Industry Hospital & Health Care Revenue $9.2M Employees 111 Founded in Headquarters Oakland, CA Website Organization Type Private Is This Your Company? The Indiana State Plan provides specifics on how Medicaid is implemented and governed in Indiana. COMMERCIAL. Responsibility, Internet Privacy To find out more, visit Medicare.gov. OAKLAND, CA For in-depth guidance on the D-SNP submission of encounter data, see the following IHCP companion guides: Arcadian Health Plan and Humana Benefit Plan of Illinois, Inc. Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. The provider's official mailing address is: 500 12TH ST STE 350 To send us a message so we can call you, click here. Nearby homes similar to 1414 Arcadian Lily have recently sold between $325K to $325K at an average of $150 per square foot. 500 12TH ST STE 300 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. 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. The State or Province name in the mailing address of the provider being identified. This news release includes forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Program, Humana pharmacy, Shop for Provider Relations Phone Number. The Health Insurance Portability and Accountability Act (HIPAA) of 1996 contains Portability, Medicaid Integrity Program/Fraud and Abuse, and Administrative Simplification. Ratings by category. your health, Preventive <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Health Plan/Payer Business Mailing Address First Line. The date that a record was last updated or changed. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. Net of the divestitures, the acquisition will increase Humanas health plan membership by approximately 50,000 Medicare HMO members. Humana Behavioral Health Humana Employers Health Insurance Humana Inc Humana Insurance Company Choice Care Network 610647538 HUMANA INC. Arcadian Management Services Inc Other ID's: 61104, L0200, 72127, 62072, 61120, 62073, 73288, 95885 Codes are: The "Is the organization a subpart?" 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. You can reach the authorized official at the following phone number 510-817-1845. AR812. Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at, Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the. You can call us if you have a question about your insurance plan or a health problem. Documentation Guidelines. 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. This data element may contain the same information as ''Provider location address postal code''. Doctor, Health & Well-being 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. Contact Us About The Company Profile For Arcadian Health Plan, Inc. Empire Plan Toll free. your health, Member 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 Your Initial Enrollment Period (IEP) is the 7-month period you have when you first become eligible to sign up for Medicare. If one of our plans is not the best fit, don't worry - we'll connect you with other options. guidance, Using Please contact the plan for further details. Each line of business represents a different Healthcare Provider Taxonomy or area of specialization that often submits its own electronic claims to health plans. 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." 183. . 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. Copyright 2007-2023 HIPAASPACE. All rights reserved | Email: [emailprotected], Abington jefferson health physician directory, White mountain community health conway nh. View more recently sold homes. NOTE: ZIP code plus 4-digit extension, if available. Licensure, Fraud, Waste & area. prescription, Manage All. A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. <> NPI Number information was last time updated on 12/01/2010. Contact Name *. Copyright 2023 State of Indiana - All rights reserved. Changes in economic conditions could adversely affect Humanas business and results of operations. 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. 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. 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. We also provide free language interpreter services. 510-832-0311. Physician group practices struggle with bundled payments: study. Other Filing Date: October 29, 2013. name (which is a provider name or healthcare organization name) ARCADIAN HEALTH PLAN, INC.. a quote, Shop Medicare Advantage Plans must offer emergency coverage outside of the plans service area (but not outside the U.S.). 1,507 Sq. 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. 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 benefit information provided is a brief summary, not a complete description of benefits. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. $257,000 Last Sold Price. Most include Medicare prescription drug coverage (Part D). Unit 13- Lease Alienation. dental plans, Find SOLD JUN 13, 2022. )JCR?;}`_YWk>7O_6z?U#nutWm=2? Clinical Guidelines. We are an independent education, research, and technology company. The HMO Alias list is an Excel spreadsheet. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Providers who do not contract with the plan are not required to see you except in an emergency. The authorized official title (position) is SR. VP AND GENERAL COUNSEL. Medicare Advantage Plans may offer extra coverage, such as vision, hearing, dental, and/or health and wellness programs. '//cse.google.com/cse.js?cx=' + cx; Health (9 days ago) Web800-457-4708 Open 8 a.m. to 8 p.m. Eastern time, Monday through Friday Medicaid , https://www.health-mental.org/arcadian-health-plan-contact-number/, Health (3 days ago) WebZIP 94607 Phone: (510) 832-0311 Get Directions ARCADIAN HEALTH PLAN, INC. is a health maintenance organization in Oakland, CA. User ID: Password: Show password for group products, Learn PSWs mission is to support the physician-patient relationship in the independent practice of medicine through fair contracting, responsible resource utilization and prudently adopted innovations in health care delivery. Medical Policies. Prep task 1. 8 "Staff injuries from patient violence and/or assaults by patients against staff can result in serious injuries, and have so resulted." 9 Employees were punched in the head (and . ^e _rels/.rels ( MK1!;*"l/EMd1`7FAtzwyfx{vE fVKrFH"l3*>.