dwc assignment of unique medical provider network ... · liberty mutual group mpn . 1460 . 1460 ....

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant) Name of MPN Applicant Name of Medical Provider Network MPN Identification Number Assigned by DWC MPN Log Number Date of Approval 99 Cent Only Stores Broadspire Signature MPN 1564 1564 8/24/09 99¢ Only Stores WellComp Medical Provider Network 1302 1302 7/31/07 A. Teichert & Son, Inc. WellComp Medical Provider Network 2301 2301 6/11/14 A.B. Ag Services, Inc. Zacky Farms Custom CorVel MPN 1751 1751 1/12/11 ABC Unified School District Prime Advantage Medical Network 0229 0229 3/1/05 ABM Industries Incorporated ABM ESIS MPN 0169 0169 2/2/05 ABM Industries, Incorporated ABM MPN 1938 1938 4/20/12 ACE American Insurance Company Medex 0044 0044 12/7/04 ACE American Insurance Company ACE ESIS MPN 0103 0103 2/3/05 ACE American Insurance Company First Health CompAmerica Primary Network 0125 0125 4/13/05 ACE American Insurance Company Sedgwick CMS Medical Provider Network 0157 0157 2/17/05 ACE American Insurance Company Sedgwick CMS Extended MPN 0159 0159 2/17/05 ACE American Insurance Company TCT MPN 0180 0180 3/7/05 ACE American Insurance Company First Health CompAmerica Select HCO Network 0218 0218 3/17/05 ACE American Insurance Company CorVel MPN/ACE American/GB 0302 0302 3/14/05 ACE American Insurance Company Broadspire MPN 0340 0340 2/17/05 ACE American Insurance Company Sedgwick First Health CompAmerica Primary HCO Network 0361 0361 3/7/05 ACE American Insurance Company Sedgwick First Health CompAmerica Select HCO Network 0362 0362 3/7/05 ACE American Insurance Company FARA-CVTY 0384 0384 4/21/05 ACE American Insurance Company ACE/Gallagher Bassett/Coventry MPN 0391 0391 2/23/05 ACE American Insurance Company First Health Comp America HCO Select Network 0394 0394 3/16/05 ACE American Insurance Company ACE/Gallagher Bassett/First Health MPN 0404 0404 5/13/05 ACE American Insurance Company ACE/Frank Gates First Health CompAmerica Select Network 0427 0427 5/11/05 ACE American Insurance Company Ace USA Cambridge MPN 0480 0480 9/12/05 ACE American Insurance Company First Health Comp America HCO Select Network 0506 0506 4/21/05 ACE American Insurance Company INTRACORP 0587 0587 5/9/05 1 09/15/14

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Page 1: DWC Assignment of Unique Medical Provider Network ... · Liberty Mutual Group MPN . 1460 . 1460 . 10/20/08 . Alvord Unified School District . Broadspire-Concentra Standard MPN . 0638

DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

Name of MPN Applicant Name of Medical Provider Network

MPN Identification

Number Assigned by

DWC

MPN Log Number

Date of Approval

99 Cent Only Stores Broadspire Signature MPN 1564 1564 8/24/09

99¢ Only Stores WellComp Medical Provider Network 1302 1302 7/31/07

A. Teichert & Son, Inc. WellComp Medical Provider Network 2301 2301 6/11/14

A.B. Ag Services, Inc. Zacky Farms Custom CorVel MPN 1751 1751 1/12/11

ABC Unified School District Prime Advantage Medical Network 0229 0229 3/1/05

ABM Industries Incorporated ABM ESIS MPN 0169 0169 2/2/05

ABM Industries, Incorporated ABM MPN 1938 1938 4/20/12

ACE American Insurance Company Medex 0044 0044 12/7/04

ACE American Insurance Company ACE ESIS MPN 0103 0103 2/3/05

ACE American Insurance Company First Health CompAmerica Primary Network 0125 0125 4/13/05

ACE American Insurance Company Sedgwick CMS Medical Provider Network 0157 0157 2/17/05

ACE American Insurance Company Sedgwick CMS Extended MPN 0159 0159 2/17/05

ACE American Insurance Company TCT MPN 0180 0180 3/7/05

ACE American Insurance Company First Health CompAmerica Select HCO Network 0218 0218 3/17/05

ACE American Insurance Company CorVel MPN/ACE American/GB 0302 0302 3/14/05

ACE American Insurance Company Broadspire MPN 0340 0340 2/17/05

ACE American Insurance Company Sedgwick First Health CompAmerica Primary HCO Network 0361 0361 3/7/05

ACE American Insurance Company Sedgwick First Health CompAmerica Select HCO Network 0362 0362 3/7/05

ACE American Insurance Company FARA-CVTY 0384 0384 4/21/05

ACE American Insurance Company ACE/Gallagher Bassett/Coventry MPN 0391 0391 2/23/05

ACE American Insurance Company First Health Comp America HCO Select Network 0394 0394 3/16/05

ACE American Insurance Company ACE/Gallagher Bassett/First Health MPN 0404 0404 5/13/05

ACE American Insurance Company ACE/Frank Gates First Health CompAmerica Select Network 0427 0427 5/11/05

ACE American Insurance Company Ace USA Cambridge MPN 0480 0480 9/12/05

ACE American Insurance Company First Health Comp America HCO Select Network 0506 0506 4/21/05

ACE American Insurance Company INTRACORP 0587 0587 5/9/05

1 09/15/14

Page 2: DWC Assignment of Unique Medical Provider Network ... · Liberty Mutual Group MPN . 1460 . 1460 . 10/20/08 . Alvord Unified School District . Broadspire-Concentra Standard MPN . 0638

DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

ACE American Insurance Company Genex 0646 0646 6/2/05

ACE American Insurance Company ACE American Insurance Company - Crawford Select 0677 0677 6/16/05

ACE American Insurance Company Medex-ACE-GB 0716 0716 4/19/05

ACE American Insurance Company MedInsights MPN accessing Prudent Buyer PPO 0748 0748 4/29/05

ACE American Insurance Company ACE/BUNCH Network 0768 0768 5/6/05

ACE American Insurance Company ACE-Medex Select A 0796 0796 5/27/05

ACE American Insurance Company TRISTAR MPN 0821 0821 5/3/05

ACE American Insurance Company First Health CompAmerica Select HCO Network 0838 0838 5/31/05

ACE American Insurance Company Intracorp-Gates McDonald MPN 0960 0960 7/28/05

ACE American Insurance Company ACE-Medex Select B 0983 0983 8/5/05

ACE American Insurance Company Genex 1014 1014 8/2/05

ACE American Insurance Company Liberty Mutual Group MPN 1179 1179 6/1/06

ACE American Insurance Company Intracorp/ACE 1192 1192 5/2/06

ACE American Insurance Company Genex 1220 1220 7/21/06

ACE American Insurance Company INTRACORP/Customized ACE MPN 1321 1321 11/20/07

ACE American Insurance Company ACE/Bunch/Barnes Group MPN 1380 1380 5/14/08

ACE American Insurance Company ACE GBMCS MPN 1434 1434 5/7/09

ACE American Insurance Company Sedgwick CMS / Harbor Net - ACE 1466 1466 1/15/09

ACE American Insurance Company CCMSI/ACE First Health Comp America Select HCO Network 1547 1547 6/25/09

ACE American Insurance Company Wal-Mart-Medex MPN 1560 1560 8/13/09

ACE American Insurance Company Sedgwick CMS / Harbor MPN - Ace Boeing 1568 1568 10/20/09

ACE American Insurance Company Sedgwick CMS/Harbor Net - Ross Stores 1573 1573 12/14/09

ACE American Insurance Company MLB CA MPN 1576 1576 2/11/10

ACE American Insurance Company Coventry Network 1581 1581 1/21/10

ACE American Insurance Company CorVel MPN 1605 1605 4/1/10

ACE American Insurance Company CorVel MPN 1620 1620 4/8/10

ACE American Insurance Company Sedgwick CMS/Harbor MPN - Ace CEC 1623 1623 4/20/10

Ace American Insurance Company WellComp Medical Provider Network 1650 1650 6/22/10

ACE American Insurance Company Broadspire Signature MPN 1673 1673 8/10/10

2 09/15/14

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

ACE American Insurance Company Medtronic CV Santa Rosa MPN 1734 1734 12/22/10

Ace American Insurance Company ACE American Insurance Company-GENEX MPN 1764 1764 2/1/11

ACE American Insurance Company ACE GBMCS KOJ MPN 1826 1826 5/3/11

Ace American Insurance Company Wellcomp Medical Provider Network 1846 1846 6/16/11

ACE American Insurance Company ACE/Bunch/Buffets MPN 1857 1857 7/15/11

ACE American Insurance Company ACE MPN - HCA 1864 1864 8/4/11

ACE American Insurance Company Randstad/ACEAm/Bunch MPN 1904 1904 2/14/12

ACE American Insurance Company Sedgwick/Harbor MPN - ACE SUMC 1909 1909 2/14/12

ACE American Insurance Company Sedgwick/Harbor MPN - ACE Nestle 1917 1917 2/17/12

Ace American Insurance Company Sedgwick/Harbor MPN 1961 1961 5/15/12

Ace American Insurance Company Sedgwick/Harbor MPN-ACE SSL 1975 1975 5/24/12

ACE American Insurance Company Sedgwick CMS / Harbor MPN - ACE FD 1995 1995 11/8/11

Ace American Insurance Company Sedgwick/Harbor 2 MPN 2055 2055 9/20/12

Ace American Insurance Company CorVel/Kaiser Select MPN 2070 2070 10/25/12

ACE American Insurance Company CorVel/Prime Healthcare MPN 2181 2181 6/18/13

ACE American Insurance Company CorVel MPN 2227 2227 10/18/13

ACE American Insurance Company Coventry Medical Provider Network 2249 2249 4/18/14

ACE AMERICAN INSURANCE COMPANY Iron Mountain/GENEX MPN 2259 2259 12/30/13

Ace American Insurance Company Sedgwick/Harbor 3 MPN 2286 2286 5/27/14

Ace American Insurance Company Sedgwick/Harbor 4 MPN 2287 2287 5/27/14

ACE American Insurance Company 2316 2316 7/3/14 ACE American Insurance Company (Broadspire-Boeing MPN) Broadspire MPN 0080 0080 3/7/05

ACE Employers Insurance Company (CEI) ACE Employers Insurance Company (CEI) - Crawford Select 0682 0682 6/16/05

ACE Fire Underwriters Insurance Company CCMSI/ACE First Health Comp America Select HCO Network 1546 1546 6/25/09

Ace Fire Underwriters Insurance Company Liberty Mutual Group MPN 2206 2206 7/24/13

ACE Fire Underwriters Insurance Company Sedgwick/Harbor MPN - ACE Irvine Company 2234 2234 12/3/13

ACE Guaranty RE ACE Guaranty RE - Crawford Primary 0681 0681 6/16/05

ACE Indemnity/ACE American Insurance Company CorVel MPN/ACE/LWP MPN 0892 0892 5/19/05

3 09/15/14

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

ACE Property and Casualty Insurance Company CCMSI/ACE First Health Comp America Select HCO Network 1548 1548 6/25/09

ACWA/JPIA ACWA/JPIA MPN 0589 0589 5/9/05

Administrative Concepts Corp. Broadspire Signature 1689 1689 8/19/10

Administrative Office of the Courts CorVel MPN 1865 1865 8/23/11

Advance Auto Parts MedInsights Medical Provider Network accessing Prudent Buyer HCO 0749 0749 4/29/05

Advantage Workers Compensation Insurance Company

Advantage Workers Compensation Insurance Company Medical Provider Network 1304 1304 9/13/07

AIG Casualty Company fka Birmingham Fire Insurance Company of Pennsylvania Chartis - Cambridge MPN 0528 0528 3/24/05

AIU Insurance Company AIG Primary MPN 0116 0116 2/17/05

AIU Insurance Company Broadspire MPN 0465 0465 4/26/05

AIU Insurance Company Cambridge-Concentra MPN 0526 0526 3/23/05

AIU Insurance Company AIG ESIS MPN 0610 0610 3/28/05

AIU Insurance Company AIU Insurance/Gallagher Bassett/Concentra MPN 0649 0649 3/24/05

AIU Insurance Company AIU Insurance Company, Crawford Select 0855 0855 7/1/05

AIU Insurance Company AIU Insurance Company, Crawford Select 0864 0864 7/1/05

AIU Insurance Company MedInsights/GAB Robins Medical Provider Network, accessing Prudent Buyer HCO 0919 0919 5/19/05

AIU Insurance Company AIU Gallagher Bassett First Health Select MPN 1025 1025 8/5/05

AIX, Inc. AIX/Gallagher Bassett/First Health MPN 1326 1326 11/16/07

AIX, Inc. AIX/Gallagher Bassett/Coventry MPN 1328 1328 11/16/07

Alameda Contra Costa Transit District AC Transit MPN 1697 1697 9/29/10

Alameda County First Health CompAmerica Primary Network 1032 1032 8/12/05

Alameda County Medical Center Athens MPN- Alameda Health Systems 1780 1780 2/3/11

Alameda County Schools Insurance Group ACSIG/AccessMedical Provider Network 0767 0767 5/19/05

Alameda County Schools Insurance Group PRIME Plus Medical Provider Network 1345 1345 1/28/08

Alaska National Insurance Company Alaska National Preferred Choice Network 0155 0155 2/1/05

Alaska National Insurance Company CorVel MPN 1383 1383 6/19/08

Alaska National Insurance Company Alaska National/CorVel Select MPN 1799 1799 3/10/11

Alea North America Insurance Company Alea/Frank Gates First Health Comp America Select HCO Network ("First Health Select") 0307 0307 5/11/05

4 09/15/14

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

Alea North America Insurance Company CorVel MPN 0411 0411 2/28/05

Alea North America Insurance Company Medex 0415 0415 2/24/05

Alea North America Insurance Company TRISTAR CompAmerica Primary HCO 0827 0827 5/3/05

Alea North American Insurance Company CompUSA Primary MPN 0163 0163 2/17/05

Alea North American Insurance Company First Health CompAmerica Select MPN 0185 0185 3/8/05

Alisal Union School District PRIME Advantage Medical Provider Network 1224 1224 10/5/06 Alliance of Schools for Cooperative Insurance Programs (ASCIP) WellComp Medical Provider Network 0951 0951 8/4/05

Alliance of Schools for Cooperative Insurance Programs (ASCIP) ASCIP-Athens MPN 1699 1699 9/29/10

Allmerica Financial Benefit Insurance Company CorVel MPN 1817 1817 4/22/11 Alpha aka Association of California Hospital Districts, Inc. (Alpha Fund-ACHD) Medex MPN 1746 1746 1/19/11

Alta-Dena Certified Dairy, LLC Liberty Mutual Group MPN 1460 1460 10/20/08

Alvord Unified School District Broadspire-Concentra Standard MPN 0638 0638 4/4/05

Alvord Unified School District PRIME Advantage Medical Provider Network 1809 1809 3/24/11

Amcor Packaging Distribution Broadspire Signature MPN 1891 1891 11/22/11

Amcor Sunclipse North America Suncare 1190 1190 7/21/06

American Alternative Insurance Corporation American Alternative GBMCS MPN 1531 1531 5/8/09

American Alternative Insurance Corporation WellComp Medical Provider Network 1763 1763 1/19/11

American Alternative Insurance Corporation ACM/Munich RE MPN 1899 1899 1/19/12

American Alternative Insurance Corporation (AAIC) American Alternative/Gallagher Basset/First Health MPN 1215 1215 7/18/06

American Automobile Insurance First Health Select 0621 0621 2/14/05

American Casualty Company of Reading, PA MedInsights MPN accessing Prudent Buyer PPO 1735 1735 12/2/10 American Casualty Company of Reading, Pennsylvania Sedgwick First Health CompAmerica Primary HCO Network 1420 1420 12/17/08

American Casualty Company of Reading, Pennsylvania Sedgwick CMS MPN 1513 1513 3/5/09

American Casualty Company of Reading, Pennsylvania Broadspire Signature MPN 1770 1770 2/2/11

American Casualty Company of Reading, Pennsylvania American Casualty/Gallagher Bassett/First Health MPN 1844 1844 6/16/11

American Casualty Company of Reading, Pennsylvania

Longwood Management Group/Anthem Medical Provider Network 1869 1869 7/28/11

5 09/15/14

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

American Casualty Company of Reading, Pennsylvania Sedgwick CMS Extended MPN 1878 1878 8/31/11

American Casualty Company of Reading, Pennsylvania CorVel MPN 1905 1905 2/14/12

American Casualty Company of Reading, Pennsylvania Sedgwick/Harbor MPN 2094 2094 12/27/12

American Casualty Company of Reading, Pennsylvania Sedgwick/Harbor 2 MPN 2095 2095 12/27/12

American Casualty Company of Reading, Pennsylvania GENEX 2161 2161 5/6/13

American Contractors Insurance Group Medex 0899 0899 7/1/05

American Economy Insurance Company Safeco Preferred California MPN 0518 0518 2/14/05

American Family Home Insurance Company ACM/American Family Home MPN 2153 2153 5/6/13

American Fuji Fire & Marine CorVel/American Fuji Fire & Marine 0894 0894 5/19/05

American Guarantee & Liability Broadspire-Concentra Standard MPN 0435 0435 3/21/05

American Guarantee & Liability American Guarantee & Liability, Crawford Select 0669 0669 7/1/05 American Guarantee & Liability Insurance Company First Health CompAmerica Select HCO Network 0154 0154 3/8/05

American Guarantee & Liability Insurance Company TCT CA MPN 0173 0173 3/8/05

American Guarantee & Liability Insurance Company First Health CompAmerica Select HCO Network 0210 0210 4/18/05

American Guarantee & Liability Insurance Company First Health CompAmerica Primary HCO Network 0700 0700 8/2/05

American Guarantee & Liability Insurance Company First Health CompAmerica Select HCO Network 0836 0836 5/31/05

American Guarantee & Liability Insurance Company Zurich Services Corporation Prudent Buyer 1141 1141 5/5/06

American Guarantee & Liability Insurance Company American Guarantee/CorVel MPN 1262 1262 12/7/06

American Guarantee and Liability Insurance Company Zurich ESIS MPN 0137 0137 4/18/05

American Guarantee and Liability Insurance Company Zurich Kaiser MPN 1350 1350 6/30/08

American Guarantee and Liability Insurance Company Broadspire Signature Network MPN 1684 1684 8/18/10

American Guarantee and Liability Insurance Company ACM/American Guarantee & Liability MPN 1824 1824 5/3/11

American Guarantee and Liability Insurance Company

American Guarantee and Liability Insurance Company/Gallagher Bassett/Coventry MPN 2261 2261 1/15/14

6 09/15/14

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

American Guarantee and Liability Insurance Company

American Guarantee and Liability Insurance Company GBMCS MPN 2262 2262 12/30/13

American Guarantee and Liability Insurance Company

American Guarantee and Liability Insurance Company/Gallagher Bassett/First Health MPN 2283 2283 1/16/14

American Home Assurance Company American Home Assurance Company/Lowe's 0099 0099 3/18/05

American Home Assurance Company AIG Primary MPN 0114 0114 2/17/05

American Home Assurance Company Sedgwick First Health CompAmerica Select HCO Network 0363 0363 3/28/05

American Home Assurance Company Sedgwick First Health CompAmerica Primary HCO Network 0367 0367 3/28/05

American Home Assurance Company Tetra-FARA 0421 0421 4/21/05

American Home Assurance Company Matrix - FARA 0422 0422 4/21/05

American Home Assurance Company Broadspire MPN 0464 0464 4/26/05

American Home Assurance Company Wal-Mart - First Health Primary MPN 0479 0479 5/10/05

American Home Assurance Company TCT CA MPN 0483 0483 4/12/05

American Home Assurance Company Sedgwick CMS Medical Provider Network 0491 0491 3/16/05

American Home Assurance Company Sedgwick CMS Extended Medical Provider Network 0501 0501 3/10/05

American Home Assurance Company AIGDC/Bank of America 0517 0517 5/10/05

American Home Assurance Company Chartis - Cambridge MPN 0527 0527 3/24/05

American Home Assurance Company Intracorp - Gates McDonald MPN 0615 0615 6/2/05

American Home Assurance Company Chartis ESIS MPN 0625 0625 3/28/05

American Home Assurance Company American Home/Gallagher Bassett/Coventry MPN 0650 0650 3/24/05

American Home Assurance Company FARA-CVTY 0788 0788 5/15/05

American Home Assurance Company American Home Assurance Company-Crawford Select 0851 0851 7/1/05

American Home Assurance Company American Home Assurance Company, Crawford Primary 0861 0861 7/1/05

American Home Assurance Company AIGDC/Manpower 0868 0868 8/8/05

American Home Assurance Company MedInsights Medical Provider Network accessing Prudent Buyer PPO 0913 0913 5/19/05

American Home Assurance Company CorVel MPN 0996 0996 8/12/05

American Home Assurance Company American Home Assurance Company/Gallagher Bassett/First Health MPN 1024 1024 8/5/05

American Home Assurance Company American Home Assurance/The GEO Group, Inc. 1033 1033 7/21/05

American Home Assurance Company American Home Assurance/Central Parking 1149 1149 5/12/06

American Home Assurance Company PCIC MPN 1167 1167 7/24/06

7 09/15/14

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

American Home Assurance Company Chartis/Foster's Americas 1295 1295 6/8/07

American Home Assurance Company FARA - FHS 1320 1320 12/3/07

American Home Assurance Company WellComp Medical Provider Network 1366 1366 5/27/08

American Home Assurance Company Athens/American Home Assurance MPN 1374 1374 4/15/08

American Home Assurance Company Chartis/JCP 1381 1381 7/1/08

American Home Assurance Company CorVel MPN 1404 1404 8/6/08

American Home Assurance Company CCMSI/ AIG/ First Health CompAmerica Select HCO Network 1424 1424 1/7/09

American Home Assurance Company American Home Assurance Company GBMCS MPN 1453 1453 5/8/09

American Home Assurance Company Wal-Mart-Medex MPN 1518 1518 3/13/09

American Home Assurance Company Broadspire Signature MPN 1656 1656 6/22/10

American Home Assurance Company AIG Select Medical Provider Network 1725 1725 12/8/10

American Home Assurance Company Sedgwick/Harbor MPN 1980 1980 5/24/12

American Home Assurance Company Sedgwick/Harbor 2 MPN 1984 1984 5/29/12

American Home Assurance Company Mentor/AmHome/Bunch MPN 2296 2296 5/8/14

American Honda Motor Co., Inc. Sedgwick CMS Medical Provider Network 0540 0540 3/22/05 American Manufacturers Mutual Insurance Company Broadspire Signature MPN 1729 1729 12/10/10

American Modern Home Insurance Company ACM/American Modern Home MPN 2154 2154 5/6/13

American Motorist Insurance Company Broadspire Signature MPN 1730 1730 12/10/10

American Motorists Insurance Company First Health CompAmerica Select HCO 0101 0101 2/15/05

American Racing Equipment, Inc. MedInsights Medical Provider Network/Prudent Buyer HCO 0708 0708 4/20/05

American States Insurance Company Safeco Preferred California MPN 0520 0520 2/14/05

American States Insurance Company of Texas Safeco Preferred California MPN 0519 0519 2/14/05

American Zurich Insurance Company Zurich ESIS MPN 0134 0134 4/19/05

American Zurich Insurance Company First Health CompAmerica Select HCO Network 0147 0147 3/8/05

American Zurich Insurance Company FirstHealth CompAmerica Select HCO Network 0211 0211 4/18/05

American Zurich Insurance Company SRS First Health CompAmerica Primary HCO Network (or "SRS First Health Primary") 0356 0356 3/7/05

American Zurich Insurance Company Sedgwick First Health CompAmerica Select HCO Network 0358 0358 3/7/05

American Zurich Insurance Company Broadspire-Concentra Standard MPN 0434 0434 3/21/05

8 09/15/14

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

American Zurich Insurance Company TCT CA MPN 0438 0438 3/8/05

American Zurich Insurance Company American Zurich Insurance Company, Crawford Select 0672 0672 7/1/05

American Zurich Insurance Company First Health CompAmerica Select HCO Network 0837 0837 5/31/05

American Zurich Insurance Company First Health CompAmerica Primary HCO Network 0840 0840 8/2/05

American Zurich Insurance Company American Zurich Insurance Company - Crawford Primary 1005 1005 7/1/05

American Zurich Insurance Company Zurich Services Corporation Prudent Buyer 1142 1142 5/5/06

American Zurich Insurance Company American Zurich Ins./The GAP, Inc. 1337 1337 2/5/08

American Zurich Insurance Company Zurich Kaiser MPN 1348 1348 6/30/08

American Zurich Insurance Company First Health CompAmerica Primary HCO Network 1522 1522 5/4/09

American Zurich Insurance Company Broadspire Signature Network MPN 1682 1682 8/18/10

American Zurich Insurance Company ACM/American Zurich MPN 1821 1821 5/3/11

American Zurich Insurance Company American Zurich Insurance Company/CorVel MPN 1876 1876 8/23/11

American Zurich Insurance Company Sedgwick CMS Extended Medical Provider Network 1892 1892 11/29/11

American Zurich Insurance Company TRISTAR MPN 1910 1910 2/14/12

American Zurich Insurance Company Sedgwick/Harbor MPN 2098 2098 12/24/12

American Zurich Insurance Company Sedgwick/Harbor 2 MPN 2101 2101 12/27/12

American Zurich Insurance Company American Zurich/Gallagher Bassett/First Health MPN 2256 2256 12/30/13

AmerisourceBergen Corporation First Health CompAmerica/Select HCO Network 0345 0345 3/8/05

AmerisourceBergen Corporation Broadspire Signature MPN 1835 1835 5/24/11

AmGuard Insurance AM Guard Insurance (GUARD Insurance) 0166 0166 1/24/05

Anaheim Union High School District Prime Advantage Medical Network accessing Prudent Buyer HCO 0201 0201 3/1/05

Antelope Valley Community College District Prime Advantage Medical Network 1049 1049 7/27/05

Apple Valley Unified School District PRIME Advantage Medical Provider Network 1808 1808 3/24/11

Arch Insurance Company CorVel MPN 0331 0331 3/7/05

ARCH Insurance Company ARCH Insurance Company Cambridge MPN 0402 0402 2/24/05

ARCH Insurance Company Arch/Gallagher Bassett/First Health MPN 0689 0689 5/24/05

ARCH Insurance Company MedInsights Medical Provider Network accessing Prudent Buyer HCO 0907 0907 6/1/05

ARCH Insurance Company Arch/Gallagher Bassett/Coventry MPN 1035 1035 7/18/05

Arch Insurance Company Sedgwick First Health CompAmerica Select HCO Network 1266 1266 2/27/07

9 09/15/14

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

Arch Insurance Company Sedgwick First Health CompAmerica Primary HCO Network 1277 1277 3/1/07

