Private Health Care Systems (PHCS)
Provider Network: Over 350,000 doctors at over 750,000
locations
Discount Range: 20% – 45% savings
Corporate Profile:
PHCS is the first and only national PPO to earn four
endorsements of quality from two independent, nationally recognized quality
assurance organizations, the National Committee for Quality Assurance (NCQA)
and URAC.
• NCQA certification for Credentialing and
Re-credentialing (August 2001)
• NCQA certification for Utilization Management (May
2001)
• URAC accreditation for
Health Network with Credentialing (October 2001)
• URAC accreditation for Health Utilization Management
(July 1993)
Key Features of PHCS:
• PHCS is the largest proprietary PPO in the country
with nationwide access.
• Member receives identification card and ‘Dear
Doctor’ letter in their fulfillment kit with instructions to call Careington’S
Physician Relations Department.
• Careington’S Physician Relations
Department will provide the member with a list of providers after verifying
which PHCS provider is participating in the discount card program.
• Careington Physician Relations
Specialist (PRS) will call the provider to confirm participation and make an
appointment for the member.
• The live-operator feature ensures a positive
member/provider experience.
• Providers must pass strict credentialing criteria.
• PHCS has relationships with providers associated
with the majority of specialties.
Note: Physician’s Assistants (PA’s)
are not included in the PHCS network
.