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Provider Portal

Services for our Providers are performed by our third-party administrator Community Care Plan (CCP):

▶    Credentialing
       New providers and current providers: email CCP’s Credentialing Department for
       more information: CredentialingDept@ccpcares.org.

▶    Provider Services and Contracting
       Contact the PO Hotline at 855-819-9506 or email CCP.Provider@ccpcares.org.
            •    Providers with an active contract will not need to recontract with CCP.
            •    Providers inquiring about LOIs or new contracts, should contact CCP Provider Operations.

▶    Plan Link
       Provider Portal, please visit: https://e-apply.ccpcares.org/ to request access.

▶    Enrollee Eligibility Status Verification
            •    Online verification of enrollee eligibility available: http://planlink.ccpcares.org/ or you may also contact
                  the Health Care District of Palm Beach County for IVR eligibility verification at 866-930-0035.

▶    Authorizations
            •    Submit online authorization requests: http://planlink.ccpcares.org/.  Note that specialist referral orders
                  must originate with the PCP at the clinics.  
            •    All services, except for emergency room visits and observation stays, require an approved prior authorization.
            •    Online verification of authorization status: http://planlink.ccpcares.org/ or you may also contact
                 Community Care Plan at 844-410-6782.  

▶    Claims Processing  
            •    Electronic claims submission
                         •    Clearinghouse:            Availity
                         •    Payer Name:               Community Care Plan (Palm Beach Health District)
                         •    Payer ID:                     PBHD1
                         •    Claims Registration:    www.Availity.com

            •    Paper claims that require attachments or claims appeals should be mailed to:
                          CCP/HCDPBC Claims Department
                          P.O. Box 841109
                          Pembroke Pines, FL 33084

            •    Online verification of claims status: http://planlink.ccpcares.org/ or you may also contact
                 Community Care Plan at 844-410-6782.

            •    Claims appeals must be submitted using the CCP Request for Reconsideration Form
                  available at www.ccpcares.org.

 

 

 

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