First Choice Health
First Choice Health is a payer organization operating in Alaska, Idaho, Montana, and 5 more states. For an ASC, what matters isn't the logo. It's how First Choice Health pays: where it runs rich, where it runs thin, and how its reimbursement compares with peer plans for the same procedures.
Pilot Analysis
Get the complete First Choice Health analysis
Tell us where to send it. Our team will prepare an analysis of First Choice Health covering rates by code, market position, and underpaid areas, and email it to you within 5-10 business days. Need it faster? Book a demo.
What Insights reveals
How First Choice Health pays
See how First Choice Health reimburses across procedures and markets, benchmarked against the peer plans competing for the same cases. Not a raw rate sheet, a read on where it sits.
Geographic footprint
First Choice Health's presence spans Alaska, Idaho, Montana, and 5 more states. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for First Choice Health and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive First Choice Health's volume, so you know where a rate change moves the needle.
Whether you're an ASC benchmarking a contract or a provider team looking First Choice Health up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with First Choice Health
- Payer ID
- 91131 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to First Choice Health through a clearinghouse.
- Eligibility verification
- Coverage and benefits for First Choice Health members are verified before the date of service, through a clearinghouse using payer ID 91131or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with First Choice Health directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of First Choice Health the way it pays.
- What is First Choice Health's payer ID?
- First Choice Health's electronic payer ID is 91131. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to First Choice Health through a clearinghouse.
- How do ASCs verify eligibility for First Choice Health members?
- Eligibility and benefits for First Choice Health members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 91131) or through the payer's provider portal.
- Does First Choice Health require prior authorization for ASC procedures?
- Prior-authorization requirements for First Choice Health are set per plan and per procedure. Confirm whether an authorization is required with First Choice Health directly before the date of service.
- What type of payer is First Choice Health?
- First Choice Health is a payer organization operating in Alaska, Idaho, Montana, and 5 more states.
- How does First Choice Health compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where First Choice Health pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is First Choice Health paying my ASC below market?
- Put your own First Choice Health contract next to the peer benchmark in DataLily AI and you'll see the gap by procedure and market, the fastest way to know whether you're leaving money on the table.