arcadian health plan provider portal

It's holistic care for members and peace of mind for loved ones. NPI record contains FOIA-disclosable NPPES health care provider information. 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). 0000011182 00000 n View your information. Transform disparate information into a longitudinal view of patients through clinical and claims data. Navigating through disruption and coming out on the other side with a stronger system involves more than implementing the right list of tools. Our data-driven approach and team support for your value-based care. Navigating through disruption and coming out on the other side with a stronger system involves more than implementing the right list of tools. Arcadia keeps up with industry trends and has new functionalities available. *Humana received the highest CX Index score among health insurers in Forresters proprietary 2022 CX Index survey. MyPlan QuickStart Guide for Members. In the event of a dispute, the policy as written in English is considered the controlling authority. Humana for physicians and healthcare providers. 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? For Arizona residents: Insured by Humana Insurance Company. Subscriber ID: Password: Login. Arcadia is the leading population health management data and software company. Hear what the incredible people behind the data have to say. For Providers. Let them know who you want as your primary care physician and that you want AllCare as your medical group. 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). View notice under A Notice for Certain Policy Holders on the ChoiceHealth website. Explore your coverage and benefit details, get ID cards and more. Big data technology for high availability data ingestion, computation and storage. Our members' health is in your hands. This data may not reflect amendments filed by the HMO and may be subject to change. Enrollment in Providence Health Assurance depends on contract renewal. Arcadian Health Plan, Inc. (Humana) 1-866-945-4481. . xref 11804 0 obj<> endobj 2023 Copyright arcadia.io | HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). Premiums as Low as $0. If you have any questions regarding a specific insurance, please contact your local CPL representative or . 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). We will make reasonable accommodation to meet our obligations under the Americans with Disabilities Act (ADA) and state disability laws. Language interpreter services (at 1st prompt enter 22228, at 2nd prompt enter. 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. 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. 11804 18 0000007839 00000 n . . Go365 is not an insurance product and is not available with all Humana health plans. A look at how states vary in their rates of common diseases, and why measuring health state-by-state requires robust data. 11806 0 obj<>stream Company Profile Page. We also like being able to save reports and create shortcuts for users. . Humana legal entities that offer, underwrite, administer or insure insurance products and services. 0000002843 00000 n Explore trainings and tutorials for working with Humana. Locations Primary 500 12th Street, . 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. , Health (Just Now) WebSecure Provider Portal Prior Authorization; Provider Electronic Solutions (PES) Software Arcadian Health Plan, Inc. (Humana) 1-866-945-4481. We also provide free language interpreter services. Review the claim submission address or electronic payor ID # on the back of the patient's member ID card. The HMO Alias list is an Excel spreadsheet. In the event of any disagreement between this communication and the plan document, the plan document will control. 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. 09/16/2022. Our claims professionals have extensive claims handling experience for a variety of business lines. 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. trailer 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. Our CHPW Medicare Advantage plans offer coverage for things Original Medicare doesn't cover, like dental, vision, and prescription drugs (except Freedom Plan). 12/20/2022. Rights and Responsibilities. 2023 Copyright arcadia.io | HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). Click the "Allow" button. We help drive quality care with expert insights for healthier lives. Find doctors, hospitals, and specialists in your area. Medi-Cal is California's Medicaid healthcare program that offers free or low-cost health coverage. We help bridge the gap from data retrieval to implementation for efficiency and care. Build or buy? 0000001506 00000 n Includes follow-up care and education for recently discharged and high-risk patients. Find a Provider. 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. Humana group life plans are offered by Humana Insurance Company or Humana Insurance Company of Kentucky. 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 . (This fee is non-refundable as allowed by state). 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. A minimum one-year, initial contract period may be required for some dental and vision plans, excluding Dental Savings Plus. For most members, claims can be mailed or , https://www.hpitpa.com/your-resources/for-providers/check-claims-eligibility/. If you have any questions, call 1-800-745-7065 or sign in to the online provider center. This is a general description of services which are subject to change. Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. To appeal a decision, mail a written request to: Health Plan of Nevada, Member Services. Support provider performance, make care and risk gaps actionable, combine clinically integrated data with predictive analytics, and improve ROI for your risk adjustment programs. Arcadias thrilled to be back in Chicago for AMGA 2023, where we hope to hear about your healthcare goals and aspirations. Our Medicare Advantage plans come packed with extra resources for improving our members health. endstream endobj 11821 0 obj<>/W[1 1 1]/Type/XRef/Index[152 11652]>>stream 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 . 