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