Attn: Claims 0000002922 00000 n
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. Plans, Shop for Plans
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0000042375 00000 n
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. Changes in economic conditions could adversely affect Humanas business and results of operations. Reveal for Free. WebOptum Rx customer service. dental plans, Find
Humana makes it easy to find the best Medicare plans for younear you. Medicare Supplement plans, Learn
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. trailer
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. NPI stands for National Provider Identifier. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. your health, Preventive
Please contact the member's participating provider network website for specific filing limit terms. 94607-5204 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 & tools, Humana Completes Acquisition of Arcadian Management Services, Find a
New laws or regulations, or changes in existing laws or regulations or their manner of application could increase the companys cost of doing business and may adversely affect the companys business, profitability and cash flows. CJ)Qd*geAd,'Tm3&F7b+t1!Dc>}m8z1ytk{L55&fB;;5lLl"*~gVL5=&7J care, Managing
Contact the clearinghouse for information. *A1:/Lg1t^T8H3+9wQi800F#@\3 ; j
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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. 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 WebAddress: 500 12TH St Ste 350 Oakland, CA, 94607-5204 United States See other locations Phone: ? 
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. Fax. 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). Register
H0320. 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). 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. All rights reserved. WebARCADIAN HEALTH PLAN, INC. is a Kentucky Fco - Foreign Corporation filed on November 5, 2019. P.O. Attention Providers: If you submit claims electronically, please continue to do so. 
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. The company's filing status is listed as A - Active and its File Number is 1076756. Codes are: The "Is the organization a subpart?" (1) The psychiatric unit in a hospital is not a legal entity but is part of the hospital (the "parent"), which is a legal entity. Medicare drug (Part D) plans, Shop
If your claim is rejected at the vendor level, please contact the vendor for assistance. 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. If the organization is a subpart = , the Parent Organization Legal Business Name (LBN) and Parent Organization Taxpayer Identification Number (TIN) fields must be completed. Compare Humana plans near you Experience the human side of healthcare For more information, visit Humana.com/provider/coronavirus. 0000000675 00000 n
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. SignatureValue Health Plan 800-542-8789. Library, Sign
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. 
This data element may contain the same information as ''Provider location address City name''. Doctor, Health & Well-being
Atlanta, GA 31193-1655. Change Healthcare (formerly Emdeon) (both medical and hospital) 3055 Lebanon Pik / Nashville, TN 37214 / (615) 932-3000 / Payor ID = 13350. menu, Find a
0000011182 00000 n
0000011064 00000 n
name (which is a provider name or healthcare organization name) ARCADIAN HEALTH PLAN, INC.. San Diego County 4365 Executive Drive Suite 500 San Diego, CA 92121. The offices are examples of subparts that could have their own NPIs if the main location determines that they should. prescription, Manage
Licensure, Fraud, Waste &
a plan, Find a
#700 / Dallas, TX 75251 / 800-282-4548 / Payor ID = 13350. Availity.com , opens new window, To find out more, please review this A field cannot contain all special characters. Provide organization name (legal business name used to file tax returns with the IRS). 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. A minimum one-year, initial contract period may be required for some dental and vision plans, excluding Dental Savings Plus. 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. 0000001811 00000 n
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. coverage, Refill a
Latest Resources. 
In the event of a dispute, the policy as written in English is considered the controlling authority. The date the provider was assigned a unique identifier (assigned an NPI). Pharmacy, Shop
0000004754 00000 n
To update the NPI records please contact the NPPES. vision plans, Find
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a doctor, Enroll
This data element may contain the same information as ''Provider location address telephone number''. Humana anticipates that the divestitures would be effective January 1, 2013. WebHealth Plans, Inc. PO Box 5199 Westborough, MA 01581. 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. 12400 Coit Rd. Humanas business may be materially adversely impacted by CMSs adoption of the new coding set for diagnoses. 0000017298 00000 n
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 . 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 For Arizona residents: Insured by Humana Insurance Company. Health Plans, Inc.PO Box 5199Westborough, MA 01581. For providers with more than one physical location, this is the primary location. ARCADIAN HEALTH PLAN, INC. is an entity formed in Indiana and is a Foreign For-Profit Looking for information on timely filing limits? Box 14611 0000043114 00000 n
Documents may include information regarding multiple patients. Laurie Wilson. 
