# Payer Name 1 1199 NATIONAL BENEFIT FUND 2 1199 NATIONAL BENEFIT FUND .

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3031323334353637383940414243444546Payer Name1199 NATIONAL BENEFIT FUND1199 NATIONAL BENEFIT FUNDAARPAARPAARP HOSPITAL INDEMNITY PLANSAARP HOSPITAL INDEMNITY PLANSAARP MEDICARE COMPLETEAARP MEDICARE COMPLETEAARP MEDICARE SUPPLEMENT PLANSAARP MEDICARE SUPPLEMENT PLANSABRI HEALTH PLANABRI HEALTH PLANABSOLUTE TOTAL CAREABSOLUTE TOTAL CAREACCESS BEHAVIORAL CAREACCESS BEHAVIORAL CAREACCESS ONLY (REPRICER)ACCESS ONLY (REPRICER)ACCOUNTABLE CARE COLLABORATIVEACCOUNTABLE CARE COLLABORATIVEADMINISTRATIVE SERVICES INC.ADMINISTRATIVE SERVICES INC.ADVANTAGE BY BUCKEYEADVANTAGE BY BUCKEYEADVANTRA FREEDOMADVANTRA FREEDOM (COVENTRY)ADVICAREADVICAREAETNAAETNAAETNA - AEXELAETNA - AEXELAETNA - CHOICE POS IIAETNA - CHOICE POS IIAETNA - ELECT CHOICE (EC)AETNA - ELECT CHOICE (EC)AETNA - EPOAETNA - EPOAETNA - GOLDEN CHOICE (MEDICARE ADVANTAGE PLAN)AETNA - GOLDEN CHOICE (MEDICARE ADVANTAGE PLAN)AETNA - GOLDEN MEDICARE - MEDICARE ADVANTAGE PLANAETNA - GOLDEN MEDICARE (MEDICARE ADVANTAGE PLAN)AETNA - HMOAETNA - HMOAETNA - INDEMNITYAETNA - INDEMNITY

72737475767778798081828384858687888990919293AETNA - MANAGED CHOICE (MC)AETNA - MANAGED CHOICE (MC)AETNA - OPEN ACCESS HMOAETNA - OPEN ACCESS HMOAETNA - OPEN CHOICE (OC)AETNA - OPEN CHOICE (OC)AETNA - PPOAETNA - PPOAETNA - QPOSAETNA - QPOSAETNA - TRADITIONAL CHOICE (TC)AETNA - TRADITIONAL CHOICE (TC)AETNA - USACCESSAETNA - USACCESSAETNA AFFORDABLE HEALTH CHOICESAETNA AFFORDABLE HEALTH CHOICESAETNA AFFORDABLE HEALTH CHOICES - SRCAETNA AFFORDABLE HEALTH CHOICES - SRCAETNA BETTER HEALTH - IL MEDICAIDAETNA BETTER HEALTH - IL MEDICAIDAETNA BETTER HEALTH - PENNSYLVANIA MEDICAIDAETNA BETTER HEALTH - PENNSYLVANIA MEDICAIDAETNA BETTER HEALTH KIDSAETNA BETTER HEALTH KIDSAETNA BETTER HEALTH OF FLORIDAAETNA BETTER HEALTH OF FLORIDAAETNA BETTER HEALTH OF ILLINOISAETNA BETTER HEALTH OF ILLINOISAETNA BETTER HEALTH OF KENTUCKYAETNA BETTER HEALTH OF KENTUCKYAETNA BETTER HEALTH OF MIGHIGANAETNA BETTER HEALTH OF MIGHIGANAETNA BETTER HEALTH OF MISSOURIAETNA BETTER HEALTH OF MISSOURIAETNA BETTER HEALTH OF NEW YORKAETNA BETTER HEALTH OF NEW YORKAETNA BETTER HEALTH OF PENNSYLVANIAAETNA BETTER HEALTH OF PENNSYLVANIAAETNA BETTER HEALTH OF PENNSYLVANIAAETNA BETTER HEALTH OF PENNSYLVANIAAETNA BETTER HEALTH OF TEXASAETNA BETTER HEALTH OF TEXASAETNA BETTER HEALTH OF TEXASAETNA BETTER HEALTH OF TEXASAETNA BETTER HEALTH OF TEXAS CHIPAETNA BETTER HEALTH OF TEXAS CHIPAETNA BETTER HEALTH OF VIRGINIA

29130131132133134135136137138139140AETNA BETTER HEALTH PLANAETNA BETTER HEALTH PLANAETNA BETTER HEALTH TX MEDICAID CHIPAETNA BETTER HEALTH TX MEDICAID CHIPAETNA GOLDEN MEDICARE PLANAETNA GOLDEN MEDICARE PLANAETNA HEALTH FUND (AHF)AETNA HEALTH FUND (AHF)AETNA LEAPAETNA LEAPAETNA LIFE AND CASUALTYAETNA LIFE AND CASUALTYAETNA LONG TERM CAREAETNA SSIAETNA SSIAFFINITY ENRICHED HEALTH HARPAFFINITY ENRICHED HEALTH HARPAFFINITY HEALTH PLANAFFINITY HEALTH PLANAFFINITY HEALTH PLAN CHILD HEALTH PLUSAFFINITY HEALTH PLAN CHILD HEALTH PLUSAFFINITY HEALTH PLAN FAMILY HEALTH PLUSAFFINITY HEALTH PLAN FAMILY HEALTH PLUSAFFINITY HEALTH PLAN MEDICAIDAFFINITY HEALTH PLAN MEDICAIDAFFINITY HEALTH PLAN MEDICARE ADVANTAGEAFFINITY HEALTH PLAN MEDICARE ADVANTAGEAFLAC - DENTALAKAMAI ADVANTAGE (MEDICARE ADVANTAGE PLAN)ALABAMA BLUE CROSSALABAMA BLUE SHIELDALABAMA MEDICAIDALABAMA MEDICAIDALABAMA MEDICAID - INPATIENTALABAMA MEDICAREALABAMA MEDICAREALASKA MEDICAIDALASKA MEDICAIDALASKA MEDICAREALBUQUERQUE JPPO - NEW MEXICOALBUQUERQUE PPO - NEW MEXICOALL SAVERS ALTERNATE FUNDINGALL SAVERS ALTERNATE FUNDINGALL SAVERS INSURANCEALL SAVERS INSURANCEALLEGIANCE BENEFIT PLAN MANAGEMENT INC.ALLEGIANCE BENEFIT PLAN MANAGEMENT INC.

