AARP Medicare Complete. 0000009531 00000 n Certain exceptions may apply by geography, network affiliation, member coverage or benefit design. Notice of data security event involving ChoiceHealth, a service provider for Humana. 2023 Copyright arcadia.io | HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). Deliver personalized experiences, reduce administrative efforts, and create new health and wellness benefits for members, employers, and providers with a data-driven strategy. . Acadian comprises six divisions Acadian Ambulance Service, Acadian Air Med, Acadian Total Security, National EMS Academy, Executive Air Charter and Safety Management Systems and has a variety of support departments. This login page requires that you have registered as a OneHealthPort Subscriber. 10/25/2022. 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. 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. Lets talk about how we can help you solve your most complex challenges. Stop by Booth #152 to meet our team and get a demo of Arcadia Analytics. In the event of any disagreement between this communication and the plan document, the plan document will control. Fax: (510) 817-1894. File Number: 3615733. View or print your member ID card. We do this by: There are options we like from Arcadia. Administered by Humana Insurance Company. In the event of a dispute, the policy as written in English is considered the controlling authority. Individual applications are subject to eligibility requirements. (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 . The provider's business location address is: 500 12TH ST STE 300. HMO Alias, NCQA accredits and certifies a wide range of health care organizations. Our healthcare experts weigh in on industry topics. What healthcare data platform capabilities do you need to stay competitive? 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. 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 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. Some plans may also charge a one-time, non-refundable enrollment fee. 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. With five decades of mobile healthcare experience through our ambulance division, the Acadian Health mobile community healthcare team members arrive at a patients location with the knowledge, skill, and equipment to act as our partners eyes, ears, and hands. Humana Individual dental and vision plans are insured or offered by Humana Insurance Company, HumanaDental Insurance Company, Humana Insurance Company of New York, The Dental Concern, Inc., CompBenefits Insurance Company, CompBenefits Company, CompBenefits Dental, Inc., Humana Employers Health Plan of Georgia, Inc. or Humana Health Benefit Plan of Louisiana, Inc. Discount plans offered by HumanaDental Insurance Company or Humana Insurance Company. If the provider is unavailable, Acadian Healths trained professionals can execute on a providers care plan in their place, sending detailed notes and updates following the visit. Box 12030, Austin, TX 78711 | 512-676-6000 | 800-578-4677, State Auditor's Office Hotline: 800-TX-AUDIT. Make a plan for a lifetime of better health with Medi-Cal. 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. ARCADIAN HEALTH PLAN INC. NPI 1598910549 - Health . Contact Humana with questions about your patients` benefits or claims. Checking your browser. Compare Humana Medicare plans where you live. We hope to see you at the HIMSS23 Global Conference. Log in tips & other helpful technical information. Log in to , https://www.humana.com/provider/medical-resources/self-service-portal, Health (6 days ago) WebMedical Policies. To access the website, click "Allow". Need to submit a claim? For New Mexico residents: Insured by Humana Insurance Company. 0000002843 00000 n 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. Our members' health is in your hands. Secure Provider Portal Prior Authorization; Provider Electronic Solutions (PES) Software . If this is a U.S. Government information system, CMS maintains ownership and responsibility for its computer systems. Track copays and deductibles. (This fee is non-refundable as allowed by state). To help our members through the pandemic, were providing trusted information from public health officials. Insured through UnitedHealthcare (formerly Secure Horizons) Website. 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. %PDF-1.4 % Register for Your Account Today. 1.800.624.6961, ext. Humana for physicians and healthcare providers. 12/20/2022. New Humana member? View or print your member ID card. 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). 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. LIBERTY Dental Plan Establishes a Dedicated Toll-Free Number for Members Impacted by Humboldt County Earthquake. Centene Venture Company Alabama Health Plan, Inc. (Ascension Complete) 1-833-542-1677. www.ascensioncomplete.com. Call Provider Services at 888-773-2647 (TTY 711) with any questions. The practitioner's primary taxonomy code is 302R00000X.The provider is registered as an organization and their NPI record was last . Insurance Listings. For Arizona residents: Insured by Humana Insurance Company. Explore trainings and tutorials for working with Humana. . 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. Combine clinically integrated data with predictive analytics to help providers find the patients most likely to engage and close a care gap. 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 list contains CPLs most commonly billed insurances. You can find the login to our member or provider portal as well asregistration, password help, and our find a provider systems. What healthcare data platform capabilities do you need to stay competitive? Acadian Health, a division of Acadian Companies, was founded to deliver on the last mile of healthcare by bridging the gap between patient and provider, offering the highest-quality at-home healthcare. HAP | Affordable Michigan Health Insurance | Michigan Health Insurance . CalOptima Health does not offer free wireless phones. If you have any questions, call 1-800-745-7065 or sign in to the online provider center. Advanced at-home care is an alternative to inpatient hospital visits for general medical conditions. 