name = "Atlas Commons research objects — Medicare Advantage organization directory entry for Presbyterian Health Plan (contract H3204)"
description = "CMS Medicare Advantage Plan Directory entry for Presbyterian Health Plan (contract H3204): organization identity (type, plan type, parent, CMS region), enrollment, and directory contact — all verbatim CMS-published values (RECORDED). Epistemic status of each figure is labeled. This is an organizational directory — not plan benefits, premiums, or star ratings; use medicare.gov/plan-compare to compare actual plans. CC0."
license = "CC0-1.0"
jsonld = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-advantage/h3204.jsonld"

[[claims]]
id = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-advantage/h3204/org-identity"
warrant = "RECORDED"
name = "Presbyterian Health Plan (contract H3204) is a CMS-contracted Local CCP offering HMO/HMOPOS plans"
text = "The CMS Medicare Advantage Plan Directory records Presbyterian Health Plan (legal entity: PRESBYTERIAN HEALTH PLAN, contract number: H3204) as a Local CCP offering HMO/HMOPOS plans. Contract effective date: 04/01/1986. Tax status: For Profit. CMS region: Dallas. Parent organization: Presbyterian Healthcare Services. These are verbatim CMS directory values; accuracy depends on carrier submissions to CMS."
source = "CMS Medicare Advantage Plan Directory"
sourceUrl = "https://www.cms.gov/medicare/health-drug-plans/medicare-advantage"
falsifier = "Verify at the CMS MA Plan Directory (https://www.cms.gov/medicare/health-drug-plans/medicare-advantage) by looking up contract number H3204. Falsified if the CMS directory contradicts these values."

[[claims]]
id = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-advantage/h3204/enrollment"
warrant = "RECORDED"
name = "Presbyterian Health Plan (contract H3204) has 53,755 reported CMS enrollment"
text = "The CMS Medicare Advantage Plan Directory reports enrollment of 53,755 for Presbyterian Health Plan (contract H3204). This is a verbatim CMS-published figure from the plan directory — it is the enrollment as submitted to CMS, not a count of current active members or a ranked figure."
source = "CMS Medicare Advantage Plan Directory"
sourceUrl = "https://www.cms.gov/medicare/health-drug-plans/medicare-advantage"
falsifier = "Verify at the CMS MA Plan Directory for contract H3204. Falsified if the CMS directory shows a different enrollment figure."

[[claims]]
id = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-advantage/h3204/directory-contact"
warrant = "RECORDED"
name = "CMS MA Plan Directory contact for Presbyterian Health Plan (contract H3204)"
text = "The CMS MA Plan Directory lists the following directory contact for Presbyterian Health Plan (contract H3204): name: PCSC Provider Care Unit; title: Presbyterian Customer Ser; phone: 1-505-923-5757; email: info@phs.org; address: 9521 San Mateo Blvd NE, Albuquerque, NM, 87113. Last updated per CMS: 01/18/2018. This is the contact as submitted by the organization to CMS — it is not a consumer help line; it is the CMS-directory administrative contact."
source = "CMS Medicare Advantage Plan Directory"
sourceUrl = "https://www.cms.gov/medicare/health-drug-plans/medicare-advantage"
falsifier = "Verify at the CMS MA Plan Directory for contract H3204. Falsified if the CMS directory shows different contact information."

[[claims]]
id = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-advantage/h3204/boundary"
warrant = "INTERPRETATION"
name = "What this Medicare Advantage directory entry is — and is NOT — for Presbyterian Health Plan (the epistemic boundary)"
text = "This page is a directory of the organization offering Medicare Advantage / PACE plans under CMS contract H3204. It lists who the organization is, its type, parent, CMS region, and enrollment — verbatim from the CMS MA Plan Directory. It is NOT a directory of individual plan benefits, premiums, deductibles, drug formularies, or star ratings. Enrollment is a CMS-reported count, not a quality signal. To compare actual Medicare Advantage plans available in your area — including premiums, coverage, and star ratings — use the official Medicare Plan Finder at medicare.gov/plan-compare. For free, unbiased help understanding your Medicare options, contact your State Health Insurance Assistance Program (SHIP) or call 1-800-MEDICARE (1-800-633-4227)."
source = "Coverage Atlas framing (over the CMS MA Plan Directory facts above)"
sourceUrl = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-advantage/h3204"
falsifier = "occurred=FALSE (a framing, not an event) and adjudged=FALSE (the atlas's reading, not a CMS verdict) — the LOWEST-warrant claim here. The org identity, enrollment, and contact above are verbatim CMS records; this boundary note is interpretation."

