Coverage profile
Work Community First Health Plans across every published route
Use the current payer record to choose the right claim-status, eligibility, portal, phone, or appeals workflow. Substrate only marks routes that are published for this payer.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Community First Health Plans.
Other aliases
Also known as
- 11222
- 14375
- 3809
- 42723
- 8925
- COMMF
- EXFCY
- First Community Health Plan
- University Health System
- COMUNTY1ST
2027 maternity billing research
When does Community First Health Plans change OB/GYN billing?
Community First's advance awareness notice summarizes AMA maternity coding revisions effective January 1, 2027: appropriate E/M codes for antepartum and postpartum care, new inpatient labor-management codes, separate delivery reporting, and deletion of numerous global maternity package codes. Community First is reviewing the revisions; detailed payer billing, reimbursement and implementation guidance remains pending.
- Transition start
- Plan transition not specified; AMA revisions effective January 1, 2027
- Billing start
- Plan billing implementation guidance pending
- Published
- 2026-08-03
- Current As Of
- August 2026
Scope: Advance provider awareness notice on Community First's Texas Medicaid/CHIP-facing site; commercial and Medicare applicability is not established.
Important notice: 2027 maternity care coding updates. Verify the payer source before claim submission.
Frequently asked questions
Community First Health Plans payer FAQs
What is the payer ID for Community First Health Plans?
The primary payer ID for Community First Health Plans is COMMF. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What are the 837 payer IDs for Community First Health Plans?
The 837P and 837I payer ID for Community First Health Plans is COMMF via Stedi.
What is the 835 payer ID for Community First Health Plans?
The 835 payer ID for Community First Health Plans is COMMF via Stedi.
What is the 270 payer ID for Community First Health Plans?
The 270 payer ID for Community First Health Plans is COMMF via Stedi.
What state does Community First Health Plans operate in?
Community First Health Plans operates in TX.
Routing reference
Community First Health Plans payer IDs and operating states
Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.
| Payer name | Community First Health PlansSource: Substrate payer directory · data last changed |
|---|---|
| Operating states | TXSource: Substrate payer directory · data last changed |
| 837P professional claims payer IDStedi | COMMFSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | COMMFSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | COMMFEnrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | COMMFSource: Stedi payer catalog · catalog dated · matched by payer ID |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Data last changed ; checked .Open payer website ↗
- Stedi payer catalogMatched by payer ID; matched record: Community First Health Plans. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.