Downgrades in Humanas debt ratings, should they occur, may adversely affect its business, results of operations, and financial condition. Humana is involved in various legal actions and governmental and internal investigations, including without limitation, an ongoing internal investigation and litigation and government requests for information related to certain aspects of its Florida subsidiary operations, any of which, if resolved unfavorably to the company, could result in substantial monetary damages. Solicitation opportunities to do business with the State of Indiana. You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID . Changes in economic conditions could adversely affect Humanas business and results of operations. There also may be other risks that the company is unable to predict at this time. Medicare MSA Plans do not cover prescription drugs. 0000002619 00000 n Contact Name Kelly Gaskins . Abuse, System Humana anticipates that the divestitures would be effective January 1, 2013. Please do not include any confidential or personal information, such as protected health information, social security number, or tax ID. E-Mail. 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. It is located in the south of Middle Franconia, 50 kilometres south of Nuremberg. St Louisville, KY 40202. Arcadian Management Services Inc. COMMERCIAL. 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. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Those who disenroll OAKLAND information. Members may enroll in a Medicare Advantage plan only during specific times of the year. Arcadian is dedicated to improving the health of our members by providing access to high quality and cost effective health care. care & community support, Humana Have Inpatient Acute DRGs, SNF, Long Term Care & Home Care claims. 2.5 Baths. Humana and Arcadian are working together to ensure a seamless transition of the Medicare business. % 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. Jan 3, 2023 09:43pm. Any failure to manage administrative costs could hamper Humanas profitability. Copyright 2023 State of Indiana - All rights reserved. The Domestic Health Carrier is a direct wholly-owned subsidiary of, and controlled by, Humana Inc. ("Hwnana"). For information about IHCP policies, procedures, and billing guidance (including information about electronic transactions), access these IHCP reference documents. Provide organization name (legal business name used to file tax returns with the IRS). 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. NPI record contains FOIA-disclosable NPPES health care provider information. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Arcadian strives to manage claims in an efficient, timely and prudent manner. User ID: Password: Show password 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. In certain situations, you can. & appeals, Helpful Bulletins, Banner Pages and Reference Modules. $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 . To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). coverage, Refill a Provider Relations Phone Number. gcse.src = (document.location.protocol == 'https:' ? Star ratings are assigned to Medicare Advantage plans by the Centers for Medicare and Medicaid Services (CMS). About Arcadian Health: Arcadian Health, founded in 1996, provides Medicare Advantage coverage through its affiliates in the following 15 states: . guidance, Humana member resources, Medicaid 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. Humana is a publicly traded Delaware holding company for If Humana does not continue to earn and retain purchase discounts and volume rebates from pharmaceutical manufacturers at current levels, Humanas gross margins may decline. 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. The postal ZIP or zone code in the location address of the provider being identified. %PDF-1.5 The enumeration date of this NPI Number is 11/18/2008. 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. Responsibility, Internet Privacy PSW contracts with local doctors and Medicare Advantage health plans to offer you a choice in finding a health plan that best meets your healthcare needs. 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. Affinity Health Plan ## 13334 Y AFFINITY HEALTH O Contact EDI@Affinityplan.org or (718)794-7592 prior to sending claims. a form, View ID vision plans, Find 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. The legal entity must obtain an NPI. 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. A field cannot contain all special characters. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. 2,148 Sq. (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. The Indiana State Plan provides specifics on how Medicaid is implemented and governed in Indiana. As a government contractor, Humana is exposed to risks that may materially adversely affect its business or its willingness or ability to participate in government health care programs. 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 Claims: 61101 Encounters: 61102 Advanced claims editing All EDI submissions to Humana pass through Availity. This data element may contain the same information as ''Provider location address State name''. 3.8 . 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. View more recently sold homes. Arcadian Health Plan Apr 2006 - Present16 years 4 months Run daily accounts payable claims and audit edits reports. The City name in the mailing address of the provider being identified. TTY users should call, 1-800-325-0778; or your state Medicaid Office. about Humana Pharmacy, Find Ft. 12435 Jacobs Pond, San Antonio, TX 78253-5505. Clinical Guidelines. It is situated on the river Altmhl, 19 kilometres (12 mi) northwest of Weienburg in Bayern, and 45 kilometres (28 mi) southwest of Nuremberg. 