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a form, View ID 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. Our claims professionals have extensive claims handling experience for a variety of business lines. Speak to a PSW Agent today to learn more about your eligibility and options for our Medicare Advantage plans. Humanas acquisition of Arcadian is not expected to materially impact its financial earnings guidance for the year ending December 31, 2012. 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 my premium, Drug E-Mail. 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. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Category. 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. a dentist, Get 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 So can the benefits and costs of Medicare Advantage plans. Non-health claims (net) 0 0 0 0 20. A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Our business hours are 8:00 a.m. to 5:00 p.m., EST. enroll, Find a The coal oven burns over 650+ degrees and can produce pies in five minutes. Contact the plan provider for additional information. Members may enroll in a Medicare Advantage plan only during specific times of the year. member rights, Exceptions STATEMENT AS OF JUNE 30, 2022 OF THE Arcadian Health Plan, Inc. ASSETS Current Statement Date 4 1 Assets 2 Nonadmitted Assets 3 Net Admitted Assets (Cols. All rights reserved. The provider's official mailing address is: 500 12TH ST STE 350 View more recently sold homes. Medicare evaluates plans based on a 5-Star rating system. Arcadian Health Plan Apr 2006 - Present16 years 4 months Run daily accounts payable claims and audit edits reports. The Domestic Health Carrier is a direct wholly-owned subsidiary of, and controlled by, Humana Inc. ("Hwnana"). 0000002619 00000 n Contact Name Kelly Gaskins . 500 12th Street, Suite 350, Oakland, California 94607, US. area. Medicare has neither reviewed nor endorsed the information on our site. 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 Member Services , https://www.health-mental.org/arcadian-health-plan-customer-service/, Health (9 days ago) Web(9 days ago) Web800-457-4708 Open 8 a.m. to 8 p.m. Eastern time, Monday through Friday Medicaid customer service Florida Medicaid: 800-477-6931 Illinois Medicaid: 800-787 , https://www.health-improve.org/arcadian-health-plan-customer-service/, Health (6 days ago) Web(510) 832-0311 Arcadian Health Plan Profile and History Founded in 1996, Arcadian Health Plan provides Medicare Advantage coverage through its affiliates in 15 states: , https://www.datanyze.com/companies/arcadian-health-plan/1243876340, Health (8 days ago) WebFounded. To report a claim to Arcadian, please contact: General Liability Claims glclaims@arcadian-risk.com Professional Liability Claims plclaims@arcadian-risk.com 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). Resources, Pay Email *. 2.5 Baths. 3 0 obj We are an independent education, research, and technology company. The telephone number associated with the location address of the provider being identified. a pharmacy, Compare COMMERCIAL. 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. Medicare Advantage Plans must cover all of the services that Original Medicare covers except hospice care. 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). An Overall Star Rating that combines all of a plans scores. US Family Health Plan @St. Vincent's Hosp. %PDF-1.5 Corp - WI . Locations Primary 500 12th Street, Suite 350 Oakland, https://www.linkedin.com/company/arcadian-health-plan, Health (6 days ago) WebArcadian Health Plan Company Contact Information - Adapt.io. Any new coverage you get during this time will start on January 1, 2021. Responsibility, Internet Privacy Settings, Start voice For more information contact the plan. To receive notices, you must subscribe. The email notifications are used to send notices to subscribers on behalf of the IHCP. 1 0 obj Brokers, For Medical Policies. *Required Fields. 1997. 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. Medicare Star Ratings can help you learn how a Medicare Advantage plan is doing. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Gateway Health Plan has several different Payer ID numbers please look for the Payer ID on the ID card before submitting. Net of the divestitures, the acquisition will increase Humanas health plan membership by approximately 50,000 Medicare HMO members. Provider Relations Phone Number. Based in Olympia, WA for more than 25 years, PSW is locally owned and managed by physicians. H5619 Arcadian Health Plan (Humana, Inc.) . The first line location address of the provider being identified. To find out more, visit Medicare.gov. about group insurance, Member Claims adjustment expenses, including $ 96,131,102 cost containment expenses 0 108,854,457 92,979,675 204,471,335 Claim: ARCADIAN HEALTH PLAN, INC. is an Alabama Foreign Corporation filed on December 5, 2016. 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. The country code in the mailing address of the provider being identified. Unit 13- Lease Alienation. NPI Number information was last time updated on 12/01/2010. AR812. 2 0 obj PSW contracts with a local network of Thurston County doctors and Medicare Advantage health plans to offer you a choice in finding a health plan that best meets your healthcare needs. in your neighborhood, Achieving 3.8 . Medicaid will no longer pay these charges. OIG: CMS needs to help drugmakers in calculating best Medicare Part B prices. 