Login Our Payer List ( tabbed )( pdf ) Automotive Dental Eligibility ERA Hospital Professional Workers Comp Claim Status     Our PGP Key             Sales Client Services ClaimLogic 6525 N Meridian Ave Ste 600 Oklahoma City, OK 73116-1416 Tel: 405-942-9800 Fax: 405-942-9802	Payor Name Payor ID Par Enroll Secondary Service(s) COX HEALTH SYSTEMS 00019 No No Yes Hospital, Professional, Secondary HILL PHYSICIANS MEDICAL GROUP 00046 No No Yes Hospital, Professional, Secondary COX FREEMAN-UB 00119 No No No Hospital BCBS OF WESTERN NEW YORK ??? MEDICAID 00246 No No Yes Hospital, Professional, Secondary INDIAN HEALTH 00290 No Yes Yes Hospital, Professional, Secondary BLUE CHOICE MEDICAID MANAGED CARE 00403 No No Yes Hospital, Professional, Secondary OPTIMA HEALTH 00453 No No Yes Hospital, Secondary HEALTHY BLUE MISSOURI 00541 Yes No Yes Hospital, Professional, Secondary HEALTHY BLUE NEBRASKA 00544 Yes No Yes Hospital, Professional, Secondary HEALTHY BLUE DUAL ADVANTAGE 00551 No No Yes Hospital, Professional, Secondary BCBS OF MN BLUE PLUS MEDICAID 00562 No No Yes Hospital, Professional, Secondary BLUE CROSS OF IDAHO 00610 No Yes Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD CENTRAL NY-FEDERAL EMP 00808 No No Yes Hospital, Professional, Secondary AMERICAN HEALTHCARE ALLIANCE 01066 No No Yes Hospital, Professional, Secondary MAGELLAN HEALTH SERVICES 01260 Yes Yes Yes Hospital, Professional, Secondary STANDARD LIFE AND ACCIDENT 01758 Yes No Yes Hospital, Professional, Secondary PALMETTO MEDICARE PART A J1A2-REMIT VIEWING 01901 No Yes Yes Hospital, Secondary LEGACY MEDICARE PART A J1A2-UB 01911 No Yes Yes Hospital, Secondary SMITH ADMINISTRATORS 02057 Yes No Yes Hospital, Professional, Secondary BLUE BENEFIT ADMINISTRATORS OF MA COMPREHENSIVE BENEFITS ADMINISTRATOR, INC (VT)/EBPA (NH) COMPREHENSIVE BENEFITS ADMINISTRATOR, INC. EMPLOYEE BENEFITS PLAN ADMINISTRATION, INC. (E.B.P.A.) 03036 No No Yes Hospital, Professional, Secondary UNITEDHEALTHCARE ARIZONA PHYSICIANS IPA UNITEDHEALTHCARE COMMUNITY PLAN OF AZ 03432 Yes Yes Yes Dental, Hospital, Professional, Secondary SIEBA 03699 No No Yes Hospital, Professional, Secondary PAN AMERICAN LIFE INSURANCE GROUP 04218 No No Yes Hospital, Professional, Secondary HARVARD PILGRIM HEALTH CARE 04271 No Yes Yes Hospital, Professional, Secondary HALIFAX CHARITY CLAIMS 04273 No No Yes Hospital, Professional, Secondary HEALTH NEW ENGLAND 04286 No No Yes Hospital, Professional, Secondary ALLWAYS HEALTH PARTNERS 04293 Yes No Yes Hospital, Professional, Secondary ELDER SERVICE PLAN OF THE NORTH SHORE 04326 Yes No No Hospital, Professional TUFTS NETWORK HEALTH 04332 No Yes Yes Hospital, Professional, Secondary MOLINA HEALTHCARE OF NEW MEXICO SCI 04423 No No Yes Hospital, Professional, Secondary OUTPATIENT SERVICES 04430 Yes No Yes Hospital, Professional, Secondary J4 WPS LEGACY - UB 04911 No Yes Yes Hospital, Secondary NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND 05047 No No Yes Hospital, Professional, Secondary ELDERSERVE (RIVERSPRING HEALTH) 05178 No No Yes Hospital, Professional, Secondary MSH REIMBURSEMENT 05587 Yes No Yes Hospital, Professional, Secondary HOME HEALTH AND HOSPICE 06014 No Yes Yes Hospital, Secondary CONNECTICARE, INC 06105 Yes No Yes Hospital, Professional, Secondary HEALTH NET OF THE NORTHEAST 06108 Yes Yes Yes Hospital, Professional, Secondary OXFORD HEALTH PLANS 06111 Yes No Yes Hospital, Professional, Secondary NOVANET 06226 No No Yes Hospital, Professional, Secondary COUNTYCARE 06541 Yes No Yes Hospital, Professional, Secondary ASAGEHA 06603 Yes No Yes Hospital, Professional, Secondary CARDINAL INNOVATIONS HEALTHCARE SOLUTIONS 06607 No No Yes Hospital, Professional, Secondary BAY BRIDGE ADMINISTRATORS 06941 No No No Hospital, Professional SWIFT GLASS CORPORATION (UCS) 07040 No No Yes Hospital, Professional, Secondary GILSBAR, INC. 07205 No No No Hospital, Professional GLOBAL CARE INC 07689 No No Yes Hospital, Professional, Secondary EAST POINTE BEHAVIORAL HEALTH 08044 Yes No Yes Hospital, Professional, Secondary NX HEALTH NETWORK (UCS) 08354 No No Yes Hospital, Professional, Secondary CONTAINER GRAPHICS CORPORATION 08680 No No Yes Hospital, Professional, Secondary EDDY SENIORCARE 08754 Yes No Yes Hospital, Secondary JMH SFCCN PHT (PSN CMSN) 09822 Yes No Yes Hospital, Professional, Secondary MOLINA HEALTHCARE OF NEW MEXICO 09824 Yes No Yes Hospital, Professional, Secondary UNIVERSITY FAMILY CARE 09830 No No Yes Hospital, Professional, Secondary UNIVERSITY FAMILY CARE-MARICOPA 09908 No No Yes Hospital, Professional, Secondary SHEAKLEY UNICOMP 10002 Yes No Yes Hospital, Professional, Secondary CAREWORKS/MEDICAL MUTUAL OF OH 10010 No No Yes Hospital, Professional, Secondary ALABAMA BLUE CROSS MEDICARE ADVANTAGE 1002 No No Yes Hospital, Secondary CARECENTRIX CIGNA 1016 No No No Hospital CARECENTRIX HORIZON 1017 No No No Hospital WPS OPTUM HEALTH 1020 No No Yes Hospital, Secondary PATIENT ADVOCATES, LLC 10525 No No Yes Hospital, Professional, Secondary LASSO HEALTHCARE MSA 10550 Yes No Yes Hospital, Professional, Secondary CHRISTUS HEALTH MEDICARE ADVANTAGE 10629 Yes No Yes Hospital, Professional, Secondary METROPOLITAN HEALTH PLAN 10850 No No Yes Hospital, Professional, Secondary QUEST EAP 10956 Yes No Yes Hospital, Professional, Secondary ST JAMES PHO 11158 No No Yes Hospital, Professional, Secondary MAGNACARE GARDEN CITY NY 11303 No No Yes Hospital, Professional, Secondary CENTERCARE FIDELIS CARE NY 11315 Yes No No Hospital, Professional HEALTHCARE PARTNERS, IPA 11328 No No Yes Hospital, Professional, Secondary INTERNATIONAL BENEFIT ADMINISTRATOR 11329 No No Yes Hospital, Professional, Secondary CARECENTRIX 11345 Yes No Yes Hospital, Professional, Secondary A G ADMINISTRATORS LLC 11370 Yes No Yes Hospital, Professional, Secondary SENDERO IDEALCARE 11440 No No Yes Hospital, Professional, Secondary INDEPENDENT CARE HEALTH PLAN ICARE 11695 No No Yes Hospital, Professional, Secondary CLAIMSBRIDGE HPN 11752 No No Yes Hospital, Professional, Secondary SGIC 11789 No No Yes Hospital, Professional, Secondary INSURANCE SYSTEMS, INC 11889 No No Yes Hospital, Professional, Secondary IDAHO WOMEN AND CHILD PROGRAMS 12113 No No Yes Hospital, Professional, Secondary VA FEE BASIS PROGRAMS 12115 No No Yes Hospital, Professional, Secondary MID-AMERICAN TPA: AAI, INC. 12251 No No Yes Hospital, Professional, Secondary TOTAL SENIOR CARE 12268 Yes No Yes Hospital, Professional, Secondary MEDICA 2 12422 Yes No Yes Hospital, Professional, Secondary AETNA BETTER HEALTH CALIFORNIA 128CA No No No Hospital, Professional COVENTRY HEALTH CARE OF FLORIDA 128FL Yes No Yes Hospital, Professional, Secondary AETNA BETTER HEALTH OF KANSAS 128KS No No Yes Dental, Hospital, Professional, Secondary AETNA BETTER HEALTH OF KENTUCKY 128KY Yes No Yes Hospital, Professional, Secondary AETNA BETTER HEALTH OF LOUISIANA 128LA Yes No Yes Hospital, Professional, Secondary AETNA BETTER HEALTH OF MICHIGAN 128MI No No Yes Hospital, Professional, Secondary AETNA BETTER HEALTH OF VIRGINIA 128VA Yes Yes Yes Hospital, Professional, Secondary AETNA BETTER HEALTH OF WV 128WV No No Yes Hospital, Professional, Secondary HIGHMARK J12 WPS MUTUAL OF OMAHA 12901 No Yes Yes Hospital, Secondary EMPOWER ARKANSAS 12956 No No Yes Hospital, Professional, Secondary BC KENTUCKY ADMINASTAR-UB 12B11 No No Yes Hospital, Secondary NEW HAMPSHIRE BLUE CROSS ANTHEM 12B21 No No No Hospital NEW HAMPSHIRE MEDICAID UB 12K90 No No Yes Hospital, Secondary MOLINA HEALTHCARE - MEDICAID 12X09 No No Yes Hospital, Secondary WPS HEALTH INSURANCE 12X29 No Yes Yes Hospital, Secondary BANNER HEALTH 12X42 No No Yes Hospital, Professional, Secondary EBMS (EMPLOYEE BENEFIT MANAGEMENT SERVICES) - UB 12X44 No No No Hospital SMOKEY MOUNTAIN CENTER 13010 No No Yes Hospital, Professional, Secondary HEALTH CHOICE GENERATIONS UTAH 13054 No No Yes Hospital, Professional, Secondary MEDIGOLD PPO 13123 No No Yes Hospital, Professional, Secondary 1199 NATIONAL BENEFIT FUND HOME HEALTH AND HOSPICE J15 CIGNA PREFERRED ADMINISTRATORS CHILDREN'S HOSPITAL 13162 Yes No No Hospital, Professional MONTEFIORE CONTRACT MANAGEMENT ORGANIZATION 13174 Yes No Yes Hospital, Professional, Secondary MERIDIAN HEALTH PLAN 13189 Yes No Yes Hospital, Professional, Secondary GREAT AMERICAN LIFE INS CO-MEDICARE SUPPLEMENT 13193 Yes No Yes Hospital, Professional, Secondary METRO PLUS HEALTH PLAN 13265 Yes No Yes Hospital, Professional, Secondary CLOVER HEALTH 13285 No No Yes Hospital, Professional, Secondary PHCS SAVILITY PAYERS 13306 Yes No Yes Hospital, Professional, Secondary INSURANCE DESIGN ADMINISTRATORS 13315 Yes No Yes Hospital, Professional, Secondary AFFINITY HEALTH PLAN 13333 No No Yes Hospital, Professional, Secondary AFFINITY HEALTH PLAN 13334 No No Yes Hospital, Professional, Secondary HUDSON HEALTH PLAN 13335 Yes Yes Yes Hospital, Professional, Secondary BMC HEALTHNET PLAN BOSTON MEDICAL CENTER HEALTH PLAN, INC. 13337 No No No Hospital, Professional AMALGAMATED LIFE PA ALICARE 13343 Yes No Yes Hospital, Professional, Secondary AFTRA HEALTH FUND 13346 Yes No No Hospital, Professional ODS HEALTH PLAN 13350 Yes No Yes Hospital, Professional, Secondary CENTERLIGHT HEALTHCARE 13360 No No Yes Hospital, Professional, Secondary ORTHONET CORPORATION 13381 No No Yes Hospital, Professional, Secondary ORTHONET AETNA 13383 No No Yes Hospital, Professional, Secondary USFHP ST. VINCENT CATHOLIC MEDICAL CENTERS OF NEW YORK 13407 Yes No Yes Hospital, Professional, Secondary ALICARE AMALGAMATED LIFE 13550 No No Yes Hospital, Professional, Secondary GHI - NEW YORK (GROUP HEALTH INC.) GHI - NEW YORK - (GROUP HEALTH INC.) 13551 Yes No Yes Dental, Hospital, Professional, Secondary NHI BILLING SERVICES INCORPORATED 14043 No No Yes Hospital, Secondary FARM FAMILY LIFE 14140 No No Yes Hospital, Professional, Secondary NYS DOH UCP 14142 No No No Hospital, Professional MERIDIAN HEALTH PLAN IOWA 14145 Yes No Yes Hospital, Professional, Secondary FIRST CHOICE HEALTHPLANS OF CONNECTICUT FLORIDA LEAGUE OF CITIES, INC. HARMONY HEALTH PLAN OF ILLINOIS HARMONY HEALTH PLAN OF INDIANA STAYWELL HEALTH PLAN WELLCARE HEALTH PLAN WELLCARE HMO, INC. WELLCARE OF CT WELLCARE OF GEORGIA WELLCARE OF LOUISIANA WELLCARE OF NEW YORK 14163 No No Yes Hospital, Professional, Secondary MVP HEALTH CARE MVP NEW YORK PREFERRED CARE HMO 14165 No No Yes Hospital, Professional, Secondary CARECORE NATIONAL, LLC (AETNA RADIOLOGY CLAIMS) NYMI AETNA RADIOLOGY CLAIMS 14179 Yes No Yes Hospital, Professional, Secondary CARECORE NATIONAL, LLC (OXFORD RADIOLOGY CLAIMS) NYMI OXFORD 14180 Yes No Yes Hospital, Professional, Secondary COMMONWEALTH CARE ALLIANCE 14315 No No Yes Hospital, Professional, Secondary LARSON GROUP (UCS) 14633 No No Yes Hospital, Professional, Secondary CO-ORDINATED BENEFIT PLANS COORDINATED BENEFITS PLAN 14829 No No Yes Dental, Hospital, Professional, Secondary PARTNERS HEALTH PLAN 14966 No No Yes Hospital, Professional, Secondary YOURCARE (FKA UNIVERA) DOS 8/1/15 AND AFTER 15003 No No Yes Hospital, Professional, Secondary HOME, HEALTH AND HOSPICE - JURISDICTION B 15004 No Yes Yes Hospital, Secondary YOURCARE (FKA UNIVERA) DOS 8/1/15 AND AFTER - UB 1500U No No Yes Hospital, Secondary COMPMANAGMENT HEALTH 15243 Yes No Yes Hospital, Professional, Secondary MEDSOLUTIONS POST ACCUT CARE 15395 No No Yes Hospital, Professional, Secondary WV MEDICARE ADVANTAGE 15459 No No Yes Hospital, Professional, Secondary PA MEDICARE ADVANTAGE 15460 No No Yes Hospital, Professional, Secondary INSURANCE MANAGEMENT SERVICES (AMARILLO, TX) 15688 No No Yes Hospital, Professional, Secondary FALLON TOTAL CARE-UB 1576 Yes No No Hospital VIBRA HEALTH PLAN 15976 No No Yes Hospital, Professional, Secondary PORTER SCOTT 15991 No No No Hospital, Professional ALTERNATIVE OPPORTUNITIES 16089 No No Yes Hospital, Professional, Secondary REHN AND ASSOCIATES (INSTITUTIONAL) 1609 No No Yes Hospital, Secondary MONITOR LIFE INSURANCE COMPANY 16098 Yes No Yes Hospital, Professional, Secondary LANCASTER GENERAL HEALTH 16109 No No Yes Hospital, Professional, Secondary RMSCO RMSCO, INC. 16117 Yes No Yes Hospital, Professional, Secondary AMERICAS PPO ARAZ 16120 Yes No Yes Hospital, Professional, Secondary SCHC TOTAL CARE INC. (ACCEPTIUS GATEWAY PAYER) 16146 No No Yes Hospital, Professional, Secondary ASPEN INSURANCE 16180 No No Yes Hospital, Professional, Secondary EMPLOYER PLAN SERVICES 1628 Yes No Yes Hospital, Secondary CARE PARTNERS OF CONNECTICUT 16307 No No Yes Hospital, Professional, Secondary EMHS EMPLOYEE HEALTH PLAN 16565 No No Yes Hospital, Professional, Secondary CHAUTAUQUA COUNTY HEALTHCARE PLAN (MAYVILLE, NY) 16600 Yes No Yes Hospital, Professional, Secondary NOVA HEALTHCARE ADMINISTRATORS, INC. NOVA HEALTHCARE ADMINISTRATORS, INC. (GRAND ISLAND, NY) 16644 Yes No Yes Hospital, Professional, Secondary AMERIGROUP LOUISIANA 16730 No No Yes Hospital, Professional, Secondary METAL CULVERTS (UCS) 16928 No No Yes Hospital, Professional, Secondary IMS TPA: PARTON LUMBER (UCS) 17882 No No Yes Hospital, Professional, Secondary HPH HOSPICE 17929 No No Yes Hospital, Professional, Secondary BOULDER ADMINISTRATION 18768 No No Yes Hospital, Professional, Secondary IBM BUSINESS TRANS OUTSRCE INS SERV CORP 19028 Yes No Yes Hospital, Professional, Secondary NATIVE CARE HEALTH 19191 No No Yes Hospital, Professional, Secondary ACCESS MEDICARE (CUATRO LLC) 19305 No No Yes Hospital, Professional, Secondary SISCO (INST) 1982 No No Yes Hospital, Secondary AMERICAS CHOICE HEALTH PLANS (HEALTHSMART) 20029 No No Yes Hospital, Professional, Secondary MEDITURE 20039 No No Yes Hospital, Professional, Secondary TRILLIUM CHP AGATE HEALTHCARE 20048 No Yes Yes Hospital, Professional, Secondary INTEGRATED MEDICAL SOLUTIONS 20050 No No Yes Hospital, Professional, Secondary TODAYS HLTH WI/ABRI HLTH PLAN INC 20081 Yes No Yes Hospital, Professional, Secondary OPTIMUM HEALTHCARE, INC 20133 Yes No Yes Hospital, Professional, Secondary MOLINA HEALTHCARE OF OHIO 20149 No No Yes Hospital, Professional, Secondary PENNSYLVANIA PACE 20172 No No Yes Hospital, Professional, Secondary TETHYS HEALTH VENTURES 20212 No No Yes Hospital, Professional, Secondary HEALTH PAYMENT SYSTEMS, INC. 20270 No No Yes Hospital, Professional, Secondary WORKSITE BENEFIT SRVC ILC 20333 No No Yes Hospital, Professional, Secondary CERNER THE HEALTH EXCHANGE (CERNER CORPORATION) 20356 Yes No Yes Hospital, Professional, Secondary PACIFICSOURCE MEDICARE 20377 Yes No Yes Hospital, Professional, Secondary PHYSICIAN MEDICAL GROUP (CA ONLY) 20413 Yes No Yes Hospital, Professional, Secondary PACIFICSOURCE COMMUNITY SOLUTIONS 20416 Yes No Yes Hospital, Professional, Secondary WINSTON HOSPITALITY 20452 No No No Hospital, Professional SCAN LONG TERM CARE 20460 Yes No Yes Hospital, Professional, Secondary BETTER HEALTH OF FLORIDA 20488 No No No Hospital, Professional INNOVATIVE HEALTH SERVICES 2048P Yes No Yes Hospital, Professional, Secondary HEALTHCARE PARTNERS OF NEVADA 20501 No No Yes Hospital, Professional, Secondary PATIENT PHYSICIAN COOPERATIVES 20510 Yes No Yes Hospital, Professional, Secondary HHH CHOICES GOLD 20552 No No Yes Hospital, Professional, Secondary AMERICAS 1ST CHOICE HEALTH PLANS OF SOUTH CAROLINA, INC. 20553 No No Yes Hospital, Professional, Secondary MOLINA HLTHCARE TX 20554 No No Yes Hospital, Professional, Secondary MSA CARE GUARD 20572 No No Yes Hospital, Professional, Secondary SEIU LOCAL 1 CLEVELAND WELFARE FUND 20618 No No No Hospital, Professional ESSENCE HEALTHCARE 20818 Yes No Yes Hospital, Professional, Secondary PAUL MUELLER (UCS) 20907 No No Yes Hospital, Professional, Secondary MOLINA ILLINOIS 20934 Yes No Yes Hospital, Professional, Secondary CHRISTUS HEALTH NM HIX 21062 No No Yes Hospital, Professional, Secondary KAISER FOUNDATION HEALTH PLAN OF GEORGIA 21313 No No Yes Hospital, Professional, Secondary MEDOVA BRIDGEWELL HEALTH 21322 No No Yes Hospital, Professional, Secondary COMMUNITY CARE OF OREGON 21455 No No Yes Hospital, Professional, Secondary PACE GREATE NEW ORLEANS (NORLN) 21614 No No No Hospital, Professional HORIZON (FEDERAL) HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY (HORIZON BCBSNJ) HORIZON HEALTHCARE OF NY 22099 No Yes Yes Dental, Hospital, Professional, Secondary HEALTH CHOICE INTEGRATED CARE 22100 Yes No Yes Hospital, Professional, Secondary ELMIRA SAVINGS BANK(UCS) 22120 No No Yes Hospital, Professional, Secondary KERN HEALTH CARE NETWORK 22149 No No No Hospital, Professional I E SHAFFER WEST TRENTON NJ I.E. SHAFFER 22175 No No Yes Hospital, Professional, Secondary AIG EDUCATIONAL MARKETS 22195 No No Yes Hospital, Professional, Secondary ST. BARNABAS SYSTEM HEALTH PLAN 22240 No No Yes Hospital, Professional, Secondary AMERIHEALTH CARITAS PENNSYLVANIA 22248 Yes No Yes Hospital, Professional, Secondary HEALTHY YORK NETWORK 22251 No No Yes Hospital, Professional, Secondary FALLON COMMUNITY HEALTH PLAN 22254 Yes No Yes Hospital, Professional, Secondary VYTRA HEALTHCARE 22264 No No Yes Hospital, Professional, Secondary COLONIAL MEDICAL 22284 No No Yes Hospital, Professional, Secondary BRITCAY 22286 No No Yes Hospital, Professional, Secondary ATLANTICARE [ALSO KNOWN AS HORIZON HEALTHCARE ADMIN (HHA)] HORIZON HEALTHCARE ADMIN (HHA) 22304 No No Yes Hospital, Professional, Secondary QUALCARE DBA QANI ADMINSTRATORS 22312 No Yes Yes Hospital, Professional, Secondary ONE CALL MEDICAL 22321 Yes No Yes Hospital, Professional, Secondary HORIZON NJ HEALTH 22326 Yes No Yes Hospital, Professional, Secondary EXCEEDENT LLC 22344 No No Yes Hospital, Professional, Secondary MARYLAND PHYSICIANS CARE BALTIMORE MA 22348 No No Yes Hospital, Professional, Secondary ADMINISTRATIVE CONCEPTS INC. 22384 No No Yes Hospital, Professional, Secondary TELEMON (UCS) 22483 No No Yes Hospital, Professional, Secondary NJ CARPENTERS HEALTH FUND 22603 No No Yes Hospital, Professional, Secondary MANAGED HEALTH NETWORK 22771 No No Yes Hospital, Professional, Secondary MID AMERICAN BENEFITS MID-AMERICAN BENEFITS, INC. 22823 No No Yes Hospital, Professional, Secondary FRESENIUS MEDICAL CARE 23130 Yes No Yes Hospital, Professional, Secondary MEDICO INSURANCE COMPANY 23160 Yes No No Dental, Hospital, Professional CHA HEALTH 23171 Yes No Yes Hospital, Professional, Secondary GETTYSBURN HEALTH 23212 No No Yes Hospital, Professional, Secondary SUPERIOR ADMINISTRATORS, INC (SANTA ANA, CA) 23218 No No Yes Hospital, Professional, Secondary LOOMIS COMPANY THE LOOMIS COMPANY 23223 Yes No Yes Dental, Hospital, Professional, Secondary AETNA BETTER HEALTH 23228 Yes No Yes Hospital, Professional, Secondary INTERGRAL QUALITY CARE 23229 No No Yes Hospital, Professional, Secondary BENEBAY 23243 Yes No Yes Hospital, Professional, Secondary SENTINEL MANAGEMENT SERVICES 23249 No No Yes Hospital, Professional, Secondary ERIN GROUP ADMINISTRATORS SIGNIFICA BENEFITS SERVICES, INC. 23250 Yes No Yes Hospital, Professional, Secondary POPULYTICS POPULYTICS (FORMERLY SPECTRUM ADMINISTRATORS, INC.) SPECTRUM ADMINISTRATORS INC.