MPCN holds contracts with more than 20 different commercial payers. A commercial payer refers to a third-party administrator or an insurance company operating within the private/commercial health insurance sector. These payers collaborate with employer groups to provide health benefit insurance plans to their employees.

In addition to partnering with commercial payers, MPCN collaborates with managed care organizations working across the state to administer a diverse range of government-sponsored healthcare programs. We have participated in developing and maintaining networks for twelve distinct products, including the MSCAN program, CHIP, Marketplace (Exchange), Medicare Advantage, D-SNP, I-SNP, and an ACO. Participation in any of these products is optional.

These collaborations bring significant benefits to our physicians and healthcare providers by expanding access, enhancing patient care opportunities, and supporting the delivery of comprehensive healthcare solutions.

We simplify the process of joining any of these products through a seamless amendment to your existing MPCN agreement.

• This eliminates the need to undergo the time-consuming and complex task of initiating separate contracts with each individual insurance company. Our streamlined approach ensures a smoother and more efficient experience for providers, allowing you to focus on delivering quality care.

We take the hassle out of the credentialing process.

• As a participating practitioner in the MPCN network, you are fully credentialed in accordance with national standards required by both commercial and government-sponsored programs, including Medicare and Medicaid. This means that when you join any of these products through MPCN, you will not have to go through the credentialing process with each individual insurance company. Our credentialing policies and procedures are fully accepted, saving you time and effort while ensuring compliance with all necessary guidelines.

Our team assists with resolving claim issues, guiding practices through the process of joining these products, and providing comprehensive education and resources to ensure a clear understanding of each product.

• This personalized approach helps streamline operations and enhance the overall experience for both providers and their patients.

Some products offer a “premium rate” for physicians who participate through MPCN.