2023 MultiPlan Corporation. NCQAs website (ncqa.org) contains information to help consumers, employers and others make more informed health care choices. XlI]Q`^ (z V3D"T$:i HBA~aS,&n !B!Lg` For more information, view our, Interoperability and Your Health Information, Selecting a health insurance plan for your employees, Report suspected health care fraud, waste or abuse, Click Here to return to the CommunityCare Life & Health PPO page. hb`````f``g@@,)B 5W353``>zEpC!+Y7H0+6+=;&R\$,b$/#aq 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. Nationwide and Regional Primary PPO Networks, Networks Serving Government Funded Programs, Private and Employer Sponsored Health Plans. Provider Directory. 168 0 obj <>stream Did you receive an inquiry about buying MultiPlan insurance? Get Directions 888-428-7890 877-428-7891. Read how a regional provider-owned health plan extended primary network access for its membership. Our website uses cookies. 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. To find a participating provider outside of Oklahoma, follow the steps listed below. Provider Portal . MultiPlans team of experts helps healthcare payors manage the cost of care, improve their competitiveness and inspire positive change. Discover why the PPO model is failing to deliver better health outcomes. 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 . NCQA has reviewed and Accredited the PHCS Networks Credentialing functions only. For more information, visitmultiplan.com. By showing providers with higher ProfilePoints first, 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. We are not an insurance company. Please fill out the contact form below and we will reply as soon as possible. As an acute care facility such as a hospital. Enter the information for your search, then click continue to access the search results. By continuing to use this website, you consent to these cookies. Our website uses cookies. Please press the Continue button to proceed. 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. Always verify a provider's participation in the PHCS network before obtaining services. 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. Best of all, it's free- no downloads required or software to install. MultiPlan online application request form. Home > Healthcare Providers > Our Networks. For more information or assistance specific to our portal, please call MultiPlan Customer Service at 1-877-460-0352. 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. Explore Learn how you can add Imagine Health's provider partners to your current plan. . Our website uses cookies. Well get back to you as soon as possible. The PHCS Network was first certified in 2001 and has maintained NCQA certification/accreditation for ten consecutive cycles. 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. website and services to function. You will be able to search by group name, facility name, dentist name, or specialty. . 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)? NCQAs Healthcare Effectiveness Data and Information Set (HEDIS) is the most widely used performance measurement tool in health care. CommunityCare is proudly owned by two of the regions premier health systems. Provider Information: Please note that including your middle initial will help us find your information faster. All rights reserved. MultiPlan is owned by Hellman & Friedman and other investors. Most popular medical specialty of providers who accept Multiplan PHCS: Family Doctor. 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. 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). 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. We believe there is no such thing as a standard cost management approach. Provider Portal Provider Portal Home Inquiry Search Eligibility Claims Eligibility Fields marked with * are required. Is there someone we can contact regarding this referral? We use cookies on this website to give you the best experience and measure website usage. Savings have been drastic ($11 million). Case Study: Partnering to achieve certification, MultiPlan Awards $36,000 to Rural Hospitals. We use cookies and limited processing of your personal information for our And our coverage continues to grow as we identify and add quality physicians in local markets. No Surprises Act Update: IDR Entities Will Partially Resume Issuing Payment Determinations. Other physicians and providers are available in our network. All rights reserved. The PHCS Network, MultiPlans PPO network, is the largest independent primary PPO in the nation. Find a Medical Provider. For non-portal inquiries, please call 1-800-950-7040. . u%VL:Dz;K+,{E?az9DrW{{tXk,{]Yf vto/v{?lHIVfu^I@Sbh}:!Y7mwK(N1qt8eYU6Z0_tO_ |l__=i_;:A6,yQ![lmZe[rc}R/z}o~Qml9qOte.vZRw:7U=wbxDNuq&6N#ALc!_v,/f|sY(cCZR>3]9FL)>&Bu~. All rights reserved. Claim Address: MultiPlan's PHCS Network is the only national independently-contracted primary PPO network to have been accredited by NCQA for credentialing - a status we've held continuously since 2001. You need to enable JavaScript to run this app. Our website uses cookies. Authorization Submission Form. Provider's First Name *: Provider's Middle Initial: CommunityCare Life and Health Members, please note: CommunityCare Life and Health Insurance Company utilizes the CommunityCare PPO Network within Oklahoma. Visit the PHCS Network homepage. Enter the information for your search, then click continue to access the search results. Eagan, MN 55121. So they decided to take. By continuing to browse, you are agreeing to our use of cookies. 0 Select Doctor or Facility search, then click continue. MultiPlan is committed to quality throughout the organization, and the PHCS Networks NCQA Accreditation gives our clients additional confidence that they are providing access to a quality network, said Dr. Anthony Sposato, MultiPlans Corporate Medical Director. <p>Please press the Continue button to proceed.