0006300 Payer ID | Arcadian Health Plan, Inc." | Oakland, CA Humanas ability to obtain funds from its subsidiaries is restricted by state insurance regulations. Copyright 2007-2023 HIPAASPACE. To send us a message so we can call you, click here. Jan 3, 2023 09:43pm. PDF STATEMENT AS OF JUNE 30, 2022 OF THE Arcadian Health Plan, Inc. CA Medicare Advantage organizations interested in operating a D-SNP plan in Indiana should contact Andrew Bean at Andrew.Bean@fssa.IN.gov. This data element may contain the same information as ''Provider location address telephone number''. Statement, Disclaimers & 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 NOTE: ZIP code plus 4-digit extension, if available. Please enter your credentials. 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. & appeals, Helpful 2023 Arcadian Health Plan - Plus (HMO) in OK Plan Benefits Details User ID: Password: Show password 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. Humana and Arcadian are working together to ensure a seamless transition of the Medicare business. Irma Lopez - Claims Auditor - Arcadian Health Plan | LinkedIn Visit PSWs Annual Enrollment Period (AEP) page to learn more. Arcadian Health Plan, Inc. - AL, AR, CA, FL, IA, IL, IN, KY, ME, MO When registering your email, check the category on the drop-down list to receive notices of 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. 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 Preferred Medical Claim Premier Health - PPO - SC Prime Health Services Priority Health (Michigan) . Any new coverage you get during this time will start on January 1, 2021. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. 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. WellCare - Wikipedia 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. 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). 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. a plan, Find a The first line mailing address of the provider being identified. Humana anticipates that the divestitures would be effective January 1, 2013. Non-health claims (net) 0 0 0 0 20. Health Plan/Payer ID Codes, also known as Receiver Codes, are the primary identifier used to route your EDI transaction to the appropriate entity. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. OAKLAND, CA Resources, Pay Star Ratings are calculated each year and may change from one year to the next. & tools, Humana Completes Acquisition of Arcadian Management Services, Find a We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. resources, Medicaid Indiana Health Coverage Programs is contracted with OptumRx to be the pharmacy benefits manager for the Traditional Medicaid. See our full accessibility rights BOUGHT WITH REDFIN JUN 14, 2022. If the organization is a subpart = , the Parent Organization Legal Business Name (LBN) and Parent Organization Taxpayer Identification Number (TIN) fields must be completed. Important information to all providers and software developers that communicate via electronic data interchange (EDI) format and direct data entry (DDE). Ratings by category. bs [Content_Types].xml ( UKO0|]5naVi _L;qZRR%Qb{$4WbTEE%EV6xPL''?XpJ4DBJp a dentist, Get )JCR?;}`_YWk>7O_6z?U#nutWm=2? Alabama Medicaid dentist, Get a Our. 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). area. The country code in the mailing address of the provider being identified. To enroll, eligible individuals should reach out to a specific health plan or contact Medicare at 800-MEDICARE. 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 . Arcadian Management Services Inc. COMMERCIAL. 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 . wellness & rewards, Member Not all D-SNP plans in Indiana serve the entire state. 1521 Arcadian Lily, San Antonio, TX 78245 | MLS# 1668282 | Redfin This webpage represents 1598910549 NPI record. 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 enumeration date of this NPI Number is 11/18/2008. The City name in the mailing address of the provider being identified. For more information contact the plan. <> The email notifications are used to send notices to subscribers on behalf of the IHCP. Nearby homes similar to 1521 Arcadian Lily have recently sold between $257K to $257K at an average of $170 per square foot. health risk assessment (HRA) to members by phone, mail or in-person if necessary. 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. Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. 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. an eye doctor, Learn If the plan accepts the monthly fee then the plan agrees to be responsible for the Medicare co-payments, co-insurance or deductibles. Prep task 1. Medicare Advantage plans, Shop Claims adjustment expenses, including $ 96,131,102 cost containment expenses 0 108,854,457 92,979,675 204,471,335 Member Services Phone Number. During this time, you have several options: enroll in, leave or switch your Medicare Advantage health plan. 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. Contact Us About The Company Profile For Arcadian Health Plan, Inc. The company's principal . TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. Make sure to check out our FAQ page. Drug List, Shop The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. Fax. For information about IHCP policies, procedures, and billing guidance (including information about electronic transactions), access these IHCP reference documents. PDF STATEMENT AS OF MARCH 31, 2021 OF THE Arcadian Health Plan, Inc. - Maine Gainwell provides a number services to the IHCP, including provider enrollment, customer service, eligibility verification, and fee-for-service claim processing. gcse.async = true; An Overall Star Rating that combines all of a plans scores. 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. A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Changes in economic conditions could adversely affect Humanas business and results of operations. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. a healthcare plan, Humana Claim: ARCADIAN HEALTH PLAN, INC. is an Alabama Foreign Corporation filed on December 5, 2016. 510-832-0311. File Number: 3615733. Physician Case Management Referral. 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. dental plans, Find Get the most out of your plan. 500 12th Street, Suite 350, Oakland, California 94607, US. Have Inpatient Acute DRGs, SNF, Long Term Care & Home Care claims. To find out more, visit Medicare.gov. D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. 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. for a MyHumana account today. . Arcadian Health Plan 510-817-1016 . Responsibility, Internet Privacy Empire Plan Toll free. Caregivers, Go365 Wellness What is Medicare Part C? | HHS.gov Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Health (8 days ago) Web101 Wood Avenue South, 8th Floor. Ft. 12414 Tallow Cir, San Antonio, TX 78253-5253. 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. Secondary Claims: YES: . Ft. 12435 Jacobs Pond, San Antonio, TX 78253-5505. The HMO Alias list is an Excel spreadsheet. x[moF a %o$MK.h}W@[D 3 Beds. Company Profile Page. 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). There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. 