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On the other hand Private Health Care Systems (Owned by MultiPlan as said before) has the largest proprietary preferred provider (PPO) organization in all the United States. With about 450,000 members attending of the four,000 facilities PHCS members have access to a variety of providers around the United States. They are also the first and only propriety network to earn endorsements due to quality from nationally recognized quality assurance organizations, URAC and the National Committee for Quality Assurance (NCQA).
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PHCS' job is to contact their providers in order for them to permit their network member to visit them at lower costs. The network also has something often called a "High network retention rate" which means that one time a customer selects a Primary Care Physician (PCP) that doctor will stay available all through their health plan. The general public that are members of this great network include giant employers such as companies and enterprises, commercial insurance carriers, regional managed cared organizations and third party administrators. The PHCS network offers the following to its members:
National Access with Excellent Cost Savings: No matter where the members are, they offer a variety of services from coast to coast. You can contact them at (866) 750-7427 to see how much they can save you in health care costs.
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PHCS Healthy Directions: Eliminates the necessity of having an HMO, PPO or POS because it pays full charges for services when a member travels or goes to school outside the coverage area. As a member it is possible for you to to have freedom in order for you to pick a provider from within the national network, to lower your out of pocket costs for members with providers in the PHCS Network, and to call a toll free number in your I.D. card for provider information.
Quality: PHCS didn't link a variety of tiny networks and pierce them together, in lieu they created a national network that lets them credential and re-credential their providers to maintain nice quality healthcare.
Private Health Care Systems is a care management company as well as network based insurance. PHCS is the second largest independent care management company functioning in the United States today. Their care management specialists review any patients' cases to make sure that patients get the best treatment available as well as giving them freedom to from a variety of options that nest suit their distinctive utilization review needs. You can employ this care management process in the area of your business where it will make the largest impact. PHCS Core Plan includes the following utilization management products, however, is important to keep in mind that you can add some supplemental products that will be discussed below in addition to the Core Value ones.
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Additional Supplemental Modules that can be bought:
one. Chiropractic Review
two. Selective CT/MRI Review
three. Podiatry Review
four. Outpatient Rehabilitation Review
Core Value Plan:
one. Concurrent Review
two. Certification
three. Discharge Planning
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