74175176177178179180181182183184185186187ALLIANT HEALTH PLANS OF GEORGIAALLIANT HEALTH PLANS OF GEORGIAALLIED BENEFIT SYSTEMALLIED BENEFIT SYSTEMALLIED BENEFIT SYSTEM, INC.ALLIED BENEFIT SYSTEM, INC.ALOHACAREALOHACAREALOHACARE QUESTALOHACARE QUESTALPHA DATA SYSTEMSALPHA DATA SYSTEMSALTA HEALTH & LIFE INSURANCE COMPANYALTA HEALTH AND LIFE INSURANCE COMPANYALTIUSALTIUSALTIUSONEALTRU & YOUALTRU & YOUAMBETTER FROM BUCKEYE COMMUNITY HEALTH PLANAMBETTER FROM BUCKEYE COMMUNITY HEALTH PLANAMBETTER FROM CLETICARE HEALTH PLANAMBETTER FROM CLETICARE HEALTH PLANAMBETTER FROM MAGNOLIA HEALTHAMBETTER FROM MAGNOLIA HEALTHAMBETTER FROM MANAGED HEALTH SERVICESAMBETTER FROM MANAGED HEALTH SERVICESAMBETTER FROM PEACH STATE HEALTH PLANAMBETTER FROM PEACH STATE HEALTH PLANAMBETTER FROM SUNSHINE HEALTHAMBETTER FROM SUNSHINE HEALTHAMBETTER FROM SUPERIOR HEALTHAMBETTER FROM SUPERIOR HEALTHAMBETTER ILLINICARE HEALTHAMBETTER ILLINICARE HEALTHAMBETTER NEW HAMPSHIRE HEALTHY FAMILIESAMBETTER NEW HAMPSHIRE HEALTHY FAMILIESAMBETTER OF ARKANSASAMBETTER OF ARKANSASAMERIBEN SOLUTIONS, INC.AMERIBEN SOLUTIONS, INC.AMERICAID COMMUNITY CARE (MD)AMERICAID COMMUNITY CARE (MD)AMERICAN HEALTH MEDICAREAMERICAN HEALTH MEDICAREAMERICAN NATIONAL INSURANCE COMPANY (ANICO)AMERICAN NATIONAL INSURANCE COMPANY (ANICO)

21222223224225226227228229230231232233234AMERICAN NATIONAL LIFE INSURANCE COMPANY OF TEXASAMERICAN POSTAL WORKERS UNIONAMERICAN POSTAL WORKERS UNIONAMERICAN PROGRESSIVEAMERICAN RETIREMENT LIFE INS CO (MEDICARE SUPP)AMERICAN RETIREMENT LIFE INS CO (MEDICARE SUPP)AMERIGROUPAMERIGROUPAMERIGROUP COMMUNITY CAREAMERIGROUP COMMUNITY CAREAMERIGROUP CORPORATIONAMERIGROUP CORPORATIONAMERIGROUP CORPORATION (FT WORTH)AMERIGROUP CORPORATION (FT WORTH)AMERIGROUP CORPORATION (HOUSTON)AMERIGROUP CORPORATION (HOUSTON)AMERIGROUP FLORIDA INCAMERIGROUP FLORIDA INCAMERIGROUP ILAMERIGROUP ILAMERIGROUP IOWAAMERIGROUP IOWAAMERIGROUP NJAMERIGROUP NJAMERIGROUP OF KANSASAMERIGROUP OF KANSASAMERIHEALTH ADMINISTRATORS, INC.AMERIHEALTH ADMINISTRATORS, INC.AMERIHEALTH CARITAS IOWAAMERIHEALTH CARITAS IOWAAMERIHEALTH CARITAS LOUISIANAAMERIHEALTH CARITAS LOUISIANAAMERIHEALTH CARITAS PENNSYLVANIAAMERIHEALTH CARITAS PENNSYLVANIAAMERIHEALTH DELAWARE PPOAMERIHEALTH NEW JERSEY/DELAWARE - HMOAMERIHEALTH NEW JERSEY/DELAWARE - HMOAMERIHEALTH/PERFORMCARE NJ (CHILDREN'S BEHAVIORALAMERIHEALTH/PERFORMCARE NJ (CHILDREN'S BEHAVIORALAMERIKIDS - DALLAS/FT. WORTHAMERIKIDS - DALLAS/FT. WORTHAMERITAS LIFE INSURANCE COMPANYAMMERICAN RETIREMENT LIFE INSURANCE CO MEDICAREANTARES MANAGEMENT SOLUTIONSANTARES MANAGEMENT SOLUTIONSANTHEM - CENTRAL, NORTHERN, SOUTHERNANTHEM - CENTRAL, NORTHERN, SOUTHERN

68269270271272273274275276277278279280281ANTHEM BC PARTNERSHIPANTHEM BC PARTNERSHIPANTHEM BLUE ACCESS PRODUCTSANTHEM BLUE CROSSANTHEM BLUE CROSS CALIFORNIAANTHEM BLUE CROSS CALIFORNIAANTHEM BLUE PREFERREDANTHEM BLUE PREFERRED PLUSANTHEM DUAL ADVANTAGE (HMO SNPANTHEM DUAL ADVANTAGE (HMO SNP)ANTHEM HEALTHKEEPERSANTHEM HEALTHKEEPERSANTHEM HEALTHKEEPERS PLUSANTHEM KENTUCKY BCBSANTHEM KENTUCKY BCBSANTHEM KY MEDICAIDANTHEM KY MEDICAIDANTHEM MEDIBLUE PLUS (HMO)ANTHEM MEDIBLUE PLUS (HMO)APPLE HEALTH AKA WASHINGTON MEDICAIDAPPLE HEALTH AKA WASHINGTON MEDICAIDAPWU HEALTHAPWU HEALTH PLAN (ALL STATES EXCEPT USVI)APWU HEALTH PLAN (ALL STATES EXCEPT USVI)ARCADIAN MANAGEMENT SERVICESARCADIAN MANAGEMENT SERVICESARISE HEALTH PLAN MEDICARE SELECT POLICYARIZONA BLUE CROSSARIZONA BLUE CROSS - OUT OF AREAARIZONA BLUE CROSS FEPARIZONA BLUE CROSS HMOARIZONA BLUE SHIELDARIZONA MEDICAIDARIZONA MEDICAIDARIZONA MEDICAREARIZONA MEDICAREARIZONA PHYSICIANS IPAARIZONA PHYSICIANS IPAARKANSAS BLUE CROSSARKANSAS BLUE SHIELDARKANSAS MEDICAIDARKANSAS MEDICAIDARKANSAS MEDICAREARKANSAS MEDICAREARNETT HEALTH PLANARNETT HEALTH PLANASURIS NORTHWEST

