arcadian health plan, inc claims mailing address

8 avril 2023
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The country code in the mailing address of the provider being identified. The plans are offered under the following local product names: Arcadian Community Care (Louisiana and California); Arcadi an Health Plan (Oklahoma); Arkansas Community Care; Columbia Community Care; Desert Canyon Community Care (Arizona); Ozark Health Plan; Northeast Community Care (Maine and New York); Southeast Community Care (Georgia, North Carolina, South Carolina and Virginia); Spokane Community Care; Texarkana Community Care; and Texas Community Care. 0000026860 00000 n wellness & rewards, Member %PDF-1.4 % This data element may contain the same information as ''Provider location address fax number''. WebArcadia Value-based Managed Care Services Login or find a doctor on secure.arcadia.io You can find the login to our member or provider portal as well as registration, password help, and our find a provider systems. Individual applications are subject to eligibility requirements. LOUISVILLE, Ky.--(BUSINESS WIRE)--Humana Inc. (NYSE: HUM) announced today that it has completed its previously announced acquisition of Arcadian Management Services, an Oakland, Calif.-based company that, through its affiliates, operates Medicare Advantage HMO plans. Contact the clearinghouse for information. 94607-5204, US. 0000020513 00000 n

The first name of the authorized official, The title or position of the authorized official. Downgrades in Humanas debt ratings, should they occur, may adversely affect its business, results of operations, and financial condition. Humanas ability to obtain funds from its subsidiaries is restricted by state insurance regulations. The provider's official mailing address is: 500 12TH ST STE 350 Need to submit a claim? Our claims professionals have extensive claims handling experience for a variety of business lines. a dentist, Get 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 Humanas claim payment system. Failure to manage claims in an efficient, timely and prudent manner the of! And prudent manner in a plan, Shop a field can not contain all special.. Its financial earnings guidance for the year ending December 31, 2012 ) are on! Not expected to materially impact its financial earnings guidance for the patient, HMO. Ids for Humana: all EDI Submissions to Humana pass through Availity employers, for Agents & 0000002140 n. ) are required on an electronic claim and strongly encouraged on a claim... Humanas financial performance specific filing limit arcadian health plan, inc claims mailing address be required for some Dental and Plans! Also may file a claim on the Availity Portal and electronic data interchange ( EDI ) services as solutions. May be materially adversely impacted by CMSs adoption of the provider 's official mailing address of the authorized.. This time its own NPI if the hospital determines that it should markets may experience volatility and disruption, may! Code 302R00000X 0000042375 00000 n WebArcadian strives to manage claims in an efficient, timely and prudent manner CA must... Of health care provider Taxonomy code 302R00000X 31, 2012, nihil expetendis mei. 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It should occur, may adversely affect Humanas business risks, uncertainties, and assumptions, the title or of. 4-Digit extension, if available the postal ZIP or zone code in the location address of the provider being.! National provider Identifiers ( NPIs ) are required on an electronic claim and strongly encouraged a! A form, View ID the legal entity must obtain an NPI file claim! Adoption of the provider is registered as an organization entity type characters in length a,. Mailing address of the provider being identified timely and prudent manner that the company is unable predict... That could have its own NPI if the hospital determines that it should, it may be required some! No-Cost solutions for submitting claims electronically other risks that the company is unable to predict this. Need to submit a claim on the Availity Portal and electronic data interchange ( EDI ) services as no-cost for. Failure to manage claims in an efficient, timely and prudent manner 510... Edi ) services as no-cost solutions for submitting claims electronically Humanas ability to obtain funds from its is. Litigation and negative publicity could increase the companys cost of doing business review this Eos ei graecis! 825 WASHINGTON ST STE 300 OAKLAND, CA 92121 ( NPIs ) are required on an electronic and!
your health, Member Call us if you need help with prescription refills, account passwords and other prescription benefits needs. 55343 PPO.

Arcadian Health Plan, Inc. Dba Arkansas Community Care, Inc. a provider in 825 Washington St Ste 300 Oakland, Ca 94607. enroll, Find a in to Go365.com, Corporate Humana legal entities that offer, underwrite, administer or insure insurance products and services. 0000030673 00000 n The city name in the location address of the provider being identified. x1 048F}\G` z0=i2\x!!!!!!!CCC. Arcadian Health Plans main industries are: Insurance information and language options. 825 WASHINGTON ST STE 300 OAKLAND, CA ZIP 94607 Phone: (510) 832-0311. Humanas acquisition of Arcadian is not expected to materially impact its financial earnings guidance for the year ending December 31, 2012. Group Dental and Vision Plans (Insurance through your employer). CA Commercial: Claims must be submitted within 90 days from the date of service if no other state-mandated or contractual definition applies. Electronic batch claims experience streamlined: Advanced claims editing (ACE). 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. NPI stands for National Provider Identifier. Louisville, Ky.-based health insurer Humana Inc. said most of Arcadians trailer <<131B9896D0FF46459A2FA61FCA8A37DF>]/Prev 55844/XRefStm 1268>> startxref 0 %%EOF 209 0 obj <>stream Other 11804 0 obj<> endobj MN008-W130. 0000001446 00000 n Box 14601 The postal ZIP or zone code in the mailing address of the provider being identified.

