ZIP 94607-087. Health (Just Now) Provider Directory Search Medicare Advantage Plans Recipients in certain Alabama counties may voluntarily choose to participate in a Medicare Advantage plan. DHMSO: Provider Login. St Louisville, KY 40202. We help bridge the gap from data retrieval to implementation for efficiency and care. Combine clinically integrated data with predictive analytics to help providers find the patients most likely to engage and close a care gap. 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. At Humana, we do things differently. To learn more about the health plan programs, contact the following customer service departments: Aetna. Administered by Humana Insurance Company. Humana legal entities that offer, underwrite, administer or insure insurance products and services. 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 is the name or names of the company under which the company does business. Humana makes it easy to find the best Medicare plans for younear you. Our healthcare experts weigh in on industry topics. Name Required. endstream endobj 11821 0 obj<>/W[1 1 1]/Type/XRef/Index[152 11652]>>stream Alabama Medicaid. Stay connected by updating your contact information (service address, phone/fax numbers, etc.). We hope to see you at the HIMSS23 Global Conference. 0000002140 00000 n Request and coordinate all required documentation from internal departments for submissions in a . Clinical Guidelines. Username Is Required. Precise ParkLink. Warning: you are accessing an information system that may be a U.S. Government information system. Review document requirements to ensure response to all pre-submission material (e.g. 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. Arcadias powerful insights elucidate strategies around the financial viability of risk and lowering costs. xref Vantage Health Plan (Vantage) is an HMO with a Medicare contract. Site Usage Privacy Rights | Site Designed by Firefly Marketing Acadian is an Equal Opportunity Employer/Affirmative Action Employer. Enrollment in Providence Health Assurance depends on contract renewal. Big data technology for high availability data ingestion, computation and storage. Big data technology for high availability data ingestion, computation and storage. For most members, claims can be mailed or , https://www.hpitpa.com/your-resources/for-providers/check-claims-eligibility/. This guide helps you sort through the confusion around build vs. buy. Our members' health is in your hands. UNITED STATES; United States; Agent Name CORPORATION SERVICE COMPANY Agent Address 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. 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 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 . You can find the login to our member or provider portal as well asregistration, password help, and our find a provider systems. Forgot Password. 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? Please do not include any confidential or personal information, such as protected health information, social security number, or tax ID. EmpowerID. Las Vegas, NV 89114-5645. 500 12th St Ste 350, Oakland, California, 94607, United States. Find your B2B customer within minutes using affordable, accurate contact data from Datanyze. 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. 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. Lafayette, LA 70501. In the event of any disagreement between this communication and the plan document, the plan document will control. The information reflected above is compiled based on the data reported by the licensed HMO to the Texas Department of Insurance. The HMO Service Counties spreadsheet can be accessed via the "HMO Service areas" link and is for informational purposes only. 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. A look at how states vary in their rates of common diseases, and why measuring health state-by-state requires robust data. Taxonomy code 302R00000X with license number 2006117 (GA). 7914. Contact Us About The Company Profile For Arcadian Health Plan, Inc. 0000002619 00000 n We hope to see you at the HIMSS23 Global Conference. View notice under A Notice for Certain Policy Holders on the ChoiceHealth website. The provider's business location address is: Source: picshealth.blogspot.com. 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 are constantly working to expand our health plan affiliations to provide you with the best options for you and your family's needs. 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 build population health management strategies to take on Medicare, Medicaid, and Commercial risk-based contracts. Your Choice, Your Plans. <]>> 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. Arcadia's powerful insights elucidate strategies around the financial viability of risk and lowering costs. This communication provides a general description of certain identified insurance or non-insurance benefits provided under one or more of our health benefit plans. 0000002922 00000 n LIBERTY Dental Plan Partners with Kaiser Permanente's Mid-Atlantic Region for Dental Benefits Coverage. And Arcadia had really outstanding leadership in terms of the knowledge of the business. Plus you get extra $0 benefits like Alternative Medicine visits (chiropractor, acupuncture, and more), fitness programs, and a monthly over-the-counter benefit. Spot opportunities and problems quicker with an intelligent analytics platform built for payers. For New Mexico residents: Insured by Humana Insurance Company. In the event of a dispute, the policy as written in English is considered the controlling authority. Health Plan of Nevada providers must file an appeal within 180 days. Forgot Username? 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). Register for Your Account Today. Review the latest news and publications for providers. This communication provides a general description of certain identified insurance or non-insurance benefits provided under one or more of our health benefit plans. Language interpreter services (at 1st prompt enter 22228, at 2nd prompt enter. Documentation , Health (5 days ago) WebContact. Website. Arcadia Value-based Managed Care Services, Guide to Build vs. Buy in Healthcare Analytics. We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. This data may not reflect amendments filed by the HMO and may be subject to change. 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. A minimum one-year, initial contract period may be required for some dental and vision plans, excluding Dental Savings Plus. 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. Corporate Office 12/20/2022. Alternative care for non-traumatic hospitalizations for sick but stable patients who would typically be transported by ambulance to an ED. 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. Since 1971, Acadian has been committed to providing the highest level of medical care and transportation possible. Looking for information on timely filing limits? Arcadia keeps up with industry trends and has new functionalities available. 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. 0000016080 00000 n Provider Network Humana offers members a comprehensive network of care centered on primary care providers (PCP), medical and surgical specialists to meet their needs. Track copays and deductibles. Our analytical expertise simplifies operational decisions for our partners, so they can focus on doing what they do best: delivering care. Our Medicare Advantage plans come packed with extra resources for improving our members health. Filing Date: October 29, 2013. Medicaid contracts each year with plans that are willing to accept a monthly fee for each recipient in their program. Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. We like howeasy the system is to usefor end users. Password Is Required. LIBERTY Dental Plan Establishes a Dedicated Toll-Free Number for Members Impacted by Humboldt County Earthquake. . To appeal a decision, mail a written request to: Health Plan of Nevada, Member Services. Humana legal entities that offer, underwrite, administer or insure insurance products and services. 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. . Arcadian Health Plan Profile and History . Hearty in Hawaii? Some plans may also charge a one-time, non-refundable enrollment fee. View plan provisions or check with your sales representative. 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. 2023 Acadian Companies. Aetna. 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. Checking your browser. You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID # 44273. I'm not a OneHealthPort Subscriber but would like information on subscribing. 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. 0000001278 00000 n Some plans may also charge a one-time, non-refundable enrollment fee. 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. The provider is registered as an organization entity type. Arcadian Health Plan, Inc. (Humana) 1-866-945-4481. . Big data technology for high availability data ingestion, computation and storage. Devoted to the communities we serve. Please keep your personal information private. Log in to , https://www.humana.com/provider/medical-resources/self-service-portal, Health (6 days ago) WebMedical Policies. 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. 10/25/2022. Physician Case Management Referral. Some links on this page may take you to Humana non-Medicare product or service pages or to a different website. File Number: 3615733. 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. Includes follow-up care and education for recently discharged and high-risk patients. 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. ), and prepare summary information to initiate proposal response activities. View or print your member ID card. This is a general description of services which are subject to change. For costs and complete details of the coverage, refer to the plan document or call or write your Humana insurance agent or the company. FinancialAnalysis@tdi.texas.gov. 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. 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. Let them know who you want as your primary care physician and that you want AllCare as your medical group. Industry: Health insurance carriers Printer Friendly View Address: 500 12TH St Ste 350 Oakland, CA, 94607-5204 United States See other locations Call 1-888-823-1910 (TTY users call 711) for more . 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. 11806 0 obj<>stream What healthcare data platform capabilities do you need to stay competitive? Our data-driven approach and team support for your value-based care. Compare Humana Medicare plans where you live. Medi-Cal is California's Medicaid healthcare program that offers free or low-cost health coverage. 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. SilverSneakers may not be available on all plans or in all areas. (800) 624-0756. 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. Log in tips & other helpful technical information. This includes adults, children, families with children, seniors, and persons with disabilities. 11804 0 obj<> endobj General. 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. Navigating through disruption and coming out on the other side with a stronger system involves more than implementing the right list of tools. (This fee is non-refundable as allowed by state). Need to submit a claim? 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. For your convenience, we now have a dedicated phone line. Access Patient Benefits. It's holistic care for members and peace of mind for loved ones. Arcadias thrilled to be back in Chicago for AMGA 2023, where we hope to hear about your healthcare goals and aspirations. For Texas residents: Insured or offered by Humana Insurance Company, HumanaDental Insurance Company or DentiCare, Inc (d/b/a Compbenefits). And with Availity, you can conduct business online quickly and easily, so you can focus on the well-being of our . startxref Make a plan for a lifetime of better health with Medi-Cal. Start a new EpicCare Link session Product features may vary by client. 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. Notice of data security event involving ChoiceHealth, a service provider for Humana. Insurance Listings. Patient Consent Forms. 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. Please contact the member's participating provider network website for specific filing limit terms. Premiums as Low as $0. Data Platform Big data technology for high availability data ingestion, computation and storage. 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. 1.800.624.6961, ext. If you have any questions about our plan benefits, procedures and other topics, contact Provider Services. Call Provider Services at 888-773-2647 (TTY 711) with any questions. 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). Humana for physicians and healthcare providers. 2023 Copyright arcadia.io | HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). Rights and Responsibilities. Not available with all Humana health plans. %%EOF 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 We build population health management strategies to take on Medicare, Medicaid, and Commercial risk-based contracts. When it comes to healthcare, its easy to feel like just a number. These two leaders in the long term care industry joined together to create a . Blue Shield of California Promise Health Plan currently serves Medi-Cal . If this is a U.S. Government information system, CMS maintains ownership and responsibility for its computer systems. Users must adhere to CMS Information Security Policies, Standards, and Procedures. If you have purchased an association plan, an association fee may also apply. Maxwell Roberts Building, 5th Floor, 1 Church Street Hamilton HM 11 Bermuda +1 441 5439 800 We do this by: There are options we like from Arcadia. Help providers make impactful decisions at the point of care with insights deliver at just the right time. Find a Provider. 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 Health Plan Eligibility. Results are shared through our provider portal where encounter records can be easily viewed, downloaded, and uploaded to your system. Medical Policies. Longevity Health Plan is an Institutional Special Needs Plan (ISNP), a specialized Medicare Advantage health plan serving people living in skilled nursing facilities. The ranking was based on responses from 12,985 US individuals measuring 17 brands in the industry. Find doctors, hospitals, and specialists in your area. xb```b``y sx "~CT3gv6+dJX vHe_`l;~rd5ZWH20Gif >X3=`2L@8` $/L HMO Alias, NCQA accredits and certifies a wide range of health care organizations. Hands-on visits for providers to extend their specialty practice into patients homes, offering after hours and weekend support. 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.