Is there someone we can contact regarding this referral? Please note that including your middle initial will help us find your information faster. 2023 CommunityCare HMO, Inc. All Rights Reserved. Register for an account For No Surprises Act First time visitor? 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. 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. unique patients through our payor partners. hbbd```b``@$Sd7d"6`9`0 "2@WuH When selecting a provider, contact the providers office to verify that they are still in-network with Connection Dental. Did you receive an inquiry about buying MultiPlan insurance? Is there a participating hospital within 25 miles of your primary practice location? website and services to function. Multiplan PHCS providers listed on Doctor.com have been practicing for an average of: 30.3 year (s) Average ProfilePoints score for Providers who take Multiplan PHCS: 39/80. LifeStance Health. endstream endobj startxref Always verify a provider's participation in the PHCS network before obtaining services. hb`````f``g@@,)B 5W353``>zEpC!+Y7H0+6+=;&R\$,b$/#aq LabCorp . For more information, visitmultiplan.com. Beech Street Network MultiPlans regional PPO network in Alaska, Nevada and Utah. MultiPlan PHCS network providers. Visit the PHCS Network homepage. No Surprises Act Update: IDR Entities Will Partially Resume Issuing Payment Determinations. Click on "Change Network". See a list of accepted insurance below, but always call to verify your specific insurance provider, as programs are updated frequently. 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. Select Doctor or Facility search, then click continue. ! The following Prior Authorization List is not an all-inclusive list and will be updated on a periodic basis. HealthEOS and HealthEOS Plus Networks MultiPlans regional PPO networks in Wisconsin, with some coverage in bordering Michigan, Minnesota and Illinois. Savings have been drastic ($11 million). MultiPlan] Author: Employee . 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. You need to enable JavaScript to run this app. For more information, visit multiplan.com. 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. 2570 Foxfield, Suite 107. NCQAs website (ncqa.org) contains information to help consumers, employers and others make more informed health care choices. We use cookies and limited processing of your personal information for our The below application request link applies to participation inour Medicaid networks only. Please fill out the contact form below and we will reply as soon as possible. Were thrilled that for almost two decades, NCQA has endorsed the processes we use to credential providers participating in the PHCS Network. The PHCS Network was first certified in 2001 and has maintained NCQA certification/accreditation for ten consecutive cycles. As a group of 25 or more practitioners, such as an IPA or PHO. By continuing to browse, you are agreeing to our use of cookies. 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) The healthcare decision-makers at DOW Technologies were fed up with their annual healthcare cost increases. All rights reserved. Private and Employer Sponsored Health Plans Medicaid Medicare Advantage Workers' Compensation Auto Medical Our network brands Nationwide and Regional Primary PPO Networks NCQA is a private, nonprofit organization dedicated to improving health care quality. 2. HPM50 ab PHCS network flier Rev 12/2018 Multiplan PHCS network P.O. %%EOF So they decided to take. Enter your email address and we will send you a link to reset your password. Well get back to you as soon as possible. Click on "PHCS". Claims, Payment Policies and Other Information. We are not an insurance company. Explore Learn how you can add Imagine Health's provider partners to your current plan. You will be able to search by name, specialty, facility type, National Provider Identifier Number (NPI#), or license number. 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. Enter the information for your search, then click continue to access the search results. Provider Portal . we make it easier for you to quickly identify the most informative profiles on Doctor.com. Our website uses cookies. As a group of less than 25 practitioners. Did you receive an inquiry about buying MultiPlan insurance? A full breakdown of points can be seen Providers are encouraged to review the Prior Authorization List frequently for changes. XlI]Q`^ (z V3D"T$:i HBA~aS,&n !B!Lg` MultiPlan's Provider Portal allows healthcare providers to verify network participation, submit billing and network inquiries, and more! This network offers access in all states and includes more than 700,000 . By phone: call (800) 371-2507 Online: visit www.multiplan.com/sbmapreventiveservices and follow these steps: provider's profile, including items like having a photo, a biography, 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. MultiPlan online application request form. icon/heading/resources Information for providers Who is Gravie? 98% of participating providers are contracted directly, >100 network development professionals across the country, Are you a healthcare payor looking for more. To find a participating provider outside of Oklahoma, follow the steps listed below. 0 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. 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. Imagine360 Administrators Saint Charles, IL 60174. Our website uses cookies. Get Directions 888-428-7890 877-428-7891. Click on "Specific Services". MultiPlan will use the money from the IPO to pay back some of its existing debt and make investments for future growth. CommunityCare is proudly owned by two of the regions premier health systems. MultiPlan PHCS Locating a participating provider in the PHCS network begins with the specific network logo on the front of your medical ID card. 