Documentation Guidelines. To appeal a decision, mail a written request to: Health Plan of Nevada, Member Services. Looking for information on timely filing limits? Health (Just Now) Provider Directory Search Medicare Advantage Plans Recipients in certain Alabama counties may voluntarily choose to participate in a Medicare Advantage 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. Fax: (510) 817-1894. 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. 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. Arcadian Health Plan Profile and History . Taxonomy code 302R00000X with license number 2006117 (GA). U.S. News and World Report names Humana 2023 Best Overall Medicare Advantage Plan Company. Our Health Plans - Regal Medical Group (This fee is non-refundable as allowed by state). Review the claim submission address or electronic payor ID # on the back of the patient's member ID card. This communication does not guarantee benefits and does not indicate all services received will be covered by your plan. 0000002619 00000 n Acadian Health - Acadian Companies Stay connected by updating your contact information (service address, phone/fax numbers, etc.). Verify patient eligibility and check the status of submitted claims through our online services below. Our analytical expertise simplifies operational decisions for our partners, so they can focus on doing what they do best: delivering care. This communication provides a general description of certain identified insurance or non-insurance benefits provided under one or more of our health benefit plans. The provider's business location address is: 500 12TH ST STE 300 OAKLAND, CA ZIP 94607-087 Phone: (510) 832-0311 Fax: (510) 817-1894 The . That's why Humana is committed to supporting your practice with training resources, policy updates, and industry-leading patient care programs. 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. Please refer to Customer Support for more information. 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. Health Plans - AllCare IPA Arcadian Health Plan providers listed on Doctor.com have been practicing for an average of: 26 year (s) Average ProfilePoints score for Providers who take Arcadian Health Plan: 53/80. Patient Consent Forms. We hope to see you at the HIMSS23 Global Conference. Simply enter your zip code to look up plan coverage and costs, see if your drugs are covered or check if your doctors are in our network. Chloe Do - Business Development Administrator - LinkedIn Lafayette, LA 70508, Deliveries Our data-driven approach and team support for your value-based care. HPI | Provider Resources | Patient Benefits & Eligibility We are constantly working to expand our health plan affiliations to provide you with the best options for you and your family's needs. For Arizona residents: Insured by Humana Insurance Company. H0320 ARCADIAN HEALTH PLAN, INC. Formulary Contact 825 Washington St. Suite 300 Oakland CA 94607 HMO H0320 ARCADIAN HEALTH PLAN, INC. MA Claims Processing 858 858 Oak Park Road, Suite 250 Covina CA 91724 HMO H0321 ARIZONA PHYSICIANS IPA, INC. Formulary Contact 8045 Leesburg Pike Suite 600 Vienna VA 22182 HMO H0321 ARIZONA PHYSICIANS IPA, INC. Call 1-888-823-1910 (TTY users call 711) for more . Employment is based solely upon ones individual merit and qualifications directly related to professional competence. 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. View claims. We partner with healthcare providers to optimize financial outcomes in both value-based care and fee-for-service payment models while empowering opportunities to deliver quality care. Checking your browser. We like howeasy the system is to usefor end users. By working collaboratively with your team, we strive to improve patient satisfaction, care coordination, and achieve quality health outcomes. Make a plan for a lifetime of better health with Medi-Cal. View your information. Some links on this page may take you to Humana non-Medicare product or service pages or to a different website. Any descriptions of when to use telehealth services are for informational purposes only and should not be construed as medical advice. We help drive quality care with expert insights for healthier lives. We act as your eyes, ears, and hands and coordinate with the patients provider to support a wellness/specialist visit or address complex conditions. All rights reserved | Email: [emailprotected], Washington state health insurance application, National healthcare corporation nashville tn, St louis city department of public health. Results are shared through our provider portal where encounter records can be easily viewed, downloaded, and uploaded to your system. 10/25/2022. Below are options for contacting us. Users must adhere to CMS Information Security Policies, Standards, and Procedures. ; Value-Based Care Services Our data-driven approach and team support for your value-based care. Learn how to submit a preauthorization for frequently requested services/procedures for your patients and check prior authorization lists. Hear what the incredible people behind the data have to say. Our Medicare Advantage plans come packed with extra resources for improving our members health. 