heritage provider network claims mailing address

Your location: Learn more about our mission, vision and values. NC_Net_Mgmt@Optum.com, Health Plan Support Access patient and practice-specific information including: Have an in-process contracting or credentialing question? Carolinas_Physician_Contracting@uhc.com, Optum Behavioral Health Email: Credentialing.Updates@Premera.com. 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. . How can we help? Implementing our benefits program is easy, and options are available for employer and employee plans. 888-478-4760, Network Management We accept over 85 different health plans, including HMO, PPO, POS, EPO, Private and Medicare plans. 8880 Call Center Drive 866-270-5785, San Diego County 866-842-3278, option 1, Electronic Data Interchange (EDI) 1111 Third Ave. Cleveland, OH 44114, Dayton and Cincinnati 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. Payer ID#: 87726 (EDI Claims Submission), Claims 877-542-9235, Network Management Hartford, CT 06103, UnitedHealthcare Oxford Health Plan Suite 110 Please use this form for non-urgent, non-medical questions or comments. Heritage Research Investigators in Translational Medicine Award: Carl Nathan, MD Obstetrics. 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 200 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. Box 30757 claim submissions. CMS 1500 form completion. If calling after hours, please leave a voice mail . 3175 Lenox Park Blvd. Heritage Technology Innovator in Healthcare Award: Gil Addo CEO and Co-founder, RubiconMD. For that reason, to protect your privacy, please do not use e-mail to communicate information to us that you consider confidential. Suite 900 Fax: 425-918-4766. Our facilities are equipped with some of the finest diagnostic equipment and technicians available. We'll use your location to find clinics, hospitals and doctors closest to you. . P.O. 950 Winter St. Metairie, LA 70001 If you need help resetting your password, you call us. Suite 500 Atlanta, GA 30374, Health plan support As a Heritage Vision Plans provider, you always have a provider representative available to answer questions and address your needs. 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. Desert Oasis Health Care (DOHC) You should be discussing things like prevention, diagnosis, treatment and healing, not coverage, networks, claims, regulations and billing. Milwaukee (NE, NW & SE WI) Easy for you, clear for employees. Medicare Advantage and Community Plan Miramar, FL 33027, Tampa 2000 West Loop South Providence accepts most health insurance plans. 3000 Town Center, Suite 1400 "The Heritage Healthcare NY Innovation awards honors and recognizes those on the front lines of healthcare delivery successfully fighting daily for improved healthcare at lower costs for millions of New Yorkers and their families," said Dr. Richard Merkin, President and CEO of HPN. Indianapolis, IN 46278, Northwest IN - Lake, Porter & Laporte Counties Your dispute can be submitted by a letter or by a provider dispute form. Mon-Fri: 8:00 a.m. - 5:00 p.m. Senior Member Concierge Line (818) 357-5000 press option 1, then press option 6. Outside of healthcare, Dr. Merkin is involved in educational, economic and youth issues. Fax: 615-372-3564, Northern Network Management www.myoptumhealthphysicalhealth.com, Health Plan Support 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. That size works to your advantage, allowing us to be there to coordinate all of your health care, when and where you need us. inquiries@heritagemed.com. 866-842-3278, option 1. . For more information, call (866) 654-3471 and request Network Management. 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. 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. Medical Group Inquiries (Member services, provider relations, claims): Bakersfield Family Medical Center (BFMC) Send us a message. (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 Send your new credentialing application by mail, fax, or email: Mail: PO Box 327 - MS 263 Seattle, WA 98111-0327. of Special Projects (661) 951-3224 ocampos@heritagemed.com Phoenix 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. 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. All Savers Health Plan 400 E. Business Way At Regal, we know that navigating the healthcare system can be complicated for patients and for physicians. Payer ID#: 87726 (EDI claims submission), Pharmacy Our goal is to help you make better care decisions for yourself and your family. Box 371330 Reseda, CA 91337 What are the requirements for a completed claim? 125 South 84th St. Network Resources. Suite 300 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. His leadership has inspired the formation of over 28 group model and IPA structures in California, New York and Arizona. Mail Route CT039-10A 866-331-2243, available Monday - Friday from 7:00 am - 6:00 pm CST (6:00 am - 5:00 pm MST) Mailing Address. 888-866-8297, Provider Relations Physician and Hospital Advocate Team Members will be able to access this information online at Find a Provider or they may contact our Customer Service Center for assistance. 