It will be necessary to submit correct payer information, namely the First Health Network Payer ID, to make clean claims and get prompt reimbursements. As a medical biller, provider, or healthcare administrator, it is always important to use the correct payer’s ID to make sure the claims get to their correct destination and are not subjected to undue rejections and delays.
We will answer the questions, what is a payer ID and how the First Health Network Payer ID functions, details of claim submissions, where to mail your payments, eligibility checks, contact information, and finally, how MDhelptek can streamline your billing and credentialing processes.
What Is a Payer ID on an Insurance Card?
A payer ID is a special code or a numeric or alpha numerical number that is used to identify an insurance company. It assists electronic clearinghouses in directing claims to the appropriate payer.
This code is printed on an insurance card to indicate the recipient of EDI (electronic) claims. Mistake of payer ID may result in:
- Claim rejections
- Payment delays
- Resubmission efforts
- Interrupted revenue cycle
Therefore, always verify the payer’s ID before submitting claims.
What Is First Health Network Insurance?
First Health Network is one of the largest national PPO networks in the United States. It offers:
- Discounted rates of providers to gain access to affordable healthcare.
- Extensive chain of hospitals, clinics, and experts.
- Liaison with employer provided schemes and third-party administrators.
First, health has network relationships with the providers, hence the providers are commonly involved in network relationships with the provider instead of the insurance company. This is the reason why the knowledge of the First Health Network payer ID and claims procedure is necessary.
First Health Network Payer ID
The commonly used First Health Network payer ID for electronic claims is:
Payer ID: 38233
Clearinghouses generally accept this payer’s ID in order to pay medical, hospital, and professional claims.
Plans that involve the use of First Health as a network partner can however at times necessitate a varied payer ID in accordance with the TPA (third-party administrator). Always verify the information about payer IDs with:
- The patient’s insurance card
- Provider portal
- First Health eligibility verification
- Billing support numbers
First Health Network Claims Address & Mailing Address
While most claims today go electronically through the payer’s ID, some insurance plans still require paper submissions. For those cases, providers might need the First Health Network claims mailing address or First Health Network claims address.
A common address used for paper claims under First Health Network partners is:
First Health Network
P.O. Box 211184
Dallas, TX 75211
Note: This may vary based on the plan administrator. Always cross-check the address from the patient’s insurance card or the payer portal before sending claims.
First Health Network Eligibility Verification
Eligibility checking is one of the most crucial steps in medical billing. Before submitting claims, providers must verify:
- Patient insurance coverage
- Active/inactive status
- Copay, deductible, and coinsurance
- Network participation
- Referral or authorization requirements
How to Check First Health Network Eligibility:
- Use the First Health provider portal – enter patient ID and DOB
- Call customer service – numbers vary by payer
- Use clearinghouse tools (Availity, Change Healthcare, Office Ally)
- Verify through the employer or TPA website
Accurate eligibility helps minimize denials and ensures smooth claim processing.
First Health Network Phone Number
Providers often need direct support for claims of updates, eligibility, benefits, and appeals.
A commonly used First Health Network phone number for provider assistance is:
1-800-226-5116
This line helps with:
- Claim status checks
- Network participation questions
- Coverage verification
- Appeals and reconsiderations
- Benefit clarification
Again, some employer-based plans may have their own dedicated numbers.
Why Accurate Payer Information Matters
The wrong payer data are among the leading reasons behind claim refusals. The incorrect payer’s ID, address, or phone number may interfere with your revenue cycle and generate extra administrative effort.
Accurate payer details ensure:
- Faster reimbursements
- Fewer rejections
- Improved billing efficiency
- Better practice cash flow
- Transparent patient billing
Common Issues When Billing First Health Network
Providers often experience the following challenges:
- Multiple Payer IDs
Some TPAs use First Health as a network but require their own payer ID.
- Unclear Claims Routing
Plans administered by employer groups can have different claims addresses.
- Eligibility Confusion
Coverage often depends on whether the patient is “in-network.”
- Delayed Payments
Errors in payer data or missing documents can slow reimbursements.
- Authorization Requirements
Certain services require pre-certification to avoid denials.
This is where specialized billing support becomes valuable.
How MDhelptek Supports First Health Network Billing
MDhelptek is a trusted medical billing and RCM support company offering end-to-end solutions that make payer workflows easier. If your practice deals with First Health Network patients, MDhelptek can manage:
- Eligibility & Benefits Verification
Accurate real-time verification to prevent claim denials.
- Claims Submission (Electronic & Paper)
Ensuring correct payer IDs, mailing addresses, and attachments.
- Prior Authorization Assistance
Handling approvals for imaging, surgeries, specialty visits, etc.
- Payment Posting & Reconciliation
Streamlined EOB/ERA posting for clean financial reporting.
- Denial Management
Quick identification and resolution of First Health claim denials.
- Credentialing & Enrollment
Helping providers get credentialed with First Health Network and related TPAs.
- Full RCM & Billing Outsourcing
From coding to claim follow-ups, MDhelptek covers it all.
If you want fewer denials, faster revenue turnaround, and expert handling of First Health claims, MDhelptek ensures reliable billing support tailored to your specialty.
Conclusion
It is important to know First Health Network payer ID and the process that involves the claims, eligibility, addresses, and communication with the payers, which will facilitate billing activities. With the appropriate payer details and a systematic verification procedure in place, the providers will be able to prevent delays and enhance their revenue cycle results.
And in case you ever require professional assistance in handling First Health claims, credentialing, or any other service in RCM, MDhelptek will be there to help you simplify everything, including checks before eligibility and clean claims fills.
