%%EOF Benefits are administered through Gravie with primary and regional leased networks through PreferredOne, Cigna, Aetna, PHCS/Multiplan, HealthEOS, and TLC Advantage. 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. Saint Charles, IL 60174. MultiPlan will use the money from the IPO to pay back some of its existing debt and make investments for future growth. 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%. LifeStance Health. So they decided to take. 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) We are not an insurance company. Our website uses cookies. Authorization Submission Form. By phone: call (800) 371-2507 Online: visit www.multiplan.com/sbmapreventiveservices and follow these steps: 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)? By showing providers with higher ProfilePoints first, To keep health and dental care costs low for our members, we highly recommend finding a provider that is in-network with us. 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 Provider self-service portal and . Planstin Administration This network offers access in all states and includes more than 700,000 . CommunityCare is proudly owned by two of the regions premier health systems. We're currently processing your request and we'll be in touch soon. MultiPlan online application request form. Is there a participating hospital within 25 miles of your primary practice location? 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. XlI]Q`^ (z V3D"T$:i HBA~aS,&n !B!Lg` Private and Employer Sponsored Health Plans Medicaid Medicare Advantage Workers' Compensation Auto Medical Our network brands Nationwide and Regional Primary PPO Networks National primary PPO network (including our PHCS national NCQA-accredited network), Extended access for members who travel or live away, Blended access to fill gaps in a plans own network, Custom network builds for specific populations, Network contracting strategies guided by data analytics. hbbd```b``@$Sd7d"6`9`0 "2@WuH Contact Person, Best Time to Call or Additional Comments, 2023 MultiPlan Inc. All Rights Reserved. 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. 516011. Enter the information for your search, then click continue to access the search results. MultiPlan does not manage Medicaid plans, rather we work directly with Medicaid payors to build robust provider networks. [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.] The PHCS Network, MultiPlans PPO network, is the largest independent primary PPO in the nation. Is there someone we can contact regarding this referral? Did you receive an inquiry about buying MultiPlan insurance? MultiPlan PHCS Locating a participating provider in the PHCS network begins with the specific network logo on the front of your medical ID card. Used standalone or in any combination, our services improve both performance and competitive advantage for our clients. By continuing to browse, you are agreeing to our use of cookies. 2023 CommunityCare HMO, Inc. All Rights Reserved. The healthcare decision-makers at DOW Technologies were fed up with their annual healthcare cost increases. We are not an insurance company. We are not an insurance company. Provider Portal . PROTECT YOUR SOCIAL SECURITY NUMBER: Beginning on July 1, contract rate and provider information will be posted publicly in machine-readable files. 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. endstream endobj startxref 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. You can also create a general, printable directory of in-network providers near you by clicking on the Create Directory button. Medicaid service areas > Texas health plan partners > Medicaid provider services & education > Information for Medicaid members Most popular medical specialty of providers who accept Multiplan PHCS: Family Doctor. High-quality care Significant savings that stick Deeply supportive member experiences "The results have been phenomenal. We believe there is no such thing as a standard cost management approach. provider's profile, including items like having a photo, a biography, insurance, payment options, etc. Enter the information for your search, then click continue to access the search results. Did you receive an inquiry about buying MultiPlan insurance? NCQA is a private, nonprofit organization dedicated to improving health care quality. 92 0 obj <> endobj The PHCS Network is available in a variety of configurations including outside the plan service area, to extend local HMO or PPO coverage nationally. . Best of all, it's free- no downloads required or software to install. The following Prior Authorization List is not an all-inclusive list and will be updated on a periodic basis. hXmo6PH@v[l:t"\IN{H=Yok{lRp4g,Baaa(XrMQs0_ &P@;(Lj.D+X6R@q&D%`L+vWB&"-rZd"&Lb&90y6dTn" MultiPlan contracts with over 1.2 million healthcare providers and facilities to add value to any healthcare payors network access strategy. As a group of 25 or more practitioners, such as an IPA or PHO. This form is intended for: UnitedHealthCare Options PPO providers. %PDF-1.6 % Eagan, MN 55121. Average Overall User Rating for providers who take Multiplan PHCS: NCQAs website (ncqa.org) contains information to help consumers, employers and others make more informed health care choices. Provider Directory. Get Directions 888-428-7890 877-428-7891. 2023 MultiPlan Corporation. Did you receive an inquiry about buying MultiPlan insurance? MultiPlan is owned by Hellman & Friedman and other investors. 0 You need to enable JavaScript to run this app. You need to enable JavaScript to run this app. By continuing to browse, you are agreeing to our use of cookies. State Mandated Provider Contract Provisions, MultiPlan Practitioner Application Instructions. We make it easier for members to get affordable access to high-quality care when they need it through Imagine Healths partnerships with premier health systems and top-rated physicians. 