-TPA/VALLEY PREFERRED-PPO ALLENTOWN PA VALLEY PREFERRED - PPO ALLENTOWN, PA (IHS GATEWAY PAYER) 23253 Yes No Yes Hospital, Professional, Secondary SOUTH CENTRAL PREFERRED SOUTH CENTRAL PREFERRED PPO 23266 Yes No Yes Hospital, Professional, Secondary HEALTHGROUP LIMITED 23274 No No Yes Hospital, Professional, Secondary UPMC DENTAL ADVANTAGE UPMC HEALTH PLAN 23281 Yes No Yes Hospital, Professional, Secondary COMMUNITY CARE BHO 23282 Yes No Yes Hospital, Professional, Secondary KEYSTONE MERCY HEALTH PLAN 23284 Yes No Yes Hospital, Professional, Secondary SELECT HEALTH OF SOUTH CAROLINA 23285 Yes No Yes Hospital, Professional, Secondary INTERGROUP SERVICES CORPORATION 23287 Yes No Yes Hospital, Professional, Secondary QUALCARE, INC. 23342 No No Yes Hospital, Professional, Secondary METHODIST FIRST CHOICE 23550 No No Yes Hospital, Professional, Secondary TOUCHSTONE HEALTH PSO 23856 No No Yes Hospital, Professional, Secondary EASTERN IOWA COMMUNITY HEALTHCARE (EICH) 23861 No No Yes Hospital, Professional, Secondary SANTA CLARA FAMILY HEALTH PLAN 24077 Yes No Yes Hospital, Professional, Secondary ACTIN CARE GROUPS /CLIFTON HEALTH SYSTEMS 24585 No No Yes Hospital, Professional, Secondary PINNACLE CLAIMS MANAGEMENT, INC. WESTERN GROWERS ASSURANCE TRUST WESTERN GROWERS INSURANCE COMPANY 24735 Yes No Yes Hospital, Professional, Secondary EASY CHOICE HEALTH PLAN OF NEW YORK 24770 No No Yes Hospital, Professional, Secondary NEW YORK PRESBYTERIAN SYSTEM SELECT HEALTH VIDACARE (NEW YORK, NEW YORK) 24818 No No Yes Hospital, Professional, Secondary FOREST COUNTY POTAWATOMI INSURANCE DEPARTMENT 25059 No No Yes Dental, Hospital, Professional, Secondary CHILDRENS MERCY FAMILY HEALTH PARTNERS/MC+ MISSOURI COVENTRY HEALTH CARE OF KANSAS, KANSAS CITY COVENTRY HEALTH CARE OF KANSAS, WICHITA COVENTRY HEALTH CARE, FORMERLY ADVANTRA FREEDOM/SAVINGS COVENTRY HEALTH CARE, FORMERLY ADVANTRA- TEXAS, NEW MEXICO, ARIZONA COVENTRY HEALTH CARE, FORMERLY CONVENTY HLTH CARE NAT'L NETWORK/FIRST HLTH/ALTA HLTH STRATEGIES COVENTRY HEALTH CARE, FORMERLY COVENTRY HEALTH AND LIFE INSURANCE (TENNESSEE) COVENTRY HEALTH CARE, FORMERLY HEALTH AMERICA/HEALTH ASSURANCE/ADVANTRA COVENTRY HEALTH CARE, FORMERLY KNOWN AS MAIL HANDLERS BENEFIT PLAN COVENTRY HEALTH CARE, FORMERLY OF DELAWARE COVENTRY HEALTH CARE, FORMERLY OF GEORGIA COVENTRY HEALTH CARE, FORMERLY OF IOWA COVENTRY HEALTH CARE, FORMERLY PERSONAL CARE COVENTRY HEALTH CARE, FORMERLY SOUTHERN HEALTH SERVICES COVENTRY HEALTH CARE, FORMERLY UNIVERSITY OF MISSOURI COVENTRY HEALTH CARE, FORMERLY WELLPATH COVENTRY HEALTH CARE, FORMERLY, OF NEBRASKA COVENTRY HEALTH PLAN, FORMERLY ALTIUS COVENTRY HEALTH&LIFE OF OKLAHOMA COVENTRY HEALTH, FORMERLY OF LOUISIANA COVENTRY HEATLH CARE, FORMERLY GROUP HEALTH PLAN (GHP/ADVANTRA) COVENTRY, FORMERLY MUTUAL OF OMAHA INSURANCE COMPANY MAIL HANDLERS BENEFIT PLAN - MHBP VISTA HEALTH PLAN 25133 No No Yes Hospital, Professional, Secondary BENEFIT COORDINATORS CORP. (PITTSBURGH, PA) BENEFIT COORDINATORS CORPORATION 25145 No No Yes Hospital, Professional, Secondary SOUTHCARE/HEALTHCARE PREFERRED 25147 No No Yes Hospital, Professional, Secondary DIVERSIFIED NKA MCA ADMINSTRATORS MCA ADMINISTRATORS 25160 No No Yes Hospital, Professional, Secondary GATEWAY HEALTH PLAN MEDICAID PA 25169 Yes No Yes Hospital, Professional, Secondary DH EVANS PATH ADMINISTRATORS 25172 Yes No Yes Dental, Hospital, Professional, Secondary UNISON HEALTH PLAN UNITED HEALTHCARE COMMUNITY PLAN (UNISON HEALTH PLAN) 25175 Yes No Yes Hospital, Professional, Secondary LIFE PITTSBURGH 25181 No No Yes Hospital, Professional, Secondary CHILDRENS COMMUNITY HEALTH PLAN 251CC Yes No Yes Hospital, Professional, Secondary MEDSTAR MEDICARE CHOICE 251MC Yes No Yes Hospital, Professional, Secondary MEDSTAR SELECT 251MS Yes No Yes Hospital, Professional, Secondary PIEDMONT WELLSTAR HEALTH PLAN 251PD No No Yes Hospital, Professional, Secondary PREMIER HEALTH PLAN 251PR Yes No Yes Hospital, Professional, Secondary VIRGINIA PREMIER INDIVIDUAL PLANS 251VA No No Yes Hospital, Professional, Secondary SEVEN CORNERS 25404 Yes No Yes Hospital, Professional, Secondary PBS - OREGON ALASKA INDUSTRIAL HARDWARE 25449 No No No Dental, Hospital, Professional BIND 25463 Yes No Yes Hospital, Professional, Secondary GHI HMO 25531 No No Yes Hospital, Professional, Secondary WELLNET HEALTH PLANS 25711 Yes No Yes Hospital, Professional, Secondary ODS HEALTH-UB 2576 Yes No Yes Hospital, Secondary CAMERON MANUFACTURING & DESIGN, INC. (UCS) 25831 No No Yes Hospital, Professional, Secondary EAST BOSTON NEIGHBORHOOD PACE 25849 No No Yes Hospital, Professional, Secondary MEDVIEW VISTA 360 HEALTH 2585 No No Yes Hospital, Secondary VIECARE LIFE ARMSTRONG 25922 No No Yes Hospital, Professional, Secondary VIECARE LIFE BEAVER AND LIFE LAWRENCE COUNTIES 25924 No No Yes Hospital, Professional, Secondary CENTRAL CALIFORNIA WOMENS HEALTH 26041 Yes No Yes Hospital, Professional, Secondary ML HEALTHCARE 26097 No No No Hospital, Professional ALLCARE PEBB 26158 No No Yes Hospital, Professional, Secondary MID ROGUE OREGON HEALTH PLAN 26161 Yes No Yes Hospital, Professional, Secondary MOLINA HEALTHCARE OF VIRGINIA 26176 Yes No Yes Hospital, Professional, Secondary PBS - OREGON CONSTRUCTION MACHINERY INDUSTRIAL 26224 No No Yes Dental, Hospital, Professional, Secondary AETNA BETTER HEALTH OF ILLINOIS - MMAI 26337 Yes No Yes Hospital, Professional, Secondary AMERIGROUP AMERICAID 26375 No No Yes Hospital, Professional, Secondary FLORIDA TRUE HEALTH 26492 No No Yes Hospital, Professional, Secondary VILLAGECAREMAX 26545 No No Yes Hospital, Professional, Secondary IMS TPA: WALKER WHITE, INC. (UCS) 26879 No No Yes Hospital, Professional, Secondary CARE WISCONSIN HEALTH PLAN 27004 No No Yes Hospital, Professional, Secondary LIFESTYLE HEALTH PLANS 27005 No No Yes Hospital, Professional, Secondary DELAWARE PHYSICIANS CARE NEWARK DE 27009 No No Yes Hospital, Professional, Secondary PEAK PACE SOLUTIONS 27034 No No No Hospital, Professional PAYER FUSION 27048 Yes No Yes Hospital, Professional, Secondary CSI OF MICHIGAN 27136 Yes No Yes Hospital, Professional, Secondary ARIZONA PRIORITY CARE PLUS 27154 No No No Hospital, Professional DELL CHILDRENS HEALTH PLAN 27182 No No Yes Hospital, Professional, Secondary KENTUCKY HEALTH ADMINISTRATORS, INC. 27215 No No Yes Hospital, Professional, Secondary PBS - OREGON ALASKA RUBBER & SUPPLY 27267 No No No Dental, Hospital, Professional PBS - OREGON CASCADE RUBBER PRODUCTS 27277 No No No Dental, Hospital, Professional WINHEALTH PARTNERS 27327 No No Yes Hospital, Professional, Secondary AMERIGROUP COMM CARE/AMERIGROUP CORP (FT WORTH)/AMERIGROUP GEORGIA 27514 Yes No Yes Hospital, Professional, Secondary AMERIGROUP CORPORATION (HOUSTON) 27515 No No Yes Hospital, Professional, Secondary AMERICAID COMMUNITY CARE (NEW JERSEY) 27516 No No Yes Hospital, Professional, Secondary AMERICAID COMMUNITY CARE (MARYLAND) 27517 Yes No Yes Hospital, Professional, Secondary AMERIGROUP IL AMERIGROUP OHIO 27518 Yes No Yes Hospital, Professional, Secondary AMERIGROUP FL 27519 Yes No Yes Hospital, Professional, Secondary COMMUNITY HEALTH ALLIANCE TN 27905 No No Yes Hospital, Professional, Secondary SECURE HEALTH PLANS OF GEORGIA, LLC 28530 Yes No Yes Hospital, Professional, Secondary SOUTH TAHOE REFUSE 28580 No No No Hospital, Professional GROUP RESOURCES 28680 No No Yes Hospital, Professional, Secondary AMERIGROUP 28804 Yes No Yes Hospital, Professional, Secondary PHYSICIANS ACCOUNTABLE CARE ORG 28943 Yes No Yes Hospital, Professional, Secondary THE HEALTH PLAN OF WESTERN ILLINOIS (HOWI) 29018 No No Yes Hospital, Professional, Secondary MEDICAL MUTUAL OF OH MEDICAL MUTUAL OF OHIO 29076 No No Yes Hospital, Professional, Secondary OLD SURETY LIFE INSURANCE COMPANY 29237 Yes Yes Yes Hospital, Professional, Secondary BERKSHIRE HEALTH PLAN-UB 2942 Yes No Yes Hospital, Secondary GALVESTON COUNTY INDIGENT HEALTH CARE 30005 Yes No Yes Hospital, Professional, Secondary PRO-CLAIM PLUS INC 30031 No No Yes Hospital, Professional, Secondary THRIVENT FINANCIAL LUTHERAN BROTHERHOOD MEDICARE 30166 No No No Hospital, Professional THRIVENT FINANCIAL AID ASSOC FOR LUTHERAN MEDICARE 30167 No No No Hospital, Professional INDIVIDUAL ASSURANCE COMPANY 30360 Yes No Yes Hospital, Professional, Secondary HERITAGE VICTOR VALLEY MEDICAL GROUP 30862 Yes No Yes Hospital, Professional, Secondary WESTERN SOUTHERN FINANCIAL GROUP (CINCINNATI, OH) 31048 No No No Hospital, Professional INDIVIDUAL HEALTH INSURANCE COMPANIES STATE FARM GROUP MEDICAL & INDIVIDUAL HEALTH INSURANCE COMPANIES 31053 Yes No Yes Hospital, Professional, Secondary STATE FARM C&P 31059 No No Yes Hospital, Professional, Secondary EBMC 31074 Yes No Yes Hospital, Professional, Secondary CARESOURCE OH 31114 Yes No Yes Hospital, Professional, Secondary CENTRAL BENEFITS LIFE CENTRAL BENEFITS MUTUAL CENTRAL BENEFITS NATIONAL 31118 Yes No Yes Hospital, Professional, Secondary INTEGRA GROUP 31127 No No Yes Hospital, Professional, Secondary AMERICAN HEALTH ADVANTAGE OF TN 31130 Yes No Yes Hospital, Professional, Secondary AMERICAN HEALTH ADVANTAGE OF MISSISSIPPI 31135 Yes No Yes Hospital, Professional, Secondary AHPO (CLEVELAND, OH) 31138 No No Yes Hospital, Professional, Secondary GEORGIA HEALTH ADVANTAGE 31140 Yes No Yes Hospital, Professional, Secondary TRIHEALTH PHYSICIAN SOLUTIONS TRISTATE BENEFIT SOLUTIONS (OH) 31144 No No Yes Hospital, Professional, Secondary AMERICAN HEALTH ADVANTAGE OF UT 31145 Yes No Yes Hospital, Professional, Secondary AMERICAN HEALTH ADVANTAGE OF FL 31150 Yes No Yes Hospital, Professional, Secondary AMERICAN HEALTH ADVANTAGE OF TX 31155 Yes No Yes Hospital, Professional, Secondary HEALTHTRANS INNOVANTE BENEFIT ADMINISTRATORS 31172 No No Yes Hospital, Professional, Secondary TOTAL COMMUNITY CARE 31182 Yes No Yes Hospital, Professional, Secondary FREEDOM FIRST 31313 Yes No Yes Hospital, Secondary MDWISE HEALTHY INDIANA 31354 No No Yes Hospital, Professional, Secondary MDWISE HEALTHY INDIANA PLAN 3135M No No Yes Hospital, Professional, Secondary PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS 31401 Yes No Yes Hospital, Professional, Secondary TEXAS INDEPENDENCE HEALTH PLAN 31403 Yes No Yes Hospital, Professional, Secondary PROVIDERS PARTNERS HEALTH PLAN OF MO 31404 Yes No Yes Hospital, Professional, Secondary S&S HEALTHCARE STRATEGIES 31441 Yes No Yes Hospital, Professional, Secondary ELDERPLAN INC 31625 No Yes Yes Hospital, Professional, Secondary VNA HOMECARE OPTIONS 31626 No No Yes Hospital, Professional, Secondary WAGNER MEINERT 31650 No No No Hospital, Professional LIGHTHOUSE HEALTH 31828 No No Yes Hospital, Professional, Secondary BETTER HEALTH PLANS OF SOUTH CAROLINA 32006 No No Yes Hospital, Professional, Secondary MYNEXUS INC 32043 Yes No Yes Hospital, Professional, Secondary UNIVERSAL CARE - CALIFORNIA 33001 No No Yes Hospital, Professional, Secondary FCE BENEFIT ADM BURLINGAME CA FIRST HEALTH NETWORK 33033 No No Yes Hospital, Professional, Secondary LOMA LINDA UNIVERSITY HEALTHCARE - MANAGEDCARE CLAIMS 33036 No No Yes Hospital, Professional, Secondary PACIFICARE BEHAVIORAL HEALTH, INC. 33053 Yes No Yes Hospital, Professional, Secondary CHOC-CHILDRENS HOSPITAL OF ORANGE CO HEALTH ALLIANCE 33065 Yes No Yes Hospital, Professional, Secondary MOLINA HEALTHCARE OF CALIFORNIA 33373 No No Yes Hospital, Professional, Secondary MERCY MARICOPA MERCY MARICOPA INTEGRATED CARE 33628 Yes No Yes Hospital, Professional, Secondary CONCORDIA CARE 33632 Yes No Yes Hospital, Professional, Secondary ICIRCLE OF NEW YORK 33884 No No Yes Hospital, Professional, Secondary PREFERRED HEALTH CARE 33898 Yes No Yes Hospital, Professional, Secondary MULTIPLAN WI PREFERRED PROVIDER NETWORK 34080 Yes No Yes Hospital, Professional, Secondary ES BEVERIDGE AND ASSOCIATES 34108 No No Yes Hospital, Professional, Secondary SELF FUNDED PLANS INC. OF CLEVELAND OHIO SELF-FUNDED PLANS 34131 No No Yes Hospital, Professional, Secondary PROFESSINAL RISK MANAGEMENT 34134 Yes No Yes Hospital, Professional, Secondary JP FARLEY CORPORATION 34136 Yes No Yes Hospital, Professional, Secondary KLAIS & COMPANY 34145 Yes No Yes Hospital, Professional, Secondary KLAIS & COMPANY REPRICING VIA HEALTHSPAN NETWORK 3414A No No No Hospital, Professional CHESTERFIELD RESOURCES CHESTERFIELD RESOURCES, INC. 34154 No No No Hospital, Professional HEALTH DESIGN PLUS (HUDSON, OH) 34158 Yes No Yes Hospital, Professional, Secondary E-V BENEFITS MANAGEMENT, INC (COLUMBUS OH) NABN (CLEVELAND OH) NORTH AMERICAN BENEFITS NETWORK (CLEVELAND OH) 34159 No No Yes Hospital, Professional, Secondary EMERALD HEALTH NETWORK, INC. (ALL PPO BUSINESS) HEALTH SERVICES PREFERRED (HSP) BY EMERALD HEALTH INTEGRATED CARE NETWORK (ICN) BY EMERALD HEALTH 34167 Yes No Yes Hospital, Professional, Secondary FRONTPATH HEALTH COALITION 34171 Yes No Yes Hospital, Professional, Secondary COMP OHIO AUSTINTOWN 34177 No No Yes Hospital, Professional, Secondary CSI NETWORK SERVICES 34186 Yes No Yes Hospital, Professional, Secondary OHIO HEALTH CHOICE, PPO 34189 Yes No No Hospital, Professional MUTUAL HEALTH SERVICES 34192 Yes No Yes Hospital, Professional, Secondary DENTIST DIRECT 34196 No No Yes Hospital, Professional, Secondary UNIFIED PHYSICIANS NETWORK 34638 No No Yes Hospital, Professional, Secondary AETNA BETTER HEALTH NY 34734 No No No Hospital, Professional MORRIS ASSOCIATES 35092 No No Yes Hospital, Professional, Secondary INDIANA TEAMSTERS HEALTH BENEFITS FUND (INDIANAPOLIS, IN) LOCAL 135 HEALTH BENEFITS LOCAL 135 HEALTH BENEFITS FUND (INDIANAPOLIS, IN) 35107 Yes No Yes Hospital, Professional, Secondary EMPLOYEE PLANS, LLC EMPLOYEE PLANS, LLC 35112 No No Yes Hospital, Professional, Secondary INTOTAL HEALTH 35115 No No No Hospital, Professional COOK GROUP HEALTH PLAN 35149 No No Yes Hospital, Professional, Secondary COMMUNITY HEALTH DIRECT 35161 Yes No Yes Hospital, Professional, Secondary MANAGED CARE SERVICES, LLC PARKVIEW SIGNATURE CARE 35162 No No No Hospital, Professional SAGAMORE HEALTH NETWORK 35164 Yes No Yes Hospital, Professional, Secondary QUAL CHOICE OF ARKANSAS 35174 No No Yes Hospital, Professional, Secondary BRODART CORESOURCE (CLINTON, IA) CORESOURCE MD PA IL 35182 No No Yes Hospital, Professional, Secondary CORESOURCE OH 35183 No No Yes Hospital, Professional, Secondary DUNN & ASSOCIATES BENEFIT ADMIN DUNN AND ASSOCIATES (UCS) 35186 No No Yes Hospital, Professional, Secondary CORESOURCE-INTERNAL 35187 No No Yes Hospital, Professional, Secondary MDWISE HOOSIER 35191 No No Yes Hospital, Professional, Secondary COMMUNITY HEALTH ALLIANCE 35193 No No Yes Hospital, Professional, Secondary UNIFIED GROUP SERVICES 35198 No No Yes Hospital, Professional, Secondary COOPERATIVE MANAGED CARE SERVICES/INDIANAPOLIS IN ST. ANTHONY MEMORIAL HEALTHCARE CENTERS - MDWISE ST. CATHERINE HOSPITAL PHO - MDWISE ST. FRANCIS HEALTH NETWORK ST. MARGARET MERCY HEALTHCARE CENTERS - MDWISE 35199 Yes No Yes Hospital, Professional, Secondary MDWISE HOOSIER HEALTHWISE 2019 SUBMISSIONS 3519M No No Yes Hospital, Professional, Secondary CORNERSTONE BENEFIT ADMIN SECURITY ADMINISTRATIVE SERVICES 35202 No No Yes Dental, Hospital, Professional, Secondary MEDPARTNERS 35205 No No Yes Hospital, Professional, Secondary ENCIRCLE PPO ENCORE HEALTH NETWORK THE HEALTHCARE GROUP 35206 Yes No Yes Hospital, Professional, Secondary ADVANTAGE HEALTH SOLUTIONS 35209 Yes No Yes Hospital, Professional, Secondary CMCS ADVANTAGE SOLUTIONS MEDICARE ADVANTAGE 35219 Yes No Yes Hospital, Professional, Secondary SOUTH POINT HOTEL&CASINO 35227 No No Yes Hospital, Professional, Secondary WELLSYSTEMS LLC 35245 No No Yes Hospital, Professional, Secondary MMA 35316 No No Yes Hospital, Professional, Secondary KEY GAP 35317 No No Yes Hospital, Professional, Secondary PACE NEBRASKA 35416 No No No Hospital, Professional CLARION HEALTH 35456 No No Yes Hospital, Professional, Secondary EVERENCE 35605 No No Yes Hospital, Professional, Secondary PHYSICIANS HEALTH PLAN OF NORTHERN IN (INST) 3596 No No Yes Hospital, Secondary BAS BENEFIT ADMINISTRATIVE SYSTEMS 36149 Yes No Yes Dental, Hospital, Professional, Secondary CENTRAL STATES HEALTH & WELFARE FUNDS TEAMCARE 36215 Yes No Yes Hospital, Professional, Secondary UNITED HEALTHCARE OVATIONS INSURANCE SOLUTIONS (AARP) 36273 Yes No Yes Hospital, Professional, Secondary CENTRAL DUPAGE PHYSICIAN GROUP 36314 No No Yes Hospital, Secondary ADVOCATE HEALTH CENTERS 36320 Yes No Yes Hospital, Professional, Secondary ASSOCIATES FOR HEALTH CARE, INC. (AHC) 36326 Yes No Yes Hospital, Professional, Secondary PROFESSIONAL BENEFIT ADMINISTRATORS, INC. (OAK BROOK, IL) 36331 No No Yes Hospital, Professional, Secondary LAWNDALE CHRISTIAN HEALTH PLAN 36333 No No Yes Hospital, Professional, Secondary MACNEAL HEALTH PROVIDERS - CHS 36334 No No Yes Hospital, Professional, Secondary HFN, INC. 36335 Yes No Yes Hospital, Professional, Secondary GROUP ADMINISTRATORS LTD. GROUP ADMINISTRATORS LTD. (IL) 36338 No No Yes Hospital, Professional, Secondary INSURANCE PROGRAM MANAGERS GROUP IPMG EMPLOYEE BENEFIT SERVICES 36342 No No Yes Hospital, Professional, Secondary PHYSICIANS CARE NETWORK (ROCKFORD, IL ONLY) 36345 Yes No Yes Hospital, Professional, Secondary NORTHWEST SUBURBAN IPA (ILLINOIS) 36346 No No Yes Hospital, Professional, Secondary NORTHERN ILLINOIS HEALTH PLAN (NIHP) NORTHERN ILLINOIS HEALTH PLAN, FREEPORT IL 36347 No No Yes Hospital, Professional, Secondary ARGUS HEALTH SYSTEMS 36356 Yes No Yes Hospital, Secondary ENH MEDICAL GROUP IPA 36364 Yes No Yes Hospital, Professional, Secondary AMERICAN IMAGING MANAGEMENT, INC. 36369 Yes No Yes Hospital, Professional, Secondary PRAIRIE STATES ENTERPRISES, INC. 36373 No No Yes Hospital, Professional, Secondary RUSH PRUDENTIAL HEALTH PLANS (HMO ONLY) 36389 Yes No Yes Hospital, Professional, Secondary NORTH SUBURBAN ASSOCIATED PHYSICIANS 36392 No No Yes Hospital, Professional, Secondary CENTURY PHO 36393 Yes No Yes Hospital, Professional, Secondary RESURRECTION HEALTH CARE PREFERRED/FKA FAMILY MEDICAL NETWORK 36396 No No Yes Hospital, Professional, Secondary TRELLIS HEALTH PARTNERS 36397 Yes No Yes Hospital, Professional, Secondary NORTH AMERICAN MEDICAL MANAGEMENT IL 36398 Yes No Yes Hospital, Professional, Secondary PREFERRED NETWORK ACCESS/DARIEN IL 36401 Yes No Yes Hospital, Professional, Secondary SELF INSURED PLANS SELF INSURED PLANS LLC 36404 No No Yes Hospital, Professional, Secondary SENDERO HEALTH 36426 No No Yes Hospital, Professional, Secondary BOILERMAKERS NATIONAL HEALTH & WELFARE FUND INTERNATIONAL BROTHERHOOD OF BOILERMAKERS 36609 Yes No Yes Hospital, Professional, Secondary TEAMSTERS LOCAL UNION #301 36612 Yes No Yes Hospital, Professional, Secondary ENTRUST 36878 No No No Hospital, Professional MENTAL HEALTH CONSULTANTS 37050 Yes No Yes Hospital, Professional, Secondary CATERPILLAR INC. CATERPILLAR, INC. 37060 No No Yes Hospital, Professional, Secondary CANNON COCHRAN MANAGEMENT SERVICES (DENTAL) SAGE TECHNOLOGIES 37105 No No Yes Hospital, Professional, Secondary H.E.R.E.I.U. WELFARE PENSION FUNDS 37114 No No Yes Hospital, Professional, Secondary LAKE COUNTY PHYSICIANS ASSOCIATION 37116 No No Yes Hospital, Professional, Secondary BENEFIT PLAN ADMINISTRATORS, INC. (ROANOKE, VA) 37118 No No Yes Hospital, Professional, Secondary MASHANTUCKET PEQUOT TRIBAL NATION PEQUOT PLUS HEALTH BENEFIT ADMINISTRATORS 37121 No No Yes Hospital, Professional, Secondary MICHAEL REESE PHYSICIANS GROUP 37127 No No Yes Hospital, Professional, Secondary QUINCY HEALTH CARE MANAGEMENT INC. 37129 Yes No Yes Hospital, Professional, Secondary HSHS MEDICAL GROUP IPA 37137 Yes No Yes Hospital, Professional, Secondary BENEFIT MANAGEMENT SYSTEMS, INC. 37212 No No Yes Hospital, Professional, Secondary EMPLOYEE BENEFIT SERVICES 37216 No No Yes Hospital, Professional, Secondary KEY BENEFIT ADMINISTRATORS 37217 No No Yes Hospital, Professional, Secondary PITTMAN & ASSOCIATES 37224 No No Yes Hospital, Professional, Secondary CNIC HEALTH SOLUTIONS CNIC HEALTH SOLUTIONS INC. 37227 Yes No Yes Hospital, Professional, Secondary TARRANT HEALTH SERVICES 37228 No No Yes Hospital, Professional, Secondary TR PAUL INC. 37230 No No Yes Hospital, Professional, Secondary MISSISSIPPI PUBLIC ENTITY EMPLOYEE BENEFIT TRUST MPE SERVICES INC. MPEEBT 37233 No No Yes Hospital, Professional, Secondary GRANT PHYSICIANS PRACTICE ASSOC. 