Multiplan: Insurance Carrier Or Not?

MultiPlan is not an insurance company. However, it is a network that delivers patient volume from a diverse base of healthcare payors. MultiPlan offers multiple service options to ensure healthcare providers get the most out of their network participation.

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Multiplan PHCS Doctors

MultiPlan is not an insurance company. It is a nationwide complementary PPO network that health plans use to give their members access to a broader choice of healthcare providers offering discounted services.

MultiPlan delivers patient volume from a diverse base of healthcare payors, offers administrative ease and accurate claim repricing, and provides multiple service options to ensure healthcare providers get the most out of their network participation. MultiPlan also brings value to its participating providers by lowering patient out-of-pocket expenses, improving cash flow and lowering collection costs, reducing the risk of patient migration due to network coverage, and providing access to a diverse population of payors.

Healthcare providers can use MultiPlan's online service to verify provider network participation, submit billing and network inquiries, check application and request status, request fee schedules, contracts, and rosters, add providers to a group, update demographic information, and obtain and submit group rosters.

To find a MultiPlan PHCS doctor, you can select "Find a Provider" on the MultiPlan website or refer to the information on your insurance ID card. You can also call the following telephone numbers:

• For the PHCS Network: 1-800-922-4362
• For PHCS Healthy Directions: 1-800-678-7427
• For the MultiPlan Network: 1-888-342-7427
• For the HealthEOS Network: 1-800-279-9776

Multiplan insurance for out-of-state providers

MultiPlan is not an insurance company and does not sell health insurance to members. Instead, it is a nationwide complementary PPO network that offers a range of services to healthcare payors to help them manage the cost of care, improve their competitiveness, and inspire positive change. MultiPlan does not administer benefit plans or pay claims to doctors or facilities in its network.

However, MultiPlan does provide services to health plan members, such as offering a broader choice of healthcare providers offering discounted services. Members likely have access to MultiPlan's services through their health plan administrator or medical bill payor, especially if they see one of the MultiPlan logos on their Member ID card.

MultiPlan provides value to its participating providers by lowering patient out-of-pocket expenses, improving cash flow and lowering collection costs, reducing the risk of patient migration due to network coverage, and providing access to a diverse population of payors. MultiPlan also offers contracted network reimbursement and contractual timely payment provisions.

For out-of-state providers, MultiPlan offers the following benefits:

• Lower patient out-of-pocket expenses: MultiPlan helps reduce financial barriers for patients, making it more affordable for them to access healthcare services, regardless of their location.
• Improved cash flow and lower collection costs: MultiPlan's efficient payment systems can benefit providers by streamlining the reimbursement process and reducing the administrative burden associated with collecting payments from patients.
• Reduced risk of patient migration: By being part of the MultiPlan network, providers can increase their visibility and attract patients from a wider geographic area, reducing the risk of losing patients to competitors or providers in other states.
• Access to a diverse population of payors: MultiPlan's network includes a variety of payors, including commercial and government payors, which can increase patient referrals and diversify a provider's patient base.
• Contracted network reimbursement: MultiPlan facilitates timely and accurate reimbursement for providers, helping to improve cash flow and reduce administrative burdens.
• Timely payment provisions: MultiPlan ensures that providers receive prompt payment for their services, reducing the financial strain associated with delayed payments.

Overall, MultiPlan's services can benefit out-of-state providers by increasing their patient base, improving cash flow, and reducing administrative burdens associated with billing and collections. By being part of the MultiPlan network, providers can access a wider range of patients and improve their financial stability.

Multiplan insurance for in-state providers

MultiPlan is not an insurance company. It is a healthcare cost management company that helps insurance payors manage the cost of care. MultiPlan's services are utilised by insurance companies to provide their customers with a broader choice of healthcare providers offering discounted services.

MultiPlan delivers value to its participating providers by lowering patient out-of-pocket expenses, improving cash flow and lowering collection costs, reducing the risk of patient migration due to network coverage, and providing access to a diverse population of payors.

