HEALTH PLAN LIST AND FEE SCHEDULE

HEALTH PLAN LIST AND FEE SCHEDULE

PO BOX 71717 PHOENIX, AZ 85050 877.311.3338

WWW.HNA-NET.COM

For additional info make

sure to visit our at website

We present you with the

2015-2016 health plan and fee

schedules for your health care

network. Every thing you need is

just a few pages away!

P.O. BOX 71717, PHOENIX, AZ 85050 | TEL 877.311.3338 | FAX 602.485.3100 | WWW.HNA-NET.COM 2

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

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

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

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

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

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

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

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

Much more than your ordinary provider network!

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

Sponsers and Networks:

Don’t Miss 70% - 85% ofBilled Charge

Reimbursement Rates


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ULE THREE RIVERS PROVIDER NETWORK (TRPN) - PPO

Fee Schedule: 125% of the existing Medical fee schedule as total reimbursement for covered services less applicable co-payments, co-insurance or deductibles.

Patients enrolled: 12.5 Million

States applicable: All States

Specialties applicable: All specialties

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

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

Patient Identification: Three Rivers Provider Network (TRPN) will appear on patient ID card.

Payer Clients: The following is a partial listing. For the complete list, please visit:

www.worldnewsmd.com/Payers.aspx

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

Alliant Health Plans Allied National Companies Alpha Review Company Alternative Risk Management Alzheimer S Association AMBR/ExamWorksAMCC Inc Ameriben Solutions America First Insurance CompanyAmerica West Airlines,Inc American Administrators American Ambassador Casualty Company (underwriting co. in GoAmerica group)American Benefits Association American Benefits Management American Claims Exchange American Commerce Insurance Group American Community Mutual American Crystal Sugar Co. American Economy Insurance CompanyAmerican Fire and Casualty CompanyAmerican Foodservice Corp. American Golf Corporation American Health Holding American Medical Auditors American Medical Bill Review American Medical Security Life Insurance Co. American Modern Insurance Group American National P&C American National Property & Casualty American Postal Workers Union (Apwu) American Professional Risk Services American Republic Insurance Company American Solutions Group American States Insurance CompanyAmerican States Insurance Company of Texas

American States Lloyds Insurance CompanyAmerican States Preferred Insurance CompanyAmerican Tire Distributors, Inc. American Trust Administrators American Underwriters Americomp Amerihealth Administrators Anchor Benefit Consulting Antares Management Solutions APA Partners Inc. Applebee’s International, Inc. Argo Insurance Argo Select Argonaut Insurance Arizona Foundation For Medical Care Artisan Claims Asert Benefit Services Asmed Health Partners ASR Admin Systems Wp ASR Corporation Associated Administrators, Inc Associated Plan Administrators Association Insurance Trust Assurant / Fortis Assured Assistance AT&T Wireless Services, Inc. Atlanticare Administrators Atlas Administrators, Inc. Auto Injury Solutions Auto One Insurance Company Autozone, Inc. Avis Budget Group, Llc Avmed Health Plans Avmed North Avomark Insurance Company


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ULE Avon Products, Inc.

Beacon Risk Strategies Benefit Assistance Benefit Coordinators Corporation Benefit Management Systems Benefit Plan Administrators Benefit Planning, Inc Benefit Services, Inc. Benefit Solutions Benefit Source Benefit Systems & Services, Inc. Benesight / Fiserve Berkley Specialty Underwriting Bme Gateway Berkley Specialty Underwriting Managers, Llc Best Life Blue Bell Creameries Blue Shield Of California BME Gateway BMI Health Plans Bob Mccloskey Insurance Boeing Company Bon Appétit Management Company Bridge Benefits, Inc. Bridgefield Casualty Insurance Company (underwriting company in Summit group)Bridgefield Employers Insurance CompanyBridgestone Brokerage Concepts Brotherhood Mutual Insurance Broadspire Brown Rehabilitation Brown Review BSI Florida Buckeye Insurance Group Butler Benefit Service C.L. Frates & Company Cam Administrative Services Cambridge Integrated Services Canassistance Capital District Physician Health Plans Capitol Administrators Caprock Claims Management Care Choices Careington Careworks, USA Carpenters Southwest Administrative Group CBA, Inc. CBCA CBSA CCA CCL & H

CCSI CDS Group Health Celina Insurance Group Cement Masons Nevada Cement Masons Of Southern Ca Central Benefits Mutual Century Health Solutions Ceres Health Care, Inc. Cerner Corporation Charter Management Services Chatwins Administration Chubb Insurance Company CIGNA Claims Benefits, Inc. Clark County Firefighters (Nv) Cleaners Hanger Company Cnic Health Solutions Coastalcomp Health Networks Coca Cola (Manhattan) Coca Cola Company Colonial Life Insurance Colorado Casualty Insurance CompanyCombined Life Insurance Company Commerce Insurance Company Commercial Casualty Insurance Company, IncCommercial Travelers Ins. Community Care Comp I.Q. Comp Usa, Inc. Companion Property & Causality Group Complete Benefit Solutions Comprehensive Behavioral Care Comprehensive Care Services Compstar Comptech, LLC. Concise Bill Management Conseco Conservent Consolidated Insurance CompanyConsolidated Service Group Construction Ind & Laborers H&W Construction Teamsters Container Store, The Contract Claims Services, Inc Cooperative Mutual Insurance Co Coresource Cornerstone Benefits Administrations, Inc Cornerstone National Insurance Company Cornerstone Preferred Corporate Benefits Services

Corporate Care Management Correct Care Solutions Corvel Cost Containment Strategies, Inc. Cost Pro Costal Administrative Services Costco Wholesale Corporation Cottingham & Butler Countryway Insurance Co. Coventry Health Care Crawford & Company Cross Summit Enterprises Culligan Intl Co. Cwi Benefits Cypress Benefit Administrators D. Edward Wright, Inc. Definity Health Plans Del Monte Food Company Delta Air Lines Global Svcs., Inc. Denny’s Restaurant Program Destiny Health Dh Evans Associates, Inc. Dillard Department Director’s Guild Diversified Administrators Corporation Dollar General Dr. Pepper/Seven Up Bottling Group Drake Insurance Administrators Dunn And Associates E.S.I.S. East Coast Underwriters EBAM Ecolab Inc Electrical Workers H & W Elite Administration & Insurance Group Elmco Emc Insurance Employee Benefit Administrators Employee Benefit Concepts Employee Benefits Services Employee Plans Llc Employee Security Inc. Employers Life Insurance Company Employers Plan Services Enabler Managed Care Corporation Enterprise Group Planning Equitable Plan Services Erin Group Administrators Excelsior Insurance Company


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ULE Farmers Insurance

Fcci Insurance Group Federated Mutual Fic Corporation- Dallas Fic Corporation- Irvine Fidelity Insurance Company Firefighters Family Medical First Administrators Inc First Health First National Insurance Company of AmericaFiserve Fitzharris Florida 1st Service Administrators, Inc. Florida Benefit Administrators Fmh Benefit Services Food Giant Supermarkets, Inc. Fox Everett Fringe Benefits Frito-Lay, Inc. Future Care, Inc. Gab Robins Gallagher Benefit Administrators, Inc. GBSI Geico Corporation Gem Administrators General Insurance Company of AmericaGenex Services Georgia Administrative Services Gilsbar Insurance Company Global Assurance Global Care Global Excel Management, Inc. Global Risk Management Globe American Casualty Company (underwriting co. in GoAmerica group)Gmac Insurance Golden Eagle Insurance CorporationGolden Rule Insurance Company Grange Insurance Great American Insurance Co. Great Fidelity Great West Healthcare Group Administrators Group Insurance Services Center Group Resources Guarantee Trust Life Insurance Company Guardian Gulf States AIF, Inc. Attorney-in-fact for the underwriters at America First Lloyd’s Insurance Company

HAA Preferred Partners Hawkeye-Security Insurance Company (formerly Tower Insurance Company, Inc.)Health Administration Service Health Choice Of NW Missouri Health Cost Management Health Design Plus Health Future Health Link Health Markets Health Net, Inc Health New England Health Plans. Inc. Health Reinsurance Management Partnership Health Special Risk Health Systems Management Healthcare Direct Healthcare Resource Group Healthcomp Administrators HealthFirst TPA Healthplan Of Nevada Healthscope Benefits Healthstar HIP Of NY HMA, Inc. Horizon Air Industries HPS Paradigm Huffy Corporation Humana Hyatt Corporation IAC IBA IBEW Southwestern Health & Benefit Fund Idaho Pipe Trades Imed Cost Containment Solution, Llc Imerica Life And Health Insurance Company Indiana Farm Bureau Indiana Insurance CompanyIndiana Laborers Indiana Roofers Inetico Ingenix Innovante Benefit Administrators Innovated Health Strategies Innovative Claim Solutions Insurance Administrators Of America Insurance Company of IllinoisInsurance Design Administrators

Insurance Programmers, Inc. Insurica Claim Management Integra Admin Group - Supp Integrated Claims Administrators Intel Corporation Intelligent Medical Solutions, Inc. Inter-Americas Insurance Intercom Hrential Corp. International Medical GroupInternational Monetary Fund International Paper Interstate Brands Corporation Interstate Hotels & Resorts, Inc. Intracorp IPC Island Group Itpe Health & Welfare Fund IUOE Local 15 J. Crew Group-Tpa J.M. Smucker Company, The Jm Family Enterprises Jmh Health Plan Jo-Ann Stores, Inc. John Deere Johnson & Johnson JP Farley Corporation JW Terrill Kaiser (Northern California) Kaiser Aluminum Corporation Kb Holdings/Kay Bee Toys Keebler Company Kentucky Laborers District Council Kenworth Northwest, Inc. Key Partners Key Risk Management Services, Inc Kraft Foods La Quinta Inns, Inc. Laborers Metro Detroit Health Land O’lakes, Inc. LBA Healthplans, Inc. Leahy & Associates, Inc. Liberty Mutual Liberty Northwest Insurance CorporationLife Investors Insurance Company Of America Lifewell Healthplans Littleton Group Liz Claiborne, Inc. Local Engineers 15 Lone Star Steakhouse Loomis Company


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ULE L’oreal Usa, Inc.

Louisiana Farm Bureau Mail Boxes Etc Maksin Management Corporation Managed Benefits Administrators & Ins Consultants Managed Health Funding Insurance Administrators Marsh Advantage Mca Administrators McDonald’s Corporation McGraw-Hill, Inc. Med Claim Partners, Llc Medata Medaudit Services Inc. Medical Claims Resources Medical Claims Review Services Medical Consultants Network Medical Cost Management Medical Savings Insurance Company Medicor Managed Care Medipac International Melane Company Memorial Integrated Healthcare Mennonite Mutual Aid Merchants & Business Men’s Mutual Insurance Company (now known as Liberty Mutual Mid-Atlantic Insurance Company)Mercy Care Insurance Meridican Resource Company Met Life Metropolitan Life MGIS Michaels Stores, Inc. Mid-American Fire & Casualty CompanyMidest Security Administrators Miller Brewing Company Mitchell International MMOH MMSI Mokan Sheet Metal Workers Molson Coors Brewing Co Monterey Bay Clothing Company Montgomery Management Montgomery Mutual Insurance CompanyMorgan & Franz Morgan White International Administrators Morris Associates Mountain States Administrators Mountain States Insurance Company Multiplan, Inc.

