How To Submit Claims To Community First Insurance Plans

Community First Insurance Plans's reviewed provider guidance starts with this submission channel: Provider Portal. Confirm the member plan and claim type before using a payer ID or paper address.

At a glance

• Community First supports claim submission through the Provider Portal and, for single claims, through Availity and Claim MD. The portal also supports claim status lookup and claim appeals. Paper claim submissions are mailed to the Apple Valley, MN PO box listed on the portal pages.

Submission channels

• Provider Portal
• Availity
• Claim MD
• Paper mail

Electronic claims payer IDs

• Not clearly published in the researched sources.

Paper claims addresses

• Community First Health Plans, Inc., P.O. Box 240969, Apple Valley, MN 55124

Corrected claims and follow-up

• Corrected claims must be resubmitted in their entirety to meet HIPAA requirements.

• Make the changes in your billing system so the corrections print on the amended claim.

• Do not use handwritten remarks because they may be illegible.

• Claims status resource 1

• Claims status resource 2

Caveats

• The source reviewed did not list payer IDs for electronic claims.
• Paper claim address appears on portal/footer pages and may be the general claims mailing address rather than a line-of-business-specific address.
• The portal page shows claim status by member ID, claim number, and/or date of service.

Provider resources

• Community First Provider Portal (official)
• Medicaid Provider Prior Authorizations (official)
• Authorization Notice for Participating and Non-Participating Physician and Provider Services (official)
• Claim Appeals: Quick Reference Guide (official)
• Claim MD Now Available (official)
• Medicare Advantage Alamo and D-SNP 2025 Prior Authorization List (official)
• Provider Support Line Now Available (official)

Sources