How do I find my MultiPlan provider?

Asked by: Mr. Eliseo Wunsch  |  Last update: February 11, 2022
Score: 4.3/5 (27 votes)

To locate a participating provider, please refer to the instructions on your healthcare ID card as your health plan may have established a telephone number customized for the plan. Otherwise, you may call one of the following telephone numbers or visit

What insurances are under MultiPlan?

What insurances are under MultiPlan?
  • Private and Employer-Sponsored Health Plans.
  • Medicaid.
  • Medicare Advantage.
  • Workers' Compensation.
  • Auto Medical.

How do I check my insurance for MultiPlan?

For more information or assistance specific to our portal, please call MultiPlan Customer Service at 1-877-460-0352. For non-portal inquiries, please call 1-800-950-7040.

How do you know who your healthcare provider is?

Call your insurance company or state Medicaid and CHIP program. Look at their website or check your member handbook to find providers in your network who take your health coverage. Ask your friends or family if they have providers they like and use these tools to compare health care providers in your area.

Is MultiPlan part of UnitedHealthcare?

Five healthcare organizations including insurers UnitedHealthcare and Humana, Optum, Quest Diagnostics and MultiPlan are launching a blockchain pilot to help payers tackle mandated provider directories. UnitedHealthcare and Optum are both part of UnitedHealth Group.

MyBenefitsKeeper - How to Find a Doctor (MultiPlan)

18 related questions found

Is MultiPlan an insurance carrier?

MultiPlan is not a health insurance company and does not sell insurance directly or indirectly through agents or brokers.

Who owns MultiPlan Inc?

Nation's Largest Independent PPO Poised for Growth New York, NY – MultiPlan, Inc. and The Carlyle Group yesterday completed the previously announced acquisition by Carlyle of MultiPlan, the largest independent PPO in America.

Who is a payer and provider in HealthCare?

Payers in the health care industry are organizations — such as health plan providers, Medicare, and Medicaid — that set service rates, collect payments, process claims, and pay provider claims. Payers are usually not the same as providers. Providers are usually the ones offering the services, like hospitals or clinics.

Who is the payer in HealthCare?

The payer to a health care provider is the organization that negotiates or sets rates for provider services, collects revenue through premium payments or tax dollars, processes provider claims for service, and pays provider claims using collected premium or tax revenues.

What are the three different types of HealthCare providers?

This article describes health care providers involved in primary care, nursing care, and specialty care.

Does MultiPlan require prior authorization?

MultiPlan recommends that you always call to verify eligibility and to confirm if pre-certification and/or authorization for services are required. The number to call will be on the back of the patient's healthcare ID card. Where do I send claims for payment? ... Please do not send your completed claim form to MultiPlan.

Where do I send my MultiPlan claim?

e-mail: fax: 630-649-5674. mail: Attn: HMA Intake, 6116 Shallowford Rd, Suite 109B, Chattanooga TN, 37421-7209.

What is the payer ID for MultiPlan?

Payer Name: MultiPlan GEHA|Payer ID: 45235|Professional (CMS1500)/Institutional (UB04)[Hospitals]

What type of company is MultiPlan?

MultiPlan, Inc. provides healthcare cost management solutions. The Company specializes in providing claim cost management solutions for controlling the financial risks associated with medical bills.

What is the largest PPO network in the US?

MultiPlan is the nation's oldest and largest independent Preferred Provider Organization (PPO) network offering nationwide access to more than 4,200 hospitals, 90,000 ancillary care facilities and 450,000 physicians and specialists.

What is the difference between MultiPlan and PHCS?

A PHCS logo on your health insurance card tells both you and your provider that a PHCS discount applies. Quality - MultiPlan applies rigorous criteria when credentialing providers for participation in the PHCS Network, so you can be assured you are choosing your healthcare provider from a high-quality network.

Who is considered a provider?

Under federal regulations, a "health care provider" is defined as: a doctor of medicine or osteopathy, podiatrist, dentist, chiropractor, clinical psychologist, optometrist, nurse practitioner, nurse-midwife, or a clinical social worker who is authorized to practice by the State and performing within the scope of their ...

Who are the payers in pharma?

The three primary U.S. payers are governments, employers, and individuals. The public sector is the largest single payer, but private payers cover more than half of those who have health insurance.

What are the 5 main types of private insurance?

In this Article
  • Health Maintenance Organization (HMO)
  • Preferred Provider Organization (PPO)
  • Exclusive Provider Organization (EPO)
  • Point-of-Service Plan (POS)
  • Catastrophic Plan.
  • High-Deductible Health Plan With or Without a Health Savings Account.

Is Medicare a commercial payer?

Commercial health insurance policies are primarily sold by for-profit public and private carriers. ... The term "commercial" distinguishes these types of policies from insurance that's provided by a public or government program, such as Medicaid, Medicare, or the State Children's Health Insurance Program (SCHIP).

Is a hospital a healthcare provider?

A healthcare provider is typically a hospital or clinic that provides an in or outpatient medical service or procedure. In the federal healthcare industry, a payer can also be a provider at times.

What is payer ID on insurance card?

The Payer ID or EDI is a unique ID assigned to each insurance company. It allows provider and payer systems to talk to one another to verify eligibility, benefits and submit claims. ... The payer ID is often located on the back of the insurance card in the Provider or Claims Submission section.

What does MultiPlan Inc do?

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. We believe there is no such thing as a standard cost management approach.

What does MultiPlan Corp do?

MultiPlan Corporation is a provider of data analytics and technology-enabled end-to-end cost management, payment and revenue integrity solutions to the United States healthcare industry.