This page uses JavaScript and requires a JavaScript enabled browser.Your browser is not JavaScript enabled.
Loading...
Skip to main content
Provider Portal
Open New Service Case
…
Do you have questions?
See our FAQ
or download our
User Guide
(pdf).
Are you looking to:
Request to join the networks?
Request to terminate your participation?
Submit an application for recredentialing?
Update your demographic information?
Verify benefits, eligibility or claim payment status?
Obtain our Client List or Provider Handbook?
For all other inquiries proceed below to open a customer service case.
*
Select Entity Type
Rendering Health Facility, Practitioner or Group Practice (Licensed health care providers that render services to patients or an authorized representative thereof)
Third Party (Entity not affiliated with the above. (Examples: a law office or collection agency))
Please call us at 1-800-950-7040 to initiate an inquiry. The representative will ask you to fax a Confidentiality Letter signed by the provider referenced in your inquiry (if you have not already done so).
You can
download the Confidentiality letter here
and fax the completed, signed form to the appropriate fax number based on the network related to your inquiry:
MultiPlan fax number:
1-888-850-7604
Viant fax number:
1-855-235-4755
Contact & Provider Information
*Required
Already have an account? Log-in here.
Otherwise, once you submit your customer service case below, you'll be given the option to create an account so that you can easily track your cases.
Contact First Name
Contact Last Name
*
Contact Phone
X
*
Contact Fax
*
Contact Email
Provider Information
*
Select Provider Type
Practitioner/Group
Facility/Ancillary
Inquiry Information
*
Network
- Select One -
Clinical Review
MultiPlan Network
PHCS Network / PHCS Healthy Directions
Beech Street Network
Arizona Medical Network (AMN)
MultiPlan Auto Medical Network
Beech Street Workers' Compensation Network
MultiPlan Extender Networks
Negotiation Services
Health Management Network (HMN)
HealthEOS
PHCS Savility
Rural Arizona Network (RAN)
Viant Supplemental Network
Texas True Choice - Commercial
MultiPlan Workers' Compensation Network
Reason for Inquiry
- Select One -
Account Creation
Application Status
Claim denied as duplicate in error
Claim denied as non-participating error
Claim priced as in-network incorrectly
Corrected Claim and/or late charge
Disputing rate or allowable
Recredentialing status
Request a Fee Schedule
Request copy of Advice Sheet
Request copy of contract
Request status of claim
Request to add Provider to existing group
Roster report
Verify participation status
Comments
5000 characters remaining
CANCEL
OPEN SERVICE CASE
OK
*
OK
Cancel
