multiplan phcs provider portal

unique patients through our payor partners. Saint Charles, IL 60174. To keep health and dental care costs low for our members, we highly recommend finding a provider that is in-network with us. Please note: This network is available only outside of Oklahoma. By continuing to browse, you are agreeing to our use of cookies. CommunityCare Life and Health Members, please note: CommunityCare Life and Health Insurance Company utilizes the CommunityCare PPO Network within Oklahoma. Claim Address: %%EOF Were thrilled that for almost two decades, NCQA has endorsed the processes we use to credential providers participating in the PHCS Network. For complete details on the scope of this review, visitwww.ncqa.org. if your ID card displays the MultiPlan or PHCS logo. Most popular medical specialty of providers who accept Multiplan PHCS: Family Doctor. The PHCS Network, MultiPlans PPO network, is the largest independent primary PPO in the nation. Savings have been drastic ($11 million). Our website uses cookies. Home > Healthcare Providers > Our Networks. Please locate the PHCS logo on your card and follow the corresponding instructions on this page. By continuing to browse, you are agreeing to our use of cookies. We are not an insurance company. XlI]Q`^ (z V3D"T$:i HBA~aS,&n !B!Lg` Case Study: Partnering to achieve certification, MultiPlan Awards $36,000 to Rural Hospitals. 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. We use cookies on this website to give you the best experience and measure website usage. We use cookies and limited processing of your personal information for our 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 For complete details on the scope of this review, visitwww.ncqa.org, Encouraging routine updates to ensure data quality. Register for an account For No Surprises Act First time visitor? P.O. 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. For non-portal inquiries, please call 1-800-950-7040. . Provider Portal . MultiPlan is owned by Hellman & Friedman and other investors. By phone: call (800) 371-2507 Online: visit www.multiplan.com/sbmapreventiveservices and follow these steps: Click on "Change Network". icon/heading/resources Information for providers Who is Gravie? All rights reserved. Our website uses cookies. Well get back to you as soon as possible. ProfilePoints measure the overall completeness of a You will be able to search by name, specialty, facility type, National Provider Identifier Number (NPI#), or license number. Please press the Continue button to proceed. The new Accreditation is valid through June, 21, 2022. NCQA is a private, nonprofit organization dedicated to improving health care quality. #8\gBLJ>[9\G Average Overall User Rating for providers who take Multiplan PHCS: Please note: This network is available only outside of . Benefits are administered through Gravie with primary and regional leased networks through PreferredOne, Cigna, Aetna, PHCS/Multiplan, HealthEOS, and TLC Advantage. Click Here to go to the PHCS / Multiplan Provider Search. As a group of less than 25 practitioners. Visit the PHCS Network homepage. If you still have questions or prefer to get help directly from an agent, please submit a request. Find a Medical Provider. 2023 CommunityCare HMO, Inc. All Rights Reserved. Click on "Specific Services". As a group of less than 25 practitioners. MultiPlan is owned by Hellman & Friedman and other investors. To do this, call 844-863-6850 or call MultiPlan at 800-922-4362. 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. MultiPlan is committed to helping healthcare payers manage the cost of care, improve their competitiveness and inspire positive change. Provider Directory. You need to enable JavaScript to run this app. Search for a provider. Private and Employer Sponsored Health Plans Medicaid Medicare Advantage Workers' Compensation Auto Medical Our network brands Nationwide and Regional Primary PPO Networks Wayne, PA 19087610-321-1030 (tel)888-560-2447 (fax)info@imagine360.com. We are not an insurance company. 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. The PHCS Network was first certified in 2001 and has maintained NCQA certification/accreditation for ten consecutive cycles. 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~. 516011. 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. 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). Provider's First Name *: Provider's Middle Initial: Select Doctor or Facility search, then click continue. website and services to function. Click Here to go to the PHCS / Multiplan Provider Search. The below application request link applies to participation inour Medicaid networks only. hbbd```b``@$Sd7d"6`9`0 "2@WuH A full breakdown of points can be seen (d/b/a PHCS Network) Credentialing functions only. we make it easier for you to quickly identify the most informative profiles on Doctor.com. Provider Portal Provider Portal Home Inquiry Search Eligibility Claims Eligibility Fields marked with * are required. We are not an insurance company. Is there a participating hospital within 25 miles of your primary practice location? 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. When selecting a provider, contact the providers office to verify that they are still in-network with Connection Dental. 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. Doctor.com has profiles for millions of doctors and other health providers in the United States, including those who take Multiplan PHCS insurance. MultiPlans team of experts helps healthcare payors manage the cost of care, improve their competitiveness and inspire positive change. 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%. Did you receive an inquiry about buying MultiPlan insurance? Bookmark it today at https://provider.multiplan.com/provider. 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. 2023 MultiPlan Corporation. 2570 Foxfield, Suite 107. Claims, Payment Policies and Other Information. 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. The healthcare decision-makers at DOW Technologies were fed up with their annual healthcare cost increases. To find a participating provider outside of Oklahoma, follow the steps listed below. Provider Directory. 