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AlaskaCare Defined Benefit Retiree Plan FAQ
The below information is provided for informational purposes. In the event of a conflict between the below information and the AlaskaCare Plan Document, the plan document controls.
For answers to frequently asked questions concerning the Defined Contribution Retiree plan click here.
- Why have I received two ID cards?
- My ID card hasn't arrived, what should I do?
- How do I install the iTriage app on my mobile device?
- Download or update the free iTriage App from your App store/Google Play Store
- Create a "MyiTriage" account (found in the lower left of the standard app)
- Choose "My Insurance" and then select "Aetna" as your insurance carrier.
- Enter your Aetna Member ID and Group Number as they appear on your ID card. If entered correctly, Member ID and Group Number will be validated
- Select "Link Aetna Navigator Account" and add your Aetna Navigator login and password*
- Why isn't preventive care covered by my AlaskaCare Retiree Health Plan?
- Why aren't dependents covered to age 26 under the Retiree health plan?
- What is recognized charge?
- The amount the provider bills, or
- The 90th percentile of the prevailing charge rate for the geographic area where the service is furnished. The 90th percentile of the prevailing charge rate means the charge that is at or below 90% for all of the charges reported for a service within a specific geographic area.
- How is the recognized charge amount determined?
- How does the plan know that FAIR Health's information is reliable?
- How are the services identified in the FAIR Health database?
- How are the geographical areas determined?
- 995—including Anchorage, Bethel, etc.
- 996—including Homer, Kodiak, etc.
- 997—including Fairbanks, Kotzebue, etc.
- 998—including Juneau, Sitka, etc.
- 999—including Ketchikan, Prince of Wales, Wrangell, etc.
- What if there are not enough occurrences of a procedure in a particular geozip?
- What factors can affect the recognized charge?
- Billing errors: when a provider makes a mistake on either the procedure code or zip code.
- Multiple procedures: when a provider performs multiple surgical procedures during a single session. The standard practice in such cases is to bill 100% for the primary (largest) procedure, 50% for the secondary procedure and 25% for all others. However, incidental items that require little or no additional time should not have an additional fee.
- Unbundling: when a provider shows separate codes on the bill for related or incidental services. For example, instead of being billed separately, related blood tests performed at the same time should be billed under a single General Health Panel code.
- How can I make sure an out-of--network provider's rate will be within the recognized charge?
- When I use an out-of -network provider, how much of the bill am I responsible for?
- What should I do if my out-of-network provider charges more than the recognized charge?
- Consider reducing or waiving their fee to meet the recognized charge amount;
- Review the bill to ensure the correct procedure code and amount was used (and if not, submit a corrected bill to the plan);
- Confirm that the out-of-network provider charged their normal fee for the service, or if the out-of-network provider increased the charge due to unusual circumstances. If so, ask the out-of-network provider to either submit a corrected bill to the plan or provide a written explanation so you may file an appeal with the plan.
- Is the recognized charges provision a change?
- As our claims administrator, what are Aetna's policies for claims reimbursement?
- The duration and complexity of a service;
- Whether multiple procedures are billed at the same time, but no additional overhead is required;
- Whether an assistant surgeon is involved and necessary for the service;
- Whether follow up care is included in the price of the service;
- Whether there are any other characteristics that may modify or make a particular service unique; or
- When a charge includes more than one claim line, whether any service described by a claim line is part of or incidental to the primary service provided.
- Policies developed for Medicare;
- Peer-reviewed, published medical journals;
- Available studies on a particular topic;
- Evidence-based consensus statements;
- Expert opinions of health care professionals;
- Guidelines from nationally recognized health care organizations.
- When I use an out-of -network provider, how much of the bill am I responsible for?
- How can I appeal a recognized charge determination for an out-of-network provider?
- Where can I get more information about recognized charges?
- How do I avoid recognized charge issues?
To improve our network and customer service, AlaskaCare selected Aetna to administer all medical and pharmacy claims and Moda Health to administer all dental claims. In the past, these services had been provided by a single company. You should have received a medical ID card from Aetna and a dental ID card from Moda to use when visiting your health care provider or pharmacy.
Medical/Rx ID Card
If your ID card hasn't arrived, you can view and print your Medical/Prescription ID card or download the mobile app that displays the ID card on your smartphone. Note: Aetna Navigator registration required.
You can use your Social Security number to register or call the Aetna health concierge (855) 784-8646 for assistance.
Dental ID Card
To print your Moda Health/Delta Dental of Alaska ID card or download the MyModa mobile app, register on the MyModa Web site or call Moda at (855) 718-1768.
*If you don't already have an Aetna Navigator account, you will be able to create one on this page.
Preventive care was not part of the original benefits covered by the AlaskaCare Retiree plan when it was created in 1975. The Division of Retirement and Benefits understands that there is strong interest in adding these benefits to the retiree health plan and is exploring options to do so while remaining cost neutral.
The rule requiring health plans to extend dependent coverage up to age 26, regardless of financial dependency, student status, employment or marital status, doesn't apply to AlaskaCare retiree health benefits because the plan is exempt from Affordable Care Act requirements. The Division of Retirement and Benefits understands that there is strong interest in adding these benefits to the retiree health plan and is exploring options to do so while remaining cost neutral.
A recognized charge is the maximum amount that AlaskaCare's Medical, Vision and Audio plans will pay for a covered service. The term recognized charge is sometimes referred to as the usual, customary and reasonable (UCR ) charge or the maximum allowed charge.
An out-of-network provider has the right to bill you for the difference between the recognized charge and the actual charge. This is sometimes referred to as balance billing.
When you use a network provider, you are not subject to balance billing for covered services. In other words, the provider has agreed to accept, as payment in full, the recognized charge for the service provided. You are only responsible for payment of other applicable charges such as deductibles, co-insurance, and/or non-covered charges.
The recognized charge is the lesser of:
The recognized charge for out-of-network providers is the 90th percentile of the prevailing charge rate for the geographic area where the service is furnished. The AlaskaCare plans establish the percentile (i.e., 90th percentile) to be applied to the prevailing charge rate; however, the prevailing charge rate is reported by FAIR Health, an independent not-for-profit corporation. FAIR Health collects charge data from claims received by insurance plans and health plan administrators across the country for charges billed by physicians, hospitals and other healthcare providers. Charges reported are the full fees that healthcare professionals report to insurers as part of the claims process—not the negotiated rates that apply when visiting a network provider. Charges reported are maintained by FAIR Health in its database which is comprised of billions of claims for billed medical procedures from across the United States. New charge data are continually added to the FAIR Health database.
FAIR Health has audit and validation programs in place to ensure the integrity of its data. Part of the validation process entails testing the data with statistical algorithms and examination by FAIR Health's in-house statistical and technology experts. A team of healthcare researchers from leading academic institutions advise FAIR Health on the best methods for analyzing its national claims data. FAIR Health is also advised by an independent Scientific Advisory Board of prominent researchers who review Fair Health's statistical methods and data. FAIR Health also seeks input from other stakeholders such as consumer and patient advocacy groups, healthcare providers, actuaries and federal officials.
Each specific service, procedure or supply in the FAIR Health database has a unique Current Procedural Terminology (CPT) code. CPT codes are numbers assigned to medical services and procedures. CPT codes are part of a uniform system of coding maintained by the American Medical Association and are used by providers, facilities and insurers. Each CPT code is unique. There are currently over 10,000 medical services and procedures classified by CPT code. Most CPT codes are very specific. For example, the CPT code for a 15-minute office visit is different from the CPT code for a 30-minute office visit.
FAIR Health organizes its data by geozip—geographical area usually defined by the first three digits of the U.S. zip codes. Geozips may include areas defined by one three-digit zip code or a group of three-digit zip codes. Geozips generally do not include zip codes in different states. The State of Alaska is currently defined into five geozips:
When the volume of claims is insufficient to create a benchmark based on actual data, geozips 995 and 997 and geozips 996 and 998 will be combined. If the volume of claims is still insufficient, the benchmarks will be derived.
If there are fewer than nine occurrences of a procedure in a geographic area, the plan uses FAIR Health's "derived charge data" instead. This data is based on the charges for comparable services, multiplied by a factor that takes into account the relative complexity of the service. If this information cannot be obtained locally, then national data is used.
