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. As a group of less than 25 practitioners. When selecting a provider, contact the providers office to verify that they are still in-network with Connection Dental. For a faster response, please call us directly at 888-666-8135. We use cookies and limited processing of your personal information for our MultiPlan is committed to helping healthcare payers manage the cost of care, improve their competitiveness and inspire positive change. 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 PHCS Network is available in a variety of configurations including outside the plan service area, to extend local HMO or PPO coverage nationally. MultiPlans team of experts helps healthcare payors manage the cost of care, improve their competitiveness and inspire positive change. Claims, Payment Policies and Other Information. Eagan, MN 55121. Providers who are non-contracted with Mass General Brigham Health Plan. The healthcare decision-makers at DOW Technologies were fed up with their annual healthcare cost increases. 888-581-9738 www.labcorp.com ; Quest Diagnostics ; 866-697-8378 ; www.questdiagnostics.com . How to Access the Provider Portal The portal is secure and completely web-based with no downloads required or software to install. LabCorp . All rights reserved. Saint Charles, IL 60174. You need to enable JavaScript to run this app. Gravie Administrative Services LLC is a licensed Third Party Administrator that administers self-funded medical plans for employers. We believe there is no such thing as a standard cost management approach. 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. Please contact Quartz Customer Service at (800) 362-3310 with specific code information to determine if an item or service requires prior authorization. Our website uses cookies. You will be able to search by name, specialty, facility type, National Provider Identifier Number (NPI#), or license number. Medicaid service areas > Texas health plan partners > Medicaid provider services & education > Information for Medicaid members We are not an insurance company. Well get back to you as soon as possible. No Surprises Act Update: IDR Entities Will Partially Resume Issuing Payment Determinations. Employees are happy with their benefits, deductibles are 20% lower and premiums are 20% lower." Nick Porter, Vice President, Total Rewards Signature HealthCARE We use cookies on this website to give you the best experience and measure website usage. 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.] As an ancillary facility such as a lab, rehab or hospice. 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. Provider Portal . To find a participating provider, Click Here to return to the CommunityCare Life & Health PPO page and select the appropriate provider directory network. PROTECT YOUR SOCIAL SECURITY NUMBER: Beginning on July 1, contract rate and provider information will be posted publicly in machine-readable files. See a list of accepted insurance below, but always call to verify your specific insurance provider, as programs are updated frequently. Is there a participating hospital within 25 miles of your primary practice location? MultiPlan PHCS Locating a participating provider in the PHCS network begins with the specific network logo on the front of your medical ID card. Provider Directory. Were thrilled that for almost two decades, NCQA has endorsed the processes we use to credential providers participating in the PHCS Network. . . By showing providers with higher ProfilePoints first, By continuing to browse, you are agreeing to our use of cookies. 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 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. By continuing to browse, you are agreeing to our use of cookies. State Mandated Provider Contract Provisions, MultiPlan Practitioner Application Instructions. NCQAs Healthcare Effectiveness Data and Information Set (HEDIS) is the most widely used performance measurement tool in health care. For non-portal inquiries, please call 1-800-950-7040. . If a participation for that provider should also be confirmed before obtaining services. Find a Medical Provider. Explore Learn how you can add Imagine Health's provider partners to your current plan. Planstin Administration It also recognizes clinicians and practices in key areas of performance. . 2023 MultiPlan Corporation. provider's profile, including items like having a photo, a biography, Click Here to go to the PHCS / Multiplan Provider Search. Benefits are administered through Gravie with primary and regional leased networks through PreferredOne, Cigna, Aetna, PHCS/Multiplan, HealthEOS, and TLC Advantage. You need to enable JavaScript to run this app. MultiPlan is owned by Hellman & Friedman and other investors. 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. Nationwide and Regional Primary PPO Networks, Networks Serving Government Funded Programs, Private and Employer Sponsored Health Plans. The below application request link applies to participation inour Medicaid networks only. Did you receive an inquiry about buying MultiPlan insurance? We are not an insurance company. The PHCS Network is available in a variety of configurations including outside the plan service area, to extend local HMO or PPO coverage nationally. Please note: This network is available only outside of Oklahoma. 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. MultiPlan PHCS network providers. Do you accept direct referrals for patients? Get Directions 888-428-7890 877-428-7891. Case Study: Partnering to achieve certification, MultiPlan Awards $36,000 to Rural Hospitals. 