15316317318319320321322323324325326327328ASURIS NORTHWESTAULTCARE HMOAULTCARE HMOAULTCARE OF OHIOAULTCARE OF OHIOAULTRA ADMINISTRATIVE SERVICESAULTRA ADMINISTRATIVE SERVICESAUTOMATED BENEFIT SERVICESAUTOMATED BENEFIT SERVICESAVMED, INC.AVMED, INC.BANKERS LIFE AND CASUALTYBANNER HEALTH ARIZONABANNER HEALTH ARIZONABANNER HEALTH CHOICE PLUS HMOBANNER HEALTH CHOICE PLUS HMOBANNER HEALTH SELECT 500 PPOBANNER HEALTH SELECT 500 PPOBAPTIST HEALTH PLANBAPTIST HEALTH PLANBASIC HEALTHBCBS COMPLETEBCBS COMPLETEBCBS OF WESTERN NEW YORK MEDICAID / CHPBCBS OF WESTERN NEW YORK MEDICAID / CHPBEHAVIORAL HEALTH SERV. INC. (BHSI)BEHAVIORAL HEALTHCAREBEHAVIORAL HEALTHCAREBENEFIT PLANNERS, INC.BENEFIT PLANNERS, INC.BEST CHOICE HEALTH PLANBEST LIFE AND HEALTHBEST LIFE AND HEALTH INSURANCE COMPANYBETTER HEALTH PLAN OF FLORIDABETTER HEALTH PLAN OF FLORIDABLUE CARE NETWORK HMOBLUE CARE NETWORK HMOBLUE CHIPBLUE CHOICE HEALTH PLANBLUE CROSS BLUE SHIELD ARIZONA ADVANTAGEBLUE CROSS BLUE SHIELD ARIZONA ADVANTAGEBLUE CROSS COMMUNITY FAMILY HEALTH PLANBLUE CROSS COMMUNITY FAMILY HEALTH PLANBLUE CROSS COMMUNITY HEALTH PLANSBLUE CROSS COMMUNITY HEALTH PLANSBLUE CROSS COMPLETE OF MI (MIBCN)BLUE CROSS COMPLETE OF MI (MIBCN)

62363364365366367368369370371372373374375BLUE CROSS MEDICARE ADVANTAGEBLUE CROSS MEDICARE ADVANTAGEBLUE CROSS MEDICARE ADVANTAGE PPO/HMOBLUE CROSS MEDICARE ADVANTAGE PPO/HMOBLUE CROSS OF IDAHOBLUE CROSS OF IDAHOBLUE CROSS OF NATIONAL CAPITAL AREA - CAREFIRSTBLUE CROSS WA/AK PREMERA BLUE CROSSBLUE CROSS WA/AK PREMERA BLUE CROSSBLUE FOCUS POSBLUE FOCUS POSBLUE MEDICARE NORTH CAROLINABLUE PREFERRED PPOBLUE PREFERRED PPOBLUE SALUDBLUE SALUDBLUE SHIELD OF NATIONAL CAPITOL AREA - CAREFIRSTBLUECARE - BCBSTNBLUECARE - BCBSTNBLUECHOICE HEALTHPLANBMC HEALTHNET PLANBMC HEALTHNET PLANBOON CHAPMAN ADMINISTRATORSBOON CHAPMAN ADMINISTRATORSBOON GROUP (THE)BOON GROUP (THE)BOSTON MEDICAL CENTER HEALTH PLANBOSTON MEDICAL CENTER HEALTH PLANBRIDGEWAY ARIZONABRIDGEWAY ARIZONABRYAN INDEPENDENT SCHOOLBUCKEYE COMMUNITY HEALTH - OHIOBUCKEYE COMMUNITY HEALTH - OHIOBUENA VISTA (COVENTRY HEALTH CARE OF FLORIDA INC)CAL MEDICONNECTCAL MEDICONNECTCAL OPTIMA DIRECTCAL OPTIMA DIRECTCALIFORNIA ANTHEM BLUE CROSSCALIFORNIA ANTHEM BLUE CROSSCALIFORNIA BLUE CROSS - FEP ONLYCALIFORNIA BLUE SHIELDCALIFORNIA BLUE SHIELDCALIFORNIA BLUE SHIELD - HMOCALIFORNIA HEALTH AND WELLNESSCALIFORNIA HEALTH AND WELLNESSCALIFORNIA MEDI-CAL

