Arcadian Health - TEXAS Artisan Provider Network *TRPN (Three Rivers Provider Network) PPO, WC, INJURY . Payment Policies. (For Medicaid, Child Health Plus . Jan 3, 2023 . Medicare Star Ratings can help you learn how a Medicare Advantage plan is doing. Our. This data element may contain the same information as ''Provider location address postal code''. Health (8 days ago) Web101 Wood Avenue South, 8th Floor. care, Managing 2,148 Sq. 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. The provider is (1) A form of health https://healthprovidersdata.com/hipaa/codes/NPI-1598910549-arcadian-health-plan-inc Ft. 12435 Jacobs Pond, San Antonio, TX 78253-5505. Changes in economic conditions could adversely affect Humanas business and results of operations. s.parentNode.insertBefore(gcse, s); 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": for group products, Learn Jan 3, 2023 09:43pm. The coal oven burns over 650+ degrees and can produce pies in five minutes. })(); 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. The country code in the location address of the provider being identified. 'https:' : 'http:') + All rights reserved. Affinity Health Plan ## 13334 Y AFFINITY HEALTH O Contact EDI@Affinityplan.org or (718)794-7592 prior to sending claims. COMMERCIAL. dentist, Get a Login or find a doctor Requirements, full accessibility rights The contact numbers associated with the mailing address are: The authorized official registered with the 1598910549 NPI Number is JAMES NOVELLO. $257,000 Last Sold Price. Iselin, New Jersey 08830. Claims adjustment expenses, including $ 126,895,463 cost containment expenses 0 145,900,023 120,817,947 169,390,602 Fax. A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. 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. Our business hours are 8:00 a.m. to 5:00 p.m., EST. 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 Each line of business represents a different Healthcare Provider Taxonomy or area of specialization that often submits its own electronic claims to health plans. 0000002619 00000 n Contact Name Kelly Gaskins . Empire Plan Toll free. 3.8 Work-Life Balance. A landfill site, also known as a tip, dump, rubbish dump, garbage dump, or dumping ground, is a site for the disposal of waste materials. St Louisville, KY 40202. 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. 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. 1 0 obj $e_ofvZp$QH"}wWWo>H!qyJ D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. NOTE: ZIP code plus 4-digit extension, if available. 1-877-7NYSHIP (1-877-769-7447), choose UnitedHealthcare . H0320 ARCADIAN HEALTH PLAN, INC. Formulary Contact 825 Washington St. Suite 300 Oakland CA 94607 HMO H0320 ARCADIAN HEALTH PLAN, INC. MA Claims Processing 858 858 Oak Park Road, Suite 250 Covina CA 91724 HMO H0321 ARIZONA PHYSICIANS IPA, INC. Formulary Contact 8045 Leesburg Pike Suite 600 Vienna VA 22182 HMO H0321 ARIZONA PHYSICIANS IPA, INC. Drug List, Shop This data element may contain the same information as ''Provider location address City name''. US, 500 12TH ST STE 350 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. 183. . Your healthcare needs change. 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. Get the most out of your plan. We are not compensated for Medicare plan enrollments. 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. PSW is committed to quality improvement, clinical integration and meaningful measures of value. The fax number associated with the mailing address of the provider being identified. Iselin, New Jersey . 1,507 Sq. During this time, you have several options: enroll in, leave or switch your Medicare Advantage health plan. The Registered Agent on file for this company is Corporation Service Company Inc and is located at 641 South Lawrence Street, Montgomery, AL 36104. Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Give yourself a birthday gift. [k@+%#bP{U Zbl;0RZ%U$+Ylft(s?-FUg dnt`q. [13] Between 2008 and 2012, the company agreed to pay a total of $217.5 million to settle the claims against them. NPI Number information was last time updated on 12/01/2010. Arcadian Health Plan, Inc. is located in Oakland, CA and the phone number for Arcadian Health Plan, Inc. claims, customer, service, and additional information is (510) 832-0311. Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. This is the time when you can make changes to your Medicare coverage. 3 Beds. US. 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. STATEMENT AS OF MARCH 31, 2021 OF THE Arcadian Health Plan, Inc. ASSETS Current Statement Date 4 1 Assets 2 Nonadmitted Assets 3 Net Admitted Assets (Cols. NOTE: ZIP code plus 4-digit extension, if available. Non-health claims (net) 0 0 0 0 20. Original Medicare covers hospice care even if youre in a Medicare Advantage Plan. guidance, Using a form, View ID Register for a MyHumana CA x[moF a %o$MK.h}W@[D The first line mailing address of the provider being identified. % Changes in the prescription drug industry pricing benchmarks may adversely affect Humanas financial performance. Medicare Advantage Plans may offer extra coverage, such as vision, hearing, dental, and/or health and wellness programs. 