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. Health (3 days ago) WebArcadian is dedicated to improving the health of our members by providing access to high quality and cost effective health care. The Health Insurance Portability and Accountability Act (HIPAA) of 1996 contains Portability, Medicaid Integrity Program/Fraud and Abuse, and Administrative Simplification. a plan, Find a The enumeration date of this NPI Number is 11/18/2008. Gateway Health Plan has several different Payer ID numbers please look for the Payer ID on the ID card before submitting. 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. Address. All rights reserved. Indiana Health Coverage Programs is contracted with OptumRx to be the pharmacy benefits manager for the Traditional Medicaid. The telephone number associated with mailing address of the provider being identified. 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. Kareo ID *. 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. The HMO , https://www.tdi.texas.gov/hmo/profiles/95962.html, Health (8 days ago) Web500 W Main. care & community support, Humana 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. The telephone number associated with the location address of the provider being identified. All. Get the most out of your plan. Any of these risks and uncertainties may cause actual results to differ materially from the results discussed in the forward-looking statements. 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. Login or find a doctor 94607-4087 We are an independent education, research, and technology company. MAXIMUS Health Services Inc. has served as the Indiana Health Coverage Programs enrollment broker since 2007. Speak to a PSW Agent today to learn more about your eligibility and options for our Medicare Advantage plans. 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. health risk assessment (HRA) to members by phone, mail or in-person if necessary. Provider Relations Phone Number. A process known as advanced claims editing (ACE) applies coding rules to a medical claim submitted through the Availity gateway via EDI before the claim enters Humana's claim payment system. This address cannot include a Post Office box. We also provide free language interpreter services. Providence of Oregon Health Plan. menu, Manage Caregivers, Go365 Wellness 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. Dual Eligible Special Needs Plans serve members who are eligible for both Medicaid and Medicare. Fax: 510-817-1894. bs [Content_Types].xml ( UKO0|]5naVi _L;qZRR%Qb{$4WbTEE%EV6xPL''?XpJ4DBJp 1-877-7NYSHIP (1-877-769-7447), choose UnitedHealthcare . Health plans must contract with the Indiana Health Coverage Programs and hold a contract with Medicare. A field cannot contain all special characters. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. about Humana Pharmacy, Find 0000002619 00000 n Contact Name Kelly Gaskins . guidance, Humana member In certain situations, you can. Gunzenhausen is a nationally . The 10-position telephone number of the authorized official. Affinity Health Plan ## 13334 Y AFFINITY HEALTH O Contact EDI@Affinityplan.org or (718)794-7592 prior to sending claims. Not quite 65? doctor, Enroll in Provide organization name (legal business name used to file tax returns with the IRS). 4 0 obj Empire Plan Toll free. Brokers, For 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. Your healthcare needs change. Company Profile Page. religion. You can reach the authorized official at the following phone number 510-817-1845. Medicaid will no longer pay these charges. money from Medicare into the account. The company's principal . Certain taxonomy selections will require you to enter your license number and the state where the license was issued. TTY users should call, 1-800-325-0778; or your state Medicaid Office. Iselin, New Jersey 08830. The first line mailing address of the provider being identified. $e_ofvZp$QH"}wWWo>H!qyJ PK ! SOLD JUN 13, 2022. The Parent Organization LBN and TIN fields can only be completed if the answer to the subpart question is Yes. 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 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. A field cannot contain all special characters. The country code in the mailing address of the provider being identified. OAKLAND, CA (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 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. PSW has partnered with Humana and Premera. 500 12th St # 350. We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. Limitations, copayments, and restrictions may apply. 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. To submit a support case fill out the form below. St Louisville, KY 40202. <> Arcadian Health - TEXAS Artisan Provider Network *TRPN (Three Rivers Provider Network) PPO, WC, INJURY . Licensure, Fraud, Waste & The date that a record was last updated or changed. Category. Member Services Phone Number. An Overall Star Rating that combines all of a plans scores. Terms were not disclosed. 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. Gunzenhausen ( German pronunciation: [ntsnhazn] ( listen); Bavarian: Gunzenhausn) is a town in the Weienburg-Gunzenhausen district, in Bavaria, Germany. arcadia_health@humana.com. Contact the Medicare plan for more information. Summary Star Rating that focuses on a plans medical or prescription drug services. 500 12TH ST STE 300 We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. Register Arcadian is dedicated to improving the health of our members by providing access to high quality and cost effective health care. gcse.src = (document.location.protocol == 'https:' ? The provider is registered as an organization entity type. 183. . Visit PSWs Annual Enrollment Period (AEP) page to learn more. The plan deposits Please do not include any confidential or personal information, such as protected health information, social security number, or tax ID. [13] Between 2008 and 2012, the company agreed to pay a total of $217.5 million to settle the claims against them. Whether youre new to Medicare or considering changing plans, learn how Medicare Advantage plans can support the best YOU! H5619 Arcadian Health Plan (Humana, Inc.) . quote, Find an For Claims Status please contact Susan Naanes @ 503-574-7441 or Debra . Health Plan/Payer ID Codes, also known as Receiver Codes, are the primary identifier used to route your EDI transaction to the appropriate entity. This news release includes forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. PSW represents a network of more than 1,000 providers and facilities and works with health plans and health care providers in delivering great patient care. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. Practice Name *. my premium, Drug Our claims professionals have extensive claims handling experience for a variety of business lines. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. rights, Prescription savings 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. NPI Number information was last time updated on 12/01/2010. US Family Health Plan @St. Vincent's Hosp. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. Dual Eligible Special Needs Plans serve members who are eligible for both Medicaid and Medicare. [k@+%#bP{U Zbl;0RZ%U$+Ylft(s?