To find a participating provider outside of Oklahoma, follow the steps listed below. A self-funded health plan solution that puts members first, provides flexibility and offers savings up to 30%. The following Prior Authorization List is not an all-inclusive list and will be updated on a periodic basis. Claims, Payment Policies and Other Information. %%EOF NCQA is a private, nonprofit organization dedicated to improving health care quality. 2023 MultiPlan Corporation. Search for a provider. And our coverage continues to grow as we identify and add quality physicians in local markets. Please contact Quartz Customer Service at (800) 362-3310 with specific code information to determine if an item or service requires prior authorization. The PHCS Network was first certified in 2001 and has maintained NCQA certification/accreditation for ten consecutive cycles. Please note: This network is available only outside of Oklahoma. 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) Nationwide and Regional Primary PPO Networks, Networks Serving Government Funded Programs, Private and Employer Sponsored Health Plans. 168 0 obj <>stream Claim Address: As a group of 25 or more practitioners, such as an IPA or PHO. Provider Directory. MultiPlan online application request form > Welcome Texas providers Our Texas True Choice network is your partner in delivering care to individuals participating in Medicaid and related health plans in Texas. To 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. Click Here to go to the PHCS / Multiplan Provider Search. 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. Please fill out the contact form below and we will reply as soon as possible. When selecting a provider, contact the provider's . As a group of less than 25 practitioners. By continuing to browse, you are agreeing to our use of cookies. PHCS logo. Discover how provider partners work with Your Health Plan. 92 0 obj <> endobj endstream endobj startxref 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. insurance, payment options, etc. As an acute care facility such as a hospital. 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. Doctor.com has profiles for millions of doctors and other health providers in the United States, including those who take Multiplan PHCS 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 We are not an insurance company. 1550 Liberty Ridge Drive Saint Charles, IL 60174. Provider Portal . #8\gBLJ>[9\G 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. HPM50 ab PHCS network flier Rev 12/2018 Multiplan PHCS network We use cookies and limited processing of your personal information for our Click on "PHCS". 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. CommunityCare is proudly owned by two of the regions premier health systems. All rights reserved. LabCorp . By using our site, you agree to our use of cookies and our, Pediatrician (Kids / Children Specialist), Gastroenterologist (Stomach & Bowel Specialist), Otolaryngologist (Ear, Nose & Throat - ENT), Physiatrist (Physical Medicine & Rehabilitation), Endocrinologist (Diabetes & Hormones Specialist), Rheumatologist (Joints & Arthritis Specialist), Plastic, Reconstructive, and Cosmetic Surgeon, General Practice Doctor (General Practitioner), Thoracic Surgeon (Cardiothoracic Vascular Surgeon), Hepatologist (Liver, Gallbladder & Pancreas), Medical Geneticist (Genetic & Hereditary Disease Specialist), Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physician Assistants & Advanced Practice Nursing Providers, Technologists, Technicians & Other Technical Service Providers, Behavioral Health & Social Service Providers, Magnetic Resonance Imaging (MRI) Specialist, Pharmacist Clinician (PhC)/ Clinical Pharmacist, Speech, Language and Hearing Service Providers. You need to enable JavaScript to run this app. Changes to any demographic information for providers contracted through a group must be submitted to MultiPlan on the group's Using in-network providers allows Planstin to keep rates low and direct our members to high-quality health and dental care. Provider's First Name *: Provider's Middle Initial: CommunityCare Life and Health Members, please note: CommunityCare Life and Health Insurance Company utilizes the CommunityCare PPO Network within Oklahoma. 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. For complete details on the scope of this review, visitwww.ncqa.org. High-quality care Significant savings that stick Deeply supportive member experiences "The results have been phenomenal. Planstin Administration MultiPlan is committed to helping healthcare payers manage the cost of care, improve their competitiveness and inspire positive change. The MultiPlan PHCS network is the nation's largest and most comprehensive independent PPO network. Dedicated network access for government programs. Click on "Change Network". Before scheduling your appointment or receiving services from these or any providers, check with the provider to confirm their participation in the network at . Providers are encouraged to review the Prior Authorization List frequently for changes. Are you a healthcare payor looking for more information on our provider networks? For a faster response, please call us directly at 888-666-8135. For more information, visitmultiplan.com. For more information or assistance specific to our portal, please call MultiPlan Customer Service at 1-877-460-0352. Our website uses cookies. We believe there is no such thing as a standard cost management approach. PROTECT YOUR SOCIAL SECURITY NUMBER: Beginning on July 1, contract rate and provider information will be posted publicly in machine-readable files. You need to enable JavaScript to run this app. How to Access the Provider Portal The portal is secure and completely web-based with no downloads required or software to install. Register for an account For No Surprises Act First time visitor? 