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. 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. April 1-September 31. This site uses cookies that are essential for our site to work. Arcadian Health Plan, Inc. (Humana) 1-866-945-4481. . Health Net provides quality affordable health plans for individuals, families, Medi-Cal members, Medicare and businesses. 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. For Arizona residents: Insured by Humana Insurance Company. You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID # 44273. Use the links on this page to access IHCP provider news items, bulletins, and banner page publications. 2023 Copyright arcadia.io | HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). 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. NPI record contains FOIA-disclosable NPPES health care provider information. For Texas residents: Insured or offered by Humana Insurance Company, HumanaDental Insurance Company or DentiCare, Inc (d/b/a Compbenefits). Support provider performance, make care and risk gaps actionable, combine clinically integrated data with predictive analytics, and improve ROI for your risk adjustment programs. Stop by Booth #152 to meet our team and get a demo of Arcadia Analytics. Name Required. 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. 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. For group plans, please refer to your Benefit Plan Document (Certificate of Coverage/Insurance or Summary Plan Description/Administrative Services Only) for more information on the company providing your benefits. 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. Health (2 days ago) WebHumana 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). Review the claim submission address or electronic payor ID # on the back of the patients member ID card. To learn more about the health plan programs, contact the following customer service departments: Aetna. Enhance your existing healthcare services with our mobile resources, bringing trained personnel direct to the patientwherever they are. Las Vegas, NV 89114-5645. Navigating through disruption and coming out on the other side with a stronger system involves more than implementing the right list of tools. Average Overall User Rating for providers who take Arcadian Health . Secure Provider Portal Prior Authorization; Provider Electronic Solutions (PES) Software . 0000007839 00000 n Hearty in Hawaii? The Company Profile page provides basic general information on the HMO, including basic financial, contact, attorney for service, complaint and company history information. 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. We help bridge the gap from data retrieval to implementation for efficiency and care. <]>> Hearty in Hawaii? Health Plans, Inc.PO Box 5199Westborough, MA 01581. View plan provisions or check with your sales representative. Individual applications are subject to eligibility requirements. All rights reserved | Email: [emailprotected], Washington state health insurance application, National healthcare corporation nashville tn, St louis city department of public health. Phone: (510) 832-0311. Spot opportunities and problems quicker with an intelligent analytics platform built for payers. Important Humana numbers and contact information for healthcare providers. Checking your browser. Our healthcare experts weigh in on industry topics. Let them know who you want as your primary care physician and that you want AllCare as your medical group. If you have purchased an association plan, an association fee may also apply. ARCADIAN HEALTH PLAN, INC. NPI is 1598910549. Login using EmpowerID. (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 . Maxwell Roberts Building, 5th Floor, 1 Church Street Hamilton HM 11 Bermuda +1 441 5439 800 The provider is registered as an organization entity type. Arcadian Health Plan and Humana Benefit Plan of Illinois, Inc . Medical Policies. We have clinical data, claims data, and ADT data all put together in the system. Not available with all Humana health plans. x1 048F}\G` z0=i2\x!!!!!!!CCC. Increase the capture of your members risk and care gaps by connecting clinical data at scale. Business Intelligence Portal. Centene Venture Company Alabama Health Plan, Inc. (Ascension Complete) 1-833-542-1677. www.ascensioncomplete.com. SilverSneakers may not be available on all plans or in all areas. . 1601 Congress Avenue, Austin, TX 78701 | P.O. By working collaboratively with your team, we strive to improve patient satisfaction, care coordination, and achieve quality health outcomes. Blue Shield of California Promise Health Plan currently serves Medi-Cal . For more information, contact: Forget spreadsheets and unify business processes and infrastructure on a single source of truth. 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. To help our members through the pandemic, were providing trusted information from public health officials. Vantage Health Plan (Vantage) is an HMO with a Medicare contract. %PDF-1.4 % We are constantly working to expand our health plan affiliations to provide you with the best options for you and your family's needs. Payment Policies. Power your business with a provider source of truth. 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. Arcadia Value-based Managed Care Services, Guide to Build vs. Buy in Healthcare Analytics. Devoted to the communities we serve. Warning: you are accessing an information system that may be a U.S. Government information system. In the event of a dispute, the policy as written in English is considered the controlling authority. Have questions about your Humana contract? ; Value-Based Care Services Our data-driven approach and team support for your value-based care. Documentation , Health (5 days ago) WebContact. Company Profile Page. 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. 500 12th St Ste 350, Oakland, California, 94607, United States. Arcadian Health Plan Eligibility. The practitioner's primary taxonomy code is 302R00000X.The provider is registered as an organization and their NPI record was last . 