2012 HCA-AFFILIATED FACILITY CHART - myuhc.com · PDF file2012 HCA-AFFILIATED FACILITY CHART...

2012 HCA-AFFILIATED FACILITY CHART(active payroll entities)

State Process Level HRCo Facility Name Division Market Well Care

Levels 1 & 2Well Care

Level 3 Local HMO Insured HMO

AK 1406 5617 Alaska Regional Hospital Mountain Northwest CIGNA PPO CIGNA Open Access Plus n/aAK 24167 5952 H2U - Wellness Center - Alaska Regional Consumer / Employer Initiative Consumer / Employer Initiatives CIGNA PPO CIGNA Open Access Plus n/aCA 23013 5904 CDIC - Riverside Far West Southern California CIGNA PPO n/a HealthNet yCA 3360 5614 Good Samaritan Hospital Far West San Jose CIGNA PPO n/a HealthNet yCA 25997 5952 H2U - Wellness Center - Pratt &Whitney Consumer / Employer Initiative Consumer / Employer Initiatives CIGNA PPO n/a HealthNet yCA 7245 5616 Los Gatos Surgical Center Far West San Jose CIGNA PPO n/a HealthNet yCA 48 5620 Los Robles Hospital and Medical Center Far West Southern California CIGNA PPO n/a n/aCA 25571 5616 Los Robles Surgery Center Far West Southern California CIGNA PPO n/a n/aCA 8385 5614 Regional Medical Center of San Jose Far West San Jose CIGNA PPO n/a HealthNet yCA 7150 5615 Riverside Community Hospital Far West Southern California CIGNA PPO n/a HealthNet yCA 1554 5621 West Hills Hospital & Medical Center Far West Southern California CIGNA PPO n/a HealthNet yCA 7825 5616 West Hills Surgery Center Far West Southern California CIGNA PPO n/a HealthNet yCO 20448 5609 19th Avenue Family Medicine Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 20642 5609 Advanced Internal Medicine - Denver Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 24121 5609 Advanced Laparoscopic and General Surgery Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 20228 5609 Aspen Family Medicine @ Green Valley Ranch Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 25052 5609 Aspenwood Medical Group Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 8576 5609 Aurora Nurse Midwives Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 25355 5609 Aurora Occupational Medicine Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 25363 5609 Aurora Outpatient Rehabilitation Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 9989 5609 Aurora Senior Care Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 25669 5609 Barolat Neurosciences Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 20758 5609 Breast Cancer Care Consultants Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 25356 5609 Bryant Occupational Medicine Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 25362 5609 Bryant Outpatient Rehabilitation Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 20756 5609 Cantebury Wellness Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 3889 5609 Centennial Occmed - Denver Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 25361 5609 Centennial Outpatient Rehabilitation Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 25630 5609 Centennial Primary Care - Denver Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 7834 5609 Centrum Surgery Center Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 20423 5609 Children's Oncology Group Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 26068 5609 Colorado Blood Cancer Institute Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 20752 5609 Colorado Complete Health for Women Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 20656 5609 Colorado Integrative Cancer Care Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 20645 5609 Colorado Limb Consultants Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 20053 5609 Colorado Neurology Specialists Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 20865 5609 Consultants in Obstetrics & Gynecology Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 26346 5902 Continental Supply Chain Service Center Parallon Business Solutions Supply Chain CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 20627 5609 Denver Center for Bariatric Medicine at Rose Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 20216 5609 Denver Endocrinology Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 3775 5609 Denver Internal Medicine Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 7832 5609 Denver Midtown Surgery Center Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 9988 5609 Denver Surgery Centers CBO Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 3176 5609 Emergency & Transport System Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 26119 5609 EMS Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 25357 5609 Englewood Occupational Medicine Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 25364 5609 Englewood Outpatient Rehabilitation Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain n1





CO 3447 5609 Family First Pediatric & Adult Care Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 26226 5609 Front Range Internal Medicine Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 25051 5609 Head & Neck Surgical Specialists Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 25412 5609 HealthOne Behavioral Health Physicians Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 9370 5609 HealthOne MountainView Nurse Midwives Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 27209 5609 High Street Primary Care Center Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 25507 5901 IT&S - Continental Division Data Center Data Center CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 7830 5609 Lakewood LP Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 25370 5609 Lodo Internal Medicine Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 25358 5609 Lodo Occupational Medicine Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 25365 5609 Lodo Outpatient Rehabilitation Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 20673 5609 Lone Tree Internal Medicine & Pediatrics Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 6464 5609 Managed Service Organization Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 25389 5609 Medical Review Officer Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 25131 5609 Metropolitan OB/GYN Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 20213 5609 Midwifery Group at Swedish Medical Center Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 20757 5609 Mountain Orthopedic Trauma Surgeons @ Swedis Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 20058 5609 Mountain Vista Women's Care Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 25108 5609 Musculoskeletal ASC Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 20054 5609 Neurosurgery Center of Colorado Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 27804 5609 New Clear Creek Surgery Center Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 27826 5609 New Lincoln Surgery Center Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 27812 5609 New Lowry Surgery Center Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 24116 5609 New North Point Surgery Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 27806 5609 New Red Rock Surgery Center Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 27810 5609 New Rocky Mountain Surgery Center Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 27802 5609 New Urology Surgery Center Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 20057 5609 North Denver Orthopedics Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 3192 5609 North Suburban - JV Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 25359 5609 North Suburban Occupational Medicine Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 25366 5609 North Suburban Outpatient Rehabilitation Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 9902 5609 North Suburban Surgery Center Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 25360 5609 Northwest Occupational Medicine Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 25367 5609 Northwest Outpatient Rehabilitation Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 8755 5902 Oklahoma CDC Parallon Business Solutions Supply Chain CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 20657 5609 Old Potomac Internal Medicine Associates Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 3166 5609 Presbyterian-St. Luke's Medical Center Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 25887 5609 Red Rocks Radiation & Oncology Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 26263 5609 Ridge View Endoscopy Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 20628 5609 Rocky Mountain ENT Associates Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 25705 5609 Rocky Mountain Hospital for Children Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 26045 5609 Rocky Mountain Pediatric ENT Associates Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 20119 5609 Rocky Mountain Pediatric Hand & Ortho Surg Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 25813 5609 Rocky Mountain Pediatric Heart Surgery Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 20118 5609 Rocky Mountain Pediatric Hematology Oncology Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 20577 5609 Rocky Mountain Pediatric Kidney Center Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 20219 5609 Rocky Mountain Pediatric Neuro and Sleep Medici Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain n2





CO 20222 5609 Rocky Mountain Pediatric Surgery at PSL Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 26319 5609 Rocky Mountain PT and Sports Performance CenteContinental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 20427 5609 Rocky Mountain Scoliosis & Spine Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 26018 5609 Rocky Mountain Youth Sports Medicine Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 3216 5609 Rose Medical Center - JV Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 8912 5609 Rose Midwifery Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 9891 5609 Rose Surgical Center Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 8936 5609 Sky Ridge Medical Center Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 9475 5609 Sky Ridge Surgery Center Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 25825 5609 Skyline Internal Medicine at PSL Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 25100 5609 Spalding at Presbyterian St. Luke's Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 3170 5609 Spalding Rehabilitation Hospital Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 26002 5609 Specialized Vein Care Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 25411 5609 Steven Holt, MD Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 20467 5609 Summit Family Medicine Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 25584 5609 Summit Women's Care Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 27832 5609 Surgery Center of the Rockies Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 3167 5609 Swedish Medical Center Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 3174 5609 System Support Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 3191 5609 The Medical Center Aurora Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 26120 5609 Thornton Radiation Oncology Center Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 24211 5609 TMCA Adult Behavioral Unit Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 20839 5609 West Highlands Women's Health Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nCO 24207 5609 Whole Family Health at Belmar Continental Denver CIGNA PPO CIGNA Open Access Plus Rocky Mountain nFL 26114 5718 Advanced Imaging - Main North Florida North Central Florida CIGNA PPO n/a Florida Blue nFL 26115 5718 Advanced Imaging - West North Florida North Central Florida CIGNA PPO n/a Florida Blue nFL 24109 5952 Advanced Surgery Group South Atlantic Jacksonville United Options PPO n/a Florida Blue nFL 20707 5952 Advanced Women's OB/GYN Associates East Florida Palm Beach United Options PPO United Options PPO n/aFL 25909 5903 All About Staffing - HPG All About Staffing & SchedulingAll About Staffing United Options PPO United Options PPO n/aFL 25908 5903 All About Staffing - HPG Travel All About Staffing & SchedulingAll About Staffing United Options PPO United Options PPO n/aFL 3236 5903 All About Staffing, Inc. All About Staffing & SchedulingAll About Staffing United Options PPO United Options PPO n/aFL 26238 5952 Alliance Corporate HealthServices South Atlantic Jacksonville United Options PPO n/a Florida Blue nFL 7262 5716 Ambulatory Surgery Center West Florida Hillsborough United Options PPO United Options PPO n/aFL 24137 5952 Arad Orthopedics East Florida Dade United Options PPO United Options PPO n/aFL 25398 5753 Atlantis Surgery Center East Florida Palm Beach United Options PPO United Options PPO n/aFL 20328 5952 Aventura Family Medical Group East Florida Dade United Options PPO United Options PPO n/aFL 25778 5952 Aventura Florida Heart & Vascular Care East Florida Dade United Options PPO United Options PPO n/aFL 1643 5743 Aventura Hospital & Medical Center East Florida Dade United Options PPO United Options PPO n/aFL 25644 5952 Aventura Hospitalist East Florida Dade United Options PPO United Options PPO n/aFL 20329 5952 Aventura Medical Specialists East Florida Dade United Options PPO United Options PPO n/aFL 25801 5952 Aventura Orthopedics East Florida Dade United Options PPO United Options PPO n/aFL 9909 5716 Bayonet Point Surgery Center West Florida Hernando/Pasco United Options PPO United Options PPO n/aFL 20771 5952 Bayonet Point Trauma West Florida Hernando/Pasco United Options PPO United Options PPO n/aFL 26430 5530 Bayside Ambulatory Center East Florida Dade United Options PPO United Options PPO n/aFL 20750 5952 Behavioral Health Center - Doctors Hospital West Florida Sarasota United Options PPO United Options PPO n/aFL 7268 5716 Belleair Surgi-Center West Florida Pinellas United Options PPO United Options PPO n/aFL 309 5700 Blake Medical Center West Florida Sarasota United Options PPO United Options PPO n/a3





FL 3215 5904 Boynton Beach East Florida Imaging Center East Florida Palm Beach United Options PPO United Options PPO n/aFL 26247 5952 Bradenton Heart Center West Florida Sarasota United Options PPO United Options PPO n/aFL 25747 5904 Bradenton Outpatient Services West Florida Sarasota United Options PPO United Options PPO n/aFL 20762 5952 Bradenton Trauma Surgical Program West Florida Sarasota United Options PPO United Options PPO n/aFL 25743 5904 Brandon Cyberknife West Florida Hillsborough United Options PPO United Options PPO n/aFL 1384 5701 Brandon Regional Hospital West Florida Hillsborough United Options PPO United Options PPO n/aFL 7272 5716 Brandon Surgi-Center West Florida Hillsborough United Options PPO United Options PPO n/aFL 3898 5952 Broward Neurosurgeons LLC East Florida Broward United Options PPO United Options PPO n/aFL 25434 5904 Cancer Services of Aventura East Florida Dade United Options PPO United Options PPO n/aFL 3388 5904 Capital Regional Cancer Center North Florida Other North Florida United Options PPO n/a Florida Blue nFL 20814 5952 Capital Regional Cardiology Associates North Florida Other North Florida United Options PPO n/a Florida Blue nFL 25110 5952 Capital Regional Healthcare In Southwood North Florida Other North Florida United Options PPO n/a Florida Blue nFL 355 5723 Capital Regional Medical Center North Florida Other North Florida United Options PPO n/a Florida Blue nFL 20698 5952 Capital Regional Medical Group - General Surgery North Florida Other North Florida United Options PPO n/a Florida Blue nFL 20697 5952 Capital Regional OB/GYN Associates North Florida Other North Florida United Options PPO n/a Florida Blue nFL 25566 5952 Cardiovascular Consultants of Ocala North Florida North Central Florida CIGNA PPO n/a Florida Blue nFL 7749 5716 Center for Special Surgery West Florida Pinellas United Options PPO United Options PPO n/aFL 25542 5952 Central Florida Physician's Network West Florida Orlando United Options PPO United Options PPO n/aFL 327 5725 Central Florida Regional Hospital West Florida Orlando United Options PPO United Options PPO n/aFL 26203 5952 Columbia Behavioral Health Services East Florida Palm Beach United Options PPO United Options PPO n/aFL 7991 5743 Columbia Cancer Research Center East Florida Dade United Options PPO United Options PPO n/aFL 26267 5952 Columbia Hospital Emergency Physicians East Florida Palm Beach United Options PPO United Options PPO n/aFL 20076 5952 Columbia Primary Care East Florida Palm Beach United Options PPO United Options PPO n/aFL 7158 5903 Columbia Staffing Sub Unit All About Staffing & SchedulingAll About Staffing United Options PPO United Options PPO n/aFL 20100 5952 Community Physician Group West Florida Hernando/Pasco United Options PPO United Options PPO n/aFL 3194 5904 Concept East Florida Imaging Center East Florida Palm Beach United Options PPO United Options PPO n/aFL 2511 5705 Consult-a-Nurse West Florida West Florida Unassigned United Options PPO United Options PPO n/aFL 7270 5716 Countryside Surgi-Center West Florida Hernando/Pasco United Options PPO United Options PPO n/aFL 25400 5910 CPC - Orange Park Business Perf Group Non-Selli Credentialing United Options PPO n/a Florida Blue nFL 25410 5952 DBA West Florida Inpatient Medicine North Florida Panhandle West United Options PPO n/a Florida Blue nFL 3190 5904 Delray East Florida Imaging Center East Florida East Florida Unassigned United Options PPO United Options PPO n/aFL 1147 5708 Doctors Hospital of Sarasota West Florida Sarasota United Options PPO United Options PPO n/aFL 7824 5715 Doctors Same Day Surgery West Florida Sarasota United Options PPO United Options PPO n/aFL 3461 5904 East Florida Billing / Admin East Florida East Florida Unassigned United Options PPO United Options PPO n/aFL 25502 5741 East Florida Division Shared Services East Florida East Florida Unassigned United Options PPO United Options PPO n/aFL 8751 5902 East Florida Supply Chain Operations Parallon Business Solutions Supply Chain United Options PPO United Options PPO n/aFL 367 5702 Edward White Hospital West Florida Pinellas United Options PPO United Options PPO n/aFL 26149 5741 EG Transfer Center - South East Florida East Florida Unassigned United Options PPO United Options PPO n/aFL 26276 5952 Emergency Physician FWB North Florida Panhandle West United Options PPO n/a Florida BlueFL 1377 5703 Englewood Community Hospital West Florida Sarasota United Options PPO United Options PPO n/aFL 25586 5952 Family Care at Bardmoor West Florida Pinellas United Options PPO United Options PPO n/aFL 25939 5952 Family Care at Ulmerton West Florida Pinellas United Options PPO United Options PPO n/aFL 25562 5952 Family Care at Walsingham West Florida Pinellas United Options PPO United Options PPO n/aFL 26095 5952 Family Care Belleview - North North Florida North Central Florida CIGNA PPO n/a Florida Blue nFL 26096 5952 Family Care Belleview - South North Florida North Central Florida CIGNA PPO n/a Florida Blue nFL 26093 5952 Family Care Ocala - East North Florida North Central Florida CIGNA PPO n/a Florida Blue nFL 26036 5952 Family Care Ocala - Main North Florida North Central Florida CIGNA PPO n/a Florida Blue n4





