arcadian health plan claims

Humana Behavioral Health Humana Employers Health Insurance Humana Inc Humana Insurance Company Choice Care Network 610647538 HUMANA INC. Arcadian Management Services Inc Other ID's: 61104, L0200, 72127, 62072, 61120, 62073, 73288, 95885 Accessibility Medicare pays a fixed amount for your care every month to the companies offering Medicare Advantage Plans. Copyright 2023 State of Indiana - All rights reserved. UHS of Fuller, Inc., UHS of Delaware, Inc., OSHRC DOCKET No. 20-0032 NPI Number information was last time updated on 12/01/2010. Payment Policies. Indiana Medicaid: Partners: Dual Eligible Special Needs Plans )JCR?;}`_YWk>7O_6z?U#nutWm=2? Redfin Corporation. $325,000 Last Sold Price. We also provide free language interpreter services. The first line location address of the provider being identified. So can the benefits and costs of Medicare Advantage plans. 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. resources, Medicaid Arcadian Health - TEXAS Artisan Provider Network *TRPN (Three Rivers Provider Network) PPO, WC, INJURY . All rights reserved. Humana anticipates that the divestitures would be effective January 1, 2013. Arcadian Management Services to be Acquired by Humana - PR Newswire It is located in the south of Middle Franconia, 50 kilometres south of Nuremberg. <> (function() { Gainwell Technologies has been contracted with the state of Indiana since 1991. doctor, Enroll in 9, or toll-free at 1-877-943-4337. St Louisville, KY 40202. Clear. arcadian health plan, inc claims mailing address Caregivers, Go365 Wellness 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. SOLD JUN 13, 2022. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. Jan 3, 2023 . Arcadian - Claims Copyright 2007-2023 HIPAASPACE. Medicare Advantage plans, Shop Get the most out of your plan. for group products, Learn The 10-position telephone number of the authorized official. 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. %PDF-1.5 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": STATEMENT AS OF SEPTEMBER 30, 2021 OF THE Arcadian Health Plan, Inc. ASSETS Current Statement Date 4 1 Assets 2 Nonadmitted Assets 3 Net Admitted Assets (Cols. 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. your health, Member Humanas business activities are subject to substantial government regulation. Medicare Supplement plans, Learn Whether youre new to Medicare or considering changing plans, learn how Medicare Advantage plans can support the best YOU! We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. US Family Health Plan @St. Vincent's Hosp. 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. Gunzenhausen is a nationally . In light of these risks, uncertainties, and assumptions, the forward-looking events discussed herein may or may not occur. Dual Eligible Special Needs Plans serve members who are eligible for both Medicaid and Medicare. health goals, Go365 See our full accessibility rights Alabama Medicaid Our claims professionals have extensive claims handling experience for a variety of business lines. Claim This Company Page What do people say about Arcadian Health Plan 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 www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. Dual Eligible Special Needs Plans serve members who are eligible for both Medicaid and Medicare. 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. To enroll, eligible individuals should reach out to a specific health plan or contact Medicare at 800-MEDICARE. CLAIM.MD | Payer Information | Humana 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. Health Plan/Payer ID Codes, also known as Receiver Codes, are the primary identifier used to route your EDI transaction to the appropriate entity. The City name in the mailing address of the provider being identified. 500 12TH ST STE 300 Medicare Advantage Plans must offer emergency coverage outside of the plans service area (but not outside the U.S.). The company's principal . The 2022 Annual Enrollment Period (AEP) is from October 15 to December 7, 2021. Location. We are an independent education, research, and technology company. These estimates, however, involve extensive judgment, and have considerable inherent variability that is extremely sensitive to payment patterns and medical cost trends. Claims adjustment expenses, including $ 126,895,463 cost containment expenses 0 145,900,023 120,817,947 169,390,602 1,507 Sq. 183. . PSW is committed to quality improvement, clinical integration and meaningful measures of value. Abuse, System Provider Relations Phone Number. 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. The two main types of Star Ratings are: Some of the areas Medicare reviews for these ratings include: While star ratings provide an overall value, the ratings alone are only one piece of information to consider before choosing the Medicare Advantage plan that works best for you. Solicitation opportunities to do business with the State of Indiana. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). a healthcare plan, Humana 1 - 2) December 31 Prior Year Net . WellCare - Wikipedia UHS-DE and UHS-Fuller stipulated that physically violent or assaultive patients created a hazard for those at the Worksite. 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. Medicaid updates; check other areas of interest on the drop-down list to receive notices for other types of The city name in the location address of the provider being identified. Corp - WI . 