Devoted to the communities we serve. Fax: (510) 817-1894. Payment Policies. Box 12030, Austin, TX 78711 | 512-676-6000 | 800-578-4677, State Auditor's Office Hotline: 800-TX-AUDIT. Call Provider Services at 888-773-2647 (TTY 711) with any questions. %%EOF Arcadia Value-based Managed Care Services, Guide to Build vs. Buy in Healthcare Analytics. 11804 18 trailer Precise ParkLink. Arcadias powerful insights elucidate strategies around the financial viability of risk and lowering costs. It is for people who meet the income requirements and live in the state. Blue Shield of California Promise Health Plan currently serves Medi-Cal . Phone: (510) 832-0311. 130 E. Kaliste Saloom Road Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. Users must adhere to CMS Information Security Policies, Standards, and Procedures. 0000002922 00000 n 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 . Provider Search . Username Is Required. Hearty in Hawaii? 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. . Explore trainings and tutorials for working with Humana. 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. 1-877-370-4874. www.MyUHCMedicare.com. P.O. What healthcare data platform capabilities do you need to stay competitive? We help bridge the gap from data retrieval to implementation for efficiency and care. 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. Big data technology for high availability data ingestion, computation and storage. (3 days ago) WebARCADIAN HEALTH PLAN, INC. NPI is 1598910549. Integrate your business for coordinated and collaborative innovation by unifying your infrastructure and associated business processes with a service oriented, centralized platform. Our Medicare Advantage plans come packed with extra resources for improving our members health. If you have purchased an association plan, an association fee may also apply. Our data-driven approach and team support for your value-based care. Contact Us About The Company Profile For Arcadian Health Plan, Inc. We are constantly working to expand our health plan affiliations to provide you with the best options for you and your family's needs. Important Humana numbers and contact information for healthcare providers. Use the links on this page to access IHCP provider news items, bulletins, and banner page publications. We hope to see you at the HIMSS23 Global Conference. View plan provisions or check with your sales representative. Help providers make impactful decisions at the point of care with insights deliver at just the right time. 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. In the event of any disagreement between this communication and the plan document, the plan document will control. Humana makes it easy to find the best Medicare plans for younear you. Provider Network Humana offers members a comprehensive network of care centered on primary care providers (PCP), medical and surgical specialists to meet their needs. Review document requirements to ensure response to all pre-submission material (e.g. 2023 Copyright arcadia.io | HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). Today, we have ground and air ambulance facilities strategically located in areas across Louisiana, Mississippi, Tennessee and Texas, and we offer safety and medical services around the world. 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. Click the "Allow" button. We build population health management strategies to take on Medicare, Medicaid, and Commercial risk-based contracts. Please refer to your evidence of coverage for additional details on what your plan may cover or other rules that may apply. Business Intelligence Portal. Humana group life plans are offered by Humana Insurance Company or Humana Insurance Company of Kentucky. We also like being able to save reports and create shortcuts for users. The practitioner's primary taxonomy code is 302R00000X.The provider is registered as an organization and their NPI record was last . Medical Policies. 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. 2023 Copyright arcadia.io | HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). Log in tips & other helpful technical information. And with Availity, you can conduct business online quickly and easily, so you can focus on the well-being of our . Register for Your Account Today. Most popular medical specialty of providers who accept Arcadian Health Plan: Family Doctor. This communication provides a general description of certain identified insurance or non-insurance benefits provided under one or more of our health benefit plans. 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. Industry: Health insurance carriers Printer Friendly View Address: 500 12TH St Ste 350 Oakland, CA, 94607-5204 United States See other locations For Texas residents: Insured or offered by Humana Insurance Company, HumanaDental Insurance Company or DentiCare, Inc (d/b/a Compbenefits). This communication does not guarantee benefits and does not indicate all services received will be covered by your plan. And Arcadia had really outstanding leadership in terms of the knowledge of the business. 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. Premiums as Low as $0. Spot opportunities and problems quicker with an intelligent analytics platform built for payers. 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. . Box 15645. Individual applications are subject to eligibility requirements. Looking for information about your patients benefits or claims? Arcadia's powerful insights elucidate strategies around the financial viability of risk and lowering costs. Explore your coverage and benefit details, get ID cards and more. Navigating through disruption and coming out on the other side with a stronger system involves more than implementing the right list of tools. 