Name Active Address City/State Zip Contact Phone

03/28/2012 12:34 pm Mid-South Gastroenterology Group Page 1 of 23 Insurance Carrier List

Insurance Carrier List Not Assigned -A- -B- BCBS Of Georgia Y BCBS Of Nebraska Y Box 3248 Main P O Station Omaha, NE 68180

-F- Forethought Life Insurance Y P O Box 14659 Clearwater, FL 33766

-H- Horizon Blue Cross Blue Shield Y P O Box 247 Dept V Newark, NJ 07101-0247 (800) 624-4758

-M- Medicare Y P O Box 12086 Birmingham, AL 35202-2086 (877) 567-7271 Medicare N Meritain Health Y GWH-Cigna Kennett, MO 63857 (200) 606-4908 1000 Great-West Dr.

-P- PHCS Y 7130 Columbia Gateway Dr Columbia, MD 21046 (800) 386-3632 Suite A

-S- Starbridge Y P.O. Box 5909 Scranton, PA 18505 (800) 859-0086

-T- TEMP ASSIST Y PO BOX 5527 Phoenix, AZ 85078 (800) 432-1776 (877) 872-2283

-U- UMR Y P.O BOX 2838 Clinton, IA 52733

-W- Wells Fargo TPA Y PO BOX 3262 Charleston, WV 25332 (800) 624-8605 Aetna -A- AETN Health-916 Y PO Box 916 Bismarck, ND 58502 (800) 435-5597 AETNA Y PO Box 14079 Lexington, KY 40512

-A- AETNA III Y PO Box 14079 Lexington, KY 40512 (877) 580-5018 AETNA INS El Paso Y PO Box 14079 Lexington, KY 40512 (800) 435-2969

Name Active Address City/State Zip Contact Phone

03/28/2012 12:34 pm Mid-South Gastroenterology Group Page 1 of 23 Insurance Carrier List

BCBS -B- BCBS Of Georgia Y PO Box 7368 Columbus, GA 31908 (866) 873-4010 BCBS of Mississippi Y PO Box 23071 Jackson, MS 39225 (800) 709-0973 BCBS of Tennessee Y 1 Cameron Hill Circle Suite 0002 Chattanooga, TN 37402-0002 (800) 924-7141 Blue Cross Blue Shield Y PO Box 23071 Jackson, MS 39225 Blue Cross Blue Shield Y 550 12th Street SW Washiongton, DC 20065 Blue Cross Blue Shield Y PO Box 1043 Jackson, MS 39215 Blue Cross of Alabama Y PO Box 83029 Birmingham, AL 35283 Blue Cross of Arkansas Y PO Box 2181 Little Rock, AR 72203 Blue Cross of California Y PO Box 4386 Woodland Hill, CA 91365 (877) 737-7776 BlueCross BlueShield IL Y PO Box 1364 Chicago, IL 60690 BlueCross of Minnesota -B- BlueCross of Minnesota Y P.O. Box 64338 St Paul, MI 55164 (800) 262-0820 Cigna -C- Cigna Y P O Box 188004 Chattanooga, TN 37422 CIGNA Chattanooga Y PO Box 182223 Chattanooga, TN 37422 (800) 244-6224 Cigna Health Care Y P.O. Box 188004 Chattanooga, TN 37422 (800) 589-0086 CIGNA Insurance N PO Box 9337 Sherman, TX 75091 (800) 438-3970 Conneticut General II Y PO Box 10485 Des Moines, IA 50306 (800) 633-2231 Conneticut General Life Y Memphis Claim Office Memphis, TN 38187 PO Box 171806

-N- NBLA Membership Plan PCI Y 1300 Virginia Drive Ste 315 Fort Washington, PA 19034 (888) 774-0848 Commercial -A- A B S INC Y 1355 Lynnfield Memphis, TN 38119 (901) 680-9450 Suite 120 -A- A S Barboro Inc Y 4116 B F Goodrich Memphis, TN 38118 AAG INC II Y P O BOX 619012 AC Dallas, TX 75261 (800) 507-8008

Name Active Address City/State Zip Contact Phone

03/28/2012 12:34 pm Mid-South Gastroenterology Group Page 1 of 23 Insurance Carrier List

AAG INC/Methodist Heal Y P O Box 830650 Birmingham, AL 83065-0 (800) 507-8008 AAG Methodist Health CH Y P O Box 802422 Dallas, TX 75261-9012 AARP Y 601 E Street NW Washington, DC 20049 (800) 523-5800 AARP Y 505 N Brand bl #850 glendale, CA 91203 (818) 484-9027 AARP Healthcare Options Y P O Box 740819 Atlanta, GA 30374-0819 (800) 523-5800 United Healthcare Division (800) 227-7789 AARP Healthcare Options Y P O Box 13999 Philadelphia, PA 19187-0216 (800) 523-5800 ABA Claims Processing Y 199 S Black Horse Pike Blackwood, NJ 08012 ABS INC Y PO Box 40879 Memphis, TN 38174-0879 (901) 725-6435 ABS INC II Y P O Box 41779 Memphis, TN 38174-0879 (901) 725-6435 Acclaim Medical Service Y 808 Varsity Drive Tupelo, MS 38801 ACEC Healthplan Service Y P O Box 44109 Las Vegas, NV 89116 ACORDIA Y P O Box 567 Memphis, TN 36162 Acordia Benefits Y P O Box 22159 Indianapolis, IN 46222 Acordia Georgia Claim O Y 3575 Kroger Blvd Duluth, GA 30136 Suite 400 Acordia National Y P O Box 3262 Charleston, WV 25332-3262 (800) 624-8605 Acordia National 111 Y PO Box 11522 Charleston, WV 25339 (888) 920-6971 Acordia of the South I Y 3575 Kroger Blvd Duluth, GA 30136 Suite 450 ACS Benefit Services Y PO Box 2000 Winston Salem, NC 27109 (800) 227-7464 Administrative Benefits Y PO Box 40879 Memphis, TN 38174 Administrative Concepts, Inc. Y 994 Old Eagle School Rd, Ste 1005 Wayne, PA 19087-1802 (800) 964-7096 Administrative Enterrprise Y 3404 W Cheryl Drive Phoenix, AR 85051 Suite 281 Administrative Services Y PO Box 7280 Rosemont, IL 60018 Administrative Srvs Inc Y 2187 Northlake Pkwy Tucker, GA 30084 (800) 959-3953 Suite 106 Bldg 9 Adminitron Inc Y PO Box 5095 Brentwood, TN 37024 Advance PCS Y PO Box 14977 Jackson, MS 39236 Advanced Insurance Admi Y 1525 Merrill Drive Little Rock, AR 72211 Suite 2000 Adventist Risk Management Y PO Box 4759 Silver Spring, MD 20914 Aetna Y P.O. Box 981106 El Paso, TX 79998 (888) 632-3862 Aetna HMO Y P.O. Box 14089 Lexington, KY 40512 AFLAC Y 1932 Wynnton Road Columbus, OH 31999 Agency Services Y PO Box 17237 Memphis, TN 38187 AH and L Y PO box 8020 North Olmstea, OH 44070 AHA Y PO Box 8530 Kansas City, MO 64114 -A- AIA Y PO Box 2918 Shawnee Missi, KS 66201

Name Active Address City/State Zip Contact Phone

03/28/2012 12:34 pm Mid-South Gastroenterology Group Page 1 of 23 Insurance Carrier List

C/O Centennial Insurance Albertson's Insurance Y PO Box GG Boise, ID 83707 Alliance Life Insurance Y PO Box 23907 Columbia, SC 29224 Alliance PPO LLC Y PO Box 934 Frederick, MD 21705 (800) 443-8087 Allied Administrators Y PO Box 419233 Worchester, MA 64141 Allied Benefit Systems Y PO Box 909786 Chicago, IL 60690 Allied Financial Y PO Box 1018 Worchester, MA 01653 Allmerica Financial Y 440 Lincoln Street Worchester, MA 01653 PO Box 171806 Allright Parking Y PO Box 171806 Memphis, TN 38187 Allstate Insurance Y Po Box 853916 Richardson, TX 75085 (800) 937-7039 Alta Health Strategies Y PO Box 30120 Salt Lake City, UT 84130 AMA Insurance Agency Y 515 N State Chicago, IL 60654 (800) 458-5736 Amalgamated Life Y P O Box 1451 New York, NY 10116 (212) 539-5100 Amalgamated Life Insurane Y P O Box 5432 White Plains, NY 10602 (800) 315-9175 AMCO Y PO Box 8219 Little Rock, AR 72221 Ameriben Solutions Y PO Box 7186 Boise, ID 83707 America Choice Healthpl Y PO Box 922043 Houston, TX 77292 (877) 224-3627 America First Insurance Y PO Box 16708 Jackson, MS 39236 American Admin Group Y PO Box 34297 San Antonio, TX 78265 American Admin Group Y PO Box 5227 Lisle, IL 60532 American Adminstrative Y PO Box 619012 Dallas, TX 75261 American Benefits Managements Y 8310 Port Jackson Ave NW North Canton, OH 44720 (800) 451-6245 American Care Y PO Box 200872 Arlington, TX 76006 American Combined Y 5050 Broadway Chicago, IL 60640 American Commercial Lin Y PO Box 610 Jefferson, IN 47131 (800) 548-7689 American Family Insurance Y PO Box 7430 Madison, WI 53783 American Family Life Y 1932 Wynnton Road Oklahoma City, OK 31999 American Fidelity Y PO Box 25160 Oklahoma City, OK 23125 American Fidelity II Y PO Box 25523 Oklahoma City, OK 73125 2000 Classen Center American Fidelity III Y 6300 Bridgeport Parkway Austin, TX 78730 (888) 368-7910 Building 3, Suite 400 American General Insurance Y PO Box 1500 Nashville, TN 37202 American General Life Y PO Box 307 Langhorne, PA 19047 American Health Group Y PO Box 1500 Maumee, OH 43537 American Healthcare Y PO Box 8530 Kansas City, MO 64114 (800) 426-7453 American Heritage Life Y Po Box 853916 Richardson, TX 75085-3916 (800) 937-7039 American Life Care Y PO Box 30749 New Orleans, LA 70190 American Life Care II Y PO Box 952009 Richland Hill, TX 76182 (888) 757-0703 -A-

