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 ARCADIAN HEALTH PLAN INC. NPI 1598910549 - Health . The AgeRight Advantage mission is to promote the vitality within each of AgeRight Advantage's members and to support them along their aging journey. Company Profile Page. Individual applications are subject to eligibility requirements. Start a new EpicCare Link session 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). 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 like the data that has been made available. Devoted to the communities we serve. We will make reasonable accommodation to meet our obligations under the Americans with Disabilities Act (ADA) and state disability laws. Payment Policies. Transform disparate information into a longitudinal view of patients through clinical and claims data. Centene Venture Company Alabama Health Plan, Inc. (Ascension Complete) 1-833-542-1677. www.ascensioncomplete.com. Our healthcare experts weigh in on industry topics. Alignment Health Plan. 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. 7914. 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. The provider is registered as an organization entity type. 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. April 1-September 31. 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. A look at how states vary in their rates of common diseases, and why measuring health state-by-state requires robust data. If you have purchased an association plan, an association fee may also apply. 1.877.221.9295. We were very impressed with the people, and we have continued to be able to have access to those people, so that was a big part of our decision as well. We build population health management strategies to take on Medicare, Medicaid, and Commercial risk-based contracts. Rights and Responsibilities. This site uses cookies that are essential for our site to work. Humana for physicians and healthcare providers. We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. Most popular medical specialty of providers who accept Arcadian Health Plan: Family Doctor. Vantage Health Plan (Vantage) is an HMO with a Medicare contract. xref Let them know who you want as your primary care physician and that you want AllCare as your medical group. It's holistic care for members and peace of mind for loved ones. 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. Checking your browser. 0000012822 00000 n View claims. Working with Acadian Health provides greater opportunity to engage members or patients in the convenient and lower cost home setting. Review the claim submission address or electronic payor ID # on the back of the patient's member ID card. And with Availity, you can conduct business online quickly and easily, so you can focus on the well-being of our . Create clinically-relevant care programs at scale. 2023 Copyright arcadia.io | HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). Password Is Required. At Humana, we do things differently. %%EOF 0000002843 00000 n 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. Forget spreadsheets and unify business processes and infrastructure on a single source of truth. Get the most out of your plan with a MyHumana account. Please contact the member's participating provider network website for specific filing limit terms. ZIP 94607-087. View plan provisions or check with your sales representative. Product features may vary by client. HMO Company Profile and agent for service. 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. 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. 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. Arcadia is the leading population health management data and software company. We help bridge the gap from data retrieval to implementation for efficiency and care. Administered by Humana Insurance Company. This is a general description of services which are subject to change. Arcadian Health Plan | 1,090 followers on LinkedIn. Verify patient eligibility and check the status of submitted claims through our online services below. Meet your Practice Management Consultant. (877) 842-3210. Warning: you are accessing an information system that may be a U.S. Government information system. 0000000675 00000 n Integrate your business for coordinated and collaborative innovation by unifying your infrastructure and associated business processes with a service oriented, centralized platform. Big data technology for high availability data ingestion, computation and storage. When it comes to healthcare, its easy to feel like just a number. For New Mexico residents: Insured by Humana Insurance Company. Clinical Guidelines. We are constantly working to expand our health plan affiliations to provide you with the best options for you and your family's needs. . To appeal a decision, mail a written request to: Health Plan of Nevada, Member Services. DHMSO: Provider Login. Contact Humana with questions about your patients` benefits or claims. Build or buy? Employment is based solely upon ones individual merit and qualifications directly related to professional competence. The Company Profile page provides basic general information on the HMO, including basic financial, contact, attorney for service, complaint and company history information. %PDF-1.4 % ARCADIAN HEALTH PLAN, INC. can be reached at the following phone number(s): Phone: 510-832-0311 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. If you have any questions regarding a specific insurance, please contact your local CPL representative or . 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. 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. 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 . 0 Review the claim submission address or electronic payor ID # on the back of the patients member ID card. 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. Forgot Password. We build population health management strategies to take on Medicare, Medicaid, and Commercial risk-based contracts. Data analytics decision-making guide, Guide to Build vs. Buy in Healthcare Analytics. 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. Home. MyPlan QuickStart Guide for Members. 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). Secure Provider Portal Prior Authorization; Provider Electronic Solutions (PES) Software . View plan provisions or check with your sales representative. We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. We partner with leading nursing homes around the country to improve the health and quality of life of residents . 