CPHL’s Contact Guide All claims must be received within the time frame specified in your provider agreement Please be sure to include your NPI and TIN on all claims Electronic Claims Submissions: Payor ID: CPHL or CPHL1 To set up electronic submissions directly to CPHL, Contact Claims Department
HCP is Proud to Partner with Centers Plan for Healthy Living (CPHL) For plan questions, please call CPHL’s Provider Hotline at (844) 292-4211 available 24 7 or visit centersplan com If you are interested in growing your panel and adding CPHL membership, please contact Frank Segura at (516) 941-2185
CPHL MAP transition effective January 2026 - Provider News If you have any questions, please contact MAP Provider Services at 800‑676‑2583 from 8 a m to 6 p m ET, Monday through Friday, except holidays You can also refer to the Provider FAQ posted on the Provider Training Academy for additional details
To our Provider Partners - cphl-providers. seniorsaas. com 5) Once registration is verified, follow instructions for submitting claims to CPHL (also included below) If you have any questions regarding this process, please contact Smart Data Systems support Mon-Fri 9-5 CST at stream support@sdata us or 855-297-4436
Claim Dispute Process for Providers CPHL Contracted Providers (All CPHL Product lines): Notification of your issues and disputes must be submitted to CPHL within 90 calendar days of the date on your EOP
Provider Services Contact Information *All claims must be received within the time frame specified in your provider agreement Please be sure to include your NPI and TIN on all claims Part D drugs are administered through our Pharmacy Benefit Manager, MedImpact Access our website at www centersplan com for our Formulary Listing
20190222 CPHL Service Authorization Request (004) Providers are responsible for obtaining authorization for their services according to guidelines set forth in the CPHL Provider Manual Failure to obtain prior approval where necessary may result in denial of payment
Provider Manual If you have difficulty finding a specialist for your CPHL member, please contact Provider Services by calling 1-844-292-4211; Option #4 or emailing ProviderService@centersplan com