800-600-9007, Network Management Philadelphia, PA 19103, 475 Kilvert St. Update Your Provider Information. Your dispute can be submitted by a letter or by a provider dispute form. We'll use your location to find clinics, hospitals and doctors closest to you. Mail Route CT039-10A The healthcare awards competition garnered nominations across the spectrum of New York healthcare, from exciting early stage startups, to long established centers of New York Medical innovation. Request a copy of your contract P. O. Mansfield, Texas 76063. Prior authorization fax: 866-940-7328 Over 800 providers in the HPN work together to provide high-quality healthcare to their patients through coordinated care while experiencing practice . HPN, working with CHS, adds to the expertise and aids in the financial wellness of its providers. Salt Lake City, UT 84130-0760, Dual Complete (HMO D-SNP) Compassion, Dignity, Justice, Excellence, Integrity. Our team of 1,700 physicians ensures you have access to health care's brightest minds and biggest hearts across Orange County . 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. of Special Projects (661) 951-3224 ocampos@heritagemed.com 800-307-4959, Northern and Grant 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. Syracuse, NY 13206, NYS Empire Plan Communication Center. Ste 5300 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. Chicago, IL 60601-6602 Emblem Health HCP Direct: (800) 877-7587. 10175 Little Patuxent Parkway 1089 Jordan Creek Parkway UnitedHealthcare commercial and UnitedHealthcareMedicare Advantage plans (TTY 711). Give us a call. Warwick, RI 02886, Optum Behavioral Health hdmg.net 12370 Hesperia Road Ste. St. Jude Heritage Medical Group is widely recognized as one of Southern California's finest medical groups. Call 911 if you have a life-threatening emergency. UnitedHealthcare Community Plan Suite 1250 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. 8th Floor 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. Personal service is one of the reasons our network of providers is so stable with an extremely low turnover rate. Learn more about becoming a Premera provider. Claims Status. Heritage Provider Network (HPN) is a limited Knox-Keene licensed organization in California that provides affordable quality care to its members. Sierra Medical Group represents the future of medicine. Box 4380. . 877-542-9235, Network Management 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. Mission Heritage Medical Group is home to a team of board-certified primary care physicians and specialists serving the South Orange County communities. Heritage Provider Network Contact List As of April 2015 Group Department Contact Type Contact Name Title Phone Email Claims Main Contact Anthony Cockerill Director, Claims (661) 726-3815 awcockerill@hdmg.net Escalated Contact Octavio Campos Corporate Dir. Members who choose physicians in Heritage Physician Network will see their selected doctors in their conveniently located private offices. 3803 N. Elm St. 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. 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. use following address: Healthcare Invoice, Data and Provider Services Branch PO Box 4038, N. Freeway Sacramento, CA 95812-4038; Website Tech . 800-666-1353, Medicare Advantage and Community Plan 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. 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. To obtain a provider dispute form, please contact the Appeals Coordinator at (818) 654-3400. We collaborate with our physicians to provide quality care, while focusing on minimizing your out of pocket expenses. We re-credential providers every two years and conduct on-site audits. To view Dr. Merkins involvement in the community, click here, The physician-patient relationship is the foundation for providing quality health care, Physician and patient education must be proactive and ongoing, Physicians will make effective decisions for their patients given the appropriate tools, information and support from their peers, Utilization and quality management is a physician-to-physician process. 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. Provider Service Contact Number; Health Net Provider Services Center (Except Medi-Cal and Medicare) . Richardson, TX 75080, Medicare Advantage and Community Plan These IPA physicians remain affiliated with BFMC although they maintain their own individual offices. (760) 245-4747 pcp-NetworkManagementServices@uhcsouthflorida.com, Miami 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. 800-666-1353, Network management 6465 S. Greenwood Plaza Blvd. As a Heritage provider, your information will be included in our Heritage Provider Directory. Need access to the UnitedHealthcare Provider Portal? Dept. Suite 900 795 Woodland Pkwy Find the right contact I need to contact Clear Inputs about TTY users: To reach any number listed here, dial 711. Payer ID#: 87726 (EDI claims submission), Pharmacy 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). Yes. Attn: Appeals Coordinator P. O. At any time, on any device you can: As expressions of God's healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable. 4365 Executive Drive 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) 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. Richardson, TX 75080, Network Management You will receive a response as soon as possible. HDMG has a long-standing promise to provide residents of the Antelope Valley with the highest quality health care possible. 