[[maPlanIdentity]]
indicator = "Contract number"
value = "H3204"
warrant = "RECORDED"
source = "CMS Medicare Advantage Plan Directory"

[[maPlanIdentity]]
indicator = "Legal entity name"
value = "PRESBYTERIAN HEALTH PLAN"
warrant = "RECORDED"
source = "CMS Medicare Advantage Plan Directory"

[[maPlanIdentity]]
indicator = "Organization marketing name"
value = "Presbyterian Health Plan"
warrant = "RECORDED"
source = "CMS Medicare Advantage Plan Directory"

[[maPlanIdentity]]
indicator = "Organization type"
value = "Local CCP"
warrant = "RECORDED"
source = "CMS Medicare Advantage Plan Directory"

[[maPlanIdentity]]
indicator = "Plan type"
value = "HMO/HMOPOS"
warrant = "RECORDED"
source = "CMS Medicare Advantage Plan Directory"

[[maPlanIdentity]]
indicator = "Contract effective date"
value = "04/01/1986"
warrant = "RECORDED"
source = "CMS Medicare Advantage Plan Directory"

[[maPlanIdentity]]
indicator = "Tax status"
value = "For Profit"
warrant = "RECORDED"
source = "CMS Medicare Advantage Plan Directory"

[[maPlanIdentity]]
indicator = "Parent organization"
value = "Presbyterian Healthcare Services"
warrant = "RECORDED"
source = "CMS Medicare Advantage Plan Directory"

[[maPlanIdentity]]
indicator = "CMS region"
value = "Dallas"
warrant = "RECORDED"
source = "CMS Medicare Advantage Plan Directory"

[[maPlanIdentity]]
indicator = "Enrollment (CMS-reported)"
value = "53,755"
warrant = "RECORDED"
source = "CMS Medicare Advantage Plan Directory"

[[maPlanIdentity]]
indicator = "Legal entity address"
value = "9521 San Mateo Blvd. NE, P.O. Box 27489, Albuquerque, NM, 87113"
warrant = "RECORDED"
source = "CMS Medicare Advantage Plan Directory"

[[maPlanContact]]
field = "Contact name"
value = "PCSC Provider Care Unit"
warrant = "RECORDED"
source = "CMS Medicare Advantage Plan Directory"

[[maPlanContact]]
field = "Contact title"
value = "Presbyterian Customer Ser"
warrant = "RECORDED"
source = "CMS Medicare Advantage Plan Directory"

[[maPlanContact]]
field = "Contact phone"
value = "1-505-923-5757"
warrant = "RECORDED"
source = "CMS Medicare Advantage Plan Directory"

[[maPlanContact]]
field = "Contact fax"
value = "1-505-923-5124"
warrant = "RECORDED"
source = "CMS Medicare Advantage Plan Directory"

[[maPlanContact]]
field = "Contact email"
value = "info@phs.org"
warrant = "RECORDED"
source = "CMS Medicare Advantage Plan Directory"

[[maPlanContact]]
field = "Contact address"
value = "9521 San Mateo Blvd NE, Albuquerque, NM, 87113"
warrant = "RECORDED"
source = "CMS Medicare Advantage Plan Directory"

[[maPlanContact]]
field = "Contact last updated"
value = "01/18/2018"
warrant = "RECORDED"
source = "CMS Medicare Advantage Plan Directory"
