Community Health Plan of Washington Medicare Advantage Plans Community Health Plan of Washington Medicare Advantage Plans

Medical Records for Post Payment Review

CHPW requires providers/facilities provide complete/accurate records timely. Retrieval and duplication of records will be at the provider’s expense.

CHPW prefers that medical record documentation be sent electronically via fax, secure email, CD, or thumb drive.

Sending records electronically means we’ll receive them faster, reducing your risk of having claims denied for non-receipt of records.

CHPW does not check third party portals or websites for records that were requested for post payment review. Providers must notify CHPW when records are ready for retrieval from the third party vendor. Send notifications to [email protected]. More information is available in the “Post Payment Review (PPR)” and “Medical Records for Post Payment Review” sections of the CHPW Provider Manual.

DID YOU KNOW...?

CHPW Virtual Care
What kind of care do you need? Not every medical issue needs emergency care. If you have a medical issue that doesn’t seem to be life-threatening, but you’re not sure what to do, see if your local Community Health Center clinic or primary care doctor offers virtual care. If they do, they will tell you how to set up your virtual care appointment.

If your provider doesn’t offer virtual care and you can’t make it to the clinic or doctor’s office, call CHPW’s Nurse Advice Line at 1-866-418-2920 (TTY: Dial 711). It’s available 24 hours a day, 7 days a week.

LEARN MORE

☏ HAVE QUESTIONS ?

Sales Team

Get real answers
from real people

Phone: 1-800-944-1247
Email: [email protected]

x
The owner of this website has made a commitment to accessibility and inclusion, please report any problems that you encounter using the contact form on this website. This site uses the WP ADA Compliance Check plugin to enhance accessibility.