arcadian health plan claims

Practice Name *. Payer ID List - Health Data Services <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> You can call us if you have a question about your insurance plan or a health problem. You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID . Call 360.943.4337 ext 9 or email [emailprotected]. Net of the divestitures, the acquisition will increase Humanas health plan membership by approximately 50,000 Medicare HMO members. Medicaid is a state-administered program, and each state sets its own guidelines regarding eligibility and services. Health plans must contract with the Indiana Health Coverage Programs and hold a contract with Medicare. Use the links on this page to access IHCP provider news items, bulletins, and banner page publications. Documentation Guidelines. 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. During this time, you have several options: enroll in, leave or switch your Medicare Advantage health plan. This is the time when you can make changes to your Medicare coverage. Contact the plan provider for additional information. Member Services Phone Number. [13] Between 2008 and 2012, the company agreed to pay a total of $217.5 million to settle the claims against them. If Humana does not continue to earn and retain purchase discounts and volume rebates from pharmaceutical manufacturers at current levels, Humanas gross margins may decline. account today. for Plans, Shop The City name in the mailing address of the provider being identified. to enroll, Learn Fax. 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. 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). 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. Health Plan/Payer Organization Name (Legal Business Name), Health Plan/Payer Business Telephone Number, Health Plan/Payer Business E-Mail Address, Health Plan/Payer Business Mailing Address First Line, Health Plan/Payer Business Mailing Address City Name, Health Plan/Payer Business Mailing Address State Name, Health Plan/Payer Business Mailing Address Zip Code. For more information contact the plan. })(); 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. Locations Primary 500 12th Street, Suite 350 Oakland,. Our. About Arcadian Health: Arcadian Health, founded in 1996, provides Medicare Advantage coverage through its affiliates in the following 15 states: . (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). Medicare Supplement plans, Learn This page contains Indiana Health Coverage Programs (IHCP) Companion Guides for Health Insurance Portability and Accountability Act (HIPAA) version 5010 electronic transactions. Bulletins, Banner Pages and Reference Modules. All rights reserved. These estimates, however, involve extensive judgment, and have considerable inherent variability that is extremely sensitive to payment patterns and medical cost trends. Gunzenhausen - Wikipedia Address. The coal oven burns over 650+ degrees and can produce pies in five minutes. The first line location address of the provider being identified. Ratings by category. PSW contracts with a local network of Thurston County doctors and Medicare Advantage health plans to offer you a choice in finding a health plan that best meets your healthcare needs. UHS of Fuller, Inc., UHS of Delaware, Inc., OSHRC DOCKET No. 20-0032 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. Humana anticipates that the divestitures would be effective January 1, 2013. Preferred Medical Claim Premier Health - PPO - SC Prime Health Services Priority Health (Michigan) . The first name of the authorized official, The title or position of the authorized official. Working At Arcadian Health Plan: Employee Reviews and Culture If the organization is a subpart = , the Parent Organization Legal Business Name (LBN) and Parent Organization Taxpayer Identification Number (TIN) fields must be completed. Medicare Advantage organizations interested in operating a D-SNP plan in Indiana should contact Andrew Bean at Andrew.Bean@fssa.IN.gov. Gateway Health Plan has several different Payer ID numbers please look for the Payer ID on the ID card before submitting. NOTE: ZIP code plus 4-digit extension, if available. Changes in the prescription drug industry pricing benchmarks may adversely affect Humanas financial performance. ARCADIAN HEALTH PLAN Pay & Benefits reviews Review this company. We also provide free language interpreter services. 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. Medicaid will no longer pay these charges. Drug List, Shop 1 - 2) December 31 Prior Year Net . The State or Province name in the location address of the provider being identified. Select Foreign Country in the state drop down box if the license was issued outside of United States. 0000002619 00000 n Contact Name Kelly Gaskins . Any of these risks and uncertainties may cause actual results to differ materially from the results discussed in the forward-looking statements. menu, Manage Arcadian Management Services Inc. COMMERCIAL. var s = document.getElementsByTagName('script')[0]; for group products, Learn 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. in to Go365.com, Corporate The date that a record was last updated or changed. PSW is committed to quality improvement, clinical integration and meaningful measures of value. 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). 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. a healthcare plan, Humana Library, Sign COMMERCIAL. The company's principal . In certain situations, you can. ARCADIAN HEALTH PLAN, INC. can be reached at the following phone number(s): Phone: 510-832-0311 about Medicaid, How a quote, Shop Humana Sites, For Settings, Start voice 500 W Main. health risk assessment (HRA) to members by phone, mail or in-person if necessary. Arcadian Management Services to be Acquired by Humana - PR Newswire Given the current economic climate, Humanas stock and the stock of other companies in the insurance industry may be increasingly subject to stock price and trading volume volatility. MAXIMUS Health Services Inc. has served as the Indiana Health Coverage Programs enrollment broker since 2007. a pharmacy, Compare 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. All rights reserved. Most Medicare Advantage Plans include Medicare prescription drug coverage (Part D). )JCR?;}`_YWk>7O_6z?U#nutWm=2? Physician Case Management Referral. Code describing the type of health care provider that is being assigned an NPI. 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. Arcadian Health Plan is a small health care company based in Oakland, CA with only 111 employees and an annual revenue of $9.2M. a doctor, Enroll All. endobj Clinical Guidelines. Filing Date: October 29, 2013. Humana and Arcadian are working together to ensure a seamless transition of the Medicare business. Unit 13- Lease Alienation. % Health Plan/Payer Business Mailing Address First Line. Provider Relations Phone Number. 