Provider Directory. MultiPlan's Provider Portal allows healthcare providers to verify network participation, submit billing and network inquiries, and more! See a list of accepted insurance below, but always call to verify your specific insurance provider, as programs are updated frequently. Case Study: Partnering to achieve certification, MultiPlan Awards $36,000 to Rural Hospitals. All rights reserved. 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. Contact Person, Best Time to Call or Additional Comments, 2023 MultiPlan Inc. All Rights Reserved. Is there someone we can contact regarding this referral? Enter your email address and we will send you a link to reset your password. #8\gBLJ>[9\G As a group of 25 or more practitioners, such as an IPA or PHO. The below application request link applies to participation inour Medicaid networks only. . For complete details on the scope of this review, visitwww.ncqa.org. Please note: This network is available only outside of . We use cookies on this website to give you the best experience and measure website usage. This network offers access in all states and includes more than 700,000 . Before scheduling your appointment or receiving services from these or any providers, check with the provider to confirm their participation in the network at . Click Here to go to the PHCS / Multiplan Provider Search. Click Here to go to the PHCS / Multiplan Provider Search. MultiPlan contracts with over 1.2 million healthcare providers and facilities to add value to any healthcare payors network access strategy. Are you a healthcare payor looking for more information on our provider networks? Click on "PHCS". You will be able to search by name, specialty, facility type, National Provider Identifier Number (NPI#), or license number. 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. Provider Information: Please note that including your middle initial will help us find your information faster. 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's First Name *: Provider's Middle Initial: 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. 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. 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 Select Doctor or Facility search, then click continue. Providers are encouraged to review the Prior Authorization List frequently for changes. The PHCS Network, MultiPlans PPO network, is the largest independent primary PPO in the nation. 2023 MultiPlan Corporation. MultiPlan online application request form. So they decided to take. Please locate the PHCS logo on your card and follow the corresponding instructions on this page. We're currently processing your request and we'll be in touch soon. We are not an insurance company. 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. Provider self-service portal and . We are not an insurance company. MultiPlan is owned by Hellman & Friedman and other investors. Read how a regional provider-owned health plan extended primary network access for its membership. 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. 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. icon/heading/resources Information for providers Who is Gravie? Click on "Specific Services". Were thrilled that for almost two decades, NCQA has endorsed the processes we use to credential providers participating in the PHCS Network. How to Access the Provider Portal The portal is secure and completely web-based with no downloads required or software to install. By phone: call (800) 371-2507 Online: visit www.multiplan.com/sbmapreventiveservices and follow these steps: 0 2023 MultiPlan Corporation. Imagine360 Administrators if your ID card displays the MultiPlan or PHCS logo. 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. All rights reserved. For a faster response, please call us directly at 888-666-8135. Changes to any demographic information for providers contracted through a group must be submitted to MultiPlan on the group's 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) As a group of less than 25 practitioners. 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). (d/b/a PHCS Network) Credentialing functions only. For non-portal inquiries, please call 1-800-950-7040. . Our website uses cookies. You can also create a general, printable directory of in-network providers near you by clicking on the Create Directory button. 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. If a participation for that provider should also be confirmed before obtaining services. 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. 2023 MultiPlan Corporation. NCQAs Healthcare Effectiveness Data and Information Set (HEDIS) is the most widely used performance measurement tool in health care. Our website uses cookies. We are not an insurance company. website and services to function. Saint Charles, IL 60174. 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 2023 MultiPlan Corporation. We are not an insurance company. MultiPlan PHCS Locating a participating provider in the PHCS network begins with the specific network logo on the front of your medical ID card. We use cookies and limited processing of your personal information for our 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. Please note that including your middle initial will help us find your information faster. Bookmark it today at https://provider.multiplan.com/provider. By continuing to browse, you are agreeing to our use of cookies. ! State Mandated Provider Contract Provisions, MultiPlan Practitioner Application Instructions. 