A MEDI-CALCALIFORNIA MEDICARECAPE HEALTH PLANCAPE HEALTH PLANCAPITAL BLUE CROSSCAPITAL BLUE CROSS - FACILITY CONTRACTED PROVIDERSCAPITAL BLUE CROSS - PHYSICIAN CONTRACTED PROVIDERCAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP)CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP)CAPITAL HEALTH PLANCAPITAL HEALTH PLANCARE 1ST HEALTH PLAN OF ARIZONACARE 1ST HEALTH PLAN OF ARIZONACARE ADVANTAGECARE ADVANTAGECARE CHOICES HMO/PREFERRED CHOICES OF MICHIGAN PPOCARE CHOICES HMO/PREFERRED CHOICES OF MICHIGAN PPOCARE IMPROVEMENT PLUSCARE IMPROVEMENT PLUSCARE NETWORKCAREFIRST FEDERAL EMPLOYEE PROGRAMCARELINK ADVANTRA - WV AND OHCARELINK ADVANTRA - WV AND OHCARELINK HEALTH PLAN - WV AND OHCARELINK HEALTH PLAN - WV AND OHCARELINK MEDICAIDCARELINK MEDICAIDCAREMORE IPACAREMORE IPACARENET OF VIRGINIACAREPLUS HEALTH PLANS, INC.CAREPLUS HEALTH PLANS, INC.CAREPOINTCAREPOINTCARESOURCE ADVANTAGECARESOURCE ADVANTAGECARESOURCE HEALTHY INDIANA PLAN (HIP)CARESOURCE HEALTHY INDIANA PLAN (HIP)CARESOURCE HOOSIER HEALTHWISE (HHW)CARESOURCE HOOSIER HEALTHWISE (HHW)CARESOURCE MYCARE OHIOCARESOURCE OF INDIANACARESOURCE OF INDIANACARESOURCE OF KENTUCKYCARESOURCE OF KENTUCKYCARESOURCE OF OHIOCARESOURCE OF OHIO

E OF WEST VIRGINIACARESOURCE OF WEST VIRGINIACARESOURCE THE COMMUNITY TRANSITION PLANCARESOURCE THE COMMUNITY TRANSITION PLANCAREWESTCAREWESTCARITEN SENIOR HEALTHCARITEN SENIOR HEALTHCAROLINA BENEFIT ADMINISTRATORSCAROLINA BENEFIT ADMINISTRATORSCAROLINA CARE PLAN INC.CAROLINA CARE PLAN, INC.CARPENTERS HEALTH AND WELFARE FUNDCARPENTERS HEALTH AND WELFARE FUNDCCCW - COMMUNITY CARE OF CENTRAL WISCONSINCCCW - COMMUNITY CARE OF CENTRAL WISCONSINCELTICARE BEHAVIORAL HEALTH (CBA) - MASSACHUSETTSCELTICARE BEHAVIORAL HEALTH (CBA) - MASSACHUSETTSCELTICARE MASSACHUSETTS MEDICALCELTICARE MASSACHUSETTS MEDICALCENCAL HEALTHCENCAL HEALTHCENPATICO BEHAVIORAL HEALTH - ARIZONACENPATICO BEHAVIORAL HEALTH - ARIZONACENPATICO BEHAVIORAL HEALTH - FLORIDACENPATICO BEHAVIORAL HEALTH - FLORIDACENPATICO BEHAVIORAL HEALTH - GEORGIACENPATICO BEHAVIORAL HEALTH - GEORGIACENPATICO BEHAVIORAL HEALTH - ILLINOISCENPATICO BEHAVIORAL HEALTH - ILLINOISCENPATICO BEHAVIORAL HEALTH - INDIANACENPATICO BEHAVIORAL HEALTH - INDIANACENPATICO BEHAVIORAL HEALTH - KANSASCENPATICO BEHAVIORAL HEALTH - KANSASCENPATICO BEHAVIORAL HEALTH - MISSISSIPPICENPATICO BEHAVIORAL HEALTH - MISSISSIPPICENPATICO BEHAVIORAL HEALTH - MISSOURICENPATICO BEHAVIORAL HEALTH - MISSOURICENPATICO BEHAVIORAL HEALTH - OHIOCENPATICO BEHAVIORAL HEALTH - OHIOCENPATICO BEHAVIORAL HEALTH - SOUTH CAROLINACENPATICO BEHAVIORAL HEALTH - SOUTH CAROLINACENPATICO BEHAVIORAL HEALTH - TEXASCENPATICO BEHAVIORAL HEALTH - TEXASCENPATICO BEHAVIORAL HEALTH - WISCONSINCENPATICO BEHAVIORAL HEALTH - WISCONSINCENPATICO TEXAS

ECENTERCARECENTRAL RESERVE LIFE (NON MEDICARE SUPPLEMENT)CENTRAL RESERVE LIFE INS CO (MEDICARE SUPPLEMENT)CENTRAL RESERVE LIFE INS CO (MEDICARE SUPPLEMENT)CENTRAL STATES HEALTH & WELFARE FUNDSCENTRAL STATES HEALTH & WELFARE FUNDSCENTURY HEALTHCARECENTURY HEALTHCARECGLIC, MILWAUKEECGLIC, MILWAUKEECHAMPVA - HACCHAMPVA - HACCHEC - A SUBSIDIARY OF SPRINTCHEC - A SUBSIDIARY OF SPRINTCHESAPEAKE LIFE INSURANCE CO-STUDENT INSURANCECHESAPEAKE LIFE INSURANCE CO-STUDENT INSURANCECHILD HEALTH PLAN PLUS (CHP )CHILD HEALTH PLAN PLUS (CHP )CHILDHEALTH PLUS BY HEALTHFIRST (CHP)CHILDHEALTH PLUS BY HEALTHFIRST (CHP)CHILDREN OF WOMEN VIETNAM VETERANS - VA HACCHILDREN OF WOMEN VIETNAM VETERANS - VA HACCHILDREN'S COMMUNITY HEALTH PLANCHILDREN'S COMMUNITY HEALTH PLANCIGNA - PPOCIGNA (CONNECTICUT GENERAL)CIGNA HEALTH PLAN - ATLANTACIGNA HEALTH PLAN - CALIFORNIACIGNA HEALTH PLAN - CALIFORNIACIGNA HEALTH PLAN - CHARLOTTECIGNA HEALTH PLAN - CHARLOTTECIGNA HEALTH PLAN - CHICAGOCIGNA HEALTH PLAN - CHICAGOCIGNA HEALTH PLAN - CIGNA PREMIER PLUSCIGNA HEALTH PLAN - CIGNA PREMIER PLUSCIGNA HEALTH PLAN - CINCINNATICIGNA HEALTH PLAN - CLEVELANDCIGNA HEALTH PLAN - CLEVELANDCIGNA HEALTH PLAN - COLUMBUSCIGNA HEALTH PLAN - COLUMBUSCIGNA HEALTH PLAN - COMEDCIGNA HEALTH PLAN - COMEDCIGNA HEALTH PLAN - CONNECTICUTCIGNA HEALTH PLAN - CONNECTICUTCIGNA HEALTH PLAN - DALLASCIGNA HEALTH PLAN - DALLAS

