Providers.parklandhealthplan.com

Providers Parkland Community Health Plan Parkland …

WebAt Parkland Community Health Plan, we focus on operational excellence, constantly striving to eliminate redundancy and streamline processes for the benefit and value of all our …

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URL: https://providers.parklandhealthplan.com/

Provider Credentialing Parkland Community Health Plan

WebBehavioral Health professionals and physicians must contact Carelon at 888-204-5581 or on their website for questions regarding the credentialing or recredentialing process for …

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Electronic Visit Verification Parkland Community Health Plan

WebElectronic visit verification (EVV) is a computer-based system that electronically documents and verifies service delivery information for certain Medicaid service visits. EVV helps …

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PCHP Information Parkland Community Health Plan Parkland …

WebAt Parkland Community Health Plan, we attempt to assist in the efficient utilization of medical resources for our members with special healthcare needs, including highly …

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Behavioral Health Parkland Community Health Plan

WebParkland Community Health Plan has contracted with, and will work in partnership with, Carelon Behavioral Health (Carelon), an Elevance Health company, to manage the …

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Medicaid Recertification Resources Parkland Community Health …

WebBased on the new federal law, continuous Medicaid ended on May 11, 2023, and eligible recipients must resume the standard renewal process that was in place prior to the PHE. …

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Behavioral Health Prior Authorizations Parkland Community …

WebAttention: As of March 1, 2024, Texas Health and Human Services (HHSC) has extended its postpartum Medicaid and CHIP coverage from 2 to 12 months of benefits for eligible …

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Resources Parkland Community Health Plan

WebAttention: As of March 1, 2024, Texas Health and Human Services (HHSC) has extended its postpartum Medicaid and CHIP coverage from 2 to 12 months of benefits for eligible …

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Forms Parkland Community Health Plan

WebAttention: As of March 1, 2024, Texas Health and Human Services (HHSC) has extended its postpartum Medicaid and CHIP coverage from 2 to 12 months of benefits for eligible …

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Training & Manual Parkland Community Health Plan

WebAttention: As of March 1, 2024, Texas Health and Human Services (HHSC) has extended its postpartum Medicaid and CHIP coverage from 2 to 12 months of benefits for eligible …

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Prior Authorization Parkland Community Health Plan

WebAn incomplete prior authorization request is a request for a service that is missing information needed to decide medical necessity. Parkland Community Health Plan will …

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Claims & Payments Parkland Community Health Plan

WebPCHP makes it easy for healthcare providers to submit claims, with EDI vendors and easy clean claim requirements. Providers may submit medical claims to PCHP using the …

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Claims Submission Parkland Community Health Plan

WebProviders may submit medical claims on CMS approved paper forms (CMS-1500 or CMS-1450) to Parkland Community Health Plan. Providers must submit paper claims in the …

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Electronic Data Interchange Parkland Community Health Plan

WebAttention: As of March 1, 2024, Texas Health and Human Services (HHSC) has extended its postpartum Medicaid and CHIP coverage from 2 to 12 months of benefits for eligible …

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Join Our Network Parkland Community Health Plan Parkland …

WebYou will need to fill out this PDF and mail or email it to us: Parkland Community Health Plan Attn: Network Development. 1341 West Mockingbird Lane, Suite 400E. Dallas, TX 75247.

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Disputes & Resubmissions Parkland Community Health Plan

WebPlease submit your appeals and all supporting documentation to the following address: Parkland Community Health Plan Claims Appeals and ComplaintsP.O. Box …

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Complaints & Appeals Parkland Community Health Plan

WebPlease submit your appeals and all supporting documentation via: Online: Save time and submit your appeal online through our Provider Portal. Mail:PCHP Claims Appeals & …

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Vision Prior Authorizations

WebProvider Services. avesis.com. [email protected]. 1-866-563-3591. Provider Services hours are Monday through Friday from 8 am - 5 pm CST (not including …

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