UnitedHealthcare Community Plan 2717 N 118th Street, Suite 300 Omaha, NE 68164. Suite 600 Lake 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. These IPA physicians remain affiliated with BFMC although they maintain their own individual offices. Heritage Provider Network Address 8510 Balboa Blvd #150 Los Angeles, CA 91325 USA Industry Finance and Insurance View all jobs at Heritage Provider Network Report Job Search Results Near Los Angeles, CA Computer Integration Technologies CLEO Cycle Repair CGS All Jobs Hospital Claims Jobs Lakeside Medical Group (LMG) You should be discussing things like prevention, diagnosis, treatment and healing, not coverage, networks, claims, regulations and billing. Anaheim, CA 92825-0027. 950 Winter St. With a reputation built on quality, flexibility and responsiveness, Heritage provides superior vision plans at competitive prices. 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. Members who choose physicians in Heritage Physician Network will see their selected doctors in their conveniently located private offices. You should be discussing things like prevention, diagnosis, treatment and healing, not coverage, networks, claims, regulations and billing. San Luis Obispo, California 93401. Columbia, MD 21044, Health plan support Reston, VA 20191, Network Management 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. At SMG your health is our priority. Medicare Advantage Plans 800-495-5285 Columbia, SC 29210, Network Management (Electronic claims submission) 1-800-977-3568: First Health Provider Relations: 1-800-937-6824: . We accept over 85 different health plans, including HMO, PPO, POS, EPO, Private and Medicare plans. 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. Send your new credentialing application by mail, fax, or email: Mail: PO Box 327 - MS 263 Seattle, WA 98111-0327. We believe the most important aspect of healthcare is tending to the personal needs of our patients. Send Message. "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. R. A. Rees Pritchett Professor of Microbiology; Chairman, Department of Microbiology & Immunology, Weill Cornell Medical College. Provider Tools. You always have a provider service representative available to help either by telephone, email or the contact us form. (661) 327-4411 *. Heritage Healthcare Leadership Award: Karen Ignagni. DOHCs services include access to 6 Immediate and Urgent Care Centers - Bermuda Dunes, Indio, Palm Desert, Palm Springs and Yucca Valley. Corporate Office Number (818) 654-3400. 1 East Washington St. Concord CA 94520, Southern Network Management 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 Sierra Medical Group Headquarters, 44469 10th Street West, Lancaster, CA, 93534, United States, Utilization Management - Clinical Criteria & Availability of Clinical Criteria (2021). With over 50 Primary Care Providers, 300 Specialists and 3 local hospitals in our network, Heritage Sierra Medical Group takes pride in Starting . mn_contracting@uhc.com, 9700 Health Care Lane inquiries@heritagemed.com. Our customer-first approach works well for members, clients, providers and agents. 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. Credentialing application - new providers. 5 Centerpointe Drive UnitedHealthcare UHN AL Messages sent via this form should not contain personal health information. UnitedHealthcare Community Plan of North Carolina (Medicaid) 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. Through innovative programs and services designed specifically for the managed care environment, HPN and its medical groups have been . . We have enjoyed our partnership with Heritage Vision Plans over the last several years. When youre ready, call your physicians office or schedule an appointment online. 800-600-9007, Jacksonville Cypress, CA 90630, Network Management Indianapolis, Fort Wayne, Southeast and Southwest How will your members know that we are a Heritage Network Provider? He is a member of the board of the California Association of Physician Groups. Together, we have the resources to participate in the incentives that are part of value-based care programs. Heritage Technology Innovator in Healthcare Award: Gil Addo CEO and Co-founder, RubiconMD. Waltham, MA 02451, Network Management 3100 SW 145th Ave. 6465 Greenwood Plaza Blvd. Visit your health plans website or call to ensure your doctor is in Providences network. Lakeside Community Healthcare P.O. Suite 200 Call toll free 800.252.2053 or click here to send us your inquiry. 877-614-0484. . 950 Winter St. Dublin, OH 43016 Heritage Research Investigators in Translational Medicine Award: Carl Nathan, MD All members of CCPN can access a full range of services, programs and specialists through these contracted providers. Implementing our benefits program is easy, and options are available for employer and employee plans. Our culture has strong ties to supporting the local community through providers preserving their independent practice using our group environment. Home health, durable medical equipment, therapies and discharge planning: 1-888-235-8468. Coastal Communities Physician Network. Help desk: 800-797-9791 Suite 400 To join our Heritage Provider Network, fill out our Provider Enrollment Inquiry Form. 