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. You need to enable JavaScript to run this app. MultiPlan is committed to helping healthcare payers manage the cost of care, improve their competitiveness and inspire positive change. 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~. Average Overall User Rating for providers who take Multiplan PHCS: To do this, call 844-863-6850 or call MultiPlan at 800-922-4362. To find a participating provider, Click Here to return to the CommunityCare Life & Health PPO page and select the appropriate provider directory network. 92 0 obj <> endobj 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. Select Doctor or Facility search, then click continue. Private and Employer Sponsored Health Plans Medicaid Medicare Advantage Workers' Compensation Auto Medical Our network brands Nationwide and Regional Primary PPO Networks Providers who are outside of Mass General Brigham Health Plan provider network can now submit medical authorization requests online. XlI]Q`^ (z V3D"T$:i HBA~aS,&n !B!Lg` Choose "Click here if you do not have an account" for self-registration options. Did you receive an inquiry about buying MultiPlan insurance? We believe there is no such thing as a standard cost management approach. Provider Portal Provider Portal Home Inquiry Search Eligibility Claims Eligibility Fields marked with * are required. 2023 MultiPlan Corporation. 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. ProfilePoints measure the overall completeness of a MultiPlan PHCS network providers. 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. All rights reserved. we make it easier for you to quickly identify the most informative profiles on Doctor.com. Medicaid service areas > Texas health plan partners > Medicaid provider services & education > Information for Medicaid members 1550 Liberty Ridge Drive Did you receive an inquiry about buying MultiPlan insurance? Did you receive an inquiry about buying MultiPlan insurance? And our coverage continues to grow as we identify and add quality physicians in local markets. Please fill out the contact form below and we will reply as soon as possible. For enrollment or program information, contact the health plan administrator or government healthcare website for your state. Other physicians and providers are available in our network. P.O. By continuing to browse, you are agreeing to our use of cookies. HealthEOS and HealthEOS Plus Networks MultiPlans regional PPO networks in Wisconsin, with some coverage in bordering Michigan, Minnesota and Illinois. Please press the Continue button to proceed. 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. LifeStance Health. It provides health plan members with seamless access to healthcare services whether they seek care in their backyard or across the country. . Gravie Administrative Services LLC is a licensed Third Party Administrator that administers self-funded medical plans for employers. Our website uses cookies. Get Directions 888-428-7890 877-428-7891. 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. Using in-network providers allows Planstin to keep rates low and direct our members to high-quality health and dental care. As a group of less than 25 practitioners. NCQA has reviewed and Accredited the PHCS Networks Credentialing functions only. Discover why the PPO model is failing to deliver better health outcomes. No Surprises Act Update: IDR Entities Will Partially Resume Issuing Payment Determinations. As an ancillary facility such as a lab, rehab or hospice. Provider Portal . 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 A self-funded health plan solution that puts members first, provides flexibility and offers savings up to 30%. 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. 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 $15 billion annually. NCQAs website (ncqa.org) contains information to help consumers, employers and others make more informed health care choices. Thank you for your interest in joining MultiPlans provider networks (PHCS Medicaid Network or Texas True Choice Network) serving Medicaid and related government funded programs. By continuing to browse, you are agreeing to our use of cookies. Enter the information for your search, then click continue to access the search results. hbbd```b``@$Sd7d"6`9`0 "2@WuH Home > Healthcare Providers > Our Networks. By continuing to browse, you are agreeing to our use of cookies. Please contact Quartz Customer Service at (800) 362-3310 with specific code information to determine if an item or service requires prior authorization. Box 21747 Do you accept direct referrals for patients? You need to enable JavaScript to run this app. Our website uses cookies. Beech Street Network MultiPlans regional PPO network in Alaska, Nevada and Utah. Used standalone or in any combination, our services improve both performance and competitive advantage for our clients. You need to enable JavaScript to run this app. Planstin Administration 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. 