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. The HMO Service Counties spreadsheet can be accessed via the "HMO Service areas" link and is for informational purposes only. 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. If you have any questions about our plan benefits, procedures and other topics, contact Provider Services. Precise ParkLink. If you have purchased an association plan, an association fee may also apply. Check patient eligibility, submit preauthorizations, dispute finalized claims and more on the Availity Essentials portal. 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. April 1-September 31. . 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 proprietary survey results are based on consumers opinions of the experiences with the brands in the survey. Data analytics decision-making guide, Guide to Build vs. Buy in Healthcare Analytics. Our data-driven approach and team support for your value-based care. Arcadian Health Plan Company Profile | Management and Employees List It's holistic care for members and peace of mind for loved ones. Notice of data security event involving ChoiceHealth, a service provider for Humana. 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. Insurance Listings. 0000001506 00000 n Documentation , Health (5 days ago) WebContact. Help providers make impactful decisions at the point of care with insights deliver at just the right time. This login page requires that you have registered as a OneHealthPort Subscriber. Medical Policies. 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. Log in tips & other helpful technical information. HPI | Provider Resources | Patient Benefits & Eligibility Forgot Username? Arcadian Health Plan, Inc. Company Profile | Oakland, CA | Competitors 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. 1601 Congress Avenue, Austin, TX 78701 | P.O. Request and coordinate all required documentation from internal departments for submissions in a . Average Overall User Rating for Providers in Washington who take Arcadian Health Plan: PDF claims processing 20060120 (2) - Centers for Medicare & Medicaid Services In states, and for products where applicable, the premium may include a $1 administrative fee. Arcadian Health Plan Eligibility 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). Get the most out of your plan with a MyHumana account. Arcadias thrilled to be back in Chicago for AMGA 2023, where we hope to hear about your healthcare goals and aspirations. Representatives are available Monday - Friday 7 a.m. - 9 p.m. Central Time. In the event of any disagreement between this communication and the plan document, the plan document will control. Our broad network of in-network providers makes it easy to find a doctor, dentist, vision care provider or pharmacy near you. (This fee is non-refundable as allowed by state). The provider is registered as an organization entity type. Call Provider Services at 888-773-2647 (TTY 711) with any questions. 500 W Main. Health Care Providers - Access Patient Benefits - Health Plans, Inc For costs and complete details of the coverage, refer to the plan document or call or write your Humana insurance agent or the company. Checking your browser. 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. In the event of any disagreement between this communication and the plan document, the plan document will control. Community Health Plan of Washington | OneHealthPort Employment is based solely upon ones individual merit and qualifications directly related to professional competence. The ranking was based on responses from 12,985 US individuals measuring 17 brands in the industry. Contact Us :: The Health Plan Rights and Responsibilities. Humana makes it easy to find the best Medicare plans for younear you. Locations Primary 500 12th Street, . 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. 0000007839 00000 n Centene Venture Company Alabama Health Plan, Inc. (Ascension Complete) 1-833-542-1677. www.ascensioncomplete.com. Forgot Password. St Louisville, KY 40202. For Providers. Please refer to your evidence of coverage for additional details on what your plan may cover or other rules that may apply. 11806 0 obj<>stream Box 12030, Austin, TX 78711 | 512-676-6000 | 800-578-4677, State Auditor's Office Hotline: 800-TX-AUDIT. For costs and complete details of the coverage, refer to the plan document or call or write your Humana insurance agent or the company. 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). 11804 18 Secure Log in - Health Plan Humana legal entities that offer, underwrite, administer or insure insurance products and services. My Plan. What healthcare data platform capabilities do you need to stay competitive? Stop the data debates and give your teams the ability to focus on the best next step. Ailing in Alabama? Start a new EpicCare Link session Health Net - Coverage for Every Stage of Life | Health Net 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. Arcadias powerful insights elucidate strategies around the financial viability of risk and lowering costs. Humana group life plans are offered by Humana Insurance Company or Humana Insurance Company of Kentucky. FinancialAnalysis@tdi.texas.gov. Payment Policies. Group Dental and Vision Plans (Insurance through your employer). Data Platform Big data technology for high availability data ingestion, computation and storage. Download provider quick reference phone guide (PDF, 129 KB) New Humana member? Noridian Medicare Portal Login View your information. Learn how to submit a preauthorization for frequently requested services/procedures for your patients and check prior authorization lists. . 0000014444 00000 n Looking for information on timely filing limits? U.S. News and World Report names Humana 2023 Best Overall Medicare Advantage Plan Company. Health (Just Now) Provider Directory Search Medicare Advantage Plans Recipients in certain Alabama counties may voluntarily choose to participate in a Medicare Advantage plan. 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 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. Arcadian Health Plan Provider Portal These two leaders in the long term care industry joined together to create a . DHMSO: Provider Login For Providers | Meridian Review the claim submission address or electronic payor ID # on the back of the patients member ID card. Arcadian Health Plan | LinkedIn A look at how states vary in their rates of common diseases, and why measuring health state-by-state requires robust data. Become a member of Humanas provider network. We partner with leading nursing homes around the country to improve the health and quality of life of residents . A northwest payer saw a $7M increase in their Medicaid premium by partnering with Arcadia to improve their closed risk per patient by 59%. Log in tips & other helpful technical information. Support provider performance by making care and risk documentation gaps actionable within their existing clinical workflows. 