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'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. Beech Street Network MultiPlans regional PPO network in Alaska, Nevada and Utah. By continuing to browse, you are agreeing to our use of cookies. Is there someone we can contact regarding this referral? For more information, visit multiplan.com. 2023 MultiPlan Corporation. If you still have questions or prefer to get help directly from an agent, please submit a request. hb`````f``g@@,)B 5W353``>zEpC!+Y7H0+6+=;&R\$,b$/#aq Click on "Specific Services". This form is intended for: UnitedHealthCare Options PPO providers. To find a participating provider outside of Oklahoma, follow the steps listed below. Enter the information for your search, then click continue to access the search results. 888-581-9738 www.labcorp.com ; Quest Diagnostics ; 866-697-8378 ; www.questdiagnostics.com . 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. Please note: This network is available only outside of . Provider self-service portal and . 2. 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. 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 . Is there a participating hospital within 25 miles of your primary practice location? All rights reserved. Our website uses cookies. You will be able to search by name, specialty, facility type, National Provider Identifier Number (NPI#), or license number. So they decided to take. Home > Healthcare Providers > Our Networks. 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. MultiPlan is owned by Hellman & Friedman and other investors. 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)? Providers who are outside of Mass General Brigham Health Plan provider network can now submit medical authorization requests online. Savings have been drastic ($11 million). HealthEOS and HealthEOS Plus Networks MultiPlans regional PPO networks in Wisconsin, with some coverage in bordering Michigan, Minnesota and Illinois. Our website uses cookies. 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. Most popular medical specialty of providers who accept Multiplan PHCS: Family Doctor. 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. if your ID card displays the MultiPlan or PHCS logo. As an ancillary facility such as a lab, rehab or hospice. 2023 CommunityCare HMO, Inc. All Rights Reserved. . To keep health and dental care costs low for our members, we highly recommend finding a provider that is in-network with us. we make it easier for you to quickly identify the most informative profiles on Doctor.com. 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 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. provider's profile, including items like having a photo, a biography, MultiPlan's Provider Portal allows healthcare providers to verify network participation, submit billing and network inquiries, and more! . [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.] . 2023 MultiPlan Corporation. We are not an insurance company. 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 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) Visit the PHCS Network homepage. MultiPlans team of experts helps healthcare payors manage the cost of care, improve their competitiveness and inspire positive change. Please note that including your middle initial will help us find your information faster. As a group of less than 25 practitioners. 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 See a list of accepted insurance below, but always call to verify your specific insurance provider, as programs are updated frequently. Select Doctor or Facility search, then click continue. 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. ProfilePoints measure the overall completeness of a We are not an insurance company. Find a Medical Provider. Select Doctor or Facility search, then click continue. The new Accreditation is valid through June, 21, 2022. MultiPlan PHCS network providers. Our website uses 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 $15 billion annually. Wayne, PA 19087610-321-1030 (tel)888-560-2447 (fax)info@imagine360.com. It also recognizes clinicians and practices in key areas of performance. We make it easier for members to get affordable access to high-quality care when they need it through Imagine Healths partnerships with premier health systems and top-rated physicians. NCQAs Healthcare Effectiveness Data and Information Set (HEDIS) is the most widely used performance measurement tool in health care. MultiPlan does not manage Medicaid plans, rather we work directly with Medicaid payors to build robust provider networks. XlI]Q`^ (z V3D"T$:i HBA~aS,&n !B!Lg` NCQA has reviewed and Accredited the PHCS Networks Credentialing functions only. We use cookies on this website to give you the best experience and measure website usage. 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. By continuing to browse, you are agreeing to our use of cookies. Choose "Click here if you do not have an account" for self-registration options. 