BCBS of Alabama FEP
Health Choice of Alabama
Healthspring of Alabama
NAMCI North Alabama Managed Care, Inc. (PHN of AL)
Preferred Health Alliance
Prime Health of AL
Tricare South Alabama Active Duty
Tricare South Alabama Retired & Family
UHC Alabama
Viva Health Medicare Advantage
VIVA Health, Inc.

BCBS Alaska FEP
Premera Blue Cross WA/AK FEP
UHC Military Tricare West, Alaska Retired & Family
UHC Military, TriCare West Active Duty Alaska

Action Healthcare Management
Arizona Foundation for Medical Care (AFMC) Meritus Mutual
BCBS Arizona
BCBS Arizona FEP
BCBS Arizona Medicare Advantage
BCBS Arizona Select Network – Exchange
BCBS Arizona TPA
CareMore Arizona
Health Management Network
Health Net of Arizona (HMO) (Affiliate language through CA contract)
Health Net of Arizona (PPO)
UHC Arizona
UHC Community Plan /Evercare Select
UHC Medicare Solutions /Secure Horizons of Arizona
UHC Military Tricare West Active Duty Arizona
UHC Military Tricare West Arizona Retired & Family
UHC: United Healthcare Pacificare of Arizona
University of Arizona (University Family Care)
University of Arizona: Univ Physicians (UPHP) Care Advantage/ SNP
University of Arizona: University Physicians Healthcare Group
University of Arizona: University Physicians HMO (AHCCCS)

Arkansas Managed Care (AMCO)
BCBS Arkansas (Blue Advantage TPA)(Arkansas First Source)
BCBS Arkansas (FEP)
BCBS Arkansas (HMO and POS)
BCBS Arkansas (PPO and IND) Diabetic Program
BCBS Arkansas Medipak Advantage LPPO (St. Vincent PPO)
BCBS Arkansas True Blue Exchange MSPP (Multi-State Plan Program)
BCBS Arkansas True Blue Exchange OMP (Office of Personnel Management)
BCBS Arkansas(PPO and IND) True Blue PPO
BCBS Arkansas: USAble Life
BCBS of Arkansas/ Health Advantage – HMO/POS
HealthSCOPE Benefits (C N A Health Partners)
HealthScope, city of Fort Smith Employer Coalition
Municipal Health Benefit Fund
NovaSys Health Network
PremierCare of Northwest Arkansas, LLC
QualChoice Arkansas
Sparks PremierCare PPO
Tricare South Arkansas Active Duty
Tricare South Arkansas Retired & Family
UHC Arkansas
Centene: Ambetter from Novasys

ACPN America’s Choice Provider Network Inc.
All Care Medical Group
Alpha Care Medical Group/Pacific Independent Physicians Association
Alta Bates Medical Group (ABMG)
Anaheim Regional Medical Center (Now owned by AHMC Healthcare)Senior Plan
Anthem Blue Cross California FEP
Arch Health Partners (AHP)
Axminster Medical Group
Beech Street Corporation
Bella Vista Medical Group
CareMore Health Plan – California
Cedars Sinai Health Association
Cedars Sinai Misc
Cedars-Sinai/Bev Hills MG
Central Health Plan of California
Chino Valley Medical Center (CVMC)
Citizen’s Choice Healthplan
Citizens Medical Group
County of Kern Medical Benefit Plan (County POS Plan) Managed Care Systems
Delta Health Systems
Desert Valley Medical Group
Downey Regional Medical Center
Empire Physicians Medical Group (EPMG)
Facey Medical Group
FutureCare Medical Associates IPA Med Adv. Advanced Medical Management
FutureCare Medical Associates IPA, Inc. Advanced Medical Management
Gemcare Health Plan
Global Care Medical Group
Greater Tri Cities IPA Medical Group, Inc.
Greater Tri Cities IPA- Medicare Advantage
Health Net of California – PPO
Health Net of California (Commercial/ HMO/ Med Adv)
HealthComp Administrators
Hemet Community Medical Group, Inc.
Hemet: Family/Seniors Medical Group, Inc.
Hemet: Menifee Valley Community Medical Group, Inc.
Hemet: Physicians for Healthy Hospitals
Hemet:Temecula Medical Group, Inc.
Heritage Provider Network (Regal)
Heritage Provider Network: Bakersfield Medical Group
Heritage Provider Network: Coastal Communities Physician Network
Heritage Provider Network: Community Medical Group of the West Valley, Inc.
Heritage Provider Network: Desert Medical Group
Heritage Provider Network: Eastland Medical Group
Heritage Provider Network: Greater Covina Medical Group
Heritage Provider Network: High Desert Medical Group
Heritage Provider Network: Lakeside Comprehensive Healthcare
Heritage Provider Network: Lakeside Medical Group, Inc.
Heritage Provider Network: Regal Medical Group
Heritage Provider Network: Sierra Medical Group
Heritage Provider Network: Verdugo Hills Medical Group
Heritage Provider Network: Victor Valley
Heritage Provider Network: West Covina Medical Group
Inland HealthCare Group – Senior
Inland HealthCare Group (IHG) Medicaid Medi-Cal
Inland HealthCare Group (IHG)-Commercial
Interplan Health Group
John Muir Medical Center
Los Alamitos Hospital/ Tenet
Marian Health Services (Dignity Health)
Marin IPA
Medcore Medical Group (Part of OMNI IPA)
Medical Benefits Admin: Golden State Physicians Medical Group
Medical Benefits Administrators
MedPoint Health: Mission Community Medical Group
MedPoint Management: El Proyecto del Barrio
MedPoint Management: Health Care LA, IPA WHCC
MedPoint: Riverside Family Health Medical Group
Medpoint: Watts Healthcare Corporation
Memorial Hospitals Association
MemorialCare Health System: Long Beach Memorial
MemorialCare Health System: Orange Coast Memorial Medical Center
MemorialCare Health System: Saddleback Memorial
Mission Hospital Regional Medical Center
MSO Inc.: MD Partners Medical Group, Inc.
MSO Inc.: Access MD Medical Group
MSO Inc.: Affiliated Physicians Medical Group
MSO Inc.: Avante Best Care IPA
MSO Inc.: River City Medical Group
MSO Inc.: San Judas Medical Group
Networks by Design Capital Admin.
Networks by Design CBA Admin.
Northeast Valley Health Corportation
Omni IPA Medical Group
Pacific Foundation for Medical Care/ PFMC Superior California PPO
Pacific Health Alliance
Pacific Healthcare IPA Commercial (Advanced Medical Management)
Pacific Healthcare IPS Med Adv (Advanced Medical Management)
Physician Associates
PPMC/ Desert Family Practice Associates
PPMC: Access Health Direct
PPMC: Mission Medica Group (PPMC)
Preferred Health Network
Premier Health Plan Services, Inc. (Alamitos IPA)
Premier Health Plan Services, Inc. (Lakewood IPA)
Prospect Medical Group: Starcare Medical Group, INC. DBA – Gateway Medical Group, INC
Prospect: Professional Care Medical Group, INC.
Prospect: Genesis Healthcare of Southern California, Inc
Prospect: Healthnet Source/AMVI Care
Prospect: Healthsource Medical Group, INC.
Prospect: Nuestra Familia Medical Group, INC.
Prospect: NWOC Medical Group, INC.
Prospect: Pomona Valley Medical Group dba ProMed Health Network
Prospect: Prospect Medical Group
Prospect: Upland Medical Group
Rady Children’s Hospital (Commercial)
Riverside Physician Network
SCAN Health Plan
Scripps Coastal Medical Center (See 8153)
Scripps Coastal Medical Center/Sharp Mission Park MG
Scripps Health Plan Services, Inc. (SHPS)
Scripps Medical Plans (Employees)
Scripps Mercy Medical Group
Scripps: Penn Elm Medical Group
Scripps: Scan Members
SeaView IPA (Med3000)
Secure Horizons CA- No auth required
Sharp Community Medical Group
Sharp Community Medical Group for Arch members
Sharp Health Plan
Sharp HealthCare
Sonoma County Primary Care IPA
St. Joseph Hospital of Orange: St. Joseph Heritage Medical Group
St. Joseph Hospital of Orange: St. Joseph Hospital Affilliated Physicians Medical Group
St. Jude Regional Medical Center
St. Mary Medical Center
St. Mary Medical Center: Alliance Medical Group
St. Mary Medical Center: High Desert Medical Group
St. Mary Medical Center: Premier Physicians
Sutter Medical Group of the Redwoods
Sutter Santa Rosa
SutterSelect
SynerMed: Inland Valleys IPA
SynerMed: Angeles IPA
Synermed: Employee Health Systems (EHS)
SynerMed: Multicultural IPA
SynerMed:Mid County IPA
THIPA – Torrance Hospital IPA
TMMC (Torrance Memorial Med. Ctr)
UCLA – University of California, Los Angeles Medical Group
UHC California
UHC Medicare Solutions / Secure Horizons of California
UHC Military Tricare West California Active Duty
UHC Military Tricare West California Retired & Family
UHC: United Healthcare Pacificare of CA
UHC: United Healthcare PacifiCare of California
Universal Care California – Medicare Brand New Day
Universal Care California- Commercial
Universal Care California: HMO (Brand New Day) See 8192
University of California Davis
Valley Care IPA (Med3000)
Vantage Medical Group (PPMC)
Anthem Blue Cross – Covered California (Exchange)
Anthem Blue Cross California – HMO
Anthem Blue Cross California (HMO Medicare Advantage)
Anthem Blue Cross California (PPO Medicare Advantage)
Anthem Blue Cross California California (TPA)
Anthem Blue Cross California PPO
Kaiser California Self-Funded
Kaiser Northern California
Kaiser Northern California Medicare Advantage
Kaiser Southern California
Kaiser Southern California Medicare Advantage
Monarch HealthCare
PrimeCare – Chino Valley
PrimeCare – Coachella
Primecare – Corona
PrimeCare – Hemet Valley
PrimeCare – Moreno Valley
PrimeCare – Redlands
PrimeCare – Riverside
PrimeCare – Sun City
PrimeCare – Temecula
PrimeCare of Citrus Valley, Inc.
PrimeCare of San Bernardino
PrimeCare: Inland Valley
PrimeCare: Mercy Physicians Medical Group MPMG
PrimeCare: Valley Physicians Network, Inc.
PrimeCare-Primary Care Associates MG

