We accept over 85 different health plans, including HMO, PPO, POS, EPO, Private and Medicare plans. We believe the most important aspect of healthcare is tending to the personal needs of our patients. San Diego, CA 92121, Sacramento County HDMG has a long-standing promise to provide residents of the Antelope Valley with the highest quality health care possible. GANetwork_Physician@uhc.com, Optum Behavioral Health Throughout the twenty year history of our medicalgroup, we have diligently invested our resources in the development of programs and services responsive to the healthcare needs of todays patient while adapting to the increasingly diverse needs of tomorrows healthcare agenda. Our commitment to complete patient care includes developing new and better ways of delivering healthcare. Email: Credentialing.Updates@Premera.com. 800-291-2634, Medicare Advantage and Community Plan Box 2300 312-453-7055, Network Management Ridgeland, MS 39157 Login Now! . 800-666-1353, Medicare Advantage and Community Plan 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. CHS provides HPN with health information analytics to care coordination, risk contracting to clinical expertise, and operational support. Heritage providers are able to submit claims through our secured Provider Web Portal once enrolled, registration assistance will be provided, along with an overview of the features and benefits. Indianapolis, Fort Wayne, Southeast and Southwest Contact information for Heritage Provider Network, media relations, and our medical groups are as follows. 200 E Randolph St Suite 300 How can we help? 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. Provider Relations Physician and Hospital Advocate Team Just like yours. For ER admission/Urgent admission post stabilization, please reach out to us at (833) 554-2958. HDMG has a long-standing promise to provide residents of the Antelope Valley with the highest quality health care possible. Lexington, KY 40503 Heritage Vision Plans provides affordable, high-quality vision benefits for companies of all sizes. P.O. Claims Mailing address: PO Box 91059 Seattle, WA 98111-9159 Claim payer IDs Direct submission: Professional and Institutional 00430; Dental 47570 Clearinghouse submission: Contact your clearinghouse for the correct submitter ID (assigned by the clearinghouse) View claims and billing forms Customer service Box 5290 1001 Lakeside Ave. Failure to correct inaccurate information, or bill utilizing Medicaid . has more than 35 years of experience in health care with specific expertise in the development and administration of integrated delivery systems. 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. Please use this form for non-urgent, non-medical questions or comments. P.O.Box 31365 Add value to your clients benefits package. Box 31364 For Medicare members and their plan risk or out-of-area claims and/or direct Medicare member reimbursements, please submit them to: Western Health Advantage Mail Service. 322 East Front St Easy for you, clear for employees. Fax: 504-849-3551, Network Management Economical. Box 31364 Dr. Neskovic's Story "I chose to commit to an exclusive relationship and I've had steady and consistent growth as a result. At Regal, we know that navigating the healthcare system can be complicated for patients and for physicians. Heritage Research Investigators in Translational Medicine Award: Carl Nathan, MD View credentialing forms. Oswego, OR 97035, Network Management Closed: Major Holidays (Interactive voice response system available) With offices throughout the greater Orange County area, chances are board-certified primary care physician and board certified specialists you need are in your own neighborhood. Heritage Provider Network (HPN) is a limited Knox-Keene licensed organization in California that provides affordable quality care to its members. Send Message. customerservice@regalmed.com. Suite 300 We collaborate with our physicians to provide quality care, while focusing on minimizing your out of pocket expenses. In addition, our Urgent Care is now open daily 6am - 8pm. 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. Mon-Fri 7:30 am - 4 pm ST. Our Services. 3803 N. Elm St. 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. Suite 1100 3rd Floor To obtain a provider dispute form, please contact the Appeals Coordinator at (818) 654-3400. 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 . . Our team of healthcare professionals is available and ready to help you with all of your medical needs. (760) 245-4747 San Luis Obispo, California 93401. Box 30760 Referrals. An excellent team of specialty physicians who are either board certified or board eligible supports our primary care physicians providing you with a comprehensive healthcare network that is fully committed to your individual needs. 888-478-4760, Network Management HPNs medical and administrative management organization assesses internal and external statistical data and surveys to monitor compliance with medical policies, procedures and standards. Minnetonka, MN 55343, Network Management Suite 500 Box 61063 (800) 266-HDMG or (661) 945-5984 To obtain a provider dispute form, please contact the Appeals Coordinator at (818) 654-3400. Heritage Provider Network is located at 39115 Trade Center Dr in Palmdale and has been in the business of Computer Related . Louisville, KY 40222 Mansfield, Texas 76063. Medicare Fee-For-Service beneficiaries and health plan members can expect the highest quality, coordinated care from a primary care or specialist provider participating in HPN. Prior uthorization: 800-310-6826 UnitedHealthcare Box 371330. 