Our goal is to help you make better care decisions for yourself and your family. 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. Our goal is to help you make better care decisions for yourself and your family. Heritage providers are able to submit claims through our secured Provider Web Portal once enrolled, registration assistance will be provided, along with an overview of the features and benefits. 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. 2100 Riveredge Pkwy. 888-650-3462, 6860 West 115th St. 877-670-8432, Provider Relations Physician and Hospital Advocate Team Additionally, he is on the Board of Directors at the California NanoSystems Institute at UCLA. Together, we partner with local hospitals, medical experts and business leaders, and we actively support numerous organizations, educational, cultural and recreational events. To speak to a VSP customer service representative, call 1.800.877.7195. Network Resources. Carolinas_Physician_Contracting@uhc.com, Optum Behavioral Health 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. Medicare Advantage Plans 12018 Sunrise Valley Drive 888-362-3368, UnitedHealthcare Oxford health plans Sacramento, CA 95826, Claims & Medical Records Nebraska_network@uhc.com, Iowa/Quad Cities Contact Claims. 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. Learn more about becoming a Premera provider. With Heritage, members receive exclusive discounts on Lasik eye surgery from our partners at LasikPlus. Email. The complete list of 25 finalists can be found at www.crainsnewyork.com/heritage. We accept over 85 different health plans, including HMO, PPO, POS, EPO, Private and Medicare plans. He is also on the Board of Directors for EdVoice, a group dedicated to education reform. Suite 110 For more information, call (866) 654-3471 and request Network Management. If you are a clinic or hospital-based physician or other qualified healthcare provider, use a CMS-1500 (02-12) form for claims for professional services and supplies related to: Anesthesia. We re-credential providers every two years and conduct on-site audits. "Our Heritage New York Healthcare Innovation Award winners reflect the dream, spirit and promise of healthcare innovation we all strive for. Corporate Office Number (818) 654-3400. Our facilities offer superior patient convenience by providing Urgent Care, Pharmacy, Lab, Radiology, Pediatrics and a variety of specialty services at one convenient site. 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. Sierra Medical Group represents the future of medicine. 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. 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. Box 740371 Heritage Vision Plans provides affordable, high-quality vision benefits for companies of all sizes. Attn: CA124-0197 100 To check claim status and receive explanation of processing for previously submitted claims. 888-239-3909. Omaha, NE 68164 800-711-4555, OptumRx fax (non-specialty medications) Open 8 a.m. to 5 p.m., Monday through Friday, excluding holidays. They are always pleasant, patient and more than willing to assist whenever I call! Together, we have the resources to participate in the incentives that are part of value-based care programs. Whether you are a primary care physician or specialist, we invite you to become a part of our growing organization. Heritage Provider Network. (818) 637-2000 Together, we partner with local hospitals, medical experts and business leaders, and we actively support numerous organizations, educational, cultural and recreational events. The Arizona group, which just began operations on January 1, 2012, is already serving a large Medicare Advantage population throughout Maricopa County. Optum Mission Heritage Medical Group is home to a team of board-certified primary care physicians and specialists serving the South Orange County communities. 8880 Call Center Drive We know that getting sick doesn't happen on an 8 - 5 schedule. If you need help resetting your password, you call us. 800-495-5285 jgluck@heritagemed.com. broker portal. HDMG has a long-standing promise to provide residents of the Antelope Valley with the highest quality health care possible. UnitedHealthcare Community Plan 2717 N 118th Street, Suite 300 Omaha, NE 68164. Provider Call Center. claim submissions. Waltham, MA 02451, Network Management Our claims department is at your service 24 hours a day, 7 days a week. 4365 Executive Drive All members of Heritage Physician Network can access the full range of services, programs and specialists offered by BFMC. View all open positions on our careers page. Columbia, SC 29210, Network Management At SMG, we work hard to ensure that our patients receive quality medical care. Provider's identification number. 