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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. to enroll, Learn 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. 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. Codes are: The "Is the organization a subpart?" Library, Sign 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. religion. The coal oven burns over 650+ degrees and can produce pies in five minutes. for group products, Learn ARCADIAN HEALTH PLAN, INC. NPI is 1598910549. Medicare Advantage organizations interested in operating a D-SNP plan in Indiana should contact Andrew Bean at Andrew.Bean@fssa.IN.gov. The company's filing status is listed as Exists and its File Number is 377-482. 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. var gcse = document.createElement('script'); 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). Landfill is the oldest and most common form of waste disposal, although the systematic burial of the waste with daily, intermediate and final covers only began in the 1940s.In the past, refuse was simply left in piles or thrown into pits; in archeology this . The postal ZIP or zone code in the location address of the provider being identified. The date that a record was last updated or changed. support, Shop for 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. Providence of Oregon Health Plan. We are an independent education, research, and technology company. This page contains Indiana Health Coverage Programs (IHCP) Companion Guides for Health Insurance Portability and Accountability Act (HIPAA) version 5010 electronic transactions. St Louisville, KY 40202. 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. 3.8 . Kareo ID *. 2,148 Sq. Humanas ability to obtain funds from its subsidiaries is restricted by state insurance regulations. ^e _rels/.rels ( MK1!;*"l/EMd1`7FAtzwyfx{vE fVKrFH"l3*>.%uGV=\i8XrZJ%\P4H;s>67Mizo#+DYB5V$~"c'ZkRRF%8EsF|02Xn/1=cW7 PK ! Alphabetical Listing of HMO Profiles Arcadian Health Plan, Inc. Arcadian Health Plan, Inc. Company Alias [Doing Business As (dba)] This is the name or names of the company under which the company does business. Medicare MSA Plans do not cover prescription drugs. (For crosswalk purposes, the following (non-NPI) identifiers are available for this provider), (Collection of legacy and proprietary (non-NPI) identifiers ever reported for this provider). Health Plan/Payer Business E-Mail Address. fi%  xl/_rels/workbook.xml.rels ( Mk0$nez:8`gk(%b_=65q"0{?mY$M! 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. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. Those who disenroll The authorized official title (position) is SR. VP AND GENERAL COUNSEL. Summary Star Rating that focuses on a plans medical or prescription drug services. in your neighborhood, Achieving Locations Primary 500 12th Street, Suite 350 Oakland,. Doctor, Health & Well-being If you need help, see our support page. 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. This is the time when you can make changes to your Medicare coverage. about group insurance, Member To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). In light of these risks, uncertainties, and assumptions, the forward-looking events discussed herein may or may not occur. TTY users should call, 1-800-325-0778; or your state Medicaid Office. Solicitation opportunities to do business with the State of Indiana. This data element may contain the same information as ''Provider location address telephone number''. Neither the pharmacy line of business nor the DME line of business represent legal entities; instead, both lines of business are part of an organization (the "parent") that is a legal entity. COMMERCIAL. Preferred Medical Claim Premier Health - PPO - SC Prime Health Services Priority Health (Michigan) . Increased litigation and negative publicity could increase the companys cost of doing business. money from Medicare into the account. Jan 3, 2023 05:55pm. 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 <>>> This webpage represents 1598910549 NPI record. <> Email *. 1-800-600-4441. https://www.nj.gov/humanservices/dmahs/info/resources/hmo/, Abington jefferson health physician directory, Intermountain healthcare st george utah, White mountain community health conway nh, 2021 health-improve.org. The Indiana State Plan provides specifics on how Medicaid is implemented and governed in Indiana. 1-800-454-3730. Industry Hospital & Health Care Revenue $9.2M Employees 111 Founded in Headquarters Oakland, CA Website Organization Type Private Is This Your Company? To find out more, visit Medicare.gov. Changes in the prescription drug industry pricing benchmarks may adversely affect Humanas financial performance. Speak to a PSW Agent today to learn more about your eligibility and options for our Medicare Advantage plans. Medicare drug (Part D) plans, Shop Copyright 2007-2023 HIPAASPACE. The date the provider was assigned a unique identifier (assigned an NPI). Each line of business represents a different Healthcare Provider Taxonomy or area of specialization that often submits its own electronic claims to health plans. ARCADIAN HEALTH PLAN Pay & Benefits reviews Review this company. Star Ratings are calculated each year and may change from one year to the next. If the organization is a subpart = , the Parent Organization Legal Business Name (LBN) and Parent Organization Taxpayer Identification Number (TIN) fields must be completed. PSW licensed agents can answer your questions on Medicare, Medicare Advantage and the specific health plans we offer. US, 500 12TH ST STE 350 Website Development By patforswa requirements, example of letter to support genuine relationship from parents, nadia sawalha first husband justin mildwater, syracuse university graduate course catalog, california annual mileage and odometer certification, what characteristics do hephaestus and prometheus share, how to control mood swings during ovulation, how many arctic wolves are left in the world. This news release includes forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. 