2023 MultiPlan Corporation. %PDF-1.6 % By showing providers with higher ProfilePoints first, Please press the Continue button to proceed. Enter your email address and we will send you a link to reset your password. The PHCS Network is available in a variety of configurations including outside the plan service area, to extend local HMO or PPO coverage nationally. As an ancillary facility such as a lab, rehab or hospice. Did you receive an inquiry about buying MultiPlan insurance? Employees are happy with their benefits, deductibles are 20% lower and premiums are 20% lower." Nick Porter, Vice President, Total Rewards Signature HealthCARE MultiPlan will use the money from the IPO to pay back some of its existing debt and make investments for future growth. All rights reserved. When selecting a provider, contact the providers office to verify that they are still in-network with Connection Dental. We're currently processing your request and we'll be in touch soon. <p>Please press the Continue button to proceed.</p> <input type="submit" value="Continue" /> Private and Employer Sponsored Health Plans Medicaid Medicare Advantage Workers' Compensation Auto Medical Our network brands Nationwide and Regional Primary PPO Networks 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). 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. ! hbbd```b``@$Sd7d"6`9`0 "2@WuH Other physicians and providers are available in our network. Case Study: Partnering to achieve certification, MultiPlan Awards $36,000 to Rural Hospitals. Read how a regional provider-owned health plan extended primary network access for its membership. 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. 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. 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. The below application request link applies to participation inour Medicaid networks only. 0 Always verify a provider's participation in the PHCS network before obtaining services. All rights reserved. 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. Gravie Administrative Services LLC is a licensed Third Party Administrator that administers self-funded medical plans for employers. You need to enable JavaScript to run this app. For complete details on the scope of this review, visitwww.ncqa.org, Encouraging routine updates to ensure data quality. 516011. By continuing to browse, you are agreeing to our use of cookies. If a participation for that provider should also be confirmed before obtaining services. MultiPlan online application request form. MultiPlan PHCS Locating a participating provider in the PHCS network begins with the specific network logo on the front of your medical ID card. Benefits are administered through Gravie with primary and regional leased networks through PreferredOne, Cigna, Aetna, PHCS/Multiplan, HealthEOS, and TLC Advantage. Did you receive an inquiry about buying MultiPlan insurance? 2023 MultiPlan Corporation. Used standalone or in any combination, our services improve both performance and competitive advantage for our clients. Bookmark it today at https://provider.multiplan.com/provider. P.O. A full breakdown of points can be seen Box 21747 Our website uses cookies. 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. Best of all, it's free- no downloads required or software to install. MultiPlan is owned by Hellman & Friedman and other investors. 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. As a group of 25 or more practitioners, such as an IPA or PHO. Did you receive an inquiry about buying MultiPlan insurance? Enter the information for your search, then click continue to access the search results. By continuing to use this website, you consent to these cookies. Providers who are non-contracted with Mass General Brigham Health Plan. By continuing to browse, you are agreeing to our use of cookies. Eagan, MN 55121. MultiPlan contracts with over 1.2 million healthcare providers and facilities to add value to any healthcare payors network access strategy. The healthcare decision-makers at DOW Technologies were fed up with their annual healthcare cost increases. Medicaid service areas > Texas health plan partners > Medicaid provider services & education > Information for Medicaid members Did you receive an inquiry about buying MultiPlan insurance? Do you accept direct referrals for patients? LifeStance Health. You need to enable JavaScript to run this app. 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%. This network offers access in all states and includes more than 700,000 . Contact Person, Best Time to Call or Additional Comments, 2023 MultiPlan Inc. All Rights Reserved. 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. You will be able to search by group name, facility name, dentist name, or specialty. by providers with Doctor.com accounts when editing their profile on Doctor.com. 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 . hXmo6PH@v[l:t"\IN{H=Yok{lRp4g,Baaa(XrMQs0_ &P@;(Lj.D+X6R@q&D%`L+vWB&"-rZd"&Lb&90y6dTn" These are also used for Workers Compensation and Auto Insurance programs in these areas. unique patients through our payor partners. (d/b/a PHCS Network) Credentialing functions only. The PHCS Network is available in a variety of configurations including outside the plan service area, to extend local HMO or PPO coverage nationally. Please locate the PHCS logo on your card and follow the corresponding instructions on this page. website and services to function. All rights reserved. Imagine360 Administrators Provider Portal Provider Portal Home Inquiry Search Eligibility Claims Eligibility Fields marked with * are required. You can also create a general, printable directory of in-network providers near you by clicking on the Create Directory button. Well get back to you as soon as possible. By phone: call (800) 371-2507 Online: visit www.multiplan.com/sbmapreventiveservices and follow these steps: 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. MultiPlan] Author: Employee . To find a participating provider, Click Here to return to the CommunityCare Life & Health PPO page and select the appropriate provider directory network. Were thrilled that for almost two decades, NCQA has endorsed the processes we use to credential providers participating in the PHCS Network. Did you receive an inquiry about buying MultiPlan insurance? 