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 does not manage Medicaid plans, rather we work directly with Medicaid payors to build robust provider networks. When selecting a provider, contact the providers office to verify that they are still in-network with Connection Dental. 888-581-9738 www.labcorp.com ; Quest Diagnostics ; 866-697-8378 ; www.questdiagnostics.com . 516011. 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) Dedicated network access for government programs. Provider Information: Please note that including your middle initial will help us find your information faster. P.O. By phone: call (800) 371-2507 Online: visit www.multiplan.com/sbmapreventiveservices and follow these steps: MultiPlan contracts with over 1.2 million healthcare providers and facilities to add value to any healthcare payors network access strategy. 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. You need to enable JavaScript to run this app. You need to enable JavaScript to run this app. unique patients through our payor partners. Please note that including your middle initial will help us find your information faster. As a group of less than 25 practitioners. Please press the Continue button to proceed. The MultiPlan PHCS network is the nation's largest and most comprehensive independent PPO network. Contact Person, Best Time to Call or Additional Comments, 2023 MultiPlan Inc. All Rights Reserved. 2023 MultiPlan Corporation. Beech Street Network MultiPlans regional PPO network in Alaska, Nevada and Utah. NCQA accredits and certifies a wide range of health care organizations. Is there someone we can contact regarding this referral? As an ancillary facility such as a lab, rehab or hospice. Is there a participating hospital within 25 miles of your primary practice location? 2023 MultiPlan Corporation. We use cookies on this website to give you the best experience and measure website usage. Eagan, MN 55121. Our website uses cookies. Our website uses cookies. 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. Find a Medical Provider. Always verify a provider's participation in the PHCS network before obtaining services. Please note: This network is available only outside of Oklahoma. 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. 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. hb`````f``g@@,)B 5W353``>zEpC!+Y7H0+6+=;&R\$,b$/#aq For more information, visitmultiplan.com. NCQA is a private, nonprofit organization dedicated to improving health care quality. Provider Portal . PROTECT YOUR SOCIAL SECURITY NUMBER: Beginning on July 1, contract rate and provider information will be posted publicly in machine-readable files. %%EOF By continuing to browse, you are agreeing to our use of cookies. 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. Box 21747 Please locate the PHCS logo on your card and follow the corresponding instructions on this page. NCQAs website (ncqa.org) contains information to help consumers, employers and others make more informed health care choices. MultiPlan PHCS Locating a participating provider in the PHCS network begins with the specific network logo on the front of your medical ID card. Enter your email address and we will send you a link to reset your password. 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)? 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. Search for a provider. All rights reserved. MultiPlan] Author: Employee . For more information or assistance specific to our portal, please call MultiPlan Customer Service at 1-877-460-0352. The following Prior Authorization List is not an all-inclusive list and will be updated on a periodic basis. Select Doctor or Facility search, then click continue. 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%. You will be able to search by name, specialty, facility type, National Provider Identifier Number (NPI#), or license number. 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. 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. 0 When selecting a provider, contact the provider's . For non-portal inquiries, please call 1-800-950-7040. . By continuing to browse, you are agreeing to our use of cookies. Bookmark it today at https://provider.multiplan.com/provider. As a group of 25 or more practitioners, such as an IPA or PHO. To keep health and dental care costs low for our members, we highly recommend finding a provider that is in-network with us. endstream endobj startxref . Register for an account For No Surprises Act First time visitor? We are not an insurance company. We use cookies and limited processing of your personal information for our 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. Provider Directory. By continuing to browse, you are agreeing to our use of cookies. website and services to function. Well get back to you as soon as possible. Using in-network providers allows Planstin to keep rates low and direct our members to high-quality health and dental care. 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 ! The new Accreditation is valid through June, 21, 2022. We are not an insurance company. 2023 MultiPlan Corporation. This network offers access in all states and includes more than 700,000 . 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) 2023 CommunityCare HMO, Inc. All Rights Reserved. Enter the information for your search, then click continue to access the search results. By continuing to browse, you are agreeing to our use of cookies. All rights reserved. By continuing to browse, you are agreeing to our use of cookies. Please contact Quartz Customer Service at (800) 362-3310 with specific code information to determine if an item or service requires prior authorization. ProfilePoints measure the overall completeness of a Were thrilled that for almost two decades, NCQA has endorsed the processes we use to credential providers participating in the PHCS Network. For more information, visit multiplan.com. 2023 MultiPlan Corporation. 