FL 26092 5952 Family Care Ocala - Medical Plaza North Florida North Central Florida CIGNA PPO n/a Florida Blue nFL 26094 5952 Family Care Ocala - North Oakbrook North Florida North Central Florida CIGNA PPO n/a Florida Blue nFL 26097 5952 Family Care Ocala - West North Florida North Central Florida CIGNA PPO n/a Florida Blue nFL 20562 5952 Family Practice Associates Jacksonville South Atlantic Jacksonville United Options PPO n/a Florida Blue nFL 25660 5952 Family Practice Associates Orange Park South Atlantic Jacksonville United Options PPO n/a Florida Blue nFL 1371 5704 Fawcett Memorial Hospital West Florida Sarasota United Options PPO United Options PPO n/aFL 20567 5952 First Coast General & Acute Care Surgery South Atlantic Jacksonville United Options PPO n/a Florida Blue nFL 26023 5952 First Coast Neurology South Atlantic Jacksonville United Options PPO n/a Florida Blue nFL 26261 5952 First Coast Neurosurgery South Atlantic Jacksonville United Options PPO n/a Florida Blue nFL 20538 5952 First Coast Orthopedics South Atlantic Jacksonville United Options PPO n/a Florida Blue nFL 20904 5952 First Primary Care and Family Medicine South Atlantic Jacksonville United Options PPO n/a Florida Blue nFL 26260 5952 Florida Heart & Vascular - Barrios East Florida Dade United Options PPO United Options PPO n/aFL 26259 5952 Florida Heart & Vascular - Martinez East Florida Dade United Options PPO United Options PPO n/aFL 26258 5952 Florida Heart & Vascular - Mayor East Florida Dade United Options PPO United Options PPO n/aFL 25811 5952 Florida Institute of Neuroscience North Florida Panhandle West United Options PPO n/a Florida Blue nFL 7276 5729 Florida Surgery Center West Florida Orlando United Options PPO United Options PPO n/aFL 25119 5952 Fort Pierce Orthopedics East Florida Treasure Coast United Options PPO United Options PPO n/aFL 25019 5753 Fort Pierce Surgery Center East Florida Treasure Coast United Options PPO United Options PPO n/aFL 25383 5952 Fort Walton Beach Anesthesia Services North Florida Panhandle West United Options PPO n/a Florida Blue nFL 1307 5724 Fort Walton Beach Medical Center North Florida Panhandle West United Options PPO n/a Florida Blue nFL 24103 5952 Fort Walton Beach Pediatric Services North Florida Panhandle West United Options PPO n/a Florida Blue nFL 20829 5952 Fort Walton Psychiatric Services North Florida Panhandle West United Options PPO n/a Florida Blue nFL 20418 5952 Gainesville Family Physicians North Florida North Central Florida CIGNA PPO n/a Florida Blue nFL 20716 5952 Gainesville FP Tioga North Florida North Central Florida CIGNA PPO n/a Florida Blue nFL 25096 5952 Gainesville GYN Oncology of N. Florida RMC North Florida North Central Florida CIGNA PPO n/a Florida Blue nFL 662 5952 Gainesville Internal Medicine Practice North Florida North Central Florida CIGNA PPO n/a Florida Blue nFL 3214 5904 Gardens East Florida Imaging Center East Florida Palm Beach United Options PPO United Options PPO n/aFL 25550 5952 Gate Parkway Family Practice South Atlantic Jacksonville United Options PPO n/a Florida Blue nFL 26325 5952 General Surgery of Trinity West Florida Hernando/Pasco United Options PPO United Options PPO n/aFL 25180 5952 Gulf Coast General Surgery North Florida Other North Florida United Options PPO n/a Florida Blue nFL 96 5721 Gulf Coast Medical Center North Florida Other North Florida United Options PPO n/a Florida Blue nFL 7312 5716 Gulf Coast Surgery Center West Florida Sarasota United Options PPO United Options PPO n/aFL 26220 5952 Gulf Coast Women Services North Florida Other North Florida United Options PPO n/a Florida Blue nFL 3158 5716 Gulf Pointe Surgery Center West Florida Sarasota United Options PPO United Options PPO n/aFL 26182 5952 H2U - Wellness Center - City of West Palm Beach Consumer / Employer Initiative Consumer / Employer Initiatives United Options PPO United Options PPO n/aFL 24177 5952 Hatoum - JFK Internal Medicine Faculty Practice East Florida Dade United Options PPO United Options PPO n/aFL 20384 5952 Healthcare America Medical Group West Florida Sarasota United Options PPO United Options PPO n/aFL 20434 5952 Healthcare Specialists at Kendall East Florida Dade United Options PPO United Options PPO n/aFL 20435 5753 Healthcare Specialists at Northwest East Florida Broward United Options PPO United Options PPO n/aFL 20436 5952 Healthcare Specialists at Palms West East Florida Palm Beach United Options PPO United Options PPO n/aFL 20693 5952 Heart & Family Health Institute @ St. Lucie West East Florida Treasure Coast United Options PPO United Options PPO n/aFL 25478 5952 Heart & Family Health of Port St. Lucie East Florida Treasure Coast United Options PPO United Options PPO n/aFL 3481 5952 Heart & Lung Surgery Specialists North Florida North Central Florida CIGNA PPO n/a Florida Blue nFL 20751 5952 Heart & Vascular Institute of Florida South West Florida Pinellas United Options PPO United Options PPO n/aFL 25540 5952 Heathrow Internal Medicine West Florida Orlando United Options PPO United Options PPO n/aFL 25573 5952 Heathrow OB/GYN West Florida Orlando United Options PPO United Options PPO n/aFL 20438 5952 Hospitalists at Columbia Hospital East Florida Palm Beach United Options PPO United Options PPO n/a5





FL 20502 5952 Hospitalists at Fort Walton Beach North Florida Panhandle West United Options PPO n/a Florida Blue nFL 20439 5952 Hospitalists at Kendall Regional East Florida Dade United Options PPO United Options PPO n/aFL 20442 5952 Hospitalists at Lawnwood Regional East Florida Treasure Coast United Options PPO United Options PPO n/aFL 20511 5952 Hospitalists at Twin Cities Hospital East Florida Treasure Coast United Options PPO United Options PPO n/aFL 25770 5910 HSC - Orange Park Business Perf Group Non-Selli HIM Service Center United Options PPO n/a Florida Blue nFL 25773 5910 HSC - Tampa Bay Business Perf Group Non-Selli HIM Service Center CIGNA PPO United Options PPO n/aFL 24180 5952 ICC at Aventura Physician Practice O/H Physician Practice O/H United Options PPO United Options PPO n/aFL 24142 5952 ICC at Capital Regional Medical Center Physician Practice O/H Physician Practice O/H United Options PPO n/a Florida Blue nFL 26292 5952 ICC at Columbia Hospital Physician Practice O/H Physician Practice O/H United Options PPO United Options PPO n/aFL 26298 5952 ICC at FL - JFK Medical Center Physician Practice O/H Physician Practice O/H United Options PPO United Options PPO n/aFL 26299 5952 ICC at Good Samaritan Medical Center Physician Practice O/H Physician Practice O/H United Options PPO United Options PPO n/aFL 26297 5952 ICC at Kendall RMC Physician Practice O/H Physician Practice O/H United Options PPO United Options PPO n/aFL 26296 5952 ICC at Mount Sinai Medical Center Physician Practice O/H Physician Practice O/H United Options PPO United Options PPO n/aFL 26293 5952 ICC at Orange Park Medical Center Physician Practice O/H Physician Practice O/H United Options PPO n/a Florida Blue nFL 26294 5952 ICC at Palmetto General Hospital Physician Practice O/H Physician Practice O/H United Options PPO United Options PPO n/aFL 26295 5952 ICC at Palms West Hospital Physician Practice O/H Physician Practice O/H United Options PPO n/a Florida Blue nFL 26290 5952 ICC at Wellington RMC Physician Practice O/H Physician Practice O/H United Options PPO United Options PPO n/aFL 26278 5952 ICC Group East Florida Dade United Options PPO United Options PPO n/aFL 8216 5952 Immediate Care Center North Florida North Central Florida CIGNA PPO n/a Florida Blue nFL 20561 5952 Industrial Medicine Group South Atlantic Jacksonville United Options PPO n/a Florida Blue nFL 1079 5751 Integrated Regional Laboratories East Florida East Florida Unassigned United Options PPO United Options PPO n/aFL 25736 5719 Invision Lake City Imaging North Florida North Central Florida CIGNA PPO n/a Florida Blue nFL 25988 5751 IRL Pathology Services East Florida East Florida Unassigned United Options PPO United Options PPO n/aFL 20709 5952 Island Medical Group East Florida Palm Beach United Options PPO United Options PPO n/aFL 25025 5901 IT&S - East Florida Division Data Center Data Center United Options PPO United Options PPO n/aFL 25474 5901 IT&S - North Florida Division Data Center Data Center United Options PPO n/a Florida Blue nFL 25323 5901 IT&S - West Florida Division Data Center Data Center United Options PPO United Options PPO n/aFL 3300 5729 Jacksonville CBO South Atlantic Jacksonville United Options PPO n/a Florida Blue nFL 20108 5952 Jacksonville Family Practice Associates South Atlantic Jacksonville United Options PPO n/a Florida Blue nFL 7781 5729 Jacksonville Surgery Center South Atlantic Jacksonville United Options PPO n/a Florida Blue nFL 26314 5952 JFK Behavioral Health Services East Florida Treasure Coast United Options PPO United Options PPO n/aFL 25961 5952 JFK East Florida Hospitalists East Florida Palm Beach United Options PPO United Options PPO n/aFL 25569 5952 JFK Hospitalists Group East Florida Palm Beach United Options PPO United Options PPO n/aFL 25804 5952 JFK Internal Medicine Faculty Practice East Florida Palm Beach United Options PPO United Options PPO n/aFL 2873 5746 JFK Medical Center East Florida Palm Beach United Options PPO United Options PPO n/aFL 3203 5904 Jupiter East Florida Imaging Center East Florida East Florida Unassigned United Options PPO United Options PPO n/aFL 24136 5952 Kendall - Florida Heart & Vascular Care East Florida Dade United Options PPO United Options PPO n/aFL 26026 5952 Kendall Ear Nose & Throat East Florida Dade United Options PPO United Options PPO n/aFL 25873 5952 Kendall OB/GYN Group East Florida Dade United Options PPO United Options PPO n/aFL 1356 5742 Kendall Regional Medical Center East Florida Dade United Options PPO United Options PPO n/aFL 20830 5952 Kendall Trauma Surgeons East Florida Dade United Options PPO United Options PPO n/aFL 7278 5729 Kissimmee Surgery Center West Florida Orlando United Options PPO United Options PPO n/aFL 3118 5904 LAD Imaging - Deltona West Florida Orlando United Options PPO United Options PPO n/aFL 20862 5952 Lake City Bone & Joint Group North Florida North Central Florida CIGNA PPO n/a Florida Blue nFL 6210 5719 Lake City Medical Center North Florida North Central Florida CIGNA PPO n/a Florida Blue nFL 20818 5952 Lake City Medical Group North Florida North Central Florida CIGNA PPO n/a Florida Blue nFL 20906 5952 Lake City Surgical Group North Florida North Central Florida CIGNA PPO n/a Florida Blue n6





FL 25993 5952 Largo Hospitalists West Florida Pinellas United Options PPO United Options PPO n/aFL 144 5706 Largo Medical Center West Florida Pinellas United Options PPO United Options PPO n/aFL 25558 5706 Largo Medical Center - Indian Rocks West Florida Pinellas United Options PPO United Options PPO n/aFL 26302 5952 Lawnwood Behavioral Health Services East Florida Treasure Coast United Options PPO United Options PPO n/aFL 25144 5952 Lawnwood Cardiovascular Surgery East Florida Treasure Coast United Options PPO United Options PPO n/aFL 20160 5952 Lawnwood Neurosurgery East Florida Treasure Coast United Options PPO United Options PPO n/aFL 20714 5952 Lawnwood Primary Care Group East Florida Treasure Coast United Options PPO United Options PPO n/aFL 102 5748 Lawnwood Regional Medical Center East Florida Treasure Coast United Options PPO United Options PPO n/aFL 26178 5952 Lawnwood RMC Emergency Physicians East Florida Treasure Coast United Options PPO United Options PPO n/aFL 25641 5952 Lawnwood Trauma Surgeons East Florida Treasure Coast United Options PPO United Options PPO n/aFL 146 5707 Medical Center of Trinity West Florida Hernando/Pasco United Options PPO United Options PPO n/aFL 25504 5952 Medical Group of North Florida North Florida Other North Florida United Options PPO n/a Florida Blue nFL 24148 5952 Memorial - Behavioral Health South Atlantic Jacksonville United Options PPO n/a Florida Blue nFL 25601 5952 Memorial Family Care Center South Atlantic Jacksonville United Options PPO n/a Florida Blue nFL 20559 5952 Memorial Family Practice South Atlantic Jacksonville United Options PPO n/a Florida Blue nFL 25041 5904 Memorial Hospital Cyberknife South Atlantic Jacksonville United Options PPO n/a Florida Blue nFL 2525 5728 Memorial Hospital Jacksonville South Atlantic Jacksonville United Options PPO n/a Florida Blue nFL 25998 5952 Memorial Hospitalists South Atlantic Jacksonville United Options PPO n/a Florida Blue nFL 25127 5952 Memorial Neurosurgery Group South Atlantic Jacksonville United Options PPO n/a Florida Blue nFL 24135 5952 Mercy - Florida Heart & Vascular Care East Florida Dade United Options PPO United Options PPO n/aFL 26257 5952 Mercy Colorectal Surgical Associates East Florida Dade United Options PPO United Options PPO n/aFL 26254 5952 Mercy Family Practice & Sports Medicine East Florida Dade United Options PPO United Options PPO n/aFL 26110 5739 Mercy Hospital East Florida Dade United Options PPO United Options PPO n/aFL 26256 5952 Mercy Orthopaedics & Oncology East Florida Dade United Options PPO United Options PPO n/aFL 26255 5952 Mercy Physiatrist & Pain Management East Florida Dade United Options PPO United Options PPO n/aFL 26252 5952 Mercy Primary Care - Mercy East Florida Dade United Options PPO United Options PPO n/aFL 26253 5952 Mercy Primary Care - The Beach East Florida Dade United Options PPO United Options PPO n/aFL 7306 5729 Merritt Island Surgery Center West Florida Orlando United Options PPO United Options PPO n/aFL 9925 5753 Miami Lakes East Florida Dade United Options PPO United Options PPO n/aFL 20078 5952 Neurology Associates at Kendall East Florida Dade United Options PPO United Options PPO n/aFL 24145 5952 Neurosurgery of West Florida West Florida Hernando/Pasco United Options PPO United Options PPO n/aFL 20761 5952 New Horizons OB/GYN South Atlantic Jacksonville United Options PPO n/a Florida Blue nFL 7274 5716 New Port Richey Surgi-Center West Florida Hernando/Pasco United Options PPO United Options PPO n/aFL 20094 5952 Niceville Family Practice North Florida Panhandle West United Options PPO n/a Florida Blue nFL 3207 5904 North Brandon Imaging West Florida Hillsborough United Options PPO United Options PPO n/aFL 7294 5753 North County Surgicenter East Florida Palm Beach United Options PPO United Options PPO n/aFL 3395 5904 North Florida Cancer Center - Lake City North Florida North Central Florida CIGNA PPO n/a Florida Blue nFL 8906 5717 North Florida Outpatient Imaging Center North Florida North Central Florida CIGNA PPO n/a Florida Blue nFL 25160 5717 North Florida Radiation Oncology North Florida North Central Florida CIGNA PPO n/a Florida Blue nFL 39 5717 North Florida Regional Medical Center North Florida North Central Florida CIGNA PPO n/a Florida Blue nFL 25086 5723 North Florida Shared Resources North Florida North Florida Unassigned United Options PPO n/a Florida Blue nFL 8749 5902 North Florida Supply Chain Operations Parallon Business Solutions Supply Chain United Options PPO n/a Florida Blue nFL 25017 5717 North Florida Surgical Pavilion North Florida North Central Florida CIGNA PPO n/a Florida Blue nFL 26148 5723 North Florida Transfer Center North Florida North Florida Unassigned United Options PPO n/a Florida Blue nFL 9384 5753 North Miami Beach Surgical Center East Florida Dade United Options PPO United Options PPO n/aFL 20863 5952 North Seminole Family Practice West Florida Orlando United Options PPO United Options PPO n/aFL 25588 5952 Northpointe Physicians Group West Florida Hernando/Pasco United Options PPO United Options PPO n/a7





