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". All rights reserved. To do this, call 844-863-6850 or call MultiPlan at 800-922-4362. 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~. 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). To find a participating provider, Click Here to return to the CommunityCare Life & Health PPO page and select the appropriate provider directory network. As an acute care facility such as a hospital. (d/b/a PHCS Network) Credentialing functions only. Is there someone we can contact regarding this referral? 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) For enrollment or program information, contact the health plan administrator or government healthcare website for your state. by providers with Doctor.com accounts when editing their profile on Doctor.com. ProfilePoints measure the overall completeness of a Wayne, PA 19087610-321-1030 (tel)888-560-2447 (fax)info@imagine360.com. 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. You need to enable JavaScript to run this app. Planstin Administration %PDF-1.6 % 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. The MultiPlan PHCS network is the nation's largest and most comprehensive independent PPO network. Box 21747 168 0 obj <>stream Please locate the PHCS logo on your card and follow the corresponding instructions on this page. 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. We are not an insurance company. 2023 MultiPlan Corporation. . PHCS Network MultiPlans national PPO network. 2023 MultiPlan Corporation. You need to enable JavaScript to run this app. You need to enable JavaScript to run this app. 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. All rights reserved. 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)? Provider Directory. NCQA has reviewed and Accredited the PHCS Networks Credentialing functions only. 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. Did you receive an inquiry about buying MultiPlan insurance? All rights reserved. A self-funded health plan solution that puts members first, provides flexibility and offers savings up to 30%. Home > Healthcare Providers > Our Networks. Were thrilled that for almost two decades, NCQA has endorsed the processes we use to credential providers participating in the PHCS Network. 2023 MultiPlan Corporation. 2. We're currently processing your request and we'll be in touch soon. 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. <p>Please press the Continue button to proceed.</p> <input type="submit" value="Continue" /> Providers who are outside of Mass General Brigham Health Plan provider network can now submit medical authorization requests online. 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 . The PHCS Network is available in a variety of configurations including outside the plan service area, to extend local HMO or PPO coverage nationally. We believe there is no such thing as a standard cost management approach. For a faster response, please call us directly at 888-666-8135. MultiPlan] Author: Employee . No Surprises Act Update: IDR Entities Will Partially Resume Issuing Payment Determinations. Used standalone or in any combination, our services improve both performance and competitive advantage for our clients. [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.] Click on "PHCS". 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. Our website uses cookies. Provider Portal Provider Portal Home Inquiry Search Eligibility Claims Eligibility Fields marked with * are required. We use cookies and limited processing of your personal information for our CommunityCare is proudly owned by two of the regions premier health systems. It also recognizes clinicians and practices in key areas of performance. 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. 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 $15 billion annually. Gravie Administrative Services LLC is a licensed Third Party Administrator that administers self-funded medical plans for employers. we make it easier for you to quickly identify the most informative profiles on Doctor.com. You can also create a general, printable directory of in-network providers near you by clicking on the Create Directory button. icon/heading/resources Information for providers Who is Gravie? Click Here to go to the PHCS / Multiplan Provider Search. How to Access the Provider Portal The portal is secure and completely web-based with no downloads required or software to install. Please note that including your middle initial will help us find your information faster. Discover how provider partners work with Your Health Plan. hbbd```b``@$Sd7d"6`9`0 "2@WuH Did you receive an inquiry about buying MultiPlan insurance? 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 Claims, Payment Policies and Other Information. All rights reserved. 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 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. By continuing to browse, you are agreeing to our use of cookies. hb`````f``g@@,)B 5W353``>zEpC!+Y7H0+6+=;&R\$,b$/#aq Choose "Click here if you do not have an account" for self-registration options. Provider Directory. Imagine360 Administrators As a group of 25 or more practitioners, such as an IPA or PHO. As a group of 25 or more practitioners, such as an IPA or PHO. Eagan, MN 55121. The new Accreditation is valid through June, 21, 2022. Enter your email address and we will send you a link to reset your password. %%EOF The PHCS Network, MultiPlans PPO network, is the largest independent primary PPO in the nation. As a group of less than 25 practitioners. We are not an insurance company. Before scheduling your appointment or receiving services from these or any providers, check with the provider to confirm their participation in the network at . LabCorp . Did you receive an inquiry about buying MultiPlan insurance? Did you receive an inquiry about buying MultiPlan insurance? HealthEOS and HealthEOS Plus Networks MultiPlans regional PPO networks in Wisconsin, with some coverage in bordering Michigan, Minnesota and Illinois. Benefits are administered through Gravie with primary and regional leased networks through PreferredOne, Cigna, Aetna, PHCS/Multiplan, HealthEOS, and TLC Advantage. 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. All rights reserved. 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. 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) 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. XlI]Q`^ (z V3D"T$:i HBA~aS,&n !B!Lg` Are you a healthcare payor looking for more information on our provider networks? Please fill out the contact form below and we will reply as soon as possible. As an ancillary facility such as a lab, rehab or hospice. Select Doctor or Facility search, then click continue. Nationwide and Regional Primary PPO Networks, Networks Serving Government Funded Programs, Private and Employer Sponsored Health Plans. Get Directions 888-428-7890 877-428-7891. 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. Do you accept direct referrals for patients? 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: Providers are encouraged to review the Prior Authorization List frequently for changes. MultiPlan does not manage Medicaid plans, rather we work directly with Medicaid payors to build robust provider networks. Beech Street Network MultiPlans regional PPO network in Alaska, Nevada and Utah. Most popular medical specialty of providers who accept Multiplan PHCS: Family Doctor. These are also used for Workers Compensation and Auto Insurance programs in these areas. 2023 MultiPlan Corporation. See a list of accepted insurance below, but always call to verify your specific insurance provider, as programs are updated frequently. This network offers access in all states and includes more than 700,000 . Our website uses cookies. NCQAs Healthcare Effectiveness Data and Information Set (HEDIS) is the most widely used performance measurement tool in health care. PROTECT YOUR SOCIAL SECURITY NUMBER: Beginning on July 1, contract rate and provider information will be posted publicly in machine-readable files. 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. By continuing to browse, you are agreeing to our use of cookies. For complete details on the scope of this review, visitwww.ncqa.org. When selecting a provider, contact the provider'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. Search for a provider. 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. We use cookies on this website to give you the best experience and measure website usage. For more information or assistance specific to our portal, please call MultiPlan Customer Service at 1-877-460-0352. Is there a participating hospital within 25 miles of your primary practice location?