September 2012

Health Plan List and Fee Schedule

HEALTHCARE NETWORKS OF AMERICA

PO BOX 71717

PHOENIX, AZ 85050 877.311.3338

www.hna-net.com

September 2012

HEALTHCARE NETWORKS OF AMERICA

How to Use the HNA Network: The Health Plan List: This booklet contains a current Health Plan List and Fee Schedule for payers that Healthcare Networks of America (HNA) contracts with on behalf of its members. Changes in payer contracts are mailed out annually with membership renewals. Within this document the patient contract is listed within the grey bar with the Fee Schedule indicated directly under each contract heading. Specialties, coverage, states applicable, reimbursement, claims submission and patient identification are also listed. The payers the contract represents are then listed for a complete plan overview. Regarding the HNA Network: HNA is not an insurance company, we are a provider network. The Health Plan List and Fee Schedule contain the current list of payers. HNA contracts its network of doctors directly with the PPO’s named in the grey bars. You will notice that there are thousands of payers, including insurance companies, self-funded employers, unions, and TPAs within each PPO contract. You will be listed in the Preferred Provider Directory with each of these 4600+ payers upon completion of the credentialing process. Regarding future contracts: HNA continues to research and find new patient contracts, both nationally and locally for our members, and negotiates the highest possible rate of reimbursement available. Once a new contract is secured:

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

2. HNA does monthly electronic updates to the payers and to information up-to-date on our providers. 3. Changes that are made to the payer contracts are also passed on to the participating providers as they become

available. Regarding patient identification: Patients sent to you from HNA client payers are not identified as “HNA” patients on the patient ID card. Unless otherwise noted, the patient ID card will identify the insurance carrier or PPO (this could be the PPO listed in the grey bar or any of the thousands of payers they service) to which HNA has contracted and listed you as a preferred provider. The following list provides you with the names of payers through HNA’s contracting efforts. You may opt out by submitting in writing any contract(s) you do NOT wish to participate in. If you are already listed with one of the contracts or payers, that agreement will supersede your HNA contract. Regarding Claims Submission: All claims must be forwarded to the payer and address indicated on the patient ID card.

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

PO BOX 71717, PHOENIX, ARIZONA 85050

VOICE 877.315.3338 FAX 602.485.3100 WWW.HNA-NET.COM

September 2012

Health Plan List and Fee Schedule

Integrated Health Plan – PPO

Fee Schedule: 70% of providers billed charges Specialties: All Specialties Covered Lives: 12.5 Million States Applicable: All States Reimbursement: Fee for service Claims Submission: Submit claim to address on back of patient ID card Patient Identification: Verify client/payer participation on IHP website by visiting www.ihplan.com Payer Clients: The following is a partial listing, for the complete list please register at ihplan.com Acordia AIG American Airlines American Medical Security Anthem BCBS Arthur Andersen AT&T Bank of America Bausch & Lomb Inc Baxter International BC/BS BMW of North America Boeing Company Bose Corporation Bristol Myers C.N.A. Capital One Financial Charter Communications CIGNA Cingular Wireless Coca Cola Enterprises COMPUSA INC Concentra/Manages Care Coventry Health Care, Inc. Delta Airlines Dept of Defense Dow Chemical Eli Lilly Employee Benefit Management Corp Ernst & Young Federal Express Corporation Federated Mutual Insurance Fireman’s Fund FISERV INC Ford Motor Co Fortis Insurance Freedom Insurance General Electric General Motors Corp GLAXOSMITHKLINE Golden Rule Insurance Great American Insurance Group Great West Casualty Co

Greenwich Insurance Group & Pension Administrators, Inc. GTE/Verizon Health Plan Administrators Hewlett Packard Home Depot Honeywell International, Inc. Humana Insurance Design Administrators Johnson & Johnson Kemper Insurance Kinko’s Kmart Corporation Les Schwab Employee Benefits Trust Levi Strauss & Co Lexington insurance Life Investors Ins Co Lockard & Williams Insurance Services Lockheed Martin Lowes Major League Baseball/Players Welfare Plan Maxicare Health Plan Medical Benefits Administrators Mega Life and Health Insurance Co Meridian Health Care Midwestern Insurance Alliance Monsanto Montgomery Insurance Co Monumental Life Morningstar Inc Mutual of America National Health Ins Co Nationwide Nestle USA Inc. New Era Life Insurance Co Nextel Communications Norgaurd Insurance Co North America Administrators Northern Trust Corp. Office Depot

Old Republic Insurance Oxford Health Plan Pacificare Health Penn Western Benefits Pepsico Pfizer Pharmacia & Upjohn Philadelphia Insurance Principal Financial Group Procter & Gamble Professional Benefit Administrators Prudential Insurance Co of America Qwest Communications International Randstad Ritz-Carlton Hotel Company LLC Sallie Mae Inc Sam’s Club – Wal-mart Stores SBC Communications Inc Scott & White Health Plan Self-Insurance Administrators Shell Oil Company Special Insurance Services Sun Healthcare Group Target Corp Teco-Westinghouse Tennessee Insurance Guaranty Texas Mutual Insurance Company The J.P. Farley Corporation Tommy Hilfiger USA Total Plan Services Trump Organization Tyco International Ltd Tyson Food U.S. Oil Company Inc. Underwriter Safety & Claims Unicare (Wellpoint) United American Insurance United States Army US Airways US Benefits Corp US Health Care Association

September 2012

US Postal Service USAA Vanliner Insurance Wachovia Corp Wausau Benefits, Inc.

Wellpoint Inc. Western Benefits World Insurance Company Xerox Corp Zenith Insurance Company

Three Rivers Provider Network (TRPN) - PPO

Fee Schedule: 15% discount off providers’ usual charge for covered service’s less any applicable co-payments, co-insurance, or deductible’s. Patients enrolled: 12.5 Million States applicable: All States Specialties applicable: All specialties Reimbursement: Fee for Service. Service’s less any applicable co-payments, co-insurance, or deductible’s. Claims Submission: Submit claim to address on back of patient ID card Patient Identification: Three Rivers Provider Network (TRPN) will appear on patient ID card. Payer Clients: (AAA) American Automobile Assoc. 3hab Medical Management 4most 7-Eleven, Inc. A & I Benefit Plan Administrator A.E.B.S.,Co. A1 International Foods Aaon Inc. ABPA Academic Risk Access General Insurance Acordia ACS Benefit Services, Inc. ACS Compiq Actor's Guild Administrative Concepts Inc. Administrators West Adminone Corporation Advanced Insurance Administrators Advantek Benefit Administrators Aegis Administrators Aetna AFS Insurance Services, Inc. AG Administrators AIG Hawaii Insurance Company, Inc AIG Insurance Co AIM Healthcare Services, Inc. Airborne Freight Corporation Alaska Airlines Alaska Electrical H&W Alaska Forest Association Alaska Pipe Trades Ual 375 Alaska Teamsters Alaska Ufcw H&W Trust Albertsons, Inc. Alliance International Assistance Alliant Health Plans

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

American Professional Risk Services American Republic Insurance Company American Solutions Group American States Insurance Company American States Insurance Company of Texas American States Lloyds Insurance Company American States Preferred Insurance Company American Tire Distributors, Inc. American Trust Administrators American Underwriters Americomp Amerihealth Administrators Anchor Benefit Consulting Antares Management Solutions APA Partners Inc. Applebee's International, Inc. Argo Insurance Argo Select Argonaut Insurance Arizona Foundation For Medical Care Artisan Claims Asert Benefit Services Asmed Health Partners ASR Admin Systems Wp ASR Corporation Associated Administrators, Inc Associated Plan Administrators Association Insurance Trust Assurant / Fortis Assured Assistance AT&T Wireless Services, Inc. Atlanticare Administrators Atlas Administrators, Inc.

