Questions About Your Provider Network

Q: Who manages administration for the medical benefits and provider network for Kootenai Health, St. Mary's Health, and Clearwater Valley Health?

A: First Choice Health (FCH) manages the medical benefits and the overall provider network for members of Kootenai Health's health plan.

Q: What is my overall provider network?

A: The overall provider network includes:

• Kootenai Care Network
  The Clinically Integrated Network affiliated with Kootenai Health
  (applicable for specific counties)
  
  

• First Choice Health Network
  The FCH-Owned Network
  (applicable for specific states)
  
  

• MultiPlan Complimentary Network
  A partnering network, also called a "national wrap network"
  (applicable for all other states)

Q: Why are there various networks within my overall provider network?

A: Including these networks in the overall provider network guarantees geographically curated access to the best in-network provider options available nationwide.

Q: How does in-network coverage work for my overall provider network?

A: Use the appropriate network based on your location.

• Kootenai Care Network = In-network care options for the following ID counties:
  Kootenai, Bonner, Shoshone, Boundary and Benewah.
   

• First Choice Health Network = In-network care options for all other ID counties and the following states:
  AL, AK, GA, ID, IA, KY, MS, MT, NE, ND, OR, SD, TN, UT, WA, WY
  
  

• MultiPlan Complimentary Network = In-network care options for all other states.

Q: What does FCH managing the overall provider network mean for me?

A: FCH is your one point-of-contact for the overall provider network and can help you navigate searching all networks to locate in-network providers.

     We are here to support you throughout your entire healthcare journey.

Questions About Finding In-Network Providers

Q: How do I find an in-network provider if I'm in Kootenai County and the four Northern Counties (Bonner, Shoshone, Boundary and Benewah County)?

A: Use this link: https://www.fchn.com/providersearch/results/customurl?cid=232605.

• Select the Kootenai Care Network option.
• You are able to search by name or specialty.

Q: How do I find an in-network provider if I am in the other ID counties or, AL, AK, GA, IA, KY, MS, MT, NE, ND, OR, SD, TN, UT, WA, WY?

A: Use this link: https://www.fchn.com/providersearch/results/customurl?cid=232623. 

• Select the First Choice Health Network option.
• You are able to search by name or specialty.

Q: How do I find an in-network provider if I am in any other state?

A: Use this link: www.multiplan.com/fchn.

• Select the "Other Network" option: MultiPlan Complimentary.

Q: Who do I contact if my in-network provider does not accept my insurance?

A: Contact the FCH Benefit Guidance Team for support and guidance.

• Phone: 800-993-8956 (Monday - Friday, 6 am - 7 pm PST)
• Email: [email protected]

Questions About Adding Providers to the Network

Q: I have a provider that is not in the network, can they join the network?

A: Yes, you can nominate the provider to be part of the network by completing the provider nomination form with the requested information.

     FCH will then reach out directly to your provider.

Q: Does submitting a provider nomination form guarantee they will join the network?

A: No, completing and submitting the form does not guarantee the nominated provider will join the network.

Q: How long does the credentialing process take for a nominated provider?

A: The credentialing process may take several weeks, with an average of six to eight weeks, and is subject to approval.

Q: Who should I contact about the status of a provider's application?

A: You, or your provider, can contact FCH Benefit Guidance at 800-993-8956.

Questions About Navigating Your Benefits

Q: Where can I check my benefit plan information?

A: You can register for the myFirstChoice Member Portal 

• Use this link to register: Member Portal
• On the portal, you can view claims, benefit information and order ID cards.

Q: Who should I contact for help finding a provider or asking questions about claims or benefits?

A: Contact the FCH Benefit Guidance Team for support and guidance.

• Phone: 800-993-8956 (Monday - Friday, 6 am - 7 pm PST)
• Email: [email protected]

Q: Who should I contact if I need support navigating my care and diagnosis?

A: Reach out to the FCH Case Management Team.

• Phone: 800-808-0450
• Email: [email protected]

Q: Is there a mobile app to download?

A: There is no mobile app to download at this time. Additional information will be available in the coming months for mobile application and registration process.