Get the most up-to-date claims status and payment information, and the ability to . View claims and EOBs. Your Email Address Subject: Message. Steps to getting contracted plus plan information, Phone numbers and links for connecting with us, List of contracted, high-quality independent lab providers, Update, verify and attest to your practice's demographic data, Provider search for doctors, clinics and facilities, plus dental and behavioral health, Policies for most plan types, plus protocols, guidelines and credentialing information, Specifically for Commercial and Medicare Advantage (MA) products, Pharmacy resources, tools, and references, Updates and getting started with our range of tools and programs, Reports and programs for operational efficiency and member support, Resources and support to prepare for and deliver care by telehealth, Tools, references and guides for supporting your practice, Log in for our suite of tools to assist you in caring for your patients. Bakersfield Family Medical Center provides excellence in health care to our patients in professional settings that promote wellness and preventive medicine in Kern County. Anaheim, CA 92825-0027. Heritage Provider Network (HPN) is a limited Knox-Keene licensed organization in California that provides affordable quality care to its members. Indianapolis, Fort Wayne, Southeast and Southwest 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. Heritage Healthcare Organizational Leadership Award:Steven Safyer, MD Minnetonka, MN 55343 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. Lexington Milwaukee (NE, NW & SE WI) 8880 Call Center Drive We re-credential providers every two years and may conduct on-site quality assurance audits. Our customer-first approach works well for members, clients, providers and agents. We aim to deliver quality, affordable healthcare to the communities we serve. Heritage Vision Plans makes vision benefits easy for everyone: for benefits managers and, most importantly, for employees using the benefits. Provider Tools. How do I join and qualify to become a Heritage participating in-network provider? 4365 Executive Drive All Savers Health Plan UnitedHealthcare At SMG, we work hard to ensure that our patients receive quality medical care. Concurrent clinical review documentation: 1-888-700-2197. Payer ID#: 87726 (EDI claims submission), Pharmacy 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. Are you a provider outside of Washington or Alaska? P.O. 877-651-6677, Network Management 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. Contact Claims. We collaborate with our physicians to provide quality care, while focusing on minimizing your out of pocket expenses. 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. Salt Lake City, UT 84130-0757 Voice: 714-937-6130. 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. Access primary care doctors in the Providence network. Maryland Heights, MO 63043, Network Management Mansfield, Texas 76063. View credentialing forms. In addition, our Urgent Care is now open daily 6am - 8pm. With an important distinction. Heritage Provider Network, Inc. (HPN) is one of the most experienced physician organization leaders of accountable care and continuous value based healthcare delivery improvements. Boise, ID 83702, Provider Relations Physician and Hospital Advocate Team P.O. Claims Customer Service (714) 937-6143 Hours: - weekdays from 7:30 a.m. to 4 p.m. Claims Billing Address P.O. 3rd Floor Box 371330 Reseda, CA 91337 Your dispute can be submitted by a letter or by a provider dispute form. Heritage Technology Innovator in Healthcare Award: Gil Addo CEO and Co-founder, RubiconMD. Medical Group Heritage Provider NetworkWeighs $9 Billion-Plus Sale. 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). Address. Centennial, CO 80111, Health plan support Suite 300 Suite 200 With over 50 Primary Care Providers, 300 Specialists and 3 local hospitals in our network, Heritage Sierra Medical Group takes pride in Starting . 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. Through innovative programs and services designed specifically for the managed care environment, HPN and its medical groups have been . Medicare Advantage and Community Plan Salt Lake City, UT 84131-0364, Network Management 39115 TRADE CENTER DR PALMDALE, CA 93551 Get Directions (661) 480-2000 . That size works to your advantage, allowing us to be there to coordinate all of your health care, when and where you need us. Trilogy Health Solutions - Wisconsin Preferred Provider Network . Ridgeland, MS 39157 Competitors: Unknown. 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. Our culture has strong ties to supporting the local community through providers preserving their independent practice using our group environment. 2100 Riveredge Pkwy. Overland Park, KS 66211, Medicare Advantage and Community Plan 5 Centerpointe Drive Box 371330 Reseda, CA 91337. Our Approach. Northridge, CA 91325 HDMG has a long-standing promise to provide residents of the Antelope Valley with the highest quality health care possible. 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: Members who choose physicians in Heritage Physician Network will see their selected doctors in their conveniently located private offices. *. For more information, call (866) 654-3471 and request Network Management. At SMG, we work hard to ensure that our patients receive quality medical 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. Our programs include Living and Aging Well, Home Health Services and Medication Management Services which are committed to improving your health proactively. 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. Minnetonka, MN Box 30884 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. HDMG has a long-standing promise to provide residents of the Antelope Valley with the highest quality health care possible. 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 have convenient locations throughout the Coachella Valley, Morongo Basin and Yucca Valley areas. Suite 1100 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 These IPA physicians remain affiliated with BFMC although they maintain their own individual offices. High Desert Medical Group (HDMG) 800-328-8835, Network Management Box 30757 Dublin, OH 43016 use following address: Healthcare Invoice, Data and Provider Services Branch PO Box 4038, N. Freeway Sacramento, CA 95812-4038; Website Tech . You always have a provider service representative available to help either by telephone, email or the contact us form. P.O.Box 31365 LAKE Lakeside Medical Group (818) 933-0571 (818) 654-3490 Heritage P.O.Box 371390 Reseda, CA 91337 (213)355-8988 LCC Little Rock Community Clinic . Omaha, NE 68164 3100 SW 145th Ave. Suite 900 Nebraska_network@uhc.com, Iowa/Quad Cities Coastal Communities Physician Network (CCPN) Email: claims@hcpipa.com (secure email only) Membership Eligibility If you need help resetting your password, you call us. 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. To speak to a VSP customer service representative, call 1.800.877.7195. 