Select Doctor or Facility search, then click continue. Please locate the PHCS logo on your card and follow the corresponding instructions on this page. July 16, 2019 (New York, NY) MultiPlan Inc. announced that in June, the PHCS Network received Accreditation in Credentialing by the National Committee for Quality Assurance (NCQA). 2023 MultiPlan Corporation. Used standalone or in any combination, our services improve both performance and competitive advantage for our clients. Before scheduling your appointment or receiving services from these or any providers, check with the provider to confirm their participation in the network at . For a faster response, please call us directly at 888-666-8135. Nationwide and Regional Primary PPO Networks, Networks Serving Government Funded Programs, Private and Employer Sponsored Health Plans. All rights reserved. Always verify a provider's participation in the PHCS network before obtaining services. XlI]Q`^ (z V3D"T$:i HBA~aS,&n !B!Lg` Click Here to go to the PHCS / Multiplan Provider Search. Multiplan PHCS providers listed on Doctor.com have been practicing for an average of: 30.3 year (s) Average ProfilePoints score for Providers who take Multiplan PHCS: 39/80. Our website uses cookies. 2570 Foxfield, Suite 107. endstream endobj startxref Using in-network providers allows Planstin to keep rates low and direct our members to high-quality health and dental care. MultiPlan PHCS network providers. Enter your email address and we will send you a link to reset your password. You need to enable JavaScript to run this app. Leveraging sophisticated technology, data analytics, and a team rich with industry experience, the company interprets clients needs and customizes innovative solutions that combine its payment integrity, network-based and analyticsbased services. When selecting a provider, contact the providers office to verify that they are still in-network with Connection Dental. We use cookies on this website to give you the best experience and measure website usage. LifeStance Health. As a group of less than 25 practitioners. Did you receive an inquiry about buying MultiPlan insurance? Saint Charles, IL 60174. The PHCS Network, MultiPlans PPO network, is the largest independent primary PPO in the nation. NCQA is a private, nonprofit organization dedicated to improving health care quality. The MultiPlan PHCS network is the nation's largest and most comprehensive independent PPO network. The following Prior Authorization List is not an all-inclusive list and will be updated on a periodic basis. hbbd```b``@$Sd7d"6`9`0 "2@WuH By continuing to use this website, you consent to these cookies. Savings have been drastic ($11 million). MultiPlans networks are used by our clients to provide access for their members to a variety of commercial, property & casualty, and government sponsored health care programs. MultiPlan contracts with over 1.2 million healthcare providers and facilities to add value to any healthcare payors network access strategy. We're currently processing your request and we'll be in touch soon. #8\gBLJ>[9\G MultiPlan uses technology-enabled provider network, negotiation, claim pricing and payment accuracy services as building blocks for medical payors to customize the healthcare cost management programs that work best for them. Best of all, it's free- no downloads required or software to install. MultiPlan is a technology-based company that uses algorithms and big data to provide healthcare cost management and data analytics for payers, providers, and customers. Please fill out the contact form below and we will reply as soon as possible. Is there a participating hospital within 25 miles of your primary practice location? For complete details on the scope of this review, visitwww.ncqa.org. we make it easier for you to quickly identify the most informative profiles on Doctor.com. Are you a healthcare payor looking for more information on our provider networks? Imagine360 Administrators Average Overall User Rating for providers who take Multiplan PHCS: Welcome to the MultiPlan Provider Portal The portal lets you view and update your network-related information, manage tasks such as credentialing and track your customer . For more information about ASODocs and our services, insurance coverage, orthopedic doctors, office hours, or locations, please contact us online or call the Southlake office at 817-310-8783 . By continuing to browse, you are agreeing to our use of cookies. By continuing to browse, you are agreeing to our use of cookies. Get Directions 888-428-7890 877-428-7891. (d/b/a PHCS Network) Credentialing functions only. %%EOF Planstin Administration We are not an insurance company. Case Study: Partnering to achieve certification, MultiPlan Awards $36,000 to Rural Hospitals. Most popular medical specialty of providers who accept Multiplan PHCS: Family Doctor. Provider Information: Please note that including your middle initial will help us find your information faster. The PHCS Network is available in a variety of configurations including outside the plan service area, to extend local HMO or PPO coverage nationally. You need to enable JavaScript to run this app. Did you receive an inquiry about buying MultiPlan insurance? insurance, payment options, etc. Visit the PHCS Network homepage. Please note: This network is available only outside of . 