Lancaster, CA. 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). R. A. Rees Pritchett Professor of Microbiology; Chairman, Department of Microbiology & Immunology, Weill Cornell Medical College. Heritage Provider Network is located at 39115 Trade Center Dr in Palmdale and has been in the business of Computer Related . Day surgery/professional. 800-842-3585, Network Management 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 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. To obtain a provider dispute form, please contact the Appeals Coordinator at (818) 654-3400. Our facilities are equipped with some of the finest diagnostic equipment and technicians available. Referrals. 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. Box 30760 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. AOB Department 1401 N Westshore Blvd Tampa, FL 33607 Platinum Preferred Savings Program Members Memphis, TN 38115, Medicare Advantage and Community Plan We know that getting sick doesn't happen on an 8 - 5 schedule. Learn more about becoming a Premera provider. 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. St. Joseph. Prior authorization fax: 800-267-8328 800-527-0531. Our goal is to help you make better care decisions for yourself and your family. His leadership has inspired the formation of over 28 group model and IPA structures in California, New York and Arizona. Request . Initial admission notifications and all other services: 1-800-964-3627. 10175 Little Patuxent Parkway View Top Employees from Heritage Provider Network P.O. All members of CCPN can access a full range of services, programs and specialists through these contracted providers. Voice: 714-937-6130. Awarded to an individual or team based on the most significant quantitative results achieved by accelerating the transition of novel and innovative diagnostic tools and treatments to patients. 13 Cornell Road Dr. Merkin is a visionary and a sought-after healthcare expert who encourages innovation and challenge. How will your members know that we are a Heritage Network Provider? GANetwork_Physician@uhc.com, Optum Behavioral Health Call 888-261-9562 to reach Premera's BlueCard claims customer service team. Send us a message. 800-903-5253, Network Management We are affiliated with most major health plans, including many HMOs. Salt Lake City, UT 84131-0365 First Name *. mo_network_mgmt@uhc.com Box 31364 At SMG your health is our priority. Get the most up-to-date claims status and payment information, and the ability to . Open 8 a.m. to 5 p.m., Monday through Friday, excluding holidays. If you are a clinic or hospital-based physician or other qualified healthcare provider, use a CMS-1500 (02-12) form for claims for professional services and supplies related to: Anesthesia. Visit your health plans website or call to ensure your doctor is in Providences network. We are affiliated with most major health plans, including many HMOs. Box 371330. 495 North Keller Road #200 With a reputation built on quality, flexibility and responsiveness, Heritage provides superior vision plans at competitive prices. 888-887-9003, Network Management Address. Personal service is one of the reasons our network of providers is so stable with an extremely low turnover rate. (415) 884-1801 Email: callcenter@meritagemed.com NorCal Claims & Correspondence PO Box 2160 Oakland, CA 94621 Central Valley Hours: Monday - Friday 8:30am - 5:00pm Phone: (833) 446-1758 Fax: (415) 475-5671 Email: centralvalleyservice@meritagemed.com Central Valley Claims & Correspondence PO Box 2440 Oakland, CA 94621 Suite 5300 Chicago, IL 60601 Our team of 1,700 physicians ensures you have access to health care's brightest minds and biggest hearts across Orange County . Richardson, TX 75080, Network Management Attn: Provider claim disputes Ridgeland, MS 39157 Lakeside Medical Group (LMG) Submit an inquiry and review the Claims Status Detail page. Box 30757 You should be discussing things like prevention, diagnosis, treatment and healing, not coverage, networks, claims, regulations and billing. Our claims center is staffed with specialists who. northeastprteam@uhc.com, Network Management HPN has implemented rigorous programs to review utilization, quality assurance compliance, medical risk management and patient issues and concerns. 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. We make it our priority to provide help when you need it most. 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. Mail Route CT039-10A P.O. Obstetrics. Boise, ID 83702, Provider Relations Physician and Hospital Advocate Team 800-600-9007, Jacksonville Chicago, IL 60601-6602 (www.heritageprovidernetwork.com). 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. 1 East Washington Provider Lookup . Reporting through the prism of business, Crain's helps its readers stay on top of the inner workings of New York's economic and political ecosystem, uncover new business opportunities and connect with the broader New York business community. 800-600-9007, Network Management Sierra Medical Group (SMG) Claims Customer Service (714) 937-6143 Hours: - weekdays from 7:30 a.m. to 4 p.m. Claims Billing Address P.O. Box 371330 Reseda, CA 91337. The New York operation currently serves over 115,000 individuals, including over 30,000 Medicare Advantage beneficiaries. Columbia, MD 21044, Health plan support (Electronic claims submission) 1-800-977-3568: First Health Provider Relations: 1-800-937-6824: . Through innovative programs and services designed specifically for the managed care environment, HPN and its medical groups have been successful in delivering the goals it set out to achieve while establishing long-standing, favorable provider relationships. We collaborate with our physicians to provide quality care, while focusing on minimizing your out of pocket expenses. Claims Address Nebraska Total Care Attn: Claims PO Box 5060 Farmington, MO 63640-5060. . Company profile page for Heritage Provider Network Inc including stock price, company news, press releases, executives, board members, and contact information Box 371330 Reseda, CA 91337 What are the requirements for a completed claim? Service-oriented. Bakersfield Family Medical Center provides excellence in health care to our patients in professional settings that promote wellness and preventive medicine in Kern County. Dr. Merkins commitment to supporting academic research runs deep. At SMG your health is our priority. CMS 1500 form completion. 