name (which is a provider name or healthcare organization name) ARCADIAN HEALTH PLAN, INC.. in to Go365.com, Corporate To learn more about the health plan programs, contact the following customer service departments: Sign up for email and/or text notices of Medicaid and other FSSA news, reminders, and other important drug plans & coverage, Prescription To receive notices, you must subscribe. . Your Initial Enrollment Period (IEP) is the 7-month period you have when you first become eligible to sign up for Medicare. The fax number associated with the mailing address of the provider being identified. Affinity Health Plan ## 13334 Y AFFINITY HEALTH O Contact EDI@Affinityplan.org or (718)794-7592 prior to sending claims. Prep task 1. All. Filing Date: October 29, 2013. 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. Neighbouring districts are (from the north clockwise) Ansbach, Roth, Eichsttt and Donau-Ries. 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. Specialties: Millie's serves delicious, coal- and Neapolitan wood-fired artisan pizzas and meatballs based on Vince and Brandon's grandmother Millie's recipes. vision plans, Find Providence of Oregon Health Plan. 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. Contact Name *. Medicaid is a state-administered program, and each state sets its own guidelines regarding eligibility and services. Meet your Practice Management Consultant. 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. Arcadian Health Plan Apr 2006 - Present16 years 4 months Run daily accounts payable claims and audit edits reports. The Parent Organization LBN and TIN fields can only be completed if the answer to the subpart question is Yes. 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 New laws or regulations, or changes in existing laws or regulations or their manner of application could increase the companys cost of doing business and may adversely affect the companys business, profitability and cash flows. Our. Have Inpatient Acute DRGs, SNF, Long Term Care & Home Care claims. COMMERCIAL. In certain situations, you can. This data element may contain the same information as ''Provider first line location address''. 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. For most members, claims can be mailed or submitted electronically to us at the address or payer ID's below; however, the address and payer ID's may vary based on member-specific plans and networks. We are not compensated for Medicare plan enrollments. The fax number associated with the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. Fax: 510-817-1894. As a government contractor, Humana is exposed to risks that may materially adversely affect its business or its willingness or ability to participate in government health care programs. Humana is a publicly traded Delaware holding company for Business Address Line. OAKLAND, CA Iselin, New Jersey 08830. Medicaid updates; check other areas of interest on the drop-down list to receive notices for other types of Give us a call at 360-943-4337 opt. Arcadian Health Plan is a small health care company based in Oakland, CA with only 111 employees and an annual revenue of $9.2M. guidance, Humana member 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. Preferred Medical Claim Premier Health - PPO - SC Prime Health Services Priority Health (Michigan) . Contact Us About The Company Profile For Arcadian Health Plan, Inc. var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; Secondary Claims: YES: . %PDF-1.5 Register Terms were not disclosed. [13] Between 2008 and 2012, the company agreed to pay a total of $217.5 million to settle the claims against them. FSSA updates. Jan 3, 2023 . $257,000 Last Sold Price. The country code in the location address of the provider being identified. US Family Health Plan @St. Vincent's Hosp. 9, or toll-free at 1-877-943-4337. Not all D-SNP plans in Indiana serve the entire state. pharmacy, Shop for Summary Star Rating that focuses on a plans medical or prescription drug services. (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. The Indiana State Plan provides specifics on how Medicaid is implemented and governed in Indiana. Arcadian is dedicated to improving the health of our members by providing access to high quality and cost effective health care. question must be answered. care, Managing Most Medicare Advantage Plans include Medicare prescription drug coverage (Part D). The provider is (1) A form of health https://healthprovidersdata.com/hipaa/codes/NPI-1598910549-arcadian-health-plan-inc 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 Plan/Payer Business E-Mail Address. HMO Alias Texas Counties served by the HMO HMO Service areas 2.5 Baths. Medicare evaluates plans based on a 5-Star rating system. 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. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. It includes the 3 months before the month of your birthday, your birth month, and the 3 months after the month of your birthday. It is situated on the river Altmhl, 19 kilometres (12 mi) northwest of Weienburg in Bayern, and 45 kilometres (28 mi) southwest of Nuremberg. gcse.src = (document.location.protocol == 'https:' ? Cancer Resource Services . )?2%n@/xh^}J_}1e6Z^A(}&XdD{Y\|/wH?Ksp?{~Gs8xZ[&iqy2yww$Rfb)~fG=tvvkAdDf75?+PUvkTVAZV5S}&$,i Z_/ }'UrJ0 d] This address cannot include a Post Office box. Abuse, System 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. 0000000926 00000 n The provider is registered as an organization entity type. Licensure, Fraud, Waste & When registering your email, check the category on the drop-down list to receive notices of The State or Province name in the mailing address of the provider being identified. Call 360.943.4337 ext 9 or email [emailprotected]. The company's principal . Humanas acquisition of Arcadian is not expected to materially impact its financial earnings guidance for the year ending December 31, 2012. 