Community Health Direct Providers: Community Gold and Silver Plans

Provider Portal

Look up member claims, eligibility and more.
To request access: Email us, call 317-621-7580 or fax request form to 317-355-6084.

Provider Directories

*Providers not listed in the above directories are Tier 3.

Prior Authorization

2019 forms should be used starting on 1/1/19. Please download new forms below.

Claims and Payments

Community Health Direct is accepting Other Payer Primary COB information within your electronic claims. Please submit Primary Other Payer processing information using HIPAA-standard codes and amounts at the line-item detail level within your electronic claim files. Electronically submitted Primary COB information is processed at initial adjudication, and eliminates secondary paper claim and paper primary EOB submission requirements when Community Health Direct is the secondary payer.

EFT/835 Enrollment

Community Health Direct is accepting EFT/835 enrollment. Please submit the completed 835/EFT enrollment forms to Michele Dowd at 317-355-6084 (fax) or mdowd@eCommunity.com.

Community Health Direct is accredited for Health Utilization Management by URACContact Information

Main line: 317-621-7575 or 800-344-8672
Customer service: 317-621-7565
Medical management: 317-621-7546
Provider relations: 317-621-7581
Pharmacy: 317-621-7519

Claims Mailing Address:
P.O. Box 50407
Indianapolis, IN 46250

Electronic Claims: Web ID# 35161

MDwise Delivery System Prior Authorization Contact Guide: PDF | Searchable .xlsx

Fee Request Contact Information (PDF)