If your request involves a specific facility, please select it - otherwise, select "General". (818) 654-3400 or (866) 654-3471 Medical office locations in Foothill Ranch, San Clemente, Lake Forest, Laguna Niguel and Mission Viejo, CA. This growth is the direct result of a proven ability to improve the health of a population while at the same time lowering costs and increasing quality. Hearing loss affects 1 in 9 Americans, get the care you deserve. CMS 1500 form completion. UnitedHealthcare Community Plan 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. With Heritage, members receive exclusive discounts on Lasik eye surgery from our partners at LasikPlus. uhc-network-de@uhc.com, 1818 Market St. Most solutions are at your fingertips using the UnitedHealthcare Provider Portal. Cleveland, OH 44114, Dayton and Cincinnati 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. Get the most up-to-date claims status and payment information - all in 1 easy-to-use tool without mailing or faxing. Contact. Our tools are supported using Microsoft Edge, Chrome and Safari. Houston, TX 77027, Dallas, East, West & North Texas 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. With over 50 Primary Care Providers, 300 Specialists and 3 local hospitals in our network, Heritage Sierra Medical Group takes pride in Starting . Phoenix 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. 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. 9700 Health Care Lane, Our experienced staff understands that a timely claims conclusion is important for all parties involved. Service-oriented. 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. Milwaukee (NE, NW & SE WI) 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. 312-453-7055, Network Management Providence Affiliated Physicians - St. Joseph, St. Jude and Mission have come together as a network of dedicated health care professionals with one central vision - making our community its healthiest. Our facilities are equipped with some of the finest diagnostic equipment and technicians available. Provider Profile Details: NPI Number Details: Provider Business Mailing Address Details: Provider's Primary Taxonomy Details: Secondary Taxonomy Details: 7440 Woodland Drive Visit your health plans website or call to ensure your doctor is in Providences network. 10 Cadillac Drive Boise, ID 83702, Provider Relations Physician and Hospital Advocate Team 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. (800) 747-2362, Heritage Provider Network providertechsupport@uhc.com Professor of Medicine, New York Medical College; Chief of Medicine, NYC Health + Hospitals/Metropolitan. P.O. These IPA physicians remain affiliated with BFMC although they maintain their own individual offices. Learn more about our mission, vision and values. (TTY 711). Medicare Advantage and Community Plan Omaha, NE 68164 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. 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. Kingsport, TN 37660, Memphis 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. 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. 322 East Front St He is on the Visionary Board of the X-Prize Foundation. 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. Network Resources. centralPRteam@uhc.com, Network Management Fax: 615-372-3564, Northern Network Management 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. HDMG has a long-standing promise to provide residents of the Antelope Valley with the highest quality health care possible. GANetworkOPS_fac-anc@uhc.com, Physician Contracting San Luis Obispo, California 93401. Detroit, Eastern, Western and Northern and Upper 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. Warwick, RI 02886, Optum Behavioral Health Concurrent clinical review documentation: 1-888-700-2197. Send us a message. 800-638-3302 If the claim is denied or final, there will be an option to dispute the claim. 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. Heritage Provider Network (HPN) is a limited Knox-Keene licensed organization in California that provides affordable quality care to its members. Behavioral health (outpatient): 1-844-430-1703. (800) 414-5860 for Commercial & Medicare. As a Heritage provider, your information will be included in our Heritage Provider Directory. (661) 327-4411 All members of CCPN can access a full range of services, programs and specialists through these contracted providers. This forward-thinker has forever changed the way care systems work through new models, processes and pathways. 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. 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. PO Box 70014. Box 31364 Become a Provider 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. 312-453-7055, Network Management Claims. Concord CA 94520, Southern Network Management 24/7 behavioral health and substance use support line. (800) 500-5215 or (760) 320-5134 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. Reston, VA 20191, Network Management Waltham, MA 02451, Health plan support Lakeside Medical Group (LMG) Suite 500 Company profile page for Heritage Provider Network Inc including stock price, company news, press releases, executives, board members, and contact information Suite 200 Columbia, MD 21044, Health plan support of Special Projects (661) 951-3224 ocampos@heritagemed.com 800-542-8789, Community Plan of California, Inc. All members of Heritage Physician Network can access the full range of services, programs and specialists offered by BFMC. Mail Route CT039-10A *for Medicare members hours are 8 a.m. to 8 p.m. in all time zones, call 1.855.492.9028. Page Footer I want to. 877-670-8432, Provider Relations Physician and Hospital Advocate Team Our commitment to complete patient care includes developing new and better ways of delivering healthcare. *. 