carrier code list numeric

104
CARRIER TPL NAME 100 90303 AETNA US HEALTHCARE PO BOX 26190 100DN 90303 AETNA US HEALTHCARE PO BOX 14094 100RX 90303 AETNA PHARMACY PO BOX 14024 101 90304 INTERNATIONAL CLAIMS SERVICES 27092 BURBANK ST 103 90306 UNITED CLAIMS SOLUTIONS 10835 N. 25TH AV 104 90307 KAISER FOUNDATION HEALTH PLAN OF P.O. BOX 7004 105 90308 LIBERTY LIFE INSURANCE COMPANY POST OFFICE BOX 106 90309 AMERICAN FIDELITY ASSURANCE BENEF POST OFFICE BOX 107 90310 MUTUAL OF OMAHA MUTUAL OF OMAHA 108 90311 METROPOLITAN LIFE INSURANCE COMPA P.O. BOX 981282 109 90312 JEFFERSON PILOT INSURANCE COMPANY POST OFFICE BOX 110 90313 AMERIHEALTH HMO, INC. P.O. BOX 41574 110RX 90314 PROVIDENT/CAREMARK P.O. BOX 686005 111 90315 PRUDENTIAL INSURANCE COMPANY OF A 841 PRUDENTIAL D 112 90316 TRAVELERS INSURANCE COMPANY P O BOX 473500 113 90317 UNITED HEALTHCARE P.O. BOX 30555 113DN 90317 UNITED HEALTHCARE P.O. BOX 30555 114 90318 CLAIMEDIX INC. P.O. BOX 140067 115 90319 ALLSTATE INSURANCE P.O. BOX 7068 116 90320 WILLIS CORROON ADMINISTRATIVE SER POST OFFICE BOX 117 90321 HEWITT COLEMAN AND ASSOCIATES P O BOX 6708 118 90322 AMERICAN HEALTH & LIFE INSURANCE 300 ST. PAUL PLA 119 90323 AMERICAN HERITAGE LIFE INSURANCE 1776 AMERICAN HE 120 90324 AMERICAN NATIONAL INSURANCE COMPA P O BOX 1790 121 90325 GREATER HEALTHCARE P.O. BOX 3400 122 90326 ATLANTIC COAST LIFE INSURANCE COM PO BOX 20010 123 90327 BANKERS LIFE & CASUALTY PO BOX 66927 124 90328 UNITED COMMERCIAL TRAVELERS OF AM P.O. BOX 159019 125 90329 AMERICAN TRAVELERS LIFE INSURANCE 3220 TILLMAN DRI 126 90330 HEALTH PLAN SERVICES (COVENTRY HE P.O. BOX 24146 127 90331 BENEFITSOURCE, INC P.O. BOX 240 128 90332 CAPITOL LIFE INSURANCE COMPANY P.O. BXO 1200 129 90333 INTERGROUP SERVICES CORPORATION 101 LINDENWOOD D 130 90334 EMPLOYERS LIFE INSURANCE COMPANY P.O. BOX 6305 131 90335 USI POST OFFICE BOX 132 90336 COLONIAL LIFE AND ACCIDENT INSURA POST OFFICE BOX 133 90337 COMBINED INSURANCE COMPANY OF AME 5050 BROADWAY 134 90338 CIGNA CONN GENERAL LIFE INSURANCE P.O. BOX 188021 134DN 90338 CIGNA CONN GENERAL LIFE INSURANCE P.O. BOX 188037 134RX 90338 CIGNA CONN GENERAL LIFE INSURANCE P.O. BOX 188021 135 90339 ALLIED NATIONAL, INC. P.O. BOX 419233 136 90340 CIGNA FLEXCARE P.O. BOX 30575 137 90341 EDUCATORS MUTUAL LIFE INSURANCE C POST OFFICE BOX 138 90342 CORESOURCE P.O. BOX 2920 139 90343 FISERV HEALTH POST OFFICE BOX 139DN 90343 FISERV HEALTH POST OFFICE BOX 139RX 90343 WAUSAU INSURANCE COMPANY POST OFFICE BOX 140 90344 STERLING OPTION I (PFFS) P.O. BOX 5348 141 90345 NEOA HEALTH BENEFITS FUND 428 E SCOTT AVEN 142 90346 GENERAL AMERICAN LIFE INSURANCE 719 TEACO ROAD CARRIER CODE CARRIER NUM CC CROSSWALK CARRIER ADDRESS LINE

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Page 1: Carrier Code List Numeric

CARRIER TPL NAME CITY100 90303 AETNA US HEALTHCARE PO BOX 26190 GREENSBORO 100DN 90303 AETNA US HEALTHCARE PO BOX 14094 LEXINGTON 100RX 90303 AETNA PHARMACY PO BOX 14024 LEXINGTON 101 90304 INTERNATIONAL CLAIMS SERVICES 27092 BURBANK ST FOOTHILL RANCH 103 90306 UNITED CLAIMS SOLUTIONS 10835 N. 25TH AVE. 10PHOENIX 104 90307 KAISER FOUNDATION HEALTH PLANP.O. BOX 7004 DOWNEY 105 90308 LIBERTY LIFE INSURANCE COMPANY POST OFFICE BOXGREENVILLE 106 90309 AMERICAN FIDELITY ASSURANCE BENEFPOST OFFICE BOX 251OKLAHOMA CITY 107 90310 MUTUAL OF OMAHA MUTUAL OF OMAHA PLAOMAHA 108 90311 METROPOLITAN LIFE INSURANCE COMPP.O. BOX 981282 EL PASO 109 90312 JEFFERSON PILOT INSURANCE COMPANYPOST OFFICE BOX 260GREENSBORO 110 90313 AMERIHEALTH HMO, INC. P.O. BOX 41574 PHILADELPHIA 110RX 90314 PROVIDENT/CAREMARK P.O. BOX 686005 SAN ANTONIO 111 90315 PRUDENTIAL INSURANCE COMPANY O841 PRUDENTIAL DRIVEJACKSONVILLE 112 90316 TRAVELERS INSURANCE COMPANY P O BOX 473500 CHARLOTTE 113 90317 UNITED HEALTHCARE P.O. BOX 30555 SALT LAKE CITY 113DN 90317 UNITED HEALTHCARE P.O. BOX 30555 SALT LAKE CITY 114 90318 CLAIMEDIX INC. P.O. BOX 140067 KANSAS CITY 115 90319 ALLSTATE INSURANCE P.O. BOX 7068 COLUMBIA 116 90320 WILLIS CORROON ADMINISTRATIVE SEPOST OFFICE BOX 305NASHVILLE 117 90321 HEWITT COLEMAN AND ASSOCIATES P O BOX 6708 GREENVILLE 118 90322 AMERICAN HEALTH & LIFE INSURANCE 300 ST. PAUL PLACE BALTIMORE 119 90323 AMERICAN HERITAGE LIFE INSURANCE 1776 AMERICAN HERJACKSONVILLE 120 90324 AMERICAN NATIONAL INSURANCE COMPP O BOX 1790 GALVESTON 121 90325 GREATER HEALTHCARE P.O. BOX 3400 MONROE 122 90326 ATLANTIC COAST LIFE INSURANCE COPO BOX 20010 CHARLESTON 123 90327 BANKERS LIFE & CASUALTY PO BOX 66927 CHICAGO 124 90328 UNITED COMMERCIAL TRAVELERS OF P.O. BOX 159019 COLUMBUS 125 90329 AMERICAN TRAVELERS LIFE INSURA3220 TILLMAN DRIVE BEN SALEM 126 90330 HEALTH PLAN SERVICES (COVENTRYP.O. BOX 24146 SEATTLE 127 90331 BENEFITSOURCE, INC P.O. BOX 240 MONROE 128 90332 CAPITOL LIFE INSURANCE COMPANY P.O. BXO 1200 DENVER 129 90333 INTERGROUP SERVICES CORPORATION 101 LINDENWOOD DR,MALVERN 130 90334 EMPLOYERS LIFE INSURANCE COMPANY P.O. BOX 6305 SPARTANBURG 131 90335 USI POST OFFICE BOX 9888SAVANNAH 132 90336 COLONIAL LIFE AND ACCIDENT IN POST OFFICE BOX 1365COLUMBIA 133 90337 COMBINED INSURANCE COMPANY OF A5050 BROADWAY CHICAGO 134 90338 CIGNA CONN GENERAL LIFE INSURANCE P.O. BOX 188021 CHATTANOOGA 134DN 90338 CIGNA CONN GENERAL LIFE INSURANCE P.O. BOX 188037 CHATTANOOGA 134RX 90338 CIGNA CONN GENERAL LIFE INSURANCE P.O. BOX 188021 CHATTANOOGA 135 90339 ALLIED NATIONAL, INC. P.O. BOX 419233 KANSAS CITY 136 90340 CIGNA FLEXCARE P.O. BOX 30575 CHARLOTTE 137 90341 EDUCATORS MUTUAL LIFE INSURANCPOST OFFICE BOX 3149LANCASTER 138 90342 CORESOURCE P.O. BOX 2920 CLINTON 139 90343 FISERV HEALTH POST OFFICE BOX 8013WAUSAU, 139DN 90343 FISERV HEALTH POST OFFICE BOX 8014WAUSAU, 139RX 90343 WAUSAU INSURANCE COMPANY POST OFFICE BOX 8013WAUSAU, 140 90344 STERLING OPTION I (PFFS) P.O. BOX 5348 BELLINGHAM 141 90345 NEOA HEALTH BENEFITS FUND 428 E SCOTT AVENUKNOXVILLE 142 90346 GENERAL AMERICAN LIFE INSURANCE 719 TEACO ROAD KENNETH

CARRIER CODE

CARRIER NUM CC

CROSSWALKCARRIER

ADDRESS LINE

Page 2: Carrier Code List Numeric

143 90347 UMR P.O. BOX 30530 SALT LAKE CITY 144 90348 GLOBE LIFE & ACCIDENT INSURANCE 204 N. ROBINSON OKLAHOMA CITY 145 90349 GMP EMPLOYERS RETIREE TRUST 5245 BIG PINE WAY SEFORT MYERS 146 90350 HARTFORD INSURANCE GROUP P O BOX 25600 CHARLOTTE 147 90351 STATE MUTUAL INSURANCE P.O. BOX 10811 CLEARWATER 148 90352 MONUMENTAL LIFE INSURANCE COMPANPOST OFFICE BOX 61 DURHAM 149 90353 INSURANCE COMPANY OF NORTH AMER195 BROADWAY 11TH NEW YORK 150 90354 AMERICAN GENERAL LIFE AND ACCIDP.O. BOX 1500 NASHVILLE 151 90355 CARELINK P.O. BOX 7373 LONDON 152 90356 MEDICA P.O. BOX 30990 SALT LAKE CITY 153 90357 KANAWHA LIFE INSURANCE COMPANY POST OFFICE BOX 6000LANCASTER 153DN 90357 KANAWHA LIFE INSURANCE COMPANY POST OFFICE BOX 6000LANCASTER 154 90358 CONSUMER DRIVEN BENEFITS ASSO. P.O. BOX 6080-228 MISSION VIEIO 155 90359 WORLDWIDE INSURANCE & CLAIM SERV4675 S HOLLAND SPRINGFIELD 156 90360 LIFE INSURANCE COMPANY OF GEORGIAPOST OFFICE BOX 105ATLANTA 157 90361 LIFE INSURANCE COMPANY OF VIRGINIP O BOX 27601 RICHMOND 158 90362 LINCOLN NATIONAL LIFE INSURANCEP O BOX 1110 FORT WAYNE 159 90363 MAKSIN MANAGMENT CORP CN98000 PENNSAUKEN 160 90364 UNI-CARE HEALTH AND LIFE INSURANCP.O. BOX 4458 CHICAGO 160DN 90364 UNICARE HEALTH AND LIFE INSURANCE POST OFFICE BOX 4059SCHAUMBURG 161 90365 AMA INSURANCE AGNECY, INC. 200 N. LASALLE ST. CHICAGO 162 90366 HARVARD PILGRIM HEALTHCARE P.O.BOX 656653 SAN ANTONIO 163 90367 NATIONWIDE LIFE INSURANCE COMPANYPOST OFFICE BOX 182COLUMBUS 164 90368 AMERICAN PROGRESSIVE INSURANCE P.O. BOX 130 PENSACOLA 165 90369 NEW YORK LIFE INSURANCE COMPANY POST OFFICE BOX 105ATLANTA 166 90370 CAPITOL AMERICAN LIFE INSURANCEP.O. BOX 94953 CLEVELAND 167 90371 AMERICAN INTERNATIONAL GROUP (P.O. BOX 3726 SEATTLE 168 90372 PRECISE BENEFIT ADMINISTRATORS P.O. BOX 9064 JERICHO 169 90373 CROWN CORK & SEAL COMPANY, INC. 930 BEAUMONT AVENUESPARTANBURG 170 90374 OCCIDENTAL LIFE INSURANCE COMPAPO BOX 10324 RALEIGH 171 90375 AON POST OFFICE BOX 66 WINSTON SALEM 172 90376 PAUL REVERE LIFE INSURANCE COMPANP.O. BOX 15118 WORCESTER 173 90377 PENNSYLVANIA LIFE INSURANCE COMPP.O. BOX 100 PENSACOLA 174 90378 NMU PENSION & WELFARE FUND 360 WEST 31ST STRENEW YORK 175 90379 COLUMBIA UNIVERSAL LIFE INSURANCEPOST OFFICE BOX 200AUSTIN 176 90380 GUIDESTAR HEALTH SYSTEMS P.O. BOX 35238 BIRMINGHAM 177 90381 CINERGY HEALTH PREFERRED PLAN 144 N BEVERWYCK RD LAKE HIAWATHA 178 91191 MASHANTUCKET PLAN ADMINISTRATORS P.O. BOX 3620 MASHANTUCKET 179 90382 DESERET MUTUAL BENEFIT ADMINISTRP O BOX 45530 SALT LAKE CITY 180 90383 ESIS P O BOX 31122 TAMPA 181 90384 GROUP ADMINISTRATORS,LTD. 450 E. REMINGTON RD.SCHAUMBURG 182 90385 PENN TREATY NETWORK AMERICA INS. P.O. BOX 7066 ALLENTOWN 183 90386 GILSBAR INSURANCE COMPANY P O BOX 2947 COVINGTON 184 90387 SECURITY LIFE INSURANCE CO. OF AMPOST OFFICE BOX 3199WINSTON-SALEM 185 90388 S&S HEALTHCARE STRATEGIES P.O. BOX 46511 CINCINNATI 186 90389 SOUTHLAND LIFE INSURANCE COMPANY POST OFFICE BOX 105ATLANTA 187 90390 RELIANCE STANDARD LIFE INS. CO. P.O. BOX 82520 LINCOLN 188 90391 STANDARD LIFE & CASUALTY INSURPOST OFFICE DRAWERFORT MILL 189 90392 INTERNATIONAL EDUCATION EXCHANP.O. BOX 370 ITHACA 190 90393 BOILERMAKERS NATIONAL HEALTH 754 MINNESOTA AVEKANSAS CITY 191 90394 COVENTRY HEALTHCARE OF DELAWARE,P O BOX 7713 LONDON 192 90395 CONVENTRY HEALTHCARE OF NEBRASKP O BOX 7705 LONDON 194 90397 DAKOTACARE 1323 S. MINNESOTA AVSIOUX FALLS

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195 90398 UNION BANKERS INSURANCE COMPANY POST OFFICE BOX 655DALLAS 196 90399 UNITED BENEFIT LIFE INSURANCE 3909 HULEN ST FT. WORTH 197 90400 HARVARD PILGRIM HEALTH CARE P.O. BOX 699183 QUINCY 198 90401 UNIVERSAL FIDELITY LIFE INS. CO. P.O. BOX 1428 DUNCAN 199 90402 ALL OTHER CARRIERS - - 200 90403 ALL AMERICAN LIFE INSURANCE CO. 8501 WEST HIGGINS RCHICAGO 201 90404 HCH ADMINISTRATORS P.O. BOX 1986 PEORIA 201DN 90404 HCH ADMINISTRATORS P.O. BOX 1986 PEORIA 202 90405 JOHN HANCOCK INSURANCE COMPANY P.O. BOX 852 BOSTON 203 90406 HEALTH CARE SUPPORT/PRIVATE 29 COLUMBIA HEIGHTS BROOKLYN 204 90407 SELF INSURED BENEFIT ADMINISTRATO18167 US HWY 19N CLEARWATER 205 90408 FIDELITY LIFE SECURITY 3130 BROADWAY KANSAS CITY 206 90409 MED COST BENEFITS SERVICES P.O. BOX 25987 WINSTON SALEM 207 90410 MEDICAL SAVINGS HEALTH PLAN 419 E. MAIN ST MIDDLETON 208 90411 SIEBA, LTD P.O. BOX 5000 ENDICOTT 209 90412 SUMMIT AMERICA INSURANCE SERVICES7400 COLLEGE BLVD.OVERLAND PARK 210 90413 AMERITAS LIFE INSURANCE P O BOX 82520 LINCOLN 211 90414 COORDINATED BENEFIT PLANS INC. P O BOX 853925 RICHARDSON 212 90415 TRUSTMARK INSURANCE CO. P.O. BOX 2942 CLINTON 213 90416 COVENANT ADMINISTRATORS P.O. BOX 105738 ATLANTA 214 90417 RISK BENEFIT MANAGEMENT SERVICP.O. BOX 241569 ANCHORAGE 215 90418 OXFORD LIFE INSURANCE COMPANY P.O. BOX 46518 MADISON 216 90419 HUMANA HEALTH INSURANCE OF FLORIDP.O. BOX 19080-F JACKSONVILLE 217 90420 UNITED WORLD LIFE INS. CO. 3316 FARNAM STREET OMAHA 218 90421 ROCKY MOUNTAIN HEALTH PLAN (RMHP)P O BOX 4517 ENGLEWOOD 219 90422 CLAIMS PRO P.O. BOX 577 SOUTHFIELD 220 90423 HEALTH NEW ENGLAND ONE MONARCH PLACESPRINGFIELD 221 90424 QUAL CARE P.O. BOX 249 PISCATHAWAY 222 90425 MEDICA P.O. BOX 659752 SAN ANTONIO 223 90426 MED COST PREFERRED P.O. BOX 25437 WINSTON SALEM 224 90427 SOUTHERN ELEC. HEALTH FUND 3928 VOLUNTEER DRIVCHATTANOOGA 225 90428 HEALTH SERVICES FOUNDATION P O BOX 2109 LIVERMORE 226 90429 MASTER HEALTH PLAN P O BOX 16367 AUGUSTA 227 90430 MONUMENTAL GENERAL INSURANCE C1111 N CHARLES STREBALTIMORE 228 91249 PHYSICIANS PLUS INS. CO. P.O. BOX 909953 MILWAUKEE 229 90431 PRESCRIPTION HEALTH SERVICES P.O. BOX 80716 LOS ANGELES 230 90432 PYRAMID LIFE INSURANCE COMPANY P O BOX 772 SHAWNEE MISSION 231 90433 SAVERS LIFE INSURANCE COMPANY 8064 NORTH POINT WINSTON SALEM 232 90434 GENERAL ADJUSTMENT BUREAU P.O. BOX 81808 ALTANTA 233 90435 STERLING LIFE INSURANCE P.O. BOX 5348 BELLINGHAM 234 90436 ALWAYSCARE BENEFITS INC P.O. BOX 80139 BATON ROUGE 235 90437 SHAW INDUSTRIES P.O. BOX 10 DALTON 236 90438 GUARANTEE TRUST LIFE INSURANCE 1275 MILWAUKEE AVENGLENVIEW 237 90439 GUARDIAN LIFE INSURANCE COMPANP O BOX 8019 APPLETON 237DN 90404 GUARDIAN LIFE INSURANCE CO. OF AP.O. BOX 2459 SPOKANEN 238 90440 HORIZON HEALTHCARE P.O. BOX 1028 WEST TRENTON 239 90441 HORACE MANN LIFE INSURANCE COMPA1 HORACE MANN PLAZASPRINGFIELD 240 90442 STARBRIDGE P.O. BOX 55270 PHOENIX 241 90443 LIFE REINSURANCE CO. P.O. BOX 792070 SAN ANTONIO 242 90444 HELLER ASSOCIATES 8228 MAYFIELD RD. SCHESTERLANDE 243 90445 LIFE & CASUALTY INSURANCE COMAMERICAN GENERAL CNASHVILLE 244 90446 STERLING INVESTORS LIFE INS. CO. P.O. BOX 10844 CLEARWATER 245 90447 FIRST HEALTH P.O. BOX 23070 TUCSON

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245RX 90447 FIRST HEALTH P.O. BOX 23070 TUCSON 246 90448 FIRST HEALTH RX P.O.BOX 11010 TUCSON 247 90449 EMPLOYERS DIRECT HEALTH 5050 SPRING VALLEY DALLAS 248 90450 NEW ENGLAND LIFE INSURANCE 25145 COUNTRY CLUBNORTH OLMSTED 250 90452 IDEAL SCRIPTS 144 METRO CENTER BLWARWICK 251 90453 PYMARID LIFE INSURANCE CO. P.O. BOX 12922 PENSACOLA 252 90454 WELLNET HEALTHCARE 57 STREET RD SOUTH HAMPTON 253 90455 AMERICAN STERLING INSURANCE SERVP.O. BOX 26103 OVERLAND PARK 254 90456 PACIFIC MUTUAL LIFE INSURANCE CO700 NEWPORT CENTERNEWPORT BEACH 255 90457 PAN-AMERICAN LIFE INSURANCE COMPPOST OFFICE BOX 602NEW ORLEANS 256 90458 BENICOMP 8310 CLINTON PARK DRFT WAYNE 257 90459 PHARMACY NETWORK NATIONAL OF N.C.4000 OLD WAKEFORERALEIGH 258 90460 DIVERSIFIED ADMINISTRATION CORPOP.O. BOX 299 MARLBOROUGH 259 90461 CNA HEALTHCARE PARTNERS P. O. BOX 34197 LITTLE ROCK 260 90462 NATIONAL CLAIMS ADMINISTRATIVE SPOST OFFICE BOX 101FAIRFAX 261 90463 UICI ADMINISTRATORS P.O. BOX 30087 RENO 262 90464 CAIC (CONTINENTAL AMERICAN INS. COP.O. BOX 6080-179 MISSION VIEJO 263 90465 NATIONAL FINANCIAL COMPANY 110 WEST 7TH ST. SUFT WORTH 264 90466 HEALTH AMERICA P.O. BOX 7089 LONDON 265 90467 TODAY'S OPTION PO BOX 391883 CAMBRIDGE 266 90468 ACMG ADMINISTRATORS OF SOUTH CA2570 TECHNICAL DRIVEMIAMISBURG 267 90469 NATIONAL CLAIMS ADMINISTRATIVE SP.O. BOX 220887 CHARLOTTE 268 90470 MARQUETTE NATIONAL LIFE INS. CO. P.O. BOX 12148 PENSACOLA 269 90471 THE EPOCH GROUP POST OFFICE BOX 121OVERLAND PARK 270 90472 PREFERRED HEALTH PLAN OF THE CAP.O, BOX 220397 CHARLOTTE 271 90473 AMERICAN BENEFIT PLAN ADMINISTRAT22OO-B ROSSELLE STJACKSONVILLE 272 90474 ALLIANCE HEALTH BENEFIT PLAN P O BOX 6443 ROCKVILLE 273 90475 CENTRAL BENEFITS USA (CENBEN USA) P.O. BOX 619059 DALLAS 274 90476 CAPITAL DISTRICT PHYSICIANS PLAN P.O. BOX 66602 ALBANY 275 90477 AMERICAN TRUST ADMINISTRATORS P O BOX 87 SHAWNEE MISSION 276 90478 PLAN HANDLERS 930 CANTERBURY PLACESCONDIDO 277 90479 UNITED AMERICAN INSURANCE COMPANYPOST OFFICE BOX 8080MCKINNEY 278 90480 ROCKY MOUNTIAN HEALTH PLAN P.O. BOX 10600 GRAND JUNCTION 279 90481 UNITED INSURANCE COMPANY OF AMER1 E WACKER DRIVE CHICAGO 280 90482 CAREMARK PRESCRIPTION SERVICES P O BOX 52188 PHOENIX 281 90483 HEALTH NETWORK AMERICA/TRIVERIS P.O. BOX 307 EATONTOWN 282 90484 WASHINGTON NATIONAL INSURANCE CP.O. BOX 1934 DES PLAINES 283 90485 GUARDIAN HEALTHCARE P.O. BOX 4197 SCRANTON 284 90486 AMERIHEALTH ADMINISTRATORS 720 BLAIR ROAD HORSHAM 285 90487 WOODMAN OF THE WORLD LIFE INS1700 FARNAM STREET OMAHA 286 90488 CONSOLIDATED GROUP PO BOX 248 BATTLEBORO 287 90489 COMMUNITY HEALTH PLAN P.O. BOX 14467 CINCINNATI 288 90490 BENEFIT ADMINISTRATORS OF AMERICA P O BOX 9120 DES MOINES 289 90491 AFTRA HEALTH FUND 261 MADISON AVE NEW YORK 290 90492 FEDERATED MUTUAL INSURANCE CP.O. BOS 31716 TAMPA 291 90493 NALC HEALTH BENEFIT PLAN 20547 WAVERLY COURTASHBURN 292 90494 WELLMARK ADMINISTRATORS P.O. BOX 9901 SIOUX CITY 293 90495 PARAMOUNT HEALTH CARE P.O. BOX 497 TOLEDO 294 90496 BRIDGESTONE/FIRESTONE COMPANIES P.O. BOX 26605 AKRON 295 90497 MEDICAL BENEFIT ADMINISTRATORS 5940 SEMINOLE CENMADISON 296 90498 RESERVE NATIONAL INSURANCE P.O. BOX 26620 OKLAHOMA CITY 297 90499 AMALGAMATED LIFE INSURANCE P.O. BOX 1451 NEW YORK 298 90500 SMITH PREMIERE PHARMACY PLAN P.O. BOX 5824 SPARTANBURG