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. Not available with all Humana health plans. 0000012822 00000 n Please do not include any confidential or personal information, such as protected health information, social security number, or tax ID. Client session timed out. For costs and complete details of the coverage, refer to the plan document or call or write your Humana insurance agent or the company. Insured through UnitedHealthcare (formerly Secure Horizons) Website. Health Plan of Nevada providers must file an appeal within 180 days. , Health (2 days ago) WebHealth (3 days ago) arcadian health plan, inc. Hmo company profile and agent for service. Our members' health is in your hands. 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. Home - AgeRight Advantage 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. The plans are offered under the following local product names: Arcadian Community Care (Louisiana and California); Arcadi 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. Health Plans, Inc.PO Box 5199Westborough, MA 01581. You can find the login to our member or provider portal as well asregistration, password help, and our find a provider systems. This login page requires that you have registered as a OneHealthPort Subscriber. 0000002843 00000 n LIBERTY Dental Plan Partners with Kaiser Permanente's Mid-Atlantic Region for Dental Benefits Coverage. Includes follow-up care and education for recently discharged and high-risk patients. Use the links on this page to access IHCP provider news items, bulletins, and banner page publications. HMO Company Profile and agent for service. Logout - Trinity Health This is a general description of services which are subject to change. This information is not a complete description of benefits. Please refer to your Evidence of Coverage or call Customer Service at the number on the back of your Humana ID card to confirm that the service will be covered by your plan. Business Intelligence Portal. Providers | Blue Shield of CA Promise Health Plan 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. . Forget spreadsheets and unify business processes and infrastructure on a single source of truth. Support provider performance, make care and risk gaps actionable, combine clinically integrated data with predictive analytics, and improve ROI for your risk adjustment programs. We like the data that has been made available. (This fee is non-refundable as allowed by state). Get the most out of your plan with a MyHumana account. 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. St Louisville, KY 40202. A minimum one-year, initial contract period may be required for some dental and vision plans, excluding Dental Savings Plus. MyPlan QuickStart Guide for Members. Alignment Health Plan. Providence Health Assurance is an HMO, HMOPOS and HMO SNP with Medicare and Oregon Health Plan contracts. 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. Company Profile Page. These are just some of the conditions we evaluate and treat: Acadian Health acts as your eyes, ears, and hands when you cant be there. Physician Case Management Referral. ), and prepare summary information to initiate proposal response activities. For most members, claims can be mailed or , https://www.hpitpa.com/your-resources/for-providers/check-claims-eligibility/. A northwest payer saw a $7M increase in their Medicaid premium by partnering with Arcadia to improve their closed risk per patient by 59%. Helping Healthcare Payers Improve Risk Adjustment - Arcadia Call Provider Services at 888-773-2647 (TTY 711) with any questions. Lafayette, LA 70501. AARP Medicare Complete. Plans, products, and services are solely and only provided by one or more Humana Entities specified on the plan, product, or service contract, not Humana Inc. Not all plans, products, and services are available in each state. These reports are located on the TDI Reports webpage: HMO Reports. 2023 Copyright arcadia.io | HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). xref Medical Policies. 12/20/2022. Review the claim submission address or electronic payor ID # on the back of the patients member ID card. Arcadian Health Plan Provider Number Based on a comparison of the open risk documented with and without using Arcadia for pre-visit planning and at the point of care. View notice under A Notice for Certain Policy Holders on the ChoiceHealth website. 1-877-370-4874. www.MyUHCMedicare.com. Become a member of Humanas provider network. 