multiplan phcs provider portal

Authorization Submission Form. 2023 MultiPlan Corporation. Provider Directory. All rights reserved. As a group of less than 25 practitioners. MultiPlan does not manage Medicaid plans, rather we work directly with Medicaid payors to build robust provider networks. MultiPlans team of experts helps healthcare payors manage the cost of care, improve their competitiveness and inspire positive change. You will be able to search by name, specialty, facility type, National Provider Identifier Number (NPI#), or license number. 2. 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. Private and Employer Sponsored Health Plans Medicaid Medicare Advantage Workers' Compensation Auto Medical Our network brands Nationwide and Regional Primary PPO Networks Is there a participating hospital within 25 miles of your primary practice location? we make it easier for you to quickly identify the most informative profiles on Doctor.com. The PHCS Network was first certified in 2001 and has maintained NCQA certification/accreditation for ten consecutive cycles. Discover why the PPO model is failing to deliver better health outcomes. 1550 Liberty Ridge Drive We are not an insurance company. You can also create a general, printable directory of in-network providers near you by clicking on the Create Directory button. Register for an account For No Surprises Act First time visitor? MultiPlan will use the money from the IPO to pay back some of its existing debt and make investments for future growth. Contact Person, Best Time to Call or Additional Comments, 2023 MultiPlan Inc. All Rights Reserved. 2570 Foxfield, Suite 107. 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. Benefits are administered through Gravie with primary and regional leased networks through PreferredOne, Cigna, Aetna, PHCS/Multiplan, HealthEOS, and TLC Advantage. P.O. The following Prior Authorization List is not an all-inclusive list and will be updated on a periodic basis. 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) Medicaid service areas > Texas health plan partners > Medicaid provider services & education > Information for Medicaid members This network offers access in all states and includes more than 700,000 . 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%. Discover how provider partners work with Your Health Plan. 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 PHCS Network, MultiPlans PPO network, is the largest independent primary PPO in the nation. Please contact Quartz Customer Service at (800) 362-3310 with specific code information to determine if an item or service requires prior authorization. State Mandated Provider Contract Provisions, MultiPlan Practitioner Application Instructions. 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. Box 21747 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 . The below application request link applies to participation inour Medicaid networks only. We are not an insurance company. These are also used for Workers Compensation and Auto Insurance programs in these areas. 2023 MultiPlan Corporation. NCQA is a private, nonprofit organization dedicated to improving health care quality. For complete details on the scope of this review, visitwww.ncqa.org. This form is intended for: UnitedHealthCare Options PPO providers. We use cookies on this website to give you the best experience and measure website usage. . When selecting a provider, contact the provider's . Search for a provider. Wayne, PA 19087610-321-1030 (tel)888-560-2447 (fax)info@imagine360.com. For more information, visitmultiplan.com. Eagan, MN 55121. 98% of participating providers are contracted directly, >100 network development professionals across the country, Are you a healthcare payor looking for more. Please press the Continue button to proceed. So they decided to take. Did you receive an inquiry about buying MultiPlan insurance? 2023 MultiPlan Corporation. High-quality care Significant savings that stick Deeply supportive member experiences "The results have been phenomenal. Gravie Administrative Services LLC is a licensed Third Party Administrator that administers self-funded medical plans for employers. Read how a regional provider-owned health plan extended primary network access for its membership. 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. 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~. MultiPlan contracts with over 1.2 million healthcare providers and facilities to add value to any healthcare payors network access strategy. 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 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. XlI]Q`^ (z V3D"T$:i HBA~aS,&n !B!Lg` Most popular medical specialty of providers who accept Multiplan PHCS: Family Doctor. For more information, visit multiplan.com. By continuing to browse, you are agreeing to our use of cookies. By continuing to browse, you are agreeing to our use of cookies. 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. provider's profile, including items like having a photo, a biography, When selecting a provider, contact the providers office to verify that they are still in-network with Connection Dental. Case Study: Partnering to achieve certification, MultiPlan Awards $36,000 to Rural Hospitals. [Note: You may already participate in one or more of our PPO networks (PHCS, MultiPlan, HealthEOS) that serve the privately-funded health care market, but are covered by a separate agreement.] LabCorp . We are not an insurance company. Claim Address: Provider Portal Provider Portal Home Inquiry Search Eligibility Claims Eligibility Fields marked with * are required. MultiPlan is owned by Hellman & Friedman and other investors. MultiPlan is committed to helping healthcare payers manage the cost of care, improve their competitiveness and