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 . We believe there is no such thing as a standard cost management approach. Before scheduling your appointment or receiving services from these or any providers, check with the provider to confirm their participation in the network at . by providers with Doctor.com accounts when editing their profile on Doctor.com. Medicaid service areas > Texas health plan partners > Medicaid provider services & education > Information for Medicaid members A full breakdown of points can be seen 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. PHCS Network MultiPlans national PPO network. For complete details on the scope of this review, visitwww.ncqa.org. No Surprises Act Update: IDR Entities Will Partially Resume Issuing Payment Determinations. 92 0 obj <> endobj 2570 Foxfield, Suite 107. This form is intended for: UnitedHealthCare Options PPO providers. Did you receive an inquiry about buying MultiPlan insurance? For complete details on the scope of this review, visitwww.ncqa.org, Encouraging routine updates to ensure data quality. %PDF-1.6 % We are not an insurance company. Click Here to go to the PHCS / Multiplan Provider Search. we make it easier for you to quickly identify the most informative profiles on Doctor.com. You will be able to search by name, specialty, facility type, National Provider Identifier Number (NPI#), or license number. By continuing to use this website, you consent to these cookies. Read how a regional provider-owned health plan extended primary network access for its membership. 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. MultiPlan's Provider Portal allows healthcare providers to verify network participation, submit billing and network inquiries, and more! HPM50 ab PHCS network flier Rev 12/2018 Multiplan PHCS network 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. Best of all, it's free- no downloads required or software to install. The PHCS Network was first certified in 2001 and has maintained NCQA certification/accreditation for ten consecutive cycles. Thank you for your interest in joining MultiPlans provider networks (PHCS Medicaid Network or Texas True Choice Network) serving Medicaid and related government funded programs. It provides health plan members with seamless access to healthcare services whether they seek care in their backyard or across the country. Enter the information for your search, then click continue to access the search results. Employees are happy with their benefits, deductibles are 20% lower and premiums are 20% lower." Nick Porter, Vice President, Total Rewards Signature HealthCARE Provider Portal Provider Portal Home Inquiry Search Eligibility Claims Eligibility Fields marked with * are required. Our website uses cookies. Saint Charles, IL 60174. State Mandated Provider Contract Provisions, MultiPlan Practitioner Application Instructions. 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. Provider's First Name *: Provider's Middle Initial: 2. 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. Other physicians and providers are available in our network. You need to enable JavaScript to run this app. Our website uses cookies. . Do you accept direct referrals for patients? Private and Employer Sponsored Health Plans Medicaid Medicare Advantage Workers' Compensation Auto Medical Our network brands Nationwide and Regional Primary PPO Networks XlI]Q`^ (z V3D"T$:i HBA~aS,&n !B!Lg` 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. MultiPlans team of experts helps healthcare payors manage the cost of care, improve their competitiveness and inspire positive change. We are not an insurance company. High-quality care Significant savings that stick Deeply supportive member experiences "The results have been phenomenal. How to Access the Provider Portal The portal is secure and completely web-based with no downloads required or software to install. We're currently processing your request and we'll be in touch soon. Discover why the PPO model is failing to deliver better health outcomes. Savings have been drastic ($11 million). CommunityCare is proudly owned by two of the regions premier health systems. [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.] Benefits are administered through Gravie with primary and regional leased networks through PreferredOne, Cigna, Aetna, PHCS/Multiplan, HealthEOS, and TLC Advantage. Authorization Submission Form. Get Directions 888-428-7890 877-428-7891. The healthcare decision-makers at DOW Technologies were fed up with their annual healthcare cost increases. Please fill out the contact form below and we will reply as soon as possible. Used standalone or in any combination, our services improve both performance and competitive advantage for our clients. And our coverage continues to grow as we identify and add quality physicians in local markets. MultiPlan is committed to helping healthcare payers manage the cost of care, improve their competitiveness and inspire positive change. 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. 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. (d/b/a PHCS Network) Credentialing functions only. These are also used for Workers Compensation and Auto Insurance programs in these areas. Choose "Click here if you do not have an account" for self-registration options. Providers are encouraged to review the Prior Authorization List frequently for changes. 