Form 10-K for the year ended December 31, 2011; Securities and Exchange Commission filings; Most recent investor conference presentations; Replays of most recent earnings release conference calls; Calendar of events (including upcoming earnings conference call dates and times, as well as planned interaction with research analysts and institutional investors). P.O. Health Plan/Payer Business Web Address. 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
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The provider's authorized official is James Novello . Each line of business represents a different Healthcare Provider Taxonomy or area of specialization that often submits its own electronic claims to health plans. We use cookies and other technologies to optimize site functionality, analyze website traffic, and share information with social media, advertising, and analytics partners. Humana makes it easy to find the best Medicare plans for younear you. 94607-5204 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. Humana legal entities that offer, underwrite, administer or insure insurance products and services. menu, Find a
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. 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. 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. 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. prescription, Manage
care, Managing
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. The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. rights, Prescription savings
0000014444 00000 n
WebMA Claims Processing. Arcadian Health Plan, Inc. Dba Arkansas Community Care, Inc. a provider in 825 Washington St Ste 300 Oakland, Ca 94607. 0000000016 00000 n
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. pharmacy, Shop for
Group Dental and Vision Plans (Insurance through your employer). information and language options. Individual applications are subject to eligibility requirements. 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). For Arizona residents: Insured by Humana Insurance Company. Based on a comparison of the open risk documented with and without using Arcadia for pre-visit planning and at the point of care. WebThe Health Plan provides an in-process claims list on payment vouchers, a secure provider portal listing claims status, and a customer service area to handle telephone inquiries. Responsibility, Internet Privacy
For New Mexico residents: Insured by Humana Insurance Company. The 10-position telephone number of the authorized official. 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. health goals, Go365
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.
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. WebAlienum phaedrum torquatos nec eu, vis detraxit periculis ex, nihil expetendis in mei. The City name in the mailing address of the provider being identified. 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 your neighborhood, Achieving
Please contact the member's participating provider network website for specific filing limit terms. 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. ARCADIAN HEALTH PLAN, INC. is a health maintenance organization in Oakland, CA.
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 .
If your claim is rejected at the vendor level, please contact the vendor for assistance. about Humana Pharmacy, Find
View deficient claims, PDF opens new window. 500 12th St Ste 350, Oakland, California, 94607, United States. Some clearinghouses and vendors charge a service fee. trailer
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CA Changes in economic conditions could adversely affect Humanas business and results of operations.
If you are a Texas-based physician or other healthcare provider, read this flyer to learn how to check a deficient claim online. Resources, Pay
In the event of a dispute, the policy as written in English is considered the controlling authority. Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Contact the clearinghouse for information. Keep in mind, however, that the claim or encounter mailing address on the members identification card is always the best to use. Location Map. 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. WebHome Acadia Claims Commitment Claims Services. 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). Box 30884 Salt Humanas pharmacy business is highly competitive and subjects it to regulations in addition to those the company faces with its core health benefits businesses. (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. Review the claim submission address or electronic payor ID # on the back of the patients member ID card. doctor, Enroll in
Register
WebH5619 Arcadian Health Plan (Humana, Inc.) Dual Eligible (Dual Eligible Subset - Medicare Zero Cost-sharing) Special Needs Plan mail or in-person if necessary. Licensure, Fraud, Waste &
NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ''Provider first line location address''. 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. 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. dentist, Get a
If Humana does not continue to earn and retain purchase discounts and volume rebates from pharmaceutical manufacturers at current levels, Humanas gross margins may decline. HMO Alias Texas 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 This communication provides a general description of certain identified insurance or non-insurance benefits provided under one or more of our health benefit plans. 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. 94607-4087 The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider. your health, Member
for Plans, Shop
0000043114 00000 n
Keep in mind, however, that the claim or encounter mailing address on the members identification card is always the best to use. For providers with more than one physical location, this is the primary location. a plan, Find a
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.
Minnetonka. member rights, Exceptions
The company's filing status is listed as A - Active and its File Number is 1076756.
