Physician Case Management Referral. Patient Consent Forms. We hope to see you at the HIMSS23 Global Conference. 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. Call Provider Services at 888-773-2647 (TTY 711) with any questions. Blue Shield of California Promise Health Plan currently serves Medi-Cal . To appeal a decision, mail a written request to: Health Plan of Nevada, Member Services. Arcadia keeps up with industry trends and has new functionalities available. ARCADIAN HEALTH PLAN INC. NPI 1598910549. Site Usage Privacy Rights | Site Designed by Firefly Marketing Acadian is an Equal Opportunity Employer/Affirmative Action Employer. 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. 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. EmpowerID. Ailing in Alabama? Name Required. 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. Meet your Practice Management Consultant. Plus you get extra $0 benefits like Alternative Medicine visits (chiropractor, acupuncture, and more), fitness programs, and a monthly over-the-counter benefit. The information reflected above is compiled based on the data reported by the licensed HMO to the Texas Department of Insurance. 2023 Copyright arcadia.io | HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). Company Profile Page. endstream endobj 11821 0 obj<>/W[1 1 1]/Type/XRef/Index[152 11652]>>stream The practitioner's primary taxonomy code is 302R00000X.The provider is registered as an organization and their NPI record was last . TDI assumes no responsibility for omissions, inaccuracies or ambiguities. 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. This site uses cookies that are essential for our site to work. Please refer to your evidence of coverage for additional details on what your plan may cover or other rules that may apply. This is a general description of services which are subject to change. Support provider performance, make care and risk gaps actionable, combine clinically integrated data with predictive analytics, and improve ROI for your risk adjustment programs. New Humana member? MyPlan CarePath Guide for Members. We also like being able to save reports and create shortcuts for users. 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 Texas residents: Insured or offered by Humana Insurance Company, HumanaDental Insurance Company or DentiCare, Inc (d/b/a Compbenefits). Build or buy? 0000012822 00000 n Verify patient eligibility and check the status of submitted claims through our online services below. Provider Network Humana offers members a comprehensive network of care centered on primary care providers (PCP), medical and surgical specialists to meet their needs. Website current as of: 10/01/2022 H9047_PHAAM20_M Start a new EpicCare Link session View or print your member ID card. A northwest payer saw a $7M increase in their Medicaid premium by partnering with Arcadia to improve their closed risk per patient by 59%. Rights and Responsibilities. Centene Venture Company Alabama Health Plan, Inc. (Ascension Complete) 1-833-542-1677. www.ascensioncomplete.com. Health Net provides quality affordable health plans for individuals, families, Medi-Cal members, Medicare and businesses. 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 communication does not guarantee benefits and does not indicate all services received will be covered by your plan. Users must adhere to CMS Information Security Policies, Standards, and Procedures. 11806 0 obj<>stream Corporate Office In the event of a dispute, the policy as written in English is considered the controlling authority. 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. Navigating through disruption and coming out on the other side with a stronger system involves more than implementing the right list of tools. Box 12030, Austin, TX 78711 | 512-676-6000 | 800-578-4677, State Auditor's Office Hotline: 800-TX-AUDIT. This guide helps you sort through the confusion around build vs. buy. 500 W Main. St Louisville, KY 40202. 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. 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. Need to submit a claim? Humana legal entities that offer, underwrite, administer or insure insurance products and services. Power your business with a provider source of truth. 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 (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 This site uses cookies that are essential for our site to work. 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. You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID # 44273. Our data-driven approach and team support for your value-based care. ; Customer Insights Team We help bridge the gap from data retrieval to implementation for efficiency and care. Some links on this page may take you to Humana non-Medicare product or service pages or to a different website. And with Availity, you can conduct business online quickly and easily, so you can focus on the well-being of our . Checking your browser. View your information. Administered by Humana Insurance Company. 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). Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. 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. The ranking was based on responses from 12,985 US individuals measuring 17 brands in the industry. 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? My Plan. We build population health management strategies to take on Medicare, Medicaid, and Commercial risk-based contracts. Enrollment in Vantage depends on contract renewal. See our full accessibility rights information, non-discrimination disclosure, and language options. 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. Secure Provider Portal Prior Authorization; Provider Electronic Solutions (PES) Software . Acadian Healths specially-trained clinical team members can provide acute care treatment in the comfort of patients homes for a wide array of non-life-threatening medical conditions. AgeRight Advantage is a Medicare Advantage Plan locally owed by Marquis Companies and Avamere Family of Companies. 1.877.221.9295. 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. 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 . It's holistic care for members and peace of mind for loved ones. We build population health management strategies to take on Medicare, Medicaid, and Commercial risk-based contracts. We help bridge the gap from data retrieval to implementation for efficiency and care. Arcadias thrilled to be back in Chicago for AMGA 2023, where we hope to hear about your healthcare goals and aspirations. Help providers make impactful decisions at the point of care with insights deliver at just the right time. x1 048F}\G` z0=i2\x!!!!!!!CCC. What healthcare data platform capabilities do you need to stay competitive? Like an EASY button for providers: Overcome transportation and mobility issues by simply pre-scheduling or requesting an on-demand At-Home Health visit. Looking for information on timely filing limits? Stop by Booth #152 to meet our team and get a demo of Arcadia Analytics. . Box 15645. We help drive quality care with expert insights for healthier lives. 12/20/2022. Your Choice, Your Plans. AARP Medicare Complete. Your Choice, Your Plans. This login page requires that you have registered as a OneHealthPort Subscriber. 