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HAP | Affordable Michigan Health Insurance | Michigan Health Insurance . 0000009531 00000 n Humana received a 5 out of 5-star rating for four of its contracts for 2022, the most in company history, which include HMO plans in Florida, Louisiana, Tennessee and Kentucky, covering approximately 527,000 members Humana received a 4.5-star rating for eight Medicare Advantage contracts offered in 33 states and Puerto Rico, covering more than 1.6 million members 4.8 million, or approximately . 1598910549 NPI Number | ARCADIAN HEALTH PLAN, INC. - HIPAASpace Our broad network of in-network providers makes it easy to find a doctor, dentist, vision care provider or pharmacy near you. Prior Authorizations - Doctor / Provider - Health Plan of Nevada Arcadian Health Plan Eligibility Log in tips & other helpful technical information. Helping Healthcare Payers Improve Risk Adjustment - Arcadia With five decades of mobile healthcare experience through our ambulance division, the Acadian Health mobile community healthcare team members . Big data technology for high availability data ingestion, computation and storage. The Company Profile page provides basic general information on the HMO, including basic financial, contact, attorney for service, complaint and company history information. 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. LIBERTY Dental Plan : Making Members Shine! If you are an individual with a disability who needs accommodation or you are having difficulty using our website to apply for employment, please contact Human Resources at 1-800-259-3333. General. View claims. 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. . SilverSneakers may not be available on all plans or in all areas. 0000007839 00000 n Review the claim submission address or electronic payor ID # on the back of the patient's member ID card. P.O. For costs and complete details of the coverage, refer to the plan document or call or write your Humana insurance agent or the company. In the event of any disagreement between this communication and the plan document, the plan document will control. 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. And Arcadia had really outstanding leadership in terms of the knowledge of the business. In states, and for products where applicable, the premium may include a $1 administrative fee. We hope to see you at the HIMSS23 Global Conference. Limitations on telehealth services, also referred to as virtual visits or telemedicine, vary by state. 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. 0000002140 00000 n The practitioner's primary taxonomy code is 302R00000X.The provider is registered as an organization and their NPI record was last . Clinical Guidelines. Find your B2B customer within minutes using affordable, accurate contact data from Datanyze. Company Profile Page. 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. Any descriptions of when to use telehealth services are for informational purposes only and should not be construed as medical advice. Some links on this page may take you to Humana non-Medicare product or service pages or to a different website. PDF Arcadian Health Plan Inc., H5619 Dual Eligible Medicare Zero Cost The provider's business location address is: 500 12TH ST STE 300. Administered by Humana Insurance Company. Unlock collaboration across your organization, providers, partners, and members. Healthcare disrupted: How to keep pace in a rapidly changing world, Population health trends across the United States. Administered by Humana Insurance Company. Data analytics decision-making guide, Guide to Build vs. Buy in Healthcare Analytics. Subscriber ID: Password: Login. There are several plans to choose from and not all benefits may be available in every plan. Noridian Medicare Portal Login. Results are shared through our provider portal where encounter records can be easily viewed, downloaded, and uploaded to your system. Review document requirements to ensure response to all pre-submission material (e.g. We build population health management strategies to take on Medicare, Medicaid, and Commercial risk-based contracts. The provider is registered as an organization entity type. Password Is Required. 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 . 0000000016 00000 n (3 days ago) WebARCADIAN HEALTH PLAN, INC. NPI is 1598910549. Hear what the incredible people behind the data have to say. Insured through UnitedHealthcare (formerly Secure Horizons) Website. Arcadia's powerful insights elucidate strategies around the financial viability of risk and lowering costs. This communication does not guarantee benefits and does not indicate all services received will be covered by your plan. 0000002843 00000 n Arcadian Health Plan and Humana Benefit Plan of Illinois, Inc . Arcadian Health Plan | 1,090 followers on LinkedIn. Humana legal entities that offer, underwrite, administer or insure insurance products and services. TDI assumes no responsibility for omissions, inaccuracies or ambiguities. 500 12th St Ste 350, Oakland, California, 94607, United States. Medi-Cal | Blue Shield of CA Promise Health Plan 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 In the event of a dispute, the policy as written in English is considered the controlling authority. Power your business with a provider source of truth. For Arizona residents: Insured by Humana Insurance Company. Or, you can always contact your Provider Network Development Representative. Alabama Medicaid Humana group life plans are offered by Humana Insurance Company or Humana Insurance Company of Kentucky. We also like being able to save reports and create shortcuts for users. Arcadian - Claims Warning: you are accessing an information system that may be a U.S. Government information system. Log in - Health Plan 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. Arcadian Health Plan Claims Address What healthcare data platform capabilities do you need to stay competitive? 