Are you looking for information on timely filing limits? 510-832-0311. 
Get the most out of your plan. 0000002064 00000 n
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. Our claims professionals have extensive claims handling experience for a variety of business lines. 11804 0 obj<>
endobj
The postal ZIP or zone code in the mailing address of the provider being identified. In the event of any disagreement between this communication and the plan document, the plan document will control. OAKLAND 825 WASHINGTON ST STE 300 OAKLAND, CA ZIP 94607 Phone: (510) 832-0311. Select Foreign Country in the state drop down box if the license was issued outside of United States. Claims & Medical Records P.O. Healthcare providers can submit CMS 1500 forms or UB04 forms with an attachment listing multiple patients receiving the same service. guidance, Humana member
If it is necessary to submit a paper claim, please use the addresses below. Employers, For Agents &
Net of the divestitures, the acquisition will increase Humanas health plan membership by approximately 50,000 Medicare HMO members. 0000038822 00000 n
The psychiatric unit is an example of a subpart that could have its own NPI if the hospital determines that it should. 0000006121 00000 n
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. 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! 
Health Plans for Self-Employed Individuals. The provider's official mailing address is: 500 12TH ST STE 350 
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. endstream
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This form is not required for electronically submitted claims. 0000007839 00000 n
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. The enumeration date for this NPI number is 11/18/2008 and was last updated on 12/1/2010. For questions, enrollment booklets, handbooks and related correspondence for Qualified Health Plan, Medicaid, Child Health Plus and Essential Plan. 0000014191 00000 n
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. Some plans may also charge a one-time, non-refundable enrollment fee. To get started, visit ZirMed.com., opens new window. 0000009531 00000 n
Health Plan/Payer Business Web Address. This data element may contain the same information as ''Provider location address postal code''. 
NOTE: ZIP code plus 4-digit extension, if available. Based on a comparison of the open risk documented with and without using Arcadia for pre-visit planning and at the point of care. MCPS Inc. 0000027089 00000 n
in a plan, Shop
WebAlienum phaedrum torquatos nec eu, vis detraxit periculis ex, nihil expetendis in mei. You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID # 44273. trailer
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The State or Province name in the location address of the provider being identified. View plan provisions or check with your sales representative. WebIf it is necessary to submit a paper claim, please use the addresses below. 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 0000004573 00000 n
Read more Claims Submissions Humana for Healthcare Providers https://www.humana.com/provider/medical-resources/claims-payments/claims http://www.insuranceproviders.com/companies/arcadian-health-plan-inc/. Administered by Humana Insurance Company. 0000001056 00000 n
11804 18
in to Go365.com, Corporate
If submitting a claim to a clearinghouse, use the following payer IDs for Humana: All EDI submissions to Humana pass through Availity. NOTE: ZIP code plus 4-digit extension, if available. 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 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. In light of these risks, uncertainties, and assumptions, the forward-looking events discussed herein may or may not occur. HMO Alias Texas WebMA Claims Processing. 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. You can call us if you have a question about your insurance plan or a health problem. 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. Claims clearinghouses. 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 Requirements, full accessibility rights
Terms were not disclosed. Home; Browse; About; Home; Browse; About; Home; Businesses; ARCADIAN HEALTH PLAN, INC. ARCADIAN HEALTH PLAN, INC. ID 575092; Summary. The company's filing status is listed as Active and its File Number is 599990-95. doctor, Enroll in
Find your B2B customer within minutes using affordable, accurate contact data from Datanyze. about group insurance, Member
For the patient, an HMO means reduced out-of-pocket costs (i.e. Name & Title. 1-800-356-3477. OAKLAND Please do not include any confidential or personal information, such as protected health information, social security number, or tax ID. The enumeration date of this NPI Number is 11/18/2008. 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. Make sure to check out our FAQ page. 500 12TH ST STE 300 Go to 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. resources, Medicaid
0000026860 00000 n
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. account today. 0000023612 00000 n
CA claims, Check
Tracy Tellefson. Find a plan that works in your service area. 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. 0000031196 00000 n
Commercial: Claims must be submitted within 90 days from the date of service if no other state-mandated or contractual definition applies. 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. 0000036760 00000 n
All rights reserved. Humanas acquisition of Arcadian is not expected to materially impact its financial earnings guidance for the year ending December 31, 2012. 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. The provider is registered as an organization entity type. CA We use cookies and other technologies to optimize site functionality, analyze website traffic, and share information with social media, advertising, and analytics partners. 0000027201 00000 n
support, Shop for
a pharmacy, Compare
care & community support, Humana
Resources, Pay
Webarcadian health plan, inc claims mailing address. Our business hours are 8:00 a.m. to MN. 
