HEALTH PLAN LIST AND FEE SCHEDULE · 2020 Health Plan List and Fee Schedule PO 71717 PHOENIX, AZ 85050 • TEL 877.311.3338 • FAX 602.485.3100 • 3 THREE RIVERS PROVIDER NETWORK

PO BOX 71717 PHOENIX, AZ 85050

TEL 877.311.3338FAX 602.485.3100

HEALTH PLAN LIST AND FEE

SCHEDULE

PO 71717 PHOENIX, AZ 85050 • TEL 877.311.3338 • FAX 602.485.3100 • WWW.HNA-NET.COM 22020

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“We present you with the 2020 health plan and fee schedules for your health care network. Everything you need is just a few pages away!”

The Health Plan List: This booklet contains a current Health Plan List and Fee Schedule of payers that Healthcare Networks of America (HNA) contracts with on behalf of its members. Changes in payer contracts are mailed out annually with membership renewals. Within this document the contract is listed within the grey bar with the Fee Schedule indicated directly under each contract heading. Specialties, coverage, states applicable, reimbursement, claims submission and patient identification are also listed. The payers the contract represents are then listed for a complete plan overview.

Regarding the HNA Network: HNA is not an insurance company, we are a provider network. The Health Plan List and Fee Schedule contain the current list of payers. HNA contracts its network of doctors directly with the PPO’s named in the grey bars. You will notice that there are thousands of payers, including insurance companies, self-funded employers, unions, and TPAs within each PPO contract. You will be listed in the Preferred Provider Directory with each of these 4600+ payers upon completion of the credentialing process.

Regarding future contracts: HNA continues to research and find new patient contracts, both nationally and locally for our members, and negotiates the highest possible rate of reimbursement available. When new contracts are secured:

1. HNA then releases the contracts to our providers, our providers then have the right to opt-out of any contracts or components they do not wish to participate in.

2. HNA updates your information to the payers monthly via electronic file to ensure that patients have your most current information.

3. Changes that are made to the payer contracts are also passed on to the participating providers as they become available.

Regarding patient identification: Patients sent to you from HNA client payers are not identified as “HNA” patients on the patient ID card. Unless otherwise noted, the patient ID card will identify the insurance carrier or PPO. This will be the PPO listed in the grey bar as well as any of the thousands of payers they service to which HNA has contracted and listed you as a preferred provider. The following list provides you with the names of payers through HNA’s contracting efforts. You may opt out of any component of any contract at any time by advising HNA in writing naming the specific component. If you are already listed with any of the contracts or payers, that agreement will supersede your HNA agreement.

Regarding Claims Submission: All claims must be forwarded to the payer and address indicated on the patient ID card, if applicable.

Much more than your ordinary provider network!

Healthcare Networks of America’s mission is to drive more high paying fee for service patients to its members and provide the latest resources for managing and promoting a successful practice.

Sponsers and Networks:

Don’t Miss 70% - 85% ofBilled Charge

Reimbursement Rates


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THREE RIVERS PROVIDER NETWORK (TRPN) - PPOFee Schedule: 125% of the existing Medicare fee schedule as total reimbursement for covered services less applicable co-payments, co-insurance or deductibles.

Patients enrolled: 200 MillionStates applicable: All StatesSpecialties applicable: All specialtiesReimbursement: Fee for Service. Service’s less any applicable co-payments, co-insurance, or deductible’s.Claims Submission: Submit claim to address on back of patient ID card Patient Identification: Three Rivers Provider Network (TRPN) will appear on patient ID card.Payer Clients: The following is a partial listing. For the complete list, please visit: www.trpnppo.com

(AAA) American Automobile Assoc. 3hab Medical Management 4most 7-Eleven, Inc. A & I Benefit Plan Administrator A & S Financial ServicesA.E.B.S.,Co. A1 International Foods Aaon Inc. ABPA Acadamic Risk Access General Insurance Acordia ACS Benefit Services, Inc. ACS Compiq Actor’s Guild Administrative Concepts Inc. Administrators West Adminone Corporation Advanced Insurance Administrators Advantek Benefit Administrators Aegis Administrators AFS Insurance Services, Inc. AG Administrators Aggressive Medical Cost ContainmentAIG Hawaii Insurance Company, Inc AIG Insurance Co AIM Healthcare Services, Inc. Airborne Freight Corporation AISAlaska Airlines Alaska Electrical H&W Alaska Forest Association Alaska Pipe Trades Ual 375 Alaska Teamsters Alaska Ufcw H&W Trust Albertsons, Inc. ALLCOAlliance International Assistance Alliant Health Plans

Allied National Companies AllstateAlpha Review Company Alternative Risk Management Alzheimer S Association AMCC Inc Ameriben Solutions America West Airlines,Inc American Administrators American Benefits Association American Benefits Management American Claims Exchange American Commerce Insurance Group American Community Mutual American Crystal Sugar Co. American Foodservice Corp. American Golf Corporation American Health Holding American Medical Auditors American Medical Bill Review American Medical Security Life Insurance Co. American Modern Insurance Group American National P&C American National Property & Casualty American Postal Workers Union (Apwu) American Professional Risk Services American Republic Insurance Company American Solutions Group American Tire Distributors, Inc. American Trust Administrators American Underwriters Americomp Amerihealth Administrators Amerisafe InsuranceAMERPRISEAnchor Benefit Consulting

Antares Management Solutions APA Partners Inc. Applebee’s International, Inc. Argo Insurance Argo Select Argonaut Insurance Arizona Foundation For Medical Care Artisan Claims Asert Benefit Services Asmed Health Partners ASR Admin Systems Wp ASR Corporation Associated Administrators, Inc Associated Plan Administrators Association Insurance Trust Assurant / Fortis Assured Assistance AT&T Wireless Services, Inc. Atlanticare Adminstrators Atlas Administrators, Inc. Auto Injury Solutions Auto One Insurance Company Autozone, Inc. Avis Budget Group, Llc Avmed Health Plans Avmed North Avon Products, Inc. Banner Health SystemsBeacon Risk Strategies Benefit Assistance Benefit Coordinators Corporation Benefit Management Systems Benefit Plan Administrators Benefit Planning, Inc Benefit Services, Inc. Benefit Solutions Benefit Source Benefit Systems & Services, Inc. Benesight / Fiserve Berkley Specialty Underwriting Bme


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Gateway Berkley Specialty Underwritting Managers, Llc Berkshire Hathaway Homestate CompaniesBest Life Blue Bell Creameries Blue Shield Of California BME Gateway BMI Health Plans Bob Mccloskey Insurance Boeing Company Bon Appetit Management Company Bridge Benefits, Inc. Bridgestone BroadspireBrokerage Concepts Brotherhood Mutual Insurance Broadspire Brown Rehabilitation Brown Review BSI Florida Buckeye Insurance Group Butler Benefit Service C.L. Frates & Company C.N.A.Cam Administrative Services Cambridge Integrated Services Canassistance Capital District Physician Health Plans Capitol Administrators Caprock Claims Management Care Choices Careington Careworks, USA Carpenters Southwest Administrative Group CBA, Inc. CBCA CBSA CCA CCL & H CCSI CDS Group Health Celina Insurance Group Cement Masons Nevada Cement Masons Of Southern Ca Central Benefits Mutual Century Health Solutions Ceres Health Care, Inc. Cerner Corporation Charter Management Services Chatwins Administration Chubb Insurance Company CIGNA

Claims Applications Management IncClaims Benefits, Inc. Clark County Firefighters (Nv) Cleaners Hanger Company Cnic Health Solutions Coastalcomp Health Networks Coca Cola (Manhattan) Coca Cola Company Colonial Life Insurance Combined Life Insurance Company Commerce Insurance Company Commercial Travelers Ins. Community Care Comp I.Q. Comp Usa, Inc. Companion Property & Casuality Group Compensable Benefits LLCCompetitive Health InsuredComplete Benefit Solutions Complete Claims Solutions IncComprehensive Behavioral Care Comprehensive Care Services Compstar Compstar Systems IncComptech, Llc. Concise Bill Management Conseco Conservent ConsociateConsolidated Service Group Construction Ind & Laborers H & W Construction Teamsters Container Store, The Contract Claims Services, Inc Cooperative Mutual Insurance Co Coresource Cornerstone Benefits Administrations, Inc Cornerstone National Insurance Company Cornerstone Preferred Corporate Benefits Services Corporate Care Management Correct Care Solutions Corvel Cost Containment Strategies, Inc. Cost Pro Costal Administrative Services Costco Wholesale Corporation Cottingham & Butler Countryway Insurance Co. Coventry Health Care Crawford & Company Cross Summit Enterprises Crum Foster Insurance

Culligan Intl Co. Cwi Benefits Cypress Benefit Administrators D. Edward Wright, Inc. Definity Health Plans Del Monte Food Company Delta Air Lines Global Svcs., Inc. Denny’s Restaurant Program Destiny Health Dh Evans Associates, Inc. Dillard Department Director’s Guild Diversified Administrators Corporation Diversified Group Brokerage CorporationDollar General Dr. Pepper/Seven Up Bottling Group Drake Insurance Administrators Dunn And Associates E.S.I.S. East Coast Underwriters EBAM Ecolab Inc Educators Mutual Electrical Workers H & W Elite Administration & Insurance Group Elmco Emc Insurance Employee Benefit Administrators Employee Benefit Concepts Employee Benefits Services Employee Plans Llc Employee Security Inc. Employers Life Insurance Company Employers Plan Services Enabler Managed Care Corporation Enterprise Group Planning Equitable Plan Services Erin Group Administrators Fair Pay SolutionsFarmers Insurance Fcci Insurance Group Federated Mutual Fic Corporation Fidelity Insurance Company Firefighters Family Medical First Administrators Inc First Health Fiserve Fitzharris Florida 1st Service Administrators, Inc. Florida Benefit Administrators Fmh Benefit Services


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Food Giant Supermarkets, Inc. Ford Motor CompanyFox Everett Fringe Benefits Frito-Lay, Inc. Future Care, Inc. Gab Robins Gallagher Benefit Administrators, Inc. GBSI Geico Corporation Gem Administrators Genex Services Georgia Administrative Services Gilsbar Insurance Company Global Assurance Global Care Global Excel Management, Inc. Global Medical ManagementGlobal Risk Management GMACGmac Insurance Golden Rule Insurance Company Grange Insurance Great American Insurance Co. Great Fidelity Great West Healthcare Group Administrators Group Insurance Services Center Group Resources Guarantee Trust Life Insurance Company Guardian HAA Preferred Partners HartfordHealth Administration Service Health Choice Of NW Missouri Health Cost Management Health Design Plus Health Future Health Link Health Management SolutionsHealth Markets Health Net, Inc Health New England Health Plans. Inc. Health Reinsurance Management Partnership Health Special Risk Health Systems Management Healthcare Direct Healthcare Resource Group Healthcomp Administrators HealthFirst TPA Healthplan Of Nevada Healthscope Benefits Healthstar HIP Of NY

HMA, Inc. Horizon Air Industries HPS Paradigm Huffy Corporation Humana Hyatt Corporation IAC IBA IBEW Southwestern Health & Benefit Fund Idaho Pipe Trades Imed Cost Containment Solution, Llc Imerica Life And Health Insurance Company Indiana Farm Bureau Indiana Laborers Indiana Roofers Inetico Ingenix Injury Care of Nevada Innovante Benefit Administrators Innovated Health Strategies Innovative Claim Solutions Insurance Administrators Of America Insurance Design Administrators Insurance Programmers, Inc. Insurica Claim Management Integra Admin Group - Supp Integrated Claims Administrators Intel Corporation Intelligent Medical Solutions, Inc. Inter-Americas Insurance Intercom Hrential Corp. International Monetary Fund International Paper Interstate Brands Corporation Interstate Hotels & Resorts, Inc. Intracorp IPC Island Group Itpe Health & Welfare Fund IUOE Local 15 J. Crew Group-Tpa J.M. Smucker Company, The Jm Family Enterprises Jmh Health Plan Jo-Ann Stores, Inc. John Deere Johnson & Johnson JP Farley Corporation JW Terrill Kaiser (Northern California) Kaiser Aluminum Corporation Kb Holdings/Kay Bee Toys Keebler Company Kemper InsuranceKentucky Laborers District Council

Kenworth Northwest, Inc. Key Partners Key Risk Management Services, Inc Kraft Foods L’oreal Usa, Inc. La Quinta Inns, Inc. Laborers Metro Detroit Health Land O’lakes, Inc. LBA Healthplans, Inc. Leahy & Associates, Inc. Liberty Mutual Life Investors Insurance Company Of America Lifewell Healthplans Littleton Group Liz Claiborne, Inc. Local Engineers 15 Lone Star Steakhouse Loomis Company Louisiana Farm Bureau MagnaCareMail Boxes Etc Maksin Management Corporation Managed Benefits Administrators & Ins. Consultants Managed Health Funding Insurance Administrators Marsh Advantage Mca Administrators Mcdonald’s Corporation Mcgraw-Hill, Inc. Med Claim Partners, Llc Medata Medaudit Services Inc. Medical Administrators IncMedical Claims Resources Medical Claims Review Services Medical Consultants Network Medical Cost Management Medical Savings Insurance Company Medicor Managed Care Medipac International Melane Company Memorial Integrated Healthcare Mennonite Mutual Aid Mercy Care Insurance Meridican Resource Company Met Life Metropolitan Life MGIS Michaels Stores, Inc. Midest Security Administrators Miller Brewing Company Mitchell International MMOH MMSI Mokan Sheet Metal Workers


