P.O. 400 E. Business Way Mon-Fri 7:30 am - 4 pm ST. Our Services. Suite 5300 One way that we keep your overall health care costs low is by emphasizing preventative care in order to keep you healthy. The awards honored those innovators who have most improved the access to and quality of affordable healthcare in the communities they serve in the greater New York area. Indianapolis, Fort Wayne, Southeast and Southwest View information for out-of-area providers. Western Iowa counties Pottawattamie, Harrison and Mills - Managed by Nebraska Network Management Claims Address Nebraska Total Care Attn: Claims PO Box 5060 Farmington, MO 63640-5060. New York, NY 10119, Health plan support Philadelphia, PA 19103, Network Management 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. At SMG, we work hard to ensure that our patients receive quality medical care. Day surgery/professional. 877-542-9235, Network Management Bioscrip-specialty drug: 800-584-0265, Network Management 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. At SMG your health is our priority. Anaheim, CA 92825-0027. Box 2300 For more information, call (866) 654-3471 and request Network Management. Oswego, OR 97035, 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. Box 30760 800-527-0531. 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. Lancaster, CA. Provider Relations Physician and Hospital Advocate Team We also believe that during a visit to your doctor, the focus should be on health and wellness. Suite 900 2023 Collaborative Health Systems Syracuse, NY 13206, NYS Empire Plan Suite 100 A completed claim must be submitted on a CMS-1500 form for professional services and a CMS-1450 form for hospital/facility services and must have the following information: Call 911 if you have a life-threatening emergency. How can we help? Miramar, FL 33027, Tampa Behavioral health (outpatient): 1-844-430-1703. Puerto Rico Network Management 800-711-4555, OptumRx fax (non-specialty medications) 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. Monday - Saturday 6 a.m. to 5 p.m.*, Pacific Time. 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. 24/7 behavioral health and substance use support line. Jonathan Gluck Our team of 1,700 physicians ensures you have access to health care's brightest minds and biggest hearts across Orange County . Box 61063 Members will be able to access this information online at Find a Provider or they may contact our Customer Service Center for assistance. 2425 James St. As a Heritage Vision Plans provider, you always have a provider representative available to answer questions and address your needs. Las Vegas, NV 89128, Medicare Advantage and Community Plan Heritage Vision Plans makes vision benefits easy for everyone: for benefits managers and, most importantly, for employees using the benefits. Send Message. Regal Medical Group works together with your healthcare plan and your PCP to keep things running smoothly. Find the right contact I need to contact Clear Inputs about TTY users: To reach any number listed here, dial 711. Bakersfield Family Medical Center provides excellence in health care to our patients in professional settings that promote wellness and preventive medicine in Kern County. 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. Find a provider by zip code Submit a Claim Vision Terms You Should Know Contact Us Without vision coverage, I'm not sure where I would be today. 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. Phone: 877-7NYSHIP, Long Island and metro Empire: (844) 638-0404. Because everyone deserves to hear well and live happy, Heritage has teamed up with Amplifon Hearing Health Care to offer member savings on hearing health services and devices. Mental health. The theory is, if hospitalizations can be predicted, preventive measures can be taken and unnecessary hospitalizations can be avoided. 800-291-2634, Medicare Advantage and Community Plan We're located at 4550 California Avenue, Suite 100, in Bakersfield. We aim to deliver quality, affordable healthcare to the communities we serve. ac_edi_ops@uhc.com Throughout our twenty five year history serving Antelope Valley, we have diligently invested our time and resources in the development of programs and services responsive to the healthcare needs of today's patient, while adapting to the increasingly diverse needs of tomorrow's health care agenda. westprteam@uhc.com, Network Management Suite 300 Box 30884 Are you a provider outside of Washington or Alaska? 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. 800-842-3585, Network Management We are affiliated with every hospital in the Coachella Valley, which includes Eisenhower Memorial Hospital, Desert Regional Medical Center, John F. Kennedy Memorial Hospital and Hi-Desert Medical Center. Fax: 615-372-3564, Northern Network Management He is on the Visionary Board of the X-Prize Foundation. Submit an inquiry and review the Claims Status Detail page. 