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. Download provider quick reference phone guide (PDF, 129 KB) Support provider performance by making care and risk documentation gaps actionable within their existing clinical workflows. For costs and complete details of the coverage, refer to the plan document or call or write your Humana insurance agent or the company. Arcadian Health Plan | 1,090 followers on LinkedIn. HMO Alias, NCQA accredits and certifies a wide range of health care organizations. My Plan. The HMO Service Counties spreadsheet can be accessed via the "HMO Service areas" link and is for informational purposes only. EmpowerID. Register for Your Account Today. Health Plan of Nevada providers must file an appeal within 180 days. Your Choice, Your Plans. Alignment Health Plan. Forgot Username? Review the claim submission address or electronic payor ID # on the back of the patients member ID card. Arcadias thrilled to be back in Chicago for AMGA 2023, where we hope to hear about your healthcare goals and aspirations. If this is a U.S. Government information system, CMS maintains ownership and responsibility for its computer systems. See our full accessibility rights information, non-discrimination disclosure, and language options. Collaborate closely with your provider networks for mutual economic success under Medicare, Medicaid, and Commercial risk-based contracts. 0000001506 00000 n View claims. 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 Representative. The proprietary survey results are based on consumers opinions of the experiences with the brands in the survey. . 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). View your information. Maxwell Roberts Building, 5th Floor, 1 Church Street Hamilton HM 11 Bermuda +1 441 5439 800 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. Alabama Medicaid. There are several plans to choose from and not all benefits may be available in every plan. Checking your browser. Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. We are constantly working to expand our health plan affiliations to provide you with the best options for you and your family's needs. View claims. Call us at (800) 468-9935 [TTY 711], 6 a.m. to 6:30 p.m., Monday through Friday. Review the claim submission address or electronic payor ID # on the back of the patients member ID card. Big data technology for high availability data ingestion, computation and storage. 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. New Humana member? Longevity Health Plan is an Institutional Special Needs Plan (ISNP), a specialized Medicare Advantage health plan serving people living in skilled nursing facilities. 7914. 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. Not available with all Humana health plans. 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. Our claims professionals have extensive claims handling experience for a variety of business lines. 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). In the event of a dispute, the policy as written in English is considered the controlling authority. With five decades of mobile healthcare experience through our ambulance division, the Acadian Health mobile community healthcare team members . Advanced at-home care is an alternative to inpatient hospital visits for general medical conditions. A minimum one-year, initial contract period may be required for some dental and vision plans, excluding Dental Savings Plus. 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. For costs and complete details of the coverage, refer to the plan document or call or write your Humana insurance agent or the company. (877) 842-3210. 0000012822 00000 n Not available with all Humana health plans. Health (3 days ago) arcadian health plan, inc. Hmo company profile and agent for service. Activate your MyHumana profile. To appeal a decision, mail a written request to: Health Plan of Nevada, Member Services. UNITED STATES; United States; Agent Name CORPORATION SERVICE COMPANY Agent Address The provider's business location address is: 500 12TH ST STE 300. Health Plans, Inc.PO Box 5199Westborough, MA 01581. Patient Consent Forms. Lets talk about how we can help you solve your most complex challenges. For Texas residents: Insured or offered by Humana Insurance Company, HumanaDental Insurance Company or DentiCare, Inc (d/b/a Compbenefits). Health Net provides quality affordable health plans for individuals, families, Medi-Cal members, Medicare and businesses. 0000006121 00000 n Language interpreter services (at 1st prompt enter 22228, at 2nd prompt enter. We help drive quality care with expert insights for healthier lives. View your information. TDI assumes no responsibility for omissions, inaccuracies or ambiguities. Combine clinically integrated data with predictive analytics to help providers find the patients most likely to engage and close a care gap. Based on a comparison of the open risk documented with and without using Arcadia for pre-visit planning and at the point of care. Please keep your personal information private. Aetna. 0000002843 00000 n 0000016080 00000 n Find your B2B customer within minutes using affordable, accurate contact data from Datanyze. 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). Las Vegas, NV 89114-5645. Documentation Guidelines. 