Medicare drug (Part D) plans, Shop Indiana Health Coverage Programs works with four health plans to serve as managed care entities for the Hoosier Healthwise, Hoosier Care Connect and Healthy Indiana Plan programs. Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. 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. 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. Most include Medicare prescription drug coverage (Part D). Physician group practices struggle with bundled payments: study. info) is a Landkreis (district) in the west of Bavaria, Germany with a population of 95,000. The provider is registered as an organization entity type. BOUGHT WITH REDFIN JUN 14, 2022. The Parent Organization LBN and TIN fields can only be completed if the answer to the subpart question is Yes. 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"). Category. area. PSW licensed agents can answer your questions on Medicare, Medicare Advantage and the specific health plans we offer. Claims adjustment expenses, including $ 126,895,463 cost containment expenses 0 145,900,023 120,817,947 169,390,602 Redfin Corporation. 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. Humanas ability to obtain funds from its subsidiaries is restricted by state insurance regulations. We also provide free language interpreter services. 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. Our business hours are 8:00 a.m. to 5:00 p.m., EST. Register Star Ratings are calculated each year and may change from one year to the next. account today. group products, Member Resources Our agents put your needs first. )JCR?;}`_YWk>7O_6z?U#nutWm=2? So can the benefits and costs of Medicare Advantage plans. 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. Member Services Phone Number. Indiana Health Coverage Programs is contracted with OptumRx to be the pharmacy benefits manager for the Traditional Medicaid. Most Medicare Advantage Plans include Medicare prescription drug coverage (Part D). 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. Downgrades in Humanas debt ratings, should they occur, may adversely affect its business, results of operations, and financial condition. It is situated on the river Altmhl, 19 kilometres (12 mi) northwest of Weienburg in Bayern, and 45 kilometres (28 mi) southwest of Nuremberg. 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. Email *. To submit a support case fill out the form below. 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 1 - 2) December 31 Prior Year Net . 500 12TH ST STE 300 wellness & rewards, Member Iselin, New Jersey 08830. Arcadian Health Plan Apr 2006 - Present16 years 4 months Run daily accounts payable claims and audit edits reports. If the organization is a subpart = , the Parent Organization Legal Business Name (LBN) and Parent Organization Taxpayer Identification Number (TIN) fields must be completed. 0000000926 00000 n The provider is registered as an organization entity type. Our claims professionals have extensive claims handling experience for a variety of business lines. PSW is a private company and not a health plan. resources, Medicaid Physician Case Management Referral. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Star ratings are assigned to Medicare Advantage plans by the Centers for Medicare and Medicaid Services (CMS). For Providers. during the calendar year will owe a portion of the account deposit back to the plan. Non-health claims (net) 0 0 0 0 20. Meet your Practice Management Consultant. File Number: 3615733. 500 12th St # 350. Free one-on-one consultations are available Monday-Friday, 8:00am-4:00pm. Important information to all providers and software developers that communicate via electronic data interchange (EDI) format and direct data entry (DDE). 2.5 Baths. stream Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. Health Plan/Payer ID Codes, also known as Receiver Codes, are the primary identifier used to route your EDI transaction to the appropriate entity. 9, or toll-free at 1-877-943-4337 FSSA updates. Arcadian Health - TEXAS Artisan Provider Network *TRPN (Three Rivers Provider Network) PPO, WC, INJURY . 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). Gainwell provides a number services to the IHCP, including provider enrollment, customer service, eligibility verification, and fee-for-service claim processing. 4 0 obj 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. your health, Preventive Providers who do not contract with the plan are not required to see you except in an emergency. To find out more, visit Medicare.gov. religion. All. About Arcadian Health: Arcadian Health, founded in 1996, provides Medicare Advantage coverage through its affiliates in the following 15 states: . Jan 3, 2023 . 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. Claim: ARCADIAN HEALTH PLAN, INC. is an Alabama Foreign Corporation filed on December 5, 2016. Medicaid contracts each year with plans that are willing to accept a monthly fee for each recipient in their program. Providers, For (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. x[moF a %o$MK.h}W@[D Login or find a doctor (3) A pharmacy fills prescriptions for patients whose physicians have prescribed medications for them and may also rent or sell durable medical equipment to patients whose physicians have ordered such equipment for them. a dentist, Get 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. Our agents put your needs first. The contact numbers associated with the mailing address are: The authorized official registered with the 1598910549 NPI Number is JAMES NOVELLO. The postal ZIP or zone code in the location address of the provider being identified. It includes the 3 months before the month of your birthday, your birth month, and the 3 months after the month of your birthday. Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The legal entity must obtain an NPI. Pennsylvania corporation ("Aetna"), of Arcadian Health Plan, Inc., a health care service contractor domiciled in the State of Washington (the "Domestic Health Carrier"). %PDF-1.5 2 0 obj Changes in the prescription drug industry pricing benchmarks may adversely affect Humanas financial performance. We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. fi% xl/_rels/workbook.xml.rels ( Mk0$nez:8`gk(%b_=65q"0{?mY$M! Provide organization name (legal business name used to file tax returns with the IRS). a plan, Find a This data element may contain the same information as ''Provider location address fax number''. Find information about the healthcare programs included under the Indiana Health Coverage Programs (IHCP) umbrella the primary programs serving most children and adults as well as those designed to serve special member populations. var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; All members complete the annual HRA CA For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), This news release includes forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. This webpage represents 1598910549 NPI record. Give us a call at 360-943-4337 opt. 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. 3 Beds. COMMERCIAL. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Net of the divestitures, the acquisition will increase Humanas health plan membership by approximately 50,000 Medicare HMO members. Jan 3, 2023 05:55pm. Gainwell Technologies has been contracted with the state of Indiana since 1991. The first name of the authorized official, The title or position of the authorized official. Each line of business represents a different Healthcare Provider Taxonomy or area of specialization that often submits its own electronic claims to health plans. All rights reserved. To report a claim to Arcadian, please contact: General Liability Claims glclaims@arcadian-risk.com Professional Liability Claims plclaims@arcadian-risk.com 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. 2,148 Sq. If one of our plans is not the best fit, don't worry - we'll connect you with other options. menu, Find a bs [Content_Types].xml ( UKO0|]5naVi _L;qZRR%Qb{$4WbTEE%EV6xPL''?XpJ4DBJp Copyright 2007-2023 HIPAASPACE. To determine individual service areas, please call the health plans' customer service numbers provided (see below). Address. Members may enroll in a Medicare Advantage plan only during specific times of the year. NOTE: ZIP code plus 4-digit extension, if available. about Humana Pharmacy, Find HMO Alias Texas Counties served by the HMO HMO Service areas Rights and Responsibilities. Your Initial Enrollment Period (IEP) is the 7-month period you have when you first become eligible to sign up for Medicare. 183. . Arcadian Health Plan, Inc. is located in Oakland, CA and the phone number for Arcadian Health Plan, Inc. claims, customer, service, and Read more Claims Resources for Providers - Humana https://www.humana.com/provider/medical-resources/claims-payments License # 00187-0009, or administered by Humana Insurance Company or Humana Health Plan, Inc. 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. Give yourself a birthday gift. We do not sell leads or share your personal information. $e_ofvZp$QH"}wWWo>H!qyJ :KORgOC~Ma^ 9kp h'7+LF. Claim This Company Page What do people say about Arcadian Health Plan NPI record contains FOIA-disclosable NPPES health care provider information. Kareo ID *. 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. Humana anticipates that the divestitures would be effective January 1, 2013. health conditions, Home Doctor, Health & Well-being DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. Increased litigation and negative publicity could increase the companys cost of doing business. The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. Health Plan/Payer Business Mailing Address First Line. The city name in the location address of the provider being identified. The HMO Alias list is an Excel spreadsheet. The telephone number associated with mailing address of the provider being identified. 3.8 . 1-877-7NYSHIP (1-877-769-7447), choose UnitedHealthcare . Claims: 61101 Encounters: 61102 Advanced claims editing All EDI submissions to Humana pass through Availity. to enroll, Learn 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. These estimates, however, involve extensive judgment, and have considerable inherent variability that is extremely sensitive to payment patterns and medical cost trends. a healthcare plan, Humana If Humana fails to develop and maintain satisfactory relationships with the providers of care to its members, the companys business may be adversely affected. (For Medicaid, Child Health Plus . (function() { Ratings by category. E-Mail. Get the most out of your plan. Job Title. eye doctor, How to Statement, Disclaimers & The Medicare Program rates all health and prescription drug plans each year, based on a plans quality and performance. Medicaid updates; check other areas of interest on the drop-down list to receive notices for other types of 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. (Catholic Medical Center) Unity Health Plan Ins. NPI Number 1598910549 has the "Organization" type of ownership and has been registered to the following primary business legal This data element may contain the same information as ''Provider location address country code''. Clear. Library, Sign 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. To send us a message so we can call you, click here. care & community support, Humana Medicare Advantage Plans must offer emergency coverage outside of the plans service area (but not outside the U.S.). Practice Name *. PSW is committed to quality improvement, clinical integration and meaningful measures of value. The Domestic Health Carrier is a direct wholly-owned subsidiary of, and controlled by, Humana Inc. ("Hwnana"). Responsibility, Internet Privacy St Louisville, KY 40202. Preferred Medical Claim Premier Health - PPO - SC Prime Health Services Priority Health (Michigan) . 