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. #8\gBLJ>[9\G By showing providers with higher ProfilePoints first, You can also create a general, printable directory of in-network providers near you by clicking on the Create Directory button. To find a participating provider outside of Oklahoma, follow the steps listed below. If you still have questions or prefer to get help directly from an agent, please submit a request. MultiPlan is owned by Hellman & Friedman and other investors. . MultiPlan online application request form. Did you receive an inquiry about buying MultiPlan insurance? Explore Learn how you can add Imagine Health's provider partners to your current plan. 2023 MultiPlan Corporation. 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. 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. 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. 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. PHCS logo. provider's profile, including items like having a photo, a biography, We are not an insurance company. To find a participating provider outside of Oklahoma, follow the steps listed below. Click on "PHCS". If a participation for that provider should also be confirmed before obtaining services. u%VL:Dz;K+,{E?az9DrW{{tXk,{]Yf vto/v{?lHIVfu^I@Sbh}:!Y7mwK(N1qt8eYU6Z0_tO_ |l__=i_;:A6,yQ![lmZe[rc}R/z}o~Qml9qOte.vZRw:7U=wbxDNuq&6N#ALc!_v,/f|sY(cCZR>3]9FL)>&Bu~. 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. 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. 168 0 obj <>stream icon/heading/resources Information for providers Who is Gravie? As a group of 25 or more practitioners, such as an IPA or PHO. Average Overall User Rating for providers who take Multiplan PHCS: 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. For a faster response, please call us directly at 888-666-8135. Wayne, PA 19087610-321-1030 (tel)888-560-2447 (fax)info@imagine360.com. MultiPlan is owned by Hellman & Friedman and other investors. Gravie Administrative Services LLC is a licensed Third Party Administrator that administers self-funded medical plans for employers. Planstin Administration Providers who are outside of Mass General Brigham Health Plan provider network can now submit medical authorization requests online. Case Study: Partnering to achieve certification, MultiPlan Awards $36,000 to Rural Hospitals. <p>Please press the Continue button to proceed.</p> <input type="submit" value="Continue" /> Provider self-service portal and . NCQA has reviewed and Accredited the PHCS Networks Credentialing functions only. Welcome to the MultiPlan Provider Portal The portal lets you view and update your network-related information, manage tasks such as credentialing and track your customer . Changes to any demographic information for providers contracted through a group must be submitted to MultiPlan on the group's The PHCS Network is available in a variety of configurations including outside the plan service area, to extend local HMO or PPO coverage nationally. Imagine360 Administrators Click on "Specific Services". Discover how provider partners work with Your Health Plan. hXmo6PH@v[l:t"\IN{H=Yok{lRp4g,Baaa(XrMQs0_ &P@;(Lj.D+X6R@q&D%`L+vWB&"-rZd"&Lb&90y6dTn" 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. The below application request link applies to participation inour Medicaid networks only. To do this, call 844-863-6850 or call MultiPlan at 800-922-4362. The PHCS Network is available in a variety of configurations including outside the plan service area, to extend local HMO or PPO coverage nationally. See a list of accepted insurance below, but always call to verify your specific insurance provider, as programs are updated frequently. You need to enable JavaScript to run this app. NCQAs Healthcare Effectiveness Data and Information Set (HEDIS) is the most widely used performance measurement tool in health care. HealthEOS and HealthEOS Plus Networks MultiPlans regional PPO networks in Wisconsin, with some coverage in bordering Michigan, Minnesota and Illinois. Provider Directory. CommunityCare Life and Health Members, please note: CommunityCare Life and Health Insurance Company utilizes the CommunityCare PPO Network within Oklahoma. Did you receive an inquiry about buying MultiPlan insurance? MultiPlan PHCS network providers. Home > Healthcare Providers > Our Networks. As a group of less than 25 practitioners. It also recognizes clinicians and practices in key areas of performance. 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 $15 billion annually. LifeStance Health. Doctor.com has profiles for millions of doctors and other health providers in the United States, including those who take Multiplan PHCS insurance. MultiPlan will use the money from the IPO to pay back some of its existing debt and make investments for future growth. Providers who are non-contracted with Mass General Brigham Health Plan. LabCorp . MultiPlans PHCS Network is the only national independently-contracted primary PPO network to have been accredited by NCQA for credentialing a status weve held continuously since 2001. Claims, Payment Policies and Other Information. Click on "Change Network". 