First Choice Health's PPO Network is the leading independent Preferred Provider Organization in the Northwestern U.S. with nearly 100,000 healthcare providers under contract. Our network encompasses all medical specialties, and extends throughout Washington, Oregon, Alaska, Idaho, Montana, Wyoming, North Dakota, and South Dakota. We help self-funded employers reduce costs and avoid risk while ensuring superior customer service and convenience.
Established in 1985 Serving over 800,000 members 120,000+ contracted providers All providers are credentialed to NCQA standards
120,000+ Credentialed and Contracted Providers
Plan participants who are outside of these areas have optional access to First Health, our national network partner providing coverage to over 1 million providers.
Dedicated Account Management
We work to build a relationship with you. Our experienced account management team follows a high-touch approach with customized support to provide an optimized experience for each client.
Online Tools and Reports
First Choice Health provides a convenient Online Payor Portal to allow 24/7 access to tools and reports, including claims activity reports, priced claimed batches, EDI trading partner setup, remote pricing access, monthly reports, robust Preferred Provider search, and much more.
Cost-Effective Medical Management Services
As your partner in healthcare, First Choice Health offers Medical Management services to help reduce healthcare costs for both our clients and their employees. Our nurses and behavioral health counselors administer programs such as case management, utilization review, and pre-authorization services. We also provide actionable predictive modeling data that identifies trends and helps our clients more effectively address the health of their workforce. These services are administered to our subscribing clients with the utmost discretion.
Personalized, Quality Service
Your dedicated account manager is a trusted partner, finding ways to say "YES" and with you every step of the way.
Flexible, Customized Solutions
We collaborate with our clients in new and innovative ways. Let's work together to build the best solution for your company.
Priority Customer Care
Our team of healthcare plan experts are right here in the Northwest, here to provide immediate service and answers.
Our healthcare data analysts use validated methodologies and sources to provide meaningful and actionable data meet our clientsâ?? critical needs.