Non-health claims (net) 0 0 0 0 20. The provider is (1) A form of health https://healthprovidersdata.com/hipaa/codes/NPI-1598910549-arcadian-health-plan-inc Since May 2, 2011, the state of Indiana has participated in the federal Promoting Interoperability (PI) Program, formerly the Electronic Health Records (EHR) Incentive Program. Arcadian strives to manage claims in an efficient, timely and prudent manner. Not quite 65? 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. 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. 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. a healthcare plan, Humana We are not compensated for Medicare plan enrollments. Health (8 days ago) Web101 Wood Avenue South, 8th Floor. menu, Find a 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. E-Mail. Claims: 61101 Encounters: 61102 Advanced claims editing All EDI submissions to Humana pass through Availity. 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. Copyright 2007-2023 HIPAASPACE. % Filing Date: October 29, 2013. 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 . support, Shop for Members may enroll in a Medicare Advantage plan only during specific times of the year. '//cse.google.com/cse.js?cx=' + cx; Library, Sign Medicare Advantage organizations interested in operating a D-SNP plan in Indiana should contact Andrew Bean at Andrew.Bean@fssa.IN.gov. 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. ^e _rels/.rels ( MK1!;*"l/EMd1`7FAtzwyfx{vE fVKrFH"l3*>.%uGV=\i8XrZJ%\P4H;s>67Mizo#+DYB5V$~"c'ZkRRF%8EsF|02Xn/1=cW7 PK ! Life and Health Insurance, Arcadian is dedicated to improving the health of , https://rocketreach.co/arcadian-health-plan-profile_b5c704eff42e0d37, Health (9 days ago) WebArcadian Health Plan Company Contact Information Email, Phone Number Adapt.io Arcadian Health Plan http://www.humana.com +1******311 Head Count 250 - 1000 , https://www.adapt.io/company/arcadian-health-plan, Health (7 days ago) WebAcadian Health offers quality patient-centered care for the following services, and more: Wellness visits Specialist visits Behavioral health visits Post-op or discharge follow up . Accessibility Your healthcare needs change. About Arcadian Health: Arcadian Health, founded in 1996, provides Medicare Advantage coverage through its affiliates in the following 15 states: . Physician group practices struggle with bundled payments: study. 0000000926 00000 n The provider is registered as an organization entity type. 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. info) is a Landkreis (district) in the west of Bavaria, Germany with a population of 95,000. var gcse = document.createElement('script'); 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. Visit PSWs Annual Enrollment Period (AEP) page to learn more. 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. Locations Primary 500 12th Street, Suite 350 Oakland,. If Humana fails to develop and maintain satisfactory relationships with the providers of care to its members, the companys business may be adversely affected. ARCADIAN HEALTH PLAN INC. NPI 1598910549 - Health Health (3 days ago) WebAddress: 500 12TH ST STE 300 OAKLAND, CA ZIP 94607 Phone: (510) 832-0311 Get Directions ARCADIAN HEALTH PLAN, INC. is a health maintenance organization in https://healthprovidersdata.com/hipaa/codes/NPI-1598910549-arcadian-health-plan-inc Category: Health Show Health When registering your email, check the category on the drop-down list to receive notices of 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. about Humana Pharmacy, Find Corp - WI . There also may be other risks that the company is unable to predict at this time. NPI record contains FOIA-disclosable NPPES health care provider information. COMMERCIAL. The State or Province name in the location address of the provider being identified. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. 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. Limitations, copayments, and restrictions may apply. Cancer Resource Services . The date the provider was assigned a unique identifier (assigned an NPI). 4 0 obj The Medicare Program rates all health and prescription drug plans each year, based on a plans quality and performance. Claims adjustment expenses, including $ 38,432,221 cost containment expenses 0 44,339,331 36,328,629 169,390,602 The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. Claims adjustment expenses, including $ 126,895,463 cost containment expenses 0 145,900,023 120,817,947 169,390,602 Resources, Pay 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. To receive notices, you must subscribe. Humanas acquisition of Arcadian is not expected to materially impact its financial earnings guidance for the year ending December 31, 2012. Arcadian Health Plan 510-817-1016 . quote, Find an MAXIMUS Health Services Inc. has served as the Indiana Health Coverage Programs enrollment broker since 2007. var s = document.getElementsByTagName('script')[0]; Jan 3, 2023 05:55pm. 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 PSW has partnered with Humana and Premera. 