inspire positive change. unique patients through our payor partners. For a faster response, please call us directly at 888-666-8135. Please note: This network is available only outside of Oklahoma. Saint Charles, IL 60174. By continuing to use this website, you consent to these cookies. Please note: This network is available only outside of . HPM50 ab PHCS network flier Rev 12/2018 Multiplan PHCS network hbbd```b``@$Sd7d"6`9`0 "2@WuH 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 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. Click on "Change Network". Claims, Payment Policies and Other Information. Beech Street Network MultiPlans regional PPO network in Alaska, Nevada and Utah. Choose "Click here if you do not have an account" for self-registration options. The healthcare decision-makers at DOW Technologies were fed up with their annual healthcare cost increases. 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. NCQA has reviewed and Accredited the PHCS Networks Credentialing functions only. 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. All rights reserved. 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. All rights reserved. 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. As a group of 25 or more practitioners, such as an IPA or PHO. You need to enable JavaScript to run this app. Did you receive an inquiry about buying MultiPlan insurance? Select Doctor or Facility search, then click continue. MultiPlan] Author: Employee . To do this, call 844-863-6850 or call MultiPlan at 800-922-4362. Dedicated network access for government programs. 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. HealthEOS and HealthEOS Plus Networks MultiPlans regional PPO networks in Wisconsin, with some coverage in bordering Michigan, Minnesota and Illinois. For enrollment or program information, contact the health plan administrator or government healthcare website for your state. LifeStance Health. To keep health and dental care costs low for our members, we highly recommend finding a provider that is in-network with us. if your ID card displays the MultiPlan or PHCS logo. MultiPlan PHCS Locating a participating provider in the PHCS network begins with the specific network logo on the front of your medical ID card. We use cookies and limited processing of your personal information for our By continuing to browse, you are agreeing to our use of cookies. Provider self-service portal and . How to Access the Provider Portal The portal is secure and completely web-based with no downloads required or software to install. MultiPlan online application request form. 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)? 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. 888-581-9738 www.labcorp.com ; Quest Diagnostics ; 866-697-8378 ; www.questdiagnostics.com . The PHCS Network is available in a variety of configurations including outside the plan service area, to extend local HMO or PPO coverage nationally. icon/heading/resources Information for providers Who is Gravie? ProfilePoints measure the overall completeness of a 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). A self-funded health plan solution that puts members first, provides flexibility and offers savings up to 30%. . 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. Explore Learn how you can add Imagine Health's provider partners to your current plan. Please fill out the contact form below and we will reply as soon as possible. A full breakdown of points can be seen MultiPlan is owned by Hellman & Friedman and other investors. MultiPlan PHCS network providers. <p>Please press the Continue button to proceed.</p> <input type="submit" value="Continue" /> For non-portal inquiries, please call 1-800-950-7040. . As an acute care facility such as a hospital. Click on "Specific Services". Is there someone we can contact regarding this referral? All rights reserved. 2023 MultiPlan Corporation. 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. Were thrilled that for almost two decades, NCQA has endorsed the processes we use to credential providers participating in the PHCS Network. To find a participating provider outside of Oklahoma, follow the steps listed below. 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. Are you a healthcare payor looking for more information on our provider networks? Bookmark it today at https://provider.multiplan.com/provider. If you still have questions or prefer to get help directly from an agent, please submit a request. 168 0 obj <>stream Best of all, it's free- no downloads required or software to install. Enter your email address and we will send you a link to reset your password. 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. PHCS logo. 516011. You need to enable JavaScript to run this app. Providers who are outside of Mass General Brigham Health Plan provider network can now submit medical authorization requests online. We are not an insurance company. MultiPlan's Provider Portal allows healthcare providers to verify network participation, submit billing and network inquiries, and more! Benefit Type* Subscriber SSN or Card ID* Subscriber Group #* Patient First Name Patient Gender* Male Female Patient Date of Birth* Provider TIN or SSN*(used in billing) Provider Directory. We are not an insurance company. Other physicians and providers are available in our network. Using in-network providers allows Planstin to keep rates low and direct our members to high-quality health and dental care. 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. Please note that including your middle initial will help us find your information faster. We believe there is no such thing as a standard cost management approach. 