Best of all, it's free- no downloads required or software to install. You will be able to search by name, specialty, facility type, National Provider Identifier Number (NPI#), or license number. NCQA accredits and certifies a wide range of health care organizations. 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. unique patients through our payor partners. We use cookies and limited processing of your personal information for our 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. The PHCS Network was first certified in 2001 and has maintained NCQA certification/accreditation for ten consecutive cycles. We are not an insurance company. For enrollment or program information, contact the health plan administrator or government healthcare website for your state. 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. We believe there is no such thing as a standard cost management approach. Click on "Specific Services". 2. We believe there is no such thing as a standard cost management approach. For complete details on the scope of this review, visitwww.ncqa.org. How to Access the Provider Portal The portal is secure and completely web-based with no downloads required or software to install. 2023 CommunityCare HMO, Inc. All Rights Reserved. Did you receive an inquiry about buying MultiPlan insurance? The PHCS Network is available in a variety of configurations including outside the plan service area, to extend local HMO or PPO coverage nationally. Register for an account For No Surprises Act First time visitor? You need to enable JavaScript to run this app. To find a participating provider outside of Oklahoma, follow the steps listed below. 92 0 obj <> endobj By showing providers with higher ProfilePoints first, 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%. Provider Directory. And our coverage continues to grow as we identify and add quality physicians in local markets. As an acute care facility such as a hospital. The healthcare decision-makers at DOW Technologies were fed up with their annual healthcare cost increases. Most popular medical specialty of providers who accept Multiplan PHCS: Family Doctor. When selecting a provider, contact the providers office to verify that they are still in-network with Connection Dental. The PHCS Network, MultiPlans PPO network, is the largest independent primary PPO in the nation. %PDF-1.6 % To do this, call 844-863-6850 or call MultiPlan at 800-922-4362. P.O. We are not an insurance company. Home > Healthcare Providers > Our Networks. XlI]Q`^ (z V3D"T$:i HBA~aS,&n !B!Lg` Our website uses cookies. Read how a regional provider-owned health plan extended primary network access for its membership. By continuing to browse, you are agreeing to our use of cookies. 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 . No Surprises Act Update: IDR Entities Will Partially Resume Issuing Payment Determinations. This form is intended for: UnitedHealthCare Options PPO providers. Were thrilled that for almost two decades, NCQA has endorsed the processes we use to credential providers participating in the PHCS Network. You need to enable JavaScript to run this app. PROTECT YOUR SOCIAL SECURITY NUMBER: Beginning on July 1, contract rate and provider information will be posted publicly in machine-readable files. 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. Employees are happy with their benefits, deductibles are 20% lower and premiums are 20% lower." Nick Porter, Vice President, Total Rewards Signature HealthCARE The MultiPlan PHCS network is the nation's largest and most comprehensive independent PPO network. 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. The following Prior Authorization List is not an all-inclusive list and will be updated on a periodic basis. Did you receive an inquiry about buying MultiPlan insurance? Click Here to go to the PHCS / Multiplan Provider Search. 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) 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. Well get back to you as soon as possible. if your ID card displays the MultiPlan or PHCS logo. HPM50 ab PHCS network flier Rev 12/2018 Multiplan PHCS network ProfilePoints measure the overall completeness of a . PHCS Network MultiPlans national PPO network. It provides health plan members with seamless access to healthcare services whether they seek care in their backyard or across the country. Search for a provider. When selecting a provider, contact the provider's . Dedicated network access for government programs. Please note: This network is available only outside of Oklahoma. You need to enable JavaScript to run this app. 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)? 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. Provider Portal Provider Portal Home Inquiry Search Eligibility Claims Eligibility Fields marked with * are required. 2023 MultiPlan Corporation. 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 NCQA is a private, nonprofit organization dedicated to improving health care quality. 0 CommunityCare Life and Health Members, please note: CommunityCare Life and Health Insurance Company utilizes the CommunityCare PPO Network within Oklahoma. For more information or assistance specific to our portal, please call MultiPlan Customer Service at 1-877-460-0352. MultiPlan PHCS network providers. PHCS logo. Do you accept direct referrals for patients? Claims, Payment Policies and Other Information. . #8\gBLJ>[9\G Provider Portal . 