This form is intended for: UnitedHealthCare Options PPO providers. The PHCS Network, MultiPlans PPO network, is the largest independent primary PPO in the nation. 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. MultiPlan is owned by Hellman & Friedman and other investors. As a group of less than 25 practitioners. Beech Street Network MultiPlans regional PPO network in Alaska, Nevada and Utah. %%EOF if your ID card displays the MultiPlan or PHCS logo. Case Study: Partnering to achieve certification, MultiPlan Awards $36,000 to Rural Hospitals. You will be able to search by name, specialty, facility type, National Provider Identifier Number (NPI#), or license number. 2023 MultiPlan Corporation. 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. All rights reserved. The new Accreditation is valid through June, 21, 2022. By continuing to browse, you are agreeing to our use of cookies. As an ancillary facility such as a lab, rehab or hospice. #8\gBLJ>[9\G We are not an insurance company. The below application request link applies to participation inour Medicaid networks only. NCQAs website (ncqa.org) contains information to help consumers, employers and others make more informed health care choices. We're currently processing your request and we'll be in touch soon. 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). LifeStance Health. CommunityCare Life and Health Members, please note: CommunityCare Life and Health Insurance Company utilizes the CommunityCare PPO Network within Oklahoma. For more information or assistance specific to our portal, please call MultiPlan Customer Service at 1-877-460-0352. Medicaid service areas > Texas health plan partners > Medicaid provider services & education > Information for Medicaid members Providers are encouraged to review the Prior Authorization List frequently for changes. You need to enable JavaScript to run this app. %PDF-1.6 % Private and Employer Sponsored Health Plans Medicaid Medicare Advantage Workers' Compensation Auto Medical Our network brands Nationwide and Regional Primary PPO Networks Please note: This network is available only outside of Oklahoma. 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. 134 0 obj <>/Filter/FlateDecode/ID[<7DF81DA487C2EF44ACAA274C50B6F86F>]/Index[92 77]/Info 91 0 R/Length 173/Prev 547509/Root 93 0 R/Size 169/Type/XRef/W[1 3 1]>>stream 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. You will be able to search by name, specialty, facility type, National Provider Identifier Number (NPI#), or license number. Do you accept direct referrals for patients? How to Access the Provider Portal The portal is secure and completely web-based with no downloads required or software to install. 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. 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. Savings have been drastic ($11 million). MultiPlan PHCS Locating a participating provider in the PHCS network begins with the specific network logo on the front of your medical ID card. In accordance with our provider agreement and the Centers for Medicare and Medicaid (CMS) guidelines, we require providers participating with MultiPlan to maintain their demographic information noted below. As a group of 25 or more practitioners, such as an IPA or PHO. For more information, visit multiplan.com. Please press the Continue button to proceed. 516011. As a group of less than 25 practitioners. Did you receive an inquiry about buying MultiPlan insurance? Benefit Type* Subscriber SSN or Card ID* Subscriber Group #* Patient First Name Patient Gender* Male Female Patient Date of Birth* Provider TIN or SSN*(used in billing) website and services to function. 2023 MultiPlan Corporation. By continuing to browse, you are agreeing to our use of cookies. Get Directions 888-428-7890 877-428-7891. By continuing to browse, you are agreeing to our use of cookies. hb`````f``g@@,)B 5W353``>zEpC!+Y7H0+6+=;&R\$,b$/#aq Provider Directory. . The MultiPlan PHCS network is the nation's largest and most comprehensive independent PPO network. 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. . Discover how provider partners work with Your Health Plan. For more information, visitmultiplan.com. 168 0 obj <>stream hbbd```b``@$Sd7d"6`9`0 "2@WuH Always verify a provider's participation in the PHCS network before obtaining services. It provides health plan members with seamless access to healthcare services whether they seek care in their backyard or across the country. NCQAs Healthcare Effectiveness Data and Information Set (HEDIS) is the most widely used performance measurement tool in health care. To find a participating provider outside of Oklahoma, follow the steps listed below. MultiPlan does not manage Medicaid plans, rather we work directly with Medicaid payors to build robust provider networks. Planstin Administration Contact Person, Best Time to Call or Additional Comments, 2023 MultiPlan Inc. All Rights Reserved. 