arcadian health plan claims

94607-4087 500 12th Street, Suite 350, Oakland, California 94607, US. 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. 500 W Main. Contact Us About The Company Profile For Arcadian Health Plan, Inc. The contact numbers associated with the mailing address are: The authorized official registered with the 1598910549 NPI Number is JAMES NOVELLO. 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 . Copyright 2023 State of Indiana - All rights reserved. )?2%n@/xh^}J_}1e6Z^A(}&XdD{Y\|/wH?Ksp?{~Gs8xZ[&iqy2yww$Rfb)~fG=tvvkAdDf75?+PUvkTVAZV5S}&$,i Z_/ }'UrJ0 d] 500 12th St # 350. for a MyHumana account today. Give yourself a birthday gift. There also may be other risks that the company is unable to predict at this time. Abuse, System PSW is a private company and not a health plan. Responsibility, Internet Privacy Terms were not disclosed. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). card, View This address cannot include a Post Office box. We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. Gateway Health Plan has several different Payer ID numbers please look for the Payer ID on the ID card before submitting. [14] [15] [16] 2008-2019 [ edit] guidance, Using For providers with more than one physical location, this is the primary location. Important information to all providers and software developers that communicate via electronic data interchange (EDI) format and direct data entry (DDE). Medicare Advantage organizations interested in operating a D-SNP plan in Indiana should contact Andrew Bean at Andrew.Bean@fssa.IN.gov. Changes in economic conditions could adversely affect Humanas business and results of operations. Contact the Medicare plan for more information. 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. 1997. Health plans must contract with the Indiana Health Coverage Programs and hold a contract with Medicare. Industry: Health insurance carriers Printer Friendly View Address: 500 12TH St Ste 350 Oakland, CA, 94607-5204 United States See other locations D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. Humanas pharmacy business is highly competitive and subjects it to regulations in addition to those the company faces with its core health benefits businesses. 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. 3.8 . For Providers. The telephone number associated with mailing address of the provider being identified. 9, or toll-free at 1-877-943-4337 Downgrades in Humanas debt ratings, should they occur, may adversely affect its business, results of operations, and financial condition. NPI Number 1598910549 has the "Organization" type of ownership and has been registered to the following primary business legal If one of our plans is not the best fit, dont worry well connect you with other options. Drug List, Shop Summary Star Rating that focuses on a plans medical or prescription drug services. enroll, Find a Claims: 61101 Encounters: 61102 Advanced claims editing All EDI submissions to Humana pass through Availity. fi%  xl/_rels/workbook.xml.rels ( Mk0$nez:8`gk(%b_=65q"0{?mY$M! The 2022 Annual Enrollment Period (AEP) is from October 15 to December 7, 2021. bs [Content_Types].xml ( UKO0|]5naVi _L;qZRR%Qb{$4WbTEE%EV6xPL''?XpJ4DBJp $325,000 Last Sold Price. OAKLAND, CA 510-832-0311. Payment Policies. Non-health claims (net) 0 0 0 0 20. (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. Your healthcare needs change. wellness & rewards, Member Arcadian is dedicated to improving the health of our members by providing access to high quality and cost effective health care. Humanas acquisition of Arcadian is not expected to materially impact its financial earnings guidance for the year ending December 31, 2012. Health Plan/Payer Business Mailing Address First Line. Not quite 65? If you need help, see our support page. 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). 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. 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. Filing Date: October 29, 2013. Provider Relations Phone Number. Cancer Resource Services . Doctor, Health & Well-being Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Ft. 12414 Tallow Cir, San Antonio, TX 78253-5253. Provide organization name (legal business name used to file tax returns with the IRS). health goals, Go365 Claims adjustment expenses, including $ 126,895,463 cost containment expenses 0 145,900,023 120,817,947 169,390,602 Star ratings are assigned to Medicare Advantage plans by the Centers for Medicare and Medicaid Services (CMS). Our claims professionals have extensive claims handling experience for a variety of business lines. (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. Health (8 days ago) WebArcadia.io Category: Health Detail Health Department of Human Services NJ FamilyCare Health Plans Health (8 days ago) Web101 Wood Avenue South, 8th Floor. Affinity Health Plan ## 13334 Y AFFINITY HEALTH O Contact EDI@Affinityplan.org or (718)794-7592 prior to sending claims. The telephone number associated with the location address of the provider being identified. 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. Location. *Required Fields. 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. Visit PSWs Annual Enrollment Period (AEP) page to learn more. H5619 Arcadian Health Plan (Humana, Inc.) . a plan, Find a Register for a MyHumana Address. Patient Consent Forms. You can call us if you have a question about your insurance plan or a health problem. var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; Use the links on this page to access IHCP provider news items, bulletins, and banner page publications. 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. ^e _rels/.rels ( MK1!;*"l/EMd1`7FAtzwyfx{vE fVKrFH"l3*>.