Check wait times ahead of time and reserve your spot online at our urgent care locations for illnesses and injuries (non life threatening emergencies. 866-842-3278, option 1, Electronic Data Interchange (EDI) Claims Mailing Address. 866-842-3278, option 1. Desert Oasis Health Care (DOHC) AOB Department 1401 N Westshore Blvd Tampa, FL 33607 Platinum Preferred Savings Program Members These IPA physicians are affiliated with BFMC/CCPN for the coordination of care rendered to members who have selected CCPN as their primary medical group. Click to launch an email request that will be routed to the appropriate customer care team. 888-239-3909. LAKE Lakeside Medical Group (818) 933-0571 (818) 654-3490 Heritage P.O.Box 371390 Reseda, CA 91337 (213)355-8988 LCC Little Rock Community Clinic . Suite 400 That size works to your advantage, allowing us to be there to coordinate all of your health care, when and where you need us. Mansfield, Texas 76063. Our tools are supported using Microsoft Edge, Chrome and Safari. 1132 Bishop St. Maitland, FL 32751, South Florida 2033 Meadowview Lane Lakeside Medical Group is a comprehensive healthcare provider with a network of physicians and services throughout the San Fernando, San Gabriel and Santa Clarita Valleys, as well as parts of Ventura and San Bernardino Counties. We re-credential providers every two years and may conduct on-site quality assurance audits. St. Joseph Heritage Healthcare. Help desk: 800-797-9791 Awarded to an individual or team based on the most significant quantitative results achieved by accelerating the transition of novel and innovative diagnostic tools and treatments to patients. UnitedHealthcare commercial and UnitedHealthcareMedicare Advantage plans Suite #375 If your request involves a specific facility, please select it - otherwise, select "General". 5757 Plaza Drive Salt Lake City, UT 84120, Network Management We take our motto Quality from Our Family to Yours seriously, and our family of Physicians and support teams work tirelessly to make sure that you and your family come first. Heritage Physician Network (HPN) IPA is an independent physician association organized in 1995 by independent practices in the Houston metropolitan area and has grown to over 800 providers. ADOC Medical Group (ADOC) is an independent practice association, a medical group of over 275 private physicians and 600 specialty physicians who are dedicated to providing affordable, quality healthcare for individuals of all ages. Suite 300 Compassion, Dignity, Justice, Excellence, Integrity. Suite 2600 P.O. HDMG has a long-standing promise to provide residents of the Antelope Valley with the highest quality health care possible. In 1979, Dr. Merkin founded the predecessor to Heritage Provider Network (HPN), which currently serves nearly 700,000 individuals in California, making it one of the largest IPAs in the United States. Lakeside Medical Group is a comprehensive healthcare provider with a network of physicians and services throughout the San Fernando, San Gabriel and Santa Clarita Valleys, as well as parts of Ventura and San Bernardino Counties. Omaha, NE 68164 Living up to our promise is an on-going commitment, which necessitates our growth as a multi-specialty medical group providing a wide range of health care services for our patients. Members who choose physicians of CCPN will see their doctors in their conveniently located private offices and also have access to a whole network of out-of-area specialists. Fax: 425-918-4766. Richardson, TX 75080, Network Management Our participating providers share our learning and knowledge to coordinate care, engage our patients, and improve health outcomes at an overall lower cost of care. "We applaud the efforts of those exceptional winners as they are the leaders and innovators we rely on to create a convergence of new technologies and science that will change healthcare outcomes in the next decade. *for Medicare members hours are 8 a.m. to 8 p.m. in all time zones, call 1.855.492.9028. Select your state to find information, service and support. Maryland Heights, MO 63043, Network Management Our commitment to complete patient care includes developing new and better ways of delivering healthcare. Kingston, NY 12402-5290, Behavioral health Medicare Advantage and Community Plan Get the most up-to-date claims status and payment information, and the ability to . Fax: 601-718-6584, Medicare Advantage and Community Plan Attn: Claims Processing. How will your members know that we are a Heritage Network Provider? Suite 600 Bakersfield Family Medical Center provides excellence in health care to our patients in professional settings that promote wellness and preventive medicine in Kern County. 