COMMERCIAL. St Louisville, KY 40202. 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. bs [Content_Types].xml ( UKO0|]5naVi _L;qZRR%Qb{$4WbTEE%EV6xPL''?XpJ4DBJp File Number: 3615733. pharmacy, Shop for card, View NOTE: ZIP code plus 4-digit extension, if available. 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. The email notifications are used to send notices to subscribers on behalf of the IHCP. menu, Find a ARCADIAN HEALTH PLAN, INC. can be reached at the following phone number(s): Phone: 510-832-0311 HMO Alias Texas Counties served by the HMO HMO Service areas It is situated on the river Altmhl, 19 kilometres (12 mi) northwest of Weienburg in Bayern, and 45 kilometres (28 mi) southwest of Nuremberg. Contact Name *. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. support, Shop for Humana and Arcadian are working together to ensure a seamless transition of the Medicare business. Register 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 pricing guide, Find To receive notices, you must subscribe. Ft. 12414 Tallow Cir, San Antonio, TX 78253-5253. Arcadian Health - TEXAS Artisan Provider Network *TRPN (Three Rivers Provider Network) PPO, WC, INJURY . Nearby homes similar to 1521 Arcadian Lily have recently sold between $257K to $257K at an average of $170 per square foot. drug plans & coverage, Prescription To determine individual service areas, please call the health plans' customer service numbers provided (see below). 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. Increased litigation and negative publicity could increase the companys cost of doing business. your health, Member endobj 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. Jan 3, 2023 09:43pm. 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 . This data element may contain the same information as ''Provider location address telephone number''. 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. Any failure to manage administrative costs could hamper Humanas profitability. Provider Relations Phone Number. for group products, Learn OIG: CMS needs to help drugmakers in calculating best Medicare Part B prices. The State or Province name in the location address of the provider being identified. <> Medical Policies. about Humana Pharmacy, Find This data element may contain the same information as ''Provider first line location address''. 1997. Copyright 2023 State of Indiana - All rights reserved. Physician Case Management Referral. 94607-5204 This data element may contain the same information as ''Provider location address City name''. 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). During this time, you have several options: enroll in, leave or switch your Medicare Advantage health plan. 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. Most Medicare Advantage Plans include Medicare prescription drug coverage (Part D). Bulletins, Banner Pages and Reference Modules. 2,148 Sq. 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. Login or find a doctor If one of our plans is not the best fit, don't worry - we'll connect you with other options. & tools, Humana Completes Acquisition of Arcadian Management Services, Find a endobj 'https:' : 'http:') + 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. 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. The date the provider was assigned a unique identifier (assigned an NPI). In preparation for the Engage, please carry out the following: With reference to the Lease of Kenulf House, 34-38 Fletton Street, Peterborough PE1 3LR ("Kenulf House"), complete the chart below, stating whether or not it is possible to carry out each of the dealings and citing the relevant lease provision(s). 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 94607-4087, US. <>>> resources, Medicaid 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. Your Initial Enrollment Period (IEP) is the 7-month period you have when you first become eligible to sign up for Medicare. (3) A pharmacy fills prescriptions for patients whose physicians have prescribed medications for them and may also rent or sell durable medical equipment to patients whose physicians have ordered such equipment for them. Employers, For Agents & VIRGINIA PREMIER HEALTH PLAN, INC. H9952 H9955 MOLINA HEALTHCARE OF OHIO, INC. State Integration Status Applicable Integrated Plan Coordination-Only FIDE . question must be answered. Please contact the plan for further details. US, 500 12TH ST STE 350 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). Medicare pays a fixed amount for your care every month to the companies offering Medicare Advantage Plans. Job Title. 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. 3.8 . quote, Find an You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID . Gunzenhausen ( German pronunciation: [ntsnhazn] ( listen); Bavarian: Gunzenhausn) is a town in the Weienburg-Gunzenhausen district, in Bavaria, Germany. doctor, Enroll in 3.8 Work-Life Balance. Fax: 510-817-1894. OAKLAND, CA Medicaid will no longer pay these charges. Not all D-SNP plans in Indiana serve the entire state. gcse.src = (document.location.protocol == 'https:' ? Downgrades in Humanas debt ratings, should they occur, may adversely affect its business, results of operations, and financial condition. Indiana Health Coverage Programs is contracted with OptumRx to be the pharmacy benefits manager for the Traditional Medicaid. 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. The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. Our business hours are 8:00 a.m. to 5:00 p.m., EST. Contact the plan provider for additional information. 