Community Care Plan site logo
Language
A
A
A
MEMBER LOGIN
Provider Portal
Community Care Plan site logo
A
A
A
Provider Portal
MEMBER LOGIN

MHS Employees

Billing & Claims for MHS Employee Providers

Providers shall submit claims in accordance with applicable state and federal laws. Unless otherwise stated in the Provider Agreement, the following guidelines apply:

  • Providers should submit all claims within 60 days of the date of service.
  • Claims submitted after a 180-day period from the date of service will automatically be denied by CCP for untimely filing.
  • Providers 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.
  • If you are currently submitting paper claims to CCP or using a clearing house that is unable or unwilling to submit claims electronically to CCP’s clearing house, you have options available to you that will allow you to save time and money send electronic claims today!

Electronic Claims Options

CCP and Availity partnered to offer free claim and Electronic Remittance Advice (ERA) options. We are excited to offer an enhanced free claim direct data entry option and ERA portal for your use. These are entirely sponsored by CCP, at no cost to you. These options enable providers to conduct business with CCP using the following methods:
  • Enter and submit claims, receive ERA, and exchange other electronic transactions using a browser-based application over the Internet.
  • Directly transmit HIPAA compliant ANSI transactions over a secure direct connection.
  • If you are currently registered with Availity, click here to access the Availity Portal for CCP.
Providers may also submit claims that require attachments via paper. All paper claim forms must be complete and accurate containing all data fields necessary for the claim to be considered clean
Claims Information
Electronic Claims Registration www.availity.com or 1-800-282-4548
Electronic Funds Transfer (EFT) Registration EFT Request Form
Claim Submission Timeframe 180 days from date of service
Third Party Liability It is the provider’s responsibility to notify CCP if a member has coverage in addition to the MHS employee plan.
Electronic Claims Filing Availity Payor ID: 59064
Claim Inquiries Check claim status electronically with our provider portal, PlanLink, or call 1-844-514-1494 option 2.
Claim Appeals Electronic Claim Appeals:
  • Participating providers with PlanLink provider portal login credentials can submit claim appeals electronically by logging in at PlanLink.ccpcares.org
  • For questions about how to use PlanLink or Guest Claims
Faxed Claim Appeals:
  • Providers without PlanLink login credentials can fax claim appeals to CCP at (954) 417-7187 with:
Copayments Copay information is available in the Health Plan Documents found here.
QUICK LINKS

YOU'RE ABOUT TO LEAVE CCPCARES.ORG

You are being directed to a page outside of Community Care Plan. We are not responsible for the content or security on external sites.

Stay on CCPcares.org
Continue to external site