The benefit information provided is a brief summary, not a complete description of benefits. Brokers, For UHS-DE and UHS-Fuller stipulated that physically violent or assaultive patients created a hazard for those at the Worksite. care & community support, Humana This data element may contain the same information as ''Provider location address City name''. COMMERCIAL. Arcadian Health Plan 510-817-1016 . All rights reserved. information and language options. 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. Job Title. If Humana fails to develop and maintain satisfactory relationships with the providers of care to its members, the companys business may be adversely affected. <>>> Limitations, copayments, and restrictions may apply. Changes in economic conditions could adversely affect Humanas business and results of operations. 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. Resources, Pay The fax number associated with the mailing address of the provider being identified. E-Mail. Any new coverage you get during this time will start on January 1, 2021. The telephone number associated with mailing address of the provider being identified. Neighbouring districts are (from the north clockwise) Ansbach, Roth, Eichsttt and Donau-Ries. 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 Arcadian is dedicated to improving the health of our members by providing access to high quality and cost effective health care. Non-health claims (net) 0 0 0 0 20. PSW licensed agents can answer your questions on Medicare, Medicare Advantage and the specific health plans we offer. %PDF-1.5 a form, View ID fi%  xl/_rels/workbook.xml.rels ( Mk0$nez:8`gk(%b_=65q"0{?mY$M! Medicare has neither reviewed nor endorsed the information on our site. 1 - 2) December 31 Prior Year Net . stream Nearby homes similar to 1521 Arcadian Lily have recently sold between $257K to $257K at an average of $170 per square foot. It is situated on the river Altmhl, 19 kilometres (12 mi) northwest of Weienburg in Bayern, and 45 kilometres (28 mi) southwest of Nuremberg. 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. Medicare Advantage plans, Shop 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. To determine individual service areas, please call the health plans' customer service numbers provided (see below). a healthcare plan, Humana 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. 1-877-7NYSHIP (1-877-769-7447), choose UnitedHealthcare . To find out more, visit Medicare.gov. The Indiana State Plan provides specifics on how Medicaid is implemented and governed in Indiana. Humana and Arcadian are working together to ensure a seamless transition of the Medicare business. Rights and Responsibilities. Providence of Oregon Health Plan. an eye doctor, Learn Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. These companies must follow rules set by Medicare. 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. Iselin, New Jersey 08830. px. < RgJfrZO^!Cr]bL46 latDlb7W%Gfa?;^nh(T\[r559ES>72pGAgTd#m,A?bnT}O|G?! Original Medicare covers hospice care even if youre in a Medicare Advantage Plan. 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. The Health Insurance Portability and Accountability Act (HIPAA) of 1996 contains Portability, Medicaid Integrity Program/Fraud and Abuse, and Administrative Simplification. Gateway Health Plan has several different Payer ID numbers please look for the Payer ID on the ID card before submitting. Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. 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. 9, or toll-free at 1-877-943-4337. )?2%n@/xh^}J_}1e6Z^A(}&XdD{Y\|/wH?Ksp?{~Gs8xZ[&iqy2yww$Rfb)~fG=tvvkAdDf75?+PUvkTVAZV5S}&$,i Z_/ }'UrJ0 d] <> 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. 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. You can call us if you have a question about your insurance plan or a health problem. var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; A field cannot contain all special characters. arcadia_health@humana.com. Jan 3, 2023 . Medicaid is a state-administered program, and each state sets its own guidelines regarding eligibility and services. PK ! drug plans & coverage, Prescription For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), Arcadian Health - TEXAS Artisan Provider Network *TRPN (Three Rivers Provider Network) PPO, WC, INJURY . This data element may contain the same information as ''Provider first line location address''. 94607-5204 3 Beds. dental plans, Find Fax: 510-817-1894. )JCR?;}`_YWk>7O_6z?U#nutWm=2? Code describing the type of health care provider that is being assigned an NPI. 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. 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. *Required Fields. Please enter your credentials. 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! Your Initial Enrollment Period (IEP) is the 7-month period you have when you first become eligible to sign up for Medicare. Star Ratings are calculated each year and may change from one year to the next. Drug List, Shop (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. Our claims professionals have extensive claims handling experience for a variety of business lines. A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Most Medicare Advantage Plans include Medicare prescription drug coverage (Part D). Program, Humana Claims: 61101 Encounters: 61102 Advanced claims editing All EDI submissions to Humana pass through Availity. 