in a plan, Shop 510-832-0311. Claims adjustment expenses, including $ 38,432,221 cost containment expenses 0 44,339,331 36,328,629 169,390,602 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. Codes are: The "Is the organization a subpart?" Patient Consent Forms. for group products, Learn 3.8 Work-Life Balance. 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 first line mailing address of the provider being identified. US, 500 12TH ST STE 350 It is situated on the river Altmhl, 19 kilometres (12 mi) northwest of Weienburg in Bayern, and 45 kilometres (28 mi) southwest of Nuremberg. dentist, Get a The offices are examples of subparts that could have their own NPIs if the main location determines that they should. Provider Relations Phone Number. US Family Health Plan @St. Vincent's Hosp. Medicare Advantage organizations interested in operating a D-SNP plan in Indiana should contact Andrew Bean at Andrew.Bean@fssa.IN.gov. Medical Policies. Practice Name *. Your healthcare needs change. 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. about group insurance, Member 500 12TH ST STE 300 Medicare Star Ratings can help you learn how a Medicare Advantage plan is doing. a dentist, Get A field cannot contain all special characters. D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. 500 12th Street, Suite 350, Oakland, California 94607, US. a form, View ID Industry Hospital & Health Care Revenue $9.2M Employees 111 Founded in Headquarters Oakland, CA Website Organization Type Private Is This Your Company? 3 Beds. Most Medicare Advantage Plans include Medicare prescription drug coverage (Part D). Increased litigation and negative publicity could increase the companys cost of doing business. 1-800-454-3730. The enumeration date of this NPI Number is 11/18/2008. Changes in economic conditions could adversely affect Humanas business and results of operations. Get the most out of your plan. Health Plan/Payer Business Mailing Address First Line. Arcadian Management Services Inc. COMMERCIAL. Humanas ability to obtain funds from its subsidiaries is restricted by state insurance regulations. Our business hours are 8:00 a.m. to 5:00 p.m., EST. prescription, Manage Changes in the prescription drug industry pricing benchmarks may adversely affect Humanas financial performance. Industry: Health insurance carriers Printer Friendly View Address: 500 12TH St Ste 350 Oakland, CA, 94607-5204 United States See other locations & appeals, Helpful Please enter your credentials. Provider Relations Phone Number. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. H5619 Arcadian Health Plan (Humana, Inc.) . var gcse = document.createElement('script'); You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID . 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. Responsibility, Internet Privacy 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 . Claims adjustment expenses, including $ 96,131,102 cost containment expenses 0 108,854,457 92,979,675 204,471,335 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. If Humana fails to properly maintain the integrity of its data, to strategically implement new information systems, to protect Humanas proprietary rights to its systems, or to defend against cyber-security attacks, the companys business may be materially adversely affected. [14] [15] [16] 2008-2019 [ edit] This data element may contain the same information as ''Provider location address City name''. 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. To enroll, eligible individuals should reach out to a specific health plan or contact Medicare at 800-MEDICARE. 500 12th St # 350. gcse.type = 'text/javascript'; SOLD JUN 13, 2022. COMMERCIAL. The telephone number associated with the location address of the provider being identified. Limitations, copayments, and restrictions may apply. St Louisville, KY 40202. Medicare Supplement plans, Learn Terms were not disclosed. Get the most out of your plan. Visit PSWs Annual Enrollment Period (AEP) page to learn more. 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 To determine individual service areas, please call the health plans' customer service numbers provided (see below). US. 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. guidance, Using The Domestic Health Carrier is a direct wholly-owned subsidiary of, and controlled by, Humana Inc. ("Hwnana"). account today. Providers who do not contract with the plan are not required to see you except in an emergency. x[moF a %o$MK.h}W@[D The 10-position telephone number of the authorized official. Our agents put your needs first. Caregivers, Go365 Wellness . 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. (For Medicaid, Child Health Plus . If Humana fails to develop and maintain satisfactory relationships with the providers of care to its members, the companys business may be adversely affected. px. < RgJfrZO^!Cr]bL46 latDlb7W%Gfa?;^nh(T\[r559ES>72pGAgTd#m,A?bnT}O|G?! Nearby homes similar to 1521 Arcadian Lily have recently sold between $257K to $257K at an average of $170 per square foot. 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. The benefit information provided is a brief summary, not a complete description of benefits. Medicaid updates; check other areas of interest on the drop-down list to receive notices for other types of We also provide free language interpreter services. Call 360.943.4337 ext 9 or email [emailprotected]. Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. Login or find a doctor Jan 3, 2023 . Contact Us Give us a call at 360-943-4337 opt. endobj In light of these risks, uncertainties, and assumptions, the forward-looking events discussed herein may or may not occur. This webpage represents 1598910549 NPI record. '//cse.google.com/cse.js?cx=' + cx; All members complete the annual HRA Any of these risks and uncertainties may cause actual results to differ materially from the results discussed in the forward-looking statements. 9, or toll-free at 1-877-943-4337 Health Plan/Payer ID Codes, also known as Receiver Codes, are the primary identifier used to route your EDI transaction to the appropriate entity. D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. Code describing the type of health care provider that is being assigned an NPI. We do not sell leads or share your personal information. New laws or regulations, or changes in existing laws or regulations or their manner of application could increase the companys cost of doing business and may adversely affect the companys business, profitability and cash flows. 