Looking for information on timely filing limits? Medical Policies. <]>> 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. 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. TDI assumes no responsibility for omissions, inaccuracies or ambiguities. Supports round-the-clock comprehensive care that may include on-demand critical care, daily rounding, on-site advanced diagnostics, and more. %%EOF This is the name or names of the company under which the company does business. 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. Company Profile Page. Arcadian Health Plan, Inc. (Humana) 1-866-945-4481. . Forgot Password. Our analytical expertise simplifies operational decisions for our partners, so they can focus on doing what they do best: delivering care. 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. 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. We help bridge the gap from data retrieval to implementation for efficiency and care. Collaborate closely with your provider networks for mutual economic success under Medicare, Medicaid, and Commercial risk-based contracts. Call 1-888-823-1910 (TTY users call 711) for more . Humana group dental plans are offered by Humana Insurance Company, HumanaDental Insurance Company, Humana Insurance Company of New York, The Dental Concern, Inc., Humana Medical Plan of Utah, Humana Health Benefit Plan of Louisiana, Inc., CompBenefits Company, CompBenefits Insurance Company, CompBenefits Dental, Inc., Humana Employers Health Plan of Georgia, Inc., or DentiCare, Inc. (DBA CompBenefits). These reports are located on the TDI Reports webpage: HMO Reports. Use the links on this page to access IHCP provider news items, bulletins, and banner page publications. Big data technology for high availability data ingestion, computation and storage. Activate your MyHumana profile. Advanced at-home care is an alternative to inpatient hospital visits for general medical conditions. 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. With five decades of mobile healthcare experience through our ambulance division, the Acadian Health mobile community healthcare team members arrive at a patients location with the knowledge, skill, and equipment to act as our partners eyes, ears, and hands. For costs and complete details of the coverage, refer to the plan document or call or write your Humana insurance agent or the company. 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). 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. 0000014444 00000 n Log in tips & other helpful technical information. Verify patient eligibility and check the status of submitted claims through our online services below. 0 This site uses cookies that are essential for our site to work. The provider is registered as an organization entity type. This communication provides a general description of certain identified insurance or non-insurance benefits provided under one or more of our health benefit plans. Improve your chase list for a better ROI on your risk adjustment program. Filing Date: October 29, 2013. We act as your eyes, ears, and hands and coordinate with the patients provider to support a wellness/specialist visit or address complex conditions. Important Humana numbers and contact information for healthcare providers. 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 . . Lafayette, LA 70508, Deliveries 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. Ailing in Alabama? Please call our Customer Service Department if you need to talk about protected/private health information. 0000001278 00000 n Arcadian Health Plan Profile and History . View your information. Log in tips & other helpful technical information. trailer Power your business with a provider source of truth. 7914. . 0000002843 00000 n Humana makes it easy to find the best Medicare plans for younear you. Review document requirements to ensure response to all pre-submission material (e.g. Limitations on telehealth services, also referred to as virtual visits or telemedicine, vary by state. This guide helps you sort through the confusion around build vs. buy. Request and coordinate all required documentation from internal departments for submissions in a . Arcadia is the leading population health management data and software company. (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 . CalOptima Health does not offer free wireless phones. 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. 2023 Copyright arcadia.io | HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). Stop by Booth #152 to meet our team and get a demo of Arcadia Analytics. Rights and Responsibilities. 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. Access Patient Benefits. See our full accessibility rights information, non-discrimination disclosure, and language options. In the event of any disagreement between this communication and the plan document, the plan document will control. And with Availity, you can conduct business online quickly and easily, so you can focus on the well-being of our . Corporate Office Need to submit a claim? 0000012822 00000 n Integrate your business for coordinated and collaborative innovation by unifying your infrastructure and associated business processes with a service oriented, centralized platform. Administered by Humana Insurance Company. Our healthcare experts weigh in on industry topics. Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. Arcadia Value-based Managed Care Services, Guide to Build vs. Buy in Healthcare Analytics. Track copays and deductibles. We hope to see you at the HIMSS23 Global Conference. 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. Email Notifications. ), and prepare summary information to initiate proposal response activities. Not available with all Humana health plans. 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. Register for Your Account Today. 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. 500 W Main. 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. Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. Health Plan of Nevada providers must file an appeal within 180 days. Create clinically-relevant care programs at scale. By working collaboratively with your team, we strive to improve patient satisfaction, care coordination, and achieve quality health outcomes. Get started now! Need to submit a claim? A northwest payer saw a $7M increase in their Medicaid premium by partnering with Arcadia to improve their closed risk per patient by 59%. You've got questions, we've got anwers. Our claims professionals have extensive claims handling experience for a variety of business lines. 0000001811 00000 n Name Required. 1-877-370-4874. www.MyUHCMedicare.com. What does Medicare cover (and not cover)? We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. Pharmacy. ARCADIAN HEALTH PLAN, INC. can be reached at the following phone number(s): Phone: 510-832-0311 Your Choice, Your Plans. 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. Call Provider Services at 888-773-2647 (TTY 711) with any questions. The information reflected above is compiled based on the data reported by the licensed HMO to the Texas Department of Insurance. DHMSO: Provider Login. Staring down all the possibilities of building vs. buying a data analytics solution? Client session timed out. 