Suite 900 495 North Keller Road #200 All members of CCPN can access a full range of services, programs and specialists through these contracted providers. Suite 110 For more information or if you have a specific question, you can contact us using one of the following methods. With a reputation built on quality, flexibility and responsiveness, Heritage provides superior vision plans at competitive prices. Louisville, KY 40222 (661) 327-4411 800-542-8789, Community Plan of California, Inc. Our facilities offer superior patient convenience by providing Urgent Care, Pharmacy, Lab, Radiology, Pediatrics and a variety of specialty services at one convenient site. View Verification of Benefits. We re-credential providers every two years and may conduct on-site quality assurance audits. Lakeside Medical Group (LMG) Medicare Advantage and Community Plan We accept over 85 different health plans, including HMO, PPO, POS, EPO, Private and Medicare plans. 818 Market St. 888-650-3462, 6860 West 115th St. 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. Honolulu, HI 96813, Health plan support With over 50 Primary Care Providers, 300 Specialists and 3 local hospitals in our network, Heritage Sierra Medical Group takes pride in Starting . One way that we keep your overall health care costs low is by emphasizing preventative care in order to keep you healthy. use following address: Healthcare Invoice, Data and Provider Services Branch PO Box 4038, N. Freeway Sacramento, CA 95812-4038; Website Tech . Syracuse, NY 13206, NYS Empire Plan 24/7 behavioral health and substance use support line. 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. 5900 Parkwood Place, 5th Floor These IPA physicians remain affiliated with BFMC although they maintain their own individual offices. View patient deductibles/out of pocket amounts. With an important distinction. Affiliated Doctors of Orange County (ADOC) 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. Just like yours. Mon-Fri 7:30 am - 4 pm ST. Our Services. Box 30757 We re-credential providers every two years and conduct on-site audits. 800-291-2634, Medicare Advantage and Community Plan Bldg. Suite 5300 Kingston, NY 12401 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. First Name *. Nebraska_network@uhc.com, Iowa/Quad Cities Health-care provider is working with an adviser to assist it. 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. Email: Credentialing.Updates@Premera.com. His leadership has inspired the formation of over 28 group model and IPA structures in California, New York and Arizona. Electronic submission Information/ Mail address Phone Authorizations Claims MLKH Martin Luther King Jr. Multi-Service Ambulatory Care Center . When youre ready, call your physicians office or schedule an appointment online. 2nd Floor Join an eye-opening network of providers. 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. In partnership with CHS, we have developed population health, clinical, care management, quality reporting, and telehealth capabilities. Implementing our benefits program is easy, and options are available for employer and employee plans. 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. Please call our toll free numbers for more information: (800) 918-7302 for Medi-Cal. DOHCs services include access to 6 Immediate and Urgent Care Centers - Bermuda Dunes, Indio, Palm Desert, Palm Springs and Yucca Valley. 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. Suite 1900 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 Heritage New York Healthcare Innovation Award winners reflect the dream, spirit and promise of healthcare innovation we all strive for. 2300 Clayton Road 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. 2100 Riveredge Pkwy. Behavioral health (outpatient): 1-844-430-1703. 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. (661) 327-4411 San Diego, CA 92121, Sacramento County For more information, call (866) 654-3471 and request Network Management. Page Footer I want to. Open 8 a.m. to 5 p.m., Monday through Friday, excluding holidays. Ph: 714.937.6143. With 6 urgent cares in your area, why not save time and money? We're located at 4550 California Avenue, Suite 100, in Bakersfield. We also believe that during a visit to your doctor, the focus should be on health and wellness. Claims Customer Service (714) 937-6143 Hours: - weekdays from 7:30 a.m. to 4 p.m. Claims Billing Address P.O. 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. providertechsupport@uhc.com. 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. Referrals. Provider Service Contact Number; Health Net Provider Services Center (Except Medi-Cal and Medicare) . If your request involves a specific facility, please select it - otherwise, select "General". Login to view member eligibility, claim status, submit claims and more. Suite 300 Your dispute must contain the following information: Provider's name. How often do you process provider claims? 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. 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. All HPN participating providers and staff are dedicated to improving the healthcare journey and experience of all patients. Need access to the UnitedHealthcare Provider Portal? At Regal, we know that navigating the healthcare system can be complicated for patients and for physicians. Suite 1700 Greensboro, NC 27459 Preventive health care services include employer-based health education programs, vaccinations and fitness programs. 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 a member of the board of the California Association of Physician Groups. Trilogy Health Solutions - Wisconsin Preferred Provider Network . Sierra Medical Group (SMG) Company profile page for Heritage Provider Network Inc including stock price, company news, press releases, executives, board members, and contact information 800-690-1606, Network Management P.O. 866-270-5785, San Diego County Heritage has the BEST Customer Service Staff Ever!!! All members of Heritage Physician Network can access the full range of services, programs and specialists offered by BFMC. Salt Lake City, UT 84131-0364, Network Management Regal Medical Group works together with your healthcare plan and your PCP to keep things running smoothly. President and CEO, Montefiore Medicine. GANetwork_Physician@uhc.com, Optum Behavioral Health Suite 300 P.O. He is on the Visionary Board of the X-Prize Foundation. 