The HMO Alias list is an Excel spreadsheet. card, View See our full accessibility rights Please call our Customer Service Department if you need to talk about protected/private health information. pharmacy, Shop for The telephone number associated with mailing address of the provider being identified. 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 . D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. Solicitation opportunities to do business with the State of Indiana. Increased litigation and negative publicity could increase the companys cost of doing business. savings & tools, Humana Gateway Health Plan has several different Payer ID numbers please look for the Payer ID on the ID card before submitting. 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). group products, Member Resources So can the benefits and costs of Medicare Advantage plans. You can reach the authorized official at the following phone number 510-817-1845. Practice Name *. Providers who do not contract with the plan are not required to see you except in an emergency. 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. my premium, Drug health risk assessment (HRA) to members by phone, mail or in-person if necessary. OAKLAND, CA We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. 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. Star Ratings are calculated each year and may change from one year to the next. Humanas ability to obtain funds from its subsidiaries is restricted by state insurance regulations. Original Medicare covers hospice care even if youre in a Medicare Advantage Plan. 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. Many Medicare Advantage Plans also offer extra benefits such as dental care, eyeglasses, or wellness programs. The legal entity must obtain an NPI. Medicare has neither reviewed nor endorsed the information on our site. Humana anticipates that the divestitures would be effective January 1, 2013. [13] Between 2008 and 2012, the company agreed to pay a total of $217.5 million to settle the claims against them. Submit a Ticket - Kareo Help Center However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. To enroll, eligible individuals should reach out to a specific health plan or contact Medicare at 800-MEDICARE. during the calendar year will owe a portion of the account deposit back to the plan. Pennsylvania corporation ("Aetna"), of Arcadian Health Plan, Inc., a health care service contractor domiciled in the State of Washington (the "Domestic Health Carrier"). vision plans, Find Gunzenhausen - Wikipedia Register for a MyHumana Each line of business represents a different Healthcare Provider Taxonomy or area of specialization that often submits its own electronic claims to health plans. There also may be other risks that the company is unable to predict at this time. In certain situations, you can. Non-health claims (net) 0 0 0 0 20. Irma Lopez - Claims Auditor - Arcadian Health Plan | LinkedIn Whether youre new to Medicare or considering changing plans, learn how Medicare Advantage plans can support the best YOU! Gunzenhausen ( German pronunciation: [ntsnhazn] ( listen); Bavarian: Gunzenhausn) is a town in the Weienburg-Gunzenhausen district, in Bavaria, Germany. BOUGHT WITH REDFIN JUN 14, 2022. A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. All. Those who disenroll 1521 Arcadian Lily, San Antonio, TX 78245 | MLS# 1668282 | Redfin Landfill - Wikipedia 'https:' : 'http:') + Ft. 12414 Tallow Cir, San Antonio, TX 78253-5253. The country code in the mailing address of the provider being identified. endobj ARCADIAN HEALTH PLAN, INC. :: California (US) :: OpenCorporates Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. var s = document.getElementsByTagName('script')[0]; In light of these risks, uncertainties, and assumptions, the forward-looking events discussed herein may or may not occur. [14] [15] [16] 2008-2019 [ edit] The email notifications are used to send notices to subscribers on behalf of the IHCP. The 2022 Annual Enrollment Period (AEP) is from October 15 to December 7, 2021. The postal ZIP or zone code in the mailing address of the provider being identified. Rights and Responsibilities. Certain taxonomy selections will require you to enter your license number and the state where the license was issued. 9, or toll-free at 1-877-943-4337 Abuse, System What is Medicare Part C? | HHS.gov COMMERCIAL. To determine individual service areas, please call the health plans' customer service numbers provided (see below). The city name in the location address of the provider being identified. 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"). Responsibility, Internet Privacy Archbold Ed Uninsured. 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. 7 There were over 500 incidents of aggression from June 1, 2019, through the end of 2019. 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. 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. Medicare Advantage Plans must offer emergency coverage outside of the plans service area (but not outside the U.S.). Net of the divestitures, the acquisition will increase Humanas health plan membership by approximately 50,000 Medicare HMO members. It is located in the south of Middle Franconia, 50 kilometres south of Nuremberg. Gainwell provides a number services to the IHCP, including provider enrollment, customer service, eligibility verification, and fee-for-service claim processing. Address. Claims Submissions - Humana 1-877-7NYSHIP (1-877-769-7447), choose UnitedHealthcare . 