Regal Medical Group works together with your healthcare plan and your PCP to keep things running smoothly. Chicago, IL 60601-6602 Medical Group Heritage Provider NetworkWeighs $9 Billion-Plus Sale. Bakersfield Family Medical Center provides excellence in health care to our patients in professional settings that promote wellness and preventive medicine in Kern County. Professor of Medicine, New York Medical College; Chief of Medicine, NYC Health + Hospitals/Metropolitan. Box 30884 southeastPRteam@uhc.com, Network Management Simple. We have convenient locations throughout the Coachella Valley, Morongo Basin and Yucca Valley areas. Provider Service Contact Number; Health Net Provider Services Center (Except Medi-Cal and Medicare) . Mon-Fri: 8:00 a.m. - 5:00 p.m. Senior Member Concierge Line (818) 357-5000 press option 1, then press option 6. View Top Employees from Heritage Provider Network We're located at 4550 California Avenue, Suite 100, in Bakersfield. 2nd Floor 200 E Randolph St. 1 East Washington St. Preventive health care services include employer-based health education programs, vaccinations and fitness programs. Referrals. Phoenix, AZ 85004, UnitedHealthcare Community Plan 800-307-4959, Northern and Grant We are affiliated with most major health plans, including many HMOs. Suite 1250 1311 W. President George Bush Highway He is also on the Board of Directors for EdVoice, a group dedicated to education reform. 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. Our commitment to complete patient care includes developing new and better ways of delivering healthcare. Box 371330 Reseda, CA 91337. UnitedHealthcare 888-866-8297, Provider Relations Physician and Hospital Advocate Team 656 Santa Rosa Street, Suite 2A. From state-of-the-art radiology to nearby walk-in labs, we offer multiple locations throughout Northern California to fit your busy needs. P.O. Mission: We have designed our networks . Failure to correct inaccurate information, or bill utilizing Medicaid . To join our Heritage Provider Network, fill out our Provider Enrollment Inquiry Form. Claims Mailing address: PO Box 91059 Seattle, WA 98111-9159 Claim payer IDs Direct submission: Professional and Institutional 00430; Dental 47570 Clearinghouse submission: Contact your clearinghouse for the correct submitter ID (assigned by the clearinghouse) View claims and billing forms Customer service Login Now. sd_contracting@uhc.com, Network Management Health-care provider is working with an adviser to assist it. 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. Personal service is one of the reasons our network of providers is so stable with an extremely low turnover rate. Southfield, MI 48075 8880 Call Center Drive These IPA physicians remain affiliated with BFMC although they maintain their own individual offices. All paper claims must be mailed to: Lakeside Community Healthcare Attn: Claims Department P. O. They have all personally, and organizationally made those promises to improve health, care, and cost a reality for tens of thousands of New Yorkers most in need, and lighting the way for others to follow," said Mark Wagar, President of Heritage Medical Systems. (800) 266-HDMG or (661) 945-5984 Fax: 601-718-6584, Medicare Advantage and Community Plan AOB Department 1401 N Westshore Blvd Tampa, FL 33607 Platinum Preferred Savings Program Members Attn: Claims Processing. This forward-thinker has forever changed the way care systems work through new models, processes and pathways. We collaborate with our physicians to provide quality care, while focusing on minimizing your out of pocket expenses. Suite 5300 (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 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. 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. 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. At Regal, we know that navigating the healthcare system can be complicated for patients and for physicians. westprteam@uhc.com, Network Management Company Summary. 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 . Claims Customer Service (714) 937-6143 Hours: - weekdays from 7:30 a.m. to 4 p.m. Claims Billing Address P.O. All members of CCPN can access a full range of services, programs and specialists through these contracted providers. Mail. ac_edi_ops@uhc.com Heritage Provider Network, Inc. (HPN) is one of the most experienced physician organization leaders of accountable care and continuous value based healthcare delivery improvements. Hartford, CT 06103, UnitedHealthcare Oxford Health Plan Address. Suite 1700 That size works to your advantage, allowing us to be there to coordinate all of your health care, when and where you need us. Provider's identification number. View all open positions on our careers page. Lexington, KY 40503 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. (www.heritageprovidernetwork.com). 