September 2012

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

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

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

September 2012

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

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

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

September 2012

Managed Health Funding Insurance Administrators Marsh Advantage Mca Administrators McDonald's Corporation McGraw-Hill, Inc. Med Claim Partners, Llc Medata Medaudit Services Inc. Medical Claims Resources Medical Claims Review Services Medical Consultants Network Medical Cost Management Medical Savings Insurance Company Medicor Managed Care Medipac International Melane Company Memorial Integrated Healthcare Mennonite Mutual Aid Merchants & Business Men's Mutual Insurance Company (now known as Liberty Mutual Mid-Atlantic Insurance Company) Mercy Care Insurance Meridican Resource Company Met Life Metropolitan Life MGIS Michaels Stores, Inc. Mid-American Fire & Casualty Company Midest Security Administrators Miller Brewing Company Mitchell International MMOH MMSI Mokan Sheet Metal Workers Molson Coors Brewing Co Monterey Bay Clothing Company Montgomery Management Montgomery Mutual Insurance Company Morgan & Franz Morgan White International Administrators Morris Associates Mountain States Administrators Mountain States Insurance Company Multiplan, Inc. Mutual Assurance Administration Mutual Medical Plans, Inc. Mutual Of Omaha Myerson Stevenson Toohey Nabisco Group Holdings Corp. NALC Health Benefit Plan National Benefit Administrators

National Care Network National Comp Care National Comp Care ( Tyson ) National Roofing Company, Inc National Rural Electric Cooperative Assoc. National Telecommunications Coop. Association Nationwide Insurance Nationwide Mutual Insurance Company NCAS Nebraska Farm Bureau Nestle New England Financial New England Health Plans New Era Life Insurance Co NGS American, Inc. NHBC NNSI Noitu Insurance Trust Fund Norfolk & Dedham North American Administrators North Pacific Insurance Company Nova Health Systems NYSUT ODS Office Depot, Inc. Ohio Carpenters Ohio Casualty of New Jersey, Inc. Ohio Health Choice Ohio Mutual Insurance Company Ohio Security Insurance Company Olympus Managed Health Care One Beacon Insurance Operating Engineers Health & Welfare Trust Oregon Automobile Insurance Company Oroweat Baking Co Oshkosh Truck Corporation Outback Steakhouse Outsourced One Oxford Health Plans P5 Health Services PACBLU Pacific Coast Claims Consultants Pacific Foundation Pacificare Health Systems, Inc. Pacifice Heritage Administrators Pacmed Painters District Council #2 Palm Harbor Homes, Inc. Paradigm Management Services Paramount Healthcare Inc PCM, Inc. Peerless Indemnity Insurance Company (formerly Atlas Assurance Company of America)

Peerless Insurance Company Pekin Life Insurance Company Penn Western Benefits Pepsi-Cola Company Pequot Healthcare Perkins Restaurant & Bakery Permanent General Insurance Co. Perrier Group Personnel Staffing Petco Animal Supplies, Inc. Petsmart, Inc Phelps Dodge Philip Morris Usa Physician Benefit Trust Physicians Mutual Insurance Company Pier 1 Imports Pioneer Administrators Pizza Hut, Inc. Planned Administrators Plumbers & Pipefitters, Nv Plumbers Pipefitters Of Nv Plymouth Rock Assurance Corp PMCS Pomco Prairie States Tpa Preferred Care Preferred Medical Claims Solutions Preffed Medical Management Solutions Premier Comp Solutions Principal Financial Group Prison Health Services Pro-Claim Plus Producer's Guild Professional Benefit Administration Professional Benefit Services Professional Claims Administration Protection One Provider Benefit Plans Puma Corporation & Subsidiaries Pupil Benefits Plan, Inc. Qualcare Quality Health Management, LLC Quest Medical Claims Regional Care, Inc Resolved Healthcare Retirees Welfare Trust Reunion Industries Review Works Rising Medical Solutions Risk Administration Resources Rj Reynolds Domestic Tobacco Rockford Mutual Insurance Company

September 2012

Royalty Carpet Mills, Inc. Rubbermaid Incorporated Rural Health Plans Initiative Safeco Safeco Insurance Company of America Safeco Insurance Company of Illinois Safeco Insurance Company of Indiana Safeco Insurance Company of Oregon Safeco Lloyds Insurance Company Safeco National Insurance Company Safeco Surplus Lines Insurance Company Safety Insurance SAIF Salt River Indian Community San Diego Insurance Company Sara Lee Corporation Scot Industries Scott & White Healthplans Scottsdale Insurance Company Screen Actors Guild Sears Merchandise Group Secure Health Plans Of Ga Secureone Securitas Security Service Inc Security Administrative Services Security Health Plan Of W.I. Sedgwick Claims Management See's Candies, Inc. Select Benefit Administrators, Inc. Selective Insurance Group, Inc Self Insured Services Co Seminole Tribe Of Florida Sentry Insurance Servicemaster Sharp Health Plan Shorman Solutions Sierra Health & Life Insurance Company Significa Benefit Services Fka Erin Group Administrators SIHO Insurance Services SISCO Skilstaf, Inc. Smc, Inc. So. Ca. Risk Management Associates Spooner Incorporated Sonoco Products Co Sonoma Tilemakers Inc. Source One Computer Corporation Southern California Pipe Traders

Southern California Risk Management Association Southern National Life Insurance Specialty & Paper Products Health And Welfare Spectrum Administrators Spooner Incorporated Stanislaus Foundation Stanley Steemer Starbucks State Farm State Of Louisiana Ogb State-Wide Insurance Company Stowe Associates Student Insurance Student Plans, Inc. Summit Administrators Services Summit Insurance Company Sun Chemical Corporation Sun-Maid Growers Of California Sunmed T.R. Paul Group Services Tandem Care, Llc Tbg Administrative Services Tc3 Health Teamster Construction Industry Teamsters Local 14 Teamsters Local 631 Sec Fund Teamsters Local 995 Texas Farm Bureau Texas Industries, Inc. Texas True Choice The Alliance The Claims Trust The Comptech Group The Epoch Group The Guardian The Hartford The Hartford Group The Henry J. Kaiser Family The Midwestern Indemnity Company The National Corporation as Attorney-in-Fact for National Insurance Association (underwriting co. in Go America group) The Netherlands Insurance Company The Ohio Casualty Insurance Company The Pillsbury Co. The Reny Company THIPA Titan Propane TLC First Administration TMLIntergov Employee Benefits Tomgass Timber Trust

Tongass Timber Trust- Alaska Forest Association Total Managed Care Toyota TPA Of Georgia TQ Consultants Trans World Airlines Inc. Travelers Insurance Travtens Insurance Group Trissel Graham & Toole Tristar Risk Management Tru Services, Inc. True Course Medical Data Analysis And Claims Services Trusteed Plans Service Corporation Tyson Foods U.S. Benefits UICI Administrators Ulico Insurance Ultramar Corp Underwriters Safety & Claims Unicare Unified Group Services, Inc. United Artists Theatre Circuit United Benefits United Claims Solutions, Llc United Healthcare/Multiplan, Inc. Unitrin Auto And Home Unity Health Insurance Universal Underwriters Insurance Upstate Administrative Services US Foods USAA US air, Inc. Valero, Inc. Valunet, Llc Vanguard Services, Inc. Vermont Managed Care Vermont Mutual Viant Vision Quest Vista America Vista Health Plans Volvo Cars Washington Employers Trust Washington Idaho Carpenters Washington Mutual Washington Teamsters Wausau WEA Trust Wellcomp Wells Fargo Alarm Services West American Insurance Company Western Benefits Western Mutual Insurance Western Teamsters Trust Westport Benefits

