Self-Service Tools

First Choice VIP Care strives to furnish its provider partners with the tools they need to deliver exceptional, effective, and efficient health care to our members. After all, our members look to you, our participating providers, to help them get healthy and stay healthy.

The following tools are available to help you in the day-to-day care of our members:

Find a provider or drug

• Searchable Provider Directory
• 2024 Printable Provider Directory (PDF) posted September 27, 2024
• 2025 Printable Provider Directory (PDF) posted October 9, 2024
• Searchable Formulary
• Request for Redetermination of Medicare Prescription Drug Denial

Electronic tools

• Prior Authorization Lookup Tool
• NaviNet - log in
• NaviNet - sign up
• What is NaviNet?
• Navinet Medical Authorizations Participation Guide (PDF)
• Electronic Funds Transfer/Electronic Remittance Advice Enrollment
• Electronic claims submission
• Direct entry claims submission through Change Healthcare