Authorization Policies for First Health

Health Provider Website: https://providerlocator.firsthealth.com/
Accepted Health Plans: PPO

Does the diagnostic service require prior authorization?

MRI: CALL*
CT Scans: CALL*
PET: CALL*
X-rays: CALL*
Polysonograms: CALL*
Ultrasounds: CALL*
Physical Therapy: CALL*
Occupational Therapy: CALL*
Audio Evaluation: CALL*
Audio Evaluation: CALL*
Speech Evaluation: CALL*
Feeding and Swallowing Evaluation: CALL*

*Most PPO plans don't need a referral for you to see a specialist. However, check with your employer or health plan administrator to find out what your plan requires. If you need more services for diagnosis and treatment, ask your docor to refer you to another network provider.


Contact Us

The Authorization Unit can can contacted at 786-624-3022 as well as Managed Care at 305-669-5834 for further clarification.


Please note that some non-employed physicians and credentialed medical staff members of Nicklaus Children's Hospital may not accept all of the health plans listed above. Also note that participation in these plans is not a guarantee of payment or coverage.

This page was last updated on : 9/12/2019 11:58:43 PM.