Resources & Tips

Check Eligibility

We use First Health for our plan’s network — that’s Aetna’s network. If you belong to First Health, you accept our plan, no problem. To check that a member has active coverage, call us at (888) 897-1887.

Submit Claims

Send claims electronically to Payer ID FH205. Or submit an HCFA 1500 (CMS-1500) form to Firefly Health PO Box #278 Arnold, MD 21012. Need to check a claim status? Call us at (888) 897-1887.

Request Authorizations‍

Medical: Our utilization management partners at MedWatch process medical authorizations for us. To submit an authorization, you can:

• Complete an online precertification form 
• Call  (888) 897-1887

Here is a list of services that require prior authorization.‍

Pharmacy: Our partners at Capital Rx process pharmacy authorizations for us. To submit an authorization, call (888) 897-1887 or submit a prior authorization form:

• Fax: 1-833-434-0563
• Mail:
  Capital Rx, Inc.
  Attention Prior Authorization Department
  228 Park Avenue South, Suite 87234
  New York, NY 10003-1502

Here is a list of drugs that require prior authorization.‍

Verify Care Passes

If a member shows you a Care Pass in the Firefly Health app, you shouldn’t charge them anything — their plan covers the full cost of their visit. This is how we reward members for seeing the high-value providers we recommend. 

Just verify that your name or the name of your facility is on the pass. If you have any questions, call us at (888) 897-1887.

Need something else?

Check our frequently asked questions or call (888) 897-1887.