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299 90501 ALICARE P.O. BOX 1447 NEW YORK 300 90502 BENEFIT ADMINISTRATORS INC P O BOX 6279 ERIE 300DN 90502 BENEFIT ADMINISTRATORS INC P O BOX 6279 ERIE 301 90503 BENEFIT PLAN ADMINISTRATORS 2145 FORD PARKWAY,ST. PAUL 302 90504 GOVERNMENT EMPLOYEE HOSP. ASSN POST OFFICE BOX 4665INDEPENDENCE 303 90505 PREFERRED HEALTH PLAN, INC. P O BOX 24125 LOUISVILLE 304 90506 BUTLER BENEFIT SERVICE, INC. 215 NORTH MAIN ST. DAVENPORT 305 90507 WELLS FARGO TPA, INC. P.O. BOX 2801 CHARLESTON 306 90508 UNION LABOR LIFE INSURANCE 111 MASSACHUSETTSWASHINGTON 307 90509 STANDARD SECURITY LIFE INS. CO P.O. BOX 828 PARK RIDGE 308 90510 GREAT WEST LIFE 1000 GREAT WEST DR KENNETT 308DN 90510 GREAT WEST LIFE P.O.BOX 11111 FORT SCOTT 309 90511 CONSOLIDATED BENEFIT SERVICES, INCP.O. BOX 1391 DAYTON 310 90512 ADVANCED DATA SOLUTIONS P.O. BOX 723097 ATLANTA 311 90513 BENEFIT PLANNERS, INC P.O. BOX 682010 SAN ANTONIO 312 90514 NATIONAL BENEFIT ADMINISTRATORS P.O. BOX 690903 CHARLOTTE 312DN 90514 NATIONAL BENEFIT ADMINISTRATORS P.O. BOX 690903 CHARLOTTE 313 91165 GREAT WEST HEALTHCARE 1000 GREAT WEST DR KENNETT 314 90516 PHARMACY ADVANTAGE NETWORK 50 LENNOX POINTE ATLANTA 315 90517 THOMAS COOPER AND COMPANY P.O. BOX 22557 CHARLESTON 315DN 90517 THOMAS COOPER AND COMPANY P.O. BOX 22557 CHARLESTON 316 90518 PROFESSIONAL INSURANCE CORPORATI2610 WYCLIFF RD RALEIGH 317 90519 EMPLOYEE BENEFITS MANAGEMENT 4789 RINGS ROAD DUBLIN 318 90520 KLAIS & COMPANY 1867 WEST MARKET SAKRON 319 90521 BENEFIT CONCEPTS P.O. BOX 60608 KING OF PRUSSIA 320 90522 LAMAR LIFE INSURANCE COMPANY POST OFFICE BOX 880 JACKSON 321 90523 AMERICAN POSTAL WORKERS UNION POST OFFICE BOX 967 SILVER SPRINGS 322 90524 TIME INSURANCE COMPANY P.O. BOX 981602 EL PASO 323 90525 LINCOLN HERITAGE LIFE INSURANCE COP.O. BOX 10843 CLEARWATER 324 90526 HEALTH REIMBURSEMENT MANAGME5 HUTCHINSON DR DANVERS 325 90527 PERSONAL CARE P.O. BOX 7141 LONDON 326 90528 PHYSICIANS HEALTH PLAN OF MID MICP.O. BOX 247 ALPHARETTA 327 90529 MAIL HANDLERS BENEFIT PLAN P O BOX 8402 LONDON 328 90530 PROVIDER SELECT, INC. P.O. BOX 330070 FORT WORTH 329 90531 SMITHFIELD FOODS HEALTHCARE P.O. BOX 158 SMITHFIELD 330 90532 ANNUITY BOARD OF SOUTHERN BAPP.O. BOX 2190 NASHVILLE 331 91178 CONSECO HEALTH INS. CO P.O. BOX 66904 CHICAGO 332 90533 HEALTH PLANS INC. P.O. BOX 5199 WESTBOROUGH 333 90534 EXPRESS SCRIPTS P.O. BOX 390873 BLOOMINGTON 334 90535 NATIONAL RURAL LETTER CARRIERS1750 PENNSYLVANIA WASHINGTON 335 90536 J.P. FARLEY CORP. P.O. BOX 458022 WESTLAKE 336 90537 CASEBP (CATSKILL AREA SCHOOLS P O BOX 220 STAMFORD 337 90538 BOARD OF PENSIONS OF THE PREP.O. BOX 13896 PHILADELPHIA 338 90539 PITTMAN & ASSOCIATES, INC. P.O. BOX 111047 MEMPHIS 339 91192 CELTIC INDIVIDUAL HEALTH P.O. BOX 33839 INDIANAPOLIS 340 90540 UNITED HEALTCARE PLAN OF RIVER V3800 23RD AVE OF MOLINE 341 90541 ADMINISTRATIVE CONCEPTS INC. 997 OLD EAGLE SCHWAYNE 342 90542 SUN LIFE INSURANCE COMPANY OF CAONE SUN LIFE EXECUWELLESLEY 343 90543 GROUP BENEFITS ADMINISTRATORS 70 GRAND AVENUE RIVEREDGE 344 90544 ALIA CLAIMS DEPARTMENT P.O. BOX 9060 PHOENIX 345 90545 EMPLOYEE BENEFIT SERVICES INC P.O. BOX 1929 FORT MILL 345DN 90545 EMPLOYEE BENEFIT SERVICES INC P.O. BOX 1929 FORT MILL 346 90546 ADMINISTRATIVE SERVICES, INC. 2187 NORTHLAKE TUCKER

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347 90547 PREFERRED CARE INC (PCI) P.O. BOX 1235 FREDERICK 348 90548 FIRST AGENCY, INC. 5071 WEST H AVE KALAMAZOO 349 90549 HEALTH PLAN SELECT P.O. BOX 382767 BIRMINGHAM 350 90550 NORTH AMERICA ADMINISTRATORS P O BOX 1984 NASHVILLE 351 90551 FISERV P.O. BOX 8077 WAUSAU 352 90552 FISERV HEALTH-COLORADO P.O. BOX 720 PUEBLO 353 90553 ONE HEALTH PLAN OF SC P.O. BOX 190019 N CHARLESTON 354 90554 FIRST BENEFITS CORP P.O. BOX 879 ANDERSON 355 90555 ACTIVA HEALTH GROUP 4350 E. CAMELBACK RPHOENIX 356 90556 FISERV HEALTH P.O. BOX 2697 WICHITA 357 90557 HEALTH PLAN SERVICES POST OFFICE BOX 302TAMPA 358 90558 BAKERY & CONFECTIONERY UNION 10401 CONNECTICUTKENSINGTON 359 90559 NORTH CAROLINA MUTUAL LIFE INSUR411 W. CHAPEL HILL DURHAM 360 90560 NEW ENGLAND FINANCIAL P.O. BOX 190019 N. CHARLESTON 361 90561 MDI GOVERNMENT HEALTH SERVICES 822 HIGHWAY A1A NPONTE VEDRA BEACH 362 90562 GUARDIAN HEALTHCARE P.O. BOX 4197 SCRANTON 363 90563 PEARCE ADMINISTRATION P.O. BOX 2437 FLORENCE 364 90564 CORESTAR P.O. BOX 1195 MINNEAPOLIS 365 90565 GERBER CHILDRENS WEAR, INC. P.O. BOX 2126 GREENVILLE 366 90566 CATALYST RX P.O. BOX 1069 ROCKVILLE 367 90567 LOOMIS INSURANCE COMPANY P O BOX 7011 WYOMISSING 368 90568 MED BENEFITS SYSTEM P O BOX 177 SOUTH BEND 369 90569 AMERICAN INTERNATIONAL GROUP P.O. BOX 25050 WILMINGTON 370 90570 P5 HEALTH PLAN SOLUTIONS P.O. BOX 9554 SALT LAKE 371 90571 ICON BENEFIT ADMINISTRATORS, INC. P.O. BOX 53010 LUBBOCK 372 90572 MEDIPLAN 502 VALLEY ROAD WAYNE 373 90573 STATE FARM INSURANCE COMPANIES 7401 CYPRESS GARDEWINTERHAVEN, 374 90574 STONEBRIDGE LIFE INSURANCE CO. 2700 W. PLANO PARKWPLANO 375 90575 RESTAT P.O. BOX 758 WEST BEND 376 90576 TUFTS HEATH PLAN P O BOX 9171 WATERTOWN 377 90577 MERITAIN HEALTH P O BOX 853921 RICHARDSON 378 90578 SELF INSURERS SERVICE INC. 2218 SOUTH PRIEST DTEMPE 379 90579 GOODYEAR TIRE & RUBBER COMPANY P.O. BOX 677 DEPT. 6AKRON 380 90580 BENMARK, INC. P.O. BOX 16767 JACKSON 381 90581 PROVIDENT INDEMNITY LIFE INSURPO BOX 511 NORRISTOWN 382 91199 HEALTH PLAN OF NEVADA P.O. BOX 15645 LAS VEGAS 383 90582 AMERICAN HEALTHCARE ALLIANCE P.O. BOX 8530 KANSAS CITY 384 90583 NORTH AMERICAN BENEFIT NETWORK P O BOX 94928 CLEVELAND 385 90584 POSTMASTERS BENEFIT PLAN 1019 N. ROYAL STREETALEXANDRIA 386 90585 ASSURANT HEALTH P.O. BOX 981602 EL PASO 386DN 90585 ASSURANT HEALTH P.O. BOX 2940 CLINTON 387 90586 PRIMARY PHYSICIANS CARE P.O. BOX 11088 CHARLOTTE 388 90587 NATIONALWAY HEALTHCARE ASSOCIATEP O BOX 682708 HOUSTON 389 90588 GROUP LINK P.O. BOX 20593 INDIANAPOLIS 390 90589 BOARD OF PENSIONS EVANGELICAP O BOX 59093 MINNEAPOLIS 391 90590 POMCO P O BOX 6329 SYRACUSE 392 90591 SELF FUNDED GROUP INSURANCE AP O BOX 1719 KALAMAZOO 393 90592 FOUNTAINHEAD ADMINISTRATORS, INC. P O BOX 13188 BIRMINGHAM 394 90593 HEALTH CHOICES, INC P.O. BOX 5003 DUBURQUE 395 90594 T R PAUL GROUP SERVICES, INC. P.O. BOX 5508 NEWTOWN 396 90595 LIFE PARTNERS INS GROUP 7887 E. BELLEVIEW AVENGLEWOOD 397 90596 PRIME THERAPEUDIC P.O. BOX 64812 ST. PAUL 398 90597 RIGHT CHOICE BENEFITS ADMINISTRAT12250 WEBER HILL RST LOUIS

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399 90598 PACIFIC LIFE AND ANNUITY P.O. BOX 34799 PHOENIX 400 10599 STATE EMPLOYEES HEALTH PLAN BLU4101 PERCIVAL ROAD COLUMBIA 401 90600 BLUE CROSS AND BLUE SHIELD OF SC 4101 PERCIVAL ROAD COLUMBIA 401DN 90600 BLUE CROSS AND BLUE SHIELD OF SC 4101 PERCIVAL ROAD COLUMBIA 402 90601 FEDERAL EMPLOYEE PLAN BLUE CROSS I-20 AT ALPINE ROAD COLUMBIA 403 90602 BLUE CHOICE/MEDICAID PO BOX 6170 COLUMBIA 404 90603 BOB JONES UNIVERSITY 1700 WADE HAMPTON GREENVILLE 405 90604 EMPLOYEE HEALTH GROUP PLAN 101 LYNHAVEN ROAD VIRGINIA BEACH 406 90605 TRAVELERS PLAN ADMINISTRATORS OP O BOX 52100 PHOENIX 407 90606 CINERGY HEALTH INS. 1844 N. NOB HILL RD.PLANTATION 408 90607 LIFE INVESTORS INSURANCE COMPAPOST OFFICE BOX 8043LITTLE ROCK 409 90608 UPSTATE ADMINISTRATIVE SERVICES P.O. BOX 6589 SYRACUSE 410 90609 SAFECO INSURANCE COMPANY P.O. BOX 34699 REDMOND, 411 90610 INTERPLAN HEALTH GROUP P.O. BOX 90613 ARLINGTON 412 90611 CONNECTICARE P.O. BOX 546 FARRINGTON 413 90612 ALLIED BENEFITS SYSTEM P.O. BOX 909786 CHICAGO 414 90613 NATIONAL TELEPHONE COOP. ASSN. 1 WEST PACK SQUARASHEVILLE 415 90614 WEYCO, INC. P O BOX 30132 LANSING 415DN 90614 WEYCO, INC. P O BOX 30132 LANSING 416 90615 COMPANION BENEFIT ALTERNATIVES P.O. BOX 100185 COLUMBIA 417 90616 JULY PRODUCTS 5 GATEWAY CENTER SPITTSBURG 418 90617 GUARDIAN INSURANCE COMPANY P O BOX 8007 APPLETON 419 90618 GEORGIA STATE HEALTH BENEFIT PLAN POST OFFICE BOX 381ATLANTA 420 90619 CUNA MUTUAL INSURANCE GROUP POST OFFICE BOX 391 MADISON 421 90620 PRIMARILY CARE 75 SOCKANOSSET CCRANSTON 432 90621 M-PLAN CARDINAL HEALTH P.O .BOX 357 LINTHICUM 433 90622 COMPANION LIFE P.O. BOX 100133 COLUMBIA 434 90623 PIEDMONT HEALTH ALLIANCE 116 BONHAM CT. ANDERSON 435 90624 SEABURY AND SMITH COMPANY, INC. P.O. BOX 2545 NASHVILLE 436 90625 DAVIS-GARVIN AGENCY #1 FERNANDINA COURTCOLUMBIA 437 90626 NEW ERA LIFE INSURANCE CO PO BOX 4884 HOUSTON 438 90627 MAMSI LIFE AND HEALTH INSURANCE COP.O. BOX 993 FREDRICKS 439 90628 UNION SECURITY INSURANCE CO P O BOX 981602 EL PASO 440 90629 HEALTHNET P.O. BOX 14702 LEXINGTON 441 90630 FEDERAL MOGUL HEALTHCARE P O BOX 1999 DETROIT 442 90631 GE LIFE & ANNUITY ASSURANCE CO. P.O. BOX 6700 LYNCHBURG 443 90632 GATES HEALTH CARE PLAN P O BOX 5887 DENVER 444 90633 NATIONAL DISASTER MEDICAL SYSTEM 445 90634 SUPERMED P.O. BOX 100234 COLUMBIA 446 90635 EMPLOYEE BENEFIT SERVICES POST OFFICE BOX 9888SAVANNAH 447 90636 HEALTH NET P.O. BOX 14700 LEXINGTON 448 90637 ASSURANT HEALTH INSURANCE P O BOX 42033 HAZELWOOD 449 90638 UNITED SERVICE ASSO. FOR HEALTHCP.O. BOX 200848 ARLINGTON 450 90639 EMPLOYEE BENEFITS TRUST P.O. BOX 8788 WILMINGTON 451 90640 ASSURE CARE 340 QUANRINGLE BLVD BOILING BROOK 452 90641 GENERAL MILLS HEALTH CLAIMS SERVIP O BOX 59054 MINNEAPOLIS 453 90642 BLUE CROSS ANTHEM MEDICARE ADVA2100 CORPORATE CENNEWBURY PARK 454 90643 INTERNATIONAL UNION OF OPERATI166 WEST KELLY STREMETUCHEN 455 90644 ALASKA TEAMSTER TRUST 520 E 34TH AVENUE ANCHORAGE 456 90645 LAIDLAW EMPLOYEE BENEFIT PLAN, INC4144 NORTH CENTRDALLAS 457 90646 LAQUINTA INN P.O. BOX 2636 SAN ANTONIO 458 90647 OBA MIDWEST 8160 SOUTH CASS AVE DARIEN 459 90648 GLASS MOTORS & PLASTIC (GMPA) 5245 BIG PINE WAY, FORT MYERS

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460 90649 MORRIS ASSOCIATES P.O. BOX 50440 INDIANAPOLIS 461 90650 ECKERD HEALTH SERVICES 620 EPSILON DRIVE PITTSBURGH 462 90651 PICCADILLY INSURANCE EMPLOYEE P O BOX 2467 BATON ROUGE 463 90652 TIM BAR CORP P.O. BOX 449 HANOVER 464 90653 INTERNATIONAL MEDICAL GROUP 407 N. FULTON STREETINDIANAPOLIS 465 90654 INTER CARE BENEFIT SYSTEMS P.O. BOX 3559 ENGLEWOOD 466 90655 VALUE RX PO BOX 421150 PLYMOUTH 467 90656 FIRSERV HEALTH P O BOX 182173 COLUMBUS 468 90657 PHOENIX HEALTHCARE P.O. BOX 150809 ARLINGTON 469 90658 AMERICAN ASSOCIATION OF RETIRP O BOX 740819 ATLANTA 470 90659 YODER BROTHERS 1001 LEBANON RD PENDLETON 471 90660 CAREMARK P.O. BOX 52188 PHOENIX 472 90661 NATIONAL HEALTH CARE HEALTH BPOST OFFICE BOX 1398MURFREESBORO 473 90662 INTERNATIONAL MISSION BOARD (IMB) P.O. BOX 6767 RICHMOND 474 90663 DIVERSIFIED PHARMACUETICAL P.O. BOX 169052 DELUTH 475 90664 BENEFIT ASSISTANCE CORP. P.O. BOX 950 HURRICANE 476 90665 CENTRAL STATES, SOUTHEAST & SOUP.O. BOX 5116 DEPLAINES 476DN 90665 CENTRAL STATES, SOUTHEAST & SOUP.O. BOX 5116 DEPLAINES 477 90666 MEGA LIFE AND HEALTH INSURANCE P.O. BOX 982009 NORTH RICHLAND HIL478 90667 SMITH ADMINISTRATORS P.O. BOX 163289 FORT WORTH 479 90668 PRIMEXTRA P.O. BOX 1088 TWINSBURG 480 90669 COVENTRY HEALTH CARE OF THE CARP.O. BOX 7715 LONDON 481 90670 BENOVATION 3481 CENTRAL PARKCINCINNATI 482 90671 COVENTRY HEALTHCARE OF GEORGIA P.O. BOX 7128 LONDON 483 90672 COOPERATIVE BENEFITS ADMINISTRATPOST OFFICE BOX 6249LINCOLN 484 90673 INTEGRITY BENEFITS NETWORK PO BOX 4537 MARIETTA 485 90674 PROVIDENT HEALTH PLAN P.O. BOX 3125 PORTLAND 486 90675 PREFERRED CARE P O BOX 22920 ROCHESTER 487 90676 PIEDMONT INS COMPANY P.O. BOX 979 MARION 488 90677 AMERICAN BENEFITS MANAGEMENT 8310 PORT JACKSONORTH CANTON 489 90678 SAVRX P.O. BOX 8 FREEMONT 490 90679 SHEET METAL LOCAL 20 PO BOX 42489 INDIANAPOLIS 491 90680 VISION SERVICE PLAN PO BOX 997100 SACRAMENTO 492 90681 LT11-LIFETRAC NETWORK 111100 WAYZATA BLVD MINNEAPOLIS 493 90682 CLAIMS ADMINISTRATIVE SERVICES OP.O. BOX 8244 SOUTH BEND 494 90683 AVESIS PHARMACY NETWORK 3724 N 3RD ST STE 30PHOENIX 495 90684 NATIONAL PRESCRIPTION ADMINISTRAP.O. BOX 1981 EAST HANOVER 496 90685 AMERICAN VETERINARIAN MEDICINE ASP.O. BOX 909720 CHICAGO 497 90686 TEXAS INTERNATIONAL P.O. BOX 11007 WINSTON SALEM 498 90687 CAROLINA BENEFIT ADMINISTRATORS P.O. BOX 3257 SPARTANBURG 499 90688 EMPLOYEE BENEFIT CONSULTANTS P.O. BOX 928 FINDLAY 500 90689 DELTA DENTAL P.O. BOX 1809 ALPHARETTA 501 90690 UNION FIDELITY INSURANCE COMPANY 4850 STREET ROAD TREVOSE 502 90691 HIP HEALTH PLAN P.O. BOX 2803 NEW YORK 503 90692 AMERICAN SPECIAL RISK MANAGEMENT 509 SOUTH LENOLA MOORESTOWN 504 90693 M CARE P.O. BOX 130799 ANN ARBOR 505 90694 ASSOCIATED ADMINISTRATORS P.O. BOX 27806 BALTIMORE 506 90695 EMPLOYEE BENEFIT PLAN ADMINISTRAPO BOX 2000 HAMPTON 507 90696 CENTRAL STATES HEALTH & LIFE COPOST OFFICE BOX 343OMAHA 508 90697 GROUP HEALTH INC. PO BOX 2832 NEW YORK 509 90698 EQUITABLE LIFE AND CASUALTY PO BOX 2460 SALT LAKE CITY 510 90699 EQUITABLE PLAN SERVICES P.O. BOX 720460 OKLAHOMA 511 90700 CIGNA BEHAVIORAL HEALTH P.O. BOX 46270 EDEN PRAIRIE

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512 90701 ST11-STRATEGIC HEALTH 9501 NE 2ND AVE MIAMI SHORES 513 90702 VALUE OPTIONS P.O. BOX 1079 TROY 514 90703 JLT SERVICES (TPA FOR NY LIFE) P.O. BOX 1511 LATHAM 515 90704 LIFE OF THE SOUTH INSURANCE COMPAP.O. BOX 45237 JACKSONVILLE 516 90705 DIRECT REIMBURSEMENT BENEFIT PLAN1111 ALDERMAN DR SALPHARETTA 517 90706 UNIFORM MEDICAL PLAN P.O. BOX 34850 SEATTLE 518 90707 NAT'L ASBESTOS WORKERS MED FUND 4600 POWDER MILL RD.BELTSVILLE 519 90708 HEALTHSOURE ADMINISTRATORS P.O. BOX 382617 BIRMINGHAM 520 90709 NEW JERSERY CARPENTERS P.O. BOX 7818 EDISON 521 90710 ALLIANCE PPO, INC. P.O. BOX 934 FREDERICK 522 90711 NATIONAL AUTOMATIC SPRINKLER IND800 CORPORATE DRIVELANDOVER 523 90712 APA PARTNERS, INC. P.O. BOX 1506 LATHAM 524 90713 HEALTHFIRST P.O. BOX 130217 TYLER 525 90714 CONSECO MEDICAL INSURANCE CO. P.O. BOX 1205 ROCKFORD 526 90715 AULTCARE P.O. BOX 6910 CANTON 528 90716 KAISER PERMANENTE P.O. BOX 190849 ALTANTA 529 90717 ANTHEM HEALTH 3575 KROGER BLVD.,DULUTH 530 90718 UNIVERSAL BENEFITS CORPORATION P.O. BOX 97 SCRANTON 531 90719 MARY BLACK HEALTHNETWORK 1690 SKYLYN DRIVE,SPARTANBURG 532 90720 AMERICAN MEDICAL SECURITY P.O. BOX 19032 GREENBAY 533 90721 PHYSICIANS CARE NETWORK P.O. BOX 101111 COLUMBIA 534 90722 PROVANTAGE PRESCRIPTION BENP.O. BOX 1662 WAUKEHA 535 90723 CHP DIRECT/SUPERMED P.O. BOX 1640 COLUMBIA 536 90724 CLAIMSWARE MANAGEMED P.O. BOX 6125 GREENVILLE 536DN 90724 CLAIMSWARE MANAGEMED P.O. BOX 6125 GREENVILLE 537 90725 KAISER PERMANENTE-OHIO REGION P.O. BOX 5316-9774 CLEVELAND 538 90726 PENN GENERAL SERVICES P.O. BOX 72077 ATLANTA 539 90727 MEDICAL MUTUAL INSURANCE OF OHIO P O BOX 94648 CLEVELAND 540 90728 LIBERTY NATIONAL LIFE INSURANCEPOST OFFICE BOX 2612BIRMINGHAM 541 90729 CHILDRENS REHAB SERVICES P.O. BOX 4217 SPATANBURG 542 90730 THIRD PARTY ADMINISTRATORS/AME1733 PARK ST. NAPERVILLE 543 90731 LONE STAR LIFE INSURANCE P.O. BOX 709009 DALLAS 545 90732 MOLINA HEALTHCARE OF OHIO P.O. BOX 22712 LONGBEACH 546 90733 RISK MANGEMENT SERVICES P.O. BOX 6309 SYRACUSE 547 90734 HARRINGTON HEALTH P.O. BOX 30544 SALT LAKE CITY 548 90735 COMPBENEFITS INSURANCE CO. P.O. BOX 804483 CHICAGO 549 90736 WAL-MART STORES GROUP HEALTH PLAN922 W WALNUT STE A ROGERS 550 90737 EMPLOYEE SECURITY, INC 7125 THOMAS EDISOCOLUMBIA 551 90738 COOPERATIVE MANAGED CARE SERVICP O BOX 502530 INDIANAPOLIS 552 90739 CORESOURCE INC 6100 FAIRVIEW ROAD CHARLOTTE 552DN 90739 CORESOURCE INC 6100 FAIRVIEW ROAD CHARLOTTE 553 90740 HEALTHSCOPE BENEFITS, INC.. P.O. BOX 8076 LITTLE ROCK 554 90741 DIAMOND G EMPLOYEE BENEFIT TRUST P O BOX 1298 GREENVILLE 555 90742 PHILADELPHIA AMERICAN LIFE INSURP.O. BOX 4884 HOUSTON 556 90743 UNIFIED GROUP SERVICES P.O. BOX 10 PENDLETON 557 91128 AMERICORP INS. CO P.O. BOX 3430 CARMEL 558 90744 NATIONAL TRAVELERS LIFE INS. CO. P.O. BOX 9197 DES MOINES 559 90745 CAROLINA HOSPITAL SYSTEMS BENEFIP.O. BOX 100569 FLORENCE 560 90746 ALLEN MEDICAL CLAIMS ADMINISTRATOP.O. BOX 978 FT. VALLEY 561 90747 PHOENIX MUTUAL LIFE INSURANCE COONE AMERICAN ROW HARTFORD 562 90748 HEALTH CLAIMS SERVICES,INC. P.O. BOX 9615 DEERFIELD BEACH 563 90749 ADMINISTRATIVE SERVICE CONSULTANT3301 E ROYALTON RBROADVIEW HEIGHTS 564 90750 MULTINATIONAL UNDERWRITERS P.O. BXO 863 INDIANAPOLIS

