for Clients

First Choice Health Medical Management (FCH MM) provides clients with Utilization Management, Case Management, Behavioral Health Coordinated Care, Health Promotion Services and Administrative Support.

• Utilization Management supports patient Pre-authorization, Inpatient Concurrent Review and Discharge Coordination.
• Case Management supports the management of Catastrophic, Complex and Chronic Medical Management needs.
• Behavioral Health Coordinated Care manages the process of Mental Health and Chemical Dependency issues.
• Health Promotion Services provide our clients with proactive wellness tools for their employee population such as, Health Assessments (HA), Biometric Screenings, Wellness Coaching, Disease Management, 24/7 Nurse Line and Maternity Management.

First Choice Health Medical Management (FCH MM) also supports First Choice Health Administrators (FCHA) with a variety of administrative services including: Appeals, External Review Organization Facilitation, Pharmacy Coordination, Post-claim Medical Review and Clinical Expertise and review for Stop Loss.

Tools and Resources for Clients

Using the Tools and Resources

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