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Complaint Process

How to File a Complaint/Appeal

If you have concerns about the services you have received from a Community First Health Plans’ provider, please discuss them with your primary care physician (PCP). If your concerns cannot be resolved by your PCP, or if you have complaints or concerns about any aspect of your health plan, feel free to call Community First’s Member Services Department at (210) 358-6090 or toll-free at (800) 227-CFHP, or submit a written statement using the Complaint Form (link to complaint form [ask Selena Chavez in MS Resolution Unit for copy of most recent form, both English/Spanish]). The complaint form may be submitted to Community First at:

Attn: Member Services Resolution Unit
12238 Silicon Drive, Suite 100
San Antonio, TX 78249

You may also file a complaint through this website by using our secure member portal (link to member portal). Your communications will be encrypted and completely secure to ensure your privacy. We will conduct a full investigation of your complaint, and our decision will be forwarded to you in writing within 30 calendar days from receipt of your written complaint. Please be assured that filing a complaint will in no way result in discrimination against you.

Corporate Office

12238 Silicon Drive, Suite 100

San Antonio, TX 78249

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Community Office

1410 Guadalupe Street Ste. 222

San Antonio, TX 78207

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Monday - Friday

8:30am - 5:00pm

Member Services

210-358-6070 Commercial
210-358-6060 Star Medicaid
210-358-6403 STAR Kids
1-855-607-7827 STAR Kids Toll-Free
210-358-6300 Chip/Chip Perinatal
210-358-6080 TDD Local
1-800-390-1175 TDD Toll-Free
210-358-6400 HIE
888-512-2347 HIE Toll-Free

Behavorial Health

210-358-6100 Commercial

Behavorial Health & Substance Abuse

1-877-221-2226 Crisis Hotline 24/7 CHIP and Medicaid

Nurse Hotline

Toll-Free 1-800-434-2347