9100 S. Dadeland Blvd. The New York operation currently serves over 115,000 individuals, including over 30,000 Medicare Advantage beneficiaries. Sierra Medical Group represents the future of medicine. Box 30884 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. Our experienced staff understands that a timely claims conclusion is important for all parties involved. Patients may have access to additional benefit enhancements and healthcare programs thanks to their doctors participation in HPN. Box 371330 Reseda, CA 91337 What are the requirements for a completed claim? For more information or if you have a specific question, you can contact us using one of the following methods. Puerto Rico Network Management We also believe that during a visit to your doctor, the focus should be on health and wellness. 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. Minnetonka, MN 55343, Network Management Jacksonville, FL 32256, Orlando Bakersfield Family Medical Center provides excellence in health care to our patients in professional settings that promote wellness and preventive medicine in Kern County. Health-care provider is working with an adviser to assist it. They are always pleasant, patient and more than willing to assist whenever I call! (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 Give us a call. Sierra Medical Group represents the future of medicine. All Savers Health Plan 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. Honoring an organization that has fundamentally changed how healthcare is delivered. East: uhc-network-epa@uhc.com, Pittsburgh west All paper claims must be mailed to: Lakeside Community Healthcare Attn: Claims Department P. O. Yes. Home health, durable medical equipment, therapies and discharge planning: 1-888-235-8468. 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. Suite 600 Claims Customer Service (714) 937-6143 Hours: - weekdays from 7:30 a.m. to 4 p.m. Claims Billing Address P.O. 8th Floor We are affiliated with most major health plans, including many HMOs. 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. If you need help resetting your password, you call us. 866-331-2243, Network Management This field is for validation purposes and should be left unchanged. Attn: Claims Processing. Latham, NY 12110, Upstate 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. 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. Bioscrip-specialty drug: 800-584-0265, Network Management Prior uthorization: 800-310-6826 Help desk: 800-797-9791 . 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. Provider Service Contact Number; Health Net Provider Services Center (Except Medi-Cal and Medicare) . Suite 301 We re-credential providers every two years and conduct on-site audits. With more than 90 physicians and locations throughout South Orange County, our physicians will treat you when you're sick, and keep you well with innovative programs and specialized services. 3000 Town Center, Suite 1400 Heritage Healthcare Leadership Award: Karen Ignagni. Heritage Healthcare Organizational Leadership Award:Steven Safyer, MD Email info@imsi-usa.com. St. Joseph. Contact Us: Home Contact Us: Network Support Services. Indianapolis, Fort Wayne, Southeast and Southwest We'll use your location to find clinics, hospitals and doctors closest to you. Nurses . 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. 866-842-3278, option 1, Electronic Data Interchange (EDI) pcp-NetworkManagementServices@uhcsouthflorida.com, Miami 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. He has been on the board of advisors for the Asia Society Southern California, and has previously been on the Mayors Executive Committee for Los Angeles. Syracuse, NY 13206, NYS Empire Plan The Arizona group, which just began operations on January 1, 2012, is already serving a large Medicare Advantage population throughout Maricopa County. 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. Medical Group Heritage Provider NetworkWeighs $9 Billion-Plus Sale. NC_Net_Mgmt@Optum.com, Health Plan Support 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. Login to view member eligibility, claim status, submit claims and more. Atlanta, GA 30328, Network Management 12018 Sunrise Valley Drive Our commitment to complete patient care includes developing new and better ways of delivering healthcare. 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. Suite 1170 (714) 937-6269 Suite 5300 We invite you to join Providence Medical Network and our family of urgent cares, laboratory services, and imaging centers to optimize your healthcare needs. UnitedHealthcare Community Plan of North Carolina (Medicaid) UnitedHealthcare Community Plan Medicare Advantage Plans P.O. 888-650-3462, 6860 West 115th St. 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. 800-542-8789, Community Plan of California, Inc. UnitedHealthcare Community Plan 2717 N 118th Street, Suite 300 Omaha, NE 68164. 800-291-2634, Medicare Advantage and Community Plan 9100 Shelbyville Road Obstetrics. Track Deductibles and Out of Pockets. 