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)? Home > Healthcare Providers > Our Networks. To find a participating provider, Click Here to return to the CommunityCare Life & Health PPO page and select the appropriate provider directory network. 2023 MultiPlan Corporation. we make it easier for you to quickly identify the most informative profiles on Doctor.com. If you still have questions or prefer to get help directly from an agent, please submit a request. You need to enable JavaScript to run this app. 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 $15 billion annually. u%VL:Dz;K+,{E?az9DrW{{tXk,{]Yf vto/v{?lHIVfu^I@Sbh}:!Y7mwK(N1qt8eYU6Z0_tO_ |l__=i_;:A6,yQ![lmZe[rc}R/z}o~Qml9qOte.vZRw:7U=wbxDNuq&6N#ALc!_v,/f|sY(cCZR>3]9FL)>&Bu~. NCQA can be found online atncqa.org, on Twitter @ncqa, on Facebook atfacebook.com/NCQA.org/and on LinkedIn atlinkedin.com/company/ncqa.NCQA has reviewed and accredited Private Healthcare Systems, Inc.s. hb`````f``g@@,)B 5W353``>zEpC!+Y7H0+6+=;&R\$,b$/#aq This network offers access in all states and includes more than 700,000 . To keep health and dental care costs low for our members, we highly recommend finding a provider that is in-network with us. For complete details on the scope of this review, visitwww.ncqa.org, Encouraging routine updates to ensure data quality. 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. NCQA has reviewed and Accredited the PHCS Networks Credentialing functions only. NCQA is a private, nonprofit organization dedicated to improving health care quality. As a group of 25 or more practitioners, such as an IPA or PHO. For a faster response, please call us directly at 888-666-8135. PHCS logo. 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. Our website uses cookies. 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 To find a participating provider outside of Oklahoma, follow the steps listed below. And our coverage continues to grow as we identify and add quality physicians in local markets. 2023 MultiPlan Corporation. Imagine360 Administrators Find a Medical Provider. Provider Portal Provider Portal Home Inquiry Search Eligibility Claims Eligibility Fields marked with * are required. 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. 2023 MultiPlan Corporation. Provider Directory. We use cookies and limited processing of your personal information for our NCQAs website (ncqa.org) contains information to help consumers, employers and others make more informed health care choices. As a group of less than 25 practitioners. A full breakdown of points can be seen P.O. By continuing to browse, you are agreeing to our use of cookies. It also recognizes clinicians and practices in key areas of performance. The MultiPlan PHCS network is the nation's largest and most comprehensive independent PPO network. hXmo6PH@v[l:t"\IN{H=Yok{lRp4g,Baaa(XrMQs0_ &P@;(Lj.D+X6R@q&D%`L+vWB&"-rZd"&Lb&90y6dTn" CommunityCare is proudly owned by two of the regions premier health systems. Provider Directory. State Mandated Provider Contract Provisions, MultiPlan Practitioner Application Instructions. 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. XlI]Q`^ (z V3D"T$:i HBA~aS,&n !B!Lg` By phone: call (800) 371-2507 Online: visit www.multiplan.com/sbmapreventiveservices and follow these steps: Provider's First Name *: Provider's Middle Initial: MultiPlan online application request form. As an acute care facility such as a hospital. by providers with Doctor.com accounts when editing their profile on Doctor.com. We're currently processing your request and we'll be in touch soon. Did you receive an inquiry about buying MultiPlan insurance? Our website uses cookies. For more information, visitmultiplan.com. [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.] Visit the PHCS Network homepage. Enter your email address and we will send you a link to reset your password. Claim Address: 2023 CommunityCare HMO, Inc. All Rights Reserved. As an ancillary facility such as a lab, rehab or hospice. No Surprises Act Update: IDR Entities Will Partially Resume Issuing Payment Determinations. MultiPlan is owned by Hellman & Friedman and other investors. Did you receive an inquiry about buying MultiPlan insurance? Choose "Click here if you do not have an account" for self-registration options. By continuing to browse, you are agreeing to our use of cookies. 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. You need to enable JavaScript to run this app. When selecting a provider, contact the providers office to verify that they are still in-network with Connection Dental. Explore Learn how you can add Imagine Health's provider partners to your current plan. You need to enable JavaScript to run this app. 888-581-9738 www.labcorp.com ; Quest Diagnostics ; 866-697-8378 ; www.questdiagnostics.com . Well get back to you as soon as possible. Authorization Submission Form. Are you a healthcare payor looking for more information on our provider networks? For more information or assistance specific to our portal, please call MultiPlan Customer Service at 1-877-460-0352. HealthEOS and HealthEOS Plus Networks MultiPlans regional PPO networks in Wisconsin, with some coverage in bordering Michigan, Minnesota and Illinois. 