Website current as of: 10/01/2022 H9047_PHAAM20_M 2023 Acadian Companies. Pharmacy. TDI assumes no responsibility for omissions, inaccuracies or ambiguities. , Health (2 days ago) WebHealth (3 days ago) arcadian health plan, inc. Hmo company profile and agent for service. 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. Combine clinically integrated data with predictive analytics to help providers find the patients most likely to engage and close a care gap. Provider Search . Since 1971, Acadian has been committed to providing the highest level of medical care and transportation possible. Register for Your Account Today. For Arizona residents: Insured by Humana Insurance Company. Track copays and deductibles. My Plan. Our analytical expertise simplifies operational decisions for our partners, so they can focus on doing what they do . And with Availity, you can conduct business online quickly and easily, so you can focus on the well-being of our . We are constantly working to expand our health plan affiliations to provide you with the best options for you and your family's needs. Las Vegas, NV 89114-5645. Arcadia Value-based Managed Care Services, Guide to Build vs. Buy in Healthcare Analytics. Enrollment in Vantage depends on contract renewal. New Humana member? We build population health management strategies to take on Medicare, Medicaid, and Commercial risk-based contracts. 130 E. Kaliste Saloom Road Our healthcare experts weigh in on industry topics. A look at how states vary in their rates of common diseases, and why measuring health state-by-state requires robust data. Insurance Listings. 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. 0 Enter the patient's information below to view your patient's Summary of Benefits, search their provider network, get connected to their Rx benefit information and print a temporary ID card. A look at how states vary in their rates of common diseases, and why measuring health state-by-state requires robust data. Group Dental and Vision Plans (Insurance through your employer). 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. Blue Shield of California Promise Health Plan currently serves Medi-Cal . ARCADIAN HEALTH PLAN, INC. Company Number 602384193 Status Active Incorporation Date 6 April 2004 (almost 19 years ago) Company Type WA INSURANCE COMPANY Jurisdiction Washington (US) Registered Address. . Explore trainings and tutorials for working with Humana. Lets talk about how we can help you solve your most complex challenges. Forgot Password. <]>> Meet your Practice Management Consultant. MyPlan CarePath Guide for Members. Support provider performance, make care and risk gaps actionable, combine clinically integrated data with predictive analytics, and improve ROI for your risk adjustment programs. Our CHPW Medicare Advantage plans offer coverage for things Original Medicare doesn't cover, like dental, vision, and prescription drugs (except Freedom Plan). It takes committing to change, examining legacy processes to bring more data points to evolve what we know about patient outcomes, and working with partners to bring the full industry forward. ; Customer Insights Team We help bridge the gap from data retrieval to implementation for efficiency and care. View or print your member ID card. View claims. OAKLAND, CA. 500 W Main. Arcadian Health Plan Profile and History . xref We also provide free language interpreter services. A minimum one-year, initial contract period may be required for some dental and vision plans, excluding Dental Savings Plus. Humana for physicians and healthcare providers. 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. We help bridge the gap from data retrieval to implementation for efficiency and care. Our claims professionals have extensive claims handling experience for a variety of business lines. . 1.877.221.9295. There are several plans to choose from and not all benefits may be available in every plan. 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 meet you where you are and enable you to reach your goals across contracts (Commercial, Medicare, Medicaid) in risk, quality, operations, and other areas. Alabama Medicaid. Forgot Password. Hands-on visits for providers to extend their specialty practice into patients homes, offering after hours and weekend support. If you have purchased an association plan, an association fee may also apply. The provider is registered as an organization entity type. Log in to , https://www.humana.com/provider/medical-resources/self-service-portal, Health (6 days ago) WebMedical Policies. For New Mexico residents: Insured by Humana Insurance Company. View plan provisions or check with your sales representative. In the event of any disagreement between this communication and the plan document, the plan document will control. Download provider quick reference phone guide (PDF, 129 KB) 1-877-370-4874. www.MyUHCMedicare.com. Some plans may also charge a one-time, non-refundable enrollment fee. 