3838 N. Causeway Blvd. Heritage Sierra Medical Group Headquarters, 44469 10th Street West, Lancaster, CA, 93534, United States, Utilization Management - Clinical Criteria & Availability of Clinical Criteria (2021). Fax: 425-918-4766. Community Health Needs Assessments and Improvement Plans, Notice of Nondiscrimination and Communication Assistance, Diverse group of board certified primary care physicians, Board-certified physicians specializing in Allergy, Arthritis, Cardiology, Critical Care, Dermatology, Endocrinology, Gastroenterology and Neurology, On-site services such as Clinical Lab, Endoscopy Center, Nuclear Medicine Department, Physical Therapy, Sleep Center, Vascular Lab and Vein Center. claim submissions. The Heritage Provider Network includes optometrists, ophthalmologists, and opticians. Columbia, SC 29210, Network Management "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.". nd_contracting@uhc.com, Network Management Salt Lake City, UT 84120, Network Management Mon-Fri: 8:00 a.m. - 5:00 p.m. Senior Member Concierge Line (818) 357-5000 press option 1, then press option 6. At SMG your health is our priority. Quest Integration Lakeside Community Healthcare P.O. Together, we partner with local hospitals, medical experts and business leaders, and we actively support numerous organizations, educational, cultural and recreational events. Anaheim, CA 92825-0027. Smart vision plans. Your dispute must contain the following information: Provider's name Provider's identification number 1089 Jordan Creek Parkway 950 Winter St. 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. Add value to your clients benefits package. 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. With over 50 Primary Care Providers, 300 Specialists and 3 local hospitals in our network, Heritage Sierra Medical Group takes pride in Starting With You. Individual Exchange plans Find the right contact I need to contact Clear Inputs about TTY users: To reach any number listed here, dial 711. We look forward to working with you. Heritage Vision Plans makes vision benefits easy for everyone: for benefits managers and, most importantly, for employees using the benefits. Provide a description of the damage, and if possible, have your policy number handy. 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. Sacramento, CA 95826, Claims & Medical Records To join our Heritage Provider Network, fill out our Provider Enrollment Inquiry Form. Economical. 1 Penn Plaza Claims Customer Service (714) 937-6143 Hours: - weekdays from 7:30 a.m. to 4 p.m. Claims Billing Address P.O. 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 believe the most important aspect of healthcare is tending to the personal needs of our patients. 1 East Washington St. Pioneer Provider Network, A Medical Group, Inc . Fax: 601-718-6584, Medicare Advantage and Community Plan These breakthrough innovators are making significant contributions in the areas of technology, research, or new approaches to healthcare systems. Chattanooga, TN 37421, Tri-Cities 9100 Shelbyville Road These IPA physicians remain affiliated with BFMC although they maintain their own individual offices. Carolinas_Physician_Contracting@uhc.com, Network Management 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. Overland Park, KS 66211, Medicare Advantage and Community Plan 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. Heritage has the BEST Customer Service Staff Ever!!! 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. Centennial, CO 80111, Health plan support 1401 West Capitol Ave. 1 East Washington St. Joseph Heritage Healthcare. In addition, our Urgent Care is now open daily 6am - 8pm. Are you a provider outside of Washington or Alaska? 6465 Greenwood Plaza Blvd. They are always pleasant, patient and more than willing to assist whenever I call! 800-666-1353, Network management Address. P.O. Inspired by the X-Prize model, Dr. Merkin created, developed and sponsored the $3 million Heritage Health Prize, which challenges teams to create an algorithm that will predict how many days an individual will spend in the hospital in a given year. GANetwork_Physician@uhc.com, Optum Behavioral Health 866-331-2243, Network Management Provider Lookup . Jacksonville, FL 32256, Orlando Cleveland 4365 Executive Drive 800-291-2634, Medicare Advantage and Community Plan 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. 888-362-3368, UnitedHealthcare Oxford health plans Iselin, NJ 08830, Medicare Advantage and Community Plan All members of Heritage Physician Network can access the full range of services, programs and specialists offered by BFMC. We know that getting sick doesn't happen on an 8 - 5 schedule. 2720 North Tenaya Way Open 8 a.m. to 5 p.m., Monday through Friday, excluding holidays. 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. P.O. Heritage Research Investigators in Translational Medicine Award: Carl Nathan, MD Fax: 859-825-6173, Louisville 866-270-5785, San Diego County With more than 31,000 providers nationwide, our members are never far from quality vision care. 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. Box 4380. Medicare Advantage and Community Plan Our programs include Living and Aging Well, Home Health Services and Medication Management Services which are committed to improving your health proactively. 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. This organization has created or championed new ways of thinking and doing, uniting diverse constituencies to work together. In addition, our Urgent Care is now open daily 6am - 8pm. 800-328-8835, Network Management In addition to creating and growing integrated delivery networks, Dr. Merkin has a long-standing interest in both prevention and cure. 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. 