Community Health Plan of Washington
Part of Community Health Plan of WA
Summary
Community Health Plan of Washington is a Medicaid managed care organization, part of Community Health Plan of WA, offering dental, medical, and vision coverage operating in Washington. Claims route under payer ID CHPWA, with 9 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through CHPW Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes a few days.
At a glance
- Payer ID
CHPWAAlso seen as 10329, 10421, 1927, 3445, CHFMA, CHPWAMA and 3 more- Also known as
- CHPW, Community healthfirst medicare advantage
- Uses CAQH
- YesApplication route: Payer portal application
- Service area
- WA
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Eligibility checks (270/271) | Not required | Immediate |
| Claim status (276/277) | Not required | Immediate |
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| ERA / remittance (835) | Required | A few days |
Common questions
- What is the payer ID for Community Health Plan of Washington?
- The payer ID for Community Health Plan of Washington is CHPWA. Alternate IDs seen across clearinghouses include 10329, 10421, 1927, 3445.
- How long does Community Health Plan of Washington provider enrollment take?
- Community Health Plan of Washington provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
- Does Community Health Plan of Washington require CAQH?
- Yes. Community Health Plan of Washington uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
- Does Community Health Plan of Washington require ERA enrollment?
- Yes. Community Health Plan of Washington requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few days.
- What states does Community Health Plan of Washington cover?
- Community Health Plan of Washington operates in WA. Coverage can differ by plan and product line, so confirm the specific plan before you file.
Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.