The following factors can affect the recognized charge:
You can verify whether an out-of-network provider's charges are within the recognized charge by calling the Aetna Concierge and providing the following information: (1) the procedure code, (2) the zip code where the service is to be performed, and (3) the projected cost. Aetna will use this information to estimate whether the proposed amount is within the recognized charge. Remember, if you use an Aetna network provider, those providers have already contracted with Aetna to offer discounted fees and those discounted fees are deemed to be within the recognized charge.
If you use an out-of-network provider, you are responsible for the difference between the recognized charge and the amount charged by the provider in addition to other applicable charges such as deductibles, co-payments, co-insurance and non-covered charges.
If the out-of-network provider's claim exceeds the recognized charge, and you have already paid your out-of-network cost-sharing amount, wait for the provider to send you a bill, since the out-of-network provider may adjust their charges after reviewing the claim payment. If not, ask the out-of-network provider to:
No, the plan has always determined claims payment based upon the recognized charge. Prior to January 1, 2014, AlaskaCare plan documents referred to the recognized charge as the "usual, customary and reasonable (UCR) charge or the "maximum allowed charge."
Aetna's claim reimbursement policies address the appropriate billing of services, taking into account factors that are relevant to the cost of the service such as:
These claim reimbursement policies are based on:
If you use an out-of-network provider, you are responsible for the difference between the recognized charge and the amount charged by the provider in addition to other applicable charges such as deductibles, co-payments, co-insurance and non-covered charges.
You may appeal a recognized charge determination by providing additional information to indicate why the recognized charge was not correct, such as incorrect procedure codes, an incorrect zip code, etc. Information on appealing claim decisions is available in the AlaskaCare plan documents.
Specific plan language regarding recognized charges is available in the January 1, 2014, AlaskaCare Retiree Health Plan Amendment on pages 16 through 18 and in the AlaskaCare Employee Health Plan on pages 187 through 189.
See a network provider if one is available. When you see a network provider, the plan will pay based on the lesser of the billed amount or the provider's discounted fee amount.
- I'm a retiree; why should I use a network provider?
- What is balance billing?
- If I have a procedure or service at a network facility, can I be balance billed?
- How do I avoid receiving a balance bill?
- What if there is no network provider available?
- Is there a "network" for durable medical equipment (DME)?
Using "network" providers can provide substantial benefits to members through the elimination of what's known as "balance billing." It can also generate substantial savings to members through negotiated provider discounts. To find out whether your doctor is a member of the Aetna network, call Aetna's Health Concierge at (855) 784-8646 or select the "Find a Doctor" button on our Web site at AlaskaCare.gov. To find out whether your dentist is a member of the Moda/Delta Dental network call Moda/Delta Dental at (855) 718-1768 or select the "Find a Dentist" button on our website.
The AlaskaCare plans limit payment of covered services to the recognized charge. The recognized charge is the maximum amount the AlaskaCare plans will pay for a covered service. Aetna and Moda/Delta Dental, and their respective network providers (sometimes referred to as participating providers), agree to a set of discounted negotiated rates for services provided. The recognized charge for network providers is the negotiated rate. For an explanation of how the recognized charge is calculated for out-of-network providers, please see the recognized charge questions under the Network and Dental sections.
An out-of-network provider has the right to bill you for the difference between the recognized charge and the actual charge. This is often referred to as balance billing. Network providers have agreed to accept, as payment in full, the negotiated charge. Therefore, you are not subject to balance billing when you use a network provider.
You may find that not all providers at a "network" facility are part of the Aetna network. For example, if you have a surgical procedure performed at a network hospital, you may find that the hospital and surgeon are in the network, but the anesthesiologist is out-of-network. When you get your bill, you'll see that it reflects the negotiated network rates for your hospital and surgeon. The anesthesiologist, however, may charge what s/he chooses since s/he has no negotiated contract with Aetna. If the anesthesiologist claim exceeds the recognized charge, you may receive a bill for the balance.
You may prevent balance billing by verifying all medical providers are in the Aetna network and making sure your AlaskaCare Plan covers the services you need. For example, if you're having x-rays, MRIs, CT scans, or PET scans, make sure both the imaging facility and the radiologist who will read your scan are in the network. If you're planning surgery, ask whether the anesthesiologists are in the network. If available, the facility should accommodate your request to use a network provider for your services.
Similarly, for AlaskaCare covered dental services, you may prevent balance billing by verifying the provider is in the Moda/Delta Dental network.
If your provider is not a network provider, you may ask for an estimate of charges, the codes that will be used use for billing, and the provider's zip code. When you receive this information, contact the Aetna Concierge at (855) 784-8646 or Moda/Delta Dental at (855) 718-1768. A member of the Aetna Concierge or Moda Customer Service team can review the estimated charges and will advise you if the charges fall within the recognized charge for your area. If the estimated charges exceed the recognized charge, you may request that your provider accept that amount and not balance bill you, or you may request payment arrangements with their office.
If your current provider is not listed as a network provider, you can ask your provider to contact Aetna at (800) 720-4009 or Moda at (855) 718-1768 for a participation application. Members are also encouraged to nominate their out-of-network providers to join the network. Contact the Aetna Concierge or Moda Customer Service to find out how.
In some cases, unfortunately, there will not be a network provider for the service you need in your area. The Division, Aetna and Moda/Delta Dental are working diligently to improve network access, but please understand that we cannot force providers into the network.
Aetna does have a DME national provider listing on their DocFind website. To get the current listing, go to =AlaskaCare.gov and select the Find a Doctor tool. In DocFind under the "Search by Location" tab, use the "Search for:" drop down menu to select Other (X-ray, Surg Ctrs; Med Equip, etc.) and the "Type:" drop down menu to select Durable Medical Equipment-National.
For local DME providers, change the "Type:" to Durable Medical Equipment-Local and enter the appropriate zip code and plan.
Affordable Care Act
- How will the Cadillac tax affect me?
Only those health plans that cost more than $10,200 per year for an individual and $27,500 per year for a family will potentially be impacted by the tax.
The AlaskaCare Retiree health plan is not exempt from the Cadillac tax. Based on the current valuation, our benefits consultants estimate that the retiree plan would not meet the Cadillac tax threshold until 2038.
Dental, Vision, Long Term Care (LTC), accident/disability, and fixed indemnity plans paid with post-tax dollars are excluded from the Cadillac tax calculations. Retiree Dental, Vision and LTC premiums are paid with post-tax dollars, and are therefore excluded.
- Why do I need to purchase Medicare Part B?
- Do I need to get Medicare part D?
- Do I need to get Medicare part C?
- Do I need to sign up for or purchase Medicare part A?
The AlaskaCare Retiree health plan was created by statute to provide health coverage to eligible retirees and their dependents in 1975. Alaska Statute Sec. 39.35.535(b) requires that the retiree health plan become supplemental to federal old age benefits available at age 65. This statute has been in effect since 1975. The Retiree Insurance Information Booklet section titled, "Effect of Medicare", states: "If you do not enroll in Medicare coverage the estimated amount Medicare would have paid will be deducted from your claim before processing by this plan."
If you are currently eligible for Medicare, or when you become eligible for Medicare, you will be automatically enrolled in the AlaskaCare EGWP plan (a group Medicare Part D plan) by the Division of Retirement and Benefits. You do not need to enroll in an individual Medicare Part D plan. For more information, watch our video on EGWP here.
You are not required to take part in Medicare part C. Part C plans are Medicare Advantage plans provided by private insurers for members who live outside the State of Alaska. They cover the same services as Medicare Part A and B combined as well as some supplemental benefits. The AlaskaCare plan acts as a supplemental plan for Medicare eligible retirees.
If you are not provided with Medicare Part A free of charge, you should submit a copy of your letter from Medicare stating that you are not eligible to the Division of Retirement and Benefits. Everyone is eligible for Medicare Part B.
- Why has my vision claim been denied?
- Aetna asked some members to provide a Medicare Explanation of Benefits (EOB) document to support a routine vision claim. AlaskaCare is the primary payer for routine vision benefits—a Medicare EOB should not be needed. Be sure to note that Medicare does cover certain vision exams (for example, glaucoma screenings for people with diabetes). When you receive these services, Aetna may contact you to request a Medicare EOB.
- Vision Claims Denied as Not Covered. Aetna erroneously denied some members' vision services. Aetna updated its claims system mid-May and has reprocessed impacted claims retroactive to January 1, 2014.
