TransUnion Healthcare Solutions Payer List

Transcription

1 Payer ID: Unique payer mnemonic assigned by AARP No Yes Yes Yes National ACS Benefit Services No Yes N/A Yes NC Administrative Services Inc No Yes Yes N/A IL Advantage by Bridgeway Health Solutions No Yes N/A Yes AZ Advantage by Buckeye Community Health Plan No Yes N/A Yes OH, WV Advantage by Managed Health Services No Yes N/A Yes WI Advantage by Superior HealthPlan No Yes N/A Yes TX Aetna Yes Yes Yes Yes National Aetna Better Health (CA) No Yes Yes Yes CA Aetna Better Health (FL) No Yes Yes Yes FL Aetna Better Health (IL) No Yes N/A Yes IL Aetna Better Health (KY) No Yes Yes N/A KY Aetna Better Health (LA) No Yes N/A Yes LA Aetna Better Health (MD) No Yes Yes Yes MD Aetna Better Health (MI) No Yes Yes Yes MI Aetna Better Health (NJ) No Yes Yes Yes NJ Aetna Better Health (NV) No Yes Yes Yes NV Aetna Better Health (PA) No Yes Yes Yes PA Aetna Better Health (TX) No Yes N/A N/A TX Aetna Better Health (TX) CHIP No Yes N/A N/A TX Aetna Better Health (VA) No Yes Yes Yes VA Aetna Better Health (WV) No Yes Yes Yes WV Aetna Long Term Care No Yes Yes Yes National Aetna Retiree Medical Plan - Administrator No Yes Yes N/A National Aetna Senior Supplemental No Yes Yes N/A National Affinity Essentials No Yes N/A Yes NY Affinity Health Plan No Yes Yes Yes NY, WI Affinity Health Plan Medicare No Yes N/A Yes NY Aflac No Yes Yes Yes National AFLAC - Dental No Yes N/A N/A National AFLAC - Medicare Supplemental No Yes Yes Yes National AgeWell NewYork * Yes Yes N/A N/A NY AGIA. Inc. No Yes Yes Yes National Alabama Medicaid No Yes Yes Yes AL Alameda Alliance Health Plan * Yes Yes N/A N/A CA Alan Sturm and Associates - Dental No Yes N/A N/A National Alaska Medicaid No Yes N/A N/A AK All Savers Life Insurance No Yes Yes N/A National Allegiance Benefit Plan Management No Yes Yes Yes CA, CO, ID, IL, IA, KS, MN, MT, NE, ND, SD, UT, WA, WI, WY Alliant Health Plans No Yes Yes N/A GA Allied Benefit Systems No Yes N/A N/A National AlohaCare No Yes N/A N/A HI Alternative Insurance Resources, Inc No Yes Yes Yes AL Altus Dental No Yes N/A N/A MA, RI Ambetter of Arkansas No Yes Yes N/A AR Ambetter Superior Health Plan (TX) No Yes N/A N/A TX Ameriben No Yes Yes Yes AZ American General Life and Accident No Yes Yes Yes National American Health Medicare No Yes N/A N/A PR American Income Life Ins.Co. No Yes Yes N/A National American Medical Security (AMS) No Yes Yes N/A National American National Insurance No Yes Yes Yes National American National Life Ins Texas No Yes Yes Yes TX American Network Ins. Medicare Supplement No Yes Yes Yes National American Postal Workers Union (APWU) No Yes Yes Yes National American Retirement Life Ins Co. Medicare Supp No Yes N/A Yes National AmeriChoice of New Jersey (Commercial) No Yes N/A N/A NJ AmeriChoice of New Jersey (Medicaid) No Yes Yes Yes NJ Americo Financial Life & Annuity No Yes N/A N/A National AMERIGROUP No Yes Yes Yes NJ AmeriHealth Yes Yes Yes Yes DE, NJ, PA AmeriHealth Administrators Yes Yes N/A N/A National AmeriHealth Caritas DC No Yes N/A N/A DC AmeriHealth Caritas Iowa No Yes N/A N/A IA AmeriHealth Caritas Louisiana (LaCare) No Yes N/A Yes LA AmeriHealth Caritas Pennsylvania No Yes N/A Yes PA AmeriHealth Caritas VIP Care Plus No Yes N/A N/A MI AmeriHealth New Jersey No Yes Yes N/A NJ AmeriHealth Northeast Pennsylvania No Yes N/A N/A PA AmeriHealth Pennsylvania No Yes Yes N/A PA AmeriHealth VIP Care No Yes N/A N/A PA Ameritas Group - Ameritas Life Insurance Co. No Yes N/A Yes National Ameritas Group - First Ameritas of New York No Yes N/A Yes NY Ameritas Group - First Reliance Standard Life No Yes N/A Yes NY Ameritas Group - Reliance Standard Life No Yes N/A Yes National Ameritas Group - Standard Insurance No Yes N/A Yes National Ameritas Group - Standard Insurance of New York No Yes N/A Yes NY Anthem Vivity No Yes Yes N/A CA Apex Benefits Services No N/A N/A Yes National Arise Health Care No Yes Yes Yes WI Arise Health Plan Medicare Select Policy No Yes Yes Yes WI Arizona Medicaid (AHCCCS) No Yes Yes N/A AZ Arizona Physicians IPA (APIPA) No Yes N/A Yes AZ Arkansas Medicaid No Yes Yes Yes AR Associacion De Maestros Puerto Rico No Yes N/A N/A PR Asuris Northwest Health No Yes Yes Yes WA AultCare No Yes Yes Yes OH Automated Benefit Services No Yes N/A Yes National Auxiant No Yes N/A N/A National Avalon Administrative Services No N/A N/A Yes FL Avera Health Plans No Yes N/A N/A IA, MN, NE, ND, SD AvMed Health Plans No Yes Yes N/A FL Bankers Fidelity Life Insurance Company No Yes N/A N/A AL, AZ, AR, CO, DC, DE, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, MD, MI, MS, MO, MT, NE, NV, NJ, NM, NC, ND, OH, OK, PA, PR, SC, SD, TN, TX, UT, VA, WV, WY Bankers Life & Casualty No Yes Yes Yes National Banner Health Plans No Yes N/A Yes AK, AZ, CA, CO, NE, NV, WY Banner University Family Care No Yes N/A Yes AZ BCBS of Alabama No Yes N/A Yes AL BCBS of Alabama [Institutional] No Yes N/A Yes AL BCBS of Alaska (Premera) No Yes N/A N/A AK BCBS of Arizona No Yes Yes Yes AZ BCBS of Arkansas Yes Yes Yes Yes AR BCBS of Central New York No Yes N/A N/A NY BCBS of Colorado (Anthem) No Yes Yes Yes CO