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. The HMO Alias list is an Excel spreadsheet. 1 - 2) December 31 Prior Year Net . The securities and credit markets may experience volatility and disruption, which may adversely affect Humanas business. The Domestic Health Carrier is a direct wholly-owned subsidiary of, and controlled by, Humana Inc. ("Hwnana"). 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). rights, Prescription savings 500 12TH ST STE 300 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. bs [Content_Types].xml ( UKO0|]5naVi _L;qZRR%Qb{$4WbTEE%EV6xPL''?XpJ4DBJp Codes are: The "Is the organization a subpart?" Any failure to manage administrative costs could hamper Humanas profitability. You may find answers to your questions, such as how to get a replacement ID card or change your address, without needing to call or wait for a response! Star ratings are assigned to Medicare Advantage plans by the Centers for Medicare and Medicaid Services (CMS). Any of these risks and uncertainties may cause actual results to differ materially from the results discussed in the forward-looking statements. 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. name (which is a provider name or healthcare organization name) ARCADIAN HEALTH PLAN, INC.. 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. Contact the Medicare plan for more information. $325,000 Last Sold Price. Amerigroup Ohio ## 27518 Y AMERIGROUP OHIO Claims and Encounters FALSE G Amerigroup Vantage ## 26375 Y AMERIGROUP IOWA FALSE G Amerihealth Administrators, Inc. ** 54763 Y AMERIHEALTH ADMIN . Our agents put your needs first. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. Claim This Company Page What do people say about Arcadian Health Plan OAKLAND, CA About Arcadian Health: Arcadian Health, founded in 1996, provides Medicare Advantage coverage through its affiliates in the following 15 states: . Downgrades in Humanas debt ratings, should they occur, may adversely affect its business, results of operations, and financial condition. ARCADIAN HEALTH PLAN, INC. NPI is 1598910549. Founded in 1996, Arcadian Health Plan provides Medicare Advantage coverage through its affiliates in 15 states: Arizona, Arkansas, California, Georgia, Louisiana, Maine, Missouri, New Hampshire, New York, North Carolina, Oklahoma, South Carolina, Texas, Virginia and Washington. Health Plan/Payer Organization Name (Legal Business Name), Health Plan/Payer Business Telephone Number, Health Plan/Payer Business E-Mail Address, Health Plan/Payer Business Mailing Address First Line, Health Plan/Payer Business Mailing Address City Name, Health Plan/Payer Business Mailing Address State Name, Health Plan/Payer Business Mailing Address Zip Code. Pharmacy, Shop PK ! OAKLAND, CA PSW contracts with a local network of Thurston County doctors and Medicare Advantage health plans to offer you a choice in finding a health plan that best meets your healthcare needs. SAV-RX SelectHealth Silverscript TRICARE UnitedHealthcare WellCare How to Write Step 1 - At the top of the Global Prescription Drug Prior Authorization Request Form, you will need to provide the name, phone number, and fax number for the "Plan/Medical Group Name." ^e _rels/.rels ( MK1!;*"l/EMd1`7FAtzwyfx{vE fVKrFH"l3*>.%uGV=\i8XrZJ%\P4H;s>67Mizo#+DYB5V$~"c'ZkRRF%8EsF|02Xn/1=cW7 PK ! 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. 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 for Plans, Shop 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). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. 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 . D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. The Health Insurance Portability and Accountability Act (HIPAA) of 1996 contains Portability, Medicaid Integrity Program/Fraud and Abuse, and Administrative Simplification. Any failure by Humana to manage acquisitions and other significant transactions successfully may have a material adverse effect on its results of operations, financial position, and cash flows. health conditions, Home savings & tools, Humana Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. The HMO , https://www.tdi.texas.gov/hmo/profiles/95962.html, Health (8 days ago) Web500 W Main. 2.5 Baths. To submit a support case fill out the form below. var s = document.getElementsByTagName('script')[0]; Providers, For Caregivers, Go365 Wellness px. < RgJfrZO^!Cr]bL46 latDlb7W%Gfa?;^nh(T\[r559ES>72pGAgTd#m,A?bnT}O|G?! Location. 9, or toll-free at 1-877-943-4337 Unit 13- Lease Alienation. LOUISVILLE, Ky.--(BUSINESS WIRE)--Humana Inc. (NYSE: HUM) announced today that it has completed its previously announced acquisition of Arcadian Management Services, an Oakland, Calif.-based company that, through its affiliates, operates Medicare Advantage HMO plans. US Family Health Plan @St. Vincent's Hosp. 