Anthem BCBS Colorado FEP
Cofinity – Sloans Lake Preferred Health Networks (Advantus) (Aetna)
Colorado Access – Access Health Plan, Child Health Plus (CHP+ HMO)
Colorado Choice Exchange
Colorado Choice/ SLV Health Plans Commercial
CU GME Health Benefit Plan (Colorado University)(Ameriben)
Denver Health and Hospital Authority (DHHA) Medicaid
Denver Health Exchange
Denver Health Medical Plan, Inc.
Denver Health Medicare
Memorial Health System Medical Network
Physician Health Partners ( PHP ) (At risk for Secure Horizons)
Qubic- Mountain State Administrators
Rocky Mountain HMO Medicaid
Rocky Mountain HMO, PPO, Self insured
Rocky Mountain Medicare
Southwest Healthnet PHO
UHC Colorado
UHC Medicare Solutions / Secure Horizons CO
UHC Military Tricare West Colorado Retired
UHC Military Tricare West Colorado Active Duty
UHC: United Healthcare Pacificare of Colorado
Anthem BCBS Colorado
Anthem BCBS Colorado Medicare Advantage

Anthem BCBS Connecticut FEP (Northeast ME, NH, CT)
ConnectiCare (NY, MA, CT) Commercial
ConnectiCare, Inc. (Medicare Adv)
HMC PPO, Inc. (Northeast Healthcare)
Oxford – Commercial
Oxford – Medicare
Oxford Gatekeeper
TriCare North Connecticut Active Duty
TriCare North Connecticut Retired / Health Net Federal Services, Inc.
TriCare North Connecticut Retired Standard
Anthem BCBS Connecticut (Northeast ME, NH, CT)
Anthem BCBS Connecticut Exchange (Northeast ME, NH, CT)
Anthem BCBS Connecticut: MediBlue HMO Med Adv (Northeast ME, NH, CT)
BCBSPA (BCBS Plan Administrator)

AmeriHealth D.C. Alliance
AmeriHealth D.C. Medicaid
CareFirst BCBS DC FEP members
CareFirst BlueChoice, Inc. (DC) HMO
CareFirst BlueCross Blue Shield (DC)
TriCare North District of Columbia (DC) Active Duty
TriCare North District of Columbia (DC) Retired / Health Net Federal Services, Inc.
TriCare North District of Columbia (DC) Retired Standard
Trusted Health Plan
Trusted Health Plan – Alliance Program
UHC District of Columbia – SHOP Marketplace (exchange)
Kaiser Mid Atlantic DC – Medicare Advantage
Bravo DC, Mid Atlantic

BCBS Delaware FEP
Bravo DE, Mid Atlantic
CorVel
TriCare North Delaware Active Duty
TriCare North Delaware Retired / Health Net Federal Services, Inc.
TriCare North Delaware Retired Standard
Delaware Physicians Care (DPCI) Medicaid

All Florida PPO
ASMED Health Partnership
BCBS Florida FEP
CHCS Services Inc. /WorldNet Services Corp.
Evolutions/Guardian Resources
Florida First
Florida Hospital Health System
Healthchoice of Florida
HealthSpring of Florida
Heritage Consultants
Managed Care 2000
Medcom/FHA
Medica Healthcare Plan- Florida (Medicare)
Medical Partners of America/ MD Holdings
MedWatch, LLC
MPA (Medical Partners of America) Coastal Behavioral (MDI)
MVPPO
Retrospect
Strategic Health Development – Case Mgmt. Org.
Tricare South Florida Active Duty
Tricare South Florida Retired & Family
UHC Florida
UHC Medicare Solutions / Secure Horizons Florida
Volusia Health Network (PPO)
Volusia Health Ventures- EPO
Wellcare of Florida (Healthease – Medicaid)
WellCare of Florida Medicare
Humana of Florida

Anthem BCBS of Georgia FEP
Athens Area 7, Inc. (AAHPS)
Health One Alliance/ Alliant Hlth Plan
Health Plan Select (Athens Area)AAHPS
HealthSpring of Georgia
Industry Buying Group
InVentiv Health, Inc. (AWAC)
Northeast Georgia Health Partners (TPA is Health Plan Select)
Nova Net
PlanCare America
Premier Benefit Health Plan/North Georgia Health Services
Taylor Benefit Resource (TBR)
TCN- The Care Network, (SJC Health Services)
Tricare South Georgia Active Duty
Tricare South Georgia Retired & Family
UHC Georgia
Wellcare of Georgia (Medicaid)
WellCare of Georgia (Medicare)
Anthem BCBS Georgia – Indemnity
Anthem BCBS Georgia Blue Value Secure -Med Adv HMO
Anthem BCBS Georgia HMO
Anthem BCBS Georgia POS (Prefix GNT)
Anthem BCBS Georgia PPO
Humana of Georgia HMO
Humana of Georgia PPO
Kaiser Georgia Medicare Advantage
Kaiser Permanente of Georgia
Memorial Health Partners

