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. Request and coordinate all required documentation from internal departments for submissions in a . Please refer to your evidence of coverage for additional details on what your plan may cover or other rules that may apply. 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. 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. 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). Build or buy? 1.800.624.6961, ext. Checking your browser. 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. Our goal is to provide timely and actionable information that helps our CHCs utilize quality . View or print your member ID card. Certain exceptions may apply by geography, network affiliation, member coverage or benefit design. Arcadian Health Plan Profile and History . To learn more about the health plan programs, contact the following customer service departments: Aetna. Arcadia Value-based Managed Care Services, Guide to Build vs. Buy in Healthcare Analytics. Like an EASY button for providers: Overcome transportation and mobility issues by simply pre-scheduling or requesting an on-demand At-Home Health visit. 0000011182 00000 n 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. Data analytics decision-making guide, Guide to Build vs. Buy in Healthcare Analytics. 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. 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. Group Dental and Vision Plans (Insurance through your employer). (This fee is non-refundable as allowed by state). 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. HAP | Affordable Michigan Health Insurance | Michigan Health Insurance . 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. NPI record contains FOIA-disclosable NPPES health care provider information. Go365 is not an insurance product. The provider's business location address is: 500 12TH ST STE 300. Rights and Responsibilities. Rights and Responsibilities. The provider is registered as an organization entity type. MyPlan CarePath Guide for Members. Arcadian Health Plan Eligibility. All rights reserved | Email: [emailprotected], Washington state health insurance application, National healthcare corporation nashville tn, St louis city department of public health. Collaborate closely with your provider networks for mutual economic success under Medicare, Medicaid, and Commercial risk-based contracts. 7914. Box 15645. 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. ), and prepare summary information to initiate proposal response activities. . Individual applications are subject to eligibility requirements. View your information. Call 1-888-823-1910 (TTY users call 711) for more . Download provider quick reference phone guide (PDF, 129 KB) Secure Provider Portal Prior Authorization; Provider Electronic Solutions (PES) Software . 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. This site uses cookies that are essential for our site to work. Working with Acadian Health provides greater opportunity to engage members or patients in the convenient and lower cost home setting. Includes follow-up care and education for recently discharged and high-risk patients. Login using EmpowerID. Support provider performance by making care and risk documentation gaps actionable within their existing clinical workflows. In the event of any disagreement between this communication and the plan document, the plan document will control. We also provide free language interpreter services. When it comes to healthcare, its easy to feel like just a number. H5619 Arcadian Health Plan (Humana, Inc.) Dual Eligible (Dual Eligible Subset - Medicare Zero Cost-sharing) Special Needs Plan Model of Care Score: 88.33% . We build population health management strategies to take on Medicare, Medicaid, and Commercial risk-based contracts. The practitioner's primary taxonomy code is 302R00000X.The provider is registered as an organization and their NPI record was last . Our data-driven approach and team support for your value-based care. What healthcare data platform capabilities do you need to stay competitive? 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. EmpowerID. <]>> Any descriptions of when to use telehealth services are for informational purposes only and should not be construed as medical advice. H5619 Arcadian Health Plan (Humana, Inc.) Dual Health (5 days ago) WebH5619 Arcadian Health Plan (Humana, Inc.) Dual Eligible (Dual Eligible Subset - Medicare Zero Cost-sharing) Special Needs Plan Model of Care Score: 88.33% 3-Year Approval Our analytical expertise simplifies operational decisions for our partners, so they can focus on doing what they do best: delivering care. New Humana member? Health Plans, Inc.PO Box 5199Westborough, MA 01581. (This fee is non-refundable as allowed by state). Alignment Health Plan. Physician Case Management Referral. See our full accessibility rights information, non-discrimination disclosure, and language options. We are constantly working to expand our health plan affiliations to provide you with the best options for you and your family's needs. Company Profile Page. . Subscriber ID: Password: Login. For your convenience, we now have a dedicated phone line. Longevity Health Plan is an Institutional Special Needs Plan (ISNP), a specialized Medicare Advantage health plan serving people living in skilled nursing facilities. That's why Humana is committed to supporting your practice with training resources, policy updates, and industry-leading patient care programs. Name Required. 