Mutual Assurance Administration Mutual Medical Plans, Inc. Mutual Of Omaha Myerson Stevenson Toohey Nabisco Group Holdings Corp. NALC Health Benefit Plan National Benefit Administrators National Care Network National Comp Care National Comp Care ( Tyson ) National Roofing Company, Inc National Rural Electric Cooperative Assoc. National Telecommunications Coop. Association Nationwide Insurance Nationwide Mutual Insurance Company NCAS Nebraska Farm Bureau Nestle New England Financial New England Health Plans New Era Life Insurance Co NGS American, Inc. NHBCNNSI Noitu Insurance Trust Fund Norfolk & Dedham North American Administrators North Pacific Insurance CompanyNova Health Systems NYSUT ODSOffice Depot, Inc. Ohio Carpenters Ohio Casualty of New Jersey, Inc.Ohio Health Choice Ohio Mutual Insurance Company Ohio Security Insurance CompanyOlympus Managed Health Care One Beacon Insurance Operating Engineers Health & Welfare Trust Oregon Automobile Insurance CompanyOroweat Baking Co Oshkosh Truck Corporation Outback Steakhouse Outsourced One Oxford Health Plans P5 Health Services PACBLU Pacific Coast Claims Consultants

Pacific Foundation Pacificare Health Systems, Inc. Pacifice Heritage Administrators Pacmed Painters District Council #2 Palm Harbor Homes, Inc. Paradigm Management Services Paramount Healthcare Inc PCM, Inc. Peerless Indemnity Insurance Company (formerly Atlas Assurance Company of America)Peerless Insurance CompanyPekin Life Insurance Company Penn Western Benefits Pepsi-Cola Company Pequot Healthcare Perkins Restaurant & Bakery Permanent General Insurance Co. Perrier Group Personnel Staffing Petco Animal Supplies, Inc. Petsmart, Inc Phelps Dodge Philip Morris Usa Physician Benefit Trust Physicians Mutual Insurance Company Pier 1 Imports Pioneer Administrators Pizza Hut, Inc. Planned Administrators Plumbers & Pipefitters, Nv Plumbers Pipefitters Of Nv Plymouth Rock Assurance Corp PMCSPomco Prairie States Tpa Preferred Care Preferred Medical Claims Solutions Preffed Medical Management Solutions Premier Comp Solutions Principal Financial Group Prison Health Services Pro-Claim Plus Producer’s Guild Professional Benefit Administration Professional Benefit Services Professional Claims Administration Protection One Provider Benefit Plans Puma Corporation & Subsidiaries


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ULE Pupil Benefits Plan, Inc.

Qualcare Quality Health Management, LLC Quest Medical Claims Regional Care, Inc Resolved Healthcare Retirees Welfare Trust Reunion Industries Review Works Rising Medical Solutions Risk Administration Resources Rj Reynolds Domestic Tobacco Rockford Mutual Insurance Company Royalty Carpet Mills, Inc. Rubbermaid Incorporated Rural Health Plans Initiative Safeco Safeco Insurance Company of AmericaSafeco Insurance Company of IllinoisSafeco Insurance Company of IndianaSafeco Insurance Company of OregonSafeco Lloyds Insurance CompanySafeco National Insurance CompanySafeco Surplus Lines Insurance CompanySafety Insurance SAIF Salt River Indian Community San Diego Insurance CompanySara Lee Corporation Scot Industries Scott & White Healthplans Scottsdale Insurance Company Screen Actors Guild Sears Merchandise Group Secure Health Plans Of Ga Secureone Securitas Security Service Inc Security Administrative Services Security Health Plan Of W.I. Sedgwick Claims Management See’s Candies, Inc. Select Benefit Administrators, Inc. Selective Insurance Group, Inc Self Insured Services Co Seminole Tribe Of Florida Sentry Insurance Servicemaster Sharp Health PlanShorman Solutions Sierra Health & Life Insurance Company

Significa Benefit Services Fka Erin Group Administrators SIHO Insurance Services SISCO Skilstaf, Inc. Smc, Inc. So. Ca. Risk Management Associates Spooner Incorporated Sonoco Products Co Sonoma Tilemakers Inc. Source One Computer Corporation Southern California Pipe Traders Southern California Risk Management Association Southern National Life Insurance Specialty & Paper Products Health And Welfare Spectrum Administrators Spooner Incorporated Stanislaus Foundation Stanley Steemer Starbucks State Farm State Of Louisiana Ogb State-Wide Insurance Company Stowe Associates Student Insurance Student Plans, Inc. Summit Administrators Services Summit Insurance Company Sun Chemical Corporation Sun-Maid Growers Of California Sunmed T.R. Paul Group Services Tandem Care, Llc Tbg Administrative Services Tc3 Health Teamster Construction Industry Teamsters Local 14 Teamsters Local 631 Sec Fund Teamsters Local 995 Texas Farm Bureau Texas Industries, Inc. Texas True Choice The Alliance The Claims Trust The Comptech Group The Epoch Group The Guardian The Hartford The Hartford Group

The Henry J. Kaiser Family The Midwestern Indemnity CompanyThe National Corporation as Attorney-in-Fact for National Insurance Association (underwriting co. in Go America group)The Netherlands Insurance CompanyThe Ohio Casualty Insurance CompanyThe Pillsbury Co. The Reny Company THIPA Titan Propane TLC First Administration TMLIntergov Employee Benefits Tomgass Timber Trust Tongass Timber Trust- Alaska Forest Association Total Managed Care Toyota TPA Of Georgia TQ Consultants Trans World Airlines Inc. Travelers Insurance Travtens Insurance Group Trissel Graham & Toole Tristar Risk Management Tru Services, Inc. True Course Medical Data Analysis And Claims Services Trusteed Plans Service Corporation Tyson Foods U.S. Benefits UICI Administrators Ulico Insurance Ultramar Corp Underwriters Safety & Claims Unicare Unified Group Services, Inc. United Artists Theatre Circuit United Benefits United Claims Solutions, Llc United Healthcare/Multiplan, Inc.Unitrin Auto And Home Unity Health Insurance Universal Underwriters Insurance Upstate Administrative Services US Foods USAA US air, Inc. Valero, Inc. Valunet, Llc Vanguard Services, Inc.


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ULE Vermont Managed Care

Vermont Mutual Viant Vision Quest Vista America Vista Health Plans Volvo Cars Washington Employers Trust Washington Idaho Carpenters Washington Mutual Washington Teamsters Wausau

WEA Trust Wellcomp Wells Fargo Alarm Services West American Insurance Company Western Benefits Western Mutual Insurance Western Teamsters Trust Westport Benefits Westport Shipyard, Inc. Weyco, Inc. Work comp Bill Review Services Work comp MC/Health Choice Of North West

Missouri Worldwide Management Care Partners WPS, Inc. Writer’s Guild Xerox Corp York Claims York Insurance Services Group, Inc. Zeneks Zenith Administrators Zenith Insurance Company

NATIONAL PREFERRED PROVIDER NETWORK (NPPN) - PPO

Fee schedule: 80% of billed charges.

Patients enrolled: 2 Million+ nationwide

States applicable: All states


Reimbursement: Fee for service

Claims submission: Submit claims to the address on the card sleeve.

Patient identification: Payer name indicated on the member ID card.

Payer clients: The following list of Payer clients are NPPN Medical Payers

4Most Health NetworkA & S FinancialACS WCAdvanced Correctional Healthcare-MCAEBSAetna/ DentalAG AdministratorsAHH - CorrectcareAHH - UASAIG EDIAlaska Forest AssociationAlicare NYAlicare PAAllegiance Benefit Plan Mngmnt, IncAllied Benefit SystemsAmeriBen DentalAmeriBen SolutionsAmeriBen SolutionsAmericaAmerican Benefit CorporationAmerican Benefits AssociationAmerican National Insurance Co.American Republic Ins CoAnchor Benefit Consulting

AnthemAnthem/KrogerApex Benefits Services, LLCASR Corp.AssurantAtlanticare AdministratorsAultcareAultra Administrative GroupAutomated Benefit ServiceAuxiant WIAWACAZ Foundation for Med CareBACBenefit Management, Inc MOBenefit Management, Inc. KSBenefit Plan AdministratorsBenefit Plan Administrators WIBenefit Services, IncBenefit SupportBenefit Systems & Services, IncBlue Cross of Atlantic CanadaBMI Benefits, LLCBoon-Chapman, Inc.Bridgestone Americas, Inc.

Bristol Park MedicalBrokerage ConceptsCanassistanceCapitol AdministratorsCBCA MinneapolisCBCA SavannahCCACFMCCharter/PolarisChartis Insurance Company of CanadaCIGNA Behavioral HealthCIGNA DentalCigna EastCitizens Security Life Ins.CMN, IncCNIC Health SolutionsCombined Life Ins, CoCommercial Travelers InsCommonwealth Administrators, LLCComplete Claim Solutions, IncComplete Claim Solutions, Inc.Conifer Formerly Informed LLCConnectiCareConsociate


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ULE Coresource, Inc

Corporate Benefit Audits (CBA)Corporate Benefits ServicesCorrectCare Integrated HealthCoventryCWIBenefitsDean Health Plan, IncDeCare/WellpointDental Network of America, LLCDental SelectEBMSEBS-RMSCOEBSO Expert Benefit SolutionsEmployee Benefit Consults – AlbuquerqueEmployee Benefit Consults – AppletonEmployee Benefit Consults – ClevelandEmployee Benefit Consults – FindlayEmployee Benefit Consults – LouisvilleEmployee Benefit Consults – MilwaukeeEmployee Benefit Service CenterEmployee Plan Services Inc.Employee Security, Inc.Employee Security, Inc.Employers Resource Group, IncEnterprise Group PlanningFBMC Federated Mutual Ins Co.First AdministratorsFirst HealthFirst Service Administrators, IncFirstier AdministratorsFMH Benefit ServicesFoundation for Medical CareFoundation for Medical CareFoundation for Merced CountyGBSI-MOGeisinger Health PlanGeisinger Health PlanGenworth FinancialGilsbar GLHPGLHPGlobal Health Claims Services, IncGlobal Medical ManagementGlobalCareGMA/ TPA ServicesGreat West HealthcareGreat West Healthcare WrapGroup Administrators, LTDGroup Health CooperativeGroup Ins. Service CenterHarrington Health (IL)Harrington Health Services Inn