ARCH Insurance Company Arch/Bunch/BBY Ca MPN 1292 1292 5/18/07

ARCH Insurance Company Broadspire MPN 1323 1323 11/5/07

ARCH Insurance Company Sedgwick CMS MPN 1330 1330 11/26/07

ARCH Insurance Company ARCH ESIS MPN 1402 1402 9/29/08

ARCH Insurance Company ARCH-FARA 1419 1419 3/24/09

ARCH Insurance Company ARCH GBMCS MPN 1447 1447 5/7/09

ARCH Insurance Company Sedgwick CMS Extended MPN 1464 1464 11/10/08

ARCH Insurance Company WellComp Medical Provider Network 1484 1484 1/8/09

Arch Insurance Company Sedgwick CMS/Harbor MPN-Arch Ross 1600 1600 3/2/10

Arch Insurance Company Wellcomp Medical Provider Network 1606 1606 3/10/10

Arch Insurance Company Sedgwick CMS/Harbor MPN - Big Lots 1615 1615 3/26/10

Arch Insurance Company Broadspire Signature Network 1685 1685 8/18/10

Arch Insurance Company Arch GBMCS KOJ MPN 1791 1791 3/2/11

Arch Insurance Company Arch/WSonoma/Bunch MPN 1796 1796 3/10/11

ARCH Insurance Company ARCH/Big Lots/Bunch MPN 1895 1895 12/20/11

Arch Insurance Company CCMSI/Arch/First Health Comp America Select HCO Network 1996 1996 10/20/11

Arch Insurance Company Sedgwick/Harbor MPN 2008 2008 6/1/12

Arch Insurance Company Sedgwick/Harbor 2 MPN 2009 2009 6/1/12

Arch Insurance Company LWP Signature MPN 2127 2127 2/20/13

Arch Insurance Company LWP Kaiser Signature MPN 2128 2128 2/20/13

Arch Insurance Company Liberty Mutual Group MPN 2170 2170 5/6/13

Archer-Daniels-Midland Company CorVel MPN/Archer Daniels-Midland 1206 1206 5/31/06

Argonaut Great Central Insurance Company Argonaut Great Central Insurance Company/GENEX MPN 1664 1664 9/29/10

Argonaut Insurance Company CorVel MPN/Argonaut 0053 0053 2/17/05

Argonaut Insurance Company Broadspire MPN 0424 0424 3/21/05

Argonaut Insurance Company Argonaut Insurance Company/GENEX MPN 1663 1663 9/29/10

Argonaut Insurance Company Broadspire Signature Network 1705 1705 10/20/10

Argonaut Midwest Insurance Company Argonaut Midwest Insurance Company/GENEX MPN 1666 1666 9/29/10

10 09/15/14

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

Argonaut Southwest Insurance Company Argonaut Southwest Insurance Company/GENEX MPN 1665 1665 9/29/10

Argonaut-Great Central Insurance Company Broadspire Signature Network 1708 1708 10/20/10

Argonaut-Midwest Insurance Company Broadspire Signature Network 1707 1707 10/20/10

Argonaut-Southwest Insurance Company Broadspire Signature Network 1706 1706 10/20/10

Arrowood Indemnity Company Arrowood Indemnity-EK Health Select MPN 1896 1896 12/20/11

Artisan Confections Company Sedgwick CMS CA MPN 1344 1344 1/18/08

Asplundh Tree Expert Co. Liberty Mutual Group MPN 1079 1079 10/11/05

Associated Indemnity Corporation First Health Select 0620 0620 2/14/05

Assurance Company of America First Health CompAmerica Select HCO Network 0151 0151 3/8/05

Assurance Company of America FirstHealth CompAmerica Select HCO Network 0212 0212 4/18/05

Assurance Company of America Assurance Company of America - Crawford Select 0674 0674 7/1/05

Assurance Company of America First Health CompAmerica Primary HCO Network 0841 0841 8/2/05

Assurance Company of America Assurance Company of America - Crawford Primary 1008 1008 7/1/05

Assurance Company of America Zurich Services Corporation Prudent Buyer 1143 1143 5/5/06

Assurance Company of America Zurich Kaiser MPN 1351 1351 6/30/08

AT&T Corporation Broadspire-Concentra Standard MPN 0751 0751 4/4/05

AT&T Inc. Sedgwick CMS Extended Medical Provider Network 1237 1237 9/22/06

Athena Assurance Company TCT CA MPN 0257 0257 3/17/05

Atlantic Mutual Insurance Company Atlantic Mutual Companies/Coventry MPN 0941 0941 9/6/05

Auto Dealers Compensation of California, Inc. AD-COMP MPN 0777 0777 9/15/05

B.V. General, Inc. First Health Comp America HCO Select Network 0530 0530 4/21/05

Bakersfield City School District Self-Insured Schools of California(SISC)/California Foundation for Medical Care Network 1259 1259 12/7/06

Ball Corporation, Ball Metal Beverage Container Corp., and Ball Plastic Corp.,Ball Metal Food Container LLC, Ball Aerosol and Specialty Container, Inc.

First Health CompAmerica Select HCO Network (or "First Health Select") 0348 0348 3/8/05

Bancinsure Inc. Midwest/CorVel MPN 1268 1268 12/14/06

BancInsure, Inc. BancInsure MPN 1335 1335 2/5/08

Bankers Standard Insurance Company ACE/BUNCH Network 0769 0769 5/6/05

Bankers Standard Insurance Company (BSI) Bankers Standard Insurance Company (BSI), Crawford Select 0702 0702 6/16/05

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

Bankers Standard Insurance Company (BSI) Bankers Standard Insurance Company (BSI), Crawford Primary 0703 0703 6/16/05

Bari Management, Inc. FH Select MPN 0417 0417 5/10/05

Barrett Business Services, Inc. BBSI MPN 0409 0409 2/28/05

Bay Cities JPA/Bickmore Risk Services First Health CompAmerica Primary Network 0112 0112 4/13/05 BCI Coca-Cola Bottling Company of Los Angeles (Coca-Cola Enterprises, Inc.) Sedgwick CMS Medical Provider Network 0141 0141 2/1/05

Benchmark Insurance Company CorVel/Kaiser Select MPN 1329 1329 11/30/07

Benchmark Insurance Company Rising Interplan MPN 1332 1332 12/28/07

Benchmark Insurance Company Athens MPN 1610 1610 3/18/10

Benchmark Insurance Company Sierra MPN 2275 2275 5/27/14

Benefit & Liability Programs of California WellComp Medical Provider Network 0959 0959 8/4/05

Berkeley Farms LLC Liberty Mutual Group MPN 1459 1459 10/20/08

Berkley National Insurance Company WellComp Medical Provider Network 1942 1942 5/2/12

Berkley Regional Insurance Company San Francisco 49er MPN 1229 1229 9/1/06

Berkley Regional Insurance Company WellComp Medical Provider Network 1945 1945 5/2/12 Berkshire Hathaway Homestate Companies-Cypress Insurance Company Berkshire Hathaway Homestate Companies MPN 1038 1038 8/16/05

Berkshire Hathaway Homestate Companies-Oak River Insurance Co. Berkshire Hathaway Homestate Companies MPN 0454 0454 2/16/05

Berkshire Hathaway Homestate Companies-Redwood Fire & Casualty Company Berkshire Hathaway Homestate Companies MPN 1037 1037 8/16/05

Big 5 Corp. Big 5 ESIS MPN 0791 0791 5/24/05

Big 5 Corp. CorVel MPN 2225 2225 10/18/13 Birmingham Fire Insurance Company of Pennsylvania

Birmingham Fire Insurance Company of Pennsylvania Crawford Select 0859 0859 10/19/05

Birmingham Fire Insurance Company of Pennsylvania

Birmingham Fire Insurance Company of Pennsylvania, Crawford Primary 0900 0900 10/5/05

Bourns, Inc. Medex 0388 0388 2/23/05

Bright Health Physicians PIH Athens MPN 2265 2265 1/8/14

Cajon Valley Union School District PRIME Advantage Medical Provider Network 2088 2088 12/6/12

Calexico Unified School District Prime Advantage Medical Network 0712 0712 4/19/05 California Agricultural Network Self Insured Group (CANSIG) CANSIG-MPN 1129 1129 5/16/06

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

California Agricultural Network, Inc. California Agricultural Network, Inc MPN 2156 2156 5/6/13 California Agricultural Products, Inc. Self Insured Group California Agricultural Products MPN 1284 1284 6/1/07

California Agricultural Products-Self-Insured Group WellComp Medical Provider Network 1646 1646 6/10/10

California Autism Foundation Medex 0426 0426 2/28/05

California Casualty & Fire Insurance Company MedInsights Medical Provider Network accessing Prudent Buyer PPO 0745 0745 4/29/05

California Casualty Compensation Insurance Company

MedInsights Medical Provider Network accessing Prudent Buyer PPO 0743 0743 4/29/05

California Casualty General Insurance Company of Oregon

MedInsights Medical Provider Network accessing Prudent Buyer PPO 0744 0744 4/29/05

California Casualty Indemnity Exchange (The) MedInsights Medical Provider Network accessing Prudent Buyer PPO 0747 0747 4/29/05

California Casualty Insurance Company MedInsights Medical Provider Network accessing Prudent Buyer PPO 0746 0746 4/29/05

California Contractors Network Self Insured Group California Contractors Network (CCN) 1207 1207 7/26/06

California Contractors Network, Inc. ACM/California Contractors Network MPN 2152 2152 5/6/13

California Contractors Network-Self-Insured Group WellComp Medical Provider Network 1643 1643 6/10/10

California Farm Management Self-Insured Group 1334 1334 3/12/08

California Farm Management, Inc. California Farm Management, Inc MPN 2018 2018 10/5/12

California Farm Management-Self-Insured Group WellComp Medical Provider Network 1644 1644 6/10/10

California Indemnity Insurance Company CIIC MPN 0510 0510 5/20/05

California Insurance Company Promesa Health MPN 1054 1054 7/20/05

California Insurance Guarantee Association (CIGA) CIGA MPN 0508 0508 9/16/05 California Livestock Producers, Inc. Self-Insured Group 1289 1289 6/1/07

California Livestock Producers-Self-Insured Group WellComp Medical Provider Network 1645 1645 6/10/10 California Private Schools Self Insurance Group Inc. TRISTAR MPN 1325 1325 11/15/07

California Restaurant Mutual Benefit Corporation One Source Medical Network 1712 1712 11/4/10

California Risk Management Authority CRMA MPN 0933 0933 7/25/05

California Risk Management Authority (CRMA) CRMA MPN 1709 1709 1/12/11

California Sanitation Risk Management Authority Healthsmart 1012 1012 7/26/05

California Truckers Safety Association Medex 1183 1183 4/20/06

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

Caminol Management, LLC MedInsights Medical Provider Network 2062 2062 10/9/12

Caminol Management, LLC Caminol Management, LLC GBMCS MPN 2107 2107 1/11/13

Capistrano Unified School District Capistrano USD/CorVel Select MPN 0687 0687 5/20/05

Care West Insurance Company The Care West MPN 1112 1112 1/13/06

Cargill Incorporated and its subsidiaries First Health CompAmerica Select HCO Network 1267 1267 2/27/07

Casa Pacifica, dba Freedom Village Medex MPN 2310 2310 9/5/14

Castaic Union School District PRIME Advantage Medical Provider Network 1561 1561 8/13/09

CastlePoint National Insurance Company Tower Group Companies MPN 1016 1016 8/5/05

CastlePoint National Insurance Company WellComp Medical Provider Network 1662 1662 7/15/10

Catholic Mutual TRISTAR/First Health CompAmerica/HCO 0902 0902 5/19/05

CBS Operations Inc. First Health Comp America HCO Select Network 2124 2124 2/26/13

Cedars-Sinai Medical Center Cedars-Sinai Medical Provider Network (CSMPN) 0776 0776 8/10/05

Centennial Insurance Company Atlantic Mutual Companies/Coventry MPN 0942 0942 9/6/05

Central Concrete Supply Co., Inc. Medex 2313 2313 9/5/14 Central Contra Costa Transit Authority aka CCCTA/County Connection Interplan/Kaiser 0910 0910 6/28/05

Central Region School Insurance Group WellComp Medical Provider Network 1491 1491 1/22/09

Central Region Schools Insurance Group CRSIG MPN 0872 0872 7/25/05

Centre Insurance Company PRIME Advantage MPN 1285 1285 3/27/07

Cerritos Community College District Prime Advantage Medical Network 0780 0780 5/6/05

CertainTeed Corporation CertainTeed Corporation ESIS MPN 1232 1232 12/20/06

Chabot-Las Positas Community College District PRIME Plus Medical Provider Network 1340 1340 1/28/08

Chaffey Joint Union High School District Chaffey Joint Union High School District/CorVel Select MPN 1104 1104 1/31/06

Charming Shoppes, Inc. MedInsights Medical Provider Network, accessing Prudent Buyer HCO 0778 0778 5/6/05

Chartis Property Casualty Company AIG Primary MPN 0115 0115 2/17/05

Chartis Property Casualty Company Sedgwick CMS Medical Provider Network 0493 0493 3/16/05

Chartis Property Casualty Company Sedgwick CMS Extended Medical Provider Network 0503 0503 3/10/05

Chartis Property Casualty Company Chartis ESIS MPN 0628 0628 3/28/05

Chartis Property Casualty Company Chartis Property Casualty Company/Gallagher Bassett/Coventry MPN 0651 0651 3/24/05

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

Chartis Property Casualty Company MedInsights Medical Provider Network accessing Prudent Buyer PPO 0914 0914 5/19/05

Chartis Property Casualty Company Chartis Property Casualty Company/Gallagher Bassett/First Health MPN 1026 1026 8/5/05

Chartis Property Casualty Company CorVel MPN 1407 1407 8/6/08

Chartis Property Casualty Company Chartis Property GBMCS MPN 1525 1525 5/7/09

Chartis Property Casualty Company Broadspire Signature Network 1658 1658 6/23/10

Chartis Property Casualty Company AIG Select MPN 1757 1757 1/19/11

Chartis Property Casualty Company Sedgwick/Harbor MPN 1978 1978 5/24/12

Chartis Property Casualty Company Sedgwick/Harbor 2 MPN 1986 1986 6/1/12

Chartis Property Casualty Company Sedgwick/Harbor MPN - CHARTIS EPS 2042 2042 8/16/12 Chartis Property Casualty Company, (fka AIG Casualty Company) Broadspire MPN 0463 0463 4/26/05

Chevron Corporation Chevron Medical Provider Network 1261 1261 3/14/07

Chevron Stations, Inc. Chevron Stations Medical Provider Network 1436 1436 3/18/09

Children's Hospital of Los Angeles Children's Hospital of Los Angeles, MPN 0452 0452 12/9/05

Children's Hospital of Los Angeles Medex MPN 1999 1999 10/28/11

Chubb Indemnity Insurance Company CorVel MPN 0270 0270 2/17/05

Chubb Indemnity Insurance Company CorVel/Chubb Kaiser Select MPN 1472 1472 12/24/08

Chubb National Insurance Company CorVel MPN 0271 0271 2/17/05

Chubb National Insurance Company CorVel/Chubb Kaiser Select MPN 1479 1479 12/24/08

Chula Vista Elementary School District TRISTAR MPN 0962 0962 7/26/05

Church Mutual Insurance Company Church Mutual Insurance Company Medical Provider Network 2237 2237 11/21/13

CIMM'S, Inc. FH Select MPN 0416 0416 5/10/05

Circuit City Stores, Inc. Sedgwick CMS Extended Medical Provider 0854 0854 6/6/05

Circuit City Stores, Inc. SRS First Health CompAmerica Primary 1316 1316 10/11/07

Citizens Insurance Company of America CorVel MPN 1819 1819 4/22/11

Citrus Community College District Prime Advantage Medical Network 0196 0196 3/2/05

City and County of San Francisco City and County of San Francisco Medical Provider Network 1258 1258 2/21/07

City of Bakersfield, CA City of Bakersfield MPN 1256 1256 3/29/07

City of Barstow CorVel/City of Barstow MPN 1305 1305 7/27/07

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

City of Campbell First Health CompAmerica Primary HCO 0904 0904 5/19/05

City of Carlsbad TRISTAR MPN 0473 0473 3/18/05

City of Carlsbad PRIME Advantage Medical Provider Network 2077 2077 12/13/12

City of Carmel-by-the-Sea First Health CompAmerica Primary HCO 0905 0905 5/19/05

City of Carson City of Carson MPN 2021 2021 6/28/12

City of Clovis City of Clovis Medical Provider Network 0806 0806 5/15/05

City of Colton TRISTAR MPN 0459 0459 3/18/05

City of Compton TRISTAR - CompAmerica Primary HCO 0808 0808 7/9/07

City of Corona WellComp Medical Provider Network 0998 0998 8/4/05

City of Corona Sedgwick CMS Extended MPN 2030 2030 7/20/12

City of Culver City 0814 0814 5/27/05

City of Culver City WellComp Medical Provider Network 1314 1314 8/22/07

City of Escondido City of Escondido Medical Provider Network 1057 1057 12/19/05

City of Fremont WellComp Medical Provider Network 1269 1269 1/16/07

City of Fresno TMC City of Fresno MPN 0901 0901 8/9/05

City of Glendale City of Glendale/Concentra 0278 0278 3/28/05

City of Hawthorne Broadspire-Concentra Standard MPN 0338 0338 2/17/05

City of Hawthorne City of Hawthorne MPN 1202 1202 7/13/06

City of Hesperia WellComp Medical Provider Network 1652 1652 6/22/10

City of Huntington Beach Huntington Beach Medical Provider Network, accessing Prudent Buyer HCO 0797 0797 5/15/05

City of Irvine State Fund Medical Provider Network 0694 0694 4/14/05

City of Lemon Grove TRISTAR CompAmerica Primary HCO 0461 0461 3/18/05

City of Long Beach City of Long Beach MPN 0661 0661 7/19/05

City of Los Angeles First Health CompAmerica Select HCO 0507 0507 3/22/05

City of Los Angeles Interplan Health Group 0509 0509 3/22/05

City of Merced TRISTAR MPN 0965 0965 7/26/05

City of Milpitas WellComp Medical Provider Network 1109 1109 1/9/06

City of Monterey City of Monterey MPN 1257 1257 6/29/07

City of Monterey Park City of Monterey Park - MPN 1015 1015 7/20/05

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

City of Murrieta CorVel/City of Murrieta MPN 1185 1185 4/24/06

City of Napa North Bay MPN 0451 0451 7/20/05

City of National City State Fund Medical Provider Network 0386 0386 3/14/05

City of Oakland EIA Medical Provider Network 2300 2300 6/24/14

City of Oceanside Tristar MPN 0757 0757 6/6/05

City of Orange Risk Management State Fund Medical Provider Network 0217 0217 3/14/05

City of Perris CorVel/City of Perris MPN 1122 1122 1/31/06

City of Rancho Cucamonga WellComp Medical Provider Network 0929 0929 8/4/05

City of Rialto CorVel MPN 1965 1965 5/15/12

City of Riverside City of Riverside - Network 0481 0481 4/6/05

City of San Bernardino WellComp Medical Provider Network 2196 2196 7/11/13

City of San Clemente State Fund Medical Provider Network 0695 0695 4/14/05

City of San Diego City of San Diego Medical Provider Network 0439 0439 3/16/05

City of San Gabriel WellComp Medical Provider Network 1058 1058 8/4/05

City of San Jose Athens MPN 2241 2241 12/4/13

City of San Leandro InterPlan/Kaiser 0817 0817 12/15/05

City of Santa Maria InterPlan 0923 0923 6/29/05

City of Santa Rosa Santa Rosa K 1029 1029 10/28/05

City of Solana Beach TRISTAR MPN 0597 0597 3/18/05

City of Stockton City of Stockton MPN 2064 2064 10/11/12

City of Thousand Oaks WellComp Medical Provider Network 1101 1101 4/7/06

City of Turlock PRIME Advantage Medical Provider Network 2211 2211 11/18/13

City of Tustin State Fund Medical Provider Network 0303 0303 3/14/05

City of Upland CorVel MPN 1181 1181 4/24/06

City of Vernon City of Vernon MPN 0639 0639 3/24/05

City of Vernon Athens MPN 1861 1861 8/23/11

City of Visalia Prime Advantage Medical Network 0562 0562 3/23/05

City of Vista First Health CompAmerica Primary HCO 0456 0456 3/18/05

City of West Covina City of West Covina 1048 1048 9/8/05

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

Civic Property & Casualty First Health CompAmerica Select HCO Network (First Health MPN Network) 0316 0316 3/9/05

Civic Property & Casualty FirstHealth CompAmerica Primary HCO Network (First Health Primary Network) 0323 0323 3/9/05

Civic Property and Casualty Company CorVel/Kaiser MPN 1592 1592 3/11/10

Clarendon American Insurance Company CorVel HCO 0081 0081 2/4/05

Clarendon American Insurance Company Clarendon Medical Provider Network One 0274 0274 2/9/05

Clarendon National Insurance Company CorVel MPN 0100 0100 2/4/05

Clarendon National Insurance Company Clarendon Medical Provider Network 1 0231 0231 2/9/05

Clarendon National Insurance Company Clarendon TMC Provider Network 0385 0385 2/22/05

Clougherty Packing, LLC Clougherty Packing Company MPN 0186 0186 2/22/05

Clougherty Packing, LLC CorVel MPN 2235 2235 12/12/13

Coachella Valley Water District TRISTAR CompAmerica Primary HCO 0460 0460 3/18/05

Coachella Valley Water District Interplan through CompPartners (CP) 1264 1264 1/5/07

Coachella Valley Water District CorVel/Coachella VWD MPN 2108 2108 1/15/13

Coast Community College District Prime Advantage Medical Network 0228 0228 3/1/05

Coherent, Inc (Coherent) First Health Comp America Select HCO 0032 0032 4/7/05

Colonial American Casualty Insurance Company Colonial American Casualty Insurance Company, Crawford Select 0675 0675 7/1/05

Colonial American Casualty Insurance Company Colonial American Casualty Insurance Company - Crawford Primary 1007 1007 7/1/05

Colton Joint Unified School District WellComp Medical Provider Network 0893 0893 8/4/05

Commerce and Industry Insurance Company AIG Primary MPN 0119 0119 2/17/05

Commerce and Industry Insurance Company SRS First Health CompAmerica Primary HCO Network 0368 0368 3/28/05

Commerce and Industry Insurance Company Broadspire MPN 0469 0469 4/26/05

Commerce and Industry Insurance Company Chartis - Cambridge MPN 0525 0525 3/24/05

Commerce and Industry Insurance Company Chartis ESIS MPN 0631 0631 3/28/05

Commerce and Industry Insurance Company Commerce and Industry/Gallagher Bassett/Coventry MPN 0652 0652 3/24/05

Commerce and Industry Insurance Company Commerce and Industry Insurance Company/Gallagher Bassett/CorVel MPN 0763 0763 5/5/05

Commerce and Industry Insurance Company Commerce and Industry Insurance Company-Crawford Select 0850 0850 7/1/05

Commerce and Industry Insurance Company Commerce and Industry Insurance Company, Crawford Primary 0860 0860 7/1/05

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

Commerce and Industry Insurance Company MedInsights Medical Provider Network, accessing Prudent Buyer PPO 0921 0921 5/19/05

Commerce and Industry Insurance Company Commerce and Industry/Gallagher Bassett/First Health MPN 1027 1027 8/5/05

Commerce and Industry Insurance Company Athens/Commerce and Industry Ins. Co. MPN 1377 1377 4/15/08

Commerce and Industry Insurance Company CorVel MPN 1408 1408 8/6/08

Commerce and Industry Insurance Company CCMSI/ AIG/ First Health Comp America Select HCO Network 1426 1426 12/16/08

Commerce and Industry Insurance Company Commerce and Industry GBMCS MPN 1486 1486 5/8/09

Commerce and Industry Insurance Company Broadspire Signature Network 1660 1660 6/30/10

Commerce and Industry Insurance Company AIG Select MPN 1759 1759 1/19/11

Commerce and Industry Insurance Company Mentor/Commerce/Bunch MPN 2298 2298 5/8/14

Commerce and Industry Insurance Group SRS First health CompAmerica Select HCO Network 0364 0364 3/28/05

Commercial Casualty Insurance Company CCIC MPN 0511 0511 5/20/05

Commercial Protective Services, Inc. WellComp Medical Provider Network 2340 2340 8/26/14

Community Hospital of the Monterey Peninsula CHOMP MPN 1875 1875 1/12/12 Companion Property & Casualty Insurance Company CorVel MPN 1611 1611 3/25/10

Companion Property & Casualty Insurance Company Athens MPN 1613 1613 3/25/10

Companion Property & Casualty Insurance Company Sedgwick CMS MPN 1778 1778 2/3/11

Companion Property & Casualty Insurance Company Sedgwick CMS Extended MPN 1779 1779 2/10/11

Companion Property & Casualty Insurance Company

Companion Property & Casualty Insurance Company GBMCS MPN 1898 1898 12/22/11

Companion Property and Casualty Insurance Company Medex 1788 1788 2/24/11

Companion Property and Casualty Insurance Company

Companion Property and Casualty Insurance Company Medical Provider Network 1894 1894 2/8/12

Companion Property and Casualty Insurance Company WellComp Medical Provider Network 2157 2157 5/28/13

Compton Community College District PRIME Advantage Medical Provider Network 1313 1313 8/6/07

Compton Unified School District Compton USD/CorVel Select MPN 1128 1128 1/31/06

CompWest Insurance Company CompWest Select MPN 0079 0079 3/8/05

CompWest Insurance Company CompWest Insurance Company MPN 0107 0107 3/1/05

ConAgra Foods, Inc & Subsidiaries Sedgwick CMS Medical Provider Network 0220 0220 2/2/05

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

Conejo Valley Unified School District Prime Advantage Medical Network accessing Prudent Buyer HCO 0285 0285 3/1/05

Conejo Valley Unified School District WellComp Medical Provider Network 0931 0931 8/4/05

Conopco, Inc. Broadspire-Concentra Standard MPN 1039 1039 9/27/05

Consolidated RIBS, Inc. FOCUS - CONCENTRA [FARA-CIMMS] 0420 0420 5/10/05

Construction Protective Services, Inc. Medex 1741 1741 12/22/10

Continental Casualty Company First Health Comp America Select HCO Network (First Health Select) 0728 0728 4/26/05

Continental Casualty Company First Health CompAmerica Primary HCO Network (First Health Primary) 0732 0732 4/28/05

Continental Casualty Company Broadspire MPN 0798 0798 5/16/05

Continental Casualty Company CNA ESIS MPN 0871 0871 5/24/05

Continental Casualty Company Liberty Mutual Group MPN 1062 1062 8/9/05

Continental Casualty Company Medex 1131 1131 5/10/06

Continental Casualty Company Broadspire Signature MPN 1768 1768 2/2/11

Continental Casualty Company Sedgwick CMS Extended MPN 1837 1837 5/24/11

Continental Casualty Company Sedgwick CMS MPN 1838 1838 5/24/11

Continental Casualty Company Sedgwick/Harbor MPN 2096 2096 12/24/12

Continental Casualty Company Sedgwick/Harbor 2 MPN 2097 2097 12/24/12

Continental Casualty Company (CNA) CNA CA Medical Provider Network 0560 0560 3/24/05

Continental Casualty Company (CNA) CNA/Gallagher Bassett/Coventry MPN 0647 0647 3/24/05

Continental Casualty Company (CNA) Continental Casualty Company, Crawford Primary 0966 0966 6/16/05

Continental Casualty Company (CNA) Continental Casualty Company, Crawford Select 0967 0967 6/16/05

Continental Casualty Company (CNA) First Health CompAmerica Select HCO 0985 0985 6/23/05

Contractors Access Program of California Medex 1116 1116 4/5/06 Converium Insurance (North America) Inc. (n/k/a Allied World Reinsurance Company) PRIME Advantage Medical Provider Network 0938 0938 7/8/05

