We make it our priority to provide help when you need it most. 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. 877-651-6677, Network Management Members who choose physicians in Heritage Physician Network will see their selected doctors in their conveniently located private offices. (800) 747-2362, Heritage Provider Network Trilogy Health Solutions - Wisconsin Preferred Provider Network . 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. Cypress, CA 90630, 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. We aim to deliver quality, affordable healthcare to the communities we serve. 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. 7440 Woodland Drive Dept. Southfield, MI 48075 For almost 30 years, Crain's New York Business has been the award-winning news source for New York's business leaders, telling the story of the New York economy, while serving as a voice and advocate for the city's business community. Customer Service (818) 357 . Contacts --Contact Business. Suite 300 Our goal is to help you make better care decisions for yourself and your family. Refund Address Nebraska Total Care Attn: Refunds PO Box 3713 Carol Stream, IL 60132-3713. Our experienced staff understands that a timely claims conclusion is important for all parties involved. Through innovative programs and services designed specifically for the managed care environment, HPN and its medical groups have been . Dr. Neskovic's Story "I chose to commit to an exclusive relationship and I've had steady and consistent growth as a result. 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. SoutheastPRteam@uhc.com, UnitedHealthcare Community Plan of North Carolina (Medicaid) 9700 Health Care Lane With Heritage, members receive exclusive discounts on Lasik eye surgery from our partners at LasikPlus. Suite 5300 Puerto Rico Network Management 400 E. Business Way Dublin, OH 43016 Behavioral health prior authorization fax: 877-840-5581, Claims Join an eye-opening network of providers. Together, we have the resources to participate in the incentives that are part of value-based care programs. Mansfield, Texas 76063. Heritage Provider Network in Lancaster, CA What email should the hiring manager contact you at? Fax: 504-849-3551, Network Management Provider portal. To submit electronically, email to AssignmentofBenefits@Heritagepci.com To submit by regular mail or via overnight mail send to: Heritage Property & Casualty Insurance Attn. Set your location to find care near you. 2nd Floor 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. P.O. Phoenix Minnetonka, MN 55343, Network Management "We applaud their continued dedicated commitment to shine a spotlight on those leaders who are thinking big-exploring new and novel health care approaches, offerings or services in New York and extend our sincerest congratulations to all of the 2017 Heritage Healthcare Innovation Awards finalists and winners.". 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. Regal Medical Group works together with your healthcare plan and your PCP to keep things running smoothly. How will your members know that we are a Heritage Network Provider? Western Iowa counties Pottawattamie, Harrison and Mills - Managed by Nebraska Network Management Nebraska_network@uhc.com, Iowa/Quad Cities P.O.Box 31365 For that reason, to protect your privacy, please do not use e-mail to communicate information to us that you consider confidential. Attn: Claims Processing. Miramar, FL 33027, Tampa Box 371330 Reseda, CA 91337 Your dispute can be submitted by a letter or by a provider dispute form. Fax: 615-372-3564, Southeast ac_edi_ops@uhc.com Select Claim Status Inquiry from the drop-down menu. Service-oriented. View information for out-of-area providers. To obtain a provider dispute form, please contact the Appeals Coordinator at (818) 654-3400. 5900 Parkwood Place 5th floor Voice: 714-937-6130. Login Now! Heritage has $600 million to $700 million of annual Ebitda. This field is for validation purposes and should be left unchanged. 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. 888-650-3462, 6860 West 115th St. CHS provides HPN with health information analytics to care coordination, risk contracting to clinical expertise, and operational support. 1 Penn Plaza Claims. Chicago, IL 60601 Suite 600 2717 North 118th St., Suite 300 Box 2300 UnitedHealthcare Community Plan of North Carolina (Medicaid) That size works to your advantage, allowing us to be there to coordinate all of your health care, when and where you need us. YOU DESERVE Simplicity Easy for you, clear for employees. 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. 888-478-4760, Network Management Suite 300 Box 30760 We're located at 4550 California Avenue, Suite 100, in Bakersfield. 888-702-2202, Network Management We are affiliated with most major health plans, including many HMOs. 800-328-8835, Network Management One way that we keep your overall health care costs low is by emphasizing preventative care in order to keep you healthy. HDMG has a long-standing promise to provide residents of the Antelope Valley with the highest quality health care possible. Suite 110 Bakersfield Family Medical Center provides excellence in health care to our patients in professional settings that promote wellness and preventive medicine in Kern County. Seattle, WA 98101, Network Management Box 30884 West Des Moines, IA 50266, Health plan Support Cincinnati, OH 45241, Columbus St. Joseph Heritage Healthcare. 2 Allegheny Center Suite 200 Suite 400 9100 Shelbyville Road All members of CCPN can access a full range of services, programs and specialists through these contracted providers. Suite #375 As a prospective Heritage provider, you will undergo a rigorous initial credentialing and verification process before joining the network. providertechsupport@uhc.com Home health, durable medical equipment, therapies and discharge planning: 1-888-235-8468. Login to view member eligibility, claim status, submit claims and more. With more than 31,000 providers nationwide, our members are never far from quality vision care. Our goal is to help you make better care decisions for yourself and your family. Sacramento, CA 95826, Claims & Medical Records Atlanta, GA 30374, Health plan support Memphis, TN 38115, Medicare Advantage and Community Plan 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. westprteam@uhc.com, Network Management Get the most up-to-date claims status and payment information, and the ability to . For details about provider contracting, please contact us . 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. 2100 Riveredge Pkwy. Easy for you, clear for employees. 