arcadian health plan claims

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. 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. Medicare Advantage organizations interested in operating a D-SNP plan in Indiana should contact Andrew Bean at Andrew.Bean@fssa.IN.gov. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. (1) The psychiatric unit in a hospital is not a legal entity but is part of the hospital (the "parent"), which is a legal entity. ARCADIAN HEALTH PLAN Pay & Benefits reviews Review this company. arcadia_health@humana.com. Largest city and the administrative center . for group products, Learn The first name of the authorized official, The title or position of the authorized official. Gainwell Technologies has been contracted with the state of Indiana since 1991. Health Plan/Payer ID Codes, also known as Receiver Codes, are the primary identifier used to route your EDI transaction to the appropriate entity. var s = document.getElementsByTagName('script')[0]; Industry: Health insurance carriers Printer Friendly View Address: 500 12TH St Ste 350 Oakland, CA, 94607-5204 United States See other locations PK ! Empire Plan Toll free. St Louisville, KY 40202. Not all D-SNP plans in Indiana serve the entire state. NOTE: ZIP code plus 4-digit extension, if available. Program, Humana 1 0 obj All rights reserved. a doctor, Enroll $325,000 Last Sold Price. Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. 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. Humana Sites, For 94607-5204, US. Practice Name *. of race, color, national origin, age, disability, sex, sexual orientation, gender identity or rights, Prescription savings 3.8 . doctor, Enroll in (For crosswalk purposes, the following (non-NPI) identifiers are available for this provider), (Collection of legacy and proprietary (non-NPI) identifiers ever reported for this provider). OAKLAND, CA 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. NPI record contains FOIA-disclosable NPPES health care provider information. Be sure to find PSW on our social media profiles. 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. 500 12TH ST STE 300 When used in investor presentations, press releases, Securities and Exchange Commission (SEC) filings, and in oral statements made by or with the approval of one of Humanas executive officers, the words or phrases like expects, anticipates, intends, likely will result, estimates, projects or variations of such words and similar expressions are intended to identify such forward-looking statements. Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. Abuse, System health risk assessment (HRA) to members by phone, mail or in-person if necessary. We also provide free language interpreter services. The provider's official mailing address is: 500 12TH ST STE 350 User ID: Password: Show password If you need help, see our support page. 1 - 2) December 31 Prior Year Net . Ft. 12435 Jacobs Pond, San Antonio, TX 78253-5505. PSW represents a network of more than 1,000 providers and facilities and works with health plans and health care providers in delivering great patient care. Copyright 2007-2023 HIPAASPACE. This data element may contain the same information as ''Provider location address fax number''. OIG: CMS needs to help drugmakers in calculating best Medicare Part B prices. 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. 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). Clear. Non-health claims (net) 0 0 0 0 20. You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID . Secondary Claims: YES: . Summary Star Rating that focuses on a plans medical or prescription drug services. a form, View ID PSW is committed to quality improvement, clinical integration and meaningful measures of value. COMMERCIAL. The HMO Alias list is an Excel spreadsheet. Any failure to manage administrative costs could hamper Humanas profitability. Arcadian strives to manage claims in an efficient, timely and prudent manner. Non-health claims (net) 0 0 0 0 20. PK ! 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. Please contact the plan for further details. [k@+%#bP{U Zbl;0RZ%U$+Ylft(s?-FUg dnt`q. VIRGINIA PREMIER HEALTH PLAN, INC. H9952 H9955 MOLINA HEALTHCARE OF OHIO, INC. State Integration Status Applicable Integrated Plan Coordination-Only FIDE . 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). Business Address Line. Medicaid contracts each year with plans that are willing to accept a monthly fee for each recipient in their program. Contact Name *. 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). 0000000926 00000 n The provider is registered as an organization entity type. All. This data element may contain the same information as ''Provider first line location address''. Humana anticipates that the divestitures would be effective January 1, 2013. Free one-on-one consultations are available Monday-Friday, 8:00am-4:00pm. 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. 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. Physician Case Management Referral. The HMO , https://www.tdi.texas.gov/hmo/profiles/95962.html, Health (8 days ago) Web500 W Main. The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider. 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 PSW has partnered with Humana and Premera. Humanas business may be materially adversely impacted by CMSs adoption of the new coding set for diagnoses. 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. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. an eye doctor, Learn x[moF a %o$MK.h}W@[D 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. All members complete the annual HRA Cancer Resource Services . There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. 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. Make sure to check out our FAQ page. Plans, Shop for Plans The legal entity must obtain an NPI. 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. Certain taxonomy selections will require you to enter your license number and the state where the license was issued. The enumeration date of this NPI Number is 11/18/2008. Arcadian Health Plan, Inc. is located in Oakland, CA and the phone number for Arcadian Health Plan, Inc. claims, customer, service, and Read more Claims Resources for Providers - Humana https://www.humana.com/provider/medical-resources/claims-payments License # 00187-0009, or administered by Humana Insurance Company or Humana Health Plan, Inc. These companies must follow rules set by Medicare. Your Initial Enrollment Period (IEP) is the 7-month period you have when you first become eligible to sign up for Medicare. This data element may contain the same information as ''Provider location address State name''. Medicare Advantage Plans must offer emergency coverage outside of the plans service area (but not outside the U.S.).

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