Use Ctrl-F to find Text, F3- Find Next Page 1 of 52Insurance Company Payer ID Enrollment1199 National Benefit Fund 13162 No 1-888-OHIOCOMP (Ohio BWC) - Ohio Worker's Comp claims only 31147 No 21st Century Insurance and Financial Services (MN Only) 51028 No 360 Alliance-Gilsbar 88053 No 3-Hab (Ohio BWC) - Ohio Worker's Comp claims only 31147 No 3P Admin 20413 No 6 Degrees Health Incorporated 20446 No A & I Benefit Plan Administrators 93044 No A.G.I.A. Inc. 95241 No AAG Benefit Plan Administrators, Inc. 75240 No AAG-American Administrative Group (Formerly Gallagher Benefit Admin) 37283 No AAG-American Administrative Group (Formerly Icon Benefit Admin) 75185 No AARP Insured By UnitedHealthcare Insurance Company 36273 No ABCT, Inc. ABCTI Yes ABMA (Alta Bates Medical Assocs) Medical Corp. (Hnet Sr. and Secure Horizon) E3510 Yes ABMS AIMSS No Abrazo Advantage Health Plan 03443 No Access Administrators AHS01 No ACCESS COMMUNITY HEALTH NETWORK ACCOM No Access Integra INTEG No Access Medicare (Cuatro LLC) 19305 No Access Plus (UTMB) 76049 No Access Santa Monica (Access Medical Group) AMM06 No Acclaim 64071 No Acclaim IPA MHIPA No Accountable Anthem Beverly POD MPM24 No Accountable Behavioral Health Alliance (ABHA through PhTech) CX042 No Accountable Health - American Family of IA Claims Only AHP01 No Accountable Health - American Family of WI Claims Only AHP01 No Accountable Healthcare IPA (AHCIPA) AHIPA No Accountable HealthCare IPA (MPM) MPM23 No Acordia National 87815 No ACS Benefit Services, Inc. 72467 No ACS Benefits Payer Compass PA331 No ACS Cnsulting Services, Inc. 72467 No ACS Rewards Administration Center 36112 No Activa Benefit Services, LLC 38254 No Admida Care 79966 No Administration Systems Research Corporation (ASR) 38265 No Administrative Concepts 22384 No Administrative Service Consultants 37257 No Administrative Services, Inc. 59141 No AdminOne 37278 No ADOC (Affiliated Doctor's of Orange County) ADOCS No ADP (Alcohol and Drug Programs) CX028 No Advanced Data Solutions, Inc 58202 No ADVANCED PHYSICIAN ASSN. (CHICAGO) 85468 No Advantage by Superior HealthPlan 68056 No Advantage Care IPA ACIPA No Advantage Health Solutions 35209 No Advantek Benefit Administrators 83077 No Advantica Benefits 59374 No Advantra Freedom 25152 No Advantra/Health America, Inc./Health Assurance 25126 No Adventist Health 95340 No ADVICA - New York Hospital Community Health Plan 13373 No Advica/Northeast Georgia Health System, Inc 13376 No

Use Ctrl-F to find Text, F3- Find Next Page 2 of 52Insurance Company Payer ID EnrollmentAdvocare Incorporated (Ohio BWC) - Ohio Worker's Comp claims only 31147 No ADVOCATE HEALTH CENTERS 36320 No Advocate Health Partners 65093 No Aetna 60054 No Aetna Affordable Health Choices (SM) - SRC 57604 No Aetna Better Health Medicaid (NY)/Integra (DME claims only) X2923 No Aetna Better Health - PA Medicaid 23228 No Aetna Better Health (NY) - DUAL/Integra (DME claims only) X2924 No Aetna Better Health Inc. 34734 No Aetna Better Health of California 128CA No Aetna Better Health of Florida 128FL No Aetna Better Health of Kansas 128KS No Aetna Better Health of Kentucky 128KY No Aetna Better Health of Louisiana 128LA No Aetna Better Health of Maryland 128MD No Aetna Better Health of Michigan 128MI No Aetna Better Health of Nebraska 42130 No Aetna Better Health of Nevada 128NV No Aetna Better Health of New Jersey 46320 No Aetna Better Health of New York 34734 No Aetna Better Health of Ohio 50023 No Aetna Better Health of Virginia 128VA No Aetna Better Health of West Virginia 128WV No Aetna IL Medicaid 26337 No Aetna NJ - Fully Insured Products/Integra (DME claims only) X2925 No Aetna NJ - Self Insured Products/Integra (DME claims only) X2926 No Aetna NY/Integra (DME claims only) X2927 No Aetna Senior Supplemental Insurance (for Eligibility only, not claims) 62118 No Aetna TX Medicaid & CHIP Services 38692 No Affiliated Doctor's of Orange County (ADOC) ADOCS No Affiliated Physicians Group APG01 No Affinity Health Plan 13334 No Affinity Health Plan - Medicare 13333 No AffinityAccess 23334 No Affordable Benefit Administrators Inc. (Burbank, CA) 95426 No AFL-CIO Food & Beverage Dealer's Trust Fund (Toledo, OH) 34444 No AGA (Automated Group Administration, Inc.) 37280 No Agency Services Inc 64158 No AgeWell New York AWNY6 No AgeWell NY - FIDA/Integra (DME claims only) X2933 No AgeWell NY - Medicare Advantage/Integra (DME claims only) X2931 No AH & L 80705 No AIG Chartis 19402 No ALABAMA MEDICAL SURGICAL, LLC 06311 No Alameda Alliance for Health 95327 No Alamitos IPA (Customer Service 562-602-1563) AIPAZ No Alaska Children's Services, Inc. 91136 No Alaska Laborers Construction Industry Trust 91136 No Alaska Pipe Trades Local 375 91136 No Alaska United Food & Commercial Workers Health & Welfare Trust 91136 No Albuquerque Public Schools 85600 No ALICARE 13550 No Aliera Healthcare ALH01 No Alignis 58213 No Alignment Health Care CCHPC No ALL SAINTS/COVENANT-MILWAUKEE, WI 39160 No All Savers Alternative Funding 81400 No

Use Ctrl-F to find Text, F3- Find Next Page 3 of 52Insurance Company Payer ID EnrollmentAll Savers Insurance 81400 No AllCare PEBB 26158 No Allegiance Benefit Plan Management, Inc. 81040 No Alliance - Alpha Care Gold ADSL1 No Alliance Behavioral Health Care 23071 No Alliance Health Plans of Wisconsin 88461 No Alliance Healthcare/SRRIPA 13079 No Alliance PPO, Inc. (Maryland) 52149 No Alliant Health Plans of Georgia 58234 No Allied Administrators (San Francisco, CA) 94177 No Allied Benefit Systems 37308 No ALOHA CARE 99030 Yes AlohaCare Advantage ALADV No AlohaCare Advantage Plus ALADP No AlohaCare Quest ALQST No Alpha Data Systems 75261 No AlphaCare ALPHA No Alphacare Medical Group MPM32 No ALPS CompCare (Ohio BWC) - Ohio Worker's Comp claims only 31147 No ALTA BATES MEDICAL GROUP A0701 No ALTA Health & Life Insurance Company 80705 No Alta Senior Care (Hnet St and Secure Horizons only) E3510 Yes AltaMed ALTAM No Alternative Risk Management (ARM) 63240 No ALTERNATIVE TECHNOLOGY RESOURCES (ATR) 37231 Yes Altius (Utah - previously payer ID SX113) 25133 No Always Care Benefits ATR01 No Amalgamated Life 13550 No Amalgamated Life - PA/Alicare 13343 No AMCO 62176 No AmeraPlan 38219 No AmeriBen Solutions 75137 No Americaid Community Care (Dallas/Ft. Worth) 27514 No Americaid Community Care (Houston) 27515 No Americaid Community Care (Maryland/D.C./Virginia) 27517 No Americaid Community Care (New Jersey) 27516 No Americaid/Amerigroup (Austin, Dallas & Ft. Worth, TX) 26375 No Americaid/Amerigroup (Houston, TX) 26374 No American Administrative Group 75240 No American Administrative Group - AAG (formerly Gallagher Benefits) 37283 No American Administrative Group - AAG (formerly Icon Benefits) 75185 No American Administrators 42112 No American Behavioral 63103 No American Benefits Management (N. Canton, OH) 34187 No American Chiropractor Network (ACN) 41161 No American Chiropratic Network IPA of NY (ACNIPA) 41160 No American Commercial Barge Lines 87726 No American Community Mutual Insurance 60305 No American Family Insurance Company AMF11 No American Fidelity Assurance Company 60801 No American Founders Life Insurance Co 98205 No American General 62030 No American Health Group Inc AHG99 No American Health Plan 37322 No American Healthcare Alliance 01066 No American Imaging Management, Inc. 36369 No American Insurance Administrators CX021 No

Use Ctrl-F to find Text, F3- Find Next Page 4 of 52Insurance Company Payer ID EnrollmentAmerican Insurance Administrators (HWLAP) HWLAP No American Insurance Administrators (PPPPC) PPPPC No American Insurance Administrators (PPPPP) PPPPP No American Insurance Administrators (PPPPY) PPPPY No American Insurance Administrators (SB474) SB474 No American Insurance Administrators (SBHWP) SBHWP No American Insurance Company of Texas 81949 No American International Group, Inc. (AIG) 87726 No American LIFECARE (New Orleans, LA) 72099 No American Medical Security 81400 No American National Ins. Co. (ANICO) 74048 No American Pioneer Brevard Physicians Network APBPN No American Pioneer South Florida APSFL No American Postal Workers Union Health Plan 44444 No AMERICAN REPUBLIC INSURANCE 42011 No American Specialty Health 43146 No American Specialty Health ASH01 No American Specialty Health ASHP1 No American Wholehealth Networks 58213 No American Worker Health Plan 37322 No Americas 1st Choice Health Plans of South Carolina, Inc. 20553 No Americas 1st Choice Health Plans of South Carolina, Inc. 55349 No America's Choice Healthplans/NMA 20029 No America's First Choice of North Carolina 26078 No America's Health Choice 21810 No America's PPO/America's TPA 41178 No Americhoice of New Jersey Personal Care Plus (Medicare) (previously 86001) 86047 No AmeriChoice of New Jersey, Inc. (Medicaid NJ) 86047 No AmeriChoice of New York Personal Care Plus (Medicare) (previously 86002) 87726 No AmeriChoice of New York, Inc. (Medicaid NY) (previously 86048) 87726 No Americhoice of Pennsylvania (previously 86003) 87726 No Americhoice of Pennsylvania, Inc. (Medicaid PA) (previously 86049) 87726 No AmeriChoice Personal Care Plus (Medicare) (previously 86003) 87726 No Amerigroup Corporation (Ft Worth/Dallas/Austin & Georgia) 27514 No Amerigroup Corporation (Houston) 27515 No Amerigroup District of Columbia 26378 No Amerigroup Florida 27519 No Amerigroup Georgia 26378 No Amerigroup Illinois 27518 No Amerigroup Maryland 26378 No Amerigroup New Jersey 26378 No Amerigroup Ohio 27518 No Amerigroup Virginia 26378 No AMERIGROUP/AMERICAID - FORT WORTH 26375 No AMERIGROUP/AMERICAID - HOUSTON 26374 No AmeriHealth Administrators 54763 No AmeriHealth Caritas Delaware 77799 No Amerihealth Caritas Iowa 77075 No AmeriHealth Caritas VIP Care 77062 No AmeriHealth Caritas VIP Care Plus (Michigan) 77013 No Amerihealth Delaware 77799 No Amerihealth District of Columbia 77002 No AmeriHealth HMO New Jersey and Delaware 23037 Yes AmeriHealth Mercy Health Plan 22248 No AmeriHealth Non-HMO (PPO) New Jersey 60061 No AmeriHealth NorthEast 77001 No AMERIKIDS- FORT WORTH 26375 No

Use Ctrl-F to find Text, F3- Find Next Page 5 of 52Insurance Company Payer ID EnrollmentAMERIKIDS HOUSTON 26374 No Amil/ARIA 76052 No Anchor Benefit Consulting, Inc. 53085 No Ancillary Benefit Systems/Arizona Foundation for Medical Care 86062 No Ancillary Benefits/Arizona Foundation for Medical Care AZFMC No Angeles IPA (SynerMed) SYMED No Antares Management Solutions 34192 No Anthem BCBS (BC of ME)/Integra (DME claims only) X2991 No Anthem BCBS Of Connecticut/Integra (DME claims only) X2988 No Anthem BCBS of New Hampshire - Medicare Advantage/Integra (DME claims only) X4007 No Anthem BCBS of New Hampshire/Integra (DME claims only) X2939 No APA Partners, Inc. 16140 No Apex Benefit Services 34196 No Apostrophe 81312 No ARAZ 16120 No Arbor Health Plan 52312 No ARCADIAN MGMT SERVICES 77045 No ArchCare - Catholic MLTC/Integra (DME claims only) X2940 No Argus Health Systems 36356 No Argus Vision ARGUS No Arizona Physicians IPA (aka 03432) X3432 No Arkansas Best Corporation - Choice Benefits (previously 75278) 62308 No Arkansas Superior Select 61184 No Arnett Health Plans 87726 No Arrowhead Administrators 33026 No Arta Western WMM01 No ASAGEHA 06603 No ASC of Ohio 37257 No Asian American Medical Group AAMG1 No Aspen Insurance 16180 No Aspire Health Plan 46156 No ASR 38265 No ASR Corporation 38265 No ASR Health Benefits 38265 No ASRM Corp (NJ) ASRM1 No Associated Benefits 50266 No Associated Third Party Administration ATPA1 No Associates for Health Care, Inc. (AHC) 36326 No Association Services of Washington 37294 No Assurant Health 39065 No Assurant Health Self-Funded (Allied Benefit) 75068 No Assured Benefits Administrators 74240 No Assured Care 88035 No Asuris Northwest Health 93221 No Asuris Northwest/MedAdvantage SX179 No Athens Area Health Plan Select 95691 No Atlantic Medical Insurance 22285 No Atlanticare Administrators, Inc 22304 No ATLANTIS HEALTH PLAN 13853 No Atlas Life Insurance Company 90956 No ATPA ATPA1 No Atrio Health Plan ATRIO No AultCare (OH) MNAUL No Aultra Administrative Group (Canton, OH) 37242 No AUSTIN REGIONAL CLINIC EMPLOYEE BENEFIT PLAN CMSEB No Automated Benefit Services 38259 No Automated Group Administration, Inc. 37280 No

Use Ctrl-F to find Text, F3- Find Next Page 6 of 52Insurance Company Payer ID EnrollmentAutomotive Machinists Local 289 Health & Welfare Trust 91136 No Avalon Healthcare Solutions Captial Blue Cross AVA03 No Avalon Healthcare Solutions North Carolina AVA02 No Avectus Healthcare Solutions 47410 No Avera Health Plans 46045 No Avesis Third Party Administrators (vision claims only) 87098 No AVMED ENCOUNTERS 59275 No AvMed, Inc. 59274 No AXMINSTER MEDICAL GROUP AXM01 No Bakersfield Family Medical Center BKRFM No Bakery and Confectionary Trust Funds BCTF1 No Bankers United Life (Student Div) 74227 No Banner Health 12X42 No Banner Health AZ SX145 Yes Banner MediSun CX054 No Baptist Health Plan Advantage BHPMA No Bass Administrators, Inc. 58102 No Batavia City Schools' Tri-County Medical Plan 16112 No Bay Bridge Administrators 68756 No BAYCARE LIFE MANAGEMENT 59279 No BayCare Plus Medicare Advantage 81079 No BC Indigent 74230 No BCBS Bluecard - (Non NY Plans)/Integra (DME claims only) X2599 No BCBS Medicaid Managed Care/Integra (DME claims only) X4197 No BCBS of AZ 53589 No BCBS of NJ (Horizon) 22099 Yes BCBS of SC SB880 Yes BCBS of SC (Bluecard only) SB881 Yes BCBS of SC Federal SX084 Yes BCBS of Utah (Regence) CX002 No BCBS of VI BCVI1 Yes BCBS of Western NY/Integra (DME claims only) X2941 No BCBS of WI SB950 No BCBSMN BLUE PLUS MEDICAID 00562 No BCBSMN BLUE PLUS MEDICAID NON-EMERG TRANSPORTATION A5143 No BCBSTX Medicaid STAR/CHIP/KIDS 66001 No BCI Administrators, Inc. 49153 No Beacon Health Strategies 43324 No BEAVER MEDICAL GROUP 45967 No Behavioral Health Systems 63100 No Behavioral Healthcare, Inc. BHI00 No Bell Atlantic 60054 No Bella Vista Medical Group MPM10 No Bellflower Hospital (SynerMed) SYMED No BENEFIT ADMINISTRATIVE SERVICES (BAS) 41205 No Benefit Administrative Systems 36149 No Benefit and Risk Management Services VCBRM No Benefit Concepts 51037 No Benefit Coordinators Corporation (Pittsburgh, PA) 25145 No Benefit Management Admin (San Antonio) BMATP No Benefit Management Inc. of KS 48611 No Benefit Management LLC/VBA 88092 No Benefit Management Services 56139 No Benefit Management Services (Louisiana) 53120 No Benefit Management Systems, Inc 37212 No Benefit Management, Inc (joplin, MO) 43178 No Benefit Plan Admin of St Louis 13310 No

