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NAT'L AARP X X X*SC Absolute Total Care X X X X

NAT'L ACS Benefit Services X XOH Accountable Care Management Group X XFL Administrative Services Inc XAZ Advantage (Bridgeway Health Solutions) XOH Advantage (Buckeye Community Health Plan) XWI Advantage (Managed Health Services) XTX Advantage (Superior HealthPlan) X

MULTI Advantage Health (MI, LA) XCA Advantek Benefit Administrators X*

MULTI Advantra (AZ, NM, TX) X XNAT'L Advantra Freedom Medicare X XNAT'L Aetna X X X X X X X

IL Aetna Better Health (IL) X XFL Aetna Better Health (FL) X XKY Aetna Better Health (KY) XLA Aetna Better Health (LA) X XMI Aetna Better Health (MI) X XMO Aetna Better Health (MO) X XNJ Aetna Better Health (NJ) X XNV Aetna Better Health (NV) X XNY Aetna Better Health (NY) X XOH Aetna Better Health(OH) X XPA Aetna Better Health (PA) X XTX Aetna Better Health (TX) CHIP X XTX Aetna Better Health (TX) X XVA Aetna Better Health (VA) XWV Aetna Better Health (WV) X

NAT'L Aetna Enhanced X*NAT'L Aetna Long Term Care X XNAT'L Aetna Retiree Medical Plan X XNAT'L Aetna Senior Supplemental X X

WI Affinity Health X XNAT'L Affinity Health Plan Essential X*

NY Affinity Health Plan Exchange X*NAT'L Affinity Health Plan Medicare X XNAT'L AFLAC X XNAT'L AFLAC Medicare Supplement X X

ELIGIBILITY, CLAIMS STATUS, REFERRALS, AUTHORIZATIONS, NOTICE OF ADMISSION PAYER LIST

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NY Agewell New York X*AL Alabama Medicaid X* XCA Alameda Alliance for Health X * X*AK Alaska Medicaid (Batch) X*AK Alaska Medicaid X*

NAT'L All Savers X XGA Alliant Health Plans X

NAT'L Allegiance X XNAT'L Allied Benefit Systems X X

HI AlohaCare XNAT'L AltaMed X*

AL Alternative Insurance Resources X XMULTI Altius Health Plans (WY, UT, ID) X X

AR Ambetter of Arkansas X X XIL Ambetter of Illinois X XMI Ameraplan X X

MULTI AmeriBen X XMULTI American Family Insurance Group X X

PR American Health Medicare Eligibility XNAT'L American Income Life Insurance Company XNAT'L American National Life Insurance Company X X

TX American National Life Insurance Company of Texas X XNAT'L American Network Ins. Medicare Supplement X XNAT'L American Postal Workers Union (APWU) X XNAT'L American Republic Insurance Company X XNAT'L American Retirement Life Insurance Company X X

NJ AmeriChoice of NJ Medicaid XMULTI Amerigroup X X X* X XMULTI Amerigroup Medicare XMULTI Amerihealth Administrators X*

LA Amerihealth Caritas (LA) XMULTI Amerihealth Caritas (PA) X* X X X

IA Amerihealth Caritas (IA) X XMI Amerihealth Caritas VIP Care Plus Medicaid XMI AmeriHealth Caritas VIP Care Plus Medicare X

NAT'L AmeriHealth DC XMULTI Amerihealth Commercial (DE, NJ, PA) X* X X*

PA Amerihealth Northeast PA XPA Amerihealth PA New West X

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PA Amerihealth VIP Care XNAT'L Ameritas Life Insurance Company X X

OH Antares XCO Anthem (CO) X*

MULTI Anthem Blue Cross Blue Shield (CO, CT, IN, KY, ME, NH, NV, OH, VA) X X X* (CT & KY) X XGA Anthem Blue Cross Blue Shield of GA X X X XIN Apex Benefit Services XWI Arise Health Plan X*WI Arise Health Plan Medicare Select Policy X X AZ Arizona Medicaid XAZ Arizona Physicians IPA XAR Arkansas Medicaid X* X

NAT'L Aspire (CHOMP) X*CA Aspire Health Advantage X*

NAT'L ASR Health Benefits XWA Asuris Northwest Health Plan X XOH AultCare X

NAT'L Automated Benefit Services X XNAT'L Auxiant XMULTI Avera Health Plans X X

FL AvMed Health Plans XNAT'L Bankers Life and Casualty XNAT'L Banner Health X X

KY Baptist Health Plan X*KY Baptist Health Plan Medicare Advantage XTX BaylorScott and White Health Plan XNY BCBS of Central New York XNY BCBS of Western New York X

NAT'L Beacon Health Options/Value Options X* X*NAT'L Beacon Health Strategies X* NAT'L Benefit Administrative Systems X*

NE Benefit Management Inc X XOH Benovation X XOK Best Choice Plus - Broward Health (FL) X

