A/B MAC Jurisdiction 1 Original Medicare Claims Processor

Jurisdiction 1 - American Samoa, California, Guam, Hawaii, Nevada and Northern

Mariana Islands • Total Number of Fee-For-Service Beneficiaries: 3,141,183 (as of 2004) • Total Number of Beneficiaries (including managed care plans): 4,620,428 (as of

2004) • Total Number of Practitioners: 106,236 (as of January 2005) • Total Number of Medicare Hospitals: 511 (as of 2004) • Total Annual Claims Volume: 8.6% of national workload (as of 2004) Current Fiscal Intermediaries and Carriers Operating in Jurisdiction • Mutual of Omaha Insurance Company (American Samoa, California, Guam, Hawaii,

Nevada and Northern Mariana Islands) • National Heritage Insurance Company (California) • Noridian Mutual Insurance Company (American Samoa, Guam, Hawaii, Nevada, and

Northern Marina Islands) • United Government Services, LLC (American Samoa, California, Guam, Hawaii,

Nevada, and Northern Mariana Islands) RFP Issuance – September 2006 Award Date – September 2007

A/B MAC Jurisdiction 2 Original Medicare Claims Processor

Jurisdiction 2 - Alaska, Idaho, Oregon and Washington • Total Number of Fee-For-Service Beneficiaries: 1,236,867 (as of 2004) • Total Number of Beneficiaries (including managed care plans): 1,552,790 (as of

2004) • Total Number of Practitioners: 42,319 (as of January 2005) • Total Number of Medicare Hospitals: 233 (as of 2004) • Total Annual Claims Volume: 2.9% of national workload (as of 2004) Current Fiscal Intermediaries and Carriers Operating in Jurisdiction • Connecticut General Life Insurance Company (Idaho) • Mutual of Omaha Insurance Company (Alaska, Idaho, Oregon and Washington) • Noridian Mutual Insurance Company (Alaska, Idaho, Oregon and Washington) RFP Issuance – September 2006 Award Date – September 2007

A/B MAC Jurisdiction 3 Original Medicare Claims Processor

Jurisdiction 3 - Arizona, Montana, North Dakota, South Dakota, Utah, and

Wyoming • Total Number of Fee-For-Service Beneficiaries: 1,206,309 (as of 2004) • Total Number of Beneficiaries (including managed care plans): 1,421,676 (as of

2004) • Total Number of Practitioners: 34,463 (as of January 2005) • Total Number of Medicare Hospitals: 348 (as of 2004) • Total Annual Claims Volume: 3.1% of national workload (as of 2004) Current Fiscal Intermediaries and Carriers Operating in Jurisdiction • Blue Cross and Blue Shield of Alabama (South Dakota) • Blue Cross and Blue Shield of Arizona (Arizona) • Blue Cross and Blue Shield of Montana, Inc. (Montana) • Blue Cross and Blue Shield of Wyoming (Wyoming) • Mutual of Omaha Insurance Company (Arizona, Montana, North Dakota, South

Dakota, Utah and Wyoming) • Noridian Mutual Insurance Company (Arizona, North Dakota, South Dakota, Utah

and Wyoming) RFP Issuance – September 2005 Award Date – June 2006

A/B MAC Jurisdiction 4 Original Medicare Claims Processor

Jurisdiction 4 - Colorado, New Mexico, Oklahoma, and Texas • Total Number of Fee-For-Service Beneficiaries: 3,349,745 (as of 2004) • Total Number of Beneficiaries (including managed care plans): 3,741,475 (as of

2004) • Total Number of Practitioners: 85,024 (as of January 2005) • Total Number of Medicare Hospitals: 784 (as of 2004) • Total Annual Claims Volume: 9.1% of national workload (as of 2004) Current Fiscal Intermediaries and Carriers Operating in Jurisdiction • Arkansas Blue Cross and Blue Shield (New Mexico and Oklahoma) • Group Health Service of Oklahoma, Inc. (Oklahoma) • Mutual of Omaha Insurance Company (Colorado, New Mexico, Oklahoma and

