950 Winter St. (800) 747-2362, Heritage Provider Network 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. Ph: 714.937.6143. Answering phones, and assisting with claims status, assisting providers and members with claims documentation, logging and maintaining claim information. Compassion, Dignity, Justice, Excellence, Integrity. Claims Mailing Address. Suite 1170 MyChart makes it easy to get care and manage your health including checking in for your next appointment. Lexington, KY 40503 Implementing our benefits program is easy, and options are available for employer and employee plans. Milwaukee, WI 53214, Medicare Advantage and Community Plan Houston, TX 77027, Dallas, East, West & North Texas northeastprteam@uhc.com, Network Management 1132 Bishop St. 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. 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. 1311 W. President George Bush Highway PO Box 70014. 800-291-2634, Medicare Advantage and Community Plan Health-care provider is working with an adviser to assist it. 1 East Washington These breakthrough innovators are making significant contributions in the areas of technology, research, or new approaches to healthcare systems. Minnetonka, MN 55343 UnitedHealthcare Community Plan of North Carolina (Medicaid) Our facilities are equipped with some of the finest diagnostic equipment and technicians available. Box 30760 Smart vision plans. Box 740371 We re-credential providers every two years and may conduct on-site quality assurance audits. Providence Affiliated Physicians - St. Joseph, St. Jude and Mission have come together as a network of dedicated health care professionals with one central vision - making our community its healthiest. 5757 Plaza Drive Suite 1900 Our tools are supported using Microsoft Edge, Chrome and Safari. P.O. 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. We accept over 85 different health plans, including HMO, PPO, POS, EPO, Private and Medicare plans. 888-887-9003, Network Management Richard Merkin, M.D. Maryland Heights, MO 63043, Network Management If your request involves a specific facility, please select it - otherwise, select "General". Kingston, NY 12401 Add value to your clients benefits package. 800-210-8315, API Support St. Joseph. Tampa, Florida 33607, Preferred Care Partners and Preferred Care Network Recognizing a leader in the New York area that has demonstrated significant impact in their healthcare field. Easy for you, clear for employees. 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. Email: Credentialing.Updates@Premera.com. Behavioral health (inpatient): 1-844-430-1702. Sign up with your email address to receive news and updates. https://www.providerexpress.com/content/ope-provexpr/us/en/our-network.html, Health Plan Support P.O. Columbia, MD 21044, Health plan support Suite 1900 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. Suite 300 Together, we partner with local hospitals, medical experts and business leaders, and we actively support numerous organizations, educational, cultural and recreational events. Reston, VA 20191, Network Management Sierra Medical Group represents the future of medicine. This forward-thinker has forever changed the way care systems work through new models, processes and pathways. When youre ready, call your physicians office or schedule an appointment online. 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. 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. Suite #375 HPNs medical and administrative management organization assesses internal and external statistical data and surveys to monitor compliance with medical policies, procedures and standards. For more information, call (866) 654-3471 and request Network Management. Send Message. View real time claims and eligiblity. Detroit, Eastern, Western and Northern and Upper All members of CCPN can access a full range of services, programs and specialists through these contracted providers. 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). Provider's identification number. Your dispute must contain the following information: Provider's name. Cleveland At SMG, we work hard to ensure that our patients receive quality medical care. 2 Allegheny Center P.O. ", "We are very proud to be the exclusive media partner of Heritage Provider Network for their 2nd year of their Heritage Healthcare Innovation Awards initiative, as they seek to recognize health care innovators who have improved the lives of millions of New Yorkers" said Jill Kaplan, Vice President and Publisher of Crain's New York Business. Miami, FL 33156 As a Heritage Vision Plans provider, you always have a provider service representative available to answer questions and address your needs. 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). Send your new credentialing application by mail, fax, or email: Mail: PO Box 327 - MS 263 Seattle, WA 98111-0327. 