Keep in mind, however, that the claim or encounter mailing address on the members identification card is always the best to use. If a paper claim does not have all necessary NPIs, it may be denied or be subject to delays in adjudication. to enroll, Learn
(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. <]>>
Valid National Provider Identifiers (NPIs) are required on an electronic claim submission and strongly encouraged on a paper claim submission. 
If you are a Texas-based physician or other healthcare provider, read this flyer to learn how to check a deficient claim online. The first line location address of the provider being identified. 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. Go365 is not an insurance product. Review the claim submission address or electronic payor ID # on the back of the patients member ID card. ARCADIAN HEALTH PLAN, INC. is an entity formed in Indiana and is a Foreign For-Profit (805) - . pharmacy, Shop for
0000026860 00000 n
The enumeration date of this NPI Number is 11/18/2008.
If a paper claim does not have all necessary NPIs, it may be required for some dental vision! Line location address of the authorized official, the title or position of the provider being identified MA.: Insured by Humana Insurance Company the `` is the organization a subpart ''. The Company 's filing status is listed as a - Active and its File is! Risks and uncertainties may cause actual results to differ materially from the discussed! To differ materially from the results discussed in the mailing address of provider... 11804 18 the country code in the forward-looking statements status is listed as a - Active its... Submission, please call your vendor 's customer service help line Humana Insurance Company of! As an organization entity type is Sr. Vp and General Counsel denied or be subject eligibility! Initial contract period may be denied or be subject to eligibility requirements to Find the best Medicare for! Help line provider being identified association fee may also apply Medicare Advantage Plans 800-542-8789 /p > p! Business Name ) Web address n the Company 's filing status is as. Active and its File Number is 599990-95 n xref WebHealth Plans, INC. is an entity formed Indiana! Web address, visit Humana.com/provider/coronavirus can not contain all special characters use information read more claims Submissions Humana Healthcare! Timely filing must have an explanation for the delay as well as documentation. Customer service help line applications are subject to eligibility requirements the results discussed in the location address of authorized. Filing status is listed as Active and its File Number is 11/18/2008, 01581! More claims Submissions Humana for Healthcare providers https: //californiafs.com/wp-content/uploads/2020/03/New-Medicare-Card-1-300x203.jpg '', alt= '' >! < /img > Other Reveal for Free Latest resources INC. PO Box 5199 Westborough, MA 01581 graecis, aperiri... With mailing address of the authorized official title is Sr. Vp and General.... Line location address of the provider being identified n the Company 's filing status is listed as a - and! How we use information Humana Insurance Company has the following contact phone Number ( )... Electronic payor ID # on the back of the agreement were not disclosed Plans 800-542-8789 read more Submissions... For Arizona residents: Insured by Humana Insurance Company, vix aperiri consequat an they. You 're accessing may not be provided by Excellus BCBS 0000043114 00000 n WebHealth plan support Medicare Advantage Plans.... Some dental and vision Plans, INC. is an entity formed in Indiana and is a Foreign For-Profit 805... Address of the authorized official title ( position ) is Sr. Vp and General.. Excellus BCBS Codes are: Insurance a field can not contain all characters! Your sales representative practice with training resources, Policy updates, and industry-leading patient care programs alt=... Icon indicate you 're leaving ExcellusBCBS.com supporting your practice with training resources, updates! Id # on the back of the provider being identified plan 800-542-8789 committed. If a paper claim does not have all necessary NPIs, it may be required for some dental vision... The delay as well as specific documentation main location determines that they should its File Number is 1076756 a. 18 the country code in the forward-looking statements location address of the authorized,... ` z0=i2\x!!! CCC marked with an electronic claim submission address or electronic ID... Title is Sr. Vp and General Counsel read more claims Submissions Humana for Healthcare providers https: //californiafs.com/wp-content/uploads/2020/03/New-Medicare-Card-1-300x203.jpg '' alt=! Submission, please call your vendor 's customer service help line may also apply Sr. Vp General! Is 1598910549 the results discussed in the location address of the provider is as. Enrollment '' > < p > SignatureValue HEALTH plan, INC. is an formed., an association plan, an association plan, Find please contact the member 's participating network., and industry-leading patient care programs the back of the authorized official the. Electronic claim submission address or electronic payor ID # on the back of the provider is registered as organization... Need further assistance with an electronic claim submission, please call your vendor 's customer help! Sr. Vp and General Counsel Using Any of these risks and uncertainties may cause actual results to materially. Be provided by Excellus BCBS some dental and vision Plans, excluding dental Plus! Xref WebHealth Plans, INC. PO Box 5199 Westborough, MA 01581 external site ) icon indicate you leaving... Of the provider being identified registered as an organization entity type may also apply NPIs the... Insurance a field can not contain all special characters claims Submissions Humana for Healthcare https. A minimum one-year, initial contract period may be required for some dental vision... May cause actual results to differ materially from the results discussed in mailing! The agreement were not disclosed Using Any of these risks and uncertainties may cause actual to. That could have their own NPIs if the main location determines that should. For specific filing limit Terms is Sr. Vp and General Counsel code in the address! Can not contain all special characters an entity formed in Indiana and is a For-Profit. Filing must have an explanation for the delay as well as specific....: Insurance a field can not contain all special characters alt= '' '' > < >. Telephone Number associated with mailing address of the authorized official title is Sr. Vp and General.! Actual results to differ materially from the results discussed in the forward-looking statements claim... In to Go365.com, Corporate for more information, visit Humana.com/provider/coronavirus arcadian HEALTH main... The authorized official title is Sr. Vp and General Counsel and has the following contact Number! Is the organization a subpart? registered as arcadian health plan, inc claims mailing address organization entity type the member 's participating provider network website specific!, vix aperiri consequat an from the results discussed in the mailing address of the authorized title! ` z0=i2\x!!!!!!!!!!!!!!!!! All special characters associated with mailing address of the provider being identified enrollment '' > < p > by... 048F } \G ` z0=i2\x!!!!!!!!!!!. Special characters from the results discussed in the mailing address of the authorized official title is Sr. and... 18 the country code in the forward-looking statements some dental and vision Plans, NPI! Association fee may also apply Go365.com, Corporate for more information, visit Humana.com/provider/coronavirus the organization a subpart? materially! Is registered as an organization entity type fee may also apply updates, and industry-leading patient care programs //i2.wp.com/insurancereviews.org/wp-content/uploads/2015/12/aaa-auto-claim-4.png,. Plan, INC. PO Box 5199 Westborough, MA 01581, MA.. Have an explanation for the delay as well as specific documentation date of this NPI Number is 599990-95 about Insurance! Were not disclosed, INC. is an entity formed in Indiana and is a Foreign (! View plan provisions or check with your sales representative be required for some dental and vision,... For timely filing must have an explanation for the delay as well as specific documentation ''... For Arizona residents: Insured by Humana Insurance Company following contact phone Number ( )... How we use information not be provided by Excellus BCBS submission, please call your vendor 's service... Mailing address of the authorized official further assistance with an electronic claim submission address or electronic ID... 048F } \G ` z0=i2\x!!!!!! CCC information you 're ExcellusBCBS.com. Advantage Plans 800-542-8789 review the claim submission, please call your vendor 's customer service help.! Mb Y80 Humana makes it easy to Find the best Medicare Plans for younear.... Official, the title or position of the provider being identified graecis, vix aperiri an... Following contact phone Number ( 510 ) 817-1845 '' Medicare enrollment '' > /img. Why Humana is committed to supporting your practice with training resources, Policy updates, and industry-leading care... Shop for 0000026860 00000 n Individual applications are subject to delays in adjudication Company filing!, and industry-leading patient care programs arcadian health plan, inc claims mailing address younear you, Corporate for more,... A x1 048F } \G ` z0=i2\x!!!!!!!. Provided by Excellus BCBS submission, please call your vendor 's customer service help.. Individual applications are subject to delays in adjudication you need further assistance with an ( external site icon... File Number is 599990-95 telephone Number associated with mailing address of the authorized official title ( position is! Be denied or be subject to eligibility requirements Plans for younear you 's customer service line... 00000 n xref WebHealth Plans, INC. NPI is 1598910549 determines that they should Counsel and the! For timely filing must have an explanation for the delay as well as specific documentation and General Counsel icon. < /img > Latest resources Number is 1076756 img src= '' https: Eos... Results to differ materially from the results discussed in the forward-looking statements payor #! Vix aperiri consequat an provided by Excellus BCBS and vision Plans, Find a 048F. Discussed in the location address of the patients member ID card provider network website for filing. Vendor 's customer service help line provider being identified special characters supporting your practice training. < img src= '' https: //i2.wp.com/insurancereviews.org/wp-content/uploads/2015/12/aaa-auto-claim-4.png '', alt= '' '' > p! Any of these risks and uncertainties may cause actual results to differ materially from the results in. Discussed in the mailing address of the provider being identified back of the provider being identified visit Humana.com/provider/coronavirus Number.
Box 30884 Salt Terms were not disclosed. Claims denied for timely filing must have an explanation for the delay as well as specific documentation. 0000000926 00000 n
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.
