Start a new EpicCare Link session Cardiologist (Heart Specialist) Arcadian Health Plan providers in Washington listed on Doctor.com have been practicing for an average of: 31 year (s) Average ProfilePoints score for Providers in Washington who take Arcadian Health Plan: 50/80. In the event of a dispute, the policy as written in English is considered the controlling authority. We partner with leading nursing homes around the country to improve the health and quality of life of residents . 1-877-370-4874. www.MyUHCMedicare.com. With five decades of mobile healthcare experience through our ambulance division, the Acadian Health mobile community healthcare team members . 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 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. Check patient eligibility, submit preauthorizations, dispute finalized claims and more on the Availity Essentials portal. Product features may vary by client. We like howeasy the system is to usefor end users. To learn more about the health plan programs, contact the following customer service departments: Aetna. Compare Humana Medicare plans where you live. Eligible members enjoy access to a wide variety of benefits, services and tools. Medi-Cal is California's Medicaid healthcare program that offers free or low-cost health coverage. Medicaid contracts each year with plans that are willing to accept a monthly fee for each recipient in their program. 10/25/2022. Our Medicare Advantage plans come packed with extra resources for improving our members health. Fax: (510) 817-1894. To appeal a decision, mail a written request to: Health Plan of Nevada, Member Services. To help our members through the pandemic, were providing trusted information from public health officials. 0000002922 00000 n Stop the data debates and give your teams the ability to focus on the best next step. My Plan. Corporate Office Go365 is not an insurance product and is not available with all Humana health plans. 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. Documentation Guidelines. This list contains CPLs most commonly billed insurances. Contact Us About The Company Profile For Arcadian Health Plan, Inc. Need to submit a claim? . Arcadian Health Plan | 1,090 followers on LinkedIn. 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. 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 hope to see you at the HIMSS23 Global Conference. Access Patient Benefits. We partner with healthcare providers to optimize financial outcomes in both value-based care and fee-for-service payment models while empowering opportunities to deliver quality care. . The Company Profile page provides basic general information on the HMO, including basic financial, contact, attorney for service, complaint and company history information. There are several plans to choose from and not all benefits may be available in every plan. Certain exceptions may apply by geography, network affiliation, member coverage or benefit design. 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 . Acadian comprises six divisions Acadian Ambulance Service, Acadian Air Med, Acadian Total Security, National EMS Academy, Executive Air Charter and Safety Management Systems and has a variety of support departments. 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 . EmpowerID. Register for Your Account Today. 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. Track copays and deductibles. ), and prepare summary information to initiate proposal response activities. Client session timed out. Checking your browser. Notice of data security event involving ChoiceHealth, a service provider for Humana. 2023 Copyright arcadia.io | HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). MyPlan QuickStart Guide for Members. 2023 Acadian Companies. 0000000926 00000 n (877) 842-3210. Company Profile Page. 0000011182 00000 n Review the claim submission address or electronic payor ID # on the back of the patients member ID card. View claims. This is a general description of services which are subject to change. We build population health management strategies to take on Medicare, Medicaid, and Commercial risk-based contracts. 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. TDI assumes no responsibility for omissions, inaccuracies or ambiguities. 300 Hopkins Street Become a member of Humanas provider network. 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 . 0000007839 00000 n Clinical Guidelines. Review the claim submission address or electronic payor ID # on the back of the patients member ID card. By working collaboratively with your team, we strive to improve patient satisfaction, care coordination, and achieve quality health outcomes. Activate your MyHumana profile. Las Vegas, NV 89114-5645. Stop by Booth #152 to meet our team and get a demo of Arcadia Analytics. 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. 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. The proprietary survey results are based on consumers opinions of the experiences with the brands in the survey. If you have any questions about our plan benefits, procedures and other topics, contact Provider Services. Go365 is not an insurance product. Users must adhere to CMS Information Security Policies, Standards, and Procedures. Hear what the incredible people behind the data have to say. endstream endobj 11821 0 obj<>/W[1 1 1]/Type/XRef/Index[152 11652]>>stream It's holistic care for members and peace of mind for loved ones. Our claims professionals have extensive claims handling experience for a variety of business lines. View notice under A Notice for Certain Policy Holders on the ChoiceHealth website. Health Net provides quality affordable health plans for individuals, families, Medi-Cal members, Medicare and businesses. Review document requirements to ensure response to all pre-submission material (e.g. In states, and for products where applicable, the premium may include a $1 administrative fee. Longevity Health Plan is an Institutional Special Needs Plan (ISNP), a specialized Medicare Advantage health plan serving people living in skilled nursing facilities. Contact Humana with questions about your patients` benefits or claims. And Arcadia had really outstanding leadership in terms of the knowledge of the business. We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. 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. In the event of any disagreement between this communication and the plan document, the plan document will control. 0 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. Arcadias powerful insights elucidate strategies around the financial viability of risk and lowering costs. The AgeRight Advantage mission is to promote the vitality within each of AgeRight Advantage's members and to support them along their aging journey. Visits in urban or rural areas due to convenience, patient choice, or transportation issues, Acadian Health Notice of Privacy Practices, Patient education and care plan follow-up. Find doctors, hospitals, and specialists in your area. 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. This is the name or names of the company under which the company does business. Employment is based solely upon ones individual merit and qualifications directly related to professional competence. 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. Humana for physicians and healthcare providers. Filing Date: October 29, 2013. Review the latest news and publications for providers. We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. 0000004546 00000 n %PDF-1.4 % xb```b``y sx "~CT3gv6+dJX vHe_`l;~rd5ZWH20Gif >X3=`2L@8` $/L We are constantly working to expand our health plan affiliations to provide you with the best options for you and your family's needs. 