0000006121 00000 n Hear what the incredible people behind the data have to say. We also provide free language interpreter services. 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. (3 days ago) WebARCADIAN HEALTH PLAN, INC. NPI is 1598910549. 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). There are several plans to choose from and not all benefits may be available in every plan. 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 . These two leaders in the long term care industry joined together to create a . 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. 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 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. Call 1-888-823-1910 (TTY users call 711) for more . Need to submit a claim? We help drive quality care with expert insights for healthier lives. 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. Average Overall User Rating for Providers in Washington who take Arcadian Health Plan: Learn how to submit a preauthorization for frequently requested services/procedures for your patients and check prior authorization lists. Individual applications are subject to eligibility requirements. ARCADIAN HEALTH PLAN INC. NPI 1598910549 - Health . ), and prepare summary information to initiate proposal response activities. Unlock collaboration across your organization, providers, partners, and members. Some plans may also charge a one-time, non-refundable enrollment fee. For costs and complete details of the coverage, refer to the plan document or call or write your Humana insurance agent or the company. 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. For your convenience, we now have a dedicated phone line. Since 1971, Acadian has been committed to providing the highest level of medical care and transportation possible. 0000002619 00000 n Administered by Humana Insurance Company. View notice under A Notice for Certain Policy Holders on the ChoiceHealth website. Or, you can always contact your Provider Network Development Representative. Provider Network Humana offers members a comprehensive network of care centered on primary care providers (PCP), medical and surgical specialists to meet their needs. Humana group life plans are offered by Humana Insurance Company or Humana Insurance Company of Kentucky. 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. Longevity Health Plan is an Institutional Special Needs Plan (ISNP), a specialized Medicare Advantage health plan serving people living in skilled nursing facilities. We build population health management strategies to take on Medicare, Medicaid, and Commercial risk-based contracts. 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. Certain exceptions may apply by geography, network affiliation, member coverage or benefit design. We act as your eyes, ears, and hands and coordinate with the patients provider to support a wellness/specialist visit or address complex conditions. Request and coordinate all required documentation from internal departments for submissions in a . Improve your chase list for a better ROI on your risk adjustment program. Please contact the member's participating provider network website for specific filing limit terms. CalOptima Health does not offer free wireless phones. 0000000016 00000 n Build or buy? The HMO Alias list is an Excel spreadsheet. Combine clinically integrated data with predictive analytics to help providers find the patients most likely to engage and close a care gap. Product features may vary by client. Data analytics decision-making guide, Guide to Build vs. Buy in Healthcare Analytics. In states, and for products where applicable, the premium may include a $1 administrative fee. 0000011182 00000 n HMO Alias, NCQA accredits and certifies a wide range of health care organizations. Arcadias powerful insights elucidate strategies around the financial viability of risk and lowering costs. St Louisville, KY 40202. General. Plus you get extra $0 benefits like Alternative Medicine visits (chiropractor, acupuncture, and more), fitness programs, and a monthly over-the-counter benefit. Health (4 days ago) WebArcadian Health Plan Inc., H5619 Dual Eligible Health (5 days ago) WebArcadian 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 All Rights Reserved. Register for Your Account Today. Noridian Medicare Portal Login. . 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. 0000000926 00000 n Site Usage Privacy Rights | Site Designed by Firefly Marketing Acadian is an Equal Opportunity Employer/Affirmative Action Employer. The provider's business location address is: Source: picshealth.blogspot.com. We do this by: There are options we like from Arcadia. Supports round-the-clock comprehensive care that may include on-demand critical care, daily rounding, on-site advanced diagnostics, and more. Health (Just Now) Provider Directory Search Medicare Advantage Plans Recipients in certain Alabama counties may voluntarily choose to participate in a Medicare Advantage plan. HMO Company Profile and agent for service. Support provider performance by making care and risk documentation gaps actionable within their existing clinical workflows. We hope to see you at the HIMSS23 Global Conference. Your Choice, Your Plans. Humana for physicians and healthcare providers. (800) 624-0756. 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). Hear what the incredible people behind the data have to say. Integrate your business for coordinated and collaborative innovation by unifying your infrastructure and associated business processes with a service oriented, centralized platform. 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. Big data technology for high availability data ingestion, computation and storage. Box 15645. 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 collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. 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 . And with Availity, you can conduct business online quickly and easily, so you can focus on the well-being of our . Health (3 days ago) arcadian health plan, inc. Hmo company profile and agent for service. 