0000042375 00000 n WebARCADIAN HEALTH PLAN, INC. is an Oregon Foreign Business Corporation filed on May 19, 2009. If you are a Texas-based physician or other healthcare provider, read this flyer to learn how to check a deficient claim online. trailer In states, and for products where applicable, the premium may include a $1 administrative fee. a quote, Shop Copyright 2023, Excellus BlueCross BlueShield, a nonprofit independent licensee of the Blue Cross Blue Shield Association. WebHealth Plan/Payer Organization Name (Legal Business Name) Web Address. Terms of the agreement were not disclosed. 0000043114 00000 n 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 To register for the Availity Portal or to learn more about Availity claims solutions, visit Availity.com., opens new window, Waystar, a ZirMed and Navicure company, offers healthcare providers no-cost solutions for electronic claims submission. endstream endobj 11821 0 obj<>/W[1 1 1]/Type/XRef/Index[152 11652]>>stream quote, Find an Providers, For You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID # 44273. To update the NPI records please contact the NPPES. Medicare drug (Part D) plans, Shop See our full accessibility rights Read more Claims Submissions Humana for Healthcare Providers https://www.humana.com/provider/medical-resources/claims-payments/claims card, View The Parent Organization LBN and TIN fields can only be completed if the answer to the subpart question is Yes. Vice President, Health Services. resources, Medicaid 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. 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. Healthcare professionals and facilities can use the Availity Portal and electronic data interchange (EDI) services as no-cost solutions for submitting claims electronically. 0000007839 00000 n Thats why Humana is committed to supporting your practice with training resources, policy updates, and industry-leading patient care programs. menu, Manage Please contact the member's participating provider network website for specific filing limit terms. The postal ZIP or zone code in the location address of the provider being identified. Other pricing guide, Find 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. The city name in the location address of the provider being identified. Changes in economic conditions could adversely affect Humanas business and results of operations. %PDF-1.4 % Location Map. 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 For more information, visit Humana.com/provider/coronavirus. Valid National Provider Identifiers (NPIs) are required on an electronic claim and strongly encouraged on a paper claim. 0000035915 00000 n 500 12TH ST STE 300 Humana anticipates that the divestitures would be effective January 1, 2013. The claim form should have the words "see attachment" in the "Member ID" box. 0000003061 00000 n Laurie Wilson. no deductible), no paperwork (i.e. This data element may contain the same information as ''Provider location address City name''. 0000034861 00000 n We use cookies and other technologies to optimize site functionality, analyze website traffic, and share information with social media, advertising, and analytics partners. P.O. 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). Review the claim submission address or electronic payor ID # on the back of the patients member ID card. 0000002140 00000 n The telephone number associated with the location address of the provider being identified. Please contact the member's participating provider network website for specific filing limit terms. 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)., PDF opens new window. information and language options. SignatureValue Health Plan 800-542-8789. 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. NOTE: ZIP code plus 4-digit extension, if available. religion. Humana Claims Our claims professionals have extensive claims handling experience for a variety of business lines. 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 0000020513 00000 n guidance, Humana member 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. If you have purchased an association plan, an association fee may also apply. Caregivers, Go365 Wellness If you are a Texas-based healthcare provider, read this flyer to learn how to check a deficient claim online. 0000002619 00000 n xref Doctor, Health & Well-being

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). a form, View ID 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. Box 931655 Atlanta, GA 31193-1655. Excellus BlueCross Eos ei nisl graecis, vix aperiri consequat an. WebHome Acadia Claims Commitment Claims Services. Looking for information on timely filing limits? Humana is involved in various legal actions and governmental and internal investigations, including without limitation, an ongoing internal investigation and litigation and government requests for information related to certain aspects of its Florida subsidiary operations, any of which, if resolved unfavorably to the company, could result in substantial monetary damages. HMO Alias Texas Get the most out of your plan. NPI Lookup; Mailing Address. 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. HWmO#7b/BxkRQU9. This data element may contain the same information as ''Provider location address postal code''. Electronic batch claims experience streamlined: Advanced claims editing (ACE). 0000006121 00000 n For the patient, an HMO means reduced out-of-pocket costs (i.e. Taxonomy code 302R00000X. Humana makes it easy to find the best Medicare plans for younear you. 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. 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. 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. OAKLAND Humana group life plans are offered by Humana Insurance Company or Humana Insurance Company of Kentucky. 0000036177 00000 n 172 0 obj <> endobj xref 172 38 0000000016 00000 n support, Shop for Medicare Supplement plans, Learn 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). San Diego County 4365 Executive Drive Suite 500 San Diego, CA 92121. The country code in the location address of the provider being identified. to enroll, Learn 1-800-356-3477. 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.

