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. Welcome to the MultiPlan Provider PortalThe portal lets you view and update your network-related information, manage tasks such as credentialing and track your customer service case history. PROTECT YOUR SOCIAL SECURITY NUMBER: Beginning on July 1, contract rate and provider information will be posted publicly in machine-readable files. Get Directions 888-428-7890 877-428-7891. For more information, visitmultiplan.com. 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. MultiPlan PHCS network providers. You will be able to search by name, specialty, facility type, National Provider Identifier Number (NPI#), or license number. By continuing to browse, you are agreeing to our use of cookies. So they decided to take. Private and Employer Sponsored Health Plans Medicaid Medicare Advantage Workers' Compensation Auto Medical Our network brands Nationwide and Regional Primary PPO Networks Find a Medical Provider. LabCorp . 98% of participating providers are contracted directly, >100 network development professionals across the country, Are you a healthcare payor looking for more. 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. %PDF-1.6 % We believe there is no such thing as a standard cost management approach. And our coverage continues to grow as we identify and add quality physicians in local markets. Case Study: Partnering to achieve certification, MultiPlan Awards $36,000 to Rural Hospitals. A full breakdown of points can be seen We're currently processing your request and we'll be in touch soon. As an ancillary facility such as a lab, rehab or hospice. 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. Is there someone we can contact regarding this referral? Did you receive an inquiry about buying MultiPlan insurance? Provider Portal Provider Portal Home Inquiry Search Eligibility Claims Eligibility Fields marked with * are required. hXmo6PH@v[l:t"\IN{H=Yok{lRp4g,Baaa(XrMQs0_ &P@;(Lj.D+X6R@q&D%`L+vWB&"-rZd"&Lb&90y6dTn" This form is intended for: UnitedHealthCare Options PPO providers. 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. 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. website and services to function. Are you a healthcare payor looking for more information on our provider networks? You will be able to search by name, specialty, facility type, National Provider Identifier Number (NPI#), or license number. Read how a regional provider-owned health plan extended primary network access for its membership. MultiPlans team of experts helps healthcare payors manage the cost of care, improve their competitiveness and inspire positive change. provider's profile, including items like having a photo, a biography, HPM50 ab PHCS network flier Rev 12/2018 Multiplan PHCS network 2023 MultiPlan Corporation. The PHCS Network was first certified in 2001 and has maintained NCQA certification/accreditation for ten consecutive cycles. Please note: This network is available only outside of Oklahoma. As a group of 25 or more practitioners, such as an IPA or PHO. 2023 MultiPlan Corporation. Well get back to you as soon as possible. High-quality care Significant savings that stick Deeply supportive member experiences "The results have been phenomenal. Medicaid service areas > Texas health plan partners > Medicaid provider services & education > Information for Medicaid members Best of all, it's free- no downloads required or software to install. 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. Providers are encouraged to review the Prior Authorization List frequently for changes. 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 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 who are non-contracted with Mass General Brigham Health Plan. A self-funded health plan solution that puts members first, provides flexibility and offers savings up to 30%. Changes to any demographic information for providers contracted through a group must be submitted to MultiPlan on the group's Please contact Quartz Customer Service at (800) 362-3310 with specific code information to determine if an item or service requires prior authorization. The PHCS Network is available in a variety of configurations including outside the plan service area, to extend local HMO or PPO coverage nationally. 2023 MultiPlan Corporation. By continuing to use this website, you consent to these cookies. Our website uses cookies. 888-581-9738 www.labcorp.com ; Quest Diagnostics ; 866-697-8378 ; www.questdiagnostics.com . MultiPlan contracts with over 1.2 million healthcare providers and facilities to add value to any healthcare payors network access strategy. Discover why the PPO model is failing to deliver better health outcomes. 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. MultiPlan is owned by Hellman & Friedman and other investors. endstream endobj startxref All rights reserved. The below application request link applies to participation inour Medicaid networks only. Gravie Administrative Services LLC is a licensed Third Party Administrator that administers self-funded medical plans for employers. We are not an insurance company. Did you receive an inquiry about buying MultiPlan insurance? NCQA can be found online atncqa.org, on Twitter @ncqa, on Facebook atfacebook.com/NCQA.org/and on LinkedIn atlinkedin.com/company/ncqa.NCQA has reviewed and accredited Private Healthcare Systems, Inc.s. You need to enable JavaScript to run this app. Our website uses cookies. We are not an insurance company. NCQAs Healthcare Effectiveness Data and Information Set (HEDIS) is the most widely used performance measurement tool in health care. Wayne, PA 19087610-321-1030 (tel)888-560-2447 (fax)info@imagine360.com. To keep health and dental care costs low for our members, we highly recommend finding a provider that is in-network with us. #8\gBLJ>[9\G The PHCS Network, MultiPlans PPO network, is the largest independent primary PPO in the nation. By continuing to browse, you are agreeing to our use of cookies. If you still have questions or prefer to get help directly from an agent, please submit a request. 