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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. 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. Administered by Humana Insurance Company. H5619 Arcadian Health Plan (Humana, Inc.) Dual Eligible (Dual Eligible Subset - Medicare Zero Cost-sharing) Special Needs Plan Model of Care Score: 88.33% . 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. (800) 624-0756. Taxonomy code 302R00000X with license number 2006117 (GA). ; Customer Insights Team We help bridge the gap from data retrieval to implementation for efficiency and care. This list contains CPLs most commonly billed insurances. 2023 Copyright arcadia.io | HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). For Arizona residents: Insured by Humana Insurance Company. Track copays and deductibles. Plus you get extra $0 benefits like Alternative Medicine visits (chiropractor, acupuncture, and more), fitness programs, and a monthly over-the-counter benefit. ARCADIAN HEALTH PLAN, INC. Company Number 602384193 Status Active Incorporation Date 6 April 2004 (almost 19 years ago) Company Type WA INSURANCE COMPANY Jurisdiction Washington (US) Registered Address. Call Provider Services at 888-773-2647 (TTY 711) with any questions. Since 1971, Acadian has been committed to providing the highest level of medical care and transportation possible. Since its beginning, our at-home care has proven to save an average of $1,000 per visit. OAKLAND, CA. 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. We will make reasonable accommodation to meet our obligations under the Americans with Disabilities Act (ADA) and state disability laws. 0000007839 00000 n Health Plans, Inc.PO Box 5199Westborough, MA 01581. General. We help bridge the gap from data retrieval to implementation for efficiency and care. This communication does not guarantee benefits and does not indicate all services received will be covered by your plan. 0000012822 00000 n We partner with leading nursing homes around the country to improve the health and quality of life of residents . Certain exceptions may apply by geography, network affiliation, member coverage or benefit design. The HMO Service Counties spreadsheet can be accessed via the "HMO Service areas" link and is for informational purposes only. EmpowerID. Login using EmpowerID. 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). 0000001506 00000 n Email Notifications. 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. P.O. See our full accessibility rights information, non-discrimination disclosure, and language options. Pharmacy. Verify patient eligibility and check the status of submitted claims through our online services below. We build population health management strategies to take on Medicare, Medicaid, and Commercial risk-based contracts. Average Overall User Rating for providers who take Arcadian Health . ; Value-Based Care Services Our data-driven approach and team support for your value-based care. The information is subject to change and is not all-inclusive. CalOptima Health does not offer free wireless phones. 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. Arcadian Health Plan Profile and History . 7914. , Health (Just Now) WebSecure Provider Portal Prior Authorization; Provider Electronic Solutions (PES) Software Arcadian Health Plan, Inc. (Humana) 1-866-945-4481. Below are options for contacting us. Ailing in Alabama? Go365 is not an insurance product. Have questions about your Humana contract? For costs and complete details of the coverage, refer to the plan document or call or write your Humana insurance agent or the company. My Plan. Create clinically-relevant care programs at scale. 300 Hopkins Street 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? 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. 0000016080 00000 n Hearty in Hawaii? Language interpreter services (at 1st prompt enter 22228, at 2nd prompt enter. The practitioner's primary taxonomy code is 302R00000X.The provider is registered as an organization and their NPI record was last . Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. The provider is registered as an organization entity type. Provider Network Humana offers members a comprehensive network of care centered on primary care providers (PCP), medical and surgical specialists to meet their needs. 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 . 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. Go365 is not an insurance product and is not available with all Humana health plans. If you need technical help to access the UnitedHealthcare Provider Portal, please email [email protected] or call our UnitedHealthcare Web Support at 866-842-3278, option 1. What healthcare data platform capabilities do you need to stay competitive? 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. Our members' health is in your hands. This guide helps you sort through the confusion around build vs. buy. Vantage Health Plan (Vantage) is an HMO with a Medicare contract. If there's a question you can't find the answer to in our FAQs, call Provider Services at 888-773-2647 (TTY 711). We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. Review document requirements to ensure response to all pre-submission material (e.g. File Number: 3615733. Find doctors, hospitals, and specialists in your area. Advanced at-home care is an alternative to inpatient hospital visits for general medical conditions. These two leaders in the long term care industry joined together to create a . Our analytical expertise simplifies operational decisions for our partners, so they can focus on doing what they do . Limitations on telehealth services, also referred to as virtual visits or telemedicine, vary by state. Medicaid contracts each year with plans that are willing to accept a monthly fee for each recipient in their program. Centene Venture Company Alabama Health Plan, Inc. (Ascension Complete) 1-833-542-1677. www.ascensioncomplete.com. 