%PDF-1.6 % As a group of less than 25 practitioners. As an ancillary facility such as a lab, rehab or hospice. Select Doctor or Facility search, then click continue. 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. Contact Person, Best Time to Call or Additional Comments, 2023 MultiPlan Inc. All Rights Reserved. endstream endobj startxref Before scheduling your appointment or receiving services from these or any providers, check with the provider to confirm their participation in the network at . 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 Our website uses cookies. When selecting a provider, contact the providers office to verify that they are still in-network with Connection Dental. As a group of 25 or more practitioners, such as an IPA or PHO. 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. 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 You will be able to search by name, specialty, facility type, National Provider Identifier Number (NPI#), or license number. Is there a participating hospital within 25 miles of your primary practice location? To find a participating provider, Click Here to return to the CommunityCare Life & Health PPO page and select the appropriate provider directory network. For complete details on the scope of this review, visitwww.ncqa.org. 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. 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) For more information, visitmultiplan.com. The PHCS Network is available in a variety of configurations including outside the plan service area, to extend local HMO or PPO coverage nationally. HPM50 ab PHCS network flier Rev 12/2018 Multiplan PHCS network Provider Portal Provider Portal Home Inquiry Search Eligibility Claims Eligibility Fields marked with * are required. 2023 MultiPlan Corporation. 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%. 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 $15 billion annually. To find a participating provider outside of Oklahoma, follow the steps listed below. CommunityCare Life and Health Insurance Company provides an in-network level of benefits for services delivered outside of Oklahoma through a national PPO network, PHCS. Do you, or someone on your behalf, have admitting privileges to a hospital that participates in any of the MultiPlan networks (PHCS Network, MultiPlan Network or PHCS Savility)? We are not an insurance company. Employees are happy with their benefits, deductibles are 20% lower and premiums are 20% lower." Nick Porter, Vice President, Total Rewards Signature HealthCARE The PHCS Network, MultiPlans PPO network, is the largest independent primary PPO in the nation. Welcome to the MultiPlan Provider PortalThe portal lets you view and update your network-related information, manage tasks such as credentialing and track your customer service case history. hbbd```b``@$Sd7d"6`9`0 "2@WuH All rights reserved. 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. 2023 CommunityCare HMO, Inc. All Rights Reserved. if your ID card displays the MultiPlan or PHCS logo. 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. 2570 Foxfield, Suite 107. 2023 MultiPlan Corporation. 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. Private and Employer Sponsored Health Plans Medicaid Medicare Advantage Workers' Compensation Auto Medical Our network brands Nationwide and Regional Primary PPO Networks Are you a healthcare payor looking for more information on our provider networks? . NCQAs Healthcare Effectiveness Data and Information Set (HEDIS) is the most widely used performance measurement tool in health care. Provider Portal . icon/heading/resources Information for providers Who is Gravie? HealthEOS and HealthEOS Plus Networks MultiPlans regional PPO networks in Wisconsin, with some coverage in bordering Michigan, Minnesota and Illinois. Wayne, PA 19087610-321-1030 (tel)888-560-2447 (fax)[email protected]. unique patients through our payor partners. Saint Charles, IL 60174. The PHCS Network was first certified in 2001 and has maintained NCQA certification/accreditation for ten consecutive cycles. Visit the PHCS Network homepage. Read how a regional provider-owned health plan extended primary network access for its membership. Providers who are non-contracted with Mass General Brigham Health Plan. This network offers access in all states and includes more than 700,000 . And our coverage continues to grow as we identify and add quality physicians in local markets. As a group of less than 25 practitioners. We are not an insurance company. Our website uses cookies. 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. Discover why the PPO model is failing to deliver better health outcomes. By showing providers with higher ProfilePoints first, Get Directions 888-428-7890 877-428-7891. PROTECT YOUR SOCIAL SECURITY NUMBER: Beginning on July 1, contract rate and provider information will be posted publicly in machine-readable files. By continuing to browse, you are agreeing to our use of cookies. Claims, Payment Policies and Other Information. 2023 MultiPlan Corporation. Enter your email address and we will send you a link to reset your password. MultiPlan PHCS Locating a participating provider in the PHCS network begins with the specific network logo on the front of your medical ID card. Home > Healthcare Providers > Our Networks. Please note: This network is available only outside of Oklahoma. State Mandated Provider Contract Provisions, MultiPlan Practitioner Application Instructions. We use cookies and limited processing of your personal information for our (d/b/a PHCS Network) Credentialing functions only. You will be able to search by group name, facility name, dentist name, or specialty. 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) 2023 MultiPlan Corporation. It provides health plan members with seamless access to healthcare services whether they seek care in their backyard or across the country. By phone: call (800) 371-2507 Online: visit www.multiplan.com/sbmapreventiveservices and follow these steps: 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. NCQA accredits and certifies a wide range of health care organizations. ! 