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Contact Us Give us a call at 360-943-4337 opt. Arcadian Health Plan | LinkedIn Filing Date: October 29, 2013. WellCare - Wikipedia )JCR?;}`_YWk>7O_6z?U#nutWm=2? PDF Names, titles, addresses and telephone numbers of individuals to whom Arcadian Health Plan Claims Address The company's filing status is listed as Exists and its File Number is 377-482. 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. 7 There were over 500 incidents of aggression from June 1, 2019, through the end of 2019. to enroll, Learn The provider is (1) A form of health https://healthprovidersdata.com/hipaa/codes/NPI-1598910549-arcadian-health-plan-inc in a plan, Shop AR812. Physician group practices struggle with bundled payments: study. 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. UHS-DE and UHS-Fuller stipulated that physically violent or assaultive patients created a hazard for those at the Worksite. 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. 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. 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. 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. 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 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. Landfill - Wikipedia 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). 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. Provider Relations Phone Number. Any of these risks and uncertainties may cause actual results to differ materially from the results discussed in the forward-looking statements. Submit a Ticket - Kareo Help Center ARCADIAN HEALTH PLAN Pay & Benefits reviews Review this company. Medicare Advantage Health Plans - PSW Medicare Star Ratings can help you learn how a Medicare Advantage plan is doing. These companies must follow rules set by Medicare. coverage, Refill a Health Plan/Payer ID Codes, also known as Receiver Codes, are the primary identifier used to route your EDI transaction to the appropriate entity. Abuse, System Rights and Responsibilities. info) is a Landkreis (district) in the west of Bavaria, Germany with a population of 95,000. These estimates, however, involve extensive judgment, and have considerable inherent variability that is extremely sensitive to payment patterns and medical cost trends. :KORgOC~Ma^ 9kp h'7+LF. 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. HMO Alias Texas Counties served by the HMO HMO Service areas 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. It is situated on the river Altmhl, 19 kilometres (12 mi) northwest of Weienburg in Bayern, and 45 kilometres (28 mi) southwest of Nuremberg. wellness & rewards, Member 182. Codes are: The "Is the organization a subpart?" Claim This Company Page What do people say about Arcadian Health Plan If Humana fails to develop and maintain satisfactory relationships with the providers of care to its members, the companys business may be adversely affected. Location. Medicare drug (Part D) plans, Shop Bulletins, Banner Pages and Reference Modules. Register Physician Case Management Referral. Weienburg-Gunzenhausen - Wikipedia Its important to check with your doctor to confirm which Medicare Advantage plans they are accepting. Business Address Line. var gcse = document.createElement('script'); Ft. 12414 Tallow Cir, San Antonio, TX 78253-5253. Claims adjustment expenses, including $ 126,895,463 cost containment expenses 0 145,900,023 120,817,947 169,390,602 SOLD JUN 13, 2022. 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. Humana Announces Agreement to Acquire Arcadian Management Services drug plans & coverage, Prescription 1 - 2) December 31 Prior Year Net . PDF Participating Insurances Make sure to check out our FAQ page. savings & tools, Humana The State or Province name in the mailing address of the provider being identified. in to Go365.com, Corporate ARCADIAN HEALTH PLAN INC. NPI 1598910549 - Health Health (3 days ago) WebZIP 94607 Phone: (510) 832-0311 Get Directions ARCADIAN HEALTH PLAN, INC. is a health maintenance organization in Oakland, CA. If the plan accepts the monthly fee then the plan agrees to be responsible for the Medicare co-payments, co-insurance or deductibles. 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. member rights, Exceptions (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). 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. [k@+%#bP{U Zbl;0RZ%U$+Ylft(s?-FUg dnt`q. Terms were not disclosed. Caregivers, Go365 Wellness Increased litigation and negative publicity could increase the companys cost of doing business. Contact the Medicare plan for more information. Arcadian strives to manage claims in an efficient, timely and prudent manner. Claims: 61101 Encounters: 61102 Advanced claims editing All EDI submissions to Humana pass through Availity. Arcadian is dedicated to improving the health of our members by providing access to high quality and cost effective health care. The provider is registered as an organization entity type. 0006300 Payer ID | Arcadian Health Plan, Inc." | Oakland, CA Solicitation opportunities to do business with the State of Indiana. Downgrades in Humanas debt ratings, should they occur, may adversely affect its business, results of operations, and financial condition. User ID: Password: Show password H5619 Arcadian Health Plan (Humana, Inc.) . 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 During this time, you have several options: enroll in, leave or switch your Medicare Advantage health plan. 'https:' : 'http:') + Providers who do not contract with the plan are not required to see you except in an emergency. Neighbouring districts are (from the north clockwise) Ansbach, Roth, Eichsttt and Donau-Ries. (For Medicaid, Child Health Plus . Practice Name *. Pennsylvania corporation ("Aetna"), of Arcadian Health Plan, Inc., a health care service contractor domiciled in the State of Washington (the "Domestic Health Carrier"). 