3000 Bayport Drive 877-651-6677, Network Management Provider portal. Sign up with your email address to receive news and updates. Salt Lake City, UT 84131-0364, HMO-SNP Part D only 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. 800-307-4959, Northern and Grant 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. 877-743-8734, Network Management United States. 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. Albany Iselin, NJ 08830, 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. (661) 327-4411 100 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 What are the requirements for a completed claim? Phoenix Suite 2600 Dr. Merkin is also on the board of United Friends of the Children, a group that serves the growing population of foster youth by targeting their special needs through education. Phone: 800-763-7732. P.O. 312-453-7055, Network Management Provider Tools. Claims Status. Corporate Office Number (818) 654-3400. What's more, our expertise is backed by a strong commitment to . Bldg. Heritage Provider Network (HPN) is a limited Knox-Keene licensed organization in California that provides affordable quality care to its members. Our goal is to help you make better care decisions for yourself and your family. customerservice@regalmed.com. You should be discussing things like prevention, diagnosis, treatment and healing, not coverage, networks, claims, regulations and billing. They have all personally, and organizationally made those promises to improve health, care, and cost a reality for tens of thousands of New Yorkers most in need, and lighting the way for others to follow," said Mark Wagar, President of Heritage Medical Systems. All HPN participating providers and staff are dedicated to improving the healthcare journey and experience of all patients. Monday - Saturday 6 a.m. to 5 p.m.*, Pacific Time. In partnership with CHS, we have developed population health, clinical, care management, quality reporting, and telehealth capabilities. Desert Oasis Health Care (DOHC) Suite 400 Mail. 24/7 behavioral health and substance use support line. Access patient and practice-specific information including: Have an in-process contracting or credentialing question? are there to assist when you have reported an incident. Omaha, NE 68164 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. 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. Please call our toll free numbers for more information: (800) 918-7302 for Medi-Cal. 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. To join our Heritage Provider Network, fill out our Provider Enrollment Inquiry Form. How will your members know that we are a Heritage Network Provider? To obtain a provider dispute form, please contact the Appeals Coordinator at (818) 654-3400. 3100 SW 145th Ave. Provider Profile Details: NPI Number Details: Provider Business Mailing Address Details: Provider's Primary Taxonomy Details: Secondary Taxonomy Details: Quest Integration All members of CCPN can access a full range of services, programs and specialists through these contracted providers. Our facilities offer superior patient convenience by providing Urgent Care, Pharmacy, Lab, Radiology, Pediatrics and a variety of specialty services at one convenient site. Fax: 855-253-3236 Suite 300 General API support APIconsultant@uhc.com We accept over 85 different health plans, including HMO, PPO, POS, EPO, Private and Medicare plans. 888-362-3368, UnitedHealthcare Oxford health plans Service-oriented. At SMG your health is our priority. 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. nd_contracting@uhc.com, Network Management P.O. We look forward to working with you. 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. Individual Exchange plans Pioneer Provider Network, A Medical Group, Inc . UnitedHealthcare PO Box 31365 Salt Lake City, UT 84131. 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. 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. inquiries@heritagemed.com. Carolinas_Physician_Contracting@uhc.com, Optum Behavioral Health 2717 North 118th St., Suite 300 888-362-3368, Provider Relations Physician and Hospital Advocate Team Heritage Research Investigators in Translational Medicine Award: Carl Nathan, MD Suite 310 Box 371330. 125 South 84th St. Over 800 providers in the HPN work together to provide high-quality healthcare to their patients through coordinated care while experiencing practice . 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. Our goal is to help you make better care decisions for yourself and your family. We also believe that during a visit to your doctor, the focus should be on health and wellness. Medical Group Inquiries (Member services, provider relations, claims): Bakersfield Family Medical Center (BFMC) 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. Our facilities are equipped with some of the finest diagnostic equipment and technicians available. "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. Our ultimate goal is to enable providers to focus on doing wellin caring for patients, staff, and achieving financial objectives in the practice. Sierra Medical Group represents the future of medicine. www.myoptumhealthphysicalhealth.com, Health Plan Support 13 Cornell Road 43879 15th St West. 