The postal ZIP or zone code in the mailing address of the provider being identified. religion. 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. 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. How members rate a plans services and care; How well a plans doctors detect illnesses and keep members healthy; How well a plan helps its members use recommended and safe prescription medication. Please enter your credentials. a pharmacy, Compare PK ! The offices are examples of subparts that could have their own NPIs if the main location determines that they should. Arcadian Health Plan, Inc. is located in Oakland, CA and the phone number for Arcadian Health Plan, Inc. claims, customer, service, and Read more Claims Resources for Providers - Humana https://www.humana.com/provider/medical-resources/claims-payments License # 00187-0009, or administered by Humana Insurance Company or Humana Health Plan, Inc. Claims adjustment expenses, including $ 126,895,463 cost containment expenses 0 145,900,023 120,817,947 169,390,602 All rights reserved | Email: [emailprotected], Abington jefferson health physician directory, White mountain community health conway nh. pharmacy, Shop for menu, Manage The benefit information provided is a brief summary, not a complete description of benefits. This data element may contain the same information as ''Provider location address State name''. 2 0 obj Meet your Practice Management Consultant. 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. Claims: 61101 Encounters: 61102 Advanced claims editing All EDI submissions to Humana pass through Availity. name (which is a provider name or healthcare organization name) ARCADIAN HEALTH PLAN, INC.. Be sure to find PSW on our social media profiles. 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. Location. 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. If Humana fails to develop and maintain satisfactory relationships with the providers of care to its members, the companys business may be adversely affected. 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. Iselin, New Jersey 08830. 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. The company's principal . ^e _rels/.rels ( MK1!;*"l/EMd1`7FAtzwyfx{vE fVKrFH"l3*>.%uGV=\i8XrZJ%\P4H;s>67Mizo#+DYB5V$~"c'ZkRRF%8EsF|02Xn/1=cW7 PK ! Brokers, For Copyright 2023 State of Indiana - All rights reserved. Arcadian Health Plan 510-817-1016 . Ft. 12435 Jacobs Pond, San Antonio, TX 78253-5505. Medicare MSA Plans do not cover prescription drugs. For providers with more than one physical location, this is the primary location. 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. 182. (1) The psychiatric unit in a hospital is not a legal entity but is part of the hospital (the "parent"), which is a legal entity. Clear. 9, or toll-free at 1-877-943-4337. If you need help, see our support page. Medical Policies. Humana is a publicly traded Delaware holding company for Kareo ID *. Physician Case Management Referral. 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. 500 12TH ST STE 300 This page contains Indiana Health Coverage Programs (IHCP) Companion Guides for Health Insurance Portability and Accountability Act (HIPAA) version 5010 electronic transactions. The psychiatric unit is an example of a subpart that could have its own NPI if the hospital determines that it should. The 1598910549 NPI number is assigned to the healthcare provider ARCADIAN HEALTH PLAN, INC., practice location address at 500 12TH ST STE 300 OAKLAND, CA, 94607-4087. Health Plans, Inc. PO Box 5199 Westborough, MA 01581. s.parentNode.insertBefore(gcse, s); Payment Policies. Contact Name *. endobj Dual Eligible Special Needs Plans serve members who are eligible for both Medicaid and Medicare. Medicare Advantage Plans must offer emergency coverage outside of the plans service area (but not outside the U.S.). The Medicare Program rates all health and prescription drug plans each year, based on a plans quality and performance. Industry Hospital & Health Care Revenue $9.2M Employees 111 Founded in Headquarters Oakland, CA Website Organization Type Private Is This Your Company? 0000002619 00000 n Contact Name Kelly Gaskins . Empire Plan Toll free. account today. 2.5 Baths. This data element may contain the same information as ''Provider location address postal code''. )?2%n@/xh^}J_}1e6Z^A(}&XdD{Y\|/wH?Ksp?{~Gs8xZ[&iqy2yww$Rfb)~fG=tvvkAdDf75?+PUvkTVAZV5S}&$,i Z_/ }'UrJ0 d] This address cannot include a Post Office box. Contact the Medicare plan for more information. This data element may contain the same information as ''Provider first line location address''. support, Shop for a healthcare plan, Humana 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). Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. 