ARCADIAN HEALTH PLAN INC. NPI 1598910549 - Health . 0000001506 00000 n If you have any questions regarding a specific insurance, please contact your local CPL representative or . (877) 842-3210. Current Member: 866-409-1221 (TTY 711) . 500 W Main. In the event of any disagreement between this communication and the plan document, the plan document will control. 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. Fax: (510) 817-1894. . Arcadian Health Plan Profile and History . Forget spreadsheets and unify business processes and infrastructure on a single source of truth. If you have purchased an association plan, an association fee may also apply. 2023 Copyright arcadia.io | HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). Help providers make impactful decisions at the point of care with insights deliver at just the right time. Provider Network Humana offers members a comprehensive network of care centered on primary care providers (PCP), medical and surgical specialists to meet their needs. This communication provides a general description of certain identified insurance or non-insurance benefits provided under one or more of our health benefit plans. Support provider performance by making care and risk documentation gaps actionable within their existing clinical workflows. Average Overall User Rating for Providers in Washington who take Arcadian Health Plan: RSVP to Site Meetings, return Intent to Submit letters, etc. If you have any questions, call 1-800-745-7065 or sign in to the online provider center. Clinical Guidelines. Spot opportunities and problems quicker with an intelligent analytics platform built for payers. 0000016080 00000 n This site uses cookies that are essential for our site to work. To help our members through the pandemic, were providing trusted information from public health officials. . Build or buy? Our healthcare experts weigh in on industry topics. 0000000016 00000 n FinancialAnalysis@tdi.texas.gov. Our data-driven approach and team support for your value-based care. Like an EASY button for providers: Overcome transportation and mobility issues by simply pre-scheduling or requesting an on-demand At-Home Health visit. Pharmacy. Rights and Responsibilities. Longevity Health Plan is an Institutional Special Needs Plan (ISNP), a specialized Medicare Advantage health plan serving people living in skilled nursing facilities. HAP | Affordable Michigan Health Insurance | Michigan Health Insurance . Enrollment in Vantage depends on contract renewal. Insured through UnitedHealthcare (formerly Secure Horizons) Website. 0000002140 00000 n The Company Profile page provides basic general information on the HMO, including basic financial, contact, attorney for service, complaint and company history information. A minimum one-year, initial contract period may be required for some dental and vision plans, excluding Dental Savings Plus. 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. 12/20/2022. 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 Insurance Listings. We help bridge the gap from data retrieval to implementation for efficiency and care. 0000000926 00000 n The HMO Alias list is an Excel spreadsheet. 11806 0 obj<>stream New Humana member? Subscriber ID: Password: Login. Data analytics decision-making guide, Guide to Build vs. Buy in Healthcare Analytics. View plan provisions or check with your sales representative. 0000001278 00000 n Hear what the incredible people behind the data have to say. Start a new EpicCare Link session Since 1971, Acadian has been committed to providing the highest level of medical care and transportation possible. We will make reasonable accommodation to meet our obligations under the Americans with Disabilities Act (ADA) and state disability laws. Filing Date: October 29, 2013. We do this by: There are options we like from Arcadia. Call 1-888-823-1910 (TTY users call 711) for more . 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). 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. 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. These reports are located on the TDI Reports webpage: HMO Reports. Contact Us About The Company Profile For Arcadian Health Plan, Inc. Ailing in Alabama? 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. H5619 Arcadian Health Plan (Humana, Inc.) Dual Eligible (Dual Eligible Subset - Medicare Zero Cost-sharing) Special Needs Plan Model of Care Score: 88.33% . We build population health management strategies to take on Medicare, Medicaid, and Commercial risk-based contracts. Need to submit a claim? 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 communication provides a general description of certain identified insurance or non-insurance benefits provided under one or more of our health benefit plans. We help bridge the gap from data retrieval to implementation for efficiency and care. The provider is registered as an organization entity type. Representatives are available Monday - Friday 7 a.m. - 9 p.m. Central Time. The HMO Service Counties spreadsheet can be accessed via the "HMO Service areas" link and is for informational purposes only. Important Humana numbers and contact information for healthcare providers. Alternative care for non-traumatic hospitalizations for sick but stable patients who would typically be transported by ambulance to an ED. You can find the login to our member or provider portal as well asregistration, password help, and our find a provider systems. This includes adults, children, families with children, seniors, and persons with disabilities. x1 048F}\G` z0=i2\x!!!!!!!CCC. Have questions about your Humana contract? 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. Some plans may also charge a one-time, non-refundable enrollment fee. This site uses cookies that are essential for our site to work. Limitations on telehealth services, also referred to as virtual visits or telemedicine, vary by state. This site uses cookies that are essential for our site to work. My Plan. Group Dental and Vision Plans (Insurance through your employer). , Health (2 days ago) WebHealth (3 days ago) arcadian health plan, inc. Hmo company profile and agent for service. It is for people who meet the income requirements and live in the state. Arcadia Value-based Managed Care Services, Guide to Build vs. Buy in Healthcare Analytics. LIBERTY Dental Plan Partners with Kaiser Permanente's Mid-Atlantic Region for Dental Benefits Coverage. Humana legal entities that offer, underwrite, administer or insure insurance products and services. 