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. Star Ratings are calculated each year and may change from one year to the next. Medicare drug (Part D) plans, Shop menu, Manage This data element may contain the same information as ''Provider location address fax number''. For Providers. 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. For most members, claims can be mailed or submitted electronically to us at the address or payer ID's below; however, the address and payer ID's may vary based on member-specific plans and networks. Preferred Medical Claim Premier Health - PPO - SC Prime Health Services Priority Health (Michigan) . ARCADIAN HEALTH PLAN, INC. NPI is 1598910549. 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"). Humanas business may be materially adversely impacted by CMSs adoption of the new coding set for diagnoses. This news release includes forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Original Medicare covers hospice care even if youre in a Medicare Advantage Plan. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. & tools, Humana Completes Acquisition of Arcadian Management Services, Find a Each Medicare Advantage Plan has different premiums and costs for services, so its important to compare plans in your area and understand plan costs and benefits before you join. Member Services Phone Number. To find out more, visit Medicare.gov. Specialties: Millie's serves delicious, coal- and Neapolitan wood-fired artisan pizzas and meatballs based on Vince and Brandon's grandmother Millie's recipes. 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. Health plans must contract with the Indiana Health Coverage Programs and hold a contract with Medicare. You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Providers, For })(); Enter your ZIP Code and click "Show Available Medicare Advantage Plans", 2023 Medicare Advantage Plan Benefit Details, 2023 Medicare Advantage Plan Benefit Details for the Arcadian Health Plan - Plus (HMO), Find a 2023 Medicare Advantage Plan (Health and Health w/Rx Plans), Browse Any 2023 Medicare Plan Formulary (or Drug List), Q1Rx Drug-Finder: Compare Drug Cost Across all 2023 Medicare Plans, Find Medicare plans covering your prescriptions, Medicare plan quality and CMS Star Ratings, Understanding Your Explanation of Benefits, IRMAA: Higher premiums for higher incomes, 2023 Medicare Advantage Plans State Overview, Find a 2023 Medicare Advantage Plan by Drug Costs. Health Plan/Payer Business Fax Number. We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Resources, Pay Any failure to manage administrative costs could hamper Humanas profitability. Iselin, New Jersey 08830. quote, Find an arcadia_health@humana.com. PSW is a private company and not a health plan. The authorized official title (position) is SR. VP AND GENERAL COUNSEL. Gainwell Technologies has been contracted with the state of Indiana since 1991. question must be answered. 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). Contact the Medicare plan for more information. Give us a call at 360-943-4337 opt. Non-health claims (net) 0 0 0 0 20. <> Library, Sign care & community support, Humana OAKLAND 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). The email notifications are used to send notices to subscribers on behalf of the IHCP. 2,148 Sq. To send us a message so we can call you, click here. 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. Job Title. This data element may contain the same information as ''Provider location address telephone number''. A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. This page contains Indiana Health Coverage Programs (IHCP) Companion Guides for Health Insurance Portability and Accountability Act (HIPAA) version 5010 electronic transactions. 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. This data element may contain the same information as ''Provider location address State name''. Address. 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. PK ! Ratings by category. Jan 3, 2023 05:55pm. 1 - 2) December 31 Prior Year Net . $325,000 Last Sold Price. NPI record contains FOIA-disclosable NPPES health care provider information. 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. information. 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 bs [Content_Types].xml ( UKO0|]5naVi _L;qZRR%Qb{$4WbTEE%EV6xPL''?XpJ4DBJp to enroll, Learn Licensure, Fraud, Waste & NOTE: ZIP code plus 4-digit extension, if available. Contact Us About The Company Profile For Arcadian Health Plan, Inc. Fax. $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 . Non-health claims (net) 0 0 0 0 20. 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. 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. Location. 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. For information about IHCP policies, procedures, and billing guidance (including information about electronic transactions), access these IHCP reference documents. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. drug plans & coverage, Prescription 0000002619 00000 n Contact Name Kelly Gaskins . Medicaid will no longer pay these charges. Drug List, Shop All. Cancer Resource Services . care, Managing claims, Check Any new coverage you get during this time will start on January 1, 2021. Arcadian Health Plan Apr 2006 - Present16 years 4 months Run daily accounts payable claims and audit edits reports. In certain situations, you can. PK ! coverage, Refill a Physician Case Management Referral. Medicare Advantage Plans must offer emergency coverage outside of the plans service area (but not outside the U.S.). 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 About Arcadian Health: Arcadian Health, founded in 1996, provides Medicare Advantage coverage through its affiliates in the following 15 states: . an eye doctor, Learn Non-health claims (net) 0 0 0 0 20. The date that a record was last updated or changed. 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.
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