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. DHMSO: Provider Login. Acadian comprises six divisions Acadian Ambulance Service, Acadian Air Med, Acadian Total Security, National EMS Academy, Executive Air Charter and Safety Management Systems and has a variety of support departments. Business Intelligence Portal. We help drive quality care with expert insights for healthier lives. Build or buy? MyPlan CarePath Guide for Members. Product features may vary by client. 11804 0 obj<> endobj We like the data that has been made available. Collaborate closely with your provider networks for mutual economic success under Medicare, Medicaid, and Commercial risk-based contracts. Arcadia keeps up with industry trends and has new functionalities available. Subscriber ID: Password: Login. The proprietary survey results are based on consumers opinions of the experiences with the brands in the survey. Member and provider login portal | secure.arcadia.io Healthcare disrupted: How to keep pace in a rapidly changing world, Population health trends across the United States. Noridian Medicare Portal Login. We act as your eyes, ears, and hands and coordinate with the patients provider to support a wellness/specialist visit or address complex conditions. Enrollment in Vantage depends on contract renewal. Improve your chase list for a better ROI on your risk adjustment program. endstream endobj 11821 0 obj<>/W[1 1 1]/Type/XRef/Index[152 11652]>>stream Forgot Username? Employment is based solely upon ones individual merit and qualifications directly related to professional competence. 0000016080 00000 n SilverSneakers may not be available on all plans or in all areas. 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. Fax: (510) 817-1894. Prior Authorizations - Doctor / Provider - Health Plan of Nevada Secure Log in - Health Plan 2023 Acadian Companies. Administered by Humana Insurance Company. 0000012822 00000 n For more information, contact: Prescheduled visits can be organized with the provider joining by phone or telehealth. To access the website, click "Allow". 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. Forgot Password. 300 Hopkins Street All Rights Reserved. What healthcare data platform capabilities do you need to stay competitive? Logout - Trinity Health Average Overall User Rating for Providers in Washington who take Arcadian Health Plan: To help our members through the pandemic, were providing trusted information from public health officials. Includes follow-up care and education for recently discharged and high-risk patients. Important Humana numbers and contact information for healthcare providers. Forgot Password. Stay connected by updating your contact information (service address, phone/fax numbers, etc.). Providers | Providence Health Plan Language interpreter services (at 1st prompt enter 22228, at 2nd prompt enter. And Arcadia had really outstanding leadership in terms of the knowledge of the business. ARCADIAN HEALTH PLAN, INC. Company Number 602384193 Status Active Incorporation Date 6 April 2004 (almost 19 years ago) Company Type WA INSURANCE COMPANY Jurisdiction Washington (US) Registered Address. 09/16/2022. Humana legal entities that offer, underwrite, administer or insure insurance products and services. A northwest payer saw a $7M increase in their Medicaid premium by partnering with Arcadia to improve their closed risk per patient by 59%. 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. 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 . What healthcare data platform capabilities do you need to stay competitive? Our healthcare experts weigh in on industry topics. 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). PDF claims processing 20060120 (2) - Centers for Medicare & Medicaid Services Contact Humana with questions about your patients` benefits or claims. EmpowerID. 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. 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. The HMO Service Counties spreadsheet can be accessed via the "HMO Service areas" link and is for informational purposes only. 0000000016 00000 n . Payment Policies. 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. Please refer to Customer Support for more information. We are constantly working to expand our health plan affiliations to provide you with the best options for you and your family's needs. We partner with leading nursing homes around the country to improve the health and quality of life of residents . You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID # 44273. Chloe Do - Business Development Administrator - LinkedIn ARCADIAN HEALTH PLAN, INC. NPI is 1598910549. Review the latest news and publications for providers. Rights and Responsibilities. Integrate your business for coordinated and collaborative innovation by unifying your infrastructure and associated business processes with a service oriented, centralized platform. Rights and Responsibilities. 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). Medi-Cal is California's Medicaid healthcare program that offers free or low-cost health coverage. Big data technology for high availability data ingestion, computation and storage. In the event of any disagreement between this communication and the plan document, the plan document will control. 