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. 1 , http://www.empireplanproviders.com/contact.htm. Gunzenhausen ( German pronunciation: [ntsnhazn] ( listen); Bavarian: Gunzenhausn) is a town in the Weienburg-Gunzenhausen district, in Bavaria, Germany. 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." The email notifications are used to send notices to subscribers on behalf of the IHCP. })(); Enter your ZIP Code and click "Show Available Medicare Advantage Plans", 2023 Medicare Advantage Plan Benefit Details, 2023 Medicare Advantage Plan Benefit Details for the Arcadian Health Plan - Plus (HMO), Find a 2023 Medicare Advantage Plan (Health and Health w/Rx Plans), Browse Any 2023 Medicare Plan Formulary (or Drug List), Q1Rx Drug-Finder: Compare Drug Cost Across all 2023 Medicare Plans, Find Medicare plans covering your prescriptions, Medicare plan quality and CMS Star Ratings, Understanding Your Explanation of Benefits, IRMAA: Higher premiums for higher incomes, 2023 Medicare Advantage Plans State Overview, Find a 2023 Medicare Advantage Plan by Drug Costs. Requirements, full accessibility rights Limitations, copayments, and restrictions may apply. 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. CA OAKLAND, CA VIRGINIA PREMIER HEALTH PLAN, INC. H9952 H9955 MOLINA HEALTHCARE OF OHIO, INC. State Integration Status Applicable Integrated Plan Coordination-Only FIDE . 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. 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 PSW contracts with local doctors and Medicare Advantage health plans to offer you a choice in finding a health plan that best meets your healthcare needs. Humana and Arcadian are working together to ensure a seamless transition of the Medicare business. A field cannot contain all special characters. This data element may contain the same information as ''Provider location address City name''. )?2%n@/xh^}J_}1e6Z^A(}&XdD{Y\|/wH?Ksp?{~Gs8xZ[&iqy2yww$Rfb)~fG=tvvkAdDf75?+PUvkTVAZV5S}&$,i Z_/ }'UrJ0 d] guidance, Humana member St Louisville, KY 40202. During this time, you have several options: enroll in, leave or switch your Medicare Advantage health plan. 3.8 Work-Life Balance. ARCADIAN HEALTH PLAN Pay & Benefits reviews Review this company. 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. You can call us if you have a question about your insurance plan or a health problem. For information about IHCP policies, procedures, and billing guidance (including information about electronic transactions), access these IHCP reference documents. User ID: Password: Show password The plan deposits A landfill site, also known as a tip, dump, rubbish dump, garbage dump, or dumping ground, is a site for the disposal of waste materials. <>>> The authorized official title (position) is SR. VP AND GENERAL COUNSEL. Provider Relations Phone Number. 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). Contact Us About The Company Profile For Arcadian Health Plan, Inc. Humanas business may be materially adversely impacted by CMSs adoption of the new coding set for diagnoses. Humana Sites, For Non-health claims (net) 0 0 0 0 20. information and language options. D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. TTY users should call, 1-800-325-0778; or your state Medicaid Office. Solicitation opportunities to do business with the State of Indiana. Medicaid is a state-administered program, and each state sets its own guidelines regarding eligibility and services. In light of these risks, uncertainties, and assumptions, the forward-looking events discussed herein may or may not occur. UHS-DE and UHS-Fuller stipulated that physically violent or assaultive patients created a hazard for those at the Worksite. Get the most out of your plan. about group insurance, Member pharmacy, Shop for Health Plan/Payer Business Fax Number. Visit PSWs Annual Enrollment Period (AEP) page to learn more. A field cannot contain all special characters. . Secondary Claims: YES: . Industry Hospital & Health Care Revenue $9.2M Employees 111 Founded in Headquarters Oakland, CA Website Organization Type Private Is This Your Company? 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. Contact Us Give us a call at 360-943-4337 opt. The first line location address of the provider being identified. Many Medicare Advantage Plans also offer extra benefits such as dental care, eyeglasses, or wellness programs. PK ! Based in Olympia, WA for more than 25 years, PSW is locally owned and managed by physicians. Call 360.943.4337 ext 9 or email [emailprotected]. Ft. 12435 Jacobs Pond, San Antonio, TX 78253-5505. 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 . gcse.type = 'text/javascript'; 500 12th Street, Suite 350, Oakland, California 94607, US. Medicare Star Ratings can help you learn how a Medicare Advantage plan is doing. for group products, Learn 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. <> Settings, Start voice The coal oven burns over 650+ degrees and can produce pies in five minutes. Industry: Health insurance carriers Printer Friendly View Address: 500 12TH St Ste 350 Oakland, CA, 94607-5204 United States See other locations 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. Arcadian is dedicated to improving the health of our members by providing access to high quality and cost effective health care. Your healthcare needs change. gcse.src = (document.location.protocol == 'https:' ?
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