MyPlan QuickStart Guide for Members. For Texas residents: Insured or offered by Humana Insurance Company, HumanaDental Insurance Company or DentiCare, Inc (d/b/a Compbenefits). View your information. 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. Current Member: 866-409-1221 (TTY 711) . 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. Website. Medical Policies. FinancialAnalysis@tdi.texas.gov. The Company Profile page provides basic general information on the HMO, including basic financial, contact, attorney for service, complaint and company history 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. Lets talk about how we can help you solve your most complex challenges. 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). View your information. Access Patient Benefits. Use the links on this page to access IHCP provider news items, bulletins, and banner page publications. Average Overall User Rating for Providers in Washington who take Arcadian Health Plan: View notice under A Notice for Certain Policy Holders on the ChoiceHealth website. 2023 Acadian Companies. The information reflected above is compiled based on the data reported by the licensed HMO to the Texas Department of Insurance. Product features may vary by client. View or print your member ID card. Secure Provider Portal Prior Authorization; Provider Electronic Solutions (PES) Software . View claims. *Humana received the highest CX Index score among health insurers in Forresters proprietary 2022 CX Index survey. By working collaboratively with your team, we strive to improve patient satisfaction, care coordination, and achieve quality health outcomes. We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. Your Choice, Your Plans. Find your B2B customer within minutes using affordable, accurate contact data from Datanyze. New Humana member? 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). 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. This site uses cookies that are essential for our site to work. Health Plan of Nevada providers must file an appeal within 180 days. 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 . Need to submit a claim? This communication does not guarantee benefits and does not indicate all services received will be covered by your plan. Rights and Responsibilities. Centene Venture Company Alabama Health Plan, Inc. (Ascension Complete) 1-833-542-1677. www.ascensioncomplete.com. For Providers. Group Dental and Vision Plans (Insurance through your employer). Filing Date: October 29, 2013. 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 . And with Availity, you can conduct business online quickly and easily, so you can focus on the well-being of our . We have clinical data, claims data, and ADT data all put together in the system. This login page requires that you have registered as a OneHealthPort Subscriber. Locations Primary 500 12th Street, . Payment Policies. 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. Blue Shield of California Promise Health Plan currently serves Medi-Cal . In states, and for products where applicable, the premium may include a $1 administrative fee. You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID # 44273. Arcadias thrilled to be back in Chicago for AMGA 2023, where we hope to hear about your healthcare goals and aspirations. Longevity Health Plan is an Institutional Special Needs Plan (ISNP), a specialized Medicare Advantage health plan serving people living in skilled nursing facilities. Spot opportunities and problems quicker with an intelligent analytics platform built for payers. xref Results are shared through our provider portal where encounter records can be easily viewed, downloaded, and uploaded to your system. This data may not reflect amendments filed by the HMO and may be subject to change. Corporate Office Get started now! Physician Case Management Referral. A minimum one-year, initial contract period may be required for some dental and vision plans, excluding Dental Savings Plus. Log in tips & other helpful technical information. Call Provider Services at 888-773-2647 (TTY 711) with any questions. We like howeasy the system is to usefor end users. 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. It is for people who meet the income requirements and live in the state. Please refer to Customer Support for more information. Unlock collaboration across your organization, providers, partners, and members. 0000000926 00000 n . We partner with leading nursing homes around the country to improve the health and quality of life of residents . Aetna. 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. Warning: you are accessing an information system that may be a U.S. Government information system. Since 1971, Acadian has been committed to providing the highest level of medical care and transportation possible. %%EOF 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. 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. Check patient eligibility, submit preauthorizations, dispute finalized claims and more on the Availity Essentials portal. Any descriptions of when to use telehealth services are for informational purposes only and should not be construed as medical advice. We are constantly working to expand our health plan affiliations to provide you with the best options for you and your family's needs. Staring down all the possibilities of building vs. buying a data analytics solution? Clinical Guidelines. 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. New competitors are entering the market, expectations from members are shifting, and regulatory pressures are making it more difficult than ever to succeed. 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. Humana group life plans are offered by Humana Insurance Company or Humana Insurance Company of Kentucky. P.O. 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. Language interpreter services (at 1st prompt enter 22228, at 2nd prompt enter. 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. In the event of any disagreement between this communication and the plan document, the plan document will control. <]>> Administered by Humana Insurance Company. Forget spreadsheets and unify business processes and infrastructure on a single source of truth. 