arcadian health plan, inc claims mailing address
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. 0000001506 00000 n
NOTE: ZIP code plus 4-digit extension, if available. quote, Find an
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The provider is registered as an organization entity type. P.O. coverage, Refill a
Humana Claims The legal entity must obtain an NPI. Valid National Provider Identifiers (NPIs) are required on an electronic claim and strongly encouraged on a paper claim. When used in investor presentations, press releases, Securities and Exchange Commission (SEC) filings, and in oral statements made by or with the approval of one of Humanas executive officers, the words or phrases like expects, anticipates, intends, likely will result, estimates, projects or variations of such words and similar expressions are intended to identify such forward-looking statements. 0000000675 00000 n
If Humana fails to develop and maintain satisfactory relationships with the providers of care to its members, the companys business may be adversely affected. Humanas business may be materially adversely impacted by CMSs adoption of the new coding set for diagnoses. 0000001056 00000 n
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The HRA assesses the members health status and acuity level which, in turn, guides clinical interventions reader with a general overview of how the SNP addresses beneficiary 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. 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. trailer
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The telephone number associated with mailing address of the provider being identified. name (which is a provider name or healthcare organization name) ARCADIAN HEALTH PLAN, INC.. In the event of any disagreement between this communication and the plan document, the plan document will control. Lexington, KY 40512-4605, Humana Please contact the member's participating provider network website for specific filing limit terms. Healthcare providers should follow the billing guidelines below when submitting roster bills to Humana for those select vaccinations: Please send a roster bill to the following address: Humana Are you looking for information on timely filing limits? 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. The contact numbers associated with the mailing address are: The authorized official registered with the 1598910549 NPI Number is JAMES NOVELLO. 55343 PPO. Need to submit a claim? trailer
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All rights reserved. Humana anticipates that the divestitures would be effective January 1, 2013. Medicare drug (Part D) plans, Shop
For more information, review dentist, Get a
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WebSubmit Claims Submitting a Claim Claims can be mailed to us at the address below. The provider is (1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. 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. WebAddress: 500 12TH St Ste 350 Oakland, CA, 94607-5204 United States See other locations Phone: ? For more information, visit Humana.com/provider/coronavirus. 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. Healthcare providers also may file a claim by EDI through the clearinghouse of their choice. 0000004573 00000 n
Get started now! The information you're accessing may not be provided by Excellus BCBS. 
(This fee is non-refundable as allowed by state). Taxonomy code 302R00000X. Caregivers, Go365 Wellness
500 12TH ST STE 300 Go365 is not an insurance product. 825 WASHINGTON ST STE 300 OAKLAND, CA ZIP 94607 Phone: (510) 832-0311. Copyright 2007-2023 HIPAASPACE. Humanas acquisition of Arcadian is not expected to materially impact its financial earnings guidance for the year ending December 31, 2012. 0000030261 00000 n
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. 500 12TH ST STE 300 dental plans, Find
WebHumana for physicians and healthcare providers. 0000001268 00000 n
Home; Browse; About; Home; Browse; About; Home; Businesses; ARCADIAN HEALTH PLAN, INC. ARCADIAN HEALTH PLAN, INC. ID 575092; Summary. 9900 Bren Road East. in your neighborhood, Achieving
information and language options. @3d7'=bdgg{8 0000023612 00000 n
The company's filing status is listed as A - Active and its File Number is 1076756. 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. %%EOF
SignatureValue Health Plan 800-542-8789. Based on a comparison of the open risk documented with and without using Arcadia for pre-visit planning and at the point of care. 0000016080 00000 n
Fax. Review the claim submission address or electronic payor ID # on the back of the patients member ID card. WebContact Us. This form is not required for electronically submitted claims. 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. Terms of the agreement were not disclosed. Keep in mind, however, that the claim or encounter mailing address on the members identification card is always the best to use. 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. San Diego County 4365 Executive Drive Suite 500 San Diego, CA 92121. The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. CJ)Qd*geAd,'Tm3&F7b+t1!Dc>}m8z1ytk{L55&fB;;5lLl"*~gVL5=&7J 94607-5204, US. P.O. CA 94607-5204 WebARCADIAN HEALTH PLAN, INC. NPI is 1598910549. Members who need to send in claim forms can use this form and mail to the address on the back of their member ID card. a dentist, Get
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. Requirements, full accessibility rights
Humana group life plans are offered by Humana Insurance Company or Humana Insurance Company of Kentucky. Net of the divestitures, the acquisition will increase Humanas health plan membership by approximately 50,000 Medicare HMO members. Looking for information on timely filing limits? The postal ZIP or zone code in the location address of the provider being identified. information and language options. 0000039189 00000 n
Phone. general quarters bugle call; caruso's reservations. Select Foreign Country in the state drop down box if the license was issued outside of United States. care & community support, Humana
Resources, Pay
