arcadian health plan provider portal

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. 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. Some plans may also charge a one-time, non-refundable enrollment fee. Representatives are available Monday - Friday 7 a.m. - 9 p.m. Central Time. Stay connected by updating your contact information (service address, phone/fax numbers, etc.). 10/25/2022. Individual applications are subject to eligibility requirements. When it comes to healthcare, its easy to feel like just a number. Supports round-the-clock comprehensive care that may include on-demand critical care, daily rounding, on-site advanced diagnostics, and more. View your information. Limitations on telehealth services, also referred to as virtual visits or telemedicine, vary by state. This communication provides a general description of certain identified insurance or non-insurance benefits provided under one or more of our health benefit plans. For Arizona residents: Insured by Humana Insurance Company. 500 12th St Ste 350, Oakland, California, 94607, United States. 0000001506 00000 n 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. Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. For most members, claims can be mailed or , https://www.hpitpa.com/your-resources/for-providers/check-claims-eligibility/. 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. Review document requirements to ensure response to all pre-submission material (e.g. Forget spreadsheets and unify business processes and infrastructure on a single source of truth. Log in to , https://www.humana.com/provider/medical-resources/self-service-portal, Health (6 days ago) WebMedical Policies. Email Notifications. Our claims professionals have extensive claims handling experience for a variety of business lines. Phone: (510) 832-0311. . Humana for physicians and healthcare providers. Alabama Medicaid. Fax: (510) 817-1894. Forgot Password. All rights reserved | Email: [emailprotected], Washington state health insurance application, National healthcare corporation nashville tn, St louis city department of public health. Checking your browser. Enrollment in Providence Health Assurance depends on contract renewal. Please do not include any confidential or personal information, such as protected health information, social security number, or tax ID. Our analytical expertise simplifies operational decisions for our partners, so they can focus on doing what they do . 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. Since 1971, Acadian has been committed to providing the highest level of medical care and transportation possible. Password Is Required. Most popular medical specialty of providers who accept Arcadian Health Plan: Family Doctor. 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. This guide helps you sort through the confusion around build vs. buy. Administered by Humana Insurance Company. 0000011182 00000 n General. 0000012822 00000 n Pharmacy. Find the right healthcare plan for you, your family or your employees. Longevity Health Plan is an Institutional Special Needs Plan (ISNP), a specialized Medicare Advantage health plan serving people living in skilled nursing facilities. 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. 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. 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. Like an EASY button for providers: Overcome transportation and mobility issues by simply pre-scheduling or requesting an on-demand At-Home Health visit. . 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. Go365 is not an insurance product and is not available with all Humana health plans. H5619 Arcadian Health Plan (Humana, Inc.) Dual Eligible (Dual Eligible Subset - Medicare Zero Cost-sharing) Special Needs Plan Model of Care Score: 88.33% . Make a plan for a lifetime of better health with Medi-Cal. Meet your Practice Management Consultant. Secure Provider Portal Prior Authorization; Provider Electronic Solutions (PES) Software . Website current as of: 10/01/2022 H9047_PHAAM20_M We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. Privacy PolicySurprise Medical Bills Transparency in Coverage - Machine Readable Files Translation Disclaimer Sitemap, Corporate Headquarters1500 West Park Drive, Suite 330Westborough, MA 01581Directions, Phone: 508-752-2480Toll-free: 800-532-7575Fax: 508-754-9664, Health Plans, Inc. is a Harvard Pilgrim company. MyPlan CarePath Guide for Members. 09/16/2022. For Texas residents: Insured or offered by Humana Insurance Company, HumanaDental Insurance Company or DentiCare, Inc (d/b/a Compbenefits). SilverSneakers may not be available on all plans or in all areas. A minimum one-year, initial contract period may be required for some dental and vision plans, excluding Dental Savings Plus. TDI assumes no responsibility for omissions, inaccuracies or ambiguities. Health Net provides quality affordable health plans for individuals, families, Medi-Cal members, Medicare and businesses. This site uses cookies that are essential for our site to work. Need to submit a claim? Create clinically-relevant care programs at scale. For Texas residents: Insured or offered by Humana Insurance Company, HumanaDental Insurance Company or DentiCare, Inc (d/b/a Compbenefits). To learn more about the health plan programs, contact the following customer service departments: Aetna. Hear what the incredible people behind the data have to say. 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. The ranking was based on responses from 12,985 US individuals measuring 17 brands in the industry. 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. 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 . Click the "Allow" button. 2023 Acadian Companies. Username Is Required. Compare Humana Medicare plans where you live. Hear what the incredible people behind the data have to say. We will make reasonable accommodation to meet our obligations under the Americans with Disabilities Act (ADA) and state disability laws. 0000002619 00000 n Includes follow-up care and education for recently discharged and high-risk patients. 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. Premiums as Low as $0. Arcadia Value-based Managed Care Services, Guide to Build vs. Buy in Healthcare Analytics. If you have any questions regarding a specific insurance, please contact your local CPL representative or . Payment Policies. Collaborate closely with your provider networks for mutual economic success under Medicare, Medicaid, and Commercial risk-based contracts. Below are options for contacting us. Alignment Health Plan. Track copays and deductibles. Industry: Health insurance carriers Printer Friendly View Address: 500 12TH St Ste 350 Oakland, CA, 94607-5204 United States See other locations Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. 