0000014444 00000 n Company Profile Page. HMO Alias, NCQA accredits and certifies a wide range of health care organizations. Documentation Guidelines. With five decades of mobile healthcare experience through our ambulance division, the Acadian Health mobile community healthcare team members . 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. 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. What healthcare data platform capabilities do you need to stay competitive? View or print your member ID card. Forgot Password. Explore trainings and tutorials for working with Humana. Includes follow-up care and education for recently discharged and high-risk patients. Arcadia keeps up with industry trends and has new functionalities available. 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. CalOptima Health does not offer free wireless phones. HMO Company Profile and agent for service. For Providers. 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. Arcadian Health Plan, Inc. (Humana) 1-866-945-4481. . 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. Our data-driven approach and team support for your value-based care. Register for Your Account Today. 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. 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. 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. Looking for information on timely filing limits? Call Provider Services at 888-773-2647 (TTY 711) with any questions. Medi-Cal is California's Medicaid healthcare program that offers free or low-cost health coverage. 0000002843 00000 n Group Dental and Vision Plans (Insurance through your employer). Please contact the member's participating provider network website for specific filing limit terms. SilverSneakers may not be available on all plans or in all areas. Patient Consent Forms. What does Medicare cover (and not cover)? Click the "Allow" button. Payment Policies. And Arcadia had really outstanding leadership in terms of the knowledge of the business. Email Notifications. Call us at (800) 468-9935 [TTY 711], 6 a.m. to 6:30 p.m., Monday through Friday. Prescription Coverage. Our Medicare Advantage plans come packed with extra resources for improving our members health. Taxonomy code 302R00000X with license number 2006117 (GA). Box 12030, Austin, TX 78711 | 512-676-6000 | 800-578-4677, State Auditor's Office Hotline: 800-TX-AUDIT. 7914. Learn how to submit a preauthorization for frequently requested services/procedures for your patients and check prior authorization lists. Looking for information about your patients benefits or claims? ; Customer Insights Team We help bridge the gap from data retrieval to implementation for efficiency and care. Not available with all Humana health plans. There are several plans to choose from and not all benefits may be available in every plan. Healthcare disrupted: How to keep pace in a rapidly changing world, Population health trends across the United States. Forgot Username? P.O. Enter the patient's information below to view your patient's Summary of Benefits, search their provider network, get connected to their Rx benefit information and print a temporary ID card. Our broad network of in-network providers makes it easy to find a doctor, dentist, vision care provider or pharmacy near you. Request and coordinate all required documentation from internal departments for submissions in a . Forrester Research does not endorse any company included in any CX Index report and does not advise any person to select the products or services of any particular company based on the ratings included in such reports. For New Mexico residents: Insured by Humana Insurance Company. The information reflected above is compiled based on the data reported by the licensed HMO to the Texas Department of Insurance. This list contains CPLs most commonly billed insurances. Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. Big data technology for high availability data ingestion, computation and storage. 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. Please refer to Customer Support for more information. 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. In the event of a dispute, the policy as written in English is considered the controlling authority. Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. Humana for physicians and healthcare providers. AARP Medicare Complete. 0000009531 00000 n (800) 624-0756. 11804 0 obj<> endobj Arcadia is the leading population health management data and software company. Hands-on visits for providers to extend their specialty practice into patients homes, offering after hours and weekend support. A look at how states vary in their rates of common diseases, and why measuring health state-by-state requires robust data. 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. Register for Your Account Today. Website. This is a general description of services which are subject to change. 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. We partner with leading nursing homes around the country to improve the health and quality of life of residents . I'm not a OneHealthPort Subscriber but would like information on subscribing. Login using EmpowerID. Forgot Password. LIBERTY Dental Plan Establishes a Dedicated Toll-Free Number for Members Impacted by Humboldt County Earthquake. 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 (1 days ago) WebH0320 ARCADIAN HEALTH PLAN, INC. Formulary Contact 825 Washington St. Suite 300 Oakland CA 94607 HMO H0320 ARCADIAN HEALTH PLAN, , https://www.cms.gov/Medicare/Health-Plans/HealthPlansGenInfo/Downloads/claims_processing_20060120.pdf, Health (7 days ago) WebArcadian Health Plan Of Georgia, Inc. a provider in 500 12th St Ste 300 Oakland, Ca 94607. Any descriptions of when to use telehealth services are for informational purposes only and should not be construed as medical advice. If this is a U.S. Government information system, CMS maintains ownership and responsibility for its computer systems. Physician Case Management Referral. <]>> Use the links on this page to access IHCP provider news items, bulletins, and banner page publications. 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 . %%EOF 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. We build population health management strategies to take on Medicare, Medicaid, and Commercial risk-based contracts. Health Net provides quality affordable health plans for individuals, families, Medi-Cal members, Medicare and businesses. Stay connected by updating your contact information (service address, phone/fax numbers, etc.). Client session timed out. Hearty in Hawaii? Most popular medical specialty of providers who accept Arcadian Health Plan: Family Doctor. Integrate your business for coordinated and collaborative innovation by unifying your infrastructure and associated business processes with a service oriented, centralized platform. 