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Contact Us About The Company Profile For Arcadian Health Plan, Inc. Copyright 2007-2023 HIPAASPACE. A process known as advanced claims editing (ACE) applies coding rules to a medical claim submitted through the Availity gateway via EDI before the claim enters Humana's claim payment system. Medicare Star Ratings can help you learn how a Medicare Advantage plan is doing. Humanas business activities are subject to substantial government regulation. 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. User ID: Password: Show password 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. 1 - 2) December 31 Prior Year Net . my premium, Drug 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. health risk assessment (HRA) to members by phone, mail or in-person if necessary. $325,000 Last Sold Price. Arcadian Health Plan, Inc. is located in Oakland, CA and the phone number for Arcadian Health Plan, Inc. claims, customer, service, and Read more Claims Resources for Providers - Humana https://www.humana.com/provider/medical-resources/claims-payments License # 00187-0009, or administered by Humana Insurance Company or Humana Health Plan, Inc. Medicare Supplement plans, Learn All members complete the annual HRA For information about IHCP policies, procedures, and billing guidance (including information about electronic transactions), access these IHCP reference documents. Medicare Advantage Plans may offer extra coverage, such as vision, hearing, dental, and/or health and wellness programs. Here are three examples of organization health care providers that may be considered subparts and may apply for NPIs if so directed by their "parents": 500 12th Street, Suite 350, Oakland, California 94607, US. Health plans must contract with the Indiana Health Coverage Programs and hold a contract with Medicare. Health Plan/Payer Business Mailing Address First Line. pharmacy, Shop for ARCADIAN HEALTH PLAN, INC. can be reached at the following phone number(s): Phone: 510-832-0311 x[moF a %o$MK.h}W@[D $257,000 Last Sold Price. The first line location address of the provider being identified. ^e _rels/.rels ( MK1!;*"l/EMd1`7FAtzwyfx{vE fVKrFH"l3*>.%uGV=\i8XrZJ%\P4H;s>67Mizo#+DYB5V$~"c'ZkRRF%8EsF|02Xn/1=cW7 PK ! Nearby homes similar to 1414 Arcadian Lily have recently sold between $325K to $325K at an average of $150 per square foot. The psychiatric unit is an example of a subpart that could have its own NPI if the hospital determines that it should. Non-health claims (net) 0 0 0 0 20. The State or Province name in the location address of the provider being identified. The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider. We are not compensated for Medicare plan enrollments. Each Medicare Advantage Plan has different premiums and costs for services, so its important to compare plans in your area and understand plan costs and benefits before you join. We also provide free language interpreter services. 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. This data element may contain the same information as ''Provider location address country code''. D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. 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. menu, Find a The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. 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! NPI Number information was last time updated on 12/01/2010. dentist, Get a E-Mail. 94607-5204 Copyright 2007-2023 HIPAASPACE. 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. If Humana fails to develop and maintain satisfactory relationships with the providers of care to its members, the companys business may be adversely affected. 500 12th St # 350. BOUGHT WITH REDFIN JUN 14, 2022. To find out more, visit Medicare.gov. })(); Enter your ZIP Code and click "Show Available Medicare Advantage Plans", 2023 Medicare Advantage Plan Benefit Details, 2023 Medicare Advantage Plan Benefit Details for the Arcadian Health Plan - Plus (HMO), Find a 2023 Medicare Advantage Plan (Health and Health w/Rx Plans), Browse Any 2023 Medicare Plan Formulary (or Drug List), Q1Rx Drug-Finder: Compare Drug Cost Across all 2023 Medicare Plans, Find Medicare plans covering your prescriptions, Medicare plan quality and CMS Star Ratings, Understanding Your Explanation of Benefits, IRMAA: Higher premiums for higher incomes, 2023 Medicare Advantage Plans State Overview, Find a 2023 Medicare Advantage Plan by Drug Costs. Changes in economic conditions could adversely affect Humanas business and results of operations. (Catholic Medical Center) Unity Health