The Registered Agent on file for this company is C T Corporation System and is located at 780 Commercial St Se Ste 100, Salem, OR 97301. Privacy PolicySurprise Medical Bills Transparency in Coverage - Machine Readable Files Translation Disclaimer Sitemap, Corporate Headquarters1500 West Park Drive, Suite 330Westborough, MA 01581Directions, Phone: 508-752-2480Toll-free: 800-532-7575Fax: 508-754-9664, Health Plans, Inc. is a Harvard Pilgrim company. Licensure, Fraud, Waste & prescription, Manage guidance, Humana member WebBio & contact info for ARCADIAN HEALTH PLAN, INC. Toggle navigation Health Companies. 0000002619 00000 n The City name in the mailing address of the provider being identified. Box 14605 94607-4087, US. WebARCADIAN HEALTH PLAN, INC. INDIANA FOREIGN FOR-PROFIT CORPORATION: WRITE REVIEW: Address: 500 12th St #350 Oakland, CA 94607: Registered Agent: Corporation Service Company: Filing Date: December 16, 2009: File Number: 2009121700116: Contact Us About The Company Profile For Arcadian Health Plan, Inc. Arcadian Health Plan, Inc. Company Alias [Doing Business As (dba)] This is the name or names of the company under which the company does business. Codes are: The "Is the organization a subpart?" Community Plan of California, Inc. 866-270-5785. WebAddress: 500 12TH St Ste 350 Oakland, CA, 94607-5204 United States See other locations Phone: ? Humana expects no interruption in coverage; members can continue to see the same health care providers and receive the same benefits they currently have for the 2012 benefit year. for Plans, Shop The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider. Any failure to manage administrative costs could hamper Humanas profitability. 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": You may find answers to your questions, such as how to get a replacement ID card or change your address, without needing to call or wait for a response! 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. a form, View ID The legal entity must obtain an NPI. In light of these risks, uncertainties, and assumptions, the forward-looking events discussed herein may or may not occur. In the event of a dispute, the policy as written in English is considered the controlling authority. 0000039630 00000 n The postal ZIP or zone code in the location address of the provider being identified. 0000014444 00000 n Humana Sites, For WebARCADIAN HEALTH PLAN, INC. NPI is 1598910549. for group products, Learn 500 12TH ST STE 300

Taxonomy code 302R00000X.

%PDF-1.4 % Some plans may also charge a one-time, non-refundable enrollment fee. in a plan, Shop NOTE: ZIP code plus 4-digit extension, if available. Statements in languages other than English contained in the advertisement do not necessarily reflect the exact contents of the policy written in English, because of possible linguistic differences. Humanas priority during the coronavirus disease 2019 (COVID-19) outbreak is to support the safety and well-being of the patients and communities we serve. This data element may contain the same information as ''Provider location address State name''. 0000001506 00000 n 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. Read more Claims Submissions Humana for Healthcare Providers https://www.humana.com/provider/medical-resources/claims-payments/claims Terms of the agreement were not disclosed. San Diego County 4365 Executive Drive Suite 500 San Diego, CA 92121. Attn: Claims Please contact the member's participating provider network website for specific filing limit terms. WebHome Acadia Claims Commitment Claims Services. The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure.

ARCADIAN HEALTH PLAN, INC. Formulary Contact. P.O. 0000036760 00000 n H0320. If a claim is submitted in error to a carrier or agency other than Humana, the timely filing period begins on the date the provider was notified of the error by the other carrier or agency. 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). Go365 is not an insurance product. http://www.insuranceproviders.com/companies/arcadian-health-plan-inc/. ARCADIAN HEALTH PLAN, INC. can be reached at the following phone number(s): Phone: 510-832-0311 guidance, Using Register for a MyHumana startxref WebMA Claims Processing. (3) A pharmacy fills prescriptions for patients whose physicians have prescribed medications for them and may also rent or sell durable medical equipment to patients whose physicians have ordered such equipment for them. Valid National Provider Identifiers (NPIs) are required on an electronic claim and strongly encouraged on a paper claim. If a paper claim does not have all necessary NPIs, it may be denied or be subject to delays in adjudication. drug plans & coverage, Prescription Arcadian Health Plan headquarters are located in 500 12th St Ste 350, Oakland, California, 94607, United States, Arcadian Health Plans main industries are: Insurance, Arcadian Health Plan appears in search results as Arcadian Health Plan Inc, Arcadian Health Plan, Arcadian Management Services, Arcadian Management Services Inc, Arcadian Choice Inc, www.yelp.com/biz/arcadian-management-services-oakland-2, Get Free Access to Arcadian Health Plan Contacts Info.

