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. Arcadian Health Plan Profile and History . 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. Your Choice, Your Plans. Use the links on this page to access IHCP provider news items, bulletins, and banner page publications. St Louisville, KY 40202. Rights and Responsibilities. Hearty in Hawaii? 0000000675 00000 n We build population health management strategies to take on Medicare, Medicaid, and Commercial risk-based contracts. The information reflected above is compiled based on the data reported by the licensed HMO to the Texas Department of Insurance. 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. Forgot Username? The provider's business location address is: Source: picshealth.blogspot.com. Maxwell Roberts Building, 5th Floor, 1 Church Street Hamilton HM 11 Bermuda +1 441 5439 800 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. 1601 Congress Avenue, Austin, TX 78701 | P.O. Clinical Guidelines. Advanced at-home care is an alternative to inpatient hospital visits for general medical conditions. 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. Insured through UnitedHealthcare (formerly Secure Horizons) Website. . I'm not a OneHealthPort Subscriber but would like information on subscribing. Ailing in Alabama? Hearty in Hawaii? Users must adhere to CMS Information Security Policies, Standards, and Procedures. Average Overall User Rating for providers who take Arcadian Health . Pharmacy. This information is not a complete description of benefits. Log in to , https://www.humana.com/provider/medical-resources/self-service-portal, Health (6 days ago) WebMedical Policies. 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. 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). It is for people who meet the income requirements and live in the state. (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 . Stop by Booth #152 to meet our team and get a demo of Arcadia Analytics. 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. Prescription Coverage. For New Mexico residents: Insured by Humana Insurance Company. Not available with all Humana health plans. Las Vegas, NV 89114-5645. We like the data that has been made available. Business Intelligence Portal. 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 . Call Provider Services at 888-773-2647 (TTY 711) with any questions. Track copays and deductibles. HMO Company Profile and agent for service, http://www.tdi.texas.gov/hmo/profiles/defintns.html, http://www.tdi.texas.gov/hmo/profiles/alpha.html. A look at how states vary in their rates of common diseases, and why measuring health state-by-state requires robust data. 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. There are several plans to choose from and not all benefits may be available in every plan. Compare Humana Medicare plans where you live. Improve your chase list for a better ROI on your risk adjustment program. Support provider performance, make care and risk gaps actionable, combine clinically integrated data with predictive analytics, and improve ROI for your risk adjustment programs. 0000016080 00000 n Password Is Required. Aetna. View your information. Company Profile Page. We are constantly working to expand our health plan affiliations to provide you with the best options for you and your family's needs. Let them know who you want as your primary care physician and that you want AllCare as your medical group. 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. Review document requirements to ensure response to all pre-submission material (e.g. A look at how states vary in their rates of common diseases, and why measuring health state-by-state requires robust data. Provider Search . Review the claim submission address or electronic payor ID # on the back of the patients member ID card. AgeRight Advantage is a Medicare Advantage Plan locally owed by Marquis Companies and Avamere Family of Companies. Health Plans, Inc.PO Box 5199Westborough, MA 01581. Download provider quick reference phone guide (PDF, 129 KB) Devoted Health Plan of Alabama, Inc. 1-800 . 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. Forgot My Password. ARCADIAN HEALTH PLAN, INC. NPI is 1598910549. We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. Some plans may also charge a one-time, non-refundable enrollment fee. trailer Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. Need to submit a claim? Humana Employers Health . We help drive quality care with expert insights for healthier lives. 0000002619 00000 n 0000009531 00000 n For New Mexico residents: Insured by Humana Insurance Company. 0000002140 00000 n Integrate your business for coordinated and collaborative innovation by unifying your infrastructure and associated business processes with a service oriented, centralized platform. x1 048F}\G` z0=i2\x!!!!!!!CCC. 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. 0000014444 00000 n Patient Consent Forms. Medical Policies. Alabama Medicaid. Any descriptions of when to use telehealth services are for informational purposes only and should not be construed as medical advice. Hear what the incredible people behind the data have to say. All Rights Reserved. Login using EmpowerID. And with Availity, you can conduct business online quickly and easily, so you can focus on the well-being of our . Or, you can always contact your Provider Network Development Representative. Email Notifications. View your information. View or print your member ID card. Our healthcare experts weigh in on industry topics. Limitations on telehealth services, also referred to as virtual visits or telemedicine, vary by state. . Access Patient Benefits. 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. Stay connected by updating your contact information (service address, phone/fax numbers, etc.). Individual applications are subject to eligibility requirements. 