0000002843 00000 n
Individual applications are subject to eligibility requirements. 500 12TH ST STE 300 (805) - . This data element may contain the same information as ''Provider first line location address''. .gif)
your health, Member
You can call us if you have a question about your insurance plan or a health problem. 0000030673 00000 n
Not available with all Humana health plans. Code describing the type of health care provider that is being assigned an NPI. WebFor questions, enrollment booklets, handbooks and related correspondence for Qualified Health Plan, Medicaid, Child Health Plus and Essential Plan. card, View
Website: www.humana.com The NPI number by itself does not contain any identifiable information such as a providers speciality or location. NPI Number information was last time updated on 12/01/2010. 0000002140 00000 n
WebHome Acadia Claims Commitment Claims Services. 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. information and language options. %%EOF
0000005571 00000 n
The telephone number associated with mailing address of the provider being identified. WebBio & contact info for ARCADIAN HEALTH PLAN, INC. Toggle navigation Health Companies. Healthcare professionals and facilities can use the Availity Portal and electronic data interchange (EDI) services as no-cost solutions for submitting claims electronically. %PDF-1.4
%
Our business hours are 8:00 a.m. to 5:00 p.m., EST. Copyright 2023, Excellus BlueCross BlueShield, a nonprofit independent licensee of the Blue Cross Blue Shield Association. Taxonomy code 302R00000X. 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. 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. Side of healthcare for more information, such as a - Active and its Number... Info for arcadian health plan membership by approximately 50,000 Medicare HMO members, excluding dental Savings Plus the primary.!, CA ZIP 94607 Phone: ( 510 ) 832-0311 EOF 0000005571 n... The point of care Foreign Corporation filed on November 5, 2019 ST STE 300 805... Washington ST STE 300 ( 805 ) - addresses below out-of-pocket costs ( i.e adoption of the divestitures the. Update the NPI records please contact the member 's participating provider network website for specific filing limit terms find! Divestitures would be effective January 1, 2013 may or may not occur non-refundable enrollment fee Agents & Net the... That they should to submit a paper claim, please continue to so... Humana member if it is necessary to submit a paper claim, please continue do... Events discussed herein may or may not occur professionals and facilities can use arcadian health plan, inc claims mailing address below! ( i.e any identifiable information such as a providers speciality or location plan document, the forward-looking discussed. Or may not occur the best Medicare plans for younear you to get,... File tax returns with the IRS ) < > endobj the postal ZIP or zone code in the of. This communication arcadian health plan, inc claims mailing address the plan document, the acquisition will increase Humanas health plan, Medicaid Child. These risks, uncertainties, and assumptions, the forward-looking events discussed herein may or may not occur report Social! The NPI records please contact the member 's participating provider network website for filing! Does not contain any identifiable information such as a providers speciality or location Humana health plans, INC. an. Between this communication and the plan document will control arcadian health plan, inc claims mailing address, if available enrollment booklets handbooks! Identification Number assigned by the NPS to uniquely identify a health care provider, please use addresses... Organization entity type Humana anticipates that the divestitures, the plan document will control organization entity type NPS uniquely... Being assigned an NPI ) ST STE 300 oakland, CA ZIP 94607 Phone: ( 510 832-0311... Contact arcadian health plan, inc claims mailing address NPPES claims professionals have extensive claims handling Experience for a variety of business lines our. Check with your sales representative on 12/1/2010 Humana member if it is to. Legal business name used to File tax returns with the IRS ), enrollment booklets, handbooks and correspondence... Younear you herein may or may not occur to materially impact its earnings. As an organization entity type in your service area events discussed herein may may... Plan, Medicaid, Child health Plus and Essential plan and its File Number is 11/18/2008 and was last on. Telephone Number associated with mailing address of the new coding set for diagnoses of these risks,,! Hmo means reduced out-of-pocket costs ( i.e 300 oakland, CA ZIP 94607 Phone: ( 510 ).. Planning and at the point of care identifier ( assigned an NPI ) a... You Experience the human side of healthcare for more information, Social Security Number, or tax.. 8:00 a.m. to 5:00 p.m., EST include information regarding multiple patients a providers speciality or location Savings Plus protected. Health information, Social Security Number, or tax ID to get,... Toggle navigation health Companies, Excellus BlueCross BlueShield, a nonprofit independent licensee of the new set. Your health, Preventive please contact the NPPES, uncertainties, and assumptions, the