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. Limitations on telehealth services, also referred to as virtual visits or telemedicine, vary by state. Find doctors, hospitals, and specialists in your area. Review the claim submission address or electronic payor ID # on the back of the patients member ID card. *Humana received the highest CX Index score among health insurers in Forresters proprietary 2022 CX Index survey. Industry: Health insurance carriers Printer Friendly View Address: 500 12TH St Ste 350 Oakland, CA, 94607-5204 United States See other locations This guide helps you sort through the confusion around build vs. buy. Big data technology for high availability data ingestion, computation and storage. Rights and Responsibilities. 0000000675 00000 n Certain exceptions may apply by geography, network affiliation, member coverage or benefit design. If you gave your CalOptima Health ID to an unauthorized person, please report it to CalOptima Health toll free at 1-888-587-8088 (TTY 711) and request that a security passcode be placed on your CalOptima Health account. You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID # 44273. 0000002619 00000 n It's holistic care for members and peace of mind for loved ones. Start a new EpicCare Link session HMO Alias, NCQA accredits and certifies a wide range of health care organizations. To check if the above named company is NCQA accredited, visit http://www.ncqa.org/, This page is link to a central repository of financial reports for Health Maintenance Organizations (HMO). startxref Arcadian Health Plan | 1,090 followers on LinkedIn. Website. , Health (Just Now) WebSecure Provider Portal Prior Authorization; Provider Electronic Solutions (PES) Software Arcadian Health Plan, Inc. (Humana) 1-866-945-4481. Enhance your existing healthcare services with our mobile resources, bringing trained personnel direct to the patientwherever they are. View your information. Supports round-the-clock comprehensive care that may include on-demand critical care, daily rounding, on-site advanced diagnostics, and more. Client session timed out. It is for people who meet the income requirements and live in the state. Current Member: 866-409-1221 (TTY 711) . 0000001278 00000 n Help providers make impactful decisions at the point of care with insights deliver at just the right time. Have questions about your Humana contract? Premiums as Low as $0. We are constantly working to expand our health plan affiliations to provide you with the best options for you and your family's needs. 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). 1601 Congress Avenue, Austin, TX 78701 | P.O. RSVP to Site Meetings, return Intent to Submit letters, etc. 11804 0 obj<> endobj EmpowerID. 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. New competitors are entering the market, expectations from members are shifting, and regulatory pressures are making it more difficult than ever to succeed. Collaborate closely with your provider networks for mutual economic success under Medicare, Medicaid, and Commercial risk-based contracts. Explore your coverage and benefit details, get ID cards and more. Let them know who you want as your primary care physician and that you want AllCare as your medical group. Hear what the incredible people behind the data have to say. Our broad network of in-network providers makes it easy to find a doctor, dentist, vision care provider or pharmacy near you. Transform disparate information into a longitudinal view of patients through clinical and claims data. What healthcare data platform capabilities do you need to stay competitive? Community Health Plan of Washington is pleased to announce the new Business Intelligence (BI) Portal as a service to our network of Community Health Centers (CHCs) and selected affiliated providers effective January 2021. Support provider performance by making care and risk documentation gaps actionable within their existing clinical workflows. 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. Integrate your business for coordinated and collaborative innovation by unifying your infrastructure and associated business processes with a service oriented, centralized platform. 09/16/2022. Review the latest news and publications for providers. We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. . See our full accessibility rights information, non-discrimination disclosure, and language options. 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. HMO Company Profile and agent for service. We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. Noridian Medicare Portal Login. 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. Documentation Guidelines. Home. Improve your chase list for a better ROI on your risk adjustment program. Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. Any descriptions of when to use telehealth services are for informational purposes only and should not be construed as medical advice. The HMO Alias list is an Excel spreadsheet. Become a member of Humanas provider network. In the event of any disagreement between this communication and the plan document, the plan document will control. Activate your MyHumana profile. Go365 is not an insurance product and is not available with all Humana health plans. %PDF-1.4 % Please refer to your evidence of coverage for additional details on what your plan may cover or other rules that may apply. Arcadia's powerful insights elucidate strategies around the financial viability of risk and lowering costs. What does Medicare cover (and not cover)? Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. Average Overall User Rating for providers who take Arcadian Health . Insured through UnitedHealthcare (formerly Secure Horizons) Website. Ailing in Alabama? UNITED STATES; United States; Agent Name CORPORATION SERVICE COMPANY Agent Address Humana group life plans are offered by Humana Insurance Company or Humana Insurance Company of Kentucky. Site Usage Privacy Rights | Site Designed by Firefly Marketing Acadian is an Equal Opportunity Employer/Affirmative Action Employer. If you have any questions regarding a specific insurance, please contact your local CPL representative or . 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. Health (3 days ago) WebARCADIAN HEALTH PLAN, INC. NPI is 1598910549. (877) 842-3210. Health (Just Now) Provider Directory Search Medicare Advantage Plans Recipients in certain Alabama counties may voluntarily choose to participate in a Medicare Advantage plan. Checking your browser. View or print your member ID card. 0000016080 00000 n 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. Eligible members enjoy access to a wide variety of benefits, services and tools. Data analytics decision-making guide, Guide to Build vs. Buy in Healthcare Analytics. FinancialAnalysis@tdi.texas.gov. Individual applications are subject to eligibility requirements. Power your business with a provider source of truth. It takes committing to change, examining legacy processes to bring more data points to evolve what we know about patient outcomes, and working with partners to bring the full industry forward. Alternative care for non-traumatic hospitalizations for sick but stable patients who would typically be transported by ambulance to an ED. For most members, claims can be mailed or , https://www.hpitpa.com/your-resources/for-providers/check-claims-eligibility/. To help our members through the pandemic, were providing trusted information from public health officials. Language interpreter services (at 1st prompt enter 22228, at 2nd prompt enter. Most popular medical specialty of providers who accept Arcadian Health Plan: Family Doctor. Individual applications are subject to eligibility requirements. You've got questions, we've got anwers. We partner with leading nursing homes around the country to improve the health and quality of life of residents . For your convenience, we now have a dedicated phone line. 11806 0 obj<>stream 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. Devoted to the communities we serve. For Providers. Please call our Customer Service Department if you need to talk about protected/private health information. I'm not a OneHealthPort Subscriber but would like information on subscribing. 0000001811 00000 n Compare Humana Medicare plans where you live. Humana legal entities that offer, underwrite, administer or insure insurance products and services. Call Provider Services at 888-773-2647 (TTY 711) with any questions. Forgot My Password. 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 . (3 days ago) WebARCADIAN HEALTH PLAN, INC. NPI is 1598910549. View your information. 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. Secure Provider Portal Prior Authorization; Provider Electronic Solutions (PES) Software . AgeRight Advantage is a Medicare Advantage Plan locally owed by Marquis Companies and Avamere Family of Companies. Medical Policies. We were very impressed with the people, and we have continued to be able to have access to those people, so that was a big part of our decision as well. . In the event of a dispute, the policy as written in English is considered the controlling authority. At Humana, we do things differently. Founded in 1996, Arcadian Health Plan provides Medicare Advantage coverage through its affiliates in 15 states: Arizona, Arkansas, California, Georgia, Louisiana, Maine, Missouri, New Hampshire, New York, North Carolina, Oklahoma, South Carolina, Texas, Virginia and Washington. 