If Humana fails to effectively implement its operational and strategic initiatives, including its Medicare initiatives, the companys business may be materially adversely affected, which is of particular importance given the concentration of the companys revenues in the Medicare business. 2,148 Sq. The legal entity must obtain an NPI. Locations Primary 500 12th Street, Suite 350 Oakland, https://www.linkedin.com/company/arcadian-health-plan, Health (6 days ago) WebArcadian Health Plan Company Contact Information - Adapt.io. 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. bs [Content_Types].xml ( UKO0|]5naVi _L;qZRR%Qb{$4WbTEE%EV6xPL''?XpJ4DBJp :KORgOC~Ma^ 9kp h'7+LF. Physician group practices struggle with bundled payments: study. (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. Archbold Ed Uninsured. Arcadian Management Services Inc. COMMERCIAL. 0000000926 00000 n The provider is registered as an organization entity type. 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. 1 0 obj
Your Initial Enrollment Period (IEP) is the 7-month period you have when you first become eligible to sign up for Medicare. Register
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OAKLAND information and language options. prescription, Manage
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The telephone number associated with mailing address of the provider being identified. Copyright 2007-2023 HIPAASPACE. Medicaid contracts each year with plans that are willing to accept a monthly fee for each recipient in their program. 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). 500 12th St # 350. CA Humanas acquisition of Arcadian is not expected to materially impact its financial earnings guidance for the year ending December 31, 2012. Plans, Shop for Plans
94607-5204, US. Medicare Advantage Plans may offer extra coverage, such as vision, hearing, dental, and/or health and wellness programs. care, Managing
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RgJfrZO^!Cr]bL46 latDlb7W%Gfa?;^nh(T\[r559ES>72pGAgTd#m,A?bnT}O|G?! 182. Claims adjustment expenses, including $ 38,432,221 cost containment expenses 0 44,339,331 36,328,629 169,390,602 Arcadian Health - TEXAS Artisan Provider Network *TRPN (Three Rivers Provider Network) PPO, WC, INJURY . Specialties: Millie's serves delicious, coal- and Neapolitan wood-fired artisan pizzas and meatballs based on Vince and Brandon's grandmother Millie's recipes. 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. 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). Arcadian Health Plan Apr 2006 - Present16 years 4 months Run daily accounts payable claims and audit edits reports. Iselin, New Jersey 08830. Providers who do not contract with the plan are not required to see you except in an emergency. Your healthcare needs change. Documentation Guidelines. 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. Find information about the healthcare programs included under the Indiana Health Coverage Programs (IHCP) umbrella the primary programs serving most children and adults as well as those designed to serve special member populations. a doctor, Enroll
Patient Consent Forms. s.parentNode.insertBefore(gcse, s); Claims: 61101 Encounters: 61102 Advanced claims editing All EDI submissions to Humana pass through Availity. This data element may contain the same information as ''Provider location address country code''. claims, Check
It includes the 3 months before the month of your birthday, your birth month, and the 3 months after the month of your birthday. 3 0 obj
Contact the plan provider for additional information. 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. The City name in the mailing address of the provider being identified. 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. There also may be other risks that the company is unable to predict at this time. US, 500 12TH ST STE 350 The provider is registered as an organization entity type. Kareo ID *. 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. The country code in the location address of the provider being identified. The State or Province name in the mailing address of the provider being identified. 3 Beds. Copyright 2023 State of Indiana - All rights reserved. Based in Olympia, WA for more than 25 years, PSW is locally owned and managed by physicians. 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 . Claim: ARCADIAN HEALTH PLAN, INC. is an Alabama Foreign Corporation filed on December 5, 2016. The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. 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. 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 You can call us if you have a question about your insurance plan or a health problem. doctor, Enroll in
OAKLAND, CA The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. Medicaid is a state-administered program, and each state sets its own guidelines regarding eligibility and services. We also provide free language interpreter services. St Louisville, KY 40202. Claim This Company Page What do people say about Arcadian Health Plan TTY users should call, 1-800-325-0778; or your state Medicaid Office. Category. The date that a record was last updated or changed. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). FSSA updates. The fax number associated with the mailing address of the provider being identified. in your neighborhood, Achieving
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. Clear. Fax: 510-817-1894. Medicare has neither reviewed nor endorsed the information on our site. 1 - 2) December 31 Prior Year Net . 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. A field cannot contain all special characters. Filing Date: October 29, 2013. We are not compensated for Medicare plan enrollments. 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 date the provider was assigned a unique identifier (assigned an NPI). Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. NPI record contains FOIA-disclosable NPPES health care provider information. All. Terms were not disclosed. Rights and Responsibilities. Non-health claims (net) 0 0 0 0 20. eye doctor, How to
AR812. Arcadian Health Plan 510-817-1016 . US. Employers, For Agents &
$325,000 Last Sold Price. Summary Star Rating that focuses on a plans medical or prescription drug services. 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. 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. This page contains Indiana Health Coverage Programs (IHCP) Companion Guides for Health Insurance Portability and Accountability Act (HIPAA) version 5010 electronic transactions. Codes are: The "Is the organization a subpart?" 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. This data element may contain the same information as ''Provider location address State name''. Secondary Claims: YES: . guidance, Using