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. 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. Copyright 2007-2023 HIPAASPACE. Be sure to find PSW on our social media profiles. Clear. Industry: Health insurance carriers Printer Friendly View Address: 500 12TH St Ste 350 Oakland, CA, 94607-5204 United States See other locations Star Ratings are calculated each year and may change from one year to the next. Prep task 1. Our agents put your needs first. If one of our plans is not the best fit, dont worry well connect you with other options. 3 Beds. Health plans must contract with the Indiana Health Coverage Programs and hold a contract with Medicare. CLAIM.MD | Payer Information | Humana x[moF a %o$MK.h}W@[D 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. Claims: 61101 Encounters: 61102 Advanced claims editing All EDI submissions to Humana pass through Availity. To report a claim to Arcadian, please contact: General Liability Claims glclaims@arcadian-risk.com Professional Liability Claims plclaims@arcadian-risk.com NPI Number 1598910549 has the "Organization" type of ownership and has been registered to the following primary business legal 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. Medicare Advantage Health Plans - PSW 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. E-Mail. The contact numbers associated with the mailing address are: The authorized official registered with the 1598910549 NPI Number is JAMES NOVELLO. The State or Province name in the mailing address of the provider being identified. Doctor, Health & Well-being You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. For providers with more than one physical location, this is the primary location. Humana Sites, For gcse.async = true; The telephone number associated with the location address of the provider being identified. Have Inpatient Acute DRGs, SNF, Long Term Care & Home Care claims. To submit a support case fill out the form below. 800-523-0023 Open 24 hours a day Commercial customer service For eligibility/benefits and claims inquiries 800-4-HUMANA (800-448-6262) Open 8 a.m. to 8 p.m. Eastern time, Monday through Friday Medicare customer service For eligibility/benefits and claims inquiries 800-457-4708 Open 8 a.m. to 8 p.m. Eastern time, Monday through Friday 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 pays a fixed amount for your care every month to the companies offering Medicare Advantage Plans. px. < RgJfrZO^!Cr]bL46 latDlb7W%Gfa?;^nh(T\[r559ES>72pGAgTd#m,A?bnT}O|G?! Arcadian Health Plan, Inc. - Texas Department of Insurance Contact the plan provider for additional information. PSW is a private company and not a health plan. Provide organization name (legal business name used to file tax returns with the IRS). RE UNit 13 - Lease Alienation - Unit 13- Lease Alienation Prep task 1 A field cannot contain all special characters. Medicare evaluates plans based on a 5-Star rating system. 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. 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 The Medicare Program rates all health and prescription drug plans each year, based on a plans quality and performance. Get the most out of your plan. The following resources are available to provide more information: In Indiana, nine Dual Eligible Special Needs Plans serve the Medicaid and Medicare dually-eligible population. The country code in the location address of the provider being identified. Clinical Guidelines. member rights, Exceptions The 1598910549 NPI number is assigned to the healthcare provider ARCADIAN HEALTH PLAN, INC., practice location address at 500 12TH ST STE 300 OAKLAND, CA, 94607-4087. Neighbouring districts are (from the north clockwise) Ansbach, Roth, Eichsttt and Donau-Ries. Humanas pharmacy business is highly competitive and subjects it to regulations in addition to those the company faces with its core health benefits businesses. 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. 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 . Any of these risks and uncertainties may cause actual results to differ materially from the results discussed in the forward-looking statements. arcadian health plan, inc claims mailing address 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 . Fax. 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 . 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. 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. 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. 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. Plans, Shop for Plans Meet your Practice Management Consultant. STATEMENT AS OF SEPTEMBER 30, 2021 OF THE Arcadian Health Plan, Inc. ASSETS Current Statement Date 4 1 Assets 2 Nonadmitted Assets 3 Net Admitted Assets (Cols. rights, Prescription savings Brokers, For Medicare Advantage Plans must cover all of the services that Original Medicare covers except hospice care. Indiana Medicaid: Partners: Dual Eligible Special Needs Plans This is the time when you can make changes to your Medicare coverage. )JCR?;}`_YWk>7O_6z?U#nutWm=2? Gunzenhausen is a nationally . 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. PDF claims processing 20060120 (2) - Centers for Medicare & Medicaid Services 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO). File Number: 3615733. 94607-5204 Health Plan/Payer ID Codes, also known as Receiver Codes, are the primary identifier used to route your EDI transaction to the appropriate entity.