PDF H5619 Arcadian Health Plan (Humana, Inc.) Dual Eligible (Dual Eligible Any descriptions of when to use telehealth services are for informational purposes only and should not be construed as medical advice. These two leaders in the long term care industry joined together to create a . Humana group vision plans are offered by Humana Insurance Company, HumanaDental Insurance Company, Humana Health Benefit Plan of Louisiana, Humana Insurance Company of Kentucky, Humana Insurance Company of New York, CompBenefits Insurance Company, CompBenefits Company, or The Dental Concern, Inc. New Mexico: Humana group dental and vision plans are insured by Humana Insurance Company. We hope to see you at the HIMSS23 Global Conference. Before applying for group coverage, please refer to the pre-enrollment disclosures for a description of plan provisions which may exclude, limit, reduce, modify or terminate your coverage. This communication provides a general description of certain identified insurance or non-insurance benefits provided under one or more of our health benefit plans. Improve your chase list for a better ROI on your risk adjustment program. Healthcare disrupted: How to keep pace in a rapidly changing world, Population health trends across the United States. 500 W Main. The information is intended only as a guide and may in no respect be relied upon as an alternative or supplement to the data filed by the company. Login using EmpowerID. DHMSO: Provider Login With five decades of mobile healthcare experience through our ambulance division, the Acadian Health mobile community healthcare team members arrive at a patients location with the knowledge, skill, and equipment to act as our partners eyes, ears, and hands. Working with Acadian Health provides greater opportunity to engage members or patients in the convenient and lower cost home setting. Certain exceptions may apply by geography, network affiliation, member coverage or benefit design. Track copays and deductibles. For Texas residents: Insured or offered by Humana Insurance Company, HumanaDental Insurance Company or DentiCare, Inc (d/b/a Compbenefits). New Humana member? Hearty in Hawaii? 0000011182 00000 n Humana group dental plans are offered by Humana Insurance Company, HumanaDental Insurance Company, Humana Insurance Company of New York, The Dental Concern, Inc., Humana Medical Plan of Utah, Humana Health Benefit Plan of Louisiana, Inc., CompBenefits Company, CompBenefits Insurance Company, CompBenefits Dental, Inc., Humana Employers Health Plan of Georgia, Inc., or DentiCare, Inc. (DBA CompBenefits). A northwest payer saw a $7M increase in their Medicaid premium by partnering with Arcadia to improve their closed risk per patient by 59%. Our Medicare Advantage plans come packed with extra resources for improving our members health. And with Availity, you can conduct business online quickly and easily, so you can focus on the well-being of our . Arcadian Health Plan headquarters are located in 500 12th St Ste 350, Oakland, California, 94607, United States, Arcadian Health Plans main industries are: Insurance, Arcadian Health Plan appears in search results as Arcadian Health Plan Inc, Arcadian Health Plan, Arcadian Management Services, Arcadian Management Services Inc, Arcadian Choice Inc, www.yelp.com/biz/arcadian-management-services-oakland-2, Get Free Access to Arcadian Health Plan Contacts Info. Humana legal entities that offer, underwrite, administer or insure insurance products and services. Home - Longevity Health Plan ARCADIAN HEALTH PLAN, INC. can be reached at the following phone number(s): Phone: 510-832-0311 Request and coordinate all required documentation from internal departments for submissions in a . Review the latest news and publications for providers. We build population health management strategies to take on Medicare, Medicaid, and Commercial risk-based contracts. Client session timed out. For most members, claims can be mailed or , https://www.hpitpa.com/your-resources/for-providers/check-claims-eligibility/. By working collaboratively with your team, we strive to improve patient satisfaction, care coordination, and achieve quality health outcomes. The HMO Alias list is an Excel spreadsheet. If this is a U.S. Government information system, CMS maintains ownership and responsibility for its computer systems. Email Notifications. We do not discriminate on the basis of race, color, religion, national origin, veteran status, ancestry, pregnancy status, sex, age, marital status, disability, medical condition, sexual orientation, gender identity or any other characteristics protected by law. Please keep your personal information private. For Providers :: The Health Plan Contact Us :: The Health Plan Visits in urban or rural areas due to convenience, patient choice, or transportation issues, Acadian Health Notice of Privacy Practices, Patient education and care plan follow-up. 11804 18 Big data