Cooper US, Inc. The Liberty Mutual Group MPN 0886 0886 8/9/05

Coors Brewing Company Sedgwick CMS Medical Provider Network 0585 0585 3/24/05

Cornerstone Comp, Inc Monument MPN 2069 2069 10/25/12

Cornerstone Comp, Inc. CorVel HCO/CorVel HCO Select 0430 0430 3/3/05

Cornerstone Comp, Inc. Monument MPN 1483 1483 3/17/09

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

Corona-Norco Unified School District TRISTAR/First Health CompAmerica Primary HCO 0887 0887 7/19/05

Corona-Norco Unified School District PRIME Advantage Medical Provider Network 1915 1915 3/27/12 Corporation of the President of the Church of Jesus Christ of Latter Day Saints Deseret Signature MPN 2238 2238 12/13/13

Corporation of the Presiding Bishop of The Church of Jesus Christ of the Latter-day Saints Deseret Signature MPN 0310 0310 2/16/05

Costco Wholesale Corporation Costco MPN 0382 0382 4/8/05

Costco Wholesale Corporation Costco Wholesale MPN 2041 2041 8/16/12

Cottage Health System PRIME Advantage Medical Network for HealthCare 1150 1150 5/4/06

Countrywide Financial Corporation Countrywide Financial Corporation ESIS MPN 0187 0187 1/20/05

County of Fresno County of Fresno MPN 1211 1211 1211 5/31/06

County of Kern County of Kern Medical Provider Network 0822 0822 8/10/05

County of Los Angeles County of Los Angeles/CorVel MPN 0060 0060 2/7/05

County of Los Angeles First Health CompAmerica Select HCO 0061 0061 2/21/05

County of Los Angeles Interplan Health Group 0062 0062 2/21/05

County of Madera 0790 0790 5/15/05

County of Monterey Liberty Mutual Group MPN 0816 0816 7/27/05

County of Monterey County of Monterey MPN 1908 1908 3/21/12

County of Orange Intracorp 0375 0375 4/12/05

County of Orange Cambridge Orange County MPN 1273 1273 2/6/07

County of Orange WellComp Medical Provider Network 1412 1412 9/10/08

County of Riverside CorVel MPN/County of Riverside 1309 1309 9/6/07

County of San Bernardino CorVel MPN 0688 0688 4/11/05

County of San Luis Obispo First Health CompAmerica Primary Network 0131 0131 4/13/05

County of San Mateo San Mateo County MPN 0784 0784 7/13/05

County of Santa Cruz First Health Primary Network 0126 0126 4/13/05

County of Stanislaus Stanislaus County MPN 1138 1138 5/11/06

County of Tulare Prime Advantage Medical Network accessing Prudent Buyer HCO 0198 0198 4/6/05

County of Tulare Corvel MPN 1300 1300 7/20/07

County of Tuolumne Interplan/Kaiser MPN 0786 0786 8/8/05

21 09/15/14

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

Crum & Forster Indemnity Company Broadspire Signature MPN 2239 2239 11/19/13

CSAC Excess Insurance Authority EIA Medical Provider Network 1163 1163 3/27/06

Cupertino Union School District Prime Advantage Medical Network accessing Prudent Buyer HCO 0577 0577 3/23/05

Cypress Insurance Company Berkshire Hathaway Homestate Companies MPN 0145 0145 2/16/05

Daimler Chrysler TRISTAR/First Health CompAmerica 0876 0876 5/3/05

Dameron Hospital Association San Joaquin MPN 1052 1052 9/22/05

Dansk Investment Group, Inc. WellComp Medical Provider Network 1059 1059 8/4/05

De La Rue, Inc. First Health CompAmerica Select HCO Network (or "First Health Select") 0354 0354 3/7/05

Dean Foods Company of California, LLC Liberty Mutual Group MPN 1227 1227 8/18/06

Delos Insurance Athens/Delos MPN 1317 1317 10/12/07

Delos Insurance Company Delos Insurance Company/TMC Medical Provider Network 1254 1254 11/13/06

Delos Insurance Company CorVel MPN 1830 1830 5/4/11

Desert Community College District Prime Advantage Medical Network 0567 0567 3/23/05

Desert Sands Unified School District Prime Advantage Medical Network 0573 0573 3/23/05

DHL Holdings (USA), Inc. First Health CompAmerica Select HCO Network (or "First Health Select") 0344 0344 3/8/05

Discover Property & Casualty Insurance Company Discover Re ESIS MPN 0189 0189 2/2/05

Discover Property & Casualty Insurance Company TCT CA MPN 0259 0259 3/17/05

Discover Property & Casualty Insurance Company CorVel MPN/Discover Property & Casualty/LWP 0289 0289 2/17/05

Discover Property & Casualty Insurance Company Discover Re Cambridge MPN 0401 0401 2/24/05

Discover Property & Casualty Insurance Company CorVel MPN 0408 0408 2/28/05

Discover Property & Casualty Insurance Company Frank Gates/DRE/First Health CompAmerica Select HCO Network 0445 0445 5/11/05

Discover Property & Casualty Insurance Company Sedgwick CMS MPN 0486 0486 3/15/05

Discover Property & Casualty Insurance Company Sedgwick CMS Extended MPN 0497 0497 3/10/05

Discover Property & Casualty Insurance Company Discover Property & Casualty/Gallagher Bassett/Coventry MPN 0514 0514 4/27/05

Discover Property & Casualty Insurance Company Discover Property & Casualty/Gallagher Bassett/First Health MPN 0538 0538 5/13/05

Discover Property & Casualty Insurance Company First Health CompAmerica Primary HCO Network (or "First Health Primary") 0550 0550 3/22/05

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

Discover Property & Casualty Insurance Company SRS First Health CompAmerica Select HCO Network (or "First Health Select") 0552 0552 3/22/05

Discover Property & Casualty Insurance Company Discover Re/DP&C/GAB-MedInsights 0595 0595 3/22/05

Discover Property & Casualty Insurance Company Discover Property & Casualty Insurance Company - Crawford Select 0662 0662 6/16/05

Discover Property & Casualty Insurance Company Broadspire-Concentra Standard MPN 0722 0722 3/21/05

Discover Property & Casualty Insurance Company CorVel MPN/Discover Property & Casualty/Frank Gates 0812 0812 5/18/05

Discover Property & Casualty Insurance Company Intracorp - Dre GatesMcDonald MPN 0832 0832 6/2/05

Discover Property & Casualty Insurance Company TRISTAR CompAmerica Primary HCO 0882 0882 5/3/05

Discover Property & Casualty Insurance Company Discover Property & Casualty Insurance Company - Crawford Primary 0969 0969 6/16/05

Discover Property & Casualty Insurance Company The Liberty Mutual Group MPN 0987 0987 7/28/05

Discover Property & Casualty Insurance Company SCRMA-WellComp Medical Provider Network 1369 1369 5/27/08

Discover Property & Casualty Insurance Company Wellcomp Medical Provider Network 1385 1385 6/20/08

Discover Property & Casualty Insurance Company Discover Property & Casualty GBMCS MPN 1444 1444 5/7/09

Discover Property & Casualty Insurance Company Broadspire Signature Network 1680 1680 8/18/10

Discover Property & Casualty Insurance Company Sedgwick CMS/Harbor MPN - DPC POG 1732 1732 12/8/10

Discover Property & Casualty Insurance Company Sedgwick/Harbor MPN 2115 2115 2/1/13

Discover Property & Casualty Insurance Company Sedgwick/Harbor 2 MPN 2116 2116 2/1/13

DNC Parks & Resorts at Yosemite, Inc. First Health CompAmerica Select MPN 0691 0691 6/9/05

Dole Food Company, Inc. First Health CompAmerica Select HCO Network (or "First Health Select") 0548 0548 3/22/05

Dole Food Company, Inc. Sedgwick CMS Extended MPN 1924 1924 3/15/12

Dole Packaged Foods, LLC Sedgwick CMS Extended MPN 2151 2151 4/25/13

Downey Regional Medical Center First Health CompAmerica Primary Network 0132 0132 4/13/05

Downey Regional Medical Center WellComp Medical Provider Network 1293 1293 5/22/07

Downey Regional Medical Center - Hospital, Inc. Athens MPN 2264 2264 1/8/14

Downey Unified School District WellComp Medical Provider Network 0961 0961 8/4/05

E & J Gallo Winery Gallo-Status MPN 1718 1718 11/23/10

E.I.I. Holding Co. First Health CompAmerica Select MPN 0738 0738 6/9/05

East Guard Insurance GUARD Insurance MPN 0164 0164 1/24/05

Eastern Municipal Water District Eastern Municipal Water District/CorVel Select MPN 1076 1076 9/13/05

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

Eastside Union School District PRIME Advantage Medical Provider Network 1563 1563 8/13/09

Economy Foods, dba Facciola Meat Company First Health CompAmerica Primary Network 0133 0133 4/13/05 Eden Medical Center and San Leandro Hospital (EMC & SLH) Medical Partners @ Work (MPW) 0766 0766 6/29/05

Eisenhower Medical Center PRIME Advantage Medical Network for HealthCare MPN 1099 1099 5/11/06

EK Health Services, Inc. EK Health Select MPN 2282 2282 5/21/14

El Camino Community College District Prime Advantage Medical Network 0280 0280 3/1/05

El Camino Hospital ACM/ El Camino Hospital MPN 2201 2201 7/11/13

Electric Insurance Company Intracorp 0441 0441 4/4/05

Electric Insurance Company Electric Insurance 1303 1303 9/19/07

Electric Insurance Company Sedgwick CMS Extended MPN 1437 1437 11/10/08

Electric Insurance Company Sedgwick CMS MPN 1438 1438 11/10/08

Electric Insurance Company Sedgwick/Harbor MPN -EIC GE 2203 2203 7/12/13

Elite Golf Club Program, Inc Monument MPN 2068 2068 12/7/12

Elite Golf Club Program, Inc. CorVel HCO/CorVel HCO Select 0431 0431 3/3/05

Elite Golf Club Program, Inc. Monument MPN 1480 1480 3/17/09

Emanuel Medical Center First Health CompAmerica Primary HCO 0474 0474 3/18/05

Emanuel Medical Center EMC-MPN 1175 1175 6/2/06

Employers Compensation Insurance Company Employers MPN 0037 0037 1/12/05

Employers Insurance Company of Wausau Liberty Mutual Group MPN 0091 0091 2/3/05

Endurance Reinsurance Corporation of America Rising MPN 1127 1127 2/27/06

Ensign Facility Services, Inc. Ensign Coventry Network 0839 0839 5/24/05

Ensign Facility Services, Inc. 1490 1490 1/27/09

Ensign Facility Services, Inc. WellComp Medical Provider Network 2050 2050 9/14/12

Episcopal Homes Foundation First Health's CompAmerica Primary Network 1031 1031 8/12/05

Episcopal Senior Communities Sedgwick CMS Extended MPN 1465 1465 11/10/08

Eskaton Properties, Incorporated WellComp Medical Provider Network 2054 2054 12/6/12

Esparza Enterprises, Inc. Medex 0389 0389 2/23/05

Everest National Insurance Company Everest National Medical Provider Network 0021 0021 1/11/05

Everest National Insurance Company Everest National MPN-Coventry Broadbase 0888 0888 7/19/05

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

Everest National Insurance Company Everest National MPN-Coventry Standard 1034 1034 7/26/05

Everest National Insurance Company Everest Medical Provider Network 1719 1719 11/5/10

Everest National Insurance Company (ENIC) Everest National MPN-ACM/Interplan 1421 1421 10/17/08

Exact Property & Casualty First Health CompAmerica Select HCO Network (First Health MPN Network) 0315 0315 3/9/05

Exact Property & Casualty Company CorVel/Kaiser MPN 1590 1590 2/11/10

Exact Property and Casualty First Health CompAmerica Primary HCO Network (First Health Primary Network) 0322 0322 3/9/05

Executive Risk Indemnity Inc. CorVel MPN 0272 0272 2/17/05

Executive Risk Indemnity Inc. CorVel/Chubb Kaiser Select MPN 1475 1475 12/24/08

Executive Risk Specialty Insurance Company CorVel MPN 0273 0273 2/17/05

Executive Risk Specialty Insurance Company CorVel/Chubb Kaiser Select MPN 1474 1474 12/24/08

Explorer Insurance Company PRIME Advantage Medical Network, accessing Prudent Buyer HCO 0870 0870 5/3/05

Farmer Bros. Co. Sedgwick CMS Medical Provider Network 0723 0723 5/13/05

Farmers Insurance Exchange First Health CompAmerica Select HCO (First Health MPN Network) 0311 0311 3/9/05

Farmers Insurance Exchange First Health CompAmerica Primary HCO Network (First Health Primary Network) 0319 0319 3/9/05

Farmers Insurance Exchange CorVel/Kaiser MPN 1593 1593 2/11/10

Farmington Casualty Company TCT CA MPN 0245 0245 3/2/05

Farmington Casualty Company CorVel CorCare 0246 0246 3/9/05

Farmland Mutual Insurance Company 2144 2144 4/8/13 FBO Marin General and Novato Community Hospital Mezzo Forte Medical Provider Network 0010 0010 1/31/05

Federal Express Corporation Intracorp 1510 1510 4/1/09

Federal Insurance Company CorVel MPN 0267 0267 2/17/05

Federal Insurance Company CorVel/Chubb Kaiser Select MPN 1476 1476 12/24/08

Federal Insurance Company Dick's Sporting Goods MPN 1792 1792 3/2/11

Federal Insurance Company Columbia Sussex MPN 1851 1851 7/28/11

Federal Insurance Company Guckenheimer GBMCS MPN 1871 1871 8/4/11

Federal Insurance Company Hot Topic GBMCS MPN 1872 1872 8/4/11

Federal Insurance Company Starr Aviation GBMCS MPN 1873 1873 8/4/11

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

Federal Insurance Company American Assets GBMCS MPN 1874 1874 8/4/11

Federal Insurance Company Taylor Corporation GBMCS MPN 1902 1902 2/14/12

Federal Insurance Company Invacare Medical Provider Network 1903 1903 3/2/12

Federal Insurance Company Forever 21 Broadspire Signature MPN 1939 1939 4/20/12

Federal Insurance Company Berry Plastics GBMCS MPN 1990 1990 9/22/11

Federal Insurance Company American Golf GBMCS MPN 1991 1991 9/22/11

Federal Insurance Company OLS Hotels & Resorts LP GBMCS MPN 1994 1994 10/27/11

Federal Insurance Company KSL DC Management LLC GBMCS MPN 2014 2014 6/7/12

Federal Insurance Company Nevins Lewbel Property Management, Inc. GBMCS MPN 2037 2037 9/27/12

Federal Insurance Company Pacifica Hotels GBMCS MPN 2043 2043 9/27/12

Federal Insurance Company BCBG Max Azria Group, Inc. GBMCS MPN 2044 2044 9/27/12

Federal Insurance Company American Cancer Society GBMCS MPN 2052 2052 9/13/12

Federal Insurance Company Medallion Hotels GBMCS MPN 2084 2084 1/10/13

Federal Insurance Company Goldrich & Kest Industries, LLC GBMCS MPN 2091 2091 3/13/13

Federal Insurance Company Edward Thomas Companies GBMCS MPN 2103 2103 1/10/13

Federal Insurance Company Crestline Hotels & Resorts, Inc. GBMCS MPN 2111 2111 2/11/13

Federal Insurance Company Moana Corporation GBMCS MPN 2112 2112 2/11/13

Federal Insurance Company The Container Store GBMCS MPN 2137 2137 3/27/13

Federal Insurance Company CordeValle, LP dba CordeValle Golf Club GBMCS MPN 2174 2174 5/28/13

Federal Insurance Company TRG Hospitality, LLC GBMCS MPN 2175 2175 5/28/13

Federal Insurance Company Hersha Group, LLC GBMCS MPN 2184 2184 6/12/13

Federal Insurance Company Richman Property Services, Inc. GBMCS MPN 2185 2185 6/12/13

Federal Insurance Company American Campus Communities GBMCS MPN 2186 2186 6/12/13

Federal Insurance Company Starr Aviation GBMCS KOJ MPN 2202 2202 7/29/13

Federal Insurance Company The Olympic Club GBMCS MPN 2233 2233 11/12/13

Federal Insurance Company Northwood Hospitality GBMCS MPN 2243 2243 12/6/13

Federal Insurance Company Apartment Management Consultants, LLC GBMCS MPN 2254 2254 12/20/13

Federal Insurance Company SoHo House West Hollywood, LLC GBMCS MPN 2268 2268 1/10/14

Federated Dept. Stores, Inc. CorVel MPN/Federated Department Stores 0055 0055 2/17/05

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

FedEx Freight Inc. Sedgwick CMS Extended MPN 1881 1881 8/31/11

Fedex Freight West, Inc. Cambridge Fedex West MPN 0803 0803 5/16/05

Fidelity & Deposit Company of Maryland First Health CompAmerica Select HCO Network 0149 0149 3/8/05

Fidelity & Deposit Company of Maryland FirstHealth CompAmerica Select HCO Network 0213 0213 4/18/05

Fidelity & Deposit Company of Maryland Fidelity and Deposit of Maryland Crawford Select 0670 0670 7/1/05

Fidelity & Deposit Company of Maryland First Health CompAmerica Primary HCO Network 0842 0842 8/2/05

Fidelity & Deposit Company of Maryland Fidelity and Deposit of Maryland - Crawford Primary 1000 1000 7/1/05

Fidelity & Deposit Company of Maryland Zurich Services Corporation Prudent Buyer 1144 1144 5/5/06

Fidelity & Guaranty Insurance Company Discover Re ESIS MPN 0188 0188 2/2/05

Fidelity & Guaranty Insurance Company TCT CA MPN 0260 0260 3/17/05

Fidelity & Guaranty Insurance Company Discover Re Cambridge MPN 0398 0398 2/24/05

Fidelity & Guaranty Insurance Company Frank Gates/DRE/First Health CompAmerica Select HCO Network 0443 0443 5/11/05

Fidelity & Guaranty Insurance Company Sedgwick CMS MPN 0488 0488 3/15/05

Fidelity & Guaranty Insurance Company Sedgwick CMS Extended MPN 0499 0499 3/10/05

Fidelity & Guaranty Insurance Company Fidelity and Guaranty Insurance Company/Gallagher Bassett/Coventry MPN 0516 0516 4/27/05

Fidelity & Guaranty Insurance Company Fidelity and Guaranty/Gallagher Bassett/First Health MPN 0535 0535 5/13/05

Fidelity & Guaranty Insurance Company SRS First Health CompAmerica Primary HCO Network (or "SRS First Health Primary") 0555 0555 3/22/05

Fidelity & Guaranty Insurance Company Discover Re/FGIC/GAB-Medinsights 0592 0592 3/22/05

Fidelity & Guaranty Insurance Company Fidelity and Guaranty Insurance Company - Crawford Select 0664 0664 6/16/05

Fidelity & Guaranty Insurance Company Broadspire-Concentra Standard MPN 0720 0720 3/21/05

Fidelity & Guaranty Insurance Company CorVel/Fidelity & Guaranty/Frank Gates 0811 0811 5/18/05

Fidelity & Guaranty Insurance Company AIGDC/Discover Re 0828 0828 7/26/05

Fidelity & Guaranty Insurance Company Intracorp - Dre GatesMcDonald MPN 0830 0830 6/2/05

Fidelity & Guaranty Insurance Company TRISTAR CompAmerica Primary HCO 0883 0883 5/3/05

Fidelity & Guaranty Insurance Company Fidelity and Guaranty Insurance Company - Crawford Primary 0970 0970 6/16/05

Fidelity & Guaranty Insurance Company First Health Network - DRe Matrix MPN 1081 1081 12/7/05

Fidelity & Guaranty Insurance Company DRe Sedgwick Intracorp OD MPN 1169 1169 5/4/06

Fidelity & Guaranty Insurance Company SCRMA-WellComp Medical Provider Network 1370 1370 5/27/08

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

Fidelity & Guaranty Insurance Company WellComp Medical Provider Network 1387 1387 6/20/08 Fidelity & Guaranty Insurance Company (Discover Re Managers, Inc.) Fidelity & Guaranty Insurance Company/The GAP, Inc. 0916 0916 5/12/05

Fidelity & Guaranty Insurance Underwriters, Inc TCT CA MPN 0261 0261 3/17/05

Fidelity & Guaranty Insurance Underwriters, Inc Discover Re Cambridge MPN 0399 0399 2/24/05

Fidelity & Guaranty Insurance Underwriters, Inc Frank Gates/DRE/First Health CompAmerica Select HCO Network 0444 0444 5/11/05

Fidelity & Guaranty Insurance Underwriters, Inc Sedgwick CMS MPN 0487 0487 3/15/05

Fidelity & Guaranty Insurance Underwriters, Inc Sedgwick CMS Extended MPN 0498 0498 3/10/05

Fidelity & Guaranty Insurance Underwriters, Inc Fidelity and Guaranty Insurance Underwriters, Inc./Gallagher Bassett/Coventry MPN 0512 0512 4/27/05

Fidelity & Guaranty Insurance Underwriters, Inc Fidelity and Guaranty Insurance Underwriters, Inc./Gallagher Bassett/First Health MPN 0539 0539 5/13/05

Fidelity & Guaranty Insurance Underwriters, Inc SRS First Health CompAmerica Primary HCO Network (or "SRS First Health Primary") 0547 0547 3/22/05

Fidelity & Guaranty Insurance Underwriters, Inc First Health CompAmerica Select HCO Network (or "First Health Select") 0551 0551 3/22/05

Fidelity & Guaranty Insurance Underwriters, Inc Discover Re/FGIU/GAB-MedInsights 0593 0593 3/22/05

Fidelity & Guaranty Insurance Underwriters, Inc Fidelity and Guaranty Insurance Underwriters, Inc. - Crawford Select 0663 0663 6/16/05

Fidelity & Guaranty Insurance Underwriters, Inc Broadspire-Concentra Standard MPN 0721 0721 3/21/05

Fidelity & Guaranty Insurance Underwriters, Inc CorVel MPN/Fidelity and Guaranty/Frank Gates 0810 0810 5/18/05

Fidelity & Guaranty Insurance Underwriters, Inc Intracorp - Dre GatesMcDonald MPN 0831 0831 6/2/05

Fidelity & Guaranty Insurance Underwriters, Inc Fidelity and Guaranty Insurance Underwriters, Inc. - Crawford Primary 0971 0971 6/16/05

Fidelity & Guaranty Insurance Underwriters, Inc. SCRMA-WellComp Medical Provider Network 1368 1368 5/27/08

Fidelity & Guaranty Insurance Underwriters, Inc. Wellcomp Medical Provider Network 1388 1388 6/20/08

Fidelity and Deposit Company of Maryland Zurich Kaiser MPN 1352 1352 6/30/08

Fidelity and Guarantee Insurance Company Medex/CCMSI 1597 1597 1/25/10

Fidelity and Guaranty Insurance Company CorVel MPN 0288 0288 2/17/05

Fidelity and Guaranty Insurance Company CorVel MPN 0407 0407 2/28/05

Fidelity and Guaranty Insurance Company Sedgwick First Health CompAmerica Select HCO Network 0556 0556 3/22/05

Fidelity and Guaranty Insurance Company The Liberty Mutual Group MPN 0989 0989 7/28/05

Fidelity and Guaranty Insurance Company F & G Insurance Company GBMCS MPN 1441 1441 5/7/09

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

Fidelity and Guaranty Insurance Company Broadspire Signature Network/FGIC 1676 1676 8/18/10

Fidelity and Guaranty Insurance Company Sedgwick/Harbor MPN 2117 2117 2/1/13

Fidelity and Guaranty Insurance Company Sedgwick/Harbor 2 MPN 2118 2118 2/1/13

Fidelity and Guaranty Insurance Company Coventry Medical Provider Network 2245 2245 4/18/14

Fidelity and Guaranty Insurance Underwriters Inc F & G Insurance Underwriters, Inc. GBMCS MPN 1443 1443 5/7/09

Fidelity and Guaranty Insurance Underwriters, Inc. Discover Re ESIS MPN 0191 0191 2/2/05

Fidelity and Guaranty Insurance Underwriters, Inc. CorVel MPN 0290 0290 2/17/05

Fidelity and Guaranty Insurance Underwriters, Inc. CorVel MPN/Fidelity & Guaranty/LWP 0410 0410 2/28/05

Fidelity and Guaranty Insurance Underwriters, Inc. The Liberty Mutual Group MPN 0990 0990 7/28/05

Fidelity and Guaranty Insurance Underwriters, Inc. Broadspire Signature Network/FGIU 1677 1677 8/18/10

Fidelity and Guaranty Insurance Underwriters, Inc. Sedgwick/Harbor MPN 2119 2119 2/1/13

Fidelity and Guaranty Insurance Underwriters, Inc. Sedgwick/Harbor 2 MPN 2120 2120 2/1/13

Finish Line Self-Insurance Group, Inc. Finish Line MPN 1225 1225 1/13/12

Fire Insurance Exchange First Health CompAmerica Select HCO Network (First Health MPN Network) 0317 0317 3/9/05

Fire Insurance Exchange FirstHealth CompAmerica Primary HCO Network (First Health Primary Network) 0324 0324 3/9/05

Fire Insurance Exchange CorVel/Kaiser MPN 1596 1596 2/11/10

Fireman's Fund Insurance Company First Health Select 0042 0042 2/1/05

Fireman's Fund Insurance Company First Health CompAmerica Primary Network 0326 0326 4/21/05

First National Insurance Company of America Safeco Preferred California MPN 0521 0521 2/14/05 FirstComp Underwriters Group Inc., dba FirstComp Insurance Agency FirstComp/CorVel MPN 1288 1288 4/19/07

Fleetwood Enterprises, Inc. (Fleetwood) First Health CompAmerica Select HCO 0035 0035 4/7/05

Florists' Mutual Insurance Company Hortica California MPN 1504 1504 2/24/09

Florists' Mutual Insurance Company Hortica California Select MPN 1505 1505 2/24/09

Florists' Mutual Insurance Company Hortica California Signature MPN 2059 2059 10/11/12

Flyers Energy, LLC MedInsights Medical Provider Network 1906 1906 2/14/12

Flyers Energy, LLC Flyers Energy, LLC GBMCS MPN 2105 2105 1/11/13

Flyers Transportation LLC MedInsights Medical Provider Network 1010 1010 7/26/05

Flyers Transportation, LLC Flyers Transportation, LLC GBMCS MPN 2106 2106 1/11/13

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

Fontana Unified School District 0958 0958 6/3/05

Fontana Unified School District WellComp Medical Provider Network 1422 1422 10/1/08 Food Products of California Workers' Compensation Program Inc. 1228 1228 8/18/06

Food Products of California Workers' Compensation Program, Inc. Medex 1614 1614 4/8/10

Ford Motor Company Corvel MPN 2102 2102 1/10/13

Foster Dairy Farms Medex Healthcare Inc. MPN 0380 0380 2/17/05

Foster Farms CorVel Custom MPN 1339 1339 1/15/08

Foster Farms, LLC Medex Healthcare Inc. MPN 0378 0378 2/17/05

Foster Farms, LLC Foster Farms Custom CorVel MPN 1502 1502 2/18/09

Foster Poultry Farms Medex Healthcare Inc. MPN 0379 0379 2/17/05

Foster Poultry Farms Foster Farms Custom CorVel MPN 1503 1503 2/18/09

Fountain Valley School District Prime Advantage Medical Network 0230 0230 3/1/05

Frank C. Alegre Trucking, Inc. CorVel HCO/CorVel HCO Select 1102 1102 1/17/06

Freedom Communications, Inc. Sedgwick CMS Medical Provider Network 0043 0043 2/11/05