Use Ctrl-F to find Text, F3- Find Next Page 7 of 52Insurance Company Payer ID EnrollmentBenefit Plan Administrators 39081 No Benefit Plan Administrators (BPA) 88027 No Benefit Plan Administrators, Inc. (Roanoke VA) 37118 No Benefit Resources 82468 No Benefit Services, Inc. (Akron, OH) 34178 No Benefit Source, Inc. 38257 No Benefit Systems & Services, Inc. (BSSI) 36342 No Benefit Trust Life 61425 No Benesight 87265 No Benesys, Inc (Lafayette, LA) 58102 No Best Life & Health Insurance Co. 95604 No BETTER HEALTH OF FLORIDA 01508 No Better Health Plan of Florida 20488 No Better Health Plans of South California (previously 32006) 87726 No Better Health Plans, Inc. (previously 62183) 87726 No BHP-Unity 44219 No BIENVIVIR BSHS1 No Big Lots Associates Benefit Plans CX025 No BIND (UHC Choice Plus Multiplan) 25463 No Block Vision, Inc. BV001 No Blue Advantage from HMO Louisiana, Inc. 84555 No Blue Cross and Blue Shield of Louisiana 23738 Yes Blue Cross and Blue Shield of Missouri SB741 No Blue Cross and Blue Shield of Missouri (Blue Choice) SB742 No Blue Cross and Blue Shield of Missouri Infusion Claims only CX026 No Blue Cross Blue Shield of Arizona Advantage 77078 No Blue Cross Community Centennial NM MC721 No Blue Cross Community Options 66005 No Blue Cross Community Options (MMAI, ICP or FHP) (IL Only) MCDIL No Blue Cross Complete of Michigan, LLC 32002 No Blue Cross Medicare Advantage (IL, MT, NM, OK, TX) 66006 No Blue Cross of Arizona SB530 No Blue Cross of California 47198 No Blue Cross of California ACM Infusion claims ONLY CX036 Yes Blue Grass Family Health/SRRIPA 15754 No Blue Shield of California 94036 No BlueChoice Healthplan of SC ME 00403 No BlueChoice Healthplan of SC Medicaid ONLY XX045 Yes Bluecross Blueshield of Western New York Medicaid (WNH prefix) 00246 No Bluegrass Family Health 61124 No BluePlus Elderly Waiver (MN) CX072 Yes BMC HealthNet Plan 13337 No BMGI - Benefit Management Group Inc. 20018 No BMS (Louisiana) 53120 No Boilermakers National Health & Welfare Fund 36609 No Bollinger, Inc. BOLL1 No Boon Group BOONG No Boon-Chapman Benefit Administrators, Inc. 74238 No Boston Medical Center Health Plan Inc. 13337 No Boulder Administration Services 18768 No BPS, Inc. 13310 No BreathCo/ICSL Pulmonary 65005 No BRIDGESPAN BRIDG No Bridgestone Claims Services 37285 No BRIDGEVIEW COMPANY FS802 No Bridgeway Arizona 68054 No Bright Health Physicians BHP01 No

Use Ctrl-F to find Text, F3- Find Next Page 8 of 52Insurance Company Payer ID EnrollmentBright Health Plan Commercial CB186 No Bright Health Plan Medicare BRT01 No BritCay 22286 No Broadspire A Crawford Company TP021 No Brockerage Concepts, Inc. 51037 No Brodart 35182 No Brokerage Service Inc 37257 No Brookshire IPA - Coastal Healthcare Management BIPAZ Yes Brown & Brown Benefits 37260 No Brown & Toland Medical Group 94316 No Brown and Toland Health Services BTHS1 No Brown and Toland Medical Group BTSS1 No Bryan Independent School District BRISD No BSI 37257 No Buckeye Community Health 32004 No Buenaventura Medical Group, Inc. 50240 No Builders Group of MN J1391 No Butler Benefits 42150 No C & R Consulting, Inc. 13390 No C&O Employees Hospital Association 23708 No C.L. Frates & Co - OSMA Health 73071 No C.L. Frates and Company CLFR2 No C3 Health (fka Access Health Inc.) A1680 No Califoria - Molina Healthcare of California 38333 No California Pacific Medical Center 94056 No Cal-Optima Direct CALOP No Cannon Cochran Management Services, Inc. Metairie, LA 71057 No Cannon Cochran Management Services, Inc./SAGE TECHNOLOGIES 37105 No CAP Management Systems 95399 No Cape Health Plan 38245 No Capital Blue Cross/CAIC (PA Blue Cross) 23045 No Capital Blue Cross/CAIC for DME CLAIMS ONLY CX023 Yes Capital Community Health Plan 87726 No Capital Health Plan 95112 No Capital International Management Services 65067 No Capitol Administrators 68011 No Caprock Health Plans CAPHP No Cardiovascular Care Providers, Inc. (CVCP) GCVCP No Care 1st Health Plan of Arizona 57116 No Care 1st Health Plan of CA 57115 No Care Choice Mercy Health Plan 38269 Yes Care Choices/Preferred Choices 38269 No Care Improvement Plus 77082 No Care Management Group of Greater NY, Inc. 11331 No Care N' Care 66010 No Care To Care 41222 No Care Wisconsin Health Plan (Trizetto) 27004 No Care1st Health Plan of CA C1SCA No CAREATC 57721 No CareCentrix 11345 No CareCore National 14182 No CareCore National, LLC - Health Net of New Jersey 14185 No CareCore National, LLC (Aetna Radiology Claims) 14179 No CareCore National, LLC (Oxford Radiology Claims) 14180 No CareFirst Blue Cross Blue Shield of DC / NCA SB580 No CareGuide 16147 No Carelink Advantra 25139 No

Use Ctrl-F to find Text, F3- Find Next Page 9 of 52Insurance Company Payer ID EnrollmentCarelink Health Plan 25139 No Carelink Medicaid 25140 No CARELINK UNIVERSITY HEALTH SYSTEM CLUHS No CareMore IPA CARMO No CareMore Value Plus (CVP) CARMO No CARENET 25142 No CareOregon (DOS on and after 10/1/05) 93975 No CareOregon (DOS prior to 10/1/05) 13350 No CarePartners of Connecticut (CPCT) 16307 No CarePlus 95092 No Careplus Health Plans, Inc. 65031 No Carepoint Health Plans 77023 No CareSource 26160 No Caresource Georgia GACS1 No CARESOURCE HEALTH PLAN OF OREGON MRCHP No CareSource KY KYCS1 No CareSource of Indiana INCS1 No CareSource Ohio 31114 No Caresource West Virginia WVCS1 No Careworks 10010 No Careworks (Ohio BWC) - Ohio Worker's Comp claims only 31147 No Carilion Clinic Medicare Health Plan 77015 No CARITEN HEALTHCARE 62073 No Cariten Senior Health 62072 No Carolina Behavioral Health Alliance 56215 No Carolina Benefit Administrators Inc. 37245 No Carolina Care Plan 57105 No Carolina Crescent (ACM) CX045 No Carolina Crescent Health Plan, Inc. SX191 Yes Carolina Summit Healthcare, Inc. 56195 No Carpenters Health and Welfare Fund of Philadelphia CX101 No Carpenter's Health and Welfare Trust Fund of St. Louis 25125 No Cascade Health Alliance X5281 No Cat Management IP080 No Caterpillar Inc. 37060 No Catholic Healthcare West SX183 No CBCA Administrators 55438 No CBHNP - HealthChoices 65391 No CBSA 41124 No CCAI (previously payer ID CCAI1) 85468 No CCEA Welfare Benefit Trust 88019 No CCN Managed Care, Inc. (effective 1/1/07) 73159 No CCN Managed Care, Inc. (previously 33005) 73159 No CCPN (Coastal Communities Physician Network) CCPN1 No CDO Technologies 87065 No CDS Group Health 88022 No CEDAR VALLEY COMMUNITY HEALTH PLAN 44827 No Cedars Sinai Medical Center 33010 No Cedars-Sinai Medical Network Services 95166 No CEDARS-SINAI MEDICAL NETWORK SERVICES 95167 No Celtic Insurance 68063 No CeltiCare 68069 No Cement Masons & Plasterers Health & Welfare Trust 91136 No Cencal CX050 No Cenpatico - FL 68058 No CENPATICO - IL 68065 No CENPATICO - IN 68052 No

Use Ctrl-F to find Text, F3- Find Next Page 10 of 52Insurance Company Payer ID EnrollmentCenpatico - OHIO 68051 No Cenpatico Behavioral Health - Kansas 68047 Yes Cenpatico Behavioral Health of Arizona 68048 Yes Cenpatico Georgia 68050 Yes Cenpatico Indiana 68068 No Cenpatico Massachuetts 68061 No Cenpatico South Carolina 68059 No Cenpatico Texas 68053 No CENPATICO TPA 42138 No Centene TPA 42139 No Center Care (for Underwriter's Safety & Claims) USC02 No Center IPA POP01 No CenterCare 13357 No CenterLight Healthcare 13360 No Centers Plan For Healthy Living X6777 No Centinela Valley IPA MPM03 No CentraCare 66698 No Central Benefits Life 31118 No Central Benefits Mutual 31118 No Central Benefits National 31118 No Central California Alliance for Health CCA01 Yes Central California Womens Health WH001 No CENTRAL DUPAGE MEDICAL GROUP NACDM No Central DuPage Physician Group 36314 No Central Health Medicare Plan CHCPI No Central Reserve Life 34097 No Central Reserve Life Ins Co 13193 No Central SeniorCare 62218 No Central States Health & Welfare Funds 36215 No Central States Joint Board Health and Welfare Fund 37214 No Central Susquehanna Healthcare Providers (CSHP) 55731 No Central Valley Medical Group E3510 Yes CENTURION 42140 No CENTURYPHO 36393 No CHA - Commonwealth Health Alliance 23171 No CHAMPVA - HAC (Do not send Tricare claims) 84146 No Chatwins Healthcare Administrators CHAT1 No Chautauqua County Healthcare Plan (Mayville, NY) 16600 No CHC of Kansas City Advantra 25144 No CHCcares of South Carolina 25151 No CHEC - A Subsidiary of Sprint CHECS No Chesapeak Life Insurance Company - Insurance Center 59223 No Chesterfield 34154 No Children First Medical Group 94321 No Children of Women Vietnam Veterans - VA HAC 84146 No CHILDREN WITH SPECIAL HEALTHCARE NEEDS (CSHCN) 86916 No Childrens Medical Center Health Plan CMCHP No Chinese Community Health Plan 94302 No CHIP COMMUNITY FIRST COMMF No CHIP- SETON HEALTH PLAN SHPCH No CHIROMETRICS INC 33070 No CHIROPRACTIC ASSOCIATION OF SOUTH DAKOTA DAKCH No Chiropractic Care of Minnesota, Inc. 41161 No CHOC - Children's Hospital of Orange County Health Alliance 33065 No Choice Medical Group CMG01 No Choice One/UTMB CHIP Health Plan 76049 No Choice Physicians Net First Choice CPNFC No

Use Ctrl-F to find Text, F3- Find Next Page 11 of 52Insurance Company Payer ID EnrollmentChoice Plus (TRW) 60054 No CHP DIRECT SUPERMED 90441 No CHP/RPU (FABOH) (Facility physical address required on claim.) 39112 No Christian Brothers Services 38308 No Christian Brothers Services 61271 No Christian Care Ministries 59355 No Christie Student Health Plan 75544 No Christus Health Medicare Advantage 10629 No Christus Health New Mexico HIX 21062 No Christus Health Plan HIX 52106 No CHRISTUS SPOHN NETWORK SPOHN No CHS Claims 35182 No CHS of America - LA Medicaid Plan 61733 No CIGNA 62308 No CIGNA - PPA 62308 No CIGNA - PPO 62308 No CIGNA BEHAVIORAL HEALTH (EDEN PRAIRIE, MN) SX071 No CIGNA Health Plan - HMO 62308 No Cigna Healthcare for Seniors - Arizona medicare 86033 No Cigna Healthspring 52192 No Cimarron Salud (Molina Healthcare) - NM only X9824 No Cincinnati Financial Corporation 46871 No Cinergy Health 23212 No Citizens Choice Health Plan CCHPC No Citrus Health 10207 No Citrus Medical Group CMSI1 No Citrus Valley Physician's Group IP055 No City of Amarillo COA01 No City of Odessa 75600 No City of Wichita Falls 37251 No Claims Administrative Services (CAS) (TX) WK005 No Claims Development Corporation 43056 No ClaimsBridge High Performance Network 11752 No ClaimsWare, Inc. dba ManageMed 57080 No CLARENDON KIDS CHIP PROGRAM (CKCP) EPO 68069 No Clear Health Alliance CLEAR No Clear Spring Health of Illinois 66009 No Clearchoice Health Plan / COIHS 77201 No CLINICAL SPECIALITIES, INC CSI00 No Clover Arizona/Integra (DME claims only) X4235 No Clover Georgia/Integra (DME claims only) X4232 No Clover New Jersey/Integra (DME claims only) X4215 No Clover Pennsylvania/Integra (DME claims only) X4233 No Clover South Carolina/Integra (DME claims only) X4234 No Clover Tennessee/Integra (DME claims only) X4236 No Clover Texas/Integra (DME claims only) X4231 No CM Administrators Inc 56211 No CMCS ADVANTAGE HEALTH SOLUTIONS MEDICARE ADVANTAGE 35219 No CMHO Clackamas County (PHTech) CMHO1 No CMS MMA Specialty Plan (aka payer ID M3FL0012) MFL12 No CNA 71063 No Coast Hotels & Casino, Inc./DBA Coast Benefits 37310 No Coastal Administrative Services 77052 No COASTAL CARE A0004 No Coastal Care Services Inc 47394 No COASTALCARE 43141 No Cofinity (formerly Sloans Lake) SLOAN No

Use Ctrl-F to find Text, F3- Find Next Page 12 of 52Insurance Company Payer ID EnrollmentCOLONIAL HEALTHCARE 37123 No Colonial Medical 22284 No COLORADO ACCESS HMO COACC No Colorado Community Health Alliance COCHA No Colorado Health Insurance Cooperative 49718 No COLORADO KAISER PERMANENTE COKSR No Colorado Kaiser Permanente (Colorado Springs Only) KSRCS No Commerce Benefits Group 34181 No COMMERCIAL TRAVELERS 88091 No Common Ground Healthcare Cooperative 77170 No Commonwealth Administrators CATPA No Commonwealth Care Alliance 14315 No Community Care Associates 17902 No Community Care Behavioral Health Organization 25179 No Community Care BHO 23282 No Community Care IPA MPM48 No Community Care Managed Health Care Plans of Oklahoma 73143 No Community Care Organization 39126 No Community Care Plan (Palm Beach Health District) PBHD1 No Community Choice of Michigan 38325 No Community Claims Administration 26231 No COMMUNITY EYE CARE CECVP No Community Family Care (SynerMed) SYMED No COMMUNITY FIRST COMMF No COMMUNITY FIRST STAR HEALTH PLAN COMMF No Community Health 60495 No Community Health Alliance 35193 No Community Health Allliance TN 27905 No Community Health Center Network - CHCN CHCN1 No COMMUNITY HEALTH CHOICE 48145 No Community Health Electronic Claims/CHEC/webTPA 75261 No Community Health Group 66170 No Community Health Group 95376 No Community Health Group (Medicaid) CX057 Yes Community Health Group (Medicare) CX058 Yes Community Health Plan 90010 No COMMUNITY HEALTH PLAN NY 23742 No COMMUNITY HEALTH PLAN OF WA CHPWA No Community Medical Group of West Valley CMGVW No Community Premier Plus for Neighborhood Health Providers 32481 No Comp - Ohio (Austintown, OH) 34177 No CompFirst, LLC 23296 No Complementary Healthcare Plan (CHP) CHP01 No CompManagement Health 15243 No CompManagement Health Systems, Inc. (Ohio BWC) - Ohio Worker's Comp claims only 31147 No CompManagement/Integrated Comp (Ohio BWC) - Ohio Worker's Comp claims only 31147 No Comprehensive Behavioral Care 59314 No Comprehensive Benefits Administrator, Inc. 03036 No Comprehensive Care Management CCMC1 No ComPsych 37363 No COMPUSYS OF COLORADO COMPU No Concert Health Plan 36434 No CONFED ADMIN SERVICES, INC. 80667 No Confederation Admin Services 80705 No Confederation Life Insurance 80705 No ConnectiCare - Medicare 78375 No ConnectiCare, Inc 06105 No

Use Ctrl-F to find Text, F3- Find Next Page 13 of 52Insurance Company Payer ID EnrollmentConnecticut Carpenters Health Fund 37307 No Connecticut General (CIGNA) 62308 No Consociate Group (Decatur, IL) 37135 No Consolidated Associates Railroad 75284 No Consolidated Health Plans 87843 No Constellation Health L0260 No Constitution State / Travelers 19046 No Consumers Choice Health SC 45321 No Contessa Health CH201 No CONTESSA HEALTH - SECURITY HEALTH PLAN CH101 No Continental General Insurance Co 71404 No Continuum ABC MSO 13397 No Contractors Laborers Teamsters & Engineers 47046 No Cook Children's Health Plan CCHP1 No Cook Children's Star Plan CCHP9 No Cook County Health Hospitals System 06541 No Cook Group Health Plan 35149 No Cooperative Benefit Administrators (CBA) 52132 No Cooperative Managed Care Services 35199 No Co-ordinated Benefit Plans 14829 No Coordinated Medical Specialists 58204 No Core Administrative Services 58231 No Core Management Resources Group, Inc. 58231 No Core Source Arkansas 75136 No CoreSource Lancaster General 16109 No CoreSource Little Rock (AR) 75136 No CoreSource MD PA IL 35182 No Coresource of AZ & MN 35182 No CoreSource of NC or IN 35182 No CoreSource OH 35183 No CoreSource-Internal 35187 No CoreStar (AZ or MN) 35182 No Corizon Health, Inc. CORIZ No Cornerstone Benefit Administrators 35202 No Cornerstone Preferred Resources CB268 No Corporate Benefit Services of America 41124 No Corporate Benefits Service, Inc. (NC) 56116 No Corporate Plan Management, Inc 64270 No CORRECTCARE CCIH1 No Correction Health Partners PHPMC No Correctional Medical Services 43160 No CORSOLUTIONS 48146 No Corvel Corporation (Ohio BWC) - Ohio Worker's Comp claims only 31147 No Cottage Health System 35182 No Cottage Hospital 35182 No Covenant Administrators, Inc. (Atlanta, GA) 58102 No COVENANT MGMT SYSTEMS EMPLOYEE BENEFIT PLAN CMSEB No Coventry - Kansas City Medicare (Advantra) 25133 No COVENTRY HEALTH CARE OF FLORIDA 25133 No Coventry Health Care of Indiana, Inc. 25131 No Coventry Health Care of Kansas, Inc. - Kansas City 25133 No Coventry Health Care of Kansas, Inc. - Wichita (old payer ID 25134) 25133 No Coventry Health Care of Louisiana, Inc. 25135 No Coventry Health Care of the Carolinas, Inc./Wellpath 25133 No Cox Health Plan 00019 No CRA Managed Care (Ohio BWC) - Ohio Worker's Comp claims only 31147 No Crawford & Company (Ohio BWC) - Ohio Worker's Comp claims only 31147 No