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). View or print your member ID card. 0000001278 00000 n 0000011182 00000 n 0000000675 00000 n Insurance Listings. Ailing in Alabama? Review document requirements to ensure response to all pre-submission material (e.g. CalOptima Health does not offer free wireless phones. 0000000016 00000 n Hear what the incredible people behind the data have to say. Patient Consent Forms. What does Medicare cover (and not cover)? 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. We partner with healthcare providers to optimize financial outcomes in both value-based care and fee-for-service payment models while empowering opportunities to deliver quality care. It's holistic care for members and peace of mind for loved ones. 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. Track copays and deductibles. 0000006121 00000 n 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 Arcadian Health Plan Profile and History . Increase the capture of your members risk and care gaps by connecting clinical data at scale. View plan provisions or check with your sales representative. These two leaders in the long term care industry joined together to create a . ; Customer Insights Team We help bridge the gap from data retrieval to implementation for efficiency and care. . Deliver personalized experiences, reduce administrative efforts, and create new health and wellness benefits for members, employers, and providers with a data-driven strategy. 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. Please keep your personal information private. Physician Case Management Referral. Please call our Customer Service Department if you need to talk about protected/private health information. Individual applications are subject to eligibility requirements. Plus you get extra $0 benefits like Alternative Medicine visits (chiropractor, acupuncture, and more), fitness programs, and a monthly over-the-counter benefit. To appeal a decision, mail a written request to: Health Plan of Nevada, Member Services. 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. 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. The provider's business location address is: 500 12TH ST STE 300. Some plans may also charge a one-time, non-refundable enrollment fee. 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 . 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. NPI record contains FOIA-disclosable NPPES health care provider information. 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. , Health (Just Now) WebSecure Provider Portal Prior Authorization; Provider Electronic Solutions (PES) Software Arcadian Health Plan, Inc. (Humana) 1-866-945-4481. Pharmacy. Based on a comparison of the open risk documented with and without using Arcadia for pre-visit planning and at the point of care. The provider is registered as an organization entity type. 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. We act as your eyes, ears, and hands and coordinate with the patients provider to support a wellness/specialist visit or address complex conditions. We build population health management strategies to take on Medicare, Medicaid, and Commercial risk-based contracts. (800) 624-0756. If you have any questions regarding a specific insurance, please contact your local CPL representative or . We do not discriminate on the basis of race, color, religion, national origin, veteran status, ancestry, pregnancy status, sex, age, marital status, disability, medical condition, sexual orientation, gender identity or any other characteristics protected by law. Devoted to the communities we serve. 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. (3 days ago) WebAddress: 500 12TH ST STE 300 OAKLAND, CA ZIP 94607 Phone: (510) 832-0311 Get Directions ARCADIAN HEALTH PLAN, INC. is a health maintenance organization in . . Noridian Medicare Portal 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. 0000014444 00000 n We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. Health (8 days ago) Arcadian Health Plan Provider Portal Health (8 days ago) WebArcadian Health Plan Provider Portal Health (8 days ago) Web (Just Now) Secure Provider Portal Prior Authorization; Provider Electronic Solutions (PES) Software https://www.health-improve.org/arcadian-health-plan-provider-portal/ Category: Health Show Health, https://www.health-improve.org/arcadian-health-plan-provider-portal/, Health (7 days ago) WebVirtual 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 , Health (1 days ago) WebArcadia Value-based Managed Care Services Login or find a doctor on secure.arcadia.io You can find the login to our member or provider portal as well as registration, , https://arcadia.io/login-or-find-a-doctor, Health (9 days ago) WebHelping Healthcare Providers Improve Population Health Arcadia Analytics Healthcare Providers Optimize financial outcomes and deliver better care We partner with , Health (3 days ago) WebProvider Name: ARCADIAN HEALTH PLAN, INC. To access the website, click "Allow". Make a plan for a lifetime of better health with Medi-Cal. 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. Big data technology for high availability data ingestion, computation and storage. HMO Alias, NCQA accredits and certifies a wide range of health care organizations. 1.800.624.6961, ext. Review the latest news and publications for providers. (3 days ago) WebARCADIAN HEALTH PLAN, INC. NPI is 1598910549. To help our members through the pandemic, were providing trusted information from public health officials. AARP Medicare Complete. We help drive quality care with expert insights for healthier lives. Alternative care for non-traumatic hospitalizations for sick but stable patients who would typically be transported by ambulance to an ED. We do this by: There are options we like from Arcadia. 11804 18 2023 Copyright arcadia.io | HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). Today, we have ground and air ambulance facilities strategically located in areas across Louisiana, Mississippi, Tennessee and Texas, and we offer safety and medical services around the world. Meet your Practice Management Consultant. MyPlan CarePath Guide for Members.