Name Active Address City/State Zip Contact Phone

03/28/2012 12:34 pm Mid-South Gastroenterology Group Page 1 of 23 Insurance Carrier List

American Life Insurance Y PO Box 4884 Houston, TX 77210 (800) 552-7879 American Life Insurance Y PO Box 3107 McKinney, TX 75070 (972) 540-7850 MCR Supplement Claim American Lifecare Y 1100 Poydras St. New Orleans, LA 70163 (800) 826-9781 Suite 260 American Medical Security Y PO Box 19032 Green Bay, WI 54307 (800) 232-5432 American Pioneer Life Y PO Box 130 Pensacola, FL 32591 (800) 999-2224 American Postal Workers Y PO Box 967 Silverspring, MD 20910 American PPO Y 600 E John Carpenter FW Irving, TX 75062 (877) 223-3372 Suite 170 American Public Life Ins Y PO Box 925 Jackson, MS 39205 (800) 256-8606 American Republic Y PO Box 2975 Clinton, IA 52733 American Republic Insurance Y PO Box 22389 Nashville, TN 37202 American Republic Insurance Y P O Box 21670 Eagan, MN 55121-0670 (800) 247-2190 American Solutions Y PO Box 7186 Boise, ID 83707 American Sterling Y PO Box 26103 Overland Park, KS 66225 (877) 719-2166 American Trust Administration Y PO Box 587 Shawnee Missi, KS 66201 Americorps Vista Y PO Box 33757 Indianapolis, IN 46203 Americorps Vista Y PO Box 90260 Indianapolis, IN 46290 (800) 847-8217 Amerihealth Admin Y 720 Blair Mill Rd Horsham, PA 19044 (888) 678-2360 AmFirst Health Ins Y PO Box 16708 Jackson, MS 39236 (888) 888-2519 AMFRCO Health Plan Y 2721 N Central Ave Phoenix, AZ 85004 Anthem Y PO Box 531190 Indianapolis, IN 46253 Anthem Blue Cross Blue Shield Y PO Box 37010 Louisville, KY 40233 (800) 468-6071 Anthem Group Services Y 1188 Franklin Street San Fransisco, CA 94109 Anthem Health and Life Y 3575 Kroger Blvd Duluth, GA 30136 Suite 400 Anthem Health and Life Y PO Box 6880 Piscataway, NJ 08855 Anthem Health and Life Ins Y PO Box 956353 Duluth, GA 30136 APWU Y P O BOX 967 Silverspring, MD 20910 (800) 222-2798 APWU Health Plan Y PO Box 1358 Glen Burnie, MD 21060 (800) 222-2798 Arkansas Best Corp Y Benefits Dept Fort Smith, AR 72917 (479) 785-6178 PO Box 10048 Arkansas First Source Y PO Box 2181 Little Rock, AR 72203 Reimbursement and Reprici ASI Y 2187 Northlake Pkwy 10 Tucker, GA 30084 ASRM Y 505 South Lenola Road, Ste 231 Moorestown, NJ 08057 (800) 359-7475 Assurant Health Y P O Box 2806 Clinton, IA 52733-2806 (800) 553-7654 Assurant Health Y P.O. Box 981652 El Paso, TX 79998 (800) 328-4316 Assurant Health Y PO Box 42033 Hazelwood, MO 63042 (800) 553-7654 Assurant Health Y P O BOX 981602 El Paso, TX 79998 (800) 800-2412

Name Active Address City/State Zip Contact Phone

03/28/2012 12:34 pm Mid-South Gastroenterology Group Page 1 of 23 Insurance Carrier List

-A- Atlanta NEF Benefits Y PO Box 11111 Ft. Scott, KS 66701 (800) 663-8081 Aultra Y PO Box 35276 Canton, OH 44735 AVMA Group Health Insurance Y P O Box 909720 Chicago, IL 60690-9720 (800) 621-6360

-B- Bakery and Confectionery Y 10401 Connecticut Ave Kensington, MD 20895 Bankers Fidelity Life Y PO Box 105652 Atlanta, GA 30348 (800) 241-1439 Bankers Life & Casualty Y PO Box 1935 Carmel, IN 46082 (312) 396-6000 Bankers Life and Casualty Y PO Box 66927 Chicago, IL 60660 Bankers Life Ans Casualty Y 222 Merchandise Mart Pl Chicago, IL 60654 (800) 688-0010 BCBS Michigan Y 600 Lafayette East Detroit, MI 48226 (800) 482-3146 Beech Street Y PO Box 57015 Irvine, CA 92619 (800) 937-2277 Beech Street II Y PO Box 7003 Parkersburg, WV 26102 (800) 669-2255 Beech Street III Y PO Box 853925 Richardson, TX 75085 (800) 201-0450 Beech Street IV Y PO Box 260808 Plano, TX 75026 (800) 694-9888 BeechStreet Y P O Box 45018 Fresno, CA 93718 Benefit Administration Y 5005 Roadside Road Cleveland, OH 44131 PO Box 120 Benefit Administration Y PO Box 14208 Jackson, MS 39236 Benefit Administrative Y 17475 Jovanna Drive Homewood, IL 60430 Suite 1 Benefit Administrative Systems, LLC Y P O BOX 2920 Milwaukee, MI 53201-2920 (708) 799-7400 Benefit Administrators Y PO Box 6827 Dotham, AL 36302 Benefit Concepts II Y PO Box C5009 Warminster, PA 18974 Benefit Concepts III Y PO Box 61572 King of Pruss, PA 19406 Benefit Concepts Inc Y PO Box 2843 Warminster, PA 18974 Benefit Innovation LTD Y 737 N Michigan Ave Chicago, IL 60611 Benefit Management Serv Y PO Box 1240 Matthews, NC 28106 Benefit Management Systems Y P O Box 98044 Baton Rouge, LA 70898 (800) 227-8927 Benefit Planners Insurance Y PO Box 690450 San Antonio, TX 78269 (800) 292-5386 Benefit Systems and Service Y 760 Pasquinelli Drive Westmont, IL 60559 (866) 244-4951 Suite 320 Benesight Y PO Box 360 Pueblo, CO 81002 (877) 279-3211 Benesight 380 Y PO Box 380 Pueblo, CO 81002 (877) 279-3211 Benesight II Y PO Box 385 Pueblo, CO 81002 (888) 413-0947 Benesight III Y PO Box 375 Pueblo, CO 81002 (800) 251-2991 Benesight IV Y PO Box 395 Pueblo, CO 81002 Benesight V Y PO Box 370 Pueblo, CO 81002 (877) 718-6919 Benesys, Inc Y PO Box 81189 Lafayette, LA 70598 Best Health Insurance Company (Futura) Y Better Health Plan Y PO Box 1135 Monroeville, PA 15146 (800) 600-9007 Big Lots Associate BENE Y PO Box 9071 Dublin, OH 43017

Name Active Address City/State Zip Contact Phone

03/28/2012 12:34 pm Mid-South Gastroenterology Group Page 1 of 23 Insurance Carrier List

-B- BlueAdvantage of Arkansas Y P O Box 1460 Little Rock, AR 72203 (800) 676-2583 BMI Arkansas Y PO Box 5989 N Little Rock, AR 72119 (501) 375-5500 BMS Insurance Company Y Po Box 2058 Madison, MS 39130 (601) 607-4235 Boilermakers Health Y PO Box 23825 Tucson, AZ 85734 (800) 242-5444 Boon Chapman Benefit AD Y PO Box 66128 Austin, TX 78766 (800) 252-9653 Bridgestone Claims Services Y P O Box 247 Sheldon, IA 51201 (330) 379-6500 Bridgestone Firestone Y PO Box 5224 Janesville, WI 53547 Bridgestone Firestone Claims Dept N PO Box 26605 Akron, OH 44319 (800) 237-8447 Brown and Brown Benefits Y PO Box 2480 Daytona Beach, FL 32115 (800) 323-4890

