Gateway Health Plan has several different Payer ID numbers please look for the Payer ID on the ID card before submitting. 1 0 obj It is situated on the river Altmhl, 19 kilometres (12 mi) northwest of Weienburg in Bayern, and 45 kilometres (28 mi) southwest of Nuremberg. 1,507 Sq. a quote, Shop 4 0 obj The contact numbers associated with the mailing address are: The authorized official registered with the 1598910549 NPI Number is JAMES NOVELLO. & appeals, Helpful px. < RgJfrZO^!Cr]bL46 latDlb7W%Gfa?;^nh(T\[r559ES>72pGAgTd#m,A?bnT}O|G?! St Louisville, KY 40202. 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. Medical Policies. Claims: 61101 Encounters: 61102 Advanced claims editing All EDI submissions to Humana pass through Availity. File Number: 3615733. Give us a call at 360-943-4337 opt. a dentist, Get in a plan, Shop Humanas acquisition of Arcadian is not expected to materially impact its financial earnings guidance for the year ending December 31, 2012. 2.5 Baths. All. var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; Humana is a publicly traded Delaware holding company for doctor, Enroll in info) is a Landkreis (district) in the west of Bavaria, Germany with a population of 95,000. 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. Please do not include any confidential or personal information, such as protected health information, social security number, or tax ID. This data element may contain the same information as ''Provider location address State name''. The country code in the mailing address of the provider being identified. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. Contact Us About The Company Profile For Arcadian Health Plan, Inc. Dual Eligible Special Needs Plans serve members who are eligible for both Medicaid and Medicare. Health Plan/Payer Business Fax Number. The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. Ft. 12414 Tallow Cir, San Antonio, TX 78253-5253. COMMERCIAL. If the plan accepts the monthly fee then the plan agrees to be responsible for the Medicare co-payments, co-insurance or deductibles. St Louisville, KY 40202. prescription, Manage Humanas pharmacy business is highly competitive and subjects it to regulations in addition to those the company faces with its core health benefits businesses. Address. Original Medicare covers hospice care even if youre in a Medicare Advantage Plan. The Parent Organization LBN and TIN fields can only be completed if the answer to the subpart question is Yes. 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. 2.5 Baths. 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": 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. Members may enroll in a Medicare Advantage plan only during specific times of the year. $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 . The HMO Alias list is an Excel spreadsheet. savings & tools, Humana Please contact the plan for further details. The fax number associated with the location address of the provider being identified. Gunzenhausen is a nationally . During this time, you have several options: enroll in, leave or switch your Medicare Advantage health plan. 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. Unit 13- Lease Alienation. To submit a support case fill out the form below. for group products, Learn The date the provider was assigned a unique identifier (assigned an NPI). Contact the Medicare plan for more information. Health Plans, Inc. PO Box 5199 Westborough, MA 01581. for a MyHumana account today. 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. endobj If one of our plans is not the best fit, don't worry - we'll connect you with other options. The 10-position telephone number of the authorized official. Alphabetical Listing of HMO Profiles Arcadian Health Plan, Inc. Arcadian Health Plan, Inc. Company Alias [Doing Business As (dba)] This is the name or names of the company under which the company does business. 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. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 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. The city name in the location address of the provider being identified. HMO Alias Texas Counties served by the HMO HMO Service areas Resources, Pay Other Please call our Customer Service Department if you need to talk about protected/private health information. Net of the divestitures, the acquisition will increase Humanas health plan membership by approximately 50,000 Medicare HMO members. You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. 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 Ratings by category. Based in Olympia, WA for more than 25 years, PSW is locally owned and managed by physicians. Archbold Ed Uninsured. A field cannot contain all special characters. 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. Redfin Corporation. 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. 