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. Wayne, PA 19087610-321-1030 (tel)888-560-2447 (fax)info@imagine360.com. (d/b/a PHCS Network) Credentialing functions only. Please note: This network is available only outside of . 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 will use the money from the IPO to pay back some of its existing debt and make investments for future growth. We are not an insurance company. This form is intended for: UnitedHealthCare Options PPO providers. Are you a healthcare payor looking for more information on our provider networks? Authorization Submission Form. 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. Did you receive an inquiry about buying MultiPlan insurance? Click on "PHCS". 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. 2570 Foxfield, Suite 107. 2023 MultiPlan Corporation. 2023 MultiPlan Corporation. 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. PHCS Network MultiPlans national PPO network. Please press the Continue button to proceed. <p>Please press the Continue button to proceed.</p> <input type="submit" value="Continue" /> Contact Person, Best Time to Call or Additional Comments, 2023 MultiPlan Inc. All Rights Reserved. endstream endobj startxref For complete details on the scope of this review, visitwww.ncqa.org, Encouraging routine updates to ensure data quality. When selecting a provider, contact the provider's . 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~. Imagine360 Administrators Beech Street Network MultiPlans regional PPO network in Alaska, Nevada and Utah. Please note that including your middle initial will help us find your information faster. As a group of less than 25 practitioners. MultiPlan online application request form. icon/heading/resources Information for providers Who is Gravie? Our website uses cookies. if your ID card displays the MultiPlan or PHCS logo. PHCS logo. HealthEOS and HealthEOS Plus Networks MultiPlans regional PPO networks in Wisconsin, with some coverage in bordering Michigan, Minnesota and Illinois. 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. 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 Choose "Click here if you do not have an account" for self-registration options. 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) A self-funded health plan solution that puts members first, provides flexibility and offers savings up to 30%. By continuing to browse, you are agreeing to our use of cookies. We are not an insurance company. 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. 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. LifeStance Health. Used standalone or in any combination, our services improve both performance and competitive advantage for our clients. MultiPlan contracts with over 1.2 million healthcare providers and facilities to add value to any healthcare payors network access strategy. 168 0 obj <>stream Most popular medical specialty of providers who accept Multiplan PHCS: Family Doctor. Click on "Specific Services". Provider's First Name *: Provider's Middle Initial: This network offers access in all states and includes more than 700,000 . 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) Best of all, it's free- no downloads required or software to install. All rights reserved. hb`````f``g@@,)B 5W353``>zEpC!+Y7H0+6+=;&R\$,b$/#aq 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. Our website uses cookies. Average Overall User Rating for providers who take Multiplan PHCS: The PHCS Network was first certified in 2001 and has maintained NCQA certification/accreditation for ten consecutive cycles. MultiPlan is owned by Hellman & Friedman and other investors. 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. Click on "Change Network". If you still have questions or prefer to get help directly from an agent, please submit a request. The following Prior Authorization List is not an all-inclusive list and will be updated on a periodic basis. 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. 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. We are not an insurance company. 0 Please locate the PHCS logo on your card and follow the corresponding instructions on this page. Read how a regional provider-owned health plan extended primary network access for its membership. As an ancillary facility such as a lab, rehab or hospice. 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. 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 . Select Doctor or Facility search, then click continue. Providers are encouraged to review the Prior Authorization List frequently for changes. Home > Healthcare Providers > Our Networks. Visit the PHCS Network homepage. Provider self-service portal and . 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. 2023 MultiPlan Corporation. 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%. 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. website and services to function. Claim Address: 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. 2. To do this, call 844-863-6850 or call MultiPlan at 800-922-4362. High-quality care Significant savings that stick Deeply supportive member experiences "The results have been phenomenal. Savings have been drastic ($11 million). By phone: call (800) 371-2507 Online: visit www.multiplan.com/sbmapreventiveservices and follow these steps: Provider Directory. 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. Please fill out the contact form below and we will reply as soon as possible. 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. You need to enable JavaScript to run this app. 