50551552553554555556557558559560561562563CIGNA HEALTH PLAN - DAYTONCIGNA HEALTH PLAN - DAYTONCIGNA HEALTH PLAN - DELAWARECIGNA HEALTH PLAN - DELAWARECIGNA HEALTH PLAN - DENVERCIGNA HEALTH PLAN - DENVERCIGNA HEALTH PLAN - GEORGIACIGNA HEALTH PLAN - GEORGIACIGNA HEALTH PLAN - HMOCIGNA HEALTH PLAN - HMO (CHP)CIGNA HEALTH PLAN - HOUSTONCIGNA HEALTH PLAN - HOUSTONCIGNA HEALTH PLAN - KANSAS CITYCIGNA HEALTH PLAN - KANSAS CITYCIGNA HEALTH PLAN - KNOXVILLE PPOCIGNA HEALTH PLAN - KNOXVILLE PPOCIGNA HEALTH PLAN - LOS ANGELESCIGNA HEALTH PLAN - LOS ANGELESCIGNA HEALTH PLAN - LOUISIANACIGNA HEALTH PLAN - LOUISIANACIGNA HEALTH PLAN - MASSACHUSETTSCIGNA HEALTH PLAN - MASSACHUSETTSCIGNA HEALTH PLAN - MED ATLANTICCIGNA HEALTH PLAN - MEMPHISCIGNA HEALTH PLAN - MEMPHISCIGNA HEALTH PLAN - MID ATLANTICCIGNA HEALTH PLAN - NASHVILLECIGNA HEALTH PLAN - NASHVILLECIGNA HEALTH PLAN - NEW YORKCIGNA HEALTH PLAN - NEW YORKCIGNA HEALTH PLAN - NORTHERN CALIFORNIACIGNA HEALTH PLAN - NORTHERN CALIFORNIACIGNA HEALTH PLAN - NORTHERN LOUISIANACIGNA HEALTH PLAN - NORTHERN LOUISIANACIGNA HEALTH PLAN - NORTHERN NEW JERSEYCIGNA HEALTH PLAN - NORTHERN NEW JERSEYCIGNA HEALTH PLAN - OKLAHOMACIGNA HEALTH PLAN - OKLAHOMACIGNA HEALTH PLAN - ORLANDOCIGNA HEALTH PLAN - ORLANDOCIGNA HEALTH PLAN - PENNSYLVANIACIGNA HEALTH PLAN - PENNSYLVANIACIGNA HEALTH PLAN - PHOENIXCIGNA HEALTH PLAN - PHOENIXCIGNA HEALTH PLAN - RALEIGHCIGNA HEALTH PLAN - RALEIGHCIGNA HEALTH PLAN - RICHMOND

97598599600601602603604605606607608609610CIGNA HEALTH PLAN - RICHMONDCIGNA HEALTH PLAN - SALINASCIGNA HEALTH PLAN - SALINASCIGNA HEALTH PLAN - SALT LAKE CITYCIGNA HEALTH PLAN - SALT LAKE CITYCIGNA HEALTH PLAN - SAN DIEGOCIGNA HEALTH PLAN - SAN DIEGOCIGNA HEALTH PLAN - SAN FRANCISCOCIGNA HEALTH PLAN - SAN FRANCISCOCIGNA HEALTH PLAN - SOUTHERN CALIFORNIACIGNA HEALTH PLAN - SOUTHERN CALIFORNIACIGNA HEALTH PLAN - SOUTHERN FLORIDACIGNA HEALTH PLAN - SOUTHERN FLORIDACIGNA HEALTH PLAN - SOUTHERN NEW JERSEYCIGNA HEALTH PLAN - SOUTHERN NEW JERSEYCIGNA HEALTH PLAN - ST LOUISCIGNA HEALTH PLAN - ST. LOUISCIGNA HEALTH PLAN - TAMPACIGNA HEALTH PLAN - TAMPACIGNA HEALTH PLAN - TUCSONCIGNA HEALTH PLAN - TUCSONCIGNA HEALTH PLAN - TULSACIGNA HEALTH PLAN - TULSACIGNA HEALTH PLAN - WASHINGTONCIGNA HEALTH PLAN - WASHINGTONCIGNA HEALTH PLAN - WICHITACIGNA HEALTH PLAN - WICHITACIGNA HEALTH PLANSCIGNA HEALTH PLANSCIGNA HEALTHSPRING BRAVO OF TN, ALCIGNA HEALTHSPRING MARYLAND/PENNSYLNAVIACIGNA HEALTHSPRING MARYLAND/PENNSYLNAVIACIGNA HEALTHSPRING TENNEESSE ALABAMACIGNA HEALTHSPRING TENNESSEE/ALABAMACIGNA HEALTHSPRING TENNESSEE/ALABAMACIGNA INTERNATIONAL EXPATRIATE BENEFITSCIGNA PPOCIGNA SELECT (FORMERLY GREAT WEST HEALTHCARE)CIGNA SELECT (FORMERLY GREAT WEST HEALTHCARE)CIGNA SELECT GREAT-WEST HEALTHCARECIGNA SELECT GREAT-WEST HEALTHCARECINCINNATI HEALTH PLANCITY OF AMARILLOCLAIMS MANAGEMENT SERVICES, INC.CLAIMS MANAGEMENT SERVICES, INC.CLEAR HEALTH ALLIANCECLEAR HEALTH ALLIANCE