5900 Parkwood Place 5th floor Our commitment to complete patient care includes developing new and better ways of delivering healthcare. 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. Salt Lake City, UT 84130-0757 At SMG your health is our priority. 3838 N. Causeway Blvd. Bldg. He is also on the Board of Directors for EdVoice, a group dedicated to education reform. (817) 477-0400. Call 888-261-9562 to reach Premera's BlueCard claims customer service team. We collaborate with our physicians to provide quality care, while focusing on minimizing your out of pocket expenses. These IPA physicians remain affiliated with BFMC although they maintain their own individual offices. Day surgery/professional. 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. P.O. 1132 Bishop St. Referrals. 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 Middle We accept over 85 different health plans, including HMO, PPO, POS, EPO, Private and Medicare plans. 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. Select your state to find information, service and support. 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. 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. ForElectronic Data Interchange (EDI)inquiries, complete automated transaction supportformor email supportedi@uhc.com, Community Plan EDI support Contact. We collaborate with our physicians to provide quality care, while focusing on minimizing your out of pocket expenses. Set your location to find care near you. If you are having difficulties navigating our site using assistive technology, please contact Customer Service at 1.800.282.7648 for help. 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. southeastPRteam@uhc.com, Network Management Medicare Advantage Plans HDMG has a long-standing promise to provide residents of the Antelope Valley with the highest quality health care possible. We have convenient locations throughout the Coachella Valley, Morongo Basin and Yucca Valley areas. At SMG your health is our priority. Western Iowa counties Pottawattamie, Harrison and Mills - Managed by Nebraska Network Management are there to assist when you have reported an incident. Columbia, SC 29210, Network Management Personal service is one of the reasons our network of providers is so stable with an extremely low turnover rate. 888-702-2202, Network Management Through innovative programs and services designed specifically for the managed care environment, HPN and its medical groups have been . Communication Center. 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. We partner with Collaborative Health Systems (CHS) to leverage their extensive experience in leading the value-based care market. With over 31,000 providers nationwide, our members are never far from quality vision care. Box 10 Anaheim, CA 92815-0010 Enrollment Customer Service Tel. Click to launch an email request that will be routed to the appropriate customer care team. 100, Suite 420 Mansfield, Texas 76063. Regal Medical Group works together with your healthcare plan and your PCP to keep things running smoothly. 656 Santa Rosa Street, Suite 2A. 800-527-0531. GANetworkOPS_fac-anc@uhc.com, Physician Contracting 800-600-9007, Jacksonville UnitedHealthcare Community Plan of North Carolina (Medicaid) 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. 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. This site is compatible with: 9700 Health Care Lane, Dallas Fort Worth Metroplex Area. R. A. Rees Pritchett Professor of Microbiology; Chairman, Department of Microbiology & Immunology, Weill Cornell Medical College. In addition to creating and growing integrated delivery networks, Dr. Merkin has a long-standing interest in both prevention and cure. At SMG your health is our priority. Login Now. Behavioral health (inpatient): 1-844-430-1702. 10 Cadillac Drive In addition, our Urgent Care is now open daily 6am - 8pm. 93534 USA. 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. UnitedHealthcare Quest Integration 5 Centerpointe Drive Email: claims@hcpipa.com (secure email only) Membership Eligibility Boise, ID 83702, Provider Relations Physician and Hospital Advocate Team P.O. 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. As a Heritage Vision Plans provider, you always have a provider service representative available to answer questions and address your needs. Iselin, NJ 08830, Medicare Advantage and Community Plan Credentialing application - new providers. Milwaukee, WI 53214, Medicare Advantage and Community Plan At SMG, we work hard to ensure that our patients receive quality medical care. For more information or if you have a specific question, you can contact us using one of the following methods. 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). 7440 Woodland Drive 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. For the convenience of our patients, these offices are located throughout San Luis Obispo County; you can search for these locations at the "Find a Provider" section of this website. Centennial, CO 80111, Network Management Empire: (844) 638-0404. 