800-600-9007, Network Management His leadership has inspired the formation of over 28 group model and IPA structures in California, New York and Arizona. 312-453-7055, Network Management Salt Lake City, UT 84120, Network Management Office visits. 8880 Call Center Drive 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. We believe the most important aspect of healthcare is tending to the personal needs of our patients. Select your state to find information, service and support. Box 31364 We are affiliated with most major health plans, including many HMOs. 5900 Parkwood Place, 5th Floor View information for out-of-area providers. 10175 Little Patuxent Parkway Prior authorization fax: 800-267-8328 PO Box 70014. Contacts --Contact Business. 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 Salt Lake City, UT 84130-0757 Access ID Card. Simple. *. 950 Winter St. Heritage Victor Valley Medical Group (HVVMG) Sacramento, CA 95826, Claims & Medical Records The theory is, if hospitalizations can be predicted, preventive measures can be taken and unnecessary hospitalizations can be avoided. We process clean claims within 48 hours, and we issue payments twice a month. Check wait times ahead of time and reserve your spot online at our urgent care locations for illnesses and injuries (non life threatening emergencies. northeastprteam@uhc.com, Network Management Provider Call Center. . Medical Group Inquiries (Member services, provider relations, claims): Bakersfield Family Medical Center (BFMC) P.O.Box 31365 "Our Heritage New York Healthcare Innovation Award winners reflect the dream, spirit and promise of healthcare innovation we all strive for. Oswego, OR 97035, Network Management Provider Relations Physician and Hospital Advocate Team Members who choose physicians in Heritage Physician Network will see their selected doctors in their conveniently located private offices. All members of Heritage Physician Network can access the full range of services, programs and specialists offered by BFMC. As a Heritage provider, your information will be included in our Heritage Provider Directory. Fax: 601-718-6584, Medicare Advantage and Community Plan Quest Integration 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. We accept over 85 different health plans, including HMO, PPO, POS, EPO, Private and Medicare plans. 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. DOHCs services include access to 6 Immediate and Urgent Care Centers - Bermuda Dunes, Indio, Palm Desert, Palm Springs and Yucca Valley. Claims. We aim to deliver quality, affordable healthcare to the communities we serve. Contact. Update Your Provider Information. We know that getting sick doesn't happen on an 8 - 5 schedule. Box 740371 800-690-1606, Network Management 877-542-9235, Network Management Get the latest information from Heritage for your practice, and dont miss out on new developments as we upgrade our provider resources. Because Medicaid is a state-run program, requirements vary by state and BCBS . 800-666-1353, Medicare Advantage and Community Plan 800-527-0531, OptumRx fax (specialty medications) Cincinnati, OH 45241, Columbus Houston, TX 77027, Dallas, East, West & North Texas 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. We have convenient locations throughout the Coachella Valley, Morongo Basin and Yucca Valley areas. All members of CCPN can access a full range of services, programs and specialists through these contracted providers. 2425 James St. Cypress CA 90630, Health plan support Salt Lake City, UT 84130-0760, Dual Complete (HMO D-SNP) P.O. 400 E. Business Way Ste 5300 Suite 100 That size works to your advantage, allowing us to be there to coordinate all of your health care, when and where you need us. If your request involves a specific facility, please select it - otherwise, select "General". At SMG, we work hard to ensure that our patients receive quality medical care. Miami, FL 33156 Maitland, FL 32751, South Florida CHS provides HPN with health information analytics to care coordination, risk contracting to clinical expertise, and operational support. Their provider and customer service departments have always been excellent at answering our questions in a timely professional manner. With an important distinction. (800) 500-5215 or (760) 320-5134 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. www.myoptumhealthphysicalhealth.com, Health Plan Support Email: claims@hcpipa.com (secure email only) Membership Eligibility Box 30760 Dallas Fort Worth Metroplex Area. We believe the most important aspect of healthcare is tending to the personal needs of our patients. Contact information for Heritage Provider Network, media relations, and our medical groups are as follows. If you are having difficulties navigating our site using assistive technology, please contact Customer Service at 1.800.282.7648 for help. Salt Lake City, UT 84131-0364, General claim disputes 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. Suite 400 UnitedHealthcare Box 30757 Please call our toll free numbers for more information: (800) 918-7302 for Medi-Cal. Suite 1700 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. As a result, your billing office may see some differences in the claim edits and response files from WellCare. Together, we have the resources to participate in the incentives that are part of value-based care programs. 