2 Payer ID: Unique payer mnemonic assigned by BCBS of Connecticut (Anthem) No Yes Yes Yes CT BCBS of Delaware Yes Yes N/A N/A DE BCBS of Florida No Yes Yes Yes FL BCBS of Georgia (Anthem) No Yes Yes Yes GA BCBS of Hawaii No Yes Yes N/A HI BCBS of Illinois No Yes Yes Yes IL BCBS of Indiana (Anthem) No Yes Yes Yes IN BCBS of Iowa No Yes N/A Yes IA BCBS of Kansas No Yes Yes Yes KS BCBS of Kansas City No Yes Yes Yes MO BCBS of Kentucky (Anthem) No Yes Yes Yes KY BCBS of Louisiana No Yes Yes Yes LA BCBS of Maine (Anthem) No Yes Yes Yes ME BCBS of Massachusetts No Yes Yes Yes MA BCBS of Michigan (Institutional) Yes Yes N/A Yes MI BCBS of Michigan (Professional) Yes Yes N/A Yes MI BCBS of Minnesota No Yes Yes Yes MN BCBS of Mississippi No Yes N/A Yes MS BCBS of Missouri (Anthem) No Yes Yes Yes MO BCBS of Montana No Yes N/A N/A MT BCBS of Nebraska No Yes Yes Yes NE BCBS of Nevada (Anthem) No Yes Yes Yes NV BCBS of New Hampshire (Anthem) No Yes Yes Yes NH BCBS of New Jersey (Horizon) No Yes N/A Yes NJ BCBS of New Mexico No Yes Yes Yes NM BCBS of New York (Empire) No Yes Yes Yes NY BCBS of New York (Excellus) No Yes N/A Yes NY BCBS of North Carolina No Yes Yes Yes NC BCBS of North Dakota No Yes N/A N/A ND BCBS of Ohio (Anthem) No Yes Yes Yes OH BCBS of Oklahoma No Yes Yes Yes OK BCBS of Oregon (Regence) No Yes Yes Yes OR BCBS of Pennsylvania (Highmark) [Institutional] Yes Yes Yes N/A PA BCBS of Pennsylvania (Highmark) [Professional] Yes Yes N/A N/A PA BCBS of Rhode Island No Yes N/A N/A RI BCBS of South Carolina No Yes N/A Yes SC BCBS of South Dakota (Wellmark) No Yes N/A Yes SD BCBS of Tennessee No Yes Yes Yes TN BCBS of Texas No Yes N/A Yes TX BCBS of the Rochester Area (NY) No Yes N/A N/A NY BCBS of Utica-Watertown (NY) No Yes N/A N/A NY BCBS of Vermont No Yes N/A Yes VT BCBS of Virginia (Anthem) No Yes Yes Yes VA BCBS of West Virginia Yes Yes Yes N/A WV BCBS of Western New York No Yes N/A N/A NY BCBS of Wisconsin (Anthem) No Yes Yes Yes WI BCBS of Wyoming No Yes N/A N/A WY BCBS Texas Medicaid STAR CHIP No Yes Yes Yes TX BCBSMN Blue Plus Medicaid No Yes N/A Yes MN BCBSMN Blue Plus Medicaid Waiver No Yes Yes Yes MN Beacon Health Strategies * Yes Yes N/A N/A National Behavioral Health Systems, Inc. No Yes Yes N/A National Benefit Management Inc No Yes Yes Yes KS Better Health Plans (Unison Health Plans) No Yes N/A Yes CA Better Health Plans of Florida No Yes N/A N/A FL Blue Benefit Administrators of Mass No Yes N/A N/A MA Blue Cross Community Options No Yes Yes N/A IL Blue Cross Independence (Pennsylvania) Yes Yes N/A N/A PA Blue Cross Northeastern Pennsylvania No Yes N/A N/A PA Blue Cross of California (Anthem) No Yes Yes Yes CA Blue Cross of Idaho No Yes N/A N/A ID Blue Cross of Utah (Regence) No Yes N/A Yes UT Blue Cross of Washington and Alaska (Premera) No Yes N/A Yes WA, AK Blue Cross Pennsylvania (Capital) Yes Yes Yes Yes PA Blue Shield of California No Yes Yes Yes CA Blue Shield of Idaho (Regence) No Yes N/A Yes ID Blue Shield of North Eastern New York No Yes N/A N/A NY Blue Shield of Washington (Regence) No Yes Yes Yes WA BlueChoice HealthPlan South Carolina Medicaid No Yes Yes N/A SC BlueCross Medicare Advantage No Yes Yes Yes IL, MT, NM, OK, TX BMC HealthNet Plan No Yes Yes N/A MA Boon Group No Yes Yes Yes National Boon-Chapman Benefit Admin No Yes N/A N/A National Bravo Health, Inc. No Yes N/A Yes AL, DE, FL, IL, MD, MN, NJ, PA, TN, TX, WA Bridgespan No Yes Yes Yes ID, OR, UT, WA Bright Health No Yes N/A N/A AL, AZ, CO, NY, OH, TN Bright Health Medicare Advantage No Yes N/A N/A AL, AZ, CO Brokers National - Dental No Yes N/A N/A National C and O Employees Hospital Association Plan No N/A N/A Yes National Cal-Viva No Yes Yes N/A AZ, CA, OR, WA California Children Services * Yes Yes N/A N/A CA California Medicaid (Medi-Cal) No Yes Yes N/A CA CalOptima No Yes N/A N/A CA Capital District Physicians Health Plan (CDPHP) No Yes Yes N/A NY Capitol Administrators No Yes N/A N/A National CAPROCK No Yes N/A N/A National Care Improvement Plus No Yes Yes Yes AR, GA, IL, IN, IA, MO, NE, NM, NC, SC, TX, WI Care1st Health Plan Arizona No Yes Yes Yes AZ Care1st of California * Yes Yes N/A N/A CA Carefirst BCBS - DC No Yes Yes N/A DC Carefirst Blue Cross Blue Shield - MD No Yes Yes Yes DC, MD, VA CareMore No Yes Yes N/A CA CarePlus Health Plan No Yes Yes Yes FL CareSource Health No Yes Yes Yes IN, MI, OH Carolina Care Plan, Inc. (CCP) No Yes Yes Yes SC Carpenters Health and Welfare Trust Fund of St Louis No Yes Yes N/A MO CDS Group Health No Yes N/A Yes NV Celtic Insurance No Yes N/A N/A National CenCal No Yes Yes N/A CA Cenpatico - Arizona No Yes N/A Yes AZ Cenpatico - Florida No Yes N/A Yes FL Cenpatico - Georgia No Yes Yes Yes IL Cenpatico - Illinois No Yes N/A Yes IN

