CHD Provider Relations: Service and Education

Community Health Direct Provider Portal

Look up member claims, eligibility and more.

To enroll, go to https://secure.healthx.com/chn.provider. You will need TIN and NPI.

For questions, please watch the portal training video below. Or call Provider Relations at 317-621-7581 or e-mail CHDProviderRelations@eCommunity.com.

As a contracted provider, you have the added benefit of a dedicated Provider Relations Analyst to help in all of your educational and service needs. The Provider Relations Analyst role consists of the following:

  • Liaison for escalated commercial payer issues/concerns
  • Out of network provider issues
  • Fee schedule disputes
  • Site audits for new PCP (FP, IM, Peds, GP) and Ob/Gyn office
  • Prior authorization delays
  • Staff education for our employed and independent practices

Request Education

Request education for your office by contacting the Service and Education team of provider relations analysts below.

For providers:

For facilities:

Online Portal Training Video

Review our new online education module that includes walkthrough instructions for how to use the online provider portal.

Helpful Forms

Have a change to your practice demographics? Please complete the Change of Information form below:

*Employed providers, please submit a Change of Information (COI) through the Sharepoint site on inComm.

Frequently Asked Questions

Please see answers to common questions regarding provider information updates, reimbursement, claims, and more.

How do I make a change to a provider's demographic info? (Non-employed practices only)

Complete the "Change of Information" form making sure to include any relevant documents for this change (i.e., W-9, CMS-1500, COI).

How do I get fee schedule reimbursement rates?

Email your Provider Relations Analyst with your top twenty CPT codes.

What do I do if our practice receives forms or documents pertaining to our practice or providers that need to be completed?

Contact or email the documents to your Provider Relations Analyst for review. Please do not complete any forms without consulting your analyst.

How do I reopen or close a provider's panel?

Contact your group practice directors (GPDs) and have the request made through Sharepoint.

How do I terminate a provider?
  • Employed provider practices should reach out to their GPD and submit the termination through Sharepoint.
  • Non-employed provider practices must give 90 days notice of termination and complete the Change of Information form.
How do I add/change/term a location to a provider practice?
  • Employed provider practices should reach out to their GPD and submit the termination through Sharepoint.
  • Non-employed provider practices must complete a Change of Information form with all applicable changes as well as effective date of change, W-9, and Blank CMS 1500 form with change identified.
What if a payer cannot locate your provider or group as in-network?

Please send an email to your Provider Relations Analyst with all of the specifics to include:

  • Which payer?
  • Which providers?
  • What plan type?
  • Call reference numbers to a payer and call specifics
What documents/info do I need to submit to my PR Analyst to review a claims issue?

A copy of the actual claims and EOB is always helpful. Please list any outreach efforts, call reference numbers, dates, contact names and efforts to resolve prior to your outreach.