HEALTHfirst Provider Directory

To find a provider - use the interactive provider search tool or you can also view the PDF versions of the Healthfirst Provider Directory. These PDF versions are updated four times a year.

Call our Member Services Monday - Friday from 8 a.m. to 5 p.m. at 1-888-672-2277. For members who are deaf or hard of hearing, you can call us toll-free at 1-800-735-2989.

Use the interactive provider search tool to find the name or location of a health care provider, pharmacy provider, behavioral health provider, urgent care center or hospital. Our provider directory has a list of all types of network providers and their names, addresses, phone numbers, specialty, education, board certification, languages spoken, ages served and more. Call Member Services if you need help locating an in-network provider or if you’d like us to send you a printed copy.

If you have been getting health care services at a clinic and you want to keep going there, please pick one of the doctors in the clinic as your primary care provider. The primary care provider you pick needs to be listed in our provider directory.

Some of the providers that you can also pick from to be your primary care provider are: family doctors; pediatricians (for children); OB/GYNs (woman’s doctor); general practitioners (GPs); advanced nurse practitioners (ANPs); Federally Qualified Health Clinics (FQHCs); and Rural Health Clinics (RHCs).

You must pick a primary care provider who is in our Parkland Community Health Plan network. Once you have selected a PCP, call Member Services  to confirm Monday - Friday from 8 a.m. to 5 p.m. at 1-888-672-2277, TTY 1-800-735-2989.

A referral is not a requirement for the Parkland Community Health Plan plans of benefits.

The Parkland Community Health Plan plans of benefits do not require referrals for any services; however, there are services that may need prior authorization.

What if I need to see a special doctor (specialist)?
Your primary care provider can send you to another doctor if a special type of care your primary care provider cannot offer. Your primary care provider will tell you if you need to see a specialist. Some specialist services require a prior authorization.

What is a prior authorization?
It is not a referral or a pre authorization. Prior authorization is an approval that Parkland Community Health Plan requires for certain services and medications. Some services need approval before they are given. The provider who is treating your child should get this approval. You can ask your doctor or us if an approval is needed for a service or treatment.

Family planning services helps you or your child plan or control pregnancy. You do not need a referral from your child’s doctor to receive family planning services or supplies. If you are under age 21, you do not have to get permission from your parent to get family planning services or supplies. You can get family planning services from your doctor, or you can go to any family planning provider who is in our provider directory. The services you can get include: 

  • A yearly checkup
  • An office or clinic visit for a problem, counseling, or advice
  • Laboratory tests
  • Prescriptions and contraceptive supplies like birth control pills, diaphragms, and condoms
  • Pregnancy testing
  • Sterilization services (Only if you are 21 years of age or older; Federal Sterilization Consent Form needed)

You do not need a referral from your doctor to get family planning services or supplies. You can find the location of family planning providers near you online, or you can call us for help in finding a family planning provider. 

You can talk to a nurse when you have health questions. You can call the nurse line 24 hours a day, 7 days a week. Even better, this service is provided at no cost to you.  The nurse can answer your questions and help you make health decisions. You can call the nurse line at 1-888-672-7890 or 214-266-8773.

Our health plan covers health for our members as a whole person. That includes help for mental health problems like depression or substance abuse. We have a Behavioral Health program for you with Beacon Health Options that you can access on your own without a referral. Contact Beacon Health Options at 1-800-945-4644.