3 Payer ID: Unique payer mnemonic assigned by Cenpatico - Indiana No Yes N/A Yes GA Cenpatico - Kansas No Yes N/A Yes KS Cenpatico - Kentucky No Yes N/A Yes KY Cenpatico - Massachusetts No Yes N/A Yes MA Cenpatico - Mississippi No Yes Yes Yes MS Cenpatico - Missouri No Yes Yes Yes MO Cenpatico - New Hampshire No Yes Yes Yes NH Cenpatico - Ohio No Yes N/A Yes OH Cenpatico - South Carolina No Yes N/A Yes SC Cenpatico - Texas No Yes N/A Yes TX Cenpatico - Wisconsin No Yes N/A Yes WI Cenpatico Behavioral Health No Yes N/A Yes AZ Cenpatico Behavioral Health Texas No Yes N/A Yes TX Centene - Absolute Total Care No Yes Yes Yes SC Centene - Advantage by Peach State No Yes Yes Yes GA Centene - Advantage by Sunshine State No Yes Yes Yes FL Centene - Ambetter Sunshine Health No Yes Yes N/A FL Centene - Bridgeway Arizona No Yes Yes Yes AZ Centene - Buckeye Community Health No Yes Yes Yes OH Centene - California Health & Wellness No Yes Yes Yes CA Centene - Celticare No Yes Yes Yes MA Centene - Coordinated Care No Yes Yes Yes WA Centene - Granite State Health Plan No Yes Yes Yes NH Centene - Home State Health Plan No Yes Yes Yes MO Centene - Kentucky Spirit Health Plan No Yes Yes Yes KY Centene - Magnolia Health Plan No Yes N/A Yes MS Centene - Managed Health Services Indiana No Yes Yes Yes IN Centene - Managed Health Services Wisconsin No Yes Yes Yes WI Centene - Michigan Fidelis Secure Care No Yes Yes Yes MI Centene - New Hampshire Healthy Families No Yes Yes Yes NH Centene - Peach State Health Plan No Yes Yes Yes GA Centene - Sunshine State Health Plan No Yes Yes Yes FL Centene - Superior Health Plan TX No Yes Yes Yes TX Centene - Total Care Carolina No Yes Yes Yes SC Centene Advantage Plans No Yes Yes Yes National Central California Alliance for Health No Yes N/A Yes CA Central Reserve Life Ins Co. Medicare Supp No Yes N/A Yes National Central Senior Care No Yes N/A N/A TX Central States Fund No Yes Yes Yes National Central States Indemnity No Yes Yes N/A National Cerner Health Plan No Yes N/A Yes National CHAMPVA/Spina Bifida/Children of Women Vietnam Vets No Yes Yes Yes National CHC - Advantra (TX, NM, AZ Only) No Yes Yes Yes TX, NM, AZ CHC - Advantra Freedom No Yes Yes Yes National CHC - Advantra Savings No Yes Yes Yes National CHC - Altius Health Plans No Yes Yes Yes UT CHC - Coventry Health and Life (Oklahoma) No Yes Yes Yes OK CHC - Coventry Health and Life Nevada No Yes Yes Yes NV CHC - Coventry Health and Life Tennessee No Yes Yes Yes TN CHC - Coventry Health Care Federal No Yes Yes Yes National CHC - Coventry Missouri No Yes Yes Yes MO CHC - COVENTRYCARES OF KENTUCKY No Yes Yes Yes KY CHC - CoventryOne No Yes Yes Yes AR, DE, FL, GA, IL, IA, LA, MD, MS, MO, NE, NV, NC, OH, OK, PA, SC, SD, TN, TX, UT, WV, WY CHC - Delaware No Yes Yes Yes DE CHC - Florida No Yes Yes Yes FL CHC - Georgia No Yes Yes Yes GA CHC - Group Health Plan (GHP) No Yes Yes Yes IL, MO CHC - HealthCare Inc. (Promina) No Yes Yes Yes MI CHC - Illinois No Yes Yes Yes IL CHC - Iowa No Yes Yes Yes IA CHC - Kansas No Yes Yes Yes KS CHC - Louisiana No Yes Yes Yes LA CHC - Mail Handlers Benefit Plan No Yes Yes Yes National CHC - Nebraska No Yes Yes Yes NE CHC - University of Missouri No Yes Yes Yes MO CHC - Virginia No Yes Yes Yes VA CHC - West Virginia No Yes Yes Yes OH, WV CHC of the Carolinas No Yes Yes Yes NC, SC Childrens Mercy PCN No Yes N/A N/A KS, MO CHP Direct No Yes N/A N/A GA, IN, KY, OH, SC Christian Brothers Services No Yes N/A N/A National Christie Student Health Plans No Yes Yes Yes MA, RI CHRISTUS Health Plan Medicaid No Yes Yes N/A NM CHRISTUS Health Plan New Mexico No Yes Yes Yes NM CHRISTUS Health Plan NM Medicare Advantage No Yes Yes Yes NE Christus Health Plan Texas HIX No Yes N/A Yes TX CIGNA-GreatWest No Yes Yes Yes National Claims Management Service Inc No Yes N/A N/A WI Clear Health Alliance No Yes N/A Yes FL Clover Health No Yes Yes Yes NJ CMFG Life Insurance No Yes Yes Yes National Colonial Penn Life No Yes Yes Yes National Colorado Access No Yes N/A Yes CO Colorado Medicaid No Yes Yes Yes CO Community Care of Oklahoma No Yes Yes Yes OK Community Health Choice No Yes N/A N/A National Community Health Group No Yes N/A Yes CA Community Health Plan of Washington (CHPW) No Yes Yes N/A WA Community HealthFirst Medicare Advantage No Yes N/A N/A WA Concentrix Insurance Solutions No Yes Yes Yes National ConnectiCare No Yes N/A Yes CT ConnectiCare - Medicare No Yes N/A N/A CT Connecticut Medicaid No Yes N/A Yes CT Consolidated Associates Railroad No Yes N/A N/A NM Constellation Health (INMEDIATA HEALTH GROUP) No Yes N/A N/A PR Consumers Life No Yes N/A N/A OH Consumers Mutual Insurance of Michigan No Yes Yes N/A MI Continental General Ins Co. Medicare Supp No Yes N/A Yes National Cook Children s Health Plan No Yes N/A N/A TX Cooperative Benefit Administrators (CBA) No Yes N/A Yes National CoreSource (FMH) No Yes N/A Yes KS CoreSource (Little Rock) No Yes N/A Yes AR CoreSource (MD,PA,IL,NC,IN,AZ,MN) No Yes N/A Yes AZ, IL, IN, MD, MN, NC, PA

