93534 USA. 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. We'll use your location to find clinics, hospitals and doctors closest to you. One way that we keep your overall health care costs low is by emphasizing preventative care in order to keep you healthy. Suite 100 P.O. (714) 937-6270 Fax. 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. Our team of healthcare professionals is available and ready to help you with all of your medical needs. Answering phones, and assisting with claims status, assisting providers and members with claims documentation, logging and maintaining claim information. Box 31364 View claims and EOBs. Consolidated Portal. 2425 James St. UnitedHealthcare commercial and UnitedHealthcareMedicare Advantage plans 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. 6465 Greenwood Plaza Blvd. Optum Mission: We have designed our networks . inquiries@heritagemed.com. Richard Merkin, M.D. 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 With an important distinction. Waltham, MA 02451, Health plan support Sierra Medical Group (SMG) 800-527-0531. 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. has more than 35 years of experience in health care with specific expertise in the development and administration of integrated delivery systems. 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. Salt Lake City, UT 84120, Network Management One way that we keep your overall health care costs low is by emphasizing preventative care in order to keep you healthy. Messages sent via this form should not contain personal health information. Suite 600 400 E. Business Way SoutheastPRteam@uhc.com, Facility Contracting of Special Projects (661) 951-3224 ocampos@heritagemed.com 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. Page Footer I want to. . We believe the most important aspect of healthcare is tending to the personal needs of our patients. We have convenient locations throughout the Coachella Valley, Morongo Basin and Yucca Valley areas. In partnership with CHS, we have developed population health, clinical, care management, quality reporting, and telehealth capabilities. 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. Suite 600 Lake Maryland Heights, MO 63043, Network Management 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. 800-328-8835, Network Management Click to launch an email request that will be routed to the appropriate customer care team. Omaha, NE 68164 All HPN participating providers and staff are dedicated to improving the healthcare journey and experience of all patients. We believe the most important aspect of healthcare is tending to the personal needs of our patients. We re-credential providers every two years and conduct on-site audits. Need access to the UnitedHealthcare Provider Portal? Behavioral health (outpatient): 1-844-430-1703. Address. Our facilities are equipped with some of the finest diagnostic equipment and technicians available. 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. Get the most up-to-date claims status and payment information - all in 1 easy-to-use tool without mailing or faxing. 6465 S. Greenwood Plaza Blvd. PO Box 70014. Cleveland, OH 44114, Dayton and Cincinnati Suite 100 800-711-4555, OptumRx fax (non-specialty medications) Medical Group Inquiries (Member services, provider relations, claims): Bakersfield Family Medical Center (BFMC) All members of Heritage Physician Network can access the full range of services, programs and specialists offered by BFMC. GANetworkOPS_fac-anc@uhc.com, Physician Contracting Sign up with your email address to receive news and updates. From state-of-the-art radiology to nearby walk-in labs, we offer multiple locations throughout Northern California to fit your busy needs. HPN, working with CHS, adds to the expertise and aids in the financial wellness of its providers. Communication Center. 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. 888-239-3909. 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. Box 371330. 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. 1 East Washington At SMG, we work hard to ensure that our patients receive quality medical care. Heritage Healthcare Organizational Leadership Award:Steven Safyer, MD If calling after hours, please leave a voice mail . General API support APIconsultant@uhc.com Track Deductibles and Out of Pockets. Contact Us: Home Contact Us: Network Support Services. Dublin, OH 43016 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. Our goal is to help you make better care decisions for yourself and your family. (817) 477-0400. are there to assist when you have reported an incident. 3000 Bayport Drive Ste 5300 Box 4380. As a Heritage Vision Plans provider, you always have a provider service representative available to answer questions and address your needs. 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 Nebraska_network@uhc.com, Iowa/Quad Cities Together, we partner with local hospitals, medical experts and business leaders, and we actively support numerous organizations, educational, cultural and recreational events. Are you a provider outside of Washington or Alaska? Suite 200 Company profile page for Heritage Provider Network Inc including stock price, company news, press releases, executives, board members, and contact information We accept over 85 different health plans, including HMO, PPO, POS, EPO, Private and Medicare plans. Providence Affiliated Physicians - St. Joseph, St. Jude and Mission have come together as a network of dedicated health care professionals with one central vision - making our community its healthiest. Suite #375 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. Salt Lake City, UT 84131, Member Grievance & Appeals: You should be discussing things like prevention, diagnosis, treatment and healing, not coverage, networks, claims, regulations and billing. With Heritage, members receive exclusive discounts on Lasik eye surgery from our partners at LasikPlus. View patient deductibles/out of pocket amounts. 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. 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. Quest Integration Mansfield, Texas 76063. These IPA physicians remain affiliated with BFMC although they maintain their own individual offices. 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. Credentialing application - new providers. Contact Claims. Bioscrip-specialty drug: 800-584-0265, Network Management Payer ID#: 87726 (EDI claims submission), Pharmacy Our team of healthcare professionals is available and ready to help you with all of your medical needs. pcp-NetworkManagementServices@uhcsouthflorida.com, Miami St. Jude Heritage Medical Group is widely recognized as one of Southern California's finest medical groups. 866-842-3278, option 1. Mon-Fri 7:30 am - 4 pm ST. Our Services. 1111 Third Ave. Voice: 714-937-6130. Fax: 615-372-3564, Southeast Economical. 