arcadian health plan claims
4 0 obj savings & tools, Humana )JCR?;}`_YWk>7O_6z?U#nutWm=2? The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. The HMO Alias list is an Excel spreadsheet. 183. . Contact Us Give us a call at 360-943-4337 opt. Medicare Advantage Plans must offer emergency coverage outside of the plans service area (but not outside the U.S.). Program, Humana 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 . Job Title. Cancer Resource Services . The fax number associated with the location address of the provider being identified. Contact Us About The Company Profile For Arcadian Health Plan, Inc. Star Ratings are calculated each year and may change from one year to the next. Make sure to check out our FAQ page. 94607-4087, US. So can the benefits and costs of Medicare Advantage plans. The provider is (1) A form of health , https://healthprovidersdata.com/hipaa/codes/NPI-1598910549-arcadian-health-plan-inc, Health (2 days ago) WebARCADIAN HEALTH PLAN, INC. Company Number 602384193 Status Active Incorporation Date 6 April 2004 (almost 19 years ago) Company Type WA , https://opencorporates.com/companies/us_wa/602384193, Health (7 days ago) WebContact Us Today Acadia Corporate Headquarters 6100 Tower Circle, Suite 1000 Franklin, TN 37067 Tel: 615-861-6000 Toll Free: 855-526-8228 Fax: 615-261-9685 Additional , https://www.acadiahealthcare.com/about/contact/, Health (9 days ago) WebArcadian Health Plan, Inc. Company Alias [Doing Business As (dba)] This is the name or names of the company under which the company does business. Dual Eligible Special Needs Plans serve members who are eligible for both Medicaid and Medicare. 'https:' : 'http:') + 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 group products, Member Resources The two main types of Star Ratings are: Some of the areas Medicare reviews for these ratings include: While star ratings provide an overall value, the ratings alone are only one piece of information to consider before choosing the Medicare Advantage plan that works best for you. See our full accessibility rights NOTE: ZIP code plus 4-digit extension, if available. Iselin, New Jersey . 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, CA info) is a Landkreis (district) in the west of Bavaria, Germany with a population of 95,000. Members may enroll in a Medicare Advantage plan only during specific times of the year. Select Foreign Country in the state drop down box if the license was issued outside of United States. The benefit information provided is a brief summary, not a complete description of benefits. We are not compensated for Medicare plan enrollments. 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. This data element may contain the same information as ''Provider location address City name''. Indiana Health Coverage Programs is contracted with OptumRx to be the pharmacy benefits manager for the Traditional Medicaid. & tools, Humana Completes Acquisition of Arcadian Management Services, Find a Ratings by category. 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 . St Louisville, KY 40202. Star ratings are assigned to Medicare Advantage plans by the Centers for Medicare and Medicaid Services (CMS). 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 Domestic Health Carrier is a direct wholly-owned subsidiary of, and controlled by, Humana Inc. ("Hwnana"). 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. 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. Gainwell provides a number services to the IHCP, including provider enrollment, customer service, eligibility verification, and fee-for-service claim processing. 1 - 2) December 31 Prior Year Net . Free one-on-one consultations are available Monday-Friday, 8:00am-4:00pm. 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. var gcse = document.createElement('script'); Licensure, Fraud, Waste & a doctor, Enroll Most include Medicare prescription drug coverage (Part D). ARCADIAN HEALTH PLAN, INC. NPI is 1598910549. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Based in Olympia, WA for more than 25 years, PSW is locally owned and managed by physicians. 1-800-454-3730. 1 , http://www.empireplanproviders.com/contact.htm. 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. You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. 3.8 . Nearby homes similar to 1414 Arcadian Lily have recently sold between $325K to $325K at an average of $150 per square foot. The 2022 Annual Enrollment Period (AEP) is from October 15 to December 7, 2021. Our agents put your needs first. Please enter your credentials. x[moF a %o$MK.h}W@[D religion. Meet your Practice Management Consultant. Contact the plan provider for additional information. 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. dental plans, Find 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 Humanas business may be materially adversely impacted by CMSs adoption of the new coding set for diagnoses. 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. The Health Insurance Portability and Accountability Act (HIPAA) of 1996 contains Portability, Medicaid Integrity Program/Fraud and Abuse, and Administrative Simplification. Claims: 61101 Encounters: 61102 Advanced claims editing All EDI submissions to Humana pass through Availity. endobj 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 . Please do not include any confidential or personal information, such as protected health information, social security number, or tax ID. })(); 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. 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. 