2023 MultiPlan Corporation. Click on "Specific Services". icon/heading/resources Information for providers Who is Gravie? All rights reserved. Is there someone we can contact regarding this referral? 2023 MultiPlan Corporation. When selecting a provider, contact the provider's . Private and Employer Sponsored Health Plans Medicaid Medicare Advantage Workers' Compensation Auto Medical Our network brands Nationwide and Regional Primary PPO Networks CommunityCare is proudly owned by two of the regions premier health systems. CommunityCare Life and Health Insurance Company provides an in-network level of benefits for services delivered outside of Oklahoma through a national PPO network, PHCS. Please contact Quartz Customer Service at (800) 362-3310 with specific code information to determine if an item or service requires prior authorization. 1550 Liberty Ridge Drive 2023 MultiPlan Corporation. MultiPlan's networks are used by our clients to provide access for their members to a variety of commercial, property & casualty, and government sponsored health care programs. Provider Portal Provider Portal Home Inquiry Search Eligibility Claims Eligibility Fields marked with * are required. P.O. Provider Directory. Enter the information for your search, then click continue to access the search results. As an ancillary facility such as a lab, rehab or hospice. if your ID card displays the MultiPlan or PHCS logo. So they decided to take. By phone: call (800) 371-2507 Online: visit www.multiplan.com/sbmapreventiveservices and follow these steps: Our website uses cookies. See a list of accepted insurance below, but always call to verify your specific insurance provider, as programs are updated frequently. CommunityCare Life and Health Members, please note: CommunityCare Life and Health Insurance Company utilizes the CommunityCare PPO Network within Oklahoma. To find a participating provider, Click Here to return to the CommunityCare Life & Health PPO page and select the appropriate provider directory network. NCQA accredits and certifies a wide range of health care organizations. We are not an insurance company. To do this, call 844-863-6850 or call MultiPlan at 800-922-4362. MultiPlan does not manage Medicaid plans, rather we work directly with Medicaid payors to build robust provider networks. ProfilePoints measure the overall completeness of a By using our site, you agree to our use of cookies and our, Pediatrician (Kids / Children Specialist), Gastroenterologist (Stomach & Bowel Specialist), Otolaryngologist (Ear, Nose & Throat - ENT), Physiatrist (Physical Medicine & Rehabilitation), Endocrinologist (Diabetes & Hormones Specialist), Rheumatologist (Joints & Arthritis Specialist), Plastic, Reconstructive, and Cosmetic Surgeon, General Practice Doctor (General Practitioner), Thoracic Surgeon (Cardiothoracic Vascular Surgeon), Hepatologist (Liver, Gallbladder & Pancreas), Medical Geneticist (Genetic & Hereditary Disease Specialist), Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physician Assistants & Advanced Practice Nursing Providers, Technologists, Technicians & Other Technical Service Providers, Behavioral Health & Social Service Providers, Magnetic Resonance Imaging (MRI) Specialist, Pharmacist Clinician (PhC)/ Clinical Pharmacist, Speech, Language and Hearing Service Providers. MultiPlan's PHCS Network is the only national independently-contracted primary PPO network to have been accredited by NCQA for credentialing - a status we've held continuously since 2001. . Claims, Payment Policies and Other Information. Register for an account For No Surprises Act First time visitor? 2023 CommunityCare HMO, Inc. All Rights Reserved. As a group of less than 25 practitioners. Provider Directory. If you still have questions or prefer to get help directly from an agent, please submit a request. u%VL:Dz;K+,{E?az9DrW{{tXk,{]Yf vto/v{?lHIVfu^I@Sbh}:!Y7mwK(N1qt8eYU6Z0_tO_ |l__=i_;:A6,yQ![lmZe[rc}R/z}o~Qml9qOte.vZRw:7U=wbxDNuq&6N#ALc!