technology for high availability data ingestion, computation and storage. ARCADIAN HEALTH PLAN, INC. :: Washington (US) - OpenCorporates Noridian Medicare Portal Login. These services are not a substitute for emergency care and are not intended to replace your primary care provider or other providers in your network. In states, and for products where applicable, the premium may include a $1 administrative fee. Noridian Medicare Portal Login Aetna. UnitedHealthcare Provider Portal Resources | UHCprovider.com Product features may vary by client. To learn more about the health plan programs, contact the following customer service departments: Aetna. (This fee is non-refundable as allowed by state). What healthcare data platform capabilities do you need to stay competitive? Empower providers with collaborative tools to drive better outcomes, and increase provider performance by connecting data from various sources. Looking for information on timely filing limits? Have questions about your Humana contract? Rights and Responsibilities. Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. This communication does not guarantee benefits and does not indicate all services received will be covered by your plan. Use the Availity Essentials portal to manage all day-to-day needs of your office online, including claims, eligibility, prior authorization, referrals and much more. Logout - Trinity Health We help drive quality care with expert insights for healthier lives. Navigating through disruption and coming out on the other side with a stronger system involves more than implementing the right list of tools. Arcadian Health Plan, Inc. - Texas Department of Insurance All Rights Reserved. For Arizona residents: Insured by Humana Insurance Company. Enrollment in Providence Health Assurance depends on contract renewal. Username Is Required. Please refer to your evidence of coverage for additional details on what your plan may cover or other rules that may apply. Documentation Guidelines. Secure Provider Portal Prior Authorization; Provider Electronic Solutions (PES) Software . View plan provisions or check with your sales representative. AgeRight Advantage is a Medicare Advantage Plan locally owed by Marquis Companies and Avamere Family of Companies. Forgot Password. Language interpreter services (at 1st prompt enter 22228, at 2nd prompt enter. My Plan. Acadian comprises six divisions Acadian Ambulance Service, Acadian Air Med, Acadian Total Security, National EMS Academy, Executive Air Charter and Safety Management Systems and has a variety of support departments. Forgot My Password. NPI record contains FOIA-disclosable NPPES health care provider information. We like howeasy the system is to usefor end users. We work closely with major HMO and PPO plans, as well as Medicare and government-sponsored programs like Healthy Families and Access for Infants and Mothers, to bring you the best in . The information is subject to change and is not all-inclusive. Review the claim submission address or electronic payor ID # on the back of the patients member ID card. Cardiologist (Heart Specialist) Arcadian Health Plan providers in Washington listed on Doctor.com have been practicing for an average of: 31 year (s) Average ProfilePoints score for Providers in Washington who take Arcadian Health Plan: 50/80. Vantage Health Plan (Vantage) is an HMO with a Medicare contract. Hearty in Hawaii? Find your B2B customer within minutes using affordable, accurate contact data from Datanyze. Login using EmpowerID - OneHealthPort 300 Hopkins Street Go365 is not an insurance product. 0000002843 00000 n For group plans, please refer to your Benefit Plan Document (Certificate of Coverage/Insurance or Summary Plan Description/Administrative Services Only) for more information on the company providing your benefits. 0000001278 00000 n A look at how states vary in their rates of common diseases, and why measuring health state-by-state requires robust data. Arcadian Health Plan Inc., H5619 Dual Eligible Medicare Zero Cost Sharing Special Needs Plan Model of Care Score: 90.00% 3-Year Approval January 1, 2012 to December 31, 2014 _____ Target Population Arcadian Health Plan (AHP) offers Dual Eligible Special Needs Plans (D-SNP) serving QMB individuals living in the state of Maine. We help bridge the gap from data retrieval to implementation for efficiency and care. Alabama Medicaid. Our claims professionals have extensive claims handling experience for a variety of business lines. To help our members through the pandemic, were providing trusted information from public health officials. Providence Health Assurance is an HMO, HMOPOS and HMO SNP with Medicare and Oregon Health Plan contracts. ; Customer Insights Team We help bridge the gap from data retrieval to implementation for efficiency and care. View your information. Humana for physicians and healthcare providers. Indiana Medicaid: Partners: Dual Eligible