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Arcadian Health Plan headquarters are located in 500 12th St Ste 350, Oakland, California, 94607, United States, Arcadian Health Plans main industries are: Insurance, Arcadian Health Plan appears in search results as Arcadian Health Plan Inc, Arcadian Health Plan, Arcadian Management Services, Arcadian Management Services Inc, Arcadian Choice Inc, www.yelp.com/biz/arcadian-management-services-oakland-2, Get Free Access to Arcadian Health Plan Contacts Info. 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. 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. We help bridge the gap from data retrieval to implementation for efficiency and care. Data Platform Big data technology for high availability data ingestion, computation and storage. Support provider performance, make care and risk gaps actionable, combine clinically integrated data with predictive analytics, and improve ROI for your risk adjustment programs. Call us at (800) 468-9935 [TTY 711], 6 a.m. to 6:30 p.m., Monday through Friday. Devoted to the communities we serve. Please call our Customer Service Department if you need to talk about protected/private health information. Register for Your Account Today. (This fee is non-refundable as allowed by state). Patient Consent Forms. For Texas residents: Insured or offered by Humana Insurance Company, HumanaDental Insurance Company or DentiCare, Inc (d/b/a Compbenefits). A northwest payer saw a $7M increase in their Medicaid premium by partnering with Arcadia to improve their closed risk per patient by 59%. Most popular medical specialty of providers who accept Arcadian Health Plan: Family Doctor. (This fee is non-refundable as allowed by state). 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. To learn more about the health plan programs, contact the following customer service departments: Aetna. 0000000016 00000 n Group Dental and Vision Plans (Insurance through your employer). To appeal a decision, mail a written request to: Health Plan of Nevada, Member Services. Arcadian Health Plan Company Profile | Management and Employees List 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. In the event of a dispute, the policy as written in English is considered the controlling authority. EmpowerID. View your information. And Arcadia had really outstanding leadership in terms of the knowledge of the business. Forgot Password. For more information, contact: Results are shared through our provider portal where encounter records can be easily viewed, downloaded, and uploaded to your system. 11804 18 12/20/2022. Activate your MyHumana profile. For costs and complete details of the coverage, refer to the plan document or call or write your Humana insurance agent or the company. Medical Policies. Power your business with a provider source of truth. H5619 Arcadian Health Plan (Humana, Inc.) Dual Eligible (Dual Eligible Subset - Medicare Zero Cost-sharing) Special Needs Plan Model of Care Score: 88.33% . Average Overall User Rating for providers who take Arcadian Health . Medicaid contracts each year with plans that are willing to accept a monthly fee for each recipient in their program. 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. This site uses cookies that are essential for our site to work. %PDF-1.4 % Click the "Allow" button. Please contact the member's participating provider network website for specific filing limit terms. If you have purchased an association plan, an association fee may also apply. Arcadian Health Plan Doctors in Washington (WA) | Doctor.com Providence Health Assurance is an HMO, HMOPOS and HMO SNP with Medicare and Oregon Health Plan contracts. Community Health Plan of Washington | OneHealthPort Lafayette, LA 70508, Deliveries For Providers :: The Health Plan Create clinically-relevant care programs at scale. 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. 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. Maxwell Roberts Building, 5th Floor, 1 Church Street Hamilton HM 11 Bermuda +1 441 5439 800 Individual applications are subject to eligibility requirements. PDF Arcadian Health Plan Inc., H5619 Dual Eligible Medicare Zero Cost Explore your coverage and benefit details, get ID cards and more. 0000009531 00000 n If you have any questions about our plan benefits, procedures and other topics, contact Provider Services. , Health (2 days ago) WebHealth (3 days ago) arcadian health plan, inc. Hmo company profile and agent for service. If you have any questions, call 1-800-745-7065 or sign in to the online provider center. 1-877-370-4874. www.MyUHCMedicare.com. Log in to , https://www.humana.com/provider/medical-resources/self-service-portal, Health (6 days ago) WebMedical Policies. If you have purchased an association plan, an association fee may also apply. Pharmacy. MyPlan QuickStart Guide for Members. Health Plans, Inc.PO Box 5199Westborough, MA 01581. 1598910549 NPI Number | ARCADIAN HEALTH PLAN, INC. - HIPAASpace Our healthcare experts weigh in on industry topics. 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 . 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. Request and coordinate all required documentation from internal departments for submissions in a . Lets talk about how we can help you solve your most complex challenges. Helping Healthcare Payers Improve Risk Adjustment - Arcadia This login page requires that you have registered as a OneHealthPort Subscriber. Find your B2B customer within minutes using affordable, accurate contact data from Datanyze. 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. Our Health Plans - ADOC Humana for Healthcare Providers 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. (877) 842-3210. Check patient eligibility, submit preauthorizations, dispute finalized claims and more on the Availity Essentials portal. Meet your Practice Management Consultant. Our data-driven approach and team support for your value-based care. It is for people who meet the income requirements and live in the state. 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. 