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. Non-health claims (net) 0 0 0 0 20. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. The country code in the mailing address of the provider being identified. Downgrades in Humanas debt ratings, should they occur, may adversely affect its business, results of operations, and financial condition. 1-877-7NYSHIP (1-877-769-7447), choose UnitedHealthcare . Important information to all providers and software developers that communicate via electronic data interchange (EDI) format and direct data entry (DDE). The first line location address of the provider being identified. The State or Province name in the location address of the provider being identified. Most include Medicare prescription drug coverage (Part D). Job Title. 3.8 Work-Life Balance. The Medicare Program rates all health and prescription drug plans each year, based on a plans quality and performance. Copyright 2007-2023 HIPAASPACE. 2.5 Baths. Plans, Shop for Plans 1 , http://www.empireplanproviders.com/contact.htm. (Catholic Medical Center) Unity Health Plan Ins. fi%  xl/_rels/workbook.xml.rels ( Mk0$nez:8`gk(%b_=65q"0{?mY$M! 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. The securities and credit markets may experience volatility and disruption, which may adversely affect Humanas business. Settings, Start voice for group products, Learn s.parentNode.insertBefore(gcse, s); Gainwell provides a number services to the IHCP, including provider enrollment, customer service, eligibility verification, and fee-for-service claim processing. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> In all types of Medicare Advantage Plans, youre always covered for emergency and urgent care. px. < RgJfrZO^!Cr]bL46 latDlb7W%Gfa?;^nh(T\[r559ES>72pGAgTd#m,A?bnT}O|G?! Fax. 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. Largest city and the administrative center . If one of our plans is not the best fit, don't worry - we'll connect you with other options. Gunzenhausen ( German pronunciation: [ntsnhazn] ( listen); Bavarian: Gunzenhausn) is a town in the Weienburg-Gunzenhausen district, in Bavaria, Germany. doctor, Enroll in a pharmacy, Compare Filing Date: , https://www.bizapedia.com/us/arcadian-health-plan-inc.html, Health (6 days ago) WebArcadia enables healthcare payers to collaborate closely with their provider networks for mutual economic success under Medicare, Medicaid, and Commercial risk-based , Health (7 days ago) WebYou can call us if you have a question about your insurance plan or a health problem. The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. Please call our Customer Service Department if you need to talk about protected/private health information. endobj 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. This data element may contain the same information as ''Provider location address City name''. St Louisville, KY 40202. Based in Olympia, WA for more than 25 years, PSW is locally owned and managed by physicians. Whether youre new to Medicare or considering changing plans, learn how Medicare Advantage plans can support the best YOU! Gainwell Technologies has been contracted with the state of Indiana since 1991. resources, Medicaid 94607-5204, US. Health Plan/Payer Business Mailing Address First Line. bs [Content_Types].xml ( UKO0|]5naVi _L;qZRR%Qb{$4WbTEE%EV6xPL''?XpJ4DBJp We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. Recently enacted health insurance reform, including The Patient Protection and Affordable Care Act and The Health Care and Education Reconciliation Act of 2010, could have a material adverse effect on Humanas results of operations, including restricting revenue, enrollment and premium growth in certain products and market segments, restricting the companys ability to expand into new markets, increasing the company's medical and operating costs by, among other things, requiring a minimum benefit ratio on insured products (and particularly how the ratio may apply to Medicare plans), lowering the companys Medicare payment rates and increasing the companys expenses associated with a non-deductible federal premium tax and other assessments; financial position, including the company's ability to maintain the value of its goodwill; and cash flows. 9, or toll-free at 1-877-943-4337 stream Medicare drug (Part D) plans, Shop During this time, contact PSW and speak to an agent or go to Medicare.gov to learn more about your options to enroll in a Medicare Advantage plan. your health, Member endobj Arcadian Health - TEXAS Artisan Provider Network *TRPN (Three Rivers Provider Network) PPO, WC, INJURY . Our agents put your needs first. Ft. 12414 Tallow Cir, San Antonio, TX 78253-5253. Accessibility Humanas business may be materially adversely impacted by CMSs adoption of the new coding set for diagnoses. Industry: Health insurance carriers Printer Friendly View Address: 500 12TH St Ste 350 Oakland, CA, 94607-5204 United States See other locations x[moF a %o$MK.h}W@[D Clinical Guidelines. 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 . Arcadian Health Plan 510-817-1016 . Please enter your credentials. Responsibility, Internet Privacy :KORgOC~Ma^ 9kp h'7+LF. 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. Non-health claims (net) 0 0 0 0 20. 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. Make sure to check out our FAQ page. 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 94607-5204 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. care & community support, Humana member rights, Exceptions A field cannot contain all special characters. Program, Humana 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. In addition, if the new non-deductible federal premium tax and other assessments, including a three-year commercial reinsurance fee, were imposed as enacted, and if Humana is unable to adjust its business model to address these new taxes and assessments, such as through the reduction of our operating costs, there can be no assurance that the non-deductible federal premium tax and other assessments would not have a material adverse effect on the companys results of operations, financial position, and cash flows. 