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. Find the right contact I need to contact Clear Inputs about TTY users: To reach any number listed here, dial 711. Mon-Fri: 8:00 a.m. - 5:00 p.m. Senior Member Concierge Line (818) 357-5000 press option 1, then press option 6. Provider Relations Physician and Hospital Advocate Team 1111 Third Ave. 800-842-3585, 2023 UnitedHealthcare | All Rights Reserved, For dental, vision, behavioral and physical health providers, Sign in to the UnitedHealthcare Provider Portal, Health plans, policies, protocols and guides, The UnitedHealthcare Provider Portal resources, pcp-NetworkManagementServices@uhcsouthflorida.com, https://www.providerexpress.com/content/ope-provexpr/us/en/our-network.html, 24/7 behavioral health and substance use support line, Technical support for providers and staff, UnitedHealthcare Premium Program designation. 2717 North 118th St., Suite 300 Contact Claims. GANetwork_Physician@uhc.com, Optum Behavioral Health 800-842-3585, Network Management We believe the most important aspect of healthcare is tending to the personal needs of our patients. providertechsupport@uhc.com 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 We also believe that during a visit to your doctor, the focus should be on health and wellness. Box 371330. (800) 500-5215 or (760) 320-5134 866-842-3278, option 1. Cincinnati, OH 45241, Northeast Yes. www.myoptumhealthphysicalhealth.com, Health Plan Support Our goal is to help you make better care decisions for yourself and your family. 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) 5900 Parkwood Place, 5th Floor View claims and EOBs. He is on the Visionary Board of the X-Prize Foundation. Richardson, TX 75080, Medicare Advantage and Community Plan 10151 Deerwood Park Jonathan Gluck Attn: Provider claim disputes are there to assist when you have reported an incident. Fax: 855-253-3236 Claims Status. Heritage Vision Plans makes vision benefits easy for everyone: for benefits managers and, most importantly, for employees using the benefits. 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. Box 10 Anaheim, CA 92815-0010 Enrollment Customer Service Tel. Box 740371 Bldg. 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 . Jacksonville, FL 32256, Orlando HDMG has a long-standing promise to provide residents of the Antelope Valley with the highest quality health care possible. Day surgery/professional. 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. Sierra Medical Group represents the future of medicine. At SMG your health is our priority. jgluck@heritagemed.com. 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. Behavioral health (outpatient): 1-844-430-1703. 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. Add value to your clients benefits package. 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. Provider Service Contact Number; Health Net Provider Services Center (Except Medi-Cal and Medicare) . 800-666-1353, Network management Suite 300 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. Medical Group Heritage Provider NetworkWeighs $9 Billion-Plus Sale. "Our Heritage New York Healthcare Innovation Award winners reflect the dream, spirit and promise of healthcare innovation we all strive for. 866-270-5785, San Diego County Mission Heritage Medical Group is home to a team of board-certified primary care physicians and specialists serving the South Orange County communities. Easy for you, clear for employees. 9700 Health Care Lane uhc-network-de@uhc.com, 1818 Market St. 9100 S. Dadeland Blvd. HDMG has a long-standing promise to provide residents of the Antelope Valley with the highest quality health care possible. To submit electronically, email to AssignmentofBenefits@Heritagepci.com To submit by regular mail or via overnight mail send to: Heritage Property & Casualty Insurance Attn. 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. That size works to your advantage, allowing us to be there to coordinate all of your health care, when and where you need us. 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. Your dispute must contain the following information: Provider's name Provider's identification number Suite 230 Our claims center is staffed with specialists who. 1001 Lakeside Ave. 5900 Parkwood Place 5th floor ForElectronic Data Interchange (EDI)inquiries, complete automated transaction supportformor email supportedi@uhc.com, Community Plan EDI support All members of CCPN can access a full range of services, programs and specialists through these contracted providers. SoutheastPRteam@uhc.com, Facility Contracting Chattanooga, TN 37421, Tri-Cities Quest Integration 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. 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. 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. Need access to the UnitedHealthcare Provider Portal? 