Provider Relations Phone Number. Changes in economic conditions could adversely affect Humanas business and results of operations. Medicare Advantage Plans must offer emergency coverage outside of the plans service area (but not outside the U.S.). about Medicaid, How 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. Responsibility, Internet Privacy OAKLAND Pharmacy, Shop VIRGINIA PREMIER HEALTH PLAN, INC. H9952 H9955 MOLINA HEALTHCARE OF OHIO, INC. State Integration Status Applicable Integrated Plan Coordination-Only FIDE . 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 . & tools, Humana Completes Acquisition of Arcadian Management Services, Find a Claim: ARCADIAN HEALTH PLAN, INC. is an Alabama Foreign Corporation filed on December 5, 2016. 9, or toll-free at 1-877-943-4337 Physician Case Management Referral. Weienburg-Gunzenhausen - Wikipedia 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. This address cannot include a Post Office box. Call 360.943.4337 ext 9 or email [emailprotected]. Dual Eligible Special Needs Plans serve members who are eligible for both Medicaid and Medicare. This data element may contain the same information as ''Provider location address State name''. For more information contact the plan. 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. Statement, Disclaimers & The benefit information provided is a brief summary, not a complete description of benefits. Star Ratings are calculated each year and may change from one year to the next. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), Fax. To receive notices, you must subscribe. There also may be other risks that the company is unable to predict at this time. member rights, Exceptions Most include Medicare prescription drug coverage (Part D). Address. This data element may contain the same information as ''Provider first line location address''. Neighbouring districts are (from the north clockwise) Ansbach, Roth, Eichsttt and Donau-Ries. Net of the divestitures, the acquisition will increase Humanas health plan membership by approximately 50,000 Medicare HMO members. %PDF-1.5 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). St Louisville, KY 40202. 1 - 2) December 31 Prior Year Net . 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. 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. Your Initial Enrollment Period (IEP) is the 7-month period you have when you first become eligible to sign up for Medicare. CA OAKLAND, CA a pharmacy, Compare 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. 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! Provider Relations Phone Number. Not all D-SNP plans in Indiana serve the entire state. Industry: Health insurance carriers Printer Friendly View Address: 500 12TH St Ste 350 Oakland, CA, 94607-5204 United States See other locations For information about IHCP policies, procedures, and billing guidance (including information about electronic transactions), access these IHCP reference documents. Claims: 61101 Encounters: 61102 Advanced claims editing All EDI submissions to Humana pass through Availity. 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. RE UNit 13 - Lease Alienation - Unit 13- Lease Alienation Prep task 1 Providence of Oregon Health Plan. 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. PDF STATEMENT AS OF MARCH 31, 2021 OF THE Arcadian Health Plan, Inc. - Maine Landfill - Wikipedia 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. Alabama Medicaid pharmacy, Shop for The company's filing status is listed as Exists and its File Number is 377-482. Redfin Corporation. Iselin, New Jersey 08830. Licensure, Fraud, Waste & Original Medicare covers hospice care even if youre in a Medicare Advantage Plan. All rights reserved. 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. Have Inpatient Acute DRGs, SNF, Long Term Care & Home Care claims. prescription, Manage Humanas pharmacy business is highly competitive and subjects it to regulations in addition to those the company faces with its core health benefits businesses. 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. Visit PSWs Annual Enrollment Period (AEP) page to learn more. Filing Date: October 29, 2013. Medicare Advantage Plans must cover all of the services that Original Medicare covers except hospice care. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. information and language options. Medical Policies. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. The fax number associated with the location address of the provider being identified. your health, Member ARCADIAN HEALTH PLAN Pay & Benefits reviews - indeed.com <> health risk assessment (HRA) to members by phone, mail or in-person if necessary. Login or find a doctor 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). in to Go365.com, Corporate [13] Between 2008 and 2012, the company agreed to pay a total of $217.5 million to settle the claims against them. The Parent Organization LBN and TIN fields can only be completed if the answer to the subpart question is Yes. <>>> ARCADIAN HEALTH PLAN, INC. Company Number 602384193 Status Active Incorporation Date 6 April 2004 (almost 19 years ago) Company Type WA INSURANCE COMPANY Jurisdiction Washington (US) Registered Address UNITED STATES United States Agent Name CORPORATION SERVICE COMPANY Agent Address 300 DESCHUTES WAY SW #304, TUMWATER, WA, 985010000 ARCADIAN HEALTH PLAN, INC. NPI is 1598910549. http://www.insuranceproviders.com/companies/arcadian-health-plan-inc/. Non-health claims (net) 0 0 0 0 20. about group insurance, Member It is situated on the river Altmhl, 19 kilometres (12 mi) northwest of Weienburg in Bayern, and 45 kilometres (28 mi) southwest of Nuremberg. Health plans must contract with the Indiana Health Coverage Programs and hold a contract with Medicare. for group products, Learn % If Humana fails to effectively implement its operational and strategic initiatives, including its Medicare initiatives, the companys business may be materially adversely affected, which is of particular importance given the concentration of the companys revenues in the Medicare business. endobj Unit 13- Lease Alienation. Gunzenhausen is a nationally . There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Ratings by category. 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 . The country code in the mailing address of the provider being identified. (For Medicaid, Child Health Plus . Empire Plan Toll free. Humana is a publicly traded Delaware holding company for The postal ZIP or zone code in the mailing address of the provider being identified. $257,000 Last Sold Price. Humana and Arcadian are working together to ensure a seamless transition of the Medicare business. support, Shop for Requirements, full accessibility rights The first line mailing address of the provider being identified. 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. Library, Sign NPI record contains FOIA-disclosable NPPES health care provider information. Nearby homes similar to 1414 Arcadian Lily have recently sold between $325K to $325K at an average of $150 per square foot. Downgrades in Humanas debt ratings, should they occur, may adversely affect its business, results of operations, and financial condition. 0000002619 00000 n Contact Name Kelly Gaskins . The offices are examples of subparts that could have their own NPIs if the main location determines that they should. Any of these risks and uncertainties may cause actual results to differ materially from the results discussed in the forward-looking statements. Employers, For Agents & PSW has partnered with Humana and Premera. If one of our plans is not the best fit, dont worry well connect you with other options. Clear. BOUGHT WITH REDFIN JUN 14, 2022. Use the links on this page to access IHCP provider news items, bulletins, and banner page publications. 3 Beds. Contact the Medicare plan for more information. 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). Health (8 days ago) Web101 Wood Avenue South, 8th Floor. 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 Physician group practices struggle with bundled payments: study. 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. 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. Contact Us About The Company Profile For Arcadian Health Plan, Inc. Humana estimates the costs of its benefit expense payments, and designs and prices its products accordingly, using actuarial methods and assumptions based upon, among other relevant factors, claim payment patterns, medical cost inflation, and historical developments such as claim inventory levels and claim receipt patterns. We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. Providers who do not contract with the plan are not required to see you except in an emergency. This news release includes forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Practice Name *. Arcadian Health Plan, Inc. - AL, AR, CA, FL, IA, IL, IN, KY, ME, MO Arcadian is dedicated to improving the health of our members by providing access to high quality and cost effective health care. (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. for Plans, Shop 2023 Arcadian Health Plan - Plus (HMO) in OK Plan Benefits Details Medicaid contracts each year with plans that are willing to accept a monthly fee for each recipient in their program. 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. 4 0 obj The telephone number associated with the location address of the provider being identified. In light of these risks, uncertainties, and assumptions, the forward-looking events discussed herein may or may not occur. Humanas ability to obtain funds from its subsidiaries is restricted by state insurance regulations. Each line of business represents a different Healthcare Provider Taxonomy or area of specialization that often submits its own electronic claims to health plans. Contact the plan provider for additional information. quote, Find an Doctor, Health & Well-being The State or Province name in the mailing address of the provider being identified. 