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. (714) 937-6269 Fax: 601-718-6584, Medicare Advantage and Community Plan Our commitment to complete patient care includes developing new and better ways of delivering healthcare. 8510 Balboa Boulevard Suite 285 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. Claims Customer Service (714) 937-6143 Hours: - weekdays from 7:30 a.m. to 4 p.m. Claims Billing Address P.O. Box 30760 Tampa, Florida 33607, Preferred Care Partners and Preferred Care Network Box 371330 Reseda, CA 91337 What are the requirements for a completed claim? 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. Learn more about our mission, vision and values. 877-651-6677, Network Management Puerto Rico Network Management Regal Medical Group (RMG) 877-842-3210, Medicare Advantage and Community Plan Suite 310 Salt Lake City, UT 84130-0760, Dual Complete (HMO D-SNP) All members of Heritage Physician Network can access the full range of services, programs and specialists offered by BFMC. Affiliated Doctors of Orange County (ADOC) Contacts --Contact Business. 888-702-2202, Network Management View real time claims and eligiblity. 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. 866-331-2243, available Monday - Friday from 7:00 am - 6:00 pm CST (6:00 am - 5:00 pm MST) Mailing Address. UnitedHealthcare Community Plan (760) 245-4747 As a result, your billing office may see some differences in the claim edits and response files from WellCare. Heritage Research Investigators in Translational Medicine Award: Carl Nathan, MD 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. Your dispute can be submitted by a letter or by a provider dispute form. 100 Our programs include Living and Aging Well, Home Health Services and Medication Management Services which are committed to improving your health proactively. Minnetonka, MN 55343 Individual Exchange plans Box 5290 We aim to deliver quality, affordable healthcare to the communities we serve. . Honolulu, HI 96813, Health plan support We accept over 85 different health plans, including HMO, PPO, POS, EPO, Private and Medicare plans. Fax: 615-372-3564, Northern Network Management www.myoptumhealthphysicalhealth.com, Health Plan Support As a Heritage Vision Plans provider, you always have a provider representative available to answer questions and address your needs. Heritage Vision Plans provides affordable, high-quality vision benefits for companies of all sizes. 43879 15th St West. Suite 600 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. Minnetonka, MN Members who choose physicians in Heritage Physician Network will see their selected doctors in their conveniently located private offices. For more information or if you have a specific question, you can contact us using one of the following methods. (661) 945-9411 jgluck@heritagemed.com. Louisville, KY 40222 Compassion, Dignity, Justice, Excellence, Integrity. 888-866-8297, Network Management 877-542-9235, Network Management centralPRteam@uhc.com, Network Management 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. YOU DESERVE Simplicity Easy for you, clear for employees. 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. Our facilities offer superior patient convenience by providing Urgent Care, Pharmacy, Lab, Radiology, Pediatrics and a variety of specialty services at one convenient site. Provider Call Center. Find the right contact I need to contact Clear Inputs about TTY users: To reach any number listed here, dial 711. 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. You will receive a response as soon as possible. Members who choose physicians in Heritage Physician Network will see their selected doctors in their conveniently located private offices. Service-oriented. 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. 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. Provider Relations Physician and Hospital Advocate Team 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. Medicare Fee-For-Service beneficiaries and health plan members can expect the highest quality, coordinated care from a primary care or specialist provider participating in HPN. 5 Centerpointe Drive R. A. Rees Pritchett Professor of Microbiology; Chairman, Department of Microbiology & Immunology, Weill Cornell Medical College. 2717 North 118th St., Suite 300 Suite 1900 Kingston, NY 12402-5290, Behavioral health Most solutions are at your fingertips using the UnitedHealthcare Provider Portal. Please use this form for non-urgent, non-medical questions or comments. Our commitment to complete patient care includes developing new and better ways of delivering healthcare. 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 San Luis Obispo, California 93401. 888-887-9003, Network Management (TTY 711). 322 East Front St Suite 500 claim submissions. Detroit, Eastern, Western and Northern and Upper Heritage Technology Innovator in Healthcare Award: Gil Addo CEO and Co-founder, RubiconMD. The complete list of 25 finalists can be found at www.crainsnewyork.com/heritage. 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. West Des Moines, IA 50266, Health plan Support Oswego, OR 97035, Network Management P.O. Together, we partner with local hospitals, medical experts and business leaders, and we actively support numerous organizations, educational, cultural and recreational events. 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. 800-903-5253, Network Management 888-650-3462, 6860 West 115th St. All members of CCPN can access a full range of services, programs and specialists through these contracted providers. If you are having difficulties navigating our site using assistive technology, please contact Customer Service at 1.800.282.7648 for help. Little Rock, AR 72201 Lancaster, CA. We have enjoyed our partnership with Heritage Vision Plans over the last several years. 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. Bldg. 2525 Lake Park Blvd. In addition, our Urgent Care is now open daily 6am - 8pm. 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 301 Our goal is to help you make better care decisions for yourself and your family. 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. 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. 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. Scheduled Reports delivered. Smart vision plans. Heritage Sierra Medical Group Headquarters, 44469 10th Street West, Lancaster, CA, 93534, United States, Utilization Management - Clinical Criteria & Availability of Clinical Criteria (2021). Providence accepts most health insurance plans. 1 East Washington at SMG, we offer multiple locations throughout the Coachella Valley Morongo! Members who choose physicians in Heritage Physician Network will see their selected in! Number listed here, dial 711 800-328-8835, Network Management View real time claims and eligiblity 1.800.282.7648 help. 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