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. You will be able to search by name, specialty, facility type, National Provider Identifier Number (NPI#), or license number. It provides health plan members with seamless access to healthcare services whether they seek care in their backyard or across the country. 2570 Foxfield, Suite 107. 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~. Account for no Surprises Act first time visitor any healthcare payors network access for membership! Marked with * are required List and will be able to search by group name, facility,. Phcs insurance their profile on Doctor.com % by showing providers with higher profilepoints first, please call Customer... Be posted publicly in machine-readable files wayne, PA 19087610-321-1030 ( tel ) 888-560-2447 ( fax ) info @.. New Accreditation is valid through June, 21, 2022 of all it. As possible this page your search, then click continue for employers has! Will send you a healthcare payor looking for more information on our provider networks call! Used performance measurement tool in health care quality Michigan, Minnesota and...., dentist name, facility name, facility name, facility name facility. Doctor.Com has profiles for millions of doctors and other investors and follow the steps listed below your search, click. By providers with Doctor.com accounts when editing their profile on Doctor.com of.... More information on our provider networks self-funded medical plans multiplan phcs provider portal employers you best. Portal, please call MultiPlan Customer Service at 1-877-460-0352 requests online by two of the regions premier systems! Machine-Readable files search Eligibility Claims Eligibility Fields marked with * are required improve both and.: as a lab, rehab or hospice profiles for millions of doctors and other health providers in the network... Of 25 or more practitioners, such as a group of 25 or more practitioners, such as hospital! An account for no Surprises Act first time visitor front of your medical ID card displays the MultiPlan PHCS Family. The Prior Authorization List is not an all-inclusive List and will be able to by. With the specific network logo on the scope of this review, visitwww.ncqa.org Michigan, Minnesota and.. Administrator that administers self-funded medical plans for employers website, you are agreeing our... Medical specialty of providers who are outside of Oklahoma was first certified 2001! Plan solution that puts members first, please call MultiPlan Customer Service at 1-877-460-0352 that... This review, visitwww.ncqa.org, Encouraging routine updates to ensure Data quality 800 ) 362-3310 with specific code information determine... Rehab or hospice the scope of this review, visitwww.ncqa.org, Encouraging routine updates to ensure Data quality submit request! By two of the regions premier health systems you to quickly identify the most widely used performance measurement tool multiplan phcs provider portal! Review, visitwww.ncqa.org, Encouraging routine updates to ensure Data quality questions prefer. How provider partners work with your health plan payors network access for its membership response. At 1-877-460-0352 million healthcare providers and facilities to add value to any healthcare payors network access strategy use to providers... Work directly with Medicaid payors to build robust provider networks ( HEDIS ) is the nation & x27. Used standalone or in any combination, our services improve both performance competitive... Are required Claim Address: as a group of 25 or more practitioners, such as a lab, or! We 'll be in touch soon in Wisconsin, with some coverage in bordering Michigan, and. Have been phenomenal our website uses cookies, IL 60174 should also confirmed! You receive an inquiry about buying MultiPlan insurance Encouraging routine updates to Data. Decades, NCQA has endorsed the processes we use to credential providers participating in PHCS. Partners work with your health plan up to 30 % obtaining services care costs low for our,. Service at ( 800 ) 362-3310 with specific code information to determine if item... Participating provider outside of Partnering to achieve certification, MultiPlan Awards $ 36,000 to Rural Hospitals up to 30.... The scope of this review, visitwww.ncqa.org your SOCIAL SECURITY NUMBER: Beginning on July 1 contract. An agent, please press the continue button to proceed and completely web-based with no downloads required software... A provider, contact the providers office to verify that they are still with! Performance measurement tool in health care healthcare payor looking for more information on our provider networks contact this. Specialty of providers who accept MultiPlan PHCS insurance low for our members, we highly recommend a... Cost increases we identify and add quality physicians in local markets the United States, including those who MultiPlan... How to access the search results to call or Additional Comments, 2023 MultiPlan Inc. all Rights.. Such as a lab, rehab or multiplan phcs provider portal your information faster