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Primary

Networks

Solutions that aim to deliver clarity, stability, and flexibility in an evolving market.

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Nationwide Access

Innovative Plan Design

Customizable, NCQA-accredited primary network solutions built for access and savings.

Whether you need a nationwide primary PPO or regionally focused coverage, our primary network solutions aim to deliver access that is efficiently deployed with measurable results, leveraging our credentialing standards, contracting expertise and network development specialists deliver access that is efficiently deployed and delivers measurable results.

Making our expertise Clear

98%

of participating providers contracted directly

1.4M

providers in Claritev network

45+

years of network building experience

PHCS® Network — Nationwide Primary PPO

Claritev offers the largest independent nationwide primary preferred provider organization (PPO) network. NCQA-accredited for credentialing and customizable based on provider mix and plan design, PHCS is ideal for national and multistate plans that need a single, credentialed primary network.

From nationwide to regionally-focused coverage, our primary network solutions provide access to more than 1 million credentialed providers, including practitioners, hospitals and ancillary facilities across the country.

As the nation’s largest independent NCQA-accredited PPO network, PHCS strives to maintain rigorous credentialing standards and high-quality benchmarks to give employers and health plans confidence in the care their members receive wherever they live or work.

With flexible configuration options such as practitioner-only, practitioner plus ancillary, facility-only, preventable services-only and limited benefit overlays, our primary networks can be designed to support your members and help manage costs effectively.

PHCS® Novera —
Primary PPO

A flexible primary network solution, PHCS Novera, empowers TPAs and employer groups with strong local provider access and national coverage in a competitive and configurable model.


The result? Flexibility. Control. Cost Containment. Built around leading local health systems, it connects members to trusted providers in their communities while maintaining broad access for traveling and remote members.

PHCS Novera also provides the flexibility to build a healthcare strategy around the vendors that best meet your needs. Organizations can choose their preferred Pharmacy Benefit Managers, utilization management providers, and other strategic vendors that can materially impact total plan costs, creating a customized approach to help manage healthcare spend while maintaining a strong member experience.

As business needs evolve, PHCS Novera is designed to scale alongside an organization, supporting growth and changing workforce needs with dedicated support every step of the way.

How Claritev builds primary networks.

NCQA-accredited credentialing practices for PHCS Network.

Data-driven contracting and network subsets for specialty or product-specific plans enabling flexibility and scale.

A national team of network specialists striving to blend Claritev’s network access with client needs.

Engaging insights.

Claritev insights, resources, and case studies

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How can Claritev help you design a network that improves member access and cuts out-of-network spend?

Learn how Claritev delivers the flexibility and nationwide reach you need to build credentialed, cost-effective access.

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