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. Go365 is not an insurance product and is not available with all Humana health plans. Alabama Medicaid. Find the right healthcare plan for you, your family or your employees. Secure Log in - Health Plan Indiana Medicaid: Partners: Dual Eligible Special Needs Plans We help bridge the gap from data retrieval to implementation for efficiency and care. I'm not a OneHealthPort Subscriber but would like information on subscribing. There are several plans to choose from and not all benefits may be available in every plan. endstream endobj 11821 0 obj<>/W[1 1 1]/Type/XRef/Index[152 11652]>>stream Insurance Listings | Clinical Pathology Laboratories Enrollment in Providence Health Assurance depends on contract renewal. It's holistic care for members and peace of mind for loved ones. Our data-driven approach and team support for your value-based care. Help providers make impactful decisions at the point of care with insights deliver at just the right time. The HMO Service Counties spreadsheet can be accessed via the "HMO Service areas" link and is for informational purposes only. Ailing in Alabama? Arcadian Health Plan Company Profile | Management and Employees List ; Customer Insights Team We help bridge the gap from data retrieval to implementation for efficiency and care. ARCADIAN HEALTH PLAN INC. NPI 1598910549 - Health Providers Data PDF Arcadian Health Plan Inc., H5619 Dual Eligible Medicare Zero Cost HAP | Affordable Michigan Health Insurance | Michigan Health Insurance . FinancialAnalysis@tdi.texas.gov. The ranking was based on responses from 12,985 US individuals measuring 17 brands in the industry. 0000016080 00000 n Arcadian Health Plan Provider Portal For Providers :: The Health Plan Or, you can always contact your Provider Network Development Representative. 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. Arcadian Health Plan Inc Humana Name Required. We help bridge the gap from data retrieval to implementation for efficiency and care. Patient Consent Forms. Devoted Health Plan of Alabama, Inc. 1-800 . 0000007839 00000 n The HMO Alias list is an Excel spreadsheet. 0000009531 00000 n Website. In states, and for products where applicable, the premium may include a $1 administrative fee. This site uses cookies that are essential for our site to work. 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. Humana Employers Health . LIBERTY Dental Plan Establishes a Dedicated Toll-Free Number for Members Impacted by Humboldt County Earthquake. Clinical Guidelines. Plus you get extra $0 benefits like Alternative Medicine visits (chiropractor, acupuncture, and more), fitness programs, and a monthly over-the-counter benefit. We do this by: There are options we like from Arcadia. Big data technology for high availability data ingestion, computation and storage. x1 048F}\G` z0=i2\x!!!!!!!CCC. Unlock collaboration across your organization, providers, partners, and members. 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. Arcadian Health Plan, Inc. - Texas Department of Insurance And Arcadia had really outstanding leadership in terms of the knowledge of the business. You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID # 44273. Acadian Health offers quality patient-centered care for the following services, and more: Acadian Health is guided by population health and the total cost of care strategies, the IHI Triple Aim, and by Colemans Four Pillars method for post-discharge patient care and disease management. File Number: 3615733. LIBERTY Dental Plan : Making Members Shine! Arcadian Health Plan Doctors in Washington (WA) | Doctor.com Get started now! Humana group life plans are offered by Humana Insurance Company or Humana Insurance Company of Kentucky. Subscriber ID: Password: Login. Power your business with a provider source of truth. To learn more about the health plan programs, contact the following customer service departments: Aetna. 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). Health Net provides quality affordable health plans for individuals, families, Medi-Cal members, Medicare and businesses. 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. Arcadian Health Plan | 1,090 followers on LinkedIn. Noridian Medicare Portal Login. 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. *Humana received the highest CX Index score among health insurers in Forresters proprietary 2022 CX Index survey. HAP | Affordable Michigan Health Insurance | Michigan Health Insurance This data may not reflect amendments filed by the HMO and may be subject to change. Contact Us :: The Health Plan 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. For New Mexico residents: Insured by Humana Insurance Company. If you have purchased an association plan, an association fee may also apply. Stop by Booth #152 to meet our team and get a demo of Arcadia Analytics. ARCADIAN HEALTH PLAN INC. NPI 1598910549. 500 12th St Ste 350, Oakland, California, 94607, United States. Find doctors, hospitals, and specialists in your area. 0000002140 00000 n Certain exceptions may apply by geography, network affiliation, member coverage or benefit design. 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? Medicare Advantage Plans | Vantage Health Plan Arcadia keeps up with industry trends and has new functionalities available. Your Choice, Your Plans. Check patient eligibility, submit preauthorizations, dispute finalized claims and more on the Availity Essentials portal. Our goal is to provide timely and actionable information that helps our CHCs utilize quality . Some plans may also charge a one-time, non-refundable enrollment fee. Notice of data security event involving ChoiceHealth, a service provider for Humana. Filing Date: October 29, 2013. For Providers. In the event of any disagreement between this communication and the plan document, the plan document will control. Our claims professionals have extensive claims handling experience for a variety of business lines. (800) 624-0756. (877) 842-3210. These two leaders in the long term care industry joined together to create a . 