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. 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. View claims. Find the right healthcare plan for you, your family or your employees. If you have purchased an association plan, an association fee may also apply. 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. Looking for information on timely filing limits? (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 . Group Dental and Vision Plans (Insurance through your employer). Devoted to the communities we serve. Password Is Required. This is a general description of services which are subject to change. Blue Shield of California Promise Health Plan currently serves Medi-Cal . Enhance your existing healthcare services with our mobile resources, bringing trained personnel direct to the patientwherever they are. We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. Arcadias thrilled to be back in Chicago for AMGA 2023, where we hope to hear about your healthcare goals and aspirations. 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 . . For Texas residents: Insured or offered by Humana Insurance Company, HumanaDental Insurance Company or DentiCare, Inc (d/b/a Compbenefits). 1-877-370-4874. www.MyUHCMedicare.com. Alignment Health Plan. New competitors are entering the market, expectations from members are shifting, and regulatory pressures are making it more difficult than ever to succeed. Start a new EpicCare Link session 1.800.624.6961, ext. Forgot Password. The provider's business location address is: 500 12TH ST STE 300. Some plans may also charge a one-time, non-refundable enrollment fee. LIBERTY Dental Plan Partners with Kaiser Permanente's Mid-Atlantic Region for Dental Benefits Coverage. Integrate your business for coordinated and collaborative innovation by unifying your infrastructure and associated business processes with a service oriented, centralized platform. Individual applications are subject to eligibility requirements. Current Member: 866-409-1221 (TTY 711) . 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. If the provider is unavailable, Acadian Healths trained professionals can execute on a providers care plan in their place, sending detailed notes and updates following the visit. See our full accessibility rights information, non-discrimination disclosure, and language options. Make a plan for a lifetime of better health with Medi-Cal. 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. If you have any questions about our plan benefits, procedures and other topics, contact Provider Services. To appeal a decision, mail a written request to: Health Plan of Nevada, Member Services. Our healthcare experts weigh in on industry topics. 0 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. H5619 Arcadian Health Plan (Humana, Inc.) Dual Eligible (Dual Eligible Subset - Medicare Zero Cost-sharing) Special Needs Plan Model of Care Score: 88.33% . Verify patient eligibility and check the status of submitted claims through our online services below. This site uses cookies that are essential for our site to work. 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 Fax: (510) 817-1894. Humana group life plans are offered by Humana Insurance Company or Humana Insurance Company of Kentucky. Group Dental and Vision Plans (Insurance through your employer). Maxwell Roberts Building, 5th Floor, 1 Church Street Hamilton HM 11 Bermuda +1 441 5439 800 TDI assumes no responsibility for omissions, inaccuracies or ambiguities. Some plans may also charge a one-time, non-refundable enrollment fee. 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. Premiums as Low as $0. Please keep your personal information private. Patient Consent Forms. We have clinical data, claims data, and ADT data all put together in the system. Access Patient Benefits. HMO Alias, NCQA accredits and certifies a wide range of health care organizations. A look at how states vary in their rates of common diseases, and why measuring health state-by-state requires robust data. Enrollment in Vantage depends on contract renewal. 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. Name Required. Need to submit a claim? Documentation , Health (5 days ago) WebContact. With five decades of mobile healthcare experience through our ambulance division, the Acadian Health mobile community healthcare team members . We like the data that has been made available. To help our members through the pandemic, were providing trusted information from public health officials. 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. Warning: you are accessing an information system that may be a U.S. Government information system. . *Humana received the highest CX Index score among health insurers in Forresters proprietary 2022 CX Index survey. 0000001811 00000 n AgeRight Advantage is a Medicare Advantage Plan locally owed by Marquis Companies and Avamere Family of Companies. View your information. HAP | Affordable Michigan Health Insurance | Michigan Health Insurance . Average Overall User Rating for Providers in Washington who take Arcadian Health Plan: What healthcare data platform capabilities do you need to stay competitive? Review the claim submission address or electronic payor ID # on the back of the patients member ID card. Documentation Guidelines. Please contact the member's participating provider network website for specific filing limit terms. 