Freedom Communications, Inc. Broadspire Signature Network 1773 1773 2/2/11

Freedom Properties-Hemet, LLC Medex MPN 2309 2309 9/5/14

Fresno County Self-Insurance Group TRISTAR MPN 1073 1073 8/12/05

Frito-Lay, Inc. Sedgwick CMS Medical Provider Network 0059 0059 1/24/05

Front Porch Front Porch Network 0139 0139 3/7/05

Front Porch Communities and Services, Inc. First health Comp America Select HCO Network 1554 1554 7/21/09

Fullerton Joint Union High School District Fullerton Joint Union High School District - Comp Care MPN 1103 1103 1/31/06

Fullerton School District WellComp Medical Provider Network 1964 1964 5/16/12

Futures Academy Prime Advantage Medical Network accessing Prudent Buyer HCO 0283 0283 3/1/05

General Casualty Company of Wisconsin Genex MPN 1397 1397 11/19/08

General Casualty Company of Wisconsin Sedgwick/Harbor MPN 2168 2168 5/10/13

General Casualty Company of Wisconsin Sedgwick/Harbor 2 MPN 2169 2169 5/10/13

General Motors LLC Sedgwick CMS Extended Medical Provider Network 0611 0611 3/28/05

Georgia Pacific First Health CompAmerica HCO Select Network 0295 0295 3/8/05

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

GES Exposition Services, Inc, a subsidiary of VIAD CORP First Health CompAmerica Select HCO MPN 1283 1283 3/15/07

Giorgio Beverly Hills, Inc. Sedgwick/Harbor 2 MPN 2082 2082 11/28/12

Giorgio Beverly Hills, Inc. Sedgwick/ Harbor MPN- PG 2200 2200 7/9/13

Golden Eagle Insurance Corporation Liberty Mutual Group MPN 0095 0095 2/3/05

Golden Empire Transit District TMC Golden Empire Transit District MPN 2046 2046 9/11/12 Golden Gate Bridge Highway and Transportation District WellComp Medical Provider Network 1290 1290 5/25/07

Golden Gate Bridge Highway and Transportation District ATHENS MPN 2332 2332 9/5/14

Golden Oaks Upholstery Inc. First Health CompAmerica Select 0178 0178 3/7/05

Golden State Risk Management Authority GSRMA MPN 0641 0641 9/13/05

Golden State Water Company WellComp Medical Provider Network 1458 1458 11/25/08

Golden State Water Company Sedgwick/Harbor 2 MPN 2294 2294 6/17/14

Good Samaritan Hospital Good Samaritan Hospital-Comp Care MPN 1161 1161 4/20/06 Goodrich Corporation Which Will Do Business in California as New York Goodrich Corporation Goodrich/Chartis Medical Provider Network 0352 0352 3/18/05

Goodwill Industries of San Diego County Goodwill Industries of San Diego County-Comp Care MPN 1265 1265 3/6/07 Goodwill Industries of San Francisco, San Mateo, and Marin Counties, Inc. ATHENS MPN 2318 2318 8/12/14

Goodwill Industries of Southern California Medex 0717 0717 4/19/05

Gordon Trucking Inc. Cambridge Gordon Trucking MPN 1223 1223 8/8/06

Gordon Trucking, Inc. Sedgwick CMS Medical Provider Network 1867 1867 7/28/11

Granite State Insurance Company AIG Primary MPN 0117 0117 2/17/05

Granite State Insurance Company Broadspire MPN 0462 0462 4/26/05

Granite State Insurance Company Chartis - Cambridge MPN 0529 0529 3/24/05

Granite State Insurance Company Chartis ESIS MPN 0623 0623 3/28/05

Granite State Insurance Company Granite State/Gallagher Bassett/Coventry MPN 0653 0653 3/24/05

Granite State Insurance Company Granite State Insurance Company/Gallagher Bassett/CorVel MPN 0762 0762 5/5/05

Granite State Insurance Company Granite State Insurance Company, Crawford Select 0858 0858 7/1/05

Granite State Insurance Company Granite State Insurance Company, Crawford Primary 0867 0867 7/1/05

Granite State Insurance Company MedInsights Medical Provider Network accessing Prudent Buyer PPO 0911 0911 5/18/05

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

Granite State Insurance Company Granite State/Gallagher Bassett/First Health MPN 1023 1023 8/5/05

Granite State Insurance Company Athens/Granite State Ins. Co. MPN 1376 1376 4/15/08

Granite State Insurance Company CorVel MPN 1405 1405 8/6/08

Granite State Insurance Company Granite State GBMCS MPN 1452 1452 5/7/09

Granite State Insurance Company Broadspire Signature Network 1659 1659 6/30/10

Granite State Insurance Company AIG Select MPN 1760 1760 1/19/11

Grant Community Outreach Academy Prime Advantage Medical Network accessing Prudent Buyer HCO 0194 0194 3/2/05

Grant Joint Union High School District Prime Advantage Medical Network accessing Prudent Buyer HCO 0195 0195 3/2/05

Great American Alliance Insurance Company Athens MPN 2190 2190 6/21/13

Great American Alliance Insurance Company WellComp Medical Provider Network 2335 2335 8/26/14

Great American Assurance Company Athens MPN 2188 2188 6/21/13

Great American Assurance Company WellComp Medical Provider Network 2338 2338 8/28/14

Great American Custom Insurance Services, Inc. First Health Comp America Select HCO Network (First Health Select) 0727 0727 4/26/05

Great American Insurance Company First Health CompAmerica Select HCO Network 1286 1286 3/26/07

Great American Insurance Company Athens MPN 2189 2189 6/20/13

Great American Insurance Company Great American Alternative Markets MPN 2289 2289 6/17/14

Great American Insurance Company WellComp Medical Provider Network 2337 2337 8/28/14

Great American Insurance Company of New York Athens MPN 2187 2187 6/21/13

Great Divide Insurance Company San Francisco 49er MPN 1230 1230 9/1/06

Great Divide Insurance Company Berkley Specialty MPN 1907 1907 2/14/12

Great Northern Insurance Company CorVel MPN 0269 0269 2/17/05

Great Northern Insurance Company CorVel/Chubb Kaiser Select MPN 1477 1477 12/24/08

Great West Casualty Company CorVel MPN 1493 1493 1/8/09

Greenwich Insurance Company MedInsights Medical Provider Network accessing Prudent Buyer HCO 0908 0908 6/1/05

Greenwich Insurance Company First Health CompAmerica Primary HCO Network (or "First Health Primary") 0945 0945 6/16/05

Greenwich Insurance Company First Health CompAmerica Select HCO Network (or "First Health Select") 0946 0946 6/16/05

Greenwich Insurance Company Broadspire MPN 0954 0954 7/12/05

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

Greenwich Insurance Company CorVel MPN 0956 0956 8/2/05

Greenwich Insurance Company Greenwich Insurance Company/Gallagher Bassett/Coventry MPN 0973 0973 12/7/06

Greenwich Insurance Company Greenwich Insurance Company/Gallagher Bassett/First Health MPN 0986 0986 1/27/12

Greenwich Insurance Company Sedgwick CMS Extended Medical Provider Network 1173 1173 3/24/06

Greenwich Insurance Company Sedgwick CMS Medical Provider Network 1174 1174 3/24/06

Greenwich Insurance Company Greenwich Insurance Company GBMCS MPN 1448 1448 5/7/09

Greenwich Insurance Company Avizent/Greenwich Insurance Co. MPN 1551 1551 9/17/09

Greenwich Insurance Company Greenwich Insurance Company/ACS/GENEX 1669 1669 9/29/10

Greenwich Insurance Company Broadspire Signature Network MPN 1678 1678 8/18/10

Grimmway Enterprises, Inc. Medex 0715 0715 4/19/05

Grossmont Cuyamaca Community College District Prime Advantage Medical Network accessing Prudent Buyer HCO 0710 0710 4/19/05

Guardian Comp, Inc. CorVel HCO/CorVel HCO Select 0428 0428 3/3/05

Guardian Comp, Inc. Monument MPN 1482 1482 3/17/09

Guardian Industries Corp Guardian Industries ESIS MPN 0146 0146 2/21/05

GuardianComp, Inc. Monument MPN 2067 2067 10/19/12

GuideOne Mutual Insurance Company CorVel MPN/GuideOne 0287 0287 2/17/05

Hacienda La Puente Unified School District WellComp Medical Provider Network 1111 1111 2/1/06

Harbor Specialty Insurance Company CorVel MPN 0083 0083 2/17/05

Harbor Specialty Insurance Company Clarendon Medical Provider Network 1 0232 0232 2/9/05

Harbor Specialty Insurance Company Harbor Specialty MPN 0558 0558 3/22/05

Harco National Insurance Company Broadspire-Concentra Standard MPN 0432 0432 7/11/05

Harco National Insurance Company Harco National Insurance Company 0701 0701 4/18/05

Harker School Inter Plan/Kaiser MPN 0787 0787 6/24/05 Harrah's Rincon Hotel and Casino, HCAL Corporation aka Harrah's Rincon Intracorp 0583 0583 6/2/05

Harris Farms, Inc. Tristar MPN 2104 2104 1/14/13

Hartford Accident and Indemnity Company First Health CompAmerica Primary HCO Network 0075 0075 1/12/05

Hartford Accident and Indemnity Company First Health CompAmerica Select HCO Network 0076 0076 1/12/05

Hartford Accident and Indemnity Company Hartford Accident and Indemnity Company accessing Anthem Blue Cross Prudent Buyer PPO 1130 1130 3/17/06

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

Hartford Accident and Indemnity Company Hartford Accident & Indemnity/Gallaher Bassett/Coventry MPN 1159 1159 3/20/06

Hartford Accident and Indemnity Company Hartford Accident and Indemnity/Gallagher Bassett/First Health MPN 1517 1517 4/23/09

Hartford Accident and Indemnity Company Sedgwick CMS Medical Provider Network 1602 1602 2/25/10

Hartford Accident and Indemnity Company Sedgwick CMS Extended Medical Provider Network 1603 1603 2/25/10

Hartford Accident and Indemnity Company HA&IC / ESIS MPN 1632 1632 5/26/10

Hartford Accident and Indemnity Company TMC HA&I MPN 1637 1637 6/1/10

Hartford Accident and Indemnity Company Athens MPN - HA&I 1648 1648 6/10/10

Hartford Accident and Indemnity Company Hartford/Regis/Bunch MPN 1711 1711 12/3/10

Hartford Accident and Indemnity Company HA&I/Broadspire Signature MPN 1834 1834 5/13/11

Hartford Accident and Indemnity Company Hartford Accident and Indemnity Company GBMCS MPN 1847 1847 7/28/11

Hartford Accident and Indemnity Company Medex wcSolutions MPN 1900 1900 1/19/12

Hartford Accident and Indemnity Company CCMSI/HA&I/First Health Select HCO 1932 1932 4/19/12

Hartford Accident and Indemnity Company CorVel/CCMSI/HA&I/SOI MPN 1941 1941 4/26/12

Hartford Accident and Indemnity Company Sedgwick/Harbor MPN 1970 1970 5/24/12

Hartford Accident and Indemnity Company Sedgwick/Harbor 2 MPN 1987 1987 5/29/12

Hartford Accident and Indemnity Company Medex/CCMSI/HA&I/SJK MPN 2017 2017 6/15/12

Hartford Accident and Indemnity Company CorVel/HA&I/Prime Healthcare MPN 2019 2019 6/22/12

Hartford Accident and Indemnity Company CorVel/HA&I/Caliber MPN 2045 2045 8/30/12

Hartford Accident and Indemnity Company CorVel/HA&I/Kirkland's MPN 2138 2138 4/2/13

Hartford Accident and Indemnity Company CorVel/HA&I/HMSHost MPN 2139 2139 4/3/13

Hartford Accident and Indemnity Company Sedgwick/ Harbor MPN- HAIC Hendrick 2208 2208 8/27/13

Hartford Accident and Indemnity Company CorVel/HA&I/BB&T MPN 2210 2210 8/1/13

Hartford Casualty Insurance Company First Health CompAmerica Primary HCO Network 0073 0073 1/12/05

Hartford Casualty Insurance Company First Health CompAmerica Select HCO Network 0074 0074 1/12/05

Hartford Casualty Insurance Company Hartford Casualty Insurance Company accessing Anthem Blue Cross Prudent Buyer PPO 1137 1137 3/17/06

Hartford Casualty Insurance Company Hartford Casualty/Gallagher Bassett/Coventry MPN 1158 1158 3/20/06

Hartford Casualty Insurance Company Frank Gates Svc Co/Hartford/CorVel MPN 1248 1248 9/29/06

Hartford Casualty Insurance Company Hartford Casualty/Gallagher Bassett/First Health MPN 1516 1516 4/23/09

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

Hartford Casualty Insurance Company HCIC/Broadspire Signature MPN 1855 1855 7/15/11

Hartford Fire Insurance Company First Health CompAmerica Select HCO Network 0022 0022 1/12/05

Hartford Fire Insurance Company First Health CompAmerica Primary HCO Network 0023 0023 1/12/05

Hartford Fire Insurance Company Hartford Fire Insurance Company accessing Anthem Blue Cross Prudent Buyer PPO 1133 1133 3/17/06

Hartford Fire Insurance Company Hartford Fire Ins. Co./Gallagher Bassett/Coventry MPN 1153 1153 3/20/06

Hartford Fire Insurance Company Hartford Fire/Gallagher Bassett/First Health MPN 1514 1514 4/23/09

Hartford Fire Insurance Company HFIC/ESIS MPN 1633 1633 5/26/10

Hartford Fire Insurance Company HFIC/Broadspire Signature MPN 1856 1856 7/15/11

Hartford Fire Insurance Company Sedgwick CMS MPN 1884 1884 9/20/11

Hartford Fire Insurance Company Sedgwick CMS Extended MPN 1885 1885 9/20/11

Hartford Fire Insurance Company Sedgwick/Harbor MPN 1971 1971 5/24/12

Hartford Fire Insurance Company Sedgwick/Harbor 2 MPN 2004 2004 5/29/12

Hartford Fire Insurance Company Hartford Fire Insurance Company GBMCS MPN 2023 2023 7/20/12

Hartford Fire Insurance Company WellComp Medical Provider Network-York- HFIC 2134 2134 5/2/13

Hartford Fire Insurance Company Athens MPN-HFIC 2142 2142 3/28/13

Hartford Insurance Company of the Midwest First Health CompAmerica Primary HCO Network 0071 0071 1/12/05

Hartford Insurance Company of the Midwest First Health CompAmerica Select HCO Network 0072 0072 1/12/05

Hartford Insurance Company of the Midwest Hartford Insurance Company of the Midwest accessing Anthem Blue Cross Prudent Buyer PPO 1134 1134 3/17/06

Hartford Insurance Company of the Midwest Hartford Ins. Co. Midwest./Gallagher Bassett/Coventry MPN 1156 1156 3/20/06

Hartford Insurance Company of the Midwest Sedgwick CMS Medical Provider Network 1187 1187 4/19/06

Hartford Insurance Company of the Midwest Frank Gates Svc Co/Hartford/CorVel MPN 1250 1250 9/29/06

Hartford Insurance Company of the Midwest Wellcomp Medical Provider Network-York-HICM 1439 1439 1/20/09

Hartford Insurance Company of the Midwest Sedgwick CMS Extended MPN 1468 1468 11/10/08

Hartford Insurance Company of the Midwest Hartford Insurance Company of the Midwest/Gallagher Bassett/First Health MPN 1494 1494 4/23/09

Hartford Insurance Company of the Midwest HICM/GABRobins-MedInsights MPN 1509 1509 2/23/09

Hartford Insurance Company of the Midwest HICMW Broadspire First Health CompAmerica Primary Network 1572 1572 10/28/09

Hartford Insurance Company of the Midwest CCMSI/HICM/First Health CompAmerica Select HCO Network 1580 1580 2/10/10

Hartford Insurance Company of the Midwest Hartford Insurance Company of the Midwest GBMCS MPN 1594 1594 1/20/10

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Hartford Insurance Company of the Midwest TMC HIMC MPN 1635 1635 6/1/10

Hartford Insurance Company of the Midwest Athens MPN - HICM 1649 1649 6/10/10

Hartford Insurance Company of the Midwest Broadspire Signature MPN 1737 1737 12/16/10

Hartford Insurance Company of the Midwest Sedgwick/Harbor MPN 1969 1969 5/24/12

Hartford Insurance Company of the Midwest Sedgwick/Harbor 2 MPN 2003 2003 5/29/12

Hartford Insurance Company of the Midwest CorVel/HICM/TX Roadhouse MPN 2078 2078 11/15/12

Hartford Insurance Company of the Midwest Hartford MW Bunch MPN 2229 2229 10/29/13

Hartford Underwriters Insurance Company First Health CompAmerica-Primary HCO Network 0069 0069 1/12/05

Hartford Underwriters Insurance Company First Health CompAmerica Select HCO Network 0070 0070 1/12/05

Hartford Underwriters Insurance Company Hartford Underwriters Insurance Company accessing Anthem Blue Cross Prudent Buyer PPO 1136 1136 3/17/06

Hartford Underwriters Insurance Company Hartford Underwriters./Gallagher Bassett/Coventry MPN 1157 1157 3/20/06

Hartford Underwriters Insurance Company Frank Gates Svc Co/Hartford/CorVel MPN 1246 1246 9/29/06

Hartford Underwriters Insurance Company Hartford Underwriters/Gallagher Bassett/First Health MPN 1515 1515 4/23/09

Hartford Underwriters Insurance Company HUIC Broadspire First Health CompAmerica Select HCO Network 1607 1607 4/27/10

Hartford Underwriters Insurance Company HUIC Redwoods First Health CompAmerica Select HCO Network 1638 1638 5/26/10

Hartford Underwriters Insurance Company Broadspire Signature MPN 1738 1738 12/16/10

Hartford Underwriters Insurance Company Sedgwick CMS Extended Medical Provider Network 1933 1933 4/18/12

Hartford Underwriters Insurance Company Sedgwick CMS Medical Provider Network 1935 1935 4/18/12

Hartford Underwriters Insurance Company WellComp Medical Provider Network-York-HUIC 2135 2135 5/2/13

Hartford Underwriters Insurance Company Athens MPN--HUIC 2141 2141 3/28/13

Hartford Underwriters Insurance Company Sedgwick/ Harbor MPN 2176 2176 5/10/13

Hartford Underwriters Insurance Company Sedgwick/ Harbor 2 MPN 2177 2177 5/10/13

Hartnell Community College District Prime Advantage Medical Provider Network 0578 0578 3/23/05

HDI - Gerling America Insurance Company WellComp Medical Provider Network 1997 1997 1/27/12

Healthcare Industry Self-Insurance Program Medex 1177 1177 4/5/06

Healthcare Industry Self-Insured Program CorVel/Healthcare Industry Self-Insured Program 1555 1555 6/26/09 Heartland Employment Services, LLC dba HCR Manor Care Tristar MPN 1299 1299 7/13/07

Heavenly Valley, Limited Partnership Liberty Mutual Group MPN 1110 1110 7/6/06

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

Hesperia Fire Protection District WellComp Medical Provider Network 1651 1651 6/22/10

Hewlett-Packard Company Sedgwick CMS Extended Medical Provider Network 0219 0219 5/10/05

Hexcel Corporation First Health Comp America Select HCO 0031 0031 4/7/05

Hilton Hotels Corporation Intracorp 0446 0446 4/12/05

Hilton Hotels Corporation Intracorp 1191 1191 5/31/06

Hilton Worldwide, Inc. CorVel MPN 1722 1722 12/7/10

Hilton Worldwide, Inc. Sedgwick/Harbor 2 MPN 2220 2220 9/17/13

Hoag Memorial Hospital Presbyterian PRIME Advantage Medical Provider Network for HealthCare 1065 1065 8/12/05

Home Depot U.S.A., Inc. The Home Depot Medical Provider Network 0392 0392 2/23/05

Household Industries Self-Insured Group Athens MPN 2000 2000 10/28/11

Hughes Supply, Inc. First Health CompAmerica Primary HCO Network (or "First Health Primary") 0549 0549 3/22/05

Huntington Beach City School District PRIME Advantage Medical Provider Network 2011 2011 6/1/12

Huntington Beach Union High School District TRISTAR CompAmerica Primary HCO 0063 0063 1/11/05

Hydro Conduit Corporation CorVel HCO 1193 1193 4/10/06

Imperial County Office of Education WellComp Medical Provider Network 1078 1078 9/12/05

Imperial Irrigation District TRISTAR MPN 0475 0475 3/18/05

Indemnity Insurance Co. of North American (IND) Indemnity Insurance Co. of North American (IND), Crawford Select 0706 0706 6/16/05

Indemnity Insurance Co. of North American (IND) Indemnity Insurance Co of North America (IND) - Crawford Primary 0707 0707 6/16/05

Indemnity Insurance Company of North America CorVel MPN/Indemnity Ins Co of NA/LWP 0405 0405 2/28/05

Indemnity Insurance Company of North America Sedgwick CMS MPN 0683 0683 4/1/05

Indemnity Insurance Company of North America Sedgwick CMS Extended Medical Provider Network 0686 0686 4/1/05

Indemnity Insurance Company of North America ACE/BUNCH Network 0770 0770 5/6/05

Indemnity Insurance Company of North America CCMSI/ACE First Health Comp America Select HCO Network 1545 1545 6/25/09

Indemnity Insurance Company of North America Sedgwick/Harbor MPN 1963 1963 5/15/12

Indemnity Insurance Company of North America Sedgwick/Harbor 2 MPN 2057 2057 9/20/12

Indemnity Insurance Company of North America Broadspire Signature MPN 2226 2226 10/18/13

Indemnity Insurance Company of North America Coventry Medical Provider Network 2248 2248 4/18/14

Inglewood Unified School District PRIME Advantage Medical Provider Network 2207 2207 8/15/13

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

Inland Empire Utilities Agency WellComp Medical Provider Network 0823 0823 7/20/05

Insurance Company of North America (INA) Insurance Company of North America (INA), Crawford Primary 0704 0704 6/16/05

Insurance Company of North America (INA) Insurance Company of North America (INA), Crawford Select 0705 0705 6/16/05

Insurance Company of the West ICW Group Premier MPN 1982 1982 5/25/12

Insurance Company of the West (ICW) Medex MPN 0049 0049 12/3/04

Insurance Corporation of Hanover CorVel HCO 1172 1172 2/28/06

Integrated Grain & Milling, Inc. Zacky Farms Custom CorVel MPN 1747 1747 1/12/11

Intel Corporation Broadspire MPN 1089 1089 1/23/06

Intel Corporation Broadspire Signature MPN 1691 1691 8/19/10

Intel Corporation Sedgwick/Harbor 2 MPN 2279 2279 4/7/14

International Paper Company Sedgwick CMS Medical Provider Network 1106 1106 4/12/06

Interstate Distributor Co Broadspire Signature MPN 1854 1854 7/15/11

Irvine Ranch Water District WellComp Medical Provider Network 1075 1075 1/9/06

Irvine Unified School District Prime Advantage Medical Network 0570 0570 3/23/05

ITT Industries Inc. ITT ESIS MPN 0877 0877 5/4/05

J. G. Boswell Company 0873 0873 5/16/05

J.T. Wimsatt Contracting Company, Inc. J.T. Wimsatt Contracting Company, Inc. GBMCS MPN 1667 1667 7/16/10

John Muir Health TRISTAR MPN 0172 0172 5/6/05

Johnson Controls, Inc. Johnson Controls Medical Provider Network MPN 0895 0895 5/16/05

Johnson Machinery Company 1251 1251 3/12/08

Judicial Council of California First Health CompAmerica Primary HCO 0175 0175 2/16/05

Kaiser Foundation Health Plan, Inc. Kaiser Permanente/Harbor Net MPN 1695 1695 12/29/10 Kaiser Foundation Health Plan, Inc., a California Corporation Kaiser Permanente MPN 1087 1087 9/7/05

Kaiser Foundation Hospitals Kaiser Permanente/Harbor Net MPN 1696 1696 12/29/10 Kaiser Foundation Hospitals, a California Corporation Kaiser Permanente MPN 1084 1084 9/7/05

Kaweah Delta Health Care District TRISTAR CompAmerica Primary HCO 0590 0590 3/18/05

Kelly Services, Inc Kelly Services MPN 0167 0167 2/2/05

Kern Ridge Growers, LLC Allied Managed Care MPN 0807 0807 5/16/05

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

Kiewit Infrastructure West Co. Sedgwick CMS Extended MPN 2194 2194 6/25/13

Kimco Staffing Services, Inc. First Health CompAmerica Primary Network 0300 0300 4/21/05

KimStaffHR, Inc. First Health CompAmerica Primary Network 0299 0299 4/29/05

Kmart Corporation Sedgwick CMS Extended Medical Provider Network 0328 0328 2/14/05

K-Mart Corporation Sedgwick CMS-Harbor MPN - Sears Holdings Management Corporation 1467 1467 1/15/09

Knight Transportation, Inc. Which will do Business in California as Arizona Knight Transportation, Inc. WellComp Medical Provider Network 2222 2222 10/16/13

Kwikset Corporation/Price Pfister, Inc. First Health CompAmerica Select HCO Network 0350 0350 3/8/05

L&R Construction, Inc. FH Select MPN 0419 0419 5/10/05

Lake Elsinore Unified School District Tristar MPN 0820 0820 5/3/05

Lancaster School District Prime Advantage Medical Network 0222 0222 2/11/05

Landmark Insurance Company Chartis Primary Medical Provider Network 0120 0120 2/17/05

Landmark Insurance Company Broadspire MPN 0466 0466 4/26/05

Landmark Insurance Company Chartis-Cambridge MPN 0579 0579 3/24/05

Landmark Insurance Company Chartis - Coventry MPN 0626 0626 3/28/05

Landmark Insurance Company Landmark Insurance Company/Gallagher Bassett/Coventry MPN 0655 0655 3/24/05

Landmark Insurance Company Landmark Insurance Company/Gallagher Bassett / CorVel MPN 0760 0760 5/5/05

Landmark Insurance Company Landmark Insurance Company, Crawford Primary 0856 0856 7/1/05

Landmark Insurance Company Landmark Insurance Company Crawford Select 0865 0865 7/1/05

Landmark Insurance Company MedInsights Medical Provider Network, accessing Prudent Buyer PPO 0918 0918 5/19/05

Landmark Insurance Company Landmark Insurance Company/Gallagher Bassett/First Health MPN 1021 1021 8/5/05

Landmark Insurance Company Broadspire Signature Network 1655 1655 6/22/10

Landmark Insurance Company Chartis Select Medical Provider Network 1758 1758 1/19/11

LA-Z-BOY, Incorporated Sedgwick/Harbor MPN - LZB 2236 2236 12/13/13

Leprino Foods Company (Leprino Foods) First Health Comp America Select HCO 0029 0029 3/24/05

Les Schwab Tire Centers of California, Inc Sedgwick/Harbor MPN-Les Schwab 2075 2075 11/28/12

Les Schwab Tire Centers of California, Inc. Les Schwab ESIS MPN 1221 1221 12/20/06

