For Providers
Protecting our members todays, and their tomorrows, together.
Claims submission alert:
Please note that First Choice Next is one of four First Choice health plans operating in South Carolina. Please be careful to submit your claims to the appropriate plan using the correct payer ID below. Improper claim submissions could result in payment delays.
| First Choice Next | |
| Plan Type | Individual and family health plans both on and off the Exchange |
| Plan payer ID | 57103 |
First Choice Next is excited to help you deliver high-quality care to our members in South Carolina. Thank you for choosing us!
When you work with us, you benefit from years of valuable health care experience, knowledge, and a provider service team whose job is to make your job easier.
Restoration of Optum/Change Healthcare connectivity (PDF)
Access information to help you complete vital tasks, such as:
- Contact Your Account Executive (PDF)
The best partnerships are formed by staying in touch. If you have questions about First Choice Next, find your Account Executive in the above list. - Join our provider network.
Learn how you can join our dedicated network of providers. - Access provider training.
Learn how to access our secure provider portal, submit electronic claims, select payment options, and much more. - Find a provider, pharmacy, or drug.
Use our directories and other online tools to find providers and pharmacies in our network, as well as drugs in our formulary. - Access the Provider Manual (PDF).
Get pertinent policies, procedures, and administrative functions relevant to your practice. - Access the Claims and Billing Manual (PDF)
Use this guide to help avoid common claim errors and delays in the processing of your claims. - Read the Provider Reference Guide (PDF).
Have important contact information and resources at your fingertips. - Learn about claims, billing, and payment.
Find resources you need to help manage your submission of claims and receipt of payments. - Get information on prior authorizations.
Receive tools and support for submitting prior authorization requests. - Get forms and documents.
Discover reference materials to help you when caring for our members. - Access tools and services.
Get access to online tools like NaviNet and online prior authorization. - Report fraud, waste, and abuse.
Learn how you can help First Choice Next monitor and report fraud, waste, and abuse.
If you have any questions, call First Choice Next Provider Services at 1-833-986-7277.