Use Ctrl-F to find Text, F3- Find Next Page 14 of 52Insurance Company Payer ID EnrollmentCreative Medical Systems 64068 No Creative Plan Administrators 37320 No Crown City Medical Group (CCMG) MPM35 No Croy-Hall Mgmt. Inc. 37266 No Crystal Run (Commercial and Medicare) DOS AFTER 1/1/2018/Integra (DME claims only) X4207 No Crystal Run (Commercial and Medicare) DOS BEFORE 1/1/2018/Integra (DME claims only) X4063 No Crystal Run (Medicaid) DOS AFTER 1/1/2018/Integra (DME claims only) X4208 No Crystal Run (Medicaid) DOS BEFORE 1/1/2018/Integra (DME claims only) X4064 No Crystal Run Health Plans 46120 No Crystal Run Health Plans 46430 No CSI NETWORK SERVICES 34186 No CSI NETWORK SERVICES CSI01 No CSI OF MICHIGAN 27136 No CTI Administrators 42141 No Custom Benefit Administrators 39170 No Custom Design Benefits Inc. 82056 No CustomCare (Prudential) 60054 No CustomCare (Southwestern Bell - Exec.) 68241 No CWIBenefits, Inc. 57080 No DakotaCare (SD) DAK01 No Dart Management Corp/Dart Container Corp DARTC Yes Dart Member Care CB987 No DC Chartered Health Plan, Inc. (Medicaid & Alliance) 95748 Yes Dean Health Plan 39113 No Definity Health (previously 64159) 87726 No Definity Services 87726 No Delaware Health Plan Consortium 63081 No Delaware Physicians Care, Inc. 27009 No DelawareCare (CHC of Delaware Medicaid) 25137 No Delta Health Systems 94235 No Delta Health Systems DHS01 No Denver Health - Indigent 84134 No Denver Health and Hospital Authority 84133 No Denver Health Medical Plan 84135 No Denver Health Medical Plan, Inc. - Medicare Choice 84131 No Department of Labor Energy Program 77103 Yes Department of Labor OWCP (aka payer ID 77044) CX014 Yes Dermatology Network Solutions 58204 No Deseret Mutual Benefit Administrators SX105 Yes Desert Family Practice Association PPM01 No Desert Family Practice Association Encounters PPM02 No Desert Hospital PPM01 No Desert Medical Group DESRT No Destiny Health Plan 36436 No Devoted Health DEVOT No DGA - Diversified Group Administrators 25160 No Diamond Plan 25131 No DiaTri LLC 36439 No Dignity Global MPM27 No Dignity HCLA MPM28 No Dignity Health - Sacramento Hospital claim shop (Mercy, Woodland & Hill Physicians) HOSH1 No Dignity Health Medical Foundation (Mercy or Woodland Clinic Medical Grp) (prof risk) PROH1 No Dignity Health Medical Foundation (Sequoia Physicians Network) (professional risk) PROH2 No Diversified Administration Corporation 06102 No DMEnsion Support, PEBTF & NHPRI CX052 No DOCS(WOAH) DOCSO No DOCTORS HEALTHCARE PLANS DRHCP No

Use Ctrl-F to find Text, F3- Find Next Page 15 of 52Insurance Company Payer ID EnrollmentDoctors Hospital of Montclair (San Bernardino) (SynerMed) SYMED No Downey Select IPA (Applecare Medical Management) APP01 No Dreyer Health DREYR No DRISCOLL CHILDRENS HEALTH PLAN (CHIP) 74284 No DSCC - Division of Specialized Care of Children 37600 No Dunn and Associates Benefits Administrators, Inc. 35186 No E3 Health, Inc. 75232 No Eagle Creek Medical Plaza 61101 No Early Intervention Central Billing 36434 No East Boston Neighborhood PACE 25849 No Eastland Medical Group 66122 No Eastpointe C8044 No Easy Choice Health Plan - Wellcare CA (Medicare)/Integra (DME claims only) X4049 No Easy Choice Health Plan of New York 24770 No Eaton Benefits, OH 62308 No EBA & M Employee Benefits Administration and Management Corp 22262 No EBC Mid-America 37257 No EBC, Inc. 37257 No Ebix Health Administration Exchange (EHAE) (previously Insurer's Admin Corp) IAC01 No EBMC CX025 No EBMS (Employee Benefit Management Services, Inc.) 81039 No EBS of Ohio (Mansfield, OH) 34166 No Educators Mutual (EMIA) SX110 No EHI (Employers Health Insurance) 61101 No El Paso First - CHIP EPF03 Yes El Proyecto De Barrio MPM04 No Elder Health HMO of Pennsylvania 52192 No ELDER HEALTH MARYLAND HMO, INC. 52192 No Elder Health Texas (Bravo) 52192 No ElderPlan, Inc. 31625 No Elderserve ELDER Yes Ellis Consultants, Inc. ECISF No Elmcare LLC 36399 No ELMCARE LLC NAELM No Elmco 37253 No ELMCO LLC 60509 No Emanate Health Med Center AltaMed MPM45 No Emerald Health Network 31138 No Emerald Health Network, Inc. (All PPO Business) 34167 No Emerald HMO (HMO Claims only) 34555 No EMHS Employee Health Plan 16565 No EMI-KP Ambulance Claims 59299 No EmoryCare (Prudential) 60054 No EMPHESYS 61101 No Empire BC/BS - Commercial/Integra (DME claims only) X4156 No Empire BC/BS - Medicare Advantage/Integra (DME claims only) X2946 No Empire BlueCross BlueShield HealthPlus - Medicaid/Integra (DME claims only) X2936 No Empire BlueCross BlueShield HealthPlus -Essential Plan/Integra (DME claims only) X4162 No Empire BlueCross BlueShield HealthPlus FIDA Plan/Integra (DME claims only) X2938 No Empire BlueCross BlueShield HealthPlus MLTC/Integra (DME claims only) X4086 No Empire Physicians Medical Group EMP01 No Empire Physicians Medical Group PPM01 No Employee Benefit Admin & Mgmt 95288 No Employee Benefit Claims - Mid-America 37257 No Employee Benefit Claims of Wisconsin 37257 No Employee Benefit Concepts (Farmington Hills, MI) 38241 No Employee Benefit Consultants, Inc. 37257 No

Use Ctrl-F to find Text, F3- Find Next Page 16 of 52Insurance Company Payer ID EnrollmentEmployee Benefit Management Corp (EBMC) aka Big Lots Assoc Benefit Plan 31074 No Employee Benefit Services (South Carolina only) 37216 No Employee Benefit Services of Louisiana (A division of Harrington Benefit Svcs) 41198 No Employee Benefit Services of San Antonio EBSSA No EMPLOYEE BENEFIT SERVICES, INC (EBSI) 60221 No Employee Benefits Plan Adminstration, Inc. (E.B.P.A.) 03036 No Employee Beneift Corporation 37215 No Employee Claim Adjudication Svcs 75184 No Employee Logistics 92135 No Employee Plans, LLC 35112 No Employee Security Inc. 54098 No EMPLOYER DIRECT HEALTHCARE 48888 No Employer Plan Services 74212 No Employers Coalition on Health (ECOH) 27008 No Employers Direct Health 75232 No Employers Direct Health - Employee Plan 75236 No Employers Direct Health - Fully Insured 75235 No Employers Direct Health - Self Funded Plan 75233 No Employers Health 61101 No Employers Health Insurance 61101 No Employers Health Network, LLC 20508 No Employers Life Insurance Corp. 37249 No Employers Mutual, Inc (Jacksonville, FL) 59298 No Employers Mutual, Inc (Stuart, FL) 59331 No EMPOWER Arkansas 12956 No Encircle PPO 35206 No Encore Health Network 35206 No Enstar Natural Gas 91136 No Eon Health 73780 No EPO CHIP/MANAGED CARE 68069 No Epoch Group 28777 No EQUICOR 62308 No EQUICOR - PPO 62308 No Equitable (CIGNA) 62308 No Equitable Plan Services (P.O. Box 720460, Oklahoma City, OK) 73126 No Erin Group Administrators 23250 No ES Beveridge and Associates 34108 No Essence 57082 No ESSENCE HEALTHCARE 20818 No Essential Health Partner EHPSC No E-V Benefits Management, Inc (Columbus, OH) 34159 No Evercare 87726 No Evercare Star Plus 07501 No Everence 35605 No Evergreen Health Cooperative 93240 No Evergreen Health Plan 58233 No Evolutions Healthcare Systems (New Port Richey, FL) 59313 No Exceedent LLC 22344 No Excel MSO EXC01 No ExclusiCare 71412 No Eye Specialists of Arizona 75138 No EYEMED 31165 No F40 Alaska Carpenters Trust 91136 No Facey Medical Foundation 95432 No FACS Group 37300 No Fair Price 62956 No Fallon Community Health Plan 22254 No

Use Ctrl-F to find Text, F3- Find Next Page 17 of 52Insurance Company Payer ID EnrollmentFallon Total Care 45559 No FALLON TRANSPLANT FT254 No Family Care CCO 93121 No Family Care CCO (Admin by PH Tech) PHD01 No Family Care Inc. (Oregon HMO) (FCI) CX003 Yes Family Care Inc. (Oregon HMO) (MHO) MCD01 Yes Family Care Inc. (WPS) CX013 No Family Care Medicaid Mental Health FCM01 No Family Care Medicare (Admin by PH Tech) PHR01 No Family Health Plan 96865 No Family Health Plan (Ohio BWC) (For Ohio Worker's Comp Claims Only) 31147 No Family Medical Network 36396 No Farm Family 14140 No FBMC (United Benefits/Poe & Brown) 37260 No FCE Benefit Administrators 33033 No FEDERAL EMPLOYEE PROGRAM (TX FEP) 84980 No Federated Benefits 37300 No Federated HR Services 37300 No Federated Mutual Insurance 41041 No Fidelis Care New York 11315 No Fidelis Care NY - FIDA/Integra (DME claims only) X4155 No Fidelis Care NY - Health Benefit Exchange/Integra (DME claims only) X2951 No Fidelis Care NY - Medicaid/Integra (DME claims only) X2950 No Fidelis Care NY - Medicare/Integra (DME claims only) X2949 No Fidelis Care NY - MLTC/Integra (DME claims only) X4182 No Fidelis Care NY - QHP/Integra (DME claims only) X4159 No Fidelis Care NY- Aliessa/Integra (DME claims only) X4158 No Fidelis SecureCare 77054 No Fire Department Cityof New York World Trade Center Health FDNYP No First Administrators, Inc FAMR1 No First Carolina Care 56196 No First Choice (CT) 14163 No First Choice Health Network 91131 No First Choice HealthPlans of Connecticut 14162 No First Choice Medical Group FCMG1 No First Choice of Midwest (PPO) 75138 No First Choice VIP Care 37510 No First Choice VIP Care Plus - SC 77009 No First Great West Life & Annuity Ins Co 80705 No First Health 87043 No First Health Network (f.k.a. CCN Managed Care Inc. & PPO Oklahoma) 73159 No First Integrated Health 75232 No First Priority 23241 No First Service Administrators, Inc. 59276 No FIRSTCARE 94999 No FirstCare 94999 No FIRSTCARE - MEDICAID 94998 No FirstCare "Star" Medicaid 94999 No FIRSTCARE STAR MEDICAID 94999 No FirstGuard Health Plan - Kansas 90060 Yes FirstGuard Health Plan - Missouri 90061 Yes Fiserv Health - Kansas/Tennessee 62061 No Fitzharris & Company, Inc. (Farmingdale, NY) 11244 No FL MCO PHC/PHP 95411 No FlexCare 60054 No Florida 1st 59276 No Florida Community Care FLCCR No

Use Ctrl-F to find Text, F3- Find Next Page 18 of 52Insurance Company Payer ID EnrollmentFlorida Health Care Plan 59322 No Florida Hospital Waterman 48116 No Florida League of Cities, Inc. 59698 No Florida Pace Center FLPAC No Florida Power & Light (Prudential) 60054 No Florida True Health 26492 No Floridiancare (BPN) APBPN No Floridiancare (South Florida) APSFL No FMH Benefit Services, Inc. 48117 No Formax, Inc. 87066 No Fortis Insurance Company 39065 No Foundation Benefit Admin BOONG No Foundation for Medical Care of Tulare & Kings County TKFMC No Foundation Health Plan (Sunrise, FL) 55248 No Fox Valley Medicine Site 199 FVMCH No Fox Valley Medicine Site 451 FVMC1 No FoxEverett - Ingalls Ship Building 64067 No Fox-Everett, Inc. 64069 No Freedom Health Plan 41212 No Freedom Life Insurance Company of America 62324 No Freedom Network/PHP 00023 Yes Fresenius Health Partners 43197 No Fresenius Medical Care Health Plan 23130 No Friant Water Users TKFMC No Friday Health Plans of Colorado H0657 No Fringe Benefits Coordinators 59204 No FrontPath Health Coalition 34171 No G.E. Group Life Assurance Company 67815 No GALLAGHER BASSETT TP057 No Gallagher Benefit Administrators, Inc/GBA (Now AAG - American Administrative Group) 37283 No Galveston County Indigent Health Care 30005 No Garfield Medical Center (SynerMed) SYMED No Gateway Health Plan - Medicare Assured 60550 No Gateway Health Plan Medicaid PA 25169 No Gateway Health Plan OH - Medicare Assured 91741 No Gateway IPA (Pinnacle Health Resources) (Prospect Medical Group) PROSP No GBA (Gallagher Benefit Admin) 37283 No GBS Global Benefit CB951 No GBS GROUP BENEFIT SERVICES INC 80241 No GE Group Administrators, South Carolina 06143 No GE Group Administrators, Texas 75238 No GEGLAC - G.E. Group Life Assurance Company 67815 No GEHA 44054 No GEHA Health Group (Nevada) GEHA9 No GEHA Mental Health Claims 87726 No Geisinger Health Plan 75273 No GEMCare (Golden Empire Managed Care System) MCS01 No Gemcare Health Plan MCS03 No Genelco (St. Louis) 63665 No General American Life Insurance Company 63665 No Generations Healthcare 46050 No Generations-Hillcrest 46051 No Genesee County Medical Plan 16112 No GENEX Care of Ohio (Ohio BWC) (For Ohio Worker's Comp Claims Only) 31147 No Georgia Power Medical Benefits Plan 61271 No Gettysburg Health 23212 No GEVB - PIC (GE Voluntary Benefits Professional Insurance Company) 59041 No

Use Ctrl-F to find Text, F3- Find Next Page 19 of 52Insurance Company Payer ID EnrollmentGH Basic Health Plan 91051 No GH Individual and Family Plan 91051 No GHC - Eastern Washington State 91121 No GHC - Western Washington State 91051 No GHC Commercial 91051 No GHC Medicare + Choice 91051 No GHI - New York (Group Health Inc/Emblem Health) 13551 No GHI HMO 25531 No GHI PPO/Integra (DME claims only) X2955 No GHP (Group Health Plan) 25141 No GI Innovative Management 58204 No GIC Indemnity Plan 80314 No Gilsbar, Inc. 07205 No Glassworkers Health & Welfare Fund 91136 No Global Care Medical Group IPA MPM05 No Global Care, Inc. 07689 No Global Excel Management GEM01 No Global Health GHOKC No GMS, Inc. 47083 No GM-Southwest, Inc. L0120 No Gold Coast Health Plan 77160 No Golden Rule Insurance Company 37602 No Golden State Medical Group MBA01 No Golden State Physicians Medical Group 68041 No Golden Triangle Physician Alliance/Selectcare of Texas (GTPA) 72189 No Good Samaritain IPA - Coastal Healthcare Management GSMPA No Government Employees Health Association 45235 No Government Employees Health Association 45275 No Government Employees Hospital Association (GEHA) 44054 No Grady Healthcare 58204 No GRANT PHYSICIANS PRACTICE ASSOCIATION 37234 No Great Lakes Health Plan 95467 No Great Lakes PACE 39640 No Greater Newport Physicians Medical Group 33010 No Greater Oregon Behavioral Health (GOBHI) GOBHI No Great-West Healthcare 80705 No Great-West Healthcare (former American General) 63665 No Green Tree Administrators 78521 No GROUP & PENSION ADMINISTRATORS 48143 No Group Administrators Ltd. 36338 No Group Administrators Self Funded GASA1 No Group Benefit Administrators (Hendersonville, TN) 72153 No GROUP HEALTH COOP/SO. CENTRAL WISCONSIN 39167 No Group Health Cooperative - East 91121 No Group Health Cooperative - West 91051 No Group Health Cooperative of Puget 91051 No Group Health Cooperative of South Central Wisconsin 39167 No Group Health Insurance - DE 61101 No Group Health Managers 38194 No Group Health Options, Incorporated Alliant Plus 91051 No Group Health Options, Incorporated Alliant Select 91051 No Group Health Options, Incorporated Options 91051 No Group Health Options, Incorporated Options Prime 91051 No Group Health Options, Incorporated Options Select 91051 No Group Health Plan 25141 No Group Insurance Service Center, Inc. 37276 No GROUP MANAGEMENT SERVICES INCORPORATED OBA16 No