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 location address of the provider being identified. Nearby homes similar to 1414 Arcadian Lily have recently sold between $325K to $325K at an average of $150 per square foot. CA 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). Humana Sites, For Rights and Responsibilities. Specialties: Millie's serves delicious, coal- and Neapolitan wood-fired artisan pizzas and meatballs based on Vince and Brandon's grandmother Millie's recipes. 3 Beds. Claims adjustment expenses, including $ 126,895,463 cost containment expenses 0 145,900,023 120,817,947 169,390,602 Meet your Practice Management Consultant. pharmacy, Shop for Secondary Claims: YES: . Give yourself a birthday gift. The provider is registered as an organization entity type. Claim This Company Page What do people say about Arcadian Health Plan 3.8 . Location. 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. 500 12th St # 350. 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. This data element may contain the same information as ''Provider location address postal code''. Health plans must contract with the Indiana Health Coverage Programs and hold a contract with Medicare. a plan, Find a Certain taxonomy selections will require you to enter your license number and the state where the license was issued. 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. 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). my premium, Drug 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 Medicare evaluates plans based on a 5-Star rating system. in your neighborhood, Achieving Documentation Guidelines. 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. To find out more, visit Medicare.gov. 2 0 obj VIRGINIA PREMIER HEALTH PLAN, INC. H9952 H9955 MOLINA HEALTHCARE OF OHIO, INC. State Integration Status Applicable Integrated Plan Coordination-Only FIDE . The Registered Agent on file for this company is Corporation Service Company Inc and is located at 641 South Lawrence Street, Montgomery, AL 36104. Humanas business activities are subject to substantial government regulation. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> The provider's official mailing address is: 500 12TH ST STE 350 (For Medicaid, Child Health Plus . Clinical Guidelines. 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 . 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. :KORgOC~Ma^ 9kp h'7+LF. Medicare Advantage Plans must cover all of the services that Original Medicare covers except hospice care. In light of these risks, uncertainties, and assumptions, the forward-looking events discussed herein may or may not occur. quote, Find an Use the links on this page to access IHCP provider news items, bulletins, and banner page publications. (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. Jan 3, 2023 05:55pm. 1-800-454-3730. 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). % your health, Member Contact the plan provider for additional information. 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. All rights reserved | Email: [emailprotected], Abington jefferson health physician directory, White mountain community health conway nh. Category. Arcadian Health - TEXAS Artisan Provider Network *TRPN (Three Rivers Provider Network) PPO, WC, INJURY . dentist, Get a FSSA updates. See our full accessibility rights Your Initial Enrollment Period (IEP) is the 7-month period you have when you first become eligible to sign up for Medicare. You can call us if you have a question about your insurance plan or a health problem. The securities and credit markets may experience volatility and disruption, which may adversely affect Humanas business. Our agents put your needs first. fi%  xl/_rels/workbook.xml.rels ( Mk0$nez:8`gk(%b_=65q"0{?mY$M! 1 - 2) December 31 Prior Year Net . health conditions, Home Non-health claims (net) 0 0 0 0 20. 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. For Providers. The psychiatric unit is an example of a subpart that could have its own NPI if the hospital determines that it should. menu, Find a This news release includes forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Job Title. 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. Arcadian is dedicated to improving the health of our members by providing access to high quality and cost effective health care. Most include Medicare prescription drug coverage (Part D). 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. 2,148 Sq. '//cse.google.com/cse.js?cx=' + cx; Copyright 2023 State of Indiana - All rights reserved. In certain situations, you can. The provider is (1) A form of health , https://healthprovidersdata.com/hipaa/codes/NPI-1598910549-arcadian-health-plan-inc, Health (2 days ago) WebARCADIAN HEALTH PLAN, INC. Company Number 602384193 Status Active Incorporation Date 6 April 2004 (almost 19 years ago) Company Type WA , https://opencorporates.com/companies/us_wa/602384193, Health (7 days ago) WebContact Us Today Acadia Corporate Headquarters 6100 Tower Circle, Suite 1000 Franklin, TN 37067 Tel: 615-861-6000 Toll Free: 855-526-8228 Fax: 615-261-9685 Additional , https://www.acadiahealthcare.com/about/contact/, Health (9 days ago) WebArcadian Health Plan, Inc. Company Alias [Doing Business As (dba)] This is the name or names of the company under which the company does business. 