September 2012

Westport Shipyard, Inc. Weyco, Inc. Work comp Bill Review Services Work comp MC/Health Choice Of North West Missouri

Worldwide Management Care Partners WPS, Inc. Writer's Guild Xerox Corp York Claims

York Insurance Services Group, Inc. Zeneks Zenith Administrators Zenith Insurance Company

Three Rivers Provider Network (TRPN) - Auto Injury

Fee Schedule: 15% discount off providers’ usual charge for covered service’s less any applicable co-payments, co-insurance, or deductibles. Where a state mandated fee schedule exists, provider agrees to accept a 10% discount below the state schedule. States applicable: All States Specialties applicable: All specialties Reimbursement: Fee for Service Claims Submission: Submit claim to address on patient form Patient Identification: Contact carrier / see incident report Payer Clients:

AAA Minnesota Iowa AIG Insurance co Auto Injury Solutions Avis Budget Group, LLC Broadspire Buckeye Insurance Group Cambridge Integrated Services Chubb Insurance Co COMPIQ Crawford and Co. Dollar General E S I S Fair Isaac

FCCI Insurance Group Gallagher Bassett Geico Corp Genex Ingenix Intracorp Key Risk Management Liberty Mutual Ins Co Met Life Ohio Mutual Ins Co

Reviewworks Safeco Sedgwick CMS Selective Ins Co State Farm The Hartford Travelers Insurance Tristar Risk Management Unitrin Auto and Home USAA Work Comp Bill Review Service Zenith Insurance Co.

Three Rivers Provider Network (TRPN) – Workers Compensation

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

States applicable: All States Specialties applicable: All specialties Reimbursement: Fee for Service Claims Submission: Submit claim to address on patient form Patient Identification: Contact employer / see incident report Payer Clients:

AAA Minnesota Iowa AIG Insurance Co Auto Injury Solutions Avis Budget Group, LLC Broadspire Buckeye Insurance Group Cambridge Integrated Services Chubb Insurance Co COMPIQ Crawford and Co Dollar General

E S I S Fair Isaac FCCI Insurance Group Gallagher Bassett Geico Corp Genex Ingenix Intracorp Key Risk Management Liberty Mutual Insurance Co Met Life

Ohio Mutual Insurance Co Reviewworks Safeco Sedgwick CMS Selective Insurance Co. State Farm The Hartford Travelers Insurance Tristar Risk Management Unitrin Auto and Home USAA

September 2012

Work Comp Bill Review Service Zenith Insurance Company

National Preferred Provider Network (NPPN) Fee schedule: 80% of billed charges. Patients enrolled: 2 Million+ nationwide States applicable: All states Specialties applicable: Reimbursement: Fee for service

All specialties

Claims submission: Submit claims to the address on the card sleeve. Patient identification: Payer name indicated on the member ID card. Payer clients: The following list of Payer clients are NPPN Medical Payers 4Most Health Network A & S Financial Advanced Correctional Healthcare-MC AEBS AG Administrators Alaska Forest Association Alicare NY Allegiance Benefit Plan Mngmnt, Inc AmeriBen Solutions American Benefits Association American Republic Ins Co Anchor Benefit Consulting Anthem/Kroger Atlanticare Administrators Aultcare Aultra Administrative Group Automated Benefit Service Auxiant WI AWAC AZ Foundation for Med Care BAC Benefit Management, Inc. KS Benefit Management, Inc MO Benefit Plan Administrators WI Benefit Services, Inc Benefit Systems & Services, Inc Blue Cross of Atlantic Canada Bridgestone Americas, Inc Bristol Park Medical Brokerage Concepts Canassistance Capitol Administrators CBCA Minneapolis CBCA Savannah CCA CFMC Charter/Polaris Cigna East CMN, Inc CNIC Health Solutions Combined Life Ins, Co Commercial Travelers Ins

Commonwealth Administrators, LLC Complete Claim Solutions, Inc Corporate Benefits Services Dean Health Plan, Inc EBMS Employee Benefit Consults – Albuquerque Employee Benefit Consults – Appleton Employee Benefit Consults – Cleveland Employee Benefit Consults – Findlay Employee Benefit Consults – Louisville Employee Benefit Consults – Milwaukee Employee Security, Inc. Employers Resource Group, Inc Enterprise Group Planning FBMC First Administrators First Service Administrators, Inc Firstier Administrators FMH Benefit Services Foundation for Medical Care Foundation for Merced County GBSI-MO Geisinger Health Plan Gilsbar GLHP Global Health Claims Services, Inc Global Medical Management GlobalCare Great West Healthcare Group Administrators, LTD Group Health Cooperative Group Ins. Service Center Harrington Health (IL) Health Alliance Health Claims Service Health Cost Solutions Health Design Plus, Inc Health Finest Network Health Future Health Net CA Health Net Federal Services Health Net Northeast Health Net VA

Health New England Health Special Risk, Inc HealthCare Partners Medical Group Healthcare Solutions HealthSCOPE Benefits Inc. HFN HMA, Inc HRGI Humana Inter-America’s Insurance Corp Interplan Health Group IUOE Local 132 H&W&P Funds John Muir Physician Network Kaiser Foundation Health Plan of Ohio Kaiser Hawaii Kaiser Mid-Atlantic Kaiser Permanente Atlanta Kaiser Permanente Colorado Kaiser Permanente Portland Key Partners MS Administrative Services, Inc Magellan Health Services Maksin Management Corp. Managed Care Administrators Medical Mutual of OH Mercy Care Insurance Company Meridian Resource Company Meritain Health Plans Meritain Health – Okemos MI. MMSI Morris Multiplan Mutual Assurance Admin NALC 2 Nesika Health Group Network Health Plan New England Financial New Underwood School Nexstar NEXT GENERATIONS FILMS NGS American North America Admin

September 2012

NRECA Ogden Benefits Administration Paramount Health Plans, Inc Pekin Life Insurance Penn Western Benefits, Inc Pupil Benefits Plan, Inc Q3 Business Technologies QCA Health Plan Quality Health Management, LLC Reunion Industries, Inc RMSCOk, Inc Ross Stores, Inc. (Aetna) Rural Health Plans Initiative Santa Monica Bay Phys Health Svcs. Security Health Plan Self Insured Services Co

Skilstaf, Inc Spectrum Administrators, Inc St. Joseph Heritage A Healthcare St. Mary’s Health Plans SunMed TC3 The Alliance The Epoch Group-MO The GEM Group The Loomis Company THIPA Total Claim Solutions TR Paul Group Services UHC/NRLC UMR (AZ) UMR (OK)

UMR – Harrington-Bothel UMR Wausau UMR-Harrington-Dayton UMR-TX UMR-United Medical Resources, Inc Unity Health Insurance Vista Health Plan WEB TPA Wells Fargo TPS, Inc Western & Southern Life World Insurance Worldwide Managed Care Partners WPS Admin..

