Behavioral Health Community Health Choice About Community Community Health Choice, Inc. (Community) is a LOCAL, non-profit health plan that genuinely CARES for and SERVES our community. Having had the run-around with the big providers including Aetna and United Healthcare, this company knows how to treat its customers. Supported document types include: .jpg, tif, PDF, and tiff. Call Us:Local: 713.295.6704Toll-Free 1.855.315.5386. Help keep yourself, your family, and your community healthy. CHG Medi-Cal Member Services (800) 224-7766; CHG Cal MediConnect Member Services (888) 244-4430; TTY(855) 266-4584; Email [email protected] Medicare HMO Continental Benefits . You can call Community Health Choice Member Services 24 hours a day, 7 days a week for help at 713-295-2294. Members Area. Molina Marketplace is renovating our payment and premium billing functions for added convenience and security. This form is for appointment request only. Nurses can help you with medical advice, such as what to do for a common cold or how to care for a loved one released from the hospital. Telehealth services are available on most Community Health Choice Marketplace If you missed the 90-day deadline, explain the reason why in your appeal request. [email protected]. Phone: 434-947-4463 toll free: 800-400-7247 TTY: 711 8:30 a.m. to 5:00 p.m., For claims status inquiries contact PA Health Copyright 2021 Community Health Choice. STAR/CHIP Local: 713-295-2294 | Toll-Free: 1-888-760-2600 Health Insurance Marketplace Local: 713-295-6704 | Toll Community Health Choice Member Services cares about you. HealthChoice takes member health and well-being very seriously. More Time for Marketplace Enrollment! BEHAVIORAL HEALTH SERVICES Medicare Pre-Authorization OP Fax: 713-576-0930 Pre-Authorization IP Fax: 713-576-0930 An issuer needing more information may call the requesting provider directly at: ** Required: Attach clinical documentation to this form upon submission. Use this form to submit an appeal. Under IBHS, qualified and licensed providers can offer individual, group, ABA, and evidence-based treatments for children and youth. MEMBER APPEAL FORM You may ask for an appeal if: You disagree with Community Health Choices answer or You believe we made a mistake in denial of your requested medical services You or your authorized representative may use this form to submit your appeal. Community Health Choice, Inc. 2636 South Loop West, Suite 125 Houston, TX 77054. COVID update: Community Health Choice has updated their hours and services. Click on the below form that best meets your needs. CHC will make every effort to ensure that the information in this website is accurate, however changes will occur from time to time. You can ask Community Health Choice to review the denial again. Please note the following changes: the BIN will be 020545; the PCN will be RXA373; and the GRP will be RXGMCPA01. the Claimant. For Members. Community Health Choice, Inc. (CHC) has developed this website in order to better serve its members and contracted Providers. Piedmont Community Health Plan, Inc. 2316 Atherholt Road Lynchburg, Virginia 24501. Provider Claim Disputes If you believe the claim was processed incorrectly due to incomplete, incorrect or unclear information on the claim, you should submit a corrected claim. UPMC Community HealthChoices is a Managed Care Plan for Community HealthChoices. PHW Long Term Care Facilities Quick Reference Guide FAQ (PDF) Provider FAQs (PDF) PHW Claim Dispute Form (PDF) PHW Claim Reconsideration Form (PDF) PHW (Community HealthChoices) Provider Disputes and Appeals About Community. Phone: 434-947-4463 toll free: 800-400-7247 TTY: 711 8:30 a.m. to 5:00 p.m., Community Health Choice Marketplace (Houston Only) Insurance Our commitment is to create access for the community we serve, reason why we accept Self-pay patients, Medicaid, Medicare and most Commercial Insurances. Provider Claim Disputes If you believe the claim was processed incorrectly due to incomplete, incorrect or unclear information on the claim, you should submit a corrected claim. 900. The Sendero Health Plans Quality Improvement Program is committed to continuously improving the quality of care and service for Senderos members and practitioners. Community Health Plan of Washington (CHPW) were founded in 1992 by Washingtons community health centers. Find out more about the coronavirus and how you can help prevent it. You can view the Glossary at www.cciio.cms.gov or call 1-855-315-5386 to request a copy. Forms and Guides by Plan: Health Insurance Marketplace. As of June 1 st, PA Health and Wellness will be switching our claims processor for Community HeathChoices and participants will get a new ID card by mail. The appeal process does not prohibit You from pursuing other appropriate remedies, including: injunctive relief; a declaratory judgment or other relief available under law, if the requirement to exhaust the process for appeal and review places your health in serious jeopardy. DO NOT use this form to dispute the amount you received for a claim We want to keep you happy and healthy. We are closely monitoring the developing effects of the coronavirus (COVID-19) pandemic and how it relates to you and your health plan benefits. If PA Health & Wellness is unable to match the information on your claims to an active PROMISe enrollment, the claims will be rejected and a Please view the listing that includes SCE forms, tutorial guidelines and helpful links. CHIP Perinate Unborn Value-Added Services. Community HealthFirst Medicare Advantage Plans are offered by Community Health Plan of Washington. We live this commitment all year long because you shouldnt have to pay more to get the health care you deserve. CHIP-P provides prenatal care for the unborn children of low-income women who do not qualify for Medicaid. Utilization Management Appeals Address UnitedHealthcare Community Plan Attn: Complaint and Appeals Department P.O. Private Careington Benefit Solutions. Member Services. Claims Mailing Address.

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