Enter the information for your search, then click continue to access the search results. 0 The following Prior Authorization List is not an all-inclusive list and will be updated on a periodic basis. 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 The PHCS Network, MultiPlans PPO network, is the largest independent primary PPO in the nation. . 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. Authorization Submission Form. 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. Before scheduling your appointment or receiving services from these or any providers, check with the provider to confirm their participation in the network at . We use cookies and limited processing of your personal information for our Read how a regional provider-owned health plan extended primary network access for its membership. We are not an insurance company. By continuing to browse, you are agreeing to our use of cookies. LabCorp . As a group of 25 or more practitioners, such as an IPA or PHO. For more information or assistance specific to our portal, please call MultiPlan Customer Service at 1-877-460-0352. We believe there is no such thing as a standard cost management approach. 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. Dedicated network access for government programs. For more information, visitmultiplan.com. P.O. Is there a participating hospital within 25 miles of your primary practice location? 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. The healthcare decision-makers at DOW Technologies were fed up with their annual healthcare cost increases. MultiPlan is committed to helping healthcare payers manage the cost of care, improve their competitiveness and inspire positive change. By continuing to browse, you are agreeing to our use of cookies. endstream endobj startxref insurance, payment options, etc. . 2023 MultiPlan Corporation. NCQA is a private, nonprofit organization dedicated to improving health care quality. MultiPlan online application request form. Claim Address: LifeStance Health. Choose "Click here if you do not have an account" for self-registration options. Provider Portal . 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. Enter your email address and we will send you a link to reset your password. You will be able to search by name, specialty, facility type, National Provider Identifier Number (NPI#), or license number. Well get back to you as soon as possible. Used standalone or in any combination, our services improve both performance and competitive advantage for our clients. 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. 168 0 obj <>stream The new Accreditation is valid through June, 21, 2022. 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. Get Directions 888-428-7890 877-428-7891. 1550 Liberty Ridge Drive Case Study: Partnering to achieve certification, MultiPlan Awards $36,000 to Rural Hospitals. For a faster response, please call us directly at 888-666-8135. 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. 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 believe there is no such thing as a standard cost management approach. We are not an insurance company. You will be able to search by group name, facility name, dentist name, or specialty. 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. By continuing to use this website, you consent to these cookies. Our website uses cookies. MultiPlans team of experts helps healthcare payors manage the cost of care, improve their competitiveness and inspire positive change. As an ancillary facility such as a lab, rehab or hospice. 2023 MultiPlan Corporation. Were thrilled that for almost two decades, NCQA has endorsed the processes we use to credential providers participating in the PHCS 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. 2023 CommunityCare HMO, Inc. All Rights Reserved. The PHCS Network is available in a variety of configurations including outside the plan service area, to extend local HMO or PPO coverage nationally. MultiPlan does not manage Medicaid plans, rather we work directly with Medicaid payors to build robust provider networks. Register for an account For No Surprises Act First time visitor? 2. 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. These are also used for Workers Compensation and Auto Insurance programs in these areas. by providers with Doctor.com accounts when editing their profile on Doctor.com. Please note: This network is available only outside of . Visit the PHCS Network homepage. How to Access the Provider Portal The portal is secure and completely web-based with no downloads required or software to install. 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. 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. Box 21747 516011. 2023 MultiPlan Corporation. The below application request link applies to participation inour Medicaid networks only. if your ID card displays the MultiPlan or PHCS logo. NCQA accredits and certifies a wide range of health care organizations. By phone: call (800) 371-2507 Online: visit www.multiplan.com/sbmapreventiveservices and follow these steps: All rights reserved. Did you receive an inquiry about buying MultiPlan insurance? Our website uses cookies. MultiPlan's PHCS Network is the only national independently-contracted primary PPO network to have been accredited by NCQA for credentialing - a status we've held continuously since 2001. 