44645646647648649650651652653654655656657CLTS - CHILDRENS LONGTERM SUPPORT WAIVERCLTS - CHILDRENS LONGTERM SUPPORT WAIVERCMS MEDICARE ELIGIBILITYCMS MEDICARE ELIGIBILITYCOLONIAL PENN LIFE INSURANCE COMPANYCOLONIAL PENN LIFE INSURANCE COMPANYCOLORADO ACCESSCOLORADO ACCESSCOLORADO BLUE CROSSCOLORADO BLUE SHIELDCOLORADO MEDICARECOLORADO MEDICARECOMMUNITY CARE MANAGED HEALTHCARE PLANS OF OKCOMMUNITY CARE MANAGED HEALTHCARE PLANS OF OKCOMMUNITY HEALTH CHOICECOMMUNITY HEALTH CHOICE TEXAS - HIMCOMMUNITY HEALTH CHOICE TEXAS - HIMCOMMUNITY HEALTH ELECTRONIC CLAIMS -CHECCOMMUNITY HEALTH ELECTRONIC CLAIMS -CHECCOMMUNITY HEALTH FIRST MEDICARE ADVANTAGECOMMUNITY HEALTH PLAN OF WA (CHPWA)COMMUNITY HEALTH PLAN OF WASHINGTON (CHPWA)COMMUNITY HEALTH SOLUTIONSCOMMUNITY HEALTH SOLUTIONSCOMMUNITY PREFERRED HEALTH PLANCOMMUNITY PREFERRED HEALTH PLANCOMMUNITYCONNECT HEALTH PLANCOMMUNITYCONNECT HEALTH PLANCONNECT BLUE EPOCONNECT BLUE EPOCONNECT BLUE EPOCONNECT BLUE EPOCONNECTICARE VIP MEDICARE ADVANTAGECONNECTICARE VIP MEDICARE ADVANTAGECONNECTICARE, INC.CONNECTICARE, INC.CONNECTICUT BLUE CROSSCONNECTICUT BLUE SHIELDCONNECTICUT GENERAL (CIGNA)CONNECTICUT MEDICAIDCONNECTICUT MEDICAIDCONNECTICUT MEDICARECONNECTICUT MEDICARECONSOLIDATED ASSOCIATES RAILROADCONSOLIDATED BENEFITS INC.CONSOLIDATED BENEFITS INC.CONSTELLATION HEALTH SERVICES

TION HEALTH SERVICESCONTINENTAL GENERAL INS CO (MEDICARE SUPPLEMENT)CONTINENTAL GENERAL INS CO (MEDICARE SUPPLEMENT)CONTINENTAL GENERAL INSUR CO MEDICARE SUPPLEMENTCONTINUUS FKA SFCACONTINUUS FKA SFCACOOK CHILDRENS HEALTH PLANCOOK CHILDRENS HEALTH PLANCOOPERATIVE BENEFIT ADMINISTRATORS (CBA)COOPERATIVE BENEFIT ADMINISTRATORS (CBA)COORDINATED CARECOORDINATED CARECORESOURCE AZ MN PA MD ILCORESOURCE AZ MN PA MD ILCORESOURCE LITTLE ROCKCORESOURCE LITTLE ROCKCORESOURCE OF ARIZONACORESOURCE OF ILLINOISCORESOURCE OF MARYLANDCORESOURCE OF MINNESOTACORESOURCE OF NCCORESOURCE OF NCCORESOURCE OHIOCORESOURCE OHIOCORPORATE BENEFITS SERVICESCORPORATE BENEFITS SERVICESCOTTAGE HEALTH SYSTEMCOTTAGE HEALTH SYSTEMCOURSESOURCE OF KANSAS CITYCOURSESOURCE OF KANSAS CITYCOVENTRY ADVANTRA - AZ, NM, TX ONLYCOVENTRY ADVANTRA (TX, NM, AZ ONLY)COVENTRY ADVANTRA (TX, NM, AZ ONLY)COVENTRY CARES PENNSYLVANIACOVENTRY CARES PENNSYLVANIACOVENTRY DIAMOND PLANCOVENTRY DIAMOND PLANCOVENTRY HEALTH & LIFE (OKLAHOMA)COVENTRY HEALTH AND LIFE OKLAHOMACOVENTRY HEALTH AND LIFE OKLAHOMACOVENTRY HEALTH AND LIFE OKLAHOMACOVENTRY HEALTH AND LIFE TENNESSEECOVENTRY HEALTH AND LIFE TENNESSEECOVENTRY HEALTH CARECOVENTRY HEALTH CARECOVENTRY HEALTH CARE CARELINK MEDICAIDCOVENTRY HEALTH CARE CARELINK MEDICAID

38739740741742743744745746747748749750751COVENTRY HEALTH CARE CARENET OF VIRGINIACOVENTRY HEALTH CARE COVENTRY CARESCOVENTRY HEALTH CARE COVENTRY CARESCOVENTRY HEALTH CARE DELAWARECOVENTRY HEALTH CARE DELAWARECOVENTRY HEALTH CARE FEDERALCOVENTRY HEALTH CARE FEDERALCOVENTRY HEALTH CARE FLORIDA/VISTA/SUMMITCOVENTRY HEALTH CARE FLORIDA/VISTA/SUMMITCOVENTRY HEALTH CARE FLORIDA/VISTA/SUMMITCOVENTRY HEALTH CARE HEALTHAMERICACOVENTRY HEALTH CARE NATIONAL NETWORKCOVENTRY HEALTH CARE NATIONAL NETWORKCOVENTRY HEALTH CARE NEBRASKA MEDICAIDCOVENTRY HEALTH CARE NEBRASKA MEDICAIDCOVENTRY HEALTH CARE OF GEORGIA, INC.COVENTRY HEALTH CARE OF GEORGIA, INC.COVENTRY HEALTH CARE OF ILLINOISCOVENTRY HEALTH CARE OF ILLINOISCOVENTRY HEALTH CARE OF IOWA, INC.COVENTRY HEALTH CARE OF IOWA, INC.COVENTRY HEALTH CARE OF LOUISIANA, INCCOVENTRY HEALTH CARE OF LOUISIANA, INC.COVENTRY HEALTH CARE OF MISSOURICOVENTRY HEALTH CARE OF MISSOURICOVENTRY HEALTH CARE OF NEBRASKA, INC.COVENTRY HEALTH CARE OF NEBRASKA, INC.COVENTRY HEALTH CARE OF THE CAROLINASCOVENTRY HEALTH CARE OF THE CAROLINASCOVENTRY HEALTH CARE OMNICARECOVENTRY HEALTH CARE OMNICARECOVENTRY HEALTH CARE SOUTHERN HEALTH SYSTEMS, INC.COVENTRY HEALTH CARE SOUTHERN HEALTH SYSTEMS, INC.COVENTRY HEALTH CARE USACOVENTRY HEALTH CARE USACOVENTRY HEALTH CARE WELLPATHCOVENTRY HEALTH CARE WELLPATHCOVENTRY HEALTH OF NEBRASKACOVENTRY HEALTHCARE OF FLORIDACOVENTRYCARES HEALTH PLANCOVENTRYCARES HEALTH PLANCOVENTRYCARES OF KENTUCKYCOVENTRYCARES OF KENTUCKYCOVENTRYCARES OF MICHIGANCOVENTRYCARES OF MICHIGANCOVENTRYCARES OF MICHIGANCOVENTRYCARES OF MICHIGAN

