arcadian health plan claims

arcadian health plan claims

(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). gcse.type = 'text/javascript'; fi%  xl/_rels/workbook.xml.rels ( Mk0$nez:8`gk(%b_=65q"0{?mY$M! A field cannot contain all special characters. % 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 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. information and language options. Provider Relations Phone Number. Code describing the type of health care provider that is being assigned an NPI. stream info) is a Landkreis (district) in the west of Bavaria, Germany with a population of 95,000. 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 . 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). 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. Arcadian is dedicated to improving the health of our members by providing access to high quality and cost effective health care. var gcse = document.createElement('script'); The telephone number associated with the location address of the provider being identified. The HMO , https://www.tdi.texas.gov/hmo/profiles/95962.html, Health (8 days ago) Web500 W Main. We are an independent education, research, and technology company. The benefit information provided is a brief summary, not a complete description of benefits. Doctor, Health & Well-being We are not compensated for Medicare plan enrollments. Dual Eligible Special Needs Plans serve members who are eligible for both Medicaid and Medicare. Our agents put your needs first. Other The State or Province name in the location address of the provider being identified. <>>> wellness & rewards, Member If the plan accepts the monthly fee then the plan agrees to be responsible for the Medicare co-payments, co-insurance or deductibles. guidance, Using 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. 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. Health Plans, Inc. PO Box 5199 Westborough, MA 01581. <> Health (3 days ago) WebArcadian is dedicated to improving the health of our members by providing access to high quality and cost effective health care. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). Medicaid will no longer pay these charges. 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). [14] [15] [16] 2008-2019 [ edit] PSW has partnered with Humana and Premera. Terms were not disclosed. 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. to enroll, Learn DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. UHS-DE and UHS-Fuller stipulated that physically violent or assaultive patients created a hazard for those at the Worksite. We also provide free language interpreter services. Arcadian Management Services Inc. COMMERCIAL. px. < RgJfrZO^!Cr]bL46 latDlb7W%Gfa?;^nh(T\[r559ES>72pGAgTd#m,A?bnT}O|G?! Specialties: Millie's serves delicious, coal- and Neapolitan wood-fired artisan pizzas and meatballs based on Vince and Brandon's grandmother Millie's recipes. care & community support, Humana D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. 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. 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). Physician Case Management Referral. $e_ofvZp$QH"}wWWo>H!qyJ Arcadian Health Plan, Inc. is located in Oakland, CA and the phone number for Arcadian Health Plan, Inc. claims, customer, service, and additional information is (510) 832-0311. about Humana Pharmacy, Find We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. New laws or regulations, or changes in existing laws or regulations or their manner of application could increase the companys cost of doing business and may adversely affect the companys business, profitability and cash flows. Our claims professionals have extensive claims handling experience for a variety of business lines. Documentation Guidelines. Copyright 2007-2023 HIPAASPACE. 0000002619 00000 n Contact Name Kelly Gaskins . OAKLAND, CA doctor, Enroll in 500 12th St # 350. Please call our Customer Service Department if you need to talk about protected/private health information. The HRA assesses the member's health status and acuity level which, in turn, guides clinical interventions and development of the individualized care plan (ICP). We can quickly help you if you have your member ID number, located on the back of your insurance card, with you when you call. })(); 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. Your Initial Enrollment Period (IEP) is the 7-month period you have when you first become eligible to sign up for Medicare. To find out more, visit Medicare.gov. The fax number associated with the location address of the provider being identified. 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. Industry: Health insurance carriers Printer Friendly View Address: 500 12TH St Ste 350 Oakland, CA, 94607-5204 United States See other locations 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. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. Arcadian Health Plan 510-817-1016 . Rights and Responsibilities. Corp - WI . 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. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. during the calendar year will owe a portion of the account deposit back to the plan. Ratings by category. If one of our plans is not the best fit, dont worry well connect you with other options. Resources, Pay All. FSSA updates. 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. OAKLAND Each line of business represents a different Healthcare Provider Taxonomy or area of specialization that often submits its own electronic claims to health plans. OIG: CMS needs to help drugmakers in calculating best Medicare Part B prices. NOTE: ZIP code plus 4-digit extension, if available. dentist, Get a BOUGHT WITH REDFIN JUN 14, 2022. my premium, Drug NPI Number 1598910549 has the "Organization" type of ownership and has been registered to the following primary business legal The company's filing status is listed as Exists and its File Number is 377-482. 2,148 Sq. Most Medicare Advantage Plans include Medicare prescription drug coverage (Part D). Humana is a publicly traded Delaware holding company for This webpage represents 1598910549 NPI record. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> St Louisville, KY 40202. Job Title. menu, Find a a pharmacy, Compare File Number: 3615733. ^e _rels/.rels ( MK1!;*"l/EMd1`7FAtzwyfx{vE fVKrFH"l3*>.%uGV=\i8XrZJ%\P4H;s>67Mizo#+DYB5V$~"c'ZkRRF%8EsF|02Xn/1=cW7 PK ! The 10-position telephone number of the authorized official. 2.5 Baths. vision plans, Find Many Medicare Advantage Plans also offer extra benefits such as dental care, eyeglasses, or wellness programs. 8 "Staff injuries from patient violence and/or assaults by patients against staff can result in serious injuries, and have so resulted." 9 Employees were punched in the head (and . Medicaid updates; check other areas of interest on the drop-down list to receive notices for other types of Claim: ARCADIAN HEALTH PLAN, INC. is an Alabama Foreign Corporation filed on December 5, 2016. 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. 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. coverage, Refill a 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. 1997. H5619 Arcadian Health Plan (Humana, Inc.) . Any failure to manage administrative costs could hamper Humanas profitability. This data element may contain the same information as ''Provider location address postal code''. The country code in the location address of the provider being identified. 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. See our full accessibility rights Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. 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.

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arcadian health plan claims

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