community prohealth provider portal

Full Answer

How to contact Community Care Health?

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.

What is the phone number for Community Care Health?

Customer Service representatives for Community Care Health are accessible by phone at 1-855-343-2247, and are available to assist the speech and hearing impaired. Further, the speech – and hearing – impaired may use the California Relay Service’s toll-free telephone number 1-800-735-2929 or 1-888-877-5378 (TTY).

How do providers access vital information?

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

What is a request for coverage?

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

Can a physician request non-formulary medication?

If the physician’s request for coverage of the non-formulary medication is only based upon the physician’s and/or member’s unwillingness to change to a formulary alternative, the request will not be considered.

Is Community Care Health a physician panel?

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?

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.