FL 1385 5713 Northside Hospital West Florida Pinellas United Options PPO United Options PPO n/aFL 25994 5952 Northside Hospitalists West Florida Pinellas United Options PPO United Options PPO n/aFL 25947 5952 Northwest Florida Multispecialty - N. Florida Surgic North Florida Panhandle West United Options PPO n/a Florida Blue nFL 20690 5952 Northwest Florida Multispecialty Physicians North Florida Panhandle West United Options PPO n/a Florida Blue nFL 24201 5952 Northwest Florida Orthopedics North Florida Panhandle West United Options PPO n/a Florida Blue nFL 20817 5952 Northwest Florida Pediatrics North Florida Panhandle West United Options PPO n/a Florida Blue nFL 20695 5952 Northwest Florida Primary Care - Destin North Florida Panhandle West United Options PPO n/a Florida Blue nFL 20820 5952 Northwest Florida Women Services North Florida Panhandle West United Options PPO n/a Florida Blue nFL 20712 5952 Northwest Heart & Health East Florida Broward United Options PPO United Options PPO n/aFL 25544 5952 Northwest Hospitalists East Florida Broward United Options PPO United Options PPO n/aFL 456 5738 Northwest Medical Center East Florida Broward United Options PPO United Options PPO n/aFL 643 5712 Oak Hill Hospital West Florida Hernando/Pasco United Options PPO United Options PPO n/aFL 20005 5952 Oak Hill Hospitalists West Florida Hernando/Pasco United Options PPO United Options PPO n/aFL 24115 5952 Obstetrics and Gynecology of Trinity West Florida Hernando/Pasco United Options PPO United Options PPO n/aFL 25713 5952 Ocala Anesthesia Services North Florida North Central Florida CIGNA PPO n/a Florida Blue nFL 20417 5952 Ocala Health Neurology North Florida North Central Florida CIGNA PPO n/a Florida Blue nFL 20416 5952 Ocala Health Trauma North Florida North Central Florida CIGNA PPO n/a Florida Blue nFL 50 5718 Ocala Regional Medical Center North Florida North Central Florida CIGNA PPO n/a Florida Blue nFL 25999 5952 Orange Park Hospitalists - SAD South Atlantic Jacksonville United Options PPO n/a Florida Blue nFL 1310 5727 Orange Park Medical Center South Atlantic Jacksonville United Options PPO n/a Florida Blue nFL 7806 5729 Orange Park Surgery Center South Atlantic Jacksonville United Options PPO n/a Florida Blue nFL 3499 5904 Osceola Cardiac Cath Center West Florida Orlando United Options PPO United Options PPO n/aFL 20488 5952 Osceola GYN Oncology West Florida Orlando United Options PPO United Options PPO n/aFL 25485 5952 Osceola Regional Hospitalists West Florida Orlando United Options PPO United Options PPO n/aFL 1323 5726 Osceola Regional Medical Center West Florida Orlando United Options PPO United Options PPO n/aFL 25631 5952 Osceola Surgical Associates West Florida Orlando United Options PPO United Options PPO n/aFL 3901 5952 Oslo Road Primary Care East Florida Treasure Coast United Options PPO United Options PPO n/aFL 25464 5910 Outpatient - Orange Park Business Perf Group Selling Outpatient AR United Options PPO n/a Florida Blue nFL 7301 5753 Outpatient Surgical Services East Florida Broward United Options PPO United Options PPO n/aFL 20123 5952 Palm Beach General Surgery East Florida Palm Beach United Options PPO United Options PPO n/aFL 477 5745 Palms West Hospital East Florida Palm Beach United Options PPO United Options PPO n/aFL 26067 5952 Palms West Hospital Emergency Physicians East Florida Palm Beach United Options PPO United Options PPO n/aFL 20710 5952 Palms West Primary Care Group East Florida Palm Beach United Options PPO United Options PPO n/aFL 9927 5753 Palms West Surgery Center East Florida Palm Beach United Options PPO United Options PPO n/aFL 7308 5729 Parkside Surgery Center South Atlantic Jacksonville United Options PPO n/a Florida Blue nFL 8945 5910 PAS - Orange Park Business Perf Group Selling Accounts Receivable United Options PPO n/a Florida Blue nFL 8947 5910 PAS - Tampa Business Perf Group Selling Accounts Receivable United Options PPO United Options PPO n/aFL 24168 5952 Pasco Center for Reconstructive & Facial Surgery West Florida Hernando/Pasco United Options PPO United Options PPO n/aFL 24123 5952 Pediatric Intensivist Group East Florida Palm Beach United Options PPO United Options PPO n/aFL 3868 5952 Pensacola Primary Care North Florida Panhandle West United Options PPO n/a Florida Blue nFL 20597 5952 Pinnacle Medical Group West Florida Sarasota United Options PPO United Options PPO n/aFL 56 5739 Plantation General Hospital East Florida Broward United Options PPO United Options PPO n/aFL 25816 5952 Plantation Primary Care Group East Florida Broward United Options PPO United Options PPO n/aFL 25874 5952 Plastic Surgery Associates of Kendall East Florida Dade United Options PPO United Options PPO n/aFL 3255 5729 Plaza Surgery Center II South Atlantic Jacksonville United Options PPO n/a Florida Blue nFL 20782 5952 PM East Florida Division East Florida East Florida Unassigned United Options PPO United Options PPO n/aFL 20778 5952 PM North Florida Division North Florida North Florida Unassigned United Options PPO n/a Florida Blue n8





FL 20784 5952 PM West Florida Division West Florida West Florida Unassigned United Options PPO United Options PPO n/aFL 26454 5726 Poinciana Medical Center West Florida Orlando United Options PPO United Options PPO n/aFL 7741 5753 Port St. Lucie Surgery Center East Florida Treasure Coast United Options PPO United Options PPO n/aFL 20419 5952 Primary Care Center Of Jasper North Florida North Central Florida CIGNA PPO n/a Florida Blue nFL 20432 5952 Primary Care of Largo West Florida Pinellas United Options PPO United Options PPO n/aFL 20444 5952 Primary Healthcare at Kendall Regional East Florida Dade United Options PPO United Options PPO n/aFL 20433 5952 Primary Healthcare at Raulerson East Florida Treasure Coast United Options PPO United Options PPO n/aFL 9830 5910 PSC - Tampa Business Perf Group Selling Payroll Service Centers United Options PPO United Options PPO n/aFL 25597 5952 Rathburn and Associates South Atlantic Jacksonville United Options PPO n/a Florida Blue nFL 25488 5952 Raulerson GYN East Florida Treasure Coast United Options PPO United Options PPO n/aFL 119 5749 Raulerson Hospital East Florida Treasure Coast United Options PPO United Options PPO n/aFL 20740 5952 Raulerson Orthopedics East Florida Broward United Options PPO United Options PPO n/aFL 311 5711 Regional Medical Center Bayonet Point West Florida Hernando/Pasco United Options PPO United Options PPO n/aFL 25465 5910 Revenue Integrity - Orange Park Business Perf Group Selling Revenue Integrity Service United Options PPO n/a Florida Blue nFL 25467 5910 Revenue Integrity - Tampa Business Perf Group Selling Revenue Integrity Service United Options PPO United Options PPO n/aFL 7287 5729 Same Day Surgery of Orlando West Florida Orlando United Options PPO United Options PPO n/aFL 25531 5952 Sandcastle Family Practice South Atlantic Jacksonville United Options PPO n/a Florida Blue nFL 26457 5715 Sarasota CBO West Florida West Florida Unassigned United Options PPO United Options PPO n/aFL 26111 5739 Sister Emmanuel LTC Hospital East Florida Dade United Options PPO United Options PPO n/aFL 642 5709 South Bay Hospital West Florida Hillsborough United Options PPO United Options PPO n/aFL 26014 5952 South Florida Cardiovascular Surgery Associates East Florida Broward United Options PPO United Options PPO n/aFL 2524 5728 Specialty Hospital Jacksonville South Atlantic Jacksonville United Options PPO n/a Florida Blue nFL 3206 5904 Spring Hill Imaging West Florida Hernando/Pasco United Options PPO United Options PPO n/aFL 26303 5952 St. Lucie Behavioral Health Services East Florida Treasure Coast United Options PPO United Options PPO n/aFL 25543 5952 St. Lucie Hospitalists East Florida Treasure Coast United Options PPO United Options PPO n/aFL 476 5750 St. Lucie Medical Center East Florida Treasure Coast United Options PPO United Options PPO n/aFL 26179 5952 St. Lucie Medical Center Emergency Physicians East Florida Treasure Coast United Options PPO United Options PPO n/aFL 1387 5710 St. Petersburg General Hospital West Florida Pinellas United Options PPO United Options PPO n/aFL 25992 5952 St. Petersburg Hospitalists West Florida Pinellas United Options PPO United Options PPO n/aFL 3210 5904 Sun City Imaging West Florida Hillsborough United Options PPO United Options PPO n/aFL 1637 5740 Surgery Center at Coral Springs East Florida Broward United Options PPO United Options PPO n/aFL 7785 5715 Surgery Center at St. Andrews West Florida Sarasota United Options PPO United Options PPO n/aFL 25018 5753 Surgery Center of Aventura East Florida Dade United Options PPO United Options PPO n/aFL 1338 5753 Surgical Park Center East Florida Dade United Options PPO United Options PPO n/aFL 7310 5729 Tallahassee Outpatient Surgery Center North Florida Other North Florida United Options PPO n/a Florida Blue nFL 1130 5952 Tallahassee Physician Care North Florida Other North Florida United Options PPO n/a Florida Blue nFL 7265 5716 Tampa Eye Surgery Center West Florida Hillsborough United Options PPO United Options PPO n/aFL 20095 5952 The Neurohealth Sciences Center West Florida Orlando United Options PPO United Options PPO n/aFL 3906 5952 Thoracic and Cardiovascular Surgeons East Florida Palm Beach United Options PPO United Options PPO n/aFL 25536 5952 Tiomico Family Medicine South Atlantic Jacksonville United Options PPO n/a Florida Blue nFL 25436 5904 Total Imaging - Parsons West Florida Hillsborough United Options PPO United Options PPO n/aFL 25991 5952 Treasure Coast Surgical Specialists East Florida Treasure Coast United Options PPO United Options PPO n/aFL 164 5722 Twin Cities Hospital North Florida Panhandle West United Options PPO n/a Florida Blue nFL 1645 5740 University Hospital East Florida Broward United Options PPO United Options PPO n/aFL 20437 5952 University Primary Care East Florida Broward United Options PPO United Options PPO n/aFL 25625 5753 Venture Ambulatory Surgery Center East Florida Dade United Options PPO United Options PPO n/aFL 25501 5904 West Boynton Imaging East Florida Palm Beach United Options PPO United Options PPO n/a9





FL 1380 5713 West Central Florida Shared Services West Florida West Florida Unassigned United Options PPO United Options PPO n/aFL 25382 5952 West Florida Anesthesia Services North Florida Panhandle West United Options PPO n/a Florida Blue nFL 3885 5952 West Florida Behavioral Health North Florida Panhandle West United Options PPO n/a Florida Blue nFL 20870 5952 West Florida Cardiology North Florida Panhandle West United Options PPO n/a Florida Blue nFL 25353 5713 West Florida Division HR Organization West Florida West Florida Unassigned United Options PPO United Options PPO n/aFL 26008 5952 West Florida Gulf Coast Primary Care North Florida Panhandle West United Options PPO n/a Florida Blue nFL 60 5720 West Florida Hospital North Florida Panhandle West United Options PPO n/a Florida Blue nFL 20049 5952 West Florida Internal Medicine North Florida Panhandle West United Options PPO n/a Florida Blue nFL 20715 5952 West Florida Medical Group North Florida Panhandle West United Options PPO n/a Florida Blue nFL 26100 5952 West Florida Medical Group - Kingsfield North Florida Panhandle West United Options PPO n/a Florida Blue nFL 26099 5952 West Florida Medical Group - Nine Mile Road North Florida Panhandle West United Options PPO n/a Florida Blue nFL 26102 5952 West Florida Medical Group - Pace North Florida Panhandle West United Options PPO n/a Florida Blue nFL 26101 5952 West Florida Medical Group – Pediatrics North Florida Panhandle West United Options PPO n/a Florida Blue nFL 26103 5952 West Florida Medical Group - Pine Forest North Florida Panhandle West United Options PPO n/a Florida Blue nFL 26104 5952 West Florida Medical Group - Spanish Trail North Florida Panhandle West United Options PPO n/a Florida Blue nFL 26106 5952 West Florida Medical Group - W Street North Florida Panhandle West United Options PPO n/a Florida Blue nFL 26105 5952 West Florida Medical Group - West Pensacola North Florida Panhandle West United Options PPO n/a Florida Blue nFL 20696 5952 West Florida Medical Group General Surgery North Florida Panhandle West United Options PPO n/a Florida Blue nFL 3212 5904 West Florida Mobile PET Services West Florida Orlando United Options PPO United Options PPO n/aFL 26031 5952 West Florida Obstetrics & Gynecology North Florida Panhandle West United Options PPO n/a Florida Blue nFL 25896 5952 West Florida Orthopaedic Surgery North Florida Panhandle West United Options PPO n/a Florida Blue nFL 20144 5952 West Florida Senior Health North Florida Panhandle West United Options PPO n/a Florida Blue nFL 8752 5902 West Florida Supply Chain Operations Parallon Business Solutions Supply Chain United Options PPO United Options PPO n/aFL 26251 5952 West Kendall - Florida Heart & Vascular Care East Florida Dade United Options PPO United Options PPO n/aFL 1331 5747 West Palm Hospital East Florida Palm Beach United Options PPO United Options PPO n/aFL 25563 5952 Westside Hospitalists East Florida Broward United Options PPO United Options PPO n/aFL 25990 5952 Westside Primary Care at Plantation East Florida Broward United Options PPO United Options PPO n/aFL 20484 5952 Westside Primary Care at Sunrise East Florida Broward United Options PPO United Options PPO n/aFL 26155 5952 Westside Primary Care at Weston East Florida Broward United Options PPO United Options PPO n/aFL 1345 5741 Westside Regional Medical Center East Florida Broward United Options PPO United Options PPO n/a

GA 20046 5952 Acworth Immediate Care TriStar Northwest Georgia Aetna Open Choice PPO Aetna Open Access Select n/aGA 8628 5522 Atlanta Outpatient - Peachtree TriStar Atlanta United Options PPO United Options PPO n/aGA 8629 5522 Atlanta Outpatient Surgery Center TriStar Atlanta United Options PPO United Options PPO n/aGA 26146 5952 Augusta Burn Hospitalist Service North Florida Other Georgia Aetna Open Choice PPO Aetna Open Access Select n/aGA 3263 5522 Augusta Evans CBO North Florida Other Georgia Aetna Open Choice PPO Aetna Open Access Select n/aGA 26315 5952 Augusta Health Specialists - Cardiology North Florida Other Georgia Aetna Open Choice PPO Aetna Open Access Select n/aGA 25634 5952 Augusta Health Specialists - Gastroenterology North Florida Other Georgia Aetna Open Choice PPO Aetna Open Access Select n/aGA 20635 5952 Augusta Health Specialists - Urogyn & Colorec North Florida Other Georgia Aetna Open Choice PPO Aetna Open Access Select n/aGA 20893 5952 Augusta Health Specialists - Urology North Florida Other Georgia Aetna Open Choice PPO Aetna Open Access Select n/aGA 25499 5515 Augusta Imaging North Florida Other Georgia Aetna Open Choice PPO Aetna Open Access Select n/aGA 25157 5952 Augusta Inpatient Services North Florida Other Georgia Aetna Open Choice PPO Aetna Open Access Select n/aGA 20655 5952 Augusta Neuro North Florida Other Georgia Aetna Open Choice PPO Aetna Open Access Select n/aGA 25633 5952 Augusta Primary Care Services North Florida Other Georgia Aetna Open Choice PPO Aetna Open Access Select n/aGA 7498 5522 Augusta Surgical Center North Florida Other Georgia Aetna Open Choice PPO Aetna Open Access Select n/aGA 20808 5952 Augusta Surgical Specialists North Florida Other Georgia Aetna Open Choice PPO Aetna Open Access Select n/aGA 26232 5952 Cartersville Family Medical Associates TriStar Northwest Georgia Aetna Open Choice PPO Aetna Open Access Select n/aGA 26037 5952 Cartersville Hospitalists TriStar Northwest Georgia Aetna Open Choice PPO Aetna Open Access Select n/a10