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Molson Coors Brewing Co Monterey Bay Clothing Company Montgomery Management Morgan & Franz Morgan White International Administrators Morris Associates Mountain States Administrators Mountain States Insurance Company Mutual Assurance Administration Mutual Medical Plans, Inc. Mutual Of Omaha Myerson Stevenson Toohey Nabisco Group Holdings Corp. NALC Health Benefit Plan National Benefit Administrators National Care Network National Comp Care National Comp Care ( Tyson ) National Health Administrators National Roofing Company, Inc National Rural Electric Cooperative Assoc. National Telecommunications Coop. Association Nationwide Insurance Nationwide Mutual Insurance Company NCAS Nebraska Farm Bureau Nestle New England Financial New England Health Plans New Era Life Insurance Co NGS American, Inc. NNSI Noitu Insurance Trust Fund Norfolk & Dedham North American Administrators Nova Health Systems NYCMNYSUT Office Depot, Inc. Ohio Carpenters Ohio Health Choice Ohio Mutual Insurance Company Oklahoma Property and Casualty Insurance Guaranty AssociationOlympus Managed Health Care One Beacon Insurance Operating Engineers Health & Welfare Trust Oroweat Baking Co Oscar Health CorpOshkosh Truck Corporation Outback Steakhouse Outsourced One

Oxford Health Plans P5 Health Services PACBLU Pacific Coast Claims Consultants Pacific Foundation Pacificare Health Systems, Inc. Pacifice Heritage Administrators Pacmed Painters District Council #2 Palm Harbor Homes, Inc. Paradigm Management Services Paramount Healthcare Inc PCM, Inc. Pekin Life Insurance Company Penn Western Benefits Pepsi-Cola Company Pequot Healthcare Perkins Restaurant & Bakery Permanent General Insurance Co. Perrier Group Personnel Staffing Petco Animal Supplies, Inc. Petsmart, Inc Phelps Dodge Philip Morris Usa Physician Benefit Trust Physicians Mutual Insurance Company Pier 1 Imports Pioneer Administrators Pizza Hut, Inc. Planned Administrators Plumbers & PipefittersPlymouth Rock Assurance Corp Pomco Prairie States Tpa Preferred Care Preferred Medical Claims Solutions Preffed Medical Management Solutions Premier Comp Solutions Prime Health ServicesPrincipal Financial Group Prison Health Services Pro-Claim Plus Procura Management, Inc.Producer’s Guild Professional Benefit Administration Professional Benefit Services Professional Claims Administration Professional Claims Management PROGRESSIVEProtection One Provider Benefit Plans Puma Corporation & Subsidiarie Pupil Benefits Plan, Inc. Qualcare

Quality Health Management, Llc Quest Medical Claims Regional Care, Inc Resolved Healthcare Retirees Welfare Trust Reunion Industries Review Works Rising Medical Solutions Risk Administration Resources Rj Reynolds Domestic Tobacco RMPGRockford Mutual Insurance Company Royalty Carpet Mills, Inc. Rubbermaid Incorporated Rural Health Plans Initiative Safeco Safety Insurance SAIF Salt River Indian Community Sara Lee Corporation Scot Industries Scott & White Healthplans Scottsdale Insurance Company Screen Actors Guild Sears Merchandise Group Secure Health Plans Of Ga Secureone Securitas Security Service Inc Security Administrative Services Security Health Plan Of W.I. Sedgwick Claims Management See’s Candies, Inc. Select Benefit Administrators, Inc. Selective Insurance Group, Inc Self Insured Services Co Seminole Tribe Of Florida Sentry Insurance Servicemaster Sheakley UnicompShorman Solutions Sierra Health & Life Insurance Company Signature Network PlusSignifica Benefit Services Fka Erin Group Administrators SIHO Insurance Services SISCO Skilstaf, Inc. Smc, Inc. So. Ca. Risk Management Associates Spooner Incorporated Sonoco Products Co Sonoma Tilemakers Inc. Source One Computer Corporation Southern California Pipe Traders Southern California Risk Management Association


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Southern National Life Insurance Specialty & Paper Products Health And Welfare Spectrum Administrators Spooner Incorporated Stanislaus Foundation Stanley Steemer Starbucks State Farm State Of Louisianna Ogb State-Wide Insurance Company Stowe Associates Student Insurance Student Plans, Inc. Summit Administrators Services Summit Insurance Company Sun Chemical Corporation Sun-Maid Growers Of California Sunmed T.R. Paul Group Services Tandem Care, Llc Tbg Administrative Services Tc3 Health Teamster Construction Industry Teamsters Local 14 Teamsters Local 631 Sec Fund Teamsters Local 995 Texas Farm Bureau Texas Industries, Inc. Texas True Choice The Alliance The ASU GroupThe Claims Trust The Comptech Group The Epoch Group The Guardian The Henry J. Kaiser Family The Pillsbury Co. The Reny Company

THIPA Titan Propane TLC First Administration TMLIntergov Employee Benfits Tomgass Timber Trust Tongass Timber Trust- Alaska Forest Association Total Managed Care Toyota TPA Of Georgia TQ Consultants Trans World Airlines Inc. Travelers Insurance Travtens Insurance Group Trissel Graham & Toole TriStar Health BenefitsTristar Risk Management Tru Services, Inc. True Course Medical Data Analysis And Claims Services Trusteed Plans Service Corporation Tyson Foods U.S. Benefits UICI Administrators Ulico Insurance Ultramar Corp Underwriters Safety & Claims Unicare Unified Group Serivces, Inc. United Artists Theatre Circuit United Benefits United Claims Solutions, Llc UnitedHealthcareUnitrin Auto And Home Unity Health Insurance Universal Underwritters Insurance Upstate Administrative Services US Foods USAA

USair, Inc. Valero, Inc. Valunet, Llc Vanguard Services, Inc. Vermont Managed Care Vermont Mutual Viant Vision Quest Vista America Vista Health Plans Volvo Cars Washington Employers Trust Washington Idaho Carpenters Washington Mutual Washington Teamsters Wausau WEA Trust Wellcomp Wells Fargo Alarm Services Western Benefits Western GrowersWestern Mutual Insurance Western Teamsters Trust Westport Benefits Westport Shipyard, Inc. Weyco, Inc. Worcomp Bill Review Services Workcomp MC/Health Choice Of North West Missouri Worldwide Management Care Partners WPS, Inc. Writer’s Guild Xerox Corp York Claims York Insurance Services Group, Inc. Zeneks Zenith Administrators Zenith Insurance Company

NATIONAL PREFERRED PROVIDER NETWORK (NPPN) - PPOFee schedule: 80% of billed charges.Patients enrolled: 2 Million+ nationwideStates applicable: All statesSpecialties applicable: All specialtiesReimbursement: Fee for service Claims submission: Submit claims to the address on the card sleeve.Patient identification: Payer name indicated on the member ID card. Payer clients: The following list of Payer clients are NPPN Medical PayersWebsite: www.nppn.com


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A&S FinancialAcclaim, Inc.Acrometis, LLC WCACS Benefit ServicesActiva Benefit ServicesAdvanced Correctional HealthcareAdvantage Health Plans (Kempton)AegonAetnaAggressive Medical Cost Containment, Inc.AIGAlaska Forest AssociationAlicare PAAllegiance Benefit Plan Management, Inc.Allied National, IncAlpha Review CorporationAlta ServicesAlternative Insurance Resources,IncAlternative Risk ManagementAmeriBen DentalAmeriBen SolutionsAmerican FreightwaysAmerican Healthcare AllianceAmerican National InsuranceAmerican Republic Ins. Co.Amerisafe Risk Services IncAmeritas DentalAmtrustAnchor Benefit Consulting Inc.Anthem (Healthlink)Apex Benefits Services, LLCArizona Foundation for Medical CareASI Services Inc.Associated Third Party AdministratorsAssurant Health - IndividualAssurant-DENTALAultcareAultra Administrative GroupAutomated Benefit ServiceAuxiantAZ Foundation for Med CareBACBenefit Administration ServiceBenefit Administrative Systems, LtdBenefit Assistance CorporationBenefit Management, Inc.Benefit Plan AdministratorsBenefit Support, Inc.BeneSys, Inc.Berkley Risk Administrators, Co. LLCBlue Cross of Atlantic CanadaBMI Benefits, LLCBMI Health PlansBoon-Chapman Benefit AdministratorsBoulder Administration Services Inc.Broadspire-WCBrokerage Concepts

California Foundation for Medical CareCalvosCambridge Administrators, LLCCannon Cochran Management Services, Inc.CaresysCBA AdministratorsCCMSICerner HealthPlan ServicesCharter/ PolarisChartis Insurance Company of CanadaChicago Heights Steel Raw Materials Highway SteelChicago Regional Council of CarpentersCMN, Inc.CMR AdministrtorsCommercial Travelers Ins.Companion Life Ins Co DentalComplete Claim Solutions, Inc.Comprehensive Care Services TPAConifer formerly Informed LLCConsiliumConsociateConsolidated Health Plan-DENTALCooperative Managed Care Services, LLCCoreSourceCornerstone Benefits Administrators Inc.Corporate Benefits Service,Inc.CorrectCare Integrated HealthCorVel Healthcare Corp.Coventry Health Care Workers Compensation, Inc.Crawford & CoCrescent Health SolutionsCRMCustard Claims Management ServicesCustom Design BenefitsCypress Benefit AdministratorsDeCare/WellpointDental Network of America, LLCDental SelectDGADiversified Healthcare Services Inc.EBMSEBS CtrEBSO Expert Benefit SolutionsECOM - ABFECOM - NELElite Administration & Insurance GroupElmcoEmployee Benefit Service CenterEmployee Security, Inc.Employers AssociationsEmployers Claim Service

Enterprise Group Planning, Inc.EOS HealthcareEquianEvolutions Healthcare SystemsExcelCareFCE BenefitsFederated Insurance CompanyFederated Mutual Ins Co.First Chicago Insurance CompanyFirst HealthFoundation for Medical CareFoundation HealthFox Everett, Inc.Freedom Life Insurance (Ascent Mgmt)Geisinger Health PlanGENEX Services, Inc.Genworth FinancialGeorge Segenreich LtdGilsbar, Inc.GLHPGlobalCareGo Self InsuredGovernment Employees Health AssociationGrange Insurance Co.Group Administrators Ltd.Group Benefit Services, Inc.Group Marketing Services, Inc.Group Plan Solutions (GPS)Group ResourcesGuardian DentalGulf South Risk Services, Inc.Hartland Employer BenefitsHealth AllianceHealth Cost SolutionsHealth Design Plus, Inc.Health Net CAHealth Net PlusHealthCare Solutions GroupHealthlinkHealthSCOPE Benefits INCHealthScope DentalHealthSmart Benefit SolutionsHealthSpan Integrated CareHewitt ColemanHFNHRGIHumana CASHumana DentalHumana MetavanceIHC Administrative ServicesIHC Health SolutionsIllinois Risk Management ServicesIMA, INC.IngenixInsurance Management ServicesInsurance Systems, IncIntegra Employer Health/BMSInter-America`s Insurance Corp.


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Intergroup ServicesIPMG-Employee Benefits ServicesJFP Benefit ManagementJohn Muir Physician NetworkKaiser HawaiiKaiser PermanenteKaiser Permanente Self-FundedKansas City LifeKemper DentalKentucky Health AdministratorsKey Benefit AdministratorsKPIC Fully InsuredLake County Indiana Correction CenterLifetime Benefit SolutionsLittle League AssociationLockard & WilliamsM S Administrative Services, Inc.Magellan Health ServicesManageAbility, Inc.Managed Care of AmericaMayo Clinic Health Solutions aka MMSIMCA AdministratorsMcLaren Health AdvantageMCMCMCMC, WCMECAMed PayMed-Net ConnectMed-Pay Inc.Medata, Inc.MedbenMedCost Benefit ServicesMedical Audit and Review Solutions, LLCMedical Benefit Administrators Inc. ASOMedical Mutual of OHMedInsights WCMedRisk, Inc.Mercy Care Ins. Co.Meritain a.k.a CBSA PerformaxMeritain Health Corp.Mid-America AssociatesMidlands Claim Administrators WCMidlands Occupational AccidentMitchell InternationalMitchell Test TPAMitchell WCMMOHMMSIMountain Benefits Management CompanyMutual Assurance AdministratorsMutual Health ServicesMutual Medical Plans, Inc.Mutual of Omaha Insurance CompanyNAHGA Claims Administrators

NALC 2NAMCI (Premier Health Network of AL)National Choice CareNational Health Benefit Corporation (NHBC)Native Care Health, LLCNetwork Health PlanNew Life Agency, Inc.NGS AmericaNGS CoreSourceNorfolk Dredging CompanyNorth America Administrators, Inc.Northern Illinois Health PlanNorthwestern Memorial HospitalNovaNet, Inc.Paramount Health Plans, Inc.Parkview Health Plan ServicesPekin InsurancePeople 1st Health Strategies, IncPhoenix BuildersPHP of Mid-MichiganPhysicians Health PlanPrairie States EnterprisesPreferred Health ChoicesPreferred Health Plans of the CarolinasPreferred OnePrincipal Financial Group -DENTALPriority HealthPro-Claim PlusProcura Inc.Professional Benefit Administrators, Inc. (PBA)Professional Claims ManagementProtective Insurance CompanyProtegrity Services Inc.Provena HospitalsProvidence Health PlansProvider SelectQ3 Business TechnologiesQualCare Inc.QualChoiceQuality Health Management LLCQueensboroughRegency Employee BenefitsReny WCReserve National Insurance CompanyReSource Munich Re AmericaResourceOne AdministratorsRHS Business ServicesRising Medical Solutions Inc.Rockport Healthcare GroupSeaton CorporationSecurity Life Ins Co of AmericaSecurityHealth PlanSelf Funded PlanSelf Insured Services CompanySFM

SIEBASierra Health And LifeSIHOSinclair Health ServicesSouthern Benefit ServicesSpectrum Administrators, Inc.Spraying SystemsSt. Joseph Heritage HealthcareStarmark InsuranceStrataCareSunmedSyracuse University Athletic DepartmentTC3 HealthTeachers Health TrustThe AllianceThe ASU GroupThe CovenantThe GEMGroupThe Health Plan of Upper Ohio ValleyThe Loomis CompanyThe Ohio State UniversityThe Stafford CompaniesThomas Cooper & CompanyTLC Benefit SolutionsTPM AdministratorsTranswestern Insurance AdministratorsTri Star Benefit AdministratorsTri-State Joint FundTristar Insurance GroupTRUSTMARK INSURANCE COMPANYTucker Administrators, Inc.UFCW Local 100-A & Local 1546UMRUnderwriters Service CorporationUnified Group Services IncUnion Health ServiceUnited Healthcare DentalUnited Parcel Service/AetnaUnity Health InsuranceUniversal Fidelity Admin Co.University Of Chicago Health Plan (UCHP)USA MCOViva HealthWAB/VHWallrab, Capenigro & Associcate, Inc.Walmart: Texas Non-SubscribersWard North AmericaWebTPA Employers SvcsWestern & Southern Financial GroupWilliam C. Earhart Co.William Charles Risk ManagementWilson McShaneWorksite Benefit Services, LLCWV Laborers Trust FundZenith American Solutions


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FEDMED INC. – PPOFee Schedule: 15% discount off providers’ usual charge for covered service’s less any applicable co-payments, co-insurance, or deductible’s.

