A look at how states vary in their rates of common diseases, and why measuring health state-by-state requires robust data. . Hearty in Hawaii? We also like being able to save reports and create shortcuts for users. Or, you can always contact your Provider Network Development Representative. 0000001506 00000 n Employment is based solely upon ones individual merit and qualifications directly related to professional competence. 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 . 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. Review the claim submission address or electronic payor ID # on the back of the patients member ID card. 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. CalOptima Home Patient Consent Forms. Hands-on visits for providers to extend their specialty practice into patients homes, offering after hours and weekend support. This is the name or names of the company under which the company does business. This list contains CPLs most commonly billed insurances. For Texas residents: Insured or offered by Humana Insurance Company, HumanaDental Insurance Company or DentiCare, Inc (d/b/a Compbenefits). Download provider quick reference phone guide (PDF, 129 KB) 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. Working with Acadian Health provides greater opportunity to engage members or patients in the convenient and lower cost home setting. The ranking was based on responses from 12,985 US individuals measuring 17 brands in the industry. (This fee is non-refundable as allowed by state). Checking your browser. Lets talk about how we can help you solve your most complex challenges. Prior Authorizations - Doctor / Provider - Health Plan of Nevada Group Dental and Vision Plans (Insurance through your employer). You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID # 44273. Explore your coverage and benefit details, get ID cards and more. This communication provides a general description of certain identified insurance or non-insurance benefits provided under one or more of our health benefit plans. Medicare Advantage Plans | Vantage 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. In the event of any disagreement between this communication and the plan document, the plan document will control. Includes follow-up care and education for recently discharged and high-risk patients. 0000016080 00000 n ZIP 94607-087. Arcadian Health Plan Inc Humana Increase the capture of your members risk and care gaps by connecting clinical data at scale. Enrollment in Vantage depends on contract renewal. Our claims professionals have extensive claims handling experience for a variety of business lines. Please contact the member's participating provider network website for specific filing limit terms. General. 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. Arcadian Health Plan, Inc. (Humana) 1-866-945-4481. . For costs and complete details of the coverage, refer to the plan document or call or write your Humana insurance agent or the company. Improve your chase list for a better ROI on your risk adjustment program. Product features may vary by client. 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. We like howeasy the system is to usefor end users. Rights and Responsibilities. Please call our Customer Service Department if you need to talk about protected/private health information. This guide helps you sort through the confusion around build vs. buy. Support provider performance by making care and risk documentation gaps actionable within their existing clinical workflows. 0000011182 00000 n Looking for information on timely filing limits? Need to submit a claim? 2023 Copyright arcadia.io | HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). Humana Contact Information for Providers I'm not a OneHealthPort Subscriber but would like information on subscribing. 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. 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. 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. Big data technology for high availability data ingestion, computation and storage. Hear what the incredible people behind the data have to say. We are constantly working to expand our health plan affiliations to provide you with the best options for you and your family's needs. Pharmacy. Spot opportunities and problems quicker with an intelligent analytics platform built for payers. If you have any questions regarding a specific insurance, please contact your local CPL representative or . Longevity Health Plan is an Institutional Special Needs Plan (ISNP), a specialized Medicare Advantage health plan serving people living in skilled nursing facilities. Review document requirements to ensure response to all pre-submission material (e.g. endstream endobj 11821 0 obj<>/W[1 1 1]/Type/XRef/Index[152 11652]>>stream 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. Community Health Plan of Washington | OneHealthPort Arcadias thrilled to be back in Chicago for AMGA 2023, where we hope to hear about your healthcare goals and aspirations. Providers | Blue Shield of CA Promise Health Plan Eligible members enjoy access to a wide variety of benefits, services and tools. Arcadia's powerful insights elucidate strategies around the financial viability of risk and lowering costs. Log in to , https://www.humana.com/provider/medical-resources/self-service-portal, Health (6 days ago) WebMedical Policies. Email Notifications. A northwest payer saw a $7M increase in their Medicaid premium by partnering with Arcadia to improve their closed risk per patient by 59%. Based on a comparison of the open risk documented with and without using Arcadia for pre-visit planning and at the point of care. The HMO Service Counties spreadsheet can be accessed via the "HMO Service areas" link and is for informational purposes only. Find doctors, hospitals, and specialists in your area. My Plan. 0000006121 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. 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. CalOptima Health does not offer free wireless phones. SilverSneakers may not be available on all plans or in all areas. For costs and complete details of the coverage, refer to the plan document or call or write your Humana insurance agent or the company. Secure Provider Portal Prior Authorization; Provider Electronic Solutions (PES) Software . 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. Below are options for contacting us. 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. Devoted Health Plan of Alabama, Inc. 1-800 . Unlock collaboration across your organization, providers, partners, and members. MyPlan CarePath Guide for Members. The Company Profile page provides basic general information on the HMO, including basic financial, contact, attorney for service, complaint and company history information. Humana for Healthcare Providers Empower providers with collaborative tools to drive better outcomes, and increase provider performance by connecting data from various sources. Supports round-the-clock comprehensive care that may include on-demand critical care, daily rounding, on-site advanced diagnostics, and more. Review the latest news and publications for providers. Look up patient benefits information. HAP | Affordable Michigan Health Insurance | Michigan Health Insurance . Noridian Medicare Portal Login Big data technology for high availability data ingestion, computation and storage. Create clinically-relevant care programs at scale. 