GA 20739 5952 Cartersville Internal Medicine TriStar Northwest Georgia Aetna Open Choice PPO Aetna Open Access Select n/aGA 8625 5521 Cartersville Medical Center TriStar Northwest Georgia Aetna Open Choice PPO Aetna Open Access Select n/aGA 20827 5952 Cartersville Neurology TriStar Northwest Georgia Aetna Open Choice PPO Aetna Open Access Select n/aGA 25760 5521 Cartersville Occupational Medicine Center TriStar Northwest Georgia Aetna Open Choice PPO Aetna Open Access Select n/aGA 8502 5512 Coliseum Health System North Florida Middle Georgia Aetna Open Choice PPO Aetna Open Access Select n/aGA 8158 5512 Coliseum Medical Centers North Florida Middle Georgia Aetna Open Choice PPO Aetna Open Access Select n/aGA 26231 5952 Coliseum Medical Group - Neurology North Florida Middle Georgia Aetna Open Choice PPO Aetna Open Access Select n/aGA 8165 5512 Coliseum Northside Hospital North Florida Middle Georgia Aetna Open Choice PPO Aetna Open Access Select n/aGA 8159 5512 Coliseum Psychiatric Center North Florida Middle Georgia Aetna Open Choice PPO Aetna Open Access Select n/aGA 8162 5512 Coliseum Same Day Surgery - Post JV North Florida Middle Georgia Aetna Open Choice PPO Aetna Open Access Select n/aGA 1417 5515 Doctors Hospital of Augusta North Florida Other Georgia Aetna Open Choice PPO Aetna Open Access Select n/aGA 9795 5515 Drs Hosp Center for Occupational Medicine North Florida Other Georgia Aetna Open Choice PPO Aetna Open Access Select n/aGA 3804 5952 Eagle Springs Primary Care North Florida Middle Georgia Aetna Open Choice PPO Aetna Open Access Select n/aGA 24120 5952 Eastside Family Medicine TriStar Atlanta United Options PPO United Options PPO n/aGA 8621 5509 Eastside Medical Center TriStar Atlanta United Options PPO United Options PPO n/aGA 20139 5952 Eastside Surgical Associates TriStar Atlanta United Options PPO United Options PPO n/aGA 9796 5522 Evans Surgery Center North Florida Other Georgia Aetna Open Choice PPO Aetna Open Access Select n/aGA 26030 5952 Fairview Medical Group Orthopedics North Florida Middle Georgia Aetna Open Choice PPO Aetna Open Access Select n/aGA 384 5513 Fairview Park Hospital North Florida Middle Georgia Aetna Open Choice PPO Aetna Open Access Select n/aGA 25103 5952 Grayson Primary Care TriStar Atlanta United Options PPO United Options PPO n/aGA 3802 5952 Greater Gwinnett Internal Medicine Associates TriStar Atlanta United Options PPO United Options PPO n/aGA 25666 5952 H2U - Wellness Center - GE Roper Consumer / Employer Initiative Consumer / Employer Initiatives Aetna Open Choice PPO Aetna Open Access Select n/aGA 25526 5952 Hospitalists at Fairview Park North Florida Middle Georgia Aetna Open Choice PPO Aetna Open Access Select n/aGA 25774 5910 HSC - Atlanta Business Perf Group Non-Selli HIM Service Center United Options PPO United Options PPO n/aGA 26291 5952 ICC at Coliseum Health System Physician Practice O/H Physician Practice O/H Aetna Open Choice PPO Aetna Open Access Select n/aGA 8630 5522 Marietta Surgical Center TriStar Atlanta United Options PPO United Options PPO n/aGA 25178 5952 National Group Practice Management National Unassigned National Unassigned United Options PPO United Options PPO n/aGA 5137 5952 North Georgia Primary Care TriStar Chattanooga United Options PPO United Options PPO n/aGA 8617 5522 Northlake Surgical Center TriStar Atlanta United Options PPO United Options PPO n/aGA 8591 5910 PAS - Atlanta Business Perf Group Selling Accounts Receivable United Options PPO United Options PPO n/aGA 9478 5522 Pediatric Center at AOSC TriStar Atlanta United Options PPO United Options PPO n/aGA 6659 5514 Polk Medical Center TriStar Northwest Georgia Aetna Open Choice PPO Aetna Open Access Select n/aGA 25599 5952 Redmond Anesthesia Services TriStar Northwest Georgia Aetna Open Choice PPO Aetna Open Access Select n/aGA 6694 5514 Redmond Emergency Medical Services TriStar Northwest Georgia Aetna Open Choice PPO Aetna Open Access Select n/aGA 26202 5952 Redmond Family Care Calhoun TriStar Northwest Georgia Aetna Open Choice PPO Aetna Open Access Select n/aGA 8831 5952 Redmond FCC at West Rome TriStar Northwest Georgia Aetna Open Choice PPO Aetna Open Access Select n/aGA 20154 5952 Redmond Hospital Services TriStar Northwest Georgia Aetna Open Choice PPO Aetna Open Access Select n/aGA 25650 5952 Redmond Neurosurgery TriStar Northwest Georgia Aetna Open Choice PPO Aetna Open Access Select n/aGA 7175 5514 Redmond Occupational Health TriStar Northwest Georgia Aetna Open Choice PPO Aetna Open Access Select n/aGA 38 5514 Redmond Regional Medical Center TriStar Northwest Georgia Aetna Open Choice PPO Aetna Open Access Select n/aGA 26013 5910 Revenue Integrity - Atlanta Business Perf Group Selling Revenue Integrity Service United Options PPO United Options PPO n/aGA 9881 5522 Rome Surgery Center TriStar Northwest Georgia Aetna Open Choice PPO Aetna Open Access Select n/aID 26015 5952 East Falls Cardiovascular & Thoracic Surgery Mountain Northwest Aetna Open Choice PPO (L1) CIGNA Open Access Plus (L2,3) n/aID 26268 5952 East Falls Pulmonology & Sleep Disorders Mountain Northwest Aetna Open Choice PPO (L1) CIGNA Open Access Plus (L2,3) n/aID 310 5612 Eastern Idaho Regional Medical Center Mountain Northwest Aetna Open Choice PPO (L1) CIGNA Open Access Plus (L2,3) n/aID 26327 5952 EIRMC Hospitalist Services Mountain Northwest Aetna Open Choice PPO (L1) CIGNA Open Access Plus (L2,3) n/aID 20102 5952 Idaho Falls Ortho Mountain Northwest Aetna Open Choice PPO (L1) CIGNA Open Access Plus (L2,3) n/a11





ID 25624 5952 Patients First Plastic Surgery Mountain Northwest Aetna Open Choice PPO (L1) CIGNA Open Access Plus (L2,3) n/aID 20044 5952 West Valley Internal Medicine Mountain Northwest CIGNA PPO CIGNA Open Access Plus n/aID 92 5611 West Valley Medical Center Mountain Northwest CIGNA PPO CIGNA Open Access Plus n/aID 26057 5952 West Valley Medical Group - Nampa Clinic Mountain Northwest CIGNA PPO CIGNA Open Access Plus n/aID 6095 5611 West Valley Rural Clinics Mountain Northwest CIGNA PPO CIGNA Open Access Plus n/aIN 25455 5952 Hospitalists of the Wabash Valley Capital Capital Unassigned CIGNA PPO CIGNA Open Access Plus n/aIN 25454 5952 Regional Hospital Healthcare Partners Capital Capital Unassigned CIGNA PPO CIGNA Open Access Plus n/aIN 26208 5952 RHHP - Orthopedic Hand Surgery Capital Capital Unassigned CIGNA PPO CIGNA Open Access Plus n/aIN 26209 5952 RHHP - Terre Haute Dermatology Capital Capital Unassigned CIGNA PPO CIGNA Open Access Plus n/aIN 97 5502 Terre Haute Regional Hospital Capital Capital Unassigned CIGNA PPO CIGNA Open Access Plus n/a

KS 9720 5531 Allen County Hospital MidAmerica Kansas City Aetna Open Choice PPO Aetna Open Access Select n/aKS 25381 5952 Care for Women MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aKS 26019 5952 Family Health Medical Group of Overland Park MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aKS 24129 5952 Galichia Anesthesia Services Continental Continental Unassigned Aetna Open Choice PPO n/a Coventry nKS 24151 5952 Galichia Emergency Physicians Continental Continental Unassigned Aetna Open Choice PPO n/a Coventry nKS 26225 5952 Heartland Women's Group & Medical Art Tower Continental Continental Unassigned Aetna Open Choice PPO n/a Coventry nKS 26048 5952 Heartland Women's Group @ Wesley Continental Continental Unassigned Aetna Open Choice PPO n/a Coventry nKS 25338 5952 Johnson County Neurology MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aKS 3420 5532 Johnson County Surgery Center MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aKS 25850 5952 Kansas City Vascular & General Surgery Groups MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aKS 26331 5952 Kansas Physician Group Continental Continental Unassigned Aetna Open Choice PPO n/a Coventry nKS 26028 5952 Kansas Pulmonary & Sleep Specialists MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aKS 9936 5952 Maternal Fetal Consultants of Kansas Continental Continental Unassigned Aetna Open Choice PPO n/a Coventry nKS 9723 5531 Menorah Medical Center MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aKS 26032 5952 Menorah Medical Group MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aKS 26005 5952 Menorah Urgent Care MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aKS 3424 5532 Mid-America Surgery Institute MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aKS 25183 5952 Midwest Cardio/Thoracic Surgeons - Kansas MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aKS 20626 5952 Midwest Cardiology MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aKS 3985 5952 Midwest Metropolitan Physicians Group MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aKS 25962 5952 Millcreek Outpatient Services MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aKS 20641 5952 Neurology Associates of Kansas Continental Continental Unassigned Aetna Open Choice PPO n/a Coventry nKS 25905 5952 Neuroscience Associates of Kansas City MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aKS 9934 5952 Overland Park Cardiovascular MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aKS 25386 5952 Overland Park Medical Specialists MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aKS 25647 5952 Overland Park Orthopedics MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aKS 9722 5531 Overland Park Regional Medical Center MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aKS 9960 5532 Overland Park Surgery Center MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aKS 25970 5952 Overland Park Surgical Specialties MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aKS 25645 5952 Pediatric Specialty Clinic MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aKS 3961 5952 Quivira Internal Medicine MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aKS 25943 5952 Statland Medical Group MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aKS 7346 5608 Surgicare of Wichita Continental Continental Unassigned Aetna Open Choice PPO n/a Coventry nKS 3979 5952 Town Plaza Family Practice MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aKS 26330 5608 Wesley - Galichia Heart Hospital Continental Continental Unassigned Aetna Open Choice PPO n/a Coventry nKS 323 5608 Wesley Medical Center Continental Continental Unassigned Aetna Open Choice PPO n/a Coventry nKY 25578 5952 Commonwealth Specialists of Kentucky Capital Capital Unassigned United Options PPO United Options PPO n/a12





KY 59 5503 Frankfort Regional Medical Center Capital Capital Unassigned United Options PPO United Options PPO n/aKY 37 5501 Greenview Regional Hospital TriStar TriStar Unassigned United Options PPO United Options PPO n/aKY 26279 5952 H2U - Wellness Center - Commonwealth of KentucConsumer / Employer Initiative Consumer / Employer Initiatives United Options PPO United Options PPO n/aKY 25397 5952 Hospitalist at Greenview Regional Hospital TriStar TriStar Unassigned United Options PPO United Options PPO n/aKY 1690 5910 NPAS - KY Business Perf Group Selling NPAS Centers United Options PPO United Options PPO n/aKY 20671 5952 Primecare Medicine Associates TriStar TriStar Unassigned United Options PPO United Options PPO n/aKY 25490 5952 Southern Kentucky Neurological Associates TriStar TriStar Unassigned United Options PPO United Options PPO n/aKY 25352 5952 Southern Kentucky Primary Care TriStar TriStar Unassigned United Options PPO United Options PPO n/aKY 26065 5952 The Glasser Clinic TriStar TriStar Unassigned United Options PPO United Options PPO n/aLA 20197 5952 Children's Multispecialty Group MidAmerica Lafayette United Options PPO United Options PPO n/aLA 431 5731 Dauterive Hospital MidAmerica Lafayette United Options PPO United Options PPO n/aLA 25524 5952 Dauterive Physicians MidAmerica Lafayette United Options PPO United Options PPO n/aLA 20753 5952 H2U - Wellness Center - Rapides Consumer / Employer Initiative Consumer / Employer Initiatives United Options PPO United Options PPO n/aLA 25199 5952 Lafayette OB Hospitalists MidAmerica Lafayette United Options PPO United Options PPO n/aLA 9436 5737 Lafayette Surgery Center MidAmerica Lafayette United Options PPO United Options PPO n/aLA 25532 5904 Lafayette Women's Imaging Center MidAmerica Lafayette United Options PPO United Options PPO n/aLA 25190 5952 Lakeside Women's Services MidAmerica New Orleans United Options PPO United Options PPO n/aLA 25637 5952 Lakeview Multispecialty Group MidAmerica New Orleans United Options PPO United Options PPO n/aLA 6194 5735 Lakeview Regional Medical Center MidAmerica New Orleans United Options PPO United Options PPO n/aLA 20786 5952 PM Delta Division MidAmerica Delta Unassigned United Options PPO United Options PPO n/aLA 20794 5952 PM Tulane Market MidAmerica Delta Unassigned United Options PPO United Options PPO n/aLA 25900 5952 Rapides Hospital Based Multispecialty MidAmerica Central Louisiana United Options PPO United Options PPO n/aLA 2348 5733 Rapides Regional Medical Center MidAmerica Central Louisiana United Options PPO United Options PPO n/aLA 25476 5952 Rapides Regional Primary Care MidAmerica Central Louisiana United Options PPO United Options PPO n/aLA 25310 5952 Rapides Regional Specialist Care MidAmerica Central Louisiana United Options PPO United Options PPO n/aLA 25489 5952 Southwest Medical Center Multispecialty Group MidAmerica Lafayette United Options PPO United Options PPO n/aLA 25708 5952 Southwest Medical Center Surgical Group MidAmerica Lafayette United Options PPO United Options PPO n/aLA 450 5732 The Regional Medical Center of Acadiana MidAmerica Lafayette United Options PPO United Options PPO n/aLA 25189 5952 TUHC Physicians Group MidAmerica New Orleans United Options PPO United Options PPO n/aLA 25085 5734 TUHC Radiology MidAmerica New Orleans United Options PPO United Options PPO n/aLA 9924 5734 Tulane Anesthesiology MidAmerica New Orleans United Options PPO United Options PPO n/aLA 2560 5734 Tulane University Hospital & Clinic MidAmerica New Orleans United Options PPO United Options PPO n/aLA 637 5732 Women's & Children's Hospital A Campus of RMCAMidAmerica Lafayette United Options PPO United Options PPO n/aLA 20201 5952 Women's & Children's Surgical Group MidAmerica Lafayette United Options PPO United Options PPO n/aLA 24149 5952 Women's Radiology MidAmerica Lafayette United Options PPO United Options PPO n/a

MA 3471 5952 Clipper Cardiovascular-Haverhill Capital Northeast CIGNA PPO Aetna Open Access Select n/aMO 3997 5952 Belton Family Practice Clinic MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 9728 5531 Belton Regional Medical Center MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 26020 5952 Cardiology Associates Medical Group MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 20887 5952 Centerpoint Clinic of Blue Springs MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 25903 5952 Centerpoint Hospitalist MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 20004 5952 Centerpoint Internal Medicine MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 9726 5531 Centerpoint Medical Center MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 25690 5952 Centerpoint Medical Specialists MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 20137 5952 Centerpoint Physicians Group MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 20138 5952 Centerpointe Orthopedic Surgery MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 9740 5531 Centralized Services MidAmerica MidAmerica Unassigned Aetna / HMCC PHO Aetna / HMCC PHO n/a13





MO 9737 5531 Clinishare MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 9741 5531 Comprehensive Care MidAmerica MidAmerica Unassigned Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 3994 5952 Family Care of E. Jackson County MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 3957 5952 Family Health Specialists of Lee's Summit MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 3993 5952 Grandview Healthcare Clinic MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 20075 5952 Harrisonville Multi-Specialty Center MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 3996 5952 Heritage Physicians Group MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 3956 5952 Independence Neurosurgery Services MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 9914 5532 Independence Surgery Center MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 25024 5901 IT&S - MidAmerica Division Data Center Data Center Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 3990 5952 Jackson County Medical Group MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 20001 5952 Kansas City Clinical Neurology MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 25197 5952 Kansas City Pulmonary Practice MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 9744 5531 KC Medical Office Buildings MidAmerica MidAmerica Unassigned Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 9748 5531 KC Perfusion Services - Missouri MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 9721 5531 Lafayette Regional Health Center MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 3989 5952 Lee's Summit Family Care MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 9724 5531 Lee's Summit Medical Center MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 25942 5952 Midwest Cancer Care MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 25111 5952 Midwest Cardiovascular & Thoracic Surgery MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 25932 5952 Midwest Division Spine Care MidAmerica MidAmerica Unassigned Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 25426 5952 Midwest Doctors Group MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 3478 5952 Midwest Infectious Disease Specialists MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 26280 5952 Midwest Maternal Fetal Medicine Physicians MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 3984 5952 Midwest Medicine Associates MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 25764 5531 Midwest Oncology Support Services MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 26227 5952 Midwest Physician Hospitalists Research MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 9752 5902 Midwest Supply Chain Operations Parallon Business Solutions Supply Chain Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 3801 5952 Midwest Trauma Services MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 20639 5952 Midwest Women's Healthcare MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 9753 5531 Nuclear Diagnosis MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 9746 5531 Partners for Change MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 20788 5952 PM Health Midwest Division MidAmerica MidAmerica Unassigned Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 3920 5952 Raymore Medical Group MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 25899 5952 Research Cardiology Associates MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 3123 5531 Research College of Nursing MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 3921 5952 Research Family Physicians MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 9727 5531 Research Medical Center MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 26194 5952 Research Neuroscience Institute MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 9729 5531 Research Psychiatric Center MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 3124 5531 Research Radiology & Nuclear Med Schools MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 20164 5952 RMC Neurology MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 24197 5952 Senior Health Associates MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 3962 5952 South Town Women's Clinic MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 25782 5531 Surgicenter of Kansas City MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 3988 5952 The Medical Group of Kansas City MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMO 25820 5952 Women's Center at Brookside MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/a14