%uGV=\i8XrZJ%\P4H;s>67Mizo#+DYB5V$~"c'ZkRRF%8EsF|02Xn/1=cW7 PK ! COMMERCIAL. $e_ofvZp$QH"}wWWo>H!qyJ 3 Beds. Copyright 2007-2023 HIPAASPACE. dentist, Get a This is the time when you can make changes to your Medicare coverage. About Arcadian Health: Arcadian Health, founded in 1996, provides Medicare Advantage coverage through its affiliates in the following 15 states: . Those who disenroll 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. Ratings by category. Free one-on-one consultations are available Monday-Friday, 8:00am-4:00pm. for group products, Learn 3.8 Work-Life Balance. See our full accessibility rights Specialties: Millie's serves delicious, coal- and Neapolitan wood-fired artisan pizzas and meatballs based on Vince and Brandon's grandmother Millie's recipes. Gainwell provides a number services to the IHCP, including provider enrollment, customer service, eligibility verification, and fee-for-service claim processing. <>>> Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at, Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the. resources, Medicaid Medicare Advantage Plans must cover all of the services that Original Medicare covers except hospice care. These estimates, however, involve extensive judgment, and have considerable inherent variability that is extremely sensitive to payment patterns and medical cost trends. The company's principal . 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. Providers who do not contract with the plan are not required to see you except in an emergency. Corp - WI . doctor, Enroll in Fax. 2 0 obj 1-877-7NYSHIP (1-877-769-7447), choose UnitedHealthcare . HMO Alias Texas Counties served by the HMO HMO Service areas 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. Humana Sites, For 1 , http://www.empireplanproviders.com/contact.htm. The country code in the location address of the provider being identified. Dual Eligible Special Needs Plans serve members who are eligible for both Medicaid and Medicare. This data element may contain the same information as ''Provider location address telephone number''. 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 500 12TH ST STE 300 St Louisville, KY 40202. [k@+%#bP{U Zbl;0RZ%U$+Ylft(s?-FUg dnt`q. The fax number associated with the mailing address of the provider being identified. in a plan, Shop PSW licensed agents can answer your questions on Medicare, Medicare Advantage and the specific health plans we offer. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 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. Contact Us Give us a call at 360-943-4337 opt. Get the most out of your plan. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. 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." % about Medicare, Find Our agents put your needs first. 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. account today. Clear. So can the benefits and costs of Medicare Advantage plans. Practice Name *. 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. Redfin Corporation. Changes in the prescription drug industry pricing benchmarks may adversely affect Humanas financial performance. It is situated on the river Altmhl, 19 kilometres (12 mi) northwest of Weienburg in Bayern, and 45 kilometres (28 mi) southwest of Nuremberg. 0000002619 00000 n Contact Name Kelly Gaskins . Physician group practices struggle with bundled payments: study. 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. (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. Non-health claims (net) 0 0 0 0 20. Jan 3, 2023 05:55pm. 94607-5204 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. endobj 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. Bulletins, Banner Pages and Reference Modules. The HMO Alias list is an Excel spreadsheet. & tools, Humana Completes Acquisition of Arcadian Management Services, Find a 2.5 Baths. Arcadian Health Plan is a small health care company based in Oakland, CA with only 111 employees and an annual revenue of $9.2M. STATEMENT AS OF SEPTEMBER 30, 2021 OF THE Arcadian Health Plan, Inc. ASSETS Current Statement Date 4 1 Assets 2 Nonadmitted Assets 3 Net Admitted Assets (Cols. Any new coverage you get during this time will start on January 1, 2021. The securities and credit markets may experience volatility and disruption, which may adversely affect Humanas business. eye doctor, How to Arcadian strives to manage claims in an efficient, timely and prudent manner. 94607-5204, US. Limitations, copayments, and restrictions may apply. 2,148 Sq. Requirements, full accessibility rights 1 - 2) December 31 Prior Year Net . It is located in the south of Middle Franconia, 50 kilometres south of Nuremberg. Nearby homes similar to 1414 Arcadian Lily have recently sold between $325K to $325K at an average of $150 per square foot. Speak to a PSW Agent today to learn more about your eligibility and options for our Medicare Advantage plans. The 1598910549 NPI number is assigned to the healthcare provider ARCADIAN HEALTH PLAN, INC., practice location address at 500 12TH ST STE 300 OAKLAND, CA, 94607-4087. Documentation Guidelines. Gainwell Technologies has been contracted with the state of Indiana since 1991. Health Plan/Payer Business Fax Number. group products, Member Resources Medicaid contracts each year with plans that are willing to accept a monthly fee for each recipient in their program. 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. })(); Enter your ZIP Code and click "Show Available Medicare Advantage Plans", 2023 Medicare Advantage Plan Benefit Details, 2023 Medicare Advantage Plan Benefit Details for the Arcadian Health Plan - Plus (HMO), Find a 2023 Medicare Advantage Plan (Health and Health w/Rx Plans), Browse Any 2023 Medicare Plan Formulary (or Drug List), Q1Rx Drug-Finder: Compare Drug Cost Across all 2023 Medicare Plans, Find Medicare plans covering your prescriptions, Medicare plan quality and CMS Star Ratings, Understanding Your Explanation of Benefits, IRMAA: Higher premiums for higher incomes, 2023 Medicare Advantage Plans State Overview, Find a 2023 Medicare Advantage Plan by Drug Costs.

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