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. Maxwell Roberts Building, 5th Floor, 1 Church Street Hamilton HM 11 Bermuda +1 441 5439 800 Compare Humana Medicare plans where you live. This is the name or names of the company under which the company does business. Filing Date: October 29, 2013. ZIP 94607-087. 11804 0 obj<> endobj 0000011182 00000 n To access the website, click "Allow". Certain exceptions may apply by geography, network affiliation, member coverage or benefit design. Use the links on this page to access IHCP provider news items, bulletins, and banner page publications. Hear what the incredible people behind the data have to say. H5619 Arcadian Health Plan (Humana, Inc.) Dual Eligible (Dual Eligible Subset - Medicare Zero Cost-sharing) Special Needs Plan Model of Care Score: 88.33% . 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. This site uses cookies that are essential for our site to work. (877) 842-3210. Navigating through disruption and coming out on the other side with a stronger system involves more than implementing the right list of tools. endstream endobj 11821 0 obj<>/W[1 1 1]/Type/XRef/Index[152 11652]>>stream 1-877-370-4874. www.MyUHCMedicare.com. To help our members through the pandemic, were providing trusted information from public health officials. We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. Helping Healthcare Providers Improve Population Health - Arcadia Navigating through disruption and coming out on the other side with a stronger system involves more than implementing the right list of tools. You've got questions, we've got anwers. 0000016080 00000 n 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. This list contains CPLs most commonly billed insurances. Eligible members enjoy access to a wide variety of benefits, services and tools. MyPlan CarePath Guide for Members. Cool Arcadian Health Plan Provider Portal References 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 . Helping Healthcare Payers Improve Risk Adjustment - Arcadia View plan provisions or check with your sales representative. . We help drive quality care with expert insights for healthier lives. Activate your MyHumana profile. If this is a U.S. Government information system, CMS maintains ownership and responsibility for its computer systems. 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. Review the claim submission address or electronic payor ID # on the back of the patients member ID card. %%EOF (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 . Support provider performance, make care and risk gaps actionable, combine clinically integrated data with predictive analytics, and improve ROI for your risk adjustment programs. Logout - Trinity Health EmpowerID. Big data technology for high availability data ingestion, computation and storage. By working collaboratively with your team, we strive to improve patient satisfaction, care coordination, and achieve quality health outcomes. Alternative care for non-traumatic hospitalizations for sick but stable patients who would typically be transported by ambulance to an ED. We act as your eyes, ears, and hands and coordinate with the patients provider to support a wellness/specialist visit or address complex conditions. Pharmacy. Industry: Health insurance carriers Printer Friendly View Address: 500 12TH St Ste 350 Oakland, CA, 94607-5204 United States See other locations Please do not include any confidential or personal information, such as protected health information, social security number, or tax ID. 0000001811 00000 n Staring down all the possibilities of building vs. buying a data analytics solution? Explore trainings and tutorials for working with Humana. View notice under A Notice for Certain Policy Holders on the ChoiceHealth website. UnitedHealthcare Provider Portal Resources | UHCprovider.com Doctors who accept Arcadian Health Plan Insurance | Doctor.com Medi-Cal is California's Medicaid healthcare program that offers free or low-cost health coverage. Your EpicCare Link session has been closed. Indiana Medicaid: Partners: Dual Eligible Special Needs Plans This data may not reflect amendments filed by the HMO and may be subject to change. 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). Arcadian Health Plan Profile and History . (This fee is non-refundable as allowed by state). This is a general description of services which are subject to change. I'm not a OneHealthPort Subscriber but would like information on subscribing. View claims. Important Humana numbers and contact information for healthcare providers. Humana for physicians and healthcare providers. Healthcare disrupted: How to keep pace in a rapidly changing world, Population health trends across the United States. Company Profile Page. 0000002843 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. Hear what the incredible people behind the data have to say. 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. Payment Policies. This communication provides a general description of certain identified insurance or non-insurance benefits provided under one or more of our health benefit plans. Enrollment in Providence Health Assurance depends on contract renewal. Lets talk about how we can help you solve your most complex challenges. Physician Case Management Referral. Humana Inc. - 97% of Humana's Medicare Advantage Members Are in A look at how states vary in their rates of common diseases, and why measuring health state-by-state requires robust data. We do this by: There are options we like from Arcadia. 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. OAKLAND, CA. Health Plan of Nevada providers must file an appeal within 180 days. This site uses cookies that are essential for our site to work. Stop by Booth #152 to meet our team and get a demo of Arcadia Analytics. 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. 300 Hopkins Street 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. For your convenience, we now have a dedicated phone line. 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. Website. Chloe Do - Business Development Administrator - LinkedIn Most popular medical specialty of providers who accept Arcadian Health Plan: Family Doctor. 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. Any descriptions of when to use telehealth services are for informational purposes only and should not be construed as medical advice. Go365 is not an insurance product. Health (3 days ago) WebARCADIAN HEALTH PLAN, INC. NPI is 1598910549. 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.