Box 371330 Reseda, CA 91337. 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. 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. All Savers Health Plan Salt Lake City, UT 84120, Network Management Patients may have access to additional benefit enhancements and healthcare programs thanks to their doctors participation in HPN. 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. Electronic submission Information/ Mail address Phone Authorizations Claims MLKH Martin Luther King Jr. Multi-Service Ambulatory Care Center . Medicare Advantage and Community Plan How do I join and qualify to become a Heritage participating in-network provider? Scheduled Reports delivered. Northridge, CA 91325 EZ-Net. 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. Hartford, CT 06103, UnitedHealthcare Oxford Health Plan UnitedHealthcare UHN AL For the convenience of our patients, these offices are located throughout San Luis Obispo County; you can search for these locations at the "Find a Provider" section of this website. High Desert Medical Group (HDMG) Reston, VA 20191, Network Management 2100 Riveredge Pkwy. 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. [email protected], 1818 Market St. *. P.O. Suite 300 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. 230 Lexington Green Circle Cincinnati, OH 45241, Columbus Become a Provider 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. Suite 110 Please call our toll free numbers for more information: (800) 918-7302 for Medi-Cal. With over 31,000 providers nationwide, our members are never far from quality vision care. Initial admission notifications and all other services: 1-800-964-3627. Youre the public face of the vision care programs we provide, and we value the relationship we have with you. How can we help? 3838 N. Causeway Blvd. Seattle, WA 98101, Network Management Syracuse, NY 13206, NYS Empire Plan All members of CCPN can access a full range of services, programs and specialists through these contracted providers. Add value to your clients benefits package. Network Resources. Our commitment to complete patient care includes developing new and better ways of delivering healthcare. P. O. 1 East Washington St. We collaborate with our physicians to provide quality care, while focusing on minimizing your out of pocket expenses. Behavioral health prior authorization fax: 877-840-5581, Claims Regal Medical Group (RMG) Inspired by the X-Prize model, Dr. Merkin created, developed and sponsored the $3 million Heritage Health Prize, which challenges teams to create an algorithm that will predict how many days an individual will spend in the hospital in a given year. Dr. Merkin is a visionary and a sought-after healthcare expert who encourages innovation and challenge. Heritage Technology Innovator in Healthcare Award: Gil Addo CEO and Co-founder, RubiconMD. 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. 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. Technical support for providers and staff. One way that we keep your overall health care costs low is by emphasizing preventative care in order to keep you healthy. [email protected] 107 Westpark Blvd. 877-542-9235, 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. Interactive Guide: Use the UnitedHealthcare Provider Portal to view claim status, take action, if needed, check the status of tickets and more. Dr. Merkins commitment to supporting academic research runs deep. We are affiliated with most major health plans, including many HMOs. P.O. Behavioral health (inpatient): 1-844-430-1702. Coastal Communities Physician Network. Professor of Medicine, New York Medical College; Chief of Medicine, NYC Health + Hospitals/Metropolitan. All members of Heritage Physician Network can access the full range of services, programs and specialists offered by BFMC. Box 31364 Just like yours. Our commitment to complete patient care includes developing new and better ways of delivering healthcare. Implementing our benefits program is easy, and options are available for employer and employee plans. At SMG your health is our priority. At SMG your health is our priority. YOU DESERVE Simplicity Easy for you, clear for employees. We collaborate with our physicians to provide quality care, while focusing on minimizing your out of pocket expenses. Provider Lookup . Suite 200 of Special Projects (661) 951-3224 [email protected] 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. Western Iowa counties Pottawattamie, Harrison and Mills - Managed by Nebraska Network Management 888-362-3368, UnitedHealthcare Oxford health plans Request . Call 888-261-9562 to reach Premera's BlueCard claims customer service team. 10175 Little Patuxent Parkway "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.". 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 culture has strong ties to supporting the local community through providers preserving their independent practice using our group environment. 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 Most solutions are at your fingertips using the UnitedHealthcare Provider Portal. P.O. Set your location to find care near you. 