View claims and EOBs. Cypress, CA 90630, Provider Relations Physician and Hospital Advocate Team Las Vegas, NV 89128, Medicare Advantage and Community Plan #300 Medical Group Inquiries (Member services, provider relations, claims): Bakersfield Family Medical Center (BFMC) Page Footer I want to. 800-842-3585, Network Management Claims Address Nebraska Total Care Attn: Claims PO Box 5060 Farmington, MO 63640-5060. That size works to your advantage, allowing us to be there to coordinate all of your health care, when and where you need us. Health-care provider is working with an adviser to assist it. That size works to your advantage, allowing us to be there to coordinate all of your health care, when and where you need us. Help desk: 800-797-9791 Payer ID#: 87726 (EDI claims submission), Pharmacy Send your new credentialing application by mail, fax, or email: Mail: PO Box 327 - MS 263 Seattle, WA 98111-0327. 10151 Deerwood Park 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. Suite 400 Personal service is one of the reasons our network of providers is so stable with an extremely low turnover rate. Southfield, MI 48075 Preventive health care services include employer-based health education programs, vaccinations and fitness programs. Salt Lake City, UT 84130-0757 Most solutions are at your fingertips using the UnitedHealthcare Provider Portal. Box 371330 Reseda, CA 91337 Your dispute can be submitted by a letter or by a provider dispute form. Get the most up-to-date claims status and payment information - all in 1 easy-to-use tool without mailing or faxing. Columbia, SC 29210, Network Management Email: [email protected] (secure email only) Membership Eligibility [email protected] 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. We are affiliated with most major health plans, including many HMOs. Our programs include Living and Aging Well, Home Health Services and Medication Management Services which are committed to improving your health proactively. Attn: Provider claim disputes 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. Richardson, TX 75080, Medicare Advantage and Community Plan 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. HPN, working with CHS, adds to the expertise and aids in the financial wellness of its providers. Fax: 601-718-6584, Medicare Advantage and Community Plan We have enjoyed our partnership with Heritage Vision Plans over the last several years. 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. Their provider and customer service departments have always been excellent at answering our questions in a timely professional manner. 888-478-4760, Network Management Ph: 714.937.6143. Hartford, CT 06103, UnitedHealthcare Oxford Health Plan 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. Suite 300 Address. Lakeside Community Healthcare P.O. (818) 654-3400 or (866) 654-3471 6465 Greenwood Plaza Blvd. All members of CCPN can access a full range of services, programs and specialists through these contracted providers. United States. Medicare Advantage and Community Plan Cypress, CA 90630, Network Management With Heritage, members receive exclusive discounts on Lasik eye surgery from our partners at LasikPlus. Suite 1900 877-614-0484. DOHCs services include access to 6 Immediate and Urgent Care Centers - Bermuda Dunes, Indio, Palm Desert, Palm Springs and Yucca Valley. He is a member of the board of the California Association of Physician Groups. Omaha, NE 68164 877-842-3210, Medicare Advantage and Community Plan "We applaud the efforts of those exceptional winners as they are the leaders and innovators we rely on to create a convergence of new technologies and science that will change healthcare outcomes in the next decade. ForElectronic Data Interchange (EDI)inquiries, complete automated transaction supportformor email [email protected], Community Plan EDI support Claims Status. 43879 15th St West. View all open positions on our careers page. use following address: Healthcare Invoice, Data and Provider Services Branch PO Box 4038, N. Freeway Sacramento, CA 95812-4038; Website Tech . (817) 477-0400. Contacts --Contact Business. 4365 Executive Drive One way that we keep your overall health care costs low is by emphasizing preventative care in order to keep you healthy. We have convenient locations throughout the Coachella Valley, Morongo Basin and Yucca Valley areas. 800-690-1606, Network Management Heritage Vision Plans makes vision benefits easy for everyone: for benefits managers and, most importantly, for employees using the benefits. Our commitment to complete patient care includes developing new and better ways of delivering healthcare. 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. 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. 