Jan 3, 2023 09:43pm. NPI Number information was last time updated on 12/01/2010. endobj We also provide free language interpreter services. Redfin Corporation. Contact Us About The Company Profile For Arcadian Health Plan, Inc. [14] [15] [16] 2008-2019 [ edit] St Louisville, KY 40202. 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. Visit PSWs Annual Enrollment Period (AEP) page to learn more. Preferred Medical Claim Premier Health - PPO - SC Prime Health Services Priority Health (Michigan) . Pennsylvania corporation ("Aetna"), of Arcadian Health Plan, Inc., a health care service contractor domiciled in the State of Washington (the "Domestic Health Carrier"). Medicare evaluates plans based on a 5-Star rating system. (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. Claim: ARCADIAN HEALTH PLAN, INC. is an Alabama Foreign Corporation filed on December 5, 2016. $257,000 Last Sold Price. 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 . about Medicare, Find Speak to a PSW Agent today to learn more about your eligibility and options for our Medicare Advantage plans. Increased litigation and negative publicity could increase the companys cost of doing business. guidance, Using 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. resources, Medicaid COMMERCIAL. 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. PK ! The legal entity must obtain an NPI. This address cannot include a Post Office box. 1-800-454-3730. A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Meet your Practice Management Consultant. Jan 3, 2023 . All rights reserved. drug plans & coverage, Prescription 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). Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. })(); 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. 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. Jan 3, 2023 05:55pm. The authorized official title (position) is SR. VP AND GENERAL COUNSEL. The first line mailing address of the provider being identified. Medicaid contracts each year with plans that are willing to accept a monthly fee for each recipient in their program. Industry: Health insurance carriers Printer Friendly View Address: 500 12TH St Ste 350 Oakland, CA, 94607-5204 United States See other locations The country code in the location address of the provider being identified. To determine individual service areas, please call the health plans' customer service numbers provided (see below). 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. vision plans, Find The first name of the authorized official, The title or position of the authorized official. This page contains Indiana Health Coverage Programs (IHCP) Companion Guides for Health Insurance Portability and Accountability Act (HIPAA) version 5010 electronic transactions. [k@+%#bP{U Zbl;0RZ%U$+Ylft(s?-FUg dnt`q. US, 500 12TH ST STE 350 The State or Province name in the location address of the provider being identified. Free one-on-one consultations are available Monday-Friday, 8:00am-4:00pm. E-Mail. CA View more recently sold homes. The Health Insurance Portability and Accountability Act (HIPAA) of 1996 contains Portability, Medicaid Integrity Program/Fraud and Abuse, and Administrative Simplification. 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). The fax number associated with the location address of the provider being identified. Providers, For 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. The date that a record was last updated or changed. Medicare MSA Plans do not cover prescription drugs. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). about group insurance, Member If the plan accepts the monthly fee then the plan agrees to be responsible for the Medicare co-payments, co-insurance or deductibles. Its important to check with your doctor to confirm which Medicare Advantage plans they are accepting. The Domestic Health Carrier is a direct wholly-owned subsidiary of, and controlled by, Humana Inc. ("Hwnana"). CA 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. To report a claim to Arcadian, please contact: General Liability Claims glclaims@arcadian-risk.com Professional Liability Claims plclaims@arcadian-risk.com Kareo ID *. Be sure to find PSW on our social media profiles. The provider's official mailing address is: 500 12TH ST STE 350 Provider Relations Phone Number. Changes in the prescription drug industry pricing benchmarks may adversely affect Humanas financial performance. 182. 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. (For Medicaid, Child Health Plus . COMMERCIAL. OAKLAND To send us a message so we can call you, click here. The Medicare Program rates all health and prescription drug plans each year, based on a plans quality and performance. 3 0 obj <>>> Any failure by Humana to manage acquisitions and other significant transactions successfully may have a material adverse effect on its results of operations, financial position, and cash flows. 