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. This data element may contain the same information as ''Provider location address country code''. Humanas acquisition of Arcadian is not expected to materially impact its financial earnings guidance for the year ending December 31, 2012. MAXIMUS Health Services Inc. has served as the Indiana Health Coverage Programs enrollment broker since 2007. var gcse = document.createElement('script'); . 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. a dentist, Get St Louisville, KY 40202. Company Profile Page. %PDF-1.5 Contact Us Give us a call at 360-943-4337 opt. px. < RgJfrZO^!Cr]bL46 latDlb7W%Gfa?;^nh(T\[r559ES>72pGAgTd#m,A?bnT}O|G?! (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). claims, Check var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; about Medicaid, How TTY users should call, 1-800-325-0778; or your state Medicaid Office. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. Industry Hospital & Health Care Revenue $9.2M Employees 111 Founded in Headquarters Oakland, CA Website Organization Type Private Is This Your Company? Health plans must contract with the Indiana Health Coverage Programs and hold a contract with Medicare. 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). There also may be other risks that the company is unable to predict at this time. 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. This data element may contain the same information as ''Provider location address postal code''. All rights reserved | Email: [emailprotected], Abington jefferson health physician directory, White mountain community health conway nh. a pharmacy, Compare For Providers. 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. CA Gainwell Technologies has been contracted with the state of Indiana since 1991. Health (8 days ago) Web101 Wood Avenue South, 8th Floor. COMMERCIAL. 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. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. 500 12th Street, Suite 350, Oakland, California 94607, US. AR812. to enroll, Learn The benefit information provided is a brief summary, not a complete description of benefits. 7 There were over 500 incidents of aggression from June 1, 2019, through the end of 2019. Preferred Medical Claim Premier Health - PPO - SC Prime Health Services Priority Health (Michigan) . Changes in the prescription drug industry pricing benchmarks may adversely affect Humanas financial performance. 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. Original Medicare covers hospice care even if youre in a Medicare Advantage Plan. 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. Ft. 12435 Jacobs Pond, San Antonio, TX 78253-5505. (Catholic Medical Center) Unity Health Plan Ins. 3 Beds. Whether youre new to Medicare or considering changing plans, learn how Medicare Advantage plans can support the best YOU! Medicare MSA Plans do not cover prescription drugs. These companies must follow rules set by Medicare. If the plan accepts the monthly fee then the plan agrees to be responsible for the Medicare co-payments, co-insurance or deductibles. The telephone number associated with the location address of the provider being identified. It includes the 3 months before the month of your birthday, your birth month, and the 3 months after the month of your birthday. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227. Terms were not disclosed. D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. Health Plan/Payer ID Codes, also known as Receiver Codes, are the primary identifier used to route your EDI transaction to the appropriate entity. The plan deposits The first line mailing address of the provider being identified. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. 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. 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. a plan, Find a Medicare Star Ratings can help you learn how a Medicare Advantage plan is doing. Largest city and the administrative center . Speak to a PSW Agent today to learn more about your eligibility and options for our Medicare Advantage plans. Other Providence of Oregon Health Plan. ARCADIAN HEALTH PLAN Pay & Benefits reviews Review this company. 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. name (which is a provider name or healthcare organization name) ARCADIAN HEALTH PLAN, INC.. 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). OAKLAND Provider Relations Phone Number. Locations Primary 500 12th Street, Suite 350 Oakland,. The company's filing status is listed as Exists and its File Number is 377-482. The securities and credit markets may experience volatility and disruption, which may adversely affect Humanas business. religion. Industry: Health insurance carriers Printer Friendly View Address: 500 12TH St Ste 350 Oakland, CA, 94607-5204 United States See other locations 2.5 Baths. Gunzenhausen is a nationally . All rights reserved. H5619 Arcadian Health Plan (Humana, Inc.) . PSW is a private company and not a health plan. Humanas business activities are subject to substantial government regulation. We are not compensated for Medicare plan enrollments. information and language options. Our agents put your needs first. Requirements, full accessibility rights Medicare has neither reviewed nor endorsed the information on our site. The company's principal . To submit a support case fill out the form below. Provide organization name (legal business name used to file tax returns with the IRS). 