HCC Life Insurance CompanyHealth AllianceHealth Claims ServiceHealth Cost SolutionsHealth Design Plus, IncHealth Design Plus, Inc.Health Finest NetworkHealth FutureHealth Net CAHealth Net CAHealth Net Federal ServicesHealth Net NortheastHealth Net VAHealth New EnglandHealth Plan Services- HPSHealth Special Risk, IncHealthCare Partners Medical GroupHealthcare SolutionsHealthSCOPE Benefits Inc.HealthSCOPE DentalHealthSmartHFNHMA, IncHRGIHumanaHumana CASHumana DentalHumana MetavanceIBEW 640IHC Administrative ServicesIntegra Employer Health/BMSInter-America`s Insurance Corp.Inter-America’s Insurance CorpIntergroup ServicesInterplan Health GroupIPMG-Employee Benefits ServicesIUOE Local 132 H&W&P FundsJohn Muir Physician NetworkKaiser Foundation Health Plan of OhioKaiser HawaiiKaiser Mid-AtlanticKaiser Permanente AtlantaKaiser Permanente ColoradoKaiser Permanente GeorgiaKaiser Permanente NorthwestKaiser Permanente Portland Kaiser Permanente Self-FundedKemper DentalKentucky Health Administrators, LLCKey Benefit AdministratorsKey PartnersKlaisLittle League Association

M S Administrative Services, Inc.Magellan Health ServicesMagnaCareMaksin Management Corp..Managed Care AdministratorsManaged Care of AmericaMarkel Insurance CompanyMCA AdministratorsMCMC, LLCMed3000MedbenMedical Mutual of OHMedInsightsMedova Healthcare Financial GroupMercy Care Insurance CompanyMeridian Resource CompanyMeritain Health – Okemos MI.Meritain Health Corp.Meritain Health PlansMitchellMMOHMMSIMorrisMS Administrative Services, IncMultiplanMutual Assurance Admin NALC 2NALC MPSNative Care Health, LLCNesika Health GroupNetwork Health PlanNetwork Health PlanNew England FinancialNew Underwood SchoolNexstarNEXT GENERATIONS FILMSNGS AmericanNorfolk Dredging CompanyNorth America AdminNRECAOgden Benefits AdministrationParamount Health Plans, IncPayer FusionPekin Life InsurancePenn Western Benefits, IncPreferred CarePreferred Health Plans of the CarolinasPreferred OneProvidence Risk & Insurance Svcs, IncPupil Benefits Plan, IncQ3 Business TechnologiesQCA Health PlanQuality Health Management, LLCRady Childrens Hospital San Diego


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ULE Renaissance Life Health Company of

Reserve National Insurance CompanyReunion Industries, IncRHS Business ServicesRMSCOk, IncRoss Stores, Inc. (Aetna)Rural Health Plans InitiativeSanta Monica Bay Phys Health Svcs.Security Health PlanSelf Insured Services CoSierra Health And LifeSIHOSkilstaf, IncSpectrum Administrators, IncSt. Joseph Heritage A HealthcareSt. Mary’s Health PlansStarmarkSummit AmericaSunMedSunmedSyracuse University Athletic DepartmentTC3

Teachers Health TrustThe AllianceThe AllianceThe Epoch Group-MOThe GEM GroupThe GEMGroupThe Loomis CompanyTHIPAThomas Cooper & CompanyTotal Claim SolutionsTR Paul Group ServicesTri Star Benefit AdministratorsTri-State Joint FundUHC/NRLCUMR – Harrington-BothelUMR (AZ)UMR (OK)UMR (IL)UMR WausauUMR-Harrington-DaytonUMR-TXUMR-United Medical Resources, Inc

Union Pacific Railroad Emp Health Sys.United Healthcare DentalUnited Parcel Service/AetnaUnity Health InsuranceUniversal Fidelity Admin Co.University Of Chicago Health Plan (UCHP)Vista Health PlanViva HealthWAB/VHWEB TPAWebTPA Employers Svcs.Wells Fargo TPS, IncWestern & Southern Financial GroupWestern & Southern LifeWorksite Benefit Services, LLCWorld InsuranceWorldwide Managed Care PartnersWPS AdminWV Laborers Trust FundZenith American Solutions

FEDMED INC. – PPO

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

Patients enrolled: 18 Million nationwide





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

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

Aetna-National Advantage Program (NAP)(non-facility only) A-G AdministratorsAllied National American Benefit Plan Administrators (ABPA)Assurant Health (ASR)AuxiantBlue Shield of CACalifornia Water Service

CareFirst AdministratorsCarpenters Southwest AdministratorsCDS Group HealthCIGNACNIC Health SolutionsCo-ordinated Benefit Plans (CBP)Cypress BenefitsDevon HealthDeseret Mutual (DMBA)

Employee Benefits Administration & Management(EBAM)Federated Mutual Insurance CompanyFirst AdministratorsFirst AgencyGroup Insurance Service Center (GISC)GlobalCareGlobal Excel ManagementGroup and Pension Administrators (GPA)


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AMERICA’S CHOICE PROVIDER NETWORK (ACPN) – PPO

Fee Schedule: 20% off of providers’ billed charges.

Patients enrolled: 11 Million nationwide



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


Patient Identification: ACPN will appear on patient ID card.

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

1199 National Benefit Fund Health 21ST Century & Health Benefits21st Century Health & Benefits AAA Central PAAcadia Insurance CompanyAcadia Insurance CompanyAccess Administrators IncAccess International HealthcareACE International ACS --‐ Comp IQ Activar Inc.Actuarial Management Resources --‐ CLICActuarial Management Resources --‐ KCLActuarial Management Resources --‐ CLIC Actuarial Management Resources --‐ GAFRI Actuarial Management Resources --‐ KCL Actuarial Management Resources, Inc. Administrative Services Inc.Administrative Claims Management Administrative Concepts Advance Admin Local 592Advance Admin Local 803

Advanced Correctional Healthcare--‐MCAdvantage City of Greenwood Self FundedAdvantage Franciscan Self FundedAffordable Benefit Administrators AFS Insurance Services AG Administrators Inc. AHH --‐ Ironworks Local 549 & 550AHH --‐ OH Carpenters Health & WelfareAHH --‐ Toledo Electrical Welfare FundAHH --‐ University of AlaskaAHH --‐ Advocate Services AHH --‐ American Benefit Management --‐ 1426 AHH --‐ American Health Holding AHH --‐ Aultcare AHH --‐ Correctcare AHH --‐ Motorola AHH --‐ Motorola Employees/ACS Employees AHH --‐ Painting Industry Funds AIG Claims Services AIG HawaiiAlabama Insurance Guaranty AssociationAlabama Trucking Association

Alaska Forest AssociationAlfa VisionAlicare All Nations Insurance All Risk Insurance Allegiance Benefit Plan Management, Inc. Allied Benefit Systems Allina HealthAllstate Insurance Company Alpha Vision InsuranceAlternative Insurance Resources,Inc Alternative Service ConceptsALTRUA AmeriBen Solutions American Benefit CorporationAmerican Benefits Association American Enterprise American Family Insurance American Hydrotech, Inc.American Insurance American International Group (AIG) American Management Advisors

Group Administrators Ltd.HealthCare HorizonsHealthRisk Resource GroupHealthSmartHealth Care Services InternationalHealth Systems International (HSI)HMAHUBHumanaInternational Medical Group (IMG FH)inVentiv Medical ManagementLiberty HealthShareLocal 560 Benefit FundMedBenMutual Health Services (BSI)

National Claims Administrative Services (NCAS)National Health Benefit Corporation (NHBC)Nippon LifeNGS American (CoreSource)ODS Health PlanProfessional Benefit Administrators (PBA)Preferred Medical Claim Solutions (PMCS)Premier Healthcare Exchange (PHX)Prime Health ServicesPrincipal Financial GroupSecurity Health WISouthwest Service Administrators, Inc.StratoseTC3 HealthThe Loomis Company

Tower LifeTrusteedUnited Food & Commercial Workers (UFCW Southern California)UMR- CincinnatiUMR-HarringtonUMR-OnalaskaUMR-WausauUnited Medical Resources (UMR)WEA TrustWells Fargo TPAWestern Health AdvantageZenith Administrators


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ULE American Professional Risk Services, Inc

American Trust Administrators, Inc. AmeriHealth Administrators AmeriPlan AmeripriseAmeriSafeAmerisure Insurance AmeriTrust Insurance CorporationAnchor Benefit Consulting Andrews ExcavatingApex Benefits Services, LLC Ariel Third Party AdministratorsArise/WPSArizona Pipe Trades Health and Welfare FundArkansas Pipe Trades Health and Welfare FundArmed Forces Insurance Asbestos Workers Local 8ASERT Benefit Aspen AdministratorsASR Health Plans (ASR Corp)Associated Administrators (4Most)Associated Administrators LLCAssurant Health Atlanta Public SchoolsAuto Club AssociationAutomated Benefit Services (ABS)AUXIANTAVERA HEALTH PLANSAZ Foundation for Med CareB.J Baldwin ElectricBAC Local Union 15 Welfare FundBakery and Sales DriversBaldwin CountyBank Life & CasualtyBenefit Administrators ServicesBenefit Assistance CorporationBenefit Management ServicesBenefit Management, Inc. (MO)Benefit SupportBenefit Systems & ServicesBeneSys Inc.BeniComp, Inc.BerklyBerkshire Hathaway Homestate CompaniesBeverage Drivers Local 792Bibb County Public SchoolsBlalock ConstructionBlue Cross of Atlantic CanadaBlueGrass Family Health PlanBMI Benefits, LLCBMI--‐HealthPlansBoilermakersBoon--‐Chapman, Inc.Boston Plasterers

Boyd Brothers TransportationBragg and Associates, IncBrenner Tank LLCBrentwood Services, IncBrevard Partnership NetworkBricklayers --‐ Local 6Bridgestone Americas, Inc.Brokerage Concepts Inc.Brotherhood MutualBrown and BigelowBunch & Associates, IncBusiness Insurance Group, LLCBy State (state specific/majority of business done in a single state)C.H. Carpenter LumberCalifornia IndemnityCalifornia Water Services (CWS)Cambridge Insurance Co.Canal Insurance Co.CanassistanceCapitol AdministratorsCarey InternationalCarpenters H&W Trust of St LouisCarpenters Local 491 Health & Welfare PlanCarpenters Southern CaliforniaCasto Technical ServicesCBACbca --‐ SavannahCCMSICDS Health PlansCement MasonsCentral Security Life Insurance CompanyCFBBCharter/ PolarisChartis Insurance Company of CanadaCHRISTIAN BROTHERSChubb InsuranceCigna Cincinnati InsuranceCities and Villages Mutual InsuranceCity of DavenportCity of Hollywood (Florida)City of MontgomeryCity of Sarasota PPO and EPO (Florida)City of Venice (Florida)City of York (Pennsylvania)Claims Administrative ServicesCleveland BrothersCM HighCMN, Inc.CNIC Health SolutionColonial GroupColumbia CountyColumbia Insurance Group