-C- CAIC Y P O Box 6080-226 Mission Viejo, CA 92690-6080 (800) 433-3036 Cannon Cochran MGMNT Y PO Box 1430 Danville, IL 61834 (800) 807-9938 Capella Group Y PO Box 200368 Arlington, TX 76006 Care Improvement Plus Y P.O. Box 4347 Scranton, PA 18505 (866) 739-5904 Care Improvements Plus Y P.O. Box 488 Linthicum, MD 21090 (866) 679-3119 Cariten Preferred Y PO Box 22987 Knoxville, TN 37933 (800) 284-0042 Carrington International - PHCS Y P O Box 2568 Frisco, TX 75034 (888) 335-8222 CBA Y P O Box 6249 Lincoln, NE 68506 (402) 483-9200 CBCA Administrators Y PO Box 552 Minneapolis, MN 55440 CBCA Administrators III Y PO Box 902 Beattyville, KY 41311 (800) 354-4225 CBCA Administrators IN Y PO Box 9000 London, KY 40742 (800) 365-2861 CBCA Administrators Inc VI Y P O Box 1339 Minneapolis, MN 55440-1339 (800) 631-3441 CBCA III Y PO Box 1811 Beattyville, KY 41311 CBSA II Y PO Box 27267 Minneapolis, MN 55427 (800) 925-2272 CBSA Inc Y PO Box 738 Hopkins, MN 55343 (800) 765-4224 CCMSI 10155 Y PO Box 1430 Danville, IL 61834 (800) 634-3506 CCN Republic Parking Y Attn Claims Chattanooga, TN 37450 (800) 937-6824 Ste 2000 Republic Center CEBA Claims Y 6300 Bridgepoint Pkwy Austin, TX 78730 (800) 247-7724 Building 3 Suite 500 Celtic Individual Health Y PO Box 33839 Indianapolis, IN 46203 Central Benefits II Y PO Box 850658 Richardson, TX 75085 (800) 777-3377 Central Benefits Ohio Y PO Box 182042 Columbus, OH 43218 (800) 777-3377 Central Reserve Life Y PO Box 247002 Omaha, NE 68124 (800) 821-3997 Central States Y PO Box 5116 Des Plaines, IL 60017 Central United Life Y PO Box 925309 Houston, TN 99292 (800) 669-9030 Century Healthcare Y P O Box 2256 Grapevine, TX 76099 (888) 444-1995 Champus Med Plus Y PO Box 9126 Des Moines, IA 50306 Champus Tricare Y PO Box 7031 Camden, SC 29020 (800) 444-5445 Champva Y PO Box 469064 Denver, CO 80246-9064 (800) 733-8387

Name Active Address City/State Zip Contact Phone

03/28/2012 12:34 pm Mid-South Gastroenterology Group Page 1 of 23 Insurance Carrier List

Champva Center Y 4500 Cherry Creek Dr S Denver, CO 80222

-C- Box 300 Chandler Group Suprien Y PO box 20900 Stow, OH 44224 (800) 333-3304 Charlotte Healthcare SE Y Mutual of Omaha Charotte, NC 28266 (006) 340-069 PO Box 668587 Chesterfield Resources Y PO Box 1884 Akron, OH 44309 (888) 575-3132 Chickering Claims Adm Inc Y P O Box 15708 Boston, MA 02215-0014 (877) 373-2708 Choice Benefits Y P O Box 10048 Fort Smith, AR 72917-0048 (800) 672-2140 Christian Brothers Emp Y 1205 Windham Parkway Romeoville, IL 60446 Church Health Center Y 1210 Peabody Ave Memphis, TN 38104 (901) 272-0010 [1115] Cigna c/o NALC Y P.O. Box 5909 Scranton, PA 18505 (888) 636-6252 Cinergy Health, Inc. Y 1844 N Nob Hill Rd #623 Plantation, FL 33322 (800) 847-1148 City of Germantown Y 1930 S. Germantown Road Germantown, TN 38138 (901) 757-7274 Claims Administration Y Corporate Benefit SE Charlotte, NC 28220 PO Box 12953 Claims Department Y PO Box 260808 Plano, TX 75026 (800) 694-9888 [273] CNA SRC Y PO Box 23907 Columbia, SC 29224 Co-Ordinated Benefits Plans, Inc. Y P O Box 20594 Tampa, FL 33622-0594 (800) 992-8044 Commerce Benefits Grp Y PO Box 900 Elyria, OH 44036 (800) 223-9941 Commonwealth Service CT Y PO Box 9016 Andover, MA 01810 (800) 442-9300 Community Service Network Y PO Box 3400 Cordova, TN 38088 (901) 266-7276 Conley Frog Switch and FO Y PO Box 9188 Memphis, TN 38109 (901) 948-4591 Consociate Group Y PO Box 1068 Decatur, IL 62525 (800) 798-2422 Consolidated Health Care (Gold Plan) Y Consultec TN BH Members Y PO Box 12400 Tallahassee, FL 32317 (800) 447-7242 Continental General Ins Y PO Box 247004 Omaha, NE 66124 (800) 325-6933 Continential American Insurance Y 160 Eileen Way Syosset, NY 11791 (866) 522-6163 Contractors Employee Ben Y 6300 Bridgeport Parkway Austin, TX 78730 (800) 247-7724 Building 3 Suite 500 Coresource Y PO Box 6118 Westerville, OH 43086 Coresource Y PO Box 83301 Lancaster, PA 17603 (800) 624-7130 Coresource Brooklyn Ctr Y PO Box 1195 Minneapolis, MN 55440 (800) 444-6965 Coresource Ikes Y PO Box 8215 Little Rock, AR 72221 (888) 604-9397 Coresource IV Y 4940 Campbell Blvd Baltimore, MD 21236 (800) 624-7130 Suite 200 Coresource Tuscon Y 7830 East Broad Tuscon, AZ 85710 (800) 888-7202 Coresource V Y PO Box 2920 Clinton, IA 52733 Corporate Plan Management Y 2900 SW Wanamaker Drive #201 Topeka, KS 66614-4191 (800) 999-1781 Covenant Administrators Y PO Box 105738 Atlanta, GA 30348

Name Active Address City/State Zip Contact Phone

03/28/2012 12:34 pm Mid-South Gastroenterology Group Page 1 of 23 Insurance Carrier List

Coventry Y P O BOX 8400 London, KY 40742 (800) 231-7635 Coventry Health Y P O Box 7170 London, KY 40742 (866) 765-7747 -C- Coventry Health Care Y PO Box 7707 London, KY 40742 (800) 341-6613 Coventry Health Care Y P O Box 7404 London, KY 40742 (800) 638-8432 Coventry Health Care of Georgia, Inc. Y P.O. Box 7711 London, KY 40472 (800) 395-2545 CrossAmerica Health Plans Y 100 Eagle Rock Avenue Ste 121 East Hanover, NJ 07936 (800) 364-4137 CTI Administrators Y 100 Court Avenue Ste. 306 Des Moines, IA 50309 (800) 245-8813

-D- D and V Health and Welfare FU Y PO Box 247 Alpharetta, GA 30009 (800) 435-4080 Definity Health Y PO Box 9525 Amhurst, NY 14226 (866) 333-4648 Definity Health II Y PO Box 740810 Atlanta, GA 30374 Dept of State Medical S Y Claim Section Washington, DC 20501 800 Independence Ave Room 9005

-E- EBA and M Corporation Y PO Box 5079 Westlake Village, CA 91359 (800) 249-8440 EBMS Y P O Box 21367 Billings, MT 59104 (866) 648-3769 (866) 247-1345 EBS of Louisiana, Inc Y PO Box 94488 Lubbock, TX 79493 (800) 256-2657 EMC Y PO Box 3368 Brentwood, TN 37024 (888) 848-3656 Employee Benefit Consultants Y P O Box 928 Findlay, OH 45839 (888) 685-7774 Employee Benefit Services Y P O Box 13749 Jackson, MS 39236 (601) 353-0002 Employer Plan Services Y 2180 N Loop West Houston, TX 77018 Number 400 Employers Health Insurance Y PO Box 5620 Madison, WI 53705 Attn Claims Department Encompass Y 600 Westown Pkwy W Des Moines, IA 50266 (800) 511-3389 Suite 350 E Dept 100 Entrust Inc Y P O Box 441588 Houston, TX 77244 (281) 368-7878 Epoch Group LC Y PO Box 12170 Overland Park, KS 66282 (800) 255-6065 EPOCH HL Y PO Box 419104 St Louis, MO 63141 (800) 365-9036 Equitable Life and Casual Y PO Box 2460 Salt Lake City, UT 84110 (801) 521-2500 348 East South Temple

-F- F L Crane & Sons, Inc. Y P O Drawer 1400 Oxford, MS 38655 (800) 357-7553 F L Crane, Inc. Y P O Drawer Oxford, MS 38655 (800) 357-7553 Family Life Insurance Y P O box 925309 Houston, TX 77292-5309 (800) 669-9090 Federated HR Services Y PO Box 8036 Mason, OH 45040 Federated HR Services I Y PO Box 0669 Buckeyestown, MD 21717 (800) 337-2363

Name Active Address City/State Zip Contact Phone

03/28/2012 12:34 pm Mid-South Gastroenterology Group Page 1 of 23 Insurance Carrier List

