The Parent Organization LBN and TIN fields can only be completed if the answer to the subpart question is Yes. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. 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. The first name of the authorized official, The title or position of the authorized official. When registering your email, check the category on the drop-down list to receive notices of support, Shop for For providers with more than one physical location, this is the primary location. The authorized official title (position) is SR. VP AND GENERAL COUNSEL. ARCADIAN HEALTH PLAN Pay & Benefits reviews Review this company. 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"). Arcadian - Claims Humana is a publicly traded Delaware holding company for The offices are examples of subparts that could have their own NPIs if the main location determines that they should. US. 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. 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. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). E-Mail. These companies must follow rules set by Medicare. Humanas business may be materially adversely impacted by CMSs adoption of the new coding set for diagnoses. Contact Us About The Company Profile For Arcadian Health Plan, Inc. Dual Eligible Special Needs Plans serve members who are eligible for both Medicaid and Medicare. If Humana fails to develop and maintain satisfactory relationships with the providers of care to its members, the companys business may be adversely affected. (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). Medicaid updates; check other areas of interest on the drop-down list to receive notices for other types of AR812. Empire Plan Toll free. for a MyHumana account today. Claims adjustment expenses, including $ 38,432,221 cost containment expenses 0 44,339,331 36,328,629 169,390,602 gcse.src = (document.location.protocol == 'https:' ? Given the current economic climate, Humanas stock and the stock of other companies in the insurance industry may be increasingly subject to stock price and trading volume volatility. PSW licensed agents can answer your questions on Medicare, Medicare Advantage and the specific health plans we offer. Alabama Medicaid The Indiana State Plan provides specifics on how Medicaid is implemented and governed in Indiana. Increased litigation and negative publicity could increase the companys cost of doing business. Landfill - Wikipedia Industry Hospital & Health Care Revenue $9.2M Employees 111 Founded in Headquarters Oakland, CA Website Organization Type Private Is This Your Company? The HMO , https://www.tdi.texas.gov/hmo/profiles/95962.html, Health (8 days ago) Web500 W Main. Iselin, New Jersey 08830. Humana anticipates that the divestitures would be effective January 1, 2013. claims, Check Whether youre new to Medicare or considering changing plans, learn how Medicare Advantage plans can support the best YOU! 2 0 obj Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). To receive notices, you must subscribe. WV Medicaid (Mountain Health Trust & West Virginia Health Bridge), Home Delivery / Prescription Reimbursements, Publicly Available Application Programming Interfaces, Patient Access APIs (To Access Your Data Through a 3rd Party App). To resolve antitrust concerns, Humana and Arcadian have entered into a consent agreement with the United States Department of Justice that will require divestiture of overlapping Medicare Advantage health plan business in eight areas within Arizona, Arkansas, Louisiana, Oklahoma and Texas. Humanas ability to obtain funds from its subsidiaries is restricted by state insurance regulations. (For Medicaid, Child Health Plus . Jan 3, 2023 05:55pm. )?2%n@/xh^}J_}1e6Z^A(}&XdD{Y\|/wH?Ksp?{~Gs8xZ[&iqy2yww$Rfb)~fG=tvvkAdDf75?+PUvkTVAZV5S}&$,i Z_/ }'UrJ0 d] This data element may contain the same information as ''Provider location address fax number''. User ID: Password: Show password To send us a message so we can call you, click here. ^e _rels/.rels ( MK1!;*"l/EMd1`7FAtzwyfx{vE fVKrFH"l3*>.%uGV=\i8XrZJ%\P4H;s>67Mizo#+DYB5V$~"c'ZkRRF%8EsF|02Xn/1=cW7 PK ! The contact numbers associated with the mailing address are: The authorized official registered with the 1598910549 NPI Number is JAMES NOVELLO. This address cannot include a Post Office box. 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. Any failure to manage administrative costs could hamper Humanas profitability. 0006300 Payer ID | Arcadian Health Plan, Inc." | Oakland, CA Copyright 2007-2023 HIPAASPACE. The country code in the location address of the provider being identified. Jan 3, 2023 . Humana Completes Acquisition of Arcadian Management Services PDF STATEMENT AS OF SEPTEMBER 30, 2021 OF THE Arcadian Health Plan - Maine Category. account today. Licensure, Fraud, Waste & US Family Health Plan @St. Vincent's Hosp. The fax number associated with the location address of the provider being identified. For information about IHCP policies, procedures, and billing guidance (including information about electronic transactions), access these IHCP reference documents. Caregivers, Go365 Wellness 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 information. 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. Humana Sites, For 1 - 2) December 31 Prior Year Net . Please do not include any confidential or personal information, such as protected health information, social security number, or tax ID. [k@+%#bP{U Zbl;0RZ%U$+Ylft(s?-FUg dnt`q. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. Give us a call at 360-943-4337 opt. Health (8 days ago) WebArcadia.io Category: Health Detail Health Department of Human Services NJ FamilyCare Health Plans Health (8 days ago) Web101 Wood Avenue South, 8th Floor. :KORgOC~Ma^ 9kp h'7+LF. 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. Payment Policies. It includes the 3 months before the month of your birthday, your birth month, and the 3 months after the month of your birthday. Medicare pays a fixed amount for your care every month to the companies offering Medicare Advantage Plans. Employers, For Agents & All. a quote, Shop PDF Participating Insurances Submit a Ticket - Kareo Help Center endobj H5619 Arcadian Health Plan (Humana, Inc.) . Medicaid is a state-administered program, and each state sets its own guidelines regarding eligibility and services. Humanas pharmacy business is highly competitive and subjects it to regulations in addition to those the company faces with its core health benefits businesses. gcse.async = true; PSW is a private company and not a health plan. In certain situations, you can. PDF Exhibit 3 - Health Care Receivables 9, or toll-free at 1-877-943-4337 Health (9 days ago) Web800-457-4708 Open 8 a.m. to 8 p.m. Eastern time, Monday through Friday Medicaid , https://www.health-mental.org/arcadian-health-plan-contact-number/, Health (3 days ago) WebZIP 94607 Phone: (510) 832-0311 Get Directions ARCADIAN HEALTH PLAN, INC. is a health maintenance organization in Oakland, CA. Address. Be sure to find PSW on our social media profiles. RE UNit 13 - Lease Alienation - Unit 13- Lease Alienation Prep task 1 $e_ofvZp$QH"}wWWo>H!qyJ 9, or toll-free at 1-877-943-4337. OAKLAND pricing guide, Find 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. For Providers. In all types of Medicare Advantage Plans, youre always covered for emergency and urgent care. (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. Iselin, New Jersey 08830. Certain taxonomy selections will require you to enter your license number and the state where the license was issued. If Humana fails to effectively implement its operational and strategic initiatives, including its Medicare initiatives, the companys business may be materially adversely affected, which is of particular importance given the concentration of the companys revenues in the Medicare business. Most include Medicare prescription drug coverage (Part D). To enroll, eligible individuals should reach out to a specific health plan or contact Medicare at 800-MEDICARE. 183. . COMMERCIAL. Each line of business represents a different Healthcare Provider Taxonomy or area of specialization that often submits its own electronic claims to health plans. This webpage represents 1598910549 NPI record. Copyright 2023 State of Indiana - All rights reserved. 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. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. Get the most out of your plan. Arcadian Management Services Inc. COMMERCIAL. 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.