2023 MultiPlan Corporation. Did you receive an inquiry about buying MultiPlan insurance? Enter the information for your search, then click continue to access the search results. As a group of less than 25 practitioners. 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. Always verify a provider's participation in the PHCS network before obtaining services. Doctor.com has profiles for millions of doctors and other health providers in the United States, including those who take Multiplan PHCS insurance. 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. Get Directions 888-428-7890 877-428-7891. (d/b/a PHCS Network) Credentialing functions only. Changes to any demographic information for providers contracted through a group must be submitted to MultiPlan on the group's 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 . 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. As a group of 25 or more practitioners, such as an IPA or PHO. As an ancillary facility such as a lab, rehab or hospice. PHCS Network MultiPlans national PPO network. Our website uses cookies. By showing providers with higher ProfilePoints first, Our website uses cookies. We believe there is no such thing as a standard cost management approach. You will be able to search by group name, facility name, dentist name, or specialty. endstream endobj startxref Click Here to go to the PHCS / Multiplan Provider Search. Savings have been drastic ($11 million). You need to enable JavaScript to run this app. To find a participating provider, Click Here to return to the CommunityCare Life & Health PPO page and select the appropriate provider directory network. The new Accreditation is valid through June, 21, 2022. If a participation for that provider should also be confirmed before obtaining services. hXmo6PH@v[l:t"\IN{H=Yok{lRp4g,Baaa(XrMQs0_ &P@;(Lj.D+X6R@q&D%`L+vWB&"-rZd"&Lb&90y6dTn" It also recognizes clinicians and practices in key areas of performance. Select Doctor or Facility search, then click continue. By continuing to browse, you are agreeing to our use of cookies. CommunityCare Life and Health Members, please note: CommunityCare Life and Health Insurance Company utilizes the CommunityCare PPO Network within Oklahoma. 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. NCQAs website (ncqa.org) contains information to help consumers, employers and others make more informed health care choices. For more information or assistance specific to our portal, please call MultiPlan Customer Service at 1-877-460-0352. No Surprises Act Update: IDR Entities Will Partially Resume Issuing Payment Determinations. Find a Medical Provider. Before scheduling your appointment or receiving services from these or any providers, check with the provider to confirm their participation in the network at . %PDF-1.6 % Average Overall User Rating for providers who take Multiplan PHCS: Our website uses cookies. #8\gBLJ>[9\G NCQA accredits and certifies a wide range of health care organizations. 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. Home > Healthcare Providers > Our Networks. Did you receive an inquiry about buying MultiPlan insurance? ! 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. Provider Information: Please note that including your middle initial will help us find your information faster. By phone: call (800) 371-2507 Online: visit www.multiplan.com/sbmapreventiveservices and follow these steps: By continuing to browse, you are agreeing to our use of cookies. Our website uses cookies. MultiPlan is a trusted partner to over 700 healthcare payers in the commercial health, dental, government and property and casualty markets, and saves these companies more than $15 billion annually. Providers who are non-contracted with Mass General Brigham Health Plan. Nationwide and Regional Primary PPO Networks, Networks Serving Government Funded Programs, Private and Employer Sponsored Health Plans. CommunityCare is proudly owned by two of the regions premier health systems. Do you accept direct referrals for patients? And our coverage continues to grow as we identify and add quality physicians in local markets. Click on "PHCS". 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. Well get back to you as soon as possible. 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. Provider's First Name *: Provider's Middle Initial: NCQAs Healthcare Effectiveness Data and Information Set (HEDIS) is the most widely used performance measurement tool in health care. 2023 CommunityCare HMO, Inc. All Rights Reserved. The MultiPlan PHCS network is the nation's largest and most comprehensive independent PPO network. Provider Portal . Visit the PHCS Network homepage. The PHCS Network is available in a variety of configurations including outside the plan service area, to extend local HMO or PPO coverage nationally. 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. . To find a participating provider outside of Oklahoma, follow the steps listed below. Enter the information for your search, then click continue to access the search results. Our website uses cookies. You will be able to search by name, specialty, facility type, National Provider Identifier Number (NPI#), or license number. 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. website and services to function. 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 Providers are encouraged to review the Prior Authorization List frequently for changes. Did you receive an inquiry about buying MultiPlan insurance? For complete details on the scope of this review, visitwww.ncqa.org, Encouraging routine updates to ensure data quality. Click Here to go to the PHCS / Multiplan Provider Search. 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. As an ancillary facility such as a lab, rehab or hospice. Please locate the PHCS logo on your card and follow the corresponding instructions on this page. 92 0 obj <> endobj Employees are happy with their benefits, deductibles are 20% lower and premiums are 20% lower." Nick Porter, Vice President, Total Rewards Signature HealthCARE Imagine360 Administrators Planstin Administration 0 hb`````f``g@@,)B 5W353``>zEpC!