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. The date that a record was last updated or changed. For information about IHCP policies, procedures, and billing guidance (including information about electronic transactions), access these IHCP reference documents. The first name of the authorized official, The title or position of the authorized official. 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. in a plan, Shop menu, Manage To enroll, eligible individuals should reach out to a specific health plan or contact Medicare at 800-MEDICARE. 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. 94607-5204 A field cannot contain all special characters. endobj 1-800-454-3730. Medicare Advantage plans, Shop 500 12TH ST STE 300 Company Profile Page. These estimates, however, involve extensive judgment, and have considerable inherent variability that is extremely sensitive to payment patterns and medical cost trends. The 2022 Annual Enrollment Period (AEP) is from October 15 to December 7, 2021. The Parent Organization LBN and TIN fields can only be completed if the answer to the subpart question is Yes. & tools, Humana Completes Acquisition of Arcadian Management Services, Find a <> information and language options. Brokers, For An Overall Star Rating that combines all of a plans scores. in your neighborhood, Achieving Nearby homes similar to 1414 Arcadian Lily have recently sold between $325K to $325K at an average of $150 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. menu, Find a 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. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). Provider Relations Phone Number. Humanas business may be materially adversely impacted by CMSs adoption of the new coding set for diagnoses. vision plans, Find Clear. 510-832-0311. Medicare Advantage Plans must cover all of the services that Original Medicare covers except hospice care. This data element may contain the same information as ''Provider location address telephone number''. FSSA updates. 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. NPI record contains FOIA-disclosable NPPES health care provider information. claims, Check money from Medicare into the account. information. All rights reserved. These companies must follow rules set by Medicare. Please enter your credentials. AR812. Accessibility Iselin, New Jersey 08830. resources, Medicaid Arcadian Health Plan Apr 2006 - Present16 years 4 months Run daily accounts payable claims and audit edits reports. Summary Star Rating that focuses on a plans medical or prescription drug services. OAKLAND We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. 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. Jan 3, 2023 05:55pm. Members may enroll in a Medicare Advantage plan only during specific times of the year. Have Inpatient Acute DRGs, SNF, Long Term Care & Home Care claims. Statement, Disclaimers & The company's filing status is listed as Exists and its File Number is 377-482. Archbold Ed Uninsured. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. <> 0000000926 00000 n The provider is registered as an organization entity type. Free one-on-one consultations are available Monday-Friday, 8:00am-4:00pm. 3 0 obj It is located in the south of Middle Franconia, 50 kilometres south of Nuremberg. Medicare Advantage Plans must offer emergency coverage outside of the plans service area (but not outside the U.S.). Health plans must contract with the Indiana Health Coverage Programs and hold a contract with Medicare. 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. If one of our plans is not the best fit, dont worry well connect you with other options. Register Responsibility, Internet Privacy Meet your Practice Management Consultant. 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. Increased litigation and negative publicity could increase the companys cost of doing business. Medicare pays a fixed amount for your care every month to the companies offering Medicare Advantage Plans. Solicitation opportunities to do business with the State of Indiana. 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 eye doctor, How to Address. Arcadian is dedicated to improving the health of our members by providing access to high quality and cost effective health care. Employers, For Agents & Code describing the type of health care provider that is being assigned an NPI. PSW licensed agents can answer your questions on Medicare, Medicare Advantage and the specific health plans we offer. Medicaid contracts each year with plans that are willing to accept a monthly fee for each recipient in their program. Largest city and the administrative center . TTY users should call, 1-800-325-0778; or your state Medicaid Office. 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 health goals, Go365 Doctor, Health & Well-being To report a claim to Arcadian, please contact: General Liability Claims glclaims@arcadian-risk.com Professional Liability Claims plclaims@arcadian-risk.com