The links below provide access to commonly used forms and other helpful reference materials. Please note that these resources are for professionals currently contracted with Community Health OptionsTM.
If you are not currently contracted with us and would like to be, please contact:
Medical providers: Contracting@HealthOptions.org
Behavioral health providers: Behavioral Healthcare Program at 800.538.9698.
Billing Information Form - Use this form for practice demographic changes.
Claims Reconsideration Form • Billing Corrected Claims Information Sheet
Electronic Funds Transfer (EFT) Authorization Agreement
Provider Credentialing and Change Form - Use this form for contracted provider adds, changes, and terms.
Notification/Prior Approval Form • Prior Approval & Notification Requirements
Prescription Prior Approval Form
* For web portal access, please contact us at email@example.com.
Grace Period Notifications
Health and Wellness Information
HEDIS Measurement Definitions
Quick Reference Guide for Providers
Value Based Insurance Design (VBID) Overview