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. Salt Lake City, UT 84130-0884, Disputes Youre the public face of the vision care programs we provide, and we value the relationship we have with you. Prior to rendering services, you may verify member eligibility, determine level of benefit coverage, and obtain authorizations through our Heritage Provider Web Portal or you may contact our Customer Service Center at 800.252.2053, Monday Friday 9am 8pm EST and on Saturday 9am 4pm EST, for assistance. 888-866-8297, Provider Relations Physician and Hospital Advocate Team Recognizing an innovator in the development of new modes of diagnosis, treatment and care who actively improves access to services and improves the quality of healthcare overall. View all open positions on our careers page. 9700 Health Care Lane, 1132 Bishop St. Starting on January 1, 2021, WellCare of Nebraska will be operating on Healthy Blue systems, which will require providers to be enrolled with Healthy Blue and submitting claims in accordance with their Nebraska Medicaid enrollment profile. Carolinas_Physician_Contracting@uhc.com, Optum Behavioral Health Answering phones, and assisting with claims status, assisting providers and members with claims documentation, logging and maintaining claim information. 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. 107 Westpark Blvd. Western Iowa counties Pottawattamie, Harrison and Mills - Managed by Nebraska Network Management Please allow 30 days from the date of submission for processing. YOU DESERVE Simplicity Easy for you, clear for employees. Mon-Fri 7:30 am - 4 pm ST. Our Services. Give us a call. All paper claims must be mailed to: Lakeside Community Healthcare Attn: Claims Department P. O. Suite 300 Contact information for Heritage Provider Network, media relations, and our medical groups are as follows. Yes. St. Joseph. 888-362-3368, UnitedHealthcare Oxford health plans 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. Minnetonka, MN 55343, Network Management Implementing our benefits program is easy, and options are available for employer and employee plans. 877-614-0484. Just like yours. He is a member of the board of the California Association of Physician Groups. Get the most up-to-date claims status and payment information - all in 1 easy-to-use tool without mailing or faxing. Fax: 504-849-3551, Network Management Call 911 if you have a life-threatening emergency. 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. With over 31,000 providers nationwide, our members are never far from quality vision care. 5900 Parkwood Place, 5th Floor 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. Dr. Merkin contributes to numerous non-profit philanthropic organizations, and, among other things, founded the Los Angeles Jewish Symphony which is dedicated to providing music education to children. Salt Lake City, UT 84131-0364, HMO-SNP Part D only 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. Closed: Major Holidays (Interactive voice response system available) At SMG, we work hard to ensure that our patients receive quality medical care. View Verification of Benefits. Our claims center is staffed with specialists who. We accept over 85 different health plans, including HMO, PPO, POS, EPO, Private and Medicare plans. 800-600-9007, Jacksonville P.O. 888-478-4760, Network Management At SMG your health is our priority. Suite 300 For ER admission/Urgent admission post stabilization, please reach out to us at (833) 554-2958. 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. Heritage members will provide you with their identifying information (Name, Date of Birth or ID Number, and the name of their employer or covered group). Warwick, RI 02886, Optum Behavioral Health Suite 5300 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. Patients may have access to additional benefit enhancements and healthcare programs thanks to their doctors participation in HPN. Provider portal. EZ-Net. Salt Lake City, UT 84120, Network Management 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. Contact Us: Home Contact Us: Network Support Services. Suite 200 866-331-2243, available Monday - Friday from 7:00 am - 6:00 pm CST (6:00 am - 5:00 pm MST) Mailing Address. (800) 414-5860 for Commercial & Medicare. Interactive Guide: Use the UnitedHealthcare Provider Portal to view claim status, take action, if needed, check the status of tickets and more. This field is for validation purposes and should be left unchanged. 818 Market St. Health-care provider is working with an adviser to assist it. All HPN participating providers and staff are dedicated to improving the healthcare journey and experience of all patients. 125 South 84th St. jgluck@heritagemed.com. 5757 Plaza Drive 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. 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. This organization has created or championed new ways of thinking and doing, uniting diverse constituencies to work together. Pittsburgh, PA 15212, Philadelphia east 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. Middle Emergency physician services. Easy for you, clear for employees. If you are having difficulties navigating our site using assistive technology, please contact Customer Service at 1.800.282.7648 for help. 2nd Floor Access patient and practice-specific information including: Have an in-process contracting or credentialing question? Contact Claims. Suite 230 Our facilities are equipped with some of the finest diagnostic equipment and technicians 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. Box 4380. Cleveland, OH 44114, Dayton and Cincinnati All members of CCPN can access a full range of services, programs and specialists through these contracted providers. 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. 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. Referrals. Technical support for providers and staff. Claims. Heritage network doctors and providers undergo a rigorous credentialing process before they join our network. (817) 477-0400. Honoring an organization that has fundamentally changed how healthcare is delivered. 9100 Shelbyville Road HDMG has a long-standing promise to provide residents of the Antelope Valley with the highest quality health care possible. Our facilities are equipped with some of the finest diagnostic equipment and technicians available. Heritage Healthcare Leadership Award: Karen Ignagni. P.O. Box 31364 Join an eye-opening network of providers. Provider Profile Details: NPI Number Details: Provider Business Mailing Address Details: Provider's Primary Taxonomy Details: Secondary Taxonomy Details: 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 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 400 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). Reston, VA 20191, Network Management All Savers Health Plan 888-650-3462, 6860 West 115th St. 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. 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. 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