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Physician Case Management Referral. 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 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. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). If one of our plans is not the best fit, dont worry well connect you with other options. health risk assessment (HRA) to members by phone, mail or in-person if necessary. information and language options. Please call our Customer Service Department if you need to talk about protected/private health information. 9, or toll-free at 1-877-943-4337 This data element may contain the same information as ''Provider first line location address''. ARCADIAN HEALTH PLAN Pay & Benefits reviews Review this company. 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 s.parentNode.insertBefore(gcse, s); Increased litigation and negative publicity could increase the companys cost of doing business. info) is a Landkreis (district) in the west of Bavaria, Germany with a population of 95,000. money from Medicare into the account. 1-800-454-3730. 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. 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. Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. The psychiatric unit is an example of a subpart that could have its own NPI if the hospital determines that it should. Important information to all providers and software developers that communicate via electronic data interchange (EDI) format and direct data entry (DDE). Gunzenhausen ( German pronunciation: [ntsnhazn] ( listen); Bavarian: Gunzenhausn) is a town in the Weienburg-Gunzenhausen district, in Bavaria, Germany. Most include Medicare prescription drug coverage (Part D). 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 You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Archbold Ed Uninsured. There also may be other risks that the company is unable to predict at this time. area. ARCADIAN HEALTH PLAN, INC. can be reached at the following phone number(s): Phone: 510-832-0311 The telephone number associated with the location address of the provider being identified. 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. Program, Humana The 2022 Annual Enrollment Period (AEP) is from October 15 to December 7, 2021. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Claims adjustment expenses, including $ 38,432,221 cost containment expenses 0 44,339,331 36,328,629 169,390,602 Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. 1 - 2) December 31 Prior Year Net . 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. 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. $257,000 Last Sold Price. gcse.async = true; Not quite 65? Pennsylvania corporation ("Aetna"), of Arcadian Health Plan, Inc., a health care service contractor domiciled in the State of Washington (the "Domestic Health Carrier"). Its important to check with your doctor to confirm which Medicare Advantage plans they are accepting. 3.8 . Pharmacy, Shop care, Managing OIG: CMS needs to help drugmakers in calculating best Medicare Part B prices. Company Profile Page. User ID: Password: Show password http://www.insuranceproviders.com/companies/arcadian-health-plan-inc/. Arcadian Health Plan Apr 2006 - Present16 years 4 months Run daily accounts payable claims and audit edits reports. OAKLAND The Parent Organization LBN and TIN fields can only be completed if the answer to the subpart question is Yes. (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. You can call us if you have a question about your insurance plan or a health problem. File Number: 3615733. (For Medicaid, Child Health Plus . $20 million net worth lifestyle appleton post crescent archives arcadian health plan, inc claims mailing address 07 jun 2022. arcadian health plan, inc claims mailing addresshouse joint resolution 192 of 1933 Posted by . %PDF-1.5 Patient Consent Forms. The HRA assesses the member's health status and acuity level which, in turn, guides clinical interventions and development of the individualized care plan (ICP). This is the time when you can make changes to your Medicare coverage. gcse.type = 'text/javascript'; CA for a MyHumana account today. )?2%n@/xh^}J_}1e6Z^A(}&XdD{Y\|/wH?Ksp?{~Gs8xZ[&iqy2yww$Rfb)~fG=tvvkAdDf75?+PUvkTVAZV5S}&$,i Z_/ }'UrJ0 d] Humana is a publicly traded Delaware holding company for Largest city and the administrative center . Claim This Company Page What do people say about Arcadian Health Plan [13] Between 2008 and 2012, the company agreed to pay a total of $217.5 million to settle the claims against them. Gainwell Technologies has been contracted with the state of Indiana since 1991. 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. 500 W Main. 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. Bulletins, Banner Pages and Reference Modules. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. 'https:' : 'http:') + 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. To determine individual service areas, please call the health plans' customer service numbers provided (see below). 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 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. We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. name (which is a provider name or healthcare organization name) ARCADIAN HEALTH PLAN, INC.. Location. 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. gcse.src = (document.location.protocol == 'https:' ? Humana anticipates that the divestitures would be effective January 1, 2013. 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. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. 94607-4087 TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. x[moF a %o$MK.h}W@[D 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. 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. You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID . 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. PK ! about Medicare, Find 3 Beds. Category. Ft. 12435 Jacobs Pond, San Antonio, TX 78253-5505. This page contains Indiana Health Coverage Programs (IHCP) Companion Guides for Health Insurance Portability and Accountability Act (HIPAA) version 5010 electronic transactions. Original Medicare covers hospice care even if youre in a Medicare Advantage Plan. PSW has partnered with Humana and Premera. Medicare evaluates plans based on a 5-Star rating system. Medicare drug (Part D) plans, Shop 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. Providers, For The HMO , https://www.tdi.texas.gov/hmo/profiles/95962.html, Health (8 days ago) Web500 W Main. PSW is committed to quality improvement, clinical integration and meaningful measures of value. 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 . 2.5 Baths. 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. Code describing the type of health care provider that is being assigned an NPI. Health (8 days ago) Web101 Wood Avenue South, 8th Floor. 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. COMMERCIAL. Star ratings are assigned to Medicare Advantage plans by the Centers for Medicare and Medicaid Services (CMS). Nearby homes similar to 1414 Arcadian Lily have recently sold between $325K to $325K at an average of $150 per square foot. Claims: 61101 Encounters: 61102 Advanced claims editing All EDI submissions to Humana pass through Availity. Non-health claims (net) 0 0 0 0 20. 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. var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; 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. Iselin, New Jersey 08830. a form, View ID <>>> <> Health plans must contract with the Indiana Health Coverage Programs and hold a contract with Medicare. Call 360.943.4337 ext 9 or email [emailprotected]. 1 - 2) December 31 Prior Year Net . 510-832-0311. Gainwell provides a number services to the IHCP, including provider enrollment, customer service, eligibility verification, and fee-for-service claim processing. The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. Fax: 510-817-1894. Non-health claims (net) 0 0 0 0 20. Practice Name *. 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. in your neighborhood, Achieving Prep task 1. resources, Medicaid Corp - WI . Neighbouring districts are (from the north clockwise) Ansbach, Roth, Eichsttt and Donau-Ries. All members complete the annual HRA Humanas pharmacy business is highly competitive and subjects it to regulations in addition to those the company faces with its core health benefits businesses. a pharmacy, Compare The provider is registered as an organization entity type. The postal ZIP or zone code in the location address of the provider being identified. Register for a MyHumana Medicaid is a state-administered program, and each state sets its own guidelines regarding eligibility and services. Clear. 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. claims, Check Medicare Advantage Plans must cover all of the services that Original Medicare covers except hospice care. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. Unit 13- Lease Alienation. The authorized official title (position) is SR. VP AND GENERAL COUNSEL. 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. The provider's official mailing address is: 500 12TH ST STE 350 Make sure to check out our FAQ page. For information about IHCP policies, procedures, and billing guidance (including information about electronic transactions), access these IHCP reference documents. 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. If Humana fails to develop and maintain satisfactory relationships with the providers of care to its members, the companys business may be adversely affected. Based in Olympia, WA for more than 25 years, PSW is locally owned and managed by physicians. 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. The Domestic Health Carrier is a direct wholly-owned subsidiary of, and controlled by, Humana Inc. ("Hwnana"). 1 - 2) December 31 Prior Year Net . 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. SOLD JUN 13, 2022. NOTE: ZIP code plus 4-digit extension, if available. 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. 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. 1-800-454-3730. Get the most out of your plan. . endobj All. (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). guidance, Humana member It is located in the south of Middle Franconia, 50 kilometres south of Nuremberg. 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). 1-877-7NYSHIP (1-877-769-7447), choose UnitedHealthcare . Iselin, New Jersey 08830. 0000000926 00000 n The provider is registered as an organization entity type. 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. Register Jan 3, 2023 09:43pm. Many Medicare Advantage Plans also offer extra benefits such as dental care, eyeglasses, or wellness programs. To find out more, visit Medicare.gov. Health Plan/Payer Business Fax Number. Have Inpatient Acute DRGs, SNF, Long Term Care & Home Care claims. Drug List, Shop The offices are examples of subparts that could have their own NPIs if the main location determines that they should. Humanas business activities are subject to substantial government regulation.