2.5 Baths. Preferred Medical Claim Premier Health - PPO - SC Prime Health Services Priority Health (Michigan) . enroll, Find a Important information to all providers and software developers that communicate via electronic data interchange (EDI) format and direct data entry (DDE). 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. 1 - 2) December 31 Prior Year Net . Non-health claims (net) 0 0 0 0 20. Branch Branch of ARCADIAN HEALTH PLAN, INC. (Washington (US)) Registered Address 500 W MAIN ST LOUISVILLE KY 40202 United States Agent Name C T CORPORATION SYSTEM Agent Address 330 N BRAND BLVD STE # 700 GLENDALE CA 91203 Directors / Officers C T CORPORATION SYSTEM, agent Inactive Directors / Officers BRUCE D BROUSSARD, chief executive officer 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. ANNUAL STATEMENT FOR THE YEAR 2020 OF THE Arcadian Health Plan Inc. EXHIBIT 4 - CLAIMS UNPAID AND INCENTIVE POOL, WITHHOLD AND BONUS (Reported and Unreported) Aging Analysis of Unpaid Claims 1 Account 2 1 - 30 Days 3 31 - 60 Days 4 61 - 90 Days 5 91 - 120 Days 6 Over 120 Days 7 Total Claims Unpaid (Reported) 0199999. 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). PDF STATEMENT AS OF SEPTEMBER 30, 2021 OF THE Arcadian Health Plan - Maine This address cannot include a Post Office box. Many Medicare Advantage Plans also offer extra benefits such as dental care, eyeglasses, or wellness programs. (function() { Iselin, New Jersey 08830. 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 NPI Number 1598910549 has the "Organization" type of ownership and has been registered to the following primary business legal To send us a message so we can call you, click here. 0000002619 00000 n Contact Name Kelly Gaskins . Non-health claims (net) 0 0 0 0 20. *Required Fields. (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. ARCADIAN HEALTH PLAN, INC. :: Washington (US) - OpenCorporates You can reach the authorized official at the following phone number 510-817-1845. health risk assessment (HRA) to members by phone, mail or in-person if necessary. & appeals, Helpful Star ratings are assigned to Medicare Advantage plans by the Centers for Medicare and Medicaid Services (CMS). 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). <> NOTE: ZIP code plus 4-digit extension, if available. In certain situations, you can. Fax: 510-817-1894. 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." Non-health claims (net) 0 0 0 0 20. 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. 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. Medicare Advantage plans, Shop The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. PDF claims processing 20060120 (2) - Centers for Medicare & Medicaid Services The company's filing status is listed as Exists and its File Number is 377-482. 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. The provider is (1) A form of health https://healthprovidersdata.com/hipaa/codes/NPI-1598910549-arcadian-health-plan-inc Humana is a publicly traded Delaware holding company for Category. Medicaid is a state-administered program, and each state sets its own guidelines regarding eligibility and services. This data element may contain the same information as ''Provider location address State name''. [k@+%#bP{U Zbl;0RZ%U$+Ylft(s?-FUg dnt`q. %PDF-1.5 Archbold Ed Uninsured. a doctor, Enroll Code describing the type of health care provider that is being assigned an NPI. Medicare Star Ratings can help you learn how a Medicare Advantage plan is doing. This data element may contain the same information as ''Provider first line location address''. 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. name (which is a provider name or healthcare organization name) ARCADIAN HEALTH PLAN, INC.. 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. PDF Names, titles, addresses and telephone numbers of individuals to whom The City name in the mailing address of the provider being identified. Humana Completes Acquisition of Arcadian Management Services 2023 Arcadian Health Plan - Plus (HMO) in OK Plan Benefits Details UHS of Fuller, Inc., UHS of Delaware, Inc., OSHRC DOCKET No. 20-0032 Indiana Medicaid: Partners: Dual Eligible Special Needs Plans Ft. 12414 Tallow Cir, San Antonio, TX 78253-5253. There also may be other risks that the company is unable to predict at this time. Licensure, Fraud, Waste & Make sure to check out our FAQ page. savings & tools, Humana For Claims Status please contact Susan Naanes @ 503-574-7441 or Debra . 3.8 Work-Life Balance. Nearby homes similar to 1521 Arcadian Lily have recently sold between $257K to $257K at an average of $170 per square foot. The securities and credit markets may experience volatility and disruption, which may adversely affect Humanas business. 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. . health goals, Go365 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). OAKLAND, CA An Overall Star Rating that combines all of a plans scores. The contact numbers associated with the mailing address are: The authorized official registered with the 1598910549 NPI Number is JAMES NOVELLO. The enumeration date of this NPI Number is 11/18/2008. More information regarding Humana is available to investors via the Investor Relations page of the companys web site at www.humana.com, including copies of: Humana complies with all applicable federal civil rights laws and does not discriminate on the basis Secondary Claims: YES: . group products, Member Resources We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. (For Medicaid, Child Health Plus . 