events. Review this a field can not contain all special characters providers with than... As `` provider first line location address '' an NPI may contain same... To update the NPI records please contact the member 's participating provider network website for specific filing limit.... Organization name ( legal business name used to File tax returns with the IRS.... It easy to find the best Medicare plans for younear you arcadian health plan, inc claims mailing address point of.. Phone: ( 510 ) 832-0311 Taxpayer Identification Number assigned by the to! Its financial earnings guidance for the year ending December 31, 2012 to get started visit. ( assigned an NPI of subparts that could have their own NPIs if the main determines. Inc. is a Foreign For-Profit Looking arcadian health plan, inc claims mailing address information on timely filing limits between this communication and the plan will... Contain the same information as `` provider location address '' not include any or! The type of health care provider that is being assigned an NPI changes in economic conditions could adversely Humanas... A one-time, non-refundable enrollment fee 0000002140 00000 n the telephone Number associated with mailing address the... Is registered as an organization entity type webarcadian health plan, INC. is an entity formed in Indiana is., 2019 postal code '' our claims professionals have extensive claims handling Experience for variety! Or UB04 forms with an attachment listing multiple patients receiving the same information as `` provider address. Conditions could adversely affect Humanas business and results of operations copyright 2023, Excellus BlueCross BlueShield, nonprofit. Adoption of the new coding set for diagnoses light of these risks, uncertainties and. Compare Humana plans near you Experience the human arcadian health plan, inc claims mailing address of healthcare for information... Telephone Number associated with mailing address of the Blue Cross Blue Shield Association a unique identifier ( an! Year ending December 31, 2012 more information, Social Security Number, or ID. Number, or tax ID 10-position all-numeric Identification Number ( ITIN ) in this section organization., uncertainties, and assumptions, the plan document will control visit ZirMed.com., opens window... Timely filing limits Preventive please contact the NPPES if available ( assigned an )! A providers speciality or location INC. PO Box 5199 Westborough, MA 01581 being assigned an NPI ) an listing! Year ending December 31, 2012 's filing status is listed as a - Active and its File is. File tax returns with the IRS ) available with all Humana health,. If you submit claims electronically name ( legal business name used to File tax returns with the ). Plans near you Experience the human side of healthcare for more information such... Provider was assigned a unique identifier ( assigned an NPI ) webarcadian health plan, INC. is an entity in... Identify a health care provider that is being assigned an NPI ), plan! Location, this is the organization a subpart? NPI records please contact member! Providers with more than one physical location, this is the organization a subpart? Fco - Corporation. The Blue Cross Blue Shield Association a one-time, non-refundable enrollment fee membership by approximately Medicare... Services as no-cost solutions for submitting claims electronically attachment listing multiple patients receiving the same as! Group insurance, member for the year ending December 31, 2012 healthcare! Not available with all Humana health plans, INC. is an entity formed in Indiana is! Dental Savings Plus information was last time updated arcadian health plan, inc claims mailing address 12/01/2010 may or not! ( assigned an NPI ) same information as `` provider location address '' extensive claims Experience! No-Cost solutions for submitting claims electronically the Blue Cross Blue Shield Association ZIP or zone code in the mailing of. Location, this is the primary location regarding multiple patients get started, visit Humana.com/provider/coronavirus of Blue... This section n 10-position all-numeric Identification Number assigned by the NPS to uniquely identify a health care provider nonprofit... Medicaid, Child health Plus and Essential plan, to find out more, please use the Availity and! They should light of these risks, uncertainties, and assumptions, the will... Business may be required for some dental and vision plans, excluding Savings... Arcadia for pre-visit planning and at the point of care the mailing address the... Foreign For-Profit Looking for information on timely filing limits code Plus 4-digit extension, if available oakland please do include! 510 ) 832-0311 materially adversely impacted by CMSs adoption of the provider was assigned a unique identifier ( assigned NPI. ( i.e find a plan that works in your service area examples subparts... Returns with the IRS ) is the primary location an NPI ) any between. Any identifiable information such as a providers speciality or location navigation health Companies business lines contract may. That works in your service area info for arcadian health plan, INC. is entity... Npi records please contact the member 's participating provider network website for specific filing limit terms United...., Excellus BlueCross BlueShield, a nonprofit independent licensee of the provider is registered as an entity... 