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489 84133 Denver Health and Hos Par COMMER M B N N 0 Claims 4 R Y492 56240 Detroit Medical Center Par COMMER M B N N 0 Claims 1 Y493 36439 DiaTri LLC Par COMMER M N N N 0 Claims 1 Y497 23706 Directors Guild of Ame Par COMMER M B N N 0 Claims Y Y498 6102 Diversified Administra Par COMMER M B N N 1 Claims Y Y499 39044 Doctor's Choice Par COMMER M B N N 0 Claims Y502 DREYR Dreyer Health Par COMMER M X N N 0 Claims 4 A Y503 35186 Dunn and Associates B Par COMMER M B N N 0 Claims A Y504 34159 E-V Benefits Managem Par COMMER M B N N 0 Claims 4 Y Y505 34108 E.S. BEVERIDGE & APar COMMER M B N N 0 Claims Y Y506 Call EBC Mid-America Par COMMER M B N N 0 Claims 2 Y Y507 Call EBC Inc. Par COMMER M B N N 0 Claims 2 Y Y508 31074 EBMC Par COMMER M B N N 0 Claims 1 A Y Y510 59299 EMI-KP Ambulance ClPar COMMER M B N N 0 Claims Y511 62308 EQUICOR Par COMMER M B N N 1 Claims 4 A Y Y512 62308 EQUICOR - PPO Par COMMER M B N N 1 Claims 4 A Y Y514 20818 ESSENCE HEALTHCAPar COMMER M B N N 0 Claims 1 Y Y516 Call East Bay Medical NetwPar COMMER M B P P 0 Claims 3 Y Y517 66122 Eastland Medical Grou Par COMMER M B N N 0 Claims 2 Y Y518 CMSI1 Eastland Medical Grou Par COMMER M B N N 1 Claims 4 A Y521 31625 ElderPlan Inc. Par COMMER M B N N 1 Claims 4 Y Y522 36399 Elmcare LLC Par COMMER M B N N 0 Claims Y Y523 37253 Elmco Par COMMER M B N N 1 Claims Y524 34167 Emerald Health Networ Par COMMER M B N N 2 Claims 2 Y Y527 Pilot Employee Benefit Adm Par COMMER M B N N 0 Claims Y528 Call Employee Benefit Claim Par COMMER M B N N 0 Claims 2 Y Y529 Call Employee Benefit Claim Par COMMER M B N N 0 Claims 2 Y Y530 Call Employee Benefit Claim Par COMMER M B N N 0 Claims 2 Y Y531 38241 Employee Benefit Conc Par COMMER M B N N 0 Claims 2 Y Y532 Call Employee Benefit Cons Par COMMER M B N N 0 Claims 2 Y Y533 37215 Employee Benefit CorpPar COMMER M B N N 1 Claims Y Y534 31074 Employee Benefit Man Par COMMER M B N N 0 Claims 1 A Y Y535 37216 Employee Benefit Serv Par COMMER M B N N 1 Claims 1 A Y Y536 41198 Employee Benefit Serv Par COMMER M B N N 1 Claims 4 A Y Y538 42149 Employee Benefit SystePar COMMER M B N N 0 Claims Y540 3036 Employee Benefits Plan Par COMMER M B N N 0 Claims 2 Y Y542 35112 Employee Plans LLC Par COMMER M N N N 1 Claims Y Y543 74212 Employer Plan ServicesPar COMMER M B N N 1 Claims 4 A Y Y544 75236 Employer's Direct Heal Par COMMER M B N N 1 Claims Y Y545 75235 Employer's Direct Heal Par COMMER M B N N 1 Claims Y Y546 75233 Employer's Direct Heal Par COMMER M B N N 1 Claims Y Y547 75232 Employers Direct HealtPar COMMER M B N N 0 Claims Y Y548 59298 Employers Mutual Inc Par COMMER M B N N 0 Claims Y Y549 59331 Employers Mutual Inc. Par COMMER M B N N 0 Claims Y Y550 35206 Encircle PPO Par COMMER M N N N 2 Claims Y551 35206 Encore Health NetworkPar COMMER M N N N 2 Claims Y552 91136 Enstar Natural Gas Par COMMER M B N N 0 Claims 2 Y Y553 36878 Entrust Par COMMER M B N N 0 Claims Y

554 73126 Equitable Plan Services Par COMMER M B N N 0 Claims 2 Y Y555 87726 Evercare Par COMMER M B N N 1 Claims 4 A Y Y556 35605 Everence Par COMMER M N N N 1 Claims A Y557 59313 Evolutions Healthcare Par COMMER M N N N 0 Claims 1 Y Y559 CAPMN Exceptional Care Medi Par COMMER M B N N 1 Claims 2 A Y Y560 71412 ExclusiCare Par COMMER M B N N 1 Claims 4 Y Y561 91136 F40 Alaska Carpenters Par COMMER M B N N 0 Claims 2 Y Y562 Call FABOH (CHP/RPU) Par COMMER M B N N 1 Claims 4 Y563 37300 FACS Group Par COMMER M X N N 1 Claims Y564 60995 FAMILY CARE Par COMMER M B N N 0 Claims Y565 33033 FCE Benefit Administr Par COMMER M B N N 3 Claims 1 Y567 48117 FMH Benefit Services Par COMMER M B N N 1 Claims 4 Y Y568 BOONG FOUNDATION BENE Par COMMER M B N N 0 Claims569 95432 Facey Medical FoundatPar COMMER M B N N 0 Claims Y570 22254 Fallon Community Hea Par COMMER M B N N 0 Claims 1 Y Y571 CAPMN Family Health Alliance Par COMMER M B N N 1 Claims 2 A Y Y572 31472 Family Health Partners Par COMMER M B N N 0 Claims R Y573 43173 Family Health Partners Par COMMER M B N N 0 Claims Y576 14140 Farm Family Life Par COMMER M B N N 1 Claims 4 A Y Y577 37300 Federated Benefits Par COMMER M X N N 1 Claims Y578 37300 Federated HR Services Par COMMER M X N N 1 Claims Y579 41041 Federated Mutual InsurPar COMMER M B N N 1 Claims 4 Y Y580 11315 Fidelis Care New York Par COMMER M B N N 0 Claims 4 Y Y581 77054 Fidelis Secure Care Par COMMER M B N N 0 Claims Y582 56196 First Carolina Care Par COMMER M B N N 0 Claims 1 Y Y583 91131 First Choice Health Ad Par COMMER M N N N 1 Claims 4 Y Y584 91131 First Choice Health Ne Par COMMER M N N N 1 Claims 4 Y Y585 75138 First Choice of Midwes Par COMMER M B N N 3 Claims 1 Y Y588 29076 First Medical Network Par COMMER M B N N 0 Claims 4 A Y Y589 23241 First Priority Par COMMER M B P P 0 Claims 4 Y Y Y590 59276 First Service Administr Par COMMER M B N N 0 Claims 4 Y592 11244 Fitzharris & Company Par COMMER M B N N 0 Claims 1 Y Y593 59322 Florida Health Care PlaPar COMMER M B N N 0 Claims 1 Y594 59321 Florida Hospital Health Par COMMER M B N N 0 Claims A Y Y Y595 48116 Florida Hospital WatermPar COMMER M B N N 0 Claims 4 Y Y596 59698 Florida League of Citie Par COMMER M B N N 0 Claims Y599 64069 Fox-Everett Inc. Par COMMER M B N N 0 Claims Y600 31313 Freedom First Par COMMER M B N N 0 Claims 1 Y601 41212 Freedom Health Plan Par COMMER M N N N 0 Claims 1 Y602 23130 Fresenius Medical CarePar COMMER M B N N 1 Claims 4 Y604 59069 Fringe Benefit Manage Par COMMER M B N N 1 Claims Y605 59204 Fringe Benefits CoordinPar COMMER M B N N 1 Claims 4 A Y Y606 34171 FrontPath Health Coali Par COMMER M X N N 0 Claims 1 Y Y610 22937 GHI - Medicare Private Par COMMER M B N N 0 Claims 4 Y Y611 13551 GHI - New York (Grou Par COMMER M B N N 0 Claims 4 Y Y612 25531 GHI HMO Par COMMER M B N N 0 Claims 4 A Y Y614 80314 GIC Indemnity Plan Par COMMER M B N N 0 Claims 4 A R Y615 47083 GMS Inc. Par COMMER M B N N 1 Claims 4 A Y Y

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737 2041 Healthsource CMHC Par COMMER M B N N 0 Claims 5 A Y Y738 2041 Healthsource Massachu Par COMMER M B N N 0 Claims 5 A Y Y739 68195 Healthsource ProvidentPar COMMER M B N N 0 Claims 5 A Y Y740 71075 Healthsource AR (Med Par COMMER M B N N 0 Claims 5 A Y Y741 58210 Healthsource GA (CIGNPar COMMER M B N N 0 Claims 5 A Y Y742 61127 Healthsource KY Par COMMER M B N N 0 Claims 5 A Y Y743 1041 Healthsource ME Par COMMER M B P P 0 Claims744 75255 Healthsource N. TX (C Par COMMER M B N N 0 Claims 5 A Y Y745 56147 Healthsource NC (CIGNPar COMMER M B N N 0 Claims 5 A Y Y746 2038 Healthsource NH Par COMMER M B N N 0 Claims 5 A Y Y747 31141 Healthsource OH Par COMMER M B N N 0 Claims 5 A Y Y748 6119 Healthsource SC Par COMMER M B N N 0 Claims 5 A Y Y749 62129 Healthsource TN (CIGNPar COMMER M B N N 0 Claims 5 A Y Y750 58213 Healthways WholeHeal Par COMMER M B N N 0 Claims 1 Y Y751 68064 Healthy Texas Par COMMER M B N N 0 Claims 4 A Y752 59230 Heritage Consultants Par COMMER M B N N 0 Claims Y756 88051 Hewittt Coleman Par COMMER M B N N 1 Claims Y Y757 33069 High Desert Primary C Par COMMER M B N N 0 Claims 1 Y Y758 35145 Highmark- Key Family Par COMMER M B N N 0 Claims 1 A Y Y759 46 Hill Physicians Medica Par COMMER M B N N 0 Claims 3 Y760 36385 Hinsdale Physician HeaPar COMMER M B N N 0 Claims Y Y763 36412 Holy Cross Health Part Par COMMER M B N N 0 Claims Y Y764 88023 Hometown Health Plan Par COMMER M B N N 0 Claims 2 Y Y765 88537 Hometown Health ProvPar COMMER M B N N 0 Claims 1 Y Y766 22304 Horizon Inner Circle Ti Par COMMER M B N N 0 Claims 2 Y Y767 22326 Horizon NJ Health Par COMMER M B N N 0 Claims 4 A Y Y768 37274 Hospital Benefits Inc. Par COMMER M B N N 1 Claims 1769 91136 Hotel Employees & Re Par COMMER M B N N 0 Claims 2 Y Y770 13335 Hudson Health Plan Par COMMER M B R R 0 Claims Y Y772 61101 Humana Emphesys Par COMMER M B N N 0 Claims 4 A R Y773 61101 Humana Employers He Par COMMER M B N N 0 Claims 4 A R Y774 61101 Humana Inc. Par COMMER M B N N 0 Claims 4 A R Y775 61101 Humana Insurance Com Par COMMER M B N N 0 Claims 4 A R Y776 61160 Humana Veterans Heal Par COMMER M B N N 0 Claims 4 A R Y777 94154 Humboldt-Del Norte Fo Par COMMER M B N N 0 Claims Y Y778 CAPMN Huntington Park Missio Par COMMER M B N N 1 Claims 2 A Y Y779 41600 I'Mcare Par COMMER M B N N 0 Claims 4 Y Y780 22175 I. E. Shaffer (West Tren Par COMMER M B N N 0 Claims 2 Y Y781 37279 IAA Par COMMER M B N N 1 Claims Y Y782 75274 IHG Direct Par COMMER M B N N 0 Claims 2 Y Y783 Call IHS Networks - 1 Par COMMER M X N N 0 Claims 1 A Y Y784 68065 ILCBH Par COMMER M B N N 0 Claims 1 A Y787 40585 INDECS Corporation Par COMMER M B N N 0 Claims 1 Y788 43471 INETICO INC. Par COMMER M B N N 0 Claims 1 A Y Y789 SX172 IU Medical Group Prim Par COMMER M X N N 0 Claims 4 R Y790 68066 IlliniCare Par COMMER M B N N 0 Claims 1 A Y794 26274 Independence Medical Par COMMER M B N N 0 Claims 1 Y798 35161 Indiana ProHealth NetwPar COMMER M B N N 0 Claims Y Y

