We look forward to working with you. 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. 2300 Clayton Road For details about provider contracting, please contact us . 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. 877-743-8734, Network Management 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. Suite 100 UnitedHealthcare Community Plan Box 10 Anaheim, CA 92815-0010 Enrollment Customer Service Tel. Coastal Communities Physician Network (CCPN) Memphis, TN 38115, Medicare Advantage and Community Plan 4365 Executive Drive centralPRteam@uhc.com, Network Management 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. The mailing address for Heritage Victor Valley Medical Group is 12370 Hesperia Rd, Suite 6, Victorville, California - 92395-7719 (mailing address contact number - 760-245-4747). 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. 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. Learn more about our mission, vision and values. Box 371330 Reseda, CA 91337. We also believe that during a visit to your doctor, the focus should be on health and wellness. Austin, Houston & San Antonio YOU DESERVE Simplicity Easy for you, clear for employees. 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. 800-210-8315, API Support Houston, TX 77027, Dallas, East, West & North Texas Service-oriented. SoutheastPRteam@uhc.com, Facility Contracting Initial admission notifications and all other services: 1-800-964-3627. Salt Lake City, UT 84130-0760, Dual Complete (HMO D-SNP) 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. Mail. To join our Heritage Provider Network, fill out our Provider Enrollment Inquiry Form. 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. Individual Exchange plans Simple. 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. 1311 W President George Bush Hwy, Suite 100 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. 9700 Health Care Lane, You will receive a response as soon as possible. P.O. 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. Just like yours. Select your state to find information, service and support. Salt Lake City, UT 84130-0757 All HPN participating providers and staff are dedicated to improving the healthcare journey and experience of all patients. Obstetrics. In addition, our Urgent Care is now open daily 6am - 8pm. Our programs include Living and Aging Well, Home Health Services and Medication Management Services which are committed to improving your health proactively. southeastPRteam@uhc.com, Network Management At SMG, we work hard to ensure that our patients receive quality medical care. We accept over 85 different health plans, including HMO, PPO, POS, EPO, Private and Medicare plans. Your dispute can be submitted by a letter or by a provider dispute form. 800-842-3585, Network Management 2nd Floor If your request involves a specific facility, please select it - otherwise, select "General". Carolinas_Physician_Contracting@uhc.com, Network Management Refund Address Nebraska Total Care Attn: Refunds PO Box 3713 Carol Stream, IL 60132-3713. Miami, FL 33156 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. Our claims department is at your service 24 hours a day, 7 days a week. Heritage Provider Network (HPN) is a limited Knox-Keene licensed organization in California that provides affordable quality care to its members. customerservice@regalmed.com. 35 Casa Street, Suite 170, San Luis Obispo, CA 93401 (805) 540-5035 Get Directions 325 Posada Lane, Templeton, CA 93465 (805) 239-0644 Get Directions Our purpose is to provide our individual participating practices with the benefits derived from belonging to a larger group, such as potential improvement in Medicare Fee-For-Service rates, value-based programs offered by health plans, group purchasing programs, and financial incentives. Heritage Vision Plans makes vision benefits easy for everyone: for benefits managers and, most importantly, for employees using the benefits. Quest Integration You always have a provider service representative available to help either by telephone, email or the contact us 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. 800-495-5285 Provider's identification number. Greensboro, NC 27459 Answering phones, and assisting with claims status, assisting providers and members with claims documentation, logging and maintaining claim information. 2720 North Tenaya Way 800-853-3844, Our tools are supported using Microsoft Edge, Chrome and Safari. Add value to your clients benefits package. 800-527-0531, OptumRx fax (specialty medications) Box 31364 You should be discussing things like prevention, diagnosis, treatment and healing, not coverage, networks, claims, regulations and billing. 200 E Randolph St. 800-307-4959, Northern and Grant Heritage Provider Network. He is on the Visionary Board of the X-Prize Foundation. We process clean claims within 48 hours, and we issue payments twice a month. 888-980-8728 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. Our culture has strong ties to supporting the local community through providers preserving their independent practice using our group environment. Northridge, CA 91325 TTY/TTD Members should call 711. Provider portal. Check wait times ahead of time and reserve your spot online at our urgent care locations for illnesses and injuries (non life threatening emergencies. 