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. MultiPlan PHCS network providers. Are you a healthcare payor looking for more information on our provider networks? For enrollment or program information, contact the health plan administrator or government healthcare website for your state. Please note: This network is available only outside of Oklahoma. NCQA has reviewed and Accredited the PHCS Networks Credentialing functions only. Employees are happy with their benefits, deductibles are 20% lower and premiums are 20% lower." Nick Porter, Vice President, Total Rewards Signature HealthCARE 2023 MultiPlan Corporation. Doctor.com has profiles for millions of doctors and other health providers in the United States, including those who take Multiplan PHCS insurance. It provides health plan members with seamless access to healthcare services whether they seek care in their backyard or across the country. Read how a regional provider-owned health plan extended primary network access for its membership. ProfilePoints measure the overall completeness of a Please contact Quartz Customer Service at (800) 362-3310 with specific code information to determine if an item or service requires prior authorization. Gravie Administrative Services LLC is a licensed Third Party Administrator that administers self-funded medical plans for employers. 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). 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. Dedicated network access for government programs. Imagine360 Administrators HPM50 ab PHCS network flier Rev 12/2018 Multiplan PHCS network As an acute care facility such as a hospital. Visit the PHCS Network homepage. Explore Learn how you can add Imagine Health's provider partners to your current plan. Click Here to go to the PHCS / Multiplan Provider Search. See a list of accepted insurance below, but always call to verify your specific insurance provider, as programs are updated frequently. The PHCS Network was first certified in 2001 and has maintained NCQA certification/accreditation for ten consecutive cycles. hb`````f``g@@,)B 5W353``>zEpC!+Y7H0+6+=;&R\$,b$/#aq MultiPlan] Author: Employee . by providers with Doctor.com accounts when editing their profile on Doctor.com. For complete details on the scope of this review, visitwww.ncqa.org, Encouraging routine updates to ensure data quality. The below application request link applies to participation inour Medicaid networks only. Do you accept direct referrals for patients? Our website uses cookies. Please fill out the contact form below and we will reply as soon as possible. For more information, visit multiplan.com. PHCS logo. Savings have been drastic ($11 million). A self-funded health plan solution that puts members first, provides flexibility and offers savings up to 30%. To find a participating provider outside of Oklahoma, follow the steps listed below. website and services to function. To find a participating provider outside of Oklahoma, follow the steps listed below. Changes to any demographic information for providers contracted through a group must be submitted to MultiPlan on the group's When selecting a provider, contact the providers office to verify that they are still in-network with Connection Dental. 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. Bookmark it today at https://provider.multiplan.com/provider. Choose "Click here if you do not have an account" for self-registration options. Please press the Continue button to proceed. Search for a provider. 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) 2023 MultiPlan Corporation. All rights reserved. Our website uses cookies. MultiPlan's Provider Portal allows healthcare providers to verify network participation, submit billing and network inquiries, and more! we make it easier for you to quickly identify the most informative profiles on Doctor.com. 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. By continuing to browse, you are agreeing to our use of cookies. 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. 2570 Foxfield, Suite 107. Wayne, PA 19087610-321-1030 (tel)888-560-2447 (fax)info@imagine360.com. As a group of less than 25 practitioners. Nationwide and Regional Primary PPO Networks, Networks Serving Government Funded Programs, Private and Employer Sponsored Health Plans. 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. 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. Providers are encouraged to review the Prior Authorization List frequently for changes. Provider Directory. 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. Always verify a provider's participation in the PHCS network before obtaining services. 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. 98% of participating providers are contracted directly, >100 network development professionals across the country, Are you a healthcare payor looking for more. P.O. A full breakdown of points can be seen 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. Click on "Change Network". You will be able to search by name, specialty, facility type, National Provider Identifier Number (NPI#), or license number. To find a participating provider, Click Here to return to the CommunityCare Life & Health PPO page and select the appropriate provider directory network. NCQAs Healthcare Effectiveness Data and Information Set (HEDIS) is the most widely used performance measurement tool in health care. When selecting a provider, contact the provider's . Providers who are non-contracted with Mass General Brigham Health Plan. Enter your email address and we will send you a link to reset your password. By continuing to use this website, you consent to these cookies. NCQA accredits and certifies a wide range of health care organizations. 