As a Heritage provider, your information will be included in our Heritage Provider Directory. 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. In partnership with CHS, we have developed population health, clinical, care management, quality reporting, and telehealth capabilities. 4365 Executive Drive 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. [email protected] 2717 North 118th St., Suite 300 (818) 654-3400 or (866) 654-3471 Members will be able to access this information online at Find a Provider or they may contact our Customer Service Center for assistance. 2023 Collaborative Health Systems Warwick, RI 02886, Optum Behavioral Health Claims. Phoenix, AZ 85004, UnitedHealthcare Community Plan "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. 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 Set your location to find care near you. Provider Profile Details: NPI Number Details: Provider Business Mailing Address Details: Provider's Primary Taxonomy Details: Secondary Taxonomy Details: 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. He is a member of the board of the California Association of Physician Groups. If your request involves a specific facility, please select it - otherwise, select "General". Regal Medical Group works together with your healthcare plan and your PCP to keep things running smoothly. 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. Bioscrip-specialty drug: 800-584-0265, Network Management Heritage Sierra Medical Group Headquarters, 44469 10th Street West, Lancaster, CA, 93534, United States, Utilization Management - Clinical Criteria & Availability of Clinical Criteria (2021). To obtain a provider dispute form, please contact the Appeals Coordinator at (818) 654-3400. 10 Cadillac Drive Need access to the UnitedHealthcare Provider Portal? Electronic submission Information/ Mail address Phone Authorizations Claims MLKH Martin Luther King Jr. Multi-Service Ambulatory Care Center . [email protected], Network Management Bakersfield Family Medical Center provides excellence in health care to our patients in professional settings that promote wellness and preventive medicine in Kern County. 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. 2525 Lake Park Blvd. Access ID Card. The Arizona group, which just began operations on January 1, 2012, is already serving a large Medicare Advantage population throughout Maricopa County. Blue Cross and Blue Shield (BCBS) Plans currently administer Medicaid programs in several states. Service-oriented. Our team of 1,700 physicians ensures you have access to health care's brightest minds and biggest hearts across Orange County . P.O.Box 31365 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. View credentialing forms. We accept over 85 different health plans, including HMO, PPO, POS, EPO, Private and Medicare plans. 13655 Riverport Drive We collaborate with our physicians to provide quality care, while focusing on minimizing your out of pocket expenses. Regal Medical Group (RMG) Our programs include Living and Aging Well, Home Health Services and Medication Management Services which are committed to improving your health proactively. 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. 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. Claims Mailing Address. 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. Highlighting cutting edge applications of technology and up-and-comers in the healthcare industry. 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. View patient deductibles/out of pocket amounts. Waltham, MA 02451, Network Management Medical Group Inquiries (Member services, provider relations, claims): Bakersfield Family Medical Center (BFMC) Attn: Provider claim disputes Dallas Fort Worth Metroplex Area. Page Footer I want to. Initial admission notifications and all other services: 1-800-964-3627. If the claim is denied or final, there will be an option to dispute the claim. 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. 322 East Front St He founded the Heritage Medical Research Institute, a non-profit medical research corporation emphasizing health care quality and outcomes studies. 800-291-2634, Medicare Advantage and Community Plan How do I join and qualify to become a Heritage participating in-network provider? Implementing our benefits program is easy, and options are available for employer and employee plans. 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. We know that getting sick doesn't happen on an 8 - 5 schedule. 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. Get the latest information from Heritage for your practice, and dont miss out on new developments as we upgrade our provider resources. UnitedHealthcare Community Plan Greensboro, NC 27459 Indianapolis, Fort Wayne, Southeast and Southwest Sierra Medical Group represents the future of medicine. 877-743-8734, Network Management Mail. If calling after hours, please leave a voice mail . (Electronic claims submission) 1-800-977-3568: First Health Provider Relations: 1-800-937-6824: . We are provider-led and primary care-focused with a wide network of specialty relationships. 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. Learn more about our mission, vision and values. Pioneer Provider Network, A Medical Group, Inc . All members of Heritage Physician Network can access the full range of services, programs and specialists offered by BFMC. DOHCs services include access to 6 Immediate and Urgent Care Centers - Bermuda Dunes, Indio, Palm Desert, Palm Springs and Yucca Valley. Detroit, Eastern, Western and Northern and Upper 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. #300 Box 2300 Medicare Advantage and Community Plan With more than 150 highly-trained doctors in virtually every specialty, our medical excellence extends from primary care to leading edge surgical procedures. East: [email protected], Pittsburgh west We'll use your location to find clinics, hospitals and doctors closest to you. In addition, our Urgent Care is now open daily 6am - 8pm. With over 50 Primary Care Providers, 300 Specialists and 3 local hospitals in our network, Heritage Sierra Medical Group takes pride in Starting With You. We have convenient locations throughout the Coachella Valley, Morongo Basin and Yucca Valley areas. (415) 884-1801 Email: [email protected] NorCal Claims & Correspondence PO Box 2160 Oakland, CA 94621 Central Valley Hours: Monday - Friday 8:30am - 5:00pm Phone: (833) 446-1758 Fax: (415) 475-5671 Email: [email protected] Central Valley Claims & Correspondence PO Box 2440 Oakland, CA 94621 We have enjoyed our partnership with Heritage Vision Plans over the last several years. 