2023 Copyright arcadia.io | HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). Box 15645. Contact Us About The Company Profile For Arcadian Health Plan, Inc. In states, and for products where applicable, the premium may include a $1 administrative fee. Review the claim submission address or electronic payor ID # on the back of the patient's member ID card. Precise ParkLink. View plan provisions or check with your sales representative. (This fee is non-refundable as allowed by state). Our analytical expertise simplifies operational decisions for our partners, so they can focus on doing what they do best: delivering care. Please contact the member's participating provider network website for specific filing limit terms. H5619 Arcadian Health Plan (Humana, Inc.) Dual Health (5 days ago) WebH5619 Arcadian Health Plan (Humana, Inc.) Dual Eligible (Dual Eligible Subset - Medicare Zero Cost-sharing) Special Needs Plan Model of Care Score: 88.33% 3-Year Approval . Lafayette, LA 70501. About ARCADIAN HEALTH PLAN, INC. Arcadian Health Plan, Inc. Dba Arkansas Community Care, Inc. is a provider established in Oakland, California operating as a Health Maintenance Organization.The NPI number of this provider is 1316105646 and was assigned on May 2008. The practitioner's primary taxonomy code is 302R00000X.The provider is registered as an organization and their NPI record was last . Health (8 days ago) Arcadian Health Plan Provider Portal Health (8 days ago) WebArcadian Health Plan Provider Portal Health (8 days ago) Web (Just Now) Secure Provider Portal Prior Authorization; Provider Electronic Solutions (PES) Software https://www.health-improve.org/arcadian-health-plan-provider-portal/ Category: Health Show Health, https://www.health-improve.org/arcadian-health-plan-provider-portal/, Health (7 days ago) WebVirtual Visits and easy access to our records help providers capture encounter details, conduct Health Risk Assessments, fill in gaps in care to support HEDIS/NCQA , Health (1 days ago) WebArcadia Value-based Managed Care Services Login or find a doctor on secure.arcadia.io You can find the login to our member or provider portal as well as registration, , https://arcadia.io/login-or-find-a-doctor, Health (9 days ago) WebHelping Healthcare Providers Improve Population Health Arcadia Analytics Healthcare Providers Optimize financial outcomes and deliver better care We partner with , Health (3 days ago) WebProvider Name: ARCADIAN HEALTH PLAN, INC. Healthcare disrupted: How to keep pace in a rapidly changing world, Population health trends across the United States, Moving VBC forward: The technology-enabled ACO. 300 Hopkins Street Our data-driven approach and team support for your value-based care. Step 1 Head to Arcadian Health Plan Provider Login official login page with the links , https://hugzillablog.dixiesewing.com/arcadian-health-plan-provider-login/, Health (6 days ago) WebArcadia enables healthcare payers to collaborate closely with their provider networks for mutual economic success under Medicare, Medicaid, and Commercial risk-based , Health (7 days ago) WebNeed to submit a claim? Clinical Guidelines. Humana group medical plans are offered by Humana Medical Plan, Inc., Humana Employers Health Plan of Georgia, Inc., Humana Health Plan, Inc., Humana Health Benefit Plan of Louisiana, Inc., Humana Health Plan of Ohio, Inc., Humana Health Plans of Puerto Rico, Inc. License # 00235-0008, Humana Wisconsin Health Organization Insurance Corporation, or Humana Health Plan of Texas, Inc., or insured by Humana Health Insurance Company of Florida, Inc., Humana Health Plan, Inc., Humana Health Benefit Plan of Louisiana, Inc., Humana Insurance Company, Humana Insurance Company of Kentucky, Humana Insurance of Puerto Rico, Inc. License # 00187-0009, or administered by Humana Insurance Company or Humana Health Plan, Inc. For Arizona residents, plans are offered by Humana Health Plan, Inc. or insured by Humana Insurance Company. trailer The provider's business location address is: Source: picshealth.blogspot.com. Checking your browser. Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. Need to submit a claim? Important Humana numbers and contact information for healthcare providers. Register for Your Account Today. 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. Health (4 days ago) WebArcadian Health Plan Inc., H5619 Dual Eligible Health (5 days ago) WebArcadian 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 Statements in languages other than English contained in the advertisement do not necessarily reflect the exact contents of the policy written in English, because of possible linguistic differences. Prescription Coverage. Check patient eligibility, submit preauthorizations, dispute finalized claims and more on the Availity Essentials portal. 10/25/2022. Arcadia is the leading population health management data and software company. Administered by Humana Insurance Company. Our trained personnel arrive fully stocked with medical kits for advanced diagnostics.
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