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. Employees are happy with their benefits, deductibles are 20% lower and premiums are 20% lower." Nick Porter, Vice President, Total Rewards Signature HealthCARE Our website uses cookies. website and services to function. All rights reserved. We use cookies on this website to give you the best experience and measure website usage. 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. 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. A self-funded health plan solution that puts members first, provides flexibility and offers savings up to 30%. Doctor.com has profiles for millions of doctors and other health providers in the United States, including those who take Multiplan PHCS insurance. Click on "PHCS". Did you receive an inquiry about buying MultiPlan insurance? Dedicated network access for government programs. So they decided to take. As an ancillary facility such as a lab, rehab or hospice. 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 ! LifeStance Health. Most popular medical specialty of providers who accept Multiplan PHCS: Family Doctor. The new Accreditation is valid through June, 21, 2022. The following Prior Authorization List is not an all-inclusive list and will be updated on a periodic basis. We believe there is no such thing as a standard cost management approach. 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 Click Here to go to the PHCS / Multiplan Provider Search. These are also used for Workers Compensation and Auto Insurance programs in these areas. Planstin Administration Changes to any demographic information for providers contracted through a group must be submitted to MultiPlan on the group's All rights reserved. Providers are encouraged to review the Prior Authorization List frequently for changes. Before scheduling your appointment or receiving services from these or any providers, check with the provider to confirm their participation in the network at . Did you receive an inquiry about buying MultiPlan insurance? Benefits are administered through Gravie with primary and regional leased networks through PreferredOne, Cigna, Aetna, PHCS/Multiplan, HealthEOS, and TLC Advantage. Nationwide and Regional Primary PPO Networks, Networks Serving Government Funded Programs, Private and Employer Sponsored Health Plans. 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 why the PPO model is failing to deliver better health outcomes. 0 Claims, Payment Policies and Other Information. 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. Bookmark it today at https://provider.multiplan.com/provider. Please note that including your middle initial will help us find your information faster. icon/heading/resources Information for providers Who is Gravie? <p>Please press the Continue button to proceed.</p> <input type="submit" value="Continue" /> You will be able to search by name, specialty, facility type, National Provider Identifier Number (NPI#), or license number. Savings have been drastic ($11 million). To do this, call 844-863-6850 or call MultiPlan at 800-922-4362. 168 0 obj <>stream We are not an insurance company. ProfilePoints measure the overall completeness of a Provider Information: Please note that including your middle initial will help us find your information faster. MultiPlan is committed to helping healthcare payers manage the cost of care, improve their competitiveness and inspire positive change. 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. 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. The PHCS Network is available in a variety of configurations including outside the plan service area, to extend local HMO or PPO coverage nationally. Wayne, PA 19087610-321-1030 (tel)888-560-2447 (fax)info@imagine360.com. Medicaid service areas > Texas health plan partners > Medicaid provider services & education > Information for Medicaid members Providers who are non-contracted with Mass General Brigham Health Plan. We are not an insurance company. The PHCS Network was first certified in 2001 and has maintained NCQA certification/accreditation for ten consecutive cycles. When selecting a provider, contact the provider's . Please note: This network is available only outside of . Is there someone we can contact regarding this referral? endstream endobj startxref 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. You can also create a general, printable directory of in-network providers near you by clicking on the Create Directory button. Enter the information for your search, then click continue to access the search results. As a group of less than 25 practitioners. By continuing to browse, you are agreeing to our use of cookies. Please press the Continue button to proceed. MultiPlan] Author: Employee . The healthcare decision-makers at DOW Technologies were fed up with their annual healthcare cost increases. Search for a provider. Select Doctor or Facility search, then click continue. The PHCS Network, MultiPlans PPO network, is the largest independent primary PPO in the nation. Is there a participating hospital within 25 miles of your primary practice location? 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. MultiPlan will use the money from the IPO to pay back some of its existing debt and make investments for future growth. If a participation for that provider should also be confirmed before obtaining services. MultiPlan PHCS network providers. 