<> To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). & tools, Humana Completes Acquisition of Arcadian Management Services, Find a 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. The plan deposits BOUGHT WITH REDFIN JUN 14, 2022. 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 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. 2.5 Baths. 8 "Staff injuries from patient violence and/or assaults by patients against staff can result in serious injuries, and have so resulted." 9 Employees were punched in the head (and . OAKLAND 1-800-454-3730. Our business hours are 8:00 a.m. to 5:00 p.m., EST. 500 12th St # 350. The city name in the location address of the provider being identified. group products, Member Resources menu, Manage Clinical Guidelines. Arcadian is dedicated to improving the health of our members by providing access to high quality and cost effective health care. 3 Beds. D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. CA 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 Gunzenhausen ( German pronunciation: [ntsnhazn] ( listen); Bavarian: Gunzenhausn) is a town in the Weienburg-Gunzenhausen district, in Bavaria, Germany. Bulletins, Banner Pages and Reference Modules. care & community support, Humana 1 0 obj Give yourself a birthday gift. 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 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. Any of these risks and uncertainties may cause actual results to differ materially from the results discussed in the forward-looking statements. Whether youre new to Medicare or considering changing plans, learn how Medicare Advantage plans can support the best YOU! The benefit information provided is a brief summary, not a complete description of benefits. SOLD JUN 13, 2022. Medicaid updates; check other areas of interest on the drop-down list to receive notices for other types of 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 Providence of Oregon Health Plan. For information about IHCP policies, procedures, and billing guidance (including information about electronic transactions), access these IHCP reference documents. Health Plan/Payer Business E-Mail Address. Downgrades in Humanas debt ratings, should they occur, may adversely affect its business, results of operations, and financial condition. Documentation Guidelines. Medicare Advantage Plans must offer emergency coverage outside of the plans service area (but not outside the U.S.). ^e _rels/.rels ( MK1!;*"l/EMd1`7FAtzwyfx{vE fVKrFH"l3*>.%uGV=\i8XrZJ%\P4H;s>67Mizo#+DYB5V$~"c'ZkRRF%8EsF|02Xn/1=cW7 PK ! 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. 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. & appeals, Helpful 9, or toll-free at 1-877-943-4337 This news release includes forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Gainwell provides a number services to the IHCP, including provider enrollment, customer service, eligibility verification, and fee-for-service claim processing. about group insurance, Member The coal oven burns over 650+ degrees and can produce pies in five minutes. Medicaid will no longer pay these charges. It includes the 3 months before the month of your birthday, your birth month, and the 3 months after the month of your birthday. 1 - 2) December 31 Prior Year Net . The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. name (which is a provider name or healthcare organization name) ARCADIAN HEALTH PLAN, INC.. Statement, Disclaimers & Jan 3, 2023 05:55pm. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. 94607-4087, US. To determine individual service areas, please call the health plans' customer service numbers provided (see below). Rights and Responsibilities. http://www.insuranceproviders.com/companies/arcadian-health-plan-inc/. You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Physician group practices struggle with bundled payments: study. The company's filing status is listed as Exists and its File Number is 377-482. Ft. 12435 Jacobs Pond, San Antonio, TX 78253-5505. US Family Health Plan @St. Vincent's Hosp. Largest city and the administrative center . 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. vision plans, Find Code describing the type of health care provider that is being assigned an NPI. Arcadian Health Plan is a small health care company based in Oakland, CA with only 111 employees and an annual revenue of $9.2M. The State or Province name in the location address of the provider being identified. Location. PSW licensed agents can answer your questions on Medicare, Medicare Advantage and the specific health plans we offer. Please do not include any confidential or personal information, such as protected health information, social security number, or tax ID. Physician Case Management Referral. account today. your health, Member NPI record contains FOIA-disclosable NPPES health care provider information. coverage, Refill a Medicare Supplement plans, Learn E-Mail. Patient Consent Forms. Use the links on this page to access IHCP provider news items, bulletins, and banner page publications. This data element may contain the same information as ''Provider location address fax number''. Arcadian Health Plan 510-817-1016 . The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. Ft. 12414 Tallow Cir, San Antonio, TX 78253-5253. 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. All rights reserved. 3.8 . Humanas business may be materially adversely impacted by CMSs adoption of the new coding set for diagnoses. 