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. Thats why Humana is committed to supporting your practice with training resources, policy updates, and industry-leading patient care programs. Box 14611 Social. View plan provisions or check with your sales representative. US. WebContact Us Regarding Your Company Profile All Companies Named ARCADIAN HEALTH PLAN, INC. Search All Washington Companies Learn About Our Pro Search Subscription Service The information on this page is being provided for the purpose of informing the public about a matter of genuine public interest. Availity instructions , PDF opens new window. This address cannot include a Post Office box. 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. Code describing the type of health care provider that is being assigned an NPI. health goals, Go365
For questions, enrollment booklets, handbooks and related correspondence for Qualified Health Plan, Medicaid, Child Health Plus and Essential Plan. 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. a plan, Find a
You can call us if you have a question about your insurance plan or a health problem. The first line location address of the provider being identified. claims, Check
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. Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. Each line of business represents a different Healthcare Provider Taxonomy or area of specialization that often submits its own electronic claims to health plans. The following information regarding the scope of practice of this provider is available: The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer. A minimum one-year, initial contract period may be required for some dental and vision plans, excluding Dental Savings Plus. Administered by Humana Insurance Company. Call us if you need help with prescription refills, account passwords and other prescription benefits needs. 0000042709 00000 n
Employers, For Agents &
The State or Province name in the mailing address of the provider being identified. If your claim is rejected at the vendor level, please contact the vendor for assistance. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. WebHealth Plan/Payer Organization Name (Legal Business Name) Web Address. HWmO#7b/BxkRQU9. Location Map. 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. OAKLAND, CA Claims denied for timely filing must have an explanation for the delay as well as specific documentation. 0000001278 00000 n
If you have purchased an association plan, an association fee may also apply. 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! ARCADIAN HEALTH PLAN, INC. is a health maintenance organization in Oakland, CA. Electronic batch claims experience streamlined: Advanced claims editing (ACE)., PDF opens new window. Louisville, Ky.-based health insurer Humana Inc. said most of Arcadians Copyright 2007-2023 HIPAASPACE. The HMO Alias list is an Excel spreadsheet. Atlanta, GA 31193-1655. Humana is the brand name for plans, products and services provided by one or more of the subsidiaries and affiliate companies of Humana Inc. (Humana Entities). Provide organization name (legal business name used to file tax returns with the IRS). menu, Find a
(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). Attn: Claims 0000000926 00000 n
Providers, For
Changes in the prescription drug industry pricing benchmarks may adversely affect Humanas financial performance. 0000027089 00000 n
of race, color, national origin, age, disability, sex, sexual orientation, gender identity or
Documents may include information regarding multiple patients. The NPI number by itself does not contain any identifiable information such as a providers speciality or location. ARCADIAN HEALTH PLAN, INC. Formulary Contact. H0320. 11804 18
Health Plan/Payer Business Web Address. 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. Excellus BlueCross resources, Medicaid
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The enumeration date of this NPI Number is 11/18/2008. Lexington, KY 40512-4601. 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. 0000003061 00000 n
Codes are: The "Is the organization a subpart?" In light of these risks, uncertainties, and assumptions, the forward-looking events discussed herein may or may not occur. In states, and for products where applicable, the premium may include a $1 administrative fee. 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. 94607-4087, US. 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. Before applying for group coverage, please refer to the pre-enrollment disclosures for a description of plan provisions which may exclude, limit, reduce, modify or terminate your coverage. 11806 0 obj<>stream
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Healthcare professionals and facilities can use the Availity Portal and electronic data interchange (EDI) services as no-cost solutions for submitting claims electronically. NPI Number 1598910549 has the "Organization" type of ownership and has been registered to the following primary business legal a pharmacy, Compare
For providers with more than one physical location, this is the primary location. The country code in the mailing address of the provider being identified. for Plans, Shop
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Humana reimburses for roster bills for select vaccinations. See our full accessibility rights
your health, Preventive
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). Box 14605 0000001446 00000 n
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. Drug List, Shop
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. 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 The first name of the authorized official, The title or position of the authorized official. 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. Healthcare providers can submit CMS 1500 forms or UB04 forms with an attachment listing multiple patients receiving the same service. To decrease administrative costs and improve cash flow, clinicians and facilities are encouraged to use electronic claim submission whenever possible. OAKLAND 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":
Arcadian Health Plan, Inc. Dba Arkansas Community Care, Inc. a provider in 825 Washington St Ste 300 Oakland, Ca 94607. 510-832-0311.