0000002843 00000 n Premiums as Low as $0. Prescheduled visits can be organized with the provider joining by phone or telehealth. Documentation , Health (5 days ago) WebContact. Build or buy? For your convenience, we now have a dedicated phone line. DHMSO: Provider Login What does Medicare cover (and not cover)? ARCADIAN HEALTH PLAN, INC. can be reached at the following phone number(s): Phone: 510-832-0311 In the event of a dispute, the policy as written in English is considered the controlling authority. Arcadian Health Plan, Inc. - AL, AR, CA, FL, IA, IL, IN, KY, ME, MO Enrollment in Providence Health Assurance depends on contract renewal. <]>> We help bridge the gap from data retrieval to implementation for efficiency and care. To learn more about the health plan programs, contact the following customer service departments: Aetna. It's holistic care for members and peace of mind for loved ones. 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. 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. Centene Venture Company Alabama Health Plan, Inc. (Ascension Complete) 1-833-542-1677. www.ascensioncomplete.com. Need to submit a claim? Arcadian Health Plan and Humana Benefit Plan of Illinois, Inc . DHMSO: Provider Login. Make a plan for a lifetime of better health with Medi-Cal. We will make reasonable accommodation to meet our obligations under the Americans with Disabilities Act (ADA) and state disability laws. Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. Alignment Health Plan. Navigating through disruption and coming out on the other side with a stronger system involves more than implementing the right list of tools. Our broad network of in-network providers makes it easy to find a doctor, dentist, vision care provider or pharmacy near you. 300 Hopkins Street View or print your member ID card. Documentation Guidelines. Activate your MyHumana profile. Providence Health Assurance is an HMO, HMOPOS and HMO SNP with Medicare and Oregon Health Plan contracts. Provider Network Humana offers members a comprehensive network of care centered on primary care providers (PCP), medical and surgical specialists to meet their needs. Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. arcadian health plan, inc claims mailing address The HMO Alias list is an Excel spreadsheet. TDI assumes no responsibility for omissions, inaccuracies or ambiguities. , Health (2 days ago) WebHealth (3 days ago) arcadian health plan, inc. Hmo company profile and agent for service. View claims. Individual applications are subject to eligibility requirements. Las Vegas, NV 89114-5645. 0000001278 00000 n Rights and Responsibilities. Deliver personalized experiences, reduce administrative efforts, and create new health and wellness benefits for members, employers, and providers with a data-driven strategy. In the event of any disagreement between this communication and the plan document, the plan document will control. Please do not include any confidential or personal information, such as protected health information, social security number, or tax ID. MyPlan QuickStart Guide for Members. Client session timed out. Health Net - Coverage for Every Stage of Life | Health Net 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. . These two leaders in the long term care industry joined together to create a . Medicaid contracts each year with plans that are willing to accept a monthly fee for each recipient in their program. Go365 is not an insurance product. Secure Log in - Health Plan April 1-September 31. *Humana received the highest CX Index score among health insurers in Forresters proprietary 2022 CX Index survey. Vantage Health Plan (Vantage) is an HMO with a Medicare contract. Most popular medical specialty of providers who accept Arcadian Health Plan: Family Doctor. 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. FinancialAnalysis@tdi.texas.gov. Collaborate closely with your provider networks for mutual economic success under Medicare, Medicaid, and Commercial risk-based contracts. Forgot Password. Our Health Plans - Regal Medical Group New Humana member? Devoted to the communities we serve. Physician Case Management Referral. (3 days ago) WebARCADIAN HEALTH PLAN, INC. NPI is 1598910549. Log in tips & other helpful technical information. Limitations on telehealth services, also referred to as virtual visits or telemedicine, vary by state. Our healthcare experts weigh in on industry topics. These reports are located on the TDI Reports webpage: HMO Reports. Arcadian Health Plan Eligibility. Arcadian Health Plan, Inc. - Texas Department of Insurance 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. You can find the login to our member or provider portal as well asregistration, password help, and our find a provider systems. MyPlan CarePath Guide for Members. Humana Inc. - 97% of Humana's Medicare Advantage Members Are in Health Plans - AllCare IPA Medi-Cal | Blue Shield of CA Promise Health Plan Physician Case Management Referral. Healthcare disrupted: How to keep pace in a rapidly changing world, Population health trends across the United States. Language interpreter services (at 1st prompt enter 22228, at 2nd prompt enter. 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 Please keep your personal information private. Medical Policies. Power your business with a provider source of truth. Our members' health is in your hands. Checking your browser. . Hear what the incredible people behind the data have to say. ARCADIAN HEALTH PLAN INC. NPI 1598910549 - Health Providers Data Arcadian Health Plan Company Profile | Management and Employees List 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. For New Mexico residents: Insured by Humana Insurance Company. 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). 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 . That's why Humana is committed to supporting your practice with training resources, policy updates, and industry-leading patient care programs. HMO Alias, NCQA accredits and certifies a wide range of health care organizations. Start a new EpicCare Link session Humana group life plans are offered by Humana Insurance Company or Humana Insurance Company of Kentucky. x1 048F}\G` z0=i2\x!!!!!!!CCC. 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 . 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. Use the links on this page to access IHCP provider news items, bulletins, and banner page publications. 09/16/2022. We partner with leading nursing homes around the country to improve the health and quality of life of residents . We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy.
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