First Health performs utilization review and management services for many, but not all of our clients who use The First Health® Network. Check the patient's benefit card to determine the inpatient admissions and/or outpatient procedure requirements.

If First Health performs utilization review for the patient's health plan you must call as early as possible to notify us about a planned inpatient stay or within two business days of an emergency admission in order to preserve full reimbursement and maximum plan benefits for the patient. Outpatient review requirements vary greatly by health plan. We recommend that you ask about the utilization review features of the payor's benefit plan when you call to verify the patient's eligibility and benefits.

If you have questions about our utilization review and management services, please call our AnswerLine at (800)262-6122 from 8am to 5pm CST.

	FAQs
	Frequently asked questions and answers regarding the First Health utilization management and review services.