Compass Dermpath Arizona ACPN - PPO Aetna AHCCCS Ameriplan Discount Card Ameriben APIPA AZFMC Beech Street AP Plan Beech Street Auto Beech Street PPO

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1 Compass Dermpath Arizona ACPN - PPO Aetna AHCCCS Ameriplan Discount Card Ameriben APIPA AZFMC Beech Street AP Plan Beech Street Auto Beech Street PPO Beech Street Worker's Comp Blue Cross Blue Shield of AZ: Indemnity, PP, HMO, Medicare Supplement-Snr Prfrd, WC Bridgeway Advantage Medicare Bridgeway Health Solutions Acute AHCCCS Bridgeway Health Solutions ALTCS AHCCCS Cigna Cenpatico AZ Comprehensive Medical and Dental Program (CMDP) CorVel Auto CorVel PPO CorVel Worker's Comp Fortified Auto Fortified PPO Fortified Worker's Comp Galaxy Health Network PPO Galaxy Health Savings Card - Discount Card Galaxy Health Worker's Comp GEHA Great West Open Access Plan Great West POS Great West PPO Health Choice AZ HealthNet Humana - All Plans Humana Choice Care Network PPO Humana Medicare Network PPO Humana - Commercial HMO, Medicare PPO, Medicare HMO, Medicare PFFS, ChoiceCare PPO Integrated Health Plan, Inc. Auto IHP Discount Card IHP PPO

2 IHP Workers Comp Maricopa Health Plan Medicare Mercy Care Plan MultiPlan/PHCS PPO Multiplan ValuePoint Discount Card PacifiCare of Arizona Prime Health Imaging EPO Prime Health IME Prime Health PPO Prime Health Workers Comp Three Rivers Provider Network PPO Tricare United United Agricultural Benefit Trust Universal Fidelity Life Insurance Co USA Auto Medical USA Managed Care PPO USA Workers Comp WellCare of AZ Medicare Advantage Plan YABC (Yuma Area Benefit Consortium) Zenith Administrators California Admar Aetna EPO Aetna Managed Choice Aetna Medicare Aetna Medicare Advantage Aetna National Advantage Program Aetna PPO Aetna - Worker's Comp Affiliated Health Funds American Benefit Plan Administrators Anthem/Blue Cross PPO Select Anthem/Blue Cross Senior Product Anthem/Blue Cross-Vantage Arizona Foundation (AZFMC) ArtaMedicare - Vantage BCE Emergis Beech Street - PPO

3 Beech Street - Worker's Comp Blue Shield-All PPO Plans Blue Shield-Vantage Blue Shield Bronze, Silver, Gold, Platinum Insurance Exchange Plans Care 1st-Vantage Carpenters Southwest Administrators CCN CCN - Worker's Comp Cigna Great West Cigna Open Access Plus Cigna PPO Citizen's Choice Health Plan HMO-Vantage Coalition America Community Health Group (CHG) Community Care Comprehensive Benefit & Claim Administration (CBCA) Corvel PPO Corvel - Worker's Comp Coventry Devon Health Easy Choice Health Plan (HMO)-Vantage Federated Mutual Insurance Company First Agency First Health/CCN First Health/CCN - Worker's Comp Focus Healthcare - Worker's Comp Fortified Provider Network Galaxy Health Network PPO GEHA GlobalCare Global Excel Management Great West Healthcare Great West Healthcare - Open Access, PPO, POS Health Care Services International Health Management Network HealthNet HealthNet-Vantage HealthRisk Resource Group HealthSmart Health Systems International (HSI) Humana Choice Care Humana Choice Care EPO, PPO, POS

4 Humana Gold Plus HMO-Vantage Inland Empire Health Plan-Vantage Integrated Health Plan (IHP) InterPlan InterPlan PPO, EPO, WC InterPlan - Worker's Comp Medi-Cal (PIN ) Medical Evaluators of Texas (MET) Medicare Meritain Health Metracomp - Worker's Comp Molina Healthcare Molina-Vantage Molina Bronze, Silver, Platinum, Gold Insurance Exchange Plans Multiplan Multiplan PPO Multiplan - Worker's Comp National Claims Administrative Services (NCAS) National Health Benefit Corporation (NHBC) National Provider Network/Medavant Olympus Managed HealthCare Pacific Foundation for Medical Care Pacific Foundation for Med Care-SISC WC Pacific Foundation SISC - Worker's Comp Pacific Health Alliance PFMC / CFMC EPO, PPO, WC PPO Next PPO PPO Next - Worker's Comp Preferred Medical Claim Solutions Premier Healthcare Exchange Premier Provider Network Prime Health Services, Inc. Prime Health Services - Worker's Comp Principal Financial Group Private Healthcare Systems (PHCS) SCAN-Vantage Scripps Employee Medical Plan Scripps Health Plan SelectCare Worldwide St. Paul's Eldercare TC3 Health Three Rivers

