support, Shop for Pharmacy, Shop 500 12th Street, Suite 350, Oakland, California 94607, US. Claim This Company Page What do people say about Arcadian Health Plan US Family Health Plan @St. Vincent's Hosp. The State or Province name in the location 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. To submit a support case fill out the form below. 94607-4087, US. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. Arcadia Value-based Managed Care Services Login or find a doctor on secure.arcadia.io You can find the login to our member or provider portal as well as registration, password help, and our find a provider systems. To find out more, visit Medicare.gov. Humana anticipates that the divestitures would be effective January 1, 2013. 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. Empire Plan Toll free. Contact Us Give us a call at 360-943-4337 opt. name (which is a provider name or healthcare organization name) ARCADIAN HEALTH PLAN, INC.. Original Medicare covers hospice care even if youre in a Medicare Advantage Plan. 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. Changes in economic conditions could adversely affect Humanas business and results of operations. a pharmacy, Compare The Health Insurance Portability and Accountability Act (HIPAA) of 1996 contains Portability, Medicaid Integrity Program/Fraud and Abuse, and Administrative Simplification. Register for a MyHumana You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID . 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 Copyright 2007-2023 HIPAASPACE. All rights reserved | Email: [emailprotected], Abington jefferson health physician directory, White mountain community health conway nh. 3 Beds. Rights and Responsibilities. Clinical Guidelines. If the organization is a subpart = , the Parent Organization Legal Business Name (LBN) and Parent Organization Taxpayer Identification Number (TIN) fields must be completed. Address. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), The country code in the mailing address of the provider being identified. Our agents put your needs first. Archbold Ed Uninsured. Visit PSWs Annual Enrollment Period (AEP) page to learn more. Meet your Practice Management Consultant. OAKLAND, CA 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. a healthcare plan, Humana The provider is (1) A form of health https://healthprovidersdata.com/hipaa/codes/NPI-1598910549-arcadian-health-plan-inc guidance, Using Resources, Pay Code describing the type of health care provider that is being assigned an NPI. 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. ARCADIAN HEALTH PLAN INC. NPI 1598910549 - Health Health (3 days ago) WebZIP 94607 Phone: (510) 832-0311 Get Directions ARCADIAN HEALTH PLAN, INC. is a health maintenance organization in Oakland, CA. Gainwell Technologies has been contracted with the state of Indiana since 1991. 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. Use the links on this page to access IHCP provider news items, bulletins, and banner page publications. 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. The 10-position telephone number of the authorized official. The first line location address of the provider being identified. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). Statement, Disclaimers & Neither the pharmacy line of business nor the DME line of business represent legal entities; instead, both lines of business are part of an organization (the "parent") that is a legal entity. D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. Health (8 days ago) Web101 Wood Avenue South, 8th Floor. endobj The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. Whether youre new to Medicare or considering changing plans, learn how Medicare Advantage plans can support the best YOU! You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. 94607-5204 Non-health claims (net) 0 0 0 0 20. If one of our plans is not the best fit, don't worry - we'll connect you with other options. Gunzenhausen is a nationally . Give yourself a birthday gift. Patient Consent Forms. Gunzenhausen ( German pronunciation: [ntsnhazn] ( listen); Bavarian: Gunzenhausn) is a town in the Weienburg-Gunzenhausen district, in Bavaria, Germany. Medicare has neither reviewed nor endorsed the information on our site. Medicare Advantage Plans may offer extra coverage, such as vision, hearing, dental, and/or health and wellness programs. Star Ratings are calculated each year and may change from one year to the next. Settings, Start voice CA Licensure, Fraud, Waste & information and language options. Humanas pharmacy business is highly competitive and subjects it to regulations in addition to those the company faces with its core health benefits businesses. question must be answered. 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. 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. Secondary Claims: YES: . 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 . (3) A pharmacy fills prescriptions for patients whose physicians have prescribed medications for them and may also rent or sell durable medical equipment to patients whose physicians have ordered such equipment for them. Non-health claims (net) 0 0 0 0 20. For Claims Status please contact Susan Naanes @ 503-574-7441 or Debra . In light of these risks, uncertainties, and assumptions, the forward-looking events discussed herein may or may not occur. [k@+%#bP{U Zbl;0RZ%U$+Ylft(s?