arcadian health plan claims

For more information contact the plan. Arcadian Management Services Inc. COMMERCIAL. NPI record contains FOIA-disclosable NPPES health care provider information. 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. 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. The HMO , https://www.tdi.texas.gov/hmo/profiles/95962.html, Health (8 days ago) Web500 W Main. Health Plan/Payer Business Fax Number. Contact Us About The Company Profile For Arcadian Health Plan, Inc. The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. OAKLAND, CA Be sure to find PSW on our social media profiles. menu, Find a We are not compensated for Medicare plan enrollments. US. Gainwell Technologies has been contracted with the state of Indiana since 1991. 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). 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. ARCADIAN HEALTH PLAN, INC. 075 093 123 126 136 H5628 MOLINA HEALTHCARE OF UTAH, INC. UT H5649 CENTRAL HEALTH PLAN OF CALIFORNIA, INC. H5703 H5742 SHA, L.L.C H5774 TRIPLE S ADVANTAGE, INC. . The fax number associated with the mailing address of the provider being identified. Drug List, Shop 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. Gateway Health Plan has several different Payer ID numbers please look for the Payer ID on the ID card before submitting. to enroll, Learn If you need help, see our support page. Prep task 1. 1 0 obj MAXIMUS Health Services Inc. has served as the Indiana Health Coverage Programs enrollment broker since 2007. 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. Meet your Practice Management Consultant. These companies must follow rules set by Medicare. $e_ofvZp$QH"}wWWo>H!qyJ 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. gcse.src = (document.location.protocol == 'https:' ? 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. Humana and Arcadian are working together to ensure a seamless transition of the Medicare business. Register for a MyHumana All. <> 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. PSW is a private company and not a health plan. for Plans, Shop care, Managing The authorized official title (position) is SR. VP AND GENERAL COUNSEL. The State or Province name in the mailing address of the provider being identified. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 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. 94607-4087, US. 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. Physician group practices struggle with bundled payments: study. Health Plans, Inc. PO Box 5199 Westborough, MA 01581. Claim: ARCADIAN HEALTH PLAN, INC. is an Alabama Foreign Corporation filed on December 5, 2016. 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 Statement, Disclaimers & 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": FSSA updates. http://www.insuranceproviders.com/companies/arcadian-health-plan-inc/. 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? 4 0 obj 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. 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. The telephone number associated with the location address of the provider being identified. Get the most out of your plan. There also may be other risks that the company is unable to predict at this time. The email notifications are used to send notices to subscribers on behalf of the IHCP. Humanas business activities are subject to substantial government regulation. Doctor, Health & Well-being 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 MSA Plans do not cover prescription drugs. 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. Arcadian Health Plan is a small health care company based in Oakland, CA with only 111 employees and an annual revenue of $9.2M. of race, color, national origin, age, disability, sex, sexual orientation, gender identity or Star Ratings are calculated each year and may change from one year to the next. The first line mailing address of the provider being identified. Members may enroll in a Medicare Advantage plan only during specific times of the year. Business Address Line. PK ! This data element may contain the same information as ''Provider location address City name''. Claims adjustment expenses, including $ 126,895,463 cost containment expenses 0 145,900,023 120,817,947 169,390,602 1,507 Sq. $257,000 Last Sold Price. gcse.async = true; Health plans must contract with the Indiana Health Coverage Programs and hold a contract with Medicare. information and language options. pharmacy, Shop for px. < RgJfrZO^!Cr]bL46 latDlb7W%Gfa?;^nh(T\[r559ES>72pGAgTd#m,A?bnT}O|G?! Its important to check with your doctor to confirm which Medicare Advantage plans they are accepting. NPI Number 1598910549 has the "Organization" type of ownership and has been registered to the following primary business legal arcadia_health@humana.com. The telephone number associated with mailing address of the provider being identified. Please contact the plan for further details. Payment Policies. & appeals, Helpful enroll, Find a Medicare Supplement plans, Learn Verida, Inc. is the nonemergency medical transportation broker for Indiana Traditional Medicaid (fee-for-service) members who require assistance traveling to their covered healthcare services. question must be answered. If the organization is a subpart = , the Parent Organization Legal Business Name (LBN) and Parent Organization Taxpayer Identification Number (TIN) fields must be completed. Register NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ''Provider location address fax number''. If one of our plans is not the best fit, don't worry - we'll connect you with other options. Providence of Oregon Health Plan. Bulletins, Banner Pages and Reference Modules. The State or Province name in the location address of the provider being identified. 