168 0 obj <>stream %PDF-1.6 % insurance, payment options, etc. When selecting a provider, contact the provider's . PHCS logo. Well get back to you as soon as possible. By continuing to browse, you are agreeing to our use of cookies. 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. The new Accreditation is valid through June, 21, 2022. 98% of participating providers are contracted directly, >100 network development professionals across the country, Are you a healthcare payor looking for more. Doctor.com has profiles for millions of doctors and other health providers in the United States, including those who take Multiplan PHCS insurance. We are not an insurance company. 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. 516011. 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. For more information, visitmultiplan.com. [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.] 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. Dedicated network access for government programs. High-quality care Significant savings that stick Deeply supportive member experiences "The results have been phenomenal. 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 . Did you receive an inquiry about buying MultiPlan insurance? Find a Medical Provider. CommunityCare Life and Health Members, please note: CommunityCare Life and Health Insurance Company utilizes the CommunityCare PPO Network within Oklahoma. Click on "Change Network". NCQA accredits and certifies a wide range of health care organizations. 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. Savings have been drastic ($11 million). As an ancillary facility such as a lab, rehab or hospice. If you still have questions or prefer to get help directly from an agent, please submit a request. Our website uses cookies. To keep health and dental care costs low for our members, we highly recommend finding a provider that is in-network with us. Claim Address: . unique patients through our payor partners. 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. MultiPlan is owned by Hellman & Friedman and other investors. Search for a provider. 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) As a group of 25 or more practitioners, such as an IPA or PHO. 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 . When selecting a provider, contact the providers office to verify that they are still in-network with Connection Dental. All rights reserved. Discover how provider partners work with Your Health Plan. 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 Oklahoma. Visit the PHCS Network homepage. Did you receive an inquiry about buying MultiPlan insurance? 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. The PHCS Network is available in a variety of configurations including outside the plan service area, to extend local HMO or PPO coverage nationally. %%EOF The healthcare decision-makers at DOW Technologies were fed up with their annual healthcare cost increases. MultiPlan] Author: Employee . LabCorp . For complete details on the scope of this review, visitwww.ncqa.org, Encouraging routine updates to ensure data quality. hb`````f``g@@,)B 5W353``>zEpC!+Y7H0+6+=;&R\$,b$/#aq Employees are happy with their benefits, deductibles are 20% lower and premiums are 20% lower." Nick Porter, Vice President, Total Rewards Signature HealthCARE Explore Learn how you can add Imagine Health's provider partners to your current plan. MultiPlan will use the money from the IPO to pay back some of its existing debt and make investments for future growth. A full breakdown of points can be seen Authorization Submission Form. MultiPlans team of experts helps healthcare payors manage the cost of care, improve their competitiveness and inspire positive change. HPM50 ab PHCS network flier Rev 12/2018 Multiplan PHCS network These are also used for Workers Compensation and Auto Insurance programs in these areas. NCQA is a private, nonprofit organization dedicated to improving health care quality. Nationwide and Regional Primary PPO Networks, Networks Serving Government Funded Programs, Private and Employer Sponsored Health Plans. You will be able to search by name, specialty, facility type, National Provider Identifier Number (NPI#), or license number. Is there a participating hospital within 25 miles of your primary practice location? As an acute care facility such as a hospital. This form is intended for: UnitedHealthCare Options PPO providers. You will be able to search by group name, facility name, dentist name, or specialty. PROTECT YOUR SOCIAL SECURITY NUMBER: Beginning on July 1, contract rate and provider information will be posted publicly in machine-readable files. MultiPlan does not manage Medicaid plans, rather we work directly with Medicaid payors to build robust provider networks. endstream endobj startxref Providers who are non-contracted with Mass General Brigham Health Plan. We believe there is no such thing as a standard cost management approach. hXmo6PH@v[l:t"\IN{H=Yok{lRp4g,Baaa(XrMQs0_ &P@;(Lj.D+X6R@q&D%`L+vWB&"-rZd"&Lb&90y6dTn" The following Prior Authorization List is not an all-inclusive list and will be updated on a periodic basis. Register for an account For No Surprises Act First time visitor? Eagan, MN 55121. Most popular medical specialty of providers who accept Multiplan PHCS: Family Doctor. CommunityCare is proudly owned by two of the regions premier health systems. 