We build population health management strategies to take on Medicare, Medicaid, and Commercial risk-based contracts. If you need technical help to access the UnitedHealthcare Provider Portal, please email [email protected] or call our UnitedHealthcare Web Support at 866-842-3278, option 1. Unlock collaboration across your organization, providers, partners, and members. Please contact the member's participating provider network website for specific filing limit terms. 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. Company Profile Page. 1.877.221.9295. Download provider quick reference phone guide (PDF, 129 KB) Site Usage Privacy Rights | Site Designed by Firefly Marketing Acadian is an Equal Opportunity Employer/Affirmative Action Employer. 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. 2023 Copyright arcadia.io | HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). Our analytical expertise simplifies operational decisions for our partners, so they can focus on doing what they do . Alignment Health Plan. 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. For New Mexico residents: Insured by Humana Insurance Company. (3 days ago) WebARCADIAN HEALTH PLAN, INC. NPI is 1598910549. Taxonomy code 302R00000X with license number 2006117 (GA). 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. 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. P.O. 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. Find doctors, hospitals, and specialists in your area. Password Is Required. Big data technology for high availability data ingestion, computation and storage. We have clinical data, claims data, and ADT data all put together in the system. New Humana member? Our CHPW Medicare Advantage plans offer coverage for things Original Medicare doesn't cover, like dental, vision, and prescription drugs (except Freedom Plan). 10/25/2022. Corporate Office All Rights Reserved. Subscriber ID: Password: Login. This site uses cookies that are essential for our site to work. 0000014444 00000 n We do this by: There are options we like from Arcadia. 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. This communication provides a general description of certain identified insurance or non-insurance benefits provided under one or more of our health benefit plans. Alabama Medicaid. The Company Profile page provides basic general information on the HMO, including basic financial, contact, attorney for service, complaint and company history information. Since its beginning, our at-home care has proven to save an average of $1,000 per visit. Prescheduled visits can be organized with the provider joining by phone or telehealth. Hands-on visits for providers to extend their specialty practice into patients homes, offering after hours and weekend support. 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. 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. Since 1971, Acadian has been committed to providing the highest level of medical care and transportation possible. 2023 Acadian Companies. AgeRight Advantage is a Medicare Advantage Plan locally owed by Marquis Companies and Avamere Family of Companies. Box 12030, Austin, TX 78711 | 512-676-6000 | 800-578-4677, State Auditor's Office Hotline: 800-TX-AUDIT. Our trained personnel arrive fully stocked with medical kits for advanced diagnostics. Certain exceptions may apply by geography, network affiliation, member coverage or benefit design. 0000002140 00000 n Medicaid contracts each year with plans that are willing to accept a monthly fee for each recipient in their program. . There are several plans to choose from and not all benefits may be available in every plan. We help bridge the gap from data retrieval to implementation for efficiency and care. View or print your member ID card. %PDF-1.4 % . Health (3 days ago) WebARCADIAN HEALTH PLAN, INC. NPI is 1598910549. Phone: (510) 832-0311. Aetna. Hearty in Hawaii? 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. %%EOF These reports are located on the TDI Reports webpage: HMO Reports. 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. 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. Checking your browser. Humana makes it easy to find the best Medicare plans for younear you. Health Plans, Inc.PO Box 5199Westborough, MA 01581. 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. Our healthcare experts weigh in on industry topics. xref Please refer to your evidence of coverage for additional details on what your plan may cover or other rules that may apply. 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. Explore trainings and tutorials for working with Humana. Arcadias powerful insights elucidate strategies around the financial viability of risk and lowering costs. A northwest payer saw a $7M increase in their Medicaid premium by partnering with Arcadia to improve their closed risk per patient by 59%. At Humana, we do things differently. MyPlan QuickStart Guide for Members. We help bridge the gap from data retrieval to implementation for efficiency and care. Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. LIBERTY Dental Plan Partners with Kaiser Permanente's Mid-Atlantic Region for Dental Benefits Coverage. Review the claim submission address or electronic payor ID # on the back of the patients member ID card. 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 . Hear what the incredible people behind the data have to say. This data may not reflect amendments filed by the HMO and may be subject to change. Verify patient eligibility and check the status of submitted claims through our online services below. Industry: Health insurance carriers Printer Friendly View Address: 500 12TH St Ste 350 Oakland, CA, 94607-5204 United States See other locations Website current as of: 10/01/2022 H9047_PHAAM20_M Looking for information on timely filing limits? Arcadia is the leading population health management data and software company. Administered by Humana Insurance Company. Our analytical expertise simplifies operational decisions for our partners, so they can focus on doing what they do best: delivering care. Integrate your business for coordinated and collaborative innovation by unifying your infrastructure and associated business processes with a service oriented, centralized platform. 