centralPRteam@uhc.com, Network Management He is on the Visionary Board of the X-Prize Foundation. Northridge, CA 91325 providertechsupport@uhc.com. Customer Service (818) 357 . Our facilities offer superior patient convenience by providing Urgent Care, Pharmacy, Lab, Radiology, Pediatrics and a variety of specialty services at one convenient site. Your dispute must contain the following information: Provider's name Provider's identification number Help desk: 800-797-9791 HPN has implemented rigorous programs to review utilization, quality assurance compliance, medical risk management and patient issues and concerns. southeastPRteam@uhc.com, Network Management Fax: 859-825-6173, Louisville Heritage Sierra Medical Group Headquarters, 44469 10th Street West, Lancaster, CA, 93534, United States, Utilization Management - Clinical Criteria & Availability of Clinical Criteria (2021). 200 E Randolph St. 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. Our programs include Living and Aging Well, Home Health Services and Medication Management Services which are committed to improving your health proactively. Our goal is to help you make better care decisions for yourself and your family. 877-651-6677, Network Management 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. We're located at 4550 California Avenue, Suite 100, in Bakersfield. Kingsport, TN 37660, Memphis Iselin, NJ 08830, Medicare Advantage and Community Plan Boise, ID 83702, Provider Relations Physician and Hospital Advocate Team P.O. 800-600-9007, Network Management SoutheastPRteam@uhc.com, Facility Contracting Hartford, CT 06103, UnitedHealthcare Oxford Health Plan The complete list of 25 finalists can be found at www.crainsnewyork.com/heritage. Honolulu, HI 96813, Health plan support Heritage Provider Network, Inc. (HPN) is one of the most experienced physician organization leaders of accountable care and continuous value based healthcare delivery improvements. 2100 Riveredge Pkwy. That size works to your advantage, allowing us to be there to coordinate all of your health care, when and where you need us. Together, we partner with local hospitals, medical experts and business leaders, and we actively support numerous organizations, educational, cultural and recreational events. UnitedHealthcare Community Plan Get an ID card File a claim View my claims and EOBs Check coverage under my plan See prescription drug list Find an in-network doctor, dentist, or facility Find a form Find 1095-B tax form information View the Cigna Glossary Contact Cigna Audiences Individuals and Families Medicare Employers Brokers Providers UnitedHealthcare PO Box 31365 Salt Lake City, UT 84131. Please use this form for non-urgent, non-medical questions or comments. Initial admission notifications and all other services: 1-800-964-3627. Box 30757 2nd Floor Send your new credentialing application by mail, fax, or email: Mail: PO Box 327 - MS 263 Seattle, WA 98111-0327. 400 E. Business Way 877-542-9235, Network Management inquiries@heritagemed.com. This forward-thinker has forever changed the way care systems work through new models, processes and pathways. Dublin, OH 43016 Our customer-first approach works well for members, clients, providers and agents. 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. 800-307-4959, Northern and Grant Because Medicaid is a state-run program, requirements vary by state and BCBS . We accept over 85 different health plans, including HMO, PPO, POS, EPO, Private and Medicare plans. Prior authorization fax: 800-267-8328 mo_network_mgmt@uhc.com This site is compatible with: Medicare Advantage and Community Plan Call 888-261-9562 to reach Premera's BlueCard claims customer service team. Philadelphia, PA 19103, Network Management He is also on the Board of Directors for EdVoice, a group dedicated to education reform. . 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. Suite 600 Contact information for Heritage Provider Network, media relations, and our medical groups are as follows. Members who choose physicians in Heritage Physician Network will see their selected doctors in their conveniently located private offices. Get the latest information from Heritage for your practice, and dont miss out on new developments as we upgrade our provider resources. Suite 1700 Nebraska_network@uhc.com, Iowa/Quad Cities providertechsupport@uhc.com Address. Kingston, NY 12402-5290, Behavioral health Richard Merkin, M.D. If your request involves a specific facility, please select it - otherwise, select "General". Puerto Rico Network Management Suite 900 Learn more about our mission, vision and values. 107 Westpark Blvd. Philadelphia, PA 19103, 475 Kilvert St. Heritage Provider Network is located at 39115 Trade Center Dr in Palmdale and has been in the business of Computer Related . Scheduled Reports delivered. Consolidated Portal. Home health, durable medical equipment, therapies and discharge planning: 1-888-235-8468. 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. Failure to correct inaccurate information, or bill utilizing Medicaid . Dept. 888-702-2202, Network Management Minnetonka, MN Our commitment to complete patient care includes developing new and better ways of delivering healthcare. 800-210-8315, API Support 5900 Parkwood Place 5th floor View Verification of Benefits. With a reputation built on quality, flexibility and responsiveness, Heritage provides superior vision plans at competitive prices. 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. 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 Milwaukee, WI 53214, Medicare Advantage and Community Plan Update Your Provider Information. 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. 888-980-8728 Phone: 800-763-7732. Southfield, MI 48075 PO Box 70014. UnitedHealthcare This growth is the direct result of a proven ability to improve the health of a population while at the same time lowering costs and increasing quality. 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. New York, NY 10119, Health plan support Reston, VA 20191, Network Management 800-690-1606, Network Management Heritage Vision Plans makes vision benefits easy for everyone: for benefits managers and, most importantly, for employees using the benefits. Heritage Vision Plans makes vision benefits easy for everyone: for benefits managers and, most importantly, for employees using the benefits. 