List of Automatic Crossover Trading Partner (Insurers) In Production Do Not Include Number Shown Below on Incoming Claims

Transcription

1 GROUP HEALTH, INC. (GHI)- HMO - SUPPLEMENTAL Customer Service (877) WELLMARK BCBS (FEP) Customer/Provider Services (800) WELLMARK BCBS OF IOWA (FEP) Provider Services (800) WELLMARK BCBS OF IOWA (FEP) Customer Service (800) WELLMARK BCBS OF IOWA (FEP) Customer Service (800) THE REGENCE GROUP (IDAHO-FEHBP) Customer Service (800) THE REGENCE GROUP (BLUE SHIELD--FEHBP) Customer Service (800) THE REGENCE GROUP (UTAH--FEHBP) Customer Service (800) THE REGENCE GROUP (OREGON--FEHBP) Customer Service (800) MONUMENTAL LIFE INSURANCE CO. (FORMERLY UNDER AEGON) - SUPPLEMENTAL Customer Service (800) CONNECTICUT GENERAL LIFE INSURANCE CO. (CIGNA) Customer Service (800) HORIZON BCBS OF NJ - SUPPLEMENTAL Customer Service (800) WELLMARK BCBS OF IOWA Customer Service (800) WELLMARK BCBS OF SD Customer/Provider Services (800) WELLMARK BCBS OF SD Customer/Provider Services (800) WISCONSIN PHYSICIAN SERVICES - COMMERCIAL Customer Service (888) WISCONSIN PHYSICIAN SERVICES - COMMERCIAL Customer Service (888) BCBS OF MICHIGAN Customer Service (313) BCBS OF ALABAMA - SUPPLEMENTAL Customer Service (205) BCBS OF SOUTH CAROLINA - SUPPLEMENTAL Customer Service (800) HIGHMARK, INC. - SUPPLEMENTAL PART B & DMERC Customer Service (800) HIGHMARK, INC. - SUPPLEMENTAL PART A ONLY Customer/Provider Services (800) GROUP HEALTH, INC. (GHI) PPO - SUPPLEMENTAL Customer Service (212) GROUP HEALTH, INC. (GHI) PPO - SUPPLEMENTAL Customer Service (212) GROUP HEALTH, INC. (GHI) PPO - SUPPLEMENTAL Customer Service (212) GROUP HEALTH, INC. (GHI) PPO - SUPPLEMENTAL Customer Service (212) GROUP HEALTH, INC. (GHI) PPO - SUPPLEMENTAL Customer Service (212) GROUP HEALTH, INC. (GHI) PPO - SUPPLEMENTAL Customer Service (212) HEALTH CARE SERVICES CORPORATION (HCSC) BCBS OF ILLINOIS - SUPPLEMENTAL Customer Service (888) HEALTH CARE SERVICES CORPORATION (HCSC) BCBS OF NEW MEXICO - SUPPLEMENTAL Customer Service (888) HEALTH CARE SERVICES CORPORATION (HCSC) BCBS OF TEXAS- SUPPLEMENTAL Customer Service (888) BCBS OF MICHIGAN Customer Service (313) AETNA, INC Customer Service (860) BCBS OF MICHIGAN Customer Service (313) BCBS OF MICHIGAN - BCN (BLUE CARE NETWORK) Customer Service (800) BLUE CROSS AND BLUE OF MISSISSIPPI - SUPPLEMENTAL Customer Service (800) BLUE CROSS AND BLUE OF MISSISSIPPI - SUPPLEMENTAL Customer Service (800) BLUE CROSS OF NORTHEASTERN PA - SUPPLEMENTAL (PART A ONLY) Cathy Stitzer (570) BLUE CROSS OF NORTHEASTERN PA - SUPPLEMENTAL (PART A ONLY) Cathy Stitzer (570) METROPOLITAN HEALTH PLAN - SUPPLEMENTAL Bonnie Hays (612) PRIMEWEST HEALTH PLAN - SUPPLEMENTAL Provider Services (866) PRIMEWEST HEALTH PLAN - SUPPLEMENTAL Mary Winter (320)

2 TRIPLE S, INC. - SUPPLEMENTAL Jeannette Irizarry Velez (787) CAREFIRST OF DC - PART A ONLY Provider Services (410) CAREFIRST OF DC - PART B ONLY Provider Services (410) BCBS OF NORTH DAKOTA Gina Bercherl (701) BCBS OF WYOMING - SUPPLEMENTAL (PART B & DMERC) Amber Zowada (307) BCBS OF NORTH DAKOTA Gina Bercherl (701) MEDICAL MUTUAL OF OHIO - SUPPLEMENTAL Sue Robinson (800) BCBS OF TENNESSEE - SUPPLEMENTAL Customer Service (800) UNITED HEALTH CARE-UNET - SUPPLEMENTAL Customer Service (866) UNITED HEALTH CARE - SUPPLEMENTAL Customer Service (866) GROUP HEALTH COOPERATIVE - SUPPLEMENTAL Michelle Anderson (206) BLUE CROSS AND BLUE SHIELD OF MINNESOTA - SUPPLEMENTAL Customer Service (800) BLUE CROSS AND BLUE SHIELD OF MINNESOTA - SUPPLEMENTAL Customer Service (800) BLUE CROSS AND BLUE SHIELD OF MINNESOTA - SUPPLEMENTAL Customer Service (800) EMPIRE BCBS - SUPPLEMENTAL Lora Tincher (502) EMPIRE BCBS - SUPPLEMENTAL Lora Tincher (502) BCBS OF KANSAS - SUPPLEMENTAL Customer Service (800) KPS HEALTH PLANS- SUPPLEMENTAL Teresa Hiagh-Braget (360) ANTHEM BCBS OF CT - SUPPLEMENTAL Lora Tincher (502) ANTHEM BCBS OF NH - SUPPLEMENTAL Lora Tincher (502) ANTHEM BCBS OF ME - SUPPLEMENTAL Lora Tincher (502) BCBS OF LOUISIANA - SUPPLEMENTAL Customer Service (800) NEW JERSEY CARPENTERS HEALTH FUND - SUPPLEMENTAL Rachel Corradi (732) ext. 272 MAYO MEDICAL SYSTEMS, INC. (MMSI) - SUPPLEMENTAL Customer Service (800) WEA INSURANCE COMPANY - SUPPLEMENTAL Shawn Lynn (608) CAREFIRST OF DC - SUPPLEMENTAL Part A only (410) CAREFIRST OF DC - SUPPLEMENTAL Part B only (410) CAREFIRST OF MD - SUPPLEMENTAL Part B only (410) EMPIRE BCBS - SUPPLEMENTAL Customer Service (800) EMPIRE BCBS - SUPPLEMENTAL Customer Service (800) CARPENTERS TRUST OF WESTERN WASHINGTON Min-Sug (Darren) Kong (206) BLUE SHIELD OF CALIFORNIA - SUPPLEMENTAL Tammy Rutters (530) BCBS OF NORTH CAROLINA esolutions Help Desk (888) CAPITAL BLUE CROSS - SUPPLEMENTAL Nancy Herman (717) BCBS OF WESTERN NEW YORK - SUPPLEMENTAL Buffalo (CNY West) (866) BCBS OF WESTERN NEW YORK - SUPPLEMENTAL Albany Region II (800) BCBS OF WESTERN NEW YORK - SUPPLEMENTAL Albany (CNY East) (800) BCBS OF WESTERN NEW YORK - SUPPLEMENTAL Traditional Member (800) BCBS OF WESTERN NEW YORK - SUPPLEMENTAL Managed Care Member (800) BCBS OF WESTERN NEW YORK - SUPPLEMENTAL Provider Services (800) BCBS OF WESTERN NEW YORK - SUPPLEMENTAL Melissa Deboth (716) BLUE CROSS AND BLUE SHIELD OF DELAWARE - SUPPLEMENTAL Customer Service (302)