NAT'L Best Life and Health X XFL Better Health Plans of Florida X

MULTI Better Health Plan Medicaid (PA, SC, TN) known as Unison Health Plan X XMA Blue Benefit Administrators X *AL Blue Cross Blue Shield of Alabama X X

Last Updated 2/13/2018 * Indicates a payer that requires additional enrollment information. 3

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AK Blue Cross Blue Shield of Alaska (Premera) X XAZ Blue Cross Blue Shield of Arizona X XAZ Blue Cross Blue Shield of Arizona Advantage X XAR Blue Cross Blue Shield of Arkansas X* XFL Blue Cross Blue Shield of Florida X X X X X X XGA Blue Cross Blue Shield of Georgia X X X* X XHI Blue Cross Blue Shield of Hawaii (HMSA) XIL Blue Cross Blue Shield of Illinois X* X X X X*KS Blue Cross Blue Shield of Kansas X X X XKS Blue Cross Blue Shield of Kansas City X XLA Blue Cross Blue Shield of Louisiana X X*MD Blue Cross Blue Shield of Maryland (CareFirst) XMA Blue Cross Blue Shield of Massachusetts X X X X X X XMI Blue Cross Blue Shield of Michigan X*MN Blue Cross Blue Shield of Minnesota X XMS Blue Cross Blue Shield of Mississippi X XMO Blue Cross Blue Shield of Missouri X X X X MT Blue Cross Blue Shield of Montana X XNE Blue Cross Blue Shield of Nebraska X XNM Blue Cross Blue Shield of New Mexico X XNC Blue Cross Blue Shield of North Carolina X X X X ND Blue Cross Blue Shield of North Dakota XOK Blue Cross Blue Shield of Oklahoma X* XRI Blue Cross Blue Shield of Rhode Island XNY Blue Cross Blue Shield of Rochester (see Excellus BCBS) XSC Blue Cross Blue Shield of South Carolina X* X X X SC Blue Cross Blue Shield of South Carolina BlueChoice X* X X X SC Blue Cross Blue Shield of South Carolina Companion XSC Blue Cross Blue Shield of South Carolina State Health X*TN Blue Cross Blue Shield of Tennessee X X X X TN Blue Cross Blue Shield of Tennessee (BlueCare) X XTN Blue Cross Blue Shield of Tennessee (Out-of-State) X XTN Blue Cross Blue Shield of Tennessee (TennCare Select) X XTX Blue Cross Blue Shield of Texas X X X X TX Blue Cross Blue Shield of Texas Medicaid X XNY Blue Cross Blue Shield of Utica-Watertown (see Excellus BCBS) XVT Blue Cross Blue Shield of Vermont X X X NY Blue Cross Blue Shield of Western New York (see Excellus BCBS) XWI Blue Cross Blue Shield of Wisconsin X X X* X X

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WY Blue Cross Blue Shield of Wyoming XIL Blue Cross Community Health Plans X XIL Blue Cross Community Health Plans Medicare X XIL Blue Cross Medicare Advantage X X

CA Blue Cross of California X X X* XID Blue Cross of Idaho X XPA Blue Cross of Northeast Pennsylvania XCA Blue Shield of California X X X*NY Blue Shield of Northeastern New York XWA Blue Shield of Washington XKY Bluegrass Family Health Eligibility X

NAT'L Boon Group X XTX Boon-Chapman TPA X XMA Boston Medical Center HealthNet X X*

MULTI Bravo Health Plan Medicare (MD, PA, DC, TX) X XMULTI Bridgespan Health (ID, OR, UT, WA) X XNAT'L Bridgestone Americas, Inc. X X

AZ Bridgeway Arizona X XOH Buckeye X X X X

NAT'L Butler Benefit Services, Inc. XNAT'L C and O Employees Hospital Association X X

CA Califormia Children Services X*CA California Health and Wellness X XCA CalOptima XPA Capital BlueCross (PA) X XNY Capital District Physicians Health X

NAT'L Capitol Administrators X XNAT'L Caprock Health Plans XMULTI Care Improvement Plus X X

NY Care Management Company (CMO) XCA Care1st of California X*MD CareFirst (Blue Cross Blue Shield of Maryland) X X X X VA CareFirst (Blue Cross Blue Shield of Virginia) X X X X XDC CareFirst (Blue Cross Blue Shield of Washington DC) X X X X XFL CareMore X*OR CareOregon X*FL CarePlus Health Plan X XNJ CarePoint Medicare Advantage XOH CareSource (OH) Medicaid X X

Last Updated 2/13/2018 * Indicates a payer that requires additional enrollment information. 5

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IN CareSource Indiana XKY CareSource Kentucky X*NV CDS Group Health X XMA CeltiCare X XCA Cencal Health Plan X

