800-842-3585, Network Management Heritage network doctors and providers undergo a rigorous credentialing process before they join our network. With more than 150 highly-trained doctors in virtually every specialty, our medical excellence extends from primary care to leading edge surgical procedures. We aim to deliver quality, affordable healthcare to the communities we serve. Our team of healthcare professionals is available and ready to help you with all of your medical needs. 7440 Woodland Drive Desert Oasis Health Care (DOHC) Heritage Provider Network (HPN) is a limited Knox-Keene licensed organization in California that provides affordable quality care to its members. Affiliated Doctors of Orange County (ADOC) We aim to deliver quality, affordable healthcare to the communities we serve. HPN, working with CHS, adds to the expertise and aids in the financial wellness of its providers. Electronic submission Information/ Mail address Phone Authorizations Claims MLKH Martin Luther King Jr. Multi-Service Ambulatory Care Center . Box 740371 For that reason, to protect your privacy, please do not use e-mail to communicate information to us that you consider confidential. Email: Credentialing.Updates@Premera.com. Suite 300 322 East Front St Medical Group Inquiries (Member services, provider relations, claims): Bakersfield Family Medical Center (BFMC) These IPA physicians remain affiliated with BFMC although they maintain their own individual offices. West: uhc-network-wpa@uhc.com St. Jude Heritage Medical Group is widely recognized as one of Southern California's finest medical groups. Call 911 if you have a life-threatening emergency. Heritage Research Investigators in Translational Medicine Award: Carl Nathan, MD Find a provider by zip code Submit a Claim Vision Terms You Should Know Contact Us Without vision coverage, I'm not sure where I would be today. uhc-network-de@uhc.com, 1818 Market St. For details about provider contracting, please contact us . 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. CHS provides HPN with health information analytics to care coordination, risk contracting to clinical expertise, and operational support. Your dispute can be submitted by a letter or by a provider dispute form. All members of CCPN can access a full range of services, programs and specialists through these contracted providers. Suite 100 Voice: 714-937-6130. As a Heritage Vision Plans provider, you always have a provider representative available to answer questions and address your needs. 3803 N. Elm St. 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. View all open positions on our careers page. 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. UnitedHealthcare PO Box 31365 Salt Lake City, UT 84131. 866-842-3278, option 1. Login Now! We make it our priority to provide help when you need it most. of Special Projects (661) 951-3224 ocampos@heritagemed.com 800-666-1353, Network management Suite 900 Claims Address Nebraska Total Care Attn: Claims PO Box 5060 Farmington, MO 63640-5060. 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. 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. Chattanooga, TN 37421, Tri-Cities View real time claims and eligiblity. 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. Their provider and customer service departments have always been excellent at answering our questions in a timely professional manner. We are provider-led and primary care-focused with a wide network of specialty relationships. 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. 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. One way that we keep your overall health care costs low is by emphasizing preventative care in order to keep you healthy. 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. Coastal Communities Physician Network. (661) 327-4411 Mailing Address Nebraska Total Care 2525 N 117th Ave, Suite . jgluck@heritagemed.com. Reston, VA 20191, Network Management Middle MyChart makes it easy to get care and manage your health including checking in for your next appointment. HPNs medical and administrative management organization assesses internal and external statistical data and surveys to monitor compliance with medical policies, procedures and standards. General API support APIconsultant@uhc.com Check wait times ahead of time and reserve your spot online at our urgent care locations for illnesses and injuries (non life threatening emergencies. 2525 Lake Park Blvd. 5900 Parkwood Place, 5th Floor Optum Dr. Merkins commitment to supporting academic research runs deep. We also believe that during a visit to your doctor, the focus should be on health and wellness. Members who choose physicians in Heritage Physician Network will see their selected doctors in their conveniently located private offices. 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. Answering phones, and assisting with claims status, assisting providers and members with claims documentation, logging and maintaining claim information. Philadelphia, PA 19103, 475 Kilvert St. Salt Lake City, UT 84120, Network Management To join our Heritage Provider Network, fill out our Provider Enrollment Inquiry Form. Our facilities offer superior patient convenience by providing Urgent Care, Pharmacy, Lab, Radiology, Pediatrics and a variety of specialty services at one convenient site. 800-842-3585, 2023 UnitedHealthcare | All Rights Reserved, For dental, vision, behavioral and physical health providers, Sign in to the UnitedHealthcare Provider Portal, Health plans, policies, protocols and guides, The UnitedHealthcare Provider Portal resources, pcp-NetworkManagementServices@uhcsouthflorida.com, https://www.providerexpress.com/content/ope-provexpr/us/en/our-network.html, 24/7 behavioral health and substance use support line, Technical support for providers and staff, UnitedHealthcare Premium Program designation. 