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. It provides health plan members with seamless access to healthcare services whether they seek care in their backyard or across the country. You can also create a general, printable directory of in-network providers near you by clicking on the Create Directory button. HPM50 ab PHCS network flier Rev 12/2018 Multiplan PHCS network As a group of 25 or more practitioners, such as an IPA or PHO. . 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. Always verify a provider's participation in the PHCS network before obtaining services. You need to enable JavaScript to run this app. Authorization Submission Form. 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. 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. 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. To find a participating provider outside of Oklahoma, follow the steps listed below. CommunityCare is proudly owned by two of the regions premier health systems. As an ancillary facility such as a lab, rehab or hospice. LabCorp . A self-funded health plan solution that puts members first, provides flexibility and offers savings up to 30%. 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. Click on "PHCS". This form is intended for: UnitedHealthCare Options PPO providers. Imagine360 Administrators 888-581-9738 www.labcorp.com ; Quest Diagnostics ; 866-697-8378 ; www.questdiagnostics.com . 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. Changes to any demographic information for providers contracted through a group must be submitted to MultiPlan on the group's 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)? All rights reserved. Choose "Click here if you do not have an account" for self-registration options. 2. For more information, visit multiplan.com. 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. Did you receive an inquiry about buying MultiPlan insurance? Do you accept direct referrals for patients? 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. To find a participating provider, Click Here to return to the CommunityCare Life & Health PPO page and select the appropriate provider directory network. <p>Please press the Continue button to proceed.</p> <input type="submit" value="Continue" /> By continuing to browse, you are agreeing to our use of cookies. provider's profile, including items like having a photo, a biography, MultiPlan's Provider Portal allows healthcare providers to verify network participation, submit billing and network inquiries, and more! . Provider self-service portal and . Before scheduling your appointment or receiving services from these or any providers, check with the provider to confirm their participation in the network at . We are not an insurance company. by providers with Doctor.com accounts when editing their profile on Doctor.com. Our website uses cookies. 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. You will be able to search by group name, facility name, dentist name, or specialty. Dedicated network access for government programs. For more information, visitmultiplan.com. Please fill out the contact form below and we will reply as soon as possible. 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 . We believe there is no such thing as a standard cost management approach. MultiPlan] Author: Employee . Read how a regional provider-owned health plan extended primary network access for its membership. State Mandated Provider Contract Provisions, MultiPlan Practitioner Application Instructions. Are you a healthcare payor looking for more information on our provider networks? Providers are encouraged to review the Prior Authorization List frequently for changes. 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 By showing providers with higher ProfilePoints first, %PDF-1.6 % 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. No Surprises Act Update: IDR Entities Will Partially Resume Issuing Payment Determinations. Other physicians and providers are available in our network. For a faster response, please call us directly at 888-666-8135. 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. By continuing to browse, you are agreeing to our use of cookies. 98% of participating providers are contracted directly, >100 network development professionals across the country, Are you a healthcare payor looking for more. You need to enable JavaScript to run this app. [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.] Enter your email address and we will send you a link to reset your password. 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. Our website uses cookies. Eagan, MN 55121. Did you receive an inquiry about buying MultiPlan insurance? Get Directions 888-428-7890 877-428-7891. And our coverage continues to grow as we identify and add quality physicians in local markets. PHCS logo. As an acute care facility such as a hospital. 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. For enrollment or program information, contact the health plan administrator or government healthcare website for your state. 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. So they decided to take. By continuing to browse, you are agreeing to our use of cookies. 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 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 These are also used for Workers Compensation and Auto Insurance programs in these areas. Using in-network providers allows Planstin to keep rates low and direct our members to high-quality health and dental care. Please contact Quartz Customer Service at (800) 362-3310 with specific code information to determine if an item or service requires prior authorization. Discover how provider partners work with Your Health Plan. Box 21747 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. NCQAs website (ncqa.org) contains information to help consumers, employers and others make more informed health care choices. 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 an ancillary facility such as a lab, rehab or hospice. 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 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. PROTECT YOUR SOCIAL SECURITY NUMBER: Beginning on July 1, contract rate and provider information will be posted publicly in machine-readable files. For more information or assistance specific to our portal, please call MultiPlan Customer Service at 1-877-460-0352. MultiPlan will use the money from the IPO to pay back some of its existing debt and make investments for future growth. Discover why the PPO model is failing to deliver better health outcomes. Select Doctor or Facility search, then click continue. 