Non-Network Claims Management

You can maximize savings across all claims by combining the First Health network with non-network claims management. It is a win-win solution that does not reduce policyholders' health benefits. Policyholders pay at the out-of-network coinsurance level, which is based on the reduced rate after negotiations.

	First Health's single-source solution first identifies and prices all network claims to capture network savings.
	Using certain claims criteria, we identify further savings opportunities by reviewing non-network claims based on type and dollar threshold. Savings add up on a per-claim basis.

As health care costs continue to climb, we can help you meet your overall financial objectives. Non-network claims management is part of a comprehensive solution that maximizes savings on non-network utilization.