Use Ctrl-F to find Text, F3- Find Next Page 20 of 52Insurance Company Payer ID EnrollmentGroup Practice Affiliates 68046 No Group Resources PHCS 28680 No GRP HLTH Coop of Eau Claire and Compcare 95192 No Guardian Life Insurance Company of America 64246 No Guildnet (New York, NY - DOS after 6/1/18) 36057 No Guildnet (New York, NY - DOS pior to 6/1/18) GLDNT Yes Guildnet/Integra (DME claims only) X2956 No GULF QUEST(IPA) HMO BLUE RENBL No Gulf South Risk Services 60652 No Gulf Stream-General Dynamics CB624 No Gunderson Lutheran Health Plan, Inc. 39180 No H.E.R.E.I.U Welfare Pension Funds 37114 No H.E.R.E.I.U. Welfare Pension Funds 23172 No HAA Preferred Partners, LLC 65101 No Hamaspik Choice 47738 No Hamaspik MLTC/Integra (DME claims only) X2957 No Harken Health 43313 No Harmony Health Plan - Wellcare IL (Medicaid)/Integra (DME claims only) X4052 No Harmony Health Plan - Wellcare IL (Medicare)/Integra (DME claims only) X4051 No Harmony Health Plan of Illinois 14163 No Harmony Health Plan of Illinois 36406 No Harmony Health Plan of Indiana 14163 No Harmony Health Plan of Indiana 36405 No Harrimon Jones HCP01 No Harrington Benefit Services, Inc. (Oklahoma) 22521 No Harvard Community Health Plan 04245 No Harvard Pilgrim Health Care 04271 No HAS - Health Administration Services 34185 No Hawaii Management Alliance Association (HMAA) 99208 No Hawaii Management Alliance Assoication (HMAA) 48330 No HCH Administration (Illinois) 37111 No HCH Administration, Inc. 37215 No HCHA Albq-Self Funded 37329 No HCS - Health Claims Service (Boise, ID) 82018 No HDM Benefit Solutions HDMCO No HDPC - Premier Care (High Desert Primary Care Premier) STJOE No HDPC - Premier Healthcare 90023 No HDPC/Alliance Physicians 20257 No Health 1,2,3, Inc. 23173 No Health Administration Service, Inc. 34185 No Health Alliance 88461 No Health Alliance Exclusive & Plus 23172 No Health Alliance Medical Plans 77950 No Health Alliance Plan of Michigan 38224 No Health America Inc./Health Assurance/Advantra 25126 No Health and Welfare Fund Ohio 34564 No Health Assurance/Health America, Inc./Advantra 25126 No Health Care Alliance (Sears) 60054 No HEALTH CARE DISTRICT PALM BEACH CTY 95828 No Health Care LA IPA MPM06 No Health Care Network of Wisconsin (HCN) 42102 No Health Care Partners 20501 No HEALTH CARE PARTNERS - AZ HCP02 No Health Care Payer's Coalition (Toledo, OH) 34193 No Health Choice Generations 62180 No Health Choice Insurance 46221 No Health Choice Integrated Care 22100 No

Use Ctrl-F to find Text, F3- Find Next Page 21 of 52Insurance Company Payer ID EnrollmentHealth Choice of Arizona 62179 No Health Cost Solutions 62111 No Health Designs Plus (Hudson, OH) 34158 No Health Economics Group, Inc. 16112 No Health EZ 16120 No Health First Health Plans 95019 No Health First TPA - Tyler 75234 No Health Future, LLC. 30946 No Health Insurance Plan of New York 55247 No Health Manager Solutions (Ohio BWC) - Ohio Worker's Comp claims only 31147 No Health Market Care Assured 62295 No HEALTH NET OF ARIZONA 38309 No HEALTH NET OF ARIZONA M5007 No Health Net of California and Oregon FOR CLAIMS ONLY 95567 No Health Net of the Northeast, Inc. 06108 No Health Network One 65062 No Health New England 04286 No Health Palm Beach 95827 No Health Partners - Jackson, TN 62157 No Health Partners of Alabama, Inc. 63092 No Health Partners of Kansas 31478 No Health Partners of MN 94267 No Health Partners Plan Inc - Commercial/Integra (DME claims only) X4270 No Health Partners Plan Inc - Medicaid/Integra (DME claims only) X4269 No Health Partners Plan Inc - Medicare/Integra (DME claims only) X4268 No Health Partners Southeast 63092 No Health Partners, PA 80142 No Health Payment Systems, Inc. 20270 No HEALTH PLAN OF MICHIGAN 52563 No Health Plan of Michigan (for MI providers only) Z2936 Yes Health Plan of Michigan (for non-MI providers only) 83253 No Health Plan of Nevada (Sierra) 76342 No Health Plan of San Joaquin 68035 No Health Plan of San Mateo HPSM1 No HEALTH PLAN OF THE UPPER OHIO VALLEY 95677 No Health Plans Inc. 44273 No Health Plus PHSB (Brooklyn, NY) 11324 No HEALTH PLUS PHYSICIAN ORGANIZATION HPPO1 No Health Right 52201 No Health Services Consulting Group Inc. 20896 No Health Services for Children with Special Needs 37290 No Health Services Management 41150 Yes Health Services Management (HSM) HSM01 No Health Services Preferred (HSP) by Emerald Health 34167 No Health Strategies SX044 No Health Tradition Health HLTHT No Health Value Management 61101 No Health Value Management - DE (Humana) 61101 No HEALTHCARE BENEFITS (TX only) 84980 No Healthcare District Palm Beach HCDPB Yes HEALTHCARE MANAGEMENT ADM. (HMA) HMA01 No HEALTHCARE OPTIONS EPF37 No Healthcare Partners HCP01 No HealthCare Partners - Medicaid/Integra (DME claims only) X2959 No HealthCare Partners, IPA 11328 No HealthCare Partners/Integra (DME claims only) X2958 No HEALTHCARE PLANS, INC HC001 No

Use Ctrl-F to find Text, F3- Find Next Page 22 of 52Insurance Company Payer ID EnrollmentHealthcare Resources Group (HRG) 82468 No Healthcare Resources NW 56731 No Healthcare Solutions Group 73147 No Healthcare USA 25143 No Healthcare's Finest Network 36335 No HealthChoice of Memphis 62168 No HealthChoice Oklahoma 71064 No Healthcomp Inc. 85729 No HealthEase 14163 No Healthfirst NY - FIDA/Integra (DME claims only) X4167 No Healthfirst NY - Medicaid/Integra (DME claims only) X2961 No Healthfirst NY - Medicare/Integra (DME claims only) X2962 No Healthfirst TPA - Tyler, TX 75234 No Healthfirst, Inc. (NY & NJ) 80141 No HealthGroup Limited 23274 No HealthGuard of Lancaster 23226 No HealthHelp Network, Inc. (HHNI) 59087 No Healthlink HMO (unique prov # required) 96475 No Healthlink PPO (unique prov # required) 90001 No Healthplan of San Mateo Medical or Care Advantage SX174 No HealthPlan Services (Tampa only) 59140 No HealthPlus of Louisiana 95009 No HEALTHPOWER HMO 31106 No HealthScope Benefits - EHC Repricing 52429 No HealthSCOPE Benefits, Inc. 71063 No HEALTHSELECT IPA A3491 No Healthshare of Oregon CCOE HSOCC No Healthsmart Accel 75237 No Healthsmart Preferred HSPC1 No HEALTHSMART PREFERRED CARE (HSPC) HSPC1 No Healthsmart Preferred Care, Inc. 75250 No Healthsource CMHC 02041 No Healthsource Massachusetts, Inc. 02041 No Healthsource Provident 68195 No Healthsource, AR 71074 No Healthsource, AR (Med) (CIGNA) 71075 No Healthsource, GA (CIGNA) 58210 No Healthsource, KY 61127 No Healthsource, ME 01041 No Healthsource, N. TX (CIGNA) 75255 No Healthsource, NC (CIGNA) 56147 No Healthsource, NH 02038 No Healthsource, OH 31141 No Healthsource, SC 06119 No Healthsource, TN (CIGNA) 62129 No HealthSpan Integrated Care RH007 No HealthSpan Network Repricing HSPAN No HealthSpring of Alabama 63092 No HealthStar, Inc. 36332 No HealthSun Healthcare HESUN No Healthteam Advantage 88250 No Healthways WholeHealth Networks 58213 No Healthy Blue Louisiana 58532 No Healthy CT 77180 No Healthy Equation HLTHQ No Healthy Options (DSHS) 91051 No HEALTHYBLUE 00661 No

Use Ctrl-F to find Text, F3- Find Next Page 23 of 52Insurance Company Payer ID EnrollmentHeavy and General Labors Fund of New Jersey 22148 No Heritage Consultants 59230 No HERITAGE IPA HER01 No Heritage National Health Plans 95378 No Heritage New York Medical Group 11328 No HERITAGE PHYSICIAN NETWORK (HOUSTON) HPN11 No Heritage Victor Valley Medical Group (Regal) VVMG1 No HFN Healthease M3FL5 No HFN, Inc. 36335 No High Desert Medical Group HDMDG No High Desert Primary Are 33069 No Highlands Wellmont 31441 No Highmark BCBSD Health Options 47181 No Highmark Commercial 37323 No Hill Physicians Medical Group 00046 No Hill Physicians United Healthcare PPO HLPUH No Hillcrest Benefit Administrators 59347 No Hinsdale Medicare Advantage MAHIN No Hinsdale Physician Healthcare 36385 No HIP - Health Insurance Plan of Greater New York 55247 No HIP - Health Insurance Plan of Greater New York (Anesthesia) AXH01 Yes HIP MLTC - Partial/Integra (DME claims only) X2954 No HIP MLTC/Integra (DME claims only) X2953 No HIP of NY/Integra (DME claims only) X2952 No HIRSP (Wisconsin) CX024 No HMA- HEALTHCARE MANAGEMENT ADM HMA01 No HMA Administrators LLC 39044 No HMA Hawaii 86066 No HMC Healthworks aka Health Management Co. 75318 No HMO BLUE (TX Only) 84980 No HMO BLUE TEXAS 84980 No HMO OF COLORADO COHMO No HMPK, Inc. 61101 No HMSO-Highline Medical Service Organization 91164 No Hoag Affiliated Physicians STJOE No Hollywood Pres GLOBAL MPM29 No Hollywood Presbyterian (SynerMed) SYMED No Holy Cross Health Partners 36412 No HOLY CROSS HEALTH PARTNERS NAHLX No HomeTown Health Network 34150 No Hometown Health Plan Nevada 88023 No Hoosier Alliance Healthplan MDWIS No Hopkins Health Advantage 66003 No Horizon Healthcare Admin (HHA) 22304 No Horizon Mercy 22326 No Horizon NJ Health 22326 No Hospital Benefits, Inc. 37274 No Hotel Employees & Restaurant Employees Health Trust 91136 No HPlan, Inc. 61101 No HPN (HERITAGE PHYSICIAN NETWORK - HOUSTON) HPN11 No HPS Paradigm, Inc. 58227 No HRH of Illinois 36410 No HSA Health Insurance Company U7632 Yes HSBS World Trade Center Health Program 31172 No Hudson Health Plan 13335 No Humana 61101 No Humana - Employers Health Insurance 61101 No

Use Ctrl-F to find Text, F3- Find Next Page 24 of 52Insurance Company Payer ID EnrollmentHumana (PCA HEALTHPLANS OF TEXAS) 95885 No Humana Care Plan 61101 No Humana Emphesys 61101 No Humana Employers Health Insurance 61101 No Humana Encounters Only 61102 No Humana Gold 61101 No Humana Group Health Plan 61101 No Humana Health Chicago 61101 No Humana Health Chicago Insurance Company 61101 No Humana Health Plan 61101 No HUMANA HMO 0 61105 No Humana Inc. 61101 No Humana Insurance Agency 61101 No Humana Insurance Company 61101 No Humana Insurance Company Choice Care Network 61101 No Humana Long Term Care 61115 No Humana Medical Plan - CA 61101 No Humana Medical Plan - KY 61101 No Humana Military - Tricare South: Regions 3 and 4 61125 No HUMANA OHIO 1 95348 No HUMANA OHIO 2 Z0005 No Humana Puerto Rico 65018 No Humana Veterans Healthcare Services 61160 No Humana Wisconsin Health Organization 61101 No Humboldt-Del Norte Foundation for Medical Care 94154 No Hunt Insurance Group 37260 No Hylton Payroll (Benefit Plan Administrators) 19753 No I.E. Shaffer (West Trenton, NJ) 22175 No IAA 37279 No IBA HEALTH & LIFE ASSURANCE CO. 38234 No IBA SELF FUNDED GROUP 38234 No IBEW Local Number One Health and Welfare Fund (Mental Health) 44602 No IBEW Western Utilities or Local 57 74234 No IBG Administrators, LLC 81810 No IBI 41124 No IBM Business Transformation Outsourcing Insurance Services Corporate 19028 No IBM Medical Plans 60054 No ICARE (Independent Care Health Plan) 11695 No ICM 37296 No ICON Benefit Administrators (Now AAG - American Administrative Group) 75185 No IEC Group - AmeriBen 97661 No IHG Direct 75274 No IHN CCO MH IHNMH No IlliniCare 68066 No Illinois Central Hospital Association (Tinley Park, IL) 36600 No Illinois Health Partners DMG01 No Illinois Health Solutions 86069 No Illinois Medicaid (Public Aid) SKIL0 Yes IMA of Louisiana Inc. 72091 No Imagine Health 43123 No I'Mcare 41600 No Imperial Health Holdings Medical Group IHHMG No IMSCO Health Systems 37319 No IMX Easy 86070 No INDECS Corporation 40585 No Independence American Insurance Company CB231 No Independence Care System, Inc. 13396 No

Use Ctrl-F to find Text, F3- Find Next Page 25 of 52Insurance Company Payer ID EnrollmentIndependence Care Systems - Commercial/Integra (DME claims only) X2967 No Independence Care Systems - FIDA/Integra (DME claims only) X4201 No Independence Medical Group MHM01 No Independence Medical Group-Kern County IMG01 No Independence Medical Group-Tulare County IMG02 No Independent Health Association - Commercial/Integra (DME claims only) X4195 No Independent Health Association - Employer Sponsored Ins/Integra (DME claims only) X4192 No Independent Health Association - Medicaid/Integra (DME claims only) X4194 No Independent Health Association - Medicare Advantage/Integra (DME claims only) X4193 No Independent Living Systems 45048 No Indian Health Systems 00290 No Indiana Children's Special Healthcare CX070 No INDIANA HEALTH NETWORK 35204 No Indiana ProHealth Network 35161 No Indiana Teamsters Health benefits Fund (Indianapolis, IN) 35107 No Indiana University Health Plan (Commercial IUHPLNS) 26212 No Indiana University Health Plan (Medicare) 95444 No Individual Health Insurance Companies 31053 No INETICO, INC. 43471 No Informed, LLC 52196 No Ingalls Provider Group 36348 No Ingalls Provider Group 85578 No INGALLS PROVIDER GROUP NAING No Ingham Health Plan Corporation 38343 No Injured Workers Insurance Fund 52212 No Inland Empire Health Plan IEHP1 No Inland Faculty medical Group MVMM1 No Innovation Health 40025 No Innovative Healthware Solutions 04320 No INNOVISTA DOLTON MEDICAL GROUP DOLMG No INNOVISTA ILLINOIS PHYSICIANS ALLIANCE IPA IPA99 No INNOVISTA OAK STREET HEALTH OAKST No INNOVISTA VILLAGE MD VLGMD No INS Health Services (Immigration Health Services) VAICE No Institutes of Quality 60054 No Insurance Administrators of America, Inc. 37279 No Insurance Design Administrators 13315 No Insurance Management Services (Amarillo, TX) 15688 No Insurance Management Services (IMS) of Texas IMSMS No Insurance Management Services of Nevada (Elko, NV) 88006 No INSURANCE SERVICE OF LUBBOCK ISL11 No INSURANCE SYSTEMS, INC 11889 No Insurdata/Insurnational SX011 No Insurer's Administrative Corp. 86304 No Integra Administrative Group (Seaford, DE) 51020 No Integra Group 31127 No Integra Group-CHA 31129 No Integra Managed Long Term Care 45302 No Integra Plan INTGR Yes Integral Quality Care 23229 No Integranet INET1 No Integrated Care Network (ICN) by Emerald Health 34167 No Integrated Health Partners (IHP) MPM26 No Integrated HomeCare Services IHCS1 No INTEGRITY BENEFITS NETWORK 58200 No Interactive Medical Systems 87765 No Inter-Americas Insurance Corporation, Inc. 92649 No

Use Ctrl-F to find Text, F3- Find Next Page 26 of 52Insurance Company Payer ID EnrollmentIntercommunity Health Net INCHN No INTER-COUNTY HEALTH PLAN 54763 No Interface EAP (IEAP) 60280 No Intergroup Services Corporation 23287 No Intermountain Healthcare (IHC) CX001 No International Benefit Administration 11329 No International Brotherhood of Boilermakers 36609 No International Educational Exchange Services, Inc. (IEES) 16158 No International Funding, LTD 39182 No International Medical Group IMGIN No International Union of Operating Engineers, Local 15, 15A, 15C & 15D 37269 No Intervalley STJOE No InterWest Health (Acceptius Gateway payer) (Montana) - PPO 84137 No Intgritas Benefit Group (Claims are Printed and Mailed to Payer) 20435 No InTotal Health (DOS after 7/1/16) 3511A No InTotal Health (DOS prior to 7/1/16) 35115 No Iowa Benefits Inc. 41124 No Iowa Health Solutions 86068 No IPA Misroute 61199 No IPA OF KANE COUNTY IPAK1 No ISOL ISL11 No IU HEALTH PLANS (aka payer ID IUHPLNS) IUHPL No J. F. Molloy and Associates, Inc. 61271 No Jackson Memorial Health PLan (FL) 05014 No JAI Medical Systems JAI01 No JENCARE MEDICAL JCARE No JFK Hospital PPM01 No JI Specialty Services Worker Comp (TX) WK006 No JI Specialty Services, Inc. JISSP No JMH Medicare Advantage 59171 No John Deere Health Care 95378 No John Hancock 80314 No John Morrell Company Co. - AHPBA 38310 No John Muir Mt. Diablo Health System 68036 No John P Pearl & Associates 37215 No Johns Hopkins Healthcare (EHP/PP) 52189 No Johns Hopkins Healthcare (USFHP) 52123 No Joplin Claims 43178 No JP Farley Corporation 34136 No JSL Administrators 37272 No Kaiser Foundation Health Plan of Colorado 91617 No Kaiser Foundation Health Plan of Georgia 21313 No Kaiser Foundation Health Plan of Northern CA Region 94135 No Kaiser Foundation Health Plan of Ohio 34092 No Kaiser Foundation Health Plan of Southern CA Region 94134 No Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. 52095 No Kaiser Foundation of the Northwest 93079 No Kaiser Ohio Region KS005 No Kaiser Permanente (Colorado Springs Only) KSRCS No KAISER PERMANENTE (SO CAL ONLY) KS001 No Kaiser Permanente Hawaii RH011 No Kaiser PPO 94320 No Kanawha HealthCare Solutions, Inc. 57038 No Kanawha Insurance Co. 57038 No KANE COUNTY IPA KCIPA No Katy Medical Claims 81812 No Kaweah Delta Medicare Advantage IP084 No

