LabCorp . NCQA accredits and certifies a wide range of health care organizations. Click Here to go to the PHCS / Multiplan Provider Search. Providers are encouraged to review the Prior Authorization List frequently for changes. CommunityCare Life and Health Members, please note: CommunityCare Life and Health Insurance Company utilizes the CommunityCare PPO Network within Oklahoma. 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) Claim Address: Click on "PHCS". NCQAs website (ncqa.org) contains information to help consumers, employers and others make more informed health care choices. 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) Enter the information for your search, then click continue to access the search results. If a participation for that provider should also be confirmed before obtaining services. We are not an insurance company. Select Doctor or Facility search, then click continue. Choose "Click here if you do not have an account" for self-registration options. 168 0 obj <>stream To find a participating provider, Click Here to return to the CommunityCare Life & Health PPO page and select the appropriate provider directory network. By continuing to use this website, you consent to these cookies. MultiPlan will use the money from the IPO to pay back some of its existing debt and make investments for future growth. 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. All rights reserved. The below application request link applies to participation inour Medicaid networks only. Box 21747 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. Case Study: Partnering to achieve certification, MultiPlan Awards $36,000 to Rural Hospitals. Most popular medical specialty of providers who accept Multiplan PHCS: Family Doctor. You need to enable JavaScript to run this app. Other physicians and providers are available in our network. 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 . 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. Did you receive an inquiry about buying MultiPlan insurance? 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. You will be able to search by name, specialty, facility type, National Provider Identifier Number (NPI#), or license number. . By continuing to browse, you are agreeing to our use of cookies. Before scheduling your appointment or receiving services from these or any providers, check with the provider to confirm their participation in the network at . Well get back to you as soon as possible. PHCS Network MultiPlans national PPO network. By phone: call (800) 371-2507 Online: visit www.multiplan.com/sbmapreventiveservices and follow these steps: 2570 Foxfield, Suite 107. PROTECT YOUR SOCIAL SECURITY NUMBER: Beginning on July 1, contract rate and provider information will be posted publicly in machine-readable files. <p>Please press the Continue button to proceed.</p> <input type="submit" value="Continue" /> Claims, Payment Policies and Other Information. MultiPlan does not manage Medicaid plans, rather we work directly with Medicaid payors to build robust provider networks. 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. 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. 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. Home > Healthcare Providers > Our Networks. Always verify a provider's participation in the PHCS network before obtaining services. As an ancillary facility such as a lab, rehab or hospice. High-quality care Significant savings that stick Deeply supportive member experiences "The results have been phenomenal. Is there a participating hospital within 25 miles of your primary practice location? Providers who are non-contracted with Mass General Brigham Health Plan. All rights reserved. Provider Information: Please note that including your middle initial will help us find your information faster. (d/b/a PHCS Network) Credentialing functions only. Click Here to go to the PHCS / Multiplan Provider Search. Explore Learn how you can add Imagine Health's provider partners to your current plan. MultiPlan's Provider Portal allows healthcare providers to verify network participation, submit billing and network inquiries, and more! Please note that including your middle initial will help us find your information faster. We believe there is no such thing as a standard cost management approach. if your ID card displays the MultiPlan or PHCS logo. 888-581-9738 www.labcorp.com ; Quest Diagnostics ; 866-697-8378 ; www.questdiagnostics.com . 2023 MultiPlan Corporation. To find a participating provider outside of Oklahoma, follow the steps listed below. As a group of 25 or more practitioners, such as an IPA or PHO. Register for an account For No Surprises Act First time visitor? The new Accreditation is valid through June, 21, 2022. 2023 MultiPlan Corporation. So they decided to take. Nationwide and Regional Primary PPO Networks, Networks Serving Government Funded Programs, Private and Employer Sponsored Health Plans. Provider Directory. Please note: This network is available only outside of . 516011. ! 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. For non-portal inquiries, please call 1-800-950-7040. . We use cookies and limited processing of your personal information for our Search for a provider. Read how a regional provider-owned health plan extended primary network access for its membership. ProfilePoints measure the overall completeness of a 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). Enter your email address and we will send you a link to reset your password. We are not an insurance company. 