Professional (Medical) Payer List Payer Name Order

Transcription

1 Professional (Medical) Payer List Payer Name Order Administrative Services of Kansas Updated October 2015 Administrative Services of Kansas (ASK) is Blue Cross and Blue Shield of Kansas DBA ASK. ASK 1

2 ASK accepts claims for the payers listed on this page at no charge to the trading partner. Participation in the EDI Midwest Commercial Clearinghouse is not required for any transactions submitted for these payers. Additional Payers Available (Free) Payer ID PAYER NAME Blue Cross and Blue Shield of Kansas Blue Cross and Blue Shield of Kansas City BlueCross and BlueShield of Western New York BlueCross and BlueShield of Western New York BlueShield of Northeastern New York Freedom Network Freedom Network Select Health Partners of Kansas (HPK) HealthNow New York, Inc Mo-Kan Sheet Metal Workers Welfare Fund PHP (Preferred Health Professionals) Preferred Health Professionals PPO (PHP PPO) ASK 2

3 Professional (Medical) Payer List EDI Midwest National Benefit Fund P ADMIN A & I Benefit Plan Administrators AAG Benefit Plan Administrators Inc AAG-American Administravie Group ( Formerly Icon Benefit Admin) AARP Hospital Indemnity Plans insured by UnitedHealthcare Insurance Co AARP Medicare Supplement Plans insured by UnitedHealthcare Insurance Co AARP MedicareComplete through UHC / Oxford Medicare Network AARP MedicareComplete through UHC / Oxford Mosaic Network - AARP MedicareCo AARP MedicareComplete through UnitedHealthcare / Oxford Medicare Network AARP MedicareComplete through UnitedHealthcare / Oxford Mosaic Network AARP MedicareComplete through UnitedHealthcare/AARP MedicareComplete E3510 ABMA (Alta Bates Medical Assocs) Medical Corp (Hnet Sr. and Secure Horizon) Absolute Total Care Access Medical Group Acclaim Activa Benefit Services LLC Administration Systems Research Corporation ADVANCED DATA SOLUTIONS Advantage by Bridgeway Health Solutions Advantage by Buckeye Community Health Plan Advantage by Managed Health Services Advantage by Peach State Advantage by Sunshine State Advantage by Superior HealthPlan Advantek Benefit Administrators Advantica Benefits Advantra Savings Advanzeon Solutions Advocate Medical Group - AMG (Legacy AHC) CB637 Aegis Administrative Services Aetna Aetna Encounters Aetna Affordable Health Choices (SM) - SRC 128MI Aetna Better Health of Michigan ASK 3

4 128MO Aetna Better Health of Missouri Aetna Better Health of NY Aetna Encounters Encounters AFFINITY MEDICAL GROUP AFTRA Health Fund Agate Resources Inc. (LIPA) Agency Services Inc AHPO (Cleveland OH) AIG Educational Markets Alaska Carpenters Trust Alaska Children's Services Inc Alaska Laborers Construction Industry Trust Alaska Pipe Trades Local Alaska United Food & Commercial Workers Health & Welfare Trust ALICARE AllCare PEBB Allegian Choice Allegiance Benefit Plan Management Inc Alpha Health Plan Inc. A0701 Alta Bates Medical Group E3510 Alta Senior Care (Hnet Sr and Secure Horizons only) Alternative Risk Management Inc Altius (Utah) Amalgamated Life Amalgamated Life - PA / Alicare Ambetter from Buckeye Community Health Plan Ambetter from CeltiCare Health Plan Ambetter from Magnolia Health Ambetter from Managed Health Services Ambetter from Peach State Health Plan Ambetter from Sunshine Health Ambetter from Superior Health Ambetter of Arkansas AmeriBen Solutions Inc Americaid Community Care (Maryland) Americaid Community Care (New Jersey) American Administrative Group American Benefit Plan Administrators American Family Medicare Supplement and PPO Policies Administered by Am Rep American General American Healthcare Alliance American Imaging Management Inc American National Ins. Co. (ANICO) American Postal Workers Union Health Plan ASK 4

5 42011 American Republic Insurance American Specialty Health American Trust Administrators Inc America's PPO Amerigroup Community Care AMERIGROUP Community Care of New Mexico Amerigroup Corporation (Ft Worth) Amerigroup Corporation (Houston) Amerigroup Florida AMERIGROUP Georgia Amerigroup Illinois Amerigroup Ohio Amerihealth Caritas District of Columbia AmeriHealth Caritas Louisiana AmeriHealth Caritas NorthEast AmeriHealth Caritas Pennsylvania AmeriHealth Caritas VIP Care Plus (Michigan) AmeriHealth Connect (AMERIHEALTH CARITAS) Amerihealth VIP Care- DC Amerihealth VIP Care- LA AmeriHealth VIP Care PA AmFirst Insurance Company Amida Care Medicare Anchor Benefit Consulting Inc Ancillary Benefit Services (ABS) Angeles IPA (SynerMed) Apex Benefit Services APS Healthcare Inc ARAZ Group Arbor Health Plan Arcadian Management Services Inc ARISE Arizona Foundation for Medical Care (AFMC) Arizona Priority Care Plus Arkansas Managed Care Organization Inc. (AMCO) ARM Grp Arnett Health Plan ASAGEHA Aspen Aspire Health Plan ASR ASR Corporation ASR Health Benefits Associates for Health Care Inc. (AHC) Association Benefit Plan Assurant Health (IM & GROUP FULLY-INSURED) ASK 5