322 East Front St West: uhc-network-wpa@uhc.com Individual Exchange plans (800) 747-2362, Heritage Provider Network Miramar, FL 33027, Tampa Medical office locations in Foothill Ranch, San Clemente, Lake Forest, Laguna Niguel and Mission Viejo, CA. Heritage Sierra Medical Group Headquarters, 44469 10th Street West, Lancaster, CA, 93534, United States, Utilization Management - Clinical Criteria & Availability of Clinical Criteria (2021). Columbia, SC 29210, Network Management Mailing Address Nebraska Total Care 2525 N 117th Ave, Suite . If you are having difficulties navigating our site using assistive technology, please contact Customer Service at 1.800.282.7648 for help. 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. 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. 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. Bakersfield Family Medical Center provides excellence in health care to our patients in professional settings that promote wellness and preventive medicine in Kern County. Middle At SMG your health is our priority. At any time, on any device you can: As expressions of God's healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable. 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 Payer ID#: 87726 (EDI Claims Submission), Claims Carolinas_Physician_Contracting@uhc.com, Optum Behavioral Health 950 Winter St. Heritage Provider Network (HPN) is a limited Knox-Keene licensed organization in California that provides affordable quality care to its members. Medicare Advantage Plans Phoenix, AZ 85004, Claims & medical records 2720 North Tenaya Way 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. The New York operation currently serves over 115,000 individuals, including over 30,000 Medicare Advantage beneficiaries. https://www.providerexpress.com/content/ope-provexpr/us/en/our-network.html, Health Plan Support 9100 Shelbyville Road 877-842-3210, Medicare Advantage and Community Plan We are provider-led and primary care-focused with a wide network of specialty relationships. Kingsport, TN 37660, Memphis Box 30884 888-239-3909. Suite 900 AmTrust prides itself on handling claims with speed and efficiency. Easy for you, clear for employees. Columbia, MD 21044, Health plan support SoutheastPRteam@uhc.com, UnitedHealthcare Community Plan of North Carolina (Medicaid) mn_contracting@uhc.com, 9700 Health Care Lane 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. 2000 West Loop South 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. 888-702-2202, Network Management Mail. 800-328-8835, Network Management Our commitment to complete patient care includes developing new and better ways of delivering healthcare. 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. 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. 1 East Washington St. Office visits. Box 31364 Please allow 30 days from the date of submission for processing. Suite 200 (800) 266-HDMG or (661) 945-5984 Free online nutrition, health education and fitness classes Contracted with most Medicare Advantage Plans For member services call (866) 654-3471 TDD/TTY users dial 711. 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. ", "We are very proud to be the exclusive media partner of Heritage Provider Network for their 2nd year of their Heritage Healthcare Innovation Awards initiative, as they seek to recognize health care innovators who have improved the lives of millions of New Yorkers" said Jill Kaplan, Vice President and Publisher of Crain's New York Business. All members of CCPN can access a full range of services, programs and specialists through these contracted providers. 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) 6465 S. Greenwood Plaza Blvd. Together, we have the resources to participate in the incentives that are part of value-based care programs. Austin, Houston & San Antonio 1208 Pointe Centre Drive Dr. Merkin is a visionary and a sought-after healthcare expert who encourages innovation and challenge. P.O. Access ID Card. This field is for validation purposes and should be left unchanged. 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. 9700 Health Care Lane, Las Vegas, NV 89128, Medicare Advantage and Community Plan Salt Lake City, UT 84120, Network Management Their provider and customer service departments have always been excellent at answering our questions in a timely professional manner. Call 888-261-9562 to reach Premera's BlueCard claims customer service team. Milwaukee, WI 53214, Medicare Advantage and Community Plan Behavioral health (inpatient): 1-844-430-1702. 8510 Balboa Boulevard Suite 285 Voice: 714-937-6130. 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. 400 E. Business Way Honoring an organization that has fundamentally changed how healthcare is delivered. 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. Centennial, CO 80111, Health plan support Contacts --Contact Business. Sacramento, CA 95826, Claims & Medical Records (800) 500-5215 or (760) 320-5134 R. A. Rees Pritchett Professor of Microbiology; Chairman, Department of Microbiology & Immunology, Weill Cornell Medical College. Puerto Rico Network Management All members of CCPN can access a full range of services, programs and specialists through these contracted providers. 1089 Jordan Creek Parkway Find the right contact I need to contact Clear Inputs about TTY users: To reach any number listed here, dial 711. 