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. Medical office locations in Foothill Ranch, San Clemente, Lake Forest, Laguna Niguel and Mission Viejo, CA. Emblem Health HCP Direct: (800) 877-7587. We are provider-led and primary care-focused with a wide network of specialty relationships. Access primary care doctors in the Providence network. 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. They are always pleasant, patient and more than willing to assist whenever I call! 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). This forward-thinker has forever changed the way care systems work through new models, processes and pathways. 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. 1132 Bishop St. 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. Payer ID#: 87726 (EDI Claims Submission), Claims Personal service is one of the reasons our network of providers is so stable with an extremely low turnover rate. 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. Visit your health plans website or call to ensure your doctor is in Providences network. Fax: 615-372-3564, Southeast 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. Our goal is to help you make better care decisions for yourself and your family. At SMG your health is our priority. Our purpose is to provide our individual participating practices with the benefits derived from belonging to a larger group, such as potential improvement in Medicare Fee-For-Service rates, value-based programs offered by health plans, group purchasing programs, and financial incentives. With more than 90 physicians and locations throughout South Orange County, our physicians will treat you when you're sick, and keep you well with innovative programs and specialized services. Our programs include Living and Aging Well, Home Health Services and Medication Management Services which are committed to improving your health proactively. DOHCs services include access to 6 Immediate and Urgent Care Centers - Bermuda Dunes, Indio, Palm Desert, Palm Springs and Yucca Valley. Regal Medical Group works together with your healthcare plan and your PCP to keep things running smoothly. 800-853-3844, Our tools are supported using Microsoft Edge, Chrome and Safari. Columbia, MD 21044, Health plan support 888-980-8728 [email protected], Network Management [email protected], 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. 877-670-8432, Provider Relations Physician and Hospital Advocate Team Honolulu, HI 96813, Health plan support 1401 West Capitol Ave. Our programs include Living and Aging Well, Home Health Services and Medication Management Services which are committed to improving your health proactively. (800) 747-2362, Heritage Provider Network 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. HDMG has a long-standing promise to provide residents of the Antelope Valley with the highest quality health care possible. P. O. claim submissions. Your Email Address Subject: Message. DOHCs services include access to 6 Immediate and Urgent Care Centers - Bermuda Dunes, Indio, Palm Desert, Palm Springs and Yucca Valley. API Extended X12 support [email protected], 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. Call 888-261-9562 to reach Premera's BlueCard claims customer service team. Communication Center. OptumRx fax (specialty medications) 800-853-3844. All Savers Health Plan https://www.providerexpress.com/content/ope-provexpr/us/en/our-network.html, Health Plan Support 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. [email protected]. Additionally, Dr. Merkin is on the Board of Overseers of the Los Angeles Music Center and the Los Angeles Philharmonic and the Board of Trustees for the Los Angeles County Museum of Art (LACMA). Call 911 if you have a life-threatening emergency. 877-542-9235, Network Management 2100 Riveredge Pkwy. This field is for validation purposes and should be left unchanged. With more than 31,000 providers nationwide, our members are never far from quality vision care. 200 E Randolph St Heritage Provider Network (HPN) is a limited Knox-Keene licensed organization in California that provides affordable quality care to its members. If calling after hours, please leave a voice mail . His leadership has inspired the formation of over 28 group model and IPA structures in California, New York and Arizona. Suite #375 San Luis Obispo, California 93401. General API support [email protected] Seattle, WA 98101, Network Management We collaborate with our physicians to provide quality care, while focusing on minimizing your out of pocket expenses. 39115 TRADE CENTER DR PALMDALE, CA 93551 Get Directions (661) 480-2000 . 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. 1001 Lakeside Ave. Box 31364 800-903-5253, Network Management Attn: Claims Processing. Because Medicaid is a state-run program, requirements vary by state and BCBS . Mansfield, Texas 76063. 