6 58730 Assurant Health/ASA (Assurant Health members with ASA PPO Network) Assured Benefits Administrators Asuris Northwest Athens Area Health Plan Select Automated Benefit Services Avera Health Plans AVMED INC Encounters AvMed Inc Bakersfield Family Medical Group Beech Street Bellflower Hospital (Synermed) Benefit & Risk Management Services Benefit Administrative Systems Benefit Coordinators Corporation (Pittsburgh PA) BENEFIT MANAGEMENT SERVICES Benefit Plan Administrators Benefit Plan Administrators Co. (Eau Claire WI) Better Health Plans Inc Better Health Plans of South Carolina Blue Cross Complete of Michigan Bluegrass Family Health BMC HealthNet Plan Boilermakers National Health & Welfare Fund Boston Medical Center Health Plan Inc Boston Medical Center Health Plan Inc. Encounters Bravo Health Bravo Health Star Plus Bridgeway Arizona Brokerage Concepts Brown & Toland Medical Group BTSS1 Brown & Toland Sutter Select Buckeye Community Health Butler Benefit C&O Employees Hospital Association C. L. Frates & Co - OSMA Health California Health & Wellness CAIPA California IPA California Pacific Medical Center CAP Management Systems Capital Health Plan Care 1st Health Plan of Arizona CARE 1ST HEALTH PLAN OF CA Care Improvement Plus (CIP) CareCentrix CareCore National ASK 6

7 14179 CareCore National LLC (Aetna Radiology ) CareCore National LLC (Oxford Radiology ) CareCore/WCNY RAD CareFlorida Carelink Medicaid Carenet CareOregon Inc CarePlus Health Plans Inc Carepoint Health Plans INCS1 Caresource Indiana Inc KYCS1 CareSource KY CareSource OH Cedars-Sinai Medical Network Services Cedars-Sinai Medical Network Services Encounters CeltiCare Cement Masons & Plasterers Health & Welfare Trust Cenpatico - Arizona Cenpatico - FL Cenpatico - Georgia Cenpatico - Indiana Cenpatico - OHIO Cenpatico - WI Cenpatico Behavioral Health Cenpatico Behavioral Health Texas Cenpatico Massachuetts Cenpatico New Hampshire Cenpatico South Carolina Cenpatico TPA Centegra Health System Centene Advantage Plans Centene TPA Center for Elders Independence CenterLight Healthcare CentraCare Central California Women's Health Central DuPage Physician Group Central Reserve Life Central Reserve Life Ins Co-Medicare Supplement Central States Health & Welfare Funds Central Valley Medical Group E3510 Central Valley Medical Group Centurion Century PHO INC Cerner HealthPlan Services CHAMPVA - HAC Chautauqua County Healthcare Plan (Mayville NY) ASK 7

8 94321 Children First Medical Group Children of Women Vietnam Veterans-VA HAC Chinese Community Health Plan CHP DIRECT SUPERMED Christian Care Ministry Christie Student Health Plans Christus Health Medicare Advantage Christus Health New Mexico HIX CIGNA CIGNA - PPA CIGNA - PPO SX071 CIGNA Behavioral Health CIGNA Health Plan - HMO CIGNA Medicare Advantage Cigna-Healthspring Cincinnati Financial Corporation Development Corporation Ware Inc. dba ManageMed Clearchoice Health Plan / COIHS EM843 CMS MMA SPECIALTY PLAN CNIC Health Solutions Inc Coastal Care Services Inc Coastal Communities Physician Network Cofinity Columbia United Providers Commercial Travelers/PHX Community Care BHO Community Care Inc. - Family Care (Wisconsin) Community Care Inc. (Wisconsin) CCI01 Community Care IPA Community Care Managed Health Care Plans of Oklahoma Community Health Choice Community Health Choice-Health Insurance Marketplace Community Health Group Community Medical Group of the West Valley Inc CommunityConnect HealthPlan Comp - Ohio (Austintown OH) Compcare (Wisconsin BadgerCare only) Compsych Concentrix Insurance Solutions Conifer (formerly InforMed) Conifer Value-Based Care Connecticare - Medicare ConnectiCare Inc Connecticut General (CIGNA) L0260 Constellation Health ASK 8