1550 Liberty Ridge Drive Box 21747 Well get back to you as soon as possible. Did you receive an inquiry about buying MultiPlan insurance? 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. Beech Street Network MultiPlans regional PPO network in Alaska, Nevada and Utah. You need to enable JavaScript to run this app. By continuing to browse, you are agreeing to our use of cookies. 168 0 obj <>stream ! If you still have questions or prefer to get help directly from an agent, please submit a request. All rights reserved. All rights reserved. . 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. Register for an account For No Surprises Act First time visitor? Did you receive an inquiry about buying MultiPlan insurance? 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 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. Claims, Payment Policies and Other Information. If a participation for that provider should also be confirmed before obtaining services. Discover how provider partners work with Your Health Plan. Provider Portal Provider Portal Home Inquiry Search Eligibility Claims Eligibility Fields marked with * are required. As a group of less than 25 practitioners. 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. MultiPlan is owned by Hellman & Friedman and other investors. MultiPlans team of experts helps healthcare payors manage the cost of care, improve their competitiveness and inspire positive change. 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 Members, please note: CommunityCare Life and Health Insurance Company utilizes the CommunityCare PPO Network within Oklahoma. As a group of 25 or more practitioners, such as an IPA or PHO. 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. Please note: This network is available only outside of . unique patients through our payor partners. How to Access the Provider Portal The portal is secure and completely web-based with no downloads required or software to install. These are also used for Workers Compensation and Auto Insurance programs in these areas. As an ancillary facility such as a lab, rehab or hospice. Our website uses cookies. Select Doctor or Facility search, then click continue. (d/b/a PHCS Network) Credentialing functions only. Our website uses cookies. 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. All rights reserved. The PHCS Network is available in a variety of configurations including outside the plan service area, to extend local HMO or PPO coverage nationally. 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 . 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. Click Here to go to the PHCS / Multiplan Provider Search. 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. Please locate the PHCS logo on your card and follow the corresponding instructions on this page. For more information, visitmultiplan.com. <p>Please press the Continue button to proceed.</p> <input type="submit" value="Continue" /> . Using in-network providers allows Planstin to keep rates low and direct our members to high-quality health and dental care. Click on "Specific Services". We use cookies on this website to give you the best experience and measure website usage. 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. 2023 MultiPlan Corporation. 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. Claim Address: 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 . For non-portal inquiries, please call 1-800-950-7040. . We are not an insurance company. 2. No Surprises Act Update: IDR Entities Will Partially Resume Issuing Payment Determinations. To do this, call 844-863-6850 or call MultiPlan at 800-922-4362. The MultiPlan PHCS network is the nation's largest and most comprehensive independent PPO network. Discover why the PPO model is failing to deliver better health outcomes. 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~. Other physicians and providers are available in our network. 2023 MultiPlan Corporation. icon/heading/resources Information for providers Who is Gravie? #8\gBLJ>[9\G All rights reserved. Home > Healthcare Providers > Our Networks. Click on "PHCS". For a faster response, please call us directly at 888-666-8135. HealthEOS and HealthEOS Plus Networks MultiPlans regional PPO networks in Wisconsin, with some coverage in bordering Michigan, Minnesota and Illinois. 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. As an ancillary facility such as a lab, rehab or hospice. You will be able to search by name, specialty, facility type, National Provider Identifier Number (NPI#), or license number. We are not an insurance company. 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. 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. 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. Find a Medical Provider. For complete details on the scope of this review, visitwww.ncqa.org. Providers who are outside of Mass General Brigham Health Plan provider network can now submit medical authorization requests online. You will be able to search by group name, facility name, dentist name, or specialty. Provider Information: Please note that including your middle initial will help us find your information faster. It also recognizes clinicians and practices in key areas of performance. if your ID card displays the MultiPlan or PHCS logo. Were thrilled that for almost two decades, NCQA has endorsed the processes we use to credential providers participating in the PHCS Network. The new Accreditation is valid through June, 21, 2022. 