MULTI Cenpatico (AZ,FL,GA,IL,IN,KS,KY,MA,MS,MO,OH,SC,TX,WI) X XAZ Cenpatico (AZ) X XFL Cenpatico (FL) X XGA Cenpatico (GA) X XIL Cenpatico (IL) X XIN Cenpatico (IN) X XKS Cenpatico (KS) X XKY Cenpatico (KY) X XMA Cenpatico (MA) X XMS Cenpatico (MS) X XMO Cenpatico (MO) X XOH Cenpatico (OH) X XSC Cenpatico (SC) X XTX Cenpatico (TX) (IMHS) X XWI Cenpatico (WI) X XNY Centerlight Healthcare X*CA Central California Alliance Health X XCA Central Health Medicare Plan X*

NAT'L Central Reserve Life Insurance Co. Medicare Supplement X XTX Central Senior Care X X

NAT'L Cerner Health Plan X XMULTI Central States Funds X XNAT'L CHAMPVA X X

SC CHC Cares of South Carolina X XMULTI CHF Medicare Advantage XMULTI CHP Direct XMULTI Childrens Mercy PCN XNAT'L Christian Brothers Services X XNAT'L Christie Student Health Plans X X

TX CHRISTUS Health Plan X XNM CHRISTUS Health Plan New Mexico Health Insurance Exchange X XNM CHRISTUS Health Plan New Mexico Medicare Advantage X X

NAT'L CIGNA X X X* X* X X X*NAT'L CMFG Life Insurance X X

Last Updated 2/13/2018 * Indicates a payer that requires additional enrollment information. 6

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NAT'L Colonial Penn XCO Colorado Access X CO Colorado Medicaid X XWI Common Ground X XMA Commonwealth Care Alliance X*OK Community Care of Oklahoma X XTX Community First Health Plans X* XTN Community Health Alliance XTX Community Health Choice XWA Community Health First (CHF) Medicare Advantage XCA Community Health Group X XWA Community Health Plan of Washington X X X*MI Community Health Plan Services X*

NAT'L Concentrix Insurance Solutions X XCT ConnectiCare X CT ConnectiCare Medicare X XCT Connecticut Medicaid X*

NAT'L Consolidated Associates Railroad XMA Consolidated Health Plan X*PR Constellation Health (Inmediata Health Group Corp) XMI Consumer Mutual of Michigan XSC Consumers Choice XOH Consumers Life X

NAT'L Continental General Insurance Company X XTX Cook Children’s Health Plan XNE Cooperative Benefit Administrators (CBA) X XWA Coordinated Care X X

MULTI CoreSource (AR, IL, IN, MD, NC, OH, PA) X XMULTI CoreSource (AZ, MN) X

KS CoreSource Kansas (FMH) X XNAT'L Corporate Benefit Service X XNAT'L Country Life Insurance Company X

IL CountyCare Behavioral X XIL CountyCare X X

CA County Medical Services X*NAT'L Covenant Administrators X XNAT'L Coventry Advantra Savings X X

VA Coventry CHC - Carenet X XID Coventry CHC Altius Health X X

Last Updated 2/13/2018 * Indicates a payer that requires additional enrollment information. 7

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OH Coventry CHC Carelink Commercial X XOH Coventry CHC Carelink Medicaid X X

NAT'L Coventry CHC Group Health Plan X XMULTI Coventry CHC Healthcare Inc. X X X

MO Coventry CHC Healthcare USA (MO) X X X NV Coventry Health and Life – NV X X X OK Coventry Health and Life – OK X X X TN Coventry Health and Life – TN X X X

NAT'L Coventry Health Care Federal X X X NAT'L Coventry Health Care National X X X* X

DE Coventry Health Care of Delaware X X X GA Coventry Health Care of Georgia X X X IA Coventry Health Care of Iowa X X X

NAT'L Coventry Health Care of Kansas City X X X NAT'L Coventry Health Care of Kansas, Wichita X X X

LA Coventry Health Care of Louisiana X X X X NE Coventry Health Care of Nebraska X X X X VA Coventry Health Care of Southern Services X X

MULTI Coventry Health Care of the Carolinas (NC, SC) X X X MULTI Coventry Vista/Summit X X

PA CoventryCares X X X KY CoventryCares of Kentucky X X X

MULTI CoventryOne X XNAT'L Cox Health Plans X

NY Crystal Run Health Plans X*NAT'L CSA Fraternal Live Medicare Supplement X X

NV Culinary Health Fund UNITE HERE Health XNAT'L Custom Design Benefits X*MULTI Cypress XNAT'L D H Evans X

SD DakotaCare X*WI Dean Health Plan X XWI Dean Health Plan Medicaid XDE Delaware Medicaid X*CA Delta Dental of California X

NAT'L Delta Health Systems X*CO Denver Health Medical Plan XCO Denver Health Medical Plan Medicaid XCO Denver Health Medical Plan Medicare X

Last Updated 2/13/2018 * Indicates a payer that requires additional enrollment information. 8

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UT Deseret Mutual XMD Diamond Plan X X