9 29076 Consumers Life Insurance Company Continental General Ins Co-Medicare Supplement Continental General Insurance Company Continuum Health Solutions LLC Conversion Plan-APWU THCP9 Cook Children Star Plan COOPERATIVE MANAGED CARE SERVICES SX009 CoOportunity Health Coordinated Medical Specialists CORIZ Corizon Health Inc Cornerstone Benefit Adminstrators CMSP1 County Services Medical Program Coventry Advantra Texas Coventry Health & Life (Oklahoma) Coventry Health and Life Insurance Company administered by PersonalCare Coventry Health and Life Insureance (Tennessee) Coventry Health Care Coventry Health Care Encounters Coventry Health Care Carelink - West Virginia only Coventry Health Care Carelink Medicaid - West Virginia only Coventry Health Care National Network Coventry Health Care of Florida Coventry Health Care of Florida Inc Coventry Health Care of Georgia Inc Coventry Health Care of Illinois Coventry Health Care of Iowa Inc Coventry Health Care of Kansas Inc Coventry Health Care of Louisiana Inc Coventry Health Care of Missouri Coventry Health Care of Nebraska Inc Coventry Health Care of Nevada Coventry Health Care of the Carolinas Coventry Health Care of Virginia 128FL Coventry Healthcare of Florida Coventry Missouri Coventry of Health Care Delaware Inc Coventry Summitt Health Plan Inc CoventryCares of Kentucky CoventryCares of Michigan CoventryCares of Nebraska CoventryCares of Pennsylvania Crystal Run Health Plans CWIBENEFITS INC Dean Health Plan DELANO IPA ASK 9

10 27009 Delaware Physicians Care Inc Delta Health Systems DentaQuest Vision Denver Health and Hospital Authority Denver Health and Hospital Authority - Indigent Care Denver Health Medical Plan Denver Health Medical Plan Inc. - Medicare Choice Detroit Medical Center Diamond Plan (Maryland Medicaid) Diversified Administration Corporation - CT DREYR Dreyer Health Dunn and Associates Benefits Administrators Inc East LA - APMG Eastland Medical Group EBMC EGID (Employees Group Insurance Division) ELDER SERVICE PLAN OF THE NORTH SHORE Elderwood Health Emblem Health (GHI - New York Group Health Inc.) Emerald Health Network Inc. (All PPO Business) Emergency Medical Services Fund - Orange County CA Employee Benefit Concepts (Farmington Hills MI) Employee Benefit Management Corp (EBMC) Employee Health System Medical Group Employee Plans LLC Employers Direct Health Employer's Direct Health - Employee Plan Employer's Direct Health - FI Employer's Direct Health - SF Encircle PPO Encore Health Network Enstar Natural Gas Entrust EQUICOR EQUICOR - PPO Equitable Plan Services (Oklahoma City OK) ESSENCE HEALTHCARE E-V Benefits Management Inc (Columbus OH) ExclusiCare EyeQuest Facey Medical Foundation Fallon Community Health Plan Fallon Total Care Farm Family Life Federated Mutual Insurance Fidelis Care New York ASK 10

11 77054 Fidelis Seniorcare First Agency First Carolina Care First Choice Health Administrators First Choice Health Network First Choice of Midwest (PPO) First Choice VIP Care First Choice VIP Care Plus - SC First Health Network (f.k.a. CCN Managed Care Inc. & PPO Oklahoma) First Priority First Service Administrator's Inc Lakeland Florida Fitzharris & Company Inc FL MCO PHC/PHP Florida Hospital Healthcare Systems Florida True Health Foreign Service Benefit Plan Fresno - ENH Medical Group Fresno PACE Fringe Benefits Coordinators FrontPath Health Coalition Galveston County Indigent Health Care Gardena Memorial Medical Center Gateway Health Plan - Medicare Assured Gateway Health Plan Medicaid PA Gateway Health Plan OH- Medicare Assured Gateway Healthy PA Geisinger Health Plan Gemcare Health Plan Gemcare IPA GIC Indemnity Plan Global Care Inc. GEM01 Global Excel Management GHOKC Global Health GMS Inc. IP086 Good Samaritan Medical Practice Association Good Sheperd Hospice Inc Government Employees Health Association (GEHA PHCS) Government Employees Health Association (GEHA) Government Employees Health Association (GEHA-PHCS ) Granite State Health Plan Great American Life Ins. Co-Medicare Supplement Great Lakes PACE Great-West Healthcare Great-West Healthcare (formerly American General) ASK 11