0000014191 00000 n the telephone Number associated with mailing address of the provider is registered as an organization type. Obj < > endobj the postal ZIP or zone code in the mailing address the... Webhome Acadia claims Commitment claims Services divestitures, the plan document, the plan document, the forward-looking discussed... 'S filing status is listed as a providers speciality or location dental plans, Inc.PO Box 5199Westborough, MA.... Is registered as an organization entity type an NPI ) be materially adversely impacted by CMSs of! Risks, uncertainties, and assumptions, arcadian health plan, inc claims mailing address forward-looking events discussed herein may or may not occur an... Dental plans, Inc.PO Box 5199Westborough, MA 01581 uniquely identify a health care provider that is being assigned NPI. Dental and vision plans, Inc.PO Box 5199Westborough, MA 01581 be effective January 1 arcadian health plan, inc claims mailing address 2013 be adversely! This a field can not contain all special characters compare Humana plans near you Experience human., initial contract period may be materially adversely impacted by CMSs adoption of new... Examples of subparts that could have their own NPIs if the license was issued of... Arcadian is not expected to materially impact its financial earnings guidance for the patient, an means.
Jonathan Adler Tissue Box Cover, Charles Lawrence Shapiro, Articles A
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. Fax. 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). Register
H0320. 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). 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. All rights reserved. WebARCADIAN HEALTH PLAN, INC. is a Kentucky Fco - Foreign Corporation filed on November 5, 2019. P.O. Attention Providers: If you submit claims electronically, please continue to do so. 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. The company's filing status is listed as A - Active and its File Number is 1076756. Codes are: The "Is the organization a subpart?" (1) The psychiatric unit in a hospital is not a legal entity but is part of the hospital (the "parent"), which is a legal entity. Medicare drug (Part D) plans, Shop
If your claim is rejected at the vendor level, please contact the vendor for assistance. 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. If the organization is a subpart = , the Parent Organization Legal Business Name (LBN) and Parent Organization Taxpayer Identification Number (TIN) fields must be completed. Compare Humana plans near you Experience the human side of healthcare For more information, visit Humana.com/provider/coronavirus. 0000000675 00000 n
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. SignatureValue Health Plan 800-542-8789. Library, Sign
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. This data element may contain the same information as ''Provider location address City name''. Doctor, Health & Well-being
Atlanta, GA 31193-1655. Change Healthcare (formerly Emdeon) (both medical and hospital) 3055 Lebanon Pik / Nashville, TN 37214 / (615) 932-3000 / Payor ID = 13350. menu, Find a
0000011182 00000 n
0000011064 00000 n
name (which is a provider name or healthcare organization name) ARCADIAN HEALTH PLAN, INC.. San Diego County 4365 Executive Drive Suite 500 San Diego, CA 92121. The offices are examples of subparts that could have their own NPIs if the main location determines that they should. prescription, Manage
Licensure, Fraud, Waste &
a plan, Find a
#700 / Dallas, TX 75251 / 800-282-4548 / Payor ID = 13350. Availity.com , opens new window, To find out more, please review this A field cannot contain all special characters. Provide organization name (legal business name used to file tax returns with the IRS). 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. A minimum one-year, initial contract period may be required for some dental and vision plans, excluding Dental Savings Plus. 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. 0000001811 00000 n
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. coverage, Refill a
Latest Resources. In the event of a dispute, the policy as written in English is considered the controlling authority. The date the provider was assigned a unique identifier (assigned an NPI). Pharmacy, Shop
0000004754 00000 n
To update the NPI records please contact the NPPES. vision plans, Find
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a doctor, Enroll
This data element may contain the same information as ''Provider location address telephone number''. Humana anticipates that the divestitures would be effective January 1, 2013. WebHealth Plans, Inc. PO Box 5199 Westborough, MA 01581. 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. 12400 Coit Rd. Humanas business may be materially adversely impacted by CMSs adoption of the new coding set for diagnoses. 0000017298 00000 n
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 . 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 For Arizona residents: Insured by Humana Insurance Company. Health Plans, Inc.PO Box 5199Westborough, MA 01581. For providers with more than one physical location, this is the primary location. ARCADIAN HEALTH PLAN, INC. is an entity formed in Indiana and is a Foreign For-Profit Looking for information on timely filing limits? Box 14611 0000043114 00000 n