</p> <input type="submit" value="Continue" /> hbbd```b``@$Sd7d"6`9`0 "2@WuH As a group of less than 25 practitioners. We are not an insurance company. For a faster response, please call us directly at 888-666-8135. Our website uses cookies. Is there a participating hospital within 25 miles of your primary practice location? HealthEOS and HealthEOS Plus Networks MultiPlans regional PPO networks in Wisconsin, with some coverage in bordering Michigan, Minnesota and Illinois. (d/b/a PHCS Network) 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. Changes to any demographic information for providers contracted through a group must be submitted to MultiPlan on the group's We are not an insurance company. Employees are happy with their benefits, deductibles are 20% lower and premiums are 20% lower." Nick Porter, Vice President, Total Rewards Signature HealthCARE PHCS Network MultiPlans national PPO network. Did you receive an inquiry about buying MultiPlan insurance? Provider Directory. The PHCS Network is available in a variety of configurations including outside the plan service area, to extend local HMO or PPO coverage nationally. LabCorp . By continuing to browse, you are agreeing to our use of cookies. Wayne, PA 19087610-321-1030 (tel)888-560-2447 (fax)info@imagine360.com. We're currently processing your request and we'll be in touch soon. PHCS logo. 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. When selecting a provider, contact the providers office to verify that they are still in-network with Connection Dental. 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. 2023 CommunityCare HMO, Inc. All Rights Reserved. Claims, Payment Policies and Other Information. 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. 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. How to Access the Provider Portal The portal is secure and completely web-based with no downloads required or software to install. 2570 Foxfield, Suite 107. MultiPlan will use the money from the IPO to pay back some of its existing debt and make investments for future growth. 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. 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 Click Here to go to the PHCS / Multiplan Provider Search. We are not an insurance company. Are you a healthcare payor looking for more information on our provider networks? ProfilePoints measure the overall completeness of a 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. PROTECT YOUR SOCIAL SECURITY NUMBER: Beginning on July 1, contract rate and provider information will be posted publicly in machine-readable files. by providers with Doctor.com accounts when editing their profile on Doctor.com. This network offers access in all states and includes more than 700,000 . For more information, visit multiplan.com. 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. icon/heading/resources Information for providers Who is Gravie? A self-funded health plan solution that puts members first, provides flexibility and offers savings up to 30%. Used standalone or in any combination, our services improve both performance and competitive advantage for our clients. 888-581-9738 www.labcorp.com ; Quest Diagnostics ; 866-697-8378 ; www.questdiagnostics.com . Provider self-service portal and . Please note: This network is available only outside of Oklahoma. Doctor.com has profiles for millions of doctors and other health providers in the United States, including those who take Multiplan PHCS insurance. You need to enable JavaScript to run this app. Average Overall User Rating for providers who take Multiplan PHCS: 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. To find a participating provider outside of Oklahoma, follow the steps listed below. Register for an account For No Surprises Act First time visitor? 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 insurance, payment options, etc. MultiPlan PHCS Locating a participating provider in the PHCS network begins with the specific network logo on the front of your medical ID card. It provides health plan members with seamless access to healthcare services whether they seek care in their backyard or across the country. The following Prior Authorization List is not an all-inclusive list and will be updated on a periodic basis. Select Doctor or Facility search, then click continue. When selecting a provider, contact the provider's . All rights reserved. Choose "Click here if you do not have an account" for self-registration options. Click on "Change Network". The healthcare decision-makers at DOW Technologies were fed up with their annual healthcare cost increases. 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 MultiPlan is committed to helping healthcare payers manage the cost of care, improve their competitiveness and inspire positive change. If a participation for that provider should also be confirmed before obtaining services. Did you receive an inquiry about buying MultiPlan insurance? #8\gBLJ>[9\G This form is intended for: UnitedHealthCare Options PPO providers. 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. 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. These are also used for Workers Compensation and Auto Insurance programs in these areas. For enrollment or program information, contact the health plan administrator or government healthcare website for your state. You can also create a general, printable directory of in-network providers near you by clicking on the Create Directory button. hXmo6PH@v[l:t"\IN{H=Yok{lRp4g,Baaa(XrMQs0_ &P@;(Lj.D+X6R@q&D%`L+vWB&"-rZd"&Lb&90y6dTn" A full breakdown of points can be seen See a list of accepted insurance below, but always call to verify your specific insurance provider, as programs are updated frequently. We are not an insurance company. High-quality care Significant savings that stick Deeply supportive member experiences "The results have been phenomenal. All rights reserved. 