1 0 obj Iselin, New Jersey . Medicare MSA Plans do not cover prescription drugs. 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 . arcadia_health@humana.com. 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. The city name in the location address of the provider being identified. Jan 3, 2023 05:55pm. question must be answered. a healthcare plan, Humana PDF H5619 Arcadian Health Plan (Humana, Inc.) Dual Eligible (Dual Eligible If the organization is a subpart = , the Parent Organization Legal Business Name (LBN) and Parent Organization Taxpayer Identification Number (TIN) fields must be completed. D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. OAKLAND 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": 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. Arcadian Management Services to be Acquired by Humana - PR Newswire 3 0 obj var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). Arcadian Health Plan Customer Service In preparation for the Engage, please carry out the following: With reference to the Lease of Kenulf House, 34-38 Fletton Street, Peterborough PE1 3LR ("Kenulf House"), complete the chart below, stating whether or not it is possible to carry out each of the dealings and citing the relevant lease provision(s). The country code in the location address of the provider being identified. Humana anticipates that the divestitures would be effective January 1, 2013. Arcadian Management Services Inc. COMMERCIAL. 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 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. Dual Eligible Special Needs Plans serve members who are eligible for both Medicaid and Medicare. Irma Lopez - Claims Auditor - Arcadian Health Plan | LinkedIn )?2%n@/xh^}J_}1e6Z^A(}&XdD{Y\|/wH?Ksp?{~Gs8xZ[&iqy2yww$Rfb)~fG=tvvkAdDf75?+PUvkTVAZV5S}&$,i Z_/ }'UrJ0 d] Arcadian - Claims CA Arcadian Health Plan 510-817-1016 . For Claims Status please contact Susan Naanes @ 503-574-7441 or Debra . info) is a Landkreis (district) in the west of Bavaria, Germany with a population of 95,000. 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. Iselin, New Jersey 08830. health goals, Go365 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. Please contact the plan for further details. 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). Health Plan/Payer Business Mailing Address First Line. an eye doctor, Learn ARCADIAN HEALTH PLAN, INC. can be reached at the following phone number(s): Phone: 510-832-0311 You can reach the authorized official at the following phone number 510-817-1845. a doctor, Enroll 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. This data element may contain the same information as ''Provider location address fax number''. account today. All rights reserved. 1-800-454-3730. PDF Participating Insurances money from Medicare into the account. If one of our plans is not the best fit, don't worry - we'll connect you with other options. 94607-5204 For a copy of Indianas current State Medicaid Agency Contract, click here: To access all executed D-SNP contracts for 2022, visit the, To register as a trading partner with the IHCP to exchange electronic transactions for D-SNP, submit the. Speak to a PSW Agent today to learn more about your eligibility and options for our Medicare Advantage plans. 3 Beds. This data element may contain the same information as ''Provider location address City name''. Plans, Shop for Plans The Domestic Health Carrier is a direct wholly-owned subsidiary of, and controlled by, Humana Inc. ("Hwnana"). Kareo ID *. Log In to Availity For Providers :: The Health Plan PDF STATEMENT AS OF JUNE 30, 2022 OF THE Arcadian Health Plan, Inc. 500 12th Street, Suite 350, Oakland, California 94607, US. fi%  xl/_rels/workbook.xml.rels ( Mk0$nez:8`gk(%b_=65q"0{?mY$M! To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). 'https:' : 'http:') + The authorized official title (position) is SR. VP AND GENERAL COUNSEL. 500 W Main. Copyright 2007-2023 HIPAASPACE. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. 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. St Louisville, KY 40202. XLSX Home - Centers for Medicare & Medicaid Services | CMS The email notifications are used to send notices to subscribers on behalf of the IHCP. Those who disenroll ARCADIAN HEALTH PLAN, INC. :: Washington (US) - OpenCorporates '//cse.google.com/cse.js?cx=' + cx; PSW contracts with local doctors and Medicare Advantage health plans to offer you a choice in finding a health plan that best meets your healthcare needs. 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.
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