Who is multiplan




















SPACs go public as cash shells, raising money from investors in the initial public offering to later put toward a merger with an operating company. 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.

MultiPlan, Inc. You now have access to the largest primary PPO Preferred Provider Organization in the nation, which offers you: Choice — Broad access to nearly 4, hospitals, 79, ancillaries and more than , healthcare professionals.

Quality — MultiPlan applies rigorous criteria when credentialing providers for participation in the PHCS Network, so you can be assured you are choosing your healthcare provider from a high-quality network. More flexibility to use providers both in-network and out-of-network. The announcement forced quite a few people to start looking up what MultiPlan actually does , including me.

It handles negotiation with providers nationwide and consequently has the largest preferred provider network in the country. This service is so valuable that all 10 of the top 10 insurers use it, and the corporation seems to have carved out a little monopoly at the top. If a person from Delaware had an accident in Colorado, they likely fell out of network and did not receive insurance coverage.

Over time, as the main insurers became bigger and more national, these shadow contracts became less important. But MultiPlan remained at the top of the insurer network, mostly because the Affordable Care Act of triggered an avalanche of startup insurers Oscar, Clover, etc. MultiPlan offered these smaller insurers an easy way to access a large network of providers. In , private equity firms began eyeing MultiPlan as a valuable service with few competitors, a market position that only grew after the aforementioned ACA devlopments.

Over the ten years from to , MultiPlan changed hands between PE firms no fewer than four times. Meanwhile, MultiPlan was also making large acquisitions of competitors and firms in adjacent spaces:. To my knowledge, MultiPlan no longer has competitors. Following some of these acquisitions, MultiPlan expanded its service offerings beyond provider negotiation.

CK Eddy Lecture Series. Preferred business sponsors. Contact Us. MultiPlan Member Level: Sponsor. If you are unable to locate a particular specialty, please contact the number listed on the back of your ID card.

MultiPlan 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. As MultiPlan 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. 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. MultiPlan's Role. Right to Privacy. Network Provider Communication. Complaints About MultiPlan. Choice of Healthcare Provider. Healthcare Services Discrimination.



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