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. Group Dental and Vision Plans (Insurance through your employer). Big data technology for high availability data ingestion, computation and storage. 2023 Copyright arcadia.io | HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). Please do not include any confidential or personal information, such as protected health information, social security number, or tax ID. Clinical Guidelines. , Health (2 days ago) WebHealth (3 days ago) arcadian health plan, inc. Hmo company profile and agent for service. 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). 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 Name Required. Notice of data security event involving ChoiceHealth, a service provider for Humana. Medi-Cal is California's Medicaid healthcare program that offers free or low-cost health coverage. View claims. 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. 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. Stop the data debates and give your teams the ability to focus on the best next step. Increase the capture of your members risk and care gaps by connecting clinical data at scale. Support provider performance by making care and risk documentation gaps actionable within their existing clinical workflows. We like howeasy the system is to usefor end users. If you have any questions regarding a specific insurance, please contact your local CPL representative or . H5619 Arcadian Health Plan (Humana, Inc.) Dual Eligible (Dual Eligible Subset - Medicare Zero Cost-sharing) Special Needs Plan Model of Care Score: 88.33% . endstream endobj 11821 0 obj<>/W[1 1 1]/Type/XRef/Index[152 11652]>>stream The proprietary survey results are based on consumers opinions of the experiences with the brands in the survey. Las Vegas, NV 89114-5645. Employment is based solely upon ones individual merit and qualifications directly related to professional competence. 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. Your Choice, Your Plans. Warning: you are accessing an information system that may be a U.S. Government information system. We partner with leading nursing homes around the country to improve the health and quality of life of residents . Average Overall User Rating for providers who take Arcadian Health . 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. Premiums as Low as $0. Our data-driven approach and team support for your value-based care. 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. Our data-driven approach and team support for your value-based care. 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. Providence Health Assurance is an HMO, HMOPOS and HMO SNP with Medicare and Oregon Health Plan contracts. The information is subject to change and is not all-inclusive. In the event of a dispute, the policy as written in English is considered the controlling authority. Health (Just Now) Provider Directory Search Medicare Advantage Plans Recipients in certain Alabama counties may voluntarily choose to participate in a Medicare Advantage plan. 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. Forgot Username? 2023 Copyright arcadia.io | HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). For your convenience, we now have a dedicated phone line. Forgot Password. Healthcare disrupted: How to keep pace in a rapidly changing world, Population health trends across the United States. We are constantly working to expand our health plan affiliations to provide you with the best options for you and your family's needs. When it comes to healthcare, its easy to feel like just a number. Privacy PolicySurprise Medical Bills Transparency in Coverage - Machine Readable Files Translation Disclaimer Sitemap, Corporate Headquarters1500 West Park Drive, Suite 330Westborough, MA 01581Directions, Phone: 508-752-2480Toll-free: 800-532-7575Fax: 508-754-9664, Health Plans, Inc. is a Harvard Pilgrim company. x1 048F}\G` z0=i2\x!!!!!!!CCC. Our Medicare Advantage plans come packed with extra resources for improving our members health. 0000006121 00000 n To learn more about the health plan programs, contact the following customer service departments: Aetna. Build or buy? Ailing in Alabama? Go365 is not an insurance product and is not available with all Humana health plans. Supports round-the-clock comprehensive care that may include on-demand critical care, daily rounding, on-site advanced diagnostics, and more. 1-877-370-4874. www.MyUHCMedicare.com. Blue Shield of California Promise Health Plan currently serves Medi-Cal . Call 1-888-823-1910 (TTY users call 711) for more . Data analytics decision-making guide, Guide to Build vs. Buy in Healthcare Analytics. Arcadian Health Plan | 1,090 followers on LinkedIn. Documentation , Health (5 days ago) WebContact. 1-877-370 , https://medicaid.alabama.gov/content/7.0_Providers/7.1_Third_Party/7.1.3_Medicare-Related_Programs/7.1.3.1_Medicare_Adv_Plans.aspx, Washington state health insurance application, Mental health disaster response training, National healthcare corporation nashville tn, St louis city department of public health, 2021 health-improve.org. 0000011182 00000 n We also like being able to save reports and create shortcuts for users. Find a Provider. Lafayette, LA 70501. Use the links on this page to access IHCP provider news items, bulletins, and banner page publications. Advanced at-home care is an alternative to inpatient hospital visits for general medical conditions. We act as your eyes, ears, and hands and coordinate with the patients provider to support a wellness/specialist visit or address complex conditions. This communication does not guarantee benefits and does not indicate all services received will be covered by your plan. If this is a U.S. Government information system, CMS maintains ownership and responsibility for its computer systems. Become a member of Humanas provider network. 