What does PHCS cover?
Asked by: Dr. Chadd Hermiston V | Last update: February 11, 2022Score: 4.8/5 (3 votes)
Private Healthcare Systems (PHCS) is a health insurance company that offers millions of members across the country coverage for medical and behavioral health care. ... Many therapists are part of the Multiplan network and take PHCS insurance to make mental healthcare more affordable for clients.
What kind of insurance is PHCS?
PHCS health insurance is a private health system and was recently acquired by MultiPlan. Although not a health insurance provider, PHCS is a Preferred Provider Organization (PPO) network. It is both a care management company and a network-based insurance company.
What is the difference between PHCS and MultiPlan?
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.
What is a PHCS provider?
The PHCS and MultiPlan networks are networks of medical doctors and facilities that health plans use in order to provide a broader choice of healthcare providers offering discounted services to their members.
What does PHCS stand for in health insurance?
Incidentally, about 10 years ago, Preferred Health Care System (PHCS) was involved in a different arrangement that paid less than Medicaid.
Houston Chiropractor That Accepts PHCS Health Insurance
Is MultiPlan PHCS legitimate?
MultiPlan is not a health insurance company and does not sell insurance directly or indirectly through agents or brokers. MultiPlan is not affiliated with anyone or any entity that claims to be selling MultiPlan health plans or insurance policies.
Does MultiPlan own PHCS?
(PHCS) today announced that MultiPlan will acquire PHCS, creating the industry's most comprehensive medical cost management provider. ... MultiPlan's network of over 4,000 hospitals, 90,000 ancillary care facilities and 700,000 practitioner locations is typically used to complement a health plan's primary PPO network.
How do I cancel my PHCS insurance?
Termination. How can I terminate my participation in the PHCS Network and/or the MultiPlan Network? Submit your request on letterhead with the contract holder's signature via fax at 781-487-8273, via email at registrar@multiplan.com or via mail to MultiPlan, Attn: Registrar, 16 Crosby Drive, Bedford, MA 01730.
How do I know if I qualify for PHCS insurance?
- (800) 557-5471.
- Members under 12 years of age call PHC's Care Coordination Department at (800) 809- 1350.
Does MultiPlan cover vision?
MultiPlan, Inc. Eye Examination calendar year $10 Covered in full. Includes dilation when professionally indicated. Clear glass or plastic lenses in any single vision, bifocal, trifocal or lenticular prescription.
Do doctors prefer HMO or PPO?
PPOs Usually Win on Choice and Flexibility
If flexibility and choice are important to you, a PPO plan could be the better choice. Unlike most HMO health plans, you won't likely need to select a primary care physician, and you won't usually need a referral from that physician to see a specialist.
What's the largest PPO network in America?
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.
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.
Does PHCS cover mental health?
Yes, PHCS provides coverage for therapy services. Members of PHCS health insurance plans have mental health benefits, which vary based on the plan under which they're enrolled. ... However, the majority of PHCS plans offer members coverage of therapy costs.
What is a PPO plan?
A type of health plan that contracts with medical providers, such as hospitals and doctors, to create a network of participating providers. You can use doctors, hospitals, and providers outside of the network for an additional cost. ...
What plans are under MultiPlan?
- Private and Employer-Sponsored Health Plans.
- Medicaid.
- Medicare Advantage.
- Workers' Compensation.
- Auto Medical.
What is PHCS claims address?
If you're a PHCS provider please send all claims to:
Eagan, MN 55121.
What is the timely filing limit for PHCS?
Providers will have 365 days from the date of service to submit claims to PHC for payment consideration. Claims received on the 366th day from the date of service will be denied by the system.
What is wrap Network?
Wraparound coverage consists of limited benefits provided through a group health plan that wrap around either eligible individual health insurance or coverage under a multistate plan. ... The wraparound plan covers additional benefits beyond cost sharing.
What is PPO good for?
A PPO is generally a good option if you want more control over your choices and don't mind paying more for that ability. It would be especially helpful if you travel a lot, since you would not need to see a primary care physician.
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 uses MultiPlan?
MultiPlan's networks are used by our clients to provide access for their members to a variety of commercial, property & casualty, and government sponsored health care programs.
Is MultiPlan a good place to work?
Great Place to Work
Work life balance is amazing. Pay and benefits are great. We have summer hours so during the summer on Fridays we get to leave 2 hours early with pay. Time flys when working here due to all the work but that's a good thing, let's you know you have job security.
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 does MultiPlan make money?
MultiPlan is a technology-based company that uses algorithms and big data to provide healthcare cost management and data analytics for payers, providers, and customers. ... MultiPlan will use the money from the IPO to pay back some of its existing debt and make investments for future growth.