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. Contact Humana with questions about your patients` benefits or claims. The provider is registered as an organization entity type. 0000014444 00000 n 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 makes it easy to find the best Medicare plans for younear you. 0000006121 00000 n 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. The AgeRight Advantage mission is to promote the vitality within each of AgeRight Advantage's members and to support them along their aging journey. Log in tips & other helpful technical information. Go365 is not an insurance product. We also like being able to save reports and create shortcuts for users. Client session timed out. In states, and for products where applicable, the premium may include a $1 administrative fee. For Arizona residents: Insured by Humana Insurance Company. Prescription Coverage. 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. . Clinical Guidelines. 0 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. 11806 0 obj<>stream Devoted to the communities we serve. 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. 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. What healthcare data platform capabilities do you need to stay competitive? 500 W Main. Visits in urban or rural areas due to convenience, patient choice, or transportation issues, Acadian Health Notice of Privacy Practices, Patient education and care plan follow-up. We hope to see you at the HIMSS23 Global Conference. Maxwell Roberts Building, 5th Floor, 1 Church Street Hamilton HM 11 Bermuda +1 441 5439 800 Looking for information on timely filing limits? Arcadian Health Plan and Humana Benefit Plan of Illinois, Inc . Please keep your personal information private. Warning: you are accessing an information system that may be a U.S. Government information system. 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). 0000000926 00000 n And Arcadia had really outstanding leadership in terms of the knowledge of the business. (This fee is non-refundable as allowed by state). Physician Case Management Referral. 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. 300 Hopkins Street (800) 624-0756. 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. Forgot Username? These reports are located on the TDI Reports webpage: HMO Reports. DHMSO: Provider Login. Name Required. Support provider performance, make care and risk gaps actionable, combine clinically integrated data with predictive analytics, and improve ROI for your risk adjustment programs. The provider's business location address is: Source: picshealth.blogspot.com. 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. Healthcare disrupted: How to keep pace in a rapidly changing world, Population health trends across the United States. 0000007839 00000 n 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. Las Vegas, NV 89114-5645. Results are shared through our provider portal where encounter records can be easily viewed, downloaded, and uploaded to your system. EmpowerID. Build or buy? Check patient eligibility, submit preauthorizations, dispute finalized claims and more on the Availity Essentials portal. We are constantly working to expand our health plan affiliations to provide you with the best options for you and your family's needs. Our healthcare experts weigh in on industry topics. We do this by: There are options we like from Arcadia. Arcadia is the leading population health management data and software company. A look at how states vary in their rates of common diseases, and why measuring health state-by-state requires robust data. For more information, contact: 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. Precise ParkLink. Call Provider Services at 888-773-2647 (TTY 711) with any questions. Hear what the incredible people behind the data have to say. Get started now! 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. Humana group life plans are offered by Humana Insurance Company or Humana Insurance Company of Kentucky. (This fee is non-refundable as allowed by state). Help providers make impactful decisions at the point of care with insights deliver at just the right time. With five decades of mobile healthcare experience through our ambulance division, the Acadian Health mobile community healthcare team members . Group Dental and Vision Plans (Insurance through your employer). You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID # 44273. Language interpreter services (at 1st prompt enter 22228, at 2nd prompt enter. We build population health management strategies to take on Medicare, Medicaid, and Commercial risk-based contracts. These two leaders in the long term care industry joined together to create a . Our CHPW Medicare Advantage plans offer coverage for things Original Medicare doesn't cover, like dental, vision, and prescription drugs (except Freedom Plan). Arcadian Health Plan, Inc. (Humana) 1-866-945-4481. . ; Value-Based Care Services Our data-driven approach and team support for your value-based care. The HMO Alias list is an Excel spreadsheet. Start a new EpicCare Link session Devoted Health Plan of Alabama, Inc. 1-800 . ARCADIAN HEALTH PLAN INC. NPI 1598910549. Access Patient Benefits. %%EOF This information is not a complete description of benefits. This site uses cookies that are essential for our site to work. It's holistic care for members and peace of mind for loved ones. <]>> Insurance Listings. Enrollment in Vantage depends on contract renewal. UNITED STATES; United States; Agent Name CORPORATION SERVICE COMPANY Agent Address To access the website, click "Allow". 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). Activate your MyHumana profile. Please contact the member's participating provider network website for specific filing limit terms. Physician Case Management Referral. Notice of data security event involving ChoiceHealth, a service provider for Humana. Alternative care for non-traumatic hospitalizations for sick but stable patients who would typically be transported by ambulance to an ED. Let them know who you want as your primary care physician and that you want AllCare as your medical group. Rights and Responsibilities. For your convenience, we now have a dedicated phone line.

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