Contact. 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. We're located at 4550 California Avenue, Suite 100, in Bakersfield. 170 Wood Ave. South How can we help? P.O. HDMG has a long-standing promise to provide residents of the Antelope Valley with the highest quality health care possible. Box 61063 Hearing loss affects 1 in 9 Americans, get the care you deserve. Suite 1700 Dr. Merkin is a visionary and a sought-after healthcare expert who encourages innovation and challenge. 800-666-1353, Medicare Advantage and Community Plan 3rd Floor Fax: 855-253-3236 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. We collaborate with our physicians to provide quality care, while focusing on minimizing your out of pocket expenses. 877-743-8734, Network Management 800-307-4959, Northern and Grant 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. 800-690-1606, Network Management Atlanta, GA 30328, Network Management Sign up with your email address to receive news and updates. 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). We collaborate with our physicians to provide quality care, while focusing on minimizing your out of pocket expenses. 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). Suite 400 2300 Clayton Road Heritage Technology Innovator in Healthcare Award: Gil Addo CEO and Co-founder, RubiconMD. UnitedHealthcare Community Plan of North Carolina (Medicaid) View credentialing forms. Salt Lake City, UT 84131-0364, General claim disputes Lakeside Medical Group (LMG) San Diego, CA 92121, Sacramento County TTY/TTD Members should call 711. Box 2300 At SMG, we work hard to ensure that our patients receive quality medical care. 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. Phoenix, AZ 85004, Claims & medical records DOHCs services include access to 6 Immediate and Urgent Care Centers - Bermuda Dunes, Indio, Palm Desert, Palm Springs and Yucca Valley. Suite 900 Detroit, Eastern, Western and Northern and Upper We are affiliated with most major health plans, including many HMOs. 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 Vision Plans makes vision benefits easy for everyone: for benefits managers and, most importantly, for employees using the benefits. Service-oriented. Heritage Sierra Medical Group Headquarters, 44469 10th Street West, Lancaster, CA, 93534, United States, Utilization Management - Clinical Criteria & Availability of Clinical Criteria (2021). Phoenix, AZ 85004, UnitedHealthcare Community Plan Suite 2600 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. northeastprteam@uhc.com, Network Management Terms of Use | Privacy Policy, Specialist, acute care, or post-acute care working extensively with Primary Care providers, Focused on personalized care but want the advantages and tools of a large group. https://www.providerexpress.com/content/ope-provexpr/us/en/our-network.html, Optum Physical Health/Alternative Medicine (Acupuncture, Massage Therapy, Chiro, Naturopaths, etc.) For ER admission/Urgent admission post stabilization, please reach out to us at (833) 554-2958. In addition, our Urgent Care is now open daily 6am - 8pm. UnitedHealthcare commercial and UnitedHealthcareMedicare Advantage plans Suite 1170 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. MyChart makes it easy to get care and manage your health including checking in for your next appointment. 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. UnitedHealthcare Community Plan 2717 N 118th Street, Suite 300 Omaha, NE 68164. nd_contracting@uhc.com, Network Management Nebraska_network@uhc.com, Iowa/Quad Cities As a Heritage provider, your information will be included in our Heritage Provider Directory. 3000 Bayport Drive To check claims status or dispute a claim: From the Availity home page, select Claims & Payments from the top navigation. You should be discussing things like prevention, diagnosis, treatment and healing, not coverage, networks, claims, regulations and billing. Prior authorization fax: 800-267-8328 P. O. "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. All HPN participating providers and staff are dedicated to improving the healthcare journey and experience of all patients. 400 E. Business Way Members who choose physicians in Heritage Physician Network will see their selected doctors in their conveniently located private offices. 888-866-8297, Provider Relations Physician and Hospital Advocate Team 2100 Riveredge Pkwy. Atlanta, GA 30374, Health plan support 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 The Arizona group, which just began operations on January 1, 2012, is already serving a large Medicare Advantage population throughout Maricopa County. These IPA physicians remain affiliated with BFMC although they maintain their own individual offices. 3100 SW 145th Ave. Little Rock, AR 72201 888-478-4760, Network Management Check wait times ahead of time and reserve your spot online at our urgent care locations for illnesses and injuries (non life threatening emergencies. (800) 266-HDMG or (661) 945-5984 3000 Town Center, Suite 1400 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. Their provider and customer service departments have always been excellent at answering our questions in a timely professional manner. 93534 USA. Together, we partner with local hospitals, medical experts and business leaders, and we actively support numerous organizations, educational, cultural and recreational events. Suite 230 *for Medicare members hours are 8 a.m. to 8 p.m. in all time zones, call 1.855.492.9028. (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 Mission: We have designed our networks . 1485 Heritage Parkway. Members who choose physicians in Heritage Physician Network will see their selected doctors in their conveniently located private offices. Salt Lake City, UT 84130-0757 Box 371330 Reseda, CA 91337. 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. Implementing our benefits program is easy, and options are available for employer and employee plans. 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. 