Please refer to your evidence of coverage for additional details on what your plan may cover or other rules that may apply. Request and coordinate all required documentation from internal departments for submissions in a . Arcadian Health Plan Profile and History . 0000000926 00000 n 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. We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. 0000002140 00000 n View claims. Enrollment in Providence Health Assurance depends on contract renewal. ARCADIAN HEALTH PLAN, INC. can be reached at the following phone number(s): Phone: 510-832-0311 Noridian Medicare Portal Login For Arizona residents: Insured by Humana Insurance Company. We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. NPI record contains FOIA-disclosable NPPES health care provider information. Hear what the incredible people behind the data have to say. 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. Average Overall User Rating for Providers in Washington who take Arcadian Health Plan: 130 E. Kaliste Saloom Road Below are options for contacting us. Ailing in Alabama? Staring down all the possibilities of building vs. buying a data analytics solution? PDF Arcadian Health Plan Inc., H5619 Dual Eligible Medicare Zero Cost 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. Las Vegas, NV 89114-5645. By working collaboratively with your team, we strive to improve patient satisfaction, care coordination, and achieve quality health outcomes. In the event of any disagreement between this communication and the plan document, the plan document will control. Spot opportunities and problems quicker with an intelligent analytics platform built for payers. 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. Integrate your business for coordinated and collaborative innovation by unifying your infrastructure and associated business processes with a service oriented, centralized platform. Alabama Medicaid Warning: you are accessing an information system that may be a U.S. Government information system. Rights and Responsibilities. Longevity Health Plan is an Institutional Special Needs Plan (ISNP), a specialized Medicare Advantage health plan serving people living in skilled nursing facilities. Our claims professionals have extensive claims handling experience for a variety of business lines. AARP Medicare Complete. For Arizona residents: Insured by Humana Insurance Company. Big data technology for high availability data ingestion, computation and storage. There are several plans to choose from and not all benefits may be available in every plan. Documentation , Health (5 days ago) WebContact. View notice under A Notice for Certain Policy Holders on the ChoiceHealth website. Stay connected by updating your contact information (service address, phone/fax numbers, etc.). 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. Arcadia is the leading population health management data and software company. 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. 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. Our healthcare experts weigh in on industry topics. Go365 is not an insurance product and is not available with all Humana health plans. Box 12030, Austin, TX 78711 | 512-676-6000 | 800-578-4677, State Auditor's Office Hotline: 800-TX-AUDIT. ARCADIAN HEALTH PLAN INC. NPI 1598910549 - Health Providers Data Limitations on telehealth services, also referred to as virtual visits or telemedicine, vary by state. To appeal a decision, mail a written request to: Health Plan of Nevada, Member Services. Fax: (510) 817-1894. Track copays and deductibles. 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. Devoted Health Plan of Alabama, Inc. 1-800 . Some links on this page may take you to Humana non-Medicare product or service pages or to a different website. PDF H5619 Arcadian Health Plan (Humana, Inc.) Dual Eligible (Dual Eligible Enrollment in Vantage depends on contract renewal. You've got questions, we've got anwers. Our CHPW Medicare Advantage plans offer coverage for things Original Medicare doesn't cover, like dental, vision, and prescription drugs (except Freedom Plan). Have questions about your Humana contract? HMO Alias, NCQA accredits and certifies a wide range of health care organizations. 0 For most members, claims can be mailed or , https://www.hpitpa.com/your-resources/for-providers/check-claims-eligibility/. Humana Inc. - 97% of Humana's Medicare Advantage Members Are in This list contains CPLs most commonly billed insurances. 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. Insured through UnitedHealthcare (formerly Secure Horizons) Website. Review the claim submission address or electronic payor ID # on the back of the patients member ID card. Clinical Guidelines. Big data technology for high availability data ingestion, computation and storage. This information is not a complete description of 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. We do this by: There are options we like from Arcadia. Administered by Humana Insurance Company. 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 . Precise ParkLink. Become a member of Humanas provider network. This is the name or names of the company under which the company does business. 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. Corporate Office For New Mexico residents: Insured by Humana Insurance Company. 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. 0000002843 00000 n 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. 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. 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. For more information, contact: Verify patient eligibility and check the status of submitted claims through our online services below. Our Health Plans - Regal Medical Group Certain exceptions may apply by geography, network affiliation, member coverage or benefit design. 500 12th St Ste 350, Oakland, California, 94607, United States. Your EpicCare Link session has been closed. 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. Indiana Medicaid: Partners: Dual Eligible Special Needs Plans If you have purchased an association plan, an association fee may also apply. For New Mexico residents: Insured by Humana Insurance Company. File Number: 3615733. This site uses cookies that are essential for our site to work. For Providers | Meridian 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. SilverSneakers may not be available on all plans or in all areas. Not available with all Humana health plans. Alternative care for non-traumatic hospitalizations for sick but stable patients who would typically be transported by ambulance to an ED. Based on a comparison of the open risk documented with and without using Arcadia for pre-visit planning and at the point of care. And with Availity, you can conduct business online quickly and easily, so you can focus on the well-being of our . 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. arcadian health plan, inc claims mailing address 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 . Some plans may also charge a one-time, non-refundable enrollment fee. Checking your browser. Big data technology for high availability data ingestion, computation and storage. This data may not reflect amendments filed by the HMO and may be subject to change. 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? Learn how to submit a preauthorization for frequently requested services/procedures for your patients and check prior authorization lists. If this is a U.S. Government information system, CMS maintains ownership and responsibility for its computer systems. Stop the data debates and give your teams the ability to focus on the best next step. Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. 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. - Texas Department of Insurance Company Profile Page. Current Member: 866-409-1221 (TTY 711) . 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. For Texas residents: Insured or offered by Humana Insurance Company, HumanaDental Insurance Company or DentiCare, Inc (d/b/a Compbenefits). Health Plan of Nevada providers must file an appeal within 180 days. ), and prepare summary information to initiate proposal response activities. Explore trainings and tutorials for working with Humana. 0000006121 00000 n 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.

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