We collaborate with our physicians to provide quality care, while focusing on minimizing your out of pocket expenses. 818 Market St. inquiries@heritagemed.com. 230 Lexington Green Circle Regal Medical Group (RMG) Set your location to find care near you. Box 31364 P.O. 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). View Verification of Benefits. 3100 SW 145th Ave. Our programs include Living and Aging Well, Home Health Services and Medication Management Services which are committed to improving your health proactively. Medicare Advantage and Community Plan 2033 Meadowview Lane West Des Moines, IA 50266, Health plan Support Monday - Saturday 6 a.m. to 5 p.m.*, Pacific Time. Implementing our benefits program is easy, and options are available for employer and employee plans. Our goal is to help you make better care decisions for yourself and your family. Individual Exchange plans You will receive a response as soon as possible. Utilization Denial & Appeals Department Mailing Address Your location: Learn more about our mission, vision and values. 2023 Collaborative Health Systems Update Your Provider Information. PO Box 70014. 866-331-2243, Network Management customerservice@regalmed.com. The complete list of 25 finalists can be found at www.crainsnewyork.com/heritage. He is a member of the board of the California Association of Physician Groups. 1089 Jordan Creek Parkway 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. 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. Salt Lake City, UT 84131, Member Grievance & Appeals: 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. Suite 200 866-270-5785, San Diego County Suite 1250 1311 W. President George Bush Highway 400 E. Business Way 795 Woodland Pkwy (661) 327-4411 Medicare Advantage Plans 8510 Balboa Boulevard Suite 285 Sierra Medical Group represents the future of medicine. UnitedHealthcare PO Box 31365 Salt Lake City, UT 84131. Heritage Vision Plans provides affordable, high-quality vision benefits for companies of all sizes. We re-credential providers every two years and may conduct on-site quality assurance audits. 888-362-3368, UnitedHealthcare Oxford health plans 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. 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. Open 8 a.m. to 5 p.m., Monday through Friday, excluding holidays. P.O. Suite 1170 UnitedHealthcare Community Plan 2717 N 118th Street, Suite 300 Omaha, NE 68164. ", "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. 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. 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. We aim to deliver quality, affordable healthcare to the communities we serve. 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. In addition, our Urgent Care is now open daily 6am - 8pm. Centennial, CO 80111, Health plan support (800) 414-5860 for Commercial & Medicare. Suite 5300 Bakersfield Family Medical Center provides excellence in health care to our patients in professional settings that promote wellness and preventive medicine in Kern County. 1401 West Capitol Ave. 12018 Sunrise Valley Drive 888-239-3909. 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. 9100 Shelbyville Road To obtain a provider dispute form, please contact the Appeals Coordinator at (818) 654-3400. In addition, our Urgent Care is now open daily 6am - 8pm. 888-702-2202, Network Management What's more, our expertise is backed by a strong commitment to . Minnetonka, MN 888-866-8297, Network Management 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 partnership with CHS, we have developed population health, clinical, care management, quality reporting, and telehealth capabilities. Mail. 800-527-0531, OptumRx fax (specialty medications) 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. Milwaukee (NE, NW & SE WI) He is on the Visionary Board of the X-Prize Foundation. 312-453-7055, Network Management All HPN participating providers and staff are dedicated to improving the healthcare journey and experience of all patients. Phone: 877-7NYSHIP, Long Island and metro Our experienced staff understands that a timely claims conclusion is important for all parties involved. 1485 Heritage Parkway. 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. Network Resources. Puerto Rico Network Management Heritage has $600 million to $700 million of annual Ebitda. Fax: 504-849-3551, Network Management 3838 N. Causeway Blvd. Our goal is to help you make better care decisions for yourself and your family. Fax: 855-253-3236 Payer ID#: 87726 (EDI claims submission), Pharmacy Louisville, KY 40222 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. 1 East Washington St. Yes. Our facilities are equipped with some of the finest diagnostic equipment and technicians available. 9700 Health Care Lane, Oswego, OR 97035, Network Management Our programs include Living and Aging Well, Home Health Services and Medication Management Services which are committed to improving your health proactively. Overland Park, KS 66211, Medicare Advantage and Community Plan 800-291-2634, Medicare Advantage and Community Plan Pioneer Provider Network, A Medical Group, Inc . Our programs include Living and Aging Well, Home Health Services and Medication Management Services which are committed to improving your health proactively. *. We know that getting sick doesn't happen on an 8 - 5 schedule. Contact Claims. With more than 31,000 providers nationwide, our members are never far from quality vision care. 13655 Riverport Drive Join an eye-opening network of providers. Add value to your clients benefits package. 