We have convenient locations throughout the Coachella Valley, Morongo Basin and Yucca Valley areas. Our programs include Living and Aging Well, Home Health Services and Medication Management Services which are committed to improving your health proactively. 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. 3803 N. Elm St. 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. 800-328-8835, Network Management 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. His leadership has inspired the formation of over 28 group model and IPA structures in California, New York and Arizona. We have convenient locations throughout the Coachella Valley, Morongo Basin and Yucca Valley areas. 800-542-8789, Community Plan of California, Inc. As a prospective Heritage provider, you will undergo a rigorous initial credentialing and verification process before joining the network. Additionally, Dr. Merkin is on the Board of Overseers of the Los Angeles Music Center and the Los Angeles Philharmonic and the Board of Trustees for the Los Angeles County Museum of Art (LACMA). Coastal Communities Physician Network (CCPN) Our commitment to complete patient care includes developing new and better ways of delivering healthcare. 888-887-9003, Network Management 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. 3rd Floor Medicare Advantage and Community Plan 100, Suite 420 Salt Lake City, UT 84131-0365 2000 West Loop South Contact information for Heritage Provider Network, media relations, and our medical groups are as follows. (Electronic claims submission) 1-800-977-3568: First Health Provider Relations: 1-800-937-6824: . Nebraska_network@uhc.com, Iowa/Quad Cities 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. This site is compatible with: 1001 Lakeside Ave. 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. Technical support for providers and staff. Login Now. Provider portal. Medical office locations in Foothill Ranch, San Clemente, Lake Forest, Laguna Niguel and Mission Viejo, CA. Our facilities offer superior patient convenience by providing Urgent Care, Pharmacy, Lab, Radiology, Pediatrics and a variety of specialty services at one convenient site. Warwick, RI 02886, Optum Behavioral Health 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. 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. Kingsport, TN 37660, Memphis 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. 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. In addition, our Urgent Care is now open daily 6am - 8pm. Emblem Health HCP Direct: (800) 877-7587. How will your members know that we are a Heritage Network Provider? . mn_contracting@uhc.com, 9700 Health Care Lane As a result, your billing office may see some differences in the claim edits and response files from WellCare. Our goal is to help you make better care decisions for yourself and your family. Office visits. Page Footer I want to. broker portal. Address. Members who choose physicians in Heritage Physician Network will see their selected doctors in their conveniently located private offices. Personal service is one of the reasons our network of providers is so stable with an extremely low turnover rate. GANetworkOPS_fac-anc@uhc.com, Physician Contracting With Heritage, members receive exclusive discounts on Lasik eye surgery from our partners at LasikPlus. Suite 5300 Waltham, MA 02451, Network Management Smart vision plans. We accept both private practice providers and those affiliated with retail locations or corporate chains. Our team of 1,700 physicians ensures you have access to health care's brightest minds and biggest hearts across Orange County . 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. 3000 Town Center, Suite 1400 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). Call 911 if you have a life-threatening emergency. Syracuse, NY 13206, NYS Empire Plan HPN, working with CHS, adds to the expertise and aids in the financial wellness of its providers. These IPA physicians remain affiliated with BFMC although they maintain their own individual offices. Box 61063 Because Medicaid is a state-run program, requirements vary by state and BCBS . If your request involves a specific facility, please select it - otherwise, select "General". Together, we partner with local hospitals, medical experts and business leaders, and we actively support numerous organizations, educational, cultural and recreational events. P.O. Suite 310 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. P.O. If the claim is denied or final, there will be an option to dispute the claim. 93534 USA. Developing and managing coordinated, patient-doctor centric, integrated health care systems that offers some of the strongest solutions for the future of health, care and cost in the United States. 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. From state-of-the-art radiology to nearby walk-in labs, we offer multiple locations throughout Northern California to fit your busy needs. Please call our toll free numbers for more information: (800) 918-7302 for Medi-Cal. 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. Heritage Provider Network in Lancaster, CA What email should the hiring manager contact you at? Mansfield, Texas 76063. Suite 110 Nebraska_network@uhc.com, Medicare Advantage and Community Plan Atlanta, GA 30328, Network Management Contact Us: Home Contact Us: Network Support Services. Minnetonka, MN 1 East Washington St. Ste 5300 All paper claims must be mailed to: Lakeside Community Healthcare Attn: Claims Department P. O. Consolidated Portal. Tampa, Florida 33607, Preferred Care Partners and Preferred Care Network . Through innovative programs and services designed specifically for the managed care environment, HPN and its medical groups have been . To join our Heritage Provider Network, fill out our Provider Enrollment Inquiry Form. That size works to your advantage, allowing us to be there to coordinate all of your health care, when and where you need us. Give us a call. For more information, call (866) 654-3471 and request Network Management. Click to launch an email request that will be routed to the appropriate customer care team. (800) 266-HDMG or (661) 945-5984 1485 Heritage Parkway. (714) 937-6269 We process clean claims within 48 hours, and we issue payments twice a month. Coastal Communities Physician Network. 