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. My Plan. In states, and for products where applicable, the premium may include a $1 administrative fee. 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. 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. We like the data that has been made available. 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. Hear what the incredible people behind the data have to say. We hope to see you at the HIMSS23 Global Conference. A minimum one-year, initial contract period may be required for some dental and vision plans, excluding Dental Savings Plus. All rights reserved | Email: [emailprotected], Washington state health insurance application, National healthcare corporation nashville tn, St louis city department of public health. FinancialAnalysis@tdi.texas.gov. Download provider quick reference phone guide (PDF, 129 KB) This communication provides a general description of certain identified insurance or non-insurance benefits provided under one or more of our health benefit plans. 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. Website. The information reflected above is compiled based on the data reported by the licensed HMO to the Texas Department of Insurance. Arcadian Health Plan | 1,090 followers on LinkedIn. If you have any questions about our plan benefits, procedures and other topics, contact Provider Services. Help providers make impactful decisions at the point of care with insights deliver at just the right time. This list contains CPLs most commonly billed insurances. 0000001811 00000 n Collaborate closely with your provider networks for mutual economic success under Medicare, Medicaid, and Commercial risk-based contracts. Employment is based solely upon ones individual merit and qualifications directly related to professional competence. Checking your browser. Based on a comparison of the open risk documented with and without using Arcadia for pre-visit planning and at the point of care. We are constantly working to expand our health plan affiliations to provide you with the best options for you and your family's needs. The Company Profile page provides basic general information on the HMO, including basic financial, contact, attorney for service, complaint and company history information. Track copays and deductibles. 0000012822 00000 n Humana legal entities that offer, underwrite, administer or insure insurance products and services. Arcadia's powerful insights elucidate strategies around the financial viability of risk and lowering costs. 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. 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. MyPlan CarePath Guide for Members. Health (Just Now) Provider Directory Search Medicare Advantage Plans Recipients in certain Alabama counties may voluntarily choose to participate in a Medicare Advantage plan. 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. Enhance your existing healthcare services with our mobile resources, bringing trained personnel direct to the patientwherever they are. Have questions about your Humana contract? AARP Medicare Complete. 1.800.624.6961, ext. Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. Website current as of: 10/01/2022 H9047_PHAAM20_M For New Mexico residents: Insured by Humana Insurance Company. Product features may vary by client. See our full accessibility rights information, non-discrimination disclosure, and language options. A look at how states vary in their rates of common diseases, and why measuring health state-by-state requires robust data. Average Overall User Rating for providers who take Arcadian Health . 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. Vantage Health Plan (Vantage) is an HMO with a Medicare contract. Arcadias thrilled to be back in Chicago for AMGA 2023, where we hope to hear about your healthcare goals and aspirations. Data Platform Big data technology for high availability data ingestion, computation and storage. Administered by Humana Insurance Company. Notice of data security event involving ChoiceHealth, a service provider for Humana. Users must adhere to CMS Information Security Policies, Standards, and Procedures. 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 (2 days ago) WebHealth (3 days ago) arcadian health plan, inc. Hmo company profile and agent for service. Verify patient eligibility and check the status of submitted claims through our online services below. Administered by Humana Insurance Company. Our data-driven approach and team support for your value-based care. 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. Find the right healthcare plan for you, your family or your employees. Enrollment in Vantage depends on contract renewal. This guide helps you sort through the confusion around build vs. buy. Empower providers with collaborative tools to drive better outcomes, and increase provider performance by connecting data from various sources. 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. Forgot My Password. 0000006121 00000 n MyPlan QuickStart Guide for Members. This includes adults, children, families with children, seniors, and persons with disabilities. Our goal is to provide timely and actionable information that helps our CHCs utilize quality . 2023 Acadian Companies. Improve your chase list for a better ROI on your risk adjustment program. 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 ARCADIAN HEALTH PLAN, INC. NPI is 1598910549. 