ONE CALL CARE MANAGEMENT (formerly known as MSC Group, Inc.) TEXAS INFORMAL/VOLUNTARY NETWORK PAYER LIST

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1 ONE CALL CARE MANAGEMENT (formerly known as MSC Group, Inc.) TEXAS INFORMAL/VOLUNTARY NETWORK PAYER LIST ntact Information for One Call Care Management: One Call Care Management 841 Prudential Drive, Suite 900 Jacksonville, FL One Call Care Home Health + mplex Care: (select option 2) One Call Care Equipment + Devices: ext 4196 The Texas Payer List on the following pages displays information for each entity that has been given access to One Call Care Management s fee arrangement with health care providers in Texas. Unless otherwise noted, each listed entity was given access to One Call Care Management s provider fee arrangements on October 20, Also, unless otherwise noted, the arrangement for each entity has an automatic renewal provision and therefore has no termination date. 1

2 Durable Medical Equipment NAME Granite State Insurance New Hampshire Insurance Chartis Casualty Ace Property & Casualty Ins Charter Oak Fire Insurance Phoenix Insurance Travelers Indemnity of nnecticut Travelers Indemnity Automobile Ins of Hartford Cn Travelers Casualty Ins of America Travelers Casualty & Surety of America Indemnity Insurance of North America Farmington Casualty Travelers Casualty of nnecticut Travelers mmercial Insurance Ace Fire Underwriters Ins Travelers Casualty & Surety Standard Fire Insurance Century Indemnity mmerce & Industry Insurance Philadelphia, PA Philadelphia, PA Philadelphia, PA Philadelphia, PA

3 Fidelity & Deposit of Maryland American Home Assurance Northern Insurance of New York AIU Insurance Insurance of the State of PA Assurance of America Insurance of North America National Union Fire Ins of Pittsb PA Chartis Property & Casualty St Paul Protective Insurance Travelers Property Casualty mpany of America Zurich American Ins of Illinois Discover Property & Casualty Insurance Universal Underwriters of Tx Ins American Zurich Insurance Zurich American Insurance American Guarantee & Liability Ins Illinois National Insurance St Paul Fire & Marine Insurance St Paul Mercury Insurance St Paul Guardian Insurance 1400 American Lane Tower 1 19th Floor Schaumburg, IL American Lane Tower 1 Floor 19 Schaumburg, IL Water Street 1400 American Lane Tower 1 Floor 19 Schaumburg, IL Philadelphia, PA Washington Street Saint Paul, MN American Lane Tower 1 Floor 18 Schaumburg, IL Washington Street Saint Paul, MN American Lane Tower 1 Floor 19 Schaumburg, IL American Lane Tower 1 Floor 18 Schaumburg, IL American Lane Tower 1 Floor 18 Schaumburg, IL American Lane Tower 1 Floor 18 Schaumburg, IL

4 Travelers Casualty Travelers nstitution State Insurance Fidelity & Guaranty Insurance Universal Underwriters Insurance Maryland Casualty United States Fidelity & Guaranty Fidelity & Guaranty Ins Underwriters Inc lonial American Casualty & Surety Travelers Indemnity of America Bankers Standard Ins Travelers Lloyds of Tx Ins Select Insurance Bankers Standard Fire & Marine Travelers Lloyds Ins Westchester Fire Insurance Pacific Employers Insurance Ace American Insurance Travelers mmercial Casualty Nipponkoa Insurance Limited US Middlesex Insurance Patriot General Insurance mpany 385 Washington Street Saint Paul, MN American Lane Tower 1 Floor 19 Schaumburg, IL American Lane Tower 1 Floor 19 Schaumburg, IL Washington Street Saint Paul, MN American Lane Tower 1 19th Floor Schaumburg, IL Philadelphia, PA East llins Blvd Richardson, TX Philadelphia, PA East llins Blvd Richardson, TX Philadelphia, PA Philadelphia, PA Philadelphia, PA Northpoint Drive Stevens Point, WI Northpoint Drive Stevens Point, WI

