130 E. Kaliste Saloom Road Ailing in Alabama? View your information. . The HMO Service Counties spreadsheet can be accessed via the "HMO Service areas" link and is for informational purposes only. 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. 500 12th St Ste 350, Oakland, California, 94607, United States. These reports are located on the TDI Reports webpage: HMO Reports. Track copays and deductibles. Blue Shield of California Promise Health Plan currently serves Medi-Cal . Hearty in Hawaii? Humana group life plans are offered by Humana Insurance Company or Humana Insurance Company of Kentucky. Arcadia is the leading population health management data and software company. , Health (Just Now) WebSecure Provider Portal Prior Authorization; Provider Electronic Solutions (PES) Software Arcadian Health Plan, Inc. (Humana) 1-866-945-4481. 0000006121 00000 n 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. 500 W Main. This communication provides a general description of certain identified insurance or non-insurance benefits provided under one or more of our health benefit plans. Staring down all the possibilities of building vs. buying a data analytics solution? Humana legal entities that offer, underwrite, administer or insure insurance products and services. To help our members through the pandemic, were providing trusted information from public health officials. Help providers make impactful decisions at the point of care with insights deliver at just the right time. 0000001506 00000 n Any descriptions of when to use telehealth services are for informational purposes only and should not be construed as medical advice. In states, and for products where applicable, the premium may include a $1 administrative fee. If the provider is unavailable, Acadian Healths trained professionals can execute on a providers care plan in their place, sending detailed notes and updates following the visit. We build population health management strategies to take on Medicare, Medicaid, and Commercial risk-based contracts. Contact Humana with questions about your patients` benefits or claims. Insurance Listings. Some plans may also charge a one-time, non-refundable enrollment fee. xb```b``y sx "~CT3gv6+dJX vHe_`l;~rd5ZWH20Gif >X3=`2L@8` $/L Meet your Practice Management Consultant. 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 . Big data technology for high availability data ingestion, computation and storage. You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID # 44273. The information reflected above is compiled based on the data reported by the licensed HMO to the Texas Department of Insurance. (This fee is non-refundable as allowed by state). Arcadia's powerful insights elucidate strategies around the financial viability of risk and lowering costs. Some links on this page may take you to Humana non-Medicare product or service pages or to a different website. Arcadias powerful insights elucidate strategies around the financial viability of risk and lowering costs. Our trained personnel arrive fully stocked with medical kits for advanced diagnostics. 2023 Copyright arcadia.io | HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). 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. We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. Taxonomy code 302R00000X with license number 2006117 (GA). ARCADIAN HEALTH PLAN INC. NPI 1598910549 - Health . Health Plan of Nevada providers must file an appeal within 180 days. 10/25/2022. Website current as of: 10/01/2022 H9047_PHAAM20_M We also provide free language interpreter services. Users must adhere to CMS Information Security Policies, Standards, and Procedures. Track copays and deductibles. A look at how states vary in their rates of common diseases, and why measuring health state-by-state requires robust data. Use the links on this page to access IHCP provider news items, bulletins, and banner page publications. 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. HMO Company Profile and agent for service. 0000009531 00000 n Get the most out of your plan with a MyHumana account. This is a general description of services which are subject to change. All Rights Reserved. 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. 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. Power your business with a provider source of truth. I'm not a OneHealthPort Subscriber but would like information on subscribing. Stay connected by updating your contact information (service address, phone/fax numbers, etc.). Acadian Healths specially-trained clinical team members can provide acute care treatment in the comfort of patients homes for a wide array of non-life-threatening medical conditions. Group Dental and Vision Plans (Insurance through your employer). 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. If you have any questions, call 1-800-745-7065 or sign in to the online provider center. 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. Please do not include any confidential or personal information, such as protected health information, social security number, or tax ID. Payment Policies. ARCADIAN HEALTH PLAN, INC. NPI is 1598910549. Hear what the incredible people behind the data have to say. View plan provisions or check with your sales representative. Since 1971, Acadian has been committed to providing the highest level of medical care and transportation possible. MyPlan CarePath Guide for Members. 0000002619 00000 n Arcadian Health Plan, Inc. (Humana) 1-866-945-4481. . Hands-on visits for providers to extend their specialty practice into patients homes, offering after hours and weekend support. 