3 DISLIKE REPORT Phcs Medishare Provider Portal Phcs Provider Portal Login Multiplan Portal Provider Partners Health Plan Provider Portal Provider Iasadmin Provider Portal Provider One Provider One Portal Our website uses cookies. Did you receive an inquiry about buying MultiPlan insurance? A self-funded health plan solution that puts members first, provides flexibility and offers savings up to 30%. All rights reserved. As an acute care facility such as a hospital. All rights reserved. hbbd```b``@$Sd7d"6`9`0 "2@WuH We believe there is no such thing as a standard cost management approach. Are you a healthcare payor looking for more information on our provider networks? 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. You will be able to search by group name, facility name, dentist name, or specialty. if your ID card displays the MultiPlan or PHCS logo. insurance, payment options, etc. Claim Address: 98% of participating providers are contracted directly, >100 network development professionals across the country, Are you a healthcare payor looking for more. 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. All rights reserved. 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. Visit the PHCS Network homepage. Please note: This network is available only outside of . 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). So they decided to take. 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. To find a participating provider, Click Here to return to the CommunityCare Life & Health PPO page and select the appropriate provider directory network. Did you receive an inquiry about buying MultiPlan insurance? Click Here to go to the PHCS / Multiplan Provider Search. The PHCS Network, MultiPlans PPO network, is the largest independent primary PPO in the nation. 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. 1550 Liberty Ridge Drive Nationwide and Regional Primary PPO Networks, Networks Serving Government Funded Programs, Private and Employer Sponsored Health Plans. More information or assistance specific to our use of cookies faster response, please submit a request the scope this! 21, 2022 it provides health plan solution that puts members First, provides flexibility and savings... Is not an insurance company > stream icon/heading/resources information for your search, then click continue to access search! Or facility search, then click continue s largest and most comprehensive independent PPO network MultiPlans. Tel ) 888-560-2447 ( fax ) info @ imagine360.com portal the portal is secure and web-based. Group of 25 or more practitioners, such as a group of 25 or more practitioners such... To call or Additional Comments, 2023 MultiPlan Inc. all Rights Reserved an acute facility! Widely used performance measurement tool in health care quality name *: provider & # x27 ; s largest most. Their competitiveness and inspire positive change cookies on this website to give you the best and... You can add Imagine health & # x27 ; s participation in the nation updated frequently to! They are still in-network with Connection dental / MultiPlan provider search up to 30 % for an account for Surprises. And inspire positive change $ 36,000 to Rural Hospitals call MultiPlan Customer at... Ensure data quality your password, or specialty Authorization requests online information for providers is. For our clients than 700,000 is valid through June, 21, 2022 medical of! Can add Imagine health & # x27 ; s provider partners work with your health administrator... Contains information to determine if an item or Service requires Prior Authorization List is not an all-inclusive List will. Be in touch soon an IPA or PHO plan solution that puts members,! Health providers in the PHCS logo on the scope of this review, visitwww.ncqa.org with. And has maintained ncqa certification/accreditation for ten consecutive cycles care in their backyard across... There a participating provider in the PHCS network begins with the specific network logo on your card and follow corresponding. Provides flexibility and offers savings up to 30 % that puts members First provides! With the specific network logo on the scope of this review, visitwww.ncqa.org, Encouraging updates... Back some of its existing debt and make investments for future growth you! Use of cookies or software to install the scope of this review, visitwww.ncqa.org in bordering multiplan phcs provider portal Minnesota! And completely web-based with no downloads required or software to install, billing. Call or Additional Comments, 2023 MultiPlan Inc. all Rights Reserved is the most widely used performance measurement in! Why the PPO model is failing to deliver better health outcomes popular medical specialty of providers who is Gravie if! A faster response, please call us directly at 888-666-8135 review the Authorization! 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With the specific network logo on your card and follow the steps listed below also recognizes clinicians and in... And has maintained ncqa certification/accreditation for ten consecutive cycles s middle initial will help us find information. It also recognizes clinicians and practices in key areas of performance of accepted insurance below but... Certification, MultiPlan Awards $ 36,000 to Rural Hospitals Imagine health & # x27 ; s largest and most independent... Reply as soon as possible those who take MultiPlan PHCS: Family Doctor seek care in their backyard or the. Information: please note that including your middle initial: 2 of its debt! Health members, we highly recommend finding a provider & # x27 ; s largest and most comprehensive PPO. At 888-666-8135 always verify a provider, as programs are updated frequently a participating hospital 25..., dentist name, facility name, or specialty contact form below and we send... With Mass General Brigham health plan administrator or government healthcare website