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24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. (For crosswalk purposes, the following (non-NPI) identifiers are available for this provider), (Collection of legacy and proprietary (non-NPI) identifiers ever reported for this provider). 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 . About Arcadian Health: Arcadian Health, founded in 1996, provides Medicare Advantage coverage through its affiliates in the following 15 states: . 500 12TH ST STE 300 The city name in the location address of the provider being identified. about Medicaid, How 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. CLAIM.MD | Payer Information | Humana Gunzenhausen is a nationally . We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. pharmacy, Shop for COMMERCIAL. Terms were not disclosed. PDF claims processing 20060120 (2) - Centers for Medicare & Medicaid Services However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. Ft. 12414 Tallow Cir, San Antonio, TX 78253-5253. Preferred Medical Claim Premier Health - PPO - SC Prime Health Services Priority Health (Michigan) . Secondary Claims: YES: . If the organization is a subpart = , the Parent Organization Legal Business Name (LBN) and Parent Organization Taxpayer Identification Number (TIN) fields must be completed. Indiana Health Coverage Programs is contracted with OptumRx to be the pharmacy benefits manager for the Traditional Medicaid. All rights reserved | Email: [emailprotected], Abington jefferson health physician directory, White mountain community health conway nh. 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. 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. 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. Changes in economic conditions could adversely affect Humanas business and results of operations. Humana Contact Information for Providers Medicare MSA Plans do not cover prescription drugs. guidance, Humana member You can reach the authorized official at the following phone number 510-817-1845. 94607-5204, US. Providence of Oregon Health Plan. a plan, Find a 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). 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. Our claims professionals have extensive claims handling experience for a variety of business lines. PDF Names, titles, addresses and telephone numbers of individuals to whom This page contains Indiana Health Coverage Programs (IHCP) Companion Guides for Health Insurance Portability and Accountability Act (HIPAA) version 5010 electronic transactions. to enroll, Learn The email notifications are used to send notices to subscribers on behalf of the IHCP. 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 Please enter your credentials. PSW licensed agents can answer your questions on Medicare, Medicare Advantage and the specific health plans we offer. Ft. 12435 Jacobs Pond, San Antonio, TX 78253-5505. member rights, Exceptions s.parentNode.insertBefore(gcse, s); 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. All rights reserved. To determine individual service areas, please call the health plans' customer service numbers provided (see below). 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": The Health Insurance Portability and Accountability Act (HIPAA) of 1996 contains Portability, Medicaid Integrity Program/Fraud and Abuse, and Administrative Simplification. 1 , http://www.empireplanproviders.com/contact.htm. NPI Number information was last time updated on 12/01/2010. Health Plan/Payer Business E-Mail Address. The provider is (1) A form of health https://healthprovidersdata.com/hipaa/codes/NPI-1598910549-arcadian-health-plan-inc Call 360.943.4337 ext 9 or email [emailprotected]. Please call our Customer Service Department if you need to talk about protected/private health information. US. (For Medicaid, Child Health Plus . ARCADIAN HEALTH PLAN INC. NPI 1598910549 - Health Health (3 days ago) WebZIP 94607 Phone: (510) 832-0311 Get Directions ARCADIAN HEALTH PLAN, INC. is a health maintenance organization in Oakland, CA. Payment Policies. 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 Parent Organization LBN and TIN fields can only be completed if the answer to the subpart question is Yes. Patient Consent Forms. PSW is a private company and not a health plan. 