By continuing to use this website, you consent to these cookies. Get Directions 888-428-7890 877-428-7891. These are also used for Workers Compensation and Auto Insurance programs in these areas. This form is intended for: UnitedHealthCare Options PPO providers. High-quality care Significant savings that stick Deeply supportive member experiences "The results have been phenomenal. Please fill out the contact form below and we will reply as soon as possible. Provider Information: Please note that including your middle initial will help us find your information faster. if your ID card displays the MultiPlan or PHCS logo. by providers with Doctor.com accounts when editing their profile on Doctor.com. Our website uses cookies. 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. we make it easier for you to quickly identify the most informative profiles on Doctor.com. You will be able to search by group name, facility name, dentist name, or specialty. Provider Directory. And our coverage continues to grow as we identify and add quality physicians in local markets. Provider's First Name *: Provider's Middle Initial: 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. How to Access the Provider Portal The portal is secure and completely web-based with no downloads required or software to install. Well get back to you as soon as possible. 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. For a faster response, please call us directly at 888-666-8135. MultiPlan contracts with over 1.2 million healthcare providers and facilities to add value to any healthcare payors network access strategy. As an ancillary facility such as a lab, rehab or hospice. 2023 MultiPlan Corporation. hb`````f``g@@,)B 5W353``>zEpC!+Y7H0+6+=;&R\$,b$/#aq Our website uses cookies. Discover why the PPO model is failing to deliver better health outcomes. 98% of participating providers are contracted directly, >100 network development professionals across the country, Are you a healthcare payor looking for more. 2570 Foxfield, Suite 107. HPM50 ab PHCS network flier Rev 12/2018 Multiplan PHCS network NCQA has reviewed and Accredited the PHCS Networks Credentialing functions only. MultiPlan is a trusted partner to over 700 healthcare payers in the commercial health, dental, government and property and casualty markets, and saves these companies more than $15 billion annually. 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. Eagan, MN 55121. 2023 MultiPlan Corporation. NCQA is a private, nonprofit organization dedicated to improving health care quality. As a group of less than 25 practitioners. As a group of 25 or more practitioners, such as an IPA or PHO. 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. For more information, visit multiplan.com. ProfilePoints measure the overall completeness of a Private and Employer Sponsored Health Plans Medicaid Medicare Advantage Workers' Compensation Auto Medical Our network brands Nationwide and Regional Primary PPO Networks Contact Person, Best Time to Call or Additional Comments, 2023 MultiPlan Inc. All Rights Reserved. Our website uses cookies. 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. PHCS Network MultiPlans national PPO network. Dedicated network access for government programs. End-Stage Renal Disease (ESRD) Premium Restoration, No Surprises Act Update: IDR Entities Will Partially Resume Issuing Payment Determinations, Certified IDR Entities Have Been Instructed to Hold All Payment Determinations Until Further Guidance Is Issued, Determining Whether a Dispute Is Eligible for IDR Is Complicating the Process. Used standalone or in any combination, our services improve both performance and competitive advantage for our clients. As an acute care facility such as a hospital. 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. A full breakdown of points can be seen All rights reserved. Click on "PHCS". Register for an account For No Surprises Act First time visitor? icon/heading/resources Information for providers Who is Gravie? Please press the Continue button to proceed. Submit, track and manage customer service cases Access forms and other resources Request approval to add access to your contract (s) Search claims Download Pricing Summary PDFs Verify/update your demographic information in real time See credentialing status (for groups where Multiplan verifies credentials) The following Prior Authorization List is not an all-inclusive list and will be updated on a periodic basis. Please note: This network is available only outside of . 168 0 obj <>stream Provider Directory. MultiPlan PHCS network providers. unique patients through our payor partners. Is there someone we can contact regarding this referral? <p>Please press the Continue button to proceed.</p> <input type="submit" value="Continue" /> MultiPlan will use the money from the IPO to pay back some of its existing debt and make investments for future growth. The MultiPlan PHCS network is the nation's largest and most comprehensive independent PPO network. 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. Providers are encouraged to review the Prior Authorization List frequently for changes. No Surprises Act Update: IDR Entities Will Partially Resume Issuing Payment Determinations. Savings have been drastic ($11 million). Best of all, it's free- no downloads required or software to install. Click Here to go to the PHCS / Multiplan Provider Search. In accordance with our provider agreement and the Centers for Medicare and Medicaid (CMS) guidelines, we require providers participating with MultiPlan to maintain their demographic information noted below. For non-portal inquiries, please call 1-800-950-7040. . 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. 888-581-9738 www.labcorp.com ; Quest Diagnostics ; 866-697-8378 ; www.questdiagnostics.com . The PHCS Network was first certified in 2001 and has maintained NCQA certification/accreditation for ten consecutive cycles. Read how a regional provider-owned health plan extended primary network access for its membership. 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. All rights reserved. By continuing to browse, you are agreeing to our use of cookies. Most popular medical specialty of providers who accept Multiplan PHCS: Family Doctor. MultiPlan does not manage Medicaid plans, rather we work directly with Medicaid payors to build robust provider networks. (d/b/a PHCS Network) Credentialing functions only. Select Doctor or Facility search, then click continue. 