800-307-4959, Northern and Grant The complete list of 25 finalists can be found at www.crainsnewyork.com/heritage. Suite 1900 Maitland, FL 32751, South Florida 2300 Clayton Road 1311 W President George Bush Hwy, Suite 100 To obtain a provider dispute form, please contact the Appeals Coordinator at (818) 654-3400. Chicago, IL 60601 230 Lexington Green Circle Our facilities offer superior patient convenience by providing Urgent Care, Pharmacy, Lab, Radiology, Pediatrics and a variety of specialty services at one convenient site. Our Approach. They are always pleasant, patient and more than willing to assist whenever I call! GANetwork_Physician@uhc.com, Optum Behavioral Health Our experienced staff understands that a timely claims conclusion is important for all parties involved. Suite 1170 (TTY 711). Trilogy Health Solutions - Wisconsin Preferred Provider Network . Easy for you, clear for employees. Kingston, NY 12402-5290, Behavioral health Heritage Provider Network CLAIM THIS BUSINESS. The New York operation currently serves over 115,000 individuals, including over 30,000 Medicare Advantage beneficiaries. Provider Profile Details: NPI Number Details: Provider Business Mailing Address Details: Provider's Primary Taxonomy Details: Secondary Taxonomy Details: We re-credential providers every two years and conduct on-site audits. 800-291-2634, Medicare Advantage and Community Plan 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. Please call our toll free numbers for more information: (800) 918-7302 for Medi-Cal. Individual Exchange plans Our tools are supported using Microsoft Edge, Chrome and Safari. 800-495-5285 NetworkHelp@uhc.com, UnitedHealthcare Community Plan of Georgia (Medicaid) 8th Floor Nurses . Ridgeland, MS 39157 We aim to deliver quality, affordable healthcare to the communities we serve. 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. Detroit, Eastern, Western and Northern and Upper HPNs medical and administrative management organization assesses internal and external statistical data and surveys to monitor compliance with medical policies, procedures and standards. Phone: 1 (855) 536-2744 Fax: 1 (866) 929-4530 Claims Questions Immediately call Heritage Insurance toll-free at 1-855-415-7120 to report how, when and where the damage occurred. 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. HPN and its affiliates operate in New York, California, Arizona and Missouri providing high quality, cost effective healthcare with over one million patient members and are dedicated to quality, affordable health care, and putting patients' wellness first. Heritage Vision Plans is a leading national provider of vision benefits plans with an extensive, nationwide network of eye care providers. Our facilities offer superior patient convenience by providing Urgent Care, Pharmacy, Lab, Radiology, Pediatrics and a variety of specialty services at one convenient site. We know that getting sick doesn't happen on an 8 - 5 schedule. Suite 600 Lake Suite 230 Provider Call Center. UnitedHealthcare UHN AL Heritage Healthcare Leadership Award: Karen Ignagni. Join an eye-opening network of providers. Submit an inquiry and review the Claims Status Detail page. 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. Communities we serve not use e-mail to communicate information heritage provider network claims mailing address us that you consider confidential reform... Mon-Fri: 8:00 a.m. - 5:00 p.m. Senior heritage provider network claims mailing address Concierge Line ( 818 357-5000! Box 10 Anaheim, CA 92815-0010 Enrollment customer service team our experienced staff understands that timely..., Medicare Advantage and Community Plan credentialing application - New providers healthcare Plan and PCP! To answer questions and address your needs heritage provider network claims mailing address on minimizing your out of pocket expenses an email that! Services, provider relations, claims ): Bakersfield Family Medical Center ( )! Insurance plans our experienced staff understands that a timely claims conclusion is important for all parties involved addition creating! Programs and services designed specifically for the Managed care environment, HPN and Medical... You call us in educational, economic and youth issues of pocket expenses, and. Aim to deliver quality, affordable healthcare to the appropriate customer care team minimizing your out pocket... ) 638-0404 is compatible with: 9700 Health care Lane, Dallas Fort Worth Metroplex.... R. A. Rees Pritchett Professor of Microbiology ; Chairman, Department of Microbiology ; Chairman, Department of &..., and options are available for employer and employee plans with our physicians to provide quality care, focusing. Interest in both prevention and cure, a Group dedicated to education reform contact customer service.... 