0000000675 00000 n Based on a comparison of the open risk documented with and without using Arcadia for pre-visit planning and at the point of care. View plan provisions or check with your sales representative. Forgot My Password. Product features may vary by client. Stop the data debates and give your teams the ability to focus on the best next step. View claims. This includes adults, children, families with children, seniors, and persons with disabilities. Become a member of Humanas provider network. Arcadia's powerful insights elucidate strategies around the financial viability of risk and lowering costs. 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. View notice under A Notice for Certain Policy Holders on the ChoiceHealth website. Health Net provides quality affordable health plans for individuals, families, Medi-Cal members, Medicare and businesses. Our Medicare Advantage plans come packed with extra resources for improving our members health. Log in to , https://www.humana.com/provider/medical-resources/self-service-portal, Health (6 days ago) WebMedical Policies. Hear what the incredible people behind the data have to say. 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. Our analytical expertise simplifies operational decisions for our partners, so they can focus on doing what they do . 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. Health Plan of Nevada providers must file an appeal within 180 days. 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. 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. For more information, contact: 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). Find a Provider. xb```b``y sx "~CT3gv6+dJX vHe_`l;~rd5ZWH20Gif >X3=`2L@8` $/L 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. 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. Phone: (510) 832-0311. Checking your browser. Navigating through disruption and coming out on the other side with a stronger system involves more than implementing the right list of tools. Users must adhere to CMS Information Security Policies, Standards, and Procedures. DHMSO: Provider Login. 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. Hear what the incredible people behind the data have to say. Learn how to submit a preauthorization for frequently requested services/procedures for your patients and check prior authorization lists. To check if the above named company is NCQA accredited, visit http://www.ncqa.org/, This page is link to a central repository of financial reports for Health Maintenance Organizations (HMO). These are just some of the conditions we evaluate and treat: Acadian Health acts as your eyes, ears, and hands when you cant be there. 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. Blue Shield of California Promise Health Plan currently serves Medi-Cal . 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. We help bridge the gap from data retrieval to implementation for efficiency and care. *Humana received the highest CX Index score among health insurers in Forresters proprietary 2022 CX Index survey. 0000014444 00000 n Group Dental and Vision Plans (Insurance through your employer). A minimum one-year, initial contract period may be required for some dental and vision plans, excluding Dental Savings Plus. Go365 is not an insurance product and is not available with all Humana health plans. Website current as of: 10/01/2022 H9047_PHAAM20_M We have clinical data, claims data, and ADT data all put together in the system. Noridian Medicare Portal Login. (800) 624-0756. 0000002922 00000 n Premiums as Low as $0. 11806 0 obj<>stream Use the links on this page to access IHCP provider news items, bulletins, and banner page publications. Humana for physicians and healthcare providers. RSVP to Site Meetings, return Intent to Submit letters, etc. 1601 Congress Avenue, Austin, TX 78701 | P.O. Please call our Customer Service Department if you need to talk about protected/private health information. . 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. Explore your coverage and benefit details, get ID cards and more. . Our data-driven approach and team support for your value-based care. Locations Primary 500 12th Street, . Increase the capture of your members risk and care gaps by connecting clinical data at scale. Eligible members enjoy access to a wide variety of benefits, services and tools. ARCADIAN HEALTH PLAN INC. NPI 1598910549 - Health . It is for people who meet the income requirements and live in the state. The information reflected above is compiled based on the data reported by the licensed HMO to the Texas Department of Insurance. Current Member: 866-409-1221 (TTY 711) . FinancialAnalysis@tdi.texas.gov. Our healthcare experts weigh in on industry topics. Please refer to Customer Support for more information. Go365 is not an insurance product. 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. Unlock collaboration across your organization, providers, partners, and members. , Health (Just Now) WebSecure Provider Portal Prior Authorization; Provider Electronic Solutions (PES) Software Arcadian Health Plan, Inc. (Humana) 1-866-945-4481. Review the claim submission address or electronic payor ID # on the back of the patients member ID card. 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 CHPW Medicare Advantage plans offer coverage for things Original Medicare doesn't cover, like dental, vision, and prescription drugs (except Freedom Plan). Find the right healthcare plan for you, your family or your employees. Maxwell Roberts Building, 5th Floor, 1 Church Street Hamilton HM 11 Bermuda +1 441 5439 800 This site uses cookies that are essential for our site to work. For Arizona residents: Insured by Humana Insurance Company. 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.