Plan Ins. 94607-4087, US. The legal entity must obtain an NPI. 500 12TH ST STE 300 Category. [13] Between 2008 and 2012, the company agreed to pay a total of $217.5 million to settle the claims against them. guidance, Using Affinity Health Plan ## 13334 Y AFFINITY HEALTH O Contact EDI@Affinityplan.org or (718)794-7592 prior to sending claims. Health Plans, Inc. PO Box 5199 Westborough, MA 01581. Industry Hospital & Health Care Revenue $9.2M Employees 111 Founded in Headquarters Oakland, CA Website Organization Type Private Is This Your Company? Gainwell provides a number services to the IHCP, including provider enrollment, customer service, eligibility verification, and fee-for-service claim processing. Health Plan/Payer Business E-Mail Address. 9, or toll-free at 1-877-943-4337. When registering your email, check the category on the drop-down list to receive notices of Meet your Practice Management Consultant. All rights reserved. You can call us if you have a question about your insurance plan or a health problem. Redfin Corporation. 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 Increased litigation and negative publicity could increase the companys cost of doing business. Not all D-SNP plans in Indiana serve the entire state. 3.8 Work-Life Balance. arcadia_health@humana.com. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), doctor, Enroll in Our claims professionals have extensive claims handling experience for a variety of business lines. 94607-5204, US. This data element may contain the same information as ''Provider first line location address''. Humanas ability to obtain funds from its subsidiaries is restricted by state insurance regulations. resources, Medicaid Give us a call at 360-943-4337 opt. 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 Founded in 1996, Arcadian Health Plan provides Medicare Advantage coverage through its affiliates in 15 states: Arizona, Arkansas, California, Georgia, Louisiana, Maine, Missouri, New Hampshire, New York, North Carolina, Oklahoma, South Carolina, Texas, Virginia and Washington. Documentation Guidelines. Your healthcare needs change. H0320 ARCADIAN HEALTH PLAN, INC. Formulary Contact 825 Washington St. Suite 300 Oakland CA 94607 HMO H0320 ARCADIAN HEALTH PLAN, INC. MA Claims Processing 858 858 Oak Park Road, Suite 250 Covina CA 91724 HMO H0321 ARIZONA PHYSICIANS IPA, INC. Formulary Contact 8045 Leesburg Pike Suite 600 Vienna VA 22182 HMO H0321 ARIZONA PHYSICIANS IPA, INC. 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. Terms were not disclosed. Arcadian Health Plan is a small health care company based in Oakland, CA with only 111 employees and an annual revenue of $9.2M. Ratings by category. Other health goals, Go365 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 . Archbold Ed Uninsured. Original Medicare covers hospice care even if youre in a Medicare Advantage Plan. 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. There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. D-SNP-eligible individuals have the option to enroll in a D-SNP health plan during their Medicare annual election period or quarterly during the special enrollment period. a plan, Find a The provider's official mailing address is: 500 12TH ST STE 350 If one of our plans is not the best fit, don't worry - we'll connect you with other options. wellness & rewards, Member 7 There were over 500 incidents of aggression from June 1, 2019, through the end of 2019. 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. Gainwell Technologies has been contracted with the state of Indiana since 1991. The fax number associated with the location address of the provider being identified. Providence of Oregon Health Plan. (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. This data element may contain the same information as ''Provider location address fax number''. Medicare drug (Part D) plans, Shop PSW is committed to quality improvement, clinical integration and meaningful measures of value. 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. Kareo ID *. Our agents put your needs first. This webpage represents 1598910549 NPI record. 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. NOTE: ZIP code plus 4-digit extension, if available. Get the most out of your plan. 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. Physician Case Management Referral. Location. % Accessibility 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 1 - 2) December 31 Prior Year Net . 1 , http://www.empireplanproviders.com/contact.htm. 4 0 obj enroll, Find a 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.