Commerce BankCommercial Travelers Ins.Commodity Specialists CompanyComp IQCompanionCompass Rose Benefits GroupComprehensive Benefits Service Inc.Comprehensive Cost SolutionsCompStar Systems, IncCompTech Group LLCConifer Health SolutionsConMed Healthcare ManagementConnectiCareConnectiCareConsociate GroupConsociate GroupConsolidated Benefits ResourcesConsolidated Health PlansConstruction Industry Laborers Welfare FundConstruction Suppliers Fund AConstruction Suppliers Fund BConstruction Workers Trust FundContinental Western Insurance Co.Contract Claims Services, IncCore RiskCorporate Benefit Services, Inc.CorrectCare Integrated HealthCottingham & ButlerCounty of Riverside, CA.Covenant AdministratorsCovenant Group ServicesCox Health PlanCPC LogisticsCreative Risk SolutionsCypress Benefit AdministratorsD.H. Evans Associates, Inc.DAKOTACAREDallas NationalDaniel H. Cook Associates, Inc.Dean Health Plan, Inc.Definiti Healthcare ManagementDeseret Mutual Benefit AdminDistrict #77 IAMAWDiversified AdministrationDiversified Group AdministratorsDuluth Building TradesDurexEASTEX TelephoneEBAM CorporationEBPAEducators Mutual LifeElectrical Workers (IBEW)Elite Brokerage ServiceELMCO


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ULE Emons

Employee Benefit Claims of WisconsinEmployee Benefit ServicesEmployee Benefits Corp.Employee Benefits Corp.Employee Plans LLC (IRM)Employee Security, Inc.Employee Security, Inc.Enterprise Group PlanningEnterprise Rent--‐a--‐CarEpharata ManufacturingExam WorksExam WorksFair IsaacFarm Bureau --‐ IowaFarmers InsuranceFBMCFCCI PPO and EPOFCE Benefit AdministratorsFederated InsuranceFederated Mutual Insurance Co.Federated RuralFirst Administrators Inc. (FAI)First Agency, IncFirst Agency, IncFirst Benefits InsuranceFirst Carolina CareFirst Carolina CareFirst Health TPAFirst Service Administrators, Inc.Five Rivers CarpentersFlorida Hospital Healthcare SystemsFMAFMH Benefit ServFood Drug AdministrationFormula CorporationFoundation for Medical CareFox EverettFox’s MarketFreeman Admin Solutions, IncFrontierFulton CountyFuture CareGAB RobinsGallagher BassettGenexGenworth FinancialGeorge J Hayden ElectricGeorgia Insurers Insolvency PoolGerber Life Insurance CompanyGilsbarGlobal UnderwritersGovernmental Risk SolutionsGrange Insurance Group

Graphic CommunicationsGreat American Insurance CompanyGreat West Great West Casualty CompanyGreat West Risk ManagementGreater Cincinnati BricklayersGreater Kansas City Laborers Welfare FundGrosvenorGroup & Pension Admin (GPA)Group Administrators Ltd (GAL)Group Benefit Administrators Inc.Group Executive Insurance MarketingGroup Health CooperativeGroup Health CooperativeGroup Insurance Service Center (GISC)Group ResourcesGuarantee Bank & TrustGuarantee Insurance CompanyGuarantee Trust Life Insurance Co.Gulf GuaranteeH&B FundHanover FoodsHanover InsuranceHanover LanternHawaii Mainland AdministrationHealth AllianceHealth Cost SolutionsHealth Design Plus, IncHealth Markets IncHealth NetHealth Plan SelectHealth Plus of MichiganHEALTH SPRINGHealthCare Partners Medical GroupHealthcare StHealthcare Workers Comp FundHealthEZ (Formerly America’s TPA)HealthSCOPE BenefitsHeating, Piping and Refrigeration Medical FundHFN TPAHighland PhysiciansHoltra ChemHometown HealthHotel Restaurant Employees TrustHSBAHubbard ConstructionHumana IATSE Local 22 Welfare FundIBEW 640IBEW Local No. 1 H&W FundIBEW Local Union 124ICCIdaho Pipe TradesIEES, Inc.

ILWU--‐PMAIMT InsuranceIndian RiverIndiana Comprehensive Health Insurance Assoc.Indiana InsuranceIndustrial Harness CompanyINFORMED 9000IngenexInnovative Claim SolutionsInsura Property & Casualty Co.Insurance ProgrammersInsurex Benefits Admin IncIntegra GroupInter--‐America`s Insurance CorpInter--‐Americas Insurance CorporationInternational Medical Group (IMG)International Risk ConsultantsInternationalIntracorpIPM Health & WelfareIPMG--‐Employee Benefits ServicesIron WorkersIUOE Local No. 132 H&W FundJefferson County Schools Risk ManagementJensen Administrative ServicesJohn Copes FoodJohn Muir Physician NetworkKaiserKansas Building TradeKemper InsuranceKentucky AccessKentucky Health Administrators, LLCKentucky League of CitiesKentucky School Board Insurance TrustKey Benefit AdminstratorsKlais and CompanyKovatchKRBKrogerLaborers District Council Local 351 H&WLaborers International Union Local 616Laborers SELaborers Trust Fund Local 980 H&WLairdLake CountyLancaster Bible CollegeLast Updated April 2014 1Liberty MutualLinn County Risk ManagementLion Insurance CompanyLittle League AssociationLocal 1102 TWDSULocal 1180 TWDSULocal 226 IBEW


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ULE Local 229 IBEW

Local 23 IBEWLocal 25 SEIU Welfare FundLocal 309 Benefits OfficeLocal 520 Benefits OfficeLocal 57 Benefits OfficeLocal 70 Benefits OfficeLocal 877 IUOELockheedLoomis CompaniesLos Angeles Fire Fighters Local 10121M S Administrative Services, Inc.Magna Administrative ServicesMagnaCare TPAMagstar TechnologiesMaksinManage Care Manage Cost (MCMC)Managed Care AdministratorsManaged Care of AmericaManatee GlensMariners HospitalMarkel Insurance CompanyMarsh Affinity Group ServicesMaryland Electrical Industry Health FundMBA BenefitsMBMCMCAuditMCS --‐ Puerto Rican Health GroupMed3000MedataMedical Mutual of OhioMEDICAL NETWORKMEDICOMPANIES LLCMerchants Insurance GroupMercury InsuranceMeridian ProductsMeritain Health Corp.Messelman Lumber Inc.Michigan Property & Casualty Gauranty AssociationMiddletown RetireesMidlands Claim AdministratorsMinneapolis and Suburban Lumber DealersMinneapolis Auto DealersMinnesota and North Dakota BricklayersMinnesota LaborersMinnesota Teamsters Construction Div HighwayMinnesota Timber WorkersMitchell InternationalMMSIMolton, Allen & WilliamsMunicipal Health Benefit FundMutual AssuranceMutual Assurance AdminMutual Medical Plans Inc

Mutual of OmahaNAHGA, Inc.National Employee BenefitsNational LiabilityNational Rural Electrical Coop. AssociationNational Telephone CorporationNationwide InsuranceNative Care Health, LLCNECA --‐ Local 145Network Health PlanNew Holland Custom WoodNew Jersey HealthNew Mexico Association of CountiesNiagara CountyNiagara Frontier Transit Metro System, Inc.Norfolk Dredging CompanyNorth America AdministratorsNorth Carolina Electric CooperativeNorthern California CarpentersODSOhio BricklayersOhio State University Health PlanOld Republic InsuranceOmni AdministratorsOne Beacon Insurance Co.One Beacon Professional PartnersOperating Engineers Local 4OptumHealthOrange County Public SchoolsOsceloa County (Florida)Oxford Health PlansOxford Health PlansPainters and Allied TradesParamount Health Plans, Inc.Payer FusionPCE SolutionsPekin Life InsurancePenn National Insurance CoPenn Western Benefits, Inc.Penn Western Benefits, Inc.Personal Insurance AdministratorsPhysicians Health Plan of MichiganPilgrim Risk ManagementPioneer Managment SystemsPioneer Managment SystemsPipefitters 533 Health and Welfare FundPlumbers & Pipefitters Local 25Plumbers & Pipefitters Local 501Plumbers & Steamfitters Local #106 H&W FundPlumbers & Steamfitters Local 33Plumbers and Steamfitters Local #486Plumbers Local 522Plumbers Local 75Plumbers Local 8

Plumbers Local 88PMAPOMCOPrairie State Insurance CooperativePreferred Care --‐ MVP Health PlansPreferred Medical Plan IncPreferred OnePreferred OnePremier Comp SolutionsPrimeNet, Inc.Priority HealthProCentury Insurance CompanyProfessional Benefit Admin (PBA)Professional Claims AdministratorsPSIPupil Benefits Plan, Inc.Q3 Business TechnologiesQmedtrixQuality Health Management LLCQuantum ImagingRady Childrens Hospital San DiegoRailroad Maintenance and Industrial H&W FundRam Mutual InsuranceReady Mixed ConcreteRegence/AsurisReliaMax Insurance CoRemco PetroleumReny CompanyRepublic GroupReserve National Insurance CompanyRESOURCEONERetiree Health TrustReview WorksRG ApplegateRGB Retailer GroupRHS Business ServicesRich Maid KabinetryRigidplyRigidplyRisk Management Services CoRiverside County, CA.RMSCO, Inc.RMSCO, Inc.Roanoke Iron Workers Trust Fund Local 697Robert C Bouck, IncRobert F Kennedy Farm WorkersRocky Mountain AdministratorsRocky Mountain Health PlanRoofers Local 74Roofers Local 96RuanS A AllenSamaritan Health ServicesSan Diego Electrical HWT


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ULE San Jose Administrators

San Luis Valley HMOSANFORD HEALTH PLANSanta Monica Bay Physicians Health SvcsSarasota County GovernmentSarasota HeartSarasota Memorial HospitalSarasota PathologySarasota YMCASavers Property & CasualtySchool District #1 Health & Welfare Trust (Oregon)School Insurance of FloridaScottish RiteSecura Insurance CompanySecure CompSecurity Health PlansSecurity Workers Health and Welfare FundSedgwickSelect HealthSelect HealthSelectCare WorldwideSelective InsuranceSelf Insured Group Marketing(SIGMA)Self Insured Services CompanySeven CornersSheakley Vocational ServicesSheet Metal #10Sheet Metal WK Local 24Sheet Metal WK Local 265Sheet Metal Workers Local 100Sheet Metal Workers UnionSheffield InsuranceSheffield Risk Management ServiceSheffield, Olson & McQueenSierra Health And LifeSierra Health And LifeSIHOSimplifi (Formerly CBCA)Society InsuranceSouthern Benefit AdministratorsSouthwire CompanySpec PaperSt Paul Electric WorkersSt Paul PrintingSt. Francis Health NetworkSt. Joseph Heritage HealthcareSt. Paul Auto Dealers and DistrictStar Insurance CompanyState FarmState National Insurance Co.State of Georgia, DOASSteel of West VirginiaStirling and Stirling