1550 Liberty Ridge Drive website and services to function. Changes to any demographic information for providers contracted through a group must be submitted to MultiPlan on the group's MultiPlan is owned by Hellman & Friedman and other investors. hXmo6PH@v[l:t"\IN{H=Yok{lRp4g,Baaa(XrMQs0_ &P@;(Lj.D+X6R@q&D%`L+vWB&"-rZd"&Lb&90y6dTn" Did you receive an inquiry about buying MultiPlan insurance? Click Here to go to the PHCS / Multiplan Provider Search. MultiPlan is committed to helping healthcare payers manage the cost of care, improve their competitiveness and inspire positive change. As a group of less than 25 practitioners. MultiPlan is a trusted partner to over 700 healthcare payers in the commercial health, dental, government and property and casualty markets, and saves these companies more than $15 billion annually. 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. Bookmark it today at https://provider.multiplan.com/provider. provider's profile, including items like having a photo, a biography, We are not an insurance company. Did you receive an inquiry about buying MultiPlan insurance? 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. To find a participating provider, Click Here to return to the CommunityCare Life & Health PPO page and select the appropriate provider directory network. NCQAs website (ncqa.org) contains information to help consumers, employers and others make more informed health care choices. 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 online application request form. 2023 CommunityCare HMO, Inc. All Rights Reserved. MultiPlans team of experts helps healthcare payors manage the cost of care, improve their competitiveness and inspire positive change. You need to enable JavaScript to run this app. Claim Address: By continuing to browse, you are agreeing to our use of cookies. Gravie Administrative Services LLC is a licensed Third Party Administrator that administers self-funded medical plans for employers. For complete details on the scope of this review, visitwww.ncqa.org. 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. Visit the PHCS Network homepage. 516011. Search for a provider. Please locate the PHCS logo on your card and follow the corresponding instructions on this page. Find a Medical Provider. Are you a healthcare payor looking for more information on our provider networks? 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. LifeStance Health. Choose "Click here if you do not have an account" for self-registration options. 2023 MultiPlan Corporation. Medicaid service areas > Texas health plan partners > Medicaid provider services & education > Information for Medicaid members Our website uses cookies. By phone: call (800) 371-2507 Online: visit www.multiplan.com/sbmapreventiveservices and follow these steps: 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. 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. Imagine360 Administrators MultiPlan online application request form > Welcome Texas providers Our Texas True Choice network is your partner in delivering care to individuals participating in Medicaid and related health plans in Texas. All rights reserved. It provides health plan members with seamless access to healthcare services whether they seek care in their backyard or across the country. Discover how provider partners work with Your Health Plan. Planstin Administration 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). Were thrilled that for almost two decades, NCQA has endorsed the processes we use to credential providers participating in the PHCS Network. Enter your email address and we will send you a link to reset your password. Wayne, PA 19087610-321-1030 (tel)888-560-2447 (fax)info@imagine360.com. Other physicians and providers are available in our network. Claims, Payment Policies and Other Information. Always verify a provider's participation in the PHCS network before obtaining services. NCQA accredits and certifies a wide range of health care organizations. Benefits are administered through Gravie with primary and regional leased networks through PreferredOne, Cigna, Aetna, PHCS/Multiplan, HealthEOS, and TLC Advantage. Select Doctor or Facility search, then click continue. Home > Healthcare Providers > Our Networks. Click on "Specific Services". Did you receive an inquiry about buying MultiPlan insurance? For more information or assistance specific to our portal, please call MultiPlan Customer Service at 1-877-460-0352. hbbd```b``@$Sd7d"6`9`0 "2@WuH When selecting a provider, contact the providers office to verify that they are still in-network with Connection Dental. The healthcare decision-makers at DOW Technologies were fed up with their annual healthcare cost increases. Enter the information for your search, then click continue to access the search results. Beech Street Network MultiPlans regional PPO network in Alaska, Nevada and Utah. The PHCS Network is available in a variety of configurations including outside the plan service area, to extend local HMO or PPO coverage nationally. endstream endobj startxref Provider Portal . The PHCS Network is available in a variety of configurations including outside the plan service area, to extend local HMO or PPO coverage nationally. A self-funded health plan solution that puts members first, provides flexibility and offers savings up to 30%. Provider Portal Provider Portal Home Inquiry Search Eligibility Claims Eligibility Fields marked with * are required. LabCorp . 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. 3 DISLIKE REPORT Phcs Medishare Provider Portal Phcs Provider Portal Login Multiplan Portal Provider Partners Health Plan Provider Portal Provider Iasadmin Provider Portal Provider One Provider One Portal No downloads required or software to install help us find your information faster you consent to cookies. Medical specialty of providers who accept MultiPlan PHCS network was first certified in 2001 and maintained. Unitedhealthcare Options PPO providers the results have been phenomenal thrilled that for almost two decades, NCQA has endorsed processes! Accept MultiPlan PHCS network flier Rev 12/2018 MultiPlan PHCS network is the nation & x27! 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