866-842-3278, option 1, Electronic Data Interchange (EDI) Fax: 425-918-4766. Cypress, CA 90630, Network Management Anaheim, CA 92825-0027. 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. To speak to a VSP customer service representative, call 1.800.877.7195. United States. West: uhc-network-wpa@uhc.com To join our Heritage Provider Network, fill out our Provider Enrollment Inquiry Form. (714) 937-6269 170 Wood Ave. South 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. Company Summary. 800-495-5285 230 Lexington Green Circle Box 31364 This site is compatible with: Richard Merkin, M.D. (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 (714) 937-6270 Fax. 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. (www.heritageprovidernetwork.com). All Savers Health Plan Miami, FL 33156 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. 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. Our goal is to help you make better care decisions for yourself and your family. San Luis Obispo, California 93401. 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. HPNs medical and administrative management organization assesses internal and external statistical data and surveys to monitor compliance with medical policies, procedures and standards. 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. 800-853-3844, Our tools are supported using Microsoft Edge, Chrome and Safari. He founded the Heritage Medical Research Institute, a non-profit medical research corporation emphasizing health care quality and outcomes studies. Are you a provider outside of Washington or Alaska? We look forward to working with you. Access patient and practice-specific information including: Have an in-process contracting or credentialing question? Contact. Select Claim Status Inquiry from the drop-down menu. Nurses . 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. Salt Lake City, UT 84130-0884, Disputes 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. 3838 N. Causeway Blvd. Terms of Use | Privacy Policy, Specialist, acute care, or post-acute care working extensively with Primary Care providers, Focused on personalized care but want the advantages and tools of a large group. 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. Technical support for providers and staff. 888-702-2202, Network Management As a Heritage Vision Plans provider, you always have a provider representative available to answer questions and address your needs. 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. Our team of healthcare professionals is available and ready to help you with all of your medical needs. Customer Service (818) 357 . 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. Fax: 601-718-6584, Medicare Advantage and Community Plan View claims and EOBs. From state-of-the-art radiology to nearby walk-in labs, we offer multiple locations throughout Northern California to fit your busy needs. Their provider and customer service departments have always been excellent at answering our questions in a timely professional manner. 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 . 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. We believe the most important aspect of healthcare is tending to the personal needs of our patients. P.O. Phone: 877-7NYSHIP, Long Island and metro Provider portal. 888-362-3368, UnitedHealthcare Oxford health plans 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. With 6 urgent cares in your area, why not save time and money? Regal Medical Group works together with your healthcare plan and your PCP to keep things running smoothly. . Our commitment to complete patient care includes developing new and better ways of delivering healthcare. Iselin, NJ 08830, Medicare Advantage and Community Plan Contact Claims. Milwaukee (NE, NW & SE WI) Heritage Provider Network is located at 39115 Trade Center Dr in Palmdale and has been in the business of Computer Related . Outside of healthcare, Dr. Merkin is involved in educational, economic and youth issues. What's more, our expertise is backed by a strong commitment to . 866-331-2243, available Monday - Friday from 7:00 am - 6:00 pm CST (6:00 am - 5:00 pm MST) Mailing Address. (818) 637-2000 Mailing Address Nebraska Total Care 2525 N 117th Ave, Suite . Heritage Provider Network Address 43879 15th St West Lancaster, CA 93534 USA Industry Finance and Insurance View all jobs at Heritage Provider Network Report Job Other Helpful Pages Related To Medical Claims Auditor All Jobs Medical Claims Auditor Jobs Chicago, IL 60601 Kingsport, TN 37660, Memphis 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). Your dispute must contain the following information: Provider's name Provider's identification number 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. With an important distinction. P.O. All members of CCPN can access a full range of services, programs and specialists through these contracted providers. Centennial, CO 80111, Health plan support Utilization Denial & Appeals Department Mailing Address Help desk: 800-797-9791 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. Philadelphia, PA 19103, Network Management 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. 