1 - 2) December 31 Prior Year Net . Indiana Health Coverage Programs is contracted with OptumRx to be the pharmacy benefits manager for the Traditional Medicaid. Ft. 12414 Tallow Cir, San Antonio, TX 78253-5253. Ft. 12435 Jacobs Pond, San Antonio, TX 78253-5505. Physician group practices struggle with bundled payments: study. Those who disenroll coverage, Refill a 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 Any failure to manage administrative costs could hamper Humanas profitability. your health, Preventive your health, Member Certain taxonomy selections will require you to enter your license number and the state where the license was issued. question must be answered. Iselin, New Jersey 08830. The contact numbers associated with the mailing address are: The authorized official registered with the 1598910549 NPI Number is JAMES NOVELLO. 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. 94607-5204 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." a healthcare plan, Humana Terms were not disclosed. 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. Downgrades in Humanas debt ratings, should they occur, may adversely affect its business, results of operations, and financial condition. Claim This Company Page What do people say about Arcadian Health Plan 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 Use the links on this page to access IHCP provider news items, bulletins, and banner page publications. PK ! http://www.insuranceproviders.com/companies/arcadian-health-plan-inc/. The provider is (1) A form of health https://healthprovidersdata.com/hipaa/codes/NPI-1598910549-arcadian-health-plan-inc Arcadian Health Plan Apr 2006 - Present16 years 4 months Run daily accounts payable claims and audit edits reports. ARCADIAN HEALTH PLAN Pay & Benefits reviews Review this company. $325,000 Last Sold Price. 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. 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. 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 1-877-7NYSHIP (1-877-769-7447), choose UnitedHealthcare . info) is a Landkreis (district) in the west of Bavaria, Germany with a population of 95,000. 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 1 0 obj It includes the 3 months before the month of your birthday, your birth month, and the 3 months after the month of your birthday. Resources, Pay '//cse.google.com/cse.js?cx=' + cx; Health Plan/Payer ID Codes, also known as Receiver Codes, are the primary identifier used to route your EDI transaction to the appropriate entity. my premium, Drug prescription, Manage 183. . This data element may contain the same information as ''Provider location address country code''. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. Member Services Phone Number. A landfill site, also known as a tip, dump, rubbish dump, garbage dump, or dumping ground, is a site for the disposal of waste materials. 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. OAKLAND, CA These estimates, however, involve extensive judgment, and have considerable inherent variability that is extremely sensitive to payment patterns and medical cost trends. Pharmacy, Shop There also may be other risks that the company is unable to predict at this time. Cancer Resource Services . PSW licensed agents can answer your questions on Medicare, Medicare Advantage and the specific health plans we offer. To submit a support case fill out the form below. Payment Policies. gcse.type = 'text/javascript'; a pharmacy, Compare Licensure, Fraud, Waste & 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. Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. Unit 13- Lease Alienation. You can call us if you have a question about your insurance plan or a health problem. Humana Sites, For 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. *Required Fields. PSW is a private company and not a health plan. The email notifications are used to send notices to subscribers on behalf of the IHCP. 3.8 . 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). PSW has partnered with Humana and Premera. Clear. FSSA updates. of race, color, national origin, age, disability, sex, sexual orientation, gender identity or 500 12th Street, Suite 350, Oakland, California 94607, US. Affinity Health Plan ## 13334 Y AFFINITY HEALTH O Contact EDI@Affinityplan.org or (718)794-7592 prior to sending claims. [13] Between 2008 and 2012, the company agreed to pay a total of $217.5 million to settle the claims against them. The fax number associated with the mailing address of the provider being identified. for Plans, Shop Medical Policies. 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. Gainwell provides a number services to the IHCP, including provider enrollment, customer service, eligibility verification, and fee-for-service claim processing. 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. 500 W Main. Specialties: Millie's serves delicious, coal- and Neapolitan wood-fired artisan pizzas and meatballs based on Vince and Brandon's grandmother Millie's recipes. Corp - WI . Non-health claims (net) 0 0 0 0 20. $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 . We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. money from Medicare into the account. Not all D-SNP plans in Indiana serve the entire state. endobj Prep task 1. 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 Landfill is the oldest and most common form of waste disposal, although the systematic burial of the waste with daily, intermediate and final covers only began in the 1940s.In the past, refuse was simply left in piles or thrown into pits; in archeology this . & tools, Humana Completes Acquisition of Arcadian Management Services, Find a Humanas pharmacy business is highly competitive and subjects it to regulations in addition to those the company faces with its core health benefits businesses. Medicare Advantage plans, Shop Contact the plan provider for additional information. 