Largest city and the administrative center . The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. Humanas business may be materially adversely impacted by CMSs adoption of the new coding set for diagnoses. 183. . 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. about Humana Pharmacy, Find % PK ! name (which is a provider name or healthcare organization name) ARCADIAN HEALTH PLAN, INC.. Copyright 2007-2023 HIPAASPACE. 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 provider's official mailing address is: 500 12TH ST STE 350 User ID: Password: Show password Iselin, New Jersey 08830. information. Arcadian is dedicated to improving the health of our members by providing access to high quality and cost effective health care. :KORgOC~Ma^ 9kp h'7+LF. area. about Medicaid, How OAKLAND, CA 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. Providers, For Star ratings are assigned to Medicare Advantage plans by the Centers for Medicare and Medicaid Services (CMS). s.parentNode.insertBefore(gcse, s); 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. 500 W Main. Medicare Advantage Plans may offer extra coverage, such as vision, hearing, dental, and/or health and wellness programs. question must be answered. Claims: 61101 Encounters: 61102 Advanced claims editing All EDI submissions to Humana pass through Availity. eye doctor, How to Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. 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. card, View Physician group practices struggle with bundled payments: study. 1414 Arcadian Lily, San Antonio, TX 78245 | MLS# 1670848 | Redfin arcadia_health@humana.com. For Providers :: The Health Plan The benefit information provided is a brief summary, not a complete description of benefits. Requirements, full accessibility rights Copyright 2023 State of Indiana - All rights reserved. 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. Filing Date: October 29, 2013. Call 360.943.4337 ext 9 or email [emailprotected]. Member Services Phone Number. stream about Medicare, Find You can call us if you have a question about your insurance plan or a health problem. religion. US, 500 12TH ST STE 350 Clinical Guidelines. Employers, For Agents & OAKLAND gcse.src = (document.location.protocol == 'https:' ? Increased litigation and negative publicity could increase the companys cost of doing business. Many Medicare Advantage Plans also offer extra benefits such as dental care, eyeglasses, or wellness programs. Arcadian Health Plan Customer Service endobj Health Plan/Payer ID Codes, also known as Receiver Codes, are the primary identifier used to route your EDI transaction to the appropriate entity. Not quite 65? Gunzenhausen - Wikipedia Health Plan/Payer Business E-Mail Address. 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. a pharmacy, Compare . The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. group products, Member Resources This news release includes forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> in to Go365.com, Corporate PSW licensed agents can answer your questions on Medicare, Medicare Advantage and the specific health plans we offer. 500 12th St # 350. All rights reserved. This data element may contain the same information as ''Provider first line location address''. Make sure to check out our FAQ page. 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. Redfin Corporation. Your Initial Enrollment Period (IEP) is the 7-month period you have when you first become eligible to sign up for Medicare. Copyright 2007-2023 HIPAASPACE. Meet your Practice Management Consultant. var gcse = document.createElement('script'); NOTE: ZIP code plus 4-digit extension, if available. Bulletins, Banner Pages and Reference Modules. A field cannot contain all special characters. The contact numbers associated with the mailing address are: The authorized official registered with the 1598910549 NPI Number is JAMES NOVELLO. Be sure to find PSW on our social media profiles. Humana Sites, 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. 0000000926 00000 n The provider is registered as an organization entity type. $257,000 Last Sold Price. arcadian health plan, inc claims mailing address In certain situations, you can. Locations Primary 500 12th Street, Suite 350 Oakland,. PDF STATEMENT AS OF SEPTEMBER 30, 2021 OF THE Arcadian Health Plan - Maine [13] Between 2008 and 2012, the company agreed to pay a total of $217.5 million to settle the claims against them. 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 . & appeals, Helpful 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. PDF Exhibit 3 - Health Care Receivables The country code in the mailing address of the provider being identified. 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). The first name of the authorized official, The title or position of the authorized official. Brokers, For [14] [15] [16] 2008-2019 [ edit] 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 1 , http://www.empireplanproviders.com/contact.htm. 1 - 2) December 31 Prior Year Net . 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. (Catholic Medical Center) Unity Health Plan Ins. 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! 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. 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. in your neighborhood, Achieving PDF claims processing 20060120 (2) - Centers for Medicare & Medicaid Services OAKLAND, CA 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. drug plans & coverage, Prescription Prep task 1. Claims Submissions - Humana This data element may contain the same information as ''Provider location address country code''. var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; Gunzenhausen is a nationally . Business Address Line. var s = document.getElementsByTagName('script')[0]; ^e _rels/.rels ( MK1!;*"l/EMd1`7FAtzwyfx{vE fVKrFH"l3*>.