3 HEALTH ALLIANCE PLAN OF MICHIGAN - SUPPLEMENTAL Laron Gaines (313) BCBS OF ARIZONA - SUPPLEMENTAL Rebecca Garcia (602) MERCER HEALTH & BENEFITS, LLC ALLEGIANCE BENEFIT PLAN MANAGEMENT Customer Service (406) EMPLOYEE BENEFIT MANAGEMENT CARE - SUPPLEMENTAL Customer Service (800) ANTHEM BCBS-CENTRAL (FACETS) -IN, KY, OH - SUPPLEMENTAL Customer Service (866) HEALTH DESIGN PLUS Customer Service (800) ANTHEM NATIONAL BCBS OF OHIO - SUPPLEMENTAL Lora Tincher (502) ANTHEM NATIONAL BCBS OF KENTUCKY - SUPPLEMENTAL Customer Service (800) ANTHEM NATIONAL BCBS OF INDIANA - SUPPLEMENTAL Customer Service (317) ANTHEM BCBS OF ME - SUPPLEMENTAL Lora Tincher (502) ANTHEM BCBS OF NH - SUPPLEMENTAL Lora Tincher (502) ANTHEM BCBS OF CT - SUPPLEMENTAL Lora Tincher (502) ANTHEM BCBS OF VIRGINIA - SUPPLEMENTAL Part A only (800) ODS HEALTH PLANS, INC. - SUPPLEMENTAL EDI Department (800) ARKANSAS BCBS - SUPPLEMENTAL Mia Moore (501) ARKANSAS BCBS (HEALTH ADVANTAGE) - SUPPLEMENTAL Dee McKee (501) NATIONWIDE HEALTH PLANS - SUPPLEMENTAL Customer Service (877) PITTMAN & ASSOCIATES, INC. - SUPPLEMENTAL Andy Glankler (901) HEALTH ALLIANCE MEDICAL PLANS - SUPPLEMENTAL Cindy Cargo (217) GRAPHIC COMMUNICATIONS NAT'L Teresa Bauer (412) ANTHEM BCBS OF NEVADA Lora Tincher (502) ANTHEM BCBS OF COLORADO Lora Tincher (502) BLUE CROSS OF CALIFORNIA - SUPPLEMENTAL Lora Tincher (502) UNICARE LIFE & HEALTH INSURANCE COMPANY - SUPPLEMENTAL Lora Tincher (502) HEALTHNET, INC-- CA -SUPPLEMENTAL Customer Service (800) INSURANCE PROGRAMMERS INC Amy Cook (203) RESERVE NATIONAL INSURANCE CO Reta Weaver (800) BC OF IDAHO - SUPPLEMENTAL Customer Service (866) BC OF IDAHO - SUPPLEMENTAL Customer Service (866) ALLIED BENEFIT SYSTEMS, INC - SUPPLEMENTAL Outside IL (800) ALLIED BENEFIT SYSTEMS, INC - SUPPLEMENTAL IL Resident (312) NGS AMERICAN - SUPPLEMENTAL Customer Service (800) HIGHMARK WEST VIRGINIA Customer Service (800) HIGHMARK WEST VIRGINIA Customer Service (800) UMR Customer Service (800) PENNSYLVANIA EMPLOYEE BENEFIT TRUST FUND (PEBTF) - SUPPLEMENTAL Rest of U.S. (800) PENNSYLVANIA EMPLOYEE BENEFIT TRUST FUND (PEBTF) - SUPPLEMENTAL In Pennsylvania (717) PREMERA BLUE CROSS - SUPPLEMENTAL Customer Service (800) POMCO, INC. - SUPPLEMENTAL Vivie Prichard (800)

4 BCBS OF MASS Customer Service (800) HEALTHSMART BCBS OF VERMONT - SUPPLEMENTAL Chantal Parent (802) OXFORD HEALTH - SUPPLEMENTAL Customer Service (888) UNITED HEALTH CARE- COSMOS - SUPPLEMENTAL Stewart McGehee (336) C & R CONSULTING - SUPPLEMENTAL C&R Customer (212) CORESOURCE, INC. - SUPPLEMENTAL One Beacon Ins Grp (866) CORESOURCE, INC. - SUPPLEMENTAL Crompton Corp (866) CORESOURCE, INC. - SUPPLEMENTAL All others (800) BCBS OF KANSAS CITY Kathy Currey (816) BCBS OF RHODE ISLAND Customer Service (800) UNITED HEALTHCARE (SUPPLEMENTAL) Stewart McGehee (336) MERITAIN HEALTH, INC Customer Service (800) ASURIS Rebecca Thorn (503) REGENCE BLUESHIELD OF UTAH Rebecca Thorn (503) REGENCE BLUESHIELD Rebecca Thorn (503) REGENCE BCBS OF OREGON Rebecca Thorn (503) REGENCE BLUESHIELD OF IDAHO Rebecca Thorn (503) CLAIMSNET.COM, INC. - SUPPLEMENTAL Customer Service (817) HEALTH CARE SERVICES CORPORATION (HCSC) BCBS OF ILLINOIS - SUPPLEMENTAL Customer Service (888) HEALTH CARE SERVICES CORPORATION (HCSC) BCBS OF NEW MEXICO - SUPPLEMENTAL Customer Service (888) HEALTH CARE SERVICES CORPORATION (HCSC) BCBS OF TEXAS- SUPPLEMENTAL Customer Service (888) KIDNEY DISEASE PROGRAM OF MARYLAND - SUPPLEMENTAL Carol Manning (410) AMALGAMATED LIFE/ALICARE - SUPPLEMENTAL Customer Service (212) HUMANA, INC. - SUPPLEMENTAL Customer Service (866) JP FARLEY Amanda Smolka (440) COMPREHENSIVE BENEFITS CONSULTANTS (A.K.A. "FEDERATED ALLIED RETIREE ASSOCIATION")- SUPPLEMENTAL Lorraine Piazza (631) UCARE MINNESOTA - SUPPLEMENTAL Provider Customer Service (888) UCARE MINNESOTA - SUPPLEMENTAL Member Assistance (877) C & O EMPLOYEE HOSPITAL - SUPPLEMENTAL Anna Brooks (540) PIPE FITTERS WELFARE FUND CONNECTICUT GENERAL LIFE INSURANCE CO. (CIGNA) Customer Service (800) PLUMBER LOCAL 130 UA NATIONAL ELEVATOR INDUSTRY HEALTH BE BCBS OF NORTH CAROLINA ESolutions Help Desk 1(888) ANTHEM BCBS OF VIRGINIA - SUPPLEMENTAL Michael Bristoe (502) THE LOOMIS COMPANY BCBS OF WYOMING -(PART A) Amber Zowada (307) WEB TPA Lisa Smith (469) SECURITY HEALTH PLAN OF WI, INC Ken Baur (715)