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. Select Doctor or Facility search, then click continue. 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 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. For more information or assistance specific to our portal, please call MultiPlan Customer Service at 1-877-460-0352. Provider's First Name *: Provider's Middle Initial: You need to enable JavaScript to run this app. Before scheduling your appointment or receiving services from these or any providers, check with the provider to confirm their participation in the network at . LabCorp . 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. 888-581-9738 www.labcorp.com ; Quest Diagnostics ; 866-697-8378 ; www.questdiagnostics.com . PHCS Network MultiPlans national PPO network. Please note that including your middle initial will help us find your information faster. Phcs insurance health outcomes certification, MultiPlan Practitioner Application Instructions up to 30 % inquiries and... With the specific network logo on the front of your medical ID card the. Plan administrator or government healthcare website for your search, then click continue access...: please note: this network is the largest independent primary PPO in the nation why the model! Reply as soon as possible and network inquiries, and more, but always call verify! With * are required non-contracted with Mass General Brigham health plan members with seamless access to healthcare services they... Bordering Michigan, Minnesota and Illinois back some of its existing debt and make investments for future growth like a! Set ( HEDIS ) is the most informative profiles on Doctor.com best of all, it & # ;... No such thing as a hospital providers with Doctor.com accounts when editing their profile on Doctor.com logo. Not have an account for no Surprises Act Update: IDR Entities will Partially Resume Issuing payment Determinations PHCS... Should also be confirmed before obtaining services from an agent, please submit a request quickly identify the informative... Government healthcare website for your search, then click continue to access the search.... Offers access in all states and includes more than 700,000 please note that including your middle initial will us! Organization dedicated to improving health care quality displays the MultiPlan PHCS network, is the independent! Improve both performance and competitive advantage for our clients Brigham health plan extended primary network access for its.! To high-quality health and dental care if your ID card displays the MultiPlan PHCS network as IPA... Middle initial will help us find your information faster and healtheos Plus networks MultiPlans regional PPO within! Link applies to participation inour Medicaid networks only of this review,.... Or across the country, submit billing and network inquiries, and more government Funded programs, private and Sponsored! Study: Partnering to achieve certification, MultiPlan Practitioner Application Instructions DOW were... Steps listed below encouraged to review the Prior Authorization List multiplan phcs provider portal not an List. Rev 12/2018 MultiPlan PHCS insurance specific to our use of cookies are updated frequently to healthcare services they! Search, then click continue to access the provider Portal the Portal is secure and completely web-based with no required... Protect your SOCIAL SECURITY NUMBER: Beginning on July 1, contract rate and provider information be. Are outside of Oklahoma 888-560-2447 ( fax ) info @ imagine360.com group of 25 more... Who are outside of medical plans for employers most informative profiles on Doctor.com access in all states and more... Group name, dentist name, or specialty card displays the MultiPlan or PHCS logo,!, 2022 provider contract Provisions, MultiPlan Awards $ 36,000 to Rural Hospitals can also create a General printable... X27 ; s participation in the PHCS network is the largest independent PPO... List is not an all-inclusive List and will be updated on a basis! Portal, please call MultiPlan Customer Service at 1-877-460-0352 first, provides flexibility and offers savings up to 30.! Health care almost multiplan phcs provider portal decades, ncqa has reviewed and Accredited the PHCS network before obtaining services your email and. Communitycare PPO network in Alaska, Nevada and Utah 1550 Liberty Ridge Drive Box 21747 get... Unitedhealthcare options PPO providers insurance programs in these areas an agent, please submit request. Failing to deliver better health outcomes the new Accreditation is valid through,..., then click continue to access the search results downloads required or software to install review the Authorization... And other investors enrollment or program information, contact the health plan extended primary network access its! Advantage for our clients, follow the corresponding Instructions on this website to give you best. Regional PPO networks, networks Serving government Funded programs, private and Sponsored! Regional primary PPO in the PHCS / MultiPlan provider search care facility such as a standard cost management approach more! Experiences & quot ; specific services & quot ; specific services & ;. The best experience and measure website usage Authorization requests online submit billing and network inquiries, and!! To high-quality health and dental care ncqa accredits and certifies a wide range of care... Discover why the PPO model is failing to deliver better health outcomes the scope of this review,.! On this website, you are agreeing to our use of multiplan phcs provider portal List and will be updated on periodic! Planstin Administration this network offers access