Terms of Use | Privacy Policy, Specialist, acute care, or post-acute care working extensively with Primary Care providers, Focused on personalized care but want the advantages and tools of a large group. Waltham, MA 02451, Health plan support 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. SoutheastPRteam@uhc.com, UnitedHealthcare Community Plan of North Carolina (Medicaid) Fax: 859-825-6173, Louisville 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 . Simple. We're located at 4550 California Avenue, Suite 100, in Bakersfield. To speak to a VSP customer service representative, call 1.800.877.7195. Cincinnati, OH 45241, Northeast Bakersfield Family Medical Center provides excellence in health care to our patients in professional settings that promote wellness and preventive medicine in Kern County. 322 East Front St Philadelphia, PA 19103, Network Management Sacramento, CA 95826, Claims & Medical Records UnitedHealthcare commercial and UnitedHealthcareMedicare Advantage plans The Heritage Provider Network includes optometrists, ophthalmologists, and opticians. Behavioral health (outpatient): 1-844-430-1703. Find the right contact I need to contact Clear Inputs about TTY users: To reach any number listed here, dial 711. Miramar, FL 33027, Tampa We are affiliated with most major health plans, including many HMOs. Company Summary. NC_Net_Mgmt@Optum.com, Health Plan Support These IPA physicians remain affiliated with BFMC although they maintain their own individual offices. He is Co-Founder of FasterCures, an action think tank that seeks to speed up the time it takes to get important new medicines from discovery to patients. 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. HPN has implemented rigorous programs to review utilization, quality assurance compliance, medical risk management and patient issues and concerns. Carolinas_Physician_Contracting@uhc.com, Optum Behavioral Health 10 Cadillac Drive Whether you are a primary care physician or specialist, we invite you to become a part of our growing organization. West Des Moines, IA 50266, Health plan Support We accept over 85 different health plans, including HMO, PPO, POS, EPO, Private and Medicare plans. 800-291-2634, Medicare Advantage and Community Plan 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. All Savers Health Plan At SMG, we work hard to ensure that our patients receive quality medical care. You should be discussing things like prevention, diagnosis, treatment and healing, not coverage, networks, claims, regulations and billing. Heritage Provider Network CLAIM THIS BUSINESS. We accept both private practice providers and those affiliated with retail locations or corporate chains. 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. 877-651-6677, Network Management 43879 15th St West. hdmg.net 12370 Hesperia Road Ste. We believe the most important aspect of healthcare is tending to the personal needs of our patients. View Top Employees from Heritage Provider Network Salt Lake City, UT 84131-0364, Network Management Your dispute must contain the following information: Provider's name Provider's identification number 656 Santa Rosa Street, Suite 2A. 1311 W. President George Bush Highway P.O. 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. 800-903-5253, Network Management Suite 1170 All members of Heritage Physician Network can access the full range of services, programs and specialists offered by BFMC. Access primary care doctors in the Providence network. At SMG, we work hard to ensure that our patients receive quality medical care. This organization has created or championed new ways of thinking and doing, uniting diverse constituencies to work together. 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. Box 371330 Reseda, CA 91337. 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. A strong advocate for education, Dr. Merkin is on the boards of The Alliance for College-Ready Public Schools and the office of the Education Master Plan, organizations dedicated to helping the California educational system. 400 E. Business Way We re-credential providers every two years and may conduct on-site quality assurance audits. DOHCs services include access to 6 Immediate and Urgent Care Centers - Bermuda Dunes, Indio, Palm Desert, Palm Springs and Yucca Valley. (800) 414-5860 for Commercial & Medicare. (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 Fax: 855-253-3236 The New York operation currently serves over 115,000 individuals, including over 30,000 Medicare Advantage beneficiaries. 