4 Payer ID: Unique payer mnemonic assigned by Corporate Benefit Service No Yes N/A N/A National Country Life Insurance Company No Yes N/A N/A IL CountyCare No Yes Yes N/A IL Covenant Administrators (TPA) No Yes N/A N/A National Coventry Healthcare National Network No Yes Yes Yes National CoventryCares of Michigan No Yes Yes Yes MI CoventryCares of West Virginia No Yes Yes Yes WV Cox Health Plan No Yes N/A N/A MO Crystal Run Health Plans* Yes Yes N/A N/A NY CSI Life Insurance Company No Yes N/A N/A AZ, CO, GA, IL, MS, NC, SC, TN, TX Culinary Health Fund No Yes Yes Yes NV DakotaCare No Yes Yes N/A SD Dean Health Plan No Yes Yes Yes WI DeCare Dental Health Insurance No Yes N/A N/A National Definity Health No Yes Yes Yes National Delaware Medicaid No Yes N/A N/A DE Delta Dental Ins. Co. - Alabama No Yes N/A N/A AL Delta Dental Ins. Co. - Florida No Yes N/A N/A FL Delta Dental Ins. Co. - Georgia No Yes N/A N/A GA Delta Dental Ins. Co. - Louisiana No Yes N/A N/A LA Delta Dental Ins. Co. - Mississippi No Yes N/A N/A MS Delta Dental Ins. Co. - Montana No Yes N/A N/A MT Delta Dental Ins. Co. - Nevada No Yes N/A N/A NV Delta Dental Ins. Co. - Texas No Yes N/A N/A TX Delta Dental Ins. Co. - Utah No Yes N/A N/A UT Delta Dental of Arizona No Yes N/A N/A AZ Delta Dental of California No Yes N/A N/A CA Delta Dental of Colorado No Yes N/A N/A CO Delta Dental of Connecticut No Yes N/A N/A CT Delta Dental of Delaware No Yes N/A N/A DE Delta Dental of Hawaii No Yes N/A N/A HI Delta Dental of Illinois No Yes N/A N/A IL Delta Dental of Indiana No Yes N/A N/A IN Delta Dental of Maryland No Yes N/A N/A MD Delta Dental of Michigan No Yes N/A N/A MI Delta Dental of Minnesota No Yes N/A N/A MN Delta Dental of Missouri No Yes N/A N/A MO Delta Dental of Nebraska No Yes N/A N/A NE Delta Dental of New Jersey No Yes N/A N/A NJ Delta Dental of New Mexico No Yes N/A N/A NM Delta Dental of New York No Yes N/A N/A NY Delta Dental of North Carolina No Yes N/A N/A NC Delta Dental of North Dakota No Yes N/A N/A ND Delta Dental of Ohio No Yes N/A N/A OH Delta Dental of Oklahoma No Yes N/A N/A OK Delta Dental of Pennsylvania No Yes N/A N/A PA Delta Dental of Rhode Island No Yes N/A N/A RI Delta Dental of Tennessee No Yes N/A N/A TN Delta Dental of Virginia No Yes N/A N/A VA Delta Dental of Washington DC No Yes N/A N/A DC Delta Dental of Washington State No Yes N/A N/A WA Delta Dental of West Virginia No Yes N/A N/A WV Delta Dental of Wisconsin No Yes N/A N/A WI DeltaCare USA - Claims No Yes N/A N/A National DeltaCare USA - Encounters No Yes N/A N/A National Dental Benefit Providers No Yes N/A N/A National Denver Health Medical Plan No Yes N/A N/A CO Deseret Mutual (DMBA) No Yes N/A N/A UT Director's Guild No Yes Yes Yes CA District No. 9, I. A. of M. & A. W. Welfare Trust No Yes Yes Yes MO District of Columbia Medicaid No Yes N/A N/A DC Diversified Administration Corp No Yes Yes N/A FL Driscoll Health Plan No Yes Yes N/A TX EBMS No Yes Yes Yes National Educators Mutual Insurance (EMI) No Yes Yes N/A UT Elderplan No Yes N/A N/A NY ELECTRONIC COVERAGE DISCOVERY No N/A Yes N/A National Emblem Health No Yes N/A Yes NY Employee Benefit Services - Dental No Yes N/A N/A National EPIC Life Insurance No Yes N/A N/A WI EPSI, Inc. No Yes N/A N/A TX Equitable Life Casualty Insurance Company No Yes N/A N/A UT Essence Healthcare No Yes N/A Yes IL, MO, NY, WA Evercare No Yes Yes N/A MA Everence Financial No Yes Yes Yes National Evergreen Health No Yes N/A N/A National Evergreen Health Co-Op No Yes N/A Yes MD Expert Benefit Solutions No Yes N/A Yes AZ, IL, KY, MN, OH, WI Fallon Community Health Plan No Yes Yes Yes MA Fallon Community Health Plan (Exception) No Yes N/A N/A MA Farm Bureau Health Plans No Yes Yes N/A TN FCE Benefit Administrators No Yes N/A N/A CA, DC, FL, LA, MD, TX, VA Federated Insurance Company No Yes Yes Yes National Fidelis Care New York No Yes Yes Yes NY First Carolina Care No Yes N/A N/A NC First Community Health Plan No Yes N/A N/A AL First Health Network (Coventry National) No Yes N/A N/A National First Medical Network No Yes N/A N/A GA First United American Ins.Co No Yes Yes N/A National FirstCare No Yes N/A N/A TX FISERV WAUSAU No Yes Yes N/A National Flex Compensation - Dental No Yes N/A N/A MN Florida Combined Life - DENTAL No Yes N/A N/A National FLORIDA HEALTH CARE PLANS No Yes Yes Yes FL Florida Medicaid No Yes N/A Yes FL Food Employers & Bakery No Yes Yes Yes CA Fox/Everett * Yes Yes N/A N/A TN Fresenius Health Partners No Yes Yes Yes MA Fringe Benefits No Yes N/A N/A CO, IA, SD FSL Admin by KBA No Yes Yes N/A National G.M.P. Employers Retiree Trust No Yes Yes N/A National Gateway Health Plan No Yes N/A N/A PA Geisinger Health Plan No Yes N/A N/A PA

5 Payer ID: Unique payer mnemonic assigned by Geisinger Health Plan Gold No Yes N/A N/A PA GEMCare No Yes Yes N/A CA Georgia Medicaid No Yes N/A Yes GA GHI No Yes N/A N/A NJ, NY Gilsbar No Yes N/A Yes LA Global Health* Yes Yes N/A N/A OK Globe Life & Accident Ins.Co. No Yes Yes Yes National Gold Coast Health Plan * Yes Yes N/A N/A CA Golden Rule Insurance No Yes Yes Yes National Government Employees Health Association (GEHA) No Yes N/A Yes National Great American Life Insurance Co. Medicare Supp No Yes N/A Yes National Greek Catholic Union of the USA No Yes N/A N/A PA Group & Pension Administrators No Yes Yes N/A National Group Dental Service No Yes Yes Yes MD Group Health Northwest No Yes N/A N/A WA Group Hospitalization and Medical Services No Yes N/A N/A MD, DC, VA Group Practice Affiliates No Yes N/A N/A WI Guardian Life Insurance Co. of America - Dental No Yes N/A N/A National Harken Health No Yes N/A N/A National Harmony Health Plan No Yes Yes Yes National Hawaii Medicaid No Yes N/A N/A HI Hawaii Medical Assurance Association No Yes N/A N/A HI Health Alliance Medical Plan (IL) No Yes N/A