Patients enrolled: 18 Million nationwide

States applicable: All States

Specialties applicable: All specialties

Reimbursement: Fee for Service. Service’s less any applicable co-payments, co-insurance, or deductible’s.

Claims Submission: Submit claim to address on back of patient ID card

Patient Identification: FedMed shall make best efforts to ensure that Payors clearly identify the FedMed network on Covered Members’ Insurance Identification Cards or Explanation of Benefits (EOB), in the event that FedMed is not identified on the Covered Members’ Insurance Identification Card or Explanation of Benefits (EOB), may elect not to honor the discount.

Payer clients: The following list of Payer clients are FedMed Payers

Website: www.fedmedinc.com

A-G AdministratorsAdministrative Concepts, Inc.Aetna - National Advantage Program (NAP-non-facility only)AIGAllied NationalAmerican Benefit Plan Administrators (ABPA)Assurant Health (ASR)AuxiantBlue Shield of CABollinger, Inc.California Water ServiceCareFirst AdministratorsCarpenters Southwest AdministratorsCDS Group HealthCIGNACNIC Health SolutionsCo-ordinated Benefit Plans (CBP)Cypress BenefitsDeseret Mutual (DMBA)Employee Benefits Administration & Management (EBAM)Equian (formerly HSI)Federated Mutual Insurance CompanyFELRA/UFCWFirst Administrators

First AgencyGlobal Excel ManagementGlobalCareGroup Administrators Ltd.Group and Pension Administrators (GPA)Group Insurance Service Center (GISC)Health Care Services InternationalHealthCare HorizonsHealthRisk Resource GroupHealthSmartHMAHUBHumanaInternational Medical Group (IMG FH)inVentiv Medical ManagementKaiser Permanente (Northern and Southern California Regions)Liberty HealthShareLocal 560 Benefit FundMedBenMutual Health Services (BSI)National Health Benefit Corporation (NHBC)NGS American (CoreSource)Nippon Life

ODS Health PlanPenfield Care ManagementPreferred Medical Claim Solutions (PMCS)Premier Healthcare Exchange (PHX)Professional Benefit Administrators (PBA)Regency Employee BenefitsSecurity Health WISouthwest Service Administrators, Inc.StratoseTC3 HealthThe Loomis CompanyTower LifeTrusteedUFCW Local 1500UMR - Cincinnati, Harrington, Onalaska, WausauUnited Food & Commercial Workers (UFCW Southern California)United Medical Resources (UMR)USBenefits InsuranceWEA TrustWells Fargo TPAWestern Health AdvantageZenith Administrators


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AMERICA’S CHOICE PROVIDER NETWORK (ACPN) – PPOFee Schedule: 20% off of providers’ billed charges.

Patients enrolled: 26 Million



Reimbursement: Fee for Service. Service’s less any applicable co-payments, co-insurance, or deductible’s

Claims Submission: Submit claim to address on back of patient ID card

Patient Identification: ACPN will appear on patient ID card.

Payer clients: The following list of Payer clients are ACPN Payers

Website: www.acpnusa.com

1199 National Benefit Fund Health1921 Iron Workers21ST Century & Health Benefits21st Century Health & Benefits3P AdministratorsAAA Central PAAcadia Insurance CompanyAccelera Health Inc/ATPAAccess Administrators IncACE InternationalACMSACS Benefit ServicesActiva Benefit ServicesActivar Inc.Actuarial & Employee Benefit Services Co.Actuarial Management Resources, Inc.Administrative Claims ManagementAdministrative ConceptsAdministrative Services Inc.Advance Admin Local 592Advance Admin Local 803Advanced Benefit AdministratorsAdvanced Correctional HealthcareAdvanced Medical StrategiesAdvantage City of Greenwood Self FundeAdvantage Franciscan Self FundedADVANTAGE Health Solutions, Inc. Advantek Benefit AdministrationAffordable Benefit AdministratorsAFS Insurance Services Health PlanAG Administrators Inc.AGLC Employer Group NationalAHH - Advocate ServicesAHH - American Benefit Management - 1426AHH - American Health HoldingAHH - Aultcare

AHH - CorrectcareAHH - Ironworks Local 549 & 550AHH - MotorolaAHH - Motorola Employees/ACS EmployeesAHH - OH Carpenters Health & WelfareAHH - Painting Industry FundsAHH - Toledo Electrical Welfare FundAHH - University of AlaskaAIG Accident and HealthAIG Benefit SolutionsAIG Claims ServicesAIG HawaiiAIG Worker’s Comp ManualAlabama Insurance Guaranty AssociationAlabama Trucking AssociationAlakska Here Health & WelfareAlaska CareAlaska Childrens ServicesAlaska Forest AssociationAlaska Here Health & WelfareAlaska Laborers ConstructionAlaska Native Tribal Health PlanAlaska Pipe Trades 367Alaska UFCW Health and Welfare TrustALFA Virginia Mutual InsuranceAlfa VisionAlicareAll Nations InsuranceAll Risk InsuranceAllegiance - MCAllegiance Benefit Plan Management, Inc.Alliance Benefit Management CompanyAlliant InsuranceAllied Benefit Systems

Allied NationalAllina HealthAlpha Data Systems, Inc.Alpha Vision InsuranceAlternative Benefit Plans, Inc.Alternative Insurance Resources,lncAlternative Risk ManagementAlternative Risk SolutionsAlternative Service ConceptsALTRUAAmalgamated Life InsuranceAmeriBen SolutionsAmerican Benefit CorporationAmerican Benefits AssociationAmerican Benefits Company, Inc.American Benefits ManagementAmerican EnterpriseAmerican Family InsuranceAmerican Hydrotech, Inc. American InsuranceAmerican International Group (AIG)American Management AdvisorsAmerican Medical SecurityAmerican National Life Insurance CompanyAmerican Professional Risk Services, IncAmerican Republic Insurance CompanyAmerican Specialty InsuranceAmerican Trust AdministratorsAmericas Choice Healthplans LLCAmeriComp BenefitsAmeriHealth AdministratorsAmeriPlanAmeripriseAmerisure InsuranceAmeriTrust Insurance CorporationAmway Health PlanAnchor Benefit Consulting


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Andrews ExcavatingANPACAntares Management Solutions APEA AFTApex Benefits Services, LLCAppalachian Benefit AdministratorsAriel Corporation Ariel Third Party AdministratorsArise/WPSArizona Pipe Trades Health and Welfare FundArkansas Pipe Trades Health and Welfare FundArmed Forces Insurance InsuranceAS&G Claims AdministrationAsbestos Workers Local 8Ascendant HealthCareAscendant HealthCareASE/AFSCME L 52 Health BenefitsASERT BenefitAspen AdministratorsASR Health Plans (ASR Corp)Associated Administrators (4Most)Associated Administrators LLCAssociated Benefits CorporationAssurant HealthAssure CareAssure Care Risk ManagementAssured Benefits AdministratorsASU GroupAtlanta Public SchoolsAultCareAuto Club AssociationAutomated Benefit Services (ABS)Automated Group AdministratorsAutomobile Mechanics Local 701AUXIANTAVERA HEALTH PLANS AvMed Health PlansAVMED Health PlansAZ Foundation for Med CareB.1 Baldwin ElectricBabb, Inc.BAC Local Union 15 Welfare FundBaker Benefits AdministratorsBakery & Confection Health & Pension FundBakery and Sales DriversBaldwin CountyBank Life & CasualtyBanner Health SystemsBashas’ Risk ManagementBenefit Administrative SystemsBenefit Administrator ServicesBenefit Assistance CorporationBenefit Concepts, Inc.

Benefit Management Administrators, Inc.Benefit Management ServicesBenefit Management, Inc. (MO)Benefit Plan AdministratorsBenefit Planners, IncBenefit Services of PABenefit Solutions, IncBenefit SupportBenefit Systems & ServicesBeneSys Inc.BeniComp, Inc.BerklyBeverage Drivers Local 792Bibb County Public SchoolsBlalock ConstructionBlue Cross Blue Shielf of SCBlueGrass Family Health PlanBMI Benefits, LLCBMI-HealthPlansBob McCloskey Insurance/BMI BenefitsBoilermakersBoon-Chapman, Inc.Boston PlasterersBoulder Administration Services IncBoyd Brothers TransportationBPABragg and Associates, IncBrenner Tank LLCBrentwood Services, IncBrethren Mutual Insurance CompanyBrevard Partnership NetworkBricklayers - Local 6Bridgestone Americas, Inc.Brokerage Concepts Inc.Brotherhood MutualBrown and BigelowBunch & Associates, IncBusiness Insurance Group, LLCC.H. Carpenter LumberC&O Employees’ Hospital AssociationCalifornia IndemnityCalifornia Water Services (CWS)CAM Administrative Services, Inc.Cambridge Insurance Co.Canal Insurance Co.CanassistanceCannon Cochran Management ServicesCapital District Physicians Health PlanCapitol AdministratorsCapitol Administrators of The SoutheastCaprock HealthPlans

Carey International Insurance CompanyCarey InternationalCarolina Benefit AdministratorsCarpenters H&W Trust of St LouisCarpenters Local 491 Health & Welfare PlanCarpenters Southern CaliforniaCarpenters’ Benefit FundCAS Benefit PlansCasto Technical ServicesCBACbca - SavannahCDS Health PlansCeltic Life Insurance CompanyCement MasonsCentral Data Services, Inc.Central Reserve LifeCentral Security Life Insurance CompanyCentral States Southeast and Southwest Areas Health & Welfare FCentury PlannersCerner CorporationCFBBCharter Benefit AdministratorsCharter/ PolarisChesapeake Employers Insurance CompanyChesterfield Resources CHRISTIAN BROTHERSChristian Care MinistryChristian Fidelity Life Insurance CompanyChubb InsuranceCignaCincinnati InsuranceCities and Villages Mutual InsuranceCity of AmarilloCity of DavenportCity of Hollywood (Florida)City of MontgomeryCity of Sarasota PPO and EPO (Florida)City of Venice (Florida)City of York (Pennsylvania)CL Frates & Company/Plico HealthClaim Management ServicesClaim Technologies IncorporatedClaims Administrative ServicesClarion Benefits Administration LLCCleveland BrothersCM HighCMN, Inc.CMR Administrators, Inc.CNIC Health Solution


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Co-ordinated Benefit Plans, Inc.Coastal Administrative Svcs Inc dba CAS Benefit PlansColonial GroupColonial Healthcare IncorporatedColorado Farm BureauColumbia CountyColumbia Insurance GroupCombined Benefits Administrators, LLCCommerce Bank Commerce Benefits Group, Inc.Commercial Travelers Ins.Commodity Specialists CompanyCommunity AdministratorsCommunity CareCompanionCompass Rose Benefits GroupComprehensive BenefitsComprehensive Benefits Administrator IncComprehensive Benefits Service Inc.Comprehensive Cost SolutionsCompStar Systems, IncCompTech Group LLCCompusysConifer Health SolutionsConMed Healthcare ManagementConnectiCareConnecticut Pipe Trades Health FundConsociate GroupConsolidated Benefits ResourcesConsolidated Health PlansConstruction Industry Laborers Welfare FundConstruction Suppliers Fund AConstruction Suppliers Fund BConstruction Workers Trust FundContinental General Insurnace CompanyContinental Western GroupContinental Western Insurance Co.Contract Claims Services, IncCoreSourceCornerstone Benefits AdminCornpfirstCorporate Benefit Services, Inc.Corporate Systems Administration, IncCorrectCare Integrated HealthCottingham & ButlerCounty of Riverside, CA.Covenant AdministratorsCovenant Group ServicesCox Health PlanCreative Plan Administrators LLC

Creative Risk SolutionsCWI BenefitsCWI Benefits IncCypress Benefit AdministratorsD.H. Evans Associates, Inc.DAKOTACARE Daniel H. Cook Associates, Inc.Dean Health Plan, Inc.Definiti Healthcare ManagementDelta Health SystemsDeseret Mutual Benefit AdminDistrict #77 IAMAWDiversified AdministrationDiversified Group AdministratorsDuluth Building TradesEASTEX TelephoneEBAM CorporationEBPAECOM (NELIC)ECOM (PALIC)Educators Mutual LifeElectrical Welfare Trust FundElectrical Workers (IBEW)Elite Brokerage ServiceELMCOEMC Insurance CompaniesEmployee Benefit AdministratorsEmployee Benefit Claims of WisconsinEmployee Benefit Concepts, Inc.Employee Benefit Management CorpEmployee Benefit Management ServicesEmployee Benefit ServicesEmployee Benefits Corp.Employee Plans, LLCEmployee Security, Inc.Employer Plan Services, Inc.Enterprise Group PlanningEnterprise Rent-a-CarEntrust IncEpharata ManufacturingEpitome, Inc.Erin Group AdminstratorsEvolent Health IncExam WorksFair IsaacFairbanks Northstar BoroughFarm Bureau - IowaFarmers InsuranceFBMCFCCI PPO and EPOFCE Benefit AdministratorsFederated InsuranceFederated Mutual Insurance Co.Federated Rural