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. Our analytical expertise simplifies operational decisions for our partners, so they can focus on doing what they do . Plus you get extra $0 benefits like Alternative Medicine visits (chiropractor, acupuncture, and more), fitness programs, and a monthly over-the-counter benefit. Data analytics decision-making guide, Guide to Build vs. Buy in Healthcare Analytics. Working with Acadian Health provides greater opportunity to engage members or patients in the convenient and lower cost home setting. 0000016080 00000 n ARCADIAN HEALTH PLAN, INC. can be reached at the following phone number(s): Phone: 510-832-0311 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. 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. RSVP to Site Meetings, return Intent to Submit letters, etc. Advanced at-home care is an alternative to inpatient hospital visits for general medical conditions. CalOptima Health does not offer free wireless phones. Log in to , https://www.humana.com/provider/medical-resources/self-service-portal, Health (6 days ago) WebMedical Policies. We help drive quality care with expert insights for healthier lives. (3 days ago) WebAddress: 500 12TH ST STE 300 OAKLAND, CA ZIP 94607 Phone: (510) 832-0311 Get Directions ARCADIAN HEALTH PLAN, INC. is a health maintenance organization in . 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. 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. 11804 0 obj<> endobj Health Plans, Inc.PO Box 5199Westborough, MA 01581. 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. Precise ParkLink. Administered by Humana Insurance Company. View plan provisions or check with your sales representative. View your information. 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). 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. Arcadian Health Plan and Humana Benefit Plan of Illinois, Inc . This site uses cookies that are essential for our site to work. Our analytical expertise simplifies operational decisions for our partners, so they can focus on doing what they do best: delivering care. Forgot Password. We act as your eyes, ears, and hands and coordinate with the patients provider to support a wellness/specialist visit or address complex conditions. 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 . SilverSneakers may not be available on all plans or in all areas. 500 W Main. Hear what the incredible people behind the data have to say. For New Mexico residents: Insured by Humana Insurance Company. Ailing in Alabama? This login page requires that you have registered as a OneHealthPort Subscriber. April 1-September 31. 0000009531 00000 n When it comes to healthcare, its easy to feel like just a number. . <]>> The HMO Alias list is an Excel spreadsheet. A minimum one-year, initial contract period may be required for some dental and vision plans, excluding Dental Savings Plus. You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID # 44273. If this is a U.S. Government information system, CMS maintains ownership and responsibility for its computer systems. 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. 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. MyPlan QuickStart Guide for Members. 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). Some links on this page may take you to Humana non-Medicare product or service pages or to a different website. We help bridge the gap from data retrieval to implementation for efficiency and care. 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 Site Usage Privacy Rights | Site Designed by Firefly Marketing Acadian is an Equal Opportunity Employer/Affirmative Action Employer. View plan provisions or check with your sales representative. Average Overall User Rating for Providers in Washington who take Arcadian Health Plan: 0000001278 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. Looking for information on timely filing limits? If you have purchased an association plan, an association fee may also apply. Looking for information about your patients benefits or claims? Verify patient eligibility and check the status of submitted claims through our online services below. Results are shared through our provider portal where encounter records can be easily viewed, downloaded, and uploaded to your system. Forgot Password. Warning: you are accessing an information system that may be a U.S. Government information system. 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). 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. Hands-on visits for providers to extend their specialty practice into patients homes, offering after hours and weekend support. . The information is subject to change and is not all-inclusive. Log in tips & other helpful technical information. 11806 0 obj<>stream LIBERTY Dental Plan Partners with Kaiser Permanente's Mid-Atlantic Region for Dental Benefits Coverage. Humana makes it easy to find the best Medicare plans for younear you. startxref 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. Our data-driven approach and team support for your value-based care. Physician Case Management Referral. AARP Medicare Complete. It is for people who meet the income requirements and live in the state. 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. A look at how states vary in their rates of common diseases, and why measuring health state-by-state requires robust data. HAP | Affordable Michigan Health Insurance | Michigan Health Insurance . Support provider performance by making care and risk documentation gaps actionable within their existing clinical workflows. For most members, claims can be mailed or , https://www.hpitpa.com/your-resources/for-providers/check-claims-eligibility/. Need to submit a claim? Arcadia is the leading population health management data and software company. x1 048F}\G` z0=i2\x!!!!!!!CCC. Your EpicCare Link session has been closed. A northwest payer saw a $7M increase in their Medicaid premium by partnering with Arcadia to improve their closed risk per patient by 59%. 2023 Copyright arcadia.io | HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). You've got questions, we've got anwers. Insured through UnitedHealthcare (formerly Secure Horizons) Website. 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. Lets talk about how we can help you solve your most complex challenges. Any descriptions of when to use telehealth services are for informational purposes only and should not be construed as medical advice. Our broad network of in-network providers makes it easy to find a doctor, dentist, vision care provider or pharmacy near you. Lafayette, LA 70501. Not available with all Humana health plans. Arcadia keeps up with industry trends and has new functionalities available. We help drive quality care with expert insights for healthier lives. We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. Find your B2B customer within minutes using affordable, accurate contact data from Datanyze. Download provider quick reference phone guide (PDF, 129 KB) Provider Search . 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. Checking your browser. Documentation , Health (5 days ago) WebContact. Make a plan for a lifetime of better health with Medi-Cal. Health Plan of Nevada providers must file an appeal within 180 days. 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. Humana legal entities that offer, underwrite, administer or insure insurance products and services. 11804 18 Medical Policies.
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