799 35107 Indiana Teamsters Hea Par COMMER M B N N 0 Claims 1 Y Y800 31053 Individual Health Insur Par COMMER M B N N 1 Claims 4 Y801 96490 InforMed LLC Par COMMER M B N N 0 Claims Y Y802 50946 Informed UHC Par COMMER M B N N 0 Claims Y Y803 52196 Informed LLC Par COMMER M B N N 1 Claims 2 Y Y804 36348 Ingalls Provider Group Par COMMER M B N N 0 Claims Y Y805 52212 Injured Workers Insura Par COMMER M B N N 0 Claims Y807 31172 Innovante Benefit AdmPar COMMER M B N N 0 Claims A808 Call Innovative Healthware Par COMMER M N N N 0 Claims 1 A Y Y809 4204 Insurance Administrativ Par COMMER M B N N 0 Claims 2 A810 37279 Insurance Administrato Par COMMER M B N N 1 Claims Y Y811 13315 Insurance Design Adm Par COMMER M B N N 1 Claims Y Y812 15688 Insurance Management Par COMMER M B N N 0 Claims 1 Y Y814 39182 InsuranceTPA.com Par COMMER M B N N 1 Claims 2 Y Y816 86304 Insurers Administrative Par COMMER M B N N 0 Claims Y817 51020 Integra Administrative Par COMMER M B N N 0 Claims 1 Y Y818 31127 Integra Group Par COMMER M B N N 0 Claims Y Y819 31129 Integra Group-CHA Par COMMER M B N N 0 Claims Y820 34167 Integrated Care Networ Par COMMER M B N N 2 Claims 2 Y Y821 37227 InterCare Health Plans Par COMMER M B N N 1 Claims 2 Y Y822 84137 InterWest Health (Acce Par COMMER M B N N 0 Claims 1 Y Y823 56132 Interactive Medical SysPar COMMER M B N N 1 Claims 4 Y824 60280 Interface EAP (IEAP) Par COMMER M B N N 1 Claims 4 A Y Y825 23287 Intergroup Services Co Par COMMER M B N N 0 Claims 1 Y Y826 36609 International Brotherho Par COMMER M B N N 0 Claims Y828 16158 International Education Par COMMER M B N N 0 Claims Y831 61271 J. F. Molloy and Assoc Par COMMER M B N N 1 Claims 4 Y Y832 37272 J. Smith Lanier & Co. APar COMMER M N N N 1 Claims 1 Y834 9822 JMH - SFCCN PHT (P Par COMMER M B N N 0 Claims 3 A Y835 5014 JMH HEALTH PLAN Par COMMER M B N N 0 Claims 2 A Y836 38310 JOHN MORRELL COM Par COMMER M B N N 0 Claims 4 Y Y837 Call JOHN MUIR TRAUM Par COMMER M B N N 0 Claims 1 Y Y838 34136 JP Farley Corporation Par COMMER M B N N 0 Claims 2 Y Y839 37272 JSL Administrators Par COMMER M N N N 1 Claims 1 Y840 41099 John Alden Life Insuran Par COMMER M B N N 1 Claims 4 Y Y841 68036 John Muir Mt. Diablo H Par COMMER M B N N 0 Claims 1 Y Y842 68036 John Muir Physician N Par COMMER M B N N 0 Claims 1 Y Y843 52189 Johns Hopkins Healthc Par COMMER M B P P 0 Claims 1 Y Y844 52123 Johns Hopkins Healthc Par COMMER M B N N 0 Claims 4 Y Y845 43178 Joplin Claims / Benefit Par COMMER M B N N 0 Claims 2 A Y Y846 35317 KEY GAP Par COMMER M B N N 0 Claims 1 A Y Y848 94320 Kaiser CSI-California S Par COMMER M B N N 0 Claims 1 Y Y849 91617 Kaiser Foundation Hea Par COMMER M B N N 2 Claims 1 R Y850 94135 Kaiser Foundation Hea Par COMMER M B N N 0 Claims 4 R Y851 34092 Kaiser Foundation Hea Par COMMER M B N N 0 Claims 1 R Y852 94134 Kaiser Foundation Hea Par COMMER M B N N 0 Claims 4 R Y853 52095 Kaiser Foundation Hea Par COMMER M B N N 0 Claims 1 R Y854 93079 Kaiser Foundation of th Par COMMER M B N N 0 Claims 1 R Y

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1151 12399 PHP - Physicians Healt Par COMMER M X N N 0 Claims 4 Y Y1152 87726 PHP of South MichiganPar COMMER M B N N 1 Claims 4 A Y Y1153 87726 PHP of Southwest MichPar COMMER M B N N 1 Claims 4 A Y Y1154 87726 PHP of West Michigan Par COMMER M B N N 1 Claims 4 A Y Y1156 59324 PODIATRY NETWOR Par COMMER M B N N 0 Claims Y1157 16111 POMCO Par COMMER M B N N 1 Claims 1 A Y Y1158 38335 PPOM LLC Par COMMER M B N N 3 Claims 3 Y Y1159 72148 PPOPlus LLC Par COMMER M B N N 1 Claims 4 A Y Y1160 51052 PSYCHCARE LLC Par COMMER M B N N 0 Claims 2 Y1161 33053 PacifiCare Behavioral HPar COMMER M B N N 0 Claims 4 Y Y1162 95999 PacifiCare PPO - All StPar COMMER M B N N 0 Claims 4 Y Y1163 95964 PacifiCare of Arizona - Par COMMER M B N N 0 Claims 4 Y Y1164 95959 PacifiCare of California Par COMMER M B N N 0 Claims 4 Y Y1165 95962 PacifiCare of Colorado Par COMMER M B N N 0 Claims 4 Y Y1166 95959 PacifiCare of Oklahom Par COMMER M B N N 0 Claims 4 Y Y1167 95959 PacifiCare of Oregon - Par COMMER M B N N 0 Claims 4 Y Y1168 95959 PacifiCare of Texas - CPar COMMER M B N N 0 Claims 4 Y Y1169 95959 PacifiCare of Washingt Par COMMER M B N N 0 Claims 4 Y Y1172 93029 PacificSource Health P Par COMMER M B N N 0 Claims Y Y1173 58174 Paragon Benefits Inc. Par COMMER M B N N 0 Claims 4 Y Y1176 Call Park Terrace/Encompa Par COMMER M B N N 0 Claims Y Y1177 66917 Parkland Community H Par COMMER M B N N 0 Claims 4 Y Y1178 CAPMN Pasadena Primary Care Par COMMER M B N N 1 Claims 2 A Y Y1179 76569 Passport Advantage Par COMMER M N N N 0 Claims 1 A Y1180 61129 Passport Health Plan Par COMMER M B N N 1 Claims 4 A Y Y1181 10525 Patient Advocates LLC Par COMMER M N N N 0 Claims 1 Y Y1182 68049 Peach State Health PlanPar COMMER M B P P 0 Claims 4 A Y1184 Call Pennsylvania's Preferre Par COMMER M B N N 1 Claims 1 A Y Y1185 72126 Peoples Health NetworkPar COMMER M B N N 0 Claims 4 Y Y1186 25176 PerformCare-Select He Par COMMER M B N N 0 Claims Y Y1187 95397 Personal Insurance Adm Par COMMER M B N N 0 Claims 1 Y Y1189 3440 Phoenix Health Plan Par COMMER M B N N 0 Claims A Y1190 37330 Phyicians Health Plan ( Par COMMER M B N N 0 Claims 1 Y Y1191 58204 Physician Associates of Par COMMER M B N N 1 Claims Y Y1192 Call Physician Associates of Par COMMER M B N N 0 Claims Y1194 58204 Physician Care Networ Par COMMER M B N N 1 Claims Y Y1196 15749 Physicians Alliance/Sto Par COMMER M B N N 0 Claims 4 Y Y1197 38265 Physicians Care (ASR Par COMMER M B N N 0 Claims 1 Y Y1198 38265 Physicians Care Health Par COMMER M B N N 0 Claims 1 Y Y1199 38265 Physicians Care Netwo Par COMMER M B N N 0 Claims 1 Y Y1200 36345 Physicians Care Netwo Par COMMER M B N N 0 Claims 2 Y Y1201 37136 Physicians Health Asso Par COMMER M B N N 0 Claims 1 Y Y1204 20398 Physicians Health CollaPar COMMER M B N N 0 Claims 1 Y Y1206 9173 Physicians Health Plan Par COMMER M B N N 0 Claims Y1207 37330 Physicians Health Plan Par COMMER M B N N 0 Claims 1 Y Y1209 47027 Physicians Mutual Insu Par COMMER M B N N 0 Claims Y1210 39156 Physicians Plus Insuran Par COMMER M B N N 0 Claims 1 Y Y1212 6607 Piedmont Behavioral HPar COMMER M X N N 0 Claims Y Y