9100 Shelbyville Road Cincinnati, OH 45241, Northeast NetworkHelp@uhc.com, UnitedHealthcare Community Plan of Georgia (Medicaid) Answering phones, and assisting with claims status, assisting providers and members with claims documentation, logging and maintaining claim information. Fax: 615-372-3564, Southeast 10151 Deerwood Park Maitland, FL 32751, South Florida He is on the Visionary Board of the X-Prize Foundation. OptumRx fax (specialty medications) 800-853-3844. P.O. 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. Contact information for Heritage Provider Network, media relations, and our medical groups are as follows. Box 30884 9100 S. Dadeland Blvd. ForElectronic Data Interchange (EDI)inquiries, complete automated transaction supportformor email supportedi@uhc.com, Community Plan EDI support Because Medicaid is a state-run program, requirements vary by state and BCBS . Regal Medical Group (RMG) 800-638-3302 800-527-0531, OptumRx fax (specialty medications) Provider Service Contact Number; Health Net Provider Services Center (Except Medi-Cal and Medicare) . Does Heritage Vision Plans accept all types of providers? HPNs medical and administrative management organization assesses internal and external statistical data and surveys to monitor compliance with medical policies, procedures and standards. Centennial, CO 80111, Health plan support These breakthrough innovators are making significant contributions in the areas of technology, research, or new approaches to healthcare systems. Your Email Address Subject: Message. UnitedHealthcare 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. Call 911 if you have a life-threatening emergency. Interactive Guide: Use the UnitedHealthcare Provider Portal to view claim status, take action, if needed, check the status of tickets and more. Kingsport, TN 37660, Memphis With over 31,000 providers nationwide, our members are never far from quality vision care. 888-980-8728 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. Additionally, he is on the Board of Directors at the California NanoSystems Institute at UCLA. Fax: 859-825-6173, Louisville 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. In addition to creating and growing integrated delivery networks, Dr. Merkin has a long-standing interest in both prevention and cure. 13655 Riverport Drive 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. Find a provider by zip code Submit a Claim Vision Terms You Should Know Contact Us Without vision coverage, I'm not sure where I would be today. Salt Lake City, UT 84131-0364, Network Management 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. Medicare Advantage and Community Plan 1 Penn Plaza Suite 500 Our tools are supported using Microsoft Edge, Chrome and Safari. Login Now. 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. Suite 1250 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). Need access to the UnitedHealthcare Provider Portal? 800-291-2634, Medicare Advantage and Community Plan Suite 300 San Diego, CA 92121, Sacramento County Las Vegas, NV 89128, Medicare Advantage and Community Plan For more information, call (866) 654-3471 and request Network Management. Email. Behavioral health (outpatient): 1-844-430-1703. Albany As a Heritage Vision Plans provider, you always have a provider representative available to answer questions and address your needs. Easy for you, clear for employees. Fax: 425-918-4766. 888-702-2202, Network Management Through innovative programs and services designed specifically for the managed care environment, HPN and its medical groups have been . DOHCs services include access to 6 Immediate and Urgent Care Centers - Bermuda Dunes, Indio, Palm Desert, Palm Springs and Yucca Valley. In 2007, Dr. Merkin endowed the Richard Merkin Distinguished Fellowship in Emergency and Tropical Medicine in the Division of Internal Medicine at the Keck School. Home health, durable medical equipment, therapies and discharge planning: 1-888-235-8468. 9700 Health Care Lane, 8880 Call Center Drive 5900 Parkwood Place, 5th Floor All members of CCPN can access a full range of services, programs and specialists through these contracted providers. Send Message. We look forward to working together to service their members as we expand in the future. Medicare Advantage and Community Plan 877-743-8734, Network Management 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. West: uhc-network-wpa@uhc.com P.O.Box 31365 Dept. 185 Asylum St. Dr. Neskovic's Story "I chose to commit to an exclusive relationship and I've had steady and consistent growth as a result. uhc-network-de@uhc.com, 1818 Market St. 5757 Plaza Drive Atlanta, GA 30374, Health plan support Jonathan Gluck Phone: 800-763-7732. Salt Lake City, UT 84131-0364, General claim disputes *. LAKE Lakeside Medical Group (818) 933-0571 (818) 654-3490 Heritage P.O.Box 371390 Reseda, CA 91337 (213)355-8988 LCC Little Rock Community Clinic . Coastal Communities Physician Network (CCPN) 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). Heritage has the BEST Customer Service Staff Ever!!! Desert Oasis Health Care (DOHC) Suite 600 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. Optum Failure to correct inaccurate information, or bill utilizing Medicaid . 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. 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). 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