A look at how states vary in their rates of common diseases, and why measuring health state-by-state requires robust data. 0000011182 00000 n Alternative care for non-traumatic hospitalizations for sick but stable patients who would typically be transported by ambulance to an ED. Documentation Guidelines. Look up patient benefits information. LIBERTY Dental Plan Partners with Kaiser Permanente's Mid-Atlantic Region for Dental Benefits Coverage. A look at how states vary in their rates of common diseases, and why measuring health state-by-state requires robust data. We are constantly working to expand our health plan affiliations to provide you with the best options for you and your family's needs. AARP Medicare Complete. Hearty in Hawaii? 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. Client session timed out. Log in to , https://www.humana.com/provider/medical-resources/self-service-portal, Health (6 days ago) WebMedical Policies. View plan provisions or check with your sales representative. Review the claim submission address or electronic payor ID # on the back of the patient's member ID card. In the event of a dispute, the policy as written in English is considered the controlling authority. P.O. Review the claim submission address or electronic payor ID # on the back of the patients member ID card. Industry: Health insurance carriers Printer Friendly View Address: 500 12TH St Ste 350 Oakland, CA, 94607-5204 United States See other locations 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. Arcadian Health Plan and Humana Benefit Plan of Illinois, Inc . . 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. Forgot Username? April 1-September 31. What does Medicare cover (and not cover)? Start a new EpicCare Link session Integrate your business for coordinated and collaborative innovation by unifying your infrastructure and associated business processes with a service oriented, centralized platform. We hope to see you at the HIMSS23 Global Conference. Box 12030, Austin, TX 78711 | 512-676-6000 | 800-578-4677, State Auditor's Office Hotline: 800-TX-AUDIT. For more information, contact: Go365 is not an insurance product and is not available with all Humana health plans. Forgot Password. 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. This includes adults, children, families with children, seniors, and persons with disabilities. Activate your MyHumana profile. Warning: you are accessing an information system that may be a U.S. Government information system. 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. 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. 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. We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. Plans, products, and services are solely and only provided by one or more Humana Entities specified on the plan, product, or service contract, not Humana Inc. Not all plans, products, and services are available in each state. We 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. 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. 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 . 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. We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. Your Choice, Your Plans. This site uses cookies that are essential for our site to work. Clinical Guidelines. Includes follow-up care and education for recently discharged and high-risk patients. This list contains CPLs most commonly billed insurances. 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). The provider is registered as an organization entity type. RSVP to Site Meetings, return Intent to Submit letters, etc. ARCADIAN HEALTH PLAN INC. NPI 1598910549 - Health . The Company Profile page provides basic general information on the HMO, including basic financial, contact, attorney for service, complaint and company history information. Create clinically-relevant care programs at scale. The information is subject to change and is not all-inclusive. 0 Since 1971, Acadian has been committed to providing the highest level of medical care and transportation possible. Ailing in Alabama? Premiums as Low as $0. 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 Provider Search . Become a member of Humanas provider network. New Humana member? Access Patient Benefits. Company Profile Page. View claims. It is for people who meet the income requirements and live in the state. Health (3 days ago) WebARCADIAN HEALTH PLAN, INC. NPI is 1598910549. Find the right healthcare plan for you, your family or your employees. Make a plan for a lifetime of better health with Medi-Cal. xref Users must adhere to CMS Information Security Policies, Standards, and Procedures. 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. 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. Clinical Guidelines. I'm not a OneHealthPort Subscriber but would like information on subscribing. 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. If you have any questions regarding a specific insurance, please contact your local CPL representative or . Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. Patient Consent Forms. Stop by Booth #152 to meet our team and get a demo of Arcadia Analytics. 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. If you have purchased an association plan, an association fee may also apply. Review the latest news and publications for providers. This site uses cookies that are essential for our site to work. For Texas residents: Insured or offered by Humana Insurance Company, HumanaDental Insurance Company or DentiCare, Inc (d/b/a Compbenefits). We help drive quality care with expert insights for healthier lives. Contact Humana with questions about your patients` benefits or claims. trailer Data analytics decision-making guide, Guide to Build vs. Buy in Healthcare Analytics. 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. Stop the data debates and give your teams the ability to focus on the best next step. Power your business with a provider source of truth. This is a general description of services which are subject to change. 0000001506 00000 n 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. 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. View or print your member ID card. 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. You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID # 44273. Administered by Humana Insurance Company. 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 . Data Platform Big data technology for high availability data ingestion, computation and storage. Insurance Listings. View plan provisions or check with your sales representative. Navigating through disruption and coming out on the other side with a stronger system involves more than implementing the right list of tools. The HMO Alias list is an Excel spreadsheet. For Texas residents: Insured or offered by Humana Insurance Company, HumanaDental Insurance Company or DentiCare, Inc (d/b/a Compbenefits). 0000001278 00000 n MyPlan CarePath Guide for Members. Humana Employers Health . x1 048F}\G` z0=i2\x!!!!!!!CCC. 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). Individual applications are subject to eligibility requirements. For costs and complete details of the coverage, refer to the plan document or call or write your Humana insurance agent or the company. In states, and for products where applicable, the premium may include a $1 administrative fee. Go365 is not an insurance product. 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. Combine clinically integrated data with predictive analytics to help providers find the patients most likely to engage and close a care gap. Representatives are available Monday - Friday 7 a.m. - 9 p.m. Central Time. For New Mexico residents: Insured by Humana Insurance Company. We are constantly working to expand our health plan affiliations to provide you with the best options for you and your family's needs. 