800-210-8315, API Support We also believe that during a visit to your doctor, the focus should be on health and wellness. Metairie, LA 70001 How do I join and qualify to become a Heritage participating in-network provider? Members who choose physicians in Heritage Physician Network will see their selected doctors in their conveniently located private offices. Minnetonka, MN Finally, Dr. Merkin has recently endowed two scholars at the Engelberg Center for Health Care Reform at the Brookings Institute to study payment reform and clinical leadership and funded the Brain and Health Innovation Program at the Zilkha Neurogenetic Institute at the Keck School of Medicine. All Savers Health Plan The mailing address for Heritage Victor Valley Medical Group is 12370 Hesperia Rd, Suite 6, Victorville, California - 92395-7719 (mailing address contact number - 760-245-4747). 10 Cadillac Drive Mail. St. Joseph Heritage Healthcare. 5757 Plaza Drive 800-307-4959, Northern and Grant (Electronic claims submission) 1-800-977-3568: First Health Provider Relations: 1-800-937-6824: . 1089 Jordan Creek Parkway Our team of healthcare professionals is available and ready to help you with all of your medical needs. 1 East Washington St. Mailing Address Nebraska Total Care 2525 N 117th Ave, Suite . SoutheastPRteam@uhc.com, Facility Contracting For almost 30 years, Crain's New York Business has been the award-winning news source for New York's business leaders, telling the story of the New York economy, while serving as a voice and advocate for the city's business community. With a reputation built on quality, flexibility and responsiveness, Heritage provides superior vision plans at competitive prices. At Regal, we know that navigating the healthcare system can be complicated for patients and for physicians. He founded the Heritage Medical Research Institute, a non-profit medical research corporation emphasizing health care quality and outcomes studies. 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. They are always pleasant, patient and more than willing to assist whenever I call! Suite 200 Salt Lake City, UT 84130-0760, Dual Complete (HMO D-SNP) Carolinas_Physician_Contracting@uhc.com, Network Management NetworkHelp@uhc.com, UnitedHealthcare Community Plan of Georgia (Medicaid) Sierra Medical Group represents the future of medicine. hdmg.net 12370 Hesperia Road Ste. 125 South 84th St. 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. Prior to rendering services, you may verify member eligibility, determine level of benefit coverage, and obtain authorizations through our Heritage Provider Web Portal or you may contact our Customer Service Center at 800.252.2053, Monday Friday 9am 8pm EST and on Saturday 9am 4pm EST, for assistance. Atlanta, GA 30328, Network Management Company profile page for Heritage Provider Network Inc including stock price, company news, press releases, executives, board members, and contact information P.O. Call 911 if you have a life-threatening emergency. DOHCs services include access to 6 Immediate and Urgent Care Centers - Bermuda Dunes, Indio, Palm Desert, Palm Springs and Yucca Valley. View Top Employees from Heritage Provider Network 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. Our facilities are equipped with some of the finest diagnostic equipment and technicians available. CCPN is an Independent Practice Association (IPA) formed in 2006, consisting of a network of contracted physicians located throughout the San Luis Obispo and Tulare counties. 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. With more than 90 physicians and locations throughout South Orange County, our physicians will treat you when you're sick, and keep you well with innovative programs and specialized services. Suite 600 All members of CCPN can access a full range of services, programs and specialists through these contracted providers. Your dispute must contain the following information: Provider's name Provider's identification number East: uhc-network-epa@uhc.com, Pittsburgh west Bakersfield Family Medical Center provides excellence in health care to our patients in professional settings that promote wellness and preventive medicine in Kern County. As a Heritage Vision Plans provider, you always have a provider representative available to answer questions and address your needs. Heritage Victor Valley Medical Group has exceeded our members expectations since its inception in 2003 through personalized care by a staff of skilled professionals, a speedy referral system, and a panel of specialists to serve all your medical needs. 