3000 Bayport Drive For more information or if you have a specific question, you can contact us using one of the following methods. Yes. HDMG has a long-standing promise to provide residents of the Antelope Valley with the highest quality health care possible. At Regal, we know that navigating the healthcare system can be complicated for patients and for physicians. 877-542-9235, Network Management Syracuse, NY 13206, NYS Empire Plan They are always pleasant, patient and more than willing to assist whenever I call! We're located at 4550 California Avenue, Suite 100, in Bakersfield. Our team of healthcare professionals is available and ready to help you with all of your medical needs. San Luis Obispo, California 93401. Sierra Medical Group represents the future of medicine. jgluck@heritagemed.com. Our purpose is to provide our individual participating practices with the benefits derived from belonging to a larger group, such as potential improvement in Medicare Fee-For-Service rates, value-based programs offered by health plans, group purchasing programs, and financial incentives. mn_contracting@uhc.com, 9700 Health Care Lane Hearing loss affects 1 in 9 Americans, get the care you deserve. Heritage Healthcare Leadership Award: Karen Ignagni. 877-670-8432, Provider Relations Physician and Hospital Advocate Team Our team of healthcare professionals is available and ready to help you with all of your medical needs. "Our Heritage New York Healthcare Innovation Award winners reflect the dream, spirit and promise of healthcare innovation we all strive for. We believe the most important aspect of healthcare is tending to the personal needs of our patients. He is on the Visionary Board of the X-Prize Foundation. Attn: Provider claim disputes pcp-NetworkManagementServices@uhcsouthflorida.com, Miami Contact Claims. We have convenient locations throughout the Coachella Valley, Morongo Basin and Yucca Valley areas. HPN and its affiliates operate in New York, California, Arizona and Missouri providing high quality, cost effective healthcare with over one million patient members and are dedicated to quality, affordable health care, and putting patients' wellness first. This is why you will find easy access to your doctor, minimal waiting time for referrals, and staff members that genuinely care for your well-being. Find the right contact I need to contact Clear Inputs about TTY users: To reach any number listed here, dial 711. Suite 100 Suite 200 United States. Middle In addition, the Heritage Physician Network is a group of physicians located throughout Kern County who have joined together to form an Independent Physicians Association (IPA). UnitedHealthcare Community Plan 2717 N 118th Street, Suite 300 Omaha, NE 68164. Credentialing application - new providers. To speak to a VSP customer service representative, call 1.800.877.7195. Albany Suite 1900 Your Email Address Subject: Message. Suite 1700 claim submissions. Our facilities offer superior patient convenience by providing Urgent Care, Pharmacy, Lab, Radiology, Pediatrics and a variety of specialty services at one convenient site. Through innovative programs and services designed specifically for the managed care environment, HPN and its medical groups have been successful in delivering the goals it set out to achieve while establishing long-standing, favorable provider relationships. Starting on January 1, 2021, WellCare of Nebraska will be operating on Healthy Blue systems, which will require providers to be enrolled with Healthy Blue and submitting claims in accordance with their Nebraska Medicaid enrollment profile. Learn more about becoming a Premera provider. 888-887-9003, Network Management Lancaster, CA. With more than 150 highly-trained doctors in virtually every specialty, our medical excellence extends from primary care to leading edge surgical procedures. 8510 Balboa Boulevard Suite 285 888-980-8728 One way that we keep your overall health care costs low is by emphasizing preventative care in order to keep you healthy. Bioscrip-specialty drug: 800-584-0265, Network Management With a reputation built on quality, flexibility and responsiveness, Heritage provides superior vision plans at competitive prices. Our claims center is staffed with specialists who. The complete list of 25 finalists can be found at www.crainsnewyork.com/heritage. Heritage Sierra Medical Group Headquarters, 44469 10th Street West, Lancaster, CA, 93534, United States, Utilization Management - Clinical Criteria & Availability of Clinical Criteria (2021). Email info@imsi-usa.com. Email: claims@hcpipa.com (secure email only) Membership Eligibility 93534 USA. We have the resources and commitment to always bring the best to meet the new challenges and ever-changing health care needs of the Victor Valley region. We bring more than 20 years of innovation in healthcare delivery and management systems to our integrated network of services, which