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. UnitedHealthcare St. Joseph. Eye health and wellness is a priority with Heritage Vision Plans, and we believe in giving back to the communities where we live and work. Cincinnati, OH 45241, Columbus Heritage Provider Network (HPN) is a limited Knox-Keene licensed organization in California that provides affordable quality care to its members. In addition, our Urgent Care is now open daily 6am - 8pm. Heritage Provider Network is located at 39115 Trade Center Dr in Palmdale and has been in the business of Computer Related . Phone: 800-763-7732. Pittsburgh, PA 15212, Philadelphia east Seattle, WA 98101, Network Management 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 1 Penn Plaza 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. 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. Health-care provider is working with an adviser to assist it. Your Email Address Subject: Message. 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. 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). 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. We re-credential providers every two years and conduct on-site audits. We accept both private practice providers and those affiliated with retail locations or corporate chains. "The Heritage Healthcare NY Innovation awards honors and recognizes those on the front lines of healthcare delivery successfully fighting daily for improved healthcare at lower costs for millions of New Yorkers and their families," said Dr. Richard Merkin, President and CEO of HPN. Check wait times ahead of time and reserve your spot online at our urgent care locations for illnesses and injuries (non life threatening emergencies. His leadership has inspired the formation of over 28 group model and IPA structures in California, New York and Arizona. P.O.Box 31365 (661) 327-4411 185 Asylum St. 800-853-3844, Our tools are supported using Microsoft Edge, Chrome and Safari. centralPRteam@uhc.com, Network Management 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. Youre the public face of the vision care programs we provide, and we value the relationship we have with you. Our commitment to complete patient care includes developing new and better ways of delivering healthcare. Ste 5300 SoutheastPRteam@uhc.com, Facility Contracting Kingston, NY 12401 888-362-3368, UnitedHealthcare Oxford health plans 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. 3175 Lenox Park Blvd. Miami, FL 33156 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. (Electronic claims submission) 1-800-977-3568: First Health Provider Relations: 1-800-937-6824: . President and CEO, Montefiore Medicine. General API support APIconsultant@uhc.com Sierra Medical Group represents the future of medicine. 888-887-9003, Network Management OptumRx fax (specialty medications) 800-853-3844. From state-of-the-art radiology to nearby walk-in labs, we offer multiple locations throughout Northern California to fit your busy needs. Contact Us: Home Contact Us: Network Support Services. 2033 Meadowview Lane Medicare Advantage and Community Plan With 6 urgent cares in your area, why not save time and money? 8880 Call Center Drive Mission: We have designed our networks . We collaborate with our physicians to provide quality care, while focusing on minimizing your out of pocket expenses. Attn: Claims Processing. 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. 13655 Riverport Drive sd_contracting@uhc.com, Network Management East: uhc-network-epa@uhc.com, Pittsburgh west GANetworkOPS_fac-anc@uhc.com, Physician Contracting 2000 West Loop South He founded the Heritage Medical Research Institute, a non-profit medical research corporation emphasizing health care quality and outcomes studies. Suite 1250 495 North Keller Road #200 hdmg.net 12370 Hesperia Road Ste. southeastPRteam@uhc.com, Network Management 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. 8th Floor Milwaukee, WI 53214, Medicare Advantage and Community Plan For Providers: Contact Us If you're a provider who needs to contact us about one of our Blue Cross Blue Shield of Michigan, Blue Care Network or our Medicare products, start here. We have convenient locations throughout the Coachella Valley, Morongo Basin and Yucca Valley areas. For more information or if you have a specific question, you can contact us using one of the following methods. Suite 300 Heritage has $600 million to $700 million of annual Ebitda. 