35 Casa Street, Suite 170, San Luis Obispo, CA 93401 (805) 540-5035 Get Directions 325 Posada Lane, Templeton, CA 93465 (805) 239-0644 Get Directions Blue Cross and Blue Shield (BCBS) Plans currently administer Medicaid programs in several states. From our approach to prevention and disease management to our hospitalist program and more, your care is coordinated so that you have the best possible outcomes. One way that we keep your overall health care costs low is by emphasizing preventative care in order to keep you healthy. You always have a provider service representative available to help either by telephone, email or the contact us form. Heritage Provider Network (HPN) is a limited Knox-Keene licensed organization in California that provides affordable quality care to its members. Our programs include Living and Aging Well, Home Health Services and Medication Management Services which are committed to improving your health proactively. Professor of Medicine, New York Medical College; Chief of Medicine, NYC Health + Hospitals/Metropolitan. 93534 USA. Puerto Rico Network Management Suite 400 Messages sent via this form should not contain personal health information. Attn: CA124-0197 Recognizing a leader in the New York area that has demonstrated significant impact in their healthcare field. Phone: 800-763-7732. 866-331-2243, Network Management 800-711-4555, OptumRx fax (non-specialty medications) Richardson, TX 75080, Medicare Advantage and Community Plan As of November 1, 2018, WellCare Health Plans, Inc., is directing all the EDI claim submissions sent to the payer IDs shown in the grid below to WellCare's payer ID (14163) regardless of the date of service. As a Heritage Vision Plans provider, you always have a provider service representative available to answer questions and address your needs. Mon-Fri: 8:00 a.m. - 5:00 p.m. Senior Member Concierge Line (818) 357-5000 press option 1, then press option 6. 495 North Keller Road #200 1311 W. President George Bush Highway Kingston, NY 12402-5290, Behavioral health We aim to deliver quality, affordable healthcare to the communities we serve. Ph: 714.937.6143. Throughout the twenty year history of our medicalgroup, we have diligently invested our resources in the development of programs and services responsive to the healthcare needs of todays patient while adapting to the increasingly diverse needs of tomorrows healthcare agenda. If the claim is denied or final, there will be an option to dispute the claim. 170 Wood Ave. South That size works to your advantage, allowing us to be there to coordinate all of your health care, when and where you need us. Overland Park, KS 66211, Medicare Advantage and Community Plan We have convenient locations throughout the Coachella Valley, Morongo Basin and Yucca Valley areas. As a prospective Heritage provider, you will undergo a rigorous initial credentialing and verification process before joining the network. We accept over 85 different health plans, including HMO, PPO, POS, EPO, Private and Medicare plans. As a Heritage Vision Plans Provider, you are the public face of the vision care programs we provide, and we value the relationship we have with you. Philadelphia, PA 19103, Network Management By joining the IPA and being part of a CIN, providers have committed to continuous improvement through education, engaging with their peers, and sharing best practices within the IPA. 6465 Greenwood Plaza Blvd. Bioscrip-specialty drug: 800-584-0265, Network Management With offices throughout the greater Orange County area, chances are board-certified primary care physician and board certified specialists you need are in your own neighborhood. Dr. Merkin is also on the board of United Friends of the Children, a group that serves the growing population of foster youth by targeting their special needs through education. The Arizona group, which just began operations on January 1, 2012, is already serving a large Medicare Advantage population throughout Maricopa County. Our programs include Living and Aging Well, Home Health Services and Medication Management Services which are committed to improving your health proactively. Steps to getting contracted plus plan information, Phone numbers and links for connecting with us, List of contracted, high-quality independent lab providers, Update, verify and attest to your practice's demographic data, Provider search for doctors, clinics and facilities, plus dental and behavioral health, Policies for most plan types, plus protocols, guidelines and credentialing information, Specifically for Commercial and Medicare Advantage (MA) products, Pharmacy resources, tools, and references, Updates and getting started with our range of tools and programs, Reports and programs for operational efficiency and member support, Resources and support to prepare for and deliver care by telehealth, Tools, references and guides for supporting your practice, Log in for our suite of tools to assist you in caring for your patients. All members of Heritage Physician Network can access the full range of services, programs and specialists offered by BFMC. Maitland, FL 32751, South Florida He is on the Visionary Board of the X-Prize Foundation. 2425 James St. In 2006, The Richard Merkin Middle School opened its doors in Los Angeles which is committed to bringing first-rate education to an under-served area. 2 Allegheny Center P.O. Send your new credentialing application by mail, fax, or email: Mail: PO Box 327 - MS 263 Seattle, WA 98111-0327. P.O. Credentialing application - new providers. We are provider-led and primary care-focused with a wide network of specialty relationships. 