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. Payment Policies. Arcadia keeps up with industry trends and has new functionalities available. Find your B2B customer within minutes using affordable, accurate contact data from Datanyze. 2023 Acadian Companies. Most popular medical specialty of providers who accept Arcadian Health Plan: Family Doctor. We help drive quality care with expert insights for healthier lives. Find the right healthcare plan for you, your family or your employees. HAP | Affordable Michigan Health Insurance | Michigan Health Insurance . 0000001506 00000 n Insured through UnitedHealthcare (formerly Secure Horizons) Website. Call Provider Services at 888-773-2647 (TTY 711) with any questions. Look up patient benefits information. For New Mexico residents: Insured by Humana Insurance Company. Forgot Password. 09/16/2022. Create clinically-relevant care programs at scale. For most members, claims can be mailed or , https://www.hpitpa.com/your-resources/for-providers/check-claims-eligibility/. (877) 842-3210. Forgot Password. We like the data that has been made available. Please keep your personal information private. 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. Prescheduled visits can be organized with the provider joining by phone or telehealth. This site uses cookies that are essential for our site to work. 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 . 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. Since its beginning, our at-home care has proven to save an average of $1,000 per visit. Access Patient Benefits. Register for Your Account Today. 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. Arcadias thrilled to be back in Chicago for AMGA 2023, where we hope to hear about your healthcare goals and aspirations. 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. 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. Please refer to Customer Support for more information. Providence Health Assurance is an HMO, HMOPOS and HMO SNP with Medicare and Oregon Health Plan contracts. You've got questions, we've got anwers. 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. With five decades of mobile healthcare experience through our ambulance division, the Acadian Health mobile community healthcare team members . Our goal is to provide timely and actionable information that helps our CHCs utilize quality . That's why Humana is committed to supporting your practice with training resources, policy updates, and industry-leading patient care programs. 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. . 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. For costs and complete details of the coverage, refer to the plan document or call or write your Humana insurance agent or the company. TDI assumes no responsibility for omissions, inaccuracies or ambiguities. Transform disparate information into a longitudinal view of patients through clinical and claims data. MyPlan QuickStart Guide for Members. Lafayette, LA 70501. This site uses cookies that are essential for our site to work. Provider Search . Like an EASY button for providers: Overcome transportation and mobility issues by simply pre-scheduling or requesting an on-demand At-Home Health visit. At Humana, we do things differently. Explore your coverage and benefit details, get ID cards and more. Stop the data debates and give your teams the ability to focus on the best next step. Lafayette, LA 70508, Deliveries Health (3 days ago) WebARCADIAN HEALTH PLAN, INC. NPI is 1598910549. Our claims professionals have extensive claims handling experience for a variety of business lines. Home. Rights and Responsibilities. Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. Your EpicCare Link session has been closed. 0000009531 00000 n For Arizona residents: Insured by Humana Insurance Company. Premiums as Low as $0. Please refer to your evidence of coverage for additional details on what your plan may cover or other rules that may apply. Includes follow-up care and education for recently discharged and high-risk patients. Our data-driven approach and team support for your value-based care. This guide helps you sort through the confusion around build vs. buy. It's holistic care for members and peace of mind for loved ones. Our CHPW Medicare Advantage plans offer coverage for things Original Medicare doesn't cover, like dental, vision, and prescription drugs (except Freedom Plan). Go365 is not an insurance product. This list contains CPLs most commonly billed insurances. startxref 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. If this is a U.S. Government information system, CMS maintains ownership and responsibility for its computer systems. Arcadia's powerful insights elucidate strategies around the financial viability of risk and lowering costs. Box 12030, Austin, TX 78711 | 512-676-6000 | 800-578-4677, State Auditor's Office Hotline: 800-TX-AUDIT. Find a Provider. Our members' health is in your hands. Review document requirements to ensure response to all pre-submission material (e.g. 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 states, and for products where applicable, the premium may include a $1 administrative fee. Humana legal entities that offer, underwrite, administer or insure insurance products and services. Review the latest news and publications for providers. Looking for information about your patients benefits or claims? Call Provider Services at 888-773-2647 (TTY 711) with any questions. Hear what the incredible people behind the data have to say. 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. The information is subject to change and is not all-inclusive. For group plans, please refer to your Benefit Plan Document (Certificate of Coverage/Insurance or Summary Plan Description/Administrative Services Only) for more information on the company providing your benefits. 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. . OAKLAND, CA. ross goldstein friedman,