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What is
First Health?
First Health is a national managed care organization
that provides comprehensive, cost-effective managed
care services for group health plans, including
one of the nation’s largest PPO networks.
The First Health Network is the PPO of choice
for TPAs, insurance carriers and other payors
looking for quality, affordable health care.
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Is the
First Health Network national?
Yes. The First Health Network serves more than
4 million people across the country, with more
than 490,000 participating physicians, hospitals
and other health care providers in all 50 states
plus the District of Columbia.
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What types
of services does First Health offer to insurance
companies and TPAs?
In addition to the First Health Network, our portfolio
of services includes flexible claims repricing;
clinical management that offers traditional utilization
review and early medical assessment; medical case
management; a proprietary non-network fee schedule;
and CDN—Community Dental NetworkSM.
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How do
I find a First Health Network provider?
Currently, the most convenient way to find a doctor,
hospital or other health care service provider
participating in the First Health Network is by
searching our electronic directory. The electronic
directory includes the most detailed provider
information available and is updated daily. You
can also call us for assistance in locating a
provider, 24 hours a day, at 1-888-685-7774.
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Why should
I use a First Health Network provider?
Under your group health plan, you are free to
decide whether to use a First Health provider, but there
are many advantages to doing so:
- They will file health insurance claims for
you.
- They will collect only patient co-payments,
not the full amount of the charges.
- Their services will most likely cost you
less because of our contract rates with them,
and in some cases, because your health plan
pays higher benefits for using network providers.
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Can I
nominate a provider for the First Health
Network?
Yes. If you are a client, please contact your
account manager to discuss the nomination process.
If you are a member, you may complete our online
provider nomination form, or obtain one from your
employer or health plan administrator.
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How does
First Health channel patients to its network?
We encourage strong benefit plans that direct
or channel participants to First Health
Network providers within state-specific guidelines
for directing care. Increasing network penetration
means health care cost savings for payors and
members. Our electronic directory is the most
convenient way for members to locate a provider.
Other channeling tools include ID cards, paycheck
stuffers and early identification of high-cost
members through early medical assessment.
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How can
I get more information about the First Health
Network?
If you would like to obtain marketing materials
or speak to a sales representative, you may contact
us via this website or call us at 1-800-247-2898.
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