3 0 obj Humana is a publicly traded Delaware holding company for 9, or toll-free at 1-877-943-4337 fi%  xl/_rels/workbook.xml.rels ( Mk0$nez:8`gk(%b_=65q"0{?mY$M! The contact numbers associated with the mailing address are: The authorized official registered with the 1598910549 NPI Number is JAMES NOVELLO. A process known as advanced claims editing (ACE) applies coding rules to a medical claim submitted through the Availity gateway via EDI before the claim enters Humana's claim payment system. If Humana does not design and price its products properly and competitively, if the premiums Humana charges are insufficient to cover the cost of health care services delivered to its members, or if its estimates of benefit expenses are inadequate, Humanas profitability could be materially adversely affected. (1) The psychiatric unit in a hospital is not a legal entity but is part of the hospital (the "parent"), which is a legal entity. Arcadians plans have approximately 62,600 Medicare Advantage members in 15 U.S. states: Alabama, Arkansas, Arizona, California, Georgia, Louisiana, Maine, Missouri, New Hampshire, New York, North Carolina, Oklahoma, South Carolina, Texas and Washington. ^e _rels/.rels ( MK1!;*"l/EMd1`7FAtzwyfx{vE fVKrFH"l3*>.%uGV=\i8XrZJ%\P4H;s>67Mizo#+DYB5V$~"c'ZkRRF%8EsF|02Xn/1=cW7 PK ! 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"). 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. health conditions, Home The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. Many Medicare Advantage Plans also offer extra benefits such as dental care, eyeglasses, or wellness programs. health goals, Go365 All. Medicare Advantage Plans must cover all of the services that Original Medicare covers except hospice care. Humana anticipates that the divestitures would be effective January 1, 2013. All. care, Managing Select Foreign Country in the state drop down box if the license was issued outside of United States. health risk assessment (HRA) to members by phone, mail or in-person if necessary. eye doctor, How to Register for a MyHumana DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. Limitations, copayments, and restrictions may apply. 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. To find out more, visit Medicare.gov. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). Humana advises investors to read the following documents as filed by the company with the SEC for further discussion both of the risks it faces and its historical performance: Humana Inc., headquartered in Louisville, Kentucky, is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. Clinical Guidelines. Arcadian Health Plan is a small health care company based in Oakland, CA with only 111 employees and an annual revenue of $9.2M. a form, View ID 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. )JCR?;}`_YWk>7O_6z?U#nutWm=2? 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. 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 . Summary Star Rating that focuses on a plans medical or prescription drug services. 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. Be sure to find PSW on our social media profiles. 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. The 2022 Annual Enrollment Period (AEP) is from October 15 to December 7, 2021. Location. enroll, Find a Claims: 61101 Encounters: 61102 Advanced claims editing All EDI submissions to Humana pass through Availity. Settings, Start voice To report a claim to Arcadian, please contact: General Liability Claims glclaims@arcadian-risk.com Professional Liability Claims plclaims@arcadian-risk.com $e_ofvZp$QH"}wWWo>H!qyJ 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 prescription, Manage Health Plan/Payer Business Fax Number. 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. Gateway Health Plan has several different Payer ID numbers please look for the Payer ID on the ID card before submitting. Dual Eligible Special Needs Plans serve members who are eligible for both Medicaid and Medicare. Redfin Corporation. Give us a call at 360-943-4337 opt. PSW licensed agents can answer your questions on Medicare, Medicare Advantage and the specific health plans we offer. We can quickly help you if you have your member ID number, located on the back of your , Health (1 days ago) WebH0320 ARCADIAN HEALTH PLAN, INC. Formulary Contact 825 Washington St. Suite 300 Oakland CA 94607 HMO H0320 ARCADIAN HEALTH PLAN, , https://www.cms.gov/Medicare/Health-Plans/HealthPlansGenInfo/Downloads/claims_processing_20060120.pdf, Health (1 days ago) WebService Categories: About this location: The Veolia Northern New Jersey Water Operations, proudly provides clean, safe drinking water to customers in Bergen and Hudson , https://www.veolianorthamerica.com/contact-us/find-office/hackensack-nj, Health (6 days ago) WebCustomer care representatives are available to assist you. Important information to all providers and software developers that communicate via electronic data interchange (EDI) format and direct data entry (DDE). This address cannot include a Post Office box. Changes in economic conditions could adversely affect Humanas business and results of operations. Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. 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. of race, color, national origin, age, disability, sex, sexual orientation, gender identity or The date that a record was last updated or changed. Dual Eligible Special Needs Plans serve members who are eligible for both Medicaid and Medicare. information and language options. [k@+%#bP{U Zbl;0RZ%U$+Ylft(s?-FUg dnt`q. for a MyHumana account today. Visit PSWs Annual Enrollment Period (AEP) page to learn more. A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Affinity Health Plan ## 13334 Y AFFINITY HEALTH O Contact EDI@Affinityplan.org or (718)794-7592 prior to sending claims. Drug List, Shop '//cse.google.com/cse.js?cx=' + cx; Gainwell provides a number services to the IHCP, including provider enrollment, customer service, eligibility verification, and fee-for-service claim processing.
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