FederatedFHA-TPAFidelity InsuranceFireman’s FundFirst Administrators Inc. (FAI)First Agency, incFirst Benefits InsuranceFirst Carolina CareFirst Health TPAFirst Service Administrators, Inc.FirstCareFive Rivers CarpentersFlorida Hospital Healthcare SystemsFlorida League of Cities, Inc.FMAFMH Benefit SeryFood Drug AdministrationFormula CorporationFortis Benefits Insurance CompanyFoundation for Medical CareFoundation Health Preferred AdministratorsFox EverettFox’s MarketFrankenmuth Insurance CompanyFrates Benefit AdministratorsFreedom InsuranceFreeman Admin Solutions, IncFreight Drivers Local Union No. 557Friedland Misler, PLLCFrontierFrontPath Health CoalitionFulton CountyFuture CareGAB RobinsGallagher BassettGard (North America) IncGBS - CarePlusGeisinger Health PlanGenexGenworth FinancialGeorge J Hayden ElectricGeorgia Insurers Insolvency PoolGerber Life Insurance CompanyGettysburg Health AdministratorsGilsbarGlobal Health Provider NetworksGlobal Medical ManagementGlobal Underwriters Inc.GMS TPA ServicesGolden Rule InsuranceGovernmental Risk SolutionsGrange Insurance GroupGraphic CommunicationsGreat American Insurance GroupGreat West


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Great West Casualty CompanyGreat West Risk ManagementGreater Cincinnati BricklayersGreater Kansas City Laborers Welfare FundGroup & Pension Admin (GPA)Group Administrators Ltd (GAL)Group Benefit Administrators, Inc.Group Benefit ServiceGroup Executive Insurance MarketingGroup Health CooperativeGroup Health ManagersGroup Health OptionsGroup Insurance Service Center (GISC)Group ResourcesGuarantee Bank & TrustGuarantee Insurance CompanyGuarantee Insurance ResourcesGuarantee Trust Life Insurance Co.Guardian Life InsuranceGuide One InsuranceGulf GuaranteeH&B FundHagerstown Teamsters and Motor Carriers HealthHanover FoodsHanover InsuranceHanover LanternHastings Mutual Insurance CompanyHawaii Mainland AdministrationHCC Life Insurance CompanyHealth Access AmericaHealth Administration Services, Inc.Health AllianceHealth Care Plan of South Dakota Medical Association/DakotacareHealth Claims Administration, Inc.Health Cost SolutionsHealth Design Plus, IncHealth FirstHealth Insurance Plan of Greater NYHealth Markets IncHealth NetHealth New EnglandHealth Plan Administrators, Inc.Health Plan IntermediariesHealth Plan SelectHealth Plus of MichiganHealth Services Benefit AdministratorsHealth Services Review, Inc.Health Special Risk, Inc.HEALTH SPRINGHealth WestHealthCare Partners Medical Group

Healthcare Payers Coalition of NJHealthCare Solutions Group, Inc.Healthcare StHealthCare Strategies, Inc.Healthcare Workers Comp FundHealthcomp, IncHealthEZ (Formerly America’s TPA)HealthFirst TPAHealthgramHealthlinkHealthMarketsHealthPlan SoutheastHealthSCOPE BenefitsHealthsmartHealthyCT IncHeating, Piping and Refrigeration Medical FundHeritage Consultatnts - Professional AdministratorsHerr Foods, Inc.HFN TPAHighland PhysiciansHM Benefits Administrators, Inc.HM Insurance GroupHMA IncHoltra ChemHometown HealthHospital Benefits, Inc.Hotel Restaurant Employees TrustHSBAHubbard ConstructionHumanaIATSE Local 22 Welfare FundIBEW 640IBEW Local No. 1 H&W FundIBEW Local Union 124IBT Local Union No. 145ICCIdaho Pipe TradesIEES, Inc.IHC Health SolutionsILWU-PMAIMT InsuranceIMWCAIncentusIndecs CorporationIndependent HealthIndependent Health Assoc IncIndian RiverIndiana Comprehensive Health Insurance Assoc.Indiana InsuranceIndiana University HealthINFORMED 9000InforMed LLC ING - Medical Risk Solutions

ING Employee BenefitsIngenexInnovative Claim SolutionsInsura Property & Casualty Co.Insurance AdministratorInsurance Administrators of America, Inc.Insurance ProgrammersInsurers Admin CorpInsurex Benefits Admin IncIntegra Administrative GroupIntegra Employer HealthIntegra GroupInter-Americas Insurance CorporationIntermediary Insurance ServicesIntermountain UFCWInternational Benefits AdministratorsInternational Medical Group (IMG)International SOS Assistance Inc IntracoroInVentiv Medical ManagementIOA ReIPM Health & WelfareIPMG-Employee Benefits ServicesIron WorkersIron Workers Dist CounsilIUOE Local No. 132 H&W FundJ P Farley CorporationJefferson County Schools Risk ManagementJensen Administrative ServicesJMH Health PlanJohn Copes FoodJohn Muir Physician NetworkJW TerrillKaiserKansas Building TradeKappa Benefit ServicesKemper InsuranceKentucky AccessKentucky Health Administrators, LLCKentucky League of CitiesKentucky School Board Insurance TrustKlais and CompanyKovatchKRBKroger Health Plan NationalLaborers District Council Local 351 H&WLaborers International Union Local 616Laborers SELaborers Trust Fund Local 980 H&WLairdLake County


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Lancaster Bible CollegeLas Vegas Firefighters Health & Welfare TrustLaslett, Blue & AssociatesLBA Health PlansLiberty MutualLinn County Risk ManagementLion Insurance CompanyLittle League Association AccidentalLocal 1102 TWDSULocal 1180 TWDSULocal 226 IBEWLocal 229 IBEWLocal 23 IBEWLocal 25 SEIU Welfare Fund Local 309 Benefits Office Local 520 Benefits OfficeLocal 57 Benefits OfficeLocal 70 Benefits OfficeLocal 877 IUOELocals 302 & 612 ConstructionLockheedLondon InsuranceLone Star TPALoomis CompaniesLos Angeles Fire Fighters Local 10121M ed 3000M S Administrative Services, Inc.Magna Administrative ServicesMagnaCare TPAMagstar TechnologiesMaksin Management GroupMAMSIManaged Care AdministratorsManaged Care of America Managed Health ServicesManatee GlensMarine Engineers Benefit AssociationMariners HospitalMarkel Insurance CompanyMarsh Affinity Group ServicesMaryland Electrical Industry Health FundMBA Benefit AdministratorsMBA BenefitsMBA Merrill Bostrom AssocMBMCMCA Administrators, Inc.MCAuditMeadowbrook Insurance GroupMeatcutters - Wilson McShane CorpMedataMedComMedCost Benefit ServicesMedical Associates Health Plans

Medical Benefits Administrators, Inc.Medical Benefits CompaniesMedical Benefits MutualMedical Mutual of OhioMEDICAL NETWORKMEDICOMPANIES LLCMedpartnersMedsave USA IncMeridian ProductsMeritain Health Corp.Messelman Lumber Inc.Michigan Property & Casualty Gauranty Assn.Mid-America AssociatesMid-American BenefitsMidAmerica AdministratorsMiddletown RetireesMidlands Claim AdministratorsMidwestern Insurance AllianceMinneapolis and Suburban Lumber DealersMinneapolis Auto DealersMinnesota and North Dakota BricklayersMinnesota LaborersMinnesota Teamsters Construction Div HighwayMinnesota Timber WorkersMMSIMolton, Allen & WilliamsMontana TeamstersMontgomery Insurance CoMontgomery Mutual Insurance CompanyMonumental LifeMonumental Life Insurance GoMountain States Administrative ServicesMunicipal Health Benefit FundMutual AssuranceMutual Medical Plans Inc Mutual of AmericaMutual of OmahaMVP Health PlanNAHGA, Inc.National Administrative ServicesNational Asbestos WorkersNational Association of Letter CarriersNational Benefit Administrators, Inc.National Claims Administrative ServicesNational Employee BenefitsNational Farmers UnionNational Health BenefitsNational Liability

National Rural Electrical Coop. AssociationNational Telephone CorporationNationwide InsuranceNative Care Health, LLCNECA - Local 145Network Health PlanNew Era LifeNew Holland Custom WoodNew Jersey HealthNew Mexico Association of CountiesNexcaliberNiagara CountyNiagara Frontier Transit Metro System, Inc. Norcal LaborersNorfolk Dredging CompanyNorth America AdministratorsNorth American Health Plans/Meritain HealthNorth Carolina Electric CooperativeNorthern California CarpentersNorthwest Plumbing & PipefittingNorthwest Sheet Metal WorksNova Healthcare AdministratorsNovasys HealthODSOhio BricklayersOhio Casualty GroupOhio State University Health PlanOld Republic InsuranceOlympus Managed Health Care, inc.Omni AdministratorsOne Beacon Insurance Co.One Beacon Professional PartnersOperating Engineers Local 4OptumHealthOrange County Public SchoolsOrion AutoOscar Insurance CorporationOscar Insurance CorporationOsceloa County (Florida)Outsource OneOxford Health Plans,PA Manufacturer’s Association Insurance PacifiCare of CaliforniaPainters and Allied TradesPan-American Life Insurance GroupParamount Health Plans, Inc.Payer FusionPekin Life InsurancePenn National Insurance CoPenn Western Benefits, Inc.Peppermill Inc Pequot Plus Health Benefit Services


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Perfect Health InsurancePerformaxPersonal Insurance AdministratorsPhiladelphia America Life Insurance CoPhysicians Benefit TrustPhysicians Health Plan of MichiganPhysicians Plus Insurance CorporationPinnacle Claims ManagementPioneer Managment SystemsPipefitters 533 Health and Welfare FundPlumbers & Pipefitters Local 25Plumbers & Pipefitters Local 501Plumbers & Steamfitters Local #106 H&W FundPlumbers & Steamfitters Local 33Plumbers and Steamfitters Local #486Plumbers Local 522Plumbers Local 75Plumbers Local 8Plumbers Local 88PMAPolaris BenefitsPOMCOPopulyticsPrairie State Insurance CooperativePreferred Benefit AdministratorsPreferred Care - MVP Health PlansPreferred Health AlliancePreferred Medical Plan IncPreferred OnePrimeNet, Inc.Priority HealthPro-Claims PlusProCentury Insurance CompanyProfessional Benefit Admin (PBA)Professional Benefits ServicesProfessional Claims AdministratorsProfessional Claims ManagementProgressive Benefits ServicesProPeer Resources, Inc.Providence Administrative Services, Inc.Providence RiskProvident American Insurance CompanyPSIPublic Employees Health PlanPublic Employers Local 71 TrustPupil Benefits Plan, Inc.Q3 Business TechnologiesQmedtrixQuality Health Management LLCQuantum Imaging

Queensboro CorporationQuik Trip CorporationRady Childrens Hospital San DiegoRailroad Maintenance and Industrial H&W FundRam Mutual InsuranceRDWSU Local 338Ready Mixed ConcreteRegence/AsurisRegional Care Inc.ReliaMax Insurance CoRemco PetroleumRepublic GroupReserve National Insurance CompanyRESOURCEONERetiree Health TrustRG ApplegateRGB Retailer GroupRH AdministratorsRHS Business ServicesRich Maid KabinetryRigid plyRisk Solution ResourcesRiverside Benefit AdministratorsRiverside County, CA.RMSCO, Inc.RMSCO, Inc.Roanoke Iron Workers Trust Fund Local 697Robert C Bouck, IncRobert F Kennedy Farm WorkersRocky Mountain AdministratorsRocky Mountain Health PlanRoofers & Waterproofer Local 136Roofers Local 74Roofers Local 96Royal InsuranceRuanS & S Healthcare StrategiesS A AllenS11-10Salt RiverSalvation ArmySamaritan Health ServicesSan Diego Electrical HWTSan Jose AdministratorsSan Luis Valley HMOSANFORD HEALTH PLANSanta Monica Bay Physicians Health SvcsSarasota County GovernmentSarasota HeartSarasota Memorial HospitalSarasota PathologySarasota YMCASavers Property & Casualty

School District #1 Health & Welfare TrustSchool Insurance of FloridaScott & White Health PlanScottish Rite Health Plan Seabury & SmithSecura Insurance CompanySecure CompSecure HealthSecureOne Benefit Administrators, Inc.Security Health PlansSecurity Life Insurance Company of AmericaSecurity Workers Health and Welfare FundSelect Benefit AdministratorsSelect Health PlansSelect HealthSelectCare Risk Management CorpSelective Insurance Self Funded PlansSelf Funding Administrators CorporationSelf Insured Group Marketing(SIGMA)Self Insured Plans, LLCSelf Insured Services CompanySentara Health Management IncSentra Health ManagementSheakley Vocational Services Sheet Metal #10Sheet Metal WK Local 24Sheet Metal WK Local 265Sheet Metal Worker’s International Assoc.Sheet Metal Workers #73Sheet Metal Workers Local 100Sheet Metal Workers Union Sheffield InsuranceSheffield Risk Management ServiceSheffield, Olson & McQueenShelter Insurance CompaniesSierra Health And LifeSignifica Benefit Services IncSignifica Insurance Group IncSimplifi (Formerly CBCA)Society InsuranceSoutheastern Indiana HealthSoutheastern Insurance GroupSouthern Benefit AdministratorsSouthern Group Administrators, Inc.Southern National Life InsuranceSouthwest AdministratorsSouthwest Service AdministratorsSouthwire CompanySpecial Insurance Services Inc.


