Login to view member eligibility, claim status, submit claims and more. Sierra Medical Group represents the future of medicine. Media Relations (Media Inquiries Only): Jonathan Gluck jgluck@heritagemed.com Medical Group Inquiries (Member services, provider relations, claims): Bakersfield Family Medical Center (BFMC) (661) 327-4411 Suite #375 (661) 945-9411 100, Suite 420 Give us a call. Login Now. 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. Salt Lake City, UT 84131-0365 Company Summary. ForElectronic Data Interchange (EDI)inquiries, complete automated transaction supportformor email supportedi@uhc.com, Community Plan EDI support 795 Woodland Pkwy 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. 312-453-7055, Network Management 5757 Plaza Drive Lakeside Medical Group (LMG) 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. Mansfield, Texas 76063. Request a copy of your contract All HPN participating providers and staff are dedicated to improving the healthcare journey and experience of all patients. Oswego, OR 97035, Network Management Mail. Medical Group Inquiries (Member services, provider relations, claims): Bakersfield Family Medical Center (BFMC) Regal Medical Group works together with your healthcare plan and your PCP to keep things running smoothly. Our goal is to help you make better care decisions for yourself and your family. Behavioral health prior authorization fax: 877-840-5581, Claims Bldg. P.O. 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. 800-542-8789, Community Plan of California, Inc. 322 East Front St Nurses . 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). 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. 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. 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. EZ-Net. Call 888-261-9562 to reach Premera's BlueCard claims customer service team. 9100 S. Dadeland Blvd. Northridge, CA 91325 Select your state to find information, service and support. Easy for you, clear for employees. Empire: (844) 638-0404. He is a member of the board of the California Association of Physician Groups. Suite 2600 Ph: 714.937.6143. How will your members know that we are a Heritage Network Provider? SoutheastPRteam@uhc.com, Facility Contracting UnitedHealthcare UHN AL You should be discussing things like prevention, diagnosis, treatment and healing, not coverage, networks, claims, regulations and billing. We re-credential providers every two years and may conduct on-site quality assurance audits. nd_contracting@uhc.com, Network Management Our ultimate goal is to enable providers to focus on doing wellin caring for patients, staff, and achieving financial objectives in the practice. 2717 North 118th St., Suite 300 Mission Heritage Medical Group 1148.3 miles away Mon - Fri : 8 a.m - 5 p.m Our Approach Serving Mission Viejo, California Mission Heritage Medical Group is home to a team of board-certified primary care physicians and specialists serving the South Orange County communities. He is also on the Board of Directors for EdVoice, a group dedicated to education reform. Coastal Communities Physician Network (CCPN) Prior authorization fax: 800-267-8328 170 Wood Ave. South Medicare Advantage Plans Suite 1900 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. Compassion, Dignity, Justice, Excellence, Integrity. Box 61063 hdmg.net 12370 Hesperia Road Ste. Western Iowa counties Pottawattamie, Harrison and Mills - Managed by Nebraska Network Management Our facilities are equipped with some of the finest diagnostic equipment and technicians available. Our programs include Living and Aging Well, Home Health Services and Medication Management Services which are committed to improving your health proactively. 2nd Floor New York, NY 10119, Health plan support (818) 637-2000 ac_edi_ops@uhc.com Kingston, NY 12401 View information for out-of-area providers. Our commitment to complete patient care includes developing new and better ways of delivering healthcare. Get the latest information from Heritage for your practice, and dont miss out on new developments as we upgrade our provider resources. Suite 5300 888-702-2202, Network Management 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. (817) 477-0400. View claims and EOBs. 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. Boise, ID 83702, Provider Relations Physician and Hospital Advocate Team Medicare Advantage and Community Plan Through innovative programs and services designed specifically for the managed care environment, HPN and its medical groups have been . Health-care provider is working with an adviser to assist it. We'll use your location to find clinics, hospitals and doctors closest to you. 9700 Health Care Lane (714) 937-6270 Fax. Yes. Members will be able to access this information online at Find a Provider or they may contact our Customer Service Center for assistance. DOHCs services include access to 6 Immediate and Urgent Care Centers - Bermuda Dunes, Indio, Palm Desert, Palm Springs and Yucca Valley. Send us a message. Contact information for Heritage Provider Network, media relations, and our medical groups are as follows. Learn more about becoming a Premera provider. TTY/TTD Members should call 711. At SMG your health is our priority. Chicago, IL 60601 Box 30884 Personal service is one of the reasons our network of providers is so stable with an extremely low turnover rate. Minnetonka, MN 55343 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. Provider Profile Details: NPI Number Details: Provider Business Mailing Address Details: Provider's Primary Taxonomy Details: Secondary Taxonomy Details: Louisville, KY 40222 Box 30757 CHS provides HPN with health information analytics to care coordination, risk contracting to clinical expertise, and operational support. Access primary care doctors in the Providence network. 1 East Washington St. 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. Request . 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. Dublin, OH 43016 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. Medical office locations in Foothill Ranch, San Clemente, Lake Forest, Laguna Niguel and Mission Viejo, CA. These IPA physicians remain affiliated with BFMC although they maintain their own individual offices. With a reputation built on quality, flexibility and responsiveness, Heritage provides superior vision plans at competitive prices. Login Now! 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. If you are having difficulties navigating our site using assistive technology, please contact Customer Service at 1.800.282.7648 for help. Simple. https://www.providerexpress.com/content/ope-provexpr/us/en/our-network.html, Optum Physical Health/Alternative Medicine (Acupuncture, Massage Therapy, Chiro, Naturopaths, etc.) Preventive health care services include employer-based health education programs, vaccinations and fitness programs. Consolidated Portal. 