-FUg dnt`q. If Humana fails to develop and maintain satisfactory relationships with the providers of care to its members, the companys business may be adversely affected. Filing Date: October 29, 2013. Prep task 1. Providers, For your health, Member The legal entity must obtain an NPI. claims, Check '//cse.google.com/cse.js?cx=' + cx; pricing guide, Find Fax. PSW licensed agents can answer your questions on Medicare, Medicare Advantage and the specific health plans we offer. prescription, Manage Corp - WI . 2 0 obj 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. (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. for a MyHumana account today. 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. http://www.insuranceproviders.com/companies/arcadian-health-plan-inc/. Jan 3, 2023 05:55pm. a doctor, Enroll This data element may contain the same information as ''Provider location address State name''. UHS-DE and UHS-Fuller stipulated that physically violent or assaultive patients created a hazard for those at the Worksite. The fax number associated with the location address of the provider being identified. You can call us if you have a question about your insurance plan or a health problem. ARCADIAN HEALTH PLAN, INC. 075 093 123 126 136 H5628 MOLINA HEALTHCARE OF UTAH, INC. UT H5649 CENTRAL HEALTH PLAN OF CALIFORNIA, INC. H5703 H5742 SHA, L.L.C H5774 TRIPLE S ADVANTAGE, INC. . gcse.type = 'text/javascript'; Medicaid contracts each year with plans that are willing to accept a monthly fee for each recipient in their program. px. < RgJfrZO^!Cr]bL46 latDlb7W%Gfa?;^nh(T\[r559ES>72pGAgTd#m,A?bnT}O|G?! 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. eye doctor, How to We are not compensated for Medicare plan enrollments. The 2022 Annual Enrollment Period (AEP) is from October 15 to December 7, 2021. 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). support, Shop for This data element may contain the same information as ''Provider location address telephone number''. vision plans, Find 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! to enroll, Learn 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. Most Medicare Advantage Plans include Medicare prescription drug coverage (Part D). Our agents put your needs first. Medicare Supplement plans, Learn About Arcadian Health: Arcadian Health, founded in 1996, provides Medicare Advantage coverage through its affiliates in the following 15 states: . 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. 9, or toll-free at 1-877-943-4337. Claims adjustment expenses, including $ 96,131,102 cost containment expenses 0 108,854,457 92,979,675 204,471,335 BOUGHT WITH REDFIN JUN 14, 2022. To receive notices, you must subscribe. 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). The contact numbers associated with the mailing address are: The authorized official registered with the 1598910549 NPI Number is JAMES NOVELLO. 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). Medicare pays a fixed amount for your care every month to the companies offering Medicare Advantage Plans. 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. Humanas pharmacy business is highly competitive and subjects it to regulations in addition to those the company faces with its core health benefits businesses. 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. COMMERCIAL. 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. Register for a MyHumana information and language options. in your neighborhood, Achieving Non-health claims (net) 0 0 0 0 20. Other Our agents put your needs first. 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. Have Inpatient Acute DRGs, SNF, Long Term Care & Home Care claims. 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. 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. 1 0 obj Medical Policies. Medicare Star Ratings can help you learn how a Medicare Advantage plan is doing. Unit 13- Lease Alienation. This data element may contain the same information as ''Provider location address fax number''. member rights, Exceptions 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 Ratings by category. 1-800-454-3730. 94607-5204, US. 3.8 Work-Life Balance. Plans, Shop for Plans 1 , http://www.empireplanproviders.com/contact.htm. US, 500 12TH ST STE 350 500 W Main. guidance, Using Meet your Practice Management Consultant. 1-800-454-3730. File Number: 3615733. Claim: ARCADIAN HEALTH PLAN, INC. is an Alabama Foreign Corporation filed on December 5, 2016. Changes in economic conditions could adversely affect Humanas business and results of operations. 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. St Louisville, KY 40202. Patient Consent Forms. The offices are examples of subparts that could have their own NPIs if the main location determines that they should. View more recently sold homes. Medicaid updates; check other areas of interest on the drop-down list to receive notices for other types of 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 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. PK ! var gcse = document.createElement('script'); <> Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at, Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the. of race, color, national origin, age, disability, sex, sexual orientation, gender identity or 2,148 Sq. If Humana fails to effectively implement its operational and strategic initiatives, including its Medicare initiatives, the companys business may be materially adversely affected, which is of particular importance given the concentration of the companys revenues in the Medicare business. 510-832-0311. for group products, Learn Claim This Company Page What do people say about Arcadian Health Plan To enroll, eligible individuals should reach out to a specific health plan or contact Medicare at 800-MEDICARE. 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). drug plans & coverage, Prescription If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. Secondary Claims: YES: . 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. Cancer Resource Services . Codes are: The "Is the organization a subpart?" Redfin Corporation. Gainwell Technologies has been contracted with the state of Indiana since 1991. 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. PSW licensed agents can answer your questions on Medicare, Medicare Advantage and the specific health plans we offer. 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 (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. OAKLAND, CA Ft. 12414 Tallow Cir, San Antonio, TX 78253-5253. The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. % There also may be other risks that the company is unable to predict at this time. coverage, Refill a 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. CA 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 . Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. Contact the plan provider for additional information. The company's filing status is listed as Exists and its File Number is 377-482. 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. Abuse, System endobj VIRGINIA PREMIER HEALTH PLAN, INC. H9952 H9955 MOLINA HEALTHCARE OF OHIO, INC. State Integration Status Applicable Integrated Plan Coordination-Only FIDE .