94607-4087 Star Ratings are calculated each year and may change from one year to the next. All rights reserved. Pharmacy, Shop Largest city and the administrative center . Our business hours are 8:00 a.m. to 5:00 p.m., EST. 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. pricing guide, Find It is located in the south of Middle Franconia, 50 kilometres south of Nuremberg. your health, Preventive 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. 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. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Register for a MyHumana The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. Register To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. The company's principal . Ft. 12435 Jacobs Pond, San Antonio, TX 78253-5505. User ID: Password: Show password You can reach the authorized official at the following phone number 510-817-1845. arcadia_health@humana.com. health goals, Go365 gcse.async = true; The telephone number associated with mailing address of the provider being identified. 1-877-7NYSHIP (1-877-769-7447), choose UnitedHealthcare . The HMO , https://www.tdi.texas.gov/hmo/profiles/95962.html, Health (8 days ago) Web500 W Main. Medicaid updates; check other areas of interest on the drop-down list to receive notices for other types of There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. 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. Physician Case Management Referral. 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. CA 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." 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. 3 0 obj Kareo ID *. About Arcadian Health: Arcadian Health, founded in 1996, provides Medicare Advantage coverage through its affiliates in the following 15 states: . This data element may contain the same information as ''Provider location address country code''. stream Industry Hospital & Health Care Revenue $9.2M Employees 111 Founded in Headquarters Oakland, CA Website Organization Type Private Is This Your Company? 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. Non-health claims (net) 0 0 0 0 20. Many Medicare Advantage Plans also offer extra benefits such as dental care, eyeglasses, or wellness programs. Doctor, Health & Well-being For most members, claims can be mailed or submitted electronically to us at the address or payer ID's below; however, the address and payer ID's may vary based on member-specific plans and networks. 9, or toll-free at 1-877-943-4337 To report a claim to Arcadian, please contact: General Liability Claims glclaims@arcadian-risk.com Professional Liability Claims plclaims@arcadian-risk.com 510-832-0311. Pennsylvania corporation ("Aetna"), of Arcadian Health Plan, Inc., a health care service contractor domiciled in the State of Washington (the "Domestic Health Carrier"). To receive notices, you must subscribe. Arcadian Health Plan 510-817-1016 . %PDF-1.5 The 2022 Annual Enrollment Period (AEP) is from October 15 to December 7, 2021. Medicare Advantage Plans may offer extra coverage, such as vision, hearing, dental, and/or health and wellness programs. )JCR?;}`_YWk>7O_6z?U#nutWm=2? The postal ZIP or zone code in the location address of the provider being identified. 3.8 Work-Life Balance. Library, Sign PK ! Important information to all providers and software developers that communicate via electronic data interchange (EDI) format and direct data entry (DDE). View more recently sold homes. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Iselin, New Jersey 08830. Have Inpatient Acute DRGs, SNF, Long Term Care & Home Care claims. 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. 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. PSW is a private company and not a health plan. Code describing the type of health care provider that is being assigned an NPI. To determine individual service areas, please call the health plans' customer service numbers provided (see below). 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. 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. Medicaid will no longer pay these charges. Star ratings are assigned to Medicare Advantage plans by the Centers for Medicare and Medicaid Services (CMS). Claim: ARCADIAN HEALTH PLAN, INC. is an Alabama Foreign Corporation filed on December 5, 2016. area. member rights, Exceptions 500 12th Street, Suite 350, Oakland, California 94607, US. Humanas business may be materially adversely impacted by CMSs adoption of the new coding set for diagnoses. 'https:' : 'http:') + OAKLAND 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 Settings, Start voice (Catholic Medical Center) Unity Health Plan Ins. Your healthcare needs change. For information about IHCP policies, procedures, and billing guidance (including information about electronic transactions), access these IHCP reference documents. <>>> gcse.type = 'text/javascript'; var s = document.getElementsByTagName('script')[0]; (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.