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. PSW licensed agents can answer your questions on Medicare, Medicare Advantage and the specific health plans we offer. 2.5 Baths. Copyright 2007-2023 HIPAASPACE. You can call us if you have a question about your insurance plan or a health problem. 2023 Arcadian Health Plan - Plus (HMO) in OK Plan Benefits Details info) is a Landkreis (district) in the west of Bavaria, Germany with a population of 95,000. The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. The benefit information provided is a brief summary, not a complete description of benefits. coverage, Refill a PSW has partnered with Humana and Premera. 500 12th St # 350. 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. [k@+%#bP{U Zbl;0RZ%U$+Ylft(s?-FUg dnt`q. Millie's Old World Meatballs & Pizza - Yelp Non-health claims (net) 0 0 0 0 20. http://www.insuranceproviders.com/companies/arcadian-health-plan-inc/. Meet your Practice Management Consultant. })(); 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. The provider's official mailing address is: 500 12TH ST STE 350 Industry: Health insurance carriers Printer Friendly View Address: 500 12TH St Ste 350 Oakland, CA, 94607-5204 United States See other locations 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. Increased litigation and negative publicity could increase the companys cost of doing business. Job Title. Gunzenhausen - Wikipedia 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. Select Foreign Country in the state drop down box if the license was issued outside of United States. 0006300 Payer ID | Arcadian Health Plan, Inc." | Oakland, CA We are not compensated for Medicare plan enrollments. menu, Manage in to Go365.com, Corporate enroll, Find a Arcadian Health Plan Claims Address - Explore Recent . For information about IHCP policies, procedures, and billing guidance (including information about electronic transactions), access these IHCP reference documents. Plans, Shop for Plans 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. Arcadian Health Plan is a small health care company based in Oakland, CA with only 111 employees and an annual revenue of $9.2M. The first name of the authorized official, The title or position of the authorized official. This data element may contain the same information as ''Provider location address City name''. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service Program, Humana NPI record contains FOIA-disclosable NPPES health care provider information. savings & tools, Humana Provide organization name (legal business name used to file tax returns with the IRS). Arcadian Health Plan, Inc. Company Profile | Oakland, CA | Competitors Contact the plan provider for additional information. Employers, For Agents & Medicaid contracts each year with plans that are willing to accept a monthly fee for each recipient in their program. Humana estimates the costs of its benefit expense payments, and designs and prices its products accordingly, using actuarial methods and assumptions based upon, among other relevant factors, claim payment patterns, medical cost inflation, and historical developments such as claim inventory levels and claim receipt patterns. Give us a call at 360-943-4337 opt. x[moF a %o$MK.h}W@[D 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. 182. Log In to Availity The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. Our agents put your needs first. Net of the divestitures, the acquisition will increase Humanas health plan membership by approximately 50,000 Medicare HMO members. Bulletins, Banner Pages and Reference Modules. 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). your health, Preventive Register for a MyHumana H5619 Arcadian Health Plan (Humana, Inc.) . 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. card, View The State or Province name in the mailing address of the provider being identified. Non-health claims (net) 0 0 0 0 20. Humanas acquisition of Arcadian is not expected to materially impact its financial earnings guidance for the year ending December 31, 2012. 500 12TH ST STE 300 pricing guide, Find 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. PDF Arcadian Health Plan Inc., H5619 Dual Eligible Medicare Zero Cost ARCADIAN HEALTH PLAN Pay & Benefits reviews Review this company. If the plan accepts the monthly fee then the plan agrees to be responsible for the Medicare co-payments, co-insurance or deductibles. Please contact the plan for further details. Speak to a PSW Agent today to learn more about your eligibility and options for our Medicare Advantage plans. Humana Contact Information for Providers Affinity Health Plan ## 13334 Y AFFINITY HEALTH O Contact [email protected] or (718)794-7592 prior to sending claims. Terms were not disclosed. OAKLAND, CA 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 . An Overall Star Rating that combines all of a plans scores. Arcadian Health Plan, Inc. - Texas Department of Insurance 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 1-800-454-3730. Our. stream US, 500 12TH ST STE 350 Licensure, Fraud, Waste & 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. 