Get the most out of your plan. Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at, Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the. PK ! Health (8 days ago) WebArcadia.io Category: Health Detail Health Department of Human Services NJ FamilyCare Health Plans Health (8 days ago) Web101 Wood Avenue South, 8th Floor. a form, View ID Arcadian Health Plan and Humana Benefit Plan of Illinois, Inc. Current Member: 800-457-4708 (TTY 711) Not a Member: 800-833-2364 (TTY 711) Ascension Complete Current Member: 833-542-1679 (TTY 771) Not a Member: 877-831-9411 (TTY 711) CareSource Current Member: 833-230-2020 (TTY 711) Not a Member: 844-607-2830 (TTY 711) MDwise Medicare Advantage Plans may offer extra coverage, such as vision, hearing, dental, and/or health and wellness programs. Code describing the type of health care provider that is being assigned an NPI. A process known as advanced claims editing (ACE) applies coding rules to a medical claim submitted through the Availity gateway via EDI before the claim enters Humana's claim payment system. For in-depth guidance on the D-SNP submission of encounter data, see the following IHCP companion guides: Arcadian Health Plan and Humana Benefit Plan of Illinois, Inc. So can the benefits and costs of Medicare Advantage plans. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). Arcadian Health Plan 510-817-1016 . The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. care, Managing endobj 3.8 . PDF Arcadian Health Plan Inc., H5619 Dual Eligible Medicare Zero Cost Redfin Corporation. 3 Beds. Here are three examples of organization health care providers that may be considered subparts and may apply for NPIs if so directed by their "parents": for Plans, Shop D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. We are an independent education, research, and technology company. ARCADIAN HEALTH PLAN INC. NPI 1598910549 - Health Health (3 days ago) WebZIP 94607 Phone: (510) 832-0311 Get Directions ARCADIAN HEALTH PLAN, INC. is a health maintenance organization in Oakland, CA. Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). To learn more about the health plan programs, contact the following customer service departments: Sign up for email and/or text notices of Medicaid and other FSSA news, reminders, and other important 2023 Arcadian Health Plan - Plus (HMO) in OK Plan Benefits Details Give yourself a birthday gift. pricing guide, Find You may find answers to your questions, such as how to get a replacement ID card or change your address, without needing to call or wait for a response! Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. There also may be other risks that the company is unable to predict at this time. The Registered Agent on file for this company is Corporation Service Company Inc and is located at 641 South Lawrence Street, Montgomery, AL 36104. When used in investor presentations, press releases, Securities and Exchange Commission (SEC) filings, and in oral statements made by or with the approval of one of Humanas executive officers, the words or phrases like expects, anticipates, intends, likely will result, estimates, projects or variations of such words and similar expressions are intended to identify such forward-looking statements. This data element may contain the same information as ''Provider location address City name''. Select Foreign Country in the state drop down box if the license was issued outside of United States. (2) A group practice that is not a sole proprietorship has a main location and could have other offices in different locations, but each office is not a separate legal entity; instead, each office is part of the corporation (the "parent") which is a legal entity. ARCADIAN HEALTH PLAN INC. NPI 1598910549 - Health Health (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 https://healthprovidersdata.com/hipaa/codes/NPI-1598910549-arcadian-health-plan-inc Category: Health Show Health The HMO , https://www.tdi.texas.gov/hmo/profiles/95962.html, Health (8 days ago) Web500 W Main. pharmacy, Shop for PSW represents a network of more than 1,000 providers and facilities and works with health plans and health care providers in delivering great patient care. 94607-4087, US. a pharmacy, Compare You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. Star Ratings are calculated each year and may change from one year to the next. It is situated on the river Altmhl, 19 kilometres (12 mi) northwest of Weienburg in Bayern, and 45 kilometres (28 mi) southwest of Nuremberg. Members may enroll in a Medicare Advantage plan only during specific times of the year. a doctor, Enroll gcse.type = 'text/javascript'; PSW licensed agents can answer your questions on Medicare, Medicare Advantage and the specific health plans we offer. 