published in this record

Product, plan and location

medicaid
Washington

Mailing address

Not researched for this route

View source ↗ · Source checked 2026-10-20

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Community Health Plan of Washington

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Medicare Advantage provider customer service (eligibility and benefits)

Phone 800-942-0247

Washington · medicare advantage · dsnp · Source checked 2026-10-25

Contact details, purpose & sources

provider services

Medicare Advantage provider customer service (eligibility and benefits)

Official page read

Phone800-942-0247Published hours

Seven days a week, 8 a.m.–8 p.m. (Pacific)

Product, plan and location

medicare advantage · dsnp
Washington

Mailing address

Not researched for this route

CHPW Medicare Provider Phone; also the number the PA form gives to verify Medicare Advantage eligibility and benefits.

View source ↗ · Source checked 2026-10-25 · Verify Medicare Advantage eligibility & benefits ↗

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Community Health Plan of Washington

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Mental health and SUD service prior authorization fax

No phone listedFax 206-652-7067

Washington · medicaid · medicare advantage · Source checked 2026-10-25

Contact details, purpose & sources

behavioral health

Mental health and SUD service prior authorization fax

Official page read

Phone

No phone listed for this route

Fax

206-652-7067

Published hours

Not published in this record

Product, plan and location

medicaid · medicare advantage
Washington

Mailing address

Not researched for this route

Fax for mental health service and substance use disorder services PA request forms; UM department phone 800-440-1561.

View source ↗ · Source checked 2026-10-25 · SUD PA form — same fax ↗

Report an update

Community Health Plan of Washington

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Paper claims mailing (all CHPW plans) and EDI payer ID

No phone listedMailing address

Washington · medicaid · medicare advantage · exchange · Source checked 2026-10-25

Contact details, purpose & sources

claims

Paper claims mailing (all CHPW plans) and EDI payer ID

Official page read

Phone

No phone listed for this route

Published hours

Not published in this record

Product, plan and location

medicaid · medicare advantage · exchange
Washington

Mailing address

CHP Claims PO Box 269002 Plano, Texas 75026-9002

Paper claims.

Professional, facility and behavioral health paper claims for all CHPW plans. Electronic claims via Availity (800-282-4548), Payer ID CHPWA.

View source ↗ · Source checked 2026-10-25

Report an update

Community Health Plan of Washington

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Patient Review and Coordination (PRC) program referrals

Phone 866-907-1902

Washington · medicaid · Source checked 2026-10-25

Contact details, purpose & sources

case management

Patient Review and Coordination (PRC) program referrals

Official page read

Phone866-907-1902Published hours

Not published in this record

Product, plan and location

medicaid
Washington

Mailing address

Not researched for this route

Refer a patient to CHPW's PRC program.

View source ↗ · Source checked 2026-10-25 · PRC number on contact page ↗

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Community Health Plan of Washington

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Pharmacy prior authorization — Express Scripts (24/7)

Phone 844-605-8168

Washington · medicaid · Source checked 2026-10-25

Contact details, purpose & sources

pharmacy prior auth

Pharmacy prior authorization — Express Scripts (24/7)

Official page read

Phone844-605-8168Published hours

24/7

Product, plan and location

medicaid
Washington

Mailing address

Not researched for this route

Prior authorization, step therapy, nonformulary and quantity-limit override requests for self-administered drugs; CoverMyMeds also accepted.

View source ↗ · Source checked 2026-10-25

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Community Health Plan of Washington

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Pharmacy reimbursement issues — Express Scripts

Phone 800-922-1557

Washington · medicaid · Source checked 2026-10-25

Contact details, purpose & sources

pharmacy help desk

Pharmacy reimbursement issues — Express Scripts

Official page read

Phone800-922-1557Published hours

Not published in this record

Product, plan and location

medicaid
Washington

Mailing address

Not researched for this route

Pharmacies with reimbursement issues call ESI.

View source ↗ · Source checked 2026-10-25

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.