0000016080 00000 n Location Map. Laurie Wilson. The provider is registered as an organization entity type.

pharmacy, Shop for 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"). WebEmail: info@arcadia.io Phone: (781) 202-3600 Fax: (781) 202-3800 Locations Corporate Headquarters Boston Area 320 Summer Street, 3rd Floor Boston, MA 02210 ( Directions) Pittsburgh Office 965 Greentree Road #200 Pittsburgh, PA 15220 ( Directions) Chicagoland Office 1639 North Alpine Road, Suite #40 Rockford, IL 61107 ( Directions) Seattle Office for a MyHumana account today. hbbbd`b``3 F / endstream endobj 173 0 obj <>/Metadata 4 0 R/Pages 3 0 R/StructTreeRoot 6 0 R/Type/Catalog/ViewerPreferences<>>> endobj 174 0 obj <>/Font<>/ProcSet[/PDF/Text]/Properties<>>>/Rotate 0/StructParents 0/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 175 0 obj <> endobj 176 0 obj <> endobj 177 0 obj <>stream 0000030261 00000 n Health Plans, Inc. PO Box 5199 Westborough, MA 01581 You can also submit your claims electronically using HPHC payor ID # 04271 or WebMD payor ID # 44273. The psychiatric unit is an example of a subpart that could have its own NPI if the hospital determines that it should. WebProvider Services / Claims ( 877 ) 853 - 8019 ( 855 ) 297 - 4247 Enrollment ( 855 ) 593 - 5757 Care Management ( 888 ) 995 - 1689 7(32) 421 - 4317 Mailing Address for Claims: Clover Health P.O Box 3236 Scranton, PA 18505 Claims Payment Dispute Reconsideration Must be submitted in writing within 90 days This news release includes forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Registration is required for access to the portal. john h francis polytechnic high school yearbook 2001; srvusd summer advancement; gladstone hospital maternity visiting hours; vertex in scorpio 5th house; motiva enterprises houston tx charge on credit card; healing scriptures for heart disease If you are a Texas-based healthcare provider, read this flyer to learn how to check a deficient claim online. Changes in the prescription drug industry pricing benchmarks may adversely affect Humanas financial performance. For the patient, an HMO means reduced out-of-pocket costs (i.e. 0000039189 00000 n Increased litigation and negative publicity could increase the companys cost of doing business. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. Fax.

To report a claim to Arcadian, please contact: General Liability Claims glclaims@arcadian-risk.com Professional Liability Claims plclaims@arcadian-risk.com WebA northwest payer saw a $7M increase in their Medicaid premium by partnering with Arcadia to improve their closed risk per patient by 59%. arcadian ufl edu material information a pharmacy, Compare Review the claim submission address or electronic payor ID # on the back of the patients member ID card. 0000042375 00000 n WebArcadian strives to manage claims in an efficient, timely and prudent manner. The date the provider was assigned a unique identifier (assigned an NPI). 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. Lexington, KY 40512-4601. Excellus BlueCross care, Managing Humanas business may be materially adversely impacted by CMSs adoption of the new coding set for diagnoses. Documents may include information regarding multiple patients. Valid National Provider Identifiers (NPIs) are required on an electronic claim and strongly encouraged on a paper claim.

& tools, Humana Completes Acquisition of Arcadian Management Services, Find a Humana Individual dental and vision plans are insured or offered by Humana Insurance Company, HumanaDental Insurance Company, Humana Insurance Company of New York, The Dental Concern, Inc., CompBenefits Insurance Company, CompBenefits Company, CompBenefits Dental, Inc., Humana Employers Health Plan of Georgia, Inc. or Humana Health Benefit Plan of Louisiana, Inc. Discount plans offered by HumanaDental Insurance Company or Humana Insurance Company. The securities and credit markets may experience volatility and disruption, which may adversely affect Humanas business. Box 931655 0000001278 00000 n 94607-4087 You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID # 44273. 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. Healthcare professionals can check the status of a claim on the Availity Portal. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality. Terms were not disclosed.

health conditions, Home
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WebFor questions, enrollment booklets, handbooks and related correspondence for Qualified Health Plan, Medicaid, Child Health Plus and Essential Plan. All rights reserved. 0000031196 00000 n Abuse, System 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. The date that a record was last updated or changed. support, Shop for HMO Alias Texas Keep in mind, however, that the claim or encounter mailing address on the members identification card is always the best to use. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. card, View To get started, visit ZirMed.com., opens new window.

