Website current as of: 10/01/2022 H9047_PHAAM20_M 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 claims professionals have extensive claims handling experience for a variety of business lines. 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. Find the right healthcare plan for you, your family or your employees. We will make reasonable accommodation to meet our obligations under the Americans with Disabilities Act (ADA) and state disability laws. Activate your MyHumana profile. Arcadias thrilled to be back in Chicago for AMGA 2023, where we hope to hear about your healthcare goals and aspirations. xb```b``y sx "~CT3gv6+dJX vHe_`l;~rd5ZWH20Gif >X3=`2L@8` $/L For New Mexico residents: Insured by Humana Insurance Company. 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). 2023 Copyright arcadia.io | HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). View claims. The practitioner's primary taxonomy code is 302R00000X.The provider is registered as an organization and their NPI record was last . Review the claim submission address or electronic payor ID # on the back of the patients member ID card. Lafayette, LA 70508, Deliveries By working collaboratively with your team, we strive to improve patient satisfaction, care coordination, and achieve quality health outcomes. Go365 is not an insurance product and is not available with all Humana health plans. Blue Shield of California Promise Health Plan currently serves Medi-Cal . 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 . Explore your coverage and benefit details, get ID cards and more. ; Value-Based Care Services Our data-driven approach and team support for your value-based care. Payment Policies. 0000014444 00000 n 11806 0 obj<>stream This includes adults, children, families with children, seniors, and persons with disabilities. Representatives are available Monday - Friday 7 a.m. - 9 p.m. Central Time. The provider is registered as an organization entity type. endstream endobj 11821 0 obj<>/W[1 1 1]/Type/XRef/Index[152 11652]>>stream Need to submit a claim? This communication provides a general description of certain identified insurance or non-insurance benefits provided under one or more of our health benefit plans. Enrollment in Vantage depends on contract renewal. We help bridge the gap from data retrieval to implementation for efficiency and care. Founded in 1996, Arcadian Health Plan provides Medicare Advantage coverage through its affiliates in 15 states: Arizona, Arkansas, California, Georgia, Louisiana, Maine, Missouri, New Hampshire, New York, North Carolina, Oklahoma, South Carolina, Texas, Virginia and Washington. The 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. Longevity Health Plan is an Institutional Special Needs Plan (ISNP), a specialized Medicare Advantage health plan serving people living in skilled nursing facilities. Transform disparate information into a longitudinal view of patients through clinical and claims data. Noridian Medicare Portal Login. Aetna. Data analytics decision-making guide, Guide to Build vs. Buy in Healthcare Analytics. 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. I'm not a OneHealthPort Subscriber but would like information on subscribing. 0000007839 00000 n View plan provisions or check with your sales representative. Forgot Password. 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. 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. This data may not reflect amendments filed by the HMO and may be subject to change. Health Plan of Nevada providers must file an appeal within 180 days. Home. 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. 0000001278 00000 n Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. Unlock collaboration across your organization, providers, partners, and members. A northwest payer saw a $7M increase in their Medicaid premium by partnering with Arcadia to improve their closed risk per patient by 59%. We partner with leading nursing homes around the country to improve the health and quality of life of residents . Your EpicCare Link session has been closed. . 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. Looking for information on timely filing limits? 0000000675 00000 n Review the claim submission address or electronic payor ID # on the back of the patients member ID card. Get started now! For Arizona residents: Insured by Humana Insurance Company. Client session timed out. View your information. Password Is Required. View your information. The provider is registered as an organization entity type. 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. Any descriptions of when to use telehealth services are for informational purposes only and should not be construed as medical advice. Please call our Customer Service Department if you need to talk about protected/private health information. It is for people who meet the income requirements and live in the state. Our analytical expertise simplifies operational decisions for our partners, so they can focus on doing what they do best: delivering care. 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. 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. If this is a U.S. Government information system, CMS maintains ownership and responsibility for its computer systems. Lafayette, LA 70501. Forgot Password. 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 . 