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. In the event of any disagreement between this communication and the plan document, the plan document will control. Learn how to submit a preauthorization for frequently requested services/procedures for your patients and check prior authorization lists. Arcadian Health Plan Provider Portal The provider is registered as an organization entity type. Navigating through disruption and coming out on the other side with a stronger system involves more than implementing the right list of tools. The AgeRight Advantage mission is to promote the vitality within each of AgeRight Advantage's members and to support them along their aging journey. Please keep your personal information private. Eligible members enjoy access to a wide variety of benefits, services and tools. 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. Administered by Humana Insurance Company. Certain exceptions may apply by geography, network affiliation, member coverage or benefit design. Call Provider Services at 888-773-2647 (TTY 711) with any questions. Ailing in Alabama? Our trained personnel arrive fully stocked with medical kits for advanced diagnostics. 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. Medi-Cal | Blue Shield of CA Promise Health Plan Forgot Username? Arcadia is the leading population health management data and software company. It's holistic care for members and peace of mind for loved ones. We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. Arcadian Health Plan Claims Address Hearty in Hawaii? Data analytics decision-making guide, Guide to Build vs. Buy in Healthcare Analytics. Phone: (510) 832-0311. Login using EmpowerID - OneHealthPort Find a Provider. Not available with all Humana health plans. Individual applications are subject to eligibility requirements. Contact Us :: The Health Plan Below are options for contacting us. Explore trainings and tutorials for working with Humana. Arcadia's powerful insights elucidate strategies around the financial viability of risk and lowering costs. ARCADIAN HEALTH PLAN, INC. NPI is 1598910549. 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. 0 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 . 2023 Copyright arcadia.io | HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). 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. Payment Policies. Looking for information about your patients benefits or claims? Not available with all Humana health plans. Build or buy? The HMO Alias list is an Excel spreadsheet. Download provider quick reference phone guide (PDF, 129 KB) File Number: 3615733. Forgot Password. 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. Fax: (510) 817-1894. Contact Us About The Company Profile For Arcadian Health Plan, Inc. Please refer to Customer Support for more information. Premiums as Low as $0. Site Usage Privacy Rights | Site Designed by Firefly Marketing Acadian is an Equal Opportunity Employer/Affirmative Action Employer. In the event of a dispute, the policy as written in English is considered the controlling authority. Big data technology for high availability data ingestion, computation and storage. OAKLAND, CA. 500 12th St Ste 350, Oakland, California, 94607, United States. 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 0000000926 00000 n What does Medicare cover (and not cover)? <]>> We build population health management strategies to take on Medicare, Medicaid, and Commercial risk-based contracts. Medicare Advantage Plans | Vantage Health Plan Plus you get extra $0 benefits like Alternative Medicine visits (chiropractor, acupuncture, and more), fitness programs, and a monthly over-the-counter benefit. Helping Healthcare Providers Improve Population Health - Arcadia Find doctors, hospitals, and specialists in your area. 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. Our data-driven approach and team support for your value-based care. 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. 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). Call 1-888-823-1910 (TTY users call 711) for more . Our CHPW Medicare Advantage plans offer coverage for things Original Medicare doesn't cover, like dental, vision, and prescription drugs (except Freedom Plan). This information is not a complete description of benefits. 130 E. Kaliste Saloom Road Health (3 days ago) arcadian health plan, inc. Hmo company profile and agent for service. Chloe Do - Business Development Administrator - LinkedIn Noridian Medicare Portal Login Humana Employers Health . Health (Just Now) Provider Directory Search Medicare Advantage Plans Recipients in certain Alabama counties may voluntarily choose to participate in a Medicare Advantage plan. View plan provisions or check with your sales representative. 0000001811 00000 n 0000012822 00000 n Big data technology for high availability data ingestion, computation and storage. Providers | Providence Health Plan Like an EASY button for providers: Overcome transportation and mobility issues by simply pre-scheduling or requesting an on-demand At-Home Health visit. Advanced at-home care is an alternative to inpatient hospital visits for general medical conditions. 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. For Arizona residents: Insured by Humana Insurance Company. For New Mexico residents: Insured by Humana Insurance Company. We also provide free language interpreter services. 0000011182 00000 n 0000014444 00000 n Subscriber ID: Password: Login. Vantage Health Plan (Vantage) is an HMO with a Medicare contract. Please do not include any confidential or personal information, such as protected health information, social security number, or tax ID. The information is subject to change and is not all-inclusive. . Our Medicare Advantage plans come packed with extra resources for improving our members health. 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. Arcadias powerful insights elucidate strategies around the financial viability of risk and lowering costs. Current Member: 866-409-1221 (TTY 711) . Arcadian Health Plan, Inc. (Humana) 1-866-945-4481. . If there's a question you can't find the answer to in our FAQs, call Provider Services at 888-773-2647 (TTY 711). Documentation , Health (5 days ago) WebContact. We like the data that has been made available. 