Stirling Benefits IncStoner and AssociatesStonewood Insurance CompanyStratacareSturm and AssociatesSuburban Health OrganizationSummit --‐ PIASummit America Insurance ServicesSunmedSusquehanna LaborersSutherland Food ServiceSyracuse University Athletic DepartmentT.L. Groseclose Associates, Inc.Teachers Health TrustTeachers ProtectiveTeam HealthTeamster Local 175 & 505 H&W Trust FundTeamsters Local 560 Benefit FundTeamsters Local 618Texas Carpenters and Millwrights H&W FundThe AllianceThe AllianceThe AllianceThe GEMGroupTherma CoreTHIPA--‐ Torrance Hospital Independent PracticeThomas Cooper & CompanyToledo Electric WelfareTransguard InsuranceTransport Workers Union Health & Welfare FundsTranswestern Insurance AdministratorsTravel Insurance ServicesTri--‐State Joint FundTristar Managed CareTristar Managed CareTristate Local 1035Tristate Local 191Tristate Local 404Tristate Local 443Tristate Local 493Tristate Local 559Tristate Local 677Tristate RetiresTruck Drivers and Helpers Local 365Trusteed PlansTufts Health PlanTwin Cities Case ManagementTwin City Floor CoveringTwin City PipeUA Local 125 H&WUA Local 782 Health PlanUFCW --‐ CAUFCW --‐ NJUFCW National

UFCW Southern CaliforniaUICI Holding CompanyUMR UMR ILUMR WausauUMR/Benesight/FiservUnion Insurance CompanyUnion Pacific Railroad Emp Health Sys.Union Trowel TradesUnited Healthcare Integrated Services (administered by UMR)United Med ResUnited Press InternationalUniversity Of Chicago Health Plan (UCHP)University of Colorado--‐University Risk MgmtUS Administrator ClaimsUS Health GroupUS Network and HealthcareUSAAVallorbsValue Options/NRLCViva HealthWarehouse Employees Local 570 Trust FundWasatchWashington State Department of TransportWatkinsWEAWEB TPAWebbcoWelfare & Pension Admin SvcWelfare and Education FundWells Fargo TPA, Inc. (AKA HealthSmart)Wenger Family of CompaniesWest Bend Mutual InsuranceWest Virginia Laborers’ Trust FundWestern & Southern Financial GroupWestern Guaranty Fund ServicesWilliamsburg National Insurance Co.Willims, Parker, Harrison, Dietz, & GetzenWilson Mcshane Twin City Sheet MetalWilson Mutual InsuranceWisconsin Health FundWisconsin Insurance Security FundWorksite Benefit Services, LLCWP Northwest Iron Workers TrustWP Northwest RoofersWP Operating EngineersWP PugetWPS Health InsuranceYodersYusen TransportationZenith AdministratorsZurich Services Corp


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ULE

2 Land, LLC2187 United Teamsters Fund2190 Local 840A & G Financial ConsultantsAaron’s Service CompanyABC Iowa Trust & AG Processing, Inc.Able Telecon HoldingAccutaxACE USAACMGACS Consulting Services, Inc.Activation, Inc. Acurite – OOA TravelAdams Northlake PharmacyAdministrative Benefit ServicesAdministrative Claim ServicesAdministrative Consultants, Inc

Administrative Support, Inc.Administrators & ConsultantsAdminone CorporationAdvanced Industrial AssistanceAFC GroupAffiliated Benefits OrganizationAffiliated Foot CenterAffinity Group UnderwritersAHGLAhrens Financial Systems, IncAIG International ServicesAIG WorldsourceAIM AdministratorsAim Benefit ServicesAladdin Carpets and Interiors, IncAladdin IndustriesALATEC

Alexander InternationalAll Risk Administrators, IncAll Staffing Employee Healthcare PlanAllen MedicalAllen UniversityAllen’sAlliance International AssistanceAllied Benefit AdministratorsAllied Services Workers Union No. 1Alpine Moving of TexasAmeraplanAmerican Administrative Group American Appliance OutletAmerican Benefit ManagementAmerican Cometra, IncAmerican Freightways, Inc.American General

GALAXY / MANAGED CARE INCORP. (MCI) - PPO

Fee Schedule: 30% discount off billed charges.

Patients enrolled: 4.5 Million+ nationwide



Reimbursement: Fee for Service.

Claims Submission: Member ID will indicate.

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

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

HNA/TriverisCompanion Technologies

ABC Health ValueNational Discount Medical Card

CONTRACT ANALYSIS SYSTEMS/VIIAD – PPO

Fee Schedule: 20% discount off providers billed charges for covered services less applicable co-payments, co-insurance or deductibles.

Patients enrolled: 30,000





Patient Identification: HNA logo will be identified on all ID Cards

Payer clients:


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ULE American Health Care Alliance

American Health Care PartnershipAmerican HealthCare Partnership–ProTransAmerican HeritageAmerican Home AssuranceAmerican Ice Machines, IncAmerican Insurance CompanyAmerican Insurance Company of TexasAmerican National CarbideAmerican National Insurance CompanyAmerican National Life Insurance CoAmerican National Standard AutomationAmerican Pawn and JewelryAmerican Pioneer Insurance CompanyAmerican PrintingAmerican ResidentialAmerican Sigma – OOA TravelAmerican States InsuranceAmerican Union Life Insurance Co.American Western LifeAmericorpAmeripac, Inc.AMFED Employee Benefit Plan TrustAMTI/ACF 10145Anchor Benefit Consulting, IncAnderson Lithograph, IncAnesthesia AssociatesAnthem Health & Life Ins CoAnthony Armstrong AgencyApa Partner/KamtechApache CountyApartment HuntersApex Home HealthcareAPW Union Health PlanArgus, Inc.Aristacom International, Inc.Arizona Health DimensionsArrow MetalsASC International, Inc.ASO North AmericaAssociated Plan AdministratorsAssurance Resources, IncAtlas Life Insurance CompanyATS & MidwesternAubrey Auto SalesAurora Dairy CorporationAurora National GasAutomated Benefit ServicesAutomated Group AdministratorsAutomotive Fuels Company

Automotive PartsAX5B & B GravelB B L – PomcoBABB, Inc.Bakakel CommunicationBankers and Merchants State BankBankers Life and Casualty CompanyBankers Security Life Insurance CompanyBarney Holland Oil CompanyBarrier ResourcesBartush – Schnitzuis CompanyBasic Benefits, Inc.Basland, Bouch and Lee AssociatesBass Engineering CompanyBatteries PlusBaxter and Sons Elevator CompanyBaylor Trucking – 178Bayside ManorBeacon Risk StrategiesBearcom Operating L. P.Bearder Furniture CompanyBeckwith-Hightower and Renberg InsBeefers Systems, IncBelmont-OOA TravelBenborrk Family PracticeBencor CorporationBenefit Administrators Systems, IncBenefit Claims PayersBenefit Concepts Human Resrce MgntBenefit Design AdministratorsBenefit GroupBenefit Life and Casualty CorporationBenefit Life Insurance CompanyBenefit Management CorporationBenefit Negotiators, IncBenefit Planning Services, IncBenefit Resource ManagementBenefit Resources/The Resource GrpBenefit SolutionsBenefit SupportBenefit SystemsBenefit Systems & Services, IncBenicorp, Inc.Betlis Construction, IncBetro, IncBible Baptist Church and SchoolsBiesse AmericaBitterroot InternationalBlake Trainer Trucking

Blansett PharmacalBlasland, Bouk & Lee AssociatesBlueworksBOABob McClosley Agency, IncBoise State UniversityBoom Vang ConsultingBowling Green State UniversityBoy Cote IMT, Inc.Boyd Brothers TruckingBoyd-Veigel-AttorneysBrammer SupplyBreen Color/ACF10140Brennans Ltd. Designers WorkshopBriarwood - Brookwood, IncBricklayers & Allied Craftsman Health & Welfare Fund of IndianaBridgestone/Firestone Americas HoldingBrokerage Concepts, Inc.Brown & Roberts Browning Oil Company, IncBrynwood Center #526Bumper to Bumper, IncBurton BuildingsBurznski ResearchBush (Colorworks) – OOA TravelByar’s Mobile HomesC & G Tele-Wiring ServicesC & M Fine Pack, Inc.C & S TrailerC I MIC. R. Sign CompanyC. A. S. A. Church and School AssociationCalcasieu Parish School BoardCalnada Surveying, IncCam Administrative Services Cambria Capital CorporationCamden CountyCampbell Industries Inc. Canada Life Assurance CompanyCar Shops Cardinal Investment Company, IncCarolina Benefit Administrators Carriage House – OOA TravelCarroll AutomotiveCasa Linda Remodeling, Inc.Cattle Baron RestaurantsCBRCBSACBSI


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ULE Cedar Creek Bank

Celtic Life Insurance CompanyCenterline Industries, IncCenterville Independent School DistrictCentral ConcreteCentral United Life InsuranceCentri’s Risk ManagementCentury AluminumCeonseco Medical Ins. CoCertified Temporary ServicesChas F. Williams Company, Inc.Checkered Flag TransportationChek CashCher A Bumps & Assoc.Chicago Tire And Auto ServiceChiropractic StrategiesChoice NetChrist Chapel Bible ChurchCitizens National Bank – HendersonCity of Fort Wayne Fire & Police InsCity of NF – OOA TravelCity of Siloam SpringsClassic Products Corp.Cleveland GroupCliffstar – OOA TravelClouse TruckingCMACCNC Global Resources, Inc.CNG CommunicationsCoalition of America Marketing GroupCoastal Lumber CompanyCochise County Group Health TrustCollege Station Church of ChristCollin Street Bakery Collins Entertainment CorporationCombined Benefit Administrators, Inc. Comcar Industries, Inc. Commerce Medical GroupCommerce National BankCommercial Bank of Texas, N. A. Commercial National Bank of BeevilleCommercial National Bank of BradyCommercial UnderwritersCompFirstComplete Book and Media SupplyCompro Systems, Inc.Computer King, Inc.Concho Construction Company, Inc.Conley, Lott, Nichols MachineryCon-Serv