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565 90751 UNITED BENEFITS P.O. BOX 2480 DAYTONA BEACH 566 90752 - - - 567 90753 EASTERN BENEFIT SYSTEMS 200 FREEWAY DR. E. EAST ORANGE 568 90754 CBCA ADMINISTRATORS P.O. BOX 1272 MINNEAPOLIS 569 90755 MARYLAND PHYSICIANS CARE PO BOX 61778 PHOENIX 570 90756 SAMBA HEALTH BENEFIT PLAN 11301 OLD GEORGETOROCKVILLE 571 90757 CORESOURCE, INC. P.O. BOX 8215 LITTLE ROCK 572 91294 HEALTH TRANS, LLC 8300 E MAPLEWOOD AVGREENWOOD VILLAGE 573 90758 ST JOHN'S CLAIMS ADMINISTRATION P.O. BOX 14409 SPRINGFIELD 574 90759 CITY OF AMARILLO GROUP HEALTH P.O. BOX 15130 AMARILLO 575 90760 WISCONSIN ELECTRICAL EMPLOYEES P.O. BOX 2430 BROOKFIELD 576 90761 SIOUX VALLEY HEALTH P.O. BOX 91110 SIOUX FALLS 577 90762 UNITED FIDELITY LIFE INSURANCE CP O BOX 13487 KANSAN CITY 578 90763 PROFESSIONAL ADMINISTRATORS, INC. 3751 MAGUIRE BLVD. ORLANDO 579 91126 ANTHEM PRESCRIPITION MANAGEMENT P O BOX 145433 CINCINNATI 580 90764 WORLD INSURANCE COMPANY P.O. BOX 3160 OMAHA 581 90765 ALTA RX P.O. BOX 30081 SALT LAKE CITY 582 90766 USAA GENERAL INDEMNITY CO. P.O. BOX 15506 SACRAMENTO 583 90767 ONE NATION BENEFIT ADMINISTRATORS P.O. BOX 528 COLUMBUS 584 90768 GOLDEN RULE INSURANCE COMPANY 7440 WOODLAND DRIVEINDIANAPOLIS 585 90769 PLUMBERS & STEAMFITTERS WELFARE 1024 MCKINLEY ST PEEKSILL 586 90770 MCA ADMINISTRATORS (MANAGED CMANOR OAK TWO, PITTSBURGH 587 90771 FUTURE SCRIPTS P.O. BOX 419019 DEPKANSAS CITY 588 90772 AUTOMATED BENEFIT SERVICES INC. P.O. BOX 321223 DETROIT 589 90773 COMBINED ADMINISTRATIVE SERVICES P.O. BOX 4539 DALTON 590 90774 PHYSICIANS HEALTH SERVICES P.O. BOX 981 BRIDGEPORT 591 90775 OLD AMERICAN INSURANCE COMPANY POST OFFICE BOX 418KANSAS CITY 592 90776 ROBEY BARBER INSURANCE SERVICES P.O. BOX 10100 TAMPA 593 90777 CONTEC 525 LOCUS GROVE RD SPARTANBURG 594 90778 WELLS FARGO FINANCIAL 206 EIGHTH STREET DES MOINES 595 90779 AFLAC -AMERICAN FAMILY LIFE ASSO C1932 WYNNTON ROAD COLUMBUS 596 90780 SECURE HORIZONS P.O. BOX 659787 SAN ANTONIO 597 90781 MONARCH DIRECT POST OFFICE BOX 9004SPRINGFIELD 599 90783 NATIONAL ELEVATOR INDUSTRY HEAPO BOX 477 NEWTOWN SQUARE 603 91227 OTHER INDIGENT (HOSPITAL CHARITY) 604 90784 CHAMPVA PO BOX 65024 DENVER 606 90785 VOCA.REHAB GENERAL 607 91237 WPS TRICARE FOR LIFE P.O. BOX 7889 MADISON 608 90786 VOCATIONAL REHAB DISABILITY 609 90787 COMM FOR BLIND 610 90788 DHEC CANCER 611 90789 DHEC C. CHILDREN 612 90790 DHEC LOW RISK MATERNITY 613 90791 DHEC HIGH RISK MATERNITY 614 90792 TRICARE SOUTH REGION P.O. BOX 7031 CAMDEN 615 90793 DHEC STERILIZATION 616 90794 MEDICAID-OUT-OF-STATE 617 90795 MEDICARE RAILROAD (PGBA) PROFEP.O. BOX 10066 AUGUSTA 618 90796 MEDICARE PART A 619 90797 MEDICAID, SC 620 90798 MEDICARE PART B ONLY 621 90799 DEPT CORRECTIONS 622 90800 WORKMEN'S COMP

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623 90801 CAROLINA MEDICARE PRIME HMO 201 EXECUTIVE CENTCOLUMBIA 624 90802 OTHER SPONSOR 625 90803 DHEC MIGRANT HEALTH 626 90804 DHEC SICKLE CELL 627 90805 DHEC HEART - - 628 90806 DHEC HEMOPHILIA - - 629 90807 DHEC FAMILY PLANNING - - 630 90808 DHEC TB - - 631 90809 SHRINERS - - 632 90810 CRIME VICTIMS - - 633 20811 VETERANS ADMINISTRATION - - 635 91122 MUTUAL OF OMAHA MUTUAL OF OMAHA PLAOMAHA 636 91125 MUTUAL OF OMAHA MUTUAL OF OMAHA PLAOMAHA 637 90812 SELECT HEALTH/FIRST CHOICE P.O. BOX 7120 LONDON 638 90813 UNISON HEALTH PLAN HMO 250 BERRYHILL RD COLUMBIA 639 91247 HEALTHFIRST HMO 255 ENTERPRISE BLVGREENVILLE 642 91120 TRICARE FOR LIFE P.O. BOX 7890 MADISON 643 91153 BCBS OF TENNESSEE 730 CHESTNUT ST CHATTANOOGA 644 91127 BCBS OF GEORGIA P.O. BOX 9907 COLUMBUS 645 91123 STERLING MEDICARE CHOICE HMO P.O. BOX 70 LINTHIEUM 646 91124 CIGNA-MEDICARE P.O. BOX 671 NASHVILLE 648 91160 HUMANA GOLD CHOICE (PFFS) P.O. BOX 7060 CAMDEN 650 90814 ABBEVILLE COUNTY - - 651 90815 AIKEN COUNTY - - 652 90816 ALLENDALE COUNTY - - 653 90817 ANDERSON COUNTY - - 654 90818 BAMBERG COUNTY - - 655 90819 BARNWELL COUNTY - - 656 90820 BEAUFORT COUNTY - - 657 90821 BERKELEY COUNTY - - 658 90822 CALHOUN COUNTY - - 659 90823 CHARLESTON COUNTY - - 660 90824 CHEROKEE COUNTY - - 661 90825 CHESTER COUNTY - - 662 90826 CHESTERFIELD COUNTY - - 663 90827 CLARENDON COUNTY - - 664 90828 COLLETON COUNTY - - 665 90829 DARLINGTON COUNTY - - 666 90830 DILLON COUNTY - - 667 90831 DORCHESTER COUNTY - - 668 90832 EDGEFIELD COUNTY - - 669 90833 FAIRFIELD COUNTY - - 670 90834 FLORENCE COUNTY - - 671 90835 GEORGETOWN COUNTY - - 672 90836 GREENVILLE COUNTY - - 673 90837 GREENWOOD COUNTY - - 674 90838 HAMPTON COUNTY - - 675 90839 HORRY COUNTY - - 676 90840 JASPER COUNTY - - 677 90841 KERSHAW COUNTY - - 678 90842 LANCASTER COUNTY - - 679 90843 LAURENS COUNTY - - 680 90844 LEE COUNTY - -

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681 90845 LEXINGTON COUNTY - - 682 90846 MARION COUNTY - - 683 90847 MARLBORO COUNTY - - 684 90848 MCCORMICK COUNTY - - 685 90849 NEWBERRY COUNTY - - 686 90850 OCONEE COUNTY - - 687 90851 ORANGEBURG COUNTY - - 688 90852 PICKENS COUNTY - - 689 90853 RICHLAND COUNTY - - 690 90854 SALUDA COUNTY - - 691 90855 SPARTANBURG COUNTY - - 692 90856 SUMTER COUNTY - - 693 90857 UNION COUNTY - - 694 90858 WILLIAMSBURG COUNTY - - 695 90859 YORK COUNTY - - 696 90860 OUT-OF-STATE GA - - 697 90861 OUT-OF-STATE NC - - 698 90862 OUT-OF-STATE OTHER - - 701 90864 UNI-CARE CHOICE HEALTH BENEFITS P.O. BOX 51130 SPRINGFIELD 702 90865 BOON CHAPMAN BENEFIT ADMINISTRATP.O. BOX 9201 AUSTIN 703 90866 TUCKER COMPANY & ADMINISTRATORS 9140 ARROW POINT BCHARLOTTE 704 90867 UNITED FOOD & COMMERCIAL WORKE1800 PHOENIX BLVD.ATLANTA 705 90868 APS HEALTHCARE, INC. P.O. BOX 1307 ROCKVILLE 706 90869 PLUMBERS & PIPEFITTERS LOCAL NO. 4P.O. BOX 840 MACON 707 90870 DILLON YARN MEDICAL BENEFITS 1019 TITAN RD DILLON 708 90871 PERFORMAX P.O. BOX 61505 KING OF PRUSSIA 709 90872 MERCER ADMINISTRATION 701 MARKET ST. SUIST LOUIS 709DN 90872 MARSH ADVANTAGE AMERICA 501 NORTH BROADWAST LOUIS 710 90873 21ST CENTURY HEALTH AND BENEFITS P.O. BOX 5037 CHERRY HILL 711 90874 LABORERS DISTRICT COUNCIL OF GA P O BOX 607 JONESBORO 712 90875 TDI MANAGED CARE SERVICES 620 EPSILON DRIVE PITTSBURG 713 90876 HEALTH CARE CREDIT UNION ASSOC. P.O. BOX 260957 PLANT 714 90877 STOWE ASSOCIATES 2872 WOODCOCK BLVATLANTA 715 90878 UNITED HEALTH & LIFE INSURANCE CP.O. BOX 169050 DULUTH 716 90879 INDECS CORP P.O. BOX 668 LYNDHURST 717 90880 USA HEALTH CARE (MVP HEALTH CARE) P.O. BOX 22920 ROCHESTER 718 90881 RX PRIME/CIGNA PHARMACY SERVICES P.O. BOX 3598 SCRANTON 719 90882 FLORIDA HEALTH ALLIANCE P.O. BOX 10269 JACKSONVILLE 720 90883 UNITED MINE WORKERS HEALTH & ROUTE 2 BOX 218A BIG STONE GAP 721 90884 EHD ADMINISTRATORS P.O. BOX 83080 LANCASTER 722 90885 AMERICAN REPUBLIC INSURANCE COMPPOST OFFICE BOX 10 DES MOINES 723 90886 CAROLINA CONTINENTAL INSURANCE POST OFFICE BOX 427 COLUMBIA 724 90887 MUTUAL MEDICAL PLANS P.O. BOX 689 PEORIA 725 90888 DIALYSIS CLINIC, INC. 203 FREEMONT AVENUESPARTANBURG 726 90889 INSURANCE SERVICE AND BENEFITS 3218 HIGHWAY 67 SUIMESQUITE 727 90890 GUARANTEE MUTUAL LIFE CO. 8801 INDIAN HILLS DROMAHA 728 90891 GENERAL PRESCRIPTION PROGRAMS INC305 MEDICINE BLVD. NEW YORK 729 90892 GROUP INSURANCE SERVICES (GIS) P.O. BOX 2291 DURHAM 730 90893 GEORGIA HEALTHCARE PARTNERSHIP P.O. BOX 16388 SAVANNAH 731 90894 ADOVA HEALTH P.O. BOX 725549 ATLANTA 732 90895 HERTZ CLAIM MANAGEMENT P.O BOX 726 PARK RIDGE 733 90896 MOUNTAIN CLAIMS MANAGEMENT P.O. BOX 1008 FRUITLAND 734 90897 STRATEGIC OUTBURSTING INC. P O BOX 241508 CHARLOTTE

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735 90898 EATON BENEFIT PAYMENT OFFICE P O BOX 16691 COLUMBUS 736 90899 SPECTERA 2811 LORD BALTIMOREBALTIMORE 737 90900 UNITED CONCORDIA P.O. BOX 69421 HARRISBURG 738 90901 FHA-TPA DIVISION POST OFFICE BOX 327FT LAUDERDALE 739 90902 BOLLINGER INC P.O. BOX 727 SHORT HILLS 740 90903 PHARMACARE P.O. BOX 52188 PHOENIX 741 90904 SPENCER & ASSOCIATES INS. 1 S. LIMESTONE ST SPRINGFIELD 742 90905 MIDA DENTAL PLAN 2000 TOWN CENTER, SOUTHFIELD 743 90906 EMPLOYEE PLANS, INC. P.O. BOX 2362 FT WAYNE 744 90907 COLUMBIA PHARMACY SOLUTIONS PO BOX 30 COLUMBIGREENSBURG 745 90908 GROUP BENEFIT SERVICES 1312 BELLONE AVENUELUTHERVILLE 746 90909 MED-TAC CLAIMS P.O. BOX 9110 NEWTON 747 90910 PACIFICARE P.O. BOX 6099 CYPRESS 748 90911 HEALTH CARE SAVINGS, INC. 4530 PARK RD CHARLOTTE 749 90912 GERBER LIFE INSURANCE COMPANY P.O. BOX 2088 GRAND RAPIDS 750 90913 BENEFIT ADMINISTRATIVE SERVICES P.O. BOX 4509 ROCKFORD 751 90914 POLARIS BENEFIT ADMINISTRATORS P O BOX 2010 WESTERVILLE 751DN 90914 POLARIS BENEFIT ADMINISTRATORS P O BOX 1008 DELAWARE 751RX 90914 POLARIS BENEFIT ADMINISTRATORS P O BOX 1008 DELAWARE 752 90915 HYGEIA CORPORATION 15500 NEW BARN ROADMIAMI LAKES 753 90916 HEALTHNET P.O. BXO 2226 AUGUSTA 754 90917 1199 SEIU NATIONAL BENEFIT FUND PO BOX 933 NEW YORK 755 90918 TOTAL BENEFIT SERVICES INC PO BOX 30180 NEW ORLEANS 756 90919 MANUS INSURANCE COMPANY 6350 W ANDREW JACTALBOTT 757 90920 J C PENNEY LIFE INSURANCE COMPANY POST OFFICE BOX 869PLANO 758 90921 HEALTHCHOICE P.O. BOX 24870 OKLAHOMA 759 90922 MEDIPLUS P.O. BOX 9126 DES MOINES 760 90923 KEY BENEFIT ADMINISTRATORS P .O. BOX 55230 INDIANAPOLIS 761 90924 EMPLOYEE BENEFIT STRATEGIES 229 EAST MICHIGAN KALAMAZOO 762 90925 ROYAL NEIGHBORS OF AMERICA P.O. BOX 10850 CLEARWATER 763 90926 THE PROVIDENT P.O. BOX 31499 TAMPA 764 90927 CARE LINK HEALTH PLAN P.O. BOX 7373 LONDON 765 90928 DRIVERS CHOICE P.O. BOX 25427 COLUMBIA 766 90929 PALMER & CAY/CARSWELL, INC. POST OFFICE BOX 1286SAVANNAH 766DN 90929 PALMER & CAY/CARSWELL, INC. POST OFFICE BOX 1286SAVANNAH 767 90930 THIELE KAOLIN CO. P.O. BOX 1868 STATESBORO 768 90931 WISCONSIN PHYSICIANS SERVICES 1717 WEST BROADWAMADISON 769 90932 FEDEX FREIGHTWAYS P O BOX 840 HARRISON 770 90933 PEOPLES BENEFIT LIFE INSURANCE P O BOX 484 VALLEY FORGE 771 90934 PACIFIC FIDELITY LIFE INSURANCE COP O BOX 982009 N RICHLAND HILLS 772 90935 BENEFIT SYSTEMS INC P O BOX 6001 INDIANAPOLIS 773 90936 PHYSICIANS MUTUAL INSURANCE COMPP.O. 2018 OMAHA 774 90937 DISNEY WORLDWIDE SERVICES P O BOX 10130 LAKE BUENA VISTA 775 90938 FIRST CHOICE BENEFITS MANAGEMENT P O BOX 658 BELOIT 776 90939 GULF SOUTH ADMINISTRATORS P O BOX 8570 METAIRIE 777 90940 US HEALTH AND LIFE P O BOX 37504 OAK PARK 778 90941 DUKE BENEFIT SERVICES, INC. 3078 BRICKHOUSE CT. VIRGINIA BEACH 779 90942 UNISYS P O BOX 13500 TALLAHASEE 780 90943 CORPORATE SYSTEMS ADMINISTRATIONP O BOX 4985 JOHNSON CITY 781 90944 MEDICAL CLAIMS MANAGEMENT CORP P O BOX 12995 CHARLOTTE 781DN 90944 MEDICAL CLAIMS MANAGEMENT CORP P O BOX 12995 CHARLOTTE 782 90945 HOUSING BENEFIT PLAN P O BOX 542077 DALLAS 784 90946 PACIFIC HEALTH ADMINISTRATORS P.O. BOX 620123 ORLANDO

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785 90947 THE HARVEST INSURANCE CO. P.O. BOX 956003 LAKE MARY 786 90948 E S BEVERIDGE & ASSO., CIN. P.O. BOX 636 MANSFIELD 787 90949 PACIFICARE SENIOR SUPPLEMENT PLANP.O. BOX 6072 CYPRESS 788 90950 ERISA DESIGN SYSTEMS ADM.(EDSA) P.O. BOX 1557 BALTIMORE 789 90951 NATIONAL CASUALTY COMPANY PO BOX 1250 ROCKFORD 790 90952 NATIONAL TWIST DRILL COMPANY 3950 LAKE DRIVE LORIS 791 90953 LADD FURNITURE HEALTH PLAN POST OFFICE BOX 7405GREENSBORO 792 90954 PIONEER LIFE INSURANCE COMPANY P O BOX 1250 ROCKFORD 793 90955 ASSURITY LIFE INSURANCE CO. P.O. BOX 80926 LINCOLN 794 90956 UNITED FAMILY LIFE INSURANCE COMPPOST OFFICE BOX 2204ATLANTA 795 90957 REGIONAL MEDICAL ADMINISTRATORS IP.O. BOX 4128 GLEN RAVEN 796 91279 LINECO 2000 SPRINGER DRIVE LOMBARD 797 90958 DOAN PET CARE GROUP 451 PROSPERITY DRIVEORANGEBURG 798 90959 INCENTUS 1710 FIRMAN RICHARDSON 799 90960 GENWORTH FINANCIAL P.O. BOX 8021 SAN RAFAEL 800 90961 NEBCO (TENNECO) P.O. BOX 97 SCRATNON 801 90962 IMERICA LIFE AND HEALTH INS. CO P.O. BOX 3287 ENGLEWOOD 802 90963 CONSTITUTION LIFE INSURANCE CO P.O. BOX 130 PENSACOLA 803 90964 FIRST CONTINENTAL LIFE INSURANCE POST OFFICE BOX 1911CARMEL 804 90965 PIEDMONT COMMUNITY HEALTHCARE INCP.O. BOX 14408 CINCINNATI 805 91250 PENN TREATY NETWORK AMERICA (PTNAP.O. BOX 130 PENSACOLA 806 90966 NETWORK HEALTH PLAN P.O. BOX 568 MENASHA 807 91289 OPTIMA HEALTH PLAN P O BOX 5028 TROY 808 90967 NEW MARKET DIMENSION P.O. BOX 1338 COCKEYVILLE 809 90968 OHIP CARPENTERS HEALTH & WELFAR8281 YOUNGSTOWN NILES 810 90969 UNITED RESOURCE NETWORK P.O. BOX 30758 SALT LAKE CITY 811 90970 SPARTANBURG REGIONAL HEALTHCARP.O. BOX 1000 LANCASTER 812 91190 MAJOR LEAGUE BASEBALL BENEFIT PLAP.O. BOX 7003 PARKERSBURG 813 90971 CENTURY PLANNER 9201 WATSON RD, SUIST. LOUIS 814 90972 HEALTHCOMP ADMINISTRATORS P.O. BOX 45018 FRESNO 815 90973 YOUNG LIFE BENEFIT PLAN P.O. BOX 520 COLORADO SPRINGS 816 90974 ARCADIAN MEMBER CARE P.O. BOX 4946 COVINA 817 90975 CITIZENS HEALTH P.O. BOX 770 PUEBLO 818 90976 PENNSYLVANIA EMPLOYEES BENEFIT150 SOUTH 43RD ST. HARRISBURG 819 90977 PHYSICIANS HEALTH PLAN P.O. BOX 2359 FORT WAYNE 820 90978 MANAGE MED P.O. BOX 6125 GREENVILLE 821 90979 ODS HEALTH PLAN ADVANTAGE P.O. BOX 4030 PORTLAND 822 90980 MEDICAL MUTUAL P.O.BOX 6018 CLEVELAND 823 90981 - - - 824 90982 PEARCE INSURANCE P.O. BOX 2437 FLORENCE 825 90983 UNISON ADVANTAGE P.O. BOX 1138 MONROEVILLE 826 90984 WILLSE & ASSOCIATES, INC. P O BOX 1196 BALTIMORE 827 90985 J. SMITH LANIER P.O. BOX 72749 NEWNAN 828 90986 NATIONAL PHARMACEUTICAL SERVICES P.O. BOX 407 BOYSTOWN 829 90987 ADMINISTRATIVE SOLUTIONS P.O. BOX 2490 ALPHARETTA 830 90988 CONTRACTORS EMPLOYEE BENEFIT AD9003 WATERFORD CEAUSTIN 831 90989 CORPORATE BENEFIT SOLUTIONS, INC. P.O. BOX 8215 LITTLE ROCK 832 90990 CAMERON AND ASSOCIATES 6100 LAKE FOREST DRATLANTA 833 90991 MERCY HEALTH PLANS PO BOX 4568 SPRINGFIELD 834 90992 DEFINITY HEALTH P.O. BOX 9525 AMHERST 835 90993 MANAGED PHARMACY BENEFITS 1100 NORTH LINDBERGST. LOUIS 836 90994 HUMANA 1100 EMPLOYERS BLVDGREEN BAY 837 90995 HEALTH ADMINISTRATION SERVICES P.O. BOX 6724208 HOUSTON

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838 90996 SHESFIELD, OLSON & MCQUEEN P.O. BOX 16608 ST PAUL 839 90997 CITIZENS SECURITY LIFE INS. P.O. BOX 436149 LOUISVILLE 840 90998 AMERICAN INCOME LIFE INSURANCE POST OFFICE BOX 2608WACO 841 90999 WATKINS ASSOCIATED INDUSTRIES P.O. BOX 1738 ATLANTA 842 91000 GARDNER AND WHITE INC POST OFFICE BOX 406INDIANAPOLIS 842DN 91000 GARDNER AND WHITE INC POST OFFICE BOX 406INDIANAPOLIS 843 91001 CORE MANAGEMENT RESOURCES GROUP P.O. BOX 840 MACON 844 91188 KEYSTONE HEALTH PLAN CENTRAL (P.O. BOX 898880 CAMPHILL 845 91002 GEISINGER HEALTH PLAN GOLD P.O. BOX 8200 DANVILLE 846 91003 SCRIPT CARE, INC. 6380 FOLSOM DR BEAUMONT 847 91004 MAHONEY BENEFIT ADMINISTRATORS P.O. BOX 7260 FORT LAUDERDALE 848 91005 HERITAGE P.O. BOX 1730 AUBURNDALE 849 91006 E.O.S. HEALTH P.O. BOX 27088 TEMPE 850 91007 ONENET PPO P.O. BOX 934 FREDERICK 852 91121 EMPLOYERS MUTUAL 1000 RIVERSIDE AVEJACKSONVILLE 853 91008 COMPSYCH CORP. P.O. BOX 8379 CHICAGO 854 91009 BOYD CARE (BOYD BROTHERS TRANSP.O. BOX 70 CLAYTON 855 91010 UNIVERSITY HEALTH PLANS P.O. BOX 830926 DEPBIRMINGHAM 856 91011 TRANSAMERICA OCCIDENTAL LIFE POST OFFICE BOX LOS ANGELES 857 91012 CORPORATE BENEFIT SERVICES INC P.O. BOX 12954 CHARLOTTE 857DN 91012 CORPORATE BENEFIT SERVICES INC P.O. BOX 12954 CHARLOTTE 858 91195 PREVEA HEALTH PLAN P.O. BOX 7955 LAKE FOREST 859 91013 NEW ENGLAND GROUP TRUST P.O. BOX 30466 TAMPA 860 91014 MANAGED HEALTH NETWORK P.O.BOX 209010 AUSTIN 861 91015 SUPERIOR ESSEX P.O. BOX 724907 ATLANTA 862 91016 PERFORMAX 300 CORPORATE PARKAMHERST 863 91017 INSURANCE ADMINISTRATION CORP. P.O. BOX 39119 PHOENIX 864 91018 GE GROUP ADMINISTRATORS P.O. BOX 150809 ARLINGTON 865 91019 AMERICAN HEARTLAND HEALTH ADMIP.O. BOX 218967 HOUSTON 866 91020 OLYMPIC HEALTH MANAGEMENT P.O.BOX 5348 BELLINGHAM 867 91021 STATE OF NC COMP. HEALTH BENEFIT P O BOX 30025 DURHAM 868 91022 KANSAS CITY LIFE P.O. BOX 219325 KANSAS CITY 869 91023 EMPLOYEE BENEFIT MANAGEMENT SERP.O. BOX 21367 BILLINGS 870 91024 FOUNDATION HEALTH P.O. BOX 453219 SUNRISE 871 91025 UNITED BEHAVIORAL HEALTH P.O. BOX 169053 DULUTH 872 91026 UNITED HEALTHCARE PLAN OF RIVER 3800 23RD AVE. #200 MOLINE 873 91027 MEDCO HEALTH P.O. BOX 8190 MADISON 874 91028 HEALTH NET P.O. BOX 14700 LEXINGTON 875 91029 AMERICAN SENTINEL P.O. BOX 61140 HARRISBURG 876 91030 HEALTHSOURCE OF NC INC PO BOX 28087 RALEIGH 877 91031 CARTER-JONES LUMBER CO WELFARE PLAN FLORENCE 878 91032 PENSION AND GROUP SERVICE/HRPOST OFFICE BOX 4022KALAMAZOO 879 91033 WELLPATH SELECT P O BOX 7102 LONDON 880 91034 OPTIMUM HEALTH PARTNERS PO BOX 2243 GREENVILLE 881 91035 UNITED HEALTHCARE OF NC P.O. BOX 26303 GREENSBORO 882 91036 PRUDENTIAL HEALTHCARE SYSTEM OF N2701 COLTSGATE RD CHARLOTTE 883 91037 SELECT HEALTH OF SOUTH CAROLINA I7410 NORTHSIDE DRICHARLESTON 884 91038 HEALTH FIRST HEALTH PLANS P.O. BOX 565001 ROCKLEDGE 885 91039 JOHN ALDEN INSURANCE COMPANY POST OFFICE BOX 020MIAMI 885DN 91039 JOHN ALDEN INSURANCE COMPANY POST OFFICE BOX 020MIAMI 886 91040 PLANNED ADMINISTRATORS INC POST OFFICE BOX 6927COLUMBIA 886DN 91040 PLANNED ADMINISTRATORS INC POST OFFICE BOX 6927COLUMBIA 887 91041 CNIC HEALTH SOLUTIONS P.O. BOX 3559 ENGLEWOOD