1213 24735 Pinnacle Claims Manag Par COMMER M B N N 0 Claims Y Y1215 45985 Pinnacle Physician Man Par COMMER M B N N 1 Claims 4 Y1216 84109 Pinnacol Assurance Par COMMER M X N N 0 Claims 4 Y Y1218 37224 Pittman & Associates Par COMMER M B N N 1 Claims Y Y1219 64160 Pivotal Plan Par COMMER M B N N 0 Claims Y1220 37287 Planned Administrators Par COMMER M B N N 1 Claims Y1221 58204 Podi Care Managed Ca Par COMMER M B N N 1 Claims Y Y1222 32680 Poly America Medical Par COMMER M B N N 0 Claims 1 Y1224 4334 Practicare Inc Par COMMER M B N N 0 Claims Y1225 36373 Prairie States Enterpris Par COMMER M B N N 0 Claims Y1226 61665 Preferred Benefits AdmPar COMMER M B N N 0 Claims 2 Y1227 65088 Preferred Care Partners Par COMMER M B N N 0 Claims 4 Y Y1228 73145 Preferred Community CPar COMMER M B N N 0 Claims A Y Y1229 Call Preferred Health Care - Par COMMER M B N N 2 Claims 3 A Y Y1230 61106 Preferred Health Plan ( Par COMMER M N N N 0 Claims 1 Y Y1231 31478 Preferred Health ProfesPar COMMER M B N N 0 Claims 1 Y Y1232 60110 Preferred Health System Par COMMER M B N N 1 Claims 4 Y1234 36401 Preferred Network Acc Par COMMER M B N N 0 Claims 1 Y Y1235 60110 Preferred Plus of KansaPar COMMER M B N N 1 Claims 4 Y1236 41147 PreferredOne (MN) Par COMMER M N N N 3 Claims 1 A Y Y1237 43166 Premier Benefits Inc. Par COMMER M B N N 0 Claims 4 Y1239 65054 Premier Eye Care Par COMMER M B N N 0 Claims 4 A Y1240 43166 Premier Health Plans Par COMMER M B N N 0 Claims 4 Y1241 90440 Premier Health System Par COMMER M N N N 0 Claims 4 A Y Y1242 29076 Premier Health System Par COMMER M B N N 0 Claims 4 A Y Y1244 CAPMN Premier Physicians Net Par COMMER M B N N 1 Claims 2 A Y Y1245 5003 Presbyterian (NM) Par COMMER M B N N 1 Claims 4 A Y1246 45056 Prestige Health Choice Par COMMER M B N N 0 Claims A Y Y1247 39185 Prevea Health Plan Par COMMER M B N N 3 Claims 1 Y Y1248 IP096 Prima Health IPA Par COMMER M B N N 0 Claims 2 Y1249 CAPMN Primary Care & Pediatr Par COMMER M B N N 1 Claims 2 A Y Y1250 82048 Primary Health Networ Par COMMER M B N N 0 Claims Y Y1251 56144 Primary PhysicianCare Par COMMER M B N N 1 Claims 2 Y Y1252 61604 Prime West Health PlanPar COMMER M B N N 0 Claims 1 A Y Y1253 Call PrimeSource Health Ne Par COMMER M N N N 0 Claims 1 A Y Y1254 61271 Principal Financial GroPar COMMER M B N N 1 Claims 4 Y Y1255 38217 Priority Health Par COMMER M B N N 0 Claims 1 A Y1256 37268 Prism Network Inc. Par COMMER M N N N 1 Claims Y Y1257 37303 Prism-First Health Par COMMER M B N N 1 Claims Y Y1258 37315 Prism-Univera Par COMMER M B N N 0 Claims Y Y1259 38329 Pro Care Health Plan In Par COMMER M B N N 0 Claims 1 Y Y1261 70259 ProCare Health Plan M Par COMMER M B N N 0 Claims 1 Y Y1263 59296 Professional Benefit Ad Par COMMER M B N N 1 Claims 4 A Y Y1264 36331 Professional Benefit Ad Par COMMER M B N N 1 Claims 2 Y Y1265 34134 Professional Risk ManaPar COMMER M B N N 0 Claims 1 Y Y1269 37309 Protective Life Insuranc Par COMMER M B N N 1 Claims Y1272 SX187 Providence PPO Par COMMER M X N N 0 Claims 1 Y Y1273 SX133 Providence of Oregon H Par COMMER M N N N 0 Claims 4 Y Y

1274 91136 Puget Sound Benefits TPar COMMER M B N N 0 Claims 2 Y Y1275 91136 Puget Sound Electrical Par COMMER M B N N 0 Claims 2 Y Y1276 48055 Pyramid Life Insurance Par COMMER M B N N 0 Claims 4 Y Y1277 59375 QUALITY HEALTH P Par COMMER M X N N 0 Claims Y1278 57117 QVI Risk Solutions IncPar COMMER M B N N 1 Claims 4 Y1279 39197 Quad Med LLC (Pewau Par COMMER M B N N 0 Claims 1 Y Y1280 35174 Qual Choice of Arkans Par COMMER M B N N 0 Claims Y1281 23342 QualCare Inc. Par COMMER M B P P 0 Claims Y Y1282 73067 QuikTrip Par COMMER M X N N 0 Claims 1 Y Y1284 Call RADCON INC. Par COMMER M B N N 0 Claims Y Y1285 91176 RBMS LLC Par COMMER M B N N 0 Claims Y1286 Call RIVERSIDE SAN BER Par COMMER M B N N 0 Claims 1 Y Y1287 16117 RMSCO INC. Par COMMER M B N N 0 Claims 1 A R1288 63070 RWDSU BENEFIT FUPar COMMER M B N N 0 Claims 1 Y Y1291 38221 Regency Employee BenPar COMMER M N N N 1 Claims Y1292 47076 Regional Care Inc. Par COMMER M B N N 0 Claims 1 Y Y1293 76066 Renaissance Physicians Par COMMER M B N N 0 Claims Y Y1294 73066 Reserve National InsuraPar COMMER M B N N 0 Claims A Y Y1295 37278 ResourceOne Administ Par COMMER M B N N 1 Claims 1 Y1296 36396 Resurrection Health Ca Par COMMER M B N N 0 Claims Y1297 26316 Retiree Health Trust Par COMMER M B N N 0 Claims Y Y1298 37331 RightChoice Benefit A Par COMMER M B N N 0 Claims Y Y1299 SX141 Rocky Mountain Health Par COMMER M X R R 0 Claims 4 R Y1300 37602 Rooney Life Inc. Par COMMER M B N N 1 Claims 4 Y Y1302 36389 Rush Prudential Health Par COMMER M B N N 0 Claims Y1304 31441 S & S Healthcare StratePar COMMER M N N N 1 Claims Y Y1305 88029 SAINT MARY'S HEAL Par COMMER M B N N 0 Claims 1 Y Y1306 TP984 SANFORD HEALTH P Par COMMER M B N N 1 Claims 1 A Y1307 24077 SANTA CLARA FAM Par COMMER M N N N 0 Claims Y Y1309 72261 SCAN Health Plan Par COMMER M B N N 0 Claims 4 Y Y1310 20460 SCAN Long Term CarePar COMMER M B N N 0 Claims 1 Y Y1311 16146 SCHC Total Care Inc. C Par COMMER M B N N 2 Claims Y Y1312 83035 SENIOR WHOLE HEAPar COMMER M B N N 1 Claims Y1313 35164 Sagamore Health Netw Par COMMER M N N N 3 Claims 4 Y Y1314 37105 Sage Technologies Par COMMER M B N N 0 Claims 1 Y Y1315 37137 Sage Technologies - PBPar COMMER M B N N 0 Claims 3 Y Y1316 CP001 Samaritan Health PlansPar COMMER M B N N 0 Claims1317 MSO77 San Diego County Cov Par COMMER M B N N 0 Claims 4 A Y1318 MSO11 San Diego County Med Par COMMER M B N N 0 Claims 4 A Y1319 MSO33 San Diego County Rya Par COMMER M B N N 0 Claims 4 A Y1322 68035 San Joaquin Health Ad Par COMMER M B N N 0 Claims 3 Y Y1324 33072 San Louis Obispo SelecPar COMMER M B N N 1 Claims Y Y1325 91184 Sanford Health Plan Par COMMER M B N N 0 Claims 3 A Y1326 77038 Sante Health System an Par COMMER M B N N 0 Claims 1 Y Y1327 73172 Scan Health Plan ArizoPar COMMER M B N N 0 Claims 2 Y Y1329 Seabury & Smith Par COMMER M B N N 0 Claims Y1331 28530 Secure Health Plans of Par COMMER M B N N 3 Claims Y Y1332 95964 Secure Horizons Arizon Par COMMER M B N N 0 Claims 4 Y Y

1333 95959 Secure Horizons Califo Par COMMER M B N N 0 Claims 4 Y Y1334 95962 Secure Horizons Colora Par COMMER M B N N 0 Claims 4 Y Y1335 LIFE1 Secure Horizons Lifepr Par COMMER M B N N 0 Claims 4 A Y1336 95959 Secure Horizons Washi Par COMMER M B N N 0 Claims 4 Y Y1337 95959 Secure Horizons of Okl Par COMMER M B N N 0 Claims 4 Y Y1338 95959 Secure Horizons of Ore Par COMMER M B N N 0 Claims 4 Y Y1339 95959 Secure Horizons of Tex Par COMMER M B N N 0 Claims 4 Y Y1340 39045 Security Health Plan Par COMMER M B N N 0 Claims R Y1341 77024 SeeChange Par COMMER M B N N 0 Claims A Y1342 64088 Select Administrative S Par COMMER M B N N 0 Claims 1 Y Y1343 37282 Select Benefit Adminis Par COMMER M B N N 0 Claims 1 Y Y1344 93031 Select Benefit Adminis Par COMMER M B N N 0 Claims Y Y1345 23285 Select Health of South Par COMMER M B N N 1 Claims 4 A Y Y1346 20415 Select Senior Clinic Par COMMER M B N N 1 Claims 4 Y1347 14 SelectCare Par COMMER M B N N 0 Claims 1 A Y Y1348 76045 SelectCare of Texas (H Par COMMER M B N N 1 Claims 4 Y Y1349 61225 SelectCare of Texas (K Par COMMER M B N N 1 Claims 4 Y1351 59111 Self Insured Benefit Ad Par COMMER M B N N 0 Claims 1 Y Y1352 36404 Self Insured Plans (Nap Par COMMER M B N N 1 Claims 1 Y1353 34131 Self-Funded Plans Inc. Par COMMER M B N N 0 Claims 2 Y Y1354 36390 Senior Care Partners Par COMMER M B N N 0 Claims Y Y1355 80141 Senior Health Partners Par COMMER M B N N 0 Claims 4 A Y Y1358 23249 Sentinel Management SPar COMMER M N N N 2 Claims 4 Y Y1359 39033 Sentry Insurance a Mut Par COMMER M N N N 1 Claims Y1360 39033 Sentry Life Insurance CPar COMMER M N N N 1 Claims Y1361 39033 Sentry Life of New YorPar COMMER M N N N 1 Claims Y1362 CAPMN Seoul Medical Group Par COMMER M B N N 1 Claims 2 A Y Y1364 76056 Seton CHIP Par COMMER M B N N 0 Claims Y Y1368 25404 Seven Corners Par COMMER M B N N 0 Claims 1 Y Y1369 75280 Shasta Administrative SPar COMMER M B N N 0 Claims 2 Y Y1371 38238 Sheet Metal Workers L Par COMMER M B N N 0 Claims 1 Y Y1372 Call Sheffield Olson & McQ Par COMMER M B N N 0 Claims 1 Y Y1374 76342 Sierra Health Services Par COMMER M B N N 1 Claims 4 A Y Y1376 62159 Signature Health AllianPar COMMER M N N N 0 Claims Y1377 23250 Significa Benefits Serv Par COMMER M N N N 3 Claims 3 Y1378 36387 Silver Cross Managed C Par COMMER M B N N 0 Claims Y Y1379 84076 Sinclair Health Plan Par COMMER M B N N 0 Claims Y Y1380 84096 Sloans Lake Preferred H Par COMMER M N N N 2 Claims 3 Y Y1381 2057 Smith Administrators Par COMMER M B N N 1 Claims 4 A Y Y1382 Call Solano Regional Medic Par COMMER M B P P 0 Claims 4 Y Y1384 91131 Sound Health (now kno Par COMMER M N N N 1 Claims 4 Y Y1385 42172 Soundpath Health Par COMMER M B N N 0 Claims 1 Y1386 Call South Central Preferred Par COMMER M B N N 0 Claims 1 A Y Y1388 37314 South FL Community C Par COMMER M B N N 0 Claims 1 Y1389 Call South Haven Commun Par COMMER M B N N 0 Claims Y1393 35227 South Point Hotel & CaPar COMMER M B N N 0 Claims Y1397 37318 Southern Benefit ServicPar COMMER M B N N 2 Claims 1 Y1403 37266 Southwest Service Life Par COMMER M B N N 1 Claims 1 Y