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. View or print your member ID card. Track copays and deductibles. 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. Some plans may also charge a one-time, non-refundable enrollment fee. AARP Medicare Complete. 12/20/2022. Since its beginning, our at-home care has proven to save an average of $1,000 per visit. OAKLAND, CA. Below are options for contacting us. Become a member of Humanas provider network. LIBERTY Dental Plan Establishes a Dedicated Toll-Free Number for Members Impacted by Humboldt County Earthquake. 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. In states, and for products where applicable, the premium may include a $1 administrative fee. Vantage Health Plan (Vantage) is an HMO with a Medicare contract. 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. The information reflected above is compiled based on the data reported by the licensed HMO to the Texas Department of Insurance. 0000011182 00000 n ; Customer Insights Team We help bridge the gap from data retrieval to implementation for efficiency and care. Locations Primary 500 12th Street, . We hope to see you at the HIMSS23 Global Conference. If you have any questions regarding a specific insurance, please contact your local CPL representative or . 300 Hopkins Street Our healthcare experts weigh in on industry topics. These two leaders in the long term care industry joined together to create a . Certain exceptions may apply by geography, network affiliation, member coverage or benefit design. A look at how states vary in their rates of common diseases, and why measuring health state-by-state requires robust data. Unlock collaboration across your organization, providers, partners, and members. View notice under A Notice for Certain Policy Holders on the ChoiceHealth website. A minimum one-year, initial contract period may be required for some dental and vision plans, excluding Dental Savings Plus. Guide to Build vs. Buy in Healthcare Analytics, Aggregating disparate data from across the care continuum from EHR, to unstructured note and health claims into one common data asset that facilitates value-based care, Enabling comprehensive views of target populations by generating longitudinal views of individual patients and customizable patient cohorts, across multiple contracts, Engaging patients with optimized resources by automating workflows around care management, Meeting health equity goals by identifying patients most likely to benefit from interventions, Seamlessly surfacing actionable insights to providers at the point of care to act on quality and risk gaps, Reconciling contract performance against plan-generated reporting. We like howeasy the system is to usefor end users. Stop the data debates and give your teams the ability to focus on the best next step. 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). ARCADIAN HEALTH PLAN INC. NPI 1598910549 - Health . H5619 Arcadian Health Plan (Humana, Inc.) Dual Eligible (Dual Eligible Subset - Medicare Zero Cost-sharing) Special Needs Plan Model of Care Score: 88.33% . We do this by: There are options we like from Arcadia. 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. To help our members through the pandemic, were providing trusted information from public health officials. Meet your Practice Management Consultant. 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. The information is subject to change and is not all-inclusive. Limitations on telehealth services, also referred to as virtual visits or telemedicine, vary by state. 0 We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. 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. 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. Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. 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. Our healthcare experts weigh in on industry topics. 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. 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. (This fee is non-refundable as allowed by state). File Number: 3615733. Insurance Listings. Enrollment in Providence Health Assurance depends on contract renewal. 11804 0 obj<> endobj This site uses cookies that are essential for our site to work. A northwest payer saw a $7M increase in their Medicaid premium by partnering with Arcadia to improve their closed risk per patient by 59%. 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 . Request and coordinate all required documentation from internal departments for submissions in a . %PDF-1.4 % Healthcare disrupted: How to keep pace in a rapidly changing world, Population health trends across the United States. We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. 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. 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. 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. Forgot Password. Empower providers with collaborative tools to drive better outcomes, and increase provider performance by connecting data from various sources. 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. Ailing in Alabama? This communication provides a general description of certain identified insurance or non-insurance benefits provided under one or more of our health benefit plans. 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 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. 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. What healthcare data platform capabilities do you need to stay competitive? 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 .
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