37234 No No Yes Hospital, Professional, Secondary AULTRA ADMINISTRATIVE GROUP 37242 No No Yes Hospital, Professional, Secondary WESTERN MUTUAL INS 37247 Yes No Yes Hospital, Professional, Secondary ELMCO 37253 No No Yes Hospital, Professional, Secondary MUTUAL ASSURANCE ADMINISTRATORS MUTUAL ASSURANCE ADMINISTRATORS 37256 No No Yes Hospital, Professional, Secondary EMPLOYEE BENEFIT CONSULTANTS - EBC, INC (OH, WI, KY, NM) EMPLOYEE BENEFIT CONSULTANTS MILWAUKEE WI 37257 No No Yes Hospital, Professional, Secondary ST. JOHNS CLAIMS ADMINISTRATION 37264 No No Yes Hospital, Professional, Secondary CROY-HALL/ SOUTHWEST SERVICE LIFE 37266 No No Yes Hospital, Professional, Secondary LOMA LINDA UNIVERSITY ADVENTIST HEALTH SCIENCES CENTER EMPLOYEE HEALTH PLAN LOMA LINDA UNIVERSITY ADVENTIST HEALTH SCIENCES CENTERS LOMA LINDA UNIVERSITY BEHAVIORAL MEDICINE CENTER EMPLOYEE HEALTH PLAN LOMA LINDA UNIVERSITY EMPLOYEE HEALTH PLAN LOMA LINDA UNIVERSITY HEALTH CARE EMPLOYEE HEALTH PLAN 37267 No No Yes Hospital, Professional, Secondary INTERNATIONAL UNION OF OPERATION ENGINEERS 37269 No No Yes Hospital, Professional, Secondary HEALTHSMART (FORMERLY JSL ADMINISTRATORS) J. SMITH LANIER & CO. ADMINISTRATORS JSL ADMINISTRATORS WELLS FARGO THIRD PARTY ADMINISTRATORS, INC. (FORMERLY JSL ADMINISTRATORS) 37272 Yes No Yes Hospital, Professional, Secondary MISSOULA COUNTY MEDICAL BENEFITS PLAN 37275 No No Yes Hospital, Professional, Secondary GROUP INSURANCE SERVICE CENTER, INC. 37276 No No Yes Hospital, Professional, Secondary RESOURCEONE ADMINISTRATORS 37278 No No Yes Hospital, Professional, Secondary INSURANCE ADMINISTRATORS OF AMERICA, INC/ IAA 37279 No No No Hospital, Professional AUTOMATED GROUP ADMINISTRATION AUTOMATED GROUP ADMINISTRATORS, INC (AGA) 37280 No No Yes Hospital, Professional, Secondary LIBERTY UNION LIFE ASSURANCE COMPANY MID AMERICA ASSOC 37281 No No Yes Hospital, Professional, Secondary SELECT BENEFITS ADMIN OF AMERICA ASHLAND WI 37282 Yes No Yes Hospital, Professional, Secondary AAG-AMERICAN ADMIN GRP GALLAGHER BENEFIT ADMIN HEALTHSMART (AMERICAN ADMINISTRATIVE GROUP) HEALTHSMART BENEFIT SOLUTIONS 37283 Yes No No Hospital, Professional TRANSCHOICE-KEY BENEFIT ADMINISTRATORS 37284 No No Yes Hospital, Professional, Secondary PAI/PLANNED ADMINISTRATORS INC 37287 No No Yes Hospital, Professional, Secondary HEALTH SVCS FOR CHILDREN WITH SPECIAL NEEDS 37290 No No Yes Hospital, Professional, Secondary MACHINIST DISTRICT 9 WELFARE/ UMMH 37292 Yes No Yes Hospital, Professional, Secondary PRISM NETWORK, INC. 37296 No No Yes Hospital, Professional, Secondary MERITAIN SUPERIAN HEALTH NETWORK NYHART 37299 No No Yes Hospital, Professional, Secondary FACS GRP/FEDERATED HR SRVC/ FEDERATED BENEFITS 37300 No No Yes Hospital, Professional, Secondary SUMMIT AMERICA INS SERVICES INC 37301 No No Yes Hospital, Professional, Secondary PRISM-FIRST HEALTH 37303 No No Yes Hospital, Professional, Secondary MEDIVERSAL 37304 Yes No Yes Hospital, Secondary WESTERN HEALTH INC 37306 No No Yes Hospital, Professional, Secondary CONNECTICUT CARPENTERS HEALTH FUND 37307 No No Yes Hospital, Professional, Secondary ALLIED BENEFIT SYSTEMS 37308 No No Yes Hospital, Professional, Secondary PROTECTIVE LIFE INSURANCE COMPANY 37309 No No Yes Hospital, Professional, Secondary CARESOURCE INDIANA 37311 No No Yes Hospital, Professional, Secondary ASSURANT HEALTH SELF FUNDED 37313 No No Yes Hospital, Professional, Secondary BROWARD HEALTH NORTH BROWARD HOSPITAL DISTRICT SOUTH FL COMMUNITY CARE NETWORK TOTAL CLAIMS ADMINISTRATION 37314 No No Yes Hospital, Professional, Secondary PRISM-UNIVERA WEST SENECA NY 37315 No No Yes Hospital, Professional, Secondary LEON MEDICAL CENTER HEALTH PLAN 37316 Yes No Yes Hospital, Professional, Secondary CREATIVE PLAN ADMINISTRATORS 37320 No No Yes Hospital, Professional, Secondary KEY SELECT 37321 No No Yes Hospital, Professional, Secondary AMERICAN WORKER HEALTH PLAN 37322 No No Yes Hospital, Professional, Secondary KEY SOLUTION 37323 No No Yes Hospital, Professional, Secondary PHPMM PHYSICIANS HP 37330 Yes No Yes Hospital, Professional, Secondary RIGHTCHOICE BENEFIT ADMINISTRATORS 37331 No No Yes Hospital, Professional, Secondary COMPSYCH 37363 No No Yes Hospital, Professional, Secondary FIRST CHOICE VIP CARE 37510 No No Yes Hospital, Professional, Secondary UNIVERSITY OF ILLINOIS AT CHICAGO, DIV OF SPECIALIZED CARE FOR CHILDREN 37601 No No Yes Hospital, Professional, Secondary GOLDEN RULE INSURANCE COMPANY ROONEY LIFE INC. 37602 Yes No Yes Hospital, Professional, Secondary GROUP HEALTH MANAGERS REDFORD MI 38194 Yes No Yes Hospital, Professional, Secondary TOTAL HEALTH CARE, INC DETROIT MI 38201 Yes No Yes Hospital, Professional, Secondary PRIORITY HEALTH 38217 No No Yes Hospital, Professional, Secondary REGENCY EMPLOYEE BENEFITS PORT HURON MI 38221 No No Yes Hospital, Professional, Secondary HAP/AHL/CURANET MEDICAL VALUE PLAN - OHIO (MVP) 38224 Yes No Yes Hospital, Professional, Secondary NGS AMERICAN, INC 38225 No No Yes Hospital, Professional, Secondary MERITAIN HEALTH WEYCO INC. 38232 No No Yes Hospital, Professional, Secondary BENESYS (MI) MICHIGAN REGIONAL COUNCIL OF CARPENTERS EMPLOYEE BENEFIT PLAN NORTHERN CA SHEET METAL WORKERS SHEET METAL WORKERS LOCAL 104 HEALTH CARE PLAN 38238 Yes No Yes Hospital, Professional, Secondary EMPLOYEE BENEFIT CONCEPTS EMPLOYEE BENEFIT CONCEPTS (FARMINGTON HILLS, MI) 38241 Yes No Yes Hospital, Professional, Secondary ACTIVA BENEFIT SERVICES LLC 38254 No No Yes Hospital, Professional, Secondary AUTOMATED BENEFIT SERVICES 38259 Yes No Yes Hospital, Professional, Secondary UNITED BENEFIT ADVISORS 38260 No No Yes Hospital, Professional, Secondary ASR PHYSICIANS CARE 38265 No No Yes Hospital, Professional, Secondary CHRISTIAN BROTHERS SERVICES 38308 No No Yes Hospital, Professional, Secondary HEALTH NET OF ARIZONA 38309 Yes No Yes Hospital, Professional, Secondary MOLINA HEALTH CARE LONG BEACH CA 38333 No No Yes Hospital, Professional, Secondary MOLINA HEALTHCARE OF MICHIGAN 38334 No No Yes Hospital, Professional, Secondary MOLINA HEALTHCARE OF WASHINGTON 38336 No No Yes Hospital, Professional, Secondary UPPER PENINSULA HEALTH PLAN (MEDICAID) 38337 No No Yes Hospital, Professional, Secondary MCLAREN HEALTH PLAN FLINT MI 38338 Yes No Yes Hospital, Professional, Secondary MCLAREN HEALTH ADVANTAGE 3833A Yes No Yes Hospital, Professional, Secondary MCLAREN MEDICAID 3833C Yes No Yes Hospital, Professional, Secondary INGHAM HEALTH PLAN CORP 38343 No No No Hospital, Professional SPENCER STUART (ARM LTD) 38416 No No Yes Hospital, Professional, Secondary AETNA TX MEDICAID & CHIP 38692 Yes No Yes Hospital, Professional, Secondary BENESIGHT EMPLOYERS INSURANCE OF WAUSAU - AKA WAUSAU FISERV HEALTH - WAUSAU BENEFITS/BENESIGHT UMR UMR-WAUSAU UNITED MEDICAL RESOURCES WAUSAU BENEFITS (AKA UMR) 39026 Yes No Yes Dental, Hospital, Professional, Secondary SECURITY HEALTH PLAN 39045 Yes No Yes Hospital, Professional, Secondary BENEFIT PLAN ADMINISTRATORS CO. (EAU CLAIRE, WI) 39081 No No Yes Hospital, Professional, Secondary DEAN HEALTH PLAN 39113 No No Yes Hospital, Professional, Secondary MERCYCARE 39114 No No Yes Hospital, Professional, Secondary COMMUNITY CARE ORGANIZATION 39126 Yes No Yes Hospital, Professional, Secondary NETWORK HEALTH PLAN OF WISCONSIN, INC. 39144 No Yes Yes Hospital, Professional, Secondary WEA INSURANCE GROUP 39151 No No Yes Hospital, Professional, Secondary PHYSICIANS PLUS INSURANCE CORPORATION 39156 Yes No Yes Hospital, Professional, Secondary TBG ADMINISTRATIVE SERVICES 39157 Yes No Yes Hospital, Professional, Secondary GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN 39167 No No Yes Hospital, Professional, Secondary GUNDERSEN LUTHERAN HEALTH PLAN, INC. 39180 Yes No Yes Hospital, Professional, Secondary INTERNATIONAL FUNDING LTD 39182 No No Yes Hospital, Professional, Secondary PREVEA HEALTH INSURANCE PLAN 39185 No No Yes Hospital, Professional, Secondary MEDSTAR FAMILY CHOICE 39190 No No Yes Hospital, Professional, Secondary QUADMED (WEST ALLIS, WI) 39197 Yes No Yes Hospital, Professional, Secondary FIRE DEPARTMENT CITY OF NEW YORK 40043 No No No Hospital, Professional KALOS HEALTH 40137 No No No Hospital, Professional QUAD CITY COMMUNITY HEALTHCARE (QCCH) 40437 No No Yes Hospital, Professional, Secondary INDECS CORP. INDECS CORPORATION 40585 No No Yes Hospital, Professional, Secondary CORESOURCE AZ MN CORESTAR RELIASTAR 41045 No No Yes Hospital, Professional, Secondary WILSON MCSHANE 41095 No No Yes Hospital, Professional, Secondary JOHN ALDEN INSURANCE (ASSURANT HEALTH) JOHN ALDEN LIFE INSURANCE CO. 41099 Yes No Yes Hospital, Professional, Secondary CORPORATE BENEFIT SERVICES OF AMERICA (CBSA) MERITAIN HEALTH MINNEAPOLIS 41124 Yes No Yes Hospital, Professional, Secondary LIFE TRAC / ALLIANZ LIFE INS 41136 Yes No Yes Hospital, Professional, Secondary PREFERRED ONE PREFERRED ONE (MN) 41147 Yes No Yes Hospital, Professional, Secondary MAYO MANAGEMENT SERVICES, INC./SOUTH COUNTRY HEALTH ALLIANCE MMSI HEALTH SERVICES 41154 No No Yes Hospital, Professional, Secondary AMERICAN CHIROPRACTIC NETWORK IPA OF NY (ACNIPA) 41160 Yes No Yes Hospital, Professional, Secondary AMERICAS PPO/AMERICAS TPA/HEALTHEZ 41178 No No Yes Hospital, Professional, Secondary OPTUM HEALTH 41194 Yes No Yes Hospital, Professional, Secondary CLIENT FIRST 41201 No No No Hospital, Professional TOTAL PLAN SERVICES 41202 Yes No No Hospital, Professional BASIC PLUS (TCC) 41204 No No No Hospital, Professional BENEFIT ADMINISTRATION SERVICES 41205 No No Yes Dental, Hospital, Professional, Secondary ULTRA BENEFITS INC. 41206 Yes No Yes Hospital, Professional, Secondary FREEDOM HEALTH PLAN 41212 No No Yes Hospital, Professional, Secondary MEDPARTNERS ADMINISTRATIVE SERVICES 412MP Yes No Yes Hospital, Professional, Secondary MANATEE SERVICE CENTER (BRADENTON, FL) 41555 Yes No Yes Hospital, Professional, Secondary IMCARE ITASCA MEDICAL CARE 41600 No No Yes Hospital, Professional, Secondary AMERICAN REPUBLIC INSURANCE 42011 Yes No No Hospital, Professional COFINITY GROUP RESOURCE 42049 No No Yes Hospital, Professional, Secondary HEALTH CARE NETWORK OF WI (HCN) 42102 Yes No Yes Hospital, Professional, Secondary AMERICAN ADMINISTRATORS 42112 Yes No Yes Hospital, Professional, Secondary AETNA BETTER HEALTH OF NEBRASKA 42130 No No Yes Hospital, Professional, Secondary SELECT BENEFIT ADMINISTRATORS (DES MOINES, IOWA) 42137 No No Yes Hospital, Professional, Secondary COOK COUNTY HOSPITAL HEALTH SYSTEMS BEHAVIORAL 42138 No No Yes Hospital, Professional, Secondary CENTENE TPA 42139 Yes No Yes Hospital, Professional, Secondary CENTRURION 42140 No No Yes Hospital, Professional, Secondary EMPLOYEE BENEFIT SYSTEMS 42149 Yes No Yes Hospital, Professional, Secondary BUTLER BENEFIT 42150 Yes No Yes Hospital, Professional, Secondary STATE TRUST GROUP 42162 No No Yes Hospital, Professional, Secondary KEYSTONE FIRST COMMUNITY HEALTHCHOICES 42344 No No Yes Hospital, Professional, Secondary SOUTH CAROLINA SOLUTIONS 42406 No Yes Yes Hospital, Professional, Secondary CEDAR VALLEY COMMUNITY HEALTHCARE (CVCH) 42558 No No Yes Hospital, Professional, Secondary TRILLIUM HEALTH RESOURCES 43071 No No Yes Hospital, Professional, Secondary IMAGINE HEALTH 43123 No No No Hospital, Professional MERCY HEALTH PLANS 43166 No No No Hospital, Professional ACCEPTIUS BENEFIT MANAGEMENT INC. JOPLIN CLAIMS 43178 Yes No Yes Hospital, Professional, Secondary GATEWAY TO BETTER HEALTH PLAN - FFS 4317M No No Yes Hospital, Professional, Secondary VALOR HEALTH PLAN 43259 No No Yes Hospital, Professional, Secondary BEACON HEALTH STRATEGIES 43324 No No Yes Hospital, Professional, Secondary BENEFIT MANAGEMENT ADMINISTRATORS INETICO, INC. 43471 No No Yes Hospital, Professional, Secondary TEAMSTERS MEDICARE TRUST-RETIRED EMPLOYEES(TTMT) 43619 No No Yes Hospital, Professional, Secondary ARNOT OGDEN MEDICAL CENTER (UCS) 43905 No No Yes Hospital, Professional, Secondary GEHA GOVERNMENT EMPLOYEES HOSPITAL ASSOCIATION (GEHA) 44054 Yes No Yes Dental, Hospital, Professional, Secondary READING HOSPITAL EMPLOYER GROUP 44219 No No Yes Hospital, Professional, Secondary HEALTH PLANS INC. 44273 Yes No Yes Hospital, Professional, Secondary ALEXIAN BROTHERS COMMUNITY SERVICES OF TN 44423 Yes No Yes Hospital, Professional, Secondary AMERICAN POSTAL WORKERS UNION HEALTH PLAN 44444 Yes No Yes Hospital, Professional, Secondary IBEW: LOCAL 1 HEALTH & WELFARE FUND (MENTAL HEALTH) 44602 No No Yes Hospital, Professional, Secondary INDEPENDENT LIVING SYSTEMS 45048 Yes No Yes Hospital, Professional, Secondary NEW MEXICO HEALTH CONNECTIONS 45129 No No Yes Hospital, Professional, Secondary MERITUS HEALTH 45150 No No No Hospital, Professional NEW MEXICO HEALTH CONNECTIONS 451NM No No Yes Hospital, Professional, Secondary NAHGA CLAIM SERVICES 4520 No No Yes Hospital, Secondary NEW MEXICO PUBLIC SCHOOLS INSURANCE AUTHORITY 4521 No No Yes Hospital, Secondary GOVERNMENT EMPLOYEES HEALTH ASSOCIATION 45235 Yes No Yes Hospital, Professional, Secondary GOVERNMENT EMPLOYEES HEALTH ASSOCIATION 45275 Yes No Yes Hospital, Professional, Secondary WEST VIRGINA FAMILY HEALTH PLAN 45276 Yes No Yes Hospital, Professional, Secondary RIVERSIDE HEALTH INC 45281 Yes No Yes Hospital, Professional, Secondary UNIVERSITY OF MARYLAND HEALTH ADVANTAGE 45282 Yes No Yes Hospital, Professional, Secondary FRINGE BENEFITS GROUP LONE STAR TPA 45289 No No No Hospital, Professional INTEGRA MANAGED LONG TERM CARE 45302 No No Yes Hospital, Professional, Secondary CONSUMER CHOICE HEALTH - SC 45321 No No Yes Hospital, Professional, Secondary MAINE COMMUNITY HEALTH OPTIONS 45341 No No Yes Hospital, Professional, Secondary HEALTH CHOICE UTAH 45399 No No Yes Hospital, Professional, Secondary UNIVERSITY HEALTHCARE MARKETPLACE 45437 Yes No Yes Hospital, Professional, Secondary VIVIDA 45488 No No Yes Hospital, Professional, Secondary IU HEALTH PLANS-UB 4553 No No No Hospital MDWISE EXCHANGE 45627 No No Yes Hospital, Professional, Secondary ST FRANCIS HEALTH NETWORK MEDICAID-UB 4600 Yes No Yes Hospital, Secondary AVERA HEALTH PLANS 46045 Yes No Yes Hospital, Professional, Secondary CRYSTAL RUN HEALTH PLANS 46120 Yes No Yes Hospital, Professional, Secondary MONTIFIORE HMO 46161 Yes No Yes Hospital, Professional, Secondary EXTENDED CARE MTC 46166 No No Yes Hospital, Professional, Secondary SEASIDE HEALTH PLAN 46187 No No Yes Hospital, Professional, Secondary HEALTH CHOICE INSURANCE CO 46221 Yes No Yes Hospital, Professional, Secondary MOLINA HEALTHCARE SOUTH CAROLINA 46299 No No Yes Hospital, Professional, Secondary AETNA BETTER HEALTH OF NEW JERSEY 46320 Yes No Yes Hospital, Professional, Secondary UNIVERSITY HEALTH CARE ADVANTAGE 46407 No No No Hospital, Professional CRYSTAL RUN HEALTH PLANS DOS >12/31/17 46430 No No Yes Hospital, Professional, Secondary MARRICK WRX 46478 Yes No Yes Hospital, Professional, Secondary QUARTZ ASO 46571 Yes No Yes Hospital, Professional, Secondary CINCINNATI FINANCIAL CORPORATION 46871 No No Yes Hospital, Professional, Secondary MED3000 CMS EARLY STEPS 4688 Yes No Yes Hospital, Secondary PHYSICIANS MUTUAL INS CO NE 47027 No No Yes Hospital, Professional, Secondary CONTRACTORS LABORERS TEAMSTERS AND ENGINEERS 47046 No No Yes Hospital, Professional, Secondary REGIONAL CARE INC REGIONAL CARE INC. 47076 No No Yes Hospital, Professional, Secondary MIDLANDS CHOICE, INC. 47080 Yes No Yes Hospital, Professional, Secondary GMS, INC 47083 No No Yes Hospital, Professional, Secondary CORE BENEFITS / MULTIMATIC TENNESSE, LLC 47165 No No Yes Hospital, Professional, Secondary BCBS KANSAS/KANSAS BUILDING TRADE 4716B Yes No No Hospital, Professional HIGHMARK BCBSD HEALTH OPTIONS INC 47181 Yes No Yes Hospital, Professional, Secondary HAMASPIK CHOICE 47738 Yes No Yes Hospital, Professional, Secondary PHYSMETRICS 48008 Yes No Yes Hospital, Professional, Secondary VALENCE HEALTH 48026 No No Yes Hospital, Professional, Secondary PYRAMID LIFE 48055 No No Yes Hospital, Professional, Secondary PROVIDRS CARE NETWORK 48100 No No Yes Hospital, Professional, Secondary FLORIDA HOSPITAL WATERMAN 48116 No No Yes Hospital, Professional, Secondary FMH BENEFIT SERVICES, INC FMH BENEFIT SERVICES, INC. 48117 No No Yes Hospital, Professional, Secondary VALIR PACE 48123 No No Yes Hospital, Professional, Secondary GROUP AND PENSION ADMINISTRATORS 48143 Yes No Yes Hospital, Professional, Secondary COMMUNITY HEALTH CHOICE 48145 Yes No Yes Hospital, Professional, Secondary NEW YORK PRESBYTERIAN COMMUNITY HEALTH PLAN 48186 No No Yes Hospital, Professional, Secondary HMAA/HWMG 48330 No No Yes Dental, Hospital, Professional, Secondary INTERNATIONAL BROTHERHOOD OF BOILERMAKERS EMPLOYEE HEALTH CARE PLAN(IBBEHC) 48603 No No Yes Hospital, Professional, Secondary EMPLOYER DIRECT HEALTHCARE 48888 No No Yes Hospital, Professional, Secondary BCI ADMINISTRATORS, INC. FARMINGTON HILLS MI 49153 No No Yes Hospital, Professional, Secondary COLORADO HEALTH OP 49718 No No Yes Hospital, Professional, Secondary PACIFICSOURCE COMMUNITY SOLUTIONS (INSTITUTIONAL) 4972 No No Yes Hospital, Secondary AETNA BETTER HEALTH OF OHIO 50023 No No Yes Hospital, Professional, Secondary SANA BENEFITS 50114 Yes No Yes Hospital, Professional, Secondary US IMAGING NETWORK 50383 No Yes Yes Hospital, Professional, Secondary MONDIAL ASSISTANCE 50749 No No Yes Hospital, Professional, Secondary INTEGRA ADMIN GROUP SEAFORD DE INTEGRA ADMINISTRATIVE GROUP 51020 No No Yes Hospital, Professional, Secondary BROKERAGE CONCEPTS, INC. HEALTH NOW ADMINISTRATIVE SERVICE (PREVIOUSLY KNOWN AS BROKERAGE CONCEPTS) PERFORMAX/BENEFIT CONCEPTS 51037 Yes No Yes Dental, Hospital, Professional, Secondary MOLINA HEALTHCARE OF FLORIDA 51062 No No Yes Hospital, Professional, Secondary YERINGTON PAIUTE TRIBE 51350 No No No Hospital, Professional UNIFIED IPA MICHIGAN 51368 Yes No Yes Hospital, Professional, Secondary ADVANCED PHYSICIANS ASSOCIATION ALIVIO FAMILY MEDICAL APEX HEALTHCARE ASIAN HUMAN SERVICES FAMILY CHICAGO FAMILY HEALTH CENTER FAMILY CHRISTIAN HEALTH CENTER INDEPENDENT PHYSICIANS AT MERCY NEIGHBORHOOD DOCTORS ORGANIZATION 51909 No No No Hospital, Professional KAISER FOUNDATION HEALTH PLAN MID ATLANTIC 52095 No No Yes Hospital, Professional, Secondary NTCA 52103 No No Yes Hospital, Professional, Secondary NTCA-STAFF 52104 No No Yes Hospital, Professional, Secondary CHRISTUS HEALTH PLAN OF TX AND LA 52106 Yes No Yes Hospital, Professional, Secondary NTCA 52120 No No Yes Hospital, Professional, Secondary JOHNS HOPKINS HEALTHCARE (USFHP) 52123 Yes No Yes Hospital, Professional, Secondary COOPERATIVE BENEFIT ADMINISTRATORS (CBA) COOPERATIVE BENEFIT ADMINISTRATORS- CBA NATIONAL RURAL ELECTRIC COOP (NRECA) 52132 No No Yes Hospital, Professional, Secondary MAMSI LIFE AND HEALTH INSURANCE CO. (MLH) MD-INDIVIDUAL PRACTICE ASSOCIATION, INC. (M.D. IPA) OPTIMUM CHOICE OF THE CAROLINAS, INC. (OCCI) OPTIMUM CHOICE, INC. (OCI) 52148 Yes No Yes Hospital, Professional, Secondary MID ATLANTIC PSYCHIATRIC SERVICES, INC. (MAPSI) ONENET PPO, LLC. 52149 Yes No Yes Hospital, Professional, Secondary OPTIMUM CHOICE OF THE CAROLINAS 52152 Yes No Yes Hospital, Professional, Secondary UMWA HEALTH & RETIREMENT FUNDS 52180 Yes No Yes Hospital, Professional, Secondary MEDICAL DEVELOPMENT INTL 52181 Yes No Yes Hospital, Professional, Secondary JOHN HOPKINS HEALTHCARE 52189 No No Yes Hospital, Professional, Secondary SPECIAL RISK INTERNATIONAL 52190 Yes No Yes Hospital, Professional, Secondary CIGNA-HEALTHSPRING ELDER HEALTH MA AND PA 52192 Yes No Yes Hospital, Professional, Secondary LBA HEALTH PLANS 52193 No No Yes Hospital, Professional, Secondary INFORMED LLC INFORMED, LLC 52196 No No Yes Hospital, Professional, Secondary INJURED WORKERS INS FUND 52212 Yes No Yes Hospital, Professional, Secondary ARBOR HEALTH PLAN 52312 Yes No Yes Hospital, Professional, Secondary NEBRASKA PLASTICS GROUP(UCS) 52323 No No Yes Hospital, Professional, Secondary MARCH VISION 52461 No No Yes Hospital, Professional, Secondary LAKES AREA COMMUNITY HEALTHPLAN (LACH) 52511 No No Yes Hospital, Professional, Secondary MERIDIAN HEALTH PLAN OF MICHIGAN 52563 Yes No Yes Hospital, Professional, Secondary UCARE CONNECT 52629 Yes No Yes Hospital, Professional, Secondary NATIONAL ASSOCIATION OF LETTER CARRIERS (NALC) 53011 No No Yes Hospital, Professional, Secondary ANCHOR BENEFITS ANCHOR BENEFITS CONSULTING, INC. IN MAITLAND FL 53085 Yes No Yes Hospital, Professional, Secondary LASSEN MUNICIPAL UTILITY DISTRICT 53122 No No No Hospital, Professional PENN BEHAVIORAL HEALTH 53226 No No Yes Hospital, Professional, Secondary