Network Resources. 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. Northridge, CA 91325 Regal Medical Group works together with your healthcare plan and your PCP to keep things running smoothly. Attn: Provider claim disputes To join our Heritage Provider Network, fill out our Provider Enrollment Inquiry Form. . 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. 400 E. Business Way Outside of healthcare, Dr. Merkin is involved in educational, economic and youth issues. Our facilities offer superior patient convenience by providing Urgent Care, Pharmacy, Lab, Radiology, Pediatrics and a variety of specialty services at one convenient site. The New York operation currently serves over 115,000 individuals, including over 30,000 Medicare Advantage beneficiaries. 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. Terms of Use | Privacy Policy, Specialist, acute care, or post-acute care working extensively with Primary Care providers, Focused on personalized care but want the advantages and tools of a large group. We re-credential providers every two years and conduct on-site audits. Richardson, TX 75080, Medicare Advantage and Community Plan 800-903-5253, Network Management Salt Lake City, UT 84131-0364, Network Management As a Heritage Vision Plans Provider, you are the public face of the vision care programs we provide, and we value the relationship we have with you. 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 commitment to complete patient care includes developing new and better ways of delivering healthcare. 8th Floor 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. He founded the Heritage Medical Research Institute, a non-profit medical research corporation emphasizing health care quality and outcomes studies. P.O. (818) 654-3400 or (866) 654-3471 Indianapolis, IN 46278, Northwest IN - Lake, Porter & Laporte Counties Ph: 714.937.6143. One way that we keep your overall health care costs low is by emphasizing preventative care in order to keep you healthy. Mental health. 800-307-4959, Northern and Grant 800-600-9007, Jacksonville HPNs medical and administrative management organization assesses internal and external statistical data and surveys to monitor compliance with medical policies, procedures and standards. Company Summary. In partnership with CHS, we have developed population health, clinical, care management, quality reporting, and telehealth capabilities. 9100 Shelbyville Road 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. Heritage Vision Plans makes vision benefits easy for everyone: for benefits managers and, most importantly, for employees using the benefits. Hartford, CT 06103, UnitedHealthcare Oxford Health Plan Chattanooga, TN 37421, Tri-Cities claim submissions. 888-478-4760, Network Management Hearing loss affects 1 in 9 Americans, get the care you deserve. 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. All members of CCPN can access a full range of services, programs and specialists through these contracted providers. 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. Carolinas_Physician_Contracting@uhc.com, Network Management 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 600 At SMG your health is our priority. Our goal is to help you make better care decisions for yourself and your family. 800-527-0531. Through innovative programs and services designed specifically for the managed care environment, HPN and its medical groups have been successful in delivering the goals it set out to achieve while establishing long-standing, favorable provider relationships. Omaha, NE 68164 With a reputation built on quality, flexibility and responsiveness, Heritage provides superior vision plans at competitive prices. Centennial, CO 80111, Network Management Our experienced staff understands that a timely claims conclusion is important for all parties involved. 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. P.O. West: uhc-network-wpa@uhc.com We believe the most important aspect of healthcare is tending to the personal needs of our patients. *for Medicare members hours are 8 a.m. to 8 p.m. in all time zones, call 1.855.492.9028. Suite 1700 Dublin, OH 43016 170 Wood Ave. South With 6 urgent cares in your area, why not save time and money? Professor of Medicine, New York Medical College; Chief of Medicine, NYC Health + Hospitals/Metropolitan. HDMG has a long-standing promise to provide residents of the Antelope Valley with the highest quality health care possible. Philadelphia, PA 19103, Network Management How do I join and qualify to become a Heritage participating in-network provider? Our ultimate goal is to enable providers to focus on doing wellin caring for patients, staff, and achieving financial objectives in the practice. 