ConservcoConsolidated Employee BenefitsConsolidated International Group, Inc.Consolidated Tex-Pack, Inc.Consumer Benefit Services, IncContinental CarbonicsContinental General Insurance Co.Continental Life and AccidentControl and Connector SpecialtyControl Tech – OOA TravelConveying and Mining EquipmentConwae, Inc.Cooper Institute of Aerobics ResearchCoordinated Benefits Administration, IncCornerstone Preferred ResourcesCorning, Inc.Corporate Benefit ConsultantsCorporate DynamicsCorporate Health AdministratorsCorporate Staffing ResourcesCorporate Systems AdministrationCostco, IncCotter Member Insurance CompanyCougar Trucking, Inc.Country Life Insurance CompanyCovenant Administrators, Inc. Cox Insurance CompanyCran TechnologiesCross Plains/SandersonCrown Auto CompanyCrown LifeCSACTA LLCCuero Community HospitalCuna Mutual Insurance GroupCustom Design BenefitsCustom Logistics & Warehouse SrvcsCustom Sprayed On Liners, IncCyclone Manufacturing CompanyD & M FertilizationDallas / Fort Worth Roofing SupplyDallas Bankers Life Insurance Co.Dallas General Life Insurance Co.Dallas Production, IncDamon’s InternationalDan’s Furniture and ButaneDarling InternationalDart ConstructionDave’s SupermarketDavid Knight and Associates

David Lewis BuilderDécor GravureDelores Water Conservancy DistrictDelta Health GroupDesign Benefit AdministratorsDevon Health ServicesDexide, Inc. Diesel DiagnosticsDigioia Brothers ExcavatingDincon, Inc.Discount Loser ProductsDiversified Benefit PlansDixon PlumbingDon J. Holt, MDDonald VardmanDonley and HoranDos Gringos, IncDouble J Installation ServicesDowcraft – OOA TravelDRX, Inc.DS SupplyDublin National BankDunn and AssociatesDurmaxDVCC, Inc.Dyersburg CorporationDYI GroupDynamic Dies, Inc.Dynamic ProductsEagle Communications, IncEast Texas Bancshares, Inc.East Texas Fabrication, Inc.East Texas Seals, Inc.Eastern Benefit SystemEclipse MedicalEdison ProjectEdward B. MorrisEdward Equipment Sales, Inc.Edward N. Bitter, D.D.SEEDP Enterprises, IncEGS Electrical GroupEikenberry & Associates, IncEl Campo NewspaperElectrio Acoustics & VideoElkhart State BankEmployee Benefit AdministratorsEmployee Benefit ServicesEmployee Benefit TrustEmployee Benefits Management ServicesEmployee Security, Inc.


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ULE Employer Planning Services

Employers MutualEncon International, L. P. Energy Partners GroupEntrust Risk ManagementEntrust, Inc.EPIC AdministratorsEpic Insurance CompanyEpiscopal School of DallasEquitable Plan Service, Inc.Equity Benefit ServicesErin Group AdministratorsEstrada & AssociatesEvolutions Healthcare Sys (Guardian Resources)Excalibur ConstructionExodyne/KC LifeExpress Doctors, IncExtended Benefits (West Chemical)F. W. GarnerF. C. E. Benefit AdministratorsFabulous FoodsFairmont Management Company, Inc. FARA Benefit ServicesFarmers and Merchants State BankFarmers and Merchants – BurlesonFarnell & Smith Inc. Farouk Systems, Inc.Farrago FarmsFarris Point of Sale, Inc. Fas-Tronics, IncFincastle Cattle CompanyFine Lines AutomotiveFirst American AdministratorsFirst BankFirst Benefit AdministratorsFirst Benefit ServicesFirst Integrated Health, Inc.First National Bank of BallingerFirst National Bank of BeevilleFirst National Bank of BurkburnettFirst National Bank of DublinFirst National Bank of FairfieldFirst National Bank of GilmerFirst National Bank of GrahamFirst National Bank of GranburyFirst National Bank of Lake JacksonFirst National Bank of LivingstonFirst National Bank of McGregorFirst National Bank of MertzonFirst National Bank of Mexia

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

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


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ULE Healthcare Benefits, Inc.

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

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

J. B. Parks Wholesale Florist, Inc.Jabin IndustriesJack Harrison & AssociatesJack’s Appliance CenterJackson LEAJames CableJason ComponentsJasper Engines & Transmission Co (Woods & Grooms)Jay Tex AviationJefferson Life Insurance CompanyJefferson Pilot Life InsuranceJefferson Pilot NetworkJerry’s Chevrolet–Buick Inc & AffiliatesJess and Gross CompanyJet FoodsJewelry Market, Inc.Jiffy Signs & DecalsJohnson Benefit AdministrationJoiner Food Services, Inc.Jon’s WindshieldJonad, Inc.K & K Insurance CompanyKanawha Employee Benefit Admin,IncKansas City Life Insurance Co.Kappa Benefit ServicesKCS Management ServicesKD, Inc.Keiser, Inc.Keller State BankKenneth W. JackKepple and CompanyKetchumKettle Restaurants, Inc.Key Benefit AdministratorsKey Partners, Inc.Kids “R” Us of CopperfieldKinetico, Inc.Kingdom – OOA TravelKingsley Group, Inc.Kirk PatrickKitiles Home Furnishings, Inc.Klais- Non Reliance – Tricor #675KLLM TruckingKnockdown, IncKondos & KondosKRI Growth StocksKS Electric Health InsuranceL. J. Underwriting and AssociatesLabor & Beyond, Inc.


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ULE Lackland Properties

Lake Eustis Care CenterLandmark Community/Image TechnlgyLandmark Tower CorporationLane McDuff Sales CompanyLantech of America, Inc.Larson Associates USALaw Office of Michael O’BriantLaw Offices of Ken WillfordLBA Health PlansLectric Lites Company, Inc.Lefevre AgencyLegal Security Life Insurance Co.Leica – OOA TravelLeon Jones Seed & GrainLerson Advisory ServicesLetsos CompanyLevenson, Levenson and Hill, IncLife Care Centers of AmericaLife of the SouthLifeCourse Management ServicesLifeline Underwriters Life Ins CoLife-Tech, Inc.Lift TechnologiesLincoln UniversityLloyd’s of LondonLocal 854Lockhard & Williams Insurance SrvcsLone Star Transportation, Inc.Lone Star Truck & Equipment Svcs, Inc.Longdale Industries, Inc. Love TechnologiesM B R KMacNeal Memorial HospitalMaggie Breen, Inc.Magna Administrative ServicesMagnacare PPO – Local 617Magnacare PPO # 556Magnacare TPAMahoney ConsultingManaged Benefit AdministrationManaged Care AdministratorsManaged Care of AmericaManaged Med GroupManaged Underwriters, Inc.Management Counsel for Employee BenefitsManagement ServicesManaging Underwriters, Inc.Mandell

Manhattan Life Insurance CompanyManual Woodworkers & Weavers, IncMarco Display Specialists, Inc.Marion GeneralMarketing Services AssociatesMarriot International, Inc.Marshall Collision RepairMarvin EnterprisesMashantucket Pequot Tribal NationMAUMEEMaury Donnelly & Parr, Inc.Mays Chemical CompanyMc Crone Design / ACF 10139McBee CompanyMcConackie Financial ServicesMcFarland, Ferguson & McMillianMcGriff IndustriesMcKenzie Medical Benefit Plan TrustMcKinney Lumber and Hawk CompanyMcKinstry EnterprisesMcLaren’s ToplisMechanical Interiors, Inc.Medex Assistance CorporationMedex Insurance ServicesMedia GeneralMedical Benefits MutualMedical Care Management ServicesMedical Claims ServicesMedical Claims Solutions, Inc.Medical ExpressMedical Resource Marketing GroupMedina Valley State BankMedreviewMeiden & Hunt, Inc.Mel Stevenson Associates, Inc.Melange Fine CuisineMember Insurance ProgramMemphis Light Gas & WaterMemphis State BankMercury InternationalMervis IndustriesMetal ProcessingMetronicsMetronics – OOA TravelMi CocinaMiami Medical Centers, USA Inc.Michael McCulloch, MDMicron Industries, Inc.Mid America BenefitsMidas Rex Pneumatic Tools, Inc

Midland Life Insurance CompanyMillennium Health GroupMiller & LongMiller and Herring P. C. Miller Veterinary SupplyMills County State BankMiracle MachineMobiech, Inc.Modern Art Museum of Fort WorthModule Truck Systems, Inc.Momentum Holdings, CSI.NetMonroe’s Carpet & FurnitureMontana Unified School Trust-MustMontgomery ManagementMonton BuildingsMontrose Ford – NissanMorris AssociatesMorrow Buick – Pontiac, Inc.Morton Custom Plastic of KentuckyMouzon Bass CompanyMr. Bill Motor CompanyMrs. Leepers, Inc.Munsch Hardt Kopf Harr and Dinan PCMuscle TechnologyMustang Financial CorporationMutual of OmahaNapata Ace HardwareNational Accident Ins UnderwritersNational Allied Workers – 831National Assoc of Preferred ProvidersNational Benefit Administrators, Inc.National Benefit Resources, Inc.National Care NetworkNational Claims Administrative SvcsNational Employee Benefit Admin, Inc.National Financial Life Ins CoNational Foundation Life Ins CoNational Group Insurance CompanyNational Group LifeNational Health Benefit Corp.National Health Insurance CompanyNational Insurance ServicesNational Property CasualtyNational Risk TransferNational Rural Electric Coop AssocNational Seating & MobilityNational Security LifeNational Spirit Group, LimitedNauticon, Inc.NCAS – Pleasant Hardware Company


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ULE NCAS – Security Finance Company

Neuroscience Centers, IncorporatedNew Century UnderwritersNew Deal Independent School DistrictNew Era Life Insurance CompaniesNew Jersey Auto WholesalersNew Mexico Foundation for Medical CareNew Millenium – OOA TravelNews – Journal Corp.Next USA, Inc.NextelNGS American, Inc.Nils Sefeld Volvo & Tattoe ManagementNitram Energy – OOA TravelNJ America, Inc.Norcraft CompaniesNormandy, Inc.North America AdministratorsNorth Central Texas Laborers Health and Welfare FundNortheast Frozen FoodsNorthern AutomotiveNorthwestern National LifeNorton Lilly internationalNova Healthcare Admin–BelmontNova Healthcare Admin–Best LiebcoNovia Underwriters H R M Claim MgmtOak HillOak Tree Administrators, Inc.Oasis Pipeline CompanyObersfield’s, Inc.Okaloosa Gas DistrictOlivery Lumber CompanyOMSOne Stop Copy and PrintingOntod Ltd.Opportunity Resources, Inc.Options PublishingORMAT TechnologiesORMAT, Inc.OSF Healthplans, Inc. O’Steen Adjusting ServicesOtis Spunkmeyer, Inc.Outdoor Lumber & HardwareP. J. Welding and FabricationPACEPacific Coast Claim Consulting CoPacific Health and Life Insurance CoPacific Heritage AdministratorPacific Hospital Association

Pacific PreferredPacific Risk ManagementPacific Western ExcessPailet Financial ServicesPaint Sundry – OOA TravelPairgain Technologies, IncPanada Energy International, Inc.Panama Beverage Co.Panola Lights and SignalParadigm-MaconParadigm Administrators, Inc.Parkway CommunicationsPaslay Services, Inc.Pay & Save, Inc.Pechiney Rolled ProductsPecos County State BankPedding House CorporationPentacon – D – Bolt CorporationPericoPeriodical Services Inc.Personnel NetworkPete Durant & AssociatesPetro Tech, Inc.Pettigrew WeldingPFMCPharmacy Systems # 510Phelps Dodge CorporationPhiladelphia American Life Ins CoPhilip Vogel Company, P.C.Phoenix Communicants Mstr GraphicsPhoenix Excess Risk UnderwritersPiedmont AdministratorsPiedmont CollegePierce Public UtilitiesPilgrim Congregational United Church of ChristPine Forest JewelryPineland State BankPioneer Financial ServicePioneer Life Insurance CompanyPisano GroupPittman & AssociatesPizza Boy of Oxford, Inc.Plan Handlers, Inc.Plan Service, Inc.Planned AdministratorsPlantPlumbers Local Union No. 68Pointbank, N. A.Pope ExplorationPosters, Inc.

