Information for health plan members
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How does 成人视频 support patients and health plan members?
Our mission is simple. 成人视频 delivers solutions directly to insurance companies, medical bill payors, and other healthcare-related companies to help lower the cost of healthcare for all.听 成人视频鈥檚 objective, data-driven approach enables provider claims to be processed quickly and fairly and helps avoid provider overbilling. Because of this, your health plan might include some of our services.
Why do I have a 成人视频, PHCS or other logo on my health insurance ID Card?听
We offer a variety of national, regional, and local provider networks to our clients. The 成人视频 Network, for example, is a nationwide complementary PPO network. Your health plan might be utilizing one of our networks to give you access to an additional choice of providers that have agreed to offer a discount for services. 听
How do I find a doctor in my network?听
Make sure you鈥檝e got your insurance ID card with you, and then select the green 鈥淔ind a doctor or hospital now >鈥 button on this webpage to get started with our provider search tool. 听
Frequently asked questions
Why is a 成人视频 logo on my insurance ID Card?
The 成人视频 Network is a nationwide complementary PPO network. Your health plan is most likely utilizing the 成人视频 Network to give you access to an additional choice of providers that have agreed to offer a discount for services.
Is PHCS or 成人视频 my health plan?
No. The PHCS and 成人视频 networks are networks of medical doctors and facilities that health plans use in order to provide a broader choice of healthcare providers offering discounted services to their members. 成人视频 does not offer insurance, does not administer benefit plans, and does not pay claims to the doctors or facilities in our network.
Is my doctor or medical facility in my 成人视频 network?
You can select “Find a Provider” in the upper right corner of our website to search for a doctor or facility, or your ID card may also list a phone number for this purpose.
How do I find a new doctor or medical facility in my network?
You can select “Find a Provider” in the upper right corner of our website to search for a doctor or facility, or your ID card may also list a phone number for this purpose.
My doctor's information is incorrect in your online provider search. Who do I contact?
We appreciate hearing about any discrepancies that we may have in our provider information so that we can work to keep it as current as possible. Please ask your health care provider to contact us with their updated information.
I cannot locate my doctor or medical facility when using the online provider search. What should I do?
听The online provider search contains all the providers that participate in our networks. If your provider is not listed, you may nominate him/her into the network by using the “Invite your provider to join our networks here” link above on this webpage.
How can my doctor participate in your networks?
The online provider search contains all the providers that currently participate in our networks. If your provider is not listed, you may nominate him/her into the network by using the “Invite your provider to join our networks here” link at the top of this page.
There is a doctor listed in your network, but they no longer participate. What do I do?
Although we update the website daily, it is possible that providers drop out of the network or that staff at the provider’s office are unaware of their participation. If your provider is indicating that they do not participate, please contact our Customer Service at the telephone number listed on your healthcare ID card to bring the matter to our attention.
I am unable to find a particular medical specialty in the drop down list. How can I find it?
Our network includes providers associated with the majority of specialties. If you are unable to locate a particular specialty, please contact the 1-800 number listed on the back of your ID card.
Do dentists participate in your network?
成人视频 does not contract with dentists for routine dental care; however, we do have oral surgeons if that type of dentist is required. Be sure to verify that services are covered under your plan by contacting your insurance company, human resources representative or benefits administrator directly.
How do I access benefits and eligibility information?
As 成人视频 is not your health plan and we do not maintain information regarding your insurance or health plan, we aren’t able to assist. For eligibility or benefits questions, contact your insurance company, human resources representative or health plan administrator directly.
Who do I contact regarding co-payment or deductible payment questions?
Through your health plan you have access to providers in our networks, but we do not administer your plan or maintain information regarding your insurance. For payment questions, including those about co-payments, deductible and premiums, you will need to contact your insurance company, human resources representative or health plan administrator directly.
Statement of Member Rights
成人视频, on behalf of itself and its subsidiaries (“us”, “we”, or “our”) operates http://www.multiplan.com (the “Site”). We are committed to preserving and respecting member rights. Below is our statement recognizing member rights and protections. We expect our network providers, including individual practitioners, to support (and act) in accordance with these rights.
成人视频's Role
Members have the right to receive accurate, easily understood information about us, the services we provide, the providers in our networks, member rights, rights of our network providers, and how to contact us regarding concerns about our services or networks.
Right to Privacy
Members have the right to be treated with respect and recognition of their dignity and the right to privacy. This right includes protecting their Personal Information. It also includes their right to review their Personal Information on file with us, as required by applicable Federal and State law. See our Privacy Policy for more information.
Network Provider Communication
Members have the right to communicate with network providers when making decisions about your healthcare, without interference from us.
Complaints About 成人视频
Members have the right to register complaints about us, our services, determinations, or the care provided by a 成人视频 or PHCS network provider. This includes the right to have complaints addressed in a timely manner through formal procedures, appropriate to the nature of the complaint.
Choice of Healthcare Provider
Members have the right to choose healthcare providers from the 成人视频 or PHCS network, consistent with the terms of their health benefit plans and applicable Federal and State law.
Healthcare 成人视频 Discrimination
Members have the right to receive healthcare services without discrimination. 成人视频 (or PHCS) network providers are prevented, by contract, from differentiating, or discriminating, against members due to certain member characteristics, and are required to render such services to all members in the same manner, in accordance with the same standards and same availability as offered to the network provider’s other patients.
We use our best efforts to ensure all members are afforded these rights. If you feel your rights have not been met, you may voice your concern through our complaint resolution process. Our complaint resolution process is a formal mechanism we use to address members’ concerns about their healthcare from our network providers. To begin the complaint resolution process, kindly document the complaint in writing and send it to:
成人视频
16 Crosby Drive
Bedford, MA 01730
Attn: Corporate Quality Management
Louisiana Act 354 Listing
Pursuant to LARS 22:1879, the information provided herein is based upon information supplied to 成人视频 by facilities and practitioners participating in the PHCS Network听and听成人视频 Network. These listings may not be complete and may be updated as 成人视频 receives additional information from participating facilities and practitioners. Before seeking care from a provider listed herein, please check with the provider to confirm participation in the network, location and if the provider is accepting new patients.
Contact us
To locate a participating provider, please refer to the instructions on your healthcare ID card as your health plan may have established a telephone number customized for the plan. Otherwise, you may call one of the following telephone numbers or visit www.multiplan.com/search.
- For the PHCS Network,听1-800-922-4362
- For PHCS Healthy Directions,听1-800-678-7427
- For the 成人视频 Network,听1-888-342-7427
- For the HealthEOS Network,听1-800-279-9776
- For language assistance, please call听1-866-981-7427
- For TTY/TTD service, please call 1-866-918-7427
Webpage last updated: 06/14/24