MultiPlan’s Network-Based Services

For today’s healthcare provider networks, flexibility is the new quality

Our healthcare provider networks at-a-glance

Types of networks

Available for commercial, government, and property and casualty healthcare payers

  • National primary PPO network
  • Select regional primary networks
  • Complementary “wrap around” network
  • Specialty networks

Customizability

Innovative contracts add value for all types of health plans

  • Extended access for members who travel or live away
  • Blended access to fill gaps in a plan’s own network
  • Subset networks for unique plan designs
  • Custom network builds for specific populations

Quality and service

Processes refined over 40 years of experience

  • NCQA-accredited primary PPO (i.e., PHCS Network); all others use the nationally recognized standards
  • Network contracting strategies guided by data analytics
  • High throughput repricing with 98% accuracy
  • Multi-channel, data-driven quality program
Hospital exterior

Our healthcare provider networks in action

H3 green dash

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. MultiPlan contracts with over a million healthcare providers to add value to any healthcare payer’s network access strategy. Read how a regional provider-owned health plan extended primary network access for its membership.

By the numbers

Almost 6,000 acute care hospitals

Nearly 200,000 ancillary care facilities

950,000 healthcare professionals

NCQA accredited symbol

The PHCS Network: a national NCQA-accredited network

H3 green dash

MultiPlan’s PHCS Network is the only independently-contracted primary PPO network to have been Accredited by NCQA for credentialing – a status we’ve held continuously since 2001. PHCS Network is available in a variety of configurations including outside the plan service area, to extend local HMO or PPO coverage nationally.

NCQA has reviewed and Accredited the PHCS Network’s Credentialing functions only. For complete details on the scope of this review, visit www.ncqa.org

Female and two males looking at paper and laptop

Case Study: Leveling the playing field

To improve competitiveness, a regional provider-owned health plan needed assistance with: extending network access for its highly mobile membership, containing out-of-network medical cost, and preserving its relationships and reputation with the local provider community.

Read more >
Female and two males looking at paper and laptop

Case Study: Leveling the playing field

To improve competitiveness, a regional provider-owned health plan needed assistance with: extending network access for its highly mobile membership, containing out-of-network medical cost, and preserving its relationships and reputation with the local provider community.

Read more >

Ensuring provider data quality

H3 green dash

Provider self-service

Encouraging routine updates

Predictive data cleansing

Through sophisticated data mining

USA - based outbound call center

Staffed by full-time employees

Male nurse pushing elderly male patient in wheelchair

Unique position, different approach

H3 green dash

MultiPlan’s healthcare provider networks make it possible for payers of healthcare to tailor access as market and regulatory forces demand. How can we help you to evolve your medical network strategy?

Our website uses cookies. By continuing to browse, you are agreeing to our use of cookies. Read our Privacy Policy to learn more.