1404 52190 Special Risk InternationPar COMMER M B N N 0 Claims 4 Y Y1405 23253 Spectrum Administrato Par COMMER M X N N 0 Claims 1 A Y Y1406 84146 Spina Bifida - VA HACPar COMMER M B N N 0 Claims 4 A Y Y1411 35199 St. Anthony Memorial Par COMMER M B N N 0 Claims 1 Y1412 22240 St. Barnabas System H Par COMMER M B N N 0 Claims Y Y1413 35199 St. Catherine Hospital P Par COMMER M B N N 0 Claims 1 Y1414 35199 St. Francis Health NetwPar COMMER M B N N 0 Claims 1 Y1415 37264 St. John's Claims AdmiPar COMMER M B N N 1 Claims Y1418 35199 St. Margaret Mercy He Par COMMER M B N N 0 Claims 1 Y1420 59225 Star HRG Par COMMER M B N N 0 Claims A Y Y1421 61425 Starmark Par COMMER M N N N 1 Claims Y1422 61425 Starmark Par COMMER M N N N 1 Claims Y1423 46450 State Auto Insurance C Par COMMER M B N N 0 Claims Y1425 31053 State Farm Insurance CPar COMMER M B N N 1 Claims 4 Y1426 57254 State of Texas Dental PPar COMMER M X N N 0 Claims 1 Y Y1427 75087 States General Life InsuPar COMMER M B N N 0 Claims 1 Y Y1428 67829 Sterling Medicare AdvaPar COMMER M B N N 0 Claims 1 Y1429 91151 Sterling Option 1 Par COMMER M B N N 0 Claims Y Y1430 31121 Stoner and Associates ( Par COMMER M B N N 0 Claims 1 Y Y1431 15752 Stones River Regional Par COMMER M B N N 0 Claims Y Y1432 74227 Student Insurance - Mi Par COMMER M B N N 1 Claims 4 A Y Y1433 74227 Student Insurance - The Par COMMER M B N N 1 Claims 4 A Y Y1434 35199 Suburban Health OrganPar COMMER M B N N 0 Claims 1 Y1435 95202 SummaCare Health PlaPar COMMER M B N N 0 Claims 4 A Y Y1437 37301 Summit America Insura Par COMMER M B N N 1 Claims Y1439 68057 Sunshine State Health PPar COMMER M B N N 0 Claims 4 A Y Y1440 23218 Superior Administrator Par COMMER M B N N 0 Claims 1 Y Y1441 39188 Superior Health Plan T Par COMMER M B P P 0 Claims 4 A Y Y1442 77318 Sutter Delta Medical G Par COMMER M B N N 0 Claims 4 Y Y1443 94269 Sutter East Bay Medica Par COMMER M B N N 0 Claims 1 Y Y1444 Call Sutter Gould Medical FPar COMMER M B P P 0 Claims 4 Y Y1445 Call Sutter Independent PhyPar COMMER M B P P 0 Claims 4 Y Y1446 Call Sutter Medical FoundatPar COMMER M B P P 0 Claims 4 Y Y1447 Call Sutter Medical Group o Par COMMER M B P P 0 Claims 4 Y Y1448 36411 Swedish Covenant Hos Par COMMER M B N N 0 Claims Y Y1451 94304 TBT Par COMMER M X N N 0 Claims 1 Y Y1452 TXCSM TEXAS CHILDRENS Par COMMER M B N N 0 Claims Y Y1453 15750 TN IPA Par COMMER M B N N 0 Claims Y Y1454 13402 TOUCHSTONE HEAL Par COMMER M B N N 0 Claims Y1455 31074 TPAC/Employee Benef Par COMMER M B N N 0 Claims 1 A Y Y1456 37230 TR Paul Inc. Par COMMER M B N N 1 Claims Y Y1457 31144 TRIHEALTH PHYSIC Par COMMER M B R R 0 Claims 4 Y1458 31143 TRIHEALTH PHYSIC Par COMMER M B N N 0 Claims Y1459 98514 TRLHN/AS Par COMMER M B N N 0 Claims 4 A Y Y1460 62777 TRLHN/EB Par COMMER M B N N 0 Claims 4 A Y Y1462 88067 Tall Tree AdministratorPar COMMER M B N N 0 Claims 1 Y Y1463 37228 Tarrant Health ServicesPar COMMER M B N N 1 Claims 1 Y1464 88019 Teachers Health Trust Par COMMER M B N N 0 Claims Y

1468 36215 Teamcare Par COMMER M B N N 0 Claims Y Y1469 See CommeTeamster Construction Par COMMER M B N N 0 Claims1470 94304 Teamsters Benefit TrusPar COMMER M X N N 0 Claims 1 Y Y1471 20212 Tethys Health VenturesPar COMMER M X N N 0 Claims Y Y1472 76048 Texas Children's Health Par COMMER M B N N 0 Claims 2 Y Y1474 75228 Texas Childrens Health Par COMMER M B N N 0 Claims 2 Y Y1475 33104 Texas HealthSpring Par COMMER M B N N 0 Claims Y Y1478 13185 TexasFirst Health Plan Par COMMER M B N N 0 Claims 4 Y1479 74227 The Chesapeake Life In Par COMMER M B N N 1 Claims 4 A Y Y1480 75600 The City of Odessa Par COMMER M N N N 0 Claims 1 Y Y1481 37305 The Ford Meter Box Co Par COMMER M B N N 0 Claims Y1482 20356 The Health Exchange ( Par COMMER M B N N 0 Claims 1 Y Y1483 34150 The Health Plan (Mass Par COMMER M B N N 0 Claims 1 Y Y1485 35206 The Healthcare Group Par COMMER M N N N 2 Claims Y1486 58200 The Integrity Benefit G Par COMMER M B N N 0 Claims 1 Y Y1487 23223 The Loomis Company Par COMMER M B N N 1 Claims 1 A Y Y1488 59221 The MEGA Life & Hea Par COMMER M B N N 1 Claims 4 Y Y1489 59225 The MEGA Life & Hea Par COMMER M B N N 0 Claims A Y Y1490 74227 The MEGA Life & Hea Par COMMER M B N N 1 Claims 4 A Y Y1491 59227 The MEGA Life & Hea Par COMMER M B N N 0 Claims1492 59087 The National Radiology Par COMMER M B N N 0 Claims 1 Y1493 13522 The Perfect Health Insu Par COMMER M B N N 0 Claims 4 A Y Y1494 31074 The Physicians Assuran Par COMMER M B N N 0 Claims 1 A Y Y1495 Call The Preferred Healthca Par COMMER M N N N 0 Claims 1 A Y Y1496 75305 Therapy Review SystemPar COMMER M B N N 0 Claims 1 Y Y1497 SX160 Thomas H. Cooper Par COMMER M B N N 0 Claims 4 A R Y1498 25175 Three Rivers Health Pla Par COMMER M B N N 0 Claims 4 Y Y1499 39065 Time Insurance CompaPar COMMER M B N N 1 Claims 4 Y Y1500 20081 Today's Health Wiscon Par COMMER M B N N 0 Claims 4 Y1501 48055 Today's Options (Amer Par COMMER M B N N 0 Claims 4 Y Y1502 48055 Today's Options power Par COMMER M B N N 0 Claims 4 Y Y1503 92620 Tongass Timber Trust Par COMMER M B N N 1 Claims 4 A Y Y1504 61425 Tooling & Manufacturi Par COMMER M N N N 1 Claims Y1506 36342 Total Broker Benefits Par COMMER M B N N 1 Claims Y Y1507 37314 Total Claims AdministrPar COMMER M B N N 0 Claims 1 Y1508 31182 Total Community Care Par COMMER M B N N 0 Claims Y Y1510 38201 Total Healthcare Inc. Par COMMER M N N N 0 Claims 1 Y1511 97910 Touchpoint Health Plan Par COMMER M B N N 0 Claims Y1512 23856 Touchstone Health PSOPar COMMER M B N N 0 Claims Y1513 69493 Tower Life Insurance CPar COMMER M B N N 3 Claims Y1519 59222 TransAmerica Life Insu Par COMMER M B N N 1 Claims 1 Y Y1521 37284 TransChoice-Key Bene Par COMMER M B N N 1 Claims 1 A Y Y1522 20807 Transchoice or TransSm Par COMMER M B N N 0 Claims A Y Y1523 36397 Trellis Health Partners Par COMMER M B N N 0 Claims Y1525 73117 Tribute /SelectCare of OPar COMMER M B N N 0 Claims 4 Y1526 54210 True Choice USA Par COMMER M B N N 0 Claims 1 Y Y1527 TH083 True Choice USA Par COMMER M B N N 0 Claims 2 Y Y1528 91078 Trusteed Plans Service Par COMMER M B N N 0 Claims 1 Y Y

1529 61425 Trustmark Insurance C Par COMMER M N N N 1 Claims Y1530 Call Tufts Health Plan Par COMMER M B P P 0 Claims 4 R Y1531 87726 UBH - United Behavio Par COMMER M B N N 1 Claims 4 A Y Y1532 87726 UBH - United Behavio Par COMMER M B N N 1 Claims 4 A Y Y1534 74223 UICI - Administrators - Par COMMER M B N N 1 Claims 4 A Y1535 75130 UMC HEALTH PLAN Par COMMER M X N N 1 Claims 1 A Y1536 31107 UMR - Cincinnati (form Par COMMER M B N N 0 Claims 4 A Y Y1537 95266 UMR - Harrington (for Par COMMER M N N N 0 Claims 1 A Y1538 37237 UMR - Lexington (form Par COMMER M B N N 1 Claims 1 A Y1539 79480 UMR - Onalaska (form Par COMMER M B N N 0 Claims 4 Y Y1540 39026 UMR - Wausau/UHIS ( Par COMMER M N N N 0 Claims 3 A Y1541 75196 UMR -Harrington (form Par COMMER M N N N 0 Claims 1 Y1542 52180 UMWA Health & Retir Par COMMER M B N N 0 Claims 4 A Y Y1543 80314 UNICARE Par COMMER M B N N 0 Claims 4 A R Y1544 87042 UNION PACIFIC RAIL Par COMMER M B N N 0 Claims 1 A Y1545 36659 UNITED FOOD & CO Par COMMER M B N N 0 Claims Y1546 92579 UNIVERSITY OF MIA Par COMMER M B N N 0 Claims Y Y1547 23281 UPMC Health Plan Par COMMER M B N N 0 Claims 4 R Y1548 93092 US Benefits Par COMMER M B N N 0 Claims 4 A Y Y1550 74095 USAA (United Service Par COMMER M B N N 0 Claims Y Y1552 13407 USFHP - St. Vincent C Par COMMER M B N N 0 Claims 4 Y Y1555 62170 Unified Health Service Par COMMER M B N N 0 Claims 1 Y Y1556 34638 Unified Physicians Net Par COMMER M B N N 0 Claims A Y1557 75243 Uniform Medical Plan/ Par COMMER M B N N 0 Claims 1 A Y1558 Call Union Pacific IPA Par COMMER M B N N 0 Claims Y Y1559 70408 Union Security Insuran Par COMMER M B N N 1 Claims 1 Y Y1560 62183 Unison Health Plan/Be Par COMMER M B N N 0 Claims 4 A Y Y1561 25175 Unison Health Plan/Th Par COMMER M B N N 0 Claims 4 Y Y1563 CAPMN United Care Medical NPar COMMER M B N N 1 Claims 2 A Y Y1564 36273 United Healthcare Ova Par COMMER M B N N 0 Claims 4 A Y Y1565 95378 United Healthcare of R Par COMMER M B P P 0 Claims 4 Y Y1566 84132 United Medical AlliancPar COMMER M B N N 0 Claims Y Y1567 36362 United Security Life & Par COMMER M B N N 0 Claims A Y Y1568 71412 United of Omaha Par COMMER M B N N 1 Claims 4 Y Y1569 87726 UnitedHealthcare Par COMMER M B N N 1 Claims 4 A Y Y1570 87726 UnitedHealthcare Par COMMER M B N N 1 Claims 4 A Y Y1571 87726 UnitedHealthcare Par COMMER M B N N 1 Claims 4 A Y Y1572 87726 UnitedHealthcare Plans Par COMMER M B N N 1 Claims 4 A Y Y1573 87726 UnitedHealthcare of AlPar COMMER M B N N 1 Claims 4 A Y Y1574 87726 UnitedHealthcare of Ar Par COMMER M B N N 1 Claims 4 A Y Y1575 87726 UnitedHealthcare of ArPar COMMER M B N N 1 Claims 4 A Y Y1576 87726 UnitedHealthcare of Ca Par COMMER M B N N 1 Claims 4 A Y Y1577 87726 UnitedHealthcare of Ca Par COMMER M B N N 1 Claims 4 A Y Y1578 87726 UnitedHealthcare of Co Par COMMER M B N N 1 Claims 4 A Y Y1579 87726 UnitedHealthcare of Fl Par COMMER M B N N 1 Claims 4 A Y Y1580 87726 UnitedHealthcare of GePar COMMER M B N N 1 Claims 4 A Y Y1581 87726 UnitedHealthcare of Ill Par COMMER M B N N 1 Claims 4 A Y Y1582 87726 UnitedHealthcare of Ke Par COMMER M B N N 1 Claims 4 A Y Y