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. This site uses cookies that are essential for our site to work. A minimum one-year, initial contract period may be required for some dental and vision plans, excluding Dental Savings Plus. Arcadias thrilled to be back in Chicago for AMGA 2023, where we hope to hear about your healthcare goals and aspirations. Enhance your existing healthcare services with our mobile resources, bringing trained personnel direct to the patientwherever they are. Supports round-the-clock comprehensive care that may include on-demand critical care, daily rounding, on-site advanced diagnostics, and more. 1.800.624.6961, ext. Click the "Allow" button. Explore your coverage and benefit details, get ID cards and more. 2023 Copyright arcadia.io | HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. Administered by Humana Insurance Company. Verify patient eligibility and check the status of submitted claims through our online services below. Noridian Medicare Portal Login. 1.877.221.9295. View notice under A Notice for Certain Policy Holders on the ChoiceHealth website. Plus you get extra $0 benefits like Alternative Medicine visits (chiropractor, acupuncture, and more), fitness programs, and a monthly over-the-counter benefit. Review document requirements to ensure response to all pre-submission material (e.g. Warning: you are accessing an information system that may be a U.S. Government information system. 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. Need to submit a claim? Our analytical expertise simplifies operational decisions for our partners, so they can focus on doing what they do . . That's why Humana is committed to supporting your practice with training resources, policy updates, and industry-leading patient care programs. TDI assumes no responsibility for omissions, inaccuracies or ambiguities. The provider's business location address is: 500 12TH ST STE 300. Filing Date: October 29, 2013. Virtual 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 requirements, and improve patient satisfaction scores. St Louisville, KY 40202. Or, you can always contact your Provider Network Development , Health (9 days ago) WebArcadian Health Plan, Inc. Arcadian Health Plan, Inc. Company Alias [Doing Business As (dba)] This is the name or names of the company under which the company , https://www.tdi.texas.gov/hmo/profiles/95962.html, Health (7 days ago) WebARCADIAN HEALTH PLAN INC. NPI 1598910549. . New Humana member? Not available with all Humana health plans. Limitations on telehealth services, also referred to as virtual visits or telemedicine, vary by state. Hearty in Hawaii? You can find the login to our member or provider portal as well asregistration, password help, and our find a provider systems. If you have purchased an association plan, an association fee may also apply. 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. This information is not a complete description of benefits. 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). Locations Primary 500 12th Street, . endstream endobj 11821 0 obj<>/W[1 1 1]/Type/XRef/Index[152 11652]>>stream Medi-Cal is California's Medicaid healthcare program that offers free or low-cost health coverage. 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. 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. Arcadia keeps up with industry trends and has new functionalities available. Become a member of Humanas provider network. LIBERTY Dental Plan Establishes a Dedicated Toll-Free Number for Members Impacted by Humboldt County Earthquake. Review the claim submission address or electronic payor ID # on the back of the patient's member ID card. Email Notifications. Most popular medical specialty of providers who accept Arcadian Health Plan: Family Doctor. Health Plans, Inc.PO Box 5199Westborough, MA 01581. 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. When it comes to healthcare, its easy to feel like just a number. Arcadian Health Plan | 1,090 followers on LinkedIn. To appeal a decision, mail a written request to: Health Plan of Nevada, Member Services. Our healthcare experts weigh in on industry topics. Ailing in Alabama? Forrester Research does not endorse any company included in any CX Index report and does not advise any person to select the products or services of any particular company based on the ratings included in such reports. Home. 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. Arcadias Director of Enterprise Solutions Andrea Purjue and Southwestern Health Resources CIO Mac Marlow explain how forward-thinking ACOs can leverage data to improve outcomes under alternative payment models in Episode 6 of Season 2 of The Schema. 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. Secure Provider Portal Prior Authorization; Provider Electronic Solutions (PES) Software . We also like being able to save reports and create shortcuts for users. 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. Employment is based solely upon ones individual merit and qualifications directly related to professional competence. 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. Get started now! Name Required. We help drive quality care with expert insights for healthier lives. Make a plan for a lifetime of better health with Medi-Cal. New competitors are entering the market, expectations from members are shifting, and regulatory pressures are making it more difficult than ever to succeed. 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). Lafayette, LA 70501. Please keep your personal information private. Not available with all Humana health plans. Forgot Password. Patient Consent Forms. Centene Venture Company Alabama Health Plan, Inc. (Ascension Complete) 1-833-542-1677. www.ascensioncomplete.com. Find a Provider. Hear what the incredible people behind the data have to say. Average Overall User Rating for Providers in Washington who take Arcadian Health Plan: This includes adults, children, families with children, seniors, and persons with disabilities. 0000000016 00000 n Our data-driven approach and team support for your value-based care. There are several plans to choose from and not all benefits may be available in every plan. 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 . 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. Prescription Coverage. 0000000675 00000 n Data analytics decision-making guide, Guide to Build vs. Buy in Healthcare Analytics. 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. 