NAT'L Directors Guild XMULTI District 9 IAM and AW Welfare Trust X X

DC District of Columbia Medicaid XTX Driscoll Health Plan XNY ElderPlan XNY Emblem Health X X X*

MULTI EMI Health (AZ, UT) XNY Empire Blue Cross Blue Shield X X X X X*

NAT'L Employee Benefit Management Services X* XNAT'L Employee Benefit System X*NAT'L Employee Benefits Administration(EBA) XNAT'L EPIC Life Insurance XNAT'L EPSI, Inc. X

UT Equitable Life and Casualty XMULTI Essence Healthcare X XNAT'L Everence Financial X

MD Evergreen Health XNAT'L Exceedent Health X

NY Excellus BCBS (Provides BCBS of Western NY through Blue Exchange) X X*NAT'L Expert Benefit Solutions X X

MA Fallon Community Health XIL Family Health Network X*IL FamilyCare X

MULTI FCE Benefit Administrators XMULTI Federated Life Insurance Company X XMULTI FHP Childrens Mercy Care Network X

NY Fidelis Care Medicaid & Medicare X X*NAT'L Fidelity Security Life Insurance Company XMULTI First Administrators X*

NY First Ameritas of New York X XWA First Choice Health X* X*SC First Choice VIP Care Plus Medicaid XSC First Choice VIP Care Plus Medicare XGA First Medical Network X

NAT'L First Reliance Statndard Life X XNY First United American Insurance X XTX FirstCare X X

Last Updated 2/13/2018 * Indicates a payer that requires additional enrollment information. 9

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FL Florida Hospital Healthcare System XFL Florida Medicaid X* XFL Florida Medicaid Span of Eligibility XFL Florida True Health X XCA Food, Bakery, Confection Workers Fund of So Cal X XMS Fox/Everett X*FL Freedom Health X*

MULTI Fresenius Health Partners (AZ, CA, NC) XPA Gateway Health Plan X

NAT'L GEHA X XPA Geisinger Health Plan X X X PA Geisinger Health Plan Gold XGA Georgia Medicaid (See Peach State Health Plan) X XGA Georgia Medicaid Batch X

NAT'L Gilsbar TPA X XNAT'L Global Health X*NAT'L Globe Life and Accident Insurance Company X X

CA Gold Coast X*NAT'L Golden Rule X XNAT'L Government Employees Hospital Association (GEHA) X X

NH Granite State Health Plan X XNAT'L Great American Life Insurance Company Medicare X XMULTI Greek Catholic Union XNAT'L Group Administrators X*

TX Group and Pension TPA X XNAT'L Group Health Cooperative Eau Claire X*NAT'L Group Health Plan XNAT'L Grouplink X

WI Group Practice Affiliates XNAT'L Gunderson Health Plan X*MULTI Harken Health X XMULTI Harmony Health Plan (A WellCare affiliated plan) X XMULTI Harmony Health Plan Medicare X XMULTI Harvard Pilgrim (MA, NH) X X X X MULTI Harvard Pilgrim Stride (MA, NH) X*

HI Hawaii Mainland Administrators X*HI Hawaii Medical Assurance Association XHI Hawaii Medical Service Association (BCBS of Hawaii) XHI Hawaii Medicaid X

Last Updated 2/13/2018 * Indicates a payer that requires additional enrollment information. 10

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DC Health Services for Children with Special Needs XIL Health Alliance Medical Plan of IL X X X X

MULTI Health Alliance Plan (IN, WI, OH, MI) X X X PA Health America/Health Assurance X XAZ Health Choice Arizona X XOK Health Choice Oklahoma X

NAT'L Health Cost Solutions X XNAT'L Health Design Plus X*

FL Health First Insurance Inc. XFL Health First Health Plans X XCA Health Net Medi-Cal X

MULTI Health Net National Commercial (NJ, NY, OR, AZ, CA, CT) X X X* XAZ Health Net of Arizona X X

MULTI Health Net of the Northeast XMA Health New England XMN Health Partners of Minnesota X*PA Health Partners of Philadelphia X XNV Health Plan of Nevada XCA Health Plan of San Joaquin Medicaid XCA Health Plan of San Mateo XOH Health Plan of Upper Ohio Valley XOH Health Plan of Upper Ohio Valley Medicaid XOH Health Plan of Upper Ohio Valley Medicare XMI Health Plus of MI XDC Health Services for Children with Special Needs X XOR Health Share of Oregon XWA Healthcare Management X XMO Healthcare Inc. X X

OK, TX Healthcare Highways X XMO Healthcare USA (MO) X XCA HealthComp Administrators XFL HealthEase (A WellCare affiliated plan) X XFL HealthEase Kids (A WellCare affiliated plan) X XCA HealthEdge Administrators X X

NAT'L HealthEZ XNJ Healthfirst of New Jersey X XNY Healthfirst of New York Medicaid & Medicare X X