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888 91042 SOUTHEASTERN BENEFIT PLANS INC. 335 ARCHDALE DRIVE CHARLOTTE 889 91043 GROUP INSURANCE ADMINISTRATION IN3350 PEACHTREE RDATLANTA 889DN 91043 GROUP INSURANCE ADMINISTRATION IN3350 PEACHTREE RDATLANTA 890 91044 PARTNERS NATIONAL HEALTH PLAP O BOX 17368 WINSTON SALEM 891 91045 OPTIMUM CHOICE OF THE CAROLINAS I4 TAFT COURT ROCKVILLE 892 91046 INDEPENDENT HEALTH P.O. BOX 9066 BUFFALO 893 91047 KEYSTON HEALTH PLAN EAST P.O. BOX 8339 PHILADELPHIA 894 91048 AMERIHEALTH MERCY HEALTH PLAN P.O. BOX 7118 LONDON 895 91049 CONTINENTAL LIFE INS. OF TENNESSEEP.O. BOX 1188 BRENTWOOD 896 91050 OPTIMED HEALTH PLAN 902 CLINT MOORE RDBOCA RATON 897 91051 SOUTHERN BENEFIT ADM. 5305 VIRGINIA BEACHNORFOLK 898 91052 ASSOCIATION & SOCIETY INS. CORP P.O. BOX 2510 ROCKVILLE 899 91053 AETNA HEALTH PLANS OF THE CAROLI3 CENTERVIEW DRIVE GREENSBORO 900 91054 KOHLER COMPANY 444 HIGHLAND DRIVE KOHLER 901 91055 YORK PRESCRIPTION BENEFITS 1 CHURCH ST. 5TH FLNEW HAVEN 902 91278 M CARE P.O. BOX 130799 ANN ARBOR 903 91154 ACORDIA NATIONAL P.O. BOX 11064 CHARLESTON 904 91185 BEST CHOICE HEALTH PLAN P.O. BOX 21128 FORT LAUDERDALE 905 91169 BETTER BENEFITS P.O. BOX 93929 SOUTHLAKE 906 91056 GROUP HEALTH ADMINISTRATOR INC P O BOX 6244 CHARLOTTE 907 91057 CELTIC LIFE INSURANCE CO. P O BOX 46337 MADISON 909 91058 PREFERRED HEALTH ALLIANCE CORP. P.O. BOX 382048 BIRMINGHAM 909DN 91058 PREFERRED HEALTH ALLIANCE CORP. 300 CORPORATE PKWYBIRMINGHAM 910 91059 AMERICAN ADMINISTRATIVE GROUP P.O. BOX 5227 LISLE 911 91176 COMMUNITY HEALTH PARTNERS P.O. BOX 5787 SPARTANBURG 912 91060 WELLS FARGO TPA-NC OFFICES POST OFFICE BOX 2857FAYETTEVILLE 913 91061 WELLNESS PLAN & ATLANTIC HEALTH PP.O. BOX 12980 CHARLOTTE 915 91062 MANAGED HEALTH RESOURCES P.O. BOX 30742 CHARLOTTE 916 91063 ELMCO, INC. 215 EAST CHURCH STELMIRA 919 91064 AMERICAN HEALTH GROUP, INC. P.O. BOX 1500 MAUMEE 920 91161 HEALTHSMART PREFERRED CARE P.O. BOX 53010 LUBBOCK 922 91065 BLUE CHOICE HEALTHPLAN POST OFFICE BOX 6170COLUMBIA 923 91066 WJ JONES ADMINISTRATIVE SERVICES 1979 MARCUS AVE LAKE SUCCESS 928 91179 DIRECT CARE AMERICA P.O. BOX 2090C STOW 929 91067 NATIONAL HEALTH INSURANCE COMPANYP O BOX 619999 DALLAS/FORT WORT931 91068 GOOD SAMARITAN PROGRAM 5151 WEST HWY 40 BEACHGROVE 932 91069 ALTERNATIVE RISK MANAGEMENT 3275 NORTH ARLINARLINGTON 933 91070 PREFERRED HEALTHCARE SYSTEMS 620 HOWARD AVE ALTOONA 934 91167 ASSOCIATION & SOCIETY INS. CORP. P.O. BOX 2510 ROCKVILLE 936 91071 KEY BENEFITS-TRANSCHOICE PLUS P.O.BOX 1279 FORT MILL 937 91150 MVP HEALTH CARE 259 MONROE AVE ROCHESTER 939 91072 PREMIER HEALTH SYSTEMS P.O. BOX 1640 COLUMBIA 940 91283 PRIVATE HEALTH CARE SYSTEMS (PHCSP.O. BOX 2914 DES PLAINES 941 91182 FIDELITY SECURITY LIFE INSURANCE C419 E MAIN ST MIDDLETOWN 942 91073 PRINCIPAL FINANCIAL GROUP P.O. BOX 39710 COLORADO SPRINGS 943 91074 LIBERTY MUTUAL LIFE INSURANCE 5 HUTCHINSON DR DANVERS 945 91075 CAROLINA ATLANTIC MEDICAL SERP O BOX 22528 CHARLESTON 946 91076 FIRST HEALTH P.O. BOX 1377 THOMASVILLE 948 91077 PHILADELPHIA AMERICAN LIFE INS. CO.P.O. BOX 2465 HOUSTON 951 91166 AMERICAN GROUP ADMINISTRATORS 101 CONVENTION CELAS VEGAS 952 91078 STARK TRUSS CO., INC. P.O. BOX 2080C STOW 953 91079 USA HEALTHCARE ORGANIZATION 7301 N. 16TH ST STE PHOENIX 954 91080 MULTIPLAN 115 5TH AVE NEW YORK

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955 91270 DESIGN SAVERS PLAN 2814 SPRING RD. STE.ATLANTA 958 91081 ITPE-NMU HEALTH AND WELFARE FUND POST OFFICE BOX 138SAVANNAH 958DN 91081 ITPE-NMU HEALTH AND WELFARE FUND POST OFFICE BOX 138SAVANNAH 960 91267 HEALTH EOS P.O. BX 6090 DER PERE 961 91082 CLARK COUNTY FIRE FIREFIGHTERS P.O. BOX 27018 LAS VEGAS 962 91083 VICARE PLUS P.O. BOX 1710 SUFFOLK 963 91194 OXFORD HEALTH PLANS P.O. BOX 2083 NASHUA 964 91084 PHARMACEUTICAL CARE NETWORK 9343 TECH CENTER DR.SACRAMENTO 965 91085 PROFESSIONAL BENEFIT ADMINISTRP.O. BOX 4687 OAKBROOK 966 91086 CAPITOL ADMINISTRATORS OF THE SP.O. BOX 346 ALPHARETTA 967 91087 UNDERWRITERS SAFETY AND CLAIMS P.O. BOX 23507 LOUISVILLE 968 91088 AMERICAN BENEFIT ADMINISTRATIVEP.O. BOX 0928 BROOKFIELD 969 91089 WHP HEALTH INITIATIVE P.O. BXO 545 DEERFIELD 970 91090 CONSOLIDATED WORKERS ASSOCIATIOP.O. BOX 2647 CHINO HILLS 971 91091 ATLANTA ADMINISTRATIONS 135 BEAVER STREET WALTHAM 972 91092 ASR CORP (ADMINISTRATION SYSTEP.O. BOX 6392 GRAND RAPIDS 973 91093 CAMBRIDGE INTERGRATED SERVICESP.O. BOX 1687 GRAND RAPIDS 974 91094 COMMERCE BENEFIT GROUP P.O. BOX 900 ELYRIA 975 91095 NATIONAL MEDICAL HEALTH CARD P.O. BOX 1170 FORT WASHINGTON 976 91096 PARAGON BENEFITS, INC. P.O. BOX 12288 COLUMBUS 977 91097 ZENITH ADMINISTRATION P.O. BOX 91014 SEATTLE 978 91098 LEGGETT & PLATT P.O. BOX 7687 HIGH POINT 979 91099 MEDICAL REIMBURSEMENT OF AMERICA 113 SEABOARD LANE FRANKLIN 980 91100 BENEFIT SUPPORT, INC. P.O. BOX 2977 GAINSVILLE 981 91101 UNITED PACIFIC LIFE INSURANCE CO. PO. BOX 2996 PARKERSBURG 982 91102 OFFICE OF GROUP BENEFITS STATE P.O. BOX 44036 BATON ROUGE 983 91103 INTERNATIONAL BROTHERHOOD O3901 E. WINSLOW AVE PHOENIX 984 91104 BF&M INSURANCE P.O. BOX 5118 TAMPA 985 91105 BENESIGHT P.O. BOX 340 PUEBLO 986 91106 COMMON WEALTH BENEFIT ADMINISTR115 HANOVER STREET ASHLAND 987 91107 BANKERS FIDELITY LIFE INS CO POST OFFICE BOX 190ATLANTA 988 91108 MID WEST NATIONAL LIFE INS. CO. P.O. BOX 982017 NORTH RICHLAND HIL989 91109 UNIVERA HEALTHCARE P.O. BOX 23000 ROCHESTER 990 91110 SOUTHERN GROUP ADMINISTRATORS, IN200 SOUTH MARSHALL WINSTON SALEM 991 91111 WEST PORT BENEFITS P.O. BOX 66743 ST. LOUIS 992 91112 CHESTERFIELD RESOURCES, INC. P.O. BOX 1884 AKRON 993 91113 MPI INTERNATIONAL, INC. P.O. BOX 81913 ROCHESTER 994 91114 UNITED PROVIDER SERVICES P.O. BOX 820277 FORT WORTH 995 91115 MEDIMPACT 10680 TREENA ST. SAN DIEGO 996 91116 J.F. MOLLOY & ASSO. P.O. BOX 68947 INDIANAPOLIS 997 91117 GENWORTH FINANCIAL P O BOX 10821 CLEARWATER 998 91118 CANADA LIFE ASSURANCE CO. 6201 POWERS FERRYATLANTA 999 91119 CIGNA HEALTHCARE OF SC/HEALTHSOP.O. BOX 190024 CHARLESTON A01 90000 THRIVENT FINANCIAL FOR LUTHERANS 4341 N. BALLARD RD APPLETON A02 90001 ALTERNATIVE BENEFITS PLANS, INC. 2920 BRANDYWINE RDATLANTA A03 90002 STARMARK P O BOX 2942 CLINTON A04 90003 CONSULTEC PRESCRIPTION BENEFI9040 ROSWELL ROAD ATLANTA A05 90004 AMERICAN PUBLIC LIFE INSURANCE CO.P.O. BOX 925 JACKSON A06 90005 COLONIAL PENN FRANKLIN LIFE I 1818 MARKET STREET PHILADELPHIA A07 90006 CONTINENTAL LIFE INSURANCE COPOST OFFICE BOX 6138COLUMBIA A08 90007 AMERICAN PHARMACY BENEFITS P O BOX 27000 JACKSON HOLE A09 90008 RX AMERICA 221 N CHARLES LINDSALT LAKE CITY A10 90009 AMERISCRIPT 4301 DARROW RD. STSTOW

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A11 90010 PREFERRED ADMINISTRATORS P.O. BOX 18263 TAMPA A12 90011 MOUNTAIN CLAIMS MANAGEMENT P.O. BOX 1008 FRUITLAND A13 90012 HOLDEN & COMPANY PO BOX 10411 SAVANNAH A14 90013 EB RX 2045 MIDWAY DR TWINSBURG A15 90014 MANAGED PRESCRIPTIONS SERVICES (ONE CITY CENTRE SST LOUIS A16 90015 FCE BENEFIT ADMINISTRATOR 445 RECOLETA STE. 1SAN ANTONIO A17 90016 NOVA HEALTHCARE ADMINISTRATORS 2680 GRAND ISLAND BGRAND ISLAND A18 90017 MSH MOBILITY BENEFITS P.O. BOX 77 BEEBE PLAIN A19 90018 ISLAND GROUP ADMINISTRATION, INC` 3 TOILSOME LANE EAST HAMPTON A20 90019 PROFESSIONAL CLAIMS MANAGEMENT PO BOX 35276 CANTON A20DN 90019 PROFESSIONAL CLAIMS MANAGEMENT PO BOX 35276 CANTON A21 90020 PC HEALTH PLAN ADMINISTRATION P.O BOX 1377 THOMASVILLE A22 90021 PIEDMONT ADMINISTRATORS PO BOX 78030 GREENSBORO A23 90022 SERV U PRESCRIPTION PO BOX 23237 MILWAUKEE A24 90023 WELLPOINT NEXT RX PO BOX 9081 OXNARD A25 90024 BENESCRIPT PO BOX 921229 NORCROSS A26 90025 WISCONSIN EDUCATION ASSO. P.O. BOX 8220 MADISON A27 90026 HEALTHCARE SUPPORT 25 COLUMBIA HEIGHTS BROOKLYN HEIGHTS A28 90027 SHENANDOAH LIFE INSURANCE CO PO BOX 12847 ROANOKE A29 90028 MERITAN HEALTH P.O. BOX 80884 INDIANAPOLIS A30 90029 RMSCO, INC. P.O. BOX 678 LIVERPOOL A30DN 90029 RMSCO, INC. P.O. BOX 678 LIVERPOOL A31 90030 UNITY HEALTH INSURANCE P.O. BOX 610 SAUK CITY A32 90031 MAGELLEN BEHAVIORAL HEALTH PO BOX 1659 MARYLAND HEIGHTS A33 90032 ALLIANT HEALTH PLANS, INC. P.O. BOX 21109 ROANOKE A34 90033 WOODS & GROOM 2549 17TH STREET COLUMBUS A35 90034 FABRI-KAL CORPORATION POST OFFICE DRAWER PIEDMONT A36 90035 FIELDCREST CANNON (CANNON MILLS) P O BOX 5000 EDEN A37 90036 UNITED BEHAVIORAL/DENTAL SYSTEMS PO BOX 30755 SALT LAKE CITY A38 90037 UNITED HEALTHCARE OF NC PO BOX 2604 GREENSBORO A39 90038 COMPLETE BENEFITS SOLUTIONS P.O. BOX 3649 GREENVILLE A40 90039 STRATEGIC RESOURCE COMPANY PO BOX 23759 COLUMBIA A41 90040 CLAIMS MANAGEMENT SERVICES PO BOX 10888 GREENBAY A42 90041 PRIMERICA LIFE INSURANCE COMPANY 3120 BRECKINRIDGEDULUTH A43 90042 PREMIER BENEFIT MANAGEMENT , INC. 7070-A KAIGHN AVE PENSAUKEN A44 90043 GLOBAL MEDICAL MANAGEMENT, INC 7901 SW 36TH ST. STEDAVIE A45 90044 INTEQ GROUP 5445 LASIERRA DR SUDALLAS A46 90045 STANDARD INSURANCE COMPANY PO BOX 209 PORTLAND A47 90046 STATESMAN NATIONAL LIFE INSURA3815 MONTROSE BOULHOUSTON A48 90047 QUALMED OF OREGON PO BOX 286 CLACKMAS A49 91163 ARIZONA FOUNDATION FOR MEDICAL CP.O. BOX 2909 PHONEIX A50 91181 FEDERAL EMPLOYEES COMPENSATION AP.O. BOX 8300 LONDON A51 90048 COAL MINE WORKERS COMP PROGRAM P.O. BOX 8300 LONDON A52 90049 ENERGY EMPLOYEES OCCUPATIONALP.O.BOX 8300 LONDON A53 91189 LONGSHORE & HARBOR WORKERS COP.O. BOX 8300 LONDON A54 91297 CENTURY HEALTHCARE P.O. BOX 2256 GRAPEVINE A55 90050 AETNA LIFE AND CASUALTY P.O. BOX 36890 LOUISVILLE A56 90051 VULCAN MATERIALS COMPANY P O BOX 530187 BIRMINGHAM A57 90052 AMERICAN GROUP ADMINISTRATORS, IN101 CONVENTION CELAS VEGAS A58 90053 COMPREHENSIVE BENEFITS P.O. BOX 8955 MELVILLE A62 90055 CORESOURCE INS. P.O. BOX 83301 LANCASTER A63 91173 CITIZENS INSURANCE P.O. BOX 1627 ANDERSON A64 90056 ORION AUTO INSURANCE P.O. BOX 118090 CHARLESTON

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A65 91198 STATE AUTO INSURANCE P.O. BOX 199 GREER A66 91197 SOUTHERN BENEFIT ADMINISTRATORS, P.O. BOX 1449 GOODLETTSVILLE A67 91172 CENTRAL PA TEAMSTERS HEALTH & WP.O.BOX 15224 READING A68 90057 HOLLINGSWORTH SACO LOWELL CORP. P O DRAWER 2327 GREENVILLE A69 91187 KAISER FOUNDATION HEALTH PLANP.O. BOX 7004 DOWNEY A70 91193 NATIONAL EMPLOYEE BENEFIT ADMI1920 N. FLORIDA MANWEST PALM BEACH A71 91184 GRAPHIC COMMUNICATIONS NAT' 5 GATEWAY CTR, # 620PITTSBURGH A72 91129 BABB, INC. 850 RIDGE AVE PITTSBURGH A73 91130 CLAIMS TECHNOLOGY, INC. 100 COURT AVE. SUITDES MOINES A74 91131 FIRST CAROLINA CARE, INC. P.O. BOX 381686 BIRMINGHAM A75 91132 HEALTH COST SOLUTIONS P.O. BOX 1439 HENDERSONVILLE A76 91133 TOWER LIFE INS. CO. 310 S. MARY ST SAN ANTONIO A77 90058 SISCO P.O. BOX 389 DUDUQUE A78 90059 HIGHWAY TO HEALTH (HTH) P.O. BOX 968 HORSHAM A79 90060 HEALTH SPECIAL RISK 4001 N. JOSEY LANE CARROLLTON A80 90061 TOTAL SCRIPT 10901 WEST 120TH ABROOMFIELD A81 90062 BENESYS P.O. BOX 90082 LUBBOCK A82 90063 UNITED HEALTHCARE INDEMNITY P.O. BOX 740801 ATLANTA A83 90064 GROUP RESOURCES INC P.O. BOX 100043 DULUTH A84 90065 EQUINOX PLANT P.O.BOX 1658 ANDERSON A85 90066 MEGA LIFE STUDENT INSURANCE P.O. BOX 809025 WESTON A86 90067 BENEFIT MANAGEMENT CO P.O. BOX 269000 WESTON A88 90069 ST JOHNS CLAIMS ADMINISTRATION P.O. BOX 14230 SPRINGFIELD A89 90070 SPECIAL INSURANCE SERVICES (SIS) P.O. BOX 250349 PLANO A90 90071 EMPLOYEE BENEFIT CLAIMS INC 9501 WEST DEVON ROSEMONT A91 90072 STATES GENERAL LIFE INS. CO 115 WEST 7TH ST. SUFORT WORTH A92 91196 PROVIDENT AMERICAN LIFE & HEALTH IP.O. BOX 29158 SHAWNEE MISSION A93 90073 AMERICAN COLLEGE OF SURGEONS P.O. BOX 2522 FORT WORTH A94 91174 COLONIAL HEALTHCARE MEDICARE SP.O. BOX 827 LANHAM A95 90074 REYNOLDS & REYNOLDS P.O. BOX 1272 DAYTON A96 90075 HAMRICKS INC 742 PEACHOID ROAD GAFFNEY A97 91180 EMPLOYER PLAN SERVICES, INC. 2180 NORTH LOOP WHOUSTON A98 90076 CORPORATE BENEFIT SERVICES OF AP.O. BOX 738 HOPKINS A99 90077 ALLIED ADMINISTRATORS 911 BROADWAY KANSAS CITY B01 90078 HEALTH PARTNERS P.O. BOX 1289 MINNEAPOLIS B02 90079 MILLENNIUM HEALTH GROUP, INC. P.O. BOX 260130 PEMBROKE PINES B03 90080 CHESAPEAKE LIFE INS. CO. P.O. BOX 809025 DALLAS B04 90081 CARITEN HEALTHCARE P O BOX 22987 KNOXVILLE B05 91183 FOCUS HEALTHCARE MANAGEMENT, INC.720 COOL SPRINGS BLFRANKLIN B06 90082 SOUTHCARE HEALTHCARE PREFERRED 1100 CIRCLE 75 PAATLANTA B07 90083 MAGNACARE NY WELFARE FUND-LOCAL P.O. BOX 1001 GARDEN CITY B08 90084 NEW WORLD SERVICES POST OFFICE BOX 1030NILES B09 90085 MARINE CORPS ASSO.PLAN ADMINISTRP.O. BOX 21357 SANTA BARBARA B10 90086 PILGRIM HEALTH & LIFE INSURANCE POST OFFICE BOX 897 ATLANTA B11 91171 CBCA ADMINISTRATORS, INC. P.O. BOX 1272 MINNEAPOLIS B12 91186 JOHN HANCOCK MUTUAL LIFE INS. JOHN HANCOCK PLACBOSTON B13 91139 WEB TPA P.O. BOX 539508 GRAND PRAIRIE B14 90087 A.C.S. CONSULTING SERVICES, INC. P. O. BOX 2000 WINSTON SALEM B14DN 90087 A.C.S. CONSULTING SERVICES, INC. P. O. BOX 2000 WINSTON SALEM B15 91134 HILLCREST BENEFIT ADMINISTRATORS P.O. BOX 1516 MT. DORA B16 91135 PARTNER RX MANAGEMENT P.O. BOX 12119 PHOENIX B17 91136 ULTRA BENEFITS P.O. BOX 763 WESTBORO B18 91137 LUMENOS P.O. BOX 69309 HARRISBURG

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B19 90088 TUPPERWARE, INC POST OFFICE DRAWER HEMINGWAY B20 90089 FMH BENEFIT SERVICES, INC. P.O. BOX 25946 OVERLAND PARK B21 90090 PIONEER HEALTH P.O. BOX 6600 HOLYOKE B22 91138 SOUTHERN HEALTH SERVICES P.O. BOX 7704 LONDON B23 90091 FOX EVERETT, INC. P.O. BOX 870 MONROE B24 90092 CORPS CARE MANAGEMENT CLAIMS DEPP.O. BOX 863 INDIANAPOLIS B25 90093 HEALTH AND WELFARE FUND LOCAL 218 POST OFFICE BOX 115ATLANTA B26 90094 IMSCO HEALTH PLAN P.O. BOX 697 BUCKEYSTOWN B27 90095 HEALTH FIRST (PPO) P O BOX 17709 GREENVILLE B28 90096 DORMANT 8/91 B29 91200 US NOW INS. GROUP P.O. BOX 260808 PLANTO B30 91162 SOUTHERN BENEFITS, SOUTHEASTEP.O. BOX 1449 GOODLETTSVILLE B31 90097 ALTERNATIVE INS RESOURCES P.O. BOX 660787 BIRMINGHAM B32 91177 COMPREHENSIVE CARE SERVICES, INC. P.O. BOX 64008 ST PAUL B33 90098 ALUMAX OF SOUTH CAROLINA, INC. POST OFFICE BOX 100 GOOSE CREEK B34 90099 ATLANTA LIFE INSURANCE COMPANY 100 AUBURN AVENUE, ATLANTA B35 91170 C & R CONSULTING INC. 1501 BROADWAY, SUINEW YORK B36 91175 COMMONWEALTH INDEMITY PLAN P.O. BOX 9016 ANDOVER B37 90100 BENEFIT ADMINISTRATORS POST OFFICE BOX 213COLUMBIA B37DN 90100 BENEFIT ADMINISTRATORS POST OFFICE BOX 1957BEATTYVILLE B39 90102 MEDICAL SAVINGS INSURANCE CO. 5835 WEST 74TH ST INDIANAPOLIS B41 90104 VYTRA HEALTHCARE P O BOX 9091 MELVILLE B42 90105 UMR P.O. BOX 266 ONALASKA B43 90106 HEALTH OPTION PROGRAM P.O. BOX 1764 LANCASTER B44 90107 AMERICAN CHOICE HEALTH PLAN, LLC P.O.BOX 922043 HOUSTON B44DN 90107 AMERICAN CHOICE HEALTH PLAN, LLC P.O.BOX 922009 HOUSTON B45 90108 ATLANTICARE P.O. BOX 613 HAMMONTON B46 90109 TOTAL CLAIMS SOLUTION (TCS) P.O. BOX 10888 GREEN BAY B47 90110 LA-Z-BOY EAST GROUP HEALTH 901 N. DOUGLAS ST FLORENCE B48 90111 COMPREHENSIVE CARE SERVICES P.O. BOX 64668 ST PAUL B49 91140 HEALTH NET P.O. BOX 14702 LEXINGTON B50 91141 MEMBER HEALTH P.O. BOX 391180 CLEVELAND B51 90112 INNOVIANT P.O. BOX 8082 WAUSAU B52 91142 SOUTHERN PLANNED ADMINISTRATORS P.O. BOX 218180 HOUSTON B53 90113 NATIONAL FOUNDATION LIFE INSUR110 WEST 7TH ST. SUFORT WORTH B54 90114 NGS AMERICAN INC POST OFFICE BOX 7676ST. CLAIR SHORES B55 91143 COMPLETE BENEFITS SOLUTIONS P.O. BOX 3649 GREENVILLE B56 90115 LINCOLN HERITAGE P.O. BOX 10843 CLEARWATER B58 91168 AUSA MASTERCARE P.O. BOX 10408 DES MOINES B59 90117 MARYLAND INDIVIDUAL PRACTICE ASSO.P.O. BOX 930 FREDRICK B60 90118 STATE MUTUAL LIFE ASSURANCE 1100 31ST STREET DOWNERS GROVE B61 90119 STOWE-PHARR MILLS 100 MAIN STREET MCADENVILLE B62 90120 COX HEALTH SYSTEMS INS. CO P.O. BOX 5750 SPRINGFIELD B63 90121 GE PENSIONER HEALTH BENEFITS P.O. BOX 740801 ATLANTA B64 90122 UNITED MEDICAL RESOURCES INC. P.O. BOX 145804 CINCINNATI B65 90123 CHRISTIAN CARE MEDI SHARE P.O. BOX 674 STERLING B66 90124 KIRKE-VAN ORSDEL, INC. P.O. BOX 9126 DES MOINES B67 91144 MARSH AFFINITY SERVICES P.O. BOX 5108 DES MOINES B68 90125 HUMANA GOLD CHOICE P.O. BOX 202047 FLORENCE B69 91145 AMERICAN INSURANCE ADMINISTRATORSP.O. BOX 2348 COLUMBUS B70 90126 ELECTRICAL WELFARE TRUST FUND 4601 PRESIDENTS DR,LANHAM B71 90127 CHCS SERVICES, INC. P.O. BOX 12467 PENSACOLA B72 90128 INTEGRITY NATIONAL LIFE INS. P.O. BOX 32350 LOUISVILLE