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. Our CHPW Medicare Advantage plans offer coverage for things Original Medicare doesn't cover, like dental, vision, and prescription drugs (except Freedom Plan). To appeal a decision, mail a written request to: Health Plan of Nevada, Member Services. 0000000016 00000 n Health Plan of Nevada providers must file an appeal within 180 days. Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. Activate your MyHumana profile. Locations Primary 500 12th Street, . 0000002922 00000 n View claims. 2023 Copyright arcadia.io | HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). (877) 842-3210. 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. 11804 0 obj<> endobj 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. In the event of a dispute, the policy as written in English is considered the controlling authority. 0000011182 00000 n Rights and Responsibilities. 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. Prescription Coverage. 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. Register for Your Account Today. Insurance Listings. 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. TDI assumes no responsibility for omissions, inaccuracies or ambiguities. Some links on this page may take you to Humana non-Medicare product or service pages or to a different website. You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID # 44273. 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. Help providers make impactful decisions at the point of care with insights deliver at just the right time. 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. St Louisville, KY 40202. 0000002619 00000 n 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 . The ranking was based on responses from 12,985 US individuals measuring 17 brands in the industry. Username Is Required. Clinical Guidelines. 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. To help our members through the pandemic, were providing trusted information from public health officials. Click the "Allow" button. MyPlan QuickStart Guide for Members. For Texas residents: Insured or offered by Humana Insurance Company, HumanaDental Insurance Company or DentiCare, Inc (d/b/a Compbenefits). Stop by Booth #152 to meet our team and get a demo of Arcadia Analytics. Look up patient benefits information. We are constantly working to expand our health plan affiliations to provide you with the best options for you and your family's needs. Enrollment in Providence Health Assurance depends on contract renewal. Increase the capture of your members risk and care gaps by connecting clinical data at scale. LIBERTY Dental Plan Establishes a Dedicated Toll-Free Number for Members Impacted by Humboldt County Earthquake. Looking for information about your patients benefits or claims? 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. Review the latest news and publications for providers. 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. Working with Acadian Health provides greater opportunity to engage members or patients in the convenient and lower cost home setting. We act as your eyes, ears, and hands and coordinate with the patients provider to support a wellness/specialist visit or address complex conditions. Our analytical expertise simplifies operational decisions for our partners, so they can focus on doing what they do best: delivering care. Request and coordinate all required documentation from internal departments for submissions in a . Business Intelligence Portal. Hear what the incredible people behind the data have to say. (3 days ago) WebARCADIAN HEALTH PLAN, INC. NPI is 1598910549. 500 W Main. 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. This data may not reflect amendments filed by the HMO and may be subject to change. Documentation Guidelines. 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. Make a plan for a lifetime of better health with Medi-Cal. 0000009531 00000 n To learn more about the health plan programs, contact the following customer service departments: Aetna. Arcadias thrilled to be back in Chicago for AMGA 2023, where we hope to hear about your healthcare goals and aspirations. 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. 130 E. Kaliste Saloom Road Please refer to your evidence of coverage for additional details on what your plan may cover or other rules that may apply. 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. Meet your Practice Management Consultant. Log in tips & other helpful technical information. Las Vegas, NV 89114-5645. HMO Company Profile and agent for service. 0000014444 00000 n Premiums as Low as $0. Corporate Office 0000004546 00000 n Filing Date: October 29, 2013. I'm not a OneHealthPort Subscriber but would like information on subscribing. Humana makes it easy to find the best Medicare plans for younear you. Group Dental and Vision Plans (Insurance through your employer). Contact Humana with questions about your patients` benefits or claims. The AgeRight Advantage mission is to promote the vitality within each of AgeRight Advantage's members and to support them along their aging journey. Get started now! Big data technology for high availability data ingestion, computation and storage. Prescheduled visits can be organized with the provider joining by phone or telehealth. And with Availity, you can conduct business online quickly and easily, so you can focus on the well-being of our . Enhance your existing healthcare services with our mobile resources, bringing trained personnel direct to the patientwherever they are. Medi-Cal is California's Medicaid healthcare program that offers free or low-cost health coverage. If this is a U.S. Government information system, CMS maintains ownership and responsibility for its computer systems. AARP Medicare Complete. Log in tips & other helpful technical information. Based on a comparison of the open risk documented with and without using Arcadia for pre-visit planning and at the point of care. %%EOF AgeRight Advantage is a Medicare Advantage Plan locally owed by Marquis Companies and Avamere Family of Companies. . In the event of a dispute, the policy as written in English is considered the controlling authority.
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