We do not sell leads or share your personal information. 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 . 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! 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 . Gainwell provides a number services to the IHCP, including provider enrollment, customer service, eligibility verification, and fee-for-service claim processing. question must be answered. enroll, Find a
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). [13] Between 2008 and 2012, the company agreed to pay a total of $217.5 million to settle the claims against them. Get the most out of your plan. Dual Eligible Special Needs Plans serve members who are eligible for both Medicaid and Medicare. 183. . [k@+%#bP{U
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dnt`q. 3 Beds. Arcadian Health Plan, Inc. is located in Oakland, CA and the phone number for Arcadian Health Plan, Inc. claims, customer, service, and Read more Claims Resources for Providers - Humana https://www.humana.com/provider/medical-resources/claims-payments License # 00187-0009, or administered by Humana Insurance Company or Humana Health Plan, Inc. The postal ZIP or zone code in the location address of the provider being identified. Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. STATEMENT AS OF MARCH 31, 2021 OF THE Arcadian Health Plan, Inc. ASSETS Current Statement Date 4 1 Assets 2 Nonadmitted Assets 3 Net Admitted Assets (Cols. You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID . Arcadian is dedicated to improving the health of our members by providing access to high quality and cost effective health care. drug plans & coverage, Prescription
The provider's official mailing address is: 500 12TH ST STE 350 ARCADIAN HEALTH PLAN, INC. 075 093 123 126 136 H5628 MOLINA HEALTHCARE OF UTAH, INC. UT H5649 CENTRAL HEALTH PLAN OF CALIFORNIA, INC. H5703 H5742 SHA, L.L.C H5774 TRIPLE S ADVANTAGE, INC. . The city name in the location address of the provider being identified. ^e _rels/.rels ( MK1!;*"l/EMd1`7FAtzwyfx{vE fVKrFH"l3*>.%uGV=\i8XrZJ%\P4H;s>67Mizo#+DYB5V$~"c'ZkRRF%8EsF|02Xn/1=cW7 PK ! NOTE: ZIP code plus 4-digit extension, if available. 3.8 Work-Life Balance. menu, Manage
94607-4087, US. St Louisville, KY 40202. This data element may contain the same information as ''Provider location address fax number''. Member Services Phone Number. The HMO , https://www.tdi.texas.gov/hmo/profiles/95962.html, Health (8 days ago) Web500 W Main. Fax. The country code in the mailing address of the provider being identified. Responsibility, Internet Privacy
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The Domestic Health Carrier is a direct wholly-owned subsidiary of, and controlled by, Humana Inc. ("Hwnana"). The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. Dual Eligible Special Needs Plans serve members who are eligible for both Medicaid and Medicare. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Its important to check with your doctor to confirm which Medicare Advantage plans they are accepting. SOLD JUN 13, 2022. 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. your health, Member
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500 12th Street, Suite 350, Oakland, California 94607, US. PSW licensed agents can answer your questions on Medicare, Medicare Advantage and the specific health plans we offer. 9, or toll-free at 1-877-943-4337 To determine individual service areas, please call the health plans' customer service numbers provided (see below). Our business hours are 8:00 a.m. to 5:00 p.m., EST. 1997. Humanas pharmacy business is highly competitive and subjects it to regulations in addition to those the company faces with its core health benefits businesses. A field cannot contain all special characters. 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 . health risk assessment (HRA) to members by phone, mail or in-person if necessary. The securities and credit markets may experience volatility and disruption, which may adversely affect Humanas business. (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. Please enter your credentials. . Ratings by category. Certain taxonomy selections will require you to enter your license number and the state where the license was issued. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. 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. To receive notices, you must subscribe. See our full accessibility rights
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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. 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 Medicare evaluates plans based on a 5-Star rating system. in a plan, Shop
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Non-health claims (net) 0 0 0 0 20. Humana anticipates that the divestitures would be effective January 1, 2013. Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition. 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. (For Medicaid, Child Health Plus . View more recently sold homes. 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. 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. MAXIMUS Health Services Inc. has served as the Indiana Health Coverage Programs enrollment broker since 2007. 500 W Main. The provider is (1) A form of health https://healthprovidersdata.com/hipaa/codes/NPI-1598910549-arcadian-health-plan-inc Humana expects no interruption in coverage; members can continue to see the same health care providers and receive the same benefits they currently have for the 2012 benefit year. Iselin, New Jersey . Each line of business represents a different Healthcare Provider Taxonomy or area of specialization that often submits its own electronic claims to health plans. OAKLAND, CA OIG: CMS needs to help drugmakers in calculating best Medicare Part B prices. If one of our plans is not the best fit, dont worry well connect you with other options. 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 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. 4 0 obj
Business Address Line. The fax number associated with the location address of the provider being identified. D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. gcse.src = (document.location.protocol == 'https:' ? NPI Number information was last time updated on 12/01/2010. 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. Medicare Advantage plans, Shop
Most include Medicare prescription drug coverage (Part D). %PDF-1.5
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). The enumeration date of this NPI Number is 11/18/2008. 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. arcadia_health@humana.com. All. UHS-DE and UHS-Fuller stipulated that physically violent or assaultive patients created a hazard for those at the Worksite. 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. Caregivers, Go365 Wellness
Humanas business may be materially adversely impacted by CMSs adoption of the new coding set for diagnoses. 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 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.