MARTINS POINT HEALTHCARE 53275 Yes Yes No Hospital, Professional PACE SOUTHWEST IOWA 53534 No No No Hospital, Professional OPTIMA HEALTH PLAN OPTIMA INSURANCE COMPANY SENTARA FAMILY CARE SENTARA HEALTH MANAGEMENT 54154 Yes No Yes Hospital, Professional, Secondary ALLINA HEALTH AND AETNA INSURANCE COMPANY 54398 No No Yes Hospital, Professional, Secondary IBC PERSONAL CHOICE 54704 No Yes Yes Hospital, Professional, Secondary HURON VALLEY PACE 54750 Yes No No Hospital, Professional AMERIHEALTH ADMINISTRATORS 54763 No Yes Yes Hospital, Professional, Secondary HEALTH NOW HEALTHNOW DIVISION 55204 No No Yes Hospital, Professional, Secondary HIP HEALTH INSURANCE PLAN OF GREATER NEW YORK 55247 No No Yes Hospital, Professional, Secondary AMERICAS 1ST CHOICE OF SOUTH CAROLINA, INC 55349 No No No Hospital, Professional UCARE INDIVIDUAL AND FAMILY PLANS 55413 Yes No Yes Hospital, Professional, Secondary HUMAN ARC 5573 No No Yes Hospital, Secondary CSHP / EVAN 55731 No No Yes Hospital, Professional, Secondary NEXTBLUE 55892 Yes No Yes Hospital, Professional, Secondary THE CITY OF EAST CHICAGO (UCS)-UB 5600U No No Yes Hospital, Secondary AMERICAN FAMILY PPO POLICIES ADMINISTERED BY AM REP 56071 Yes No Yes Hospital, Professional, Secondary EAST CAROLINA BEHAVIORAL HEALTH 56089 No No Yes Hospital, Professional, Secondary CORPORATE BENEFIT SERVICES CORPORATE BENEFITS SERVICES, INC (NC) 56116 No No Yes Hospital, Professional, Secondary CENTERPOINT HUMAN SERVICES 56122 No No Yes Hospital, Professional, Secondary BENEFIT MANAGEMENT SERVICES 56139 Yes No Yes Hospital, Professional, Secondary PRIMARY PHYSICIAN CARE, INC. PRIMARY PHYSICIANCARE, INC. 56144 No No Yes Hospital, Professional, Secondary BLUE MEDICARE HMO/PPO 56152 No No Yes Hospital, Professional, Secondary IMS TRIALCARD 56155 No No Yes Hospital, Professional, Secondary MANAGED CARE OF AMERICA MEDCOST INC 56162 Yes No Yes Dental, Hospital, Professional, Secondary CAROLINA SUMMIT HEALTHCARE, INC. 56195 Yes No Yes Hospital, Professional, Secondary FIRST CAROLINA CARE 56196 Yes No Yes Hospital, Professional, Secondary MBS (MEDCOST BENEFIT SERVICES) MEDCOST BENEFIT SERVICES (MBS) 56205 Yes No Yes Hospital, Professional, Secondary CRESCENT HEALTH SOLUTIONS 56213 No No Yes Hospital, Professional, Secondary SUTTER SENIOR CARE 56621 Yes No Yes Hospital, Professional, Secondary HEALTHCARE RESOURCES NW 56731 No No Yes Hospital, Professional, Secondary MSH REIMBURSEMENT 5675 Yes No Yes Hospital, Secondary LOWER KUSKOKWIM SCHOOL DISTRICT 56756 No No No Hospital, Professional KANAWHA HEALTHCARE SOLUTIONS, INC. KANAWHA INSURANCE CO. 57038 Yes No Yes Hospital, Professional, Secondary CLAIMSWARE, INC. DBA MANAGEMED CWIBENEFITS, INC. 57080 No No Yes Hospital, Professional, Secondary BLUE SHIELD PROMISE HEALTH PLAN CARE 1ST HEALTH PLAN OF CA 57115 No No Yes Hospital, Professional, Secondary CARE 1ST HEALTH PLAN OF AZ 57116 Yes No Yes Hospital, Professional, Secondary QVI RISK SOLUTIONS INC 57117 Yes No Yes Hospital, Professional, Secondary GEHA CONNECTION DENTAL FEDERAL STATE OF TEXAS DENTAL PLAN STATE OF TEXAS DENTAL PLAN-837I 57254 No No Yes Hospital, Professional, Secondary STRATEGIC RECOURCE CO (SRC)/AETNA AFFORDABLE HLTH CHOICES 57604 Yes No Yes Hospital, Professional, Secondary KUSPUK SCHOOL DISTRICT 57610 No No No Hospital, Professional CAREATC 57721 No No Yes Hospital, Professional, Secondary WATKINS ASSOC. INSURANCE, INC. 58082 No No Yes Hospital, Professional, Secondary COVENANT ADMINISTRATORS, INC. COVENANT ADMINISTRATORS, INC. (ATLANTA, GA) COVENANT HEALTH 58102 No No Yes Hospital, Professional, Secondary CONSUMER MUTUAL OF MICHIGAN 58112 Yes No Yes Hospital, Professional, Secondary NORTHEAST GEORGIA HEALTH SERVICES 58169 No No Yes Hospital, Professional, Secondary NAPHCARE 58182 No No Yes Hospital, Professional, Secondary THE INTEGRITY BENEFIT NETWORK, INC. (MARIETTA, GA ) 58200 No No Yes Hospital, Professional, Secondary MEDICAL RESOURCE NETWORK (MRN) 58203 Yes No Yes Hospital, Professional, Secondary COORDINATED MEDICAL SPECIALISTS GI INNOVATIVE MANAGEMENT MEDADMIN SOLUTIONS NATIONAL CHIROPRACTIC NETWORK ORTHOPEDIX NETWORK, INC. PARITY HEALTHCARE LLC PHYSICIAN ASSOCIATES OF LOUISIANA PODI CARE MANAGED CARE PODIATRY NETWORK SOLUTIONS 58204 Yes No Yes Hospital, Professional, Secondary CORE ADMINISTRATIVE SERVICES 58231 No No Yes Hospital, Professional, Secondary ALLIANT HEALTH PLANS OF GEORGIA 58234 No No Yes Hospital, Professional, Secondary HARBOR HEALTH ADVANTAGE 58305 No No Yes Hospital, Professional, Secondary BCBS OF AZ ADVANTAGE HMO 58375 No No Yes Hospital, Professional, Secondary TIFT REGIONAL (UCS) 58600 No No Yes Hospital, Professional, Secondary WISCONSIN CHRONIC DISEASE PROGRAM 5901 No No Yes Hospital, Secondary COMMUNITY CARE PLAN 59064 No No Yes Hospital, Professional, Secondary MEMORIAL INTEGRATED HEALTHCARE SFCCN MEDICAID 59065 Yes No Yes Hospital, Professional, Secondary 21ST CENTURY HEALTH AND BENEFITS FIRST SERVICE ADMINISTRATORS INC FRINGE BENEFIT MANAGEMENT 59069 No No Yes Hospital, Professional, Secondary THE NATIONAL RADIOLOGY NETWORK 59087 Yes No Yes Hospital, Professional, Secondary HEALTHPLAN SERVICES (TAMPA ONLY) MUTUAL GROUP (THE) (US) 59140 No No Yes Hospital, Professional, Secondary ADMINISTRATIVE SVCS INC 59141 No No Yes Hospital, Professional, Secondary HARRINGTON HEALTH 59143 No No Yes Hospital, Professional, Secondary UNITE HERE HEALTH - LV 59144 No Yes Yes Hospital, Professional, Secondary UNIVERSITY OF UT HEALTH PLAN 5920 No Yes Yes Hospital, Secondary FRINGE BENEFITS COORDINATORS 59204 No No Yes Hospital, Professional, Secondary MEDCOM 59231 No No Yes Hospital, Professional, Secondary KAISER PERMANENTE HAWAII-UB 5925 Yes No Yes Hospital, Secondary VOLUSIA HEALTH NETWORK VOLUSIA HLTH NETWORK 59266 No No Yes Hospital, Professional, Secondary AULTCARE (INST) 5927 No Yes No Hospital AVMED INC. 59274 Yes No Yes Hospital, Professional, Secondary AVMED ENCOUNTERS 59275 Yes No Yes Hospital, Professional, Secondary OHIO BCMH (INST) 5928 No No Yes Hospital, Secondary PROFESSIONAL BENEFIT ADMINISTRATORS (WINTER PARK, FL) 59296 Yes No Yes Hospital, Professional, Secondary EMPLOYERS MUTUAL, INC (JACKSONVILLE, FLORIDA) 59298 No No Yes Hospital, Professional, Secondary EMI KP AMBULANCE CLAIMS 59299 No No Yes Hospital, Professional, Secondary EVOLUTIONS HEALTHCARE SYSTEMS NEW PORT RICHIE FL 59313 No No Yes Hospital, Professional, Secondary FLORIDA HOSPITAL HEALTHCARE SYSTEMS 59321 No No Yes Hospital, Professional, Secondary FLORIDA HEALTH CARE PLAN 59322 No No Yes Hospital, Professional, Secondary EMPLOYERS MUTUAL, INC. (STUART, FLORIDA) 59331 No No Yes Hospital, Professional, Secondary ATRIO HEALTH PLANS (INSTITUTIONAL) 5934 No No Yes Hospital, Secondary PREFERRED MEDICAL PLAN 59345 Yes No Yes Hospital, Professional, Secondary CHRISTIAN CARE MINISTRIES 59355 Yes No Yes Hospital, Professional, Secondary ADVANTICA BENEFITS 59374 Yes No Yes Hospital, Professional, Secondary HOCKENBERGS EQUIPMENT (UCS) 59573 No No No Hospital, Professional FLORIDA LEAGUE OF CITIES INC 59698 No No Yes Hospital, Professional, Secondary PARAMOUNT 5977 No No Yes Hospital, Secondary LIFE ST JOSEPH OF THE PINES 59847 No No Yes Hospital, Professional, Secondary AETNA AETNA DENTAL PLANS 60054 Yes No Yes Dental, Hospital, Professional, Secondary PREFERRED HEALTH SYSTEMS INSURANCE COMPANY PREFERRED PLUS OF KANSAS 60110 Yes No Yes Hospital, Professional, Secondary EMPLOYEE BENEFIT SERVICES INCORPORATED 60221 No No Yes Hospital, Professional, Secondary MASONRY INDUSTRY TRUST 60230 No No No Hospital, Professional INTERFACE EAP IEAP HOUSTON TX 60280 No No Yes Hospital, Professional, Secondary COMMUNITY HEALTH PLAN INC 60495 Yes No Yes Hospital, Professional, Secondary ELMCO LLC 60509 No No Yes Hospital, Professional, Secondary GATEWAY HEALTH PLAN MEDICARE ASSURED 60550 Yes No Yes Hospital, Professional, Secondary UNITED CLAIMS SOLUTIONS 60652 No No Yes Hospital, Professional, Secondary AMERICAN PUBLIC LIFE INSURANCE COMPANY 60801 No No No Hospital, Professional COUNTY CARE 60827 Yes No Yes Hospital, Professional, Secondary FAMILY CARE 60995 Yes No Yes Hospital, Professional, Secondary CARITEN HEALTHCARE CARITEN SENIOR HEALTH GROUP HEALTH INSURANCE DE HEALTH VALUE MANAGEMENT - DE (HUMANA) HMPK, INC. HUMANA CARE PLAN HUMANA EMPHESYS HUMANA EMPLOYERS HEALTH INSURANCE HUMANA GROUP HEALTH PLAN HUMANA HEALTH CHICAGO INSURANCE COMPANY HUMANA HEALTH PLAN HUMANA INSURANCE COMPANY HUMANA INSURANCE COMPANY CHOICE CARE NETWORK HUMANA MEDICAL PLAN - CA HUMANA MEDICAL PLAN - KY HUMANA WISCONSIN HEALTH ORGANIZATION KENTUCKY KARE KINDRED HEALTH CARE LINCOLN NATIONAL - PHOENIX, AZ (HUMANA) MEDICAL PLAN OF KANSAS CITY, MO METCARE HEALTH PLANS, INC. MICHAEL REESE HMO PLAN IL MICHAEL REESE HMO PLAN IN PRIMARY DELIVERY SERVICES PRIME BENEFITS SYSTEMS, INC. - MO PRIME HEALTH KANSAS CITY, INC. - MO PRIME HEALTH MANAGEMENT SERVICES - MO PRIME HEALTH OF KANSAS, INC., - MO 61101 Yes No Yes Hospital, Professional, Secondary AUTHOR BY HUMANA 61108 No No Yes Hospital, Professional, Secondary HUMANA VETERANS HEALTHCARE SERVICES 61120 No No Yes Hospital, Professional, Secondary PASSPORT HEALTH PLAN 61129 No No Yes Hospital, Professional, Secondary ARKANSAS SUPERIOR SELECT 61184 No No Yes Hospital, Professional, Secondary PASSPORT HEALTH PLAN 61325 No No Yes Hospital, Professional, Secondary ACEC HEALTHPLAN (TRUSTMARK PLAN) BENEFIT TRUST LIFE INSURANCE COMPANY STARMARK TOOLING & MANUFACTURING ASSOCIATION TRUSTMARK INSURANCE COMPANY 61425 No No Yes Hospital, Professional, Secondary KEMPER BENEFITS 61453 No No Yes Hospital, Professional, Secondary CARE PLUS HEALTH PLANS PRIME WEST HEALTH PLAN 61604 Yes No Yes Hospital, Professional, Secondary PREFERRED BENEFITS ADMINISTRATOR 61665 Yes No Yes Hospital, Professional, Secondary MOLINA HEALTHCARE OF IDAHO 61799 No No Yes Hospital, Professional, Secondary AMERICAN GENERAL 62030 Yes No Yes Hospital, Professional, Secondary FISERV HEALTH-KANSAS 62061 No No Yes Hospital, Professional, Secondary HEALTH COST SOLUTIONS 62111 No No Yes Hospital, Professional, Secondary AETNA SENIOR SUPPLEMENTAL 62118 No No Yes Hospital, Professional, Secondary WINDSOR MEDICARE EXTRA XANTUS HEALTHPLAN OF TENNESSEE 62153 Yes No Yes Hospital, Professional, Secondary HEALTH PARTNERS JACKSON, TN HEALTH PARTNERS OF TENNESSEE 62157 No No Yes Hospital, Professional, Secondary SIGNATURE HEALTH ALLIANCE 62159 Yes No Yes Hospital, Professional, Secondary MEDSOLUTIONS, INC. 62160 No No Yes Hospital, Professional, Secondary MIDSOUTH ADMINISTRATIVE GROUP 62168 Yes No Yes Hospital, Professional, Secondary UNIFIED HEALTH SERVICES 62170 Yes No Yes Hospital, Professional, Secondary OSF HEALTH PLANS 62171 Yes No Yes Hospital, Professional, Secondary MEDICAL REIMBURSEMENTS OF AMERICA 62177 No No Yes Hospital, Professional, Secondary MMS, LLC 62178 Yes No Yes Hospital, Secondary HEALTH CHOICE (AZ - AZAHCCCS) HEALTH CHOICE AZ 62179 No No Yes Hospital, Professional, Secondary HEALTH CHOICE GENERATIONS 62180 No No Yes Hospital, Professional, Secondary CIGNA CIGNA HEALTH PLAN - HMO CIGNA HEALTHCARE FOR SENIORS-AZ MEDICARE CIGNA PPA CIGNA-PPO CONNECTICUT GENERAL (CIGNA) EQUICOR EQUICOR PPO EQUITABLE (CIGNA) GREAT-WEST LIFE & ANNUITY INS. CO. HEALTHSOURCE CMHC HEALTHSOURCE KENTUCKY INC HEALTHSOURCE MASSACHUSETTS HEALTHSOURCE NEW HAMPSHIRE INC HEALTHSOURCE OHIO HEALTHSOURCE PROVIDENT (CIGNA) HEALTHSOURCE, AR (MED) (CIGNA) HEALTHSOURCE, GA (CIGNA) HEALTHSOURCE, ME HEALTHSOURCE, N. TX (CIGNA) HEALTHSOURCE, NC (CIGNA) HEALTHSOURCE, SC HEALTHSOURCE, TN (CIGNA) NATIONAL ASSOCIATION OF LETTER CARRIERS/NALC 62308 Yes No Yes Dental, Hospital, Professional, Secondary FREEDOM LIFE INSURANCE 62324 No No No Hospital, Professional KEMBERTON HEALTHCARE SERVICES 62480 No No No Hospital, Professional COUNTRY LIFE INSURANCE COMPANY 62553 No No Yes Hospital, Secondary MERCY LIFE OF ALABAMA 63002 Yes No Yes Hospital, Professional, Secondary CIGNA HEALTHSPRING (ALABAMA AND TEXAS) 63092 No No Yes Hospital, Professional, Secondary BEHAVIORAL HEALTH SYSTEMS 63100 No No Yes Hospital, Professional, Secondary AMERICAN BEHAVIORAL 63103 No No Yes Hospital, Professional, Secondary VIVA HEALTH PLAN 63114 No No Yes Hospital, Professional, Secondary ALTERNATIVE RISK MANAGEMENT (ARM LTD) 63240 No No No Hospital, Professional GENELCO (ST. LOUIS) GENERAL AMERICAN LIFE INSURANCE CO. GREAT-WEST HEALTHCARE 63665 Yes No Yes Dental, Hospital, Professional, Secondary UCS CAM ADMIN SERVICE INC. 63985 No No Yes Hospital, Professional, Secondary CREATIVE MEDICAL SYSTEMS 64068 No No Yes Hospital, Professional, Secondary FOX-EVERETT, INC. 64069 No No Yes Hospital, Professional, Secondary ACCLAIM ACCLAIM, INC. 64071 No No Yes Hospital, Professional, Secondary MISSISSIPPI SELECT HEALTHCARE SELECT ADMINISTRATORS SERVICES 64088 No No Yes Hospital, Professional, Secondary AMFIRST INSURANCE COMPANY 64090 No No Yes Hospital, Professional, Secondary MERITAIN HEALTH/NORTH AMERICAN ADMINISTRATORS NORTH AMERICAN HEALTH PLAN/NORTH AMERICAN PREFERRED 64157 Yes No Yes Hospital, Professional, Secondary MERITAIN HEALTH/AGENCY SERVICES 64158 No No Yes Hospital, Professional, Secondary DEFINITY HEALTH 64159 Yes No Yes Hospital, Professional, Secondary GUARDIAN LIFE INSURANCE CO. OF AMERICA GUARDIAN LIFE INSURANCE COMPANY OF AMERICA 64246 No No Yes Dental, Hospital, Professional, Secondary INDEPENDENCE CARE SYSTEM 64284 No No Yes Hospital, Professional, Secondary IMA BIC 64556 Yes No Yes Hospital, Professional, Secondary AITHER HEALTH 64884 No No Yes Hospital, Professional, Secondary ORANGE COUNTY HEALTH CARE AGENCY 65021 No No Yes Hospital, Professional, Secondary NEW MARKET DIMENSIONS 65056 Yes No Yes Hospital, Professional, Secondary FLORIDA NETPASS 65063 No No Yes Hospital, Professional, Secondary OLYMPUS MANAGED HEALTH CARE 65074 Yes No Yes Hospital, Professional, Secondary NAA (NORTH AMERICAN ADMINISTRATORS L.P.) NORTH AMERICA ADMINISTRATORS, L.P. 65085 No No Yes Hospital, Professional, Secondary PREFERRED CARE PARTNERS 65088 Yes No Yes Hospital, Professional, Secondary ADVOCATE HEALTH PARTNERS 65093 Yes No Yes Hospital, Professional, Secondary HAA PREFERRED PARTNERS 65101 No No Yes Hospital, Professional, Secondary METCARE HEALTH PLAN INC 65113 No No Yes Hospital, Professional, Secondary CHHNP - HEALTHCHOICES 65391 Yes No Yes Hospital, Professional, Secondary HEALTH SPECIAL RISK, INC. 65449 No No No Hospital, Professional DENVER HEALTH MEDICAL PLAN COFINITY 65456 No No Yes Hospital, Professional, Secondary MORECARE 65465 No No Yes Hospital, Professional, Secondary CENCAL 65941 No No Yes Hospital, Professional, Secondary BCBSTX STAR AND CHIP MEDICAID 66001 Yes No Yes Hospital, Professional, Secondary TMG HEALTH 66003 No No Yes Hospital, Professional, Secondary MONTANA HELP PLAN 66004 No No Yes Hospital, Professional, Secondary BLUE CROSS MEDICARE ADVANTAGE 66006 No No Yes Hospital, Professional, Secondary PASSPORT ADVANTAGE 66008 No No Yes Hospital, Professional, Secondary CLEAR SPRING HEALTH 66009 Yes No Yes Hospital, Professional, Secondary EON HEALTH 66011 No Yes Yes Hospital, Professional, Secondary NETCARE LIFE AND HEALTH INSURANCE (HAGATNA, GUAM) 66055 No No Yes Hospital, Professional, Secondary EASTLAND MEDICAL GROUP 66122 Yes No Yes Hospital, Professional, Secondary COMMUNITY HEALTH GROUP 66170 Yes No Yes Hospital, Professional, Secondary GROUP MARKETING SERVICES 66701 Yes No Yes Hospital, Professional, Secondary UNITY HEALTH INSURANCE 66705 No No Yes Hospital, Professional, Secondary BONCURA HEALTH SOLUTIONS FKA MPAS 66727 Yes No Yes Hospital, Professional, Secondary BANNER UNIVERSITY FAMILY CARE (UNIVERSITY OF AZ HEALTH) 66901 No No No Hospital, Professional PARKLAND COMMUNITY HEALTH PLAN 66917 Yes No Yes Hospital, Professional, Secondary PACIFIC LIFE & ANNUITY PACIFIC LIFE & ANNUITY COMPANY PM GROUP 67466 Yes No Yes Hospital, Secondary BHSF INTERNATIONAL 67668 No No No Hospital, Professional CAPITOL ADMINISTRATORS 68011 No No Yes Hospital, Professional, Secondary VA PATIENT CENTERED COMMUNITY CARE PROGRAM - REGIONS 1, 2 AND 4 68021 Yes No Yes Hospital, Professional, Secondary AETNA BETTER HEALTH - MEDICAID 68024 Yes No Yes Hospital, Professional, Secondary HEALTH PLAN OF SAN JOAQUIN/SAN JOAQUIN HEALTH ADMINISTRATORS 68035 Yes No Yes Hospital, Professional, Secondary JOHN MUIR/MT DIABLO HEALTH NETWORK 68036 Yes No Yes Hospital, Professional, Secondary MEDCORE OMNI IPA 68037 No No Yes Hospital, Professional, Secondary WESTERN HEALTH ADVANTAGE 68039 No No Yes Hospital, Professional, Secondary MEDICAL BENEFIT ADMINISTRATION INC. 68041 Yes No Yes Hospital, Professional, Secondary CALIFORNIA HEALTH & WELLNESS 68047 No Yes Yes Hospital, Professional, Secondary CELTIC INSURANCE 68063 Yes No Yes Hospital, Professional, Secondary CEMPATICO SOUTH CAROLINA CENPATICO CENPATICO BEHAVIORAL HEALTH CENPATICO BEHAVIORAL HEALTH OF AZ CENPATICO FL CENPATICO GEORGIA CENPATICO INDIANA INTEGRATED MENTAL HEALTH SERVICES 68068 Yes No Yes Hospital, Professional, Secondary ADVANTAGE BY BRIDGEWAY HEALTH SOLUTIONS ADVANTAGE BY BUCKEYE COMMUNITY HEALTH PLAN ADVANTAGE BY MANAGED HEALTH SERVICES ADVANTAGE BY SUPERIOR HEALTHPLAN BRIDGEWAY ARIZONA - TEMPLE BUCKEYE COMMUNITY HEALTH PLAN CELTICARE CENPATICO BEHAVIORAL HLTH KS ILLINICARE KENTUCKY SPIRIT HEALTH PLAN LOUISIANNA HEALTHCARE CONNECTIONS MAGNOLIA MANAGED HEALTH SERVICES INDIANA (MEDICAID HMO) MANAGED HEALTH SERVICES WISCONSIN MISSOURI HOME STATE HEALTH CARE PEACH STATE HEALTH PLAN SUNSHINE HEALTH PLAN SUPERIOR HEALTH PLAN TEXAS TOTAL CAROLINA CARE WASHINGTON COORDINATED CARE 68069 No No Yes Hospital, Professional, Secondary CARE NETWORK/THE SAVANNAH BUSINESS GROUP 68423 Yes No No Hospital, Professional CANNON COCHRAN MANAGEMENT SERVICES, INC. METAIRIE, LA 71057 No No Yes Hospital, Professional, Secondary CNA HEALTH PARTNERS REPRICING - AR HEALTH SCOPE BENEFITS (FORMERLY CNA OF AR) HEALTHSCOPE BENEFITS, INC. 71063 Yes No No Hospital, Professional HEALTHCHOICE OF OKLAHOMA 71064 No No Yes Hospital, Professional, Secondary HEALTHCHOICE OF OKLAHOMA - CORRECTIONS AND REHAB 71065 No No Yes Hospital, Professional, Secondary KANSAS SUPERIOR SELECT 71066 Yes No Yes Hospital, Professional, Secondary COMMUNITY CARE PLUS/MERCY CARE PLUS 71079 Yes No Yes Hospital, Professional, Secondary NOVASYS HEALTH NETWORK NOVASYS HEALTH NETWORK LITTLE ROCK AR 71080 No No Yes Hospital, Professional, Secondary HEALTHSCOPE BENEFITS 71084 No No Yes Hospital, Professional, Secondary EXCLUSICARE MUTUAL OF OMAHA INSURANCE COMPANY MUTUAL OF OMAHA INSURANCE COMPANY-837I MUTUALLY PREFERRED NATIONAL RURAL LETTER CARRIER ASSOCIATION (POLICY #GMG1846) UNITED OF OMAHA 71412 Yes No Yes Hospital, Professional, Secondary LIFECIRCLES PACE 71498 No No Yes Hospital, Professional, Secondary MEDICA HEALTH PLAN SOLUTIONS 71890 No No Yes Hospital, Professional, Secondary INSURANCE MANAGEMENT ADMINISTRATORS (IMA) 72091 No No Yes Hospital, Professional, Secondary AMERICAN LIFECARE 72099 Yes No Yes Hospital, Professional, Secondary PEOPLE HEALTH NETWORK 72126 Yes No Yes Hospital, Professional, Secondary OCHSNER HEALTH PLAN 72127 Yes No Yes Hospital, Professional, Secondary VANTAGE HEALTH PLAN, INC. 72128 No No Yes Hospital, Professional, Secondary PPOPLUS LLC 72148 Yes No Yes Hospital, Professional, Secondary GROUP BENEFIT ADMINISTRATORS HENDERSONVILLE TN 72153 Yes No Yes Hospital, Professional, Secondary SCAN HEALTH PLAN 72261 No No Yes Hospital, Professional, Secondary PACE CENTRAL IOWA 72436 No No Yes Hospital, Professional, Secondary ACS BENEFIT SERVICES, INC. 72467 No No Yes Hospital, Professional, Secondary NORTHEAST IOWA AREA AGENCY 72690 No No No Hospital, Professional RESERVE NATIONAL INSURANCE 73066 No No No Hospital, Professional QUICKTRIP 73067 Yes No Yes Hospital, Professional, Secondary C. L. FRATES & CO - OSMA HEALTH 73071 No No Yes Hospital, Professional, Secondary STANDARD LIFE AND ACCIDENT INSURANCE COMPANY 73099 