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