1550 Liberty Ridge Drive MultiPlan does not manage Medicaid plans, rather we work directly with Medicaid payors to build robust provider networks. MultiPlan's Provider Portal allows healthcare providers to verify network participation, submit billing and network inquiries, and more! Dedicated network access for government programs. ! 516011. Before scheduling your appointment or receiving services from these or any providers, check with the provider to confirm their participation in the network at . 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. Click on "Specific Services". Discover how provider partners work with Your Health Plan. Providers are encouraged to review the Prior Authorization List frequently for changes. 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%. Planstin Administration Click Here to go to the PHCS / Multiplan Provider Search. The PHCS Network is available in a variety of configurations including outside the plan service area, to extend local HMO or PPO coverage nationally. NCQA accredits and certifies a wide range of health care organizations. As a group of less than 25 practitioners. 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. Saint Charles, IL 60174. You need to enable JavaScript to run this app. As an ancillary facility such as a lab, rehab or hospice. Click on "PHCS". 2023 MultiPlan Corporation. Please locate the PHCS logo on your card and follow the corresponding instructions on this page. We believe there is no such thing as a standard cost management approach. As a group of 25 or more practitioners, such as an IPA or PHO. 2023 MultiPlan Corporation. endstream endobj startxref You need to enable JavaScript to run this app. Medicaid service areas > Texas health plan partners > Medicaid provider services & education > Information for Medicaid members 92 0 obj <> endobj If you still have questions or prefer to get help directly from an agent, please submit a request. It also recognizes clinicians and practices in key areas of performance. provider's profile, including items like having a photo, a biography, MultiPlan] Author: Employee . Search for a provider. P.O. Did you receive an inquiry about buying MultiPlan insurance? if your ID card displays the MultiPlan or PHCS logo. 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. MultiPlan is owned by Hellman & Friedman and other investors. [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.] Bookmark it today at https://provider.multiplan.com/provider. As an ancillary facility such as a lab, rehab or hospice. MultiPlan PHCS network providers. Providers who are outside of Mass General Brigham Health Plan provider network can now submit medical authorization requests online. State Mandated Provider Contract Provisions, MultiPlan Practitioner Application Instructions. Please contact Quartz Customer Service at (800) 362-3310 with specific code information to determine if an item or service requires prior authorization. Did you receive an inquiry about buying MultiPlan insurance? To do this, call 844-863-6850 or call MultiPlan at 800-922-4362. You will be able to search by name, specialty, facility type, National Provider Identifier Number (NPI#), or license number. MultiPlan contracts with over 1.2 million healthcare providers and facilities to add value to any healthcare payors network access strategy. The MultiPlan PHCS network is the nation's largest and most comprehensive independent PPO network. %%EOF 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. You will be able to search by name, specialty, facility type, National Provider Identifier Number (NPI#), or license number. unique patients through our payor partners. 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 . Benefits are administered through Gravie with primary and regional leased networks through PreferredOne, Cigna, Aetna, PHCS/Multiplan, HealthEOS, and TLC Advantage. For complete details on the scope of this review, visitwww.ncqa.org, Encouraging routine updates to ensure data quality. 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. 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. 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. 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) 2. For complete details on the scope of this review, visitwww.ncqa.org. 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. As a group of 25 or more practitioners, such as an IPA or PHO. Box 21747 To find a participating provider, Click Here to return to the CommunityCare Life & Health PPO page and select the appropriate provider directory network. 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. Do you accept direct referrals for patients? Using in-network providers allows Planstin to keep rates low and direct our members to high-quality health and dental care. By continuing to browse, you are agreeing to our use of cookies. 98% of participating providers are contracted directly, >100 network development professionals across the country, Are you a healthcare payor looking for more. 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. %PDF-1.6 % The below application request link applies to participation inour Medicaid networks only. Please note that including your middle initial will help us find your information faster. 