Federated HR Services I Y PO Box 850958 Richardson, TX 75085 (800) 337-2363 Firserv Y PO Box 360 Pueblo, CO 81002 (800) 338-0327 First Health Y P O Box 8400 London, KY 40742 (800) 995-4014 First Health Y P O Box 8403 London, KY 40742 (800) 410-7778 -F- First Health Y PO Box 23820 Tucson, AZ 85734 First Health 11810 Y PO Box 11810 Tucson, AZ 85734 (800) 848-8662 First Health 23821 Y PO Box 23821 Tucson, AZ 85734 (800) 774-8060 First Health 23823 Y PO Box 23823 Tucson, AZ 85734 First Health 24505 Y PO Box 24505 Tucson, AZ 85734 First Health 68917 Y PO Box 68917 Tucson, AZ 85734 First Health I Y PO Box 24100 Tucson, AZ 85734 (800) 332-5525 First Health II Y PO Box 11490 Tucson, AZ 85734 (800) 627-6396 First Health II Y PO Box 3265 Scottsdale, AZ 85271 First Health III Y PO Box 11138 Tucson, AZ 85734 (800) 648-4670 First Health INC Y PO Box 22410 Tucson, AZ 85734 (800) 962-7809 First Health IV Y PO Box 23550 Tucson, AZ 85734 (800) 852-0611 First Health MCR Y PO Box 7154 London, KY 40742 (866) 386-2330 First Health Network Y PO Box 23978 Tucson, AZ 85734 (800) 832-6411 First Health Network Y P O Box 5190 Tampa, FL 33675-5190 (888) 685-7774 First Health Tuscon Y PO Box 23813 Tucson, AZ 85734 (800) 995-4014 First Health Tuscon Y PO Box 11127 Tucson, AZ 85734 (800) 571-3517 First Health V Y PO Box 11755 Tucson, AZ 85734 (800) 646-2059 First Health VI Y PO Box 23815 Tucson, AZ 85734 (800) 627-4759 First Health VII Y PO Box 23339 Tucson, AZ 85734 (800) 679-1918 First Health VIII Y PO Box 11709 Tucson, AZ 85734 First Service Administrators, Inc. Y P O Box 90847 Lakeland, FL 33804-0847 (866) 667-8415 Fiserv Health Y PO Box 305154 Nashville, TN 37230 (800) 255-8109 Fiserv Health Y PO Box 520 Pueblo, CO 81002 (800) 785-3420 Fiserv Health Y P O Box 520 Pueblo, CO 81002-0520 (800) 785-3420 Fiserv Health Benefit Y P O Box 690450 San Antonio, TX 78269 (877) 259-3785 Fiserv Health Services Y PO Box 8077 Wausau, WI 54402 (866) 299-9090 Fiserv Health TN Y PO Box 510 Pueblo, CO 81002 (800) 785-3420 Fiserve Health Y PO Box 690450 San Antonio, TX 78269 (866) 868-8228 FMH Benefit Services Y PO Box 25946 Overland Park, KS 66225 Foreign Service Benefit Y 1716 N Street NW Washington, DC 20036 (202) 833-4910 Fortis Insurance Company Y PO Box 624 Milwaukee, MI 53201 Foundation Benefits Adm Y 6300 Bridgeport Parkway Austin, TX 78730 (888) 368-7910 Building 3 Suite 400 Fox Everett Y PO Box 23096 Jackson, MS 39225 Fox-Everett Inc Y P O Box 6012 Ridgeland, MS 39158 (888) 582-3370

Name Active Address City/State Zip Contact Phone

03/28/2012 12:34 pm Mid-South Gastroenterology Group Page 1 of 23 Insurance Carrier List

FSI of Tennessee Y PO Box 10170 Dept 16 Phoenix, AZ 85064

-G- Gallagher Benefit Admin Y PO Box 5227 Lisle, IL 60532 (866) 471-6022 Gallagher Benefit II Y PO Box 34297 San Antonio, TX 78565 (866) 471-6045 GE Group Adm. II Y PO Box 100252 AF-140 Columbia, SC 29202

-G- GE Group Administrators Y PO Box 150809 Arlington, TX 76015 GE Health Manager Y PO Box 100252 Columbia, SC 29202 GEHA Y PO Box 4665 Independence, MO 64051 (800) 821-6136 GEHA II Y Po Box 10304 Kansas City, MO 64111 Genworth Financial Y P O Box 10821 Clearwater, FL 33757-8821 (877) 825-9337 Gerber Life Insurance Company Y PO Box 2271 Omaha, NE 68103 (877) 656-5424 GHI Y PO Box 3000 New York, NY 10116 (212) 501-4444 Gilsbar Inc Y PO Box 2497 Covington, LA 70434 GISC Y PO Box 9120 Marshfield, MA 02050 (800) 242-4472 GM-Southwest Y PO Box 801067 Dallas, TX 75380 (800) 550-4870 Golden Rule Y 419 East Main St Middletown, NY 10940 (619) 943-5305 Golden Rule II Y 712 Eleventh Street Lawrenceville, IL 62439 (618) 943-5305 Golden Rule Insurance Ccompany Y 7440 Woodland Drive Indianapolis, IN 46278-1719 (800) 657-8205 Goodyear Tire and Rubber Y PO Box 677 Akron, OH 44309 Medical Benefits Dept. 6 Great West Y PO Box 11111 Ft. Scott, KS 66701 (800) 445-2158 Great West Casualty Co. Y PO Box 277 Sioux City, NE 68776 Great West HMO Y PO Box 88047 Dallas, TX 30356 Great West Life and Annuity(Cigna) Y 1000 Great West Dr. Kennett, MO 63857 (800) 445-2158 Group & Pension Administrators Y P O Box 749075 Dallas, TX 75374-9075 (866) 206-3224 Group Adminitrators LT Y 450 E. Remington Rd. Schaumburg, IL 60173 (847) 519-1093 Group Benefits Y PO Box 44036 Baton Rouge, LA 70804 (800) 215-1093 Group Resources Incorporated Y PO Box 100043 Duluth, GA 30096 Guarantee Trust and life Y PO BOX 1144 Glenview, IL 60025 (800) 338-7452 Guardian Y PO Box 423 E. Bridgewater, MA 02333 Guardian II Y PO Box 8024 Appleton, WI 54912 (800) 685-4542 Guardian III Y PO Box 8007 Appleton, WI 54912 Gulf Guaranty Employee Y PO Box 14977 Jackson, MS 39236 GWH - Cigna PPO Y 1000 Great West Drive Kennett, MO 63857-3749 (888) 728-4373

-H- Hammerman & Gainer Y 909 Lake Carolyn Pkwy. Ste. 1900 Irving, TX 75039 (877) 346-4434 Hammerman & Gainer, Inc Y 800 West Ariport Freeway Irving, TX 75062 (866) 444-5577 Claims LB 6059 Harrington Benefit Service Y PO Box 720 Pueblo, CO 81002 (800) 446-8182 Harrington Health Y P O Box 30544 Salt Lake City, UT 84130 (800) 235-7160

Name Active Address City/State Zip Contact Phone

03/28/2012 12:34 pm Mid-South Gastroenterology Group Page 1 of 23 Insurance Carrier List

Harrington II Y PO Box 1818 Dayton, OH 45401 (800) 654-6205 Hartford Claims Service Y P O Box 31001 Tampa, FL 33631 (800) 637-5410 HCCMIS Claims Department Y P O Box 863 Indianapolis, IN 46206 (800) 605-2282 Health Advantage Y PO Box 8069 Little Rock, AR 72203 Health Choice/AAG Y PO Box 619012 Dallas, TX 75261 Health Cost Solutions Y PO Box 1439 Hendersonville, TN 37077 (800) 526-3919

-H- Health Net Y PO Box 14702 Lexington, KY 40512 Health Partners Y PO Box 41559 Jackson, TN 38303 Health Partners Y P O Box 3730 Jackson, TN 38303-3730 (800) 694-7888 Health Partners Y P O Box 1309 Minneapolis, MN 55440-1309 (800) 883-2177 Healthchoice Y PO Box 41559 Memphis, TN 38174 Healthcomp Y PO Box 45018 Fresno, CA 93718 (800) 422-7247 HealthEOS by Multiplan Y Po Box 6090 De Pere, WI 54115 (800) 631-3441 Healthplan Services Y P.O Box 44199 Las Vegas, NV 89116 (800) 681-0056 Healthscope Benefits Y PO Box 619057 Dallas, TX 75261 (800) 884-0803 Healthsmart Y P.O. Box 53010 Lubbock, TX 79453 (800) 805-0622 Highmark BCBS Y PO Box 535078 Pittsburgh, PA 15253 Holden and Company, INC. Y PO Box 489 Buckeyestown, MD 21717 (800) 694-9888 Humana Y PO Box 14601 Lexington, KY 40512 (877) 227-8188 Humana Claims Y PO Box 14610 Lexington, KY 40512 (866) 427-7478 Humana Claims Office Y PO Box 14635 Lexington, KY 40512 (800) 833-6917 Humana Gold Choice Y PO Box 14601 Lexington, KY 40512 (877) 511-5000