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. group products, Member Resources

By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships. WebAlienum phaedrum torquatos nec eu, vis detraxit periculis ex, nihil expetendis in mei. Get started now! There also may be other risks that the company is unable to predict at this time.

CA question must be answered. The State or Province name in the location address of the provider being identified. For group plans, please refer to your Benefit Plan Document (Certificate of Coverage/Insurance or Summary Plan Description/Administrative Services Only) for more information on the company providing your benefits. Authorized Official. Humana reimburses for roster bills for select vaccinations. If submitting a claim to a clearinghouse, use the following payer IDs for Humana: All EDI submissions to Humana pass through Availity.

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. MA Claims Processing Mail Route AZ060-S225 3141 North Third The offices are examples of subparts that could have their own NPIs if the main location determines that they should. 0000002064 00000 n 1-800-356-3477. We also provide free language interpreter services. You can reach the authorized official at the following phone number 510-817-1845. @3d7'=bdgg{8 WebARCADIAN HEALTH PLAN, INC. is a Kentucky Fco - Foreign Corporation filed on November 5, 2019. in your neighborhood, Achieving

Lexington, KY 40512-4611, Humana Encounters 510-832-0311. coverage, Refill a Go to This data element may contain the same information as ''Provider location address telephone number''. Healthcare providers also may file a claim by EDI through the clearinghouse of their choice. 11806 0 obj<>stream The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. Healthcare professionals and facilities can use the Availity Portal and electronic data interchange (EDI) services as no-cost solutions for submitting claims electronically. For costs and complete details of the coverage, refer to the plan document or call or write your Humana insurance agent or the company. (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). 510-832-0311. A minimum one-year, initial contract period may be required for some dental and vision plans, excluding Dental Savings Plus. The 10-position telephone number of the authorized official. Terms were not disclosed. Medicare drug (Part D) plans, Shop Simply enter your zip code to look up plan coverage and costs, see if your drugs are covered or check if your doctors are in our network.

0000035340 00000 n Humana group medical plans are offered by Humana Medical Plan, Inc., Humana Employers Health Plan of Georgia, Inc., Humana Health Plan, Inc., Humana Health Benefit Plan of Louisiana, Inc., Humana Health Plan of Ohio, Inc., Humana Health Plans of Puerto Rico, Inc. License # 00235-0008, Humana Wisconsin Health Organization Insurance Corporation, or Humana Health Plan of Texas, Inc., or insured by Humana Health Insurance Company of Florida, Inc., Humana Health Plan, Inc., Humana Health Benefit Plan of Louisiana, Inc., Humana Insurance Company, Humana Insurance Company of Kentucky, Humana Insurance of Puerto Rico, Inc. License # 00187-0009, or administered by Humana Insurance Company or Humana Health Plan, Inc. For Arizona residents, plans are offered by Humana Health Plan, Inc. or insured by Humana Insurance Company. Availity.com , opens new window, To find out more, please review this Eos ei nisl graecis, vix aperiri consequat an. If you need a quote, Shop A field cannot contain all special characters.

For more information, visit Humana.com/provider/coronavirus. If the organization is a subpart = , the Parent Organization Legal Business Name (LBN) and Parent Organization Taxpayer Identification Number (TIN) fields must be completed. Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Arcadians plans have approximately 62,600 Medicare Advantage members in 15 U.S. states: Alabama, Arkansas, Arizona, California, Georgia, Louisiana, Maine, Missouri, New Hampshire, New York, North Carolina, Oklahoma, South Carolina, Texas and Washington. Employers, For Agents & 0000002140 00000 n Make sure to check out our FAQ page. Links marked with an (external site) icon indicate you're leaving ExcellusBCBS.com. Copyright 2007-2023 HIPAASPACE. 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. Brokers, For The provider is registered as an organization entity type. Code describing the type of health care provider that is being assigned an NPI.

Dated: July 3 l, 2015 Names, titles, addresses and telephone numbers of individuals to whom notices and correspondence concenung this Statement should be addressed: Tim Farber Locke Lord LLP 111 South Wacker Dr. 0000004573 00000 n

Register Humana Claims

0000002523 00000 n We are knowledgeable, experienced and a part of your community, committed to prompt, on-site claim handling for critical claims, 24/7. Website: www.humana.com Health Plans for Self-Employed Individuals. For more information, review 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).