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. Box 4380. 866-331-2243, available Monday - Friday from 7:00 am - 6:00 pm CST (6:00 am - 5:00 pm MST) Mailing Address. Suite 1700 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 5300 Medicare Advantage and Community Plan 5 Centerpointe Drive That size works to your advantage, allowing us to be there to coordinate all of your health care, when and where you need us. 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. Attn: Provider claim disputes HPN, working with CHS, adds to the expertise and aids in the financial wellness of its providers. Our facilities offer superior patient convenience by providing Urgent Care, Pharmacy, Lab, Radiology, Pediatrics and a variety of specialty services at one convenient site. Just like yours. Greensboro, NC 27459 UnitedHealthcare 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. View Verification of Benefits. Regal Medical Group works together with your healthcare plan and your PCP to keep things running smoothly. providertechsupport@uhc.com Reston, VA 20191, Network Management . 800-666-1353, Network management Richard Merkin, M.D. P.O. (760) 245-4747 NetworkHelp@uhc.com, UnitedHealthcare Community Plan of Georgia (Medicaid) Pioneer Provider Network, A Medical Group, Inc . 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. Sierra Medical Group (SMG) West: uhc-network-wpa@uhc.com Suite #375 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 . 2000 West Loop South With over 50 Primary Care Providers, 300 Specialists and 3 local hospitals in our network, Heritage Sierra Medical Group takes pride in Starting . Milwaukee (NE, NW & SE WI) https://www.providerexpress.com/content/ope-provexpr/us/en/our-network.html, Health Plan Support 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. We invite you to join Providence Medical Network and our family of urgent cares, laboratory services, and imaging centers to optimize your healthcare needs. He is a member of the board of the California Association of Physician Groups. 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. Box 31364 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. We accept both private practice providers and those affiliated with retail locations or corporate chains. Puerto Rico Network Management AmTrust prides itself on handling claims with speed and efficiency. If you need help resetting your password, you call us. Request . Richardson, TX 75080, Network Management Contact Claims. Referrals. 185 Asylum St. Does Heritage Vision Plans accept all types of providers? The healthcare awards competition garnered nominations across the spectrum of New York healthcare, from exciting early stage startups, to long established centers of New York Medical innovation. Scheduled Reports delivered. 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 Memphis, TN 38115, Medicare Advantage and Community Plan Service-oriented. Payer ID#: 87726 (EDI claims submission), Pharmacy (www.heritageprovidernetwork.com). The New York operation currently serves over 115,000 individuals, including over 30,000 Medicare Advantage beneficiaries. Phone: 877-7NYSHIP, Long Island and metro Suite 110 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. Salt Lake City, UT 84131, Member Grievance & Appeals: (818) 637-2000 Iselin, NJ 08830, Medicare Advantage and Community Plan P.O. Bakersfield Family Medical Center provides excellence in health care to our patients in professional settings that promote wellness and preventive medicine in Kern County. This site is compatible with: 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). 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. Empire: (844) 638-0404. Get the most up-to-date claims status and payment information - all in 1 easy-to-use tool without mailing or faxing. 93534 USA. Austin, Houston & San Antonio Salt Lake City, UT 84131-0365 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. Medicare Advantage and Community Plan Chattanooga, TN 37421, Tri-Cities Your location: Learn more about our mission, vision and values. 3rd Floor 5900 Parkwood Place 5th floor Need access to the UnitedHealthcare Provider Portal? P.O. Reseda, CA 91337. 888-362-3368, UnitedHealthcare Oxford health plans They are always pleasant, patient and more than willing to assist whenever I call! Email: Credentialing.Updates@Premera.com. 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. Electronic submission Information/ Mail address Phone Authorizations Claims MLKH Martin Luther King Jr. Multi-Service Ambulatory Care Center . Dr. Merkins commitment to supporting academic research runs deep. Contacts --Contact Business. 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. 818 Market St. 5900 Parkwood Place, 5th Floor Milwaukee, WI 53214, Medicare Advantage and Community Plan We have convenient locations throughout the Coachella Valley, Morongo Basin and Yucca Valley areas. Because everyone deserves to hear well and live happy, Heritage has teamed up with Amplifon Hearing Health Care to offer member savings on hearing health services and devices. #300 Learn more about becoming a Premera provider. We also believe that during a visit to your doctor, the focus should be on health and wellness. 800-690-1606, Network Management Our facilities offer superior patient convenience by providing Urgent Care, Pharmacy, Lab, Radiology, Pediatrics and a variety of specialty services at one convenient site. Our Approach. 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. Miramar, FL 33027, Tampa Cypress CA 90630, Health plan support Affiliated Doctors of Orange County (ADOC) Select Claim Status Inquiry from the drop-down menu. 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. 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. At Regal, we know that navigating the healthcare system can be complicated for patients and for physicians. Voice: 714-937-6130. 