MultiPlan Home > MultiPlan
July 22, 2021 – HST, a MultiPlan Company, which enables Value-Driven Health Plan (VDHP) benefit plan designs, has partnered with Healthcare Bluebook, the industry-leading healthcare quality and price digital navigation solution, to help employers achieve sustainable health benefit programs by promoting high-quality, affordable care among their members.
Actived: 5 days ago
Information for health plan members
(3 days ago) 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.
Our Networks > MultiPlan
(9 days ago) Nationwide and Regional Primary PPO Networks. PHCS Network – MultiPlan’s national PPO network. HealthEOS and HealthEOS Plus Networks – MultiPlan’s regional PPO networks in Wisconsin, with some coverage in bordering Michigan, Minnesota and Illinois. These are also used for Workers’ Compensation and Auto Insurance programs in these areas.
Healthcare Provider FAQs > MultiPlan
(1 days ago) For patient benefit information, you will need to contact your patient’s insurance company, human resources representative or health plan administrator directly. That telephone number can usually be found on the back of the patient’s ID card.
MultiPlan's Rural Health Grant > MultiPlan
(8 days ago) Since 1995, MultiPlan’s Rural Health Grant has been providing financial resources to help healthcare providers in rural areas. Recipients have utilized their award to introduce or expand services, education, screenings and other programs aimed at improving the health of the people in their communities.
Network-based Services > MultiPlan
(8 days ago) Read how a regional provider-owned health plan extended primary network access for its membership. Read the case study > By the numbers. 5,600 hospitals. 164,000 ancillaries. 1,200,000 professionals . The PHCS Network: a national NCQA-accredited network.
MultiPlan Corporation to Acquire Discovery Health Partners
(4 days ago) Serving about 80 health plans across the U.S., including nine of the 10 largest U.S. health plans, Discovery has been recognized consistently for its growth and innovation—earning a spot on the Inc. 5000 list seven years in a row, the Crain’s Fast 50 four times, and a prestigious FutureEdge 50 Award from IDG for innovations in machine learning.
Contact Us > MultiPlan
(6 days ago) Use our online Provider Portal or call 800-919-1173. Information updates: e-mail: [email protected] fax: 630-649-5674. mail: Attn: HMA Intake, 6116 Shallowford Rd, Suite 109B, Chattanooga TN, 37421-7209. Health Management Network (HMN) For our Arizona Medical Network (AMN), Rural Arizona Network (RAN) and Health Management
MultiPlan Corporation to Acquire Discovery Health Partners
(2 days ago) Serving about 80 health plans across the U.S., including nine of the 10 largest U.S. health plans, Discovery has been recognized consistently for its growth and innovation—earning a spot on the Inc. 5000 list seven years in a row, the Crain’s Fast 50 four times, and a prestigious FutureEdge 50 Award from IDG for innovations in machine learning.
MultiPlan Corporation Completes Acquisition of Discovery
(8 days ago) Serving about 80 health plans across the U.S., including nine of the 10 largest U.S. health plans, Discovery has been recognized consistently for its growth and innovation—earning a spot on the Inc. 5000 list seven years in a row, the Crain’s Fast 50 four times, and a prestigious FutureEdge 50 Award from IDG for innovations in machine learning.
KnowledgeHub > MultiPlan
(8 days ago) July 22, 2021 – HST, a MultiPlan Company, which enables Value-Driven Health Plan (VDHP) benefit plan designs, has partnered with Healthcare Bluebook, the industry-leading healthcare quality and price digital navigation solution, to help employers achieve sustainable health benefit programs by promoting high-quality, affordable care among their members.
COVID-19 State Guidelines
(9 days ago) Health insurers regulated by the state shall waive cost- sharing for laboratory diagnostic testing for respiratory syncytial virus (RSV), influenza, respiratory panel tests, and COVID -19. Health insurers are asked to waive the cost -sharing for an office visit, urgent …
Medicaid > MultiPlan
(5 days ago) For enrollment or program information, contact the health plan administrator or government healthcare website for your state. MultiPlan does not manage Medicaid plans, rather we work directly with Medicaid payors to build robust provider networks.
Medicare Advantage > MultiPlan
(5 days ago) The Centers for Medicare & Medicaid Services (CMS) and your MultiPlan Medicare Advantage Network provider agreement mandate all those contracted to provide health care services to Medicare Advantage beneficiaries must complete the applicable Medicare Advantage program compliance trainings.
2021 brings changes to Medicare Advantage plans > MultiPlan
(3 days ago) Enrollment and Medicare Advantage plan options. 2021 will see the largest enrollment in Medicare Advantage health plans. The Centers for Medicare and Medicaid Services (CMS) expects that 42% of the eligible Medicare population, approximately 26 million people, will be enrolled in a Medicare Advantage plan.This represents a staggering increase of 44% in just four years.
