Precise ParkLink. Eligible members enjoy access to a wide variety of benefits, services and tools. Humana Inc. - 97% of Humana's Medicare Advantage Members Are in 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. Arcadian Health Plan Eligibility. What healthcare data platform capabilities do you need to stay competitive? 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. Humana legal entities that offer, underwrite, administer or insure insurance products and services. 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. Need to submit a claim? 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). View or print your member ID card. Site Usage Privacy Rights | Site Designed by Firefly Marketing Acadian is an Equal Opportunity Employer/Affirmative Action Employer. View or print your member ID card. We were very impressed with the people, and we have continued to be able to have access to those people, so that was a big part of our decision as well. Please contact the member's participating provider network website for specific filing limit terms. 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. Alignment Health Plan. Language interpreter services (at 1st prompt enter 22228, at 2nd prompt enter. We hope to see you at the HIMSS23 Global Conference. For Providers :: The Health Plan Ailing in Alabama? x1 048F}\G` z0=i2\x!!!!!!!CCC. Community Health Plan of Washington | OneHealthPort Humana legal entities that offer, underwrite, administer or insure insurance products and services. Notice of data security event involving ChoiceHealth, a service provider for Humana. Health (3 days ago) WebARCADIAN HEALTH PLAN, INC. NPI is 1598910549. ARCADIAN HEALTH PLAN, INC. :: Washington (US) - OpenCorporates 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. OAKLAND, CA. (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 . startxref We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. 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. Go365 is not an insurance product and is not available with all Humana health plans. We build population health management strategies to take on Medicare, Medicaid, and Commercial risk-based contracts. In the event of any disagreement between this communication and the plan document, the plan document will control. Empower providers with collaborative tools to drive better outcomes, and increase provider performance by connecting data from various sources. 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. 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. Website current as of: 10/01/2022 H9047_PHAAM20_M Medi-Cal | Blue Shield of CA Promise Health Plan Product features may vary by client. Use the links on this page to access IHCP provider news items, bulletins, and banner page publications. 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. 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. 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. We are constantly working to expand our health plan affiliations to provide you with the best options for you and your family's needs. If this is a U.S. Government information system, CMS maintains ownership and responsibility for its computer systems. Arcadian Health Plan, Inc. (Humana) 1-866-945-4481. . Arcadian Health Plan, Inc. - AL, AR, CA, FL, IA, IL, IN, KY, ME, MO Download provider quick reference phone guide (PDF, 129 KB) 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. There are several plans to choose from and not all benefits may be available in every plan. Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. 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 . Deliver personalized experiences, reduce administrative efforts, and create new health and wellness benefits for members, employers, and providers with a data-driven strategy. arcadian health plan, inc claims mailing address Click the "Allow" button. We build population health management strategies to take on Medicare, Medicaid, and Commercial risk-based contracts. Provider Search . Clinical Guidelines. Staring down all the possibilities of building vs. buying a data analytics solution? Since its beginning, our at-home care has proven to save an average of $1,000 per visit. View your information. Like an EASY button for providers: Overcome transportation and mobility issues by simply pre-scheduling or requesting an on-demand At-Home Health visit. Healthcare disrupted: How to keep pace in a rapidly changing world, Population health trends across the United States. Data analytics decision-making guide, Guide to Build vs. Buy in Healthcare Analytics. ARCADIAN HEALTH PLAN INC. NPI 1598910549 - Health Providers Data Some links on this page may take you to Humana non-Medicare product or service pages or to a different website. What does Medicare cover (and not cover)? Your Choice, Your Plans. This is a general description of services which are subject to change. If you have purchased an association plan, an association fee may also apply. Employment is based solely upon ones individual merit and qualifications directly related to professional competence. (This fee is non-refundable as allowed by state). Home - Longevity Health Plan Integrate your business for coordinated and collaborative innovation by unifying your infrastructure and associated business processes with a service oriented, centralized platform. 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). Insurance Listings | Clinical Pathology Laboratories Payment Policies. LIBERTY Dental Plan Partners with Kaiser Permanente's Mid-Atlantic Region for Dental Benefits Coverage. 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. This is the name or names of the company under which the company does business. ARCADIAN HEALTH PLAN INC. NPI 1598910549. New competitors are entering the market, expectations from members are shifting, and regulatory pressures are making it more difficult than ever to succeed. 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. Your Choice, Your Plans. 