- What should I do if my provider tells me I don't have vision coverage but I know I do?
- How do I find a network vision provider?
- Is my provider required to submit my claims for me?
- What should I do if I am only enrolled in the AlaskaCare dental-vision-audio plan (but not the medical plan) and do not have an ID card to show my provider?
- What is VSP?
Many retirees have reported that Aetna denied their vision claims in error. Over the past few months, Aetna completed a thorough review of AlaskaCare vision claims and identified a few issues, which, at this point should be resolved. Here's what happened:
Providers may receive incorrect information when verifying your vision benefits through Aetna's self-service tool. While Aetna continues to update its systems, you can call the Aetna Concierge at (855) 784-8646 to verify your vision benefits.
The AlaskaCare Retiree Vision Plan does not have a network. This means you may choose to see any provider and receive plan benefits for covered services.
No, you are responsible for submitting your vision claims to Aetna for processing. Your provider may be willing to file the claim for you, but it is the member's responsibility. View the Vision Benefits Claim form [PDF 597K]...
For the AlaskaCare Retiree Vision and Audio Plans, you may print an ID card that includes your name and Aetna ID number by logging on to Aetna's online Navigator tool and clicking "Get an ID Card." If you are not registered for Aetna Navigator, you may call Aetna Concierge at (855) 784-8646 to obtain your Aetna ID number to give your provider.
For the AlaskaCare Retiree Dental Plan, Moda Health/Delta Dental will send you an ID card for your dental services. If you need assistance with your dental cards, please contact their Customer Service Center at (855) 718-1768.
The Vision Services Plan (VSP) is the vision plan currently provided under the AlaskaCare Employee Health Plan. The VSP is currently not available under the retiree plan. The VSP has a similar benefit structure to our existing retiree vision plan, and offers discounts and exclusive savings to our members. The VSP vision network has over 63,000 access points across the country, including retail outlets, such as Costco and Walmart. Under VSP, members have the freedom to choose any eye care provider, but your benefits may differ from the coverage you receive with a VSP doctor. We have received requests to consider VSP for inclusion under the retiree plan and we are evaluating the feasibility of this plan for AlaskaCare retirees. Read more...
- Is nitrous oxide covered by my dental plan?
- Why are cleanings limited to once every six months?
- What if my health condition makes more frequent cleanings necessary?
- Two cleanings per year, under normal circumstances.
- Up to three cleanings per year for pregnancy.
- Up to four cleanings per year for diabetes or periodontal disease.
- Additional cleanings are available when dentally or medically necessary with Moda/Delta Dental of Alaska priorapproval.
- What is the dental plan recognized charge?
- 100% of the covered expense;
- 100% of the provider's accepted filed fee with Delta Dental; or
- 100% of the provider's billed charge.
- The provider's billed charge; or
- 75% of the 80th percentile of the prevailing charge rate as determined by Delta Dental.
- The provider's billed charge; or
- the prevailing charge rate as determined by Delta Dental.
- How is recognized charge determined in Alaska?
- How is the prevailing charge determined in Alaska?
- The 80th percentile is determined statewide in order to maximize the statistical significance of the calculation.
- Additional data sources are compared to the results of the 80th percentile calculation for consistency purposes. Other data sources reviewed by Delta Dental are:
- The Delta Dental Submitted Charges Database (DSC): This dataset is maintained by Delta Dental nationally and includes submitted charges from all Delta Plans for services rendered in Alaska.
- The rates reported by Fair Health, an independent non-profit corporation.
- Market research on prevailing charges used by other insurance carriers.
- c) For each procedure code, the current prevailing charge is compared to the 80th percentile calculation. Any changes to the current prevailing charge indicated by the 80th percentile calculation must be consistent with the other data sources referenced above. For new procedure codes, or those where there are too few procedures for a statistically valid 80th percentile calculation, additional considerations taken into account are:
- The complexity of the service or supply.
- The degree of skill needed, and
- The cost of any materials required for the service.
- When a change in the prevailing charge is indicated, the change is limited to maximum percentage change unless otherwise indicated.
- Is this same 80th percentile calculation used for specialists?
- How does the prevailing charge rate determination differ outside of Alaska?
After talking to our members, we have added coverage for nitrous oxide to the dental plan. This change is retroactive to January 1, 2014. Denied claims were automatically reprocessed. If you have had a claim for nitrous oxide denied and have not received a revised Explanation of Benefits, please contact Moda/Delta Dental at (855) 718-1768.
Some of our members have advised us of scheduling challenges when making appointments, especially for those members that have to travel to see a dentist. To address this issue, we have changed the frequency for exams and cleanings from once every 6 months, to twice per benefit year.
Recognizing that some members may need more frequent cleanings, we have increased the frequency limits in some cases. Your dental professional can contact Moda/Delta Dental to determine if cleanings in excess of the following limits can be approved.
The AlaskaCare Dental Plans limit payment of covered services to the recognized charge.
An out-of-network provider has the right to bill you for the difference between the recognized charge and the actual charge. This is sometimes referred to as balance billing.
When you use a Delta Dental network provider, you are not subject to balance billing for covered services. In other words, the provider has agreed to accept, as payment in full, the recognized charge for the service provided. You are only responsible for payment of applicable deductibles, co-insurance and/or non-covered charges.
The recognized charge is the maximum amount the AlaskaCare Dental Plans will pay for a covered service.
The recognized charge for each service or supply provided by a network provider in Alaska is the lesser of:
The recognized charge for out-of-network providers in Alaska is the lesser of:
The recognized charge for out-of-network providers outside Alaska is the lesser of:
Delta Dental of Alaska maintains a database of billed charges from its adjudicated claims in Alaska. The 80th percentile is calculated for every American Dental Association (ADA) procedure code using a statistically valid methodology, which removes outlier charges. This calculation is based on the most recent 12 months of processed claims and serves as the starting point for determining updates to the prevailing charges.
Delta Dental of Alaska incorporates a number of additional processes in order to validate the results of the 80th percentile calculation before making changes to the prevailing charges:
If the service provided by the specialist is exactly the same as that provided by the general dentist, the prevailing charge is the same for both (e.g. full mouth X-rays). However, if the services provided are specific to a specialist's training, the specialist will be reimbursed at a higher prevailing charge.
The prevailing charge is determined by Delta Dental methodology for each individual state. If you are receiving services at an out-of-network provider outside of Alaska, please contact Moda Health/Delta Dental at (888) 718-1768 for more details.
Medical Necessity
- What is "medical necessity?"
- How does Aetna determine if a service or supply is medically necessary?
- Reports in published, peer-reviewed medical literature
- Studies on a particular topic
- Evidence-based consensus statements
- Expert opinions of health care professionals
- Guidelines published by nationally recognized health care organizations that include supporting scientific data
- Are there any limitations as to what kinds of services and supplies can be considered medically necessary?
- Do not require the technical skills of health care professionals who are acting within the scope of their license
- Are provided mainly for the personal comfort or convenience of you, your family, anyone who cares for you, a health care provider, or a health care facility
- Are provided only because you are in the hospital on a day when you could safely and adequately be diagnosed or treated elsewhere, or
- Are provided only because of where you are receiving the service or supply, if it can be provided in a doctor's or dentist's office or other less costly place.
- If a service or supply fits the definition of medical necessity, is it always covered by the plan?
- It is specifically excluded, or
- The duration of the medically necessary service reaches a plan limitation (for example, some benefits are limited to a certain number of days or visits).
- Shouldn't medical necessity be defined by the plan document, and not the Third-Party Administrator?
- If my doctor recommended the treatment isn't that enough to support medical necessity?
- What can I do if a claim is denied because the third-party administrator determined my service is not medically necessary?
Medical necessity is one factor the AlaskaCare health plans consider in determining whether to provide coverage for a service or supply. The AlaskaCare health plans do not pay for services or supplies that are not medically necessary, such as cosmetic procedures.
The AlaskaCare medical plans use Aetna's current Medical and Pharmacy Clinical Policy Bulletins to determine medical necessity. Access the bulletins...
Determinations of medical necessity for dental procedures are made by Moda Health.
Aetna's clinical policy bulletins are based on:
Under the AlaskaCare plans, services or supplies are never considered medically necessary if they:
No, not all medically necessary services or supplies are covered by a health plan. For example, a medically necessary service or supply is not covered by the AlaskaCare plans when:
The number of medically necessary procedures and unique circumstances of their application, are virtually limitless. Thus, it is simply not feasible to produce a plan document that can account for every scenario.