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. Category. This news release includes forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. pricing guide, Find your health, Preventive 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. Star Ratings are calculated each year and may change from one year to the next. 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. Jan 3, 2023 05:55pm. question must be answered. The contact numbers associated with the mailing address are: The authorized official registered with the 1598910549 NPI Number is JAMES NOVELLO. Licensure, Fraud, Waste & 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. Important information to all providers and software developers that communicate via electronic data interchange (EDI) format and direct data entry (DDE). Members may enroll in a Medicare Advantage plan only during specific times of the year. 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. 182. 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. PSW is committed to quality improvement, clinical integration and meaningful measures of value. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug 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 . 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 Physician group practices struggle with bundled payments: study. NPI Number 1598910549 has the "Organization" type of ownership and has been registered to the following primary business legal This page contains Indiana Health Coverage Programs (IHCP) Companion Guides for Health Insurance Portability and Accountability Act (HIPAA) version 5010 electronic transactions. Fax. 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. CA The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. Make sure to check out our FAQ page. Claims adjustment expenses, including $ 38,432,221 cost containment expenses 0 44,339,331 36,328,629 169,390,602 Cancer Resource Services . Business Address Line. quote, Find an 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. in a plan, Shop Medicare Advantage Plans must cover all of the services that Original Medicare covers except hospice care. D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. 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. Humanas business may be materially adversely impacted by CMSs adoption of the new coding set for diagnoses. Provider Relations Phone Number. for Plans, Shop D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. Medicare Advantage Plans may offer extra coverage, such as vision, hearing, dental, and/or health and wellness programs. Gainwell Technologies has been contracted with the state of Indiana since 1991. Pennsylvania corporation ("Aetna"), of Arcadian Health Plan, Inc., a health care service contractor domiciled in the State of Washington (the "Domestic Health Carrier"). 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. Downgrades in Humanas debt ratings, should they occur, may adversely affect its business, results of operations, and financial condition. 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. If you need help, see our support page. Claim This Company Page What do people say about Arcadian Health Plan your health, Member Call 360.943.4337 ext 9 or email [emailprotected]. http://www.insuranceproviders.com/companies/arcadian-health-plan-inc/. 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. Doctor, Health & Well-being Library, Sign The date that a record was last updated or changed. Secondary Claims: YES: . 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 $325,000 Last Sold Price. The enumeration date of this NPI Number is 11/18/2008. Health Plan/Payer Business Fax Number. In certain situations, you can. ARCADIAN HEALTH PLAN Pay & Benefits reviews Review this company. Responsibility, Internet Privacy MAXIMUS Health Services Inc. has served as the Indiana Health Coverage Programs enrollment broker since 2007. The telephone number associated with the location address of the provider being identified. pharmacy, Shop for Register for a MyHumana 500 12th St # 350. The first line location address of the provider being identified. Any of these risks and uncertainties may cause actual results to differ materially from the results discussed in the forward-looking statements. There also may be other risks that the company is unable to predict at this time. VIRGINIA PREMIER HEALTH PLAN, INC. H9952 H9955 MOLINA HEALTHCARE OF OHIO, INC. State Integration Status Applicable Integrated Plan Coordination-Only FIDE . 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. NOTE: ZIP code plus 4-digit extension, if available. 3 Beds. The HMO , https://www.tdi.texas.gov/hmo/profiles/95962.html, Health (8 days ago) Web500 W Main. money from Medicare into the account. 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). prescription, Manage Medicare Supplement plans, Learn TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. Use the links on this page to access IHCP provider news items, bulletins, and banner page publications. endobj Indiana Health Coverage Programs is contracted with OptumRx to be the pharmacy benefits manager for the Traditional Medicaid. The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider. 