800-523-0023 Open 24 hours a day Commercial customer service For eligibility/benefits and claims inquiries 800-4-HUMANA (800-448-6262) Open 8 a.m. to 8 p.m. Eastern time, Monday through Friday Medicare customer service For eligibility/benefits and claims inquiries 800-457-4708 Open 8 a.m. to 8 p.m. Eastern time, Monday through Friday The City name in the mailing address of the provider being identified. A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Original Medicare covers hospice care even if youre in a Medicare Advantage Plan. Humanas ability to obtain funds from its subsidiaries is restricted by state insurance regulations. care & community support, Humana
Non-health claims (net) 0 0 0 0 20. During this time, contact PSW and speak to an agent or go to Medicare.gov to learn more about your options to enroll in a Medicare Advantage plan. prescription, Manage
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. H5619 Arcadian Health Plan (Humana, Inc.) . Contact the plan provider for additional information. Arcadian Health Plan, Inc. is located in Oakland, CA and the phone number for Arcadian Health Plan, Inc. claims, customer, service, and Read more Claims Resources for Providers - Humana https://www.humana.com/provider/medical-resources/claims-payments License # 00187-0009, or administered by Humana Insurance Company or Humana Health Plan, Inc. If one of our plans is not the best fit, dont worry well connect you with other options. Industry Hospital & Health Care Revenue $9.2M Employees 111 Founded in Headquarters Oakland, CA Website Organization Type Private Is This Your Company? religion. The 2022 Annual Enrollment Period (AEP) is from October 15 to December 7, 2021. Use the links on this page to access IHCP provider news items, bulletins, and banner page publications. The mission of the Office of Medicaid Policy and Planning (OMPP) Program Integrity Unit is to guard against fraud, abuse, and waste of Medicaid program benefits and resources. Contact the Medicare plan for more information. The first line location address of the provider being identified. Not quite 65? Locations Primary 500 12th Street, Suite 350 Oakland, https://www.linkedin.com/company/arcadian-health-plan, Health (6 days ago) WebArcadian Health Plan Company Contact Information - Adapt.io. The postal ZIP or zone code in the location address of the provider being identified. Our claims professionals have extensive claims handling experience for a variety of business lines. Based in Olympia, WA for more than 25 years, PSW is locally owned and managed by physicians. Medicare Advantage Plans must offer emergency coverage outside of the plans service area (but not outside the U.S.). (function() { 3.8 . For Providers Claims Support For Providers Medicare and Medicaid For Providers Patient Care Programs For Providers Provider Resources Rights and Responsibilities For Providers Training and Education Announcements and Newsletters Webinars and Trainings Main Menu For Brokers Join Our Broker Team Broker Portal Login Main Menu About Us Careers You can reach the authorized official at the following phone number 510-817-1845. The postal ZIP or zone code in the mailing address of the provider being identified. PSW licensed agents can answer your questions on Medicare, Medicare Advantage and the specific health plans we offer. FSSA updates. 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. eye doctor, How to
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. D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. 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. Member Services Phone Number. stream
Nearby homes similar to 1521 Arcadian Lily have recently sold between $257K to $257K at an average of $170 per square foot. For more information contact the plan. name (which is a provider name or healthcare organization name) ARCADIAN HEALTH PLAN, INC.. Claims adjustment expenses, including $ 126,895,463 cost containment expenses 0 145,900,023 120,817,947 169,390,602 Members may enroll in a Medicare Advantage plan only during specific times of the year. A landfill site, also known as a tip, dump, rubbish dump, garbage dump, or dumping ground, is a site for the disposal of waste materials. input, Indiana Dually-Eligible Special Needs Plans: key plan resources, Indiana Dual Eligible Special Needs Plans 837P and 837I Encounters Data Submitter Information Companion Guide, Indiana Dual Eligible Special Needs Plans Prescription Drug Event (PDE) Data Submitter Information Companion Guide, For additional information about D-SNP plans, visit the CMS website for. Responsibility, Internet Privacy
Contact Us About The Company Profile For Arcadian Health Plan, Inc. Jan 3, 2023 05:55pm. Humana is involved in various legal actions and governmental and internal investigations, including without limitation, an ongoing internal investigation and litigation and government requests for information related to certain aspects of its Florida subsidiary operations, any of which, if resolved unfavorably to the company, could result in substantial monetary damages. How members rate a plans services and care; How well a plans doctors detect illnesses and keep members healthy; How well a plan helps its members use recommended and safe prescription medication. User ID: Password: Show password pricing guide, Find
