What is the process to have a claim payment reviewed by CMFHP?
When you have a question about a claim, you can call Customer Service at 1-877-347-9363. Customer Service can look up the claim to determine if it has been received, in process, paid, denied or pending. If a provider feels a claim was not processed correctly, a Customer Service or Provider Relations Representative will review the claim for accuracy. Because our claims are processed in-house, needed corrections can be made to a claim in a timely fashion.