Members may enroll in a Medicare Advantage plan only during specific times of the year. PSW is committed to quality improvement, clinical integration and meaningful measures of value. Gainwell provides a number services to the IHCP, including provider enrollment, customer service, eligibility verification, and fee-for-service claim processing. Give yourself a birthday gift. PSW is a private company and not a health plan. The city name in the location address of the provider being identified. ^e _rels/.rels ( MK1!;*"l/EMd1`7FAtzwyfx{vE fVKrFH"l3*>.%uGV=\i8XrZJ%\P4H;s>67Mizo#+DYB5V$~"c'ZkRRF%8EsF|02Xn/1=cW7 PK ! rights, Prescription savings in a plan, Shop Its important to check with your doctor to confirm which Medicare Advantage plans they are accepting. guidance, Using Our business hours are 8:00 a.m. to 5:00 p.m., EST. Rights and Responsibilities. 500 12th St # 350. your health, Preventive 1-877-7NYSHIP (1-877-769-7447), choose UnitedHealthcare . Company Profile Page. The first line mailing address of the provider being identified. about Medicaid, How Solicitation opportunities to do business with the State of Indiana. There also may be other risks that the company is unable to predict at this time. 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. [13] Between 2008 and 2012, the company agreed to pay a total of $217.5 million to settle the claims against them. s.parentNode.insertBefore(gcse, s); We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. Claims adjustment expenses, including $ 38,432,221 cost containment expenses 0 44,339,331 36,328,629 169,390,602 To report a claim to Arcadian, please contact: General Liability Claims glclaims@arcadian-risk.com Professional Liability Claims plclaims@arcadian-risk.com Employers, For Agents & Star Ratings are calculated each year and may change from one year to the next. 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 landfill site, also known as a tip, dump, rubbish dump, garbage dump, or dumping ground, is a site for the disposal of waste materials. name (which is a provider name or healthcare organization name) ARCADIAN HEALTH PLAN, INC.. 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. eye doctor, How to Any failure to manage administrative costs could hamper Humanas profitability. 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. of race, color, national origin, age, disability, sex, sexual orientation, gender identity or 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 It includes the 3 months before the month of your birthday, your birth month, and the 3 months after the month of your birthday. Whether youre new to Medicare or considering changing plans, learn how Medicare Advantage plans can support the best YOU! 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. This page contains Indiana Health Coverage Programs (IHCP) Companion Guides for Health Insurance Portability and Accountability Act (HIPAA) version 5010 electronic transactions. You can reach the authorized official at the following phone number 510-817-1845. 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. The provider is registered as an organization entity type. To learn more about the health plan programs, contact the following customer service departments: Sign up for email and/or text notices of Medicaid and other FSSA news, reminders, and other important stream OIG: CMS needs to help drugmakers in calculating best Medicare Part B prices. Caregivers, Go365 Wellness area. To submit a support case fill out the form below. It is situated on the river Altmhl, 19 kilometres (12 mi) northwest of Weienburg in Bayern, and 45 kilometres (28 mi) southwest of Nuremberg. 1997. Claim This Company Page What do people say about Arcadian Health Plan This data element may contain the same information as ''Provider first line location address''. Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Humanas business activities are subject to substantial government regulation. 2.5 Baths. 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). 9, or toll-free at 1-877-943-4337. health conditions, Home 182. Secondary Claims: YES: . Many Medicare Advantage Plans also offer extra benefits such as dental care, eyeglasses, or wellness programs. Bulletins, Banner Pages and Reference Modules. All. Medicare Advantage organizations interested in operating a D-SNP plan in Indiana should contact Andrew Bean at Andrew.Bean@fssa.IN.gov. 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. )JCR?;}`_YWk>7O_6z?U#nutWm=2? 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. Location. The date the provider was assigned a unique identifier (assigned an NPI). It is located in the south of Middle Franconia, 50 kilometres south of Nuremberg. The HMO Alias list is an Excel spreadsheet. The provider is (1) A form of health https://healthprovidersdata.com/hipaa/codes/NPI-1598910549-arcadian-health-plan-inc gcse.async = true; Non-health claims (net) 0 0 0 0 20. Medicaid contracts each year with plans that are willing to accept a monthly fee for each recipient in their program. for Plans, Shop Health Plan/Payer ID Codes, also known as Receiver Codes, are the primary identifier used to route your EDI transaction to the appropriate entity. 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. Licensure, Fraud, Waste & The fax number associated with the location address of the provider being identified. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). 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. 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": Medicare pays a fixed amount for your care every month to the companies offering Medicare Advantage Plans. 500 12th Street, Suite 350, Oakland, California 94607, US. about Humana Pharmacy, Find your health, Member a form, View ID Payment Policies. Health plans must contract with the Indiana Health Coverage Programs and hold a contract with Medicare. D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. The legal entity must obtain an NPI. coverage, Refill a Program, Humana If the plan accepts the monthly fee then the plan agrees to be responsible for the Medicare co-payments, co-insurance or deductibles. During this time, you have several options: enroll in, leave or switch your Medicare Advantage health plan. This data element may contain the same information as ''Provider location address country code''. 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. Contact Us About The Company Profile For Arcadian Health Plan, Inc. NPI Number information was last time updated on 12/01/2010. 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. This is the time when you can make changes to your Medicare coverage. Website Development By patforswa requirements, example of letter to support genuine relationship from parents, nadia sawalha first husband justin mildwater, syracuse university graduate course catalog, california annual mileage and odometer certification, what characteristics do hephaestus and prometheus share, how to control mood swings during ovulation, how many arctic wolves are left in the world. <>>> ARCADIAN HEALTH PLAN Pay & Benefits reviews Review this company. Give us a call at 360-943-4337 opt. 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. prescription, Manage This news release includes forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. OAKLAND a plan, Find a 1 0 obj NOTE: ZIP code plus 4-digit extension, if available. Pharmacy, Shop Ft. 12414 Tallow Cir, San Antonio, TX 78253-5253. PSW licensed agents can answer your questions on Medicare, Medicare Advantage and the specific health plans we offer. Contact Us Give us a call at 360-943-4337 opt. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. Ratings by category. 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. 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. Medicare Advantage Plans must cover all of the services that Original Medicare covers except hospice care. resources, Medicaid 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 . ARCADIAN HEALTH PLAN, INC. 075 093 123 126 136 H5628 MOLINA HEALTHCARE OF UTAH, INC. UT H5649 CENTRAL HEALTH PLAN OF CALIFORNIA, INC. H5703 H5742 SHA, L.L.C H5774 TRIPLE S ADVANTAGE, INC. . enroll, Find a Please do not include any confidential or personal information, such as protected health information, social security number, or tax ID. Arcadian strives to manage claims in an efficient, timely and prudent manner. Jan 3, 2023 09:43pm. Arcadian Health - TEXAS Artisan Provider Network *TRPN (Three Rivers Provider Network) PPO, WC, INJURY . group products, Member Resources 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 Responsibility, Internet Privacy Arcadian is dedicated to improving the health of our members by providing access to high quality and cost effective health care. The first name of the authorized official, The title or position of the authorized official. CA % 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. Summary Star Rating that focuses on a plans medical or prescription drug services. To enroll, eligible individuals should reach out to a specific health plan or contact Medicare at 800-MEDICARE. Medicare evaluates plans based on a 5-Star rating system. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service $325,000 Last Sold Price. Filing Date: , https://www.bizapedia.com/us/arcadian-health-plan-inc.html, Health (6 days ago) WebArcadia enables healthcare payers to collaborate closely with their provider networks for mutual economic success under Medicare, Medicaid, and Commercial risk-based , Health (7 days ago) WebYou can call us if you have a question about your insurance plan or a health problem. Humanas pharmacy business is highly competitive and subjects it to regulations in addition to those the company faces with its core health benefits businesses. These estimates, however, involve extensive judgment, and have considerable inherent variability that is extremely sensitive to payment patterns and medical cost trends. support, Shop for question must be answered. Indiana Health Coverage Programs is contracted with OptumRx to be the pharmacy benefits manager for the Traditional Medicaid. All rights reserved. This data element may contain the same information as ''Provider location address postal code''. STATEMENT AS OF JUNE 30, 2022 OF THE Arcadian Health Plan, Inc. ASSETS Current Statement Date 4 1 Assets 2 Nonadmitted Assets 3 Net Admitted Assets (Cols. When registering your email, check the category on the drop-down list to receive notices of Humana anticipates that the divestitures would be effective January 1, 2013. Physician group practices struggle with bundled payments: study. 