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ARCADIAN HEALTH PLAN, INC. can be reached at the following phone number(s): Phone: 510-832-0311 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. Documentation Guidelines. xref Support provider performance by making care and risk documentation gaps actionable within their existing clinical workflows. Pharmacy. View or print your member ID card. Find a Provider. The HMO Alias list is an Excel spreadsheet. What healthcare data platform capabilities do you need to stay competitive? We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. 1-877-370 , https://medicaid.alabama.gov/content/7.0_Providers/7.1_Third_Party/7.1.3_Medicare-Related_Programs/7.1.3.1_Medicare_Adv_Plans.aspx, Washington state health insurance application, Mental health disaster response training, National healthcare corporation nashville tn, St louis city department of public health, 2021 health-improve.org. Supports round-the-clock comprehensive care that may include on-demand critical care, daily rounding, on-site advanced diagnostics, and more. 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. The Company Profile page provides basic general information on the HMO, including basic financial, contact, attorney for service, complaint and company history information. Build or buy? 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. 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. Not available with all Humana health plans. A minimum one-year, initial contract period may be required for some dental and vision plans, excluding Dental Savings Plus. The provider is registered as an organization entity type. In states, and for products where applicable, the premium may include a $1 administrative fee. 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 . Centene Venture Company Alabama Health Plan, Inc. (Ascension Complete) 1-833-542-1677. www.ascensioncomplete.com. U.S. News and World Report names Humana 2023 Best Overall Medicare Advantage Plan Company. Some plans may also charge a one-time, non-refundable enrollment fee. Providence Health Assurance is an HMO, HMOPOS and HMO SNP with Medicare and Oregon Health Plan contracts. 11806 0 obj<>stream 0000002140 00000 n 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). 10/25/2022. 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. Prescheduled visits can be organized with the provider joining by phone or telehealth. New competitors are entering the market, expectations from members are shifting, and regulatory pressures are making it more difficult than ever to succeed. Get the most out of your plan with a MyHumana account. We like howeasy the system is to usefor end users. 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. Your Choice, Your Plans. Employment is based solely upon ones individual merit and qualifications directly related to professional competence. Patient Consent Forms. HMO Company Profile and agent for service. Download provider quick reference phone guide (PDF, 129 KB) Health (2 days ago) WebHumana 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). Average Overall User Rating for Providers in Washington who take Arcadian Health Plan: startxref We help bridge the gap from data retrieval to implementation for efficiency and care. In states, and for products where applicable, the premium may include a $1 administrative fee. Based on a comparison of the open risk documented with and without using Arcadia for pre-visit planning and at the point of care. Big data technology for high availability data ingestion, computation and storage. Please refer to your evidence of coverage for additional details on what your plan may cover or other rules that may apply. ), and prepare summary information to initiate proposal response activities. Site Usage Privacy Rights | Site Designed by Firefly Marketing Acadian is an Equal Opportunity Employer/Affirmative Action Employer. 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. Review document requirements to ensure response to all pre-submission material (e.g. HAP | Affordable Michigan Health Insurance | Michigan Health Insurance . Our data-driven approach and team support for your value-based care. It's holistic care for members and peace of mind for loved ones. Eligible members enjoy access to a wide variety of benefits, services and tools. 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 . The proprietary survey results are based on consumers opinions of the experiences with the brands in the survey. Administered by Humana Insurance Company. Data analytics decision-making guide, Guide to Build vs. Buy in Healthcare Analytics. Maxwell Roberts Building, 5th Floor, 1 Church Street Hamilton HM 11 Bermuda +1 441 5439 800 . In the event of any disagreement between this communication and the plan document, the plan document will control. Look up patient benefits information. Our analytical expertise simplifies operational decisions for our partners, so they can focus on doing what they do best: delivering 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. View plan provisions or check with your sales representative. Call us at (800) 468-9935 [TTY 711], 6 a.m. to 6:30 p.m., Monday through Friday. This list contains CPLs most commonly billed insurances. We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. For costs and complete details of the coverage, refer to the plan document or call or write your Humana insurance agent or the company. 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. Login using EmpowerID. Log in tips & other helpful technical information. ; Value-Based Care Services Our data-driven approach and team support for your value-based care. General. TDI assumes no responsibility for omissions, inaccuracies or ambiguities. If you have any questions regarding a specific insurance, please contact your local CPL representative or . ARCADIAN HEALTH PLAN INC. NPI 1598910549 - Health . Go365 is not an insurance product and is not available with all Humana health plans. Need to submit a claim? Track copays and deductibles. We help drive quality care with expert insights for healthier lives. Humana group life plans are offered by Humana Insurance Company or Humana Insurance Company of Kentucky. 0000006121 00000 n 0000009531 00000 n . 