arcadian health plan claims

information and language options. name (which is a provider name or healthcare organization name) ARCADIAN HEALTH PLAN, INC.. a quote, Shop To find out more, visit Medicare.gov. Code describing the type of health care provider that is being assigned an NPI. Specialties: Millie's serves delicious, coal- and Neapolitan wood-fired artisan pizzas and meatballs based on Vince and Brandon's grandmother Millie's recipes. 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 amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. The authorized official title (position) is SR. VP AND GENERAL COUNSEL. (Catholic Medical Center) Unity Health Plan Ins. We do not sell leads or share your personal information. question must be answered. 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. Provider Relations Phone Number. Email *. Requirements, full accessibility rights 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. Medicare Star Ratings can help you learn how a Medicare Advantage plan is doing. Terms were not disclosed. 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. Documentation Guidelines. Medicare Advantage plans, Shop for Plans, Shop 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. Codes are: The "Is the organization a subpart?" 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 . Providers, For a doctor, Enroll ARCADIAN HEALTH PLAN, INC. NPI is 1598910549. 8 "Staff injuries from patient violence and/or assaults by patients against staff can result in serious injuries, and have so resulted." 9 Employees were punched in the head (and . VIRGINIA PREMIER HEALTH PLAN, INC. H9952 H9955 MOLINA HEALTHCARE OF OHIO, INC. State Integration Status Applicable Integrated Plan Coordination-Only FIDE . The email notifications are used to send notices to subscribers on behalf of the IHCP. You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID . Star ratings are assigned to Medicare Advantage plans by the Centers for Medicare and Medicaid Services (CMS). Increased litigation and negative publicity could increase the companys cost of doing business. 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. CA Pharmacy, Shop It is situated on the river Altmhl, 19 kilometres (12 mi) northwest of Weienburg in Bayern, and 45 kilometres (28 mi) southwest of Nuremberg. (function() { Please enter your credentials. 3.8 . It is located in the south of Middle Franconia, 50 kilometres south of Nuremberg. Clinical Guidelines. 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. To send us a message so we can call you, click here. To receive notices, you must subscribe. Accessibility COMMERCIAL. Original Medicare covers hospice care even if youre in a Medicare Advantage Plan. a healthcare plan, Humana Those who disenroll 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. NOTE: ZIP code plus 4-digit extension, if available. card, View Use the links on this page to access IHCP provider news items, bulletins, and banner page publications. Abuse, System Get the most out of your plan. 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 . 9, or toll-free at 1-877-943-4337. The securities and credit markets may experience volatility and disruption, which may adversely affect Humanas business. Register for a MyHumana coverage, Refill a Medicare has neither reviewed nor endorsed the information on our site. dental plans, Find <>>> Humanas acquisition of Arcadian is not expected to materially impact its financial earnings guidance for the year ending December 31, 2012. stream You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. Arcadian Health - TEXAS Artisan Provider Network *TRPN (Three Rivers Provider Network) PPO, WC, INJURY . The State or Province name in the location address of the provider being identified. Arcadian Health Plan is a small health care company based in Oakland, CA with only 111 employees and an annual revenue of $9.2M. The provider is (1) A form of health https://healthprovidersdata.com/hipaa/codes/NPI-1598910549-arcadian-health-plan-inc in a plan, Shop DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. Your healthcare needs change. For more information contact the plan. Login or find a doctor The fax number associated with the mailing address of the provider being identified. 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 . group products, Member Resources about group insurance, Member The fax number associated with the location address of the provider being identified. wellness & rewards, Member 94607-5204 The date the provider was assigned a unique identifier (assigned an NPI). Not all D-SNP plans in Indiana serve the entire state. 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. endobj care & community support, Humana Humana is a publicly traded Delaware holding company for Claim This Company Page What do people say about Arcadian Health Plan 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. Medicare Supplement plans, Learn 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 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. 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 Registered Agent on file for this company is Corporation Service Company Inc and is located at 641 South Lawrence Street, Montgomery, AL 36104. 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. Claims: 61101 Encounters: 61102 Advanced claims editing All EDI submissions to Humana pass through Availity. 1 - 2) December 31 Prior Year Net . bs [Content_Types].xml ( UKO0|]5naVi _L;qZRR%Qb{$4WbTEE%EV6xPL''?XpJ4DBJp Any new coverage you get during this time will start on January 1, 2021. to enroll, Learn 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. 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). User ID: Password: Show password Pennsylvania corporation ("Aetna"), of Arcadian Health Plan, Inc., a health care service contractor domiciled in the State of Washington (the "Domestic Health Carrier"). 500 W Main. Medicare MSA Plans do not cover prescription drugs. a plan, Find a 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). Resources, Pay Employers, For Agents & 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 Arcadian Health Plan, Inc. is located in Oakland, CA and the phone number for Arcadian Health Plan, Inc. claims, customer, service, and additional information is (510) 832-0311. Kareo ID *. Humana and Arcadian are working together to ensure a seamless transition of the Medicare business. your health, Member Make sure to check out our FAQ page. The HMO Alias list is an Excel spreadsheet. OAKLAND, CA In all types of Medicare Advantage Plans, youre always covered for emergency and urgent care. 