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  • Multiplan Nomination

Get Multiplan Nomination

PRACTITIONER NOMINATION FORM If you have determined that your physician or other healthcare practitioner of choice is not participating in The MultiPlan Network?, please complete the information as.

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PHCS, which stands for Private Healthcare Systems, is not an insurance company. It provides networks of doctors, hospitals and medical professionals, like its parent company, MultiPlan.

Medicare Advantage. About Your Participation. Your participation with MultiPlan means that you agree to accept our contracted reimbursement rates for patients covered by our client's health plans through any of the provider networks specified in your contract.

The MultiPlan PHCS network is the nation's largest and most comprehensive independent PPO network. This network offers access in all states and includes more than 700,000 healthcare professionals, 4,500 hospitals and 70,000 ancillary care facilities.

The MultiPlan Network is a nationwide complementary PPO network. Your health plan is most likely utilizing the MultiPlan Network to give you access to an additional choice of providers that have agreed to offer a discount for services.

I am nominating: An individual practitioner such as a doctor or other healthcare professional. To add an individual to an existing group, click here to apply via our provider portal. A group of practitioners. A facility such as a hospital or lab.

Is MultiPlan legit? Yes, MultiPlan is legitimate. It is important to remember, however, that MultiPlan is a network provider, not an insurance company.

How can I terminate my participation in the PHCS Network and/or the MultiPlan Network? Submit your request on letterhead with the contract holder's signature via fax at 781-487-8273, via email at registrar@multiplan.com or via mail to MultiPlan, Attn: Registrar, 16 Crosby Drive, Bedford, MA 01730.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232