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