MO 20638 5952 Women's Center at Lee's Summit MidAmerica Kansas City Aetna / HMCC PHO Aetna / HMCC PHO n/aMS 25463 5952 Garden Park Hospitalist Program MidAmerica New Orleans Aetna Open Choice PPO Aetna Open Access Select n/aMS 6212 5736 Garden Park Medical Center MidAmerica New Orleans Aetna Open Choice PPO Aetna Open Access Select n/aMS 6191 5952 Garden Park Outpatient Clinics MidAmerica New Orleans Aetna Open Choice PPO Aetna Open Access Select n/aMS 24152 5952 Lakeview EP Cardiology Clinic MidAmerica New Orleans Aetna Open Choice PPO Aetna Open Access Select n/aMS 20217 5952 Orange Grove Surgical Associates MidAmerica New Orleans Aetna Open Choice PPO Aetna Open Access Select n/aNH 20513 5952 Appledore General Surgery Capital Northeast CIGNA PPO Aetna Open Access Select n/aNH 1132 5952 Appledore Medical Group Capital Northeast CIGNA PPO Aetna Open Access Select n/aNH 20666 5952 Appledore Primary Care Capital Northeast CIGNA PPO Aetna Open Access Select n/aNH 26171 5952 Beacon Internal Medicine Capital Northeast CIGNA PPO Aetna Open Access Select n/aNH 8399 5952 Coastal Cardiothoracic Associates Capital Northeast CIGNA PPO Aetna Open Access Select n/aNH 25516 5952 Coastal New Hampshire Neurosurgeons Capital Northeast CIGNA PPO Aetna Open Access Select n/aNH 26172 5952 Diabetes Resource Center Capital Northeast CIGNA PPO Aetna Open Access Select n/aNH 26166 5952 Dr. David Itkin Capital Northeast CIGNA PPO Aetna Open Access Select n/aNH 26173 5952 Dr. Mark Henschke Capital Northeast CIGNA PPO Aetna Open Access Select n/aNH 26165 5952 Hampton Internal Medicine Capital Northeast CIGNA PPO Aetna Open Access Select n/aNH 25883 5952 Hematology & Oncology Center Capital Northeast CIGNA PPO Aetna Open Access Select n/aNH 25555 5952 Metabolic Center Capital Northeast CIGNA PPO Aetna Open Access Select n/aNH 26167 5952 North Hampton Family Practice Capital Northeast CIGNA PPO Aetna Open Access Select n/aNH 636 5527 Parkland Medical Center Capital Northeast CIGNA PPO Aetna Open Access Select n/aNH 8562 5952 Parkland Primary Care Capital Northeast CIGNA PPO Aetna Open Access Select n/aNH 9776 5952 Parkland Specialists Capital Northeast CIGNA PPO Aetna Open Access Select n/aNH 8965 5530 Portsmouth Ambulatory Surgery Center Capital Northeast CIGNA PPO Aetna Open Access Select n/aNH 26168 5952 Portsmouth Family Practice Capital Northeast CIGNA PPO Aetna Open Access Select n/aNH 26169 5952 Portsmouth Internal Medicine Associates Capital Northeast CIGNA PPO Aetna Open Access Select n/aNH 26174 5952 Portsmouth Primary Care Associates Capital Northeast CIGNA PPO Aetna Open Access Select n/aNH 20514 5952 Portsmouth Pulmonary Associates Capital Northeast CIGNA PPO Aetna Open Access Select n/aNH 147 5523 Portsmouth Regional Hospital Capital Northeast CIGNA PPO Aetna Open Access Select n/aNH 20291 5952 Portsmouth Regional Hospital Hospitalists Capital Northeast CIGNA PPO Aetna Open Access Select n/aNH 26123 5952 Portsmouth Regional Hospital Hospitalists - RehabCapital Northeast CIGNA PPO Aetna Open Access Select n/aNH 3472 5530 Salem Surgery Center Capital Northeast CIGNA PPO Aetna Open Access Select n/aNH 26175 5952 Seacoast Thoracic & Vascular Associates Capital Northeast CIGNA PPO Aetna Open Access Select n/aNH 26434 5527 Stiles Road Imaging Capital Northeast CIGNA PPO Aetna Open Access Select n/aNH 26170 5952 Stratham Family Health Capital Northeast CIGNA PPO Aetna Open Access Select n/aNH 8564 5952 Women's Progressive Healthcare Capital Northeast CIGNA PPO Aetna Open Access Select n/aNJ 24215 5952 ICC at NJ - JFK Medical Center Physician Practice O/H Physician Practice O/H Aetna Open Choice PPO United Options PPO n/a NV 9373 5618 Far West Division - Nevada Far West Far West Unassigned CIGNA PPO n/a Aetna POS Managed Choice nNV 26391 5618 Far West Division HR Organization Far West Far West Unassigned CIGNA PPO n/a Aetna POS Managed Choice nNV 2237 5616 Flamingo Surgery Center / JV Far West Las Vegas CIGNA PPO n/a Aetna POS Managed Choice nNV 25471 5901 IT&S - Far West Division Data Center Data Center CIGNA PPO n/a Aetna POS Managed Choice nNV 7393 5616 Las Vegas Sahara Far West Las Vegas CIGNA PPO n/a Aetna POS Managed Choice nNV 7386 5616 Las Vegas Surgicare Far West Las Vegas CIGNA PPO n/a Aetna POS Managed Choice nNV 25618 5952 MountainView Carrdiovascular and Thoracic Far West Las Vegas CIGNA PPO n/a Aetna POS Managed Choice nNV 2270 5613 MountainView Hospital Far West Las Vegas CIGNA PPO n/a Aetna POS Managed Choice nNV 25387 5952 Nevada Neuro Sciences Far West Las Vegas CIGNA PPO n/a Aetna POS Managed Choice nNV 24217 5952 Nevada Neurosciences Institute Far West Las Vegas CIGNA PPO n/a Aetna POS Managed Choice nNV 8967 5619 Southern Hills Hospital & Medical Center - Las VegFar West Las Vegas CIGNA PPO n/a Aetna POS Managed Choice n15





NV 3488 5616 Specialty Surgicare of Las Vegas Far West Las Vegas CIGNA PPO n/a Aetna POS Managed Choice nNV 1541 5618 Sunrise Hospital & Medical Center Far West Las Vegas CIGNA PPO n/a Aetna POS Managed Choice nNV 26435 5618 Sunrise Transfer Center Far West Las Vegas CIGNA PPO n/a Aetna POS Managed Choice nOK 25982 5952 Clinical Surgeons Post Merger North Texas Oklahoma Aetna Open Choice PPO Aetna Open Access Select n/aOK 25987 5952 Edmond Hospitalists Post Merger North Texas Oklahoma Aetna Open Choice PPO Aetna Open Access Select n/aOK 20911 5952 Edmond Orthopedic Group North Texas Oklahoma Aetna Open Choice PPO Aetna Open Access Select n/aOK 25901 5607 Edmond OUMC North Texas Oklahoma Aetna Open Choice PPO Aetna Open Access Select n/aOK 25985 5952 Edmond Podiatry Associates Post Merger North Texas Oklahoma Aetna Open Choice PPO Aetna Open Access Select n/aOK 25984 5952 Edmond Pulmonology Post Merger North Texas Oklahoma Aetna Open Choice PPO Aetna Open Access Select n/aOK 25986 5952 Family Medicine Associates Post Merger North Texas Oklahoma Aetna Open Choice PPO Aetna Open Access Select n/aOK 7413 5607 Oklahoma Surgicare North Texas Oklahoma Aetna Open Choice PPO Aetna Open Access Select n/aOK 25928 5952 Oklahoma Transplant Physicians North Texas Oklahoma Aetna Open Choice PPO Aetna Open Access Select n/aOK 322 5607 OU Medical Center North Texas Oklahoma Aetna Open Choice PPO Aetna Open Access Select n/aOK 20804 5952 PM Continental Division Continental Continental Unassigned Aetna Open Choice PPO Aetna Open Access Select n/aOK 20772 5952 Women's Health Center of Edmond North Texas Oklahoma Aetna Open Choice PPO Aetna Open Access Select n/aSC 25649 5952 Advanced Centers for Internal Medicine South Atlantic Charleston CIGNA PPO n/a BlueChoice nSC 20497 5952 Augusta Primary Care - Aitken North Florida Other Georgia CIGNA PPO n/a BlueChoice nSC 26248 5952 Berkeley Medical Center South Atlantic Charleston CIGNA PPO n/a BlueChoice nSC 26244 5952 Carol Moore, MD South Atlantic Charleston CIGNA PPO n/a BlueChoice nSC 26049 5952 Coastal Cardiovascular Surgery South Atlantic Myrtle Beach CIGNA PPO n/a BlueChoice nSC 26024 5952 Coastal Carolina Bariatric Center South Atlantic Myrtle Beach CIGNA PPO n/a BlueChoice nSC 20016 5952 Coastal Carolina Surgical Specialists South Atlantic Charleston CIGNA PPO n/a BlueChoice nSC 25312 5952 Coastal Carolina Surgical Specialists-Colleton South Atlantic Charleston CIGNA PPO n/a BlueChoice nSC 20183 5952 Coastal EP Cardiology South Atlantic Charleston CIGNA PPO n/a BlueChoice nSC 25657 5952 Coastal Family Care Associates South Atlantic Charleston CIGNA PPO n/a BlueChoice nSC 20450 5952 Coastal Gastroenterology South Atlantic Charleston CIGNA PPO n/a BlueChoice nSC 24106 5952 Coastal Inpatient - Behavioral Health South Atlantic Charleston CIGNA PPO n/a BlueChoice nSC 25152 5952 Coastal Inpatient Physicians South Atlantic Charleston CIGNA PPO n/a BlueChoice nSC 25572 5952 Coastal Inpatient Physicians - Neonatal South Atlantic Charleston CIGNA PPO n/a BlueChoice nSC 25559 5952 Coastal Inpatient Physicians - Neurology South Atlantic Charleston CIGNA PPO n/a BlueChoice nSC 391 5518 Colleton Medical Center South Atlantic Charleston CIGNA PPO n/a BlueChoice nSC 20509 5952 Colleton Medical Hospitalists South Atlantic Charleston CIGNA PPO n/a BlueChoice nSC 9479 5518 Colleton Surgery Center South Atlantic Charleston CIGNA PPO n/a BlueChoice nSC 26051 5952 Doc at the Door South Atlantic Charleston CIGNA PPO n/a BlueChoice nSC 26130 5952 Edisto Orthopedics & Sports Medicine South Atlantic Charleston CIGNA PPO n/a BlueChoice nSC 7817 5522 Grand Dunes Surgery Center South Atlantic Myrtle Beach CIGNA PPO n/a BlueChoice nSC 20601 5952 Grand Strand Primary Care South Atlantic Myrtle Beach CIGNA PPO n/a BlueChoice nSC 104 5519 Grand Strand Regional Medical Center South Atlantic Myrtle Beach CIGNA PPO n/a BlueChoice nSC 9461 5519 Grand Strand Senior Center Revenue South Atlantic Myrtle Beach CIGNA PPO n/a BlueChoice nSC 20903 5952 Grand Strand Senior Health South Atlantic Myrtle Beach CIGNA PPO n/a BlueChoice nSC 26007 5952 Grand Strand Surgery - Trauma & General South Atlantic Myrtle Beach CIGNA PPO n/a BlueChoice nSC 25628 5952 Grand Strand Surgical Specialists South Atlantic Myrtle Beach CIGNA PPO n/a BlueChoice nSC 20449 5952 Low Country Internal Medicine South Atlantic Charleston CIGNA PPO n/a BlueChoice nSC 20780 5952 PM South Atlantic Division South Atlantic South Atlantic Unassigned CIGNA PPO n/a BlueChoice nSC 26050 5952 Strand Regional Specialty Associates South Atlantic Myrtle Beach CIGNA PPO n/a BlueChoice nSC 20759 5952 Tri-County Surgical South Atlantic Charleston CIGNA PPO n/a BlueChoice nSC 2879 5518 Trident Ambulatory Surgery Center South Atlantic Charleston CIGNA PPO n/a BlueChoice n16





SC 3157 5518 Trident Eye Surgery Center South Atlantic Charleston CIGNA PPO n/a BlueChoice nSC 24110 5952 Trident Family Health South Atlantic Charleston CIGNA PPO n/a BlueChoice nSC 62 5518 Trident Regional Medical Center South Atlantic Charleston CIGNA PPO n/a BlueChoice nTN 3897 5952 Arthritis Specialists of Nashville TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 26143 5953 ASD Finance and Operation Services Hospital Operations O/H ASD O/H CIGNA PPO CIGNA Open Access Plus n/aTN 26144 5953 ASD Sales Services Hospital Operations O/H ASD O/H CIGNA PPO CIGNA Open Access Plus n/aTN 26129 5952 Beckham Internal Medicine TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 25956 5953 Behavioral Health - Field Hospital Operations O/H Behavioral Health Services O/H CIGNA PPO CIGNA Open Access Plus n/aTN 25417 5952 Bluegrass Obstetrics & Gynecology TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 26427 5910 BPG Consulting Services - Field Business Perf Group Selling Business Perf Group Consulting CIGNA PPO CIGNA Open Access Plus n/aTN 26140 5905 Cancer Services Overhead Hospital Operations O/H Outpatient Services O/H CIGNA PPO CIGNA Open Access Plus n/aTN 3926 5952 Centennial Heart TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 20581 5952 Centennial Heart at Skyline TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 25461 5952 Centennial Heart at StoneCrest TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 20451 5952 Centennial Heart at Summit TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 1 5501 Centennial Medical Center TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 2903 5501 Centennial Medical Center at Ashland City TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 20600 5952 Centennial Neuroscience TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 20582 5952 Centennial Psychiatric Associates TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 7437 5501 Centennial Surgery Center TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 20692 5952 Centennial Thoracic Surgical Associates TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 8109 5501 Centennial Transplant Program TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 25172 5952 Central Group Practice Management Central Unassigned Central Unassigned CIGNA PPO CIGNA Open Access Plus n/aTN 25020 5900 Chattanooga Surgery Center TriStar Chattanooga United Options PPO United Options PPO n/a TN 25405 5910 CPC - Corporate Business Perf Group Non-Selli Credentialing CIGNA PPO CIGNA Open Access Plus n/aTN 25402 5910 CPC - Nashville Business Perf Group Non-Selli Credentialing CIGNA PPO CIGNA Open Access Plus n/aTN 25378 5952 DBA - Diagnostic Center TriStar Chattanooga United Options PPO United Options PPO n/a TN 6776 5501 Family Practice Associates of Southern Hills TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 25582 5952 Gastroenterology Consultants - Mid TN TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 25919 5952 Gastroenterology Specialists Middle TN Stonecres TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 26383 5953 H2U - Health Coaching Consumer / Employer Initiative Consumer / Employer Initiatives Aetna Open Choice PPO Aetna Open Access Select n/aTN 20543 5953 H2U - Wellness Center - Employed Consumer / Employer Initiative Consumer / Employer Initiatives Aetna Open Choice PPO Aetna Open Access Select n/aTN 20542 5952 H2U - Wellness Center - First Onsite Consumer / Employer Initiative Consumer / Employer Initiatives CIGNA PPO CIGNA Open Access Plus n/aTN 24114 5952 H2U - Wellness Center - Gaylord Hotels - NashvilleConsumer / Employer Initiative Consumer / Employer Initiatives CIGNA PPO CIGNA Open Access Plus n/aTN 25627 5952 H2U - Wellness Center - Overhead Consumer / Employer Initiative Consumer / Employer Initiatives CIGNA PPO CIGNA Open Access Plus n/aTN 20676 5952 Hamilton Family Practice TriStar Chattanooga United Options PPO United Options PPO n/aTN 25693 5952 HCAPS Anesthesiology Practice Management Physician Practice O/H Physician Practice O/H CIGNA PPO CIGNA Open Access Plus n/aTN 25576 5952 HCAPS Human Resources Physician Practice O/H Physician Practice O/H CIGNA PPO CIGNA Open Access Plus n/aTN 7169 5952 HCAPS National Services Physician Practice O/H Physician Practice O/H CIGNA PPO CIGNA Open Access Plus n/aTN 7962 5952 HCAPS Physician Recruiting Physician Practice O/H Physician Practice O/H CIGNA PPO CIGNA Open Access Plus n/aTN 20777 5952 HCAPS System Initiative Physician Practice O/H Physician Practice O/H CIGNA PPO CIGNA Open Access Plus n/aTN 9470 5952 Hendersonville Hospitalist Services TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 26069 5952 Hendersonville Medical Associates TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 447 5501 Hendersonville Medical Center TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 24139 5952 Hendersonville Pulmonologist Services TriStar Nashville Aetna Open Choice PPO Aetna Open Access Select n/aTN 25084 5952 Hermitage Family Care TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 20515 5952 Horizon Hospitalists TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/a17