0 Physician Case Management Referral. Alignment Health Plan. Find your B2B customer within minutes using affordable, accurate contact data from Datanyze. (3 days ago) WebARCADIAN HEALTH PLAN, INC. NPI is 1598910549. Download provider quick reference phone guide (PDF, 129 KB) The HMO Alias list is an Excel spreadsheet. 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. In the event of a dispute, the policy as written in English is considered the controlling authority. Rights and Responsibilities. Stop by Booth #152 to meet our team and get a demo of Arcadia Analytics. At Humana, we do things differently. Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. Username Is Required. 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. Hands-on visits for providers to extend their specialty practice into patients homes, offering after hours and weekend support. MyPlan CarePath Guide for Members. 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. To help our members through the pandemic, were providing trusted information from public health officials. 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. Group Dental and Vision Plans (Insurance through your employer). We help drive quality care with expert insights for healthier lives. Enhance your existing healthcare services with our mobile resources, bringing trained personnel direct to the patientwherever they are. 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. 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. Not available with all Humana health plans. Go365 is not an insurance product. NPI record contains FOIA-disclosable NPPES health care provider information. Filing Date: October 29, 2013. 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. 300 Hopkins Street All rights reserved | Email: [emailprotected], Washington state health insurance application, National healthcare corporation nashville tn, St louis city department of public health. TDI assumes no responsibility for omissions, inaccuracies or ambiguities. 12/20/2022. Arcadian Health Plan, Inc. (Humana) 1-866-945-4481. . Insured through UnitedHealthcare (formerly Secure Horizons) Website. 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. Centene Venture Company Alabama Health Plan, Inc. (Ascension Complete) 1-833-542-1677. www.ascensioncomplete.com. Advanced at-home care is an alternative to inpatient hospital visits for general medical conditions. This site uses cookies that are essential for our site to work. If there's a question you can't find the answer to in our FAQs, call Provider Services at 888-773-2647 (TTY 711). Humana group life plans are offered by Humana Insurance Company or Humana Insurance Company of Kentucky. We build population health management strategies to take on Medicare, Medicaid, and Commercial risk-based contracts. . P.O. To appeal a decision, mail a written request to: Health Plan of Nevada, Member Services. This login page requires that you have registered as a OneHealthPort Subscriber. There are several plans to choose from and not all benefits may be available in every plan. Clinical Guidelines. Devoted to the communities we serve. Health (3 days ago) arcadian health plan, inc. Hmo company profile and agent for service. 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 . If you have purchased an association plan, an association fee may also apply. Meet your Practice Management Consultant. 0000016080 00000 n In the event of a dispute, the policy as written in English is considered the controlling authority. Prescheduled visits can be organized with the provider joining by phone or telehealth. , Health (2 days ago) WebHealth (3 days ago) arcadian health plan, inc. Hmo company profile and agent for service. April 1-September 31. Request and coordinate all required documentation from internal departments for submissions in a . ZIP 94607-087. 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. Certain exceptions may apply by geography, network affiliation, member coverage or benefit design. View or print your member ID card. Forgot Username? The ranking was based on responses from 12,985 US individuals measuring 17 brands in the industry. Checking your browser. Find doctors, hospitals, and specialists in your area. 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. Alabama Medicaid. Arcadias powerful insights elucidate strategies around the financial viability of risk and lowering costs. Please refer to your evidence of coverage for additional details on what your plan may cover or other rules that may apply. 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. Find a Provider. Or, you can always contact your Provider Network Development Representative. 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). MyPlan QuickStart Guide for Members. In the event of any disagreement between this communication and the plan document, the plan document will control. Healthcare disrupted: How to keep pace in a rapidly changing world, Population health trends across the United States, Moving VBC forward: The technology-enabled ACO. 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. Arcadia keeps up with industry trends and has new functionalities available. To access the website, click "Allow". 