5 PPG Industries Inc Kimberly Clark rp Fidelity & Guaranty Insurance Sentry Select Insurance Sentry Insurance A Mutual Sentry Casualty Ace Fire Underwriters Ins Ace American Insurance Ins Ace Insurance of Texas American Alternative Ins rp American Casualty of Reading PA American Home Assurance American Insurance American Protection Ins Merged Into American Motorist 1800 Northpoint Drive Stevens Point, WI Northpoint Drive Stevens Point, WI Washington Street Saint Paul, MN Northpoint Drive Stevens Point, WI Northpoint Drive Stevens Point, WI Northpoint Drive Stevens Point, WI

6 American Zurich Insurance Arch Insurance Bankers Standard Fire & Marine Bankers Standard Ins Chartis Property & Casualty Century Indemnity Chubb Indemnity ntinental Casualty Discover Property & Casualty Insurance Federal Insurance Fidelity & Guaranty Insurance Fidelity & Guaranty Ins Underwriters Inc Great Northern Insurance Illinois National Insurance 6

7 Indemnity Insurance of North America Insurance of the State of PA TPCIGA for Legion Insurance New Hampshire Insurance Northwestern Pacific Indemnity Old Republic Insurance Pacific Indemnity TPCIGA for Reliance Insurance TPCIGA for Reliance National Indemnity Arrowood Indemnity Safety National Casualty rp St Paul Fire & Marine Insurance Starr Indemnity & Liability mpany Texas General Indemnity Hartford Insurance mpany of Midwest 7

8 Transportation Insurance United States Fidelity & Guaranty Vigilant Insurance Westchester Fire Insurance XL Specialty Insurance Zurich American Insurance Dallas Area Rapid Transit General Motors Guardian Industries rp Healthsouth rp Jacobs Engineering Group Inc Johns Manville Lockheed Martin rp Mastec Inc 8

9 Texas Property and Casualty Insurance Guaranty Association (TPCIGA) TPCIGA for Home Indemnity. TPCIGA for Home Insurance Impaired Insurer TPCIGA for American Mut Ins of Boston TPCIGA for American Mut Liability Ins TPCIGA for Villanova Insurance TPCIGA for Reliance National Insurance TPCIGA for HIH mpensation & Liability Ins C TPCIGA for American Universal Ins TPCIGA for Citizens Natl Assurance TPCIGA for mmercial mpensation Ins TPCIGA for Midland Insurance 9

10 TPCIGA for Frontier Insurance Inc TPCIGA for United mmunity Ins TPCIGA for Western Employers Ins TPCIGA for City Insurance TPCIGA for Ullico Casualty TPCIGA for Realm National Insurance TPCIGA for Providence Property & Casualty TPCIGA for Atlantic Mutual Insurance TPCIGA for Ideal Mutual Insurance TPCIGA for Texas Employers Indemnity TPCIGA for Centennial Insurance TPCIGA for Integrity Insurance TPCIGA for American Eagle Insurance TPCIGA for Reliance Insurance 10

11 TPCIGA for Reliance National Indemnity TPCIGA for Legion Insurance TPCIGA for Phico Insurance TPCIGA for Rockwood Insurance TPCIGA for Great States Insurance TPCIGA for Employers Casualty TPCIGA for Home Insurance of Indiana TPCIGA for American Motorists Ins TPCIGA for Lumbermens Mutual Casualty TPCIGA for American Manufacturers Mut Ins TPCIGA for Intercontinental Ins TPCIGA for Carriers Ins TPCIGA for Transit Casualty 11

12 TPCIGA for Petrosurance Casualty TPCIGA for Casualty Reciprocal Exchange TPCIGA for Equity Mutual Insurance TPCIGA for Imperial Casualty & Indemnity Insurance TPCIGA for Great Atlantic Ins TPCIGA for International Underwriters Ins TPCIGA for Reciprocal of America TPCIGA for International Indemnity TPCIGA for United Southern Assurance TPCIGA for First Southern Insurance TPCIGA for First Natl Ind TPCIGA for Nat Allied Ins of TX TPCIGA for Tx Citrus & Vegetable Ins Excha 12