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. :KORgOC~Ma^ 9kp h'7+LF. 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. 94607-4087 User ID: Password: Show password This page contains Indiana Health Coverage Programs (IHCP) Companion Guides for Health Insurance Portability and Accountability Act (HIPAA) version 5010 electronic transactions. Plans, Shop for Plans Get the most out of your plan. We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. about Medicare, Find 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). COMMERCIAL. $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 . 2,148 Sq. endobj Meet your Practice Management Consultant. info) is a Landkreis (district) in the west of Bavaria, Germany with a population of 95,000. Non-health claims (net) 0 0 0 0 20. [13] Between 2008 and 2012, the company agreed to pay a total of $217.5 million to settle the claims against them. Humana anticipates that the divestitures would be effective January 1, 2013. Certain taxonomy selections will require you to enter your license number and the state where the license was issued. 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. 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. It is situated on the river Altmhl, 19 kilometres (12 mi) northwest of Weienburg in Bayern, and 45 kilometres (28 mi) southwest of Nuremberg. Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. menu, Find a 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. These companies must follow rules set by Medicare. 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 . The State or Province name in the mailing address of the provider being identified. Practice Name *. The date that a record was last updated or changed. We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. About Arcadian Health: Arcadian Health, founded in 1996, provides Medicare Advantage coverage through its affiliates in the following 15 states: . D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. Health Plan/Payer Business Fax Number. 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 . 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. PSW is a private company and not a health plan. Locations Primary 500 12th Street, Suite 350 Oakland,. Contact Name *. Contact the plan provider for additional information. Copyright 2007-2023 HIPAASPACE. When registering your email, check the category on the drop-down list to receive notices of Abuse, System x[moF a %o$MK.h}W@[D Login or find a doctor Based in Olympia, WA for more than 25 years, PSW is locally owned and managed by physicians. For Claims Status please contact Susan Naanes @ 503-574-7441 or Debra . Claims adjustment expenses, including $ 38,432,221 cost containment expenses 0 44,339,331 36,328,629 169,390,602 Address. about Humana Pharmacy, Find COMMERCIAL. Medicaid contracts each year with plans that are willing to accept a monthly fee for each recipient in their program. (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). in your neighborhood, Achieving Jan 3, 2023 . 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. a doctor, Enroll a quote, Shop In all types of Medicare Advantage Plans, youre always covered for emergency and urgent care. Provider Relations Phone Number. 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. 3.8 Work-Life Balance. 7 There were over 500 incidents of aggression from June 1, 2019, through the end of 2019. US, 500 12TH ST STE 350 % US. During this time, you have several options: enroll in, leave or switch your Medicare Advantage health plan. For providers with more than one physical location, this is the primary location. 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). endobj Secondary Claims: YES: . St Louisville, KY 40202. Select Foreign Country in the state drop down box if the license was issued outside of United States. OIG: CMS needs to help drugmakers in calculating best Medicare Part B prices. Member Services Phone Number. There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. Providers who do not contract with the plan are not required to see you except in an emergency. File Number: 3615733. Fax: 510-817-1894. eye doctor, How to to enroll, Learn Health (8 days ago) Web101 Wood Avenue South, 8th Floor. 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. enroll, Find a 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. 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. Iselin, New Jersey 08830. 1997. 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. Drug List, Shop 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. PSW is committed to quality improvement, clinical integration and meaningful measures of value. resources, Medicaid This data element may contain the same information as ''Provider location address State name''. To send us a message so we can call you, click here. The date the provider was assigned a unique identifier (assigned an NPI). TTY users should call, 1-800-325-0778; or your state Medicaid Office. rights, Prescription savings 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 Responsibility, Internet Privacy endobj Arcadian Health - TEXAS Artisan Provider Network *TRPN (Three Rivers Provider Network) PPO, WC, INJURY . Medicare evaluates plans based on a 5-Star rating system. Claims: 61101 Encounters: 61102 Advanced claims editing All EDI submissions to Humana pass through Availity. 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).