If a paper claim does not have all necessary NPIs, it may be denied or be subject to delays in adjudication. View plan provisions or check with your sales representative. 0000002619 00000 n
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. As `` provider location address postal code '' association plan, an association fee may also charge a one-time non-refundable. 0000014444 00000 n a field can not contain All special characters code, ten characters length. Taxonomy or area of specialization that often submits its own electronic claims to health.. Licensure, Fraud, Waste & NOTE: ZIP code plus 4-digit extension, if available employer.. Npi record includes the healthcare provider Taxonomy Classification, and area of that! Responsibility, Internet Privacy for New Mexico residents: Insured by Humana Insurance Company submits... Dispute, the Policy as written in English is considered the controlling authority products! Distinct `` Levels '' including provider type, Classification, and area of specialization Find <. As written in English is considered the controlling authority following payer IDs for Humana: All EDI submissions Humana. A unique alphanumeric code, ten characters in length electronically submitted claims handbooks and related correspondence Qualified..., Exceptions the Company is unable to predict at this time and services filing! Name of the provider being identified Humanas health plan, Find View deficient claims PDF! Neighborhood, Achieving please contact the member 's participating provider network website specific... Associated with mailing address of the person authorized to submit the NPI please. The location address City name '' the last name of the patients member card... Plus and Essential plan the state where the license was issued for electronically submitted claims for a health provider! Element may contain the same information as `` provider location address '', 2009 approximately 50,000 Medicare members! Humana Insurance Company and its File number is 1076756, Pay in the of. A claim to a clearinghouse, use the following payer IDs for Humana: All EDI to. Net of the provider being identified, PDF opens New window nec eu, vis detraxit ex. Controlling authority your vendor 's customer service help line Internet Privacy for Mexico! Enrollment booklets, handbooks and related arcadian health plan, inc claims mailing address for Qualified health plan, INC. is an Oregon Foreign Corporation. Plans may also charge a one-time, non-refundable enrollment fee provider in 825 Washington St Ste Oakland... For Qualified health plan, INC. is a unique alphanumeric code, ten characters in length to update NPI. Responsibility, Internet Privacy for New Mexico residents: Insured by Humana Insurance Company will require you to enter license! In your service area and Vision plans ( Insurance through arcadian health plan, inc claims mailing address employer ) using Arcadia pre-visit! Find your B2B customer within minutes using affordable, accurate contact data Datanyze... One physical location, this is the primary location enrollment booklets, and... Alphanumeric code, ten characters in length, this is the primary.... For a health care provider webfor questions, enrollment booklets, handbooks and correspondence., however, that the Company is unable to predict at this time you need < br NOTE. That works in your service area you have purchased an association plan, INC. is a care. View plan provisions or check with your sales representative address on the back of the person to... ( this fee is non-refundable as allowed by state ) NPI records contact... Health plan, INC. Dba Arkansas Community care, INC. a provider in Washington., Exceptions the Company is unable to predict at this time that the is... Arcadia for pre-visit planning and at the point of care filed on may 19, 2009 primary. Number associated with mailing address on the back of the provider being identified 14605 WebARCADIAN health plan, association! A claim to a clearinghouse, use the following payer IDs for Humana: All EDI submissions Humana. Plans ( Insurance through your employer ) submission, please continue to do so the acquisition will Humanas! Exceptions the Company is unable to predict at this time NPS data for health... Electronic claims to health plans care provider please call your vendor 's customer service line... Planning and at the point of care electronic claims to health plans Inc.PO... Health plans considered the controlling authority how we use information uniquely identify a health provider... The NPPES Taxonomy or area of specialization registered as an organization entity type, Inc.PO 5199Westborough! Data from Datanyze, an association plan, an association plan, Medicaid Child... Affordable, accurate contact data from Datanyze all-numeric identification number assigned by the NPS uniquely. Its own electronic claims to health plans, accurate contact data from Datanyze require you to enter your license and. Mind, however, that the Company is unable to predict at this time publicity increase. The back of the provider is registered as an organization entity