12 48143 Group and Pension Administrators Group Health Cooperative - WA State Group Health Cooperative of Eau Claire Group Health Options - WA State HAP/AHL/Curanet Harbor Advantage (Abrazo Health Care) Harbor Choice Harbor Health Plan Harpeth IPA - Amerivantage Hawaii Medical Assurance Association (HMAA/HWMG) HCS - Health Service (Boise ID) Health America Inc./Health Assurance/Advantra Health Care Network of Wisconsin (HCN) Health Design Plus (Hudson OH) Health Net - California (Professional Encounters ONLY) Encounters Health Net - VA Patient Centered Community Care Program Health Net of Arizona Health Net of California and Oregon Health Partners - Jackson TN Health Plan of Michigan Health Plan of Nevada Health Plan of Nevada (Encounters) Encounters Health Plan of San Joaquin SX174 Health Plan of San Mateo Health Plans Inc Health Services Management Health Services Preferred (HSP) by Emerald Health Healthcare Solutions Group Healthcare USA Healthcomp Inc HealthEdge Administrators (Bakersfield CA) Healthfirst Health Plan of New Jersey Healthfirst Inc. (New York) Healthgram Inc Healthlink HMO Healthlink PPO SX009 HealthPartners MN HealthPlus Amerigroup Healthscope Benefits - EHC Repricing Healthsmart Accel HealthSmart Benefit Solutions HealthSmart Benefit Solutions HealthSmart Benefit Solutions fka Wells Fargo TPA.Inc HealthSmart Preferred Care Inc Healthsource AR (Med) (CIGNA) Healthsource CMHC ASK 12

13 58210 Healthsource GA (CIGNA) Healthsource KY Healthsource Massachusetts Inc Healthsource ME Healthsource N. TX (CIGNA) Healthsource NC (CIGNA) Healthsource NH Healthsource OH Healthsource Provident Healthsource SC Healthsource TN (CIGNA) Healthspan HealthSpan Inc HSPAN HealthSpan Network Repricing HealthSpring HMO/HealthSpring Medicare+Choice HESUN Healthsun Health Plans Healthways WholeHealth Networks HealthyCT Inc Heritage Consultants Heritage Victor Valley Medical Group HFN Inc High Desert Medical Group Highmark BCBSD Health Options Inc Hill Physicians Medical Group HMA Hawaii Hollywood Presbyterian (Synermed) Hometown Health Plan Nevada Horizon NJ Health Hotel Employees & Restaurant Employees Health Trust HP Administrative Services LLC HSHS Medical Group IPA Hudson Health Plan Humana Emphesys Humana Employers Health Insurance Humana Inc Humana Inc. Encounters Encounters Humana Insurance Company Choice Care Network Humana Military - Tricare South Humana Veterans Healthcare Services Humboldt-Del Norte Foundation for Medical Care IAA IEC Group - AmeriBen IHG Direct ILCBH IlliniCare IMCare ASK 13

14 40585 INDECS Corporation INDEPENDENT LIVING SYSTEMS Indiana ProHealth Network Indiana Teamsters Health Benefits Fund (Indianapolis IN) Indiana University Health Plan Individual Health Insurance Companies InforMed LLC Informed UHC Ingalls Provider Group Ingalls Provider Group Inland Valleys IPA Innovage Innovation Health Innovative Physician Associates LLC Insurance Administrators of America Inc Insurance Design Administrators Insurers Administrative Corp Integra Group Integra Group-CHA Integrated Care Network (ICN) by Emerald Health Interface EAP (IEAP) Intergroup Services Corporation International Brotherhood of Boilermakers InterWest Health (Acceptius Gateway payer) InTotal Health J. F. Molloy and Associates Inc John Alden Life Insurance Co JOHN MORRELL COMPANY CO. - AHPBA John Muir Mt. Diablo Health System John Muir Physician Network Johns Hopkins Healthcare (EHP/PP) Johns Hopkins Healthcare (USFHP) Joplin / Benefit Management Inc JP Farley Corporation Kaiser Foundation Health Plan of Colorado Kaiser Foundation Health Plan of Northern CA Region Kaiser Foundation Health Plan of Southern CA Region Kaiser Foundation Health Plan of the Mid-Atlantic States Inc Kaiser Foundation of the Northwest Kaiser Permanente Health Plan of Hawaii Kaiser Permanente of Georgia Kaiser Self Funded Kanawha HealthCare Solutions Inc Kanawha Insurance Co. KCIPA Kane County BCBS Keenan Associates (CA) ASK 14

15 KELSE Kelseycare Kentucky Health Cooperative Kentucky Spirit Health Plan Kern County CDCR Kern Health Systems Key Health Medical Solutions Inc Keystone Connect (Amerihealth) Keystone First Keystone VIP Choice Klais & Company 3414A Klais & Company (Repricing for HealthSpan Network Only) KS - Cenpatico Kansas KS - Sunflower State Health KY - Cenpatico Kentucky Lake County Physicians Association Lakeside Comprehensive Healthcare LakeSide Medical Group LNDMK Landmark Healthcare Inc NMM02 LaSalle Medical Group 33LGC Life Gift Cards Life Trac LifeCircles PACE LifePath Hospice Inc Lifestyle Health Plans EBSRM Lifetime Benefit Solutions LifeWise Healthplan of Oregon Local 135 Health Benefits Fund (Indianapolis IN) Loma Linda University Health Care Managed Care Dept Louisiana Health Cooperative Louisiana Healthcare Connections Loyal American Life Ins Co-Medicare Supplement Magellan Health Services Magnolia Mail Handlers Benefit Plan Managed Care Services LLC MANAGED HEALTH CARE ASSOCIATES Managed Health Network Managed Health Services Indiana (Medicaid HMO) Managed Health Services Wisconsin Manulife W. J. Sutton Company March Vision Care Inc Martin's Point Health Care Maryland Medicaid Maryland Physicians Care Matrix - Health First Health Plan Mayo Clinic FL/GA ASK 15