TN 2902 5501 Horizon Medical Center TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 20651 5952 Horizon Surgical TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 25712 5952 Hospital Based Physician Services Physician Practice O/H Physician Practice O/H CIGNA PPO CIGNA Open Access Plus n/aTN 3876 5952 Hospitalists at Centennial Medical Center TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 25548 5952 Hospitalists at StoneCrest TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 25622 5910 HSC - Nashville Business Perf Group Non-Selli HIM Service Center CIGNA PPO CIGNA Open Access Plus n/aTN 3416 5910 HSC - Overhead Business Perf Group Non-Selli HIM Service Center CIGNA PPO CIGNA Open Access Plus n/aTN 20708 5952 Human Resources Non-HCAPS Services Physician Practice O/H Physician Practice O/H CIGNA PPO CIGNA Open Access Plus n/aTN 26344 5906 InterMedHx Product Line Product Line CIGNA PPO CIGNA Open Access Plus n/aTN 25583 5952 Internal Medicine Associates of Southern Hills TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 26121 5901 IT - Sarah Cannon Research Institute Data Center Data Center CIGNA PPO CIGNA Open Access Plus n/aTN 25394 5901 IT&S TriStar Division (Owned) Data Center Data Center CIGNA PPO CIGNA Open Access Plus n/aTN 10201 5950 Lawson Corporate Adjustments Adjustment / Operations CIGNA PPO CIGNA Open Access Plus n/aTN 10203 5950 Lawson Group - Central Adjustments Adjustment / Operations CIGNA PPO CIGNA Open Access Plus n/aTN 10204 5950 Lawson Group - Eastern Adjustments Adjustment / Operations CIGNA PPO CIGNA Open Access Plus n/aTN 10205 5950 Lawson Group - International Adjustments Adjustment / Operations CIGNA PPO CIGNA Open Access Plus n/aTN 10202 5950 Lawson Group - Officers Adjustments Adjustment / Operations CIGNA PPO CIGNA Open Access Plus n/aTN 10206 5950 Lawson Group - Western Adjustments Adjustment / Operations CIGNA PPO CIGNA Open Access Plus n/aTN 10214 5950 Lawson H2U Adjustments Adjustment / Operations CIGNA PPO CIGNA Open Access Plus n/aTN 10207 5950 Lawson IT&S Adjustments Adjustment / Operations CIGNA PPO CIGNA Open Access Plus n/aTN 10211 5950 Lawson Operations - ASD Adjustments Adjustment / Operations CIGNA PPO CIGNA Open Access Plus n/aTN 10210 5950 Lawson Operations - Group Adjustments Adjustment / Operations CIGNA PPO CIGNA Open Access Plus n/aTN 10212 5950 Lawson Operations - Imaging Adjustments Adjustment / Operations CIGNA PPO CIGNA Open Access Plus n/aTN 10213 5950 Lawson Operations - Phys Adjustments Adjustment / Operations CIGNA PPO CIGNA Open Access Plus n/aTN 10208 5950 Lawson Shared Services Adjustments Adjustment / Operations CIGNA PPO CIGNA Open Access Plus n/aTN 10209 5950 Lawson Shared Services - HTI Adjustments Adjustment / Operations CIGNA PPO CIGNA Open Access Plus n/aTN 25081 5952 Madison Behavioral Health TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 20575 5952 Management Svs Marketing Business DevelopmenPhysician Practice O/H Physician Practice O/H CIGNA PPO CIGNA Open Access Plus n/aTN 25045 5952 Medical Group - Southern Hills Hospitalist TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 20134 5952 Medical Group - Southern Hills of Brentwood TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 8910 5910 Medicare Service Center Business Perf Group Selling Medicare Service Centers CIGNA PPO CIGNA Open Access Plus n/aTN 25564 5952 Middle Tennessee Neurology TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 7847 5902 Nashville CSC Parallon Business Solutions Supply Chain CIGNA PPO CIGNA Open Access Plus n/aTN 8452 5501 Nashville Financial Service Center TriStar TriStar Unassigned CIGNA PPO CIGNA Open Access Plus n/aTN 25537 5910 Nashville Physician Service Center Business Perf Group Non-Selli Physician A/R CIGNA PPO CIGNA Open Access Plus n/aTN 8595 5952 Occupational Health Services TriStar Chattanooga United Options PPO United Options PPO n/a TN 1269 5500 Parkridge East Hospital TriStar Chattanooga United Options PPO United Options PPO n/a TN 9374 5952 Parkridge East Internal Medicine TriStar Chattanooga United Options PPO United Options PPO n/a TN 20037 5952 Parkridge East Specialty Associates TriStar Chattanooga United Options PPO United Options PPO n/a TN 31 5500 Parkridge Medical Center TriStar Chattanooga United Options PPO United Options PPO n/a TN 584 5500 Parkridge Valley Hospital TriStar Chattanooga United Options PPO United Options PPO n/a TN 8942 5910 PAS - Nashville Business Perf Group Selling Accounts Receivable CIGNA PPO CIGNA Open Access Plus n/aTN 26234 5910 Payment Compliance Business Perf Group Selling Payment Compliance CIGNA PPO CIGNA Open Access Plus n/aTN 25742 5953 Physician Sales - Field Hospital Operations O/H Outpatient Services O/H CIGNA PPO CIGNA Open Access Plus n/aTN 20790 5952 PM TriStar Division TriStar TriStar Unassigned CIGNA PPO CIGNA Open Access Plus n/aTN 25082 5952 Portland Primary Care TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 26432 5501 Premier Ambulatory Surgery Center TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/a18





TN 8925 5910 PSC - Nashville Business Perf Group Selling Payroll Service Centers CIGNA PPO CIGNA Open Access Plus n/aTN 26012 5910 Revenue Integrity - Nashville Business Perf Group Selling Revenue Integrity Service CIGNA PPO CIGNA Open Access Plus n/aTN 3058 5905 Sarah Cannon Research Institute Clinical IST Hospital Operations O/H Outpatient Services O/H CIGNA PPO CIGNA Open Access Plus n/aTN 25320 5905 Sarah Cannon Research Institute Overhead Hospital Operations O/H Outpatient Services O/H CIGNA PPO CIGNA Open Access Plus n/aTN 25318 5905 Sarah Cannon Research Institute Research IIT Hospital Operations O/H Outpatient Services O/H CIGNA PPO CIGNA Open Access Plus n/aTN 25319 5905 Sarah Cannon Research Institute Services Hospital Operations O/H Outpatient Services O/H CIGNA PPO CIGNA Open Access Plus n/aTN 25070 5501 Skyline Madison Campus TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 6020 5501 Skyline Medical Center TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 25114 5952 Skyline Medical Group TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 3922 5952 Skyline Neuroscience Associates TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 25182 5952 Skyline Rehab Associates TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 26193 5952 Southern Hills Cardiology TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 145 5501 Southern Hills Medical Center TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 25711 5952 Southern Hills Neurology Consultants TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 25153 5952 Southern Hills Surgical Consultants TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 3795 5952 Southwest Group Practice Management Southwest Unassigned Southwest Unassigned CIGNA PPO CIGNA Open Access Plus n/aTN 3925 5952 Spring Hill Physicians TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 20017 5952 Sterling Primary Care Associates TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 3927 5952 StoneCrest Family Practice TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 3911 5952 StoneCrest Internal Medicine TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 9391 5501 StoneCrest Medical Center TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 20702 5952 StoneCrest Pulmonologists TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 25632 5952 Summit Convenient Care at Lebanon TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 20861 5952 Summit Endocrinology TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 25 5501 Summit Medical Center TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 9884 5501 Summit Surgery Center TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 25958 5952 Summit Walk-In Clinic TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 8178 5952 The Frist Clinic TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 26334 5952 TriStar Cardiovascular Surgery TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 26213 5952 TriStar Medical Group - Hendersonville TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 24200 5952 Tristar Medical Group Centennial Primary Care TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTN 20466 5952 Vascular & Endovascular Specialists TriStar Nashville CIGNA PPO CIGNA Open Access Plus n/aTX 7787 5600 Ambulatory Endoscopy Clinic of Dallas North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 20024 5952 Arlington Providers MSO North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 7432 5730 Bailey Square Surgical Center Central & W. Texas Austin United Options PPO United Options PPO n/aTX 7795 5604 Bay Area Surgicare Center Gulf Coast Houston United Options PPO United Options PPO n/aTX 25609 5952 Bayshore Family Practitioners Gulf Coast Houston United Options PPO United Options PPO n/aTX 9 5604 Bayshore Medical Center Gulf Coast Houston United Options PPO United Options PPO n/aTX 26394 5603 Bayview Psychiatric Hospital – Payroll Gulf Coast Corpus Christi United Options PPO United Options PPO n/aTX 25373 5600 Calloway Creek North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 25343 5600 Cardiovascular Center of Fort Worth North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 26436 5730 Central Park Surgery Center Central & W. Texas Austin United Options PPO United Options PPO n/aTX 2945 5800 Central San Antonio Imaging San Antonio San Antonio United Options PPO United Options PPO n/aTX 1533 5604 Clear Lake Regional Medical Center Gulf Coast Houston United Options PPO United Options PPO n/aTX 25420 5952 Clear Lake Surgeons MSO Gulf Coast Houston United Options PPO United Options PPO n/aTX 6741 5730 Columbia Oakwood Surgery Center Central & W. Texas Austin United Options PPO United Options PPO n/aTX 6437 5604 Conroe Regional Medical Center Gulf Coast Houston United Options PPO United Options PPO n/a19





TX 8298 5603 Corpus Christi Medical Center Gulf Coast Corpus Christi United Options PPO United Options PPO n/aTX 25401 5910 CPC - Houston Business Perf Group Non-Selli Credentialing United Options PPO United Options PPO n/aTX 20305 5952 Dallas Pediatrics MSO North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 1512 5601 Del Sol Medical Center Central & W. Texas El Paso Aetna Open Choice PPO Aetna Open Access Select n/aTX 6251 5600 Denton Regional Medical Center North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 9849 5600 Denton Surgery Center North Texas Dallas/Fort Worth United Options PPO United Options PPO n/aTX 9375 5600 DFW Support Services North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 9388 5602 El Paso Surgery - East Central & W. Texas El Paso Aetna Open Choice PPO Aetna Open Access Select n/aTX 9387 5602 El Paso Surgery - West Central & W. Texas El Paso Aetna Open Choice PPO Aetna Open Access Select n/aTX 25482 5952 Elite Orthopedics of Irving, MSO North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 9789 5604 Fannin Surgicare Gulf Coast Houston United Options PPO United Options PPO n/aTX 3061 5600 GL Endoscopy of Plano North Texas Dallas/Fort Worth United Options PPO United Options PPO n/aTX 7445 5604 Gramercy Outpatient Surgery Center Gulf Coast Houston United Options PPO United Options PPO n/aTX 7126 5600 Green Oaks Hospital North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 2660 5604 Gulf Coast Division Office Gulf Coast Houston United Options PPO United Options PPO n/aTX 8750 5902 Gulf Coast Supply Chain Operations Parallon Business Solutions Supply Chain United Options PPO United Options PPO n/aTX 20834 5952 H2U - Wellness Center - City of Corpus Christi - MSConsumer / Employer Initiative Consumer / Employer Initiatives United Options PPO United Options PPO n/aTX 20866 5952 H2U - Wellness Center - City of El Paso Consumer / Employer Initiative Consumer / Employer Initiatives Aetna Open Choice PPO Aetna Open Access Select n/aTX 24104 5952 H2U - Wellness Center - Conroe ISD - MSO Consumer / Employer Initiative Consumer / Employer Initiatives United Options PPO United Options PPO n/aTX 20811 5952 H2U - Wellness Center - Pasadena Independent S Consumer / Employer Initiative Consumer / Employer Initiatives United Options PPO United Options PPO n/aTX 25791 5952 H2U - Wellness Center - San Benito - MSO Consumer / Employer Initiative Consumer / Employer Initiatives Aetna Open Choice PPO Aetna Open Access Select n/aTX 25910 5953 Health To You Consumer / Employer Initiative Consumer / Employer Initiatives CIGNA PPO CIGNA Open Access Plus n/aTX 25960 5730 Heart Hospital of Austin Central & W. Texas Austin United Options PPO United Options PPO n/aTX 25556 5952 Houston Pediatric Pulmonary Associates - MSO Gulf Coast Houston United Options PPO United Options PPO n/aTX 25775 5910 HSC - Dallas Business Perf Group Non-Selli HIM Service Center United Options PPO United Options PPO n/a TX 25772 5910 HSC - Houston Business Perf Group Non-Selli HIM Service Center United Options PPO United Options PPO n/aTX 25497 5910 HSC - San Antonio Business Perf Group Non-Selli HIM Service Center United Options PPO United Options PPO n/aTX 25473 5901 IT&S - Central / West Texas Division Data Center Data Center United Options PPO United Options PPO n/aTX 25393 5901 IT&S - Gulf Coast Division Data Center Data Center United Options PPO United Options PPO n/aTX 25324 5901 IT&S - North Texas Division Data Center Data Center United Options PPO United Options PPO n/a TX 3198 5604 Kingwood Medical Center Gulf Coast Houston United Options PPO United Options PPO n/aTX 26116 5604 Kingwood Surgery Center Gulf Coast Houston United Options PPO United Options PPO n/aTX 6742 5600 Las Colinas Medical Center North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 7232 5600 Las Colinas Surgery Center North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 1615 5601 Las Palmas Del Sol Healthcare Central & W. Texas El Paso Aetna Open Choice PPO Aetna Open Access Select n/aTX 20069 5952 Las Palmas Internal Medicine Providers MSO Central & W. Texas El Paso Aetna Open Choice PPO Aetna Open Access Select n/aTX 1515 5601 Las Palmas Medical Center Central & W. Texas El Paso Aetna Open Choice PPO Aetna Open Access Select n/aTX 6218 5604 Mainland Medical Center Gulf Coast Houston United Options PPO United Options PPO n/aTX 6306 5600 McKinney Surgery Center North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 9491 5600 McKinney Surgery Center North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 15 5600 Medical Center of Arlington North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 950 5600 Medical Center of Lewisville North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 6264 5600 Medical Center of McKinney North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 20121 5952 Medical Center of McKinney MSO North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 58 5600 Medical Center of Plano North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 3372 5600 Medical City Ambulatory Surgery Center North Texas Dallas/Fort Worth United Options PPO United Options PPO n/aTX 1505 5600 Medical City Dallas Hospital North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a 20





