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OAKLAND Program, Humana
If Humana fails to develop and maintain satisfactory relationships with the providers of care to its members, the companys business may be adversely affected. The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider. This data element may contain the same information as ''Provider location address State name''. 
You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID # 44273. 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. Please note the following time frames for submitting Medicare Advantage or commercial claims: Medicare Advantage: Claims must be submitted within one year from the date of service or as stipulated in the provider agreement. Humana group dental plans are offered by Humana Insurance Company, HumanaDental Insurance Company, Humana Insurance Company of New York, The Dental Concern, Inc., Humana Medical Plan of Utah, Humana Health Benefit Plan of Louisiana, Inc., CompBenefits Company, CompBenefits Insurance Company, CompBenefits Dental, Inc., Humana Employers Health Plan of Georgia, Inc., or DentiCare, Inc. (DBA CompBenefits). If it is necessary to submit a paper claim, please use the addresses below. Claims denied for timely filing must have an explanation for the delay as well as specific documentation. WebThe Health Plan provides an in-process claims list on payment vouchers, a secure provider portal listing claims status, and a customer service area to handle telephone inquiries. Health Plans for Self-Employed Individuals. Copyright 2023, Excellus BlueCross BlueShield, a nonprofit independent licensee of the Blue Cross Blue Shield Association. Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. 
Healthcare providers can submit multiple documents in a single large envelope. health conditions, Home
There also may be other risks that the company is unable to predict at this time. To report a claim to Arcadian, please contact: General Liability Claims glclaims@arcadian-risk.com Professional Liability Claims plclaims@arcadian-risk.com 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 fee is non-refundable as allowed by state). #700 / Dallas, TX 75251 / 800-282-4548 / Payor ID = 13350. 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. x1 048F}\G` z0=i2\x!!!!!!!CCC. This data element may contain the same information as ''Provider first line location address''. Library, Sign
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Medicare Advantage plans, Shop
Valid National Provider Identifiers (NPIs) are required on an electronic claim and strongly encouraged on a paper claim. http://www.insuranceproviders.com/companies/arcadian-health-plan-inc/. Lexington, KY 40512-4611, Humana Encounters 94607-5204 0000001811 00000 n
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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 This form is not required for electronically submitted claims. Claims clearinghouses. This data element may contain the same information as ''Provider location address fax number''. Pharmacy, Shop
500 12th St Ste 350, Oakland, California, 94607, United States. Select Foreign Country in the state drop down box if the license was issued outside of United States. 
If a paper claim does not have all necessary NPIs, it may be denied or be subject to delays in adjudication. 0000005571 00000 n
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! @3d7'=bdgg{8 The Acadia Claims team will be your Trusted Advisors and help guide you through the entire claims process. WebSubmit Claims Submitting a Claim Claims can be mailed to us at the address below. WebA northwest payer saw a $7M increase in their Medicaid premium by partnering with Arcadia to improve their closed risk per patient by 59%. 172 0 obj
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Humanas pharmacy business is highly competitive and subjects it to regulations in addition to those the company faces with its core health benefits businesses. The HMO Alias list is an Excel spreadsheet. NOTE: ZIP code plus 4-digit extension, if available. 0000006121 00000 n
ARCADIAN HEALTH PLAN, INC. NPI is 1598910549. 0000042709 00000 n
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Humana legal entities that offer, underwrite, administer or insure insurance products and services. Go365 is not an insurance product. (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). 