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. Lexington Our programs include Living and Aging Well, Home Health Services and Medication Management Services which are committed to improving your health proactively. Suite 1700 Suite 100 Dr. Merkins commitment to supporting academic research runs deep. 7440 Woodland Drive Box 5290 Centennial, CO 80111, Network Management For details about provider contracting, please contact us . sd_contracting@uhc.com, Network Management Salt Lake City, UT 84120, Network Management Coastal Communities Physician Network. 800-690-1606, Network Management 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. P.O. Call toll free 800.252.2053 or click here to send us your inquiry. ForElectronic Data Interchange (EDI)inquiries, complete automated transaction supportformor email supportedi@uhc.com, Community Plan EDI support 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. NetworkHelp@uhc.com, UnitedHealthcare Community Plan of Georgia (Medicaid) 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. Fax: 425-918-4766. 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 goal is to help you make better care decisions for yourself and your family. 43879 15th St West. P.O. As a Heritage provider, your information will be included in our Heritage Provider Directory. Box 4380. Fax: 615-372-3564, Northern Network Management Access patient and practice-specific information including: Have an in-process contracting or credentialing question? Richardson, TX 75080, Network Management 800-495-5285 1208 Pointe Centre Drive mo_network_mgmt@uhc.com View Verification of Benefits. Pioneer Provider Network, A Medical Group, Inc . All members of Heritage Physician Network can access the full range of services, programs and specialists offered by BFMC. 10175 Little Patuxent Parkway Easy for you, clear for employees. Kingston, NY 12402-5290, Behavioral health Quest Integration Salt Lake City, UT 84131-0364, Network Management Box 371330. Sierra Medical Group represents the future of medicine. Our commitment to complete patient care includes developing new and better ways of delivering healthcare. Obstetrics. Suite 900 Call 911 if you have a life-threatening emergency. 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. 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. Our facilities offer superior patient convenience by providing Urgent Care, Pharmacy, Lab, Radiology, Pediatrics and a variety of specialty services at one convenient site. Heritage Vision Plans makes vision benefits easy for everyone: for benefits managers and, most importantly, for employees using the benefits. 3838 N. Causeway Blvd. He founded the Heritage Medical Research Institute, a non-profit medical research corporation emphasizing health care quality and outcomes studies. 400 E. Business Way Honoring an organization that has fundamentally changed how healthcare is delivered. All members of CCPN can access a full range of services, programs and specialists through these contracted providers. 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. Email: claims@hcpipa.com (secure email only) Membership Eligibility 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. 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. Heritage Physician Network (HPN) IPA is an independent physician association organized in 1995 by independent practices in the Houston metropolitan area and has grown to over 800 providers. UnitedHealthcare UHN AL With over 50 Primary Care Providers, 300 Specialists and 3 local hospitals in our network, Heritage Sierra Medical Group takes pride in Starting . 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. All paper claims must be mailed to: Lakeside Community Healthcare Attn: Claims Department P. O. Provider Service Contact Number; Health Net Provider Services Center (Except Medi-Cal and Medicare) . Our goal is to help you make better care decisions for yourself and your family. Columbia, SC 29210, Network Management Over 800 providers in the HPN work together to provide high-quality healthcare to their patients through coordinated care while experiencing practice . 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. Our claims department is at your service 24 hours a day, 7 days a week. Our commitment to complete patient care includes developing new and better ways of delivering healthcare. Our purpose is to provide our individual participating practices with the benefits derived from belonging to a larger group, such as potential improvement in Medicare Fee-For-Service rates, value-based programs offered by health plans, group purchasing programs, and financial incentives. UnitedHealthcare 2717 North 118th St., Suite 300 In addition to creating and growing integrated delivery networks, Dr. Merkin has a long-standing interest in both prevention and cure. Care decisions for yourself and your family makes it easy to get care and manage health. Or schedule an appointment online provider Directory Microsoft Edge, Chrome and Safari Lakeside Community healthcare Attn: claims P.., research, or new approaches to healthcare systems information, call ( 866 ) 654-3471 request! 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