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. For ER admission/Urgent admission post stabilization, please reach out to us at (833) 554-2958. Just like yours. Customer Service (818) 357 . Medicare Advantage and Community Plan Mailing Address Nebraska Total Care 2525 N 117th Ave, Suite . Suite 1100 At SMG, we work hard to ensure that our patients receive quality medical care. Our facilities are equipped with some of the finest diagnostic equipment and technicians available. We have convenient locations throughout the Coachella Valley, Morongo Basin and Yucca Valley areas. 888-650-3462, 6860 West 115th St. 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. uhc-network-de@uhc.com, 1818 Market St. hdmg.net 12370 Hesperia Road Ste. As a Heritage Vision Plans provider, you always have a provider representative available to answer questions and address your needs. (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 Help desk: 800-797-9791 Obstetrics. Heritage Technology Innovator in Healthcare Award: Gil Addo CEO and Co-founder, RubiconMD. East: uhc-network-epa@uhc.com, Pittsburgh west Suite 200 Coastal Communities Physician Network (CCPN) 2717 North 118th St., Suite 300 Competitors: Unknown. 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. View information for out-of-area providers. Chicago, IL 60601 93534 USA. GANetworkOPS_fac-anc@uhc.com, Physician Contracting Bakersfield Family Medical Center provides excellence in health care to our patients in professional settings that promote wellness and preventive medicine in Kern County. DOHCs services include access to 6 Immediate and Urgent Care Centers - Bermuda Dunes, Indio, Palm Desert, Palm Springs and Yucca Valley. To check claims status or dispute a claim: From the Availity home page, select Claims & Payments from the top navigation. Heritage Healthcare Leadership Award: Karen Ignagni. Login Now. 800-853-3844, Our tools are supported using Microsoft Edge, Chrome and Safari. Salt Lake City, UT 84131, Member Grievance & Appeals: We are provider-led and primary care-focused with a wide network of specialty relationships. Bioscrip-specialty drug: 800-584-0265, Network Management 322 East Front St Medicare Advantage and Community Plan 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. Heritage Provider Network Address 8510 Balboa Blvd #150 Los Angeles, CA 91325 USA Industry Finance and Insurance View all jobs at Heritage Provider Network Report Job Search Results Near Los Angeles, CA Computer Integration Technologies CLEO Cycle Repair CGS All Jobs Hospital Claims Jobs Because Medicaid is a state-run program, requirements vary by state and BCBS . Contacts --Contact Business. 888-887-9003, Network Management This forward-thinker has forever changed the way care systems work through new models, processes and pathways. Suite 1170 200 E Randolph St Through innovative programs and services designed specifically for the managed care environment, HPN and its medical groups have been . Mon-Fri 7:30 am - 4 pm ST. Our Services. P. O. 877-670-8432, Provider Relations Physician and Hospital Advocate Team Our goal is to help you make better care decisions for yourself and your family. Heritage Provider Network is located at 39115 Trade Center Dr in Palmdale and has been in the business of Computer Related . Our team of healthcare professionals is available and ready to help you with all of your medical needs. Phone: 877-7NYSHIP, Long Island and metro Health-care provider is working with an adviser to assist it. First Name *. 6465 Greenwood Plaza Blvd. Empire: (844) 638-0404. 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. Columbia, SC 29210, Network Management To submit electronically, email to AssignmentofBenefits@Heritagepci.com To submit by regular mail or via overnight mail send to: Heritage Property & Casualty Insurance Attn. Provider Relations Physician and Hospital Advocate Team Our Approach. 800-495-5285 Cleveland UnitedHealthcare Sierra Medical Group (SMG) 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. 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. Our facilities offer superior patient convenience by providing Urgent Care, Pharmacy, Lab, Radiology, Pediatrics and a variety of specialty services at one convenient site. 10151 Deerwood Park 5757 Plaza Drive Provider Lookup . With more than 150 highly-trained doctors in virtually every specialty, our medical excellence extends from primary care to leading edge surgical procedures. Box 740371 950 Winter St. are there to assist when you have reported an incident. 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. 