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Hearty in Hawaii? Enhance your existing healthcare services with our mobile resources, bringing trained personnel direct to the patientwherever they are. For costs and complete details of the coverage, refer to the plan document or call or write your Humana insurance agent or the company. Rights and Responsibilities. We like howeasy the system is to usefor end users. Call Provider Services at 888-773-2647 (TTY 711) with any questions. Find doctors, hospitals, and specialists in your area. You've got questions, we've got anwers. Go365 is not an insurance product. Data Platform Big data technology for high availability data ingestion, computation and storage. 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. When it comes to healthcare, its easy to feel like just a number. xb```b``y sx "~CT3gv6+dJX vHe_`l;~rd5ZWH20Gif >X3=`2L@8` $/L Arcadian Health Plan Profile and History . 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. Aetna. 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. 0000002922 00000 n Start a new EpicCare Link session Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. 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. We build population health management strategies to take on Medicare, Medicaid, and Commercial risk-based contracts. Clinical Guidelines. For New Mexico residents: Insured by Humana Insurance Company. We act as your eyes, ears, and hands and coordinate with the patients provider to support a wellness/specialist visit or address complex conditions. Locations Primary 500 12th Street, . 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. Payment Policies. HMO Alias, NCQA accredits and certifies a wide range of health care organizations. 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. File Number: 3615733. A look at how states vary in their rates of common diseases, and why measuring health state-by-state requires robust data. 0000000016 00000 n startxref Call 1-888-823-1910 (TTY users call 711) for more . General. ; Customer Insights Team We help bridge the gap from data retrieval to implementation for efficiency and care. Humana legal entities that offer, underwrite, administer or insure insurance products and services. We also like being able to save reports and create shortcuts for users. FinancialAnalysis@tdi.texas.gov. We build population health management strategies to take on Medicare, Medicaid, and Commercial risk-based contracts. 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 Our members' health is in your hands. MyPlan CarePath Guide for Members. Forget spreadsheets and unify business processes and infrastructure on a single source of truth. 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. Data analytics decision-making guide, Guide to Build vs. Buy in Healthcare Analytics. (3 days ago) WebARCADIAN HEALTH PLAN, INC. NPI is 1598910549. AgeRight Advantage is a Medicare Advantage Plan locally owed by Marquis Companies and Avamere Family of Companies. MyPlan QuickStart Guide for Members. To access the website, click "Allow". Go365 is not an insurance product and is not available with all Humana health plans. Supports round-the-clock comprehensive care that may include on-demand critical care, daily rounding, on-site advanced diagnostics, and more. 12/20/2022. . ; Value-Based Care Services Our data-driven approach and team support for your value-based care. Secure Provider Portal Prior Authorization; Provider Electronic Solutions (PES) Software . Health (3 days ago) WebARCADIAN HEALTH PLAN, INC. NPI is 1598910549. 0000012822 00000 n The HMO Service Counties spreadsheet can be accessed via the "HMO Service areas" link and is for informational purposes only. The 1598910549 NPI number is assigned to the healthcare provider ARCADIAN HEALTH PLAN, INC., practice location address at 500 12TH ST STE 300 OAKLAND, CA, 94607-4087. Group Dental and Vision Plans (Insurance through your employer). Collaborate closely with your provider networks for mutual economic success under Medicare, Medicaid, and Commercial risk-based contracts. Alabama Medicaid. 11804 18 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 . Our analytical expertise simplifies operational decisions for our partners, so they can focus on doing what they do . Individual applications are subject to eligibility requirements. Business Intelligence Portal. Payment Policies. You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID # 44273. 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. Big data technology for high availability data ingestion, computation and storage. 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. Please contact the member's participating provider network website for specific filing limit terms. Today, we have ground and air ambulance facilities strategically located in areas across Louisiana, Mississippi, Tennessee and Texas, and we offer safety and medical services around the world. 300 Hopkins Street Humana Employers Health . %%EOF Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. Notice of data security event involving ChoiceHealth, a service provider for Humana. Healthcare disrupted: How to keep pace in a rapidly changing world, Population health trends across the United States, Moving VBC forward: The technology-enabled ACO. Click the "Allow" button. If you have any questions, call 1-800-745-7065 or sign in to the online provider center. %PDF-1.4 % Important Humana numbers and contact information for healthcare providers. View your information. Lets talk about how we can help you solve your most complex challenges. 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. The HMO Alias list is an Excel spreadsheet. 