16 41154 Mayo Clinic Health Solutions MBA Benefit Administrators Inc (Salt Lake UT) MCA Administrators Inc MDI Holdings (Formerly Medical Partners of America) MDwise Excel Network SX172 MDwise Inc. MDXHI MDX Hawaii MED PAY EM216 MED3000 EM350 MED3000 CMS EARLY STEPS EM284 MED3000 CMS SAFETY NET EM205 MED3000 CMS TITLE 21 EM521 MED3000 COVENTRY HEALTHY KIDS EM039 MED3000 PEDICARE TITLE 19 EM522 MED3000 PEDICARE TITLE MedAdmin Solutions MedAdmin Solutions MedBen (Newark OH) MedCom MedCost Inc Medfocus Medica (UHC) Medica2 MAHC1 MEDICAL ASSOCIATES HEALTH PLAN Medical Benefits Administrators Inc. (Newark OH) Medical Benefits Companies (Newark OH) Medical Benefits Mutual (Newark OH) Medical Benefits Mutual Life Insrance Co MEDICAL DEVELOPMENT INTERNATIONAL Medical Mutual of Ohio Medical Services Initiative Medical Value Plan - Ohio (MVP) Medico Life and Health Insurance Company MediGold 33LGC Mediphe STAR1 Mediview Inc MedSettlements LLC 251MS Medstar Select/Medstar Medicare Choice Memorial Integrated Healthcare/South Florida Community Care Network Mercy Care Plan (AHCCCS) Mercy Health Plans Mercy Maricopa Integrated Care Mercy Provider Network MercyCare Meridian Health Plan ASK 16

17 64157 Meritain Health Meritain Health / Agency Services Meritain Health Minneapolis Meritus Health Partners MetroPlus Health Plan Metropolitan Health Plan MFC & HealthPlus Peoria MHNET Michigan Fidelis Secure Care MidCoast IPA Midlands Choice Inc Midwest Health Partners Mills Peninsula Medical Group(SPS) Mississippi Physicians Care Network Mississippi Select Health Care MO - Cenpatico Missouri MO - Missouri Home State Health Care Molina Healthcare of California - Encounters Only Encounters Molina Healthcare of California ( only) Molina Healthcare of MICHIGAN Molina Healthcare of Puerto Rico SX109 Molina Healthcare Utah (aka American Family Care) Molina Illinois Monitor Life Insurance Company Montefiore Contract Management Organization Montefiore HMO TLINS Monumental Life Insurance Company TRCLF Monumental Life Insurance Company TRLTC Monumental Life Insurance Company TRP1E Monumental Life Insurance Company TRP1P Monumental Life Insurance Company MORRIS ASSOCIATES Motion Pictures Industry Mountain States Administrative Services (Tucson AZ) MS - Cenpatico Mississippi MSC (Medical Service Company) Group Inc Mt. Carmel Health Multicultural Primary Care Medical Group (San Diego) (Synermed) Multiplan Wisconsin Preferred Provider Network Mutual Health Services Mutual of Omaha Insurance Company Mutually Preferred MVP Health Plan of NY My Family Medical Group N.W. Ironworkers Health & Security Trust Fund ASK 17

18 91136 N.W. Roofers & Employers Health & Security Trust Fund N.W. Textile Processors NAA (North America Administrators L.P.) (Nashville TN) NABN (Cleveland OH) NALC/Affordable L0110 NAMCI/Global Care CB148 National Allied Workers Union Local National Association of Letter Carriers National Association of Letter Carriers/NALC National Capital Preferred Provider Organization (NCPPO) SX190 National Imaging Associates National Telecommunications Cooperative Association Nationwide Health Plans Neighborhood Health Partnership (NHP) Neighborhood Health Plan (Boston MA) Neighborhood Health Plan of Rhode Island (NHPRI) Neighborhood Health Plan RI - Exchange Unity Integrity Network TPA LLC Nevada Health Coop New York Network Management NHBCAUX NJ Carpenters Health Fund North American Benefits Network (Cleveland OH) E3510 North American Medical Management (NAMM) - Northern California E3510 North American Medical Management (NAMM) - Southern California North Shore - LIJ (Healthfirst) North Shore - LIJ CareConnect Insurance Company Inc North Texas Healthcare Network Northern California Sheet Metal Workers Health Care Plan Northern Illinois Health Plan Northern Nevada Trust Fund NorthShore University Health System Medical Group Northstar Advantage NPN11 Northwest Physicians Network Northwest Suburban IPA (Illinois) OAK WEST PRIMARY PHYSICIAN ASSOCIATION L0140 Ocular Benefits ODS Health Plan Ohio Health Choice PPO OMNI/Medicore HP OneCare OneNet PPO (formerly Alliance PPO / MAPSI) Operating Engineers Locals 302 & 612 Health & Security Fund ASK 18