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 a dentist, Get However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. Members may enroll in a Medicare Advantage plan only during specific times of the year. Arcadian Health Plan is a small health care company based in Oakland, CA with only 111 employees and an annual revenue of $9.2M. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. Star Ratings are calculated each year and may change from one year to the next. This data element may contain the same information as ''Provider location address fax number''. Secondary Claims: YES: . Contact Us About The Company Profile For Arcadian Health Plan, Inc. SAV-RX SelectHealth Silverscript TRICARE UnitedHealthcare WellCare How to Write Step 1 - At the top of the Global Prescription Drug Prior Authorization Request Form, you will need to provide the name, phone number, and fax number for the "Plan/Medical Group Name." The provider's official mailing address is: 500 12TH ST STE 350 Ft. 12414 Tallow Cir, San Antonio, TX 78253-5253. In certain situations, you can. 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. Medicare Advantage Plans must cover all of the services that Original Medicare covers except hospice care. Use the links on this page to access IHCP provider news items, bulletins, and banner page publications. Select Foreign Country in the state drop down box if the license was issued outside of United States. health conditions, Home 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. for Plans, Shop Address. To determine individual service areas, please call the health plans' customer service numbers provided (see below). When registering your email, check the category on the drop-down list to receive notices of Arcadian strives to manage claims in an efficient, timely and prudent manner. })(); 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. 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 . 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. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. Your Initial Enrollment Period (IEP) is the 7-month period you have when you first become eligible to sign up for Medicare. Most Medicare Advantage Plans include Medicare prescription drug coverage (Part D). <>>> FSSA updates. :KORgOC~Ma^ 9kp h'7+LF. Providence of Oregon Health Plan. Gunzenhausen is a nationally . 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. px. < RgJfrZO^!Cr]bL46 latDlb7W%Gfa?;^nh(T\[r559ES>72pGAgTd#m,A?bnT}O|G?! in a plan, Shop The 10-position telephone number of the authorized official. Category. Fax. About Arcadian Health: Arcadian Health, founded in 1996, provides Medicare Advantage coverage through its affiliates in the following 15 states: . For more information contact the plan. St Louisville, KY 40202. <> You can reach the authorized official at the following phone number 510-817-1845. (2) A group practice that is not a sole proprietorship has a main location and could have other offices in different locations, but each office is not a separate legal entity; instead, each office is part of the corporation (the "parent") which is a legal entity. E-Mail. 2,148 Sq. <> 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 & appeals, Helpful 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. Make sure to check out our FAQ page. Whether youre new to Medicare or considering changing plans, learn how Medicare Advantage plans can support the best YOU! 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 Please contact the plan for further details. All. 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. (function() { It includes the 3 months before the month of your birthday, your birth month, and the 3 months after the month of your birthday. In all types of Medicare Advantage Plans, youre always covered for emergency and urgent care. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. PSW is a private company and not a health plan. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. Humana anticipates that the divestitures would be effective January 1, 2013. Speak to a PSW Agent today to learn more about your eligibility and options for our Medicare Advantage plans. Humanas ability to obtain funds from its subsidiaries is restricted by state insurance regulations. 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. All members complete the annual HRA There also may be other risks that the company is unable to predict at this time. Jan 3, 2023 . a plan, Find a bs [Content_Types].xml ( UKO0|]5naVi _L;qZRR%Qb{$4WbTEE%EV6xPL''?XpJ4DBJp See our full accessibility rights The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. The Domestic Health Carrier is a direct wholly-owned subsidiary of, and controlled by, Humana Inc. ("Hwnana"). 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.