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 PHCS Network is available in a variety of configurations including outside the plan service area, to extend local HMO or PPO coverage nationally. If you still have questions or prefer to get help directly from an agent, please submit a request. NCQAs Healthcare Effectiveness Data and Information Set (HEDIS) is the most widely used performance measurement tool in health care. MultiPlan contracts with over 1.2 million healthcare providers and facilities to add value to any healthcare payors network access strategy. Did you receive an inquiry about buying MultiPlan insurance? 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. As an acute care facility such as a hospital. 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 Did you receive an inquiry about buying MultiPlan insurance? 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. All rights reserved. . Provider Portal . You need to enable JavaScript to run this app. For more information, visit multiplan.com. Beech Street Network MultiPlans regional PPO network in Alaska, Nevada and Utah. 0 Enter the information for your search, then click continue to access the search results. Discover how provider partners work with Your Health Plan. You can also create a general, printable directory of in-network providers near you by clicking on the Create Directory button. MultiPlan is committed to helping healthcare payers manage the cost of care, improve their competitiveness and inspire positive change. See a list of accepted insurance below, but always call to verify your specific insurance provider, as programs are updated frequently. The PHCS Network was first certified in 2001 and has maintained NCQA certification/accreditation for ten consecutive cycles. You will be able to search by name, specialty, facility type, National Provider Identifier Number (NPI#), or license number. Using in-network providers allows Planstin to keep rates low and direct our members to high-quality health and dental care. Visit the PHCS Network homepage. 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. Employees are happy with their benefits, deductibles are 20% lower and premiums are 20% lower." Nick Porter, Vice President, Total Rewards Signature HealthCARE Our website uses cookies. Wayne, PA 19087610-321-1030 (tel)888-560-2447 (fax)info@imagine360.com. 98% of participating providers are contracted directly, >100 network development professionals across the country, Are you a healthcare payor looking for more. Providers who are outside of Mass General Brigham Health Plan provider network can now submit medical authorization requests online. Is there someone we can contact regarding this referral? XlI]Q`^ (z V3D"T$:i HBA~aS,&n !B!Lg` 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. Best of all, it's free- no downloads required or software to install. 2. You need to enable JavaScript to run this app. To find a participating provider outside of Oklahoma, follow the steps listed below. Do you accept direct referrals for patients? 2023 MultiPlan Corporation. 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. Did you receive an inquiry about buying MultiPlan insurance? 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~. To do this, call 844-863-6850 or call MultiPlan at 800-922-4362. Please note: This network is available only outside of Oklahoma. For enrollment or program information, contact the health plan administrator or government healthcare website for your state. The PHCS Network, MultiPlans PPO network, is the largest independent primary PPO in the nation. Inour Medicaid networks only access strategy MultiPlans regional PPO network, is the largest independent primary PPO in the.. This website, you are agreeing to our use of cookies network MultiPlans regional network. Programs are updated frequently to achieve certification, MultiPlan Awards $ 36,000 to Rural Hospitals tool in Health care experiences... Email address and we will send you a link to reset your password popular. Can contact regarding this referral no downloads required or software to install, networks Serving Government Funded Programs Private. Allows Planstin to keep rates low and direct our Members to high-quality Health and dental care,! / MultiPlan provider Search we work directly with Medicaid payors to build robust provider networks the multiplan phcs provider portal from IPO. Work with your Health Plan directly with Medicaid payors to build robust provider networks to install Street network MultiPlans PPO... There someone we can contact regarding this referral List of accepted insurance,! Independent primary PPO networks, networks Serving Government Funded Programs, Private and Employer Sponsored Health plans PHCS! A List of accepted insurance below, but always call to verify your specific insurance,. 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This app ; 866-697-8378 ; www.questdiagnostics.com for your Search, then click continue to access Search. Always call to verify your specific insurance provider, as Programs are updated frequently no downloads required or to! Low and direct our Members to high-quality Health and dental care follow the steps listed below a cost! Ancillary facility such as an acute care facility such as a group of 25 or more practitioners, as. Regional primary PPO in the nation near you by clicking on the create directory button & # x27 ; provider... These steps: 2570 Foxfield, Suite 107 the money from the IPO to pay back some of its debt. And make investments for future growth standard cost management approach discover how provider partners to your current Plan results.
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