N/A IL, IN, IA, OH, WA Health Alliance Medical Plans (HAP) No Yes N/A N/A MI Health America of PA No Yes Yes Yes PA Health Choice Arizona No Yes Yes Yes AZ Health Choice Oklahoma No Yes N/A N/A OK Health Cost Solutions No Yes N/A N/A National Health First Health Plan No Yes Yes Yes FL Health First Insurance No Yes Yes Yes FL Health Net National No Yes Yes Yes AZ, CA, OR, WA Health New England No Yes Yes N/A MA Health Partners of MN Yes Yes Yes N/A MN Health Partners of Philadelphia No Yes Yes Yes PA HEALTH PLAN OF SAN JOAQUIN No Yes Yes N/A CA Health Plan of San Mateo No Yes N/A N/A CA Health Plan of Upper Ohio Valley No Yes Yes N/A OH HEALTH SERVICES CHILDREN SPECIAL NEEDS No Yes Yes Yes DC Health Share of Oregon No Yes N/A N/A OR Healthcare Management Administrators No Yes Yes N/A WA HealthComp Administrators No Yes N/A Yes CA HEALTHe Exchange No Yes Yes N/A National HealthEase No Yes Yes Yes FL HealthEase Kids No Yes Yes Yes FL HealthEZ No Yes Yes N/A National Healthfirst New York No Yes N/A Yes NY Healthfirst of New Jersey No Yes N/A Yes NJ Healthgram (Primary PhysiciansCare) No Yes Yes Yes National HealthNow No Yes N/A N/A NY HealthPlan of Nevada No Yes Yes N/A NV Healthplan Services - Celtic Insurance Company No N/A N/A Yes National HealthPlans Inc No Yes Yes N/A MA HealthPlus of Michigan No Yes N/A N/A MI HealthScope No Yes Yes N/A National HealthSmart Benefit Solutions No Yes Yes Yes National HealthSmart Benefit Solutions (Wells Fargo TPA) No Yes N/A Yes National Healthsource Provident - Dental No Yes N/A N/A TN HealthSpring No Yes Yes Yes AL, AR, DC, DE, FL, GA, IL, IN, MD, MS, NC, OK, PA, SC, TN, TX HealthTeam Advantage No Yes N/A N/A NC Heartland National Life Insurance Company No Yes Yes N/A National Heritage Physician Network (Houston) No Yes N/A Yes TX Hershey Healthsmile - Dental No Yes N/A N/A National Highmark Senior Solutions Yes Yes Yes N/A PA HIPNY No Yes N/A N/A NY HM Care Advantage Admin by KBA No Yes Yes N/A National HMA (Hawaii Mainland Administrators) No Yes Yes Yes HI Hometown Health No Yes N/A Yes NV Horizon NJ Health No Yes N/A Yes NJ HSBS Memphis- FKA Pittman and Associates No Yes N/A Yes TN HSBS Oklahoma City No Yes N/A Yes OK Hudson Health Plan No Yes N/A N/A NY Humana No Yes Yes Yes National Humana CareSource (KY) No Yes Yes Yes KY Humana Dental No Yes N/A N/A National icare (Independent Care Health Plan) No Yes N/A N/A WI Idaho Medicaid No Yes Yes N/A ID IHC Health Solutions No N/A N/A Yes National IlliniCare Health Plan No Yes N/A Yes IL Illinois Medicaid No Yes Yes Yes IL Independence Administrators Yes Yes Yes N/A PA Independent Health No Yes N/A Yes NY Indiana Medicaid No Yes Yes Yes IN Indiana University Health Plan (Medicare) No Yes Yes N/A IN Inland Empire Health No Yes Yes N/A CA Insurers Administrative Corporation (IAC) No Yes N/A Yes National INTEGRA Administrative Group No Yes Yes Yes National Integrated Mental Health Services No Yes Yes N/A National Inter Valley Health Plan No Yes Yes N/A CA International Medical Card Inc No Yes N/A N/A PR Iowa Medicaid No Yes N/A Yes IA Island Home Insurance No Yes N/A N/A HI Jai Medical Systems No Yes N/A N/A MD Johns Hopkins Health Plan No Yes N/A N/A MD Johns Hopkins HealthCare LLC No Yes Yes N/A MD Johns Hopkins US Family Health Plan No Yes N/A N/A MD Kaiser Foundation Health Plan of Colorado Yes Yes N/A Yes CO Kaiser Foundation Health Plan of Hawaii Yes Yes N/A N/A HI Kaiser Foundation Health Plan of Hawaii (DHMO Choice) No Yes Yes N/A HI Kaiser Foundation Health Plan of the Mid-Atlantic Yes Yes N/A N/A DC, MD, VA Kaiser Foundation Health Plan of the Northwest Yes Yes N/A N/A OR, WA Kaiser Foundation HP of Washington (Group Health Cooperative) No Yes N/A Yes ID, WA Kaiser Permanente of Georgia Yes Yes N/A N/A GA Kaiser Permanente of Northern CA Yes Yes N/A N/A CA

6 Payer ID: Unique payer mnemonic assigned by Kaiser Permanente of Southern CA Yes Yes N/A N/A CA Kansas Medicaid No Yes N/A N/A KS Katy Medical Group No Yes N/A N/A TX Kemper Benefits No Yes Yes N/A National Kentucky Medicaid No Yes Yes Yes KY Kentucky Passport (formerly Passport Health Plan) No Yes N/A Yes KY Key Benefit Administrators No Yes Yes N/A National Key Benefits Administrators (IN) No Yes N/A Yes IN Key Healthy Partners No Yes Yes N/A National KeySolution No Yes Yes N/A National Keystone Mercy Health No Yes N/A N/A National Keystone VIP Choice No Yes N/A N/A PA Kitsap Physician Services No Yes Yes N/A WA KSKJ Life No Yes Yes N/A National L.A. Care Health Plan No Yes N/A N/A CA Leggett & Platt No Yes Yes N/A IL, MO Leon Medical Centers Health Plan No Yes Yes Yes FL Liberty National Life Ins.Co. No Yes Yes Yes National LifeCare Assurance Company No Yes Yes N/A CA Lifetime Benefit Solutions (RMSCO) No Yes N/A N/A NY Lifewise Arizona No Yes N/A N/A AZ Lifewise Health Plan of Oregon No Yes Yes Yes OR Lifewise Health Plan of Washington No Yes Yes Yes WA Lincoln Financial No Yes Yes Yes National Lincoln Heritage No Yes Yes N/A National Local 1199 No Yes N/A N/A National LoneStar TPA No Yes N/A N/A TX Loomis Company No Yes N/A N/A National Louisiana Health Exchange No Yes Yes Yes LA Louisiana Healthcare Connections No Yes Yes Yes LA Louisiana