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B73 90129 SOUTHERN CALIFORNIA PIPE TRADE501 SHATTO PLACE, LOS ANGELES B74 90130 STAR HRG P.O. BOX 54150 PHOENIX B75 90131 HEALTH DESIGN PLUS P.O. BOX 2584 HUDSON B76 90132 INTERNATIONAL ASSO. BENEFITS 1747 PENNSYLVANIWASHINGTON B77 90133 UNITED HEALTHCARE PLAN ADMINISTP O BOX 121212 MARIETTA B78 90134 ARKANSAS BEST CORP. CHOICE BENEFIP.O. BOX 10048 FT SMITH B79 90135 SHASTA ADMINISTRATIVE SERVICES P.O. BOX 5735 CINCINNATI B80 90136 IMB-SBC MEDICAL PLAN P.O. BOX 1746 INDIANAPOLIS B81 91151 HM BENEFITS ADMINISTRATORS, INC. P.O. BOX 535078 PITTSBURGH B82 91152 LIFEGUARD BENEFITS P.O. BOX 93929 SOUTHLAKE B83 90137 STATE OF LOUISIANA EMPLOYEES P.O. BOX 44036 BATON ROUGE B84 90138 HEALTH CARE CORPORATION 203 JANDERS ROAD CARY B85 90139 TUFTS HEALTHCARE P.O. BOX 9185 WATERTOWN B86 90140 PREFERRED ONE ADMINISTRATIVE SERP.O. BOX 59212 MINNEAPOLIS B87 91147 HEALTH ALLIANCE 102 E. MAIN ST URBANA B88 90141 GETTYSBURG HEALTH ADMINISTRATORS P.O. BOX 1169 FREDERICK B89 91146 WESTERN & SOUTHERN FINANCIAL GROP.O. BOX 5735 CINCINNATI B90 90142 WESTERN FIDELITY INSURANCE P O BOX 901010 FORT WORTH B91 91148 CHRISTIAN BROTHERS EMPLOYEE BE1205 WINDHAM PARKWAROMEOVILLE B92 91149 CARE SOURCE ONE SOUTH MAIN DAYTON B93 90143 WESTERN STATES ADMINISTRATION P.O. BOX 8082 FRESNO B94 90144 THE CAPELLA GROUP P.O. BOX 200368 ARLINGTON B95 90145 HDR EMPLOYEE BENEFITS ADMINISTRAP O BOX 5150 GREENVILLE B96 90146 PENN TREATY & AMERICAN NETWORK P.O. BOX 130 PENSACOLA B97 91155 NIPPON LIFE INSURANCE CO. P.O. BOX 39710 COLORADO SPRINGS B98 90147 AMERICAN PIONEER LIFE INSURANCEP O BOX 130 PENSACOLA B99 91164 GROUP & PENSION ADMINISTRATORS, IP.O. BOX 749075 DALLAS C01 90151 TERMINIX SERVICE P.O. BOX 2627 COLUMBIA C02 90152 FOUNDATION BENEFITS ADMINISTRATOR6300 BRIDGEPOINTAUSTIN C03 90153 TOTAL PLAN SERVICES, INC. P.O. BOX 251369 PLANO C04 90154 MOTOR CITY WELFARE FUND 2075 W BIG BEAVER STROY C05 91156 STRATEGIC OUTSOURCING, INC. (SOI) P.O. BOX 241508 CHARLOTTE C06 90155 MISSIONARY MEDICAL P.O. BOX 45730 SALT LAKE CITY C07 90156 AMERIBEN SOLUTIONS P.O. BOX 7186 BOISE C08 91157 MEDICAL DEVELOPMENT INTERNATION 19450 DEERFIELD AVLANSTOWNE C09 91158 HEALTH PLAN ADMINISTRATORS P.O. BOX 2638 ROCKFORD C10 90157 ZAVATA P O BOX 1208 AMERICUS C11 90158 BENEFIT MANAGEMENT SERVICES INC P O BOX 1178 MATTHEWS C11DN 90158 BENEFIT MANAGEMENT SERVICES INC P O BOX 1317 MATTHEWS C12 90159 BENICOMP, INC.. 8310 CLINTON PARK DRFT WAYNE C13 90160 CENTRAL RESERVE LIFE OF NOR 17800 ROYALTON RD. STRONGSVILLE C14 90161 COASTAL LUMBER CO P O BOX 1576 WALTERBORO C15 90162 ADVANCE PCS P.O.BOX 52188 PHOENIX C16 90163 CONSOLIDATED BENEFITS, INC P O BOX 23686 COLUMBIA C17 90164 NATIONAL BENEFITS 110 GIBRALTAR ROAD HORSHAM C18 90165 EVOLUTIONS HEALTHCARE SYSTEMS P.O. BOX 5001 NEW PORT RICHEY, C19 91159 TAYLOR BENEFIT RESOURCES, INC. P.O. BOX 6580 THOMASVILLE C20 90166 SCREEN ACTORS GUILD-PRODUCERSP.O. BOX 7830 BURBANK C22 90167 BOSTON MUTUAL LIFE INSURANCE COM120 ROYALL STREET CANTON C24 90169 ENCOMPASS HEALTH MANAGMENT SYST6000 WEST TOWN PADES MOINES C25 90170 MEDICAL CLAIMS SERVICES 1 WALL ST. STE 2A RAVENSWOOD C26 90171 INTERACTIVE MEDICAL SYSTEMS, INC. P O BOX 19108 RALEIGH C27 90172 SELECT BENEFIT ADMINISTRATORS P.O. BOX 440 ASHLAND

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C27DN 90172 SELECT BENEFIT ADMINISTRATORS P.O. BOX 440 ASHLAND C28 90173 BENEFIT PLAN MANAGEMENT P.O. BOX 536 ROCKLYN C29 90174 TRUE CHOICE USA P.O. BOX 251369 PLANO C30 90175 KEENAN AND COMPANY P.O. BOX 11431 TORRANCE C31 90176 CONSUMER HEALTH SOLUTIONS P.O. BOX 3492 SPARTANBURG C32 90177 WELLS FARGO FINANCIAL P O BOX 2801 CHARLESTON C32DN 90177 WELLS FARGO P O BOX 11064 CHARLESTON C33 91202 THE DESTINY HEALTH PLAN P.O. BOX 4628 OAKBROOK C34 90178 HTH WORLDWIDE INSURANCE SERVICES P.O. BOX 39 MINNEAPOLIS C35 90179 MUTUAL PROTECTIVE MEDICO LIF1515 S 75TH STREET OMAHA C36 90180 NORTH AMERICAN INSURANCE COMPANYP O BOX 44160 MADISON C37 90181 OLD SURETY LIFE INSURANCE CO P O BOX 54407 OKLAHOMA CITY C38 90182 STANDARD LIFE & ACCIDENT INSURP O BOX 1800 GALVESTON C39 90183 CONTINENTAL GENERAL INSURANCE CP.O. BOX 247007 OMAHA C40 91204 AVERA HEALTH PLANS P.O. BOX 381506 BIRMINGHAM C41 90184 INSUREX BENEFITS ADMINISTRATORS, PO BOX 41779 MEMPHIS C41DN 90184 INSUREX BENEFITS ADMINISTRATORS, PO BOX 41779 MEMPHIS C42 90185 STANDARD CORPORATION 1400 MAIN STREET STCOLUMBIA C43 90186 EMPLOYEE BENEFIT ADMINISTRATORS P O BOX 5150 GREENVILLE C44 90187 S C MEDICAL ASSOCIATION-MEMBP O BOX 11188 COLUMBIA C45 91205 TALL TREE ADMINISTRATORS P.O. BOX 71747 SALT LAKE CITY C46 90188 MEDCO HEALTH/PAID PRESCRIPTIONS P O BOX 14711 LEXINGTON C47 90189 KANAWHA BENEFIT SERVICES P O BOX 50098 KNOXVILLE C47DN 90189 KANAWHA BENEFIT SERVICES P O BOX 50098 KNOXVILLE C48 90190 SOUTHERN ADMINISTRATIVE SERVICES P O BOX 8069 COLUMBUS C49 90191 PENN WESTERN BENEFITS, INC P O BOX 7834 GREENSBORO C49DN 90191 PENN WESTERN BENEFITS, INC P O BOX 7834 GREENSBORO C50 90192 TENNESSEE BENEFIT ADMINISTATORS P.O. BOX 3257 SPARTANBURG C51 90193 YALE HEALTH PLAN P.O.BOX 208217 NEW HAVEN C52 90194 TPA OF GEORGIA 2900 CHAMBLEE-TUCATLANTA C54 90196 INTER-AMERICAS INS. CORP. (OOIDA) P.O. BOX 9510 WICHITA C55 90197 PLAN ADMINISTRATORS (MATURE AMER734 15TH STREET NWWASHINGTON C56 90198 COMPDENT 1930 BISHOP LANE SULOUISVILLE C57 90199 WORLD TRAVEL PROTECTION 4600 WITMER INDUSNIAGARA FALLS C59 90200 HUMANA CHOICE (PPO) P.O .BOX 14605 LEXINGTON C60 90201 INSTILL HEALTH SYSTEMS (FFS) P.O. BOX 7061 CAMDEN C61 90202 INSTILL HEALTH SYSTEMS (PPO) P.O. BOX 7061 CAMDEN C62 90203 BCBS OF SC MEDICARE BLUE PRIVATEP.O. BOX 100133 COLUMBIA C63 90204 BCBS OF SC MEDICARE BLUE&MEDP.O. BOX 100133 COLUMBIA C64 91201 BLUE CHOICE HEALTH PLAN (PPO) P.O. BOX 6170 COLUMBIA C66 90206 CATERPILLAR, INC. P O BOX 62920 COLORADO SPRINGS C68 90208 DENTAL BENEFIT PROVIDERS P.O. BOX 389 ROCKVILLE C71 91206 JOHNS HOPKINS HEALTHCARE P.O. BOX 0607 GLEN BURNIE C72 91207 ADVANCED INSURANCE ADMINISTRATION125 MERRILL DR. STELITTLE ROCK C73 90210 UNION PACIFIC RAILROAD EMPLOYEE795 NORTH 400 WEST SALT LAKE C74 90211 NATIONAL CLAIMS ADMINISTRATIVE SP O BOX 220887 CHARLOTTE C74DN 90211 NATIONAL CLAIMS ADMINISTRATIVE SP O BOX 220887 CHARLOTTE C75 91212 FLORIDA 1ST SERVICE ADMINISTRATOP.O. BOX 3607 WINTER HAVEN C76 90212 SELF FUNDING ADMINISTRATORS P.O.BOX 6596 ANNAPOLIS C77 91213 CARPENTERS HOSPITALIZATION PLAN 3611 CHESTER AVE CLEVELAND C78 90213 KAISER PERMANENTE P.O. BOX 190849 ATLANTA C79 90214 BENEFIT ADMINISTRATIVE SYSTEM, LTDP.O. BOX 17475 JOHOMEWOOD C80 90215 ELDER HEALTH (MHN/HMC) P.O. BOX 4433 BALTIMORE

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C81 90216 UNITED PAYORS & UNITED PROVIDERS 2273 RESEARCH BLVD ROCKVILLE C82 90217 AMERICAN STANDARD LIFE & ACCIDENP O DRAWER 3248ENID C83 90218 FREEDOM LIFE INSURANCE CO. OF AMP O BOX 24294 LOUISVILLE C84 90219 CENTRAL UNITED & CHRISTIAN MUTU2727 ALLEN PARKWAY HOUSTON C85 90220 LOYAL AMERICAN LIFE INSURANCE COP O BOX 559004 AUSTIN C86 90221 NATIONAL STATES INSURANCE COMPANYP O BOX 27321, ST LOUIS C87 91217 SIHO INSURANCE SERVICES P.O. BOX 1787 COLUMBUS C88 90222 ADVENTIST RISK MANAGEMENT P.O. BOX 1928 GRAPEVINE C89 91220 NEW SOURCES BENEFITS P.O. BOX 6305 SPARTANBURG C92 91229 AMERICAN HEALTH CARE 2217 PLAZA DR SUITE ROCKLIN C92DN 91229 AMERICAN HEALTH CARE 3001 DOUGLAS ST ROSEVILLE C93 91230 STUDENT ASSURANCE INSURANCE SERP.O. BOX 196 STILL WATER C94 91231 ERIN GROUP ADMINISTRATORS P.O. BOX 7777 LANCASTER C94DN 91231 ERIN GROUP ADMINISTRATORS P.O. BOX 7777 LANCASTER C95 91232 MIDWEST SECURITY 2700 MIDWEST DR ONALASKA C96 91209 MEDTRACK SERVICES 6310 LAMAR AVE . STOVERLAND PARK C97 91210 GEM GROUP 1200 THREE GATEWAPITTSBURGH C98 91211 MEDICAL BENEFIT ADM. OF MARYLAND,P.O .BOX 950 FORREST HILL C99 91208 MUTUAL PROTECTIVE MEDICO LIFE INS1515 S. 75TH ST OMAHA CAS 90148 CASUALTY CASE - - CO9 90150 EMPLOYEE BENEFITS TRUST P.O. BOX 1431 WICHITA FALLS D01 91203 INTERLINK HEALTH SERVICES 4950 NE BELNAP CT #HILLSBORO D02 91214 INSURANCE ADMINISTRATOR OF AMERICP.O. BOX 5082 MT. LAUREL D03 91215 PACIFIC SOURCE P.O. BOX 7068 EUGENE D04 91221 LBA HEALTH PLANS, INC./PRIMARY SEP.O. BOX 17098 OWINGS MILL D05 91222 UPMC HEALTH BENEFITS, INC. P.O. BOX 2999 PITTSBURGH D06 91224 SOUTHERN CALIFORNIA BAKERY & P.O. BOX 22041 COMMERCE D08 91225 BIG LOTS ASSOCIATE BENEFIT PLAN P.O. BOX 9071 DUBLIN D09 91226 JM FAMILY ENTERPRISES 8019 BAYBERRY RD JACKSONVILLE D11 90223 ADVANCED BENEFIT SOLUTIONS P.O. BOX 71490 PHOENIX D12 91238 SECUREHORIZONS DIRECT PFFS P.O. BOX 12466 PENSACOLA D13 91284 ARCADIAN P.O. BOX 4946 COVINA D14 91277 MEDICARE PLUS BLUE (BCBS OF MICHI27000 ELEVEN MILE RDSOUTHFIELD D15 91276 SECURITYCHOICE ENHANCED PLUS P O BOX 795180 SAN ANTONIO D16 91310 AETNA MEDICARE OPEN PLAN P.O.BOX 14079 LEXINGTON D17 91274 WELLCARE P.O. BOX 795184 SAN ANTONIO D18 91262 COMMUNITY CARE SENIOR HEALTH PLANP. O. BOX 3249 TULSA D19 91263 HEALTHFIRST 65 PLUS P.O. BOX 5196 NEW YORK D20 91311 EXCELLUS MEDICARE BLUE CHOICE OP.O. BOX 41915 ROCHESTER D21 91264 CARITEN SENIOR HEALTH P.O. BOX 22885 KNOXVILLE D22 91248 SMART VALUE (BC OF GA) (PFFS) P.O. BOX 3897 SCRANTON D23 91245 AMERICA'S HEALTH CHOICE MEDICA762 SOUTH US HWY.VERO BEACH D24 91246 MOUNT CARMEL HEALTH PLAN (MCP.O. BOX 6111 WESTERVILLE D25 91218 ELDER PLAN, INC. (HMO) P.O. BOX 199100 BROOKLYN D26 91228 OXFORD MEDICARE ADVANTAGE (HMO) P.O. BOX 7082 BRIDGEPORT D27 91233 SECURE HORIZONS PACIFICARE P.O. BOX 25032 SANTA ANA D28 91234 PYRAMID LIFE INSURANCE CO (PFFS) P.O. BOX 958465 LAKE MARY D29 91235 UNICARE LIFE & HEALTH INS. CO (PFFS233 S WACKER DR. STCHICAGO D30 91236 UNITED HEALTHCARE INS. CO (PPO) P.O. BOX 150450 HARTFORD D31 91266 LEON MEDICAL CENTER HEALTH PLAN P.O. BOX 65-9006 MIAMI D32 91268 MEDICARE COMPLETE (UNITED HEALTHP.O. BOX 659735 SAN ANTONIO D33 91269 ADVANTRA FREEDOM P.O. BOX 7154 LONDON D34 91271 UNIVERSAL HEALTH CARE P.O. BOX 3211 ST PETERSBURG

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D36 91239 HOP/PSERS HEALTH ADMINISTRATION P.O. BOX 2921 CLINTON D37 91240 WEST VIRGINIA LOCAL 152 HEALTH &5 HOT METAL ST. SUIPITTSBURGH D38 91241 AMERICAN INSURANCE ADMINISTRATORSP O BOX 2348 COLUMBUS D39 91242 NEW YORK WELFARE FUND 101-49 WOOKHAVEN BLOZONE PARK D40 91243 MINNESOTA POWER HEALTH PLANS 30 W SUPERIOR ST DULUTH D41 91244 BLUEGRASS FAMILY HEALTH P.O. BOX 22738 LEXINGTON D42 91272 CARE IMPROVEMENT PLUS P.O. BOX 4347 SCRANTON D43 91273 SOUTHEAST COMMUNITY CARE BY AP.O. BOX 4946 COVINA D44 91280 INDEPENDENT HEALTH P.O. BOX 9066 BUFFALO D45 91281 HIGHMARK SECURITY BLUE 120 5TH AVE PITTSBURGH D46 91282 GROUPHEALTH OPTIONS, INC P.O. BOX 34585 SEATTLE D47 91285 TOUCHSTONE HEALTH PSO P.O. BOX 33519 INDIANAPOLIS D48 91286 AMERICAN CONTINENTAL INSURANCE COP.O. BOX 2368 BRENTWOOD D51 91260 AMERIGROUP COMMUNITY CARE P.O. BOX 61010 VIRGINIA BEACH D52 91261 WELLCARE OF GEORGIA P.O. BOX 31224 TAMPA D53 91265 SIERRA OPTIMA PLUS CLAIMS P.O. BOX 15645 LAS VEGAS D54 91312 GATEWAY HEALTH PLAN MEDICARE ASP.O.BOX 11560 ALBANY D55 91292 TOTAL CAROLINA CARE, INC 1441 MAIN ST COLUMBIA D56 91291 CITRUS HEALTH CARE, INC. P.O. BOX 20547 TAMPA D57 90224 CIGNA MEDICARE ACCESS P.O. BOX 22174 TEMPE D58 91298 BRAVO HEALTH MEDICARE ADVANTAGE P.O, BOX 4433 BALTIMORE D60 91295 AMERIGROUP COMMUNITY CARE OF SC P.O. BOX 31789 VIRGINIA BEACH D61 91296 AMERICA'S 1ST CHOICE P.O. BOX 210769 COLUMBIA D62 91313 SECURE HORIZONS DIRECT (UNITEDP.O.BOX 31353 SALT LAKE CITY D63 91288 UNIVERA SENIOR CHOICE SECURE P O BOX 23000 ROCHESTER D64 91314 EMPIRE HEALTHCHOICE ASSURANCE, INP.O.BOX 100300 CLCOLUMBIA D65 91315 ANTHEM SENIOR ADVANTAGE P.O. BOX 37690 LOUISVILLE D66 91293 CHCCARES OF SOUTH CAROLINA 140 STONE RIDGE DR COLUMBIA D67 91316 BLUE CROSS OF FLORIDA HEALTH OPTP.O.BOX 1798 JACKSONVILLE D69 91317 TOTAL CARE/HEALTHSPRING P.O. BOX 20000 NASHVILLE D71 91318 KEYSTONE 65 P.O.BOX 7799 PHILADELPHIA D75 91319 WINDSOR MEDICARE EXTRA P.O. BOX 269025 PLANTO D94 91302 AMERIGROUP COMMUNITY CARE P.O. BOX 61010 VIRGINIA BEACH D99 91290 MEDICARE ADVANTAGE E12 91299 CAROLINA CRESCENT 1201 MAIN ST. STE 970COLUMBIA E37 91300 SELECT HEALTH P.O. BOX 7120 LONDON E38 91301 UNISON HEALTH PLAN 250 BERRYHILL RD COLUMBIA E51 91305 AMERIGROUP COMMUNITY CARE P.O. BOX 61010 VIRGINIA BEACH E55 91303 TOTAL CAROLINA CARE INC. 1441 MAIN ST COLUMBIA E66 91304 CHCCARE OF SOUTH CAROLINA 140 STONE RIDGE DR COLUMBIA X01 90252 BLUE CROSS & BLUE SHIELD OF MARP O BOX 14115 LEXINGTON X0A 90226 BLUE CROSS OF GEORGIA/COLUMBUS INP O BOX 9907 COLUMBUS X0ARX 90226 BLUE CROSS OF GEORGIA/COLUMBUS INP O BOX 9907 COLUMBUS X0B 90227 BLUE CROSS & BLUE SHIELD OF GP O BOX 9907 COLUMBUS X0BDN 91322 BCBS OF GEORGIA DENTAL P.O. BOX 9201 OXNARD X0C 90228 BLUE CROSS & BLUE SHIELD OF NOP O BOX 35 DURHAM X0CDN 90228 BLUE CROSS & BLUE SHIELD OF NOP O BOX 35 DURHAM X0D 90229 BLUE CROSS AND BLUE SHIELD OF FLOP O BOX 1798 JACKSONVILLE X0E 90230 EMPIRE BLUE CROSS AND BLUE SHIELD P.O. BOX 1407 CHUNEW YORK X0F 90231 BLUE CROSS & BLUE SHIELD OF VIRGINP O BOX 27401 RICHMOND X0H 90233 BLUE CROSS & BLUE SHIELD UNITEP O BOX 2025 MILWAUKEE X0I 90234 BLUE CROSS & BLUE SHIELD OF MARP O BOX 9836 BALTIMORE X0J 90235 PENNSYLVANIA BLUE SHIELD P.O. BOX 890089 CAMP HILL

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X0K 90236 REGENCE BLUE CROSS BLUE SHIELDP O BOX 1271 PORTLAND X0KRS 91321 REGENCE BCBS OF OREGON P.O. BOX 12625 MAISALEM OREGON X0KRX 91321 REGENCE BCBS OF OREGON P.O .BOX 12625 MASALEM X0L 90237 BLUE CROSS & BLUE SHIELD OF DELP O BOX 1991 WILMINGTON X0M 90238 BLUE CROSS OF MASSACHUSETTS INC P.O. BOX 986020 BOSTON X0N 90239 BLUE CROSS AND BLUE SHIELD OF TEXP O BOX 655730 DALLAS X0O 90240 BLUE CROSS AND BLUE SHIELD OF ALP O BOX 2294 BIRMINGHAM X0P 90241 BLUE CROSS & BLUE SHIELD OF TENN801 PINE STREET CHATTANOOGA X0Q 90242 BLUE CROSS & BLUE SHIELD OF MICHI600 LAFAYETTE EAST DETROIT X0R 90243 MEDICAL MUTUAL OF OHIO 2060 EAST 9TH STREETCLEVELAND X0S 90244 BLUE CROSS & BLUE SHIELD OF NEWP O BOX 1938 NEWARK X0SDN 90244 BLUE CROSS & BLUE SHIELD OF NEWP O BOX 420 NEWARK X0T 90245 BLUE CROSS OF ILLINOIS P O BOX 1364 CHICAGO X0TDN 90245 BLUE CROSS OF ILLINOIS P O BOX 1364 CHICAGO X0U 90246 BLUE CROSS & BLUE SHIELD OF KENT9901 LINN STATION RLOUISVILLE X0V 90247 BLUE SHIELD OF NORTHEASTERN NEW P.O. BOX 15013 ALBANY X0W 90248 BLUE CROSS OF CALIFORNIA P.O. BOX 60007 LOS ANGELES X0X 90249 CENTRAL BENEFITS MUTUAL INSURAP O BOX 16526 COLUMBUS X0Y 90250 ANTHEM BLUE CROSS AND BLUE SHIELDP.O. BOX 37010 LOUISVILLE X0YRX 90250 ANTHEM BLUE CROSS AND BLUE SHIELDP.O. BOX 37010 LOUISVILLE X0Z 90251 BLUE CROSS & BLUE SHIELD OF MISSP O BOX 1043 JACKSON X1A 90253 BLUE CROSS BLUE SHIELD OF NEW MEP.O. BOX 27630 ALBUQUERQUE X1D 90254 BLUE CROSS /BLUE SHIELD OF NA550 12TH STREET SW WASHINGTON X1E 90255 BLUE CROSS OF PUERTO RICO P.O. BOX 366068 SAN JUAN X1F 90256 BLUE CROSS & BLUE SHIELD OF RHO444 WESTMINSTER MALPROVIDENCE X1G 90257 INDEPENDENCE BLUE CROSS 1901 MARKET STREET PHILADELPHIA X1H 90258 BLUE CROSS & BLUE SHIELD OF COP O BOX 504 NEW HAVEN X1I 90259 ARKANSAS BLUE CROSS AND BLUE SHP O BOX 2181 LITTLE ROCK X1J 90260 BLUE CROSS & BLUE SHIELD OF P O BOX 80 BUFFALO X1K 90261 BLUE CROSS & BLUE SHIELD OF MEMPH85 NORTH DANNY THMEMPHIS X1L 90262 BLUE CROSS & BLUE SHIELD OF LOUISP O BOX 98029 BATON ROUGE X1M 90263 BLUE CROSS & BLUE SHIELD OF KANSAS1133 SOUTHWEST TOTOPEKA X1N 90264 MEDICAL SERVICE CORPORATIONP O BOX 3048 SPOKANE X1O 90265 WELLMARK BLUE CROSS BLUE SHIELDP.O. BOX 5023 SIOUX FALLS X1P 90266 BLUE CROSS & BLUE SHIELD OF MINNP O BOX 64338 ST PAUL X1Q 90267 BLUE CROSS & BLUE SHIELD OF MAINE 2 GANNETT DRIVE SOUTH PORTLAND X1R 90268 HIGHMARK BLUE CROSS BLUE SHIELD P O BOX 535053 PITTSBURGH X1S 90269 COMMUNITY MUTUAL INSURANCE COMP1351 WILLIAM HOWACINCINNATI X1U 90271 BLUE CROSS & BLUE SHIELD OF NEBRAP O BOX 3248, MAINOMAHA X1V 90272 BLUE CROSS & BLUE SHIELD OF COLO700 BROADWAY DENVER X1W 90273 BLUE CROSS & BLUE SHIELD OF UTAH P O BOX 30270 SALT LAKE CITY X1X 90274 BLUE CROSS OF OHIO P O BOX 956 TOLEDO X1Y 90275 BLUE SHIELD OF CALIFORNIA P O BOX 7168 SAN FRANCISCO X2A 90277 WELLMARK BLUE CROSS BLUE SHIELDP O BOX 5023 SIOUX FALLS X2B 90278 BLUE CROSS & BLUE SHIELD OF KANSP O BOX 419169 KANSAS CITY X2F 90282 BLUE CROSS AND BLUE SHIELD O165 COURT STREET ROCHESTER X2G 90283 BLUE CROSS & BLUE SHIELD CENTP O BOX 4809 SYRACUSE X2H 90284 BLUE CROSS & BLUE SHIELD OF U12 RHOADS DRIVEUTICA X2J 90286 BLUE CROSS & BLUE SHIELD OF NOR4510 13TH AVE. SW FARGO X2K 90287 CAPITAL BLUE CROSS 2500 ELMERTON AVENUHARRISBURG X2L 90288 BLUE CROSS OF NORTHEASTERN PEN70 NORTH MAIN STREEWILKES-BARRE X2M 90289 BLUE CROSS OF WASHINGTON AND ALAP O BOX 327 SEATTLE X2O 90291 BLUE CROSS & BLUE SHIELD OF WESP O BOX 1353 CHARLESTON