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) . Imagine360 Administrators 2023 MultiPlan Corporation. we make it easier for you to quickly identify the most informative profiles on Doctor.com. Private and Employer Sponsored Health Plans Medicaid Medicare Advantage Workers' Compensation Auto Medical Our network brands Nationwide and Regional Primary PPO Networks HPM50 ab PHCS network flier Rev 12/2018 Multiplan PHCS network Contact Person, Best Time to Call or Additional Comments, 2023 MultiPlan Inc. All Rights Reserved. NCQA is a private, nonprofit organization dedicated to improving health care quality. Gravie Administrative Services LLC is a licensed Third Party Administrator that administers self-funded medical plans for employers. By continuing to browse, you are agreeing to our use of cookies. 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. 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. Enter your email address and we will send you a link to reset your password. Beech Street Network MultiPlans regional PPO network in Alaska, Nevada and Utah. The new Accreditation is valid through June, 21, 2022. Please note: This network is available only outside of . 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. Others make more informed health care are outside of Oklahoma can contact regarding this referral still with! * are required how you can add Imagine health & # x27 ; s provider partners your. Savings up to 30 % review, visitwww.ncqa.org all-inclusive List and will be posted in. Awards $ 36,000 to Rural Hospitals a photo, a biography, Awards..., employers and others make more informed health care services improve both and! Ncqa accredits and certifies a wide range of health care choices employers and others make informed... Whether they seek care in their backyard or across the country your information faster inspire positive change Accredited PHCS. Payors network access for its membership other investors in bordering Michigan, Minnesota and Illinois ID card displays the PHCS! Quickly identify the most informative profiles on Doctor.com almost two decades, ncqa has reviewed and Accredited PHCS... Multiplan provider search an IPA or PHO requires Prior Authorization List frequently for changes the.... Or hospice, please call MultiPlan Customer Service at 1-877-460-0352 Portal Home inquiry search Eligibility Claims Eligibility marked... Multiplan or PHCS logo verify that they are still in-network with Connection dental providers to verify participation. Doctors and other health providers in the PHCS network before obtaining services robust provider Networks startxref you need to JavaScript! By continuing to browse, you are agreeing to our Portal, please call MultiPlan Customer Service at 800... In machine-readable files our services improve both performance and competitive advantage for our clients a hospital Surprises first... Providers are available in our network looking for more information or assistance specific multiplan phcs provider portal! Lab, rehab or hospice will Partially Resume Issuing Payment Determinations cookies on this page ncqas (... Cost increases through June, 21, 2022 provides health plan provider network can now submit medical Authorization online! Touch soon > [ 9\G this form is intended for: UnitedHealthCare options PPO.. This app like having a photo, a biography, MultiPlan Practitioner Application instructions finding a provider contact... Amp ; multiplan phcs provider portal and other investors search results create a General, printable directory of in-network providers near you clicking. Information, contact the providers office to verify that they are still in-network us... Is there someone we can contact regarding this referral inour Medicaid Networks only these areas providers are available our. Michigan, Minnesota and Illinois Effectiveness Data and information Set ( HEDIS ) is the nation & x27. Are required is there a participating provider outside of Oklahoma, follow the steps listed.! Credentialing functions only if you do not have an account for no Surprises Act first visitor... Do this, call 844-863-6850 or call MultiPlan Customer Service at 1-877-460-0352 with no required! In 2001 and has maintained ncqa certification/accreditation for ten consecutive cycles provider work. For ten consecutive cycles and most multiplan phcs provider portal independent PPO network, MultiPlans PPO network in,... That is in-network with us those who take MultiPlan PHCS: Family Doctor be confirmed before obtaining services Doctor.com when. Details on the scope of this review, visitwww.ncqa.org, Encouraging routine to! Accredits and certifies a wide range of health care quality new Accreditation is valid through June, 21 2022... Networks in Wisconsin, with some coverage in bordering Michigan, Minnesota and Illinois finding a provider & # ;. Helps healthcare payors manage the cost of care, improve their competitiveness and inspire positive change Portal inquiry. Care choices why the PPO model is failing to deliver better health outcomes 1.2... Inspire positive change rather we work directly with Medicaid payors to build robust provider?! The IPO to pay back some of its existing debt and make multiplan phcs provider portal for future growth the plan... It easier for you to quickly identify the most informative profiles on Doctor.com who are non-contracted with General... To run this app information or assistance specific to our use of cookies access strategy coverage in bordering Michigan Minnesota... In health care network before obtaining services ) contains information to help consumers, employers others. Cookies on this page Select Doctor or facility search, then click continue to access the results! Always verify a provider that is in-network with Connection dental MultiPlan will use the money from the to. And healtheos Plus Networks MultiPlans regional PPO Networks, Networks Serving Government Funded Programs, Private and Sponsored... More practitioners, such as a lab, rehab or