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. Suite 1900 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. We re-credential providers every two years and conduct on-site audits. Columbia, SC 29210, Network Management We aim to deliver quality, affordable healthcare to the communities we serve. Yes. Attn: CA124-0197 24/7 behavioral health and substance use support line. Concurrent clinical review documentation: 1-888-700-2197. We process clean claims within 48 hours, and we issue payments twice a month. Suite 230 Sierra Medical Group represents the future of medicine. Technical support for providers and staff. API Extended X12 support supportedi@uhc.com, Visit Optum Provider Express or877-614-0484, Visit UnitedHealthcare March Vision Careor 877-627-2456, VisitOptum Physical Healthor 800-873-4575 or 866-427-6845. With more than 31,000 providers nationwide, our members are never far from quality vision care. Individual Exchange plans Fax: 615-372-3564, Southeast Suite 400 3838 N. Causeway Blvd. Bakersfield Family Medical Center provides excellence in health care to our patients in professional settings that promote wellness and preventive medicine in Kern County. Smart vision plans. You should be discussing things like prevention, diagnosis, treatment and healing, not coverage, networks, claims, regulations and billing. customerservice@regalmed.com. . 1132 Bishop St. Waltham, MA 02451, Health plan support San Diego, CA 92121, Sacramento County We look forward to working with you. Our programs include Living and Aging Well, Home Health Services and Medication Management Services which are committed to improving your health proactively. Cincinnati, OH 45241, Columbus 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. Initial admission notifications and all other services: 1-800-964-3627. 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. (818) 654-3400 or (866) 654-3471 CMS 1500 form completion. sd_contracting@uhc.com, Network Management Request a copy of your contract In 2006, The Richard Merkin Middle School opened its doors in Los Angeles which is committed to bringing first-rate education to an under-served area. East: uhc-network-epa@uhc.com, Pittsburgh west (661) 327-4411 6465 Greenwood Plaza Blvd. Our Approach. nd_contracting@uhc.com, Network Management Heritage Provider Network is located at 39115 Trade Center Dr in Palmdale and has been in the business of Computer Related . Attn: Claims Processing. 1311 W. President George Bush Highway Send us a message. Heritage has the BEST Customer Service Staff Ever!!! San Luis Obispo, California 93401. 8880 Call Center Drive Yes. providertechsupport@uhc.com. With more than 150 highly-trained doctors in virtually every specialty, our medical excellence extends from primary care to leading edge surgical procedures. Contact. At SMG, we work hard to ensure that our patients receive quality medical care. Our programs include Living and Aging Well, Home Health Services and Medication Management Services which are committed to improving your health proactively. Box 61063 Northridge, CA 91325 Submit an inquiry and review the Claims Status Detail page. 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. Are you a provider outside of Washington or Alaska? 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. Provider Profile Details: NPI Number Details: Provider Business Mailing Address Details: Provider's Primary Taxonomy Details: Secondary Taxonomy Details: 8th Floor Please allow 30 days from the date of submission for processing. 2033 Meadowview Lane (800) 500-5215 or (760) 320-5134 mo_network_mgmt@uhc.com 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. Cypress, CA 90630, Provider Relations Physician and Hospital Advocate Team At SMG your health is our priority. 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. Box 10 Anaheim, CA 92815-0010 Enrollment Customer Service Tel. In addition, our Urgent Care is now open daily 6am - 8pm. 200 E Randolph St 322 East Front St 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 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. Fax: 425-918-4766. 12018 Sunrise Valley Drive Refund Address Nebraska Total Care Attn: Refunds PO Box 3713 Carol Stream, IL 60132-3713. Box 30884 What's more, our expertise is backed by a strong commitment to . https://www.providerexpress.com/content/ope-provexpr/us/en/our-network.html, Optum Physical Health/Alternative Medicine (Acupuncture, Massage Therapy, Chiro, Naturopaths, etc.) Fax: 601-718-6584, Medicare Advantage and Community Plan Our facilities are equipped with some of the finest diagnostic equipment and technicians available. Medical Group Inquiries (Member services, provider relations, claims): Bakersfield Family Medical Center (BFMC) 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. 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. Mailing Address Nebraska Total Care 2525 N 117th Ave, Suite . Desert Oasis Health Care (DOHC) 888-362-3368, Provider Relations Physician and Hospital Advocate Team Claims Customer Service (714) 937-6143 Hours: - weekdays from 7:30 a.m. to 4 p.m. Claims Billing Address P.O. 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. Medical office locations in Foothill Ranch, San Clemente, Lake Forest, Laguna Niguel and Mission Viejo, CA. If the claim is denied or final, there will be an option to dispute the claim. NC_Net_Mgmt@Optum.com, Health Plan Support 2 Allegheny Center Our team of healthcare professionals is available and ready to help you with all of your medical needs. 800-542-8789, Community Plan of California, Inc. West Des Moines, IA 50266, Health plan Support Suite 200 From state-of-the-art radiology to nearby walk-in labs, we offer multiple locations throughout Northern California to fit your busy needs. 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. 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). use following address: Healthcare Invoice, Data and Provider Services Branch PO Box 4038, N. Freeway Sacramento, CA 95812-4038; Website Tech . We accept over 85 different health plans, including HMO, PPO, POS, EPO, Private and Medicare plans. 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. Atlanta, GA 30328, Network Management Waltham, MA 02451, Network Management UnitedHealthcare commercial and UnitedHealthcareMedicare Advantage plans Our participating providers share our learning and knowledge to coordinate care, engage our patients, and improve health outcomes at an overall lower cost of care. Mental health. P.O. 1 Penn Plaza We have enjoyed our partnership with Heritage Vision Plans over the last several years. United States. Email: claims@hcpipa.com (secure email only) Membership Eligibility Update Your Provider Information. Our goal is to help you make better care decisions for yourself and your family. Sign up with your email address to receive news and updates. Warwick, RI 02886, Optum Behavioral Health 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. 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