5 Three Rivers - Worker's Comp Tricare Triwest United Choice HMO United Choice Plus HMO United Choice EPO United Choice Plus POS United HMO Plus United Navigate EPO United Navigate HMO United Navigate POS United PPO United Select EPO United Select HMO United Select Plus EPO United Select Plus HMO United Select Plus POS USA Managed Care - PPO, WC USA MCO USA MCO - Worker's Comp Utah Medicaid Program Boughton Dermatology Admar Aetna EPO Aetna Managed Choice Aetna Medicare Aetna Medicare Advantage Aetna National Advantage Program Aetna PPO Aetna - Worker's Comp Affiliated Health Funds American Benefit Plan Administrators Anthem/Blue Cross PPO Select Anthem/Blue Cross Senior Product Anthem/Blue Cross-Vantage Arizona Foundation (AZFMC) ArtaMedicare - Vantage BCE Emergis Beech Street - PPO Beech Street - Worker's Comp Blue Shield-All PPO Plans

6 Blue Shield-Vantage Blue Shield Bronze, Silver, Gold, Platinum Insurance Exchange Plans Care 1st-Vantage Carpenters Southwest Administrators CCN CCN - Worker's Comp Cigna Great West Cigna Open Access Plus Cigna PPO Citizen's Choice Health Plan HMO-Vantage Coalition America Community Health Group (CHG) Community Care Comprehensive Benefit & Claim Administration (CBCA) Corvel PPO Corvel - Worker's Comp Coventry Devon Health Easy Choice Health Plan (HMO)-Vantage Federated Mutual Insurance Company First Agency First Health/CCN First Health/CCN - Worker's Comp Focus Healthcare - Worker's Comp Fortified Provider Network Galaxy Health Network PPO GEHA GlobalCare Global Excel Management Great West Healthcare Great West Healthcare - Open Access, PPO, POS Health Care Services International Health Management Network HealthNet HealthNet-Vantage HealthRisk Resource Group HealthSmart Health Systems International (HSI) Humana Choice Care Humana Choice Care EPO, PPO, POS Humana Gold Plus HMO-Vantage Inland Empire Health Plan-Vantage

7 Integrated Health Plan (IHP) InterPlan InterPlan PPO, EPO, WC InterPlan - Worker's Comp Medi-Cal (PIN ) Medical Evaluators of Texas (MET) Medicare Meritain Health Metracomp - Worker's Comp Molina Healthcare Molina-Vantage Molina Bronze, Silver, Platinum, Gold Insurance Exchange Plans Multiplan Multiplan PPO Multiplan - Worker's Comp National Claims Administrative Services (NCAS) National Health Benefit Corporation (NHBC) National Provider Network/Medavant Olympus Managed HealthCare Pacific Foundation for Medical Care Pacific Foundation for Med Care-SISC WC Pacific Foundation SISC - Worker's Comp Pacific Health Alliance PFMC / CFMC EPO, PPO, WC PPO Next PPO PPO Next - Worker's Comp Preferred Medical Claim Solutions Premier Healthcare Exchange Premier Provider Network Prime Health Services, Inc. Prime Health Services - Worker's Comp Principal Financial Group Private Healthcare Systems (PHCS) SCAN-Vantage Scripps Employee Medical Plan Scripps Health Plan SelectCare Worldwide St. Paul's Eldercare TC3 Health Three Rivers Three Rivers - Worker's Comp Tricare

8 Triwest United Choice HMO United Choice Plus HMO United Choice EPO United Choice Plus POS United HMO Plus United Navigate EPO United Navigate HMO United Navigate POS United PPO United Select EPO United Select HMO United Select Plus EPO United Select Plus HMO United Select Plus POS USA Managed Care - PPO, WC USA MCO USA MCO - Worker's Comp Poway Dermatology Admar Aetna Medicare Advantage Aetna National Advantage Program Aetna PPO Aetna - Worker's Comp Affiliated Health Funds American Benefit Plan Administrators Anthem/Blue Cross PPO Select Anthem/Blue Cross Senior Product Anthem/Blue Cross-Vantage Arizona Foundation (AZFMC) ArtaMedicare - Vantage BCE Emergis Beech Street - PPO Beech Street - Worker's Comp Blue Shield-All PPO Plans Blue Shield-Vantage Blue Shield Bronze, Silver, Gold, Platinum Insurance Exchange Plans Care 1st-Vantage Carpenters Southwest Administrators CCN CCN - Worker's Comp