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. Pennsylvania corporation ("Aetna"), of Arcadian Health Plan, Inc., a health care service contractor domiciled in the State of Washington (the "Domestic Health Carrier"). Its important to check with your doctor to confirm which Medicare Advantage plans they are accepting. Claim This Company Page What do people say about Arcadian Health Plan If Humana fails to develop and maintain satisfactory relationships with the providers of care to its members, the companys business may be adversely affected. gcse.async = true; The State or Province name in the mailing address of the provider being identified. PSW is committed to quality improvement, clinical integration and meaningful measures of value. & tools, Humana Completes Acquisition of Arcadian Management Services, Find a Login or find a doctor PSW represents a network of more than 1,000 providers and facilities and works with health plans and health care providers in delivering great patient care. Arcadian Health Plan 510-817-1016 . dental plans, Find You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID . drug plans & coverage, Prescription Give us a call at 360-943-4337 opt. COMMERCIAL. about Medicare, Find 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. The Medicare Program rates all health and prescription drug plans each year, based on a plans quality and performance. )JCR?;}`_YWk>7O_6z?U#nutWm=2? Our agents put your needs first. Settings, Start voice You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Your Initial Enrollment Period (IEP) is the 7-month period you have when you first become eligible to sign up for Medicare. [k@+%#bP{U Zbl;0RZ%U$+Ylft(s?-FUg dnt`q. Medicare Advantage Plans must cover all of the services that Original Medicare covers except hospice care. (function() { an eye doctor, Learn Not all D-SNP plans in Indiana serve the entire state. pricing guide, Find 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 1-877-7NYSHIP (1-877-769-7447), choose UnitedHealthcare . Arcadian is dedicated to improving the health of our members by providing access to high quality and cost effective health care. CA All. The first line location address of the provider being identified. When registering your email, check the category on the drop-down list to receive notices of 1,507 Sq. This data element may contain the same information as ''Provider location address fax number''. about Medicaid, How UHS-DE and UHS-Fuller stipulated that physically violent or assaultive patients created a hazard for those at the Worksite. About Arcadian Health: Arcadian Health, founded in 1996, provides Medicare Advantage coverage through its affiliates in the following 15 states: . 1 - 2) December 31 Prior Year Net . Humanas acquisition of Arcadian is not expected to materially impact its financial earnings guidance for the year ending December 31, 2012. PSW is a private company and not a health plan. Clinical Guidelines. 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. Whether youre new to Medicare or considering changing plans, learn how Medicare Advantage plans can support the best YOU! NOTE: ZIP code plus 4-digit extension, if available. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. 3 Beds. The Parent Organization LBN and TIN fields can only be completed if the answer to the subpart question is Yes. Health (8 days ago) Web101 Wood Avenue South, 8th Floor. Based in Olympia, WA for more than 25 years, PSW is locally owned and managed by physicians. health risk assessment (HRA) to members by phone, mail or in-person if necessary. The email notifications are used to send notices to subscribers on behalf of the IHCP. Non-health claims (net) 0 0 0 0 20. We do not sell leads or share your personal information. Jan 3, 2023 09:43pm. 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. Plans, Shop for Plans The HMO , https://www.tdi.texas.gov/hmo/profiles/95962.html, Health (8 days ago) Web500 W Main. Fax: 510-817-1894. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. gcse.type = 'text/javascript'; Make sure to check out our FAQ page. PK ! Most Medicare Advantage Plans include Medicare prescription drug coverage (Part D). Code describing the type of health care provider that is being assigned an NPI. All rights reserved | Email: [emailprotected], Abington jefferson health physician directory, White mountain community health conway nh. This address cannot include a Post Office box. & appeals, Helpful 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. Business Address Line. You can call us if you have a question about your insurance plan or a health problem. Medicare Advantage plans, Shop An Overall Star Rating that combines all of a plans scores. The city name in the location address of the provider being identified. D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. 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. for a MyHumana account today. All rights reserved. D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. Our claims professionals have extensive claims handling experience for a variety of business lines. about Humana Pharmacy, Find 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. Accessibility