| For Benefits, Eligibility or Claims Status call: | FCPID | 715-478-7448 |
| To determine if pre-authorization or certification is required, please check the patients' ID card | ||
| Submit All Claims To: | First Choice Health Network |
Service Area Definition:
Alabama, Alaska, Colorado (portions only, not the full state), Georgia, Iowa, Idaho, Kentucky, Mississippi, Montana, Nebraska, North Dakota, Oregon, South Dakota, Tennessee, Utah, Washington, Wyoming, and MultiPlan National Wrap
| Group Name | Group Number |
|---|---|
| GRAND RONDE TRIBE CHS | GRC |
| THE CONFEDERATED TRIBES OF GRANDE RONDE EMPLOYEE HEALTH PLAN | GRE |
| TRIBAL MEMBER PLAN SKOOKUM HEALTH PLAN | GRT |