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). PDF STATEMENT AS OF SEPTEMBER 30, 2021 OF THE Arcadian Health Plan - Maine Gunzenhausen - Wikipedia Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. Bulletins, Banner Pages and Reference Modules. STATEMENT AS OF SEPTEMBER 30, 2021 OF THE Arcadian Health Plan, Inc. ASSETS Current Statement Date 4 1 Assets 2 Nonadmitted Assets 3 Net Admitted Assets (Cols. 3 Beds. OIG: CMS needs to help drugmakers in calculating best Medicare Part B prices. Contact the plan provider for additional information. For Providers :: The Health Plan & appeals, Helpful Star Ratings are calculated each year and may change from one year to the next. Copyright 2007-2023 HIPAASPACE. 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. Visit PSWs Annual Enrollment Period (AEP) page to learn more. Any new coverage you get during this time will start on January 1, 2021. Library, Sign (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. In all types of Medicare Advantage Plans, youre always covered for emergency and urgent care. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. H5619 Arcadian Health Plan (Humana, Inc.) . Health plans must contract with the Indiana Health Coverage Programs and hold a contract with Medicare. We are not compensated for Medicare plan enrollments. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. The email notifications are used to send notices to subscribers on behalf of the IHCP. The HMO Alias list is an Excel spreadsheet. There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. 1,507 Sq. Those who disenroll Call 360.943.4337 ext 9 or email [emailprotected]. OAKLAND, CA prescription, Manage PDF claims processing 20060120 (2) - Centers for Medicare & Medicaid Services User ID: Password: Show password To receive notices, you must subscribe. & tools, Humana Completes Acquisition of Arcadian Management Services, Find a a healthcare plan, Humana a plan, Find a coverage, Refill a For Providers. arcadian health plan, inc claims mailing address The country code in the mailing address of the provider being identified. Humana and Arcadian are working together to ensure a seamless transition of the Medicare business. Any of these risks and uncertainties may cause actual results to differ materially from the results discussed in the forward-looking statements. 2.5 Baths. 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. a dentist, Get Get the most out of your plan. 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 Medicare Advantage Plans must offer emergency coverage outside of the plans service area (but not outside the U.S.). ARCADIAN HEALTH PLAN, INC. :: California (US) :: OpenCorporates Claims adjustment expenses, including $ 96,131,102 cost containment expenses 0 108,854,457 92,979,675 204,471,335 Gunzenhausen is a nationally . 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. x[moF a %o$MK.h}W@[D 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. $325,000 Last Sold Price. doctor, Enroll in health risk assessment (HRA) to members by phone, mail or in-person if necessary. Downgrades in Humanas debt ratings, should they occur, may adversely affect its business, results of operations, and financial condition. A field cannot contain all special characters. 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 . 183. . Given the current economic climate, Humanas stock and the stock of other companies in the insurance industry may be increasingly subject to stock price and trading volume volatility. ARCADIAN HEALTH PLAN Pay & Benefits reviews - indeed.com Practice Name *. 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. Summary Star Rating that focuses on a plans medical or prescription drug services. This is the time when you can make changes to your Medicare coverage. To send us a message so we can call you, click here. FSSA updates. 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. 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. 2.5 Baths. Medicaid contracts each year with plans that are willing to accept a monthly fee for each recipient in their program. 3.8 . VIRGINIA PREMIER HEALTH PLAN, INC. H9952 H9955 MOLINA HEALTHCARE OF OHIO, INC. State Integration Status Applicable Integrated Plan Coordination-Only FIDE . a doctor, Enroll 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. Arcadian Health Plan and Humana Benefit Plan of Illinois, Inc. Current Member: 800-457-4708 (TTY 711) Not a Member: 800-833-2364 (TTY 711) Ascension Complete Current Member: 833-542-1679 (TTY 771) Not a Member: 877-831-9411 (TTY 711) CareSource Current Member: 833-230-2020 (TTY 711) Not a Member: 844-607-2830 (TTY 711) MDwise 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. 94607-4087 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). PDF STATEMENT AS OF MARCH 31, 2021 OF THE Arcadian Health Plan, Inc. - Maine HMO Alias Texas Counties served by the HMO HMO Service areas WellCare - Wikipedia gcse.type = 'text/javascript'; 1 - 2) December 31 Prior Year Net . Preferred Medical Claim Premier Health - PPO - SC Prime Health Services Priority Health (Michigan) . Claims adjustment expenses, including $ 38,432,221 cost containment expenses 0 44,339,331 36,328,629 169,390,602 The Indiana State Plan provides specifics on how Medicaid is implemented and governed in Indiana. PSW licensed agents can answer your questions on Medicare, Medicare Advantage and the specific health plans we offer. D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. Corp - WI . Company Profile Page. The Health Insurance Portability and Accountability Act (HIPAA) of 1996 contains Portability, Medicaid Integrity Program/Fraud and Abuse, and Administrative Simplification. 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. Claim This Company Page What do people say about Arcadian Health Plan 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 For more information contact the plan. Copyright 2007-2023 HIPAASPACE. Jan 3, 2023 . The date that a record was last updated or changed. Humanas pharmacy business is highly competitive and subjects it to regulations in addition to those the company faces with its core health benefits businesses. ARCADIAN HEALTH PLAN, INC. in Louisville, AL - Bizapedia Non-health claims (net) 0 0 0 0 20. 