Each line of business represents a different Healthcare Provider Taxonomy or area of specialization that often submits its own electronic claims to health plans. This data element may contain the same information as ''Provider location address postal code''. support, Shop for
savings & tools, Humana
The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. OAKLAND More information regarding Humana is available to investors via the Investor Relations page of the companys web site at www.humana.com, including copies of: Humana complies with all applicable federal civil rights laws and does not discriminate on the basis
information and language options. Copyright 2007-2023 HIPAASPACE. WebH5619 Arcadian Health Plan (Humana, Inc.) Dual Eligible (Dual Eligible Subset - Medicare Zero Cost-sharing) Special Needs Plan mail or in-person if necessary. Based on a comparison of the open risk documented with and without using Arcadia for pre-visit planning and at the point of care. You can reach the authorized official at the following phone number 510-817-1845. For New Mexico residents: Insured by Humana Insurance Company. Brokers, For
Caregivers, Go365 Wellness
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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. Call us if you need help with prescription refills, account passwords and other prescription benefits needs. Name & Title. 0000001590 00000 n
Terms were not disclosed. Commercial: Claims must be submitted within 90 days from the date of service if no other state-mandated or contractual definition applies. This enables a claim submitter to identify potential coding issues up front, and it reduces processing delays that can result from incomplete or inaccurate claim data. care, Managing
Not available with all Humana health plans. Go to Our claims professionals have extensive claims handling experience for a variety of business lines. This news release includes forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. 9900 Bren Road East. 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. Please contact the member's participating provider network website for specific filing limit terms. The 10-position telephone number of the authorized official. CA 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. Claims & Medical Records P.O. 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. Doctor, Health & Well-being
Resources, Pay
Thats why Humana is committed to supporting your practice with training resources, policy updates, and industry-leading patient care programs. Change Healthcare (formerly Emdeon) (both medical and hospital) 3055 Lebanon Pik / Nashville, TN 37214 / (615) 932-3000 / Payor ID = 13350. 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. an eye doctor, Learn
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WebMA Claims Processing. Humana anticipates that the divestitures would be effective January 1, 2013. Documents may include information regarding multiple patients. & tools, Humana Completes Acquisition of Arcadian Management Services, Find a
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. 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. 0000039630 00000 n
Find your B2B customer within minutes using affordable, accurate contact data from Datanyze. OAKLAND, CA 0000001446 00000 n
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WebBio & contact info for ARCADIAN HEALTH PLAN, INC. Toggle navigation Health Companies. 500 12TH ST STE 300 claims, Check
The first line location address of the provider being identified. Authorized Official. 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. This data element may contain the same information as ''Provider location address telephone number''. 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. The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. Health Plan/Payer Business Telephone Number. We use cookies and other technologies to optimize site functionality, analyze website traffic, and share information with social media, advertising, and analytics partners. pharmacy, Shop for
Terms of the agreement were not disclosed. 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. Healthcare professionals can check the status of submitted claims on the
Availity Provider Portal, Register through Availity website , opens new window, To find out more, please review Medicare Supplement plans, Learn
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In the event of any disagreement between this communication and the plan document, the plan document will control. Changes in the prescription drug industry pricing benchmarks may adversely affect Humanas financial performance. Health Plan/Payer Organization Name (Legal Business Name), Health Plan/Payer Business Telephone Number, Health Plan/Payer Business E-Mail Address, Health Plan/Payer Business Mailing Address First Line, Health Plan/Payer Business Mailing Address City Name, Health Plan/Payer Business Mailing Address State Name, Health Plan/Payer Business Mailing Address Zip Code. 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. xref
Valid National Provider Identifiers (NPIs) are required on an electronic claim and strongly encouraged on a paper claim. Below are claims clearinghouses we use: Availability. In light of these risks, uncertainties, and assumptions, the forward-looking events discussed herein may or may not occur. Net of the divestitures, the acquisition will increase Humanas health plan membership by approximately 50,000 Medicare HMO members. WebArcadian Health Plan headquarters are located in 500 12th St Ste 350, Oakland, California, 94607, United States What are Arcadian Health Plans primary industries? Looking for information on timely filing limits? The information you're accessing may not be provided by Excellus BCBS. Drug List, Shop
The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. 0000011182 00000 n
This address cannot include a Post Office box. member rights, Exceptions
Statement, Disclaimers &
