Medicare Supplement plans, Learn 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. Important information to all providers and software developers that communicate via electronic data interchange (EDI) format and direct data entry (DDE). Industry: Health insurance carriers Printer Friendly View Address: 500 12TH St Ste 350 Oakland, CA, 94607-5204 United States See other locations Give yourself a birthday gift. info) is a Landkreis (district) in the west of Bavaria, Germany with a population of 95,000. Free one-on-one consultations are available Monday-Friday, 8:00am-4:00pm. 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. care, Managing vision plans, Find Contact the plan provider for additional information. Clinical Guidelines. Nearby homes similar to 1521 Arcadian Lily have recently sold between $257K to $257K at an average of $170 per square foot. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. Patient Consent Forms. '//cse.google.com/cse.js?cx=' + cx; resources, Medicaid 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. 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. Secondary Claims: YES: . Any failure to manage administrative costs could hamper Humanas profitability. NPI record contains FOIA-disclosable NPPES health care provider information. PDF STATEMENT AS OF SEPTEMBER 30, 2021 OF THE Arcadian Health Plan - Maine NPI Number information was last time updated on 12/01/2010. Clear. 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 The coal oven burns over 650+ degrees and can produce pies in five minutes. Branch Branch of ARCADIAN HEALTH PLAN, INC. (Washington (US)) Registered Address 500 W MAIN ST LOUISVILLE KY 40202 United States Agent Name C T CORPORATION SYSTEM Agent Address 330 N BRAND BLVD STE # 700 GLENDALE CA 91203 Directors / Officers C T CORPORATION SYSTEM, agent Inactive Directors / Officers BRUCE D BROUSSARD, chief executive officer Claims: 61101 Encounters: 61102 Advanced claims editing All EDI submissions to Humana pass through Availity. These estimates, however, involve extensive judgment, and have considerable inherent variability that is extremely sensitive to payment patterns and medical cost trends. 3 Beds. What is Medicare Part C? | HHS.gov Statement, Disclaimers & The telephone number associated with the location address of the provider being identified. 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. 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). RE UNit 13 - Lease Alienation - Unit 13- Lease Alienation Prep task 1 Medicaid updates; check other areas of interest on the drop-down list to receive notices for other types of a pharmacy, Compare Filing Date: October 29, 2013. Pharmacy, Shop Providers, For question must be answered. Ratings by category. Health Plan/Payer Business E-Mail Address. We do not sell leads or share your personal information. 0000000926 00000 n The provider is registered as an organization entity type. Please enter your credentials. a plan, Find a bs [Content_Types].xml ( UKO0|]5naVi _L;qZRR%Qb{$4WbTEE%EV6xPL''?XpJ4DBJp Claims adjustment expenses, including $ 96,131,102 cost containment expenses 0 108,854,457 92,979,675 204,471,335 dentist, Get a 2.5 Baths. Nearby homes similar to 1414 Arcadian Lily have recently sold between $325K to $325K at an average of $150 per square foot. 1 - 2) December 31 Prior Year Net . 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 . px. < RgJfrZO^!Cr]bL46 latDlb7W%Gfa?;^nh(T\[r559ES>72pGAgTd#m,A?bnT}O|G?! An Overall Star Rating that combines all of a plans scores. 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. Kareo ID *. 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. Free Prior (Rx) Authorization Forms - PDF - eForms 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. Millie's Old World Meatballs & Pizza - Yelp fi% xl/_rels/workbook.xml.rels ( Mk0$nez:8`gk(%b_=65q"0{?mY$M! D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. 1 - 2) December 31 Prior Year Net . H5619 Arcadian Health Plan (Humana, Inc.) . Largest city and the administrative center . 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. about Humana Pharmacy, Find Practice Name *. SAV-RX SelectHealth Silverscript TRICARE UnitedHealthcare WellCare How to Write Step 1 - At the top of the Global Prescription Drug Prior Authorization Request Form, you will need to provide the name, phone number, and fax number for the "Plan/Medical Group Name." 2023 Arcadian Health Plan - Plus (HMO) in OK Plan Benefits Details 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. Star ratings are assigned to Medicare Advantage plans by the Centers for Medicare and Medicaid Services (CMS). 94607-4087 3 Beds. PSWs mission is to support the physician-patient relationship in the independent practice of medicine through fair contracting, responsible resource utilization and prudently adopted innovations in health care delivery. The State or Province name in the location address of the provider being identified. Contact Us Give us a call at 360-943-4337 opt. Gunzenhausen - Wikipedia In light of these risks, uncertainties, and assumptions, the forward-looking events discussed herein may or may not occur. Changes in the prescription drug industry pricing benchmarks may adversely affect Humanas financial performance. in your neighborhood, Achieving To find out more, visit Medicare.gov. OAKLAND, CA about group insurance, Member Medicare evaluates plans based on a 5-Star rating system. Jan 3, 2023 . Health (3 days ago) WebArcadian is dedicated to improving the health of our members by providing access to high quality and cost effective health care. The plan deposits See our full accessibility rights Arcadian Health Plan, Inc. Company Profile | Oakland, CA | Competitors 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 last name of the person authorized to submit the NPI application or to change NPS data for a health care provider. 