Determinations of medical necessity are part of the claims processing function. Because AlaskaCare contracts with a Third-Party Administrator (TPA) to perform this function, it is the TPA who makes determinations of medical necessity as part of the claims processing function. This is not new. Prior TPAs also made medical necessity determinations as part of the claims processing function for the AlaskaCare plans. What is new is the publication of the data used by the TPA to make medical necessity determinations. This information is now available to AlaskaCare plan members through Aetna's contract with the State.
The clinical policy bulletins provided by Aetna set guidelines that are transparent to members and their physicians, and clearly show the medical evidence relied upon to make the determination. The evidence basis of the policy bulletins are reviewed regularly and the bulletins are updated as necessary. Medical providers can also request peer-to-peer review with a TPA medical director to present additional medical evidence for consideration.
The National Institute of Health estimates that nearly 30% of all medical procedures or services performed in the United States are either unnecessary and provide no benefit to the patient, or even worse, are harmful. Aetna's clinical policy bulletins rely on medical evidence to make decisions about coverage that are weighed against clinically accepted standards of medical practice.
We encourage you to have your doctor review the clinical policy bulletins used to guide coverage decisions related to medical necessity. After your provider completes this review, and if they disagree, your provider may request a pre-determination of coverage and present additional medical evidence for consideration during the pre-determination review.
To review your doctor's recommended treatment plan, and verify whether the services or supplies fit the definition of medical necessity, contact Moda Health at (855) 718-1768 for services covered under the dental plan, or contact the Aetna Concierge at (855) 784-8646 for services covered under the medical plan.
If there continues to be a difference in opinion, you or your provider are encouraged to appeal the coverage decision.
If a claim is denied based on a medical necessity, you may request an explanation of the scientific or clinical judgment for the determination, free of charge.
If you believe it's warranted, you may also initiate written appeal to the plan. The Employee Plan Booklet and the Retiree Plan Amendment describe the process and timeline required for submitting an appeal.
Effective January 1, 2014, the appeals process use by AlaskaCare was enhanced to allow for the use of Independent Review Organizations (IRO) at level 2 of the appeals process. Use of an IRO allows for an impartial review by a third-party medical expert when there is disagreement regarding medical necessity


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ljjmv on Family Tree Circles
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Journals and Posts
Searching for Family; Hattabaugh, Blackwood, Fleenor, Trueblood, Walker
Hello, I am an descendant of the Hattabaugh's who came to southern Indiana from Virginia and Pennsylvania. My great-grandfathers, grandfather, and great-grandmothers, are all from, originally, Jackson and Washington County, Indiana. The Vallonia area is where my grandfather Ivan Chester Hattabaugh was born in 1910. He was the 3rd son of Clarence and Willie Blackwood Hattabaugh. Clarence moved to the northern part of the state to farm for a man, who owned property in both Jackson County and White County. My great-grandfather died in 1918 in White County, Indiana, but most of his family as well as Willie's family was in Jackson County. Clarence's parents were Newton and Josephine Fleenor Hattabaugh. Newton's father was Jonathan and Elizabeth Walker Hattabaugh. Jonathan's parents were Michael and Jane Stalker Hattabaugh.
Now, Willie's parents were William Lafayette and Almeda Crowe Blackwood, and William's parents were Ira and Paulina Hattabaugh Blackwood. Josephine Fleenor Hattabaugh's parents were James and Phoebe Trueblood Fleenor. I'm searching and trying to put this all together. I'd love to find some photographs of these ancestors and learn some history of the family. I have been to Jackson County several times as a child and as an adult. I would love to correspond with anyone who is searching for thier ancestry as well. Send me a note and I'll be happy to reply. (note, I travel in my job, so I may not a answer right away,but within the week, I will get back to you.) Thanks Lillian "Joanie" Hattabaugh Vajda-Geron.
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It was a road trip Travis Snider had been waiting for the entire season.
Snider and his Toronto Blue Jays teammates flew to Seattle on a Sunday evening last July, one day before opening a series against the Mariners. Snider, who grew up in Mill Creek and owns a home near the city, had invited some teammates over that night for a few hours of eating and hanging out, with Snider manning the barbecue and playing the amiable host.
The next night Toronto and the Mariners squared off at Safeco Field. And at that point, Snider recalls, the road trip went awry.
Because in the seventh inning of the series opener, Snider was called off the field and told that he'd been traded to the Pittsburgh Pirates. He later went to dinner with his family to celebrate his sister's birthday, then caught at an early flight the next morning to Chicago, where he joined his new team for a game against the Cubs.
From the moment he found out about the trade, Snider was caught up in a logistical and emotional whirlwind.
"For the next 24 hours, everything was going about a million miles a second," Snider said. One silver lining, he went on, "was that it happened at home, so it was nice that I at least had some good people to lean on."
But after years of wearing Blue Jays blue, "it was pretty surreal for the next week to look in the mirror and see (a Pirates uniform of) black and gold," he said.
Snider was an elite prospect when he graduated from Jackson High School in 2006. A few days later he was selected by the Blue Jays in the first round of the Major League Baseball draft, the No. 14 pick overall. Just 18 years old when he signed his first pro contract and 20 when he reached the major leagues, his baseball future seemed rosy.
But as Snider would come to learn — frustratingly at times, painfully at others — even top prospects encounter bumps along the way.
"For me, the idea of failure at the major-league level when I was sent down (to the minors) the first time really shocked my world," he said. "I was so confident. I had almost an untouchable feeling. I'd accomplished so many goals so quickly, and I was at the point that I'd dreamed of.
"When I got to the big leagues at 20, that was exciting for me, my family, my friends and for everybody who helped me get there. But I know now that just because you get there at 20 doesn't mean you're going to stay there."
Since being promoted to Toronto in 2008, Snider has spent parts of five seasons in the big leagues. But he has also spent parts of those same five seasons in the minors, and each time the demotion has been disappointing, even discouraging.
Some of his setbacks "kind of got me off course," Snider admitted. Because in professional sports, "there are going to be times when you fail. And there are going to be times you have to check your ego, check your attitude.
"It's been a great learning experience for me, experiencing this failure," he said.
Snider's best major league season was in 2010 when he batted .255 with 14 home runs and 32 RBI in 82 games. But a slow start in 2011 got him sent to Class AAA, and he was later called up and then sent down again before a wrist injury ended his season.
He began last season at AAA before being called up in July, but then played in just 10 games for the Blue Jays prior to the trade.
As he prepares for his first spring training with the Pirates, Snider said he is "excited for the opportunity and for a fresh start as I move forward with my career. As long as I stay in Pittsburgh, I'm going to make the most of it and enjoy the time."
When he looks back on his years in Toronto, Snider insists that he doesn't "hold any resentments. Obviously part of me is disappointed. I wanted to make it work there. But as anybody in any business understands, there are times when your situation changes and you need to look for a better opportunity."
Near the end of the interview, Snider was asked a rather predictable question about his goals for the coming season. He responded with a rather unpredictable answer.
What he wants, he said, "is to be happy every day when I wake up. Because that's something I struggled with as I faced adversity in baseball.
"I've dealt with injuries and I've dealt with flat-out not playing well. So my No. 1 goal in baseball, and in my life, is to stay healthy and to go out and compete."


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Criminal Background Check and Vulnerable Sector Screening
Anyone interested in volunteering at one of our schools must first submit an original or certified copy of a Criminal Background Check form, including Vulnerable Sector Screening. This process must be completed at your own expense. Individuals will not be allowed to volunteer without this information first being received by the principal of your child's school. For information on our Criminal Background Check visit the Policies and Procedures section of our website.


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The time I need to prepare an order for shipping varies. For details, see individual items.
Buyers are responsible for any customs and import taxes that may apply. I'm not responsible for delays due to customs.
Just contact me within: 3 days of delivery
Ship items back to me within: 7 days of delivery
Request a cancellation within: 24 hours of purchase
But please contact me if you have any problems with your order.
Because of the nature of these items, unless they arrive damaged or defective, I can't accept returns for:
Buyers are responsible for return shipping costs. If the item is not returned in its original condition, the buyer is responsible for any loss in value.