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Spectrum RiskSt Johns Claims AdministrationSt Paul Electric WorkersSt Paul PrintingSt. Francis Health NetworkSt. Joseph Heritage HealthcareSt. Paul Auto Dealers and DistrictStandard Life & Accident Insurance CoStar Insurance CompanyState National Insurance Co. State of Georgia, DOASSteadfast Insurance CompanySteel of West VirginiStirling and StirlingStirling Benefits IncStoner and AssociatesStonewood Insurance CompanyStudent Plans, Inc.Sturm and AssociatesSuburban Health OrganizationSummit - PIA Summit America Insurance ServicesSummit, Inc.Sun Life FinancialSusquehanna LaborersSutherland Food ServiceSwiss RE Reinsurance NationalSyracuse University Athletic Department T.L. Groseclose Associates, Inc.T.R. Paul IncTall Tree AdminTBG Administrative ServicesTeacher’s Protective Mutual Life Insurance CompanyTeachers Health TrustTeachers ProtectiveTeam HealthTeamster Local 175 & 505 H&W Trust FundTeamsters Local 135 Health Benefit FundTeamsters Local 560 Benefit FundTeamsters Local 618Technology Insurance CompanyTennessee Insurance CompanyTexas Carpenters and Millwrights H&W FundTexas Mutual Insurance The AllianceThe Frank Gates Service CompanyThe GEMGroupThe Gray Insurance Company, Inc.The Harleysville Insurance CompaniesThe Hartford

The Integrity Benefit NetworkThe Kempton CompanyThe Peninsula Insurance CompanyTherma CoreTHIPA- Torrance Hospital Independent PracticeThomas Cooper & CompanyThree Rivers Benefit CorporationTLC Advantage Sanford HealthToledo Electric WelfareTotal Broker BenefitsTotal Claims ManagementTotal Plan AdministratorsTotal Plan ServicesTower Life InsuranceTPA of GeorgiaTR Paul, Inc.Transguard InsuranceTransport Workers Union Health & Welfare FundsTranswestern Insurance AdministratorsTravel Insurance ServicesTravelers InsuranceTri-State Insurance CompanyTri-State Joint FundTrident Plan AdministratorsTristar Managed CareTristate Local 1035Tristate Local 191Tristate Local 404Tristate Local 443Tristate Local 493Tristate Local 559Tristate Local 677Tristate RetiresTruck Drivers and Helpers Local 365Trusteed PlansTrustmark InsuranceTufts Health PlanTwin Cities Case ManagementTwin City Floor CoveringTwin City PipeUA Local 125 H&WUA Local 782 Health PlanUFC Local 711UFCW UICI Holding CompanyUltra BenefitsUltraBenefits IncUMRUMR/Benesight/FiseryUnderwriter Safety & ClaimsUnicareUnion Insurance CompanyUnion Labor Life Insurance Company

Union Pacific Railroad Emp Health Sys. Union Standard Insurance GroupUnion Trowel TradesUnited American Insurance CompanyUnited Claim SolutionsUnited Employee Health PlansUnited Healthcare Integrated Services (administered by UMR)United Insurance Companies, Inc.United Med ResUnited Press InternationalUnited Security Life and Health Insurance CompanyUnity Health InsuranceUniversal AssistanceUniversity Of Chicago Health Plan (UCHP)University of Colorado-University Risk MgmtUS Administrator ClaimsUS Health GroupUS Network and HealthcareUS Oil Company Employer Group NationalValley Baptist Health Plan IncVallorbs Value Options/NRLCVanliner InsuranceVIA Metropolitan TransiViva HealthVoya FinancialW.I Cox Associates, Inc.Warehouse Employees Local 570 Trust FundWasatchWashington State Department of TransportWatkinsWEAWEB TPAWebbcoWelfare & Pension Admin SvcWelfare and Education FundWells Fargo TPA, Inc. (AKA HealthSmart)Wenger Family of CompaniesWest Bend Mutual InsuranceWest Virginia Laborers’ Trust FundWestern & Southern Financial GroupWestern Growers Assurance TrustWestern Guaranty Fund ServicesWestern Southern LifeWestern Southern Life Insurance CompanyWilliam Earhart Co, Inc.


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Williamsburg National Insurance Co. Willims, Parker, Harrison, Dietz, & GetzenWilson Mcshane Twin City Sheet MetalWilson Mutual Insurance

Wisconsin Health FundWisconsin Insurance Security FundWMI Mutual Insurance Co & WMI TPAWP Northwest Iron Workers TrustWP Northwest RoofersWP Operating Engineers

WP PugetWPS Health InsuranceWR Berkley CorpYodersYusen Transportation Zenith Administrators

GALAXY / MANAGED CARE INCORP. (MCI) - PPOFee Schedule: 30% discount off billed charges.

Patients enrolled: 4.5 Million+ nationwide



Reimbursement: Fee for Service.

Claims Submission: Member ID will indicate.

Patient Identification: Galaxy Health Network will appear on the patient’s card or card sleeve.

Payer clients: The following list of Payer clients are Galaxy/MCI Medical Payers

Website: www.galaxyhealth.net

2 Land, LLC2187 United Teamsters Fund2190 Local 840A & G Financial ConsultantsAaron’s Service CompanyABC Iowa Trust & AG Processing, Inc.Able Telecon HoldingAccutaxACE USAACMGACS Consulting Services, Inc.Activation, Inc. Acurite – OOA TravelAdams Northlake PharmacyAdministrative Benefit ServicesAdministrative Claim ServicesAdministrative Consultants, IncAdministrative Support, Inc.Administrators & ConsultantsAdminone CorporationAdvanced Industrial AssistanceAFC GroupAffiliated Benefits OrganizationAffiliated Foot CenterAffinity Group UnderwritersAHGLAhrens Financial Systems, IncAIG International ServicesAIG Worldsource

AIM AdministratorsAim Benefit ServicesAladdin Carpets and Interiors, IncAladdin IndustriesALATECAlexander InternationalAll Risk Administrators, IncAll Staffing Employee Healthcare PlanAllen MedicalAllen UniversityAllen’sAlliance International AssistanceAllied Benefit AdministratorsAllied Services Workers Union No. 1Alpine Moving of TexasAmeraplanAmerican Administrative Group American Appliance OutletAmerican Benefit ManagementAmerican Cometra, IncAmerican Freightways, Inc.American GeneralAmerican Health Care AllianceAmerican Health Care PartnershipAmerican HealthCare Partnership–ProTransAmerican HeritageAmerican Home AssuranceAmerican Ice Machines, Inc

American Insurance CompanyAmerican Insurance Company of TexasAmerican National CarbideAmerican National Insurance CompanyAmerican National Life Insurance CoAmerican National Standard AutomationAmerican Pawn and JewelryAmerican Pioneer Insurance CompanyAmerican PrintingAmerican ResidentialAmerican Sigma – OOA TravelAmerican States InsuranceAmerican Union Life Insurance Co.American Western LifeAmericorpAmeripac, Inc.AMFED Employee Benefit Plan TrustAMTI/ACF 10145Anchor Benefit Consulting, IncAnderson Lithograph, IncAnesthesia AssociatesAnthem Health & Life Ins CoAnthony Armstrong AgencyApa Partner/KamtechApache CountyApartment Hunters


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Apex Home HealthcareAPW Union Health PlanArgus, Inc.Aristacom International, Inc.Arizona Health DimensionsArrow MetalsASC International, Inc.ASO North AmericaAssociated Plan AdministratorsAssurance Resources, IncAtlas Life Insurance CompanyATS & MidwesternAubrey Auto SalesAurora Dairy CorporationAurora National GasAutomated Benefit ServicesAutomated Group AdministratorsAutomotive Fuels CompanyAutomotive PartsAX5B & B GravelB B L – PomcoBABB, Inc.Bakakel CommunicationBankers and Merchants State BankBankers Life and Casualty CompanyBankers Security Life Insurance CompanyBarney Holland Oil CompanyBarrier ResourcesBartush – Schnitzuis CompanyBasic Benefits, Inc.Basland, Bouch and Lee AssociatesBass Engineering CompanyBatteries PlusBaxter and Sons Elevator CompanyBaylor Trucking – 178Bayside ManorBeacon Risk StrategiesBearcom Operating L. P.Bearder Furniture CompanyBeckwith-Hightower and Renberg InsBeefers Systems, IncBelmont-OOA TravelBenborrk Family PracticeBencor CorporationBenefit Administrators Systems, IncBenefit Claims PayersBenefit Concepts Human Resrce MgntBenefit Design AdministratorsBenefit GroupBenefit Life and Casualty Corporation

Benefit Life Insurance CompanyBenefit Management CorporationBenefit Negotiators, IncBenefit Planning Services, IncBenefit Resource ManagementBenefit Resources/The Resource GrpBenefit SolutionsBenefit SupportBenefit SystemsBenefit Systems & Services, IncBenicorp, Inc.Betlis Construction, IncBetro, IncBible Baptist Church and SchoolsBiesse AmericaBitterroot InternationalBlake Trainer TruckingBlansett PharmacalBlasland, Bouk & Lee AssociatesBlueworksBOABob McClosley Agency, IncBoise State UniversityBoom Vang ConsultingBowling Green State UniversityBoy Cote IMT, Inc.Boyd Brothers TruckingBoyd-Veigel-AttorneysBrammer SupplyBreen Color/ACF10140Brennans Ltd. Designers WorkshopBriarwood - Brookwood, IncBricklayers & Allied Craftsman Health & Welfare Fund of IndianaBridgestone/Firestone Americas HoldingBrokerage Concepts, Inc.Brown & Roberts Browning Oil Company, IncBrynwood Center #526Bumper to Bumper, IncBurton BuildingsBurznski ResearchBush (Colorworks) – OOA TravelByar’s Mobile HomesC & G Tele-Wiring ServicesC & M Fine Pack, Inc.C & S TrailerC I MIC. R. Sign CompanyC. A. S. A. Church and School AssociationCalcasieu Parish School Board

Calnada Surveying, IncCam Administrative Services Cambria Capital CorporationCamden CountyCampbell Industries Inc. Canada Life Assurance CompanyCar Shops Cardinal Investment Company, IncCarolina Benefit Administrators Carriage House – OOA TravelCarroll AutomotiveCasa Linda Remodeling, Inc.Cattle Baron RestaurantsCBRCBSACBSICedar Creek BankCeltic Life Insurance CompanyCenterline Industries, IncCenterville Independent School DistrictCentral ConcreteCentral United Life InsuranceCentri’s Risk ManagementCentury AluminumCeonseco Medical Ins. CoCertified Temporary ServicesChas F. Williams Company, Inc.Checkered Flag TransportationChek CashCher A Bumps & Assoc.Chicago Tire And Auto ServiceChiropractic StrategiesChoice NetChrist Chapel Bible ChurchCitizens National Bank – HendersonCity of Fort Wayne Fire & Police InsCity of NF – OOA TravelCity of Siloam SpringsClassic Products Corp.Cleveland GroupCliffstar – OOA TravelClouse TruckingCMACCNC Global Resources, Inc.CNG CommunicationsCoalition of America Marketing GroupCoastal Lumber CompanyCochise County Group Health TrustCollege Station Church of ChristCollin Street Bakery Collins Entertainment CorporationCombined Benefit Administrators, Inc.


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Comcar Industries, Inc. Commerce Medical GroupCommerce National BankCommercial Bank of Texas, N. A. Commercial National Bank of BeevilleCommercial National Bank of BradyCommercial UnderwritersCompFirstComplete Book and Media SupplyCompro Systems, Inc.Computer King, Inc.Concho Construction Company, Inc.Conley, Lott, Nichols MachineryCon-ServConservcoConsolidated Employee BenefitsConsolidated International Group, Inc.Consolidated Tex-Pack, Inc.Consumer Benefit Services, IncContinental CarbonicsContinental General Insurance Co.Continental Life and AccidentControl and Connector SpecialtyControl Tech – OOA TravelConveying and Mining EquipmentConwae, Inc.Cooper Institute of Aerobics ResearchCoordinated Benefits Administration, IncCornerstone Preferred ResourcesCorning, Inc.Corporate Benefit ConsultantsCorporate DynamicsCorporate Health AdministratorsCorporate Staffing ResourcesCorporate Systems AdministrationCostco, IncCotter Member Insurance CompanyCougar Trucking, Inc.Country Life Insurance CompanyCovenant Administrators, Inc. Cox Insurance CompanyCran TechnologiesCross Plains/SandersonCrown Auto CompanyCrown LifeCSACTA LLCCuero Community HospitalCuna Mutual Insurance GroupCustom Design BenefitsCustom Logistics & Warehouse

SrvcsCustom Sprayed On Liners, IncCyclone Manufacturing CompanyD & M FertilizationDallas / Fort Worth Roofing SupplyDallas Bankers Life Insurance Co.Dallas General Life Insurance Co.Dallas Production, IncDamon’s InternationalDan’s Furniture and ButaneDarling InternationalDart ConstructionDave’s SupermarketDavid Knight and AssociatesDavid Lewis BuilderDécor GravureDelores Water Conservancy DistrictDelta Health GroupDesign Benefit AdministratorsDevon Health ServicesDexide, Inc. Diesel DiagnosticsDigioia Brothers ExcavatingDincon, Inc.Discount Loser ProductsDiversified Benefit PlansDixon PlumbingDon J. Holt, MDDonald VardmanDonley and HoranDos Gringos, IncDouble J Installation ServicesDowcraft – OOA TravelDRX, Inc.DS SupplyDublin National BankDunn and AssociatesDurmaxDVCC, Inc.Dyersburg CorporationDYI GroupDynamic Dies, Inc.Dynamic ProductsEagle Communications, IncEast Texas Bancshares, Inc.East Texas Fabrication, Inc.East Texas Seals, Inc.Eastern Benefit SystemEclipse MedicalEdison ProjectEdward B. MorrisEdward Equipment Sales, Inc.Edward N. Bitter, D.D.SEEDP Enterprises, IncEGS Electrical Group