10 Cadillac Drive High Desert Medical Group (HDMG) Minnetonka, MN 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. P.O. Behavioral health prior authorization fax: 877-840-5581, Claims Sierra Medical Group represents the future of medicine. UnitedHealthcare Community Plan of North Carolina (Medicaid) 400 E. Business Way SoutheastPRteam@uhc.com, Facility Contracting TTY/TTD Members should call 711. Provider Call Center. 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. 2717 North 118th St., Suite 300 Our team of healthcare professionals is available and ready to help you with all of your medical needs. Visit your health plans website or call to ensure your doctor is in Providences network. 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. Payer ID#: 87726 (EDI claims submission), Pharmacy 10151 Deerwood Park 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. We know that getting sick doesn't happen on an 8 - 5 schedule. Login Now. . Home health, durable medical equipment, therapies and discharge planning: 1-888-235-8468. 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 500 Quest Integration Click to launch an email request that will be routed to the appropriate customer care team. Access patient and practice-specific information including: Have an in-process contracting or credentialing question? Claims. Fax: 601-718-6584, Medicare Advantage and Community Plan Over 800 providers in the HPN work together to provide high-quality healthcare to their patients through coordinated care while experiencing practice . 800-328-8835, Network Management Heritage Provider Network, Inc. (HPN) is one of the most experienced physician organization leaders of accountable care and continuous value based healthcare delivery improvements. "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.". P.O.Box 31365 Our facilities are equipped with some of the finest diagnostic equipment and technicians available. Together, we partner with local hospitals, medical experts and business leaders, and we actively support numerous organizations, educational, cultural and recreational events. Bakersfield Family Medical Center provides excellence in health care to our patients in professional settings that promote wellness and preventive medicine in Kern County. Desert Oasis Health Care (DOHC) 107 Westpark Blvd. Technical support for providers and staff. 800-842-3585, Network Management Call toll free 800.252.2053 or click here to send us your inquiry. 866-842-3278, option 1, Electronic Data Interchange (EDI) Answering phones, and assisting with claims status, assisting providers and members with claims documentation, logging and maintaining claim information. 888-362-3368, UnitedHealthcare Oxford health plans Suite 100 Fax: 615-372-3564, Northern Network Management 100, Suite 420 Your location: Learn more about our mission, vision and values. 800-638-3302 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. 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. 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. Ste 5300 St. Joseph. For that reason, to protect your privacy, please do not use e-mail to communicate information to us that you consider confidential. Set your location to find care near you. Our Approach. To check claims status or dispute a claim: From the Availity home page, select Claims & Payments from the top navigation. Customer Service (818) 357 . https://www.providerexpress.com/content/ope-provexpr/us/en/our-network.html, Optum Physical Health/Alternative Medicine (Acupuncture, Massage Therapy, Chiro, Naturopaths, etc.) We make it our priority to provide help when you need it most. 5757 Plaza Drive 800-600-9007, Jacksonville 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. Medicare Advantage and Community Plan Box 30760 General API support APIconsultant@uhc.com 3000 Town Center, Suite 1400 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. has more than 35 years of experience in health care with specific expertise in the development and administration of integrated delivery systems. Provider Profile Details: NPI Number Details: Provider Business Mailing Address Details: Provider's Primary Taxonomy Details: Secondary Taxonomy Details: We believe the most important aspect of healthcare is tending to the personal needs of our patients. Email. 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. You should be discussing things like prevention, diagnosis, treatment and healing, not coverage, networks, claims, regulations and billing. For ER admission/Urgent admission post stabilization, please reach out to us at (833) 554-2958. 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. Provider Lookup . P.O. Maryland Heights, MO 63043, Network Management Dr. Neskovic's Story "I chose to commit to an exclusive relationship and I've had steady and consistent growth as a result. To check claim status and receive explanation of processing for previously submitted claims. 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. 3rd Floor We are affiliated with most major health plans, including many HMOs. 877-651-6677, Network Management Our goal is to help you make better care decisions for yourself and your family. Heritage Vision Plans makes vision benefits easy for everyone: for benefits managers and, most importantly, for employees using the benefits. 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. Mental health. Manage your own frame stock; no frame towers or kits, CAQH credentialing accepted to simplify enrollment, Over 98% of our members utilize a Heritage Network Provider. Heritage Victor Valley Medical Group (HVVMG) Claims Mailing Address. Failure to correct inaccurate information, or bill utilizing Medicaid . 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. These contracted providers ) 554-2958 bakersfield Family Medical Center provides excellence in health care with specific expertise in the and! Field is for validation purposes and should be discussing things like prevention, diagnosis, treatment healing... That we keep your overall health care services include employer-based health education programs, and! 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