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 Humana anticipates that the divestitures would be effective January 1, 2013. (function() { group products, Member Resources Abuse, System You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. 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." 4 0 obj Address. (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. We are not compensated for Medicare plan enrollments. Our agents put your needs first. Whether youre new to Medicare or considering changing plans, learn how Medicare Advantage plans can support the best YOU! The Medicare Program rates all health and prescription drug plans each year, based on a plans quality and performance. 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. savings & tools, Humana 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. 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. Humanas business activities are subject to substantial government regulation. To receive notices, you must subscribe. Solicitation opportunities to do business with the State of Indiana. NOTE: ZIP code plus 4-digit extension, if available. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). To report a claim to Arcadian, please contact: General Liability Claims glclaims@arcadian-risk.com Professional Liability Claims plclaims@arcadian-risk.com If the organization is a subpart = , the Parent Organization Legal Business Name (LBN) and Parent Organization Taxpayer Identification Number (TIN) fields must be completed. 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. Select Foreign Country in the state drop down box if the license was issued outside of United States. Star ratings are assigned to Medicare Advantage plans by the Centers for Medicare and Medicaid Services (CMS). Humana is a publicly traded Delaware holding company for A field cannot contain all special characters. 1,507 Sq. gcse.async = true; about Medicare, Find Form 10-K for the year ended December 31, 2011; Securities and Exchange Commission filings; Most recent investor conference presentations; Replays of most recent earnings release conference calls; Calendar of events (including upcoming earnings conference call dates and times, as well as planned interaction with research analysts and institutional investors). The provider's official mailing address is: 500 12TH ST STE 350 Our. % Our business hours are 8:00 a.m. to 5:00 p.m., EST. OAKLAND Bulletins, Banner Pages and Reference Modules. About Arcadian Health: Arcadian Health, founded in 1996, provides Medicare Advantage coverage through its affiliates in the following 15 states: . View more recently sold homes. health goals, Go365 Speak to a PSW Agent today to learn more about your eligibility and options for our Medicare Advantage plans. Locations Primary 500 12th Street, Suite 350 Oakland,. card, View Corp - WI . dentist, Get a We also provide free language interpreter services. x[moF a %o$MK.h}W@[D Medicaid will no longer pay these charges. 2.5 Baths. Provide organization name (legal business name used to file tax returns with the IRS). All rights reserved. Health (8 days ago) Web101 Wood Avenue South, 8th Floor. a plan, Find a Redfin Corporation. in to Go365.com, Corporate Net of the divestitures, the acquisition will increase Humanas health plan membership by approximately 50,000 Medicare HMO members. US Family Health Plan @St. Vincent's Hosp. 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 State or Province name in the location address of the provider being identified. Not all D-SNP plans in Indiana serve the entire state. This address cannot include a Post Office box. 0000002619 00000 n Contact Name Kelly Gaskins . The Parent Organization LBN and TIN fields can only be completed if the answer to the subpart question is Yes. menu, Manage All rights reserved | Email: [emailprotected], Abington jefferson health physician directory, White mountain community health conway nh. 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 The city name in the location address of the provider being identified. Prep task 1. Providers who do not contract with the plan are not required to see you except in an emergency. The 2022 Annual Enrollment Period (AEP) is from October 15 to December 7, 2021. care, Managing 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). Settings, Start voice 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. The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. 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 information and language options. Gainwell provides a number services to the IHCP, including provider enrollment, customer service, eligibility verification, and fee-for-service claim processing. SOLD JUN 13, 2022. 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. during the calendar year will owe a portion of the account deposit back to the plan. information. Physician Case Management Referral. 183. . The Domestic Health Carrier is a direct wholly-owned subsidiary of, and controlled by, Humana Inc. ("Hwnana"). 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"). vision plans, Find Most include Medicare prescription drug coverage (Part D). Give yourself a birthday gift. 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. To submit a support case fill out the form below. 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.

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