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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. 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. PDF H5619 Arcadian Health Plan (Humana, Inc.) Dual Eligible (Dual Eligible Humana Contact Information for Providers Select Foreign Country in the state drop down box if the license was issued outside of United States. savings & tools, Humana All members complete the annual HRA This data element may contain the same information as ''Provider location address State name''. drug plans & coverage, Prescription Net of the divestitures, the acquisition will increase Humanas health plan membership by approximately 50,000 Medicare HMO members. claims, Check & appeals, Helpful The country code in the mailing address of the provider being identified. your health, Preventive Give yourself a birthday gift. Contact the plan provider for additional information. 94607-5204, US. Arcadian Health Plan | LinkedIn a dentist, Get Gunzenhausen - Wikipedia s.parentNode.insertBefore(gcse, s); Visit PSWs Annual Enrollment Period (AEP) page to learn more. All rights reserved. about group insurance, Member For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), Physician group practices struggle with bundled payments: study. Medicare Advantage Plans must offer emergency coverage outside of the plans service area (but not outside the U.S.). This data element may contain the same information as ''Provider location address City name''. For Providers. Medicare Advantage Health Plans - PSW about Humana Pharmacy, Find in your neighborhood, Achieving In certain situations, you can. 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. XLSX Home - Centers for Medicare & Medicaid Services | CMS for group products, Learn PDF Names, titles, addresses and telephone numbers of individuals to whom 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 . There also may be other risks that the company is unable to predict at this time. Specialties: Millie's serves delicious, coal- and Neapolitan wood-fired artisan pizzas and meatballs based on Vince and Brandon's grandmother Millie's recipes. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. Provider Relations Phone Number. D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. 4 0 obj Category. Filing Date: October 29, 2013. Medicare Advantage plans, Shop 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. To determine individual service areas, please call the health plans' customer service numbers provided (see below). a pharmacy, Compare New laws or regulations, or changes in existing laws or regulations or their manner of application could increase the companys cost of doing business and may adversely affect the companys business, profitability and cash flows. 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. Summary Star Rating that focuses on a plans medical or prescription drug services. Payer ID List - Health Data Services Humana Announces Agreement to Acquire Arcadian Management Services coverage, Refill a OAKLAND Arcadian Health Plan Claims Address In light of these risks, uncertainties, and assumptions, the forward-looking events discussed herein may or may not occur. Drug List, Shop The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. User ID: Password: Show password Star Ratings are calculated each year and may change from one year to the next. Doctor, Health & Well-being About Arcadian Health: Arcadian Health, founded in 1996, provides Medicare Advantage coverage through its affiliates in the following 15 states: . info) is a Landkreis (district) in the west of Bavaria, Germany with a population of 95,000. Claims adjustment expenses, including $ 38,432,221 cost containment expenses 0 44,339,331 36,328,629 169,390,602 Preferred Medical Claim Premier Health - PPO - SC Prime Health Services Priority Health (Michigan) . for Plans, Shop Jan 3, 2023 09:43pm. Contact Us Give us a call at 360-943-4337 opt. 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. 1 , http://www.empireplanproviders.com/contact.htm. Nearby homes similar to 1414 Arcadian Lily have recently sold between $325K to $325K at an average of $150 per square foot. Providers who do not contract with the plan are not required to see you except in an emergency. The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider. Affinity Health Plan ## 13334 Y AFFINITY HEALTH O Contact EDI@Affinityplan.org or (718)794-7592 prior to sending claims. All rights reserved. Arcadian Management Services Inc. COMMERCIAL. The first name of the authorized official, The title or position of the authorized official. :KORgOC~Ma^ 9kp h'7+LF. Copyright 2023 State of Indiana - All rights reserved. your health, Member Medicare Star Ratings can help you learn how a Medicare Advantage plan is doing. Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. 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. Health plans must contract with the Indiana Health Coverage Programs and hold a contract with Medicare. What is Medicare Part C? | HHS.gov Patient Consent Forms. Medicare Advantage Plans may offer extra coverage, such as vision, hearing, dental, and/or health and wellness programs. 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. 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). 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. View more recently sold homes. D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. The telephone number associated with mailing address of the provider being identified. Claims adjustment expenses, including $ 126,895,463 cost containment expenses 0 145,900,023 120,817,947 169,390,602 ^e _rels/.rels ( MK1!;*"l/EMd1`7FAtzwyfx{vE fVKrFH"l3*>.%uGV=\i8XrZJ%\P4H;s>67Mizo#+DYB5V$~"c'ZkRRF%8EsF|02Xn/1=cW7 PK ! US. 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). You can reach the authorized official at the following phone number 510-817-1845. Important information to all providers and software developers that communicate via electronic data interchange (EDI) format and direct data entry (DDE). DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. For more information contact the plan. Many Medicare Advantage Plans also offer extra benefits such as dental care, eyeglasses, or wellness programs. The 2022 Annual Enrollment Period (AEP) is from October 15 to December 7, 2021. Medicare evaluates plans based on a 5-Star rating system. (For Medicaid, Child Health Plus . Changes in economic conditions could adversely affect Humanas business and results of operations. Bulletins, Banner Pages and Reference Modules. The country code in the location address of the provider being identified. Register 2.5 Baths. To find out more, visit Medicare.gov. ARCADIAN HEALTH PLAN, INC. can be reached at the following phone number(s): Phone: 510-832-0311 about Medicaid, How 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. Arcadian Health Plan Apr 2006 - Present16 years 4 months Run daily accounts payable claims and audit edits reports. *Required Fields. The Domestic Health Carrier is a direct wholly-owned subsidiary of, and controlled by, Humana Inc. ("Hwnana"). PDF Exhibit 3 - Health Care Receivables Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Terms were not disclosed. 