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MultiPlan Network Professional Handbook
The table below summarizes all modifiers supported by MultiPlan for purposes of repricing claims on behalf of Clients and Users that access the PHCS Primary ...
MultiPlanNetworkProfessional Handbook_revised April 2013.pdf

Working with MultiPlan
Disputing Claim Repricing. To dispute the repricing of a claim, you can request service online or call us at the number listed below. See the MultiPlan Network ...

MultiPlan Negotiation Services
Claims that don't reprice in the networks are automatically routed to Negotiation Services. This integrated solution allows for: Efficiency: quick turnaround or ...

MultiPlan Network
If a claim doesn't reprice in the MultiPlan Network, it is automatically routed to these extender networks according to your selection preferences. Providers in ...

Network Professional Handbook - Multiplan
Jan 3, 2017 ... rule(s) before sending the repriced claim back to the Client and the Client will ... all modifiers supported by MultiPlan for purposes of repricing.

Considerations for Comparing Provider Networks - MultiPlan
Jan 1, 2008 ... methods such as repricing based on. “reasonable and customary” charges are also used. Participation in a network guards against these less ...
Comparing Networks White Paper.pdf

ValuePoint by MultiPlan
healthcare programs to replace or complement their traditional insurance benefit plans. ValuePoint by MultiPlan® is a medical access card program designed to ...

MultiPlan and Viant to Join Forces
Aug 3, 2009 ... MultiPlan, Inc. Viant, Inc. 831-427-1831. 630 649-5345 [email protected] com [email protected] MultiPlan and Viant to Join Forces.

Network Management Services - MultiPlan
burden and cost of managing network data — while improving your opportunity to increase network savings. With our powerful repricing application and provider ...

MultiPlan, Inc. ID Card Specifications
repriced incorrectly, as well as decreased member satisfaction. Our Marketing Department is available to assist you with any challenges you may experience ...

HealthEOS Workers' Compensation Network - MultiPlan
You also control which bills are submitted for repricing, and in most cases the bills are back in your hands within 24 hours. ®.

Data iSight - MultiPlan
MultiPlan has a unique claims evaluation process that maximizes savings in a manner that is defensible, repeatable, and completely transparent. We call it Data  ...

Oxford Health Plans, Inc. - Eastern District of Pennsylvania
Jul 13, 2006 ... Oxford filed motions for summary judgment, which MultiPlan has adopted.2 ..... it was not obligated to send the bills to MultiPlan for repricing.

in the united states district court for the eastern district of
Apr 30, 2015 ... Multiplan entered into agreements with providers like Huntingdon Valley ..... Members, [Aetna] will reprice the claims to reflect the Negotiated ...

Humble - Garner Health Law Corporation
Jun 1, 2016 ... Humble's claims based on negotiated repricing agreements between Humble and Multiplan or. Viant, essentially, without dispute. In October of ...

Insurance Myths - American Osteopathic Association
networks” (also known as silent PPOs) to reprice claims at in- network rates. – Examples: MultiPlan and Three Rivers. – Usually will have a logo on the back of  ...

HIPAA's Applicability to Self-Insured Employers
Claims Repricing. Claims Warehouse. (MultiPlan/WPPN). Claims Switch. Claims Repricing. Claims Warehouse. (MultiPlan/WPPN). Employers. Employers.

Issues with Medishare/Christian Care Ministries which is under
Ministries which is under Multiplan/PHCS as a network contract for insurance ... Then they take the remaining billed amount and “reprice it” and have the ...

(Medical) Payer List -
Multiplan Wisconsin Preferred Provider Network. Claims. 34092. Healthspan. Claims .... Healthscope Benefits - EHC Repricing. Claims. 52461. March Vision ...

Jul 1, 2011 ... Covered Person use a Multi-Plan facility (**or a facility contracted by ... stay ( reimbursed on a DRG or per diem PPO rate) can be repriced to ...