5 HEALTH CARE SERVICES CORPORATION (HCSC) BCBS OF OK (OTHER A ONLY) Customer Service (888) HEALTH CARE SERVICES CORPORATION (HCSC) BCBS OF OK (OTHER B ONLY) Customer Service (888) CAPITOL DISTRICT PHYSICIANS HEALTH PLAN Brian Freer (518) WEBTPA EMPLOYER SERVICES Lisa Smith (469) RMSCO INC Jen Springler (315) TIC BAC LOCAL UNION 15 W.F Michelle Cockerham (913) TIC IBEW LOCAL 461 WELFARE FUND Susan Esterhai (866) TIC ELECTRICAL WORKERS FUND Jackie Neible (317) BLUE CROSS OF NORTHEASTERN PA Cathy Stitzer (570) BLUE CROSS OF NORTHEASTERN PA Cathy Stitzer (570) BLUE CROSS OF NORTHEASTERN PA Cathy Stitzer (570) BLUE CARE COOPERATIVE Cathy Stitzer (570) PLUMBERS AND PIPEFITTERS WELFARE FUND Nancy Winer (314) DANA NON UNION RETIREE VEBA TRUST Lorraine Piazza (631) BLUE CROSS OF NORTHEASTERN PA Cathy Stitzer (570) G.M.P. - EMPLOYERS RETIREE TRUST Amy Thomas (239) MEDICA (PART B ONLY) Stephanie Kelly (952) MEDICA (PART A ONLY) Stephanie Kelly (952) CONNECTICUT GENERAL LIFE INSURANCE CO Customer Service (800) BCBS OF MINNESOTA Customer Service (800) BCBS OF MINNESOTA Customer Service (800) BCBS OF MINNESOTA Customer Service (800) BCBS OF MINNESOTA Customer Service (800) BCBS OF MINNESOTA Customer Service (800) AVMED HEALTH PLANS Customer Service (800) PIPELINE INDUSTRY BENEFIT FUND Claims Supervisor (918) THE WILLIAM C. EARHART CO., INC Pam Fleischman (503) MID CENTRAL OPERATING ENGINEERS HEALTH & WELFARE FUND Katricia Helton (812) SOUTHWEST LIFE & HEALTH INS. CO Melinda Rodriguez (806) FIRSTCARE Melinda Rodriguez (806) WABASH MEMORIAL HOSPITAL ASSOC Debby Kunze (217) AMERICAN BENEFIT CORPORATION Linda Sites (304) TIC NECA IBEW LOCAL 364 HEALTH Medical Claims Department (800) RIGHT CHOICE BENEFIT ADMIN Customer Service Right Choice (800) BCBS OF NEBRASKA Customer Service Center (800) BCBS OF NEBRASKA Customer Service Center (800) HP ADMINISTATIVE SERVICES, LLC Jenny Ray (405) ADC 1 WELFARE FUND Yolanda Alzati (630) BLUE SHIELD OF CALIFORNIA - SFEW Lisa Schultz (415)

6 IE SCHAFFER & CO Terri Trasatti (609) C & R CONSULTING ARKANSAS BCBS Mia Moore (501) COVENTRY NATIONAL ACCOUNTS Customer Service (800) EMBLEMHEALTH SVC CO. LLC - VYTRA Robyn Callahan (631) EMBLEMHEALTH SVC COMPANY, LLC - HIP Robyn Callahan (631) M.C.D.C HEALTH FUND Sandra Belot (262) PLUMBERS & PIPEFITTERS LOCAL Amanda Ratcliff (954) OE LOCAL 139 HBF Annette Kusick (262) PIPE TRADES INDUSTRY H&W PLAN Pam Lewis (812) HEALTHNET OF ARIZONA, INC Healthnet Provider Service (800) C&R CONSULTING BLUE SHIELD OF CALIFORNIA Tammy Rutters (530) SCPT HEALTH & WELFARE FUND Marcus Chin (213) LIBERTY NATIONAL LIFE INSURANCE CO. - GMS Customer Service Department (972) GUNDERSEN LUTHERAN HEALTH PLAN Ann Kiel (608) SENTARA HEALTH PLANS INC Todd Kelly (757) INDIANA LABORERS WELFARE FUND Melissa Wade (812) INDIANA LABORERS WELFARE FUND Melissa Wade (812) AMERICAN BENEFIT CORPORATION Linda Sites (304) BCBS OF LOUISIANA Customer Service (800) HEALTH CARE SERVICE CORP, BCBS Blue Cross Blue Shield (888) HEALTH CARE SERVICE CORP, BCBS Blue Cross Blue Shield (888) KAISER FOUNDATION HEALTH PLAN Member Service (800) INDEPENDENCE BLUE CROSS Sharelle Bond (215) OPERATING ENGINEERS H&W FUND Elisabeth Schaefer (626) TIC-NECA IBEW LCL 150 FRINGE BF Jan Smith (877) FABIAN & BYRN LLC Talisha Douglas (973) DELTA HEALTH SERVICES, INC Christine Dugger-Praet (559) HARRINGTON HEALTH SERVICES, INC Customer Service (800) NECA FAMILY MEDICAL CARE PLAN Vicki Burrows (877) BLUE CROSS BLUE SHIELD OF GA KCSUP Lora Tincher (502) BLUE CROSS BLUE SHIELD OF GA KCSUP Lora Tincher (502) EIGHTH DISTRICT ELECTRICAL BENEF Mary Kemp (801) MEDICAL ASSOC HEALTH PLAN INC Laura Boge (563) WEST MICH. PLUMBERS, FITTERS Customer Service (219) NATIONAL BCBS GEORGIA Lora Tincher (502) DESERET MUTUAL Donna Mcreavy (801)

7 REGENCE BLUE SHIELD Rebecca Thorn (503) WISCONSIN PHYSICIANS SERVICE Kit Lee (608) WISCONSIN PHYSICIANS SERVICE Kit Lee (608) IAHFI LOCAL 17 WELFARE FUND William Mangin (708) HEALTHLINK HMO, INC Karen Gotsch (314) INDEPENDENCE BLUE CROSS Sharelle Bond (215) PEHP Josie Hall (801) HEALTH CARE SERVICE CORPORATION Blue Cross/Blue Shield (888) HEALTH CARE SERVICE CORPORATION Blue Cross/Blue Shield (888) WELLMARK BCBS OF SD Customer/Provider Services (800) WELLMARK BCBS OF IA Customer/Provider Services (800) MIDWEST OPERATING ENGINEERS HEALTH Barbara Glembin (708) NEW YORK ISG Lora Tincher (502) NEVADA ISG Lora Tincher (502) MAINE ISG Lora Tincher (502) WISSONSIN ISG Lora Tincher (502) KENTUCKY ISG Lora Tincher (502) VIRGINIA ISG Lora Tincher (502) NEW HAMPSHIRE ISG Lora Tincher (502) MISSOURI ISG Lora Tincher (502) OHIO ISG Lora Tincher (502) CALIFORNIA ISG Lora Tincher (502) COLORADO ISG Lora Tincher (502) CONNECTICUT ISG Lora Tincher (502) INDIANA ISG Lora Tincher (502) CONNECTICUT WGS Lora Tincher (502) INDIANA WGS Lora Tincher (502) KENTUCKY WGS Lora Tincher (502) MISSOURI WGS Lora Tincher (502) NEW YORK WGS Lora Tincher (502) OHIO WGS Lora Tincher (502) VIRGINIA WGS Lora Tincher (502) WISCONSIN WGS Lora Tincher (502) INDEPENDENCE BLUE CROSS Sharelle Bond (215) INDEPENDENCE BLUE CROSS Sharelle Bond (215) BCBS of NORTH Carolina Pam Stephenson (919) AFTRA HEALTH FUND Karen Ortolani (800) BCBS of MINNESOTA Customer Service (800) BCBS of MINNESOTA Customer Service (800) WESTERN & SOUTHERN FINANCIAL GROUP John Kaising (513) MERCER HEALTH & BENEFITS ADM. LLD Dee Green (515)