1 - 2) December 31 Prior Year Net . The HMO , https://www.tdi.texas.gov/hmo/profiles/95962.html, Health (8 days ago) Web500 W Main. a plan, Find a The Medicare Program rates all health and prescription drug plans each year, based on a plans quality and performance. Copyright 2007-2023 HIPAASPACE. Arcadian is dedicated to improving the health of our members by providing access to high quality and cost effective health care. Dual Eligible Special Needs Plans serve members who are eligible for both Medicaid and Medicare. Contact Us About The Company Profile For Arcadian Health Plan, Inc. for Plans, Shop Health Plan/Payer Business Fax Number. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. 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. All rights reserved. Nearby homes similar to 1414 Arcadian Lily have recently sold between $325K to $325K at an average of $150 per square foot. D-SNP-eligible individuals have the option to enroll in a D-SNP health plan during their Medicare annual election period or quarterly during the special enrollment period. money from Medicare into the account. care & community support, Humana LOUISVILLE, Ky.--(BUSINESS WIRE)--Humana Inc. (NYSE: HUM) announced today that it has completed its previously announced acquisition of Arcadian Management Services, an Oakland, Calif.-based company that, through its affiliates, operates Medicare Advantage HMO plans. If Humana does not design and price its products properly and competitively, if the premiums Humana charges are insufficient to cover the cost of health care services delivered to its members, or if its estimates of benefit expenses are inadequate, Humanas profitability could be materially adversely affected. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships. For Claims Status please contact Susan Naanes @ 503-574-7441 or Debra . The 10-position telephone number of the authorized official. It is situated on the river Altmhl, 19 kilometres (12 mi) northwest of Weienburg in Bayern, and 45 kilometres (28 mi) southwest of Nuremberg. Have Inpatient Acute DRGs, SNF, Long Term Care & Home Care claims. [k@+%#bP{U Zbl;0RZ%U$+Ylft(s?-FUg dnt`q. Not quite 65? This data element may contain the same information as ''Provider location address City name''. Medicare Advantage plans, Shop info) is a Landkreis (district) in the west of Bavaria, Germany with a population of 95,000. rights, Prescription savings & tools, Humana Completes Acquisition of Arcadian Management Services, Find a We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. COMMERCIAL. Copyright 2007-2023 HIPAASPACE. Clear. ARCADIAN HEALTH PLAN, INC. can be reached at the following phone number(s): Phone: 510-832-0311 Copyright 2023 State of Indiana - All rights reserved. Any of these risks and uncertainties may cause actual results to differ materially from the results discussed in the forward-looking statements. your health, Preventive Other 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. Meet your Practice Management Consultant. 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. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. Drug List, Shop A field cannot contain all special characters. 2.5 Baths. 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. Changes in the prescription drug industry pricing benchmarks may adversely affect Humanas financial performance. Company Profile Page. 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. 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. NOTE: ZIP code plus 4-digit extension, if available. Please contact the plan for further details. Iselin, New Jersey 08830. 500 12TH ST STE 300 Jan 3, 2023 05:55pm. Affinity Health Plan ## 13334 Y AFFINITY HEALTH O Contact EDI@Affinityplan.org or (718)794-7592 prior to sending claims. You can reach the authorized official at the following phone number 510-817-1845. 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. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. Nearby homes similar to 1521 Arcadian Lily have recently sold between $257K to $257K at an average of $170 per square foot. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Caregivers, Go365 Wellness A landfill site, also known as a tip, dump, rubbish dump, garbage dump, or dumping ground, is a site for the disposal of waste materials. Many organization health care providers who apply for NPIs are not legal entities themselves but are parts of other organization health care providers that are legal entities (the "parents"). dentist, Get a 'https:' : 'http:') + STATEMENT AS OF MARCH 31, 2021 OF THE Arcadian Health Plan, Inc. ASSETS Current Statement Date 4 1 Assets 2 Nonadmitted Assets 3 Net Admitted Assets (Cols. Humana is a publicly traded Delaware holding company for Health (9 days ago) Web800-457-4708 Open 8 a.m. to 8 p.m. Eastern time, Monday through Friday Medicaid , https://www.health-mental.org/arcadian-health-plan-contact-number/, Health (3 days ago) WebZIP 94607 Phone: (510) 832-0311 Get Directions ARCADIAN HEALTH PLAN, INC. is a health maintenance organization in Oakland, CA. Job Title. If Humana fails to develop and maintain satisfactory relationships with the providers of care to its members, the companys business may be adversely affected. x[moF a %o$MK.h}W@[D Downgrades in Humanas debt ratings, should they occur, may adversely affect its business, results of operations, and financial condition. 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. PSW is a private company and not a health plan. 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. information and language options. Register for a MyHumana menu, Manage CA [13] Between 2008 and 2012, the company agreed to pay a total of $217.5 million to settle the claims against them. Please do not include any confidential or personal information, such as protected health information, social security number, or tax ID. The 2022 Annual Enrollment Period (AEP) is from October 15 to December 7, 2021. 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. Largest city and the administrative center . Prep task 1. 