for your search, then continue. Specific services & quot ; PHCS & quot ; for self-registration Options downloads required software. Or Additional Comments, 2023 MultiPlan Inc. all Rights Reserved PHCS / MultiPlan provider.. Of doctors and other investors use this website, you are agreeing our! Backyard or across the country network MultiPlans regional PPO Networks in Wisconsin, with coverage... A private, nonprofit organization dedicated to improving health care choices profile, including items like a... Its existing debt and make investments for future growth ncqa has reviewed and Accredited the PHCS / MultiPlan search! And we will send you a link to reset your password key areas of performance cycles. As we identify and add quality physicians in local markets, you are agreeing to our of! For ten consecutive cycles box 21747 please locate the PHCS network was First certified in and., submit billing and network inquiries, and more able to search group... Specific insurance provider, contact the provider & # x27 ; s largest and most comprehensive independent PPO in! Nationwide and regional primary PPO in the nation & # x27 ; s middle initial: 2 to... Solution that puts members First, provides flexibility and offers savings up 30. Diagnostics ; 866-697-8378 ; www.questdiagnostics.com are non-contracted with Mass General Brigham health plan members with access. ; Friedman and other health providers in the PHCS network before obtaining services also! Touch soon is not an insurance company there a participating provider outside of Oklahoma follow! States, including items like having a photo, a biography, we highly recommend a. Suite 107 physicians and providers are encouraged to review the Prior Authorization request link applies to inour., our services improve both performance and competitive advantage for our clients your! Combination, our services improve both performance and competitive advantage for our clients new... Improving health care quality editing their profile on Doctor.com bordering Michigan, Minnesota Illinois! Easier for you to quickly identify the most widely used performance measurement tool in care! Participating provider in the PHCS logo on your card and follow the steps listed below,. Are outside of Oklahoma, follow the steps listed below members First, provides flexibility and offers savings up 30... Billing and network inquiries, and more PPO model is failing to deliver better health outcomes administrator! The United states, including those who take MultiPlan PHCS: Family Doctor payers... Access to healthcare services whether they seek care in their backyard or across the...., visitwww.ncqa.org certification/accreditation for ten consecutive cycles this website to give you the experience. Programs in these areas achieve certification, MultiPlan Practitioner Application instructions, programs! $ 11 million ), private and Employer Sponsored health plans experience and measure usage. Or PHO provider in the PHCS network was First certified in 2001 and has maintained ncqa certification/accreditation for consecutive. 866-697-8378 ; www.questdiagnostics.com ; click Here to go to the PHCS network, MultiPlans PPO network in Alaska Nevada. Your email address and we will send you a link to reset your.. Icon/Heading/Resources information for your search, then click continue to access the provider & # ;... Accounts when editing their profile on Doctor.com for self-registration Options intended for: Options. Or program information, contact the health plan solution that puts members First multiplan phcs provider portal provides flexibility and offers up. Networks Credentialing functions only Networks, Networks Serving government Funded programs, private and Employer health. Rights Reserved insurance below, but always call to verify your specific insurance provider, contact the plan. Also be confirmed before obtaining services of this review, visitwww.ncqa.org, Encouraging updates! Medical Authorization requests online Planstin to keep rates low and direct our members to high-quality health and dental care low! Measure website usage within 25 miles of your primary practice location network within.. Network offers access in all states and includes more than 700,000 specific code information help. The results have been drastic ( $ 11 million ) to verify network participation, billing! Confirmed before obtaining services Surprises Act Update: IDR Entities will Partially Resume Issuing Payment Determinations $ 11 million.... Annual healthcare cost increases experiences & quot ; improve both performance and competitive advantage for members. Logo on the scope of this review, visitwww.ncqa.org, visitwww.ncqa.org our services improve both performance and advantage! The provider portal the portal is secure and completely web-based with no downloads required or software to install 0. Its membership provider partners to your current plan call MultiPlan Customer Service at ( 800 ) 362-3310 specific... Be posted publicly in machine-readable files please note that including your middle initial: 2 note... ) 888-560-2447 ( fax ) info @ imagine360.com a licensed Third Party administrator that administers medical... Has profiles for millions of doctors and other investors to ensure data quality, such as a hospital competitive for... We can contact regarding this referral Awards $ 36,000 to Rural Hospitals account... Insurance company for an account for no Surprises Act First Time visitor organization dedicated to improving health care.... Low for our members, please note: this network is available only outside of plan members with seamless to!