Eikenberry & Associates, IncEl Campo NewspaperElectrio Acoustics & VideoElkhart State BankEmployee Benefit AdministratorsEmployee Benefit ServicesEmployee Benefit TrustEmployee Benefits Management ServicesEmployee Security, Inc.Employer Planning ServicesEmployers MutualEncon International, L. P. Energy Partners GroupEntrust Risk ManagementEntrust, Inc.EPIC AdministratorsEpic Insurance CompanyEpiscopal School of DallasEquitable Plan Service, Inc.Equity Benefit ServicesErin Group AdministratorsEstrada & AssociatesEvolutions Healthcare Sys (Guardian Resources)Excalibur ConstructionExodyne/KC LifeExpress Doctors, IncExtended Benefits (West Chemical)F. W. GarnerF. C. E. Benefit AdministratorsFabulous FoodsFairmont Management Company, Inc. FARA Benefit ServicesFarmers and Merchants State BankFarmers and Merchants – BurlesonFarnell & Smith Inc. Farouk Systems, Inc.Farrago FarmsFarris Point of Sale, Inc. Fas-Tronics, IncFincastle Cattle CompanyFine Lines AutomotiveFirst American AdministratorsFirst BankFirst Benefit AdministratorsFirst Benefit ServicesFirst Integrated Health, Inc.First National Bank of BallingerFirst National Bank of BeevilleFirst National Bank of BurkburnettFirst National Bank of DublinFirst National Bank of FairfieldFirst National Bank of Gilmer


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First National Bank of GrahamFirst National Bank of GranburyFirst National Bank of Lake JacksonFirst National Bank of LivingstonFirst National Bank of McGregorFirst National Bank of MertzonFirst National Bank of MexiaFirst National Bank of Port La VacaFirst National Bank of WhitewrightFirst National Bank of WinnsboroFirst Place Financial Corp/Capitol BankFirst Security State BankFirst State Bank and TrustFirst State Bank of BurnetFirst State Bank of CluteFirst State Bank of GrahamFlat Rolled Steal, Inc.Florida Health AdministratorsFlorida Health AllianceFood Sales SystemsFood Sales WestFort Pierce Public UtilitiesFort Wayne Mack Sales and ServiceFortis Benefit Insurance CompanyFoundation Health SystemsFoundation Steel and WireFour Wheel Drive HardwareFOW / KES Equipment, Inc.Fred Anderson & Son Drilling, IncFredonia State BankFreeport Welding and Fabricating, Inc.Fucillo Automotive DealershipFuture Point Administrative ServicesG. T. IGainesville ProductsGardner and WhiteGarrett and GarrettGateway FinancialGem Insurance GroupGEMIGilsbar Inc.Glen Oaks Health Care CenterGlobal Claims ManagementGlobal Excess REGlobal Ins Mngmnt & ConsultantsGlobal ManagementGlobal Training AcademyGloria Jeans Gourmet CoffeeGNT InternationalGohio: Adams – Brown CountiesGowdwins, Brooke and DickersonGraue-Haws, Inc.Greenbriar Architectural

Greenvile BearingGreg Booth and Associates,Inc.Griffin Industrial ServicesGroup Administration ServicesGroup Benefit ServicesGroup Benefits Unlimited, IncGroup Health AdministratorsGroup Health Cooperative ClaimsGroup ResourceGrove MotorsGSB Investments, Inc.GSF ClaimsGuarantee Insurance ResourcesGuarantee Mutual Life CompanyGuarantee Trust Life Insurance Co.Guaranty National BankGuardian Life Insurance CompanyGuardian Resources, Inc. (Evolutions Healthcare System)Gulf Atlantic GroupGulf BreezeGulf IndustriesGulf South AdministratorsGulf South Health PlusGulf South Medical SupplyHabasit – OOA TravelHadd Machine Tools of TexasHadden National Administrators IncHaffle America CompanyHagemeyerHalifax Health PlanHalliburton Swimming PoolsHalls LumberHancock Medical CenterHandley Chiropractic CenterHaney Group ServicesHansen Beverage CompanyHards Marine ServiceHarvey’s Hotel and CasinoHaswe & HauserHayes and StolzHB Zachary CompanyHCH AdministrationHCRSHealth AccessHealth AllianceHealth and Life of AmericaHealth Headquarters LLCHealth Management Assoc. Health Plans of AmericaHealth Plans, Inc.Health Special RiskHealth Spring ManagementHealthcare AdministratorsHealthcare Benefits, Inc.

Healthcare Management ServicesHealthcare Management, Inc. Healthcare Solutions GroupHealthchoice, Inc.HealthcoreHealthfirst TPAHealthguardHealthNet of ArizonaHealthPlans, Inc.Henry G. SalzerHerb’s Tire ServiceHeritage National BankHeritage Village – OOA TravelHigh Power Aviation, Inc.Highgate Products, Inc.Highland Lakes BankHighmark Life & Casualty GroupHi-Ho Store & CaféHIS EnterprisesHitch Enterprises, Inc.HMO – El SalvadorHodges BrothersHolidair Insurance Services, Ltd. Holman Robertson EldridgeHolzer Medical CenterHome Life Group Benefits and ServiceHood CorporationHopson LodgingHorace Mann Insurance CompanyHospital Benefits, Inc. Hospital Staffing ServicesHospital Television NetworkHospitality Partners / ACF 10143Houghton – OOA TravelHouston A-1 Car Stereo Plus, Inc. Houston Cardiovascular AssociatesHR AmericaHR ServicesHulcher Services, Inc. Human Resource Benefit AdministratorsHunt Insurance Group, Inc. Hygeia World HealthI A C/ Reliance #560I O A – REIBEW/NECA Health and Welfare FundICM, Inc.Ideon, Inc.IEES, Inc.IHC Health PlansIllinois Manufacturers Association Group Ins.Imageware, Inc.


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INCInchlor Services, Inc. Independent Bankers Association of TexasIndependent Life Insurance CompanyIndiana LumbermansIndustrial Packaging ServicesIngersoll EnterprisesInman MillsInnovations in Home TheaterInnovative Resource GroupInput/OutputInstrumental Control ServicesInsurance Risk ManagementInsurance Claim ServicesInsurance Design AdministrationInsurance Management ServicesInsurexIntegral Strategies, Inc.Integrated Clinical DataIntegrated Healthcare Solutions, LLCIntegrated Living CommunitiesIntegrated Practice ManagementIntegrity Administrators, IncInter Rail TransportIntercare Benefit SystemsInternational Aviation Services, LimitedInternational Benefits AdministratorsInternational Benefits Services Corp.International Fidelity GroupInternational Group ServicesInternational Healthcare, Inc. International MedCareInternational Medical GroupInternational RecifierIntervalley Health PlanIntile Designs, IncInverness WaldenIron Man Welding WorksIronworkers District CouncilIsland Group AdministratorsIUPIW Benefit FundIvoClar – OOA TravelJ & A VendingJ. Allen Hall & Associates, Inc.J. L. Brantley, Inc.J. B. Parks Wholesale Florist, Inc.Jabin IndustriesJack Harrison & AssociatesJack’s Appliance CenterJackson LEA

James CableJason ComponentsJasper Engines & Transmission Co (Woods & Grooms)Jay Tex AviationJefferson Life Insurance CompanyJefferson Pilot Life InsuranceJefferson Pilot NetworkJerry’s Chevrolet–Buick Inc & AffiliatesJess and Gross CompanyJet FoodsJewelry Market, Inc.Jiffy Signs & DecalsJohnson Benefit AdministrationJoiner Food Services, Inc.Jon’s WindshieldJonad, Inc.K & K Insurance CompanyKanawha Employee Benefit Admin,IncKansas City Life Insurance Co.Kappa Benefit ServicesKCS Management ServicesKD, Inc.Keiser, Inc.Keller State BankKenneth W. JackKepple and CompanyKetchumKettle Restaurants, Inc.Key Benefit AdministratorsKey Partners, Inc.Kids “R” Us of CopperfieldKinetico, Inc.Kingdom – OOA TravelKingsley Group, Inc.Kirk PatrickKitiles Home Furnishings, Inc.Klais- Non Reliance – Tricor #675KLLM TruckingKnockdown, IncKondos & KondosKRI Growth StocksKS Electric Health InsuranceL. J. Underwriting and AssociatesLabor & Beyond, Inc.Lackland PropertiesLake Eustis Care CenterLandmark Community/Image TechnlgyLandmark Tower CorporationLane McDuff Sales CompanyLantech of America, Inc.Larson Associates USA

Law Office of Michael O’BriantLaw Offices of Ken WillfordLBA Health PlansLectric Lites Company, Inc.Lefevre AgencyLegal Security Life Insurance Co.Leica – OOA TravelLeon Jones Seed & GrainLerson Advisory ServicesLetsos CompanyLevenson, Levenson and Hill, IncLife Care Centers of AmericaLife of the SouthLifeCourse Management ServicesLifeline Underwriters Life Ins CoLife-Tech, Inc.Lift TechnologiesLincoln UniversityLloyd’s of LondonLocal 854Lockhard & Williams Insurance SrvcsLone Star Transportation, Inc.Lone Star Truck & Equipment Svcs, Inc.Longdale Industries, Inc. Love TechnologiesM B R KMacNeal Memorial HospitalMaggie Breen, Inc.Magna Administrative ServicesMagnacare PPO – Local 617Magnacare PPO # 556Magnacare TPAMahoney ConsultingManaged Benefit AdministrationManaged Care AdministratorsManaged Care of AmericaManaged Med GroupManaged Underwriters, Inc.Management Counsel for Employee BenefitsManagement ServicesManaging Underwriters, Inc.MandellManhattan Life Insurance CompanyManual Woodworkers & Weavers, IncMarco Display Specialists, Inc.Marion GeneralMarketing Services AssociatesMarriot International, Inc.Marshall Collision RepairMarvin EnterprisesMashantucket Pequot Tribal Nation


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MAUMEEMaury Donnelly & Parr, Inc.Mays Chemical CompanyMc Crone Design / ACF 10139McBee CompanyMcConackie Financial ServicesMcFarland, Ferguson & McMillianMcGriff IndustriesMcKenzie Medical Benefit Plan TrustMcKinney Lumber and Hawk CompanyMcKinstry EnterprisesMcLaren’s ToplisMechanical Interiors, Inc.Medex Assistance CorporationMedex Insurance ServicesMedia GeneralMedical Benefits MutualMedical Care Management ServicesMedical Claims ServicesMedical Claims Solutions, Inc.Medical ExpressMedical Resource Marketing GroupMedina Valley State BankMedreviewMeiden & Hunt, Inc.Mel Stevenson Associates, Inc.Melange Fine CuisineMember Insurance ProgramMemphis Light Gas & WaterMemphis State BankMercury InternationalMervis IndustriesMetal ProcessingMetronicsMetronics – OOA TravelMi CocinaMiami Medical Centers, USA Inc.Michael McCulloch, MDMicron Industries, Inc.Mid America BenefitsMidas Rex Pneumatic Tools, IncMidland Life Insurance CompanyMillennium Health GroupMiller & LongMiller and Herring P. C. Miller Veterinary SupplyMills County State BankMiracle MachineMobiech, Inc.Modern Art Museum of Fort WorthModule Truck Systems, Inc.Momentum Holdings, CSI.NetMonroe’s Carpet & FurnitureMontana Unified School Trust-Must

Montgomery ManagementMonton BuildingsMontrose Ford – NissanMorris AssociatesMorrow Buick – Pontiac, Inc.Morton Custom Plastic of KentuckyMouzon Bass CompanyMr. Bill Motor CompanyMrs. Leepers, Inc.Munsch Hardt Kopf Harr and Dinan PCMuscle TechnologyMustang Financial CorporationMutual of OmahaNapata Ace HardwareNational Accident Ins UnderwritersNational Allied Workers – 831National Assoc of Preferred ProvidersNational Benefit Administrators, Inc.National Benefit Resources, Inc.National Care NetworkNational Claims Administrative SvcsNational Employee Benefit Admin, Inc.National Financial Life Ins CoNational Foundation Life Ins CoNational Group Insurance CompanyNational Group LifeNational Health Benefit Corp.National Health Insurance CompanyNational Insurance ServicesNational Property CasualtyNational Risk TransferNational Rural Electric Coop AssocNational Seating & MobilityNational Security LifeNational Spirit Group, LimitedNauticon, Inc.NCAS – Pleasant Hardware CompanyNCAS – Security Finance CompanyNeuroscience Centers, IncorporatedNew Century UnderwritersNew Deal Independent School DistrictNew Era Life Insurance CompaniesNew Jersey Auto WholesalersNew Mexico Foundation for Medical CareNew Millenium – OOA TravelNews – Journal Corp.Next USA, Inc.NextelNGS American, Inc.