Please contact me if you have any problems with your order.
Your privacy is safe at White Door Studios. Your name, shipping address and email address are only used for the purposes of fulfilling your order and are not shared in any way outside of White Door Studios. You will only be emailed regarding order details.
Dimension information can be found within each item's description. Please contact me if any information is missing. All wreath dimensions listed are finished outer edge to outer edge measurements of all the materials, not the size of the base alone. Wreath diameters and arrangment height and width measurements are approximate. Each item is individually made to order, and your item may vary slightly in size from stated dimensions. Please be sure to review this information before ordering to ensure the item will fit your space.
Requesting a custom order:
Custom orders are welcome and encouraged! I love creating that special, one of a kind piece. Custom orders must be paid for up front, before production on the item can begin. A private custom listing will be created for your custom order. Custom orders are not eligible for a return or exchange. Custom wreaths over 26" in diameter may be subject to oversized shipping charges and are not eligible for any free shipping promotions. These shipping charges will be combined with your item price in your custom listing, as these custom orders cannot be combined with other items to become eligible for a free shipping over 'x' amount promotions.
All items are packaged with care. Gift notes may be added to any order. Invoices and pricing information are never included in your shipment. For an additional fee, you can choose to have your item gift wrapped. Item will be wrapped in plain kraft paper and completed with a simple ribbon. Your gift note, if included, will be secured to the ribbon.
Returns and exchanges are only accepted within the terms and conditions stated above. Authorization is required for all returns. Please contact me via Etsy if you need to return an item.
Refunds will be given for the item price only. Shipping costs are non refundable on any order. Exchanges may incur additional costs. Returns on items purchased with "free shipping" will have $10-$20 deducted from the refund to cover the original shipping costs.
Returns sent without authorization or outside of the above terms will be refused and returned to sender. Returned items that arrive damaged or broken will not be refunded. Insuring your return shipment can protect you in the event of damage. Please contact me for more information.
In the unfortunate event that an item arrives damaged, please contact me withing 48 hours of delivery to report the damage. You will be required to provide photos of both the damaged item and packaging via Etsy message. Hold on to any packaging, as this will be needed in the event of a shipping insurance claim. An online affidavit and photos of both the damaged item and packaging will also be required to complete an insurance claim. Once your claim is submitted, I will issue a refund or send a replacement item. For minor damage, a partial refund will be issued.
All shipments are sent to the address listed in your order. If this needs to be changed, please contact me ASAP via Etsy conversation. White Door Studios is not responsible for packages that do not arrive due to an incorrect address entered by a buyer. A package sent back to me due to an address error or failure of a buyer to retrieve the package from a post office will be resent upon payment of additional shipping fees. If the delivery issue is the fault of the USPS, no charges will occur.
While I do my best to hurry all orders with Priority or Express shipping status, adding a shipping upgrade does not guarantee a rush on your order. These options refer to the shipping method itself. If you need an order by a certain date, please contact me BEFORE placing your order to make sure I can accomodate your request. A rush fee may apply to these requests. Please note that custom orders cannot be rushed by choosing a faster shipping method.
Cancellations are accepted within 24 hours of purchase. All cancellation requests must be made via your Etsy purchases page (this can be accessed by choosing 'purchases and reviews' from the drop down menu under 'you' in the upper right corner of your screen). This connects your request to your order number and provides a record of the request for both of us. Requests made outside of Etsy will not be honored.
Personalizing an item:
All wreaths can be personalized with a wooden initial, please contact me for pricing information on adding this detail to the wreath of your choice.
Ribbons on any wreath can also be changed to better suit your color scheme. Just contact me with your request and I will do what I can to accomodate your choice of ribbon color.
Other items within my shop can also be personalized. Please contact me for more information on any item you'd like to personalize
Many times a wreath will ship in a box that is smaller than the listed diameter of a wreath because the outer materials are quite flexible. This helps keep shipping costs lower, and ensures that the wreath will not be tossed around in the box during transit. A tight fit ensures a safer arrival of your wreath. Rest assured, your wreath will return to it's full size once unboxed, although a bit of fluffing or manipulation of outer materials may be required.


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Saving large files stalls on Windows.
Support for our DiffMerge utility.
Moderator: SourceGear
6 posts • Page 1 of 1
The whole UI of diffmerge locks up, and my teammates were closing it down thinking it was crashing. I think it's critical for save file to occur on a separate thread and control a small progress bar. This is a huge bug.
Posts: 3599
Joined: Tue Dec 16, 2003 1:17 pm
Location: SourceGear
Thanks for the report. I'll need to grab some additional information.
- Was this during a diff or merge?
- What were sizes of the files used in the operation as well as the size of the saved file (assuming the process is not killed)?
Jeff Clausius
Here is the information you've requested. I was doing a merge of a 20,000 line Unity3D scene file that is 2.64 MB. There were only 8 lines that needed to change.
Posts: 3599
Joined: Tue Dec 16, 2003 1:17 pm
Location: SourceGear
OK. Thank you for the details.
Jeff Clausius
This is still an issue a few years later. I guess you guys don't care.
Posts: 8550
Joined: Wed Jun 21, 2006 8:24 pm
Location: SourceGear
zippo227: If you don't mind, I'm going to jump in on this one and see what I can do. Would you be willing to email me at support at sourcegear.com with a link to this thread? Since I wasn't in on the previous discussion, I would like to ask additional questions, and try to recreate the scenario.
Beth Kieler
SourceGear Technical Support
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Replica Handbag Review: Louis Vuitton Speedy 30 Damier AzurCategories:Louis Vuitton
LV Speedy 30 Damier Azur is one of my favorite bags in the world. It is beautiful, easy to accessorize to any outfit and very comfortable to wear. I know that a lot of celebrities that are big fans of this gorgeous purse, people like Hilary Duff or even Jessica Simpson. I have always wanted to buy one but as you already know this kind of products are pretty expensive and exceed my budget. Fortunately I know a reputable replica website that sells very good quality Speedy 30 Damier Azur replicas. This way I was able to achieve this simple and beautiful model for myself.
I have purchased this amazing bag from PurseValley.cn and it seems it has been a wonderful choice. I have not regretted one second or penny buying this gorgeous piece of art. It is a perfect copy of the genuine LV Speedy 30 Damier Azur. The materials used for this fake Speedy 30 Damier Azur have a very good quality; the coating is the very well-known Damier Azur canvas. The "Louis Vuitton Paris" security markings are embossed in the very specific squares exactly like on the original model. There is absolutely no difference about the material or the engravings that can make one think this is not a genuine bag. The purse has two very nice handles made out of very good quality sturdy leather that allows them to stand on their own. The stitching on the handles is perfectly even and it makes the handles even more resistant and beautiful. For extra security for my goods this bag comes with a padlock, which makes me love it even more, if this is possible. About the inside of this superb purse I can say that it has a classic beige canvas lining, exactly like the original Damier Azur has, and of course there is the "Louis Vuitton Paris Made in France" authenticity mark embossed. The tag with the serial number is also present. I am absolutely amazed of how perfect this model was replicated. If I may say this looks incredibly genuine.
When it comes to the hardware of this Speedy 30 Damier Azur replica I only have nice words to say. The manufacturer used the finest materials and every single metal part on this bag has been stamped with the LV authenticity markings just like the original purse has. The brass trimmings are very nice polished and perfectly engraved with the LV distinguish markings, there is absolutely no difference between this model I am presenting here and the original LV bag. If this was not enough I can tell you that there is more, the zipper. It is a perfect reproduction of the genuine hardware and it has the original Louis Vuitton engraved polished brass padlock. This part has been perfectly replicated too and I must say I can see no difference from the original model. The thing that really amazed me and made me think that maybe there was committed an error and I have by mistake received an original Speedy 30 Damier Azur instead of the replica I have been ordered was the fact that this model I bought online came with authenticity papers too. Exactly like I have bought the real one, I have received a Louis Vuitton care booklet, authenticity card, LV receipt, Louis Vuitton tag and the Louis Vuitton dust bag. But it not the genuine one, it is a replica, but it is a very good one, a perfect one I might say.
