Whether you are a primary care physician or specialist, we invite you to become a part of our growing organization. 888-650-3462, 6860 West 115th St. Open 8 a.m. to 5 p.m., Monday through Friday, excluding holidays. Behavioral health (outpatient): 1-844-430-1703. Communication Center. View claims and EOBs. All members of Heritage Physician Network can access the full range of services, programs and specialists offered by BFMC. You should be discussing things like prevention, diagnosis, treatment and healing, not coverage, networks, claims, regulations and billing. We partner with Collaborative Health Systems (CHS) to leverage their extensive experience in leading the value-based care market. Our facilities offer superior patient convenience by providing Urgent Care, Pharmacy, Lab, Radiology, Pediatrics and a variety of specialty services at one convenient site. 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. We re-credential providers every two years and may conduct on-site quality assurance audits. We have convenient locations throughout the Coachella Valley, Morongo Basin and Yucca Valley areas. YOU DESERVE Simplicity Easy for you, clear for employees. UnitedHealthcare Community Plan 2717 N 118th Street, Suite 300 Omaha, NE 68164. The Arizona group, which just began operations on January 1, 2012, is already serving a large Medicare Advantage population throughout Maricopa County. From state-of-the-art radiology to nearby walk-in labs, we offer multiple locations throughout Northern California to fit your busy needs. "Our Heritage New York Healthcare Innovation Award winners reflect the dream, spirit and promise of healthcare innovation we all strive for. Our facilities are equipped with some of the finest diagnostic equipment and technicians available. 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. Contact Us: Home Contact Us: Network Support Services. Add value to your clients benefits package. Waltham, MA 02451, Network Management 13 Cornell Road Individual Exchange plans He founded the Heritage Medical Research Institute, a non-profit medical research corporation emphasizing health care quality and outcomes studies. Become a Heritage Vision Plans Provider, and join a dynamic, expanding network of eye-care professionals with access to a growing list of clients we serve. 8th Floor 2100 Riveredge Pkwy. Dublin, OH 43016 You will receive a response as soon as possible. Our programs include Living and Aging Well, Home Health Services and Medication Management Services which are committed to improving your health proactively. Technical support for providers and staff. Preventive health care services include employer-based health education programs, vaccinations and fitness programs. Prior uthorization: 800-310-6826 Box 30760 SoutheastPRteam@uhc.com, Facility Contracting Suite 300 At any time, on any device you can: As expressions of God's healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable. We believe the most important aspect of healthcare is tending to the personal needs of our patients. Developing and managing coordinated, patient-doctor centric, integrated health care systems that offers some of the strongest solutions for the future of health, care and cost in the United States. 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. Track Deductibles and Out of Pockets. UnitedHealthcare Community Plan of North Carolina (Medicaid) 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. 3000 Town Center, Suite 1400 Reseda, CA 91337. 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. 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. With over 50 Primary Care Providers, 300 Specialists and 3 local hospitals in our network, Heritage Sierra Medical Group takes pride in Starting . (661) 945-9411 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. CHS provides HPN with health information analytics to care coordination, risk contracting to clinical expertise, and operational support. Phone: 877-7NYSHIP, Long Island and metro 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. Implementing our benefits program is easy, and options are available for employer and employee plans. mo_network_mgmt@uhc.com At Regal, we know that navigating the healthcare system can be complicated for patients and for physicians. Medicare Advantage and Community Plan Blue Cross and Blue Shield (BCBS) Plans currently administer Medicaid programs in several states. First Name *. Mon-Fri 7:30 am - 4 pm ST. Our Services. Our facilities offer superior patient convenience by providing Urgent Care, Pharmacy, Lab, Radiology, Pediatrics and a variety of specialty services at one convenient site. Cincinnati, OH 45241, Northeast Houston, TX 77027, Dallas, East, West & North Texas Provider Profile Details: NPI Number Details: Provider Business Mailing Address Details: Provider's Primary Taxonomy Details: Secondary Taxonomy Details: HDMG has a long-standing promise to provide residents of the Antelope Valley with the highest quality health care possible. 