include hundreds of primary care physicians and over a thousand specialists; ancillary services, such as an outpatient surgery center, urgent care centers and physical therapy; and affiliations with premier hospitals, labs and other support services. Medicare Advantage and Community Plan 9100 Shelbyville Road Salt Lake City, UT 84130-0757 Provider Profile Details: NPI Number Details: Provider Business Mailing Address Details: Provider's Primary Taxonomy Details: Secondary Taxonomy Details: CHS provides HPN with health information analytics to care coordination, risk contracting to clinical expertise, and operational support. Box 5290 East: uhc-network-epa@uhc.com, Pittsburgh west At Regal, we know that navigating the healthcare system can be complicated for patients and for physicians. In addition, our Urgent Care is now open daily 6am - 8pm. HPN, working with CHS, adds to the expertise and aids in the financial wellness of its providers. Heritage Healthcare Organizational Leadership Award:Steven Safyer, MD (714) 937-6270 Fax. Our programs include Living and Aging Well, Home Health Services and Medication Management Services which are committed to improving your health proactively. Heritage Provider Network CLAIM THIS BUSINESS. Suite 900 100, Suite 420 818 Market St. Refund Address Nebraska Total Care Attn: Refunds PO Box 3713 Carol Stream, IL 60132-3713. Blue Cross and Blue Shield (BCBS) Plans currently administer Medicaid programs in several states. 39115 TRADE CENTER DR PALMDALE, CA 93551 Get Directions (661) 480-2000 . View real time claims and eligiblity. (800) 266-HDMG or (661) 945-5984 Columbia, SC 29210, Network Management Company profile page for Heritage Provider Network Inc including stock price, company news, press releases, executives, board members, and contact information #300 With a network spanning more than 5,000 square miles and thousands of health care providers, Regal Medical Group is part of one of Southern California's largest managed health networks. Highlighting cutting edge applications of technology and up-and-comers in the healthcare industry. Recognizing a leader in the New York area that has demonstrated significant impact in their healthcare field. P.O. Cincinnati, OH 45241, Northeast We are provider-led and primary care-focused with a wide network of specialty relationships. From state-of-the-art radiology to nearby walk-in labs, we offer multiple locations throughout Northern California to fit your busy needs. View claims and EOBs. For more than 25 years, we've been fortunate to have an impressive team of health care professionals, administrators, support personnel and dedicated volunteers who work in unison to help us deliver on our promise. Job Description The Compliance Lead is responsible for evaluating and determining the appropriate action on activities related to Health Plan reporting, audit preparation, health plan audit results and corrective action plans, benefit analysis and system design, manage special projects and auto-adjudication applications as it applies to auditing and claims compliance. In spite of our size, we remain rooted in close community and operate upon the simple, traditional principles of knowing our customer, and providing respectful, personal, quality care. P.O. Over 800 providers in the HPN work together to provide high-quality healthcare to their patients through coordinated care while experiencing practice growth and financial success. Your dispute must contain the following information: Provider's name. 3838 N. Causeway Blvd. Trilogy Health Solutions - Wisconsin Preferred Provider Network . Austin, Houston & San Antonio Call 888-261-9562 to reach Premera's BlueCard claims customer service team. 866-331-2243, Network Management As a prospective Heritage provider, you will undergo a rigorous initial credentialing and verification process before joining the network. Recognizing an innovator in the development of new modes of diagnosis, treatment and care who actively improves access to services and improves the quality of healthcare overall. Give us a call. 1485 Heritage Parkway. Northridge, CA 91325 800-527-0531, OptumRx fax (specialty medications) Access ID Card. Send Message. 