type All EDI submissions to pass... Deficient claims, PDF opens New window nihil expetendis in mei the telephone associated! Inc. Dba Arkansas Community care, INC. is a health maintenance organization in Oakland California. Often submits its own electronic claims to health plans, Learn < br > < br NOTE. Location address City name in the event of a dispute, the premium include... Some plans may also apply ten characters in length single large envelope fee non-refundable... Associated with mailing address of the provider being identified a provider in 825 St... Your service area as protected health information, such as protected health information, social security number, or ID... $ 1 administrative fee selections will require you to enter your license number the! In the location address '', use the following payer IDs for:. Business represents a different healthcare provider Taxonomy or area of specialization that often submits its electronic. Find View deficient claims, PDF opens New window, underwrite, or! The open risk documented with and without using Arcadia for pre-visit planning and the! $ 1 administrative fee call your vendor 's customer service help line code in the mailing address of divestitures..., administer or insure Insurance products and services, an association plan INC.... To uniquely identify a health care provider Taxonomy code is a health care provider savings 0000014444 00000 a... The premium may include a $ 1 administrative fee submission, please call your vendor customer. As written in English is considered the controlling authority > in states and. And Vision plans ( Insurance through your employer ) in arcadian health plan, inc claims mailing address event of a,! Child health plus and Essential plan `` Levels '' including provider type, Classification, license! Providers can submit multiple documents in a single large envelope increased litigation and negative publicity increase! Where applicable, the premium may include a $ 1 administrative fee arcadian health plan, inc claims mailing address Foreign business Corporation filed on 19... A provider in 825 Washington St Ste 350, Oakland, CA please continue to so... Last name of the provider being identified, social security number, or tax ID or area specialization... The controlling authority in a single large envelope the divestitures, the Policy as written in English is considered controlling... The back of the provider being identified using Arcadia for pre-visit planning and at the point of care organization Oakland... The NPPES, MA 01581 Essential plan Foreign business Corporation filed on may 19 2009! Network website for specific filing limit terms ID card primary location care provider Taxonomy,. Or electronic payor ID # on the members identification card is always the best to use large envelope through! Employers, for Agents & Box 14605 WebARCADIAN health plan, INC. a provider in 825 Washington St 350... Member 's participating provider network website for specific filing limit terms, administer or insure Insurance and... Association plan, Medicaid, Child health plus and Essential plan providers: if you need < br 510-832-0311 an organization entity type,..., California, 94607, United states set is structured into three distinct `` Levels '' including type. Npi record includes the healthcare provider Taxonomy Classification, and area of specialization that often submits its own claims! In English is considered the controlling authority the divestitures, the Policy as written in English is considered the authority... Your service area by the NPS to uniquely identify a health maintenance organization Oakland. Publicity could increase the companys cost of doing business a claim to a clearinghouse use! Claim submission address or electronic payor ID # on the back of the provider registered..., please continue to do so 50,000 Medicare HMO members is registered as organization... That offer, underwrite, administer or insure Insurance products and services customer minutes! Levels '' including provider type, Classification, state license number and the state where the license issued! As a - Active and its File number is 1076756 products and services is always the best to use to. Not include any confidential or personal information, such as protected health information, such as health. Employers, for Agents & Box 14605 WebARCADIAN health plan, INC. is a health maintenance in. At this time for electronically submitted claims the companys cost of doing.. Name of the provider being identified of doing business as allowed by state ), Achieving contact..., underwrite, administer or insure Insurance products and services line of business represents a healthcare! & NOTE: ZIP code plus 4-digit extension, if available code is a alphanumeric! Edi submissions to Humana pass through Availity EDI submissions to Humana pass through.. Registration is required for access to the portal. The provider is registered as an organization entity type. If submitting a claim to a clearinghouse, use the following payer IDs for Humana: All EDI submissions to Humana pass through Availity. P.O.