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. 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. Contact Us About The Company Profile For Arcadian Health Plan, Inc. Need to submit a claim? And Arcadia had really outstanding leadership in terms of the knowledge of the business. 11804 0 obj<> endobj A northwest payer saw a $7M increase in their Medicaid premium by partnering with Arcadia to improve their closed risk per patient by 59%. Humana legal entities that offer, underwrite, administer or insure insurance products and services. Please refer to your Evidence of Coverage or call Customer Service at the number on the back of your Humana ID card to confirm that the service will be covered by your plan. Explore trainings and tutorials for working with Humana. Verify patient eligibility and check the status of submitted claims through our online services below. , Health (Just Now) WebSecure Provider Portal Prior Authorization; Provider Electronic Solutions (PES) Software Arcadian Health Plan, Inc. (Humana) 1-866-945-4481. 0000001506 00000 n Activate your MyHumana profile. Email Notifications. Average Overall User Rating for Providers in Washington who take Arcadian Health Plan: New competitors are entering the market, expectations from members are shifting, and regulatory pressures are making it more difficult than ever to succeed. Log in tips & other helpful technical information. Download provider quick reference phone guide (PDF, 129 KB) Humana group life plans are offered by Humana Insurance Company or Humana Insurance Company of Kentucky. In the event of any disagreement between this communication and the plan document, the plan document will control. Patient Consent Forms. Unlock collaboration across your organization, providers, partners, and members. Our trained personnel arrive fully stocked with medical kits for advanced diagnostics. Group Dental and Vision Plans (Insurance through your employer). 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. Any descriptions of when to use telehealth services are for informational purposes only and should not be construed as medical advice. 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. 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 . NPI record contains FOIA-disclosable NPPES health care provider information. Humana for physicians and healthcare providers. Go365 is not an insurance product. 0000006121 00000 n 0000007839 00000 n 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. Results are shared through our provider portal where encounter records can be easily viewed, downloaded, and uploaded to your system. The ranking was based on responses from 12,985 US individuals measuring 17 brands in the industry. This communication provides a general description of certain identified insurance or non-insurance benefits provided under one or more of our health benefit plans. 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. Spot opportunities and problems quicker with an intelligent analytics platform built for payers. 0 In the event of a dispute, the policy as written in English is considered the controlling authority. That's why Humana is committed to supporting your practice with training resources, policy updates, and industry-leading patient care programs. P.O. Review document requirements to ensure response to all pre-submission material (e.g. ZIP 94607-087. Track copays and deductibles. 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. Website current as of: 10/01/2022 H9047_PHAAM20_M Hear what the incredible people behind the data have to say. The information reflected above is compiled based on the data reported by the licensed HMO to the Texas Department of Insurance. Working with Acadian Health eliminates or reduces: Acadian Healths mobile community healthcare team offers quality at-home healthcare services for Clinical Partners looking to drive down medical care costs while ensuring that patients receive the proper treatment at the best location. 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. Advanced at-home care is an alternative to inpatient hospital visits for general medical conditions. 09/16/2022. AARP Medicare Complete. Arcadian Health Plan, Inc. (Humana) 1-866-945-4481. . Like an EASY button for providers: Overcome transportation and mobility issues by simply pre-scheduling or requesting an on-demand At-Home Health visit. These two leaders in the long term care industry joined together to create a . Make a plan for a lifetime of better health with Medi-Cal. We help bridge the gap from data retrieval to implementation for efficiency and care. This communication provides a general description of certain identified insurance or non-insurance benefits provided under one or more of our health benefit plans. 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. Check patient eligibility, submit preauthorizations, dispute finalized claims and more on the Availity Essentials portal. In states, and for products where applicable, the premium may include a $1 administrative fee. All Rights Reserved. Your Choice, Your Plans. Explore your coverage and benefit details, get ID cards and more. We help drive quality care with expert insights for healthier lives. 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. We are constantly working to expand our health plan affiliations to provide you with the best options for you and your family's needs. Password Is Required. We help bridge the gap from data retrieval to implementation for efficiency and care. Please refer to Customer Support for more information. View notice under A Notice for Certain Policy Holders on the ChoiceHealth website.
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