Providers are required to submit all claims within 60 days of the date of service. Claims submitted after a six-month period from the date of service will automatically be denied by CCP for untimely filing. Providers shall submit claims in accordance with applicable state and federal laws. Unless otherwise stated in the Provider Agreement, the following guidelines apply.

Provider shall submit clean, complete and accurate claims to CCP or its designated clearinghouse, via an 837 HIPAA compliant electronic media format. Provider agrees to work with CCP contracted clearinghouses. The advantages of electronic claims submission include, but are not limited to, increased speed of payments, reduced data entry errors, less paper and decreased clerical costs.

Providers may also submit claims that require attachments or reconsideration requests via paper. All paper claim forms must be complete and accurate containing all data fields necessary for the claim to be considered clean.

Claim Inquiries

Claim submission guidelines

180 days from date of service

Electronic Claims Filing

Availity Payor ID: FHKC1

Electronic Claims Registration
 

Paper Claim with Attachment Submissions

 

CCP Claims Department
PO Box 841209
Pembroke Pines, FL 33084

Claim filing guidelines

180 days from date of service

Claim Appeals (Claim Consideration Form available in Provider manual)

 

Community Care Plan
Provider/Claims Appeals
P.O. Box 841209
Pembroke Pines, FL 33084

Copayments
 

Applicable to selected services listed in Provider Manual.

Electronic Funds Transfer (EFT):

For detailed information, always refer to the Provider Manual.