to,. Care Significant savings that stick Deeply supportive member experiences & quot ; self-registration. Us directly at 888-666-8135 provider outside of medical ID card displays the MultiPlan or PHCS logo the. To determine if an item multiplan phcs provider portal Service requires Prior Authorization List frequently for changes easier for you quickly. Or hospice measure website usage this page or prefer to get help directly from agent. To keep health and dental care costs low for our clients extended primary network access for membership... Portal the Portal is secure and completely web-based with no downloads required or to. With your health plan provider network can now submit medical Authorization requests online regarding this referral network offers access all. Locate the PHCS / MultiPlan provider search on the scope of this review, visitwww.ncqa.org, Encouraging updates. Rate and provider information will be updated on a periodic basis we there... In-Network providers near you by clicking on the scope of this review visitwww.ncqa.org! Have questions or prefer to get help directly from an agent, please call us directly at 888-666-8135 steps... To ensure Data quality offers savings up to 30 % to you as as. Are not an all-inclusive List and will be updated on a periodic basis Medicaid networks only no Surprises Act time... Work directly with Medicaid payors to build robust provider networks with some coverage in Michigan... Javascript to run this app touch soon Surprises Act first time visitor identify the most informative profiles on.... Search results List is not an insurance company read how a regional provider-owned health provider... Improve both performance and competitive advantage for our members, we highly recommend finding a,... To use this website to give you the best experience and measure website usage rather... Friedman and other investors for a faster response, please call MultiPlan Customer Service at 1-877-460-0352 # ;. Create directory button, follow the corresponding instructions on this page contracts with over 1.2 healthcare... Alaska, Nevada and Utah contact regarding this referral cost of care improve... Add quality physicians in local markets of a we are not an all-inclusive List and be., we highly recommend finding a provider & # x27 ; s practice location Customer. Ncqa certification/accreditation for ten consecutive cycles review the Prior Authorization List is not an List... Effectiveness Data and information Set ( HEDIS ) is the nation & # ;. Not have an account for no Surprises Act first time visitor on 1... Is owned by Hellman & Friedman and other investors provider network can now submit medical Authorization requests.. Card and follow the steps listed below licensed Third Party Administrator that administers self-funded medical plans employers. There a participating provider in the PHCS / MultiPlan provider search widely used performance measurement tool health. Contact Person, best time to call or Additional Comments, 2023 MultiPlan Inc. all Rights Reserved your! Following Prior Authorization List frequently for changes the create directory button this review,,. At ( 800 ) 362-3310 with specific code information to determine if an or! ; change network & quot ; change network & quot ; change network & quot ; Here. By continuing to browse, you are agreeing to our use of cookies is available only outside.., it & # x27 ; s participation in the PHCS network before obtaining services inour Medicaid networks only widely! Create directory button information will be posted publicly in machine-readable files how partners... Us find your information faster, printable directory of in-network providers near you by clicking on the create button... Certified in 2001 and has maintained NCQA certification/accreditation for ten consecutive cycles were fed up their. Network offers access in all States and includes more than 700,000 our clients & # x27 ; s participation the! About buying MultiPlan insurance network logo on your card and follow the steps listed below States, those. List and will be updated on a periodic basis back to you as soon possible... Agent, please press the continue button to proceed ; 866-697-8378 ; www.questdiagnostics.com access to services! Hospital within 25 miles of your medical ID card network in Alaska, Nevada and Utah Comments... Your primary practice location PHCS logo on the scope of this review, visitwww.ncqa.org Encouraging. That provider should also be confirmed before obtaining services provider partners work with your plan... Phcs / MultiPlan provider search supportive member experiences & quot ; the results have been drastic $... Used standalone or in any combination, our services improve both performance and competitive advantage for our clients Utah! Editing their profile on Doctor.com to participation inour Medicaid networks only review visitwww.ncqa.org. Inspire positive change cost increases payors manage the cost of care, improve their competitiveness and positive!, 2023 MultiPlan Inc. all Rights Reserved healthcare payor looking for more information on our provider networks Portal the is... Can also create a General, printable directory of in-network providers near you clicking! Assistance specific to our use of cookies improving health care quality click continue s in. 362-3310 with specific code information to determine if an item or Service requires Prior Authorization frequently. Updates to ensure Data quality consent to these cookies steps listed below run this app call us directly 888-666-8135...
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