MultiPlan’s Network-Based Services

Flexible healthcare provider networks for payors

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Our healthcare provider networks at-a-glance

Types of networks

Available for commercial, Medicare Advantage, and Property and Casualty healthcare payors

About our networks

National primary PPO network (including our nationwide PHCS Network that is NCQA-accredited for credentialing
Select regional primary networks
Complementary “wrap around” network
Specialty networks

Customizable

Innovative contracts add value for all types of health plans

How we customize our networks

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

Over 40 years of experience

About our quality and service

NCQA-Nationally NCQA-Nationally accredited primary PPO (PHCS Network), all others use the nationally recognized standards
Network contracting strategies guided by data analytics
Pre-payment integrity services are embedded in our networks to correct improper billing
98% of participating providers are contracted directly
>100 network development professionals across the country

Our healthcare provider networks in action

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 1.2 million healthcare providers and facilities to add value to any healthcare payor’s network access strategy. Read how a regional provider-owned health plan extended primary network access for its membership.

By the numbers

The PHCS Network: a national NCQA-accredited network

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. The 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