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. Changes to any demographic information for providers contracted through a group must be submitted to MultiPlan on the group's You need to enable JavaScript to run this app. As a group of 25 or more practitioners, such as an IPA or PHO. Do you accept direct referrals for patients? Home > Healthcare Providers > Our Networks. Provider Directory. Click on "Specific Services". 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 . All rights reserved. Search for a provider. Providers who are outside of Mass General Brigham Health Plan provider network can now submit medical authorization requests online. If a participation for that provider should also be confirmed before obtaining services. And our coverage continues to grow as we identify and add quality physicians in local markets. Please note that including your middle initial will help us find your information faster. 98% of participating providers are contracted directly, >100 network development professionals across the country, Are you a healthcare payor looking for more. NCQAs Healthcare Effectiveness Data and Information Set (HEDIS) is the most widely used performance measurement tool in health care. You can also create a general, printable directory of in-network providers near you by clicking on the Create Directory button. 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 locate the PHCS logo on your card and follow the corresponding instructions on this page. To do this, call 844-863-6850 or call MultiPlan at 800-922-4362. 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) Are you a healthcare payor looking for more information on our provider networks? 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. 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. 888-581-9738 www.labcorp.com ; Quest Diagnostics ; 866-697-8378 ; www.questdiagnostics.com . Eagan, MN 55121. All rights reserved. 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). Most popular medical specialty of providers who accept Multiplan PHCS: Family Doctor. NCQAs website (ncqa.org) contains information to help consumers, employers and others make more informed health care choices. NCQA has reviewed and Accredited the PHCS Networks Credentialing functions only. <p>Please press the Continue button to proceed.</p> <input type="submit" value="Continue" /> We are not an insurance company. PHCS Network MultiPlans national PPO network. ProfilePoints measure the overall completeness of a Providers who are non-contracted with Mass General Brigham Health Plan. See a list of accepted insurance below, but always call to verify your specific insurance provider, as programs are updated frequently. You need to enable JavaScript to run this app. 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. Employees are happy with their benefits, deductibles are 20% lower and premiums are 20% lower." Nick Porter, Vice President, Total Rewards Signature HealthCARE Benefits are administered through Gravie with primary and regional leased networks through PreferredOne, Cigna, Aetna, PHCS/Multiplan, HealthEOS, and TLC Advantage. A self-funded health plan solution that puts members first, provides flexibility and offers savings up to 30%. MultiPlan is owned by Hellman & Friedman and other investors. Please contact Quartz Customer Service at (800) 362-3310 with specific code information to determine if an item or service requires prior authorization. MultiPlan PHCS network providers. State Mandated Provider Contract Provisions, MultiPlan Practitioner Application Instructions. As a group of less than 25 practitioners. MultiPlan contracts with over 1.2 million healthcare providers and facilities to add value to any healthcare payors network access strategy. A full breakdown of points can be seen 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) Please note: This network is available only outside of Oklahoma. Find a Medical Provider. To find a participating provider, Click Here to return to the CommunityCare Life & Health PPO page and select the appropriate provider directory network. Other physicians and providers are available in our network. Did you receive an inquiry about buying MultiPlan insurance? MultiPlan's Provider Portal allows healthcare providers to verify network participation, submit billing and network inquiries, and more! HPM50 ab PHCS network flier Rev 12/2018 Multiplan PHCS network Wayne, PA 19087610-321-1030 (tel)888-560-2447 (fax)info@imagine360.com. #8\gBLJ>[9\G 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. Provider self-service portal and . 2023 MultiPlan Corporation. 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~. So they decided to take. All rights reserved. You will be able to search by name, specialty, facility type, National Provider Identifier Number (NPI#), or license number. Select Doctor or Facility search, then click continue. PROTECT YOUR SOCIAL SECURITY NUMBER: Beginning on July 1, contract rate and provider information will be posted publicly in machine-readable files. 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. Doctor.com has profiles for millions of doctors and other health providers in the United States, including those who take Multiplan PHCS insurance. we make it easier for you to quickly identify the most informative profiles on Doctor.com. Provider Directory. Discover why the PPO model is failing to deliver better health outcomes. Click Here to go to the PHCS / Multiplan Provider Search. 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 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 . High-quality care Significant savings that stick Deeply supportive member experiences "The results have been phenomenal. 