24/7 behavioral health and substance use support line. Suite 1250 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. Health-care provider is working with an adviser to assist it. Provider Service Contact Number; Health Net Provider Services Center (Except Medi-Cal and Medicare) . Salt Lake City, UT 84131-0364, Network Management Maitland, FL 32751, South Florida 1208 Pointe Centre Drive View all open positions on our careers page. Economical. For more information, call (866) 654-3471 and request Network Management. 800-903-5253, Network Management You should be discussing things like prevention, diagnosis, treatment and healing, not coverage, networks, claims, regulations and billing. Simple. 800-666-1353, Medicare Advantage and Community Plan We partner with Collaborative Health Systems (CHS) to leverage their extensive experience in leading the value-based care market. 800-666-1353, Network management . (714) 937-6270 Fax. Concord CA 94520, Southern Network Management Suite 300 Desert Oasis Health Care (DOHC) Payer ID#: 87726 (EDI Claims Submission), Claims To check claims status or dispute a claim: From the Availity home page, select Claims & Payments from the top navigation. Answering phones, and assisting with claims status, assisting providers and members with claims documentation, logging and maintaining claim information. To join our Heritage Provider Network, fill out our Provider Enrollment Inquiry Form. Heritage Vision Plans provides affordable, high-quality vision benefits for companies of all sizes. Contacts --Contact Business. 888-887-9003, Network Management Medicare Advantage and Community Plan 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. United States. 888-866-8297, Network Management Sierra Medical Group represents the future of medicine. [email protected], Optum Behavioral Health Community Health Needs Assessments and Improvement Plans, Notice of Nondiscrimination and Communication Assistance, Diverse group of board certified primary care physicians, Board-certified physicians specializing in Allergy, Arthritis, Cardiology, Critical Care, Dermatology, Endocrinology, Gastroenterology and Neurology, On-site services such as Clinical Lab, Endoscopy Center, Nuclear Medicine Department, Physical Therapy, Sleep Center, Vascular Lab and Vein Center. 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. 1089 Jordan Creek Parkway www.myoptumhealthphysicalhealth.com, Health Plan Support San Luis Obispo, California 93401. 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. Las Vegas, NV 89128, Medicare Advantage and Community Plan Attn: CA124-0197 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. Most solutions are at your fingertips using the UnitedHealthcare Provider Portal. [email protected], Network Management Fax: 425-918-4766. 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. Box 371330 Reseda, CA 91337 Your dispute can be submitted by a letter or by a provider dispute form. YOU DESERVE Simplicity Easy for you, clear for employees. They are always pleasant, patient and more than willing to assist whenever I call! [email protected], UnitedHealthcare Community Plan of Georgia (Medicaid) 1132 Bishop St. 2720 North Tenaya Way We aim to deliver quality, affordable healthcare to the communities we serve. Behavioral health (outpatient): 1-844-430-1703. Omaha, NE 68164 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. 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. 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. Prior authorization fax: 866-940-7328 Puerto Rico Network Management Heritage Provider Network Address 43879 15th St West Lancaster, CA 93534 USA Industry Finance and Insurance View all jobs at Heritage Provider Network Report Job Other Helpful Pages Related To Medical Claims Auditor All Jobs Medical Claims Auditor Jobs 1311 W. President George Bush Highway Box 31364 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. To check claim status and receive explanation of processing for previously submitted claims. Austin, Houston & San Antonio 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. 9100 Shelbyville Road UnitedHealthcare Community Plan 2717 N 118th Street, Suite 300 Omaha, NE 68164. Medical office locations in Foothill Ranch, San Clemente, Lake Forest, Laguna Niguel and Mission Viejo, CA. 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. 800-542-8789, Community Plan of California, Inc. Cleveland, OH 44114, Dayton and Cincinnati 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. 9700 Health Care Lane Get the most up-to-date claims status and payment information - all in 1 easy-to-use tool without mailing or faxing. Regal Medical Group works together with your healthcare plan and your PCP to keep things running smoothly. Our tools are supported using Microsoft Edge, Chrome and Safari. Contact information for Heritage Provider Network, media relations, and our medical groups are as follows. Easy for you, clear for employees. Company profile page for Heritage Provider Network Inc including stock price, company news, press releases, executives, board members, and contact information Whether you are a primary care physician or specialist, we invite you to become a part of our growing organization. OptumRx fax (specialty medications) 800-853-3844. 1 East Washington St. Suite 400 (818) 637-2000 800-328-8835, Network Management Heritage has $600 million to $700 million of annual Ebitda. Contact Us: Home Contact Us: Network Support Services. 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. What's more, our expertise is backed by a strong commitment to . 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