-I- IAB Y PO Box 224767 Dallas, TX 75222 (866) 404-5970 IAC Y P O Box 828 Park Ridge, IL 60068-0828 (800) 231-9045 IAP Specialist/Middle Y PO Box 78157 Nashville, TN 37207 (866) 902-3994 (615) 467-1004 Illinois Central Hospital Association Y 18501 Maple Creek Dr. Tinley Park, IL 60477 (800) 253-1272 Suite 100 ILWU-PMA Coastwise Indemnity Plan Y 814 Misson Street Ste 300 San Francisco, CA 94103 (800) 955-7376 Independence Administrators Y P O Box 1010 Horsham, PA 19044 (888) 356-7899 Informed Insurance Y P O Box 6752 Annapolis, MD 21407 (800) 459-2110 Insurance Center Y PO box 982009 North Richland Hills, TX 76182 Insurance Center II Y PO Box 982017 North Richland Hills, TX 76182 (888) 756-3534 Insurance Management Y PO Box 71120 Bossier City, LA 71171 (800) 742-9944 Insurance Management Service Y PO Box 15688 Amarillo, TX 79105 (800) 687-5944 InsuranceTPAcom Y P O Box 15953 79490 5953, 79490-5953 (800) 279-2290 Insurex Benefits Y PO Box 41779 Memphis, TN 38174 (901) 725-6435 Integritas Benefits Grpoup Y PO Box 1447 Cordova, TN 38088 (901) 685-8980 Inter Plan Y PO Box 2090C Stow, OH 44224 (800) 837-3711

Name Active Address City/State Zip Contact Phone

03/28/2012 12:34 pm Mid-South Gastroenterology Group Page 1 of 23 Insurance Carrier List

Intercare Health Plan Y PO Box 3559 Englewood, CO 80155 International Benefits Administrators Y P O Box 9306 Garden City, NY 11530-9306 (866) 830-8380 International Medical Assistance Y 616 Corporate Way Suite 2 Valley Cottage, NY 10989 Iron Workers Local Union Y PO Box 1449 Goodlettsville, TN 37070 (615) 859-0131

-J- J P Farley Corporation Y PO Box 458022 Westlake, OH 44145 (901) 725-6435 John Allen Life Ins. Y PO Box 1599 Boise, ID 83701

-J- -K- Kaiser Foundation Healthplan Y PO Box 7004 Downy, CA 90242 Claims Administration Kanawha Healthcare Y PO Box 1000 Lancaster, SC 29721 Key Benefit Administration Y PO Box 55210 Indianapolis, IN 46205 Key Benefit Adminstrators Y P O Box Fort Mill, SC 29716 (888) 748-2636 1279 Key Benefitet Admin. Ins. Y PO Box 1449 Fort Mill, SC 29716 (866) 867-6883 Key Family of Companies Y Attn: American Worker Health Inianapolis, IN 46220 (866) 225-8880 P.O. Box 20765 Klais & Company Y 1867 West Market Akron, OH 44313 (330) 867-8443

-L- Laborer's Health Y 11465 Cermark Road Westchester, IL 60154 (866) 906-0200 Langston Companies, INc. Y PO Box 60 Memphis, TN 38101 (901) 774-4440 Liberty Mutual Insurance Y PO Box 12575 Jackson, MS 39236 Life of America Y 2727 Allen Parkway Houston, TX 77019 Wortham Tower Lincoln Heritage Life I Y PO Box 10843 Clearwater, FL 33757 (888) 586-8810 Medicare Claims Service Local 218 Health Y PO Box 115027 Atlanta, GA 30310 Loomis Benefit West Y Po Box 13906 Reading, PA 19612 (800) 498-6250 Loyal American Insurance Y P O Box 30010 Austin, TX 78755-0301 (800) 633-6752 Lumenos Inc Y PO Box 69309 Harrisburgh, PA 17106

-M- Magnolia Claims Y P O Box 3090 Farmington, MO 63640-3825 (866) 912-6285 Mailhandlers Benefit PL N PO Box 44242 Jacksonville, FL 32232 (800) 410-7778 Mailhandlers Benefits Y PO Box 8402 London, KY 40742 (800) 410-7778 Major League Wellfare Plan Y PO Box 7003 Parkersburg, WV 26102 (800) 669-2255 Mamsi Life and Health Y PO Box 930 Frederick, MD 21705 (800) 342-6141 Managed Care Services Y PO Box 31488 Omaha, NE 68131 Managedmed Y PO Box 6125 Greenville, SC 29606 Management Services, Inc Y PO Box 1430 Danville, IL 61834

Name Active Address City/State Zip Contact Phone

03/28/2012 12:34 pm Mid-South Gastroenterology Group Page 1 of 23 Insurance Carrier List

Mandalay Resort Group Y PO Box 17700 Las Vegas, NV 89114 Marquette National Life Y P. O. Box 130 Pensacola, FL 32591-0130 Marsh Affinity Group Y PO Box 10340 Des Moines, IA 50306 (800) 424-1120 MDRX Y PO Box 15206 Austin, TX 78761 (888) 333-6470 Medco Health Y PO Box 2187 Lee's Summit, MO 64063 (800) 328-4316 Medcost Y PO Box 25307 Winston-Salem, NC 27114 (888) 803-9219 Medica/UHC Y P O Box 30990 Salt Lake City, UT 84130 (877) 842-3210 Medical Associates Health Plan Y 605 Associates Drive, Ste. 101 Dubuque, IA 52004 (866) 821-1365 -M- Medical Benefits Y PO Box 15165 Santa Ana, CA 92735 (800) 990-7262 Medical Claims Services Inc Y 1 Wall Street Suite 2A Ravenswood, WV 26164 (888) 225-0522 Medical Mutual Y P O Box 6018 Cleveland, OH 44101-1018 (800) 362-1279 Medical Mutual Y PO Box 94776 Cleveland, OH 44101 (800) 362-1279 Mediclaim Y PO Box 4007 Danville, IL 61834 (217) 443-2812 Mediplus Y PO Box 9126 Des Moines, IA 50306 (800) 247-2192 MedSolutions, Inc. Y P O Box 282488 Nashville, TN 37228 (800) 457-2759 Mega Life and Health Y PO Box 982009 North Richland Hills, TX 76182 Insurance Center MEGA LIFE II Y PO BOX 809025 Dallas, TX 75380 (800) 767-0700 MEMPHIS CONSTRUCTION Y PO BOX 1449 Goodlettsville, TN 37070 (615) 800-8314 [914] MEMPHIS LIGHT, GAS, AND WATER Y PO BOX 430 Memphis, TN 38101 (901) - MEMPHIS PLAN Y 1210 PEABODY Memphis, TN 38104 (901) 272-7526 MERCER ADMINISTRATION Y ONE WEST THIRD STREET 74103 SUITE 900 Meritain Health Y PO Box 853921 Richardson, TX 75085 (877) 777-6076 Meritain Health Y P O Box 27267 Minneapolis, MN 55427-0267 (800) 925-2272 METHODIST ALLIANCE HOSPITAL Y 6423 SHELBY VIEW DR. Germantown, TN 38134 (901) 380-8169 SUITE 103 METHODIST STAFF SERVICE Y 1265 UNION AVE Memphis, TN 38104 (901) 726-8374 Methodist Univ/Transplant Y Doctor's Building 10 THMS Memphis, TN 38104 (901) 516-9048 1265 Union Avenue MGIS Y PO BOX 16110 Salt Lake City, UT 84116 MHP Claims Y P O Box 4568 Springfield, MO 65808-4568 (866) 647-5568 MHP-MPCN Y P O Box 23908 Jackson, MS 39208 (800) 969-5238 Mid-South Transportation Y 1370 Levee Road Memphis, TN 38108 Mid-West Insurance Center Y PO Box 982017 North Richland Hills, TX 76182 Mid-West National Life Y PO Box 809025 Dallas, TX 75380 Mid-West Security Admin Y 2700 Midwest Dr. Onalaska, WI 54650 (601) 236-8672 Mii Life Ins Y P O Box 64193 St Paul, MI 55164 Miss Administrative Ser Y PO Drawer 1400 Oxford, MS 38655 (800) 357-7553 Miss Health Partners Y PO Box 57015 Irvine, CA 92619 (601) 856-9029

Name Active Address City/State Zip Contact Phone

03/28/2012 12:34 pm Mid-South Gastroenterology Group Page 1 of 23 Insurance Carrier List

Mississippi Physicians Care Network Y po box 1530 Ridgeland, MS 39158 (877) 683-6838 Mississippi Public Y PO Box 24327 Jackson, MS 39225 MMS Y PO Box 3368 Brentwood, TN 37024 MMS II Y PO Box 22389 Nashville, TN 37203 MNU Claims Y P O BOX 863 Indianapolis, IN 46206 (800) 605-2282 Monumental Insurance II Y PO Box 10439 Des Moines, IA 50306 (800) 626-8567 Monumental Life Insurance Y PO Box 97 Sranton, PA 18404 Morris Associates Y PO Box 50440 Indianapolis, IN 46250 -M- MPCN Y PO Box 50440 Ridgeland, MS 39157 (800) 890-7337 MSAG Claims Payment Y PO Box 619012 Dallas, TX 75261 MSAG III Y PO Box 830650 Birmingham, AL 35283 MSAG, LLC Y PO Box 3080 Cordova, TN 38088 Multiplans Y 860 Rotterdam Industrial Schenectady, NY 12306 (800) 248-1062 Municipal Health Benefi Y PO Box 188 Little Rock, AR 72115 (501) 374-3484 Mutual Assurance Admin Y PO Box 42096 Oklahoma City, OK 73123 (800) 825-3540 Mutual Of Omaha Y Mutual Omaha Plaza Omaha, NE 68175 Mutual of Omaha Woodwar Y PO Box 9 Woodward, OK 73802 (800) 354-3241 Mutual Protective Insurance Y 1515 South 75th Street Omaha, NE 68124 MVP Healthcare Y P O Box 2207 Schenectady, NY 12301 (800) 777-4793