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 . [14] [15] [16] 2008-2019 [ edit] These companies must follow rules set by Medicare. NPI Number 1598910549 has the "Organization" type of ownership and has been registered to the following primary business legal 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. 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. . a dentist, Get 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." in your neighborhood, Achieving Largest city and the administrative center . TTY users should call, 1-800-325-0778; or your state Medicaid Office. Give yourself a birthday gift. The country code in the mailing address of the provider being identified. 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. Most include Medicare prescription drug coverage (Part D). Patient Consent Forms. Iselin, New Jersey 08830. gcse.type = 'text/javascript'; Arcadia Value-based Managed Care Services Login or find a doctor on secure.arcadia.io You can find the login to our member or provider portal as well as registration, password help, and our find a provider systems. menu, Find a An Overall Star Rating that combines all of a plans scores. Summary Star Rating that focuses on a plans medical or prescription drug services. NOTE: ZIP code plus 4-digit extension, if available. 1 0 obj Many Medicare Advantage Plans also offer extra benefits such as dental care, eyeglasses, or wellness programs. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. (1) The psychiatric unit in a hospital is not a legal entity but is part of the hospital (the "parent"), which is a legal entity. 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. 500 12TH ST STE 300 To report a claim to Arcadian, please contact: General Liability Claims glclaims@arcadian-risk.com Professional Liability Claims plclaims@arcadian-risk.com The 2022 Annual Enrollment Period (AEP) is from October 15 to December 7, 2021. St Louisville, KY 40202. If one of our plans is not the best fit, dont worry well connect you with other options. Call 360.943.4337 ext 9 or email [emailprotected]. 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. health risk assessment (HRA) to members by phone, mail or in-person if necessary. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). 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. of race, color, national origin, age, disability, sex, sexual orientation, gender identity or Responsibility, Internet Privacy The telephone number associated with the location address of the provider being identified. Filing Date: October 29, 2013. Please call our Customer Service Department if you need to talk about protected/private health information. Changes in economic conditions could adversely affect Humanas business and results of operations. FSSA updates. Our claims professionals have extensive claims handling experience for a variety of business lines. There also may be other risks that the company is unable to predict at this time. Jan 3, 2023 . If you need help, see our support page. (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. 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 area. Gunzenhausen is a nationally . Our agents put your needs first. Caregivers, Go365 Wellness St Louisville, KY 40202. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. The first line mailing address of the provider being identified. 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. Fax: 510-817-1894. For a copy of Indianas current State Medicaid Agency Contract, click here: To access all executed D-SNP contracts for 2022, visit the, To register as a trading partner with the IHCP to exchange electronic transactions for D-SNP, submit the. The legal entity must obtain an NPI. Iselin, New Jersey 08830. PSW has partnered with Humana and Premera. 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. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> member rights, Exceptions The company's filing status is listed as Exists and its File Number is 377-482. Whether youre new to Medicare or considering changing plans, learn how Medicare Advantage plans can support the best YOU! your health, Preventive 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. The first line location address of the provider being identified. Health (8 days ago) Web101 Wood Avenue South, 8th Floor. A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Select Foreign Country in the state drop down box if the license was issued outside of United States. endobj The coal oven burns over 650+ degrees and can produce pies in five minutes. doctor, Enroll in Members may enroll in a Medicare Advantage plan only during specific times of the year. 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. Archbold Ed Uninsured. [k@+%#bP{U Zbl;0RZ%U$+Ylft(s?-FUg dnt`q. 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. In light of these risks, uncertainties, and assumptions, the forward-looking events discussed herein may or may not occur. Locations Primary 500 12th Street, Suite 350 Oakland,. gcse.async = true; for a MyHumana account today. prescription, Manage For Providers. Have Inpatient Acute DRGs, SNF, Long Term Care & Home Care claims. If the plan accepts the monthly fee then the plan agrees to be responsible for the Medicare co-payments, co-insurance or deductibles. information. 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). Nearby homes similar to 1521 Arcadian Lily have recently sold between $257K to $257K at an average of $170 per square foot. Jan 3, 2023 09:43pm. Changes in the prescription drug industry pricing benchmarks may adversely affect Humanas financial performance. 1 , http://www.empireplanproviders.com/contact.htm. Prep task 1. 1,507 Sq. To learn more about the health plan programs, contact the following customer service departments: Sign up for email and/or text notices of Medicaid and other FSSA news, reminders, and other important

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