Texas) • Noridian Mutual Insurance Company (Colorado) • TrailBlazer Health Enterprises, LLC (Colorado, New Mexico and Texas) RFP Issuance – September 2006

Award Date – September 2007

A/B MAC Jurisdiction 5 Original Medicare Claims Processor

Jurisdiction 5 - Iowa, Kansas, Missouri and Nebraska • Total Number of Fee-For-Service Beneficiaries: 1,883,047 (as of 2004) • Total Number of Beneficiaries (including managed care plans): 2,037,857 (as of

2004) • Total Number of Practitioners: 46,699 (as of January 2005) • Total Number of Medicare Hospitals: 502 (as of 2004) • Total Annual Claims Volume: 5.0% of national workload (as of 2004) Current Fiscal Intermediaries and Carriers Operating in Jurisdiction • Arkansas Blue Cross and Blue Shield (Eastern Missouri) • Blue Cross and Blue Shield of Alabama (Iowa) • Blue Cross and Blue Shield of Kansas, Inc. (Kansas, Western Missouri and Nebraska) • Blue Cross and Blue Shield of Mississippi (Missouri) • Blue Cross and Blue Shield Nebraska (Nebraska) • Mutual of Omaha Insurance Company (Iowa, Kansas, Missouri and Nebraska) • Noridian Mutual Insurance Company (Iowa) RFP Issuance – September 2006 Award Date – September 2007

A/B MAC Jurisdiction 6 Original Medicare Claims Processor

Jurisdiction 6 - Illinois, Minnesota and Wisconsin • Total Number of Fee-For-Service Beneficiaries: 2,948,030 (as of 2004) • Total Number of Beneficiaries (including managed care plans): 3,177,939 (as of

2004) • Total Number of Practitioners: 75,120 (as of January 2005) • Total Number of Medicare Hospitals: 504 (as of 2004) • Total Annual Claims Volume: 7.6% of national workload (as of 2004) Current Fiscal Intermediaries and Carriers Operating in Jurisdiction • Anthem Insurance Companies, Inc. (Illinois) • Mutual of Omaha Insurance Company (Illinois, Minnesota and Wisconsin) • Noridian Mutual Insurance Company (Minnesota) • United Government Services, LLC (Wisconsin) • Wisconsin Physicians Service Insurance Corporation (Illinois, Minnesota and

Wisconsin) RFP Issuance – September 2007

Award Date – September 2008

A/B MAC Jurisdiction 7 Original Medicare Claims Processor

Jurisdiction 7 - Arkansas, Louisiana and Mississippi • Total Number of Fee-For-Service Beneficiaries: 1,461,768 (as of 2004) • Total Number of Beneficiaries (including managed care plans): 1,534,416 (as of

2004) • Total Number of Practitioners: 31,789 (as of January 2005) • Total Number of Medicare Hospitals: 428 (as of 2004) • Total Annual Claims Volume: 3.7% of national workload (as of 2004) Current Fiscal Intermediaries and Carriers Operating in Jurisdiction • Arkansas Blue Cross and Blue Shield (Arkansas and Louisiana) • Blue Cross and Blue Shield of Alabama (Mississippi) • Blue Cross and Blue Shield of Mississippi (Louisiana and Mississippi) • Mutual of Omaha Insurance Company (Arkansas, Louisiana and Mississippi) RFP Issuance – September 2006 Award Date – September 2007

A/B MAC Jurisdiction 8 Original Medicare Claims Processor

Jurisdiction 8 - Indiana and Michigan • Total Number of Fee-For-Service Beneficiaries: 2,313,758 (as of 2004) • Total Number of Beneficiaries (including managed care plans): 2,354,470 (as of