Pounds Surveying Group, Inc.Powerhouse TechnologiesPractical Healthcare Solutions, Inc.Prairiland Independent School DistrictPrecision Landscape Management, Inc.Preferred CarePreferred Providers, Inc.Premier Engineering, Inc.Primary Physicians CarePrime Benefits, Inc.Primenet, Inc.Print AssistPrint Tex Office ProductsPRNA ServicesPro-Claim Plus, Inc.Producers Exchange Benefit Services, IncProfessional Advocates & Crafts & TradesProfessional Benefit AdministratorsProfessional Benefits & ServiceProgressive ConceptsPrompt Associates, Inc.Propane Continental dba P. C. A. Z. Graves PropaneProtective Consumer DirectProvidence of St. Joseph’s of CapuchinProvident American Insurance CompanyProvident Life and AccidentPrudent Risk ManagementPulau ElectronicsPyramid LifeQual-ChoiceQuality ElectronicsQuality Service GroupQuantum Film ProductsR & R FencingR. Hixon, Inc.R. C. Martin, Inc.R. T. Nelson and AssociatesR. W. Management Company, Inc.RAB Products & ServicesRadio LabRadiology Associates of Tarrant CountyRafter J. TruckingRash Construction CenterRecipricol – OOA TravelRecovery Campuses of TXRed River FarmRegency Employee BenefitsRegional Benefit PlansRegional Care, Inc.


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ULE Rehab Consultants, Inc.

Reid Lockhart Golf CompanyReliable Life Insurance CompanyRemist, Inc.Renco – OOA TravelRentcoRepublic American Life Ins. CoRH AdministratorsRichardson Eagle Inc.Riley Gear CorporationRing-Can CorporationRip Griffin Truck Services CenterRisk Benefit Management River Chase Care CenterRobert M. Rosson, DDSRobert R. Romack, DDSRocket Air Supply, Inc.Rockwell Management GroupRocky Mountain Elk FoundationRoe’s Furniture & ApplianceRogue Garcia CorporationRusser – OOA TravelRX Relief, Inc.S & S Fleet Subrogation, Inc.S I H OSackner ProductsSafetywear, Inc.Safeway DoorDalerno/Duane Auto GroupSalud National, Inc.San Antonio Fleet & Auto ServiceSan Antonio Shoe RepairSanders Valve, Inc.Saot TravelScherer IndustrialSchilli TransportationScript CompanySeaboard LifeSeager Bros./AC345Self Funded PlansSelf Insured Benefit Administrators, Inc.Self Insured Group Marketing & Administration, Inc.Sells PrintingSelman & Co.SemaSeneca Foods – OOA TravelSevenson – OOA TravelShake and Shingle Supply, Inc.Shared Medical AlternativesShelton Trucking Services

Shumate & Dean Law FirmShuttleworth, Inc.Sights & SoundsSilver State Medical AdministratorsSilvercrest ManorSimmons & AssociatesSiplast, Inc.Sirianni Auto SalesSiscoSixto Custom FinishingSixx Holding, IncSkin CorrectionSmith Mattress CompanySmorasbord Management Co.Snider Tire CompanySnider’s DrugsSoftware Technology InternationalSouth Plains Financial, Inc.South Texas DesignSouth Texas Hats, Inc.Southern Adventist UniversitySouthern California Pipe TradesSouthern CompaniesSouthern Industrial ConstructorsSouthern Ins Management AssociatesSouthwest Auto Sales, Inc.Southwest Motors, Inc.Southwest Service Life Ins CoSovran – OOA TravelSpecialized PlansSponsored Marketing Ins AdminSports Radio Partnership, Inc.Springfield Public SchoolsSSISt. John’s College/ACF 10142St. Joseph Professional BuildingSt. Martin & WilliamsStandard Automation & Control LLCStarrchecx LLCState Bank of DekalbState National Bank of Caddo MillsStateline TPA, Inc.States GeneralStatesman National Life Ins CoStellar EnterprisesStephens Health Care, Inc.Sterling Care CenterStolt Parcel Tankers, Inc.Stone Bennett CorporationStop Loss International

Stowe Administrators, Inc.Strategic Health # 486Strategic MedicalStudent AdvantageSullivan BuildersSummit AdministratorsSun Life of Canada Ins CoSun Roller CorporationSun BankSuperior Insurance ServicesSupreme Plastics, Inc.Swatzell CommunicationsSwiss RESyndicate HealthcareSynergy/ACFSYNGSyracuse Research GroupSystem Printers, Inc.T & C Centers, Ltd.T. R. Bartholomeu Architects & AssociatesT. L. Groseclose Assoc. Inc.Taylor Benefit ResourcesTayson Insurance AdministratorsTC3TDCTeamsters Industrial Employers Welfare FndTechnical Resources InternationalTeletech Holdings, Inc.Texas Bank and TrustTexas Bed CompanyTexas Community ParkTexas Digital SystemsTexas Heat Treating, Inc.Texas Society of CPA’sTexas Sterling ConstructionThe Benefit GroupThe Blender CompanyThe Brice Legal Group PCThe Capella Group – Care EntréeThe Champion GroupThe Cooper Clinic P. A. The Crew PlanThe DeyhleThe Elite GroupThe Eye CenterThe Fix-Your-Well Co.The Gladney CenterThe Hockaday SchoolThe Liberty National Bank in ParisThe M. J. Daniel CorporationThe Mallory Group


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ULE The Marketing Continuum, Inc.

The May Department Stores CompanyThe People’s State Bank of ClydeThe People’s State Bank of HallettsvilleThe PlaceThe Preston Group, Inc.The Resource GroupThe Sleep Disorder Clinic of HoustonThe State Bank of TexasThe State National BankThe Stephan’s CompanyThe Summit Publishing GroupThe Trade GroupThe Vintage ApartmentsThe Wayne Companies, IncThermo Manufacturing Company, L.P.Third Party Advantage AdministratorsThomas JewelersThree Rivers Benefit CorpThree Rivers Provider NetworkTIATime Services, Inc.Tiseo Paving CompanyToday’s MerchandisingTodd MechanicalTotal Plan ServicesTour & Med AssistanceTower LifeTown & Country Concrete, Inc.Town Square FurnitureTownes Wear, Inc.TPA of Georgia (Brook Properties)TPA of IllinoisTransfund Mortgage CorporationTransitional Learning CommunityTransport – OOA TravelTransworld Healthcare, Inc.Travis, Wolff and Company, L. L. P.Tremont Floral SuppliesTriconex CorporationTriconex Systems, Inc.Trip-TeesTripod, Inc.TRIUNE Resources, Inc.TRL TruckingTru ServicesTrucking Employees of North Jersey Welfare FundTrussel Electric

Tucker and Clark, IncTurbine IndustriesTurner, Meehan, & WilliamsTylers AutoU. S. Benefits CorporationU. S. Benefits, Inc.U. S. Intec, Inc.U.S.A. Health Services, Inc.U-First, LLCUHC/NRLCUnion Bankers Insurance CompanyUnited American Insurance Co.United Art & Education, Inc.United Benefit GroupUnited Health, Inc.United KnittingUnited States Life Insurance CoUnited Teamsters FundUnitron, Inc.Universal OpthamalicUpstate Administrative Services, Inc.Upstate-RedstarU-Race CorporationUS Benefit CorporationUSA Services GroupUSI Administrators-Capitol Title Group #505USI Admin-Columbus McKinnonValue OptionsVariable Protection AdministratorsVasa BrougherVeneziaVenezia – OOA TravelVeteran’s MemorialVideo Post and Transfer, Inc.Virgin Mason Health PlanViva HealthVolMedW. J. Haynes and CompanyWaggoner National Bank of VernonWake Forest UniversityWalchop, Inc.WalgreenWallace Bargain BlockWally Clayton BuilderWal-Mart (Specific Policies Only)Want Ads of LongviewWarren Steinborn AssociatesWashington Homes

Washington National Insurance CoWaskon AutomotiveWatauga Wood ProductsWeaver and Tidwell, L. L. P.Webb, Murray & AssociatesWelmarkWendy’s – OOA TravelWest Texas Legal ServicesWestar MortgageWestbridge Capital CorporationWestern BenefitsWestern ElectronicsWestern Petroleum Marketers AssociationWestern Reserve Benefit Administrators Agency, Inc.Western Southern LifeWestern States Administrators, Inc.Westside CellularWeyco, Inc.Wheeler Companies-Insurance Claim SrvcsWhisperwood National BankWhite KnightWick Communication CompanyWil Jef TransportationWilder Contract Well ServiceWiley Sanders TrucklinesWilliam C. Beeler and CompanyWilliam HydraulicsWillis Corron of KansasWilson Air Conditioning, IncWilson AutomotiveWilson, Cantell, and MoodyWilton Krayse SepticWindsor ManorWins Paper Products, Inc.Wisconsin Automobile and Truck Dealers AssociatesWisconsin Evangelical Lutheran SystemsWood and GroomsWoodman Life and Accident InsuranceWorld InsuranceWrenn Handling/Brungart EquipmentYaga, Inc.Yorkshire Global RestaurantsZoria Farms, Inc.


