First Health Network

Member Level: Platinum

Vendor Overview

Description of Services: For more than 30 years, First Health® has worked extensively with regional health plans, TPAs, national insurance carriers, employer groups and Taft-Hartley funds to develop and deliver products that consistently provide optimal cost and care outcomes for their members. First Health is a wholly owned subsidiary of Aetna, which helps us enhance our national provider network and further improve savings across the country. Aetna is a wholly owned subsidiary of CVS Health.

The First Health Network is a premier national network with superior access and value in urban, suburban and rural markets. This NCQA-accredited network includes over 5,900 hospitals, more than 124,000 ancillary locations and nearly 800,000 physicians and other health care professionals. First Health’s administrative and claims repricing options are designed to offer flexibility that will minimize a client’s administrative challenges and expenses, improve their data accuracy and comply with new federal regulations. Different network configurations are available for both in-network and out-of-network claims to support a variety of benefit plans and client needs.

Primary Service: Administrative Systems
Secondary Service: Utilization/Care/Disease Management

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7400 West Campus Road, F510
New Albany, OH 43054
8002265116
http://firsthealth.com

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Documents
7/18/2022

Recording: First Health User Group 2022 Quarterly Meeting - July
First Health GPO User Group addresses challenges and opportunities in managing OON claims.

7/14/2022

Presentation: First Health User Group 2022 Quarterly Meeting - July
The Alliance/First Health User Group is designed to provide member plans that are current First Health customers a forum to promote communication between members and to leverage the collective experiences and learnings to enhance our experience with using the First Health Network and its products and services.

2/17/2022

Recording: First Health User Group 2022 Quarterly Meeting - February
The Alliance/First Health User Group is designed to provide member plans that are current First Health customers a forum to promote communication between members and to leverage the collective experiences and learnings to enhance our experience with using the First Health Network and its products and services.

7/14/2020

Recording: First Health’s Network Platform: Uniquely Positioned to Expand Your Provider Network Footprint
This video recording provides the new offerings by First Health, the Alliance’s newest organization participating in our Group Purchasing Organization (GPO) program. First Health has an established track record helping independent health plans expand their provider network footprints and enhance their competitive positions.

5/27/2020

Brochure: National Network Access: Competitive Discounts, Access and Stability
You get great features with First Health Network national PPO network, including: Direct provider contracts with competitive discounts. First Health Network hold direct contracts with our providers. And, we leverage all corporate lines of business to get competitive discounts. You’ll see the savings when your members use a network provider.