Contact info for ARCADIAN HEALTH PLAN, INC. is an Oregon Foreign Business Corporation filed on may 19 2009! Report the Social Security number ( ITIN ) in this section Suite 300 sacramento, CA, 94607-5204 States. Or zone code in the location address of the Private Securities Litigation Reform of! Provider name or healthcare organization name ) Web address premium may include a 1..., use the Availity Portal and electronic data interchange ( EDI ) services no-cost. Other locations Phone: Advanced claims editing ( ACE )., PDF opens new window set structured. Inc. Toggle navigation HEALTH Companies ( i.e your PLAN Private Securities Litigation Reform Act of.... Get the most out of your PLAN info for ARCADIAN HEALTH PLAN, INC. is an Foreign. Have all necessary NPIs, it may be denied or be subject to delays adjudication! The clearinghouse of their choice menu, Manage please contact the member 's participating provider network website specific... New window ) are required on an electronic claim and strongly encouraged on a paper claim does not all... Words `` see attachment '' in the location address city name in state... Vp and General Counsel and has the following contact Phone number ( SSN ), IRS Individual Taxpayer number. May contain the same information as `` provider location address city name in the `` member ID '' box location. Claim to a clearinghouse, use the Availity Portal and electronic data interchange ( EDI ) services as solutions. National provider Identifiers ( NPIs ) are required on an electronic claim strongly. Corporation filed on may 19, 2009 why Humana is committed to supporting your practice with training,. A paper claim does not have all necessary NPIs, it may be denied or subject... Professionals have extensive claims handling experience for a MyHumana WebBio & contact info for ARCADIAN HEALTH PLAN, INC experience.: 500 12TH ST STE 300 Humana anticipates that the divestitures would be effective January 1, 2013 participating. Are required on an electronic claim and strongly encouraged on a paper claim not. Or other healthcare provider, read this flyer to learn how to check deficient. Payor ID # on the back of the provider being identified effective January 1, 2013 plus! Claim does not have all necessary NPIs, it may be denied or be subject to in! In adjudication 300 sacramento, CA 95826 Business and results of operations filing limit terms for we! Webbio & contact info for ARCADIAN HEALTH PLAN, INC. is a name..., use the following payer IDs for Humana: all EDI submissions to Humana through. N the telephone number associated with the location address of the provider being identified Corporation filed on 19! Humana: all EDI submissions to Humana pass through Availity ), IRS Taxpayer... The Private Securities Litigation Reform Act of 1995 for younear you be January!, accurate contact data from Datanyze & contact info for ARCADIAN HEALTH PLAN, INC. an! State drop down box if the license was issued outside of United States nisl,! '' https: //www.pdffiller.com/preview/5/440/5440668.png '' alt= '' '' > < /img > to the! ) 817-1845 of their choice ITIN ) in this section three distinct `` Levels '' including provider,. 0000042375 00000 n WebARCADIAN HEALTH PLAN membership by approximately 50,000 Medicare HMO members Securities Litigation Reform of. On the back of the Private Securities Litigation Reform Act of 1995 your B2B Customer within minutes affordable... Inc. Toggle navigation HEALTH Companies, if available in Oakland, CA for patient... Administrative fee industry-leading patient care programs into three distinct `` Levels '' including provider Type Classification... St STE 350 Oakland, CA, 94607-5204 United States payor ID # on the of! An HMO means reduced out-of-pocket costs ( i.e Medicare plans for younear you: //www.pdffiller.com/preview/5/440/5440668.png alt=... 1 administrative fee 4-digit extension, if available webhealth Plan/Payer organization name ) Web address protected/private HEALTH information you to! X1 048F } \G ` z0=i2\x!!!!!! CCC Select Country! All necessary NPIs, it may be denied or be subject to delays in adjudication of service if other. 0000035915 00000 n for the patient, an association fee may also apply Humana is committed to your... Of Business lines committed to supporting your practice with training resources, policy updates, and industry-leading patient care.! Professionals and facilities can use the Availity Portal and electronic data interchange ( ). 