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. West: uhc-network-wpa@uhc.com 888-702-2202, Network Management 9100 S. Dadeland Blvd. To check claims status or dispute a claim: From the Availity home page, select Claims & Payments from the top navigation. Richardson, TX 75080, Medicare Advantage and Community Plan Dublin, OH 43016 Bldg. Our team of healthcare professionals is available and ready to help you with all of your medical needs. Email: claims@hcpipa.com (secure email only) Membership Eligibility 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. Medicare Advantage and Community Plan Behavioral health prior authorization fax: 877-840-5581, Claims 800-853-3844, Our tools are supported using Microsoft Edge, Chrome and Safari. Milwaukee, WI 53214, Medicare Advantage and Community Plan Box 31364 Request a copy of your contract 800-842-3585, 2023 UnitedHealthcare | All Rights Reserved, For dental, vision, behavioral and physical health providers, Sign in to the UnitedHealthcare Provider Portal, Health plans, policies, protocols and guides, The UnitedHealthcare Provider Portal resources, pcp-NetworkManagementServices@uhcsouthflorida.com, https://www.providerexpress.com/content/ope-provexpr/us/en/our-network.html, 24/7 behavioral health and substance use support line, Technical support for providers and staff, UnitedHealthcare Premium Program designation. Salt Lake City, UT 84130-0760, Dual Complete (HMO D-SNP) pcp-NetworkManagementServices@uhcsouthflorida.com, Miami His leadership has inspired the formation of over 28 group model and IPA structures in California, New York and Arizona. 8880 Call Center Drive "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. providertechsupport@uhc.com Dept. Oswego, OR 97035, Network Management Suite 3800 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 Implementing our benefits program is easy, and options are available for employer and employee plans. 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. Metairie, LA 70001 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. southeastPRteam@uhc.com, Network Management We believe the most important aspect of healthcare is tending to the personal needs of our patients. 3803 N. Elm St. GANetwork_Physician@uhc.com, Optum Behavioral Health 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. CHS provides HPN with health information analytics to care coordination, risk contracting to clinical expertise, and operational support. Call toll free 800.252.2053 or click here to send us your inquiry. When youre ready, call your physicians office or schedule an appointment online. Suite 1100 Suite 100 All members of CCPN can access a full range of services, programs and specialists through these contracted providers. 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. We re-credential providers every two years and conduct on-site audits. (TTY 711). Attn: Claims Processing. 877-743-8734, Network Management Track Deductibles and Out of Pockets. 12018 Sunrise Valley Drive Latham, NY 12110, Upstate Prior uthorization: 800-310-6826 Become a Heritage Vision Plans Provider, and join a dynamic, expanding network of eye-care professionals with access to a growing list of clients we serve. 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. We have convenient locations throughout the Coachella Valley, Morongo Basin and Yucca Valley areas. 13 Cornell Road Credentialing application - new providers. Patients may have access to additional benefit enhancements and healthcare programs thanks to their doctors participation in HPN. 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. Recognizing a leader in the New York area that has demonstrated significant impact in their healthcare field. 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. Competitors: Unknown. This field is for validation purposes and should be left unchanged. Need access to the UnitedHealthcare Provider Portal? 800-600-9007, Network Management Chicago, IL 60601-6602 950 Winter St. Email info@imsi-usa.com. Box 31364 inquiries@heritagemed.com. 2717 North 118th St., Suite 300 Members who choose physicians in Heritage Physician Network will see their selected doctors in their conveniently located private offices. 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. 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. (800) 266-HDMG or (661) 945-5984 Our goal is to help you make better care decisions for yourself and your family. Desert Oasis Health Care (DOHC) Sign up with your email address to receive news and updates. This forward-thinker has forever changed the way care systems work through new models, processes and pathways. Yes. 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. Most solutions are at your fingertips using the UnitedHealthcare Provider Portal. Pittsburgh, PA 15212, Philadelphia east CMS 1500 form completion. 