No No Yes Hospital, Professional, Secondary KEMPTON COMPANY KEMPTON GROUP ADMINISTRATORS 73100 No No Yes Dental, Hospital, Professional, Secondary TRIBUTE /SELECTCARE OF OKLAHOMA 73117 Yes No Yes Hospital, Professional, Secondary EQUITABLE PLAN SERVICES 73126 No No Yes Hospital, Professional, Secondary COMMUNITY CARE MANAGED HEALTH CARE PLANS OF OKLAHOMA 73143 Yes No Yes Hospital, Professional, Secondary PREFERRED COMMUNITY CHOICE/PCCSELECT/COMPMED 73145 Yes No Yes Hospital, Professional, Secondary HEALTH CARE SOLUTIONS GROUP, INC. HEALTHCARE SOLUTIONS GROUP 73147 Yes No Yes Hospital, Professional, Secondary WATERSTONE BENEFIT ADMINISTRATORS 73155 No No Yes Hospital, Professional, Secondary FIRST HEALTH NETWORK (F.K.A. CCN MANAGED CARE INC. & PPO OKLAHOMA) 73159 No No Yes Hospital, Professional, Secondary SCAN HEALTH PLAN ARIZONA 73172 Yes No Yes Hospital, Professional, Secondary LOREN COOK (UCS) 73236 No No Yes Hospital, Professional, Secondary SAN JUDAS IPA 73331 No No No Hospital, Professional PBS - OREGON PENINSULA AIRWAYS 73624 No No Yes Dental, Hospital, Professional, Secondary EON HEALTH PLAN 73780 No No No Hospital, Professional ADVISORY HEALTH AND WELLNESS 73824 No No Yes Hospital, Professional, Secondary AMERICAN NATIONAL INS. CO. (ANICO) 74048 No No Yes Hospital, Professional, Secondary USAA (UNITED SERVICES AUTOMOBILE ASSOCIATION) 74095 Yes No Yes Hospital, Professional, Secondary WISCONSIN DEPARTMENT OF CORRECTIONS 74101 Yes No Yes Hospital, Professional, Secondary RIGHT CARE FROM SCOTT AND WHITE 74205 No No Yes Hospital, Professional, Secondary BANKERS UNITED LIFE MID-WEST NATIONAL LIFE INSURANCE CO. OF TENNESSEE - STUDENT INSURANCE STUDENT INSURANCE - MID-WEST NATIONAL LIFE INSURANCE CO. OF TENESSEE STUDENT INSURANCE - THE MEGA LIFE & HEALTH INSURANCE COMPANY STUDENT RESOURCES (UNITED HEALTHCARE) THE CHESAPEAKE LIFE INSURANCE COMPANY - STUDENT INSURANCE 74227 Yes No Yes Hospital, Professional, Secondary BOON-CHAPMAN BENEFIT ADMINISTRATORS, INC. 74238 Yes No Yes Hospital, Professional, Secondary ASSURED BENEFIT ADMINISTRATORS 74240 Yes No Yes Hospital, Professional, Secondary NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY 74256 No No No Hospital, Professional DRISCOLL CHILDRENS HEALTH PLAN 74284 No No Yes Hospital, Professional, Secondary MHNET 74289 No No Yes Hospital, Professional, Secondary INTEGRANET /SELECTCARE OF TEXAS 74314 Yes No Yes Hospital, Professional, Secondary MEDBEN (NEWARK, OH) MEDICAL BENEFITS ADMINISTRATORS, INC. (NEWARK, OH) MEDICAL BENEFITS COMPANIES (NEWARK, OH) MEDICAL BENEFITS MUTUAL (NEWARK, OH) MEDICAL BENEFITS MUTUAL LIFE INSRANCE CO. 74323 Yes No Yes Hospital, Professional, Secondary OHIO PPO CONNECT 74431 No No Yes Hospital, Professional, Secondary ASSURANT HEALTH SELF FUNDED 75068 No No Yes Hospital, Professional, Secondary STATES GENERAL LIFE INSURACE 75087 No No Yes Hospital, Professional, Secondary UMC LUBBOCK 75130 No No Yes Hospital, Professional, Secondary TEAM CHOICE PNS 75133 No No Yes Hospital, Professional, Secondary TEAM CHOICE UMC 75134 No No Yes Hospital, Professional, Secondary CORESOURCE AR CORESOURCE LITTLE ROCK 75136 No No Yes Hospital, Professional, Secondary AMERIBEN SOLUTIONS INC AMERIBEN SOLUTIONS, INC. 75137 Yes No Yes Hospital, Professional, Secondary FIRST CHOICE OF MIDWEST PPO 75138 No No No Hospital, Professional TEAM CHOICE GOLD 75139 No No Yes Hospital, Professional, Secondary AAG AMERICAN ADMIN GROUP 75185 Yes No Yes Hospital, Professional, Secondary NCAS - FAIRFAX, VA 75190 No No Yes Hospital, Professional, Secondary NCAS-CHARLOTTE 75191 No No Yes Hospital, Professional, Secondary BANNER HEALTH AND AETNA HEALTH INSURANCE COMPANY 7521 No No Yes Hospital, Secondary TEXAS CHILDRENS HEALTH PLAN (MEDICAID) 75228 No No Yes Hospital, Professional, Secondary MEDICAL CONTROL INC 75229 Yes No Yes Hospital, Professional, Secondary EMPLOYERS DIRECT HEALTH FIRST INTEGRATED HEALTH 75232 No No Yes Hospital, Professional, Secondary EMPLOYERS DIRECT HEALTH - SF 75233 No No Yes Hospital, Professional, Secondary HEALTHFIRST TPA TYLER, TX HEALTHFIRST TPA 75234 No No Yes Hospital, Professional, Secondary EMPLOYERS DIRECT HEALTH-FI 75235 No No Yes Hospital, Professional, Secondary EMPLOYERS DIRECT HEALTH EMPLOYEE PLAN 75236 Yes No Yes Hospital, Professional, Secondary HEALTHSMART ACCEL 75237 Yes No Yes Hospital, Professional, Secondary APOSTROPHE 7524 No No No Hospital HEALTHSMART PREFERRED CARE, INC. 75250 Yes No Yes Hospital, Professional, Secondary VERITY NATIONAL GROUP 75256 Yes No Yes Hospital, Professional, Secondary COMMUNITY HEALTH ELECTRONIC CLAIMS /CHEC/WEBTPA COMMUNITY HEALTH ELECTRONIC CLAIMS/CHEC/WEBTPA WEBTPA./COMMUNITY HEALTH ELECTRONIC CLAIMS/CHEC 75261 No No Yes Hospital, Professional, Secondary GEISINGER HEALTH PLAN 75273 Yes Yes Yes Hospital, Professional, Secondary IHG DIRECT 75274 Yes No Yes Hospital, Professional, Secondary ARKANSAS BEST CORPORATION - CHOICE BENEFITS 75278 No No Yes Hospital, Professional, Secondary SHASTA ADMINISTRATIVE SERVICES 75280 No No Yes Hospital, Professional, Secondary THE ZERO CARD LLC 75296 Yes No No Hospital, Professional HMC HEALTHWORKS AKA HEALTH MANAGEMENT CO. 75318 No No No Hospital, Professional CHRISTIE STUDENT HEALTH PLANS 75544 Yes No Yes Hospital, Professional, Secondary THE CITY OF ODESSA LOCATED IN ODESSA, TX 75600 No No Yes Hospital, Professional, Secondary ACTIVE CARE (UCS) 75678 No No No Hospital, Professional GATEWAY HEALTH PLAN OF OHIO INC. 76028 Yes No Yes Hospital, Professional, Secondary NEW ERA WELFARE BENEFIT PLANTRUST 76031 No No Yes Hospital, Professional, Secondary TEXAS CHILDRENS HEALTH PLAN 76048 No No Yes Hospital, Professional, Secondary SETON CHIP 76056 Yes No Yes Hospital, Professional, Secondary RENAISSANCE PHYSICIANS ORGANIZATION 76066 No No Yes Hospital, Professional, Secondary GUILDNET-UB 7607 No No No Hospital MIDWEST HEALTH PARTNERS 76079 No No Yes Hospital, Professional, Secondary LIFE ST. MARY 76184 No No Yes Hospital, Professional, Secondary COLORADO CHOICE HEALTH PLANS 7634 No No Yes Hospital, Secondary HEALTH PLAN OF NEVADA SIERRA HEALTH SERVICES 76342 Yes No Yes Hospital, Professional, Secondary MARYLAND PHYSICIANS CARE 76498 No No Yes Hospital, Professional, Secondary PASSPORT ADVANTAGE 76569 No Yes Yes Hospital, Professional, Secondary LIFEPATH HOSPICE INC 76870 No No Yes Hospital, Professional, Secondary GOOD SHEPHERD HOSPICE INC 76923 No No Yes Hospital, Professional, Secondary AMERIHEALTH NORTHEAST 77001 Yes No Yes Hospital, Professional, Secondary AMERIHEALTH DISTRICT OF COLUMBIA 77002 Yes No Yes Hospital, Professional, Secondary PRESTIGE HEALTH CHOICE 77003 Yes No Yes Hospital, Professional, Secondary BAKERSFIELD FAMILY MEDICAL GROUP 77005 Yes No Yes Hospital, Professional, Secondary FIRST CHOICE VIP CARE PLUS SC 77009 Yes No Yes Hospital, Professional, Secondary GUARDIAN HEALTHCARE INC 77010 No No Yes Hospital, Professional, Secondary AMERIHEALTH CARITUS VIP CARE PLUS (MICHIGAN) 77013 No No Yes Hospital, Professional, Secondary ULTIMATE HEALTH PLAN 77022 Yes No Yes Hospital, Professional, Secondary CLOVER HEALTH 77023 Yes No Yes Hospital, Professional, Secondary SANTE HEALTH SYSTEM AND AFFILIATES 77038 Yes No Yes Hospital, Professional, Secondary KERN HEALTH SYSTEMS 77039 Yes No Yes Hospital, Professional, Secondary COASTAL TPA INCORPORATED 77052 No No Yes Hospital, Professional, Secondary VISITING NURSES SERVICE 77073 Yes No Yes Hospital, Professional, Secondary AMERIHEALTH CARITAS IOWA 77075 Yes No Yes Hospital, Professional, Secondary NETWORK PLATINUM PLUS 77076 No No Yes Hospital, Professional, Secondary BANNER MEDISUN BLUE CROSS BLUE SHIELD OF ARIZONA ADVANTAGE (BCBS OF AZ ADVANTAGE) 77078 No No Yes Hospital, Professional, Secondary WPP-ELDERCARE WISCONSIN 77080 No No Yes Hospital, Professional, Secondary CARE IMPROVEMENT PLUS 77082 Yes No Yes Hospital, Professional, Secondary WASHINGTON COUNTY GENERAL FUND 77111 No No Yes Hospital, Professional, Secondary HEALTH SHARE OF OREGON (MENTAL HEALTH) 77122 No No Yes Hospital, Professional, Secondary DELANO IPA 77124 No No Yes Hospital, Professional, Secondary SOUTHEASTERN INDIANA HEALTH (SIHO) 77153 Yes No No Hospital, Professional COMMON GROUND HEALTHCARE COOPERATIVE 77170 Yes No Yes Hospital, Professional, Secondary CLEARCHOICE HEALTH PLAN / COIHS 77201 Yes No Yes Hospital, Professional, Secondary PROVIDENCE HEALTH ASSURANCE MEDICAID AFTER 123120 77350 Yes No Yes Hospital, Professional, Secondary UMPQUA HEALTH ALLIANCE 77504 No No No Hospital, Professional SOLIDARITY HEALTHSHARE 77721 No No Yes Hospital, Professional, Secondary AMERIHEALTH CARITAS DELAWARE 77799 No No Yes Hospital, Professional, Secondary SIHRTE 77871 No No No Hospital, Professional YAMHILL CCO (PHYSICAL HEALTH) DOS 1-1-19 AND AFTER 77940 No No Yes Hospital, Professional, Secondary YAMHILL COUNTY CCO 77946 No No Yes Hospital, Professional, Secondary HEALTH ALLIANCE 77950 No No Yes Hospital, Professional, Secondary NORTH IOWA COMMUNITY HEALTHCARE (NICH) 78353 No No Yes Hospital, Professional, Secondary CONNECTICARE - MEDICARE 78375 Yes No Yes Hospital, Professional, Secondary MEDICA HEALTHCARE PLAN 78857 Yes No Yes Hospital, Professional, Secondary AVMA GHLIT HARRINGTON BENEFIT SERVICES, INC. HARRINGTON DEPT OF CORRECTIONS MIDWEST SECURITY 79480 Yes No Yes Hospital, Professional, Secondary STAR ADMINISTRATORS FOR AMIDA MEDICARE 79966 Yes No Yes Hospital, Professional, Secondary MSC (MEDICAL SERVICE COMPANY) 80019 No Yes Yes Hospital, Professional, Secondary INNOVATIVE PHYSICIAN ASSOCIATES LLC 80087 Yes No Yes Hospital, Professional, Secondary PROMINENCE HEALTH PLAN OF TEXAS 80095 No No Yes Hospital, Professional, Secondary HEALTHFIRST HEALTH PLAN OF NEW JERSEY 80141 No No Yes Hospital, Professional, Secondary HEALTH PARTNERS, PA 80142 No No Yes Hospital, Professional, Secondary GROUP BENEFIT SERVICES INC 80241 No No Yes Hospital, Professional, Secondary GIC MEDALLION II METHODISTCARE, INC. UNICARE UNICARE INDIVIDUAL SMALL GROUP UNICARE MAJOR ACCOUNTS 80314 Yes No Yes Dental, Hospital, Professional, Secondary HILLIARD CORPORATION 80520 No No Yes Hospital, Professional, Secondary CANADA LIFE ASSURANCE COMPANY GREAT-WEST HEALTHCARE CIGNA 80705 Yes No No Dental, Hospital, Professional TOTAL PLAN CONCEPTS 80901 Yes No Yes Hospital, Professional, Secondary WEST SUBURBAN HEALTH PROVIDERS 80942 No No Yes Hospital, Professional, Secondary ALLEGIANCE BENEFIT PLAN MANAGEMENT, INC. 81040 Yes No Yes Hospital, Professional, Secondary FL HEALTH SOLUTION HMO CO(COMMERCIAL ACA METAL PLAN) 81044 No No Yes Hospital, Professional, Secondary BAYCARE HEALTH SYSTEM 81079 Yes No Yes Hospital, Professional, Secondary NEXT LEVEL HEALTH PARTNERS 81085 Yes No Yes Hospital, Professional, Secondary NIPPON LIFE BENEFITS (PREVIOUSLY KNOWN AS PRINCIPAL) NIPPON LIFE INSURANCE COMPANY OF AMERICA 81264 No No Yes Hospital, Professional, Secondary SOMOS EMBLEM 81336 Yes No Yes Hospital, Professional, Secondary AMERICAN MEDICAL SECURITY, INC. 81400 Yes No Yes Hospital, Professional, Secondary PRIME HEALTH CHOICE 81502 No No No Hospital, Professional EVOLENT SOMOS ANTHEM NY 81508 Yes No Yes Hospital, Professional, Secondary MAYO MANAGEMENT SERVICES, INC./SOUTH COUNTRY HEALTH ALLIANCE 81600 Yes No Yes Hospital, Professional, Secondary MOLINA HEALTHCARE OF PUERTO RICO 81794 No No Yes Hospital, Professional, Secondary IBG ADMINISTRATORS LLC 81810 No No Yes Hospital, Professional, Secondary MUNICIPAL HEALTH BENEFIT FUND 81883 No No Yes Hospital, Professional, Secondary AMERICAN INSURANCE COMPANY OF TEXAS 81949 Yes No Yes Hospital, Professional, Secondary HCS HEALTH CLAIMS SERVICE BOISE ID 82018 No No Yes Hospital, Professional, Secondary PRIMARY HEALTH NETWORK 82048 No No Yes Hospital, Professional, Secondary CUSTOM DESIGN BENEFITS CUSTOM DESIGN BENEFITS, INC. 82056 No No Yes Hospital, Professional, Secondary HOMEWOOD RESORTS 82234 No No No Hospital, Professional MUTUAL OF OMAHA MEDICARE ADVANTAGE 82275 No No Yes Hospital, Professional, Secondary TRUE HEALTH NEW MEXICO 82288 No No Yes Hospital, Professional, Secondary THE MACALUSO GROUP 82694 No No Yes Hospital, Professional, Secondary MIAMI CHILDRENS HEALTH PLAN 82832 No No Yes Hospital, Professional, Secondary CDO TECHNOLOGIES MBA SALT LAKE CITY 83028 No No Yes Hospital, Professional, Secondary SENIOR WHOLE HEALTH 83035 No No Yes Hospital, Professional, Secondary CLAIM CHOICE 83063 Yes No Yes Hospital, Professional, Secondary ADVANTEK BENEFIT ADMINISTRATORS 83077 No No Yes Hospital, Professional, Secondary UNITED HEALTH SHARE MINISTRIES 83173 Yes No Yes Hospital, Professional, Secondary ZING HEALTH 83248 No No Yes Hospital, Professional, Secondary HEALTH PLAN OF MICHIGAN 83253 No No Yes Hospital, Professional, Secondary MARY WASHINGTON HEALTH PLAN 83269 No No Yes Hospital, Professional, Secondary PHYSICIANS HEALTH PLAN OF MI MEDICARE 83276 No No Yes Hospital, Professional, Secondary TRU BLUE TPA 83413 Yes No No Hospital, Professional QUAL LYNX 83867 No No Yes Hospital, Professional, Secondary PBS - OREGON TDX CORPORATION 83926 No No Yes Dental, Hospital, Professional, Secondary LOCAL 137 OPERATING ENGINEERS WELFARE FUND 84041 No No Yes Hospital, Professional, Secondary SINCLAIR HEALTH PLAN 84076 No No Yes Hospital, Professional, Secondary SLOANS LAKE PREFERRED HEALTH NETWORKS 84096 Yes No Yes Hospital, Professional, Secondary PINNACOL ASSURANCE 84109 No No Yes Hospital, Professional, Secondary DENVER HEALTH MEDICAL PLAN, INC. 84131 Yes No Yes Hospital, Professional, Secondary UNITED MEDICAL ALLIANCE 84132 Yes No No Hospital, Professional DENVER HEALTH AND HOSPITAL AUTHORITY 84133 No No Yes Hospital, Professional, Secondary DENVER HEALTH - INDIGENT 84134 Yes No Yes Hospital, Professional, Secondary DENVER HEALTH MEDICAL PLAN 84135 Yes No Yes Hospital, Professional, Secondary INTERWEST HEALTH (ACCEPTIUS GATEWAY PAYOR) 84137 Yes No Yes Hospital, Professional, Secondary CHAMPVA - HAC CHILDREN OF WOMEN VIETNAM VETERANS-VA HAC SPINA BIFIDA - VA HAC 84146 Yes No Yes Hospital, Professional, Secondary KEYSTONE VIP CHOICE 84223 Yes No Yes Hospital, Professional, Secondary BANNER MEDICARE ADVANTAGE 84323 Yes No Yes Hospital, Professional, Secondary BANNER MEDICARE ADVANTAGE PLUS PPO 84324 Yes No Yes Hospital, Professional, Secondary BRAVEN HEALTH 84367 No Yes Yes Hospital, Professional, Secondary BRANDMAN HEALTH PLAN 84423 Yes No Yes Hospital, Professional, Secondary HMO LOUISIANA INC 84555 Yes No Yes Hospital, Professional, Secondary QUESTCARE MEDICAL SERVICES 84562 No No No Hospital, Professional MESA MENTAL HEALTH 85035 Yes No Yes Hospital, Professional, Secondary NEW MEXICO RETIREE HEALTH CARE AUTHORITY 85038 No No No Hospital, Professional PHX - A-G ADMIN (SOMA GROUP) 85053 No No Yes Hospital, Professional, Secondary WABASH MEMORIAL HOSPITAL ASSOCIATION 85256 Yes No Yes Hospital, Professional, Secondary COMMUNITY CARE ALLIANCE OF IL 85468 No No Yes Hospital, Professional, Secondary ISLAND HOME INSURANCE COMPANY 85502 No No Yes Hospital, Professional, Secondary ALBUQUERQUE PUBLIC SCHOOL 85600 No No Yes Hospital, Professional, Secondary HEALTHCOMP INC 85729 Yes No Yes Hospital, Professional, Secondary TRUE HEALTH NEW MEXICO (SS&C) 85824 No No No Hospital, Professional GUILDNET-UB 8596 No No No Hospital AMERICHOICE OF NEW YORK PERSONAL CARE PLUS (MEDICARE) 86002 No No Yes Hospital, Professional, Secondary AMERICHOICE OF PENNSYLVANIA PERSONAL CARE PLUS (MEDICARE) 86003 Yes Yes Yes Hospital, Professional, Secondary CIGNA MEDICARE ADVANTAGE 86033 Yes No Yes Hospital, Professional, Secondary MOUNTAIN STATE ADMIN. SERVICES (TUCSON, AZ) MOUNTAIN STATES ADMINISTRATIVE SERVICES 86040 No No Yes Hospital, Professional, Secondary CAPSTONE HEALTH PLAN 86044 Yes No Yes Hospital, Professional, Secondary AMERICHOICE OF NEW JERSEY, INC. (MEDICAID NJ) AMERICHOICE OF NJ PERSONAL CARE PLUS 86047 Yes No Yes Hospital, Professional, Secondary AMERICHOICE OF NEW YORK, INC. (MEDICAID NY) 86048 No No Yes Hospital, Professional, Secondary AMERICHOICE OF PENNSYLVANIA, INC. (MEDICAID PA) 86049 No No Yes Hospital, Professional, Secondary UNITED HEALTHCARE COMMUNITY PLAN - MS 86050 Yes No Yes Hospital, Professional, Secondary MERCY CARE PLAN (AHCCCS) 86052 Yes No Yes Hospital, Professional, Secondary ANCILLARY BENEFIT SYSTEMS AZ FOUNDATION MEDICAL CARE PHOENIX AZ VENTURENET HEALTHCARE 86062 No No Yes Hospital, Professional, Secondary HMA - HAWAII MAINLAND ADMINISTRATORS HMA HAWAII 86066 No No Yes Hospital, Professional, Secondary NEVADACARE 86067 No No Yes Hospital, Professional, Secondary IMX EASY 86070 No No Yes Hospital, Professional, Secondary SRT ADMINISTRATORS INC. SUMMIT ADMINISTRATORS 86083 No No Yes Dental, Hospital, Professional, Secondary MERCHANTS BENEFIT ADMINISTRATION 86087 No No No Hospital, Professional SIEBA LTD 8614 No No Yes Hospital, Secondary SECUREONE 86242 Yes No Yes Hospital, Professional, Secondary IHC HEALTH SOLUTIONS INSURERS ADMINISTRATIVE CORP. 86304 Yes No Yes Hospital, Professional, Secondary PACE SOUTHEAST MICHIGAN 86711 No No Yes Hospital, Professional, Secondary GREEK CATHOLIC UNION 87016 No No Yes Hospital, Professional, Secondary SENTINEL SECURITY LIFE INS CO 87020 Yes No Yes Hospital, Professional, Secondary UNION PACIFIC RAILROAD EMPLOYEES HEALTH SYSTEMS 87042 No No Yes Hospital, Professional, Secondary COVENTRY HEALTHCARE NATIONAL NETWORK/FIRST HEALTH 87043 No No Yes Hospital, Professional, Secondary CDO TECHNOLOGIES MBA OF WYOMING MBA OF WYOMING (WORLAND, WY) 87065 No No Yes Hospital, Professional, Secondary P5 HEALTH PLAN SOLUTIONS OF UTAH 87068 Yes No Yes Hospital, Professional, Secondary LIBERTY HEALTH ADVANTAGE 87071 No No Yes Hospital, Professional, Secondary BENESIGHT 87265 No No Yes Hospital, Professional, Secondary AMERIHEALTH CARITAS HEALTHPLAN NEW HAMPSHIRE 87716 No No Yes Hospital, Professional, Secondary UNITED HEALTHCARE 87726 Yes No Yes Hospital, Professional, Secondary IMS TPA 87765 Yes Yes Yes Hospital, Professional, Secondary HEALTHSMART (WV) WELLS FARGO THIRD PARTY ADMINISTRATORS, INC. 87815 Yes No Yes Hospital, Professional, Secondary CONSOLIDATED HEALTH PLANS 87843 No No Yes Hospital, Professional, Secondary INSURANCE MANAGEMENT SERVICES (ELKO, NV) INSURANCE MANAGEMENT SERVICES (IMS) 88006 No No Yes Hospital, Professional, Secondary CDS OF NEVADA 88022 No No Yes Hospital, Professional, Secondary HOMETOWN HEALTH PLAN NEVADA 88023 No No Yes Hospital, Professional, Secondary BENEFIT PLAN ADMINISTRATORS (BPA) NORTHER NEVADA TRUST FUND NORTHERN NEVADA TRUST FUND 88027 No No Yes Hospital, Professional, Secondary SAINT MARYS HEALTH PLAN 88029 No No Yes Hospital, Professional, Secondary SCOTT WHITE HEALTHCARE 88030 Yes No Yes Hospital, Professional, Secondary ASSURECARE INC. 88035 Yes No Yes Hospital, Professional, Secondary PHX-AUXIANT 88050 No No Yes Hospital, Professional, Secondary FIRST AGENCY 88055 Yes No No Hospital, Professional LUCENT HEALTH 88056 Yes No Yes Hospital, Professional, Secondary PHX - PREFERRED ADMIN 88057 No No Yes Hospital, Professional, Secondary PHX - MED-PAY 88058 No No Yes Hospital, Professional, Secondary TALL TREE ADMINISTRATION TALL TREES ADMINISTRATORS 88067 No No Yes Hospital, Professional, Secondary PHX - MAYO CLINIC FL/GA 88090 No No Yes Hospital, Professional, Secondary HEALTHTEAMJ ADVANTAGE DOS AFTER 063018 88250 Yes No Yes Hospital, Professional, Secondary TEAL PREMIER 88300 Yes No Yes Hospital, Professional, Secondary NEIGHBORHOOD HEALTH PROVIDERS SUFFOLK HEALTH PLAN OF NEW YORK 88331 No No Yes Hospital, Professional, Secondary HEALTHTEAM ADVANTAGE DIABETES AND HEART CARE PLAN 88350 Yes No Yes Hospital, Professional, Secondary CHANGE HEALTHCARE ACCIDENT CLAIMS SOLUTION 88446 Yes No Yes Hospital, Professional, Secondary ALLIANCE CHP/RPU 88461 No No No Hospital, Professional QUALITY HEALTH PLANS OF NEW YORK 88622 No No Yes Hospital, Professional, Secondary QUALITY CARE PARTNERS 89461 No No Yes Hospital, Professional, Secondary