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. Some plans may also charge a one-time, non-refundable enrollment fee. Certain exceptions may apply by geography, network affiliation, member coverage or benefit design. Use the Availity Essentials portal to manage all day-to-day needs of your office online, including claims, eligibility, prior authorization, referrals and much more. Our partners are accountable care organizations (ACOs) both hospital- and ambulatory-based, clinically integrated networks (CINs), behavioral health networks, pediatric care systems, and other provider organizations. Like an EASY button for providers: Overcome transportation and mobility issues by simply pre-scheduling or requesting an on-demand At-Home Health visit. That's why Humana is committed to supporting your practice with training resources, policy updates, and industry-leading patient care programs. Alabama Medicaid. . RSVP to Site Meetings, return Intent to Submit letters, etc. We build population health management strategies to take on Medicare, Medicaid, and Commercial risk-based contracts. 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. Arcadian Health Plan Profile and History . Or, you can always contact your Provider Network Development Representative. Current Member: 866-409-1221 (TTY 711) . Limitations on telehealth services, also referred to as virtual visits or telemedicine, vary by state. What healthcare data platform capabilities do you need to stay competitive? 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. We build population health management strategies to take on Medicare, Medicaid, and Commercial risk-based contracts. Please call our Customer Service Department if you need to talk about protected/private health information. Provider Network Humana offers members a comprehensive network of care centered on primary care providers (PCP), medical and surgical specialists to meet their needs. 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. Las Vegas, NV 89114-5645. Log in tips & other helpful technical information. Integrate your business for coordinated and collaborative innovation by unifying your infrastructure and associated business processes with a service oriented, centralized platform. 0000009531 00000 n Go365 is not an insurance product. View your information. It is for people who meet the income requirements and live in the state. Representatives are available Monday - Friday 7 a.m. - 9 p.m. Central Time. We help bridge the gap from data retrieval to implementation for efficiency and care. HMO Company Profile and agent for service. We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. Call Provider Services at 888-773-2647 (TTY 711) with any questions. In states, and for products where applicable, the premium may include a $1 administrative fee. Taxonomy code 302R00000X with license number 2006117 (GA). Physician Case Management Referral. Medicaid contracts each year with plans that are willing to accept a monthly fee for each recipient in their program. Please contact the member's participating provider network website for specific filing limit terms. Our analytical expertise simplifies operational decisions for our partners, so they can focus on doing what they do best: delivering care. Health (3 days ago) arcadian health plan, inc. Hmo company profile and agent for service. Since its beginning, our at-home care has proven to save an average of $1,000 per visit. Start a new EpicCare Link session Create clinically-relevant care programs at scale. Alternative care for non-traumatic hospitalizations for sick but stable patients who would typically be transported by ambulance to an ED. These reports are located on the TDI Reports webpage: HMO Reports. Your EpicCare Link session has been closed. Patient Consent Forms. Maxwell Roberts Building, 5th Floor, 1 Church Street Hamilton HM 11 Bermuda +1 441 5439 800 Username Is Required. Precise ParkLink. Please refer to your evidence of coverage for additional details on what your plan may cover or other rules that may apply. Forgot Password. Arcadian Health Plan Eligibility. (3 days ago) WebARCADIAN HEALTH PLAN, INC. NPI is 1598910549. Increase the capture of your members risk and care gaps by connecting clinical data at scale. 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. We help bridge the gap from data retrieval to implementation for efficiency and care. Forgot Username? 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. Forget spreadsheets and unify business processes and infrastructure on a single source of truth. Industry: Health insurance carriers Printer Friendly View Address: 500 12TH St Ste 350 Oakland, CA, 94607-5204 United States See other locations 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. For Arizona residents: Insured by Humana Insurance Company. 300 Hopkins Street Lets talk about how we can help you solve your most complex challenges. If you have purchased an association plan, an association fee may also apply. 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. Request and coordinate all required documentation from internal departments for submissions in a . Lafayette, LA 70508, Deliveries Log in tips & other helpful technical information. This communication does not guarantee benefits and does not indicate all services received will be covered by your plan. 0000002619 00000 n If there's a question you can't find the answer to in our FAQs, call Provider Services at 888-773-2647 (TTY 711). By working collaboratively with your team, we strive to improve patient satisfaction, care coordination, and achieve quality health outcomes. We hope to see you at the HIMSS23 Global Conference. 7914. 130 E. Kaliste Saloom Road Our data-driven approach and team support for your value-based care. Individual applications are subject to eligibility requirements. We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. Your Choice, Your Plans. Activate your MyHumana profile. Call Provider Services at 888-773-2647 (TTY 711) with any questions. 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.