2.5 Baths. Health Plan/Payer Business Mailing Address First Line. You can reach the authorized official at the following phone number 510-817-1845. Star ratings are assigned to Medicare Advantage plans by the Centers for Medicare and Medicaid Services (CMS). Other The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. Pharmacy, Shop The postal ZIP or zone code in the location address of the provider being identified. PSW is a private company and not a health plan. Health (8 days ago) Web101 Wood Avenue South, 8th Floor. 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 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. name (which is a provider name or healthcare organization name) ARCADIAN HEALTH PLAN, INC.. The Domestic Health Carrier is a direct wholly-owned subsidiary of, and controlled by, Humana Inc. ("Hwnana"). User ID: Password: Show password Members may enroll in a Medicare Advantage plan only during specific times of the year. Unit 13- Lease Alienation. Ft. 12435 Jacobs Pond, San Antonio, TX 78253-5505. A field cannot contain all special characters. D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. Fax: 510-817-1894. 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. (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. 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. Humanas business may be materially adversely impacted by CMSs adoption of the new coding set for diagnoses. What is Medicare Part C? | HHS.gov 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. Our business hours are 8:00 a.m. to 5:00 p.m., EST. 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 The Health Insurance Portability and Accountability Act (HIPAA) of 1996 contains Portability, Medicaid Integrity Program/Fraud and Abuse, and Administrative Simplification. Contact Us Give us a call at 360-943-4337 opt. 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 D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. This data element may contain the same information as ''Provider location address telephone number''. Arcadian Management Services Inc. COMMERCIAL. quote, Find an Company Profile Page. NOTE: ZIP code plus 4-digit extension, if available. Find information about the healthcare programs included under the Indiana Health Coverage Programs (IHCP) umbrella the primary programs serving most children and adults as well as those designed to serve special member populations. Get the most out of your plan. 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." OAKLAND All members complete the annual HRA Responsibility, Internet Privacy Contact Us About The Company Profile For Arcadian Health Plan, Inc. A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. religion. 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. Health Plans, Inc. PO Box 5199 Westborough, MA 01581. Not quite 65? Provider Relations Phone Number. Claims: 61101 Encounters: 61102 Advanced claims editing All EDI submissions to Humana pass through Availity. To find out more, visit Medicare.gov. The fax number associated with the location address of the provider being identified. wellness & rewards, Member Our agents put your needs first. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. This data element may contain the same information as ''Provider location address country code''. 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). Not all D-SNP plans in Indiana serve the entire state. 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. Industry Hospital & Health Care Revenue $9.2M Employees 111 Founded in Headquarters Oakland, CA Website Organization Type Private Is This Your Company? Preferred Medical Claim Premier Health - PPO - SC Prime Health Services Priority Health (Michigan) . 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. Secondary Claims: YES: . 94607-5204 Category. PK ! Visit PSWs Annual Enrollment Period (AEP) page to learn more. Physician group practices struggle with bundled payments: study. The email notifications are used to send notices to subscribers on behalf of the IHCP. a doctor, Enroll question must be answered. 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. Any of these risks and uncertainties may cause actual results to differ materially from the results discussed in the forward-looking statements. care & community support, Humana to enroll, Learn 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. information. Cancer Resource Services . Medicare Advantage organizations interested in operating a D-SNP plan in Indiana should contact Andrew Bean at [email protected]. Claims Submissions - Humana 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. 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. There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Claims adjustment expenses, including $ 96,131,102 cost containment expenses 0 108,854,457 92,979,675 204,471,335 (Catholic Medical Center) Unity Health Plan Ins. Humana Sites, For Practice Name *. Codes are: The "Is the organization a subpart?" of race, color, national origin, age, disability, sex, sexual orientation, gender identity or Given the current economic climate, Humanas stock and the stock of other companies in the insurance industry may be increasingly subject to stock price and trading volume volatility. 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. )?2%n@/xh^}J_}1e6Z^A(}&XdD{Y\|/wH?Ksp?{~Gs8xZ[&iqy2yww$Rfb)~fG=tvvkAdDf75?+PUvkTVAZV5S}&$,i Z_/ }'UrJ0 d]

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