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. CalOptima Health does not offer free wireless phones. This site uses cookies that are essential for our site to work. Humana legal entities that offer, underwrite, administer or insure insurance products and services. Contact Humana with questions about your patients` benefits or claims. Big data technology for high availability data ingestion, computation and storage. LIBERTY Dental Plan Establishes a Dedicated Toll-Free Number for Members Impacted by Humboldt County Earthquake. For most members, claims can be mailed or , https://www.hpitpa.com/your-resources/for-providers/check-claims-eligibility/. View your information. Look up patient benefits information. Review document requirements to ensure response to all pre-submission material (e.g. Go365 is not an insurance product. Health Plan of Nevada providers must file an appeal within 180 days. View claims. 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). We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. Lets talk about how we can help you solve your most complex challenges. Register for Your Account Today. 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. 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. This guide helps you sort through the confusion around build vs. buy. Enhance your existing healthcare services with our mobile resources, bringing trained personnel direct to the patientwherever they are. These two leaders in the long term care industry joined together to create a . This login page requires that you have registered as a OneHealthPort Subscriber. If you have purchased an association plan, an association fee may also apply. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis race, color, national origin, age, disability, sex, sexual orientation, gender, gender identity, ancestry, ethnicity, marital status, religion, or language. 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. Access Patient Benefits. Noridian Medicare Portal Login. 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 . 0000001811 00000 n 1601 Congress Avenue, Austin, TX 78701 | P.O. Login using EmpowerID. Arcadian Health Plan Profile and History . The provider's business location address is: 500 12TH ST STE 300. St Louisville, KY 40202. View notice under A Notice for Certain Policy Holders on the ChoiceHealth website. . (800) 624-0756. Empower providers with collaborative tools to drive better outcomes, and increase provider performance by connecting data from various sources. Health Net provides quality affordable health plans for individuals, families, Medi-Cal members, Medicare and businesses. 0000002843 00000 n For more information, contact: Review the claim submission address or electronic payor ID # on the back of the patients member ID card. The ranking was based on responses from 12,985 US individuals measuring 17 brands in the industry. And with Availity, you can conduct business online quickly and easily, so you can focus on the well-being of our . MyPlan QuickStart Guide for Members. Language interpreter services (at 1st prompt enter 22228, at 2nd prompt enter. If there's a question you can't find the answer to in our FAQs, call Provider Services at 888-773-2647 (TTY 711). (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 . UNITED STATES; United States; Agent Name CORPORATION SERVICE COMPANY Agent Address This information is not a complete description of benefits. Lafayette, LA 70508, Deliveries 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. Spot opportunities and problems quicker with an intelligent analytics platform built for payers. We also provide free language interpreter services. Not available with all Humana health plans. 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. Physician Case Management Referral. *Humana received the highest CX Index score among health insurers in Forresters proprietary 2022 CX Index survey. In states, and for products where applicable, the premium may include a $1 administrative fee. We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. <]>> Alternative care for non-traumatic hospitalizations for sick but stable patients who would typically be transported by ambulance to an ED. Humana Employers Health . If you have any questions, call 1-800-745-7065 or sign in to the online provider center. Looking for information about your patients benefits or claims? Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. Deliver personalized experiences, reduce administrative efforts, and create new health and wellness benefits for members, employers, and providers with a data-driven strategy. Secure Provider Portal Prior Authorization; Provider Electronic Solutions (PES) Software . Activate your MyHumana profile. 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. Email Notifications. We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. 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. ARCADIAN HEALTH PLAN, INC. NPI is 1598910549. Some plans may also charge a one-time, non-refundable enrollment fee. 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. Please refer to Customer Support for more 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. File Number: 3615733. Power your business with a provider source of truth. Have questions about your Humana contract? 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. Average Overall User Rating for Providers in Washington who take Arcadian Health Plan: 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. Website. ARCADIAN HEALTH PLAN INC. NPI 1598910549 - Health .
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