8 MONUMENTAL LIFE INSURANCE CO Jennifer Havens (610) AARP/UNITED HEALTH CARE (DOING BUSINESS AS UNITED HEALTH GROUP ) MEDIGAP Customer Service (800) WELLMARK BCBS OF SD Customer/Provider Services (800) WELLMARK BCBS OF IA Provider Services (800) MONUMENTAL LIFE INSURANCE CO. (FORMERLY UNDER AEGON) MEDIGAP Jennifer Havens (610) HORIZON BCBS OF NJ - MEDIGAP Customer Service (800) BCBS OF SC Judith Murray (803) HIGHMARK, INC. - MEDIGAP PAT B & DMERC Customer Service (800) HIGHMARK, INC. - MEDIGAP PART A ONLY Customer Service (800) GROUP HEALTH, INC. (GHI) PPO - MEDIGAP Geraldine Holmes (315) GROUP HEALTH, INC. (GHI) PPO - MEDIGAP Geraldine Holmes (315) HEALTH CARE SERVICES CORPORATION (HCSC) BCBS OF ILLINOIS - MEDIGAP Customer Service (888) HEALTH CARE SERVICES CORPORATION (HCSC) BCBS OF ILLINOIS - MEDIGAP Customer Service (888) HEALTH CARE SERVICES CORPORATION (HCSC) BCBS OF NEW MEXICO - MEDIGAP Customer Service (888) HEALTH CARE SERVICES CORPORATION (HCSC) BCBS OF NEW MEXICO - MEDIGAP Customer Service (888) HEALTH CARE SERVICES CORPORATION (HCSC) BCBS OF TEXAS- MEDIGAP Customer Service (888) HEALTH CARE SERVICES CORPORATION (HCSC) BCBS OF TEXAS- MEDIGAP Customer Service (888) LIBERTY NATIONAL LIFE INSURANCE CO. (AFFILIATED WITH TORCHMARK) Customer Service (972) LIBERTY NATIONAL LIFE INSURANCE CO. (AFFILIATED WITH TORCHMARK) Customer Service (972) GLOBAL LIFE & ACCIDENT INSURANCE CO. (AFFILIATED WITH TORCHMARK) Customer Service (972) AMERICAN INCOME LIFE INSURANCE CO. (AFFILIATED WITH TORCHMARK) Customer Service (972) UNITED AMERICAN INSURANCE COMPANY (TORCHMARK) - MEDIGAP Customer Service (972) FIRST UNITED AMERICAN LIFE INS. CO Customer Service (972) EQUITABLE LIFE & CASUALITY INS. CO Laura Sarle (801) BLUE CROSS AND BLUE OF MISSISSIPPI - MEDIGAP Customer Service (800) BLUE CROSS OF NORTHEASTERN PA - MEDIGAP (PART A ONLY) Cathy Stitzer (570) BLUE CROSS OF NORTHEASTERN PA - MEDIGAP (PART A ONLY) Cathy Stitzer (570) TRIPLE S, INC. - MEDIGAP Jeannette Irizarry Velez (787) BCBS OF WYOMING - MEDIGAP (PART A, B, DMERC) Amber Zowada (307) BCBS OF NORTH DAKOTA Gina Bercherl (701) BCBS OF TENNESSEE - MEDIGAP Venessa Marsh (423) UNITED COMMERCIAL TRAVELERS - MEDIGAP Jose Viri-Dunahue (614) STANDARD LIFE ACCIDENT INSURANCE COMPANY (SLA) - MEDIGAP Jill Davis (281) SLA/AMERICAN NATIONAL LIFE INSURANCE CO. (ANICO) OF TEXAS - MEDIGAP Jill Davis (281) LOYALAM/UNITEDTEACH/GREATAMLIFE Customer Service (866) GUARANTEE TRUST LIFE INSURANCE COMPANY - MEDIGAP (DMERC IN ALL STATES AND PART-B IN Mark Pytel (847) ALL STATES EXCEPT MN AND WI) EMPIRE BCBS - MEDIGAP Lora Tincher (502) BLUE CROSS AND BLUE SHIELD OF MINNESOTA - MEDIGAP MN only (800) BLUE CROSS AND BLUE SHIELD OF MINNESOTA - MEDIGAP non-mn (800) BLUE CROSS AND BLUE SHIELD OF MINNESOTA - MEDIGAP DMERC only (800)

9 MEDICAL MUTUAL OF OHIO - MEDIGAP Sue Robinson (216) KANSAS BCBS - MEDIGAP Customer Service (800) PROVIDENCE HEALTH PLAN Customer Service (800) KPS HEALTH PLANS- MEDIGAP (PART B ONLY) Teresa Hiagh-Braget (360) BANKERS LIFE AD CASUALITY Customer Service (800) CONSECO SERVICES, LLC - MEDIGAP Customer Service (800) ANTHEM BCBS NORTHEAST REGION Lora Tincher (502) CONSECO, LLC/ COLONIAL PENN -MEDIGAP Customer Service (800) SANDFORD HEALTH PLAN OF MINNESOTA - MEDIGAP Tami Haberer (605) SANFORD HEALTH PLAN Tami Haberer (605) HEALTH ALLIANCE MEDICAL PLANS OF URBANA, IL - MEDIGAP Cindy Cargo (217) CONTINENTAL LIFE INS. CO OF BRENTWOOD, TN - MEDIGAP Katrina Smithson (800) AMERICAN CONTINENTAL INSURANCE Katrina Smithson (800) PHYSICIANS MUTUAL INSURANCE COMPANY - MEDIGAP Alan Schoening (402) DEAN HEALTH PLAN, INC. - MEDIGAP Murielle Sago (608) CAREFIRST OF MD (PART A ONLY) - MEDIGAP Provider Services (800) PARAMOUNT HEALTH PLANS - MEDIGAP Donya Hensley (419) UPMC FOR LIFE MEDICARE SELECT - MEDIGAP Robert Burtner (412) BLUE SHIELD OF CALIFORNIA - MEDIGAP Tammy Rutters (530) CAPITAL BLUE CROSS Nancy Herman (717) BLUE CROSS BLUE SHIELD OF WNY Melissa Deboth (716) BLUE CROSS BLUE SHIELD OF WNY Melissa Deboth (716) MUTUAL OF OMAHA INSURANCE COMP Customer Service (800) MUTUAL OF OMAHA INSURANCE COMP Customer Service (800) BLUE CROSS AND BLUE SHIELD OF DELAWARE - SUPPLEMENTAL Customer Service (302) EVERENCE ASSN A FRATERNAL Customer Service (574) ext. 380 BCBS OF ARIZONA - MEDIGAP Rebecca Garcia (602) SIERRA HEALTH & LIFE - MEDIGAP BCBS OF NORTH DAKOTA Gina Bercherl (701) ANTHEM BCBS-CENTRAL (FACETS) - IN, KY, OH - MEDIGAP Lora Tincher (502) GUARANTEE TRUST LIFE INSURANCE COMPANY - MEDIGAP (PART-B IN MN AND WI ONLY) Mark Pytel (847) ANTHEM BCBS OF VIRGINIA - MEDIGAP Lora Tincher (502) ANTHEM BCBS OF VIRGINIA - MEDIGAP Lora Tincher (502) ANTHEM BCBS NORTHEAST REGION Lora Tincher (502) ODS HEALTH PLANS, INC. - MEDIGAP EDI Department (503) ARKANSAS BCBS - MEDIGAP Mia Moore (501) INDEPENDENCE BLUE CROSS - MEDIGAP Sharelle Bond (215) CENTRAL UNITED LIFE INSURANCE COMPANY - MADIGAN Customer Service (800) AFLAC OF CO - MEDIGAP Customer Service (800) AFLAC OF NY - MEDIGAP Customer Service (800)

