Clinical Guidelines. Helping Healthcare Payers Improve Risk Adjustment - Arcadia Physician Case Management Referral. Call Provider Services at 888-773-2647 (TTY 711) with any questions. 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. 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. We hope to see you at the HIMSS23 Global Conference. Alternative care for non-traumatic hospitalizations for sick but stable patients who would typically be transported by ambulance to an ED. View claims. If you have purchased an association plan, an association fee may also apply. %PDF-1.4
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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. Las Vegas, NV 89114-5645. Lets talk about how we can help you solve your most complex challenges. . 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. Our Health Plans - ADOC Based on a comparison of the open risk documented with and without using Arcadia for pre-visit planning and at the point of care. 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. Support provider performance by making care and risk documentation gaps actionable within their existing clinical workflows. The Company Profile page provides basic general information on the HMO, including basic financial, contact, attorney for service, complaint and company history information. 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. These reports are located on the TDI Reports webpage: HMO Reports. Deliver personalized experiences, reduce administrative efforts, and create new health and wellness benefits for members, employers, and providers with a data-driven strategy. Our members' health is in your hands. Make a plan for a lifetime of better health with Medi-Cal. Log in to , https://www.humana.com/provider/medical-resources/self-service-portal, Health (6 days ago) WebMedical Policies. The HMO Service Counties spreadsheet can be accessed via the "HMO Service areas" link and is for informational purposes only. arcadian health plan, inc claims mailing address To learn more about the health plan programs, contact the following customer service departments: Aetna. Our data-driven approach and team support for your value-based care. HAP | Affordable Michigan Health Insurance | Michigan Health Insurance . 500 12th St Ste 350, Oakland, California, 94607, United States. 0000001811 00000 n
Administered by Humana Insurance Company. Track copays and deductibles. Prescheduled visits can be organized with the provider joining by phone or telehealth. For most members, claims can be mailed or , https://www.hpitpa.com/your-resources/for-providers/check-claims-eligibility/. Arcadian Health Plan Eligibility Arcadian Health Plan | LinkedIn Arcadias thrilled to be back in Chicago for AMGA 2023, where we hope to hear about your healthcare goals and aspirations. 0000000016 00000 n
Or, you can always contact your Provider Network Development Representative. Noridian Medicare Portal Login. Home - AgeRight Advantage View claims. Health Net - Coverage for Every Stage of Life | Health Net Some plans may also charge a one-time, non-refundable enrollment fee. Health Care Providers - Access Patient Benefits - Health Plans, Inc Humana for physicians and healthcare providers. PDF Arcadian Health Plan Inc., H5619 Dual Eligible Medicare Zero Cost Your Choice, Your Plans. 130 E. Kaliste Saloom Road The proprietary survey results are based on consumers opinions of the experiences with the brands in the survey. Our trained personnel arrive fully stocked with medical kits for advanced diagnostics. Results are shared through our provider portal where encounter records can be easily viewed, downloaded, and uploaded to your system. If this is a U.S. Government information system, CMS maintains ownership and responsibility for its computer systems. The provider's business location address is: 500 12TH ST STE 300. Some plans may also charge a one-time, non-refundable enrollment fee. 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. ), and prepare summary information to initiate proposal response activities. 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. 2023 Copyright arcadia.io | HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). Get the most out of your plan with a MyHumana account. Chloe Do - Business Development Administrator - LinkedIn For more information, contact: We also provide free language interpreter services. Taxonomy code 302R00000X with license number 2006117 (GA). PDF claims processing 20060120 (2) - Centers for Medicare & Medicaid Services View your information. 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. 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. 1598910549 NPI Number | ARCADIAN HEALTH PLAN, INC. - HIPAASpace 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. For costs and complete details of the coverage, refer to the plan document or call or write your Humana insurance agent or the company. Some links on this page may take you to Humana non-Medicare product or service pages or to a different website. We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. Doctors who accept Arcadian Health Plan Insurance | Doctor.com 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. This communication does not guarantee benefits and does not indicate all services received will be covered by your plan. Our Medicare Advantage plans come packed with extra resources for improving our members health. 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. EmpowerID. For Arizona residents: Insured by Humana Insurance Company. 0000011182 00000 n
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.