1583 87726 UnitedHealthcare of LoPar COMMER M B N N 1 Claims 4 A Y Y1584 87726 UnitedHealthcare of M Par COMMER M B N N 1 Claims 4 A Y Y1585 87726 UnitedHealthcare of Ne Par COMMER M B N N 1 Claims 4 A Y Y1586 87726 UnitedHealthcare of Ne Par COMMER M B N N 1 Claims 4 A Y Y1587 87726 UnitedHealthcare of No Par COMMER M B N N 1 Claims 4 A Y Y1588 87726 UnitedHealthcare of OhPar COMMER M B N N 1 Claims 4 A Y Y1589 87726 UnitedHealthcare of TePar COMMER M B N N 1 Claims 4 A Y Y1590 87726 UnitedHealthcare of Te Par COMMER M B N N 1 Claims 4 A Y Y1591 87726 UnitedHealthcare of Te Par COMMER M B N N 1 Claims 4 A Y Y1592 87726 UnitedHealthcare of Up Par COMMER M B N N 1 Claims 4 A Y Y1593 87726 UnitedHealthcare of UtPar COMMER M B N N 1 Claims 4 A Y Y1594 87726 UnitedHealthcare of ViPar COMMER M B N N 1 Claims 4 A Y Y1595 87726 UnitedHealthcare of W Par COMMER M B N N 1 Claims 4 A Y Y1596 87726 UnitedHealthcare of the Par COMMER M B N N 1 Claims 4 A Y Y1597 87726 UnitedHealthcare of the Par COMMER M B N N 1 Claims 4 A Y Y1598 87726 UnitedHealthcare of the Par COMMER M B N N 1 Claims 4 A Y Y1599 87726 UnitedHealthcare of the Par COMMER M B N N 1 Claims 4 A Y Y1600 87726 UnitedHealthcare of the Par COMMER M B N N 1 Claims 4 A Y Y1601 66705 Unity Health Insurance Par COMMER M B N N 0 Claims 3 Y Y1607 33001 Universal Care - Califo Par COMMER M B N N 0 Claims 4 Y1608 50528 Universal Health Care IPar COMMER M B N N 0 Claims 4 Y1610 9830 University Family CarePar COMMER M B N N 0 Claims 2 Y1611 7503 University Family Care Par COMMER M B N N 0 Claims 3 Y1612 9908 University Family Care Par COMMER M B N N 0 Claims 3 Y1613 99026 University Health Allia Par COMMER M N R R 0 Claims A Y1614 37601 University of Illinois at Par COMMER M B N N 0 Claims 1 Y1618 37324 Upper Peninsula Health Par COMMER M B N N 0 Claims Y Y1619 38337 Upper Peninsula Health Par COMMER M B N N 0 Claims Y Y1620 12115 VA Fee Basis Program Par COMMER M B N N 0 Claims 4 A Y Y1621 Call VHAMA-WATERSTO Par COMMER M B N N 0 Claims 1 Y Y1622 77073 VNS CHOICE MedicarPar COMMER M B N N 0 Claims 1 R Y1623 59266 VOLUSIA HEALTH NPar COMMER M B N N 0 Claims Y1627 23253 Valley Preferred - PPO Par COMMER M X N N 0 Claims 1 A Y Y1629 72128 Vantage Health Plan In Par COMMER M B N N 0 Claims Y Y1632 86062 VentureNet Healthcare Par COMMER M N N N 3 Claims 4 A Y Y1633 66126 Verdugo Hills Medical Par COMMER M B N N 0 Claims 2 Y1634 75256 Verity National Group Par COMMER M B N N 0 Claims 4 A Y Y1637 73743 Village Family PracticePar COMMER M B N N 1 Claims 4 Y1639 54176 Virginia Premier Health Par COMMER M N R R 0 Claims 4 A Y1640 37297 Vison Care IncorporatePar COMMER M B N N 1 Claims 1 Y Y1643 63114 Viva Health Plan Par COMMER M B N N 0 Claims 4 R Y1644 22264 Vytra Healthcare Par COMMER M B N N 0 Claims 4 A Y Y1646 77080 WPP-ElderCare WisconPar COMMER M B N N 0 Claims 1 R Y1647 SX176 WPS - Tricare for Life Par COMMER M N N N 0 Claims 1 A Y1648 SX022 WPS Commercial Par COMMER M X R R 0 Claims 4 A Y1650 85256 Wabash Memorial Hos Par COMMER M B N N 0 Claims Y1652 See CommeWashington Teamster W Par COMMER M B N N 0 Claims1653 73155 Waterstone Benefit AdmPar COMMER M B N N 0 Claims 1 Y Y

1654 36337 Weiss Health ProvidersPar COMMER M B N N 0 Claims Y1656 Call WellNet Health Plans Par COMMER M X N N 0 Claims 2 A Y1658 77072 Wellcare Private Fee fo Par COMMER M B N N 0 Claims 1 R Y1659 87815 Wells Fargo Third Party Par COMMER M B N N 1 Claims 4 A Y Y1660 37272 Wells Fargo Third Party Par COMMER M N N N 1 Claims 1 Y1661 91064 Wenatchee Valley Med Par COMMER M B N N 0 Claims Y Y1662 66124 West Covina Medical GPar COMMER M B N N 0 Claims 2 Y Y1663 CMSI1 West Covina Medical GPar COMMER M B N N 1 Claims 4 A Y1664 90560 WestLake Financial Gr Par COMMER M B N N 0 Claims 2 Y Y1665 24735 Western Grower's Assu Par COMMER M B N N 0 Claims Y Y1666 24735 Western Grower's Insur Par COMMER M B N N 0 Claims Y Y1667 68039 Western Health AdvantPar COMMER M B N N 0 Claims 1 Y Y1668 37306 Western Health Inc Par COMMER M B N N 0 Claims Y1669 37247 Western Mutual InsuranPar COMMER M B N N 1 Claims Y1670 31048 Western Southern Finan Par COMMER M B N N 0 Claims 1 Y Y1671 See CommeWestern Teamster Welf Par COMMER M B N N 0 Claims1672 38232 Weyco Inc. Par COMMER M B N N 1 Claims Y Y1673 93050 William C. Earhart Par COMMER M B N N 0 Claims 4 A Y Y1674 41095 Wilson-McShane Par COMMER M B N N 1 Claims Y Y1675 62153 Windsor Medicare ExtrPar COMMER M B N N 0 Claims 4 Y1676 39200 Wisconsin Auto and Tr Par COMMER M B N N 1 Claims 1 Y Y1677 74101 Wisconsin Department Par COMMER M B R R 0 Claims Y Y1679 13413 Women's Integrated Ne Par COMMER M X N N 0 Claims 3 Y1681 20333 Worksite Benefit Servi Par COMMER M B N N 0 Claims 1 Y Y1682 75276 World Insurance Comp Par COMMER M B N N 1 Claims Y1683 23710 Writers' Guild - Industr Par COMMER M B N N 0 Claims 4 Y Y1684 60646 Yale University Heath Par COMMER M B N N 0 Claims A Y1685 9829 Yavapai County Par COMMER M B N N 0 Claims 2 A Y1688 26054 iCare Health Options TPar COMMER M B N N 1 Claims A Y1689 75261 webTPA/Community H Par COMMER M B N N 0 Claims Y Y

Link Additional Information

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_13162.pdf1st Medical Network is part of the Medical Mutual Family of Companies. Former payer ID 58203.1st Medical Network is part of the Medical Mutual Family of Companies. Former payer ID 58203.

For Minnesota Only

Claims are printed and mailed to the payer.

Only claims from providers in Northern California. Please contact the EDI Dept for North American Medical Management (NAMM) - Northern California Lead/Supervisor at 1-800-956-8000 prior to i Claims are processed by Benefit Plan Administrators

http://www DO NOT send ACS/Health Net or ACS Inc. Medicaid claims to this payer ID. This payer ID is for ACS Benefit Services. Inc. ONLY.

Claims will be printed and mailed to APS Paper Claim 54100.

To obtain the payer ID please call (440) 262-1160.

ONLY Physical Occupational and Speech Therapy Claims for the following FLORIDA Health Plans should be submitted to this payer ID: Aetna Health Plan CarePlus JMH Health Plan Sunshine State

Prior to submitting claims please call Provider Relations Dept at 1-866-433-6041 to verify your provider info is on file in the claim system. This will prevent rejections and allow payments to be made i

http://www Please contact Advocate Physician Partners Debbie Motz at (847)635-4182 for questions or more information for both payer IDs.http://www Please contact Advocate Physician Partners Debbie Motz at (847)635-4182 for questions or more information for both payer IDs.http://www.emdeon.com/resourcepdfs/edi_fact_sheet_60054.pdf

http://www Please contact Affinity's EDI Coordinator before submitting claims electronically at EDI@Affinityplan.org or call (718)794-7592.When submitting to this payer ID please ensure the following: The claim is for a Medicare Advantage Member the date of service is equal to or greater than 1/1/10 and the subscriber ID you submit is 9 Claims with the following address should only be sent to this payer id. ABA P.O. Box 10787 Burbank CA 91510-0787Please contact Risa Rhodes at (514) 762-2165 for the Agate Resources Inc. (LIPA) Payer IDNow known as Meritain Health

http://www Please enter Group Number (P68) when submitting claims.

Please enter Group Number (F23) when submitting claims.Please enter Group Number (F24) when submitting claims.Please enter Group Number (F45) when submitting claims.

This Payer ID should be used for Stones River Regional IPA - Alliance Healthcare Florida claims only.ID cards should show mailing address of PO Box 44365 Madison WI 53744. Call Dave Sell at 608-210-6656 to obtain Payer ID.

Payer ID is only for dates of service after 7/1/2010.Network ID required on all claims. Call Sutter Connect EDI Department at (800) 611-5191 to obtain Network ID prior to first submission.Only claims from providers in Northern California. Please contact the EDI Dept for North American Medical Management (NAMM) - Northern California Lead/Supervisor at 1-800-956-8000 prior to i

All claims submitted require your AmeriChoice assigned Provider ID Number. Please contact AmeriChoice at (888) 362-3368 for your Provider ID Number.