818 Market St. All paper claims must be mailed to: Lakeside Community Healthcare Attn: Claims Department P. O. UnitedHealthcare commercial and UnitedHealthcareMedicare Advantage plans providertechsupport@uhc.com Regal Medical Group works together with your healthcare plan and your PCP to keep things running smoothly. 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. We accept over 85 different health plans, including HMO, PPO, POS, EPO, Private and Medicare plans. 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. 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. Lexington 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. Carolinas_Physician_Contracting@uhc.com, Optum Behavioral Health Cleveland Call 888-261-9562 to reach Premera's BlueCard claims customer service team. Salt Lake City, UT 84130-0757 5900 Parkwood Place, 5th Floor 1001 Lakeside Ave. Northridge, CA 91325 Coastal Communities Physician Network. Fax: 615-372-3564, Northern Network Management Greensboro, NC 27459 Credentialing application - new providers. At SMG your health is our priority. Nurses . Day surgery/professional. UnitedHealthcare PO Box 31365 Salt Lake City, UT 84131. 312-453-7055, Network Management Overland Park, KS 66211, Medicare Advantage and Community Plan 877-614-0484. https://www.providerexpress.com/content/ope-provexpr/us/en/our-network.html, Health Plan Support ForElectronic Data Interchange (EDI)inquiries, complete automated transaction supportformor email supportedi@uhc.com, Community Plan EDI support Salt Lake City, UT 84131-0365 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. 800-842-3585, Network Management 950 Winter St. 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. 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. Personal service is one of the reasons our network of providers is so stable with an extremely low turnover rate. We also believe that during a visit to your doctor, the focus should be on health and wellness. They are always pleasant, patient and more than willing to assist whenever I call! Claims Mailing address: PO Box 91059 Seattle, WA 98111-9159 Claim payer IDs Direct submission: Professional and Institutional 00430; Dental 47570 Clearinghouse submission: Contact your clearinghouse for the correct submitter ID (assigned by the clearinghouse) View claims and billing forms Customer service 2 Allegheny Center West: uhc-network-wpa@uhc.com 100, Suite 420 With a reputation built on quality, flexibility and responsiveness, Heritage provides superior vision plans at competitive prices. 888-478-4760, Network Management 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. He is Co-Founder of FasterCures, an action think tank that seeks to speed up the time it takes to get important new medicines from discovery to patients. If you need help resetting your password, you call us. 877-542-9235, Network Management P.O. NetworkHelp@uhc.com, UnitedHealthcare Community Plan of Georgia (Medicaid) Please use this form for non-urgent, non-medical questions or comments. *. 866-331-2243, available Monday - Friday from 7:00 am - 6:00 pm CST (6:00 am - 5:00 pm MST) Mailing Address. 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. Centennial, CO 80111, Health plan support Mission Heritage Medical Group is home to a team of board-certified primary care physicians and specialists serving the South Orange County communities. 27700 Medical Center Rd., Mission Viejo, CA 92691 | (949) 364-1400 Mission Hospital, Laguna Beach 31872 Coast Hwy., Laguna Beach, CA 92651 | (949) 499-1311 Mission Hospital is a not-for-profit combined 523-bed tertiary medical facility with campuses in Mission Viejo and Laguna Beach. Refund Address Nebraska Total Care Attn: Refunds PO Box 3713 Carol Stream, IL 60132-3713. The theory is, if hospitalizations can be predicted, preventive measures can be taken and unnecessary hospitalizations can be avoided. 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. 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. Give us a call. 3100 SW 145th Ave. These IPA physicians remain affiliated with BFMC although they maintain their own individual offices. 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. 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. 