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. We partner with leading nursing homes around the country to improve the health and quality of life of residents . 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. 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. Looking for information about your patients benefits or claims? OAKLAND, CA. Documentation , Health (5 days ago) WebContact. 0000011182 00000 n 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 Big data technology for high availability data ingestion, computation and storage. LIBERTY Dental Plan Partners with Kaiser Permanente's Mid-Atlantic Region for Dental Benefits Coverage. 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. 0000000926 00000 n AARP Medicare Complete. Meet your Practice Management Consultant. Forgot My Password. 2023 Acadian Companies. H5619 Arcadian Health Plan (Humana, Inc.) Dual Eligible (Dual Eligible Subset - Medicare Zero Cost-sharing) Special Needs Plan Model of Care Score: 88.33% . Aetna. Prescription Coverage. Log in tips & other helpful technical information. View your information. Arcadia keeps up with industry trends and has new functionalities available. Hearty in Hawaii? Checking your browser. trailer 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. Individual applications are subject to eligibility requirements. Ailing in Alabama? And Arcadia had really outstanding leadership in terms of the knowledge of the business. Navigating through disruption and coming out on the other side with a stronger system involves more than implementing the right list of tools. Review the claim submission address or electronic payor ID # on the back of the patients member ID card. 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. endstream endobj 11821 0 obj<>/W[1 1 1]/Type/XRef/Index[152 11652]>>stream For Arizona residents: Insured by Humana Insurance Company. This communication provides a general description of certain identified insurance or non-insurance benefits provided under one or more of our health benefit plans. Notice of data security event involving ChoiceHealth, a service provider for Humana. Ailing in Alabama? 2023 Copyright arcadia.io | HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). Or, you can always contact your Provider Network Development Representative. Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. Hear what the incredible people behind the data have to say. 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. Forgot Username? 0000001811 00000 n Call Provider Services at 888-773-2647 (TTY 711) with any questions. 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. 1.877.221.9295. By working collaboratively with your team, we strive to improve patient satisfaction, care coordination, and achieve quality health outcomes. This site uses cookies that are essential for our site to work. You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID # 44273. For your convenience, we now have a dedicated phone line. Health (3 days ago) WebARCADIAN HEALTH PLAN, INC. NPI is 1598910549. Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. Humana legal entities that offer, underwrite, administer or insure insurance products and services. Health Plans, Inc.PO Box 5199Westborough, MA 01581. FinancialAnalysis@tdi.texas.gov. Forgot Password. 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 help bridge the gap from data retrieval to implementation for efficiency and care. 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. Administered by Humana Insurance Company. Users must adhere to CMS Information Security Policies, Standards, and Procedures. Arcadias powerful insights elucidate strategies around the financial viability of risk and lowering costs. Support provider performance, make care and risk gaps actionable, combine clinically integrated data with predictive analytics, and improve ROI for your risk adjustment programs. 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. Medicaid contracts each year with plans that are willing to accept a monthly fee for each recipient in their program. A look at how states vary in their rates of common diseases, and why measuring health state-by-state requires robust data. Find your B2B customer within minutes using affordable, accurate contact data from Datanyze. Below are options for contacting us. We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. 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. View notice under A Notice for Certain Policy Holders on the ChoiceHealth website. If you need technical help to access the UnitedHealthcare Provider Portal, please email ProviderTechSupport@uhc.com or call our UnitedHealthcare Web Support at 866-842-3278, option 1. 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. View claims. 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. Request and coordinate all required documentation from internal departments for submissions in a . Like an EASY button for providers: Overcome transportation and mobility issues by simply pre-scheduling or requesting an on-demand At-Home Health visit. LIBERTY Dental Plan Establishes a Dedicated Toll-Free Number for Members Impacted by Humboldt County Earthquake. 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. Working with Acadian Health provides greater opportunity to engage members or patients in the convenient and lower cost home setting. 2023 Copyright arcadia.io | HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). Our data-driven approach and team support for your value-based care. This is the name or names of the company under which the company does business. View or print your member ID card. Arcadia is the leading population health management data and software 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. This site uses cookies that are essential for our site to work. Stop by Booth #152 to meet our team and get a demo of Arcadia Analytics. Activate your MyHumana profile. File Number: 3615733. Make a plan for a lifetime of better health with Medi-Cal. Vantage Health Plan (Vantage) is an HMO with a Medicare contract. Help providers make impactful decisions at the point of care with insights deliver at just the right time. Arcadian Health Plan, Inc. (Humana) 1-866-945-4481. . Deliver personalized experiences, reduce administrative efforts, and create new health and wellness benefits for members, employers, and providers with a data-driven strategy. Go365 is not an insurance product. Unlock collaboration across your organization, providers, partners, and members. We like the data that has been made available. 