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MultiPlan Medicare Advantage Network

MultiPlan’s provider network for access to Medicare Advantage programs
Hospital hallway with female doctor speaking to an elderly female patient in a wheelchair being pushed by a female nurse

Get access to Medicare Advantage programs

Medicare Advantage Organizations that administer these programs use our network in defined geographic areas to supplement their own networks to provide greater access to quality affordable healthcare for their members. Note that MultiPlan does not process, reprice or pay Medicare Advantage claims.

Join the network

This application request applies to participation in the MultiPlan Medicare Advantage Network only. You may already participate in one or more of our PPO networks (e.g., PHCS, MultiPlan, HealthEOS, etc.) that serve privately-funded health plans, which are covered by a separate agreement.

Our Medicare Advantage Clients

Our Medicare Advantage clients have been approved by the Centers for Medicare and Medicaid Services (CMS) to administer Medicare Advantage programs in defined geographical areas. These clients manage all aspects of the plan including claim processing and payment. Note that MultiPlan does not process, reprice or pay Medicare Advantage claims.

Alignment Health Plan
AllyAlign Health

1-804-396-6412
www.allyalign.com

States: AL, AZ, CA, CO, DE, FL, GA, IA, IL, IN, KS, KY, LA, MA, MD, ME, MI, MO, MT, NC, ND, NE, NJ, NY, OH, OK, OR, PA, SC, TN, TX, VA, WA, WI, WV

Care ‘N Care
Imperial Health

1-800-830-3901
www.imperialhealthplan.com

States: AZ, CA, NM, NV, TX

Presbyterian Health Plan

1-888-923-5757
www.phs.org

States: AZ, CO, NM, TX

Priority Health

1-800-942-4765
www.priorityhealth.com

States: National except for MI

Vantage Health Plan, Inc.

1-888-823-1910
www.vantagehealthplan.com
(Plan Effective: January 1, 2022)

States: AR and counties in the following bordering states: LA, MO, MS, OK, TN, TX

Zing Health

1-866-946-4458
www.myzinghealth.com

States: IL, MI, IN, OH

Working with the MultiPlan Medicare Advantage Network

Female nurse or doctor typing on keyboard

Required general compliance and fraud, waste and abuse training

The Centers for Medicare & Medicaid Services (CMS) and your MultiPlan Medicare Advantage Network provider agreement mandate all those contracted to provide health care services to Medicare Advantage beneficiaries must complete the applicable Medicare Advantage program compliance trainings.

Male doctor with female patient listening to heart with stethoscope

MultiPlan’s code of conduct

MultiPlan’s Code of Business Conduct and Ethics contains the legal and ethical standards of conduct required of all parties with which MultiPlan contracts. We expect all providers participating with MultiPlan to comply with our Code in every aspect of their business conduct.

Contact us

Contact our Government Business Service Center for issues related to your participation in our Medicare Advantage Network, such as:

  • Questions about your participation status
  • Changes to your demographic information
  • Inquires about our credentialing criteria
  • Copies of your provider contract
  • Credentialing application submissions (W-9 required)

 

govtcoordinator@multiplan.com
(Phone) 1-866-971-7427 (Fax) 630-799-3587
MultiPlan, ATTN: GBSC
6116 Shallowford Road Suite109B
Chattanooga, TN 37421

More information

Get more information about MultiPlan’s 

Are you a payor? To learn more about MultiPlan, contact us.

Are you a patient? Please refer to your patient ID card for instructions on where to find program information about your healthcare plan, or visit our member page.