How do I join and qualify to become a Heritage participating in-network provider? Salt Lake City, UT 84131-0364, Network Management Minnetonka, MN 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. We know that getting sick doesn't happen on an 8 - 5 schedule. Salt Lake City, UT 84131, Member Grievance & Appeals: In 2006, The Richard Merkin Middle School opened its doors in Los Angeles which is committed to bringing first-rate education to an under-served area. As a Heritage Vision Plans provider, you always have a provider service representative available to answer questions and address your needs. 800-711-4555, OptumRx fax (non-specialty medications) Heritage has $600 million to $700 million of annual Ebitda. 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. (800) 414-5860 for Commercial & Medicare. 495 North Keller Road #200 Coastal Communities Physician Network. AmTrust prides itself on handling claims with speed and efficiency. We believe the most important aspect of healthcare is tending to the personal needs of our patients. Suite 1900 Detroit, Eastern, Western and Northern and Upper Metairie, LA 70001 Our goal is to help you make better care decisions for yourself and your family. "Our Heritage New York Healthcare Innovation Award winners reflect the dream, spirit and promise of healthcare innovation we all strive for. "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. Nebraska_network@uhc.com, Iowa/Quad Cities 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). With Heritage, members receive exclusive discounts on Lasik eye surgery from our partners at LasikPlus. Suite 300 Salt Lake City, UT 84130-0757 One way that we keep your overall health care costs low is by emphasizing preventative care in order to keep you healthy. 5900 Parkwood Place, 5th Floor 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. HDMG has a long-standing promise to provide residents of the Antelope Valley with the highest quality health care possible. Easy for you, clear for employees. 5757 Plaza Drive Suite 230 Ridgeland, MS 39157 Medicare Advantage Plans New York, NY 10119, Health plan support TTY/TTD Members should call 711. Box 371330 Reseda, CA 91337 Your dispute can be submitted by a letter or by a provider dispute form. 800-666-1353, Network management (760) 245-4747 Overland Park, KS 66211, Medicare Advantage and Community Plan Our experienced staff understands that a timely claims conclusion is important for all parties involved. Dr. Neskovic's Story "I chose to commit to an exclusive relationship and I've had steady and consistent growth as a result. Get the most up-to-date claims status and payment information - all in 1 easy-to-use tool without mailing or faxing. Implementing our benefits program is easy, and options are available for employer and employee plans. With more than 150 highly-trained doctors in virtually every specialty, our medical excellence extends from primary care to leading edge surgical procedures. 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. southeastPRteam@uhc.com, Network Management 877-743-8734, Network Management San Luis Obispo, California 93401. 2525 Lake Park Blvd. Heritage Victor Valley Medical Group (HVVMG) We re-credential providers every two years and conduct on-site audits. 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. Cleveland, OH 44114, Dayton and Cincinnati (661) 327-4411 8th Floor Quest Integration He is a member of the board of the California Association of Physician Groups. Philadelphia, PA 19103, 475 Kilvert St. Behavioral health prior authorization fax: 877-840-5581, Claims Request . westprteam@uhc.com, Network Management Provider Service Contact Number; Health Net Provider Services Center (Except Medi-Cal and Medicare) . of Special Projects (661) 951-3224 ocampos@heritagemed.com Dallas Fort Worth Metroplex Area. Sierra Medical Group (SMG) We also believe that during a visit to your doctor, the focus should be on health and wellness. 800-291-2634, Medicare Advantage and Community Plan 3100 SW 145th Ave. 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. 877-542-9235, Network Management Personal service is one of the reasons our network of providers is so stable with an extremely low turnover rate. 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. Our facilities offer superior patient convenience by providing Urgent Care, Pharmacy, Lab, Radiology, Pediatrics and a variety of specialty services at one convenient site. 795 Woodland Pkwy 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) 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. Payer ID#: 87726 (EDI Claims Submission), Claims has more than 35 years of experience in health care with specific expertise in the development and administration of integrated delivery systems. Send us a message. Heritage Provider Network (HPN) is a limited Knox-Keene licensed organization in California that provides affordable quality care to its members. Columbia, SC 29210, Network Management Preventive health care services include employer-based health education programs, vaccinations and fitness programs. Request a copy of your contract 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. These IPA physicians remain affiliated with BFMC although they maintain their own individual offices. OptumRx fax (specialty medications) 800-853-3844. Dept. Just like yours. Corporate Office Number (818) 654-3400. Pioneer Provider Network, A Medical Group, Inc . (817) 477-0400. Medical Group Heritage Provider NetworkWeighs $9 Billion-Plus Sale. Latham, NY 12110, Upstate 7440 Woodland Drive We look forward to working with you. Salt Lake City, UT 84131-0364, HMO-SNP Part D only Philadelphia, PA 19103, Network Management We make it our priority to provide help when you need it most. (818) 637-2000 He is on the Board of Trustees at the California Institute of Technology and the Keck School of Medicine at the University of Southern California. We're located at 4550 California Avenue, Suite 100, in Bakersfield. Regal Medical Group works together with your healthcare plan and your PCP to keep things running smoothly. We aim to deliver quality, affordable healthcare to the communities we serve. 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. (TTY 711). 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. Suite 500 P. O. uhc-network-de@uhc.com, 1818 Market St. The Heritage Provider Network includes optometrists, ophthalmologists, and opticians. Richardson, TX 75080, Medicare Advantage and Community Plan Northridge, CA 91325 HPNs medical and administrative management organization assesses internal and external statistical data and surveys to monitor compliance with medical policies, procedures and standards. Provider Relations Physician and Hospital Advocate Team Answering phones, and assisting with claims status, assisting providers and members with claims documentation, logging and maintaining claim information. Waltham, MA 02451, Health plan support UnitedHealthcare commercial and UnitedHealthcareMedicare Advantage plans 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. Attn: CA124-0197 Heritage Provider Network Address 43879 15th St West Lancaster, CA 93534 USA Industry Finance and Insurance View all jobs at Heritage Provider Network Report Job Other Helpful Pages Related To Medical Claims Auditor All Jobs Medical Claims Auditor Jobs 4365 Executive Drive Medical Group Inquiries (Member services, provider relations, claims): Bakersfield Family Medical Center (BFMC) Our programs include Living and Aging Well, Home Health Services and Medication Management Services which are committed to improving your health proactively. P.O. Puerto Rico Network Management Smart vision plans. Awarded to an individual or team based on the most significant quantitative results achieved by accelerating the transition of novel and innovative diagnostic tools and treatments to patients. 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