-N- NALC Y 20547 Waverly Court Asburn, VA 20149 (703) 729-4677 Nalc Health Benefits Y 20547 Waverly Couts Asburn, VA 20149 Nat'l Association Y 10333 Harwin Drive Houston, TX 77036 (800) 323-4057 Nation Wide Specialty Health Claims Y PO BOX 420 SPRINGFILELD, MA 01101 (800) 517-4791 National Asbestos Y 7130 Columbia Gateway Columbia, MD 21046 (800) 386-3632 Suite A National Assoc Y PO Box 22118 Little Rock, AR 72221 Navistar/Aetna Y PO Box 2557 Fort Wayne, IN 46801 NCAS Y PO Box 1227 Faiffax, VA 22030 NEA Group Insurance Plan Y P O Box 10424 Des Moines, IA 50306-0424 (800) 541-4119 New Era Life Insurance Y PO Box 4884 Houston, TX 77210 (800) 552-7879 Nex Air, LLC Y PO Box 161182 Memphis, TN 38186 (901) 344-5207 NGS American Y PO Box 7676 (800) 521-1555 NHP GRP Benefit Claims Y PO Box 8006 Dublin, OH 43016 (800) 635-6585 Nippon Life Insurance Co Y P O Box 39710 Colorado Springs, CO 80949-3910 (877) 210-5518 North America Admin Y PO Box 1984 Nashville, TN 37202 North American Adm Y P O Box 9501 Amherst, NY 14226 (866) 245-4355 North American Health Y P O Box 765 Amhurst, NY 14226

Name Active Address City/State Zip Contact Phone

03/28/2012 12:34 pm Mid-South Gastroenterology Group Page 1 of 23 Insurance Carrier List

North Carolina Mutual Life Y P O Box 4138 Amherst, NY 44321 Nova Healthcare Administrators Y P O Box 308 Grand Island, NY 14072 NOVA Systems Y P O Box 25310 Little Rock, AR 72221 (877) 362-9003 (888) 870-8103 Novanet Y 3500 Parkway Lane Norcross, GA 30092 (866) 323-2985 NOVASYS Y P O Box 25228 Little Rock, AR 72221 NPPN HB3017 Y 419 E Main Street Middletown, NY 10940 NPPN WAUSAU Y P O Box 7050 Middletown, NY 10940 (800) 826-9781 NWHA Y P O Box 682708 Houston, TX 77268-2708 (800) 810-7857

-O- Office of Group Benefit Y P O Box 44036 Baton Rouge, LA 70804 (800) 215-1093

-O- Olympic Health Y P O Box 5348 Bellingham, WA 98227 One Health Plan Y P O Box 11111 Ft. Scott, KS 66701 OSMOSE Y P O Box 6329 Syracuse, NY 13217 Oxford Health Y P O Box 7082 Bridgeport, CT 06601 (800) 666-1353

-P- Pacific Life & Annuity Company Y P O Box 33699 Phoenix, AZ 85067 PacifiCare Y P O Box 69312 Harrisburgh, PA 17106 PAI Y P O Box 6702 Columbia, SC 29260 (888) 645-6410 Pan American Life Y P O Box 260808 Plano, TX 75026 (800) 694-9888 Pan American Life Y P O Box 61050 New Orleans, LA 70160 Pan American Life Y P O Box 260957 Plano, TX 75026-0957 (866) 373-6366 PBP Health Plan Y P O Box 1040 Columbia, MA 21044 PBP Health Plan Y P O Box 782369 San Antonio, TX 78278 PCIP Y P O Box 300 Independence, MO 64051 (800) 220-7898 Pearce Administration Y P.O. Box 2440 Florence, SC 29503 Pennsylvania Life Insurance Y P O Box 399127 Cambridge, MA 02139 (888) 802-9497 PERCS Y 2950 Industrial Road Las Vegas, NV 89109 Performax Y P O Box 1065 Amhurst, NY 14226 Performax II Y P O Box 61505 King of Pruss, PA 19406 (800) 397-2122 PHA Corporation Y P O Box 382048 Birmingham, AL 35238 PHCS Y P O Box 37579 Phoenix, AZ 85069 (602) 395-7051 PHCS Y P O Box 6090 De Pere, WI 54115 (800) 922-4362 PHCS THP Plans Y P O BOX 2474 Des Plaines, IL 60017 Philadelphia American Insurance Y P O Box 4884 Houston, TX 77210 Physicians Mutual Y P O Box 48310 Jacksonville, FL 32247 Physicians Mutual Y P O Box 3313 Omaha, NE 68103 Physicians Mutual Y P O Box 24672 Seattle, WA 98124 (800) 877-1444 Physicians Mutual IIII Y P O Box 22389 Nashville, TN 37202 Physicians Mutual Insurance Y P O Box 2018 Omaha, NE 68013 (800) 228-9100

Name Active Address City/State Zip Contact Phone

03/28/2012 12:34 pm Mid-South Gastroenterology Group Page 1 of 23 Insurance Carrier List

Physicians Mutual V Y P O Box 44126 Las Vegas, NV 89116 Pioneer Life Y P O Box 5151 Jamesville, WI 53547 Pittman and Associates Y P O Box 111047 Memphis, TN 38111 (901) 323-2140 Pittman and Associates Y P O Box 111929 Memphis, TN 38111 POMCO Y P O Box 118 Syracuse, NY 13206 (888) 477-9307 Pomoco Insurance Company Y P O Box 6329 Syracuse, NY 13217 (866) 744-4690 Postmasters Benefits Y PO Box 782369 San Antonio, TX 78278 PPO Next Y PO Box 549023 Dallas, TX 75354 (800) 225-9674 PPO Plus, LLC Y P.O. Box 90802 Lubbock, TX 79408 (601) 898-7651 PPOM Claims Dept. Y P O Box 2720 Farmington Hills, MI 48333 (248) 827-1050 Prefered Community Choice Y PO Box 3270 Tulsa, OK 74101 Claims Dept

-P- Preferred Health Alliance Y 300 Corporate Pkwy #3 Birmingham, AL 35242 (800) 722-8477 Preferred Health Plan Inc Y P O Box 437017 Louisville, KY 40253-7017 Preferred One Administration Y PO Box 59212 Minneapolis, MN 55459 Primary Physiciancare Y PO Box 11088 Charlotte, NC 28220 (800) 446-5439 Principal Finacial Group Y P O Box 5319 Tampa, FL 33675-5319 (800) 533-5044 Principal Financial Group Y P.O Box 39710 Colorado Springs, CO 80949 (800) 213-0879 Principal Life Insurance Y PO Box 5319 Tampa, FL 33675-5319 Private Healthcare III Y PO Box 5180 Des Plaines, IL 60017 Private Healthcare Systems Y PO Box 2947 Covington, LA 70434 (800) 445-7227 Private Healthcare Systems Y PO Box 2898 Des Plaines, IL 60017 Professional Benefit Administrators, Inc. Y P O Box 4687 Oak Brook, IL 60522-4687 (800) 435-5694 Professional Claims Management Y PO Box 35276 Canton, OH 44735 (800) 325-8424 Professional Insurance Y PO Box 80637 Lincoln, NE 68501 (800) 289-1122 Pronet Y PO Box 850778 Richardson, TX 75085 Provider Networks Y PO Box 101387 Fort Worth, TX 76185 (800) 837-3711 Prudent Choice/Claims Admn. Y PO Box 3865 New Hyde Park, NY 11040 Pyramid Claims Y P O Box 391885 Cambridge, MA 02139-1885 (866) 568-8921 Pyramid Life Y P O Box 742568 Houston, TX 77274 (888) 445-8699 Pyramid Life Insurance Y PO Box 772 Shawnee Missi, KS 66201

-Q- Qual Choice Arkansas Y PO Box 25610 Little Rock, AR 72211 (800) 235-7111 10825 Financial Ctr Pkwy Suite 400

-R- Real Benefits Association Y 5201 Kingston Pike Ste. 6355 Knoxville, TN 37919-5074 (888) 738-3865 Religious Comprehensive Y 1205 Windham Parkway Romeoville, IL 60446 (800) 807-0500 Hmsr-Christian Brothers

Name Active Address City/State Zip Contact Phone

03/28/2012 12:34 pm Mid-South Gastroenterology Group Page 1 of 23 Insurance Carrier List

Reserve National Insurance Y PO Box 26620 Oklahoma City, OK 73126 Reynolds and Reynolds Y PO Box 1272 Dayton, OH 45401 (800) 937-2277 RMSCO, Inc. Y PO Box 678 Liverpool, NY 13088 (877) 204-7086 Royal Neighbors of America Y P O Box 10850 Clearwater, FL 33757 (877) 815-8877 RSL Specialty Products Administration Y 505 South Lenola Road Suite 231 Moorestown, NJ 08057 (866) 375-0775