TX 26388 5604 Memorial Endoscopy Center Gulf Coast Houston United Options PPO United Options PPO n/aTX 8580 5800 Methodist Ambulatory Surgery - Medical Center San Antonio San Antonio United Options PPO United Options PPO n/aTX 7458 5800 Methodist Ambulatory Surgery Hospital San Antonio San Antonio United Options PPO United Options PPO n/aTX 25164 5800 Methodist Boerne Emergency Center San Antonio San Antonio United Options PPO United Options PPO n/aTX 8164 5800 Methodist Healthcare System San Antonio San Antonio United Options PPO United Options PPO n/aTX 25388 5800 Methodist Healthcare System, IT&S Sa Div San Antonio San Antonio United Options PPO United Options PPO n/aTX 2531 5800 Methodist Hospital San Antonio San Antonio United Options PPO United Options PPO n/aTX 2545 5800 Methodist Plaza San Antonio San Antonio United Options PPO United Options PPO n/aTX 1588 5800 Methodist Specialty & Transplant Hospital San Antonio San Antonio United Options PPO United Options PPO n/aTX 3132 5800 Methodist Stone Oak Hospital San Antonio San Antonio United Options PPO United Options PPO n/aTX 26109 5800 Methodist TexSan Hospital San Antonio San Antonio United Options PPO United Options PPO n/aTX 1578 5800 Metropolitan Methodist Hospital San Antonio San Antonio United Options PPO United Options PPO n/aTX 26240 5952 MSO - Ali Azimpoor, MD Gulf Coast Houston United Options PPO United Options PPO n/aTX 8568 5605 MSO - Anesthesia 501A Gulf Coast Valley Aetna Open Choice PPO Aetna Open Access Select n/aTX 20586 5952 MSO - Arlington Grand Prairie Primary Care North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 25867 5952 MSO - Austin Heart Central & W. Texas Austin United Options PPO United Options PPO n/aTX 25897 5952 MSO - Bay Colony Physicians Gulf Coast Houston United Options PPO United Options PPO n/aTX 20773 5952 MSO - Breast Care & Surgery Gulf Coast Houston United Options PPO United Options PPO n/aTX 20614 5952 MSO - Calder Urgent Care Gulf Coast Houston United Options PPO United Options PPO n/aTX 25651 5952 MSO - Capital Area Primary Care N. Austin Central & W. Texas Austin United Options PPO United Options PPO n/aTX 25940 5952 MSO - Cardio Texas Central & W. Texas Austin United Options PPO United Options PPO n/aTX 26052 5952 MSO - Cardiology Specialists of N. Texas North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 20482 5952 MSO - Carlos Medrano, MD Gulf Coast Houston United Options PPO United Options PPO n/aTX 25930 5952 MSO - Central Texas Cardiac Arrhythmia PhysicianCentral & W. Texas Austin United Options PPO United Options PPO n/aTX 24101 5952 MSO - Complete Women's Care Center Gulf Coast Houston United Options PPO United Options PPO n/aTX 24209 5952 MSO - Conroe Montgomery Physicians Group Gulf Coast Houston United Options PPO United Options PPO n/aTX 25954 5952 MSO - Corpus Christi Primary Care Associates Gulf Coast Corpus Christi United Options PPO United Options PPO n/aTX 20558 5952 MSO - Dallas Hand Surgery Center North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 25995 5952 MSO - Denton Cancer Center North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 20860 5952 MSO - Denton Cardiology North Texas Dallas/Fort Worth United Options PPO United Options PPO n/aTX 20622 5952 MSO - East Houston General Surgery Gulf Coast Houston United Options PPO United Options PPO n/aTX 26270 5952 MSO - East Houston Specialists Gulf Coast Houston United Options PPO United Options PPO n/aTX 25963 5952 MSO - El Zaim, MD Gulf Coast Houston United Options PPO United Options PPO n/aTX 25621 5952 MSO - Elite Ortho of El Paso Central & W. Texas El Paso Aetna Open Choice PPO Aetna Open Access Select n/aTX 25617 5952 MSO - Emergency Psych Medicine North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 25756 5952 MSO - Family First Med in Brownsville Gulf Coast Valley Aetna Open Choice PPO Aetna Open Access Select n/aTX 25677 5952 MSO - Ferdinand Plavidal, MD Gulf Coast Houston United Options PPO United Options PPO n/aTX 25685 5952 MSO - G. Schnider, MD Gulf Coast Houston United Options PPO United Options PPO n/aTX 20393 5952 MSO - Gabriel Guajardo, MD Gulf Coast Valley Aetna Open Choice PPO Aetna Open Access Select n/aTX 20352 5952 MSO - General Surgeons of Bayshore Gulf Coast Houston United Options PPO United Options PPO n/aTX 25809 5952 MSO - General Surgeons of Houston Gulf Coast Houston United Options PPO United Options PPO n/aTX 20530 5952 MSO - Georgetown Primary Care Central & W. Texas Austin United Options PPO United Options PPO n/aTX 24183 5952 MSO - GI Associates of Lewisville North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 20474 5952 MSO - Guillermo Rowe, MD Gulf Coast Houston United Options PPO United Options PPO n/aTX 20833 5952 MSO - HCAPS ACCS San Antonio San Antonio United Options PPO United Options PPO n/aTX 26039 5952 MSO - HCAPS Cardiology Clinic of San Antonio San Antonio San Antonio United Options PPO United Options PPO n/aTX 26085 5952 MSO - HCAPS CCCS San Antonio San Antonio United Options PPO United Options PPO n/a21





TX 26055 5952 MSO - HCAPS IMED San Antonio San Antonio United Options PPO United Options PPO n/aTX 26054 5952 MSO - HCAPS NIMA San Antonio San Antonio United Options PPO United Options PPO n/aTX 26084 5952 MSO - HCAPS PACSA San Antonio San Antonio United Options PPO United Options PPO n/aTX 26082 5952 MSO - HCAPS PIMS San Antonio San Antonio United Options PPO United Options PPO n/aTX 26040 5952 MSO - HCAPS South Texas Cardiology San Antonio San Antonio United Options PPO United Options PPO n/aTX 26038 5952 MSO - HCAPS South Texas Cardiology Institute San Antonio San Antonio United Options PPO United Options PPO n/aTX 26086 5952 MSO - HCAPS TIP San Antonio San Antonio United Options PPO United Options PPO n/aTX 26083 5952 MSO - HCAPS TTPG San Antonio San Antonio United Options PPO United Options PPO n/aTX 20770 5952 MSO - Health Center of Bear Creek North Hills North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 20403 5952 MSO - Houston Pediatric Surgeons Gulf Coast Houston United Options PPO United Options PPO n/aTX 26021 5952 MSO - Houston Pediatric Urology Gulf Coast Houston United Options PPO United Options PPO n/aTX 20468 5952 MSO - Houston Women's Care Associates Gulf Coast Houston United Options PPO United Options PPO n/aTX 25675 5952 MSO - Internist Associates of Houston Gulf Coast Houston United Options PPO United Options PPO n/aTX 20473 5952 MSO - Kathy Summers Gulf Coast Houston United Options PPO United Options PPO n/aTX 20588 5952 MSO - Lake Forest Primary Care North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 20358 5952 MSO - Las Colinas Primary Care North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 24202 5952 MSO - Las Palmas Del Sol Cardiology Central & W. Texas El Paso Aetna Open Choice PPO Aetna Open Access Select n/aTX 25696 5952 MSO - Las Palmas Neuro Specialists Central & W. Texas El Paso Aetna Open Choice PPO Aetna Open Access Select n/aTX 25683 5952 MSO - Leslie Cohan, MD Gulf Coast Houston United Options PPO United Options PPO n/aTX 26223 5952 MSO - Lewisville Internal Medical Specialists North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 20742 5952 MSO - Mainland Urology Gulf Coast Houston United Options PPO United Options PPO n/aTX 25681 5952 MSO - Mark Gottesman Gulf Coast Houston United Options PPO United Options PPO n/aTX 25839 5952 MSO - Mary Alice Cowan Gulf Coast Houston United Options PPO United Options PPO n/aTX 24107 5952 MSO - McKinney General Surgeons Gulf Coast Houston United Options PPO United Options PPO n/aTX 20315 5952 MSO - McKinney Neurosurgery North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 20367 5952 MSO - McKinney Primary Care Group North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 8319 5952 MSO - Medical City Dallas North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 20312 5952 MSO - Medical City Dallas Neuro North Texas Dallas/Fort Worth United Options PPO United Options PPO n/aTX 25702 5952 MSO - Medical City Dallas Pediatrics North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 25893 5952 MSO - Medical City Maternal Fetal Med North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 20718 5952 MSO - Medical City Neurosurgery North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 20910 5952 MSO - Medical City Ortho Surgery North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 20822 5952 MSO - Neuro Texas Central & W. Texas Austin United Options PPO United Options PPO n/aTX 20552 5952 MSO - North Austin Maternal Fetal Medical Central & W. Texas Austin United Options PPO United Options PPO n/aTX 24198 5952 MSO - North Hills Orthopaedic Surgeons North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 20768 5952 MSO - North Texas Heart Surgery Center North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 25968 5952 MSO - North Texas Neuro – Stroke OP North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 25833 5952 MSO - North Texas Neuroscience North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 26204 5952 MSO - North Texas of Hope North Texas Dallas/Fort Worth United Options PPO United Options PPO n/aTX 25916 5952 MSO - North Texas PCI North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 25835 5952 MSO - North Texas Pulmonary Critical Care North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 25638 5952 MSO - OB/GYN Associates of Denton North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 20705 5952 MSO - Patrick A. Ellis Gulf Coast Valley Aetna Open Choice PPO Aetna Open Access Select n/aTX 20554 5952 MSO - Plano Cardiovascular Surgery North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 20371 5952 MSO - Plaza Primary Care North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 20838 5952 MSO - Plaza Transplant North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 20594 5952 MSO - Plaza White Settlement Primary Care North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a 22





TX 20620 5952 MSO - Plus Care Family Practice Gulf Coast Houston United Options PPO United Options PPO n/aTX 20409 5952 MSO - Primary & Preventative Care Gulf Coast Houston United Options PPO United Options PPO n/aTX 26300 5952 MSO - Radiation Oncologist West Houston Gulf Coast Houston United Options PPO United Options PPO n/aTX 20688 5952 MSO - Radiation Oncology - Corpus Christi Gulf Coast Corpus Christi United Options PPO United Options PPO n/aTX 20733 5952 MSO - Ricardo Lemus, MD Gulf Coast Valley Aetna Open Choice PPO Aetna Open Access Select n/aTX 26003 5952 MSO - Rio Grande Valley Cardiology Gulf Coast Valley Aetna Open Choice PPO Aetna Open Access Select n/aTX 20667 5952 MSO - Round Rock Trauma Surgeons Central & W. Texas Austin United Options PPO United Options PPO n/aTX 25688 5952 MSO - S. Fero, MD & C. Fero, MD Gulf Coast Houston United Options PPO United Options PPO n/aTX 26091 5952 MSO - San Antonio Internal Medicine Physicians San Antonio San Antonio United Options PPO United Options PPO n/aTX 20528 5952 MSO - St. David's Physical Medicine Rehab Central & W. Texas Austin United Options PPO United Options PPO n/aTX 20573 5952 MSO - St. David's Primary Care Central & W. Texas Austin United Options PPO United Options PPO n/aTX 26076 5952 MSO - Stephen Kimmel MD Gulf Coast Houston United Options PPO United Options PPO n/aTX 20342 5952 MSO - STPN Mainland Specialists Gulf Coast Houston United Options PPO United Options PPO n/aTX 26074 5952 MSO - Tavarez Medical Center Gulf Coast Valley Aetna Open Choice PPO Aetna Open Access Select n/aTX 20748 5952 MSO - Valley Pediatric Surgical Specialty Gulf Coast Valley Aetna Open Choice PPO Aetna Open Access Select n/aTX 26340 5952 MSO - Vein Center at Women's Hospital of Texas Gulf Coast Houston United Options PPO United Options PPO n/aTX 20810 5952 MSO - West Houston Internal Specialists Gulf Coast Houston United Options PPO United Options PPO n/aTX 20606 5952 MSO - Women's Associates Gulf Coast Houston United Options PPO United Options PPO n/aTX 8224 5730 North Austin Medical Center Central & W. Texas Austin United Options PPO United Options PPO n/aTX 9879 5730 North Austin Surgery Center Central & W. Texas Austin United Options PPO United Options PPO n/aTX 8978 5800 North Central Methodist ASC San Antonio San Antonio United Options PPO United Options PPO n/aTX 444 5600 North Hills Hospital North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 7923 5600 North Texas Psych Network North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 7846 5902 North Texas Supply Chain Operations Parallon Business Solutions Supply Chain United Options PPO United Options PPO n/a TX 1574 5800 Northeast Methodist Hospital San Antonio San Antonio United Options PPO United Options PPO n/aTX 7987 5730 Occupational Health Services - MSO Central & W. Texas Austin United Options PPO United Options PPO n/aTX 7440 5600 Park Central Surgical Center North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 6766 5730 Partnership Market Office Central & W. Texas Austin United Options PPO United Options PPO n/aTX 8950 5910 PAS - Dallas Business Perf Group Selling Accounts Receivable United Options PPO United Options PPO n/aTX 8948 5910 PAS - Houston Business Perf Group Selling Accounts Receivable United Options PPO United Options PPO n/aTX 8949 5910 PAS - San Antonio Business Perf Group Selling Accounts Receivable United Options PPO United Options PPO n/aTX 25611 5952 Pediatric Specialists of Clear Lake Gulf Coast Houston United Options PPO United Options PPO n/aTX 25049 5952 PHN Mainland MSO Gulf Coast Houston United Options PPO United Options PPO n/aTX 3486 5952 PHN MSO Bayshore Gulf Coast Houston United Options PPO United Options PPO n/aTX 3484 5952 PHN MSO Clear Lake - SCP01 Gulf Coast Houston United Options PPO United Options PPO n/aTX 25104 5952 PHN MSO West Houston Gulf Coast Houston United Options PPO United Options PPO n/aTX 25438 5952 PHN MSO Women's Gulf Coast Houston United Options PPO United Options PPO n/aTX 26241 5604 Physicians Ambulatory Surgery Center Gulf Coast Houston United Options PPO United Options PPO n/aTX 25848 5604 Physicians Ambulatory Surgery Center Non-Cons Gulf Coast Houston United Options PPO United Options PPO n/aTX 20775 5952 Pinnel and Maccato, MD Gulf Coast Houston United Options PPO United Options PPO n/aTX 9441 5600 Plaza Day Surgery North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 73 5600 Plaza Medical Center of Fort Worth North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 20796 5952 PM Central / West Texas Divisoin Central & W. Texas Austin United Options PPO United Options PPO n/aTX 20806 5952 PM Gulf Coast Division Gulf Coast Houston United Options PPO United Options PPO n/aTX 20800 5952 PM North Texas Division North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 20798 5952 PM San Antonio Division San Antonio San Antonio United Options PPO United Options PPO n/aTX 9834 5910 PSC - Dallas Business Perf Group Selling Payroll Service Centers United Options PPO United Options PPO n/a 23





TX 25468 5910 Revenue Integrity - Dallas Business Perf Group Selling Revenue Integrity Service United Options PPO United Options PPO n/a TX 25466 5910 Revenue Integrity - Houston Business Perf Group Selling Revenue Integrity Service United Options PPO United Options PPO n/aTX 26011 5910 Revenue Integrity - San Antonio Business Perf Group Selling Revenue Integrity Service United Options PPO United Options PPO n/aTX 372 5605 Rio Grande Regional Hospital Gulf Coast Valley Aetna Open Choice PPO Aetna Open Access Select n/aTX 1116 5605 Rio Grande Surgery Center Gulf Coast Valley Aetna Open Choice PPO Aetna Open Access Select n/aTX 6240 5730 Round Rock Medical Center Central & W. Texas Austin United Options PPO United Options PPO n/aTX 2667 5800 San Antonio Division Office San Antonio San Antonio United Options PPO United Options PPO n/aTX 25748 5902 San Antonio Supply Chain Service Center Parallon Business Solutions Supply Chain United Options PPO United Options PPO n/aTX 196 5730 South Austin Medical Center Central & W. Texas Austin United Options PPO United Options PPO n/aTX 3791 5952 South Texas Provider Network MSO Gulf Coast Valley Aetna Open Choice PPO Aetna Open Access Select n/aTX 8059 5801 South Texas Radiology Imaging Centers San Antonio San Antonio United Options PPO United Options PPO n/a nTX 25067 5730 St. David's Georgetown Central & W. Texas Austin United Options PPO United Options PPO n/aTX 6676 5730 St. David's Medical Center Central & W. Texas Austin United Options PPO United Options PPO n/aTX 6678 5730 St. David's Rehab Central & W. Texas Austin United Options PPO United Options PPO n/aTX 3404 5952 STPN: Conroe MSO Gulf Coast Houston United Options PPO United Options PPO n/aTX 25035 5604 Sugar Land Surgery Center Gulf Coast Houston United Options PPO United Options PPO n/aTX 1206 5600 Surgery Center of Plano North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 8538 5730 Surgicare of South Austin Central & W. Texas Austin United Options PPO United Options PPO n/aTX 1601 5604 Texas Orthopedic Hospital Gulf Coast Houston United Options PPO United Options PPO n/aTX 7491 5600 Texas Pediatric Surgery Center North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 8314 5952 THN MSO: Del Sol Medical Center Central & W. Texas El Paso Aetna Open Choice PPO Aetna Open Access Select n/aTX 25002 5600 Trinity Park Surgery Center North Texas Dallas/Fort Worth United Options PPO United Options PPO n/a TX 187 5606 Valley Regional Medical Center Gulf Coast Valley Aetna Open Choice PPO Aetna Open Access Select n/aTX 417 5604 West Houston Medical Center Gulf Coast Houston United Options PPO United Options PPO n/aTX 162 5604 Woman's Hospital of Texas Gulf Coast Houston United Options PPO United Options PPO n/aTX 6877 5604 Woman's Hospital of Texas Satellite Gulf Coast Houston United Options PPO United Options PPO n/aTX 25610 5952 Women Specialists of Bayshore Gulf Coast Houston United Options PPO United Options PPO n/aUT 20659 5952 Alta View Internal Medicine Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nUT 25022 5616 Bountiful Surgery Center Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nUT 25689 5952 Brigham Center for Women's Health Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nUT 79 5612 Brigham City Community Hospital Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nUT 8754 5902 Far West Supply Chain Operations Parallon Business Solutions Supply Chain CIGNA PPO CIGNA Open Access Plus Altius nUT 26230 5952 Gynecology Specialists of Utah Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nUT 26281 5952 Heart Center at St. Mark's Hospital Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nUT 25026 5901 IT&S - Mountain Division Data Center Data Center CIGNA PPO CIGNA Open Access Plus Altius nUT 24172 5952 Jordan Family Health Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nUT 68 5612 Lakeview Hospital Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nUT 20640 5952 Lakeview Internal Medicine Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nUT 3933 5952 Lakeview OB/GYN Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nUT 25784 5952 Lakeview Urology Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nUT 20185 5952 Layton Family Practice Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nUT 26006 5952 Lone Peak Family Medicine Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nUT 20135 5952 Lone Peak General Surgery Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nUT 25016 5612 Lone Peak Hospital Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nUT 24170 5952 Lone Peak Primary Care Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nUT 20764 5952 Morgan Health Center Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nUT 25793 5952 Mountain Division Administration Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius n24





