arcadian health plan provider portal

Hear what the incredible people behind the data have to say. Looking for information on timely filing limits? 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. Lets talk about how we can help you solve your most complex challenges. We hope to see you at the HIMSS23 Global Conference. Review the claim submission address or electronic payor ID # on the back of the patients member ID card. Big data technology for high availability data ingestion, computation and storage. 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. Patient Consent Forms. Find doctors, hospitals, and specialists in your area. Language interpreter services (at 1st prompt enter 22228, at 2nd prompt enter. Call 1-888-823-1910 (TTY users call 711) for more . 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 learn more about the health plan programs, contact the following customer service departments: Aetna. Data analytics decision-making guide, Guide to Build vs. Buy in Healthcare Analytics. The AgeRight Advantage mission is to promote the vitality within each of AgeRight Advantage's members and to support them along their aging journey. Find a Provider. Arcadian Health Plan providers listed on Doctor.com have been practicing for an average of: 26 year (s) Average ProfilePoints score for Providers who take Arcadian Health Plan: 53/80. New competitors are entering the market, expectations from members are shifting, and regulatory pressures are making it more difficult than ever to succeed. Review document requirements to ensure response to all pre-submission material (e.g. Humana legal entities that offer, underwrite, administer or insure insurance products and services. 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. Arcadian Health Plan and Humana Benefit Plan of Illinois, Inc . . Your Choice, Your Plans. Our data-driven approach and team support for your value-based care. Arcadian Health Plan | 1,090 followers on LinkedIn. We help bridge the gap from data retrieval to implementation for efficiency and care. (800) 624-0756. Need to submit a claim? Simply enter your zip code to look up plan coverage and costs, see if your drugs are covered or check if your doctors are in our network. View claims. A look at how states vary in their rates of common diseases, and why measuring health state-by-state requires robust data. View your information. Arcadia's powerful insights elucidate strategies around the financial viability of risk and lowering costs. Help providers make impactful decisions at the point of care with insights deliver at just the right time. Password Is Required. 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. Get started now! Name Required. 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. Get the most out of your plan with a MyHumana account. 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. 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? startxref Click the "Allow" button. Go365 is not an insurance product. FinancialAnalysis@tdi.texas.gov. 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. 0000002922 00000 n In the event of any disagreement between this communication and the plan document, the plan document will control. New Humana member? This data may not reflect amendments filed by the HMO and may be subject to change. Stop by Booth #152 to meet our team and get a demo of Arcadia Analytics. OAKLAND, CA. 1.877.221.9295. Please refer to Customer Support for more information. Locations Primary 500 12th Street, . Payment Policies. Forgot My Password. HMO Alias, NCQA accredits and certifies a wide range of health care organizations. Some links on this page may take you to Humana non-Medicare product or service pages or to a different website. That's why Humana is committed to supporting your practice with training resources, policy updates, and industry-leading patient care programs. 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. We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. Arcadias thrilled to be back in Chicago for AMGA 2023, where we hope to hear about your healthcare goals and aspirations. Provider Network Humana offers members a comprehensive network of care centered on primary care providers (PCP), medical and surgical specialists to meet their needs. 0000000926 00000 n 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. MyPlan CarePath Guide for Members. Arcadian Health Plan Eligibility. Limitations on telehealth services, also referred to as virtual visits or telemedicine, vary by state. Integrate your business for coordinated and collaborative innovation by unifying your infrastructure and associated business processes with a service oriented, centralized platform. If there's a question you can't find the answer to in our FAQs, call Provider Services at 888-773-2647 (TTY 711). Arcadia keeps up with industry trends and has new functionalities available. 0000006121 00000 n Fax: (510) 817-1894. Please keep your personal information private. Las Vegas, NV 89114-5645. If you have any questions regarding a specific insurance, please contact your local CPL representative or . 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. Company Profile Page. For New Mexico residents: Insured by Humana Insurance Company. These two leaders in the long term care industry joined together to create a . We do this by: There are options we like from Arcadia. Since its beginning, our at-home care has proven to save an average of $1,000 per visit. Centene Venture Company Alabama Health Plan, Inc. (Ascension Complete) 1-833-542-1677. www.ascensioncomplete.com. 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. xb```b``y sx "~CT3gv6+dJX vHe_`l;~rd5ZWH20Gif >X3=`2L@8` $/L Navigating through disruption and coming out on the other side with a stronger system involves more than implementing the right list of tools. The information is subject to change and is not all-inclusive. Review the claim submission address or electronic payor ID # on the back of the patients member ID card. Box 15645. Our healthcare experts weigh in on industry topics. Humana for physicians and healthcare providers. Clinical Guidelines. Client session timed out. 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). Health Plans, Inc.PO Box 5199Westborough, MA 01581. For Texas residents: Insured or offered by Humana Insurance Company, HumanaDental Insurance Company or DentiCare, Inc (d/b/a Compbenefits). Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. Users must adhere to CMS Information Security Policies, Standards, and Procedures. Your Choice, Your Plans. We are constantly working to expand our health plan affiliations to provide you with the best options for you and your family's needs. Become a member of Humanas provider network. 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. 500 12th St Ste 350, Oakland, California, 94607, United States. 11804 18 Insurance Listings. 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. 2023 Copyright arcadia.io | HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). 0000001278 00000 n We partner with leading nursing homes around the country to improve the health and quality of life of residents . 0000004546 00000 n We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. For most members, claims can be mailed or , https://www.hpitpa.com/your-resources/for-providers/check-claims-eligibility/. Working with Acadian Health provides greater opportunity to engage members or patients in the convenient and lower cost home setting. In the event of a dispute, the policy as written in English is considered the controlling authority. Clinical Guidelines. Learn how to submit a preauthorization for frequently requested services/procedures for your patients and check prior authorization lists. This communication provides a general description of certain identified insurance or non-insurance benefits provided under one or more of our health benefit 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. See our full accessibility rights information, non-discrimination disclosure, and language options. Explore your coverage and benefit details, get ID cards and more. Not available with all Humana health plans. If you have purchased an association plan, an association fee may also apply. These reports are located on the TDI Reports webpage: HMO Reports. For more information, contact: Maxwell Roberts Building, 5th Floor, 1 Church Street Hamilton HM 11 Bermuda +1 441 5439 800 (877) 842-3210. The provider's business location address is: Source: picshealth.blogspot.com. A minimum one-year, initial contract period may be required for some dental and vision plans, excluding Dental Savings Plus. Our healthcare experts weigh in on industry topics. 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. 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. (This fee is non-refundable as allowed by state). MyPlan QuickStart Guide for Members. P.O. Improve your chase list for a better ROI on your risk adjustment program. In states, and for products where applicable, the premium may include a $1 administrative fee. By working collaboratively with your team, we strive to improve patient satisfaction, care coordination, and achieve quality health outcomes. . View notice under A Notice for Certain Policy Holders on the ChoiceHealth website. Please do not include any confidential or personal information, such as protected health information, social security number, or tax ID.

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