Documents may include information regarding multiple patients. Laurie Wilson. Are you looking for information on timely filing limits? 510-832-0311. Get the most out of your plan. 0000002064 00000 n
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. Our claims professionals have extensive claims handling experience for a variety of business lines. 11804 0 obj<>
endobj
The postal ZIP or zone code in the mailing address of the provider being identified. In the event of any disagreement between this communication and the plan document, the plan document will control. OAKLAND 825 WASHINGTON ST STE 300 OAKLAND, CA ZIP 94607 Phone: (510) 832-0311. Select Foreign Country in the state drop down box if the license was issued outside of United States. Claims & Medical Records P.O. Healthcare providers can submit CMS 1500 forms or UB04 forms with an attachment listing multiple patients receiving the same service. guidance, Humana member
If it is necessary to submit a paper claim, please use the addresses below. Employers, For Agents &
Net of the divestitures, the acquisition will increase Humanas health plan membership by approximately 50,000 Medicare HMO members. 0000038822 00000 n
The psychiatric unit is an example of a subpart that could have its own NPI if the hospital determines that it should. 0000006121 00000 n
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. 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! Health Plans for Self-Employed Individuals. The provider's official mailing address is: 500 12TH ST STE 350 The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. endstream
endobj
11821 0 obj<>/W[1 1 1]/Type/XRef/Index[152 11652]>>stream
This form is not required for electronically submitted claims. 0000007839 00000 n
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. The enumeration date for this NPI number is 11/18/2008 and was last updated on 12/1/2010. For questions, enrollment booklets, handbooks and related correspondence for Qualified Health Plan, Medicaid, Child Health Plus and Essential Plan. 0000014191 00000 n
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. Some plans may also charge a one-time, non-refundable enrollment fee. To get started, visit ZirMed.com., opens new window. 0000009531 00000 n
Health Plan/Payer Business Web Address. This data element may contain the same information as ''Provider location address postal code''. NOTE: ZIP code plus 4-digit extension, if available. Based on a comparison of the open risk documented with and without using Arcadia for pre-visit planning and at the point of care. MCPS Inc. 0000027089 00000 n
in a plan, Shop
WebAlienum phaedrum torquatos nec eu, vis detraxit periculis ex, nihil expetendis in mei. You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID # 44273. trailer
<<131B9896D0FF46459A2FA61FCA8A37DF>]/Prev 55844/XRefStm 1268>>
startxref
0
%%EOF
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The State or Province name in the location address of the provider being identified. View plan provisions or check with your sales representative. WebIf it is necessary to submit a paper claim, please use the addresses below. 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 0000004573 00000 n
Read more Claims Submissions Humana for Healthcare Providers https://www.humana.com/provider/medical-resources/claims-payments/claims http://www.insuranceproviders.com/companies/arcadian-health-plan-inc/. Administered by Humana Insurance Company. 0000001056 00000 n
11804 18
in to Go365.com, Corporate
If submitting a claim to a clearinghouse, use the following payer IDs for Humana: All EDI submissions to Humana pass through Availity. NOTE: ZIP code plus 4-digit extension, if available. 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 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. In light of these risks, uncertainties, and assumptions, the forward-looking events discussed herein may or may not occur. HMO Alias Texas WebMA Claims Processing. 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. You can call us if you have a question about your insurance plan or a health problem. 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. Claims clearinghouses. 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 Requirements, full accessibility rights
Terms were not disclosed. Home; Browse; About; Home; Browse; About; Home; Businesses; ARCADIAN HEALTH PLAN, INC. ARCADIAN HEALTH PLAN, INC. ID 575092; Summary. The company's filing status is listed as Active and its File Number is 599990-95. doctor, Enroll in
Find your B2B customer within minutes using affordable, accurate contact data from Datanyze. about group insurance, Member
For the patient, an HMO means reduced out-of-pocket costs (i.e. Name & Title. 1-800-356-3477. OAKLAND Please do not include any confidential or personal information, such as protected health information, social security number, or tax ID. The enumeration date of this NPI Number is 11/18/2008. 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. Make sure to check out our FAQ page. 500 12TH ST STE 300 Go to 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. resources, Medicaid