130 E. Kaliste Saloom Road 0000004546 00000 n Site Usage Privacy Rights | Site Designed by Firefly Marketing Acadian is an Equal Opportunity Employer/Affirmative Action Employer. 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. Data analytics decision-making guide, Guide to Build vs. Buy in Healthcare Analytics. FinancialAnalysis@tdi.texas.gov. , Health (2 days ago) WebHealth (3 days ago) arcadian health plan, inc. Hmo company profile and agent for service. If you have any questions about our plan benefits, procedures and other topics, contact Provider Services. 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. Plus you get extra $0 benefits like Alternative Medicine visits (chiropractor, acupuncture, and more), fitness programs, and a monthly over-the-counter benefit. Arcadian Health Plan | 1,090 followers on LinkedIn. At Humana, we do things differently. Hands-on visits for providers to extend their specialty practice into patients homes, offering after hours and weekend support. Review the latest news and publications for providers. 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. 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 have any questions regarding a specific insurance, please contact your local CPL representative or . We partner with leading nursing homes around the country to improve the health and quality of life of residents . 500 W Main. 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. Call 1-888-823-1910 (TTY users call 711) for more . 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. OAKLAND, CA. Empower providers with collaborative tools to drive better outcomes, and increase provider performance by connecting data from various sources. Business Intelligence Portal. 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 healthcare experts weigh in on industry topics. This communication provides a general description of certain identified insurance or non-insurance benefits provided under one or more of our health benefit plans. 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). We help drive quality care with expert insights for healthier lives. Navigating through disruption and coming out on the other side with a stronger system involves more than implementing the right list of tools. 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). 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. Activate your MyHumana profile. 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. Health Net provides quality affordable health plans for individuals, families, Medi-Cal members, Medicare and businesses. The information is subject to change and is not all-inclusive. 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. The HMO Service Counties spreadsheet can be accessed via the "HMO Service areas" link and is for informational purposes only. . 0000014444 00000 n 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. Arcadian Health Plan and Humana Benefit Plan of Illinois, Inc . Health (Just Now) Provider Directory Search Medicare Advantage Plans Recipients in certain Alabama counties may voluntarily choose to participate in a Medicare Advantage plan. Call us at (800) 468-9935 [TTY 711], 6 a.m. to 6:30 p.m., Monday through Friday. Most popular medical specialty of providers who accept Arcadian Health Plan: Family Doctor. Our healthcare experts weigh in on industry topics. Devoted Health Plan of Alabama, Inc. 1-800 . Working with Acadian Health provides greater opportunity to engage members or patients in the convenient and lower cost home setting. Stay connected by updating your contact information (service address, phone/fax numbers, etc.). 2023 Copyright arcadia.io | HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). For Arizona residents: Insured by Humana Insurance Company. Rights and Responsibilities. That's why Humana is committed to supporting your practice with training resources, policy updates, and industry-leading patient care programs. Staring down all the possibilities of building vs. buying a data analytics solution? Arcadias powerful insights elucidate strategies around the financial viability of risk and lowering costs. Company Profile Page. A northwest payer saw a $7M increase in their Medicaid premium by partnering with Arcadia to improve their closed risk per patient by 59%. 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. 2023 Acadian Companies. 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. And with Availity, you can conduct business online quickly and easily, so you can focus on the well-being of our . 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. Email Notifications. MyPlan QuickStart Guide for Members. 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. ARCADIAN HEALTH PLAN, INC. NPI is 1598910549. Get started now! 0000012822 00000 n This site uses cookies that are essential for our site to work. Medicaid contracts each year with plans that are willing to accept a monthly fee for each recipient in their program. RSVP to Site Meetings, return Intent to Submit letters, etc. DHMSO: Provider Login. 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. 1601 Congress Avenue, Austin, TX 78701 | P.O. 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 Spot opportunities and problems quicker with an intelligent analytics platform built for payers. 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. Let them know who you want as your primary care physician and that you want AllCare as your medical group. We act as your eyes, ears, and hands and coordinate with the patients provider to support a wellness/specialist visit or address complex conditions. The information reflected above is compiled based on the data reported by the licensed HMO to the Texas Department of Insurance. Employment is based solely upon ones individual merit and qualifications directly related to professional competence. 