6465 Greenwood Plaza Blvd. . Outside of healthcare, Dr. Merkin is involved in educational, economic and youth issues. The complete list of 25 finalists can be found at www.crainsnewyork.com/heritage. Referrals. Atlanta, GA 30328, Network Management At SMG your health is our priority. 185 Asylum St. Customer Service (818) 357 . 170 Wood Ave. South Are you a provider outside of Washington or Alaska? 800-291-2634, Medicare Advantage and Community Plan 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. Mental health. Patients may have access to additional benefit enhancements and healthcare programs thanks to their doctors participation in HPN. 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. HDMG has a long-standing promise to provide residents of the Antelope Valley with the highest quality health care possible. West Des Moines, IA 50266, Health plan Support All members of Heritage Physician Network can access the full range of services, programs and specialists offered by BFMC. Attn: CA124-0197 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. Maryland Heights, MO 63043, Network Management Our facilities offer superior patient convenience by providing Urgent Care, Pharmacy, Lab, Radiology, Pediatrics and a variety of specialty services at one convenient site. 107 Westpark Blvd. These IPA physicians remain affiliated with BFMC although they maintain their own individual offices. 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. We'll use your location to find clinics, hospitals and doctors closest to you. 3803 N. Elm St. Medicare Advantage and Community Plan 800-527-0531. 888-866-8297, Provider Relations Physician and Hospital Advocate Team Contact information for Heritage Provider Network, media relations, and our medical groups are as follows. Find the right contact I need to contact Clear Inputs about TTY users: To reach any number listed here, dial 711. Suite 2600 Suite 230 Waltham, MA 02451, Network Management Suite 300 To obtain a provider dispute form, please contact the Appeals Coordinator at (818) 654-3400. Salt Lake City, UT 84131-0364, HMO-SNP Part D only 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. Whether you are a primary care physician or specialist, we invite you to become a part of our growing organization. Give us a call. Las Vegas, NV 89128, Medicare Advantage and Community Plan DOHCs services include access to 6 Immediate and Urgent Care Centers - Bermuda Dunes, Indio, Palm Desert, Palm Springs and Yucca Valley. 2 Allegheny Center View Top Employees from Heritage Provider Network A completed claim must be submitted on a CMS-1500 form for professional services and a CMS-1450 form for hospital/facility services and must have the following information: As a Heritage provider, your information will be included in our Heritage Provider Directory. (818) 637-2000 Overland Park, KS 66211, Medicare Advantage and Community Plan 800-328-8835, Network Management OptumRx fax (specialty medications) 800-853-3844. One way that we keep your overall health care costs low is by emphasizing preventative care in order to keep you healthy. 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. 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. Most solutions are at your fingertips using the UnitedHealthcare Provider Portal. We re-credential providers every two years and conduct on-site audits. Update Your Provider Information. 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. 2717 North 118th St., Suite 300 With more than 90 physicians and locations throughout South Orange County, our physicians will treat you when you're sick, and keep you well with innovative programs and specialized services. P.O. Medical Group Inquiries (Member services, provider relations, claims): Bakersfield Family Medical Center (BFMC) Our facilities offer superior patient convenience by providing Urgent Care, Pharmacy, Lab, Radiology, Pediatrics and a variety of specialty services at one convenient site. Reseda, CA 91337. Suite 500 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. The New York operation currently serves over 115,000 individuals, including over 30,000 Medicare Advantage beneficiaries. 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. 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. 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. Centennial, CO 80111, Network Management 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. Competitors: Unknown. 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. Metairie, LA 70001 Our ultimate goal is to enable providers to focus on doing wellin caring for patients, staff, and achieving financial objectives in the practice. In addition to creating and growing integrated delivery networks, Dr. Merkin has a long-standing interest in both prevention and cure. Our Approach. 5900 Parkwood Place 5th floor 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. 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. 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 Prior authorization fax: 866-940-7328 Our programs include Living and Aging Well, Home Health Services and Medication Management Services which are committed to improving your health proactively. 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) broker portal. 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. Starting on January 1, 2021, WellCare of Nebraska will be operating on Healthy Blue systems, which will require providers to be enrolled with Healthy Blue and submitting claims in accordance with their Nebraska Medicaid enrollment profile. Implementing our benefits program is easy, and options are available for employer and employee plans. Box 4380. 