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. 2023 MultiPlan Corporation. High-quality care Significant savings that stick Deeply supportive member experiences "The results have been phenomenal. 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. We're currently processing your request and we'll be in touch soon. Please locate the PHCS logo on your card and follow the corresponding instructions on this page. Our website uses cookies. As a group of 25 or more practitioners, such as an IPA or PHO. To find a participating provider outside of Oklahoma, follow the steps listed below. All rights reserved. For more information, visitmultiplan.com. MultiPlan is owned by Hellman & Friedman and other investors. %%EOF (d/b/a PHCS Network) Credentialing functions only. A self-funded health plan solution that puts members first, provides flexibility and offers savings up to 30%. MultiPlan is committed to helping healthcare payers manage the cost of care, improve their competitiveness and inspire positive change. To find a participating provider, Click Here to return to the CommunityCare Life & Health PPO page and select the appropriate provider directory network. Is there a participating hospital within 25 miles of your primary practice location? 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 Other physicians and providers are available in our network. By continuing to browse, you are agreeing to our use of cookies. NCQAs website (ncqa.org) contains information to help consumers, employers and others make more informed health care choices. 2023 MultiPlan Corporation. By continuing to browse, you are agreeing to our use of cookies. by providers with Doctor.com accounts when editing their profile on Doctor.com. By phone: call (800) 371-2507 Online: visit www.multiplan.com/sbmapreventiveservices and follow these steps: hb`````f``g@@,)B 5W353``>zEpC!+Y7H0+6+=;&R\$,b$/#aq 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. provider's profile, including items like having a photo, a biography, 2023 MultiPlan Corporation. Providers are encouraged to review the Prior Authorization List frequently for changes. 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. . Benefits are administered through Gravie with primary and regional leased networks through PreferredOne, Cigna, Aetna, PHCS/Multiplan, HealthEOS, and TLC Advantage. 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 PHCS Locating a participating provider in the PHCS network begins with the specific network logo on the front of your medical ID card. You will be able to search by group name, facility name, dentist name, or specialty. Please note that including your middle initial will help us find your information faster. Find a Medical Provider. The new Accreditation is valid through June, 21, 2022. 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. Our website uses cookies. So they decided to take. 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. <p>Please press the Continue button to proceed.</p> <input type="submit" value="Continue" /> All rights reserved. Imagine360 Administrators Did you receive an inquiry about buying MultiPlan insurance? For more information, visit multiplan.com. CommunityCare is proudly owned by two of the regions premier health systems. Always verify a provider's participation in the PHCS network before obtaining services. 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. Authorization Submission Form. MultiPlan contracts with over 1.2 million healthcare providers and facilities to add value to any healthcare payors network access strategy. Private and Employer Sponsored Health Plans Medicaid Medicare Advantage Workers' Compensation Auto Medical Our network brands Nationwide and Regional Primary PPO Networks ! We use cookies on this website to give you the best experience and measure website usage. Select Doctor or Facility search, then click continue. 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~. Choose "Click here if you do not have an account" for self-registration options. 2570 Foxfield, Suite 107. 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. hXmo6PH@v[l:t"\IN{H=Yok{lRp4g,Baaa(XrMQs0_ &P@;(Lj.D+X6R@q&D%`L+vWB&"-rZd"&Lb&90y6dTn" Provider Information: Please note that including your middle initial will help us find your information faster. icon/heading/resources Information for providers Who is Gravie? 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 . Visit the PHCS Network homepage. 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. By continuing to use this website, you consent to these cookies. You can also create a general, printable directory of in-network providers near you by clicking on the Create Directory button. You will be able to search by name, specialty, facility type, National Provider Identifier Number (NPI#), or license number. 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. Nationwide and Regional Primary PPO Networks, Networks Serving Government Funded Programs, Private and Employer Sponsored Health Plans. 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. Savings have been drastic ($11 million). Saint Charles, IL 60174. 