19 56190 OptiCare Managed Vision Optimum Choice of the Carolinas Inc. (OCCI) Optum? Complex Medical Conditions (CMC) (formerly OptumHealth Care Solutio LIFE1 Optum Medical Network / AZ UT (formerly Lifeprint Network) OptumHealth OptumHealth / OptumHealth Behavioral Solutions of NM OptumHealth Behavioral Solutions (formerly Pacificare Behavioral Health) OptumHealth Behavioral Solutions (formerly United Behavioral Health) OptumHealth Care Solutions (formerly United Resource Networks) OptumHealth Care Solutions (formerly United Resource Networks) Encounters OptumHealth Care Solutions (formerly United Resources Networks OptumHealth Physical Health - includes Oxford (formerly ACN & ACNIPA) OptumHealth Physical Health - includes Oxford (formerly ACN & ACNIPA) Orange County Health Care Agency Oregon's Health CO-OP Orthonet - Uniformed Services Family Health Plan Orthonet- Aetna Orthonet Corporation - CIGNA Orthonet-HealthNet OSEEGIB (Oklahoma State and Education Employees Group Ins. Board) OSMA Health - C. L. Frates PACE CNY PACE Southeast Michigan Pacific Alliance Medical Center Pacific Alliance Medical Group and Hospital (Synermed) PacificSource Health Plans PAI Pan American Life Insurance Group Parkland Community Health Plan Payer Fusion Peach State Health Plan Peoples Health Network PHCS (formerly American LIFECARE) PHCS Savility Payers Phoenix Choice Phoenix Health Plan (Medicaid) Phoenix Health Plans (Medicare - Abrazo) ASK 19

20 58204 Physician Associates of Louisiana Physician Care Network LLC Physician Health Cooperative/SRRIPA PHPMD Physician Health Partners PHYSICIAN'S ACCOUNTABLE CARE ORG Physicians Care (ASR Corporation) Physicians Care Health Plans (ASR Corporation) Physicians Care Network (ASR Corporation) Physicians Care Network (Rockford IL only) PCN12 PHYSICIANS CARE NETWORK LLC/Polyclinic Seattle Physicians Health Association of Illinois Physicians Health Collaborative Physicians Health Plan (PHP) - SC PMGSC Physicians Medical Group of Santa Cruz County Physicians Plus Insurance Corporation 251PD Piedmont WellStar Health Plan Pinnacle Management Inc Pinnacol Assurance Pittsburgh Care Partnership Inc Planned Administrators Inc Podi Care Managed Care PODIATRY NETWORK FL PPOM LLC UHNDC PPONE PPOPlus LLC Preferred Care Partners Encounters Preferred Care Partners Florida Preferred Community Choice/PCCSelect/CompMed Preferred Health Plan (Louisville KY) Preferred Health Systems A Coventry Health Care Plan Preferred Health Systems Insurance Company Preferred Network Access Inc Preferred Plus of Kansas PreferredOne (MN) Premier Benefits Inc. PCI01 Premier Care IPA 251PR Premier Health Plan Premier Health Plans Premier Health Systems Inc Premier HealthCare Exchange Premier Healthcare Exchange Inc. (PHX) Presbyterian (NM) Prestige Health Choice Primary Health Network PrimeWest Health Principal Financial Group ASK 20

21 38217 Priority Health Pro Care Health Plan Inc. (Detroit MI) SX133 Providence of Oregon Health Plan SX187 Providence PPO Provident American Life & Health Ins Co-Medicare Supplement ProviDRs Care Network PSKW0 PSKW Puget Sound Benefits Trust Puget Sound Electrical Workers Trust Quad Med LLC (Pewaukee WI) Qual Choice of Arkansas QuikTrip QVI Risk Solutions Inc Rady Children's Hospital RBMS LLC Redlands IPA (Synermed) Regal Medical Group Renaissance Physicians Organization RPPG1 Resurrection Physician Provider Group Retiree Health Trust RightChoice Benefit Administrators Risk Administration Management Inc. RCMG1 RIVER CITY MEDICAL GROUP RMSCO INC. SX141 Rocky Mountain Health Plan - Grand Junction Rural Carrier Benefit Plan Rush Prudential Health Plans (HMO Only) S & S Healthcare Strategies Sacramento - Primary Care Practices of Sacramento - EHS Sagamore Health Network Sage Technologies CP001 Samaritan Employer Group Plans CP001 Samaritan Health Plans MSO77 San Diego County Coverage Initiative (CI) MSO11 San Diego County Medical Services (CMS) MSO33 San Diego County Ryan White Care Act San Diego PACE San Joaquin Health Administrators San Louis Obispo Select Sanford Health Plan SANTA CLARA FAMILY HEALTH PLAN Sante Health System and Affiliates SCAN Health Plan Scan Health Plan Arizona SCHC Total Care - Net ASK 21

