ENROLL OR CONTACT US TODAY

X

​​

Thank you for your interest in becoming part of the best team in the healthcare industry.

View open positions here.

X

​​

Thank you for signing up for our newsletter!

Check out our recent newsletter here.

X

​​

We will get back to you within a business day!

To learn more about our services, please view it here.

X

​​

Thank you for reaching out to us, we will get back to you within one business day!​

Click here to view our Brochures.

X

​​

Thank you for reaching out to us, we will get back to you within one business day!​

Click here to visit our FAQ page with answers to some of the questions we hear most frequently.

X

​​

Thank you for reaching out to us, we will get back to you within one business day!​

Click here to visit Our Services page to learn more about our fully accredited home care agency.

X

​​

Thank you for reaching out to us, we will get back to you within one business day!​

X

Provider Resources

Centers Plan for Healthy Living’s mission is to work collaboratively with members, their families, healthcare decision makers, caregivers, and providers to break down barriers to accessing comprehensive healthcare.  Our focus is on coordinating care for Medicare and/or Medicaid eligible populations and working with our members to live healthy, productive lives.

We value having a strong presence in the communities we serve, and providers in our network receive the same dedication, quality of services, and support to make our partnership a successful one.  We are continually looking for new ways to improve our plans and welcome your input. 

If you are interested in joining the CPHL Medicare Provider Network, please click here to submit your request.

You may also contact us via the following:

·         Provider Hotline: 1-844-292-4211

·         Email:  ProviderServices@centersplan.com

 

Centers Healthcare logo

PROVIDER SERVICES CONTACT INFORMATION

Centers Healthcare logo

CLAIMS AND PAYMENT

Electronic Claim Submission and Payment
CPHL offers electronic claim submission through RelayHealth and electronic payment through PaySpan.  Please click here for more information.  You may also submit claims by mail to:

Change Healthcare Payer ID:  CPHL or CPHL1
Centers Plan for Healthy Living
P.O. Box 21033
Eagan, MN 55121

Claim Dispute Resolution
CPHL and its contracted providers are responsible for the timely resolution of any disputes between both parties.  CPHL informs providers about the dispute resolution process through the Provider Manual, provider orientation, and the CPHL website.  Providers may also obtain information about the provider dispute process by calling the CPHL Claims department at 844-292-4211, Option 2 (Monday through Friday, 9AM to 5PM).
Claim Reconsideration Request Form

Centers Healthcare logo

CMS REQUIREMENTS

Provider Directory Requirement

CMS requires all Medicare Advantage Organizations (MAOs) and Medicare-Medicaid Plans to conduct quarterly communications with contracted providers to ensure that provider directory information is up to date and accurately reflected on the plan’s online directory.  To ensure the plan and members have the most accurate information about your practice, completion of the Demographic Change Form is required whenever you change or update your information.

Medicare Prescriber Enrollment Requirement

CMS requires that any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans.  If you are a provider who currently prescribes medications to Medicare patients, please click here access to the CMS Part D Prescriber Enrollment website for helpful information about the requirement.

HEDIS Guidelines for Health Care Providers


Centers Healthcare logo

Prescription Drug Coverage Information

Last modified: May 4, 2018