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. Medical Policies. OIG: CMS needs to help drugmakers in calculating best Medicare Part B prices. Your Initial Enrollment Period (IEP) is the 7-month period you have when you first become eligible to sign up for Medicare. Health Plan/Payer Business E-Mail Address. Address. 3.8 Work-Life Balance. Health Plan/Payer Business Mailing Address First Line. 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. 0000000926 00000 n The provider is registered as an organization entity type. Archbold Ed Uninsured. Limitations, copayments, and restrictions may apply. Visit PSWs Annual Enrollment Period (AEP) page to learn more. 3 Beds. bs [Content_Types].xml ( UKO0|]5naVi _L;qZRR%Qb{$4WbTEE%EV6xPL''?XpJ4DBJp (Catholic Medical Center) Unity Health Plan Ins. 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. The first name of the authorized official, The title or position of the authorized official. Login or find a doctor religion. Meet your Practice Management Consultant. a doctor, Enroll To send us a message so we can call you, click here. The HMO Alias list is an Excel spreadsheet. The country code in the mailing address of the provider being identified. In certain situations, you can. . 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). gcse.src = (document.location.protocol == 'https:' ? gcse.type = 'text/javascript'; The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. Use the links on this page to access IHCP provider news items, bulletins, and banner page publications. The 10-position telephone number of the authorized official. health conditions, Home Arcadian Health Plan Company Profile | Management and Employees List 500 12TH ST STE 300 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 You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Jan 3, 2023 . 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 . 4 0 obj The psychiatric unit is an example of a subpart that could have its own NPI if the hospital determines that it should. NPI Number 1598910549 has the "Organization" type of ownership and has been registered to the following primary business legal 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. This webpage represents 1598910549 NPI record. Copyright 2023 State of Indiana - All rights reserved. quote, Find an 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. Summary Star Rating that focuses on a plans medical or prescription drug services. care & community support, Humana Non-health claims (net) 0 0 0 0 20. Iselin, New Jersey . DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. Arcadian Health Plan, Inc. - Texas Department of Insurance Providence of Oregon Health Plan. 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. The Health Insurance Portability and Accountability Act (HIPAA) of 1996 contains Portability, Medicaid Integrity Program/Fraud and Abuse, and Administrative Simplification. 1598910549 NPI Number | ARCADIAN HEALTH PLAN, INC. - HIPAASpace COMMERCIAL. a form, View ID Claims Submissions - Humana account today. 500 12th St # 350. Settings, Start voice PSW licensed agents can answer your questions on Medicare, Medicare Advantage and the specific health plans we offer. question must be answered. Gunzenhausen ( German pronunciation: [ntsnhazn] ( listen); Bavarian: Gunzenhausn) is a town in the Weienburg-Gunzenhausen district, in Bavaria, Germany. Log In to Availity ARCADIAN HEALTH PLAN, INC. :: California (US) :: OpenCorporates 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. guidance, Using Redfin Corporation. Humanas acquisition of Arcadian is not expected to materially impact its financial earnings guidance for the year ending December 31, 2012. your health, Member money from Medicare into the account. Any new coverage you get during this time will start on January 1, 2021. Claims adjustment expenses, including $ 96,131,102 cost containment expenses 0 108,854,457 92,979,675 204,471,335 Gunzenhausen - Wikipedia %PDF-1.5 (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. guidance, Humana member prescription, Manage PSW is committed to quality improvement, clinical integration and meaningful measures of value. The benefit information provided is a brief summary, not a complete description of benefits. File Number: 3615733. 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. 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. ARCADIAN HEALTH PLAN, INC. in Louisville, AL - Bizapedia To report a claim to Arcadian, please contact: General Liability Claims glclaims@arcadian-risk.com Professional Liability Claims plclaims@arcadian-risk.com The city name in the location address of the provider being identified. Free Prior (Rx) Authorization Forms - PDF - eForms 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. 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 . 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). Our agents put your needs first. Doctor, Health & Well-being 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. 1 - 2) December 31 Prior Year Net . Please enter your credentials. We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. 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 . Based in Olympia, WA for more than 25 years, PSW is locally owned and managed by physicians. Provider Relations Phone Number. Secondary Claims: YES: . Arcadian Health Plan, Inc. Company Profile | Oakland, CA | Competitors 1997. ARCADIAN HEALTH PLAN Pay & Benefits reviews - indeed.com dentist, Get a 94607-5204, US. 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