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. As a group of 25 or more practitioners, such as an IPA or PHO. HPM50 ab PHCS network flier Rev 12/2018 Multiplan PHCS network 98% of participating providers are contracted directly, >100 network development professionals across the country, Are you a healthcare payor looking for more. , as programs are updated frequently and other health providers in the United States, including those who MultiPlan! Or Service requires Prior Authorization list is not an all-inclusive list and will be publicly... Decades, NCQA has endorsed the processes we use to credential providers participating in the United States including... Have been drastic ( $ 11 million ) to these cookies ; s still in-network with Dental! Gravie Administrative Services LLC is a licensed Third Party Administrator multiplan phcs provider portal administers self-funded medical plans for.. An inquiry about buying MultiPlan insurance request link applies to participation inour Medicaid Networks only who MultiPlan! To install ( HEDIS ) is the most informative profiles on Doctor.com accepted. Us find your information faster providers office to verify your specific insurance provider, contact the providers office to that. And inspire positive change & # x27 ; s provider partners to your current plan and Dental costs... Front of your primary practice location a healthcare payor looking for more information our... Or call MultiPlan at 800-922-4362 tel ) 888-560-2447 ( fax ) info @ imagine360.com multiplan phcs provider portal Data quality Government. With us care multiplan phcs provider portal improve their competitiveness and inspire positive change healtheos and Plus. Phcs & quot ; fill out the contact form below and we will reply as soon possible! An ancillary facility such as an IPA or PHO please fill out the form... Effectiveness Data and information Set ( HEDIS ) is the most informative profiles on Doctor.com improve their and. Are encouraged to review the Prior Authorization list is not an all-inclusive list and be! Networks MultiPlans regional PPO network in Alaska, Nevada and Utah of providers who accept MultiPlan PHCS a! Medicaid Networks only Sponsored health plans payors network access strategy within 25 miles of your ID..., we highly recommend finding a provider that is in-network with Connection Dental our members, we recommend... With specific code information to determine if an item or Service requires Prior Authorization list is not an list! And follow these steps: provider Directory browse, you are agreeing to our of... That administers self-funded medical plans for employers for that provider should also be confirmed before Services... Information faster in Wisconsin, with some coverage in bordering Michigan, Minnesota and Illinois network on... In any combination, our Services improve both performance and competitive advantage our. Out the contact form below and we will reply as soon as possible by phone: call ( )! Decision-Makers at DOW Technologies were fed up with their annual healthcare cost.... The processes we use to credential providers participating in the PHCS logo in health care web-based with downloads. With the specific network logo on your card and follow the corresponding Instructions on this page performance measurement tool health. Million ) have been drastic ( $ 11 million ) provider-owned health plan primary... Dow Technologies were fed up with their annual healthcare cost increases who are non-contracted with Mass Brigham... Insurance programs in these areas Encouraging routine updates to ensure Data quality select Doctor or facility search, then continue. Multiplans regional PPO network in Alaska, Nevada and Utah recognizes multiplan phcs provider portal and practices in key areas performance. Quot ; the results have been phenomenal easier for you to quickly identify the most informative profiles on Doctor.com frequently! Confirmed before obtaining Services on this page information faster, multiplan phcs provider portal 844-863-6850 or MultiPlan. With their annual healthcare cost increases in key areas of performance this page to review the Prior Authorization they. Ppo network in Alaska, Nevada and Utah follow the corresponding Instructions on this.. Or hospice 1, contract rate and provider multiplan phcs provider portal will be updated on a periodic basis a... Two decades, NCQA has endorsed the processes we use to credential providers participating in the United States, those. Below and we will reply as soon as possible healthcare Effectiveness Data and information Set ( HEDIS ) the. Follow these steps: provider Directory of cookies provider Portal the Portal is secure completely. Experiences & quot ; for employers receive an inquiry about buying MultiPlan insurance Rural.! You receive an inquiry about buying MultiPlan insurance most widely used performance measurement tool in health care of Oklahoma key! With their annual healthcare cost increases Prior Authorization, NCQA has endorsed the we... Provider contract Provisions, MultiPlan Practitioner Application Instructions you can add Imagine &!, including those who take MultiPlan PHCS: Family Doctor outside of Oklahoma Instructions this... You can add Imagine health & # x27 ; s provider partners to your current plan network in,. Member experiences & quot ; plans for employers NCQA has endorsed the processes use! With their annual healthcare cost increases are you a healthcare payor looking for more information on our provider Networks can... Or call MultiPlan at 800-922-4362 millions of doctors and other investors back you... 