AlohaCare- Medicare
AlohaCare- Quest (Medicaid)
BCBS Hawaii FEP
Health Management Assoc. (HMA) (HMN)
HMSA BCBS 65 C Plus (Medicare Advantage)
HMSA BCBS HMO- Hawaii Medical Svc Assoc
HMSA/ BCBS Hawaii Medical Svc Assoc PPO
HMSA/BCBS Hawaii Medical Svc Assoc- Medicaid (Quest)
Ohana Health Plan-Medicare
UHC Community Plan /Evercare of Hawaii (Medicaid)
UHC Military Tricare West Hawaii Active Duty
UHC MilitaryTricare West Hawaii Retired & Family

BCBS Regence Blue Shield of Idaho FEP
Blue Cross Idaho – HMO (BCI)
Blue Cross Idaho – PPO
Blue Cross Idaho – Traditional
Blue Cross Idaho BCI – True Blue (Medicare)
Blue Cross Idaho Exchange (Bridgespan)
Blue Cross Idaho FEP
IPN – Idaho Physicians Network
IPN Idaho Physicians Workers Comp
Regence BCBS of Idaho
Regence BCBS of Idaho- Medicare Advantage
SouthEastern Idaho -PPO
UHC Military Tricare West Idaho Active Duty
UHC Military Tricare West Idaho Retired & Family

Advocate Health Centers (AHC)
Aetna Better Health Illinois Medicaid
Affiliated Physicians Group (APG)
BCBS IL FEP
BCBS Illinois – HMO
BCBS Illinois Dual Eligible
BCBS Illinois Medicaid
BCBS Illinois Medicare Advantage
BCBS Illinois PPO
Century PHO – Commercial
Century PHO – Medicaid
Community Care Alliance of Illinois /Family Health Network Medicaid Innovations FHN SNP
Community Partners Health Plan – Jeld-Wen Shasta Admin Svcs
Community Partners Health Plan Immergrun
Community Partners Health Plan- Principal
Community Partners Health Plans
Community Partners Health Plans- Medicare (CPHP)
CONSOCIATE CARE (Dansig)
Dreyer Clinic, Inc. (DCI)
Essence Healthcare Illinois
Gallagher Benefit Administrators
Great Rivers Network PPO
Health Alliance Medical Plan Illinois – Exchange
Health Alliance Medical Plan Illinois (Fully and Self Insured)
Health Alliance Medical Plan Illinois- Medicare Advantage
Health Alliance Medical Plan Medicaid
Health Marketing , Inc. PPO
Healthcare Finest Network (HFN)
Healthspring Illinois
Hines and Associates
Lawndale Christian Health Center for FHN
Lawndale Christian Health Center for Harmony
Local 1546 Health and Welfare Fund
Methodist First Choice (MMCI)
Metropolitan Chicago Health Associates (MCHA)
Molina Healthcare of Illinois, Inc. Medicaid
Mutual Medical
Northern Illinois Health Plan (NIHP)
Partners in Health – Medicaid
PEF Clinic Ltd.
Pekin Life Insurance Company
PPI, Inc.
Preferred Network Access (PNA)
Qubic- J P Farley
Qubic- Professional Benefits Administrators
Resurrection Health Care Preferred (RHCP)
St. James PHO
Swedish Covenant Managed Care Alliance, Inc. (Commercial)
Swedish Covenant Managed Care Alliance, Inc. (Medicaid)
Swedish Covenant Managed Care Alliance, Inc. (Medicare)
TriCare North Illinois Active Duty
TriCare North Illinois Retired / Health Net Federal Services, Inc.
TriCare North Illinois Retired Standard
UHC Illinois
Union Health Service, Inc.
University of Chicago Practice Plan (UCPP)
WellCare of IL/Harmony Health Plan – Medicaid
WellCare of IL/Harmony Health Plan – Medicare
Centene: IlliniCare Health Plan
Humana of Chicago

ADVANTAGE Health Solutions, Inc. (Medicare Solutions)
ADVANTAGE Health Solutions, Inc. 360 (HMO)
Anthem BCBS IN FEP
Anthem BCBS Indiana
Anthem BCBS Indiana – Medicaid
Anthem BCBS Indiana Medicare Advantage
Anthem Healthy Indiana Plan (HIP)
Centene: Managed Health Services HIP
Encore Health Network
Healthy Indiana Plan ESP (Enhanced Services Plan)
Indiana Health Network (IHN)
Indiana University Health (Clarian/IU employee plan)
IU Health Plan Medicare Advantage / Clarian
Lutheran Preferred
M Plan Lutheran
Managed Care Services (Parkview Health Plan Services)
Managed Care Services: Signature Care PPO
MDWise – Hoosier Alliance (Healthy Indiana Program) HIP (All Delivery Systems to this number)
MDWise Eskenazihealth – Hoosier Healthwise
MDWise Franciscan St. Margaret/ St. Anthony (Hoosier Healthwise)
MDWISE Hoosier Alliance (Hoosier Healthwise)
MDwise IU Health, Indiana University Medicaid (Hoosier Healthwise)
MDWise St. Vincent Hoosier Healthwise
PHP of Northern Indiana – Select Network (Exchange)
PHP of Northern Indiana (Physicians Health Plan)
Sagamore Health Network
SIHO
St. Francis Health Network Medicaid
St. Francis Health Network-PPO (Advantage)
St. Joseph’s Health Network
St. Vincent CMO/Suburban Health Organization
Suburban Health Organization
Three Rivers Preferred
TriCare North Indiana Active Duty
TriCare North Indiana Retired / Health Net Federal Services, Inc.
TriCare North Indiana Retired Standard
UHC AARP Medicare Complete Indiana
Centene: Ambetter from Managed Health Services (MHS)
Centene: Managed Health Services Indiana -Medicaid MHS

ENCOMPASS Health Management Systems
First Administrators
North Iowa Community Healthcare
Quad City Community Healthcare (QCCH)
SISCO
TriCare North Iowa (Rock Island) Active Duty
TriCare North Iowa (Rock Island) Retired and Family
TriCare North Iowa (Rock Island) Standard Retired and Family
UHC Community Plan Americhoice Iowa
UHC MilitaryTricare West Iowa Active Duty
UHC MilitaryTricare West Iowa Retired & Family
Wellmark BCBS IA FEP
Wellmark BCBS of Iowa -HMO (bill direct)
Wellmark BCBS of Iowa PPO

Amerigroup Community Care Kansas
BCBS Kansas – Exchange
BCBS Kansas – HMO
BCBS Kansas – PPO
BCBS Kansas FEP Members
Century Health Solutions
Health Partners Kansas
UHC MilitaryTricare West Kansas Retired & Family
UHC MilitaryTricare West Kansas Active Duty
WPPA, Inc./ ProviDRs Care Network
Centene: Sunflower State Health Plan
Coventry Healthcare of Kansas – Exchange