13 Cornell Road 888-650-3462, 6860 West 115th St. Payer ID#: 87726 (EDI Claims Submission), Claims HPN, working with CHS, adds to the expertise and aids in the financial wellness of its providers. *for Medicare members hours are 8 a.m. to 8 p.m. in all time zones, call 1.855.492.9028. Mon-Fri: 8:00 a.m. - 5:00 p.m. Senior Member Concierge Line (818) 357-5000 press option 1, then press option 6. Together, we partner with local hospitals, medical experts and business leaders, and we actively support numerous organizations, educational, cultural and recreational events. The complete list of 25 finalists can be found at www.crainsnewyork.com/heritage. (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 . 656 Santa Rosa Street, Suite 2A. 43879 15th St West. Media Relations (Media Inquiries Only): Jonathan Gluck jgluck@heritagemed.com Medical Group Inquiries (Member services, provider relations, claims): Bakersfield Family Medical Center (BFMC) (661) 327-4411 Professor of Medicine, New York Medical College; Chief of Medicine, NYC Health + Hospitals/Metropolitan. Electronic submission Information/ Mail address Phone Authorizations Claims MLKH Martin Luther King Jr. Multi-Service Ambulatory Care Center . Hartford, CT 06103, UnitedHealthcare Oxford Health Plan He is a member of the board of the California Association of Physician Groups. Kingston, NY 12402-5290, Behavioral health 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. Tampa, Florida 33607, Preferred Care Partners and Preferred Care Network To obtain a provider dispute form, please contact the Appeals Coordinator at (818) 654-3400. UnitedHealthcare Community Plan 2717 N 118th Street, Suite 300 Omaha, NE 68164. 800-210-8315, API Support Salt Lake City, UT 84120, Network Management Outside of healthcare, Dr. Merkin is involved in educational, economic and youth issues. Our facilities offer superior patient convenience by providing Urgent Care, Pharmacy, Lab, Radiology, Pediatrics and a variety of specialty services at one convenient site. 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. Fax: 615-372-3564, Southeast Sierra Medical Group (SMG) We also believe that during a visit to your doctor, the focus should be on health and wellness. Heritage Provider Network Address 43879 15th St West Lancaster, CA 93534 USA Industry Finance and Insurance View all jobs at Heritage Provider Network Report Job Other Helpful Pages Related To Medical Claims Auditor All Jobs Medical Claims Auditor Jobs P.O. 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. Salt Lake City, UT 84131-0364, HMO-SNP Part D only 800-690-1606, Network Management Minnetonka, MN 55343, Network Management 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 Lakeside Community Healthcare P.O. Iselin, NJ 08830, Medicare Advantage and Community Plan Credentialing application - new providers. Winners were announced in the following five categories at a luncheon ceremony at the New York Athletic Club in Manhattan: Heritage Innovation in Healthcare Delivery Award: Nora V. Bergasa, MD, MACP, FAASLD, AGAF. 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). (800) 500-5215 or (760) 320-5134 Heritage Sierra Medical Group Headquarters, 44469 10th Street West, Lancaster, CA, 93534, United States, Utilization Management - Clinical Criteria & Availability of Clinical Criteria (2021). 100 Mission Heritage Medical Group is home to a team of board-certified primary care physicians and specialists serving the South Orange County communities. 5900 Parkwood Place 5th floor Nurses . 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. 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. Individual Exchange plans Please call our toll free numbers for more information: (800) 918-7302 for Medi-Cal. 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. We'll use your location to find clinics, hospitals and doctors closest to you. Maitland, FL 32751, South Florida 1485 Heritage Parkway. Richardson, TX 75080, Network Management Heritage Provider Network in Lancaster, CA What email should the hiring manager contact you at? 800-527-0531, OptumRx fax (specialty medications) Box 4380. Regal Medical Group works together with your healthcare plan and your PCP to keep things running smoothly. Preventive health care services include employer-based health education programs, vaccinations and fitness programs. providertechsupport@uhc.com. Phoenix 877-614-0484. 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. Smart vision plans. Our Approach. Reseda, CA 91337. Our facilities are equipped with some of the finest diagnostic equipment and technicians available. 