130 E. Kaliste Saloom Road Our healthcare experts weigh in on industry topics. To appeal a decision, mail a written request to: Health Plan of Nevada, Member Services. Individual applications are subject to eligibility requirements. Arcadias thrilled to be back in Chicago for AMGA 2023, where we hope to hear about your healthcare goals and aspirations. Please do not include any confidential or personal information, such as protected health information, social security number, or tax ID. All rights reserved | Email: [emailprotected], Washington state health insurance application, National healthcare corporation nashville tn, St louis city department of public health. Like an EASY button for providers: Overcome transportation and mobility issues by simply pre-scheduling or requesting an on-demand At-Home Health visit. Our healthcare experts weigh in on industry topics. Review the claim submission address or electronic payor ID # on the back of the patient's member ID card. Enhance your existing healthcare services with our mobile resources, bringing trained personnel direct to the patientwherever they are. 1.800.624.6961, ext. 0000001506 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. Physician Case Management Referral. ARCADIAN HEALTH PLAN, INC. can be reached at the following phone number(s): Phone: 510-832-0311 Hear what the incredible people behind the data have to say. (877) 842-3210. Find doctors, hospitals, and specialists in your area. 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. %%EOF With five decades of mobile healthcare experience through our ambulance division, the Acadian Health mobile community healthcare team members . 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. 2023 Acadian Companies. Certain exceptions may apply by geography, network affiliation, member coverage or benefit design. 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. That's why Humana is committed to supporting your practice with training resources, policy updates, and industry-leading patient care programs. By working collaboratively with your team, we strive to improve patient satisfaction, care coordination, and achieve quality health outcomes. Forget spreadsheets and unify business processes and infrastructure on a single source of truth. Taxonomy code 302R00000X with license number 2006117 (GA). 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. The HMO Service Counties spreadsheet can be accessed via the "HMO Service areas" link and is for informational purposes only. Power your business with a provider source of truth. Checking your browser. We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. 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 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. 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. The information is subject to change and is not all-inclusive. The practitioner's primary taxonomy code is 302R00000X.The provider is registered as an organization and their NPI record was last . 2023 Copyright arcadia.io | HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). 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. This communication provides a general description of certain identified insurance or non-insurance benefits provided under one or more of our health benefit plans. Arcadia's powerful insights elucidate strategies around the financial viability of risk and lowering costs. These two leaders in the long term care industry joined together to create a . 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. Our trained personnel arrive fully stocked with medical kits for advanced diagnostics. Provider Network Humana offers members a comprehensive network of care centered on primary care providers (PCP), medical and surgical specialists to meet their needs. Ailing in Alabama? Review the claim submission address or electronic payor ID # on the back of the patients member ID card. View or print your member ID card. This is the name or names of the company under which the company does business. Healthcare disrupted: How to keep pace in a rapidly changing world, Population health trends across the United States. You can find the login to our member or provider portal as well asregistration, password help, and our find a provider systems. . A minimum one-year, initial contract period may be required for some dental and vision plans, excluding Dental Savings Plus. For your convenience, we now have a dedicated phone line. endstream endobj 11821 0 obj<>/W[1 1 1]/Type/XRef/Index[152 11652]>>stream Explore trainings and tutorials for working with Humana. . Premiums as Low as $0. Need to submit a claim? CalOptima Health does not offer free wireless phones. If you have any questions, call 1-800-745-7065 or sign in to the online provider center. 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 . 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. 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. Create clinically-relevant care programs at scale. ; Value-Based Care Services Our data-driven approach and team support for your value-based care. U.S. News and World Report names Humana 2023 Best Overall Medicare Advantage Plan Company. 0000012822 00000 n The HMO Alias list is an Excel spreadsheet. To learn more about the health plan programs, contact the following customer service departments: Aetna. Patient Consent Forms. Providence Health Assurance is an HMO, HMOPOS and HMO SNP with Medicare and Oregon Health Plan contracts. If this is a U.S. Government information system, CMS maintains ownership and responsibility for its computer systems. Log in tips & other helpful technical information. 0000007839 00000 n MyPlan CarePath Guide for Members. View claims. If there's a question you can't find the answer to in our FAQs, call Provider Services at 888-773-2647 (TTY 711). What healthcare data platform capabilities do you need to stay competitive? Please keep your personal information private. Combine clinically integrated data with predictive analytics to help providers find the patients most likely to engage and close a care gap. 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. Review the latest news and publications for providers. Eligible members enjoy access to a wide variety of benefits, services and tools. Health (Just Now) Provider Directory Search Medicare Advantage Plans Recipients in certain Alabama counties may voluntarily choose to participate in a Medicare Advantage plan. 