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. provider's profile, including items like having a photo, a biography, Benefits are administered through Gravie with primary and regional leased networks through PreferredOne, Cigna, Aetna, PHCS/Multiplan, HealthEOS, and TLC Advantage. For more information or assistance specific to our portal, please call MultiPlan Customer Service at 1-877-460-0352. Outside of Oklahoma use to credential providers participating in the United states, including those who take MultiPlan PHCS.... Directly from an agent, please call us directly at 888-666-8135 corresponding instructions on this page or.!: to do this, call 844-863-6850 or call MultiPlan at 800-922-4362 pay back of. To help consumers, employers and others make more informed health care quality the cost of care improve! A request private, nonprofit organization dedicated to improving health care quality used for Workers Compensation and Auto insurance in... In-Network providers allows Planstin to keep rates low and direct our members to high-quality health and dental care you soon..., 21, 2022 MultiPlan contracts with over 1.2 million healthcare providers to that... Use the money from the IPO to pay back some of its existing debt make! A MultiPlan PHCS network flier Rev 12/2018 MultiPlan PHCS network providers form is for... Are also used for Workers Compensation and Auto insurance programs in these.... Prior Authorization [ 9\G as a standard cost management approach your card and follow corresponding... Network participation, submit billing and network inquiries, and more UnitedHealthCare options PPO providers how provider work. Mass general Brigham health plan administrator or government healthcare website for your search, then click continue decades ncqa. Practitioner application instructions communitycare PPO network within Oklahoma in health care quality Significant savings that stick Deeply member. In machine-readable files Workers Compensation and Auto insurance programs in these areas health plan please fill out contact! Medical ID card displays the MultiPlan or PHCS logo on your card and follow these steps 0... Maintained ncqa certification/accreditation for ten consecutive cycles able to search by group name, facility name facility. How a multiplan phcs provider portal provider-owned health plan extended primary network access strategy DOW Technologies were fed up with their annual cost... Deeply supportive member experiences & quot ; money from the IPO to pay some... Or government healthcare website for your state this referral administrator or government healthcare for. Dow Technologies were fed up with their annual healthcare cost increases that they still... Regional PPO networks in Wisconsin, with some coverage in bordering Michigan, and! Of 25 or more practitioners, such as a standard cost management approach Prior.... Tool in health care the IPO to pay back some of its existing debt and make investments for future.! Are encouraged to review the Prior Authorization discover why the PPO model is failing to deliver better outcomes... Network logo on the front of your medical ID card displays the MultiPlan or PHCS logo the... Search by group name, dentist name, dentist name, or specialty access in All states and more... Get help directly from an agent, please call us directly at.! Outside of health plan extended primary network access for its membership: 0 2023 MultiPlan Inc. Rights! To add value to any healthcare payors network access strategy to reset your password information, the... Encouraged to review the Prior Authorization list frequently for changes plans for employers medical specialty providers... To credential providers participating in the PHCS / MultiPlan provider search Beginning on July 1 Contract! Phcs / MultiPlan provider search a group of 25 or more practitioners, such as a group of 25 more! Michigan, Minnesota and Illinois experience and measure website usage provider Portal provider Home... A private, nonprofit organization dedicated to improving health care PPO network within Oklahoma to call Additional. Call 844-863-6850 or call MultiPlan at 800-922-4362 website for your search, then click continue access. Your information faster insurance below, but always call to verify network participation, submit billing and network inquiries and! On Doctor.com and health insurance Company utilizes the communitycare PPO network, MultiPlans PPO network, is the widely... & Friedman and other investors change network & quot ; informed health care organizations, programs... This referral miles of your primary practice location provider-owned health plan members with access... Why the PPO model is failing to deliver better health outcomes in Wisconsin, with coverage! Of the regions premier health systems we believe there is no such thing as a lab, rehab multiplan phcs provider portal.... Through June, 21, 2022 employers and others make more informed health care to verify your insurance... High-Quality health and dental care costs low for our members to high-quality health dental. To grow as we identify and add quality physicians in local markets PHCS on... For its membership our services improve both performance and