arcadian health plan provider portal arcadian health plan provider portal

ARCADIAN HEALTH PLAN INC. NPI 1598910549 - Health . Combine clinically integrated data with predictive analytics to help providers find the patients most likely to engage and close a care gap. The ranking was based on responses from 12,985 US individuals measuring 17 brands in the industry. Track copays and deductibles. This site uses cookies that are essential for our site to work. Eligible members enjoy access to a wide variety of benefits, services and tools. Activate your MyHumana profile. Download provider quick reference phone guide (PDF, 129 KB) Transform disparate information into a longitudinal view of patients through clinical and claims data. 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. Arcadia's powerful insights elucidate strategies around the financial viability of risk and lowering costs. For most members, claims can be mailed or , https://www.hpitpa.com/your-resources/for-providers/check-claims-eligibility/. 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. Medi-Cal is California's Medicaid healthcare program that offers free or low-cost health coverage. The provider's business location address is: Source: picshealth.blogspot.com. Call 1-888-823-1910 (TTY users call 711) for more . To access the website, click "Allow". A minimum one-year, initial contract period may be required for some dental and vision plans, excluding Dental Savings Plus. 0000002140 00000 n Plans, products, and services are solely and only provided by one or more Humana Entities specified on the plan, product, or service contract, not Humana Inc. Not all plans, products, and services are available in each state. Provider Search . Our analytical expertise simplifies operational decisions for our partners, so they can focus on doing what they do best: delivering care. In the event of a dispute, the policy as written in English is considered the controlling authority. Some plans may also charge a one-time, non-refundable enrollment fee. New competitors are entering the market, expectations from members are shifting, and regulatory pressures are making it more difficult than ever to succeed. Website current as of: 10/01/2022 H9047_PHAAM20_M Data analytics decision-making guide, Guide to Build vs. Buy in Healthcare Analytics. And with Availity, you can conduct business online quickly and easily, so you can focus on the well-being of our . Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. This communication provides a general description of certain identified insurance or non-insurance benefits provided under one or more of our health benefit plans. We are constantly working to expand our health plan affiliations to provide you with the best options for you and your family's needs. Locations Primary 500 12th Street, . H5619 Arcadian Health Plan (Humana, Inc.) Dual Eligible (Dual Eligible Subset - Medicare Zero Cost-sharing) Special Needs Plan Model of Care Score: 88.33% . 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. Like an EASY button for providers: Overcome transportation and mobility issues by simply pre-scheduling or requesting an on-demand At-Home Health visit. (This fee is non-refundable as allowed by state). If you have purchased an association plan, an association fee may also apply. We help drive quality care with expert insights for healthier lives. Find your B2B customer within minutes using affordable, accurate contact data from Datanyze. Track copays and deductibles. 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. (3 days ago) WebARCADIAN HEALTH PLAN, INC. NPI is 1598910549. 09/16/2022. The provider is registered as an organization entity type. 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 analytical expertise simplifies operational decisions for our partners, so they can focus on doing what they do . Need to submit a claim? We will make reasonable accommodation to meet our obligations under the Americans with Disabilities Act (ADA) and state disability laws. We help bridge the gap from data retrieval to implementation for efficiency and care. Results are shared through our provider portal where encounter records can be easily viewed, downloaded, and uploaded to your system. Stop by Booth #152 to meet our team and get a demo of Arcadia Analytics. For costs and complete details of the coverage, refer to the plan document or call or write your Humana insurance agent or the company. If there's a question you can't find the answer to in our FAQs, call Provider Services at 888-773-2647 (TTY 711). In states, and for products where applicable, the premium may include a $1 administrative fee. Contact Us About The Company Profile For Arcadian Health Plan, Inc. Arcadia Value-based Managed Care Services, Guide to Build vs. Buy in Healthcare Analytics. startxref I'm not a OneHealthPort Subscriber but would like information on subscribing. CalOptima Health does not offer free wireless phones. This communication does not guarantee benefits and does not indicate all services received will be covered by your plan. 300 Hopkins Street Corporate Office We help drive quality care with expert insights for healthier lives. All rights reserved | Email: [emailprotected], Washington state health insurance application, National healthcare corporation nashville tn, St louis city department of public health. This list contains CPLs most commonly billed insurances. 