13 TPCIGA for Western Indemnity Insurance TPCIGA for Credit General Indemnity TPCIGA for mmercial Standard Ins TPCIGA for Emp Cas Ser nt TPCIGA for Millers Insurance TPCIGA for Texas Employers Ins Assoc TPCIGA for International Service Ins TPCIGA for Employers Nat Ins TPCIGA for Members Mutual Ins TPCIGA for Lloyds US TPCIGA for Reliance Lloyds TPCIGA for Bell Indemnity TPCIGA for Cascade Insurance TPCIGA for Standard Financial Indemnity 13

14 TPCIGA for Cas Rsk Mngt Ser Inc TPCIGA for American Guardian Ins Underwriters TPCIGA for Sir Lloyds Insurance TPCIGA for lonial Casualty Insurance TPCIGA for mmercial Indemnity Ins TPCIGA for Financial Ins of America TPCIGA for ntractors Insurance Exchange TPCIGA for Empire Lloyds Insurance TPCIGA for Citizens National Assurance TPCIGA for United Pacific Insurance TPCIGA for Pacific Marine Ins TPCIGA for Fremont Indemnity TPCIGA for Premier Alliance Insurance 14

15 TPCIGA for National Automobile & Casualty Ins TPCIGA for Mission Insurance TPCIGA for Fremont Indemnity TPCIGA for Paula Insurance TPCIGA for Mission Nat Insurance TPCIGA for Fremont mpensation Ins TPCIGA for Fremont Pacific Ins TPCIGA for Superior Pacific Casualty TPCIGA for Superior National Ins Zenith Insurance mpany (800) *Effective Hartford Fire Insurance mpany (860) *Effective City of Dallas (214) City of Waco (254) City of Richardson (972) Las Climas Parkway Suite 110 Austin, TX One Hartford Plaza T Hartford, CT Marilla Street Suite 6A-South Dallas, TX PO Box 2570 Waco, TX W. Arapaho Road Richardson, TX

16 City of Irving (972) Deep East Texas Self Insured Fund (409) Irving ISD (972) Richardson ISD (469) Fort Worth ISD (817) Dallas ISD (972) Dallas unty mmunity llege District (972) Jefferson unty (409) llin unty (972) Employers mpensation Insurance (888) *Effective Employers Preferred Ins (888) *Effective Employers Assurance (888) *Effective W. Irving Boulevard Irving, TX W. Milam Jasper, TX W. Airport Freeway Irving, TX S. Greenville Avenue Richardson, TX North University Drive Fort Worth, TX Ross Avenue Dallas, TX Main Street Dallas, TX Franklin Street Suite 202 Beaumont, TX Bloomdale Road Suite 4117 McKinney, TX Professional Circle Reno, NV Professional Circle Reno, NV Professional Circle Reno, NV

17 Home Health Care Services NAME Granite State Insurance New Hampshire Insurance Chartis Casualty Ace Property & Casualty Ins Charter Oak Fire Insurance Phoenix Insurance Travelers Indemnity of nnecticut Travelers Indemnity Automobile Ins of Hartford Cn Travelers Casualty Ins of America Travelers Casualty & Surety of America Indemnity Insurance of North America Farmington Casualty Travelers Casualty of nnecticut Travelers mmercial Insurance Ace Fire Underwriters Ins Travelers Casualty & Surety Standard Fire Insurance Century Indemnity mmerce & Industry Insurance Philadelphia, PA Philadelphia, PA Philadelphia, PA Philadelphia, PA

18 Fidelity & Deposit of Maryland American Home Assurance Northern Insurance of New York AIU Insurance Insurance of the State of PA Assurance of America Insurance of North America National Union Fire Ins of Pittsb PA Chartis Property & Casualty St Paul Protective Insurance Travelers Property Casualty mpany of America Zurich American Ins of Illinois Discover Property & Casualty Insurance Universal Underwriters of Tx Ins American Zurich Insurance Zurich American Insurance American Guarantee & Liability Ins Illinois National Insurance St Paul Fire & Marine Insurance St Paul Mercury Insurance St Paul Guardian Insurance 1400 American Lane Tower 1 19th Floor Schaumburg, IL American Lane Tower 1 Floor 19 Schaumburg, IL Water Street 1400 American Lane Tower 1 Floor 19 Schaumburg, IL Philadelphia, PA Washington Street Saint Paul, MN American Lane Tower 1 Floor 18 Schaumburg, IL Washington Street Saint Paul, MN American Lane Tower 1 Floor 19 Schaumburg, IL American Lane Tower 1 Floor 18 Schaumburg, IL American Lane Tower 1 Floor 18 Schaumburg, IL American Lane Tower 1 Floor 18 Schaumburg, IL