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. We hope to see you at the HIMSS23 Global Conference. Collaborate closely with your provider networks for mutual economic success under Medicare, Medicaid, and Commercial risk-based contracts. 0000002922 00000 n Arcadias thrilled to be back in Chicago for AMGA 2023, where we hope to hear about your healthcare goals and aspirations. We help drive quality care with expert insights for healthier lives. 1.877.221.9295. Providers | Blue Shield of CA Promise Health Plan 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. Health Net provides quality affordable health plans for individuals, families, Medi-Cal members, Medicare and businesses. With five decades of mobile healthcare experience through our ambulance division, the Acadian Health mobile community healthcare team members . 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. 0000002843 00000 n 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. Provider Network Humana offers members a comprehensive network of care centered on primary care providers (PCP), medical and surgical specialists to meet their needs. New Humana member? Acadian Health - Acadian Companies CalOptima Home 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. This guide helps you sort through the confusion around build vs. buy. Hear what the incredible people behind the data have to say. Arcadias thrilled to be back in Chicago for AMGA 2023, where we hope to hear about your healthcare goals and aspirations. Please refer to your evidence of coverage for additional details on what your plan may cover or other rules that may apply. Review document requirements to ensure response to all pre-submission material (e.g. Warning: you are accessing an information system that may be a U.S. Government information system. 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. Unlock collaboration across your organization, providers, partners, and members. Find the right healthcare plan for you, your family or your employees. A look at how states vary in their rates of common diseases, and why measuring health state-by-state requires robust data. 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. This communication does not guarantee benefits and does not indicate all services received will be covered by your plan. trailer (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 . 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. 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. Our broad network of in-network providers makes it easy to find a doctor, dentist, vision care provider or pharmacy near you. Healthcare disrupted: How to keep pace in a rapidly changing world, Population health trends across the United States. Longevity Health Plan is an Institutional Special Needs Plan (ISNP), a specialized Medicare Advantage health plan serving people living in skilled nursing facilities. Stay connected by updating your contact information (service address, phone/fax numbers, etc.). April 1-September 31. Humana Inc. - 97% of Humana's Medicare Advantage Members Are in In the event of any disagreement between this communication and the plan document, the plan document will control. Filing Date: October 29, 2013. 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. . HAP | Affordable Michigan Health Insurance | Michigan Health Insurance Limitations on telehealth services, also referred to as virtual visits or telemedicine, vary by state. Cool Arcadian Health Plan Provider Portal References 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. Improve your chase list for a better ROI on your risk adjustment program. HMO Company Profile and agent for service. P.O. For Texas residents: Insured or offered by Humana Insurance Company, HumanaDental Insurance Company or DentiCare, Inc (d/b/a Compbenefits). Staring down all the possibilities of building vs. buying a data analytics solution? 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. Or, you can always contact your Provider Network Development , Health (9 days ago) WebArcadian Health Plan, Inc. Arcadian Health Plan, Inc. Company Alias [Doing Business As (dba)] This is the name or names of the company under which the company , https://www.tdi.texas.gov/hmo/profiles/95962.html, Health (7 days ago) WebARCADIAN HEALTH PLAN INC. NPI 1598910549. 10/25/2022. Arcadian Health Plan Profile and History . %%EOF arcadian health plan, inc claims mailing address 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. xref Humana makes it easy to find the best Medicare plans for younear you. 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). A minimum one-year, initial contract period may be required for some dental and vision plans, excluding Dental Savings Plus. MyPlan QuickStart Guide for Members. HAP | Affordable Michigan Health Insurance | Michigan Health Insurance . Secure Provider Portal Prior Authorization; Provider Electronic Solutions (PES) Software . Username Is Required. Humana Contact Information for Providers Use the links on this page to access IHCP provider news items, bulletins, and banner page publications. Go365 is not an insurance product and is not available with all Humana health plans. 0000002140 00000 n Las Vegas, NV 89114-5645. Devoted Health Plan of Alabama, Inc. 1-800 . Our goal is to provide timely and actionable information that helps our CHCs utilize quality . ), and prepare summary information to initiate proposal response activities. Your Choice, Your Plans. To help our members through the pandemic, were providing trusted information from public health officials. If you have any questions regarding a specific insurance, please contact your local CPL representative or . Looking for information on timely filing limits? MyPlan CarePath Guide for Members. Become a member of Humanas provider network. 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.