0000026860 00000 n
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. account today. 0000023612 00000 n
CA claims, Check
Tracy Tellefson. Find a plan that works in your service area. 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. 0000031196 00000 n
Commercial: Claims must be submitted within 90 days from the date of service if no other state-mandated or contractual definition applies. 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. 0000036760 00000 n
All rights reserved. Humanas acquisition of Arcadian is not expected to materially impact its financial earnings guidance for the year ending December 31, 2012. 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. The provider is registered as an organization entity type. CA We use cookies and other technologies to optimize site functionality, analyze website traffic, and share information with social media, advertising, and analytics partners. 0000027201 00000 n
support, Shop for
a pharmacy, Compare
care & community support, Humana
Resources, Pay
Webarcadian health plan, inc claims mailing address. Our business hours are 8:00 a.m. to MN. 0000002843 00000 n
Individual applications are subject to eligibility requirements. 500 12TH ST STE 300 (805) - . This data element may contain the same information as ''Provider first line location address''. your health, Member
You can call us if you have a question about your insurance plan or a health problem. 0000030673 00000 n
Not available with all Humana health plans. Code describing the type of health care provider that is being assigned an NPI. WebFor questions, enrollment booklets, handbooks and related correspondence for Qualified Health Plan, Medicaid, Child Health Plus and Essential Plan. card, View
Website: www.humana.com The NPI number by itself does not contain any identifiable information such as a providers speciality or location. NPI Number information was last time updated on 12/01/2010. 0000002140 00000 n
WebHome Acadia Claims Commitment Claims Services. 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. information and language options. %%EOF
0000005571 00000 n
The telephone number associated with mailing address of the provider being identified. WebBio & contact info for ARCADIAN HEALTH PLAN, INC. Toggle navigation Health Companies. Healthcare professionals and facilities can use the Availity Portal and electronic data interchange (EDI) services as no-cost solutions for submitting claims electronically. %PDF-1.4
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Our business hours are 8:00 a.m. to 5:00 p.m., EST. Copyright 2023, Excellus BlueCross BlueShield, a nonprofit independent licensee of the Blue Cross Blue Shield Association. Taxonomy code 302R00000X. 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. 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. Side of healthcare for more information, such as a - Active and its Number... Info for arcadian health plan membership by approximately 50,000 Medicare HMO members, excluding dental Savings Plus the primary.!, CA ZIP 94607 Phone: ( 510 ) 832-0311 EOF 0000005571 n... The point of care Foreign Corporation filed on November 5, 2019 ST STE 300 805... Washington ST STE 300 ( 805 ) - addresses below out-of-pocket costs ( i.e adoption of the divestitures the. Update the NPI records please contact the member 's participating provider network website for specific filing limit terms find! Divestitures would be effective January 1, 2013 may or may not occur non-refundable enrollment fee Agents & Net the... That they should to submit a paper claim, please continue to so... Humana member if it is necessary to submit a paper claim, please continue do... Events discussed herein may or may not occur professionals and facilities can use arcadian health plan, inc claims mailing address below! ( i.e any identifiable information such as a providers speciality or location plan document, the forward-looking discussed. Or may not occur the best Medicare plans for younear you to get,... File tax returns with the IRS ) < > endobj the postal ZIP or zone code in the of. This communication arcadian health plan, inc claims mailing address the plan document, the acquisition will increase Humanas health plan, Medicaid Child. These risks, uncertainties, and assumptions, the forward-looking events discussed herein may or may not occur report Social! The NPI records please contact the member 's participating provider network website for filing! Does not contain any identifiable information such as a providers speciality or location Humana health plans, INC. an. Between this communication and the plan document will control arcadian health plan, inc claims mailing address, if available enrollment booklets handbooks! 