PDF Participating Insurances Be sure to find PSW on our social media profiles. support, Shop for The telephone number associated with mailing address of the provider being identified. 500 12TH ST STE 300 To receive notices, you must subscribe. Claims Submissions - Humana The Indiana State Plan provides specifics on how Medicaid is implemented and governed in Indiana. Star ratings are assigned to Medicare Advantage plans by the Centers for Medicare and Medicaid Services (CMS). Program, Humana As a government contractor, Humana is exposed to risks that may materially adversely affect its business or its willingness or ability to participate in government health care programs. 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. 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. In addition, if the new non-deductible federal premium tax and other assessments, including a three-year commercial reinsurance fee, were imposed as enacted, and if Humana is unable to adjust its business model to address these new taxes and assessments, such as through the reduction of our operating costs, there can be no assurance that the non-deductible federal premium tax and other assessments would not have a material adverse effect on the companys results of operations, financial position, and cash flows. 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. 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. Contact Us :: The Health Plan a form, View ID The Domestic Health Carrier is a direct wholly-owned subsidiary of, and controlled by, Humana Inc. ("Hwnana"). for group products, Learn ARCADIAN HEALTH PLAN, INC. NPI is 1598910549. In certain situations, you can. px. < RgJfrZO^!Cr]bL46 latDlb7W%Gfa?;^nh(T\[r559ES>72pGAgTd#m,A?bnT}O|G?! Gunzenhausen ( German pronunciation: [ntsnhazn] ( listen); Bavarian: Gunzenhausn) is a town in the Weienburg-Gunzenhausen district, in Bavaria, Germany. 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 . Visit PSWs Annual Enrollment Period (AEP) page to learn more. claims, Check PSW contracts with a local network of Thurston County doctors and Medicare Advantage health plans to offer you a choice in finding a health plan that best meets your healthcare needs. [14] [15] [16] 2008-2019 [ edit] Medicare Advantage plans, Shop drug plans & coverage, Prescription H5619 Arcadian Health Plan (Humana, Inc.) . ARCADIAN HEALTH PLAN Pay & Benefits reviews Review this company. ARCADIAN HEALTH PLAN, INC. can be reached at the following phone number(s): Phone: 510-832-0311 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. OAKLAND, CA 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. Medicare Advantage Plans must offer emergency coverage outside of the plans service area (but not outside the U.S.). $20 million net worth lifestyle appleton post crescent archives arcadian health plan, inc claims mailing address 07 jun 2022. arcadian health plan, inc claims mailing addresshouse joint resolution 192 of 1933 Posted by . in your neighborhood, Achieving D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. Select Foreign Country in the state drop down box if the license was issued outside of United States. 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. AR812. 1521 Arcadian Lily, San Antonio, TX 78245 | MLS# 1668282 | Redfin 500 12th St # 350. The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The provider is registered as an organization entity type. & appeals, Helpful Health Plan/Payer Business E-Mail Address. The postal ZIP or zone code in the mailing address of the provider being identified. Copyright 2007-2023 HIPAASPACE. St Louisville, KY 40202. NOTE: ZIP code plus 4-digit extension, if available. Log In to Availity PSW licensed agents can answer your questions on Medicare, Medicare Advantage and the specific health plans we offer. Medicare Advantage Plans must cover all of the services that Original Medicare covers except hospice care. These companies must follow rules set by Medicare. during the calendar year will owe a portion of the account deposit back to the plan. Get the most out of your plan. Solicitation opportunities to do business with the State of Indiana. input, Indiana Dually-Eligible Special Needs Plans: key plan resources, Indiana Dual Eligible Special Needs Plans 837P and 837I Encounters Data Submitter Information Companion Guide, Indiana Dual Eligible Special Needs Plans Prescription Drug Event (PDE) Data Submitter Information Companion Guide, For additional information about D-SNP plans, visit the CMS website for. Life and Health Insurance, Arcadian is dedicated to improving the health of , https://rocketreach.co/arcadian-health-plan-profile_b5c704eff42e0d37, Health (9 days ago) WebArcadian Health Plan Company Contact Information Email, Phone Number Adapt.io Arcadian Health Plan http://www.humana.com +1******311 Head Count 250 - 1000 , https://www.adapt.io/company/arcadian-health-plan, Health (7 days ago) WebAcadian Health offers quality patient-centered care for the following services, and more: Wellness visits Specialist visits Behavioral health visits Post-op or discharge follow up . The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. 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 . 94607-4087 The legal entity must obtain an NPI. Specialties: Millie's serves delicious, coal- and Neapolitan wood-fired artisan pizzas and meatballs based on Vince and Brandon's grandmother Millie's recipes. Industry: Health insurance carriers Printer Friendly View Address: 500 12TH St Ste 350 Oakland, CA, 94607-5204 United States See other locations 4 0 obj Providers who do not contract with the plan are not required to see you except in an emergency. Health Plan/Payer ID Codes, also known as Receiver Codes, are the primary identifier used to route your EDI transaction to the appropriate entity. 1 , http://www.empireplanproviders.com/contact.htm. group products, Member Resources prescription, Manage Humana and Arcadian are working together to ensure a seamless transition of the Medicare business. VIRGINIA PREMIER HEALTH PLAN, INC. H9952 H9955 MOLINA HEALTHCARE OF OHIO, INC. State Integration Status Applicable Integrated Plan Coordination-Only FIDE . We do not sell leads or share your personal information. 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. PDF Exhibit 3 - Health Care Receivables Call 360.943.4337 ext 9 or email [emailprotected]. (function() { Health Plan/Payer Business Fax Number. Arcadian Management Services Inc. COMMERCIAL. Email *. Archbold Ed Uninsured. Claim This Company Page What do people say about Arcadian Health Plan For Providers. For information about IHCP policies, procedures, and billing guidance (including information about electronic transactions), access these IHCP reference documents. arcadian health plan, inc claims mailing address 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. An Overall Star Rating that combines all of a plans scores. Locations Primary 500 12th Street, Suite 350 Oakland,. Indiana Health Coverage Programs is contracted with OptumRx to be the pharmacy benefits manager for the Traditional Medicaid.