Resources

Opioid information from the Centers for Disease Control and Prevention (CDC)

First Choice VIP Care understands how important it is to form and maintain outstanding relationships with our health care providers. Together, we will strive to accomplish our mission — to improve the quality and accessibility of care to our members.

Our participating providers can use this section to access frequently needed resources, including:

• Account Executive contact information:
  • Provider Network Management Account Executives (PDF)
  • Provider Network Management Account Executive map (PDF)
  • Provider Network Behavioral Health Account Executive map (PDF)
• Appropriate usage of claims modifiers 25 and 59 (PDF)
• Preventive Services Quick Reference Guide (PDF)
• Become a Patient Centered Medical Home
• Care for Older Adults Form (PDF)
• CES explanation codes (PDF)
• Claim inquiry form (PDF)
• Clinical resources
• Credentialing
• Grievances and appeals
• Marketing activities and compliance
• Member wellness brochure: Live Well at Any Age - Seven tips to help you live a healthy, happy life as you grow older (PDF)
• Prior authorization
• Prior Authorization Lookup Tool
• Prior authorization - behavioral health
• Provider Manual (PDF)
• Provider Reference Guide (PDF)
• Quality resources
• Reimbursement policies
• Service area map (PDF)
• Waiver of liability form for non-participating provider appeals (PDF)
• Electronic claims submission
  • Payer ID — 32456
  • Paper claims submission:
    First Choice VIP Care
    Claims Processing Department
    P.O. Box 7182
    London, KY 40742-7182

Check back frequently, since we'll be updating this section to include the latest information for our providers. Our participating providers can also call First Choice VIP Care Provider Services at 1-888-978-0151.

If you are not yet a participating provider, and you would like more information on the benefits of partnering with us, contact Provider Services at 1-888-978-0151.