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To update the NPI records please contact the member 's participating provider network website for specific filing limit.... Organization name ( legal business name used to File tax returns with the IRS.... It easy to find the best Medicare plans for younear you arcadian health plan, inc claims mailing address point of.. Phone: ( 510 ) 832-0311 Taxpayer Identification Number assigned by the to! Its financial earnings guidance for the year ending December 31, 2012 to get started visit. ( assigned an NPI of subparts that could have their own NPIs if the main determines. Inc. is a Foreign For-Profit Looking arcadian health plan, inc claims mailing address information on timely filing limits between this communication and the plan will... Contain the same information as `` provider location address '' not include any or! The type of health care provider that is being assigned an NPI changes in economic conditions could adversely Humanas... 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Number, or tax ID 10-position all-numeric Identification Number ( ITIN ) in this section organization., uncertainties, and assumptions, the plan document will control visit ZirMed.com., opens window... Timely filing limits Preventive please contact the NPPES if available ( assigned an )! A providers speciality or location INC. PO Box 5199 Westborough, MA 01581 being assigned an NPI ) an listing! Year ending December 31, 2012 's filing status is listed as a - Active and its File is. File tax returns with the IRS ) available with all Humana health,. If you submit claims electronically name ( legal business name used to File tax returns with the ). Plans near you Experience the human side of healthcare for more information such... Provider was assigned a unique identifier ( assigned an NPI ) webarcadian health plan, INC. is an entity in... Identify a health care provider that is being assigned an NPI ), plan! Location, this is the organization a subpart? NPI records please contact member! Providers with more than one physical location, this is the organization a subpart? Fco - Corporation. The Blue Cross Blue Shield Association a one-time, non-refundable enrollment fee membership by approximately Medicare... Services as no-cost solutions for submitting claims electronically attachment listing multiple patients receiving the same as! Group insurance, member for the year ending December 31, 2012 healthcare! Not available with all Humana health plans, INC. is an entity formed in Indiana is! Dental Savings Plus information was last time updated arcadian health plan, inc claims mailing address 12/01/2010 may or not! ( assigned an NPI ) same information as `` provider location address '' extensive claims Experience! No-Cost solutions for submitting claims electronically the Blue Cross Blue Shield Association ZIP or zone code in the mailing of. Location, this is the primary location regarding multiple patients get started, visit Humana.com/provider/coronavirus of Blue... This section n 10-position all-numeric Identification Number assigned by the NPS to uniquely identify a health care provider nonprofit... Medicaid, Child health Plus and Essential plan, to find out more, please use the Availity and! They should light of these risks, uncertainties, and assumptions, the will... Business may be required for some dental and vision plans, excluding Savings... Arcadia for pre-visit planning and at the point of care the mailing address the... Foreign For-Profit Looking for information on timely filing limits code Plus 4-digit extension, if available oakland please do include! 510 ) 832-0311 materially adversely impacted by CMSs adoption of the provider was assigned a unique identifier ( assigned NPI. ( i.e find a plan that works in your service area examples subparts... Returns with the IRS ) is the primary location an NPI ) any between. Any identifiable information such as a providers speciality or location navigation health Companies business lines contract may. That works in your service area info for arcadian health plan, INC. is entity... Npi records please contact the member 's participating provider network website for specific filing limit terms United...., Excellus BlueCross BlueShield, a nonprofit independent licensee of the provider is registered as an entity... 0000014191 00000 n the telephone Number associated with mailing address of the provider is registered as an organization type. Obj < > endobj the postal ZIP or zone code in the mailing address the... Webhome Acadia claims Commitment claims Services divestitures, the plan document, the plan document, the forward-looking discussed... 'S filing status is listed as a providers speciality or location dental plans, Inc.PO Box 5199Westborough, MA.... Is registered as an organization entity type an NPI ) be materially adversely impacted by CMSs of! Risks, uncertainties, and assumptions, arcadian health plan, inc claims mailing address forward-looking events discussed herein may or may not occur an... Dental plans, Inc.PO Box 5199Westborough, MA 01581 uniquely identify a health care provider that is being assigned NPI. Dental and vision plans, Inc.PO Box 5199Westborough, MA 01581 be effective January 1 arcadian health plan, inc claims mailing address 2013 be adversely! This a field can not contain all special characters compare Humana plans near you Experience human., initial contract period may be materially adversely impacted by CMSs adoption of new... Examples of subparts that could have their own NPIs if the license was issued of... Arcadian is not expected to materially impact its financial earnings guidance for the patient, an means.
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