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Terms were not disclosed. a dentist, Get Any new coverage you get during this time will start on January 1, 2021. endobj 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. 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. Limitations, copayments, and restrictions may apply. The company's principal . Visit PSWs Annual Enrollment Period (AEP) page to learn more. 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. Gainwell Technologies has been contracted with the state of Indiana since 1991. If the plan accepts the monthly fee then the plan agrees to be responsible for the Medicare co-payments, co-insurance or deductibles. health conditions, Home Clear. 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. Program, Humana OAKLAND, CA PK ! 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. card, View ARCADIAN HEALTH PLAN, INC. NPI is 1598910549. 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. endobj COMMERCIAL. 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. 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. 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). 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. Medicare Advantage organizations interested in operating a D-SNP plan in Indiana should contact Andrew Bean at Andrew.Bean@fssa.IN.gov. Health Plan/Payer Business Mailing Address First Line. The Health Insurance Portability and Accountability Act (HIPAA) of 1996 contains Portability, Medicaid Integrity Program/Fraud and Abuse, and Administrative Simplification. Clinical Guidelines. 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." Payment Policies. Many Medicare Advantage Plans also offer extra benefits such as dental care, eyeglasses, or wellness programs. Gunzenhausen ( German pronunciation: [ntsnhazn] ( listen); Bavarian: Gunzenhausn) is a town in the Weienburg-Gunzenhausen district, in Bavaria, Germany. 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. You can call us if you have a question about your insurance plan or a health problem. 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. It is situated on the river Altmhl, 19 kilometres (12 mi) northwest of Weienburg in Bayern, and 45 kilometres (28 mi) southwest of Nuremberg. 2.5 Baths. Responsibility, Internet Privacy Practice Name *. Rights and Responsibilities. 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. )JCR?;}`_YWk>7O_6z?U#nutWm=2? Call 360.943.4337 ext 9 or email [emailprotected]. 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. Not all D-SNP plans in Indiana serve the entire state. 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 Claim This Company Page What do people say about Arcadian Health Plan Free one-on-one consultations are available Monday-Friday, 8:00am-4:00pm. AR812. <> 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. Health Plan/Payer Business Fax Number. wellness & rewards, Member fi%  xl/_rels/workbook.xml.rels ( Mk0$nez:8`gk(%b_=65q"0{?mY$M! for a MyHumana account today. 9, or toll-free at 1-877-943-4337 Humanas ability to obtain funds from its subsidiaries is restricted by state insurance regulations. 'https:' : 'http:') + Medical Policies. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. Health Plans, Inc. PO Box 5199 Westborough, MA 01581. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. When registering your email, check the category on the drop-down list to receive notices of [13] Between 2008 and 2012, the company agreed to pay a total of $217.5 million to settle the claims against them. The company's filing status is listed as Exists and its File Number is 377-482. Iselin, New Jersey 08830. Providers, For 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). This webpage represents 1598910549 NPI record. Medicaid contracts each year with plans that are willing to accept a monthly fee for each recipient in their program. savings & tools, Humana 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 . Our agents put your needs first. Star ratings are assigned to Medicare Advantage plans by the Centers for Medicare and Medicaid Services (CMS). 1 - 2) December 31 Prior Year Net . For Claims Status please contact Susan Naanes @ 503-574-7441 or Debra . Non-health claims (net) 0 0 0 0 20. Kareo ID *. This data element may contain the same information as ''Provider location address fax number''. The offices are examples of subparts that could have their own NPIs if the main location determines that they should. an eye doctor, Learn Business Address Line. There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. NPI Number 1598910549 has the "Organization" type of ownership and has been registered to the following primary business legal 3 Beds. rights, Prescription savings care, Managing Plans, Shop for Plans Patient Consent Forms. These companies must follow rules set by Medicare. The contact numbers associated with the mailing address are: The authorized official registered with the 1598910549 NPI Number is JAMES NOVELLO. Category. coverage, Refill a Medicare pays a fixed amount for your care every month to the companies offering Medicare Advantage Plans. Its important to check with your doctor to confirm which Medicare Advantage plans they are accepting. Health (8 days ago) Web101 Wood Avenue South, 8th Floor. var s = document.getElementsByTagName('script')[0]; These forward-looking statements are not guarantees of future performance and are subject to risks, uncertainties, and assumptions, including, among other things, information set forth in the Risk Factors section of the companys SEC filings, a summary of which includes but is not limited to the following: In making forward-looking statements, Humana is not undertaking to address or update them in future filings or communications regarding its business or results. Neighbouring districts are (from the north clockwise) Ansbach, Roth, Eichsttt and Donau-Ries. If Humana fails to develop and maintain satisfactory relationships with the providers of care to its members, the companys business may be adversely affected. OIG: CMS needs to help