CONTRACT ANALYSIS SYSTEMS/VIIAD – PPO

Fee schedule: 20% discount off providers billed charges for covered services less applicable co-payments, co-insurance or deductibles. Patients enrolled: 30,000 States applicable: All states Specialties applicable: Reimbursement: Fee for Service

All specialties

Claims submission: Submit claim to address on back of patient ID card Patient identification: HNA logo will be identified on all ID Cards Payer clients:

HNA/Triveris Companion Technologies

ABC Health Value National Discount Medical Card

GALAXY / MANAGED CARE INCORP. (MCI)

Fee schedule: 30% discount off billed charges. Patients enrolled: 4.5 Million+ nationwide States applicable: All states Specialties applicable: Reimbursement: Fee for service

All specialties

Claims submission: Member ID will indicate. Patient identification: Galaxy Health Network will appear on the patient’s card or card sleeve. Payer clients: The following list of Payer clients are Galaxy/MCI Medical Payers

2 Land, LLC 2187 United Teamsters Fund 2190 Local 840 A & G Financial Consultants Aaron’s Service Company ABC Iowa Trust & AG Processing, Inc. Able Telecon Holding Accutax ACE USA ACMG ACS Consulting Services, Inc. Activation, Inc.

Acurite – OOA Travel Adams Northlake Pharmacy Administrative Benefit Services Administrative Claim Services Administrative Consultants, Inc Administrative Support, Inc. Administrators & Consultants Adminone Corporation Advanced Industrial Assistance AFC Group Affiliated Benefits Organization Affiliated Foot Center

Affinity Group Underwriters AHGL Ahrens Financial Systems, Inc AIG International Services AIG Worldsource AIM Administrators Aim Benefit Services Aladdin Carpets and Interiors, Inc Aladdin Industries ALATEC Alexander International All Risk Administrators, Inc

September 2012

All Staffing Employee Healthcare Plan Allen Medical Allen University Allen’s Alliance International Assistance Allied Benefit Administrators Allied Services Workers Union No. 1 Alpine Moving of Texas Ameraplan American Administrative Group American Appliance Outlet American Benefit Management American Cometra, Inc American Freightways, Inc. American General American Health Care Alliance American Health Care Partnership American HealthCare Partnership–

ProTrans American Heritage American Home Assurance American Ice Machines, Inc American Insurance Company American Insurance Company of Texas American National Carbide American National Insurance Company American National Life Insurance Co American National Standard Automation American Pawn and Jewelry American Pioneer Insurance Company American Printing American Residential American Sigma – OOA Travel American States Insurance American Union Life Insurance Co. American Western Life Americorp Ameripac, Inc. AMFED Employee Benefit Plan Trust AMTI/ACF 10145 Anchor Benefit Consulting, Inc Anderson Lithograph, Inc Anesthesia Associates Anthem Health & Life Ins Co Anthony Armstrong Agency Apa Partner/Kamtech Apache County Apartment Hunters Apex Home Healthcare APW Union Health Plan Argus, Inc. Aristacom International, Inc. Arizona Health Dimensions Arrow Metals ASC International, Inc. ASO North America Associated Plan Administrators Assurance Resources, Inc Atlas Life Insurance Company

ATS & Midwestern Aubrey Auto Sales Aurora Dairy Corporation Aurora National Gas Automated Benefit Services Automated Group Administrators Automotive Fuels Company Automotive Parts AX5 B & B Gravel B B L – Pomco BABB, Inc. Bakakel Communication Bankers and Merchants State Bank Bankers Life and Casualty Company Bankers Security Life Insurance Company Barney Holland Oil Company Barrier Resources Bartush – Schnitzuis Company Basic Benefits, Inc. Basland, Bouch and Lee Associates Bass Engineering Company Batteries Plus Baxter and Sons Elevator Company Baylor Trucking – 178 Bayside Manor Beacon Risk Strategies Bearcom Operating L. P. Bearder Furniture Company Beckwith-Hightower and Renberg Ins Beefers Systems, Inc Belmont-OOA Travel Benborrk Family Practice Bencor Corporation Benefit Administrators Systems, Inc Benefit Claims Payers Benefit Concepts Human Resrce Mgnt Benefit Design Administrators Benefit Group Benefit Life and Casualty Corporation Benefit Life Insurance Company Benefit Management Corporation Benefit Negotiators, Inc Benefit Planning Services, Inc Benefit Resource Management Benefit Resources/The Resource Grp Benefit Solutions Benefit Support Benefit Systems Benefit Systems & Services, Inc Benicorp, Inc. Betlis Construction, Inc Betro, Inc Bible Baptist Church and Schools Biesse America Bitterroot International Blake Trainer Trucking Blansett Pharmacal Blasland, Bouk & Lee Associates

Blueworks BOA Bob McClosley Agency, Inc Boise State University Boom Vang Consulting Bowling Green State University Boy Cote IMT, Inc. Boyd Brothers Trucking Boyd-Veigel-Attorneys Brammer Supply Breen Color/ACF10140 Brennans Ltd. Designers Workshop Briarwood - Brookwood, Inc Bricklayers & Allied Craftsman Health & Welfare Bridgestone/Firestone Americas Holding Brokerage Concepts, Inc. Brown & Roberts Browning Oil Company, Inc Brynwood Center #526 Bumper to Bumper, Inc Burton Buildings Burznski Research Bush (Colorworks) – OOA Travel Byar’s Mobile Homes C & G Tele-Wiring Services C & M Fine Pack, Inc. C & S Trailer C I MI C. R. Sign Company C. A. S. A. Church and School Association Calcasieu Parish School Board Calnada Surveying, Inc Cam Administrative Services Cambria Capital Corporation Camden County Campbell Industries Inc. Canada Life Assurance Company Car Shops Cardinal Investment Company, Inc Carolina Benefit Administrators Carriage House – OOA Travel Carroll Automotive Casa Linda Remodeling, Inc. Cattle Baron Restaurants CBR CBSA CBSI Cedar Creek Bank Celtic Life Insurance Company Centerline Industries, Inc Centerville Independent School District Central Concrete Central United Life Insurance Centri’s Risk Management Century Aluminum Ceonseco Medical Ins. Co Certified Temporary Services Chas F. Williams Company, Inc. Checkered Flag Transportation

September 2012

Chek Cash Cher A Bumps & Assoc. Chicago Tire And Auto Service Chiropractic Strategies Choice Net Christ Chapel Bible Church Citizens National Bank – Henderson City of Fort Wayne Fire & Police Ins City of NF – OOA Travel City of Siloam Springs Classic Products Corp. Cleveland Group Cliffstar – OOA Travel Clouse Trucking CMAC CNC Global Resources, Inc. CNG Communications Coalition of America Marketing Group Coastal Lumber Company Cochise County Group Health Trust College Station Church of Christ Collin Street Bakery Collins Entertainment Corporation Combined Benefit Administrators, Inc. Comcar Industries, Inc. Commerce Medical Group Commerce National Bank Commercial Bank of Texas, N. A. Commercial National Bank of Beeville Commercial National Bank of Brady Commercial Underwriters CompFirst Complete Book and Media Supply Compro Systems, Inc. Computer King, Inc. Concho Construction Company, Inc. Conley, Lott, Nichols Machinery Con-Serv Conservco Consolidated Employee Benefits Consolidated International Group, Inc. Consolidated Tex-Pack, Inc. Consumer Benefit Services, Inc Continental Carbonics Continental General Insurance Co. Continental Life and Accident Control and Connector Specialty Control Tech – OOA Travel Conveying and Mining Equipment Conwae, Inc. Cooper Institute of Aerobics Research Coordinated Benefits Administration, Inc Cornerstone Preferred Resources Corning, Inc. Corporate Benefit Consultants Corporate Dynamics Corporate Health Administrators Corporate Staffing Resources Corporate Systems Administration

