Go365 is not an insurance product. Valid National Provider Identifiers (NPIs) are required on an electronic claim and strongly encouraged on a paper claim. Responsibility, Internet Privacy If a paper claim does not have all necessary NPIs, it may be denied or be subject to delays in adjudication. 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 ARCADIAN HEALTH PLAN, INC. NPI is 1598910549. Humana Claims 0000001446 00000 n Go to P.O. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. Laurie Wilson. WebARCADIAN HEALTH PLAN, INC. NPI is 1598910549. 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 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. 0000036760 00000 n %%EOF Box 30884 Salt
0000006121 00000 n 0000002064 00000 n 500 12TH ST STE 300 510-832-0311.

Humana anticipates that the divestitures would be effective January 1, 2013. Keep in mind, however, that the claim or encounter mailing address on the members identification card is always the best to use. 0000031196 00000 n Get started now! http://www.insuranceproviders.com/companies/arcadian-health-plan-inc/. 1598910549 NPI Number | ARCADIAN HEALTH PLAN, INC. | OAKLAND, CA | NPI Registry | Medical Coding Library | www.HIPAASpace.com 2022 Lookup HS API Service Map Crosswalk Validation Products Advertise Businesses Data Library CMS Forms Home Healthcare Lookup Services NPI Lookup 1598910549 1598910549 NPI Number Info 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. 0000020513 00000 n %PDF-1.4 % Change Healthcare (formerly Emdeon) (both medical and hospital) 3055 Lebanon Pik / Nashville, TN 37214 / (615) 932-3000 / Payor ID = 13350. Healthcare professionals can check the status of a claim on the Availity Portal. Humana Sites, For The provider's authorized official is James Novello . SignatureValue Health Plan 800-542-8789. WebMA Claims Processing. If you have purchased an association plan, an association fee may also apply. Humana legal entities that offer, underwrite, administer or insure insurance products and services. To decrease administrative costs and improve cash flow, clinicians and facilities are encouraged to use electronic claim submission whenever possible. Contact Info. 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. If you are a Texas-based physician or other healthcare provider, read this flyer to learn how to check a deficient claim online. 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. A field cannot contain all special characters.

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). 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. vision plans, Find 510-832-0311. WebFor eligibility/benefits and claims inquiries 800-457-4708 Open 8 a.m. to 8 p.m. Eastern time, Monday through Friday Medicaid customer service Florida Medicaid: 800-477-6931 Illinois Medicaid: 800-787-3311 Kentucky Medicaid: 800-444-9137 Louisiana Medicaid: 800-448-3810 Ohio Medicaid: 877-856-5707 Oklahoma Medicaid: 855-223-9868 If it is necessary to submit a paper claim, please use the addresses below. The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. health conditions, Home 11804 18 The provider's business location address is: 500 12TH ST STE 300 OAKLAND, CA ZIP 94607-087 Phone: (510) 832-0311 Fax: (510) 817-1894 The provider's authorized official is James Novello . Healthcare providers can submit multiple documents in a single large envelope. Health Plans for Self-Employed Individuals. xb```b``y sx "~CT3gv6+dJX vHe_`l;~rd5ZWH20Gif >X3=`2L@8` $/L Box 14601 0000001056 00000 n The company's filing status is listed as Active and its File Number is 599990-95. 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 country code in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address telephone number''. The date the provider was assigned a unique identifier (assigned an NPI). Taxonomy code 302R00000X. 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. 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. Plans, Shop for Plans 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.

The Parent Organization LBN and TIN fields can only be completed if the answer to the subpart question is Yes. Humana reimburses for roster bills for select vaccinations. 0000002523 00000 n The Registered Agent on file for this company is Corporation Service Company and is located at 421 W Main St, Frankfort, KY 40601. The date that a record was last updated or changed.

The legal entity must obtain an NPI. Looking for information on timely filing limits? 0000000926 00000 n The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. View plan provisions or check with your sales representative. 9900 Bren Road East. MCPS Inc. Provide organization name (legal business name used to file tax returns with the IRS). 55343 PPO. Health Plan/Payer ID Codes, also known as Receiver Codes, are the primary identifier used to route your EDI transaction to the appropriate entity. OAKLAND 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. Humana makes it easy to find the best Medicare plans for younear you. Valid National Provider Identifiers (NPIs) are required on an electronic claim submission and strongly encouraged on a paper claim submission. Claims & Medical Records P.O.

Some clearinghouses and vendors charge a service fee. support, Shop for 0000001811 00000 n 0000030673 00000 n 0000030261 00000 n Health Plan/Payer Business Web Address. rights, Prescription savings Social. Humana and Arcadian are working together to ensure a seamless transition of the Medicare business. 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. All rights reserved. Call us if you need help with prescription refills, account passwords and other prescription benefits needs. Net of the divestitures, the acquisition will increase Humanas health plan membership by approximately 50,000 Medicare HMO members. 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