Medicaid No Yes Yes N/A LA Loyal American Life Insurance Co. Medicare Supp No Yes N/A Yes National Loyal Christian Benefit Association No Yes N/A N/A OK Lumico Life Insurance No Yes Yes N/A National Magellan Behavioral Health No Yes N/A N/A National Magellan Complete Care of Virginia No Yes N/A N/A VA Magnacare No Yes Yes Yes NJ, NY Maine Community Health Options No Yes N/A N/A ME Maine Medicaid No Yes Yes Yes ME MAMSI Health Plan No Yes Yes Yes NC Managed Care of America No Yes Yes N/A PA Managed Care Systems* Yes Yes N/A N/A CA Managed Health Network (MHN) No Yes Yes Yes National MAPFRE Life Puerto Rico No Yes N/A N/A PR Maricopa Care Advantage (Arizona) No Yes N/A N/A AZ Maricopa Health Plan (Arizona) No Yes N/A Yes AZ Maryland Medicaid Yes Yes Yes Yes MD Massachusetts Medicaid No Yes Yes Yes MA MDWise Exchange No Yes Yes N/A IN MDWise Medicaid Health Plans No Yes N/A N/A IN Med-Pay Inc No Yes N/A Yes MO MedBen No Yes Yes Yes National MedCost Benefit Services No Yes Yes N/A NC Medica No Yes Yes Yes National Medica Health Plans No Yes Yes Yes FL Medica2 No Yes N/A N/A National Medical Associates Health Plan/Health Choices No Yes Yes Yes IA Medical Card System No Yes N/A N/A PR Medical Mutual of Ohio No Yes Yes Yes OH Medicare (Part A & B) Yes Yes N/A N/A National Medicare Advantage - Pennsylvania No Yes N/A N/A PA Medicare y Mucho Mas (INMEDIATA HEALTH GRP CORP) No Yes N/A N/A PR Medigold Health Plans No Yes N/A N/A OH MedStar Family Choice No Yes N/A N/A MD MedStar Health Plan No Yes N/A N/A DC, MD Mercy Care Plan (Arizona) No Yes Yes N/A AZ Meridian Health Plan of Illinois No Yes Yes N/A IL Meritain Health No Yes Yes Yes National Meritus Health Partners No Yes Yes Yes AZ MetLife Dental Family No Yes N/A N/A National MetroPlus No Yes Yes Yes NY Metropolitan Health Plan (MHP) No Yes N/A N/A MN, MO MHNET Behavioral Health No Yes Yes N/A National Michigan Medicaid Yes Yes Yes N/A MI Michigan Medicaid Pending Eligibility Yes Yes Yes N/A MI Michigan MIChild No Yes Yes N/A MI Minnesota Medicaid No Yes Yes N/A MN Mississippi Children's Health Insurance Program No Yes N/A N/A MS Mississippi Medicaid No Yes N/A Yes MS Mississippi State Employees and Teachers No Yes N/A N/A MS Missouri (MO) Health Plan (Community & State) No Yes Yes Yes MT Missouri Care No Yes Yes Yes MO Missouri Medicaid No Yes Yes Yes MO MMM of Florida No Yes N/A N/A FL MMSI (Mayo Health) No Yes N/A Yes IA, MN Moda Health No Yes Yes N/A AK, CA, OR, WA Molina Healthcare of California No Yes N/A Yes CA Molina Healthcare of Florida No Yes N/A Yes FL Molina Healthcare of Illinois No Yes N/A Yes IL Molina Healthcare of Michigan No Yes N/A Yes MI Molina Healthcare of New Mexico No Yes N/A Yes NM Molina Healthcare of Ohio No Yes N/A Yes OH Molina Healthcare of Puerto Rico No Yes Yes Yes PR Molina Healthcare of South Carolina No Yes N/A Yes SC Molina Healthcare of Texas No Yes N/A Yes TX Molina Healthcare of Utah No Yes N/A Yes UT Molina Healthcare of Washington No Yes N/A Yes WA Molina Healthcare of Wisconsin No Yes N/A Yes WI Montana Medicaid No Yes N/A N/A MT Montefiore CMO No Yes N/A N/A NY Municipal Health Benefit Fund No Yes Yes Yes AR Mutual Health Services No Yes Yes Yes OH Mutual of Omaha No Yes N/A N/A NE

7 Payer ID: Unique payer mnemonic assigned by MVP Health Care (New York) No Yes Yes Yes NY NaphCare,Inc. No N/A N/A Yes National National Association of Letter Carriers (NALC) No Yes N/A Yes National National Telecommunications Cooperative Association (NTCA) No Yes Yes N/A National Nebraska Medicaid Yes Yes Yes N/A NE Nebraska Total Care No Yes Yes N/A NE NEHEN - Harvard Pilgrim Health Care No Yes Yes N/A ME, MA, NH, RI, VT NEHEN - Neighborhood Health Plans No Yes N/A N/A ME, MA, NH, RI, VT Neighborhood Health Partnership No Yes N/A N/A FL Neighborhood Health Plan (RI) No Yes N/A N/A RI Network Health Insurance Corp No Yes Yes Yes National Network Health Plan of WI No Yes Yes Yes WI Nevada Medicaid No Yes Yes N/A NV New Era Life Insurance Co. No Yes Yes Yes TX,NE New Hampshire Medicaid No Yes N/A Yes NH New Jersey Medicaid No Yes Yes N/A NJ New Mexico Health Connections No Yes Yes N/A NM New Mexico Medicaid No Yes N/A Yes NM New York Medicaid No Yes Yes N/A NY NGS CoreSource No Yes N/A Yes OH North Carolina Medicaid Yes Yes Yes Yes NC North Dakota Medicaid No Yes Yes N/A ND Northwest Administrators No Yes Yes Yes CA, NV, OR, WA Nova Healthcare Administrators No Yes N/A N/A NY NovaSys Health No Yes Yes Yes AR Ohana Health Plan No Yes Yes Yes HI Ohio Medicaid No Yes Yes Yes OH Oklahoma Employees Group Insurance Division No Yes N/A Yes OK Oklahoma Medicaid No Yes N/A N/A OK Operating Engineers Local No.428 No Yes Yes Yes AZ Optima/Sentara No Yes Yes N/A VA Orange County Fire Authority No Yes Yes Yes CA Oregon Medicaid No Yes Yes N/A OR Oregon s Health CO-OP No Yes Yes N/A OR Oscar No Yes N/A N/A CA, NY, TX Oxford Health Plans No Yes Yes Yes CT, NJ, NY Pacific Source Health Plan No Yes N/A Yes OR PacificSource Administrators No Yes Yes Yes ID, MT, OR PacificSource Community Solutions (Medicaid) No Yes Yes Yes OR PacificSource Medicare No Yes Yes Yes ID, MT, OR Pan-American Life Insurance No Yes Yes Yes National Panamerican