A&S Financial Services Inc AcordiaACS Compiq Corp AIGAmeriben SolutionsAmerican AirlinesAmerican Medical SecurityAmeripriseAnthem BCBSArthur AndersenASU GroupAT&TAuto Injury SolutionsBank of AmericaBausch & Lomb IncBaxter InternationalBC/BSBMW of North AmericaBoeing CompanyBridgefield Casualty Insurance CompanyBridgefield Employers Insurance CompanyBose CorporationBristol MyersBroadspireBusinessfirst Insurance CompanyC.N.A.Capital One FinancialCharter CommunicationsCIGNA

Cingular WirelessCoca Cola EnterprisesCofinity IncCOMPUSA INCConsociate GroupConsolidated Services GroupCorvel CorporationConcentra/Manages CareCoventry Health CareCoventry Health Care, Inc.Delta AirlinesDept of DefenseDevon Health ServicesDow ChemicalEli LillyEmployee Benefit Management CorpEquianErnst & YoungExamworks Review Services LLC Federal Express CorporationFederated Mutual InsuranceFireman’s FundFISERV INCFord Motor CoFortis InsuranceFreedom InsuranceGeneral ElectricGeneral Motors CorpGLAXOSMITHKLINE

Global Care IncGlobal Excel Management IncGolden Rule InsuranceGreat American Insurance GroupGreat West Casualty CoGreenwich Insurance Group & Pension Administrators, Inc.GTE/VerizonHealth Plan Administrators Health Systems InternationalHealthsmart HoldingsHHC GroupHewlett PackardHome DepotHoneywell International, Inc.HumanaInetico IncInsurance Design AdministratorsInventiv Medical ManagementJohnson & JohnsonKemper InsuranceKinko’sKmart CorporationLes Schwab Employee Benefits TrustLevi Strauss & CoLexington insuranceLien On MeLife Investors Ins CoLockard & Williams Insurance Svcs

INTEGRATED HEALTH PLAN – PPO

Fee Schedule: 70% of providers billed charges.

Patients enrolled: 12.5 Million




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

Patient Identification: Verify client/payer participation on IHP website by visiting www.ihplan.com

Payer clients: The following is a partial listing, for the complete list please register at ihplan.com


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ULE Lockheed Martin

LowesMajor League Baseball/Players Welfare PlanMagnacare Maxicare Health PlanMedical Benefits AdministratorsMega Life and Health Insurance CoMeridian Health CareMeriteMid Florida Medical Services, Inc.Midwestern Insurance AllianceMitchell International IncMonsantoMontgomery Insurance CoMonumental LifeMorningstar IncMutual of AmericaNational Health Ins CoNationwideNestle USA Inc.New Era Life Insurance CoNextel CommunicationsNorgaurd Insurance CoNorth America AdministratorsNorthern Trust Corp.Office DepotOld Republic InsuranceOxford Health PlanPacificare HealthPenn Western BenefitsPepsicoPfizer

Pharmacia & UpjohnPhiladelphia InsurancePreferred Medical Claim SolutionsPrime Health Services IncPrincipal Financial GroupProcter & GambleProcura Management IncProfessional Benefit AdministratorsPrudential Insurance Co of AmericaQuest Medical Claims LLCQwest Communications InternationalRandstadRetail First Insurance CompanyRetailers Casualty Insurance CompanyRitz-Carlton Hotel Company LLCRockport Community NetworkSallie Mae IncSam’s Club – Wal-mart StoresSBC Communications IncScott & White Health PlanSelf-Insurance AdministratorsShastaShell Oil CompanySpecial Insurance ServicesStratacareSummit Consulting LLCSun Healthcare GroupTC3 Health IncTarget CorpTeco-WestinghouseTennessee Insurance GuarantyTexas Mutual Insurance Company

The City of Lakeland, FLThe City of North Miami Beach, FLThe City of Plant City, FLThe Comptech GroupThe J.P. Farley CorporationTommy Hilfiger USATotal Plan ServicesTrump OrganizationTyco International LtdTyson FoodU.S. Oil Company Inc.Underwriter Safety & ClaimsUnicare (Wellpoint)United American InsuranceUnited States ArmyUnity Health InsuranceUS AirwaysUS Benefits CorpUS Health Care AssociationUS Postal ServiceUSAAVanliner InsuranceViantWachovia CorpWausau Benefits, Inc.Wellpoint Inc.Western BenefitsWorld Insurance CompanyXerox CorpZenith Insurance Company


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

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

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

THREE RIVERS PROVIDER NETWORK (TRPN) – WORKERS COMPENSATION

Fee Schedule: 85% of the existing fee schedule as total reimbursement for Workers Compensation. Where a state or federal government fee schedule exists, such schedule shall serve as an index for all payments without exception. For states that do not possess a fee schedule for workers compensation, the Medicare fee schedule shall serve as the index for all payments without exception.

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



Claims Submission: Submit claim to address on patient form.

Patient Identification: Contact employer / see incident report

Payer clients:

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

Devon HealthFederated Mutual Insurance CompanyUnited Medical Resources (UMR)First AgencyGlobalCareGlobal Excel Management

HealthRisk Resource GroupHealthsmartHealth Care Services InternationalHealth Systems International (HSI)Integrated Health Plan (IHP)Meritain Health

FEDMED INC. – WORKERS COMPENSATION

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





Patient Identification: Contact employer / see incident report.

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


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ULE National Claims Administrative Services (NCAS)

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

Principal Financial GroupSelectCare WorldwideTC3 Health

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

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

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

THREE RIVERS PROVIDER NETWORK (TRPN) - AUTO INJURY

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





Patient Identification: Contact carrier / see incident report.

Payer clients:

AMERICA’S CHOICE PROVIDER NETWORK (ACPN) – WORKER’S COMPENSATION

Fee Schedule: 20% off providers usual charge for covered services less any applicable co-payments, co-insurance, or deductibles. Where a state mandated fee schedule exists, provider agrees to accept a 10% discount below the state schedule.





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


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AMERICA’S CHOICE PROVIDER NETWORK (ACPN) – AUTO ACCIDENT INJURY

Fee Schedule: 20% off of providers’ billed charges or where a federal or state mandated fee schedule applies, provider agrees to 10% below federal or state mandated fee schedule.





Patient Identification: ACPN will appear on patient ID card.

NATIONAL ASSOCIATION OF PREFERRED PROVIDERS (NAPP) / FAMILY CARE - DISCOUNT PRODUCT

Fee Schedule: Medicare plus 25% or 80% of billed charges, whichever is less.

Patients enrolled: 80,000+ nationwide




Claims Submission: Not applicable.

Patient Identification: NAPP indicated on member ID card.

Payer clients: Individuals.

FEDMED - AUTO ACCIDENT INJURY

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





Patient Identification: Contact employer / see incident report.

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

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

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

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


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HNA/TriverisCompanion TechnologiesABC Health ValueNational Discount Medical Card

CARD NAMES All Risk Health CareAmerican Healthcard

AmericardBest BenefitsCare OneCareinton Savings/Podiatry

Cathedral Rock Central Carolina BankChiro AccessEnhanced Benefits

CONTRACT ANALYSIS SYSTEMS/VIIAD – DISCOUNT PRODUCT

Fee Schedule: 20% discount off providers billed charges for covered services less applicable co-payments, co-insurance or deductibles.

Patients enrolled: 30,000




Patient Identification: HNA logo will be identified on all ID Card.

Payer clients:

ACCESS PLANS, INC - DISCOUNT PRODUCT

Fee Schedule: 20% discount off billed charges on all visits.

Patients enrolled: 40,000+


Specialties applicable: Podiatry Only



Patient Identification: HNA logo will be identified on all ID Card.

Payer clients: Marketed to individuals through CVS Pharmacy.

COVERDELL AND COMPANY, INC. - DISCOUNT PRODUCT

Fee Schedule: 50% discount on initial visit, 20% on subsequent visits.






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


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ULE Family Care Plus

Guardian HealthHCNPHealth Advocates AllianceHealth Plan ExtrasHealthcare AmericaHealthcare Savings PlanLaSalle

MedPlan ProgramMedStrongNorth Bank of CommercePerpetual Business ResourcePlan PlusPrimedReassurance HealthSenior First

Senior Healthcare PartnersSolutions HealthcareStandard FederalTHN Discount CardUnicare OneUSI AffinityVantage America

BANK/MARKETING ORGANIZATIONS 10 in 10 Biz Plus CardABN AmroAdvantage BenefitsAir FranceAIS InsuranceAll Risk HealthcareAmcard ServicesAmerican Benefits AllianceAmerican Income Life Insurance Company American Whole HealthAmericans for Fair PricingAmericardAt your business.comBanco PoplarBank of AmericaBankers Life & CasualtyBank of the WestBB Comp all BenefitsBB CoverdellBB Coverdell CompBB&TBBVA CompassBENEXBlue Cross and Blue Shield of FloridaBlue Print HealthBOACard Benefit ServicesCare OneCareington Savings/PodiatryCathedral RockCentral Carolina BankCHAS Mitchell Family LTD ParnershipChiro AccessCommonwealth Benefit PlanCombined InsuranceComerica

Community Value Level- Level 5Compass BankComplete Care PlanDemo All BenefitsDental Plus Deluxe PlanDesjardins Discount Card ServiceseBayEclipse CoreplusE-Hanced BenefitsE-Hanced OptimumEZ Discount CardEZ Senior CareFamily Care Plus PlanFamily Shared SuccessFirst Tennessee BankFleetFraming Contracts Assoc. Genesis HealthcareGenworth Life Insurance CompanyGeocare BenefitsGlobal CoreplusGuarantee Trust Life Insurance CompanyHarvard Health & Welfare PlanHCNPHealth Market InsightsHealth Provider PlanHealth Quest Benefit GroupHealthcare PrivilegesHealthcare Savings PlanHelping Handz PlatinumHMD Best BenefitsHudson’s Bay CompanyHSBC IndependenceKey BankKirkwood Insurance ServiceLaSalleM&T Bank

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


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ULE NATIONAL BENEFIT BUILDERS, INC. (NBBI) - DISCOUNT PRODUCT

Fee Schedule: 20% off patients out of pocket expenses.





Patient Identification: NBBI will be indicated on the patients ID card.

Claims submission: Not applicable.

Payer clients: Individuals

Notes: The NBBI Program may not be used in conjunction with any other discount, sale or other promotion offer accepted by provider, nor in conjunction with any managed care benefit program.

JCPENNEY FINANCIAL SERVICES, INC. / PLAN PLUS - DISCOUNT PRODUCT

Fee Schedule: 50% discount on the out of pocket expenses for the initial visit, 20% discount on subsequent visits.

Covered lives: 155,000





Patient Identification: HNA indicated on member ID card.

Claims submission: Not applicable.

Payer clients: Individuals

Notes: The Plan Plus Program may not be used in conjunction with any other discount, sale or other promotion offer accepted by provider, nor in conjunction with any managed care benefit program. Patient must present card at time of service and pay balance in full at time of service to receive discount.

Initial Exam and Consultation:

Complete Gait Analysis, X-Ray

Neurologic Exam, Vascular Exam

Treatment Programs:

Heel Pain, Bunions Hammer Toes, Ingrown toenails, Diabetes, Arch pain, Arthritis and other Foot & Ankle Problems

Member Receive:

50% off out of pocket expenses

Member Receive:

20% off out of pocket expenses

Documents

HEALTH PLAN LIST AND FEE SCHEDULE