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. Provider Network Humana offers members a comprehensive network of care centered on primary care providers (PCP), medical and surgical specialists to meet their needs. 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. 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. Register for Your Account Today. Explore your coverage and benefit details, get ID cards and more. Our Medicare Advantage plans come packed with extra resources for improving our members health. Includes follow-up care and education for recently discharged and high-risk patients. 130 E. Kaliste Saloom Road 0000004546 00000 n NPI record contains FOIA-disclosable NPPES health care provider information. In states, and for products where applicable, the premium may include a $1 administrative fee. 0000001506 00000 n Average Overall User Rating for Providers in Washington who take Arcadian Health Plan: This is the name or names of the company under which the company does business. 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. Current Member: 866-409-1221 (TTY 711) . Find a Provider. Arcadia Value-based Managed Care Services, Guide to Build vs. Buy in Healthcare Analytics. Staring down all the possibilities of building vs. buying a data analytics solution? Medical Policies. UNITED STATES; United States; Agent Name CORPORATION SERVICE COMPANY Agent Address 10/25/2022. . Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. Hearty in Hawaii? Forgot Password. In the event of a dispute, the policy as written in English is considered the controlling authority. 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. Physician Case Management Referral. This communication provides a general description of certain identified insurance or non-insurance benefits provided under one or more of our health benefit plans. 09/16/2022. , Health (Just Now) WebSecure Provider Portal Prior Authorization; Provider Electronic Solutions (PES) Software Arcadian Health Plan, Inc. (Humana) 1-866-945-4481. 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. . *Humana received the highest CX Index score among health insurers in Forresters proprietary 2022 CX Index survey. 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. Alternative care for non-traumatic hospitalizations for sick but stable patients who would typically be transported by ambulance to an ED. Medi-Cal is California's Medicaid healthcare program that offers free or low-cost health coverage. 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. 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. Maxwell Roberts Building, 5th Floor, 1 Church Street Hamilton HM 11 Bermuda +1 441 5439 800 Not available with all Humana health plans. A minimum one-year, initial contract period may be required for some dental and vision plans, excluding Dental Savings Plus. Name Required. The information is subject to change and is not all-inclusive. With five decades of mobile healthcare experience through our ambulance division, the Acadian Health mobile community healthcare team members . All rights reserved | Email: [emailprotected], Washington state health insurance application, National healthcare corporation nashville tn, St louis city department of public health. H5619 Arcadian Health Plan (Humana, Inc.) Dual Eligible (Dual Eligible Subset - Medicare Zero Cost-sharing) Special Needs Plan Model of Care Score: 88.33% . 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. View notice under A Notice for Certain Policy Holders on the ChoiceHealth website. 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. 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 meet you where you are and enable you to reach your goals across contracts (Commercial, Medicare, Medicaid) in risk, quality, operations, and other areas. The proprietary survey results are based on consumers opinions of the experiences with the brands in the survey. Alabama Medicaid. Looking for information on timely filing limits? 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 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. Arcadian Health Plan headquarters are located in 500 12th St Ste 350, Oakland, California, 94607, United States, Arcadian Health Plans main industries are: Insurance, Arcadian Health Plan appears in search results as Arcadian Health Plan Inc, Arcadian Health Plan, Arcadian Management Services, Arcadian Management Services Inc, Arcadian Choice Inc, www.yelp.com/biz/arcadian-management-services-oakland-2, Get Free Access to Arcadian Health Plan Contacts Info. Longevity Health Plan is an Institutional Special Needs Plan (ISNP), a specialized Medicare Advantage health plan serving people living in skilled nursing facilities. Access Patient Benefits. 0000006121 00000 n I'm not a OneHealthPort Subscriber but would like information on subscribing. 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. We build population health management strategies to take on Medicare, Medicaid, and Commercial risk-based contracts. U.S. News and World Report names Humana 2023 Best Overall Medicare Advantage Plan Company. Login using EmpowerID. Check patient eligibility, submit preauthorizations, dispute finalized claims and more on the Availity Essentials portal. Go365 is not an insurance product and is not available with all Humana health plans. 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. Administered by Humana Insurance Company. Email Notifications. If this is a U.S. Government information system, CMS maintains ownership and responsibility for its computer systems. 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? Lafayette, LA 70508, Deliveries ), and prepare summary information to initiate proposal response activities. We help drive quality care with expert insights for healthier lives. Payment Policies. 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. Forgot Username? Health Net provides quality affordable health plans for individuals, families, Medi-Cal members, Medicare and businesses. Documentation Guidelines. Your Choice, Your Plans. 0000016080 00000 n 0000000926 00000 n That's why Humana is committed to supporting your practice with training resources, policy updates, and industry-leading patient care programs. 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. This site uses cookies that are essential for our site to work. Enrollment in Vantage depends on contract renewal. Our data-driven approach and team support for your value-based care. 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.
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