UT 138 5612 Mountain View Hospital (UT) Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nUT 26176 5616 Mountain West Surgery Center Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nUT 26322 5902 MountainStar Blood Services Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nUT 20646 5952 MountainStar Canyon Surgical Clinic Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nUT 25062 5952 MountainStar Cardiovascular Services Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nUT 26138 5612 MountainStar Contact Center Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nUT 25710 5952 MountainStar Far West Family Medicine Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nUT 6032 5612 MountainStar Healthcare Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nUT 25596 5952 MountainStar Ogden Pediatrics Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nUT 25753 5952 MountainStar Primary Care Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nUT 25858 5612 New Millcreek Imaging Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nUT 26318 5952 Northern Utah Cardiovascular Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nUT 26056 5952 Ogden Adult & Senior Medicine Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nUT 25860 5612 Ogden Imaging Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nUT 25460 5952 Ogden Internal Medicine Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nUT 6030 5612 Ogden Regional Medical Center Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nUT 20452 5952 Old - Jordan Family Health Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nUT 20662 5952 Old - Lone Peak Primary Care Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nUT 20802 5952 PM Mountain Division Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nUT 20765 5952 South Ogden Center for Family Medicine Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nUT 25194 5616 South Towne Surgery Center Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nUT 25512 5952 St. Mark's Gynecology Oncology Care Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nUT 954 5612 St. Mark's Hospital Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nUT 3068 5952 St. Mark's Maternal Fetal Associates Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nUT 25492 5952 St. Mark's Millcreek Primary Care Unit Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nUT 7818 5612 St. Mark's Outpatient Surgery Center Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nUT 20894 5952 St. Mark's Primary Care at West Valley Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nUT 24171 5952 St. Mark's South Jordan Family Practice Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nUT 7800 5612 The Wasatch Endoscopy Center Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nUT 6042 5612 Timpanogas Regional Medical Center Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nUT 26046 5616 Utah Surgical Center Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nUT 26265 5952 Wasatch Neurological Associates at St. Mark’s Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nUT 25862 5612 West Valley Imaging Mountain Utah CIGNA PPO CIGNA Open Access Plus Altius nVA 25486 5952 Alleghany Hospitalists Capital Southwest Virginia Aetna Open Choice PPO Aetna Open Access Select n/aVA 25314 5904 Appomattox Imaging Capital Richmond CIGNA PPO CIGNA Open Access Plus n/a VA 25009 5530 Blue Ridge Surgery Center Capital Southwest Virginia Aetna Open Choice PPO Aetna Open Access Select n/aVA 9798 5904 Buford Road Imaging Capital Richmond CIGNA PPO CIGNA Open Access Plus n/a VA 9499 5902 CAD - Record Storage Capital Capital Unassigned CIGNA PPO CIGNA Open Access Plus n/a VA 25498 5952 Cardiac Surgical Associates Capital Richmond CIGNA PPO CIGNA Open Access Plus n/a VA 26425 5910 Case Management - Richmond Capital Richmond CIGNA PPO CIGNA Open Access Plus n/aVA 7848 5902 Central Atlantic Supply Chain Operations Parallon Business Solutions Supply Chain CIGNA PPO CIGNA Open Access Plus n/a VA 3497 5952 Chester Women's Health Capital Richmond CIGNA PPO CIGNA Open Access Plus n/a VA 3449 5904 Chesterfield Imaging Capital Richmond CIGNA PPO CIGNA Open Access Plus n/a VA 26335 5530 Chippenham Surgery Center Capital Richmond CIGNA PPO CIGNA Open Access Plus n/aVA 35 5525 CJW Medical Center Capital Richmond CIGNA PPO CIGNA Open Access Plus n/a VA 25134 5952 CJW Pediatrics Capital Richmond CIGNA PPO CIGNA Open Access Plus n/a VA 25580 5530 Colonial Heights Surgery Center Capital Richmond CIGNA PPO CIGNA Open Access Plus n/a 25





VA 20763 5952 Commonwealth OB/GYN Specialists Capital Richmond CIGNA PPO CIGNA Open Access Plus n/a VA 25957 5952 Commonwealth Perinatal Services Capital Richmond CIGNA PPO CIGNA Open Access Plus n/a VA 26242 5904 Crewe Imaging Center Capital Richmond CIGNA PPO CIGNA Open Access Plus n/aVA 8409 5524 Dominion Hospital Capital Northern Virginia Aetna Open Choice PPO United Options PPO n/a VA 26262 5952 Endocrinology Specialists of Richmond Capital Richmond CIGNA PPO CIGNA Open Access Plus n/a VA 9394 5530 Fairfax Surgical Center Capital Northern Virginia Aetna Open Choice PPO United Options PPO n/a VA 20191 5952 Family Health Clinic - Independence Park Capital Richmond CIGNA PPO CIGNA Open Access Plus n/a VA 25904 5952 Family Health Clinic at The Crossings Capital Richmond CIGNA PPO CIGNA Open Access Plus n/a VA 26066 5952 Go Orthopedics Capital Richmond CIGNA PPO CIGNA Open Access Plus n/a VA 26064 5952 GYN Specialists of Virginia Capital Richmond CIGNA PPO CIGNA Open Access Plus n/a VA 9459 5530 Hanover Outpatient Surgery Center Capital Richmond CIGNA PPO CIGNA Open Access Plus n/a VA 448 5525 Henrico Doctors Hospital Capital Richmond CIGNA PPO CIGNA Open Access Plus n/a VA 20041 5952 Henrico Doctors Orthopedic Specialists Capital Richmond CIGNA PPO CIGNA Open Access Plus n/a VA 20290 5952 Hospitalists at Lewis-Gale Capital Southwest Virginia Aetna Open Choice PPO Aetna Open Access Select n/aVA 25771 5910 HSC - Richmond Business Perf Group Non-Selli HIM Service Center United Options PPO CIGNA Open Access Plus n/a VA 24169 5952 ICC at Spotsylvania RMC Physician Practice O/H Physician Practice O/H Aetna Open Choice PPO United Options PPO n/aVA 23001 5904 Independence Park Imaging Capital Richmond CIGNA PPO CIGNA Open Access Plus n/a VA 20268 5952 Institute of Advanced ENT Surgery Capital Richmond CIGNA PPO CIGNA Open Access Plus n/a VA 25475 5901 IT&S - Richmond / Capital Division Data Center Data Center CIGNA PPO CIGNA Open Access Plus n/a VA 25123 5952 James River Internists Capital Richmond CIGNA PPO CIGNA Open Access Plus n/a VA 2699 5525 John Randolph Medical Center Capital Richmond CIGNA PPO CIGNA Open Access Plus n/a VA 25162 5952 John Randolph Surgeons Capital Richmond CIGNA PPO CIGNA Open Access Plus n/a VA 2962 5526 LewisGale Hospital - Alleghany Capital Southwest Virginia Aetna Open Choice PPO Aetna Open Access Select n/aVA 33 5526 LewisGale Hospital - Montgomery Capital Southwest Virginia Aetna Open Choice PPO Aetna Open Access Select n/aVA 41 5526 LewisGale Hospital - Pulaski Capital Southwest Virginia Aetna Open Choice PPO Aetna Open Access Select n/aVA 25446 5904 Lewis-Gale Imaging at Brambleton Capital Southwest Virginia Aetna Open Choice PPO Aetna Open Access Select n/aVA 5 5526 LewisGale Medical Center Capital Southwest Virginia Aetna Open Choice PPO Aetna Open Access Select n/aVA 20280 5952 LGP - Administrative & Ancillaries Capital Southwest Virginia Aetna Open Choice PPO Aetna Open Access Select n/aVA 20895 5952 LGP - Alleghany Surgery Capital Southwest Virginia Aetna Open Choice PPO Aetna Open Access Select n/aVA 20286 5952 LGP - Bonsack Capital Southwest Virginia Aetna Open Choice PPO Aetna Open Access Select n/aVA 20284 5952 LGP - Cardiology Capital Southwest Virginia Aetna Open Choice PPO Aetna Open Access Select n/aVA 25158 5952 LGP - Cardiothoracic Capital Southwest Virginia Aetna Open Choice PPO Aetna Open Access Select n/aVA 25060 5952 LGP - Christianburg Internal Medicine Capital Southwest Virginia Aetna Open Choice PPO Aetna Open Access Select n/aVA 20390 5952 LGP - Christiansburg Family Practice Capital Southwest Virginia Aetna Open Choice PPO Aetna Open Access Select n/aVA 20287 5952 LGP - Clearbrook Capital Southwest Virginia Aetna Open Choice PPO Aetna Open Access Select n/aVA 25415 5952 LGP - Family Medicine of Blacksburg Capital Southwest Virginia Aetna Open Choice PPO Aetna Open Access Select n/aVA 25107 5952 LGP - Internal Medicine of Blacksburg Capital Southwest Virginia Aetna Open Choice PPO Aetna Open Access Select n/aVA 3353 5952 LGP - Montgomery Surgery Associates Capital Southwest Virginia Aetna Open Choice PPO Aetna Open Access Select n/aVA 20283 5952 LGP - Orthopedics Capital Southwest Virginia Aetna Open Choice PPO Aetna Open Access Select n/aVA 3929 5952 LGP - Patton Saul Capital Southwest Virginia Aetna Open Choice PPO Aetna Open Access Select n/aVA 20281 5952 LGP - Pediatrics Capital Southwest Virginia Aetna Open Choice PPO Aetna Open Access Select n/aVA 20289 5952 LGP - Peters Creek Capital Southwest Virginia Aetna Open Choice PPO Aetna Open Access Select n/aVA 7897 5952 LGP - Pulaski Physicians Capital Southwest Virginia Aetna Open Choice PPO Aetna Open Access Select n/aVA 3491 5952 LGP - Pulaski Urology Capital Southwest Virginia Aetna Open Choice PPO Aetna Open Access Select n/aVA 20282 5952 LGP - Pulmonology & Sleep Lab Capital Southwest Virginia Aetna Open Choice PPO Aetna Open Access Select n/aVA 25603 5952 LGP - Radford Family Medicine Capital Southwest Virginia Aetna Open Choice PPO Aetna Open Access Select n/aVA 20285 5952 LGP - Rheumo/Oncology/ENT Capital Southwest Virginia Aetna Open Choice PPO Aetna Open Access Select n/a26





VA 9781 5952 LGP - Roanoke Neurosurgery Capital Southwest Virginia Aetna Open Choice PPO Aetna Open Access Select n/aVA 20279 5952 LGP - Salem Multispecialty Capital Southwest Virginia Aetna Open Choice PPO Aetna Open Access Select n/aVA 3437 5952 LGP - Surgical Associates of SW Virginia Capital Southwest Virginia Aetna Open Choice PPO Aetna Open Access Select n/aVA 24122 5952 LGP - SW Virginia ENT Capital Southwest Virginia Aetna Open Choice PPO Aetna Open Access Select n/aVA 20112 5952 LGP - SW Virginia Orthopedics & Spine Capital Southwest Virginia Aetna Open Choice PPO Aetna Open Access Select n/aVA 20288 5952 LGP - Valley View Capital Southwest Virginia Aetna Open Choice PPO Aetna Open Access Select n/aVA 25336 5952 LGP - Women's Center Alleghany Capital Southwest Virginia Aetna Open Choice PPO Aetna Open Access Select n/aVA 25554 5952 LGP - Women's Health Center of SW Virginia Capital Southwest Virginia Aetna Open Choice PPO Aetna Open Access Select n/aVA 3490 5952 LGP- Fort Chiswell Family Practice Capital Southwest Virginia Aetna Open Choice PPO Aetna Open Access Select n/aVA 20271 5952 Montgomery Hospitalists Capital Southwest Virginia Aetna Open Choice PPO Aetna Open Access Select n/aVA 9355 5530 Parham Surgery Center Capital Richmond CIGNA PPO CIGNA Open Access Plus n/a VA 8648 5910 PAS - Richmond Business Perf Group Selling Accounts Receivable CIGNA PPO CIGNA Open Access Plus n/a VA 26136 5952 Pediatric Health Group Capital Richmond CIGNA PPO CIGNA Open Access Plus n/a VA 20792 5952 PM Capital Division Capital Capital Unassigned CIGNA PPO CIGNA Open Access Plus n/a VA 20190 5952 Primary Care of West End Capital Richmond CIGNA PPO CIGNA Open Access Plus n/a VA 26163 5952 Primary Health Appomattox Capital Richmond CIGNA PPO CIGNA Open Access Plus n/a VA 3053 5952 Primary Health Group Capital Richmond CIGNA PPO CIGNA Open Access Plus n/a VA 26153 5952 Primary Health Group Capital City Capital Richmond CIGNA PPO CIGNA Open Access Plus n/a VA 26137 5952 Primary Health Group Forest Capital Richmond CIGNA PPO CIGNA Open Access Plus n/a VA 20754 5952 Primary Health Group West End Capital Richmond CIGNA PPO CIGNA Open Access Plus n/a VA 8540 5524 Reston Hospital Center Capital Northern Virginia Aetna Open Choice PPO United Options PPO n/a VA 20703 5952 Reston Hospitalists Capital Northern Virginia Aetna Open Choice PPO United Options PPO n/a VA 9496 5530 Reston Surgery Center Capital Northern Virginia Aetna Open Choice PPO United Options PPO n/a VA 20186 5952 Retreat Cardiology Capital Richmond CIGNA PPO CIGNA Open Access Plus n/a VA 20265 5952 Retreat Internal Medicine Capital Richmond CIGNA PPO CIGNA Open Access Plus n/a VA 25727 5910 Revenue Integrity - Richmond Business Perf Group Selling Revenue Integrity Service CIGNA PPO CIGNA Open Access Plus n/a VA 26152 5952 Richmond Family Practice Capital Richmond CIGNA PPO CIGNA Open Access Plus n/aVA 25505 5525 Richmond FSC Capital Capital Unassigned CIGNA PPO CIGNA Open Access Plus n/a VA 3125 5902 Richmond Market Central Pharmacy Parallon Business Solutions Supply Chain CIGNA PPO CIGNA Open Access Plus n/a VA 25875 5952 Richmond Multi-Specialty Capital Richmond CIGNA PPO CIGNA Open Access Plus n/a VA 20701 5952 Richmond Sports Medicine Capital Richmond CIGNA PPO CIGNA Open Access Plus n/a VA 25794 5952 Richmond Surgical Associates Capital Richmond CIGNA PPO CIGNA Open Access Plus n/a VA 25385 5952 Richmond Thoracic Surgeons Capital Richmond CIGNA PPO CIGNA Open Access Plus n/a VA 25776 5952 Specialty Physicians of Northern Virginia Capital Northern Virginia Aetna Open Choice PPO United Options PPO n/a VA 20685 5952 Spotsylvania Multi-Specialty Capital Richmond Aetna Open Choice PPO United Options PPO n/a VA 25325 5524 Spotsylvania Regional Medical Center Capital Richmond Aetna Open Choice PPO United Options PPO n/a VA 20678 5952 Urology Specialists of Virginia Capital Richmond CIGNA PPO CIGNA Open Access Plus n/a VA 3492 5952 Virginia Gynecologic Oncology Capital Richmond CIGNA PPO CIGNA Open Access Plus n/a VA 20523 5952 Virginia Hospitalists at CJW Audit Capital Richmond CIGNA PPO CIGNA Open Access Plus n/a VA 20524 5952 Virginia Hospitalists at CJW Pediatrics Capital Richmond CIGNA PPO CIGNA Open Access Plus n/a VA 25738 5952 Virginia Hospitalists at HDH Pediatrics Capital Richmond CIGNA PPO CIGNA Open Access Plus n/a VA 25717 5952 Virginia Hospitalists at JRMC Capital Richmond CIGNA PPO CIGNA Open Access Plus n/a VA 20704 5952 Virginia Hospitalists at SMRC Capital Richmond CIGNA PPO CIGNA Open Access Plus n/a

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