Electronic submission Information/ Mail address Phone Authorizations Claims MLKH Martin Luther King Jr. Multi-Service Ambulatory Care Center . broker portal. (714) 937-6269 Bakersfield Family Medical Center provides excellence in health care to our patients in professional settings that promote wellness and preventive medicine in Kern County. 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. 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. HDMG has a long-standing promise to provide residents of the Antelope Valley with the highest quality health care possible. Most solutions are at your fingertips using the UnitedHealthcare Provider Portal. Miami, FL 33156 Your location: Learn more about our mission, vision and values. Blue Cross and Blue Shield (BCBS) Plans currently administer Medicaid programs in several states. Suite 600 Lake 1 Penn Plaza YOU DESERVE Simplicity Easy for you, clear for employees. Attn: CA124-0197 2525 Lake Park Blvd. 800-600-9007, Network Management Seattle, WA 98101, Network Management 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. Phoenix, AZ 85004, Claims & medical records 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. Closed: Major Holidays (Interactive voice response system available) At SMG, we work hard to ensure that our patients receive quality medical care. 800-527-0531. Compassion, Dignity, Justice, Excellence, Integrity. 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. Payer ID#: 87726 (EDI Claims Submission), Claims Maryland Heights, MO 63043, Network Management If your request involves a specific facility, please select it - otherwise, select "General". (800) 266-HDMG or (661) 945-5984 This forward-thinker has forever changed the way care systems work through new models, processes and pathways. If you are having difficulties navigating our site using assistive technology, please contact Customer Service at 1.800.282.7648 for help. 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. uhc-network-de@uhc.com, 1818 Market St. Fax: 615-372-3564, Northern Network Management Their provider and customer service departments have always been excellent at answering our questions in a timely professional manner. 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. The Heritage Provider Network includes optometrists, ophthalmologists, and opticians. Through innovative programs and services designed specifically for the managed care environment, HPN and its medical groups have been . 3100 SW 145th Ave. (www.heritageprovidernetwork.com). Login to view member eligibility, claim status, submit claims and more. With over 50 Primary Care Providers, 300 Specialists and 3 local hospitals in our network, Heritage Sierra Medical Group takes pride in Starting . P.O. Select Claim Status Inquiry from the drop-down menu. Mail. Refund Address Nebraska Total Care Attn: Refunds PO Box 3713 Carol Stream, IL 60132-3713. Western Iowa counties Pottawattamie, Harrison and Mills - Managed by Nebraska Network Management Regal Medical Group (RMG) 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. 800-291-2634, Medicare Advantage and Community Plan Detroit, Eastern, Western and Northern and Upper Our facilities offer superior patient convenience by providing Urgent Care, Pharmacy, Lab, Radiology, Pediatrics and a variety of specialty services at one convenient site. Monday - Saturday 6 a.m. to 5 p.m.*, Pacific Time. Box 30757 866-270-5785, San Diego County DOHCs services include access to 6 Immediate and Urgent Care Centers - Bermuda Dunes, Indio, Palm Desert, Palm Springs and Yucca Valley. Our goal is to help you make better care decisions for yourself and your family. Recognizing a leader in the New York area that has demonstrated significant impact in their healthcare field. Honolulu, HI 96813, Health plan support Our facilities are equipped with some of the finest diagnostic equipment and technicians available. Provider Lookup . 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. Fax: 855-253-3236 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. pcp-NetworkManagementServices@uhcsouthflorida.com, Miami One way that we keep your overall health care costs low is by emphasizing preventative care in order to keep you healthy. 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. are there to assist when you have reported an incident. 200 E Randolph St. P.O. #300 107 Westpark Blvd. Middle We also believe that during a visit to your doctor, the focus should be on health and wellness. All members of Heritage Physician Network can access the full range of services, programs and specialists offered by BFMC. Together, we partner with local hospitals, medical experts and business leaders, and we actively support numerous organizations, educational, cultural and recreational events. Suite 600 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. Overland Park, KS 66211, Medicare Advantage and Community Plan 888-980-8728 Heritage Healthcare Leadership Award: Karen Ignagni. How do I join and qualify to become a Heritage participating in-network provider? 800-328-8835, Network Management Heritage Technology Innovator in Healthcare Award: Gil Addo CEO and Co-founder, RubiconMD. 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. For ER admission/Urgent admission post stabilization, please reach out to us at (833) 554-2958. Our team of healthcare professionals is available and ready to help you with all of your medical needs. PO Box 70014. Credentialing application - new providers. 7440 Woodland Drive 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. P.O. Call toll free 800.252.2053 or click here to send us your inquiry. 