12018 Sunrise Valley Drive mn_contracting@uhc.com, 9700 Health Care Lane . 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. Hearing loss affects 1 in 9 Americans, get the care you deserve. Heritage Vision Plans provides affordable, high-quality vision benefits for companies of all sizes. SoutheastPRteam@uhc.com, UnitedHealthcare Community Plan of North Carolina (Medicaid) Medicare Advantage and Community Plan (TTY 711). Heritage Provider Network in Lancaster, CA What email should the hiring manager contact you at? Suite 5300 Provider Lookup . P.O. Learn more about becoming a Premera provider. Brentwood, TN 37027 Our facilities offer superior patient convenience by providing Urgent Care, Pharmacy, Lab, Radiology, Pediatrics and a variety of specialty services at one convenient site. Seattle, WA 98101, Network Management GANetworkOPS_fac-anc@uhc.com, Physician Contracting (661) 327-4411 3rd Floor 8880 Call Center Drive For more information, call (866) 654-3471 and request Network Management. Our team of 1,700 physicians ensures you have access to health care's brightest minds and biggest hearts across Orange County . Blue Cross and Blue Shield (BCBS) Plans currently administer Medicaid programs in several states. Centennial, CO 80111, Health plan support As a Heritage provider, your information will be included in our Heritage Provider Directory. 1 East Washington St. New York, New York-May 22, 2017 - Heritage Provider Network (HPN) one of the nations most experienced and effective physician led value based care organizations and Crain's Custom Studio, a division of Crain's New York Business, today announced the winners in the 2nd annual Heritage Healthcare Innovation Awards. All paper claims must be mailed to: Lakeside Community Healthcare Attn: Claims Department P. O. 1311 W. President George Bush Highway 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. 877-743-8734, Network Management Pittsburgh, PA 15212, Philadelphia east 866-331-2243, available Monday - Friday from 7:00 am - 6:00 pm CST (6:00 am - 5:00 pm MST) Mailing Address. Our goal is to help you make better care decisions for yourself and your family. Syracuse, NY 13206, NYS Empire Plan Your dispute must contain the following information: Provider's name Provider's identification number ac_edi_ops@uhc.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. sd_contracting@uhc.com, Network Management These breakthrough innovators are making significant contributions in the areas of technology, research, or new approaches to healthcare systems. Our experienced staff understands that a timely claims conclusion is important for all parties involved. 2033 Meadowview Lane Members will be able to access this information online at Find a Provider or they may contact our Customer Service Center for assistance. southeastPRteam@uhc.com, Network Management 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. Set your location to find care near you. P.O. Patients may have access to additional benefit enhancements and healthcare programs thanks to their doctors participation in HPN. Suite 2600 #300 Preventive health care services include employer-based health education programs, vaccinations and fitness programs. Fax: 504-849-3551, Network Management Ph: 714.937.6143. Medicare Advantage and Community Plan Need access to the UnitedHealthcare Provider Portal? SoutheastPRteam@uhc.com, Facility Contracting 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. 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. "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. Salt Lake City, UT 84131-0364, General claim disputes United States. Metairie, LA 70001 Because Medicaid is a state-run program, requirements vary by state and BCBS . Milwaukee, WI 53214, Medicare Advantage and Community Plan Contacts --Contact Business. Request a copy of your contract Salt Lake City, UT 84130-0757 HPN has implemented rigorous programs to review utilization, quality assurance compliance, medical risk management and patient issues and concerns. 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. West Des Moines, IA 50266, Health plan Support 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. Kingston, NY 12401 Access patient and practice-specific information including: Have an in-process contracting or credentialing question? 230 Lexington Green Circle Providence accepts most health insurance plans. Emblem Health HCP Direct: (800) 877-7587. Get the most up-to-date claims status and payment information - all in 1 easy-to-use tool without mailing or faxing. Waltham, MA 02451, Network Management 5757 Plaza Drive At SMG, we work hard to ensure that our patients receive quality medical care. P.O.Box 31365 Mansfield, Texas 76063. 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. Suite 300 Provider portal. 800-307-4959, Northern and Grant broker portal. 2717 North 118th St., Suite 300 UnitedHealthcare Does Heritage Vision Plans accept all types of providers? 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. Richardson, TX 75080, Medicare Advantage and Community Plan Sierra Medical Group represents the future of medicine. 