93534 USA. One way that we keep your overall health care costs low is by emphasizing preventative care in order to keep you healthy. Access patient and practice-specific information including: Have an in-process contracting or credentialing question? (818) 654-3400 or (866) 654-3471 Your location: Learn more about our mission, vision and values. P.O. We are affiliated with most major health plans, including many HMOs. 3 Victorville, CA 92395 (760) 245-4747 hvvmg.com 191 S. Buena Vista St., Suite 200 Burbank, CA 91505-4542 (818) 637-2000 lakesidecommunityhealthcare.com 600 City Parkway West, Suite 400 Orange, CA 92868 (800) 747-2362 www.adoc.us Regal Medical Group (RMG) He established The Richard Merkin Foundation for Stem Cell Research at the Broad Institute at Harvard and MIT, The Richard Merkin Initiative at the Johns Hopkins Brain Sciences Institute, and The Richard Merkin Foundation for Neural Regeneration at UCLA. 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. Our commitment to complete patient care includes developing new and better ways of delivering healthcare. All members of Heritage Physician Network can access the full range of services, programs and specialists offered by BFMC. Professor of Medicine, New York Medical College; Chief of Medicine, NYC Health + Hospitals/Metropolitan. "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. Learn more about becoming a Premera provider. SoutheastPRteam@uhc.com, UnitedHealthcare Community Plan of North Carolina (Medicaid) P.O.Box 31365 Our tools are supported using Microsoft Edge, Chrome and Safari. 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. Attn: Appeals Coordinator P. O. Sign up with your email address to receive news and updates. HDMG has a long-standing promise to provide residents of the Antelope Valley with the highest quality health care possible. Richard Merkin, M.D. 185 Asylum St. Suite 600 3803 N. Elm St. Over 800 providers in the HPN work together to provide high-quality healthcare to their patients through coordinated care while experiencing practice . High Desert Medical Group (HDMG) 950 Winter St. For details about provider contracting, please contact us . 800-600-9007, Network Management 866-270-5785, San Diego County 877-743-8734, Network Management Atlanta, GA 30328, Network Management Check wait times ahead of time and reserve your spot online at our urgent care locations for illnesses and injuries (non life threatening emergencies. 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. You should be discussing things like prevention, diagnosis, treatment and healing, not coverage, networks, claims, regulations and billing. Columbia, MD 21044, Health plan support (TTY 711). With a reputation built on quality, flexibility and responsiveness, Heritage provides superior vision plans at competitive prices. 800-853-3844, Our tools are supported using Microsoft Edge, Chrome and Safari. 800-210-8315, API Support R. A. Rees Pritchett Professor of Microbiology; Chairman, Department of Microbiology & Immunology, Weill Cornell Medical College. 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. Members who choose physicians in Heritage Physician Network will see their selected doctors in their conveniently located private offices. With 6 urgent cares in your area, why not save time and money? Maryland Heights, MO 63043, Network Management Utilization Denial & Appeals Department Mailing Address Our goal is to help you make better care decisions for yourself and your family. That size works to your advantage, allowing us to be there to coordinate all of your health care, when and where you need us. 1 Penn Plaza At Regal, we know that navigating the healthcare system can be complicated for patients and for physicians. Minnetonka, MN 800-291-2634, Medicare Advantage and Community Plan 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 . We believe the most important aspect of healthcare is tending to the personal needs of our patients. Suite 3800 Centennial, CO 80111, Network Management 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. Claims Customer Service (714) 937-6143 Hours: - weekdays from 7:30 a.m. to 4 p.m. Claims Billing Address P.O. 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. 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. 39115 TRADE CENTER DR PALMDALE, CA 93551 Get Directions (661) 480-2000 . Contact information for Heritage Provider Network, media relations, and our medical groups are as follows. sd_contracting@uhc.com, Network Management Medicare Advantage and Community Plan OptumRx fax (specialty medications) 800-853-3844. 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 877-670-8432, Provider Relations Physician and Hospital Advocate Team A completed claim must be submitted on a CMS-1500 form for professional services and a CMS-1450 form for hospital/facility services and must have the following information: News and updates has a long-standing promise to provide residents of the finest equipment. Is, if hospitalizations can be complicated for patients and for physicians throughout Northern California to fit busy! 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