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. 800-711-4555, OptumRx fax (non-specialty medications) 866-842-3278, option 1. Our claims center is staffed with specialists who. UnitedHealthcare Community Plan of North Carolina (Medicaid) UnitedHealthcare These IPA physicians remain affiliated with BFMC although they maintain their own individual offices. Maitland, FL 32751, South Florida St. Joseph. Heritage Vision Plans is a leading national provider of vision benefits plans with an extensive, nationwide network of eye care providers. Economical. 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. Payer ID#: 87726 (EDI Claims Submission), Claims 800-495-5285 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. 312-453-7055, Network Management inquiries@heritagemed.com. Quest Integration Simple. 24/7 behavioral health and substance use support line. 800-291-2634, Medicare Advantage and Community Plan Suite 2600 Suite 900 We collaborate with our physicians to provide quality care, while focusing on minimizing your out of pocket expenses. 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. The New York operation currently serves over 115,000 individuals, including over 30,000 Medicare Advantage beneficiaries. Richard Merkin, M.D. Salt Lake City, UT 84130-0757 107 Westpark Blvd. P.O. We believe the most important aspect of healthcare is tending to the personal needs of our patients. Richardson, TX 75080, Network Management 888-980-8728 Check wait times ahead of time and reserve your spot online at our urgent care locations for illnesses and injuries (non life threatening emergencies. Credentialing application - new providers. Our facilities are equipped with some of the finest diagnostic equipment and technicians available. St. Jude Heritage Medical Group is widely recognized as one of Southern California's finest medical groups. Little Rock, AR 72201 Miami, FL 33156 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. He is a member of the board of the California Association of Physician Groups. Prior authorization fax: 800-267-8328 Together, we have the resources to participate in the incentives that are part of value-based care programs. Dr. Merkins commitment to supporting academic research runs deep. 3838 N. Causeway Blvd. 170 Wood Ave. South Omaha, NE 68164 With over 50 Primary Care Providers, 300 Specialists and 3 local hospitals in our network, Heritage Sierra Medical Group takes pride in Starting . Your dispute must contain the following information: Provider's name Provider's identification number Prior authorization fax: 866-940-7328 Dept. UnitedHealthcare UHN AL "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. westprteam@uhc.com, Network Management Claims Mailing Address. (TTY 711). Failure to correct inaccurate information, or bill utilizing Medicaid . Sign up with your email address to receive news and updates. southeastPRteam@uhc.com, Network Management To speak to a VSP customer service representative, call 1.800.877.7195. Over 800 providers in the HPN work together to provide high-quality healthcare to their patients through coordinated care while experiencing practice . Salt Lake City, UT 84120, Network Management Dublin, OH 43016 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. Fax: 859-825-6173, Louisville 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 At Regal, we know that navigating the healthcare system can be complicated for patients and for physicians. Please allow 30 days from the date of submission for processing. 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. 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. Email: Credentialing.Updates@Premera.com. Box 2300 San Diego, CA 92121, Sacramento County Chicago, IL 60601-6602 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. Select Claim Status Inquiry from the drop-down menu. Metairie, LA 70001 Suite 1700 We have enjoyed our partnership with Heritage Vision Plans over the last several years. 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 claim submissions. The awards honored those innovators who have most improved the access to and quality of affordable healthcare in the communities they serve in the greater New York area. P.O. We have convenient locations throughout the Coachella Valley, Morongo Basin and Yucca Valley areas. Most solutions are at your fingertips using the UnitedHealthcare Provider Portal. Company profile page for Heritage Provider Network Inc including stock price, company news, press releases, executives, board members, and contact information Help desk: 800-797-9791 6465 Greenwood Plaza Blvd. Fax: 504-849-3551, Network Management Claims Customer Service (714) 937-6143 Hours: - weekdays from 7:30 a.m. to 4 p.m. Claims Billing Address P.O. P.O. Puerto Rico Network Management 5757 Plaza Drive In partnership with CHS, we have developed population health, clinical, care management, quality reporting, and telehealth capabilities. Company Summary. We know that getting sick doesn't happen on an 8 - 5 schedule. 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. Columbia, SC 29210, Network Management How can we help? 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. View claims and EOBs. How often do you process provider claims? Health-care provider is working with an adviser to assist it. Attn: Provider claim disputes We also believe that during a visit to your doctor, the focus should be on health and wellness. 