Use Ctrl-F to find Text, F3- Find Next Page 27 of 52Insurance Company Payer ID EnrollmentKelsey-Seybold KELSE No Kemper Benefits 61453 No Kempton Company 73100 No Kempton Group Administrators 73100 No Kentucky Health Administrators, Inc. 27215 No Kentucky Health Cooperative 77894 No Kentucky Kare 61101 No Kentucky Spirit Health Plan 68067 No Kern Health Care Network (Valid for dates of service prior to 01-01-2016) 22149 No Kern Health Systems 77039 No Key Benefit Administrators (Indianapolis, IN) 37217 No Key Benefit Administrators (KBA) (SC) XX446 No KEY GAP 35317 No Key Medical Group IPO82 No Key Medical Group - Medicare Advantage IP083 No Key Select 37321 No Keystone First Community HealthChoices 42344 No Keystone First VIP Choice 77741 No Keystone Mercy Health Plan 23284 No Kindred Health Care 61101 No Klais & Company 34145 No KPIC - Kaiser Permanente (Valid in the states of CA,CO, DC, GA, HI, MD, OH and OR) KPIC1 No LA Care Health Plan (California) LACAR No La Vida IPA LVIPA No La Vida IPA LVPA1 No Labor & Industry (Washington) LABOR Yes LACare (Louisiana) 27357 No LACH HealthNet by MedPOINT MPM19 No Lafayette Consolidated Government 71037 No Lakeside Comprehensive Healthcare 66127 No Lakeside Health Services 95415 No LAKESIDE IPA 95416 No Lakeside Medical Group 66125 No Landmark Healthcare LNDMK No LaSalle Medical Associates NMM02 No Lasso Healthcare MSA 10550 No Lawndale Christian Health Center 36333 No LBA Health Plans 52193 No Leon Medical Center Health Plan 37316 No LEON MEDICAL CENTER HEALTH PLAN 65055 No LHP Claims Unit 58102 No LIBERTY ADVANTAGE NORTH CAROLINA LIB01 No Liberty Health Advantage 87071 No Liberty Mutual 33600 No Liberty Union 37281 No Life & Health Insurance Company of America 98205 No Life Assurance Company 37281 No Life Investors Ins Co of America LIICA No Life Investors Ins Co of America (Hurst, TX) LIIC2 No Life Investors Ins Co of America (Louisville, KY) LIIC3 No Life St. Mary 76184 No Life Trac 41136 No LifeCircles PACE 71498 No LIFEMAP RLH01 No LifePrint (Sierra Health) LIFE1 No Lifestyle Health Plans 27005 No Lifetime Benefits Solutions EBSRM No

Use Ctrl-F to find Text, F3- Find Next Page 28 of 52Insurance Company Payer ID EnrollmentLifewise Healthplan of Arizona 91155 No LifeWise Healthplan of Oregon 93093 No LifeWise Healthplan of Washington 91049 No Lighthouse Health Plan 31828 No Limric Plumbing, Heating & Air (UCS BASI) 31456 No Lincoln National 61101 No Lincoln National - Phoenix, AZ (Humana) 61101 No Lincoln National (EMPHESYS, Green Bay and Madison, WI only) 61101 No Linkia Cigna CX046 Yes Linkia Greatwest CX071 Yes Linkia Healthspring CX059 Yes Linn County 75283 No LITTLE COMPANY OF MARY LCM11 No Local 1199 National Benefit Fund/Integra (DME claims only) X2969 No Local 135 Health Benefits Fund (Indianapolis, IN) 35107 No Local 137 Operating Engineers Welfare Fund 84041 No Lockard & Williams CB752 No Loma Linda University Adventist Health Sciences Center Employee Health Plan 37267 No Loma Linda University Adventist Health Sciences Centers 37267 No Loma Linda University Behavioral Medicine Center Employee Health Plan 37267 No Loma Linda University Employee Health Plan 37267 No Loma Linda University Health Care Employee Health Plan 37267 No Loma Linda University Medical Center Employee Health Plan 37267 No Loma Linda University Medical Center Residents Health Plan 37267 No Loma Linda University Student Health Plan 37267 No London Health Administrators 37226 No Lone Star TPA 45289 No Los Alamos Total Care (LATC) 60054 No LOUISIANA DEPARTMENT OF CORRECTIONS LADOC No Louisiana Health Cooperative 67202 No Louisiana Healthcare Connections 68069 No Lovelace Health Plans (Commercial) 90328 No Lovelace Salud SX159 No Lovelace Sandia Health Plan 90328 No Lovelace Senior Plans (LSP) 90328 No Loveland Salud (NM Medicaid) (dos 7/1/04 and after) 90328 No Machinist District 9 Welfare 37292 No Macneal Health Providers - CHS 36334 No Magellan Complete Care of Arizona MCC01 No Magellan Complete Care of Virginia MCCVA No Magnacare 11303 No MagnaCare/Integra (DME claims only) X2971 No Magnolia Health Plan 68062 No Mailhandlers Mental Health Claims 87726 No Maine Community Health Options 45341 No MajestaCare Virginia 26372 No Maksin Management Corporation 22195 No MAMSI Life and Health Insurance Co. (MLH) 87726 No MAMSI LIFE HEALTH INS CO MA001 No Managed Care Indemnity 61101 No Managed Care Services, LLC 35162 No Managed Care Systems (Delano Regional Medical Group) MCS02 No Managed Care Systems (Gemcare) MCS01 No Managed Health Care Associates 36312 No Managed Health Networks (MHN) 22771 No Managed Health Services Indiana (Medicaid HMO) 39186 No Managed Health Services Wisconsin 39187 No

Use Ctrl-F to find Text, F3- Find Next Page 29 of 52Insurance Company Payer ID EnrollmentManaged Physical Network 41159 No MANAGED PHYSICIAN NETWORK 93900 No Managed Prescription Services 61101 No Manatee Service Center (Bradenton, FL) 41555 No Manulife W.J. Sutton Company 98010 No MAPCO, INC. 75258 No Mapfre (Canada Life) L0160 No March Vision Care Inc. 52461 No MARRICK MEMENT FINANCE 20805 No Marriott 60054 No MARTINS POINT HEALTH CARE 53275 No Martin's Point Health Plan MPHC1 No Maryland Health Partners SX069 No Maryland PHMS Beacon Health Options Inc. 77063 No Maryland Physicians Care 22348 No Mashantucket Pequot Tribal Nation 37121 No MASSACHUSETTS MUTUAL 65935 No Masters, Mates and Pilots Plan MMPHB No Matthew Thornton Health Plan 02030 No Max Specialty Benefits 27320 No Mayo Management Services, Inc. 41154 No MBA Benefit Administrators 87065 No MBA of Wyoming 87065 No MBS (MedCost Benefit Services) 56205 No Mcare - University of MI Commercial Insurance 38264 No McCreary Corporation 59331 No McGREGOR PACE 31149 No McKinley Medical Group MHM02 No McLaren Health Plan (MHP Advantage HMO SNP) 3833R No McLaren Health Plan (MHP Commercial) 38338 No McLaren Health Plan (MHP Health Advantage) 3833A No McLaren Health Plan (MHP Medicaid) 3833C No McLaren Health Plan (MHP Northern Health Plan) 3833N No McLaren Health Plan (MHP Tencon Health Plan) 3833T No McLaren Medicare Supplement 3833S No McLaren State of Michigan 3833M No MD - Individual Practice Association, Inc. (M.D. IPA) 87726 No MD ANDERSON PHYSICIAN NETWORK MDAPN No MDNY Healthcare 11338 No MDwise Exchange Market (For DOS on or after 1-01-2017) 45627 No MDwise Health Indiana Plan (For 2019 claim submissions) 3135M No MDwise Health Indiana Plan (For DOS on or after 1-01-2017) 31354 No MDwise Hoosier Care Connect (For DOS on or after 1-01-2017) 91313 No MDwise Hoosier Healthwise (For 2019 claim submissions) 3519M No MDwise Hoosier Healthwise (For DOS on or after 1-01-2017) 35191 No MDX Hawaii MDXHI No MED PAY 88058 No MED3000 CALIFORNIA M3CA0 No MED3000 CMS SAFETY NET M3FL0 No Med3000 CMS Title 19 Reform EM843 No Med3000 CMS Title 21 EM205 No MED3000 CMS TITLE 21 (aka payer ID M3FL0014) MFL14 No MED3000 HEALTHSELECT IPA BCBS M3IL3 No MED3000 SOUTHWEST IPA BCBS M3IL4 No MedAdmin Solutions 58202 No MedAdmin Solutions 58204 No MedBen (Newark, OH) 74323 No

Use Ctrl-F to find Text, F3- Find Next Page 30 of 52Insurance Company Payer ID EnrollmentMedbenefixx Inc 61101 No MedCom 59231 No MedConnection (Marriott) 60054 No MedCost / Liberty Health Share 90753 No MedCost, Inc. 56162 No MedDirect 38353 No Medequip Inc MQ027 No Medfocus 95321 No Medica 94265 No MEDICA CHOICE (ALLINA) 94265 No Medica Health Care Plan 78857 No Medica Health Plan Solutions 71890 No Medica2 12422 No Medical Associates Health Plan/Health Choices MAHC1 No Medical Benefit Administration, Inc. 68041 No Medical Benefits Administrators, Inc. (Newark, OH) 74323 No Medical Benefits Companies (Newark, OH) 74323 No Medical Benefits Mutual (Newark, OH) 74323 No Medical Benefits Mutual Life Insurance Co. 74323 No Medical Card System ( MCS ) L0170 No Medical Control, Inc. 75229 No Medical Development International 52181 No Medical Mutual of Ohio 29076 No MEDICAL NETWORK OF COLORADO SPRINGS CSMED No Medical Partners of America 80026 No Medical Plan of Kansas City, MO 61101 No Medical Resource Network (MRN) 58203 No MEDICAL SELECT MANAGEMENT 13375 No Medical Serivce Company Group Inc (MSC) 80019 No Medical Services for Indigents AMM02 No Medical Value Plan - Ohio (MVP) 38224 No Medicare Advantage Preferred Provider Organization (PPO) (SC) XXC64 No Medicare Advantage Private Fee-for-Services (PFFS) (SC) XXC63 No Medicare y Mucho Mas ( MMM ) L0210 No MediChoice IPA AMM11 No Medico Insurance Company 23160 No Medigold (Mt. Carmel Health Plan) 95655 No Mediture 20039 No Mediview Sendero Chip and Star SCS17 No MedPartners 35205 No MedPartners Admin Services 412MP No MedPOINT Management MPMOA No MEDRISK J1956 No MedSolutions, Inc 62160 No MedStar Family Choice 39190 No MEDSTAR PHYSICIAN PARTNERS 00243 No Medstar Select 251MS No MEEMIC Workers Comp 11983 No Mega Life & Health Ins. (Student Insurance) 74227 No MEMIC 01047 No Memorial Clinical Associates (TX) MCA11 No Memorial Clinical Associates/SelectCare of Texas (MCA) 62181 No Memorial Herman Health Network Providers MHHNP No MEMORIAL INTEGRATED HEALTHCARE 59064 No MEMORIAL INTEGRATED HEALTHCARE 59065 No Mental Health Consultants Inc. 37050 No Mercy Care Plan X3433 No

Use Ctrl-F to find Text, F3- Find Next Page 31 of 52Insurance Company Payer ID EnrollmentMercy Care Plan (AHCCCS) 86052 No Mercy Health Plan of NJ 22326 No Mercy Maricopa Integrated Care 33628 No MERCY PROVIDER NETWORK 43185 No MercyCare 39114 No Meridian Health Plan 13189 No Meridian Health Plan (Medicaid)/Integra (DME claims only) X4230 No Meridian Health Plan (Medicare)/Integra (DME claims only) X4229 No MERIDIAN HEALTH PLAN OF IOWA 14145 No Meritain Health/Agency Services 64158 No Meritain Health/North American Administrators 64157 No Meritus Health Partners 45150 No Mesa Mental Health 85035 No Met Life 87726 No Metcare Health Plan, Inc. 65113 No Methodist Assoc Health Plan 62168 No Methodist First Choice 23550 No MethodistCare, Inc. 95420 No Metro Alliance 82135 No Metro Plus Child Healthplus/Integra (DME claims only) X4003 No Metro Plus Essential/Integra (DME claims only) X4161 No Metro Plus FIDA/Integra (DME claims only) X4228 No Metro Plus Gold/Integra (DME claims only) X2972 No Metro Plus HARP/Integra (DME claims only) X4160 No Metro Plus Health Plan 13265 No Metro Plus Medicaid/Integra (DME claims only) X4005 No Metro Plus Medicare/Integra (DME claims only) X4006 No Metro Plus MLTC/Integra (DME claims only) X4004 No Metroploitan Life Ins Co 87726 No Metropolitan Health Plan 10850 No Metropolitan Health Plan (IGI) 55765 No Metrowest Health Plan - Preferred Care MWP01 No Metrowest Star Medicaid MWS01 No MHNET 74289 No Miami Children's Health Plan 82832 No Michael Reese HMO Plan - IL 61101 No Michael Reese HMO Plan - IN 61101 No Michael Reese Physicians Group 37127 No MID AMERICAN BENEFITS/Elite Choice 22823 No Mid Atlantic Psychiatric Services, Inc. (MAPSI) 52149 No Mid Rogue Oregon Health Plan 26161 No MID ROGUE OREGON HEALTH PLAN MRIPA No Mid Valley Behavioral Health CX037 No Mid-America Associates, Inc. 37281 No Midcoast Care Inc., A Medical Group 77012 No Mid-County Physicians Medical Group (San Diego) (SynerMed) SYMED No Midland National Life Insurance Co 90956 No Midlands Choice, Inc. 47080 No MidSouth Administrative Group 62168 No Mid-Valley CareNet, Inc. 31140 No Midwest Group Benefits 61146 No Midwest Health Partners 76079 No Midwest Health Plan MHP77 No Mid-West National Life Insurance Co. of Tennessee - Insurance Center 59224 No Mid-West National Life Insurance Co. of Tennessee - OKC 59227 No Mid-West National Life Insurance Co. of Tennessee - Student Insurance (Dallas, TX) 74227 No MIDWEST PHYSICIAN ADMINISTRATIVE SERVICES 66727 No

Use Ctrl-F to find Text, F3- Find Next Page 32 of 52Insurance Company Payer ID EnrollmentMidwest Security 79480 No Minneapolis Prudential Business 60054 No MinuteMan 01776 No MIPS 05018 No Mission (St. Joeph Heritage Healthcare) STJOE No Mission Heritage Medical Group STJOE No Mission Hospital Affiliated Physicians STJOE No Mission Medical Group PPM01 No Mississippi Physicians Care Network 64084 No Mississippi Public Entity Employee Benefit Trust 37233 No Mississippi Select Health Care (Select Administrative Services - SAS) 64088 No Missoula County Medical Benefits Plan 37275 No Missouri care Incorporated - Wellcare MO (Medicaid)/Integra (DME claims only) X4055 No ML Healthcare 26097 No MLink 37265 No MMAC (Managed Medical Assurance Co., Ltd.) (Ohio BWC) (Ohio Worker's Comp claims) 31147 No MMM of FL MMMFL No MMS, LLC 62178 No Molina Healthcare of California 38333 No Molina Healthcare of Florida 51062 No Molina Healthcare of Michigan 38334 No Molina Healthcare of Mississippi 77010 No Molina Healthcare of Nevada 20676 No Molina Healthcare of New Mexico 09824 No Molina Healthcare of Ohio 20149 No Molina Healthcare of Puerto Rico 81794 No Molina Healthcare of South Carolina 46299 No Molina Healthcare of Texas 20554 No Molina Healthcare of Washington 38336 No Molina Healthcare of Washington ASO 91128 No Molina Healthcare of Wisconsin ABRI1 No Molina Healthcare Utah (aka: American Family Care) SX109 No Molina Illinois 20934 No Molina of Indiana 00076 No Momentum Health Services 72135 No Monarch IPA IP095 No Mondial Assistance 50749 No Monitor Life (accepts secondary claims only and Medicare cannot be primary payer.) 01759 No Montefiore CMO/Integra (DME claims only) X2973 No Montefiore Contract Management Organization 13174 No Montefiore HMO MLTC/Integra (DME claims only) X2891 No Monumental Life Ins Co MMLIC No Monumental Life Ins Co (Hurst, TX) MMLI3 No Monumental Life Ins Co (Louisville, KY) MMLI2 No MORRIS ASSOCIATES 35092 No Mosaic IPA Medical Group IPO83 No Motion Picture Industry Health Plan (previously payer ID MPI01) 99282 No Motorola 36111 No Mountain States Administrative Services (Tucson, AZ) 86040 No MPA-Custom Provider Network 80900 No MPCHP Advantage CX031 No MPE Emplyee Benefit Services, Inc. 37233 No MPE Services Inc. 37233 No MPEEBT 37233 No MPLAN, Inc./HealthCare Group, LLC 95444 No MPM Prospect MPM16 No MSA Care Guard 20572 No

