Claims Process

Please take a moment to read important information about the claims process when using the First Health Network.

FOLLOW THESE EASY STEPS

• Present the card to your medical provider
• Provider will usually file a claim or member may file a claim directly
• Claim will be re-priced
• Carrier will pay the benefits accordingly
• Member is responsible for balance due (less contracted discount amount)

HOW TO FILE A CLAIM

• ELECTRONICALLY - For quickest payment, the provider may file electronically through Emdeon Payor #314177100
• MAIL CLAIM - Mail paper claim to the address on the back of the ID card. Following information is required:
• The member ID or a copy of the ID card.
• An original bill for services provided to include the diagnosis, CPT code, and date of service.
• Provider name, Tax ID Number, and address.
• UB92 form required if services were rendered in a hospital.

If you have any questions, please contact us at (800) 517-4791. Thank you for using the First Health Network!