A/B MAC Jurisdiction 1 Original Medicare Claims Processor
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1 A/B MAC Jurisdiction 1 Jurisdiction 1 - American Samoa, California, Guam, Hawaii, Nevada and Northern Mariana Islands Total Number of Fee-For-Service Beneficiaries: 3,141,183 (as of Total Number of Beneficiaries (including managed care plans): 4,620,428 (as of Total Number of Practitioners: 106,236 (as of January 2005) Total Number of Medicare Hospitals: 511 (as of Total Annual Claims Volume: 8.6% of national workload (as of Mutual of Omaha Insurance Company (American Samoa, California, Guam, Hawaii, Nevada and Northern Mariana Islands) National Heritage Insurance Company (California) Noridian Mutual Insurance Company (American Samoa, Guam, Hawaii, Nevada, and Northern Marina Islands) United Government Services, LLC (American Samoa, California, Guam, Hawaii, Nevada, and Northern Mariana Islands) RFP Issuance September 2006 Award Date September 2007
2 A/B MAC Jurisdiction 2 Jurisdiction 2 - Alaska, Idaho, Oregon and Washington Total Number of Fee-For-Service Beneficiaries: 1,236,867 (as of Total Number of Beneficiaries (including managed care plans): 1,552,790 (as of Total Number of Practitioners: 42,319 (as of January 2005) Total Number of Medicare Hospitals: 233 (as of Total Annual Claims Volume: 2.9% of national workload (as of Connecticut General Life Insurance Company (Idaho) Mutual of Omaha Insurance Company (Alaska, Idaho, Oregon and Washington) Noridian Mutual Insurance Company (Alaska, Idaho, Oregon and Washington) RFP Issuance September 2006 Award Date September 2007
3 A/B MAC Jurisdiction 3 Jurisdiction 3 - Arizona, Montana, North Dakota, South Dakota, Utah, and Wyoming Total Number of Fee-For-Service Beneficiaries: 1,206,309 (as of Total Number of Beneficiaries (including managed care plans): 1,421,676 (as of Total Number of Practitioners: 34,463 (as of January 2005) Total Number of Medicare Hospitals: 348 (as of Total Annual Claims Volume: 3.1% of national workload (as of Blue Cross and Blue Shield of Alabama (South Dakota) Blue Cross and Blue Shield of Arizona (Arizona) Blue Cross and Blue Shield of Montana, Inc. (Montana) Blue Cross and Blue Shield of Wyoming (Wyoming) Mutual of Omaha Insurance Company (Arizona, Montana, North Dakota, South Dakota, Utah and Wyoming) Noridian Mutual Insurance Company (Arizona, North Dakota, South Dakota, Utah and Wyoming) RFP Issuance September 2005 Award Date June 2006
4 A/B MAC Jurisdiction 4 Jurisdiction 4 - Colorado, New Mexico, Oklahoma, and Texas Total Number of Fee-For-Service Beneficiaries: 3,349,745 (as of Total Number of Beneficiaries (including managed care plans): 3,741,475 (as of Total Number of Practitioners: 85,024 (as of January 2005) Total Number of Medicare Hospitals: 784 (as of Total Annual Claims Volume: 9.1% of national workload (as of Arkansas Blue Cross and Blue Shield (New Mexico and Oklahoma) Group Health Service of Oklahoma, Inc. (Oklahoma) Mutual of Omaha Insurance Company (Colorado, New Mexico, Oklahoma and Texas) Noridian Mutual Insurance Company (Colorado) TrailBlazer Health Enterprises, LLC (Colorado, New Mexico and Texas) RFP Issuance September 2006 Award Date September 2007
5 A/B MAC Jurisdiction 5 Jurisdiction 5 - Iowa, Kansas, Missouri and Nebraska Total Number of Fee-For-Service Beneficiaries: 1,883,047 (as of Total Number of Beneficiaries (including managed care plans): 2,037,857 (as of Total Number of Practitioners: 46,699 (as of January 2005) Total Number of Medicare Hospitals: 502 (as of Total Annual Claims Volume: 5.0% of national workload (as of Arkansas Blue Cross and Blue Shield (Eastern Missouri) Blue Cross and Blue Shield of Alabama (Iowa) Blue Cross and Blue Shield of Kansas, Inc. (Kansas, Western Missouri and Nebraska) Blue Cross and Blue Shield of Mississippi (Missouri) Blue Cross and Blue Shield Nebraska (Nebraska) Mutual of Omaha Insurance Company (Iowa, Kansas, Missouri and Nebraska) Noridian Mutual Insurance Company (Iowa) RFP Issuance September 2006 Award Date September 2007
