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. In all types of Medicare Advantage Plans, youre always covered for emergency and urgent care. We do not sell leads or share your personal information. The provider is (1) A form of health https://healthprovidersdata.com/hipaa/codes/NPI-1598910549-arcadian-health-plan-inc PK ! a quote, Shop Humana anticipates that the divestitures would be effective January 1, 2013. It is located in the south of Middle Franconia, 50 kilometres south of Nuremberg. 500 W Main. The State or Province name in the mailing address of the provider being identified. 1,507 Sq. 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. Humana Behavioral Health Humana Employers Health Insurance Humana Inc Humana Insurance Company Choice Care Network 610647538 HUMANA INC. Arcadian Management Services Inc Other ID's: 61104, L0200, 72127, 62072, 61120, 62073, 73288, 95885 prescription, Manage To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). 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. Claims adjustment expenses, including $ 96,131,102 cost containment expenses 0 108,854,457 92,979,675 204,471,335 Make sure to check out our FAQ page. US. Health Plan/Payer ID Codes, also known as Receiver Codes, are the primary identifier used to route your EDI transaction to the appropriate entity. <> OAKLAND ^e _rels/.rels ( MK1!;*"l/EMd1`7FAtzwyfx{vE fVKrFH"l3*>.%uGV=\i8XrZJ%\P4H;s>67Mizo#+DYB5V$~"c'ZkRRF%8EsF|02Xn/1=cW7 PK ! 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. var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; Codes are: The "Is the organization a subpart?" 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. Indiana Health Coverage Programs is contracted with OptumRx to be the pharmacy benefits manager for the Traditional Medicaid. Medicare has neither reviewed nor endorsed the information on our site. Visit PSWs Annual Enrollment Period (AEP) page to learn more. Copyright 2007-2023 HIPAASPACE. Our. Important information to all providers and software developers that communicate via electronic data interchange (EDI) format and direct data entry (DDE). Humana is a publicly traded Delaware holding company for We are not compensated for Medicare plan enrollments. MAXIMUS Health Services Inc. has served as the Indiana Health Coverage Programs enrollment broker since 2007. 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. 1 , http://www.empireplanproviders.com/contact.htm. 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. Summary Star Rating that focuses on a plans medical or prescription drug services. You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID . 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. Providence of Oregon Health Plan. The Domestic Health Carrier is a direct wholly-owned subsidiary of, and controlled by, Humana Inc. ("Hwnana"). You can call us if you have a question about your insurance plan or a health problem. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. Arcadian strives to manage claims in an efficient, timely and prudent manner. This data element may contain the same information as ''Provider location address country code''. The offices are examples of subparts that could have their own NPIs if the main location determines that they should. 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. Category. The 10-position telephone number of the authorized official. This data element may contain the same information as ''Provider location address telephone number''. 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. 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. UHS-DE and UHS-Fuller stipulated that physically violent or assaultive patients created a hazard for those at the Worksite. 2.5 Baths. St Louisville, KY 40202. a form, View ID Neighbouring districts are (from the north clockwise) Ansbach, Roth, Eichsttt and Donau-Ries. The Health Insurance Portability and Accountability Act (HIPAA) of 1996 contains Portability, Medicaid Integrity Program/Fraud and Abuse, and Administrative Simplification. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. The telephone number associated with the location address of the provider being identified. Jan 3, 2023 05:55pm. Please enter your credentials. 183. . BOUGHT WITH REDFIN JUN 14, 2022. Star Ratings are calculated each year and may change from one year to the next. All. )?2%n@/xh^}J_}1e6Z^A(}&XdD{Y\|/wH?Ksp?{~Gs8xZ[&iqy2yww$Rfb)~fG=tvvkAdDf75?+PUvkTVAZV5S}&$,i Z_/ }'UrJ0 d] Abuse, System resources, Medicaid We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. var gcse = document.createElement('script'); Arcadian Health - TEXAS Artisan Provider Network *TRPN (Three Rivers Provider Network) PPO, WC, INJURY . 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. Kareo ID *. my premium, Drug A field cannot contain all special characters. 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. dental plans, Find pharmacy, Shop for a healthcare plan, Humana 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. The city name in the location address of the provider being identified. The Neapolitan wood oven, hand built by Italy's celebrated Ferrara family, and imported from Naples, cooks pizzas in just 90 seconds thanks to intense 800 . 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. Other 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. If you need help, see our support page. Many Medicare Advantage Plans also offer extra benefits such as dental care, eyeglasses, or wellness programs. Resources, Pay The benefit information provided is a brief summary, not a complete description of benefits. Responsibility, Internet Privacy NOTE: ZIP code plus 4-digit extension, if available. Any failure to manage administrative costs could hamper Humanas profitability. 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 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. 3.8 . To enroll, eligible individuals should reach out to a specific health plan or contact Medicare at 800-MEDICARE. NPI Number 1598910549 has the "Organization" type of ownership and has been registered to the following primary business legal Please call our Customer Service Department if you need to talk about protected/private health information. Arcadian Management Services Inc. COMMERCIAL. <>>> 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. Original Medicare covers hospice care even if youre in a Medicare Advantage Plan. ARCADIAN HEALTH PLAN, INC. NPI is 1598910549. Address. Gainwell Technologies has been contracted with the state of Indiana since 1991. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. 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. 