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. 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. 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. Provider's First Name *: Provider's Middle Initial: We are not an insurance company. Discover how provider partners work with Your Health Plan. These are also used for Workers Compensation and Auto Insurance programs in these areas. 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. 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. All rights reserved. By continuing to browse, you are agreeing to our use of cookies. Please locate the PHCS logo on your card and follow the corresponding instructions on this page. 2023 MultiPlan Corporation. Enter the information for your search, then click continue to access the search results. For enrollment or program information, contact the health plan administrator or government healthcare website for your state. And our coverage continues to grow as we identify and add quality physicians in local markets. All rights reserved. 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. Gravie Administrative Services LLC is a licensed Third Party Administrator that administers self-funded medical plans for employers. %PDF-1.6 % We believe there is no such thing as a standard cost management approach. For complete details on the scope of this review, visitwww.ncqa.org, Encouraging routine updates to ensure data quality. You will be able to search by group name, facility name, dentist name, or specialty. MultiPlans team of experts helps healthcare payors manage the cost of care, improve their competitiveness and inspire positive change. 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. As a group of less than 25 practitioners. It provides health plan members with seamless access to healthcare services whether they seek care in their backyard or across the country. When selecting a provider, contact the provider's . Employees are happy with their benefits, deductibles are 20% lower and premiums are 20% lower." Nick Porter, Vice President, Total Rewards Signature HealthCARE MultiPlan is owned by Hellman & Friedman and other investors. A self-funded health plan solution that puts members first, provides flexibility and offers savings up to 30%. [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.] High-quality care Significant savings that stick Deeply supportive member experiences "The results have been phenomenal. (d/b/a PHCS Network) Credentialing functions only. 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. Provider Directory. Please contact Quartz Customer Service at (800) 362-3310 with specific code information to determine if an item or service requires prior authorization. 2023 MultiPlan Corporation. To do this, call 844-863-6850 or call MultiPlan at 800-922-4362. 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%. Choose "Click here if you do not have an account" for self-registration options. 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. 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. To find a participating provider outside of Oklahoma, follow the steps listed below. By continuing to browse, you are agreeing to our use of cookies. The PHCS Network is available in a variety of configurations including outside the plan service area, to extend local HMO or PPO coverage nationally. Discover why the PPO model is failing to deliver better health outcomes. 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). Nationwide and Regional Primary PPO Networks, Networks Serving Government Funded Programs, Private and Employer Sponsored Health Plans. Select Doctor or Facility search, then click continue. Box 21747 It also recognizes clinicians and practices in key areas of performance. Dedicated network access for government programs. . Changes to any demographic information for providers contracted through a group must be submitted to MultiPlan on the group's If you still have questions or prefer to get help directly from an agent, please submit a request. ProfilePoints measure the overall completeness of a Search for a provider. For more information or assistance specific to our portal, please call MultiPlan Customer Service at 1-877-460-0352. 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. Providers who are outside of Mass General Brigham Health Plan provider network can now submit medical authorization requests online. Click Here to go to the PHCS / Multiplan Provider Search. By continuing to browse, you are agreeing to our use of 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. The PHCS Network is available in a variety of configurations including outside the plan service area, to extend local HMO or PPO coverage nationally. 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)? For a faster response, please call us directly at 888-666-8135. By showing providers with higher ProfilePoints first, To find a participating provider, Click Here to return to the CommunityCare Life & Health PPO page and select the appropriate provider directory network. How to Access the Provider Portal The portal is secure and completely web-based with no downloads required or software to install. 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 888-581-9738 www.labcorp.com ; Quest Diagnostics ; 866-697-8378 ; www.questdiagnostics.com . #8\gBLJ>[9\G Did you receive an inquiry about buying MultiPlan insurance? We use cookies on this website to give you the best experience and measure website usage. State Mandated Provider Contract Provisions, MultiPlan Practitioner Application Instructions. Average Overall User Rating for providers who take Multiplan PHCS: Are you a healthcare payor looking for more information on our provider networks? 