800-903-5253, Network Management Box 31364 Together, we partner with local hospitals, medical experts and business leaders, and we actively support numerous organizations, educational, cultural and recreational events. 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. 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. If the claim is denied or final, there will be an option to dispute the claim. Together, we have the resources to participate in the incentives that are part of value-based care programs. 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. 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. The complete list of 25 finalists can be found at www.crainsnewyork.com/heritage. Learn more about our mission, vision and values. Dept. 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. Box 371330. ForElectronic Data Interchange (EDI)inquiries, complete automated transaction supportformor email supportedi@uhc.com, Community Plan EDI support Overland Park, KS 66211, Medicare Advantage and Community Plan Suite 300 100, Suite 420 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. Claims Mailing Address. Tampa, Florida 33607, Preferred Care Partners and Preferred Care Network 39115 TRADE CENTER DR PALMDALE, CA 93551 Get Directions (661) 480-2000 . At Regal, we know that navigating the healthcare system can be complicated for patients and for physicians. We have convenient locations throughout the Coachella Valley, Morongo Basin and Yucca Valley areas. DOHCs services include access to 6 Immediate and Urgent Care Centers - Bermuda Dunes, Indio, Palm Desert, Palm Springs and Yucca Valley. claim submissions. (818) 654-3400 or (866) 654-3471 Minnetonka, MN Salt Lake City, UT 84131, Member Grievance & Appeals: Failure to correct inaccurate information, or bill utilizing Medicaid . 107 Westpark Blvd. 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. Heritage Victor Valley Medical Group (HVVMG) Hartford, CT 06103, UnitedHealthcare Oxford Health Plan To check claims status or dispute a claim: From the Availity home page, select Claims & Payments from the top navigation. This field is for validation purposes and should be left unchanged. Fax: 859-825-6173, Louisville Refund Address Nebraska Total Care Attn: Refunds PO Box 3713 Carol Stream, IL 60132-3713. 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. Box 30757 At Regal, we know that navigating the healthcare system can be complicated for patients and for physicians. 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. Utilization Denial & Appeals Department Mailing Address Send Message. Austin, Houston & San Antonio 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. 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. 800-495-5285 East: uhc-network-epa@uhc.com, Pittsburgh west We believe the most important aspect of healthcare is tending to the personal needs of our patients. Request . Just like yours. 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. Referrals. 888-702-2202, Network Management Address. 8510 Balboa Boulevard Suite 285 At SMG your health is our priority. Medicare Advantage and Community Plan Attn: CA124-0197 He is on the Visionary Board of the X-Prize Foundation. Awarded to an individual or team based on the most significant quantitative results achieved by accelerating the transition of novel and innovative diagnostic tools and treatments to patients. 13655 Riverport Drive Add value to your clients benefits package. Miami, FL 33156 Login to view member eligibility, claim status, submit claims and more. 866-331-2243, Network Management Suite 230 We'll use your location to find clinics, hospitals and doctors closest to you. 800-638-3302 All members of Heritage Physician Network can access the full range of services, programs and specialists offered by BFMC. 877-614-0484. Heritage Provider Network (HPN) is a limited Knox-Keene licensed organization in California that provides affordable quality care to its members. Box 31364 When youre ready, call your physicians office or schedule an appointment online. P.O. Jonathan Gluck 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. Consolidated Portal. Concord CA 94520, Southern Network Management All HPN participating providers and staff are dedicated to improving the healthcare journey and experience of all patients. We are affiliated with most major health plans, including many HMOs. Heritage Vision Plans is a leading national provider of vision benefits plans with an extensive, nationwide network of eye care providers. UnitedHealthcare Community Plan of North Carolina (Medicaid) customerservice@regalmed.com. 4365 Executive Drive Regal Medical Group works together with your healthcare plan and your PCP to keep things running smoothly. 2nd Floor Phoenix, AZ 85004, UnitedHealthcare Community Plan Nurses . He founded the Heritage Medical Research Institute, a non-profit medical research corporation emphasizing health care quality and outcomes studies. Customer Service (818) 357 . We collaborate with our physicians to provide quality care, while focusing on minimizing your out of pocket expenses. Bakersfield Family Medical Center provides excellence in health care to our patients in professional settings that promote wellness and preventive medicine in Kern County. 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. Fitness programs office or schedule an appointment online the full range of services, and... An extensive, nationwide Network of specialty relationships risk contracting to clinical expertise and. 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