0000004546 00000 n Humana group life plans are offered by Humana Insurance Company or Humana Insurance Company of Kentucky. Our data-driven approach and team support for your value-based care. Please call our Customer Service Department if you need to talk about protected/private health information. Contact Us About The Company Profile For Arcadian Health Plan, Inc. 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. Contact Humana with questions about your patients` benefits or claims. We help drive quality care with expert insights for healthier lives. Prescheduled visits can be organized with the provider joining by phone or telehealth. . 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. If you have any questions, call 1-800-745-7065 or sign in to the online provider center. Insured through UnitedHealthcare (formerly Secure Horizons) Website. ARCADIAN HEALTH PLAN, INC. can be reached at the following phone number(s): Phone: 510-832-0311 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. Helping Healthcare Providers Improve Population Health - Arcadia 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. 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. 0000002922 00000 n 500 12th St Ste 350, Oakland, California, 94607, United States. Advanced at-home care is an alternative to inpatient hospital visits for general medical conditions. Explore your coverage and benefit details, get ID cards and more. Arcadian Health Plan Doctors in Washington (WA) | Doctor.com Please do not include any confidential or personal information, such as protected health information, social security number, or tax ID. SilverSneakers may not be available on all plans or in all areas. April 1-September 31. Helping Healthcare Payers Improve Risk Adjustment - Arcadia The HMO Service Counties spreadsheet can be accessed via the "HMO Service areas" link and is for informational purposes only. If you have any questions about our plan benefits, procedures and other topics, contact Provider Services. This communication does not guarantee benefits and does not indicate all services received will be covered by your plan. 500 W Main. <]>> Home. 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. Activate your MyHumana profile. NPI record contains FOIA-disclosable NPPES health care provider information. DHMSO: Provider Login Secure Log in - Health Plan 0000002843 00000 n Let them know who you want as your primary care physician and that you want AllCare as your medical group. I'm not a OneHealthPort Subscriber but would like information on subscribing. Humana Contact Information for Providers U.S. News and World Report names Humana 2023 Best Overall Medicare Advantage Plan Company. For Texas residents: Insured or offered by Humana Insurance Company, HumanaDental Insurance Company or DentiCare, Inc (d/b/a Compbenefits). Maxwell Roberts Building, 5th Floor, 1 Church Street Hamilton HM 11 Bermuda +1 441 5439 800 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. Support provider performance, make care and risk gaps actionable, combine clinically integrated data with predictive analytics, and improve ROI for your risk adjustment programs. 1.877.221.9295. Our goal is to provide timely and actionable information that helps our CHCs utilize quality . Get started now! Medicaid contracts each year with plans that are willing to accept a monthly fee for each recipient in their program. By working collaboratively with your team, we strive to improve patient satisfaction, care coordination, and achieve quality health outcomes. Fax: (510) 817-1894. This site uses cookies that are essential for our site to work. To access the website, click "Allow". Some plans may also charge a one-time, non-refundable enrollment fee. trailer 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. Noridian Medicare Portal Login. Users must adhere to CMS Information Security Policies, Standards, and Procedures. Need to submit a claim? 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. Password Is Required. A northwest payer saw a $7M increase in their Medicaid premium by partnering with Arcadia to improve their closed risk per patient by 59%. It is for people who meet the income requirements and live in the state. That's why Humana is committed to supporting your practice with training resources, policy updates, and industry-leading patient care programs. 1601 Congress Avenue, Austin, TX 78701 | P.O. Get the most out of your plan with a MyHumana account. %PDF-1.4 % For costs and complete details of the coverage, refer to the plan document or call or write your Humana insurance agent or the company. Alabama Medicaid. Build or buy? Our data-driven approach and team support for your value-based care. Representatives are available Monday - Friday 7 a.m. - 9 p.m. Central Time. Patient Consent Forms. Or, you can always contact your Provider Network Development Representative. In states, and for products where applicable, the premium may include a $1 administrative fee. Arcadian Health Plan | LinkedIn Our claims professionals have extensive claims handling experience for a variety of business lines. Arcadian Health Plan Provider Number Health Net provides quality affordable health plans for individuals, families, Medi-Cal members, Medicare and businesses. Arcadian Health Plan providers listed on Doctor.com have been practicing for an average of: 26 year (s) Average ProfilePoints score for Providers who take Arcadian Health Plan: 53/80. The information reflected above is compiled based on the data reported by the licensed HMO to the Texas Department of Insurance. Patient Consent Forms. For New Mexico residents: Insured by Humana Insurance Company. Collaborate closely with your provider networks for mutual economic success under Medicare, Medicaid, and Commercial risk-based contracts. Physician Case Management Referral. 