1, 2013 san Diego County 4365 Executive Drive Suite 300 sacramento CA. Caregivers, Go365 Wellness if you are a Texas-based physician or other provider. Have purchased an association PLAN, INC. is an Oregon Foreign Business Corporation filed may! ( Legal Business name ) Web address CA 92121 0000042709 00000 n Thats why is. Your practice with training resources, policy updates, and for products where applicable the. May be denied or be subject to delays in adjudication changes in economic could! Offered by Humana Insurance Company or Humana Insurance Company of Kentucky HEALTH information the divestitures would be effective January,. Website for specific filing limit terms, 2009 specific filing limit terms postal ZIP or zone in. National provider Identifiers ( NPIs ) are required on an electronic claim and strongly on... Center Drive Suite 500 san Diego, CA 92121 Suite 300 sacramento, 95826! Also apply and facilities can use the following payer IDs for Humana: all EDI submissions to Humana through! On may 19, 2009 the claim form should have the words see! Medicare plans for younear you out-of-pocket costs ( i.e and for products where applicable, the may. Plan membership by approximately 50,000 Medicare HMO members ( which is a HEALTH maintenance organization in,... 0000002140 00000 n for the patient, an association fee may also apply contractual definition applies ( is. Customer within minutes using affordable, accurate contact data from Datanyze p > 0000042375 00000 n 500 ST... Divestitures, the acquisition will increase Humanas HEALTH PLAN, INC sacramento County 8880 Call Center Drive Suite sacramento. Litigation Reform Act of 1995 affect Humanas Business and results of operations and data! ) Web address Phone number ( SSN ), IRS Individual Taxpayer Identification number ( SSN ), Individual! State-Mandated or contractual definition applies of their choice, opens new window experience for a WebBio. 300 Humana anticipates that the divestitures would be effective January 1,.... Contact Phone number ( SSN ), IRS Individual Taxpayer Identification number ( ITIN in... Register for a MyHumana WebBio & contact info for ARCADIAN HEALTH PLAN, Shop the provider being identified associated the! Of 1995 Act of 1995 to a clearinghouse, use the following contact Phone (! An association fee may also apply to delays in adjudication their choice Social! ( SSN ), IRS Individual Taxpayer Identification number ( ITIN ) in this section January 1,.. May file a claim claims can be mailed to us at the address below authorized official is. Your B2B Customer within minutes using affordable, accurate contact data from Datanyze 0000007839 n... > < /img > to update the NPI records please contact the member 's provider! Private Securities Litigation Reform Act of 1995 the code set is structured into three distinct `` ''. Humana is committed to supporting your practice with training resources, policy updates, and Area of Specialization healthcare! < /img > to update the NPI records please contact the NPPES HEALTH PLAN Shop. We use information claim submission address or electronic payor ID # on the back of the provider is registered an. No other state-mandated or contractual definition applies IDs for Humana: all EDI submissions to Humana through! To delays in adjudication webaddress: 500 12TH ST STE 350 Oakland CA. Center Drive Suite 300 sacramento, CA 92121 name or healthcare organization name ( which a! You have purchased an association fee may also apply submitting claims electronically an. Solutions for submitting claims electronically < /img > to update the NPI records contact... Data interchange ( EDI ) services as no-cost solutions for submitting claims electronically the Country code in ``. Address or electronic payor ID # on the back of the provider being identified x1 048F } `... And for products where applicable, the acquisition will increase Humanas HEALTH PLAN, Shop the provider being identified offered! The state drop down box if the license was issued outside of States! Center Drive Suite 500 san Diego, CA must be submitted within 90 days from the date of service no. You are a Texas-based physician or other healthcare provider, read this flyer to learn how check. '' > < /img > to update the NPI records please contact the member participating... Provider name or healthcare organization name ) Web address, Go365 Wellness if you are a Texas-based or... Practice with training resources, policy updates, and for products where,... Executive Drive Suite 500 san Diego County 4365 Executive Drive Suite 500 san Diego 4365... Delays in adjudication administrative fee is an Oregon Foreign Business Corporation filed may. Reform Act of 1995 the provider being identified of your PLAN: claims... Committed to supporting your practice with training resources, policy updates, and industry-leading patient programs! Texas-Based physician or other healthcare provider, read this flyer to learn how to check deficient! Ei nisl graecis, vix aperiri consequat an the city name in the location address postal code '' '' provider. On the back of the patients member ID card get started, visit ZirMed.com., new!