9 Cigna Open Access Plus Cigna PPO Citizen's Choice Health Plan HMO-Vantage Coalition America Community Health Group (CHG) Comprehensive Benefit & Claim Administration (CBCA) Corvel PPO Corvel - Worker's Comp Devon Health Easy Choice Health Plan (HMO)-Vantage Federated Mutual Insurance Company First Agency First Health/CCN First Health/CCN - Worker's Comp Focus Healthcare - Worker's Comp Fortified Provider Network Galaxy Health Network PPO GEHA GlobalCare Global Excel Management Great West Healthcare Great West Healthcare - Open Access, PPO, POS Health Care Services International Health Management Network HealthNet-Vantage HealthRisk Resource Group HealthSmart Health Systems International (HSI) Humana Choice Care Humana Choice Care EPO, PPO, POS Humana Gold Plus HMO-Vantage Inland Empire Health Plan-Vantage Integrated Health Plan (IHP) InterPlan InterPlan PPO, EPO, WC InterPlan - Worker's Comp Meritain Health Metracomp - Worker's Comp Molina Healthcare Molina-Vantage Multiplan Multiplan PPO

10 Multiplan - Worker's Comp National Claims Administrative Services (NCAS) National Health Benefit Corporation (NHBC) National Provider Network/Medavant Olympus Managed HealthCare Pacific Foundation for Medical Care Pacific Foundation for Med Care-SISC WC Pacific Foundation SISC - Worker's Comp Pacific Health Alliance PFMC / CFMC EPO, PPO, WC PPO Next PPO PPO Next - Worker's Comp Preferred Medical Claim Solutions Premier Healthcare Exchange Premier Provider Network Prime Health Services, Inc. Prime Health Services - Worker's Comp Principal Financial Group Private Healthcare Systems (PHCS) SCAN-Vantage Scripps Employee Medical Plan Scripps Health Plan SelectCare Worldwide St. Paul's Eldercare TC3 Health Three Rivers Three Rivers - Worker's Comp Tricare Triwest United Choice HMO United Choice Plus HMO United Choice EPO United Choice Plus POS United HMO Plus United Navigate EPO United Navigate HMO United Navigate POS United PPO United Select EPO United Select HMO United Select Plus EPO United Select Plus HMO

11 United Select Plus POS USA Managed Care - PPO, WC USA MCO USA MCO - Worker's Comp Yuma Dermatology ACPN - PPO Aetna AHCCCS Ameriplan Discount Card Ameriben APIPA AZFMC Beech Street AP Plan Beech Street Auto Beech Street PPO Beech Street Worker's Comp Blue Cross Blue Shield of AZ: Indemnity, PP, HMO, Medicare Supplement-Snr Prfrd, WC Bridgeway Advantage Medicare Bridgeway Health Solutions Acute AHCCCS Bridgeway Health Solutions ALTCS AHCCCS Cigna Cenpatico AZ Comprehensive Medical and Dental Program (CMDP) CorVel Auto CorVel PPO CorVel Worker's Comp Fortified Auto Fortified PPO Fortified Worker's Comp Galaxy Health Network PPO Galaxy Health Savings Card - Discount Card Galaxy Health Worker's Comp GEHA Great West Open Access Plan Great West POS Great West PPO Health Choice AZ HealthNet Humana - All Plans Humana Choice Care Network PPO Humana Medicare Network PPO

12 Humana - Commercial HMO, Medicare PPO, Medicare HMO, Medicare PFFS, ChoiceCare PPO Integrated Health Plan, Inc. Auto IHP Discount Card IHP PPO IHP Workers Comp Maricopa Health Plan Medicare Mercy Care Plan MultiPlan/PHCS PPO Multiplan ValuePoint Discount Card PacifiCare of Arizona Prime Health Imaging EPO Prime Health IME Prime Health PPO Prime Health Workers Comp Three Rivers Provider Network PPO Tricare United United Agricultural Benefit Trust Universal Fidelity Life Insurance Co USA Auto Medical USA Managed Care PPO USA Workers Comp WellCare of AZ Medicare Advantage Plan YABC (Yuma Area Benefit Consortium) Zenith Administrators

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