Costco, Inc Cotter Member Insurance Company Cougar Trucking, Inc. Country Life Insurance Company Covenant Administrators, Inc. Cox Insurance Company Cran Technologies Cross Plains/Sanderson Crown Auto Company Crown Life CSA CTA LLC Cuero Community Hospital Cuna Mutual Insurance Group Custom Design Benefits Custom Logistics & Warehouse Srvcs Custom Sprayed On Liners, Inc Cyclone Manufacturing Company D & M Fertilization Dallas / Fort Worth Roofing Supply Dallas Bankers Life Insurance Co. Dallas General Life Insurance Co. Dallas Production, Inc Damon’s International Dan’s Furniture and Butane Darling International Dart Construction Dave’s Supermarket David Knight and Associates David Lewis Builder Décor Gravure Delores Water Conservancy District Delta Health Group Design Benefit Administrators Devon Health Services Dexide, Inc. Diesel Diagnostics Digioia Brothers Excavating Dincon, Inc. Discount Loser Products Diversified Benefit Plans Dixon Plumbing Don J. Holt, MD Donald Vardman Donley and Horan Dos Gringos, Inc Double J Installation Services Dowcraft – OOA Travel DRX, Inc. DS Supply Dublin National Bank Dunn and Associates Durmax DVCC, Inc. Dyersburg Corporation DYI Group Dynamic Dies, Inc. Dynamic Products Eagle Communications, Inc

East Texas Bancshares, Inc. East Texas Fabrication, Inc. East Texas Seals, Inc. Eastern Benefit System Eclipse Medical Edison Project Edward B. Morris Edward Equipment Sales, Inc. Edward N. Bitter, D.D.S EEDP Enterprises, Inc EGS Electrical Group Eikenberry & Associates, Inc El Campo Newspaper Electrio Acoustics & Video Elkhart State Bank Employee Benefit Administrators Employee Benefit Services Employee Benefit Trust Employee Benefits Management Services Employee Security, Inc. Employer Planning Services Employers Mutual Encon International, L. P. Energy Partners Group Entrust Risk Management Entrust, Inc. EPIC Administrators Epic Insurance Company Episcopal School of Dallas Equitable Plan Service, Inc. Equity Benefit Services Erin Group Administrators Estrada & Associates Evolutions Healthcare Sys

(Guardian Resources) Excalibur Construction Exodyne/KC Life Express Doctors, Inc Extended Benefits (West Chemical) F. W. Garner F. C. E. Benefit Administrators Fabulous Foods Fairmont Management Company, Inc. FARA Benefit Services Farmers and Merchants State Bank Farmers and Merchants – Burleson Farnell & Smith Inc. Farouk Systems, Inc. Farrago Farms Farris Point of Sale, Inc. Fas-Tronics, Inc Fincastle Cattle Company Fine Lines Automotive First American Administrators First Bank First Benefit Administrators First Benefit Services First Integrated Health, Inc. First National Bank of Ballinger

September 2012

First National Bank of Beeville First National Bank of Burkburnett First National Bank of Dublin First National Bank of Fairfield First National Bank of Gilmer First National Bank of Graham First National Bank of Granbury First National Bank of Lake Jackson First National Bank of Livingston First National Bank of McGregor First National Bank of Mertzon First National Bank of Mexia First National Bank of Port La Vaca First National Bank of Whitewright First National Bank of Winnsboro First Place Financial Corp/Capitol Bank First Security State Bank First State Bank and Trust First State Bank of Burnet First State Bank of Clute First State Bank of Graham Flat Rolled Steal, Inc. Florida Health Administrators Florida Health Alliance Food Sales Systems Food Sales West Fort Pierce Public Utilities Fort Wayne Mack Sales and Service Fortis Benefit Insurance Company Foundation Health Systems Foundation Steel and Wire Four Wheel Drive Hardware FOW / KES Equipment, Inc. Fred Anderson & Son Drilling, Inc Fredonia State Bank Freeport Welding and Fabricating, Inc. Fucillo Automotive Dealership Future Point Administrative Services G. T. I Gainesville Products Gardner and White Garrett and Garrett Gateway Financial Gem Insurance Group GEMI Gilsbar Inc. Glen Oaks Health Care Center Global Claims Management Global Excess RE Global Ins Mngmnt & Consultants Global Management Global Training Academy Gloria Jeans Gourmet Coffee GNT International Gohio: Adams – Brown Counties Gowdwins, Brooke and Dickerson Graue-Haws, Inc. Greenbriar Architectural Greenvile Bearing

Greg Booth and Associates,Inc. Griffin Industrial Services Group Administration Services Group Benefit Services Group Benefits Unlimited, Inc Group Health Administrators Group Health Cooperative Claims Group Resource Grove Motors GSB Investments, Inc. GSF Claims Guarantee Insurance Resources Guarantee Mutual Life Company Guarantee Trust Life Insurance Co. Guaranty National Bank Guardian Life Insurance Company Guardian Resources, Inc. (Evolutions Healthcare System) Gulf Atlantic Group Gulf Breeze Gulf Industries Gulf South Administrators Gulf South Health Plus Gulf South Medical Supply Habasit – OOA Travel Hadd Machine Tools of Texas Hadden National Administrators Inc Haffle America Company Hagemeyer Halifax Health Plan Halliburton Swimming Pools Halls Lumber Hancock Medical Center Handley Chiropractic Center Haney Group Services Hansen Beverage Company Hards Marine Service Harvey’s Hotel and Casino Haswe & Hauser Hayes and Stolz HB Zachary Company HCH Administration HCRS Health Access Health Alliance Health and Life of America Health Headquarters LLC Health Management Assoc. Health Plans of America Health Plans, Inc. Health Special Risk Health Spring Management Healthcare Administrators Healthcare Benefits, Inc. Healthcare Management Services Healthcare Management, Inc. Healthcare Solutions Group Healthchoice, Inc. Healthcore

Healthfirst TPA Healthguard HealthNet of Arizona HealthPlans, Inc. Henry G. Salzer Herb’s Tire Service Heritage National Bank Heritage Village – OOA Travel High Power Aviation, Inc. Highgate Products, Inc. Highland Lakes Bank Highmark Life & Casualty Group Hi-Ho Store & Café HIS Enterprises Hitch Enterprises, Inc. HMO – El Salvador Hodges Brothers Holidair Insurance Services, Ltd. Holman Robertson Eldridge Holzer Medical Center- Gallipolis Holzer Medical Center – Jackson Home Life Group Benefits and Service Hood Corporation Hopson Lodging Horace Mann Insurance Company Hospital Benefits, Inc. Hospital Staffing Services Hospital Television Network Hospitality Partners / ACF 10143 Houghton – OOA Travel Houston A-1 Car Stereo Plus, Inc. Houston Cardiovascular Associates HR America HR Services Hulcher Services, Inc. Human Resource Benefit Administrators Hunt Insurance Group, Inc. Hygeia World Health I A C/ Reliance #560 I O A – RE IBEW/NECA Health and Welfare Fund ICM, Inc. Ideon, Inc. IEES, Inc. IHC Health Plans Illinois Manufacturers Association Group Ins. Imageware, Inc. INC Inchlor Services, Inc. Independent Bankers Association of Texas Independent Life Insurance Company Indiana Lumbermans Industrial Packaging Services Ingersoll Enterprises Inman Mills Innovations in Home Theater Innovative Resource Group Input/Output Instrumental Control Services