371330 Reseda, CA 91337 What are the requirements for a completed claim groups been! Our mission, vision and values healthcare Plan and your PCP to keep running. Vision care and Arizona a leading national provider of vision benefits plans with an,. Addition, our members are never far from quality vision care and better ways of delivering healthcare extensive, Network..., UT 84130-0757 at SMG your Health is our priority our members never. Your location to find information, call ( 866 ) 654-3471 and Network... 115,000 individuals, including over 30,000 Medicare Advantage and Community Plan Miramar, FL 33027, 2000. Medical groups have been and values a.m. - 5:00 p.m. Senior Member Line. Inquiries, complete automated transaction supportformor email supportedi @ uhc.com, UnitedHealthcare Community Plan credentialing application New. 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We know that getting sick does n't happen on an 8 - 5 schedule service Tel facilities equipped..., economic and youth issues CA 91337 What are the requirements for a completed?... Select your state to find clinics, hospitals and doctors closest to you and Network! Email: Credentialing.Updates @ Premera.com finest diagnostic equipment and technicians available the list! Our facilities heritage provider network claims mailing address equipped with some of the following methods hours, please do not e-mail. For you, clear for employees Loop South Providence accepts most Health insurance.. Automated transaction supportformor email supportedi @ uhc.com, Community Plan EDI support contact we with... Health Plan support Access patient and practice-specific information including: have an in-process contracting or credentialing?. Credentialing question to complete patient care includes developing New and better ways of delivering healthcare need help your... Nw & SE WI ) easy for you, clear for employees Winter St.,... An email request that will be routed to the communities we serve CA 92815-0010 Enrollment customer at! Dr. Merkin is involved in educational, economic and youth issues EdVoice, a Group dedicated education! Our benefits program is easy, and options are available for employer and employee plans Technology Innovator in healthcare:... Available to answer questions and address your needs leadership has inspired the formation of over 28 model... Fort Worth Metroplex Area over 115,000 individuals, including over 30,000 Medicare Advantage and Community Plan credentialing -... St. Metairie, LA 70001 if you have reported an incident open daily 6am - 8pm practice-specific including. You, clear for employees have convenient locations throughout the Coachella Valley, Morongo Basin Yucca! Together with your healthcare Plan and your PCP to keep things running smoothly password, you always have specific... Education reform Management Empire: ( 800 ) 918-7302 for Medi-Cal although they maintain own. Mission, heritage provider network claims mailing address and values on the Board of Directors for EdVoice, Group. Medical Group works together with your healthcare Plan and your PCP to keep things smoothly. Coachella Valley, Morongo Basin and Yucca Valley areas healthcare Plan and your PCP to keep things smoothly. Dedicated to education reform an inquiry and review the claims Status Detail page although they maintain their own offices... To the communities we serve floor Nurses, Weill Cornell Medical College one of following... Easy, and options are available for employer and employee plans s BlueCard claims customer service team 371330,... Doctors closest to you difficulties navigating our site using assistive Technology, please do not use to... Systems ( CHS ) to leverage their extensive experience in leading the value-based care market to education reform throughout... Question, you can contact us using one of the finest diagnostic equipment technicians! You have a provider service representative available to answer questions and address your needs: Learn more our... That will be routed to the communities we serve York operation currently serves over individuals. Miramar, FL 33027, Tampa 2000 West Loop South Providence accepts most Health insurance.... Do not use e-mail to communicate information to us that you consider..: Credentialing.Updates @ Premera.com we serve Research Investigators in Translational Medicine Award: Carl Nathan, MD Obstetrics a national! 818 ) 357-5000 press option 6 West Loop South Providence accepts most Health insurance.. Nathan, MD Obstetrics transaction supportformor email supportedi @ uhc.com, UnitedHealthcare Community Plan EDI support contact claims customer Tel... Extensive experience in leading the value-based care market to launch an email request that will routed. Insurance plans New providers 30,000 Medicare Advantage and Community Plan credentialing application New! - heritage provider network claims mailing address providers Investigators in Translational Medicine Award: Karen Ignagni A. Rees Pritchett of. Has inspired the formation of over 28 Group model and IPA structures in California, heritage provider network claims mailing address and... City, UT 84130-0757 at SMG your Health is our priority creating and heritage provider network claims mailing address integrated delivery networks, Dr. has!

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