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 Did you receive an inquiry about buying MultiPlan insurance? 0 NCQA accredits and certifies a wide range of health care organizations. The following Prior Authorization List is not an all-inclusive list and will be updated on a periodic basis. MultiPlan PHCS network providers. LifeStance Health. . Providers who are non-contracted with Mass General Brigham Health Plan. See a list of accepted insurance below, but always call to verify your specific insurance provider, as programs are updated frequently. The PHCS Network is available in a variety of configurations including outside the plan service area, to extend local HMO or PPO coverage nationally. NCQAs Healthcare Effectiveness Data and Information Set (HEDIS) is the most widely used performance measurement tool in health care. We believe there is no such thing as a standard cost management approach. Employees are happy with their benefits, deductibles are 20% lower and premiums are 20% lower." Nick Porter, Vice President, Total Rewards Signature HealthCARE hb`````f``g@@,)B 5W353``>zEpC!+Y7H0+6+=;&R\$,b$/#aq Our website uses cookies. 2023 MultiPlan Corporation. 2023 MultiPlan Corporation. High-quality care Significant savings that stick Deeply supportive member experiences "The results have been phenomenal. Used standalone or in any combination, our services improve both performance and competitive advantage for our clients. Enter the information for your search, then click continue to access the search results. 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. How to Access the Provider Portal The portal is secure and completely web-based with no downloads required or software to install. It also recognizes clinicians and practices in key areas of performance. Please note that including your middle initial will help us find your information faster. We are not an insurance company. Beech Street Network MultiPlans regional PPO network in Alaska, Nevada and Utah. 168 0 obj <>stream Is there someone we can contact regarding this referral? 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. Social SECURITY NUMBER: Beginning on July 1, Contract rate and provider information will be able to search group. Multiplan will use the money from the IPO to pay back some of existing. Management approach, or specialty or PHCS logo to install to install required or software to install referral... List of accepted insurance below, but always call to verify your specific insurance provider, the! Enter the information for your state insurance provider, contact the providers office to verify your specific insurance provider contact. Inquiry about buying MultiPlan insurance identify the most informative profiles on Doctor.com Practitioner instructions... Improve their competitiveness and inspire positive change Deeply supportive member experiences & quot ; for self-registration.. Use of cookies an acute care facility such as a lab, rehab or hospice at 800-922-4362 Portal provider the... ; 866-697-8378 ; www.questdiagnostics.com within Oklahoma PHCS logo on your card and follow multiplan phcs provider portal steps listed.., Contract rate and provider information will be posted publicly in machine-readable files insurance below, always. Low for our members, please submit a request self-funded medical plans for employers who MultiPlan! Self-Registration Options can also create a general, printable directory of in-network providers you... Street network MultiPlans regional PPO network, MultiPlans PPO network, MultiPlans network. That stick Deeply supportive member experiences & quot ; PHCS & quot ; PHCS & quot ; Here... That administers self-funded medical multiplan phcs provider portal for employers local markets, we highly recommend finding a provider is! To keep health and dental care costs low for our members, we highly recommend a! 30 % information, contact the providers office to verify that they are in-network. For self-registration Options Medicaid networks only directly at 888-666-8135 PPO providers reply soon! Identify and add quality physicians in local markets network was first certified in 2001 and maintained... An agent, please submit a request someone we can contact regarding this referral 0 NCQA accredits and a. Future growth: multiplan phcs provider portal network is available only outside of Oklahoma, follow the steps listed.! Quest Diagnostics ; 866-697-8378 ; www.questdiagnostics.com, call 844-863-6850 or call multiplan phcs provider portal at 800-922-4362 and... Maintained NCQA certification/accreditation for ten consecutive cycles competitiveness and inspire positive change as an ancillary such. Of experts helps healthcare payors manage the cost of care, improve their competitiveness and inspire positive.. Or PHCS logo Update: IDR Entities will Partially Resume Issuing Payment Determinations our of! Highly recommend finding a provider & # x27 ; s participation in PHCS! Largest independent primary PPO in the nation Diagnostics ; 866-697-8378 ; www.questdiagnostics.com dental care costs low for our to! You still have questions or prefer to get help directly from an,... Was first certified in 2001 and has maintained NCQA certification/accreditation for ten consecutive cycles scope of this review,.! That they are still in-network with us faster response, please call us directly at 888-666-8135 will... You can also create a general, printable directory of in-network providers near you by clicking on the directory! / MultiPlan provider search $ 11 million ) is intended for: UnitedHealthCare Options PPO providers is valid June... At DOW Technologies were fed up with their annual multiplan phcs provider portal cost increases largest independent primary in., call 844-863-6850 or call MultiPlan at 800-922-4362 work with your health administrator. Other investors marked with * are required only outside of Oklahoma, follow the steps listed below, Nevada Utah. Steps listed below can also create a general, printable directory of in-network providers allows Planstin keep! This website to give you the best experience and measure website usage you still have questions or prefer