800-842-3585, Network Management Dublin, OH 43016 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. 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. 800-666-1353, Medicare Advantage and Community Plan Finally, Dr. Merkin has recently endowed two scholars at the Engelberg Center for Health Care Reform at the Brookings Institute to study payment reform and clinical leadership and funded the Brain and Health Innovation Program at the Zilkha Neurogenetic Institute at the Keck School of Medicine. Voice: 714-937-6130. 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. 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. 800-666-1353, Network management Call 911 if you have a life-threatening emergency. Dr. Merkin contributes to numerous non-profit philanthropic organizations, and, among other things, founded the Los Angeles Jewish Symphony which is dedicated to providing music education to children. San Diego, CA 92121, Sacramento County Memphis, TN 38115, Medicare Advantage and Community Plan Medical office locations in Foothill Ranch, San Clemente, Lake Forest, Laguna Niguel and Mission Viejo, CA. Together, we partner with local hospitals, medical experts and business leaders, and we actively support numerous organizations, educational, cultural and recreational events. Over 800 providers in the HPN work together to provide high-quality healthcare to their patients through coordinated care while experiencing practice growth and financial success. As a prospective Heritage provider, you will undergo a rigorous initial credentialing and verification process before joining the network. St. Jude Heritage Medical Group is widely recognized as one of Southern California's finest medical groups. 107 Westpark Blvd. Brentwood, TN 37027 Middle 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. Additionally, he is on the Board of Directors at the California NanoSystems Institute at UCLA. For details about provider contracting, please contact us . 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. We have convenient locations throughout the Coachella Valley, Morongo Basin and Yucca Valley areas. P.O. St. Joseph Heritage Healthcare. 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 Get the most up-to-date claims status and payment information, and the ability to . Suite 230 P.O. CHS provides HPN with health information analytics to care coordination, risk contracting to clinical expertise, and operational support. 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. All members of CCPN can access a full range of services, programs and specialists through these contracted providers. Send Message. Our commitment to complete patient care includes developing new and better ways of delivering healthcare. We accept over 85 different health plans, including HMO, PPO, POS, EPO, Private and Medicare plans. Suite 400 Scheduled Reports delivered. This site is compatible with: Our culture has strong ties to supporting the local community through providers preserving their independent practice using our group environment. East: uhc-network-epa@uhc.com, Pittsburgh west One way that we keep your overall health care costs low is by emphasizing preventative care in order to keep you healthy. 200 E Randolph St. 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. Our facilities offer superior patient convenience by providing Urgent Care, Pharmacy, Lab, Radiology, Pediatrics and a variety of specialty services at one convenient site. Technical support for providers and staff. DOHCs services include access to 6 Immediate and Urgent Care Centers - Bermuda Dunes, Indio, Palm Desert, Palm Springs and Yucca Valley. At Regal, we know that navigating the healthcare system can be complicated for patients and for physicians. southeastPRteam@uhc.com, Network Management Box 740371 10175 Little Patuxent Parkway Login Now! Cincinnati, OH 45241, Columbus Medical Group Inquiries (Member services, provider relations, claims): Bakersfield Family Medical Center (BFMC) We believe the most important aspect of healthcare is tending to the personal needs of our patients. UnitedHealthcare commercial and UnitedHealthcareMedicare Advantage plans 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. Box 30757 7440 Woodland Drive To join our Heritage Provider Network, fill out our Provider Enrollment Inquiry Form. Heritage Vision Plans makes vision benefits easy for everyone: for benefits managers and, most importantly, for employees using the benefits. Provider Profile Details: NPI Number Details: Provider Business Mailing Address Details: Provider's Primary Taxonomy Details: Secondary Taxonomy Details: We accept over 85 different health plans, including HMO, PPO, POS, EPO, Private and Medicare plans. 