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. Suite 1900 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. All members of Heritage Physician Network can access the full range of services, programs and specialists offered by BFMC. P.O. Highlighting cutting edge applications of technology and up-and-comers in the healthcare industry. Blue Cross and Blue Shield (BCBS) Plans currently administer Medicaid programs in several states. If calling after hours, please leave a voice mail . 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. 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. Together, we partner with local hospitals, medical experts and business leaders, and we actively support numerous organizations, educational, cultural and recreational events. View Verification of Benefits. He is also on the Board of Directors for EdVoice, a group dedicated to education reform. . How often do you process provider claims? 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. We aim to deliver quality, affordable healthcare to the communities we serve. Monday - Saturday 6 a.m. to 5 p.m.*, Pacific Time. View Top Employees from Heritage Provider Network 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. We make it our priority to provide help when you need it most. We accept over 85 different health plans, including HMO, PPO, POS, EPO, Private and Medicare plans. One way that we keep your overall health care costs low is by emphasizing preventative care in order to keep you healthy. All members of Heritage Physician Network can access the full range of services, programs and specialists offered by BFMC. 5757 Plaza Drive Mail Route CT039-10A 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. 1132 Bishop St. Hartford, CT 06103, UnitedHealthcare Oxford Health Plan In addition, our Urgent Care is now open daily 6am - 8pm. 888-239-3909. Together, we partner with local hospitals, medical experts and business leaders, and we actively support numerous organizations, educational, cultural and recreational events. Our goal is to help you make better care decisions for yourself and your family. Lakeside Community Healthcare P.O. 818 Market St. Voice: 714-937-6130. Philadelphia, PA 19103, Network Management To check claim status and receive explanation of processing for previously submitted claims. 1208 Pointe Centre Drive Our programs include Living and Aging Well, Home Health Services and Medication Management Services which are committed to improving your health proactively. Login Now. Communication Center. 800-291-2634, Medicare Advantage and Community Plan One way that we keep your overall health care costs low is by emphasizing preventative care in order to keep you healthy. Pittsburgh, PA 15212, Philadelphia east Phoenix 5 Centerpointe Drive 2717 North 118th St., Suite 300 Pioneer Provider Network, A Medical Group, Inc . Provider's identification number. P.O. Additionally, he is on the Board of Directors at the California NanoSystems Institute at UCLA. 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. (TTY 711). Concurrent clinical review documentation: 1-888-700-2197. 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. 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). (661) 327-4411 View all open positions on our careers page. 800-307-4959, Northern and Grant of Special Projects (661) 951-3224 ocampos@heritagemed.com To view Dr. Merkins involvement in the community, click here, The physician-patient relationship is the foundation for providing quality health care, Physician and patient education must be proactive and ongoing, Physicians will make effective decisions for their patients given the appropriate tools, information and support from their peers, Utilization and quality management is a physician-to-physician process. 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. Sierra Medical Group (SMG) Heritage Provider Network CLAIM THIS BUSINESS. Phoenix, AZ 85004, UnitedHealthcare Community Plan You always have a provider service representative available to help either by telephone, email or the contact us form. 800-842-3585, Network Management 93534 USA. Coastal Communities Physician Network (CCPN) Fax: 859-825-6173, Louisville 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. 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. Durable medical equipment, therapies and discharge planning: 1-888-235-8468 PA 19103, Network Management field! And Yucca Valley areas, Private and Medicare plans to provide help when you need most. To find clinics, hospitals and doctors closest to you Network Management Provider call Center healthcare programs thanks their. 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