PathWays Claims Testing Provider List
The following list of IHCP providers have successfully completed claims testing for the Indiana PathWays for Aging program under the SEA 132 claims testing opportunity. This list is divided by managed care entity and is the final list dated June 24, 2024.
ICN | Provider NPI | Provider ID | Provider Name | Provider Type Description | Anthem | Humana | UHC |
---|---|---|---|---|---|---|---|
1 | 1629679170 | 300045328 | GENTLEMIND HEALTH SERVICES | ADVANCED PRACTICE REGISTERED NURSE | ELIGIBLE | ELIGIBLE | ELIGIBLE |
2 | 1154368512 | 100367690B | ADULT & CHILD MENTAL HEALTH CTR | BEHAVIORAL HEALTH PROVIDER | ELIGIBLE | NOT ELIGIBLE | NOT ELIGIBLE |
3 | 1154368512 | 300046488 | ADULT AND CHILD MENTAL HEALTH CENTER INC | BEHAVIORAL HEALTH PROVIDER | ELIGIBLE | NOT ELIGIBLE | NOT ELIGIBLE |
4 | 1154368512 | 300048291 | ADULT AND CHILD MENTAL HEALTH CENTER INC | BEHAVIORAL HEALTH PROVIDER | ELIGIBLE | NOT ELIGIBLE | NOT ELIGIBLE |
5 | 1154368512 | 100367690A | ADULT & CHILD MENTAL HEALTH CTR-CLINICA | BEHAVIORAL HEALTH PROVIDER | ELIGIBLE | NOT ELIGIBLE | NOT ELIGIBLE |
6 | 1336510098 | 300068040 | COLUMBUS REGIONAL HEALTH PHYSICIANS, LLC | BEHAVIORAL HEALTH PROVIDER | ELIGIBLE | NOT ELIGIBLE | ELIGIBLE |
7 | 1154368512 | 300000504 | ADULT AND CHILD MENTAL HEALTH CENTER INC | BEHAVIORAL HEALTH PROVIDER | ELIGIBLE | NOT ELIGIBLE | NOT ELIGIBLE |
8 | 1154368512 | 100367690C | ADULT AND CHILD MENTAL HEATH INC | BEHAVIORAL HEALTH PROVIDER | ELIGIBLE | NOT ELIGIBLE | NOT ELIGIBLE |
9 | 1154368512 | 300008098 | ADULT AND CHILD MENTAL HEALTH CENTER INC - NORTHWO | BEHAVIORAL HEALTH PROVIDER | ELIGIBLE | NOT ELIGIBLE | NOT ELIGIBLE |
10 | 1669401212 | 300051597 | ACCESS MOBILITY, INC. | DME/MEDICAL SUPPLY DEALER | NOT ELIGIBLE | ELIGIBLE | ELIGIBLE |
11 | 1023005311 | 100274910B | NORTH CAPITOL NURSING & REHAB CTR | EXTENDED CARE FACILITY | ELIGIBLE | ELIGIBLE | ELIGIBLE |
12 | 1881966158 | 100284600A | WESTMINSTER VILLAGE NORTH | EXTENDED CARE FACILITY | ELIGIBLE | ELIGIBLE | ELIGIBLE |
13 | 1326064882 | 200247220A | OTTERBEIN FRANKLIN SENIORLIFE COMM RESIDENTIAL | EXTENDED CARE FACILITY | ELIGIBLE | ELIGIBLE | ELIGIBLE |
14 | 1164782942 | 100274440C | THE WATERS OF PRINCETON | EXTENDED CARE FACILITY | ELIGIBLE | ELIGIBLE | ELIGIBLE |
15 | 1740315878 | 100290870B | MAJESTIC CARE OF JEFFERSON POINTE | EXTENDED CARE FACILITY | ELIGIBLE | ELIGIBLE | ELIGIBLE |
16 | 1649279258 | 100267670D | HERITAGE HOUSE REHABILITATION & HEALTH CARE CENTER | EXTENDED CARE FACILITY | ELIGIBLE | ELIGIBLE | ELIGIBLE |
17 | 1801871082 | 100273920B | GOOD SAMARITIAN HOME & REHABILITATION CENTER | EXTENDED CARE FACILITY | ELIGIBLE | ELIGIBLE | ELIGIBLE |
18 | 1154362390 | 100275010A | LUTHERAN LIFE VILLAGES | EXTENDED CARE FACILITY | ELIGIBLE | ELIGIBLE | ELIGIBLE |
19 | 1760403802 | 100291110A | MILLERS MERRY MANOR | EXTENDED CARE FACILITY | ELIGIBLE | ELIGIBLE | ELIGIBLE |
20 | 1710916671 | 100267230C | HICKORY CREEK AT CRAWFORDSVILLE | EXTENDED CARE FACILITY | ELIGIBLE | ELIGIBLE | ELIGIBLE |
21 | 1619164001 | 100266550A | CAROLETON HEALTHCARE CENTER | EXTENDED CARE FACILITY | ELIGIBLE | ELIGIBLE | ELIGIBLE |
22 | 1093736076 | 200525120A | ASBURY TOWERS HEALTH CARE CENTER | EXTENDED CARE FACILITY | ELIGIBLE | ELIGIBLE | ELIGIBLE |
