arcadian health plan claims

The date the provider was assigned a unique identifier (assigned an NPI). Medical Policies. 2 0 obj PSW licensed agents can answer your questions on Medicare, Medicare Advantage and the specific health plans we offer. 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 Supplement plans, Learn 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. Jan 3, 2023 09:43pm. For Providers. The provider's official mailing address is: 500 12TH ST STE 350 Physician group practices struggle with bundled payments: study. The Domestic Health Carrier is a direct wholly-owned subsidiary of, and controlled by, Humana Inc. ("Hwnana"). To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). a plan, Find a 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 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. Changes in the prescription drug industry pricing benchmarks may adversely affect Humanas financial performance. 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. NPI Number 1598910549 has the "Organization" type of ownership and has been registered to the following primary business legal 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. Its important to check with your doctor to confirm which Medicare Advantage plans they are accepting. This data element may contain the same information as ''Provider location address City name''. Changes in economic conditions could adversely affect Humanas business and results of operations. Empire Plan Toll free. Caregivers, Go365 Wellness Practice Name *. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. 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. 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 The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> The first name of the authorized official, The title or position of the authorized official. guidance, Using 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. Email *. Here are three examples of organization health care providers that may be considered subparts and may apply for NPIs if so directed by their "parents": Net of the divestitures, the acquisition will increase Humanas health plan membership by approximately 50,000 Medicare HMO members. to enroll, Learn Library, Sign 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. During this time, contact PSW and speak to an agent or go to Medicare.gov to learn more about your options to enroll in a Medicare Advantage plan. 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. (For crosswalk purposes, the following (non-NPI) identifiers are available for this provider), (Collection of legacy and proprietary (non-NPI) identifiers ever reported for this provider). The offices are examples of subparts that could have their own NPIs if the main location determines that they should. 9, or toll-free at 1-877-943-4337. 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. 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 . To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). 1,507 Sq. The Parent Organization LBN and TIN fields can only be completed if the answer to the subpart question is Yes. It includes the 3 months before the month of your birthday, your birth month, and the 3 months after the month of your birthday. Resources, Pay Claims: 61101 Encounters: 61102 Advanced claims editing All EDI submissions to Humana pass through Availity. Provider Relations Phone Number. health conditions, Home When used in investor presentations, press releases, Securities and Exchange Commission (SEC) filings, and in oral statements made by or with the approval of one of Humanas executive officers, the words or phrases like expects, anticipates, intends, likely will result, estimates, projects or variations of such words and similar expressions are intended to identify such forward-looking statements. These estimates, however, involve extensive judgment, and have considerable inherent variability that is extremely sensitive to payment patterns and medical cost trends. US, 500 12TH ST STE 350 % Non-health claims (net) 0 0 0 0 20. Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. The State or Province name in the mailing address of the provider being identified. about Medicaid, How 500 12TH ST STE 300 Medicare Advantage Plans must cover all of the services that Original Medicare covers except hospice care. The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. & appeals, Helpful If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. Corp - WI . Brokers, For Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. endobj User ID: Password: Show password This data element may contain the same information as ''Provider location address country code''. There also may be other risks that the company is unable to predict at this time. Get the most out of your plan. Doctor, Health & Well-being info) is a Landkreis (district) in the west of Bavaria, Germany with a population of 95,000. 2,148 Sq. The 10-position telephone number of the authorized official. Health Plan/Payer Business Mailing Address First Line. If Humana fails to effectively implement its operational and strategic initiatives, including its Medicare initiatives, the companys business may be materially adversely affected, which is of particular importance given the concentration of the companys revenues in the Medicare business. Locations Primary 500 12th Street, Suite 350 Oakland,. var gcse = document.createElement('script'); Any of these risks and uncertainties may cause actual results to differ materially from the results discussed in the forward-looking statements. Have Inpatient Acute DRGs, SNF, Long Term Care & Home Care claims. Most Medicare Advantage Plans include Medicare prescription drug coverage (Part D). Medicaid contracts each year with plans that are willing to accept a monthly fee for each recipient in their program. This news release includes forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Other NPI record contains FOIA-disclosable NPPES health care provider information. 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. We are an independent education, research, and technology company. Health (8 days ago) WebArcadia.io Category: Health Detail Health Department of Human Services NJ FamilyCare Health Plans Health (8 days ago) Web101 Wood Avenue South, 8th Floor. In addition, if the new non-deductible federal premium tax and other assessments, including a three-year commercial reinsurance fee, were imposed as enacted, and if Humana is unable to adjust its business model to address these new taxes and assessments, such as through the reduction of our operating costs, there can be no assurance that the non-deductible federal premium tax and other assessments would not have a material adverse effect on the companys results of operations, financial position, and cash flows. wellness & rewards, Member Contact the Medicare plan for more information. Health Plan/Payer Business E-Mail Address. 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. An Overall Star Rating that combines all of a plans scores. We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. 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. It is located in the south of Middle Franconia, 50 kilometres south of Nuremberg. card, View A field cannot contain all special characters. 510-832-0311. OAKLAND, CA Login or find a doctor If Humana fails to develop and maintain satisfactory relationships with the providers of care to its members, the companys business may be adversely affected. your health, Member The country code in the mailing address of the provider being identified. Copyright 2007-2023 HIPAASPACE. Nearby homes similar to 1521 Arcadian Lily have recently sold between $257K to $257K at an average of $170 per square foot. 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. This address cannot include a Post Office box. Dual Eligible Special Needs Plans serve members who are eligible for both Medicaid and Medicare. We do not sell leads or share your personal information. A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. The Medicare Program rates all health and prescription drug plans each year, based on a plans quality and performance. claims, Check 1 , http://www.empireplanproviders.com/contact.htm. :KORgOC~Ma^ 9kp h'7+LF. endobj Employers, For Agents & Contact Us Give us a call at 360-943-4337 opt. Affinity Health Plan ## 13334 Y AFFINITY HEALTH O Contact EDI@Affinityplan.org or (718)794-7592 prior to sending claims. care & community support, Humana Code describing the type of health care provider that is being assigned an NPI. rights, Prescription savings 'https:' : 'http:') + 3.8 . Meet your Practice Management Consultant. 2.5 Baths. 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 Members may enroll in a Medicare Advantage plan only during specific times of the year. 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). gcse.type = 'text/javascript'; my premium, Drug 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. Payment Policies. gcse.async = true; 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. Terms were not disclosed. 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 Make sure to check out our FAQ page. A field cannot contain all special characters. If one of our plans is not the best fit, don't worry - we'll connect you with other options. 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.

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