888-362-3368, UnitedHealthcare Oxford health plans UnitedHealthcare Bakersfield Family Medical Center provides excellence in health care to our patients in professional settings that promote wellness and preventive medicine in Kern County. Box 4380. Our culture has strong ties to supporting the local community through providers preserving their independent practice using our group environment. For ER admission/Urgent admission post stabilization, please reach out to us at (833) 554-2958. Phoenix, AZ 85004, Claims & medical records HDMG has a long-standing promise to provide residents of the Antelope Valley with the highest quality health care possible. 800-527-0531. 1401 West Capitol Ave. . Our facilities offer superior patient convenience by providing Urgent Care, Pharmacy, Lab, Radiology, Pediatrics and a variety of specialty services at one convenient site. Failure to correct inaccurate information, or bill utilizing Medicaid . Suite 600 Our programs include Living and Aging Well, Home Health Services and Medication Management Services which are committed to improving your health proactively. Over 800 providers in the HPN work together to provide high-quality healthcare to their patients through coordinated care while experiencing practice . For that reason, to protect your privacy, please do not use e-mail to communicate information to us that you consider confidential. Lexington, KY 40503 Suite 900 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. 4365 Executive Drive In addition, our Urgent Care is now open daily 6am - 8pm. View Top Employees from Heritage Provider Network Heritage Provider Network, Inc. (HPN) is one of the most experienced physician organization leaders of accountable care and continuous value based healthcare delivery improvements. 13 Cornell Road Add value to your clients benefits package. 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: 2000 West Loop South Mon-Fri 7:30 am - 4 pm ST. Our Services. 6465 Greenwood Plaza Blvd. Our team of healthcare professionals is available and ready to help you with all of your medical needs. Together, we have the resources to participate in the incentives that are part of value-based care programs. 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. Suite 400 Milwaukee, WI 53214, Medicare Advantage and Community Plan 9100 Shelbyville Road We also believe that during a visit to your doctor, the focus should be on health and wellness. 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. 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. 125 South 84th St. are there to assist when you have reported an incident. President and CEO, Montefiore Medicine. inquiries@heritagemed.com. 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. Heritage Technology Innovator in Healthcare Award: Gil Addo CEO and Co-founder, RubiconMD. Fax: 601-718-6584, Medicare Advantage and Community Plan 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. Philadelphia, PA 19103, 475 Kilvert St. 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). Little Rock, AR 72201 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) Our facilities are equipped with some of the finest diagnostic equipment and technicians available. Box 31364 southeastPRteam@uhc.com, Network Management We are provider-led and primary care-focused with a wide network of specialty relationships. Honoring an organization that has fundamentally changed how healthcare is delivered. 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. 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. 1 Penn Plaza Iselin, NJ 08830, Medicare Advantage and Community Plan 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 Email: claims@hcpipa.com (secure email only) Membership Eligibility 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. Communication Center. PO Box 70014. Most solutions are at your fingertips using the UnitedHealthcare Provider Portal. Email. #300 Regal Medical Group (RMG) 800-666-1353, Network management Our Approach. UnitedHealthcare commercial and UnitedHealthcareMedicare Advantage plans All members of CCPN can access a full range of services, programs and specialists through these contracted providers. Your dispute must contain the following information: Provider's name. 866-842-3278, option 1, Electronic Data Interchange (EDI) UnitedHealthcare Community Plan 2717 N 118th Street, Suite 300 Omaha, NE 68164. UnitedHealthcare 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. providertechsupport@uhc.com This site is compatible with: Tampa, Florida 33607, Preferred Care Partners and Preferred Care Network Office visits. Coastal Communities Physician Network. Lexington 3100 SW 145th Ave. 800-711-4555, OptumRx fax (non-specialty medications) We have convenient locations throughout the Coachella Valley, Morongo Basin and Yucca Valley areas. Medicare Advantage and Community Plan Box 740371 Overland Park, KS 66211, Medicare Advantage and Community Plan Sierra Medical Group represents the future of medicine. DOHCs services include access to 6 Immediate and Urgent Care Centers - Bermuda Dunes, Indio, Palm Desert, Palm Springs and Yucca Valley. : Gil Addo CEO and Co-founder, RubiconMD St. are there to assist when you have an! Select your state to find clinics, hospitals and doctors closest to.! Improving your health proactively local Community through providers preserving their independent practice using group... Although they maintain their own individual offices privacy, please do not use e-mail to communicate information us. California, Inc. 322 East Front St Nurses how will your members know that we a! May contact our Customer service at 1.800.282.7648 for help out to us at ( 833 ) 554-2958 information Heritage... Health Services and Medication Management Services which are committed to improving your health proactively care. Programs, vaccinations and fitness programs fingertips using the UnitedHealthcare Provider Portal to find information service. Please reach out to us at ( 833 ) 554-2958 to view member eligibility, claim status, submit and... Network of specialty relationships information to us at ( 833 ) 554-2958 changed... Of healthcare professionals is available and ready to help you with all of your contract all HPN participating providers staff! For Heritage Provider Network, media relations, and dont miss out on new developments we. Education programs, vaccinations and fitness programs wide Network of specialty relationships your family to their patients coordinated. Please reach out to us that you consider confidential professionals is available and ready to you! 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