Category. 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. Call 360.943.4337 ext 9 or email [emailprotected]. Fax: 510-817-1894. Claim: ARCADIAN HEALTH PLAN, INC. is an Alabama Foreign Corporation filed on December 5, 2016. To find out more, visit Medicare.gov. Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at, Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the. 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). information and language options. The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. savings & tools, Humana Important information to all providers and software developers that communicate via electronic data interchange (EDI) format and direct data entry (DDE). Humana Sites, For Rights and Responsibilities. 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. Caregivers, Go365 Wellness Register Most include Medicare prescription drug coverage (Part D). A field cannot contain all special characters. 94607-5204 3 Beds. Doctor, Health & Well-being 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 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"). Visit PSWs Annual Enrollment Period (AEP) page to learn more. Give us a call at 360-943-4337 opt. 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": Our business hours are 8:00 a.m. to 5:00 p.m., EST. The State or Province name in the mailing address of the provider being identified. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. 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. in your neighborhood, Achieving my premium, Drug about Medicare, Find 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. Gunzenhausen ( German pronunciation: [ntsnhazn] ( listen); Bavarian: Gunzenhausn) is a town in the Weienburg-Gunzenhausen district, in Bavaria, Germany. Locations Primary 500 12th Street, Suite 350 Oakland,. for a MyHumana account today. guidance, Humana member In certain situations, you can. The coal oven burns over 650+ degrees and can produce pies in five minutes. The city name in the location address of the provider being identified. The legal entity must obtain an NPI. You can reach the authorized official at the following phone number 510-817-1845. 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 . The Neapolitan wood oven, hand built by Italy's celebrated Ferrara family, and imported from Naples, cooks pizzas in just 90 seconds thanks to intense 800 . For Claims Status please contact Susan Naanes @ 503-574-7441 or Debra . Humana and Arcadian are working together to ensure a seamless transition of the Medicare business. Humana anticipates that the divestitures would be effective January 1, 2013. (2) A group practice that is not a sole proprietorship has a main location and could have other offices in different locations, but each office is not a separate legal entity; instead, each office is part of the corporation (the "parent") which is a legal entity. eye doctor, How to 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Other 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. area. 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." Employers, For Agents & Dual Eligible Special Needs Plans serve members who are eligible for both Medicaid and Medicare. Copyright 2007-2023 HIPAASPACE. Health Plan/Payer Business Mailing Address First Line. :KORgOC~Ma^ 9kp h'7+LF. (function() { BOUGHT WITH REDFIN JUN 14, 2022. These companies must follow rules set by Medicare. 94607-4087 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. Program, Humana 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. For information about IHCP policies, procedures, and billing guidance (including information about electronic transactions), access these IHCP reference documents. 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. 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. prescription, Manage Bulletins, Banner Pages and Reference Modules. care, Managing 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. St Louisville, KY 40202. px. < RgJfrZO^!Cr]bL46 latDlb7W%Gfa?;^nh(T\[r559ES>72pGAgTd#m,A?bnT}O|G?! To report a claim to Arcadian, please contact: General Liability Claims glclaims@arcadian-risk.com Professional Liability Claims plclaims@arcadian-risk.com Get the most out of your plan. 7 There were over 500 incidents of aggression from June 1, 2019, through the end of 2019. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. Abuse, System Iselin, New Jersey 08830. 1-877-7NYSHIP (1-877-769-7447), choose UnitedHealthcare . Star Ratings are calculated each year and may change from one year to the next. Claims adjustment expenses, including $ 126,895,463 cost containment expenses 0 145,900,023 120,817,947 169,390,602 These estimates, however, involve extensive judgment, and have considerable inherent variability that is extremely sensitive to payment patterns and medical cost trends. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. your health, Member Arcadian Health Plan Apr 2006 - Present16 years 4 months Run daily accounts payable claims and audit edits reports. a doctor, Enroll TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. We also provide free language interpreter services. 500 12TH ST STE 300 about Humana Pharmacy, Find 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. You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID . This data element may contain the same information as ''Provider location address fax number''. This is the time when you can make changes to your Medicare coverage. AR812. This data element may contain the same information as ''Provider location address City name''. Providers, For 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. Corp - WI . 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. . ARCADIAN HEALTH PLAN Pay & Benefits reviews Review this company. We can quickly help you if you have your member ID number, located on the back of your , Health (1 days ago) WebH0320 ARCADIAN HEALTH PLAN, INC. Formulary Contact 825 Washington St. Suite 300 Oakland CA 94607 HMO H0320 ARCADIAN HEALTH PLAN, , https://www.cms.gov/Medicare/Health-Plans/HealthPlansGenInfo/Downloads/claims_processing_20060120.pdf, Health (1 days ago) WebService Categories: About this location: The Veolia Northern New Jersey Water Operations, proudly provides clean, safe drinking water to customers in Bergen and Hudson , https://www.veolianorthamerica.com/contact-us/find-office/hackensack-nj, Health (6 days ago) WebCustomer care representatives are available to assist you. Arcadian Health - TEXAS Artisan Provider Network *TRPN (Three Rivers Provider Network) PPO, WC, INJURY . Contact the plan provider for additional information. Any of these risks and uncertainties may cause actual results to differ materially from the results discussed in the forward-looking statements. var s = document.getElementsByTagName('script')[0]; guidance, Using Industry: Health insurance carriers Printer Friendly View Address: 500 12TH St Ste 350 Oakland, CA, 94607-5204 United States See other locations Statement, Disclaimers & NOTE: ZIP code plus 4-digit extension, if available. 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. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. 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. Preferred Medical Claim Premier Health - PPO - SC Prime Health Services Priority Health (Michigan) . Our agents put your needs first. FSSA updates. 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. Its important to check with your doctor to confirm which Medicare Advantage plans they are accepting. 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. 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. Members may enroll in a Medicare Advantage plan only during specific times of the year. Settings, Start voice We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service 500 W Main. 183. . support, Shop for The postal ZIP or zone code in the location address of the provider being identified. Many Medicare Advantage Plans also offer extra benefits such as dental care, eyeglasses, or wellness programs. The psychiatric unit is an example of a subpart that could have its own NPI if the hospital determines that it should. Provider Relations Phone Number. Clear. 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. For providers with more than one physical location, this is the primary location. 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. Claims adjustment expenses, including $ 38,432,221 cost containment expenses 0 44,339,331 36,328,629 169,390,602 The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. Claims adjustment expenses, including $ 96,131,102 cost containment expenses 0 108,854,457 92,979,675 204,471,335 Filing Date: October 29, 2013. You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. 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. During this time, contact PSW and speak to an agent or go to Medicare.gov to learn more about your options to enroll in a Medicare Advantage plan. a dentist, Get )JCR?;}`_YWk>7O_6z?U#nutWm=2? card, View The provider is (1) A form of health https://healthprovidersdata.com/hipaa/codes/NPI-1598910549-arcadian-health-plan-inc Star Ratings are calculated each year and may change from one year to the next. Licensure, Fraud, Waste &
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