arcadian health plan claims

Contact Us Give us a call at 360-943-4337 opt. The provider is (1) A form of health https://healthprovidersdata.com/hipaa/codes/NPI-1598910549-arcadian-health-plan-inc NPI Number 1598910549 has the "Organization" type of ownership and has been registered to the following primary business legal Claims adjustment expenses, including $ 126,895,463 cost containment expenses 0 145,900,023 120,817,947 169,390,602 Ft. 12435 Jacobs Pond, San Antonio, TX 78253-5505. This is the time when you can make changes to your Medicare coverage. There also may be other risks that the company is unable to predict at this time. Medicaid is a state-administered program, and each state sets its own guidelines regarding eligibility and services. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. 2.5 Baths. Humanas ability to obtain funds from its subsidiaries is restricted by state insurance regulations. Medicare has neither reviewed nor endorsed the information on our site. Website Development By patforswa requirements, example of letter to support genuine relationship from parents, nadia sawalha first husband justin mildwater, syracuse university graduate course catalog, california annual mileage and odometer certification, what characteristics do hephaestus and prometheus share, how to control mood swings during ovulation, how many arctic wolves are left in the world. Most include Medicare prescription drug coverage (Part D). If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. Health Plan/Payer ID Codes, also known as Receiver Codes, are the primary identifier used to route your EDI transaction to the appropriate entity. 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. This webpage represents 1598910549 NPI record. dental plans, Find 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. Medicare evaluates plans based on a 5-Star rating system. 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. Any of these risks and uncertainties may cause actual results to differ materially from the results discussed in the forward-looking statements. 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. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. 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 About Arcadian Health: Arcadian Health, founded in 1996, provides Medicare Advantage coverage through its affiliates in the following 15 states: . 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. PSW has partnered with Humana and Premera. You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. (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. 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 . 500 W Main. 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. (For crosswalk purposes, the following (non-NPI) identifiers are available for this provider), (Collection of legacy and proprietary (non-NPI) identifiers ever reported for this provider). Changes in the prescription drug industry pricing benchmarks may adversely affect Humanas financial performance. Please call our Customer Service Department if you need to talk about protected/private health information. CA Medicare MSA Plans do not cover prescription drugs. If Humana fails to properly maintain the integrity of its data, to strategically implement new information systems, to protect Humanas proprietary rights to its systems, or to defend against cyber-security attacks, the companys business may be materially adversely affected. Medicaid contracts each year with plans that are willing to accept a monthly fee for each recipient in their program. All members complete the annual HRA The city name in the location address of the provider being identified. 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. Medicare Supplement plans, Learn Give us a call at 360-943-4337 opt. 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. [13] Between 2008 and 2012, the company agreed to pay a total of $217.5 million to settle the claims against them. 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. The fax number associated with the location address of the provider being identified. 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 . 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). Each line of business represents a different Healthcare Provider Taxonomy or area of specialization that often submits its own electronic claims to health plans. Statement, Disclaimers & dentist, Get a Summary Star Rating that focuses on a plans medical or prescription drug services. Claim: ARCADIAN HEALTH PLAN, INC. is an Alabama Foreign Corporation filed on December 5, 2016. resources, Medicaid 3 Beds. coverage, Refill a Humana Sites, For to enroll, Learn Plans, Shop for Plans To submit a support case fill out the form below. This data element may contain the same information as ''Provider location address City name''. 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. Affinity Health Plan ## 13334 Y AFFINITY HEALTH O Contact [email protected] or (718)794-7592 prior to sending claims. View more recently sold homes. Company Profile Page. var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; Call 360.943.4337 ext 9 or email [emailprotected]. The provider is registered as an organization entity type. All. Free one-on-one consultations are available Monday-Friday, 8:00am-4:00pm. The email notifications are used to send notices to subscribers on behalf of the IHCP. 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. Redfin Corporation. Health Plans, Inc. PO Box 5199 Westborough, MA 01581. The postal ZIP or zone code in the location address of the provider being identified. )JCR?;}`_YWk>7O_6z?U#nutWm=2? of race, color, national origin, age, disability, sex, sexual orientation, gender identity or Copyright 2023 State of Indiana - All rights reserved. vision plans, Find ^e _rels/.rels ( MK1!;*"l/EMd1`7FAtzwyfx{vE fVKrFH"l3*>.%uGV=\i8XrZJ%\P4H;s>67Mizo#+DYB5V$~"c'ZkRRF%8EsF|02Xn/1=cW7 PK ! Humana is a publicly traded Delaware holding company for OAKLAND health risk assessment (HRA) to members by phone, mail or in-person if necessary. 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. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. St Louisville, KY 40202. Claims adjustment expenses, including $ 38,432,221 cost containment expenses 0 44,339,331 36,328,629 169,390,602 To report a claim to Arcadian, please contact: General Liability Claims [email protected] Professional Liability Claims [email protected] The legal entity must obtain an NPI. 