You need to enable JavaScript to run this app. The PHCS Network is available in a variety of configurations including outside the plan service area, to extend local HMO or PPO coverage nationally. By continuing to browse, you are agreeing to our use of cookies. [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.] Provider Directory. 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%. Click on "Change Network". For more information or assistance specific to our portal, please call MultiPlan Customer Service at 1-877-460-0352. 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. We're currently processing your request and we'll be in touch soon. Did you receive an inquiry about buying MultiPlan insurance? It also recognizes clinicians and practices in key areas of performance. 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. Enter the information for your search, then click continue to access the search results. Select Doctor or Facility search, then click continue. 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. Search for a provider. Visit the PHCS Network homepage. NCQAs website (ncqa.org) contains information to help consumers, employers and others make more informed health care choices. Changes to any demographic information for providers contracted through a group must be submitted to MultiPlan on the group's Dedicated network access for government programs. We are not an insurance company. Provider's First Name *: Provider's Middle Initial: To find a participating provider outside of Oklahoma, follow the steps listed below. For more information, visitmultiplan.com. 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) Please contact Quartz Customer Service at (800) 362-3310 with specific code information to determine if an item or service requires prior authorization. Our website uses cookies. By continuing to browse, you are agreeing to our use of cookies. You need to enable JavaScript to run this app. 2023 MultiPlan Corporation. Do you accept direct referrals for patients? By continuing to browse, you are agreeing to our use of cookies. 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. As a group of less than 25 practitioners. CommunityCare is proudly owned by two of the regions premier health systems. All rights reserved. For non-portal inquiries, please call 1-800-950-7040. . For complete details on the scope of this review, visitwww.ncqa.org, Encouraging routine updates to ensure data quality. 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. See a list of accepted insurance below, but always call to verify your specific insurance provider, as programs are updated frequently. Imagine360 Administrators 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 enrollment or program information, contact the health plan administrator or government healthcare website for your state. LifeStance Health. Select Doctor or Facility search, then click continue. website and services to function. MultiPlan does not manage Medicaid plans, rather we work directly with Medicaid payors to build robust provider networks. !
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. You can also create a general, printable directory of in-network providers near you by clicking on the Create Directory button. 2023 MultiPlan Corporation. 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. Did you receive an inquiry about buying MultiPlan insurance? Is there someone we can contact regarding this referral? 2023 MultiPlan Corporation. And our coverage continues to grow as we identify and add quality physicians in local markets. When selecting a provider, contact the providers office to verify that they are still in-network with Connection Dental. Nationwide and Regional Primary PPO Networks, Networks Serving Government Funded Programs, Private and Employer Sponsored Health Plans. A self-funded health plan solution that puts members first, provides flexibility and offers savings up to 30%. Register for an account For No Surprises Act First time visitor? MultiPlan's Provider Portal allows healthcare providers to verify network participation, submit billing and network inquiries, and more! Please note: This network is available only outside of . 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. Providers are encouraged to review the Prior Authorization List frequently for changes. 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. You will be able to search by group name, facility name, dentist name, or specialty. All rights reserved. All rights reserved. Gravie Administrative Services LLC is a licensed Third Party Administrator that administers self-funded medical plans for employers. MultiPlan PHCS network providers. As an ancillary facility such as a lab, rehab or hospice. Medicaid service areas > Texas health plan partners > Medicaid provider services & education > Information for Medicaid members This network offers access in all states and includes more than 700,000 . 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. Please press the Continue button to proceed. . MultiPlan will use the money from the IPO to pay back some of its existing debt and make investments for future growth. by providers with Doctor.com accounts when editing their profile on Doctor.com. Get Directions 888-428-7890 877-428-7891. HealthEOS and HealthEOS Plus Networks MultiPlans regional PPO networks in Wisconsin, with some coverage in bordering Michigan, Minnesota and Illinois. The new Accreditation is valid through June, 21, 2022. P.O. NCQA has reviewed and Accredited the PHCS Networks Credentialing functions only. It provides health plan members with seamless access to healthcare services whether they seek care in their backyard or across the country. You will be able to search by name, specialty, facility type, National Provider Identifier Number (NPI#), or license number. Provider Information: Please note that including your middle initial will help us find your information faster. High-quality care Significant savings that stick Deeply supportive member experiences "The results have been phenomenal. %%EOF
Enter your email address and we will send you a link to reset your password. 98% of participating providers are contracted directly, >100 network development professionals across the country, Are you a healthcare payor looking for more. Eagan, MN 55121. PHCS logo. 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. %PDF-1.6
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icon/heading/resources Information for providers Who is Gravie? 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. You need to enable JavaScript to run this app. 2. CommunityCare Life and Health Members, please note: CommunityCare Life and Health Insurance Company utilizes the CommunityCare PPO Network within Oklahoma. 1550 Liberty Ridge Drive As a group of less than 25 practitioners. 2023 MultiPlan Corporation. The PHCS Network was first certified in 2001 and has maintained NCQA certification/accreditation for ten consecutive cycles. Best of all, it's free- no downloads required or software to install. PROTECT YOUR SOCIAL SECURITY NUMBER: Beginning on July 1, contract rate and provider information will be posted publicly in machine-readable files. Please locate the PHCS logo on your card and follow the corresponding instructions on this page. Explore Learn how you can add Imagine Health's provider partners to your current plan.
#8\gBLJ>[9\G 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. By continuing to browse, you are agreeing to our use of cookies. 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. Click on "Specific Services". 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. 888-581-9738 www.labcorp.com ; Quest Diagnostics ; 866-697-8378 ; www.questdiagnostics.com . If you still have questions or prefer to get help directly from an agent, please submit a request. 92 0 obj
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