Anthem BCBS Kentucky
Anthem BCBS Kentucky FEP
Anthem BCBS Kentucky Medicare Advantage
Anthem BCBS Kentucky Option
Bluegrass Family Health
Center Care Managed Care
Cumberland Health Plan
Passport Health Plan (University Health Care, Inc. dba)
Preferred Health Plan
TriCare North Kentucky Active Duty
TriCare North Kentucky Retired / Health Net Federal Services, Inc.
TriCare North Kentucky Retired Standard
TriCare South Kentucky (Ft. Campbell) Active Duty
TriCare South Kentucky (Ft. Campbell) Retired and Family
UHC Kentucky/HealthWise
WellCare Kentucky Medicaid
Wellcare Kentucky Medicare
CHA Health
Humana Health Plan, Inc. (KY)

Amercian LifeCare, Inc
BCBS Louisiana FEP
BCBS Louisiana HMO
BCBS Louisiana PPO/ Traditional
BestCare Network
FARA
Fara Network, Worker’s Comp
Gilsbar 360 Alliance
Pendleton Memorial
PPOplus, LLC
State of Louisiana – Office of Group Benefits PPO
State of Louisiana OGB Consumer Driven
State of Louisiana OGB HMO
Tricare South Louisiana Active Duty
Tricare South Louisiana Retired & Family
UHC Louisiana
Vantage Health Plan – Commercial/HMO
Vantage Health Plan, Inc. Medicare Advantage
Verity HealthNet PPO
WellCare of Louisiana – Medicare
Humana Louisiana

Anthem BCBS Maine FEP
Maine Community Health Options Exchange (MCHO)
Martin’s Point (Medicare Advantage)
Martin’s Point US Family Health Plan
Medical Network
TriCare North Maine Active Duty
TriCare North Maine Retired / Health Net Federal Services, Inc.
TriCare North Maine Retired Standard
Anthem BCBS Maine (Northeast ME, NH, CT) Commercial
Anthem BCBS Maine (Northeast ME, NH, CT)) Medicare Advantage
Anthem BCBS Maine Guided Acess HMO and POS Exchange
St. Mary’s Health System

Amerigroup Community Care MD (Medicaid)
AmeriVantage: Amerigroup Community Care MD (Medicare)
BCE Emergis
Bravo Maryland PPO – Mid Atlantic
CareFirst BCBS Maryland FEP
CareFirst HMO BCBS of Maryland
CareFirst NCAS: Maryland General Hospital
CareFirst PPO BCBS of Maryland
Conifer Health Solutions
Innovative Healthware Services -HIS ClaimsBridge
MAMSI
MAMSI – Optimum Choice PPO
MAMSI: MDIPA
Maryland Physicians Care- Medicaid (Schaller Anderson)
Patuxent Medical Group
Riverside Health Medicare Advantage`1`
TriCare North Maryland Active Duty
TriCare North Maryland Retired / Health Net Federal Services, Inc.
TriCare North Maryland Retired Standard
UHC State of Maryland (State Employees)
UHC Community Plan AmeriChoice Mid-Atlantic
UHC Maryland – Individual Marketplace (exchange)
UHC Maryland – SHOP Marketplace (exchange)
United Payors & United Providers (UP & UP)
Kaiser Mid Atlantic Maryland
Kaiser Mid Atlantic Maryland Medicare

BCBS Massachusetts FEP
BCBS Massachusetts Medicare Advantage
Fallon Community Health Plan (FCHP)
Fallon Community Health Plan (FCHP) Medicaid
Fallon Community Senior Plan
Fallon Family Health Plan – Medicare Adv. SNP (Navicare), -Senior Care Options (FSP-SCO)
“Fallon Total Care – Medicare Advantage
Fallon Total Care – Medicare Advantage SNP”
Health New England- Medicaid
Neighborhood Health Plan (NHP) Massachusetts – Commercial
Neighborhood Health Plan (NHP) Massachusetts- Medicaid
Network Health Massachusetts – Medicaid
Network Health Unify (Dual Eligible)
Pinnacle Health
Senior Whole Health of MA
TriCare North Massachusetts Active Duty
TriCare North Massachusetts Retired / Health Net Federal Services, Inc.
TriCare North Massachusetts Retired Standard
Tufts Medicare Preferred
Tufts Senior Care Options (SCO Medicaid)
UniCare Classic PPO

ASR Corp. / Physicians Health Ntwrk
BCBS Michigan FEP
BCBS Michigan PPO
Detroit Medical Center (DMC)
HealthPlus of Michigan – HMO (HPM)
HealthPlus of Michigan – Medicare (HPM)
HealthPlus of Michigan Insurance Company PPO (HPI)
Lockard and Williams
McLaren Advantage HMO SNP
McLaren Health Plan (MHP) Commercial – HMO
McLaren Health Plan (MHP) Commercial – PPO
McLaren Health Plan (MHP) Medicare Advantage
McLaren POS
McLaren Select
Michigan Health Management
Molina of Michigan Options – Medicare
Preferred Choices PPO
TriCare North Michigan Active Duty
TriCare North Michigan Retired / Health Net Federal Services, Inc.
TriCare North Michigan Retired Standard
UHC Community Plan – Great Lakes Health Plan: Dual Complete (Mdc Adv)
UHC PHP S Michigan
UHC Physicians Health Plan Mid Michigan
UHC SW Mighigan Health Network
UHC: Physicians Health Plan Mid Michigan
Weyco
DMEnsion, Inc. BC of Michigan Medicare Plus
DMEnsion, Inc. Support Groups MPSER, State of MI
HealthPlus of Michigan – Medicaid (HPP)
McLaren Health Plan – Michigan Medicaid HMO
Molina Health Care of Michigan – Medicaid HMO
Upper Peninsula Health Plan – Medicaid HMO

America’s PPO
BCBS Minnesota
BCBS Minnesota (PMAP) Prepaid Medical Assistance Plan
BCBS Minnesota FEP
BCBS Minnesota Secure Blue/MSHO and Care Blue (Sp needs)
BCBS Minnesota Vantage Blue
ExpertChoice CMC (BCBS of MN Workers’ Comp)
Health Risk Management
Medica Exchange
Medica Health Plans – Medicare (Senior)
Medica Health Plans (PPO)
Medica Health Plans HMO
Medica MSHO
Medica Self-Insured dba SelectCare
MMSI/Mayo Management Services
MMSI/South Country Health Alliance Med Advantage
MMSI/South Country Health Alliance Medicaid
Patient Choice -Minnesota
PreferredOne HMO
PreferredOne PPO
PrimeWest Health- Medicaid
PrimeWest Health Medicare
UCare Minnesota – Medicaid HMO
UCare Minnesota – Medicare HMO
Ucare Minnesota Exchange
UHC IBA Health and Life Ins.
UHC Military Tricare West Minnesota Active Duty
UHC Military Tricare West Minnesota Retired & Family

Advanced Health Systems (AHS)(State of Mississippi)
BCBS Mississippi FEP
First Choice of Mississippi
Health Link of Mississippi
Healthspring Mississippi
Mississippi Health Partners, Inc
Mississippi Physicians Care Network (MPCN)
Select Administrative Services (Mississippi Select)
Tricare South Mississippi Active Duty
Tricare South Mississippi Retired & Family
UHC Mississippi