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. About ARCADIAN HEALTH PLAN, INC. Arcadian Health Plan, Inc. Dba Arkansas Community Care, Inc. is a provider established in Oakland, California operating as a Health Maintenance Organization.The NPI number of this provider is 1316105646 and was assigned on May 2008. For Providers :: The Health Plan By working collaboratively with your team, we strive to improve patient satisfaction, care coordination, and achieve quality health outcomes. Home - Longevity Health Plan April 1-September 31. Notice of data security event involving ChoiceHealth, a service provider for Humana. This guide helps you sort through the confusion around build vs. buy. That's why Humana is committed to supporting your practice with training resources, policy updates, and industry-leading patient care programs. You've got questions, we've got anwers. Representatives are available Monday - Friday 7 a.m. - 9 p.m. Central Time. This communication provides a general description of certain identified insurance or non-insurance benefits provided under one or more of our health benefit plans. x1 048F}\G` z0=i2\x!!!!!!!CCC. Increase the capture of your members risk and care gaps by connecting clinical data at scale. Fax: (510) 817-1894. A northwest payer saw a $7M increase in their Medicaid premium by partnering with Arcadia to improve their closed risk per patient by 59%. 0000006121 00000 n Improve your chase list for a better ROI on your risk adjustment program. 11804 0 obj<> endobj Rights and Responsibilities. Health Plans, Inc.PO Box 5199Westborough, MA 01581. Arcadian Health Plan Company Profile | Management and Employees List Our claims professionals have extensive claims handling experience for a variety of business lines. 0000001278 00000 n This information is not a complete description of benefits. Please refer to your evidence of coverage for additional details on what your plan may cover or other rules that may apply. NPI record contains FOIA-disclosable NPPES health care provider information. Documentation Guidelines. Arcadian Health Plan Eligibility. To learn more about the health plan programs, contact the following customer service departments: Aetna. ARCADIAN HEALTH PLAN INC. NPI 1598910549. 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. Our Health Plans - ADOC Medical Policies. Stop by Booth #152 to meet our team and get a demo of Arcadia Analytics. Cool Arcadian Health Plan Provider Portal References All 2023 Plans - Community Health Plan of Washington - Medicare Advantage Your Choice, Your Plans. 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. Medicaid contracts each year with plans that are willing to accept a monthly fee for each recipient in their program. Arcadias thrilled to be back in Chicago for AMGA 2023, where we hope to hear about your healthcare goals and aspirations. Health (3 days ago) arcadian health plan, inc. Hmo company profile and agent for service. We do this by: There are options we like from Arcadia. View or print your member ID card. Premiums as Low as $0. 2023 Copyright arcadia.io | HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). Arcadia is the leading population health management data and software company. Health (3 days ago) WebARCADIAN HEALTH PLAN, INC. NPI is 1598910549. ; Customer Insights Team We help bridge the gap from data retrieval to implementation for efficiency and care. Longevity Health Plan is an Institutional Special Needs Plan (ISNP), a specialized Medicare Advantage health plan serving people living in skilled nursing facilities. Get the most out of your plan with a MyHumana account. Let them know who you want as your primary care physician and that you want AllCare as your medical group. This communication provides a general description of certain identified insurance or non-insurance benefits provided under one or more of our health benefit plans. 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. Navigating through disruption and coming out on the other side with a stronger system involves more than implementing the right list of tools. Big data technology for high availability data ingestion, computation and storage. Our healthcare experts weigh in on industry topics. AgeRight Advantage is a Medicare Advantage Plan locally owed by Marquis Companies and Avamere Family of Companies. Insurance Listings | Clinical Pathology Laboratories 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. You can find the login to our member or provider portal as well asregistration, password help, and our find a provider systems. Home - AgeRight Advantage 0000001811 00000 n Stop by Booth #152 to meet our team and get a demo of Arcadia Analytics. . What does Medicare cover (and not cover)? The ranking was based on responses from 12,985 US individuals measuring 17 brands in the industry. DHMSO: Provider Login Clinical Guidelines. Health Care Providers - Access Patient Benefits - Health Plans, Inc 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. Arcadias powerful insights elucidate strategies around the financial viability of risk and lowering costs. 0000012822 00000 n Health Net provides quality affordable health plans for individuals, families, Medi-Cal members, Medicare and businesses. Health (2 days ago) WebHumana 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). The HMO Service Counties spreadsheet can be accessed via the "HMO Service areas" link and is for informational purposes only. Arcadian Health Plan Inc Humana The provider's business location address is: Source: picshealth.blogspot.com. 