0000014444 00000 n For New Mexico residents: Insured by Humana Insurance Company. Devoted Health Plan of Alabama, Inc. 1-800 . %%EOF 0000001278 00000 n The ranking was based on responses from 12,985 US individuals measuring 17 brands in the industry. Find your B2B customer within minutes using affordable, accurate contact data from Datanyze. We hope to see you at the HIMSS23 Global Conference. Our CHPW Medicare Advantage plans offer coverage for things Original Medicare doesn't cover, like dental, vision, and prescription drugs (except Freedom Plan). Healthcare disrupted: How to keep pace in a rapidly changing world, Population health trends across the United States. For Texas residents: Insured or offered by Humana Insurance Company, HumanaDental Insurance Company or DentiCare, Inc (d/b/a Compbenefits). x1 048F}\G` z0=i2\x!!!!!!!CCC. For Providers. Humana legal entities that offer, underwrite, administer or insure insurance products and services. View your information. Start a new EpicCare Link session 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. Below are options for contacting us. This communication does not guarantee benefits and does not indicate all services received will be covered by your plan. The HMO Alias list is an Excel spreadsheet. Our partners are accountable care organizations (ACOs) both hospital- and ambulatory-based, clinically integrated networks (CINs), behavioral health networks, pediatric care systems, and other provider organizations. My Plan. 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. 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 . Big data technology for high availability data ingestion, computation and storage. In the event of any disagreement between this communication and the plan document, the plan document will control. %PDF-1.4 % Pharmacy. Representatives are available Monday - Friday 7 a.m. - 9 p.m. Central Time. 2023 Copyright arcadia.io | HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. Rights and Responsibilities. Go365 is not an insurance product. Have questions about your Humana contract? AARP Medicare Complete. Review the latest news and publications for providers. We help bridge the gap from data retrieval to implementation for efficiency and care. Group Dental and Vision Plans (Insurance through your employer). 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. Review the claim submission address or electronic payor ID # on the back of the patients member ID card. Alignment Health Plan. Build or buy? For most members, claims can be mailed or , https://www.hpitpa.com/your-resources/for-providers/check-claims-eligibility/. This list contains CPLs most commonly billed insurances. The Company Profile page provides basic general information on the HMO, including basic financial, contact, attorney for service, complaint and company history information. Provider Network Humana offers members a comprehensive network of care centered on primary care providers (PCP), medical and surgical specialists to meet their needs. Checking your browser. 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. You've got questions, we've got anwers. U.S. News and World Report names Humana 2023 Best Overall Medicare Advantage Plan Company. Our broad network of in-network providers makes it easy to find a doctor, dentist, vision care provider or pharmacy near you. HMO Alias, NCQA accredits and certifies a wide range of health care organizations. Lafayette, LA 70508, Deliveries 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. At Humana, we do things differently. Working with Acadian Health provides greater opportunity to engage members or patients in the convenient and lower cost home setting. Support provider performance, make care and risk gaps actionable, combine clinically integrated data with predictive analytics, and improve ROI for your risk adjustment programs. 11804 0 obj<> endobj Box 15645. Health (3 days ago) WebARCADIAN HEALTH PLAN, INC. NPI is 1598910549. Review the claim submission address or electronic payor ID # on the back of the patients member ID card. Working with Acadian Health eliminates or reduces: Acadian Healths mobile community healthcare team offers quality at-home healthcare services for Clinical Partners looking to drive down medical care costs while ensuring that patients receive the proper treatment at the best location. Patient Consent Forms. 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. 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. 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? We like howeasy the system is to usefor end users. ; Value-Based Care Services Our data-driven approach and team support for your value-based care. A northwest payer saw a $7M increase in their Medicaid premium by partnering with Arcadia to improve their closed risk per patient by 59%. View plan provisions or check with your sales representative. The Company Profile page provides basic general information on the HMO, including basic financial, contact, attorney for service, complaint and company history information. When you supplement claims data with clinical vs. claims only data, Captured through supplemental EHR documentation, Captured by supplementing your claims data with clinical data. View claims. 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. 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. Stop by Booth #152 to meet our team and get a demo of Arcadia Analytics. 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. Please refer to Customer Support for more information. Username Is Required. Increase the capture of your members risk and care gaps by connecting clinical data at scale. 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. Based on a comparison of the open risk documented with and without using Arcadia for pre-visit planning and at the point of care. 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. 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. Health Net provides quality affordable health plans for individuals, families, Medi-Cal members, Medicare and businesses.

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