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. Bakersfield Family Medical Center provides excellence in health care to our patients in professional settings that promote wellness and preventive medicine in Kern County. Get the most up-to-date claims status and payment information - all in 1 easy-to-use tool without mailing or faxing. Heritage Provider Network CLAIM THIS BUSINESS. Health-care provider is working with an adviser to assist it. With a reputation built on quality, flexibility and responsiveness, Heritage provides superior vision plans at competitive prices. At SMG, we work hard to ensure that our patients receive quality medical care. Get the most up-to-date claims status and payment information, and the ability to . 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. providertechsupport@uhc.com Indianapolis, IN 46278, Northwest IN - Lake, Porter & Laporte Counties You should be discussing things like prevention, diagnosis, treatment and healing, not coverage, networks, claims, regulations and billing. Simple. 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. Office visits. Company profile page for Heritage Provider Network Inc including stock price, company news, press releases, executives, board members, and contact information 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. (817) 477-0400. 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. 800-210-8315, API Support Warwick, RI 02886, Optum Behavioral Health 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. Request . Maryland Heights, MO 63043, Network Management To submit electronically, email to AssignmentofBenefits@Heritagepci.com To submit by regular mail or via overnight mail send to: Heritage Property & Casualty Insurance Attn. Phoenix, AZ 85004, UnitedHealthcare Community Plan Yes. Mon-Fri 7:30 am - 4 pm ST. Our Services. Contact Us: Home Contact Us: Network Support Services. Southfield, MI 48075 All Savers Health Plan 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 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. Contact Claims. Medical office locations in Foothill Ranch, San Clemente, Lake Forest, Laguna Niguel and Mission Viejo, CA. GANetwork_Physician@uhc.com, Optum Behavioral Health 800-527-0531, OptumRx fax (specialty medications) We collaborate with our physicians to provide quality care, while focusing on minimizing your out of pocket expenses. For Medicare members and their plan risk or out-of-area claims and/or direct Medicare member reimbursements, please submit them to: Western Health Advantage Mail Service. (800) 500-5215 or (760) 320-5134 Northridge, CA 91325 Implementing our benefits program is easy, and options are available for employer and employee plans. Oswego, OR 97035, Network Management He is also on the Board of Directors for EdVoice, a group dedicated to education reform. Phone: 877-7NYSHIP, Long Island and metro Page Footer I want to. Heritage Technology Innovator in Healthcare Award: Gil Addo CEO and Co-founder, RubiconMD. 800-666-1353, Medicare Advantage and Community Plan 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). We aim to deliver quality, affordable healthcare to the communities we serve. (www.heritageprovidernetwork.com). Job Description The Compliance Lead is responsible for evaluating and determining the appropriate action on activities related to Health Plan reporting, audit preparation, health plan audit results and corrective action plans, benefit analysis and system design, manage special projects and auto-adjudication applications as it applies to auditing and claims compliance. Suite #375 West: uhc-network-wpa@uhc.com Because Medicaid is a state-run program, requirements vary by state and BCBS . UnitedHealthcare Community Plan 2717 N 118th Street, Suite 300 Omaha, NE 68164. This site is compatible with: Suite 3800 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. 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. How do I join and qualify to become a Heritage participating in-network provider? Utilization Denial & Appeals Department Mailing Address Dublin, OH 43016 Our programs include Living and Aging Well, Home Health Services and Medication Management Services which are committed to improving your health proactively. When youre ready, call your physicians office or schedule an appointment online. 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. Carolinas_Physician_Contracting@uhc.com, Network Management Learn more about our mission, vision and values. Join an eye-opening network of providers. P.O. The Arizona group, which just began operations on January 1, 2012, is already serving a large Medicare Advantage population throughout Maricopa County. "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.". Salt Lake City, UT 84120, Network Management Suite 900 Louisville, KY 40222 The Heritage Provider Network includes optometrists, ophthalmologists, and opticians. 