OAKLAND Arcadian Management Services Inc. COMMERCIAL. The offices are examples of subparts that could have their own NPIs if the main location determines that they should. 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. information and language options. In light of these risks, uncertainties, and assumptions, the forward-looking events discussed herein may or may not occur. Kareo ID *. guidance, Humana member To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). 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. 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. 1-800-454-3730. Star Ratings are calculated each year and may change from one year to the next. We are not compensated for Medicare plan enrollments. information and language options. It is situated on the river Altmhl, 19 kilometres (12 mi) northwest of Weienburg in Bayern, and 45 kilometres (28 mi) southwest of Nuremberg. Important information to all providers and software developers that communicate via electronic data interchange (EDI) format and direct data entry (DDE). 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. Any new coverage you get during this time will start on January 1, 2021. For Claims Status please contact Susan Naanes @ 503-574-7441 or Debra . . 1,507 Sq. Arcadian strives to manage claims in an efficient, timely and prudent manner. var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; Medicare Star Ratings can help you learn how a Medicare Advantage plan is doing. COMMERCIAL. This data element may contain the same information as ''Provider location address country code''. Gunzenhausen ( German pronunciation: [ntsnhazn] ( listen); Bavarian: Gunzenhausn) is a town in the Weienburg-Gunzenhausen district, in Bavaria, Germany. The "parent"-we don't know who the parent is in this example-must ensure that each subpart that submits its own claims to health plans has its own NPI. Increased litigation and negative publicity could increase the companys cost of doing business. 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. If one of our plans is not the best fit, don't worry - we'll connect you with other options. The Domestic Health Carrier is a direct wholly-owned subsidiary of, and controlled by, Humana Inc. ("Hwnana"). 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. 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. 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. Register In certain situations, you can. Physician group practices struggle with bundled payments: study. claims, Check health conditions, Home PSW has partnered with Humana and Premera. Arcadian Health - TEXAS Artisan Provider Network *TRPN (Three Rivers Provider Network) PPO, WC, INJURY . resources, Medicaid pricing guide, Find 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. 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. 1 - 2) December 31 Prior Year Net . Medicare Advantage organizations interested in operating a D-SNP plan in Indiana should contact Andrew Bean at Andrew.Bean@fssa.IN.gov. Medicare has neither reviewed nor endorsed the information on our site. 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. '//cse.google.com/cse.js?cx=' + cx; US, 500 12TH ST STE 350 The fax number associated with the location address of the provider being identified. The Indiana State Plan provides specifics on how Medicaid is implemented and governed in Indiana. $e_ofvZp$QH"}wWWo>H!qyJ 2.5 Baths. Claims: 61101 Encounters: 61102 Advanced claims editing All EDI submissions to Humana pass through Availity. Changes in the prescription drug industry pricing benchmarks may adversely affect Humanas financial performance. Contact Us Give us a call at 360-943-4337 opt. You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID . Humana Sites, For care, Managing 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. support, Shop for All. 500 W Main. 1 - 2) December 31 Prior Year Net . bs [Content_Types].xml ( UKO0|]5naVi _L;qZRR%Qb{$4WbTEE%EV6xPL''?XpJ4DBJp Our. The HMO , https://www.tdi.texas.gov/hmo/profiles/95962.html, Health (8 days ago) Web500 W Main. 1-877-7NYSHIP (1-877-769-7447), choose UnitedHealthcare . Changes in economic conditions could adversely affect Humanas business and results of operations. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. TTY users should call, 1-800-325-0778; or your state Medicaid Office. Locations Primary 500 12th Street, Suite 350 Oakland, https://www.linkedin.com/company/arcadian-health-plan, Health (6 days ago) WebArcadian Health Plan Company Contact Information - Adapt.io. Email *. The first name of the authorized official, The title or position of the authorized official. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. $257,000 Last Sold Price. 182. for Plans, Shop Medicaid will no longer pay these charges. Non-health claims (net) 0 0 0 0 20. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. PSW is a private company and not a health plan. 1 0 obj The postal ZIP or zone code in the location address of the provider being identified. 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. Medicare MSA Plans do not cover prescription drugs. OAKLAND All rights reserved. (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). Life and Health Insurance, Arcadian is dedicated to improving the health of , https://rocketreach.co/arcadian-health-plan-profile_b5c704eff42e0d37, Health (9 days ago) WebArcadian Health Plan Company Contact Information Email, Phone Number Adapt.io Arcadian Health Plan http://www.humana.com +1******311 Head Count 250 - 1000 , https://www.adapt.io/company/arcadian-health-plan, Health (7 days ago) WebAcadian Health offers quality patient-centered care for the following services, and more: Wellness visits Specialist visits Behavioral health visits Post-op or discharge follow up . 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. px. < RgJfrZO^!Cr]bL46 latDlb7W%Gfa?;^nh(T\[r559ES>72pGAgTd#m,A?bnT}O|G?! <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> rights, Prescription savings Other D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. Have Inpatient Acute DRGs, SNF, Long Term Care & Home Care claims. )JCR?;}`_YWk>7O_6z?U#nutWm=2? Medicare evaluates plans based on a 5-Star rating system. Statement, Disclaimers & [13] Between 2008 and 2012, the company agreed to pay a total of $217.5 million to settle the claims against them. The postal ZIP or zone code in the mailing address of the provider being identified. Health plans must contract with the Indiana Health Coverage Programs and hold a contract with Medicare. Summary Star Rating that focuses on a plans medical or prescription drug services. Brokers, For 94607-5204, US. Abuse, System Iselin, New Jersey 08830. The country code in the mailing address of the provider being identified. Meet your Practice Management Consultant. 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 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. 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. The country code in the location address of the provider being identified. 