chc provider portal login

How do I log into the CHCN provider connection?

To log into the CHCN Provider Connection click here. If you do not have a user name and password, you will be asked to download and fill in a Request Access form.

How do I get in touch with CHG Medi Cal?

Provider Access. CHG Medi-Cal Member Services (800) 224-7766. CHG Cal MediConnect Member Services (888) 244-4430. TTY (855) 266-4584.

Does CHCN have 'Saturday' nurse coverage?

CHCN has ‘Saturday’ nurse coverage to meet your Inpatient and Outpatient Utilization Management needs. For assistance with Inpatient authorizations call (510) 314-4388. For assistance with Outpatient authorization call (510) 754-8873. Please contact CHCN Customer Care at 510-297-0242 or chcncustomercare@chcnetwork.org if you have any questions.

Is Community Health Choice a nonprofit?

As a local nonprofit health plan, Community Health Choice gives you plenty of reasons to join our Community. From the benefits and special programs we offer, to the way our Member Services team helps you make the most of them, Community is always working life forward for you and your family.

Does CHIP P cover Medicaid?

CHIP-P provides prenatal care for the unborn children of low-income women who do not qualify for Medicaid. Community participates in the State of Texas Access Reform (STAR) Managed Care Program (Medicaid). As a part of Medicaid, Community provides both Children’s Medicaid and Medicaid for pregnant women.

How to contact CHCN for outpatient authorization?from connect.chcnetwork.org

For assistance with Outpatient authorization call (510) 754-8873. Please contact CHCN Customer Care at 510-297-0242 or chcncustomercare@chcnetwork.org if you have any questions. For portal related questions contact our Portal Support Team at portalsupport@chcnetwork.org or 510-297-0480.

How many doctors are on the CHN team?from mychn.org

Our CHN pediatric care team is led by three board-certified pediatricians, a board-certified family medicine physician, and four nurse practitioners who strive to build strong, trusting relationships with every child and family.

Does CHCN still process prior authorizations?from connect.chcnetwork.org

CHCN will continue to process inpatient and prior authorization requests for CHCN AAH members.

Does CHIP P cover Medicaid?from provider.communityhealthchoice.org

CHIP-P provides prenatal care for the unborn children of low-income women who do not qualify for Medicaid. Community participates in the State of Texas Access Reform (STAR) Managed Care Program (Medicaid). As a part of Medicaid, Community provides both Children’s Medicaid and Medicaid for pregnant women.

Is Community Health Choice a nonprofit?from provider.communityhealthchoice.org

As a local nonprofit health plan, Community Health Choice gives you plenty of reasons to join our Community. From the benefits and special programs we offer, to the way our Member Services team helps you make the most of them, Community is always working life forward for you and your family.

Can I add another user to my CHCN account?from connect.chcnetwork.org

A local admin can add other users within the same organization without requesting CHCN staff to create their account. Your tax id and site NPI need to be registered with CHCN prior to the account creation for security reasons. If you are unsure whether your tax id and NPI are registered with CHCN please contact CHCN Customer Care Department at 510-297-0200.

How to contact CHCN for outpatient authorization?

For assistance with Outpatient authorization call (510) 754-8873. Please contact CHCN Customer Care at 510-297-0242 or chcncustomercare@chcnetwork.org if you have any questions. For portal related questions contact our Portal Support Team at portalsupport@chcnetwork.org or 510-297-0480.

Does CHCN require prior authorization?

NOTICE FOR PRIOR-AUTHORIZATION REQUESTS For all Contracted Providers, CHCN will no longer require a prior authorization (PA) for Obstetrics (OB) and related Genetic testing. Please see the comprehensive list here.

Can I add another user to my CHCN account?

A local admin can add other users within the same organization without requesting CHCN staff to create their account. Your tax id and site NPI need to be registered with CHCN prior to the account creation for security reasons. If you are unsure whether your tax id and NPI are registered with CHCN please contact CHCN Customer Care Department at 510-297-0200.

How to contact CFHP?from cfhp.com

If you are a provider and need to reach CFHP after hours or on weekends, please call (210) 227-2347. Not a Community First Health Plans Provider? We are continuously looking for partners to better serve our members and provide access to care services.

What is a child's health insurance program?from cfhp.com

The Children’s Health Insurance Program (CHIP) and CHIP-Perinatal Program provides low cost services to children, pregnant woman and unborn children of non-Medicaid eligible women. The program is the first Medicaid managed care program specifically for people who are 20 and younger, have a disability, and use Medicaid.

What is a chip perinate?from communityfirsthealthplans.com

CHIP is a health care program for children (ages 18 and younger) whose families earn too much to get Medicaid but cannot afford private health insurance. CHIP Perinate covers unborn children and pregnant women who do not qualify for Medicaid and do not have any other health coverage. Learn More About CHIP.

What is Medicaid for adults?from communityfirsthealthplans.com

A Medicaid health care program that covers children and adults (ages 20 and younger) who have disabilities.

How do providers access vital information?from communitycarehealth.org

Our provider partners can access vital information around the clock via the provider portal, which has been developed to present quick solutions available 24 hours a day / 7 days a week.Once registered, the portal offers providers convenient access to the following functions: Verify Eligibility and Benefits ,View Claims ,Search and Submit Requests for Authorizations ,Message Customer Service

How to contact Community Care Health?from communitycarehealth.org

For more information about our member services please call Community Care Health customer service at 1-855-343-2247. PRIOR AUTHORIZATION FORM. HOME HEALTH PRIOR AUTHORIZATION.

How long does it take to get an appointment with a PCP?from communitycarehealth.org

Appointment is offered within 48 hours from time of the request. Urgent Care (non-life threatening) – prior authorization required. Appointment is offered within 96 hours from time of the request. Non-urgent appointments with a primary care physician (PCP) for regular and routine primary care services.

What is a request for coverage?from communitycarehealth.org

The request for coverage is for an indication supported by the medical literature.

What is community health group?from chgsd.com

Community Health Group | Our partners in improving member health and providing quality care.

Is Community Care Health a physician panel?from communitycarehealth.org

Community Care Health is proud to partner with the Central Valley’s largest and most comprehensive physician panel. We’ll do our best to support you in delivering excellent care and an exceptional patient experience. Thank you for your commitment to quality, patient satisfaction and personalized care for our patients.

Does CCH have a pharmacy?from communitycarehealth.org

CCH has partnered with MedImpact as our Pharmacy Benefit Manager to provide prescription drugs to our members. To find a participating pharmacy, please go to “Find a Provider” and click on the Pharmacy Tab.

What is Direct Connect?

Using Direct Connect, you can track and manage overpayment requests, dispute an overpayment finding and submit refunds – reducing the letters and calls you receive from UnitedHealthcare, or the need to work with third-party vendors.

Do you need to notify UnitedHealthcare of lab results?

Notification is required for certain genetic and molecular lab tests for certain UnitedHealthcare Commercial benefit plans. Ordering care providers will complete the notification/prior authorization process online or over the phone.