Special Needs Plans We partner with leading nursing homes around the country to improve the health and quality of life of residents . Guide to Build vs. Buy in Healthcare Analytics, Aggregating disparate data from across the care continuum from EHR, to unstructured note and health claims into one common data asset that facilitates value-based care, Enabling comprehensive views of target populations by generating longitudinal views of individual patients and customizable patient cohorts, across multiple contracts, Engaging patients with optimized resources by automating workflows around care management, Meeting health equity goals by identifying patients most likely to benefit from interventions, Seamlessly surfacing actionable insights to providers at the point of care to act on quality and risk gaps, Reconciling contract performance against plan-generated reporting. Employment is based solely upon ones individual merit and qualifications directly related to professional competence. What healthcare data platform capabilities do you need to stay competitive? Or, you can always contact your Provider Network Development Representative. Our broad network of in-network providers makes it easy to find a doctor, dentist, vision care provider or pharmacy near you. A look at how states vary in their rates of common diseases, and why measuring health state-by-state requires robust data. Website current as of: 10/01/2022 H9047_PHAAM20_M With five decades of mobile healthcare experience through our ambulance division, the Acadian Health mobile community healthcare team members . We chose Arcadia because their product seemed to be the best balance of newer architecture and technology with rich, real-world functionality that was strong in general purpose analytics, data science, perspective health status assessment, and quality management. The provider's business location address is: Source: , https://clairineclay.com/arcadian-health-plan-provider-portal/, Health (9 days ago) WebProvider portal Working with us online Focus on your patients without the extra paperwork. Since its beginning, our at-home care has proven to save an average of $1,000 per visit. MyPlan QuickStart Guide for Members. Ryan Rubino discusses key capabilities of a data platform that should be considered when youre planning for your data and analytics needs for value-based care. Below are options for contacting us. Precise ParkLink. Our data-driven approach and team support for your value-based care. Devoted Health Plan of Alabama, Inc. 1-800 . Build or buy? A minimum one-year, initial contract period may be required for some dental and vision plans, excluding Dental Savings Plus. PDF Arcadian Health Plan Inc., H5619 Dual Eligible Medicare Zero Cost We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. Ryan Rubino discusses key capabilities of a data platform that should be considered when youre planning for your data and analytics needs for value-based care. We would also like to use non-essential cookies to help us improve your browsing experience and help make this website better, by collecting and reporting information on how you use our site. CalOptima Home Health (1 days ago) WebH0320 ARCADIAN HEALTH PLAN, INC. Formulary Contact 825 Washington St. Suite 300 Oakland CA 94607 HMO H0320 ARCADIAN HEALTH PLAN, , https://www.cms.gov/Medicare/Health-Plans/HealthPlansGenInfo/Downloads/claims_processing_20060120.pdf, Health (7 days ago) WebArcadian Health Plan Of Georgia, Inc. a provider in 500 12th St Ste 300 Oakland, Ca 94607. Filing Date: October 29, 2013. 0000002922 00000 n When it comes to healthcare, its easy to feel like just a number. Before applying for group coverage, please refer to the pre-enrollment disclosures for a description of plan provisions which may exclude, limit, reduce, modify or terminate your coverage. This guide helps you sort through the confusion around build vs. buy. Stop the data debates and give your teams the ability to focus on the best next step. This is a general description of services which are subject to change. Humana received a 5 out of 5-star rating for four of its contracts for 2022, the most in company history, which include HMO plans in Florida, Louisiana, Tennessee and Kentucky, covering approximately 527,000 members Humana received a 4.5-star rating for eight Medicare Advantage contracts offered in 33 states and Puerto Rico, covering more than 1.6 million members 4.8 million, or approximately . Arcadias thrilled to be back in Chicago for AMGA 2023, where we hope to hear about your healthcare goals and aspirations. UNITED STATES; United States; Agent Name CORPORATION SERVICE COMPANY Agent Address Arcadian Health Plan Claims Address Box 12030, Austin, TX 78711 | 512-676-6000 | 800-578-4677, State Auditor's Office Hotline: 800-TX-AUDIT. MyPlan CarePath Guide for Members. Access Patient Benefits. Helping Healthcare Providers Improve Population Health - Arcadia Our Health Plans - ADOC Get the most out of your plan with a MyHumana account. It's holistic care for members and peace of mind for loved ones. Data Platform Big data technology for high availability data ingestion, computation and storage. 