a doctor, Enroll
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. Iselin, New Jersey 08830. If Humana fails to develop and maintain satisfactory relationships with the providers of care to its members, the companys business may be adversely affected. The city name in the location address of the provider being identified. To determine individual service areas, please call the health plans' customer service numbers provided (see below). The offices are examples of subparts that could have their own NPIs if the main location determines that they should. The securities and credit markets may experience volatility and disruption, which may adversely affect Humanas business. 183. . %
Arcadia 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, password help, and our find a provider systems. 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"). 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. You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. The first name of the authorized official, The title or position of the authorized official. Clear. Jan 3, 2023 09:43pm. 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. NCQA accredits and certifies a wide range of health care organizations and manages the evolution of HEDIS, the performance measurement tool used by more than 90 percent of the nations health plans. File Number: 3615733. 2.5 Baths. Medicare Star Ratings can help you learn how a Medicare Advantage plan is doing. If Humana does not design and price its products properly and competitively, if the premiums Humana charges are insufficient to cover the cost of health care services delivered to its members, or if its estimates of benefit expenses are inadequate, Humanas profitability could be materially adversely affected. For information about IHCP policies, procedures, and billing guidance (including information about electronic transactions), access these IHCP reference documents. menu, Manage
Increased litigation and negative publicity could increase the companys cost of doing business. Please contact the plan for further details. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. Arcadian Health Plan is a small health care company based in Oakland, CA with only 111 employees and an annual revenue of $9.2M. To report a claim to Arcadian, please contact: General Liability Claims glclaims@arcadian-risk.com Professional Liability Claims plclaims@arcadian-risk.com All rights reserved | Email: [emailprotected], Abington jefferson health physician directory, White mountain community health conway nh. Meet your Practice Management Consultant. Health Plan/Payer ID Codes, also known as Receiver Codes, are the primary identifier used to route your EDI transaction to the appropriate entity. 500 12TH ST STE 300 Whether youre new to Medicare or considering changing plans, learn how Medicare Advantage plans can support the best YOU! Provide organization name (legal business name used to file tax returns with the IRS). Member Services , https://www.health-mental.org/arcadian-health-plan-customer-service/, Health (9 days ago) Web(9 days ago) Web800-457-4708 Open 8 a.m. to 8 p.m. Eastern time, Monday through Friday Medicaid customer service Florida Medicaid: 800-477-6931 Illinois Medicaid: 800-787 , https://www.health-improve.org/arcadian-health-plan-customer-service/, Health (6 days ago) Web(510) 832-0311 Arcadian Health Plan Profile and History Founded in 1996, Arcadian Health Plan provides Medicare Advantage coverage through its affiliates in 15 states: , https://www.datanyze.com/companies/arcadian-health-plan/1243876340, Health (8 days ago) WebFounded. The country code in the mailing address of the provider being identified. Drug List, Shop
CA Our. s.parentNode.insertBefore(gcse, s); Verida, Inc. is the nonemergency medical transportation broker for Indiana Traditional Medicaid (fee-for-service) members who require assistance traveling to their covered healthcare services. All rights reserved. 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. The HMO Alias list is an Excel spreadsheet. The provider's business location address is: 500 12TH ST STE 300 OAKLAND, CA ZIP 94607-087 Phone: (510) 832-0311 Fax: (510) 817-1894 The provider's authorized official is James Novello . The provider is registered as an organization entity type. The Medicare Program rates all health and prescription drug plans each year, based on a plans quality and performance. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. The provider is (1) A form of health https://healthprovidersdata.com/hipaa/codes/NPI-1598910549-arcadian-health-plan-inc Our agents put your needs first. information and language options. endobj
Medicare drug (Part D) plans, Shop
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. guidance, Using
px. <
RgJfrZO^!Cr]bL46 latDlb7W%Gfa?;^nh(T\[r559ES>72pGAgTd#m,A?bnT}O|G?! Physician group practices struggle with bundled payments: study. Your healthcare needs change. Physician Case Management Referral. savings & tools, Humana