Careers > MultiPlan
(3 days ago) Communicating with the providers, health plan members and clients that contact MultiPlan requires a team focused on outstanding service and quality supported by the best systems and resources. Claims and Clinical Claims and Clinical The medical billing, coding and clinical professionals in our claims organization are responsible for the
(8 days ago) Optima Health to offer more providers in network, in more places than its key competitors—both at home in the mid-Atlantic and across the country. Between improved network access and discounts, MultiPlan gives Optima Health a competitive edge. With 65 percent of MultiPlan’s savings to Optima Health coming from network contracted
Three ways to tackle the high cost of waste > MultiPlan
(9 days ago) Recent research from JAMA shows that measures to eliminate healthcare waste would result in a 25% improvement, but there’s more work to be done. Finding the root causes of errors is the most effective way to ultimately remove waste—and the high cost of it—from health plans’ payment integrity operations.
Company > MultiPlan
(3 days ago) MultiPlan. MultiPlan. 115 Fifth Avenue. New York, NY 10003. To learn more about our services and solutions: Email: [email protected] Call: 1-800-677-1098. Contact information for Healthcare Providers. Contact information for Health Plan Participants.
HST, a MultiPlan Company, and Healthcare Bluebook Partner
(5 days ago) July 22, 2021 – HST, a MultiPlan Company, which enables Value-Driven Health Plan (VDHP) benefit plan designs, has partnered with Healthcare Bluebook, the industry-leading healthcare quality and price digital navigation solution, to help employers achieve sustainable health benefit programs by promoting high-quality, affordable care among their members.
Coordination of Benefits > MultiPlan
(9 days ago) Industry research shows up to 10% of all health plan members have other health insurance coverage in any given year, which can cost your health plan millions in higher payouts and administrative work. MultiPlan’s Coordination of Benefits (COB) solution is designed …
Value-Driven Health Plans Take Reference-Based Pricing to
(8 days ago) A: A Value-Driven Health Plan is a plan that substitutes the network – or the facility component of the network – with pricing based on a reference such as Medicare and, importantly, tools that engage the member and the provider to make optimal use of the plan’s benefits. For example, members have access to HST Connect, a mobile app and
MultiPlan Accepting Applications for Rural Health Grant
(1 days ago) $30,000 to be awarded (New York, NY) March 19, 2019 – MultiPlan, Inc. is accepting applications for their Rural Health Grant. The grant provides financial resources to help healthcare providers in rural areas introduce or expand services, education, screenings and other programs aimed at improving the health of people in their communities. This year MultiPlan […]
WANTED: new answer to growing COB problem > MultiPlan
(6 days ago) As many as 15% of your health plan members have other insurance coverage, creating a multi-million dollar impact on your health plan’s time, resources, and, ultimately, bottom line. In instances of overlapping coverage, health plans shoulder the burden of accurate claim payments.
Humana, MultiPlan, Optum, Quest Diagnostics and
(5 days ago) Optum is a leading information and technology-enabled health services business dedicated to helping make the health system work better for everyone. With more than 145,000 people worldwide, Optum delivers intelligent, integrated solutions that help to modernize the health system and improve overall population health.
Revenue Integrity > MultiPlan
(2 days ago) However, ongoing inaccuracies with member eligibility information and disease status markers mean that many health plans don’t get the dollars they’re owed. As your healthcare revenue integrity partner, MultiPlan can help you restore and protect the premiums your health plan deserves. Whether optimizing Medicare Advantage revenue or
Subrogation > MultiPlan
(6 days ago) Whether the cause is an accident or serious illness, health plans stand to lose millions paying claims when a third-party payor is responsible. These claims amount to as much as $25 per member per year. However, many health plans lack the tools and resources to identify and pursue recovery opportunities for high-cost, complex claims.
MultiPlan to Award $30,000 in Grants to Rural Hospitals
(6 days ago) MultiPlan is a trusted partner to over 900,000 healthcare providers nationwide and to 700 healthcare payers in the commercial health, property and casualty, and government markets with 68 million members using our networks. MultiPlan is owned by Hellman & Friedman and other investors. For more information, visit multiplan.com.
MultiPlan Appoints Julie Klapstein to its Board of
(6 days ago) Julie Klapstein was the founding Chief Executive Officer of Availity, LLC, a health information network optimizing the automated delivery of critical business and clinical information among healthcare stakeholders. Ms. Klapstein served as Availity’s Chief Executive Officer and board member from 2001 to 2011.
Surprise Billing and the Impact for Payors > MultiPlan
(8 days ago) What health plans are affected? The No Surprises Act applies to participants, beneficiaries and enrollees in group health plans and group and individual health insurance coverage offered by health insurance issuers and FEHB plans. The law also applies to grandfathered health plans (as defined in section 1251(a) of the Affordable Care Act).