1 - 2) December 31 Prior Year Net . Documentation Guidelines. Gunzenhausen ( German pronunciation: [ntsnhazn] ( listen); Bavarian: Gunzenhausn) is a town in the Weienburg-Gunzenhausen district, in Bavaria, Germany. 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. OAKLAND, CA 2.5 Baths. Any failure to manage administrative costs could hamper Humanas profitability. 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 . Neighbouring districts are (from the north clockwise) Ansbach, Roth, Eichsttt and Donau-Ries. The securities and credit markets may experience volatility and disruption, which may adversely affect Humanas business. 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. Provider Relations Phone Number. Medicare has neither reviewed nor endorsed the information on our site. 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 Increased litigation and negative publicity could increase the companys cost of doing business. TTY users should call, 1-800-325-0778; or your state Medicaid Office. Abuse, System Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider. Fax. 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. Ft. 12435 Jacobs Pond, San Antonio, TX 78253-5505. In certain situations, you can. a pharmacy, Compare Medicare Advantage Plans must cover all of the services that Original Medicare covers except hospice care. User ID: Password: Show password Solicitation opportunities to do business with the State of Indiana. The following resources are available to provide more information: In Indiana, nine Dual Eligible Special Needs Plans serve the Medicaid and Medicare dually-eligible population. 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. Downgrades in Humanas debt ratings, should they occur, may adversely affect its business, results of operations, and financial condition. H5619 Arcadian Health Plan (Humana, Inc.) . <>>> PSW licensed agents can answer your questions on Medicare, Medicare Advantage and the specific health plans we offer. & tools, Humana Completes Acquisition of Arcadian Management Services, Find a Licensure, Fraud, Waste & group products, Member Resources 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. your health, Preventive UHS-DE and UHS-Fuller stipulated that physically violent or assaultive patients created a hazard for those at the Worksite. 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. 2,148 Sq. guidance, Humana member Health Plans, Inc. PO Box 5199 Westborough, MA 01581. Industry: Health insurance carriers Printer Friendly View Address: 500 12TH St Ste 350 Oakland, CA, 94607-5204 United States See other locations claims, Check dentist, Get a If the plan accepts the monthly fee then the plan agrees to be responsible for the Medicare co-payments, co-insurance or deductibles. Many Medicare Advantage Plans also offer extra benefits such as dental care, eyeglasses, or wellness programs. 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. Preferred Medical Claim Premier Health - PPO - SC Prime Health Services Priority Health (Michigan) . Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. 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": })(); 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. See our full accessibility rights Original Medicare covers hospice care even if youre in a Medicare Advantage Plan. Prep task 1. Gunzenhausen is a nationally . health risk assessment (HRA) to members by phone, mail or in-person if necessary. Codes are: The "Is the organization a subpart?" The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. Based in Olympia, WA for more than 25 years, PSW is locally owned and managed by physicians. Bulletins, Banner Pages and Reference Modules. This webpage represents 1598910549 NPI record. Redfin Corporation. All rights reserved. Responsibility, Internet Privacy The HMO , https://www.tdi.texas.gov/hmo/profiles/95962.html, Health (8 days ago) Web500 W Main. Call 360.943.4337 ext 9 or email [emailprotected]. Its important to check with your doctor to confirm which Medicare Advantage plans they are accepting. Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. Humanas business activities are subject to substantial government regulation. 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. 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. Provider Relations Phone Number. endobj Humana and Arcadian are working together to ensure a seamless transition of the Medicare business. Non-health claims (net) 0 0 0 0 20. 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 gcse.type = 'text/javascript'; ARCADIAN HEALTH PLAN, INC. Company Number 602384193 Status Active Incorporation Date 6 April 2004 (almost 19 years ago) Company Type WA INSURANCE COMPANY Jurisdiction Washington (US) Registered Address UNITED STATES United States Agent Name CORPORATION SERVICE COMPANY Agent Address 300 DESCHUTES WAY SW #304, TUMWATER, WA, 985010000 Largest city and the administrative center . Category. Address. arcadia_health@humana.com. SOLD JUN 13, 2022. care & community support, Humana Iselin, New Jersey . )JCR?;}`_YWk>7O_6z?U#nutWm=2? The company's principal . 