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. Website. HMO Alias, NCQA accredits and certifies a wide range of health care organizations. ; Customer Insights Team We help bridge the gap from data retrieval to implementation for efficiency and care. 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. 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. Our data-driven approach and team support for your value-based care. The 1598910549 NPI number is assigned to the healthcare provider ARCADIAN HEALTH PLAN, INC., practice location address at 500 12TH ST STE 300 OAKLAND, CA, 94607-4087. For costs and complete details of the coverage, refer to the plan document or call or write your Humana insurance agent or the company. We hope to see you at the HIMSS23 Global Conference. 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. Las Vegas, NV 89114-5645. This list contains CPLs most commonly billed insurances. We build population health management strategies to take on Medicare, Medicaid, and Commercial risk-based contracts. Group Dental and Vision Plans (Insurance through your employer). Phone: (510) 832-0311. For costs and complete details of the coverage, refer to the plan document or call or write your Humana insurance agent or the company. Health (Just Now) Provider Directory Search Medicare Advantage Plans Recipients in certain Alabama counties may voluntarily choose to participate in a Medicare Advantage plan. Physician Case Management Referral. Our healthcare experts weigh in on industry topics. Arcadian Health Plan | 1,090 followers on LinkedIn. Register for Your Account Today. Business Intelligence Portal. Compare Humana Medicare plans where you live. Industry: Health insurance carriers Printer Friendly View Address: 500 12TH St Ste 350 Oakland, CA, 94607-5204 United States See other locations 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. Subscriber ID: Password: Login. We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. See our full accessibility rights information, non-discrimination disclosure, and language options. Ailing in Alabama? 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 . Login using EmpowerID. Learn how to submit a preauthorization for frequently requested services/procedures for your patients and check prior authorization lists. 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. We help drive quality care with expert insights for healthier lives. 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). 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. Arcadia is the leading population health management data and software company. 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. 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. U.S. News and World Report names Humana 2023 Best Overall Medicare Advantage Plan Company. Look up patient benefits information. Important Humana numbers and contact information for healthcare providers. For Arizona residents: Insured by Humana Insurance Company. You can find the login to our member or provider portal as well asregistration, password help, and our find a provider systems. ARCADIAN HEALTH PLAN, INC. NPI is 1598910549. 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. Arcadia's powerful insights elucidate strategies around the financial viability of risk and lowering costs. Payment Policies. Please do not include any confidential or personal information, such as protected health information, social security number, or tax ID. SilverSneakers may not be available on all plans or in all areas. A look at how states vary in their rates of common diseases, and why measuring health state-by-state requires robust data. Create clinically-relevant care programs at scale. 0000012822 00000 n Arcadia Value-based Managed Care Services, Guide to Build vs. Buy in Healthcare Analytics. 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. Secure Provider Portal Prior Authorization; Provider Electronic Solutions (PES) Software . This is the name or names of the company under which the company does business. HMO Company Profile and agent for service. Includes follow-up care and education for recently discharged and high-risk patients. Patient Consent Forms. %%EOF View or print your member ID card. (This fee is non-refundable as allowed by state). Stop the data debates and give your teams the ability to focus on the best next step. 0000001506 00000 n Maxwell Roberts Building, 5th Floor, 1 Church Street Hamilton HM 11 Bermuda +1 441 5439 800 Individual applications are subject to eligibility requirements. For Providers. 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. Humana makes it easy to find the best Medicare plans for younear you. Big data technology for high availability data ingestion, computation and storage. 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 . Navigating through disruption and coming out on the other side with a stronger system involves more than implementing the right list of tools. If you have any questions about our plan benefits, procedures and other topics, contact Provider Services. Since 1971, Acadian has been committed to providing the highest level of medical care and transportation possible. 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. AgeRight Advantage is a Medicare Advantage Plan locally owed by Marquis Companies and Avamere Family of Companies. CalOptima Health does not offer free wireless phones. 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