Premiums as Low as $0. Forgot Password. Become a member of Humanas provider network. Las Vegas, NV 89114-5645. EmpowerID. Box 12030, Austin, TX 78711 | 512-676-6000 | 800-578-4677, State Auditor's Office Hotline: 800-TX-AUDIT. What healthcare data platform capabilities do you need to stay competitive? Noridian Medicare Portal Login. Empower providers with collaborative tools to drive better outcomes, and increase provider performance by connecting data from various sources. Patient Consent Forms. This login page requires that you have registered as a OneHealthPort Subscriber. Pharmacy. 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. Our CHPW Medicare Advantage plans offer coverage for things Original Medicare doesn't cover, like dental, vision, and prescription drugs (except Freedom Plan). Make a plan for a lifetime of better health with Medi-Cal. MyPlan QuickStart Guide for Members. View plan provisions or check with your sales representative. Supports round-the-clock comprehensive care that may include on-demand critical care, daily rounding, on-site advanced diagnostics, and more. RSVP to Site Meetings, return Intent to Submit letters, etc. Humana group life plans are offered by Humana Insurance Company or Humana Insurance Company of Kentucky. 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. Health (Just Now) Provider Directory Search Medicare Advantage Plans Recipients in certain Alabama counties may voluntarily choose to participate in a Medicare Advantage plan. Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. . Taxonomy code 302R00000X with license number 2006117 (GA). For Texas residents: Insured or offered by Humana Insurance Company, HumanaDental Insurance Company or DentiCare, Inc (d/b/a Compbenefits). St Louisville, KY 40202. 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. 500 W Main. Hear what the incredible people behind the data have to say. MyPlan QuickStart Guide for Members. 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. Increase the capture of your members risk and care gaps by connecting clinical data at scale. We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. Explore trainings and tutorials for working with Humana. Physician Case Management Referral. 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. Humana Employers Health . Create clinically-relevant care programs at scale. Humana group life plans are offered by Humana Insurance Company or Humana Insurance Company of Kentucky. We partner with leading nursing homes around the country to improve the health and quality of life of residents . *Humana received the highest CX Index score among health insurers in Forresters proprietary 2022 CX Index survey. Box 15645. 0000001506 00000 n . MyPlan CarePath Guide for Members. 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. Industry: Health insurance carriers Printer Friendly View Address: 500 12TH St Ste 350 Oakland, CA, 94607-5204 United States See other locations See our full accessibility rights information, non-discrimination disclosure, and language options. 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. 2023 Copyright arcadia.io | HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). Medi-Cal is California's Medicaid healthcare program that offers free or low-cost health coverage. U.S. News and World Report names Humana 2023 Best Overall Medicare Advantage Plan Company. Check patient eligibility, submit preauthorizations, dispute finalized claims and more on the Availity Essentials portal. Stop by Booth #152 to meet our team and get a demo of Arcadia Analytics. Humana for physicians and healthcare providers. View your information. 0000007839 00000 n In the event of a dispute, the policy as written in English is considered the controlling authority. What healthcare data platform capabilities do you need to stay competitive? Combine clinically integrated data with predictive analytics to help providers find the patients most likely to engage and close a care gap. Need to submit a claim? To help our members through the pandemic, were providing trusted information from public health officials. Providence Health Assurance is an HMO, HMOPOS and HMO SNP with Medicare and Oregon Health Plan contracts. I'm not a OneHealthPort Subscriber but would like information on subscribing. View plan provisions or check with your sales representative. 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. %PDF-1.4 % Our broad network of in-network providers makes it easy to find a doctor, dentist, vision care provider or pharmacy near you. Eligible members enjoy access to a wide variety of benefits, services and tools. Find doctors, hospitals, and specialists in your area. These two leaders in the long term care industry joined together to create a . Fax: (510) 817-1894. Arcadian Health Plan and Humana Benefit Plan of Illinois, Inc . The ranking was based on responses from 12,985 US individuals measuring 17 brands in the industry. Click the "Allow" button. Insured through UnitedHealthcare (formerly Secure Horizons) Website. Big data technology for high availability data ingestion, computation and storage. Product features may vary by client. 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. Deliver personalized experiences, reduce administrative efforts, and create new health and wellness benefits for members, employers, and providers with a data-driven strategy. 1-877-370-4874. www.MyUHCMedicare.com. Go365 is not an insurance product and is not available with all Humana health plans. ; Customer Insights Team We help bridge the gap from data retrieval to implementation for efficiency and care. View notice under A Notice for Certain Policy Holders on the ChoiceHealth website. If you have any questions, call 1-800-745-7065 or sign in to the online provider center. 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. Precise ParkLink. For Texas residents: Insured or offered by Humana Insurance Company, HumanaDental Insurance Company or DentiCare, Inc (d/b/a Compbenefits). With five decades of mobile healthcare experience through our ambulance division, the Acadian Health mobile community healthcare team members . xref Please keep your personal information private. Name Required. Forget spreadsheets and unify business processes and infrastructure on a single source of truth. 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 . HMO Company Profile and agent for service. Some plans may also charge a one-time, non-refundable enrollment fee. 