94607-4087 OIG: CMS needs to help drugmakers in calculating best Medicare Part B prices. enroll, Find a name (which is a provider name or healthcare organization name) ARCADIAN HEALTH PLAN, INC.. 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. We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. claims, Check 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. 3.8 Work-Life Balance. This is the time when you can make changes to your Medicare coverage. NOTE: ZIP code plus 4-digit extension, if available. The following resources are available to provide more information: In Indiana, nine Dual Eligible Special Needs Plans serve the Medicaid and Medicare dually-eligible population. Members may enroll in a Medicare Advantage plan only during specific times of the year. Humana is a publicly traded Delaware holding company for Category. Copyright 2023 State of Indiana - All rights reserved. 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. AR812. a doctor, Enroll an eye doctor, Learn The provider is registered as an organization entity type. :KORgOC~Ma^ 9kp h'7+LF. Iselin, New Jersey . 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! It is located in the south of Middle Franconia, 50 kilometres south of Nuremberg. The postal ZIP or zone code in the mailing address of the provider being identified. for group products, Learn Gunzenhausen ( German pronunciation: [ntsnhazn] ( listen); Bavarian: Gunzenhausn) is a town in the Weienburg-Gunzenhausen district, in Bavaria, Germany. Humanas business may be materially adversely impacted by CMSs adoption of the new coding set for diagnoses. SOLD JUN 13, 2022. Any of these risks and uncertainties may cause actual results to differ materially from the results discussed in the forward-looking statements. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227. Medicaid is a state-administered program, and each state sets its own guidelines regarding eligibility and services. For Claims Status please contact Susan Naanes @ 503-574-7441 or Debra . Based in Olympia, WA for more than 25 years, PSW is locally owned and managed by physicians. The 10-position telephone number of the authorized official. BOUGHT WITH REDFIN JUN 14, 2022. 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. Caregivers, Go365 Wellness User ID: Password: Show password 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. The psychiatric unit is an example of a subpart that could have its own NPI if the hospital determines that it should. 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. Changes in economic conditions could adversely affect Humanas business and results of operations. %PDF-1.5 500 12TH ST STE 300 Humanas business activities are subject to substantial government regulation. arcadia_health@humana.com. OAKLAND 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 . 9, or toll-free at 1-877-943-4337 Claims adjustment expenses, including $ 38,432,221 cost containment expenses 0 44,339,331 36,328,629 169,390,602 Location. 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. health risk assessment (HRA) to members by phone, mail or in-person if necessary. 3 Beds. All. Medicare Star Ratings can help you learn how a Medicare Advantage plan is doing. The Registered Agent on file for this company is Corporation Service Company Inc and is located at 641 South Lawrence Street, Montgomery, AL 36104. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. 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. var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(gcse, s); Locations Primary 500 12th Street, Suite 350 Oakland,. So can the benefits and costs of Medicare Advantage plans. <> For information about IHCP policies, procedures, and billing guidance (including information about electronic transactions), access these IHCP reference documents. Login or find a doctor 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. 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. . var gcse = document.createElement('script'); NOTE: ZIP code plus 4-digit extension, if available. 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. Clinical Guidelines. about Medicaid, How The Indiana State Plan provides specifics on how Medicaid is implemented and governed in Indiana. menu, Find a Dual Eligible Special Needs Plans serve members who are eligible for both Medicaid and Medicare. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. 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. Humana anticipates that the divestitures would be effective January 1, 2013. The Parent Organization LBN and TIN fields can only be completed if the answer to the subpart question is Yes. PSW is committed to quality improvement, clinical integration and meaningful measures of value. The offices are examples of subparts that could have their own NPIs if the main location determines that they should. You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID . bs [Content_Types].xml ( UKO0|]5naVi _L;qZRR%Qb{$4WbTEE%EV6xPL''?XpJ4DBJp
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