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Providers

Congratulations. As a participating provider in the PHCS and MultiPlan Networks, you've selected the right network partner - a partner that can deliver patient volume from a diverse base of healthcare payers, with the technology it takes to apply your contracted discounts quickly and accurately, and with the service to ensure you get the most out of your network participation.

At left are links to commonly requested services that we've made available to you online. We will add new capabilities to this area from time to time.

Questions and Answers about Recredentialing Forms Faxed to Providers
MultiPlan regularly sends recredentialing packages to our participating providers due for recredentialing. Providers who did not respond to this request received a fax recently asking them to complete their recredentialing forms. This fax was sent from Medversant, a vendor contracted by MultiPlan for this purpose. If you have questions about this fax, click here for more information or contact MultiPlan’s Service Operations department at 888-304-9984.

National Provider Identifier Compliance
Effective May 23, 2008 providers are required to include their National Provider Identifier (NPI) on all electronic claims as mandated by the Health Insurance Portability and Accountability Act (HIPAA). Claims payers and clearinghouses, both of which are required to recognize only a provider's NPI as the provider identifier on all electronic claims, may reject electronic claims that do not contain the provider's NPI. Although not yet required on paper claims, we recommend that providers include NPI on all paper claims to facilitate processing.