-S- S and S Healthcare Strate. Y PO Box 14407 Cincinnati, OH 45250 (888) 916-2273 S. B. Howard and Company Y PO Box 1627 Rogers, AR 72757 Sagamore Health Network Inc Y P O Box 6051 Indianapolis, IN 46206-9051 (877) 525-3262 SAG1931 Seabrook Wallcoverings Y 1325 Farmville Memphis, TN 38122 (901) 320-3500 Seabury and Smith Y PO Box 9126 Des Moines, IA 50306 -S- Secure Horizons Direct Y PO Box 659787 San Antonio, TX 78265 Sedgwick CMS Y PO Box 14423 Lexington, KY 40512 (901) - Select Benefit Y PO Box 101387 Fort Worth, TX 76185 (800) 397-0427 Select Benefit Administration Y PO Box 8339 Des Moines, IA 50301 Select Benefit Administrators of America Y P O box 440 Ashland, WI 54806 (800) 497-3699 Seven Corners Attn Claims Y P O Box 3430 Carmel, IN 46082-3430 (866) 699-4186 SFI of Tennessee, LLC Y PO Box 10170 Phoenix, AZ 85064 (888) 420-9490 Department 16 Sharp Inc. Y PO Box 7097 Jonesboro, AR 72403 (888) 604-9397 Shasta Administrative Services Y P O Box 1747 Redmon d, OR 97756 (800) 441-4518 (800) 831-4914 Sheet Metal Workers Local No 4 Health & Welfare Y P O Box 1449 Goodlettsville, TN 37070-1449 Fu Sheffield, Olsen, and McQuee Y PO Box 16448 St. Paul, MN 55116 Sigmature Care Y PO Box 5548 Fort Wayne, IN 46895 (800) 666-4449 Signature Health Alliance Y P O Box 22419 Nashville, TN 37202-2419 (800) 798-2422 Simplifi ESO Y P O BOX 1339 Minneapolis, MN 55440 (800) 490-3492 SOI Health Plan Y PO Box 241508 Charlotte, NC 28224 (888) 836-7764 Southwest Admindstrator Healthplan Y P.o.Box 1121 Alhamera, CA 91802 (877) 350-4792 SRC Y PO Box 23759 Columbia, SC 29224 (888) 772-9682 SRC/Aetna Y P O Box 14079 Lexington, KY 40512 (888) 772-9682 St. John's Claims Y PO Box 14230 Springfield, MO 65814 (877) 875-7700 Standard Life Y PO Box 1800 Galveston, TX 77553 Star Administrative Y PO Box 55270 Phoenix, AZ 85078 Star HRG Y PO Box 55270 Phoenix, AZ 85078 (800) 700-3957 Star Mark Inc Y PO Box 2942 Clinton, IA 52733 (800) 522-1246 Starbridge Star HRG Y PO Box 54150 Phoenix, AZ 85078 (800) 288-1474

Name Active Address City/State Zip Contact Phone

03/28/2012 12:34 pm Mid-South Gastroenterology Group Page 1 of 23 Insurance Carrier List

State Farm Health Insurance Y PO Box 3070 Newark, OH 43058 State Farm Health Insurance Y P O Box 339403 Greeley, CO 80633-9403 (866) 855-1212 State Farm III Y PO Box 20707 Munfreesboro, TN 37129 State Farm Ins--2702 Y 2707 Ireland Grove Rd. Bloomington, IL 61709 State Farm Mutual Y PO Box 9403 Greeley, CO 80633 Sterling Life Y PO Box 10844 Clearwater, FL 33757 Sterling Medicare Select Y P O Box 5348 Bellingham, WA 98227-5348 (800) 688-0010 Steven Corners Y PO Box 90260 Indianapolis, IN 46290 ATTN: Claims Steven Corners II Y PO Box 3430 Carmel, IN 46082 (866) 669-9418 Strategic Resource Comp Y PO Box 23759 Columbia, SC 29223 Student Insurance Y PO Box 809025 Dallas, TX 75380 Student Resources Y P O Box 809025 Dallas, TX 75380-9025 (877) 643-5130 Superior Y PO Box 809025 Dallas, TX 75380 (800) 582-9766

-T- TBN Group Health Plan Y PO Box 11936 Santa Ana, CA 92711 (800) 345-8643 TDEFIC Claims Y PO Box 7890 Madison, WI 53707 Teamcare Y PO Box 5116 Des Plaines, IL 60017 Tenn Carpenter Regional Y 1300 South Meridian Oklahoma City, OK 73108 (800) 421-0237 Suite 200 Tenn Healthcare C/O USA MCO Y PO Box 160300 Austin, TX 78716 (800) 232-5432 Dept. 9110 Tenn Valley Engineers Y PO Box 1449 Goodlettsville, TN 37070 (615) 859-0131 Tennessee Benefit Admin Y PO Box 3257 Spartaburg, SC 29304 Tennessee Health Network Y PO Box 127 Brentwood, TN 37024 Tennessee Health Network Y 277 Wilson Pike Circle Jackson, TN 38303 (800) 843-8184 ATTN: Repricing Dept. Tennessee Healthcare Y PO Box 3490 Jackson, TN 38303 ATTN: Repricing Dept. Tennessee Healthcare II Y PO Box 160300 Austin, TX 78716 (866) 882-4461 Dept. 9290 Tennessee Healthcare II Y PO Box 22389 Nashville, TN 37202 (866) 882-4461 Tennessee Healthcare IV Y PO Box 2090C Stow, OH 44244 (800) 442-9300 Texas International Life Y PO Box 11007 Winston-Salem, NC 27116 (866) 307-4711 THC Y PO Box 2090C Stow, OH 44224 THC/MMS Y PO Box 22389 Nashville, TN 37202 (866) 882-4461 The Epoch Group, L.C. Y 10795 Watson Road St. Louis, MO 63127 The J P Farley Corporation Y PO Box 458022 Westlake, OH 44145 (901) 725-6435 The National Asbestos Workers Medical Fund Y 7130 Columbia Gateway Drive The Reny Company Y 16610 Dallas Pkwy #240 Dallas, TX 75248 TICUA Benefits Y PO Box 9501 Amhurst, NY 14226

Name Active Address City/State Zip Contact Phone

03/28/2012 12:34 pm Mid-South Gastroenterology Group Page 1 of 23 Insurance Carrier List

Time Insurance Co. Y PO Box 981602 El Paso, TX 79998 (800) 533-7654 Time Insurance Company Y PO Box 42033 Hazelwood, MO 63042 (800) 533-7654 TN Healthcare VI Y P O Box 160300 Austin, TX 78716-0300 (866) 323-2985 Dept 9040 Total Claims Solution Y PO Box 10888 Green Bay, WI 54307 (800) 376-0100 TPA Y PO Box 52100 Pheonix, AZ 85072 (877) 410-3425 Tri-State Armature & El. Y PO Box 466 Memphis, TN 38101 Tricare Y PO Box 7031 Camden, SC 29020 (800) 403-3950 Tricare for Life Y P O Box 7890 Madison, WI 53708 (866) 773-0404 Tricare Region 14 Y PO Box 7968 Madison, WI 53707 Tricare Active Duty Tricare Region 2 & 5 Y PO Box 7025 Camden, SC 29091 (800) 931-9501 Tricare Regions 3/4 Y PO Box 7031 Camden, SC 29020 (800) 403-3950 Trilogy Health Y P O Box 30544 Salt Lake City, UT 84130 (866) 429-6628 -T- True Choice USA Y PO Box 251369 Plano, TX 75025 Trustmark Y PO Box 1467 South Bend, IN 46624 (800) 537-8257 Trustmark II Y PO Box 2942 Clinton, IA 52733 (800) 396-2960 Tucker Administrators Y 3800 Arco Dr Charlotte, NC 28273 (704) 525-9666 Suite 450 TVOE Y PO Box 1449 Goodlettsville, TN 37070 (800) 831-4914

-U- U A Local Union 614 HEA Y PO Box 1449 Goodlettsville, TN 37070 (800) 831-4914 UASB Y 20532 El Toro Road #303 Mission Viejo, CA 92692 (888) 648-2583 UFCW 1529 Y P O Box 090558 Milwaukee, WI 53209 (901) 758-3000 UHCIC Claims Department Y P O Box 3211 St Petersburg, FL 33731-3211 (866) 690-4842 UMR Y Po Box 30541 Salt Lake City, UT 84130 UMR Y PO Box 30530 Salt Lake City, UT 84130-0530 (800) 446-8182 UMR Y P O Box 145804 Cincinnati, OH 45250-5804 (888) 839-7968 UMR Y P O Box 266 Onalaska, WI 54650-0266 (800) 236-8672 UMR Y PO Box 690450 San Antonio, TX 78269 (866) 868-6740 Underwriters Safety Y PO Box 23507 Louisville, KY 40223 (502) 245-7616 Unicare Y PO Box 4048 Schaumburg, IL 60173 Unicare Y PO Box 9016 Andover, MA 01810 (800) 442-9300 Unicare - LA Y 1100 Poyoras New Orleans, LA 70163 (800) 333-9304 Suite 600 Unicare - TX Y PO Box 833933 Richardson, TX 75083 (800) 634-3506 Unicare 4069 Y PO Box 4069 Schaumburg, IL 60168 Unicare Health Insurance Y PO Box 4055 Schamburg, IL 60168 Unicare II Y PO Box 4071 Schaumberg, IL 80161

Name Active Address City/State Zip Contact Phone

03/28/2012 12:34 pm Mid-South Gastroenterology Group Page 1 of 23 Insurance Carrier List