AR812. Changes in the prescription drug industry pricing benchmarks may adversely affect Humanas financial performance. 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. 3 0 obj
dentist, Get a
ARCADIAN HEALTH PLAN Pay & Benefits reviews Review this company. Medicare Supplement plans, Learn
Contact Name *. enroll, Find a
'https:' : 'http:') + wellness & rewards, Member
Humanas pharmacy business is highly competitive and subjects it to regulations in addition to those the company faces with its core health benefits businesses. Affinity Health Plan ## 13334 Y AFFINITY HEALTH O Contact EDI@Affinityplan.org or (718)794-7592 prior to sending claims. Redfin Corporation. your health, Member
However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service UHS-DE and UHS-Fuller stipulated that physically violent or assaultive patients created a hazard for those at the Worksite. <>
Address. The following resources are available to provide more information: In Indiana, nine Dual Eligible Special Needs Plans serve the Medicaid and Medicare dually-eligible population. Secondary Claims: YES: . In all types of Medicare Advantage Plans, youre always covered for emergency and urgent care. :KORgOC~Ma^ 9kp h'7+LF. NPI Number 1598910549 has the "Organization" type of ownership and has been registered to the following primary business legal It is located in the south of Middle Franconia, 50 kilometres south of Nuremberg. 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. Star Ratings are calculated each year and may change from one year to the next. Arcadians plans have approximately 62,600 Medicare Advantage members in 15 U.S. states: Alabama, Arkansas, Arizona, California, Georgia, Louisiana, Maine, Missouri, New Hampshire, New York, North Carolina, Oklahoma, South Carolina, Texas and Washington. about Medicaid, How
To resolve antitrust concerns, Humana and Arcadian have entered into a consent agreement with the United States Department of Justice that will require divestiture of overlapping Medicare Advantage health plan business in eight areas within Arizona, Arkansas, Louisiana, Oklahoma and Texas. The "parent"-we don't know who the parent is in this example-must ensure that each subpart that submits its own claims to health plans has its own NPI. Changes in economic conditions could adversely affect Humanas business and results of operations. about group insurance, Member
Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. '//cse.google.com/cse.js?cx=' + cx; ^e _rels/.rels ( MK1!;*"l/EMd1`7FAtzwyfx{vE fVKrFH"l3*>.%uGV=\i8XrZJ%\P4H;s>67Mizo#+DYB5V$~"c'ZkRRF%8EsF|02Xn/1=cW7 PK ! 1-800-454-3730. Humana and Arcadian are working together to ensure a seamless transition of the Medicare business. Speak to a PSW Agent today to learn more about your eligibility and options for our Medicare Advantage plans. [k@+%#bP{U
Zbl;0RZ%U$+Ylft(s?-FUg
dnt`q. Medicaid contracts each year with plans that are willing to accept a monthly fee for each recipient in their program. menu, Find a
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). For providers with more than one physical location, this is the primary location. a quote, Shop
Claim: ARCADIAN HEALTH PLAN, INC. is an Alabama Foreign Corporation filed on December 5, 2016. & tools, Humana Completes Acquisition of Arcadian Management Services, Find a
There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. 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. PSW has partnered with Humana and Premera. Employers, For Agents &
The State or Province name in the location address of the provider being identified. Patient Consent Forms. 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":
[13] Between 2008 and 2012, the company agreed to pay a total of $217.5 million to settle the claims against them. var gcse = document.createElement('script'); ARCADIAN HEALTH PLAN, INC. NPI is 1598910549. <>>>
Terms were not disclosed. Those who disenroll 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 . These estimates, however, involve extensive judgment, and have considerable inherent variability that is extremely sensitive to payment patterns and medical cost trends. PSW is committed to quality improvement, clinical integration and meaningful measures of value. Health Plan/Payer Business Fax Number. If the plan accepts the monthly fee then the plan agrees to be responsible for the Medicare co-payments, co-insurance or deductibles. 2.5 Baths. 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. to enroll, Learn
PSW is a private company and not a health plan. See our full accessibility rights
4 0 obj
For Claims Status please contact Susan Naanes @ 503-574-7441 or Debra . NOTE: ZIP code plus 4-digit extension, if available. You can call us if you have a question about your insurance plan or a health problem. guidance, Humana member
Program, Humana
Indiana Health Coverage Programs works with four health plans to serve as managed care entities for the Hoosier Healthwise, Hoosier Care Connect and Healthy Indiana Plan programs. In light of these risks, uncertainties, and assumptions, the forward-looking events discussed herein may or may not occur. group products, Member Resources