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. If there's a question you can't find the answer to in our FAQs, call Provider Services at 888-773-2647 (TTY 711). Devoted Health Plan of Alabama, Inc. 1-800 . Power your business with a provider source of truth. ZIP 94607-087. In states, and for products where applicable, the premium may include a $1 administrative fee. Download provider quick reference phone guide (PDF, 129 KB) Arcadian Health Plan, Inc. (Humana) 1-866-945-4481. . Humana Employers Health . Our data-driven approach and team support for your value-based care. 300 Hopkins Street The provider's business location address is: Source: picshealth.blogspot.com. xb```b``y sx "~CT3gv6+dJX vHe_`l;~rd5ZWH20Gif >X3=`2L@8` $/L 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. A minimum one-year, initial contract period may be required for some dental and vision plans, excluding Dental Savings Plus. Our trained personnel arrive fully stocked with medical kits for advanced diagnostics. Call us at (800) 468-9935 [TTY 711], 6 a.m. to 6:30 p.m., Monday through Friday. Our data-driven approach and team support for your value-based care. What healthcare data platform capabilities do you need to stay competitive? 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. Have questions about your Humana contract? For Providers. 0000006121 00000 n We hope to see you at the HIMSS23 Global Conference. 0000002140 00000 n Call 1-888-823-1910 (TTY users call 711) for more . Humana makes it easy to find the best Medicare plans for younear you. 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. Learn how to submit a preauthorization for frequently requested services/procedures for your patients and check prior authorization lists. Client session timed out. When it comes to healthcare, its easy to feel like just a number. For Texas residents: Insured or offered by Humana Insurance Company, HumanaDental Insurance Company or DentiCare, Inc (d/b/a Compbenefits). MyPlan QuickStart Guide for Members. To access the website, click "Allow". View or print your member ID card. Prescription Coverage. Below are options for contacting us. Las Vegas, NV 89114-5645. Log in to , https://www.humana.com/provider/medical-resources/self-service-portal, Health (6 days ago) WebMedical Policies. View plan provisions or check with your sales representative. We build population health management strategies to take on Medicare, Medicaid, and Commercial risk-based contracts. In the event of any disagreement between this communication and the plan document, the plan document will control. Health Plan of Nevada providers must file an appeal within 180 days. Locations Primary 500 12th Street, . Improve your chase list for a better ROI on your risk adjustment program. (This fee is non-refundable as allowed by state). A look at how states vary in their rates of common diseases, and why measuring health state-by-state requires robust data. Payment Policies. Find a Provider. 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). ARCADIAN HEALTH PLAN, INC. can be reached at the following phone number(s): Phone: 510-832-0311 Stop by Booth #152 to meet our team and get a demo of Arcadia Analytics. 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. 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 . Review document requirements to ensure response to all pre-submission material (e.g. Alabama Medicaid. All Rights Reserved. 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. Noridian Medicare Portal Login. This guide helps you sort through the confusion around build vs. buy. (3 days ago) WebARCADIAN HEALTH PLAN, INC. NPI is 1598910549. This includes adults, children, families with children, seniors, and persons with disabilities. MyPlan QuickStart Guide for Members. Individual applications are subject to eligibility requirements. Checking your browser. For more information, contact: 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. By working collaboratively with your team, we strive to improve patient satisfaction, care coordination, and achieve quality health outcomes. Our CHPW Medicare Advantage plans offer coverage for things Original Medicare doesn't cover, like dental, vision, and prescription drugs (except Freedom Plan). (This fee is non-refundable as allowed by state). Payment Policies. In states, and for products where applicable, the premium may include a $1 administrative fee. Empower providers with collaborative tools to drive better outcomes, and increase provider performance by connecting data from various sources. The provider is registered as an organization entity type. Go365 is not an insurance product. 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 This login page requires that you have registered as a OneHealthPort Subscriber. Need to submit a claim? 