888-362-3368, UnitedHealthcare Oxford health plans Empire: (844) 638-0404. 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. With more than 31,000 providers nationwide, our members are never far from quality vision care. Suite 1700 Suite 1700 6465 S. Greenwood Plaza Blvd. Oswego, OR 97035, Network Management ac_edi_ops@uhc.com 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. Southfield, MI 48075 mo_network_mgmt@uhc.com P. O. View Verification of Benefits. 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. 1311 W President George Bush Hwy, Suite 100 Box 371330 Reseda, CA 91337 Your dispute can be submitted by a letter or by a provider dispute form. Implementing our benefits program is easy, and options are available for employer and employee plans. How often do you process provider claims? Suite #375 We collaborate with our physicians to provide quality care, while focusing on minimizing your out of pocket expenses. Request . Coastal Communities Physician Network. 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. Your Email Address Subject: Message. All paper claims must be mailed to: Lakeside Community Healthcare Attn: Claims Department 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. We believe the most important aspect of healthcare is tending to the personal needs of our patients. He has been on the board of advisors for the Asia Society Southern California, and has previously been on the Mayors Executive Committee for Los Angeles. Suite 300 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. 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. Phoenix, AZ 85004, UnitedHealthcare Community Plan These IPA physicians remain affiliated with BFMC although they maintain their own individual offices. Bioscrip-specialty drug: 800-584-0265, Network Management Join an eye-opening network of providers. Together, we partner with local hospitals, medical experts and business leaders, and we actively support numerous organizations, educational, cultural and recreational events. We have convenient locations throughout the Coachella Valley, Morongo Basin and Yucca Valley areas. We are affiliated with most major health plans, including many HMOs. Minnetonka, MN 55343, Network Management You should be discussing things like prevention, diagnosis, treatment and healing, not coverage, networks, claims, regulations and billing. These breakthrough innovators are making significant contributions in the areas of technology, research, or new approaches to healthcare systems. 3rd Floor Indianapolis, IN 46278, Northwest IN - Lake, Porter & Laporte Counties Waltham, MA 02451, Health plan support Service-oriented. San Luis Obispo, California 93401. Are you a provider outside of Washington or Alaska? We know that getting sick doesn't happen on an 8 - 5 schedule. Our programs include Living and Aging Well, Home Health Services and Medication Management Services which are committed to improving your health proactively. Our facilities offer superior patient convenience by providing Urgent Care, Pharmacy, Lab, Radiology, Pediatrics and a variety of specialty services at one convenient site. Open 8 a.m. to 5 p.m., Monday through Friday, excluding holidays. Hartford, CT 06103, UnitedHealthcare Oxford Health Plan 800-638-3302 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. Kingston, NY 12401 Behavioral health (outpatient): 1-844-430-1703. Suite 600 495 North Keller Road #200 View information for out-of-area providers. Box 10 Anaheim, CA 92815-0010 Enrollment Customer Service Tel. Contact Claims. of Special Projects (661) 951-3224 ocampos@heritagemed.com Cincinnati, OH 45241, Northeast Suite 400 Sacramento, CA 95826, Claims & Medical Records 866-842-3278, option 1, Electronic Data Interchange (EDI) 800-291-2634, Medicare Advantage and Community Plan Latham, NY 12110, Upstate 800-210-8315, API Support All members of Heritage Physician Network can access the full range of services, programs and specialists offered by BFMC. 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. Salt Lake City, UT 84131-0364, General claim disputes UnitedHealthcare 9700 Health Care Lane 888-866-8297, Network Management Email. 400 E. Business Way At Regal, we know that navigating the healthcare system can be complicated for patients and for physicians. 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. 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. 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. Hearing loss affects 1 in 9 Americans, get the care you deserve. 888-702-2202, Network Management 888-239-3909. 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. Additionally, he is on the Board of Directors at the California NanoSystems Institute at UCLA. Dr. Merkin contributes to numerous non-profit philanthropic organizations, and, among other things, founded the Los Angeles Jewish Symphony which is dedicated to providing music education to children. HPN and its affiliates operate in New York, California, Arizona and Missouri providing high quality, cost effective healthcare with over one million patient members and are dedicated to quality, affordable health care, and putting patients' wellness first. 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. Heritage Vision Plans provides affordable, high-quality vision benefits for companies of all sizes. westprteam@uhc.com, Network Management Provider's identification number. nd_contracting@uhc.com, Network Management Monday - Saturday 6 a.m. to 5 p.m.*, Pacific Time. 8510 Balboa Boulevard Suite 285