drugmakers in calculating best Medicare Part B prices. We also provide free language interpreter services. The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Affinity Health Plan ## 13334 Y AFFINITY HEALTH O Contact EDI@Affinityplan.org or (718)794-7592 prior to sending claims. CA Company Profile Page. Cancer Resource Services . claims, Check Medicare Advantage Plans must offer emergency coverage outside of the plans service area (but not outside the U.S.). Humanas business may be materially adversely impacted by CMSs adoption of the new coding set for diagnoses. Accessibility your health, Preventive Claims adjustment expenses, including $ 38,432,221 cost containment expenses 0 44,339,331 36,328,629 169,390,602 D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. Give yourself a birthday gift. 2 0 obj & tools, Humana Completes Acquisition of Arcadian Management Services, Find a Job Title. *Required Fields. Preferred Medical Claim Premier Health - PPO - SC Prime Health Services Priority Health (Michigan) . Corp - WI . Downgrades in Humanas debt ratings, should they occur, may adversely affect its business, results of operations, and financial condition. To send us a message so we can call you, click here. The State or Province name in the mailing address of the provider being identified. SOLD JUN 13, 2022. The first line mailing address of the provider being identified. Providers who do not contract with the plan are not required to see you except in an emergency. Iselin, New Jersey . 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. Be sure to find PSW on our social media profiles. The enumeration date of this NPI Number is 11/18/2008. St Louisville, KY 40202. 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. Arcadian is dedicated to improving the health of our members by providing access to high quality and cost effective health care. 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. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). Landfill is the oldest and most common form of waste disposal, although the systematic burial of the waste with daily, intermediate and final covers only began in the 1940s.In the past, refuse was simply left in piles or thrown into pits; in archeology this . 94607-5204 1-877-7NYSHIP (1-877-769-7447), choose UnitedHealthcare . Please contact the plan for further details. Non-health claims (net) 0 0 0 0 20. Health Plan/Payer Business E-Mail Address. about Humana Pharmacy, Find of race, color, national origin, age, disability, sex, sexual orientation, gender identity or File Number: 3615733. Fax: 510-817-1894. 510-832-0311. 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. 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. 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. 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). Your Initial Enrollment Period (IEP) is the 7-month period you have when you first become eligible to sign up for Medicare. The provider is registered as an organization entity type. 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. This is the time when you can make changes to your Medicare coverage. 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"). http://www.insuranceproviders.com/companies/arcadian-health-plan-inc/. Contact Name *. All rights reserved. Pennsylvania corporation ("Aetna"), of Arcadian Health Plan, Inc., a health care service contractor domiciled in the State of Washington (the "Domestic Health Carrier"). For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227. gcse.async = true; a form, View ID Caregivers, Go365 Wellness 1-800-454-3730. 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. 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. Certain taxonomy selections will require you to enter your license number and the state where the license was issued. NPI record contains FOIA-disclosable NPPES health care provider information. 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! Net of the divestitures, the acquisition will increase Humanas health plan membership by approximately 50,000 Medicare HMO members. Not quite 65? member rights, Exceptions $20 million net worth lifestyle appleton post crescent archives arcadian health plan, inc claims mailing address 07 jun 2022. arcadian health plan, inc claims mailing addresshouse joint resolution 192 of 1933 Posted by . An Overall Star Rating that combines all of a plans scores. question must be answered. Statement, Disclaimers & PSW is a private company and not a health plan. The country code in the mailing address of the provider being identified. The two main types of Star Ratings are: Some of the areas Medicare reviews for these ratings include: While star ratings provide an overall value, the ratings alone are only one piece of information to consider before choosing the Medicare Advantage plan that works best for you. health goals, Go365 It includes the 3 months before the month of your birthday, your birth month, and the 3 months after the month of your birthday. 7 There were over 500 incidents of aggression from June 1, 2019, through the end of 2019. support, Shop for Original Medicare covers hospice care even if youre in a Medicare Advantage Plan. UHS-DE and UHS-Fuller stipulated that physically violent or assaultive patients created a hazard for those at the Worksite. Humana and Arcadian are working together to ensure a seamless transition of the Medicare business. Members may enroll in a Medicare Advantage plan only during specific times of the year. Have Inpatient Acute DRGs, SNF, Long Term Care & Home Care claims. In certain situations, you can. [k@+%#bP{U Zbl;0RZ%U$+Ylft(s?-FUg dnt`q. Licensure, Fraud, Waste & Our. This data element may contain the same information as ''Provider location address country code''. 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. name (which is a provider name or healthcare organization name) ARCADIAN HEALTH PLAN, INC.. ^e _rels/.rels ( MK1!;*"l/EMd1`7FAtzwyfx{vE fVKrFH"l3*>.%uGV=\i8XrZJ%\P4H;s>67Mizo#+DYB5V$~"c'ZkRRF%8EsF|02Xn/1=cW7 PK !

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