Well get back to you as soon as possible. MultiPlan PHCS network providers. The PHCS Network, MultiPlans PPO network, is the largest independent primary PPO in the nation. Explore Learn how you can add Imagine Health's provider partners to your current plan. HealthEOS and HealthEOS Plus Networks MultiPlans regional PPO networks in Wisconsin, with some coverage in bordering Michigan, Minnesota and Illinois. Choose "Click here if you do not have an account" for self-registration options. 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. Select Doctor or Facility search, then click continue. To find a participating provider outside of Oklahoma, follow the steps listed below. Savings have been drastic ($11 million). Did you receive an inquiry about buying MultiPlan insurance? Authorization Submission Form. 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 phone: call (800) 371-2507 Online: visit www.multiplan.com/sbmapreventiveservices and follow these steps: 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. 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%. 2023 MultiPlan Corporation. A self-funded health plan solution that puts members first, provides flexibility and offers savings up to 30%. Our website uses cookies. CommunityCare Life and Health Members, please note: CommunityCare Life and Health Insurance Company utilizes the CommunityCare PPO Network within Oklahoma. Average Overall User Rating for providers who take Multiplan PHCS: 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. It provides health plan members with seamless access to healthcare services whether they seek care in their backyard or across the country. 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. LabCorp . 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. 98% of participating providers are contracted directly, >100 network development professionals across the country, Are you a healthcare payor looking for more. 1550 Liberty Ridge Drive For enrollment or program information, contact the health plan administrator or government healthcare website for your state. 2023 CommunityCare HMO, Inc. All Rights Reserved. Our website uses cookies. MultiPlan online application request form. This network offers access in all states and includes more than 700,000 . 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. Eagan, MN 55121. Benefits are administered through Gravie with primary and regional leased networks through PreferredOne, Cigna, Aetna, PHCS/Multiplan, HealthEOS, and TLC Advantage. CommunityCare is proudly owned by two of the regions premier health systems. Please fill out the contact form below and we will reply as soon as possible. %PDF-1.6 % We are not an insurance company. You need to enable JavaScript to run this app. 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. Read how a regional provider-owned health plan extended primary network access for its membership. 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 MultiPlan's Provider Portal allows healthcare providers to verify network participation, submit billing and network inquiries, and more! Claims, Payment Policies and Other Information. Click on "Specific Services". All rights reserved. This form is intended for: UnitedHealthCare Options PPO providers. Imagine360 Administrators For complete details on the scope of this review, visitwww.ncqa.org, Encouraging routine updates to ensure data quality. endstream endobj startxref NCQA accredits and certifies a wide range of health care organizations. 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 NCQA is a private, nonprofit organization dedicated to improving health care quality. Do you accept direct referrals for patients? Please note that including your middle initial will help us find your information faster. 2023 MultiPlan Corporation. By continuing to use this website, you consent to these cookies. Our website uses cookies. All rights reserved. Please contact Quartz Customer Service at (800) 362-3310 with specific code information to determine if an item or service requires prior authorization. Beech Street Providers The Beech Street Network was acquired by MultiPlan, the nation's oldest and largest supplier of independent, network-based cost management solutions, and we are working to integrate the Beech Street Network into MultiPlan's networks. 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. 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. We use cookies and limited processing of your personal information for our By continuing to browse, you are agreeing to our use of cookies. Enter the information for your search, then click continue to access the search results. 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. Click Here to go to the PHCS / Multiplan Provider Search. Providers who are non-contracted with Mass General Brigham Health Plan. If you still have questions or prefer to get help directly from an agent, please submit a request. As a group of less than 25 practitioners. As a group of 25 or more practitioners, such as an IPA or PHO. Planstin Administration 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. Did you receive an inquiry about buying MultiPlan insurance? Our website uses cookies. Are you a healthcare payor looking for more information on our provider networks? Discover why the PPO model is failing to deliver better health outcomes. Used standalone or in any combination, our services improve both performance and competitive advantage for our clients. . 2023 MultiPlan Corporation. We're currently processing your request and we'll be in touch soon. The PHCS Network is available in a variety of configurations including outside the plan service area, to extend local HMO or PPO coverage nationally. 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. hXmo6PH@v[l:t"\IN{H=Yok{lRp4g,Baaa(XrMQs0_ &P@;(Lj.D+X6R@q&D%`L+vWB&"-rZd"&Lb&90y6dTn" PHCS Network MultiPlans national PPO network. Home > Healthcare Providers > Our Networks. All rights reserved. #8\gBLJ>[9\G P.O. Please locate the PHCS logo on your card and follow the corresponding instructions on this page. 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. State Mandated Provider Contract Provisions, MultiPlan Practitioner Application Instructions. For more information, visitmultiplan.com. 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. ProfilePoints measure the overall completeness of a icon/heading/resources Information for providers Who is Gravie? To do this, call 844-863-6850 or call MultiPlan at 800-922-4362. See a list of accepted insurance below, but always call to verify your specific insurance provider, as programs are updated frequently. All rights reserved. Nationwide and Regional Primary PPO Networks, Networks Serving Government Funded Programs, Private and Employer Sponsored Health Plans. It also recognizes clinicians and practices in key areas of performance. Bookmark it today at https://provider.multiplan.com/provider. hbbd```b``@$Sd7d"6`9`0 "2@WuH 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 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. 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 . by providers with Doctor.com accounts when editing their profile on Doctor.com. No Surprises Act Update: IDR Entities Will Partially Resume Issuing Payment Determinations. HPM50 ab PHCS network flier Rev 12/2018 Multiplan PHCS network We use cookies on this website to give you the best experience and measure website usage. %%EOF Did you receive an inquiry about buying MultiPlan insurance? To find a participating provider, Click Here to return to the CommunityCare Life & Health PPO page and select the appropriate provider directory network. You need to enable JavaScript to run this app. Provider Information: Please note that including your middle initial will help us find your information faster. Dedicated network access for government programs. Wayne, PA 19087610-321-1030 (tel)888-560-2447 (fax)info@imagine360.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~. Click on "PHCS". The MultiPlan PHCS network is the nation's largest and most comprehensive independent PPO network. <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 Always verify a provider's participation in the PHCS network before obtaining services. Beech Street Network MultiPlans regional PPO network in Alaska, Nevada and Utah. MultiPlan does not manage Medicaid plans, rather we work directly with Medicaid payors to build robust provider networks. When selecting a provider, contact the provider's . hb`````f``g@@,)B 5W353``>zEpC!+Y7H0+6+=;&R\$,b$/#aq We are not an insurance company. 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. MultiPlan PHCS Locating a participating provider in the PHCS network begins with the specific network logo on the front of your medical ID card. Were thrilled that for almost two decades, NCQA has endorsed the processes we use to credential providers participating in the PHCS Network. , contact the health plan members with seamless access to healthcare services whether they seek care their... Information to determine if an item or Service requires prior authorization fax ) info @ imagine360.com in Wisconsin, some., rehab or hospice access the search results information, contact the health plan administrator or government website. On your card and follow the corresponding instructions on this page nationwide and regional primary PPO,! Administrator or government healthcare website for your state at 800-922-4362 find your information faster to! ; s to run this app icon/heading/resources information for your state the health plan extended primary network access its. 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