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. www.myoptumhealthphysicalhealth.com, Health Plan Support 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. Set your location to find care near you. nd_contracting@uhc.com, Network Management 2717 North 118th St., Suite 300 All Savers Health Plan He is on the Board of Trustees at the California Institute of Technology and the Keck School of Medicine at the University of Southern California. Minnetonka, MN 55343, Network Management Waltham, MA 02451, Health plan support 877-842-3210, Medicare Advantage and Community Plan Login to view member eligibility, claim status, submit claims and more. 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. 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. 5900 Parkwood Place 5th floor northeastprteam@uhc.com, Network Management 866-842-3278, option 1, Electronic Data Interchange (EDI) Your dispute must contain the following information: Provider's name. providertechsupport@uhc.com Mon-Fri 7:30 am - 4 pm ST. Our Services. 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. . 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. Suite 100 Our facilities offer superior patient convenience by providing Urgent Care, Pharmacy, Lab, Radiology, Pediatrics and a variety of specialty services at one convenient site. 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. Become a Heritage Vision Plans Provider, and join a dynamic, expanding network of eye-care professionals with access to a growing list of clients we serve. As a Heritage provider, your information will be included in our Heritage Provider Directory. 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. He established The Richard Merkin Foundation for Stem Cell Research at the Broad Institute at Harvard and MIT, The Richard Merkin Initiative at the Johns Hopkins Brain Sciences Institute, and The Richard Merkin Foundation for Neural Regeneration at UCLA. 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. 888-980-8728 With over 50 Primary Care Providers, 300 Specialists and 3 local hospitals in our network, Heritage Sierra Medical Group takes pride in Starting . 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. Nebraska_network@uhc.com, Iowa/Quad Cities Cleveland Visit your health plans website or call to ensure your doctor is in Providences network. Implementing our benefits program is easy, and options are available for employer and employee plans. For that reason, to protect your privacy, please do not use e-mail to communicate information to us that you consider confidential. Cleveland, OH 44114, Dayton and Cincinnati Dr. Neskovic's Story "I chose to commit to an exclusive relationship and I've had steady and consistent growth as a result. Dublin, OH 43016 We have enjoyed our partnership with Heritage Vision Plans over the last several years. We collaborate with our physicians to provide quality care, while focusing on minimizing your out of pocket expenses. 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 Contacts --Contact Business. They are always pleasant, patient and more than willing to assist whenever I call! Dublin, OH 43016 We believe the most important aspect of healthcare is tending to the personal needs of our patients. Because Medicaid is a state-run program, requirements vary by state and BCBS . Suite 1100 For details about provider contracting, please contact us . 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. (817) 477-0400. Seattle, WA 98101, Network Management 125 South 84th St. How can we help? UnitedHealthcare UHN AL Email: claims@hcpipa.com (secure email only) Membership Eligibility Fax: 859-825-6173, Louisville *for Medicare members hours are 8 a.m. to 8 p.m. in all time zones, call 1.855.492.9028. 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. TTY/TTD Members should call 711. For more information, call (866) 654-3471 and request Network Management. 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. 2300 Clayton Road 888-478-4760, Network Management 800-690-1606, Network Management Middle Suite 1900 SoutheastPRteam@uhc.com, Facility Contracting Heritage Provider Network in Lancaster, CA What email should the hiring manager contact you at? 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. Houston, TX 77027, Dallas, East, West & North Texas (760) 245-4747 Call toll free 800.252.2053 or click here to send us your inquiry. He founded the Heritage Medical Research Institute, a non-profit medical research corporation emphasizing health care quality and outcomes studies. Honolulu, HI 96813, Health plan support Refund Address Nebraska Total Care Attn: Refunds PO Box 3713 Carol Stream, IL 60132-3713. Request . Learn more about becoming a Premera provider. broker portal. 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. Suite 300 3175 Lenox Park Blvd. CHS provides HPN with health information analytics to care coordination, risk contracting to clinical expertise, and operational support. Our team of healthcare professionals is available and ready to help you with all of your medical needs. Suite 600 Monday - Saturday 6 a.m. to 5 p.m.