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X2P 90292 MOUNTAIN STATE BLUE CROSS & BLUP O BOX 1948 PARKERSBERG X2S 90295 BLUE CROSS & BLUE SHIELD OF VERMOP O BOX 186 MONTPELIER X2T 90296 BLUE CROSS & BLUE SHIELD OF OKLAP O BOX 3283 TULSA X2U 90297 BLUE CROSS & BLUE SHIELD OF MISSO1831 CHESTNUT STREEST LOUIS X2V 90298 BLUE CROSS OF IDAHO HEALTH SERVIP O BOX 7408 BOISE X2W 90299 BLUE CROSS & BLUE SHIELD OF ARIZP O BOX 13466 PHOENIX X2X 91306 BLUE CROSS BLUE SHIELD OF HAWAII P.O. BOX 44500 HONOLULU X2Y 91307 BLUE CROSS BLUE SHIELD OF MONTANAP.O. BOX 5004 GREAT FALLS X3A 91309 UNITED TEACHERS ASSO. INS. CO. P.O. BOX 30010 AUSTIN X3B 91320 TPA EXCHANGE P.O. BOX 4363 ST AUGUSTINE XOKRX 91321 REGENCE BCBS OF OREGON RX PLAN P.O. BOX 12625 MAISALEM XOV 90225 BLUE CROSS OF NORTHEASTERN NEWP O BOX 15013 ALBANY XYZ 91308 PRESCRIPTIONS SOLUTIONS P.O. BOX 6037 CYPRESS

1335 rows###

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STATE ZIPNC 27402 8002792175 KY 40512 8002792175 KY 40512 8002386279 CA 92610 8779167920 ASSIGNED BY SCHA AZ 85029 8667448482 CODE ASSIGNED BY SCHA CA 90242 8003903510 CODE ASSIGNED BY SCHA SC 29602 8646098111 OK 731250160 8006548489 NE 68175 8002289090 DO NOT USE FOR MEDICARE.THIS CODE IS ONLY USED FOR HEALTH RELATED COVERAGE. TX 79998 8006386626 NC 27420 3366913000 PA 191011574 8666817373 CODE ASSIGNED BY SCHA TX 78268 8008415550 USE CODE 280 CAREMARK FL 32207 8003463778 THIS CARRIER BOUGHT OUT BY AETNA CC100 NC 282473500 7045443665 USE CODE 113 UNITED HEALTHCARE INACTIVE 8-02 UT 84130 8005215505 UT 84130 8005215505 MO 64114 8009224262 CODE ASSIGNED BY SCHA SC 29202 8003668997 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA TN 372305154 8002558109 SC 29606 8642405840 MD 21202 3013323000 FL 32224 8005358086 TX 77553 8008996803 NC 28110 7042258887 SC 294130010 8437638680 IL 606660927 8006213724 OH 43215 8008480123 PA 19020 2152441600 WA 98124 8008610056 CODE ASSIGNED BY SCHA MI 48161 8004231028 CODE ASSIGNED BY SCHA CO 80201 8005252115 PER HOSP. ASSO. 07/02, THIS IS STILL A VALID CARRIER PA 19355 8005379389 SC 29304 8889628437 CARRIER WAS COASTAL STATE LIFE INS. CO. GA 31412 9126911551 THIS CARRIER BOUGHT JONES, HILL & MERCER INS. SC 29202 8037987000 IL 60640 8002254500 TN 37422 8002510670 DO NOT USE FOR MEDICARE.THIS CODE IS ONLY USED FOR HEALTH RELATED COVERAGE TN 37422 8002510670 DO NOT USE FOR MEDICARE.THIS CODE IS ONLY USED FOR HEALTH RELATED COVERAGE TN 37422 8002510670 DO NOT USE FOR MEDICARE.THIS CODE IS ONLY USED FOR HEALTH RELATED COVERAGE MO 641416233 8008257531 CARRIER WAS ALLIED GROUP INSURANCE TRUST NC 282303211 CODE ASSIGNED BY SCHA PA 17601 7173972751 IA 527332920 8009222918 WI 544028013 8008269781 WAS WAUSAU INS. CO. WI 544028013 8008269781 WAS WAUSAU INS. CO. WI 544028013 8008269781 WA 982270010 MEDICARE ADVANTAGE PLAN TN 37927 - MO 63857 8004452158 USE CODE 308 GREAT WEST LIFE INACTIVE 8-02

CARRIER PHONE NO

CARRIER COMMENT

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UT 84130 8004668182 CODE NOT REQUESTED BY MEDICAID ASSIGNED BY SCHA OK 73102 4052701400 FL 33907 9419366242 NC 28212 7045366230 FL 337578811 8887806388 NC 27702 8004445431 NY 100073100 2126184000 TN 372501500 8008882452 KY 40742 8003482922 MEDICAID HMO UT 84130 8004585512 CODE NOT REQUESTED BY MEDICAID ASSIGNED BY SCHA SC 29721 8032862440 SC 29721 8032862440 CA 926906080 8884114208 CODE ASSIGNED BY SCHA MO 65810 4178828100 CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA GA 303485006 7709805100 VA 23230 8042816000 IN 46801 2194552000 NJ 08110 8002570625 IL 606804458 8772179677 WAS MASS MUTUAL IL 601684059 8772179677 IL 606819785 8004585736 CODE NOT REQUESTED BY MEDICAID. SCHA ASSIGNED TX 82655 8004213550 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA OH 432182202 6142497111 FL 325910130 8006454116 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA GA 30348 8003884580 OH 441014953 2166966400 WA 98124 8775039095 CODE ASSIGNED BY SCHA NY 11753 5163906000 SC 29303 8645856456 NC 27605 9198318189 NC 27102 8003683804 MA 016150118 5087994441 FL 325910100 8002757366 NY 10001 2123374900 TX 787200225 5123453200 AL 35238 8005956949 NJ 080341997 8008471148 CODE IN OPEN STATUS BY SCHA CT 06338 8887796872 CODE NOT REQUESTED BY MEDICAID. SCHA ASSIGNED UT 84145 8007773622 FL 33631 8008847975 CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA IL 60173 8475191880 PA 181057066 8003620700 CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA LA 70434 8002342643 NC 27102 8003009566 DORMANT 8/06 OH 45216 8888008717 GA 303485006 7709805100 NE 68501 8004977044 SC 29716 8035483657 NY 148510307 8664337462 KS 661012762 9133426555 KY 40742 8008337423 CODE NOT REQUESTED BY MEDICAID. ASSIGNED MY SCHA KY 40742 8002883343 CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA SD 57105 CODE ASSIGNED BY SCHA

Page 29: Carrier Code List Numeric

TX 752655433 2149547840 TX 76107 8007320657 MA 022699183 8888884742 OK 735344 8003668355 CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA - - IL 60631 7733996645 IL 61656 8003221516 IL 61656 8003221516 MA 02117 8002331449 CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA NY 11201 8005544022 CODE ASSIGNED BY SCHA FL 33764 7275320400 MO 641112406 8006488624 NC 271142987 8007951023 NY 10940 3173298222 NY 13761 8002524624 KS 66210 8772466997 NE 68501 8002559678 TX 750853925 8007531000 IA 52733 8476151500 USE THIS CARRIER FOR GROUPS WITH MORE THAN 50 EMPLOYEES. USE CCA03 FOR GROUPS LESS THAN 50 EMPLOYEES GA 30348 7702396230 AK 99524 8007703740 WI 53744 8774693073 FL 32245 8004574708 NE 68175 8776175587 CO 80155 8884792000 MI 48075 8008379600 RX CARRIER ONLY MA 011441500 8003102835 CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA NJ 08855 8009926613 CODE ASSIGNED BY SCHA TX 78265 8009523455 NC 27114 8008247406 CODE ASSIGNED BY SCHA TN 37416 4238992593 CA 94551 5104497070 GA 303919123 7068635955 MD 20201 8007529797 WI 53209 8005455015 CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA CA 90080 8004212342 CODE ASSIGNED BY SCHA KS 66201 8004440321 NC 27106 8006420483 GA 30366 4044579555 CODE ASSIGNED BY SCHA WA 98227 8006880010 LA 70898 8887295433 DENTAL PLAN GA 30722 8003211855 IL 8476990600 WI 54913 8008734542 WA 99210 8005417846 NJ 08628 8007923666 IL 62715 2177892500 AZ 85078 8003085948 TX 78279 8002291024 OH 44026 4405272955 CODE IN OPEN STATUS BY SCHA TN 37250 6157491000 FL 337578844 8776045240 AZ 85734 8005544954

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AZ 85734 8005544954 AZ 85734 8008449636 TX 752443909 8008729934 CARRIER WAS FIRST INTERGRATED HEALTH OH 440705300 8002558063 RI 02886 8007176614 FL 325912922 8006581413 CODE IN OPEN STATUS BY SCHA MEDICARE SUPPLEMENTAL PLAN G PA 18966 8007271733 KS 66225 8772926037 CA 92660 8004512513 LA 70160 5045661300 IN 46825 8008377400 CODE ASSIGNED BY SCHA NC 27609 8003317108 SEE CARRIER 366 CATALYST RX CT 06447 8883222524 AK 72203 8005083772 VA 220388022 8662199292 CODE IN OPEN STATUS BY SCHA NV 895203087 8003153440 CA 926906080 8885248778 CODE ASSIGNED BY SCHA TX 76102 8007251407 KY 40742 8007888445 MA 02139 8662225137 MEDICARE ADVANTAGE OH 45342 8002326242 NC 282220887 7043643865 CODE ASSIGNED BY SCHA FL 32591 8009348203 CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA KS 66212 8002556065 NC 28222 8666360239 CODE IN OPEN STATUS BY SCHA FL 32204 8004685126 MD 20850 8003423289 TX 85261 8007725924 CODE ASSIGNED BY SCHA NY 122066602 8009267526 KS 66201 9134514900 CA 92025 8005385512 TX 750708080 9725295085 CO 81502 8008544558 IL 60601 8007778467 AZ 850722196 8008415550 USE CARRIER 471 NJ 07724 8003371421 CODE ASSIGNED BY SCHA IL 60017 8009470319 PA 77010 8668501256 PA 19044 8003454017 NE 68102 8002253108 VT 05302 8002411121 CODE IN OPEN STATUS BY SCHA OH 45250 8888008717 IA 50306 5152433210 NY 10016 8005624690 CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA FL 336313716 8134968100 VA 20149 7037294677 IO 51102 8005265710 OH 43697 8888912564 OH 44319 8002378447 WI 53711 6082731776 OK 73126 8006549106 NY 101161451 2124735700 SC 29304 8002474526

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NY 10116 2125395115 PA 16512 8007772524 PA 16512 8007772524 MN 55116 8002778973 MO 640514665 8162575500 KY 40224 5023397500 IA 52801 8669272200 THIS CODE ASSIGNED BY SCHA WV 253302801 8668695597 CODE ASSIGNED BY SCHA DC 20001 8004438087 IL 60068 8665131479 MO 63857 8006638081 KS 66701 8776314227 OH 45401 8004766789 CODE NOT REQUSTED BY MEDICAID. ASSIGNED BY SCHA GA 31139 8007425246 TX 78269---- 2106991872 NC 282277016 8004826736 NC 282277016 8004826736 MO 63857 8006638081 GA 30324 8887275560 SEE CARRIER 366 CATALYST RX SC 29413 8437222115 SC 29413 8437222115 NC 27607 8002891122 OH 43017 8005520455 OH 443136977 3308678443 PA 19406 8002202600 MS 39201 6019493100 MD 20910 8002222798 TX 799980624 8005537654 USE 386 ASSURANT HEALTH FL 337578843 8885868810 MA 01923 8889994767 CODE IN OPEN STATUS BY SCHA KY 40742 8005625792 GA 300090247 8008329186 KY 40742 8004107778 TX 76163 8667747766 CODE NOT REQUESTED BY MEDICAID. SCHA ASSIGNED VA 23431 8008095916 TN 37234 2147200511 IL 606660904 8005412254 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA MA 01581 8005327575 MN 554390873 8009554879 DC 20006 8006388432 OH 441468022 4402504300 NY 12167 8009626294 CODE IN OPEN STATUS BY SCHA PA 19101 8007737752 TN 38111 8002381344 IN 462030839 8004777870 CODE NOT REQUESTED BY MEDICAID. SCHA ASSIGNED IL 61265 8002246602 THIS COMPANY BOUGHT OUT JOHN DEERE INS. CO. 6/29/07 PA 19087 8882939229 MA 02181 8002253950 NJ 07661 2013433003 AZ 850689060 8008825707 CODE NOT REQUESTED BY MEDICAID. SCHA ASSIGNED SC 29716 8002421510 SC 29716 8002421510 GA 30084- 7709343953

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MD 217020235 8882641512 CODE NOT REQUESTED BY MEDICAID. SCHA ASSIGNED MI 490098501 2693816630 THIS CODE ASSIGNED BY SCHA 8/28/07 AL 352382767 8002936260 CODE NOT REQUESTED BY MEDICAID. SCHA ASSIGNED TN 37203 6152563561 WI 544028077 8666848090 CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA CO 810020720 8004468182 CODE NOT REQUESTED BY MEDICAID. SCHA ASSIGNED SC 29419 8003149010 CODE ASSIGNED BY SCHA IN 46015 CODE ASSIGNED BY SCHA AZ 85018 6024689500 KS 67201 8003620788 USE CODE 139 FL 33630- 8002377767 MD 208953960 3014683742 NC 27701 9196829201 SC 29419 8004087681 USE CARRIER 859 NEW ENGLAND GROUP TRUST FL 32082 8008416288 CODE ASSIGNED BY SCHA PA 18505 8668501253 SC 29503 8886226001 GM SOUTHWEST IS THE CLAIMS PROCESSOR FOR PEARCE ADMINISTRATION MN 55440 8004446965 SC 29602 8649875200 MD 20849 8009973784 PA 196107011 8007820392 IN 46601 2192370560 DE 19899 8004687077 UT 84109 8774740605 WAS P5 ELECTRONIC HEALTH SERVICES TX 794533070 8006589777 NJ 07410 9736963111 FL 338880007 8633183000 TX 75075 8003319955 WI 530950758 8002481062 MA 024719171 8004620224 CODE ASSIGNED BY SCHA TX 75085 7163195399 WAS NORTH AMERICAN ADMINISTRATORS, INC. AZ 85282 OH 44309 2167966531 MS 39236 6013660596 PA 19404 8005199175 NV 891145615 8007771840 MO 641140530 8772840102 OH 441014928 8003214085 VA 22314 7036835585 TX 79998 8004446254 WAS FORTIS INSURANCE COMPANY IA 52733 8004446254 WAS FORTIS INSURANCE COMPANY NC 28220 7045232758 TX 77268 8008107856 CODE IN OPEN STATUS BY SCHA IN 46220 8003597408 MN 554590093 6123337651 NY 13217 8002344393 MI 490051790 8003421895 AL 35202 8009919155 IA 520045003 8003257442 CODE NOT REQUESTED BY MEDICAID. SCHA ASSIGNED CT 064705508 2034268161 CODE ASSIGNED BY SCHA CO 80111 8005257662 CODE ASSIGNED BY SCHA MN 55164 6518468370 MO 63127 8003659036 CODE ASSIGNED BY SCHA

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AZ 85067 8007332285 SC 29219 8008682520 CLAIMS SHOULD BE SENT TO THE ATTN OF SARAH TOWNES AX-B10 SC 29219 8037883860 DO NOT USE FOR MEDICARE.THIS CODE IS ONLY USED FOR HEALTH RELATED COVERAGE. SC 29219 8037883860 THIS CODE USED ONLY FOR DENTAL CLAIMS WHERE BCBS IS THE INSURANCE CARRIER SC 29260 8037883860 SC 29260 8772753256 MEDICAID HMO SC 29614 8643701800 VA 23451 AZ 85072 6028661066 CODE IN OPEN STATUS BY SCHA FL 33322 8008471148 CODE ASSIGNED BY SCHA AR 72203 5013760426 AKA AEGON NY 132176589 3154221533 WA 981241699 2068678000 TX 76006 8660511-47 CODE ASSIGNED BY SCHA CT 06034 8002517722 IL 60690 8002882078 NC 28801 8282529776 MI 48909 5173497010 MI 48909 5173497010 SC 29202 8008681032 THIS CARRIER ASSIGNED BY SCHA NOT REQUESTED OR USED BY DHHS. PA 15222 8669008322 CODE NOT REQUESTED BY MEDICAID. SCHA ASSIGNED WI 549128007 8006854542 CODE ASSIGNED BY SCHA GA 30334 8006266402 WI 53701 6082385851 RI 02920 4147975000 CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA MD 210900357 8006752605 CODE ASSIGNED BY SCHA SC 29202 8037880500 SC 29621 8643759661 TN 37219 8005822498 SC 29212 8037320060 TX 772104884 2813687200 MD 21705 8002576458 TX 79998 8004446254 USE 386 ASSURANT HEALTH KY 40512 8006417761 MI 48235 8005220041 VA 24505 8002530856 CO 80217 8007770595 SC 292023234 8003153143 WAS CAROLINA CARE PLAN ANOTHER PHONE # 800-232-3143 GA 314120088 8035778051 USE CODE 345 EMPLOYEE BENEFIT SERVICES KY 405125225 9004387886 AKA HEALTH NET OF AZ. CODE ASSIGNED BY SCHA MD 63042 8005537654 CODE ASSIGED BY SCHA TX 76006 8008721187 CODE ASSIGNED BY SCHA DE 19899 8007522677 OPEN 6/06 IL 60440 8007597422 MN 554590054 8004468182 CA 913201431 8006762583 CODE ASSIGNED BY SCHA NJ 08840 9085486662 AK 995034116 8004784450 CODE ASSIGNED BY SCHA TX 75204 2148269090 CODE ASSIGNED BY SCHA TX 782790064 CODE ASSIGNED BY SCHA IL 60561 6309602035 WHEN CALLING THE ABOVE PHONE NUMBER, YOU ARE ASKED TO DIAL AN EXTENSION. DIAL EXTENSION 23. FL 33907 8139366242

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IN 462500440 3175549000 PA 15230 8005815300 USE CODE 712 TDI MANAGED CARE SERVICES LA 70821 5042968382 PA 17331 7176324727 IN 46202 8006284664 CO 801553559 3037705710 MN 554420150 8009554879 USE CODE 333 EXPRESS SCRIPTS OH 432182173 8008482664 USE CODE 139 TX 76015 8003976241 GA 30374 8005235880 SC 29670 8646468331 AZ 850722196 8008642352 TN 371331398 6158902020 VA 232300767 8042191585 CODE ASSIGNED BY SCHA MN 55816 8002338065 USE CODE 333 EXPRESS SCRIPTS WV 25526 3045621913 IL 60017 8003235000 IL 60017 8003235000 TX 761828009 8005272845 TX 76161 8008672582 OH 44087 8004334893 KY 40742 8008891947 COVENTRY HEALTH CARE IS PARENT CO. OF SOUTHERN HEALTH AND WELLPATH OH 45223 8006816912 CODE ASSIGNED BY SCHA KY 40742 8667321017 NE 68506 4024839250 GA 30061 7704281604 OR 972083125 8006283912 CODE ASSIGNED BY SCHA NY 146922920 8009993920 MEDICARE ADVANTAGE SC 29571 8434235541 OH 44720 3309665500 NE 68026 8003506714 IN 43242 8002482141 CODE ASSIGNED BY SCHA CA 958997100 8006227444 MN 55305 CODE ASSIGNED BY SCHA IN 46660 CODE ASSIGNED BY SCHA AZ 85012 6022413400 NJ 079361981 8005226727 BOUGHT OUT BY EXPRESS SCRIPTS CC333 IL 606049720 8006216360 NC 27116 8663074711 SC 29304 8645736937 OH 45839 8005587798 GA 300232651 8005212651 PA 19049- 8005236599 NY 101162803 8004478255 NJ 08057 8003597475 MI 481130779 2156578920 CODE IN OPEN STATUS BY SCHA MD 212857806 8006382972 NH 03842 8002587298 NE 68134 4023971111 NY 10116 8006242414 UT 84110 8003525150 OK 73172 8007492631 MN 55344 8003364091

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FL 33138 CODE ASSIGNED BY SCHA NY 121811079 8002880882 NY 12110 8007933773 NOT REQUESTED BY MEDCAID. ASSIGNED BY SCHA FL 32232 8006616385 THIS CODE ASSIGNED BY SCHA NOT A MEDICAID REQUEST GA 30202 7706645594 WA 98124 8007626004 CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA MD 20705 8003863632 AL 35238 8778939294 NJ 088180846 8006243096 CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA MD 21705 8002350123 CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA MD 20785 3015771700 NY 121108006 8008333650 TX 75713 8004778957 CODE ASSIGNED BY SCHA TPA IL 61105 8009470319 USE CODE 282 WASHINGTON NATIONAL OH 44706 8003448858 GA 31119 8006111811 MEDICARE ADVANTAGE GA 30316 8008881966 PA 185040097 8007470622 CODE ASSIGNED BY SCHA SC 29307 8645733535 CODE IN OPEN STATUS BY SCHA WI 543079032 8002325432 SC 292111111 8883239271 WI 53187 2627844600 SC 292021640 8007731445 CODE IN OPEN STATUS BY SCHA SC 29606 8642348200 SC 29606 8642348200 OH 441010316 8006348816 CODE ASSIGNED BY SCHA GA 303581535 8004441535 CODE ASSIGNED BY SCHA OH 44101 8003621279 CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA AL 35202 2053252722 SC 293054217 8645962227 CODE ASSIGNED BY SCHA IL 60563 8006315917 TX 753709009 2144476400 CODE ASSIGNED BY SCHA CA 90801 8006424148 CODE NOT REQUESTED BY MEDICAID. SCHA ASSIGNED NY 13217 3154489228 UT 841300544 8002357160 CODE NOT REQUESTED BY MEDICAID. SCHA ASSIGNED IL 606804106 8005940977 CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA AR 72756 320 5016212929 USE CODE 401 BLUE CROSS BLUE SHIELD OF SC MD 21046 8006381134 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA IN 46250 8668734516 CODE IN OPEN STATUS BY SCHA NC 28210 8003275462 NC 28210 8003275462 AR 72203 8008277026 TN 37744 4236396145 TX 772104882 8005527879 CODE ASSIGNED BY SCHA IN 46064 7657781535 IN 46082 8666994186 IA 50306 8002325818 INACTIVE 8/02 SC 295010659 8436613875 GA 310300978 8008255406 CT 06115 8004512513 THIS CARRIER PURCHASED BY CC864 GE GROUP ADMINISTRATORS FL 33442 8002223560 OH 44147 IN 46206 8006052282 CODE ASSIGNED BY SCHA

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FL 321152480 8004344890 WAS POE & BROWN - - NJ 07018 8005240227 MN 55440 8884465710 WAS HEALTH RISK MANAGEMENT INC. AZ 85082 8009538854 CODE IN OPEN STATUS BY SCHA MD 20852 3019841440 CODE ASSIGNED BY SCHA AR 722218215 8886049397 CODE IN OPEN STATUS BY SCHA CO 80111 8778398119 MO 65814 8778757700 TX 79105 8063784235 CODE IN OPEN STATUS BY SCHA WI 53008 6082769111 CODE IN OPEN STATUS BY SCHA SD 57109 8007525863 MO 64199 8163912134 OPEN 1/06 FL 32814 8007410521 OH 45250 8006620210 USE CARRIER A24 NE 681030160 4024968000 UT 84130 8009985033 CA 958521506 8005318222 OH 43216 8008246796 NAME CHANGE WAS ANTHEM BENEFIT ADMINISTRATORS IN 46278 6189438000 NY 10566 9147377220 PA 15220 4129220780 WAS DIVERSIFIED GROUP ADMINISTRATORS MO 64141 8886787012 MI 482321223 8002751896 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA GA 307194539 7062727391 CODE IN OPEN STATUS BY SCHA CT 06601 8008484747 MO 64141 8167534900 FL 33679 8007497409 USE CODE A98 CORPORATE BENEFIT SERVICES DORMANT 8/02 SC 29303 8645038333 IA 50309 5152432131 WAS NORTHWEST FINANCIAL GA 31999 8009923522 TX 782659787 8665798811 MA 01101 8006289000 PA 190730477 8005234702 SC CO 802069024 3033317599 WI 537077889 8667730404 SC 290207031 8004033950 INTERNET WWW.MYTRICARE.COM GA 30999 8772887600