3000 Bayport Drive 2525 Lake Park Blvd. We re-credential providers every two years and may conduct on-site quality assurance audits. Reseda, CA 91337. Heritage Provider Network. Suite 100 We have convenient locations throughout the Coachella Valley, Morongo Basin and Yucca Valley areas. 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. Miramar, FL 33027, Tampa 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. He is also on the Board of Directors for EdVoice, a group dedicated to education reform. Free online nutrition, health education and fitness classes Contracted with most Medicare Advantage Plans For member services call (866) 654-3471 TDD/TTY users dial 711. Our programs include Living and Aging Well, Home Health Services and Medication Management Services which are committed to improving your health proactively. Quest Integration 3000 Town Center, Suite 1400 Messages sent via this form should not contain personal health information. Salt Lake City, UT 84131-0364, Network Management All HPN participating providers and staff are dedicated to improving the healthcare journey and experience of all patients. 5757 Plaza Drive Individual Exchange plans Empire: (844) 638-0404. 888-866-8297, Network Management Northridge, CA 91325 800-328-8835, Network Management Heritage Technology Innovator in Healthcare Award: Gil Addo CEO and Co-founder, RubiconMD. Suite 1700 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. Phoenix, AZ 85004, Claims & medical records 866-331-2243, Network Management Please use this form for non-urgent, non-medical questions or comments. We aim to deliver quality, affordable healthcare to the communities we serve. Salt Lake City, UT 84130-0757 Failure to correct inaccurate information, or bill utilizing Medicaid . They are always pleasant, patient and more than willing to assist whenever I call! All members of Heritage Physician Network can access the full range of services, programs and specialists offered by BFMC. (800) 500-5215 or (760) 320-5134 Get the most up-to-date claims status and payment information, and the ability to . In addition, our Urgent Care is now open daily 6am - 8pm. 2nd Floor (800) 747-2362, Heritage Provider Network Prior authorization fax: 800-267-8328 888-650-3462, 6860 West 115th St. High Desert Medical Group (HDMG) northeastprteam@uhc.com, Network Management HDMG has a long-standing promise to provide residents of the Antelope Valley with the highest quality health care possible. SoutheastPRteam@uhc.com, Facility Contracting 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. 877-651-6677, Network Management With over 31,000 providers nationwide, our members are never far from quality vision care. Recognizing a leader in the New York area that has demonstrated significant impact in their healthcare field. How can we help? Box 740371 For that reason, to protect your privacy, please do not use e-mail to communicate information to us that you consider confidential. 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. Box 30884 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. Email. Implementing our benefits program is easy, and options are available for employer and employee plans. Regal Medical Group (RMG) With over 50 Primary Care Providers, 300 Specialists and 3 local hospitals in our network, Heritage Sierra Medical Group takes pride in Starting . Houston, TX 77027, Dallas, East, West & North Texas UnitedHealthcare Community Plan of North Carolina (Medicaid) Suite 1900 has more than 35 years of experience in health care with specific expertise in the development and administration of integrated delivery systems. Heritage Vision Plans provides affordable, high-quality vision benefits for companies of all sizes. We know that getting sick doesn't happen on an 8 - 5 schedule. Minnetonka, MN 55343 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. Your dispute must contain the following information: Provider's name. 2033 Meadowview Lane In addition, our Urgent Care is now open daily 6am - 8pm. Check wait times ahead of time and reserve your spot online at our urgent care locations for illnesses and injuries (non life threatening emergencies. And Yucca Valley areas Empire Plan Communication Center things running smoothly Institute a. Response as soon as possible Communication Center phone: 877-7NYSHIP, Long Island and metro Provider portal find... 85004, claims & medical records 866-331-2243, Network Management please use this form should not contain personal Health.... And customer service representative, call 1.800.877.7195 and aids in the New York area that demonstrated! 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