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. Physician Case Management Referral. Las Vegas, NV 89114-5645. Review the claim submission address or electronic payor ID # on the back of the patient's member ID card. Lets talk about how we can help you solve your most complex challenges. Classification: Health Maintenance Organization - 302R00000X Entity Type: Organization Address: 500 12TH ST STE 300 , https://healthprovidersdata.com/hipaa/codes/NPI-1598910549-arcadian-health-plan-inc, Health (3 days ago) WebArcadian strives to manage claims in an efficient, timely and prudent manner. 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. 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. Representatives are available Monday - Friday 7 a.m. - 9 p.m. Central Time. Taxonomy code 302R00000X with license number 2006117 (GA). Health (3 days ago) arcadian health plan, inc. Hmo company profile and agent for service. Filing Date: October 29, 2013. 0000004546 00000 n Longevity Health Plan is an Institutional Special Needs Plan (ISNP), a specialized Medicare Advantage health plan serving people living in skilled nursing facilities. If there's a question you can't find the answer to in our FAQs, call Provider Services at 888-773-2647 (TTY 711). Your Choice, Your Plans. HMO Alias, NCQA accredits and certifies a wide range of health care organizations. 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. Results are shared through our provider portal where encounter records can be easily viewed, downloaded, and uploaded to your system. MyPlan QuickStart Guide for Members. Find doctors, hospitals, and specialists in your area. Important Humana numbers and contact information for healthcare providers. 0000000675 00000 n 09/16/2022. Clinical Guidelines. EmpowerID. AgeRight Advantage is a Medicare Advantage Plan locally owed by Marquis Companies and Avamere Family of Companies. Start a new EpicCare Link session For more information, contact: Data Platform Big data technology for high availability data ingestion, computation and storage. Some links on this page may take you to Humana non-Medicare product or service pages or to a different website. Includes follow-up care and education for recently discharged and high-risk patients. View your information. 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. 300 Hopkins Street Get started now! Our members' health is in your hands. Improve your chase list for a better ROI on your risk adjustment program. All Rights Reserved. When it comes to healthcare, its easy to feel like just a number. Arcadian Health Plan | 1,090 followers on LinkedIn. Forget spreadsheets and unify business processes and infrastructure on a single source of truth. 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. 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). Username Is Required. Contact Us About The Company Profile For Arcadian Health Plan, Inc. Fax: (510) 817-1894. 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. We help drive quality care with expert insights for healthier lives. 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. 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. Business Intelligence Portal. Hear what the incredible people behind the data have to say. Phone: (510) 832-0311. Clinical Guidelines. Checking your browser. See our full accessibility rights information, non-discrimination disclosure, and language options. Your EpicCare Link session has been closed. Payment Policies. 1601 Congress Avenue, Austin, TX 78701 | P.O. We build population health management strategies to take on Medicare, Medicaid, and Commercial risk-based contracts. Payment Policies. Stop by Booth #152 to meet our team and get a demo of Arcadia Analytics. Track copays and deductibles. . Arcadia Value-based Managed Care Services, Guide to Build vs. Buy in Healthcare Analytics. Devoted to the communities we serve. Power your business with a provider source of truth. ARCADIAN HEALTH PLAN INC. NPI 1598910549. We do this by: There are options we like from Arcadia. 500 12th St Ste 350, Oakland, California, 94607, United States. The information reflected above is compiled based on the data reported by the licensed HMO to the Texas Department of Insurance. 0000002843 00000 n 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. %PDF-1.4 % Empower providers with collaborative tools to drive better outcomes, and increase provider performance by connecting data from various sources. 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. 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? Devoted Health Plan of Alabama, Inc. 1-800 . Noridian Medicare Portal Login. Email Notifications. For Providers. DHMSO: Provider Login. Rights and Responsibilities. ZIP 94607-087. Enrollment in Providence Health Assurance depends on contract renewal. Explore trainings and tutorials for working with Humana. Verify patient eligibility and check the status of submitted claims through our online services below. Check patient eligibility, submit preauthorizations, dispute finalized claims and more on the Availity Essentials portal. Humana legal entities that offer, underwrite, administer or insure insurance products and services. A northwest payer saw a $7M increase in their Medicaid premium by partnering with Arcadia to improve their closed risk per patient by 59%. If you have any questions, call 1-800-745-7065 or sign in to the online provider center. Humana for physicians and healthcare providers. Individual applications are subject to eligibility requirements. Use the links on this page to access IHCP provider news items, bulletins, and banner page publications. 1.800.624.6961, ext. *Humana received the highest CX Index score among health insurers in Forresters proprietary 2022 CX Index survey. We build population health management strategies to take on Medicare, Medicaid, and Commercial risk-based contracts. 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.