Richard Merkin, M.D. How can we help? Box 5290 Through innovative programs and services designed specifically for the managed care environment, HPN and its medical groups have been . Mission: We have designed our networks . Outside of healthcare, Dr. Merkin is involved in educational, economic and youth issues. 9700 Health Care Lane, UnitedHealthcare Community Plan 2717 N 118th Street, Suite 300 Omaha, NE 68164. Heritage Provider Network Address 8510 Balboa Blvd #150 Los Angeles, CA 91325 USA Industry Finance and Insurance View all jobs at Heritage Provider Network Report Job Search Results Near Los Angeles, CA Computer Integration Technologies CLEO Cycle Repair CGS All Jobs Hospital Claims Jobs This organization has created or championed new ways of thinking and doing, uniting diverse constituencies to work together. Youre the public face of the vision care programs we provide, and we value the relationship we have with you. 800-527-0531. This is why you will find easy access to your doctor, minimal waiting time for referrals, and staff members that genuinely care for your well-being. 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. For details about provider contracting, please contact us . HDMG has a long-standing promise to provide residents of the Antelope Valley with the highest quality health care possible. Milwaukee (NE, NW & SE WI) Page Footer I want to. (www.heritageprovidernetwork.com). Prior authorization fax: 800-267-8328 Fax: 504-849-3551, Network Management Suite 100 322 East Front St United States. Salt Lake City, UT 84120, Network Management Members will be able to access this information online at Find a Provider or they may contact our Customer Service Center for assistance. Yes. 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. Prior uthorization: 800-310-6826 Dublin, OH 43016 5757 Plaza Drive Austin, Houston & San Antonio Our programs include Living and Aging Well, Home Health Services and Medication Management Services which are committed to improving your health proactively. Patients may have access to additional benefit enhancements and healthcare programs thanks to their doctors participation in HPN. 877-670-8432, Provider Relations Physician and Hospital Advocate Team Day surgery/professional. 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. 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: Box 4380. 888-478-4760, Network Management Our ultimate goal is to enable providers to focus on doing wellin caring for patients, staff, and achieving financial objectives in the practice. 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. 10151 Deerwood Park Please allow 30 days from the date of submission for processing. hdmg.net 12370 Hesperia Road Ste. Voice: 714-937-6130. Suite 600 Lake 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. Get the most up-to-date claims status and payment information, and the ability to . 800-690-1606, Network Management Suite 1170 For more information, call (866) 654-3471 and request Network Management. 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). Learn more about becoming a Premera provider. 100, Suite 420 With more than 150 highly-trained doctors in virtually every specialty, our medical excellence extends from primary care to leading edge surgical procedures. To submit electronically, email to AssignmentofBenefits@Heritagepci.com To submit by regular mail or via overnight mail send to: Heritage Property & Casualty Insurance Attn. Consolidated Portal. 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. Heritage Sierra Medical Group Headquarters, 44469 10th Street West, Lancaster, CA, 93534, United States, Utilization Management - Clinical Criteria & Availability of Clinical Criteria (2021). https://www.providerexpress.com/content/ope-provexpr/us/en/our-network.html, Optum Physical Health/Alternative Medicine (Acupuncture, Massage Therapy, Chiro, Naturopaths, etc.) 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. Office visits. For that reason, to protect your privacy, please do not use e-mail to communicate information to us that you consider confidential. Closed: Major Holidays (Interactive voice response system available) Suite 400 inquiries@heritagemed.com. He is also on the Board of Directors for EdVoice, a group dedicated to education reform. Miramar, FL 33027, Tampa Indianapolis, Fort Wayne, Southeast and Southwest You will receive a response as soon as possible. Cypress, CA 90630, Network Management Provider Profile Details: NPI Number Details: Provider Business Mailing Address Details: Provider's Primary Taxonomy Details: Secondary Taxonomy Details: Provider Lookup . P.O.
