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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. Non-health claims (net) 0 0 0 0 20. St Louisville, KY 40202. LOUISVILLE, Ky.--(BUSINESS WIRE)--Humana Inc. (NYSE: HUM) announced today that it has completed its previously announced acquisition of Arcadian Management Services, an Oakland, Calif.-based company that, through its affiliates, operates Medicare Advantage HMO plans. $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 . If one of our plans is not the best fit, dont worry well connect you with other options. Jan 3, 2023 . http://www.insuranceproviders.com/companies/arcadian-health-plan-inc/. 94607-4087, US. 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": Secondary Claims: YES: . 500 W Main. 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. The HMO , https://www.tdi.texas.gov/hmo/profiles/95962.html, Health (8 days ago) Web500 W Main. Bulletins, Banner Pages and Reference Modules. Iselin, New Jersey 08830. Neighbouring districts are (from the north clockwise) Ansbach, Roth, Eichsttt and Donau-Ries. Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. Job Title. Humana is a publicly traded Delaware holding company for in to Go365.com, Corporate Medicare Advantage Plans may offer extra coverage, such as vision, hearing, dental, and/or health and wellness programs. Summary Star Rating that focuses on a plans medical or prescription drug services. Preferred Medical Claim Premier Health - PPO - SC Prime Health Services Priority Health (Michigan) . FSSA updates. Gateway Health Plan has several different Payer ID numbers please look for the Payer ID on the ID card before submitting. Health Plan/Payer Business Fax Number. The City name in the mailing address of the provider being identified. 500 12th St # 350. Any of these risks and uncertainties may cause actual results to differ materially from the results discussed in the forward-looking statements. 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. The date the provider was assigned a unique identifier (assigned an NPI). Employers, For Agents & Our claims professionals have extensive claims handling experience for a variety of business lines. in your neighborhood, Achieving 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. HMO Alias Texas Counties served by the HMO HMO Service areas })(); 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. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 3 Beds. All rights reserved. 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. Providers, For (2) A group practice that is not a sole proprietorship has a main location and could have other offices in different locations, but each office is not a separate legal entity; instead, each office is part of the corporation (the "parent") which is a legal entity. information. Cancer Resource Services . in a plan, Shop The provider's official mailing address is: 500 12TH ST STE 350 about Humana Pharmacy, Find 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. Our business hours are 8:00 a.m. to 5:00 p.m., EST. [k@+%#bP{U Zbl;0RZ%U$+Ylft(s?-FUg dnt`q. 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. 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. 182. The telephone number associated with the location address of the provider being identified. Dual Eligible Special Needs Plans serve members who are eligible for both Medicaid and Medicare. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. 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 Your healthcare needs change. This data element may contain the same information as ''Provider location address State name''. When registering your email, check the category on the drop-down list to receive notices of 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. PSW licensed agents can answer your questions on Medicare, Medicare Advantage and the specific health plans we offer. endobj PSW is a private company and not a health plan. 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. & tools, Humana Completes Acquisition of Arcadian Management Services, Find a 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 . 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 . savings & tools, Humana There also may be other risks that the company is unable to predict at this time. 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. $e_ofvZp$QH"}wWWo>H!qyJ 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). during the calendar year will owe a portion of the account deposit back to the plan. 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. An Overall Star Rating that combines all of a plans scores. The coal oven burns over 650+ degrees and can produce pies in five minutes. Register Terms were not disclosed. OAKLAND 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. Humanas ability to obtain funds from its subsidiaries is restricted by state insurance regulations. for Plans, Shop Humanas business activities are subject to substantial government regulation. Copyright 2007-2023 HIPAASPACE. coverage, Refill a 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. The 2022 Annual Enrollment Period (AEP) is from October 15 to December 7, 2021. (function() { 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. 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. The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider. Medicare drug (Part D) plans, Shop Your Initial Enrollment Period (IEP) is the 7-month period you have when you first become eligible to sign up for Medicare. Contact the plan provider for additional information. px. < RgJfrZO^!Cr]bL46 latDlb7W%Gfa?;^nh(T\[r559ES>72pGAgTd#m,A?bnT}O|G?! Pharmacy, Shop Call 360.943.4337 ext 9 or email [emailprotected]. Claims: 61101 Encounters: 61102 Advanced claims editing All EDI submissions to Humana pass through Availity. View more recently sold homes. The country code in the mailing address of the provider being identified. Meet your Practice Management Consultant. a form, View ID Resources, Pay 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. We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. 3 0 obj Archbold Ed Uninsured. Patient Consent Forms. (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. 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. Rights and Responsibilities. The provider is (1) A form of health https://healthprovidersdata.com/hipaa/codes/NPI-1598910549-arcadian-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. Net of the divestitures, the acquisition will increase Humanas health plan membership by approximately 50,000 Medicare HMO members. Not all D-SNP plans in Indiana serve the entire state. 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. Gainwell provides a number services to the IHCP, including provider enrollment, customer service, eligibility verification, and fee-for-service claim processing. Contact Us Give us a call at 360-943-4337 opt. 1-800-454-3730. . 0000000926 00000 n The provider is registered as an organization entity type. Humana and Arcadian are working together to ensure a seamless transition of the Medicare business. Claims adjustment expenses, including $ 96,131,102 cost containment expenses 0 108,854,457 92,979,675 204,471,335 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 Business Address Line. Iselin, New Jersey . name (which is a provider name or healthcare organization name) ARCADIAN HEALTH PLAN, INC.. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. information and language options. For information about IHCP policies, procedures, and billing guidance (including information about electronic transactions), access these IHCP reference documents. Our agents put your needs first. CA a pharmacy, Compare Contact Name *. Solicitation opportunities to do business with the State of Indiana. %PDF-1.5 Not quite 65? COMMERCIAL. Please do not include any confidential or personal information, such as protected health information, social security number, or tax ID. <> 94607-4087 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 is dedicated to improving the health of our members by providing access to high quality and cost effective health care. The provider is registered as an organization entity type. US. The psychiatric unit is an example of a subpart that could have its own NPI if the hospital determines that it should. a plan, Find a 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. The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. of race, color, national origin, age, disability, sex, sexual orientation, gender identity or 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. WV Medicaid (Mountain Health Trust & West Virginia Health Bridge), Home Delivery / Prescription Reimbursements, Publicly Available Application Programming Interfaces, Patient Access APIs (To Access Your Data Through a 3rd Party App). 94607-5204, US. ARCADIAN HEALTH PLAN, INC. can be reached at the following phone number(s): Phone: 510-832-0311 Address. s.parentNode.insertBefore(gcse, s); Health (8 days ago) Web101 Wood Avenue South, 8th Floor. The date that a record was last updated or changed. Brokers, For 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. We are not compensated for Medicare plan enrollments. doctor, Enroll in Dual Eligible Special Needs Plans serve members who are eligible for both Medicaid and Medicare. This news release includes forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. 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). Humanas business may be materially adversely impacted by CMSs adoption of the new coding set for diagnoses. 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 . Humanas acquisition of Arcadian is not expected to materially impact its financial earnings guidance for the year ending December 31, 2012. :KORgOC~Ma^ 9kp h'7+LF. 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. If you need help, see our support page. 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. a doctor, Enroll resources, Medicaid 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 care & community support, Humana CA The first name of the authorized official, The title or position of the authorized official. Humana Sites, For eye doctor, How to For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), Arcadian Health Plan 510-817-1016 . Verida, Inc. is the nonemergency medical transportation broker for Indiana Traditional Medicaid (fee-for-service) members who require assistance traveling to their covered healthcare services. Medicaid updates; check other areas of interest on the drop-down list to receive notices for other types of Fax: 510-817-1894. The plan deposits Payment Policies. 2 0 obj Corp - WI . A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. All rights reserved. 0000002619 00000 n Contact Name Kelly Gaskins . (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). Contact the Medicare plan for more information. Other Our. This is the time when you can make changes to your Medicare coverage. Unit 13- Lease Alienation. Medicare Advantage plans, Shop Kareo ID *. Provider Relations Phone Number. The telephone number associated with mailing address of the provider being identified. Claims adjustment expenses, including $ 38,432,221 cost containment expenses 0 44,339,331 36,328,629 169,390,602 Health Plan/Payer Business E-Mail Address. 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. 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. 510-832-0311. VIRGINIA PREMIER HEALTH PLAN, INC. H9952 H9955 MOLINA HEALTHCARE OF OHIO, INC. State Integration Status Applicable Integrated Plan Coordination-Only FIDE . Medicaid is a state-administered program, and each state sets its own guidelines regarding eligibility and services. 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. Please contact the plan for further details. a quote, Shop 500 12TH ST STE 300 4 0 obj NOTE: ZIP code plus 4-digit extension, if available. Medicare has neither reviewed nor endorsed the information on our site. 183. . The State or Province name in the location address of the provider being identified. The HRA assesses the member's health status and acuity level which, in turn, guides clinical interventions and development of the individualized care plan (ICP). If the organization is a subpart = , the Parent Organization Legal Business Name (LBN) and Parent Organization Taxpayer Identification Number (TIN) fields must be completed. 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. Ft. 12435 Jacobs Pond, San Antonio, TX 78253-5505. <>>> The 10-position telephone number of the authorized official. 94607-5204 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 About Arcadian Health: Arcadian Health, founded in 1996, provides Medicare Advantage coverage through its affiliates in the following 15 states: . In certain situations, you can. Our agents put your needs first. So can the benefits and costs of Medicare Advantage plans. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. 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. 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 Please enter your credentials. All members complete the annual HRA PSW licensed agents can answer your questions on Medicare, Medicare Advantage and the specific health plans we offer. Accessibility 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. Humanas pharmacy business is highly competitive and subjects it to regulations in addition to those the company faces with its core health benefits businesses. If Humana fails to properly maintain the integrity of its data, to strategically implement new information systems, to protect Humanas proprietary rights to its systems, or to defend against cyber-security attacks, the companys business may be materially adversely affected. The 1598910549 NPI number is assigned to the healthcare provider ARCADIAN HEALTH PLAN, INC., practice location address at 500 12TH ST STE 300 OAKLAND, CA, 94607-4087. We are an independent education, research, and technology company. 1997. for a MyHumana account today. rights, Prescription savings 1,507 Sq. 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. bs [Content_Types].xml ( UKO0|]5naVi _L;qZRR%Qb{$4WbTEE%EV6xPL''?XpJ4DBJp Each line of business represents a different Healthcare Provider Taxonomy or area of specialization that often submits its own electronic claims to health plans. Ratings by category. Medical Policies. We can quickly help you if you have your member ID number, located on the back of your insurance card, with you when you call. 500 12TH ST STE 300 All. Any failure to manage administrative costs could hamper Humanas profitability. NPI record contains FOIA-disclosable NPPES health care provider information. Licensure, Fraud, Waste & 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 We also provide free language interpreter services. vision plans, Find