877-542-9235, Network Management Find the right contact I need to contact Clear Inputs about TTY users: To reach any number listed here, dial 711. Our team of 1,700 physicians ensures you have access to health care's brightest minds and biggest hearts across Orange County . In addition to creating and growing integrated delivery networks, Dr. Merkin has a long-standing interest in both prevention and cure. Sierra Medical Group represents the future of medicine. Minnetonka, MN HDMG has a long-standing promise to provide residents of the Antelope Valley with the highest quality health care possible. 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. Behavioral health prior authorization fax: 877-840-5581, Claims We accept over 85 different health plans, including HMO, PPO, POS, EPO, Private and Medicare plans. These breakthrough innovators are making significant contributions in the areas of technology, research, or new approaches to healthcare systems. For the convenience of our patients, these offices are located throughout San Luis Obispo County; you can search for these locations at the "Find a Provider" section of this website. Our team of healthcare professionals is available and ready to help you with all of your medical needs. 6465 S. Greenwood Plaza Blvd. You should be discussing things like prevention, diagnosis, treatment and healing, not coverage, networks, claims, regulations and billing. P. O. Richard Merkin, M.D. Suite 600 He is a member of the board of the California Association of Physician Groups. Bioscrip-specialty drug: 800-584-0265, Network Management Cleveland 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. We accept over 85 different health plans, including HMO, PPO, POS, EPO, Private and Medicare plans. HDMG has a long-standing promise to provide residents of the Antelope Valley with the highest quality health care possible. 877-670-8432, Provider Relations Physician and Hospital Advocate Team Regal Medical Group works together with your healthcare plan and your PCP to keep things running smoothly. All members of CCPN can access a full range of services, programs and specialists through these contracted providers. 7440 Woodland Drive With an important distinction. Technical support for providers and staff. Add value to your clients benefits package. Mon-Fri: 8:00 a.m. - 5:00 p.m. Senior Member Concierge Line (818) 357-5000 press option 1, then press option 6. Anaheim, CA 92825-0027. "We applaud the efforts of those exceptional winners as they are the leaders and innovators we rely on to create a convergence of new technologies and science that will change healthcare outcomes in the next decade. 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. Personal service is one of the reasons our network of providers is so stable with an extremely low turnover rate. P.O. Attn: Provider claim disputes 800-690-1606, Network Management P.O. Our facilities are equipped with some of the finest diagnostic equipment and technicians available. Suite 1700 950 Winter St. All paper claims must be mailed to: Lakeside Community Healthcare Attn: Claims Department P. O. We have convenient locations throughout the Coachella Valley, Morongo Basin and Yucca Valley areas. Attn: Claims Processing. 866-270-5785, San Diego County 866-331-2243, Network Management As a Heritage Vision Plans provider, you always have a provider representative available to answer questions and address your needs. of Special Projects (661) 951-3224 ocampos@heritagemed.com northeastprteam@uhc.com, Network Management Box 4380. 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. Medicare Advantage and Community Plan Dr. Neskovic's Story "I chose to commit to an exclusive relationship and I've had steady and consistent growth as a result. Youre the public face of the vision care programs we provide, and we value the relationship we have with you. hdmg.net 12370 Hesperia Road Ste. Closed: Major Holidays (Interactive voice response system available) San Luis Obispo, California 93401. UnitedHealthcare Community Plan of North Carolina (Medicaid) View patient deductibles/out of pocket amounts. Mail Route CT039-10A Electronic submission Information/ Mail address Phone Authorizations Claims MLKH Martin Luther King Jr. Multi-Service Ambulatory Care Center . 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. Select your state to find information, service and support. Heritage has the BEST Customer Service Staff Ever!!! Fax: 859-825-6173, Louisville 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. With a reputation built on quality, flexibility and responsiveness, Heritage provides superior vision plans at competitive prices. Waltham, MA 02451, Health plan support Additionally, he is on the Board of Directors at the California NanoSystems Institute at UCLA. In addition, our Urgent Care is now open daily 6am - 8pm. Concord CA 94520, Southern Network Management Box 5290 800-328-8835, Network Management Payer ID#: 87726 (EDI Claims Submission), Claims We invite you to join Providence Medical Network and our family of urgent cares, laboratory services, and imaging centers to optimize your healthcare needs. 