19 Travelers Casualty Travelers nstitution State Insurance Fidelity & Guaranty Insurance Universal Underwriters Insurance Maryland Casualty United States Fidelity & Guaranty Fidelity & Guaranty Ins Underwriters Inc lonial American Casualty & Surety Travelers Indemnity of America Bankers Standard Ins Travelers Lloyds of Tx Ins Select Insurance Bankers Standard Fire & Marine Travelers Lloyds Ins Westchester Fire Insurance Pacific Employers Insurance Ace American Insurance Travelers mmercial Casualty Nipponkoa Insurance Limited US Middlesex Insurance Patriot General Insurance mpany 385 Washington Street Saint Paul, MN American Lane Tower 1 Floor 19 Schaumburg, IL American Lane Tower 1 Floor 19 Schaumburg, IL Washington Street Saint Paul, MN American Lane Tower 1 19th Floor Schaumburg, IL Philadelphia, PA East llins Blvd Richardson, TX Philadelphia, PA East llins Blvd Richardson, TX Philadelphia, PA Philadelphia, PA Philadelphia, PA Northpoint Drive Stevens Point, WI Northpoint Drive Stevens Point, WI

20 PPG Industries Inc Kimberly Clark rp Fidelity & Guaranty Insurance Sentry Select Insurance Sentry Insurance A Mutual Sentry Casualty Ace Fire Underwriters Ins Ace American Insurance Ins Ace Insurance of Texas American Alternative Ins rp American Casualty of Reading PA American Home Assurance American Insurance American Protection Ins Merged Into American Motorist 1800 Northpoint Drive Stevens Point, WI Northpoint Drive Stevens Point, WI Washington Street Saint Paul, MN Northpoint Drive Stevens Point, WI Northpoint Drive Stevens Point, WI Northpoint Drive Stevens Point, WI

21 American Zurich Insurance Arch Insurance Bankers Standard Fire & Marine Bankers Standard Ins Chartis Property & Casualty Century Indemnity Chubb Indemnity ntinental Casualty Discover Property & Casualty Insurance Federal Insurance Fidelity & Guaranty Insurance Fidelity & Guaranty Ins Underwriters Inc Great Northern Insurance Illinois National Insurance 21

22 Indemnity Insurance of North America Insurance of the State of PA TPCIGA for Legion Insurance New Hampshire Insurance Northwestern Pacific Indemnity Old Republic Insurance Pacific Indemnity TPCIGA for Reliance Insurance TPCIGA for Reliance National Indemnity Arrowood Indemnity Safety National Casualty rp St Paul Fire & Marine Insurance Starr Indemnity & Liability mpany Texas General Indemnity Hartford Insurance mpany of Midwest 22

23 Transportation Insurance United States Fidelity & Guaranty Vigilant Insurance Westchester Fire Insurance XL Specialty Insurance Zurich American Insurance Dallas Area Rapid Transit General Motors Guardian Industries rp Healthsouth rp Jacobs Engineering Group Inc Johns Manville Lockheed Martin rp Mastec Inc 23

24 Texas Property and Casualty Insurance Guaranty Association (TPCIGA) TPCIGA for Home Indemnity. TPCIGA for Home Insurance Impaired Insurer TPCIGA for American Mut Ins of Boston TPCIGA for American Mut Liability Ins TPCIGA for Villanova Insurance TPCIGA for Reliance National Insurance TPCIGA for HIH mpensation & Liability Ins C TPCIGA for American Universal Ins TPCIGA for Citizens Natl Assurance TPCIGA for mmercial mpensation Ins TPCIGA for Midland Insurance 24