In addition to creating and growing integrated delivery networks, Dr. Merkin has a long-standing interest in both prevention and cure. Medical office locations in Foothill Ranch, San Clemente, Lake Forest, Laguna Niguel and Mission Viejo, CA. These IPA physicians remain affiliated with BFMC although they maintain their own individual offices. (661) 945-9411
39115 TRADE CENTER DR PALMDALE, CA 93551 Get Directions (661) 480-2000 . Claims Address Nebraska Total Care Attn: Claims PO Box 5060 Farmington, MO 63640-5060. https://www.providerexpress.com/content/ope-provexpr/us/en/our-network.html, Health Plan Support Sierra Medical Group (SMG)
Lexington, KY 40503 Phoenix 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. P.O. Email info@imsi-usa.com. (800) 266-HDMG or (661) 945-5984
centralPRteam@uhc.com, Network Management Louisville, KY 40222 Members who choose physicians in Heritage Physician Network will see their selected doctors in their conveniently located private offices. Heritage members will provide you with their identifying information (Name, Date of Birth or ID Number, and the name of their employer or covered group). 4365 Executive Drive Personal service is one of the reasons our network of providers is so stable with an extremely low turnover rate. 13655 Riverport Drive To obtain a provider dispute form, please contact the Appeals Coordinator at (818) 654-3400. Our Approach. 3175 Lenox Park Blvd. Contact. Access ID Card. 1208 Pointe Centre Drive UnitedHealthcare That size works to your advantage, allowing us to be there to coordinate all of your health care, when and where you need us. Heritage Provider Network. Claims Customer Service (714) 937-6143 Hours: - weekdays from 7:30 a.m. to 4 p.m. Claims Billing Address P.O. 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. Suite 110 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. Suite 900 He is on the Visionary Board of the X-Prize Foundation. 5 Centerpointe Drive 866-842-3278, option 1. Suite 200 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 Maryland Heights, MO 63043, Network Management P.O.Box 31365 Payer ID#: 87726 (EDI claims submission), Pharmacy Login Now. Provider Call Center. Suite 5300 Home health, durable medical equipment, therapies and discharge planning: 1-888-235-8468. UnitedHealthcare commercial and UnitedHealthcareMedicare Advantage plans 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. All members of CCPN can access a full range of services, programs and specialists through these contracted providers. 2100 Riveredge Pkwy. EZ-Net. Philadelphia, PA 19103, Network Management Our claims center is staffed with specialists who. Mailing Address Nebraska Total Care 2525 N 117th Ave, Suite . Emblem Health HCP Direct: (800) 877-7587. Ridgeland, MS 39157 This field is for validation purposes and should be left unchanged. Dublin, OH 43016 Coastal Communities Physician Network (CCPN)
Our commitment to complete patient care includes developing new and better ways of delivering healthcare. If you are having difficulties navigating our site using assistive technology, please contact Customer Service at 1.800.282.7648 for help. Behavioral health prior authorization fax: 877-840-5581, Claims CHS serves as our population health management services organization (PHMSO), meaning that they support our participating practices with key resources needed to achieve success in value-based care. 400 E. Business Way Submit an inquiry and review the Claims Status Detail page. Salt Lake City, UT 84131-0365 With Heritage, members receive exclusive discounts on Lasik eye surgery from our partners at LasikPlus. Provider Relations Physician and Hospital Advocate Team Memphis, TN 38115, Medicare Advantage and Community Plan Bakersfield Family Medical Center provides excellence in health care to our patients in professional settings that promote wellness and preventive medicine in Kern County. 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. www.myoptumhealthphysicalhealth.com, Health Plan Support 312-453-7055, Network Management 800-842-3585, Network Management In addition, our Urgent Care is now open daily 6am - 8pm. 27700 Medical Center Rd., Mission Viejo, CA 92691 | (949) 364-1400 Mission Hospital, Laguna Beach 31872 Coast Hwy., Laguna Beach, CA 92651 | (949) 499-1311 Mission Hospital is a not-for-profit combined 523-bed tertiary medical facility with campuses in Mission Viejo and Laguna Beach. Lancaster, CA. Dr. Neskovic's Story "I chose to commit to an exclusive relationship and I've had steady and consistent growth as a result.
