All members of Heritage Physician Network can access the full range of services, programs and specialists offered by BFMC. Philadelphia, PA 19103, Network Management Omaha, NE 68164 All members of CCPN can access a full range of services, programs and specialists through these contracted providers. Interactive Guide: Use the UnitedHealthcare Provider Portal to view claim status, take action, if needed, check the status of tickets and more. 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 Whether you are a primary care physician or specialist, we invite you to become a part of our growing organization. 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. 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. Your Email Address Subject: Message. NC_Net_Mgmt@Optum.com, Health Plan Support We are affiliated with most major health plans, including many HMOs. 888-362-3368, Provider Relations Physician and Hospital Advocate Team 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. Waltham, MA 02451, Network Management 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. Salt Lake City, UT 84130-0757 800-666-1353, Network management 877-542-9235, Network Management At SMG your health is our priority. All HPN participating providers and staff are dedicated to improving the healthcare journey and experience of all patients. View Top Employees from Heritage Provider Network Suite 500 We re-credential providers every two years and conduct on-site audits. Outside of healthcare, Dr. Merkin is involved in educational, economic and youth issues. 1485 Heritage Parkway. (800) 500-5215 or (760) 320-5134 Find the right contact I need to contact Clear Inputs about TTY users: To reach any number listed here, dial 711. Lakeside Medical Group (LMG) Heritage Provider Network (HPN) is a limited Knox-Keene licensed organization in California that provides affordable quality care to its members. 800-600-9007, Network Management 800-495-5285 Dallas Fort Worth Metroplex Area. We are affiliated with most major health plans, including many HMOs. UnitedHealthcare View real time claims and eligiblity. 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. Messages sent via this form should not contain personal health information. Emblem Health HCP Direct: (800) 877-7587. Utilization Denial & Appeals Department Mailing Address 230 Lexington Green Circle P.O. 2000 West Loop South To view Dr. Merkins involvement in the community, click here, The physician-patient relationship is the foundation for providing quality health care, Physician and patient education must be proactive and ongoing, Physicians will make effective decisions for their patients given the appropriate tools, information and support from their peers, Utilization and quality management is a physician-to-physician process. We process clean claims within 48 hours, and we issue payments twice a month. Phone: 800-763-7732. 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. Kingsport, TN 37660, Memphis St. Joseph Heritage Healthcare. 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. We accept over 85 different health plans, including HMO, PPO, POS, EPO, Private and Medicare plans. Suite 400 West: uhc-network-wpa@uhc.com (Electronic claims submission) 1-800-977-3568: First Health Provider Relations: 1-800-937-6824: . API Extended X12 support supportedi@uhc.com, 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. (661) 945-9411 Reseda, CA 91337. 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. We accept over 85 different health plans, including HMO, PPO, POS, EPO, Private and Medicare plans. 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. 866-270-5785, San Diego County Are you a provider outside of Washington or Alaska? 877-614-0484. Waltham, MA 02451, Health plan support Suite 2600 Company profile page for Heritage Provider Network Inc including stock price, company news, press releases, executives, board members, and contact information Miami, FL 33156 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. 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. 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. 3803 N. Elm St. 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. 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. Detroit, Eastern, Western and Northern and Upper Heritage Provider Network. Send Message. Prior authorization fax: 866-940-7328 Salt Lake City, UT 84131-0364, HMO-SNP Part D only (714) 937-6270 Fax. 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). Empire: (844) 638-0404. Call 888-261-9562 to reach Premera's BlueCard claims customer service team. 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. Behavioral health (inpatient): 1-844-430-1702. We accept both private practice providers and those affiliated with retail locations or corporate chains. Heritage Vision Plans makes vision benefits easy for everyone: for benefits managers and, most importantly, for employees using the benefits. Fax: 601-718-6584, Medicare Advantage and Community Plan They have all personally, and organizationally made those promises to improve health, care, and cost a reality for tens of thousands of New Yorkers most in need, and lighting the way for others to follow," said Mark Wagar, President of Heritage Medical Systems. . Suite 1700 Maryland Heights, MO 63043, Network Management 950 Winter St. 2023 Collaborative Health Systems 107 Westpark Blvd. 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 https://www.providerexpress.com/content/ope-provexpr/us/en/our-network.html, Health Plan Support SoutheastPRteam@uhc.com, UnitedHealthcare Community Plan of North Carolina (Medicaid) Medical Group Inquiries (Member services, provider relations, claims): Bakersfield Family Medical Center (BFMC) Click to launch an email request that will be routed to the appropriate customer care team. 