2000 West Loop South Fax: 615-372-3564, Northern Network Management has more than 35 years of experience in health care with specific expertise in the development and administration of integrated delivery systems. Regal Medical Group works together with your healthcare plan and your PCP to keep things running smoothly. Heritage has the BEST Customer Service Staff Ever!!! Suite 1700 Box 371330 Reseda, CA 91337 What are the requirements for a completed claim? Behavioral health (outpatient): 1-844-430-1703. . Sign up with your email address to receive news and updates. Send us a message. pcp-NetworkManagementServices@uhcsouthflorida.com, Miami nd_contracting@uhc.com, Network Management West: uhc-network-wpa@uhc.com 3803 N. Elm St. Cypress CA 90630, Health plan support Mission Heritage Medical Group is home to a team of board-certified primary care physicians and specialists serving the South Orange County communities. Milwaukee, WI 53214, Medicare Advantage and Community Plan SoutheastPRteam@uhc.com, Facility Contracting 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. Las Vegas, NV 89128, Medicare Advantage and Community Plan 800-527-0531. Heritage Provider Network in Lancaster, CA What email should the hiring manager contact you at? 125 South 84th St. View claims and EOBs. 5 Centerpointe Drive 2425 James St. Company Summary. Mon-Fri 7:30 am - 4 pm ST. Our Services. Richardson, TX 75080, Medicare Advantage and Community Plan Quest Integration 322 East Front St View credentialing forms. 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. Call toll free 800.252.2053 or click here to send us your inquiry. "Our Heritage New York Healthcare Innovation Award winners reflect the dream, spirit and promise of healthcare innovation we all strive for. In addition to creating and growing integrated delivery networks, Dr. Merkin has a long-standing interest in both prevention and cure. P.O. Suite 100 39115 TRADE CENTER DR PALMDALE, CA 93551 Get Directions (661) 480-2000 . 200 E Randolph St Call 888-261-9562 to reach Premera's BlueCard claims customer service team. Select your state to find information, service and support. 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. Members will be able to access this information online at Find a Provider or they may contact our Customer Service Center for assistance. Philadelphia, PA 19103, Network Management Suite 200 877-670-8432, Provider Relations Physician and Hospital Advocate Team 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. 13 Cornell Road Give us a call. Medicare Advantage and Community Plan 2100 Riveredge Pkwy. Concurrent clinical review documentation: 1-888-700-2197. Suite 900 We also believe that during a visit to your doctor, the focus should be on health and wellness. Providence accepts most health insurance plans. Columbia, MD 21044, Health plan support With over 50 Primary Care Providers, 300 Specialists and 3 local hospitals in our network, Heritage Sierra Medical Group takes pride in Starting . Box 2300 https://www.providerexpress.com/content/ope-provexpr/us/en/our-network.html, Optum Physical Health/Alternative Medicine (Acupuncture, Massage Therapy, Chiro, Naturopaths, etc.) Visit your health plans website or call to ensure your doctor is in Providences network. Easy for you, clear for employees. Sierra Medical Group represents the future of medicine. 888-478-4760, Network Management 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. Home health, durable medical equipment, therapies and discharge planning: 1-888-235-8468. 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. northeastprteam@uhc.com, Network Management Our team of healthcare professionals is available and ready to help you with all of your medical needs. Suite 300 These IPA physicians remain affiliated with BFMC although they maintain their own individual offices. If your request involves a specific facility, please select it - otherwise, select "General". Your Email Address Subject: Message. Implementing our benefits program is easy, and options are available for employer and employee plans. At SMG, we work hard to ensure that our patients receive quality medical care. In addition, our Urgent Care is now open daily 6am - 8pm. Box 31364 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. 2 Allegheny Center providertechsupport@uhc.com. (TTY 711). Are you a provider outside of Washington or Alaska? Our team of 1,700 physicians ensures you have access to health care's brightest minds and biggest hearts across Orange County . 3rd Floor How can we help? If you need help resetting your password, you call us. We also believe that during a visit to your doctor, the focus should be on health and wellness. HDMG has a long-standing promise to provide residents of the Antelope Valley with the highest quality health care possible. Heritage Provider Network CLAIM THIS BUSINESS. Nurses . 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) Bakersfield Family Medical Center provides excellence in health care to our patients in professional settings that promote wellness and preventive medicine in Kern County. Check wait times ahead of time and reserve your spot online at our urgent care locations for illnesses and injuries (non life threatening emergencies. 185 Asylum St. 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. Login to view member eligibility, claim status, submit claims and more. 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. Detroit, Eastern, Western and Northern and Upper Contact. Highlighting cutting edge applications of technology and up-and-comers in the healthcare industry. CMS 1500 form completion. OptumRx fax (specialty medications) 800-853-3844. Suite 500 Referrals. 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. www.myoptumhealthphysicalhealth.com, Health Plan Support Reseda, CA 91337. Kingsport, TN 37660, Memphis broker portal. View information for out-of-area providers. Our Approach. 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. 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