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Q
& A For Providers
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 its 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 being a provider on the FHA network?
Due to FHA not being as large as other networks, FHA offers the
opportunity to be part of a more exclusive panel of "preferred"
providers. FHA does not contract with every doctor in a geographic
area. Additionally, FHA has various steering mechanisms to send
business your way. FHA's discounted fee schedules are also well
balanced, structured to be attractive to both payors and providers
alike. Lastly, due to FHA's efficient internal operations, our provider
relations department will give unrivaled service to our panel of
preferred providers.
4. How do I know if FHA has providers in
my area?
By utilizing the "Find a Provider" section contained within this
website.
5. Can I 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
nominate 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.
6. How long does it take to become an FHA
provider?
Due to our efficient infrastructure and streamlined processes, we
seek to complete our application and credentialing processes within
a 30 day timeframe.
7. 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.
8. Can I submit claims to FHA?
Please note the ID card for the claims submission address.
9. 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.
10. What does it cost to join FHA?
Nothing.
11. If I am having difficulty collecting
payment on a claim, will FHA assist me with this situation?
Yes, FHA will work diligently with both the provider and payor to
resolve any payment issues.
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