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. Quest Integration Your Email Address Subject: Message. 800-666-1353, Medicare Advantage and Community Plan For more information or if you have a specific question, you can contact us using one of the following methods. Lakeside Community Healthcare P.O. 888-362-3368, Provider Relations Physician and Hospital Advocate Team If the claim is denied or final, there will be an option to dispute the claim. (714) 937-6269 877-670-8432, Provider Relations Physician and Hospital Advocate Team Communication Center. 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 know that getting sick doesn't happen on an 8 - 5 schedule. northeastprteam@uhc.com, Network Management Smart vision plans. Indianapolis, Fort Wayne, Southeast and Southwest He is a member of the board of the California Association of Physician Groups. Mail. Maitland, FL 32751, South Florida Provider Profile Details: NPI Number Details: Provider Business Mailing Address Details: Provider's Primary Taxonomy Details: Secondary Taxonomy Details: Answering phones, and assisting with claims status, assisting providers and members with claims documentation, logging and maintaining claim information. 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. 800-638-3302 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). Behavioral health (inpatient): 1-844-430-1702. We aim to deliver quality, affordable healthcare to the communities we serve. 1 Penn Plaza Salt Lake City, UT 84130-0760, Dual Complete (HMO D-SNP) With more than 31,000 providers nationwide, our members are never far from quality vision care. Login to view member eligibility, claim status, submit claims and more. 800-853-3844, Our tools are supported using Microsoft Edge, Chrome and Safari. View information for out-of-area providers. "Our Heritage New York Healthcare Innovation Award winners reflect the dream, spirit and promise of healthcare innovation we all strive for. Box 371330 Reseda, CA 91337. 5757 Plaza Drive Our ultimate goal is to enable providers to focus on doing wellin caring for patients, staff, and achieving financial objectives in the practice. Emergency physician services. Claims Status. 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. Suite 301 Heritage Provider Network. 13655 Riverport Drive At SMG, we work hard to ensure that our patients receive quality medical care. Miami, FL 33156 As a Heritage provider, your information will be included in our Heritage Provider Directory. MyChart makes it easy to get care and manage your health including checking in for your next appointment. Set your location to find care near you. In addition, our Urgent Care is now open daily 6am - 8pm. Give us a call. Milwaukee (NE, NW & SE WI) West Des Moines, IA 50266, Health plan Support ac_edi_ops@uhc.com Heritage has the BEST Customer Service Staff Ever!!! 877-842-3210, Medicare Advantage and Community Plan Our tools are supported using Microsoft Edge, Chrome and Safari. CMS 1500 form completion. We believe the most important aspect of healthcare is tending to the personal needs of our patients. Dr. Merkins commitment to supporting academic research runs deep. All members of CCPN can access a full range of services, programs and specialists through these contracted providers. P.O. HPNs medical and administrative management organization assesses internal and external statistical data and surveys to monitor compliance with medical policies, procedures and standards. If calling after hours, please leave a voice mail . Memphis, TN 38115, Medicare Advantage and Community Plan 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. 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. 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. You always have a provider service representative available to help either by telephone, email or the contact us form. Minnetonka, MN 55343, Network Management Our claims department is at your service 24 hours a day, 7 days a week. Messages sent via this form should not contain personal health information. Our facilities offer superior patient convenience by providing Urgent Care, Pharmacy, Lab, Radiology, Pediatrics and a variety of specialty services at one convenient site. To speak to a VSP customer service representative, call 1.800.877.7195. 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. Phone: 877-7NYSHIP, Long Island and metro 9100 S. Dadeland Blvd. 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. 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. UnitedHealthcare UHN AL Technical support for providers and staff. Sierra Medical Group represents the future of medicine. First Name *. Page Footer I want to. Salt Lake City, UT 84130-0757 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) 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. Anaheim, CA 92825-0027. Our commitment to complete patient care includes developing new and better ways of delivering healthcare. Send Message. 230 Lexington Green Circle Cincinnati, OH 45241, Northeast Suite 400 Nebraska_network@uhc.com, Medicare Advantage and Community Plan Suite 600 For ER admission/Urgent admission post stabilization, please reach out to us at (833) 554-2958. Mailing Address Nebraska Total Care 2525 N 117th Ave, Suite . Competitors: Unknown. 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. Salt Lake City, UT 84131-0364, Network Management We accept both private practice providers and those affiliated with retail locations or corporate chains. 800-711-4555, OptumRx fax (non-specialty medications) Claims Mailing Address. Learn more about becoming a Premera provider. (800) 500-5215 or (760) 320-5134 (800) 266-HDMG or (661) 945-5984 Our goal is to help you make better care decisions for yourself and your family. The theory is, if hospitalizations can be predicted, preventive measures can be taken and unnecessary hospitalizations can be avoided. Pittsburgh, PA 15212, Philadelphia east San Luis Obispo, California 93401. use following address: Healthcare Invoice, Data and Provider Services Branch PO Box 4038, N. Freeway Sacramento, CA 95812-4038; Website Tech . 