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 09/16/2022. Humana group life plans are offered by Humana Insurance Company or Humana Insurance Company of Kentucky. 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. The provider is registered as an organization entity type. 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. Group Dental and Vision Plans (Insurance through your employer). View notice under A Notice for Certain Policy Holders on the ChoiceHealth website. Humana group dental plans are offered by Humana Insurance Company, HumanaDental Insurance Company, Humana Insurance Company of New York, The Dental Concern, Inc., Humana Medical Plan of Utah, Humana Health Benefit Plan of Louisiana, Inc., CompBenefits Company, CompBenefits Insurance Company, CompBenefits Dental, Inc., Humana Employers Health Plan of Georgia, Inc., or DentiCare, Inc. (DBA CompBenefits). Please refer to your evidence of coverage for additional details on what your plan may cover or other rules that may apply. View plan provisions or check with your sales representative. Review the latest news and publications for providers. Humana Employers Health . We have clinical data, claims data, and ADT data all put together in the system. When it comes to healthcare, its easy to feel like just a number. 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. 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. NPI record contains FOIA-disclosable NPPES health care provider information. Log in to , https://www.humana.com/provider/medical-resources/self-service-portal, Health (6 days ago) WebMedical Policies. Arcadias thrilled to be back in Chicago for AMGA 2023, where we hope to hear about your healthcare goals and aspirations. Users must adhere to CMS Information Security Policies, Standards, and Procedures. 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. 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. If you have purchased an association plan, an association fee may also apply. 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. 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. Average Overall User Rating for Providers in Washington who take Arcadian Health Plan: Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. Documentation Guidelines. 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. 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 . 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. For New Mexico residents: Insured by Humana Insurance Company. In states, and for products where applicable, the premium may include a $1 administrative fee. Patient Consent Forms. New competitors are entering the market, expectations from members are shifting, and regulatory pressures are making it more difficult than ever to succeed. 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 list contains CPLs most commonly billed insurances. Enrollment in Vantage depends on contract renewal. Aetna. Site Usage Privacy Rights | Site Designed by Firefly Marketing Acadian is an Equal Opportunity Employer/Affirmative Action Employer. We help bridge the gap from data retrieval to implementation for efficiency and care. The HMO Service Counties spreadsheet can be accessed via the "HMO Service areas" link and is for informational purposes only. Stay connected by updating your contact information (service address, phone/fax numbers, etc.). ZIP 94607-087. Box 15645. Meet your Practice Management Consultant. This communication does not guarantee benefits and does not indicate all services received will be covered by your plan. 0000006121 00000 n Taxonomy code 302R00000X with license number 2006117 (GA). RSVP to Site Meetings, return Intent to Submit letters, etc. Documentation , Health (5 days ago) WebContact. We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. 0000009531 00000 n Humana group life plans are offered by Humana Insurance Company or Humana Insurance Company of Kentucky. A minimum one-year, initial contract period may be required for some dental and vision plans, excluding Dental Savings Plus. Our analytical expertise simplifies operational decisions for our partners, so they can focus on doing what they do . It is for people who meet the income requirements and live in the state. Devoted Health Plan of Alabama, Inc. 1-800 . Physician Case Management Referral. 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 . Our Medicare Advantage plans come packed with extra resources for improving our members health. HMO Alias, NCQA accredits and certifies a wide range of health care organizations. FinancialAnalysis@tdi.texas.gov. Prescheduled visits can be organized with the provider joining by phone or telehealth. Not available with all Humana health plans. Website. Clinical Guidelines. With five decades of mobile healthcare experience through our ambulance division, the Acadian Health mobile community healthcare team members . Checking your browser. Representatives are available Monday - Friday 7 a.m. - 9 p.m. Central Time. At Humana, we do things differently. 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. 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. 0000000016 00000 n In the event of any disagreement between this communication and the plan document, the plan document will control. 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. 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. 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. 500 12th St Ste 350, Oakland, California, 94607, United States. 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. We do this by: There are options we like from Arcadia. Fax: (510) 817-1894. UNITED STATES; United States; Agent Name CORPORATION SERVICE COMPANY Agent Address 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. EmpowerID. It's holistic care for members and peace of mind for loved ones. We also like being able to save reports and create shortcuts for users. 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. xref . If this is a U.S. Government information system, CMS maintains ownership and responsibility for its computer systems. 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. Review the claim submission address or electronic payor ID # on the back of the patients member ID card. Precise ParkLink. This site uses cookies that are essential for our site to work. Arcadias thrilled to be back in Chicago for AMGA 2023, where we hope to hear about your healthcare goals and aspirations. Includes follow-up care and education for recently discharged and high-risk patients. Some plans may also charge a one-time, non-refundable enrollment fee. Notice of data security event involving ChoiceHealth, a service provider for Humana. File Number: 3615733. This information is not a complete description of benefits. We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. Ailing in Alabama? View claims. Make a plan for a lifetime of better health with Medi-Cal. We hope to see you at the HIMSS23 Global Conference. Find the right healthcare plan for you, your family or your employees. 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