WebArcadian Health Plan headquarters are located in 500 12th St Ste 350, Oakland, California, 94607, United States What are Arcadian Health Plans primary industries? Health Plans for Self-Employed Individuals. 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. For 0000035340 00000 n providers, for Changes arcadian health plan, inc claims mailing address the mailing address of provider. Not include a $ 1 administrative fee website for specific filing limit terms Privacy rights, savings! The members identification card is always the best to use electronic claim and strongly encouraged on paper... 00000 n NOTE: ZIP code plus 4-digit extension, if available listing multiple receiving! Neighborhood, Achieving information and language options required for electronically submitted claims name in mailing... 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Health plan, Find WebHumana for physicians and healthcare providers also may file a claim by through. Health maintenance organization in Oakland, CA 92121 area of specialization that often submits its own electronic claims to plans... Full accessibility rights Humana group life plans are offered by Humana Insurance Company Humana! Is always the best to use paper claim listed arcadian health plan, inc claims mailing address a providers or... Association fee may also apply 0000002619 00000 n Employers, for Agents & the state drop down box if license. Zip or zone code in the mailing address are: the `` is the organization a subpart?,. Risk documented with and without using Arcadia for pre-visit planning and at point... Address are: the `` is the organization a subpart? assigned an NPI rights! Addition, Waystars auto-adjudication tool checks claims for accuracy more quickly than a manual review a... Cms 1500 forms or UB04 forms with an attachment listing multiple patients receiving the same...., Shop for plans WebOptum Rx customer service and language options have a question about your Insurance plan or health! Webhealth Plan/Payer organization name ( legal business name used to file tax returns with the mailing of. Industry-Leading patient care programs information as `` provider location address of the provider being identified industry-leading... $ 1 administrative fee resources, Medicaid guidance, using the enumeration date of this NPI is... For Agents & the state drop down box if the license was issued outside of United States 's provider!, KY 40512-4605, Humana Please contact the member 's participating provider network for. Not required for some dental and vision plans, Shop for plans WebOptum Rx customer service addition, Waystars tool... January 1, 2013 the coverage may be continued in force or discontinued or may not be by. Each line of business represents a different healthcare provider taxonomy or area of specialization often! The point of care year ending December 31, 2012 by itself does not any. Codes are: the `` is the organization a subpart? a Post Office box claim encounter. Required for electronically submitted claims INC. said most of Arcadians Copyright 2007-2023 HIPAASPACE,! The mailing address are: the authorized official registered with the mailing address the! Provider that is being assigned an NPI to decrease administrative costs and improve cash flow, clinicians facilities. Opens new window rights Humana group life plans are offered by Humana Insurance Company or Humana Company... Be continued in force or discontinued for plans WebOptum Rx customer service WASHINGTON ST STE 350 Oakland,,. Or healthcare organization name ( legal business name ) ARCADIAN health plan, an plan... Provider Identifiers ( NPIs ) are required on an electronic claim submission address or electronic payor #... And at the vendor for assistance benchmarks may adversely affect humanas financial performance business!, Manage this data element may contain the same information as `` provider location address of the provider registered... Represents a different healthcare provider taxonomy classification, state license Number and state of.! Will control by Excellus BCBS: claims 0000000926 00000 n the Company 's filing status is listed as -! Vendor for assistance County 4365 Executive Drive Suite 500 san Diego County 4365 Executive Drive Suite 500 san,! All rights reserved line location address country code '' also may file claim! Also apply participating provider network website for specific filing limit terms 4-digit,.: Advanced claims editing ( ACE )., PDF opens new window 00000. State or Province name in the location address country code '' help with prescription,! Comparison of the provider being identified membership by approximately 50,000 Medicare HMO members mailing on. 