LFP, Inc. and Affiliates CorVel/LFP, Inc and Affiliates MPN 1358 1358 7/23/08

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

Liberty Insurance Corporation Liberty Mutual Group MPN 0086 0086 2/3/05

Liberty Insurance Corporation The Liberty Mutual UPS MPN 0305 0305 3/5/05

Liberty Insurance Corporation UPS-Liberty Mutual MPN 1279 1279 4/18/07

Liberty Insurance Corporation Liberty Mutual-Gerald Desmond Bridge MPN 2086 2086 12/21/12

Liberty Mutual Fire Insurance Company Liberty Mutual Group MPN 0085 0085 2/3/05

Liberty Mutual Insurance Company Liberty Mutual Group MPN 0089 0089 2/3/05

Liberty Northwest Insurance Corporation Liberty Mutual Group MPN 0397 0397 3/8/05

Limited Brands, Inc. and its subsidiaries First Health CompAmerica Select HCO Network 0349 0349 3/8/05

Lincoln General Insurance Co. Lincoln General Ins. Co/LWP/CorVel MPN 1242 1242 9/25/06

Lincoln General Insurance Company American Claims Management Inc. MPN 1398 1398 5/14/09

Lion Farms L.L.C. TMC/SNP LF-LR-ST-MPN 2160 2160 5/6/13

Lion Raisins, Inc. TMC/SNP LF-LR-ST-MPN 2158 2158 5/6/13

LM Insurance Corporation Liberty Mutual Group MPN 0088 0088 2/3/05

Lockheed Martin Corporation GENEX/Lockheed Martin MPN 1322 1322 11/20/07

Lodi Memorial Hospital First Health CompAmerica Primary HCO 0457 0457 3/18/05

Long Beach Community College District Prime Advantage Medical Network 0282 0282 4/6/05

Long Beach Transit Long Beach Transit - Comp Care MPN 0997 0997 7/20/05

Long Beach Transit TRISTAR - CompAmerica Primary HCO 1324 1324 11/15/07

Los Angeles Community College District WellComp Medical Provider Network 2032 2032 9/13/12

Los Angeles County Office of Education Los Angeles County Office of Education - Comp Care MPN 1069 1069 8/11/05

Los Angeles County Office of Education LACOE- WellComp Medical Provider Network 2215 2215 8/14/13

Los Angeles Dept. of Water & Power CorVel HCO / CorVel HCO Select 0058 0058 2/17/05

Los Angeles Jewish Home for the Aging WellComp Medical Provider Network 1189 1189 4/25/06

Los Angeles Unified School District Sedgwick CMS Extended Medical Provider Network 0162 0162 2/9/05

Louisiana Pacific Corporation Sedgwick CMS Extended Medical Provider Network 0193 0193 1/26/05

Lowe's HIW, Inc. Lowe's CA MPN 1100 1100 10/3/05

Lowe's Home Centers, LLC Lowe's Home Centers/Bunch MPN 2284 2284 2/28/14

LSI Logic Corporation (LSI) First Health Comp America Select HCO 0030 0030 4/7/05

Lumbermens Mutual Casualty Co. Kemper Cambridge MPN 0337 0337 2/16/05

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

Lumbermens Mutual Casualty Co. First Health CompAmerica Select 0472 0472 4/12/05

Lumbermens Mutual Casualty Company Sedgwick CMS Extended Medical Provider Network 0160 0160 9/23/10

Lumbermens Mutual Casualty Company Sedgwick CMS Medical Provider Network 0161 0161 9/23/10

Lumbermens Mutual Casualty Company Broadspire Signature MPN 0341 0341 2/22/05

Lumbermen's Underwriting Alliance Coventry/First Health CompAmerica HCO Select Network 0448 0448 4/21/05

Lynwood Unified School District PRIME Advantage Medical Provider Network, accessing Prudent Buyer HCO 1205 1205 8/17/06

Lynwood Unified School District TRISTAR CompAmerica Primary HCO 1297 1297 6/14/07

Lynwood Unified School District CorVel MPN 1852 1852 7/8/11

LZB Manufacturing Incorporated La-Z-Boy West MPN 1235 1235 4/5/07

Macy's Retail Holdings, Inc. Macy's Inc. Medical Provider Network 1470 1470 12/16/08

Maine Bonding and Casualty Company Maine Bonding and Casualty Company - Crawford Select 0676 0676 7/1/05

Maine Bonding and Casualty Company Maine Bonding and Casualty Company - Crawford Primary 1003 1003 7/1/05

Mainstay Business Solutions WellComp Medical Provider Network 1275 1275 2/22/07

Majestic Insurance Company Majestic Insurance Company MPN 0144 0144 2/14/05

Manpower Inc. Concentra MPN 0304 0304 3/9/05

Manpower, Inc. Sedgwick CMS MPN 1372 1372 4/8/08

Manufacturers' Alliance Ins. Co (MAICO) American Claims Management Inc. MPN 1410 1410 5/14/09

Manufacturers Alliance Insurance Company Rising Interplan MPN 1239 1239 9/18/06 Manufacturers' Alliance Insurance Company (MAICO) First Health Comp America Select MPN 0731 0731 5/23/05

Markel Insurance Company Rising MPN 1836 1836 5/24/11

Markstein Beverage Company Broadspire Signature MPN 0802 0802 5/16/05

Marriott International, Inc. Marriott's Medical Provider Network 1086 1086 10/12/05

Maryland Casualty Company First Health CompAmerica Primary HCO Network 0153 0153 3/8/05

Maryland Casualty Company FirstHealth CompAmerica Select HCO Network 0214 0214 4/18/05

Maryland Casualty Company Maryland Casualty Company-Crawford Select 0668 0668 7/1/05

Maryland Casualty Company First Health CompAmerica Primary HCO Network 0843 0843 8/2/05

Maryland Casualty Company Maryland Casualty Company - Crawford Primary 1004 1004 7/1/05

Maryland Casualty Company Zurich Services Corporation Prudent Buyer 1145 1145 5/5/06

Maryland Casualty Company Zurich Kaiser MPN 1355 1355 6/30/08

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

Masco Corporation TCT CA MPN 0376 0376 3/7/05

Massachusetts Bay Insurance Company CorVel MPN 1818 1818 4/22/11 May Department Stores Company dba Robinsons*May-David's Bridal Medex Healthcare, Inc 0182 0182 1/28/05

MCM Construction, Inc. Broadspire-Concentra Standard MPN 0390 0390 2/23/05

McWane, Inc. dba Anaco TRISTAR MPN 0881 0881 5/3/05

MeadWestvaco Sedgwick CMS MPN 1365 1365 4/8/08

Med Site - Hacienda Heights Athens MPN 2266 2266 1/8/14

MEMIC INDEMNITY COMPANY MEMIC-GENEX MPN 1777 1777 2/17/11

Memorial Health Services TRISTAR MPN 0108 0108 5/3/05

Memorial Hospital Association Memorial Hospital MPN 0932 0932 7/25/05

Merchants Building Maintenance Company Interplan MPN 0393 0393 3/18/05

Merchants Building Maintenance LLC Merchants Building Maintenance MPN 1744 1744 1/7/11

MERGE Risk Management Joint Powers Authority MERGE MPN 0889 0889 8/4/05

Methodist Hospital of Southern California PRIME Advantage Medical Provider Network for Healthcare 1993 1993 10/19/11

Metro Risk Management First Health Select 0658 0658 6/8/05

Metropolitan Stevedore Company 0009 0009 6/28/05

Mid Valley Plastering, Inc. MVP MPN 1743 1743 2/16/11

Mid-Century Insurance Company First Health CompAmerica Select HCO Network (First Health Select Network) 0313 0313 3/9/05

Mid-Century Insurance Company First Health CompAmerica Primary HCO Network (First Health Primary Network) 0318 0318 3/9/05

Mid-Century Insurance Company Liberty Mutual Group MPN 0752 0752 4/28/05

Mid-Century Insurance Company CorVel/Kaiser MPN 1591 1591 2/11/10

Midwest Employers Casualty Company Midwest Employers/Gallagher Bassett/First Health MPN 0947 0947 7/11/05

Midwest Employers Casualty Company Midwest Employers GBMCS MPN 1449 1449 5/7/09

Milpitas Unified School District PRIME Plus Medical Provider Network 1544 1544 6/8/09

Mitsui Sumitomo Insurance Company of America CorVel MPN 0056 0056 2/7/05

Mitsui Sumitomo Insurance Company of America MSIG MPN 1430 1430 11/4/08

Mitsui Sumitomo Insurance Company of America MSIGBunch MPN 1832 1832 6/1/11

Mitsui Sumitomo Insurance Company of America Broadspire Signature MPN 1860 1860 8/4/11

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

Mitsui Sumitomo Insurance USA Inc. Sedgwick First Health CompAmerica Select HCO Network 1535 1535 5/12/09

MITSUI SUMITOMO INSURANCE USA INC. MITSUI SUMITOMO GBMCS MPN 1724 1724 1/12/11

Mitsui Sumitomo Insurance USA, Inc. MSIG MPN 1431 1431 11/4/08

Mitsui Sumitomo Insurance USA, Inc. MSIGBunch MPN 1833 1833 6/1/11

Mitsui Sumitomo Insurance USA, Inc. CorVel MPN 2039 2039 8/3/12

Modesto Irrigation District First Health CompAmerica Primary HCO 0906 0906 5/19/05

Montebello Unified School District WellComp Medical Provider Network 0926 0926 8/4/05 Monterey County Schools Workers' Compensation Joint Powers Authority Monterey County Schools MPN 0934 0934 5/19/05

Monterey Mushrooms, Inc Monterey Mushrooms Inc. MPN. 0298 0298 3/8/05

Monterey Peninsula Unified School District PRIME Advantage Medical Provider 1276 1276 2/21/07

Monterey-Salinas Transit Monterey-Salinas Transit MPN 1888 1888 9/20/11

Moreno Valley Unified School District Moreno Valley Unified School District/CorVel Select MPN 1080 1080 9/13/05

Moreno Valley Unified School District PRIME Advantage Medical Provider Network 2213 2213 4/3/14

Mt. San Antonio Community College District Prime Advantage Medical Network 0202 0202 3/1/05

Mt. San Jacinto Community College Prime Advantage Medical Network 0571 0571 3/23/05 National American Insurance Company of California TRISTAR MPN 0824 0824 5/3/05

National Casualty Company First Health CompAmerica Primary HCO Network 2136 2136 3/5/13

National Fire Insurance Company of Hartford ESIS MPN 1880 1880 8/31/11

National Interstate Insurance Company CorVel MPN/National Interstate Insurance 1182 1182 4/4/06

National Liability & Fire (NLF) ACCA/NLF Interplan MPN 0051 0051 1/31/05

National RV, Inc. National RV MPN 0336 0336 3/9/05

National Semiconductor Corporation First Health Comp America Select HCO 0027 0027 3/24/05

National Surety Corporation First Health Select 0619 0619 2/14/05 National Union Fire Insurance Company of Pittsburgh, PA AIG Primary MPN 0113 0113 2/17/05

National Union Fire Insurance Company of Pittsburgh, PA Sedgwick First Health CompAmerica Select HCO Network 0366 0366 3/28/05

National Union Fire Insurance Company of Pittsburgh, PA SRS First Health CompAmerica Primary HCO Network 0370 0370 3/28/05

National Union Fire Insurance Company of Pittsburgh, PA Gainey-FARA 0423 0423 4/21/05

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

National Union Fire Insurance Company of Pittsburgh, PA Broadspire MPN 0467 0467 4/26/05

National Union Fire Insurance Company of Pittsburgh, PA Sedgwick CMS Medical Provider Network 0492 0492 3/16/05

National Union Fire Insurance Company of Pittsburgh, PA Sedgwick CMS Extended Medical Provider Network 0502 0502 3/10/05

National Union Fire Insurance Company of Pittsburgh, PA Chartis-Cambridge MPN 0524 0524 3/24/05

National Union Fire Insurance Company of Pittsburgh, PA Intracorp-Gates McDonald MPN 0614 0614 6/2/05

National Union Fire Insurance Company of Pittsburgh, PA Chartis ESIS MPN 0633 0633 3/28/05

National Union Fire Insurance Company of Pittsburgh, PA National Union Fire/Gallagher Bassett/Coventry MPN 0656 0656 3/4/05

National Union Fire Insurance Company of Pittsburgh, PA

National Union Fire Insurance Company of Pittsburgh, PA/Gallagher Bassett/CorVel MPN 0759 0759 5/5/05

National Union Fire Insurance Company of Pittsburgh, PA

National Union Fire Insurance Company of Pittsburgh, Pa., Crawford Select 0857 0857 7/1/05

National Union Fire Insurance Company of Pittsburgh, PA

National Union Fire Insurance Company of Pittsburgh, Pa-Crawford Primary 0866 0866 10/5/05

National Union Fire Insurance Company of Pittsburgh, PA Liberty Mutual Group MPN 0912 0912 8/9/05

National Union Fire Insurance Company of Pittsburgh, PA

MedInsights Medical Provider Network, accessing Prudent Buyer PPO 0922 0922 5/19/05

National Union Fire Insurance Company of Pittsburgh, PA AIGDC/Kaiser OCIP 0924 0924 8/8/05

National Union Fire Insurance Company of Pittsburgh, PA National Union Fire/Gallagher Bassett/First Health MPN 1020 1020 8/5/05

National Union Fire Insurance Company of Pittsburgh, PA CorVel MPN 1406 1406 8/6/08

National Union Fire Insurance Company of Pittsburgh, PA WellComp Medical Provider Network 1415 1415 9/16/08

National Union Fire Insurance Company of Pittsburgh, PA

CCMSI/ AIG/ First Health Comp America Select HCO Network 1427 1427 1/7/09

National Union Fire Insurance Company of Pittsburgh, PA National Union Fire GBMCS MPN 1457 1457 5/7/09

National Union Fire Insurance Company of Pittsburgh, PA WellComp Medical Provider Network 1489 1489 1/22/09

National Union Fire Insurance Company of Pittsburgh, PA Nat'l Union Fire Ins/The GEO Group, Inc. 1496 1496 2/9/09

National Union Fire Insurance Company of Pittsburgh, PA Wal-Mart-Medex MPN 1520 1520 4/1/09

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

National Union Fire Insurance Company of Pittsburgh, Pa Broadspire Signature Network 1657 1657 6/24/10

National Union Fire Insurance Company of Pittsburgh, Pa Chartis/Treasury Wine Estates Medical Provider Network 1731 1731 12/8/10

National Union Fire Insurance Company of Pittsburgh, Pa Chartis/JCP 1733 1733 12/15/10

National Union Fire Insurance Company of Pittsburgh, PA AIG Select MPN 1742 1742 12/23/10

National Union Fire Insurance Company of Pittsburgh, PA National Union Fire GBMCS KOJ MPN 1810 1810 3/24/11

National Union Fire Insurance Company of Pittsburgh, PA Nat'l Union/Tractor/Bunch MPN 1811 1811 4/12/11

National Union Fire Insurance Company of Pittsburgh, PA Randstad/NUnion/Bunch MPN 1843 1843 6/2/11

National Union Fire Insurance Company of Pittsburgh, PA Helmsman Management Services-First Health MPN 1849 1849 6/17/11

National Union Fire Insurance Company of Pittsburgh, Pa PCIC MPN 1937 1937 4/18/12

National Union Fire Insurance Company of Pittsburgh, PA Sedgwick/Harbor MPN 1976 1976 5/24/12

National Union Fire Insurance Company of Pittsburgh, Pa Sedgwick/Harbor 2 MPN 1989 1989 5/29/12

National Union Fire Insurance Company of Pittsburgh, PA Wellcomp Medical Provider Network 1998 1998 11/10/11

National Union Fire Insurance Company of Pittsburgh, PA TRISTAR MPN 2047 2047 7/12/13

National Union Fire Insurance Company of Pittsburgh, Pa. AIG/ Bristol-Myers Squibb MPN 2214 2214 9/17/13

Nationwide Agribusiness Insurance Company GENEX 2061 2061 12/7/12

Naumes, Inc. CorVel MPN 0450 0450 4/8/05 Nautilus International Holding Corporation ("Nautilus") First Health 0447 0447 5/16/05

Neighborhood Spirit P & C First Health CompAmerica Select HCO Network (First Health MPN Network) 0314 0314 3/22/05

Neighborhood Spirit P & C First Health CompAmerica Primary HCO Network (First Health Primary Network) 0321 0321 3/22/05

Neighborhood Spirit Property & Casualty Company CorVel/Kaiser MPN 1589 1589 3/11/10

Nella Oil Company MedInsights Medical Provider Network 1011 1011 7/26/05

New Albertson's Inc. (A SuperValu Company) Sedgwick CMS Extended Medical Provider Network 2002 2002 11/15/11

New Albertsons, Inc.(A SuperValu Company) New Albertson's Inc. CA MPN 0077 0077 2/2/05

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

New Hampshire Insurance Company AIG Primary Medical Provider Network 0121 0121 2/17/05

New Hampshire Insurance Company Chartis - Cambridge MPN 0523 0523 3/23/05

New Hampshire Insurance Company Chartis ESIS MPN 0627 0627 3/28/05

New Hampshire Insurance Company New Hampshire Insurance/Gallagher Bassett/Coventry MPN 0657 0657 3/24/05

New Hampshire Insurance Company New Hampshire Insurance Company/Gallagher Bassett/CorVel MPN 0758 0758 5/4/05

New Hampshire Insurance Company Liberty Mutual Group MPN 1359 1359 3/17/08

New Hampshire Insurance Company Sedgwick First Health CompAmerica Select HCO Network 1360 1360 3/25/08

New Hampshire Insurance Company Sedgwick CMS MPN 1394 1394 6/9/08

New Hampshire Insurance Company CorVel MPN 1400 1400 7/18/08

New Hampshire Insurance Company New Hampshire GBMCS MPN 1450 1450 5/7/09

New Hampshire Insurance Company Sedgwick CMS Extended MPN 1462 1462 11/10/08

New Hampshire Insurance Company NH Ins/CVS/Bunch MPN 1624 1624 4/14/10

New Hampshire Insurance Company Broadspire Signature Network 1654 1654 6/22/10

New Hampshire Insurance Company AIG Select MPN 1762 1762 1/19/11

New Hampshire Insurance Company Sedgwick CMS/Harbor MPN - NHIC AMR 1850 1850 7/8/11

New Hampshire Insurance Company Medex MPN 1879 1879 8/31/11

New Hampshire Insurance Company Sedgwick/Harbor MPN 1979 1979 5/25/12

New Hampshire Insurance Company Sedgwick/Harbor 2 MPN 1983 1983 5/29/12

New Hampshire Insurance Company Sedgwick/Harbor MPN – NHIC DESC 2028 2028 7/20/12

New Hampshire Insurance Company Athens MPN 2071 2071 10/31/12

New Hampshire Insurance Company CVS/Coventry MPN 2290 2290 3/11/14

New Hampshire Insurance Company Mentor/NewHampshire/Bunch MPN 2297 2297 5/8/14

New Hampshire Insurance Company WellComp Medical Provider Network 2317 2317 7/9/14

New Hampshire Insurance Company, Ltd. Broadspire MPN 0470 0470 4/26/05

New Hampshire Insurance Company, Ltd. New Hampshire Insurance Company, Ltd.-Crawford Select 0852 0852 7/1/05

New Hampshire Insurance Company, Ltd. New Hampshire Insurance Company, Ltd., Crawford Primary 0862 0862 7/1/05

New Hampshire Insurance Company, Ltd. MedInsights/ Medical Provider Network, accessing Prudent Buyer PPO 0920 0920 5/19/05

New Hampshire Insurance Company, Ltd. New Hampshire/Gallagher Bassett/First Health MPN 1019 1019 8/5/05

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

New Hampshire Insurance Company, Ltd. CCMSI/ AIG/ First Health Comp America Select HCO Network 1423 1423 12/16/08

New United Motor Manufacturers, Inc. NUMMI MPN 0793 0793 5/24/05

New York Marine & General Insurance Company Sedgwick CMS MPN 1887 1887 9/20/11

New York Marine and General Insurance Company ProSight Coventry Primary MPN 1886 1886 9/20/11

New York Marine and General Insurance Company LWP Kaiser Signature MPN 2125 2125 2/20/13

New York Marine and General Insurance Company LWP Signature MPN 2126 2126 2/20/13

Newport-Mesa Unified School District PRIME Advantage Medical Provider Network 1222 1222 10/5/06

Nipponkoa Insurance Company, LTD (US Branch) TCT CA MPN 0237 0237 3/2/05

Nipponkoa Insurance Company, LTD (US Branch) CorVel CorCare 0238 0238 3/9/05 Non Profits' United Workers' Compensation Group Inc. Interplan/Kaiser 0607 0607 12/15/05

Nonprofits' United Workers Compensation Group WellComp MPN 1723 1723 11/23/10

Norcal Waste System, Inc. Interplan through CompPartners 1218 1218 11/15/06

Norcal Waste Systems, Inc. and its Subsidiaries First Health CompAmerica Select HCO Network 0543 0543 3/22/05

Nordstrom, Inc. Nordstrom Medical Provider Network 1203 1203 9/13/06

NorGuard Insurance Nor Guard Insurance (GUARD Insurance) 0084 0084 12/14/04

North Bay Schools Insurance Authority TriCounty MPN 0106 0106 2/2/05

North Bay Schools Insurance Authority NBSIA/ CorVel Custom MPN 2228 2228 10/31/13

North County Transit District North County District-Comp Care MPN 0692 0692 5/20/05

North County Transit District Tristar MPN 1918 1918 2/17/12

North Orange County Community College District WellComp Medical Provider Network 1077 1077 9/12/05 North Orange County Self-funded Workers' Compensation Agency Prime Advantage Medical Network 0226 0226 3/2/05

NORTH POINTE INSURANCE COMPANY North Pointe Insurance Company GBMCS MPN 2058 2058 9/27/12

North Valley Schools Insurance Group Prime Advantage Medical Provider Network 0205 0205 4/28/05

Northeastern JPA Prime Advantage Medical Network 0206 0206 3/1/05 Northern California Auto Dealers Self-Insurance Group, Inc. CorVel MPN 1336 1336 1/15/08

Northern California Cities Self Insurance Fund WellComp Medical Provider Network 2292 2292 5/8/14

Northern California Cities Self-Insurance Fund NCCSIF MPN 1233 1233 12/7/06 Northern California Community Colleges Pool (NCCCP) Prime Advantage Medical Network 0779 0779 5/6/05

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

Northern California Special Districts Insurance Authority NCSDIA MPN 0642 0642 9/14/05

Northern Insurance Company First Health CompAmerica Select HCO Network 0152 0152 3/8/05

Northern Insurance Company of New York FirstHealth CompAmerica Select HCO Network 0215 0215 4/18/05

Northern Insurance Company of New York Northern Insurance Company of NY, Crawford Select 0666 0666 7/1/05

Northern Insurance Company of New York First Health CompAmerica Primary HCO Network 0844 0844 8/2/05

Northern Insurance Company of New York Northern Insurance Company of NY - Crawford Primary 1002 1002 7/1/05

Northern Insurance Company of New York Zurich Services Corporation Prudent Buyer 1146 1146 5/5/06

Northern Insurance Company of New York Zurich Kaiser MPN 1354 1354 6/30/08

Northwestern Pacific Indemnity Company CorVel MPN 0265 0265 2/17/05

Northwestern Pacific Indemnity Company CorVel/Chubb Kaiser Select MPN 1478 1478 12/24/08

Norwalk-La Mirada Unified School District WellComp Medical Provider Network 0927 0927 8/4/05

Nova Casualty Company AIX/Gallagher Bassett/First Health MPN 1356 1356 3/7/08

Nova Casualty Company AIX/Gallagher Bassett/Coventry MPN 1357 1357 3/7/08

Nova Casualty Company Athens/Nova Casualty Company MPN 1361 1361 3/25/08

Nova Casualty Company Wellcomp Medical Provider Network 1552 1552 8/26/09

Nova Casualty Company TRISTAR MPN 1616 1616 5/5/10

Nova Casualty Company WellComp Medical Provider Network 1622 1622 4/14/10

Nova Casualty Company Athens MPN 1798 1798 3/11/11

O.R.G. Restaurants, LLC FARA-CIMMS ORG 0418 0418 5/10/05

Oak River Insurance Company Berkshire Hathaway Homestate Companies MPN 1036 1036 8/16/05

Oakland Unified School District Oakland Unified School District MPN 0949 0949 7/12/05

Oceanside Unified School District PRIME Advantage Medical Provider Network 1500 1500 2/23/09

OCM Coastal Acquisition Co. LLC Sedgwick/Harbor MPN 2322 2322 8/18/14

OCM Coastal Acquisition Co. LLC Sedgwick/Harbor 2 MPN 2323 2323 8/18/14

OCM Coastal Acquisition Co. LLC Sedgwick/Harbor 3 MPN 2324 2324 8/19/14

OCM Coastal Acquisition Co. LLC Sedgwick/Harbor 4 MPN 2325 2325 8/19/14

OCM Coastal Acquisition Co., LLC Harbor One MPN 2299 2299 5/21/14

OCM Coastal Acquisition Co., LLC Arissa/Harbor MPN 2328 2328 8/20/14

OCM Coastal Acquisition Co., LLC HarborOne/Genex MPN 2334 2334 8/20/14

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

Ohlone Community College District PRIME Advantage Medical Provider Network 1831 1831 5/13/11

Old Republic General Insurance Corporation Old Republic Construction Program Group Coventry MPN 1278 1278 3/13/07

Old Republic General Insurance Corporation GBMCS MPN 1584 1584 1/19/10

Old Republic Insurance Company First Health CompAmerica Primary Network 0129 0129 4/13/05

Old Republic Insurance Company Old Republic ESIS MPN 0135 0135 2/21/05

Old Republic Insurance Company Sedgwick CMS Medical Provider Network 0156 0156 2/3/05

Old Republic Insurance Company Sedgwick CMS Extended Medical Provider Network 0158 0158 2/3/05

Old Republic Insurance Company TCT CA MPN 0177 0177 3/7/05

Old Republic Insurance Company CorVel MPN/Old Republic 0292 0292 2/18/05

Old Republic Insurance Company Old Republic Cambridge MPN 0309 0309 2/16/05

Old Republic Insurance Company First Health CompAmerica/Primary HCO Network (or "First Health Primary") 0343 0343 3/8/05

Old Republic Insurance Company Broadspire MPN 0374 0374 4/26/05

Old Republic Insurance Company FOCUS - CVTY 0383 0383 4/21/05

Old Republic Insurance Company Sedgwick First Health CompAmerica Select HCO Network (or "First Health Select") 0546 0546 3/22/05

Old Republic Insurance Company Old Republic/Gallagher Bassett/First Health MPN 0690 0690 5/27/05

Old Republic Insurance Company Old Republic/Gallagher Bassett Coventry MPN 0714 0714 3/24/05

Old Republic Insurance Company MedInsights Medical Provider Network accessing Prudent Buyer PPO 0764 0764 4/29/05

Old Republic Insurance Company Interplan 0885 0885 9/22/05

Old Republic Insurance Company Liberty Mutual Group MPN 0950 0950 7/28/05

Old Republic Insurance Company CorVel MPN/Old Republic/LWP 0995 0995 8/12/05

Old Republic Insurance Company CorVel MPN 1051 1051 8/10/05

Old Republic Insurance Company Old Republic Insurance Company GBMCS MPN 1455 1455 5/7/09

Old Republic Insurance Company WellComp Medical Provider Network 1495 1495 1/27/09