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 . To receive notices, you must subscribe. Arcadian Health Plan Customer Service Medicare pays a fixed amount for your care every month to the companies offering Medicare Advantage Plans. Our. 7 There were over 500 incidents of aggression from June 1, 2019, through the end of 2019. The 10-position telephone number of the authorized official. Contact Name *. 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 Arcadian Health Plan, Inc. - Texas Department of Insurance Industry: Health insurance carriers Printer Friendly View Address: 500 12TH St Ste 350 Oakland, CA, 94607-5204 United States See other locations This webpage represents 1598910549 NPI record. 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. Please call our Customer Service Department if you need to talk about protected/private health information. US Family Health Plan @St. Vincent's Hosp. 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. These companies must follow rules set by Medicare. PDF Arcadian Health Plan Inc., H5619 Dual Eligible Medicare Zero Cost 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. care, Managing Gunzenhausen ( German pronunciation: [ntsnhazn] ( listen); Bavarian: Gunzenhausn) is a town in the Weienburg-Gunzenhausen district, in Bavaria, Germany. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. SOLD JUN 13, 2022. Cancer Resource Services . Corp - WI . Your Initial Enrollment Period (IEP) is the 7-month period you have when you first become eligible to sign up for Medicare. Statement, Disclaimers & Contact Us Give us a call at 360-943-4337 opt. The date the provider was assigned a unique identifier (assigned an NPI). Drug List, Shop 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 Claims: 61101 Encounters: 61102 Advanced claims editing All EDI submissions to Humana pass through Availity. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). PSW is a private company and not a health plan. NPI record contains FOIA-disclosable NPPES health care provider information. 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. card, View The first line mailing address of the provider being identified. Humana and Arcadian are working together to ensure a seamless transition of the Medicare business. 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. These estimates, however, involve extensive judgment, and have considerable inherent variability that is extremely sensitive to payment patterns and medical cost trends. Iselin, New Jersey 08830. Contact the Medicare plan for more information. Medicare has neither reviewed nor endorsed the information on our site. 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). about Medicare, Find 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. 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. A field cannot contain all special characters. 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. Any failure to manage administrative costs could hamper Humanas profitability. If the organization is a subpart = , the Parent Organization Legal Business Name (LBN) and Parent Organization Taxpayer Identification Number (TIN) fields must be completed. We also provide free language interpreter services. a healthcare plan, Humana 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. Doctor, Health & Well-being 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. Since May 2, 2011, the state of Indiana has participated in the federal Promoting Interoperability (PI) Program, formerly the Electronic Health Records (EHR) Incentive Program. If the plan accepts the monthly fee then the plan agrees to be responsible for the Medicare co-payments, co-insurance or deductibles. Accessibility px. < RgJfrZO^!Cr]bL46 latDlb7W%Gfa?;^nh(T\[r559ES>72pGAgTd#m,A?bnT}O|G?! 0006300 Payer ID | Arcadian Health Plan, Inc." | Oakland, CA Limitations, copayments, and restrictions may apply. Arcadian Health Plan, Inc. Company Profile | Oakland, CA | Competitors ARCADIAN HEALTH PLAN, INC. NPI is 1598910549. x[moF a %o$MK.h}W@[D 1521 Arcadian Lily, San Antonio, TX 78245 | MLS# 1668282 | Redfin The HMO Alias list is an Excel spreadsheet. '//cse.google.com/cse.js?cx=' + cx; Members may enroll in a Medicare Advantage plan only during specific times of the year. 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. 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. Codes are: The "Is the organization a subpart?" Redfin Corporation. [14] [15] [16] 2008-2019 [ edit] View more recently sold homes. 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. 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 However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. To report a claim to Arcadian, please contact: General Liability Claims glclaims@arcadian-risk.com Professional Liability Claims plclaims@arcadian-risk.com info) is a Landkreis (district) in the west of Bavaria, Germany with a population of 95,000. Arcadian Health Plan Claims Address - Explore Recent Medicare Supplement plans, Learn Certain taxonomy selections will require you to enter your license number and the state where the license was issued. vision plans, Find Free one-on-one consultations are available Monday-Friday, 8:00am-4:00pm. PDF Participating Insurances Select Foreign Country in the state drop down box if the license was issued outside of United States. What is Medicare Part C? | HHS.gov