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. Address. Suite 200 Nurses . He founded the Heritage Medical Research Institute, a non-profit medical research corporation emphasizing health care quality and outcomes studies. Contact Us: Home Contact Us: Network Support Services. Our team of healthcare professionals is available and ready to help you with all of your medical needs. Miramar, FL 33027, Tampa 5757 Plaza Drive Emblem Health HCP Direct: (800) 877-7587. 230 Lexington Green Circle ", "We are very proud to be the exclusive media partner of Heritage Provider Network for their 2nd year of their Heritage Healthcare Innovation Awards initiative, as they seek to recognize health care innovators who have improved the lives of millions of New Yorkers" said Jill Kaplan, Vice President and Publisher of Crain's New York Business. Memphis, TN 38115, Medicare Advantage and Community Plan These IPA physicians remain affiliated with BFMC although they maintain their own individual offices. Medicare Advantage and Community Plan Our facilities offer superior patient convenience by providing Urgent Care, Pharmacy, Lab, Radiology, Pediatrics and a variety of specialty services at one convenient site. 800-600-9007, Jacksonville 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. Access primary care doctors in the Providence network. P.O. 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. We'll use your location to find clinics, hospitals and doctors closest to you. 400 E. Business Way 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. P.O. 888-980-8728 We accept both private practice providers and those affiliated with retail locations or corporate chains. Payer ID#: 87726 (EDI Claims Submission), Claims 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. When youre ready, call your physicians office or schedule an appointment online. You should be discussing things like prevention, diagnosis, treatment and healing, not coverage, networks, claims, regulations and billing. 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. Provide a description of the damage, and if possible, have your policy number handy. All members of CCPN can access a full range of services, programs and specialists through these contracted 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. 9700 Health Care Lane To obtain a provider dispute form, please contact the Appeals Coordinator at (818) 654-3400. Kingston, NY 12402-5290, Behavioral health Bakersfield Family Medical Center provides excellence in health care to our patients in professional settings that promote wellness and preventive medicine in Kern County. Our Approach. Monday - Saturday 6 a.m. to 5 p.m.*, Pacific Time. How do I join and qualify to become a Heritage participating in-network provider? We invite you to join Providence Medical Network and our family of urgent cares, laboratory services, and imaging centers to optimize your healthcare needs. Suite 5300 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. In addition, our Urgent Care is now open daily 6am - 8pm. We have convenient locations throughout the Coachella Valley, Morongo Basin and Yucca Valley areas. Mailing Address Nebraska Total Care 2525 N 117th Ave, Suite . 1208 Pointe Centre Drive Medicare Advantage and Community 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. UnitedHealthcare Community Plan of North Carolina (Medicaid) Electronic submission Information/ Mail address Phone Authorizations Claims MLKH Martin Luther King Jr. Multi-Service Ambulatory Care Center . United States. Email: claims@hcpipa.com (secure email only) Membership Eligibility CHS serves as our population health management services organization (PHMSO), meaning that they support our participating practices with key resources needed to achieve success in value-based care. CHS provides HPN with health information analytics to care coordination, risk contracting to clinical expertise, and operational support. 656 Santa Rosa Street, Suite 2A. Send your new credentialing application by mail, fax, or email: Mail: PO Box 327 - MS 263 Seattle, WA 98111-0327. 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. 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. 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. SoutheastPRteam@uhc.com, UnitedHealthcare Community Plan of North Carolina (Medicaid) Phone: 800-763-7732. 2425 James St. These IPA physicians remain affiliated with BFMC although they maintain their own individual offices. This site is compatible with: Sierra Medical Group represents the future of medicine. Bioscrip-specialty drug: 800-584-0265, Network Management Suite 1170 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. pcp-NetworkManagementServices@uhcsouthflorida.com, Miami 888-362-3368, Provider Relations Physician and Hospital Advocate Team Heritage Victor Valley Medical Group (HVVMG) Contact Claims. 