In the News > MultiPlan
(5 days ago) HST, a MultiPlan Company, and Healthcare Bluebook Partner to Help Employers Offer Transparent and Affordable Health Plans Read more > July 22, 2021 MultiPlan Appoints JR Riding as Chief Information Security Officer Read more > July 20, 2021 MultiPlan Corporation Responds to Investor Concerns and Announces Second Quarter 2021 Earnings Conference
Caring for your providers during clinical audits > MultiPlan
(4 days ago) For today’s health plans, clinical audits play a critical role in payment accuracy and ensuring the financial health of the organization. They can help a plan control costs, comply with government regulations, and meet financial requirements. Fundamentally, clinical audits help to identify where payment accuracy errors are likely.
MultiPlan Awards $36,000 to Rural Hospitals > MultiPlan
(7 days ago) Recipients of the 2019 MultiPlan Rural Health Grant Announced MultiPlan, Inc. today announced the recipients of its 2019 Rural Health Grant. The four hospitals selected to receive this year’s grants have each submitted creative proposals for addressing the healthcare needs of people in their community. The recipients of the 2019 MultiPlan Rural Health Grant are: […]
MultiPlan’s PHCS Network Receives Tenth Consecutive NCQA
(9 days ago) It provides health plan members with seamless access to healthcare services whether they seek care in their backyard or across the country. NCQA is a private, nonprofit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health …
Post-Payment Clinical Audits > MultiPlan
(Just Now) Clinical audits play a critical role in ensuring health plans’ financial health. Recognizing that these audits have the potential to cause provider abrasion, communication and education should be part of a health plan’s clinical audit program.
Value-Driven Health Plans Will Be an Attractive Option
(4 days ago) Value-driven health plan designs from HST offer an attractive option. Value-driven health plans are the next generation of plans that use reference-based pricing. They can be used in place of a network or in combination with a network for providers such as physicians and specialists.
State Law Coordinating Provisions > MultiPlan
(Just Now) Coordinating Provisions: State/Federal Laws and Accreditation Standards. As a Network Provider, you are required to comply with the following state/federal laws, national accreditation standards, and geographic exceptions approved by MultiPlan. These contract provisions are not applications to participate in our networks.
5 Key roles your company needs for data analytics success
(3 days ago) Many organizations don’t have member and health claims data set up in a way that’s really conducive to analytics or big queries. In this IT role, your platform architect will work closely with the analytics team to create the infrastructure needed for effective analytics.
Data Mining > MultiPlan
(6 days ago) Your health plan is committed to paying claims quickly and correctly, but you can’t avoid the millions of dollars that slip through the cracks—cracks caused by older claims technology, ever-changing CMS rules and regulations, and a multitude of contractual terms.
EXHIBIT COORDINATING PROVISIONS-STATE/FEDERAL LAW
(4 days ago) 3.12.As required by N.J.A.C. 11:24B-5.2(a)(13), provider will render medical and health care services in a manner which assures availability, adequacy, and continuity of care to covered persons. Health care services means health care treatment and supplies rendered by a provider and provided to a covered person
Solicitations FAQs > MultiPlan
(2 days ago) 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. Primary PPO and selection of a MultiPlan Network provider will lead to the lowest out-of-pocket costs to you.
eBook: The modern guide to Coordination of Benefits (COB
(6 days ago) Save time, resources, and paper with advanced technologies that can help your health plan transition from cost recovery to cost avoidance. Download our eBook and see how a modern Coordination of Benefits (COB) approach can help you: Increase recoveries; Improve cost avoidance; Reduce administrative costs; Achieve greater member and provider
Trends that are re-shaping payment integrity strategies
(1 days ago) Health plans are looking for a true partner who can help them support and enhance their payment integrity efforts so they can better control costs associated with incorrect billing and overpaid claims and improve administrative and medical loss ratios. With years of experience supporting both payment integrity and managed care, MultiPlan’s
Premium restoration in an era of Medicare Advantage growth
(4 days ago) Medicare is now the fastest-growing segment of the health insurance market, with 10,000 baby boomers aging into the program every day. Medicare enrollment is expected to soar between 2021 and 2029, reaching 77 million enrollees by the end of the decade. That’s an increase of 1.5 million new enrollees each year.
Success with MSP and ESRD Premium Restoration > MultiPlan
(1 days ago) Another health plan with 200,000 members partnered with us to restore $32 million over six years. The plan was so pleased that they now use us for some of our other Payment and Revenue Integrity Services—Subrogation, Coordination of Benefits, and Data Mining.
MultiPlan Corporation Announces First Quarter 2021
(1 days ago) April 22, 2021 – MultiPlan Corporation (NYSE:MPLN) (“MultiPlan” or the “Company”), a leading value-added provider of data analytics and technology-enabled end-to-end cost management solutions to the U.S. healthcare industry, today announced that it will release its first quarter 2021 financial results before the market opens on Thursday, May 13, 2021, and hold its conference call
COVID-19 Billing: 4 ways the pandemic is reshaping
(5 days ago) In general, workers’ compensation covers on-the-job injuries, while health insurance covers illnesses. The exceptions are illnesses linked to workplace hazards, such as black lung disease and coal mining. However, many states have passed “presumption” rules that presume COVID-19 is a work-related illness for certain employees, such as