9100 Shelbyville Road 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. (714) 937-6270 Fax. 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. Minnetonka, MN Office visits. Salt Lake City, UT 84131-0364, General claim disputes If calling after hours, please leave a voice mail . Suite 600 Lake Claims Address Nebraska Total Care Attn: Claims PO Box 5060 Farmington, MO 63640-5060. Concurrent clinical review documentation: 1-888-700-2197. Sierra Medical Group represents the future of medicine. Credentialing application - new providers. To obtain a provider dispute form, please contact the Appeals Coordinator at (818) 654-3400. 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. Kingston, NY 12401 GANetworkOPS_fac-anc@uhc.com, Physician Contracting Fax: 855-253-3236 Heritage Provider Network CLAIM THIS BUSINESS. We invite you to join Providence Medical Network and our family of urgent cares, laboratory services, and imaging centers to optimize your healthcare needs. Box 740371 (800) 500-5215 or (760) 320-5134 As a Heritage provider, your information will be included in our Heritage Provider Directory. 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. View information for out-of-area providers. If you need help resetting your password, you call us. (800) 414-5860 for Commercial & Medicare. Chattanooga, TN 37421, Tri-Cities UnitedHealthcare Honolulu, HI 96813, Health plan support 800-690-1606, Network Management Minnetonka, MN 55343, Network Management Richardson, TX 75080, Medicare Advantage and Community Plan UnitedHealthcare PO Box 31365 Salt Lake City, UT 84131. MyChart makes it easy to get care and manage your health including checking in for your next appointment. *. Lexington 312-453-7055, Network Management All members of CCPN can access a full range of services, programs and specialists through these contracted providers. Medicare Advantage and Community Plan Mail Route CT039-10A 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. (818) 654-3400 or (866) 654-3471 Dr. Merkins commitment to supporting academic research runs deep. 3838 N. Causeway Blvd. P.O. 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. 125 South 84th St. Utilization Denial & Appeals Department Mailing Address In 2007, Dr. Merkin endowed the Richard Merkin Distinguished Fellowship in Emergency and Tropical Medicine in the Division of Internal Medicine at the Keck School. Monday - Saturday 6 a.m. to 5 p.m.*, Pacific Time. 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. OptumRx fax (specialty medications) 800-853-3844. Our commitment to complete patient care includes developing new and better ways of delivering healthcare. Mansfield, Texas 76063. 170 Wood Ave. South With a reputation built on quality, flexibility and responsiveness, Heritage provides superior vision plans at competitive prices. 312-453-7055, Network Management 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. Does Heritage Vision Plans accept all types of providers? Ph: 714.937.6143. 656 Santa Rosa Street, Suite 2A. Professor of Medicine, New York Medical College; Chief of Medicine, NYC Health + Hospitals/Metropolitan. 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. P.O. 1001 Lakeside Ave. Ridgeland, MS 39157 DOHCs services include access to 6 Immediate and Urgent Care Centers - Bermuda Dunes, Indio, Palm Desert, Palm Springs and Yucca Valley. Our team of healthcare professionals is available and ready to help you with all of your medical needs. Our goal is to help you make better care decisions for yourself and your family. Closed: Major Holidays (Interactive voice response system available) Our facilities offer superior patient convenience by providing Urgent Care, Pharmacy, Lab, Radiology, Pediatrics and a variety of specialty services at one convenient site. Access primary care doctors in the Providence network. With an important distinction. 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 6 urgent cares in your area, why not save time and money? 495 North Keller Road #200 Columbia, SC 29210, Network Management uhc-network-de@uhc.com, 1818 Market St. Suite 400 PO Box 70014. The Heritage Provider Network includes optometrists, ophthalmologists, and opticians. "We applaud the efforts of those exceptional winners as they are the leaders and innovators we rely on to create a convergence of new technologies and science that will change healthcare outcomes in the next decade. *for Medicare members hours are 8 a.m. to 8 p.m. in all time zones, call 1.855.492.9028. Suite 230 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. Regal Medical Group (RMG) Our customer-first approach works well for members, clients, providers and agents. Members who choose physicians in Heritage Physician Network will see their selected doctors in their conveniently located private offices. Seattle, WA 98101, Network Management Communication Center. 888-478-4760, Network Management View credentialing forms. Attn: Appeals Coordinator P. O. 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. Suite 2600 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. General API support APIconsultant@uhc.com Heritage Research Investigators in Translational Medicine Award: Carl Nathan, MD 8510 Balboa Boulevard Suite 285 230 Lexington Green Circle P. O. With over 50 Primary Care Providers, 300 Specialists and 3 local hospitals in our network, Heritage Sierra Medical Group takes pride in Starting With You. 