Welcome Providers

Family Health Network helps you easily access information online so you can save time and focus on your patient’s well-being.

Notice to Providers:

Family Health Network is currently experiencing issues with member eligibility upload. Providers may encounter difficulties searching for a member or submitting an authorization via the Valence Provider Portal.

For additional information, please contact your Network Management Specialist or our Provider Customer Service Lines at 888-FHN-4-YOU (888-346-4968).

Thank you for your patience.

Attention Providers!

We have implemented a new Change Healthcare (EMDEON) PAYOR ID for all lines of business. Please make sure you are sending claims to the right location. This will help ensure timely adjudication of claims... Click Here to learn more.

Family Health Network Provider Resources

Resources

Admission Certification Fax Form
Prior Authorization List
Brighter Beginnings Enrollment Form
Claims Reference FQHC's
Claims Reference Professional Claims
Complex Case Management
Disease Management
ECHO Healthcare (Electronic Payment Options)
ECHO Provider Payment User's Guide
Encounter Data Submission Guide
FHP/ACA Authorization Form
FHN Formulary
FHN Over-the-Counter Drug List
FHN Quick Reference List
HFS Managed Care Billing and Encounter Reporting Guidelines: DASA Services
LTSS Provider Billing Codes
Portal Authorization User's Guide
Provider Change of Information Form
Provider Dispute Resolution Form
Provider Manual
Provider Portal Claim Status User Guide
Provider Portal Registration User's Guide
Quality Checklist (Child)
Quality Checklist  (Adult)
Quality Checklist (Pregnancy)
Quality Program
Utilization Management Program

Family Health Network protects our enrollees/patient’s privacy. As a provider who participates in Medicaid and/or Medicare plans, you must cooperate with any investigation, of suspected non-compliance or fraud, waste and abuse.


 


 


 

Attention ProvidersBehavioral Health

Important updates about behavioral health services that will impact providers. Effective June 1, 2016, FHN will contract with Behavior Health Specialist directly. Click below for more information

 Provider Notice                                              FAQs        

Member Services

If you have a question about your health plan, please call Member Services.  Hours are 8 a.m. to 5 p.m. Monday through Friday and 9 a.m. to 1 p.m. Saturday.


Si tiene preguntas sobre su plan de salud, por favor llame a la línea de Atención a Miembros Participantes. Horario de 8 a.m. a 5 p.m. de Lunes a Viernes y Sábado de 9 a.m. a 1 p.m.

1-888-FHN-4YOU
(346-4968)
TTY: 711

FLU Season

Flu season begins in October and lasts as late as May. Talk to your doctor about getting a FREE flu shot today.

Click here for more information

Service Area

FHN serves people living in the Chicago area: including Cook, DuPage, Kane, Kankakee, Lake and Will Counties.

Service outside of our Service Area

If you are not in our service area and you need care but it is not an emergency, please call us at 1-888-346-4968 TTY: 711. We will work with you to help you get the care and services you need. When FHN helps to arrange non-emergency services for you outside its service area, we will cover the cost. If you get services outside of our coverage area, we may not pay for those services.
If you are not in our service area and you need emergency care, call 911 or go to the nearest hospital.