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. 185 Asylum St. 888-980-8728 Bakersfield Family Medical Center provides excellence in health care to our patients in professional settings that promote wellness and preventive medicine in Kern County. 800-690-1606, Network Management 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. Cypress CA 90630, Health plan support [email protected] Optum Personal service is one of the reasons our network of providers is so stable with an extremely low turnover rate. Medical Group Heritage Provider NetworkWeighs $9 Billion-Plus Sale. Track Deductibles and Out of Pockets. Tampa, Florida 33607, Preferred Care Partners and Preferred Care Network 800-600-9007, Jacksonville Our programs include Living and Aging Well, Home Health Services and Medication Management Services which are committed to improving your health proactively. P.O. 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. 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 [email protected] Escalated Contact Octavio Campos Corporate Dir. Phoenix, AZ 85004, Claims & medical records 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. Concurrent clinical review documentation: 1-888-700-2197. Ste 5300 To submit electronically, email to [email protected] To submit by regular mail or via overnight mail send to: Heritage Property & Casualty Insurance Attn. 1132 Bishop St. 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. Email: [email protected]. St. Joseph. 800-291-2634, Medicare Advantage and Community Plan DOHCs services include access to 6 Immediate and Urgent Care Centers - Bermuda Dunes, Indio, Palm Desert, Palm Springs and Yucca Valley. Box 2300 "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. 800-711-4555, OptumRx fax (non-specialty medications) 400 E. Business Way 888-866-8297, Network Management 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. 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. In addition, our Urgent Care is now open daily 6am - 8pm. Recognizing a leader in the New York area that has demonstrated significant impact in their healthcare field. His leadership has inspired the formation of over 28 group model and IPA structures in California, New York and Arizona. 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. Suite 1700 Suite 100 (714) 937-6269 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). Milwaukee, WI 53214, Medicare Advantage and Community Plan 800-666-1353, Network management HPN, working with CHS, adds to the expertise and aids in the financial wellness of its providers. We are provider-led and primary care-focused with a wide network of specialty relationships. Provider's identification number. Cypress, CA 90630, Provider Relations Physician and Hospital Advocate Team Please allow 30 days from the date of submission for processing. In partnership with CHS, we have developed population health, clinical, care management, quality reporting, and telehealth capabilities. Need access to the UnitedHealthcare Provider Portal? Because Medicaid is a state-run program, requirements vary by state and BCBS . He is on the Visionary Board of the X-Prize Foundation. To check claim status and receive explanation of processing for previously submitted claims. [email protected], Network Management You should be discussing things like prevention, diagnosis, treatment and healing, not coverage, networks, claims, regulations and billing. We believe the most important aspect of healthcare is tending to the personal needs of our patients. TTY/TTD Members should call 711. This forward-thinker has forever changed the way care systems work through new models, processes and pathways. You always have a provider service representative available to help either by telephone, email or the contact us form. 170 Wood Ave. South [email protected]. 5757 Plaza Drive At SMG, we work hard to ensure that our patients receive quality medical care. 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 protected]. 2000 West Loop South Page Footer I want to. 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. Send your new credentialing application by mail, fax, or email: Mail: PO Box 327 - MS 263 Seattle, WA 98111-0327. [email protected], Optum Behavioral Health At Regal, we know that navigating the healthcare system can be complicated for patients and for physicians. Closed: Major Holidays (Interactive voice response system available) Day surgery/professional. Contact. 800-210-8315, API Support We look forward to working with you. From state-of-the-art radiology to nearby walk-in labs, we offer multiple locations throughout Northern California to fit your busy needs. Health-care provider is working with an adviser to assist it. 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. P.O. Overland Park, KS 66211, Medicare Advantage and Community Plan 888-887-9003, Network Management They are always pleasant, patient and more than willing to assist whenever I call! 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