There is absolutely nothing bad I can say about this particular model. I am quite in love with it. It has the correct materials, superior quality, it has all the correct markings and engravings, it has the correct colors and stitching, it comes with authenticity papers and tags and it can be worn almost daily for work or outside for lunch or dinner. I really am very happy with my purchase, and I really recommend this company for this model or any other model you might find interesting of their web site. I will definitely buy more from but I have not decided yet what will be the next model. When I'll get it you can be sure you'll be the first to know what it was.
Tags: Louis Vuitton handbag speedy replica Damier 30 Azur
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Buy 2014 Summer Style Louis Vuitton Damier Azur Riviera Tote OnlineCategories:Louis Vuitton
If you are a fashion icon or a Louis Vuitton fans, you must be find many of vibrant colors Louis Vuitton handbag for Spring/Summer 2014. After viewed plenty of Louis Vuitton Alma bag, Capucines bags, Neverfull bags, Speedy bags and other more classic model lv bags for new color design for 2014 Spring/Summer, here we will bring you another great Louis Vuitton Damier Azur Riviera Toto for Summer 2014 style which available for sale online now!
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Damier Azur Louis Vuitton collection with coated canvas of the hand-held summery tote in a natural cowhide accents-intricately braided handles, piping, borders and straps. A strap design make it perfect carry in your travel or shopping, now you can buy it at our site at a nice price, free shipping!
Tags: Louis Vuitton Damier Azur Riviera


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LOVE: Tiger Eye | Heart Charm | Yoga Chakra Bracelet
Crystals were created as the earth formed and they have continued to metamorphose as the planet itself has changed. They are the earth's DNA, a chemical imprint for evolution. They are miniature storehouses containing the records of the development of the earth over millions of years, and bearing the indelible memory of the powerful forces that shaped it. Their crystalline structure can absorb, conserve, focus and emit energy, especially on the electromagnetic waveband.
Crystals make excellent jewelry for both men and women. Wearing gems used to be a royal or priestly prerogative. The high priest of Judaism wore a breastplate set with precious stones. It was much more than a badge of office; it conveyed power to the wearer. As far back as the Stone Age, men and women wore crystal jewelry and talismen. They had a protective as well as decorative function, guarding their wearer from harm.
Crystals have been used to heal and bring balance, working through resonance and vibration. Crystals are said to heal holistically - that is to say, they work on the physical, emotional, mental and spiritual levels of being.
The gemstone property information here is to use as you see fit, but is not to take the place of professional medical care. Crystals, Gemstones and Talismen can negate, protect, encourage, strengthen, and balance and promote healing and positivity. Their effects can be extraordinary, but use in addition to medical advice, and not as a substitute for proper care.
Product Reviews
Bracelets | Beaded Yoga Mala Bracelet | Men's & Women's Reiki Healing Chakra Meditation Jewelry & Gifts.
MANTRA: I will be exactly who I want to be.
- 8mm Tiger Eye Natural Gemstones
- 20mm Natural Tiger Eye Gemstone Heart Charm
- Commercial Strength, Latex-Free Elastic Band
- Handmade in our Austin Studio
The heart means...simply LOVE.
Protection | Creativity | Balance | Good Luck | Focus | Determination
Primary Chakras: Sacral | Solar Plexus | Third Eye
Astrological signs: Leo | Capricorn
Like a tiger, one who wears the tiger eye has the patience to wait for the most opportune moment and has great focus and determination.
Tiger Eye recognizes your needs and will lead you there. It differentiates between what you want and what you need and will send you what you need to grow and prosper.
Tiger's Eye lets you see everything. It stimulates taking action, and helps you to make decisions with discernment and understanding, and unclouded by your emotions.
Traditionally it was carried as an amulet against curses or ill-wishing, and is known to give you courage, self confidence and strength of will.
It enhances creativity and is one of the stones that aid kundalini awakening.
When used in jewelry the tiger eye may bring good luck and protection from the evil eye to the wearer. It also known to bring clear thinking and insight.
It can cause the mind to have feeling of oneness and feel more direct in all thoughts. It makes one aware of one's own needs related to the needs of others.
By wearing the gem, you will have the courage to fight negative energy.


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Tuesday, August 11, 2009
I Grow, Therefore I Am
19 comments:
- ruchi said...
OMG it looks FABULOUS. I love it. And honestly, it's way prettier a front yard than a stupid lawn. Seriously, you've made ME want to garden.
BUT, I think we might have to break up over this whole eggplant issue. It's almost as bad as hating chocolate. :)
- August 11, 2009 at 4:03 AM
- The 4 Bushel Farmgal said...
All your research certainly paid off! Thank you for all the links and tips in this post - from the sheet mulch lessons to the tips about deer.
Your pollinator garden was my Aha! moment. I love how you have fed/helped the "local" bees while having them help your garden :)
It's turned out beautiful!
- August 11, 2009 at 4:25 AM
- The Mom said...
I absolutely love your garden/lawn! Its so fun to see what you're doing. I find that turning my suburban yard into a little farm is addicting. Adding something here, trying something there. So much fun.
- August 11, 2009 at 4:30 AM
- Farmer's Daughter said...
I agree, I only grow what I love. I'm not a fan of the gluts of green squash, so I don't let it take up valuable space here.
We've got tons of lawn, but I have plans to transform it over the coming years. I just wish we had built a bigger garden fence! I need to figure out what the deer will leave alone and plant that outside.
I'm most jealous of those grapes! A bunch of wineries have popped up around here and apparently it's a great climate for growing wine grapes. But I don't want to make wine, I just want to eat them. By the way, have you tried frozen grapes? I love to eat them when it's hot here and it's a great way to keep them from going bad.
- August 11, 2009 at 6:13 AM
- Melinda said...
GB, it's absolutely beautiful! I love how ornamental your squash looks, and wow - it all looks fabulous!
- August 11, 2009 at 7:24 AM
- Eco Yogini said...
WOW- this is the most fantastic description of a suburban garden that I've read!! SO COOL.
I am le jealous. :)
- August 11, 2009 at 8:02 AM
Hey good luck on the Armenian Cucumbers (Guta=Goo Tah) Here is an easy, healthy recipe for Armenian Summer Salad.
You need:
Red Onion
Big beefy Tomato
Armenian Cucumber
Balsamic Vinagerette
Olive oil
Feta Cheese
Cut cucumber, tomatoe, onion into small sections put into a small container with a lid.
Dressing: Mix Balsamic vingerette and Oil oil with Basil. Put on top of the finished cut C, T & O.
Let marinate for about 2 hours.
Sprinkle Feta cheese on top and serve.
Some other things you can add are Bell Pepper, Eggplant and hard Pita Chips. My favorite Pita chips can be found at Trader Joes.
- August 11, 2009 at 10:38 AM
- Jason said...
This is a great site you have here. I have a blog myself that inspires people and I would like to exchange links with you. When you get a chance, let me know if this is possible, either by email or a comment on my site. Jason
- August 11, 2009 at 12:03 PM
- fashionistafarmer said...
wow! what an inspiration! I am just starting to plan my front yard edible garden today and your post could not have come at a better time! i'll be linking to it on my post this afternoon! Thanks for all the lovely photos too!
- August 11, 2009 at 12:39 PM
- kale for sale said...
The garden is beautiful! Do you eat the borage greens? I had a link the other day with a bunch of borage recipes, blossoms in ice cubes was my favorite, but there were also recipes to eat the greens. I don't however want to be the first. What do you think?
- August 11, 2009 at 1:19 PM
- Elizabeth B said...
Oh, my, this is wonderful. It's beautiful and functional and (best of all) NOT a lawn.
- August 11, 2009 at 2:28 PM
- Daisy said...
I'm thinking of creating a new tomato patch away from the current garden. We also have heavy clay soils, and the layering process may be the solution. My regular garden is thriving because I mix in family-generated compost every spring! Hmmm...maybe that's where the stray pumpkin came from ...
- August 11, 2009 at 2:57 PM
- Green Bean said...
Ruchi: Really, you love eggplant that much? Oh dear.
Bushel: I'm glad you liked the idea of a pollinator garden. Ours started out as a butterfly garden (supposed to be shaped like a butterfly too but that didn't last long) for the kids. I saw how helpful it was not to mention beautiful and incorporated it.
Mom: YES!! It's totally addicting. Ours started out as a few potatoes amongst the flowers.
Abbie: Oh, you totally need to plant some grapes! Ours were wonderful. During bareroot season, they are a steal. Never tried frozen grapes but I will now! Happy planting.