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. So can the benefits and costs of Medicare Advantage plans. Our claims professionals have extensive claims handling experience for a variety of business lines. Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. It includes the 3 months before the month of your birthday, your birth month, and the 3 months after the month of your birthday. Fax. 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. 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. Humanas acquisition of Arcadian is not expected to materially impact its financial earnings guidance for the year ending December 31, 2012. Most include Medicare prescription drug coverage (Part D). Jan 3, 2023 09:43pm. As a government contractor, Humana is exposed to risks that may materially adversely affect its business or its willingness or ability to participate in government health care programs. Other A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Codes are: The "Is the organization a subpart?" Dual Eligible Special Needs Plans serve members who are eligible for both Medicaid and Medicare. Original Medicare covers hospice care even if youre in a Medicare Advantage Plan. (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. Clinical Guidelines. ARCADIAN HEALTH PLAN, INC. can be reached at the following phone number(s): Phone: 510-832-0311 The provider is (1) A form of health https://healthprovidersdata.com/hipaa/codes/NPI-1598910549-arcadian-health-plan-inc in to Go365.com, Corporate If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. To send us a message so we can call you, click here. resources, Medicaid (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). in a plan, Shop 1-877-7NYSHIP (1-877-769-7447), choose UnitedHealthcare . Industry: Health insurance carriers Printer Friendly View Address: 500 12TH St Ste 350 Oakland, CA, 94607-5204 United States See other locations 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. NPI Number information was last time updated on 12/01/2010. The first line location address of the provider being identified. 500 W Main. x[moF a %o$MK.h}W@[D Our agents put your needs first. a form, View ID Locations Primary 500 12th Street, Suite 350 Oakland,. Gainwell provides a number services to the IHCP, including provider enrollment, customer service, eligibility verification, and fee-for-service claim processing. 500 12th Street, Suite 350, Oakland, California 94607, US. Brokers, For Corp - WI . 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 . 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. Important information to all providers and software developers that communicate via electronic data interchange (EDI) format and direct data entry (DDE). Abuse, System (function() { Claims: 61101 Encounters: 61102 Advanced claims editing All EDI submissions to Humana pass through Availity. stream Increased litigation and negative publicity could increase the companys cost of doing business. 3 Beds. Non-health claims (net) 0 0 0 0 20. The benefit information provided is a brief summary, not a complete description of benefits. An Overall Star Rating that combines all of a plans scores. CA % Provide organization name (legal business name used to file tax returns with the IRS). OAKLAND bs [Content_Types].xml ( UKO0|]5naVi _L;qZRR%Qb{$4WbTEE%EV6xPL''?XpJ4DBJp 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 You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. 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. This data element may contain the same information as ''Provider location address State name''. 3 Beds. 1 - 2) December 31 Prior Year Net . Most Medicare Advantage Plans include Medicare prescription drug coverage (Part D). The Indiana State Plan provides specifics on how Medicaid is implemented and governed in Indiana. 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. St Louisville, KY 40202. For information about IHCP policies, procedures, and billing guidance (including information about electronic transactions), access these IHCP reference documents. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). The fax number associated with the location address of the provider being identified. Archbold Ed Uninsured. 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. quote, Find an a doctor, Enroll Ft. 12414 Tallow Cir, San Antonio, TX 78253-5253. 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.

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