P. O. 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. Please call our toll free numbers for more information: (800) 918-7302 for Medi-Cal. Our facilities are equipped with some of the finest diagnostic equipment and technicians available. Highlighting cutting edge applications of technology and up-and-comers in the healthcare industry. Miami, FL 33156 Request a copy of your contract Claims Status. 800-527-0531. Blue Cross and Blue Shield (BCBS) Plans currently administer Medicaid programs in several states. Seattle, WA 98101, Network Management Sierra Medical Group represents the future of medicine. Minnetonka, MN 55343, Network Management Box 61063 UnitedHealthcare commercial and UnitedHealthcareMedicare Advantage plans are there to assist when you have reported an incident. UnitedHealthcare (800) 500-5215 or (760) 320-5134 Heritage Provider Network CLAIM THIS BUSINESS. Easy for you, clear for employees. Mail. Boise, ID 83702, Provider Relations Physician and Hospital Advocate Team All members of Heritage Physician Network can access the full range of services, programs and specialists offered by BFMC. UnitedHealthcare . Mansfield, Texas 76063. 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. Behavioral health prior authorization fax: 877-840-5581, Claims Your dispute must contain the following information: Provider's name. One way that we keep your overall health care costs low is by emphasizing preventative care in order to keep you healthy. View all open positions on our careers page. As a result, your billing office may see some differences in the claim edits and response files from WellCare. United States. 1 Penn Plaza 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. Heritage has $600 million to $700 million of annual Ebitda. Austin, Houston & San Antonio Referrals. 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 84131-0365 For almost 30 years, Crain's New York Business has been the award-winning news source for New York's business leaders, telling the story of the New York economy, while serving as a voice and advocate for the city's business community. Sacramento, CA 95826, Claims & Medical Records 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: Find the right contact I need to contact Clear Inputs about TTY users: To reach any number listed here, dial 711. Warwick, RI 02886, Optum Behavioral Health Suite 400 With Heritage, members receive exclusive discounts on Lasik eye surgery from our partners at LasikPlus. (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 Medicare Fee-For-Service beneficiaries and health plan members can expect the highest quality, coordinated care from a primary care or specialist provider participating in HPN. Reporting through the prism of business, Crain's helps its readers stay on top of the inner workings of New York's economic and political ecosystem, uncover new business opportunities and connect with the broader New York business community. Contact Us: Home Contact Us: Network Support Services. 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. Prior authorization fax: 800-267-8328 If you are having difficulties navigating our site using assistive technology, please contact Customer Service at 1.800.282.7648 for help. Company Summary. 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. 795 Woodland Pkwy 2000 West Loop South Pittsburgh, PA 15212, Philadelphia east 24/7 behavioral health and substance use support line. NetworkHelp@uhc.com, UnitedHealthcare Community Plan of Georgia (Medicaid) 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. Centennial, CO 80111, Network Management Tampa, Florida 33607, Preferred Care Partners and Preferred Care Network Box 30884 Our culture has strong ties to supporting the local community through providers preserving their independent practice using our group environment. P.O. One way that we keep your overall health care costs low is by emphasizing preventative care in order to keep you healthy. 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. Most solutions are at your fingertips using the UnitedHealthcare Provider Portal. HPN has implemented rigorous programs to review utilization, quality assurance compliance, medical risk management and patient issues and concerns. has more than 35 years of experience in health care with specific expertise in the development and administration of integrated delivery systems. We are affiliated with most major health plans, including many HMOs. In addition, our Urgent Care is now open daily 6am - 8pm. Heritage Provider Network (HPN) is a limited Knox-Keene licensed organization in California that provides affordable quality care to its members. Box 5290 Richard Merkin, M.D. Box 31364 View information for out-of-area providers. Suite 900 6465 S. Greenwood Plaza Blvd. Yes. We have convenient locations throughout the Coachella Valley, Morongo Basin and Yucca Valley areas. In addition, our Urgent Care is now open daily 6am - 8pm. 800-666-1353, 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. 13 Cornell Road CMS 1500 form completion. Kingston, NY 12401 NC_Net_Mgmt@Optum.com, Health Plan Support Just like yours. 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. 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. At any time, on any device you can: As expressions of God's healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable. How can we help? 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. Smart vision plans. Reseda, CA 91337. Email. 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. Answering phones, and assisting with claims status, assisting providers and members with claims documentation, logging and maintaining claim information. 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 If your request involves a specific facility, please select it - otherwise, select "General". 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. 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. Box 31364 Need access to the UnitedHealthcare Provider Portal? 800-600-9007, Jacksonville 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. Login to view member eligibility, claim status, submit claims and more. Dr. Merkins commitment to supporting academic research runs deep. Heritage Sierra Medical Group Headquarters, 44469 10th Street West, Lancaster, CA, 93534, United States, Utilization Management - Clinical Criteria & Availability of Clinical Criteria (2021). This site is compatible with: Fax: 615-372-3564, Southeast 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. 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. Suite 1100 Help desk: 800-797-9791 Atlanta, GA 30328, Network Management Track Deductibles and Out of Pockets. Heritage Vision Plans makes vision benefits easy for everyone: for benefits managers and, most importantly, for employees using the benefits. Suite 110 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. Medicare Advantage Plans Richardson, TX 75080, Network Management 877-651-6677, Network Management Together, we partner with local hospitals, medical experts and business leaders, and we actively support numerous organizations, educational, cultural and recreational events. 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. Bakersfield Family Medical Center provides excellence in health care to our patients in professional settings that promote wellness and preventive medicine in Kern County. 877-614-0484. HPNs medical and administrative management organization assesses internal and external statistical data and surveys to monitor compliance with medical policies, procedures and standards. Minnetonka, MN 55343 With over 50 Primary Care Providers, 300 Specialists and 3 local hospitals in our network, Heritage Sierra Medical Group takes pride in Starting . Makes Vision benefits easy for everyone: for benefits managers and, most importantly, for employees the! Some of the finest diagnostic equipment and technicians available following information: Provider & # x27 s... 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