St Louisville, KY 40202. Humana anticipates that the divestitures would be effective January 1, 2013. Health plans must contract with the Indiana Health Coverage Programs and hold a contract with Medicare. This data element may contain the same information as ''Provider location address postal code''. 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). You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID . vision plans, Find
We also provide free language interpreter services. Medicare Advantage organizations interested in operating a D-SNP plan in Indiana should contact Andrew Bean at Andrew.Bean@fssa.IN.gov. US, 500 12TH ST STE 350 Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Recently enacted health insurance reform, including The Patient Protection and Affordable Care Act and The Health Care and Education Reconciliation Act of 2010, could have a material adverse effect on Humanas results of operations, including restricting revenue, enrollment and premium growth in certain products and market segments, restricting the companys ability to expand into new markets, increasing the company's medical and operating costs by, among other things, requiring a minimum benefit ratio on insured products (and particularly how the ratio may apply to Medicare plans), lowering the companys Medicare payment rates and increasing the companys expenses associated with a non-deductible federal premium tax and other assessments; financial position, including the company's ability to maintain the value of its goodwill; and cash flows. The Registered Agent on file for this company is Corporation Service Company Inc and is located at 641 South Lawrence Street, Montgomery, AL 36104. 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. PSW contracts with a local network of Thurston County doctors and Medicare Advantage health plans to offer you a choice in finding a health plan that best meets your healthcare needs. %PDF-1.5
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. Copyright 2007-2023 HIPAASPACE. Health Plans, Inc. PO Box 5199 Westborough, MA 01581. 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. 1 - 2) December 31 Prior Year Net . x[moF a %o$MK.h}W@[D The Indiana State Plan provides specifics on how Medicaid is implemented and governed in Indiana. We are not compensated for Medicare plan enrollments. Dual Eligible Special Needs Plans serve members who are eligible for both Medicaid and Medicare. 7 There were over 500 incidents of aggression from June 1, 2019, through the end of 2019. <>
Gateway Health Plan has several different Payer ID numbers please look for the Payer ID on the ID card before submitting. E-Mail. The HRA assesses the member's health status and acuity level which, in turn, guides clinical interventions and development of the individualized care plan (ICP). 3.8 Work-Life Balance. The date that a record was last updated or changed. 0000000926 00000 n The provider is registered as an organization entity type. We can quickly help you if you have your member ID number, located on the back of your insurance card, with you when you call. Select Foreign Country in the state drop down box if the license was issued outside of United States. question must be answered. 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. Humana is a publicly traded Delaware holding company for 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. When registering your email, check the category on the drop-down list to receive notices of
for a MyHumana account today. Kareo ID *. Humanas business activities are subject to substantial government regulation. Landfill is the oldest and most common form of waste disposal, although the systematic burial of the waste with daily, intermediate and final covers only began in the 1940s.In the past, refuse was simply left in piles or thrown into pits; in archeology this . Corp - WI . To enroll, eligible individuals should reach out to a specific health plan or contact Medicare at 800-MEDICARE. money from Medicare into the account. We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. 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. bs [Content_Types].xml ( UKO0|]5naVi _L;qZRR%Qb{$4WbTEE%EV6xPL''?XpJ4DBJp The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. Claim This Company Page What do people say about Arcadian Health Plan 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! The telephone number associated with mailing address of the provider being identified. health conditions, Home
For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227. Rights and Responsibilities. Copyright 2023 State of Indiana - All rights reserved. 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. 500 W Main. ARCADIAN HEALTH PLAN, INC. can be reached at the following phone number(s): Phone: 510-832-0311 Humana advises investors to read the following documents as filed by the company with the SEC for further discussion both of the risks it faces and its historical performance: Humana Inc., headquartered in Louisville, Kentucky, is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being.