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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 payors

  • 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 with sign stating "General Hospital West Campus"

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 a 1.2 million healthcare providers 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

5,600 hospitals

164,000 ancillaries

1,200,000 professionals

NCQA accredited symbol

The PHCS Network: a national NCQA-accredited network

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

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 in busy hospital hallway

Unique position, different approach

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