Melinda: Thank you. I do think the yard looks lovely and ornamental. Some people don't even realize there are veggies in there at first.
Yogini: Thank you! I so appreciate that.
Anonymous: Sounds fantastic! And here I've still got a mongo sized cucumber in the fridge. Guess what's for lunch tomorrow. Your recipe! :)
Jason: Thank you for the comment and compliment. I'll head over to check out your blog in a second.
fashionista: Perfect! How fun is it to plant out front. Love your site, btw, and look forward to following your farming journey.
Katrina: I have yet to eat the borage greens. I didn't want to be first either. :) Mind sending me your link? My oldest eats the blossoms, though, like they're candy. I'll throw them in drinks or ice cubes but mostly just use them to attract the bees.
Elizabeth: Thank you. I feel the same. :D
Daisy: Gotta love the random pumpkin plant! Definitely try the sheet mulch. Ours worked wonders.
- August 11, 2009 at 8:17 PM
- Alison said...
It is comforting to know that it has taken you several years to get to this point -- starting with the fence and the paths! I have a tendency to want to do things RIGHT NOW, but I think that it might also be wise for us to plan this out over several years. Thanks also for the beautiful pictures -- I bet there are a few fairies fluttering around in your yard in addition to the pollinators. :)
- August 11, 2009 at 8:38 PM
- Pure Mothers said...
Thank you so much for going deeper on your previous gardening/farm post! This is awesome. What a lovely garden!! I am reading Farm City by Novella Carpenter and I am so envious of your garden and hers. (I couldn't raise and slaughter animals though) I've started small with squash and tomatoes and I am so excited to do more soon! Thanks for sharing your knowledge and your photos!
- August 11, 2009 at 9:22 PM
- Green Bean said...
Alison: Yes, it has taken me a while - especially with the design and making it look attractive. However, doing the sheet mulch and getting some sort of edible in that grows well is pretty quick. I did that last year and it tided me over for this year. :)
Pure Mothers: Good for you with the squash and tomatoes! I was reading Farm City but had to return it to the library before I finished. No, don't tell me what happens. I'm going to check it out again.
- August 12, 2009 at 8:22 AM
- Beany said...
Eggplant hater? Who knew? I'm joining Ruchi's club in reevaluating our relationship.
But your yard is so absurdly gorgeous! I think you are competing with the Dervaes for prettiest yard ever.
- August 12, 2009 at 11:31 AM
- Green Bean said...
Why thank you, Beany, re the comparison to the Dervaes comment. As to eggplant, dude, it's not chocolate!
- August 14, 2009 at 12:02 PM
- how to grow hydroponics said...
I had a link the other day with a bunch of borage recipes, blossoms in ice cubes was my favorite, but there were also recipes to eat the greens. I don't however want to be the first. What do you think?
- July 29, 2012 at 12:26 PM


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Enterprise Advanced Visualization Solutions
An all in package that makes it easy to plan and budget
The all-in package - one consolidated solution for advanced visualization, enterprise wide
Resolve your heterogeneous AV landscape: Our highly scalable server architecture together with the full range of syngo.via Advanced Visualization applications1 for almost all modalities and clinical fields makes it easy to consolidate multiple AV systems across the Enterprise.
Your benefits:
- Reduce IT investment and maintenance costs through one consolidated AV solution with one simple maintenance contact
- Get access to all clinical applications anywhere – this frees you from the need to budget for further Advanced Visualization applications when purchasing a new scanner
- Expand your AV system as your business grows additional AV users are allowed and can be added on the fly
Worry-free operations
Our Worry free all-in package2 is your step into the future of your enterprise, because it grows with your needs. It's the right path for your medical facility, wherever you are heading.The worry free offering includes complete services and keeps both system and users up-to-date through :
- SW updates and upgrades
- SW application innovations
- proactive and reactive services
- customized education plan
Your benefits:
- is hassle-free – covering all costs upgrades, innovations, support and training
- it keeps you always up to date - benefit form latest AV innovations, constant education and stay competitive
- is transparent - making costs for your Advanced Visualization solution predictable even on the long run
Easy user onboarding concept
With our Enterprise AV solution it is easy to expand as your business grows. For example, you can start with a set of applications for a dedicated modality or clinical field and add further applications as needed, for example if you want to integrate a new clinical field into your portfolio of medical services. This might require a flexible onboarding of additional clinical users.Our All-in, worry free concept allows very easy user onboarding The number of concurrent user licenses are not limited to the contractual agreed number of concurrent users. So you are free to add users - just on the fly.
Your benefits:
- Grants access to high- sophisticated AV diagnostic tools to all clinical users
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The time is right to optimize your IT strategy for 3D and advanced reading. Why should you invest your budget all at once, when you can pay one by one for all? Our flexible business model fits your investment plan and budget.
Purchase permanent licenses
The conventional method for purchasing your AV solution is to invest in permanent application licences, that is in licenses which you own completely and without limitation. In short: you pay one time and use it all the time, while your running costs are reduced to services like maintenance and training.
Subscribe to termed licenses
With the subscription model you can get syngo.via Enterprise imaging software in a more comfortable way. You don't buy, you subscribe. This means: instead of a one-time initial investment, payments are distributed throughout the term of the contract runtime.
Find out more about subscription licensing and the syngo.via all-in package for enterprise 3D imaging and advanced visualization
Your benefits:
- The flexible business model with its easy subscription– entails no or only limited capital investment and makes budgeting transparent and predictable


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Exchange Joins in 50th Anniversary Vietnam War Commemorative
July 9, 2013 04:03 PM
by Chris Ward
Army & Air Force Exchange Service Public Affairs
7/3/2013 -
EDWARDS AIR FORCE BASE, Calif.
-- In recognition of the Army & Air Force Exchange Service's participation in the 50th Anniversary Vietnam War Commemorative Partner Program, Exchange Director/CEO Tom Shull received a certificate of proclamation and commemorative flag in a ceremony June 18 at Fort Belvoir.
Lt. Gen. Raymond Mason, Army Staff Lead for the Interagency Advisory Group on the Department of Defense's 50th Commemoration and former Chairman of the Exchange Board of Directors, presented Shull with the proclamation and flag.
"Just like our warfighters today, those fighting in Vietnam were doing multiple tours and, frankly, we didn't welcome them home the way we should have," said Mason. "Now, we are finally doing the right thing in honoring these Veterans and I want to thank Tom and the Exchange for taking on this mission."
The 50th Anniversary Vietnam War Commemorative Partner Program is designed for agencies to assist a grateful nation in thanking and honoring Vietnam veterans and their families. Commemorative Partners participate by planning and conducting events and activities that recognize Vietnam Veterans and their families for service, valor and sacrifice.
From Ho Chi Minh to Hue, the Exchange's presence in Vietnam brought a taste of home to those serving in the war. The Exchange continues to carry out its "We Go Where You Go" mission to this day as there are currently 35 Exchanges providing support to Soldiers and Airmen in Afghanistan.
©2015 Vietnam War Commemoration. All rights reserved.


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Store sunlight in a Jar: SunJar
Ok it's not Christmas and Easter is no more, but it's never too early to put things on your gift wishlist. Well Sunjar by Suck UK is my first item. I mean just think about it. It's a jar full of sunshine! No wonder it got the prize "gift of the year 2007". While your at it check it the other stuff on their homepage. It's well worth a visit and I've seen some of their product in Urban Outfitters in London.


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Dr. Earl d. McBride began his medical career as a general surgeon, practicing in rural Oklahoma from 1914-1917, until he volunteered for service as an Army physician during WWI. After his return to Oklahoma City in 1919, Dr. McBride found himself on an unexpected and significant new career path.
McBride Clinic was established in 1923 in a little red brick home. There were four upstairs rooms where Dr. McBride could keep patients overnight and his neighbor prepared food for them. This was the first facility of its kind in the southwestern part of the country.
In 1927, Dr. McBride became an instructor of orthopedic surgery at the University of Oklahoma Medical School. That year also saw the start of the Arthritis Department at McBride Clinic. During the Depression years, the clinic continued to grow. A contributing factor was the discovery of oil in Oklahoma and the influx of injured oil workers.
By the end of the Depression, McBride was looking for a larger home to accommodate their expanding practice. The new hospital on N.W. 10th Street was dedicated on January 1, 1939. In 1947, the clinic and hospital together were treating 30,000 patients per year which resulted in expansion to a total of eighty beds.