0000000926 00000 n Login using EmpowerID. Arcadia's powerful insights elucidate strategies around the financial viability of risk and lowering costs. . 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. For New Mexico residents: Insured by Humana Insurance Company. Doctors who accept Arcadian Health Plan Insurance | Doctor.com CalOptima Health does not offer free wireless phones. This list contains CPLs most commonly billed insurances. PDF H5619 Arcadian Health Plan (Humana, Inc.) Dual Eligible (Dual Eligible Our broad network of in-network providers makes it easy to find a doctor, dentist, vision care provider or pharmacy near you. Like an EASY button for providers: Overcome transportation and mobility issues by simply pre-scheduling or requesting an on-demand At-Home Health visit. If there's a question you can't find the answer to in our FAQs, call Provider Services at 888-773-2647 (TTY 711). This site uses cookies that are essential for our site to work. 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 . RSVP to Site Meetings, return Intent to Submit letters, etc. Have questions about your Humana contract? Hear what the incredible people behind the data have to say. 11804 0 obj<> endobj ARCADIAN HEALTH PLAN, INC. :: Washington (US) - OpenCorporates Your Choice, Your Plans. Big data technology for high availability data ingestion, computation and storage. Representatives are available Monday - Friday 7 a.m. - 9 p.m. Central Time. All Rights Reserved. The provider's business location address is: Source: picshealth.blogspot.com. Group Dental and Vision Plans (Insurance through your employer). Contact Humana with questions about your patients` benefits or claims. Email Notifications. (3 days ago) WebAddress: 500 12TH ST STE 300 OAKLAND, CA ZIP 94607 Phone: (510) 832-0311 Get Directions ARCADIAN HEALTH PLAN, INC. is a health maintenance organization in . 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. Warning: you are accessing an information system that may be a U.S. Government information system. 0000011182 00000 n 1.877.221.9295. Precise ParkLink. Noridian Medicare Portal Login Health Net - Coverage for Every Stage of Life | Health Net Corporate Office If you are an individual with a disability who needs accommodation or you are having difficulty using our website to apply for employment, please contact Human Resources at 1-800-259-3333. Need to submit a claim? Arcadian was founded by a physician over 13 years ago, and we are dedicated to improving the health of our members by providing access to high . Arcadias powerful insights elucidate strategies around the financial viability of risk and lowering costs. 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. In the event of a dispute, the policy as written in English is considered the controlling authority. Arcadian Health Plan | LinkedIn Call Provider Services at 888-773-2647 (TTY 711) with any questions. The provider's business location address is: 500 12TH ST STE 300. View your information. Individual applications are subject to eligibility requirements. 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. Payment Policies. Medicaid contracts each year with plans that are willing to accept a monthly fee for each recipient in their program. 0000014444 00000 n What healthcare data platform capabilities do you need to stay competitive? Need to submit a claim? The AgeRight Advantage mission is to promote the vitality within each of AgeRight Advantage's members and to support them along their aging journey. Arcadian Health Plan Eligibility. April 1-September 31. For Arizona residents: Insured by Humana Insurance Company. Our data-driven approach and team support for your value-based care. A look at how states vary in their rates of common diseases, and why measuring health state-by-state requires robust data. Language interpreter services (at 1st prompt enter 22228, at 2nd prompt enter. 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. 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. MyPlan QuickStart Guide for Members. To help our members through the pandemic, were providing trusted information from public health officials. Average Overall User Rating for Providers in Washington who take Arcadian Health Plan: Arcadian - Claims Humana makes it easy to find the best Medicare plans for younear you. Home. Call us at (800) 468-9935 [TTY 711], 6 a.m. to 6:30 p.m., Monday through Friday. Arcadia is the leading population health management data and software company. Plans, products, and services are solely and only provided by one or more Humana Entities specified on the plan, product, or service contract, not Humana Inc. Not all plans, products, and services are available in each state. 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. 0000000675 00000 n
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