Life Puerto Rico (PALIC) No Yes N/A N/A PR Paramount Health No Yes Yes Yes MI, OH Partners National Health Plans of NC No Yes Yes N/A NC Partnership Health Plan of California No Yes Yes Yes CA Patriot Dental No Yes N/A N/A TX Pekin Life Insurance No Yes Yes N/A AZ, GA, IL, IN, IA, KS, LA, MI, MS, MO, NE, OH, TN, TX, WI Penn Treaty Network America Ins Medicare Supp No Yes Yes Yes National Pennsylvania Health and Wellness No Yes Yes N/A PA Pennsylvania Medicaid No Yes Yes N/A PA People First No Yes N/A N/A DE Peoples Health No Yes N/A N/A LA Personal Insurance Administrators (PIA) No Yes Yes Yes National Physicians Health Plan Northern IN No Yes N/A N/A IN Physicians Health Plan of Mid-Michigan No Yes N/A N/A MI Physicians Mutual Insurance Company No Yes N/A Yes IN Physicians Plus Insurance No Yes N/A N/A WI Piedmont No Yes N/A N/A GA Pinnacle Claims Management No Yes Yes N/A National Pinnacle Physician Management Org No Yes N/A Yes TX Plan de Salud Hospital Menonita No Yes N/A N/A PR Planned Administrator Inc No Yes Yes Yes SC Prairie States No Yes Yes N/A National Pre-Scan No N/A Yes N/A National Preferred Care Partners No Yes Yes Yes FL Preferred Health System of Kansas No Yes N/A N/A KS Preferred Medicare Choice(PMC)(INMEDIATA HEALTH GRP) No Yes N/A N/A PR PreferredOne No Yes Yes N/A CT Premier Health No Yes N/A N/A OH Presbyterian Health Plan * Yes Yes N/A N/A NM Prestige Health Choice No Yes N/A Yes FL PrimeWest Health No Yes N/A N/A MN Principal Financial Group (Nippon Life) No Yes N/A Yes National Principal Financial Group (Principal Life) - Dental & Vision No Yes N/A Yes National Priority Health No Yes N/A N/A MI Professional Benefits Administrators No Yes N/A N/A National Prominence Health Plan (PPO & HMO) No Yes Yes Yes National Prominence Health Plan of Nevada (Medicare Advantage) No Yes Yes Yes IN, NV Prominence Health Plan of Texas (Medicare Advantage) No Yes Yes Yes TX Providence Health Plan No Yes N/A Yes OR, WA Provident American Life & Health Ins. Co. Mcare Supp No Yes N/A Yes National Provident Preferred Network - Dental No Yes N/A N/A OR Public Employee Benefit Authority No Yes Yes N/A SC, VA Public Employees Health Program No Yes N/A N/A UT Public Employees Health Program - CHIP No Yes N/A N/A UT Public Employees Health Program - Medicare No Yes N/A N/A UT Puritan Life Insurance No Yes Yes N/A National Qualcare No Yes N/A N/A NJ, NY, PA Qualchoice No Yes N/A N/A AR, OH QuikTrip Corporation No Yes Yes Yes IL, IN, IA, KS, MI, MN, MO, MT, NE, ND, OH, OK, SD, TX, UT Regence Group Administration No Yes Yes N/A OR, WA Reserve National Insurance Company No Yes N/A N/A National Rhode Island Medicaid * Yes Yes N/A N/A RI RightCare from Scott and White Health Plan No Yes Yes N/A TX Riverlink Health* Yes Yes N/A N/A OH Rocky Mountain Health Plan No Yes N/A N/A CO Royal Neighbors of America No Yes Yes N/A National S and S Healthcare Strategies No Yes N/A N/A National S. USA Life Insurance Company, Inc. No Yes N/A N/A National San Francisco Health Plan No Yes N/A N/A CA Sanford Health Plan No Yes Yes Yes IA, MN, ND, SD Santa Clara Family Health Plan No Yes Yes Yes CA SBLI USA Life Insurance Company, Inc. No Yes N/A N/A National

8 Payer ID: Unique payer mnemonic assigned by Schaller Anderson Aetna Better Health of New York No Yes Yes Yes NY Schaller Anderson Aetna Better Health OH No Yes Yes Yes OH Schaller Anderson Delaware Physicians, Inc No Yes Yes Yes DE Schaller Anderson Maryland Physicians Care No Yes N/A Yes MD Schaller Anderson Mercy Care No Yes N/A Yes AZ Schaller Anderson Mercy Maricopa No Yes Yes Yes AZ Schaller Anderson Missouri Care No Yes Yes Yes MO Schaller Anderson Parkland Community Health Plan No Yes Yes Yes AZ, CA, MD, MO, TX Scott & White Health Plan No Yes Yes N/A TX Securian Dental No Yes N/A N/A National Securian/Patriot Dental No Yes N/A N/A VT Security Health Plan No Yes N/A N/A WI Select Health SC No Yes N/A Yes SC Select Health Utah No Yes N/A N/A UT Select Senior Clinic No Yes N/A N/A TX SelectCare of Texas (Beaumont) No Yes N/A Yes TX SelectCare of Texas (Golden Triangle) No Yes N/A N/A TX SelectCare of Texas (Houston) No Yes N/A Yes TX SelectCare of Texas (Integranet) No Yes N/A Yes TX SelectCare of Texas (Kelsey-Seybold) No Yes N/A N/A TX SelectCare of Texas (Memorial Clinical Assoc) No Yes N/A N/A TX SelectCare of Texas (Northwest Diagnostic) No Yes N/A N/A TX Selman & Company No Yes Yes N/A National Sendero IdealCare No Yes N/A N/A TX Senior Care Action Network No Yes Yes N/A CA Senior Dimensions No Yes N/A N/A NV Senior Health Services Center-Univ American Family Co. No Yes Yes Yes TX, NY, ME Senior Whole Health No Yes Yes Yes NY,MA Sharp Health Plan No Yes N/A Yes CA Shenandoah Life Insurance No Yes Yes N/A VA Sierra Health Services No Yes Yes N/A NV Significa Benefit Services No Yes N/A Yes National Silver Summit Health Plan No Yes Yes N/A NV Simply Healthcare Plans No Yes Yes Yes FL SisCo Benefits No Yes N/A N/A National Soundpath Health No Yes N/A N/A WA South Carolina Medicaid No Yes Yes Yes SC South Dakota Medicaid No Yes N/A N/A SD Southeastern Indiana Health Organization No Yes Yes N/A IN Special Agents Mutual Benefit Assoc (SAMBA) No Yes