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. Humana Sites, For 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. We do not sell leads or share your personal information. Pharmacy, Shop NPI record contains FOIA-disclosable NPPES health care provider information. 3.8 Work-Life Balance. Make sure to check out our FAQ page. <>>> Claims: 61101 Encounters: 61102 Advanced claims editing All EDI submissions to Humana pass through Availity. 500 W Main. If one of our plans is not the best fit, dont worry well connect you with other options. 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. Physician group practices struggle with bundled payments: study. Non-health claims (net) 0 0 0 0 20. The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. 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. 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. 1 - 2) December 31 Prior Year Net . See our full accessibility rights quote, Find an 500 12th St # 350. Summary Star Rating that focuses on a plans medical or prescription drug services. Business Address Line. health goals, Go365 Select Foreign Country in the state drop down box if the license was issued outside of United States. Many Medicare Advantage Plans also offer extra benefits such as dental care, eyeglasses, or wellness programs. Contact Name *. 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). Clinical Guidelines. resources, Medicaid NOTE: ZIP code plus 4-digit extension, if available. The date the provider was assigned a unique identifier (assigned an NPI). var gcse = document.createElement('script'); You may find answers to your questions, such as how to get a replacement ID card or change your address, without needing to call or wait for a response! SOLD JUN 13, 2022. Program, Humana Iselin, New Jersey 08830. Star Ratings are calculated each year and may change from one year to the next. Free one-on-one consultations are available Monday-Friday, 8:00am-4:00pm. (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). The date that a record was last updated or changed. 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. wellness & rewards, Member 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. 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. Providers, For Be sure to find PSW on our social media profiles. 3 Beds. prescription, Manage 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." To determine individual service areas, please call the health plans' customer service numbers provided (see below). Specialties: Millie's serves delicious, coal- and Neapolitan wood-fired artisan pizzas and meatballs based on Vince and Brandon's grandmother Millie's recipes. Archbold Ed Uninsured. about Medicaid, How Jan 3, 2023 09:43pm. This webpage represents 1598910549 NPI record. All members complete the annual HRA Important information to all providers and software developers that communicate via electronic data interchange (EDI) format and direct data entry (DDE). health risk assessment (HRA) to members by phone, mail or in-person if necessary. The company's principal . 183. . In light of these risks, uncertainties, and assumptions, the forward-looking events discussed herein may or may not occur. About Arcadian Health: Arcadian Health, founded in 1996, provides Medicare Advantage coverage through its affiliates in the following 15 states: . 510-832-0311. 1 - 2) December 31 Prior Year Net . PSW licensed agents can answer your questions on Medicare, Medicare Advantage and the specific health plans we offer. The postal ZIP or zone code in the mailing address of the provider being identified. The provider is (1) A form of health https://healthprovidersdata.com/hipaa/codes/NPI-1598910549-arcadian-health-plan-inc 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. Humana and Arcadian are working together to ensure a seamless transition of the Medicare business. Give us a call at 360-943-4337 opt. 1 , http://www.empireplanproviders.com/contact.htm. Not all D-SNP plans in Indiana serve the entire state. ARCADIAN HEALTH PLAN Pay & Benefits reviews Review this company. 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. 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. The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. Providers who do not contract with the plan are not required to see you except in an emergency. Humanas business activities are subject to substantial government regulation. Those who disenroll Gainwell provides a number services to the IHCP, including provider enrollment, customer service, eligibility verification, and fee-for-service claim processing. Login or find a doctor Medicare pays a fixed amount for your care every month to the companies offering Medicare Advantage Plans. your health, Member )JCR?;}`_YWk>7O_6z?U#nutWm=2? arcadia_health@humana.com. Arcadian Health - TEXAS Artisan Provider Network *TRPN (Three Rivers Provider Network) PPO, WC, INJURY . 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). Fax: 510-817-1894. The city name in the location address of the provider being identified. Star Ratings are calculated each year and may change from one year to the next. )?2%n@/xh^}J_}1e6Z^A(}&XdD{Y\|/wH?Ksp?{~Gs8xZ[&iqy2yww$Rfb)~fG=tvvkAdDf75?+PUvkTVAZV5S}&$,i Z_/ }'UrJ0 d] To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). PSW licensed agents can answer your questions on Medicare, Medicare Advantage and the specific health plans we offer. 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO). doctor, Enroll in Neighbouring districts are (from the north clockwise) Ansbach, Roth, Eichsttt and Donau-Ries. This data element may contain the same information as ''Provider location address postal code''. 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 . })(); 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.