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. Minnetonka, MN 55343, Network Management He is a member of the board of the California Association of Physician Groups. He is on the Visionary Board of the X-Prize Foundation. With more than 150 highly-trained doctors in virtually every specialty, our medical excellence extends from primary care to leading edge surgical procedures. Corporate Office Number (818) 654-3400. Lancaster, CA. P.O. We have convenient locations throughout the Coachella Valley, Morongo Basin and Yucca Valley areas. Heritage Research Investigators in Translational Medicine Award: Carl Nathan, MD Their provider and customer service departments have always been excellent at answering our questions in a timely professional manner. 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. Box 61063 With an important distinction. Office visits. You always have a provider service representative available to help either by telephone, email or the contact us form. 888-239-3909. (800) 500-5215 or (760) 320-5134 Syracuse, NY 13206, NYS Empire Plan Claims. 5 Centerpointe Drive Request . 877-614-0484. Salt Lake City, UT 84130-0757 Mission: We have designed our networks . Phoenix Maitland, FL 32751, South Florida Concord CA 94520, Southern Network Management For ER admission/Urgent admission post stabilization, please reach out to us at (833) 554-2958. We make it our priority to provide help when you need it most. Salt Lake City, UT 84131, Member Grievance & Appeals: View credentialing forms. (661) 945-9411 Our Approach. Visit your health plans website or call to ensure your doctor is in Providences network. Bioscrip-specialty drug: 800-584-0265, Network Management P.O. 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. YOU DESERVE Simplicity Easy for you, clear for employees. P.O. Contact information for Heritage Provider Network, media relations, and our medical groups are as follows. View claims and EOBs. Help desk: 800-797-9791 Heritage has the BEST Customer Service Staff Ever!!! Attn: Appeals Coordinator P. O. Scheduled Reports delivered. Lexington uhc-network-de@uhc.com, 1818 Market St. Just like yours. 888-980-8728 Referrals. Together, we partner with local hospitals, medical experts and business leaders, and we actively support numerous organizations, educational, cultural and recreational events. TTY/TTD Members should call 711. 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. We aim to deliver quality, affordable healthcare to the communities we serve. View Verification of Benefits. We look forward to working together to service their members as we expand in the future. use following address: Healthcare Invoice, Data and Provider Services Branch PO Box 4038, N. Freeway Sacramento, CA 95812-4038; Website Tech . In addition to creating and growing integrated delivery networks, Dr. Merkin has a long-standing interest in both prevention and cure. Box 2300 Address. 800-600-9007, Jacksonville Please allow 30 days from the date of submission for processing. 800-711-4555, OptumRx fax (non-specialty medications) 2300 Clayton Road Box 30884 That size works to your advantage, allowing us to be there to coordinate all of your health care, when and where you need us. 8th Floor Claims Address Nebraska Total Care Attn: Claims PO Box 5060 Farmington, MO 63640-5060. 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. To view Dr. Merkins involvement in the community, click here, The physician-patient relationship is the foundation for providing quality health care, Physician and patient education must be proactive and ongoing, Physicians will make effective decisions for their patients given the appropriate tools, information and support from their peers, Utilization and quality management is a physician-to-physician process. DOHCs services include access to 6 Immediate and Urgent Care Centers - Bermuda Dunes, Indio, Palm Desert, Palm Springs and Yucca Valley. Richard Merkin, M.D. Contact Us: Home Contact Us: Network Support Services. centralPRteam@uhc.com, Network Management Provide a description of the damage, and if possible, have your policy number handy. 2525 Lake Park Blvd. Box 371330 Reseda, CA 91337 What are the requirements for a completed claim? Columbia, SC 29210, Network Management Anaheim, CA 92825-0027. Suite 600 3rd Floor Are you a provider outside of Washington or Alaska? Mail. Our customer-first approach works well for members, clients, providers and agents. 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. Our claims center is staffed with specialists who. Kingston, NY 12402-5290, Behavioral health 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. Box 31364 Your location: Learn more about our mission, vision and values. Through innovative programs and services designed specifically for the managed care environment, HPN and its medical groups have been . Add value to your clients benefits package. We also believe that during a visit to your doctor, the focus should be on health and wellness. Southfield, MI 48075 At SMG your health is our priority. 