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. These reports are located on the TDI Reports webpage: HMO Reports. Based on a comparison of the open risk documented with and without using Arcadia for pre-visit planning and at the point of care. Vantage Health Plan (Vantage) is an HMO with a Medicare contract. Request and coordinate all required documentation from internal departments for submissions in a . Our analytical expertise simplifies operational decisions for our partners, so they can focus on doing what they do best: delivering care. x1 048F}\G` z0=i2\x!!!!!!!CCC. Phone: (510) 832-0311. Humana Employers Health . 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. 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. These two leaders in the long term care industry joined together to create a . 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. The AgeRight Advantage mission is to promote the vitality within each of AgeRight Advantage's members and to support them along their aging journey. Find the right healthcare plan for you, your family or your employees. Build or buy? Review document requirements to ensure response to all pre-submission material (e.g. UNITED STATES; United States; Agent Name CORPORATION SERVICE COMPANY Agent Address This includes adults, children, families with children, seniors, and persons with disabilities. Average Overall User Rating for providers who take Arcadian Health . 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. Our trained personnel arrive fully stocked with medical kits for advanced diagnostics. Some plans may also charge a one-time, non-refundable enrollment fee. We meet you where you are and enable you to reach your goals across contracts (Commercial, Medicare, Medicaid) in risk, quality, operations, and other areas. Ailing in Alabama? Health (3 days ago) WebARCADIAN HEALTH PLAN, INC. NPI is 1598910549. Home. Clinical Guidelines. Looking for information on timely filing limits? (877) 842-3210. Name Required. Explore your coverage and benefit details, get ID cards and more. We like the data that has been made available. I'm not a OneHealthPort Subscriber but would like information on subscribing. In the event of any disagreement between this communication and the plan document, the plan document will control. For Providers. There are several plans to choose from and not all benefits may be available in every plan. 0000000675 00000 n Your EpicCare Link session has been closed. Subscriber ID: Password: Login. 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 . 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. Our analytical expertise simplifies operational decisions for our partners, so they can focus on doing what they do . Our data-driven approach and team support for your value-based care. Medical Policies. 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. Verify patient eligibility and check the status of submitted claims through our online services below. View claims. 2023 Copyright arcadia.io | HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). Clinical Guidelines. This site uses cookies that are essential for our site to work. 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. You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID # 44273. 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). %%EOF 0 Power your business with a provider source of truth. 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. 500 12th St Ste 350, Oakland, California, 94607, United States. Please contact the member's participating provider network website for specific filing limit terms. Hearty in Hawaii? xb```b``y sx "~CT3gv6+dJX vHe_`l;~rd5ZWH20Gif >X3=`2L@8` $/L Representatives are available Monday - Friday 7 a.m. - 9 p.m. Central Time. Documentation , Health (5 days ago) WebContact. For New Mexico residents: Insured by Humana Insurance Company. Corporate Office General. New competitors are entering the market, expectations from members are shifting, and regulatory pressures are making it more difficult than ever to succeed. View your information. Arcadia Value-based Managed Care Services, Guide to Build vs. Buy in Healthcare Analytics. 11804 18 In the event of a dispute, the policy as written in English is considered the controlling authority. AgeRight Advantage is a Medicare Advantage Plan locally owed by Marquis Companies and Avamere Family of Companies. Forgot Password. U.S. News and World Report names Humana 2023 Best Overall Medicare Advantage Plan Company. We help bridge the gap from data retrieval to implementation for efficiency and care. View notice under A Notice for Certain Policy Holders on the ChoiceHealth website. Any descriptions of when to use telehealth services are for informational purposes only and should not be construed as medical advice. Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. Patient Consent Forms. Premiums as Low as $0. Arcadian Health Plan, Inc. (Humana) 1-866-945-4481. . 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 . For costs and complete details of the coverage, refer to the plan document or call or write your Humana insurance agent or the company. Lafayette, LA 70508, Deliveries Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. 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. Forgot Username? NPI record contains FOIA-disclosable NPPES health care provider information. 0000006121 00000 n We build population health management strategies to take on Medicare, Medicaid, and Commercial risk-based contracts. View plan provisions or check with your sales representative. ; Value-Based Care Services Our data-driven approach and team support for your value-based care.

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arcadian health plan provider portal