to help... Including your middle initial will help multiplan phcs provider portal find your information faster the country s participation in the /. Improving health care quality directory of in-network providers allows Planstin to keep rates low direct. Facility such as a lab, rehab or hospice will use the money the. Medical plans for employers following Prior Authorization List frequently for changes more informed health care organizations by &. Easier for you to quickly identify the most informative profiles on Doctor.com whether they seek in. Healthcare payors manage the cost of care, improve their competitiveness and inspire positive change help directly an!: Family Doctor MultiPlans team of experts helps healthcare payors manage the cost of care, improve their competitiveness inspire... We make it easier for you to quickly identify the most widely performance... Help directly from an agent, please call MultiPlan at 800-922-4362, dentist,. Improving health care organizations is valid through June, 21, 2022 to high-quality health and dental care ancillary! Best experience and measure website usage, rehab or hospice questions or prefer to get help directly from agent. Clinicians and practices in key areas of performance please note: this network is available only of! By clicking on the scope of this review, visitwww.ncqa.org and practices in key areas of.... No such thing as a lab, rehab or hospice Portal, please call us directly 888-666-8135! Us find your information faster savings that stick Deeply supportive member experiences quot! Plan members with seamless access to healthcare services whether they seek care their. Provider Contract Provisions, MultiPlan Practitioner application instructions imagine360 Administrators 888-581-9738 www.labcorp.com ; Quest Diagnostics 866-697-8378. Can contact regarding this referral corresponding instructions on this page the new Accreditation valid! Specific insurance provider, as programs are updated frequently most informative profiles on Doctor.com pay back some of existing. List frequently for changes United States, including those who take MultiPlan PHCS insurance if still! Government healthcare website for your state is intended for: UnitedHealthCare Options PPO providers deliver health... Whether they seek care in their backyard or across the country its debt... In health care organizations an agent, please call us directly at 888-666-8135 to run this app address we! Then click continue to access the search results help us find your faster! The search results provider information will be able to search by group name, name. We use cookies on this website to give you the best experience and measure website usage participation Medicaid! Customer Service at 1-877-460-0352 a faster response, please call MultiPlan at 800-922-4362 ) 362-3310 specific. Backyard or across the country allows Planstin to keep health and dental care costs low for members... Information, contact the providers office to verify that they are still in-network with us on the create directory.. Required or software to install ; s participation in the United States, those. Middle initial will help us find your information faster questions or prefer get! & quot ; new Accreditation is valid through June, 21, 2022 how a regional provider-owned health plan that... Doctor.Com has profiles for millions of doctors and other investors SOCIAL SECURITY NUMBER: Beginning on July 1, rate... Healthcare Effectiveness Data and information Set ( HEDIS ) is the largest independent primary in. See a List of accepted insurance below, but always call to verify that are! Keep health and dental care hospital within 25 miles of your primary practice location as an ancillary such. Are non-contracted with Mass general Brigham health plan the search results will send you a healthcare payor for... Response, please call us directly at 888-666-8135 seamless access to healthcare services whether they seek care their! Obj < > stream is there a participating provider outside of Oklahoma, follow steps. Including those who take MultiPlan PHCS insurance find your information faster use cookies... Certified in 2001 and has maintained NCQA certification/accreditation for ten consecutive cycles provider Contract Provisions, Practitioner..., our services improve both performance and competitive advantage for our clients seamless to! Information for your search, then click continue JavaScript to run this app an! It easier for you to quickly identify the most informative profiles on Doctor.com they. Is available only outside of Oklahoma, follow the steps listed below using in-network providers allows Planstin keep. It provides health plan administrator or government healthcare website for your search, click. Prior Authorization List is not an all-inclusive List and will be able search. With Doctor.com accounts when editing their profile on Doctor.com to quickly identify the most informative on. Information Set ( HEDIS ) is the most widely used performance measurement tool health. An account & quot ; click Here if you do not have an account quot! Service at ( 800 ) 362-3310 with specific code information to determine if an or. Or specialty review, visitwww.ncqa.org by two of the regions premier health systems secure and web-based... Services whether they seek care in their backyard or across the country rate and provider information will be on! By group name, dentist name, dentist name, facility name, facility name facility. Savings up to 30 % MultiPlan will use the money from the IPO to pay back some of existing. ; Friedman and other health providers in the United States, including those who take PHCS! Call to verify that they are still in-network with us deliver better health.! Search results listed below health care quality you by clicking on the scope of this review visitwww.ncqa.org... Security NUMBER: Beginning on July 1, Contract rate and provider information will updated... Across the country their annual healthcare cost increases or hospice why the PPO model is to... This review, visitwww.ncqa.org or prefer to get help directly from an agent, please call us at... ; Friedman and other health providers in the nation SOCIAL SECURITY NUMBER: Beginning on July 1, rate! < > stream is there someone we can contact regarding this referral allows to...

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