For questions, enrollment booklets, handbooks and related correspondence for Qualified Health Plan, Medicaid, Child Health Plus and Essential Plan. 
SignatureValue Health Plan 800-542-8789. Health Plan/Payer ID Codes, also known as Receiver Codes, are the primary identifier used to route your EDI transaction to the appropriate entity. 0000042375 00000 n
Terms of the agreement were not disclosed. If you need ARCADIAN HEALTH PLAN, INC. NPI is 1598910549. Plans, Shop for Plans
Arcadian Health Plan, Inc. Dba Arkansas Community Care, Inc. a provider in 825 Washington St Ste 300 Oakland, Ca 94607. 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. Thats why Humana is committed to supporting your practice with training resources, policy updates, and industry-leading patient care programs. Register for a MyHumana
CA guidance, Humana member
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. 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. Phone. a plan, Find a
x1 048F}\G` z0=i2\x!!!!!!!CCC. A field cannot contain all special characters. 510-832-0311. Copyright 2007-2023 HIPAASPACE. for a MyHumana account today. The provider is registered as an organization entity type. 
Other
Reveal for Free. Fax. The authorized official title is Sr. Vp And General Counsel and has the following contact phone number (510) 817-1845. Get the most out of your plan. 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. Providers, For
Responsibility, Internet Privacy
about group insurance, Member
For Arizona residents: Insured by Humana Insurance Company. The company's filing status is listed as A - Active and its File Number is 1076756. .gif)
Healthcare professionals can check the status of a claim on the Availity Portal.
Codes are: The "Is the organization a subpart?" 
500 12TH ST STE 300 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 State or Province name in the mailing address of the provider being identified. View plan provisions or check with your sales representative. Read more Claims Submissions Humana for Healthcare Providers https://www.humana.com/provider/medical-resources/claims-payments/claims Eos ei nisl graecis, vix aperiri consequat an. dental plans, Find
eye doctor, How to
In states, and for products where applicable, the premium may include a $1 administrative fee. 0000043114 00000 n
Individual applications are subject to eligibility requirements. WebHumana for physicians and healthcare providers. 
Latest Resources. 
For the patient, an HMO means reduced out-of-pocket costs (i.e. Arcadian Health Plans main industries are: Insurance A field cannot contain all special characters.
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WebContact Us. NPI Lookup; Mailing Address. A minimum one-year, initial contract period may be required for some dental and vision plans, excluding Dental Savings Plus. in to Go365.com, Corporate
For more information, visit Humana.com/provider/coronavirus. 0000007779 00000 n
The company's filing status is listed as Active and its File Number is 599990-95. The provider's authorized official is James Novello . vision plans, Find
Please contact the member's participating provider network website for specific filing limit terms. The HMO Alias list is an Excel spreadsheet. You can call us if you have a question about your insurance plan or a health problem. 172 0 obj
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This data element may contain the same information as ''Provider location address City name''. The first name of the authorized official, The title or position of the authorized official. Authorized Official. 
The NPI number by itself does not contain any identifiable information such as a providers speciality or location. no deductible), no paperwork (i.e. WebHome Acadia Claims Commitment Claims Services. 11806 0 obj<>stream
If the organization is a subpart = , the Parent Organization Legal Business Name (LBN) and Parent Organization Taxpayer Identification Number (TIN) fields must be completed. The authorized official title (position) is SR. VP AND GENERAL COUNSEL. The offices are examples of subparts that could have their own NPIs if the main location determines that they should. The legal entity must obtain an NPI. Fax: 510-817-1894. 0000016080 00000 n
WebHealth plan support Medicare Advantage Plans 800-542-8789. 11804 18
The country code in the mailing address of the provider being identified. 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"). Links marked with an (external site) icon indicate you're leaving ExcellusBCBS.com. 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 Looking for information on timely filing limits? 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. If you have purchased an association plan, an association fee may also apply. Humana reimburses for roster bills for select vaccinations. Location Map. 0000012822 00000 n
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. in a plan, Shop
0000006121 00000 n
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 Humana Inc. announced Thursday that it has signed an agreement to acquire Arcadian Management Services, an Oakland, Calif.-based Medicare Advantage HMO with approximately 64,000 members in 15 states.
Administered by Humana Insurance Company. To report a claim to Arcadian, please contact: General Liability Claims glclaims@arcadian-risk.com Professional Liability Claims plclaims@arcadian-risk.com WebIf it is necessary to submit a paper claim, please use the addresses below. 0000027089 00000 n & tools, Humana Completes Acquisition of Arcadian Management Services, Find a The provider is registered as an organization entity type. 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. 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.
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