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 . Health (3 days ago) arcadian health plan, inc. Hmo company profile and agent for service. Enhance your existing healthcare services with our mobile resources, bringing trained personnel direct to the patientwherever they are. Humana legal entities that offer, underwrite, administer or insure insurance products and services. 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. These two leaders in the long term care industry joined together to create a . Request and coordinate all required documentation from internal departments for submissions in a . Our analytical expertise simplifies operational decisions for our partners, so they can focus on doing what they do . 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. . ARCADIAN HEALTH PLAN, INC. can be reached at the following phone number(s): Phone: 510-832-0311 (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 . 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. 11804 18 1601 Congress Avenue, Austin, TX 78701 | P.O. Data analytics decision-making guide, Guide to Build vs. Buy in Healthcare Analytics. Not available with all Humana health plans. Track copays and deductibles. Hear what the incredible people behind the data have to say. 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). 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. Call 1-888-823-1910 (TTY users call 711) for more . Health (3 days ago) WebARCADIAN HEALTH PLAN, INC. NPI is 1598910549. NPI record contains FOIA-disclosable NPPES health care provider information. April 1-September 31. 0000016080 00000 n 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. Review the claim submission address or electronic payor ID # on the back of the patient's member ID card. 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. For Texas residents: Insured or offered by Humana Insurance Company, HumanaDental Insurance Company or DentiCare, Inc (d/b/a Compbenefits). Increase the capture of your members risk and care gaps by connecting clinical data at scale. H0320 ARCADIAN HEALTH PLAN, INC. Formulary Contact 825 Washington St. Suite 300 Oakland CA 94607 HMO H0320 ARCADIAN HEALTH PLAN, INC. MA Claims Processing 858 858 Oak Park Road, Suite 250 Covina CA 91724 HMO H0321 ARIZONA PHYSICIANS IPA, INC. Formulary Contact 8045 Leesburg Pike Suite 600 Vienna VA 22182 HMO H0321 ARIZONA PHYSICIANS IPA, INC. 300 Hopkins Street Aetna. HMO Company Profile and agent for service. Premiums as Low as $0. Forget spreadsheets and unify business processes and infrastructure on a single source of truth. 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. Review the claim submission address or electronic payor ID # on the back of the patients member ID card. ; Value-Based Care Services Our data-driven approach and team support for your value-based care. Create clinically-relevant care programs at scale. Collaborate closely with your provider networks for mutual economic success under Medicare, Medicaid, and Commercial risk-based contracts. A look at how states vary in their rates of common diseases, and why measuring health state-by-state requires robust data. The Company Profile page provides basic general information on the HMO, including basic financial, contact, attorney for service, complaint and company history information. LIBERTY Dental Plan Partners with Kaiser Permanente's Mid-Atlantic Region for Dental Benefits Coverage. Medical Policies. Please contact the member's participating provider network website for specific filing limit terms. For more information, contact: The provider is registered as an organization entity type. If this is a U.S. Government information system, CMS maintains ownership and responsibility for its computer systems. Humana group life plans are offered by Humana Insurance Company or Humana Insurance Company of Kentucky. HMO Alias, NCQA accredits and certifies a wide range of health care organizations. Medicaid contracts each year with plans that are willing to accept a monthly fee for each recipient in their program. This includes adults, children, families with children, seniors, and persons with disabilities. U.S. News and World Report names Humana 2023 Best Overall Medicare Advantage Plan Company. Forgot My Password. Log in tips & other helpful technical information. trailer Forgot Username? Business Intelligence Portal. Provider Search . 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. Arcadian Health Plan Eligibility. Representatives are available Monday - Friday 7 a.m. - 9 p.m. Central Time. Current Member: 866-409-1221 (TTY 711) . 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. At Humana, we do things differently. We like howeasy the system is to usefor end users. Check patient eligibility, submit preauthorizations, dispute finalized claims and more on the Availity Essentials portal. Website. Our healthcare experts weigh in on industry topics. DHMSO: Provider Login. 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. OAKLAND, CA. The provider's business location address is: Source: picshealth.blogspot.com. Clinical Guidelines. FinancialAnalysis@tdi.texas.gov. Employment is based solely upon ones individual merit and qualifications directly related to professional competence. 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. 2023 Copyright arcadia.io | HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). %%EOF Rights and Responsibilities. Arcadian Health Plan, Inc. (Humana) 1-866-945-4481. . Contact Humana with questions about your patients` benefits or claims. We do this by: There are options we like from Arcadia. For your convenience, we now have a dedicated phone line. LIBERTY Dental Plan Establishes a Dedicated Toll-Free Number for Members Impacted by Humboldt County Earthquake. 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. Ailing in Alabama? Our Medicare Advantage plans come packed with extra resources for improving our members health. 0000006121 00000 n It is for people who meet the income requirements and live in the state. Any descriptions of when to use telehealth services are for informational purposes only and should not be construed as medical advice. Providence Health Assurance is an HMO, HMOPOS and HMO SNP with Medicare and Oregon Health Plan contracts. 0000004546 00000 n Track copays and deductibles. HAP | Affordable Michigan Health Insurance | Michigan Health Insurance . Limitations on telehealth services, also referred to as virtual visits or telemedicine, vary by state. Average Overall User Rating for providers who take Arcadian Health . Payment Policies. Stop the data debates and give your teams the ability to focus on the best next step. 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. The Company Profile page provides basic general information on the HMO, including basic financial, contact, attorney for service, complaint and company history information. Taxonomy code 302R00000X with license number 2006117 (GA). If you have any questions, call 1-800-745-7065 or sign in to the online provider center. To access the website, click "Allow". These reports are located on the TDI Reports webpage: HMO Reports. We help bridge the gap from data retrieval to implementation for efficiency and care. Stop by Booth #152 to meet our team and get a demo of Arcadia Analytics. For New Mexico residents: Insured by Humana Insurance Company. 0000000675 00000 n

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