Support for Members
We strive to support more affordable healthcare.
Claritev’s solutions support intelligent decision-making within organizations across the healthcare landscape, helping lower the cost of healthcare for all
Looking for a doctor or hospital?
Find them with the help of our easy-to-use provider serach tool.
Invite your provider to join our network.
Use the linked form below to nominate your provider.
Frequently Asked Questions by Members
Why is a MultiPlan logo on my insurance ID card?
The MultiPlan Network is a nationwide complementary PPO network. 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.
Is PHCS or MultiPlan my health plan?
No. The PHCS and MultiPlan networks are networks of medical doctors and facilities. Health plans use them in order to provide a broader choice of healthcare providers that offer discounted services to their members. Claritev does not offer insurance, does not administer benefit plans, and does not pay claims to the doctors or facilities in our network.
Is my doctor or medical facility in my Claritev network?
You can select Find a Provider in the upper right corner of our website to search for a doctor or facility. Your ID card may also list a phone number for this purpose.
How do I find a new doctor or medical facility in my network?
You can select Find a Provider in the upper right corner of our website to search for a doctor or facility. Your ID card may also list a phone number for this purpose.
My doctor’s information is incorrect in your online provider search. Who do I contact?
We appreciate hearing about any discrepancies we might have in our provider information. We want to keep it as current as possible. Please ask your healthcare provider to contact us with their updated information.
I cannot locate my doctor or medical facility when using the online provider search. What should I do?
The online provider search contains all providers that participate in our networks. If your provider is not listed, you may nominate him/her into the network by using the “Invite your provider to join our networks” form.
How can my doctor participate in your networks?
The online provider search contains all providers that currently participate in our networks. If your provider is not listed, you may nominate him/her into the network by using the “Invite your provider to join our networks” form.
There is a doctor listed in your network, but they no longer participate. What should I do?
Although we update the website daily, it is possible that providers drop out of the network or that staff at the provider’s office are unaware of their participation. If your provider indicates that they do not participate, please contact a customer service representative at the telephone number listed on your healthcare ID card to bring the matter to our attention.
I am unable to find a particular medical specialty in the drop-down list. How can I find it?
Our network includes providers associated with the majority of specialties. If you are unable to locate a particular specialty, please contact the 1-800 number listed on the back of your ID card.
Do dentists participate in your network?
Claritev 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.
How do I access benefits and eligibility information?
As Claritev 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.
Who do I contact regarding co-payment or deductible payment questions?
You have access to providers in our networks through your health plan, but we do not administer your plan or maintain information regarding your insurance. For payment questions, including those about co-payments, deductibles, and premiums, directly contact your insurance company, human resources representative, or health plan administrator.
Statement of Member Rights
Claritev Corporation, on behalf of itself and its subsidiaries (“us”, “we”, or “our”) operates http://www.claritev.com (the “Site”). We are committed to preserving and respecting member rights. Below is our statement recognizing member rights and protections. We expect our network providers, including individual practitioners, to support (and act) in accordance with these rights.
Claritev’s Role
Members have the right to receive accurate, easily understood information about us, the services we provide, the providers in our networks, member rights, rights of our network providers, and how to contact us regarding concerns about our services or networks.
Right to Privacy
Members have the right to be treated with respect and recognition of their dignity and the right to privacy. This right includes protecting their Personal Information. It also includes their right to review their Personal Information on file with us, as required by applicable Federal and State law. See our Privacy Policy for more information.
Network Provider Communication
Members have the right to communicate with network providers when making decisions about your healthcare, without interference from us.
Complaints About Claritev
Members have the right to register complaints about us, our services, determinations, or the care provided by a MultiPlan or PHCS network provider. This includes the right to have complaints addressed in a timely manner through formal procedures, appropriate to the nature of the complaint.
Choice of Healthcare Provider
Members have the right to choose healthcare providers from the MultiPlan or PHCS network, consistent with the terms of their health benefit plans and applicable Federal and State law.
Healthcare Services Discrimination
Members have the right to receive healthcare services without discrimination. Claritev’s network providers are prevented, by contract, from differentiating, or discriminating, against members due to certain member characteristics, and are required to render such services to all members in the same manner, in accordance with the same standards and same availability as offered to the network provider’s other patients.
We use our best efforts to ensure all members are afforded these rights. If you feel your rights have not been met, you may voice your concern through our complaint resolution process. Our complaint resolution process is a formal mechanism we use to address members’ concerns about their healthcare from our network providers.
To begin the complaint resolution process, kindly document the complaint in writing and send it to:
Claritev
16 Crosby Drive
Bedford, MA 01730
Attn: Corporate Quality Management
Louisiana Act 354 Listing
Need to contact Claritev?
To locate a participating provider, please refer to the instructions on your healthcare ID card as your health plan may have established a telephone number customized for the plan.
Otherwise, you may call one of the following telephone numbers or use the Find a Provider tool:
- For the PHCS Network, 1-800-922-4362
- For PHCS Healthy Directions, 1-800-678-7427
- For the MultiPlan Network, 1-888-342-7427
- For the HealthEOS Network, 1-800-279-9776
- For language assistance, please call 1-866-981-7427
- For TTY/TTD service, please call 1-866-918-7427
Need additional support from the Claritev team?
Reach out to us with any questions you may have about our solutions. Our team is here to help!