Hear what the incredible people behind the data have to say. Individual applications are subject to eligibility requirements. Arcadian Health Plan Company Profile | Management and Employees List 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. 7914. ARCADIAN HEALTH PLAN INC. NPI 1598910549 - Health . Call Provider Services at 888-773-2647 (TTY 711) with any questions. 11804 0 obj<> endobj The HMO Service Counties spreadsheet can be accessed via the "HMO Service areas" link and is for informational purposes only. The plans are offered under the following local product names: Arcadian Community Care (Louisiana and California); Arcadi 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 provider's business location address is: Source: , https://clairineclay.com/arcadian-health-plan-provider-portal/, Health (9 days ago) WebProvider portal Working with us online Focus on your patients without the extra paperwork. %PDF-1.4 % Big data technology for high availability data ingestion, computation and storage. Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. The information reflected above is compiled based on the data reported by the licensed HMO to the Texas Department of Insurance. Notice of data security event involving ChoiceHealth, a service provider for Humana. This communication does not guarantee benefits and does not indicate all services received will be covered by your plan. 0000002922 00000 n If there's a question you can't find the answer to in our FAQs, call Provider Services at 888-773-2647 (TTY 711). The proprietary survey results are based on consumers opinions of the experiences with the brands in the survey. P.O. Website current as of: 10/01/2022 H9047_PHAAM20_M 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. Providers | Providence Health Plan Click the "Allow" button. 0000000675 00000 n 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 like howeasy the system is to usefor end users. , Health (Just Now) WebSecure Provider Portal Prior Authorization; Provider Electronic Solutions (PES) Software Arcadian Health Plan, Inc. (Humana) 1-866-945-4481. Physician Case Management Referral. For most members, claims can be mailed or , https://www.hpitpa.com/your-resources/for-providers/check-claims-eligibility/. Documentation , Health (5 days ago) WebContact. 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 . 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. 0 Find doctors, hospitals, and specialists in your area. For New Mexico residents: Insured by Humana Insurance Company. Arcadia is the leading population health management data and software company. This data may not reflect amendments filed by the HMO and may be subject to change. We help bridge the gap from data retrieval to implementation for efficiency and care. A northwest payer saw a $7M increase in their Medicaid premium by partnering with Arcadia to improve their closed risk per patient by 59%. xb```b``y sx "~CT3gv6+dJX vHe_`l;~rd5ZWH20Gif >X3=`2L@8` $/L 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. Member and provider login portal | secure.arcadia.io ; Value-Based Care Services Our data-driven approach and team support for your value-based care. For Providers. Track copays and deductibles. This guide helps you sort through the confusion around build vs. buy. Pharmacy. Lafayette, LA 70508, Deliveries Humana legal entities that offer, underwrite, administer or insure insurance products and services. . 1.800.624.6961, ext. Arcadian Health Plan Eligibility Business Intelligence Portal. 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. Precise ParkLink. 0000012822 00000 n Chloe Do - Business Development Administrator - LinkedIn Arcadian Health Plan | 1,090 followers on LinkedIn. Important Humana numbers and contact information for healthcare providers. Since its beginning, our at-home care has proven to save an average of $1,000 per visit. Log in tips & other helpful technical information. My Plan. Hands-on visits for providers to extend their specialty practice into patients homes, offering after hours and weekend support. Enrollment in Providence Health Assurance depends on contract renewal. You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID # 44273. Community Health Plan of Washington is pleased to announce the new Business Intelligence (BI) Portal as a service to our network of Community Health Centers (CHCs) and selected affiliated providers effective January 2021. Prescheduled visits can be organized with the provider joining by phone or telehealth. View your information. Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. Devoted Health Plan of Alabama, Inc. 1-800 . Please contact the member's participating provider network website for specific filing limit terms. EmpowerID. AARP Medicare Complete. Since 1971, Acadian has been committed to providing the highest level of medical care and transportation possible. Providers | Blue Shield of CA Promise Health Plan Build or buy? Your EpicCare Link session has been closed. 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. OAKLAND, CA. It's holistic care for members and peace of mind for loved ones. 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. These two leaders in the long term care industry joined together to create a . Users must adhere to CMS Information Security Policies, Standards, and Procedures. We will make reasonable accommodation to meet our obligations under the Americans with Disabilities Act (ADA) and state disability laws. Our goal is to provide timely and actionable information that helps our CHCs utilize quality . These reports are located on the TDI Reports webpage: HMO Reports. Indiana Medicaid: Partners: Dual Eligible Special Needs Plans 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. 0000009531 00000 n Industry: Health insurance carriers Printer Friendly View Address: 500 12TH St Ste 350 Oakland, CA, 94607-5204 United States See other locations Humana for Healthcare Providers Start a new EpicCare Link session 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. Ailing in Alabama? Health Care Providers - Access Patient Benefits - Health Plans, Inc %%EOF Find the right healthcare plan for you, your family or your employees. Forgot Username? View plan provisions or check with your sales representative. DHMSO: Provider Login Please refer to Customer Support for more information. . Product features may vary by client. Arcadian Health Plan, Inc. (Humana) 1-866-945-4481. . 0000001506 00000 n What does Medicare cover (and not cover)? 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. Health Plans - AllCare IPA Health (Just Now) Provider Directory Search Medicare Advantage Plans Recipients in certain Alabama counties may voluntarily choose to participate in a Medicare Advantage plan. Checking your browser. The provider's business location address is: 500 12TH ST STE 300. This is a general description of services which are subject to change. Activate your MyHumana profile. Request and coordinate all required documentation from internal departments for submissions in a . 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. Hear what the incredible people behind the data have to say. If you have any questions about our plan benefits, procedures and other topics, contact Provider Services. If you have any questions regarding a specific insurance, please contact your local CPL representative or . 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 . This includes adults, children, families with children, seniors, and persons with disabilities. Hearty in Hawaii? Log in tips & other helpful technical information. 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. Humana | Find Medicare Plans and Health Insurance Coverage Go365 is not an insurance product. ARCADIAN HEALTH PLAN, INC. NPI is 1598910549. 0000014444 00000 n Our claims professionals have extensive claims handling experience for a variety of business lines. 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 . 1-877-370-4874. www.MyUHCMedicare.com. Like an EASY button for providers: Overcome transportation and mobility issues by simply pre-scheduling or requesting an on-demand At-Home Health visit. Collaborate closely with your provider networks for mutual economic success under Medicare, Medicaid, and Commercial risk-based contracts. Arcadian Health Plan Eligibility. This information is not a complete description of benefits. Advanced at-home care is an alternative to inpatient hospital visits for general medical conditions. Provider Network Humana offers members a comprehensive network of care centered on primary care providers (PCP), medical and surgical specialists to meet their needs. HMO Alias, NCQA accredits and certifies a wide range of health care organizations. Employment is based solely upon ones individual merit and qualifications directly related to professional competence. Arcadian Health Plan Profile and History . Our healthcare experts weigh in on industry topics. 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. Corporate Office Current Member: 866-409-1221 (TTY 711) . View or print your member ID card. For Providers :: The Health Plan 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. Premiums as Low as $0. Call Provider Services at 888-773-2647 (TTY 711) with any questions. Call 1-888-823-1910 (TTY users call 711) for more . Our CHPW Medicare Advantage plans offer coverage for things Original Medicare doesn't cover, like dental, vision, and prescription drugs (except Freedom Plan). Verify patient eligibility and check the status of submitted claims through our online services below.
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