Use Ctrl-F to find Text, F3- Find Next Page 33 of 52Insurance Company Payer ID EnrollmentMt. Carmel Health Plan (Medigold) 95655 No Multicultural Primary Care Medical Group (San Diego) (SynerMed) SYMED No Multiplan Wisconsin Preferred Provider Network 34080 No Multiplan/PHCS/Integra (DME claims only) X2974 No Municipal Health Benefits Fund 81883 No Mutual Assurance Administrators 37256 No MUTUAL BENEFIT (WESTERN LIFE-FORTIS) PH020 No Mutual Group (The) (US) 59140 No Mutual of Omaha Insurance Company 71412 No Mutual of Omaha Medicare Advantage 82275 No Mutually Preferred 71412 No MVP Health Plan of NY 14165 No My Family Medical Group 33020 No MYNEXUS ANTHEM 34009 No N. American Hlth Plan 64157 No N.A.M.M. - Illinois 36398 No N.A.M.M. - Northern CA E3510 No N.W. Ironworkers Health & Security Health Fund 91136 No N.W. Ironworkers Health & Security Trust Fund 91136 No N.W. Roofers & Employers Health & Security Trust Fund 91136 No N.W. Roofers & Employers Health & Security Trust Fund 91136 No N.W. Textile Processors 91136 No N.W. Textile Processors 91136 No NAA (North America Administrators, L.P.) (Nashville, TN) 65085 No NABN (Cleveland, OH) 34159 No NAMM PARTNERS INC NANPR No Naperville Health Care Associates NHCA1 No Naphcare Inc 58182 No National Assn of Letter Carriers/NALC (1/1/08 DOS forward) 62308 No National Assn of Letter Carriers/NALC (12/31/07 DOS and prior) 53011 No NATIONAL BENEFIT ADMIN. N.C. 56176 No National Capital Preferred Provider Organization (NCPPO) 90001 No National Chiropractic Network 58204 No NATIONAL CLAIM ADMINISTRATION 37126 No National Financial Insurance Company 90956 No National Foundation Life Inusrance Company 98205 No National General ASHC1 No National Imaging Associates NIA11 No National Rural Electric Coop (NRECA) 52132 No National Rural Letter Carrier Association 71412 No National Telecommunications Cooperative Association (NTCA - Staff) 52104 No National Telecommunications Cooperative Association (NTCA) 52103 No NATIVE CARE HEALTH, LLC 19191 No NCAS - Charlotte 75191 No NCAS - Fairfax, VA 75190 No Nebraska Total Care 68069 No Neighborhood Health Partnership of Florida 96107 No Neighborhood Health Partnership, Inc. (South Florida) 95123 No Neighborhood Health Plan (Boston, MA) 04293 No Neighborhood Health Plan of RI (NHPRI) 05047 No Neighborhood Health Plan RI - Exchange, Unity, Integrity 96240 No Neighborhood Health Providers 11325 No Nesika Health Group 37255 No Netcare Life and Health Insurance (Hagatna, Guam) 66055 No Network Health 04332 Yes Network Health Plan 77076 No Network Health Plan of Wisconsin 39111 No

Use Ctrl-F to find Text, F3- Find Next Page 34 of 52Insurance Company Payer ID EnrollmentNetwork Health Plan of Wisconsin, Inc. 39144 Yes Network Health Solutions 39144 No Nevada Preferred Government Employees Health Association GEHA9 No New Alliance Health Plan 96218 No New Avenues, Inc. 95998 No New England Financial 80705 No New England, The 66893 No New Era Life Ins Co (Philadelphia American Life Ins Co) 98798 No New Market Dimensions 65056 No New Mexico Health Connections 45129 No New World Claims Services (Niles, MI) 38332 No NEW YORK HOTEL TRADE COUNCIL 7707C No New York Life - LTC NYL11 No New York Medical Imaging - MVP 14179 No New York Network Management 11334 No New York Presbyterian Community Health Plan 48186 No New York Presbyterian System Select Health 24819 No New Directions Behavioral Health NDX99 No Next Level Health 81085 No Next Level Health Partners 69821 No NGS American, Inc 38225 No NHBCAUX 88050 No NHP/SHP (Neighborhood Health Providers and Suffolk Health Plan) 11325 No Nippon Life Insurance Company of America 81264 No NJ Carpenters Health Fund 22603 No No Risk Software 27715 No Noble AMA Select IPA PDT01 No North American Administrators Inc. 64158 No North American Administrators, Inc. 64157 No North American Benefits Network (Cleveland, OH) 34159 No North American Health Plan 64157 No North American Health Plans, Inc. 64158 Yes North American Medical Management - IL 36398 No North American Medical Management (NAMM) -Northern California E3510 Yes North American Preferred 64157 No North Broward Hospital District 37314 No North County Select 77017 No North Dakota Vision Services CX009 Yes North Shore - LIJ (Healthfirst) 17516 No North Shore - LIJ CareConnect Insurance Company, Inc. 46227 No North Texas Healthcare Network 35212 No NORTH WEST LIFE PH018 No North West Orange County Medical Group PROSP No Northern California Sheet Metal Workers Health Care Plan (San Ramon, CA) 38238 No Northern Illinois Health Plan 36347 No Northern Nevada Trust Fund 88027 No Northridge Medical Group NMG01 No NorthStar Advantage NSA01 No Northwest Diagnostic Clinic NWDC1 No NORTHWEST PHYSICIANS NETWORK NPN11 No Northwest Suburban IPA (Illinois) 36346 No Northwestern National Life (Reliastar) 35182 No Northwood ACG (Auto Club Group) DMEPOS/PBM CONTRACT CX061 Yes Northwood Blue Care Network MI CX056 Yes Northwood BMCHP CX055 Yes Northwood Healthcare NWOOD No Northwood MEEMIC Insurance Company MIC CX062 Yes

Use Ctrl-F to find Text, F3- Find Next Page 35 of 52Insurance Company Payer ID EnrollmentNova Health Administrators, Inc. (Grand Island, NY) 16644 No Novasys 71080 No NTCA (National Telephone Contract Association) 52103 No Nuestra Familia Medical Group (Prospect Medical Group) PROSP No NX Health Network 44412 No NYHART 37299 No NYMI Oxford 14180 No NYMI-AETNA Radiology Claims 14179 No OAK WEST PRIMARY PHYSICIAN ASSOC. NAOAK No Occupational Health Mgmt, Inc. (Ohio BWC) (Ohio Worker's Comp Claims only) 31147 No Ochsner Health Plan (unique prov # required) 72127 Yes Ochsner Health Plans OCH01 No OEA Choice Trust 13350 No Office of Administrator, Washington DC 13310 No Office of Group Benefits - Louisiana 53120 No Ohana Health Plan - Wellcare HI (Medicaid)/Integra (DME claims only) X4047 No Ohana Health Plan - Wellcare HI (Medicare)/Integra (DME claims only) X4046 No Ohio BWC (Ohio Worker's Comp Claims only) 31147 No Ohio Comp Choice, Inc. (HMS) (Ohio BWC) (Ohio Worker's Comp Claims only) 31147 No Ohio Department of Mental Health (Medicad MACSIS) CX043 Yes Ohio Employee Health Partnership (Ohio BWC) (Ohio Worker's Comp Claims only) 31147 No Ohio Health Choice, PPO 34189 No Ohio Medicaid SKOH0 No Ohio PPO Connect 74431 No Oklahoma Department of Corrections 71065 No Olympus Management Health Care 65074 No Omnicare Health Plan of Michigan 38252 No Omnicare Medical Group (OMNI) OMN02 No Omnicare, A Coventry Health Plan 25150 No One Call Medical 22321 No One Health Plan New Hampshire, Inc. 80705 No ONE Health Plan of AK 80705 No ONE Health Plan of AZ 80705 No ONE Health Plan of CA 80705 No ONE HEALTH PLAN OF CALIFORNIA 95379 No ONE Health Plan of CO 80705 No ONE HEALTH PLAN OF COLORADO 95412 No ONE Health Plan of FL 80705 No ONE Health Plan of GA 80705 No ONE Health Plan of IL 80705 No One Health Plan of Illinois 95388 No ONE Health Plan of IN 80705 No ONE Health Plan of MA 80705 No ONE Health Plan of ME 80705 No ONE Health Plan of New Jersey, Inc. 80705 No ONE Health Plan of North Carolina, Inc. 80705 No ONE Health Plan of Ohio, Inc. 80705 No ONE Health Plan of Oregon, Inc. 80705 No ONE Health Plan of Pennsylvania, Inc. 80705 No ONE Health Plan of South Carolina, Inc. 80705 No ONE Health Plan of Tennessee, Inc. 80705 No ONE Health Plan of Texas, Inc. 80705 No ONE Health Plan of TX 80705 No ONE Health Plan of Vermont, Inc. 80705 No ONE Health Plan of Virginia, Inc. 80705 No ONE Health Plan of Washington, Inc. 80705 No ONE Health Plan of Wisconsin, Inc. 80705 No

Use Ctrl-F to find Text, F3- Find Next Page 36 of 52Insurance Company Payer ID EnrollmentONE Health Plan of Wyoming, Inc. 80705 No Operating Engineers Locals 302 & 612 Health & Security Fund 91136 No OptiCare Eye Health Network 56190 No OPTIMA HEALTH BH CMHRS 5415M No Optima Health Plan 54154 No Optima Insurance Company 54154 No Optimum Choice of the Carolinas, Inc. (OCCI) 52152 No Optimum Choice, Inc. (OCI) 87726 No Optimum Healthcare, Inc. 20133 No Optum Care Network of Connecticut E3287 No Orange County Foundation for Medical Care OCFMC No Oregon Health Management Services (OHMS)/PrimaryHealth of Josephine County CCO X6123 No Oregon's Health CO-OP 21455 No Oregon's Health CO-OP 45332 No Orthonet - Aetna 13383 No Orthonet Corporation - Cigna 13381 No Orthonet-Healthnet 25681 No Orthopedix Network, Inc. 58204 No Oscar AZ/Integra (DME claims only) X4242 No Oscar CA/Integra (DME claims only) X4185 No Oscar FL/Integra (DME claims only) X4239 No Oscar Health OSCAR No Oscar MI/Integra (DME claims only) X4240 No Oscar NY/Integra (DME claims only) X4186 No Oscar OH/Integra (DME claims only) X4205 No Oscar TN/Integra (DME claims only) X4241 No Oscar TX/Integra (DME claims only) X4187 No OSF CARE ADVANTAGE OSFMC No OSF HEALTH PLAN (IL) OSFIL Yes OSF Health Plans 62171 No OSF HEALTHCARE CENTRAL OSFC9 No OSF HEALTHCARE EAST OSFE9 No OSG - St. Therese Physician Assoc. 37116 No Osma Health CLFR2 No OSMA Health - C.L. Frates 73071 No OUTSOURCING PROGRAM EPF06 No Oxford Health Plans 06111 No P3 Health Partners -Arizona 58375 No P5 Health Plan Solutions of Utah 87068 No Pace Central Iowa 72436 No PACE CNY 70454 No Pace Nebraska 35416 No PACE OF SOUTHWEST MICHIGAN, INC 45114 No PACE SOUTHEAST MICHIGAN 86711 No Pace Southwest Iowa 53534 No Pacific Alliance Medical Group and Hospital (SynerMed) SYMED No Pacific Gas and Electric (PG &E) 60054 No Pacific IPA PCFCI No Pacific Life & Annuity Company 67466 No PacifiCare Behavioral Health, Inc. 87726 No PacifiCare of Arizona (HMO Claims only) (previously 95964) 87726 No PacifiCare of California HMO and in-network POS 95959 No Pacificare of Colorado HMO (previously COFHP) 87726 Yes Pacificare of Colorado PPO (previously 95999) 87726 Yes PacifiCare of Oklahoma HMO and in-network POS 95959 No PacifiCare of Oregon HMO and in-network POS 95959 No PacifiCare of Texas HMO and in-network POS 95959 No

Use Ctrl-F to find Text, F3- Find Next Page 37 of 52Insurance Company Payer ID EnrollmentPacifiCare of Washington HMO and in-network POS 95959 No PacifiCare PPO - All States (previously 95999) 87726 No PacifiCare/Secure Horizons (only for WelMed Medical Mgmt members) WELM2 No PacificSource Administrators 93031 No PacificSource Health Plans 93029 No PacificSource Medicare 20377 No PacificSource Mental Health COIH3 No PacificSource MHO - DJC (CD) COIHS No PacificSource MHO-ALL (MH) 20416 No PacificSource MHO-DJC 20416 No PAI (Planned Administrators, Inc.) 37287 No PAI (Planned Administrators, Inc.) XX886 No Pan American Life Insurance Group 04218 No Panamerican Life Insurance Company of Puerto Rico (Palic) L0180 No Paradigm J1001 No Paramount Health SX158 No Paramount Preferred Network (Ohio BWC) (Ohio Worker's Comp claims Only) 31147 No Parity Healthcare LLC 58204 No Parkland Community Health Plan 66917 Yes Partner Care M3FL7 No Partners Behavioral Health Management 13141 No Partners Health Plan - FIDA-IDD/Integra (DME claims only) X4181 No Partnership HealthPlan of California CX074 Yes Passport Advantage 66008 No Passport Advantage SX154 No Passport Health Plan 61129 No Passport Health Plan (New Payer ID for DOS 10/1/2017 and after) 61325 No Patient Access Network PAN01 No Patient Advocates, LLC 10525 No PATIENT-PHYSICIAN NETWORK (PPN) PPN11 No Payer Fusion 27048 No Paynet, Inc 37210 No PCA Health Plan of Florida 65018 Yes PCA Star Medicaid 61101 No PCMC/ICSL Allergy 65000 No PCMC/ICSL Chiropractic 65007 No PCMC/ICSL Dermatology 65001 No PCMC/ICSL Gastroenterology 65003 No PCMC/ICSL Podiatry 65002 No Peach State Health Plan 68049 Yes Peak Pace Solutions 27034 No Pediatric Associates 20472 No PEDICARE TITLE 19 M3FL8 No PEDICARE TITLE 21 M3FL6 No PEF CLINIC PEF01 No PEHP - Utah Public Employee Health Plan SX106 Yes Pennsylvania Health & Wellness 68069 No Pennsylvania's Preferred Health Network (PPHN) 06161 No Peoples Health Network 72126 No Performax, Inc. (Minneapolis, MN) 41124 No Personal Insurance Administrators, Inc. (Agoura Hills, CA) 95397 No PersonalCare 25146 No PG & E (Pacific Gas & Electric) 60054 No PHA Admin. Serv 95183 No PHA Insurance Services (Orlando, FL) 95183 No PHC Insurance Co 33898 No Phifer Wire Products, Inc. PHIF4 No

Use Ctrl-F to find Text, F3- Find Next Page 38 of 52Insurance Company Payer ID EnrollmentPhoenix Group Services (Texas) 75238 No Phoenix Group Services, Inc. 06143 No Phoenix Health Plan of AZ X3440 No Phoenix Home Life 67814 No Phoenix Mutual 67814 No PHP of Mid-Michigan 87726 No PHP of South Carolina 87726 No PHP of South Michigan 87726 No PHP of Southwest Michigan 87726 No PHP of West Michigan 87726 No Physician Associates of Louisiana 58204 No Physician Health Partners PHPMC No Physician Health Partners Medicare PHPMD No Physician Partners IPA PPRT1 No Physicians Accountable Care Organization 28943 No Physicians Care 38265 No Physicians Care Health Plans 38265 No Physicians Care Network 38265 No Physicians Care Network (Rockford, IL only) 36345 No Physicians Care Network / The Polyclinic PCN12 No Physicians Corporation of America (Florida Plan Only) 65018 Yes Physician's Data Trust PDT01 No Physicians Direct 75297 No Physicians Health Association of Illinois 37136 No Physicians Health Choice - Claims (Wellmed) PHCS1 No Physicians Health Choice - Encounters (Wellmed) PHCEN No Physicians Health Network MHM03 No Physicians Health Network (PHN) MHCM2 No Physicians Health Plan (PHP) (South Carolina) 09173 No Physicians Health Plan (PHP) Mid-Michigan 37330 No Physicians Health Plan of Northern Indiana 12399 No Physicians Healthcare Plans Inc 65031 No Physicians Medical Group of San Jose EXC01 No Physicians Medical Group/PMG of Santa Cruz County CX027 No Physicians Mutual Insurance Company 47027 No Physicians Plus Insurance Corporation 39156 No Physicians United Plan 10775 No PHYSICIANS UNITED PLAN TH131 No Piedmont Behavioral Health 06607 No Piedmont WellStar Health Plan 251PD No PIMA HEALTH SYSTEM CX010 No Pinnacle Claims Management, Inc. 24735 No Pinnacle Health Resources (Prospect Medical Group) PROSP No Pinnacle Physician Management ORG 45985 No Pinnacol Assurance CCIA1 No Pioneer Provider Network PPNZZ No Pioneer Provider Network Health Families by MedPOINT MPM18 No Pipeline Industry Benefit Fund (Tulsa, OK) 73074 No Pittman & Associates 37224 No Pivotal Plan 64160 No Plan de Salud Hospital Menonita L0190 No Planned Administrators, Inc. 37287 No PM Group 67466 No Podi Care Managed Care 58204 No PODIATRY FIRST POD1S No Podiatry Network Solutions 58204 No POINT COMFORT UNDERWRITERS PCU01 No

Use Ctrl-F to find Text, F3- Find Next Page 39 of 52Insurance Company Payer ID EnrollmentPOINT COMFORT UNDERWRITERS PCU02 No Poly America Medical & Dental Benefits Plan 32680 No Pool Administrators Primary PAI01 No Pool Administrators Secondary PAI02 No PPN PPN11 No PPO Oklahoma 73159 No PPOM, LLC/Cofinity 38335 No PPOPlus LLC 72148 No Practicare Inc 04334 No Prairie Medical Group (La Vida) LVPA1 No Prairie States Enterprises, Inc. 36373 No PREFERRED ADMIN CHILDRENS HOSP EPF11 No Preferred Administrators EPF10 No Preferred Benefit Administrators (Longwood, FL) 53476 No Preferred Benefits Administrator (Wichita, KS) 61665 No Preferred Care NC 56178 No Preferred Care NY (previously SX089) 14165 No Preferred Care Partners (Miami, FL) 65088 No Preferred Community Choice/PCCSelect/CompMed 73145 No Preferred Health Plan (Louisville, KY) 61106 No Preferred Health Professionals 31478 No Preferred Health Systems Insurance Company 60110 No Preferred IPA PFIPA No Preferred Network Access, Inc. (Darien, IL) 36401 No Preferred One (CT), a Division of First Choice 14163 No Preferred Plus of Kansas 60110 No PreferredOne (MN) 41147 No Premier Comp of Hometown Health Network (Ohio BWC) (Ohio Worker's Comp Claims only) 31147 No Premier Eye Care 65054 No Premier Health Plan 251PR No Premier Health Systems, Inc 90440 No Premier Healthcare Exchange (Cypress) 88056 No Premier Managed Care, Inc. (Ohio BWC) (Ohio Worker's Comp Claims only) 31147 No Premier Physician Network CAPMN No Premier Physician Network (PPN) MPM22 No Presbyterian (NM) 05003 No PRESBYTERIAN HEALTH PLAN (Commercial) (NM) PREHP No Presbyterian Intercomm Hosp CX041 No PRESBYTERIAN SALUD (NM) PRESA No PRESENCE ERC 46311 No Prestige Health Choice Managed Medicaid Plan 77003 No Prevea Health Plan 39185 No PrimaHealth IPA IP096 No Primary Care of Joliet PCJOL No PRIMARY CARE PARTNERS NAPCP No Primary Delivery Systems 61101 No Primary Health of Josephine County 77801 No Primary Health Plan PRIME No Primary Heatlh IPA IPO96 No Primary PhysicianCare, Inc. 56144 No Prime Benefits Systems, Inc. - MO 61101 No PRIME COMMUNITY CARE CENTRAL VALLEY MVCV1 No Prime Health 95183 No Prime Health Choice 81502 No Prime Health Kansas City, Inc. - MO 61101 No Prime Health Management Services - MO 61101 No Prime Health of Alabama 65183 No