1 East Washington St. All paper claims must be mailed to: Lakeside Community Healthcare Attn: Claims Department P. O. Recognizing an innovator in the development of new modes of diagnosis, treatment and care who actively improves access to services and improves the quality of healthcare overall. Box 30757 Regal Medical Group works together with your healthcare plan and your PCP to keep things running smoothly. Steps to getting contracted plus plan information, Phone numbers and links for connecting with us, List of contracted, high-quality independent lab providers, Update, verify and attest to your practice's demographic data, Provider search for doctors, clinics and facilities, plus dental and behavioral health, Policies for most plan types, plus protocols, guidelines and credentialing information, Specifically for Commercial and Medicare Advantage (MA) products, Pharmacy resources, tools, and references, Updates and getting started with our range of tools and programs, Reports and programs for operational efficiency and member support, Resources and support to prepare for and deliver care by telehealth, Tools, references and guides for supporting your practice, Log in for our suite of tools to assist you in caring for your patients. Company profile page for Heritage Provider Network Inc including stock price, company news, press releases, executives, board members, and contact information 800-527-0531, OptumRx fax (specialty medications) Phone: 877-7NYSHIP, Long Island and metro Technical support for providers and staff. "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.". To submit electronically, email to AssignmentofBenefits@Heritagepci.com To submit by regular mail or via overnight mail send to: Heritage Property & Casualty Insurance Attn. Heritage Provider Network (HPN) is a limited Knox-Keene licensed organization in California that provides affordable quality care to its members. 1 Penn Plaza His leadership has inspired the formation of over 28 group model and IPA structures in California, New York and Arizona. 5900 Parkwood Place 5th floor Waltham, MA 02451, Health plan support P.O. 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. Bioscrip-specialty drug: 800-584-0265, Network Management Medicare Advantage Plans Easy for you, clear for employees. 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. Box 371330. Our facilities are equipped with some of the finest diagnostic equipment and technicians available. 800-328-8835, Network Management (www.heritageprovidernetwork.com). Metairie, LA 70001 Through innovative programs and services designed specifically for the managed care environment, HPN and its medical groups have been successful in delivering the goals it set out to achieve while establishing long-standing, favorable provider relationships. Your location: Learn more about our mission, vision and values. We look forward to working with you. P.O. 9700 Health Care Lane, 800-600-9007, Jacksonville Minnetonka, MN 55343, Network Management Cypress, CA 90630, Network Management sd_contracting@uhc.com, Network Management From state-of-the-art radiology to nearby walk-in labs, we offer multiple locations throughout Northern California to fit your busy needs. Contact Claims. 888-362-3368, UnitedHealthcare Oxford health plans DOHCs services include access to 6 Immediate and Urgent Care Centers - Bermuda Dunes, Indio, Palm Desert, Palm Springs and Yucca Valley. 1311 W. President George Bush Highway Winners were announced in the following five categories at a luncheon ceremony at the New York Athletic Club in Manhattan: Heritage Innovation in Healthcare Delivery Award: Nora V. Bergasa, MD, MACP, FAASLD, AGAF. 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. The Heritage Provider Network includes optometrists, ophthalmologists, and opticians. 888-866-8297, Network Management UnitedHealthcare UHN AL Scheduled Reports delivered. 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. Miramar, FL 33027, Tampa Community Health Needs Assessments and Improvement Plans, Notice of Nondiscrimination and Communication Assistance, Diverse group of board certified primary care physicians, Board-certified physicians specializing in Allergy, Arthritis, Cardiology, Critical Care, Dermatology, Endocrinology, Gastroenterology and Neurology, On-site services such as Clinical Lab, Endoscopy Center, Nuclear Medicine Department, Physical Therapy, Sleep Center, Vascular Lab and Vein Center. Through innovative programs and services designed specifically for the managed care environment, HPN and its medical groups have been successful in delivering the goals it set out to achieve while establishing long-standing, favorable provider relationships. 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. Oswego, OR 97035, Network Management Our goal is to help you make better care decisions for yourself and your family. Regal Medical Group works together with your healthcare plan and your PCP to keep things running smoothly. 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. Emergency physician services. We know that getting sick doesn't happen on an 8 - 5 schedule. HPNs medical and administrative management organization assesses internal and external statistical data and surveys to monitor compliance with medical policies, procedures and standards. Heritage network doctors and providers undergo a rigorous credentialing process before they join our network. He founded the Heritage Medical Research Institute, a non-profit medical research corporation emphasizing health care quality and outcomes studies. This organization has created or championed new ways of thinking and doing, uniting diverse constituencies to work together. centralPRteam@uhc.com, Network Management Cincinnati, OH 45241, Columbus Dublin, OH 43016 Warwick, RI 02886, Optum Behavioral Health 800-495-5285 Provider portal. Centennial, CO 80111, Network Management The theory is, if hospitalizations can be predicted, preventive measures can be taken and unnecessary hospitalizations can be avoided. Suite 5300 Request . 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. Minnetonka, MN 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. What's more, our expertise is backed by a strong commitment to . Our commitment to complete patient care includes developing new and better ways of delivering healthcare. Lancaster, CA. 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. Indianapolis, IN 46278, Northwest IN - Lake, Porter & Laporte Counties Omaha, NE 68164 Our facilities are equipped with some of the finest diagnostic equipment and technicians available. 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