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Is PHCS or MultiPlan my health plan? No. 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.
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.
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.
Credentialing is an essential mechanism for ensuring quality and safety in the healthcare industry and guiding patients' choice of a provider. Credentialing helps improve patient care and protects caregivers and payers from unnecessary liabilities.
Payer credentialing\u2014also called provider credentialing or medical credentialing\u2014is the process an insurance company uses to obtain, verify, and assess a healthcare provider's qualifications to join a network.
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PHCS AcronymDefinitionPHCSPrivate Healthcare SystemsPHCSPrimary Health Care ServicePHCSPrevailing Healthcare Charges System (database tool; Ingenix)PHCSPublic Health and Community Services (Canada)3 more rows
The process is the verification and assessment of a physician's education, training and experience. It allows patients to trust that they're in good hands and physicians to have trust in their peers. Credentialing also plays a part in physician health plan enrollment so that payment for services can be received.
Credentialing is a process through which healthcare organizations verify providers' education, training, certifications, and licensure. They also search for any disciplinary actions or sanctions against the provider.
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.
A standard credentialing process takes from 90 to 120 days based on the guidelines. In some cases, the process may be completed within 90 days and sometimes, it can take more than 120 days. Keeping in mind, the complexities in medical credentialing, it is best to hire experts in the field.

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