Prep task 1. group products, Member Resources 1 - 2) December 31 Prior Year Net . Humanas ability to obtain funds from its subsidiaries is restricted by state insurance regulations. <> If one of our plans is not the best fit, don't worry - we'll connect you with other options. Iselin, New Jersey 08830. 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. Arcadian strives to manage claims in an efficient, timely and prudent manner. D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. The offices are examples of subparts that could have their own NPIs if the main location determines that they should. guidance, Using In light of these risks, uncertainties, and assumptions, the forward-looking events discussed herein may or may not occur. Medicare Advantage Plans must cover all of the services that Original Medicare covers except hospice care. (For Medicaid, Child Health Plus . 0000000926 00000 n The provider is registered as an organization entity type. 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. Humanas acquisition of Arcadian is not expected to materially impact its financial earnings guidance for the year ending December 31, 2012. Register for a MyHumana prescription, Manage Copyright 2007-2023 HIPAASPACE. NPI Number information was last time updated on 12/01/2010. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. 1 - 2) December 31 Prior Year Net . s.parentNode.insertBefore(gcse, s); 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. The State or Province name in the mailing address of the provider being identified. 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. 94607-4087 US. about Medicare, Find Fax. 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. during the calendar year will owe a portion of the account deposit back to the plan. 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. Contact the Medicare plan for more information. 1-877-7NYSHIP (1-877-769-7447), choose UnitedHealthcare . Claims adjustment expenses, including $ 126,895,463 cost containment expenses 0 145,900,023 120,817,947 169,390,602 Humana anticipates that the divestitures would be effective January 1, 2013. Preferred Medical Claim Premier Health - PPO - SC Prime Health Services Priority Health (Michigan) . Employers, For Agents & x[moF a %o$MK.h}W@[D We also provide free language interpreter services. Health plans must contract with the Indiana Health Coverage Programs and hold a contract with Medicare. for Plans, Shop Ft. 12414 Tallow Cir, San Antonio, TX 78253-5253. Give us a call at 360-943-4337 opt. Other Select Foreign Country in the state drop down box if the license was issued outside of United States. The provider's official mailing address is: 500 12TH ST STE 350 Our agents put your needs first. 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 . COMMERCIAL. These companies must follow rules set by Medicare. 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. It includes the 3 months before the month of your birthday, your birth month, and the 3 months after the month of your birthday. Our business hours are 8:00 a.m. to 5:00 p.m., EST. The first name of the authorized official, The title or position of the authorized official. 9, or toll-free at 1-877-943-4337 When registering your email, check the category on the drop-down list to receive notices of 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. in to Go365.com, Corporate NPI record contains FOIA-disclosable NPPES health care provider information. Archbold Ed Uninsured. Gunzenhausen is a nationally . . 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. Medicare Supplement plans, Learn Medicare Advantage plans, Shop The Health Insurance Portability and Accountability Act (HIPAA) of 1996 contains Portability, Medicaid Integrity Program/Fraud and Abuse, and Administrative Simplification. 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. Specialties: Millie's serves delicious, coal- and Neapolitan wood-fired artisan pizzas and meatballs based on Vince and Brandon's grandmother Millie's recipes. Speak to a PSW Agent today to learn more about your eligibility and options for our Medicare Advantage plans. 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. Claim This Company Page What do people say about Arcadian Health Plan 7 There were over 500 incidents of aggression from June 1, 2019, through the end of 2019. The Registered Agent on file for this company is Corporation Service Company Inc and is located at 641 South Lawrence Street, Montgomery, AL 36104. Codes are: The "Is the organization a subpart?" During this time, you have several options: enroll in, leave or switch your Medicare Advantage health plan. Requirements, full accessibility rights for group products, Learn 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 . We are an independent education, research, and technology company. There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Any failure by Humana to manage acquisitions and other significant transactions successfully may have a material adverse effect on its results of operations, financial position, and cash flows. Arcadian Health - TEXAS Artisan Provider Network *TRPN (Three Rivers Provider Network) PPO, WC, INJURY . This address cannot include a Post Office box. Be sure to find PSW on our social media profiles. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> UHS-DE and UHS-Fuller stipulated that physically violent or assaultive patients created a hazard for those at the Worksite. (function() { Members may enroll in a Medicare Advantage plan only during specific times of the year. Member Services Phone Number. 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. care, Managing a plan, Find a a pharmacy, Compare 1 - 2) December 31 Prior Year Net . All. 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. 