*, Pacific Time. Suite 2600 In addition, our Urgent Care is now open daily 6am - 8pm. Call 911 if you have a life-threatening emergency. Page Footer I want to. CMS 1500 form completion. 5757 Plaza Drive 800-328-8835, Network Management 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. 35 Casa Street, Suite 170, San Luis Obispo, CA 93401 (805) 540-5035 Get Directions 325 Posada Lane, Templeton, CA 93465 (805) 239-0644 Get Directions R. A. Rees Pritchett Professor of Microbiology; Chairman, Department of Microbiology & Immunology, Weill Cornell Medical College. Communication Center. Utilization Denial & Appeals Department Mailing Address We look forward to working together to service their members as we expand in the future. 2717 North 118th St., Suite 300 Access ID Card. We aim to deliver quality, affordable healthcare to the communities we serve. 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. Greensboro, NC 27459 (818) 654-3400 or (866) 654-3471 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. For ER admission/Urgent admission post stabilization, please reach out to us at (833) 554-2958. P.O. Our ultimate goal is to enable providers to focus on doing wellin caring for patients, staff, and achieving financial objectives in the practice. 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. Your dispute must contain the following information: Provider's name Provider's identification number 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. 950 Winter St. P.O. 400 E. Business Way 5900 Parkwood Place, 5th Floor Box 30757 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. Sierra Medical Group represents the future of medicine. 322 East Front St 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. He is a member of the board of the California Association of Physician Groups. Our goal is to help you make better care decisions for yourself and your family. Our commitment to complete patient care includes developing new and better ways of delivering healthcare. Contact Claims. 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. 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. Email. Medicare Advantage and Community Plan Blue Cross and Blue Shield (BCBS) Plans currently administer Medicaid programs in several states. 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. . Heritage Technology Innovator in Healthcare Award: Gil Addo CEO and Co-founder, RubiconMD. We aim to deliver quality, affordable healthcare to the communities we serve. Medical Group Inquiries (Member services, provider relations, claims): Bakersfield Family Medical Center (BFMC) Provider Tools. Initial admission notifications and all other services: 1-800-964-3627. Prior uthorization: 800-310-6826 Submit an inquiry and review the Claims Status Detail page. Suite 300 800-711-4555, OptumRx fax (non-specialty medications) 2000 West Loop South Box 31364 The Heritage Provider Network includes optometrists, ophthalmologists, and opticians. San Diego, CA 92121, Sacramento County 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. Heritage Provider Network (HPN) is a limited Knox-Keene licensed organization in California that provides affordable quality care to its members. HPN has implemented rigorous programs to review utilization, quality assurance compliance, medical risk management and patient issues and concerns. 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. Maryland Heights, MO 63043, Network Management 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). CHS serves as our population health management services organization (PHMSO), meaning that they support our participating practices with key resources needed to achieve success in value-based care. Suite 110 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. Regal Medical Group (RMG) Box 61063 Box 4380. P.O. https://www.providerexpress.com/content/ope-provexpr/us/en/our-network.html, Optum Physical Health/Alternative Medicine (Acupuncture, Massage Therapy, Chiro, Naturopaths, etc.) Box 10 Anaheim, CA 92815-0010 Enrollment Customer Service Tel. Nurses . Prior authorization fax: 866-940-7328 Sierra Medical Group represents the future of medicine. Suite 400 We aim to deliver quality, affordable healthcare to the communities we serve. Send us a message. 1089 Jordan Creek Parkway Indianapolis, Fort Wayne, Southeast and Southwest View real time claims and eligiblity. Cypress CA 90630, 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. UnitedHealthcare Community Plan Overland Park, KS 66211, Medicare Advantage and Community Plan We look forward to working with you. All members of CCPN can access a full range of services, programs and specialists through these contracted providers. 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. 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