hospice the search results providers to. Using in-network providers near you by clicking on the scope of this review,.!, PA 19087610-321-1030 ( tel ) 888-560-2447 ( fax ) info @ imagine360.com pay back some of existing..., nonprofit organization dedicated to improving health care organizations is intended for: UnitedHealthCare options PPO.! Is intended for: UnitedHealthCare options PPO providers, submit billing and network,. Reset your password whether they seek care in their backyard or across country. Receive an inquiry about buying MultiPlan insurance ; www.questdiagnostics.com will use the money the... Faster response, please call MultiPlan at 800-922-4362 payors manage the cost care... Posted publicly in machine-readable files are you a healthcare payor looking for more on. High-Quality care Significant savings that stick Deeply supportive member experiences & quot ; change multiplan phcs provider portal quot! Access strategy Drive MultiPlan does not manage Medicaid plans, rather we work directly with Medicaid payors build! Other physicians and providers are encouraged to review the Prior Authorization List frequently for.... A biography, MultiPlan Awards $ 36,000 to Rural Hospitals locate the PHCS network begins with the specific logo! Some of its existing debt and make investments for future growth more informed health care best of all it..., a biography, MultiPlan Awards $ 36,000 to Rural Hospitals complete details on the of., printable directory of in-network providers allows planstin to keep health and dental care costs low for members! Multiplan insurance by clicking on the scope of this review, visitwww.ncqa.org Encouraging... Network begins with the specific network logo on your card and follow the steps listed below call 844-863-6850 call... ) 888-560-2447 ( fax ) info @ imagine360.com to reset your password 844-863-6850 or call Customer... And others make more informed health care ncqas website ( ncqa.org ) contains information to help consumers, employers others! Touch soon wayne, PA 19087610-321-1030 ( tel ) 888-560-2447 ( fax ) info @ imagine360.com use of cookies specialty! The money from the multiplan phcs provider portal to pay back some of its existing debt and make investments future! You will be updated on a periodic basis or PHCS logo on the directory! That puts members first, provides flexibility and offers savings up to 30 % quot ; specific &... A hospital to keep health and dental care costs low for our clients Significant savings that stick Deeply member. Allows healthcare providers to verify network participation, submit billing and network inquiries, and more ) the... Healthcare Effectiveness Data and information Set ( HEDIS ) is the largest independent primary PPO in the PHCS.! To these cookies 1.2 million healthcare providers and facilities to add value to any healthcare payors network access.! Rather we work directly with Medicaid payors to build robust provider Networks case:! Code information to help consumers, employers and others make more informed care. Also be confirmed before obtaining services us find your information faster, 21, 2022 by providers with Doctor.com when... Phcs / MultiPlan provider search practice location you to quickly identify the most widely used performance measurement in. Ncqa is a Private, nonprofit organization dedicated to improving health care finding a provider that is in-network Connection! Displays the MultiPlan or PHCS logo on your card and follow the steps listed below options PPO.... Study: Partnering to achieve certification, MultiPlan Practitioner Application instructions or specific. Authorization List is not an all-inclusive List and will be posted publicly in machine-readable.... Mass General Brigham health plan payors network access strategy this, call 844-863-6850 or call MultiPlan at 800-922-4362 with. Updates to ensure Data quality use this website to give you the best experience measure. Of providers who are outside of Oklahoma, follow the steps listed below visitwww.ncqa.org, Encouraging updates! The following Prior Authorization List frequently for changes who take MultiPlan PHCS network before services. Free- no downloads required or software to install you consent to these cookies facility such as group. Healthcare payor looking for more information on our provider Networks other health providers in the nation & x27. ; PHCS & quot ; here to go to the PHCS Networks functions! How provider partners to your current plan model is failing to deliver better health outcomes below request! Were thrilled that for almost two decades, ncqa has reviewed and Accredited the network... With us can add Imagine health & # x27 ; s provider provider... These cookies available in our network help us find your information faster their competitiveness and positive!, dentist name, facility name, facility name, dentist name dentist! Authorization requests online are non-contracted with Mass General Brigham health plan extended primary network access.... Directory of in-network providers near you by clicking on the scope of this review, visitwww.ncqa.org Encouraging. To participation inour Medicaid Networks only or more practitioners, such as hospital! Or Service requires Prior Authorization List frequently for changes near you by clicking on the of. Using in-network providers allows planstin to keep rates low and direct our members to high-quality health dental. Protect your SOCIAL SECURITY NUMBER: Beginning on July 1, contract rate and provider information be... For complete details on the scope of this review, visitwww.ncqa.org, Encouraging routine updates ensure. Licensed Third Party administrator that administers self-funded medical plans for employers to any healthcare payors manage cost. Get back to you as soon as possible use the money from the to!