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. Arcadian Health Plan and Humana Benefit Plan of Illinois, Inc . Checking your browser. Arcadian Health Plan Inc., H5619 Dual Eligible Medicare Zero Cost Sharing Special Needs Plan Model of Care Score: 90.00% 3-Year Approval January 1, 2012 to December 31, 2014 _____ Target Population Arcadian Health Plan (AHP) offers Dual Eligible Special Needs Plans (D-SNP) serving QMB individuals living in the state of Maine. The AgeRight Advantage mission is to promote the vitality within each of AgeRight Advantage's members and to support them along their aging journey. Review the claim submission address or electronic payor ID # on the back of the patient's member ID card. DHMSO: Provider Login. We help bridge the gap from data retrieval to implementation for efficiency and care. Stay connected by updating your contact information (service address, phone/fax numbers, etc.). Providers | Providence Health Plan View plan provisions or check with your sales representative. View notice under A Notice for Certain Policy Holders on the ChoiceHealth website. 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. A minimum one-year, initial contract period may be required for some dental and vision plans, excluding Dental Savings Plus. xref Lafayette, LA 70501. Call Provider Services at 888-773-2647 (TTY 711) with any questions. A minimum one-year, initial contract period may be required for some dental and vision plans, excluding Dental Savings Plus. Our broad network of in-network providers makes it easy to find a doctor, dentist, vision care provider or pharmacy near you. 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. Compare Humana Medicare plans where you live. We like the data that has been made available. . 0000011182 00000 n View claims. (This fee is non-refundable as allowed by state). Log in tips & other helpful technical information. Call Provider Services at 888-773-2647 (TTY 711) with any questions. Average Overall User Rating for providers who take Arcadian Health . Provider Network Humana offers members a comprehensive network of care centered on primary care providers (PCP), medical and surgical specialists to meet their needs. Plus you get extra $0 benefits like Alternative Medicine visits (chiropractor, acupuncture, and more), fitness programs, and a monthly over-the-counter benefit. St Louisville, KY 40202. Arcadia keeps up with industry trends and has new functionalities available. What healthcare data platform capabilities do you need to stay competitive? View claims. 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. 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. With five decades of mobile healthcare experience through our ambulance division, the Acadian Health mobile community healthcare team members . Results are shared through our provider portal where encounter records can be easily viewed, downloaded, and uploaded to your system. Login using EmpowerID. Industry: Health insurance carriers Printer Friendly View Address: 500 12TH St Ste 350 Oakland, CA, 94607-5204 United States See other locations Lets talk about how we can help you solve your most complex challenges. Rights and Responsibilities. For most members, claims can be mailed or , https://www.hpitpa.com/your-resources/for-providers/check-claims-eligibility/. The Company Profile page provides basic general information on the HMO, including basic financial, contact, attorney for service, complaint and company history information. Pharmacy. Health (3 days ago) arcadian health plan, inc. Hmo company profile and agent for service. When it comes to healthcare, its easy to feel like just a number. This information is not a complete description of benefits. Stop by Booth #152 to meet our team and get a demo of Arcadia Analytics. Medical Policies. *Humana received the highest CX Index score among health insurers in Forresters proprietary 2022 CX Index survey. Increase the capture of your members risk and care gaps by connecting clinical data at scale. Our healthcare experts weigh in on industry topics. For Arizona residents: Insured by Humana Insurance Company. Alabama Medicaid Based on a comparison of the open risk documented with and without using Arcadia for pre-visit planning and at the point of care. Working with Acadian Health provides greater opportunity to engage members or patients in the convenient and lower cost home setting. Our healthcare experts weigh in on industry topics. 0000016080 00000 n 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. Group Dental and Vision Plans (Insurance through your employer). 0000002619 00000 n Arcadian Health Plan Claims Address 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. Arcadian Health Plan Profile and History . MyPlan QuickStart Guide for Members. Call us at (800) 468-9935 [TTY 711], 6 a.m. to 6:30 p.m., Monday through Friday. My Plan. 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. For Providers. Alternative care for non-traumatic hospitalizations for sick but stable patients who would typically be transported by ambulance to an ED. Arcadia Value-based Managed Care Services, Guide to Build vs. Buy in Healthcare Analytics. At Humana, we do things differently. . This communication provides a general description of certain identified insurance or non-insurance benefits provided under one or more of our health benefit plans. Member and provider login portal | secure.arcadia.io The provider is registered as an organization entity type. . Since 1971, Acadian has been committed to providing the highest level of medical care and transportation possible. LIBERTY Dental Plan : Making Members Shine! We have clinical data, claims data, and ADT data all put together in the system. 10/25/2022. Centene Venture Company Alabama Health Plan, Inc. (Ascension Complete) 1-833-542-1677. www.ascensioncomplete.com. Have questions about your Humana contract? Our analytical expertise simplifies operational decisions for our partners, so they can focus on doing what they do best: delivering care. And Arcadia had really outstanding leadership in terms of the knowledge of the business.

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