ZENITH AMERICAN SOLUTIONS ILWU 89677 Yes No Yes Hospital, Professional, Secondary UNIVERSAL HEALTH (UCHEALTH) PLAN ADMIN 89789 Yes No Yes Hospital, Professional, Secondary KERN LEGACY HEALTH PLAN 89890 No No Yes Hospital, Professional, Secondary HEALTHLINK HEALTHLINK PPO NATIONAL CAPITAL PREFERRED PROVIDER ORGANIZATION (NCPPO) 90001 Yes No Yes Hospital, Professional, Secondary NEVADA HEALTH CORP 90091 No No Yes Hospital, Professional, Secondary LAND OF LINCOLN HEALTH 90096 No No Yes Hospital, Professional, Secondary KEMPTON GROUP TPA: KEMPTON GROUP ADMIN 90210 No No Yes Hospital, Professional, Secondary WESTLAKE FINANCIAL GROUP INC (BUFFALO GROVE IL) 90560 No No Yes Hospital, Professional, Secondary MEDCOST SOLUTIONS/LHS 90753 No No Yes Hospital, Professional, Secondary NATIONAL FINANCIAL INSURANCE COMPANY 90956 No No Yes Hospital, Professional, Secondary GH BASIC HEALTH PLAN GH INDIVIDUAL AND FAMILY PLAN GHC - COMMERCIAL GHC - MEDICARE + CHOICE GROUP HEALTH COOPERATIVE EAST GROUP HEALTH COOPERATIVE - WEST HEALTHY OPTIONS (DSHS) 91051 Yes No Yes Hospital, Professional, Secondary WENATCHEE VALLEY MEDICAL CENTER 91064 Yes No Yes Hospital, Professional, Secondary NORTHWEST ADMINISTRATORS INC 91068 No No Yes Hospital, Professional, Secondary TRUSTEED PLANS SERVICE CORPORATION 91078 Yes No Yes Hospital, Professional, Secondary FIRST CHOICE HEALTH ADMINISTRATORS FIRST CHOICE HEALTH NETWORK SOUND HEALTH (NOW KNOWN AS FIRST CHOICE HEALTH NETWORK) 91131 Yes No Yes Hospital, Professional, Secondary ALASKA CHILDRENS SERVICES, INC. - GRP# P68 ALASKA LABORERS CONSTRUCTION INDUSTRY TRUST - GRP# F23 ALASKA LABORERS CONSTRUCTION INDUSTRY TRUST, GRP. #F23 ALASKA UNITED FOOD & COMMERCIAL WORKERS HEALTH & WELFARE TRUST - GRP# F45 AUTOMOTIVE MACHINISTS LOCAL 289 HEALTH & WELFARE TRUST - GRP# F32 CEMENT MASONS & PLASTERERS HEALTH & WELFARE TRUST - GRP# F16 ENSTAR NATURAL GAS - GRP# P61 GLASSWORKERS HEALTH & WELFARE FUND - GRP# F29 HOTEL EMPLOYEES & RESTAURANT EMPLOYEES HEALTH TRUST - GRP# F19 N.W. IRONWORKERS HEALTH & SECURITY TRUST FUND - GRP# F15 N.W. ROOFERS & EMPLOYERS HEALTH & SECURITY TRUST FUND - GRP# F26 N.W. TEXTILE PROCESSORS - GRP# F14 PUGET SOUND BENEFITS TRUST - GRP# F25 PUGET SOUND ELECTRICAL WORKERS TRUST - GRP# 33 UNIVERSITY OF WASHINGTON STUDENTS & GRADUATE APPTS. - GRP# P67 WEST COAST STATIONARY ENGINEERS HEALTH & SECURITY TRUST FUND - GRP# F13 91136 Yes No Yes Hospital, Professional, Secondary STERLING OPTION 1 91151 Yes No Yes Hospital, Professional, Secondary LIFEWISE HEALTH PLAN OF ARIZONA 91155 Yes No Yes Hospital, Professional, Secondary HIGHLINE MEDICAL SERVICE ORGANIZATION - MOLINA 91164 No No Yes Hospital, Professional, Secondary PHYSICIANS OF SOUTHWEST WASHINGTON 91171 No No Yes Hospital, Professional, Secondary RBMS, LLC 91176 No No Yes Hospital, Professional, Secondary SANFORD HEALTH PLAN 91184 No No Yes Hospital, Professional, Secondary MDWISE HOOSIER CARE 91313 No No Yes Hospital, Professional, Secondary KAISER FOUNDATION HEALTH PLAN OF COLORADO 91617 Yes No Yes Hospital, Professional, Secondary GATEWAY HEALTH PLAN OH- MEDICARE ASSURED 91741 Yes No Yes Hospital, Professional, Secondary UDELHOVEN HEALTH PLAN 92006 Yes No Yes Hospital, Professional, Secondary EMPLOYEE BENEFIT LOGISTICS(EBL) 92135 No No No Hospital, Professional VARIPRO ELECTRICAL WORKERS 92187 Yes No Yes Hospital, Professional, Secondary ALASKA ELECTRIC HEALTH & WELFARE FUND ALASKA ELECTRICAL HEALTH & WELFARE FUND 92600 No No Yes Hospital, Professional, Secondary TONGASS TIMBER TRUST 92620 No No Yes Hospital, Professional, Secondary MAXOR ADMINISTRATIVE SERVICES 92805 No No Yes Hospital, Professional, Secondary PACIFICSOURCE HEALTH PLANS 93029 Yes No Yes Hospital, Professional, Secondary A & I BENEFIT PLAN ADMINISTRATORS 93044 Yes No Yes Hospital, Professional, Secondary WILLIAM C. EARHART 93050 Yes No Yes Hospital, Professional, Secondary KAISER FOUNDATION OF THE NORTHWEST 93079 Yes No Yes Hospital, Professional, Secondary PROMINENCE HEALTH PLAN OF NEVADA 93082 Yes No Yes Hospital, Professional, Secondary US BENEFITS 93092 No No Yes Hospital, Professional, Secondary LIFEWISE HEALTHPLAN OF OREGON 93093 No No Yes Hospital, Professional, Secondary FAMILY CARE PH TECH 93121 Yes No Yes Hospital, Secondary UNIVERSAL FIDELITY ADMINISTRATORS COMPANY 93220 No No Yes Hospital, Professional, Secondary ASURIS NORTHWEST HEALTH ASURIS NORTHWEST/MEDADVANTAGE 93221 No No Yes Hospital, Professional, Secondary ELECTRICAL WORKERS INSURANCE FUND LOCAL 5800 93235 No No Yes Hospital, Professional, Secondary EVERGREEN HEALTH COOPERATIVE 93240 No No Yes Hospital, Professional, Secondary ALLIANCE COAL HEALTH PLAN 93658 Yes No Yes Hospital, Professional, Secondary CAREOREGON 93975 Yes No Yes Hospital, Professional, Secondary CALIFORNIA PACIFIC MEDICAL CENTER 94056 Yes No Yes Hospital, Professional, Secondary PALO ALTO MEDICAL FOUNDATION 94115 Yes No Yes Hospital, Professional, Secondary KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CA REGION 94134 Yes No Yes Hospital, Professional, Secondary KAISER FOUNDATION HLTH PLAN OF NORTHERN CA REGION 94135 Yes No Yes Hospital, Professional, Secondary DELTA HEALTH SYSTEMS 94235 Yes No Yes Hospital, Professional, Secondary MEDICA 94265 Yes No Yes Hospital, Professional, Secondary CHINESE COMMUNITY HEALTH PLAN CCHP 94302 Yes No Yes Hospital, Professional, Secondary CENTER FOR ELDERS INDEPENDENCE 94312 Yes No Yes Hospital, Professional, Secondary BROWN & TOLAND MEDICAL GROUP 94316 Yes No Yes Hospital, Professional, Secondary KAISER SELF FUNDED PLAN-HARRINGTON/FISERV 94320 Yes No Yes Hospital, Professional, Secondary FIRSTCARE STAR MEDICAID 94998 Yes No Yes Hospital, Professional, Secondary FIRSTCARE 94999 Yes Yes Yes Hospital, Professional, Secondary HEALTH FIRST HEALTH PLANS 95019 Yes No Yes Hospital, Professional, Secondary AMERIHEALTH HMO NEW JERSEY AND DELAWARE 95044 No Yes Yes Hospital, Professional, Secondary KEYSTONE HEALTH PLAN EAST 95056 No No Yes Hospital, Professional, Secondary CARE PLUS 95092 No No Yes Hospital, Professional, Secondary CAPITAL HEALTH PLAN 95112 Yes No Yes Hospital, Professional, Secondary HEALTH PLUS PHYSICIANS ORG 9514 No No No Hospital CEDERS SINAI MEDICAL CENTER 95164 No No Yes Hospital, Professional, Secondary CEDARS-SINAI MEDICAL NETWORK SERVICES 95166 Yes No Yes Hospital, Professional, Secondary AMERICAN BENEFIT PLAN ADMINISTRATORS 95170 Yes No Yes Hospital, Professional, Secondary COMPCARE GROUP HEALTH CO-OP OF EAUCLAIRE GROUP HEALTH COOPERATIVE OF EAU CLAIRE 95192 Yes No Yes Hospital, Professional, Secondary SUMMA MANAGEMENT SERVICES ORGANIZATION (SMSO) / SUMMACARE SUMMACARE HEALTH PLAN 95202 Yes No No Hospital, Professional HEALTHEDGE ADMINISTRATORS 95213 No No Yes Dental, Hospital, Professional, Secondary AGIA INC 95241 No No Yes Hospital, Professional, Secondary ALAMEDA ALLIANCE FOR HEALTH 95327 Yes Yes No Hospital, Professional ADVENTIST HEALTH SYSTEM WEST - ROSEVILLE, CA 95340 No No Yes Hospital, Professional, Secondary HERITAGE NATIONAL HEALTHPLAN 95378 Yes No Yes Hospital, Professional, Secondary HIGH DESERT MEDICAL GROUP 95393 Yes No Yes Hospital, Professional, Secondary PERSONAL INSURANCE ADMINISTRATORS, INC.(AGOURA HILLS, CA) 95397 No No Yes Hospital, Professional, Secondary CAP MANAGEMENT SYSTEMS 95399 Yes No Yes Hospital, Professional, Secondary FL MCO PHC/PHP 95411 No No Yes Hospital, Professional, Secondary LAKESIDE HEALTH SERVICES 95415 Yes No Yes Hospital, Secondary AFFORDABLE BENEFIT ADMINISTRATORS INC AFFORDABLE BENEFITS 95426 No No Yes Hospital, Professional, Secondary ARNETT HEALTH PLANS 95440 Yes Yes Yes Hospital, Professional, Secondary GREAT LAKES HEALTH PLAN 95467 No No Yes Hospital, Professional, Secondary HEALTH NET OF CALIFORNIA AND OREGON 95567 Yes No Yes Hospital, Professional, Secondary BEST LIFE & HEALTH INSURANCE CO. 95604 No No Yes Dental, Hospital, Professional, Secondary AMERICAN PLAN ADMINISTRATORS 95606 Yes No Yes Hospital, Professional, Secondary MEDIGOLD 95655 No No No Hospital, Professional ATHENS AREA HEALTH PLAN SELECT 95691 No No Yes Hospital, Professional, Secondary PCA HEALTHPLANS TEXAS 95885 No No Yes Hospital, Professional, Secondary COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND 95964 No No Yes Hospital, Professional, Secondary BEACON HEALTH STRATEGIES - HUMANA VCC PROGRAM 96079 No No Yes Hospital, Professional, Secondary NEIGHBORHOOD HEALTH PARTNERSHIP OF FLORIDA 96107 Yes No Yes Hospital, Professional, Secondary NEIGHBORHOOD HEALTH PLAN RI-EXCHANGE, UNITY, INTEGRITY 96240 Yes No Yes Hospital, Professional, Secondary OPTIMED HEALTH 96277 No No Yes Hospital, Professional, Secondary UHC COMMUNITY PLAN KS 96385 Yes No Yes Hospital, Professional, Secondary NEW ERA EMPLOYEE WELFARE BENEFIT PLAN TRUST 96396 Yes No Yes Hospital, Professional, Secondary SAN DIEGO PACE 96400 No No Yes Hospital, Professional, Secondary AGEWELL NEW YORK-UB 9645 No No Yes Hospital, Secondary HEALTHLINK HMO 96475 Yes No Yes Hospital, Professional, Secondary LEWERMARK STUDENT INSURANCE 96708 No No No Hospital, Professional HEWITT COLEMAN 97041 No No Yes Hospital, Professional, Secondary HAMMERMAN AND GAINER 97258 No No Yes Dental, Hospital, Professional, Secondary RTG MEDICAL GROUP (UCS) 97736 No No No Hospital, Professional SUPERIOR INSURANCE SERVICES 97802 No No No Hospital, Professional TAKECARE INSURANCE COMPANY 98022 Yes Yes Yes Hospital, Professional, Secondary TRILOGY HEALTH 98514 No No Yes Hospital, Professional, Secondary WYOMING PACE 98543 No No No Hospital, Professional NEW ERA LIFE INSURANCE CO. 98798 No No No Hospital, Professional CENCAL HEALTH 99111 Yes No Yes Hospital, Secondary HAWAII MANAGEMENT ALLIANCE ASSOCIATION (HMAA) 99208 Yes No No Hospital, Professional LOMA LINDA (INSTITUTIONAL ONLY) 99255 Yes No Yes Hospital, Secondary GREATER COVINA MEDICAL GROUP 99284 Yes No Yes Hospital, Professional, Secondary BENEFIT AND RISK MANAGEMENT SERVICES 99320 Yes No No Hospital, Professional ON LOK SENIOR HEALTH SERVICES, INC. 99485 No No Yes Hospital, Professional, Secondary PACEPARTNER SOLUTIONS 99486 No No Yes Hospital, Professional, Secondary ALLEGIANCE HEALTH MANAGEMENT (UCS) 99588 No No Yes Hospital, Professional, Secondary CHAMPION CHERVROLET 99795 No No No Hospital, Professional C3 HEALTH (FKA ACCESS HEALTH INC.) A1680 No No Yes Hospital, Professional, Secondary MUSKEGON CARE A1681 Yes No Yes Hospital, Professional, Secondary DECENT A3326 No No Yes Hospital, Professional, Secondary AMERIGROUP GEORGIA A6378 No No Yes Hospital, Secondary ASIAN AMERICAN MEDICAL GROUP AAMG1 No No Yes Hospital, Professional, Secondary ACCESS COMMUNITY HEALTH NETWORK ACCOM Yes No Yes Hospital, Professional, Secondary ACCELERATED CLAIMS INC ACIWC No No Yes Hospital, Professional, Secondary UNITED CARE MEDICAL GROUP ADCUC No No Yes Hospital, Professional, Secondary AFFILITATED DOCTORS OF ORANGE COUNTY ADOCS Yes No No Hospital, Professional AFLAC COMMERCIAL AFLAC No Yes Yes Hospital, Professional, Secondary SEQUOIA HEALTH IPA AGL01 No No Yes Hospital, Professional, Secondary COPC SENIOR CARE ADVANTAGE AGL02 No No Yes Hospital, Professional, Secondary CONNECT SENIOR CARE ADVANTAGE AGL03 Yes No Yes Hospital, Professional, Secondary ACCOUNTABLE HEALTHCARE IPA AHIPA No No Yes Hospital, Professional, Secondary AMERICAS HEALTH PLAN AHP01 No No Yes Hospital, Professional, Secondary MEDICAID OF ALASKA AKMK0 No Yes Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD ALABAMA ALBC0 No Yes Yes Hospital, Professional, Secondary ALIERA HEALTHCARE ALH01 No No Yes Hospital, Professional, Secondary MEDICARE OF ALABAMA ALMC0 No Yes Yes Hospital, Professional, Secondary ALABAMA MEDICAID ALMK0 No No Yes Hospital, Professional, Secondary ALPHACARE ALPHA Yes No Yes Hospital, Professional, Secondary ALTAMED ALTAM Yes No Yes Hospital, Professional, Secondary AMA INSURANCE AMAIA Yes Yes Yes Hospital, Secondary ADVANCED MEDICAL DOCTORS OF CA AMDC1 Yes No Yes Hospital, Professional, Secondary AMERICAN FAMILY INSURANCE CO AMF11 No Yes Yes Hospital, Professional, Secondary ACCESS MEDICAL GROUP AMG02 Yes No Yes Hospital, Professional, Secondary EMERGENCY MEDICAL SERVICE FUND EMSF AMM03 No No Yes Hospital, Professional, Secondary ACCESS SANTA MONICA AMM06 No No No Hospital, Professional MEDICHOICE IPA (ADVANCED MEDICAL MANAGEMENT) AMM11 No No Yes Hospital, Professional, Secondary COMMUNITY CARE IPA (CCI) - AMM AMM12 No No No Hospital, Professional MEDICAL SAFETY NET AMM13 No No No Hospital, Professional CALIFORNIA IPA AMM14 No No No Hospital, Professional COUNTY MEDICAL SERVICES PROGRAM (CMSP) - AMM AMM15 No No No Hospital, Professional SACRAMENTO HEALTH PARTNERS AMM16 Yes No Yes Hospital, Professional, Secondary COUNTY OF SACRAMENTO - EMSF AMM20 No No No Hospital, Professional PUBLIC HEALTH PLAN (PHP)-AMM AMPHP No No No Hospital, Professional AFFILIATED PHYSICIANS GROUP APG01 No No Yes Hospital, Professional, Secondary AGERIGHT ADVANTAGE ARA01 No No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD ARKANSAS ARBC0 No Yes Yes Hospital, Professional, Secondary ARGUS DENTAL ENCOUNTERS ARGUS DENTAL PLANS ARGUS No No Yes Dental, Hospital, Professional, Secondary MEDICARE OF ARKANSAS ARMC0 No Yes Yes Hospital, Professional, Secondary MEDICAID OF ARKANSAS ARMK0 No Yes Yes Hospital, Professional, Secondary NATIONAL GENERAL ASHC1 No No Yes Hospital, Professional, Secondary ALIGN SENIOR CARE MICHIGAN ASMI1 Yes No Yes Hospital, Professional, Secondary ASPIRE HEALTH PLAN ASP01 No No Yes Hospital, Secondary ASRM, LLC ASRM1 Yes No Yes Hospital, Professional, Secondary ALIGN SENIOR CARE VIRGINIA ASVA1 Yes No Yes Hospital, Professional, Secondary AMERICAN THERAPY ADMINISTRATORS ATHAL No No Yes Hospital, Professional, Secondary AVANTA IPA AVANT Yes No Yes Hospital, Professional, Secondary AXMINSTER MEDICAL GROUP AXM01 No No No Hospital, Professional BLUE CROSS BLUE SHIELD ARIZONA AZBC0 No No Yes Hospital, Professional, Secondary ARIZONA FOUNDATION FOR MEDICAL CARE AZFMC No No Yes Hospital, Professional, Secondary BRITTON BENEFIT SERVICES LLC BBS19 No No Yes Hospital, Professional, Secondary BRIGHT HEALTH PHYSICIANS BHP01 No No Yes Hospital, Professional, Secondary BAPTIST HEALTH PLAN ADVANTAGE BHPMA Yes No Yes Hospital, Professional, Secondary BLUE CROSS OF IDAHO BLUEC Yes No Yes Dental, Hospital, Professional, Secondary BOLLINGER INC BOLL1 No No Yes Hospital, Professional, Secondary THE BOON GROUP BOONG No No Yes Hospital, Professional, Secondary BRIDGESPAN BRIDGESPAN HEALTH BRIDG No No Yes Dental, Hospital, Professional, Secondary BRIGHT HEALTH BRT01 No No Yes Hospital, Professional, Secondary CHUBB AUTO C1052 No No Yes Hospital, Professional, Secondary AMERICAN STRANDARD INSURANCE COMPANY OF OHIO (AUTO ONLY) C1055 No No Yes Hospital, Professional, Secondary LIBERTY MUTUAL AUTO ONLY C1058 No No Yes Hospital, Professional, Secondary NATIONWIDE AUTO ONLY C1062 No No Yes Hospital, Professional, Secondary SOUTH CAROLINA BCBS-MEDICARE (PFFS) C62SC No No Yes Hospital, Secondary BLUE CROSS OF CALIFORNIA CABC0 No No Yes Hospital, Professional, Secondary BLUE SHIELD OF CALIFORNIA CABS0 No No Yes Hospital, Professional, Secondary CALOPTIMA DIRECT CALOP No No No Hospital, Professional MEDICARE CALIFORNIA SOUTH CAMC0 No Yes Yes Hospital, Professional, Secondary MEDICARE CALIFORNIA NORTH CAMC1 No Yes Yes Hospital, Professional, Secondary MEDI CAL CAMK0 No Yes Yes Hospital, Professional, Secondary CAPROCK HEALTH PLANS SA (FORMERLY VERITY NATIONAL) CAPH2 No No No Hospital, Professional CAP ROCK HEALTH PLANS CAPROCK HEALTH PLAN CAPHP Yes No Yes Dental, Hospital, Professional, Secondary CAREMORE IPA CARMO No No Yes Hospital, Professional, Secondary INNOVATIVE HEALTH SERVICES EAST CB122 No No Yes Hospital, Professional, Secondary INNOVATIVE HEALTH SERVICES SOUTH CB159 No No Yes Hospital, Professional, Secondary BRIGHT HEALTH PLAN CB186 No No Yes Hospital, Professional, Secondary LUTHER CARE CB212 No No No Hospital, Professional INDEPENDENCE AMERICAN INSURANCE COMPANY CB231 Yes No Yes Hospital, Professional, Secondary CORNERSTONE PREFERRED RESOURCES CB268 Yes No Yes Hospital, Professional, Secondary BARINET CB369 Yes No Yes Hospital, Professional, Secondary PREFERRED HEALTH PLAN OF THE CAROLINAS CB404 Yes No Yes Hospital, Professional, Secondary PREZZO CB531 Yes No Yes Hospital, Professional, Secondary GULF STREAM-GENERAL DYNAMICS CB624 Yes No Yes Hospital, Professional, Secondary AMERICAN PLAN ADMINISTRATORS CB711 Yes No Yes Hospital, Professional, Secondary PATIENT SERVICES INC CB733 No No Yes Hospital, Professional, Secondary LOCKARD AND WILLIAMS CB752 No No Yes Hospital, Professional, Secondary GROUP BENEFIT SERVICES INC CB951 Yes No Yes Hospital, Professional, Secondary DART MEMBER CARE CB987 Yes No Yes Hospital, Professional, Secondary CENTRAL CALIFORNIA ALLIANCE FOR HEALTH CCA01 No No Yes Hospital, Professional, Secondary COOK CHILDRENS HEALTH PLAN - CHIP CCHP1 Yes No Yes Hospital, Professional, Secondary COOK CHILDRENS STAR PLAN CCHP9 No No Yes Hospital, Professional, Secondary CORRECT CARE INTEGRATED HEALTH (CA PRISON HEALTH) CCIHS Yes No Yes Hospital, Professional, Secondary COASTAL COMMUNITIES PHYSICIAN NETWORK CCPN1 No No Yes Hospital, Professional, Secondary CCSTPA CENTURION OF MN CCSTP No No Yes Hospital, Professional, Secondary CCSTPA COMPREHENSIVE CARE SERVICES CCSTPA No No Yes Hospital, Professional, Secondary CLINICAS DEL CAMINO REAL CDCR1 No No Yes Hospital, Professional, Secondary CDPHP CDPHP No No Yes Hospital, Professional, Secondary COMMUNITY EYE CARE CECVP No No Yes Hospital, Professional, Secondary CONTESSA HEALTH CH201 Yes No Yes Hospital, Professional, Secondary CASCADE COMPREHENSIVE CARE DOS>12/31/17 CHA01 Yes No Yes Hospital, Professional, Secondary CENTRAL HEALTH MEDICARE PLAN CHCPI No No Yes Hospital, Professional, Secondary CHOC HEALTH ALLIANCE CHOC1 No No No Hospital, Professional TRICARE FOR LIFE CHPPR No Yes Yes Hospital, Professional, Secondary COMMUNITY HLTH PLAN WA CHPWA Yes No Yes Hospital, Professional, Secondary CHAMPUS TRICARE (WEST) TRICARE EUROPE CHPWR No Yes Yes Hospital, Professional, Secondary CLEAR HEALTH ALLIANCE CLEAR No No Yes Hospital, Professional, Secondary CAMP LEJEUNE FAMILY MEMBER PROGRAM (CLFMP) CLFM1 No No Yes Hospital, Professional, Secondary CHILDRENS MEDICAL CENTER HEALTH PLAN CMCHP Yes No Yes Hospital, Professional, Secondary CMS EMPLOYEE BENEFIT PLAN CMSEB Yes No Yes Hospital, Professional, Secondary CUSTODY MEDICAL SERVICES (CMS) - AMM CMSP3 No No No Hospital, Professional CNS HEALTHCARE/JMS & ASSOC CNSOR No No Yes Hospital, Professional, Secondary CONTRA COSTA HEALTH PLAN CNTRA No Yes Yes Hospital, Professional, Secondary COLORADO ACCESS COACC No No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD COLORADO COBC0 No No Yes Hospital, Professional, Secondary COLORADO COMMUNITY HEALTH ALLIANCE COCHA No No Yes Hospital, Professional, Secondary KAISER PERMANENTE CO EXCEPT COLORADO SPRINGS COKSR No No Yes Hospital, Professional, Secondary CALOPTIMA COLTC No No No Hospital MEDICAID OF COLORADO COMK0 No Yes Yes Hospital, Professional, Secondary COMMUNITY FIRST COMMF No No Yes Hospital, Professional, Secondary CORIZON HEALTH, INC. CORIZ No No Yes Hospital, Professional, Secondary SAMARITAN HEALTH PLAN OPERATIONS CP001 Yes No Yes Hospital, Professional, Secondary CENTERS PLAN FOR HEALTHY LIVING CPHL Yes Yes Yes Hospital, Professional, Secondary CARE PLAN IPA CPIPA Yes No Yes Hospital, Professional, Secondary CHOICE PHYSICIANS NETWORK CPN01 No No Yes Hospital, Professional, Secondary CHOICE PHYSICIANS NETWORK (ANTELOPE VALLEY MEDICAL GROUP) CPNAV No No Yes Hospital, Professional, Secondary CHOICE PHYSICIANS NET FIRST CHOICE CPNFC No No Yes Hospital, Professional, Secondary CHOICE PHYSICIANS NET QUALCARE CPNQC No No Yes Hospital, Professional, Secondary CREATE CREA8 No No Yes Hospital, Professional, Secondary CALIFORNIA RURAL INDIAN HEALTH BOARD (CRIHB) CRIHB No No Yes Hospital, Professional, Secondary