Discover why the PPO model is failing to deliver better health outcomes. 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) Contact Person, Best Time to Call or Additional Comments, 2023 MultiPlan Inc. All Rights Reserved. You need to enable JavaScript to run this app. Select Doctor or Facility search, then click continue. For complete details on the scope of this review, visitwww.ncqa.org, Encouraging routine updates to ensure data quality. 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. Private and Employer Sponsored Health Plans Medicaid Medicare Advantage Workers' Compensation Auto Medical Our network brands Nationwide and Regional Primary PPO Networks High-quality care Significant savings that stick Deeply supportive member experiences "The results have been phenomenal. Enter your email address and we will send you a link to reset your password. You need to enable JavaScript to run this app. Claims, Payment Policies and Other Information. 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. provider's profile, including items like having a photo, a biography, You will be able to search by name, specialty, facility type, National Provider Identifier Number (NPI#), or license number. 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. Gravie Administrative Services LLC is a licensed Third Party Administrator that administers self-funded medical plans for employers. Well get back to you as soon as possible. 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. #8\gBLJ>[9\G Please note that including your middle initial will help us find your information faster. 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. NCQAs website (ncqa.org) contains information to help consumers, employers and others make more informed health care choices. Click on "Specific Services". We use cookies on this website to give you the best experience and measure website usage. MultiPlan PHCS network providers. Case Study: Partnering to achieve certification, MultiPlan Awards $36,000 to Rural Hospitals. Flexible healthcare provider networks for payors, Available for commercial, Medicare Advantage, and Property and Casualty healthcare payors, Innovative contracts add value for all types of health plans. For more information, visit multiplan.com. MultiPlan's networks are used by our clients to provide access for their members to a variety of commercial, property & casualty, and government sponsored health care programs. Leveraging sophisticated technology, data analytics, and a team rich with industry experience, the company interprets clients needs and customizes innovative solutions that combine its payment integrity, network-based and analyticsbased services. We are not an insurance company. hbbd```b``@$Sd7d"6`9`0 "2@WuH 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 . Provider Directory. Find a Medical Provider. Did you receive an inquiry about buying MultiPlan insurance? By continuing to browse, you are agreeing to our use of cookies. Saint Charles, IL 60174. P.O. 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. . Please press the Continue button to proceed. For complete details on the scope of this review, visitwww.ncqa.org. MultiPlan] Author: Employee . 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. Changes to any demographic information for providers contracted through a group must be submitted to MultiPlan on the group's We use cookies and limited processing of your personal information for our As an ancillary facility such as a lab, rehab or hospice. Most popular medical specialty of providers who accept Multiplan PHCS: Family Doctor. Is there someone we can contact regarding this referral? 2023 MultiPlan Corporation. Are you a healthcare payor looking for more information on our provider networks? 98% of participating providers are contracted directly, >100 network development professionals across the country, Are you a healthcare payor looking for more. Always verify a provider's participation in the PHCS network before obtaining services. As an acute care facility such as a hospital. 1550 Liberty Ridge Drive To do this, call 844-863-6850 or call MultiPlan at 800-922-4362. We are not an insurance company. MultiPlan contracts with over 1.2 million healthcare providers and facilities to add value to any healthcare payors network access strategy. 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. Click Here to go to the PHCS / Multiplan Provider Search. And our coverage continues to grow as we identify and add quality physicians in local markets. We are not an insurance company. Did you receive an inquiry about buying MultiPlan insurance? These are also used for Workers Compensation and Auto Insurance programs in these areas. MultiPlan is owned by Hellman & Friedman and other investors. For more information or assistance specific to our portal, please call MultiPlan Customer Service at 1-877-460-0352. 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. We are not an insurance company. Imagine360 Administrators MultiPlan PHCS Locating a participating provider in the PHCS network begins with the specific network logo on the front of your medical ID card. Used standalone or in any combination, our services improve both performance and competitive advantage for our clients. hb`````f``g@@,)B 5W353``>zEpC!+Y7H0+6+=;&R\$,b$/#aq The new Accreditation is valid through June, 21, 2022. As a group of 25 or more practitioners, such as an IPA or PHO. Please note: This network is available only outside of Oklahoma. Get Directions 888-428-7890 877-428-7891. 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 $15 billion annually. Planstin Administration NCQAs Healthcare Effectiveness Data and Information Set (HEDIS) is the most widely used performance measurement tool in health care. LabCorp . NCQA is a private, nonprofit organization dedicated to improving health care quality. The PHCS Network, MultiPlans PPO network, is the largest independent primary PPO in the nation. Please note: This network is available only outside of . MultiPlans team of experts helps healthcare payors manage the cost of care, improve their competitiveness and inspire positive change. Bookmark it today at https://provider.multiplan.com/provider. PHCS Network MultiPlans national PPO network. When selecting a provider, contact the provider's . When selecting a provider, contact the providers office to verify that they are still in-network with PHCS and that the providers billing NPI# is contracted through the PHCS/Multiplan network. For more information, visitmultiplan.com. 2023 MultiPlan Corporation. To maintain its NCQA Accreditation in Credentialing, the PHCS Network underwent a rigorous review of the credentialing and recredentialing processes and demonstrated compliance with NCQAs standards. MultiPlan does not manage Medicaid plans, rather we work directly with Medicaid payors to build robust provider networks. Box 21747 [Note: You may already participate in one or more of our PPO networks (PHCS, MultiPlan, HealthEOS) that serve the privately-funded health care market, but are covered by a separate agreement.] Medicaid service areas > Texas health plan partners > Medicaid provider services & education > Information for Medicaid members XlI]Q`^ (z V3D"T$:i HBA~aS,&n !B!Lg` So they decided to take. MultiPlan online application request form. 2570 Foxfield, Suite 107. PROTECT YOUR SOCIAL SECURITY NUMBER: Beginning on July 1, contract rate and provider information will be posted publicly in machine-readable files. Savings have been drastic ($11 million). 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. Explore Learn how you can add Imagine Health's provider partners to your current plan. The MultiPlan PHCS network is the nation's largest and most comprehensive independent PPO network. For a faster response, please call us directly at 888-666-8135. . For non-portal inquiries, please call 1-800-950-7040. . Using in-network providers allows Planstin to keep rates low and direct our members to high-quality health and dental care. MultiPlan is committed to helping healthcare payers manage the cost of care, improve their competitiveness and inspire positive change. 2023 MultiPlan Corporation. 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. if your ID card displays the MultiPlan or PHCS logo. To find a participating provider outside of Oklahoma, follow the steps listed below. We are not an insurance company. Authorization Submission Form. Provider Portal Provider Portal Home Inquiry Search Eligibility Claims Eligibility Fields marked with * are required. 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. PHCS logo. Eagan, MN 55121. When selecting a provider, contact the providers office to verify that they are still in-network with Connection Dental. 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. The PHCS Network was first certified in 2001 and has maintained NCQA certification/accreditation for ten consecutive cycles. Our website uses cookies. 2023 MultiPlan Corporation. Were thrilled that for almost two decades, NCQA has endorsed the processes we use to credential providers participating in the PHCS Network. CommunityCare is proudly owned by two of the regions premier health systems. Benefits are administered through Gravie with primary and regional leased networks through PreferredOne, Cigna, Aetna, PHCS/Multiplan, HealthEOS, and TLC Advantage. Please locate the PHCS logo on your card and follow the corresponding instructions on this page. All rights reserved. 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. All rights reserved. For enrollment or program information, contact the health plan administrator or government healthcare website for your state. Dedicated network access for government programs. website and services to function. By continuing to browse, you are agreeing to our use of cookies. 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. 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