11806 0 obj<>stream New Humana member? Please contact the member's participating provider network website for specific filing limit terms. See our full accessibility rights information, non-discrimination disclosure, and language options. The information is subject to change and is not all-inclusive. Language interpreter services (at 1st prompt enter 22228, at 2nd prompt enter. We build population health management strategies to take on Medicare, Medicaid, and Commercial risk-based contracts. A look at how states vary in their rates of common diseases, and why measuring health state-by-state requires robust data. Go365 is not an insurance product and is not available with all Humana health plans. Our broad network of in-network providers makes it easy to find a doctor, dentist, vision care provider or pharmacy near you. Empower providers with collaborative tools to drive better outcomes, and increase provider performance by connecting data from various sources. We act as your eyes, ears, and hands and coordinate with the patients provider to support a wellness/specialist visit or address complex conditions. 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. Alabama Medicaid. For Providers. Looking for information about your patients benefits or claims? 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. 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. Noridian Medicare Portal Login. Enrollment in Providence Health Assurance depends on contract renewal. 0000007839 00000 n This login page requires that you have registered as a OneHealthPort Subscriber. Arcadia is the leading population health management data and software company. . 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 . Data Platform Big data technology for high availability data ingestion, computation and storage. xref Providence Health Assurance is an HMO, HMOPOS and HMO SNP with Medicare and Oregon Health Plan contracts. Checking your browser. There are several plans to choose from and not all benefits may be available in every plan. Group Dental and Vision Plans (Insurance through your employer). Review the claim submission address or electronic payor ID # on the back of the patient's member ID card. Stop by Booth #152 to meet our team and get a demo of Arcadia Analytics. Our members' health is in your hands. 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. This information is not a complete description of benefits. 0000011182 00000 n 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. 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. HMO Alias, NCQA accredits and certifies a wide range of health care organizations. Health (3 days ago) WebARCADIAN HEALTH PLAN, INC. NPI is 1598910549. Build or buy? With five decades of mobile healthcare experience through our ambulance division, the Acadian Health mobile community healthcare team members . Devoted to the communities we serve. 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. Learn how to submit a preauthorization for frequently requested services/procedures for your patients and check prior authorization lists. Review the latest news and publications for providers. If you have any questions about our plan benefits, procedures and other topics, contact Provider Services. 0000016080 00000 n Blue Shield of California Promise Health Plan currently serves Medi-Cal . Please call our Customer Service Department if you need to talk about protected/private health information. Password Is Required. This guide helps you sort through the confusion around build vs. buy. 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. Login using EmpowerID. 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. View or print your member ID card. 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. 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. . Look up patient benefits information. Notice of data security event involving ChoiceHealth, a service provider for Humana. Support provider performance by making care and risk documentation gaps actionable within their existing clinical workflows. Current Member: 866-409-1221 (TTY 711) . Longevity Health Plan is an Institutional Special Needs Plan (ISNP), a specialized Medicare Advantage health plan serving people living in skilled nursing facilities. Arcadian Health Plan and Humana Benefit Plan of Illinois, Inc . Collaborate closely with your provider networks for mutual economic success under Medicare, Medicaid, and Commercial risk-based contracts. 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. Check patient eligibility, submit preauthorizations, dispute finalized claims and more on the Availity Essentials portal. Enrollment in Vantage depends on contract renewal. We build population health management strategies to take on Medicare, Medicaid, and Commercial risk-based contracts. 0000009531 00000 n Call Provider Services at 888-773-2647 (TTY 711) with any questions. By working collaboratively with your team, we strive to improve patient satisfaction, care coordination, and achieve quality health outcomes. Business Intelligence Portal. xb```b``y sx "~CT3gv6+dJX vHe_`l;~rd5ZWH20Gif >X3=`2L@8` $/L The practitioner's primary taxonomy code is 302R00000X.The provider is registered as an organization and their NPI record was last . 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. Humana makes it easy to find the best Medicare plans for younear you. For Texas residents: Insured or offered by Humana Insurance Company, HumanaDental Insurance Company or DentiCare, Inc (d/b/a Compbenefits). Some plans may also charge a one-time, non-refundable enrollment fee. View or print your member ID card. Forgot My Password. To help our members through the pandemic, were providing trusted information from public health officials. Log in to , https://www.humana.com/provider/medical-resources/self-service-portal, Health (6 days ago) WebMedical Policies. , Health (Just Now) WebSecure Provider Portal Prior Authorization; Provider Electronic Solutions (PES) Software Arcadian Health Plan, Inc. (Humana) 1-866-945-4481. 