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. Provider portal. Attn: Claims Processing. GANetworkOPS_fac-anc@uhc.com, Physician Contracting Dallas Fort Worth Metroplex Area. Suite 230 Dr. Merkins commitment to supporting academic research runs deep. Over 800 providers in the HPN work together to provide high-quality healthcare to their patients through coordinated care while experiencing practice . With more than 150 highly-trained doctors in virtually every specialty, our medical excellence extends from primary care to leading edge surgical procedures. First Name *. Austin, Houston & San Antonio Heritage Vision Plans provides affordable, high-quality vision benefits for companies of all sizes. All paper claims must be mailed to: Lakeside Community Healthcare Attn: Claims Department P. O. New York, NY 10119, Health plan support By joining the IPA and being part of a CIN, providers have committed to continuous improvement through education, engaging with their peers, and sharing best practices within the IPA. San Luis Obispo, California 93401. HPN, working with CHS, adds to the expertise and aids in the financial wellness of its providers. Heritage Provider Network (HPN) is a limited Knox-Keene licensed organization in California that provides affordable quality care to its members. 800-328-8835, Network Management 1001 Lakeside Ave. In addition to creating and growing integrated delivery networks, Dr. Merkin has a long-standing interest in both prevention and cure. 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. 888-866-8297, Network Management We are affiliated with most major health plans, including many HMOs. jgluck@heritagemed.com. At Regal, we know that navigating the healthcare system can be complicated for patients and for physicians. Health-care provider is working with an adviser to assist it. Las Vegas, NV 89128, Medicare Advantage and Community Plan Medicare Advantage Plans Add value to your clients benefits package. Lexington We invite you to join Providence Medical Network and our family of urgent cares, laboratory services, and imaging centers to optimize your healthcare needs. Suite 300 With more than 31,000 providers nationwide, our members are never far from quality vision care. 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. DOHCs services include access to 6 Immediate and Urgent Care Centers - Bermuda Dunes, Indio, Palm Desert, Palm Springs and Yucca Valley. Hearing loss affects 1 in 9 Americans, get the care you deserve. 5757 Plaza Drive We accept over 85 different health plans, including HMO, PPO, POS, EPO, Private and Medicare plans. United States. Implementing our benefits program is easy, and options are available for employer and employee plans. Call 888-261-9562 to reach Premera's BlueCard claims customer service team. 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. As a Heritage Vision Plans provider, you always have a provider service representative available to answer questions and address your needs. Economical. Behavioral health (outpatient): 1-844-430-1703. Your dispute must contain the following information: Provider's name. TTY/TTD Members should call 711. We believe the most important aspect of healthcare is tending to the personal needs of our patients. Suite 1250 Send us a message. 2425 James St. Find a provider by zip code Submit a Claim Vision Terms You Should Know Contact Us Without vision coverage, I'm not sure where I would be today. Richardson, TX 75080, Medicare Advantage and Community Plan customerservice@regalmed.com. Our team of 1,700 physicians ensures you have access to health care's brightest minds and biggest hearts across Orange County . Jacksonville, FL 32256, Orlando Medical office locations in Foothill Ranch, San Clemente, Lake Forest, Laguna Niguel and Mission Viejo, CA. To check claim status and receive explanation of processing for previously submitted claims. ac_edi_ops@uhc.com Personal service is one of the reasons our network of providers is so stable with an extremely low turnover rate. Suite 2600 The healthcare awards competition garnered nominations across the spectrum of New York healthcare, from exciting early stage startups, to long established centers of New York Medical innovation. northeastprteam@uhc.com, Network Management We make it our priority to provide help when you need it most. Provider Service Contact Number; Health Net Provider Services Center (Except Medi-Cal and Medicare) . At SMG, we work hard to ensure that our patients receive quality medical care. Suite 200 Richardson, TX 75080, Network Management Box 740371 mn_contracting@uhc.com, 9700 Health Care Lane (TTY 711). Because Medicaid is a state-run program, requirements vary by state and BCBS . Sierra Medical Group represents the future of medicine. Our claims department is at your service 24 hours a day, 7 days a week. 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. (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 Columbia, MD 21044, Health plan support Cypress, CA 90630, Network Management 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: Visit your health plans website or call to ensure your doctor is in Providences network. Claims Customer Service (714) 937-6143 Hours: - weekdays from 7:30 a.m. to 4 p.m. Claims Billing Address P.O. Failure to correct inaccurate information, or bill utilizing Medicaid . Dept. Heritage Vision Plans makes vision benefits easy for everyone: for benefits managers and, most importantly, for employees using the benefits. Heritage Sierra Medical Group Headquarters, 44469 10th Street West, Lancaster, CA, 93534, United States, Utilization Management - Clinical Criteria & Availability of Clinical Criteria (2021). Mon-Fri 7:30 am - 4 pm ST. Our Services. 877-542-9235, Network Management 800-638-3302 Nebraska_network@uhc.com, Medicare Advantage and Community Plan 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. Ste 5300 Contact information for Heritage Provider Network, media relations, and our medical groups are as follows. 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. Affects 1 in 9 Americans, get the care you DESERVE Simplicity easy for everyone: benefits! 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