Anthem BCBS Missouri FEP
Anthem BCBS Missouri Right Choice
Anthem BCBS Missouri Right Choice ( Mdcr Adv)
BCBS Kansas City – Blue-Care
BCBS Kansas City – Freedom Network
BCBS Kansas City – Freedom Network Select
BCBS Kansas City – Preferred Care
BCBS Kansas City – Preferred Care Blue
BCBS Kansas City – Traditional
BCBS Kansas City- Blue Advantage
BCBS Kansas City FEP
DBL Services
Employers Health Network, LLC (EHN)
Essence Healthcare, Inc. of Missouri
Exclusive Choice/SSM Managed Care
GEHA/Government Employees Hospital Association, Inc.
HealthLink, Inc. (HMO)(Wellpoint)
HealthLink, Inc. (PPO)(Wellpoint)
HMCC Network: Smart Care -First Health – Well Care
HMCC/Sprint Choice/Sprint Indemnity PPO
Medical Services Management
Missouri Care Health Plan
TriCare North Missouri (St. Louis) Active Duty
TriCare North Missouri (St. Louis) Retired and Family
TriCare North Missouri (St. Louis) Standard Retired and Family
UHC AARP Medicare Complete (UHC Midwest)
UHC AARP Medicare Complete Missouri
UHC Kansas City
UHC Midwest
UHC MilitaryTricare West Missouri Retired & Family
UHC MilitaryTricare West Missouri Active Duty
Centene: Home State Health Plan, Inc.
Centene: Home State Health Plan, Inc. – 20 & Under
HealthCare USA of Missouri, LLC Over 21
HealthCare USA of Missouri, LLC PCN Pediatric Care Network

Allegiance Benefit Plan Management, Inc.
APS Healthcare
BCBS Montana
BCBS Montana – Exchange
BCBS Montana FEP
BCBS Montana: Healthy Montana Kids Plus
Interwest Health PPO
Qubic- EBMS (Employee Benefit Mgmt. Services)
Starpoint HC Group
UHC Military Tricare West Montana Active Duty
UHC MilitaryTricare West Montana Retired & Family

CareFirst BCBS FEP Overseas Claims
MAMSI – OneNet PPO
UHC Definity
UHC Evercare National Medicare
UHC Mid Atlantic (MD, DE, VA, DC)
UHC Midlands
UHC Navigate
UHC New England
UHC New England (Medicaid)
UHC The Empire Plan
UHC TPA (See ins # 11 for all info)
UHC: UnitedHealthcare – National
Humana Choice Medicare Advantage PPO
Humana CHOICECARE Network National PPO
Humana Indemnity/EPO/POS
Humana Medicare Advantage HMO
Humana Misc (Previously as 98)
Humana National Commercial
Humana PPO ChoiceCare
Humana TPA
Kaiser Mid Atlantic – DC

BCBS Nebraska Commercial
BCBS Nebraska FEP
CoventryCares of Nebraska Medicaid
Midlands Choice PPO
UHC Community Plan Americhoice Nebraska Share Advantage
UHC Military Tricare West Nebraska Retired & Family
UHC MilitaryTricare West Nebraska Active Duty

Amerigroup Community Care NV (Medicaid)
AmeriVantage: Amerigroup Community Care NV (Medicare)
Anthem BCBS Nevada FEP
CareMore Nevada
Health Plan Of Nevada – MEDICAID HMO
Health Plan of Nevada/HPN
Health Plan of Nevada: Senior Dimensions /HPN/ Sierra
MCC Managed Care Consultants
Senior Care Plus (Hometown)
UHC Medicare Solutions / Secure Horizons of Nevada
UHC Military Tricare West Nevada Active Duty
UHC Military Tricare West Nevada Retired & Family
UHC: United Healthcare Pacificare of Nevada
Anthem BCBS Nevada
Anthem BCBS Nevada Medicare Advantage

Anthem BCBS New Hampshire FEP (Northeast ME, NH, CT)
TriCare North New Hampshire Active Duty
TriCare North New Hampshire Retired / Health Net Federal Services, Inc.
Anthem BCBS New Hampshire
Anthem BCBS New Hampshire (Northeast ME, NH, CT)Medicare
Anthem BCBS New Hampshire Exchange Network (Northeast ME, NH, CT)

AMERIGROUP Community Care NJ (Medicaid)
AmeriHealth Medicare Advantage
AmeriHealth New Jersey HMO/POS
AmeriHealth PPO
AmeriVantage: Amerigroup Community Care NJ (Medicare)
Bravo Health New Jersey, Inc.
Consumer Health Network (CHN)
EmblemHealth NJ
Health Network America/ TRIVERIS
Horizon BCBS FEP Members
Horizon BCBS of New Jersey – PPO
Horizon BCBS of New Jersey- Direct
Horizon BCBS of New Jersey- HMO
Horizon Casualty Services
Horizon Medicare Advantage
Horizon Medicare Blue TotalCare (HMO SNP)
Insurance Administrators of America
National Provider Network (NPN)
Northeast Health Direct
Qualcare HMO NJ
Qualcare PPO NJ
QualCare: Atlantic Health System Group (AHSG)
TriCare North New Hampshire Retired Standard
TriCare North New Jersey Active Duty
TriCare North New Jersey Retired / Health Net Federal Services, Inc.
TriCare North New Jersey Retired Standard
UHC Community Plan AmeriChoice NJ Medicare
UHC: Healthnet of the Northeast (PHS Health Plans) Commercial
UHC: Healthnet of the NorthEast (Medicare)
UHC: Healthnet of the Northeast (NJ Medicaid)

AmeriVantage: Amerigroup Community Care NM (Medicare)
BCBS New Mexico – Medicaid (BlueSalud! SCI) (Centennial Care)
BCBS New Mexico Commercial
BCBS New Mexico FEP
Molina Healthcare of New Mexico- Medicaid (Centennial Care)
Presbyterian Healthcare Exchange
Presbyterian Network – Commercial
Presbyterian Network- Medicare Advantage
UHC Community Plan / Evercare of New Mexico (CoLTS) (Centennial Care)
UHC Military Tricare West New Mexico Retired & Family
UHC MilitaryTricare West New Mexico Active Duty
UHC New Mexico -Lovelace

AMERIGROUP Community Care NY (Medicaid)
AmeriVantage: Amerigroup Community Care NY (Medicare)
APA Partners, Inc.
BCBS NE New York/Albany FEP
BCBS of Northeast New York
BCBS of Western New York – Community Blue Medicaid
BCBS Western NY Community Care Medicaid
Blue Shield of NE NY Senior Blue
Blue Shield Western NY – Medicare
Blue Shield Western NY Commercial
Blue Shield Western NY FEP
Capital District Physician’s Health Plan (CDPHP) Child Health Plus
Capital District Physician’s Health Plan (CDPHP) Family Health Plus
Capital District Physician’s Health Plan (CDPHP) Medicaid
Capital District Physicians’ Health Plan, Inc. (CDPHP) (Commercial)
Capital District Physicians’ Health Plan, Inc. (CDPHP) (Seniors)
Care Improvement Plus (National)
CDPHP: Healthy New York
Corporate Care Management
Empire BCBS New York FEP/National
Ernst Management (EM)
Essence Healthcare New York
Excellus BCBS Central NY FEP
Excellus BCBS Rochester FEP
Excellus BCBS Utica/Watertown FEP
FIDELIS CARE NEW YORK – Medicare Advantage
Gateway Medical
Gateway Mednet Medical
HealthFirst New York /PHSP – Medicaid
HealthFirst of New York /Managed Health Inc. – Medicare
HealthFirst of New York /Manastged Health Inc.- Commercial
HealthNow (Seniors)
HealthNow Commercial
Independent Health FHP
Independent Health Medi-Source (Medicaid Plan)
Island Group Administrators
MultiPlan, Inc
MultiPlan: Harvard Pilgrim (PPO only)
National Health Administrators, Inc. (NHAI)
National Preferred Provider Network (NPPN)
North American Preferred Health Plan/ Meritain
POMCO
Private Healthcare Systems, Inc. (PHCS) (Summerlin)
Quality Health Network
Senior Whole Health of NY
Sieba
TriCare North New York Active Duty
TriCare North New York Retired / Health Net Federal Services, Inc.
TriCare North New York Retired Standard
UHC New York/New Jersey
UHC Syracuse New York
UNYHEALTH (United Health Direct)
Anthem BCBS New York (CareMore New York) Med Adv
Emblem Health New York
Emblem HIP Health Plan of NY
Emblem: HIP Health Plan of New York – Medicare Advantage
Empire BCBS New York
Empire BCBS New York 32BJ
Empire BCBS New York Medicare Advantage
Fidelis Care NY – New York State of Health (Exchange)
GHI (Medicare)
GHI HMO Select Inc. (Emblem Health)
GHI PPO/ EmblemHealth EPO and PPO NY
Integra Partners /CenterLight HealthCare MLTC
Integra Partners/ VillageCare Max MLTC Medicaid
Magnacare

