arcadian health plan claims

1598910549 NPI Number | ARCADIAN HEALTH PLAN, INC. - HIPAASpace File Number: 3615733. Health (8 days ago) Web101 Wood Avenue South, 8th Floor. Be sure to find PSW on our social media profiles. To find out more, visit Medicare.gov. AR812. The first name of the authorized official, The title or position of the authorized official. For more information contact the plan. Responsibility, Internet Privacy Claims adjustment expenses, including $ 96,131,102 cost containment expenses 0 108,854,457 92,979,675 204,471,335 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. . D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. Licensure, Fraud, Waste & Company Profile Page. If one of our plans is not the best fit, don't worry - we'll connect you with other options. 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. 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 . Empire Plan Toll free. 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. 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). 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 . Terms were not disclosed. When registering your email, check the category on the drop-down list to receive notices of )JCR?;}`_YWk>7O_6z?U#nutWm=2? Abuse, System [k@+%#bP{U Zbl;0RZ%U$+Ylft(s?-FUg dnt`q. Gainwell provides a number services to the IHCP, including provider enrollment, customer service, eligibility verification, and fee-for-service claim processing. Members may enroll in a Medicare Advantage plan only during specific times of the year. Arcadian Health Plan Apr 2006 - Present16 years 4 months Run daily accounts payable claims and audit edits reports. This is the time when you can make changes to your Medicare coverage. (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. The benefit information provided is a brief summary, not a complete description of benefits. Member and provider login portal | secure.arcadia.io 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. Corp - WI . PK ! Claim This Company Page What do people say about Arcadian Health Plan Please call our Customer Service Department if you need to talk about protected/private health information. There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. COMMERCIAL. Jan 3, 2023 05:55pm. 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 coal oven burns over 650+ degrees and can produce pies in five minutes. 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. ARCADIAN HEALTH PLAN INC. NPI 1598910549 - Health Health (3 days ago) WebZIP 94607 Phone: (510) 832-0311 Get Directions ARCADIAN HEALTH PLAN, INC. is a health maintenance organization in Oakland, CA. 94607-4087, US. The postal ZIP or zone code in the location address of the provider being identified. Register for a MyHumana NOTE: ZIP code plus 4-digit extension, if available. In all types of Medicare Advantage Plans, youre always covered for emergency and urgent care. SOLD JUN 13, 2022. We also provide free language interpreter services. Changes in the prescription drug industry pricing benchmarks may adversely affect Humanas financial performance. 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. 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 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. NOTE: ZIP code plus 4-digit extension, if available. A field cannot contain all special characters. arcadian health plan, inc claims mailing address Star Ratings are calculated each year and may change from one year to the next. The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. Contact the Medicare plan for more information. a pharmacy, Compare 2023 Arcadian Health Plan - Plus (HMO) in OK Plan Benefits Details 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. 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. name (which is a provider name or healthcare organization name) ARCADIAN HEALTH PLAN, INC.. All members complete the annual HRA 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 Health Insurance Portability and Accountability Act (HIPAA) of 1996 contains Portability, Medicaid Integrity Program/Fraud and Abuse, and Administrative Simplification. x[moF a %o$MK.h}W@[D 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. Original Medicare covers hospice care even if youre in a Medicare Advantage Plan. The plan deposits 0000000926 00000 n The provider is registered as an organization entity type. 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. 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. 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, Inc. - AL, AR, CA, FL, IA, IL, IN, KY, ME, MO 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 Health Plan/Payer Business Fax Number. for a MyHumana account today. All rights reserved. FSSA updates. 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. Arcadian Health Plan 510-817-1016 . Payer ID List - Health Data Services Our agents put your needs first. This data element may contain the same information as ''Provider location address telephone number''. UHS-DE and UHS-Fuller stipulated that physically violent or assaultive patients created a hazard for those at the Worksite. For providers with more than one physical location, this is the primary location. for group products, Learn PK ! Medicare Advantage plans, Shop Medicare MSA Plans do not cover prescription drugs. <> Category. a dentist, Get Humana and Arcadian are working together to ensure a seamless transition of the Medicare business. Star ratings are assigned to Medicare Advantage plans by the Centers for Medicare and Medicaid Services (CMS). Contact Us :: The Health Plan Copyright 2007-2023 HIPAASPACE. vision plans, Find Each line of business represents a different Healthcare Provider Taxonomy or area of specialization that often submits its own electronic claims to health plans. 