10 HIGHMARK WEST VIRGINIA Customer Service (800) HIGHMARK WEST VIRGINIA Customer Service (800) UNIFIED LIFE INS. CO. - MEDIGAP Jana Shrum (913) ANTHEM BCBS OF NEVADA - MEDIGAP Lora Tincher (502) ANTHEM BCBS OF COLORADO Lora Tincher (502) BLUE CROSS OF CALIFORNIA - MEDIGAP Lora Tincher (502) UNIFCARE LIFE & HEALTH INSURANCE COMPANY - MEDIGAP Lora Tincher (502) HEALTHPLUS OF MICHIGAN - MEDIGAP Venus Pope (810) RESERVE NATIONAL INSURANCE CO Reta Weaver (800) AMERICAN INSURANCE ADMINISTRATORS - MEDIGAP Bob Fabbi (727) BANKERS FIDELITY LIFE INS. CO. - MEDIGAP BC OF IDAHO - MEDIGAP BC OF IDAHO - MEDIGAP NORTH AMERICAN INSURANCE Julie Tauber (800) PEKIN LIFE INS. CO. - MEDIGAP Customer Service (800) STATE FARM AUTOMOBILE INSURANCE COMPANY - MEDIGAP Customer Service (866) THRIVENT FINANCIAL - MEDIGAP Rebecca Freeman (920) THRIVENT FINANCIAL - MEDIGAP Rebecca Freeman (920) BCBS OF MASS Debra Wilson (617) BCBS OF VERMONT - MEDIGAP Chantal Parent (802) BCBS OF KANSAS CITY Kathy Currey (816) AMERICAN REPUBLIC INSURANCE COMPANY - MEDIGAP Customer Service (800) WORLD INSURANCE Customer Service (800) CENTRAL STATES HEALTH & LIFE CO. OF OMAHA - MEDIGAP Melissa Matthys (281) BCBS OF RHODE ISLAND Anne Brunson (800) MARSH AFFINITY GROUP SERVICES - MEDIGAP ASURIS Rebecca Thorn (503) REGENCE BLUESHIELD OF UTAH Rebecca Thorn (503) REGENCE BLUESHIELD Rebecca Thorn (503) REGENCE BLUESHIELD OF UTAH Rebecca Thorn (503) BCBS OF FLORIDA - MEDIGAP (FEP) Customer Service (800) BCBS OF FLORIDA - MEDIGAP (SUPPLEMENTAL) Customer Service (800) AMERI HEALTH ADMINISTRATOR- MEDIGAP Robert Johnston (215) COMMUNITYCARE LIFE & HEALTH - MEDIGAP Roxanne King (918) AMERICAN REPUBLIC INSURANCE COMPANY - MEDIGAP Customer Service (800) REGENCE BCBS OF OREGON Rebecca Thorn (503) BCBS OF WISCONSIN Lora Tincher (502) BCBS OF WYOMING -(PART A) Amber Zowada (307) NATIONWIDE MUTUAL INS CO Tom Litton (614) AMERICAN REPUBLIC INSURANCE COMPANY - MEDIGAP Customer Service (800)

11 AMERICAN REPUBLIC INSURANCE COMPANY - MEDIGAP Customer Service (800) ROCKY MOUNTAIN HEALTH PLAN Kris Malean (970) OLD SURETY LIFE INSURANCE CO HEALTH ALLIANCE PLAN Laron Gaines (313) UNITED AMERICAN INSURANCE CO-GMS Customer Service (972) MEDICO WI PART A Customer Service (800) MEDICO WI PART B Customer Service (800) MEDICO PART A Customer Service (800) MEDICO PART B Customer Service (800) BCBS OF MINNESOTA Customer Service (800) BCBS OF MINNESOTA Customer Service (800) BCBS OF MINNESOTA Customer Service (800) BCBS OF MINNESOTA Customer Service (800) BCBS OF MINNESOTA Customer Service (800) ACTUARIAL MANAGEMENT RESOURCES Donna Coleman-Fulk (336) FIRST COMMUNITY HEALTH PLAN, INC Regina Ratley (256) HEALTH CARE SERVICE BCBS-STD Customer Service (888) HCSC,BCBS NON-STD Customer Service (888) BCBS OF NEBRASKA Customer Service Center (800) BCBS OF NEBRASKA Customer Service Center (800) BLUE CROSS BLUE SHIELD OF NC Pam Stephenson (919) HEARTLAND NATIONAL LIFE INS., CO Laura Sarle (801) INSURANCE ADMINISTRATIVE SOLUTIONS, LLC - MEDIGAP See Designated Group INSURANCE ADMINISTRATIVE SOLUTIONS, LLC - MEDIGAP Puritan Life (866) INSURANCE ADMINISTRATIVE SOLUTIONS, LLC - MEDIGAP Gerber Life Insurance (800) INSURANCE ADMINISTRATIVE SOLUTIONS, LLC - MEDIGAP Idealife Insurance Company (866) INSURANCE ADMINISTRATIVE SOLUTIONS, LLC - MEDIGAP Lincoln Heritage Life (888) INSURANCE ADMINISTRATIVE SOLUTIONS, LLC - MEDIGAP PrincipalLifeInsurance (800) INSURANCE ADMINISTRATIVE SOLUTIONS, LLC - MEDIGAP Royal Neighbors of America (877) INSURANCE ADMINISTRATIVE SOLUTIONS, LLC - MEDIGAP Shenandoah Life Insurance (866) INSURANCE ADMINISTRATIVE SOLUTIONS, LLC - MEDIGAP State Mutual Insurance (877) INSURANCE ADMINISTRATIVE SOLUTIONS, LLC - MEDIGAP Sterling Investors Life (877) INSURANCE ADMINISTRATIVE SOLUTIONS, LLC - MEDIGAP KSKJ Life (866) INSURANCE ADMINISTRATIVE SOLUTIONS, LLC - MEDIGAP Central States Indemnity Co. of Omaha (855) INSURANCE ADMINISTRATIVE SOLUTIONS, LLC - MEDIGAP UNIFIED LIFE INSURANCE COMPANY (877) INSURANCE ADMINISTRATIVE SOLUTIONS, LLC - MEDIGAP AMERICO FINANCIAL LIFE AND (877) ANNUITY INSURANCE