All claims submitted require your AmeriChoice assigned Provider ID Number. Please contact AmeriChoice at (866) 362-3368 for your Provider ID Number.

All claims submitted require your AmeriChoice assigned Provider ID Number. Please contact AmeriChoice at (800) 345-3627 for your Provider ID Number.

Medicaid managed care. For EDI support please e-mail edi.amhp@kmhp.com.

Please check the Insured ID card to verify the Payer ID before submitting claims. If you have questions please contact Provider Relations at 800-456-4584.Please check the Insured ID card to verify the Payer ID before submitting claims. If you have questions please contact Provider Relations at 800-456-4584.

Payer ID valid only for claims with a billing submission address of P.O. Box 35008 N. Canton OH 44735

Assigned Group Policy Plan ID is required. To obtain please call American Imaging Management Inc. at (800) 252-2021.http://www Plan of UnitedHealthcarehttp://www.emdeon.com/resourcepdfs/edi_fact_sheet_81400.pdf

Claims for the state of Maine ONLY must be sent on paper to MedNet P. O. Box 15440 Portland ME 04112.http://www.emdeon.com/resourcepdfs/edi_fact_sheet_48055.pdfhttp://www Payer does not accept Secondary/Tertiary claims electronically.

Formally Americaid Community Care (Dallas/Ft. Worth).Formerly Americaid Community Care (Houston).

Formerly known as VidaCare

Apex is also a Medicaid payer and will accept claims with either a Medicaid or Commercial classification

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_70408.pdfMUST VERIFY ALL CLAIMS SHOULD GO TO PAYER IN FT. MILL SC

Payer ID valid only for claims with a billing submission address of P.O. Box 35276 Canton OH 44735-5276

Please send these EDI claims to the Payer ID of the PPO shown on the Member's ID Card. If you have any questions please call 260-489-6447 (703).http://www The Insured ID and Patient ID fro this payer must be the 11-digit Member ID.

Beacon requires submission of the member's Plan ID. Please follow the link to our payer fact sheet for ID's and further instructions.Please contact Chris Burak at (704) 321-3156 for payer id information.

http://www Submissions to BMCHP must include the correct 12 digit BMCHP Provider ID # including all leading zeros.

To obtain the payer ID please call (440) 262-1160.

Payer ID valid only for claims with a billing submission address of 111 Ryan Court Suite 300 Pittsburgh PA 15205.

This payer will only accept medical and hospital claims for these groups listed: BMI187BMI219BMI234BMI236BMI214.BMI241BMI617 BMI245.BMI246

Payer ID valid only for claims with a billing submission address of P.O. Box 1128 Eau Claire WI 54702-1128.

Now known as Total Broker Benefits Payer ID 36342(Formerly known as The TPA)

Before submitting please contact Lori Calpino at (610) 372-8044 ext. 3019

Now known as Unison Health Plan

This Payer ID should be used for Stones River Regional IPA - Blue Grass Family Health claimshttp://www.emdeon.com/resourcepdfs/edi_fact_sheet_61124.pdf

Submissions to BMCHP must include the correct 12 digit BMCHP Provider ID # including all leading zeros.

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_52192.pdfhttp://www.emdeon.com/resourcepdfs/edi_fact_sheet_52192.pdf

Please call Bridgestone Customer Service Center at 330-379-4500 for Customer Support.Prior to submitting claims please call Provider Relations Dept. at 1-866-475-3129 to verify your provider info is on file in the Health Plans claim system. This will prevent rejections and allow paymen

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_35182.pdfTo obtain the payer ID please call (440) 262-1160.

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_94316.pdf

http://www Prior to submitting claims please call Provider Relations Dept at 1-866-296-8731 to verify your provider info is on file in the claim system. This will prevent rejections and allow payments to be made i

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_23708.pdf

Formerly known as Comprehensive Benefits Administrator Inc.

http://www CHAMPVA - HAC is not associated with and does not process claims for TRICARE (formerly CHAMPUS).

Payer ID rendering provider and location number required to submit claims. Please call Dave Sell at (608) 210-6656 to obtain.http://www.emdeon.com/resourcepdfs/edi_fact_sheet_62308.pdf

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_86033.pdf

To obtain the payer ID for this payer please contact CMCS Customer Service at (800) 352-7502

Payer will accept either rendering provider UPIN or NPI on claims. Before submitting NPI please call Capital Health Plan at 850-523-7361 to register your NPI numbers with them.

Enrollment required prior to claim submission. Please contact EDIInfo@CareCentrix.com

WellCare New York POS 11 Radiology Claims Only. Claims for members in the following counties should be submitted to WellCare: Monroe Erie Wayne and Onondaga.

(Formerly Physicians Healthcare Plans Inc)

Payer is receiving NSF 3.0. eMCDS file is sent to OKC and then translated to NSF3.0. Files are then pushed to Careworks' Production Server.

Carolina Care Plan is part of the Medical Mutual Family of Companies. Former payer ID 57105.Enrollment forms are available on our website

Utilizes the CMR Network.

Please enter Group Number (F16) when submitting claims.Prior to submitting claims please call Provider Relations Dept at 1-866-495-6748 to verify your provider info is on file in the claim system. This will prevent rejections and allow payments to be made i

Prior to submitting claims please call Provider Relations Dept at 1-800-947-0633 to verify your provider info is on file in the claim system. This will prevent rejections and allow payments to be made i Prior to submitting claims please call Provider Relations Dept at 1-877-647-4848 to verify your provider info is on file in the claim system. This will prevent rejections and allow payments to be made i Prior to submitting claims please call Provider Relations Dept at 1-866-896-7293 to verify your provider info is on file in the claim system. This will prevent rejections and allow payments to be made i

Prior to submitting claims please call Provider Relations Dept at 1-800-716-5650 to verify your provider info is on file in the claim system. This will prevent rejections and allow payments to be made

Non Medicare Supplement Payer does not accept Secondary/Tertiary claims electronically.

Only claims from providers in Northern California. Please contact the EDI Dept for North American Medical Management (NAMM) - Northern California Lead/Supervisor at 1-800-956-8000 prior to i http://www.emdeon.com/resourcepdfs/edi_fact_sheet_48120.pdf

Payer ID valid only if the address on the Health ID Card matches the following: P.O. Box 982017 North Richland Hills TX 76182.

For questions regarding claim status providers will need to contact payer: CFMG Provider Customer Service 510-428-3154.http://www.emdeon.com/resourcepdfs/edi_fact_sheet_84146B.pdf

Please call Jessica Picarde Manager of Claims Operations (410) 349-3222 for Payer ID information.Please call Jessica Picarde Manager of Claims Operations (410) 349-3222 for Payer ID information.Please call Jessica Picarde Manager of Claims Operations (410) 349-3222 for Payer ID information.Please call Jessica Picarde Manager of Claims Operations (410) 349-3222 for Payer ID information.

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_91162.pdf

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_73143.pdf

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_38325.pdf

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_06105.pdf

Consumers Life insurance Company is part of the Medical Mutual Family of Companies.Non Medicare Supplement Payer does not accept Secondary/Tertiary claims electronically.

Claims are printed and mailed to the payer.; For conversion plan members only. If filing a claim for a federal plan member please use payer ID 44444.

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_58231.pdfFor assistance 800-689-0106

http://www Only for claims where the "submit claims to address" on the medical ID card is a CoreSource address in Little Rock Arkansas. For assistance call 800-689-0106.For assistance 800-689-0106For assistance 800-689-0106

http://www Only for claims where the "submit claims to address" on the medical ID card is a CoreSource address in the state of Ohio. For assistance call 800-689-0106.

Payer ID valid only for claims with a claims submission address of P.O. Box 12953 Charlotte NC 28220.

Please enter the unique policy number or ID card when submitting claims. Payer ID valid only for claims with a billing submission address of PO Box 982005 Ft. Worth TX 76182.

Call Jessica Picarde @ 410-349-3222 for Payer id.PLEASE CONTACT Ronald Gray at 202-408-2229 TO JOIN CHARTERED HEALTH PLANS EDI NETWORK

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_27009.pdf

Please verify the Payer ID on the Member ID card in addition to the Payer City and State before submitting claims to Diversified Admin (Payer ID 06102)

Now known as Meritain Health.

To obtain the payer ID please call (440) 262-1160.To obtain the payer ID please call (440) 262-1160.

Network ID required on all claims. Call Sutter Connect EDI Department at (800) 611-5191 to obtain Network ID prior to first submission.

http://www Elderplan no longer requires enrollment & individual provider testing; However Elderplan Provider ID is necessary on all claim submissions. If you do not know your provider Id contact (718) 921-797

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_34167.pdf

To obtain the payer ID please call (440) 262-1160.To obtain the payer ID please call (440) 262-1160.To obtain the payer ID please call (440) 262-1160.

To obtain the payer ID please call (440) 262-1160.

MUST VERIFY ALL CLAIMS SHOULD GO TO PAYER IN FT. MILL SC

For plan and claim requirements please contact the Employers Mutual Inc. (Stuart FL) Customer Service Department at (772) 287-7650 ext. 4052.http://www.emdeon.com/resourcepdfs/edi_fact_sheet_35206.pdf

Please enter Group Number (P61) when submitting claims.Electronic Payer ID for Claims printed and mailed to payer.

Payer ID valid only for claims with a billing submission address of P.O. Box 720460 Oklahoma City OK 73172.

Payer ID valid for claims with a submission address of PO Box 5001 New Port Richey FL 34656.

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_71412.pdf

Payer ID rendering provider and location number required to submit claims. Please call Dave Sell at (608) 210-6656 to obtain.

http://www For assistance send email to HIPAA@f-m-h.com

http://transact.emdeon.com/pdf_versions/edi_fact_sheet_22254.pdf

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_11315.pdf

1st Medical Network is part of the Medical Mutual Family of Companies. Former payer ID 58203.http://www Beginning 1/8/2007 all new providers must enroll with First Priority Health/Blue Cross of Northeastern PA prior to submitting electronic claims. Enrollment form available at: http://www.bcnepa.com

Third Party Administrator's Also formally known as Florida 1st Florida First

If Bill Prov NPI not present Render Prov NPI required -or- If Render Prov NPI is not present either Render Prov Network ID (REF*N5) or Commercial Num (REF*G2) is required. FHHS member ID m http://www For assistance send email to HIPAA@f-m-h.com

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_13551.pdfhttp://www.emdeon.com/resourcepdfs/edi_fact_sheet_13551.pdfhttp://www.emdeon.com/resourcepdfs/edi_fact_sheet_80314.pdf

Gateway Health Plan - Medicare Assured; 60550 (Yellow Card). Please check the ID card to verify the Payer ID before submitting claims. If you have questions please contact Gateway Provider Servic Caution: Gateway Health Plan has several different Payer ID numbers please look for the Payer ID on the ID card before submitting. PA Medicaid 25169(Green Card). If you have questions contact Ga Prior enrollment required. Please contact Geisinger Health Plan at 1-888-281-5338 option 3 to confirm credentialing prior to completing EDI Enrollment Forms.

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_07205.pdf

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_44054.pdf

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_36338.pdfAll GHC products; GHC Group Individual Medicare + Choice and Healthy Options can be submitted electronically

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_39167.pdfhttp://www.emdeon.com/resourcepdfs/edi_fact_sheet_39167.pdf

All GHO products; Options and Alliant can be submitted electronically

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_64246.pdf

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_38224.pdf

Formerly John P. Pearl Associates

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_55247.pdf

(Formerly Willis Administrative Services Corporation)

http://www Payer requires NPIhttp://www.emdeon.com/resourcepdfs/edi_fact_sheet_95567.pdf

Payer requires NPI.