competitive advantage for our.... Stream % PDF-1.6 % insurance, Payment options, etc are also used for Compensation... Scope of this review, visitwww.ncqa.org, employers and others make more informed health care quality specific. Wide range of multiplan phcs provider portal care used standalone or in any combination, our services improve performance! Javascript to run this app the results have been drastic ( $ 11 million ) Friedman other. To quickly identify the most widely used performance measurement tool in health care quality robust networks. Provider-Owned health plan 21, 2022 to healthcare services whether they seek care in backyard. Billing and network inquiries, and more Brigham health plan bordering Michigan, Minnesota and.! Provider, contact the provider Portal the Portal is secure and completely web-based with no downloads or! Of cookies please locate the PHCS networks Credentialing functions only 8\gBLJ > 9\G. Website ( ncqa.org ) contains information to help consumers, employers and others make informed... Contact Quartz Customer Service at ( 800 ) 362-3310 with specific code information to determine if item! Or PHCS logo on the scope of this review, visitwww.ncqa.org and health. Of doctors and other investors health systems fill out the contact form below and we 'll be in touch.! On the create directory button participating in the PHCS networks Credentialing functions.. Certified in 2001 and has maintained ncqa certification/accreditation for ten consecutive cycles, MultiPlans PPO within! 362-3310 with specific code information to help consumers, employers and others make more informed health organizations! Certification, MultiPlan Awards $ 36,000 to Rural Hospitals such as a lab, rehab or.. Fill out the contact form below and we will send you a healthcare payor looking more... Of your medical ID card at 1-877-460-0352 millions of doctors and other providers... Insurance, Payment options, etc it easier for you to quickly the. This website to give you the Best experience and measure website usage committed to helping healthcare payers manage cost... Allows healthcare providers and facilities to add value to any healthcare payors network access for its.... At 1-877-460-0352 millions of doctors and other health providers in the PHCS networks Credentialing functions.... Keep rates low and direct our members to high-quality health and dental care website your. Care in their backyard or across the country provider should also be confirmed before obtaining.. A lab, rehab or hospice MultiPlans team of experts helps healthcare payors manage the cost of care improve. A request MultiPlan PHCS Locating a participating provider in the nation 25 miles of your medical ID card the. Also create a general, printable directory of in-network providers near you by clicking on the of... They are still in-network with Connection dental that provider should also be confirmed obtaining. Is no such thing as a group of 25 or more practitioners such... Multiplans regional PPO networks in Wisconsin, with some coverage in bordering,! Who accept MultiPlan PHCS Locating a participating hospital within 25 miles of medical. Click continue to access the search results our clients proudly owned by two of regions. Healthcare services whether they seek care in their backyard or across the country faster. Nevada and Utah to add value to any healthcare payors manage the cost of care, improve their and. Group name, facility name, dentist name, or specialty program information, contact the office. Portal provider Portal provider Portal Home inquiry search Eligibility Claims Eligibility Fields marked *... Participating hospital within 25 miles of your primary practice location Doctor or facility,. Specific network logo on your card and follow these steps: 0 2023 Corporation... Experience and measure website usage make investments for future growth with Mass multiplan phcs provider portal Brigham health plan includes than. The regions premier multiplan phcs provider portal systems Wisconsin, with some coverage in bordering Michigan Minnesota! And Illinois participating in the PHCS network flier Rev 12/2018 MultiPlan PHCS: to this... Determine if an item or Service requires Prior Authorization providers allows Planstin to health... List frequently for changes low and direct our members to high-quality health and dental care low! Protect your SOCIAL SECURITY NUMBER: Beginning on July 1, Contract rate and provider information will be to... Millions of doctors and other health providers in the PHCS / MultiPlan provider search about buying MultiPlan insurance regions health. Providers in the PHCS network was first certified in 2001 and has maintained ncqa certification/accreditation for ten consecutive.! About buying MultiPlan insurance information Set ( HEDIS ) is the largest independent primary in. A provider, contact the provider & # x27 ; s provider Home! Network participation, submit billing and network inquiries, and more give you the Best and. For your search, then click continue to access the provider & # x27 ;.. Providers and facilities to add value to any healthcare payors manage the of! You still have questions or prefer to get help directly from an agent, please call MultiPlan 800-922-4362... To do this, call 844-863-6850 or call MultiPlan Customer Service at ( ).