ARES OF VIRGINIACOVENTRYCARES OF VIRGINIACOVENTRYCARES OF WEST VIRGINIACOVENTRYCARES OF WEST VIRGINIACOVENTRYONE PLANSCOX HEALTH PLANCREATECREATECROWN LIFECROWN LIFECSHCN (CHILDREN WITH SPECIAL HEALTH CARE NEEDS)CSHCN (CHILDREN WITH SPECIAL HEALTH CARE NEEDS))DAKOTACAREDAKOTACAREDEAN HEALTH PLANDEAN HEALTH PLANSDEANCAREHMODEANCAREHMODEFINITY HEALTHDEFINITY HEALTHDELAWARE BLUE CROSS - HIGHMARKDELAWARE BLUE SHIELD - HIGHMARKDELAWARE MEDICAIDDELAWARE MEDICAIDDELAWARE MEDICAREDELAWARE MEDICAREDENALI CAREDENALI CAREDENVER HEALTH MEDICAL PLANDENVER HEALTH MEDICAL PLANDESERET MUTUAL BENEFIT ASSOCIATES (DMBA)DESERET MUTUAL BENEFIT ASSOCIATES (DMBA)DIAMOND PLANDIAMOND PLANDIRECTORS GUILD OF AMERICADIRECTORS GUILD OF AMERICADISTRICT OF COLUMBIA MEDICAIDDISTRICT OF COLUMBIA MEDICAIDDISTRICT OF COLUMBIA MEDICAREDISTRICT OF COLUMBIA MEDICAREEASTERN OREGON CCO (MODA/ODS)EASTERN OREGON CCO (MODA/ODS)EAU CLAIRE HEALTH PROTECTION PLANEAU CLAIRE HEALTH PROTECTION PLANEAU CLAIRE PROVIDERS CHOICEEAU CLAIRE PROVIDERS CHOICEEBMS HEALTHEWEB

DS HEALTHCHOICEEDS HEALTHCHOICEEHCEHCEHIEMBLEM HEALTH MEDICARE CHOICE VALUEEMBLEM HEALTH MEDICARE CHOICE VALUEEMBLEM HEALTH/HEALTH INSURANCE PLAN OF GREATER NYEMBLEM HEALTH/HEALTH INSURANCE PLAN OF GREATER NYEMBLEMHEALTH MANAGED LTCEMBLEMHEALTH MANAGED LTCEMPHESYSEMPIRE BCBS HEALTHPLUSEMPIRE BCBS HEALTHPLUSEMPIRE BCBS HEALTHPLUS FIDA ADVANTAGE PLANEMPIRE BCBS HEALTHPLUS FIDA ADVANTAGE PLANEMPIRE HEALTHCHOICE HMO NYEMPIRE HEALTHCHOICE HMO NYEMPLOYEE BENEFIT MANAGEMENT SERV (EBMS)EMPLOYEE BENEFIT MANAGEMENT SERV (EBMS) HEALTHEWEBEMPLOYEE BENEFIT SERVICES DBA KEY BENEFIT ADMINEMPLOYEE BENEFIT SERVICES DBA KEY BENEFIT ADMINEMPLOYERS HEALTHEMPLOYERS INSURANCE OF WAUSAUEMPLOYERS INSURANCE OF WAUSAUEMPLOYERS LIFE INSURANCEEMPLOYERS LIFE INSURANCEEPIC LIFE INSURANCEEPIC LIFE INSURANCEEQUICOREQUICOR - PPOEQUICOR HEALTH PLAN - HOUSTONEQUICOR PPOEQUICOR/EQUITABLEEQUITABLE REEN HEALTH COOPERATIVEEVERGREEN HEALTH COOPERATIVEEXCLUSICAREEXCLUSICAREFAIRVIEW UCARE CHOICESFAIRVIEW UCARE CHOICES

79880881882883884885886887888889890891892FALLON COMMUNITY HEALTH PLANFALLON COMMUNITY HEALTH PLANFALLON TOTAL CAREFALLON TOTAL CAREFAMILY CARE MILWAUKEE, WISCONSINFAMILY CARE MILWAUKEE, WISCONSINFAMILY HEALTH PARTNERS MC MISSOURIFAMILY HEALTH PARTNERS MC MISSOURIFARM BUREAU HEALTH PLANSFEDERAL EMPLOYEE HEALTH BENEFITS PROGRAM (FEP)FEDERAL EMPLOYEE HEALTH BENEFITS PROGRAM (FEP)FEDERAL EMPLOYEE HEALTH BENEFITS PROGRAM (FEP)FEDERAL EMPLOYEES DENTAL AND VISION (FEDVIP)FEDERAL EMPLOYEES DENTAL AND VISION (FEDVIP)FEDERAL EMPLOYEES HEALTH BENEFIT PROGRAM (FEHB)FEDERAL EMPLOYEES HEALTH BENEFIT PROGRAM (FEHB)FEDERATED MUTUAL INSURANCEFEDERATED MUTUAL INSURANCEFEPFIDELIS CARE AT HOMEFIDELIS CARE AT HOMEFIDELIS CARE OF NEW YORKFIDELIS CARE OF NEW YORKFIDELIS DUAL ADVANTAGE NYCFIDELIS DUAL ADVANTAGE NYCFIDELIS MEDICAID ADVANTAGE PLUSFIDELIS MEDICAID ADVANTAGE PLUSFIRST AMERITAS OF NEW YORKFIRST CHOICEFIRST CHOICE BY SELECT HEALTH OF SCFIRST CHOICE BY SELECT HEALTH OF SCFIRST HEALTH NETWORKFIRST HEALTH NETWORKFIRST MEDICAL HEALTH PLAN (REFORM)FIRST MEDICAL HEALTH PLAN (REFORM)FIRST PLAN OF MINNESOTAFIRST RELIANCE STANDARD LIFEFIRSTCAROLINACAREFIRSTCAROLINACAREFLORIDA BLUE CROSSFLORIDA BLUE SHIELDFLORIDA HEALTH CARE PLANFLORIDA HEALTH CARE PLANFLORIDA HOSPITAL CARE ADVANTAGEFLORIDA HOSPITAL CARE ADVANTAGEFLORIDA MEDICAIDFLORIDA MEDICAID