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. DOHCs services include access to 6 Immediate and Urgent Care Centers - Bermuda Dunes, Indio, Palm Desert, Palm Springs and Yucca Valley. SoutheastPRteam@uhc.com, UnitedHealthcare Community Plan of North Carolina (Medicaid) Centennial, CO 80111, Health plan support Cypress, CA 90630, Network Management 800-307-4959, Northern and Grant Honoring an organization that has fundamentally changed how healthcare is delivered. Call 888-261-9562 to reach Premera's BlueCard claims customer service team. Suite 400 312-453-7055, Network Management Ridgeland, MS 39157 Utilization Denial & Appeals Department Mailing Address P.O. Initial admission notifications and all other services: 1-800-964-3627. 877-651-6677, Network Management Need access to the UnitedHealthcare Provider Portal? Suite 600 Lake Easy for you, clear for employees. CMS 1500 form completion. Patients may have access to additional benefit enhancements and healthcare programs thanks to their doctors participation in HPN. That size works to your advantage, allowing us to be there to coordinate all of your health care, when and where you need us. With an important distinction. Most solutions are at your fingertips using the UnitedHealthcare Provider Portal. Through innovative programs and services designed specifically for the managed care environment, HPN and its medical groups have been . Pioneer Provider Network, A Medical Group, Inc . Heritage Healthcare Leadership Award: Karen Ignagni. 800-666-1353, Medicare Advantage and Community Plan Yes. With over 31,000 providers nationwide, our members are never far from quality vision care. Email: Credentialing.Updates@Premera.com. We accept over 85 different health plans, including HMO, PPO, POS, EPO, Private and Medicare plans. 93534 USA. Box 371330 Reseda, CA 91337. View all open positions on our careers page. Warwick, RI 02886, Optum Behavioral Health Your location: Learn more about our mission, vision and values. Manage your own frame stock; no frame towers or kits, CAQH credentialing accepted to simplify enrollment, Over 98% of our members utilize a Heritage Network Provider. Your dispute must contain the following information: Provider's name. With more than 150 highly-trained doctors in virtually every specialty, our medical excellence extends from primary care to leading edge surgical procedures. 3100 SW 145th Ave. Get the latest information from Heritage for your practice, and dont miss out on new developments as we upgrade our provider resources. We make it our priority to provide help when you need it most. To speak to a VSP customer service representative, call 1.800.877.7195. Box 31364 In partnership with CHS, we have developed population health, clinical, care management, quality reporting, and telehealth capabilities. Suite 230 Concurrent clinical review documentation: 1-888-700-2197. Hearing loss affects 1 in 9 Americans, get the care you deserve. Metairie, LA 70001 West Des Moines, IA 50266, Health plan Support 800-600-9007, Network Management Concord CA 94520, Southern Network Management Heritage Vision Plans is a leading national provider of vision benefits plans with an extensive, nationwide network of eye care providers. Box 30757 100, Suite 420 Fax: 504-849-3551, Network Management We collaborate with our physicians to provide quality care, while focusing on minimizing your out of pocket expenses. Our facilities are equipped with some of the finest diagnostic equipment and technicians available. If you are having difficulties navigating our site using assistive technology, please contact Customer Service at 1.800.282.7648 for help. Sierra Medical Group represents the future of medicine. Learn more about our mission, vision and values. Columbia, SC 29210, Network Management Their provider and customer service departments have always been excellent at answering our questions in a timely professional manner. uhc-network-de@uhc.com, 1818 Market St. Salt Lake City, UT 84131, Member Grievance & Appeals: Whether you are a primary care physician or specialist, we invite you to become a part of our growing organization. He is also on the Board of Directors for EdVoice, a group dedicated to education reform. has more than 35 years of experience in health care with specific expertise in the development and administration of integrated delivery systems. 888-702-2202, Network Management 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). (714) 937-6270 Fax. At SMG your health is our priority. Latham, NY 12110, Upstate This site is compatible with: 866-270-5785, San Diego County 888-478-4760, Network Management Corporate Office Number (818) 654-3400. Suite 200 Simple. 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. 3838 N. Causeway Blvd. 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. Box 371330 Reseda, CA 91337 Your dispute can be submitted by a letter or by a provider dispute form. ( 800 ) 918-7302 for Medi-Cal than 35 years of experience in health care with specific expertise in Business! Preventive medicine in Kern County, preventive measures can be submitted by letter... 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