That size works to your advantage, allowing us to be there to coordinate all of your health care, when and where you need us. Interactive Guide: Use the UnitedHealthcare Provider Portal to view claim status, take action, if needed, check the status of tickets and more. Company profile page for Heritage Provider Network Inc including stock price, company news, press releases, executives, board members, and contact information Sierra Medical Group represents the future of medicine. In partnership with CHS, we have developed population health, clinical, care management, quality reporting, and telehealth capabilities. 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. Network Resources. 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. TTY/TTD Members should call 711. Regal Medical Group works together with your healthcare plan and your PCP to keep things running smoothly. Add value to your clients benefits package. Competitors: Unknown. The New York operation currently serves over 115,000 individuals, including over 30,000 Medicare Advantage beneficiaries. View all open positions on our careers page. Pioneer Provider Network, A Medical Group, Inc . 6465 S. Greenwood Plaza Blvd. 800-903-5253, Network Management P.O. ", "We are very proud to be the exclusive media partner of Heritage Provider Network for their 2nd year of their Heritage Healthcare Innovation Awards initiative, as they seek to recognize health care innovators who have improved the lives of millions of New Yorkers" said Jill Kaplan, Vice President and Publisher of Crain's New York Business. Suite 600 Lake Honolulu, HI 96813, Health plan support 322 East Front St Our goal is to help you make better care decisions for yourself and your family. 6465 Greenwood Plaza Blvd. 200 E Randolph St Our tools are supported using Microsoft Edge, Chrome and Safari. Email: claims@hcpipa.com (secure email only) Membership Eligibility Box 61063 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 Detroit, Eastern, Western and Northern and Upper Yes. use following address: Healthcare Invoice, Data and Provider Services Branch PO Box 4038, N. Freeway Sacramento, CA 95812-4038; Website Tech . This site is compatible with: CMS 1500 form completion. . 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. Las Vegas, NV 89128, Medicare Advantage and Community Plan Just like yours. Email: Credentialing.Updates@Premera.com. Pittsburgh, PA 15212, Philadelphia east (661) 327-4411 We re-credential providers every two years and conduct on-site audits. 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. 5757 Plaza Drive P.O. Columbia, MD 21044, Health plan support How can we help? This organization has created or championed new ways of thinking and doing, uniting diverse constituencies to work together. Jacksonville, FL 32256, Orlando Suite 2600 View claims and EOBs. Coastal Communities Physician Network (CCPN) View Top Employees from Heritage Provider Network DOHCs services include access to 6 Immediate and Urgent Care Centers - Bermuda Dunes, Indio, Palm Desert, Palm Springs and Yucca Valley. 800-842-3585, Network Management Brentwood, TN 37027 We have enjoyed our partnership with Heritage Vision Plans over the last several years. We make it our priority to provide help when you need it most. P.O. 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. We have convenient locations throughout the Coachella Valley, Morongo Basin and Yucca Valley areas. 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. Youre the public face of the vision care programs we provide, and we value the relationship we have with you. Lancaster, CA. Minnetonka, MN 55343, Network Management P.O. Suite 400 Overland Park, KS 66211, Medicare Advantage and Community Plan Box 31364 General API support APIconsultant@uhc.com Indianapolis, Fort Wayne, Southeast and Southwest To check claims status or dispute a claim: From the Availity home page, select Claims & Payments from the top navigation. Box 4380. This field is for validation purposes and should be left unchanged. 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. Heritage Provider Network. Quest Integration Cincinnati, OH 45241, Columbus You should be discussing things like prevention, diagnosis, treatment and healing, not coverage, networks, claims, regulations and billing. With a reputation built on quality, flexibility and responsiveness, Heritage provides superior vision plans at competitive prices. 888-362-3368, Provider Relations Physician and Hospital Advocate Team Attn: Appeals Coordinator P. O. 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. Heritage Vision Plans makes vision benefits easy for everyone: for benefits managers and, most importantly, for employees using the benefits. St. Joseph. *. Providence accepts most health insurance plans. 3100 SW 145th Ave. Communication Center. 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. Claims. We look forward to working with you. 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. Suite 110 Simple. 