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. Get the latest information from Heritage for your practice, and dont miss out on new developments as we upgrade our provider resources. Box 30884 Click to launch an email request that will be routed to the appropriate customer care team. In addition, our Urgent Care is now open daily 6am - 8pm. 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. To submit electronically, email to AssignmentofBenefits@Heritagepci.com To submit by regular mail or via overnight mail send to: Heritage Property & Casualty Insurance Attn. All Savers Health Plan Box 2300 Prior authorization fax: 800-267-8328 888-362-3368, Provider Relations Physician and Hospital Advocate Team Heritage Sierra Medical Group Headquarters, 44469 10th Street West, Lancaster, CA, 93534, United States, Utilization Management - Clinical Criteria & Availability of Clinical Criteria (2021). 185 Asylum St. Our experienced staff understands that a timely claims conclusion is important for all parties involved. Email. Lakeside Medical Group (LMG) Additionally, he is on the Board of Directors at the California NanoSystems Institute at UCLA. Preventive health care services include employer-based health education programs, vaccinations and fitness programs. Iselin, NJ 08830, Medicare Advantage and Community Plan 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. We have convenient locations throughout the Coachella Valley, Morongo Basin and Yucca Valley areas. 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 Cleveland One way that we keep your overall health care costs low is by emphasizing preventative care in order to keep you healthy. Behavioral health (outpatient): 1-844-430-1703. To check claim status and receive explanation of processing for previously submitted claims. Jacksonville, FL 32256, Orlando Provider Tools. (760) 245-4747 What's more, our expertise is backed by a strong commitment to . 5757 Plaza Drive 322 East Front St 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. Pittsburgh, PA 15212, Philadelphia east NC_Net_Mgmt@Optum.com, Health Plan Support 800-711-4555, OptumRx fax (non-specialty medications) Box 371330 Reseda, CA 91337 What are the requirements for a completed claim? Overland Park, KS 66211, Medicare Advantage and Community Plan United States. Suite 1250 All Savers Health Plan Access patient and practice-specific information including: Have an in-process contracting or credentialing question? westprteam@uhc.com, Network Management Contacts --Contact Business. Heritage Vision Plans provides affordable, high-quality vision benefits for companies of all sizes. At SMG your health is our priority. 3000 Town Center, Suite 1400 For Medicare members and their plan risk or out-of-area claims and/or direct Medicare member reimbursements, please submit them to: Western Health Advantage Mail Service. Chicago, IL 60601-6602 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. Through innovative programs and services designed specifically for the managed care environment, HPN and its medical groups have been . We are provider-led and primary care-focused with a wide network of specialty relationships. Suite 200 Contact information for Heritage Provider Network, media relations, and our medical groups are as follows. Contact information for Heritage Provider Network, media relations, and our medical groups are as follows. (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 Centennial, CO 80111, Network Management HDMG has a long-standing promise to provide residents of the Antelope Valley with the highest quality health care possible. We believe the most important aspect of healthcare is tending to the personal needs of our patients. 12018 Sunrise Valley Drive UnitedHealthcare commercial and UnitedHealthcareMedicare Advantage plans Metairie, LA 70001 Failure to correct inaccurate information, or bill utilizing Medicaid . Medicare Advantage Plans 818 Market St. Outside of healthcare, Dr. Merkin is involved in educational, economic and youth issues. Most solutions are at your fingertips using the UnitedHealthcare Provider Portal. Call toll free 800.252.2053 or click here to send us your inquiry. 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. mn_contracting@uhc.com, 9700 Health Care Lane HPNs medical and administrative management organization assesses internal and external statistical data and surveys to monitor compliance with medical policies, procedures and standards. Omaha, NE 68164 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. In addition to creating and growing integrated delivery networks, Dr. Merkin has a long-standing interest in both prevention and cure. 877-542-9235, Network Management 1 East Washington Warwick, RI 02886, Optum Behavioral Health Heritage Healthcare Leadership Award: Karen Ignagni. Suite 600 Our commitment to complete patient care includes developing new and better ways of delivering healthcare. 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. For ER admission/Urgent admission post stabilization, please reach out to us at (833) 554-2958. 950 Winter St. Heritage has the BEST Customer Service Staff Ever!!! 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. 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. At SMG, we work hard to ensure that our patients receive quality medical care. 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