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. The first line mailing address of the provider being identified. Star ratings are assigned to Medicare Advantage plans by the Centers for Medicare and Medicaid Services (CMS). Arcadian Health Plan Claims Address - Explore Recent ARCADIAN HEALTH PLAN Pay & Benefits reviews - indeed.com St Louisville, KY 40202. health conditions, Home Solicitation opportunities to do business with the State of Indiana. Medicaid will no longer pay these charges. PDF STATEMENT AS OF SEPTEMBER 30, 2021 OF THE Arcadian Health Plan - Maine $e_ofvZp$QH"}wWWo>H!qyJ menu, Manage Gainwell provides a number services to the IHCP, including provider enrollment, customer service, eligibility verification, and fee-for-service claim processing. 7 There were over 500 incidents of aggression from June 1, 2019, through the end of 2019. 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. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. name (which is a provider name or healthcare organization name) ARCADIAN HEALTH PLAN, INC.. 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": Its important to check with your doctor to confirm which Medicare Advantage plans they are accepting. Responsibility, Internet Privacy information and language options. <>>> Member Services Phone Number. Medicare drug (Part D) plans, Shop Claims Submissions - Humana US Family Health Plan @St. Vincent's Hosp. Gateway Health Plan has several different Payer ID numbers please look for the Payer ID on the ID card before submitting. 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. 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. 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. NOTE: ZIP code plus 4-digit extension, if available. Humana Sites, For )JCR?;}`_YWk>7O_6z?U#nutWm=2? 1-800-454-3730. wellness & rewards, Member The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. It is situated on the river Altmhl, 19 kilometres (12 mi) northwest of Weienburg in Bayern, and 45 kilometres (28 mi) southwest of Nuremberg. A field cannot contain all special characters. The enumeration date of this NPI Number is 11/18/2008. 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. Claim: ARCADIAN HEALTH PLAN, INC. is an Alabama Foreign Corporation filed on December 5, 2016. We do not sell leads or share your personal information. Caregivers, Go365 Wellness CA my premium, Drug quote, Find an We also provide free language interpreter services. support, Shop for var s = document.getElementsByTagName('script')[0]; Industry: Health insurance carriers Printer Friendly View Address: 500 12TH St Ste 350 Oakland, CA, 94607-5204 United States See other locations Your healthcare needs change. 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. Settings, Start voice })(); Enter your ZIP Code and click "Show Available Medicare Advantage Plans", 2023 Medicare Advantage Plan Benefit Details, 2023 Medicare Advantage Plan Benefit Details for the Arcadian Health Plan - Plus (HMO), Find a 2023 Medicare Advantage Plan (Health and Health w/Rx Plans), Browse Any 2023 Medicare Plan Formulary (or Drug List), Q1Rx Drug-Finder: Compare Drug Cost Across all 2023 Medicare Plans, Find Medicare plans covering your prescriptions, Medicare plan quality and CMS Star Ratings, Understanding Your Explanation of Benefits, IRMAA: Higher premiums for higher incomes, 2023 Medicare Advantage Plans State Overview, Find a 2023 Medicare Advantage Plan by Drug Costs. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Copyright 2007-2023 HIPAASPACE. arcadia_health@humana.com. of race, color, national origin, age, disability, sex, sexual orientation, gender identity or If Humana fails to effectively implement its operational and strategic initiatives, including its Medicare initiatives, the companys business may be materially adversely affected, which is of particular importance given the concentration of the companys revenues in the Medicare business. So can the benefits and costs of Medicare Advantage plans. 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. ARCADIAN HEALTH PLAN, INC. in Louisville, AL - Bizapedia 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. a quote, Shop Health Plan/Payer Business Fax Number. ARCADIAN HEALTH PLAN Pay & Benefits reviews Review this company. Most include Medicare prescription drug coverage (Part D). Changes in the prescription drug industry pricing benchmarks may adversely affect Humanas financial performance. Not quite 65? (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). Any failure to manage administrative costs could hamper Humanas profitability. If Humana fails to develop and maintain satisfactory relationships with the providers of care to its members, the companys business may be adversely affected. The city name in the location address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. 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). 500 12TH ST STE 300 For providers with more than one physical location, this is the primary location. 0006300 Payer ID | Arcadian Health Plan, Inc." | Oakland, CA The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. 1 0 obj Business Address Line. TTY users should call, 1-800-325-0778; or your state Medicaid Office. The coal oven burns over 650+ degrees and can produce pies in five minutes. (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. 1 - 2) December 31 Prior Year Net . 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 . PDF Arcadian Health Plan Inc., H5619 Dual Eligible Medicare Zero Cost 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. group products, Member Resources Downgrades in Humanas debt ratings, should they occur, may adversely affect its business, results of operations, and financial condition. 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. 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. Neighbouring districts are (from the north clockwise) Ansbach, Roth, Eichsttt and Donau-Ries. Login or find a doctor 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. To receive notices, you must subscribe. NOTE: ZIP code plus 4-digit extension, if available. %PDF-1.5 Health (8 days ago) Web101 Wood Avenue South, 8th Floor. 1997. 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.

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