arcadian health plan claims

Accessibility H5619 Arcadian Health Plan (Humana, Inc.) . account today. This is the time when you can make changes to your Medicare coverage. x[moF a %o$MK.h}W@[D A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. 1-800-454-3730. Given the current economic climate, Humanas stock and the stock of other companies in the insurance industry may be increasingly subject to stock price and trading volume volatility. health goals, Go365 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. BOUGHT WITH REDFIN JUN 14, 2022. Humana anticipates that the divestitures would be effective January 1, 2013. 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. All rights reserved | Email: [emailprotected], Abington jefferson health physician directory, White mountain community health conway nh. Our claims professionals have extensive claims handling experience for a variety of business lines. To send us a message so we can call you, click here. 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. Claims adjustment expenses, including $ 38,432,221 cost containment expenses 0 44,339,331 36,328,629 169,390,602 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 . This data element may contain the same information as ''Provider location address City name''. Speak to a PSW Agent today to learn more about your eligibility and options for our Medicare Advantage plans. 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. 3 Beds. ^e _rels/.rels ( MK1!;*"l/EMd1`7FAtzwyfx{vE fVKrFH"l3*>.%uGV=\i8XrZJ%\P4H;s>67Mizo#+DYB5V$~"c'ZkRRF%8EsF|02Xn/1=cW7 PK ! a pharmacy, Compare Medicaid will no longer pay these charges. 1997. The "parent"-we don't know who the parent is in this example-must ensure that each subpart that submits its own claims to health plans has its own NPI. Our agents put your needs first. Arcadian Health Plan is a small health care company based in Oakland, CA with only 111 employees and an annual revenue of $9.2M. The first name of the authorized official, The title or position of the authorized official. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). Be sure to find PSW on our social media profiles. 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. 1-800-454-3730. CA You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. We also provide free language interpreter services. & tools, Humana Completes Acquisition of Arcadian Management Services, Find a D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. 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": 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. 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 contact numbers associated with the mailing address are: The authorized official registered with the 1598910549 NPI Number is JAMES NOVELLO. Each line of business represents a different Healthcare Provider Taxonomy or area of specialization that often submits its own electronic claims to health plans. All rights reserved. Responsibility, Internet Privacy The offices are examples of subparts that could have their own NPIs if the main location determines that they should. 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 Gateway Health Plan has several different Payer ID numbers please look for the Payer ID on the ID card before submitting. 1 0 obj NPI Number information was last time updated on 12/01/2010. 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. We are an independent education, research, and technology company. Arcadian strives to manage claims in an efficient, timely and prudent manner. during the calendar year will owe a portion of the account deposit back to the plan. Non-health claims (net) 0 0 0 0 20. The postal ZIP or zone code in the mailing address of the provider being identified. gcse.type = 'text/javascript'; %PDF-1.5 Changes in the prescription drug industry pricing benchmarks may adversely affect Humanas financial performance. Rights and Responsibilities. You can reach the authorized official at the following phone number 510-817-1845. information and language options. 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. [13] Between 2008 and 2012, the company agreed to pay a total of $217.5 million to settle the claims against them. $325,000 Last Sold Price. Business Address Line. User ID: Password: Show password For in-depth guidance on the D-SNP submission of encounter data, see the following IHCP companion guides: Arcadian Health Plan and Humana Benefit Plan of Illinois, Inc. Form 10-K for the year ended December 31, 2011; Securities and Exchange Commission filings; Most recent investor conference presentations; Replays of most recent earnings release conference calls; Calendar of events (including upcoming earnings conference call dates and times, as well as planned interaction with research analysts and institutional investors). NOTE: ZIP code plus 4-digit extension, if available. 1 - 2) December 31 Prior Year Net . a dentist, Get card, View 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. The Health Insurance Portability and Accountability Act (HIPAA) of 1996 contains Portability, Medicaid Integrity Program/Fraud and Abuse, and Administrative Simplification. (For Medicaid, Child Health Plus . 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. ARCADIAN HEALTH PLAN Pay & Benefits reviews Review this company. Jan 3, 2023 05:55pm. The State or Province name in the location address of the provider being identified. info) is a Landkreis (district) in the west of Bavaria, Germany with a population of 95,000. menu, Find a COMMERCIAL. Not all D-SNP plans in Indiana serve the entire state. Most Medicare Advantage Plans include Medicare prescription drug coverage (Part D). 182. 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. Affinity Health Plan ## 13334 Y AFFINITY HEALTH O Contact EDI@Affinityplan.org or (718)794-7592 prior to sending claims. We are not compensated for Medicare plan enrollments. your health, Member Fax. 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. 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. Terms were not disclosed. All rights reserved. The company's filing status is listed as Exists and its File Number is 377-482. Member Services Phone Number. health conditions, Home Register It is situated on the river Altmhl, 19 kilometres (12 mi) northwest of Weienburg in Bayern, and 45 kilometres (28 mi) southwest of Nuremberg. Copyright 2007-2023 HIPAASPACE. Physician Case Management Referral. The HMO , https://www.tdi.texas.gov/hmo/profiles/95962.html, Health (8 days ago) Web500 W Main. PK ! Humana is a publicly traded Delaware holding company for Medicare Advantage Plans must cover all of the services that Original Medicare covers except hospice care. Original Medicare covers hospice care even if youre in a Medicare Advantage Plan. 800-523-0023 Open 24 hours a day Commercial customer service For eligibility/benefits and claims inquiries 800-4-HUMANA (800-448-6262) Open 8 a.m. to 8 p.m. Eastern time, Monday through Friday Medicare customer service For eligibility/benefits and claims inquiries 800-457-4708 Open 8 a.m. to 8 p.m. Eastern time, Monday through Friday % The provider is (1) A form of health https://healthprovidersdata.com/hipaa/codes/NPI-1598910549-arcadian-health-plan-inc 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. 2.5 Baths. Most include Medicare prescription drug coverage (Part D). Cancer Resource Services . The provider's official mailing address is: 500 12TH ST STE 350 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." s.parentNode.insertBefore(gcse, s); 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. information. Arcadian is dedicated to improving the health of our members by providing access to high quality and cost effective health care. 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. 2.5 Baths. An Overall Star Rating that combines all of a plans scores. OIG: CMS needs to help drugmakers in calculating best Medicare Part B prices. Largest city and the administrative center . savings & tools, Humana 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. Prep task 1. To determine individual service areas, please call the health plans' customer service numbers provided (see below). Please contact the plan for further details. 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. Any of these risks and uncertainties may cause actual results to differ materially from the results discussed in the forward-looking statements. Call 360.943.4337 ext 9 or email [emailprotected]. Many organization health care providers who apply for NPIs are not legal entities themselves but are parts of other organization health care providers that are legal entities (the "parents"). Humanas acquisition of Arcadian is not expected to materially impact its financial earnings guidance for the year ending December 31, 2012. US. Gainwell provides a number services to the IHCP, including provider enrollment, customer service, eligibility verification, and fee-for-service claim processing. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. <> The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The fax number associated with the location address of the provider being identified.

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