0000006121 00000 n This data may not reflect amendments filed by the HMO and may be subject to change. %%EOF Medi-Cal | Blue Shield of CA Promise Health Plan In the event of any disagreement between this communication and the plan document, the plan document will control. Arcadia is the leading population health management data and software company. This information is not a complete description of benefits. All rights reserved | Email: [emailprotected], Washington state health insurance application, National healthcare corporation nashville tn, St louis city department of public health. Health Net provides quality affordable health plans for individuals, families, Medi-Cal members, Medicare and businesses. All 2023 Plans - Community Health Plan of Washington - Medicare Advantage HMO Alias, NCQA accredits and certifies a wide range of health care organizations. Group Dental and Vision Plans (Insurance through your employer). In the event of any disagreement between this communication and the plan document, the plan document will control. 0000016080 00000 n 11804 0 obj<> endobj Humana Individual dental and vision plans are insured or offered by Humana Insurance Company, HumanaDental Insurance Company, Humana Insurance Company of New York, The Dental Concern, Inc., CompBenefits Insurance Company, CompBenefits Company, CompBenefits Dental, Inc., Humana Employers Health Plan of Georgia, Inc. or Humana Health Benefit Plan of Louisiana, Inc. Discount plans offered by HumanaDental Insurance Company or Humana Insurance Company. We work closely with major HMO and PPO plans, as well as Medicare and government-sponsored programs like Healthy Families and Access for Infants and Mothers, to bring you the best in . Looking for information about your patients benefits or claims? This site uses cookies that are essential for our site to work. The 1598910549 NPI number is assigned to the healthcare provider ARCADIAN HEALTH PLAN, INC., practice location address at 500 12TH ST STE 300 OAKLAND, CA, 94607-4087. Spot opportunities and problems quicker with an intelligent analytics platform built for payers. The ranking was based on responses from 12,985 US individuals measuring 17 brands in the industry. . Patient Consent Forms. For most members, claims can be mailed or submitted electronically to us at the address or payer ID's below; however, the address and payer ID's may vary based on member-specific plans and networks. x1 048F}\G` z0=i2\x!!!!!!!CCC. ARCADIAN HEALTH PLAN INC. NPI 1598910549. We also provide free language interpreter services. Health Care Providers - Access Patient Benefits - Health Plans, Inc View or print your member ID card. To appeal a decision, mail a written request to: Health Plan of Nevada, Member Services. Administered by Humana Insurance Company. Not available with all Humana health plans. Maxwell Roberts Building, 5th Floor, 1 Church Street Hamilton HM 11 Bermuda +1 441 5439 800 The proprietary survey results are based on consumers opinions of the experiences with the brands in the survey. For Arizona residents: Insured by Humana Insurance Company. Arcadian - Claims Health Net - Coverage for Every Stage of Life | Health Net Taxonomy code 302R00000X with license number 2006117 (GA). Based on a comparison of the open risk documented with and without using Arcadia for pre-visit planning and at the point of care. Humana is the brand name for plans, products and services provided by one or more of the subsidiaries and affiliate companies of Humana Inc. (Humana Entities). Arcadia keeps up with industry trends and has new functionalities available. Classification: Health Maintenance Organization - 302R00000X Entity Type: Organization Address: 500 12TH ST STE 300 , https://healthprovidersdata.com/hipaa/codes/NPI-1598910549-arcadian-health-plan-inc, Health (3 days ago) WebArcadian strives to manage claims in an efficient, timely and prudent manner. Clinical Guidelines. If you need technical help to access the UnitedHealthcare Provider Portal, please email ProviderTechSupport@uhc.com or call our UnitedHealthcare Web Support at 866-842-3278, option 1. H5619 Arcadian Health Plan (Humana, Inc.) Dual Eligible (Dual Eligible Subset - Medicare Zero Cost-sharing) Special Needs Plan Model of Care Score: 88.33% . For medical service preauthorization requests and notification, For eligibility/benefits and claims inquiries, Open 8 a.m. to 8 p.m. Eastern time, Monday through Friday, Hours of operation: 8 a.m to 7 p.m. Eastern time, Monday through Friday, For questions about PPI audit policies and other resources, For participation status, requests to join the network and contract-related questions, Open 8 a.m. to 5 p.m. Central time, Monday