MultiPlan's online service allows providers to verify provider network participation, submit billing and network inquiries, check application and request status, request fee schedules, contracts, and rosters, add providers to a group, and update demographic information.

MultiPlan also offers handbooks and guides that provide detailed information on various subjects, including reimbursement, credentialing, and dispute resolution. State-specific contract provisions are also included in provider contracts, with modifications made to reflect changes in state law.

Healthcare providers can apply for participation in MultiPlan's networks through their website or by using their state's form for initial credentialing.

In addition to its cost management services, MultiPlan engages in philanthropic initiatives, such as the Rural Health Grant, which supports healthcare providers in rural areas, and the toy car program, which provides battery-powered ride-on cars to pediatric units to distract young patients and make their hospital stay less intimidating.

Multiplan insurance for primary care doctors

MultiPlan is not an insurance company but a network used by health plans to give their members access to a broader choice of healthcare providers offering discounted services.

Healthcare providers can benefit from partnering with MultiPlan to navigate today's competitive healthcare landscape. MultiPlan delivers patient volume from a diverse base of healthcare payors, offers administrative ease and accurate claim repricing, and provides multiple service options to ensure providers get the most out of their network participation.

Primary care doctors who are part of the MultiPlan network include:

• Dr. Irina Lelchuk, DO, New York, NY
• Dr. Jedidiah Burack, MD, Brooklyn, NY
• Dr. Stuart L. Saftchick, MD, FACP, New York, NY
• Dr. Eric Goldberg, MD, Rego Park, NY
• Dr. Bella Aloyts, DO, Brooklyn, NY
• Dr. Oleg Kotelskiy, DO, Brooklyn, NY
• Dr. Shideh Maybody, MD, Astoria, NY
• Dr. Musammat R. Jahan, MD, Ozone Park, NY
• Dr. Yana Ryzhakova, DNP, Brooklyn, NY
• Dr. Rohit Reejsinghani, DO, New York, NY
• Dr. Matthew Weissman, MD, New York, NY
• Dr. Michael Felsen, MD, New York, NY
• Dr. Martin Arron, MD, New York, NY
• Dr. Jahnavi Naik, MD, New York, NY
• Dr. Molly Broder, MD, Bronx, NY
• Dr. Marina Reznik, MD, Bronx, NY
• Ms. Ilana Goldberg, DNP, Dumont, NJ

Multiplan insurance for specialists

MultiPlan is not an insurance company. It is a data firm that markets "cost-containment" tools to insurance companies. MultiPlan does not sell health insurance to members, and it does not administer benefit plans or pay claims to doctors or facilities in its network. Instead, it offers a nationwide complementary PPO network that gives health plan members access to a broader choice of providers that have agreed to offer discounted services.

MultiPlan delivers patient volume from a diverse base of healthcare payors, offers administrative ease, accurate claim repricing, and provides multiple service options to ensure healthcare providers get the most out of their network participation. MultiPlan also provides lower patient out-of-pocket expenses, improved cash flow and lower collection costs, reduced risk of patient migration due to network coverage, and access to a diverse population of payors.

MultiPlan's services are particularly useful for specialists. The company's large network includes providers associated with the majority of specialties, and members have the right to choose healthcare providers from the MultiPlan network, consistent with the terms of their health benefit plans and applicable Federal and State law. MultiPlan's accurate claim repricing and administrative ease can help specialists save time and money, while its broad network can help them attract new patients.

In addition, MultiPlan's data and decision science services can provide specialists with actionable data to inform their decision-making. This includes out-of-network reference-based and cost-based pricing and negotiation services, which can help specialists optimize their reimbursement rates. By working with MultiPlan, specialists can benefit from the company's scale and expertise in negotiating with insurance companies, potentially increasing their competitiveness and profitability.

Overall, MultiPlan offers a range of services that can benefit specialists by reducing administrative burdens, increasing patient volume, and improving reimbursement rates. By participating in the MultiPlan network, specialists can gain access to a larger patient population and take advantage of the company's data-driven tools and analytical capabilities.

Frequently asked questions