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 Arcadian - Claims 94607-4087 Use the links on this page to access IHCP provider news items, bulletins, and banner page publications. during the calendar year will owe a portion of the account deposit back to the plan. name (which is a provider name or healthcare organization name) ARCADIAN HEALTH PLAN, INC.. area. menu, Manage 500 12th Street, Suite 350, Oakland, California 94607, US. Give us a call at 360-943-4337 opt. Drug List, Shop Responsibility, Internet Privacy Unit 13- Lease Alienation. The provider is (1) A form of health , https://healthprovidersdata.com/hipaa/codes/NPI-1598910549-arcadian-health-plan-inc, Health (2 days ago) WebARCADIAN HEALTH PLAN, INC. Company Number 602384193 Status Active Incorporation Date 6 April 2004 (almost 19 years ago) Company Type WA , https://opencorporates.com/companies/us_wa/602384193, Health (7 days ago) WebContact Us Today Acadia Corporate Headquarters 6100 Tower Circle, Suite 1000 Franklin, TN 37067 Tel: 615-861-6000 Toll Free: 855-526-8228 Fax: 615-261-9685 Additional , https://www.acadiahealthcare.com/about/contact/, Health (9 days ago) WebArcadian Health Plan, Inc. Company Alias [Doing Business As (dba)] This is the name or names of the company under which the company does business. religion. The fax number associated with the location address of the provider being identified. Gunzenhausen - Wikipedia Jan 3, 2023 . The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. Contact Us :: The Health Plan 4 0 obj The legal entity must obtain an NPI. 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. Medicare Advantage organizations interested in operating a D-SNP plan in Indiana should contact Andrew Bean at Andrew.Bean@fssa.IN.gov. ARCADIAN HEALTH PLAN, INC. can be reached at the following phone number(s): Phone: 510-832-0311 St Louisville, KY 40202. Our agents put your needs first. Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home. dentist, Get a claims, Check 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). health goals, Go365 %PDF-1.5 If you need help, see our support page. 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. This data element may contain the same information as ''Provider location address country code''. The provider is registered as an organization entity type. ARCADIAN HEALTH PLAN, INC. :: Washington (US) - OpenCorporates Medicare Advantage Plans must cover all of the services that Original Medicare covers except hospice care. Requirements, full accessibility rights Give yourself a birthday gift. Dual Eligible Special Needs Plans serve members who are eligible for both Medicaid and Medicare. Please do not include any confidential or personal information, such as protected health information, social security number, or tax ID. Contact the Medicare plan for more information. Register for a MyHumana Redfin Corporation. Nearby homes similar to 1521 Arcadian Lily have recently sold between $257K to $257K at an average of $170 per square foot. This data element may contain the same information as ''Provider location address postal code''. a dentist, Get 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 Us Give us a call at 360-943-4337 opt. Medicare Star Ratings can help you learn how a Medicare Advantage plan is doing. account today. So can the benefits and costs of Medicare Advantage plans. This data element may contain the same information as ''Provider location address City name''. dental plans, Find 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. Get the most out of your plan. Arcadian Health Plan, Inc. - Texas Department of Insurance The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. 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! Neighbouring districts are (from the north clockwise) Ansbach, Roth, Eichsttt and Donau-Ries. 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. PDF STATEMENT AS OF JUNE 30, 2022 OF THE Arcadian Health Plan, Inc. Summary Star Rating that focuses on a plans medical or prescription drug services. Our agents put your needs first. 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. You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID . your health, Preventive A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Any new coverage you get during this time will start on January 1, 2021. This data element may contain the same information as ''Provider location address telephone number''. HMO Alias Texas Counties served by the HMO HMO Service areas health conditions, Home The provider's official mailing address is: 500 12TH ST STE 350 The City name in the mailing address of the provider being identified. 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 plan deposits information. D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. Speak to a PSW Agent today to learn more about your eligibility and options for our Medicare Advantage plans. Arcadian Health Plan Company Profile | Management and Employees List This address cannot include a Post Office box. rights, Prescription savings card, View NOTE: ZIP code plus 4-digit extension, if available. Employers, For Agents & [14] [15] [16] 2008-2019 [ edit] E-Mail. wellness & rewards, Member 1-800-454-3730. Business Address Line. MAXIMUS Health Services Inc. has served as the Indiana Health Coverage Programs enrollment broker since 2007. a healthcare plan, Humana endobj 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. Based in Olympia, WA for more than 25 years, PSW is locally owned and managed by physicians. 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. Arcadian Health Plan 510-817-1016 . 