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. Ste 5300 We accept over 85 different health plans, including HMO, PPO, POS, EPO, Private and Medicare plans. Sierra Medical Group (SMG) Seattle, WA 98101, 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). Phoenix, AZ 85004, UnitedHealthcare Community Plan HPN, working with CHS, adds to the expertise and aids in the financial wellness of its providers. Salt Lake City, UT 84131-0365 2023 Collaborative Health Systems 6465 S. Greenwood Plaza Blvd. Honoring an organization that has fundamentally changed how healthcare is delivered. Your Email Address Subject: Message. West Des Moines, IA 50266, Health plan Support Dept. (661) 327-4411 Our Approach. Suite 300 Refund Address Nebraska Total Care Attn: Refunds PO Box 3713 Carol Stream, IL 60132-3713. Utilization Denial & Appeals Department Mailing Address Attn: Appeals Coordinator P. O. Puerto Rico Network Management Closed: Major Holidays (Interactive voice response system available) With more than 150 highly-trained doctors in virtually every specialty, our medical excellence extends from primary care to leading edge surgical procedures. Salt Lake City, UT 84131-0364, Network Management Las Vegas, NV 89128, Medicare Advantage and Community Plan 877-743-8734, Network Management 800-527-0531, OptumRx fax (specialty medications) Chicago, IL 60601 Indianapolis, Fort Wayne, Southeast and Southwest 9100 S. Dadeland Blvd. Latham, NY 12110, Upstate We believe the most important aspect of healthcare is tending to the personal needs of our patients. 2425 James St. To check claim status and receive explanation of processing for previously submitted claims. We are affiliated with most major health plans, including many HMOs. Call 911 if you have a life-threatening emergency. To check claims status or dispute a claim: From the Availity home page, select Claims & Payments from the top navigation. The theory is, if hospitalizations can be predicted, preventive measures can be taken and unnecessary hospitalizations can be avoided. Suite 300 Phoenix, AZ 85004, Claims & medical records Mission Heritage Medical Group 1148.3 miles away Mon - Fri : 8 a.m - 5 p.m Our Approach Serving Mission Viejo, California Mission Heritage Medical Group is home to a team of board-certified primary care physicians and specialists serving the South Orange County communities. 800-307-4959, Northern and Grant 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. 3803 N. Elm St. Join an eye-opening network of providers. 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. 200 E Randolph St 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. All members of Heritage Physician Network can access the full range of services, programs and specialists offered by BFMC. Atlanta, GA 30328, Network Management For that reason, to protect your privacy, please do not use e-mail to communicate information to us that you consider confidential. 877-614-0484. Claims Status. Nurses . Set your location to find care near you. 230 Lexington Green Circle Coastal Communities Physician Network (CCPN) Phone: 877-7NYSHIP, Long Island and metro Chicago, IL 60601-6602 Pittsburgh, PA 15212, Philadelphia east 13 Cornell Road Medicare Advantage and Community Plan We make it our priority to provide help when you need it most. Click to launch an email request that will be routed to the appropriate customer care team. 800-495-5285 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. Salt Lake City, UT 84131-0364, General claim disputes Mailing Address Nebraska Total Care 2525 N 117th Ave, Suite . Syracuse, NY 13206, NYS Empire Plan Suite 1700 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). 1311 W. President George Bush Highway 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. 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. 950 Winter St. Little Rock, AR 72201 Health-care provider is working with an adviser to assist it. Suite 1170 1485 Heritage Parkway. UnitedHealthcare Mental health. 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. has more than 35 years of experience in health care with specific expertise in the development and administration of integrated delivery systems. Kingston, NY 12401 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. Cypress CA 90630, Health plan support That size works to your advantage, allowing us to be there to coordinate all of your health care, when and where you need us. Box 740371 Submit an inquiry and review the Claims Status Detail page. He is also on the Board of Directors for EdVoice, a group dedicated to education reform. Suite 5300 Failure to correct inaccurate information, or bill utilizing Medicaid . HDMG has a long-standing promise to provide residents of the Antelope Valley with the highest quality health care possible. UnitedHealthcare UHN AL Our programs include Living and Aging Well, Home Health Services and Medication Management Services which are committed to improving your health proactively. Suite 301 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. Payer ID#: 87726 (EDI claims submission), Pharmacy 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. 3 Victorville, CA 92395 (760) 245-4747 hvvmg.com 191 S. Buena Vista St., Suite 200 Burbank, CA 91505-4542 (818) 637-2000 lakesidecommunityhealthcare.com 600 City Parkway West, Suite 400 Orange, CA 92868 (800) 747-2362 www.adoc.us Regal Medical Group (RMG) Dispute the claim for employees using the UnitedHealthcare Provider Portal changed how healthcare is tending the... Information - all in 1 easy-to-use tool without mailing or faxing open daily 6am - 8pm San Luis,! Directors for EdVoice, a Group dedicated to education reform, your information will be included in our Provider! Its members Medical Group, Inc & quot ; General & quot ; General quot! Doing, uniting diverse constituencies to work together 6465 S. Greenwood Plaza Blvd patient care includes developing and! Medicare members hours are 8 a.m. to 8 p.m. in all time zones, call 1.855.492.9028 most importantly for. To join our Heritage Provider Network, a Group dedicated to education reform aspect of healthcare is tending to personal. 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