Nils Sefeld Volvo & Tattoe ManagementNitram Energy – OOA TravelNJ America, Inc.Norcraft CompaniesNormandy, Inc.North America AdministratorsNorth Central Texas Laborers Health and Welfare FundNortheast Frozen FoodsNorthern AutomotiveNorthwestern National LifeNorton Lilly internationalNova Healthcare AdminNovia Underwriters H R M Claim MgmtOak HillOak Tree Administrators, Inc.Oasis Pipeline CompanyObersfield’s, Inc.Okaloosa Gas DistrictOlivery Lumber CompanyOMSOne Stop Copy and PrintingOntod Ltd.Opportunity Resources, Inc.Options PublishingORMAT TechnologiesORMAT, Inc.OSF Healthplans, Inc. O’Steen Adjusting ServicesOtis Spunkmeyer, Inc.Outdoor Lumber & HardwareP. J. Welding and FabricationPACEPacific Coast Claim Consulting CoPacific Health and Life Insurance CoPacific Heritage AdministratorPacific Hospital AssociationPacific PreferredPacific Risk ManagementPacific Western ExcessPailet Financial ServicesPaint Sundry – OOA TravelPairgain Technologies, IncPanada Energy International, Inc.Panama Beverage Co.Panola Lights and SignalParadigm-MaconParadigm Administrators, Inc.Parkway CommunicationsPaslay Services, Inc.Pay & Save, Inc.Pechiney Rolled ProductsPecos County State Bank


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Pedding House CorporationPentacon – D – Bolt CorporationPericoPeriodical Services Inc.Personnel NetworkPete Durant & AssociatesPetro Tech, Inc.Pettigrew WeldingPFMCPharmacy Systems # 510Phelps Dodge CorporationPhiladelphia American Life Ins CoPhilip Vogel Company, P.C.Phoenix Communicants Mstr GraphicsPhoenix Excess Risk UnderwritersPiedmont AdministratorsPiedmont CollegePierce Public UtilitiesPilgrim Congregational United Church of ChristPine Forest JewelryPineland State BankPioneer Financial ServicePioneer Life Insurance CompanyPisano GroupPittman & AssociatesPizza Boy of Oxford, Inc.Plan Handlers, Inc.Plan Service, Inc.Planned AdministratorsPlantPlumbers Local Union No. 68Pointbank, N. A.Pope ExplorationPosters, Inc.Pounds Surveying Group, Inc.Powerhouse TechnologiesPractical Healthcare Solutions, Inc.Prairiland Independent School DistrictPrecision Landscape Management, Inc.Preferred CarePreferred Providers, Inc.Premier Engineering, Inc.Primary Physicians CarePrime Benefits, Inc.Primenet, Inc.Print AssistPrint Tex Office ProductsPRNA ServicesPro-Claim Plus, Inc.Producers Exchange Benefit Services, Inc

Professional Advocates & Crafts & TradesProfessional Benefit AdministratorsProfessional Benefits & ServiceProgressive ConceptsPrompt Associates, Inc.Propane Continental dba P. C. A. Z. Graves PropaneProtective Consumer DirectProvidence of St. Joseph’s of CapuchinProvident American Insurance CompanyProvident Life and AccidentPrudent Risk ManagementPulau ElectronicsPyramid LifeQual-ChoiceQuality ElectronicsQuality Service GroupQuantum Film ProductsR & R FencingR. Hixon, Inc.R. C. Martin, Inc.R. T. Nelson and AssociatesR. W. Management Company, Inc.RAB Products & ServicesRadio LabRadiology Associates of Tarrant CountyRafter J. TruckingRash Construction CenterRecipricol – OOA TravelRecovery Campuses of TXRed River FarmRegency Employee BenefitsRegional Benefit PlansRegional Care, Inc.Rehab Consultants, Inc.Reid Lockhart Golf CompanyReliable Life Insurance CompanyRemist, Inc.Renco – OOA TravelRentcoRepublic American Life Ins. CoRH AdministratorsRichardson Eagle Inc.Riley Gear CorporationRing-Can CorporationRip Griffin Truck Services CenterRisk Benefit Management River Chase Care CenterRobert M. Rosson, DDSRobert R. Romack, DDSRocket Air Supply, Inc.

Rockwell Management GroupRocky Mountain Elk FoundationRoe’s Furniture & ApplianceRogue Garcia CorporationRusser – OOA TravelRX Relief, Inc.S & S Fleet Subrogation, Inc.S I H OSackner ProductsSafetywear, Inc.Safeway DoorDalerno/Duane Auto GroupSalud National, Inc.San Antonio Fleet & Auto ServiceSan Antonio Shoe RepairSanders Valve, Inc.Saot TravelScherer IndustrialSchilli TransportationScript CompanySeaboard LifeSeager Bros./AC345Self Funded PlansSelf Insured Benefit Administrators, Inc.Self Insured Group Marketing & Administration, Inc.Sells PrintingSelman & Co.SemaSeneca Foods – OOA TravelSevenson – OOA TravelShake and Shingle Supply, Inc.Shared Medical AlternativesShelton Trucking ServicesShumate & Dean Law FirmShuttleworth, Inc.Sights & SoundsSilver State Medical AdministratorsSilvercrest ManorSimmons & AssociatesSiplast, Inc.Sirianni Auto SalesSiscoSixto Custom FinishingSixx Holding, IncSkin CorrectionSmith Mattress CompanySmorasbord Management Co.Snider Tire CompanySnider’s DrugsSoftware Technology InternationalSouth Plains Financial, Inc.South Texas DesignSouth Texas Hats, Inc.


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Southern Adventist UniversitySouthern California Pipe TradesSouthern CompaniesSouthern Industrial ConstructorsSouthern Ins Management AssociatesSouthwest Auto Sales, Inc.Southwest Motors, Inc.Southwest Service Life Ins CoSovran – OOA TravelSpecialized PlansSponsored Marketing Ins AdminSports Radio Partnership, Inc.Springfield Public SchoolsSSISt. John’s College/ACF 10142St. Joseph Professional BuildingSt. Martin & WilliamsStandard Automation & Control LLCStarrchecx LLCState Bank of DekalbState National Bank of Caddo MillsStateline TPA, Inc.States GeneralStatesman National Life Ins CoStellar EnterprisesStephens Health Care, Inc.Sterling Care CenterStolt Parcel Tankers, Inc.Stone Bennett CorporationStop Loss InternationalStowe Administrators, Inc.Strategic Health # 486Strategic MedicalStudent AdvantageSullivan BuildersSummit AdministratorsSun Life of Canada Ins CoSun Roller CorporationSun BankSuperior Insurance ServicesSupreme Plastics, Inc.Swatzell CommunicationsSwiss RESyndicate HealthcareSynergy/ACFSYNGSyracuse Research GroupSystem Printers, Inc.T & C Centers, Ltd.T. R. Bartholomeu Architects & AssociatesT. L. Groseclose Assoc. Inc.Taylor Benefit ResourcesTayson Insurance AdministratorsTC3

TDCTeamsters Industrial Employers Welfare FndTechnical Resources InternationalTeletech Holdings, Inc.Texas Bank and TrustTexas Bed CompanyTexas Community ParkTexas Digital SystemsTexas Heat Treating, Inc.Texas Society of CPA’sTexas Sterling ConstructionThe Benefit GroupThe Blender CompanyThe Brice Legal Group PCThe Capella Group – Care EntréeThe Champion GroupThe Cooper Clinic P. A. The Crew PlanThe DeyhleThe Elite GroupThe Eye CenterThe Fix-Your-Well Co.The Gladney CenterThe Hockaday SchoolThe Liberty National Bank in ParisThe M. J. Daniel CorporationThe Mallory GroupThe Marketing Continuum, Inc.The May Department Stores CompanyThe People’s State Bank of ClydeThe People’s State Bank of HallettsvilleThe PlaceThe Preston Group, Inc.The Resource GroupThe Sleep Disorder Clinic of HoustonThe State Bank of TexasThe State National BankThe Stephan’s CompanyThe Summit Publishing GroupThe Trade GroupThe Vintage ApartmentsThe Wayne Companies, IncThermo Manufacturing Company, L.P.Third Party Advantage AdministratorsThomas JewelersThree Rivers Benefit CorpThree Rivers Provider NetworkTIATime Services, Inc.

Tiseo Paving CompanyToday’s MerchandisingTodd MechanicalTotal Plan ServicesTour & Med AssistanceTower LifeTown & Country Concrete, Inc.Town Square FurnitureTownes Wear, Inc.TPA of Georgia (Brook Properties)TPA of IllinoisTransfund Mortgage CorporationTransitional Learning CommunityTransport – OOA TravelTransworld Healthcare, Inc.Travis, Wolff and Company, L. L. P.Tremont Floral SuppliesTriconex CorporationTriconex Systems, Inc.Trip-TeesTripod, Inc.TRIUNE Resources, Inc.TRL TruckingTru ServicesTrucking Employees of North Jersey Welfare FundTrussel ElectricTucker and Clark, IncTurbine IndustriesTurner, Meehan, & WilliamsTylers AutoU. S. Benefits CorporationU. S. Benefits, Inc.U. S. Intec, Inc.U.S.A. Health Services, Inc.U-First, LLCUHC/NRLCUnion Bankers Insurance CompanyUnited American Insurance Co.United Art & Education, Inc.United Benefit GroupUnited Health, Inc.United KnittingUnited States Life Insurance CoUnited Teamsters FundUnitron, Inc.Universal OpthamalicUpstate Administrative Services, Inc.Upstate-RedstarU-Race CorporationUS Benefit CorporationUSA Services GroupUSI Administrators-Capitol Title Group #505


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USI Admin-Columbus McKinnonValue OptionsVariable Protection AdministratorsVasa BrougherVeneziaVenezia – OOA TravelVeteran’s MemorialVideo Post and Transfer, Inc.Virgin Mason Health PlanViva HealthVolMedW. J. Haynes and CompanyWaggoner National Bank of VernonWake Forest UniversityWalchop, Inc.WalgreenWallace Bargain BlockWally Clayton BuilderWal-Mart (Specific Policies Only)Want Ads of LongviewWarren Steinborn AssociatesWashington HomesWashington National Insurance CoWaskon Automotive

Watauga Wood ProductsWeaver and Tidwell, L. L. P.Webb, Murray & AssociatesWelmarkWendy’s – OOA TravelWest Texas Legal ServicesWestar MortgageWestbridge Capital CorporationWestern BenefitsWestern ElectronicsWestern Petroleum Marketers AssociationWestern Reserve Benefit Administrators Agency, Inc.Western Southern LifeWestern States Administrators, Inc.Westside CellularWeyco, Inc.Wheeler Companies-Insurance Claim SrvcsWhisperwood National BankWhite KnightWick Communication CompanyWil Jef Transportation

Wilder Contract Well ServiceWiley Sanders TrucklinesWilliam C. Beeler and CompanyWilliam HydraulicsWillis Corron of KansasWilson Air Conditioning, IncWilson AutomotiveWilson, Cantell, and MoodyWilton Krayse SepticWindsor ManorWins Paper Products, Inc.Wisconsin Automobile and Truck Dealers AssociatesWisconsin Evangelical Lutheran SystemsWood and GroomsWoodman Life and Accident InsuranceWorld InsuranceWrenn Handling/Brungart EquipmentYaga, Inc.Yorkshire Global RestaurantsZoria Farms, Inc.

THREE RIVERS PROVIDER NETWORK (TRPN) – WORKERS COMPENSATION Fee Schedule: 85% of the existing fee schedule as total reimbursement for Workers Compensation. Where a state or federal government fee schedule exists, such schedule shall serve as an index for all payments without exception. For states that do not possess a fee schedule for workers compensation, the Medicare fee schedule shall serve as the index for all payments without exception. States applicable: All States* (*not available in California)Specialties applicable: All specialtiesReimbursement: Fee for Service.Claims Submission: Submit claim to address on patient form. Patient Identification: Contact employer / see incident report

Payer clients:

AAA Minnesota IowaAIG Insurance CoAuto Injury SolutionsAvis Budget Group, LLCBroadspireBuckeye Insurance GroupCambridge Integrated ServicesChubb Insurance CoCOMPIQCrawford and CoDollar GeneralE S I S

Fair IsaacFCCI Insurance GroupGallagher BassettGeico CorpGenexIngenixIntracorpKey Risk ManagementLiberty Mutual Insurance CoMet LifeOhio Mutual Insurance CoReviewworks

SafecoSedgwick CMSSelective Insurance Co.State FarmThe HartfordTravelers InsuranceTristar Risk ManagementUnitrin Auto and HomeUSAAWork Comp Bill Review ServiceZenith Insurance Company


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American Benefit Plan Administrators (ABPA)Aetna - National Advantage Program (NAP)Carpenters Southwest AdministratorsCoalition AmericaComprehensive Benefit & Claim Administration (CBCA)Devon HealthFederated Mutual Insurance CompanyUnited Medical Resources (UMR)

First AgencyGlobalCareGlobal Excel ManagementHealthRisk Resource GroupHealthsmartHealth Care Services InternationalHealth Systems International (HSI)Integrated Health Plan (IHP)Meritain HealthNational Claims Administrative Services (NCAS)

National Health Benefit Corporation (NHBC)Olympus Managed HealthCarePreferred Medical Claim Solutions (PMCS)Premier Healthcare Exchange (PHX)Principal Financial GroupSelectCare WorldwideTC3 Health

FEDMED INC. – WORKERS COMPENSATION Fee Schedule: 15% discount off providers usual charge for covered services less any applicable co-payments, co-insurance, or deductibles. Where a state mandated fee schedule exists, provider agrees to accept a 10% discount below the state schedule.

States applicable: All States* (*not available in California)Specialties applicable: All specialtiesReimbursement: Fee for Service.Claims Submission: Submit claim to address on patient form. Patient Identification: Contact employer / see incident report.Payer clients: The following list of Payer clients are FedMed Payers

AMERICA’S CHOICE PROVIDER NETWORK (ACPN) – WORKER’S COMPENSATION Fee Schedule: 20% off providers usual charge for covered services less any applicable co-payments, co-insurance, or deductibles. Where a state mandated fee schedule exists, provider agrees to accept a 10% discount below the state schedule.

States applicable: All States* (*not available in California)



Claims Submission: Submit claim to address on patient form.

Patient Identification: ACPN should will apear on patient ID card.