%uGV=\i8XrZJ%\P4H;s>67Mizo#+DYB5V$~"c'ZkRRF%8EsF|02Xn/1=cW7 PK ! about group insurance, Member Our claims professionals have extensive claims handling experience for a variety of business lines. About Arcadian Health: Arcadian Health, founded in 1996, provides Medicare Advantage coverage through its affiliates in the following 15 states: . Arcadian Health Plan is a small health care company based in Oakland, CA with only 111 employees and an annual revenue of $9.2M. Contact the plan provider for additional information. 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. Drug List, Shop Nearby homes similar to 1521 Arcadian Lily have recently sold between $257K to $257K at an average of $170 per square foot. 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). care, Managing Humana and Arcadian are working together to ensure a seamless transition of the Medicare business. guidance, Humana member The City name in the mailing address of the provider being identified. ARCADIAN HEALTH PLAN, INC. can be reached at the following phone number(s): Phone: 510-832-0311 4 0 obj 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). 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. Medicare Advantage plans, Shop FSSA updates. 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. 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. 0000002619 00000 n Contact Name Kelly Gaskins . The legal entity must obtain an NPI. PK ! 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. 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. 3.8 . Members may enroll in a Medicare Advantage plan only during specific times of the year. The provider is registered as an organization entity type. This address cannot include a Post Office box. The enumeration date of this NPI Number is 11/18/2008. To receive notices, you must subscribe. Medicaid will no longer pay these charges. Arcadian strives to manage claims in an efficient, timely and prudent manner. 3 0 obj Any of these risks and uncertainties may cause actual results to differ materially from the results discussed in the forward-looking statements. (Catholic Medical Center) Unity Health Plan Ins. Arcadian Health Plan Apr 2006 - Present16 years 4 months Run daily accounts payable claims and audit edits reports. 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 . Medicare has neither reviewed nor endorsed the information on our site. Health Plans, Inc. PO Box 5199 Westborough, MA 01581. [13] Between 2008 and 2012, the company agreed to pay a total of $217.5 million to settle the claims against them. 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. Health (8 days ago) Web101 Wood Avenue South, 8th Floor. religion. 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. 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. So can the benefits and costs of Medicare Advantage plans. (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 Parent Organization LBN and TIN fields can only be completed if the answer to the subpart question is Yes. Login or find a doctor PK ! stream The telephone number associated with mailing address of the provider being identified. enroll, Find a 500 W Main. The postal ZIP or zone code in the mailing address of the provider being identified. The Indiana Health Coverage Programs contract with two durable medical equipment suppliers to provide incontinence, ostomy and urological supplies, including diapers, under- pads, ostomy bags and gloves to members enrolled in Traditional Medicaid. Non-health claims (net) 0 0 0 0 20. 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. Humana Sites, For 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. Indiana Health Coverage Programs is contracted with OptumRx to be the pharmacy benefits manager for the Traditional Medicaid. for Plans, Shop resources, Medicaid If the organization is a subpart = , the Parent Organization Legal Business Name (LBN) and Parent Organization Taxpayer Identification Number (TIN) fields must be completed. savings & tools, Humana PSW licensed agents can answer your questions on Medicare, Medicare Advantage and the specific health plans we offer. gcse.async = true; for a MyHumana account today. menu, Manage To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). Speak to a PSW Agent today to learn more about your eligibility and options for our Medicare Advantage plans. The 2022 Annual Enrollment Period (AEP) is from October 15 to December 7, 2021. claims, Check We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. Dual Eligible Special Needs Plans serve members who are eligible for both Medicaid and Medicare. Humanas business may be materially adversely impacted by CMSs adoption of the new coding set for diagnoses. File Number: 3615733. For a copy of Indianas current State Medicaid Agency Contract, click here: To access all executed D-SNP contracts for 2022, visit the, To register as a trading partner with the IHCP to exchange electronic transactions for D-SNP, submit the. vision plans, Find Medicare pays a fixed amount for your care every month to the companies offering Medicare Advantage Plans. eye doctor, How to menu, Find a 500 12TH ST STE 300 You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID . 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 . Claims adjustment expenses, including $ 126,895,463 cost containment expenses 0 145,900,023 120,817,947 169,390,602 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 card, View Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. 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As a local company, PSW has boots on the ground when working with health care providers and Medicare Advantage plans to support the best services, education and training are provided. 500 12th Street, Suite 350, Oakland, California 94607, US. 1997. endobj 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. St Louisville, KY 40202. Select Foreign Country in the state drop down box if the license was issued outside of United States. 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. UHS-DE and UHS-Fuller stipulated that physically violent or assaultive patients created a hazard for those at the Worksite. Practice Name *. health conditions, Home :KORgOC~Ma^ 9kp h'7+LF. Our. Kareo ID *. 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.