heritage provider network claims mailing address
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. 800-495-5285 (415) 884-1801 Email: callcenter@meritagemed.com NorCal Claims & Correspondence PO Box 2160 Oakland, CA 94621 Central Valley Hours: Monday - Friday 8:30am - 5:00pm Phone: (833) 446-1758 Fax: (415) 475-5671 Email: centralvalleyservice@meritagemed.com Central Valley Claims & Correspondence PO Box 2440 Oakland, CA 94621 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. Syracuse, NY 13206, NYS Empire Plan If the claim is denied or final, there will be an option to dispute the claim. Attn: Claims Processing. Sierra Medical Group represents the future of medicine. Box 31364 3000 Town Center, Suite 1400 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. 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. Our facilities are equipped with some of the finest diagnostic equipment and technicians available. Payer ID#: 87726 (EDI claims submission), Pharmacy Our programs include Living and Aging Well, Home Health Services and Medication Management Services which are committed to improving your health proactively. Compassion, Dignity, Justice, Excellence, Integrity. General API support APIconsultant@uhc.com We are provider-led and primary care-focused with a wide network of specialty relationships. 1 East Washington St. We are affiliated with most major health plans, including many HMOs. We aim to deliver quality, affordable healthcare to the communities we serve. Easy for you, clear for employees. Inspired by the X-Prize model, Dr. Merkin created, developed and sponsored the $3 million Heritage Health Prize, which challenges teams to create an algorithm that will predict how many days an individual will spend in the hospital in a given year. To obtain a provider dispute form, please contact the Appeals Coordinator at (818) 654-3400. All paper claims must be mailed to: Lakeside Community Healthcare Attn: Claims Department P. O. *. Please use this form for non-urgent, non-medical questions or comments. inquiries@heritagemed.com. Philadelphia, PA 19103, 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. You always have a provider service representative available to help either by telephone, email or the contact us form. Atlanta, GA 30374, Health plan support Add value to your clients benefits package. We have convenient locations throughout the Coachella Valley, Morongo Basin and Yucca Valley areas. Medical Group Inquiries (Member services, provider relations, claims): Bakersfield Family Medical Center (BFMC) How often do you process provider claims? 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. Suite 400 For more information or if you have a specific question, you can contact us using one of the following methods. 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. Find the right contact I need to contact Clear Inputs about TTY users: To reach any number listed here, dial 711. Cincinnati, OH 45241, Northeast Pittsburgh, PA 15212, Philadelphia east 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. (760) 245-4747 P.O.Box 31365 1001 Lakeside Ave. Memphis, TN 38115, Medicare Advantage and Community Plan Fax: 601-718-6584, Medicare Advantage and Community Plan 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 84130-0760, Dual Complete (HMO D-SNP) HPN has implemented rigorous programs to review utilization, quality assurance compliance, medical risk management and patient issues and concerns. HDMG has a long-standing promise to provide residents of the Antelope Valley with the highest quality health care possible. Highlighting cutting edge applications of technology and up-and-comers in the healthcare industry. 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. We'll use your location to find clinics, hospitals and doctors closest to you. Contact Claims. Email: claims@hcpipa.com (secure email only) Membership Eligibility Suite 1700 Provider Lookup . Box 371330 Reseda, CA 91337 What are the requirements for a completed claim? Lakeside Community Healthcare P.O. Richard Merkin, M.D. This field is for validation purposes and should be left unchanged. These breakthrough innovators are making significant contributions in the areas of technology, research, or new approaches to healthcare systems. 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. View credentialing forms. Oswego, OR 97035, Network Management northeastprteam@uhc.com, Network Management Milwaukee, WI 53214, Medicare Advantage and Community Plan Our participating providers share our learning and knowledge to coordinate care, engage our patients, and improve health outcomes at an overall lower cost of care. We aim to deliver quality, affordable healthcare to the communities we serve. UnitedHealthcare commercial and UnitedHealthcareMedicare Advantage plans 888-650-3462, 6860 West 115th St. 800-666-1353, Medicare Advantage and Community Plan Login to view member eligibility, claim status, submit claims and more. St. Joseph Heritage Healthcare. Salt Lake City, UT 84120, Network Management 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 Communication Center. Members who choose physicians in Heritage Physician Network will see their selected doctors in their conveniently located private offices. Call 888-261-9562 to reach Premera's BlueCard claims customer service team. From state-of-the-art radiology to nearby walk-in labs, we offer multiple locations throughout Northern California to fit your busy needs. Prior uthorization: 800-310-6826 Honolulu, HI 96813, Health plan support Box 31364 Need access to the UnitedHealthcare Provider Portal? SoutheastPRteam@uhc.com, UnitedHealthcare Community Plan of North Carolina (Medicaid) Box 10 Anaheim, CA 92815-0010 Enrollment Customer Service Tel. 5900 Parkwood Place 5th floor (Electronic claims submission) 1-800-977-3568: First Health Provider Relations: 1-800-937-6824: . Your dispute must contain the following information: Provider's name. 400 E. Business Way Manage your own frame stock; no frame towers or kits, CAQH credentialing accepted to simplify enrollment, Over 98% of our members utilize a Heritage Network Provider. 12018 Sunrise Valley Drive Box 30760 Heritage Sierra Medical Group Headquarters, 44469 10th Street West, Lancaster, CA, 93534, United States, Utilization Management - Clinical Criteria & Availability of Clinical Criteria (2021). www.myoptumhealthphysicalhealth.com, Health Plan Support 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. westprteam@uhc.com, Network Management 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. SoutheastPRteam@uhc.com, Facility Contracting 6465 Greenwood Plaza Blvd. 1401 West Capitol Ave. UnitedHealthcare 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. 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. DOHCs services include access to 6 Immediate and Urgent Care Centers - Bermuda Dunes, Indio, Palm Desert, Palm Springs and Yucca Valley. 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. 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. Box 2300 Our programs include Living and Aging Well, Home Health Services and Medication Management Services which are committed to improving your health proactively. CHS provides HPN with health information analytics to care coordination, risk contracting to clinical expertise, and operational support. Corporate Office Number (818) 654-3400. Dublin, OH 43016 Cleveland Detroit, Eastern, Western and Northern and Upper (800) 747-2362, Heritage Provider Network 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. Page Footer I want to. Heritage Research Investigators in Translational Medicine Award: Carl Nathan, MD 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. 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. We collaborate with our physicians to provide quality care, while focusing on minimizing your out of pocket expenses. 800-291-2634, Medicare Advantage and Community Plan Does Heritage Vision Plans accept all types of providers? Attn: CA124-0197 125 South 84th St. 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. Heritage Provider Network in Lancaster, CA What email should the hiring manager contact you at? Payer ID#: 87726 (EDI Claims Submission), Claims Preventive health care services include employer-based health education programs, vaccinations and fitness programs. Bldg. Together, we have the resources to participate in the incentives that are part of value-based care programs. 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. 800-638-3302 Waltham, MA 02451, Network Management 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. As a result, your billing office may see some differences in the claim edits and response files from WellCare. 1132 Bishop St. Suite 300 Our ultimate goal is to enable providers to focus on doing wellin caring for patients, staff, and achieving financial objectives in the practice. Recognizing an innovator in the development of new modes of diagnosis, treatment and care who actively improves access to services and improves the quality of healthcare overall. Heritage has $600 million to $700 million of annual Ebitda. As a Heritage provider, your information will be included in our Heritage Provider Directory. Medicare Advantage and Community Plan 800-903-5253, Network Management Sierra Medical Group (SMG) 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. 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