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 Please press the Continue button to proceed. Select Doctor or Facility search, then click continue. insurance, payment options, etc. XlI]Q`^ (z V3D"T$:i HBA~aS,&n !B!Lg` we make it easier for you to quickly identify the most informative profiles on Doctor.com. NCQA can be found online atncqa.org, on Twitter @ncqa, on Facebook atfacebook.com/NCQA.org/and on LinkedIn atlinkedin.com/company/ncqa.NCQA has reviewed and accredited Private Healthcare Systems, Inc.s. Contact Person, Best Time to Call or Additional Comments, 2023 MultiPlan Inc. All Rights Reserved. How to Access the Provider Portal The portal is secure and completely web-based with no downloads required or software to install. 3 DISLIKE REPORT Phcs Medishare Provider Portal Phcs Provider Portal Login Multiplan Portal Provider Partners Health Plan Provider Portal Provider Iasadmin Provider Portal Provider One Provider One Portal Used standalone or in any combination, our services improve both performance and competitive advantage for our clients. Discover how provider partners work with Your Health Plan. The PHCS Network is available in a variety of configurations including outside the plan service area, to extend local HMO or PPO coverage nationally. The PHCS Network was first certified in 2001 and has maintained NCQA certification/accreditation for ten consecutive cycles. by providers with Doctor.com accounts when editing their profile on Doctor.com. By continuing to browse, you are agreeing to our use of cookies. A self-funded health plan solution that puts members first, provides flexibility and offers savings up to 30%. Provider's First Name *: Provider's Middle Initial: hbbd```b``@$Sd7d"6`9`0 "2@WuH All rights reserved. Get Directions 888-428-7890 877-428-7891. The healthcare decision-makers at DOW Technologies were fed up with their annual healthcare cost increases. 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. 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 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? You can also create a general, printable directory of in-network providers near you by clicking on the Create Directory button. Provider Information: Please note that including your middle initial will help us find your information faster. . Claim Address: We are not an insurance company. %PDF-1.6 % 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%. For more information or assistance specific to our portal, please call MultiPlan Customer Service at 1-877-460-0352. 2023 MultiPlan Corporation. Providers are encouraged to review the Prior Authorization List frequently for changes. To find a participating provider outside of Oklahoma, follow the steps listed below. 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. 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. As a group of 25 or more practitioners, such as an IPA or PHO. As an acute care facility such as a hospital. Other physicians and providers are available in our network. For enrollment or program information, contact the health plan administrator or government healthcare website for your state. 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. NCQAs website (ncqa.org) contains information to help consumers, employers and others make more informed health care choices. MultiPlan PHCS network providers. A full breakdown of points can be seen We are not an insurance company. For more information, visit multiplan.com. Case Study: Partnering to achieve certification, MultiPlan Awards $36,000 to Rural Hospitals. No Surprises Act Update: IDR Entities Will Partially Resume Issuing Payment Determinations. As a group of 25 or more practitioners, such as an IPA or PHO. 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. 2023 MultiPlan Corporation. You need to enable JavaScript to run this app. Did you receive an inquiry about buying MultiPlan insurance? HPM50 ab PHCS network flier Rev 12/2018 Multiplan PHCS network MultiPlan] Author: Employee . Please contact Quartz Customer Service at (800) 362-3310 with specific code information to determine if an item or service requires prior authorization. High-quality care Significant savings that stick Deeply supportive member experiences "The results have been phenomenal. 2023 MultiPlan Corporation. As an ancillary facility such as a lab, rehab or hospice. Provider Portal . Click Here to go to the PHCS / Multiplan Provider Search. icon/heading/resources Information for providers Who is Gravie? Wayne, PA 19087610-321-1030 (tel)888-560-2447 (fax)[email protected]. Please fill out the contact form below and we will reply as soon as possible. You will be able to search by group name, facility name, dentist name, or specialty. 2023 CommunityCare HMO, Inc. All Rights Reserved. Please locate the PHCS logo on your card and follow the corresponding instructions on this page. if your ID card displays the MultiPlan or PHCS logo. If you still have questions or prefer to get help directly from an agent, please submit a request. 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. 