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. Bookmark it today at https://provider.multiplan.com/provider. Provider Directory. Home > Healthcare Providers > Our Networks. 2023 MultiPlan Corporation. Planstin Administration 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. All rights reserved. Please note: This network is available only outside of . Medicaid service areas > Texas health plan partners > Medicaid provider services & education > Information for Medicaid members 168 0 obj <>stream Provider self-service portal and . if your ID card displays the MultiPlan or PHCS logo. We are not an insurance company. You need to enable JavaScript to run this app. Benefits are administered through Gravie with primary and regional leased networks through PreferredOne, Cigna, Aetna, PHCS/Multiplan, HealthEOS, and TLC Advantage. 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. NCQA has reviewed and Accredited the PHCS Networks Credentialing functions only. All rights reserved. PHCS Network MultiPlans national PPO network. <p>Please press the Continue button to proceed.</p> <input type="submit" value="Continue" /> Please note: This network is available only outside of Oklahoma. As an ancillary facility such as a lab, rehab or hospice. Did you receive an inquiry about buying MultiPlan insurance? Provider Portal Provider Portal Home Inquiry Search Eligibility Claims Eligibility Fields marked with * are required. Click Here to go to the PHCS / Multiplan Provider Search. By continuing to use this website, you consent to these cookies. 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. CommunityCare Life and Health Members, please note: CommunityCare Life and Health Insurance Company utilizes the CommunityCare PPO Network within Oklahoma. 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 . Other physicians and providers are available in our network. . Flexible healthcare provider networks for payors, Available for commercial, Medicare Advantage, and Property and Casualty healthcare payors, Innovative contracts add value for all types of health plans. MultiPlan does not manage Medicaid plans, rather we work directly with Medicaid payors to build robust provider networks. The MultiPlan PHCS network is the nation's largest and most comprehensive independent PPO network. 2023 MultiPlan Corporation. The new Accreditation is valid through June, 21, 2022. PHCS logo. You will be able to search by name, specialty, facility type, National Provider Identifier Number (NPI#), or license number. 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. 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. . You can also create a general, printable directory of in-network providers near you by clicking on the Create Directory button. 516011. You need to enable JavaScript to run this app. NCQA accredits and certifies a wide range of health care organizations. Using in-network providers allows Planstin to keep rates low and direct our members to high-quality health and dental care. The PHCS Network, MultiPlans PPO network, is the largest independent primary PPO in the nation. Eagan, MN 55121. Providers who are non-contracted with Mass General Brigham Health Plan. Provider Information: Please note that including your middle initial will help us find your information faster. By continuing to browse, you are agreeing to our use of cookies. Read how a regional provider-owned health plan extended primary network access for its membership. 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 . 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. Before scheduling your appointment or receiving services from these or any providers, check with the provider to confirm their participation in the network at . NCQAs Healthcare Effectiveness Data and Information Set (HEDIS) is the most widely used performance measurement tool in health care. 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 1550 Liberty Ridge Drive We believe there is no such thing as a standard cost management approach. 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) 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. PROTECT YOUR SOCIAL SECURITY NUMBER: Beginning on July 1, contract rate and provider information will be posted publicly in machine-readable files. Doctor.com has profiles for millions of doctors and other health providers in the United States, including those who take Multiplan PHCS insurance. We are not an insurance company. by providers with Doctor.com accounts when editing their profile on Doctor.com. 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~. Find a Medical Provider. 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. 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. Do you accept direct referrals for patients? As a group of 25 or more practitioners, such as an IPA or PHO. MultiPlan is committed to helping healthcare payers manage the cost of care, improve their competitiveness and inspire positive change. Case Study: Partnering to achieve certification, MultiPlan Awards $36,000 to Rural Hospitals. As an acute care facility such as a hospital. hXmo6PH@v[l:t"\IN{H=Yok{lRp4g,Baaa(XrMQs0_ &P@;(Lj.D+X6R@q&D%`L+vWB&"-rZd"&Lb&90y6dTn" For non-portal inquiries, please call 1-800-950-7040. . Claim Address: 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. 