43879 15th St West. Dr. Merkin contributes to numerous non-profit philanthropic organizations, and, among other things, founded the Los Angeles Jewish Symphony which is dedicated to providing music education to children. Heritage has the BEST Customer Service Staff Ever!!! Most solutions are at your fingertips using the UnitedHealthcare Provider Portal. At SMG your health is our priority. Salt Lake City, UT 84131-0364, HMO-SNP Part D only Lakeside Medical Group (LMG) Additionally, Dr. Merkin is on the Board of Overseers of the Los Angeles Music Center and the Los Angeles Philharmonic and the Board of Trustees for the Los Angeles County Museum of Art (LACMA). That size works to your advantage, allowing us to be there to coordinate all of your health care, when and where you need us. 312-453-7055, Network Management Fax: 859-825-6173, Louisville Miami, FL 33156 Iselin, NJ 08830, Medicare Advantage and Community Plan UnitedHealthcare UHN AL Heritage network doctors and providers undergo a rigorous credentialing process before they join our network. Youre the public face of the vision care programs we provide, and we value the relationship we have with you. 322 East Front St Seattle, WA 98101, Network Management 800-307-4959, Northern and Grant northeastprteam@uhc.com, Network Management (800) 747-2362, Heritage Provider Network To obtain a provider dispute form, please contact the Appeals Coordinator at (818) 654-3400. Suite 1250 West: uhc-network-wpa@uhc.com (415) 884-1801 Email: callcenter@meritagemed.com NorCal Claims & Correspondence PO Box 2160 Oakland, CA 94621 Central Valley Hours: Monday - Friday 8:30am - 5:00pm Phone: (833) 446-1758 Fax: (415) 475-5671 Email: centralvalleyservice@meritagemed.com Central Valley Claims & Correspondence PO Box 2440 Oakland, CA 94621 Salt Lake City, UT 84130-0760, Dual Complete (HMO D-SNP) Box 31364 Reston, VA 20191, Network Management (818) 637-2000 Does Heritage Vision Plans accept all types of providers? We collaborate with our physicians to provide quality care, while focusing on minimizing your out of pocket expenses. We believe the most important aspect of healthcare is tending to the personal needs of our patients. 1401 West Capitol Ave. In addition to creating and growing integrated delivery networks, Dr. Merkin has a long-standing interest in both prevention and cure. Box 61063 866-331-2243, available Monday - Friday from 7:00 am - 6:00 pm CST (6:00 am - 5:00 pm MST) Mailing Address. We accept over 85 different health plans, including HMO, PPO, POS, EPO, Private and Medicare plans. Empire: (844) 638-0404. Simple. Box 371330 Reseda, CA 91337 Your dispute can be submitted by a letter or by a provider dispute form. P.O. Over 800 providers in the HPN work together to provide high-quality healthcare to their patients through coordinated care while experiencing practice . Sign up with your email address to receive news and updates. 800-690-1606, Network Management Suite 1700 888-702-2202, Network Management Phoenix, AZ 85004, Claims & medical records 800-328-8835, Network Management www.myoptumhealthphysicalhealth.com, Health Plan Support Phoenix All members of Heritage Physician Network can access the full range of services, programs and specialists offered by BFMC. Fax: 615-372-3564, Southeast Free online nutrition, health education and fitness classes Contracted with most Medicare Advantage Plans For member services call (866) 654-3471 TDD/TTY users dial 711. Suite 1100 We also believe that during a visit to your doctor, the focus should be on health and wellness. Coastal Communities Physician Network (CCPN) To check claims status or dispute a claim: From the Availity home page, select Claims & Payments from the top navigation. 9700 Health Care Lane With a network spanning more than 5,000 square miles and thousands of health care providers, Regal Medical Group is part of one of Southern California's largest managed health networks. providertechsupport@uhc.com Salt Lake City, UT 84131-0364, General claim disputes New York, New York-May 22, 2017 - Heritage Provider Network (HPN) one of the nations most experienced and effective physician led value based care organizations and Crain's Custom Studio, a division of Crain's New York Business, today announced the winners in the 2nd annual Heritage Healthcare Innovation Awards. We partner with Collaborative Health Systems (CHS) to leverage their extensive experience in leading the value-based care market. UnitedHealthcare Contact Claims. Box 30884 P.O. 3803 N. Elm St. UnitedHealthcare Community Plan He established The Richard Merkin Foundation for Stem Cell Research at the Broad Institute at Harvard and MIT, The Richard Merkin Initiative at the Johns Hopkins Brain Sciences Institute, and The Richard Merkin Foundation for Neural Regeneration at UCLA. Regal, we know that we are provider-led and primary care-focused with a wide of! Cross and blue Shield ( BCBS ) plans currently administer Medicaid programs in several.! Dispute must contain the following information: Provider & # x27 ; re located at 4550 California Avenue, 100... And Medicare plans state-of-the-art radiology to nearby walk-in labs, we offer multiple locations throughout Northern California to fit busy... ( 714 ) 937-6270 fax include Living and Aging Well, Home health Services and Medication Services..., MO 63043, Network Management As a prospective Heritage Provider, you will a... 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