What does PHCS stand for insurance?

Asked by: Prof. Ella Gerhold MD  |  Last update: August 2, 2023
Score: 4.6/5 (37 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.

What is PHCS network?

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.

Who owns PHCS network?

(PHCS) today announced that MultiPlan will acquire PHCS, creating the industry's most comprehensive medical cost management provider.

Is PHCS a legitimate insurance company?

PHCS is rated A (Excellent) by A.M. Best Company and AA—(Very Strong) by Standard & Poor's. In 2006, MultiPlan acquired PHCS; since then, it has been a part of the MultiPlan family of companies. MultiPlan is a leading provider of data-driven, technology-enabled healthcare cost management solutions.

What does MultiPlan insurance mean?

What does this mean? The MultiPlan Network is a nationwide complementary PPO network. Your health plan is most likely utilizing the MultiPlan Network to give you access to an additional choice of providers that have agreed to offer a discount for services.

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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 MultiPlan PPO?

The MultiPlan PHCS network is the nation's largest and most comprehensive independent PPO network. This network offers access in all states and includes more than 700,000 healthcare professionals, 4,500 hospitals and 70,000 ancillary care facilities.

What is PPO?

PPO, which stands for Preferred Provider Organization, is defined as a type of managed care health insurance plan that provides maximum benefits if you visit an in-network physician or provider, but still provides some coverage for out-of-network providers.

How do I cancel MultiPlan?

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 does MultiPlan make money?

This makes sense from MultiPlan's perspective, as MultiPlan's revenue (as far as I can tell—they're not yet public) comes from a combination of the contract fees that insurers pay to access MultiPlan's network, in addition to a percentage of the “savings” MultiPlan gets for insurers by routinely lowballing doctors.

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.

What is the payer ID for MultiPlan?

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

How do I cancel my neo insurance?

You may cancel your membership with an association and/or any insurance product or service within thirty (30) days of the applicable purchase by contacting NEO by email to csr@neoinsurancesolutions.com, or by calling Neo at (855) 563-6669 to request cancellation.

Can I change my health insurance company?

Can I transfer my health insurance policy to another company? Ans: Yes. You can transfer your existing health insurance policy to another company using the health insurance portability feature. However, portability is possible only at the time of existing policy renewal.

Will I get money back from health insurance?

In case of policy cancellation within 1 month after completion of the free-look period, 75% of the premium amount will be refunded to the policyholder. In case of policy cancellation within 3 months after completion of the free-look period, 50% of the premium amount will be refunded to the policyholder.

Can I cancel my health insurance and get a refund?

You can only get your premiums refunded if you are cancelling within a cooling-off period. This is a window, typically 30 days, during which you can cancel your policy for a refund. Cooling-off periods apply when you take out a new policy, either with a new insurer or a different policy from the same provider.

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 is better HMO or PPO?

HMO plans typically have lower monthly premiums. You can also expect to pay less out of pocket. PPOs tend to have higher monthly premiums in exchange for the flexibility to use providers both in and out of network without a referral. Out-of-pocket medical costs can also run higher with a PPO plan.

Why would a person choose a PPO over an HMO?

A PPO plan can be a better choice compared with an HMO if you need flexibility in which health care providers you see. More flexibility to use providers both in-network and out-of-network. You can usually visit specialists without a referral, including out-of-network specialists.

What is the oldest and largest PPO 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.

What is the most popular health insurance in California?

Kaiser Permanente Gets Set to Be the Leading Health Plan

Kaiser Permanente, one of California's leading HMOs, is steadily raising their market share to beat the top players.

Who owns Freedom Health Insurance?

Eight months after Anthem Inc. acquired Freedom Health Inc., and Optimum Healthcare Inc., the two Medicare Advantage plans have named new executive leadership. Jigar Desai was named as chief executive officer and Nancy Gareau as chief operating officer of the Tampa-based subsidiaries owned by Anthem (NYSE: ANTM).

Is MultiPlan a public company?

As a public company, MultiPlan will have greater strategic and financial flexibility, making it better equipped to expand organically, through adjacent acquisitions and by investing in new technologies.

Is US health advisors a pyramid scheme?

USHEALTH Advisors is not a pyramid scheme multi-level marketing (insurance MLM) business opportunity. In other words, it doesn't have multiple layers of agents, mentors, and trainers and is not suitable for agents who are primarily looking to recruit.