107 Westpark Blvd. Iselin, NJ 08830, Medicare Advantage and Community Plan We also believe that during a visit to your doctor, the focus should be on health and wellness. Highlighting cutting edge applications of technology and up-and-comers in the healthcare industry. Patients may have access to additional benefit enhancements and healthcare programs thanks to their doctors participation in HPN. Members who choose physicians in Heritage Physician Network will see their selected doctors in their conveniently located private offices. For ER admission/Urgent admission post stabilization, please reach out to us at (833) 554-2958. 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 team of healthcare professionals is available and ready to help you with all of your medical needs. UnitedHealthcare Provider Relations Physician and Hospital Advocate Team Richard Merkin, M.D. Coastal Communities Physician Network. 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. Salt Lake City, UT 84120, Network Management Tampa, Florida 33607, Preferred Care Partners and Preferred Care Network Provider Call Center. Check wait times ahead of time and reserve your spot online at our urgent care locations for illnesses and injuries (non life threatening emergencies. If you need help resetting your password, you call us. How often do you process provider claims? [email protected]. Competitors: Unknown. 125 South 84th St. Over 800 providers in the HPN work together to provide high-quality healthcare to their patients through coordinated care while experiencing practice . YOU DESERVE Simplicity Easy for you, clear for employees. Mission: We have designed our networks . St. Joseph Heritage Healthcare. Suite 5300 Pittsburgh, PA 15212, Philadelphia east We accept both private practice providers and those affiliated with retail locations or corporate chains. Kingsport, TN 37660, Memphis Heritage Provider Network Address 8510 Balboa Blvd #150 Los Angeles, CA 91325 USA Industry Finance and Insurance View all jobs at Heritage Provider Network Report Job Search Results Near Los Angeles, CA Computer Integration Technologies CLEO Cycle Repair CGS All Jobs Hospital Claims Jobs Austin, Houston & San Antonio 8th Floor Phone: 800-763-7732. Box 371330 Reseda, CA 91337 What are the requirements for a completed claim? [email protected] 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. 10 Cadillac Drive Together, we partner with local hospitals, medical experts and business leaders, and we actively support numerous organizations, educational, cultural and recreational events. We partner with Collaborative Health Systems (CHS) to leverage their extensive experience in leading the value-based care market. Emergency physician services. Credentialing application - new providers. Please call our toll free numbers for more information: (800) 918-7302 for Medi-Cal. To submit electronically, email to [email protected] To submit by regular mail or via overnight mail send to: Heritage Property & Casualty Insurance Attn. Your location: Learn more about our mission, vision and values. 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. Referrals. Suite 301 Our ultimate goal is to enable providers to focus on doing wellin caring for patients, staff, and achieving financial objectives in the practice. 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 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. With over 31,000 providers nationwide, our members are never far from quality vision care. Memphis, TN 38115, Medicare Advantage and Community Plan Prior uthorization: 800-310-6826 Box 31364 We believe the most important aspect of healthcare is tending to the personal needs of our patients. 100, Suite 420 P.O. 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. 3838 N. Causeway Blvd. Salt Lake City, UT 84131-0364, HMO-SNP Part D only He is also on the Board of Directors for EdVoice, a group dedicated to education reform. 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. Heritage Provider Network CLAIM THIS BUSINESS. Cleveland, OH 44114, Dayton and Cincinnati (800) 500-5215 or (760) 320-5134 How can we help? For more information, call (866) 654-3471 and request Network Management. Access ID Card. Phoenix, AZ 85004, Claims & medical records Waltham, MA 02451, Health plan support Suite 600 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. To join our Heritage Provider Network, fill out our Provider Enrollment Inquiry Form. (661) 327-4411 We accept over 85 different health plans, including HMO, PPO, POS, EPO, Private and Medicare plans. 24/7 behavioral health and substance use support line. 3175 Lenox Park Blvd. Overland Park, KS 66211, Medicare Advantage and Community Plan Box 30760 Box 30757 Brentwood, TN 37027 950 Winter St. Our facilities offer superior patient convenience by providing Urgent Care, Pharmacy, Lab, Radiology, Pediatrics and a variety of specialty services at one convenient site. 866-331-2243, available Monday - Friday from 7:00 am - 6:00 pm CST (6:00 am - 5:00 pm MST) Mailing Address. 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