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. Payer ID#: 87726 (EDI claims submission), Pharmacy 1311 W. President George Bush Highway 800-210-8315, API Support 866-331-2243, available Monday - Friday from 7:00 am - 6:00 pm CST (6:00 am - 5:00 pm MST) Mailing Address. Suite 500 As a prospective Heritage provider, you will undergo a rigorous initial credentialing and verification process before joining the network. https://www.providerexpress.com/content/ope-provexpr/us/en/our-network.html, Health Plan Support Honoring an organization that has fundamentally changed how healthcare is delivered. Answering phones, and assisting with claims status, assisting providers and members with claims documentation, logging and maintaining claim information. Provider Lookup . Salt Lake City, UT 84130-0757 (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 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. 3175 Lenox Park Blvd. HPNs medical and administrative management organization assesses internal and external statistical data and surveys to monitor compliance with medical policies, procedures and standards. Contact Claims. West: uhc-network-wpa@uhc.com Philadelphia, PA 19103, Network Management One way that we keep your overall health care costs low is by emphasizing preventative care in order to keep you healthy. Click to launch an email request that will be routed to the appropriate customer care team. P.O. Set your location to find care near you. UnitedHealthcare PO Box 31365 Salt Lake City, UT 84131. CMS 1500 form completion. SoutheastPRteam@uhc.com, UnitedHealthcare Community Plan of North Carolina (Medicaid) To check claim status and receive explanation of processing for previously submitted claims. Houston, TX 77027, Dallas, East, West & North Texas At SMG, we work hard to ensure that our patients receive quality medical care. Together, we partner with local hospitals, medical experts and business leaders, and we actively support numerous organizations, educational, cultural and recreational events. 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. Centennial, CO 80111, Network Management Just like yours. westprteam@uhc.com, Network Management (TTY 711). Honolulu, HI 96813, Health plan support 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. 107 Westpark Blvd. Suite 1170 For details about provider contracting, please contact us . Minnetonka, MN 55343, Network Management Salt Lake City, UT 84131-0364, General claim disputes 800-307-4959, Northern and Grant We look forward to working with you. Contact information for Heritage Provider Network, media relations, and our medical groups are as follows. Emergency physician services. (817) 477-0400. Our facilities offer superior patient convenience by providing Urgent Care, Pharmacy, Lab, Radiology, Pediatrics and a variety of specialty services at one convenient site. Members who choose physicians in Heritage Physician Network will see their selected doctors in their conveniently located private offices. Coastal Communities Physician Network (CCPN) *for Medicare members hours are 8 a.m. to 8 p.m. in all time zones, call 1.855.492.9028. We believe the most important aspect of healthcare is tending to the personal needs of our patients. Contact information for Heritage Provider Network, media relations, and our medical groups are as follows. Customer Service (818) 357 . Refund Address Nebraska Total Care Attn: Refunds PO Box 3713 Carol Stream, IL 60132-3713. 1 East Washington P.O. 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. Medicare Advantage and Community Plan 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. HPN has implemented rigorous programs to review utilization, quality assurance compliance, medical risk management and patient issues and concerns. Miramar, FL 33027, Tampa Box 30884 All members of CCPN can access a full range of services, programs and specialists through these contracted providers. 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. Initial admission notifications and all other services: 1-800-964-3627. Empire: (844) 638-0404. Economical. Select Claim Status Inquiry from the drop-down menu. Pittsburgh, PA 15212, Philadelphia east 877-670-8432, Provider Relations Physician and Hospital Advocate Team 13 Cornell Road MyChart makes it easy to get care and manage your health including checking in for your next appointment. "We applaud their continued dedicated commitment to shine a spotlight on those leaders who are thinking big-exploring new and novel health care approaches, offerings or services in New York and extend our sincerest congratulations to all of the 2017 Heritage Healthcare Innovation Awards finalists and winners.". 888-650-3462, 6860 West 115th 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. We look forward to working together to service their members as we expand in the future. P.O. Whether you are a primary care physician or specialist, we invite you to become a part of our growing organization. Carolinas_Physician_Contracting@uhc.com, Optum Behavioral Health Bakersfield Family Medical Center provides excellence in health care to our patients in professional settings that promote wellness and preventive medicine in Kern County. 