CLINICAL SPECIALTIES INCORPORATED CSI01 Yes No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD CONNECTICUT CTBC0 No No Yes Hospital, Professional, Secondary MEDICARE OF CONNECTICUT CTMC0 No Yes Yes Hospital, Professional, Secondary CHINO VALLEY MEDICAL CENTER CVMC1 No No No Hospital, Professional GROUPLINK CX015 No No Yes Dental, Hospital, Professional, Secondary SOUTHWEST SERVICE ADMINISTRATORS CX100 No No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD DISTRICT OF COLUMBIA DCBC0 No Yes Yes Hospital, Professional, Secondary DELL CHILDRENS HEALTH PLAN DCHPMCAID No No Yes Hospital, Professional, Secondary WASHINGTON DC MEDICARE DCMC0 No No Yes Hospital, Professional, Secondary MEDICAID OF DISTRICT OF COLUMBIA DCMK0 No Yes Yes Dental, Hospital, Professional, Secondary DELAWARE BCBS DEBC0 No Yes Yes Hospital, Professional, Secondary DE MEDICARE DEMC0 No No Yes Hospital, Professional, Secondary DESERT MEDICAL GROUP DESRT No No Yes Hospital, Professional, Secondary DEVOTED HEALTH DEVOT Yes No Yes Hospital, Professional, Secondary DIGNITY HEALTH MEDICAL GROUP-INLAND EMPIRE DHFIE No No Yes Hospital, Professional, Secondary DELTA HEALTH SYSTEMS DELTA HEALTH SYSTEMS/EAST BAY DRAINAGE DRIVERS SECURITY FUND/FRESNO UNIFIED DHS01 No No Yes Dental, Hospital, Professional, Secondary DOCTORS HEALTHCARE PLAN DRHCP Yes No Yes Hospital, Professional, Secondary NORTH AMERICAN MEDICAL MANAGEMENT (NAMM) - NORTHERN CALIFORNIA E3510 No No Yes Dental, Hospital, Professional, Secondary SEASIDE HEALTH PLAN E4618 No No Yes Hospital, Professional, Secondary EASY CARE IPA EAIPA Yes No Yes Hospital, Professional, Secondary LIFETIME BENEFIT SOLUTIONS EBSRM Yes No Yes Hospital, Professional, Secondary EASY CARE MSO LLC ECMSO No No No Hospital, Professional ENABLECOMP ECOMP Yes No Yes Hospital, Professional, Secondary ENTERPRISE GROUP PLANNING EGPIN Yes No Yes Dental, Hospital, Professional, Secondary ESSENTIAL HEALTH PARTNERS EHPSC No No Yes Hospital, Professional, Secondary ESPERANZA IPA EIPA8 No No Yes Hospital, Professional, Secondary MED3000 PEDICARE TITLE 19 EM039 Yes No Yes Hospital, Professional, Secondary CMS CHILDRENS MEDICAL SERVICES MED3000 CMS TITLE 21 EM205 Yes No Yes Hospital, Professional, Secondary MED3000 CMS SAFETY NET EM284 Yes No Yes Hospital, Professional, Secondary MED3000 COVENTRY HEALTHY KIDS EM521 Yes No Yes Hospital, Professional, Secondary MED3000 PEDICARE TITLE 21 EM522 Yes No Yes Hospital, Professional, Secondary MED3000 CMS TITLE 19 REFORM EM843 No No Yes Hospital, Professional, Secondary EL PASO FIRST HEALTH PLANS - PREMIER PLAN EPF02 Yes Yes Yes Hospital, Professional, Secondary EL PASO FIRST HEALTH PLANS CHIP EPF03 Yes Yes Yes Hospital, Professional, Secondary PREFERRED ADMINISTRATORS EPF10 Yes Yes Yes Hospital, Professional, Secondary EL PASO FIRST HEALTH PLAN HCO HEALTHCARE OPTIONS PREFERRED ADMINISTRATORS CHILDRENS HOSPITAL EPF11 Yes Yes Yes Hospital, Professional, Secondary ELECTRONIC PRACTICE SOLUTIONS, INC. EPSDR No No No Hospital, Professional MEMORIAL INTEGRATED HEALTHCARE - SFCCN COMMERCIAL EV001 No No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD OF NEW YORK (SYRACUSE) EXC01 No No Yes Dental, Hospital, Professional, Secondary FIRST CAROLINA CARE FCC01 Yes No Yes Hospital, Professional, Secondary FALLING COLORS FCC20 No No No Hospital, Professional FAMILY CARE MEDICARE FCMCR No No Yes Hospital, Professional, Secondary FIRST CHOICE MEDICAL GROUP FCMG1 No No Yes Hospital, Professional, Secondary FREEDOM CARE BENEFITS FDMCR No No Yes Hospital, Professional, Secondary FDNY WORLD TRADE HEALTH PLAN FDNYP No Yes Yes Hospital, Professional, Secondary FDNY WORLD TRADE HEALTH PLAN FDNYU No No Yes Hospital, Secondary FLUME HEALTH INC. FH205 Yes No Yes Hospital, Professional, Secondary COMMUNITY CARE PLAN (FLORIDA HEALTHY KIDS) FHKC1 No No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD FLORIDA FLBC0 No No Yes Hospital, Professional, Secondary HEALTH OPTIONS FLORIDA FLBC1 No No Yes Hospital, Professional, Secondary FLORDIA COMMUNITY CARE FLCCR No No Yes Hospital, Professional, Secondary MEDICARE OF FLORIDA FLMC0 No Yes Yes Hospital, Professional, Secondary MEDICAID OF FLORIDA FLMK0 No Yes Yes Hospital, Professional, Secondary FLORIDA PAVE CENTERS FLPAC No No No Hospital, Professional FOUNTAIN VALLEY IPA(FVIPA) FVIPA No No Yes Hospital, Professional, Secondary FOX VALLEY MEDICINE SITE 199 FVMCH No No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD GEORGIA STATE HEALTH BENEFIT PLAN GABC0 No No Yes Hospital, Professional, Secondary CARESOURCE OF GEORGIA GACS1 Yes No Yes Hospital, Professional, Secondary GIATROS IPA GAIPA Yes No Yes Hospital, Professional, Secondary MEDICARE OF GEORGIA GAMC0 No Yes Yes Hospital, Professional, Secondary MEDICAID OF GEORGIA GAMK0 No Yes Yes Hospital, Professional, Secondary CORRECTCARE (GEORGIA CORRECTIONAL HEALTHCARE ADULT HEALTH) GCHCAH Yes No Yes Hospital, Professional, Secondary CARDIOVASCULAR CAR PROVIDERS INCORPORATED INC (CVCP) GCVCP Yes No Yes Hospital, Professional, Secondary GLOBAL EXCEL MANAGEMENT GEM01 No No Yes Hospital, Professional, Secondary GLOBAL HEALTHCARE ALLIANCE GHCA1 Yes No Yes Hospital, Professional, Secondary GLOBAL ONE VENTURES GLOB1 No No Yes Hospital, Professional, Secondary GONZABA MEDICAL GROUP GMGSA Yes No Yes Hospital, Professional, Secondary GREATER NEWPORT PHYSICIANS GNPMG No No Yes Hospital, Professional, Secondary GREAT PLAINS MEDICARE SELECT ND GPND1 Yes No Yes Hospital, Professional, Secondary GREAT PLAINS MEDICARE SELECT NE GPNE1 Yes No Yes Hospital, Professional, Secondary GREAT PLAINS MEDICARE SELECT SD GPSD1 Yes No Yes Hospital, Professional, Secondary GRAVIE HEALTH PLAN GRAVI No No Yes Hospital, Professional, Secondary SELECTCARE OF TX (BEAUMONT) GTPA1 No No No Hospital, Professional COLORADO CHIOCE HEALTH PLANS H0657 No No Yes Hospital, Professional, Secondary HALCYON BEHAVIORAL HEALTH HALCY No No Yes Hospital, Professional, Secondary HEALTHY BLUE LOUISIANA HBLUE No No Yes Hospital, Professional, Secondary HCC LIFE INSURANCE COMPANY HCCMI No No Yes Hospital, Professional, Secondary HEALTHCARE HIGHWAYS HCH01 No No Yes Hospital, Professional, Secondary HEALTH NETWORK SOLUTIONS (HNS) - CIGNA SC HCI02 No No No Hospital, Professional HEMET COMMUNITY MEDICAL GROUP (HCMG) HCMG1 No No Yes Hospital, Professional, Secondary HEALTHCARE PARTNERS MEDICAL GROUP - ARIZONA HCP02 No No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD HAWAII HIBC0 No Yes Yes Hospital, Professional, Secondary HILL PHYSICIANS BLUE CROSS PPO HLPBC No No Yes Hospital, Professional, Secondary HILL PHYSICIANS BLUE SHIELD PPO HLPBS No No Yes Hospital, Professional, Secondary HILL PHYSICIANS CIGNA PPO HLPCG Yes No Yes Hospital, Professional, Secondary HILL PHYSICIANS HEALTH NET PPO HLPHN No No Yes Hospital, Professional, Secondary HILL PHYSICIANS UNITED HEALTHCARE PPO HLPUH No No Yes Hospital, Professional, Secondary HEALTH TRADITION HLTHT No No Yes Hospital, Professional, Secondary SUTTER SMG SIP ENCOUNTERS HM059 Yes No Yes Hospital, Professional, Secondary HEALTHCARE MANAGEMENT ADMINISTRATORS, INC HMA INC HMA01 No No Yes Hospital, Professional, Secondary HORACE MANN HMLIC No No Yes Hospital, Professional, Secondary DIGNITY HEALTH - SACRAMENTO HOSPITAL CLAIM SHOP MERCY MEDICAL GROUP, WOODLAND, HILL PHYS DIGNITY HEALTH HOSH1 HOSH1 Yes No Yes Hospital, Professional, Secondary HEALTH PARTNERS MN HPART No Yes Yes Hospital, Professional, Secondary HOAG HPPZZ No No No Hospital, Professional HEALTH PLAN OF SAN MATEO HPSM1 No No Yes Hospital, Professional, Secondary UPPER OHIO VALLEY HPUOH No No Yes Hospital, Professional, Secondary HEALTHY SAN FRANCISCO HSF01 No No No Hospital, Professional HEALTHCARE STRATEGIC INITIATIVES HSICS No No Yes Hospital, Professional, Secondary HEALTHSMART (FORMALLY ANGELES IPA) HSM01 No No No Hospital, Professional HS MEDICAL BILLING DBA IOWA SCREENING PROGRAM HSMBS No No Yes Hospital, Professional, Secondary HEALTH SOURCE MSO HSMSO Yes No Yes Hospital, Professional, Secondary HSN MASSACHUSETTS MEDICAID HSNP3 No Yes Yes Hospital, Professional, Secondary HEALTHSPAN NETWORK REPRICING HSPAN No No Yes Hospital, Professional, Secondary HEALTH WEST TPA HWT62 No No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD IOWA IABC0 No Yes Yes Hospital, Professional, Secondary IAC INSURANCE ADMIN CORP INSURANCE ADMINISTRATIVE CORPORATION IAC01 No No Yes Hospital, Professional, Secondary MEDICARE OF IOWA IAMC0 No Yes Yes Hospital, Professional, Secondary MEDICAID OF IOWA IAMK0 No Yes Yes Hospital, Professional, Secondary MEDICARE OF IDAHO IDMC0 No Yes Yes Hospital, Professional, Secondary INLAND EMPIRE HEALTH PLAN IEHP1 No No Yes Hospital, Professional, Secondary IMPACT HEALTH SHARE INC IH400 Yes No Yes Hospital, Professional, Secondary IMPERIAL HEALTH HOLDINGS IHHMG No No Yes Hospital, Professional, Secondary IMPERIAL HEALTH PLAN OF CALIFORNIA INC IHP01 No No Yes Hospital, Professional, Secondary IMPERIAL INSURANCE COMPANY OF TEXAS IICTX No No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD ILLINOIS ILBC0 No Yes Yes Hospital, Professional, Secondary MEDICARE OF ILLINOIS ILMC0 No Yes Yes Hospital, Professional, Secondary MEDICAID OF ILLINOIS ILMK0 No No Yes Hospital, Professional, Secondary INTERNATIONAL MEDICAL GROUP IMGIN No No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD INDIANA INBC0 No No Yes Hospital, Professional, Secondary CARESOURCE INDIANA INC INCS1 Yes No Yes Hospital, Professional, Secondary INNOVISTA HEALTH INDPM No No Yes Hospital, Professional, Secondary IN PHYSICIAN ASSOCIATES INPA1 Yes No Yes Hospital, Professional, Secondary KEY MEDICAL GROUP IP082 No No Yes Hospital, Professional, Secondary KEY MEDICAL GROUP MEDICARE ADVANTAGE IP083 No No Yes Hospital, Professional, Secondary KAWEAH DELTA MEDICARE ADVANTAGE IP084 No No No Hospital, Professional SEQUOIA HEALTH PLAN TULARE KINGS COUNTY IP085 No No No Hospital, Professional MONARCH IPA IP095 No No Yes Hospital, Professional, Secondary MERITAGE MEDICAL NETWORK IP097 No No Yes Hospital, Professional, Secondary ILLINOIS PHYSICIANS ALLIANCE IPA IPA99 No No No Hospital, Professional IPA OF KANE COUNTY IPAK1 Yes No Yes Hospital, Professional, Secondary MACKINSAW ADMINISTRATORS J1343 No No Yes Hospital, Professional, Secondary THE BUILDERS GROUP OF MN J1391 No No Yes Hospital, Professional, Secondary DEPARTMENT OF LABOR J1438 No No Yes Hospital, Professional, Secondary RISK ENTERPRISE MANAGEMENT J1491 No No Yes Hospital, Professional, Secondary USAA J1822 No No Yes Hospital, Professional, Secondary UNITED HEARTLAND J1859 No No Yes Hospital, Professional, Secondary RAM MUTUAL INSURANCE COMPANY J1894 No No Yes Hospital, Professional, Secondary GENEX CARE FOR OHIO J1895 No No Yes Hospital, Professional, Secondary ATHENS J1914 No No Yes Hospital, Professional, Secondary GILLETTE CHILDRENS SPECIALTY HEALTHCARE J1927 No No Yes Hospital, Professional, Secondary DISNEYLAND RESORTS (BUNCH) J1933 No No Yes Hospital, Professional, Secondary DELOS J1955 No No Yes Hospital, Professional, Secondary MEDRISK J1956 Yes No Yes Hospital, Professional, Secondary STATE AUTO MUTUAL INSURANCE COMPANY - CORVEL J1966 No No Yes Hospital, Professional, Secondary ANCHOR GLASS CONTAINER CORPORATION J2136 No No Yes Hospital, Professional, Secondary SOCIETY INSURANCE J2139 No No Yes Hospital, Professional, Secondary EBERLE VIVIAN J2199 No No Yes Hospital, Professional, Secondary MINNEAPOLIS PUBLIC SCHOOL J2890 No No Yes Hospital, Professional, Secondary PUDGET SOUND WORKERS COMP TRUST J3791 No No Yes Hospital, Professional, Secondary JAI MEDICAL SYSTEMS JAI01 No No Yes Hospital, Professional, Secondary JLS FAMILY ENTERPRISES JLSFE Yes No Yes Hospital, Professional, Secondary JOHN MUIR PHYSICIAN NETWORK JMH01 No No Yes Hospital, Professional, Secondary BCBS OF KANSAS CITY KCBC0 No No Yes Hospital, Professional, Secondary KANE COUNTY IPA KCIPA Yes No Yes Hospital, Professional, Secondary KEYCARE MARYLAND KCMD1 Yes No Yes Hospital, Professional, Secondary KEENAN AND ASSOCIATES KEE01 No No Yes Hospital, Professional, Secondary KENT COUNTY HEALTH PLAN KENT1 Yes No Yes Hospital, Professional, Secondary KG ADMINISTRATIVE SERVICES KGA15 No No Yes Hospital, Professional, Secondary KOVA HEALTHCARE INC KOVA1 No No Yes Hospital, Professional, Secondary KAISER PERMANENTE INSURANCE CO SELF FUNDED (DELL) KAISER PERMANENTE KPIC KPIC1 No No Yes Hospital, Professional, Secondary KPS-KITSAP PHYSICIAN SERVICES KPS01 No No Yes Hospital, Professional, Secondary KANSAS BCBS KSBC0 No No Yes Hospital, Professional, Secondary MEDICARE OF KANSAS KSMC0 No Yes Yes Hospital, Professional, Secondary MEDICAID OF KANSAS KSMK0 No Yes Yes Hospital, Professional, Secondary KAISER FOUNDATION HEALTH PLAN HAWAII KSRHI Yes No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD KENTUCKY KYBC0 No No Yes Hospital, Professional, Secondary CARESOURCE KY KYCS1 Yes No Yes Hospital, Professional, Secondary MEDICARE OF KENTUCKY KYMC0 No Yes Yes Hospital, Professional, Secondary MEDICAID OF KENTUCKY KYMK0 No Yes Yes Hospital, Professional, Secondary GLOBAL CARE NAMCI L0110 Yes No Yes Hospital, Professional, Secondary TURSTED HEALTH PLAN L0230 Yes No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD LOUISIANA LABC0 No Yes Yes Hospital, Professional, Secondary LA CARE HEALTH PLAN LACAR No No No Hospital, Professional CORRECTCARE(LOUISIANA PRISONS AND PARISH JAILS) LADOC Yes No Yes Hospital, Professional, Secondary MEDICARE OF LOUISIANA LAMC0 No Yes Yes Hospital, Professional, Secondary LOUISIANA MEDICAID LAMK0 No Yes Yes Hospital, Professional, Secondary LAWNDALE CHRISTIAN HEALTH CENTER LAWND No No Yes Hospital, Professional, Secondary LONGEVITY FLORIDA LFL01 Yes No Yes Hospital, Professional, Secondary LIBERTY ADVANTAGE LIB01 Yes No Yes Hospital, Professional, Secondary SECURE HORIZONS LIFEPRINT ARIZONA LIFE1 Yes No Yes Hospital, Professional, Secondary LONGEVITY ILLINOIS LIL01 Yes No Yes Hospital, Professional, Secondary LONGEVITY NEW JERSEY LNJ01 Yes No Yes Hospital, Professional, Secondary LONGEVITY NEW YORK LNY01 Yes No Yes Hospital, Professional, Secondary LONGEVITY OKLAHOMA LOK01 Yes No Yes Hospital, Professional, Secondary LIFEWORKS ADVANTAGE LWA01 No Yes Yes Hospital, Professional, Secondary LOUISIANA MEDICAID (MEDICARE ADVANTAGE ONLY) MA703 No Yes Yes Hospital, Professional, Secondary MASSACHUSETTS BLUE CROSS BLUE SHIELD MABC0 No No Yes Hospital, Professional, Secondary MEDICAL ASSOCIATES HEALTH PLAN MAHC1 Yes No Yes Hospital, Professional, Secondary MEDICARE OF MASSACHUSETTS MAMC0 No Yes Yes Hospital, Professional, Secondary BLUE CROSS COMMUNITY CENTENNIAL MC721 No No Yes Hospital, Professional, Secondary WELLMARK MEDICARE CROSSOVER MC848 No Yes Yes Hospital, Professional, Secondary MAGELLAN COMPLETE CARE ARIZONA MCC01 No No Yes Hospital, Professional, Secondary MAGELLAN COMPLETE CARE VIRGINIA DSNP MCC02 No Yes Yes Hospital, Professional, Secondary BLUE CROSS COMMUNITY OPTION MCDIL No No Yes Hospital, Professional, Secondary PHYSICIANS CHOICE MEDICAL GROUP OF SANTA MARIA (FORMERLY MIDCOAST CARE INC.) MCI01 No No No Hospital, Professional GEMCARE MEDICAL GROUP (MANAGED CARE SYSTEMS) MCS03 No No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD MARYLAND MDBC0 Yes No Yes Hospital, Professional, Secondary MEDCORE HEALTHPLAN MDCOR No No No Hospital, Professional MEDICARE OF MARYLAND MDMC0 No Yes Yes Hospital, Professional, Secondary MDX HAWAII MDXHI No No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD OF MAINE MEBC0 No No Yes Hospital, Professional, Secondary MEDICA GOVERNMENT PROGRAMS MEDM1 No No Yes Hospital, Professional, Secondary MEMORIAL HERMANN HEALTH NETWORK MHHNP Yes No Yes Hospital, Professional, Secondary MERIDIAN HEALTH PLAN ILLINOIS MHPIL Yes No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD MICHIGAN MIBC0 No Yes Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD MICHIGAN MIBC1 No Yes Yes Hospital, Professional, Secondary MEDICARE OF MICHIGAN MIMC0 No Yes Yes Hospital, Professional, Secondary MEDICAID OF MICHIGAN MIMK0 No Yes Yes Hospital, Professional, Secondary MEDLOGIX MSO AMERICO IPA MLAMR No No No Hospital, Professional MOLINA OF NEW YORK MLLNY No No Yes Hospital, Professional, Secondary MEDLOGIX MSO PACIFIC ASSOCIATES IPA MLPAS No No No Hospital, Professional MEMORIALCARE MEDICAL FOUNDATION CAP SERVICES MMFCS No No Yes Hospital, Professional, Secondary MEMORIALCARE MEDICAL FOUNDATION UCI MMFUC No No Yes Hospital, Professional, Secondary MMM FLORIDA INCORPORATED MMMFL No No Yes Hospital, Professional, Secondary MASTER MATES AND PILOTS PLAN MMPHB Yes No Yes Hospital, Professional, Secondary MISSOURI MEDICARE SELECT MMS01 Yes No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD MINNESOTA MNBC0 No Yes Yes Hospital, Professional, Secondary MEDICARE OF MINNESOTA MNMC0 No Yes Yes Hospital, Professional, Secondary MEDICAID OF MINNESOTA MNMK0 No Yes Yes Hospital, Professional, Secondary BLUE CROSS OF MISSOURI BLUE SHIELD OF MISSOURI MOBC0 No Yes Yes Hospital, Professional, Secondary MOLINA HEALTHCARE OF MISSISSIPPI MOLMS No No Yes Hospital, Professional, Secondary MO MEDICARE MOMC0 No Yes Yes Hospital, Professional, Secondary MEDICAID OF MISSOURI MOMK0 No Yes Yes Hospital, Professional, Secondary MEDPAY ASSURANCE MP001 Yes No Yes Hospital, Professional, Secondary CENTINELA VALLEY IPA MPM03 No No Yes Hospital, Professional, Secondary GLOBAL CARE MEDICAL GROUP IPA MPM05 No No Yes Hospital, Professional, Secondary HEALTHCARE LA IPA MPM06 No No Yes Hospital, Professional, Secondary WATTS HEALTHCARE CORP MPM09 No No Yes Hospital, Professional, Secondary ACCOUNTABLE HEALTHCARE IPA MPM23 No No Yes Hospital, Professional, Secondary ACCOUNTABLE ANTHEM BEVERLY POD MPM24 No No Yes Hospital, Professional, Secondary INTEGRATED HEALTH PARTNERS (IHP) MPM26 Yes No Yes Hospital, Professional, Secondary ST. FRANCIS HCLA MPM30 No No No Hospital, Professional ST. FRANCIS ALLCARE MPM31 No No No Hospital, Professional ALPHA CARE MEDICAL GROUP MPM32 No No Yes Hospital, Professional, Secondary ADVENTIST WHITE MEMORIAL CROWN CITY MEDICAL GROUP MPM33 No No Yes Hospital, Professional, Secondary ADVENTIST WHITE MEMORIAL SOUTHLAND SAN GABRIEL VALLEY MPM34 No No Yes Hospital, Professional, Secondary CROWN CITY MEDICAL GROUP MPM35 Yes No Yes Hospital, Professional, Secondary ADVENTIST HEALTH PLAN MPM37 No No Yes Hospital, Professional, Secondary GOLDEN PHYSICIANS MEDICAL GROUP MPM43 No No Yes Hospital, Professional, Secondary ASSOCIATED HISPANIC PHYSICIANS OF SOUTHERN CALIFORNIA MPM44 No No Yes Hospital, Professional, Secondary HOLLYWOOD PRESBYTERIAN SAN JUDAS MPM49 Yes No Yes Hospital, Professional, Secondary MEDICARE OF MISSISSIPPI MSMC0 No Yes Yes Hospital, Professional, Secondary MEDICAID OF MISSISSIPPI MSMK0 No Yes Yes Hospital, Professional, Secondary MONTANA BCBS MTBC0 No Yes Yes Hospital, Professional, Secondary MONTANA MEDICAID MTMK0 No No Yes Hospital, Professional, Secondary ROCKY MOUNTAIN HEALTH PLANS MTNHP No No Yes Hospital, Professional, Secondary SENDERO IDEALCARE - DOS 1/1/19 AND AFTER ONLY MV440 No No Yes Hospital, Professional, Secondary PRIME COMMUNITY CARE CENTRAL VALLEY MVCV1 No No No Hospital, Professional PRIME COMMUNITY CARE CENTRAL VALLEY-ENCOUNTERS MVCV2 No No No Hospital, Professional NEHEN - MASSACHUSETTS BCBS N4222 Yes Yes Yes Hospital, Professional, Secondary NEHEN - NEIGHBORHOOD HEALTH PLAN MA N4293 Yes Yes Yes Hospital, Professional, Secondary NEHEN - TUFTS HEALTH PLAN N4298 Yes Yes Yes Hospital, Professional, Secondary NEHEN - TUFTS NETWORK HEALTH N4332 Yes Yes Yes Hospital, Professional, Secondary NC DEPARTMENT OF PUBLIC SAFETY N8520 No No Yes Hospital, Professional, Secondary SILVER CROSS MANAGER CARE OGANIZATION NASCR No No Yes Hospital, Professional, Secondary NORTHERN CALIFORNIA ADVANTAGE MEDICAL GROUP (NCAMG) NCA01 No No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD NORTH CAROLINA NCBC0 No Yes Yes Hospital, Professional, Secondary