Medical Society of Virginia

60,000 physicians receive troubling faxes from MultiPlan

16 February 2010 -- Update

In response to the recent faxes sent by MultiPlan to 60,000 physicians, the informational bulletin “MultiPlan Recredentialing Activities” was created to answer physicians' questions and concerns regarding affiliation with MultiPlan.

4 February 2010

MultiPlan recently sent faxes to 60,000 physicians across the country regarding recredentialing. These faxes were troubling in nature because their purpose is unclear, and they may have been sent to non-contracted physicians. The AMA has registered concern with MultiPlan regarding these faxes.

MultiPlan confirmed that these faxes were sent by Medversant, a group MultiPlan has contracted with to handle its recredentialing issues. MultiPlan claims that these faxes were intended to go to physicians: (1) who are contracted with MultiPlan or Private Healthcare Systems (PHCS); (2) who have not been recredentialed in the last three years; and (3) who have not responded to previous requests for credentialing information. However, other state medical societies have received numerous complaints from physicians who do not believe they are in either of these networks. Several of these physician complaints appear to be tied to previous MultiPlan or PHCS contracts through a dissolved physician hospital organization.

Physicians can visit the MultiPlan Web site at www.multiplan.com/patients/ to determine whether they are listed in either the MultiPlan or PHCS provider directory.

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Comments: 1


My concern is that the faxes request very private and sensitive identifying information like EIN and SSN. If this is recredentialing then why is my EIN, NPI, SSN etc not already listed on the application? A call to the company resulted in thier efforts to get me to give that information to them. They were unwilling to provide any information confirming that they are who they represent themselves to be or that they have any of my information on the original application

anonymous at 2/17/2010 1:24:01 PM

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