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. Rights and Responsibilities. Humana Sites, For 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. All. 510-832-0311. CA The 2022 Annual Enrollment Period (AEP) is from October 15 to December 7, 2021. 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). Medicaid contracts each year with plans that are willing to accept a monthly fee for each recipient in their program. The date that a record was last updated or changed. (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). We also provide free language interpreter services. For Providers. 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. Kareo ID *. Doctor, Health & Well-being 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. Please do not include any confidential or personal information, such as protected health information, social security number, or tax ID. Register Claim: ARCADIAN HEALTH PLAN, INC. is an Alabama Foreign Corporation filed on December 5, 2016. Pennsylvania corporation ("Aetna"), of Arcadian Health Plan, Inc., a health care service contractor domiciled in the State of Washington (the "Domestic Health Carrier"). 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. 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. 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. There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. 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. Give us a call at 360-943-4337 opt. Our claims professionals have extensive claims handling experience for a variety of business lines. 3 Beds. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), We are an independent education, research, and technology company. You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID . 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. pharmacy, Shop for NPI Number 1598910549 has the "Organization" type of ownership and has been registered to the following primary business legal The HMO Alias list is an Excel spreadsheet. How members rate a plans services and care; How well a plans doctors detect illnesses and keep members healthy; How well a plan helps its members use recommended and safe prescription medication. Providers who do not contract with the plan are not required to see you except in an emergency. 1-800-454-3730. Filing Date: , https://www.bizapedia.com/us/arcadian-health-plan-inc.html, Health (6 days ago) WebArcadia enables healthcare payers to collaborate closely with their provider networks for mutual economic success under Medicare, Medicaid, and Commercial risk-based , Health (7 days ago) WebYou can call us if you have a question about your insurance plan or a health problem. Register for a MyHumana 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. <> information and language options. This is the time when you can make changes to your Medicare coverage. To find out more, visit Medicare.gov. Any new coverage you get during this time will start on January 1, 2021. This page contains Indiana Health Coverage Programs (IHCP) Companion Guides for Health Insurance Portability and Accountability Act (HIPAA) version 5010 electronic transactions. FSSA updates. in your neighborhood, Achieving Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Drug List, Shop Most include Medicare prescription drug coverage (Part D). If you need help, see our support page. Location. ARCADIAN HEALTH PLAN Pay & Benefits reviews Review this company. Providers, For NOTE: ZIP code plus 4-digit extension, if available. 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. religion. 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 stream Humana expects no interruption in coverage; members can continue to see the same health care providers and receive the same benefits they currently have for the 2012 benefit year. You can call us if you have a question about your insurance plan or a health problem. & appeals, Helpful It is located in the south of Middle Franconia, 50 kilometres south of Nuremberg. More information regarding Humana is available to investors via the Investor Relations page of the companys web site at www.humana.com, including copies of: Humana complies with all applicable federal civil rights laws and does not discriminate on the basis Contact Us About The Company Profile For Arcadian Health Plan, Inc. Health plans must contract with the Indiana Health Coverage Programs and hold a contract with Medicare. To report a claim to Arcadian, please contact: General Liability Claims glclaims@arcadian-risk.com Professional Liability Claims plclaims@arcadian-risk.com 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 . NOTE: ZIP code plus 4-digit extension, if available. coverage, Refill a 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. Employers, For Agents & 182. name (which is a provider name or healthcare organization name) ARCADIAN HEALTH PLAN, INC.. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). Other Get the most out of your plan. 183. . If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases.

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