Page 50 - PHP CA Resource Guide
P. 50
Health First POS
(Access to HMO & PPO)
Auth can go through PHP or EviCore (All tiers) Referrals are not required
Claims are processed by PHP
Health First HMO
Auth can go through PHP or EviCore Referrals are not required
Claims are processed by PHP
First Healthcare Network (PPO)
Might pertain if out of state
Health Choice (PPO)
Auth can go through PHP or EviCore Referrals are not required
Claims are processed by PHP
Federal Exchange (HMO) Northern Nevada/Texas
Auth can go through PHP or EviCore Referrals are not required
Claims are processed by PHP
HMO Freedom (works as PPO) Access to First Health Network Referrals are not required Claims are processed by PHP·
SLIATED NALP LAICREMMOC
SLAITNESSE
84
Care Advocate Resource Guide 2021 Q1-Q2