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. Administered by Humana Insurance Company. Physician Case Management Referral. To access the website, click "Allow". 300 Hopkins Street 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. 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. We also like being able to save reports and create shortcuts for users. If there's a question you can't find the answer to in our FAQs, call Provider Services at 888-773-2647 (TTY 711). 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. Vantage Health Plan (Vantage) is an HMO with a Medicare contract. Some links on this page may take you to Humana non-Medicare product or service pages or to a different website. By working collaboratively with your team, we strive to improve patient satisfaction, care coordination, and achieve quality health outcomes. . Track copays and deductibles. 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. 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. 500 12th St Ste 350, Oakland, California, 94607, United States. For Texas residents: Insured or offered by Humana Insurance Company, HumanaDental Insurance Company or DentiCare, Inc (d/b/a Compbenefits). xref Stop the data debates and give your teams the ability to focus on the best next step. xb```b``y sx "~CT3gv6+dJX vHe_`l;~rd5ZWH20Gif >X3=`2L@8` $/L Site Usage Privacy Rights | Site Designed by Firefly Marketing Acadian is an Equal Opportunity Employer/Affirmative Action Employer. The information is subject to change and is not all-inclusive. Phone: (510) 832-0311. Business Intelligence Portal. 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. 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. 2023 Copyright arcadia.io | HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). Activate your MyHumana profile. This guide helps you sort through the confusion around build vs. buy. 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. 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. 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 . Big data technology for high availability data ingestion, computation and storage. 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 . In states, and for products where applicable, the premium may include a $1 administrative fee. 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. You've got questions, we've got anwers. 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. Arcadian Health Plan Eligibility. MyPlan QuickStart Guide for Members. Humana Employers Health . 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. Some plans may also charge a one-time, non-refundable enrollment fee. 1.877.221.9295. Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. 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. Find a Provider. 1-877-370-4874. www.MyUHCMedicare.com. 0000002922 00000 n Arcadian Health Plan | 1,090 followers on LinkedIn. 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. 0000001811 00000 n View your information. Notice of data security event involving ChoiceHealth, a service provider for Humana. Based on a comparison of the open risk documented with and without using Arcadia for pre-visit planning and at the point of care. Plus you get extra $0 benefits like Alternative Medicine visits (chiropractor, acupuncture, and more), fitness programs, and a monthly over-the-counter benefit. Make a plan for a lifetime of better health with Medi-Cal. View notice under A Notice for Certain Policy Holders on the ChoiceHealth website. ), and prepare summary information to initiate proposal response activities. Below are options for contacting us. Review the claim submission address or electronic payor ID # on the back of the patients member ID card. Acadian comprises six divisions Acadian Ambulance Service, Acadian Air Med, Acadian Total Security, National EMS Academy, Executive Air Charter and Safety Management Systems and has a variety of support departments. Results are shared through our provider portal where encounter records can be easily viewed, downloaded, and uploaded to your system. Find the right healthcare plan for you, your family or your employees. 0000000675 00000 n Stop by Booth #152 to meet our team and get a demo of Arcadia Analytics. 0000012822 00000 n Unlock collaboration across your organization, providers, partners, and members. The provider is registered as an organization entity type. Las Vegas, NV 89114-5645. This is the name or names of the company under which the company does business. Compare Humana Medicare plans where you live. (3 days ago) WebARCADIAN HEALTH PLAN, INC. NPI is 1598910549. 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. We help drive quality care with expert insights for healthier lives. When it comes to healthcare, its easy to feel like just a number. Medical Policies. Review the claim submission address or electronic payor ID # on the back of the patients member ID card. Need to submit a claim? 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. To appeal a decision, mail a written request to: Health Plan of Nevada, Member Services. The proprietary survey results are based on consumers opinions of the experiences with the brands in the survey. ARCADIAN HEALTH PLAN, INC. NPI is 1598910549. In the event of any disagreement between this communication and the plan document, the plan document will control. Rights and Responsibilities. 0000002619 00000 n Check patient eligibility, submit preauthorizations, dispute finalized claims and more on the Availity Essentials portal. 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. 2023 Copyright arcadia.io | HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). Empower providers with collaborative tools to drive better outcomes, and increase provider performance by connecting data from various sources. MyPlan CarePath Guide for Members. Staring down all the possibilities of building vs. buying a data analytics solution? Your Choice, Your Plans. Medicaid contracts each year with plans that are willing to accept a monthly fee for each recipient in their program. When you supplement claims data with clinical vs. claims only data, Captured through supplemental EHR documentation, Captured by supplementing your claims data with clinical data. In the event of a dispute, the policy as written in English is considered the controlling authority.
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