Who is PHCS insurance?
Asked by: Dr. Kristy Marks I | Last update: November 14, 2025Score: 4.1/5 (60 votes)
What kind of insurance is PHCS?
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.
Is PHCS the same as Cigna?
Kaiser Permanente States: The PHCS Network provides access to care in the Kaiser Permanente states of CA, CO, GA, HI, MD, OR, VA, WA and DC. Non-Kaiser Permanente States: The Cigna Healthcare PPO Network only provides access to care in non-Kaiser Permanente states.
How do I check my PHCS eligibility?
Verify PHC eligibility and PCP/Medical Home (MH) assignment via our Provider Online Services at https://provider.partnershiphp.org/UI/Login.aspx. You also can call our Automated Eligibility Number at (707) 863-4140 or (800) 557-5471.
What kind of health insurance is MultiPlan?
MultiPlan is a PPO (preferred provider organization), meaning policyholders can get care from any in-network providers without a referral from their primary care doctor.
What Is PHCS Health Insurance? - InsuranceGuide360.com
Who is the parent company of MultiPlan?
Does MultiPlan have a parent company? Following the merger of Churchill Capital Corp III and MultiPlan in October of 2020, MultiPlan Corporation became the ultimate parent company of the various entities that carry out MultiPlan's operations.
What is the largest health insurance network?
UnitedHealth Group (UNH), the parent of United Healthcare, is the largest health insurance company in the U.S. with a market cap north of $500 billion. It serves more than 29 million Americans and controls 15% of the market.
Does PHCS require prior authorization?
Members of Quartz PPO (PHCS/MultiPlan/HealthEOS) are responsible for obtaining prior authorization in order to receive coverage for certain services.
What is the largest PPO network in America?
Benefits of Multiplan/PHCS Network
The MultiPlan/PHCS network is the largest and most comprehensive independent PPO network in the United States , providing access to over 700,000 healthcare professionals, 4,500 hospitals, and 70,000 ancillary care facilities in all states.
How do I know if my health insurance is primary?
The insurance that pays first is called the primary payer. The primary payer pays up to the limits of its coverage. The insurance that pays second is called the secondary payer. The secondary payer only pays if there are costs the primary insurer didn't cover.
Who bought PHCS?
(PHCS) today announced that MultiPlan will acquire PHCS, creating the industry's most comprehensive medical cost management provider.
What is Cigna now called?
On February 13, 2023, Cigna renamed its holding company The Cigna Group, its health benefits provider business unit Cigna Healthcare, and its Evernorth business unit Evernorth Health Services.
How do I submit a claim to PHCS?
- Monday - Friday, 8 a.m. - 5 p.m.
- Phone:
- All Providers: (707) 863-4130.
- Toll Free: (855) 798-8757.
- Northern Region: (530) 999-6833.
- Fax:
Who is the primary insurance provider?
Primary insurance is health insurance that pays first on a claim for medical and hospital care. In most cases, Medicare is your primary insurer. See also: Secondary Insurance.
Is Medi share part of the PHCS network?
A: Medi-Share uses a Preferred Provider Organization (PPO) called PHCS. This means that members can choose from a network of over 4,400 hospitals, 79,000 ancillary care facilities, and 700,000 individual healthcare professionals nationwide.
What insurance is private healthcare systems?
Private health insurance refers to health insurance plans marketed by private insurance companies or offered by self-insured employers, as opposed to government-run insurance programs such as Medicare, Medicaid, and CHIP. Private health insurance currently covers a little more than half of the U.S. population.
What insurance is PHCs under?
Because PCHS is a PPO plan — using Multiplan as the PPO provider network — you do not need a referral from your primary care physician before starting your search for a great therapist.
Why is PPO so expensive?
Because PPOs offer access to a larger provider network, your monthly costs may be higher. You'll likely need to meet an annual deductible, which is the minimum amount you'll need to spend on medical care before your insurance coverage kicks in.
Is MultiPlan real insurance?
Multiplan is a third-party network, which means there is not a Multiplan insurance plan. However, Multiplan does partner with insurance companies and health care providers to provide people with access to affordable medical care.
Why would insurance deny a prior authorization?
A denied prior auth request can occur when a provider's office submits a wrong billing code, misspells a name or makes another clerical error. Requests can also be denied if the prior auth request lacks sufficient information about why the medication or treatment is needed.
What is the timely filing limit for a PhCS?
A provider has a right to file a dispute in writing to PHC California within 365 day from the date of service or the most recent action date, if there are multiple actions.
Which health insurance denies the most claims?
According to the analysis, AvMed and UnitedHealthcare tied for the highest denial rate, with both companies denying about a third of in-network claims for plans sold on the Marketplace in 2023, respectively.
What is the most expensive health insurance?
Platinum health insurance is the most expensive type of health care coverage you can purchase. You pay low out-of-pocket expenses for appointments and services, but high monthly premiums.