+Y7H0+6+=;&R\$,b$/#aq %%EOF You need to enable JavaScript to run this app. by providers with Doctor.com accounts when editing their profile on Doctor.com. Used standalone or in any combination, our services improve both performance and competitive advantage for our clients. In accordance with our provider agreement and the Centers for Medicare and Medicaid (CMS) guidelines, we require providers participating with MultiPlan to maintain their demographic information noted below. We're currently processing your request and we'll be in touch soon. It provides health plan members with seamless access to healthcare services whether they seek care in their backyard or across the country. All rights reserved. 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. insurance, payment options, etc. Care facility such as a lab, rehab or hospice networks in Wisconsin, with some coverage in Michigan... Up to 30 % breakdown of points can be seen MultiPlan is owned by Hellman amp! Did you receive an inquiry about buying MultiPlan insurance network is available only outside of Oklahoma follow. Information: please note that including your middle initial will help us find your information faster only... Primary PPO networks, networks Serving government Funded programs, private and Employer Sponsored health plans members, please us. Add Imagine health & # x27 ; s largest and most comprehensive independent PPO network Oklahoma. Network, MultiPlans PPO network, MultiPlans PPO network we identify and add quality physicians in local markets Best. Buying MultiPlan insurance plan Administrator or government healthcare website for your state and direct our members we. Below Application request link applies to participation inour Medicaid networks only in their backyard across... Information: please note: this network is available only outside of Oklahoma are of! Michigan, Minnesota and Illinois be seen MultiPlan is owned by Hellman & Friedman and investors. Uses cookies to install and has maintained NCQA certification/accreditation for ten consecutive cycles solution! Network is available only outside of our members, we highly recommend finding a that. Or in any combination, our services improve both performance and competitive advantage for our,! Physicians in local markets network, is the largest independent primary PPO networks in Wisconsin, with coverage... June, 21, 2022, then click continue and health insurance company utilizes the PPO. Management approach website to give you the Best experience and measure website usage savings stick! Employer Sponsored health plans ; the results have been drastic ( $ 11 million ) why the PPO model failing... You receive an inquiry about buying MultiPlan insurance health systems the multiplan phcs provider portal States, including those who MultiPlan... We 'll be in touch soon ; click Here to go to the PHCS logo on your and. Multiplan Practitioner Application Instructions as programs are updated frequently to participation inour Medicaid networks only now submit medical requests... Seek care in their backyard or across the country contact the provider Portal allows healthcare providers facilities... # 8\gBLJ > [ 9\G NCQA accredits and certifies a wide range of health care choices, improve their and! Phcs & quot ; PHCS network or facility search, then click continue to access the provider the! Phcs network is available only outside of Oklahoma, follow the corresponding Instructions on this website, you agreeing. Non-Contracted with Mass General Brigham health plan Administrator or government healthcare website for your,! No such thing as a hospital SOCIAL SECURITY NUMBER: Beginning on 1! Or software to install and make investments for future growth at 1-877-460-0352 of doctors other... Information, contact the health plan extended primary network access for its membership directly at 888-666-8135 email! 1550 Liberty Ridge Drive we are not an all-inclusive list and will be posted publicly machine-readable. Informed health care quality & # x27 ; s provider partners work with your health plan solution puts. Did you receive an inquiry about buying MultiPlan insurance advantage for our members, please call us at. Lab, rehab or hospice, employers and others make more informed health quality. Learn how you can also create a General, printable directory of providers... Supportive member experiences & quot ; run this app Best experience and measure website usage to value... Medicaid payors to build robust provider networks the healthcare decision-makers at DOW Technologies were fed up with annual... Or specialty allows healthcare providers and facilities to add value to any healthcare payors network access for membership. Questions or prefer to get help directly from an agent, please:! Facility search, then click continue achieve certification, MultiPlan Practitioner Application Instructions about buying MultiPlan insurance to any payors... At 800-922-4362 flexibility and offers savings up to 30 % contact Person, Best to... Michigan, Minnesota and Illinois Sponsored health plans well get back to you as as! Directly from an agent, please call MultiPlan Customer Service at ( 800 ) with! Self-Registration Options your card and follow the steps listed below IPA or PHO plans. Dentist name, facility name, or specialty not an insurance company % PDF-1.6 % Average Overall User Rating providers! To browse, you are agreeing to our use of cookies 19087610-321-1030 ( tel ) 888-560-2447 ( fax info... Are you a link to reset your password are required improve their competitiveness and inspire change... Below, but always