Providers – Eligibility and Claim Status
Our Value

What We Offer

We’re in your corner, simplifying the benefits experience so you can spend more time pursuing the things you love.

We know that the most important part of anyone’s business is their people, and that’s why we put members first. Our team is on call to help you navigate your company’s benefits landscape, from explanation of benefits to questions on bills and claims. You’ve got a partner to help you every step of the way.

Portal Login
Meaningful Support

Health insurance can be complex, which is why our customer service team is on call to support the healthcare journey—from understanding benefits to finding providers or managing medial claims.

Access to Skilled Clinicians

Quality isn’t sacrificed to reduce cost—our nurse care managers, our provider networks and our affiliated clinical partners are industry leading.

Great Member Experience

From advocating for members to get the care they need, to supporting them through the claims process, our member experience team is there every step of the way.

Problem Resolution

Our dedicated support team is available to address any issues that arise for our members—so they can focus on their care and treatment.

Mobile Tools

Employees and their covered family members can access their benefit information from a desktop, tablet, and mobile app—whenever they choose.

And More

From world-class customer care for members and employers to sales support for brokers, we pride ourselves in making each interaction a meaningful and positive experience.

Access Your Plan

Online Portal

All of your benefits information is accessible online via our portal 24/7. We also provide phone consultations to help you understand coverage and healthcare options, and billing and obligations after visiting a provider. Our team advocates for you and will support you as you get the care you need.

Member Portal

Looking for your member portal? Visit the portal to access claims, ID card, check the status of your claims, and more!


Common Member Questions

How can I access information about my adult dependent's claims?

Login to the member portal and visit the "Claims" tab. You can use the search function to find a specific claim or choose "View All Claims" to see a list of claims. Click on the claim you wish to view for detailed information.

How can I check my deductible status?

When logged into your member portal, navigate to the "Reports" tab. Access your "Summary of Benefits Paid" to see an overview of your deductible status, including the amount you have paid and the remaining balance.

How can I review my Rx formulary?

Go to the "Eligibility" tab in your member portal to review the Rx formulary for yourself and your dependents. It contains essential information about prescription drug coverage.

How can I find a healthcare provider?

Visit and click on "Locate a Provider". Choose "First Health Network" and use the search engine to find a healthcare provider that meets your needs.

Where can I access my Explanation of Benefits (EOB)?

Since After logging into your member portal, go to the "Home" tab. Within your Medical Plan Document on this page, you can access your Explanation of Benefits (EOB) for detailed information on your claims and coverage.