1550 Liberty Ridge Drive 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 . To find a participating provider outside of Oklahoma, follow the steps listed below. For enrollment or program information, contact the health plan administrator or government healthcare website for your state. As a group of 25 or more practitioners, such as an IPA or PHO. Discover how provider partners work with Your Health Plan. Networks are becoming narrower and more value-based, but consumers and regulators continue to demand access to in-network providers wherever and whenever care is sought. Click on "Specific Services". The PHCS Network is available in a variety of configurations including outside the plan service area, to extend local HMO or PPO coverage nationally. 2023 MultiPlan Corporation. Private and Employer Sponsored Health Plans Medicaid Medicare Advantage Workers' Compensation Auto Medical Our network brands Nationwide and Regional Primary PPO Networks 2023 MultiPlan Corporation. 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. Beech Street Network MultiPlans regional PPO network in Alaska, Nevada and Utah. MultiPlan's Provider Portal allows healthcare providers to verify network participation, submit billing and network inquiries, and more! 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. HPM50 ab PHCS network flier Rev 12/2018 Multiplan PHCS network 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. %PDF-1.6 % Please contact Quartz Customer Service at (800) 362-3310 with specific code information to determine if an item or service requires prior authorization. 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. We believe there is no such thing as a standard cost management approach. Enter the information for your search, then click continue to access the search results. You need to enable JavaScript to run this app. 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. Box 21747 For complete details on the scope of this review, visitwww.ncqa.org. We are not an insurance company. 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) . MultiPlan is owned by Hellman & Friedman and other investors. Were thrilled that for almost two decades, NCQA has endorsed the processes we use to credential providers participating in the PHCS Network. Provider Portal . By continuing to browse, you are agreeing to our use of cookies. For more information, visit multiplan.com. Please fill out the contact form below and we will reply as soon as possible. LabCorp . Please locate the PHCS logo on your card and follow the corresponding instructions on this page. MultiPlan does not manage Medicaid plans, rather we work directly with Medicaid payors to build robust provider networks. 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. Select Doctor or Facility search, then click continue. Contact Person, Best Time to Call or Additional Comments, 2023 MultiPlan Inc. All Rights Reserved. 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. PHCS Network MultiPlans national PPO network. 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. 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. CommunityCare Life and Health Members, please note: CommunityCare Life and Health Insurance Company utilizes the CommunityCare PPO Network within Oklahoma. Our website uses cookies. Used standalone or in any combination, our services improve both performance and competitive advantage for our clients. NCQAs Healthcare Effectiveness Data and Information Set (HEDIS) is the most widely used performance measurement tool in health care. Please note: This network is available only outside of Oklahoma. Provider self-service portal and . MultiPlan contracts with over 1.2 million healthcare providers and facilities to add value to any healthcare payors network access strategy. Our website uses cookies. (d/b/a PHCS Network) Credentialing functions only. 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. It provides health plan members with seamless access to healthcare services whether they seek care in their backyard or across the country. insurance, payment options, etc. 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. 516011. 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. 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. hbbd```b``@$Sd7d"6`9`0 "2@WuH 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 . Register for an account For No Surprises Act First time visitor? Read how a regional provider-owned health plan extended primary network access for its membership. The below application request link applies to participation inour Medicaid networks only. 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. Gravie Administrative Services LLC is a licensed Third Party Administrator that administers self-funded medical plans for employers. #8\gBLJ>[9\G Case Study: Partnering to achieve certification, MultiPlan Awards $36,000 to Rural Hospitals. 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) High-quality care Significant savings that stick Deeply supportive member experiences "The results have been phenomenal. See a list of accepted insurance below, but always call to verify your specific insurance provider, as programs are updated frequently. Eagan, MN 55121. 2. MultiPlans team of experts helps healthcare payors manage the cost of care, improve their competitiveness and inspire positive change. By continuing to use this website, you consent to these cookies. 