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. If calling after hours, please leave a voice mail . Regal Medical Group works together with your healthcare plan and your PCP to keep things running smoothly. Milwaukee, WI 53214, Medicare Advantage and Community Plan 800-307-4959, Northern and Grant Boise, ID 83702, Provider Relations Physician and Hospital Advocate Team DOHCs services include access to 6 Immediate and Urgent Care Centers - Bermuda Dunes, Indio, Palm Desert, Palm Springs and Yucca Valley. Optum Provider Relations Physician and Hospital Advocate Team 950 Winter St. ForElectronic Data Interchange (EDI)inquiries, complete automated transaction supportformor email supportedi@uhc.com, Community Plan EDI support 2100 Riveredge Pkwy. Philadelphia, PA 19103, Network Management Access primary care doctors in the Providence network. Milwaukee (NE, NW & SE WI) Login to view member eligibility, claim status, submit claims and more. R. A. Rees Pritchett Professor of Microbiology; Chairman, Department of Microbiology & Immunology, Weill Cornell Medical College. Houston, TX 77027, Dallas, East, West & North Texas 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. One way that we keep your overall health care costs low is by emphasizing preventative care in order to keep you healthy. View real time claims and eligiblity. For details about provider contracting, please contact us . He is also on the Board of Directors for EdVoice, a group dedicated to education reform. All members of Heritage Physician Network can access the full range of services, programs and specialists offered by BFMC. 800-638-3302 Suite 1100 OptumRx fax (specialty medications) 800-853-3844. 5757 Plaza Drive (714) 937-6270 Fax. Suite #375 Electronic submission Information/ Mail address Phone Authorizations Claims MLKH Martin Luther King Jr. Multi-Service Ambulatory Care Center . For more information or if you have a specific question, you can contact us using one of the following methods. Memphis, TN 38115, Medicare Advantage and Community Plan Medicare Advantage and Community Plan 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 are equipped with some of the finest diagnostic equipment and technicians available. UnitedHealthcare PO Box 31365 Salt Lake City, UT 84131. Suite 600 Your dispute must contain the following information: Provider's name. Phoenix, AZ 85004, UnitedHealthcare Community Plan API Extended X12 support supportedi@uhc.com, Visit Optum Provider Express or877-614-0484, Visit UnitedHealthcare March Vision Careor 877-627-2456, VisitOptum Physical Healthor 800-873-4575 or 866-427-6845. 1208 Pointe Centre Drive 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. (760) 245-4747 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. Recognizing a leader in the New York area that has demonstrated significant impact in their healthcare field. 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. Hearing loss affects 1 in 9 Americans, get the care you deserve. Heritage Vision Plans makes vision benefits easy for everyone: for benefits managers and, most importantly, for employees using the benefits. 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. Heritage Provider Network is located at 39115 Trade Center Dr in Palmdale and has been in the business of Computer Related . Mon-Fri 7:30 am - 4 pm ST. Our Services. P.O. Box 31364 5900 Parkwood Place, 5th Floor 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. Box 371330 Reseda, CA 91337. We believe the most important aspect of healthcare is tending to the personal needs of our patients. We accept over 85 different health plans, including HMO, PPO, POS, EPO, Private and Medicare plans. 1 Penn Plaza Highlighting cutting edge applications of technology and up-and-comers in the healthcare industry. Heritage Vision Plans makes vision benefits easy for everyone: for benefits managers and, most importantly, for employees using the benefits. How do I join and qualify to become a Heritage participating in-network provider? Personal service is one of the reasons our network of providers is so stable with an extremely low turnover rate. 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. 866-331-2243, available Monday - Friday from 7:00 am - 6:00 pm CST (6:00 am - 5:00 pm MST) Mailing Address. Indianapolis, IN 46278, Northwest IN - Lake, Porter & Laporte Counties Heritage has the BEST Customer Service Staff Ever!!! Reseda, CA 91337. #300 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. Dublin, OH 43016 All members of Heritage Physician Network can access the full range of services, programs and specialists offered by BFMC. 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: In addition to creating and growing integrated delivery networks, Dr. Merkin has a long-standing interest in both prevention and cure. Regal Medical Group (RMG) Suite 400 Heritage Provider Network (HPN) is a limited Knox-Keene licensed organization in California that provides affordable quality care to its members. Behavioral health (inpatient): 1-844-430-1702. Our team of healthcare professionals is available and ready to help you with all of your medical needs. Together, we partner with local hospitals, medical experts and business leaders, and we actively support numerous organizations, educational, cultural and recreational events. Mission Heritage Medical Group is home to a team of board-certified primary care physicians and specialists serving the South Orange County communities. That size works to your advantage, allowing us to be there to coordinate all of your health care, when and where you need us. Cypress, CA 90630, Provider Relations Physician and Hospital Advocate Team We are affiliated with most major health plans, including many HMOs. Offered by BFMC PA 19103, Network Management access primary care doctors in their field.: ( 800 ) 918-7302 for Medi-Cal Lake, Porter & Laporte Counties Heritage has the customer. Request Network Management how can we help, Physician Contracting with Heritage vision plans vision... Routed to the personal needs of our patients and Yucca Valley areas way we! 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