10151 Deerwood Park Request a copy of your contract "We applaud their continued dedicated commitment to shine a spotlight on those leaders who are thinking big-exploring new and novel health care approaches, offerings or services in New York and extend our sincerest congratulations to all of the 2017 Heritage Healthcare Innovation Awards finalists and winners.". Quest Integration Waltham, MA 02451, Network Management Phoenix, AZ 85004, Claims & medical records Together, we have the resources to participate in the incentives that are part of value-based care programs. 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. 800-600-9007, Network Management 888-362-3368, Provider Relations Physician and Hospital Advocate Team With 6 urgent cares in your area, why not save time and money? Developing and managing coordinated, patient-doctor centric, integrated health care systems that offers some of the strongest solutions for the future of health, care and cost in the United States. 2525 Lake Park Blvd. Provider Service Contact Number; Health Net Provider Services Center (Except Medi-Cal and Medicare) . Check wait times ahead of time and reserve your spot online at our urgent care locations for illnesses and injuries (non life threatening emergencies. 1 East Washington Our facilities offer superior patient convenience by providing Urgent Care, Pharmacy, Lab, Radiology, Pediatrics and a variety of specialty services at one convenient site. 43879 15th St West. Smart vision plans. Mission: We have designed our networks . (800) 747-2362, Heritage Provider Network 100 "Our Heritage New York Healthcare Innovation Award winners reflect the dream, spirit and promise of healthcare innovation we all strive for. (817) 477-0400. Lakeside Community Healthcare P.O. Fax: 859-825-6173, Louisville Update Your Provider Information. 2023 Collaborative Health Systems Regal Medical Group works together with your healthcare plan and your PCP to keep things running smoothly. Mail Route CT039-10A DOHC is a team of highly skilled primary care physicians and ancillary providers, servicing the community with all their health care needs from newborn to senior care. These breakthrough innovators are making significant contributions in the areas of technology, research, or new approaches to healthcare systems. Our Approach. Affiliated Doctors of Orange County (ADOC) 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). General API support APIconsultant@uhc.com Regal Medical Group (RMG) 2300 Clayton Road In partnership with CHS, we have developed population health, clinical, care management, quality reporting, and telehealth capabilities. Heritage network doctors and providers undergo a rigorous credentialing process before they join our network. Our customer-first approach works well for members, clients, providers and agents. Dept. Track Deductibles and Out of Pockets. Please call our toll free numbers for more information: (800) 918-7302 for Medi-Cal. Individual Exchange plans Richardson, TX 75080, Network Management Box 10 Anaheim, CA 92815-0010 Enrollment Customer Service Tel. Fax: 855-253-3236 Honolulu, HI 96813, Health plan support These IPA physicians remain affiliated with BFMC although they maintain their own individual offices. Our Lancaster facility offers the convenience of having your Primary Care Physician, Lab, X-Ray, Urgent Care, Pharmacy, a Health Education Department, Infusion Center, and a multitude of subspecialties all under the same roof. Box 31364 Page Footer I want to. 800-328-8835, Network Management Coastal Communities Physician Network. inquiries@heritagemed.com. 8th Floor To join our Heritage Provider Network, fill out our Provider Enrollment Inquiry Form. All members of CCPN can access a full range of services, programs and specialists through these contracted providers. If you wish, you may contact us instead via non-cellular telephone at the numbers provided on our Contact Us page or Member Services at 866-654-3471 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. Suite 301 #300 1208 Pointe Centre Drive Optum We accept over 85 different health plans, including HMO, PPO, POS, EPO, Private and Medicare plans. The healthcare awards competition garnered nominations across the spectrum of New York healthcare, from exciting early stage startups, to long established centers of New York Medical innovation. Access primary care doctors in the Providence network. Suite 200 We process clean claims within 48 hours, and we issue payments twice a month. That's where an IPA, like Regal Medical Group, is able to serve both patients and physicians, by managing the business of managed care so that you don't have to. 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. Phone: 1 (855) 536-2744 Fax: 1 (866) 929-4530 Claims Questions Immediately call Heritage Insurance toll-free at 1-855-415-7120 to report how, when and where the damage occurred. New York, NY 10119, Health plan support From our approach to prevention and disease management to our hospitalist program and more, your care is coordinated so that you have the best possible outcomes. We believe the most important aspect of healthcare is tending to the personal needs of our patients. 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. 8880 Call Center Drive 230 Lexington Green Circle Heritage Healthcare Leadership Award: Karen Ignagni. At SMG your health is our priority. of Special Projects (661) 951-3224 ocampos@heritagemed.com Claims Mailing Address. All Savers Health Plan Medical Group Heritage Provider NetworkWeighs $9 Billion-Plus Sale. Request . P.O. 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