NAT'L Healthgram X XIL HealthLink HMO X*

Last Updated 2/13/2018 * Indicates a payer that requires additional enrollment information. 11

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NY HealthNow XNAT'L HealthScope XNAT'L HealthSmart X

OK HealthSmart Benefit Solutions Oklahoma City X XWV HealthSmart Benefit Solutions West Virginia X X

MULTI HealthSpring (AL, FL, IL) X X X X TN HealthSpring Tennessee (HMO, POS and M+C) X X X LA Healthy Blue X XIN Healthy Indiana Plan XTX Healthy Texas X

MULTI Heartland National Life Insurance Company XMN Hennepin Health Medicaid XMN Hennepin Health Medicare XTX Heritage Physician Network (Houston) X XPA Highmark Blue Cross Blue Shield X X X X DE Highmark Blue Cross Blue Shield of Delaware X*PA Highmark Blue Shield NaviNet X*WI Highmark Senior Solutions X XMO Home State X XNV Hometown Health XNJ Horizon Blue Cross Blue Shield of New Jersey X X X X XNJ Horizon NJ Health Medicaid X X X X

NAT'L HM Care Advantage XNY Hudson Health Plan X

NAT'L Humana X X X* X X XKY Humana CareSource (KY) X XGA IBEW Local 508 Health Plan X XID Idaho Medicaid X X

NAT'L IHC Health Solutions X XIL IlliniCare Health Plan X XIL Illinois Medicaid X XPA Independence Administrators XPA Independence Blue Cross FOC XNY Independent Health XIN Indiana Medicaid X X X*CA Inland Empire Health Plan (IEHP) Commercial XCA Inland Empire Health Plan (IEHP) Medicaid X

NAT'L Insurers Administrative Corporation (IAC) X XDE INTEGRA Administrative Group X X

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NAT'L Integral Quality Care X*TX Integrated Mental Health Services XCA Inter Valley Health Plan XPR Internation Medical Card XVA INTotal Health X*IA Iowa Medicaid X X

GU Island Home Insurance XNAT'L John Alden Life Insurance Company (see Fortis) X

MD Johns Hopkins Health Plan XMULTI Kaiser Foundation Health Plan Mid - Atlantic ( DC, MD, VA) XMULTI Kaiser Foundation Health Plan of CO, HI and the Northwest (OR & WA) XMULTI Kaiser Foundation Health Plan of Washington X X X*

CA Kaiser Permanente XNAT'L Kaiser Permanente Insurance Co KPIC X

GA Kaiser Permanente of Georgia XCA Kaiser Permanente of Northern CA XCA Kaiser Permanente of Southern CA XKS Kansas Medicaid XKS Kansas Medicaid (Batch) XTX Katy Medical Group X X

NAT'L Kemper Benefits XOK Kempton Company X XKY Kentucky Medicaid X X

NAT'L Key Benefit Administrators X XNAT'L Key Healthy Partners XMULTI KeySolution X

PA Keystone First X XPA Keystone Health Plan East Commercial X XPA Keystone VIP Choice XWA Kitsap Physician Services X

NAT'L KSKJ Life XCA L.A. Care X XLA LaCare X

NAT'L Leggett and Platt XFL Leon Medical Centers Health Plans X X

NAT'L Liberty National Life Insurance Company X XMULTI Lifemap (AK, ID, MT, OR, UT, WA, WY) X X

AZ Lifeprint X*AZ Lifewise Health Plan of Arizona X

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OR Lifewise Health Plan of Oregon XWA Lifewise Health Plan of Washington X

NAT'L Lincoln Financial Group X XNAT'L Lincoln Heritage XNAT'L Local 1199 XNAT'L LoneStar TPA XNAT'L Loomis X X

LA Louisiana Healthcare Connections X XLA Louisiana Medicaid X X*NM Lovelace Health Plan XNM Lovelace Salud Health Plan Medicaid X

NAT'L Loyal American Life Insurance Company Medicare X XMULTI Loyal Christian Benefit Association XNAT'L Magellan X

NJ MagnaCare X XMS Magnolia Health Plan X X

NAT'L Mail Handlers Benefit Plan X XME Maine Community Health Options X*ME Maine Medicaid X

MULTI Managed Care of America X XCA Managed Care Systems X*CA Managed Health Network X XIN Managed Health Services Indiana X XWI Managed Health Services Wisconsin X XPR MAPFRE Life Puerto Rico XPR MAPFRE Medicare Excel XAZ Maricopa Care Advantage (AZ) XAZ Maricopa Health Plan X XME Martins Point X*ME Martins Point Medicare X*MD Maryland Medicaid XMD Maryland Physicians Care X XMD Maryland Physicians Care XMA Massachusetts Medicaid X XMN Mayo Clinic Health Solutions X XIN MDWise Health Indiana Plan X*IN MDWise Methodist X*IN MDWise ProHealth X*IN MDWise Select Health Network X*