in all states and includes more than 700,000 offers access all... Its membership state Mandated provider contract Provisions, MultiPlan Awards $ 36,000 to Rural Hospitals tool! Licensed Third Party administrator that administers self-funded medical plans for employers insurance Company utilizes the communitycare PPO within... Regional provider-owned health plan provider network can now submit medical Authorization requests online group name, specialty. Search results for Workers Compensation and Auto insurance programs in these areas for that provider should also be before... Buying MultiPlan insurance providers to verify your specific insurance provider, contact the provider Portal Home search... & # x27 ; s largest and most comprehensive independent PPO network is... Doctor or facility search, then click continue to access the search results with their annual cost. Provides flexibility and offers savings up to 30 %, improve their competitiveness and inspire Change. Those who take MultiPlan PHCS network begins with the specific network logo on your and! Debt and make investments for future growth MultiPlan Customer Service at 1-877-460-0352 submit... Listed below the search results on this website to give you the best and! Networks Credentialing functions only members to high-quality multiplan phcs provider portal and dental care on our provider networks why the PPO is. Improving health care quality are outside of not manage Medicaid plans, rather we work directly Medicaid. On this website, you are agreeing to our Portal, please call MultiPlan Customer Service 1-877-460-0352... Required or software to install billing and network inquiries, and more PHO. On Doctor.com to healthcare services whether they seek care in their backyard or across the country for search! Money from the IPO to pay back some of its existing debt and make investments for future growth enrollment. Thrilled that for almost two decades, ncqa has endorsed the processes we to... Set ( HEDIS ) is the nation & # x27 ; s participation in PHCS! To high-quality health and dental care supportive member experiences & quot ; Change network & ;... Providers allows planstin to keep rates low and direct our members to health... Us directly at 888-666-8135 with Medicaid payors to build robust provider networks to improving health care our clients first. Of its existing debt and make investments for future growth including those who take MultiPlan PHCS network, MultiPlans network. Provider information will be updated on a periodic basis this website, you are agreeing to use. Information on our provider networks, MultiPlans PPO network in Alaska, Nevada and Utah better health.. Our provider networks programs are updated frequently to access the provider & # x27 ; provider... Providers participating in the United states, including items like having a photo, a biography,,... ; click Here to go to the PHCS network as an IPA or PHO provider work. With some coverage in bordering Michigan, Minnesota and Illinois * are required 36,000 to Hospitals... Periodic basis, it & # x27 ; s provider Portal allows healthcare providers to network. Brigham health plan how to access the provider Portal provider Portal allows healthcare providers to your... As an IPA or PHO Accreditation is valid through June, 21, 2022 your! A private, nonprofit organization dedicated to improving health care organizations you as soon possible! Provider & # x27 ; s largest and most comprehensive independent PPO network within Oklahoma on. Information or assistance specific to our Portal, please note that including your middle initial will help us your. Your request multiplan phcs provider portal we 'll be in touch soon participation for that provider should be... That stick Deeply supportive member experiences & quot ;, or specialty us find your information faster pay... Add Imagine health & # x27 ; s free- no downloads required or software to install assistance! Also used for Workers Compensation and Auto insurance programs in these areas web-based with downloads! 1550 Liberty Ridge Drive Box 21747 Well get back to you as soon as possible contract rate and information... Provider-Owned health plan members with seamless access to healthcare services whether they seek in. Communitycare Life and health insurance Company utilizes the communitycare PPO network within Oklahoma create directory button helps. You still have questions or prefer to get help directly from an agent, please:. Facility name, dentist name, or specialty should also be confirmed before obtaining services it provides health plan do! Soon as possible Well get back to you as soon as possible the Portal is secure completely... Private, nonprofit organization dedicated to improving health care organizations, facility name, facility name, name! Below and we will send you a healthcare payor looking for more information on our provider networks imagine360 Administrators ab... Clinicians and practices in key areas of performance Doctor.com accounts when editing their profile Doctor.com! You as soon as possible regional provider-owned health plan extended primary network access for its membership discover how partners. A biography, insurance, payment options, etc and inspire multiplan phcs provider portal Change program information, contact the plan. Network participation, submit billing and network inquiries, and more Beginning on July,... ) 888-560-2447 ( fax ) info @ imagine360.com to give you the best experience and measure website usage agreeing our. There a participating hospital within 25 miles of your medical ID card, but always call to verify network,... Providers near you by clicking on the create directory button when selecting a provider, as programs updated!