6 A/B MAC Jurisdiction 6 Jurisdiction 6 - Illinois, Minnesota and Wisconsin Total Number of Fee-For-Service Beneficiaries: 2,948,030 (as of Total Number of Beneficiaries (including managed care plans): 3,177,939 (as of Total Number of Practitioners: 75,120 (as of January 2005) Total Number of Medicare Hospitals: 504 (as of Total Annual Claims Volume: 7.6% of national workload (as of Anthem Insurance Companies, Inc. (Illinois) Mutual of Omaha Insurance Company (Illinois, Minnesota and Wisconsin) Noridian Mutual Insurance Company (Minnesota) United Government Services, LLC (Wisconsin) Wisconsin Physicians Service Insurance Corporation (Illinois, Minnesota and Wisconsin) RFP Issuance September 2007 Award Date September 2008
7 A/B MAC Jurisdiction 7 Jurisdiction 7 - Arkansas, Louisiana and Mississippi Total Number of Fee-For-Service Beneficiaries: 1,461,768 (as of Total Number of Beneficiaries (including managed care plans): 1,534,416 (as of Total Number of Practitioners: 31,789 (as of January 2005) Total Number of Medicare Hospitals: 428 (as of Total Annual Claims Volume: 3.7% of national workload (as of Arkansas Blue Cross and Blue Shield (Arkansas and Louisiana) Blue Cross and Blue Shield of Alabama (Mississippi) Blue Cross and Blue Shield of Mississippi (Louisiana and Mississippi) Mutual of Omaha Insurance Company (Arkansas, Louisiana and Mississippi) RFP Issuance September 2006 Award Date September 2007
8 A/B MAC Jurisdiction 8 Jurisdiction 8 - Indiana and Michigan Total Number of Fee-For-Service Beneficiaries: 2,313,758 (as of Total Number of Beneficiaries (including managed care plans): 2,354,470 (as of Total Number of Practitioners: 52,188 (as of January 2005) Total Number of Medicare Hospitals: 332 (as of Total Annual Claims Volume: 6.5% of national workload (as of AdminaStar Federal, Inc. (Indiana) Anthem Insurance Companies, Inc. (Indiana) Mutual of Omaha Insurance Company (Indiana and Michigan) United Government Services, LLC (Michigan) Wisconsin Physicians Service Insurance Corporation (Michigan) RFP Issuance September 2007 Award Date September 2008
9 A/B MAC Jurisdiction 9 Jurisdiction 9 - Florida, Puerto Rico and U.S. Virgin Islands Total Number of Fee-For-Service Beneficiaries: 2,966,059 (as of Total Number of Beneficiaries (including managed care plans): 3,580,104 (as of Total Number of Practitioners: 63,293 (as of January 2005) Total Number of Medicare Hospitals: 294 (as of Total Annual Claims Volume: 8.9% of national workload (as of Cooperativa de Seguros de Vida de Puerto Rico (Puerto Rico and U.S. Virgin Islands) First Coast Service Options, Inc. (Florida) Mutual of Omaha Insurance Company (Florida and U.S. Virgin Islands) Triple S, Inc. (Puerto Rico and U.S. Virgin Islands) RFP Issuance September 2007 Award Date September 2008
10 A/B MAC Jurisdiction 10 Jurisdiction 10 - Alabama, Georgia and Tennessee Total Number of Fee-For-Service Beneficiaries: 2,478,541 (as of Total Number of Beneficiaries (including managed care plans): 2,618,344 (as of Total Number of Practitioners: 55,920 (as of January 2005) Total Number of Medicare Hospitals: 450 (as of Total Annual Claims Volume: 6.8% of national workload (as of Blue Cross and Blue Shield of Alabama (Alabama and Georgia) Blue Cross and Blue Shield of Georgia, Inc. (Georgia) Blue Cross and Blue Shield of Tennessee (Tennessee) Connecticut General Life Insurance Company (Tennessee) Mutual of Omaha Insurance Company (Alabama, Georgia and Tennessee) RFP Issuance September 2007 Award Date September 2008