Home. Patient Consent Forms. 0000002922 00000 n
If you have any questions about our plan benefits, procedures and other topics, contact Provider Services. Arcadian Health Plan Provider Portal Provider Network Humana offers members a comprehensive network of care centered on primary care providers (PCP), medical and surgical specialists to meet their needs. Login using EmpowerID - OneHealthPort At Humana, we do things differently. For Arizona residents: Insured by Humana Insurance Company. 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. Enrollment in Providence Health Assurance depends on contract renewal. Most popular medical specialty of providers who accept Arcadian Health Plan: Family Doctor. Industry: Health insurance carriers Printer Friendly View Address: 500 12TH St Ste 350 Oakland, CA, 94607-5204 United States See other locations Not available with all Humana health plans. It is for people who meet the income requirements and live in the state. We help bridge the gap from data retrieval to implementation for efficiency and care. Get started now! 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). 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. Below are options for contacting us. It's holistic care for members and peace of mind for loved ones. We do this by: There are options we like from Arcadia. , Health (Just Now) WebSecure Provider Portal Prior Authorization; Provider Electronic Solutions (PES) Software Arcadian Health Plan, Inc. (Humana) 1-866-945-4481. Box 15645. If you have any questions regarding a specific insurance, please contact your local CPL representative or . Humana | Find Medicare Plans and Health Insurance Coverage Devoted to the communities we serve. 0000000926 00000 n
This communication provides a general description of certain identified insurance or non-insurance benefits provided under one or more of our health benefit plans. Health Plans - AllCare IPA 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. Stop the data debates and give your teams the ability to focus on the best next step. Our Health Plans - Regal Medical Group DHMSO: Provider Login. Average Overall User Rating for Providers in Washington who take Arcadian Health 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. (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 . Employment is based solely upon ones individual merit and qualifications directly related to professional competence. 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. Language interpreter services (at 1st prompt enter 22228, at 2nd prompt enter. OAKLAND, CA. Secure Log in - Health Plan Hands-on visits for providers to extend their specialty practice into patients homes, offering after hours and weekend support. Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. Rights and Responsibilities. The provider is registered as an organization entity type. Humana legal entities that offer, underwrite, administer or insure insurance products and services. Our healthcare experts weigh in on industry topics. , Health (2 days ago) WebHealth (3 days ago) arcadian health plan, inc. Hmo company profile and agent for service. 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). And Arcadia had really outstanding leadership in terms of the knowledge of the business. 1.800.624.6961, ext. Health (Just Now) Provider Directory Search Medicare Advantage Plans Recipients in certain Alabama counties may voluntarily choose to participate in a Medicare Advantage plan. What healthcare data platform capabilities do you need to stay competitive? Empower providers with collaborative tools to drive better outcomes, and increase provider performance by connecting data from various sources. We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. MyPlan CarePath Guide for Members. 0
The provider's business location address is: Source: picshealth.blogspot.com. Enter the patient's information below to view your patient's Summary of Benefits, search their provider network, get connected to their Rx benefit information and print a temporary ID card. Create clinically-relevant care programs at scale. We build population health management strategies to take on Medicare, Medicaid, and Commercial risk-based contracts. Prescription Coverage. We act as your eyes, ears, and hands and coordinate with the patients provider to support a wellness/specialist visit or address complex conditions. LIBERTY Dental Plan Partners with Kaiser Permanente's Mid-Atlantic Region for Dental Benefits Coverage. For Providers :: The Health Plan Our CHPW Medicare Advantage plans offer coverage for things Original Medicare doesn't cover, like dental, vision, and prescription drugs (except Freedom Plan). Activate your MyHumana profile. Medi-Cal | Blue Shield of CA Promise Health 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. We help bridge the gap from data retrieval to implementation for efficiency and care. Insurance Listings | Clinical Pathology Laboratories Stop by Booth #152 to meet our team and get a demo of Arcadia Analytics. This data may not reflect amendments filed by the HMO and may be subject to change. 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? Big data technology for high availability data ingestion, computation and storage. My Plan. Corporate Office 2023 Copyright arcadia.io | HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). 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. . ZIP 94607-087. 0000001278 00000 n