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SC 29210 8037507473 MEDICARE ADVANTAAGE PLAN (IN STATE) - ----- - ----- - ----- - ----- - ----- - ----- - - NE 68175 4023427600 MEDICARE INTERMEDIARY PART A NE 68175 MEDICARE INTERMEDIARY PART B KY 40742 8882762020 MEDICAID HMO SC 29210 8037985852 MEDICAID HMO SC 29615 8644551100 MEDICAID HMO WI 537077890 8667730404 TN 37402 8772966189 MEDICARE INTERMEDIARY GA 31908 8004412273 MEDICARE INTERMEDIARY MD 21900 6152445600 TN 37202 6152445600 MEDICARE INTERMEDIARY SC 29020 8775115000 MEDICARE ADVANTAGE - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

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- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - MA 01151 8002888630 TX 787669201 8002529653 CODE ASSIGNED BY SCHA NC 282738102 7045259666 GA 30349 8002417701 MD 20849 8002218699 GA 312020840 8887412673 SC 29536 8437747353 PA 19406 8885547629 CODE NOT REQUESTED BY MEDCAID. ASSIGNED BY SCHA MO 63101 8008687526 FORMERLY MARSH ADVANTAGE AMERICA MO 63102 8008687526 FORMERLY BENEFIT PLAN SERVICES NJ 08034 8005339323 GA 302370607 4044771888 PA 15238 8005815300 CARRIER BOUGHT OUT BY PHARMACARE CC 740 TX 750260957 8663736366 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA GA 30341 8005337896 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA MN 558168200 8005262414 USE CC113 UNITED HEALTHCARE NJ 07071 8884463327 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA NY 146922920 8009993920 CODE ASSIGNED BY SCHA PA 185050598 8006225579 FL 322470269 9043548335 VA 24219 8006549763 PA 176083080 CODE ASSIGNED BY SCHA IA 50301 8002472190 SC 29202 8032566265 IL 61652 8004484689 CODE ASSIGNED BY SCHA SC 29303 8645852046 TX 75150 8008783157 NE 68114 8004624660 NY 10165 8003412234 NC 27702 9194904391 CODE IN OPEN STATUS BY SCHA GA 314163088 8005666710 GA 31139 8664704959 CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA NJ 07656 2013072177 ID 83619 2084527979 CODE IN OPEN STATUS BY SCHA NC 28224 8888367764 CODE NOT REQUESTED BY MEDICAID ASSIGNED BY SCHA

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OH 43214 8002216036 MD 212442644 8006383120 PA 17106 8008668499 FL 333329711 8037988698 CODE IN OPEN STATUS BY SCHA NJ 07078 8662670092 CODE ASSIGNED BY SCHA AZ 850722196 8002376184 AS OF 1/1/08 CO. MERGED WITH CAREMARK (471) ADD NEW POLICIES WITH 471 OH 45502 8667669016 CODE ASSIGNED BY SCHA MI 48075 8009376432 IN 468012362 2606257500 PA 15601 8007131983 MD 21093 8006386085 MA 02160 8003479355 CA 90630 8663169776 CODE ASSIGNED BY SCHA NC 28209 - CODE ASSIGNED BY SCHA MI 49501 8002533074 IL 61110 8159699663 OH 43086- 8002340225 OH 43015- 8002340225 OH 43015- 8002340225 FL 33014 8005912650 CODE ASSIGNED BY SCHA GA 309032226 9009778221 NY 10108 8888191199 LA 70190 800596 315 TN 37877 8009933401 TX 750860909 9728816000 OK 731270870 8004892974 CODE ASSIGNED BY SCHA IA 50309 8002472192 AKA TROA IN 46205 8003314757 MI 49007 8003257477 FL 337578850 8778158857 CODE ASSIGNED BY SCHA FL 33631 8005257268 KY 407427373 8003482922 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA SC 29224 8777724642 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA GA 31402 9122346621 GA 31402 9122346621 GA 30459 4785523951 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA WI 53708 8889154158 AR 72602 8008744723 PA 19493 8005237900 TX 761828009 8176566040 USE CODE 477 MEGA LIFE IN 462066001 8008243216 NE 681032018 8002289100 FL 33830 8003922978 WI 535120658 8003035770 LA 700118570 8003662475 CODE IN OPEN STATUS BY SCHA MI 482370504 8002259674 THIS CODE NOT REQUESTED BY SCHA. ASSIGNED BY SCHA VA 23452 757-485-25 CODE ASSIGNED BY SCHA FL 32317 8007677829 DORMANT 8/06 TN 376024985 8002752847 NC 282202995 8003340609 NC 282202995 8003340609 TX 753542077 8009372036 FL 328620123 8007766070 CODE ASSIGNED BY SCHA

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FL 327950856 8002530856 CODE ASSIGNED BY SCHA OH 44901 8004413961 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA CA 906300072 8008513802 MD 21203 8008203372 DORMANT 8/06 IL 611051250 8002751896 CODE IN OPEN STATUS BY SCHA SC 29569 DORMANT 8/06 NC 27417 8002886312 DORMANT 8/06 IL 611051250 8159875000 USE CODE 282 WASHINGTON NATIONAL NE 68501 8662897337 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA GA 30371 4046593300 NC 272150901 3362267950 IL 60148 8003237268 CODE ASSIGNED BY SCHA SC 29115 8003720004 DORMANT 8/06 TX 75081 8005591322 USE CODE B44 AMERICA CHOICE HEALTH PLAN CA 949129974 8008764582 WAS G E FINANCIAL SERVICES PA 185040097 8007177562 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA CO 80155 8882738020 FL 325910130 8007896364 IN 46032 8005381235 OH 452500408 8004007247 THIS NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA FL 325910130 8006357418 CODE ASSIGNED BY SCHA WI 54952 9207201300 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA MI 460071199 8002291199 CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA MD 21031 8005706745 OH 44446 8003629354 CODE ASSIGNED BY SCHA UT 84130 877-801-35 CODE ASSIGNED BY SCHA SC 29721 877-629-00 CODE ASSIGNED BY SCHA WV 261027003 8006692255 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA MO 631261509 8007762453 CA 93718 8004427247 CO 80901 7193811950 THID CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA CA 91723 8005738597 CO 810020770 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA PA 171115700 8006280174 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA IN 46801 8009826257 CODE ASSIGNED BY SCHA 8/30/07 SC 29606 8009928088 CODE ASSIGNED BY SCHA SEE CARRIER CODE 536 OR 972084030 8773370650 CODE ASSIGNED BY SCHA OH 44101 8002582873 CODE ASSIGNED BY SCHA - - SC 29503 8887221668 THIS CODE NOT REQUESTED BY MEDCAID. ASSIGNED BY SCHA PA 151465138 8002904009 MEDICARE ADVANTAGE MD 21203 4105470454 GA 30271 8882954864 NE 68017 8005465677 GA 30023 6783390211 TX 78758 8002477724 AR 72221 8886049397 GA 30328 8003879919 MO 658084568 8006472240 NY 14226 8663334648 BROUGHT OUT BY UNITED HEALTCARE CARRIER 113 MO 63132 8006729540 THIS CARRIER BOUGHT OUT BY EXPRESS SCRIPTS. WI 543440620 8005584444 TX 77267 8008655440

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MN 55116 8883308408 KY 402536149 5022442420 TX 76797 8177723050 GA 30301 8003333841 CODE ASSIGNED BY SCHA IN 462400619 3172579131 IN 462400619 3172579131 GA 31202 8887412673 PA 17089 8006222843 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA PA 178218200 8004989731 CODE ASSIGNED BY SCHA 6/14/07 HMO TX 77706 8008809988 FL 33338 8002807093 FL 33823 8002822460 AZ 85285 8884568417 MD 217050934 8003423289 CODE ASSIGNED BY SCHA FL 32257 8006972235 IL 60680 8775955282 AL 36016 3347751284 AL 35283 8778780914 CA 90051 2137422111 NC 28220 7043730447 NC 28220 7043730447 IL 60045 8887111444 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA FL 33630 8006541731 TX 78720 8008352094 GA 31139 8772917920 NY 11226 8777776076 AZ 85069 8008433106 TX 76015 8882558961 TX 77218 2813987770 DORMANT 8/06 WA 98227 3607349888 NC 27702 9194897431 MO 64121 8008745254 MT 59102 8007773575 FL 33345 8004415501 MN 55816 8008776003 CODE ASSIGNED BY SCHA IL 61215 8002246602 CODE ASSIGNED BY SCHA THESE COMPANY BOUGHT OUT JOHN DEERE INS. CO. THIS WAS THE HMO FOR JOHN DEERE 6/29/07 WI 537088190 8002217006 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY THE SCHA KY 40512 8887477823 THIS CODE NOT REQUESTED BY SCHA. ASSIGNED BY SCHA PA 171061140 8006927338 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA NC 27611 8008499000 USE CODE 134 CIGNA HEALTHCARE SC 295010659 CODE ASSIGBED BY SCHA MI 490034022 8002530966 KY 40742 8662083610 WELLPATH SELECT IS A PLAN UNDER THE PARENT CO. COVENTRY HEALTH CARE SC 29602 8642134992 NC 274386303 8009991147 CODE ASSIGNED BY SCHA NC 28211 CODE ASSIGNED BY SCHA SC 29420 8435691759 CODE IN OPEN STATUS BY SCHA FL 329565001 8007167737 CODE IN OPEN STATUS BY SCHA FL 33102 8003284316 FL 33102 8003284316 SC 29260 8037540041 SC 29260 8037540041 CO 80155 8004267453

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NC 282174246 7045295400 GA 30326 8006210683 GA 30326 8006210683 NC 271167368 8009425695 MD 20850 8003438205 NY 14231 8002471466 CODE ASSIGNED BY SCHA PA 19101 8002273116 CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA KY 40742 8889917200 CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA TN 37024 6153771300 FL 33487 8004828770 VA 23502 7574618091 MD 20847 8006382610 NC 27407 8004591466 HMO PLAN ONLY WI 530441515 9204574441 CT 06510 8887812707 DORMANT 8/06 MI 481130779 8006588878 CODE ASSIGNED BY SCHA. THIS IS THE HMO TO CC 504 WHICH IS THE POS WV 253391064 8004354351 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA FL 33335 8008674446 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA TX 76092 8664163605 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA NC 282071018 8002225790 WI 53744 8007662525 AL 35238 8007228477 AL 35242 2059691155 IL 605325227 8003545112 WAS GALLAGER & BASSETT SERVICES SC 29304 8889628437 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA NC 28302 8003376288 NC 28220 8007949355 DORMANT 8/06 NC 28208 7043555200 NY 14901 6077345773 DORMANT 8/06 OH 43537 8008615770 TX 794533010 8064732500 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA SC 292606170 8037868466 WAS COMPANION HEALTHCARE NAME CHANGE EFFECTIVE 7/1/05 NY 11042 8008317783 DORMANT 8/06 OH 44224 8002665896 THIS CODES NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA TX 752619999 8002371900 IN 46140 3178942000 IL 60004 8003921770 DORMANT 8/06 PA 166014899 CODE ASSIGNED BY SCHA MD 20847 8006382610 SC 297161279 8005916764 CODE ASSIGNED BY SCHA NY 14607 8009503224 NAME CHANGE ONLY 4/09. WAS PERFERRED CARE SC 292021640 8032968999 CODE ASSIGNED BY SCHA IL 600172914 8005317662 CODE ASSIGNED BY SCHA 6/18/07 NY 10940 8008267531 THE CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA CO 80949 8002474695 MA 01923 8889994767 CODE IN OPEN STATUS BY SCHA SC 29413 8008100906 DORMANT 8/06 GA 31799 8668478235 TX 77252 8005527879 NE 89109 8008424742 OH 44224 8004564002 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA AZ 85020 8008723860 CODE ASSIGNED BY SCHA NY 100031004 8005463887 CODE ASSIGNED BY SCHA

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GA 30339 8006165709 CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA GA 31416 9123527169 GA 31416 9123527169 WI 541156090 8004355694 CODE ASSIGNED BY SCHA. NOT REQUESTED BY MEDICAID NV 89126 8004584642 CODE ASSIGNED BY SCHA VA 23439 8779344403 NH 030612083 8882014111 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA CA 95826 8007770074 IL 605223755 6306553755 GA 30009 8886506566 KY 40223 8006781536 WI 53008 6304161111 IL 60015 8002072568 CA 91709 8009195514 CODE ASSIGNED BY SCHA MA 02452 8005481256 MI 49512 8009682449 MI 49501 8007669780 USE CARRIER 171 AON OH 44036 8002239941 NY 11050 8006453332 GA 31917 7062776710 WA 98111 8004265980 DORMANT 8/06 NC 27264 4173588131 TN 37067 6159633826 THIS CODE IS USED BY SCHA NOT AN ACTIVE MEDICAID CODE GA 30503 8007774752 WV 26102 8008221805 DORMANT 8/06 LA 708044036 8002151093 CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA AZ 85040 6022340497 FL 33675 8772362338 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA CO 81002 8003621116 VA 23005 8005261677 GA 311190240 4042665500 TX 76182 8007331110 NY 14692 8772429464 CODE IN OPEN STATUS BY SCHA NC 27101 8003348159 MO 63166 8883065299 OH 44309 8003210935 MI 483081913 2488539010 TX 76182 8005198374 CARRIER BOUGHT OUT BY CC 740 PHARMACARE CA 92131 8007882949 IN 46268 8003313287 SEE CARRIER 942 PRINCIPAL FINANCIAL GROUP FL 33757 8778259337 CODE IN OPEN STATUS BY SCHA GA 30348 8003332542 SC 294199024 8007203150 BOUGHT BY CIGNA HEALTHCARE CC 134 WI 54919 8008474836 GA 30341 8002417319 IA 52733 8005221246 THIS CARRIER HANDLES GROUPS WITH LESS THAN 50 EMPLOYEES. SEE CC212 FFOR GROUPS OVER 50 EMPLOYEES. GA 303501853 8003654944 MS 39205 8002568606 PA 191811250 8005234000 THIS CARRIER PART OF CONSECO INSURANCE GROUP SC 29260 8037824947 WY 83001 8003582722 UT 84116 8007708014 OH 44224 8006816912

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FL 336798263 8772767198 ID 83616 8669527979 GA 31412 8004043344 OH 44087 8008007153 MO 631016922 8007596959 TX 78216 8008999355 NY 140720308 8003333195 VT 05823 8888421530 CODE ASSIGNED BY SCHA NY 11937 8009262306 CODE ASSIGNED BY SCHA OH 443155276 8003258424 OH 443155276 8003258424 GA 31799 8884261937 CODE ASSIGNED BY SCHA NC 274270830 8008527040 WI 532230237 8007593203 CA 930319081 8009627378 GA 30092 8003453189 WI 537088220 8002794000 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA NY 112012482 8005544022 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA VA 24029 8008485433 IN 46280 8006064841 NY 130880678 8772047086 NY 130880678 8772047086 WI 535831374 8003623308 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA MO 63043 8003592422 VA 24108 8002834927 IN 47202 8003683429 DORMANT 8/06 SC 29773 8642991720 CODE IN OPEN STATUS BY SCHA NC 272895000 8002223693 UT 84130 8005575745 NC 274386304 8009991147 SC 29603 8662702316 SC 292243759 8887729682 WI 54307 8004727130 GA 30199 4043811000 NJ 08109 800-966-01 CODE ASSIGNED BY SCHA FL 33328 9543706404 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA TX 75231 8009593953 OR 972070209 5033217000 TX 77006 7135266000 OR 970150286 8005685628 DORMANT 8/06 AZ 850622909 6022318855 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA KY 407428300 8663358319 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA KY 407428300 8663358319 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA KY 407428300 8663358319 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA KY 407428300 8663358319 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA TX 76099 8884441995 NEIC 30018 KY 40232 8004233289 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA AL 352530187 8642772371 DORMANT 8/06 NV 89109 8008424742 CODE ASSIGNED BY SCHA NY 11747 8008283605 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA PA 176083301 8002233943 CODE ASSIGNED BY SCHA SC 29622 8643340090 CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA SC 29423 8003340090 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

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SC 296520199 8002341878 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA TN 37070 8008310420 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA PA 196125224 8003310420 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA SC 29602 8648593211 DORMANT 8/06 CA 902427004 8003310420 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA FL 33409 5614780095 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA PA 152221219 8009434248 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA PA 15212 8002456102 IA 50309 8002458813 AL 35238 8008113298 TN 37077 8882295020 WAS LIFECARE CENTERS OF AMERICA TX 78205 8006606077 IA 52004 8004574725 PA 19044 8883502002 THIS CODE ASSIGNED BY SCHA. NOT REQUESTED BY MEDICAID TX 75007 9724926474 CO 80021 8007522211 TX 79402 3372341789 30 303740801 8008488406 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA GA 300969343 7706238383 SC 29622 8642241671 USE CARRIER 795 REGIONAL MEDICAL ADMINISTRATORS FL 333269000 8002629175 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA FL 333269000 8002629175 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA MO 65814 8778757700 CODE ASSIGNED BY SCHA TX 750250349 8007676811 CODE ASSIGNED BY SCHA IL 60018 3126963660 TX 761027012 8007828375 KS 66201915 8007535133 TX 761132522 8004331672 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA MD 207030827 8003449885 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA OH 45401 8007363539 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA SC 29340 8644877505 TX 77018 8004476588 MN 55343 8007654224 MO 641051508 8164741200 DORMANT 8/06 MN 554401289 8889222313 FL 330267130 8883054300 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA TX 753809025 8007531000 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA TN 37933 8002840042 CODE IN OPEN STATUS BY SCHA TN 37067 6157784000 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA GA 30339 8004702004 NY 11530 7182745353 MI 49120 8006240698 CA 931211357 8003685682 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA GA 30303 4046592100 CODE IN OPEN STATUS BY SCHA MN 554400535 8884465710 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA MA 02117 8007325543 TX 75053 8007582851 DORMANT 8/06 NC 271022000 3367592013 NC 271022000 3367592013 FL 32756 8007439264 AZ 85260 8006594112 MA 01581 8668587223 PA 17106 8774957223

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SC 29554 8435582594 KS 66225 8009909058 MA 01041 8004234586 KY 40742 8006274872 NY 109500870 6017185230 CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA IN 46206 8006052282 CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA GA 30310 4047555665 MD 217170697 8009442833 IMSCO - INTERNATIONAL MANAGEMENT SERVICE CO. SC 29606 8642893000 TX 75026 8006949888 TN 370701449 8008314914 AL 35266 8004514318 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA MN 551640668 8663562425 DORMANT 8/06 SC 29445 8435725241 DORMANT 8/06 GA 30303 4046592100 NY 10036 2123959339 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA MA 01810 8004429033 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA SC 29221 8778400936 KY 41311 8003258424 IN 462781758 3173298222 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA NY 11747 8668089399 WI 546568764 8002368672 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA PA 176081764 8007737725 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA TX 77292 8006334226 TX 77292 8005989799 NJ 08037 8883282287 WI 54307 8003760110 SC 29503 8036692431 CODE ASSIGNED BY SCHA MN 55164 8003652735 KY 40512 8006417761 THIS CODE ASSIGNED INCORRECTLY BY SCHA. SEE CARRIER CODE 440 OH 44139 8888685854 WI 54402 8775592955 TX 77218 2818291033 TX 76102 8002219039 MI 48080 8107797676 SC 29603 8662702316 THIS CODE INCORRECTLY ASSIGNED BY SCHA. SEE CARRIER CODE A39 FL 335758843 8885868810 THIS CODE NOT REQUESTED BY MEDCAID. ASSIGNED BY SCHA IA 503060408 8008825707 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA MD 21705 8009622174 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA IL 60515 8003233359 CODE IN OPEN STATUS BY SCHA NC 28101 7048243551 CODE IN OPEN STATUS BY SCHA MO 658015750 8005613265 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA GA 303740801 8008488406 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA OH 45214 5136193000 IL 61081 8156258595 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA IA 503069126 8002472192 USE CODE 759 MEDIPLUS PER SCHA IA 50306 8006502723 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA SC 295022047 8775115000 THIS CODE INCORRECTLY ASSIGNED BY HOSP. ASSO. USE CODE 648 FOR THE MEDICARE ADVANTAGE PLAN 648 OH 432162348 8009221245 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA. MD 20706 3017311050 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA. FL 325912457 8888031780 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA KY 40232 5024261843 CODE ASSIGNED BY SCHA

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CA 90020 2133856161 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA AZ 850784150 8002881474 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA OH 442362584 8008930777 DC 20006 8002751171 GA 300670092 8005627079 USE CODE 985 BENESIGHT AR 72917 4797856178 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA OH 45201 5136291800 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA IN 462061746 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA PA 152535078 8002792624 TX 76092 8664163617 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA LA 70804 8002728451 THIS CODE NOT REQUESTED BY MEDICAID. ASSSIGNED BY SCHA IL 60013 CODE IN OPEN STATUS BY SCHA MA 02471 8004238080 MN 55459 8009971750 IL 61801 8003227451 MD 21702 8004974474 OH 45201 5136291800 THE CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA TX 76101 8174517200 IL 60446 8008070400 OH 45402 8004880134 CA 937478082 2092514891 CODE ASSIGNED BY SCHA TX 76006 8884113888 SC 29606 8004765150 CODE IN OPEN STATUS BY SCHA FL 32591 8006357418 CO 809493910 8009376542 FL 32591 8005381053 TX 75374 8662063224 SC 29202 8037721783 CODE ASSIGNED BY SCHA TX 78730 8883687910 TX 75025 8009695238 MI 48084 2488227044 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA NC 28224 8888367764 UT 84145 8007771647 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA ID 83707 8007867930 VA 20176 8008416188 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA IL 61132 8156335800 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA GA 31709 8008417735 WAS PARADIGM CARE PLAN NC 28106 7048455608 NC 28106 7048455608 IN 46825 8008377400 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA OH 441365197 8003213997 SC 29488 8435382876 CODE IN OPEN STATUS BY SCHA AZ 850722196 4803914600 SEE CARRIER 471 SC 29224 8037365088 PA 19044 2154430404 FL 34656 8008814474 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA GA 31758 8883525246 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA CA 915107830 8007774013 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA MA 02021 6178287000 IA 50266 8005113389 WV 26164 8882250522 NC 27619 9198468400 WI 54806 8004973699

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WI 54806 8004973699 MA 02370 8776427500 TX 75025 8002519665 THIS CODE NOT REQUESTED BY MEDCAID. ASSIGNED BY SCHA CA 90510 8006533626 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA SC 29304 8645739541 THE CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA WV 253302801 8004354351 WAS ACCORDIA NATIONAL BOUGHT OUT BY WELLS FARGO FINANCIAL AND NAME CHANGED EFFECTIVE 1/1/07 WV 253321064 8004354351 IL 60522 8668269345 MN 554400039 8665108780 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA NE 68124 8002286080 SEE CODE C99 WI 53744 6086621232 OK 731541407 8002725466 TX 775531800 8883501488 NE 681247007 4023973200 AL 35238 8883222115 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA TN 381741799 9017256435 TN 381741799 9017256435 SC 29201 8037716785 SC 29606 8642356474 SC 29211 8037986207 UT 841710747 8774534201 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA KY 40512 8002727243 AS OF 8/1/02 MERCK-MEDCO AND THEIR SUBSIDIARY PAID PRESCRIPTIONS IS NOW MEDCO HEALTH. TN 379500098 8008221274 TN 379500098 8008221274 GA 31908 8004268803 NC 27417 3366659400 NC 27417 3366659400 SC 29304 901-685-89 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA CT 065208217 2034320250 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA GA 303414128 7704517550 KS 672770510 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA DC 20005 2023936600 KY 40218 8006331262 NY 14305 8004564553 THIS CODE NOT REQUESTED BY MEDCAID. ASSIGNED BY SCHA KY 405784602 8004574708 MEDICARE ADVANTAGE (PPO) SC 290207845 8774467845 MEDCIARE ADVANTAGE (FFS) SC 290207845 8774467845 MEDICARE ADVANTAGE (PPO) SC 29202 8006053256 MEDICARE (FFS) MEDICARE ADVANTAGE SC 29202 8006053256 MEDICARE ADVANTAGE (PPO) SC 29260 8772753256 MEDICARE ADVANTAGE (PPO) CO 809622920 3094942363 MD 20848 8004459090 MD 21060 8002612393 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA AR 72211 8882424800 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA UT 84103 8005470421 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA NC 28222 7043643865 NC 28222 7043643865 FL 338853067 8002263155 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA MD 21401 8004248622 OH 44114 8004213959 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA GA 31119 4042612590 IL 60430 7087997400 MD 21223 8887768851 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

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MD 20850 8002474144 OK 73701 4052334000 CODE IN OPEN STATUS BY SCHA KY 40224 8005281057 TX 770192115 7135290045 TX 78755 8006336752 MO 63141 3148780101 IN 47202 8008732022 TX 76099 8006380589 SC 29304 8004761555 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA CA 95765 8008728276 CA 95661 8008728276 MN 55085 8003282739 PA 17604 8004333746 ANOTHER PHONE NUMBER 717-581-1300 PA 17604 8004333746 ANOTHER PHONE NUMBER 717-581-1300 WI 54650 8002368672 KS 66202 8007714648 PA 15222 8002428923 MA 60631 8885323467 NE 68124 8002286080 CARRIER WAS PREVIOUSLY C35. - - TX 76307 8177617611 CODE ASSIGNED WITH LETTER O INSTEAD OF NUMERIC ZERO. OR 97124 5036402000 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA NJ 08054 8009896739 OR 97401 8006246052 MD 211177098 8008158240 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA PA 15230 8773813764 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA CA 90022 3237227171 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA OH 430170971 8772542363 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA FL 32256 8008920059 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA AZ 85050 8884191094 CODE NOT REQUESTED BY MEDICAID ASSIGNED BY SCHA MEDICARE SUPPLEMENTAL PLAN FL 325912466 8882024340 MEDICARE ADVANTAGE PLAN PRIVATE FEE FOR SERVICE CA 91723 8007756490 CODE ORIGINALLY ASSIGNED AS MA IN ERROR USE CODE 816 FOR MA PLAN MI 48034 8002495103 ASSIGNED BY SCHA TX 78279 8884458916 CODE ASSIGNED MY SCHA KY 405124079 8006240756 MEDICARE ADVANTAGE TX 78279 8662352770 ASSIGNED BY SCHA (PFFS) OK 741013249 8006428065 MEDICARE ADVANTAGE PLAN NY 10274 8882601010 MEDICARE ADVANTAGE PLAN NY 14604 8778839577 MEDICARE ADVANTAGE TN 37933 8656707790 MEDICARE ADVANTAGE PLAN PA 18505 8668659329 FL 32962 8003089823 OH 43086 8002403870 NY 11219 7189218818 MEDICARE ADVANTAGE CT 06601 8002341228 MEDICARE ADVANTAGE CA 927995032 7148253828 MEDICARE ADVANTAGE PLAN FL 327958465 4076281776 MEDICARE ADVANTAGE PLAN IL 68606 3123247000 MEDICARE ADVANTAGE PLAN CT 061150450 8607025000 MEDICARE ADVANTAGE PLAN FL 33265 3055595366 MEDICARE ADVANTAGE PLAN TX 782659735 8778423210 CODE ASSIGNED BY SCHA KY 407427154 8007135095 ASSIGNED BY HOSPITAL ASSOCIATION FL 33731 8666904842 CODE ASSIGNED BY SCHA