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IN MDWise St. Catherine X*IN MDWise St. Francis X*IN MDWise St. Margaret Mercy X*IN MDWise St. Vincent X*IN MDWise Total Health X*IN MDWise Wishard X*

MULTI MedCost Benefit Services Employers (NC, SC) XMULTI Medica (IA, MN, ND, NE, SD, WI) X X

FL Medica Health Plans of Florida XNAT'L Medica Marketplace (IFB) XMULTI Medical Associates Health Plan/Health Choices X XMULTI Medical Benefits Administrators / MedBen X

OH Medical Benefits Administrators Inc. (Newark OH) XOH Medical Benefits Companies (Newark OH) XOH Medical Benefits Mutual (Newark OH) X

MULTI Medical Benefits Mutual / MedBen XMULTI Medical Benefits Mutual Life Insurance Co. X

CA Medi-Cal Medicaid XOH Medical Mutual of Ohio X X X X CA Medi-Cal Share of Cost XIA Medical Associates Health Plan/Health Choices X X

NAT'L Medicare Part A DDE X*NAT'L Medicare Part A & B XNAT'L Medico Insurance Company X XMULTI Med-Pay X X

IN MedPartners X*NAT'L MedSolutions X* X*NAT'L MedStar Select X

AZ Mercy Care Plan X XIL Meridian Health Plan of Illinois X

NAT'L Meritain Batch XNAT'L Meritain Health X X

AZ Meritus Health Partners XNY MetroPlus (Medicare/Medicaid) X X

NAT'L MHNET Behavioral Health X XMI Michigan Medicaid XMI Michigan Medicaid Pending Eligibility XMI MIChild XMN Minnesota Medicaid X*

Last Updated 2/13/2018 * Indicates a payer that requires additional enrollment information. 15

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MULTI Minuteman Health (MA, NH) X*MS Mississippi Medicaid X XMS Mississippi State Employees and Teachers X XMO Missouri Care Health Plan X XMO Missouri Medicaid X* XOR Moda Health X X X*CA Molina XPR Molina (PR) X XSC Molina (SC) X X

MULTI Molina Healthcare Medicaid (CA, FL, IL, MI, MO, NM, OH, TX, UT, WA) X X* X* X X MT Montana Medicaid XWV Mountain States BCBS X*AR Municipal Health Benefit Fund X X

NAT'L Mutual Health Services X XNAT'L Mutual Medical Plans X XNAT'L Mutual of Omaha Commercial XMULTI MVP Healthcare (NY, NH, VT) X* XNAT'L NaphCare XNAT'L National Association of Letter Carriers (NALC) X XMULTI Nationwide Health Plans (CA, OH) X XNAT'L NCTA X*

NE Nebraska Medicaid (Batch) XNE Nebraska Medicaid XNE Nebraska Total Care X XFL Neighborhood Health Partnership X

MULTI Neighborhood Health Plan (MA, RI) X X*WI Network Health (WI) X XWI Network Health Insurance Corp. XNV Nevada Medicaid XTX New Era Life Insurance X XNH New Hampshire Healthy Families XNH New Hampshire Medicaid XNJ New Jersey Medicaid X*NM New Mexico Health Connections XNM New Mexico Medicaid X XMT New West Health X^NY New York Medicaid XNY New York Medicaid Batch X*

MULTI Nippon Life Insurance Company X X

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NY NGS Medicare Part B New York Upstate X*MT Noridian Medicare Part B Montana Batch X*CA Noridian Medicare Part B Northern California X*ND Noridian Medicare Part B North Dakota X*WY Noridian Medicare Part B Wyoming X*TN North American Administrators XNC North Carolina Medicaid X XND North Dakota Medicaid X XGA Northeast Georgia Health System X*

MULTI Northwest Administrators (CA,NV,OR,WA) X XNY Nova Healthcare Administrators XAR NovaSys X XLA Novitas Medicare Part B Louisiana X*HI Ohana Health Plan (A WellCare affiliated plan) X XOH Ohio Medicaid X X X OK Oklahoma Employees Group Insurance Division X XOK Oklahoma Medicaid XMI OmniCare X X

MULTI Operating Eng Local 428 Health and Welfare X XVA Optima Health XFL Optimum Healthcare X*

MULTI OptumCare (AZ, UT) XGA Orange County Fire Authority X XOR Oregon Medicaid X

MULTI Oscar (CA, NY, TX) XMULTI Oxford Health Plan (NY, CT, DE, NJ, PA, RI) X X X XMULTI Pacific Source Health Plan (OR, ID, MT) X X X* X*MULTI PacificSource Admininstrators (OR, ID, MT) X

OR PacificSource Community Solutions X XMULTI PacificSource Medicare (OR, ID) XMULTI PacifiCare (CA, NM, OK, OR, TX, WA) X XNAT'L Panamerican Life Puerto Rico XNAT'L Paradigm Health Plans X X