2023 Copyright arcadia.io | HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). Help providers make impactful decisions at the point of care with insights deliver at just the right time. Health (2 days ago) WebHumana 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). 0000006121 00000 n Verify patient eligibility and check the status of submitted claims through our online services below. In the event of any disagreement between this communication and the plan document, the plan document will control. Big data technology for high availability data ingestion, computation and storage. When it comes to healthcare, its easy to feel like just a number. 0000011182 00000 n My Plan. What does Medicare cover (and not cover)? Big data technology for high availability data ingestion, computation and storage. 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. View claims. 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. 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. Providers | Blue Shield of CA Promise Health Plan Find your B2B customer within minutes using affordable, accurate contact data from Datanyze. We meet you where you are and enable you to reach your goals across contracts (Commercial, Medicare, Medicaid) in risk, quality, operations, and other areas. 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 This site uses cookies that are essential for our site to work. 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. Arcadian Health Plan Eligibility Not available with all Humana health plans. Arcadian Health Plan Doctors in Washington (WA) | Doctor.com Alabama Medicaid. 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? CalOptima Home 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. Your EpicCare Link session has been closed. Need to submit a claim? Check patient eligibility, submit preauthorizations, dispute finalized claims and more on the Availity Essentials portal. 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. We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. Based on a comparison of the open risk documented with and without using Arcadia for pre-visit planning and at the point of care. Username Is Required. , Health (2 days ago) WebHealth (3 days ago) arcadian health plan, inc. Hmo company profile and agent for service. Review the claim submission address or electronic payor ID # on the back of the patient's member ID card. Website. Log in to , https://www.humana.com/provider/medical-resources/self-service-portal, Health (6 days ago) WebMedical Policies. Please refer to your evidence of coverage for additional details on what your plan may cover or other rules that may apply. 0000000926 00000 n Hear what the incredible people behind the data have to say. arcadian health plan, inc claims mailing address PDF H5619 Arcadian Health Plan (Humana, Inc.) Dual Eligible (Dual Eligible 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. Pharmacy. Arcadian Health Plan, Inc. - AL, AR, CA, FL, IA, IL, IN, KY, ME, MO 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. If you have any questions about our plan benefits, procedures and other topics, contact Provider Services. Physician Case Management Referral. . Health Care Providers - Access Patient Benefits - Health Plans, Inc Start a new EpicCare Link session Request and coordinate all required documentation from internal departments for submissions in a . 0000002922 00000 n View claims. We have clinical data, claims data, and ADT data all put together in the system. Stop by Booth #152 to meet our team and get a demo of Arcadia Analytics. In the event of a dispute, the policy as written in English is considered the controlling authority. 0000002619 00000 n View your information. Find the right healthcare plan for you, your family or your employees. 2023 Copyright arcadia.io | HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). Health (3 days ago) arcadian health plan, inc. Hmo company profile and agent for service. Medi-Cal | Blue Shield of CA Promise Health Plan Alabama Medicaid 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. Enhance your existing healthcare services with our mobile resources, bringing trained personnel direct to the patientwherever they are. Health Plan of Nevada providers must file an appeal within 180 days. The provider is registered as an organization , https://www.health-mental.org/arcadian-health-plan-provider-number/, Health (3 days ago) WebHere is a troubleshooting guide, in case things go wrong on your side. Prescription Coverage. Our analytical expertise simplifies operational decisions for our partners, so they can focus on doing what they do . Hearty in Hawaii? 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. Staring down all the possibilities of building vs. buying a data analytics solution? Please keep your personal information private. This communication provides a general description of certain identified insurance or non-insurance benefits provided under one or more of our health benefit plans. Call Provider Services at 888-773-2647 (TTY 711) with any questions. Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued.
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