September 2012

Insurance Risk Management Insurance Claim Services Insurance Design Administration Insurance Management Services Insurex Integral Strategies, Inc. Integrated Clinical Data Integrated Healthcare Solutions, LLC Integrated Living Communities Integrated Practice Management Integrity Administrators, Inc Inter Rail Transport Intercare Benefit Systems International Aviation Services, Limited International Benefits Administrators International Benefits Services Corp. International Fidelity Group International Group Services International Healthcare, Inc. International MedCare International Medical Group International Recifier Intervalley Health Plan Intile Designs, Inc Inverness Walden Iron Man Welding Works Ironworkers District Council Island Group Administrators IUPIW Benefit Fund IvoClar – OOA Travel J & A Vending J. Allen Hall & Associates, Inc. J. L. Brantley, Inc. J. B. Parks Wholesale Florist, Inc. Jabin Industries Jack Harrison & Associates Jack’s Appliance Center Jackson LEA James Cable Jason Components Jasper Engines & Transmission Co

(Woods & Grooms) Jay Tex Aviation Jefferson Life Insurance Company Jefferson Pilot Life Insurance Jefferson Pilot Network Jerry’s Chevrolet–Buick Inc & Affiliates Jess and Gross Company Jet Foods Jewelry Market, Inc. Jiffy Signs & Decals Johnson Benefit Administration Joiner Food Services, Inc. Jon’s Windshield Jonad, Inc. K & K Insurance Company Kanawha Employee Benefit Admin,Inc Kansas City Life Insurance Co. Kappa Benefit Services

KCS Management Services KD, Inc. Keiser, Inc. Keller State Bank Kenneth W. Jack Kepple and Company Ketchum Kettle Restaurants, Inc. Key Benefit Administrators Key Partners, Inc. Kids “R” Us of Copperfield Kinetico, Inc. Kingdom – OOA Travel Kingsley Group, Inc. Kirk Patrick Kitiles Home Furnishings, Inc. Klais- Non Reliance – Tricor #675 KLLM Trucking Knockdown, Inc Kondos & Kondos KRI Growth Stocks KS Electric Health Insurance L. J. Underwriting and Associates Labor & Beyond, Inc. Lackland Properties Lake Eustis Care Center Landmark Community/Image Technlgy Landmark Tower Corporation Lane McDuff Sales Company Lantech of America, Inc. Larson Associates USA Law Office of Michael O’Briant Law Offices of Ken Willford LBA Health Plans Lectric Lites Company, Inc. Lefevre Agency Legal Security Life Insurance Co. Leica – OOA Travel Leon Jones Seed & Grain Lerson Advisory Services Letsos Company Levenson, Levenson and Hill, Inc Life Care Centers of America Life of the South LifeCourse Management Services Lifeline Underwriters Life Ins Co Life-Tech, Inc. Lift Technologies Lincoln University Lloyd’s of London Local 854 Lockhard & Williams Insurance Srvcs Lone Star Transportation, Inc. Lone Star Truck & Equipment Svcs, Inc. Longdale Industries, Inc. Love Technologies M B R K MacNeal Memorial Hospital Maggie Breen, Inc.

Magna Administrative Services Magnacare PPO – Local 617 Magnacare PPO # 556 Magnacare TPA Mahoney Consulting Managed Benefit Administration Managed Care Administrators Managed Care of America Managed Med Group Managed Underwriters, Inc. Management Counsel for

Employee Benefits Management Services Managing Underwriters, Inc. Mandell Manhattan Life Insurance Company Manual Woodworkers & Weavers, Inc Marco Display Specialists, Inc. Marion General Marketing Services Associates Marriot International, Inc. Marshall Collision Repair Marvin Enterprises Mashantucket Pequot Tribal Nation MAUMEE Maury Donnelly & Parr, Inc. Mays Chemical Company Mc Crone Design / ACF 10139 McBee Company McConackie Financial Services McFarland, Ferguson & McMillian McGriff Industries McKenzie Medical Benefit Plan Trust McKinney Lumber and Hawk Company McKinstry Enterprises McLaren’s Toplis Mechanical Interiors, Inc. Medex Assistance Corporation Medex Insurance Services Media General Medical Benefits Mutual Medical Care Management Services Medical Claims Services Medical Claims Solutions, Inc. Medical Express Medical Resource Marketing Group Medina Valley State Bank Medreview Meiden & Hunt, Inc. Mel Stevenson Associates, Inc. Melange Fine Cuisine Member Insurance Program Memphis Light Gas & Water Memphis State Bank Mercury International Mervis Industries Metal Processing Metronics Metronics – OOA Travel

September 2012

Mi Cocina Miami Medical Centers, USA Inc. Michael McCulloch, MD Micron Industries, Inc. Mid America Benefits Midas Rex Pneumatic Tools, Inc Midland Life Insurance Company Millennium Health Group Miller & Long Miller and Herring P. C. Miller Veterinary Supply Mills County State Bank Miracle Machine Mobiech, Inc. Modern Art Museum of Fort Worth Module Truck Systems, Inc. Momentum Holdings, CSI.Net Monroe’s Carpet & Furniture Montana Unified School Trust-Must Montgomery Management Monton Buildings Montrose Ford – Nissan Morris Associates Morrow Buick – Pontiac, Inc. Morton Custom Plastic of Kentucky Mouzon Bass Company Mr. Bill Motor Company Mrs. Leepers, Inc. Munsch Hardt Kopf Harr and Dinan PC Muscle Technology Mustang Financial Corporation Mutual of Omaha Napata Ace Hardware National Accident Ins Underwriters National Allied Workers – 831 National Assoc of Preferred Providers National Benefit Administrators, Inc. National Benefit Resources, Inc. National Care Network National Claims Administrative Svcs National Employee Benefit Admin, Inc. National Financial Life Ins Co National Foundation Life Ins Co National Group Insurance Company National Group Life National Health Benefit Corp. National Health Insurance Company National Insurance Services National Property Casualty National Risk Transfer National Rural Electric Coop Assoc National Seating & Mobility National Security Life National Spirit Group, Limited Nauticon, Inc. NCAS – Pleasant Hardware Company NCAS – Security Finance Company Neuroscience Centers, Incorporated New Century Underwriters

New Deal Independent School District New Era Life Insurance Companies New Jersey Auto Wholesalers New Mexico Foundation for

Medical Care New Millenium – OOA Travel News – Journal Corp. Next USA, Inc. Nextel NGS American, Inc. Nils Sefeld Volvo & Tattoe Management Nitram Energy – OOA Travel NJ America, Inc. Norcraft Companies Normandy, Inc. North America Administrators North Central Texas Laborers

Health and Welfare Fund Northeast Frozen Foods Northern Automotive Northwestern National Life Norton Lilly international Nova Healthcare Admin–Belmont Nova Healthcare Admin–Best Liebco Novia Underwriters H R M Claim Mgmt Oak Hill Oak Tree Administrators, Inc. Oasis Pipeline Company Obersfield’s, Inc. Okaloosa Gas District Olivery Lumber Company OMS One Stop Copy and Printing Ontod Ltd. Opportunity Resources, Inc. Options Publishing ORMAT Technologies ORMAT, Inc. OSF Healthplans, Inc. O’Steen Adjusting Services Otis Spunkmeyer, Inc. Outdoor Lumber & Hardware P. J. Welding and Fabrication PACE Pacific Coast Claim Consulting Co Pacific Health and Life Insurance Co Pacific Heritage Administrator Pacific Hospital Association Pacific Preferred Pacific Risk Management Pacific Western Excess Pailet Financial Services Paint Sundry – OOA Travel Pairgain Technologies, Inc Panada Energy International, Inc. Panama Beverage Co. Panola Lights and Signal Paradigm-Macon Paradigm Administrators, Inc.