2023 MultiPlan Corporation. Our website uses cookies. Most popular medical specialty of providers who accept Multiplan PHCS: Family Doctor. You need to enable JavaScript to run this app. We are not an insurance company. insurance, payment options, etc. Used standalone or in any combination, our services improve both performance and competitive advantage for our clients. Our website uses cookies. This form is intended for: UnitedHealthCare Options PPO providers. Best of all, it's free- no downloads required or software to install. As an ancillary facility such as a lab, rehab or hospice. 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 Wayne, PA 19087610-321-1030 (tel)888-560-2447 (fax)info@imagine360.com. Authorization Submission Form. MultiPlan is owned by Hellman & Friedman and other investors. MultiPlan contracts with over 1.2 million healthcare providers and facilities to add value to any healthcare payors network access strategy. Did you receive an inquiry about buying MultiPlan insurance? If a participation for that provider should also be confirmed before obtaining services. Please press the Continue button to proceed. Our website uses cookies. We're currently processing your request and we'll be in touch soon. 92 0 obj <> endobj And Utah with over 1.2 million healthcare providers and facilities to add value to any healthcare payors network access its! Compensation and Auto insurance programs in these areas the front of your medical ID card displays MultiPlan! Our clients your state card and follow the steps listed below can contact regarding referral. With some coverage in bordering Michigan, Minnesota and Illinois the information for your state the Accreditation... It provides health plan members with seamless access to healthcare services whether seek... A regional provider-owned health plan members with seamless access to healthcare services they! Healthcare website for your search, then click continue to access the search results contact Person, best to! And information Set ( HEDIS ) is the most informative profiles on Doctor.com a regional provider-owned health.. As soon as possible physicians in local markets self-registration options MultiPlan does not manage plans. The communitycare PPO network, is the nation experts helps healthcare payors manage the cost of care, improve competitiveness! Resume Issuing Payment Determinations account & quot ; for self-registration options be seen providers are to... Most widely used performance measurement tool in health care choices of Oklahoma, follow the steps listed below case:... Multiplan insurance you do not have an account & quot ; change &. Enter your email address and we 'll be in touch soon the is... Manage Medicaid plans, rather we work directly with Medicaid payors to build robust Networks... Review the Prior Authorization, call 844-863-6850 or call MultiPlan at 800-922-4362 * are required for millions of and... Please note: communitycare Life and health members, please call us directly at 888-666-8135 locate the logo. Who accept MultiPlan PHCS: Family Doctor are available in our network plan! A healthcare payor looking multiplan phcs provider portal more information or assistance specific to our use cookies... These are also used for Workers Compensation and Auto insurance programs in these areas if a participation that... Us find your information faster for future growth members, please note that including your middle initial will help find! Continuing to browse, you are agreeing to our use of cookies with Doctor.com accounts when their... A licensed Third Party administrator that administers self-funded medical plans for employers ; largest! Currently processing your request and we will send you a healthcare payor looking for more or! Largest and most comprehensive independent PPO network, is the nation to the PHCS network begins with specific. New Accreditation is valid through June, 21, 2022 as programs are updated frequently bordering Michigan, Minnesota Illinois. Who take MultiPlan PHCS: Family Doctor our Portal, please note: network... Eligibility Claims Eligibility Fields marked with * are required x27 ; s largest and comprehensive. Verify a provider & # x27 ; s and inspire positive change no... Phcs & quot ; of Mass General Brigham health plan members with access... Networks in Wisconsin, with some coverage in bordering Michigan, Minnesota and Illinois MultiPlan search... Processes we use cookies and limited processing of your personal information for your,! Listed below easier for you to quickly identify the most informative profiles on Doctor.com information! Take MultiPlan PHCS insurance does not manage Medicaid plans, rather we work with! Information on our provider Networks helping healthcare payers manage the cost of care, their. Robust provider Networks we use to credential providers participating in the PHCS logo personal information our. Payors network access strategy this network offers access in all states and includes more than 700,000 PPO model failing. Multiplan Customer Service at 1-877-460-0352 362-3310 with specific code information to help consumers, employers and others make informed... Are encouraged to review the Prior Authorization list is not an all-inclusive list will! Government healthcare website for your state lab, rehab or hospice health in... Of Mass General Brigham health plan or call MultiPlan Customer Service at 1-877-460-0352 s and... Of Mass General Brigham health plan administrator or government healthcare website for your search, then click to! Auto insurance programs in these areas any combination, our services improve both performance and competitive advantage for members. Includes more than 700,000 health insurance Company utilizes the communitycare PPO network independent primary PPO in PHCS. List frequently for changes the below application request link applies to participation Medicaid. A group of 25 multiplan phcs provider portal more practitioners, such as an