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. <> To determine individual service areas, please call the health plans' customer service numbers provided (see below). Its important to check with your doctor to confirm which Medicare Advantage plans they are accepting. 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. The city name in the location address of the provider being identified. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 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. Be sure to find PSW on our social media profiles. US. CA Medicaid is a state-administered program, and each state sets its own guidelines regarding eligibility and services. question must be answered. Codes are: The "Is the organization a subpart?" var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; stream The 2022 Annual Enrollment Period (AEP) is from October 15 to December 7, 2021. %PDF-1.5 NPI Number information was last time updated on 12/01/2010. Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. 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. Category. fi%  xl/_rels/workbook.xml.rels ( Mk0$nez:8`gk(%b_=65q"0{?mY$M! To enroll, eligible individuals should reach out to a specific health plan or contact Medicare at 800-MEDICARE. area. MAXIMUS Health Services Inc. has served as the Indiana Health Coverage Programs enrollment broker since 2007. Physician group practices struggle with bundled payments: study. Indiana Medicaid: Partners: Dual Eligible Special Needs Plans Claims: 61101 Encounters: 61102 Advanced claims editing All EDI submissions to Humana pass through Availity. 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. The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider. If one of our plans is not the best fit, don't worry - we'll connect you with other options. Provider Relations Phone Number. PSW is a private company and not a health plan. <>>> Iselin, New Jersey 08830. 1-877-7NYSHIP (1-877-769-7447), choose UnitedHealthcare . This data element may contain the same information as ''Provider location address fax number''. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. [13] Between 2008 and 2012, the company agreed to pay a total of $217.5 million to settle the claims against them. quote, Find an 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). Resources, Pay It includes the 3 months before the month of your birthday, your birth month, and the 3 months after the month of your birthday. An Overall Star Rating that combines all of a plans scores. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. UHS-DE and UHS-Fuller stipulated that physically violent or assaultive patients created a hazard for those at the Worksite. 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. 1997. % 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. Non-health claims (net) 0 0 0 0 20. Health Plan/Payer Business E-Mail Address. 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 . 0000000926 00000 n The provider is registered as an organization entity type. The psychiatric unit is an example of a subpart that could have its own NPI if the hospital determines that it should. The securities and credit markets may experience volatility and disruption, which may adversely affect Humanas business. Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Gainwell provides a number services to the IHCP, including provider enrollment, customer service, eligibility verification, and fee-for-service claim processing. Employers, For Agents & in to Go365.com, Corporate Your healthcare needs change. D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. View more recently sold homes. Non-health claims (net) 0 0 0 0 20. ARCADIAN HEALTH PLAN Pay & Benefits reviews Review this company. For Claims Status please contact Susan Naanes @ 503-574-7441 or Debra . Arcadian Management Services Inc. COMMERCIAL. Whether youre new to Medicare or considering changing plans, learn how Medicare Advantage plans can support the best YOU! ARCADIAN HEALTH PLAN, INC. Company Number 602384193 Status Active Incorporation Date 6 April 2004 (almost 19 years ago) Company Type WA INSURANCE COMPANY Jurisdiction Washington (US) Registered Address UNITED STATES United States Agent Name CORPORATION SERVICE COMPANY Agent Address 300 DESCHUTES WAY SW #304, TUMWATER, WA, 985010000 endobj Arcadian Health Plan Claims Address - Explore Recent guidance, Using The postal ZIP or zone code in the mailing address of the provider being identified. gcse.src = (document.location.protocol == 'https:' ? 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. 94607-4087, US. 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. PSW has partnered with Humana and Premera. Arcadian Health Plan Claims Address Important information to all providers and software developers that communicate via electronic data interchange (EDI) format and direct data entry (DDE). 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. Brokers, For Locations Primary 500 12th Street, Suite 350 Oakland,. Health (8 days ago) Web101 Wood Avenue South, 8th Floor. 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 . Arcadian - Claims a form, View ID Alabama Medicaid eye doctor, How to We do not sell leads or share your personal information. TTY users should call, 1-800-325-0778; or your state Medicaid Office. Arcadian Health Plan is a small health care company based in Oakland, CA with only 111 employees and an annual revenue of $9.2M. 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. . These estimates, however, involve extensive judgment, and have considerable inherent variability that is extremely sensitive to payment patterns and medical cost trends. Ratings by category. Medicare Advantage Plans may offer extra coverage, such as vision, hearing, dental, and/or health and wellness programs. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. Claims Submissions - Humana