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. Suite 1900 *for Medicare members hours are 8 a.m. to 8 p.m. in all time zones, call 1.855.492.9028. Our programs include Living and Aging Well, Home Health Services and Medication Management Services which are committed to improving your health proactively. 800-853-3844, Our tools are supported using Microsoft Edge, Chrome and Safari. 12018 Sunrise Valley Drive 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. 800-291-2634, Medicare Advantage and Community Plan How can we help? In addition, our Urgent Care is now open daily 6am - 8pm. This site is compatible with: 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. Heritage Healthcare Leadership Award: Karen Ignagni. 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. St. Joseph. Check wait times ahead of time and reserve your spot online at our urgent care locations for illnesses and injuries (non life threatening emergencies. 3100 SW 145th Ave. Omaha, NE 68164 At Regal, we know that navigating the healthcare system can be complicated for patients and for physicians. Salt Lake City, UT 84131-0364, Network Management View real time claims and eligiblity. 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. Click to launch an email request that will be routed to the appropriate customer care team. San Luis Obispo, California 93401. 1132 Bishop St. P.O. Prior to rendering services, you may verify member eligibility, determine level of benefit coverage, and obtain authorizations through our Heritage Provider Web Portal or you may contact our Customer Service Center at 800.252.2053, Monday Friday 9am 8pm EST and on Saturday 9am 4pm EST, for assistance. Bakersfield Family Medical Center provides excellence in health care to our patients in professional settings that promote wellness and preventive medicine in Kern County. 2525 Lake Park Blvd. Heritage Vision Plans is a leading national provider of vision benefits plans with an extensive, nationwide network of eye care providers. 8510 Balboa Boulevard Suite 285 He is on the Visionary Board of the X-Prize Foundation. Learn more about our mission, vision and values. (818) 637-2000 P.O. UnitedHealthcare PO Box 31365 Salt Lake City, UT 84131. He is a member of the board of the California Association of Physician Groups. Optum of Special Projects (661) 951-3224 ocampos@heritagemed.com Update Your Provider Information. 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. 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. Your dispute can be submitted by a letter or by a provider dispute form. 795 Woodland Pkwy To check claims status or dispute a claim: From the Availity home page, select Claims & Payments from the top navigation. Prior uthorization: 800-310-6826 southeastPRteam@uhc.com, Network Management Mon-Fri 7:30 am - 4 pm ST. Our Services. Ph: 714.937.6143. Northridge, CA 91325 5757 Plaza Drive Free online nutrition, health education and fitness classes Contracted with most Medicare Advantage Plans For member services call (866) 654-3471 TDD/TTY users dial 711. From state-of-the-art radiology to nearby walk-in labs, we offer multiple locations throughout Northern California to fit your busy needs. 1311 W. President George Bush Highway Send your new credentialing application by mail, fax, or email: Mail: PO Box 327 - MS 263 Seattle, WA 98111-0327. Prior authorization fax: 800-267-8328 At Regal, we know that navigating the healthcare system can be complicated for patients and for physicians. St. Jude Heritage Medical Group is widely recognized as one of Southern California's finest medical groups. Medical Group Inquiries (Member services, provider relations, claims): Bakersfield Family Medical Center (BFMC) Get an ID card File a claim View my claims and EOBs Check coverage under my plan See prescription drug list Find an in-network doctor, dentist, or facility Find a form Find 1095-B tax form information View the Cigna Glossary Contact Cigna Audiences Individuals and Families Medicare Employers Brokers Providers centralPRteam@uhc.com, Network Management 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. (760) 245-4747 Box 61063 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. 8880 Call Center Drive Visit your health plans website or call to ensure your doctor is in Providences network. Heritage Provider Network. Finally, Dr. Merkin has recently endowed two scholars at the Engelberg Center for Health Care Reform at the Brookings Institute to study payment reform and clinical leadership and funded the Brain and Health Innovation Program at the Zilkha Neurogenetic Institute at the Keck School of Medicine. Providence accepts most health insurance plans. Our goal is to help you make better care decisions for yourself and your family. 800-307-4959, Northern and Grant With more than 150 highly-trained doctors in virtually every specialty, our medical excellence extends from primary care to leading edge surgical procedures. 107 Westpark Blvd. EZ-Net. 888-887-9003, Network Management Dr. Merkins commitment to supporting academic research runs deep. 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. (661) 327-4411 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. 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). Our customer-first approach works well for members, clients, providers and agents. Our programs include Living and Aging Well, Home Health Services and Medication Management Services which are committed to improving your health proactively. These IPA physicians remain affiliated with BFMC although they maintain their own individual offices. Because Medicaid is a state-run program, requirements vary by state and BCBS . 6465 S. Greenwood Plaza Blvd. 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. As a Heritage Vision Plans provider, you always have a provider representative available to answer questions and address your needs. Behavioral health (outpatient): 1-844-430-1703. 656 Santa Rosa Street, Suite 2A. Heritage Research Investigators in Translational Medicine Award: Carl Nathan, MD has more than 35 years of experience in health care with specific expertise in the development and administration of integrated delivery systems. The theory is, if hospitalizations can be predicted, preventive measures can be taken and unnecessary hospitalizations can be avoided. Sierra Medical Group (SMG) 2000 West Loop South Dublin, OH 43016 We accept over 85 different health plans, including HMO, PPO, POS, EPO, Private and Medicare plans. Suite 3800 If you need help resetting your password, you call us. UnitedHealthcare View credentialing forms. We also believe that during a visit to your doctor, the focus should be on health and wellness. 13 Cornell Road Smart vision plans. 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. 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