Acadia Insurance Company,ACS - Comp IQAdjustment Services, Inc.AIG Benefit SolutionsAlabama Insurance Guaranty AssociationAlabama Trucking AssociationALFA Virginia Mutual InsuranceAlfa VisionAlliant InsuranceAlternative Service Concepts

American National Life Insurance CompanyAmerisure InsuranceAmerisure Insurance CompanyAmeriTrust Insurance CorporationANPACAriel Third Party AdministratorsAspen AdministratorsAssociation Casualty Insurance CompanyASU GroupAtlanta Public Schools

AultCareBabb, Inc.BerklyBerkshire Hathaway Homestate CompaniesBibb County Public SchoolsBituminous Insurance CompaniesBlalock ConstructionBollinger/FowlerBoyd Brothers TransportationBragg and Associates, Inc,


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Brentwood ServicesBrethren Mutual Insurance CompanyBunch & Associates, IncBusiness Insurance Group, LLCCalifornia IndemnityCambridge Insurance CoCanal Insurance CoCCMSICCS Holdings, Ltd. PartnershipChesapeake Employers Insurance CompanyChubb InsuranceCincinnati InsuranceCIS Risk Management Services, Inc.Cities and Villages Mutual InsuranceCity of AmarilloCity of DavenportCity of MontgomeryClaim Management ServicesClaims Administrative ServicesColonial Healthcare IncorporatedColumbia CountyComp IQCompanionCompfirstComprehensive Cost SolutionsCompStar Systems, IncCompTech Group LLCConsolidated Benefits ResourcesContinental Western GroupContinental! Western Insurance Co.Contract Claims Services, IncCore RiskCottingham & ButlerCPC LogisticsCreative Risk SolutionsDallas NationalDefiniti Healthcare ManagementEM Risk ManagementEMC Insurance CompaniesEmployee Benefit Claims of WisconsinEmployee Benefit ServicesEnterprise Rent-a-CarExam Works

Fair IsaacFarm Bureau - IowaFederated Mutual Insurance CoFederated RuralFederatedFidelity InsuranceFireman’s FundFirst Benefits InsuranceFreeman Admin Solutions, IncFulton CountyFuture CareGAB RobinsGallagher BassettGaurantee Insurance CompanyGenexGeorgia Insurers Insolvency PoolGray and Company, Inc.Great American Insurance CoGreat West Casualty CompanyGreat West Risk ManagementGuarantee Insurance ResourcesGuide One InsuranceHanover InsuranceHastings Mutual Insurance CompanyHealth Administration Services, Inc.HealthCare Solutions Group, Inc. Healthcare Workers Comp FundHines & Associates, Inc.HM Benefits Administrators, Inc.HM Insurance GroupIMT InsuranceIMWCAIndiana InsuranceING - Medical Risk SolutionsIngenexInjured Workers Insurance FundInnovative Claim SolutionsInsura Property & Casualty CoIntegra GroupInter-Americas Insurance CorporationIntracorpJefferson County Schools Risk Management

JW TerrillKentucky League of CitiesKentucky School Board Insurance TrustLiberty MutualLinn County Risk ManagementLion Insurance CompanyManage Care Manage Cost (MCMC)Marriott InternationalMCAuditMeadowbrook Insurance GroupMedataMerchants Insurance GroupMichigan Property & Casualty GaurantorMidlands Claim AdministratorsMitchell InternationalMontgomery Mutual Insurance CompanyNational LiabilityNew Mexico Association of CountiesNiagara CountyNiagara Frontier Transit Metro System, Inc.North Carolina Electric CooperativeOhio Casualty GroupOld Republic InsuranceOne Beacon Insurance CoPCE SystemsPenn National Insurance CoPhiladelphia America Life Insurance CoPMAPrairie State Insurance CooperativePremier Comp SolutionsPro Century Insurance CompanyQmedtrixRam Mutual InsuranceReny CompanyRepublic GroupReview WorksRisk Management Services CoRockwood Casualty Insurance CompanyRoofers & Waterproofer Local 136


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Royal InsuranceRuanSavers Property & CasualtyScottish Rite Health Plan NationalSeabury & SmithSecura Insurance CompanySecure CompSedgwickSelective InsuranceSheakley Vocational ServicesSheffield InsuranceSheffield Risk Management ServiceSociety InsuranceSoutheastern Insurance GroupSouthwire CompanySpectrum RiskStar Insurance Company

State National Insurance CoState of Georgia, DOASSteadfast Insurance CompanyStonewood Insurance CompanyStratacareSun Life FinancialSutherland Food ServiceTechnology Insurance CompanyThe Gray Insurance Company, Inc.The Harleysville Insurance CompaniesThe HartfordThe Peninsula Insurance CompanyTranguard InsuranceTravelers InsuranceUnion Insurance CompanyUnion Standard Insurance Group

United Insurance Companies, Inc.University of Colorado-University Risk MgmtUS Administrator ClaimsWashington State Department of TransportWest Bend Mutual InsuranceWestern Guaranty Fund ServicesWilliamsburg National Insurance Co.Wilson Mutual InsuranceWisconsin Insurance Security FundWJ Cox Associates, Inc.WR Berkley CorpYusen TransportationZurich Services Corp

AAA Minnesota IowaAIG Insurance coAuto Injury SolutionsAvis Budget Group, LLCBroadspireBuckeye Insurance GroupCambridge Integrated ServicesChubb Insurance CoCOMPIQCrawford and Co.Dollar GeneralE S I S

Fair IsaacFCCI Insurance GroupGallagher BassettGeico CorpGenexIngenixIntracorpKey Risk ManagementLiberty Mutual Ins CoMet LifeOhio Mutual Ins CoReviewworks

SafecoSedgwick CMSSelective Ins CoState FarmThe HartfordTravelers InsuranceTristar Risk ManagementUnitrin Auto and Home USAAWork Comp Bill Review ServiceZenith Insurance Co.

THREE RIVERS PROVIDER NETWORK (TRPN) - AUTO INJURY Fee Schedule: 85% of the existing fee schedule as total reimbursement for Auto Injury. Where a state or federal government fee schedule exists, such schedule shall serve as an index for all payments without exception. For states that do not possess a fee schedule for auto injury, the Medicare fee schedule shall serve as the index for all payments without exception.





Patient Identification: Contact carrier / see incident report.

Payer clients:


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AMERICA’S CHOICE PROVIDER NETWORK (ACPN) – AUTO ACCIDENT INJURY Fee Schedule: 20% off of providers’ billed charges or where a federal or state mandated fee schedule applies, provider agrees to 10% below federal or state mandated fee schedule.



Reimbursement: Fee for Service. Service’s less any applicable co-payments, co-insurance, or deductible’s.


Patient Identification: ACPN will appear on patient ID card.

FEDMED - AUTO ACCIDENT INJURY Fee Schedule: 15% discount off of providers usual charge for covered services less any applicable co-payments, co-insurance, or deductibles. Where a state mandated fee schedule exists, provider agrees to accept a 10% discount below the state schedule.

States applicable: All StatesSpecialties applicable: All specialtiesReimbursement: Fee for Service. Claims Submission: Submit claim to address on patient form. Patient Identification: Contact employer / see incident report.Payer clients: The following list of Payer clients are FedMed Payers.

American Benefit Plan Administrators (ABPA)Aetna - National Advantage Program (NAP)Carpenters Southwest AdministratorsCoalition AmericaComprehensive Benefit & Claim Administration (CBCA)Devon HealthFederated Mutual Insurance

CompanyUnited Medical Resources (UMR)First AgencyGlobalCareGlobal Excel ManagementHealthRisk Resource GroupHealthsmartHealth Care Services InternationalHealth Systems International (HSI)Integrated Health Plan (IHP)Meritain Health

National Claims Administrative Services (NCAS)National Health Benefit Corporation (NHBC)Olympus Managed HealthCarePreferred Medical Claim Solutions (PMCS)Premier Healthcare Exchange (PHX)Principal Financial GroupSelectCare WorldwideTC3 Health

Adjustment Services, Inc.AIG Benefit SolutionsAIG HawaiiALFA Virginia Mutual InsuranceAllstate Insurance CompanyAlpha Vision InsuranceAmerican National Life Insurance CompanyAmeripriseAmeripriseAmeriSafeAmerisure InsuranceANPACArmed Forces Insurance

Auto Club AssociationBituminous Insurance CompaniesBrotherhood MutualCarey InternationalColumbia Insurance GroupComp IQFarmers InsuranceFidelity InsuranceFireman’s FundFrankenmuth Insurance CompanyFuture CareGeneral InsuranceGrange Insurance GroupGray and Company, Inc.

Hastings Mutual Insurance CompanyHines & Associates, Inc.Indiana InsuranceKemper InsuranceMedataMerchants Insurance GroupMercury InsuranceMichigan Property & Casualty Guarantor Association AKMichigan Property & Casualty GuarantorMitchell InternationalNationwide Insurance


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Orion Auto, COPCE SystemsPilgram Risk ManagementReny CompanySeabury & SmithSecura Insurance Company

Selective InsuranceShelter Insurance CompaniesSoutheastern Insurance GroupSpectrum RiskState FarmThe Hartford

The Peninsula Insurance CompanyTotal Claims ManagementTravelers InsuranceTri-State Insurance CompanyUSAAWest Bend Mutual Insurance

CARD NAMES All Risk Health CareAmerican HealthcardAmericardBest BenefitsCare OneCareinton Savings/PodiatryCathedral Rock Central Carolina BankChiro AccessEnhanced BenefitsFamily Care PlusGuardian HealthHCNPHealth Advocates AllianceHealth Plan ExtrasHealthcare America

Healthcare Savings PlanLaSalleMedPlan ProgramMedStrongNorth Bank of CommercePerpetual Business ResourcePlan PlusPrimedReassurance HealthSenior FirstSenior Healthcare PartnersSolutions HealthcareStandard FederalTHN Discount CardUnicare OneUSI AffinityVantage America

BANK/MARKETING ORGANIZATIONS 10 in 10 Biz Plus CardABN AmroAdvantage BenefitsAir FranceAIS InsuranceAll Risk HealthcareAmcard ServicesAmerican Benefits AllianceAmerican Income Life Insurance Company American Whole HealthAmericans for Fair PricingAmericardAt your business.comBanco PoplarBank of America

COVERDELL AND COMPANY, INC. - DISCOUNT PRODUCT Fee Schedule: 50% discount on initial visit, 20% on subsequent visits.

Patients enrolled: 30,000+ nationwide


Specialties applicable: Podiatry Only


Claims Submission: Not applicable.

Patient Identification: Each card will vary. Discount program’s name indicated on member ID card. Providers will receive a copy of discount program names in advance.

NATIONAL ASSOCIATION OF PREFERRED PROVIDERS (NAPP) / FAMILY CARE - DISCOUNT PRODUCT Fee Schedule: Medicare plus 25% or 80% of billed charges, whichever is less.

Patients enrolled: 80,000+ nationwide States applicable: All StatesSpecialties applicable: All specialtiesReimbursement: Fee for Service.Claims Submission: Not applicable. Patient Identification: NAPP indicated on member ID card.Payer clients: Individuals.


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Bankers Life & CasualtyBank of the WestBB Comp all BenefitsBB CoverdellBB Coverdell CompBB&TBBVA CompassBENEXBlue Cross and Blue Shield of FloridaBlue Print HealthBOACard Benefit ServicesCare OneCareington Savings/PodiatryCathedral RockCentral Carolina BankCHAS Mitchell Family LTD ParnershipChiro AccessCommonwealth Benefit PlanCombined InsuranceComericaCommunity Value Level- Level 5Compass BankComplete Care PlanDemo All BenefitsDental Plus Deluxe PlanDesjardins Discount Card ServiceseBayEclipse CoreplusE-Hanced BenefitsE-Hanced OptimumEZ Discount Card

EZ Senior CareFamily Care Plus PlanFamily Shared SuccessFirst Tennessee BankFleetFraming Contracts Assoc. Genesis HealthcareGenworth Life Insurance CompanyGeocare BenefitsGlobal CoreplusGuarantee Trust Life Insurance CompanyHarvard Health & Welfare PlanHCNPHealth Market InsightsHealth Provider PlanHealth Quest Benefit GroupHealthcare PrivilegesHealthcare Savings PlanHelping Handz PlatinumHMD Best BenefitsHudson’s Bay CompanyHSBC IndependenceKey BankKirkwood Insurance ServiceLaSalleM&T BankMBNAMedstrong PDQ VIP PlusMichigan Democratic PartyMichael Edwards DirectMissouri Assoc. of State EmployNamasta Standard

NAPE-BasicNational Association of ConsultantsNational Bank of CommerceNational Bank of CanadaNational Benefit ServicesNational CityNational Education AssociationNationwideNorthpointOptimum + Counseling MOOcwen MortgagePassport to WealthPEAGPerpetual Business ResourcePlan Plus 7 BenefitPlan Plus AssocPlan Plus DepositPlan Plus MortgageRegionsRetirement AssociationSauer and Assoc.Senior Access CardSenior Care CardSenior First – State MutualSenior Healthcare NetworkStandard Bank TD BankTransamerica Life Insurance CompanyUnion Bank United American Insurance CompanyUnited Marketing GroupWells FargoZurich American Insurance Company

NATIONAL BENEFIT BUILDERS, INC. (NBBI) - DISCOUNT PRODUCT Fee Schedule: 20% off patients out of pocket expenses.

Patients enrolled: 200,000+ nationwideStates applicable: All StatesSpecialties applicable: Podiatry OnlyReimbursement: Fee for Service. Patient Identification: NBBI will be indicated on the patients ID card.Claims submission: Not applicable. Payer clients: IndividualsNotes: The NBBI Program may not be used in conjunction with any other discount, sale or other promotion offer accepted by provider, nor in conjunction with any managed care benefit program.

Documents

HEALTH PLAN LIST AND FEE SCHEDULE · 2020 Health Plan List and Fee Schedule PO 71717 PHOENIX, AZ 85050 • TEL 877.311.3338 • FAX 602.485.3100 • 3 THREE RIVERS PROVIDER NETWORK