Ryan Rubino discusses key capabilities of a data platform that should be considered when youre planning for your data and analytics needs for value-based care. Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. To appeal a decision, mail a written request to: Health Plan of Nevada, Member Services. Since its beginning, our at-home care has proven to save an average of $1,000 per visit. OAKLAND, CA. Health (3 days ago) arcadian health plan, inc. Hmo company profile and agent for service. This information is not a complete description of benefits. Track copays and deductibles. Use the links on this page to access IHCP provider news items, bulletins, and banner page publications. 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. 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. Noridian Medicare Portal Login. Learn how to submit a preauthorization for frequently requested services/procedures for your patients and check prior authorization lists. For Texas residents: Insured or offered by Humana Insurance Company, HumanaDental Insurance Company or DentiCare, Inc (d/b/a Compbenefits). 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). Helping Healthcare Providers Improve Population Health - Arcadia Our healthcare experts weigh in on industry topics. 0000016080 00000 n Find a Provider. 11804 0 obj<> endobj Chloe Do - Business Development Administrator - LinkedIn Please refer to your evidence of coverage for additional details on what your plan may cover or other rules that may apply. Healthcare disrupted: How to keep pace in a rapidly changing world, Population health trends across the United States. 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. Login using EmpowerID - OneHealthPort Arcadian Health Plan Claims Address 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. If this is a U.S. Government information system, CMS maintains ownership and responsibility for its computer systems. Please keep your personal information private. 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 . Need to submit a claim? This communication does not guarantee benefits and does not indicate all services received will be covered by your plan. Language interpreter services (at 1st prompt enter 22228, at 2nd prompt enter. We build population health management strategies to take on Medicare, Medicaid, and Commercial risk-based contracts. Review the claim submission address or electronic payor ID # on the back of the patients member ID card. Las Vegas, NV 89114-5645. 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. Average Overall User Rating for Providers in Washington who take Arcadian Health Plan: ZIP 94607-087. Start a new EpicCare Link session Home - AgeRight Advantage Prescheduled visits can be organized with the provider joining by phone or telehealth. Support provider performance by making care and risk documentation gaps actionable within their existing clinical workflows. Log in tips & other helpful technical information. 0000009531 00000 n Checking your browser. Clinical Guidelines. (877) 842-3210. 1.877.221.9295. Physician Case Management Referral. For more information, contact: For Providers. 0000012822 00000 n This list contains CPLs most commonly billed insurances. MyPlan QuickStart Guide for Members. Become a member of Humanas provider network. . Arcadian Health Plan Provider Number Group Dental and Vision Plans (Insurance through your employer). 0000001278 00000 n If you have purchased an association plan, an association fee may also apply. 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. 1.800.624.6961, ext. H5619 Arcadian Health Plan (Humana, Inc.) Dual Eligible (Dual Eligible Subset - Medicare Zero Cost-sharing) Special Needs Plan Model of Care Score: 88.33% . MyPlan CarePath Guide for Members. Please call our Customer Service Department if you need to talk about protected/private health information. 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. 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? Our broad network of in-network providers makes it easy to find a doctor, dentist, vision care provider or pharmacy near you. Arcadian Health Plan | 1,090 followers on LinkedIn. Unlock collaboration across your organization, providers, partners, and members. 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. Combine clinically integrated data with predictive analytics to help providers find the patients most likely to engage and close a care gap. You've got questions, we've got anwers. 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. Email Notifications. 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. 0000004546 00000 n Humana for physicians and healthcare providers. 0000014444 00000 n Centene Venture Company Alabama Health Plan, Inc. (Ascension Complete) 1-833-542-1677. www.ascensioncomplete.com. When it comes to healthcare, its easy to feel like just a number. Providers | Providence Health Plan We hope to see you at the HIMSS23 Global Conference. 0000000016 00000 n Administered by Humana Insurance Company. For Texas residents: Insured or offered by Humana Insurance Company, HumanaDental Insurance Company or DentiCare, Inc (d/b/a Compbenefits). Arcadias thrilled to be back in Chicago for AMGA 2023, where we hope to hear about your healthcare goals and aspirations. This site uses cookies that are essential for our site to work. 1601 Congress Avenue, Austin, TX 78701 | P.O. Arcadia's powerful insights elucidate strategies around the financial viability of risk and lowering costs. Arcadian Health Plan Inc Humana The information reflected above is compiled based on the data reported by the licensed HMO to the Texas Department of Insurance. These reports are located on the TDI Reports webpage: HMO Reports. For Arizona residents: Insured by Humana Insurance Company. trailer Prior Authorizations - Doctor / Provider - Health Plan of Nevada Alabama Medicaid. Site Usage Privacy Rights | Site Designed by Firefly Marketing Acadian is an Equal Opportunity Employer/Affirmative Action Employer. I'm not a OneHealthPort Subscriber but would like information on subscribing. Alignment Health Plan. The HMO Service Counties spreadsheet can be accessed via the "HMO Service areas" link and is for informational purposes only. ; Customer Insights Team We help bridge the gap from data retrieval to implementation for efficiency and care. Navigating through disruption and coming out on the other side with a stronger system involves more than implementing the right list of tools. Enhance your existing healthcare services with our mobile resources, bringing trained personnel direct to the patientwherever they are. 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. Spot opportunities and problems quicker with an intelligent analytics platform built for payers. Name Required. Home - Longevity Health Plan Call Provider Services at 888-773-2647 (TTY 711) with any questions. 0000000926 00000 n To help our members through the pandemic, were providing trusted information from public health officials. MyPlan QuickStart Guide for Members. Arcadian Health Plan Provider Portal Get the most out of your plan with a MyHumana account. This site uses cookies that are essential for our site to work. Representatives are available Monday - Friday 7 a.m. - 9 p.m. Central Time. We will make reasonable accommodation to meet our obligations under the Americans with Disabilities Act (ADA) and state disability laws. 11804 18 Arcadian Health Plan Eligibility. Indiana Medicaid: Partners: Dual Eligible Special Needs Plans Our Medicare Advantage plans come packed with extra resources for improving our members health. Vantage Health Plan (Vantage) is an HMO with a Medicare contract. Medical Policies. We partner with leading nursing homes around the country to improve the health and quality of life of residents . U.S. News and World Report names Humana 2023 Best Overall Medicare Advantage Plan Company. For your convenience, we now have a dedicated phone line. Username Is Required. This is the name or names of the company under which the company does business. PDF Arcadian Health Plan Inc., H5619 Dual Eligible Medicare Zero Cost Our CHPW Medicare Advantage plans offer coverage for things Original Medicare doesn't cover, like dental, vision, and prescription drugs (except Freedom Plan). Arcadia is the leading population health management data and software company. 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. Download provider quick reference phone guide (PDF, 129 KB) 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. 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. The Company Profile page provides basic general information on the HMO, including basic financial, contact, attorney for service, complaint and company history information. For most members, claims can be mailed or submitted electronically to us at the address or payer ID's below; however, the address and payer ID's may vary based on member-specific plans and networks. The provider's business location address is: 500 12TH ST STE 300. 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. Individual applications are subject to eligibility requirements. 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). To access the website, click "Allow".