800-638-3302 Claims. Lakeside Medical Group (LMG) We make it our priority to provide help when you need it most. 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. 950 Winter St. P.O.Box 31365 That size works to your advantage, allowing us to be there to coordinate all of your health care, when and where you need us. Office visits. Suite 1900 Columbia, MD 21044, Health plan support 2425 James St. 866-270-5785, San Diego County Send Message. Cincinnati, OH 45241, Northeast We collaborate with our physicians to provide quality care, while focusing on minimizing your out of pocket expenses. Mail Route CT039-10A 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. 2720 North Tenaya Way Box 371330 Reseda, CA 91337 What are the requirements for a completed claim? As a Heritage Vision Plans provider, you always have a provider service representative available to answer questions and address your needs. New York, NY 10119, Health plan support (800) 414-5860 for Commercial & Medicare. DOHCs services include access to 6 Immediate and Urgent Care Centers - Bermuda Dunes, Indio, Palm Desert, Palm Springs and Yucca Valley. Highlighting cutting edge applications of technology and up-and-comers in the healthcare industry. jgluck@heritagemed.com. NetworkHelp@uhc.com, UnitedHealthcare Community Plan of Georgia (Medicaid) AOB Department 1401 N Westshore Blvd Tampa, FL 33607 Platinum Preferred Savings Program Members 818 Market St. Pioneer Provider Network, A Medical Group, Inc . Attn: CA124-0197 We have convenient locations throughout the Coachella Valley, Morongo Basin and Yucca Valley areas. Dr. Merkins commitment to supporting academic research runs deep. Learn more about becoming a Premera provider. They are always pleasant, patient and more than willing to assist whenever I call! Indianapolis, Fort Wayne, Southeast and Southwest Most solutions are at your fingertips using the UnitedHealthcare Provider Portal. 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. In addition, our Urgent Care is now open daily 6am - 8pm. UnitedHealthcare PO Box 31365 Salt Lake City, UT 84131. Provider portal. Salt Lake City, UT 84131-0364, HMO-SNP Part D only Desert Oasis Health Care (DOHC) westprteam@uhc.com, Network Management 866-842-3278, option 1, Electronic Data Interchange (EDI) Suite 900 This organization has created or championed new ways of thinking and doing, uniting diverse constituencies to work together. We are affiliated with most major health plans, including many HMOs. 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. The theory is, if hospitalizations can be predicted, preventive measures can be taken and unnecessary hospitalizations can be avoided. Your dispute must contain the following information: Provider's name Provider's identification number Electronic submission Information/ Mail address Phone Authorizations Claims MLKH Martin Luther King Jr. Multi-Service Ambulatory Care Center . Box 30760 We collaborate with our physicians to provide quality care, while focusing on minimizing your out of pocket expenses. Philadelphia, PA 19103, 475 Kilvert St. Click to launch an email request that will be routed to the appropriate customer care team. 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. Add value to your clients benefits package. Attn: Claims Processing. Box 10 Anaheim, CA 92815-0010 Enrollment Customer Service Tel. Request . Salt Lake City, UT 84131-0365 All Savers Health Plan Suite #375 Provider Profile Details: NPI Number Details: Provider Business Mailing Address Details: Provider's Primary Taxonomy Details: Secondary Taxonomy Details: (661) 327-4411 Detroit, Eastern, Western and Northern and Upper To speak to a VSP customer service representative, call 1.800.877.7195. 9700 Health Care Lane, Heritage Victor Valley Medical Group (HVVMG) 888-239-3909. With an important distinction. Heritage Provider Network (HPN) is a limited Knox-Keene licensed organization in California that provides affordable quality care to its members. Need access to the UnitedHealthcare Provider Portal? #300 795 Woodland Pkwy Access ID Card. Richard Merkin, M.D. We accept over 85 different health plans, including HMO, PPO, POS, EPO, Private and Medicare plans. High Desert Medical Group (HDMG) Milwaukee, WI 53214, Medicare Advantage and Community Plan Payer ID#: 87726 (EDI claims submission), Pharmacy 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. Salt Lake City, UT 84130-0884, Disputes We believe the most important aspect of healthcare is tending to the personal needs of our patients. Our team of 1,700 physicians ensures you have access to health care's brightest minds and biggest hearts across Orange County . 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