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. With five decades of mobile healthcare experience through our ambulance division, the Acadian Health mobile community healthcare team members . 11804 18 Some links on this page may take you to Humana non-Medicare product or service pages or to a different website. 0000000675 00000 n Stay connected by updating your contact information (service address, phone/fax numbers, etc.). 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. Arcadian Health Plan Eligibility. Login using EmpowerID. The Company Profile page provides basic general information on the HMO, including basic financial, contact, attorney for service, complaint and company history information. Our CHPW Medicare Advantage plans offer coverage for things Original Medicare doesn't cover, like dental, vision, and prescription drugs (except Freedom Plan). We help bridge the gap from data retrieval to implementation for efficiency and care. Arcadia keeps up with industry trends and has new functionalities available. Or, you can always contact your Provider Network Development Representative. Explore your coverage and benefit details, get ID cards and more. <]>> 7914. %%EOF Contact Us About The Company Profile For Arcadian Health Plan, Inc. Advanced at-home care is an alternative to inpatient hospital visits for general medical conditions. In the event of a dispute, the policy as written in English is considered the controlling authority. Forget spreadsheets and unify business processes and infrastructure on a single source of truth. This is the name or names of the company under which the company does business. AgeRight Advantage is a Medicare Advantage Plan locally owed by Marquis Companies and Avamere Family of Companies. These two leaders in the long term care industry joined together to create a . The information reflected above is compiled based on the data reported by the licensed HMO to the Texas Department of Insurance. . Our analytical expertise simplifies operational decisions for our partners, so they can focus on doing what they do best: delivering care. Since its beginning, our at-home care has proven to save an average of $1,000 per visit. To appeal a decision, mail a written request to: Health Plan of Nevada, Member Services. Hands-on visits for providers to extend their specialty practice into patients homes, offering after hours and weekend support. 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. Physician Case Management Referral. All Rights Reserved. Please do not include any confidential or personal information, such as protected health information, social security number, or tax ID. MyPlan QuickStart Guide for Members. Prescription Coverage. For most members, claims can be mailed or , https://www.hpitpa.com/your-resources/for-providers/check-claims-eligibility/. Compare Humana Medicare plans where you live. (877) 842-3210. Log in tips & other helpful technical information. Our healthcare experts weigh in on industry topics. , Health (2 days ago) WebHealth (3 days ago) arcadian health plan, inc. Hmo company profile and agent for service. Go365 is not an insurance product. Arcadias thrilled to be back in Chicago for AMGA 2023, where we hope to hear about your healthcare goals and aspirations. For Providers. 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. Alabama Medicaid. Track copays and deductibles. Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. Find your B2B customer within minutes using affordable, accurate contact data from Datanyze. DHMSO: Provider Login. See our full accessibility rights information, non-discrimination disclosure, and language options. We partner with leading nursing homes around the country to improve the health and quality of life of residents . Las Vegas, NV 89114-5645. (3 days ago) WebARCADIAN HEALTH PLAN, INC. NPI is 1598910549. Humana makes it easy to find the best Medicare plans for younear you. Medi-Cal is California's Medicaid healthcare program that offers free or low-cost health coverage. A northwest payer saw a $7M increase in their Medicaid premium by partnering with Arcadia to improve their closed risk per patient by 59%. OAKLAND, CA. 0000012822 00000 n Some plans may also charge a one-time, non-refundable enrollment fee. Improve your chase list for a better ROI on your risk adjustment program. Administered by Humana Insurance Company. Transform disparate information into a longitudinal view of patients through clinical and claims data. We will make reasonable accommodation to meet our obligations under the Americans with Disabilities Act (ADA) and state disability laws. This communication provides a general description of certain identified insurance or non-insurance benefits provided under one or more of our health benefit plans. 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. Our data-driven approach and team support for your value-based care. 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. Your Choice, Your Plans. When it comes to healthcare, its easy to feel like just a number. ARCADIAN HEALTH PLAN INC. NPI 1598910549. View your information. Find a Provider. 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. The HMO Service Counties spreadsheet can be accessed via the "HMO Service areas" link and is for informational purposes only. Supports round-the-clock comprehensive care that may include on-demand critical care, daily rounding, on-site advanced diagnostics, and more. 0000014444 00000 n We also like being able to save reports and create shortcuts for users. 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? Looking for information on timely filing limits? Call Provider Services at 888-773-2647 (TTY 711) with any questions. View or print your member ID card. 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. 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. 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. Health Plan of Nevada providers must file an appeal within 180 days. Looking for information about your patients benefits or claims? 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. Arcadias powerful insights elucidate strategies around the financial viability of risk and lowering costs. 0000002619 00000 n Arcadia's powerful insights elucidate strategies around the financial viability of risk and lowering costs. Provider Network Humana offers members a comprehensive network of care centered on primary care providers (PCP), medical and surgical specialists to meet their needs. 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. 300 Hopkins Street 0000006121 00000 n Current Member: 866-409-1221 (TTY 711) . Important Humana numbers and contact information for healthcare providers. Group Dental and Vision Plans (Insurance through your employer). 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 . 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). Empower providers with collaborative tools to drive better outcomes, and increase provider performance by connecting data from various sources. Like an EASY button for providers: Overcome transportation and mobility issues by simply pre-scheduling or requesting an on-demand At-Home Health visit. We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. MyPlan QuickStart Guide for Members. We build population health management strategies to take on Medicare, Medicaid, and Commercial risk-based contracts. The provider's business location address is: Source: picshealth.blogspot.com. (This fee is non-refundable as allowed by state).