ACS Benefit Services
BCBS North Carolina Federal Employees FEP
BCBS North Carolina HMO
BCBS North Carolina PPO
BCBS North Carolina Traditional (State Health Plan)
Blue Medicare / Partners National HP
Carolina Summit
Doctors Direct Healthcare, Inc. (DDH, Inc.)
FirstCarolina Care
FirstCarolina Care Medicare Advantage
Health Care Savings
Inclusive Health: North Carolina Health Ins. Risk Pool
Primary PhysicianCare
Rutherford Health Plan
TriCare North North Carolina Active Duty
TriCare North North Carolina Retired / Health Net Federal Services, Inc.
TriCare North North Carolina Retired Standard
UHC North Carolina

BCBS North Dakota FEP
BCBS North Dakota- Medicare Advantage
UHC Military Tricare West North Dakota Retired & Family
UHC MilitaryTricare West North Dakota Active Duty
BCBS North Dakota – Exchange
BCBS North Dakota – Public Emp Retirement System
BCBS North Dakota- Managed Care

ACMS/EBMC
American Health Holding
Anthem BCBS Ohio – FEP
Anthem BCBS Ohio – HMO/PPO/POS
Anthem BCBS Ohio Exchange Network
Anthem BCBS Ohio Medicare Advantage
Anthem BCBS Ohio OFF Exchange Network
Bridgestone/Firestone
Centene: Buckeye Community Health Plan (Medicare)
Central Benefits
Cleveland Health Network Managed Care Organization (CHN)
Clinix
Creative Health Plan
Direct Care America (DCA)
FrontPath Health Coalition
Gateway Health Plan of Ohio, Inc. (Medicare)
Health Design Plus
Health Payors Organization-Ohio
Health Plan of the Upper Ohio Valley
Health Plan of the Upper Ohio Valley -Medicaid (The)
Health Plan of the Upper Ohio Valley -Medicare (The)
Health Plan of Upper Ohio Valley: Hometown Health Plan – OHIO
Health Service Review
HealthSmart Preferred/ fka Emerald Health Network
HealthSpan Integrated Care: Kaiser Foundation Hospitals (KFH)- Cleveland
HealthSpan Integrated Care: Kaiser Ohio Medicare Advantage
HealthSpan, Inc. (Physicians Health Collaborative)
Integra Group
Klais Health Network
Medical Benefits
Medical Mutual – SuperMed Select
Medical Mutual – SuperMed Select Plus
Medical Mutual – TPA
Medical Mutual – Traditional
Medical Mutual SuperMed
Mount Carmel Health Plan, Inc. (MediGold)
Mount Carmel Health Plan, Inc. (MediGold) – Approved Exceptions Only
Network Preferred – Physician Hospital Alliance
North American Ben. Network (Gateway HMS)
Ohio Health Choice, Inc.
Ohio Health Group
Ohio Preferred Network
OSU- The Ohio State University Managed Health Care Systems, Inc. (OSU) (NGS)
Paramount Care, Inc. (HMO, Medicare Advantage)
Paramount Preferred Options, Inc. (Workers’ Comp)
Paramount Preferred Options, Inc. (PPO)
PPOM/Flora HN EPO (Cofinity)
PPOM/Flora HN PPO Cofinity (Aetna)
Primary Health Services
Prime Net Select/ Prime Net Select Plus
Primetime Health Plan (AultCare)
Professional Risk Mgmt/PRM – Prime Net
Quantum / Community Coordinated Healthcare
Qubic: Business Adm Consultants (BAC)
Self-funded Plans (UM-Medillume)
SummaCare Inc./ Apex Benefits Services members only
TriCare North Ohio Active Duty
TriCare North Ohio Retired / Health Net Federal Services, Inc.
TriCare North Ohio Retired Standard
UHC Ohio
WEB HEALTH SOLUTIONS (WEB)/HEALTH COALITION PARTNERS (HCP)
Wellcare Ohio- Medicare Advantage
Centene: Ambetter from Buckeye Community Health Plan
Humana Health Plan of Ohio, Inc. (ChoiceCare HMO)
Humana Health Plan of Ohio, Inc. (ChoiceCare PPO)
Humana Health Plan of Ohio, Inc. (HMO and PPO)

AdminOne
BCBS Oklahoma – Blue Medicare Advantage HMO
BCBS Oklahoma BlueTraditional Network
BCBS Oklahoma FEP
BCBS Oklahoma: BlueLincs HMO/BlueChoice PPO/BluePreferred Networks
CommunityCare HMO (Commercial)
CommunityCare HMO (Senior)
HealthChoice of Oklahoma
HealthSpring TexArkana / Oklahoma
Oklahoma Health Network
OSMA/ PLICO Health Network/ CL Frates
Physician Direct (COPA PPO)
PPO Oklahoma (Customers fall under CCN- do not terminate)
Preferred CommunityChoice PPO
Qubic- Mutual Assurance Administrators
Tricare South Oklahoma Active Duty
Tricare South Oklahoma Retired & Family
UHC Medicare Solutions / Secure Horizons of Oklahoma
UHC: United Healthcare PacifiCare of Oklahoma

AllCare / Mid Rogue -Medicaid
ATRIO Medicare Advantage
Bay Area Hospital Health Plan
CareMark PPO
Caremark/ MHN Northwest PPO 412 (Managed Healthcare Northwest)
CareOregon, Inc. Medicare Advantage
CareSource / Mid Rogue -Medicare
COHO Benefit Plan (Samaritans Preferred Provider)
Health Net Health Plan of Oregon – Medicare
Health Net Health Plan of Oregon, Inc.
Innovative Care Management
Intercommunity Health Network (IHN) (Samaritan)
Moda Health / ODS Health Plan- Medicare Advantage
Moda Health / ODS Health Plan, Inc.
PacificSource Community Solutions
PacificSource Coordinated Care: Smart Health Network (Exchange)
PacificSource Health Plans
PacificSource Medicare
Regence BCBS Oregon
Regence BCBS Oregon FEP
Regence BCBS Oregon IndividualSelect Networks – Exchange (Bridgespan)
Regence BCBS Oregon Medicare Advantage
Samaritan Advantage Health Plan
Samaritan Choice Plan
Samaritan Health Plan Exchange – Split out from 6064
Sky Lakes Medical Center
UHC Medicare Solutions / Secure Horizons of Oregon
UHC Military Tricare West Oregon Active Duty
UHC Military Tricare West Oregon Retired & Family
UHC: United Healthcare PacifiCare of Oregon
Kaiser of Oregon (Kaiser Northwest)
Kaiser Oregon Medicare Advantage

