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Provide organization name (legal business name used to file tax returns with the IRS). Filing Date: October 29, 2013. 500 12th Street, Suite 350, Oakland, California 94607, US. Medicare drug (Part D) plans, Shop Arcadian Health Plan is a small health care company based in Oakland, CA with only 111 employees and an annual revenue of $9.2M. 0000002619 00000 n Contact Name Kelly Gaskins . The Registered Agent on file for this company is Corporation Service Company Inc and is located at 641 South Lawrence Street, Montgomery, AL 36104. about group insurance, Member Health Plan/Payer Business E-Mail Address. 3 Beds. 3 Beds. Most include Medicare prescription drug coverage (Part D). 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. Those who disenroll 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. 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 . a pharmacy, Compare This data element may contain the same information as ''Provider first line location address''. During this time, contact PSW and speak to an agent or go to Medicare.gov to learn more about your options to enroll in a Medicare Advantage plan. Changes in the prescription drug industry pricing benchmarks may adversely affect Humanas financial performance. 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. Contact the Medicare plan for more information. 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. Health Plan/Payer Business Fax Number. % 3.8 . about Medicare, Find 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. 2 0 obj To find out more, visit Medicare.gov. Medicare Advantage Plans may offer extra coverage, such as vision, hearing, dental, and/or health and wellness programs. The date the provider was assigned a unique identifier (assigned an NPI). This is the time when you can make changes to your Medicare coverage. Claims adjustment expenses, including $ 38,432,221 cost containment expenses 0 44,339,331 36,328,629 169,390,602 <>>> 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. COMMERCIAL. NPI Number information was last time updated on 12/01/2010. 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. CA 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. 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. PK ! If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. endobj Medical Policies. Providers, For Login or find a doctor These companies must follow rules set by Medicare. $325,000 Last Sold Price. The country code in the mailing address of the provider being identified. 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 . Health (8 days ago) WebArcadia.io Category: Health Detail Health Department of Human Services NJ FamilyCare Health Plans Health (8 days ago) Web101 Wood Avenue South, 8th Floor. This address cannot include a Post Office box. The authorized official title (position) is SR. VP AND GENERAL COUNSEL. The Health Insurance Portability and Accountability Act (HIPAA) of 1996 contains Portability, Medicaid Integrity Program/Fraud and Abuse, and Administrative Simplification. In light of these risks, uncertainties, and assumptions, the forward-looking events discussed herein may or may not occur. FSSA updates. [13] Between 2008 and 2012, the company agreed to pay a total of $217.5 million to settle the claims against them. guidance, Humana member Summary Star Rating that focuses on a plans medical or prescription drug services. Your healthcare needs change. 183. . 1,507 Sq. Claims: 61101 Encounters: 61102 Advanced claims editing All EDI submissions to Humana pass through Availity. Program, Humana Humanas business activities are subject to substantial government regulation. We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. Fax. Our agents put your needs first. http://www.insuranceproviders.com/companies/arcadian-health-plan-inc/. about Humana Pharmacy, Find PSW has partnered with Humana and Premera. Please enter your credentials. name (which is a provider name or healthcare organization name) ARCADIAN HEALTH PLAN, INC.. About Arcadian Health: Arcadian Health, founded in 1996, provides Medicare Advantage coverage through its affiliates in the following 15 states: . Gainwell provides a number services to the IHCP, including provider enrollment, customer service, eligibility verification, and fee-for-service claim processing. a healthcare plan, Humana 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. Iselin, New Jersey . Your Initial Enrollment Period (IEP) is the 7-month period you have when you first become eligible to sign up for Medicare. 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). 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. Please contact the plan for further details. To receive notices, you must subscribe. 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. Downgrades in Humanas debt ratings, should they occur, may adversely affect its business, results of operations, and financial condition. Library, Sign Brokers, For enroll, Find a pharmacy, Shop for The 10-position telephone number of the authorized official. Jan 3, 2023 09:43pm. 'https:' : 'http:') + HMO Alias Texas Counties served by the HMO HMO Service areas 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. Our agents put your needs first. Limitations, copayments, and restrictions may apply. Contact Us About The Company Profile For Arcadian Health Plan, Inc. religion. This data element may contain the same information as ''Provider location address fax number''. care & community support, Humana This data element may contain the same information as ''Provider location address City name''. PK ! The coal oven burns over 650+ degrees and can produce pies in five minutes. drug plans & coverage, Prescription The first line mailing address of the provider being identified. [k@+%#bP{U Zbl;0RZ%U$+Ylft(s?-FUg dnt`q. . Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. Give us a call at 360-943-4337 opt. Solicitation opportunities to do business with the State of Indiana. 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. 94607-5204, US. Terms were not disclosed. 500 W Main. Abuse, System All rights reserved | Email: [emailprotected], Abington jefferson health physician directory, White mountain community health conway nh. 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 4 0 obj (For Medicaid, Child Health Plus . 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. This data element may contain the same information as ''Provider location address postal code''. Health Plans, Inc. PO Box 5199 Westborough, MA 01581. Arcadian strives to manage claims in an efficient, timely and prudent manner. 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. Speak to a PSW Agent today to learn more about your eligibility and options for our Medicare Advantage plans. gcse.type = 'text/javascript'; var gcse = document.createElement('script'); If one of our plans is not the best fit, dont worry well connect you with other options. 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. Resources, Pay Make sure to check out our FAQ page. OAKLAND 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. This webpage represents 1598910549 NPI record. 0000000926 00000 n The provider is registered as an organization entity type. PSW licensed agents can answer your questions on Medicare, Medicare Advantage and the specific health plans we offer. 1 0 obj of race, color, national origin, age, disability, sex, sexual orientation, gender identity or Clinical Guidelines. 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. eye doctor, How to wellness & rewards, Member Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. 1-877-7NYSHIP (1-877-769-7447), choose UnitedHealthcare . The date that a record was last updated or changed. Largest city and the administrative center . Ratings by category. The first name of the authorized official, The title or position of the authorized official. '//cse.google.com/cse.js?cx=' + cx; card, View US. 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. 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, Medicaid Call 360.943.4337 ext 9 or email [emailprotected]. 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. This news release includes forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. We are not compensated for Medicare plan enrollments. Star ratings are assigned to Medicare Advantage plans by the Centers for Medicare and Medicaid Services (CMS). Practice Name *. 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": For Providers. This data element may contain the same information as ''Provider location address telephone number''. Corp - WI . <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Register for a MyHumana <> Providers who do not contract with the plan are not required to see you except in an emergency. (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. Arcadian Health - TEXAS Artisan Provider Network *TRPN (Three Rivers Provider Network) PPO, WC, INJURY . Non-health claims (net) 0 0 0 0 20. The City name in the mailing address of the provider being identified. Humana anticipates that the divestitures would be effective January 1, 2013. To send us a message so we can call you, click here. 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. Preferred Medical Claim Premier Health - PPO - SC Prime Health Services Priority Health (Michigan) . pricing guide, Find Free one-on-one consultations are available Monday-Friday, 8:00am-4:00pm. 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. Physician group practices struggle with bundled payments: study. Gunzenhausen is a nationally . var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; 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. Net of the divestitures, the acquisition will increase Humanas health plan membership by approximately 50,000 Medicare HMO members. Bulletins, Banner Pages and Reference Modules. The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. Jan 3, 2023 05:55pm. 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. 2.5 Baths. (function() { in your neighborhood, Achieving OAKLAND :KORgOC~Ma^ 9kp h'7+LF. Arcadian is dedicated to improving the health of our members by providing access to high quality and cost effective health care. Job Title. Address. Rights and Responsibilities. Iselin, New Jersey 08830. ARCADIAN HEALTH PLAN, INC. NPI is 1598910549. There also may be other risks that the company is unable to predict at this time. $e_ofvZp$QH"}wWWo>H!qyJ 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. <> Medicaid is a state-administered program, and each state sets its own guidelines regarding eligibility and services. 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. 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! Kareo ID *. We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. 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. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). 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. St Louisville, KY 40202. your health, Preventive Codes are: The "Is the organization a subpart?" You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID . Medicare Advantage Plans must offer emergency coverage outside of the plans service area (but not outside the U.S.). Prep task 1. Not all D-SNP plans in Indiana serve the entire state. dental plans, Find TTY users should call, 1-800-325-0778; or your state Medicaid Office. 500 12TH ST STE 300 For providers with more than one physical location, this is the primary location. 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. Neighbouring districts are (from the north clockwise) Ansbach, Roth, Eichsttt and Donau-Ries.

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