Q & A For Payors

1. What is FHA?
Florida health Administrators/Florida Health Choice Network is a Preferred Provider Organization that contracts with physicians, hospitals, ancillary facilities and other health care providers to form a preferred provider network that is accessed and utilized by FHA's payor clients and their members. Per FHA's contractual agreements with its providers, these providers have agreed to furnish their services at discounted rates to the members of FHA's payor clients.

2. Is FHA an insurance company?
FHA is neither an insurance company nor a health plan. FHA also does not function as a claims administrator. FHA simply offers the utilization of its network to their payor clients and members, who in turn are able to capitalize on the discounted fee schedules that FHA has negotiated with its Providers.

3. What are the advantages of utilizing the FHA network?
The advantages of utilizing the FHA network are twofold - cost and quality. FHA's providers offer their services at discounted rates, often far below what is normally charged for those services. FHA's providers are also carefully screened to ensure that they meet the high quality standards expected by payors and their members.

4. Can we nominate a provider, facility, or group to be added to the FHA network?
Yes, FHA gladly accepts and acts upon all provider requests that are submitted. These requests provide an avenue whereby FHA can better meet the needs of its payor clients and their members. FHA's focus is to continually provide the payor and member communities with access to the providers of their choice. The simplest way to request a provider or facility is to utilize the "Request a Provider" section contained within this website. These nominations can also be emailed or called into FHA's provider relations department as well.

5. Does FHA perform claims-repricing functions?
Yes.

6. Does FHA accept any applying Provider?
No, FHA will not add a provider to its directory if the provider's qualifications and record do not demonstrate a high standard of care and/or if our credentialing standards are not met.

7. If a Provider is having difficulty collecting payment on a claim, will FHA provide assistance to resolve this issue?
Yes, FHA will work diligently with both the provider and payor to resolve any payment issues.

8. How does FHA keep us up-to-date on the content of their provider directory?
FHA will send its payor clients a monthly reminder email to download via this website the current FHA directory and recent changes to the FHA Directory. For those payors not comfortable or capable of utilizing these download functions, FHA will send this information upon request either electronically or in hard copy form.

9. How can I get the most up-to-date FHA Provider Directory?
The easiest way to get a copy of the current FHA Directory is to download the directory electronically via this website, utilizing the "Download FHA Directory" functionality contained on this website. Upon request, FHA can send this directory electronically or in hard copy form to its payors.

10. How can I learn more about FHA?
The best way to learn about FHA is by reviewing this website. However, our staff would be glad to answer any further questions you have via email or upon you calling our corporate office at (954) 491-3234.