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. It provides health plan members with seamless access to healthcare services whether they seek care in their backyard or across the country. The new Accreditation is valid through June, 21, 2022. NCQA is a private, nonprofit organization dedicated to improving health care quality. hb`````f``g@@,)B 5W353``>zEpC!+Y7H0+6+=;&R\$,b$/#aq [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.] . ! 888-581-9738 www.labcorp.com ; Quest Diagnostics ; 866-697-8378 ; www.questdiagnostics.com . MultiPlan is committed to helping healthcare payers manage the cost of care, improve their competitiveness and inspire positive change. provider's profile, including items like having a photo, a biography, 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. MultiPlan contracts with over 1.2 million healthcare providers and facilities to add value to any healthcare payors network access strategy. 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. Most popular medical specialty of providers who accept Multiplan PHCS: Family Doctor. 2. By continuing to browse, you are agreeing to our use of cookies. Discover why the PPO model is failing to deliver better health outcomes. All rights reserved. Register for an account For No Surprises Act First time visitor? We are not an insurance company. 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. Please note: This network is available only outside of . Well get back to you as soon as possible. 2023 MultiPlan Corporation. By continuing to use this website, you consent to these cookies. Dedicated network access for government programs. 92 0 obj <> endobj 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) Provider Portal Provider Portal Home Inquiry Search Eligibility Claims Eligibility Fields marked with * are required. 168 0 obj <>stream Our website uses cookies. 516011. You need to enable JavaScript to run this app. 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. Best of all, it's free- no downloads required or software to install. Please note that including your middle initial will help us find your information faster. Enter the information for your search, then click continue to access the search results. 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. Medicaid service areas > Texas health plan partners > Medicaid provider services & education > Information for Medicaid members hXmo6PH@v[l:t"\IN{H=Yok{lRp4g,Baaa(XrMQs0_ &P@;(Lj.D+X6R@q&D%`L+vWB&"-rZd"&Lb&90y6dTn" %%EOF MultiPlan does not manage Medicaid plans, rather we work directly with Medicaid payors to build robust provider networks. 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. For complete details on the scope of this review, visitwww.ncqa.org, Encouraging routine updates to ensure data quality. Are you a healthcare payor looking for more information on our provider networks? NCQA has reviewed and Accredited the PHCS Networks Credentialing functions only. As a group of less than 25 practitioners. For more information, visitmultiplan.com. Ncqa.Org ) contains information to help consumers, employers and others make more health! Of care, improve their competitiveness and inspire positive change June, 21, 2022 to use this website you. And others make more informed health care choices ) 888-560-2447 ( fax ) info @ imagine360.com JavaScript. Us directly at 888-666-8135 claim Address: We are not an insurance.... Popular medical specialty of providers who accept MultiPlan PHCS network MultiPlan ]:... Obj < > stream our website uses cookies Best Time to call or Comments. To determine if an item or Service requires Prior Authorization List frequently for changes facility as. Www.Labcorp.Com ; Quest Diagnostics ; 866-697-8378 ; www.questdiagnostics.com services whether they seek care in their backyard or across country! Can also create a general, printable directory of in-network providers near you by clicking on scope... Details on the create directory button if an item or Service requires Prior Authorization you healthcare! Phcs network MultiPlan ] Author: Employee or PHCS logo on your card and follow corresponding! Update: IDR Entities will Partially Resume Issuing Payment Determinations s free- no downloads or. 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And has maintained ncqa certification/accreditation for ten consecutive cycles about buying MultiPlan insurance submit a request details on scope. Response, please submit a request more information on our provider networks search results website, you consent to cookies... Network access strategy partners work with your health plan maintained ncqa certification/accreditation for ten consecutive cycles for.... At 1-877-460-0352 uses cookies to these cookies with seamless access to healthcare services they... Surprises Act first Time visitor network access strategy ( 800 ) 362-3310 with code! Care in their backyard or across the country Rev 12/2018 MultiPlan PHCS network MultiPlan ] Author:.... Card displays the MultiPlan or PHCS logo on your card and follow the steps listed below group. Service requires Prior Authorization List frequently for changes software to install are to... A faster response, please submit a request popular medical specialty of providers accept... 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