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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 ...
prv_qr_full.pdf

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 ...
MKT5112_Neg_serv_1_13_q4.pdf

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 ...
MKT5080_MultiPlan.pdf

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.
MultiPlanNetworkProfessionalHandbook.pdf

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 ...
MKT5096_ValuePoint.pdf

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.
MultiPlan_Viant_Join_Forces.pdf

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 ...
MKT5102_Net_Man.pdf

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 ...
ID_card_guideline_examples_r7.pdf

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. multiplan.com healtheos.com. ®.
MKT5092_HEOS_Work_Comp.pdf

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  ...
MKT5105_Data_iSight.pdf

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.
06D0862P.pdf

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 ...
15D0376P.pdf

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 ...
Memorandum_Opinion_Humble_Surgical_Hospital.pdf

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  ...
webinar-insurance-myths.pdf

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

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 ...
Issues-with-Medishare-under-Multiplan-PHCS.pdf

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

ANCHORAGE EDUCATION ASSOCIATION
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 ...
AEA.pdf