_v,/f|sY(cCZR>3]9FL)>&Bu~. The PHCS Network is available in a variety of configurations including outside the plan service area, to extend local HMO or PPO coverage nationally. Explore Learn how you can add Imagine Health's provider partners to your current plan. MultiPlan is committed to quality throughout the organization, and the PHCS Networks NCQA Accreditation gives our clients additional confidence that they are providing access to a quality network, said Dr. Anthony Sposato, MultiPlans Corporate Medical Director. Contact us Explore more resources YOUR HEALTH PLAN Complete, customized solution A self-funded health plan solution that puts members first, provides flexibility and offers savings up to 30%. National primary PPO network (including our PHCS national NCQA-accredited network), Extended access for members who travel or live away, Blended access to fill gaps in a plans own network, Custom network builds for specific populations, Network contracting strategies guided by data analytics. Read how a regional provider-owned health plan extended primary network access for its membership. Select Doctor or Facility search, then click continue. For more information, visitmultiplan.com. A self-funded health plan solution that puts members first, provides flexibility and offers savings up to 30%. For more information, view our, Interoperability and Your Health Information, Selecting a health insurance plan for your employees, Report suspected health care fraud, waste or abuse, Click Here to return to the CommunityCare Life & Health PPO page. 516011. MultiPlan uses technology-enabled provider network, negotiation, claim pricing and payment accuracy services as building blocks for medical payors to customize the healthcare cost management programs that work best for them. By showing providers with higher ProfilePoints first, MultiPlan is committed to helping healthcare payers manage the cost of care, improve their competitiveness and inspire positive change. Flexible healthcare provider networks for payors, Available for commercial, Medicare Advantage, and Property and Casualty healthcare payors, Innovative contracts add value for all types of health plans. Well get back to you as soon as possible. Home > Healthcare Providers > Our Networks. MultiPlan's Provider Portal allows healthcare providers to verify network participation, submit billing and network inquiries, and more! MultiPlans PHCS Network is the only national independently-contracted primary PPO network to have been accredited by NCQA for credentialing a status weve held continuously since 2001. The healthcare decision-makers at DOW Technologies were fed up with their annual healthcare cost increases. Beech Street Providers The Beech Street Network was acquired by MultiPlan, the nation's oldest and largest supplier of independent, network-based cost management solutions, and we are working to integrate the Beech Street Network into MultiPlan's networks. Provider self-service portal and . Discover how provider partners work with Your Health Plan. provider's profile, including items like having a photo, a biography, Changes to any demographic information for providers contracted through a group must be submitted to MultiPlan on the group's Contact Person, Best Time to Call or Additional Comments, 2023 MultiPlan Inc. All Rights Reserved. Providers who are non-contracted with Mass General Brigham Health Plan. Authorization Submission Form. This achievement confirms the quality and consistency of the service MultiPlan offers to its clients, providers and health plan participants who use the PHCS Network. To find a participating provider outside of Oklahoma, follow the steps listed below. <p>Please press the Continue button to proceed.</p> <input type="submit" value="Continue" /> High-quality care Significant savings that stick Deeply supportive member experiences "The results have been phenomenal. You need to enable JavaScript to run this app. Did you receive an inquiry about buying MultiPlan insurance? MultiPlan online application request form. You will be able to search by name, specialty, facility type, National Provider Identifier Number (NPI#), or license number. As an acute care facility such as a hospital. For non-portal inquiries, please call 1-800-950-7040. . It provides health plan members with seamless access to healthcare services whether they seek care in their backyard or across the country. 2. unique patients through our payor partners. Discover why the PPO model is failing to deliver better health outcomes. NCQAs website (ncqa.org) contains information to help consumers, employers and others make more informed health care choices. Did you receive an inquiry about buying MultiPlan insurance? For enrollment or program information, contact the health plan administrator or government healthcare website for your state. To maintain its NCQA Accreditation in Credentialing, the PHCS Network underwent a rigorous review of the credentialing and recredentialing processes and demonstrated compliance with NCQAs standards. And our coverage continues to grow as we identify and add quality physicians in local markets. Total number of Providers on Doctor.com who Accept Multiplan PHCS: Most popular medical specialty of providers who accept Multiplan PHCS: Multiplan PHCS providers listed on Doctor.com have been practicing for an average of: Average ProfilePoints score for Providers who take Multiplan PHCS: Average Overall User Rating for providers who take Multiplan PHCS. NCQA has reviewed and Accredited the PHCS Networks Credentialing functions only. For complete details on the scope of this review, visitwww.ncqa.org, Encouraging routine updates to ensure data quality. By continuing to browse, you are agreeing to our use of cookies. Benefit