Lafayette, LA 70501. Go365 is not an insurance product. Use the links on this page to access IHCP provider news items, bulletins, and banner page publications. Indiana Medicaid: Partners: Dual Eligible Special Needs Plans The ranking was based on responses from 12,985 US individuals measuring 17 brands in the industry. 2023 Copyright arcadia.io | HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). If there's a question you can't find the answer to in our FAQs, call Provider Services at 888-773-2647 (TTY 711). Track copays and deductibles. Log in tips & other helpful technical information. 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. 1.877.221.9295. . 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. 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. Have questions about your Humana contract? 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. Combine clinically integrated data with predictive analytics to help providers find the patients most likely to engage and close a care gap. (This fee is non-refundable as allowed by state). Compare Humana Medicare plans where you live. Hearty in Hawaii? Arcadian Health Plan Doctors in Washington (WA) | Doctor.com 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. LIBERTY Dental Plan Establishes a Dedicated Toll-Free Number for Members Impacted by Humboldt County Earthquake. 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 . RSVP to Site Meetings, return Intent to Submit letters, etc. Verify patient eligibility and check the status of submitted claims through our online services below. Providence Health Assurance is an HMO, HMOPOS and HMO SNP with Medicare and Oregon Health Plan contracts. Longevity Health Plan is an Institutional Special Needs Plan (ISNP), a specialized Medicare Advantage health plan serving people living in skilled nursing facilities. Transform disparate information into a longitudinal view of patients through clinical and claims data. 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. 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. 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. Locations Primary 500 12th Street, . 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. Navigating through disruption and coming out on the other side with a stronger system involves more than implementing the right list of tools. Arcadian Health Plan Eligibility. Devoted Health Plan of Alabama, Inc. 1-800 . Support provider performance, make care and risk gaps actionable, combine clinically integrated data with predictive analytics, and improve ROI for your risk adjustment programs. Prior Authorizations - Doctor / Provider - Health Plan of Nevada Ailing in Alabama? To help our members through the pandemic, were providing trusted information from public health officials. Plus you get extra $0 benefits like Alternative Medicine visits (chiropractor, acupuncture, and more), fitness programs, and a monthly over-the-counter benefit. I'm not a OneHealthPort Subscriber but would like information on subscribing. Helping Healthcare Providers Improve Population Health - Arcadia We are constantly working to expand our health plan affiliations to provide you with the best options for you and your family's needs. For Texas residents: Insured or offered by Humana Insurance Company, HumanaDental Insurance Company or DentiCare, Inc (d/b/a Compbenefits). When it comes to healthcare, its easy to feel like just a number. Noridian Medicare Portal Login In states, and for products where applicable, the premium may include a $1 administrative fee. The AgeRight Advantage mission is to promote the vitality within each of AgeRight Advantage's members and to support them along their aging journey. ; Value-Based Care Services Our data-driven approach and team support for your value-based care. 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. Arcadian Health Plan Inc Humana Register for Your Account Today. By working collaboratively with your team, we strive to improve patient satisfaction, care coordination, and achieve quality health outcomes. View or print your member ID card. You've got questions, we've got anwers. These services are not a substitute for emergency care and are not intended to replace your primary care provider or other providers in your network. Product features may vary by client. AARP Medicare Complete. HAP | Affordable Michigan Health Insurance | Michigan Health Insurance 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. Important Humana numbers and contact information for healthcare providers. We build population health management strategies to take on Medicare, Medicaid, and Commercial risk-based contracts.