arcadian health plan provider portal

It is for people who meet the income requirements and live in the state. Our data-driven approach and team support for your value-based care. 1-877-370-4874. www.MyUHCMedicare.com. Our goal is to provide timely and actionable information that helps our CHCs utilize quality . For Arizona residents: Insured by Humana Insurance Company. 2023 Copyright arcadia.io | HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). 1.800.624.6961, ext. , Health (Just Now) WebSecure Provider Portal Prior Authorization; Provider Electronic Solutions (PES) Software Arcadian Health Plan, Inc. (Humana) 1-866-945-4481. Our healthcare experts weigh in on industry topics. We help drive quality care with expert insights for healthier lives. 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. Clinical Guidelines. My Plan. xb```b``y sx "~CT3gv6+dJX vHe_`l;~rd5ZWH20Gif >X3=`2L@8` $/L 0000000016 00000 n The HMO Service Counties spreadsheet can be accessed via the "HMO Service areas" link and is for informational purposes only. 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. 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. Not available with all Humana health plans. This login page requires that you have registered as a OneHealthPort Subscriber. Your EpicCare Link session has been closed. Payment Policies. 300 Hopkins Street 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. 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. 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. Track copays and deductibles. 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. We hope to see you at the HIMSS23 Global Conference. The provider's business location address is: 500 12TH ST STE 300. The AgeRight Advantage mission is to promote the vitality within each of AgeRight Advantage's members and to support them along their aging journey. 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 plan provisions or check with your sales representative. 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 provider's business location address is: Source: , https://clairineclay.com/arcadian-health-plan-provider-portal/, Health (9 days ago) WebProvider portal Working with us online Focus on your patients without the extra paperwork. Individual applications are subject to eligibility requirements. Humana group life plans are offered by Humana Insurance Company or Humana Insurance Company of Kentucky. Health Plans, Inc.PO Box 5199Westborough, MA 01581. View your information. Make a plan for a lifetime of better health with Medi-Cal. 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. Hearty in Hawaii? EmpowerID. . (877) 842-3210. A minimum one-year, initial contract period may be required for some dental and vision plans, excluding Dental Savings Plus. Employment is based solely upon ones individual merit and qualifications directly related to professional competence. See our full accessibility rights information, non-discrimination disclosure, and language options. What does Medicare cover (and not cover)? You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID # 44273. You can find the login to our member or provider portal as well asregistration, password help, and our find a provider systems. These services are not a substitute for emergency care and are not intended to replace your primary care provider or other providers in your network. Vantage Health Plan (Vantage) is an HMO with a Medicare contract. 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. Provider Search . AgeRight Advantage is a Medicare Advantage Plan locally owed by Marquis Companies and Avamere Family of Companies. 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. Please refer to Customer Support for more information. 2023 Copyright arcadia.io | HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). Go365 is not an insurance product. . Users must adhere to CMS Information Security Policies, Standards, and Procedures. Review the claim submission address or electronic payor ID # on the back of the patients member ID card. We partner with leading nursing homes around the country to improve the health and quality of life of residents . Learn how to submit a preauthorization for frequently requested services/procedures for your patients and check prior authorization lists. Prescheduled visits can be organized with the provider joining by phone or telehealth. Checking your browser. Find a Provider. ARCADIAN HEALTH PLAN, INC. NPI is 1598910549. For Texas residents: Insured or offered by Humana Insurance Company, HumanaDental Insurance Company or DentiCare, Inc (d/b/a Compbenefits). 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. Since 1971, Acadian has been committed to providing the highest level of medical care and transportation possible. A minimum one-year, initial contract period may be required for some dental and vision plans, excluding Dental Savings Plus. If this is a U.S. Government information system, CMS maintains ownership and responsibility for its computer systems. DHMSO: Provider Login. ARCADIAN HEALTH PLAN INC. NPI 1598910549. Providence Health Assurance is an HMO, HMOPOS and HMO SNP with Medicare and Oregon Health Plan contracts. Transform disparate information into a longitudinal view of patients through clinical and claims data. 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. SilverSneakers may not be available on all plans or in all areas. Contact Us About The Company Profile For Arcadian Health Plan, Inc. Check patient eligibility, submit preauthorizations, dispute finalized claims and more on the Availity Essentials portal. Provider Network Humana offers members a comprehensive network of care centered on primary care providers (PCP), medical and surgical specialists to meet their needs. We also provide free language interpreter services. <]>> 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 legal entities that offer, underwrite, administer or insure insurance products and services. 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. With five decades of mobile healthcare experience through our ambulance division, the Acadian Health mobile community healthcare team members arrive at a patients location with the knowledge, skill, and equipment to act as our partners eyes, ears, and hands. trailer We are constantly working to expand our health plan affiliations to provide you with the best options for you and your family's needs. Verify patient eligibility and check the status of submitted claims through our online services below. Looking for information about your patients benefits or claims? We help bridge the gap from data retrieval to implementation for efficiency and care. Blue Shield of California Promise Health Plan currently serves Medi-Cal . 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. Individual applications are subject to eligibility requirements. Access Patient Benefits. H0320 ARCADIAN HEALTH PLAN, INC. Formulary Contact 825 Washington St. Suite 300 Oakland CA 94607 HMO H0320 ARCADIAN HEALTH PLAN, INC. MA Claims Processing 858 858 Oak Park Road, Suite 250 Covina CA 91724 HMO H0321 ARIZONA PHYSICIANS IPA, INC. Formulary Contact 8045 Leesburg Pike Suite 600 Vienna VA 22182 HMO H0321 ARIZONA PHYSICIANS IPA, INC. We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. Physician Case Management Referral. Hear what the incredible people behind the data have to say. Forget spreadsheets and unify business processes and infrastructure on a single source of truth. If there's a question you can't find the answer to in our FAQs, call Provider Services at 888-773-2647 (TTY 711). Arcadia's powerful insights elucidate strategies around the financial viability of risk and lowering costs. . 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