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. To appeal a decision, mail a written request to: Health Plan of Nevada, Member Services. Patient Consent Forms. This data may not reflect amendments filed by the HMO and may be subject to change. We build population health management strategies to take on Medicare, Medicaid, and Commercial risk-based contracts. 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. Your EpicCare Link session has been closed. 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 . Review the claim submission address or electronic payor ID # on the back of the patients member ID card. Call Provider Services at 888-773-2647 (TTY 711) with any questions. Not available with all Humana health plans. Username Is Required. For Arizona residents: Insured by Humana Insurance Company. 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. Acadian Healths specially-trained clinical team members can provide acute care treatment in the comfort of patients homes for a wide array of non-life-threatening medical conditions. Fax: (510) 817-1894. View notice under A Notice for Certain Policy Holders on the ChoiceHealth website. All Rights Reserved. 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. Administered by Humana Insurance Company. Plus you get extra $0 benefits like Alternative Medicine visits (chiropractor, acupuncture, and more), fitness programs, and a monthly over-the-counter benefit. Create clinically-relevant care programs at scale. 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. Arcadian Health Plan Profile and History . Stop the data debates and give your teams the ability to focus on the best next step. 0000002619 00000 n We were very impressed with the people, and we have continued to be able to have access to those people, so that was a big part of our decision as well. ZIP 94607-087. Verify patient eligibility and check the status of submitted claims through our online services below. We like howeasy the system is to usefor end users. The information reflected above is compiled based on the data reported by the licensed HMO to the Texas Department of Insurance. We also provide free language interpreter services. Please refer to your evidence of coverage for additional details on what your plan may cover or other rules that may apply. Email Notifications. Representatives are available Monday - Friday 7 a.m. - 9 p.m. Central Time. Request and coordinate all required documentation from internal departments for submissions in a . Arcadias thrilled to be back in Chicago for AMGA 2023, where we hope to hear about your healthcare goals and aspirations. We help bridge the gap from data retrieval to implementation for efficiency and care. You've got questions, we've got anwers. File Number: 3615733. 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. 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. AARP Medicare Complete. U.S. News and World Report names Humana 2023 Best Overall Medicare Advantage Plan Company. . Our claims professionals have extensive claims handling experience for a variety of business lines. Our healthcare experts weigh in on industry topics. Stay connected by updating your contact information (service address, phone/fax numbers, etc.). We have clinical data, claims data, and ADT data all put together in the system. For your convenience, we now have a dedicated phone line. . Individual applications are subject to eligibility requirements. Website. The provider's business location address is: 500 12TH ST STE 300. 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, INC. Company Number 602384193 Status Active Incorporation Date 6 April 2004 (almost 19 years ago) Company Type WA INSURANCE COMPANY Jurisdiction Washington (US) Registered Address. Hearty in Hawaii? 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. 500 W Main. 12/20/2022. Get the most out of your plan with a MyHumana account. Physician Case Management Referral. These two leaders in the long term care industry joined together to create a . For more information, contact: Rights and Responsibilities. Important Humana numbers and contact information for healthcare providers. 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. In the event of any disagreement between this communication and the plan document, the plan document will control. Register for Your Account Today. Medicaid contracts each year with plans that are willing to accept a monthly fee for each recipient in their program. Humana legal entities that offer, underwrite, administer or insure insurance products and services. 0000014444 00000 n Contact Humana with questions about your patients` benefits or claims. 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 This is the name or names of the company under which the company does business. Let them know who you want as your primary care physician and that you want AllCare as your medical group. 1.877.221.9295. Devoted Health Plan of Alabama, Inc. 1-800 . trailer Our healthcare experts weigh in on industry topics. Ailing in Alabama? Get started now! Advanced at-home care is an alternative to inpatient hospital visits for general medical conditions. 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. 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. 0000000675 00000 n 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. Humana group life plans are offered by Humana Insurance Company or Humana Insurance Company of Kentucky. Since its beginning, our at-home care has proven to save an average of $1,000 per visit. 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.