26927928929930931932933934935936937938939FLORIDA MEDICAREFLORIDA MEDICAREFRESENIUS HEALTH PARTNERSFRESENIUS HEALTH PARTNERSFRESENIUS TOTAL HEALTH (PPO SNP)FRESENIUS TOTAL HEALTH (PPO SNP)GATEWAY HEALTH PLAN - HIGHMARK HEALTH OPTIONSGATEWAY HEALTH PLAN - HIGHMARK HEALTH OPTIONSGATEWAY HEALTH PLAN - MEDICAID PENNSYLVANIAGATEWAY HEALTH PLAN - MEDICAID PENNSYLVANIAGATEWAY HEALTH PLAN - MEDICARE ASSURED OHIOGATEWAY HEALTH PLAN - MEDICARE ASSURED OHIOGATEWAY HEALTH PLAN - MEDICARE ASSURED PENNSYLVANIGATEWAY HEALTH PLAN - MEDICARE ASSURED PENNSYLVANIGEHA CONNECTION DENTAL FEDERALGEHA CONNECTION DENTAL FEDERALGEHA CONNECTION DENTAL PLUSGEHA CONNECTION DENTAL PLUSGEHA HIGH DEDUCTIBLE HEALTH PLAN (HDHP)GEHA HIGH DEDUCTIBLE HEALTH PLAN (HDHP)GEHA HIGH OPTIONGEHA HIGH OPTIONGEHA STANDARD OPTIONGEHA STANDARD OPTIONGEISINGER HEALTH PLANGEISINGER HEALTH PLANGEISINGER HEALTH PLAN GOLDGENERAL AMERICAN LIFE OF ST. LOUISGENERAL AMERICAN LIFE OF ST. LOUISGEORGIA BANKERSGEORGIA BLUE CHOICEGEORGIA BLUE CROSSGEORGIA BLUE SHIELDGEORGIA MEDICAIDGEORGIA MEDICAIDGEORGIA MEDICAID ANESTHESIAGEORGIA MEDICAREGEORGIA MEDICAREGHC INDIVIDUAL PLANSGIC INDEMNITY PLANGIC INDEMNITY PLANGILSBAR INC.GILSBAR INC.GOLDEN RULE INSURANCEGOLDEN RULE INSURANCEGOVERNMENT EMPLOYEE HOSPITAL ASSOCIATION (GEHA)GRANITE STATE HEALTH PLAN

73974975976977978979980981982983984985986GRANITE STATE HEALTH PLANGREAT AMERICAN LIFE INS CO (MEDICARE SUPPLEMENT)GREAT AMERICAN LIFE INS CO (MEDICARE SUPPLEMENT)GREAT LAKES HEALTH PLANGREAT LAKES HEALTH PLANGREAT WEST CAREGREATER LA CROSSE CARE 65 GREATER LA CROSSE CARE 65 GREATER WISCONSIN RAPIDS PROVIDER CHOICEGREATER WISCONSIN RAPIDS PROVIDER CHOICEGREAT-WEST HEALTHCAREGREAT-WEST HEALTHCARE AND ANNUITY INSURANCE CO.GREAT-WEST HEALTHCARE AND ANNUITY INSURANCE CO.GREAT-WEST LIFEGREAT-WEST LIFEGREAT-WEST LIFE ASSURANCE CO (GWL)GREAT-WEST LIFE ASSURANCE CO (GWL)GREEN BAY HEALTH PROTECTION PLANGREEN BAY HEALTH PROTECTION PLANGROUP AND PENSION ADMINISTRATORSGROUP AND PENSION ADMINISTRATORSGROUP HEALTH COOPERATIVE SOUTH CENTRAL WISCONSINGROUP HEALTH INSURANCEGROUP HEALTH INSURANCE - DELAWAREGROUP HEALTH INSURANCE - DELEWAREGROUP HEALTH PLAN (GHP)GROUP HEALTH PLAN (GHP) / ADVANTRAGROUP HEALTH PLAN (GHP)/ADVANTRAGROUP PRACTICE AFFILIATESGROUP PRACTICE AFFILIATESGROUP PRACTICE AFFILIATESGWL (GREAT-WEST LIFE)GWL (GREAT-WEST LIFE)HAP/AHL/CURANETHAP/AHL/CURANETHARMONY HEALTH PLAN OF ILLINOIS, INDIANA, MISSOURIHARMONY HEALTH PLAN OF ILLINOIS, INDIANA, MISSOURIHARRINGTON BENEFIT SERVICES, INC.HARRINGTON BENEFIT SERVICES, INC.HARRINGTON HEALTHHARRINGTON HEALTHHARVARD PILGRIM HEALTH CAREHARVARD PILGRIM HEALTH CAREHARVARD PILGRIM PASSPORT CONNECTHARVARD PILGRIM PASSPORT CONNECTHAWAII HMSAHAWAII MEDICAID

7102810291030103110321033HAWAII MEDICAIDHAWAII MEDICAREHAWAII MEDICAREHAWAII QUESTHCH ADMINISTRATIONHEALTH ADVANTAGEHEALTH ADVANTAGEHEALTH ALLIANCE MEDICAL PLAN OF ILLINOISHEALTH AMERICA, INC.HEALTH AMERICA/HEALTH ASSURANCE (PA AND OH)

143 allied benefit system 144 allied benefit system 145 allied benefit system, inc. 146 allied benefit system, inc. 147 alohacare 148 alohacare 149 alohacare quest 150 alohacare quest 151 alpha data systems 152 alpha data systems 153 alta health & life insurance company 154 alta health and life insurance company 155 altius 156 altius 157 .