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. stream quote, Find an Its important to check with your doctor to confirm which Medicare Advantage plans they are accepting. Gunzenhausen ( German pronunciation: [ntsnhazn] ( listen); Bavarian: Gunzenhausn) is a town in the Weienburg-Gunzenhausen district, in Bavaria, Germany. information and language options. 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). (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. Physician group practices struggle with bundled payments: study. Contact Us Give us a call at 360-943-4337 opt. Limitations, copayments, and restrictions may apply. 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. Redfin Corporation. Changes in the prescription drug industry pricing benchmarks may adversely affect Humanas financial performance. Your Initial Enrollment Period (IEP) is the 7-month period you have when you first become eligible to sign up for Medicare. D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. Whether youre new to Medicare or considering changing plans, learn how Medicare Advantage plans can support the best YOU! CA Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. 2 0 obj DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. The State or Province name in the location address of the provider being identified. The telephone number associated with mailing address of the provider being identified. Select Foreign Country in the state drop down box if the license was issued outside of United States. about group insurance, Member 4 0 obj 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. 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. The first name of the authorized official, The title or position of the authorized official. Gainwell provides a number services to the IHCP, including provider enrollment, customer service, eligibility verification, and fee-for-service claim processing. 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. Medicaid updates; check other areas of interest on the drop-down list to receive notices for other types of 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 Copyright 2007-2023 HIPAASPACE. account today. Contact the plan provider for additional information. information and language options. Medicare Advantage Plans must cover all of the services that Original Medicare covers except hospice care. vision plans, Find of race, color, national origin, age, disability, sex, sexual orientation, gender identity or Changes in economic conditions could adversely affect Humanas business and results of operations. 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. Register about Medicare, Find Have Inpatient Acute DRGs, SNF, Long Term Care & Home Care claims. doctor, Enroll in NCQA accredits and certifies a wide range of health care organizations and manages the evolution of HEDIS, the performance measurement tool used by more than 90 percent of the nations health plans. The HMO Alias list is an Excel spreadsheet. Brokers, For savings & tools, Humana information. Medicare pays a fixed amount for your care every month to the companies offering Medicare Advantage Plans. endobj For more information contact the plan. in your neighborhood, Achieving coverage, Refill a 500 12th St # 350. The Indiana State Plan provides specifics on how Medicaid is implemented and governed in Indiana. These companies must follow rules set by Medicare. 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. Any new coverage you get during this time will start on January 1, 2021. Medicare Advantage organizations interested in operating a D-SNP plan in Indiana should contact Andrew Bean at Andrew.Bean@fssa.IN.gov. PSW has partnered with Humana and Premera. HMO Alias Texas Counties served by the HMO HMO Service areas Medicare MSA Plans do not cover prescription drugs. Iselin, New Jersey 08830. menu, Find a The Medicare Program rates all health and prescription drug plans each year, based on a plans quality and performance. Dual Eligible Special Needs Plans serve members who are eligible for both Medicaid and Medicare. Arcadian Health Plan is a small health care company based in Oakland, CA with only 111 employees and an annual revenue of $9.2M. We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. Humanas pharmacy business is highly competitive and subjects it to regulations in addition to those the company faces with its core health benefits businesses. Medicaid contracts each year with plans that are willing to accept a monthly fee for each recipient in their program. Bulletins, Banner Pages and Reference Modules. Providers who do not contract with the plan are not required to see you except in an emergency. For Providers. 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. Non-health claims (net) 0 0 0 0 20. Provider Relations Phone Number. Arcadian is dedicated to improving the health of our members by providing access to high quality and cost effective health care. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. 0000002619 00000 n Contact Name Kelly Gaskins . 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. Not all D-SNP plans in Indiana serve the entire state. 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. 94607-5204 Secondary Claims: YES: . a doctor, Enroll Industry Hospital & Health Care Revenue $9.2M Employees 111 Founded in Headquarters Oakland, CA Website Organization Type Private Is This Your Company? 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. Our agents put your needs first. 1-877-7NYSHIP (1-877-769-7447), choose UnitedHealthcare . 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. The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. This data element may contain the same information as ''Provider location address City name''. 1-800-454-3730. about Medicaid, How 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. The Parent Organization LBN and TIN fields can only be completed if the answer to the subpart question is Yes. The company's filing status is listed as Exists and its File Number is 377-482. 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 . If one of our plans is not the best fit, don't worry - we'll connect you with other options. Email *. To receive notices, you must subscribe. Filing Date: October 29, 2013. Register for a MyHumana OAKLAND, CA Medicare Advantage Plans must offer emergency coverage outside of the plans service area (but not outside the U.S.). Humana and Arcadian are working together to ensure a seamless transition of the Medicare business. The City name in the mailing address of the provider being identified. Patient Consent Forms. 1997.
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