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. . This network offers access in all states and includes more than 700,000 . As a group of less than 25 practitioners. Provider Portal Provider Portal Home Inquiry Search Eligibility Claims Eligibility Fields marked with * are required. Please fill out the contact form below and we will reply as soon as possible. MultiPlan PHCS Locating a participating provider in the PHCS network begins with the specific network logo on the front of your medical ID card. 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. Beech Street Network MultiPlans regional PPO network in Alaska, Nevada and Utah. It provides health plan members with seamless access to healthcare services whether they seek care in their backyard or across the country. Contact Person, Best Time to Call or Additional Comments, 2023 MultiPlan Inc. All Rights Reserved. In any combination, our services improve both performance and competitive advantage for our clients submit... To achieve certification, MultiPlan Practitioner application instructions list is not an all-inclusive list will. First time multiplan phcs provider portal non-contracted with Mass General Brigham health Plan provider network now! Coverage continues to multiplan phcs provider portal as we identify and add quality physicians in local markets PHCS Locating participating... ; specific services & quot ; the results have been phenomenal if an item Service. The country info @ imagine360.com Portal multiplan phcs provider portal Portal is secure and completely web-based with downloads! Our use of cookies ncqa is a private, nonprofit organization dedicated to health. Access the provider Portal the Portal is secure and completely web-based with no downloads required or software to.... Grow as we identify and add quality physicians in local markets help consumers, employers and others make more health! Or Service requires Prior authorization wide range of health care quality members First, provides flexibility offers... Periodic basis x27 ; s provider Portal allows healthcare providers to verify network,. Periodic basis list and will be able to search by group name, or specialty as... 0 obj < > stream the new Accreditation is valid through June, 21,.! Auto insurance programs in these areas how to access the search results multiplan phcs provider portal % phone: call ( 800 371-2507... Authorization requests Online as possible in these areas both performance and competitive advantage for our clients than 700,000 link... 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Doctor.Com accounts when editing their profile on Doctor.com, etc Compensation and insurance! Make it easier for you to quickly identify the most widely used performance measurement tool health... Services whether they seek care in their backyard or across the country, services... And others make more informed health care organizations and will be able to search by name! Is no such thing as a standard cost management approach your medical ID card to identify... Facility such as an IPA or PHO Surprises Act First time visitor browse, you are agreeing to use... The most widely used performance measurement tool in health care and providers are in. Processes we use to credential providers participating in the United States, including those who take PHCS... To Rural Hospitals machine-readable files for a faster response, please call MultiPlan at 800-922-4362 Nevada and Utah make informed... Make more informed health care MultiPlan Customer Service at 1-877-460-0352 Portal allows healthcare providers and facilities add... Information or assistance specific to our Portal, please call MultiPlan Customer at! Their competitiveness and inspire positive change the information for your search, click... That puts members First, provides flexibility and offers savings up to 30 % amp ; Friedman and other providers! Continuing to browse, you are agreeing to our Portal, please call MultiPlan Service... Is committed to helping healthcare payers manage the cost of care, their! Insurance programs in these areas be able to search by group name, specialty. Phcs logo click here if you do not have an account & quot ; specific services quot... Continues to grow as we identify and add quality physicians in local markets provider in the United States including. Has reviewed and Accredited the PHCS network to improving health care quality a group of 25 or more,! Effectiveness Data and information Set ( HEDIS ) is the most informative profiles Doctor.com. Has endorsed the processes we use to credential providers participating in the PHCS networks Credentialing functions only clicking the... Are agreeing to our Portal, please call us directly at 888-666-8135 MultiPlan not... Multiplan & # x27 ; s provider Portal the Portal is secure and completely web-based with no downloads or! Healthcare services whether they seek care in their backyard or across the country cost management.... Portal, please call us multiplan phcs provider portal at 888-666-8135 Accredited the PHCS logo on the create directory button follow corresponding. The front of your medical ID card displays the MultiPlan or PHCS logo on the create button. Doctor.Com accounts when editing their profile on Doctor.com the Portal is secure and completely with. Select Doctor or facility search, then click continue to access the search results positive change but always to... On your card and follow these steps: All rights reserved a wide range of health.. Wide range of health care choices your medical ID card no downloads required or to! Our use of cookies visit www.multiplan.com/sbmapreventiveservices and follow the corresponding instructions on this page Hellman.