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IA 52733 8007737725 CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA PA 15203 8668258152 CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA OH 43216 8009221245 CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA NY 11416 7188455800 CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA MN 55802 8888128800 CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA KY 40522 8007872680 CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA PA 18505 8666862506 CA 91723 8005738597 CODE ASSIGNED BY SCHA NY 14231 8666178585 MEDICARE ADVANTAGE HMO PA 15222309 8005473627 MEDICARE ADVANTAGE HMO WA 98124 8887674670 CODE ASSIGNED BY SCHA 6/11/07 IN 462030519 8887770204 TN 37024 6153371300 VA 234661010 8006004441 MEDICAID HMO FL 33531 8662311821 NV 891145645 8882742207 NY 122110655 8006855209 MEDICARE ADVANTAGE SC 29210 8664336031 MEDICAID HMO FL 33622 8667691157 MEDICARE ADVANTAGE PLAN AZ 852852174 8005779410 MEDICARE ADVANTAGE PLAN MD 21223 8005561570 VA 234661789 8006004441 CODE ASSIGNED BY SCHA SC 29210 8663213947 MEDICARE ADVANTAGE PLAN UT 84131 8665798774 MEDICARE ADVANTAGE NY 15692 8006171114 CODE ASSIGNED BY SCHA SC 29204 8037888562 MEDICARE ADVANTAGE KY 402337180 8882909160 MEDICARE ADVANTAGE SC 29210 8668022474 MEDICAID HMO FL 32231 8773522583 MEDICARE ADVANTAGE TN 372024070 8007437141 MEDICARE ADVANTAGE PA 191017799 8002273116 MEDICARE ADVANTAGE TX 750269025 8662705223 MEDICARE ADVANTAGE VA 234661010 8006004441 MEDICAID HMO GENERIC MA CODE ASSIGNED BY SCHA SC 29201 8032516630 HEALTHY KIDS CONNECTION KY 40742 8882762020 HEALTHY KIDS CONNECTION SC 29210 8037985852 HEALTHY KIDS CONNECTION VA 234661010 8006004441 SC 29210 8664336041 SC 29210 8668022474 KY 405124115 8005244555 GA 319089907 8004412273 POLICIES SHOULD BE ADDED WITH XOB. BCBS OF OF GA. GA 319089907 8004412273 DO NOT USE FOR MEDICARE.THIS CODE IS ONLY USED FOR HEALTH RELATED COVERAGE. GA 319086007 4048428000 FOR GEORGIA STATE EMPLOYEES USE CARRIER 419 GEORGIA STATE HEALTH BENEFIT PLAN CA 930319201 4048428000 NC 27702 9194897431 NC 27702 9194897431 FL 322310014 8007272227 NY 10008 8003429816 VA 23279 8009916061 WI 53201 4142246100 MD 21204 8005244555 USE CARRIER X01 PA 17089 8006373493

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OR 97207 5032255221 OR 97309 8884371508 RX PLAN ONLY MM CODE X0K OR 97309 8884371508 RX PLAN ONLY X0K IS MM PLAN DE 19899 3024210260 MA 022986020 8002535210 TX 752655730 9726693900 AL 35298 8006762583 DO NOT USE FOR MEDICARE.THIS CODE IS ONLY USED FOR HEALTH RELATED COVERAGE. TN 37402 4237555920 MI 482262998 8004820898 OH 441151355 2166877000 NJ 07102 8003552583 AKA HORIZON BCBS OF NEW JERSEY NJ 07102 8003552583 AKA HORIZON BCBS OF NEW JERSEY IL 60690 3129387500 IL 60690 3129387500 KY 40223 5024232011 NY 12212 5184534600 CA 90060 8888878969 OH 43216 6144645870 KY 40233 8006224822 KY 40233 8006224822 MS 39208 6019323800 NM 87125 8007113795 DC 20024 2024798000 PR 009366068 8097599898 RI 02901 4018317300 PA 19103 2152412400 CT 06473 2032394961 AR 72203 5013782010 NY 142400080 8008880757 TN 38103 9015293111 LA 708989029 5042915370 KS 66629 7852914180 WA 99220 5095364900 SD 57104 5152454500 USE CARRIER CODE X2A MN 55164 8003822000 ME 041066911 2077751550 PA 152535053 4125447000 OH 45206 5132821016 CODE IN OPEN STATUS BY SCHA NE 681800001 4023901820 CO 80273 3038312131 UT 841300270 8013332100 OH 43696 8003621279 CA 94120 4154455000 SD 57104 8005268995 MO 641416169 8008926048 NY 14647 7163253630 NY 132214809 3154483801 NY 13501 3157984238 ND 581210001 8003682312 PA 17110 8009585588 PA 18711 8008298599 WA 98111 8003456784 WV 25325 3043477709

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WV 26102 3044247700 VT 05602 8022472583 OK 74102 9185603535 MO 63103 3149234444 AKA ALLIANCE BLUE CROSS BLUE SHIELD ID 83707 2083447411 AZ 850023466 6028644100 HI 96801 8007764672 MT 59403 4067914000 TX 78755 8008808824 FL 32085 8885022789 OR 97309 8884371508 RX PLAN ONLY MM PLAN IS X0K NY 12212 5184385500 CA 90630 8007887871

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ASSIGNED BY SCHA CODE ASSIGNED BY SCHA CODE ASSIGNED BY SCHA

DO NOT USE FOR MEDICARE.THIS CODE IS ONLY USED FOR HEALTH RELATED COVERAGE.

CODE ASSIGNED BY SCHA USE CODE 280 CAREMARK THIS CARRIER BOUGHT OUT BY AETNA CC100 USE CODE 113 UNITED HEALTHCARE INACTIVE 8-02

CODE ASSIGNED BY SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

CODE ASSIGNED BY SCHA CODE ASSIGNED BY SCHA PER HOSP. ASSO. 07/02, THIS IS STILL A VALID CARRIER

CARRIER WAS COASTAL STATE LIFE INS. CO. THIS CARRIER BOUGHT JONES, HILL & MERCER INS.

DO NOT USE FOR MEDICARE.THIS CODE IS ONLY USED FOR HEALTH RELATED COVERAGE DO NOT USE FOR MEDICARE.THIS CODE IS ONLY USED FOR HEALTH RELATED COVERAGE DO NOT USE FOR MEDICARE.THIS CODE IS ONLY USED FOR HEALTH RELATED COVERAGE CARRIER WAS ALLIED GROUP INSURANCE TRUST CODE ASSIGNED BY SCHA

WAS WAUSAU INS. CO. WAS WAUSAU INS. CO.

MEDICARE ADVANTAGE PLAN

USE CODE 308 GREAT WEST LIFE INACTIVE 8-02

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CODE NOT REQUESTED BY MEDICAID ASSIGNED BY SCHA

MEDICAID HMO CODE NOT REQUESTED BY MEDICAID ASSIGNED BY SCHA

CODE ASSIGNED BY SCHA CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

WAS MASS MUTUAL

CODE NOT REQUESTED BY MEDICAID. SCHA ASSIGNED THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

CODE ASSIGNED BY SCHA

CODE IN OPEN STATUS BY SCHA CODE NOT REQUESTED BY MEDICAID. SCHA ASSIGNED

CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

DORMANT 8/06

CODE NOT REQUESTED BY MEDICAID. ASSIGNED MY SCHA CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA CODE ASSIGNED BY SCHA

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CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA CODE ASSIGNED BY SCHA

USE THIS CARRIER FOR GROUPS WITH MORE THAN 50 EMPLOYEES. USE CCA03 FOR GROUPS LESS THAN 50 EMPLOYEES

RX CARRIER ONLY CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA CODE ASSIGNED BY SCHA

CODE ASSIGNED BY SCHA

CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA CODE ASSIGNED BY SCHA

CODE ASSIGNED BY SCHA

DENTAL PLAN

CODE IN OPEN STATUS BY SCHA

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CARRIER WAS FIRST INTERGRATED HEALTH

CODE IN OPEN STATUS BY SCHA MEDICARE SUPPLEMENTAL PLAN G

CODE ASSIGNED BY SCHA SEE CARRIER 366 CATALYST RX

CODE IN OPEN STATUS BY SCHA

CODE ASSIGNED BY SCHA

MEDICARE ADVANTAGE

CODE ASSIGNED BY SCHA CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

CODE IN OPEN STATUS BY SCHA

CODE ASSIGNED BY SCHA

USE CARRIER 471 CODE ASSIGNED BY SCHA

CODE IN OPEN STATUS BY SCHA

CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

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THIS CODE ASSIGNED BY SCHA CODE ASSIGNED BY SCHA

CODE NOT REQUSTED BY MEDICAID. ASSIGNED BY SCHA

SEE CARRIER 366 CATALYST RX

USE 386 ASSURANT HEALTH

CODE IN OPEN STATUS BY SCHA

CODE NOT REQUESTED BY MEDICAID. SCHA ASSIGNED

THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

CODE IN OPEN STATUS BY SCHA

CODE NOT REQUESTED BY MEDICAID. SCHA ASSIGNED THIS COMPANY BOUGHT OUT JOHN DEERE INS. CO. 6/29/07

CODE NOT REQUESTED BY MEDICAID. SCHA ASSIGNED

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CODE NOT REQUESTED BY MEDICAID. SCHA ASSIGNED THIS CODE ASSIGNED BY SCHA 8/28/07 CODE NOT REQUESTED BY MEDICAID. SCHA ASSIGNED

CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA CODE NOT REQUESTED BY MEDICAID. SCHA ASSIGNED CODE ASSIGNED BY SCHA CODE ASSIGNED BY SCHA

USE CODE 139

USE CARRIER 859 NEW ENGLAND GROUP TRUST CODE ASSIGNED BY SCHA

GM SOUTHWEST IS THE CLAIMS PROCESSOR FOR PEARCE ADMINISTRATION

WAS P5 ELECTRONIC HEALTH SERVICES

CODE ASSIGNED BY SCHA WAS NORTH AMERICAN ADMINISTRATORS, INC.

WAS FORTIS INSURANCE COMPANY WAS FORTIS INSURANCE COMPANY

CODE IN OPEN STATUS BY SCHA

CODE NOT REQUESTED BY MEDICAID. SCHA ASSIGNED CODE ASSIGNED BY SCHA CODE ASSIGNED BY SCHA

CODE ASSIGNED BY SCHA

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CLAIMS SHOULD BE SENT TO THE ATTN OF SARAH TOWNES AX-B10 DO NOT USE FOR MEDICARE.THIS CODE IS ONLY USED FOR HEALTH RELATED COVERAGE. THIS CODE USED ONLY FOR DENTAL CLAIMS WHERE BCBS IS THE INSURANCE CARRIER

MEDICAID HMO

CODE IN OPEN STATUS BY SCHA CODE ASSIGNED BY SCHA AKA AEGON

CODE ASSIGNED BY SCHA

THIS CARRIER ASSIGNED BY SCHA NOT REQUESTED OR USED BY DHHS. CODE NOT REQUESTED BY MEDICAID. SCHA ASSIGNED CODE ASSIGNED BY SCHA

CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA CODE ASSIGNED BY SCHA

USE 386 ASSURANT HEALTH

WAS CAROLINA CARE PLAN ANOTHER PHONE # 800-232-3143 USE CODE 345 EMPLOYEE BENEFIT SERVICES AKA HEALTH NET OF AZ. CODE ASSIGNED BY SCHA CODE ASSIGED BY SCHA CODE ASSIGNED BY SCHA OPEN 6/06

CODE ASSIGNED BY SCHA

CODE ASSIGNED BY SCHA CODE ASSIGNED BY SCHA CODE ASSIGNED BY SCHA WHEN CALLING THE ABOVE PHONE NUMBER, YOU ARE ASKED TO DIAL AN EXTENSION. DIAL EXTENSION 23.

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USE CODE 712 TDI MANAGED CARE SERVICES

USE CODE 333 EXPRESS SCRIPTS USE CODE 139

CODE ASSIGNED BY SCHA USE CODE 333 EXPRESS SCRIPTS

COVENTRY HEALTH CARE IS PARENT CO. OF SOUTHERN HEALTH AND WELLPATH CODE ASSIGNED BY SCHA

CODE ASSIGNED BY SCHA MEDICARE ADVANTAGE

CODE ASSIGNED BY SCHA

CODE ASSIGNED BY SCHA CODE ASSIGNED BY SCHA

BOUGHT OUT BY EXPRESS SCRIPTS CC333

CODE IN OPEN STATUS BY SCHA

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CODE ASSIGNED BY SCHA

NOT REQUESTED BY MEDCAID. ASSIGNED BY SCHA THIS CODE ASSIGNED BY SCHA NOT A MEDICAID REQUEST

CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

CODE ASSIGNED BY SCHA TPA USE CODE 282 WASHINGTON NATIONAL

MEDICARE ADVANTAGE

CODE ASSIGNED BY SCHA CODE IN OPEN STATUS BY SCHA

CODE IN OPEN STATUS BY SCHA

CODE ASSIGNED BY SCHA CODE ASSIGNED BY SCHA CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

CODE ASSIGNED BY SCHA

CODE ASSIGNED BY SCHA CODE NOT REQUESTED BY MEDICAID. SCHA ASSIGNED

CODE NOT REQUESTED BY MEDICAID. SCHA ASSIGNED CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA USE CODE 401 BLUE CROSS BLUE SHIELD OF SC THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA CODE IN OPEN STATUS BY SCHA

CODE ASSIGNED BY SCHA

INACTIVE 8/02

THIS CARRIER PURCHASED BY CC864 GE GROUP ADMINISTRATORS

CODE ASSIGNED BY SCHA

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WAS POE & BROWN

WAS HEALTH RISK MANAGEMENT INC. CODE IN OPEN STATUS BY SCHA CODE ASSIGNED BY SCHA CODE IN OPEN STATUS BY SCHA

CODE IN OPEN STATUS BY SCHA CODE IN OPEN STATUS BY SCHA

OPEN 1/06

USE CARRIER A24

NAME CHANGE WAS ANTHEM BENEFIT ADMINISTRATORS

WAS DIVERSIFIED GROUP ADMINISTRATORS

THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA CODE IN OPEN STATUS BY SCHA

USE CODE A98 CORPORATE BENEFIT SERVICES DORMANT 8/02

WAS NORTHWEST FINANCIAL

INTERNET WWW.MYTRICARE.COM

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MEDICARE ADVANTAAGE PLAN (IN STATE)

MEDICARE INTERMEDIARY PART A MEDICARE INTERMEDIARY PART B MEDICAID HMO MEDICAID HMO MEDICAID HMO

MEDICARE INTERMEDIARY MEDICARE INTERMEDIARY

MEDICARE INTERMEDIARY MEDICARE ADVANTAGE

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CODE ASSIGNED BY SCHA

CODE NOT REQUESTED BY MEDCAID. ASSIGNED BY SCHA FORMERLY MARSH ADVANTAGE AMERICA FORMERLY BENEFIT PLAN SERVICES

CARRIER BOUGHT OUT BY PHARMACARE CC 740 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA USE CC113 UNITED HEALTHCARE THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA CODE ASSIGNED BY SCHA

CODE ASSIGNED BY SCHA

CODE ASSIGNED BY SCHA

CODE IN OPEN STATUS BY SCHA

CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

CODE IN OPEN STATUS BY SCHA CODE NOT REQUESTED BY MEDICAID ASSIGNED BY SCHA

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CODE IN OPEN STATUS BY SCHA CODE ASSIGNED BY SCHA AS OF 1/1/08 CO. MERGED WITH CAREMARK (471) ADD NEW POLICIES WITH 471 CODE ASSIGNED BY SCHA

CODE ASSIGNED BY SCHA CODE ASSIGNED BY SCHA

CODE ASSIGNED BY SCHA

CODE ASSIGNED BY SCHA AKA TROA

CODE ASSIGNED BY SCHA

THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

USE CODE 477 MEGA LIFE

CODE IN OPEN STATUS BY SCHA THIS CODE NOT REQUESTED BY SCHA. ASSIGNED BY SCHA CODE ASSIGNED BY SCHA DORMANT 8/06

CODE ASSIGNED BY SCHA

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CODE ASSIGNED BY SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

DORMANT 8/06 CODE IN OPEN STATUS BY SCHA DORMANT 8/06 DORMANT 8/06 USE CODE 282 WASHINGTON NATIONAL THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

CODE ASSIGNED BY SCHA DORMANT 8/06 USE CODE B44 AMERICA CHOICE HEALTH PLAN WAS G E FINANCIAL SERVICES THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

THIS NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA CODE ASSIGNED BY SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

CODE ASSIGNED BY SCHA CODE ASSIGNED BY SCHA CODE ASSIGNED BY SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

THID CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA CODE ASSIGNED BY SCHA 8/30/07 CODE ASSIGNED BY SCHA SEE CARRIER CODE 536 CODE ASSIGNED BY SCHA CODE ASSIGNED BY SCHA

THIS CODE NOT REQUESTED BY MEDCAID. ASSIGNED BY SCHA MEDICARE ADVANTAGE

BROUGHT OUT BY UNITED HEALTCARE CARRIER 113 THIS CARRIER BOUGHT OUT BY EXPRESS SCRIPTS.

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CODE ASSIGNED BY SCHA

THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA CODE ASSIGNED BY SCHA 6/14/07 HMO

CODE ASSIGNED BY SCHA

THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

DORMANT 8/06

CODE ASSIGNED BY SCHA CODE ASSIGNED BY SCHA THESE COMPANY BOUGHT OUT JOHN DEERE INS. CO. THIS WAS THE HMO FOR JOHN DEERE 6/29/07 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY THE SCHA THIS CODE NOT REQUESTED BY SCHA. ASSIGNED BY SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA USE CODE 134 CIGNA HEALTHCARE CODE ASSIGBED BY SCHA

WELLPATH SELECT IS A PLAN UNDER THE PARENT CO. COVENTRY HEALTH CARE

CODE ASSIGNED BY SCHA CODE ASSIGNED BY SCHA CODE IN OPEN STATUS BY SCHA CODE IN OPEN STATUS BY SCHA

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CODE ASSIGNED BY SCHA CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

HMO PLAN ONLY

DORMANT 8/06 CODE ASSIGNED BY SCHA. THIS IS THE HMO TO CC 504 WHICH IS THE POS THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

WAS GALLAGER & BASSETT SERVICES THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

DORMANT 8/06

DORMANT 8/06

THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA WAS COMPANION HEALTHCARE NAME CHANGE EFFECTIVE 7/1/05 DORMANT 8/06 THIS CODES NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

DORMANT 8/06 CODE ASSIGNED BY SCHA

CODE ASSIGNED BY SCHA NAME CHANGE ONLY 4/09. WAS PERFERRED CARE CODE ASSIGNED BY SCHA CODE ASSIGNED BY SCHA 6/18/07 THE CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

CODE IN OPEN STATUS BY SCHA DORMANT 8/06

THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA CODE ASSIGNED BY SCHA CODE ASSIGNED BY SCHA

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CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

CODE ASSIGNED BY SCHA. NOT REQUESTED BY MEDICAID CODE ASSIGNED BY SCHA

THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

CODE ASSIGNED BY SCHA

USE CARRIER 171 AON

DORMANT 8/06

THIS CODE IS USED BY SCHA NOT AN ACTIVE MEDICAID CODE

DORMANT 8/06 CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

CODE IN OPEN STATUS BY SCHA

CARRIER BOUGHT OUT BY CC 740 PHARMACARE

SEE CARRIER 942 PRINCIPAL FINANCIAL GROUP CODE IN OPEN STATUS BY SCHA

BOUGHT BY CIGNA HEALTHCARE CC 134

THIS CARRIER HANDLES GROUPS WITH LESS THAN 50 EMPLOYEES. SEE CC212 FFOR GROUPS OVER 50 EMPLOYEES.

THIS CARRIER PART OF CONSECO INSURANCE GROUP

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CODE ASSIGNED BY SCHA CODE ASSIGNED BY SCHA

CODE ASSIGNED BY SCHA

THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

DORMANT 8/06 CODE IN OPEN STATUS BY SCHA

CODE ASSIGNED BY SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

DORMANT 8/06 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA NEIC 30018 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA DORMANT 8/06 CODE ASSIGNED BY SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA CODE ASSIGNED BY SCHA CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

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THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA DORMANT 8/06 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

WAS LIFECARE CENTERS OF AMERICA

THIS CODE ASSIGNED BY SCHA. NOT REQUESTED BY MEDICAID

THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

USE CARRIER 795 REGIONAL MEDICAL ADMINISTRATORS THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA CODE ASSIGNED BY SCHA CODE ASSIGNED BY SCHA

THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

DORMANT 8/06

THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA CODE IN OPEN STATUS BY SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA CODE IN OPEN STATUS BY SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

DORMANT 8/06

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CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

IMSCO - INTERNATIONAL MANAGEMENT SERVICE CO.

THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA DORMANT 8/06 DORMANT 8/06

THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

CODE ASSIGNED BY SCHA

THIS CODE ASSIGNED INCORRECTLY BY SCHA. SEE CARRIER CODE 440

THIS CODE INCORRECTLY ASSIGNED BY SCHA. SEE CARRIER CODE A39 THIS CODE NOT REQUESTED BY MEDCAID. ASSIGNED BY SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA CODE IN OPEN STATUS BY SCHA CODE IN OPEN STATUS BY SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA USE CODE 759 MEDIPLUS PER SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA THIS CODE INCORRECTLY ASSIGNED BY HOSP. ASSO. USE CODE 648 FOR THE MEDICARE ADVANTAGE PLAN 648 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA. THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA. THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA CODE ASSIGNED BY SCHA

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THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

USE CODE 985 BENESIGHT THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSSIGNED BY SCHA CODE IN OPEN STATUS BY SCHA

THE CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

CODE ASSIGNED BY SCHA

CODE IN OPEN STATUS BY SCHA

CODE ASSIGNED BY SCHA

THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA WAS PARADIGM CARE PLAN

THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

CODE IN OPEN STATUS BY SCHA SEE CARRIER 471

THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

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THIS CODE NOT REQUESTED BY MEDCAID. ASSIGNED BY SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA THE CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA WAS ACCORDIA NATIONAL BOUGHT OUT BY WELLS FARGO FINANCIAL AND NAME CHANGED EFFECTIVE 1/1/07

THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA SEE CODE C99

THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA AS OF 8/1/02 MERCK-MEDCO AND THEIR SUBSIDIARY PAID PRESCRIPTIONS IS NOW MEDCO HEALTH.

THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

THIS CODE NOT REQUESTED BY MEDCAID. ASSIGNED BY SCHA MEDICARE ADVANTAGE (PPO) MEDCIARE ADVANTAGE (FFS) MEDICARE ADVANTAGE (PPO) MEDICARE (FFS) MEDICARE ADVANTAGE MEDICARE ADVANTAGE (PPO) MEDICARE ADVANTAGE (PPO)

THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

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CODE IN OPEN STATUS BY SCHA

THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

ANOTHER PHONE NUMBER 717-581-1300 ANOTHER PHONE NUMBER 717-581-1300

CARRIER WAS PREVIOUSLY C35.

CODE ASSIGNED WITH LETTER O INSTEAD OF NUMERIC ZERO. THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA CODE NOT REQUESTED BY MEDICAID ASSIGNED BY SCHA MEDICARE SUPPLEMENTAL PLAN MEDICARE ADVANTAGE PLAN PRIVATE FEE FOR SERVICE CODE ORIGINALLY ASSIGNED AS MA IN ERROR USE CODE 816 FOR MA PLAN ASSIGNED BY SCHA CODE ASSIGNED MY SCHA MEDICARE ADVANTAGE ASSIGNED BY SCHA (PFFS) MEDICARE ADVANTAGE PLAN MEDICARE ADVANTAGE PLAN MEDICARE ADVANTAGE MEDICARE ADVANTAGE PLAN

MEDICARE ADVANTAGE MEDICARE ADVANTAGE MEDICARE ADVANTAGE PLAN MEDICARE ADVANTAGE PLAN MEDICARE ADVANTAGE PLAN MEDICARE ADVANTAGE PLAN MEDICARE ADVANTAGE PLAN CODE ASSIGNED BY SCHA ASSIGNED BY HOSPITAL ASSOCIATION CODE ASSIGNED BY SCHA

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CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA

CODE ASSIGNED BY SCHA MEDICARE ADVANTAGE HMO MEDICARE ADVANTAGE HMO CODE ASSIGNED BY SCHA 6/11/07

MEDICAID HMO

MEDICARE ADVANTAGE MEDICAID HMO MEDICARE ADVANTAGE PLAN MEDICARE ADVANTAGE PLAN

CODE ASSIGNED BY SCHA MEDICARE ADVANTAGE PLAN MEDICARE ADVANTAGE CODE ASSIGNED BY SCHA MEDICARE ADVANTAGE MEDICARE ADVANTAGE MEDICAID HMO MEDICARE ADVANTAGE MEDICARE ADVANTAGE MEDICARE ADVANTAGE MEDICARE ADVANTAGE MEDICAID HMO GENERIC MA CODE ASSIGNED BY SCHA HEALTHY KIDS CONNECTION HEALTHY KIDS CONNECTION HEALTHY KIDS CONNECTION

POLICIES SHOULD BE ADDED WITH XOB. BCBS OF OF GA. DO NOT USE FOR MEDICARE.THIS CODE IS ONLY USED FOR HEALTH RELATED COVERAGE. FOR GEORGIA STATE EMPLOYEES USE CARRIER 419 GEORGIA STATE HEALTH BENEFIT PLAN

USE CARRIER X01

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RX PLAN ONLY MM CODE X0K RX PLAN ONLY X0K IS MM PLAN

DO NOT USE FOR MEDICARE.THIS CODE IS ONLY USED FOR HEALTH RELATED COVERAGE.

AKA HORIZON BCBS OF NEW JERSEY AKA HORIZON BCBS OF NEW JERSEY

USE CARRIER CODE X2A

CODE IN OPEN STATUS BY SCHA

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AKA ALLIANCE BLUE CROSS BLUE SHIELD

RX PLAN ONLY MM PLAN IS X0K

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