'https:' : 'http:') + File Number: 3615733. for a MyHumana account today. Gainwell provides a number services to the IHCP, including provider enrollment, customer service, eligibility verification, and fee-for-service claim processing. Dual Eligible Special Needs Plans serve members who are eligible for both Medicaid and Medicare. PSW is a private company and not a health plan. 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. All rights reserved. NPI Number information was last time updated on 12/01/2010. Medicare Advantage plans, Shop 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. 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. quote, Find an Iselin, New Jersey 08830. Gunzenhausen is a nationally . doctor, Enroll in Visit PSWs Annual Enrollment Period (AEP) page to learn more. Ratings by category. SOLD JUN 13, 2022. Drug List, Shop For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 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. . Its important to check with your doctor to confirm which Medicare Advantage plans they are accepting. group products, Member Resources *Required Fields. The telephone number associated with the location address of the provider being identified. Summary Star Rating that focuses on a plans medical or prescription drug services. The company's principal . The contact numbers associated with the mailing address are: The authorized official registered with the 1598910549 NPI Number is JAMES NOVELLO. The Health Insurance Portability and Accountability Act (HIPAA) of 1996 contains Portability, Medicaid Integrity Program/Fraud and Abuse, and Administrative Simplification. 500 12th St # 350. Contact Name *. 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. See our full accessibility rights Humanas acquisition of Arcadian is not expected to materially impact its financial earnings guidance for the year ending December 31, 2012. 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 Call 360.943.4337 ext 9 or email [emailprotected]. If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. This is the time when you can make changes to your Medicare coverage. 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. Medicaid will no longer pay these charges. 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). 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. dental plans, Find The country code in the location address of the provider being identified. Non-health claims (net) 0 0 0 0 20. Nearby homes similar to 1521 Arcadian Lily have recently sold between $257K to $257K at an average of $170 per square foot. var s = document.getElementsByTagName('script')[0]; gcse.type = 'text/javascript'; Caregivers, Go365 Wellness 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. 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. Please call our Customer Service Department if you need to talk about protected/private health information. NOTE: ZIP code plus 4-digit extension, if available. 182. wellness & rewards, Member Member Services Phone Number. :KORgOC~Ma^ 9kp h'7+LF. If one of our plans is not the best fit, don't worry - we'll connect you with other options. Based in Olympia, WA for more than 25 years, PSW is locally owned and managed by physicians. To find out more, visit Medicare.gov. So can the benefits and costs of Medicare Advantage plans. OIG: CMS needs to help drugmakers in calculating best Medicare Part B prices. 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 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 Our. Fax: 510-817-1894. Make sure to check out our FAQ page. Contact the plan provider for additional information. 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). Physician group practices struggle with bundled payments: study. Iselin, New Jersey . This data element may contain the same information as ''Provider location address fax number''. to enroll, Learn in a plan, Shop The provider's official mailing address is: 500 12TH ST STE 350 Brokers, For Code describing the type of health care provider that is being assigned an NPI. The country code in the mailing address of the provider being identified. Jan 3, 2023 . 3.8 Work-Life Balance. PK ! Changes in the prescription drug industry pricing benchmarks may adversely affect Humanas financial performance. If Humana fails to develop and maintain satisfactory relationships with the providers of care to its members, the companys business may be adversely affected. 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. FSSA updates. Job Title. Life and Health Insurance, Arcadian is dedicated to improving the health of , https://rocketreach.co/arcadian-health-plan-profile_b5c704eff42e0d37, Health (9 days ago) WebArcadian Health Plan Company Contact Information Email, Phone Number Adapt.io Arcadian Health Plan http://www.humana.com +1******311 Head Count 250 - 1000 , https://www.adapt.io/company/arcadian-health-plan, Health (7 days ago) WebAcadian Health offers quality patient-centered care for the following services, and more: Wellness visits Specialist visits Behavioral health visits Post-op or discharge follow up . 9, or toll-free at 1-877-943-4337. information and language options. The Parent Organization LBN and TIN fields can only be completed if the answer to the subpart question is Yes. 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. 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.