25 TPCIGA for Frontier Insurance Inc TPCIGA for United mmunity Ins TPCIGA for Western Employers Ins TPCIGA for City Insurance TPCIGA for Ullico Casualty TPCIGA for Realm National Insurance TPCIGA for Providence Property & Casualty TPCIGA for Atlantic Mutual Insurance TPCIGA for Ideal Mutual Insurance TPCIGA for Texas Employers Indemnity TPCIGA for Centennial Insurance TPCIGA for Integrity Insurance TPCIGA for American Eagle Insurance TPCIGA for Reliance Insurance 25

26 TPCIGA for Reliance National Indemnity TPCIGA for Legion Insurance TPCIGA for Phico Insurance TPCIGA for Rockwood Insurance TPCIGA for Great States Insurance TPCIGA for Employers Casualty TPCIGA for Home Insurance of Indiana TPCIGA for American Motorists Ins TPCIGA for Lumbermens Mutual Casualty TPCIGA for American Manufacturers Mut Ins TPCIGA for Intercontinental Ins TPCIGA for Carriers Ins TPCIGA for Transit Casualty 26

27 TPCIGA for Petrosurance Casualty TPCIGA for Casualty Reciprocal Exchange TPCIGA for Equity Mutual Insurance TPCIGA for Imperial Casualty & Indemnity Insurance TPCIGA for Great Atlantic Ins TPCIGA for International Underwriters Ins TPCIGA for Reciprocal of America TPCIGA for International Indemnity TPCIGA for United Southern Assurance TPCIGA for First Southern Insurance TPCIGA for First Natl Ind TPCIGA for Nat Allied Ins of TX TPCIGA for Tx Citrus & Vegetable Ins Excha 27

28 TPCIGA for Western Indemnity Insurance TPCIGA for Credit General Indemnity TPCIGA for mmercial Standard Ins TPCIGA for Emp Cas Ser nt TPCIGA for Millers Insurance TPCIGA for Texas Employers Ins Assoc TPCIGA for International Service Ins TPCIGA for Employers Nat Ins TPCIGA for Members Mutual Ins TPCIGA for Lloyds US TPCIGA for Reliance Lloyds TPCIGA for Bell Indemnity TPCIGA for Cascade Insurance TPCIGA for Standard Financial Indemnity 28

29 TPCIGA for Cas Rsk Mngt Ser Inc TPCIGA for American Guardian Ins Underwriters TPCIGA for Sir Lloyds Insurance TPCIGA for lonial Casualty Insurance TPCIGA for mmercial Indemnity Ins TPCIGA for Financial Ins of America TPCIGA for ntractors Insurance Exchange TPCIGA for Empire Lloyds Insurance TPCIGA for Citizens National Assurance TPCIGA for United Pacific Insurance TPCIGA for Pacific Marine Ins TPCIGA for Fremont Indemnity TPCIGA for Premier Alliance Insurance 29

30 TPCIGA for National Automobile & Casualty Ins TPCIGA for Mission Insurance TPCIGA for Fremont Indemnity TPCIGA for Paula Insurance TPCIGA for Mission Nat Insurance TPCIGA for Fremont mpensation Ins TPCIGA for Fremont Pacific Ins TPCIGA for Superior Pacific Casualty TPCIGA for Superior National Ins Zenith Insurance mpany (800) *Effective City of Dallas (214) City of Waco (254) City of Richardson (972) Las Climas Parkway Suite 110 Austin, TX Marilla Street Suite 6A-South Dallas, TX PO Box 2570 Waco, TX W. Arapaho Road Richardson, TX

31 City of Irving (972) Deep East Texas Self Insured Fund (409) Irving ISD (972) Richardson ISD (469) Fort Worth ISD (817) Dallas ISD (972) Dallas unty mmunity llege District (972) Jefferson unty (409) llin unty (972) Employers mpensation Insurance (888) *Effective Employers Preferred Ins (888) *Effective Employers Assurance (888) *Effective W. Irving Boulevard Irving, TX W. Milam Jasper, TX W. Airport Freeway Irving, TX S. Greenville Avenue Richardson, TX North University Drive Fort Worth, TX Ross Avenue Dallas, TX Main Street Dallas, TX Franklin Street Suite 202 Beaumont, TX Bloomdale Road Suite 4117 McKinney, TX Professional Circle Reno, NV Professional Circle Reno, NV Professional Circle Reno, NV

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