12 AMERICAN ENTERPRISE - WIA Customer Service (888) AMERICAN ENTERPRISE - WIB Customer Service (888) AMERICAN ENTERPRISE - A Customer Service (888) AMERICAN ENTERPRISE - B Customer Service (888) ASSURED LIFE ASSOCIATION Customer Service (877) TUFTS INSURANCE COMPANY EDI Operations (617) ARKANSAS BCBS Angela Winston (501) GERBER LIFE INS. CO Customer Service (877) STANDARD LIFE AND ACCIDENT INS Jill Davis (281) UNITED NATIONAL LIFE INSURANCE COMPANY Mark Pytel (847) UNITED NATIONAL LIFE INSURANCE COMPANY Mark Pytel (847) BLUE CROSS OF CALIFORNIA Annie Pressley-Mitchell (404) BLUE CROSS OF COLORADO Annie Pressley-Mitchell (404) BLUE CROSS OF GEORGIA Annie Pressley-Mitchell (404) BLUE CROSS OF NEVADA Annie Pressley-Mitchell (404) BLUE CROSS OF WISCONSIN Annie Pressley-Mitchell (404) NEW ERA LIFE INS. CO. - MEDIGAP Isabel Gonzalez (281) BLUE SHIELD OF CALIFORNIA Tammy Rutters (530) PRIORITY HEALTH Carol Nowak (616) CT PINPE TRADES HEALTH Stephanie Doyle (856) GOVERNMENT PERSONNEL MUTUAL LIFE Customer Service (866) COLUMBIAN MUTUAL LIFE INSURANCE Customer Service (866) AULTCARE Ty Pruette (330) HARVARD PILGRIM HEALTH CARE, INC Michael Comerford (617) BLUE CROSS BLUE SHIELD OF WNY Melissa Deboth (716) GEISINGER HP/GOLD MEDICARE Joanne Minium (570) COLONIAL PENN LIFE INSURANCE CO Customer Service (800) BCBS OF ALABAMA Customer Service (205) HEALTH FIRST INSURANCE Angie Vazquez (321) CAPITAL DISTRICT PHYSICIANS Kerri Petersen (518) HARVARD PILGRIM HEALTH CARE, INC Michael Comerford (617) PBA INC Kathy Carpenter (630) BLUE CROSS BLUE SHIELD OF GA Lora Tincher (502) UNIVERSAL FIDELITY LIFE INS. CO Becky Morris (800) OLYMPIC HEALTH MANAGEMENT SYSTEM Wendi Western (360) GUARANTEE TRUST LIFE INS. CO Mark Pytel (847) GUARANTEE TRUST LIFE INS. CO Mark Pytel (847) GUARANTEE TRUST LIFE INS. CO Mark Pytel (847) NATIONAL GUARDIAN LIFE INS. CO Mark Pytel (847) NATIONAL GUARDIAN LIFE INS. CO Mark Pytel (847) NATIONAL GUARDIAN LIFE INS. CO Mark Pytel (847) MEMBERS HEALTH INSURANCE CO Geri Cayce (931)

13 LOYAL AMERICAN LIFE INSURANCE CO Customer Service (866) AVERA HEALTH PLANS, INC Karen Mikuska (605) NCSCBF Lori Eslinger (715) HEALTH CARE SERVICE CORPORATION Customer Service (866) HEALTH CARE SERVICE CORPORATION Customer Service (888) SENTINEL SECURITY LIFE INS. CO Linda Jonides (801) SECURE ADMINISTRATIVE SOLUTIONS Linda Jonides (801) LOYAL CHRISTIAN BENEFIT ASSOC Laura Sarle (801) INDIVIDUAL ASSURANCE COMPANY Laura Sarle (801) HOMETOWN HEALTH SENIOR CARE PLUS Ryan Hopkins (775) GREEK CATHOLIC UNION Laura Sarle (801) WELLMARK BCBS OF SD MEDIGAP Wellmark BCBS (800) WELLMARK BCBS OF SD MEDIGAP Wellmark BCBS (800) TN RURAL HEALTH IMPROVEMENT ASS Geri Cayce (931) QUALCHOICE LIFE HEALTH INSURANCE Ashley Matthews (501) BCBS of Minnesota Customer Service (800) BCBS of Minnesota Customer Service (800) SISCO Kara Kessler (563) MERCER HEALTH & BENEFITS ADM LLC Dee Green (515)

14 BANKERS LIFE AND CASUALTY Customer Service (800) GLOBE LIFE & ACCIDENTAL INS CO Customer Service (972) AMERICAN INCOME LIFE INSURANCE Customer Service (972) FIRST UNITED AMERICAN LIFE INS Customer Service (972) UNITED AMERICAN INSURANCE CO Customer Service (972) LIBERTY NATIONAL LIFE INSURANCE Customer Service (972) GOLDEN RULE INSURANCE CO James Anderson (317) ACTUARIAL MANAGEMENT RESOURCES Donna Coleman-Fulk (336) SHELTER LIFE INSURANCE COMPANY Carla Lind (573) TRICARE FOR LIFE (ADMINISTERED BY WISCONSIN PHYSICIAN SERVICES) - TRICARE Customer Service (866) HORIZON BCBS OF NJ - OTHER/FEHBP Customer Service (800) BCBS OF MICHIGAN - FEP Customer Service (800) BCBS OF ALABAMA - OTHER Customer Service (205) BCBS OF SC Cynthia Lagatore (803) HIGHMARK, INC. - OTHER LIMITED B & DMERC Customer Service (800) HIGHMARK, INC. - OTHER PART A ONLY Customer Service (800) HEALTH CARE SERVICES CORPORATION (HCSC) BCBS OF ILLINOIS - OTHER Customer Service (888) HEALTH CARE SERVICES CORPORATION (HCSC) BCBS OF NEW MEXICO - OTHER Customer Service (888) HEALTH CARE SERVICES CORPORATION (HCSC) BCBS OF TEXAS- OTHER Customer Service (888) CBA INC Carol Lea (802) NATIONAL ASSOCIATION OF LETTER CARRIERS HEALTH PLAN - OTHER Stephanie Smith (703) ext BLUE CROSS AND BLUE OF MISSISSIPPI - OTHER/FEHBP Customer Service (800) BLUE CROSS OF NORTHEASTERN PA - OTHER (LIMITED PART A ONLY) Carol Stitzer (570) BLUE CROSS OF NORTHEASTERN PA - OTHER Carol Stitzer (570) BLUE CROSS OF NORTHEASTERN PA - OTHER Carol Stitzer (570) BLUE CROSS OF NORTHEASTERN PA - OTHER (LIMITED PART A ONLY) Carol Stitzer (570) TRIPLE S, INC. - OTHER Jeannette Irizarry Velez (787) BCBS OF ALABAMA - OTHER Customer Service (205) BCBS OF NORTH DAKOTA (OTHER) Shelly Stalpes (701) HAWAII MEDICAL SERVICES ASSOCIATION -OTHER Debbie Ruiz (808) HAWAII MEDICAL SERVICES ASSOCIATION -OTHER Amy Jampel (808) BCBS OF TENNESSEE - OTHER Venessa Marsh (423) HAWAII MEDICAL SERVICES ASSOCIATION -OTHER George Yamada (808) BLUE CROSS AND BLUE SHIELD OF MINNESOTA - OTHER MN only (800) KANSAS BCBS - OTHER/FEHBP Customer Service (800) ADMINISTRATIVE SERVICES ONLY, INC. OTHER Laura Lombardo (516) KPS HEALTH PLANS - OTHER Teresa Hiagh-Braget (360) ANTHEM BCBS FEP OF IN - OTHER Lora Tincher (502)

