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NHHP-Fed Brochure

Healthcare Provider Network

Benefit Plan Booklets and Schedules

FAQs

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HEALTHCARE PROVIDER NETWORK

The Healthcare Provider Network for NHHP-Fed is provided by First Health - A Coventry Health Care Company. If you are contracted with First Health, then you are considered in-network. Click to search the First Health Provider Network to verify your contract status or call 800-226-5116.

Foundation Medical Partners and Southern NH Medical Center are also available as an in-network providers for NHHP-Fed. Foundation Medical Partners includes over 195 providers serving the greater Nashua community.

COVERED BENEFITS

Benefits are available for medically necessary services and supplies such as inpatient medical and surgical services, outpatient medical and surgical services, diagnostic services, prescription drugs, and other covered services. All services must be prescribed by a physician and related to a covered injury or sickness. Benefits are subject to exceptions and limitations as stated in the Benefit Plan. An overview of covered benefits are listed in the NHHP-Fed Brochure. For a complete listing of covered benefits, terms, and conditions, please refer to the specific Benefit Plan Booklets and Schedules.

CONTRACT REQUIREMENTS & LIMITATIONS

Precertification Requirements
Case Management
Preferred Drug Listing
Step Therapy Guidelines

CLAIM SUBMISSION

Claims can be submitted electronically to First Health - Web MD EDI#01066

Or mailed to: First Health
PO Box 8530
Kansas City, MO 64111

For claim status, use your Provider Log In.

CUSTOMER SERVICE

For eligibility and other Customer Service inquires, please call BMI at 877-505-0508.


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