-FUg dnt`q. The enumeration date of this NPI Number is 11/18/2008. a doctor, Enroll It is located in the south of Middle Franconia, 50 kilometres south of Nuremberg. about Medicaid, How Website Development By patforswa requirements, example of letter to support genuine relationship from parents, nadia sawalha first husband justin mildwater, syracuse university graduate course catalog, california annual mileage and odometer certification, what characteristics do hephaestus and prometheus share, how to control mood swings during ovulation, how many arctic wolves are left in the world. Contact Us About The Company Profile For Arcadian Health Plan, Inc. Any of these risks and uncertainties may cause actual results to differ materially from the results discussed in the forward-looking statements. Medicare MSA Plans do not cover prescription drugs. PSW is a private company and not a health plan. If you need help, see our support page. The City name in the mailing address of the provider being identified. eye doctor, How to Certain taxonomy selections will require you to enter your license number and the state where the license was issued. [14] [15] [16] 2008-2019 [ edit] The benefit information provided is a brief summary, not a complete description of benefits. about group insurance, Member 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. 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. Category. 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. claims, Check Medicare pays a fixed amount for your care every month to the companies offering Medicare Advantage Plans. In certain situations, you can. MAXIMUS Health Services Inc. has served as the Indiana Health Coverage Programs enrollment broker since 2007. drug plans & coverage, Prescription 1 - 2) December 31 Prior Year Net . 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." Medicare Advantage Plans must offer emergency coverage outside of the plans service area (but not outside the U.S.). 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. 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. ARCADIAN HEALTH PLAN, INC. 075 093 123 126 136 H5628 MOLINA HEALTHCARE OF UTAH, INC. UT H5649 CENTRAL HEALTH PLAN OF CALIFORNIA, INC. H5703 H5742 SHA, L.L.C H5774 TRIPLE S ADVANTAGE, INC. . money from Medicare into the account. To send us a message so we can call you, click here. The city name in the location address of the provider being identified. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. PSW has partnered with Humana and Premera. A field cannot contain all special characters. This data element may contain the same information as ''Provider location address City name''. Star Ratings are calculated each year and may change from one year to the next. This data element may contain the same information as ''Provider location address telephone number''. 'https:' : 'http:') + All rights reserved. Get the most out of your plan. The Medicare Program rates all health and prescription drug plans each year, based on a plans quality and performance. during the calendar year will owe a portion of the account deposit back to the plan. The telephone number associated with the location address of the provider being identified. 183. . in a plan, Shop The provider is registered as an organization entity type. Arcadian Management Services Inc. COMMERCIAL. Any new coverage you get during this time will start on January 1, 2021. (For Medicaid, Child Health Plus . Program, Humana PSW is committed to quality improvement, clinical integration and meaningful measures of value. H5619 Arcadian Health Plan (Humana, Inc.) . ARCADIAN HEALTH PLAN INC. NPI 1598910549 - Health Health (3 days ago) WebAddress: 500 12TH ST STE 300 OAKLAND, CA ZIP 94607 Phone: (510) 832-0311 Get Directions ARCADIAN HEALTH PLAN, INC. is a health maintenance organization in https://healthprovidersdata.com/hipaa/codes/NPI-1598910549-arcadian-health-plan-inc Category: Health Show Health 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 3 Beds. Humana is a publicly traded Delaware holding company for Providence of Oregon Health Plan. Medicare Advantage Plans must cover all of the services that Original Medicare covers except hospice care. Star ratings are assigned to Medicare Advantage plans by the Centers for Medicare and Medicaid Services (CMS). 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. SOLD JUN 13, 2022. View more recently sold homes. PK ! gcse.type = 'text/javascript'; Preferred Medical Claim Premier Health - PPO - SC Prime Health Services Priority Health (Michigan) . The postal ZIP or zone code in the location address of the provider being identified. 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. Neighbouring districts are (from the north clockwise) Ansbach, Roth, Eichsttt and Donau-Ries. The email notifications are used to send notices to subscribers on behalf of the IHCP. pricing guide, Find Net of the divestitures, the acquisition will increase Humanas health plan membership by approximately 50,000 Medicare HMO members. Providers who do not contract with the plan are not required to see you except in an emergency. 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. your health, Preventive resources, Medicaid 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 Drug List, 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). Medicare Star Ratings can help you learn how a Medicare Advantage plan is doing. Contact Name *. 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). Locations Primary 500 12th Street, Suite 350 Oakland, https://www.linkedin.com/company/arcadian-health-plan, Health (6 days ago) WebArcadian Health Plan Company Contact Information - Adapt.io. Provider Relations Phone Number. fi% xl/_rels/workbook.xml.rels ( Mk0$nez:8`gk(%b_=65q"0{?mY$M!
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