Parkway Communications Paslay Services, Inc. Pay & Save, Inc. Pechiney Rolled Products Pecos County State Bank Pedding House Corporation Pentacon – D – Bolt Corporation Perico Periodical Services Inc. Personnel Network Pete Durant & Associates Petro Tech, Inc. Pettigrew Welding PFMC Pharmacy Systems # 510 Phelps Dodge Corporation Philadelphia American Life Ins Co Philip Vogel Company, P.C. Phoenix Communicants Mstr Graphics Phoenix Excess Risk Underwriters Piedmont Administrators Piedmont College Pierce Public Utilities Pilgrim Congregational United

Church of Christ Pine Forest Jewelry Pineland State Bank Pioneer Financial Service Pioneer Life Insurance Company Pisano Group Pittman & Associates Pizza Boy of Oxford, Inc. Plan Handlers, Inc. Plan Service, Inc. Planned Administrators Plant Plumbers Local Union No. 68 Pointbank, N. A. Pope Exploration Posters, Inc. Pounds Surveying Group, Inc. Powerhouse Technologies Practical Healthcare Solutions, Inc. Prairiland Independent School District Precision Landscape Management, Inc. Preferred Care Preferred Providers, Inc. Premier Engineering, Inc. Primary Physicians Care Prime Benefits, Inc. Primenet, Inc. Print Assist Print Tex Office Products PRNA Services Pro-Claim Plus, Inc. Producers Exchange Benefit Services, Inc Professional Advocates & Crafts & Trades Professional Benefit Administrators Professional Benefits & Service

September 2012

Progressive Concepts Prompt Associates, Inc. Propane Continental dba

P. C. A. Z. Graves Propane Protective Consumer Direct Providence of St. Joseph’s of Capuchin Provident American Insurance Company Provident Life and Accident Prudent Risk Management Pulau Electronics Pyramid Life Qual-Choice Quality Electronics Quality Service Group Quantum Film Products R & R Fencing R. Hixon, Inc. R. C. Martin, Inc. R. T. Nelson and Associates R. W. Management Company, Inc. RAB Products & Services Radio Lab Radiology Associates of Tarrant County Rafter J. Trucking Rash Construction Center Recipricol – OOA Travel Recovery Campuses of TX Red River Farm Regency Employee Benefits Regional Benefit Plans Regional Care, Inc. Rehab Consultants, Inc. Reid Lockhart Golf Company Reliable Life Insurance Company Remist, Inc. Renco – OOA Travel Rentco Republic American Life Ins. Co RH Administrators Richardson Eagle Inc. Riley Gear Corporation Ring-Can Corporation Rip Griffin Truck Services Center Risk Benefit Management River Chase Care Center Robert M. Rosson, DDS Robert R. Romack, DDS Rocket Air Supply, Inc. Rockwell Management Group Rocky Mountain Elk Foundation Roe’s Furniture & Appliance Rogue Garcia Corporation Russer – OOA Travel RX Relief, Inc. S & S Fleet Subrogation, Inc. S I H O Sackner Products Safetywear, Inc. Safeway Door

Dalerno/Duane Auto Group Salud National, Inc. San Antonio Fleet & Auto Service San Antonio Shoe Repair Sanders Valve, Inc. Saot Travel Scherer Industrial Schilli Transportation Script Company Seaboard Life Seager Bros./AC345 Self Funded Plans Self Insured Benefit Administrators, Inc. Self Insured Group Marketing &

Administration, Inc. Sells Printing Selman & Co. Sema Seneca Foods – OOA Travel Sevenson – OOA Travel Shake and Shingle Supply, Inc. Shared Medical Alternatives Shelton Trucking Services Shumate & Dean Law Firm Shuttleworth, Inc. Sights & Sounds Silver State Medical Administrators Silvercrest Manor Simmons & Associates Siplast, Inc. Sirianni Auto Sales Sisco Sixto Custom Finishing Sixx Holding, Inc Skin Correction Smith Mattress Company Smorasbord Management Co. Snider Tire Company Snider’s Drugs Software Technology International South Plains Financial, Inc. South Texas Design South Texas Hats, Inc. Southern Adventist University Southern California Pipe Trades Southern Companies Southern Industrial Constructors Southern Ins Management Associates Southwest Auto Sales, Inc. Southwest Motors, Inc. Southwest Service Life Ins Co Sovran – OOA Travel Specialized Plans Sponsored Marketing Ins Admin Sports Radio Partnership, Inc. Springfield Public Schools SSI St. John’s College/ACF 10142 St. Joseph Professional Building

St. Martin & Williams Standard Automation & Control LLC Starrchecx LLC State Bank of Dekalb State National Bank of Caddo Mills Stateline TPA, Inc. States General Statesman National Life Ins Co Stellar Enterprises Stephens Health Care, Inc. Sterling Care Center Stolt Parcel Tankers, Inc. Stone Bennett Corporation Stop Loss International Stowe Administrators, Inc. Strategic Health # 486 Strategic Medical Student Advantage Sullivan Builders Summit Administrators Sun Life of Canada Ins Co Sun Roller Corporation Sun Bank Superior Insurance Services Supreme Plastics, Inc. Swatzell Communications Swiss RE Syndicate Healthcare Synergy/ACFSYNG Syracuse Research Group System Printers, Inc. T & C Centers, Ltd. T. R. Bartholomeu Architects & Associates T. L. Groseclose Assoc. Inc. Taylor Benefit Resources Tayson Insurance Administrators TC3 TDC Teamsters Industrial Employers Welfare Fnd Technical Resources International Teletech Holdings, Inc. Texas Bank and Trust Texas Bed Company Texas Community Park Texas Digital Systems Texas Heat Treating, Inc. Texas Society of CPA’s Texas Sterling Construction The Benefit Group The Blender Company The Brice Legal Group PC The Capella Group – Care Entrée The Champion Group The Cooper Clinic P. A. The Crew Plan The Deyhle The Elite Group The Eye Center The Fix-Your-Well Co.

September 2012

The Gladney Center The Hockaday School The Liberty National Bank in Paris The M. J. Daniel Corporation The Mallory Group The Marketing Continuum, Inc. The May Department Stores Company The People’s State Bank of Clyde The People’s State Bank of Hallettsville The Place The Preston Group, Inc. The Resource Group The Sleep Disorder Clinic of Houston The State Bank of Texas The State National Bank The Stephan’s Company The Summit Publishing Group The Trade Group The Vintage Apartments The Wayne Companies, Inc Thermo Manufacturing Company, L.P. Third Party Advantage Administrators Thomas Jewelers Three Rivers Benefit Corp Three Rivers Provider Network TIA Time Services, Inc. Tiseo Paving Company Today’s Merchandising Todd Mechanical Total Plan Services Tour & Med Assistance Tower Life Town & Country Concrete, Inc. Town Square Furniture Townes Wear, Inc. TPA of Georgia (Brook Properties) TPA of Illinois Transfund Mortgage Corporation Transitional Learning Community Transport – OOA Travel Transworld Healthcare, Inc. Travis, Wolff and Company, L. L. P. Tremont Floral Supplies Triconex Corporation Triconex Systems, Inc. Trip-Tees Tripod, Inc. TRIUNE Resources, Inc. TRL Trucking Tru Services Trucking Employees of

North Jersey Welfare Fund Trussel Electric Tucker and Clark, Inc Turbine Industries Turner, Meehan, & Williams Tylers Auto U. S. Benefits Corporation U. S. Benefits, Inc. U. S. Intec, Inc. U.S.A. Health Services, Inc. U-First, LLC UHC/NRLC Union Bankers Insurance Company United American Insurance Co. United Art & Education, Inc. United Benefit Group United Health, Inc. United Knitting United States Life Insurance Co United Teamsters Fund Unitron, Inc. Universal Opthamalic Upstate Administrative Services, Inc. Upstate-Redstar U-Race Corporation US Benefit Corporation USA Services Group USI Administrators-Capitol