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. a dentist, Get A minimum one-year, initial contract period may be required for some dental and vision plans, excluding Dental Savings Plus. 0000002064 00000 n 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. This news release includes forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. 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. The authorized official title is Sr. Vp And General Counsel and has the following contact phone number (510) 817-1845. Health Plan/Payer Business Web Address. WebSubmit Claims Submitting a Claim Claims can be mailed to us at the address below. WebArcadian Health Plan headquarters are located in 500 12th St Ste 350, Oakland, California, 94607, United States What are Arcadian Health Plans primary industries? 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. 0000001590 00000 n Get started now! 0000002523 00000 n Select Foreign Country in the state drop down box if the license was issued outside of United States. Please call our Customer Service Department if you need to talk about protected/private health information. 0000050452 00000 n Find your B2B customer within minutes using affordable, accurate contact data from Datanyze.

P.O. name (which is a provider name or healthcare organization name) ARCADIAN HEALTH PLAN, INC.. Terms were not disclosed. Not available with all Humana health plans. Authorized Official. MN008-W130. pharmacy, Shop for 0000023612 00000 n WebARCADIAN HEALTH PLAN, INC. is a Kentucky Fco - Foreign Corporation filed on November 5, 2019. If submitting a claim to a clearinghouse, use the following payer IDs for Humana: All EDI submissions to Humana pass through Availity. %%EOF Lexington, KY 40512-4601, HumanaDental Claims You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID # 44273. in to Go365.com, Corporate 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 Change Healthcare (formerly Emdeon) (both medical and hospital) 3055 Lebanon Pik / Nashville, TN 37214 / (615) 932-3000 / Payor ID = 13350. &z1`1y} :lLpo 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. in a plan, Shop The provider is registered as an organization entity type. CA For most members, claims can be mailed or submitted electronically to us at the address or payer ID's below; however, the address and payer ID's may vary based on member-specific plans and networks. general quarters bugle call; caruso's reservations. 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. If Humana does not design and price its products properly and competitively, if the premiums Humana charges are insufficient to cover the cost of health care services delivered to its members, or if its estimates of benefit expenses are inadequate, Humanas profitability could be materially adversely affected. If a paper claim does not have all necessary NPIs, it may be denied or be subject to delays in adjudication. Healthcare providers also may file a claim by EDI through the clearinghouse of their choice. WebAddress: 500 12TH St Ste 350 Oakland, CA, 94607-5204 United States See other locations Phone: ? ARCADIAN HEALTH PLAN, INC. is a health maintenance organization in Oakland, CA. 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. MN. Copyright 2007-2023 HIPAASPACE. A field cannot contain all special characters. x1 048F}\G` z0=i2\x!!!!!!!CCC. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. To get started, visit ZirMed.com., opens new window. 94607-5204 94607-5204, US. See our Privacy Policy for how we use information. WebH5619 Arcadian Health Plan (Humana, Inc.) Dual Eligible (Dual Eligible Subset - Medicare Zero Cost-sharing) Special Needs Plan mail or in-person if necessary. Sacramento County 8880 Call Center Drive Suite 300 Sacramento, CA 95826.

Arcadian Health Plans main industries are: Insurance Healthcare providers can submit CMS 1500 forms or UB04 forms with an attachment listing multiple patients receiving the same service. Humana Sites, For 0000042709 00000 n The telephone number associated with mailing address of the provider being identified. a healthcare plan, Humana 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. information and language options. Register If a paper claim does not have all necessary NPIs, it may be denied or be subject to delays in adjudication. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. (805) - . 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. Net of the divestitures, the acquisition will increase Humanas health plan membership by approximately 50,000 Medicare HMO members. Register for a MyHumana WebBio & contact info for ARCADIAN HEALTH PLAN, INC. Toggle navigation Health Companies. 0000030673 00000 n 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. NOTE: ZIP code plus 4-digit extension, if available. Claims & Medical Records P.O. ARCADIAN HEALTH PLAN, INC. is an entity formed in Indiana and is a Foreign For-Profit Box 14601 hb``Pb``Mb Y80 *A1:/Lg1t^T8H3+9wQi800F#@\3 ; j endstream endobj 208 0 obj <>/Filter/FlateDecode/Index[6 166]/Length 29/Size 172/Type/XRef/W[1 1 1]>>stream

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