PHCS is widely regarded as the quality leader in the industry. Our accreditation and certification accomplishments underscore our commitment to setting PPO and care management quality standards. As accreditation becomes a critical element in the PPO evaluation process, our endorsements provide a clear distinction that will help health care purchasers in choosing PPO options.

Accreditations:

We are the first national PPO to hold URAC accreditation and NCQA certification for both network and utilization management services. For more information on our leadership in quality, download this .pdf
The Quality Leader in the PPO Industry.

NCQA is an independent, non-profit organization whose mission is to evaluate and report on the quality of the nation's managed care organizations. PHCS has earned:
  • NCQA certification for Credentialing
  • NCQA certification for Utilization Management

URAC, also known as the American Accreditation HealthCare Commission, is a 501(c)(3) (non-profit) charitable organization founded in 1990 to establish standards for the health care industry. URAC's broad-based membership includes representation from all constituencies affected by health care - employers, consumers, regulators, health care providers, and the workers' compensation and managed care industries. Member organizations participate in the development of standards and are eligible to sit on the Board of Directors. PHCS has earned:
  • URAC accreditation for Health Network
  • URAC accreditation for Health Utilization Management

Affiliations:

In addition, PHCS is a member of several national and international organizations active in the health care, insurance and employee benefits industries.
  • America's Health Insurance Plans (AHIP)
  • Self-Insurance Institute of America (SIIA)
  • International Foundation of Employee Benefit Plans (IFEBP)
  • American Association of Preferred Provider Organizations (AAPPO)

 
 
 
 
 
 
 
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