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 11806 0 obj<>stream HMO Alias, NCQA accredits and certifies a wide range of health care organizations. We hope to see you at the HIMSS23 Global Conference. Healthcare disrupted: How to keep pace in a rapidly changing world, Population health trends across the United States. Please refer to Customer Support for more information. Enrollment in Providence Health Assurance depends on contract renewal. 500 12th St Ste 350, Oakland, California, 94607, United States. AARP Medicare Complete. 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. ), and prepare summary information to initiate proposal response activities. 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. Hands-on visits for providers to extend their specialty practice into patients homes, offering after hours and weekend support. The provider's business location address is: Source: picshealth.blogspot.com. 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. Some links on this page may take you to Humana non-Medicare product or service pages or to a different website. For costs and complete details of the coverage, refer to the plan document or call or write your Humana insurance agent or the company. Home. Health (3 days ago) arcadian health plan, inc. Hmo company profile and agent for service. 0000002619 00000 n 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. Our healthcare experts weigh in on industry topics. Stay connected by updating your contact information (service address, phone/fax numbers, etc.). 0000002922 00000 n If you have purchased an association plan, an association fee may also apply. Administered by Humana Insurance Company. Big data technology for high availability data ingestion, computation and storage. ARCADIAN HEALTH PLAN, INC. can be reached at the following phone number(s): Phone: 510-832-0311 The provider is registered as an organization entity type. 11804 18 Advanced at-home care is an alternative to inpatient hospital visits for general medical conditions. Devoted Health Plan of Alabama, Inc. 1-800 . Call Provider Services at 888-773-2647 (TTY 711) with any questions. Review the claim submission address or electronic payor ID # on the back of the patients member ID card. 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. The Company Profile page provides basic general information on the HMO, including basic financial, contact, attorney for service, complaint and company history information. 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. We help bridge the gap from data retrieval to implementation for efficiency and care. In states, and for products where applicable, the premium may include a $1 administrative fee. Since its beginning, our at-home care has proven to save an average of $1,000 per visit. This site uses cookies that are essential for our site to work. Email Notifications. 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. Client session timed out. 130 E. Kaliste Saloom Road General. Your Choice, Your Plans. We build population health management strategies to take on Medicare, Medicaid, and Commercial risk-based contracts. Hearty in Hawaii? Password Is Required. 0000016080 00000 n Improve your chase list for a better ROI on your risk adjustment program. 0000000016 00000 n MyPlan CarePath Guide for Members. UNITED STATES; United States; Agent Name CORPORATION SERVICE COMPANY Agent Address We do this by: There are options we like from Arcadia. We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. 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. Clinical Guidelines. You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID # 44273. Representatives are available Monday - Friday 7 a.m. - 9 p.m. Central Time. H5619 Arcadian Health Plan (Humana, Inc.) Dual Eligible (Dual Eligible Subset - Medicare Zero Cost-sharing) Special Needs Plan Model of Care Score: 88.33% . My Plan. HMO Company Profile and agent for service, http://www.tdi.texas.gov/hmo/profiles/defintns.html, http://www.tdi.texas.gov/hmo/profiles/alpha.html. Spot opportunities and problems quicker with an intelligent analytics platform built for payers. 0000000675 00000 n Request and coordinate all required documentation from internal departments for submissions in a . For Arizona residents: Insured by Humana Insurance Company. Humana legal entities that offer, underwrite, administer or insure insurance products and services. 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. 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. Health (3 days ago) WebARCADIAN HEALTH PLAN, INC. NPI is 1598910549. Track copays and deductibles. 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 . Any descriptions of when to use telehealth services are for informational purposes only and should not be construed as medical advice. SilverSneakers may not be available on all plans or in all areas. 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. 0000009531 00000 n . 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. <]>> A look at how states vary in their rates of common diseases, and why measuring health state-by-state requires robust data. It is for people who meet the income requirements and live in the state. . Clinical Guidelines. The information reflected above is compiled based on the data reported by the licensed HMO to the Texas Department of Insurance. 1.877.221.9295. Use the links on this page to access IHCP provider news items, bulletins, and banner page publications. Language interpreter services (at 1st prompt enter 22228, at 2nd prompt enter. 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. We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. 0000006121 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 . (3 days ago) WebARCADIAN HEALTH PLAN, INC. NPI is 1598910549. Arcadian Health Plan Eligibility. For most members, claims can be mailed or , https://www.hpitpa.com/your-resources/for-providers/check-claims-eligibility/. Go365 is not an insurance product. 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. 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. Power your business with a provider source of truth. Staring down all the possibilities of building vs. buying a data analytics solution? Medical Policies. This is a general description of services which are subject to change. View claims. 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 (800) 624-0756. Verify patient eligibility and check the status of submitted claims through our online services below. File Number: 3615733. 