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). 1 - 2) December 31 Prior Year Net . 3 0 obj OAKLAND, CA User ID: Password: Show password Register 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. 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. Many organization health care providers who apply for NPIs are not legal entities themselves but are parts of other organization health care providers that are legal entities (the "parents"). 9, or toll-free at 1-877-943-4337. 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. You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. in a plan, Shop a dentist, Get Pennsylvania corporation ("Aetna"), of Arcadian Health Plan, Inc., a health care service contractor domiciled in the State of Washington (the "Domestic Health Carrier"). 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. 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 . 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. To send us a message so we can call you, click here. PSW is a private company and not a health plan. 500 12th Street, Suite 350, Oakland, California 94607, US. fi%  xl/_rels/workbook.xml.rels ( Mk0$nez:8`gk(%b_=65q"0{?mY$M! 1997. Health (8 days ago) Web101 Wood Avenue South, 8th Floor. question must be answered. care & community support, Humana Secondary Claims: YES: . HPI | Provider Resources | Patient Benefits & Eligibility & tools, Humana Completes Acquisition of Arcadian Management Services, Find a quote, Find an 1 0 obj your health, Preventive Kareo ID *. Caregivers, Go365 Wellness group products, Member Resources Copyright 2007-2023 HIPAASPACE. Any new coverage you get during this time will start on January 1, 2021. drug plans & coverage, Prescription Physician group practices struggle with bundled payments: study. Arcadian Health - TEXAS Artisan Provider Network *TRPN (Three Rivers Provider Network) PPO, WC, INJURY . Iselin, New Jersey 08830. For Providers. 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! PK ! 1598910549 NPI Number | ARCADIAN HEALTH PLAN, INC. - HIPAASpace 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 OAKLAND To determine individual service areas, please call the health plans' customer service numbers provided (see below). In all types of Medicare Advantage Plans, youre always covered for emergency and urgent care. 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. VIRGINIA PREMIER HEALTH PLAN, INC. H9952 H9955 MOLINA HEALTHCARE OF OHIO, INC. State Integration Status Applicable Integrated Plan Coordination-Only FIDE . 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. 2,148 Sq. It is located in the south of Middle Franconia, 50 kilometres south of Nuremberg. A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. 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. Give yourself a birthday gift. To find out more, visit Medicare.gov. 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 . Category. 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. Corp - WI . [14] [15] [16] 2008-2019 [ edit] The Medicare Program rates all health and prescription drug plans each year, based on a plans quality and performance. var gcse = document.createElement('script'); 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. 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. E-Mail. Doctor, Health & Well-being All. PDF Arcadian Health Plan Inc., H5619 Dual Eligible Medicare Zero Cost 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. arcadian health plan, inc claims mailing address Nearby homes similar to 1521 Arcadian Lily have recently sold between $257K to $257K at an average of $170 per square foot. of race, color, national origin, age, disability, sex, sexual orientation, gender identity or Arcadian Health Plan Customer Service Arcadian - Claims A field cannot contain all special characters. Codes are: The "Is the organization a subpart?" To submit a support case fill out the form below. Iselin, New Jersey . 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 94607-4087, US. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. To report a claim to Arcadian, please contact: General Liability Claims glclaims@arcadian-risk.com Professional Liability Claims plclaims@arcadian-risk.com Our claims professionals have extensive claims handling experience for a variety of business lines. Other menu, Find a $325,000 Last Sold Price. 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. PDF STATEMENT AS OF SEPTEMBER 30, 2021 OF THE Arcadian Health Plan - Maine If the plan accepts the monthly fee then the plan agrees to be responsible for the Medicare co-payments, co-insurance or deductibles. Arcadian strives to manage claims in an efficient, timely and prudent manner. Have Inpatient Acute DRGs, SNF, Long Term Care & Home Care claims. Medicare Advantage Health Plans - PSW (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. 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. PSW licensed agents can answer your questions on Medicare, Medicare Advantage and the specific health plans we offer. 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. Member and provider login portal | secure.arcadia.io Its important to check with your doctor to confirm which Medicare Advantage plans they are accepting. The company's filing status is listed as Exists and its File Number is 377-482. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. 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. 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. Claims adjustment expenses, including $ 96,131,102 cost containment expenses 0 108,854,457 92,979,675 204,471,335 CA The telephone number associated with the location address of the provider being identified. Industry: Health insurance carriers Printer Friendly View Address: 500 12TH St Ste 350 Oakland, CA, 94607-5204 United States See other locations 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. In light of these risks, uncertainties, and assumptions, the forward-looking events discussed herein may or may not occur. card, View gcse.async = true; 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. 9, or toll-free at 1-877-943-4337 info) is a Landkreis (district) in the west of Bavaria, Germany with a population of 95,000. PDF H5619 Arcadian Health Plan (Humana, Inc.) Dual Eligible (Dual Eligible Job Title. This data element may contain the same information as ''Provider location address City name''. The country code in the mailing address of the provider being identified. Largest city and the administrative center . care, Managing The psychiatric unit is an example of a subpart that could have its own NPI if the hospital determines that it should. 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. The postal ZIP or zone code in the location address of the provider being identified. For providers with more than one physical location, this is the primary location.

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