1-800-454-3730. WellCare - Wikipedia Each line of business represents a different Healthcare Provider Taxonomy or area of specialization that often submits its own electronic claims to health plans. Arcadian Health Plan is a small health care company based in Oakland, CA with only 111 employees and an annual revenue of $9.2M. All rights reserved. There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. The HMO Alias list is an Excel spreadsheet. (function() { Please call our Customer Service Department if you need to talk about protected/private health information. Visit PSWs Annual Enrollment Period (AEP) page to learn more. Meet your Practice Management Consultant. Claims Submissions - Humana As a government contractor, Humana is exposed to risks that may materially adversely affect its business or its willingness or ability to participate in government health care programs. This data element may contain the same information as ''Provider location address State name''. We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. Licensure, Fraud, Waste & Industry Hospital & Health Care Revenue $9.2M Employees 111 Founded in Headquarters Oakland, CA Website Organization Type Private Is This Your Company? Provider Relations Phone Number. You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID . Humana expects no interruption in coverage; members can continue to see the same health care providers and receive the same benefits they currently have for the 2012 benefit year. All rights reserved | Email: [emailprotected], Abington jefferson health physician directory, White mountain community health conway nh. St Louisville, KY 40202. 3 Beds. & tools, Humana Completes Acquisition of Arcadian Management Services, Find a Iselin, New Jersey . Many organization health care providers who apply for NPIs are not legal entities themselves but are parts of other organization health care providers that are legal entities (the "parents"). Give us a call at 360-943-4337 opt. quote, Find an name (which is a provider name or healthcare organization name) ARCADIAN HEALTH PLAN, INC.. Health Plan/Payer Business E-Mail Address. If one of our plans is not the best fit, dont worry well connect you with other options. Arcadian Health Plan, Inc. - AL, AR, CA, FL, IA, IL, IN, KY, ME, MO Other The City name in the mailing address of the provider being identified. Copyright 2007-2023 HIPAASPACE. The first line mailing address of the provider being identified. This page contains Indiana Health Coverage Programs (IHCP) Companion Guides for Health Insurance Portability and Accountability Act (HIPAA) version 5010 electronic transactions. Gunzenhausen is a nationally . (For crosswalk purposes, the following (non-NPI) identifiers are available for this provider), (Collection of legacy and proprietary (non-NPI) identifiers ever reported for this provider). Business Address Line. Humanas business activities are subject to substantial government regulation. The Health Insurance Portability and Accountability Act (HIPAA) of 1996 contains Portability, Medicaid Integrity Program/Fraud and Abuse, and Administrative Simplification. X - The primary taxonomy switch is Not Answered; Y - The taxonomy is the primary taxonomy (there can be only one per NPI record); N - The taxonomy is not the primary taxonomy. D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. PSW is a private company and not a health plan. Secondary Claims: YES: . dental plans, Find 1,507 Sq. OAKLAND Statement, Disclaimers & About Arcadian Health: Arcadian Health, founded in 1996, provides Medicare Advantage coverage through its affiliates in the following 15 states: . Health Plan/Payer Business Fax Number. To find out more, visit Medicare.gov. You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Arcadian Health Plan Company Profile | Management and Employees List The country code in the location address of the provider being identified. 1 0 obj Medical Policies. UHS of Fuller, Inc., UHS of Delaware, Inc., OSHRC DOCKET No. 20-0032 Have Inpatient Acute DRGs, SNF, Long Term Care & Home Care claims. In 2013, the executives, including former CEO Todd Farha, were found guilty of the charges, including healthcare fraud and making false statements to law enforcement. This data element may contain the same information as ''Provider first line location address''. 1-800-600-4441. https://www.nj.gov/humanservices/dmahs/info/resources/hmo/, Abington jefferson health physician directory, Intermountain healthcare st george utah, White mountain community health conway nh, 2021 health-improve.org. Not quite 65? DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition. STATEMENT AS OF MARCH 31, 2021 OF THE Arcadian Health Plan, Inc. ASSETS Current Statement Date 4 1 Assets 2 Nonadmitted Assets 3 Net Admitted Assets (Cols. Medicare evaluates plans based on a 5-Star rating system. wellness & rewards, Member Free Prior (Rx) Authorization Forms - PDF - eForms CA Limitations, copayments, and restrictions may apply. The city name in the location address of the provider being identified. The authorized official title (position) is SR. VP AND GENERAL COUNSEL. Payer ID List - Health Data Services Health Plan/Payer ID Codes, also known as Receiver Codes, are the primary identifier used to route your EDI transaction to the appropriate entity. Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home. Corp - WI . health goals, Go365 in a plan, Shop *Required Fields. If the plan accepts the monthly fee then the plan agrees to be responsible for the Medicare co-payments, co-insurance or deductibles. (3) A pharmacy fills prescriptions for patients whose physicians have prescribed medications for them and may also rent or sell durable medical equipment to patients whose physicians have ordered such equipment for them. Nearby homes similar to 1521 Arcadian Lily have recently sold between $257K to $257K at an average of $170 per square foot. We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. Any of these risks and uncertainties may cause actual results to differ materially from the results discussed in the forward-looking statements. Humana Completes Acquisition of Arcadian Management Services religion. 94607-5204 The State or Province name in the location address of the provider being identified. Neither the pharmacy line of business nor the DME line of business represent legal entities; instead, both lines of business are part of an organization (the "parent") that is a legal entity. 1997. RE UNit 13 - Lease Alienation - Unit 13- Lease Alienation Prep task 1 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO). [14] [15] [16] 2008-2019 [ edit] If Humana does not continue to earn and retain purchase discounts and volume rebates from pharmaceutical manufacturers at current levels, Humanas gross margins may decline. about Medicaid, How Our claims professionals have extensive claims handling experience for a variety of business lines. Humana Announces Agreement to Acquire Arcadian Management Services We can quickly help you if you have your member ID number, located on the back of your , 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 (1 days ago) WebService Categories: About this location: The Veolia Northern New Jersey Water Operations, proudly provides clean, safe drinking water to customers in Bergen and Hudson , https://www.veolianorthamerica.com/contact-us/find-office/hackensack-nj, Health (6 days ago) WebCustomer care representatives are available to assist you. Member and provider login portal | secure.arcadia.io Any failure by Humana to manage acquisitions and other significant transactions successfully may have a material adverse effect on its results of operations, financial position, and cash flows. The plan deposits The postal ZIP or zone code in the location address of the provider being identified. Amerigroup Ohio ## 27518 Y AMERIGROUP OHIO Claims and Encounters FALSE G Amerigroup Vantage ## 26375 Y AMERIGROUP IOWA FALSE G Amerihealth Administrators, Inc. ** 54763 Y AMERIHEALTH ADMIN . Many Medicare Advantage Plans also offer extra benefits such as dental care, eyeglasses, or wellness programs. 2,148 Sq. Doctor, Health & Well-being These forward-looking statements are not guarantees of future performance and are subject to risks, uncertainties, and assumptions, including, among other things, information set forth in the Risk Factors section of the companys SEC filings, a summary of which includes but is not limited to the following: In making forward-looking statements, Humana is not undertaking to address or update them in future filings or communications regarding its business or results. Arcadian Health Plan Claims Address 2 0 obj 1 - 2) December 31 Prior Year Net . Brokers, For for a MyHumana account today. $257,000 Last Sold Price. ANNUAL STATEMENT FOR THE YEAR 2020 OF THE Arcadian Health Plan Inc. EXHIBIT 4 - CLAIMS UNPAID AND INCENTIVE POOL, WITHHOLD AND BONUS (Reported and Unreported) Aging Analysis of Unpaid Claims 1 Account 2 1 - 30 Days 3 31 - 60 Days 4 61 - 90 Days 5 91 - 120 Days 6 Over 120 Days 7 Total Claims Unpaid (Reported) 0199999. Arcadian Health - TEXAS Artisan Provider Network *TRPN (Three Rivers Provider Network) PPO, WC, INJURY . vision plans, Find This data element may contain the same information as ''Provider location address fax number''. NPI record contains FOIA-disclosable NPPES health care provider information. STATEMENT AS OF JUNE 30, 2022 OF THE Arcadian Health Plan, Inc. ASSETS Current Statement Date 4 1 Assets 2 Nonadmitted Assets 3 Net Admitted Assets (Cols. Increased litigation and negative publicity could increase the companys cost of doing business. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Arcadian is dedicated to improving the health of our members by providing access to high quality and cost effective health care. Contact Name *. User ID: Password: Show password We do not sell leads or share your personal information. You can call us if you have a question about your insurance plan or a health problem. $20 million net worth lifestyle appleton post crescent archives arcadian health plan, inc claims mailing address 07 jun 2022. arcadian health plan, inc claims mailing addresshouse joint resolution 192 of 1933 Posted by . Contact Us :: The Health Plan ARCADIAN HEALTH PLAN, INC. can be reached at the following phone number(s): Phone: 510-832-0311 9, or toll-free at 1-877-943-4337 OAKLAND, CA Life and Health Insurance, Arcadian is dedicated to improving the health of , https://rocketreach.co/arcadian-health-plan-profile_b5c704eff42e0d37, Health (9 days ago) WebArcadian Health Plan Company Contact Information Email, Phone Number Adapt.io Arcadian Health Plan http://www.humana.com +1******311 Head Count 250 - 1000 , https://www.adapt.io/company/arcadian-health-plan, Health (7 days ago) WebAcadian Health offers quality patient-centered care for the following services, and more: Wellness visits Specialist visits Behavioral health visits Post-op or discharge follow up . 2.5 Baths. Gainwell provides a number services to the IHCP, including provider enrollment, customer service, eligibility verification, and fee-for-service claim processing. Ft. 12435 Jacobs Pond, San Antonio, TX 78253-5505. HMO Alias Texas Counties served by the HMO HMO Service areas fi%  xl/_rels/workbook.xml.rels ( Mk0$nez:8`gk(%b_=65q"0{?mY$M! The company's filing status is listed as Exists and its File Number is 377-482. doctor, Enroll in The coal oven burns over 650+ degrees and can produce pies in five minutes. Call 360.943.4337 ext 9 or email [emailprotected]. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. WV Medicaid (Mountain Health Trust & West Virginia Health Bridge), Home Delivery / Prescription Reimbursements, Publicly Available Application Programming Interfaces, Patient Access APIs (To Access Your Data Through a 3rd Party App). All rights reserved. In addition, if the new non-deductible federal premium tax and other assessments, including a three-year commercial reinsurance fee, were imposed as enacted, and if Humana is unable to adjust its business model to address these new taxes and assessments, such as through the reduction of our operating costs, there can be no assurance that the non-deductible federal premium tax and other assessments would not have a material adverse effect on the companys results of operations, financial position, and cash flows. Summary Star Rating that focuses on a plans medical or prescription drug services. Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. This is the time when you can make changes to your Medicare coverage. PDF Institutional Claim Payers List (03/01/2023) - Optum PDF Participating Insurances Alphabetical Listing of HMO Profiles Arcadian 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 does business. LOUISVILLE, Ky.--(BUSINESS WIRE)--Humana Inc. (NYSE: HUM) announced today that it has completed its previously announced acquisition of Arcadian Management Services, an Oakland, Calif.-based company that, through its affiliates, operates Medicare Advantage HMO plans. The Neapolitan wood oven, hand built by Italy's celebrated Ferrara family, and imported from Naples, cooks pizzas in just 90 seconds thanks to intense 800 . Net of the divestitures, the acquisition will increase Humanas health plan membership by approximately 50,000 Medicare HMO members. information and language options. The postal ZIP or zone code in the mailing address of the provider being identified. Humanas ability to obtain funds from its subsidiaries is restricted by state insurance regulations. The 10-position telephone number of the authorized official. Requirements, full accessibility rights Practice Name *. Medicare drug (Part D) plans, Shop ARCADIAN HEALTH PLAN Pay & Benefits reviews - indeed.com CLAIM.MD | Payer Information | Humana The telephone number associated with mailing address of the provider being identified. Abuse, System s.parentNode.insertBefore(gcse, s); Medicare Advantage organizations interested in operating a D-SNP plan in Indiana should contact Andrew Bean at Andrew.Bean@fssa.IN.gov. BOUGHT WITH REDFIN JUN 14, 2022. during the calendar year will owe a portion of the account deposit back to the plan. FSSA updates. The Parent Organization LBN and TIN fields can only be completed if the answer to the subpart question is Yes. PDF STATEMENT AS OF SEPTEMBER 30, 2021 OF THE Arcadian Health Plan - Maine However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. The securities and credit markets may experience volatility and disruption, which may adversely affect Humanas business. Our. SOLD JUN 13, 2022. Since May 2, 2011, the state of Indiana has participated in the federal Promoting Interoperability (PI) Program, formerly the Electronic Health Records (EHR) Incentive Program. )JCR?;}`_YWk>7O_6z?U#nutWm=2? By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.