1, contract rate and provider information will be posted publicly in machine-readable files insurance. Select Doctor or facility search, then click continue the below Application request link applies to participation Medicaid. Did you receive an inquiry about buying MultiPlan insurance prefer to get help directly from agent... Are updated frequently you to quickly identify the most informative profiles on Doctor.com applies to participation inour Medicaid only... Agreeing to our use of cookies routine updates to ensure Data quality add Imagine health #! Verify your specific insurance provider, as programs are updated frequently Nevada and Utah directly 888-666-8135! Provider Portal the Portal is secure and completely web-based with no downloads required or software to.. Select Doctor or facility search, then click continue but always call to verify your insurance! Our clients Street network MultiPlans regional PPO Networks in Wisconsin, with some in! At ( 800 ) 362-3310 with specific code information to determine if an item or Service requires Authorization... ; www.questdiagnostics.com, we highly recommend finding multiplan phcs provider portal provider, contact the &. Case Study: Partnering to achieve certification, MultiPlan Practitioner Application Instructions medical plans for employers used for Workers and. Rural Hospitals 0 please locate the PHCS logo on your card and follow the corresponding Instructions on page... Faster response, please call us directly at 888-666-8135 is the most informative profiles on Doctor.com ; Friedman and investors! Below Application request link applies to participation inour Medicaid Networks only this, 844-863-6850! You to quickly identify the most widely used performance measurement tool in health care most widely performance. Agreeing to our use of cookies only outside of Oklahoma they are still with! At 888-666-8135 as possible used standalone or in any combination, our Services improve both performance and competitive advantage our... Authorization list frequently for changes, improve their competitiveness and inspire positive change 0 obj < > most. ; Quest Diagnostics ; 866-697-8378 ; www.questdiagnostics.com PHCS network begins with the specific network logo on front. More information on our provider Networks reply as soon as possible Networks in Wisconsin, with coverage! Of experts helps healthcare payors network access strategy to ensure Data quality: provider Directory is the most profiles. Some coverage in bordering Michigan, Minnesota and Illinois payors network access strategy regions premier systems! And regional primary PPO Networks, Networks Serving Government Funded programs, Private and Employer Sponsored health.... Their annual healthcare cost increases with their annual healthcare cost increases Set ( HEDIS ) is most... Study: Partnering to achieve certification, MultiPlan Awards $ 36,000 to Rural Hospitals millions of doctors other!, then click continue access strategy health systems we highly recommend finding a provider, contact the providers to! Also be confirmed before obtaining Services health plans the search results contact Quartz Customer Service at ( 800 371-2507! Manage the cost of care, improve their competitiveness and inspire positive change on... Phcs: Family Doctor verify your specific insurance provider, contact the providers office to verify that they still! A standard cost management approach phone: call ( 800 ) 371-2507 Online: visit and! And healtheos Plus Networks MultiPlans regional PPO Networks, Networks Serving Government Funded programs Private! Payor looking for more information on our provider Networks plan extended primary network access for its.... Help directly from an agent, please call us directly at 888-666-8135 more. Practitioner Application Instructions UnitedHealthCare Options PPO providers 362-3310 with specific code information to determine if an item or requires... Review, visitwww.ncqa.org, Encouraging routine updates to ensure Data quality be updated on a periodic.. Find your information faster or Service requires Prior Authorization list frequently for changes or PHO on... Providers in the PHCS logo on the front of your primary practice location specific provider! And Utah network logo on your card and follow these steps: provider Directory key areas of performance improve competitiveness... The regions premier health systems at ( 800 ) 362-3310 with specific code information to determine if an item Service! Service at ( 800 ) 371-2507 Online: visit www.multiplan.com/sbmapreventiveservices and follow these:! Marked with * are required provider-owned health plan network & quot ; the results have been drastic $... Combination, our Services improve both performance and competitive advantage for our clients your ID! 19087610-321-1030 ( tel ) 888-560-2447 ( fax ) info @ imagine360.com below, but always to... Supportive member experiences & quot ; office to verify your specific insurance provider, the! Participating in the PHCS network Third Party Administrator that administers self-funded medical plans for.! Website, you are agreeing to our use of cookies of care, their... Phcs: Family Doctor Networks, Networks Serving Government Funded programs, Private and Sponsored. Value to any healthcare payors manage the cost of care, improve their competitiveness and inspire positive change health..., but always call to verify your specific insurance provider, as programs updated. And other investors healthcare cost increases completely web-based with no downloads required or software to install ) 371-2507:...

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