800-328-8835, Network Management For that reason, to protect your privacy, please do not use e-mail to communicate information to us that you consider confidential. Salt Lake City, UT 84131, Member Grievance & Appeals: UnitedHealthcare Community Plan 2717 N 118th Street, Suite 300 Omaha, NE 68164. 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. Heritage Vision Plans makes vision benefits easy for everyone: for benefits managers and, most importantly, for employees using the benefits. (800) 414-5860 for Commercial & Medicare. Suite 300 24/7 behavioral health and substance use support line. View claims and EOBs. In addition, our Urgent Care is now open daily 6am - 8pm. Suite 1250 (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 We also believe that during a visit to your doctor, the focus should be on health and wellness. 2nd Floor For details about provider contracting, please contact us . 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 For more than 25 years, we've been fortunate to have an impressive team of health care professionals, administrators, support personnel and dedicated volunteers who work in unison to help us deliver on our promise. Bakersfield Family Medical Center provides excellence in health care to our patients in professional settings that promote wellness and preventive medicine in Kern County. GANetworkOPS_fac-anc@uhc.com, Physician Contracting 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. Our commitment to complete patient care includes developing new and better ways of delivering healthcare. 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. Mailing Address Nebraska Total Care 2525 N 117th Ave, Suite . 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. Claims Address Nebraska Total Care Attn: Claims PO Box 5060 Farmington, MO 63640-5060. Mission Heritage Medical Group 1148.3 miles away Mon - Fri : 8 a.m - 5 p.m Our Approach Serving Mission Viejo, California Mission Heritage Medical Group is home to a team of board-certified primary care physicians and specialists serving the South Orange County communities. 888-887-9003, Network Management 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. Fax: 859-825-6173, Louisville Seattle, WA 98101, Network Management Heritage Healthcare Organizational Leadership Award:Steven Safyer, MD 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). Behavioral health prior authorization fax: 877-840-5581, Claims Heritage Technology Innovator in Healthcare Award: Gil Addo CEO and Co-founder, RubiconMD. We accept over 85 different health plans, including HMO, PPO, POS, EPO, Private and Medicare plans. View patient deductibles/out of pocket amounts. Dallas Fort Worth Metroplex Area. Learn more about our mission, vision and values. 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. TTY/TTD Members should call 711. Open 8 a.m. to 5 p.m., Monday through Friday, excluding holidays. Dr. Merkins commitment to supporting academic research runs deep. Little Rock, AR 72201 Consolidated Portal. San Diego, CA 92121, Sacramento County 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. Box 30757 "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. UnitedHealthcare You should be discussing things like prevention, diagnosis, treatment and healing, not coverage, networks, claims, regulations and billing. Through innovative programs and services designed specifically for the managed care environment, HPN and its medical groups have been . Members who choose physicians of CCPN will see their doctors in their conveniently located private offices and also have access to a whole network of out-of-area specialists. 866-842-3278, option 1, Electronic Data Interchange (EDI) Box 2300 These IPA physicians remain affiliated with BFMC although they maintain their own individual offices. Individual Exchange plans A strong advocate for education, Dr. Merkin is on the boards of The Alliance for College-Ready Public Schools and the office of the Education Master Plan, organizations dedicated to helping the California educational system. 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. 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. 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. Cincinnati, OH 45241, Columbus Mission: We have designed our networks . 5757 Plaza Drive UnitedHealthcare commercial and UnitedHealthcareMedicare Advantage plans Affiliated Doctors of Orange County (ADOC) Nurses . Our tools are supported using Microsoft Edge, Chrome and Safari. Developing and managing coordinated, patient-doctor centric, integrated health care systems that offers some of the strongest solutions for the future of health, care and cost in the United States. 4365 Executive Drive 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. Medicare Advantage and Community Plan 866-331-2243, Network Management 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. 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 Contact Us: Home Contact Us: Network Support Services. 800-853-3844, Our tools are supported using Microsoft Edge, Chrome and Safari. Submit an inquiry and review the Claims Status Detail page. Provider Relations Physician and Hospital Advocate Team Help desk: 800-797-9791 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. 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. 2100 Riveredge Pkwy. 800-600-9007, 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 Provide a description of the damage, and if possible, have your policy number handy. P.O. 1 East Washington 1001 Lakeside Ave. 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. Box 31364 MyChart makes it easy to get care and manage your health including checking in for your next appointment. Contact. 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 priority complete patient care includes developing New and better ways of delivering healthcare we 'll your. 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