Please locate the PHCS logo on your card and follow the corresponding instructions on this page. 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. By continuing to browse, you are agreeing to our use of cookies. 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. For enrollment or program information, contact the health plan administrator or government healthcare website for your state. 1550 Liberty Ridge Drive Search for a provider. NCQA has reviewed and Accredited the PHCS Networks Credentialing functions only. By continuing to use this website, you consent to these cookies. Saint Charles, IL 60174. Visit the PHCS Network homepage. It also recognizes clinicians and practices in key areas of performance. unique patients through our payor partners. MultiPlan is owned by Hellman & Friedman and other investors. Is there a participating hospital within 25 miles of your primary practice location? 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. if your ID card displays the MultiPlan or PHCS logo. Nationwide and Regional Primary PPO Networks, Networks Serving Government Funded Programs, Private and Employer Sponsored Health Plans. Best of all, it's free- no downloads required or software to install. 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. We use cookies on this website to give you the best experience and measure website usage. 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. PHCS Network MultiPlans national PPO network. As a group of less than 25 practitioners. Doctor.com has profiles for millions of doctors and other health providers in the United States, including those who take Multiplan PHCS insurance. 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. Imagine360 Administrators Read how a regional provider-owned health plan extended primary network access for its membership. website and services to function. Other physicians and providers are available in our network. Well get back to you as soon as possible. Enter the information for your search, then click continue to access the search results. 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. How to Access the Provider Portal The portal is secure and completely web-based with no downloads required or software to install. The new Accreditation is valid through June, 21, 2022. Register for an account For No Surprises Act First time visitor? Please note that including your middle initial will help us find your information faster. Claim Address: Provider's First Name *: Provider's Middle Initial: 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 technology-based company that uses algorithms and big data to provide healthcare cost management and data analytics for payers, providers, and customers. MultiPlan does not manage Medicaid plans, rather we work directly with Medicaid payors to build robust provider networks. Provider Directory. 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) Please note: This network is available only outside of Oklahoma. NCQA is a private, nonprofit organization dedicated to improving health care quality. 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. #8\gBLJ>[9\G Changes to any demographic information for providers contracted through a group must be submitted to MultiPlan on the group's Click Here to go to the PHCS / Multiplan Provider Search. Employees are happy with their benefits, deductibles are 20% lower and premiums are 20% lower." Nick Porter, Vice President, Total Rewards Signature HealthCARE This form is intended for: UnitedHealthCare Options PPO providers. MultiPlan PHCS network providers. You need to enable JavaScript to run this app. The PHCS Network is available in a variety of configurations including outside the plan service area, to extend local HMO or PPO coverage nationally. Provider Portal Provider Portal Home Inquiry Search Eligibility Claims Eligibility Fields marked with * are required. Savings have been drastic ($11 million). (d/b/a PHCS Network) Credentialing functions only. MultiPlan contracts with over 1.2 million healthcare providers and facilities to add value to any healthcare payors network access strategy. You need to enable JavaScript to run this app. See a list of accepted insurance below, but always call to verify your specific insurance provider, as programs are updated frequently. HPM50 ab PHCS network flier Rev 12/2018 Multiplan PHCS network Gravie Administrative Services LLC is a licensed Third Party Administrator that administers self-funded medical plans for employers. MultiPlan PHCS Locating a participating provider in the PHCS network begins with the specific network logo on the front of your medical ID card. MultiPlan's Provider Portal allows healthcare providers to verify network participation, submit billing and network inquiries, and more! You can also create a general, printable directory of in-network providers near you by clicking on the Create Directory button. Provider Information: Please note that including your middle initial will help us find your information faster. 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. As a group of less than 25 practitioners. LabCorp . You will be able to search by name, specialty, facility type, National Provider Identifier Number (NPI#), or license number. [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.] 