Skip to Main content
First Choice Next - A Product of Select Health of South Carolina, Inc.
Menu
  • View Our Plans
    • View our Plans
    • Coverage Area Map
    • The 10 Essential Benefits
    • View Our Bronze Plans
    • View Our Silver Plans
    • View Our Gold Plans
    • Find a Provider, Pharmacy, or Drug
    • Ways to Enroll
    • Ways to Pay
    • Contact Us
    • View Our Bronze Plans
    • View Our Silver Plans
    • View Our Gold Plans
  • For Members
    • Members Homepage
    • Find a Provider, Pharmacy, or Drug
    • Benefits
    • Forms and Documents
    • Rights and Legal Notices
    • Tools and Apps
    • Member Newsletters
    • Member Portal
  • For Providers
    • Providers Homepage
    • Find a Provider, Pharmacy, or Drug
    • Prior Authorizations
    • Join Our Network
    • Claims and Billing
    • The No Surprises Act: Information for providers
    • Forms and Documents
    • Provider Training
    • Behavioral Health
    • Report Fraud, Waste, and Abuse
    • Tools and Services
    • HEDIS and Care Gaps
    • News and updates
    • Provider Manual (PDF)
    • NaviNet Login
  • For Brokers
    • Brokers Homepage
    • Coverage Area Map
    • Health Insurance Marketplace Enrollment Portal
    • Become a Broker
    • Broker Resources
    • Find a Provider, Pharmacy, or Drug
    • Contact Us
  • Enroll
  • Pay Now
  • Contact Us
  • Language
  • Member Portal
  • Search
First Choice Next - A Product of Select Health of South Carolina, Inc.
Secondary Navigation
  • Enroll
  • Pay Now
  • Contact Us
  • Language
  • Member Portal
Main Navigation
  • View Our Plans
    View our Plans Coverage Area Map The 10 Essential Benefits View Our Bronze Plans
    View Our Silver Plans View Our Gold Plans Find a Provider, Pharmacy, or Drug Ways to Enroll
    Ways to Pay Contact Us
    View Our Bronze Plans
    View Our Silver Plans
    View Our Gold Plans
  • For Members
    Members Homepage Find a Provider, Pharmacy, or Drug Benefits
    Forms and Documents Rights and Legal Notices Tools and Apps
    Member Newsletters Member Portal
  • For Providers
    Providers Homepage Find a Provider, Pharmacy, or Drug Prior Authorizations Join Our Network
    Claims and Billing The No Surprises Act: Information for providers Forms and Documents Provider Training
    Behavioral Health Report Fraud, Waste, and Abuse Tools and Services HEDIS and Care Gaps
    News and updates
    Provider Manual (PDF)
    NaviNet Login
  • For Brokers
    Brokers Homepage Coverage Area Map Health Insurance Marketplace Enrollment Portal
    Become a Broker Broker Resources Find a Provider, Pharmacy, or Drug
    Contact Us
Home > For Providers > Provider Tools and Services > Provider Manual and Reference Guide

Provider Manual and Reference Guide

First Choice Next provides the following resources to help you and your office staff provide services to our members and have important plan contact information right at your fingertips.

  • Provider Manual (PDF)
  • Provider Manual revisions (January 2025) (PDF)
    • Provider Manual revisions (January 2025; December 10 update) (PDF)
  • Provider Manual revisions (August 2024) (PDF)
  • Provider Manual revisions (April 2024) (PDF)
  • Provider Manual revisions (November 2023) (PDF)
  • Provider Manual revisions (October 2023) (PDF)
  • Provider Reference Guide (PDF)
For Providers
  • Find a provider, pharmacy, or drug
  • Claims and billing
    • The No Surprises Act: Information for providers
  • Prior authorizations
    • Prior authorization lookup tool
    • Ways to avoid common errors in electronic prior authorization submissions
  • HEDIS and care gaps
  • Join our network
  • Forms and documents
  • Provider training
  • Clinical resources
  • Behavioral health
  • Fraud, waste, and abuse
  • Tools and services
    • Provider manual
    • Provider reference guide
    • Let Us Know program
    • Diagnostic imaging services
    • NaviNet
    • Online medical authorization
    • Quality Assurance and Performance Improvement program
  • Site Map
  • Careers
  • About Us
  • Non-discrimination notice (PDF)
  • Transparency in coverage
  • JSON Files

Copyright © 2021-2025 FIRST CHOICE NEXTSM, A PRODUCT OF SELECT HEALTH OF SOUTH CAROLINA, INC. All rights reserved. Health Insurance Marketplace® is a registered trademark of the U.S. Department of Health & Human Services.
 
This site contains links to other internet sites. First Choice NextSM, a product of Select Health of South Carolina, Inc., is not responsible for the content of these sites. Please see Terms of Use, Privacy Notice, and Third-Party Data Privacy and Educational Materials.

Download Adobe Acrobat Reader