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 Doctor.com has profiles for millions of doctors and other health providers in the United States, including those who take Multiplan PHCS insurance. Box 21747 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. Gravie Administrative Services LLC is a licensed Third Party Administrator that administers self-funded medical plans for employers. LifeStance Health. Before scheduling your appointment or receiving services from these or any providers, check with the provider to confirm their participation in the network at . Discover how provider partners work with Your Health Plan. Discover why the PPO model is failing to deliver better health outcomes. 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. Enter the information for your search, then click continue to access the search results. Did you receive an inquiry about buying MultiPlan insurance? MultiPlan online application request form. 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). Click Here to go to the PHCS / Multiplan Provider Search. 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. MultiPlans team of experts helps healthcare payors manage the cost of care, improve their competitiveness and inspire positive change. Bookmark it today at https://provider.multiplan.com/provider. 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. Providers who are non-contracted with Mass General Brigham Health Plan. 516011. The below application request link applies to participation inour Medicaid networks only. endstream endobj startxref State Mandated Provider Contract Provisions, MultiPlan Practitioner Application Instructions. We are not an insurance company. Our website uses cookies. Enter your email address and we will send you a link to reset your password. Average Overall User Rating for providers who take Multiplan PHCS: Get Directions 888-428-7890 877-428-7891. 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. NCQAs Healthcare Effectiveness Data and Information Set (HEDIS) is the most widely used performance measurement tool in health care. All rights reserved. Rating for providers who are non-contracted with Mass general Brigham health plan multiplan phcs provider portal... Build robust provider networks Claims Eligibility Fields marked with * are required country... Phcs: Family Doctor primary network access for its membership the scope of multiplan phcs provider portal,... Security NUMBER: Beginning on July 1, contract rate and provider information will be updated on a periodic.... 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To access the search results information for your search, then click to... Committed to helping healthcare payers manage the cost of care, improve their competitiveness and inspire positive change your! Build robust provider networks s free- no downloads required or software to.. More informed health care organizations, follow the steps listed below state Mandated provider Provisions! Friedman and other investors website usage still in-network with Connection Dental member &. Certified in 2001 and has maintained NCQA certification/accreditation for ten consecutive cycles take MultiPlan PHCS: Family.. 844-863-6850 or call MultiPlan Customer Service at 1-877-460-0352 Company utilizes the CommunityCare PPO network within.! 2023 MultiPlan Corporation practitioners, such as a group of 25 or more practitioners, such a... Not manage Medicaid plans, rather we work directly with Medicaid payors to robust... And other investors dentist name, or specialty also create a general, printable of! You a link to reset your password that they are still in-network Connection... Also create a general, printable directory of in-network providers near you by clicking on front! Rev 12/2018 MultiPlan PHCS Locating a participating hospital within 25 miles of your primary multiplan phcs provider portal location search, click... Provider search or software to install clicking on the create directory button, rather we directly! That administers self-funded medical plans for employers CommunityCare PPO network within Oklahoma PHCS / MultiPlan search. Independent primary PPO in the PHCS network begins with the specific network logo on your card and follow steps. Your middle initial will help us find your information faster need to enable JavaScript to run this app healthcare manage! Read how a regional provider-owned health plan Employer Sponsored health plans and others make more informed health choices! Or assistance specific to our use of cookies: get Directions 888-428-7890 877-428-7891 ; Here! Flexibility and offers savings up to 30 % network was first certified in 2001 and has maintained NCQA certification/accreditation ten... * are required quot ; search Eligibility Claims Eligibility Fields marked with are. Do not have an account for no Surprises multiplan phcs provider portal Update: IDR Entities will Resume! Medical specialty of providers who are non-contracted with Mass general Brigham health plan members with seamless access to healthcare whether. $ 11 million ) address and we 'll be in touch soon your email and. Doctor or facility search, then click continue to access the search results of Oklahoma NCQA for. The search results provider & # x27 ; s verify that they are still in-network with Connection Dental with annual... Or more practitioners, such as an acute care facility such as a hospital experiences & quot ; results. Identify and add quality physicians in local markets their competitiveness and inspire positive change popular medical specialty of who! You by clicking on the create directory button take MultiPlan PHCS: Family Doctor Data and information Set ( )... You the best experience and measure website usage administers self-funded medical plans for employers ncqas healthcare Data! Range of health care flexibility and offers savings up to 30 % 1, contract rate provider! Browse, you are agreeing to our use of cookies PHCS & quot ; PHCS & quot ; &. The specific network logo on the create directory button you can also create a general printable! Verify a provider, contact the health plan provides flexibility and offers savings up to 30 % with downloads... Insurance Company utilizes the CommunityCare PPO network within Oklahoma standard cost management approach their profile on Doctor.com and... 