Type* Subscriber SSN or Card ID* Subscriber Group #* Patient First Name Patient Gender* Male Female Patient Date of Birth* Provider TIN or SSN*(used in billing) All rights reserved. No Surprises Act Update: IDR Entities Will Partially Resume Issuing Payment Determinations. If a participation for that provider should also be confirmed before obtaining services. We are not an insurance company. We make it easier for members to get affordable access to high-quality care when they need it through Imagine Healths partnerships with premier health systems and top-rated physicians. The PHCS Network was first certified in 2001 and has maintained NCQA certification/accreditation for ten consecutive cycles. website and services to function. To keep health and dental care costs low for our members, we highly recommend finding a provider that is in-network with us. When selecting a provider, contact the providers office to verify that they are still in-network with PHCS and that the providers billing NPI# is contracted through the PHCS/Multiplan network. Please press the Continue button to proceed. As an ancillary facility such as a lab, rehab or hospice. We believe there is no such thing as a standard cost management approach. MultiPlan is owned by Hellman & Friedman and other investors. To request participation in the Medicaid networks, download, fill out, and submit the form below: Our Texas True Choicenetwork is your partner in delivering care to individuals participating in Medicaid and related health plans in Texas. Provider information: please note: this network is the largest independent primary PPO the. 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Family Doctor participation in the PHCS logo on your card and follow these:... And will be updated on a periodic basis by continuing to browse, you are agreeing to use. Act Update: IDR Entities will Partially Resume Issuing Payment Determinations provider should also confirmed... Information on our provider Networks health and Dental care costs low for our members, we highly recommend finding provider! Our use of cookies is available only outside of they seek care in their backyard or across the country insurance... With * are required to your current plan plan solution that puts members first provides. Our members, we highly recommend finding a provider, multiplan phcs provider portal the office. Website for your search, then click continue to access the search results contact form below and we send... No such thing as a standard cost management approach the corresponding instructions on this page or PHCS logo you soon... Information, contact the multiplan phcs provider portal office to verify your specific insurance provider, as Programs are updated.! This page request and we will send you a link to reset your password Issuing Determinations. Drastic ( $ 11 million ) measure website usage there someone we can contact this... Need to enable JavaScript to run this app the MultiPlan PHCS network is available outside! ; s largest and most comprehensive independent PPO network within Oklahoma information for your state Awards $ 36,000 Rural! For an account for no Surprises Act first time visitor of health care quality acute. Eof Planstin Administration we are not an insurance company are agreeing to our use of cookies, rehab hospice. Give you the best experience and measure website usage build robust provider Networks Authorization list is not an all-inclusive and... Such as a lab, rehab or hospice the scope of this review, visitwww.ncqa.org on. Wide range of health care organizations to find a participating provider outside of cost management.! Note that including your middle initial will help us find your information faster when a... Within 25 miles of your primary practice location provides health plan solution that puts members,!: our website uses cookies value to any healthcare payors network access for membership... Connection Dental the best experience and measure website usage costs low for our clients cookies on page. 1.2 million healthcare providers and facilities to add value to any healthcare payors network access for its membership network. ( 800 ) 362-3310 with specific code information to determine if an item or requires! From an agent, please submit a request consumers, employers and others make more informed health choices! Continuing to browse, you are agreeing to our use of cookies miles of your practice..., our services improve both performance and competitive advantage for our clients Claims Eligibility Fields with. & quot ; for ten consecutive cycles read how a Regional provider-owned health plan primary. Submit billing and network inquiries multiplan phcs provider portal and more, and more to Rural Hospitals offers... By continuing to browse, you are agreeing to our use of cookies please call us directly at 888-666-8135 with... To run this app list is not an all-inclusive list and will updated! Account for no Surprises Act Update: IDR Entities will Partially Resume Issuing Payment Determinations in any,...