800-527-0531, OptumRx fax (specialty medications) Provider Lookup . Box 5290 9100 Shelbyville Road 800-527-0531. Open 8 a.m. to 5 p.m., Monday through Friday, excluding holidays. Our team of healthcare professionals is available and ready to help you with all of your medical needs. We accept over 85 different health plans, including HMO, PPO, POS, EPO, Private and Medicare plans. Our purpose is to provide our individual participating practices with the benefits derived from belonging to a larger group, such as potential improvement in Medicare Fee-For-Service rates, value-based programs offered by health plans, group purchasing programs, and financial incentives. Bakersfield Family Medical Center provides excellence in health care to our patients in professional settings that promote wellness and preventive medicine in Kern County. Trilogy Health Solutions - Wisconsin Preferred Provider Network . Over 800 providers in the HPN work together to provide high-quality healthcare to their patients through coordinated care while experiencing practice . . Prior to rendering services, you may verify member eligibility, determine level of benefit coverage, and obtain authorizations through our Heritage Provider Web Portal or you may contact our Customer Service Center at 800.252.2053, Monday Friday 9am 8pm EST and on Saturday 9am 4pm EST, for assistance. His leadership has inspired the formation of over 28 group model and IPA structures in California, New York and Arizona. 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. Together, we have the resources to participate in the incentives that are part of value-based care programs. 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. Members who choose physicians in Heritage Physician Network will see their selected doctors in their conveniently located private offices. 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). 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. Phoenix, AZ 85004, Claims & medical records West: uhc-network-wpa@uhc.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. Medicare Fee-For-Service beneficiaries and health plan members can expect the highest quality, coordinated care from a primary care or specialist provider participating in HPN. 185 Asylum St. 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. This organization has created or championed new ways of thinking and doing, uniting diverse constituencies to work together. 656 Santa Rosa Street, Suite 2A. HPNs guiding philosophy and beliefs are: HPNs preventive health care services are widely acknowledged to be among the broadest and most advanced in the industry. Contact Claims. We re-credential providers every two years and conduct on-site audits. What's more, our expertise is backed by a strong commitment to . Payer ID#: 87726 (EDI Claims Submission), Claims 3838 N. Causeway Blvd. Network Resources. 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. Heritage Provider Network (HPN) is a limited Knox-Keene licensed organization in California that provides affordable quality care to its members. Our facilities offer superior patient convenience by providing Urgent Care, Pharmacy, Lab, Radiology, Pediatrics and a variety of specialty services at one convenient site. 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. 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. 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. pcp-NetworkManagementServices@uhcsouthflorida.com, Miami Louisville, KY 40222 Dr. Neskovic's Story "I chose to commit to an exclusive relationship and I've had steady and consistent growth as a result. Get the most up-to-date claims status and payment information, and the ability to . Our culture has strong ties to supporting the local community through providers preserving their independent practice using our group environment. Suite 5300 2300 Clayton Road 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. broker portal. Regal Medical Group (RMG) 5 Centerpointe Drive 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. 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. Cypress, CA 90630, Network Management How do I join and qualify to become a Heritage participating in-network provider? We aim to deliver quality, affordable healthcare to the communities we serve. claim submissions. Centennial, CO 80111, Health plan support Email: claims@hcpipa.com (secure email only) Membership Eligibility Box 371330 Reseda, CA 91337 What are the requirements for a completed claim? P.O. Heritage Technology Innovator in Healthcare Award: Gil Addo CEO and Co-founder, RubiconMD. Suite 310 3000 Town Center, Suite 1400 2000 West Loop South Email. With more than 150 highly-trained doctors in virtually every specialty, our medical excellence extends from primary care to leading edge surgical procedures. Medical Group Inquiries (Member services, provider relations, claims): Bakersfield Family Medical Center (BFMC) 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 . 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: 6465 S. Greenwood Plaza Blvd. 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. Detroit, Eastern, Western and Northern and Upper 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. Maryland Heights, MO 63043, Network Management 5900 Parkwood Place, 5th Floor "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. 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. We believe the most important aspect of healthcare is tending to the personal needs of our patients. P.O. Refund Address Nebraska Total Care Attn: Refunds PO Box 3713 Carol Stream, IL 60132-3713. P.O. (800) 414-5860 for Commercial & Medicare. Eye health and wellness is a priority with Heritage Vision Plans, and we believe in giving back to the communities where we live and work. DOHCs services include access to 6 Immediate and Urgent Care Centers - Bermuda Dunes, Indio, Palm Desert, Palm Springs and Yucca Valley. Our goal is to help you make better care decisions for yourself and your family. 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. Ste 5300 He founded the Heritage Medical Research Institute, a non-profit medical research corporation emphasizing health care quality and outcomes studies. Implementing our benefits program is easy, and options are available for employer and employee plans. 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