OH Paramount XOH Paramount Medicaid XOH Paramount Medicare XTX Parkland Community Health Plan X XNC PARTNERS Health Plan XCA Partnership Health Plan of California Commercial X

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CA Partnership Health Plan of California Medicaid XKY Passport Health Plan X XKY Passport Health Plan Medicare X XGA Peach State Health Plan X XUT PEHP XPA Penn Treaty Network America Ins. Medicare Supplement X XPA Pennsylvania Health and Wellness X XPA Pennsylvania Medicaid X

NAT'L People First X XLA Peoples Health X XIL PersonalCare (Coventry) X X

NAT'L Personal Insurance Administrators (PIA) X XMULTI PHCS Savility Payers X X

MI PHP of Mid-Michigan XTN PHP of TN Medicaid XIN Physicians Health Plan of Northern Indiana X

NAT'L Physicians Mutual Insurance Company X XWI Physicians Plus Insurance Corporation X

NAT'L Piedmont X XNAT'L Piedmont WellStar Health Plan X

CA Pinnacle Claims Management X*TX Pinnacle Physician Management Org XTN Pittman & Assciates X XSC Planned Administrators Inc. X XNV Plumbers Pipefitters Local 525 Health and Welfare Trust X X

NAT'L POMCO X*NAT'L Prairie States X*NAT'L Preferred Care Partners X XMULTI Preferred One (MN, IA, MT, MI, ND, SD) X X*

AK, WA Premera Blue Cross X X X*PA Premier Health Plan XNM Presbyterian Health Plan X*FL Prestige Health Choice XMN PrimeWest X

NAT'L Principal Financial Group X XMI Priority Health Plan XIN Pro Health X

NAT'L Professional Benefit Administrators XNAT'L Professional Claims Management X*

Last Updated 2/13/2018 * Indicates a payer that requires additional enrollment information. 18

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NAT'L Prominence Health Plan X*MULTI Providence Health Plan (OR, WA) X X X*NAT'L Provident American Life & Health Insurance Company X XNAT'L Psychcare X*

PR Puerto Rico Medicaid XNAT'L Puitan Life Insurance XNAT'L Pyramid X*MULTI QualCare X

AR QualChoice of Arkansas XMULTI QuickTrip X X

OR Regence Blue Cross Blue Shield of Oregon X X UT Regence Blue Cross Blue Shield of Utah X XID Regence Blue Shield of Idaho X X

WA Regence Blue Shield of Washington X XMULTI Regence Group Administrators (OR, WA) X XNAT'L Reliance Standard Life X X

RI Rhode Island Medicaid X*TX RightCare X

KY, OH RiverLink Health X*CO Rocky Mountain Health Plan XCO Rocky Mountain Medicaid Health Plan X

NAT'L Royal Neighbors of America XNAT'L S and S Healthcare Strategies X XMULTI Sanford Health Plan XMULTI Sanford Health Plan Medicare X

CA Santa Clara Family Health Plan (Valley Health Plan Network only) XCA SCAN Medicare Supplement XCA SCFHP (Santa Clara Family Health Plan) XTX Scott and White Health Plan Commercial and Medicare XGA Secure Health Plans Of Georgia X XWI Security Health Plan XMS Select Administrative Services X

ID, UT Select Health XSC Select Health of South Carolina X X X*TX Select Senior Clinic X XOK SelectCare of Oklahoma X XTX SelectCare of Texas (Beaumont) X XTX SelectCare of Texas (Golden Triangle) X XTX SelectCare of Texas (Houston) X X

Last Updated 2/13/2018 * Indicates a payer that requires additional enrollment information. 19

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TX SelectCare of Texas (Integranet) X XTX SelectCare of Texas (Kelsey-Seybold) X XTX SelectCare of Texas (Memorial Clinical Assoc) X XTX SelectCare of Texas (Northwest Diagnostic) XTX Sendero Health Plans XNV Senior Dimensions X

NAT'L Senior Health Services Center X XMULTI Senior Whole Health Medicaid (NY, MA) XMULTI Senior Whole Health Medicare (NY, MA) X

CA Sharp Health Plan X XPA Significa Benefit Services X XIN SIHO Insurance Services XNV Sierra Health and Life XNC Silverback TPA XFL Simply Healthcare Plans X XFL Simply Healthcare Plans Medicaid X XFL Simply Healthcare Plans Medicare X X

NAT'L SisCo Benefits X XNAT'L Soundpath Health X X

SC South Carolina Medicaid XSC South Carolina State Health Plan (Blue Cross Blue Shield of SC) XPA South Central Preferred X*SD South Dakota Medicaid X

NAT'L Special Agents Mutual Benefits Association X XNAT'L Specialties & Paper Products X

PA Spectrum Health XNAT'L SPJST Medicare Supplement X XMULTI SRT Administrators XNAT'L Standard Insurance X X

NY Standard Insurance of New York X XNAT'L Standard Life and Accident Insurance Company X XNAT'L State Farm XNAT'L Star HRG X XNAT'L State Mutual Medicare Supplement X

