PHCS definition

PHCS means Private Healthcare Systems, Incorporated, a Delaware corporation with its headquarters in Waltham, Massachusetts, that organizes managed care networks.

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PHCS means any one or more of a group of chemicals known as petroleum hydrocarbons.

PHCS means 2067474 Investment LP, a subsidiary of LSCLP that is an accredited provider of professional nursing and personal support services for both community-based home care and LTC Facilities and carries on business under the name Preferred Health Care Services.

Examples of PHCS in a sentence

• Eliminate Private Healthcare Network (“PHCS”) from High HMO and POS Elite Network: AvMed will continue to assume administration over the County’s Medical Plans, and lease the Elite (PHCS) wrap network for medical services to achieve Provider discounted rates for out-of-area services.

• Nothing in this Agreement shall preclude PHCS from contracting with any PHS Network health care provider.

• PHCS is an arrangement whereby HPHC can process Claims for Benefits received by Members outside of Massachusetts, Maine and New Hampshire while accessing the reimbursement arrangement between a Provider and the PHCS network.

• The vast majority of PHCS Providers will assist members with obtaining the Prior Authorization.

• All members/dependents in the AvMed service area currently using PHCS providers would be redirected and transitioned to AvMed Network Providers, except those in POS who choose to use their out-of-network benefit, subject to applicable copays.

• All members/dependents in the AvMed service area currently using PHCS providers would be redirected and transitioned to AvMed Network Providers, except those in POS who choose to use their out-of- network benefit, subject to applicable copays.

• Dependents residing outside the network area may be covered through the PHCS network (Must complete “Away From Home” form for approval).

• Members receiving Benefits from a Provider in the PHCS network are generally responsible for cost sharing at the in-network level.

• Outside the Service Area, Members are entitled to receive Covered Benefits and Services from PHCS Network or Out-of-Network (Non-Participating) Providers, as described in this Contract.

• This Section 3.2 shall not apply (i) to contracting efforts by third parties, including, but not limited to, PHCS acting on behalf of the Reinsurer, for the purpose of developing managed care networks, provided, however, that, the names of health care providers solicited by such third parties shall not have been furnished by the Reinsurer, its employees or agents, or (ii) following the Termination Date of this Agreement, as described in the provisions of Article VIII hereof.

More Definitions of PHCS

PHCS has the meaning set forth in the introduction to this Agreement.