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. Humana legal entities that offer, underwrite, administer or insure insurance products and services. Administered by Humana Insurance Company. Medicaid contracts each year with plans that are willing to accept a monthly fee for each recipient in their program. We help drive quality care with expert insights for healthier lives. What does Medicare cover (and not cover)? Phone: (510) 832-0311. For most members, claims can be mailed or , https://www.hpitpa.com/your-resources/for-providers/check-claims-eligibility/. Become a member of Humanas provider network. . CalOptima Health does not offer free wireless phones. U.S. News and World Report names Humana 2023 Best Overall Medicare Advantage Plan Company. 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. 500 W Main. 0000002619 00000 n These reports are located on the TDI Reports webpage: HMO Reports. ARCADIAN HEALTH PLAN, INC. NPI is 1598910549. View notice under A Notice for Certain Policy Holders on the ChoiceHealth website. Provider Search . Providence Health Assurance is an HMO, HMOPOS and HMO SNP with Medicare and Oregon Health Plan contracts. 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. Website. If you have any questions, call 1-800-745-7065 or sign in to the online provider center. ), and prepare summary information to initiate proposal response activities. Based on a comparison of the open risk documented with and without using Arcadia for pre-visit planning and at the point of care. Home. Important Humana numbers and contact information for healthcare providers. 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. ; Value-Based Care Services Our data-driven approach and team support for your value-based care. 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. 2023 Copyright arcadia.io | HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). Our members' health is in your hands. Collaborate closely with your provider networks for mutual economic success under Medicare, Medicaid, and Commercial risk-based contracts. View plan provisions or check with your sales representative. This site uses cookies that are essential for our site to work. My Plan. 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. Look up patient benefits information. 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. Ailing in Alabama? Health Plans, Inc.PO Box 5199Westborough, MA 01581. NPI record contains FOIA-disclosable NPPES health care provider information. Staring down all the possibilities of building vs. buying a data analytics solution? In the event of a dispute, the policy as written in English is considered the controlling authority. This site uses cookies that are essential for our site to work. , Health (Just Now) WebSecure Provider Portal Prior Authorization; Provider Electronic Solutions (PES) Software Arcadian Health Plan, Inc. (Humana) 1-866-945-4481. This communication provides a general description of certain identified insurance or non-insurance benefits provided under one or more of our health benefit plans. Users must adhere to CMS Information Security Policies, Standards, and Procedures. Unlock collaboration across your organization, providers, partners, and members. Like an EASY button for providers: Overcome transportation and mobility issues by simply pre-scheduling or requesting an on-demand At-Home Health visit. We help drive quality care with expert insights for healthier lives. Combine clinically integrated data with predictive analytics to help providers find the patients most likely to engage and close a care gap. Arcadian Health Plan providers listed on Doctor.com have been practicing for an average of: 26 year (s) Average ProfilePoints score for Providers who take Arcadian Health Plan: 53/80. File Number: 3615733. Go365 is not an insurance product. Please refer to your evidence of coverage for additional details on what your plan may cover or other rules that may apply. Create clinically-relevant care programs at scale. MyPlan CarePath Guide for Members. Help providers make impactful decisions at the point of care with insights deliver at just the right time. Clinical Guidelines. UNITED STATES; United States; Agent Name CORPORATION SERVICE COMPANY Agent Address We partner with leading nursing homes around the country to improve the health and quality of life of residents . This communication does not guarantee benefits and does not indicate all services received will be covered by your plan. The practitioner's primary taxonomy code is 302R00000X.The provider is registered as an organization and their NPI record was last . Stay connected by updating your contact information (service address, phone/fax numbers, etc.). Rights and Responsibilities. Login using EmpowerID. 12/20/2022. 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. Humana for physicians and healthcare providers. Activate your MyHumana profile. 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. We are constantly working to expand our health plan affiliations to provide you with the best options for you and your family's needs. Website current as of: 10/01/2022 H9047_PHAAM20_M We build population health management strategies to take on Medicare, Medicaid, and Commercial risk-based contracts. 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. (877) 842-3210. 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.