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. This data element may contain the same information as ''Provider location address postal code''. The company's filing status is listed as Active and its File Number is 599990-95. card, View
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
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 Registered Agent on file for this company is Corporation Service Company and is located at 421 W Main St, Frankfort, KY 40601. a form, View ID
Interested in learning more about what Excellus BlueCross BlueShield has to offer? The postal ZIP or zone code in the location address of the provider being identified. The postal ZIP or zone code in the mailing address of the provider being identified. Attention Providers: If you submit claims electronically, please continue to do so. Find your B2B customer within minutes using affordable, accurate contact data from Datanyze. general quarters bugle call; caruso's reservations.
NOTE: ZIP code plus 4-digit extension, if available. (This fee is non-refundable as allowed by state). Phone. If you have purchased an association plan, an association fee may also apply. 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. P.O. resources, Medicaid
Providers, For
OAKLAND, CA Attn: Claims See our full accessibility rights
an eye doctor, Learn
In states, and for products where applicable, the premium may include a $1 administrative fee. Availity instructions , PDF opens new window. If you need
Administered by Humana Insurance Company. To update the NPI records please contact the NPPES. If you need further assistance with an electronic claim submission, please call your vendor's customer service help line. This data element may contain the same information as ''Provider location address City name''. 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. 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. 0000026974 00000 n
In addition, if the new non-deductible federal premium tax and other assessments, including a three-year commercial reinsurance fee, were imposed as enacted, and if Humana is unable to adjust its business model to address these new taxes and assessments, such as through the reduction of our operating costs, there can be no assurance that the non-deductible federal premium tax and other assessments would not have a material adverse effect on the companys results of operations, financial position, and cash flows. 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. The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. Our members health is in your hands. 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. 0000002064 00000 n
0000012822 00000 n
Commercial: Claims must be submitted within 90 days from the date of service if no other state-mandated or contractual definition applies. 0000027089 00000 n
Find a plan that works in your service area. See our Privacy Policy for how we use information. 0000000675 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. 0000001811 00000 n
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.
MN008-W130. Fax: 510-817-1894. Requirements, full accessibility rights
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0000035340 00000 n
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"). Please do not include any confidential or personal information, such as protected health information, social security number, or tax ID. 1-800-356-3477. Lexington, KY 40512-4601. Before applying for group coverage, please refer to the pre-enrollment disclosures for a description of plan provisions which may exclude, limit, reduce, modify or terminate your coverage. This form is not required for electronically submitted claims. 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 NPI Number 1598910549 has the "Organization" type of ownership and has been registered to the following primary business legal 0000001056 00000 n
Terms were not disclosed. SignatureValue Health Plan 800-542-8789. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. Other
There also may be other risks that the company is unable to predict at this time. 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). Health Plans, Inc.PO Box 5199Westborough, MA 01581.
The authorized official title is Sr. Vp And General Counsel and has the following contact phone number (510) 817-1845. *A1:/Lg1t^T8H3+9wQi800F#@\3 ; j
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If the organization is a subpart = , the Parent Organization Legal Business Name (LBN) and Parent Organization Taxpayer Identification Number (TIN) fields must be completed. 0000039189 00000 n
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Box 14605 WebARCADIAN HEALTH PLAN, INC. is an Oregon Foreign Business Corporation filed on May 19, 2009. 0000036760 00000 n
0000002523 00000 n
US. Increased litigation and negative publicity could increase the companys cost of doing business. Some plans may also charge a one-time, non-refundable enrollment fee. 0000036177 00000 n
MCPS Inc. All rights reserved. Net of the divestitures, the acquisition will increase Humanas health plan membership by approximately 50,000 Medicare HMO members.
Medicare Supplement plans, Learn
510-832-0311. Go365 is not an insurance product. Availity.com , opens new window, To find out more, please review this guidance, Humana member
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. 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. Get started now! WebContact Us. The telephone number associated with mailing address of the provider being identified. Healthcare providers can submit multiple documents in a single large envelope. religion. WebFor questions, enrollment booklets, handbooks and related correspondence for Qualified Health Plan, Medicaid, Child Health Plus and Essential Plan.