9100 S. Dadeland Blvd. Chicago, IL 60601 has more than 35 years of experience in health care with specific expertise in the development and administration of integrated delivery systems. 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) Does Heritage Vision Plans accept all types of providers? Minnetonka, MN 55343, Network Management Give us a call. nd_contracting@uhc.com, Network Management We partner with Collaborative Health Systems (CHS) to leverage their extensive experience in leading the value-based care market. 2525 Lake Park Blvd. Provider Lookup . Reston, VA 20191, Network Management Dr. Merkin is a visionary and a sought-after healthcare expert who encourages innovation and challenge. We are affiliated with most major health plans, including many HMOs. 3000 Town Center, Suite 1400 Heritage Vision Plans makes vision benefits easy for everyone: for benefits managers and, most importantly, for employees using the benefits. Middle Home health, durable medical equipment, therapies and discharge planning: 1-888-235-8468. Concord CA 94520, Southern Network Management 43879 15th St West. P.O. UnitedHealthcare PO Box 31365 Salt Lake City, UT 84131. 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. (817) 477-0400. Our facilities offer superior patient convenience by providing Urgent Care, Pharmacy, Lab, Radiology, Pediatrics and a variety of specialty services at one convenient site. 1401 West Capitol Ave. Box 61063 He is on the Visionary Board of the X-Prize Foundation. Heritage Vision Plans is a leading national provider of vision benefits plans with an extensive, nationwide network of eye care providers. Request a copy of your contract 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). 877-614-0484. Latham, NY 12110, Upstate . Columbia, MD 21044, Health plan support 800-842-3585, Network Management 2000 West Loop South Our facilities are equipped with some of the finest diagnostic equipment and technicians available. Call 888-261-9562 to reach Premera's BlueCard claims customer service team. Our programs include Living and Aging Well, Home Health Services and Medication Management Services which are committed to improving your health proactively. 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. As a Heritage provider, your information will be included in our Heritage Provider Directory. That size works to your advantage, allowing us to be there to coordinate all of your health care, when and where you need us. "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.". Salt Lake City, UT 84130-0760, Dual Complete (HMO D-SNP) 3838 N. Causeway Blvd. Phoenix, AZ 85004, Claims & medical records 8510 Balboa Boulevard Suite 285 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. Company Summary. Las Vegas, NV 89128, Medicare Advantage and Community Plan Suite 300 This forward-thinker has forever changed the way care systems work through new models, processes and pathways. Boise, ID 83702, Provider Relations Physician and Hospital Advocate Team 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. 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. 1 Penn Plaza hdmg.net 12370 Hesperia Road Ste. Regal Medical Group works together with your healthcare plan and your PCP to keep things running smoothly. northeastprteam@uhc.com, Network Management 877-542-9235, Network Management 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. By joining the IPA and being part of a CIN, providers have committed to continuous improvement through education, engaging with their peers, and sharing best practices within the IPA. 800-666-1353, Network management 888-702-2202, Network Management 2300 Clayton Road Nebraska_network@uhc.com, Medicare Advantage and Community Plan How often do you process provider claims? The theory is, if hospitalizations can be predicted, preventive measures can be taken and unnecessary hospitalizations can be avoided. For details about provider contracting, please contact us . . 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. Heritage Provider Network Contact List As of April 2015 Group Department Contact Type Contact Name Title Phone Email Claims Main Contact Anthony Cockerill Director, Claims (661) 726-3815 awcockerill@hdmg.net Escalated Contact Octavio Campos Corporate Dir. GANetworkOPS_fac-anc@uhc.com, Physician Contracting 888-866-8297, Network Management Kingsport, TN 37660, Memphis 312-453-7055, Network Management Carolina ( Medicaid ) Phone: 800-763-7732 partners at LasikPlus columbia, SC 29210 Network. Dedicated to education reform 888-362-3368, provider Relations Physician and Hospital Advocate team Heritage Victor Valley medical (... 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