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_80142.pdf

CONTACT PAYER FOR REGISTRATION AND PAYER ID. Endry Lo: 650-616-2017 or Ken Cottrell: 650-616-2021

http://www Providers must contact Health Plus at 718-491-8355 prior to submitting claims.

http://www Formerly Heritage New York Medical Group.

http://www Payer must be requested via the Provider Setup Form and Payer Reqistration completed prior to electronic claims submission. Provider Forms can be found: www.emdeon.com/enrollment

It is no longer necessary to notify HealthSpring before submitting claims electronically. HealthSpring encourages electronic submission of all claims. Be sure to submit only the HealthSpring subscribe

Please call Provider Relations Dept at (800) 624-2356 for unique provider number.Customer Service phone number: (800 624-2356)

Claims are edited under CIGNA's payer specific edits Payer ID 62308.Claims are edited under CIGNA's payer specific edits Payer ID 62308.Claims are edited under CIGNA's payer specific edits Payer ID 62308.

Claims are edited under CIGNA's payer specific edits Payer ID 62308.Claims are edited under CIGNA's payer specific edits Payer ID 62308.

Healthsource Network Providers OnlyClaims are edited under CIGNA's payer specific edits Payer ID 62308.

http://www For faster payment please be sure to use only the 9-digit subscriber ID on all claims.

Medicaid managed care. For EDI support please e-mail edi.horizonnjhealth@kmhp.com ; Formerly Horizon Mercy Health Plan

Please enter Group Number (F19) when submitting claims.

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_61101.pdf

Does not include Humana ChoiceCare of Cincinnati - (Humana Health Plans of Ohio)

Valid for claims with the following mailing address: P.O. Box 2388 Stow OH 44224Call Jessica Picarde at Provider relations (410) 349-3222 to acquire payer id information.

Formerly known as Local 135 Health Benefits Fund (Indianapolis IN)http://www Payer ID 31053 is for State Farm - Health line of business.

Injured Workers Insurance Fund requires first time submitters to contact Grace Sobrio at (410) 494-2045 prior to submitting claims.

Before submitting contact Jessica Picarde at (410) 349-3222

This Payer ID is only valid for claims with submission address of P.O. Box 15688; Amarillo TX 79105

Please visit website prior to submitting claims: edihelp.iacusa.comPayer ID valid only for claims with a billing submission address of 110 S. Shipley Street Seaford DE 19973.

Please contact John Muir Trauma Physicians at 925-947-5288 for Payer id information.

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_41099.pdfProviders who have never submitted claims to John Muir are required to register Tax ID prior to initial claims submission. Please fax W-9 along with contact name and number to the attention of Patty Providers who have never submitted claims to John Muir are required to register Tax ID prior to initial claims submission. Please fax W-9 along with contact name and number to the attention of Patty New submitters should send in their Billing NPI and Rending/Servicing NPI.New submitters should send in their Billing NPI and Rending/Servicing NPI.

http://www Please call (510) 987-4639 for approval prior to submitting Northern California referral claims.Kaiser Ohio will be receiving Extend Content. E-tactic Billing Service participating in Pilot.

http://www For more information please call (866) 285-0361http://www For more information please contact Kenya Neal at Kaiser at (301) 625-2264.

This payer id can only be used to submit claims for Oregon and Washington Kaiser Permanente members.

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_57038.pdf

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_73159.pdf

MUST VERIFY AL CLAIMS SHOULD GO TO PAYER IN INDIANAPOLIS IN

http://www Medicaid managed care. For EDI support please e-mail edi.kmhp@kmhp.com.

Contact Sherry Wolgemuth Vice President of Claims Operations for Preferred Health Care at (717) 560-9290 ext. 124 for approval and the Payer ID.

Payer EDI agreement must be processed thru Emdeon's Enrollment Dpt. Do not send EDI Agreement to Payer. Applies to all providers (including those adding site id's) enrolling for Electronic submiss

Claims are printed and mailed to the payer.

Payer ID valid for claims with a submission address of PO Box 98 Worland WY 82401Formerly Payer ID 56151

PLEASE EMAIL TRACY HARSWICK AT THARSWICK@MHS.NET FOR PAYER ID INFORMATION

Mayo Management Services Inc.

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_01260.pdf

Prior to submitting claims please call Provider Relations Dept at 877.647.4848 to verify your provider info is on file in the claim system. This will prevent rejections and allow payments to be made in a Prior to submitting claims please call Provider Relations Dept at 1-800-547-1647 to verify your provider info is on file in the claim system. This will prevent rejections and allow payments to be made i

Rendering provider id must contain 1D qualifier. Payer accepts zero dollar service line charges. Payer Registration not required. Autoenroll payer.

http://www For questions on claim submission please contact Customer Service 800-824-7406

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_29076.pdf

Payer ID valid only if the address on the Health ID Card matches the following: P.O. Box 982009 North Richland Hills TX 76182.

Please contact Memorial Enrollment department at 954-276-3176 for payer ID information.

Please call 608-758-7739 for payer id.

Formerly know as Agency Services Inc.

Formerly know as North American Administrators Inc.

Registration and submission of the Billing Provider's NPI is required. If you have not registered please contact MHP Customer Service at (800) 303-9626. Claims will reject if the NPI is not registered

Please call Jessica Picarde Manager of Claims Operations (410) 349-3222 for Payer ID information.http://www.emdeon.com/resourcepdfs/edi_fact_sheet_52148.pdf

Payer ID valid only if the address on the Health ID Card matches the following: P.O. Box 982017 North Richland Hills TX 76182.Payer ID only valid if the P.O. Box on the Health ID Card matches one of the following P.O. Boxes: P.O. Box 890025 809067 809079 809066 809036 809081 Dallas Tx 75380-9025.

Also doing business as Select Administrative Services (SAS).

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_38333.pdf

Please note the payer name changed effective 4/1/10. For questions please contact Molina Healthcare of Missouri. Please refer to the Member ID cards for payer contact information.

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_38336.pdf

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_55247.pdf

Please enter Group Number (F15) when submitting claims.Please enter Group Number (F26) when submitting claims.Please enter Group Number (F14) when submitting claims.

Now known as Meritain Health. Payer ID valid only for claims with billing submission address of P.O. Box 94928 Cleveland OH 44101-4928 or P.O. Box 89476 Cleveland OH 44101-5476.

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_38225.pdf

Customer Service phone number: (800 272-5911)

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_31417.pdfPayer ID is valid for claims submission address PO Box 025680 Miami FL 33102-5680. Any questions should be directed to (305)715-4334.

Please call NHPRI at 1-401-459-6020 to obtain or confirm your provider and vendor number prior to your initial claims submission.

http://www Before initiating submissions please go to www.network-health.org and go to the Providers Tab then forms then Claims Forms and then EDI setup forms or email Network Health at edi@network-health

Payer id is valid only if the claim submission address on the back of the member's card is PO Box 568 Menasha WI 54952.

Now known as Meritain HealthNow known as Meritain Health. Payer ID valid only for claims with billing submission address of P.O. Box 94928 Cleveland OH 44101-4928 or P.O. Box 89476 Cleveland OH 44101-5476.Now known as Meritain HealthPlease contact the EDI Dept for North American Medical Management (NAMM) - Northern California Lead/Supervisor at 1-800-956-8000 prior to initial submission of claims.

Now known as Meritain Health

Payer ID valid for claims with a submission address of PO Box 1138 San Ramon CA 94583.

Please call (775) 826-7200 to verfiy if you should be sending claims to Northern Nevada Trust Fund.

Claims are printed and mailed to the payer.

http://www Office of Group Benefits is located in the state of Louisiana. This payer is currently not sending 997's. Syntax errors will be worked on with payer tech.Payer ID valid only for claims with a billing submission address of PO Box 3619 Akron OH 44309-3619 or PO Box 93538

Please call Jessica Picarde Manager of Claims Operations (410) 349-3222 for Payer ID information.

Name effective from 9/1/2006. Previous name Alliance PPO LLC.Please enter Group Number (F12) when submitting claims.

Claims are printed and mailed to the payer. For Payable USFHP (NY & NJ) outpatient therapy claims only. Contact Theresa Malgioglio at (914) 681-8800.

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_06111.pdf

Please enter the Group Number from ID card when submitting claims. Payer ID only valid for claims with a billing submission address of PO Box 5007 DePere WI 54115 (1100 Poydras Street Suite 26

Contracted Providers: All claims require NPI. Contact (260) 432-6690 x549 with questions. Corrected/adjustment claims - submit via paper. Anesthesia claims - submit with ASA/AA modifiers and bil

For payable PPO claims only. NOT for Pacificare/Secure Horizons HMO claims. For further questions you may inquire via email at phsedisupport@phs.com.For payable PacifiCare/Secure Horizons HMO and POS claims only. Not for PPO claims. For further questions you may inquire via email at edioutreach@phs.comFor Payable Pacificare/Secure Horizon HMO claims only. NOT for PPO claims. For further questions you may inquire via email at edioutreach@phs.com.For payable PacifiCare/Secure Horizons HMO and POS claims only. Not for PPO claims. For further questions you may inquire via email at edioutreach@phs.comFor Payable Pacificare/Secure Horizon HMO claims only. NOT for PPO claims. For further questions you may inquire via email at edioutreach@phs.com.For Payable Pacificare/Secure Horizon HMO claims only. NOT for PPO claims. For further questions you may inquire via email at edioutreach@phs.com.For Payable Pacificare/Secure Horizon HMO claims only. NOT for PPO claims. For further questions you may inquire via email at edioutreach@phs.com.For Payable Pacificare/Secure Horizon HMO claims only. NOT for PPO claims. For further questions you may inquire via email at edioutreach@phs.com.

http://www Payer does not accept COB claims electronically

To obtain Payer ID and enroll with payer please contact Tristin Rausche 858-824-7100 TRausche@scpmcs.org

Only claims with a DOS and/or Admit Date on or after 1/1/2010 shall be submitted to this new Payer ID.Medicaid managed care. For EDI support please e-mail edi.php@kmhp.com.

Prior to submitting claims please call Provider Relations Dept at 1-866-874-0633 to verify your provider info is on file in the claim system. This will prevent rejections and allow payments to be made i Call Jessica Picarde Manager of PPHN Claims Operations(410) 349-3222

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_72126.pdfFor Behavioral Health EDI support please e-mail edi@cbhnp.org

Please call David McGee 626-817-8354 or Art Tarin 626-817-8318 to obtain the Payer Id

Note: This is Physicians Care Network located in MichiganNote: This is Physicians Care Network located in MichiganNote: This is Physicians Care Network located in Michigan

http://www Please send all PPO and dental claims to the address on the back of the insured's ID Card

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_37224.pdf

Providers submitting claims as a Preferred Blue provider should not submit claims using payer ID 37287

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_61665.pdfWe process claims for Florida members only. Please check the member address on the ID card before submitting claims to Preferred Care Partners.

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_73145.pdfContact Sherry Wolgemuth Vice President of Claims Operations for Preferred Health Care at (717) 560-9290 ext. 124 for approval and the Payer ID.

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_60110.pdf

Participating Providers WITH a signed ECS agreement ONLY

Premier Health Systems Inc. is part of the Medical Mutual Family of Companies. For claims with DOS prior to 4/1/09 use payer ID 90440. Claims with DOS 4/1/09 and after use their new payer ID 29Premier Health Systems Inc. is part of the Medical Mutual Family of Companies. Former payer ID 90040. Use Payer ID 20976 for claims with DOS 4/1/09 and after. For claims with DOS prior to 4/1

Before submitting contact Jessica Picarde at (410) 349-3222

Payer ID valid for claims with the following submission addresses: PO Box 3160 Detroit MI 48203 AND PO Box 3590 Detroit MI 48203.

http://www Payer ID is valid only for claims with billing submission name city and state of Professional Benefit Administrators Inc. Oak Brook IL.

