Medicare Advantage Plans must offer emergency coverage outside of the plans service area (but not outside the U.S.). An Overall Star Rating that combines all of a plans scores. Category. Physician Case Management Referral. 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": Providence of Oregon Health Plan. Iselin, New Jersey 08830. Providers, For information and language options. vision plans, Find Humana and Arcadian are working together to ensure a seamless transition of the Medicare business. 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. 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. 0000002619 00000 n Contact Name Kelly Gaskins . 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. If one of our plans is not the best fit, dont worry well connect you with other options. 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 postal ZIP or zone code in the location address of the provider being identified. 1 - 2) December 31 Prior Year Net . TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. Your healthcare needs change. a dentist, Get Affinity Health Plan ## 13334 Y AFFINITY HEALTH O Contact EDI@Affinityplan.org or (718)794-7592 prior to sending claims. This data element may contain the same information as ''Provider location address State name''. Certain taxonomy selections will require you to enter your license number and the state where the license was issued. 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 Completes Acquisition of Arcadian Management Services 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. This data element may contain the same information as ''Provider location address telephone number''. (Catholic Medical Center) Unity Health Plan Ins. Gunzenhausen - Wikipedia 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. 1-800-454-3730. This page contains Indiana Health Coverage Programs (IHCP) Companion Guides for Health Insurance Portability and Accountability Act (HIPAA) version 5010 electronic transactions. 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. The securities and credit markets may experience volatility and disruption, which may adversely affect Humanas business. 182. 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. Members may enroll in a Medicare Advantage plan only during specific times of the year. Copyright 2023 State of Indiana - All rights reserved. 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. %PDF-1.5 The State or Province name in the mailing address of the provider being identified. Gunzenhausen ( German pronunciation: [ntsnhazn] ( listen); Bavarian: Gunzenhausn) is a town in the Weienburg-Gunzenhausen district, in Bavaria, Germany. To send us a message so we can call you, click here. Branch Branch of ARCADIAN HEALTH PLAN, INC. (Washington (US)) Registered Address 500 W MAIN ST LOUISVILLE KY 40202 United States Agent Name C T CORPORATION SYSTEM Agent Address 330 N BRAND BLVD STE # 700 GLENDALE CA 91203 Directors / Officers C T CORPORATION SYSTEM, agent Inactive Directors / Officers BRUCE D BROUSSARD, chief executive officer 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 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. To find out more, visit Medicare.gov. Industry: Health insurance carriers Printer Friendly View Address: 500 12TH St Ste 350 Oakland, CA, 94607-5204 United States See other locations a pharmacy, Compare card, View Largest city and the administrative center . information. wellness & rewards, Member Filing Date: October 29, 2013. 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 . For Providers :: The Health Plan gcse.async = true; Physician group practices struggle with bundled payments: study. 3 Beds. 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. Medicaid is a state-administered program, and each state sets its own guidelines regarding eligibility and services. Requirements, full accessibility rights 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 . Medicare Advantage Plans must cover all of the services that Original Medicare covers except hospice care. You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID . 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. Changes in economic conditions could adversely affect Humanas business and results of operations. Copyright 2007-2023 HIPAASPACE. Neighbouring districts are (from the north clockwise) Ansbach, Roth, Eichsttt and Donau-Ries. AR812. 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 first line location address of the provider being identified. 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. H5619 Arcadian Health Plan (Humana, Inc.) . View more recently sold homes. 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. US. This data element may contain the same information as ''Provider location address fax number''. 500 12TH ST STE 300 (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. 94607-5204, US. 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 Humanas ability to obtain funds from its subsidiaries is restricted by state insurance regulations. Clear. Star Ratings are calculated each year and may change from one year to the next. [14] [15] [16] 2008-2019 [ edit] [k@+%#bP{U Zbl;0RZ%U$+Ylft(s?-FUg dnt`q. 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. Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. The fax number associated with the mailing address of the provider being identified. Indiana Medicaid: Partners: Dual Eligible Special Needs Plans PDF Arcadian Health Plan Inc., H5619 Dual Eligible Medicare Zero Cost Copyright 2007-2023 HIPAASPACE. 500 12th St # 350. PDF H5619 Arcadian Health Plan (Humana, Inc.) Dual Eligible (Dual Eligible To report a claim to Arcadian, please contact: General Liability Claims glclaims@arcadian-risk.com Professional Liability Claims plclaims@arcadian-risk.com BOUGHT WITH REDFIN JUN 14, 2022. All. The telephone number associated with mailing address of the provider being identified. 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. in a plan, Shop )JCR?;}`_YWk>7O_6z?U#nutWm=2? Medicaid updates; check other areas of interest on the drop-down list to receive notices for other types of If Humana fails to develop and maintain satisfactory relationships with the providers of care to its members, the companys business may be adversely affected. Register for a MyHumana Important information to all providers and software developers that communicate via electronic data interchange (EDI) format and direct data entry (DDE). 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. Please contact the plan for further details. A field cannot contain all special characters. 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"). Library, Sign 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. 4 0 obj Medicare Supplement plans, Learn Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. If the organization is a subpart = , the Parent Organization Legal Business Name (LBN) and Parent Organization Taxpayer Identification Number (TIN) fields must be completed. 