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). The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. 3.8 Work-Life Balance. Medicaid contracts each year with plans that are willing to accept a monthly fee for each recipient in their program. We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. Requirements, full accessibility rights (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. Email *. 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 of race, color, national origin, age, disability, sex, sexual orientation, gender identity or Provider Relations Phone Number. Each line of business represents a different Healthcare Provider Taxonomy or area of specialization that often submits its own electronic claims to health plans. Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Brokers, For All rights reserved. 4 0 obj about Medicaid, How 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. Free one-on-one consultations are available Monday-Friday, 8:00am-4:00pm. 2,148 Sq. Gateway Health Plan has several different Payer ID numbers please look for the Payer ID on the ID card before submitting. 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. Humana Contact Information for Providers Iselin, New Jersey 08830. 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. 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. Licensure, Fraud, Waste & This data element may contain the same information as ''Provider first line location address''. Medicare evaluates plans based on a 5-Star rating system. Many Medicare Advantage Plans also offer extra benefits such as dental care, eyeglasses, or wellness programs. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). 94607-4087 The postal ZIP or zone code in the mailing address of the provider being identified. 1 - 2) December 31 Prior Year Net . ARCADIAN HEALTH PLAN, INC. :: California (US) :: OpenCorporates The company's filing status is listed as Exists and its File Number is 377-482. Kareo ID *. A process known as advanced claims editing (ACE) applies coding rules to a medical claim submitted through the Availity gateway via EDI before the claim enters Humana's claim payment system. 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. Arcadian Health Plan | LinkedIn 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. 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. . COMMERCIAL. 2.5 Baths. These forward-looking statements are not guarantees of future performance and are subject to risks, uncertainties, and assumptions, including, among other things, information set forth in the Risk Factors section of the companys SEC filings, a summary of which includes but is not limited to the following: In making forward-looking statements, Humana is not undertaking to address or update them in future filings or communications regarding its business or results. information and language options. AR812. Arcadian Management Services to be Acquired by Humana - PR Newswire 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. You can call us if you have a question about your insurance plan or a health problem. Other 94607-4087, US. arcadian health plan, inc claims mailing address UHS of Fuller, Inc., UHS of Delaware, Inc., OSHRC DOCKET No. 20-0032 your health, Member Providers, For 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. Member and provider login portal | secure.arcadia.io 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 last name of the person authorized to submit the NPI application or to change NPS data for a health care provider. Humana Completes Acquisition of Arcadian Management Services a doctor, Enroll care, Managing The 2022 Annual Enrollment Period (AEP) is from October 15 to December 7, 2021. about Humana Pharmacy, Find Library, Sign Medicaid updates; check other areas of interest on the drop-down list to receive notices for other types of 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 . For Providers :: The Health Plan name (which is a provider name or healthcare organization name) ARCADIAN HEALTH PLAN, INC.. This data element may contain the same information as ''Provider location address country code''. Register Claims adjustment expenses, including $ 126,895,463 cost containment expenses 0 145,900,023 120,817,947 169,390,602 Providence of Oregon Health Plan. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). The psychiatric unit is an example of a subpart that could have its own NPI if the hospital determines that it should. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. 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 Our agents put your needs first. 1598910549 NPI Number | ARCADIAN HEALTH PLAN, INC. - HIPAASpace The plan deposits Most include Medicare prescription drug coverage (Part D). PSW is a private company and not a health plan. Humana is a publicly traded Delaware holding company for This data element may contain the same information as ''Provider location address postal code''. Physician group practices struggle with bundled payments: study. Based in Olympia, WA for more than 25 years, PSW is locally owned and managed by physicians. a quote, Shop NOTE: ZIP code plus 4-digit extension, if available. The authorized official title (position) is SR. VP AND GENERAL COUNSEL. Original Medicare covers hospice care even if youre in a Medicare Advantage Plan. 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": The country code in the location address of the provider being identified. In light of these risks, uncertainties, and assumptions, the forward-looking events discussed herein may or may not occur. 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 INC. NPI 1598910549 - Health Providers Data Non-health claims (net) 0 0 0 0 20. Unit 13- Lease Alienation. The city name in the location address of the provider being identified. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. during the calendar year will owe a portion of the account deposit back to the plan. Downgrades in Humanas debt ratings, should they occur, may adversely affect its business, results of operations, and financial condition. 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 . Register for a MyHumana 500 12TH ST STE 300 This page contains Indiana Health Coverage Programs (IHCP) Companion Guides for Health Insurance Portability and Accountability Act (HIPAA) version 5010 electronic transactions. If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. Clear. Filing Date: October 29, 2013. information. Arcadian Health Plan Customer Service 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's official mailing address is: 500 12TH ST STE 350 'https:' : 'http:') + 2 0 obj Payer ID List - Health Data Services The telephone number associated with the location address of the provider being identified. 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. Claim This Company Page What do people say about Arcadian Health Plan The offices are examples of subparts that could have their own NPIs if the main location determines that they should. Indiana Medicaid: Partners: Dual Eligible Special Needs Plans The Indiana State Plan provides specifics on how Medicaid is implemented and governed in Indiana. (function() { Limitations, copayments, and restrictions may apply. 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.