Use Ctrl-F to find Text, F3- Find Next Page 40 of 52Insurance Company Payer ID EnrollmentPrime Health of Kansas, Inc. - MO 61101 No Prime Vision Health 56190 No Prime West Health Plan 61604 No PrimeSource Health Network 04320 No PRINCETON PREMIER IPA PRI01 No Principal Financial Group 61271 No Principal Healthcare 61271 No Principal Life Insurance Co. 61271 No Principal Mutual Life Insurance Co 61271 No Priority Health 38217 No Prism - Univera 37315 No Prism Network, Inc. 37268 No ProCare (Prospect) PROSP No PROCARE HEALTH PLAN MEDICAID 70259 No PRODUCERS EXCHANGE PEBSI No Professional Benefit Administrators, Inc. (Oak Brook, IL) 36331 No Professional Benefit Administrators, Inc. (Winter Park, FL) 59296 No Professional Claims Administrators 41163 No PROFESSIONAL CLAIMS MANAGEMENT (Canton, OH) 37242 No PROGYNY PROGY No ProMed Healthcare Administrators IP057 No Promina 58226 No PROMINENCE HEALTH PLAN 88029 No Prominence Health Plan of Nevada 93082 No Prominence Health Plan of Texas 80095 No Prospect Health Network PROSP No Prospect Sherman Oaks Medical Group (Prospect Medical Group) PROSP No Protective Life Insurance Company 37309 No Protegrity Services (Ohio BWC) (Ohio Worker's Comp Claims only) 31147 No PROVIDENCE CHOICE OPTION PHP01 No Providence Facility Claims PROV1 No PROVIDENCE GOOD HEALTH PLAN PHP01 No Providence Health Plan (PPO) PHP00 No Providence Insurance & Administrative Services PAS01 No Providence IPA PRV01 No Providence of Oregon Choice Option SX131 Yes Providence of Oregon Good Health Plan SX132 Yes Providence of Oregon Health Plan SX133 Yes Providence of Oregon Health Plan HMO SX134 Yes Providence of Oregon Medicaid SX135 Yes Providence of Oregon Medicaid Option SX136 Yes Providence of Oregon Option SX138 Yes Providence of Oregon Traditional Option SX139 Yes Providence PPO SX187 No Providence Preferred of Washington/First Choice Health Network 91131 No Provident American Life and Health Insurance Company 71404 No Provident Life and Accident Ins 68195 No PROVIDER PARTNERS HEALTH PLAN PENNSYLVANIA 31400 No ProviDRs Care Network 48100 No PRU Plus 60054 No PruCare (of California, HMO, Plus, Wrap, PruCare 1, PruCare 2000) 60054 No PruChoice 60054 No Prudent Medical Group MPM25 No Prudential 60054 No Prudential 60054 No Prudential (Health Insurance, Managed Healthcare, Indemnity, Traditional) 60054 No Prudential (Psychiatric Mgmt., Resources Mgmt.) 60054 No

Use Ctrl-F to find Text, F3- Find Next Page 41 of 52Insurance Company Payer ID EnrollmentPrudential for Health 60054 No Prudential Healthcare 60054 No Prudential Healthcare 60054 No Prudential HealthCare & Life Ins. Co of America 60054 No Prudential HealthCare Health Maintenance Organization 60054 No Prudential HealthCare HMO for Small Business 60054 No Prudential Healthcare of America Inc. 60054 No Prudential HealthCare POS for Small Business 60054 No Prudential HealthCare PPO for Small Business 60054 No Prudential HealthCare Systems (PHCS) 60054 No PruNet 60054 No PruNetwork (PruNetwork PPO) 60054 No PruPsych 60054 No Psychcare, LLC 51052 No Puget Sound Benefits Trust 91136 No Puget Sound Electrical Workers Trust 91136 No Puget Sound Health Partners, Inc. 42172 No Qual Choice of Arkansas 35174 No Qual Choice of North Carolina 35172 No Qual Choice of Virginia 35171 No QualCare, Inc. 23342 No QualCare, Inc. (dba QANI Administrators) A Cigna Company 22312 No QualCare/Integra (DME claims only) X2975 No QUAL-MED NEW MEXIICO QUANM No QUAL-MED, COLORADO EPO QMDCE No QUAL-MED, PORTLAND (PO) QMDPO No QUANTUMCARE QCTPA No Quartz ASO 46571 No QuikTrip 73067 No Quincy Health Care Management Inc. 37129 No QVI Risk Solutions, Inc. 57117 No RADY CHILDRENS HEALTH NETWORK RCHN1 No Randmar, Inc 61101 No Rapid City Regional Hospital 37306 No Ravenswood RPAWC No RBMS, LLC 91176 No Redlands IPA (SynerMed) SYMED No Regal Medical Group REGAL No Regence BCBS of Utah CX002 No Regence Group Administrators RGA01 No Regency Employee Benefits 38221 No Regional Care, Inc. 47076 No Rehn and Associates REHNA No Relia Star 35182 No Renaissance Physicians Organization 76066 No RENASSAINCE RIVEROAKS BLUE RENRB No RENASSAINCE-RIVER OAKS RENRO No Reserve National Insurance 73066 No Resolve Health Plan Administrators 20481 No Resolve Health Plan Administrators , LLC RHA01 No Resurrection Physician Providers Group RPPG1 No Reunion Indsutries CHAT1 No Revclaims RVC01 No Right Care from Scott & White 74205 No RightChoice Benefit Administrators 37331 No RIO GRANDE HMO (TX Only) 84980 No River City Medical Group RCMG1 No

Use Ctrl-F to find Text, F3- Find Next Page 42 of 52Insurance Company Payer ID EnrollmentRiver Quest Network, Inc. 37129 No Riverside Health, Inc. 45281 No RMSCO, Inc. 16117 No ROCKY MOUNTAIN HMO (CO) RMHMO No Rooney Life Inc. 37602 No Royal Health on Behalf of Extended Care MLTC (for DOS after 12/1/2013) 46166 No Rush Prudential Health Plans (HMO Only) 36389 No RUSH Prudential Insurance Co. (PPO & POS only) 60054 No Ryder Services, Inc Worker Comp (TX) WK009 No S & S Healthcare Strategies 31441 No Sagamore Health Network 35164 No SAINT ANTHONY PPO NASTA No SAINT ANTHONYS PHO STA01 No Samaritan Advantage SAMAD No Samaritan Choice Plans SAMCP No Samaritan Commercial Plan SAM00 No Samaritan Health Plans CP001 No San Diego County Medical Services (CMS) MSO11 No San Diego County Physician Emergency Services MSO22 No San Diego County Primary Care Services MSO44 No San Diego County Ryan White Primary Care Program MSO33 No San Diego County Sheriff’s Dept MSO55 No San Francisco Electrical Workers Health & Welfare 37236 No San Francisco Health Plan CX049 No San Luis Obispo (SLO) Select IPA 33072 No San Luis Obispo (SLO) Select IPA 77045 No Sandhills Center for MH, DD & SAS SHC30 No Sandia Triple Option Plan (Sandia TOP) 60054 No Sanford Health Plan 91184 No Santa Barbara Cottage Hospital 35182 No Santa Barbara Select IPA SBIPA No Santa Clara Family Health Plan 24077 No Sante Community Physicians Medical Group Corp. SNTMC No Sante Health System and Affliates 77038 No Sanus- HMO/PPO St Louis 63665 No Satellite Health Plan, Inc. 45552 No SCAN Health Plan 72261 No SCHC Total Care 16146 No Scott & White Healthcare 88030 No Screen Actors Guild 99289 No Scripps Health Plan MSO SHPM1 No Scripps Health Plan Services SHPS1 No Seabury & Smith 13310 No Seaside Health Plan Encounters E4618 No Seaview IPA SVIPA No Secure Health Plans of Georgia, LLC 28530 No Secure Horizons (Pacificare) 95959 No Secure Horizons (Pacificare) (WellMed Medical Management Members only) WELM2 No Secure Horizons Arizona HMO (previously 95964) 87726 No Secure Horizons Colorado HMO (previously 95962) 87726 No Security Health Plan 39045 No Sedgwick TP097 No Select Administrative Services (SAS) 64088 No Select Benefit Administrators (Des Moines, Iowa) 42137 No Select Benefit Administrators of America (Ashland, WI) 37282 No Select Health Network of IN X6139 No Select Health of South Carolina 23285 No

Use Ctrl-F to find Text, F3- Find Next Page 43 of 52Insurance Company Payer ID EnrollmentSelectcare 00014 No SelectCare (Coca Cola) 60054 No Selectcare of Oklahoma - Tribute 73117 No Selectcare of TX (Beaumont) GTPA1 No Selectcare of TX (Houston) HPN11 No Selectcare of TX (HPN) Heritage Physicians Network 76045 No Selectcare of TX (Integranet) INET1 No Selectcare of TX (Kelsey-Seybold) KLSY1 No SelectCare, Inc. of Michigan 38253 No SelectHealth of UTAH SX107 Yes Self Insured Benefit Administrators (Clearwater, FL) 59111 No Self Insured Plans (Naples, FL) 36404 No Self Insured Services Co (SISCO) SISCO No Self-Funded Plans, Inc. 34131 No SELMAN TRICARE SUPP TRSEL No Sendero IdealCare 11440 No Senior Health Partners - MLTC/Integra (DME claims only) X2976 No Senior Whole Health 83035 No Senior Whole Health - MLTC/Integra (DME claims only) X2978 No Senior Whole Health/Integra (DME claims only) X2977 No SeniorCare 60054 No Sentara Family Care 54154 No Sentara Health Management 54154 No Sentinal/AHP 23521 No Sentinel Management Services 23249 No Seoul Medical Group AMM07 No Sequoia Beverage TKFMC No SET SEG 38610 No Seton CHIP 76056 No SETON EMPLOYEE PLAN SHEBP No SETON HEALTH PLAN (CHIP) SHPCH No SETON STAR STAR1 No SGIC 11789 No SHARE HEALTH PLAN ILL/HMO UH005 No SHARE HEALTH PLAN ILL/PPO UH006 No Shasta Administrative Services (Jeld-Wen Claims Only) 75280 No Sheakley UNICOMP (Ohio BWC) (Ohio Worker's Comp Claims only) 31147 No Sheet Metal Workers Local 104 Health Care Plan (San Ramon, CA) 38238 No Sieba, LTD. 03699 No Sierra Health Services 76342 No Sierra Nevada Medical Associates, Inc. 68041 No Signature Care Health Network 35206 No Signature Health Alliance 62159 No SILVER CROSS MANAGED CARE ORG. NASCR No SILVER STAR PACE 97691 No Silver Summit Health Plan 68069 No Silverback TPA 37228 No Simply Healthcare 27094 No Simply Healthcare (new payer ID SMPLY as of 12-1-2018) SMPLY No SIMPLY HEALTHCARE PLANS 00199 No SIMPRA Advantage SIM01 No Sinclair Health Plan 84076 No Sloan's Lake Managed Care 84096 No Smith Administrators 02057 No Solidarity Healthshare 77721 No Solidarity Managed Care Organization (Ohio BWC) (Ohio Worker's Comp Claims only) 31147 No Solis Health Plans SOLIS No

Use Ctrl-F to find Text, F3- Find Next Page 44 of 52Insurance Company Payer ID EnrollmentSonoma County Primary Care IPA Medical Group E3510 Yes Sound Health (Providence)/First Choice Health Network 91131 No South Central Preferred - PPO York, PA (IHS Gateway Payer) 23266 No South County Health Alliance (previously under Payer ID 41154) 81600 No South Florida Musculoskeletal Care 06294 No South Indiana Health Options - HMO SX142 No South Indiana Health Options - Prime Care Choice SX143 No South Indiana Health Options - TPA SX144 No South Point Hotel & Casino 35227 No SouthCare/Healthcare Preferred 25147 No Southeast Texas Govt Employees Benefit Pool STGEB No Southeastern Indiana Health (SIHO) 77153 No Southern CA Children's Network (SynerMed) SYMED No Southern California Healthcare System (SCHS) Alta Pod by MedPOINT MPM20 No Southern Health Services, Inc. 25128 No Southern Illinois Health Care Association SIHCA No SOUTHLAND IPA SIPA1 No Southwest Administrators SWADM No Southwest Michigan Behavioral Health Mental Health A3268 No Southwest Michigan Behavioral Health Substance Use Disorder A4585 No Southwest Service Administrators CX100 No Southwest Service Life 37266 No Southwestern Bell (Medical) 60054 No Southwestern Bell Exec. - Custom Care 60054 No Southwestern Bell Exec. - Southwestern Bell 60054 No Special Risk International 41194 No Spectera Eye Care 00773 No Spectrum Administrators Inc. (I.H.S. Gateway Payer) 23253 No Spina Bifida - VA HAC 84146 No SPOHN NETWORK SPOHN No SSM Exclusive Choice 48117 No St Mary's IPA SMIPA Yes St. Barnabas System Health Plan 22240 No St. Francis - HCLA by MedPOINT MPM30 No St. Francis IPA PDT01 No St. John's Claims Administration 37264 No St. Joseph Health Foundation of Northern California 68033 No St. Joseph Heritage Healthcare STJOE No St. Joseph Heritage Medical Group STJOE No St. Joseph Hospital Affiliated STJOE No St. Jude (St. Joseph Heritage Healthcare) STJOE No St. Jude Affiliated Physicians STJOE No St. Jude Heritage Medical Group STJOE No St. Mary High Desert STJOE No St. Therese Physician Association 37116 No St. Thomas Medical Network (Gulfquest) STM01 No St. Vincent Catholic Medical Centers of New York 13407 No STAR HEALTH PLAN COMMUNITY FIRST COMMF No Starmark 61425 No State Employees Group Benefits 53120 No State Farm (Casualty & Property Claims) 31059 No State Farm Group Medical & Individual Health Insurance Companies 31053 No State Fund Mutual J1553 No State Health Plan (SHP) of SC XX400 No State of Texas Dental Plan 57254 No Staywell Health Plan 14163 No Sterling Medicare Advantage 67829 No

Use Ctrl-F to find Text, F3- Find Next Page 45 of 52Insurance Company Payer ID EnrollmentStoner and Associates (Cincinnati, OH) 31121 No Stones River Regional IPA-Windsor 15752 No Student Insurance - Boston Mutual Life Insurance Company 74227 No Student Insurance - Chesapeake Life Insurance Company 74227 No Student Insurance - Life Insurance Company of Boston and New York 74227 No Student Insurance - MEGA Life & Health Insurance Company 74227 No Student Insurance - Mid-West National Life Insurance Company of Tennessee 74227 No Student Insurance - Reliance Insurance Company 74227 No Student Insurance - Reliance National Insurance Company 74227 No Student Insurance - The MEGA Life & Health Insurance Company 74227 No Suffolk Health Plan of New York 88331 No SummaCare Health Plan 95202 No Summerlin Life & Health Insurance 86071 No Summit Administration Services, Inc. 86083 No Summit America Insurance Services, Inc. 37301 No SUMMIT COMMUNITY CARE PASSE No Sun Trust Bank, Inc. 60054 No SunAmerica Life Insurance Company 90956 No Sunrise Advantage Plan Pennsylvania SPA01 No Sunrise Advantage VA SVA01 No Sunshine State Health Plan 68057 No SUPERIOR HEALTH PLAN 68069 No Superior Health Plan CHIPS EPO 68069 No Superior Health Plan Texas (previously 39188) 68069 No SUPERIOR HEALTH/CENTENE CORP SHP11 No Superior Vision Services 41352 No Surgery One SOIPA No SUTTER CONNECT (SUTTER MEDICAL GRP OF REDLANDS) IP090 No SUTTER CONNECT DELTA CLAIMS IP100 No Sutter Valley Medical Foundation dba Sutter Gould Medical Foundation 77302 Yes Swedish Covenant Hospital 36411 No SynerMed SYMED No Syracuse Communith Health Center (SCHC) 16146 No Talbert Medical Group TALMG No Tall Trees Administrators 88067 No Tarrant Health Services 37228 No TASEBA TKFMC No Taylor Benefits TAYLR No Teachers Health Trust 88019 No Team Choice Gold 75139 No Team Choice PNS 75133 No Team Choice UMC 75134 No Teamcare 36215 No Teamsters Medicare Trust for Retired Employees 43619 No Tech Health - Worker's Comp/Integra (DME claims only) X2979 No Texan Plus (Beaumont) GTPA1 No Texan Plus (Houston) HPN11 No Texan Plus (Integranet) INET1 No Texan Plus (Kelsey-Seybold) KLSY1 No Texas Association of School Boards TTASB No Texas Association of School Boards TASB A0234 No Texas Children's Health Plan 76048 No Texas Children's Health Plan (Medicaid) 75228 No Texas Children's Star Medicaid TXCSM No Texas Christus 45210 No Texas First Health Plans (TIOPA) 76046 No Texas HealthSpring RENGQ No

