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Please contact the member's participating provider network website for specific filing limit terms. 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. 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. The practitioner's primary taxonomy code is 302R00000X.The provider is registered as an organization and their NPI record was last . In states, and for products where applicable, the premium may include a $1 administrative fee. We like howeasy the system is to usefor end users. 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. Chloe Do - Business Development Administrator - LinkedIn Website current as of: 10/01/2022 H9047_PHAAM20_M MyPlan QuickStart Guide for Members. AARP Medicare Complete. 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. Review document requirements to ensure response to all pre-submission material (e.g. 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. Las Vegas, NV 89114-5645. We do this by: There are options we like from Arcadia. 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. 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. The provider is registered as an organization entity type. Please refer to your evidence of coverage for additional details on what your plan may cover or other rules that may apply. 0000002140 00000 n Stop by Booth #152 to meet our team and get a demo of Arcadia Analytics. 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. Working with Acadian Health provides greater opportunity to engage members or patients in the convenient and lower cost home setting. Prescription Coverage. To access the website, click "Allow". General. 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. Group Dental and Vision Plans (Insurance through your employer). Arcadian Health Plan Doctors in Washington (WA) | Doctor.com UnitedHealthcare Provider Portal Resources | UHCprovider.com Need to submit a claim? Users must adhere to CMS Information Security Policies, Standards, and Procedures. Explore trainings and tutorials for working with Humana. Login using EmpowerID. Arcadian Health Plan, Inc. - AL, AR, CA, FL, IA, IL, IN, KY, ME, MO OAKLAND, CA. MyPlan CarePath Guide for Members. For Arizona residents: Insured by Humana Insurance Company. Unlock collaboration across your organization, providers, partners, and members. This site uses cookies that are essential for our site to work. 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. You can find the login to our member or provider portal as well asregistration, password help, and our find a provider systems. View plan provisions or check with your sales representative. (This fee is non-refundable as allowed by state). 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. 0000016080 00000 n 500 12th St Ste 350, Oakland, California, 94607, United States. 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. Email Notifications. Enrollment in Vantage depends on contract renewal. At Humana, we do things differently. xb```b``y sx "~CT3gv6+dJX vHe_`l;~rd5ZWH20Gif >X3=`2L@8` $/L arcadian health plan, inc claims mailing address Contact Us About The Company Profile For Arcadian Health Plan, Inc. Phone: (510) 832-0311. Arcadian Health Plan Company Profile | Management and Employees List PDF H5619 Arcadian Health Plan (Humana, Inc.) Dual Eligible (Dual Eligible (877) 842-3210. This communication provides a general description of certain identified insurance or non-insurance benefits provided under one or more of our health benefit plans. 7914. Combine clinically integrated data with predictive analytics to help providers find the patients most likely to engage and close a care gap. 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. 1.800.624.6961, ext. Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. Make a plan for a lifetime of better health with Medi-Cal. For costs and complete details of the coverage, refer to the plan document or call or write your Humana insurance agent or the 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. Current Member: 866-409-1221 (TTY 711) . Based on a comparison of the open risk documented with and without using Arcadia for pre-visit planning and at the point of care. 1598910549 NPI Number | ARCADIAN HEALTH PLAN, INC. - HIPAASpace Most popular medical specialty of providers who accept Arcadian Health Plan: Family Doctor. Arcadian Health Plan | LinkedIn Data analytics decision-making guide, Guide to Build vs. Buy in Healthcare Analytics. 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 . Taxonomy code 302R00000X with license number 2006117 (GA). Arcadian Health Plan, Inc. - Texas Department of Insurance Humana group life plans are offered by Humana Insurance Company or Humana Insurance Company of Kentucky. ARCADIAN HEALTH PLAN INC. NPI 1598910549 - Health . Arcadias powerful insights elucidate strategies around the financial viability of risk and lowering costs. Insurance Listings | Clinical Pathology Laboratories Health (3 days ago) WebARCADIAN HEALTH PLAN, INC. NPI is 1598910549. Home - Longevity Health Plan 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. Use the links on this page to access IHCP provider news items, bulletins, and banner page publications. Some plans may also charge a one-time, non-refundable enrollment fee. SilverSneakers may not be available on all plans or in all areas. We hope to see you at the HIMSS23 Global Conference. The proprietary survey results are based on consumers opinions of the experiences with the brands in the survey. 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. View your information. HAP | Affordable Michigan Health Insurance | Michigan Health Insurance . 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. 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. 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 . 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. Your Choice, Your Plans. 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. (800) 624-0756. Go365 is not an insurance product. Need to submit a claim? Arcadian Health Plan and Humana Benefit Plan of Illinois, Inc . This data may not reflect amendments filed by the HMO and may be subject to change. Arcadian Health Plan, Inc. (Humana) 1-866-945-4481. . To appeal a decision, mail a written request to: Health Plan of Nevada, Member Services. This site uses cookies that are essential for our site to work. If you need technical help to access the UnitedHealthcare Provider Portal, please email [email protected] or call our UnitedHealthcare Web Support at 866-842-3278, option 1. We like the data that has been made available. Arcadian Health Plan, Inc. Npi 1316105646 Clinical Guidelines. Build or buy? For Arizona residents: Insured by Humana Insurance Company. Noridian Medicare Portal Login Medicaid contracts each year with plans that are willing to accept a monthly fee for each recipient in their program. Our claims professionals have extensive claims handling experience for a variety of business lines. Below are options for contacting us. 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.