312-453-7055, Network Management 3175 Lenox Park Blvd. In addition, our Urgent Care is now open daily 6am - 8pm. HDMG has a long-standing promise to provide residents of the Antelope Valley with the highest quality health care possible. (661) 327-4411 P.O. Does Heritage Vision Plans accept all types of providers? 2000 West Loop South 9700 Health Care Lane 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. Jonathan Gluck 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. Together, we partner with local hospitals, medical experts and business leaders, and we actively support numerous organizations, educational, cultural and recreational events. 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. Coastal Communities Physician Network (CCPN) Suite 1700 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. We have convenient locations throughout the Coachella Valley, Morongo Basin and Yucca Valley areas. 2023 Collaborative Health Systems (800) 747-2362, Heritage Provider Network Our facilities are equipped with some of the finest diagnostic equipment and technicians available. 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. Economical. (Electronic claims submission) 1-800-977-3568: First Health Provider Relations: 1-800-937-6824: . We partner with Collaborative Health Systems (CHS) to leverage their extensive experience in leading the value-based care market. Pioneer Provider Network, A Medical Group, Inc . Email: Credentialing.Updates@Premera.com. If you need help resetting your password, you call us. Suite 230 Medicare Advantage Plans 888-866-8297, Network Management (714) 937-6269 United States. Centennial, CO 80111, Network Management MyChart makes it easy to get care and manage your health including checking in for your next appointment. Prior authorization fax: 866-940-7328 Heritage Provider Network, Inc. (HPN) is one of the most experienced physician organization leaders of accountable care and continuous value based healthcare delivery improvements. Get an ID card File a claim View my claims and EOBs Check coverage under my plan See prescription drug list Find an in-network doctor, dentist, or facility Find a form Find 1095-B tax form information View the Cigna Glossary Contact Cigna Audiences Individuals and Families Medicare Employers Brokers Providers 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. 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. Contact Claims. We also believe that during a visit to your doctor, the focus should be on health and wellness. These IPA physicians remain affiliated with BFMC although they maintain their own individual offices. broker portal. 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 Cypress CA 90630, Health plan support P. O. Consolidated Portal. Coastal Communities Physician Network. Western Iowa counties Pottawattamie, Harrison and Mills - Managed by Nebraska Network Management 100, Suite 420 877-842-3210, Medicare Advantage and Community Plan 4365 Executive Drive Box 5290 Dublin, OH 43016 Heritage Vision Plans is a leading national provider of vision benefits plans with an extensive, nationwide network of eye care providers. Ph: 714.937.6143. (818) 654-3400 or (866) 654-3471 Chicago, IL 60601 Waltham, MA 02451, Network Management Reporting through the prism of business, Crain's helps its readers stay on top of the inner workings of New York's economic and political ecosystem, uncover new business opportunities and connect with the broader New York business community. Minnetonka, MN 55343 Emblem Health HCP Direct: (800) 877-7587. Chattanooga, TN 37421, Tri-Cities In addition, our Urgent Care is now open daily 6am - 8pm. Heritage Vision Plans makes vision benefits easy for everyone: for benefits managers and, most importantly, for employees using the benefits. 3000 Town Center, Suite 1400 800-638-3302 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. With over 50 Primary Care Providers, 300 Specialists and 3 local hospitals in our network, Heritage Sierra Medical Group takes pride in Starting . Suite 900 Dr. Neskovic's Story "I chose to commit to an exclusive relationship and I've had steady and consistent growth as a result. For processing Avenue, suite 100, in Bakersfield Floor are you a Provider outside of Washington or?.: Learn more about our Mission, vision and values City, UT 84131 member... Surgical procedures together to service their members as we expand in the.... 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