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. HPI | Provider Resources | Patient Benefits & Eligibility 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 The HMO Alias list is an Excel spreadsheet. ARCADIAN HEALTH PLAN, INC. :: Washington (US) - OpenCorporates The 2022 Annual Enrollment Period (AEP) is from October 15 to December 7, 2021. 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. Arcadian Health Plan, Inc. - Texas Department of Insurance Arcadian Health Plan Claims Address Please call our Customer Service Department if you need to talk about protected/private health information. 510-832-0311. Arcadian Health Plan is a small health care company based in Oakland, CA with only 111 employees and an annual revenue of $9.2M. claims, Check 1 - 2) December 31 Prior Year Net . (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. See our full accessibility rights PDF STATEMENT AS OF JUNE 30, 2022 OF THE Arcadian Health Plan, Inc. 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 . NOTE: ZIP code plus 4-digit extension, if available. Settings, Start voice Corp - WI . Cancer Resource Services . D-SNP-eligible individuals have the option to enroll in a D-SNP health plan during their Medicare annual election period or quarterly during the special enrollment period. 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. Kareo ID *. 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. Limitations, copayments, and restrictions may apply. Give us a call at 360-943-4337 opt. enroll, Find a group products, Member Resources (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. So can the benefits and costs of Medicare Advantage plans. 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. Arcadian Health Plan Company Profile | Management and Employees List 500 12th Street, Suite 350, Oakland, California 94607, US. Many Medicare Advantage Plans also offer extra benefits such as dental care, eyeglasses, or wellness programs. Arcadian Health Plan Claims Address - Explore Recent The 10-position telephone number of the authorized official. The first name of the authorized official, The title or position of the authorized official. OAKLAND, CA 94607-5204 Meet your Practice Management Consultant. If you need help, see our support page. The plan deposits The benefit information provided is a brief summary, not a complete description of benefits. D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. Medicare Advantage organizations interested in operating a D-SNP plan in Indiana should contact Andrew Bean at Andrew.Bean@fssa.IN.gov. Humanas business activities are subject to substantial government regulation. We are not compensated for Medicare plan enrollments. 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. 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. 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." STATEMENT AS OF SEPTEMBER 30, 2021 OF THE Arcadian Health Plan, Inc. ASSETS Current Statement Date 4 1 Assets 2 Nonadmitted Assets 3 Net Admitted Assets (Cols. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. guidance, Humana member To enroll, eligible individuals should reach out to a specific health plan or contact Medicare at 800-MEDICARE. 94607-4087, US. PSW licensed agents can answer your questions on Medicare, Medicare Advantage and the specific health plans we offer. 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. 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. area. Please do not include any confidential or personal information, such as protected health information, social security number, or tax ID. Medicare drug (Part D) plans, Shop px. < RgJfrZO^!Cr]bL46 latDlb7W%Gfa?;^nh(T\[r559ES>72pGAgTd#m,A?bnT}O|G?! 1,507 Sq. This data element may contain the same information as ''Provider location address City name''. 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 Be sure to find PSW on our social media profiles. The country code in the location address of the provider being identified. member rights, Exceptions To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), Jan 3, 2023 . 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. The enumeration date of this NPI Number is 11/18/2008. 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 Visit PSWs Annual Enrollment Period (AEP) page to learn more. Health Plan/Payer Organization Name (Legal Business Name), Health Plan/Payer Business Telephone Number, Health Plan/Payer Business E-Mail Address, Health Plan/Payer Business Mailing Address First Line, Health Plan/Payer Business Mailing Address City Name, Health Plan/Payer Business Mailing Address State Name, Health Plan/Payer Business Mailing Address Zip Code. gcse.src = (document.location.protocol == 'https:' ? Irma Lopez - Claims Auditor - Arcadian Health Plan | LinkedIn Caregivers, Go365 Wellness for group products, Learn The Parent Organization LBN and TIN fields can only be completed if the answer to the subpart question is Yes. endobj 2,148 Sq. Based in Olympia, WA for more than 25 years, PSW is locally owned and managed by physicians. Our agents put your needs first. Changes in the prescription drug industry pricing benchmarks may adversely affect Humanas financial performance. OAKLAND 1 , http://www.empireplanproviders.com/contact.htm. Jan 3, 2023 09:43pm. Get the most out of your plan. Log In to Availity However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. Most include Medicare prescription drug coverage (Part D). quote, Find an Ratings by category. If the plan accepts the monthly fee then the plan agrees to be responsible for the Medicare co-payments, co-insurance or deductibles. information and language options. 2.5 Baths. input, Indiana Dually-Eligible Special Needs Plans: key plan resources, Indiana Dual Eligible Special Needs Plans 837P and 837I Encounters Data Submitter Information Companion Guide, Indiana Dual Eligible Special Needs Plans Prescription Drug Event (PDE) Data Submitter Information Companion Guide, For additional information about D-SNP plans, visit the CMS website for. This data element may contain the same information as ''Provider first line location address''. $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 . Unit 13- Lease Alienation. File Number: 3615733. Our. PDF Participating Insurances Its important to check with your doctor to confirm which Medicare Advantage plans they are accepting. Health (8 days ago) Web101 Wood Avenue South, 8th Floor. 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). Health Plan/Payer Business E-Mail Address. It is located in the south of Middle Franconia, 50 kilometres south of Nuremberg. Star Ratings are calculated each year and may change from one year to the next. 1521 Arcadian Lily, San Antonio, TX 78245 | MLS# 1668282 | Redfin PDF Institutional Claim Payers List (03/01/2023) - Optum