Certain taxonomy selections will require you to enter your license number and the state where the license was issued. The company's principal . guidance, Using vision plans, Find <> 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. Give us a call at 360-943-4337 opt. Gainwell Technologies has been contracted with the state of Indiana since 1991. information. 9, or toll-free at 1-877-943-4337 Based in Olympia, WA for more than 25 years, PSW is locally owned and managed by physicians. The securities and credit markets may experience volatility and disruption, which may adversely affect Humanas business. If Humana fails to develop and maintain satisfactory relationships with the providers of care to its members, the companys business may be adversely affected. Providers who do not contract with the plan are not required to see you except in an emergency. Health Plan/Payer ID Codes, also known as Receiver Codes, are the primary identifier used to route your EDI transaction to the appropriate entity. Preferred Medical Claim Premier Health - PPO - SC Prime Health Services Priority Health (Michigan) . 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 For Claims Status please contact Susan Naanes @ 503-574-7441 or Debra . PSW is committed to quality improvement, clinical integration and meaningful measures of value. Not all D-SNP plans in Indiana serve the entire state. Code describing the type of health care provider that is being assigned an NPI. Non-health claims (net) 0 0 0 0 20. Pennsylvania corporation ("Aetna"), of Arcadian Health Plan, Inc., a health care service contractor domiciled in the State of Washington (the "Domestic Health Carrier"). Medicare Advantage organizations interested in operating a D-SNP plan in Indiana should contact Andrew Bean at Andrew.Bean@fssa.IN.gov. Medicare drug (Part D) plans, Shop Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. 1-800-454-3730. For providers with more than one physical location, this is the primary location. Important information to all providers and software developers that communicate via electronic data interchange (EDI) format and direct data entry (DDE). endobj 94607-4087, US. Member Services Phone Number. Any of these risks and uncertainties may cause actual results to differ materially from the results discussed in the forward-looking statements. St Louisville, KY 40202. 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. 2 0 obj 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. PSW has partnered with Humana and Premera. 500 12TH ST STE 300 NOTE: ZIP code plus 4-digit extension, if available. It includes the 3 months before the month of your birthday, your birth month, and the 3 months after the month of your birthday. 500 12th St # 350. Category. For most members, claims can be mailed or submitted electronically to us at the address or payer ID's below; however, the address and payer ID's may vary based on member-specific plans and networks. Humana Sites, For Contact Name *. See our full accessibility rights Health (8 days ago) Web101 Wood Avenue South, 8th Floor. gcse.type = 'text/javascript'; PSW licensed agents can answer your questions on Medicare, Medicare Advantage and the specific health plans we offer. This is the time when you can make changes to your Medicare coverage. prescription, Manage Provider Relations Phone Number. Humanas business activities are subject to substantial government regulation. You can call us if you have a question about your insurance plan or a health problem. 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. Doctor, Health & Well-being endobj Arcadian Health - TEXAS Artisan Provider Network *TRPN (Three Rivers Provider Network) PPO, WC, INJURY . Neighbouring districts are (from the north clockwise) Ansbach, Roth, Eichsttt and Donau-Ries. The Domestic Health Carrier is a direct wholly-owned subsidiary of, and controlled by, Humana Inc. ("Hwnana"). ARCADIAN HEALTH PLAN, INC. NPI is 1598910549. Speak to a PSW Agent today to learn more about your eligibility and options for our Medicare Advantage plans. 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. This data element may contain the same information as ''Provider location address fax number''. The first line location address of the provider being identified. Increased litigation and negative publicity could increase the companys cost of doing business. US, 500 12TH ST STE 350 If one of our plans is not the best fit, don't worry - we'll connect you with other options. It is situated on the river Altmhl, 19 kilometres (12 mi) northwest of Weienburg in Bayern, and 45 kilometres (28 mi) southwest of Nuremberg. Your Initial Enrollment Period (IEP) is the 7-month period you have when you first become eligible to sign up for Medicare. % Register a doctor, Enroll your health, Member Our. Login or find a doctor $257,000 Last Sold Price. :KORgOC~Ma^ 9kp h'7+LF. Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition. 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. 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": 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 2.5 Baths. Contact Us Give us a call at 360-943-4337 opt. Find information about the healthcare programs included under the Indiana Health Coverage Programs (IHCP) umbrella the primary programs serving most children and adults as well as those designed to serve special member populations. The Parent Organization LBN and TIN fields can only be completed if the answer to the subpart question is Yes. Payment Policies. 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. 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. The provider is (1) A form of health , https://healthprovidersdata.com/hipaa/codes/NPI-1598910549-arcadian-health-plan-inc, Health (2 days ago) WebARCADIAN HEALTH PLAN, INC. Company Number 602384193 Status Active Incorporation Date 6 April 2004 (almost 19 years ago) Company Type WA , https://opencorporates.com/companies/us_wa/602384193, Health (7 days ago) WebContact Us Today Acadia Corporate Headquarters 6100 Tower Circle, Suite 1000 Franklin, TN 37067 Tel: 615-861-6000 Toll Free: 855-526-8228 Fax: 615-261-9685 Additional , https://www.acadiahealthcare.com/about/contact/, Health (9 days ago) WebArcadian Health Plan, Inc. Company Alias [Doing Business As (dba)] This is the name or names of the company under which the company does business. dental plans, Find The authorized official title (position) is SR. VP AND GENERAL COUNSEL. 500 12TH ST STE 300 Brokers, For Claim This Company Page What do people say about Arcadian Health Plan Terms were not disclosed. a healthcare plan, Humana 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. name (which is a provider name or healthcare organization name) ARCADIAN HEALTH PLAN, INC.. (function() { Health plans must contract with the Indiana Health Coverage Programs and hold a contract with Medicare. A field cannot contain all special characters. Changes in the prescription drug industry pricing benchmarks may adversely affect Humanas financial performance. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. <>>> You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Make sure to check out our FAQ page. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships. Health Plan/Payer Business Fax Number. Indiana Health Coverage Programs is contracted with OptumRx to be the pharmacy benefits manager for the Traditional Medicaid. 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. Provide organization name (legal business name used to file tax returns with the IRS). 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 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. Use the links on this page to access IHCP provider news items, bulletins, and banner page publications. )JCR?;}`_YWk>7O_6z?U#nutWm=2? Plans, Shop for Plans 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). 510-832-0311. Humanas ability to obtain funds from its subsidiaries is restricted by state insurance regulations. Provider Relations Phone Number. UHS-DE and UHS-Fuller stipulated that physically violent or assaultive patients created a hazard for those at the Worksite. a quote, Shop 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. In all types of Medicare Advantage Plans, youre always covered for emergency and urgent care. This data element may contain the same information as ''Provider location address telephone number''. wellness & rewards, Member For more information contact the plan. This news release includes forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. 1,507 Sq. 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. US Family Health Plan @St. Vincent's Hosp. The first name of the authorized official, The title or position of the authorized official. fi%  xl/_rels/workbook.xml.rels ( Mk0$nez:8`gk(%b_=65q"0{?mY$M! MAXIMUS Health Services Inc. has served as the Indiana Health Coverage Programs enrollment broker since 2007. in a plan, Shop )?2%n@/xh^}J_}1e6Z^A(}&XdD{Y\|/wH?Ksp?{~Gs8xZ[&iqy2yww$Rfb)~fG=tvvkAdDf75?+PUvkTVAZV5S}&$,i Z_/ }'UrJ0 d] We do not sell leads or share your personal information. Humana is a publicly traded Delaware holding company for Practice Name *. $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 . The 2022 Annual Enrollment Period (AEP) is from October 15 to December 7, 2021. Company Profile Page. A field cannot contain all special characters. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 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 . gcse.async = true; D-SNP-eligible individuals have the option to enroll in a D-SNP health plan during their Medicare annual election period or quarterly during the special enrollment period. px. < RgJfrZO^!Cr]bL46 latDlb7W%Gfa?;^nh(T\[r559ES>72pGAgTd#m,A?bnT}O|G?! Drug List, Shop doctor, Enroll in info) is a Landkreis (district) in the west of Bavaria, Germany with a population of 95,000. http://www.insuranceproviders.com/companies/arcadian-health-plan-inc/. CA 4 0 obj Jan 3, 2023 09:43pm. Industry: Health insurance carriers Printer Friendly View Address: 500 12TH St Ste 350 Oakland, CA, 94607-5204 United States See other locations Physician group practices struggle with bundled payments: study. Humana and Arcadian are working together to ensure a seamless transition of the Medicare business. Resources, Pay Call 360.943.4337 ext 9 or email [emailprotected]. 2,148 Sq. Downgrades in Humanas debt ratings, should they occur, may adversely affect its business, results of operations, and financial condition. The 10-position telephone number of the authorized official. Clinical Guidelines. The postal ZIP or zone code in the mailing address of the provider being identified. in to Go365.com, Corporate The Registered Agent on file for this company is Corporation Service Company Inc and is located at 641 South Lawrence Street, Montgomery, AL 36104. For a copy of Indianas current State Medicaid Agency Contract, click here: To access all executed D-SNP contracts for 2022, visit the, To register as a trading partner with the IHCP to exchange electronic transactions for D-SNP, submit the. 1 - 2) December 31 Prior Year Net . All. drug plans & coverage, Prescription Medicare Advantage Plans must offer emergency coverage outside of the plans service area (but not outside the U.S.). Secondary Claims: YES: . Gainwell provides a number services to the IHCP, including provider enrollment, customer service, eligibility verification, and fee-for-service claim processing. 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. 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. 3 Beds. To send us a message so we can call you, click here. Arcadians plans have approximately 62,600 Medicare Advantage members in 15 U.S. states: Alabama, Arkansas, Arizona, California, Georgia, Louisiana, Maine, Missouri, New Hampshire, New York, North Carolina, Oklahoma, South Carolina, Texas and Washington. This address cannot include a Post Office box. for group products, Learn 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. Contact the Medicare plan for more information. quote, Find an a pharmacy, Compare Medicare MSA Plans do not cover prescription drugs. There also may be other risks that the company is unable to predict at this time. 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. guidance, Humana member var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; 1 0 obj Empire Plan Toll free. Arcadian strives to manage claims in an efficient, timely and prudent manner. 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. [14] [15] [16] 2008-2019 [ edit] OAKLAND, CA DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. PSWs mission is to support the physician-patient relationship in the independent practice of medicine through fair contracting, responsible resource utilization and prudently adopted innovations in health care delivery. Nearby homes similar to 1521 Arcadian Lily have recently sold between $257K to $257K at an average of $170 per square foot. your health, Preventive 1 - 2) December 31 Prior Year Net . A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Claims adjustment expenses, including $ 126,895,463 cost containment expenses 0 145,900,023 120,817,947 169,390,602 The legal entity must obtain an NPI. savings & tools, Humana Business Address Line. 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 0000000926 00000 n The provider is registered as an organization entity type. 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 . Corp - WI . 2.5 Baths. Abuse, System In preparation for the Engage, please carry out the following: With reference to the Lease of Kenulf House, 34-38 Fletton Street, Peterborough PE1 3LR ("Kenulf House"), complete the chart below, stating whether or not it is possible to carry out each of the dealings and citing the relevant lease provision(s). Providence of Oregon Health Plan. Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). about Humana Pharmacy, Find 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. 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. These companies must follow rules set by Medicare. in your neighborhood, Achieving E-Mail. 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. To find out more, visit Medicare.gov. All. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. Library, Sign