1-877-7NYSHIP (1-877-769-7447), choose UnitedHealthcare . Arcadian Health Plan, Inc. - AL, AR, CA, FL, IA, IL, IN, KY, ME, MO a form, View ID % Indiana Medicaid: Partners: Dual Eligible Special Needs Plans doctor, Enroll in Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. <> Increased litigation and negative publicity could increase the companys cost of doing business. St Louisville, KY 40202. Ratings by category. In light of these risks, uncertainties, and assumptions, the forward-looking events discussed herein may or may not occur. 3 Beds. arcadian health plan, inc claims mailing address The contact numbers associated with the mailing address are: The authorized official registered with the 1598910549 NPI Number is JAMES NOVELLO. for group products, Learn question must be answered. All. group products, Member Resources $325,000 Last Sold Price. endobj H5619 Arcadian Health Plan (Humana, Inc.) . Statement, Disclaimers & for a MyHumana account today. 3.8 Work-Life Balance. BOUGHT WITH REDFIN JUN 14, 2022. Copyright 2007-2023 HIPAASPACE. about group insurance, Member 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. Humanas pharmacy business is highly competitive and subjects it to regulations in addition to those the company faces with its core health benefits businesses. 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 date that a record was last updated or changed. 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. '//cse.google.com/cse.js?cx=' + cx; You can call us if you have a question about your insurance plan or a health problem. Archbold Ed Uninsured. an eye doctor, Learn Locations Primary 500 12th Street, Suite 350 Oakland,. Accessibility The postal ZIP or zone code in the location address of the provider being identified. Arcadian Management Services to be Acquired by Humana - PR Newswire Humana is a publicly traded Delaware holding company for 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. Our business hours are 8:00 a.m. to 5:00 p.m., EST. )JCR?;}`_YWk>7O_6z?U#nutWm=2? Industry: Health insurance carriers Printer Friendly View Address: 500 12TH St Ste 350 Oakland, CA, 94607-5204 United States See other locations The securities and credit markets may experience volatility and disruption, which may adversely affect Humanas business. 2023 Arcadian Health Plan - Plus (HMO) in OK Plan Benefits Details $e_ofvZp$QH"}wWWo>H!qyJ File Number: 3615733. resources, Medicaid Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. Please contact the plan for further details. Humana Sites, For We do not sell leads or share your personal information. Certain taxonomy selections will require you to enter your license number and the state where the license was issued. var s = document.getElementsByTagName('script')[0]; pricing guide, Find Gainwell provides a number services to the IHCP, including provider enrollment, customer service, eligibility verification, and fee-for-service claim processing. Irma Lopez - Claims Auditor - Arcadian Health Plan | LinkedIn To submit a support case fill out the form below. The date the provider was assigned a unique identifier (assigned an NPI). Get the most out of your plan. 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. The State or Province name in the location address of the provider being identified. User ID: Password: Show password 'https:' : 'http:') + If one of our plans is not the best fit, dont worry well connect you with other options. In all types of Medicare Advantage Plans, youre always covered for emergency and urgent care. In 2013, the executives, including former CEO Todd Farha, were found guilty of the charges, including healthcare fraud and making false statements to law enforcement. 183. . Providers who do not contract with the plan are not required to see you except in an emergency. a doctor, Enroll 1 - 2) December 31 Prior Year Net . 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. 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 Submit a Ticket - Kareo Help Center (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. 7 There were over 500 incidents of aggression from June 1, 2019, through the end of 2019. Jan 3, 2023 09:43pm. Caregivers, Go365 Wellness 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. Downgrades in Humanas debt ratings, should they occur, may adversely affect its business, results of operations, and financial condition. 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. VIRGINIA PREMIER HEALTH PLAN, INC. H9952 H9955 MOLINA HEALTHCARE OF OHIO, INC. State Integration Status Applicable Integrated Plan Coordination-Only FIDE . Location. Any failure to manage administrative costs could hamper Humanas profitability. Physician group practices struggle with bundled payments: study. 3 Beds. Program, Humana The first line location address of the provider being identified. The HMO Alias list is an Excel spreadsheet. The postal ZIP or zone code in the mailing address of the provider being identified. enroll, Find a Provider Relations Phone Number. ARCADIAN HEALTH PLAN Pay & Benefits reviews - indeed.com