2004) • Total Number of Practitioners: 52,188 (as of January 2005) • Total Number of Medicare Hospitals: 332 (as of 2004) • Total Annual Claims Volume: 6.5% of national workload (as of 2004) Current Fiscal Intermediaries and Carriers Operating in Jurisdiction • AdminaStar Federal, Inc. (Indiana) • Anthem Insurance Companies, Inc. (Indiana) • Mutual of Omaha Insurance Company (Indiana and Michigan) • United Government Services, LLC (Michigan) • Wisconsin Physicians Service Insurance Corporation (Michigan) RFP Issuance – September 2007 Award Date – September 2008

A/B MAC Jurisdiction 9 Original Medicare Claims Processor

Jurisdiction 9 - Florida, Puerto Rico and U.S. Virgin Islands • Total Number of Fee-For-Service Beneficiaries: 2,966,059 (as of 2004) • Total Number of Beneficiaries (including managed care plans): 3,580,104 (as of

2004) • Total Number of Practitioners: 63,293 (as of January 2005) • Total Number of Medicare Hospitals: 294 (as of 2004) • Total Annual Claims Volume: 8.9% of national workload (as of 2004) Current Fiscal Intermediaries and Carriers Operating in Jurisdiction • Cooperativa de Seguros de Vida de Puerto Rico (Puerto Rico and U.S. Virgin Islands) • First Coast Service Options, Inc. (Florida) • Mutual of Omaha Insurance Company (Florida and U.S. Virgin Islands) • Triple S, Inc. (Puerto Rico and U.S. Virgin Islands) RFP Issuance – September 2007 Award Date – September 2008

A/B MAC Jurisdiction 10 Original Medicare Claims Processor

Jurisdiction 10 - Alabama, Georgia and Tennessee • Total Number of Fee-For-Service Beneficiaries: 2,478,541 (as of 2004) • Total Number of Beneficiaries (including managed care plans): 2,618,344 (as of

2004) • Total Number of Practitioners: 55,920 (as of January 2005) • Total Number of Medicare Hospitals: 450 (as of 2004) • Total Annual Claims Volume: 6.8% of national workload (as of 2004) Current Fiscal Intermediaries and Carriers Operating in Jurisdiction • Blue Cross and Blue Shield of Alabama (Alabama and Georgia) • Blue Cross and Blue Shield of Georgia, Inc. (Georgia) • Blue Cross and Blue Shield of Tennessee (Tennessee) • Connecticut General Life Insurance Company (Tennessee) • Mutual of Omaha Insurance Company (Alabama, Georgia and Tennessee) RFP Issuance – September 2007 Award Date – September 2008

A/B MAC Jurisdiction 11 Original Medicare Claims Processor

Jurisdiction 11 - North Carolina, South Carolina, Virginia and West Virginia • Total Number of Fee-For-Service Beneficiaries: 3,076,573 (as of 2004) • Total Number of Beneficiaries (including managed care plans): 3,174,655 (as of

2004) • Total Number of Practitioners: 66,178 (as of January 2005) • Total Number of Medicare Hospitals: 390 (as of 2004) • Total Annual Claims Volume: 7.9% of national workload (as of 2004) Current Fiscal Intermediaries and Carriers Operating in Jurisdiction • Blue Cross and Blue Shield of South Carolina (North Carolina, South Carolina and

West Virginia) • Connecticut General Life Insurance Company (North Carolina) • Mutual of Omaha Insurance Company (North Carolina, South Carolina, Virginia, and

West Virginia) • TrailBlazer Health Enterprises, LLC (Virginia) • United Government Services, LLC (Virginia and West Virginia) RFP Issuance – September 2007 Award Date – September 2008

A/B MAC Jurisdiction 12 Original Medicare Claims Processor

Jurisdiction 12 - Delaware, District of Columbia, Maryland, New Jersey and

Pennsylvania • Total Number of Fee-For-Service Beneficiaries: 3,589,154 (as of 2004) • Total Number of Beneficiaries (including managed care plans): 4,227,112 (as of

