Largest city and the administrative center . rights, Prescription savings CA Each line of business represents a different Healthcare Provider Taxonomy or area of specialization that often submits its own electronic claims to health plans. gcse.type = 'text/javascript'; bs [Content_Types].xml ( UKO0|]5naVi _L;qZRR%Qb{$4WbTEE%EV6xPL''?XpJ4DBJp Iselin, New Jersey 08830. 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. Star Ratings are calculated each year and may change from one year to the next. 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 . This data element may contain the same information as ''Provider first line location address''. 183. . Pharmacy, Shop 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. A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. 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). Practice Name *. There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. 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 risk assessment (HRA) to members by phone, mail or in-person if necessary. For Claims Status please contact Susan Naanes @ 503-574-7441 or Debra . Arcadian strives to manage claims in an efficient, timely and prudent manner. A field cannot contain all special characters. The coal oven burns over 650+ degrees and can produce pies in five minutes. The postal ZIP or zone code in the location address of the provider being identified. 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. It includes the 3 months before the month of your birthday, your birth month, and the 3 months after the month of your birthday. Prep task 1. 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. for Plans, Shop If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. in to Go365.com, Corporate ^e _rels/.rels ( MK1!;*"l/EMd1`7FAtzwyfx{vE fVKrFH"l3*>.%uGV=\i8XrZJ%\P4H;s>67Mizo#+DYB5V$~"c'ZkRRF%8EsF|02Xn/1=cW7 PK ! The offices are examples of subparts that could have their own NPIs if the main location determines that they should. Contact Name *. NOTE: ZIP code plus 4-digit extension, if available. Arcadian Health Plan is a small health care company based in Oakland, CA with only 111 employees and an annual revenue of $9.2M. Recently enacted health insurance reform, including The Patient Protection and Affordable Care Act and The Health Care and Education Reconciliation Act of 2010, could have a material adverse effect on Humanas results of operations, including restricting revenue, enrollment and premium growth in certain products and market segments, restricting the companys ability to expand into new markets, increasing the company's medical and operating costs by, among other things, requiring a minimum benefit ratio on insured products (and particularly how the ratio may apply to Medicare plans), lowering the companys Medicare payment rates and increasing the companys expenses associated with a non-deductible federal premium tax and other assessments; financial position, including the company's ability to maintain the value of its goodwill; and cash flows. 94607-5204 These companies must follow rules set by Medicare. menu, Find a Humana anticipates that the divestitures would be effective January 1, 2013. member rights, Exceptions resources, Medicaid x[moF a %o$MK.h}W@[D HMO Alias Texas Counties served by the HMO HMO Service areas Free one-on-one consultations are available Monday-Friday, 8:00am-4:00pm. 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. 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. 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. Ft. 12414 Tallow Cir, San Antonio, TX 78253-5253. In all types of Medicare Advantage Plans, youre always covered for emergency and urgent care. The City name in the mailing address of the provider being identified. Locations Primary 500 12th Street, Suite 350 Oakland,. Please call our Customer Service Department if you need to talk about protected/private health information. Employers, For Agents & Health Plan/Payer Business Mailing Address First Line. question must be answered. http://www.insuranceproviders.com/companies/arcadian-health-plan-inc/. If the organization is a subpart = , the Parent Organization Legal Business Name (LBN) and Parent Organization Taxpayer Identification Number (TIN) fields must be completed. 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. For Providers Claims Support For Providers Medicare and Medicaid For Providers Patient Care Programs For Providers Provider Resources Rights and Responsibilities For Providers Training and Education Announcements and Newsletters Webinars and Trainings Main Menu For Brokers Join Our Broker Team Broker Portal Login Main Menu About Us Careers Not quite 65? Cancer Resource Services . The authorized official title (position) is SR. VP AND GENERAL COUNSEL. BOUGHT WITH REDFIN JUN 14, 2022. We do not sell leads or share your personal information. All rights reserved. fi%  xl/_rels/workbook.xml.rels ( Mk0$nez:8`gk(%b_=65q"0{?mY$M! 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. UHS-DE and UHS-Fuller stipulated that physically violent or assaultive patients created a hazard for those at the Worksite. US. The Parent Organization LBN and TIN fields can only be completed if the answer to the subpart question is Yes. 1 - 2) December 31 Prior Year Net . Health (8 days ago) Web101 Wood Avenue South, 8th Floor. Nearby homes similar to 1414 Arcadian Lily have recently sold between $325K to $325K at an average of $150 per square foot. Job Title. Patient Consent Forms. an eye doctor, Learn 500 12th St # 350. 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. 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. The first line mailing address of the provider being identified. health goals, Go365 & tools, Humana Completes Acquisition of Arcadian Management Services, Find a 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": The Indiana State Plan provides specifics on how Medicaid is implemented and governed in Indiana. OAKLAND TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. 2 0 obj Have Inpatient Acute DRGs, SNF, Long Term Care & Home Care claims. 3 Beds. Medicare drug (Part D) plans, Shop Most include Medicare prescription drug coverage (Part D). During this time, you have several options: enroll in, leave or switch your Medicare Advantage health plan. 1 - 2) December 31 Prior Year Net . The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. 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. All. 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. 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. savings & tools, Humana 0000000926 00000 n The provider is registered as an organization entity type. gcse.async = true; Make sure to check out our FAQ page. about Humana Pharmacy, Find Star Ratings are calculated each year and may change from one year to the next. 1-800-454-3730. [14] [15] [16] 2008-2019 [ edit] Use the links on this page to access IHCP provider news items, bulletins, and banner page publications. 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! wellness & rewards, Member Indiana Health Coverage Programs works with four health plans to serve as managed care entities for the Hoosier Healthwise, Hoosier Care Connect and Healthy Indiana Plan programs. User ID: Password: Show password 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 . Clear. This data element may contain the same information as ''Provider location address postal code''. Providers, For Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. The email notifications are used to send notices to subscribers on behalf of the IHCP. All members complete the annual HRA 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). Health Plan/Payer Business E-Mail Address. 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. 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. H5619 Arcadian Health Plan (Humana, Inc.) . About Arcadian Health: Arcadian Health, founded in 1996, provides Medicare Advantage coverage through its affiliates in the following 15 states: . Health Plan/Payer Business Fax Number. Jan 3, 2023 05:55pm. This data element may contain the same information as ''Provider location address fax number''. 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. Terms were not disclosed. Not all D-SNP plans in Indiana serve the entire state. Filing Date: October 29, 2013. for a MyHumana account today. Register for a MyHumana Net of the divestitures, the acquisition will increase Humanas health plan membership by approximately 50,000 Medicare HMO members. 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. ARCADIAN HEALTH PLAN, INC. NPI is 1598910549. % PSW licensed agents can answer your questions on Medicare, Medicare Advantage and the specific health plans we offer. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. The psychiatric unit is an example of a subpart that could have its own NPI if the hospital determines that it should. Gunzenhausen is a nationally . 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 . The Indiana Health Coverage Programs contract with two durable medical equipment suppliers to provide incontinence, ostomy and urological supplies, including diapers, under- pads, ostomy bags and gloves to members enrolled in Traditional Medicaid. Corp - WI . drug plans & coverage, Prescription