Old Republic Insurance Company CCMSI/Old Republic First Health Comp America Select HCO Network 1532 1532 5/14/09

Old Republic Insurance Company Eaton Corporation MPN 1557 1557 7/31/09

Old Republic Insurance Company Broadspire Signature MPN 1698 1698 9/29/10

Old Republic Insurance Company Sedgwick CMS/Harbor MPN - OR EATON 1802 1802 3/15/11

Old Republic Insurance Company Medex MPN 1862 1862 7/20/11

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

Old Republic Insurance Company CorVel/Kaiser Select MPN 1912 1912 2/14/12

Old Republic Insurance Company Sedgwick/Harbor MPN 1926 1926 3/22/12

Old Republic Insurance Company Sedgwick/Harbor 2 MPN 1973 1973 5/24/12

Old Republic Insurance Company GENEX 2020 2020 9/21/12

Old Republic Insurance Company Ryder/Bunch MPN 2131 2131 2/20/13

Old Republic Insurance Company Sedgwick/ Harbor MPN - OR PG 2197 2197 7/9/13

Old Republic Insurance Company Coventry Medical Provider Network 2244 2244 4/18/14

OneBeacon Insurance OneBeacon-Coventry CA MPN 1234 1234 1/4/07

Ontario-Montclair School District Prime Advantage Medical Network accessing Prudent Buyer HCO 0572 0572 3/23/05

Optical Coating Laboratory, Inc. (OCLI) First Health Comp America Select 0026 0026 3/24/05

Orange County Fire Authority OCFA/CorVel MPN 2327 2327 9/5/14

Orange County Sanitation District Cambridge Orange County Sanitation District MPN 0741 0741 8/31/06

Orange Unified School District WellComp Medical Provider Network 0890 0890 8/4/05

Orchard Supply Company, LLC Orchard Bunch MPN 2232 2232 11/21/13

Orthopaedic Hospital PRIME Advantage Medical Network for HealthCare Medical Provider Network, accessing selected physicians Blue Cross of California Prudent Buyer PPO

1064 1064 8/12/05

PACCAR Inc. Broadspire-Concentra Standard MPN 0372 0372 2/17/05

Pacific Bell Telephone Co. Liberty Mutual Group MPN 0755 0755 4/28/05

Pacific Bell Telephone Company Sedgwick CMS Extended Medical Provider Network 0482 0482 3/16/05

Pacific Bell Telephone Company Sedgwick/Harbor 2 MPN 2195 2195 7/24/13

Pacific Compensation Insurance Company Employers Direct Insurance Company Medical Provider Network 0039 0039 2/2/05

Pacific Compensation Insurance Company PCIC on the Job MPN 1018 1018 8/16/05

Pacific Employers Insurance Company Broadspire-First Health CompAmerica Select HCO MPN 0532 0532 3/24/05

Pacific Employers Insurance Company Pacific Employers Insurance Company - Crawford Primary 0678 0678 6/16/05

Pacific Employers Insurance Company Sedgwick CMS Extended Medical Provider Network 0684 0684 4/1/05

Pacific Employers Insurance Company Sedgwick CMS Medical Provider Network 0685 0685 4/1/05

Pacific Employers Insurance Company PRIME Advantage Medical Network Medical, MPN, accessing Prudent Buyer HCO 0819 0819 5/3/05

Pacific Employers Insurance Company Broadspire Signature MPN 1670 1670 8/10/10

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Pacific Employers Insurance Company Sedgwick/Harbor MPN 1962 1962 5/15/12

Pacific Employers Insurance Company Sedgwick/Harbor 2 MPN 2056 2056 9/20/12

Pacific Employers Insurance Company Coventry Medical Provider Network 2247 2247 4/18/14

Pacific Gas and Electric Company PG&E /Blue Cross Medical Provider Network 0339 0339 4/11/05

Pacific Indemnity Company CorVel MPN 0266 0266 2/17/05

Pacific Indemnity Company CorVel/Chubb Kaiser Select MPN 1473 1473 12/24/08

Pacific Warehouse Company First Health Select 0038 0038 6/8/05

Pajaro Valley Unified School District Pajaro Valley Unified School District Medical Provider Network 1050 1050 7/27/05

Palm Springs Unified School District PRIME Advantage Medical Provider Network 1789 1789 3/15/11

Palo Alto Unified School District First Health CompAmerica Primary HCO 0596 0596 3/24/05

Palo Alto Unified School District PRIME Plus Medical Provider Network 1790 1790 2/25/11

Palomar College Prime Advantage Medical Network 0200 0200 3/2/05

Paramount Citrus LLC Broadspire Signature MPN 1714 1714 11/4/10

Paramount Farming Company, LLC Broadspire Signature MPN 1716 1716 11/4/10

Paramount Farms International LLC Broadspire Signature MPN 1717 1717 11/4/10 Park and Recreation District Employee Compensation PARDEC MPN 1180 1180 2/1/07

Parker Hannifin Corporation Sedgwick CMS MPN 1200 1200 5/5/06

Parker Hannifin Corporation Parker Select MPN 1736 1736 12/10/10 PARSAC Public Agency Risk Sharing Authority of CA Interplan 0804 0804 6/29/05

Pasadena Area Community College District Prime Advantage Medical Network 0568 0568 3/23/05

Pasadena Unified School District CorVel/Pasadena Unified School District MPN 1056 1056 8/11/05

Pebble Beach Company PEBBLE BEACH COMPANY MPN 2257 2257 1/23/14

Peerless Indemnity Insurance Company Liberty Mutual Group MPN 1543 1543 6/29/09

Peerless Insurance Company Liberty Mutual Group MPN 1542 1542 6/29/09 Pennsylvania Manufacturers' Association Insurance Co. (PMAIC) American Claims Management Inc. MPN 1409 1409 5/14/09

Pennsylvania Manufacturers' Association Insurance Company Rising Interplan MPN 1240 1240 9/18/06

Pennsylvania Manufacturers' Association Insurance Company (PMAIC) First Health Comp America Select MPN 0730 0730 5/23/05

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

Pennsylvania Manufacturers Indemnity Co (PMIC) American Claims Management Inc. MPN 1411 1411 5/14/09 Pennsylvania Manufacturers' Indemnity Company (PMIC) First Health Comp America Select MPN 0729 0729 5/23/05

Perris Union High School District Prime Advantage Medical Network 0563 0563 3/23/05

Peter Kiewit Sons', Inc. First Health CompAmerica/Select HCO Network 0346 0346 3/8/05

Pictsweet First Health Select/Medrisk/Progressive/One Call MPN 1238 1238 10/5/06

PIH Foundation Athens MPN 2267 2267 1/8/14

Pitman Family Farms Pitman Family Farms MPN 2183 2183 5/20/13

Placentia-Yorba Linda Unified School District WellComp Medical Provider Network 0897 0897 8/4/05

Placentia-Yorba Linda Unified School District Athens MPN 1653 1653 6/22/10

Plastics Manufacturers Self-Insurance Program Medex 1178 1178 4/19/06

Pomona Unified School District Pomona Unified School District/CorVel Select MPN 1784 1784 2/10/11

Pomona Valley Hospital Medical Center PRIME Advantage Medical Network for HealthCare MPN accessing selected physicians of CA Prudent Buyer PPO 1151 1151 5/4/06

PomWonderful, LLC Broadspire Signature MPN 1715 1715 11/4/10

Poway Unified School District Prime Advantage Medical Network 0564 0564 3/23/05

PPG Industries, Inc. PPG Medical Provider Network 0896 0896 9/9/05

PPG Industries, Inc. PPG Medical Provider Network 1389 1389 6/20/08

Praetorian Insurance Company Praetorian Medical Provider Network One 1171 1171 4/26/06

Praetorian Insurance Company QBE The Americas/TMC Medical Provider Network 1195 1195 7/5/06

Praetorian Insurance Company CorVel MPN 1291 1291 5/7/07

Praetorian Insurance Company Praetorian Insurance Company/Gallagher Bassett/Coventry MPN 1858 1858 7/20/11

Praetorian Insurance Company Sedgwick CMS Extended MPN 1901 1901 1/27/12

Praetorian Insurance Company QBE Insurance Company, Praetorian MPN 1911 1911 3/6/12

Praetorian Insurance Company Praetorian Insurance Company GBMCS MPN 1923 1923 3/15/12

Praetorian Insurance Company WellComp Medical Provider Network 1946 1946 5/2/12

Praetorian Insurance Company CCMSI/Praetorian/First Health Comp America Network 2123 2123 2/19/13

Praetorian Insurance Company Sedgwick/Harbor MPN 2166 2166 5/10/13

Praetorian Insurance Company Sedgwick/Harbor 2 MPN 2167 2167 5/10/13

Praetorian Insurance Company CorVel MPN 2205 2205 7/15/13

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

Praetorian Insurance Company Praetorian Insurance Company/Gallagher Bassett/First Health MPN 2230 2230 10/29/13

Preferred Auto Dealers Self-Insurance Program Medex 1117 1117 4/5/06

Preferred Employers Insurance Company Quality Care Medical Provider Network (MPN) 0640 0640 3/30/05

Preferred Employers Insurance Company Preferred Select MPN 1226 1226 8/28/06

Presbyterian Intercommunity Hospital PRIME Advantage Medical Provider Network for HealthCare 1066 1066 8/12/05

Presbyterian Intercommunity Hospital Athens MPN 2263 2263 1/8/14

Preserver Insurance Company WellComp Medical Provider Network 1567 1567 9/15/09

Preserver Insurance Company Tower Group Companies MPN 1631 1631 6/10/10

Preserver Insurance Company ACM/Preserver MPN 2182 2182 5/20/13

ProCentury Insurance Company Rising Interplan MPN 1920 1920 3/6/12 Property and Casualty Insurance Company of Hartford First Health CompAmerica Primary HCO Network 0067 0067 1/12/05

Property and Casualty Insurance Company of Hartford First Health CompAmerica Select HCO Network 0068 0068 1/12/05

Property and Casualty Insurance Company of Hartford

Property and Casualty Insurance Co. of Hartford/Gallagher Bassett/Coventry MPN 1155 1155 3/20/06

Property and Casualty Insurance Company of Hartford

Property and Casualty Insurance Company of Hartford accessing Anthem Blue Cross Prudent Buyer HCO 1188 1188 3/17/06

Property and Casualty Insurance Company of Hartford Frank Gates SVC Co/Hartford/CorVel MPN 1244 1244 9/29/06

Property and Casualty Insurance Company of Hartford Property & Casualty/Gallagher Bassett/First Health MPN 1523 1523 5/7/09

ProSight Global, Inc. Sedgwick CMS Extended MPN 1766 1766 2/2/11

Protective Insurance Company CorVel MPN 2015 2015 6/14/12 Providence Health System Southern California (Self Insurance Certificate #2245) First Health CompAmerica Select 0207 0207 3/7/05

Providence Health System-Southern California Genex-Providence Medical Provider Network 1170 1170 5/4/06

Prudential Overall Supply Prudential Overall Supply MPN 0598 0598 3/18/05

Public Agencies Self-Insured Systems (PASIS) WellComp Medical Provider Network 0952 0952 8/4/05

Public Entity Risk Management Authority WellComp Medical Provider Network 1618 1618 4/6/10

Public Service Insurance Company CorVel MPN 1507 1507 2/10/09

Public Service Mutual Insurance Company Concentra Integrated Services, Inc. 1162 1162 8/3/06

QBE Insurance Corporation QBE Insurance Corporation GBMCS MPN 1919 1919 11/2/12

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QBE Insurance Corporation Sedgwick/ Harbor 2 MPN 2171 2171 5/6/13

QBE Insurance Corporation Sedgwick/ Harbor MPN 2172 2172 5/6/13

Quality Comp, Inc. CorVel HCO/CorVel HCO Select 0429 0429 3/3/05

Quality Comp, Inc. Monument MPN 1481 1481 3/17/09

Quality Comp, Inc. Monument MPN 2066 2066 10/31/12

Raley's CorVel HCO/CorVel HCO Select 0605 0605 7/14/05

Raley's Raley's Quality Medical Provider Network 1327 1327 11/20/07

Raley's Athens MPN 1845 1845 6/16/11

Ravendale-Termo Elementary School District Prime Advantage Medical Network accessing Prudent Buyer HCO 0795 0795 4/21/05

Ravenswood City School District PRIME Advantage Medical Network 0575 0575 3/23/05

Ravenswood City School District PRIME Plus Medical Provider Network 2076 2076 12/11/12

Recology Inc. CorVel/Recology MPN 2053 2053 9/6/12

Redland Insurance Company Redland Insurance Company/TMC Medical Provider Network 1196 1196 7/5/06

Redlands Insurance Company CorVel MPN/ Redlands Insurance 0082 0082 2/4/05

Redlands Insurance Company Clarendon Medical Provider Network One 0275 0275 2/9/05

Redlands Unified School District Prime Advantage Medical Network 0565 0565 3/23/05

Redwood Fire and Casualty Insurance Company Berkshire Hathaway Homestate Companies MPN 0455 0455 2/16/05

Regent Insurance Company Regent Insurance Company GBMCS MPN 2036 2036 11/2/12

Regent Insurance Company Sedgwick/ Harbor MPN 2164 2164 5/6/13

Regent Insurance Company Sedgwick/ Harbor 2 MPN 2165 2165 5/6/13

Regents of The University of California Regents of The University of California MPN 1009 1009 7/28/05

Reinsurance Company of America CorVel MPN 0433 0433 3/3/05

Republic Indemnity Company of America Republic Indemnity MPN 0102 0102 2/14/05

Republic Indemnity Company of America Republic Indemnity Kaiser On-the Job Medical Provider Network 0782 0782 5/10/05

Republic Indemnity Company of America Republic Indemnity Company MPN 2005 2005 6/6/12

Republic Indemnity Company of California Republic Indemnity MPN 0327 0327 2/14/05

Republic Indemnity Company of California Republic Indemnity Kaiser On-the Job Medical Provider Network 0781 0781 5/10/05

Republic Indemnity Company of California Republic Indemnity Company MPN 2006 2006 6/6/12

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Republic Underwriters Insurance Company Athens MPN 1702 1702 9/29/10

Republic Underwriters Insurance Company Sedgwick/ Harbor MPN- Republic AG 2191 2191 6/21/13

Rialto Unified School District Prime Advantage Medical Network 0569 0569 3/23/05

Rio Hondo College Prime Advantage Medical Network 0566 0566 3/23/05

Riverport Insurance Company WellComp Medical Provider Network 1944 1944 5/2/12

Riverside Community College District WellComp Medical Provider Network 2040 2040 8/23/12

Riverside Schools Risk Management Authority Prime Advantage Medical Network 0281 0281 3/1/05

Riverside Transit Agency (RTA) RTA MPN 1629 1629 5/26/10

Riverside Transit Authority CorVel MPN 1501 1501 2/18/09

RLI Insurance Company RLI Insurance/Gallagher Bassett/First Health MPN 1829 1829 5/3/11

Roadway Express, Inc. Roadway Express, Inc. GBMCS MPN 2193 2193 7/24/13

Robertson's Ready Mix, Ltd WellComp Medical Provider Network 0630 0630 6/8/05

Robertson's Transport, Ltd WellComp Medical Provider Network 2231 2231 11/12/13

Roll International Corporation Broadspire MPN 0293 0293 2/10/05

Roll International Corporation Broadspire Signature MPN 1701 1701 10/20/10 Roman Catholic Archbishop of Los Angeles, a corporation sole First Health Comp America Select MPN 0726 0726 6/23/05

Royal & SunAlliance Royal & SunAlliance MPN 0936 0936 9/28/05

RR Donnelley First Health CompAmerica Primary HCO Network (or "First Health Primary") 0351 0351 3/7/05

Sacramento Metropolitan Fire District InterPlan/Kaiser 0783 0783 6/24/05

Sacramento Municipal Utilities District SMUD MPN 1553 1553 8/11/09

Sacramento Municipal Utility District Medical Partners @ Work (MPW) 1053 1053 9/22/05

Sacramento Municipal Utility District SMUD MPN 1263 1263 1/3/07

Saddleback Valley Unified School District Prime Advantage Medical Network accessing Prudent Buyer HCO 0937 0937 5/19/05

Safeco Insurance Company of America Safeco Preferred California MPN 1307 1307 7/10/08

Safeco Insurance Company of Illinois Safeco Preferred California MPN 1308 1308 7/10/08

Safeco Property & Casualty Insurance Companies Safeco Preferred California MPN 0054 0054 12/2/04

Safety First Insurance Company Safety First/Gallagher Basset/First Health MPN 0800 0800 5/27/05

Safety First Insurance Company Safety First /Gallagher Bassett/Coventry MPN 0976 0976 7/12/05

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Safety First Insurance Company Broadspire MPN 0991 0991 6/10/05

Safety First Insurance Company Safety First GBMCS MPN 1442 1442 5/7/09

Safety National Casualty Corporation First Health CompAmerica Select Network 0127 0127 2/17/05

Safety National Casualty Corporation First Health CompAmerica Select HCO Network 0359 0359 3/7/05

Safety National Casualty Corporation First Health CompAmerica Primary HCO Network 0360 0360 3/7/05

Safety National Casualty Corporation CorVel MPN/Safety National Casualty/LWP 0412 0412 2/28/05

Safety National Casualty Corporation Broadspire MPN 0643 0643 4/4/05

Safety National Casualty Corporation Safety National Cambridge MPN 0740 0740 6/22/05

Safety National Casualty Corporation 0789 0789 5/15/05

Safety National Casualty Corporation Safety National/Gallagher Bassett/First Health MPN 0799 0799 5/27/05

Safety National Casualty Corporation Safety National/Gallagher Bassett/Coventry MPN 0975 0975 7/12/05

Safety National Casualty Corporation First Health Comp America Select and Kaiser-on-the-Job Network 1017 1017 9/13/05

Safety National Casualty Corporation CCMSI/SafetyNationalCasualty Corporation/First Health Comp America Select HCO Network 1416 1416 10/2/08

Safety National Casualty Corporation Safety National GBMCS MPN 1445 1445 5/7/09

Safety National Casualty Corporation Safety National ESIS MPN 1559 1559 8/25/09

Safety National Casualty Corporation Sedgwick CMS MPN 1565 1565 9/29/09

Safety National Casualty Corporation Sedgwick CMS Extended MPN 1566 1566 9/29/09

Safety National Casualty Corporation WellComp Medical Provider Network 1621 1621 4/13/10

Safety National Casualty Corporation Safety Nat'l/GAP/Bunch MPN 1625 1625 4/29/10

Safety National Casualty Corporation Broadspire Signature Network 1672 1672 8/10/10

Safety National Casualty Corporation Athens MPN 1710 1710 10/20/10

Safety National Casualty Corporation CorVel MPN 1782 1782 2/10/11

Safety National Casualty Corporation Medex MPN 1863 1863 8/23/11

Safety National Casualty Corporation Sedgwick/Harbor MPN - Safety National SUMC 1916 1916 2/17/12

Safety National Casualty Corporation First Health Comp America Primary HCO Network 1958 1958 5/2/12

Safety National Casualty Corporation Sedgwick/Harbor MPN 1968 1968 5/24/12

Safety National Casualty Corporation CorVel/Kaiser Select MPN 2001 2001 11/10/11

Safety National Casualty Corporation Sedgwick/Harbor 2 MPN 2007 2007 6/1/12

Safety National Casualty Corporation PRIME Advantage Medical Provider Network for Healthcare 2083 2083 2/11/13

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Safety National Casualty Corporation Sedgwick/Harbor MPN - SN Vallarta 2110 2110 2/1/13

Safety National Casualty Corporation LWP Kaiser Signature MPN 2129 2129 2/20/13

Safety National Casualty Corporation LWP Signature MPN 2130 2130 2/20/13

Safety National Casualty Corporation Liberty Mutual Group MPN 2179 2179 6/12/13

Safety National Casualty Corporation CorVel/Prime Healthcare MPN 2180 2180 6/25/13

Safeway, Inc. Safeway Select MPN 0335 0335 4/8/05

Saint John's Health Center Broadspire Signature MPN 0505 0505 3/10/05 Samsung Fire & Marine Insurance Co., Ltd. (US Branch) Broadspire Signature MPN 2031 2031 8/3/12

San Antonio Community Hospital PRIME Advantage Medical Network for HealthCare Medical Provider Network, accessing selected physicians Blue Cross of California Prudent Buyer PPO

1083 1083 9/30/05

San Bernardino City Unified School District SBCUSD MPN 0334 0334 4/12/05

San Bernardino Community College District Prime Advantage Medical Network 0576 0576 3/23/05

San Diego Community College District San Diego CCD/CorVel Select MPN 1928 1928 4/19/12 San Diego County Schools Risk Management Joint Powers Authority CorVel/San Diego County Schools JPA MPN 1401 1401 7/23/08

San Diego Insurance Company Liberty Mutual Group MPN 0094 0094 2/3/05

San Diego Metropolitan Transit System SD MTS MPN 1801 1801 3/11/11

San Diego Transit Corporation SD MTS MPN 0413 0413 4/27/05

San Diego Trolley, Inc. SD MTS MPN 1800 1800 3/11/11

San Diego Unified School District TRISTAR - CompAmerica Primary HCO 0963 0963 7/26/05

San Diego Unified School District State Fund Medical Provider Network 1375 1375 3/21/08

San Diego Unified School District WellComp Medical Provider Network 1418 1418 9/16/08 San Diego/Imperial County Schools Joint Power Authority Interplan through CompPartners 0992 0992 7/20/05

San Francisco Unified School District First Health CompAmerica Primary HCO 0875 0875 5/3/05 San Gabriel Valley School Districts' Self-Insurance Authority WellComp Medical Provider Network 0928 0928 8/4/05

San Joaquin County Schools WC Insurance Group JPA PRIME Plus Medical Provider Network 1281 1281 4/5/07

San Joaquin Delta Community College District PRIME Advantage Medical Provider Network 1890 1890 11/18/11

San Jose Unified School District First Health CompAmerica Primary HCO 0903 0903 5/19/05

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San Jose Unified School District Athens MPN 2027 2027 7/24/12

San Jose/Evergreen Community College District PRIME Plus Medical Network 1252 1252 5/3/07

San Mateo County Community College District Prime Advantage Medical Network 1013 1013 7/26/05

San Mateo County Schools Insurance Group Prime Advantage Medical Provider Network 0794 0794 4/21/05

San Mateo County Schools Insurance Group PRIME Plus Medical Provider Network 2258 2258 1/3/14

Santa Ana Unified School District WellComp Medical Provider Network 1132 1132 4/9/06

Santa Barbara Community College District Prime Advantage Medical Network 0284 0284 3/1/05

Santa Barbara County Schools - SIPE PacMed, Inc. HCO 0898 0898 6/3/05

Santa Clara County Office of Education First Health CompAmerica Primary HCO 0476 0476 3/18/05

Santa Clara County Schools Insurance Groups PRIME Plus Medical Network 1253 1253 1/17/07

Santa Clara Schools Insurance Group (SCCSIG) Prime Advantage Medical Network accessing Prudent Buyer HCO 0711 0711 4/19/05

Santa Clara Unified School District Prime Advantage Medical Network 0574 0574 3/23/05

Santa Clara Valley Transportation Authority Santa Clara Valley Transportation Authority Network 0168 0168 2/1/05

Santa Clara Valley Transportation Authority Santa Clara Valley Transportation Authority MPN (SCVTA MPN) 1294 1294 6/7/07

Santa Clarita Community College District Prime Advantage Medical Network 0224 0224 3/1/05 Santa Cruz/San Benito County Schools Insurance Group Prime Advantage Medical Network 0204 0204 4/6/05

Santa Fe Aggregates, Inc. WellComp Medical Provider Network 2319 2319 7/22/14

Santa Monica Community College District Prime Advantage Medical Network 0176 0176 3/1/05

Saticoy Lemon Association WellComp Medical Provider Network 0930 0930 8/4/05

Saugus Union School District Prime Advantage Medical Network 0197 0197 3/2/05

Save Mart Supermarkets, Inc. The Status MPN-Save Mart 0052 0052 12/2/04

Schneider National Carriers, Inc. Liberty Mutual Group MPN 0754 0754 4/28/05

Schnitzer Steel Industries, Inc. Schnitzer Steel ESIS MPN 0123 0123 12/20/04

Schools Insurance Group Allied Managed Care/SIG MPN 1390 1390 6/20/08

Schools Insurance Group (SIG) SIG MPN 0105 0105 2/1/05

Schools Linked For Insurance Management PRIME Advantage Medical Network 0279 0279 3/1/05

Schools Linked for Insurance Management PRIME Plus Medical Provider Network 2315 2315 7/30/14

Scope Industries Scope Industries First Health CompAmerica Select 0183 0183 4/27/05

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Scripps Health Sedgwick CMS/Harbor MPN-Scripps 1841 1841 6/1/11

Sea Bright Insurance Company First Health Comp America Select HCO 0013 0013 2/15/05

Sea Bright Insurance Company Broadspire-Concentra Standard MPN 0381 0381 2/22/05

SeaBright Insurance Company SeaBright BrightCure Customized MPN 1119 1119 12/16/05

Securitas Security Services USA, Inc. Securitas Broadspire SNP 0591 0591 4/4/05

Securitas Security Services USA, Inc. Sedgwick CMS Extended MPN 1628 1628 4/29/10

Securitas Security Services USA, Inc. Sedgwick/Harbor MPN 2295 2295 5/21/14

Security National Insurance Company Security National/Gallagher Bassett/Coventry MPN 1577 1577 1/14/10

Security National Insurance Company Security National GBMCS MPN 1578 1578 1/14/10

Security National Insurance Company Security National/Gallagher Bassett/First Health MPN 1579 1579 1/12/10

Security National Insurance Company WellComp Medical Provider Network 1608 1608 4/20/10

Security National Insurance Company CorVel MPN 1627 1627 4/28/10

Security National Insurance Company Majestic Insurance Company Medical Provider Network 1639 1639 5/26/10

Security National Insurance Company Medex MPN 1775 1775 2/1/11

Security National Insurance Company Security National Insurance Company accessing MedInsights Medical Provider Network 1805 1805 3/18/11

Security National Insurance Company Medex MPN 1806 1806 3/25/11

Self-Insured Schools of California (SISC) Self-Insured Schools of California(SISC)/California Foundation for Medical Care Network 1260 1260 12/7/06

Sentinel Insurance Company, LTD Athens MPN - SIC 2060 2060 10/5/12

Sentinel Insurance Company, LTD TMC SIC MPN 2079 2079 11/15/12

Sentinel Insurance Company, Ltd. Sentinel Insurance Company accessing Anthem Blue Cross Prudent Buyer PPO 1913 1913 2/24/12

Sentinel Insurance Company, Ltd. First Health CompAmerica Primary HCO Network 2016 2016 6/15/12

Sentinel Insurance Company, Ltd. First Health CompAmerica Select HCO Network 2022 2022 6/29/12

Sentinel Insurance Company, Ltd. Sentinel Insurance Company GBMCS MPN 2024 2024 8/1/12

Sentinel Insurance Company, Ltd. Sentinel Insurance Company/Gallagher Bassett/First Health MPN 2025 2025 8/1/12

Sentinel Insurance Company, Ltd. Sentinel Insurance Company/Gallagher Bassett/Coventry MPN 2026 2026 8/1/12

Sentinel Insurance Company, Ltd. WellComp Medical Provider Network-York-SIC 2051 2051 9/14/12