11 A/B MAC Jurisdiction 11 Jurisdiction 11 - North Carolina, South Carolina, Virginia and West Virginia Total Number of Fee-For-Service Beneficiaries: 3,076,573 (as of Total Number of Beneficiaries (including managed care plans): 3,174,655 (as of Total Number of Practitioners: 66,178 (as of January 2005) Total Number of Medicare Hospitals: 390 (as of Total Annual Claims Volume: 7.9% of national workload (as of Blue Cross and Blue Shield of South Carolina (North Carolina, South Carolina and West Virginia) Connecticut General Life Insurance Company (North Carolina) Mutual of Omaha Insurance Company (North Carolina, South Carolina, Virginia, and West Virginia) TrailBlazer Health Enterprises, LLC (Virginia) United Government Services, LLC (Virginia and West Virginia) RFP Issuance September 2007 Award Date September 2008
12 A/B MAC Jurisdiction 12 Jurisdiction 12 - Delaware, District of Columbia, Maryland, New Jersey and Pennsylvania Total Number of Fee-For-Service Beneficiaries: 3,589,154 (as of Total Number of Beneficiaries (including managed care plans): 4,227,112 (as of Total Number of Practitioners: 110,219 (as of January 2005) Total Number of Medicare Hospitals: 442 (as of Total Annual Claims Volume: 11.2% of national workload (as of Blue Cross and Blue Shield of Tennessee (New Jersey) Empire HealthChoice Assurance, Inc. (Delaware and New Jersey) Highmark, Inc. HGSAdministrators (Pennsylvania) Highmark, Inc. - Veritus (District of Columbia, Maryland, and Pennsylvania) Mutual of Omaha Insurance Company (Delaware, District of Columbia, Maryland, New Jersey and Pennsylvania) TrailBlazer Health Enterprises, LLC (Delaware, District of Columbia and Maryland) RFP Issuance September 2006 Award Date - September 2007
13 A/B MAC Jurisdiction 13 Jurisdiction 13 - Connecticut and New York Total Number of Fee-For-Service Beneficiaries: 2,775,573 (as of Total Number of Beneficiaries (including managed care plans): 3,303,506 (as of Total Number of Practitioners: 93,543 (as of January 2005) Total Number of Medicare Hospitals: 298 (as of Total Annual Claims Volume: 8.6% of national workload (as of Empire HealthChoice Assurance, Inc. (Connecticut and New York) First Coast Service Options, Inc. (Connecticut) Group Health Inc. (New York) HealthNow New York, Inc. (New York) Mutual of Omaha (Connecticut) RFP Issuance September 2006 Award Date September 2007
14 A/B MAC Jurisdiction 14 Jurisdiction 14 - Maine, Massachusetts, New Hampshire, Rhode Island and Vermont Total Number of Fee-For-Service Beneficiaries: 1,432,277 (as of Total Number of Beneficiaries (including managed care plans): 1,653,771 (as of Total Number of Practitioners: 62,195 (as of January 2005) Total Number of Medicare Hospitals: 212 (as of Total Annual Claims Volume: 4.0% of national workload (as of Anthem Health Plans of Maine, Inc. (Maine and Massachusetts) Anthem Health Plans of New Hampshire, Inc. (New Hampshire and Vermont) Arkansas Blue Cross and Blue Shield (Rhode Island) Mutual of Omaha Insurance Company (Maine, Massachusetts, New Hampshire, Rhode Island and Vermont) National Heritage Insurance Company (Maine, Massachusetts New Hampshire, and Vermont) RFP Issuance September 2007 Award Date September 2008
15 A/B MAC Jurisdiction 15 Jurisdiction 15 - Kentucky and Ohio Total Number of Fee-For-Service Beneficiaries: 2,157,610 (as of Total Number of Beneficiaries (including managed care plans): 2,400,052 (as of Total Number of Practitioners: 50,700 (as of January 2005) Total Number of Medicare Hospitals: 326 (as of Total Annual Claims Volume: 6.1% of national workload (as of AdminaStar Federal, Inc. (Kentucky) Anthem Insurance Companies, Inc. (Kentucky and Ohio) Blue Cross and Blue Shield of South Carolina (Ohio) Mutual of Omaha Insurance Company (Kentucky and Ohio) RFP Issuance September 2007 Award Date September 2008
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