For Claims Status please contact Susan Naanes @ 503-574-7441 or Debra Wallenstein at 503-574-7450 .For Claims Status please contact Susan Naanes @ 503-574-7441 or Debra Wallenstein at 503-574-7450.

Please enter Group Number (F25) when submitting claims.Please enter Group Number (F33) when submitting claims.

New Providers must enroll with QualCare at (800) 992-6613 option 5.E-print address: QuikTrip P.O. Box 733 Buckeystown MD 21717Please contact Kathy King @ (856) 608-1350 for Payer Id information.

For claims rejections please contact Reserve National Customer Service at (405) 848-7931

Please call (773) 572-8311 or( 773) 572-8309 prior to your first submission of claims

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_35164.pdfhttp://www.emdeon.com/resourcepdfs/edi_fact_sheet_37105.pdf

For payable PacifiCare/Secure Horizons HMO and POS claims only. Not for PPO claims. For further questions you may inquire via email at edioutreach@phs.com

For Payable Pacificare/Secure Horizon HMO claims only. NOT for PPO claims. For further questions you may inquire via email at edihmoinfo@phs.com.For payable PacifiCare/Secure Horizons HMO and POS claims only. Not for PPO claims. For further questions you may inquire via email at edioutreach@phs.com

For Payable Pacificare/Secure Horizon HMO claims only. NOT for PPO claims. For further questions you may inquire via email at edihmoinfo@phs.com.For Payable Pacificare/Secure Horizon HMO claims only. NOT for PPO claims. For further questions you may inquire via email at edihmoinfo@phs.com.For Payable Pacificare/Secure Horizon HMO claims only. NOT for PPO claims. For further questions you may inquire via email at edihmoinfo@phs.com.For Payable Pacificare/Secure Horizon HMO claims only. NOT for PPO claims. For further questions you may inquire via email at edihmoinfo@phs.com.

Also known as Mississippi Select Health Care.Payer ID valid only for claims with a billing submission address of P.O. Box 440 Ashland WI 54806.

For EDI support please e-mail edi.sh@kmhp.com.

Payer ID valid only for claims with a submission address of 18167 US Highway 19 North Suite 300 Clearwater FL 33764.Payer ID valid only for claims with a submission address of 1016 Collier Center Way Suite 200 Naples FL 34110. Please call Customer Service at (239) 403-7884 to verify claims submission to Self In

Senior Health Partners is effective 05/01/2011.

Claims must have the Sentry Life Insurance Co. Group and Subscriber Numbers. To verify you are using the correct number you may contact Sentry's Customer Service Department at 1-800-426-7234Claims must have the Sentry Life Insurance Co. Group and Subscriber Numbers. To verify you are using the correct number you may contact Sentry's Customer Service Department at 1-800-426-7234Claims must have the Sentry Life Insurance Co. Group and Subscriber Numbers. To verify you are using the correct number you may contact Sentry's Customer Service Department at 1-800-426-7234

Jeld-Wen Claims OnlyPayer ID valid for claims with a submission address of PO Box 1618 San Ramon CA 94583.Please contact Cate Ahlquist at Sheffield Olson & McQueen Inc. prior to submitting claims electronically. Phone number is 651-695-2602

Valid only for HCFA-1500 claims currently mailed to Signature Health Alliance P.O. Box 22419 Nashville TN 37202-2419.

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_84096.pdf

Sutter Connect requires the providers to complete an application & get approval from us prior to sending claims to a clearinghouse. Contact Sutter Connect EDI Dept @ (800)611-5191 for payer ID.

Formerly known as Puget Sound Health Partners Inc.Call Jane Grove at Provider Relations for South Central Preferred (717) 851-6715

Southern Benefit Services will no longer process claims from the following Provider Groups: Brockman Enterprises and SPS International.Please enter the unique policy number or ID card when submitting claims. Payer ID valid only for claims with a billing submission address of PO Box 982005 Ft. Worth TX 76182.

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_84146C.pdfTo obtain the payer ID for this payer please contact CMCS Customer Service at (800) 352-7502

To obtain the payer ID for this payer please contact CMCS Customer Service at (800) 352-7502To obtain the payer ID for this payer please contact CMCS Customer Service at (800) 352-7502

To obtain the payer ID for this payer please contact CMCS Customer Service at (800) 352-7502Payer ID valid only if the address on the Health ID Card matches one of the following P.O. Boxes: P.O. Box 55270 30870 30888 54150 30069 55400 Phoenix AZ 85270-5270.

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_61425s.pdfhttp://www.emdeon.com/resourcepdfs/edi_fact_sheet_61425.pdf

Payer ID 31053 is for State Farm - Health line of business.

To register for ERA (sent directly from Sterling to the provider) please go to https://providernet.adminisource.com/. If you have any questions support is available by phone at 877-389-1160.

Payer ID only valid if the P.O. Box on the Health ID Card matches one of the following P.O. Boxes: P.O. Box 890025 809067 809079 809066 809036 809081 Dallas Tx 75380-9025.Payer ID only valid if the P.O. Box on the Health ID Card matches one of the following P.O. Boxes: P.O. Box 890025 809067 809079 809066 809036 809081 Dallas Tx 75380-9025.To obtain the payer ID for this payer please contact CMCS Customer Service at (800) 352-7502

Student Accident and Sickness College Sports and NASCC claims only

Payer ID valid for claims with a submission address of P.O. Box 27730 Santa Ana CA 92799-7730Prior to submitting claims please call Provider Relations Dept at 1-800-218-7453 to verify your provider info is on file in the claim system. This will prevent rejections and allow payments to be made i

Sutter Connect requires the providers to complete an application & get approval from us prior to sending claims to a clearinghouse. Contact Sutter Connect EDI Dept @ (800)611-5191 for payer ID.Sutter Connect requires the providers to complete an application & get approval from us prior to sending claims to a clearinghouse. Contact Sutter Connect EDI Dept @ (800)611-5191 for payer IDSutter Connect requires the providers to complete an application & get approval from us prior to sending claims to a clearinghouse. Contact Sutter Connect EDI Dept @ (800)611-5191 for payer ID.Sutter Connect requires the providers to complete an application & get approval from us prior to sending claims to a clearinghouse. Contact Sutter Connect EDI Dept @ (800)611-5191 for payer ID.

This Payer ID should be used for Stones River Regional IPA - BC/BS Tennessee claims.

Payer registration is required prior to claims submission. Forms are located at www.emdeon.com/enrollment.

Claims are printed and mailed to the payer.

Payer ID only valid if the P.O. Box on the Health ID Card matches one of the following P.O. Boxes: P.O. Box 890025 809067 809079 809066 809036 809081 Dallas Tx 75380-9025.

http://www Services ordered by outside provider require referring provider on a HCFA and attending physician on a UB. Pease provide physician name and UPIN if available.

Payer ID valid only if the P.O. Box on the Health ID card matches the following P.O. Box: P.O. Box 982009 North Richland Hills TX 76182Payer ID valid only if the address on the Health ID Card matches one of the following P.O. Boxes: P.O. Box 55270 30870 30888 54150 30069 55400 Phoenix AZ 85270-5270.Payer ID only valid if the P.O. Box on the Health ID Card matches one of the following P.O. Boxes: P.O. Box 890025 809067 809079 809066 809036 809081 Dallas Tx 75380-9025.If the P.O. Box on the health ID card matches the following P.O. Box: P.O. Box 548801 Oklahoma City OK 73154Electronic Payer ID for Claims printed and mailed to payer

Before submitting contact Jessica Picarde at (410) 349-3222This payer id is valid for contracted Therapy Review Systems Georgia providers only.

http://www Now known as Unison Health Plan

f.k.a. Benefit Systems & Services Inc.

Payer ID valid only if the address on the Health ID Card matches the following: P.O. Box 982009 North Richland Hills TX 76182.

Please contact the Tufts Health Plan EDI Operations Department at 888-880-8699 ext. 4042. for payer id.

Accepting claims only for the State of Nevada.

This Payer ID is valid for all claims addresses on UMR Member ID cards with a listed Payer ID of 31107.Harrington; RE Harrington

Centra; Centra Benefit Services

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_23281.pdf

Property and Casualty Division OnlyServing parts of New York NYC all of New Jersey Southeastern Pennsylvania and Western Connecticut. For member eligibility call 1-800-241-4848Worker's Compensation Claims Only.For claims rejections please contact Unified Physicians Claims Department at 847-763-1700Harrington; Uniform Medical Plan; CentraTo obtain Payer ID and enroll with payer California providers should contact Tristin Rausche 858-824-7100 TRausche@scpmcs.org

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_70408.pdf

http://www Prior to initial submission provider must first contact John Deere at (309) 765-1593 - toll free (866) 509-1593 - to verify NPI registration is complete

Please do not submit claims on or after 1/1/2011 using payer ID 36362. Claims will need to be submitted on paper to United Security Life and Health PO Box 24655 Seattle WA 98124-0655. For ques

[former MetraHealth Healthcare Network PPO New York State Employees (Empire) Travelers Ins Co Travelers Plan Administrators][former The Travelers Travelers Health Network (HMO & Care Option Travelers/CGT - PPO MetraHealth - UNET]

Before submitting claims please go to http://www.unityhealth.com/Providers/AdminResources/EDI/index.htm and complete EDI Sign Up Form and NPI Appendix A documents.

The payer ID's of the TH057 and 12t36 will no longer be active please use the new payer ID of the 50528 for all EDI submissions to Emdeon.

Payer Registration is required. EDI Enrollment form is available at www.emdeon.com

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_12115.pdf

Formerly listed as Visiting Nurses Service

http://www Virginia Premier enrollment forms located on www.emdeon.com/enrollment

VIVA Health requires a complete member ID number including suffix on all claim submissions. Pls use the following site to verify member information: https://estepp.cschcg.com/TRI_provider/doEntrhttp://www.emdeon.com/resourcepdfs/edi_fact_sheet_22264.pdf

Subscriber id = 9 digits Provider id qualifier = G2

Claims are printed and mailed to the payer.

Please call 1-800-442-1101 for approval and the Payer ID

http://www.emdeon.com/resourcepdfs/edi_fact_sheet_87815.pdfNewnan GA & Fayetteville NC

Claims are printed and mailed to the payer.

WIN Healthcare

Payer does not accept Secondary/Tertiary claims electronically

initial submission of claims.

Health Plan WellCare Health Plan

in a timely manner.

9 characters in length.

initial submission of claims.

nts to be made in a timely manner.

in a timely manner.

in a timely manner.

in a timely manner. in a timely manner. in a timely manner.

in a timely manner.

initial submission of claims.

9.

m/EDI/registrationForm.aspx

must be 11 digits.

cing Department at 1-800-685-5205. ateway Provider Servicing Department at 1-800-685-5205.

er/member ID number found on the HealthSpring ID card

y Kan at (925) 941-2026. Allow 2 days for processing bef y Kan at (925) 941-2026. Allow 2 days for processing bef

ion thru WebMD. Questions: (800) 845-6592

a timely manner. in a timely manner.

d and/or submitted on claims sent electronically.

h.org for an EDI setup form.

600 New Orleans LA 70163-2602 is no longer an active claim

lled with minutes

in a timely manner.

9076. 1/09 use former payer ID 90440.

nsured Plans - Payer ID 36404 (Naples FL).

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in a timely manner.

stions call 1-800-875-4422.

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