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. Provider Service Contact Number; Health Net Provider Services Center (Except Medi-Cal and Medicare) . 1311 W. President George Bush Highway 888-980-8728 We have convenient locations throughout the Coachella Valley, Morongo Basin and Yucca Valley areas. Payer ID#: 87726 (EDI claims submission), Pharmacy 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). Salt Lake City, UT 84131, Member Grievance & Appeals: 3175 Lenox Park Blvd. 3000 Town Center, Suite 1400 pcp-NetworkManagementServices@uhcsouthflorida.com, Miami providertechsupport@uhc.com *. When youre ready, call your physicians office or schedule an appointment online. 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. 2nd Floor Failure to correct inaccurate information, or bill utilizing Medicaid . Sierra Medical Group represents the future of medicine. One way that we keep your overall health care costs low is by emphasizing preventative care in order to keep you healthy. R. A. Rees Pritchett Professor of Microbiology; Chairman, Department of Microbiology & Immunology, Weill Cornell Medical College. To check claims status or dispute a claim: From the Availity home page, select Claims & Payments from the top navigation. Heritage Technology Innovator in Healthcare Award: Gil Addo CEO and Co-founder, RubiconMD. (818) 637-2000 Pioneer Provider Network, A Medical Group, Inc . Voice: 714-937-6130. Prior authorization fax: 800-267-8328 Greensboro, NC 27459 Desert Oasis Health Care (DOHC) Coastal Communities Physician Network (CCPN) Our Approach. (661) 327-4411 Contact information for Heritage Provider Network, media relations, and our medical groups are as follows. UnitedHealthcare Community Plan Contact information for Heritage Provider Network, media relations, and our medical groups are as follows. Affiliated Doctors of Orange County (ADOC) Economical. If you wish, you may contact us instead via non-cellular telephone at the numbers provided on our Contact Us page or Member Services at 866-654-3471 We take our motto "Quality from Our Family to Yours" seriously, and our family of Physicians and support teams work tirelessly to make sure that you and your family come first. 795 Woodland Pkwy Mon-Fri: 8:00 a.m. - 5:00 p.m. Senior Member Concierge Line (818) 357-5000 press option 1, then press option 6. Suite 200 Dept. 800-210-8315, API Support The theory is, if hospitalizations can be predicted, preventive measures can be taken and unnecessary hospitalizations can be avoided. 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. 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. Suite 300 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. In partnership with CHS, we have developed population health, clinical, care management, quality reporting, and telehealth capabilities. Provider Profile Details: NPI Number Details: Provider Business Mailing Address Details: Provider's Primary Taxonomy Details: Secondary Taxonomy Details: They are always pleasant, patient and more than willing to assist whenever I call! Members will be able to access this information online at Find a Provider or they may contact our Customer Service Center for assistance. Medicare Fee-For-Service beneficiaries and health plan members can expect the highest quality, coordinated care from a primary care or specialist provider participating in HPN. Mansfield, Texas 76063. Provider Lookup . inquiries@heritagemed.com. Our Approach. Medical office locations in Foothill Ranch, San Clemente, Lake Forest, Laguna Niguel and Mission Viejo, CA. These IPA physicians remain affiliated with BFMC although they maintain their own individual offices. Medicare Advantage and Community Plan Email: Credentialing.Updates@Premera.com. We believe the most important aspect of healthcare is tending to the personal needs of our patients. "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. 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. His leadership has inspired the formation of over 28 group model and IPA structures in California, New York and Arizona. To obtain a provider dispute form, please contact the Appeals Coordinator at (818) 654-3400. 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. P.O. Richardson, TX 75080, Medicare Advantage and Community Plan 5 Centerpointe Drive If you need help resetting your password, you call us. As a prospective Heritage provider, you will undergo a rigorous initial credentialing and verification process before joining the network. Claims Address Nebraska Total Care Attn: Claims PO Box 5060 Farmington, MO 63640-5060. Heritage Sierra Medical Group Headquarters, 44469 10th Street West, Lancaster, CA, 93534, United States, Utilization Management - Clinical Criteria & Availability of Clinical Criteria (2021). Salt Lake City, UT 84131-0364, General claim disputes Claims Status. Competitors: Unknown. Login to view member eligibility, claim status, submit claims and more. OptumRx fax (specialty medications) 800-853-3844. 888-478-4760, Network Management mn_contracting@uhc.com, 9700 Health Care Lane Login Now. Check wait times ahead of time and reserve your spot online at our urgent care locations for illnesses and injuries (non life threatening emergencies. These breakthrough innovators are making significant contributions in the areas of technology, research, or new approaches to healthcare systems. Provider portal. 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