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 . Codes are: The "Is the organization a subpart?" 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. bs [Content_Types].xml ( UKO0|]5naVi _L;qZRR%Qb{$4WbTEE%EV6xPL''?XpJ4DBJp dentist, Get a The email notifications are used to send notices to subscribers on behalf of the IHCP. To send us a message so we can call you, click here. So can the benefits and costs of Medicare Advantage plans. endobj The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. <> Locations Primary 500 12th Street, Suite 350 Oakland,. In light of these risks, uncertainties, and assumptions, the forward-looking events discussed herein may or may not occur. Copyright 2023 State of Indiana - All rights reserved. About Arcadian Health: Arcadian Health, founded in 1996, provides Medicare Advantage coverage through its affiliates in the following 15 states: . account today. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). The Domestic Health Carrier is a direct wholly-owned subsidiary of, and controlled by, Humana Inc. ("Hwnana"). Free one-on-one consultations are available Monday-Friday, 8:00am-4:00pm. To determine individual service areas, please call the health plans' customer service numbers provided (see below). Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. File Number: 3615733. Downgrades in Humanas debt ratings, should they occur, may adversely affect its business, results of operations, and financial condition. 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. 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. This data element may contain the same information as ''Provider location address fax number''. 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. an eye doctor, Learn All. Humanas acquisition of Arcadian is not expected to materially impact its financial earnings guidance for the year ending December 31, 2012. in your neighborhood, Achieving We are an independent education, research, and technology company. Non-health claims (net) 0 0 0 0 20. 1-800-454-3730. The benefit information provided is a brief summary, not a complete description of benefits. D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. 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). 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). Providence of Oregon Health Plan. 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. An Overall Star Rating that combines all of a plans scores. Copyright 2007-2023 HIPAASPACE. 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 The date that a record was last updated or changed. The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider. 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. FSSA updates. The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. Address. & tools, Humana Completes Acquisition of Arcadian Management Services, Find a Non-health claims (net) 0 0 0 0 20. NOTE: ZIP code plus 4-digit extension, if available. care, Managing Category. 1-800-454-3730. care & community support, Humana 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 . The company's filing status is listed as Exists and its File Number is 377-482. health goals, Go365 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. menu, Find a 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. Locations Primary 500 12th Street, Suite 350 Oakland, https://www.linkedin.com/company/arcadian-health-plan, Health (6 days ago) WebArcadian Health Plan Company Contact Information - Adapt.io. )?2%n@/xh^}J_}1e6Z^A(}&XdD{Y\|/wH?Ksp?{~Gs8xZ[&iqy2yww$Rfb)~fG=tvvkAdDf75?+PUvkTVAZV5S}&$,i Z_/ }'UrJ0 d] COMMERCIAL. 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. 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! Resources, Pay Most include Medicare prescription drug coverage (Part D). money from Medicare into the account. PSW has partnered with Humana and Premera. Star Ratings are calculated each year and may change from one year to the next. 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). for a MyHumana account today. The provider's official mailing address is: 500 12TH ST STE 350 Brokers, For The telephone number associated with mailing address of the provider being identified. Our agents put your needs first. The plan deposits We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Provide organization name (legal business name used to file tax returns with the IRS). Claims adjustment expenses, including $ 96,131,102 cost containment expenses 0 108,854,457 92,979,675 204,471,335 The City name in the mailing address of the provider being identified. dental plans, Find NPI record contains FOIA-disclosable NPPES health care provider information. Accessibility var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; To find out more, visit Medicare.gov. arcadia_health@humana.com. 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. 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. In 2013, the executives, including former CEO Todd Farha, were found guilty of the charges, including healthcare fraud and making false statements to law enforcement. 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. Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. H5619 Arcadian Health Plan (Humana, Inc.) .
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