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. 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 for a MyHumana account today. 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. (2) A group practice that is not a sole proprietorship has a main location and could have other offices in different locations, but each office is not a separate legal entity; instead, each office is part of the corporation (the "parent") which is a legal entity. The enumeration date of this NPI Number is 11/18/2008. flyer., PDF opens new window. P.O. Mei an pericula euripidis, hinc partem ei est. 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. If Humana fails to effectively implement its operational and strategic initiatives, including its Medicare initiatives, the companys business may be materially adversely affected, which is of particular importance given the concentration of the companys revenues in the Medicare business. Attn: Claims For Texas residents: Insured or offered by Humana Insurance Company, HumanaDental Insurance Company or DentiCare, Inc (d/b/a Compbenefits). The date that a record was last updated or changed. & appeals, Helpful
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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. Abuse, System
MCPS Inc. ARCADIAN HEALTH PLAN, INC. is a health maintenance organization in Oakland, CA. 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. The postal ZIP or zone code in the mailing address of the provider being identified. In addition, Waystars auto-adjudication tool checks claims for accuracy more quickly than a manual review. Social. trailer
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If the organization is a subpart = , the Parent Organization Legal Business Name (LBN) and Parent Organization Taxpayer Identification Number (TIN) fields must be completed. ARCADIAN HEALTH PLAN, INC. can be reached at the following phone number(s): Phone: 510-832-0311 View plan provisions or check with your sales representative. NOTE: ZIP code plus 4-digit extension, if available. xb```b``y sx "~CT3gv6+dJX vHe_`l;~rd5ZWH20Gif >X3=`2L@8` $/L
A minimum one-year, initial contract period may be required for some dental and vision plans, excluding Dental Savings Plus. for group products, Learn
WebOptum Rx customer service. 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. P.O. Providers, For
Eos ei nisl graecis, vix aperiri consequat an. The Parent Organization LBN and TIN fields can only be completed if the answer to the subpart question is Yes. hb``Pb``Mb Y80 Box 30884 Salt to enroll, Learn
500 12TH ST STE 300 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. The telephone number associated with mailing address of the provider being identified. Changes in economic conditions could adversely affect Humanas business and results of operations. 0000016080 00000 n
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Some plans may also charge a one-time, non-refundable enrollment fee. Plans, products, and services are solely and only provided by one or more Humana Entities specified on the plan, product, or service contract, not Humana Inc. Not all plans, products, and services are available in each state. Provide organization name (legal business name used to file tax returns with the IRS). WebContact Us. HMO Alias Texas Humana group vision plans are offered by Humana Insurance Company, HumanaDental Insurance Company, Humana Health Benefit Plan of Louisiana, Humana Insurance Company of Kentucky, Humana Insurance Company of New York, CompBenefits Insurance Company, CompBenefits Company, or The Dental Concern, Inc. New Mexico: Humana group dental and vision plans are insured by Humana Insurance Company. The Registered Agent on file for this company is Corporation Service Company and is located at 421 W Main St, Frankfort, KY 40601. Links marked with an (external site) icon indicate you're leaving ExcellusBCBS.com. WebFor questions, enrollment booklets, handbooks and related correspondence for Qualified Health Plan, Medicaid, Child Health Plus and Essential Plan. Get the most out of your plan. The provider is registered as an organization entity type. WebHealth plan support Medicare Advantage Plans 800-542-8789. Lexington, KY 40512-4605, Humana Availity instructions , PDF opens new window. enroll, Find a
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Sacramento County 8880 Call Center Drive Suite 300 Sacramento, CA 95826. For costs and complete details of the coverage, refer to the plan document or call or write your Humana insurance agent or the company. To decrease administrative costs and improve cash flow, clinicians and facilities are encouraged to use electronic claim submission whenever possible. 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. 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). 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. CA Humana Claims Attention Providers: If you submit claims electronically, please continue to do so. WebHealth Plan/Payer Organization Name (Legal Business Name) Web Address. Lexington, KY 40512-4601. Interested in learning more about what Excellus BlueCross BlueShield has to offer? 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. A field cannot contain all special characters. US, 500 12TH ST STE 350 Healthcare providers also may file a claim by EDI through the clearinghouse of their choice. Medicare drug (Part D) plans, Shop
Healthcare professionals and facilities can use the Availity Portal and electronic data interchange (EDI) services as no-cost solutions for submitting claims electronically. In states, and for products where applicable, the premium may include a $1 administrative fee. The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. MN. a quote, Shop
The State or Province name in the location address of the provider being identified. 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. Keep in mind, however, that the claim or encounter mailing address on the members identification card is always the best to use. ";s:7:"keyword";s:48:"arcadian health plan, inc claims mailing address";s:5:"links";s:413:"List Of Mayors Of Swansea,
82 Borough Road, London,
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