2004) • Total Number of Practitioners: 110,219 (as of January 2005) • Total Number of Medicare Hospitals: 442 (as of 2004) • Total Annual Claims Volume: 11.2% of national workload (as of 2004) Current Fiscal Intermediaries and Carriers Operating in Jurisdiction • Blue Cross and Blue Shield of Tennessee (New Jersey) • Empire HealthChoice Assurance, Inc. (Delaware and New Jersey) • Highmark, Inc. – HGSAdministrators (Pennsylvania) • Highmark, Inc. - Veritus (District of Columbia, Maryland, and Pennsylvania) • Mutual of Omaha Insurance Company (Delaware, District of Columbia, Maryland,

New Jersey and Pennsylvania) • TrailBlazer Health Enterprises, LLC (Delaware, District of Columbia and Maryland) RFP Issuance – September 2006 Award Date - September 2007

A/B MAC Jurisdiction 13 Original Medicare Claims Processor

Jurisdiction 13 - Connecticut and New York • Total Number of Fee-For-Service Beneficiaries: 2,775,573 (as of 2004) • Total Number of Beneficiaries (including managed care plans): 3,303,506 (as of

2004) • Total Number of Practitioners: 93,543 (as of January 2005) • Total Number of Medicare Hospitals: 298 (as of 2004) • Total Annual Claims Volume: 8.6% of national workload (as of 2004) Current Fiscal Intermediaries and Carriers Operating in Jurisdiction • Empire HealthChoice Assurance, Inc. (Connecticut and New York) • First Coast Service Options, Inc. (Connecticut) • Group Health Inc. (New York) • HealthNow New York, Inc. (New York) • Mutual of Omaha (Connecticut) RFP Issuance – September 2006 Award Date – September 2007

A/B MAC Jurisdiction 14 Original Medicare Claims Processor

Jurisdiction 14 - Maine, Massachusetts, New Hampshire, Rhode Island and

Vermont • Total Number of Fee-For-Service Beneficiaries: 1,432,277 (as of 2004) • Total Number of Beneficiaries (including managed care plans): 1,653,771 (as of

2004) • Total Number of Practitioners: 62,195 (as of January 2005) • Total Number of Medicare Hospitals: 212 (as of 2004) • Total Annual Claims Volume: 4.0% of national workload (as of 2004) Current Fiscal Intermediaries and Carriers Operating in Jurisdiction • Anthem Health Plans of Maine, Inc. (Maine and Massachusetts) • Anthem Health Plans of New Hampshire, Inc. (New Hampshire and Vermont) • Arkansas Blue Cross and Blue Shield (Rhode Island) • Mutual of Omaha Insurance Company (Maine, Massachusetts, New Hampshire,

Rhode Island and Vermont) • National Heritage Insurance Company (Maine, Massachusetts New Hampshire, and

Vermont) RFP Issuance – September 2007 Award Date – September 2008

A/B MAC Jurisdiction 15 Original Medicare Claims Processor

Jurisdiction 15 - Kentucky and Ohio • Total Number of Fee-For-Service Beneficiaries: 2,157,610 (as of 2004) • Total Number of Beneficiaries (including managed care plans): 2,400,052 (as of

2004) • Total Number of Practitioners: 50,700 (as of January 2005) • Total Number of Medicare Hospitals: 326 (as of 2004) • Total Annual Claims Volume: 6.1% of national workload (as of 2004) Current Fiscal Intermediaries and Carriers Operating in Jurisdiction • AdminaStar Federal, Inc. (Kentucky) • Anthem Insurance Companies, Inc. (Kentucky and Ohio) • Blue Cross and Blue Shield of South Carolina (Ohio) • Mutual of Omaha Insurance Company (Kentucky and Ohio) RFP Issuance – September 2007 Award Date – September 2008