1485 Heritage Parkway. Reseda, CA 91337. has more than 35 years of experience in health care with specific expertise in the development and administration of integrated delivery systems. Our team of healthcare professionals is available and ready to help you with all of your medical needs. 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). Prior uthorization: 800-310-6826 If you are having difficulties navigating our site using assistive technology, please contact Customer Service at 1.800.282.7648 for help. Developing and managing coordinated, patient-doctor centric, integrated health care systems that offers some of the strongest solutions for the future of health, care and cost in the United States. He is a member of the board of the California Association of Physician Groups. At SMG your health is our priority. We accept over 85 different health plans, including HMO, PPO, POS, EPO, Private and Medicare plans. P.O. Northridge, CA 91325 Provider Profile Details: NPI Number Details: Provider Business Mailing Address Details: Provider's Primary Taxonomy Details: Secondary Taxonomy Details: 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. 2717 North 118th St., Suite 300 Because Medicaid is a state-run program, requirements vary by state and BCBS . Cypress, CA 90630, Provider Relations Physician and Hospital Advocate Team As a prospective Heritage provider, you will undergo a rigorous initial credentialing and verification process before joining the network. 400 E. Business Way 888-866-8297, Provider Relations Physician and Hospital Advocate Team Highlighting cutting edge applications of technology and up-and-comers in the healthcare industry. 800-328-8835, Network Management Professor of Medicine, New York Medical College; Chief of Medicine, NYC Health + Hospitals/Metropolitan. 100, Suite 420 "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. (661) 327-4411 (714) 937-6269 They are always pleasant, patient and more than willing to assist whenever I call! Greensboro, NC 27459 Phoenix Cleveland Easy for you, clear for employees. UnitedHealthcare commercial and UnitedHealthcareMedicare Advantage plans 125 South 84th St. Fax: 504-849-3551, Network Management Please use this form for non-urgent, non-medical questions or comments. 800-853-3844, Our tools are supported using Microsoft Edge, Chrome and Safari. sd_contracting@uhc.com, Network Management Access ID Card. Attn: Provider claim disputes 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. Sacramento, CA 95826, Claims & Medical Records Closed: Major Holidays (Interactive voice response system available) Blue Cross and Blue Shield (BCBS) Plans currently administer Medicaid programs in several states. Personal service is one of the reasons our network of providers is so stable with an extremely low turnover rate. Mailing Address Nebraska Total Care 2525 N 117th Ave, Suite . SoutheastPRteam@uhc.com, Facility Contracting 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. Fax: 859-825-6173, Louisville 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. 93534 USA. Provider Call Center. 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. Lakeside Medical Group (LMG) New York, NY 10119, Health plan support 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. Empire: (844) 638-0404. Update Your Provider Information. Chicago, IL 60601-6602 Behavioral health (inpatient): 1-844-430-1702. Cypress CA 90630, Health plan support Centennial, CO 80111, Health plan support Milwaukee (NE, NW & SE WI) Mental health. Our facilities offer superior patient convenience by providing Urgent Care, Pharmacy, Lab, Radiology, Pediatrics and a variety of specialty services at one convenient site. https://www.providerexpress.com/content/ope-provexpr/us/en/our-network.html, Optum Physical Health/Alternative Medicine (Acupuncture, Massage Therapy, Chiro, Naturopaths, etc.) Phoenix, AZ 85004, Claims & medical records 12018 Sunrise Valley Drive 3000 Bayport Drive Individual Exchange plans First Name *. Provider's identification number. 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. Optum 3803 N. Elm St. providertechsupport@uhc.com Our customer-first approach works well for members, clients, providers and agents. All members of Heritage Physician Network can access the full range of services, programs and specialists offered by BFMC. P.O. Box 30760 Box 10 Anaheim, CA 92815-0010 Enrollment Customer Service Tel. 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. 8880 Call Center Drive 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). Mon-Fri: 8:00 a.m. - 5:00 p.m. Senior Member Concierge Line (818) 357-5000 press option 1, then press option 6. Columbia, SC 29210, Network Management 800-291-2634, Medicare Advantage and Community Plan Contact Us: Home Contact Us: Network Support Services. 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. What's more, our expertise is backed by a strong commitment to . 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: 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. 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. Flexibility and responsiveness, Heritage provides superior vision plans over the last several years Access the range! 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