Use Ctrl-F to find Text, F3- Find Next Page 46 of 52Insurance Company Payer ID EnrollmentTexas HealthSpring THS01 No Texas Municipal League (TML) - Employees of IEBP Only (Workers Comp only) A0245 No Texas Mutual Insurance 22945 No TexasFirst Health Plan (NTX) 13185 No The Boon Group BOONG No The Care Network 68423 No The Chesapeake Life Insurance Co.- Insurance Center 59223 No The Chesapeake Life Insurance Co.- OKC 59227 No The Chesapeake Life Insurance Co.- Student Insurance 74227 No The Chesterfield Companies CRI01 No The City of Odessa 75600 No The Diamond Plan 25131 No The EPOCH Group 28777 No THE HARTFORD (Workers Comp) J1422 No The Health Exchange (Cerner Corporation) 20356 No The Health Plan CX029 No The Health Plan (Ohio BWC) (Ohio Worker's Comp Claims Only) 31147 No The Healthcare Group 35206 No The Ingegrity Benefit Group, Inc. 58200 No THE INTEGRITY BENEFIT NETWORK 58200 No The Loomis Company 23223 No The Mega Life & Health Insurance Company - OKC 59227 No The Mega Life & Health Insurance Company - Student Insurance 74227 No The Mutual Group (US) 59140 No The OATH - A Health Plan for Alabama, Inc. 63092 No The Oath of Alabama 63092 No The Preferred Healthcare System - PPO 04320 No The Prudential 60054 No The Spencer Group (UCS) 52393 No The TPA (Benesight) 87265 No The Wellness Plan 38200 No THERAPHYSICS THERA No Thomas Cooper & Company (SC) XX315 No Thomas H. Cooper SX160 No Three Rivers Health Plans, Inc. (previously 25175) 87726 No Thrivent Financial Aid Association for Lutheran Medicare 30167 No Time Insurance Company 39065 No TMG Life Insurance Company 70491 No Today's Health Wisconsin/Abri Health Plan Inc. 20081 No Tongass Timber Trust 92620 No Tooling & Manufacturing Association 61425 No Torrance Hospital IPA THIPA No Total Care (New York) TCARE No Total Carolina Care 68055 No Total Community Care 31182 No Total Health Management - PMB (Ohio BWC) (For Ohio Worker's Comp Claims Only) 31147 No Total Healthcare, Inc. 38201 No Touchpoint Health Plan HMO 97910 No Touchstone Health PSO 23856 No Touchstone Health/Health Net Smart Choice 13402 No Touchstone/Integra (DME claims only) X2980 No Town & Country TKFMC No TR Paul Inc 37230 No TransactRX Infusion and Specialty RX001 No TransAmerica Financial Life Ins Co (Hurst, TX) TFLIC No TransAmerica Life Ins Co TLINS No TransAmerica Life Ins Co TSAA2 No

Use Ctrl-F to find Text, F3- Find Next Page 47 of 52Insurance Company Payer ID EnrollmentTransAmerica Life Ins Co (Louisville, KY) TLIN3 No TransAmerica Occidential Life Ins Co (Hurst, TX) TOLI2 No TransAmerica Occidential Life Ins Co (Louisville, KY) TOLIC No Transamerica Premier Life (100 Light Street, Baltimore, MD 21202-0000) TRP1E No Transamerica Premier Life (2700 West Plano Parkway Plano TX 75075) TRP1P No Transamerica Premier Life (4333 Edgewood Road NE, Cedar Rapids, IA 52499) TRCLF No Transamerica Premier Life (Claim Services Division Valley Forge, PA 19493) TRP1E No Transamerica Premier Life (PO Box 17004, Baltimore, MD 21203-7004) TRP1E No Transamerica Premier Life (PO Box 3350, Cedar Rapids, IA 52406-3350) TRP1E No Transamerica Premier Life (PO Box 869093 Plano, TX 75086-9093) TRLTC No Transamerica Premier Life (PO Box 93019 Hurst, TX 76053-3019) TRLTC No Transamerica Premier Life (PO Box 97 Scranton, PA 18504-0097) TRP1E No TransChoice-Key Benefit Administrators 37284 No Transwestern Insurance Admin, Inc. TRAN1 No Travis County Hospital District Map TCHD1 No Travis County MAP-Mediview TCMAP No Trellis Health Partners 36397 No Tribute/SelectCare of Oklahoma 73117 No Tricare East TREST Yes Tricare for Life TDDIR Yes Tricare North 57106 No TRICARE OVERSEAS FOREN No Tricare Palmetto 38520 No Tricare West/TRIWEST (aka 99726) WESTR No TriCities IPA PDT01 No TRIHEALTH PHYSICIAN SOLUTIONS 31144 No Trillium Health Resources 43071 Yes Trilogy Health 98541 No Trilogy Network 62777 No Trinity Health 38269 No Trinity Health Plans 38269 Yes Triplefin LLC 64300 No Trisurant 34185 No True Health New Mexico 82288 No Trusted Health Plan L0230 No Trusteed Plans Service Corporation 91078 No Trustmark Insurance Company 61425 No TTPA CHIP 76055 No Tuality Health Alliance THA01 No Tuality Health Select THASC No Tufts Health Plan 04298 Yes Tufts Health Plan - Commercial/Integra (DME claims only) X4221 No Tufts Health Plan - Medicare Preferred/Integra (DME claims only) X4222 No TX Children Health Plan 76048 No TX Premier Plan (Star HMO) - Medicaid EPF02 Yes TX UNIVERSITY HEALTH PLAN UPG COMMERCIAL UPGUT No UBH - United Behavioral Health (former MetraHealth - UNET) 87726 No UBH - United Behavioral Health (Health Plan -HMO) 87726 No UBH RIOS (old payer ID 16412) 87726 No UC Care (University of CA) 60054 No UC Health Plan Administrators 89789 No UCare Individual & Family Plans 55413 No UCare Minnesota CX016 Yes UCLA Medical Group USMBP No UCMN - United Care Medical Network 33056 No UCS BENEFIT MANAGEMENT ADMINISTRATORS 84566 No UCS HEWITT COLEMAN 97041 No

Use Ctrl-F to find Text, F3- Find Next Page 48 of 52Insurance Company Payer ID EnrollmentUCS HOCKENBERGOS EQUIPMENTS 59573 No UCS MASONRY INDUSTRY TRUST 60230 No UCS MAXOR ADMINISTRATIVE SERVICES 92805 No UCS NEBRASKA PLASTICS GROUP 52323 No UCS NX HEALTH NETWORK 08354 No UCS RTG MEDICAL GROUP 97736 No UCS WINSTON HOSPITALITY 20452 No UHA Health 47953 Yes UHP of New Jersey (Centene) 22329 No UICI - Administrators 75240 No ULTIMATE HEALTH PLAN 77022 No Ultra Benefits Inc. 41206 No UMass Medical School Health and Criminal Justice Program UMHCJ No UMC HEALTH PLAN (LUBBOCK) 75130 No UMMH 37292 No UMPQUA HEALTH ALLIANCE CCO CIM11 No UMR (Formerly UMR Wausau - 31107/33108/37237/74214/74223/75196/75243/95266/MIDSC) 39026 No UMWA Health & Retirement Funds 52180 No UNICARE - Major Accounts 80314 No Unicare - Special Accounts 80314 No Unified Group Services 35198 No Unified Health Services 62170 No Unified Physicians Network (For Claims rejections, call 847-763-1700) 34638 No UNIFORMED SERVICE FAMILY HEALTH PLAN 13407 No Union Pacific Railroad Employees 87042 No Unison Advantage (previously 25175) 87726 No Unison Health Plan/Better Health Plans (previously 62183) 87726 No Unison Health Plan/Three Rivers (previously 25175) 87726 No UNITED BEHAVIORAL HEALTH 87726 No United Benefits/Poe & Brown 37260 No United Food & Comm. Workers Unions & Employers Midwest Health Benefit Funds 36659 No United Food & Comm. Workers Unions & Food Employers Benefit Fund (So. CA, Cypress) SCUFW No UNITED FOOD & COMMERCIAL WORKERS (UFCW) LOCAL 1529 21850 No United Group Programs UGP19 No United Healthcare Ovations Insurance Solutions (AARP) 36273 No United Heartland J1859 No United of Omaha 71412 No United Physicians International (UPI) SANDS No United Physicians of Northern Colorado 84132 No United Resource Group 41194 No UnitedHealthcare 87726 No UnitedHealthcare Community Plan DE, FL, HI, LA, MA, MD, NM, OH, PA, VA, WA 87726 No UnitedHealthcare Community Plan IA, hawk-i 87726 No UnitedHealthcare Community Plan KS (Kancare) 96385 No UnitedHealthcare Community Plan MI 95467 No UnitedHealthcare Community Plan MO 86050 No UnitedHealthcare Community Plan MS 87726 No UnitedHealthcare Community Plan NE 87726 No UnitedHealthcare Community Plan NJ 86047 No UnitedHealthcare Community Plan NY 87726 No UnitedHealthcare Community Plan TN 95378 No UnitedHealthcare Community Plan TX 87726 No UnitedHealthcare Community Plan WI 87726 No UnitedHealthcare Plan of the River Valley 87726 No UnitedHealthcare ppoONE UHNDC No UnitedHealthcare Spectera Eyecare Networks 00773 No UnitedHealthcare StudentResources 74227 No

Use Ctrl-F to find Text, F3- Find Next Page 49 of 52Insurance Company Payer ID EnrollmentUnitedHealthcare West 87726 No UnitedHealthOne All Savers Insurance (AMS) 81400 No Unity Health Insurance 66705 Yes Univera Community Health 15003 No Univera Healthcare Non-PPO 16107 No Univera Healthcare Non-PPO Eastern UNINE No Univera Healthcare PPO UNINW No Universal Care - California 33001 No Universal Care - California UC001 No UNIVERSAL FIDELITY ADMINISTRATORS COMPANY 93220 No University Comp Care (Ohio BWC) (Ohio Worker's Comp Claims Only) 31147 No University Family Care 09830 No University Family Care - Healthcare Group 07503 No University Family Care - Maricopa Health Plan 09908 No University Health Care Advantage 46407 No University Healthcare Marketplace 45437 No UNIVERSITY OF ILLINOIS UIC67 No University of Maryland Health Advantage 45282 No University of Utah Health Plans SX155 No University of Washington Students & Graduate Appts. 91136 No UNIVERSITY PHYSICIANS HEALTHCARE A0013 No Univita ATEND No UPMC Health Plan 23281 No Upper Peninsula Health Plan (Medicaid) 38337 No US Benefits 93092 No US Family Health Plan 90551 No US Family Health Plan (USFHP) - Texas and Louisiana USFHP Yes US Healthcare 23222 No US IMAGING NETWORK (NY) 50383 No USAA (United States Automobile Association) 74095 No USFHP ST. VINCENT CATHOLIC MEDICAL CENTER OF NEW YORK 13407 No Utilmed (American Imaging Management) 36369 No UTMB 3 SHARE UT3F1 No VA Community Care Network VACCN No VA Fee Basis Programs 12115 No VA Patient Centered Community Care Program Regions 1,2 and 4 68021 No VA Premier CompleteCare VPCCP Yes VA Premier Elite Plus VAPRM No VA Premier Health Plan (aka payer ID 54176) CX004 Yes VA Premier Medallion 4 VAPRM No VA WPS Region 3 VAPC3 Yes VA WPS Region 5A VAPCA Yes VA WPS Region 6 VAPC6 Yes Valir Pace 64009 No Valley Baptist Advantage 82238 No Valley Baptist Health Plan 82420 No VALLEY BAPTIST HEALTH PLAN 94999 No Valley Care IPA VCIPA No Valley Health Plan (Commercial) VHP01 No Valley Health Plan (Medi-Cal) VHP02 No VALLEY OF THE MOON IP044 No Valley Preferred - PPO Allentown, PA (IHS Gateway Payer) 23253 No Value Options Mass Mental Health (MBHP MA Behavioral Health Partnership) 43307 Yes Vanderbilt Health Plan 23173 No Vanguard Health Systems (SynerMed) SYMED No Vantage Health Plan, Inc. 72128 No Vantage Health Plan, Inc. (Ohio BWC) (Ohio Worker's Comp Claims Only) 31147 No

Use Ctrl-F to find Text, F3- Find Next Page 50 of 52Insurance Company Payer ID EnrollmentVantage Medical Group PPM01 No Varian Health Care Plan 60054 No VENCOR 73288 No Verify National Group 75256 No Verity (Multnomah County) CX034 No Verity National Group, Inc. GASA1 No Verity Plus (Multnomah County) CX035 No VestaCare (RH Administrator, VIA Group) VESTA No VGM Homelink (after 5/8/17) 30750 No VGM Homelink (prior to 5/8/17) 50701 No VGM Homelink HealthPartners (after 5/8/17) 55744 No VHP Community Care 23173 No Via Christi HOPE 48123 No Vibra Health Plan 15976 No VICARE ADMINISTRATIVE SERVICES 54182 No Victor Valley IPA VVIPA No Vida Care 24818 No Village Family Practice 73743 No VillageCare Max/Integra (DME claims only) X2983 No VillageCareMAX 26545 No Visiting Nurse Services of New York (VNS) 77073 No Vista M3FL2 No Vista Health Plan 55248 No Vista Healthplan of South Florida 55248 No Vital Protection 67524 No Vitality Health Plan TU127 No Viva Health Plan 63114 No Vivida Health 45488 No VNA Homecare Options 31626 No VNSNY CHOICE FIDA/Integra (DME claims only) X4190 No VNSNY CHOICE Managed Long Term Care Plan/Integra (DME claims only) X2985 No VNSNY CHOICE Medicare Advantage Plans/Integra (DME claims only) X2984 No VNSNY CHOICE SelectHealth/Integra (DME claims only) X4189 No Volusia Health Network 59266 No Vytra Health Plan/Integra (DME claims only) X4154 No Vytra Healthcare 22264 No W.C. Beeler & Company 62111 No Wabash Memorial Hospital Association 85256 No WAL-MART (BLUE CARD CARRIERS) (TX Only) 84980 No WalMart Texas Worker Comp WK001 No Washington - Molina Healthcare of Washington 38336 No Washington County Health and Human Services CX032 No Washington County Health and Human Services Gen Fund CX033 No Washington Employers Trust 37294 No Waterstone Benefit Administrators 73155 No Watkins Associated Industries, Inc. 58082 No Watts Health Care MPM09 No WEA Trust 39151 No Webster Plastics Inc. Doctors' Health Plan 16112 No WebTPA/Community Health Electronic Claims/CHEC 75261 No Weiss Health Providers 36337 Yes Well Path of Carolina, Inc 25133 No Well Sense Health Plan (Northwood plan) CX060 Yes Wellcare Health Plan (Capitated Providers) 59354 No Wellcare Health Plan of CT (Medicare)/Integra (DME claims only) X4050 No Wellcare Health Plan of Louisiana (Medicare)/Integra (DME claims only) X4053 No Wellcare Health Plans of NJ (Medicaid)/Integra (DME claims only) X4058 No

Use Ctrl-F to find Text, F3- Find Next Page 51 of 52Insurance Company Payer ID EnrollmentWellcare Health Plans of NJ (Medicare)/Integra (DME claims only) X4057 No Wellcare HMO, Inc. 14163 No Wellcare NY - MLTC/Integra (DME claims only) X4082 No Wellcare of CT 14164 No Wellcare of NY 14164 No Wellcare of NY - Medicaid/Integra (DME claims only) X2987 No Wellcare of NY - Medicare/Integra (DME claims only) X2986 No Wellcare of OH 14163 No Wellcare of TX (Medicare)/Integra (DME claims only) X4062 No WellMed TH023 No WELLMED/Secure Horizons WELM2 No Wellpath 25133 No WellSystems, LLC 35245 No Wels Benefit Plan Office 22925 No West Coast Stationary Engineers Health & Security Trust Fund 91136 No West Covina Medical Group 66124 No West Virginia Family Health Plan 45276 No Western Grower's Assurance Trust 24735 No Western Grower's Insurance Company 24735 No Western Health, Inc. 37306 No Western Mutual Insurance 37247 No Western Oregon Advanced Health CCO (Behavioral Health Claims Only) WOAHM No Western Southern Financial Group (Cincinnati, OH) 31048 No WestLake Financial Group, Inc. 90560 No Weyco Inc. 38232 No Willamette Valley Community 33711 No William C. Earhart, Co., Inc. 93050 No William J. Suttong & Company, LTD. (Toronto, Canada) 98010 No Williams & County MAP WCMAP No Willis Administrative Services Corporation 62061 No Wilson-McShane 41095 No Windsor Health Plan - Wellcare MS (Medicare)/Integra (DME claims only) X4054 No Windsor Health Plan - Wellcare SC (Medicaid)/Integra (DME claims only) X4060 No Windsor Health Plan - Wellcare SC (Medicare)/Integra (DME claims only) X4059 No Windsor Health Plan - Wellcare TN (Medicare)/Integra (DME claims only) X4061 No Windsor Health Plan- Wellcare AR (Medicare)/Integra (DME claims only) X4048 No Windsor Home Network 11696 No WinHealth Partners 27327 No WINHEALTH PARTNERS WNHLT No Winterbrook Healthcare 73159 No Wisconsin Auto and Truck Dealers 39200 No Wisconsin Department of Corrections 74101 No Wisconsin Dept of Corrections VEST1 No Woodman Accident and Life Company 81949 No Workers Comp of West Virginia SX067 No Worksite Benefit Services, LLC (Tifton, GA) 20333 No World Insurance Company 75276 No WPP Eldercare 77080 No WPS Commercial claims 00235 No WPS Prevea Health Plan 10159 No Wyoming Pace 98543 No Yamhill CCOE YCCOE No Yavapai County Long Term Care X9829 No Yorba Park (St. Joseph Heritage HealthCare) STJOE No Young Life 75285 No Zebrahealth 88858 No ZENITH ADMINISTRATORS ZNTHW No

Use Ctrl-F to find Text, F3- Find Next Page 52 of 52Insurance Company Payer ID Enrollment