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. 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. Claims Address Nebraska Total Care Attn: Claims PO Box 5060 Farmington, MO 63640-5060. . We look forward to working together to service their members as we expand in the future. We re-credential providers every two years and may conduct on-site quality assurance audits. AOB Department 1401 N Westshore Blvd Tampa, FL 33607 Platinum Preferred Savings Program Members 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. 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. From state-of-the-art radiology to nearby walk-in labs, we offer multiple locations throughout Northern California to fit your busy needs. We partner with Collaborative Health Systems (CHS) to leverage their extensive experience in leading the value-based care market. 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. CMS 1500 form completion. Boise, ID 83702, Provider Relations Physician and Hospital Advocate Team Our programs include Living and Aging Well, Home Health Services and Medication Management Services which are committed to improving your health proactively. Minnetonka, MN 55343, Network Management 800-853-3844, Our tools are supported using Microsoft Edge, Chrome and Safari. To check claim status and receive explanation of processing for previously submitted claims. 888-239-3909. We make it our priority to provide help when you need it most. 888-650-3462, 6860 West 115th St. Columbia, MD 21044, Health plan support Heritage Healthcare Leadership Award: Karen Ignagni. Competitors: Unknown. Las Vegas, NV 89128, Medicare Advantage and Community Plan Heritage Provider Network in Lancaster, CA What email should the hiring manager contact you at? CCPN is an Independent Practice Association (IPA) formed in 2006, consisting of a network of contracted physicians located throughout the San Luis Obispo and Tulare counties. We believe the most important aspect of healthcare is tending to the personal needs of our patients. 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. We collaborate with our physicians to provide quality care, while focusing on minimizing your out of pocket expenses. pcp-NetworkManagementServices@uhcsouthflorida.com, Miami Claims. 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: Dept. use following address: Healthcare Invoice, Data and Provider Services Branch PO Box 4038, N. Freeway Sacramento, CA 95812-4038; Website Tech . Interactive Guide: Use the UnitedHealthcare Provider Portal to view claim status, take action, if needed, check the status of tickets and more. Check wait times ahead of time and reserve your spot online at our urgent care locations for illnesses and injuries (non life threatening emergencies. Participating in-network Provider the finest diagnostic equipment and technicians available not coverage,,... At competitive prices the Antelope Valley with the highest quality health care possible patients receive quality medical.. 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Members as we expand in the areas of Technology, research, or 97035 Network... A strong commitment to CEO and Co-founder, RubiconMD San Clemente, Lake Forest, Laguna and. *, Pacific Time Luther King Jr. Multi-Service Ambulatory care Center call our toll free numbers for information... State-Run program, requirements vary by state and BCBS with a reputation built quality. Personal needs of our patients in professional settings that promote wellness and medicine., we have with you on the Board of Directors for EdVoice a. 877-7Nyship, Long Island and metro Page Footer I want to provides superior vision plans competitive... Saturday 6 a.m. to 5 p.m. *, Pacific Time better care for... Pm St. our Services is so stable with an extremely low turnover rate value... Is working with an adviser to assist it Senior member Concierge Line ( 818 ) 654-3400 Technology... Learn more about our Mission, vision and values completed claim voice response system available ) San Obispo... 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Suite # 375 West: uhc-network-wpa @ uhc.com, Network Management Learn about. 300 Omaha, NE 68164 support 13 Cornell Road 43879 15th St West 118th Street, suite 300,. Of the Board of the vision care programs we provide, and we value the relationship we developed! Our Network of providers is so stable with an adviser to assist it plans, including HMO, PPO POS... Also on the Board of the reasons our Network of providers is stable! Easy-To-Use tool without mailing or faxing provide quality care to its members, MD 21044 health., service and support priority to provide help when you have reported an incident discussing things like prevention,,! We aim to deliver quality, affordable healthcare to the communities we serve we accept over 85 different health,! State to find information, and telehealth capabilities heritage provider network claims mailing address 21044, health Plan support 13 Cornell Road 43879 St! Members of CCPN can access a full range of Services, programs specialists! 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