Unicare III Y PO Box 2701 Bedford Park, IL 60499 (800) 333-1114 Unicare Insurance Y PO Box 4458 Chicago, IL 60680 (800) 333-3304 Unicare PPO Y PO Box 51250 Indian Orchar, MA 01115-1 (800) 333-1114 Unicare/THC-M.M.S. Y PO Box 3368 Brentwood, TN 37024 Unicare/THC-MMS Y PO Box 127 Brentwood, TN 37024 (800) 333-3304 Uniform Medical Plan Y PO Box 34850 Seattle, WA 98124 (800) 762-6004 Union Labor Life Y PO Box 61592 King of Pruss, PA 19406 Union Pacific Railroad Y 795 Norht west Salt Lake City, UT 84103 United American Y PO Box 8080 McKinney, TX 75070 (972) 529-5085 United American Ins. Co. Y PO Box 26400 Oklahoma City, OK 73126 (888) 203-6627 ATTN: Claims Division (800) 825-6767 United Commercial Travelers Y 1801 Watermark Drive Ste 100 Columbus, OH 43215 (800) 848-0123 P.O. Box 159019 United Food and Commercial Y PO Box 090558 Milwaukee, WI 53209 (901) 758-3000 United Food Commercial Y PO Box 090558 Milwaukee, WI 53209 (901) 758-3000

-U- United Health - Atlanta Y PO Box 740800 Atlanta, GA 30374 (877) 842-3210 United Health - PC Mall Y PO Box 981502 Salt Lake City, UT 84130 United Health - Salt Lake Y PO Box 740800 Atlanta, GA 30374 (877) 842-3210 United Health Benefits Y PO Box 2480 Daytona Beach, FL 32115 United Health One Y 7440 Woodland Drive Indianapolis, IN 46278 (800) 657-8205 United HERE Health Y P O Box 6525 Auroa, IL 60598-6525 (888) 782-3935 United Medical Resource Y PO Box 145804 Cincinnati, OH 45250 United Medical Resources Y P.O. Box 30530 Salt Lake City, UT 84130 (800) 446-8182 United Medical Resources Y P.O. Box 30541 Salt Lake City, UT 84130 (877) 233-1800 United Medical Resources Y P.O. Box 8082 Wausau, WI 54402 (866) 868-0612 United Teachers Association Y PO Box 26580 Austin, TX 78755 (800) 867-8986 United World Life Y 3316 Farnam St. Omaha, NE 68175 UOE Local 513 Welfare Fund/HL Y P O Box 419104 St Louis, MO 63141-9104 (314) 739-2973 UPRREHS Y P O Box 161020 Salt Lake, UT 84116 (800) 547-0421 US Able Admin Y PO Box 1460 Little Rock, AR 72203 US Marshall Service Ins Y 6299 Finde Naifeh Jr. Dr. Mason, TN 38049 US Now Y PO Box 260808 Plano, TX 75026 (800) 694-9888 USA H&W Network Y P O Box 10170 Phoenix, AZ 85064 (800) 648-9652 Dept 189 USA Managed Care Org. Y PO Box 160300 Austin, TX 78716 Dept. 8050 USA MCO Network Access Only Y 1680 Bonnie Lane Cordova, TN 38016 (901) 758-3000 USA MCO PPO/UHC Medical Y PO Box 10170 Phoenix, AZ 85064 (800) 847-7718 Dept. 37 USAA Life Insurance Y 9800 Fredricksburg Rd. San Antonio, TX 78288 (800) 531-6978

Name Active Address City/State Zip Contact Phone

03/28/2012 12:34 pm Mid-South Gastroenterology Group Page 1 of 23 Insurance Carrier List

USI Administrators Y PO Box 8911 Melville, NY 11747

-V- Fee Basis Unit Routing Dept 136G VICARE Administrative Y 1000 Commercial Lane Suffolk, VA 23434 VUMC Kidney/Pancreas Transplant Program Y Attn: Transplant Financial Management Nashville, TN 37232-4745 (615) 936-5340 808 Oxford House, 1313 21st Avenue South (615) 936-0697

-W- Walmart Pricing - BCBS Y PO Box 2181 Little Rock, AR 72203 (800) 421-1362 Washington Nation Y PO Box 2034 Carmel, IN 46082 (800) 759-7007 Watkins Associated Indu. Y PO Box 1738 Atlanta, GA 30301 (800) 333-3841 Wausau Y PO Box 8014 Wausau, WI 54402 Wausau Y PO Box 8092 Wausau, WI 54402 Wausau Benefits Y PO Box 8014 Wausau, WI 54402 Wausau Benefits II Y PO Box 8013 Wausau, WI 54402 (800) 826-9781 Wausau Benefits III Y PO Box 8031 Wausau, WI 54402 (800) 826-9781

-W- Wausau Benefits IV Y PO Box 8024 Wausau, WI 54402 (800) 826-9781 Wausau Benefits V Y PO Box 450 Pueblo, CO 81002 WEB-TPA Y P O Box 99906 Grapevine, TX 76099 Wellmark BCBS of Iowa Y 636 Grand Avenue Des Moines, IA 50309 Wells Fargo Ins Y P O Box 99004 Anchorage, AK 99509 (877) 517-6370 Whitten and Associates Y PO Box 1810 Florence, AL 35631 Claims Dept (800) 662-5099 William C. Beeler and Company Y 2605 Nonconnah Blvd. Memphis, TN 38132 Suite 170 William C. Beeler II Y PO Box 1439 Hendersonville, TN 37077 (800) 526-3919 Willis of Kansas, Inc. Y PO Box 2697 Wichita, KS 67201 (800) 653-2925 Woodmen of the World Y P O Box 2397 Omaha, NE 68103-2397 (877) 223-4244 World Insurance Company Y P O Box 21690 Eagan, MN 55121 (800) 786-7557 WPS Health Plan Y PO Box 8190 Madison, WI 53708 WRIGHT HEALTH COST SOLUTIONS Y Medicaid (501) 374-6608

-B- BlueCare Y P O Box 180150 Chattanooga, TN 37401 (800) 924-7141

-D- -T- Tenncare Select Y PO Box 182277 Chattanooga, TN 37422 Tennessee Medicaid Y PO Box 460 Nashville, TN 37202 (800) 852-2683

Name Active Address City/State Zip Contact Phone

03/28/2012 12:34 pm Mid-South Gastroenterology Group Page 1 of 23 Insurance Carrier List

-U- Medicare -A- Advantra Freedom Y PO Box 7154 London, KY 40742 (866) 386-2330 Aetna Medicare Y P O Box 981107 El Paso, TX 79998-1107 (800) 624-0756

-C- Cigna Medicare Advantage Y P O Box 696018 San Antonio, TX 78269-6018 (800) 577-9410

-H- Healthspring/Claims Dept. Y PO Box 981804 El Paso, TX 79998 (800) 230-6138 Healthspring/IPA Y P O Box 981804 El Paso, TX 79998 (800) 230-6138

-H- -R- Railroad Medicare Y PO Box 10066 Augusta, GA 30999 (877) 288-7600

-S- Secure Horizons Y P O Box 31353 Salt Lake City, UT 84131 (866) 579-8811 Secure Horizons Y P O Box 31362 Salt Lake City, UT 84131-0362 (888) 866-8296 Sterling Y PO Box 69314 Harrisburgh, PA 17106 (888) 858-8550 Sterling Option II Y P.O. Box 69314 Harrisburgh, PA 17106 (888) 858-8551

-U- Unicare Life Health Y 1 Well Point Way CAT 201-C004 Thousand Oak, CA 90362 Unicare SecurityChoice Plus Y P O Box 795180 San Antonio, TX 78279 (888) 445-8916 UNITED HEALTHCARE OF TENNESSEE Y MAIL ROUTE MN008-W140 Hopkins, MN 55343 (888) 867-5517 9900 BREN RD E

-V- Vestica Healthcare Y P O Box 548 Thiensville, WI 53092 (866) 407-3065

-W- Wellcare Medicare Y P O BOX 4438 Scranton, PA 18505 (866) 238-9898 Windsor MCR Extra Y PO Box 269025 Plano, TX 75026 (800) 316-2273 United Health Care -U- United Health Care Y PO Box 740800 Atlanta, GA 30374 (800) 942-2336 United Healthcare Y PO Box 30985 Salt Lake City, UT 84130 (800) 842-5252 United Healthcare Y PO Box 30551 Salt Lake City, UT 84130 United Healthcare Y PO Box 5230 Kingston, NY 12402-5230 (800) 224-6602 United Healthcare - 30557 Y PO Box 740800 Atlanta, GA 30374 (800) 842-3210

Name Active Address City/State Zip Contact Phone

03/28/2012 12:34 pm Mid-South Gastroenterology Group Page 1 of 23 Insurance Carrier List

United Healthcare - Atl. I Y PO Box 740801 Atlanta, GA 30374 (888) 267-3515 United Healthcare - Charl. Y PO Box 476505 Charlotte, NC 28247 (800) 842-8000 United Healthcare - Salt Lake I Y PO Box 740800 Atlanta, GA 30374 United Healthcare - San A. Y PO Box 659737 San Antonio, TX 78265 (800) 842-3210 United Healthcare - Tradi. Y PO Box 740802 Atlanta, GA 30374 (800) 577-8567 United Healthcare - UT Y PO Box 30563 Salt Lake City, UT 84130 United Healthcare III Y PO Box 30304 Salt Lake City, UT 84130 (800) 809-0453 United Healthcare Illinois Y PO Box 659748 San Antonio, TX 78265 (800) 645-9656