BC of Northeast Pennsylvania (BlueCare PPO, EPO and Trad) BCNEPA
Berkshire Health Partners (BHP)
Blue Cross of NE Pennsylvania FEP
Blue Ridge Health
Bravo Health Pennsylvania, Inc.
Capital Blue Cross FEP
Capital BlueCross (Commercial) PPO
Capital BlueCross (Medicare) Senior Blue HMO
Capital BlueCross Commercial HMO/ POS
Capital BlueCross Medicare Adv Senior Blue PPO
Clear Care PPO
Core Source
Devon Health Services
EHP, Inc./ Significa Ins. Group, Inc.
First Priority Health (Bluecare HMO)
Gateway Health Plan of Pennsylvania, Inc. (Medicare)
Geisinger Health Plan (Medicare) GHP
Highmark BCBS Indemnity
Highmark BCBS Medicare
Highmark BCBS Pennsylvania HMO
Highmark BCBS PPO
Highmark Blue Shield FEP
Independence Blue Cross FEP
Independence Blue Cross: Personal Choice (IBC) PPO
Independence Blue Cross: Personal Choice 65 (Med Adv) IBC
Intergroup Services
Keystone 65 (Medicare Advantage) IBC
Keystone Health Plan/Independence Blue Cross (IBC) HMO
Old Order Group
PPHN
Preferred Health Care
Primesource Health Network, Inc.
SelectCare/ Managed Care America
South Central Preferred
TriCare North Pennsylvania Active Duty
TriCare North Pennsylvania Retired / Health Net Federal Services, Inc.
TriCare North Pennsylvania Retired Standard
UHC Pennsylvania/ Medicare Advantage (Unison)
Unity
Vantage PPO Health Plan
DMEnsion, Inc. : Pennsylvania Employee Benefit Trust Fund (PEBTF)
Health Partners of Philadelphia Medicaid

BCBS Rhode Island FEP
TriCare North Rhode Island Active Duty
TriCare North Rhode Island Retired / Health Net Federal Services, Inc.
TriCare North Rhode Island Retired Standard
UHC Community Plan AmeriChoice Rhode Island (Medicaid) UHC
UHC Community Plan UHC New England/AmeriChoice Rhode Island (Medicare)
BCBS Rhode Island Commercial
BCBS Rhode Island Medicare
DMEnsion, Inc.: Neighborhood Health Plan Rhode Island (NHP)

AXA Equitable
BCBS South Carolina BlueChoice Health Plan- Medicare
BCBS South Carolina BlueChoice HealthPlan – Medicaid
BCBS South Carolina BlueChoice Heath Plan- Commercial
BCBS South Carolina FEP
Carolina Care Plan / Physicians Health Plan
Consumers Choice Health Plan
Healthspring of South Carolina
Manage Med
Physicians Care Network
Premier Health
Select Health of South Carolina/ First Choice
Tricare South South Carolina Active Duty
Tricare South South Carolina Retired & Family

Avera Exchange
Avera HP POS
DAKOTACARE
First Choice of the Midwest
Sanford Health Plan
Sanford Health Plan (Exceptions)
Sanford Health Plan Exchange
TLC Advantage
UHC Military Tricare West South Dakota Active Duty
UHC Military Tricare West South Dakota Retired & Family
Wellmark BCBS of South Dakota FEP
Wellmark BCBS of South Dakota PPO/ Ind

Baptist Health Services Group of the Mid-South (Bapt & Phys)
BaptistNet/Domestic (Initial Group)
BCBS of Tennessee FEP
Community Choice Network
Community Health Alliance
Health Choice, L.L.C. (Tennessee)
HealthSpring of Tennessee
Initial Group POS
Initial Group PPO, Workplus
PHP/ Cariten
PHP/Cariten – Network Leasing
Prime Health Services
Qubic- Corporate System Admin
Signature Health Alliance
Tennessee Healthcare
Tricare South Tennessee Active Duty
Tricare South Tennessee Retired & Family
UHC Community Plan AmeriChoice of TN
UHC River Valley
UHC River Valley – Secure Horizons
UHC Tennessee

Advantage Care Network, Inc. (Access Admin)Foresight, TPA
Aetna Health Inc., Texas
Alamo Risk Management
American PPO
AMERIGROUP Community Care TX (Medicaid and CHIP)
AmeriVantage: Amerigroup Community Care TX (Medicare)
Ancillary Care Services / Commercial American CareSource (ACS)
BCBS Texas -HMO Medicaid/CHIP
Boon-Chapmann (Kelsey)
Bravo Health Texas, Inc. (Medicare)
Bravo Health Texas, Inc. Star Plus (Medicaid)
Care N Care Insurance Company, Inc. (CNC)- Med Adv PPO
Christus Health Plan
Community First – Medicaid (CHIP)
Community First Health Plans (STAR)
Community First Health Plans, Inc. (Commercial and University Family Care)
Community Health Choice Exchange
Community Health Choice Medicaid
Cook Children’s Health Plan
Cook Children’s Health Plan – Medicaid STAR
Covenant Management Sys Emp Benefit (CMS-EBP)Austin Reg Ind Assoc/Mediview
Covenant/ Austin Regional Independence Associates, Inc. (ARIA)
Covenant: Healthy Equations Self Funded (HEBP)
Driscoll Children’s Health Plan
El Paso First Health Plans, Inc. Commercial
FirstCare Health Plan Commercial
FirstCare Health Plan Medicare Advantage
FirstCare- Medicaid STAR/ CHIP
Galaxy Health Network
Good Shepherd Health Network GSHN (UMR to bill UHC rates)
HealthSmart Preferred Care
HealthSmart Preferred Care Workers Comp
HealthSmart Preferrred World Trade Center
HealthSpring of Texas
Healthspring of Texas- Texas Star Plus
Independent Medical Systems
KS Plan Administrators, LLC (Kelsey Care)
Lutheran, Ancillary Care Services (ACS)
Medcorp Southwest Inc
Median (Cordesys) Healthcare
Medical Care Referral Group (MCRG)
Memorial Hermann MHHSI Commercial PPO
Molina Healthcare of Texas , Inc. (Medicaid)STAR, CHIP, STAR PLUS
Molina Healthcare of Texas Medicare (Options, Options Plus)
National Healthcare Alliance, Inc.
Nexcaliber
North Texas Healthcare Ntwk
Omni Networks, Inc.
Parkland Community Health Plan – Medicaid HMO/STAR +Plus
Pinnacle/Amercian CareSource
PPO Next (MedicalControl)
Premier Access, Inc.
Premier Provider Network, Inc. (PPNI)
Pronet -Provider Networks of America
Qubic- Insurance Management Services
Scott and White Health Plan – Commercial
Sendero Health Plan Medicaid
Sendero Health Plan Exchange (IdealCare)
Seton Health Plan, Inc.- HMO Employee Plan
Seton Health Plan, Inc.- CHIP, STAR, MAP
Southwest Preferred
TeamChoice
Texas Children’s Health Plan (HMO and CHIP)
Texas Children’s Health Plan- STAR
Texas True Choice
TML (TX Municipal League)
Today’s Options PPO Texas
Tricare South Texas Active Duty
Tricare South Texas Retired & Family
Trisurant
UHC Community Plan /Evercare of Texas (Medicaid)
UHC Community Plan /UHC Texas CHIP (Evercare)
UHC Community Plan UHC- Texas STAR / AmeriChoice Texas
UHC Medicare Solutions / Secure Horizons TX
UHC Military TriCare West Texas (El Paso) Active Duty
UHC Military TriCare West Texas (El Paso) Retired and Family
UHC Texas
UHC UnitedHealthcare Benefits of Texas
UHC: WellMed San Antonio (Exceptions Only)
USA Health Network
Valley Baptist Health Plan – Valley Baptist Advantage
Valley Baptist Health Plans HMO, PPO, Self funded
WellMed – Care 1st
Wellmed Networks – Texas
BCBS Texas FEP
BCBS Texas HMO (includes AFHC program)
BCBS Texas Medicare Advantage PPO
BCBS Texas PPO / Blue Choice
BCBS Texas PPO: Blue Options, Blue Precision
Centene: Ambetter from Superior Health Plan
Centene: Superior Health Plan Texas Star, Star Plus, CHIP
Humana Gold
Humana of Corpus Christi