15 ANTHEM BCBS FEP OF CO - OTHER Lora Tincher (502) ANTHEM BCBS FEP OF KY - OTHER Lora Tincher (502) ANTHEM BCBS FEP OF CT - OTHER Lora Tincher (502) ANTHEM BCBS FEP OF OH - OTHER Lora Tincher (502) ANTHEM BCBS FEP OF NV - OTHER Lora Tincher (502) ANTHEM BCBS FEP OF VA - OTHER Lora Tincher (502) ANTHEM BCBS FEP OF ME - OTHER Lora Tincher (502) ANTHEM BCBS FEP OF NH - OTHER Lora Tincher (502) STIRLING & STIRLING - OTHER Monica Strong (203) BCBS OF LOUISIANA - OTHER Customer Service (800) AULTCARE - OTHER Ty Pruett (330) BLUE SHIELD OF CALIFORNIA - OTHER Tammy Rutters (530) BLUE CROSS BLUE SHIELD OF NC Pam Stephenson (919) CAPITAL BLUE CROSS- OTHER Nancy Herman (717) BLUE CROSS BLUE SHIELD OF WNY Melissa Deboth (716) BLUE CROSS BLUE SHIELD OF WNY Melissa Deboth (716) GOVERNMENT EMPLOYEES HOSPITAL ASSOCIATION (GEHA) - OTHER Daryl Evans (816) EMPIRE BCBS- OTHER/FEHBP Lora Tincher (502) EMPIRE BCBS- OTHER/FEHBP Annie Pressley-Mitchell (404) BLUE CROSS AND BLUE SHIELD OF DELAWARE - OTHER Customer Service (302) SPECIAL AGENTS MUTUAL BENEFIT ASSOC. (SAMBA) - OTHER Customer Service (800) BCBS OF ARIZONA - OTHER Zoila Buruato (602) BCBS OF WYOMING - OTHER (LIMITED TO PART B) Amber Zowada (307) BCBS OF NORTH DAKOTA Shelly Stalpes (701) ARKANSAS BCBS FEP - OTHER/FEHBP Shawana Coleman (501) USAABLE ADMINISTRATORS - OTHER Martha Campbell (501) BLUE ADVANTAGE ADMIN OF ARKANSAS - OTHER Martha Campbell (501) USAABLE LIFE - OTHER Martha Campbell (501) NORTHWEST ADMINISTRATORS - OTHER Danielle Brenner (206) BC OF IDAHO- OTHER Laurie Warren (208) BC OF IDAHO- OTHER Laurie Warren (208) APWU HEALTH PLAN - OTHER Loretta Demby (410) HIGHMARK WEST VIRGINIA Member Customer Service (888) HIGHMARK WEST VIRGINIA Provider Customer Service (800) HIGHMARK WEST VIRGINIA Member Customer Service (888) HIGHMARK WEST VIRGINIA Provider Customer Service (800) CHCS SERVICES, INC. - OTHER, FEHBP (A ONLY) Insurance Service Service (850) CHCS SERVICES, INC. - OTHER, FEHBP Insurance Service Service (850) CHCS SERVICES, INC. - OTHER, FEHBP (A ONLY) Insurance Service Service (850) CHCS SERVICES, INC. - OTHER, FEHBP Insurance Service Service (850) BCBS OF MASS Customer Service (800) KLAIS & COMPANY - OTHER Customer Service (800) NATIONAL CAPITAL ADMINISTRATIVE SERVICES (NCAS) - OTHER Customer Service (800)

16 HEALTH SCOPE BENEFITS WC Bradley (877) HEALTH SCOPE BENEFITS Neff Company (877) HEALTH SCOPE BENEFITS ENPRO (877) HEALTH SCOPE BENEFITS CAC (877) HEALTH SCOPE BENEFITS Auto Systems (877) HEALTH SCOPE BENEFITS Phillips (877) HEALTH SCOPE BENEFITS KRAFT (800) HEALTH SCOPE BENEFITS Emerson Svc Ctr (800) HEALTH SCOPE BENEFITS CNAF (800) HEALTH SCOPE BENEFITS Southwest Electric (800) HEALTH SCOPE BENEFITS American Greetings Svc Ctr (800) HEALTH SCOPE BENEFITS Whirlpool Svc Ctr (800) HEALTH SCOPE BENEFITS Ball Corporation (800) HEALTH SCOPE BENEFITS Alcoa Svc Ctr (800) HEALTH SCOPE BENEFITS Adams (800) HEALTH SCOPE BENEFITS Loews/Lorillard (800) HEALTH SCOPE BENEFITS Goodrich (800) HEALTH SCOPE BENEFITS - OTHER See Designated Group BCBS OF KANSAS CITY Kathy Currey (816) BENESYS - OTHER Customer Service (800) BENESYS - OTHER Customer Service (800) BCBS OF RHODE ISLAND Customer Service (800) PRIORITY HEALTH - OTHER Carol Nowark (616) HEALTH CARE SERVICES CORPORATION (HCSC) BCBS OF ILLINOIS - OTHER Customer Service (888) HEALTH CARE SERVICES CORPORATION (HCSC) BCBS OF NEW MEXICO - OTHER Customer Service (888) HEALTH CARE SERVICES CORPORATION (HCSC) BCBS OF TEXAS- OTHER Customer Service (888) COVENTRY PERSONAL CARE INSURANCE OF ILLINOIS, INC Customer Service (302) COMMUNITY FIRST HEALTH PLANS - OTHER Rose Allen (210) EXCELLUS HEALTH PLAN (INCLUDING BCBS OF UTICA, SYRACUSE, & ROCHESTER) - OTHER Jill Kohler (315) NORTHWEST ADMINISTRATORS, INC Danielle Brenner (206) ROCKY MOUNTAIN Kris Malean (970) COVENTRY GROUP HEALTH PLAN, INC. - OTHER Customer Service (302) COVENTRY HEALTH CARE (FIRST HEALTH GROUP) Customer Service (302) COVENTRY HEALTH CARE OF NEBRASKA - OTHER Customer Service (302) COVENTRY HEALTH CARE OF IOWA - OTHER Customer Service (302) COVENTRY HEALTH CARE (FIRST HEALTH GROUP) Customer Service (302) HEALTH CARE SERVICES CORPORATION (HCSC) BCBS OF OK (FEP A ONLY) Customer Service (888) HEALTH CARE SERVICES CORPORATION (HCSC) BCBS OF OK (FEP B ONLY) Customer Service (888) BCBS OF WYOMING Customer Service (888) COVENTRY HEALTH CARE (HEALTHAMERICA OF PENNSYLVANIA, INC.) Customer Service (302) COVENTRY HEALTH CARE OF LOUISIANA Customer Service (302) COVENTRY HEALTH CARE OF GEORGIA, INC Customer Service (302) COVENTRY HEALTH CARE (CARELINK HEALTH PLAN, INC.) Customer Service (302)