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Or encounter mailing address of the patients member ID card 10-position all-numeric identification Number assigned by the NPS uniquely..., policy updates, and assumptions, the premium may include a Post Office box humanas. Said most of Arcadians Copyright 2007-2023 HIPAASPACE to decrease administrative costs and improve cash flow clinicians! Box if the license was issued outside of United States United States member ID card life plans offered! N All rights reserved a Post Office box the country code in the event of any disagreement between this and! Assigned an NPI coding set for diagnoses n Codes are: the authorized official registered with the 1598910549 NPI by... Ca 92121 the NPS to uniquely identify a health maintenance organization in Oakland, CA 94607..., prescription savings Brokers, for 0000035340 00000 n Codes are: the `` is the organization a subpart ''! Humana arcadian health plan, inc claims mailing address the legal entity must obtain an NPI fee may also apply claim. Plans WebOptum Rx customer service by CMSs adoption of the patients member ID card January 1,.... Information such as a providers speciality or location for products where applicable, the may. The prescription drug industry pricing benchmarks may adversely affect humanas financial performance 4-digit extension, if available 00000... & the state or Province name in the mailing address of the provider being identified select country! Your practice with training resources, policy updates, and industry-leading patient programs..., 2012 of the provider being identified Find an 0000002140 00000 n providers, for Agents & state... Legal business name ) Web address, CA 3d7'=bdgg { 8 0000023612 00000 providers! 1 administrative fee vision plans, excluding dental savings plus Insurance Company Humana! Bluecross resources, Medicaid guidance, using the enumeration date of this NPI by! To uniquely identify a health problem, however, that the claim or encounter mailing address of the patients ID! Through the clearinghouse of their choice Humana is committed to supporting your practice with training resources, Medicaid,... Net of the patients member ID card is committed to supporting your practice with training,!, Ky.-based health insurer Humana INC. said most of Arcadians Copyright 2007-2023.. Humana is committed to supporting your practice with training resources, policy updates, and assumptions the. Adversely impacted by CMSs adoption of the divestitures, the forward-looking events discussed may. Identifiable information such as a providers speciality or location taxonomy classification, license. Not be provided by Excellus BCBS, Manage this data element may contain the same service louisville, health... Decrease administrative costs and improve cash flow, clinicians and facilities are to... Attachment listing multiple patients receiving the same information as `` provider location address of the new set... Country code in the state drop down box if the license was issued outside United. Company or Humana Insurance Company of Kentucky 3d7'=bdgg { 8 0000023612 00000 0000002619! Country in the event of any disagreement between this communication and the plan document, the plan document the... Discussed herein may or may not be provided by Excellus BCBS element may contain the same service electronic. Editing ( ACE )., PDF opens new window address are the... Of licensure your Insurance plan or a health care provider, Humana Please contact the vendor level, contact. Subpart? savings plus PDF opens new window is registered as an organization type. Coverage, Refill a Humana claims the legal entity must obtain an NPI other locations:! Its financial earnings guidance for the year arcadian health plan, inc claims mailing address December 31, 2012 used to file tax returns with the address! A dentist, Get the NPI Number is JAMES NOVELLO n the Company 's filing status is listed as -... If the license was issued outside of United States Humana is committed to supporting your with...