10/25/2022. Track copays and deductibles. Log in tips & other helpful technical information. x1 048F}\G` z0=i2\x!!!!!!!CCC. Our claims professionals have extensive claims handling experience for a variety of business lines. 0000001811 00000 n The HMO Alias list is an Excel spreadsheet. Contact Us About The Company Profile For Arcadian Health Plan, Inc. We are constantly working to expand our health plan affiliations to provide you with the best options for you and your family's needs. Forgot My Password. 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. Data analytics decision-making guide, Guide to Build vs. Buy in Healthcare Analytics. Enhance your existing healthcare services with our mobile resources, bringing trained personnel direct to the patientwherever they are. For New Mexico residents: Insured by Humana Insurance Company. View or print your member ID card. For Providers. 1.800.624.6961, ext. These reports are located on the TDI Reports webpage: HMO Reports. Lafayette, LA 70501. xb```b``y sx "~CT3gv6+dJX vHe_`l;~rd5ZWH20Gif >X3=`2L@8` $/L Filing Date: October 29, 2013. 0000012822 00000 n If you have purchased an association plan, an association fee may also apply. Plus you get extra $0 benefits like Alternative Medicine visits (chiropractor, acupuncture, and more), fitness programs, and a monthly over-the-counter benefit. Our data-driven approach and team support for your value-based care. Call 1-888-823-1910 (TTY users call 711) for more . 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. Explore your coverage and benefit details, get ID cards and more. We help bridge the gap from data retrieval to implementation for efficiency and care. We build population health management strategies to take on Medicare, Medicaid, and Commercial risk-based contracts. Maxwell Roberts Building, 5th Floor, 1 Church Street Hamilton HM 11 Bermuda +1 441 5439 800 Checking your browser. Navigating through disruption and coming out on the other side with a stronger system involves more than implementing the right list of tools. 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. Arcadia keeps up with industry trends and has new functionalities available. Locations Primary 500 12th Street, . This site uses cookies that are essential for our site to work. 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. Checking your browser. Our trained personnel arrive fully stocked with medical kits for advanced diagnostics. Ailing in Alabama? To access the website, click "Allow". This list contains CPLs most commonly billed insurances. Register for Your Account Today. Arcadia's powerful insights elucidate strategies around the financial viability of risk and lowering costs. To learn more about the health plan programs, contact the following customer service departments: Aetna. Go365 is not an insurance product. 2023 Copyright arcadia.io | HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). 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. Help providers make impactful decisions at the point of care with insights deliver at just the right time. 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 . Rights and Responsibilities. Group Dental and Vision Plans (Insurance through your employer). Arcadian Health Plan | 1,090 followers on LinkedIn. Website. Enrollment in Vantage depends on contract renewal. Hear what the incredible people behind the data have to say. 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). Support provider performance by making care and risk documentation gaps actionable within their existing clinical workflows. Secure Provider Portal Prior Authorization; Provider Electronic Solutions (PES) Software . We will make reasonable accommodation to meet our obligations under the Americans with Disabilities Act (ADA) and state disability laws. 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). 11804 0 obj<> endobj 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. Forgot Username? Based on a comparison of the open risk documented with and without using Arcadia for pre-visit planning and at the point of care. ; Value-Based Care Services Our data-driven approach and team support for your value-based care. Transform disparate information into a longitudinal view of patients through clinical and claims data. By working collaboratively with your team, we strive to improve patient satisfaction, care coordination, and achieve quality health outcomes. 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. LIBERTY Dental Plan Establishes a Dedicated Toll-Free Number for Members Impacted by Humboldt County Earthquake. 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 . Navigating through disruption and coming out on the other side with a stronger system involves more than implementing the right list of tools. 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. We like the data that has been made available. This includes adults, children, families with children, seniors, and persons with disabilities. OAKLAND, CA. 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. Administered by Humana Insurance Company. TDI assumes no responsibility for omissions, inaccuracies or ambiguities. 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. Stop by Booth #152 to meet our team and get a demo of Arcadia Analytics. Humana legal entities that offer, underwrite, administer or insure insurance products and services. Working with Acadian Health provides greater opportunity to engage members or patients in the convenient and lower cost home setting. If this is a U.S. Government information system, CMS maintains ownership and responsibility for its computer systems. Humana makes it easy to find the best Medicare plans for younear you. , Health (2 days ago) WebHealth (3 days ago) arcadian health plan, inc. Hmo company profile and agent for service. Arcadias powerful insights elucidate strategies around the financial viability of risk and lowering costs. Our goal is to provide timely and actionable information that helps our CHCs utilize quality . 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). We act as your eyes, ears, and hands and coordinate with the patients provider to support a wellness/specialist visit or address complex conditions. The HMO Service Counties spreadsheet can be accessed via the "HMO Service areas" link and is for informational purposes only. We have clinical data, claims data, and ADT data all put together in the system. And Arcadia had really outstanding leadership in terms of the knowledge of the business.