Sentinel Insurance Company, Ltd. Sedgwick/Harbor 2 MPN 2092 2092 12/24/12

Sentinel Insurance Company, Ltd. Sedgwick/Harbor MPN 2093 2093 12/24/12

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Sentry Casualty Company Medex MPN 2255 2255 12/4/13

Sentry Insurance a Mutual Company Sentry MPN 0584 0584 3/24/05

Sequoia Insurance Company Broadspire MPN 1585 1585 1/26/10

Sequoia Insurance Company Sequoia Signature MPN 1700 1700 10/4/10

Sequoia Insurance Company Sedgwick/Harbor MPN 2090 2090 12/12/12

Sequoia Insurance Company Medex MPN 2212 2212 8/19/13

Seven-Up Bottling Co. of San Francisco CorVel HCO/CorVel HCO Select as CorVel MPN 0449 0449 3/3/05

Seven-Up/RC Bottling Company of So. California CorVel HCO 1184 1184 4/4/06 Seven-Up/RC Bottling Company of Southern California, Inc. Medex 0414 0414 2/24/05

Shasta-Trinity Schools Insurance Group CorVel MPN/ Shasta-Trinity Schools/LWP 0935 0935 5/19/05

Shasta-Trinity Schools Insurance Group JPA Shasta-Trinity Schools Insurance Group JPA MPN 1508 1508 2/23/09

SIGNAL I Joint Powers Authority Insurance Group Prime Advantage Medical Network 0792 0792 5/15/05

Silver Valley Unified School District PRIME Advantage Medical Provider Network 1882 1882 8/31/11

Simi Valley Unified School District WellComp Medical Provider Network 1204 1204 5/22/06

Simpson Manufacturing Company, Inc. Sedgwick CMS Extended Medical Provider Network 0064 0064 8/11/05

SKB Corporation TRISTAR MPN 0825 0825 5/3/05 Small Cities Organized Risk Effort, A California Public Entity InterPlan/Kaiser 0818 0818 6/30/05

Smart & Final, Inc. Sedgwick CMS Extended Medical Provider Network 0581 0581 3/24/05

Smurfit-Stone Container Corporation Broadspire Signature MPN 1807 1807 3/24/11

Solano Concrete Corporation CorVel HCO 1194 1194 4/10/06

Solano County Interplan/Kaiser 0636 0636 6/14/05

Solar Turbines Incorporated Solar Medical Provider Network ("SMPN") 0011 0011 2/4/05

Sompo Japan CorVel MPN 0330 0330 3/7/05 SOMPO JAPAN FIRE & MARINE INSURANCE COMPANY OF AMERICA Broadspire Signature MPN 1688 1688 8/19/10

Sompo Japan Ins. Co. of America Broadspire MPN 1306 1306 10/9/07

Sompo Japan Insurance Company of America Sompo - Crawford Primary 0495 0495 6/16/05

Sompo Japan Insurance Company of America Sompo - Crawford Select 0496 0496 6/16/05

Sompo Japan Insurance Company of America Broadspire Signature Network 1687 1687 8/19/10

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Sony Electronics Inc., San Diego 1108 1108 3/8/07

South Bay Union School District PRIME Advantage Medical Provider Network 1521 1521 3/26/09

South Orange County Community College District Prime Advantage Medical Network 0223 0223 3/1/05

Southern California Edison Company SCE Select 0020 0020 12/30/04

Southern California Permanente Medical Group Kaiser Permanente MPN 0977 0977 7/25/05 Southern California Permanente Medical Group (a partnership) Kaiser Permanente/Harbor Net MPN 1694 1694 12/29/10

Southern California Presbyterian Homes PRIME Advantage Medical Provider Network 1152 1152 5/4/06

Southern California Presbyterian Homes SCPH MPN 1704 1704 11/4/10

Southern Insurance Company Rising MPN 1396 1396 9/11/08

Southern Insurance Company Athens MPN 1703 1703 9/29/10

Southern Insurance Company CorVel MPN 1797 1797 3/10/11

Southern Insurance Company Southern Insurance Company GBMCS MPN 1825 1825 5/3/11

Southern Insurance Company Southern Insurance Company/US Administrator Claims/First Health Select 1929 1929 5/15/12

Southern Insurance Company Southern Insurance Company/US Administrator Claims/First Health Primary 1930 1930 5/15/12

Southern Insurance Company The Rising Medical Solutions MPN 2224 2224 12/20/13

Southern Insurance Company The Rising MPN 2260 2260 1/9/14

Southwest Gas Corporation TRISTAR MPN 0964 0964 9/30/05

Southwestern Community College District Prime Advantage Medical Network 0199 0199 3/2/05

SPARTA American Insurance Company MedInsights Medical Provider Network accessing Prudent Buyer PPO 1749 1749 1/12/11

SPARTA American Insurance Company SPARTA American/Gallagher Bassett/First Health MPN 1752 1752 1/12/11

SPARTA American Insurance Company SPARTA American/Gallagher Bassett/Coventry MPN 1753 1753 2/24/11

SPARTA American Insurance Company SPARTA American GBMCS MPN 1754 1754 1/12/11

SPARTA American Insurance Company CorVel MPN 1755 1755 1/12/11

SPARTA American Insurance Company Sedgwick CMS MPN 1765 1765 2/2/11

SPARTA American Insurance Company Sedgwick CMS Extended MPN 1767 1767 2/2/11

Sparta American Insurance Company Wellcomp Medical Provider Network 1786 1786 2/24/11

Sparta American Insurance Company Wellcomp Medical Provider Network 1787 1787 5/24/11

SPARTA American Insurance Company The ACM/SPARTA MPN 1813 1813 4/12/11

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SPARTA Insurance Company SPARTA Insurance Company/Gallagher Bassett/Coventry MPN 1341 1341 3/18/08

SPARTA Insurance Company SPARTA Insurance Company/Gallagher Bassett/First Health MPN 1342 1342 3/18/08

SPARTA Insurance Company Prudent Buyer HCO 1371 1371 9/19/08

Sparta Insurance Company SPARTA GBMCS MPN 1435 1435 5/7/09

Sparta Insurance Company WellComp Medical Provider Network 1488 1488 1/27/09

Sparta Insurance Company WellComp Medical Provider Network 1527 1527 5/8/09

SPARTA Insurance Company Sedgwick CMS MPN 1586 1586 2/10/10

SPARTA Insurance Company Sedgwick CMS Extended MPN 1587 1587 2/10/10

Sparta Insurance Company CorVel MPN 1599 1599 3/1/10

SPARTA Insurance Company The ACM/SPARTA MPN 1814 1814 4/12/11

Special District Risk Management Authority Interplan/Kaiser MPN 0848 0848 6/28/05

Special District Risk Management Authority WellComp Medical Provider Network 1601 1601 2/24/10

Springfield Insurance Company Unified Grocery Employers 0045 0045 1/11/05

SSA Containers, Inc. CorVel HCO 0588 0588 3/24/05

St. Paul Fire and Casualty Insurance Company St. Paul Fire and Casualty Insurance Company, Crawford Primary 1040 1040 9/28/05

St. Paul Fire and Casualty Insurance Company St. Paul Fire and Casualty Insurance Company, Crawford Select 1046 1046 9/28/05

St. Paul Fire and Marine Insurance Co. The Hartford/SRS- First Health CompAmerica SM Primary (or "First Health Primary") 0604 0604 3/29/05

St. Paul Fire and Marine Insurance Company FOCUS Astrasano HCO 0253 0253 3/17/05

St. Paul Fire and Marine Insurance Company TCT CA MPN 0254 0254 3/2/05

St. Paul Fire and Marine Insurance Company The Hartford/SRS- First Health CompAmerica SM Select HCO Network (or "First Health Select") 0601 0601 3/29/05

St. Paul Fire and Marine Insurance Company Travelers ESIS MPN 0632 0632 3/28/05

St. Paul Fire and Marine Insurance Company Broadspire MPN 0644 0644 3/29/05

St. Paul Fire and Marine Insurance Company St. Paul Fire and Marine Cambridge MPN 1028 1028 8/9/05

St. Paul Fire and Marine Insurance Company St. Paul Fire and Marine Insurance Company, Crawford Select 1045 1045 9/28/05

St. Paul Fire and Marine Insurance Company St. Paul Fire and Marine Insurance Company, Crawford Primary 1047 1047 9/28/05

St. Paul Fire and Marine Insurance Company Broadspire Signature MPN 1728 1728 12/21/10

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St. Paul Guardian Insurance Company TCT CA MPN 0256 0256 3/17/05

St. Paul Guardian Insurance Company The Hartford/SRS- First Health CompAmerica SM Select HCO Network (or "First Health Select") 0602 0602 3/29/05

St. Paul Guardian Insurance Company The Hartford/SRS- First Health CompAmerica SM Primary (or "First Health Primary") 0603 0603 3/29/05

St. Paul Guardian Insurance Company St. Paul Travelers ESIS MPN 0622 0622 3/28/05

St. Paul Guardian Insurance Company Broadspire MPN 0940 0940 7/7/05

St. Paul Guardian Insurance Company St. Paul Guardian Cambridge MPN 1030 1030 8/9/05

St. Paul Guardian Insurance Company Broadspire Signature MPN 1727 1727 12/21/10

St. Paul Medical Liability Insurance Company First Health CompAmerica Select 0258 0258 3/17/05

St. Paul Mercury Insurance Company TCT CA MPN 0255 0255 3/17/05

St. Paul Mercury Insurance Company St. Paul ESIS MPN 0624 0624 3/28/05

St. Paul Mercury Insurance Company St. Paul Mercury Insurance Company, Crawford Select 1043 1043 9/28/05

St. Paul Mercury Insurance Company St. Paul Mercury Insurance Company, Crawford Primary 1044 1044 9/28/05 St. Paul Property and Casualty Insurance Company

St. Paul Property and Casualty Insurance Company, Crawford Select 1041 1041 9/28/05

St. Paul Property and Casualty Insurance Company

St. Paul Property and Casualty Insurance Company, Crawford Primary 1042 1042 9/28/05

St. Paul Protective Insurance Company TCT CA MPN 0263 0263 3/17/05

St. Paul Protective Insurance Company St. Paul Travelers Network 0616 0616 4/8/05

Stanley Works First Health CompAmerica Select HCO Network 0347 0347 3/8/05

Star Insurance Company Star/Gallagher Bassett/Coventry MPN 0561 0561 3/24/05

Star Insurance Company Rising Interplan MPN 1538 1538 7/28/09

Star Insurance Company Star Insurance Co - Harbor-HealthSmart MPN 1848 1848 6/17/11

Star Transport L.L.C. TMC/SNP LF-LR-ST-MPN 2159 2159 5/6/13

StarNet Insurance Company Preferred Select MPN 2087 2087 1/10/13

Starr Indemnity & Liability Company STARR INDEMNITY/GBMCS 1921 1921 5/2/12

Starr Indemnity & Liability Company WellComp Medical Provider Network 2049 2049 9/14/12

Starr Indemnity & Liability Company Sedgwick/Harbor MPN 2280 2280 1/30/14

Starr Indemnity & Liability Company Sedgwick/Harbor 2 MPN 2281 2281 1/30/14

Starr Indemnity and Liability Company Broadspire Signature MPN 2178 2178 6/18/13

State Compensation Insurance Fund State Fund Medical Provider Network 0104 0104 1/20/05

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

State Compensation Insurance Fund State Fund Medical Provider Network 0612 0612 6/9/05

State National Insurance Company, Inc WellComp Medical Provider Network (SNIC/Plymouth MPN) 2133 2133 3/29/13

State National Insurance Company, Inc. SNIC/US Administrator Claims/First Health Select 1927 1927 5/31/12

State National Insurance Company, Inc. SNIC/US Administrator Claims/First Health Primary 1931 1931 5/31/12

State of California State Fund Medical Provider Network 0325 0325 8/29/05

Steadfast Insurance Company Broadspire-Concentra Standard MPN 0436 0436 3/21/05

Steadfast Insurance Company First Health CompAmerica Select HCO Network 0835 0835 5/31/05

Stockton Unified School District San Joaquin MPN 0813 0813 6/28/05

Stonington Insurance Company Stonington Insurance Company GBMCS MPN 1957 1957 5/2/12

Stonington Insurance Company Sedgwick CMS Extended MPN 2145 2145 3/29/13

Stonington Insurance Company Sedgwick/ Harbor MPN 2162 2162 5/6/13

Stonington Insurance Company Sedgwick/Harbor 2 MPN 2163 2163 5/10/13

Stonington Insurance Company CorVel MPN 2204 2204 7/15/13

Sulphur Springs Union School District PRIME Advantage Medical Provider Network 1562 1562 8/13/09

Sun Microsystems, Inc. (Sun) First Health Network 0034 0034 4/7/05

Sun Valley Group WellComp Medical Provider Network 1331 1331 12/28/07

Sunline Transit Agency TRISTAR-CompAmerica Primary HCO 0880 0880 5/3/05

Superior Ready Mix Concrete, L.P. Tristar MPN 0884 0884 5/3/05

Sutter Central Valley Hospitals 2010 2010 6/7/12

Sutter Tracy Community Hospital (STCH) Medical Partners @ Work (MPN) 0693 0693 6/6/05

T&R Painting and Drywall CorVel MPN 0957 0957 7/11/05

Target Corporation Target Medical Provider Network 0582 0582 5/11/05

Target Corporation Sedgwick CMS/Harbor Net-Target 1537 1537 6/16/09

Tarzana Treatment Centers, Inc. Tarzana/Concentra MPN 0775 0775 5/12/05

Technology Insurance Company, Inc Medex MPN 1840 1840 6/1/11

Technology Insurance Company, Inc Sedgwick CMS Medical Provider Network 2132 2132 4/18/13

Teichert Land Co. WellComp Medical Provider Network 2320 2320 7/22/14

Teichert Pipelines, Inc. WellComp Medical Provider Network 2326 2326 7/22/14

Teichert, Inc. WellComp Medical Provider Network 2321 2321 7/22/14

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

Temecula Valley Unified School District Athens MPN 2033 2033 9/25/12

Tenet Healthcare Corporation First Health CompAmerica Primary HCO Network (or "First Health Primary") 0545 0545 3/22/05

Tenet Healthcare Corporation Sedgwick/Harbor MPN - Tenet 2150 2150 4/4/13

Textron Inc. Broadspire Signature MPN 1675 1675 8/10/10

Textron, Inc. Broadspire MPN 0192 0192 6/30/05

The 99 Cents Only Stores The 99 Cents Only Stores MPN 1123 1123 2/24/06

The American Insurance Company The American Insurance Company ESIS MPN 0276 0276 2/1/05

The American Insurance Company First Health Select Network 0618 0618 2/14/05

The American Insurance Company Sedgwick CMS MPN 1428 1428 11/10/08

The American Insurance Company Sedgwick CMS Extended MPN 1429 1429 11/10/08

The American National Red Cross Sedgwick CMS MPN 1642 1642 6/1/10

The American Red Cross CA Red Cross MPN 0698 0698 4/19/05

The Cities Group The Cities Group Medical Provider Network 1070 1070 8/23/05

The Cities Group The Cities Group 1271 1271 3/21/07

The City of Redding City of Redding/CorVel MPN 1231 1231 8/29/06

The Continental Insurance Company Broadspire Signature MPN 1769 1769 2/2/11

The County of Fresno Status MPN - County of Fresno 0096 0096 3/1/05

The County of Riverside First Health Comp America Select 0025 0025 3/7/05

The Dentists Insurance Company Sedgwick CMS Extended MPN 1803 1803 3/15/11

The Explorer Insurance Company Medex MPN 0048 0048 12/3/04

The Explorer Insurance Company ICW Group Premier MPN 1981 1981 5/25/12

The First Liberty Insurance Corporation Liberty Mutual Group MPN 0087 0087 2/3/05

The Hanover American Insurance Company CorVel MPN 1820 1820 4/22/11

The Hanover Insurance Company First Health Select MPN 1588 1588 1/20/10

The Hanover Insurance Company CorVel MPN 1816 1816 4/22/11

The Harker School WellComp Medical Provider Network 1785 1785 2/24/11

The Herrick Corporation First Health CompAmerica Select HCO 0028 0028 3/24/05

The Hershey Company Sedgwick CMS CA MPN 1343 1343 1/18/08

The HON Company Interplan through CompPartners 0978 0978 7/20/05

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

The HON Company First Health CompAmerica Primary HCO Network 1378 1378 5/13/08

The Hon Company First Health CompAmerica Select HCO Network 1417 1417 10/8/08 The Insurance Company of the State of Pennsylvania AIG Primary Medical Provider Network 0118 0118 2/17/05

The Insurance Company of the State of Pennsylvania Sedgwick First Health CompAmerica Select HCO Network 0365 0365 3/28/05

The Insurance Company of the State of Pennsylvania Sedgwick First Health CompAmerica Primary HCO Network 0369 0369 3/28/05

The Insurance Company of the State of Pennsylvania ESIS INTRACORP 0395 0395 4/29/05

The Insurance Company of the State of Pennsylvania Broadspire MPN 0468 0468 4/26/05

The Insurance Company of the State of Pennsylvania Sedgwick CMS Medical Provider Network 0494 0494 3/16/05

The Insurance Company of the State of Pennsylvania Sedgwick CMS Extended Medical Provider Network 0504 0504 3/10/05

The Insurance Company of the State of Pennsylvania TCT CA MPN 0522 0522 4/12/05

The Insurance Company of the State of Pennsylvania Chartis-Cambridge MPN 0580 0580 3/24/05

The Insurance Company of the State of Pennsylvania INTRACORP-Gates McDonald MPN 0613 0613 6/2/05

The Insurance Company of the State of Pennsylvania AIG ESIS MPN 0617 0617 3/28/05

The Insurance Company of the State of Pennsylvania Ins Co of ST of PA/Longs Drug Stores/Bunch MPN 0629 0629 7/19/05

The Insurance Company of the State of Pennsylvania

The Insurance Company of the State of Pennsylvania/Gallagher Bassett/Coventry MPN 0654 0654 3/24/05

The Insurance Company of the State of Pennsylvania

The Insurance Company of the State of Pennsylvania/Gallagher Bassett/CorVel MPN 0761 0761 5/5/05

The Insurance Company of the State of Pennsylvania

The Insurance Company of the State of Pennsylvania-Crawford Primary 0853 0853 7/1/05

The Insurance Company of the State of Pennsylvania

The Insurance Company of the State of Pennsylvania, Crawford Select 0863 0863 10/5/05

The Insurance Company of the State of Pennsylvania Chartis/Northrop Grumman MPN 0869 0869 9/23/05

The Insurance Company of the State of Pennsylvania

Medinsights Medical Provider Network accessing Prudent Buyer PPO 0917 0917 5/19/05

The Insurance Company of the State of Pennsylvania

The Insurance Company of the State of Pennsylvania/Gallagher Bassett/First Health MPN 1022 1022 8/5/05

The Insurance Company of the State of Pennsylvania Medex 1298 1298 7/9/07

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The Insurance Company of the State of Pennsylvania Medex B 1318 1318 9/6/07

The Insurance Company of the State of Pennsylvania Medex MPN 1319 1319 9/6/07

The Insurance Company of the State of Pennsylvania CorVel MPN 1403 1403 8/6/08

The Insurance Company of the State of Pennsylvania

CCMSI/ AIG/ First Health Comp America Select HCO Network 1425 1425 1/7/09

The Insurance Company of the State of Pennsylvania

The Insurance Company of the State of Pennsylvania GBMCS MPN 1451 1451 5/7/09

The Insurance Company of the State of Pennsylvania Wellcomp Medical Provider Network 1492 1492 1/30/09

The Insurance Company of the State of Pennsylvania Wal-Mart-Medex MPN 1519 1519 4/1/09

The Insurance Company of the State of Pennsylvania Athens/Insurance Co. of PA MPN 1524 1524 5/6/09

The Insurance Company of the State of Pennsylvania Broadspire Signature MPN 1641 1641 5/26/10

The Insurance Company of the State of Pennsylvania AIG Select MPN 1761 1761 1/19/11

The Insurance Company of the State of Pennsylvania Liberty Mutual Group MPN 1959 1959 5/16/12

The Insurance Company of the State of Pennsylvania Sedgwick/Harbor MPN 1977 1977 5/25/12

The Insurance Company of the State of Pennsylvania Sedgwick/Harbor 2 MPN 1985 1985 5/29/12

The Kroger Co. CorVel/Kroger Select MPN 1534 1534 6/29/09

The Kroger Co. Sedgwick/Harbor MPN - Kroger 2333 2333 9/5/14

The Kroger Company CorVel MPN/Kroger 0286 0286 2/18/05

The Netherlands Insurance Company Liberty Mutual Group MPN 1556 1556 6/29/09

The North River Insurance Company Crum&Forster-Concentra MPN 0122 0122 12/20/04

The North River Insurance Company Concentra Broad Based 0993 0993 7/25/05

The North River Insurance Company Medex 1210 1210 6/12/06

The North River Insurance Company GENEX HCO/First Health Comp America HCO Select Network 1214 1214 6/22/06

The North River Insurance Company GENEX/Interplan MPN 1217 1217 6/19/06

The North River Insurance Company PRIME Advantage MPN for HealthCare 1310 1310 8/6/07

The North River Insurance Company First Health CompAmerica HCO Primary Network 1529 1529 5/12/09

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The North River Insurance Company Broadspire Signature MPN 2240 2240 11/19/13

The North River Insurance Company Crum & Forster Primary MPN 2250 2250 12/6/13

The North River Insurance Company Crum & Forster Select MPN 2253 2253 12/6/13

THE PEP Boys Manny, Moe and Jack of California TCT CA MPN 1713 1713 11/10/10

The Pictsweet Company Liberty Mutual Group MPN 1272 1272 2/5/07

The Procter & Gamble Paper Products Company Sedgwick/Harbor 2 MPN 2081 2081 11/15/12

The Procter & Gamble Paper Products Company Sedgwick/ Harbor MPN - PG 2199 2199 7/9/13

The Procter and Gamble Manufacturing Company Sedgwick/ Harbor MPN- PG 2198 2198 7/9/13 The Roman Catholic Bishop of San Diego (a sole corporation) Tristar MPN 0874 0874 5/3/05

The Salvation Army Red Shield MPN 0513 0513 5/9/05

The Standard Fire Insurance Company (FH) TCT CA MPN 0241 0241 3/2/05

The Standard Fire Insurance Company (FH) CorVel CorCare 0242 0242 3/9/05

The Travelers Indemnity Company of Connecticut TCT CA MPN 0233 0233 3/2/05

The Travelers Indemnity Company of Connecticut CorVel CorCare 0234 0234 3/9/05

The Walt Disney Company The Liberty Mutual Group MPN 0815 0815 10/21/05

Thomson, Inc. First Health CompAmerica Select HCO Network (or "First Health Select") 0544 0544 3/22/05

Thor Industries West, Inc. Thor Industries West, Inc. MPN 0699 0699 5/20/05

TIMEC Holdings Inc. Liberty Mutual Group MPN 1236 1236 9/18/06

TNUS Insurance Company Coventry MPN 1953 1953 5/2/12

TNUS Insurance Company First Health CompAmerica Select HCO 1954 1954 5/2/12

TNUS Insurance Company Primary MPN 1955 1955 5/2/12

TNUS Insurance Company Medex MPN 1966 1966 5/16/12

Tokio Marine & Nichido Fire Insurance Co Ltd Sedgwick CMS MPN 1461 1461 11/10/08

Tokio Marine & Nichido Fire Insurance Co., LTD TMNF-ESIS MPN 1781 1781 2/10/11

Tokio Marine & Nichido Fire Insurance Co., Ltd. First Health CompAmerica Select HCO Network 0170 0170 9/23/05

Tokio Marine & Nichido Fire Insurance Co., Ltd. Medex 0333 0333 2/12/05

Tokio Marine & Nichido Fire Insurance Co., Ltd. First Health Comp America Primary HCO Network 0773 0773 4/28/05

Tokio Marine & Nichido Fire Insurance Co., Ltd. Sedgwick First Health Comp America Select HCO Network 0774 0774 4/28/05

Tokio Marine & Nichido Fire Insurance Co., Ltd. Medex 1301 1301 7/9/07

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Tokio Marine & Nichido Fire Insurance Co., Ltd. Sedgwick CMS Extended MPN 1463 1463 11/10/08

Tokio Marine & Nichido Fire Insurance Co., Ltd. Coventry MPN 1948 1948 5/2/12

Tokio Marine & Nichido Fire Insurance Co., Ltd. Primary MPN 1949 1949 5/2/12

Tokio Marine America Insurance Company Coventry MPN 2269 2269 1/10/14

Tokio Marine America Insurance Company First Health CompAmerica Select HCO Network 2270 2270 1/10/14

Tokio Marine America Insurance Company Primary MPN 2271 2271 1/10/14

Tokio Marine America Insurance Company Sedgwick First Health Comp America Select HCO Network 2272 2272 1/9/14

Tokio Marine America Insurance Company Sedgwick CMS Extended MPN 2273 2273 1/10/14

Tokio Marine America Insurance Company Medex MPN 2276 2276 1/10/14

Tokio Marine America Insurance Company TMAIC_ESIS MPN 2277 2277 1/22/14

TOPA Insurance Company First Health Comp America HCO Select Network 0697 0697 5/17/05

Torrance Health Associates, Inc. PRIME Advantage Medical Network for HealthCare Medical Provider Network, accessing selected physicians Blue Cross of California Prudent Buyer PPO

1067 1067 8/12/05

Torrance Unified School District Prime Advantage Medical Network 0277 0277 3/1/05

Torus National Insurance Company Torus MPN 2288 2288 5/13/14

Tower Energy Group CorVel MPN 1384 1384 6/24/08

Tower Insurance Company of New York Rising Interplan MPN 1333 1333 12/28/07 Tower Insurance Company of New York (DBA - Tower Select Insurance Company) ACM/Tower MPN 1827 1827 5/3/11

Tower Insurance Company of New York dba Tower Select Insurance Company WellComp MPN 1393 1393 7/24/08

Tower Insurance Company of New York dba Tower Select Insurance Company Tower Care MPN 1499 1499 4/3/09

Tower Select Insurance Company Tower Group Companies MPN 1630 1630 5/20/10

Trans Pacific Insurance Company First Health CompAmerica Primary HCO Network 0771 0771 4/28/05

Trans Pacific Insurance Company First Health Comp America Select HCO Network 0772 0772 4/28/05

Trans Pacific Insurance Company Primary MPN 1950 1950 5/2/12

Trans Pacific Insurance Company Coventry MPN 1951 1951 5/2/12

Trans Pacific Insurance Company First Health CompAmerica Select HCO 1952 1952 5/2/12

Trans Pacific Insurance Company Medex MPN 1967 1967 5/16/12

Transportation Insurance Company Broadspire Signature MPN 1771 1771 2/2/11

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

Travelers Casualty & Surety Company TCT CA MPN 0239 0239 3/2/05

Travelers Casualty & Surety Company CorVel CorCare 0240 0240 3/9/05

Travelers Casualty & Surety Company of America TCT CA MPN 0247 0247 3/2/05

Travelers Casualty & Surety Company of America CorVel CorCare 0248 0248 3/9/05

Travelers Casualty Company of Connecticut TCT CA MPN 0251 0251 3/2/05

Travelers Casualty Company of Connecticut CorVel CorCare 0252 0252 3/9/05

Travelers Casualty Insurance Company of America TCT CA MPN 0243 0243 3/2/05

Travelers Casualty Insurance Company of America CorVel CorCare 0244 0244 3/9/05

Travelers Casualty Insurance Company of America WellComp Medical Provider Network - (TRV-NAU-York) 2034 2034 8/30/12