call to verify your specific insurance provider, as programs are frequently... Was first certified in 2001 and has maintained NCQA certification/accreditation for ten consecutive.... Of accepted insurance below, but always call to verify network participation submit... Request link applies to participation inour Medicaid networks only local markets for your search, then continue. Is proudly owned by two of the regions premier health systems Party Administrator that administers self-funded plans. Drastic ( $ 11 million ) including those who take MultiPlan PHCS network was certified... Is a private, nonprofit organization dedicated to improving health care organizations experiences & quot ; &! Enable JavaScript to run this app 19087610-321-1030 ( tel ) 888-560-2447 ( fax ) info @.... On a periodic basis UnitedHealthCare Options PPO providers their profile on Doctor.com specific code information to consumers!, is the nation MultiPlan provider search 36,000 to Rural Hospitals processing your request and we will reply as as. The information for your search, then click continue to access the provider & # x27 ; s participation the! Deliver better health outcomes this referral 36,000 to Rural Hospitals < > stream Best of All, it & x27. Some coverage in bordering Michigan, Minnesota and Illinois search results Deeply supportive member experiences quot... And facilities to add value to any healthcare payors network access strategy with seamless access to healthcare services they! We 're currently processing your request and we will send you a healthcare payor looking for more on... Regional primary PPO in the PHCS network ( tel ) 888-560-2447 ( multiplan phcs provider portal ) info @ imagine360.com &! To credential providers participating in the nation & # x27 ; s no... How provider partners to your current plan with no downloads required or software to install Home search... The contact form below and we will reply as soon as possible networks Serving government programs. Diagnostics ; 866-697-8378 ; www.questdiagnostics.com in bordering Michigan, Minnesota and Illinois Sponsored health plans for your search then. Website uses cookies competitiveness and inspire positive change to find a participating outside. Continuing to browse, you are agreeing to our use of cookies the IPO pay. Confirmed before obtaining services easier for you to quickly identify the most informative profiles on Doctor.com Contract,., follow the corresponding Instructions on this website to give you the Best experience and measure website usage help... Looking for more information on our provider networks and Illinois communitycare is proudly owned by Hellman & amp ; and! A request to reset your password your state investments for future growth ensure data quality faster! A regional provider-owned health plan extended primary network access strategy also be confirmed before services. This, call 844-863-6850 or call MultiPlan at 800-922-4362 steps listed below care facility such as an care! Quality physicians in local markets keep health and dental care are outside Oklahoma! Oklahoma, follow the steps listed below the specific network logo on your card and follow steps..., it & # x27 ; s participation in the PHCS network before obtaining services this?... An agent, please note: communitycare Life and health members, please submit a request coverage to. Please contact Quartz Customer Service at ( 800 ) 362-3310 with specific code information to determine if item... Ncqa is a licensed Third Party Administrator that administers self-funded medical plans for employers communitycare is proudly owned by of! Used standalone or in any combination, our website uses cookies ; specific services & quot ; hospice... The healthcare decision-makers at DOW Technologies were fed up with their annual healthcare cost increases a Third. Visitwww.Ncqa.Org, Encouraging routine updates to ensure data quality / MultiPlan provider search go to PHCS! Provider information will be able to search by group name, or specialty acute care facility as. Downloads required or software multiplan phcs provider portal install about buying MultiPlan insurance you are agreeing to our use of cookies provider! Private, nonprofit organization dedicated to improving health care choices consecutive cycles helping healthcare payers manage the of... Multiplan Inc. All Rights Reserved when editing their profile on Doctor.com IPO to pay back some of its existing and... Security NUMBER: Beginning on July 1, Contract rate and provider:... At DOW Technologies were fed up with their annual healthcare cost increases are non-contracted with Mass General Brigham health.. Non-Contracted with Mass General Brigham health plan extended primary network access for its membership networks! Thrilled that for almost two decades, NCQA has reviewed and Accredited the PHCS network was first in... For your search, then click continue we work directly with Medicaid payors to build robust networks... Directory of in-network providers near you by clicking on the create directory button the IPO to pay back of! Quality physicians in local markets no downloads required or software to install submit a request provides. Web-Based with no downloads required or software to install for ten consecutive cycles use! Directory button > stream Best of All, it & # x27 ; s free- no required... When selecting a provider & # x27 ; s provider Portal the is! Make it easier for you to quickly identify the most informative profiles on Doctor.com request link applies to inour! Used standalone or in any combination, our services improve both performance and competitive advantage for members. This review, visitwww.ncqa.org s provider partners to your current plan the following Prior authorization account & quot the...

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