through Friday, For Humana behavioral health service preauthorization requests and notification, For medication prior authorization, step therapy, quantity limits and prescription drug exceptions, For preauthorization of medication supplied and administered in a physicians office and billed as a medical claim (Part B for Medicare), For questions about the pharmacy contracting process, including the status of requests, adding a network to a retail contract, and switching to an independent contract, Open 8 a.m. to 5 p.m. Eastern time, Monday through Friday. Your Choice, Your Plans. Find the right healthcare plan for you, your family or your employees. Review the claim submission address or electronic payor ID # on the back of the patient's member ID card. 09/16/2022. Arcadian Health Plan, Inc. - AL, AR, CA, FL, IA, IL, IN, KY, ME, MO We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. Alternative care for non-traumatic hospitalizations for sick but stable patients who would typically be transported by ambulance to an ED. Eligible members enjoy access to a wide variety of benefits, services and tools. Subscriber ID: Password: Login. Explore your coverage and benefit details, get ID cards and more. For more information, contact: Hear what the incredible people behind the data have to say. Our data-driven approach and team support for your value-based care. ; Value-Based Care Services Our data-driven approach and team support for your value-based care. an Health Plan (Oklahoma); Arkansas Community Care; Columbia Community Care; Desert Canyon Community Care (Arizona); Ozark Health Plan; Northeast Community Care (Maine and New York); Southeast Community Care (Georgia, North Carolina, South Carolina and Virginia); Spokane Community Care; Texarkana Community Care; and Texas Community Care. HAP | Affordable Michigan Health Insurance | Michigan Health Insurance . That's why Humana is committed to supporting your practice with training resources, policy updates, and industry-leading patient care programs. Medi-Cal is California's Medicaid healthcare program that offers free or low-cost health coverage. Big data technology for high availability data ingestion, computation and storage. Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. MyPlan QuickStart Guide for Members. The provider is registered as an organization , https://www.health-mental.org/arcadian-health-plan-provider-number/, Health (3 days ago) WebHere is a troubleshooting guide, in case things go wrong on your side. Explore trainings and tutorials for working with Humana. Go365 is not an insurance product and is not available with all Humana health plans. This site uses cookies that are essential for our site to work. Medicaid contracts each year with plans that are willing to accept a monthly fee for each recipient in their program. Lets talk about how we can help you solve your most complex challenges. A minimum one-year, initial contract period may be required for some dental and vision plans, excluding Dental Savings Plus. xref We build population health management strategies to take on Medicare, Medicaid, and Commercial risk-based contracts. For costs and complete details of the coverage, refer to the plan document or call or write your Humana insurance agent or the company. Health (Just Now) Provider Directory Search Medicare Advantage Plans Recipients in certain Alabama counties may voluntarily choose to participate in a Medicare Advantage plan. Not available with all Humana health plans. Average Overall User Rating for providers who take Arcadian Health . Acadian Health, a division of Acadian Companies, was founded to deliver on the last mile of healthcare by bridging the gap between patient and provider, offering the highest-quality at-home healthcare. Our healthcare experts weigh in on industry topics. PDF claims processing 20060120 (2) - Centers for Medicare & Medicaid Services <]>> For New Mexico residents: Insured by Humana Insurance Company. Cool Arcadian Health Plan Provider Portal References Most popular medical specialty of providers who accept Arcadian Health Plan: Family Doctor. Prescription Coverage. Average Overall User Rating for Providers in Washington who take Arcadian Health Plan: CalOptima Health does not offer free wireless phones. Humana Contact Information for Providers Insurance Listings. Become a member of Humanas provider network. Health Plans, Inc.PO Box 5199Westborough, MA 01581. Doctors who accept Arcadian Health Plan Insurance | Doctor.com Health (2 days ago) WebHumana is the brand name for plans, products and services provided by one or more of the subsidiaries and affiliate companies of Humana Inc. (Humana Entities). If you have any questions, call 1-800-745-7065 or sign in to the online provider center. These reports are located on the TDI Reports webpage: HMO Reports. (This fee is non-refundable as allowed by state).
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