Deseret Mutual Benefit Administrators (DMBA) – Student Health Plan
Deseret Mutual Benefit Administrators (DMBA) HMO
Educators Mutual- Commercial (EMI)
Health Choice Utah- Medicaid Non- Traditional
Health Choice Utah- Medicaid Traditional
Imagine Health, Inc. / SmartCare (Wise)
Medical Management Alliance
Molina Healthcare of Utah, Inc. (Medicare)
Neurobehavior Home Program (Healthy U)
Public Employees Health Program (PEHP)
Regence BCBS of Utah (Medicare Advantage)
Regence BCBS Utah FEP
Regence BCBS Utah Indemnity Plan, PPO, BluePoint
Regence BCBS Utah Preferred FocalPoint/ BluePoint
SelectHealth CHIP – Utah Medicaid
SelectHealth Medicare Advantage
SelectHealth, Inc. Utah
SelectHealth, Inc. Medicaid Non-Traditional (Not CHIP)
SelectHealth, Inc. Medicaid Traditional (Not CHIP)
Service Advocate/Smith Administrators
UHC Military Tricare West Utah Active Duty
UHC Military Tricare West Utah Retired & Family
UHC Utah
Union Pacific RR Employees
University of Utah – Healthy Advantage
University of Utah Health Plan – Comm
University of Utah Medicaid – Healthy U (Non-Traditional)
University of Utah Medicaid – Healthy U (Traditional)
Molina Healthcare of Utah, Inc. (Medicaid)

BCBS Vermont
BCBS Vermont / Catamount Blue
BCBS Vermont /The Vermont Health Plan (TVHP)
BCBS Vermont FEP
Comprehensive Benefit Administrators (CBA Blue)BCBS
TriCare North Vermont Active Duty
TriCare North Vermont Retired / Health Net Federal Services, Inc.
TriCare North Vermont Retired Standard

Anthem BCBS Virginia FEP
CareFirst HMO BCBS of Virginia
CareFirst PPO BCBS of Virginia
CareFirst Virginia FEP
Optima Health Medicare Advantage – split off from 7238
TriCare North Virginia Active Duty
TriCare North Virginia Retired / Health Net Federal Services, Inc.
TriCare North Virginia Retired Standard
Virginia Health Network, Inc. (VHN)
Anthem BCBS Virginia
Anthem BCBS Virginia (CareMore Virginia) Med Adv
Anthem BCBS Virginia HealthKeepers HMO
Anthem BCBS Virginia Medicare Advantage
INTotal Health Medicare/Formerly Amerigroup VA
Kaiser Mid Atlantic Virginia
Kaiser Mid Atlantic Virginia Medicare

BCBS Regence WA: Boeing Select Network Plan
Community Health Plan of Washington – Medicare Advantage
Confluence Health- Commercial
Confluence Health- Healthy Options (WVMC)
First Choice Health Network (FCHN)
Health Alliance Medicare Advantage (Confluence Health)
Molina Healthcare of Washington – Exchange
Northwest One
Regence Blue Shield Washington Commercial/ Bridgespan Exchange not split out
Regence BlueShield Washington FEP
Regence Healthy Options/ Washington Medicaid
Regence WA Blue Shield Medicare Advantage PPO
UHC Medicare Solutions / Secure Horizons of Washington
UHC Military Tricare West Washington Active Duty
UHC Military Tricare West Washington Retired & Family
UHC Seattle Washington
UHC: United Healthcare PacifiCare of Washington
Centene: Ambetter from Coordinated Care
Kaiser of Washington (Kaiser Northwest)
Kaiser Washington Medicare Advantage
Molina Healthcare of Washington, Inc.

4Most Health Network
Healthspring of West Virginia
Mountain State BCBS – Medicare PPO Highmark
Mountain State BCBS (PPO, POS) Highmark
Mountain State BCBS (Traditional) Highmark
Mountain State BCBS West Virginia FEP Highmark
PEIA: HealthSmart Benefit Solutions, Inc. (Wells Fargo of West Virginia)
SelectNet Plus
TriCare North West Virginia Retired Standard
TriCare North West Virigina Active Duty
Coventry Health Care of West Virginia, Inc

Accountable Health Plan – National
Anthem BCBS Wisconsin
Anthem BCBS Wisconsin FEP
Anthem BCBS Wisconsin Medicaid / Community Connect Healthplan
Anthem BCBS Wisconsin Medicare Advantage
Bowers and Associates
Care Wisconsin First Partnership
Care Wisconsin First Family Care (Medicaid)
Centene: Managed Health Services Wisconsin Medicaid
Centene: Managed Health Services Wisconsin- Medicare
Dean Health Plan Inc. DHP and ASO
Group Health Cooperative of Eau Claire – Commercial
Group Health Cooperative of S Central Wisconsin
Gundersen Health Plan, Inc. Commercial
Gundersen Lutheran Health Plan, Inc. Medicare Advantage
Health EOS – AHC
Health Payment Systems Prairie States
Health Payment Systems, Inc Network
Health Payment Systems, Inc. Benefit Admin. Plan of Eau Claire
Multiplan WPPN (Health EOS)
Network Health WI- HMO/POS
Network Health WI- Medicare Advantage PPO
Network Health WI- PPO
Preferred Plan
PREVEA health network
The Alliance
TriCare North West Virigina Retired / Health Net Federal Services, Inc.
TriCare North Wisconsin Active Duty
TriCare North Wisconsin Retired Standard
TriCare North Wisonsin Retired / Health Net Federal Services, Inc.
Trilogy Health Insurance, Inc./ Assurant/Healthsmart
Trilogy Health Insurance, Inc./ CB-Sisco
Trilogy Health Insurance, Inc./ Meritain Health
Trilogy Health Insurance, Inc./ Prairie States Enterprises
Trilogy Health Insurance, Inc./ UMR
Trilogy Health Insurance, Inc./ US Health and Life/Cypress/WI Hlth Fund
Trilogy: Health Payment Systems (Single Payment System)
UHC Wisconsin – Local Groups
UHC Wisconsin – National Groups
WEA Insurance Corporation (Wisconsin Education Association)
WPS Health Plan, Inc. dba Arise Health Plan – Exchange
WPS Health Plan, Inc. dba Arise Health Plan (WPSHP)
WPS- Wisconsin Physicians Service

BCBS Wyoming
BCBS Wyoming FEP
UHC Military Tricare West Wyoming Active Duty
UHC Military Tricare West Wyoming Retired
WinHealth Partners – HMO