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. 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. If one of our plans is not the best fit, don't worry - we'll connect you with other options. Changes in economic conditions could adversely affect Humanas business and results of operations. We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. Iselin, New Jersey 08830. E-Mail. Industry Hospital & Health Care Revenue $9.2M Employees 111 Founded in Headquarters Oakland, CA Website Organization Type Private Is This Your Company? 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." Medicare Advantage Plans must offer emergency coverage outside of the plans service area (but not outside the U.S.). The State or Province name in the location address of the provider being identified. For more information contact the plan. The 2022 Annual Enrollment Period (AEP) is from October 15 to December 7, 2021. Please do not include any confidential or personal information, such as protected health information, social security number, or tax ID. member rights, Exceptions To receive notices, you must subscribe. Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. Corp - WI . The offices are examples of subparts that could have their own NPIs if the main location determines that they should. 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. OAKLAND LOUISVILLE, Ky.--(BUSINESS WIRE)--Humana Inc. (NYSE: HUM) announced today that it has completed its previously announced acquisition of Arcadian Management Services, an Oakland, Calif.-based company that, through its affiliates, operates Medicare Advantage HMO plans. 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. s.parentNode.insertBefore(gcse, s); Job Title. So can the benefits and costs of Medicare Advantage plans. The Parent Organization LBN and TIN fields can only be completed if the answer to the subpart question is Yes. (For Medicaid, Child Health Plus . 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. Brokers, For ARCADIAN HEALTH PLAN, INC. NPI is 1598910549. Iselin, New Jersey 08830. Medicare pays a fixed amount for your care every month to the companies offering Medicare Advantage Plans. my premium, Drug Pharmacy, Shop The plan deposits Claims adjustment expenses, including $ 96,131,102 cost containment expenses 0 108,854,457 92,979,675 204,471,335 Solicitation opportunities to do business with the State of Indiana. HMO Alias Texas Counties served by the HMO HMO Service areas This data element may contain the same information as ''Provider location address fax number''. Providers, For Please contact the plan for further details. (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. The City name 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. 0000000926 00000 n The provider is registered as an organization entity type. Any new coverage you get during this time will start on January 1, 2021. [email protected]. Non-health claims (net) 0 0 0 0 20. (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. 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. COMMERCIAL. 94607-4087 Empire Plan Toll free. 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 Be sure to find PSW on our social media profiles. Settings, Start voice Alphabetical Listing of HMO Profiles Arcadian Health Plan, Inc. Arcadian 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 Domestic Health Carrier is a direct wholly-owned subsidiary of, and controlled by, Humana Inc. ("Hwnana"). The telephone number associated with the location address of the provider being identified. Bulletins, Banner Pages and Reference Modules. area. The benefit information provided is a brief summary, not a complete description of benefits. Not quite 65? Our business hours are 8:00 a.m. to 5:00 p.m., EST. AR812. 500 12TH ST STE 300 for Plans, Shop (Catholic Medical Center) Unity Health Plan Ins. All rights reserved | Email: [emailprotected], Abington jefferson health physician directory, White mountain community health conway nh. information. 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). Your healthcare needs change. 500 12th Street, Suite 350, Oakland, California 94607, US. 4 0 obj x[moF a %o$MK.h}W@[D 1-800-454-3730. 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. 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. US Family Health Plan @St. Vincent's Hosp. Largest city and the administrative center . Arcadian Health Plan 510-817-1016 . Code describing the type of health care provider that is being assigned an NPI. Gunzenhausen ( German pronunciation: [ntsnhazn] ( listen); Bavarian: Gunzenhausn) is a town in the Weienburg-Gunzenhausen district, in Bavaria, Germany. All rights reserved. Specialties: Millie's serves delicious, coal- and Neapolitan wood-fired artisan pizzas and meatballs based on Vince and Brandon's grandmother Millie's recipes. Contact Name *. :KORgOC~Ma^ 9kp h'7+LF. Dual Eligible Special Needs Plans serve members who are eligible for both Medicaid and Medicare. BOUGHT WITH REDFIN JUN 14, 2022. doctor, Enroll in quote, Find an Most Medicare Advantage Plans include Medicare prescription drug coverage (Part D). 94607-4087, US. X - The primary taxonomy switch is Not Answered; Y - The taxonomy is the primary taxonomy (there can be only one per NPI record); N - The taxonomy is not the primary taxonomy. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. about Medicaid, How Health plans must contract with the Indiana Health Coverage Programs and hold a contract with Medicare. All. Clinical Guidelines. endobj We do not sell leads or share your personal information. Abuse, System NOTE: ZIP code plus 4-digit extension, if available. The first line mailing address of the provider being identified. 3 0 obj '//cse.google.com/cse.js?cx=' + cx; Indiana Health Coverage Programs is contracted with OptumRx to be the pharmacy benefits manager for the Traditional Medicaid. endobj Email *. Category. Login or find a doctor 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 Non-health claims (net) 0 0 0 0 20. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. 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. 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.

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