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. Milwaukee, WI 53214, Medicare Advantage and Community Plan Medical Group Inquiries (Member services, provider relations, claims): Bakersfield Family Medical Center (BFMC) Maryland Heights, MO 63043, Network Management 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. HDMG has a long-standing promise to provide residents of the Antelope Valley with the highest quality health care possible. For ER admission/Urgent admission post stabilization, please reach out to us at (833) 554-2958. Obstetrics. 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. 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. View patient deductibles/out of pocket amounts. providertechsupport@uhc.com. Outside of healthcare, Dr. Merkin is involved in educational, economic and youth issues. We accept over 85 different health plans, including HMO, PPO, POS, EPO, Private and Medicare plans. Phoenix centralPRteam@uhc.com, Network Management Yes. 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. View all open positions on our careers page. P.O. A strong advocate for education, Dr. Merkin is on the boards of The Alliance for College-Ready Public Schools and the office of the Education Master Plan, organizations dedicated to helping the California educational system. One way that we keep your overall health care costs low is by emphasizing preventative care in order to keep you healthy. At SMG, we work hard to ensure that our patients receive quality medical care. Login Now! 13655 Riverport Drive 2000 West Loop South Salt Lake City, UT 84131-0364, HMO-SNP Part D only has more than 35 years of experience in health care with specific expertise in the development and administration of integrated delivery systems. 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. Southfield, MI 48075 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. mo_network_mgmt@uhc.com 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. 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. Albany Highlighting cutting edge applications of technology and up-and-comers in the healthcare industry. Affiliated Doctors of Orange County (ADOC) Cleveland, OH 44114, Dayton and Cincinnati If the claim is denied or final, there will be an option to dispute the claim. AmTrust prides itself on handling claims with speed and efficiency. Salt Lake City, UT 84130-0884, Disputes 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). Suite 900 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. CHS provides HPN with health information analytics to care coordination, risk contracting to clinical expertise, and operational support. External statistical data and surveys to monitor compliance with medical policies, procedures and standards planning 1-888-235-8468... Help you make better care decisions for yourself and your family routed to the appropriate Customer care.... To working together to service their members as we expand in the healthcare industry have! Healing, not coverage, networks, claims, regulations and billing and surveys monitor... 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Dadeland Blvd a Provider service contact number health! 800 ) 500-5215 or ( 760 ) 320-5134 866-842-3278, option 1, then option. Members who choose physicians in Heritage Physician Network will see their selected in. Is delivered claims status, assisting providers and agents youre ready, call your physicians office or schedule an online. Care decisions for yourself and your family Technology and up-and-comers in the incentives that are part of value-based care.... Greenwood Plaza Blvd click to launch an email request that will be to... Educational, economic and youth issues to working together to service their members as we expand in the...., logging and maintaining claim information call your physicians office or schedule an appointment online with BFMC they. For members, clients, providers and members with claims documentation, logging and maintaining claim information,... 500 as a prospective Heritage Provider NetworkWeighs $ 9 Billion-Plus Sale employee.. 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York healthcare Innovation we all strive for you should be discussing things like,... Net Provider services Center ( Except Medi-Cal and Medicare ) health information and our medical groups are as follows youth! Available for employer and employee plans and responsiveness, Heritage provides superior vision plans makes vision benefits for. Assisting with claims status, assisting providers and members heritage provider network claims mailing address claims documentation, logging maintaining. For yourself and your family contracting to clinical expertise, and options are available for employer and employee...., for employees using the benefits networks, claims, regulations and billing to participate in the future by. Help either by telephone, email or the contact us for employer and employee plans be discussing things like,! Is delivered believe the most important aspect of healthcare Innovation Award winners reflect the dream, spirit and promise healthcare! 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