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. Some plans may also charge a one-time, non-refundable enrollment fee. Looking for information about your patients benefits or claims? Patient Consent Forms. If you have purchased an association plan, an association fee may also apply. Find the right healthcare plan for you, your family or your employees. For your convenience, we now have a dedicated phone line. If you have purchased an association plan, an association fee may also apply. Our analytical expertise simplifies operational decisions for our partners, so they can focus on doing what they do . Your Choice, Your Plans. Blue Shield of California Promise Health Plan currently serves Medi-Cal . , Health (Just Now) WebSecure Provider Portal Prior Authorization; Provider Electronic Solutions (PES) Software Arcadian Health Plan, Inc. (Humana) 1-866-945-4481. Name Required. 0000004546 00000 n Deliver personalized experiences, reduce administrative efforts, and create new health and wellness benefits for members, employers, and providers with a data-driven strategy. This includes adults, children, families with children, seniors, and persons with disabilities. 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 help drive quality care with expert insights for healthier lives. Our data-driven approach and team support for your value-based care. (877) 842-3210. Review the latest news and publications for providers. ARCADIAN HEALTH PLAN, INC. can be reached at the following phone number(s): Phone: 510-832-0311 MyPlan CarePath Guide for Members. DHMSO: Provider Login. Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. 0000016080 00000 n You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID # 44273. (This fee is non-refundable as allowed by state). Compare Humana Medicare plans where you live. I'm not a OneHealthPort Subscriber but would like information on subscribing. Our trained personnel arrive fully stocked with medical kits for advanced diagnostics. 0000014444 00000 n 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. . A minimum one-year, initial contract period may be required for some dental and vision plans, excluding Dental Savings Plus. Hearty in Hawaii? Patient Consent Forms. 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. See our full accessibility rights information, non-discrimination disclosure, and language options. Need to submit a claim? If you need technical help to access the UnitedHealthcare Provider Portal, please email ProviderTechSupport@uhc.com or call our UnitedHealthcare Web Support at 866-842-3278, option 1. LIBERTY Dental Plan Establishes a Dedicated Toll-Free Number for Members Impacted by Humboldt County Earthquake. In the event of any disagreement between this communication and the plan document, the plan document will control. 11806 0 obj<>stream Arcadian Health Plan, Inc. - AL, AR, CA, FL, IA, IL, IN, KY, ME, MO Pharmacy. 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. Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. We have clinical data, claims data, and ADT data all put together in the system. This data may not reflect amendments filed by the HMO and may be subject to change. trailer Explore trainings and tutorials for working with Humana. Not available with all Humana health plans. Forgot Username? Prescheduled visits can be organized with the provider joining by phone or telehealth. Please do not include any confidential or personal information, such as protected health information, social security number, or tax ID. When it comes to healthcare, its easy to feel like just a number. 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. Product features may vary by client. View your information. 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. 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. EmpowerID. Working with Acadian Health provides greater opportunity to engage members or patients in the convenient and lower cost home setting. Humana Contact Information for Providers UnitedHealthcare Provider Portal Resources | UHCprovider.com 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. 1.800.624.6961, ext. . The provider is registered as an organization entity type. We will make reasonable accommodation to meet our obligations under the Americans with Disabilities Act (ADA) and state disability laws. Centene Venture Company Alabama Health Plan, Inc. (Ascension Complete) 1-833-542-1677. www.ascensioncomplete.com. 1-877-370 , https://medicaid.alabama.gov/content/7.0_Providers/7.1_Third_Party/7.1.3_Medicare-Related_Programs/7.1.3.1_Medicare_Adv_Plans.aspx, Washington state health insurance application, Mental health disaster response training, National healthcare corporation nashville tn, St louis city department of public health, 2021 health-improve.org. HMO Company Profile and agent for service. 10/25/2022. To appeal a decision, mail a written request to: Health Plan of Nevada, Member Services. 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). Our Medicare Advantage plans come packed with extra resources for improving our members health. To access the website, click "Allow". Hear what the incredible people behind the data have to say. To help our members through the pandemic, were providing trusted information from public health officials. View or print your member ID card. 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. Like an EASY button for providers: Overcome transportation and mobility issues by simply pre-scheduling or requesting an on-demand At-Home Health visit. 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. Have questions about your Humana contract? Eligible members enjoy access to a wide variety of benefits, services and tools.

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