1 , http://www.empireplanproviders.com/contact.htm. NPI Number information was last time updated on 12/01/2010. PK ! Company Profile Page. Original Medicare covers hospice care even if youre in a Medicare Advantage Plan. 510-832-0311. card, View 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": 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). Preferred Medical Claim Premier Health - PPO - SC Prime Health Services Priority Health (Michigan) . This data element may contain the same information as ''Provider location address postal code''. If the organization is a subpart = , the Parent Organization Legal Business Name (LBN) and Parent Organization Taxpayer Identification Number (TIN) fields must be completed. Give us a call at 360-943-4337 opt. Ft. 12414 Tallow Cir, San Antonio, TX 78253-5253. 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. Members may enroll in a Medicare Advantage plan only during specific times of the year. health goals, Go365 menu, Find a pharmacy, Shop for Humanas business may be materially adversely impacted by CMSs adoption of the new coding set for diagnoses. 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. 2,148 Sq. Amerigroup Ohio ## 27518 Y AMERIGROUP OHIO Claims and Encounters FALSE G Amerigroup Vantage ## 26375 Y AMERIGROUP IOWA FALSE G Amerihealth Administrators, Inc. ** 54763 Y AMERIHEALTH ADMIN . <> a plan, Find a Doctor, Health & Well-being [14] [15] [16] 2008-2019 [ edit] 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." about Medicare, Find 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. Arcadian Health Plan is a small health care company based in Oakland, CA with only 111 employees and an annual revenue of $9.2M. 94607-5204 Please call our Customer Service Department if you need to talk about protected/private health information. Medicare pays a fixed amount for your care every month to the companies offering Medicare Advantage Plans. Get the most out of your plan. So can the benefits and costs of Medicare Advantage plans. 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 . 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. Limitations, copayments, and restrictions may apply. 500 12th St # 350. Bulletins, Banner Pages and Reference Modules. Indiana Health Coverage Programs works with four health plans to serve as managed care entities for the Hoosier Healthwise, Hoosier Care Connect and Healthy Indiana Plan programs. Claims adjustment expenses, including $ 126,895,463 cost containment expenses 0 145,900,023 120,817,947 169,390,602 a quote, Shop To receive notices, you must subscribe. NPI record contains FOIA-disclosable NPPES health care provider information. Humana and Arcadian are working together to ensure a seamless transition of the Medicare business. 1 - 2) December 31 Prior Year Net . Downgrades in Humanas debt ratings, should they occur, may adversely affect its business, results of operations, and financial condition. MAXIMUS Health Services Inc. has served as the Indiana Health Coverage Programs enrollment broker since 2007. Prep task 1. endobj Accessibility Providers who do not contract with the plan are not required to see you except in an emergency. 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. Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. If one of our plans is not the best fit, dont worry well connect you with other options. your health, Preventive Whether youre new to Medicare or considering changing plans, learn how Medicare Advantage plans can support the best YOU! 183. . $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 . 'https:' : 'http:') + St Louisville, KY 40202. about Medicaid, How It is located in the south of Middle Franconia, 50 kilometres south of Nuremberg. Empire Plan Toll free. Ft. 12435 Jacobs Pond, San Antonio, TX 78253-5505. A process known as advanced claims editing (ACE) applies coding rules to a medical claim submitted through the Availity gateway via EDI before the claim enters Humana's claim payment system. About Arcadian Health: Arcadian Health, founded in 1996, provides Medicare Advantage coverage through its affiliates in the following 15 states: . Responsibility, Internet Privacy If Humana fails to develop and maintain satisfactory relationships with the providers of care to its members, the companys business may be adversely affected. 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. . We also provide free language interpreter services. 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. dentist, Get a 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. 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. The plan deposits gcse.src = (document.location.protocol == 'https:' ? 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). Non-health claims (net) 0 0 0 0 20. %PDF-1.5 Please contact the plan for further details. 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. wellness & rewards, Member 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. The date the provider was assigned a unique identifier (assigned an NPI). Free one-on-one consultations are available Monday-Friday, 8:00am-4:00pm. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). For information about IHCP policies, procedures, and billing guidance (including information about electronic transactions), access these IHCP reference documents. Rights and Responsibilities. 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. When used in investor presentations, press releases, Securities and Exchange Commission (SEC) filings, and in oral statements made by or with the approval of one of Humanas executive officers, the words or phrases like expects, anticipates, intends, likely will result, estimates, projects or variations of such words and similar expressions are intended to identify such forward-looking statements. 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. Your Initial Enrollment Period (IEP) is the 7-month period you have when you first become eligible to sign up for Medicare. Visit PSWs Annual Enrollment Period (AEP) page to learn more. 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. Certain taxonomy selections will require you to enter your license number and the state where the license was issued. a form, View ID E-Mail. To send us a message so we can call you, click here. Website Development By patforswa requirements, example of letter to support genuine relationship from parents, nadia sawalha first husband justin mildwater, syracuse university graduate course catalog, california annual mileage and odometer certification, what characteristics do hephaestus and prometheus share, how to control mood swings during ovulation, how many arctic wolves are left in the world. 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. These estimates, however, involve extensive judgment, and have considerable inherent variability that is extremely sensitive to payment patterns and medical cost trends. my premium, Drug Login or find a doctor 94607-4087

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