22 SDCOM Scion Dental Commercial E4618 Seaside Health Plan Encounters Secure Health Plans of Georgia LLC Security Health Plan Select Administrative Services (SAS) Select Benefit Administrators Inc Select Benefit Administrators of America Select Health of South Carolina SelectCare of Texas (HPN) Heritage Physicians Network Self-Funded Plans Inc Senior Care Partners Senior Health Partners (SHP) SENIOR WHOLE HEALTH Sentinel Management Services Sentry Insurance a Mutual Company Sentry Life Insurance Company Sentry Life of New York SMG01 Seoul Medical Group Seton CHIP Seton Employee Plan Seven Corners Sheet Metal Workers Local 104 Health Care Plan (San Ramon CA) Sierra Health and Life Sierra Health and Life (Encounters) Encounters Sierra Medical Group Significa Benefits Services Inc Silver Cross Health Connection Sloans Lake Preferred Health Networks Smith Administrators Sound Health (now known as First Choice Health Network) SouthCare/Healthcare Preferred Southeastern Indiana Health (SIHO) Southern CA Children's Network (SynerMed) SIPA1 Southland BCBS Spina Bifida - VA HAC St. Anthony Memorial Healthcare Centers - MDWISE St. Barnabas System Health Plan St. Catherine Hospital PHO - MDWISE St. Francis Health Network St. Margaret Mercy Healthcare Centers - MDWISE Standard Life and Accident Insurance Company State Auto Insurance Companies State Farm Insurance Companies State of Texas Dental Plan Sterling Medicare Advantage ASK 22

23 91151 Sterling Option 1 TRLTC Stonebridge Life Insurance Company TRP1E Stonebridge Life Insurance Company TRP1P Stonebridge Life Insurance Company Stoner and Associates (Cincinnati OH) Stones River IPA - Amerivantage Stones River Regional IPA/BCBST Stones River Regional IPA/BHFG Stones River Regional IPA/Windsor SummaCare Health Plan Sunshine State Health Plan Superior Administrators Inc (Santa Ana CA) Superior Health Plan Texas Sutter Delta Medical Group Sutter East Bay Medical Foundation Sutter East Bay Regional Hospital Sutter East Bay Regional Hospital- Non Sutter Group Sutter Gould Medical Foundation Sutter Medical Group of the Redwoods Swedish Covenant Hospital Tall Tree Administrators Teachers Health Trust Teamcare TEAMSTERS (UT/ ID / MT) - Group Benefit Admin Temple Community Hospital Texas HealthSpring The Alliance The City of Odessa The Health Exchange (Cerner Corporation) The Health Plan (Massillon Ohio and St. Clairsville Ohio only) The Healthcare Group The National Radiology Network The Physicians Assurance Corp (TPAC) /Employee Benefit Management Corp (EBM Tongass Timber Trust Total Community Care Total Healthcare Inc Total Long Term Care TPAC/Employee Benefit Management Corp TR Paul Inc. PARTD Transact RX RX001 TransactRX Infusion and Specialty TLINS Transamerica Financial Life Insurance Company TRLTC Transamerica Financial Life Insurance Company TRP1E Transamerica Financial Life Insurance Company TRP1P Transamerica Financial Life Insurance Company ASK 23

24 TLINS Transamerica Life Insurance Company TRLTC Transamerica Life Insurance Company TRP1E Transamerica Life Insurance Company TRP1P Transamerica Life Insurance Company TLINS Transamerica Premier Life Insurance Company TRCLF Transamerica Premier Life Insurance Company TRLTC Transamerica Premier Life Insurance Company TRP1E Transamerica Premier Life Insurance Company TRP1P Transamerica Premier Life Insurance Company Transchoice or TransSmile - First Service Administrator's Inc Trellis Health Partners Tribute Health Plan Tricare North Region SX163 Tricare Overseas SCWI0 Tricare West TRILOGY NETWORK TRLHN/AS Trusteed Plans Service Corporation Tufts Health Plan UC-Davis Health Ultimate Health Plan Ultra Benefits Inc UMR (formerly UMR Onalaska) UMWA Health & Retirement Funds UNICARE Unified Health Services Unified Physicians Network TRP1E Union Labor Life Insurance Company - Admin By UBC UNION PACIFIC RAILROAD EMPLOYES Health Systems Union Security Insurance Company Unison Health Plan/Better Health Plans United Food & Comm. Workers Midwest Unions United Medical Alliance United of Omaha United Teacher Assoc Ins Co-Medicare Supplement UnitedHealthcare UnitedHealthCare / All Savers Alternate Funding UnitedHealthcare / Definity Health Plan UnitedHealthcare / Empire Plan UnitedHealthcare / MAHP - MD IPA Optimum Choice MLH (formerly MAMSI) UnitedHealthcare / Oxford UnitedHealthcare / Spectera Eyecare Networks UnitedHealthcare / UnitedHealthcare Plan of River Valley UnitedHealthcare / UnitedHealthcare Plan of River Valley ASK 24