FL StayWell (A WellCare affiliated plan) X XFL StayWell Kids (A WellCare affiliated plan) X X

NAT'L Stewart C. Miller X XMULTI Stonebridge Life Insurance X XNAT'L Student Insurance X

Last Updated 2/13/2018 * Indicates a payer that requires additional enrollment information. 20

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OH SummaCare XNAT'L Summit America Insurance Services X X

KS Sunflower State Health Plan X XFL Sunshine State Health Plan X XTX Superior Health Plan X X X* X X

NAT'L Sutter Health Plus X*CA Sutter Select XNV Teachers Health Trust X*TN TennCare XTX TexanPlus (Integranet) X XTX TexanPlus (Kelsey-Seybold) X XTX TexanPlus North Texas Area X XTX TexanPlus Southeast Texas Area X XTX Texas First Health Plan (TOPA) X XTX Texas Medicaid X XTX Texas Medicaid Long Term Care X*

NAT'L The ULLICO Family of Companies X XMULTI Three Rivers Health Plan (PA, SC, WV) X XMULTI TLC Benefit Solutions (GA, TN) X

TX TML Intergovernmental Employee Benefits Pool X*WI Todays Health X IN Todays Options X XWI Together with Childrens Community Health Plan X

NAT'L Total Health Care X*NAT'L TransactRX Part D X X

NY Transamerica Financial Life Insurance XNAT'L Transamerica Premier Life Insurance X XNAT'L TRICARE East XNAT'L TRICARE West X X X*NAT'L TRICARE For Life X XNAT'L TRICARE Overseas X X

PR Triple-S Salud (BCBS Puerto Rico) XNAT'L TRISTAR X*NAT'L Trustmark X XMULTI Tufts Health Plan (MA, NH) X X* X X X*

MA Tufts Public Health Plans X X*MN Ucare Minnesota X

NAT'L UHC Secure Horizons AARP Medicare Supp X XFL Ultimate Health Plans X X

Last Updated 2/13/2018 * Indicates a payer that requires additional enrollment information. 21

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NAT'L UMR Wausau X XMULTI Underwriters Safety and Claims XNAT'L UNICARE X XNAT'L Unified Group Services X*NAT'L Union Pacific Railroad Employees X XNAT'L Unison Health Plan X X

CA United Agriculture Benefit Trust X*NAT'L United American Insurance Company Eligibility X X

OH United Commercial Travelers X*NAT'L United Healthcare X X X X XNAT'L United Healthcare Enhanced X*NAT'L United Mine Workers Association X*NAT'L United Teacher Associates Ins Co Medicare Supplement X XNAT'L UnitedHealth Community Plan X X X NAT'L UnitedHealthCare Life Insurance Company XNAT'L UnitedHealthcare Secure Horizons XNAT'L UnitedHealthcare Shared Services X

WI Unity Health Plan XNY Univera XMD Universal Benefit Corp X XCA Universal Care XFL Universal Health Care Group XAZ University Care Advantage Arizona X XAZ University Family Care X XHI University Health Alliance X*AZ University of Arizona Health Plans - UHM X XMO University of Missouri X XPA University of Pittsburgh Medical Center Health Plan XUT University of Utah Health Plan XAZ University Physicians Care Advantage X X

MULTI UPMC Health Plans X XNAT'L USAA Life Insurance Company X XNAT'L USAA Medicare Supplement X X

UT Utah Medicaid XUT Utah Medicaid (Batch) X

NAT'L VA Fee Basis Program X* XCA Valley Care Program XCA Valley Health Plan XPA Vantage Health X X

Last Updated 2/13/2018 * Indicates a payer that requires additional enrollment information. 22

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VT Vermont Medicaid X* XTX Village Family Practice X XVA Virginia Medicaid XVA Virginia Premier Health Plan X*NY Visiting Nurse Services of New York X XFL Vista Health Plan X X

NAT'L Vista/Summit X XAL VIVA Health XWA Washington Medicaid X XWI WEA Trust X

NAT'L WEB-TPA X XNH Well Sense Health Plan X

MULTI Wellcare (OH, FL, IL, GA, MO, NY, HI) X X X X NAT'L WellMed X*MULTI Wellmark Blue Cross Blue Shield (IA, SD) X X X X

NC Wellpath Select X XWV West Virginia CHIP XWV West Virginia Medicaid XWV West Virginia PEIA X

NAT'L Western and Southern Financial Group X XCA Western Health Advantage X X

MULTI Windsor Medicare Extra (AR, MS) X XWI Wisconsin Chronic Disease Program X XWI Wisconsin Medicaid X XWI Wisconsin Well Women Program X XWV WV CHIP Molina Medicaid Solutions X*WI WPS Health Insurance X X X* X*WY Wyoming Medicaid X XNY YourCare X

Last Updated 2/13/2018 * Indicates a payer that requires additional enrollment information. 23