Providers.parklandhealthplan.com

Providers Parkland Community Health Plan Parkland …

WEBTogether, we can improve healthcare quality. At Parkland Community Health Plan, we focus on operational excellence, constantly striving to eliminate redundancy and …

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

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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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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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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Provider Portal Login

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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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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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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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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Join Our Network Parkland Community Health Plan Parkland …

WEBHow to Join Our Network. Interested in becoming part of the PCHP Provider Network? You will need to fill out this PDF and mail or email it to us: Parkland Community Health …

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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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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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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 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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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

WEBAvēsis Vision Prior Authorizations - PDF. Avēsis Third Party Administrators, LLCAttention: Eye Care Prior AuthorizationP.O. Box 38300Phoenix, AZ 85069. Note: The member’s …

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