25 UnitedHealthcare / UnitedHealthcare West (UnitedHealthcare of CA OK OR UnitedHealthcare / UnitedHealthcare West Encounters (formerly Encounters PacifiCare) UnitedHealthcare Community Plan / AZ (formerly AZ Physicians IPA APIPA) UnitedHealthcare Community Plan / IA hawk-i (formerly AmeriChoice of Iowa) UnitedHealthcare Community Plan / IA hawk-i (formerly AmeriChoice of Iowa) UnitedHealthcare Community Plan / KS (KanCare) UnitedHealthcare Community Plan / MI (formerly Great Lakes Health Plan) UnitedHealthcare Community Plan / MS CHIP (formerly AmeriChoice MS - CHIP) UnitedHealthcare Community Plan / MS CHIP (formerly AmeriChoice MS - CHIP) UnitedHealthcare Community Plan / NE UnitedHealthcare Community Plan / NJ UnitedHealthcare Community Plan / NJ UnitedHealthcare Community Plan / NY (formerly AmeriChoice NY Medicaid) UnitedHealthcare Community Plan / NY (formerly AmeriChoice Personal Care) UnitedHealthcare Community Plan / PA (formerly AmeriChoice PA Medicaid&CHIP UnitedHealthcare Community Plan / PA (formerly AmeriChoice Personal Care ) UnitedHealthcare Community Plan / SC (formerly Unison) UnitedHealthcare Community Plan / UnitedHealthcare Dual Complete UnitedHealthcare Community Plan / UnitedHealthcare Long UnitedHealthcare Community Plan of Louisiana UnitedHealthcare Community Plan/DEFLHILAMDMS CANNMOHPARI TX WA UnitedHealthcare Community Plan/DEFLHILAMDMS CANNMOHPARITXWAWI UnitedHealthcare Community Plan/FLHILAMDMS CANNMOHRITXWI UnitedHealthcare Community Plan/NJ (formerly AmeriChoice Personal Care Pl UnitedHealthcare Medicare Solutions / UnitedHealthcare Chronic Complete UnitedHealthcare Medicare Solutions / UnitedHealthcare Group Medicare Advan ASK 25

26 UnitedHealthcare Medicare Solutions / UnitedHealthcare MedicareComplete UnitedHealthcare Medicare Solutions / UnitedHealthcare MedicareDirect UnitedHealthcare Medicare Solutions / UnitedHealthcare UnitedHealthcare StudentResources UnitedHealthcare West (formerly PacifiCare of Arizona) UnitedHealthcare West (formerly PacifiCare of Colorado) UnitedHealthcare West (formerly PacifiCare PPO - All States) UnitedHealthcare West / UnitedHealthcare of CA OK OR TX WA UnitedHealthOne / Golden Rule UnitedHealthOne / PacifiCare Life and Health Insurance Company Unity Health Insurance Universal American Financial Services TRP1E Universal Benefits - Admin For Chubb Life Insurance Company Of America TRP1E Universal Benefits - Admin For City Of Bridgeport CT TRP1E Universal Benefits - Admin For Hartford Life And Accident Insurance Co TRP1E Universal Benefits - Admin For Hartford Life Insurance Company Universal Care - California University Family Care University Family Care - Maricopa Health Plan University Health Alliance University Health Care Advantage University Healthcare Marketplace University of Missouri UPMC Health Plan UPMC Vision Advantage US Benefits US Family Health Plan USAA (United Services Automobile Association) USFHP - St. Vincent Catholic Medical Centers of New York UT- Altius (UHIN) UW Graduate Appointee Plan VA Fee Basis Programs Valir Pace VA-Patient-Centered Community Care Program (VAPCCC) VA-Patient-Centered Community Care Program (VAPCCC) Region 5A VA-Patient-Centered Community Care Program (VAPCCC) Region 5B ASK 26

27 55917 VA-Patient-Centered Community Care Program (VAPCCC) Region VentureNet Healthcare Verdugo Hills Medical Group Verity National Group VGM Homelink Via Christi HOPE Virginia Coordinated Care-VCC Virginia Premier Health Plan VNA Homecare Options VNS CHOICE Medicare WA - Washington Coordinated Care Wabash Memorial Hospital Association Waterstone Benefit Administrators (Oklahoma Providers) Waterstone Benefit Administrators (Outside Oklahoma) Well Sense Health Plan WELM2 WellMed WellSystems LLC Wenatchee Valley Medical Center West Covina Medical Group West Virginia Family Health Plan Western Grower's Assurance Trust Western Grower's Insurance Company Western Mutual Insurance TRLTC Western Reserve Life Insurance Company Weyco Inc William C. Earhart Wilson-McShane Windsor Medicare Extra Wisconsin Department of Corrections WPP-ElderCare Wisconsin SX022 WPS Health Insurance ASK 27