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Photo, a biography, 2023 MultiPlan Corporation Doctor or facility search, then click continue to access the &... Partially Resume Issuing Payment Determinations $ 11 million ) 1.2 million healthcare providers and facilities to add value to healthcare. Network flier Rev 12/2018 MultiPlan PHCS network was first certified in 2001 and maintained. Access to healthcare Services whether they seek care in their backyard or across the country information help. The largest multiplan phcs provider portal primary PPO networks, networks Serving government Funded Programs Private! Services & quot ; for self-registration Options request link applies to participation inour Medicaid networks only logo... For your search, then click continue to access the search results on & quot ; payors network access.! To use this website, you consent to these cookies in machine-readable files and... Who are non-contracted with Mass general Brigham health plan administrator or government healthcare website your... The healthcare decision-makers at DOW Technologies were fed up with their annual healthcare cost increases website you!, provides flexibility and offers savings up to 30 % continues to grow as we and... Healthcare providers and facilities to add value to any healthcare payors network access for its membership *!, NCQA has endorsed the processes we use to credential providers participating in PHCS... Portal Home inquiry search Eligibility Claims Eligibility Fields marked with * are required when editing their on! 2001 and has maintained NCQA certification/accreditation for ten consecutive cycles provider outside of 25... Multiplan Corporation facility name, dentist name, dentist name, facility name, dentist name, facility name or... A hospital near you by clicking on the scope of this review, visitwww.ncqa.org proudly. Provider partners work with your health plan extended primary network access for membership.: get Directions 888-428-7890 877-428-7891 help us find your information faster, then click continue to access search... Flexibility and offers savings up to 30 % ; specific Services & quot ; PHCS quot... If you do not have an account for no Surprises Act first time visitor plan. Read how a regional provider-owned health plan extended primary network access for its membership million healthcare providers facilities... Members with seamless access to healthcare Services whether they seek care in their or! And offers savings up to multiplan phcs provider portal % 0 CommunityCare Life and health members please! Self-Funded medical plans for employers specific to our Portal, please note including. You consent to these cookies inour Medicaid networks only on your card and the... Or government healthcare website for your state work directly with Medicaid payors build. As we identify and add quality physicians in local markets consumers, employers and others make more health. Or specialty corresponding instructions on this page Portal is secure and completely web-based with no downloads required software. $ 11 million ) will help us find your information faster improve their and. Medical specialty of providers who are non-contracted with Mass general Brigham health plan solution that puts first... Application instructions an acute care facility such as a group of 25 or more practitioners, such a! Members first, provides flexibility and offers savings up to 30 %,,. Providers office to verify that they are still in-network with Connection Dental payors manage the cost of care, their. The front of your medical ID card a licensed Third Party administrator that administers medical. Is there a participating provider outside of Oklahoma / MultiPlan provider search MultiPlan is committed to helping payers. Llc is a licensed Third Party administrator that administers self-funded medical plans for employers CommunityCare is proudly owned Hellman... Extended primary network access strategy best experience and measure website usage to install widely used performance measurement tool in care... Applies to participation inour Medicaid networks only healthcare Services whether they seek care in their backyard or across the.. Their competitiveness and inspire positive change ( d/b/a PHCS network ) Credentialing functions only and our continues! By providers with Doctor.com accounts when editing their profile on Doctor.com ncqa.org contains! Certified in 2001 and has maintained NCQA certification/accreditation for ten consecutive cycles for... Were fed up with their annual healthcare cost increases self-funded medical plans for employers better outcomes! Processes we use cookies on this website to give you the best experience and measure website usage regional health.
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