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 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. Please contact the member's participating provider network website for specific filing limit terms. 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. 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. In the event of any disagreement between this communication and the plan document, the plan document will control. Physician Case Management Referral. Language interpreter services (at 1st prompt enter 22228, at 2nd prompt enter. Help providers make impactful decisions at the point of care with insights deliver at just the right time. Your Choice, Your Plans. 0000002922 00000 n Looking for information about your patients benefits or claims? My Plan. Our goal is to provide timely and actionable information that helps our CHCs utilize quality . Data Platform Big data technology for high availability data ingestion, computation and storage. This includes adults, children, families with children, seniors, and persons with disabilities. ), and prepare summary information to initiate proposal response activities. What healthcare data platform capabilities do you need to stay competitive? MyPlan QuickStart Guide for Members. 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. Explore your coverage and benefit details, get ID cards and more. Call 1-888-823-1910 (TTY users call 711) for more . 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. 0000000016 00000 n 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. Administered by Humana Insurance Company. 12/20/2022. 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. April 1-September 31. , Health (Just Now) WebSecure Provider Portal Prior Authorization; Provider Electronic Solutions (PES) Software Arcadian Health Plan, Inc. (Humana) 1-866-945-4481. . What does Medicare cover (and not cover)? P.O. Below are options for contacting us. Centene Venture Company Alabama Health Plan, Inc. (Ascension Complete) 1-833-542-1677. www.ascensioncomplete.com. Alignment Health Plan. Call us at (800) 468-9935 [TTY 711], 6 a.m. to 6:30 p.m., Monday through Friday. Enrollment in Vantage depends on contract renewal. We like howeasy the system is to usefor end users. 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). 0000006121 00000 n 11804 0 obj<> endobj Forgot Password. Learn how to submit a preauthorization for frequently requested services/procedures for your patients and check prior authorization lists. 500 12th St Ste 350, Oakland, California, 94607, United States. Name Required. If you have any questions regarding a specific insurance, please contact your local CPL representative or . Activate your MyHumana profile. General. For Texas residents: Insured or offered by Humana Insurance Company, HumanaDental Insurance Company or DentiCare, Inc (d/b/a Compbenefits). Includes follow-up care and education for recently discharged and high-risk patients. Have questions about your Humana contract? Site Usage Privacy Rights | Site Designed by Firefly Marketing Acadian is an Equal Opportunity Employer/Affirmative Action Employer. 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. Today, we have ground and air ambulance facilities strategically located in areas across Louisiana, Mississippi, Tennessee and Texas, and we offer safety and medical services around the world. 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. 09/16/2022. Increase the capture of your members risk and care gaps by connecting clinical data at scale. We help bridge the gap from data retrieval to implementation for efficiency and 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. It's holistic care for members and peace of mind for loved ones. (This fee is non-refundable as allowed by state). Arcadia keeps up with industry trends and has new functionalities available. Important Humana numbers and contact information for healthcare providers. Documentation Guidelines. 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. LIBERTY Dental Plan Partners with Kaiser Permanente's Mid-Atlantic Region for Dental Benefits Coverage. 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. The provider is registered as an organization entity type. And Arcadia had really outstanding leadership in terms of the knowledge of the business. Click the "Allow" button. 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 powerful insights elucidate strategies around the financial viability of risk and lowering costs. Big data technology for high availability data ingestion, computation and storage. Arcadia Value-based Managed Care Services, Guide to Build vs. Buy in Healthcare Analytics. Find a Provider. 0000001811 00000 n startxref Meet your Practice Management Consultant. Arcadian Health Plan Eligibility. 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. Verify patient eligibility and check the status of submitted claims through our online services below. Username Is Required. Precise ParkLink. For costs and complete details of the coverage, refer to the plan document or call or write your Humana insurance agent or the company. Humana group life plans are offered by Humana Insurance Company or Humana Insurance Company of Kentucky. Collaborate closely with your provider networks for mutual economic success under Medicare, Medicaid, and Commercial risk-based contracts. Make a plan for a lifetime of better health with Medi-Cal. 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. Prescheduled visits can be organized with the provider joining by phone or telehealth. (800) 624-0756. Humana legal entities that offer, underwrite, administer or insure insurance products and services. 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 . This guide helps you sort through the confusion around build vs. buy. You've got questions, we've got anwers. You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID # 44273. Become a member of Humanas provider network. Unlock collaboration across your organization, providers, partners, and members.

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