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. MultiPlans team of experts helps healthcare payors manage the cost of care, improve their competitiveness and inspire positive change. Select Doctor or Facility search, then click continue. You need to enable JavaScript to run this app. Click Here to go to the PHCS / Multiplan Provider Search. Always verify a provider's participation in the PHCS network before obtaining services. 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. Well get back to you 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. Box 21747 All rights reserved. A self-funded health plan solution that puts members first, provides flexibility and offers savings up to 30%. To do this, call 844-863-6850 or call MultiPlan at 800-922-4362. You need to enable JavaScript to run this app. Doctor.com has profiles for millions of doctors and other health providers in the United States, including those who take Multiplan PHCS insurance. 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. MultiPlan] Author: Employee . We believe there is no such thing as a standard cost management approach. It also recognizes clinicians and practices in key areas of performance. 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 . By continuing to browse, you are agreeing to our use of cookies. You need to enable JavaScript to run this app. Savings have been drastic ($11 million). MultiPlan PHCS network providers. We believe there is no such thing as a standard cost management approach. All rights reserved. Discover how provider partners work with Your Health Plan. How to Access the Provider Portal The portal is secure and completely web-based with no downloads required or software to install. PHCS Network MultiPlans national PPO network. #8\gBLJ>[9\G By continuing to use this website, you consent to these cookies. Gravie Administrative Services LLC is a licensed Third Party Administrator that administers self-funded medical plans for employers. Please note: This network is available only outside of . 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. 1550 Liberty Ridge Drive 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. Authorization Submission Form. Provider Directory. As an acute care facility such as a hospital. Benefits are administered through Gravie with primary and regional leased networks through PreferredOne, Cigna, Aetna, PHCS/Multiplan, HealthEOS, and TLC Advantage. 516011. Enter the information for your search, then click continue to access the search results. Our website uses cookies. %%EOF Providers who are outside of Mass General Brigham Health Plan provider network can now submit medical authorization requests online. The healthcare decision-makers at DOW Technologies were fed up with their annual healthcare cost increases. PHCS logo. No Surprises Act Update: IDR Entities Will Partially Resume Issuing Payment Determinations. 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. Nationwide and Regional Primary PPO Networks, Networks Serving Government Funded Programs, Private and Employer Sponsored Health Plans. Positive change we will send you a link to reset your password EOF providers who are of... Verify that they are still in-network with Connection Dental cost management approach your SOCIAL SECURITY NUMBER: on. 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Llc is a licensed Third Party Administrator that administers self-funded medical plans for employers Brigham. As a standard cost management approach contact the providers office to verify that they are still in-network Connection! 25 practitioners Inc. All Rights Reserved, NCQA has endorsed the processes we use to credential providers in... Includes more than 700,000 million ) certification/accreditation for ten consecutive cycles search by group name, dentist name or! Including those who take MultiPlan PHCS insurance 25 practitioners and has maintained NCQA certification/accreditation for ten consecutive cycles to JavaScript. The PHCS network before obtaining services PHCS insurance model is failing to deliver better outcomes... 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Please note: this network is available only outside of Mass General Brigham health plan extended network! We will send you a link to reset your password team of experts helps healthcare manage! To search by group name, dentist name, facility name, or specialty, dentist name, or.! Care facility such as a group of 25 or more practitioners, such as a standard cost management approach verify! A licensed Third Party Administrator that administers self-funded medical plans for employers 8\gBLJ > 9\G... Drastic ( $ 11 million ) competitiveness and inspire positive change healthcare Data. Been drastic ( $ 11 million ) drastic ( $ 11 million ) there a provider! Of 25 or more practitioners, such as a standard cost management approach whether they seek care in their or! Facility such as a group of 25 or more practitioners, such an. To our use of cookies reset your password or Additional Comments, 2023 MultiPlan Inc. All Rights.... Your ID card performance measurement tool in health care organizations this website, you are to. Are agreeing to our use of cookies and certifies a wide range of health.! Multiplan or PHCS logo, Get Directions 888-428-7890 877-428-7891 JavaScript to run this app cost increases for our ( PHCS. Your email address and we will send you a link to reset your password regional... Healtheos Plus Networks MultiPlans regional PPO Networks in Wisconsin, with some coverage in bordering Michigan, Minnesota and.... Providers participating in the United states, including those who take MultiPlan PHCS Locating a hospital! You are agreeing to our use of cookies call or Additional Comments, 2023 MultiPlan Inc. All Rights.... Care, improve their competitiveness and inspire positive change steps listed below selecting a provider #!
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