23 | 1972663110 | 100290330C | UNIVERSITY NURSING CENTER | EXTENDED CARE FACILITY | ELIGIBLE | ELIGIBLE | ELIGIBLE |
24 | 1790986792 | 201272600A | EVANSVILLE PROTESTANT HOME | EXTENDED CARE FACILITY | ELIGIBLE | ELIGIBLE | ELIGIBLE |
25 | 1518208289 | 100285660D | AUBURN VILLAGE | EXTENDED CARE FACILITY | ELIGIBLE | ELIGIBLE | ELIGIBLE |
26 | 1578809398 | 201002500A | CREEKSIDE VILLAGE | EXTENDED CARE FACILITY | ELIGIBLE | ELIGIBLE | ELIGIBLE |
27 | 1891031480 | 100274540A | SWISS VILLAGE INC | EXTENDED CARE FACILITY | ELIGIBLE | ELIGIBLE | ELIGIBLE |
28 | 1467509463 | 100287490C | CORE OF DALE | EXTENDED CARE FACILITY | ELIGIBLE | ELIGIBLE | ELIGIBLE |
29 | 1477994754 | 100266720C | GREAT LAKES HEALTHCARE CENTER | EXTENDED CARE FACILITY | ELIGIBLE | ELIGIBLE | ELIGIBLE |
30 | 1104855980 | 100288390E | HICKORY CREEK AT MADISON | EXTENDED CARE FACILITY | ELIGIBLE | ELIGIBLE | ELIGIBLE |
31 | 1316934706 | 100275490C | ROSEWALK VILLAGE AT LAFAYETTE | EXTENDED CARE FACILITY | ELIGIBLE | ELIGIBLE | ELIGIBLE |
32 | 1780605824 | 100290380A | MILLERS MERRY MANOR-500 WALKERTON TRAIL | EXTENDED CARE FACILITY | ELIGIBLE | ELIGIBLE | ELIGIBLE |
33 | 1336289867 | 100291120D | CLINTON HOUSE REHABILITATION AND HEALTHCARE CENTER | EXTENDED CARE FACILITY | ELIGIBLE | ELIGIBLE | ELIGIBLE |
34 | 1205852712 | 100275000A | HEALTH CENTER AT GLENBURN HOME | EXTENDED CARE FACILITY | ELIGIBLE | ELIGIBLE | ELIGIBLE |
35 | 1285681932 | 100267700A | LIFE CARE CENTER OF VALPARAISO | EXTENDED CARE FACILITY | ELIGIBLE | ELIGIBLE | ELIGIBLE |
36 | 1174870943 | 100267620A | PARK TERRACE VILLAGE | EXTENDED CARE FACILITY | ELIGIBLE | ELIGIBLE | ELIGIBLE |
37 | 1881940617 | 100290930B | CANTERBURY NURSING & REHABILITATION CTR | EXTENDED CARE FACILITY | ELIGIBLE | ELIGIBLE | ELIGIBLE |
38 | 1851474936 | 200346570A | SILVER OAKS HEALTH CAMPUS | EXTENDED CARE FACILITY | ELIGIBLE | ELIGIBLE | ELIGIBLE |
39 | 1427071869 | 100287230A | THE WATERS OF DUNKIRK SKILLED NURSING FACILITY | EXTENDED CARE FACILITY | ELIGIBLE | ELIGIBLE | ELIGIBLE |
40 | 1659466498 | 100288730A | SUMMIT HEALTH AND LIVING | EXTENDED CARE FACILITY | ELIGIBLE | ELIGIBLE | ELIGIBLE |
41 | 1811987894 | 100267610A | MAPLE MANOR CHRISTIAN HOME INC | EXTENDED CARE FACILITY | ELIGIBLE | ELIGIBLE | ELIGIBLE |
42 | 1023031465 | 100267450A | THE WATERS OF SYRACUSE SKILLED NURSING FACILITY | EXTENDED CARE FACILITY | ELIGIBLE | ELIGIBLE | ELIGIBLE |
43 | 1609212794 | 100284940B | INDIAN CREEK HEALTHCARE CENTER | EXTENDED CARE FACILITY | ELIGIBLE | ELIGIBLE | ELIGIBLE |
44 | 1518267830 | 201014060A | ALLISONVILLE MEADOWS | EXTENDED CARE FACILITY | ELIGIBLE | ELIGIBLE | ELIGIBLE |
45 | 1669826038 | 300018569 | HARRISON SPRINGS HEALTH CAMPUS | EXTENDED CARE FACILITY | ELIGIBLE | NOT ELIGIBLE | NOT ELIGIBLE |
46 | 1285729673 | 300036555 | SPRING MILL HEALTH CAMPUS | EXTENDED CARE FACILITY | ELIGIBLE | ELIGIBLE | ELIGIBLE |
47 | 1558367052 | 100267640A | MEADOWS MANOR EAST | EXTENDED CARE FACILITY | ELIGIBLE | ELIGIBLE | ELIGIBLE |
48 | 1629698808 | 300040744 | THE RESTORACY OF WHITESTOWN | EXTENDED CARE FACILITY | ELIGIBLE | ELIGIBLE | ELIGIBLE |
49 | 1558604074 | 100471000A | CROWN POINT CHRISTIAN VILLAGE | EXTENDED CARE FACILITY | ELIGIBLE | ELIGIBLE | ELIGIBLE |
50 | 1235294075 | 100266800B | HUTSONWOOD AT BRAZIL | EXTENDED CARE FACILITY | ELIGIBLE | ELIGIBLE | ELIGIBLE |