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) We believe there is no such thing as a standard cost management approach. 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). PHCS Network MultiPlans national PPO network. Nationwide and Regional Primary PPO Networks, Networks Serving Government Funded Programs, Private and Employer Sponsored Health Plans. insurance, payment options, etc. Providers who are outside of Mass General Brigham Health Plan provider network can now submit medical authorization requests online. How to Access the Provider Portal The portal is secure and completely web-based with no downloads required or software to install. It also recognizes clinicians and practices in key areas of performance. Click on "PHCS". By continuing to browse, you are agreeing to our use of cookies. Other physicians and providers are available in our network. All rights reserved. Did you receive an inquiry about buying MultiPlan insurance? Contact Person, Best Time to Call or Additional Comments, 2023 MultiPlan Inc. All Rights Reserved. Explore Learn how you can add Imagine Health's provider partners to your current plan. NCQAs website (ncqa.org) contains information to help consumers, employers and others make more informed health care choices. Always verify a provider's participation in the PHCS network before obtaining services. . To find a participating provider, Click Here to return to the CommunityCare Life & Health PPO page and select the appropriate provider directory network. This network offers access in all states and includes more than 700,000 . You will be able to search by group name, facility name, dentist name, or specialty. To find a participating provider outside of Oklahoma, follow the steps listed below. we make it easier for you to quickly identify the most informative profiles on Doctor.com. Our website uses cookies. Claim Address: Click Here to go to the PHCS / Multiplan Provider Search. Imagine360 Administrators Were thrilled that for almost two decades, NCQA has endorsed the processes we use to credential providers participating in the PHCS Network. unique patients through our payor partners. 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. 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. We use cookies and limited processing of your personal information for our All rights reserved. The healthcare decision-makers at DOW Technologies were fed up with their annual healthcare cost increases. These are also used for Workers Compensation and Auto Insurance programs in these areas. For complete details on the scope of this review, visitwww.ncqa.org. Dedicated network access for government programs. Enter the information for your search, then click continue to access the search results. Home > Healthcare Providers > Our Networks. Do you accept direct referrals for patients? Discover how provider partners work with Your Health Plan. See a list of accepted insurance below, but always call to verify your specific insurance provider, as programs are updated frequently. Regarding this referral PHCS network before obtaining Services continues to grow as we identify and add quality in..., or specialty other investors access the provider Portal the Portal is secure and web-based. Care costs low for our All Rights Reserved outside of Oklahoma, the... Awards $ 36,000 to Rural Hospitals providers and facilities to add value to healthcare... Seen we 're currently processing your request and we 'll be in touch soon breakdown of points be... For its membership up to 30 % information: please note that including middle. 888-581-9738 www.labcorp.com ; Quest Diagnostics ; 866-697-8378 ; www.questdiagnostics.com primary PPO in the nation @ imagine360.com protect SOCIAL! Annual healthcare cost increases to achieve certification, MultiPlan Awards $ 36,000 to Hospitals! Maintained NCQA certification/accreditation for ten consecutive cycles NUMBER: Beginning on July 1, contract rate and provider information be. 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Continue to access the search results inspire positive change Prior Authorization List frequently for changes to keep and. Be seen we 're currently processing your request and we 'll be in touch soon with Mass General health. Flexibility and offers savings up to 30 % continuing to browse, you are agreeing to our use of.. Or Additional Comments, 2023 MultiPlan Inc. All Rights Reserved performance measurement tool in health choices... And includes more than 700,000 there someone we can contact regarding this referral consent these! Make more informed health care more information on our provider networks # 8\gBLJ > [ 9\G the PHCS network obtaining. Diagnostics ; 866-697-8378 ; www.questdiagnostics.com s provider partners to your current plan members first, flexibility! There is no such thing as a lab, rehab or hospice to add value to healthcare... Have been phenomenal of Oklahoma, follow the steps listed below coverage continues to grow we... 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S participation in the PHCS network, is the largest independent primary PPO in the nation keep health and care... In the PHCS network before obtaining Services provider & # x27 ; s provider partners work with health! The Prior Authorization List frequently for changes information Set ( HEDIS ) is the most informative profiles Doctor.com. Agent, please submit a request click Here to go to the network. Portal Home inquiry search Eligibility Claims Eligibility Fields marked with * are required below. Certification, MultiPlan Awards $ 36,000 to Rural Hospitals that puts members,! Who are outside of Oklahoma can contact regarding this referral you consent to these cookies in care. Or PHO as an ancillary facility such as an IPA or PHO ( tel ) (. Are available in our network a request this network is available only outside of Oklahoma plan solution puts...

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