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. PROTECT YOUR SOCIAL SECURITY NUMBER: Beginning on July 1, contract rate and provider information will be posted publicly in machine-readable files. So they decided to take. The PHCS Network was first certified in 2001 and has maintained NCQA certification/accreditation for ten consecutive cycles. MultiPlan is owned by Hellman & Friedman and other investors. endstream endobj 93 0 obj <>/Metadata 4 0 R/PageLabels 88 0 R/Pages 90 0 R/StructTreeRoot 11 0 R/Type/Catalog/ViewerPreferences<>>> endobj 94 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>/XObject<>>>/Rotate 0/StructParents 1/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 95 0 obj <>stream You need to enable JavaScript to run this app. It also recognizes clinicians and practices in key areas of performance. For non-portal inquiries, please call 1-800-950-7040. . 2023 MultiPlan Corporation. 2570 Foxfield, Suite 107. To do this, call 844-863-6850 or call MultiPlan at 800-922-4362. Did you receive an inquiry about buying MultiPlan insurance? You need to enable JavaScript to run this app. 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. 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. Home > Healthcare Providers > Our Networks. For complete details on the scope of this review, visitwww.ncqa.org. To find a participating provider, Click Here to return to the CommunityCare Life & Health PPO page and select the appropriate provider directory network. The PHCS Network is available in a variety of configurations including outside the plan service area, to extend local HMO or PPO coverage nationally. As a group of 25 or more practitioners, such as an IPA or PHO. We are not an insurance company. Enter the information for your search, then click continue to access the search results. Is there someone we can contact regarding this referral? Bookmark it today at https://provider.multiplan.com/provider. We are not an insurance company. Please contact Quartz Customer Service at (800) 362-3310 with specific code information to determine if an item or service requires prior authorization. Changes to any demographic information for providers contracted through a group must be submitted to MultiPlan on the group's 888-581-9738 www.labcorp.com ; Quest Diagnostics ; 866-697-8378 ; www.questdiagnostics.com . All rights reserved. We use cookies on this website to give you the best experience and measure website usage. Find a Medical Provider. MultiPlan online application request form. ProfilePoints measure the overall completeness of a 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 . Were thrilled that for almost two decades, NCQA has endorsed the processes we use to credential providers participating in the PHCS Network. Please note: This network is available only outside of . As an ancillary facility such as a lab, rehab or hospice. 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. Gravie Administrative Services LLC is a licensed Third Party Administrator that administers self-funded medical plans for employers. MultiPlan PHCS network providers. Used standalone or in any combination, our services improve both performance and competitive advantage for our clients. HealthEOS and HealthEOS Plus Networks MultiPlans regional PPO networks in Wisconsin, with some coverage in bordering Michigan, Minnesota and Illinois. For enrollment or program information, contact the health plan administrator or government healthcare website for your state. Most popular medical specialty of providers who accept Multiplan PHCS: Family Doctor. If a participation for that provider should also be confirmed before obtaining services. 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. Dedicated network access for government programs. 2023 MultiPlan Corporation. Are you a healthcare payor looking for more information on our provider networks? 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. Search for a provider. 2023 CommunityCare HMO, Inc. All Rights Reserved. For a faster response, please call us directly at 888-666-8135. HPM50 ab PHCS network flier Rev 12/2018 Multiplan PHCS network MultiPlan is committed to helping healthcare payers manage the cost of care, improve their competitiveness and inspire positive change. Well get back to you as soon as possible. The healthcare decision-makers at DOW Technologies were fed up with their annual healthcare cost increases. Other physicians and providers are available in our network. hXmo6PH@v[l:t"\IN{H=Yok{lRp4g,Baaa(XrMQs0_ &P@;(Lj.D+X6R@q&D%`L+vWB&"-rZd"&Lb&90y6dTn" Providers who are non-contracted with Mass General Brigham Health Plan. Authorization Submission Form. Multiplan or PHCS logo for ten consecutive cycles or PHCS logo and competitive advantage our. Payors to build robust provider networks, NCQA has endorsed the processes we to., rehab or hospice Oklahoma, follow the steps listed below the experience... Processing your request and we 'll be in touch soon key areas of performance that provider should also confirmed! 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