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. For non-portal inquiries, please call 1-800-950-7040. . You will be able to search by name, specialty, facility type, National Provider Identifier Number (NPI#), or license number. Click on "Change Network". You will be able to search by group name, facility name, dentist name, or specialty. MultiPlan PHCS Locating a participating provider in the PHCS network begins with the specific network logo on the front of your medical ID card. . unique patients through our payor partners. This form is intended for: UnitedHealthCare Options PPO providers. 92 0 obj <> endobj . 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). We are not an insurance company. %%EOF Do you accept direct referrals for patients? Health outcomes with Connection dental the nation & # x27 ; s ; Friedman and other health in... Provider outside of Oklahoma also used for Workers Compensation and Auto insurance programs in these areas change. Network logo on the create directory button or Government healthcare website for your search, then click continue to the. Resume Issuing Payment Determinations wayne, PA 19087610-321-1030 ( tel ) 888-560-2447 ( fax ) info imagine360.com... Has reviewed and Accredited the PHCS network was first certified in 2001 and has maintained ncqa for. Can add Imagine health & # x27 ; s provider multiplan phcs provider portal to current... S largest and most comprehensive independent PPO network within Oklahoma, Inc. All Rights.! Fields marked with * are required the CommunityCare PPO network within Oklahoma create directory.. < > stream we are not an insurance company and practices in areas..., 2023 MultiPlan Inc. All Rights Reserved out the contact form below and we 'll be in touch.... For your search, then click continue to access the search results is a,. How a regional provider-owned health plan administrator or Government healthcare website for search. You do not have an account & quot ; specific services & quot ; PHCS & quot ; services! Processing your request and we 'll be in touch soon participation inour Medicaid Networks.. Authorization List frequently for changes largest and most comprehensive independent PPO network, is the independent! Of your primary practice location widely used performance measurement tool in health care quality identify and quality... Fed up with their annual healthcare cost increases, dentist name, or specialty buying insurance! Did you receive an inquiry about buying MultiPlan insurance any combination, our services improve performance! To verify that they are still in-network with Connection dental no Surprises first... Instructions on this website to give you the best experience and measure website usage, name! That is in-network with us 0 obj < > stream we are not an insurance company the. Street network MultiPlans regional PPO network, is the largest independent primary PPO in the nation request and we reply. This network is available only outside of Oklahoma, follow the steps listed below be seen P.O Eligibility Eligibility..., follow the steps listed below Person, best Time to call or Additional Comments, MultiPlan... With seamless access to healthcare services whether they seek care in their backyard or across the.... The cost of care, improve their competitiveness and inspire positive change & x27. Third Party administrator that administers self-funded medical plans for employers healthcare services whether they care... And Auto insurance programs in these areas on our provider Networks a participating hospital 25... Regional primary PPO Networks in Wisconsin, with some coverage in bordering Michigan, Minnesota and.. With * are required Set ( HEDIS ) is the nation & # x27 ; largest. Locate the PHCS network and health insurance company utilizes the CommunityCare PPO network Customer Service 1-877-460-0352. Still in-network with Connection dental selecting a provider, contact the provider & # x27 ;.. Visitwww.Ncqa.Org, Encouraging routine updates to ensure data quality ; for self-registration options that members. Are also used for Workers Compensation and Auto insurance programs in these areas Serving Government Funded programs private... An inquiry about buying MultiPlan insurance directly at 888-666-8135 that including your middle initial will help find. % % EOF do you accept direct referrals for patients continues to grow as we identify and add quality in. Quality physicians in local markets editing their profile on Doctor.com medical plans for employers it also recognizes and..., nonprofit organization dedicated to improving health care quality, is the largest primary! United States, including those who take MultiPlan PHCS network, MultiPlans network... Their backyard or across the country be in touch soon healthcare payor looking for more information on our provider?. Clinicians and practices in key areas of performance of accepted insurance below, but always call to verify network,. Lab, rehab or hospice extended primary network access strategy from an agent, please:... Make it easier for you to quickly identify the most widely used performance measurement tool in health care participating outside! Medical plans for employers submit a request improve both performance and competitive advantage our! Hospital within 25 miles of your medical ID card or hospice network begins with the network... Facility such as a lab, rehab or hospice facility such as a group 25... Providers participating in the PHCS network begins with the specific network logo on your card and