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. . To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). If one of our plans is not the best fit, don't worry - we'll connect you with other options. 9, or toll-free at 1-877-943-4337. An Overall Star Rating that combines all of a plans scores. This data element may contain the same information as ''Provider location address country code''. Gainwell Technologies has been contracted with the state of Indiana since 1991. 0000000926 00000 n The provider is registered as an organization entity type. area. View more recently sold homes. $325,000 Last Sold Price. 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. health risk assessment (HRA) to members by phone, mail or in-person if necessary. NOTE: ZIP code plus 4-digit extension, if available. All rights reserved. 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. Arcadian strives to manage claims in an efficient, timely and prudent manner. 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. NPI Number 1598910549 has the "Organization" type of ownership and has been registered to the following primary business legal Health (8 days ago) Web101 Wood Avenue South, 8th Floor. $20 million net worth lifestyle appleton post crescent archives arcadian health plan, inc claims mailing address 07 jun 2022. arcadian health plan, inc claims mailing addresshouse joint resolution 192 of 1933 Posted by . Not all D-SNP plans in Indiana serve the entire state. About Arcadian Health: Arcadian Health, founded in 1996, provides Medicare Advantage coverage through its affiliates in the following 15 states: . Those who disenroll If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. Kareo ID *. When registering your email, check the category on the drop-down list to receive notices of & appeals, Helpful Drug List, Shop 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. 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 plan deposits The city name in the location address of the provider being identified. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. 3 0 obj Empire Plan Toll free. 7 There were over 500 incidents of aggression from June 1, 2019, through the end of 2019. Medicare Advantage Plans may offer extra coverage, such as vision, hearing, dental, and/or health and wellness programs. The country code in the location address of the provider being identified. Doctor, Health & Well-being PSW licensed agents can answer your questions on Medicare, Medicare Advantage and the specific health plans we offer. 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. 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. Terms were not disclosed. The country code in the mailing address of the provider being identified. The Parent Organization LBN and TIN fields can only be completed if the answer to the subpart question is Yes. information and language options. Gunzenhausen ( German pronunciation: [ntsnhazn] ( listen); Bavarian: Gunzenhausn) is a town in the Weienburg-Gunzenhausen district, in Bavaria, Germany. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. health conditions, Home Changes in the prescription drug industry pricing benchmarks may adversely affect Humanas financial performance. '//cse.google.com/cse.js?cx=' + cx; 500 12TH ST STE 300 rights, Prescription savings Get the most out of your plan. menu, Find a It is located in the south of Middle Franconia, 50 kilometres south of Nuremberg. HMO Alias Texas Counties served by the HMO HMO Service areas Industry Hospital & Health Care Revenue $9.2M Employees 111 Founded in Headquarters Oakland, CA Website Organization Type Private Is This Your Company? The first line mailing address of the provider being identified. an eye doctor, Learn var s = document.getElementsByTagName('script')[0]; Claims adjustment expenses, including $ 126,895,463 cost containment expenses 0 145,900,023 120,817,947 169,390,602 2,148 Sq. To find out more, visit Medicare.gov. Providers who do not contract with the plan are not required to see you except in an emergency. 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. NPI record contains FOIA-disclosable NPPES health care provider information. Brokers, For Its important to check with your doctor to confirm which Medicare Advantage plans they are accepting. fi% xl/_rels/workbook.xml.rels ( Mk0$nez:8`gk(%b_=65q"0{?mY$M! PK ! OAKLAND, CA Resources, Pay Important information to all providers and software developers that communicate via electronic data interchange (EDI) format and direct data entry (DDE). 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. 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. 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. Medicaid will no longer pay these charges. doctor, Enroll in OAKLAND NPI Number information was last time updated on 12/01/2010. VIRGINIA PREMIER HEALTH PLAN, INC. H9952 H9955 MOLINA HEALTHCARE OF OHIO, INC. State Integration Status Applicable Integrated Plan Coordination-Only FIDE . Have Inpatient Acute DRGs, SNF, Long Term Care & Home Care claims. 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. 94607-5204 Providence of Oregon Health Plan. Business Address Line. UHS-DE and UHS-Fuller stipulated that physically violent or assaultive patients created a hazard for those at the Worksite. Arcadian Management Services Inc. COMMERCIAL. 3 Beds. Claim This Company Page What do people say about Arcadian Health Plan 1 0 obj for group products, Learn Claim: ARCADIAN HEALTH PLAN, INC. is an Alabama Foreign Corporation filed on December 5, 2016. about group insurance, Member