17 COVENTRY HEALTH CARE (SOUTHERN HEALTH SERVICES, INC.) Customer Service (302) COVENTRY HEALTH CARE OF DELAWARE, INC Customer Service (302) COVENTRY HEALTH CARE (WELLPATH SELECT, INC.) Customer Service (302) C.L. FRATES AND COMPANY Rick Franklin (405) ANTHEM BCBS FEP OF CA - OTHER Annie Pressley-Mitchell (404) HEALTH SMART BENEFIT SOLUTIONS John Campbell (214) BCBS MO FEP Lora Tincher (502) BCBS WI FEP Lora Tincher (502) BCBS OF MINNESOTA Customer Service (800) BCBS OF MINNESOTA Customer Service (800) BCBS OF MINNESOTA Customer Service (800) BCBS OF MINNESOTA Customer Service (800) BCBS OF MINNESOTA Customer Service (800) BCBS OF MINNESOTA Customer Service (800) BCBS OF MINNESOTA Customer Service (800) BCBS OF MINNESOTA Customer Service (800) BCBS OF MINNESOTA Customer Service (800) PRAIRIE STATES ENTERPRISES, INC Kathie Horness (920) INNOVATIVE HEALTHWARE SERVICES Jessica Picarde (410) BENEFITS MANAGEMENT GROUP, INC Lisa Frasco (630) LIPMAN INSURANCE ADMINISTRATORS, INC Sylvia Sanchez (510) CDS GROUP HEALTH Customer Service Department (800) GROUP AND PENSION ADMINISTRATORS, INC Customer Service (972) WELFARE AND PENSION ADMIN SERVICE Heidi Campbell (206) MAGNACARE ADMIN SERVICES Customer Service Center (888) SHASTA ADMINISTRATIVE SERVICES Sheryl Petrakis-Wood (541) COVENTRY HEALTH CARE (FEDRAL PLAN) Customer Service (800) PREMERA BS FEP/EASTERN WA Customer Service (800) PREMERA BC FEP/WASHINGTON Customer Service (800) PREMERA BCBS FEP/ALASKA Customer Service (800) PREMERA BCBS FEP/ALASKA Customer Service (800) GROUP ADMINSITRATORS, LTD Kim Ufkes (847) AMERIBEN Carrie Hatch (208) KAISER FOUNDATION HEALTH PLAN Phyllis Tennant (440) BENESYS, INC BCBS OF NEBRASKA Customer Service Center (800) INDEPENDENCE BLUE CROSS Sharelle Bond (215) BCBS OF NEBRASKA Customer Service Center (800) KEMPTON COMPANY Dwight Berry (405) BENESYS, INC GILSBAR, INC Customer Contact Center (888) GILSBAR, INC Customer Contact Center (888)

18 WESTERN GROWERS ASSURANCE TRUST Lara Hassan (949) PINNACLE CLAIMS MANAGEMENT, INC Lara Hassan (949) CHAMPVA-VA HEALTH ADMIN CTR HAC Customer Service Center (800) MERITAIN HEALTH Customer Service (800) INFORMED, LLC George govatos Jr. (410) ZENITH ADMINISTRATORS, U Tracy Weston (206) COVENTRY- CHC OF FLORIDA Customer Service (866) ZENITH ADMINISTRATORS, K Irene Newman (317) ZENITH ADMINISTRATORS, B Kathleen Linzmeier (608) ZENITH ADMINISTRATORS, A Rosie Bailey (651) ZENITH ADMINISTRATORS, A Rosie Bailey (651) ZENITH ADMINISTRATORS, U Lisa Pasby (509) ZENITH ADMINISTRATORS, U Lisa Pasby (509) COOPERATIVE BENEFIT ADMIN/NRECA Mikki McGuire (402) ZENITH AMERICAN SOLUTIONS, N Trini Caoili (415) ZENITH AMERICAN SOLUTIONS, N Trini Caoili (415) ZENITH AMERICAN SOLUTIONS, N Trini Caoili (415) ZENITH AMERICAN SOLUTIONS, N Trini Caoili (415) ALLIED BENEFIT SYSTEMS, INC Terry Jones (312) AMA INSURANCE AGENCY, INC Customer Service (800) HEALTHCOMP Charles Johnson (559) ZENITH AMERICAN SOLUTIONS, K Karen May (414) ZENITH AMERICAN SOLUTIONS, K Karen May (414) ZENITH AMERICAN SOLUTIONS, H Kathy Leonard (314) CAREFIRST ADMINISTRATORS Fred Ellerbe (877) BCBS GA FEP Annie Pressley-Mitchell (404) ZENITH AMERICAN SOLUTIONS, N Becky Placek (415) HEALTH PLANS INC Chris Parr (508) SCOTT & WHITE HEALTH PLAN Noel Rivas (254) CHCS SERVICES INC Insurance Service Center (850) CHCS SERVICES INC Insurance Service Center (850) CHCS SERVICES INC Insurance Service Center (850) CHCS SERVICES INC Insurance Service Center (850) CHCS SERVICES INC Insurance Service Center (850) CHCS SERVICES INC Insurance Service Center (850) CHCS SERVICES INC Insurance Service Center (850) HEALTH CARE SERVICE CORPORATION Blue Cross Blue Shield (888) HEALTH CARE SERVICE CORPORATION Blue Cross Blue Shield (888) LINE CONTRUCTION BENEFIT FUND Customer Service (800) ASSOCIATED THIRD PARTY ADMIN Marilyn Haynes (925) APEX HEALTH SOLUTIONS Betsy Gossard (330) EMPLOYEE BENEFIT MGMT SERVICES Lisa Rel (406)

19 HEALTH PLAN SYSTEMS SERVICES COR Satish Kurian (732) STONER AND ASSOCIATES Linda Sites (304) QUALCHOICE QCA HEALTH PLAN INC Ashley Matthews (501)

20 ANTHEM CENTRAL - FACETS Lora Tincher (502) ANTHEM CENTRAL - FACETS Lora Tincher (502) ANTHEM BCBS VIRGINIA Lora Tincher (502) ANTHEM BCBS VIRGINIA Lora Tincher (502) ANTHEM BCBS VIRGINIA Lora Tincher (502) ANTHEM BCBS VIRGINIA Lora Tincher (502) EMPIRE BLUE CROSS BLUE SHIELD I Lora Tincher (502) EMPIRE BLUE CROSS BLUE SHIELD II Lora Tincher (502) EMPIRE BLUE CROSS BLUE SHIELD II Lora Tincher (502) EMPIRE BLUE CROSS BLUE SHIELD II Lora Tincher (502) EMPIRE BLUE CROSS BLUE SHIELD I Lora Tincher (502) EMPIRE BLUE CROSS BLUE SHIELD I Lora Tincher (502) EMPIRE BLUE CROSS BLUE SHIELD I Lora Tincher (502) ANTHEM BCBS CONNECTICUT Lora Tincher (502) ANTHEM BCBS NEW HAMPSHIRE Lora Tincher (502) ANTHEM BCBS MAINE Lora Tincher (502) ANTHEM BCBS MAINE Lora Tincher (502) ANTHEM BCBS NEW HAMPSHIRE Lora Tincher (502) ANTHEM BCBS CONNECTICUT Lora Tincher (502) ANTHEM BCBS NORTHEAST REGION Lora Tincher (502) ANTHEM BCBS NORTHEAST - PART B Lora Tincher (502) ANTHEM NATIONAL BCBS OHIO CTRL Lora Tincher (502) ANTHEM NATIONAL BCBS KY CONTROL Lora Tincher (502) ANTHEM NATIONAL BCBS IN CONTROL Lora Tincher (502) BLUE CROSS OF CALIFORNIA Lora Tincher (502) UNICARE LIFE & HEALTH INSURANCE Lora Tincher (502) BLUE CROSS OF CALIFORNIA Lora Tincher (502) UNICARE LIFE & HEALTH INSURANCE Lora Tincher (502) BLUE CROSS BLUE SHIELD OF WI Lora Tincher (502) ANTHEM BCBS OF NEVADA Lora Tincher (502) ANTHEM BCBS OF COLORADO Lora Tincher (502) ANTHEM BCBS OF NEVADA Lora Tincher (502) ANTHEM BCBS OF COLORADO Lora Tincher (502) ANTHEM FEP INDIANA Lora Tincher (502) ANTHEM FEP COLORADO Lora Tincher (502) ANTHEM FEP KENTUCKY Lora Tincher (502) ANTHEM FEP CONNECTICUT Lora Tincher (502) ANTHEM FEP OHIO Lora Tincher (502) ANTHEM FEP NEVADA Lora Tincher (502) ANTHEM FEP VIRGINIA Lora Tincher (502)