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. You need to enable JavaScript to run this app. Select Doctor or Facility search, then click continue. <p>Please press the Continue button to proceed.</p> <input type="submit" value="Continue" /> 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. 2023 CommunityCare HMO, Inc. All Rights Reserved. provider's profile, including items like having a photo, a biography, Bookmark it today at https://provider.multiplan.com/provider. All rights reserved. MultiPlan will use the money from the IPO to pay back some of its existing debt and make investments for future growth. As an ancillary facility such as a lab, rehab or hospice. ! No Surprises Act Update: IDR Entities Will Partially Resume Issuing Payment Determinations. Did you receive an inquiry about buying MultiPlan insurance? Eagan, MN 55121. It provides health plan members with seamless access to healthcare services whether they seek care in their backyard or across the country. 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. 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. Do you accept direct referrals for patients? %PDF-1.6 % 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) insurance, payment options, etc. This network offers access in all states and includes more than 700,000 . by providers with Doctor.com accounts when editing their profile on Doctor.com. The PHCS Network, MultiPlans PPO network, is the largest independent primary PPO in the nation. Always verify a provider's participation in the PHCS network before obtaining services. Wayne, PA 19087610-321-1030 (tel)888-560-2447 (fax)info@imagine360.com. Most popular medical specialty of providers who accept Multiplan PHCS: Family Doctor. MultiPlan is owned by Hellman & Friedman and other investors. Discover how provider partners work with Your Health Plan. The following Prior Authorization List is not an all-inclusive list and will be updated on a periodic basis. A self-funded health plan solution that puts members first, provides flexibility and offers savings up to 30%. We are not an insurance company. To keep health and dental care costs low for our members, we highly recommend finding a provider that is in-network with us. 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. 2. Please note: This network is available only outside of . Enter the information for your search, then click continue to access the search results. HealthEOS and HealthEOS Plus Networks MultiPlans regional PPO networks in Wisconsin, with some coverage in bordering Michigan, Minnesota and Illinois. Using in-network providers allows Planstin to keep rates low and direct our members to high-quality health and dental care. 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~. Get Directions 888-428-7890 877-428-7891. 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 The below application request link applies to participation inour Medicaid networks only. MultiPlans team of experts helps healthcare payors manage the cost of care, improve their competitiveness and inspire positive change. 168 0 obj <>stream 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. Our website uses cookies. For more information, visit multiplan.com. Click on "Specific Services". LifeStance Health. Our website uses cookies. A full breakdown of points can be seen NCQA accredits and certifies a wide range of health care organizations. Home > Healthcare Providers > Our Networks. Providers who are outside of Mass General Brigham Health Plan provider network can now submit medical authorization requests online. Beech Street Network MultiPlans regional PPO network in Alaska, Nevada and Utah. Providers are encouraged to review the Prior Authorization List frequently for changes. Provider Directory. 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. Medicaid service areas > Texas health plan partners > Medicaid provider services & education > Information for Medicaid members . The MultiPlan PHCS network is the nation's largest and most comprehensive independent PPO network. we make it easier for you to quickly identify the most informative profiles on Doctor.com. 516011. icon/heading/resources Information for providers Who is Gravie? 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 $15 billion annually. For a faster response, please call us directly at 888-666-8135. As an acute care facility such as a hospital. Before scheduling your appointment or receiving services from these or any providers, check with the provider to confirm their participation in the network at . To find a participating provider outside of Oklahoma, follow the steps listed below. If you still have questions or prefer to get help directly from an agent, please submit a request. XlI]Q`^ (z V3D"T$:i HBA~aS,&n !B!Lg` Average Overall User Rating for providers who take Multiplan PHCS: hb`````f``g@@,)B 5W353``>zEpC!+Y7H0+6+=;&R\$,b$/#aq You need to enable JavaScript to run this app. 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. Only outside of practices in key areas of performance Hellman & Friedman and other.! Full breakdown of points can be seen ncqa accredits and certifies a range... 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