Travelers Commercial Insurance Company First Health CompAmerica Select 0249 0249 3/2/05

Travelers Commercial Insurance Company CorVel CorCare 0250 0250 3/9/05

Travelers Property Casualty Company of America TCT CA MPN 0235 0235 3/2/05

Travelers Property Casualty Company of America CorVel CorCare 0236 0236 3/9/05

Travelers Property Casualty Company of America Travelers/Bunch/Barnes Group MPN 1783 1783 2/10/11

Travelers Property Casualty Company of America Travelers Property Casualty Company of America/Gallagher Bassett/Coventry MPN 1793 1793 3/15/11

Travelers Property Casualty Company of America Travelers Property Casualty Company of America/Gallagher Bassett/First Health MPN 1794 1794 3/10/11

Travelers Property Casualty Company of America Travelers Property Casualty Company of America GBMCS MPN 1795 1795 3/10/11

Travelers Property Casualty Company of America Discover Re/TIL/ESIS MPN 1828 1828 5/3/11

Travelers Property Casualty Company of America Wellcomp Medical Provider Network 1859 1859 7/20/11

Travelers Property Casualty Company of America Sedgwick CMS Medical Provider Network 1868 1868 7/28/11

Travelers Property Casualty Company of America Sedgwick CMS Extended Medical Provider Network 1870 1870 8/4/11

Travelers Property Casualty Company of America Sedgwick/Harbor MPN-Travelers NAU UHG 1925 1925 3/20/12

Travelers Property Casualty Company of America DRe TIL Broadspire Signature MPN 1940 1940 4/20/12

Travelers Property Casualty Company of America Sedgwick/Harbor MPN-Travelers PCCA Express 2109 2109 1/15/13

Travelers Property Casualty Company of America Sedgwick/Harbor MPN 2121 2121 1/31/13

Travelers Property Casualty Company of America Sedgwick/Harbor 2 MPN 2122 2122 2/1/13

Travelers Property Casualty Company of America Coventry Medical Provider Network 2246 2246 4/18/14

Tri-city Healthcare District TRISTAR MPN 0879 0879 5/3/05

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Trinity Health Corporation First Health CompAmerica Primary HCO 0110 0110 4/13/05

Truck Insurance Exchange First Health CompAmerica Select HCO Network (First Health Select Network) 0312 0312 3/9/05

Truck Insurance Exchange First Health CompAmerica Primary HCO Network (First Health Primary Network) 0320 0320 3/9/05

Truck Insurance Exchange CorVel MPN 1595 1595 2/11/10

Truck Insurance Exchange Liberty Mutual Group MPN 1745 1745 6/16/11

Trumbull Insurance Company Trumbull Insurance Company utilizing First Health CompAmerica Primary HCO Network 2072 2072 11/15/12

Trumbull Insurance Company Trumbull Insurance Company utilizing First Health CompAmerica Select HCO Network 2073 2073 11/15/12

Trumbull Insurance Company Trumbull Insurance Company accessing Anthem Blue Cross Prudent Buyer PPO 2074 2074 11/15/12

Trumbull Insurance Company Trumbull Insurance Company GBMCS MPN 2155 2155 5/6/13

Trumbull Insurance Company Sedgwick/Harbor MPN 2218 2218 9/3/13

Trumbull Insurance Company Sedgwick/Harbor 2 MPN 2219 2219 9/3/13 Tulare County Schools Insurance Group Workers Compensation JPA Prime Advantage Medical Network 0203 0203 4/6/05

Turlock Irrigation District Turlock Irrigation District MPN 1176 1176 5/4/06

Tustin Unified School District Prime Advantage Medical Network 0713 0713 4/19/05

Twin City Fire Insurance Company First Health CompAmerica Primary HCO Network 0065 0065 1/12/05

Twin City Fire Insurance Company First Health CompAmerica Select HCO Network 0066 0066 1/12/05

Twin City Fire Insurance Company Twin City Fire Insurance Company accessing Anthem Blue Cross Prudent Buyer PPO 1135 1135 3/17/06

Twin City Fire Insurance Company Twin City Fire./Gallagher Bassett/Coventry MPN 1154 1154 3/20/06

Twin City Fire Insurance Company Frank Gates SVC Co/Hartford/Corvel MPN 1245 1245 9/29/06

Twin City Fire Insurance Company Wellcomp Medical Provider Network-York-TCFIC 1440 1440 1/20/09

Twin City Fire Insurance Company TCFIC Redwoods First Health CompAmerica 1609 1609 3/17/10

Twin City Fire Insurance Company TCFIC/ESIS MPN 1634 1634 6/20/10

Twin City Fire Insurance Company TMC TCFIC MPN 1636 1636 6/1/10

Twin City Fire Insurance Company Athens MPN - TCFIC 1647 1647 6/10/10

Twin City Fire Insurance Company TCFIC/Broadspire Signature MPN 1853 1853 7/15/11

Twin City Fire Insurance Company Sedgwick CMS Extended Medical Provider Network 1934 1934 4/18/12

Twin City Fire Insurance Company Sedgwick CMS 1936 1936 4/18/12

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Twin City Fire Insurance Company Twin City Fire GBMCS MPN 1956 1956 5/2/12

Twin City Fire Insurance Company Sedgwick/Harbor MPN 1972 1972 5/24/12

Twin City Fire Insurance Company Sedgwick/Harbor 2 MPN 1988 1988 5/29/12

U.S. Fire Insurance Company Medex 1212 1212 6/12/06

U.S. Fire Insurance Company GENEX HCO/First Health Comp America HCO Select Network 1213 1213 6/22/06

U.S. Fire Insurance Company GENEX/Interplan MPN 1216 1216 6/19/06

U.S. Fire Insurance Company PRIME Advantage MPN 1311 1311 8/6/07

U.S. Fire Insurance Company First Health CompAmerica HCO Primary Network 1528 1528 5/12/09

U.S. Fire Insurance Company Broadspire Signature Network 1772 1772 2/2/11

U.S. Foodservice, Inc. MedInsights/Prudent Buyer HCO 0660 0660 4/1/05

Ulico Casualty Company 1315 1315 9/10/07

ULLICO Casualty Company ULLICO/Gallagher Bassett/Coventry MPN 1379 1379 8/5/08

Ullico Casualty Company Patriot Risk Services-Ullico Casualty MPN 1575 1575 2/17/10

Ullico Casualty Company Athens MPN 1598 1598 1/25/10

Ullico Casualty Company Medex MPN 1922 1922 3/15/12

United Air Lines, Inc. CorVel/UAL/Kaiser MPN 0050 0050 2/2/05 United Cerebral Palsy of Los Angeles and Ventura Counties UCPLA Cambridge MPN 0801 0801 5/16/05

United Cerebral Palsy/Spastic Children's Foundation of Los Angeles and Ventura Counties Sedgwick CMS Extended Medical Provider Network 1866 1866 8/4/11

United Cerebral Palsy/Spastic Children's Foundation of Los Angeles and Ventura Counties WellComp Medical Provider Network 2242 2242 12/24/13

United Rentals (North America), Inc. Liberty Mutual Group MPN 2038 2038 8/2/12

United Rentals Inc. United Rentals ESIS MPN 1498 1498 2/26/09

United States Fidelity and Guaranty Company Discover Re ESIS MPN 0190 0190 2/2/05

United States Fidelity and Guaranty Company CorVel MPN/USF&G/ LWP 0291 0291 2/18/05

United States Fidelity and Guaranty Company Discover Re Cambridge MPN 0400 0400 2/24/05

United States Fidelity and Guaranty Company CorVel MPN 0406 0406 2/28/05

United States Fidelity and Guaranty Company Broadspire-Concentra Standard MPN 0425 0425 3/21/05

United States Fidelity and Guaranty Company Frank Gates/DRE/First Health CompAmerica Select HCO Network 0442 0442 5/11/05

United States Fidelity and Guaranty Company Sedgwick CMS Medical Provider Network 0489 0489 3/15/05

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United States Fidelity and Guaranty Company Sedgwick CMS Extended MPN 0500 0500 3/10/05

United States Fidelity and Guaranty Company United States Fidelity and Guaranty Company/Gallagher Bassett/Coventry MPN 0515 0515 4/27/05

United States Fidelity and Guaranty Company United States Fidelity and Guaranty Company/Gallagher Bassett/ First Health MPN 0537 0537 5/13/05

United States Fidelity and Guaranty Company SRS First Health CompAmerica Select HCO Network (or "SRS First Health Select") 0553 0553 3/22/05

United States Fidelity and Guaranty Company SRS First Health CompAmerica Primary HCO Network (or "SRS First Health Primary") 0554 0554 3/22/05

United States Fidelity and Guaranty Company Discover Re/USF&G/GAB-MedInsights 0594 0594 3/22/05

United States Fidelity and Guaranty company United States Fidelity and Guaranty Company-Crawford Select 0665 0665 6/16/05

United States Fidelity and Guaranty Company CorVel MPN/USF&G/Frank Gates 0809 0809 5/18/05

United States Fidelity and Guaranty Company Intracorp - Dre GatesMcDonald MPN 0829 0829 6/2/05

United States Fidelity and Guaranty Company First Health CompAmerica Primary HCO 0878 0878 5/3/05

United States Fidelity and Guaranty Company United States Fidelity and Guaranty Company - Crawford Primary 0968 0968 6/16/05

United States Fidelity and Guaranty Company The Liberty Mutual Group MPN 0988 0988 7/28/05

United States Fidelity and Guaranty Company First Health Network - DRe Matrix MPN 1082 1082 12/7/05

United States Fidelity and Guaranty Company SCRMA-WellComp Medical Provider Network 1367 1367 5/27/08

United States Fidelity and Guaranty Company Wellcomp Medical Provider Network 1386 1386 6/20/08

United States Fidelity and Guaranty Company USF & G Company GBMCS MPN 1432 1432 5/7/09

United States Fidelity and Guaranty Company Broadspire Signature Network/USF&G 1681 1681 8/18/10

United States Fidelity and Guaranty Company Sedgwick/Harbor MPN 2113 2113 2/1/13

United States Fidelity and Guaranty Company Sedgwick/Harbor 2 MPN 2114 2114 2/1/13

United States Fire Insurance Company Crum&Forster-Concentra MPN 0179 0179 1/24/05

United States Fire Insurance Company Concentra Broad Based 0994 0994 7/25/05

United States Fire Insurance Company Crum & Forster ESIS MPN 1626 1626 6/24/10

United States Fire Insurance Company LWP Signature MPN 2173 2173 5/6/13

United States Fire Insurance Company Crum & Forster Primary MPN 2251 2251 12/6/13

United States Fire Insurance Company Crum & Forster Select MPN 2252 2252 12/6/13

United Wisconsin Insurance Company United Heartland Medical Provider Network 1583 1583 1/28/10

Universal Underwriters Insurance Company First Health CompAmerica Select HCO Network 0294 0294 4/6/05

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

University of Southern California University of Southern California Medical Provider Network 0396 0396 2/24/05

University of Southern California USC/Harbor MPN 1574 1574 12/16/09

University of the Pacific UOP First health CompAmerica Select and Limited KOJ MPN 0033 0033 4/7/05

US Concrete CorVel MPN 0805 0805 5/18/05

USF&G Specialty Company TCT CA MPN 0262 0262 3/17/05

USS-POSCO Industries USS-POSCO MPN 0659 0659 5/5/05

Utility Trailer Manufacturing Company Liberty Mutual Group MPN 0753 0753 4/28/05

Val Verde Unified School District PRIME Plus Medical Provider Network 1897 1897 12/20/11

Valiant Insurance Company First Health CompAmerica Select HCO Network 0150 0150 3/8/05

Valiant Insurance Company FirstHealth CompAmerica Select HCO Network 0216 0216 4/18/05

Valiant Insurance Company Valiant Insurance Company, Crawford Select 0673 0673 7/1/05

Valiant Insurance Company First Health CompAmerica Primary HCO Network 0845 0845 8/2/05

Valiant Insurance Company Valiant Insurance Company - Crawford Primary 1001 1001 7/1/05

Valiant Insurance Company Zurich Services Corporation Prudent Buyer HCO 1147 1147 5/5/06

Valiant Insurance Company Zurich Kaiser MPN 1353 1353 6/30/08

Valley Forge Insurance Company Broadspire Signature MPN 1774 1774 2/2/11

Valley Harvesting & Packing, Inc. TRISTAR MPN 0826 0826 5/3/05

Valley Insurance Program (VIP) WellComp Medical Provider Network 1060 1060 8/4/05

ValleyCrest Companies First Health CompAmerica Select MPN 0737 0737 6/9/05

ValleyCrest Golf Course Maintenance First Health CompAmerica Select MPN 0734 0734 6/9/05

ValleyCrest Landscape Development, Inc. First Health CompAmerica Select MPN 0736 0736 6/9/05

ValleyCrest Landscape Maintenance, Inc. First Health CompAmerica Select MPN 0735 0735 6/9/05

ValleyCrest Tree Company First Health CompAmerica Select MPN 0733 0733 6/9/05

Ventura County Community College District Prime Advantage Medical Network 0225 0225 3/7/05

Ventura County Schools Self-Funding Authority WellComp Medical Provider Network 0849 0849 8/4/05

Viacom International Services, Inc. First Health Comp America HCO Select Network 0453 0453 4/21/05

VIAD CORP First Health CompAmerica Select HCO 1282 1282 3/15/07

Victor Valley Community College District Prime Advantage Medical Network 0586 0586 3/22/05

Victor Valley Union High School District PRIME Advantage Medical Provider Network 1312 1312 8/6/07

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

Victory Comp, Inc. CorVel/Victory Comp 1105 1105 1/17/06

Victory Comp, Inc. Monument MPN 1485 1485 3/17/09

Victory Comp, Inc. Monument MPN 2065 2065 10/26/12

Vigilant Insurance Company CorVel MPN 0268 0268 2/17/05

Vigilant Insurance Company CorVel/Chubb Kaiser Select MPN 1471 1471 12/24/08 Vintners and Independent Producers Self-Insurance Program Medex 1198 1198 4/25/06

Virginia Surety Company Inc. Virginia Surety Cambridge MPN 0329 0329 2/16/05

Virginia Surety Company, Inc. Rising Interplan MPN 0634 0634 3/24/05

Virginia Surety Company, Inc. CPG/VSC/Coventry MPN 1139 1139 3/16/06

Virginia Surety Company, Inc. Rising MPN 1558 1558 8/17/09

Vista Paint Corporation Vista Paint Corporation 1399 1399 9/25/08

Vista Unified School District PRIME Advantage Medical Provider Network 1740 1740 12/22/10

Vista Unified School District Prime Plus Medical Provider Network 2140 2140 3/27/13

Walt Disney Parks and Resort US, Inc. Walt Disney Parks and Resort US, Inc. MPN 1893 1893 12/13/11 Walt Disney World Co (The Disneyland Resort Division) Disneyland Resort Medical Provider Network 1287 1287 8/22/07

Washington Township Healthcare District First Health CompAmerica HCO 0600 0600 3/18/05

Watkins Manufacturing TRISTAR MPN 1074 1074 8/12/05

Wausau Business Insurance Company Liberty Mutual Group MPN 0093 0093 2/3/05

Wausau General Insurance Company Liberty Mutual Group MPN 0090 0090 2/3/05

Wausau Underwriters Insurance Company Liberty Mutual Group MPN 0092 0092 2/3/05

Wendy's International, Inc. First Health CompAmerica Primary HCO Network 1612 1612 3/26/10

Wesco Insurance Company Medex MPN 1839 1839 6/1/11

West Hills Community College District PRIME Advantage Medical Provider Network 1815 1815 5/5/11

Westchester Fire Insurance Company Westchester Fire Insurance Company - Crawford Primary 0680 0680 6/16/05

Western Digital Corporation First Health CompAmerica Select HCO Network (or "First Health Select") 0353 0353 3/7/05

Western Independent Bankers Self Insurance Group Medex 1115 1115 4/27/06

Western Oilfields Supply Company Western Oilfields Supply Company ESIS MPN 1392 1392 9/23/08

Westport Insurance Corporation Westport Insurance Corporation/Gallagher Bassett/First Health MPN 0948 0948 7/1/05

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

Westview Services, Inc. CorVel HCO 1201 1201 5/3/06

Westview Services, Inc. Broadspire MPN 1255 1255 12/11/06

Westview Services, Inc. WellComp Medical Provider Network 1690 1690 8/19/10

Whittier Area Schools Insurance Authority WellComp Medical Provider Network 0891 0891 8/4/05

Whittier Union High School District WellComp Medical Provider Network 1072 1072 9/12/05

Williamsburg National Insurance Company Williamsburg National/Gallagher Bassett/Coventry MPN 0559 0559 3/24/05

Williamsburg National Insurance Company Rising Interplan MPN 1539 1539 7/28/09

Williamsburg National Insurance Company Williamsburg Co.-Harbor-HealthSmart MPN 1842 1842 6/17/11

WinCo Holdings, Inc. Liberty Mutual Group MPN 1061 1061 8/9/05

Wiseburn Elementary School District Prime Advantage Medical Network 0227 0227 3/1/05

Wm. Bolthouse Farms Wm. Bolthouse Farms/TMC Medical Provider Network 1199 1199 6/12/06

Wm. Bolthouse Farms, Inc. Broadspire Signature MPN 1640 1640 5/26/10

XL Insurance America, Inc. CorVel MPN 2209 2209 8/1/13

XL Insurance America, Inc. Sedgwick CMS MPN 2216 2216 8/23/13

XL Insurance America, Inc. Sedgwick CMS Extended MPN 2217 2217 8/23/13

XL Insurance America, Inc. Tractor/XL Group/Bunch MPN 2221 2221 9/17/13

XL Insurance America, Inc. Medex 2302 2302 9/5/14

XL Insurance America, Inc. Sedgwick/Harbor MPN 2329 2329 9/5/14

XL Insurance America, Inc. Sedgwick/Harbor 2 MPN 2330 2330 9/5/14

XL Specialty Insurance Company MedInsights Medical Provider Network accessing Prudent Buyer HCO 0909 0909 6/1/05

XL Specialty Insurance Company Sedgwick First Health CompAmerica Primary HCONetwork 0943 0943 6/16/05

XL Specialty Insurance Company Sedgwick First Health CompAmerica Select HCO Medical Provider Network 0944 0944 6/16/05

XL Specialty Insurance Company Broadspire MPN 0953 0953 7/12/05

XL Specialty Insurance Company CorVel MPN/XL Specialty Insurance Company 0955 0955 7/11/05

XL Specialty Insurance Company XL Specialty Insurance Company/Gallagher Bassett/Coventry MPN 0974 0974 12/7/06

XL Specialty Insurance Company XL Specialty Insurance Company/Gallagher Bassett/First Health MPN 0984 0984 7/11/05

XL Specialty Insurance Company XL Insurance Cambridge MPN 1118 1118 12/9/05

XL Specialty Insurance Company Sedgwick CMS Extended Medical Provider Network 1164 1164 2/24/06

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

XL Specialty Insurance Company Sedgwick CMS Medical Provider Network 1165 1165 2/24/06

XL Specialty Insurance Company XL Specialty GBMCS MPN 1433 1433 5/7/09

XL Specialty Insurance Company CorVel MPN 1469 1469 12/2/08

XL Specialty Insurance Company Avizent/XL Specialty Insurance Co. MPN 1550 1550 9/17/09

XL Specialty Insurance Company First Health CompAmerica Select Network 1571 1571 10/8/09

XL Specialty Insurance Company WellComp Medical Provider Network 1617 1617 4/28/10

XL Specialty Insurance Company XL/ACS/GENEX 1668 1668 9/29/10

XL Specialty Insurance Company Broadspire Signature Network MPN 1679 1679 8/18/10

XL Specialty Insurance Company CCMSI/XL Specialty Insurance Company/First Health Comp American Select HCO Network 1756 1756 1/12/11

XL Specialty Insurance Company XL Specialty ESIS MPN 1804 1804 1/19/12

XL Specialty Insurance Company Roth Staffing Companies MPN 1914 1914 3/27/12

XL Specialty Insurance Company Sedgwick/Harbor MPN 1974 1974 5/24/12

XL Specialty Insurance Company Sedgwick/Harbor 2 MPN 2012 2012 6/1/12

XL Specialty Insurance Company 2013 2013 6/7/12

XL Specialty Insurance Company Carl Warren and Company Medical Provider Network 2089 2089 12/7/12

Yellow Cab Cooperative WellComp Medical Provider Network 1219 1219 6/19/06

Yellow Transportation, Inc. CorVel MPN 1107 1107 12/29/05

Yellow Transportation, Inc. First Health CompAmerica Select MPN 1413 1413 8/26/08

Yellow Transportation, Inc. Yellow Transportation GBMCS MPN 2192 2192 7/19/13

YMCA of Metropolitan Los Angeles YMCA MPN 0599 0599 4/27/05

YMCA of San Diego County TRISTAR CompAmerica Primary HCO 0477 0477 3/18/05 Yolo County Public Agency Risk Management Insurance Authority YCPARMIA MPN 1085 1085 9/21/05

Young Men's Christian Association of Metropolitan Los Angeles YMCA ESIS MPN 1540 1540 5/19/09

Youngs Market Company LLC Coventry MPN 0484 0484 3/16/05

Zacky & Sons Poultry, LLC Zacky Farms Custom CorVel MPN 1750 1750 1/12/11

Zenith Insurance Company Zenith Medical Provider Network (ZMPN) 0024 0024 12/30/04

ZNAT Insurance Company Zenith Medical Provider Network 0373 0373 1/6/05

Zurich American Insurance Company First Health Comp America Select HCO 0124 0124 3/17/05

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

Zurich American Insurance Company Zurich ESIS MPN 0138 0138 4/18/05

Zurich American Insurance Company First Health CompAmerica Select HCO Network 0140 0140 3/8/05

Zurich American Insurance Company TCT CA MPN 0174 0174 3/8/05

Zurich American Insurance Company FirstHealth CompAmerica Select HCO Network 0208 0208 4/18/05

Zurich American Insurance Company CorVel MPN 0301 0301 3/14/05

Zurich American Insurance Company Zurich Cambridge MPN 0308 0308 2/16/05

Zurich American Insurance Company FARA-CVTY 0342 0342 4/21/05

Zurich American Insurance Company Sedgwick First Health Comp America Primary HCO Network 0355 0355 3/7/05

Zurich American Insurance Company Sedgwick First Health CompAmerica Select HCO Network 0357 0357 3/7/05

Zurich American Insurance Company Broadspire-Concentra Standard MPN 0377 0377 4/26/05

Zurich American Insurance Company Sedgwick CMS Extended Medical Provider Network 0485 0485 5/23/05

Zurich American Insurance Company Sedgwick CMS Medical Provider Network 0490 0490 5/7/05

Zurich American Insurance Company Broadspire-First Health CompAmerica Select HCO MPN 0531 0531 3/24/05

Zurich American Insurance Company MedInsights Medical Provider Network, MPN accessing Prudent Buyer HCO 0557 0557 3/22/05

Zurich American Insurance Company Zurich/Ward North America Prudent Buyer Medical Provider Network, accessing Prudent Buyer HCO 0645 0645 3/29/05

Zurich American Insurance Company Zurich American/Gallagher Bassett/Coventry MPN 0648 0648 3/24/05

Zurich American Insurance Company Zurich American Insurance Company, Crawford Select 0667 0667 7/1/05

Zurich American Insurance Company First Health Comp America HCO Select Network 0765 0765 5/5/05

Zurich American Insurance Company TRISTAR MPN 0833 0833 5/3/05

Zurich American Insurance Company First Health CompAmerica Select HCO Network 0834 0834 5/31/05

Zurich American Insurance Company First Health CompAmerica Primary HCO Network 0846 0846 8/2/05

Zurich American Insurance Company Zurich American Insurance Company - Crawford Primary 1006 1006 7/1/05

Zurich American Insurance Company Mezzo Forte Medical Provider Network 1055 1055 8/5/05

Zurich American Insurance Company Intracorp-Gates McDonald MPN 1071 1071 9/26/05

Zurich American Insurance Company Zurich Services Corporation Prudent Buyer 1140 1140 5/5/06

Zurich American Insurance Company First Health/Tribune Company MPN 1241 1241 9/25/06

Zurich American Insurance Company Zurich American/Gallagher Bassett/First Health MPN 1270 1270 1/31/07

Zurich American Insurance Company Zurich Kaiser MPN 1347 1347 7/9/08

Zurich American Insurance Company First Health CompAmerica Primary Network 1362 1362 5/13/08

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DWC Assignment of Unique Medical Provider Network Identification Numbers (Sorted by Name of MPN Applicant)

Zurich American Insurance Company CCMSI/Zurich/First Health Comp America Network 1391 1391 8/19/08

Zurich American Insurance Company Zurich/Harrah's Bunch CA MPN 1395 1395 7/1/08

Zurich American Insurance Company Medex 1497 1497 2/25/09

Zurich American Insurance Company Roth Staffing Companies MPN 1526 1526 5/8/09

Zurich American Insurance Company Zurich GBMCS MPN 1530 1530 5/8/09

Zurich American Insurance Company 1533 1533 4/30/09

Zurich American Insurance Company Intracorp 1541 1541 7/28/09

Zurich American Insurance Company Broadspire Signature Network MPN 1686 1686 8/18/10

Zurich American Insurance Company Medex 1693 1693 8/19/10

Zurich American Insurance Company Zurich GBMCS KOJ MPN 1748 1748 1/12/11

Zurich American Insurance Company ACM/American Zurich MPN 1822 1822 5/3/11

Zurich American Insurance Company Sedgwick CMS / Harbor MPN - Zurich SUMC 1883 1883 9/7/11

Zurich American Insurance Company Patriot Risk Services 1947 1947 5/2/12

Zurich American Insurance Company WellComp Medical Provider Network 2048 2048 9/14/12

Zurich American Insurance Company Sedgwick/Harbor MPN 2099 2099 12/27/12

Zurich American Insurance Company Sedgwick/Harbor 2 MPN 2100 2100 12/27/12

Zurich American Insurance Company of Illinois Zurich ESIS MPN 0136 0136 4/18/05

Zurich American Insurance Company of Illinois First Health CompAmerica Select HCO Network 0148 0148 3/8/05

Zurich American Insurance Company of Illinois FirstHealth CompAmerica Select HCO Network 0209 0209 4/18/05

Zurich American Insurance Company of Illinois Broadspire-Concentra Standard MPN 0437 0437 3/21/05

Zurich American Insurance Company of Illinois Zurich American Insurance Company of IL, Crawford Select 0671 0671 7/1/05

Zurich American Insurance Company of Illinois First Health Comp America Primary HCO Network 0847 0847 8/11/05

Zurich American Insurance Company of Illinois Zurich American Insurance Company of IL - Crawford Primary 0999 0999 7/1/05

Zurich American Insurance Company of Illinois Zurich Services Corporation Prudent Buyer 1148 1148 5/5/06

Zurich American Insurance Company of Illinois Zurich Kaiser MPN 1349 1349 6/30/08

Zurich American Insurance Company of Illinois Broadspire Signature Network MPN 1692 1692 8/18/10

Zurich American Insurance Company of Illinois ACM/Zurich American of Illinois MPN 1823 1823 5/3/11

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