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. Medicare pays a fixed amount for your care every month to the companies offering Medicare Advantage Plans. quote, Find an 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. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. The HMO Alias list is an Excel spreadsheet. 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 Medicare Advantage Plans must offer emergency coverage outside of the plans service area (but not outside the U.S.). 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. coverage, Refill a All. [13] Between 2008 and 2012, the company agreed to pay a total of $217.5 million to settle the claims against them. Medicare has neither reviewed nor endorsed the information on our site. Medicare Supplement plans, Learn NPI Number information was last time updated on 12/01/2010. Payment Policies. Cancer Resource Services . [email protected]. The postal ZIP or zone code in the mailing address of the provider being identified. Gateway Health Plan has several different Payer ID numbers please look for the Payer ID on the ID card before submitting. Health Plan/Payer Business E-Mail Address. Our claims professionals have extensive claims handling experience for a variety of business lines. 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. Provider Relations Phone Number. CA 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. Indiana Health Coverage Programs is contracted with OptumRx to be the pharmacy benefits manager for the Traditional Medicaid. Not quite 65? Provide organization name (legal business name used to file tax returns with the IRS). var s = document.getElementsByTagName('script')[0]; 94607-4087 1997. Caregivers, Go365 Wellness Login or find a doctor The company's filing status is listed as Exists and its File Number is 377-482. 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. Increased litigation and negative publicity could increase the companys cost of doing business. Our agents put your needs first. The 2022 Annual Enrollment Period (AEP) is from October 15 to December 7, 2021. Kareo ID *. TTY users should call, 1-800-325-0778; or your state Medicaid Office. PDF STATEMENT AS OF SEPTEMBER 30, 2021 OF THE Arcadian Health Plan - Maine ARCADIAN HEALTH PLAN, INC. Company Number 602384193 Status Active Incorporation Date 6 April 2004 (almost 19 years ago) Company Type WA INSURANCE COMPANY Jurisdiction Washington (US) Registered Address UNITED STATES United States Agent Name CORPORATION SERVICE COMPANY Agent Address 300 DESCHUTES WAY SW #304, TUMWATER, WA, 985010000 View more recently sold homes. Medicare Advantage organizations interested in operating a D-SNP plan in Indiana should contact Andrew Bean at [email protected]. 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. This data element may contain the same information as ''Provider location address City name''. Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. Dual Eligible Special Needs Plans serve members who are eligible for both Medicaid and Medicare. PSW is a private company and not a health plan. The offices are examples of subparts that could have their own NPIs if the main location determines that they should. var gcse = document.createElement('script'); Statement, Disclaimers & The date that a record was last updated or changed. PSW is committed to quality improvement, clinical integration and meaningful measures of value. 94607-5204, US. PDF Names, titles, addresses and telephone numbers of individuals to whom Medicare drug (Part D) plans, Shop :KORgOC~Ma^ 9kp h'7+LF. US, 500 12TH ST STE 350 The legal entity must obtain an NPI. Humana anticipates that the divestitures would be effective January 1, 2013. HPI | Provider Resources | Patient Benefits & Eligibility XLSX Home - Centers for Medicare & Medicaid Services | CMS 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 . PDF STATEMENT AS OF MARCH 31, 2021 OF THE Arcadian Health Plan, Inc. - Maine pricing guide, Find The Domestic Health Carrier is a direct wholly-owned subsidiary of, and controlled by, Humana Inc. ("Hwnana"). 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. Health Plans, Inc. PO Box 5199 Westborough, MA 01581. PDF Participating Insurances NPI Number 1598910549 has the "Organization" type of ownership and has been registered to the following primary business legal St Louisville, KY 40202. <>>> 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. For Providers. 'https:' : 'http:') + Humana Contact Information for Providers Your Initial Enrollment Period (IEP) is the 7-month period you have when you first become eligible to sign up for Medicare. 1,507 Sq. Contact Us Give us a call at 360-943-4337 opt. Copyright 2007-2023 HIPAASPACE. Submit a Ticket - Kareo Help Center The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.

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