%uGV=\i8XrZJ%\P4H;s>67Mizo#+DYB5V$~"c'ZkRRF%8EsF|02Xn/1=cW7 PK ! The company's filing status is listed as Exists and its File Number is 377-482. St Louisville, KY 40202. Location. View more recently sold homes. care & community support, Humana 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. TTY users should call, 1-800-325-0778; or your state Medicaid Office. Medicare Advantage plans, Shop Important information to all providers and software developers that communicate via electronic data interchange (EDI) format and direct data entry (DDE). information and language options. Please do not include any confidential or personal information, such as protected health information, social security number, or tax ID. It is situated on the river Altmhl, 19 kilometres (12 mi) northwest of Weienburg in Bayern, and 45 kilometres (28 mi) southwest of Nuremberg. Pennsylvania corporation ("Aetna"), of Arcadian Health Plan, Inc., a health care service contractor domiciled in the State of Washington (the "Domestic Health Carrier"). <> To report a claim to Arcadian, please contact: General Liability Claims glclaims@arcadian-risk.com Professional Liability Claims plclaims@arcadian-risk.com Arcadian Health Plan | LinkedIn You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. 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 drug (Part D) plans, Shop Weienburg-Gunzenhausen - Wikipedia 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 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. You can reach the authorized official at the following phone number 510-817-1845. 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. Program, Humana of race, color, national origin, age, disability, sex, sexual orientation, gender identity or member rights, Exceptions ARCADIAN HEALTH PLAN, INC. :: Washington (US) - OpenCorporates The Registered Agent on file for this company is Corporation Service Company Inc and is located at 641 South Lawrence Street, Montgomery, AL 36104. health goals, Go365 )?2%n@/xh^}J_}1e6Z^A(}&XdD{Y\|/wH?Ksp?{~Gs8xZ[&iqy2yww$Rfb)~fG=tvvkAdDf75?+PUvkTVAZV5S}&$,i Z_/ }'UrJ0 d] Health plans must contract with the Indiana Health Coverage Programs and hold a contract with Medicare. support, Shop for pricing guide, Find Get the most out of your plan. It includes the 3 months before the month of your birthday, your birth month, and the 3 months after the month of your birthday. Caregivers, Go365 Wellness There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. NPI Number information was last time updated on 12/01/2010. Job Title. Resources, Pay Gainwell Technologies has been contracted with the state of Indiana since 1991. Any failure to manage administrative costs could hamper Humanas profitability. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), Have Inpatient Acute DRGs, SNF, Long Term Care & Home Care claims. 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 Ratings by category. The date the provider was assigned a unique identifier (assigned an NPI). 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 The telephone number associated with the location address of the provider being identified. 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. 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. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider. 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 . 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": NPI record contains FOIA-disclosable NPPES health care provider information. Library, Sign Medical Policies. (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). Nearby homes similar to 1414 Arcadian Lily have recently sold between $325K to $325K at an average of $150 per square foot. 500 12th Street, Suite 350, Oakland, California 94607, US. Members may enroll in a Medicare Advantage plan only during specific times of the year. 94607-4087, US. Arcadian Health Plan Apr 2006 - Present16 years 4 months Run daily accounts payable claims and audit edits reports. 3 Beds. 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. ARCADIAN HEALTH PLAN INC. NPI 1598910549 - Health Providers Data 500 12TH ST STE 300 1-877-7NYSHIP (1-877-769-7447), choose UnitedHealthcare . a plan, Find a You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. <>>> 1,507 Sq. SOLD JUN 13, 2022. 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. <> The country code in the location address of the provider being identified. 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. 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. Ft. 12414 Tallow Cir, San Antonio, TX 78253-5253. Please contact the plan for further details. Select Foreign Country in the state drop down box if the license was issued outside of United States. Medicare evaluates plans based on a 5-Star rating system. ARCADIAN HEALTH PLAN, INC. NPI is 1598910549. HMO Alias Texas Counties served by the HMO HMO Service areas The enumeration date of this NPI Number is 11/18/2008. 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). US. 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 . PDF H5619 Arcadian Health Plan (Humana, Inc.) Dual Eligible (Dual Eligible x[moF a %o$MK.h}W@[D Downgrades in Humanas debt ratings, should they occur, may adversely affect its business, results of operations, and financial condition. 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. The HMO , https://www.tdi.texas.gov/hmo/profiles/95962.html, Health (8 days ago) Web500 W Main. 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. Humana Contact Information for Providers Medicare Supplement plans, Learn Ft. 12435 Jacobs Pond, San Antonio, TX 78253-5505. PSW licensed agents can answer your questions on Medicare, Medicare Advantage and the specific health plans we offer. Affinity Health Plan ## 13334 Y AFFINITY HEALTH O Contact EDI@Affinityplan.org or (718)794-7592 prior to sending claims. resources, Medicaid 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. Medicare has neither reviewed nor endorsed the information on our site. 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. Pharmacy, Shop PSW is committed to quality improvement, clinical integration and meaningful measures of value. Abuse, System NOTE: ZIP code plus 4-digit extension, if available. '//cse.google.com/cse.js?cx=' + cx; prescription, Manage PSW is a private company and not a health plan. 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.