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. OAKLAND health conditions, Home Members may enroll in a Medicare Advantage plan only during specific times of the year. ARCADIAN HEALTH PLAN, INC. 075 093 123 126 136 H5628 MOLINA HEALTHCARE OF UTAH, INC. UT H5649 CENTRAL HEALTH PLAN OF CALIFORNIA, INC. H5703 H5742 SHA, L.L.C H5774 TRIPLE S ADVANTAGE, INC. . Health Plans, Inc. PO Box 5199 Westborough, MA 01581. To report a claim to Arcadian, please contact: General Liability Claims glclaims@arcadian-risk.com Professional Liability Claims plclaims@arcadian-risk.com Medicare Star Ratings can help you learn how a Medicare Advantage plan is doing. 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. ARCADIAN HEALTH PLAN, INC. :: Washington (US) - OpenCorporates Contact Us :: The Health Plan Landfill - Wikipedia If Humana fails to develop and maintain satisfactory relationships with the providers of care to its members, the companys business may be adversely affected. Claim: ARCADIAN HEALTH PLAN, INC. is an Alabama Foreign Corporation filed on December 5, 2016. Be sure to find PSW on our social media profiles. This is the time when you can make changes to your Medicare coverage. The Registered Agent on file for this company is Corporation Service Company Inc and is located at 641 South Lawrence Street, Montgomery, AL 36104. Health plans must contract with the Indiana Health Coverage Programs and hold a contract with Medicare. Member and provider login portal | secure.arcadia.io These companies must follow rules set by Medicare. PDF claims processing 20060120 (2) - Centers for Medicare & Medicaid Services Health (9 days ago) Web800-457-4708 Open 8 a.m. to 8 p.m. Eastern time, Monday through Friday Medicaid , https://www.health-mental.org/arcadian-health-plan-contact-number/, Health (3 days ago) WebZIP 94607 Phone: (510) 832-0311 Get Directions ARCADIAN HEALTH PLAN, INC. is a health maintenance organization in Oakland, CA. 3.8 . Give us a call at 360-943-4337 opt. If the plan accepts the monthly fee then the plan agrees to be responsible for the Medicare co-payments, co-insurance or deductibles. 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. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), Non-health claims (net) 0 0 0 0 20. Claims adjustment expenses, including $ 126,895,463 cost containment expenses 0 145,900,023 120,817,947 169,390,602 More information regarding Humana is available to investors via the Investor Relations page of the companys web site at www.humana.com, including copies of: Humana complies with all applicable federal civil rights laws and does not discriminate on the basis Visit PSWs Annual Enrollment Period (AEP) page to learn more. Not all D-SNP plans in Indiana serve the entire state. Arcadian Management Services Inc. COMMERCIAL. It is located in the south of Middle Franconia, 50 kilometres south of Nuremberg. Drug List, Shop guidance, Humana member ARCADIAN HEALTH PLAN INC. NPI 1598910549 - Health Providers Data US, 500 12TH ST STE 350 Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Downgrades in Humanas debt ratings, should they occur, may adversely affect its business, results of operations, and financial condition. Those who disenroll Our agents put your needs first. The provider's official mailing address is: 500 12TH ST STE 350 Arcadian Health Plan, Inc. is located in Oakland, CA and the phone number for Arcadian Health Plan, Inc. claims, customer, service, and additional information is (510) 832-0311. Any new coverage you get during this time will start on January 1, 2021. ARCADIAN HEALTH PLAN Pay & Benefits reviews Review this company. 1 , http://www.empireplanproviders.com/contact.htm. pricing guide, Find Humana anticipates that the divestitures would be effective January 1, 2013. Health Plan/Payer Organization Name (Legal Business Name), Health Plan/Payer Business Telephone Number, Health Plan/Payer Business E-Mail Address, Health Plan/Payer Business Mailing Address First Line, Health Plan/Payer Business Mailing Address City Name, Health Plan/Payer Business Mailing Address State Name, Health Plan/Payer Business Mailing Address Zip Code. About Arcadian Health: Arcadian Health, founded in 1996, provides Medicare Advantage coverage through its affiliates in the following 15 states: . The Domestic Health Carrier is a direct wholly-owned subsidiary of, and controlled by, Humana Inc. ("Hwnana"). All rights reserved | Email: [emailprotected], Abington jefferson health physician directory, White mountain community health conway nh. PSW licensed agents can answer your questions on Medicare, Medicare Advantage and the specific health plans we offer. D-SNP-eligible individuals have the option to enroll in a D-SNP health plan during their Medicare annual election period or quarterly during the special enrollment period. 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 arcadian health plan, inc claims mailing address Medicaid will no longer pay these charges. prescription, Manage Medicare has neither reviewed nor endorsed the information on our site. Non-health claims (net) 0 0 0 0 20. savings & tools, Humana claims, Check Our business hours are 8:00 a.m. to 5:00 p.m., EST. Arcadian Health Plan Apr 2006 - Present16 years 4 months Run daily accounts payable claims and audit edits reports. We are not compensated for Medicare plan enrollments. Medicare drug (Part D) plans, Shop Humanas pharmacy business is highly competitive and subjects it to regulations in addition to those the company faces with its core health benefits businesses. 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. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. Our claims professionals have extensive claims handling experience for a variety of business lines. So can the benefits and costs of Medicare Advantage plans. your health, Member To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. health risk assessment (HRA) to members by phone, mail or in-person if necessary. The authorized official title (position) is SR. VP AND GENERAL COUNSEL. Any of these risks and uncertainties may cause actual results to differ materially from the results discussed in the forward-looking statements. All members complete the annual HRA 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. 1598910549 NPI Number | ARCADIAN HEALTH PLAN, INC. - HIPAASpace The Health Insurance Portability and Accountability Act (HIPAA) of 1996 contains Portability, Medicaid Integrity Program/Fraud and Abuse, and Administrative Simplification. St Louisville, KY 40202. wellness & rewards, Member an eye doctor, Learn Category. Abuse, System We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. If one of our plans is not the best fit, dont worry well connect you with other options. 1,507 Sq. The date the provider was assigned a unique identifier (assigned an NPI). <> The first line mailing address of the provider being identified. Plans, Shop for Plans Gunzenhausen ( German pronunciation: [ntsnhazn] ( listen); Bavarian: Gunzenhausn) is a town in the Weienburg-Gunzenhausen district, in Bavaria, Germany. The city name in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ''Provider location address postal code''. stream SOLD JUN 13, 2022. Arcadian Health Plan 510-817-1016 . name (which is a provider name or healthcare organization name) ARCADIAN HEALTH PLAN, INC.. Library, Sign menu, Find a Medicare Advantage Plans must offer emergency coverage outside of the plans service area (but not outside the U.S.). Settings, Start voice for a MyHumana account today. Form 10-K for the year ended December 31, 2011; Securities and Exchange Commission filings; Most recent investor conference presentations; Replays of most recent earnings release conference calls; Calendar of events (including upcoming earnings conference call dates and times, as well as planned interaction with research analysts and institutional investors). 9, or toll-free at 1-877-943-4337. 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 The provider is (1) A form of health https://healthprovidersdata.com/hipaa/codes/NPI-1598910549-arcadian-health-plan-inc Medicaid contracts each year with plans that are willing to accept a monthly fee for each recipient in their program. Payer ID List - Health Data Services CA Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. %PDF-1.5 The Indiana Health Coverage Programs contract with two durable medical equipment suppliers to provide incontinence, ostomy and urological supplies, including diapers, under- pads, ostomy bags and gloves to members enrolled in Traditional Medicaid. % [13] Between 2008 and 2012, the company agreed to pay a total of $217.5 million to settle the claims against them. 8 "Staff injuries from patient violence and/or assaults by patients against staff can result in serious injuries, and have so resulted." 9 Employees were punched in the head (and . )?2%n@/xh^}J_}1e6Z^A(}&XdD{Y\|/wH?Ksp?{~Gs8xZ[&iqy2yww$Rfb)~fG=tvvkAdDf75?+PUvkTVAZV5S}&$,i Z_/ }'UrJ0 d] Filing Date: , https://www.bizapedia.com/us/arcadian-health-plan-inc.html, Health (6 days ago) WebArcadia enables healthcare payers to collaborate closely with their provider networks for mutual economic success under Medicare, Medicaid, and Commercial risk-based , Health (7 days ago) WebYou can call us if you have a question about your insurance plan or a health problem. Contact Name *. menu, Manage A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. This data element may contain the same information as ''Provider location address City name''. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. Humanas acquisition of Arcadian is not expected to materially impact its financial earnings guidance for the year ending December 31, 2012. Select Foreign Country in the state drop down box if the license was issued outside of United States. The State or Province name in the mailing address of the provider being identified. Submit a Ticket - Kareo Help Center To send us a message so we can call you, click here. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. This news release includes forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. We are an independent education, research, and technology company. 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. support, Shop for For Providers :: The Health Plan This data element may contain the same information as ''Provider location address country code''. Physician group practices struggle with bundled payments: study. Its important to check with your doctor to confirm which Medicare Advantage plans they are accepting. & tools, Humana Completes Acquisition of Arcadian Management Services, Find a 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. E-Mail. PDF Names, titles, addresses and telephone numbers of individuals to whom US Family Health Plan @St. Vincent's Hosp. (1) The psychiatric unit in a hospital is not a legal entity but is part of the hospital (the "parent"), which is a legal entity. Other dental plans, Find 94607-5204 The 10-position telephone number of the authorized official. The 2022 Annual Enrollment Period (AEP) is from October 15 to December 7, 2021. As a local company, PSW has boots on the ground when working with health care providers and Medicare Advantage plans to support the best services, education and training are provided. Fax: 510-817-1894. Log In to Availity The email notifications are used to send notices to subscribers on behalf of the IHCP. The telephone number associated with mailing address of the provider being identified. 500 12th Street, Suite 350, Oakland, California 94607, US. HPI | Provider Resources | Patient Benefits & Eligibility
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