1 0 obj 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. Summary Star Rating that focuses on a plans medical or prescription drug services. Solicitation opportunities to do business with the State of Indiana. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. http://www.insuranceproviders.com/companies/arcadian-health-plan-inc/. Please enter your credentials. Locations Primary 500 12th Street, Suite 350 Oakland,. The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The plan deposits 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. Register This data element may contain the same information as ''Provider first line location address''. Providers who do not contract with the plan are not required to see you except in an emergency. About Arcadian Health: Arcadian Health, founded in 1996, provides Medicare Advantage coverage through its affiliates in the following 15 states: . var s = document.getElementsByTagName('script')[0]; 1,507 Sq. Clear. 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. 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. Email *. The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider. a healthcare plan, Humana Many Medicare Advantage Plans also offer extra benefits such as dental care, eyeglasses, or wellness programs. 4 0 obj 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. my premium, Drug To find out more, visit Medicare.gov. to enroll, Learn pharmacy, Shop for 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 H5619 Arcadian Health Plan (Humana, Inc.) . US, 500 12TH ST STE 350 dentist, Get a Login or find a doctor Kareo ID *. Iselin, New Jersey 08830. NOTE: ZIP code plus 4-digit extension, if available. The company's principal . card, View The HMO , https://www.tdi.texas.gov/hmo/profiles/95962.html, Health (8 days ago) Web500 W Main. Star Ratings are calculated each year and may change from one year to the next. 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. Our claims professionals have extensive claims handling experience for a variety of business lines. Responsibility, Internet Privacy 3.8 . Have Inpatient Acute DRGs, SNF, Long Term Care & Home Care claims. in a plan, Shop )JCR?;}`_YWk>7O_6z?U#nutWm=2? 3 Beds. Medicare has neither reviewed nor endorsed the information on our site. 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 . Nearby homes similar to 1521 Arcadian Lily have recently sold between $257K to $257K at an average of $170 per square foot. See our full accessibility rights The enumeration date of this NPI Number is 11/18/2008. Contact Us Give us a call at 360-943-4337 opt. Physician Case Management Referral. Provider Relations Phone Number. 2.5 Baths. US Family Health Plan @St. Vincent's Hosp. Make sure to check out our FAQ page. This data element may contain the same information as ''Provider location address State name''. Program, Humana 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. . 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. NOTE: ZIP code plus 4-digit extension, if available. An Overall Star Rating that combines all of a plans scores. 2,148 Sq. Arcadian is dedicated to improving the health of our members by providing access to high quality and cost effective health care. Provide organization name (legal business name used to file tax returns with the IRS). Any of these risks and uncertainties may cause actual results to differ materially from the results discussed in the forward-looking statements. Arcadian Health Plan is a small health care company based in Oakland, CA with only 111 employees and an annual revenue of $9.2M. 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. <> rights, Prescription savings Fax: 510-817-1894. endobj 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. 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 2 0 obj Payment Policies. The City name in the mailing address of the provider being identified. 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. endobj 94607-5204, US. (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. PSW is committed to quality improvement, clinical integration and meaningful measures of value. 2.5 Baths. We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. Based in Olympia, WA for more than 25 years, PSW is locally owned and managed by physicians. menu, Find a D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. Medicare pays a fixed amount for your care every month to the companies offering Medicare Advantage Plans. 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. Iselin, New Jersey . Any failure to manage administrative costs could hamper Humanas profitability. 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. Gainwell Technologies has been contracted with the state of Indiana since 1991. Abuse, System 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. <>>> It is situated on the river Altmhl, 19 kilometres (12 mi) northwest of Weienburg in Bayern, and 45 kilometres (28 mi) southwest of Nuremberg. 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. OAKLAND Settings, Start voice 500 W Main. 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. All members complete the annual HRA $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 . All rights reserved. A field cannot contain all special characters. Jan 3, 2023 . account today. Visit PSWs Annual Enrollment Period (AEP) page to learn more. 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. Each line of business represents a different Healthcare Provider Taxonomy or area of specialization that often submits its own electronic claims to health plans. about Humana Pharmacy, Find You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID . 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. Accessibility Your Initial Enrollment Period (IEP) is the 7-month period you have when you first become eligible to sign up for Medicare. name (which is a provider name or healthcare organization name) ARCADIAN HEALTH PLAN, INC..

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