MultiPlan will use the money from the IPO to pay back some of its existing debt and make investments for future growth. Click on "PHCS". Did you receive an inquiry about buying MultiPlan insurance? MultiPlan PHCS Locating a participating provider in the PHCS network begins with the specific network logo on the front of your medical ID card. 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. NCQAs website (ncqa.org) contains information to help consumers, employers and others make more informed health care choices. The healthcare decision-makers at DOW Technologies were fed up with their annual healthcare cost increases. The MultiPlan PHCS network is the nation's largest and most comprehensive independent PPO network. Providers are encouraged to review the Prior Authorization List frequently for changes. Were thrilled that for almost two decades, NCQA has endorsed the processes we use to credential providers participating in the PHCS Network. icon/heading/resources Information for providers Who is Gravie? 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) We are not an insurance company. . Please note that including your middle initial will help us find your information faster. 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. LabCorp . 2023 MultiPlan Corporation. NCQAs Healthcare Effectiveness Data and Information Set (HEDIS) is the most widely used performance measurement tool in health care. You need to enable JavaScript to run this app. Saint Charles, IL 60174. As a group of less than 25 practitioners. By continuing to use this website, you consent to these cookies. We are not an insurance company. To find a participating provider outside of Oklahoma, follow the steps listed below. NCQA has reviewed and Accredited the PHCS Networks Credentialing functions only. Provider Portal . HealthEOS and HealthEOS Plus Networks MultiPlans regional PPO networks in Wisconsin, with some coverage in bordering Michigan, Minnesota and Illinois. Enter the information for your search, then click continue to access the search results. It provides health plan members with seamless access to healthcare services whether they seek care in their backyard or across the country. As a group of less than 25 practitioners. 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. PHCS Network MultiPlans national PPO network. Providers who are outside of Mass General Brigham Health Plan provider network can now submit medical authorization requests online. We are not an insurance company. Claims, Payment Policies and Other Information. 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. 98% of participating providers are contracted directly, >100 network development professionals across the country, Are you a healthcare payor looking for more. Please locate the PHCS logo on your card and follow the corresponding instructions on this page. 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. You will be able to search by name, specialty, facility type, National Provider Identifier Number (NPI#), or license number. we make it easier for you to quickly identify the most informative profiles on Doctor.com. Benefits are administered through Gravie with primary and regional leased networks through PreferredOne, Cigna, Aetna, PHCS/Multiplan, HealthEOS, and TLC Advantage. These are also used for Workers Compensation and Auto Insurance programs in these areas. On February 24, 2023, the Departments issued a new directive effective February 27, instructing IDREs to resume making payment determinations for disputes involving items or services furnished before October 25, 2022. Please note: This network is available only outside of Oklahoma. All rights reserved. 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. Our website uses cookies. Choose "Click here if you do not have an account" for self-registration options. 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. Click Here to go to the PHCS / Multiplan Provider Search. As a group of 25 or more practitioners, such as an IPA or PHO. Wayne, PA 19087610-321-1030 (tel)888-560-2447 (fax)info@imagine360.com. By continuing to browse, you are agreeing to our use of cookies. 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 . Changes to any demographic information for providers contracted through a group must be submitted to MultiPlan on the group's Used standalone or in any combination, our services improve both performance and competitive advantage for our clients. 1550 Liberty Ridge Drive <p>Please press the Continue button to proceed.</p> <input type="submit" value="Continue" /> Provider Information: Please note that including your middle initial will help us find your information faster. Home > Healthcare Providers > Our Networks. NCQA accredits and certifies a wide range of health care organizations. This form is intended for: UnitedHealthCare Options PPO providers. MultiPlan is committed to helping healthcare payers manage the cost of care, improve their competitiveness and inspire positive change. Providers who are non-contracted with Mass General Brigham Health Plan. State Mandated Provider Contract Provisions, MultiPlan Practitioner Application Instructions. We are not an insurance company. See a list of accepted insurance below, but always call to verify your specific insurance provider, as programs are updated frequently. Discover why the PPO model is failing to deliver better health outcomes. Click on "Change Network". 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. CommunityCare Life and Health Members, please note: CommunityCare Life and Health Insurance Company utilizes the CommunityCare PPO Network within Oklahoma. For non-portal inquiries, please call 1-800-950-7040. . MultiPlan online application request form. It also recognizes clinicians and practices in key areas of performance. 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. 888-581-9738 www.labcorp.com ; Quest Diagnostics ; 866-697-8378 ; www.questdiagnostics.com . Other physicians and providers are available in our 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)? By continuing to browse, you are agreeing to our use of cookies. Nationwide and Regional Primary PPO Networks, Networks Serving Government Funded Programs, Private and Employer Sponsored Health Plans. 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. All rights reserved. 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. To find a participating provider, Click Here to return to the CommunityCare Life & Health PPO page and select the appropriate provider directory network. Is there a participating hospital within 25 miles of your primary practice location? As an acute care facility such as a hospital. Provider Directory. Doctor.com has profiles for millions of doctors and other health providers in the United States, including those who take Multiplan PHCS insurance. Our website uses cookies. PHCS logo. How to Access the Provider Portal The portal is secure and completely web-based with no downloads required or software to install. Our website uses cookies. Select Doctor or Facility search, then click continue. Explore Learn how you can add Imagine Health's provider partners to your current plan. As a group of 25 or more practitioners, such as an IPA or PHO. insurance, payment options, etc. You will be able to search by name, specialty, facility type, National Provider Identifier Number (NPI#), or license number. The new Accreditation is valid through June, 21, 2022. 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. If you still have questions or prefer to get help directly from an agent, please submit a request. Did you receive an inquiry about buying MultiPlan insurance? Discover how provider partners work with Your Health Plan. The front of your Primary practice location IPA or PHO CommunityCare Life and Health members, submit... Add Imagine Health & # x27 ; s largest and most comprehensive independent network! The Prior Authorization List frequently for changes insurance below, but always call to verify your specific insurance provider as. Credentialing functions only Application instructions has endorsed the processes we use to credential providers participating in the Networks. 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