MEDICARE OF NORTH CAROLINA NCMC0 No Yes Yes Hospital, Professional, Secondary MEDICAID OF NORTH CAROLINA NCMK0 No Yes Yes Hospital, Professional, Secondary NORTHERN CALIFORNIA PHYSICIAN GROUP NCPG1 Yes No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD NORTH DAKOTA NDBC0 No No Yes Hospital, Professional, Secondary NORTH DAKOTA MEDICARE NDMC0 No Yes Yes Hospital, Professional, Secondary MEDICAID OF NORTH DAKOTA NDMK0 No No Yes Hospital, Professional, Secondary HHS NATIONAL DISASTER MEDICAL SYSTEM-APPRIO NDMSA Yes No Yes Hospital, Professional, Secondary NEW DIRECTIONS BEHAVIORAL HEALTH NDX99 No No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD NEBRASKA NEBC0 No No Yes Hospital, Professional, Secondary MEDICARE OF NEBRASKA NEMC0 No Yes Yes Hospital, Professional, Secondary MEDICAID OF NE DEPT OF SOCIAL SRVS MEDICAID OF NEBRASKA PRIMARY CARE PLUS NEMK0 No Yes No Hospital, Professional NJ MEDICARE NJMC0 No Yes Yes Hospital, Professional, Secondary MEDICAID OF NEW JERSEY NJMK0 No Yes Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD NEW MEXICO NMBC0 No Yes Yes Hospital, Professional, Secondary INDIAN HEALTH SERVICES BCBS NEW MEXICO NMIHS Yes No Yes Hospital, Professional, Secondary NETWORK MEDICAL MANAGEMENT NMM01 No No Yes Hospital, Professional, Secondary LASALLE MEDICAL ASSOCIATES NMM02 No No Yes Hospital, Professional, Secondary GOLDEN SHORE MEDICAL GROUP NMM03 No No Yes Hospital, Professional, Secondary COMMUNITY FAMILY CARE NMM05 Yes No Yes Hospital, Professional, Secondary MEDICARE OF NEW MEXICO NMMC0 No Yes Yes Hospital, Professional, Secondary MEDICAID OF NEW MEXICO NMMK0 No No Yes Hospital, Professional, Secondary PRESBYTERIAN SALUD NMMK1 No No Yes Hospital, Professional, Secondary NORTHWEST PHYSICIANS NETWORK NPN11 Yes No Yes Hospital, Professional, Secondary NETWORK SOLUTIONS IPA NSIPA No No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD NEVADA NVBC0 No No Yes Hospital, Professional, Secondary NEVADA MEDICARE NVMC0 No Yes Yes Hospital, Professional, Secondary NEVADA MEDICAID NVMK0 No No Yes Hospital, Professional, Secondary TEAMSTERS MISCELLANEOUS SECURITY TRUST FUND NWADM No No Yes Hospital, Professional, Secondary NORTHWEST COMMUNITY HEALTH PARTNERS NWCHP No No Yes Hospital, Professional, Secondary NORTHWESTERN MEDICINE PHYSICIANS NETWORK NWEST Yes No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD NEW YORK EMPIRE NYBC0 No No Yes Hospital, Professional, Secondary BCBS WESTERN NEW YORK NYBC1 No Yes Yes Hospital, Professional, Secondary EXCELLUS BCBS ROCHESTER AREA NYBC3 No Yes Yes Dental, Hospital, Professional, Secondary EXCELLUS BCBS CENTRAL NEW YORK EXCELLUS BCBS OF CENTRAL NY NYBC4 No No Yes Dental, Hospital, Professional, Secondary BCBS UTICA WATERTOWN NYBC5 No No Yes Hospital, Professional, Secondary NEW YORK LIFE - LTC NYL11 No No Yes Hospital, Professional, Secondary MEDICAID OF NEW YORK NYMK0 No Yes Yes Hospital, Professional, Secondary GROUP MANAGEMENT SERVICES, INC OBA16 No No No Hospital, Professional OPTUM CARE NETWORK OCN01 No No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD OHIO OHBC0 No No Yes Hospital, Professional, Secondary MEDICAID OF OHIO OHMK0 No Yes Yes Hospital, Professional, Secondary MEDICARE OF OKLAHOMA OKMC0 No Yes Yes Hospital, Professional, Secondary MEDICAID OF OKLAHOMA OKMK0 No Yes Yes Hospital, Professional, Secondary OMNI ADMINISTRATORS OMNIA No No Yes Hospital, Professional, Secondary OODA HEALTH OODAH No No Yes Hospital, Professional, Secondary MEDICAID OF OREGON ORMK0 No Yes Yes Hospital, Professional, Secondary OSCAR HEALTH OSCAR Yes No Yes Hospital, Professional, Secondary OSF HEALTHCARE EAST OSFE9 No No Yes Hospital, Professional, Secondary ACS BENEFITS/PAYER COMPASS PA331 No No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD PENNSYLVANIA PABC0 No Yes Yes Hospital, Professional, Secondary CAPITOL BLUE CROSS PA PABC1 No Yes Yes Hospital, Professional, Secondary MEDICARE OF PENNSYLVANIA PAMC0 No Yes Yes Hospital, Professional, Secondary MEDICAID OF PENNSYLVANIA PAMK0 No No Yes Hospital, Professional, Secondary PARTNERS IN HEALTH PARTH No No Yes Hospital, Professional, Secondary PROVIDENCE ADMINISTRATIVE SERVICES PAS01 No No Yes Hospital, Professional, Secondary SUMMIT COMMUNITY CARE PASSE No No Yes Hospital, Professional, Secondary PALM BEACH HEALTH DISTRICT PBHD1 Yes No Yes Hospital, Professional, Secondary PRIMARY CARE ASSOCIATES OF CALIFORNIA PCACZ No No Yes Hospital, Professional, Secondary PREMIER CARE IPA PCI01 Yes No Yes Hospital, Professional, Secondary PRIMARY CARE OF JOLIET PCJOL No No Yes Hospital, Professional, Secondary PHYSICIANS CARE NETWORK/THE POLYCLINIC PCN12 No No Yes Hospital, Professional, Secondary POINT COMFORT UNDERWRITERS PCU01 No No Yes Dental, Hospital, Professional, Secondary POINT COMFORT UNDERWRITERS RMAP PCU02 No No Yes Hospital, Professional, Secondary CITRUS VALLEY PHYSICIANS GROUP GREATER TRI-CITIES IPA NOBLE AMA SELECT IPA PHYSICIANS DATA TRUST QUALITY CARE IPA ST. VINCENT IPA XIMED MEDICAL GROUP PDT01 No No No Hospital, Professional PREFERRED IPA PFIPA No No No Hospital, Professional PRUITT HEALTH PREMIER PH001 Yes No Yes Hospital, Professional, Secondary PHYSICIANS HEALTHWAYS IPA PHIPA No No Yes Hospital, Professional, Secondary PROVIDENCE PREFERRED PHP00 No No Yes Hospital, Professional, Secondary PROVIDENCE HEALTH PLAN PHP01 No No Yes Hospital, Professional, Secondary PRUITT HEALTH PREMIER NORTH CAROLINA & SOUTH CAROLINA PHPC1 Yes No Yes Hospital, Professional, Secondary PARTNERSHIP HEALTH PLAN OF CALIFORNIA PHPCA No Yes No Hospital, Professional CORRECTIONAL HEALTH PARTNERS PHPMC No No Yes Hospital, Professional, Secondary PHP TPA SERVICES PHPMS No No Yes Hospital, Professional, Secondary VANTAGE MEDICAL GROUP PPM01 No No Yes Hospital, Professional, Secondary CAL CARE IPA ENCOUNTERS PPM02 No No Yes Hospital, Professional, Secondary PROGYNY PROGY Yes No Yes Hospital, Professional, Secondary DIGNITY HEALTH MED FOR MERCY MEDICAL OR WOODLAND PROH1 Yes No Yes Hospital, Professional, Secondary DIGNITY HEALTH MEDICAL FOUNDATION FOR SEQUOIA PHYSICIANS NETWORK PROH2 Yes No No Hospital, Professional PINNACLE HEALTH RESOURCES (GATEWAY IPA) PROSP No No Yes Hospital, Professional, Secondary PROCARE TEXAS PTX01 Yes No Yes Hospital, Professional, Secondary OREGON HEALTH MANAGEMENT SERVICES (OHMS) R1642 Yes No Yes Hospital, Secondary CASCADE COMPREHENSIVE CARE R5281 Yes No No Hospital, Professional OREGON HEALTH MANAGEMENT SERVICES (OHMS) R6123 Yes No Yes Hospital, Professional, Secondary MD WISE SELECT HEALTH NETWORK R6139 Yes No Yes Hospital, Professional, Secondary ARCHBOLD MEDICAL CENTER HEALTH PLAN R7150 No No No Hospital, Professional RADY CHILDREN'S HEALTH NETWORK (RCHN) RCHN1 No No No Hospital, Professional RADY CHILDRENS HOSPITAL SAN DIEGO RCHSD Yes No Yes Hospital, Professional, Secondary RIVER CITY MEDICAL GROUP RCMG1 No No Yes Hospital, Professional, Secondary REGAL MEDICAL GROUP REGAL No No Yes Hospital, Professional, Secondary REGENCE GROUP ADMINISTRATORS RGA01 No No Yes Hospital, Professional, Secondary KAISER PERMANENTE OF COLORADO RH003 Yes No Yes Hospital, Professional, Secondary RESOLVE HEALTH PLAN ADMINISTRATORS LLC RHA01 No No Yes Hospital, Professional, Secondary RELIANCE HMO RHP01 Yes No Yes Hospital, Professional, Secondary MEDICARE OF RHODE ISLAND RIMC0 No Yes Yes Hospital, Professional, Secondary MEDICAID OF RHODE ISLAND RIMK0 No Yes Yes Hospital, Professional, Secondary LIFEMAP RLH01 No No Yes Dental, Hospital, Professional, Secondary RAVENSWOOD PHYSICIAN ASSOCIATES INC. RPAWC Yes No Yes Hospital, Professional, Secondary RESURRECTION PHYSICIANS PROVIDER GROUP RPPG1 Yes No Yes Hospital, Professional, Secondary REVCLAIMS RVC01 No No Yes Hospital, Professional, Secondary SILICON VALLEY MEDICAL DEVELOPMENT S9637 Yes No Yes Hospital, Professional, Secondary SIGNATURE ADVANTAGE SA001 Yes No Yes Hospital, Professional, Secondary SOUTH ATLANTIC MEDICAL GROUP SAMG1 No No Yes Hospital, Professional, Secondary UNITED PHYSICIANS INTERNATIONAL (UPI) SANDS No No Yes Hospital, Professional, Secondary JMS SBM SBMCO Yes No Yes Hospital, Professional, Secondary SUTTER GOULD MEDICAL FOUNDATION (SGMF) SC003 Yes No Yes Hospital, Professional, Secondary SUTTER EAST BAY MEDICAL FOUNDATION SC020 Yes No Yes Hospital, Professional, Secondary SUTTER EAST BAY REG HOSP B & T SC051 Yes No Yes Hospital, Professional, Secondary SUTTER EAST BAY REG HOSP NON SUTTER SC052 Yes No Yes Hospital, Professional, Secondary SUTTER SENIOR CARE PACIFIC MEDICAL CENTER SC053 Yes No Yes Hospital, Professional, Secondary MEMORIAL MEDICAL CENTER - NON SUTTER SC054 Yes No Yes Hospital, Professional, Secondary SHERMAN HOSPITAL SC359 No No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD SOUTH CAROLINA FEP SCBC5 No No Yes Hospital, Professional, Secondary BCBS SC PREFERRED BLUE SCBC8 No No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD SOUTH CAROLINA BLUECHOICE HEALTH PLAN SCBCB No No Yes Hospital, Professional, Secondary SETON CHARITY PLAN SCHAR No No No Hospital, Professional SEECHANGE HEALTH INSURANCE SCHP1 No No Yes Hospital, Professional, Secondary MEDICAID OF SOUTH CAROLINA SCMK0 No Yes Yes Hospital, Professional, Secondary PHYSICIAN MEDICAL GROUP SCP01 No No Yes Hospital, Professional, Secondary SUPERIOR CHOICE MEDICAL GROUP SCPR1 Yes No Yes Hospital, Professional, Secondary MEDIVIEW SENDERO CHIP AND STAR SCS17 No No No Hospital, Professional BLUE CROSS BLUE SHIELD SOUTH DAKOTA SDBC0 No Yes Yes Hospital, Professional, Secondary SELECTHEALTH - FORMERLY INTERMOUNTAIN HEALTH CARE SELUT No No Yes Hospital, Professional, Secondary SAN FRANCISCO HEALTH PLAN SFHP1 No No No Hospital, Professional SANDHILLS CENTER LOCAL MANAGEMENT ENTITY SHC3U Yes Yes Yes Hospital, Secondary SETON EMPLOYEE PLAN SHEBP Yes No Yes Hospital, Professional, Secondary SAUDI HEALTH MISSION SHM01 Yes No Yes Hospital, Professional, Secondary SETON HEALTH PLAN MAP SHMAP No No No Hospital, Professional SHARP HEALTH PLAN SHP76 No No Yes Hospital, Professional, Secondary SETON HEALTH PLAN CHARITY SHPCH No No No Hospital, Professional SCRIPPS COASTAL MEDICAL GROUP SHPS1 No No Yes Hospital, Professional, Secondary SOUTHERN ILLINOIS HEALTHCARE ASSOCIATION SIH99 No No Yes Hospital, Professional, Secondary SOUTHERN ILLINOIS HEALTH CARE ASSOCIATION SIHCA No No Yes Hospital, Professional, Secondary SUNRISE ADVANTAGE PLAN IL SIL01 Yes No Yes Hospital, Professional, Secondary SIMPRA ADVANTAGE SIM01 No No Yes Hospital, Professional, Secondary SOUTHLAND IPA SIPA1 No No Yes Hospital, Professional, Secondary ST JOHNS HEALTHCARE SJHC1 No No Yes Hospital, Professional, Secondary SKYGEN USA SKYGN Yes No Yes Dental, Hospital, Secondary ST LAWRENCE CO HEALTHCARE PLAN SLCH1 No No Yes Hospital, Professional, Secondary PHYSICIANS CHOICE MEDICAL GROUP SLOS1 No No No Hospital, Professional SAMARITAN GIVEN SM325 Yes No Yes Hospital, Professional, Secondary SEOUL MEDICAL GROUP SMG01 No No Yes Hospital, Professional, Secondary SIMPLY HEALTHCARE SMPLY No No Yes Hospital, Professional, Secondary SANTE COMMUNITY PHYSICIANS SNT01 No No No Hospital, Professional SANTE MEDI-CAL SNTMC No No No Hospital, Professional SUNRISE ADVANTAGE PLAN NY SNY01 Yes No Yes Hospital, Professional, Secondary SOLIS HEALTH PLAN SOLIS No No Yes Hospital, Professional, Secondary SUNRISE ADVANTAGE PLAN PA SPA01 Yes No Yes Hospital, Professional, Secondary CHRISTUS/SPOHN HEALTH SYSTEM SPOHN Yes No Yes Hospital, Professional, Secondary SETON STAR PLAN STAR1 No No No Hospital, Professional ST JOSPEHS IPA STJOE No No Yes Hospital, Professional, Secondary SUNRISE ADVANTAGE PLAN VA SVA01 Yes No Yes Hospital, Professional, Secondary SOUTHWEST PHYSICIANS GROUP SWPG1 No No Yes Hospital, Professional, Secondary PEHP/UT PUBLIC EMPL HLTH PLAN SX106 No Yes Yes Hospital, Professional, Secondary EDUCATORS MUTUAL (EMIA) EMI HEALTH (EDUCATORS MUTUAL LIFE) SX110 No No Yes Dental, Hospital, Professional, Secondary PROVIDENCE OF OR CHOICE OPTION PROVIDENCE OF OR GOOD HEALTH PLAN PROVIDENCE OF OR HEALTH PLAN PROVIDENCE OF OR HEALTH PLAN HMO PROVIDENCE OF OR MEDICAID PROVIDENCE OF OR MEDICAID EXTRA PROVIDENCE OF OR MEDICAID OPTION PROVIDENCE OF OR OPTION PROVIDENCE OF OR TRADITIONAL OPTION SX133 No No Yes Hospital, Professional, Secondary UNIVERSITY OF UT HEALTH PLANS SX155 No Yes Yes Hospital, Professional, Secondary LOVELACE SALUD SX159 No No Yes Hospital, Professional, Secondary EBMS SX182 No No Yes Hospital, Professional, Secondary PROVIDENCE PPO SX187 No No Yes Hospital, Professional, Secondary HEALTHNET CAL CARE SYMED No No Yes Hospital, Professional, Secondary TAYLOR BENEFITS TAYLR No No No Hospital, Professional THE BENEFIT GROUP, INC TBGNE No No Yes Hospital, Professional, Secondary TCC BENEFIT ADMINISTRATORS (PRE-MED DEFENDER) ONLY TCC13 No No Yes Hospital, Professional, Secondary TCC (SELF-FUNDED) TCC93 No No Yes Hospital, Professional, Secondary TRAVIS COUNTY MAP-MEDIVIEW TCMAP No No No Hospital, Professional WELLMED TH023 No No Yes Hospital, Professional, Secondary PRESBYTERIAN HEALTH PLAN COMMERCIAL TH061 Yes No Yes Hospital, Professional, Secondary PHYSICIANS UNITED PLAN TH131 No No Yes Hospital, Professional, Secondary TUALITY HEALTH ALLIANCE THA01 No No Yes Hospital, Secondary COOK CHILDREN STAR PLAN THCP9 Yes No Yes Hospital, Professional, Secondary TORRANCE HOSPITAL IPA THIPA No No Yes Hospital, Professional, Secondary THRIVENT FINANCIAL THRIV No No No Hospital, Professional TEXAS HEALTHSPRING THS01 Yes No Yes Hospital, Professional, Secondary TLC BENEFIT SOLUTIONS TLC79 No No Yes Hospital, Professional, Secondary TRANSAMERICA LIFE INS CO TLIN2 No No Yes Hospital, Professional, Secondary TRANSAMERICA LIFE INS CO TLINS No No Yes Hospital, Professional, Secondary TORRANCE MEMORIAL MEDICAL CENTER TMMC1 No No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD TENNESSEE TNBC0 No Yes Yes Hospital, Professional, Secondary BCBS TENNCARE BCBS TENNESSEE BLUECARE TNBC2 No Yes Yes Hospital, Professional, Secondary BCBS TN FEP TNBC3 No Yes Yes Hospital, Professional, Secondary MEDICARE OF TENNESSEE TNMC0 No Yes Yes Hospital, Professional, Secondary MEDICAID OF TENNESSEE TNMK0 No Yes Yes Hospital, Professional, Secondary THE PREFERRED GROUP TPGXX Yes No Yes Hospital, Professional, Secondary TRANSMERICA FINANCIAL LIFE INSURANCE TRCLF No No Yes Hospital, Professional, Secondary TRICARE EAST TREST No No Yes Hospital, Professional, Secondary TRINITY HEALTH PACE TRINP No No Yes Hospital, Professional, Secondary TRANSAMERICA LIFE INSURANCE COMPANY TRP1E No No Yes Hospital, Professional, Secondary SKYGEN USA TTMUD No No Yes Hospital, Professional, Secondary TEXAS AGRICULTURAL COOPERATIVE TRUST TXABA No No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD TEXAS TXBC0 No No Yes Hospital, Professional, Secondary MEDICARE OF TEXAS TXMC0 No Yes Yes Hospital, Professional, Secondary MEDICAID OF TEXAS TXMK0 No Yes Yes Hospital, Professional, Secondary GROUP HEALTH COOPERATIVE (WA) U1051 No No Yes Hospital, Secondary TOTAL PLAN SERVICES U1202 Yes No No Hospital UNIFIED IPA MICHIGAN U1368 Yes No Yes Hospital, Secondary PEKIN INSURANCE UB U7086 Yes No Yes Hospital, Secondary HSA HEALTH INSURANCE COMPANY U7632 No No Yes Hospital, Professional, Secondary FLORIDA HOSPITAL HEALTHCARE SYSTEMS U9321 No No Yes Hospital, Secondary SOUTH CAROLINA BCBS - MEDICARE (PPO) UA028 No No Yes Hospital, Secondary INS HEALTH SERVICES UB UAICE Yes No Yes Hospital, Secondary VA PATIENT CENTERED COMMUNITY CARE PROG REG 5A (INSTITUTIONAL) UAP5A No No Yes Hospital, Secondary VA PATIENT CENTERED COMMUNITY CARE PROG REG 5B (INSTITUTIONAL) UAP5B No No Yes Hospital, Secondary VA PATIENT CENTERED COMMUNITY CARE PROG REG 3 (INSTITUTIONAL) UAPC3 No No Yes Hospital, Secondary VA PATIENT CENTERED COMMUNITY CARE PROG REG 6 (INSTITUTIONAL) UAPC6 No No Yes Hospital, Secondary FALLING COLORS UCC20 No No Yes Hospital, Secondary FAMILY CARE MEDICAID (INSTITUTIONAL) UCD01 Yes Yes Yes Hospital, Secondary FAMILY CARE MEDICAID MENTAL HEALTH (INSTITUTIONAL) UCM01 Yes No Yes Hospital, Secondary FAMILY CARE MEDICARE (INSTITUTIONAL) UCR01 Yes No Yes Hospital, Professional, Secondary MEDIVIEW SENDERO CHIP AND STAR UB UCS17 No No No Hospital PEF CLINIC - UB UEF01 No No Yes Hospital, Secondary UNITED GROUP PROGRAMS UGP19 No No Yes Hospital, Professional, Secondary SCRIPPS COASTAL MEDICAL GROUP UHPS1 No No Yes Hospital, Secondary UNIVERSITY OF ILLINOIS UIC67 No No Yes Hospital, Professional, Secondary HORACE MANN-UB UMLIC Yes No Yes Hospital, Secondary SELECTCARE OF TEXAS (INTEGRANET) UNET1 Yes No Yes Hospital, Secondary SOUTHWEST OREGON IPA (DOC) UOCSO No No Yes Hospital, Secondary RAVENSWOOD PHYSICIAN ASSOCIATES INC. UPAWC No No Yes Hospital, Secondary UTAH PUBLIC EMPLOYERS HEALTH PLAN - PEHP UPEHP No Yes Yes Hospital, Professional, Secondary US DEPARTMENT OF LABOR USDOL No Yes Yes Hospital, Professional, Secondary UNIVERSITY OF TEXAS MEDICAL BOARD UTMBC Yes No Yes Hospital, Professional, Secondary MEDICARE OF UTAH UTMC0 No Yes Yes Hospital, Professional, Secondary UTAH MEDICAID UTMK0 No Yes Yes Hospital, Professional, Secondary IDEALCARE (DOS>12/31/18) UV440 No No Yes Hospital, Professional, Secondary VISTA360HEALTH - MEDIVIEW V360H No No No Hospital, Professional BLUE CROSS BLUE SHIELD VIRGINIA VABC0 No No Yes Hospital, Professional, Secondary VETERANS AFFAIRS COMMUNITY CARE REG1 VACCN No No Yes Hospital, Professional, Secondary VA FINANCIAL SERVICES CENTER (DIALYSIS CLAIMS ONLY) VAFSC Yes No Yes Hospital, Secondary INS HEALTH SERVICES VAICE Yes No Yes Hospital, Professional, Secondary MEDICARE OF VIRGINIA VAMC0 No Yes Yes Hospital, Professional, Secondary MEDICAID OF VIRGINIA VAMK0 No No Yes Hospital, Professional, Secondary VA PATIENT CENTERED COMMUNITY CARE PROG REG 5B VAP5B No Yes Yes Hospital, Professional, Secondary VA PATIENT CENTERED COMMUNITY CARE PROG REG 6 VAPC6 No Yes Yes Hospital, Professional, Secondary VIRGINIA PREMIER VIRGINIA PREMIER COMPLETECARE VIRGINIA PREMIER ELITE VIRGINIA PREMIER ELITE PLUS VIRGINIA PREMIER MEDALLION 4 VAPRM No Yes Yes Hospital, Professional, Secondary VENTURA COUNTY HEALTH CARE PLAN (VCHCP) VCHCP No No Yes Hospital, Professional, Secondary VESTACARE VESTA Yes No Yes Hospital, Professional, Secondary VILLAGE MD VLGMD Yes No Yes Hospital, Professional, Secondary DCHS MEDICAL FOUNDATION VMF01 No No No Hospital, Professional VALUE OPTIONS/ BEACON HEALTH OPTIONS VOOK1 No Yes Yes Hospital, Professional, Secondary VARIABLE PROTECTION ADMINISTRATORS VPA18 No No Yes Dental, Hospital, Professional, Secondary MEDICARE OF VERMONT VTMC0 No Yes Yes Hospital, Professional, Secondary MEDICAID OF VERMONT VTMK0 No Yes Yes Hospital, Professional, Secondary VITRUVIAN VUIPA Yes No Yes Hospital, Professional, Secondary REGENCE BLUE CROSS OF WASHINGTON WABC0 No No Yes Hospital, Professional, Secondary WA PREMERA BLUE CROSS WABC1 No No Yes Hospital, Professional, Secondary MEDICAID OF WASHINGTON WAMK0 No Yes Yes Hospital, Professional, Secondary PACIFICARE SECURE HORIZIONS WELM2 No No Yes Hospital, Professional, Secondary WELLMED (ENCOUNTERS) WELMD Yes No Yes Hospital, Professional, Secondary WILLOW HEALTH WHLTH No No Yes Dental, Hospital, Professional, Secondary WI BCBS WIBC0 No No Yes Hospital, Professional, Secondary WPPA-PROVIDRS CARE NETWORK WP481 No No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD WEST VIRGINIA WVBC0 No Yes Yes Hospital, Professional, Secondary FREEDOM BLUE MA PPO WVBC1 No Yes Yes Hospital, Professional, Secondary CARESOURCE WEST VIRGINIA WVCS1 Yes No Yes Hospital, Professional, Secondary MEDICARE OF WEST VIRGINIA WVMC0 No Yes Yes Hospital, Professional, Secondary MEDICAID OF WEST VIRGINIA WVMK0 No Yes Yes Hospital, Professional, Secondary WEST VIRGINIA SENIOR CHOICE WVS01 No No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD WYOMING WYBC0 Yes No Yes Hospital, Professional, Secondary WYOMING MEDICAID WYMK0 No No Yes Hospital, Professional, Secondary