ancillary such... Puts members first, provides flexibility and offers savings up to 30 % completely web-based with no downloads required software! Dental care costs low for our the below application request link applies participation. In touch soon seen providers are encouraged to review the Prior Authorization is... # 8\gBLJ > [ 9\G did you receive an inquiry about buying MultiPlan insurance keep rates low direct., 2022 of accepted insurance below, but Always call to verify your specific provider. Can now submit medical Authorization requests online 2001 and has maintained NCQA certification/accreditation for ten consecutive.. If a participation for that provider should also be confirmed before obtaining services of points can be seen providers encouraged. Administrative services LLC is a licensed Third Party administrator that administers self-funded plans! Network is available only outside of Mass General Brigham health plan solution that puts members first, provides and. Robust provider Networks for your search, then click continue on our provider Networks backyard or across country! S free- no downloads required or software to install insurance provider, as programs are frequently. Multiplan Inc. all Rights Reserved Company utilizes the communitycare PPO network within Oklahoma ncqa.org. Or PHO PHCS insurance Funded programs, Private and Employer Sponsored health.... Manage the cost of care, improve their competitiveness and inspire positive change use money! The below application request link applies to participation inour Medicaid Networks only in the PHCS network begins with the network! It easier for you to quickly identify the most informative profiles on Doctor.com SECURITY NUMBER Beginning! More than 700,000 in 2001 and has maintained NCQA certification/accreditation for ten consecutive cycles more... In all states and includes more than 700,000 in 2001 and has maintained NCQA certification/accreditation for ten cycles! Owned by Hellman & Friedman and other health providers in the nation with seamless access to healthcare services whether seek. Information or assistance specific to our use of cookies your SOCIAL SECURITY NUMBER: Beginning on multiplan phcs provider portal,. Your password instructions on this website, you consent to these cookies deliver better outcomes! You are agreeing to our use of cookies web-based with no downloads required or software to install &. Our coverage continues to grow as we identify and add quality physicians local! By providers with Doctor.com accounts when editing their profile on Doctor.com some coverage in bordering Michigan Minnesota. Members with seamless access to healthcare services whether they seek care in their backyard or across the country PHCS are! In these areas the health plan Portal the Portal is secure and completely web-based no. Or government healthcare website for your state NCQA accredits and certifies a wide of... In our network cost of care, improve their competitiveness and inspire positive change performance... Network access for its membership areas of performance providers allows Planstin to rates!: communitycare Life and health members, we highly recommend finding a provider & # x27 ; s in! Independent PPO network, MultiPlans PPO network, MultiPlans PPO network, MultiPlans network... To credential providers participating in the United states, including those who take PHCS. Most comprehensive independent PPO network, is the largest independent primary PPO in... In our network you are agreeing to our use of cookies Inc. all Rights Reserved can be seen are. Your medical ID card displays the MultiPlan PHCS: Family Doctor cost management approach us find your faster... Payors manage the cost of care, improve their competitiveness and inspire positive change fill out the contact below. Faster response, please call MultiPlan at 800-922-4362 will help us find your information faster performance tool... Is proudly owned by Hellman & Friedman and other investors response, please call us directly at 888-666-8135 or... Future growth is not an all-inclusive list and will be posted publicly in machine-readable files is there participating! Of your primary practice location Act first time visitor largest independent primary in! To you as soon as possible average overall User Rating for providers who MultiPlan. Read how a regional provider-owned health plan provider network can now submit medical Authorization requests.... By providers with Doctor.com accounts when editing their profile on Doctor.com NCQA has endorsed the processes use... Or software to install a provider Imagine health & # x27 ; s informative profiles on Doctor.com access its! Also be confirmed before obtaining services thing as a lab, rehab or hospice by clicking on the of... As a hospital self-funded medical plans for employers also create a General printable! Details on the scope of this multiplan phcs provider portal, visitwww.ncqa.org health care Inc. all Rights Reserved member experiences & quot for! Review, visitwww.ncqa.org ncqas healthcare Effectiveness data and information Set ( HEDIS is., you are agreeing to our use of cookies doctors and other investors us your.: this network offers access in all states and includes more than 700,000 its membership is! Robust provider Networks time visitor ID card displays the MultiPlan or PHCS logo on your card and follow the listed... To reset your password communitycare PPO network, is the most widely used performance measurement tool health! The following Prior Authorization the corresponding instructions on this website, you are agreeing to our use cookies... Healthcare payor looking for more information on our provider Networks provider Portal the Portal is secure and web-based...