0000002619 00000 n Contact Name Kelly Gaskins . Any failure to manage administrative costs could hamper Humanas profitability. Copyright 2023 State of Indiana - All rights reserved. NPI Number information was last time updated on 12/01/2010. Humanas business activities are subject to substantial government regulation. Clear. 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"). 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. 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. 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. Humanas ability to obtain funds from its subsidiaries is restricted by state insurance regulations. [14] [15] [16] 2008-2019 [ edit] Locations Primary 500 12th Street, Suite 350 Oakland,. quote, Find an If one of our plans is not the best fit, dont worry well connect you with other options. 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. The mission of the Office of Medicaid Policy and Planning (OMPP) Program Integrity Unit is to guard against fraud, abuse, and waste of Medicaid program benefits and resources. for Plans, Shop The 2022 Annual Enrollment Period (AEP) is from October 15 to December 7, 2021. <> <>>> If the plan accepts the monthly fee then the plan agrees to be responsible for the Medicare co-payments, co-insurance or deductibles. for a MyHumana account today. Doctor, Health & Well-being Payment Policies. For providers with more than one physical location, this is the primary location. Providers, For 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 . The postal ZIP or zone code in the mailing address of the provider being identified. menu, Manage http://www.insuranceproviders.com/companies/arcadian-health-plan-inc/. Ratings by category. 510-832-0311. We do not sell leads or share your personal information. 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. Humana anticipates that the divestitures would be effective January 1, 2013. 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. Employers, For Agents & Humana Sites, For Category. D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. 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. You can reach the authorized official at the following phone number 510-817-1845. Jan 3, 2023 09:43pm. The date the provider was assigned a unique identifier (assigned an NPI). 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. We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. OAKLAND, CA SOLD JUN 13, 2022. CA Each line of business represents a different Healthcare Provider Taxonomy or area of specialization that often submits its own electronic claims to health plans. 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. 500 12th Street, Suite 350, Oakland, California 94607, US. Provider Relations Phone Number. gcse.type = 'text/javascript'; rights, Prescription savings The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider. US, 500 12TH ST STE 350 500 12TH ST STE 300 Drug List, Shop To report a claim to Arcadian, please contact: General Liability Claims glclaims@arcadian-risk.com Professional Liability Claims plclaims@arcadian-risk.com religion. Health Plans, Inc. PO Box 5199 Westborough, MA 01581. 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. 1 - 2) December 31 Prior Year Net . 3 Beds. Register for a MyHumana During this time, you have several options: enroll in, leave or switch your Medicare Advantage health plan. 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO). This data element may contain the same information as ''Provider location address country code''. 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. Dual Eligible Special Needs Plans serve members who are eligible for both Medicaid and Medicare. COMMERCIAL. 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. Address. The City name in the mailing address of the provider being identified. Health (8 days ago) Web101 Wood Avenue South, 8th Floor. The city name in the location address of the provider being identified. Claims: 61101 Encounters: 61102 Advanced claims editing All EDI submissions to Humana pass through Availity. Documentation Guidelines. Member Services Phone Number. The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. All rights reserved | Email: [emailprotected], Abington jefferson health physician directory, White mountain community health conway nh. The Health Insurance Portability and Accountability Act (HIPAA) of 1996 contains Portability, Medicaid Integrity Program/Fraud and Abuse, and Administrative Simplification. Original Medicare covers hospice care even if youre in a Medicare Advantage Plan. These companies must follow rules set by Medicare. Visit PSWs Annual Enrollment Period (AEP) page to learn more. gcse.async = true; Any new coverage you get during this time will start on January 1, 2021. 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. VIRGINIA PREMIER HEALTH PLAN, INC. H9952 H9955 MOLINA HEALTHCARE OF OHIO, INC. State Integration Status Applicable Integrated Plan Coordination-Only FIDE . (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. 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. 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! $20 million net worth lifestyle appleton post crescent archives arcadian health plan, inc claims mailing address 07 jun 2022. arcadian health plan, inc claims mailing addresshouse joint resolution 192 of 1933 Posted by . Medicare Advantage Plans must cover all of the services that Original Medicare covers except hospice care. 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.