Request a copy of your contract If calling after hours, please leave a voice mail . 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. Set your location to find care near you. Referrals. Cypress, CA 90630, Provider Relations Physician and Hospital Advocate Team Medicare Advantage and Community Plan Login to view member eligibility, claim status, submit claims and more. 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. Middle 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. 1001 Lakeside Ave. Call toll free 800.252.2053 or click here to send us your inquiry. 8th Floor One way that we keep your overall health care costs low is by emphasizing preventative care in order to keep you healthy. In addition, our Urgent Care is now open daily 6am - 8pm. Give us a call. Nebraska_network@uhc.com, Medicare Advantage and Community Plan We re-credential providers every two years and conduct on-site audits. 12018 Sunrise Valley Drive 5900 Parkwood Place 5th floor 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. Suite 301 Box 371330 Reseda, CA 91337. Fax: 855-253-3236 You always have a provider service representative available to help either by telephone, email or the contact us form. 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. Company profile page for Heritage Provider Network Inc including stock price, company news, press releases, executives, board members, and contact information #300 Ste 5300
At SMG your health is our priority. Suite 900 Electronic submission Information/ Mail address Phone Authorizations Claims MLKH Martin Luther King Jr. Multi-Service Ambulatory Care Center . We have convenient locations throughout the Coachella Valley, Morongo Basin and Yucca Valley areas. 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. 1401 West Capitol Ave. Box 31364 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. YOU DESERVE Simplicity Easy for you, clear for employees. 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. As a Heritage Vision Plans provider, you always have a provider representative available to answer questions and address your needs. As a result, your billing office may see some differences in the claim edits and response files from WellCare. Fax: 601-718-6584, Medicare Advantage and Community Plan 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. Our goal is to help you make better care decisions for yourself and your family. API Extended X12 support supportedi@uhc.com, Visit Optum Provider Express or877-614-0484, Visit UnitedHealthcare March Vision Careor 877-627-2456, VisitOptum Physical Healthor 800-873-4575 or 866-427-6845. 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. Recognizing a leader in the New York area that has demonstrated significant impact in their healthcare field. We believe the most important aspect of healthcare is tending to the personal needs of our patients. Pittsburgh, PA 15212, Philadelphia east *for Medicare members hours are 8 a.m. to 8 p.m. in all time zones, call 1.855.492.9028. (Electronic claims submission) 1-800-977-3568: First Health Provider Relations: 1-800-937-6824: . Medicare Advantage and Community Plan 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. At SMG, we work hard to ensure that our patients receive quality medical care. 9100 S. Dadeland Blvd. Houston, TX 77027, Dallas, East, West & North Texas At SMG your health is our priority. Greensboro, NC 27459 Your location: Learn more about our mission, vision and values. 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. Most solutions are at your fingertips using the UnitedHealthcare Provider Portal. Bakersfield Family Medical Center provides excellence in health care to our patients in professional settings that promote wellness and preventive medicine in Kern County. Suite 100 Our culture has strong ties to supporting the local community through providers preserving their independent practice using our group environment. Members who choose physicians in Heritage Physician Network will see their selected doctors in their conveniently located private offices. 2720 North Tenaya Way Medical Group Heritage Provider NetworkWeighs $9 Billion-Plus Sale. 800-711-4555, OptumRx fax (non-specialty medications) Suite 500 Contact Claims. All members of Heritage Physician Network can access the full range of services, programs and specialists offered by BFMC. Mail Route CT039-10A All HPN participating providers and staff are dedicated to improving the healthcare journey and experience of all patients. (TTY 711). Mon-Fri: 8:00 a.m. - 5:00 p.m. Senior Member Concierge Line (818) 357-5000 press option 1, then press option 6. HPNs medical and administrative management organization assesses internal and external statistical data and surveys to monitor compliance with medical policies, procedures and standards. 888-650-3462, 6860 West 115th St. 1089 Jordan Creek Parkway Heritage Vision Plans makes vision benefits easy for everyone: for benefits managers and, most importantly, for employees using the benefits. 888-887-9003, Network Management St. Joseph. 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 Health proactively us that you consider confidential: Lakeside Community healthcare Attn: claims Department O... 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Greenwood Plaza Blvd inquiry and review the claims status Detail Page -... Our benefits program is easy, and options are available for employer and employee plans have access to benefit. Pocket expenses a long-standing promise to provide quality care, while focusing on minimizing your out of expenses... Address Nebraska Total care 2525 N 117th Ave, Suite maintain their own individual offices and. To send us your inquiry p.m., Monday through Friday, excluding holidays the most important of. ( 818 ) 654-3400 Hours: - weekdays from 7:30 a.m. to 5 p.m., Monday through Friday excluding! Wayne, Southeast and Southwest you will receive a response as soon as possible ( Interactive response. And its medical groups have been that our patients please leave a voice mail to! Have access to additional benefit enhancements and healthcare programs thanks to their doctors in... Lane, UnitedHealthcare Community Plan 2717 N 118th Street, Suite days from the date of submission for processing calling... 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