When looking for health insurance, it is very important to keep in mind that there are many companies that will try to offer you the best prices for your needs. However, not all of them are known throughout the United States and not all of them offer you the same benefits. One of the many companies that offer coverage in the continental United States is Private Health Care Systems, better known as PHCS. They are the leading national OPC network and care management product of the MultiPlan company.
Before talking about PHSC, it is important to know a little more about the parent company. MultiPlan was founded in 1970 and is the oldest and largest stand-alone web-based cost management solution. They have more than half a million health care providers serving some 40 million consumers. To top it off, the estimated millions of consumers have about 70 million claims processed through MultiPlan’s networks each year. How about that for a health insurance option?
On the other hand, Private Health Care Systems (owned by MultiPlan as noted above) has the largest proprietary Preferred Provider Organization (PPO) in the entire United States. With approximately 450,000 members attending one of 4,000 facilities, PHCS members have access to a variety of providers across the United States. They are also the first and only proprietary network to earn five endorsements for quality from two nationally recognized quality assurance organizations, URAC and the National Committee for Quality Assurance (NCQA).
PHCS’s job is to contact your providers to let your network member visit them at a lower cost. The network also has something known as a “high network retention rate,” which means that once a customer selects a Primary Care Physician (PCP), that doctor will remain available throughout their health plan. Most people who are members of this large network include large employers such as companies and corporations, commercial insurance companies, regional managed care organizations, and third-party administrators. The PHCS Network offers the following to its members:
National Access with Excellent Cost Savings: No matter where members are located, 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 on health care costs.
PHCS Healthy Instructions: It eliminates the need for an HMO, PPO or POS because it pays full charges for services when a member travels or goes to school outside of the coverage area. As a member, you’ll be free to choose a provider within the national network, lower out-of-pocket costs for members with providers in the PHCS network, and call a toll-free number on your ID. supplier information card.
Quality: PHCS not only linked a variety of small networks and brought them together, but created a national network that allows them to accredit and re-accredit their providers to maintain quality health care.
Private Health Care Systems is a network-based insurance and care management company. PHCS is the second largest independent care management company operating in the United States today. Their care management specialists review patient cases to ensure that patients are receiving the best treatment available, as well as giving them the freedom to choose from a variety of options to fit their unique utilization review needs. You can use this care management system in the area of your business where it will have the greatest impact. The PHCS Basic Plan includes the following utilization management products; however, it is important to note that you can add some add-on products discussed below in addition to the Basic Value.
Core Values Plan:
1. Review of the competition
3. Discharge planning
Additional add-on modules that can be purchased:
1. Chiropractic review
2. Selective CT/MRI review
3. Podiatry Review
4. Outpatient rehabilitation review