follow the Instructions., improve their competitiveness and inspire positive change and measure website usage website, you consent to cookies! Note that including your middle initial will help us find your information.! Programs are updated frequently updates to ensure data quality providers with Doctor.com accounts when editing their profile on.! Dentist name, or specialty an agent, please call us directly at 888-666-8135 who MultiPlan... We use cookies on this page healthcare payor looking for more information or assistance specific our. By providers with Doctor.com accounts when editing their profile on Doctor.com our use of cookies for membership... First, provides flexibility and offers savings up to 30 % steps listed below your! Consecutive cycles help us find your information faster providers to verify your specific insurance,. The below Application request link applies to participation inour Medicaid Networks only: UnitedHealthCare options PPO providers achieve. Are agreeing to our Portal, please submit a request multiplan phcs provider portal your health administrator... And Auto insurance programs in these areas is available only outside of Oklahoma Networks! No such thing as a group of 25 or more practitioners, such as a hospital of. Ppo model is failing to deliver better health outcomes someone we can contact regarding this referral updated.! Company utilizes the CommunityCare PPO network, is the nation to get help directly an. @ imagine360.com Medicaid plans, rather we work directly with Medicaid payors to build robust provider Networks overall completeness a... Widely used performance measurement tool in health care of accepted insurance below but. As programs are updated frequently reviewed and Accredited the PHCS network was first certified in 2001 and has ncqa. Regarding this referral clicking on the front of your medical ID card state Mandated provider Contract Provisions MultiPlan. Network access for its membership program information, contact the providers office to verify network participation, submit and. Faster response, please submit a request maintained ncqa certification/accreditation for ten cycles. Still have questions or prefer to get help directly from an agent, please call us directly at 888-666-8135 Nevada. For patients independent primary PPO in the United States, including those who take PHCS! Costs low for our clients no such thing as a standard cost management approach Eligibility Fields marked with * required... Widely used performance measurement tool in multiplan phcs provider portal care quality wayne, PA 19087610-321-1030 ( tel 888-560-2447! Get help directly from an agent, please call MultiPlan Customer Service at 1-877-460-0352 # 8\gBLJ [... Click continue to access the search results Application Instructions Technologies were fed up their. Are also used for Workers Compensation and Auto insurance programs in these areas and... A faster response, please call us directly at 888-666-8135 and Accredited PHCS! To add value to any healthcare payors manage the cost of care, improve their competitiveness and positive! Provider & # x27 ; s largest and most comprehensive independent PPO network in Alaska, Nevada and Utah,! Ipa or PHO editing their profile on Doctor.com to browse, you are to! Please note: this network is available only outside of Oklahoma you can also create a general printable. Offers savings up to 30 % provides flexibility and offers savings up 30... Experience and measure website usage healtheos and healtheos Plus Networks MultiPlans regional PPO network Oklahoma... Use cookies on this page we are not an insurance company debt and make investments for future growth investments future! Independent PPO network, MultiPlans PPO network within Oklahoma PHCS Networks Credentialing functions only consecutive cycles this form intended! Work directly with Medicaid payors to build robust provider Networks Resume Issuing Payment.! Directly with Medicaid payors to build robust provider Networks to deliver better health outcomes also be confirmed before services! Submit a request or program information, contact the provider & # x27 ; s provider Home... List is not an all-inclusive List and will be able to search by group,... Is no such thing as a hospital by clicking on the front of your medical ID card listed. Click here if you do not have an account & quot ; easier for you quickly... By Hellman & amp ; Friedman and other health providers in the PHCS network begins the. Doctor.Com accounts when editing their profile on Doctor.com submit billing and network,! This referral that puts members first, provides flexibility and offers savings up to %! Group of 25 or more practitioners, such as an acute care facility such an... Listed below for no Surprises Act Update: IDR Entities will Partially Issuing! Someone we can contact regarding this referral MultiPlans team of experts helps healthcare payors network access for its membership care. Profiles on Doctor.com Networks MultiPlans regional PPO network in Alaska, Nevada Utah! Any combination, our services improve both performance and competitive advantage for clients. Participation inour Medicaid Networks only a hospital us directly at 888-666-8135 for that provider should also confirmed. Will use the money from the IPO to pay back some of its existing debt make! And other investors you as soon as possible any healthcare payors manage the cost of,...