. 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. MultiPlan will use the money from the IPO to pay back some of its existing debt and make investments for future growth. Contact Person, Best Time to Call or Additional Comments, 2023 MultiPlan Inc. All Rights Reserved. Discover why the PPO model is failing to deliver better health outcomes. Do you accept direct referrals for patients? 1550 Liberty Ridge Drive For complete details on the scope of this review, visitwww.ncqa.org. For more information, visit multiplan.com. All rights reserved. Authorization Submission Form. 2570 Foxfield, Suite 107. Did you receive an inquiry about buying MultiPlan insurance? 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. Select Doctor or Facility search, then click continue. 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. NCQA accredits and certifies a wide range of health care organizations. Savings have been drastic ($11 million). Employees are happy with their benefits, deductibles are 20% lower and premiums are 20% lower." Nick Porter, Vice President, Total Rewards Signature HealthCARE Provider Information: Please note that including your middle initial will help us find your information faster. And our coverage continues to grow as we identify and add quality physicians in local markets. website and services to function. MultiPlan PHCS Locating a participating provider in the PHCS network begins with the specific network logo on the front of your medical ID card. Were thrilled that for almost two decades, NCQA has endorsed the processes we use to credential providers participating in the PHCS Network. So they decided to take. 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 % ProfilePoints measure the overall completeness of a Networks are becoming narrower and more value-based, but consumers and regulators continue to demand access to in-network providers wherever and whenever care is sought. By continuing to browse, you are agreeing to our use of cookies. 2023 MultiPlan Corporation. As an acute care facility such as a hospital. Imagine360 Administrators 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. Well get back to you as soon as possible. See a list of accepted insurance below, but always call to verify your specific insurance provider, as programs are updated frequently. Beech Street Network MultiPlans regional PPO network in Alaska, Nevada and Utah. LabCorp . Search for a provider. <p>Please press the Continue button to proceed.</p> <input type="submit" value="Continue" /> Enter your email address and we will send you a link to reset your password. 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. The PHCS Network, MultiPlans PPO network, is the largest independent primary PPO in the nation. XlI]Q`^ (z V3D"T$:i HBA~aS,&n !B!Lg` NCQAs website (ncqa.org) contains information to help consumers, employers and others make more informed health care choices. As a group of less than 25 practitioners. Click on "Specific Services". Provider Portal . For enrollment or program information, contact the health plan administrator or government healthcare website for your state. No Surprises Act Update: IDR Entities Will Partially Resume Issuing Payment Determinations. 2023 MultiPlan Corporation. 2023 MultiPlan Corporation. AMN/HMN/RAN Network MultiPlans regional commercial PPO networks in, HealthEOS Workers Compensation and Auto Medical Networks, ValuePoint by MultiPlan MultiPlans nationwide access (discount) network, Texas True Choice Network MultiPlans network for Medicaid programs in Texa. Please locate the PHCS logo on your card and follow the corresponding instructions on this page. Eagan, MN 55121. You need to enable JavaScript to run this app. Provider Directory. ! MultiPlan contracts with over 1.2 million healthcare providers and facilities to add value to any healthcare payors network access strategy. You will be able to search by name, specialty, facility type, National Provider Identifier Number (NPI#), or license number. 98% of participating providers are contracted directly, >100 network development professionals across the country, Are you a healthcare payor looking for more. HPM50 ab PHCS network flier Rev 12/2018 Multiplan PHCS network Do you, or someone on your behalf, have admitting privileges to a hospital that participates in any of the MultiPlan networks (PHCS Network, MultiPlan Network or PHCS Savility)? We are not an insurance company. we make it easier for you to quickly identify the most informative profiles on Doctor.com. 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. NCQA has reviewed and Accredited the PHCS Networks Credentialing functions only. Choose "Click here if you do not have an account" for self-registration options. By continuing to browse, you are agreeing to our use of cookies. . 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. 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%. This form is intended for: UnitedHealthCare Options PPO providers. PHCS logo. For more information or assistance specific to our portal, please call MultiPlan Customer Service at 1-877-460-0352. You will be able to search by group name, facility name, dentist name, or specialty. We're currently processing your request and we'll be in touch soon. All rights reserved. Before scheduling your appointment or receiving services from these or any providers, check with the provider to confirm their participation in the network at . You need to enable JavaScript to run this app. Please note: This network is available only outside of . If a participation for that provider should also be confirmed before obtaining services. MultiPlan is owned by Hellman & Friedman and other investors. 168 0 obj <>stream We are not an insurance company. Enter the information for your search, then click continue to access the search results. Is there a participating hospital within 25 miles of your primary practice location? The PHCS Network is available in a variety of configurations including outside the plan service area, to extend local HMO or PPO coverage nationally. 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. CommunityCare Life and Health Members, please note: CommunityCare Life and Health Insurance Company utilizes the CommunityCare PPO Network within Oklahoma. 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. State Mandated Provider Contract Provisions, MultiPlan Practitioner Application Instructions. PHCS Network MultiPlans national PPO network. by providers with Doctor.com accounts when editing their profile on Doctor.com. 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) Our website uses cookies. Read how a regional provider-owned health plan extended primary network access for its membership. hbbd```b``@$Sd7d"6`9`0 "2@WuH HealthEOS and HealthEOS Plus Networks MultiPlans regional PPO networks in Wisconsin, with some coverage in bordering Michigan, Minnesota and Illinois. Home > Healthcare Providers > Our Networks. You can also create a general, printable directory of in-network providers near you by clicking on the Create Directory button. To do this, call 844-863-6850 or call MultiPlan at 800-922-4362. Select Doctor or Facility search, then click continue. 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. When selecting a provider, contact the provider's . By continuing to browse, you are agreeing to our use of cookies. . By showing providers with higher ProfilePoints first, Discover how provider partners work with Your Health Plan. All rights reserved. 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. By continuing to use this website, you consent to these cookies. The following Prior Authorization List is not an all-inclusive list and will be updated on a periodic basis. We use cookies on this website to give you the best experience and measure website usage. Our website uses cookies. NCQA is a private, nonprofit organization dedicated to improving health care quality. 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. LifeStance Health. 2023 CommunityCare HMO, Inc. All Rights Reserved. Please note that including your middle initial will help us find your information faster. Specific Services & quot ; government healthcare website for your state the informative. For you to quickly identify the most informative profiles on Doctor.com there a participating hospital within 25 of! Healthcare payors network access strategy payors to build robust provider networks a list of accepted insurance below but! 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