In the final years leading up to his retirement, the Academy of Orthopaedic Surgeons presented him with an honorary award in recognition of his work.
In 1957, Dr. McBride officially retired and sold his interest in the hospital.
McBride Orthopedic Hospital opened in 2005 as a full-service orthopedic hospital. McBride has grown to include a board-certified physician staff of 34, practicing at five metro locations and several outreach clinics in rural communities. The physicians continue their close involvement with athletes of all ages, serving as team physicians for many of the local professional, collegiate, and high school athletes.


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Byte Plant Email Validation API
Byte Plant provides email processing and management services and offers both software and services. Email Address Online Validation API allows users to do Syntax verification, DNS validation including MX record lookup, Disposable email address (DEA) detection, SMTP connection and availability checking, Temporary unavailability detection, Mailbox existence checking, Catch-All testing,and Greylisting detection. The API uses REST calls and returns JSON.


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I might have mentioned my Gran to you a time or two [My Gran's Southern Hash, Genealogy, Catholicism & Managing Women, I Have Believed... Impossible Things..., Her Irish Eyes, They Were a Smilin...]. My Gran's "real" name was Mary Alice (Truitt) Blacketer, but to all her grandchildren she was just Gran. While she was alive, I heard others refer to her and heard her refer to herself as Mary, Alice, and/or Mary Alice. It's funny when you think about who we are to different people. What we are called by different people [hopefully all good things...].
My Gran was an extremely patriotic person. [I wonder if she knew her 3rd great grandfather fought in the Revolutionary War...] She would always wear bright red lipstick, and there were only four colors that my Gran would wear, at least in her later years: red, white, blue, or green. If she was feeling especially patritotic on a particular day she'd wear red, white, and blue. What was the green for? Ah, now that would be for her Irish O'Brien heritage. On St. Patrick's Day, she'd wear all four colors. [I'm not kidding. Really, she did.] My Gran was a teenager during World War I. By the time World War II rolled around, she had married my grandfather James Wesley Blacketer, a private in the U.S. Army, and had already given birth to eight children [my mom's #7]. Along with her busy home life, she volunteered at the USO in San Antonio, Texas [where she lived]. Additionally, her sister [my Grand Aunt Anne] was in the U.S. Navy and drove an ambulance in France during World War II. However, it wasn't until her death in 1993 that I found out that she had had another nickname. In fact, this nickname was so well-known on the military bases in San Antonio, that we had to use it in her obituary or people would not have realized that it was her. It was given to her for her patriotism and for her support of the military. And the nickname? They called her "Sam" [as in "Uncle Sam"].


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NOTE: This help page applies to both LifeTopix (and other classic LightArrow apps) as well as to LightArrow Organizer for iOS and Mac. So, the screenshots and directions may vary slightly based on the app you're using.
NOTE: LightArrow Organizer already has all the features show here. LifeTopix will need the "Pro Contacts Pack" in-app purchase. My.Agenda and Pro.Calendar will need the "LifeTopix Pack" as well as the "Pro Contacts Pack" in-app purchase. Also, LightArrow Organizer already includes the advanced Inboxes features – other apps need the "Pro Inbox Pack" in-app purchase.
- Q. How do I track billable hours for a contact?
- Q. What fields do we support when we import a Contact?
This help page shows various CRM features in our app.
Specifically, the following scenarios are explained:
1. We support multiple ways to adding contacts in our app
2. Organize your contacts by Groups and Statuses
3. Managing your contacts
4. Tracking your contacts
1. We support multiple ways to adding contacts in our app:
a. Quick add contacts using the global quick add (blue plus) button.
b. Add a contact from within the contact group details
c. Import a contact from iOS contacts
d. Import the contacts from a CSV file
e. Customize the quick add to directly add a contact in to a contact group
f. Convert the senders and optionally other recipients of an email feed item to contacts
See How do I add contacts in my app? for more detailed info.
2. Organize your contacts by Groups and Statuses
You can organize your contacts by Contact Groups as shown below:
Also, you can organize your contacts by Contact Statuses as shown below:
You can pin a contact status to a Dashboard for each access.
3. Managing Contacts:
a. Adding custom data such as call back date, deal size, etc.
For more information on adding custom data to contacts, see How do I add and use custom data fields to contacts?.
You can add a call back date (using the custom data, call back date) as follows:
After adding the callback date, the alert shows up in the "Alerts" tile. Also, the "Callback details" log form tile has the last entry details.
Also, notice that the "Contacts + Services" topic main view has an alert for the callback date in the alerts row at the top (as shown below):
b. Putting people on call lists
Call lists are a grouping of a set of contacts that can be accessed from the call list from several places like Favorites, Calendar (Agenda) view, etc. This allows you to call/text/email or quickly view a specific group of contacts..
Here is a call list for "Hot New Leads":
You can call/text/email the person from the above view and the contact log is updated for that contact as shown below.
The Call lists can be added to the Calendar Agenda view and can be also pinned to the Dashboard cards.
The below example shows the Agenda view with the above call list.
4. Track my Contacts: Accordion view/Group By, Grid view, Filters, View Tweets/Emails from Contacts
The Contacts list view has the ability to view the contacts by Context, Birthday, Status, Company, etc. Also, your custom fields are available here to sort/group your contacts as shown below:
You can view the contacts grouped by Callback Date as follows:
You can also filter the contacts list by using a pre-defined filters or new custom contact filters, as shown below:
You can also switch between list and grid views for the contact list view. For LifeTopix app, the grid view and custom data functionality requires the in-app purchase for "Pro Contacts Pack".
You can show/hide the columns in the contacts grid view using the filter icon as shown above.
Also, the same grouping and filtering options are available here as well:
You can also view Tweets, Emails, etc. from Contacts:
View tweets from a particular person:


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This is pornstar Mary Jane dressed up in our colours, I guess in honor of RedTube 🙂
This Asian princess is a real tease, sitting at the bottom of the stairs with her legs wide open… I want her to get upstairs… into bed and give me some real action!
As you can see from the related videos, she is a big fan of anal and piercings… She sounds like the type of girl that likes it rough, but insists that she is usually a 'good girl'… Yeah right! Enjoy this sexy pornstar gallery!
Allan Lake
Your RedTube Blog Host!
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The Office of Student Assistance (OSA) is a combination of Student Accounts (Bursar Services) and Registrar Services that are designed to support and expand the quality of enrollment services for the Pace University community. OSA is dedicated to delivering unparalleled student service by maximizing the use of new technologies, streamlining our processes and hiring staff knowledgeable in all our functional areas. At OSA, we are committed to serving our students, so let us know how we can be of assistance.
This Dates page contains pertinent information for registration, immunization compliance, holiday breaks, and critical University deadlines. This page is updated throughout the school year and is a schedule resource for students and parents.
Announcements and Important Dates
The Registration page contains links to the Academic Catalogs, Semester Information Guides, and web pages for Registration Information and the Academic Calendar. You can also find an Account Hold guide to quickly answer many questions.
Information for how to pay your bill, signing-up for a payment plan, and/or tuition insurance, in addition to a 1098T Information page and New York State Tuition Assistance Program (TAP) Scholarships information for applying, requirements, and the certification process.
Billing and Payment
The Graduation page has information regarding Degree Verification, Degree Conferral, and the Graduation Diploma Verification Form. Informational webpages for Degree Works are available, including a listing of live majors and other related resources.
Student Records includes FERPA Policy information and related documentation/Immunization information, Student Privacy/forms that are submitted to OSA. The Transfer Agreement webpage lists equivalencies for select programs from many local colleges.
Student Records
This Transcript and Verification page contains information on how to request official transcripts, letters of enrollment or verification, and additional official student documentation regarding student enrollment and academic history.
Transcripts & Verification
The OSA Forms page contains paperless and PDF forms for students, faculty, and staff. These forms must be submitted to OSA in a timely manner to be processed.
Academic Scheduling is responsible for the classroom usage throughout all campuses. This section contains links and information for final exams, conflict and deferred exams, room directories, class schedule express, and the textbook lookup utility among other related web pages.
Academic Scheduling
If you need to contact the Office of Student Assistance, please email the Help Desk at email@example.com or call us at (877) 672-1830. This contact page contains additional information on how to contact OSA.
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