Yes Yes National Spectrum Health No Yes N/A N/A PA SPJST Medicare Supplement No Yes N/A Yes National Standard Life and Accident Insurance No Yes Yes N/A National State Farm No Yes Yes N/A National State Mutual (Lincoln Novation) No Yes N/A N/A National State Mutual Med Supp No Yes Yes N/A National StayWell No Yes Yes Yes FL StayWell Kids No Yes Yes Yes FL Stewart C Miller and Co No Yes N/A N/A National Stonebridge Life Insurance Company No Yes Yes Yes National Student Insurance No Yes N/A N/A FL, GA StudentResources No Yes Yes N/A National SummaCare Health Plan No Yes N/A Yes OH Summit America Insurance Service No Yes Yes Yes National Sunflower State Health (Kansas) No Yes N/A Yes KS Sutter Select No Yes N/A N/A CA TennDent No Yes N/A N/A TN Tennessee Medicaid No Yes N/A N/A TN TexanPlus (Integranet) No Yes N/A Yes TX TexanPlus (Kelsey-Seybold) No Yes N/A Yes TX TexanPlus North Texas Area No Yes N/A Yes TX TexanPlus Southeast Texas Area No Yes N/A Yes TX Texas First Health Plan (TOPA) No Yes N/A N/A TX Texas Medicaid No Yes N/A Yes TX Texas Medicaid - Long Term Care Yes Yes N/A N/A TX The Kempton Company No Yes Yes Yes OK, TX The ULLICO Family of Companies No Yes Yes Yes National Three Rivers Health Plans (Unison Health Plan) No Yes N/A Yes PA Thrivent No Yes N/A N/A National Today's Option No Yes N/A Yes National TransactRX Infusion and Specialty No Yes N/A N/A National TransactRX Part D No Yes N/A N/A National Transamerica Life Insurance (KBA) No Yes Yes N/A National Transamerica Life Insurance Company No Yes Yes Yes National Transamerica Premier Life Insurance Co. No Yes Yes Yes National Triad Healthcare, Inc No N/A N/A Yes CT TRICARE East No Yes Yes N/A AL, AR, CT, DC, DE, FL, GA, IL, IN, IA, KY, LA, ME, MD, MA, MI, MS, MO, NH, NJ, NY, NC, OH, OK, PA, RI, SC, TN, TX, VT, VA, WV, WI TRICARE for Life No Yes Yes N/A National TRICARE Overseas No Yes N/A N/A National TRICARE West No Yes N/A Yes National Trillium Community Health Plan No Yes N/A Yes OR Triple-S Salud (BCBS Puerto Rico) No Yes N/A N/A PR Trustmark Insurance No Yes N/A Yes National Tufts Health Plan No Yes Yes Yes ME, MA, NH, RI, VT UCare of Minnesota No Yes N/A N/A MN Ultimate Health Plans No Yes Yes Yes FL UMR No Yes Yes Yes WI UMWA Health and Retirements Funds No Yes N/A Yes UT Underwriters Safety & Claims No Yes N/A N/A National Unicare (Anthem) No Yes Yes Yes National UNICARE - Dental No Yes N/A N/A National Union Pacific Railroad Employees Health Systems No Yes Yes Yes National United American Ins.Company No Yes Yes Yes National United Commercial Travelers No Yes N/A N/A National United Concordia Companies, Inc. - DENTAL No Yes N/A N/A National United Concordia Federal Employees Program - DENTAL No Yes N/A N/A National United Health Group - Community Plan No Yes N/A N/A CA, FL, HI, LA, MD, MI, OH, RI, TX, WI United Health Group - Optum Health Behavioral Solutions No Yes N/A N/A National United Health Group - UHCWest No Yes Yes N/A National United Healthcare No Yes Yes Yes National United Healthcare Community Plan - Kansas No Yes Yes Yes KS United Healthcare Facets Detroit Community and State No Yes Yes Yes MI United Healthcare Facets Pittsburgh Community and State No Yes Yes Yes PA

9 Payer ID: Unique payer mnemonic assigned by United Healthcare Nevada Market No Yes Yes Yes NV United Healthcare Plan of River Valley No Yes N/A Yes FL United Healthcare SecureHorizons No Yes Yes Yes National United Teacher Assoc Insurance Co. Mcare Supp No Yes N/A Yes National UnitedHealthcare Community Plan TN No Yes Yes N/A TN Unity Health Plans No Yes N/A N/A WI Univera No Yes N/A Yes NY Universal American No Yes N/A N/A ME, NY, TX Universal Benefit Corp No Yes Yes Yes National University Care Advantage Arizona No Yes Yes Yes AZ University Family Care No Yes Yes Yes CA University of Arizona Health Plans - UHM No Yes Yes Yes AZ University of Utah Health Plans No Yes N/A N/A UT University Physicians Care Advantage (Arizona) No Yes Yes Yes AZ UPMC Health Plan (Tristate) No Yes Yes Yes PA USAA Life Insurance Company No Yes Yes Yes National Utah Medicaid Yes Yes N/A N/A UT VA Fee Basis Program No Yes N/A Yes National VA Health Administration Center No Yes Yes Yes National VA Healthcare No Yes N/A N/A National Valley Care Program No Yes N/A N/A CA Valley Health Plan No Yes N/A N/A CA Value Options * Yes Yes N/A N/A National Vantage Health Plan,Inc No Yes Yes Yes OK Vermont Medicaid No Yes Yes Yes VT Village Family Practice No Yes N/A N/A TX Virginia Medicaid No Yes Yes Yes VA VIVA Health No Yes N/A Yes AL VNS CHOICE No Yes Yes Yes NY Vytra No Yes N/A N/A NY Washington Medicaid No Yes Yes N/A WA Washington National No Yes Yes Yes National WEA Trust No Yes N/A N/A WI WEB-TPA, Inc No Yes Yes Yes National Wellcare Health Plans No Yes Yes Yes National Wellsense No Yes Yes N/A NH West Virginia Medicaid No Yes Yes N/A WV Western and Southern Financial Group No Yes Yes Yes National Western Health Advantage No Yes N/A Yes CA Wilson McShane - Dental No Yes N/A N/A MN Windsor Medicare Extra No Yes N/A Yes MS, SC, TN WINhealth Partners * Yes Yes N/A N/A WY Wisconsin Medicaid No Yes N/A Yes WI Wisconsin Medicaid Chronic Disease Program No Yes N/A Yes WI