Title Group #505 USI Admin-Columbus McKinnon Value Options Variable Protection Administrators Vasa Brougher Venezia Venezia – OOA Travel Veteran’s Memorial Video Post and Transfer, Inc. Virgin Mason Health Plan Viva Health VolMed W. J. Haynes and Company Waggoner National Bank of Vernon Wake Forest University Walchop, Inc. Walgreen Wallace Bargain Block Wally Clayton Builder Wal-Mart (Specific Policies Only) Want Ads of Longview Warren Steinborn Associates Washington Homes Washington National Insurance Co

Waskon Automotive Watauga Wood Products Weaver and Tidwell, L. L. P. Webb, Murray & Associates Welmark Wendy’s – OOA Travel West Texas Legal Services Westar Mortgage Westbridge Capital Corporation Western Benefits Western Electronics Western Petroleum Marketers Association Western Reserve Benefit

Administrators Agency, Inc. Western Southern Life Western States Administrators, Inc. Westside Cellular Weyco, Inc. Wheeler Companies-Insurance Claim Srvcs Whisperwood National Bank White Knight Wick Communication Company Wil Jef Transportation Wilder Contract Well Service Wiley Sanders Trucklines William C. Beeler and Company William Hydraulics Willis Corron of Kansas Wilson Air Conditioning, Inc Wilson Automotive Wilson, Cantell, and Moody Wilton Krayse Septic Windsor Manor Wins Paper Products, Inc. Wisconsin Automobile and Truck

Dealers Associates Wisconsin Evangelical Lutheran Systems Wood and Grooms Woodman Life and Accident Insurance World Insurance Wrenn Handling/Brungart Equipment Yaga, Inc. Yorkshire Global Restaurants Zoria Farms, Inc.

September 2012

FedMed Inc. – PPO Fee Schedule: 15% discount off providers’ usual charge for covered service’s less any applicable co-payments, co-insurance, or deductible’s. Patients enrolled: 18 Million nationwide States applicable: All States Specialties applicable: All specialties Reimbursement: Fee for Service. Service’s less any applicable co-payments, co-insurance, or deductible’s. Claims Submission: Submit claim to address on back of patient ID card Patient Identification: FedMed will appear on patient ID card. Payer clients: The following list of Payer clients are FedMed Payers American Benefit Plan Administrators (ABPA) Aetna - National Advantage Program (NAP) Carpenters Southwest Administrators Coalition America Comprehensive Benefit & Claim Administration (CBCA) Devon Health Federated Mutual Insurance Company

United Medical Resources (UMR) First Agency GlobalCare Global Excel Management HealthRisk Resource Group Healthsmart Health Care Services International Health Systems International (HSI) Integrated Health Plan (IHP) Meritain Health

National Claims Administrative Services (NCAS) National Health Benefit Corporation (NHBC) Olympus Managed HealthCare Preferred Medical Claim Solutions (PMCS) Premier Healthcare Exchange (PHX) Principal Financial Group SelectCare Worldwide TC3 Health

FedMed Inc. – Workers Compensation Fee Schedule: 15% discount off providers usual charge for covered services less any applicable co-payments, co-insurance, or deductibles. Where a state mandated fee schedule exists, provider agrees to accept a 10% discount below the state schedule. States applicable: All States Specialties applicable: All specialties Reimbursement: Fee for Service Claims Submission: Submit claim to address on patient form Patient Identification: Contact employer / see incident report Payer clients: The following list of Payer clients are FedMed Payers American Benefit Plan Administrators (ABPA) Aetna - National Advantage Program (NAP) Carpenters Southwest Administrators Coalition America Comprehensive Benefit & Claim Administration (CBCA) Devon Health Federated Mutual Insurance Company

United Medical Resources (UMR) First Agency GlobalCare Global Excel Management HealthRisk Resource Group Healthsmart Health Care Services International Health Systems International (HSI) Integrated Health Plan (IHP) Meritain Health

National Claims Administrative Services (NCAS) National Health Benefit Corporation (NHBC) Olympus Managed HealthCare Preferred Medical Claim Solutions (PMCS) Premier Healthcare Exchange (PHX) Principal Financial Group SelectCare Worldwide TC3 Health

September 2012

FedMed Inc. – Auto Accident Injury Fee Schedule: 15% discount off providers usual charge for covered services less any applicable co-payments, co-insurance, or deductibles. Where a state mandated fee schedule exists, provider agrees to accept a 10% discount below the state schedule. States applicable: All States Specialties applicable: All specialties Reimbursement: Fee for Service Claims Submission: Submit claim to address on patient form Patient Identification: Contact employer / see incident report Payer clients: The following list of Payer clients are FedMed Payers American Benefit Plan Administrators (ABPA) Aetna - National Advantage Program (NAP) Carpenters Southwest Administrators Coalition America Comprehensive Benefit & Claim Administration (CBCA) Devon Health Federated Mutual Insurance Company

United Medical Resources (UMR) First Agency GlobalCare Global Excel Management HealthRisk Resource Group Healthsmart Health Care Services International Health Systems International (HSI) Integrated Health Plan (IHP) Meritain Health

National Claims Administrative Services (NCAS) National Health Benefit Corporation (NHBC) Olympus Managed HealthCare Preferred Medical Claim Solutions (PMCS) Premier Healthcare Exchange (PHX) Principal Financial Group SelectCare Worldwide TC3 Health

America's Choice Provider Network (ACPN) – PPO Fee Schedule: 20% off of providers’ billed charges. Patients enrolled: 11 Million nationwide States applicable: All States Specialties applicable: All specialties Reimbursement: Fee for Service. Service’s less any applicable co-payments, co-insurance, or deductible’s. Claims Submission: Submit claim to address on back of patient ID card Patient Identification: ACPN will appear on patient ID card. Payer clients: The following list of Payer clients are ACPN Payers 3P Administrators AAA Central Penn Activar Inc. Administrative Services Inc. Advance Admin Local 592 Advance Admin Local 803 Allina Health American Benefit Corporation American Hydrotech, Inc. American International Group (AIG) AmeriHealth Administrators Andrews Excavating Arizona Pipe Trades Health and Welfare Fund

Arkansas Pipe Trades Health and Welfare Fund Asbestos Workers Local 8 ASR Health Plans (ASR Corp) Associated Benefits Corporation Assurant Health Automated Benefit Services (ABS) Automated Group Administrators B.J Baldwin Electric BAC Local Union 15 Welfare Fund Bakery and Sales Drivers Bayfront Medical Center Beverage Drivers Local 792 BlueGrass Family Health Plan

Boilermakers Boston Plasterers Brevard Partnership Network Bricklayers - Local 6 Brokerage Concepts Inc. Brown and Bigelow C.H. Carpenter Lumber California Water Services (CWS) Carpenters H&W Trust of St Louis Carpenters Local 491 Health & Welfare Plan Carpenters Southern California Casto Technical Services CDS Health Plans Cement Masons

September 2012

CFBB Cigna City of Hollywood (Florida) City of Sarasota PPO and EPO (Florida) City of Venice (Florida) City of York (Pennsylvania) Cleveland Brothers CM High CNIC Health Services Colonial Group Commerce Bank Commodity Specialists Company Comprehensive Benefits Service Inc. Construction Industry Laborers Welfare Fund Construction Suppliers Fund A Construction Suppliers Fund B Construction Workers Trust Fund CoreSource Corporate Benefit Services, Inc. County of Riverside, CA. Covenant Administrators Covenant Group Services Cypress Benefit Admin D.H. Evans Associates, Inc. Daniel H. Cook Associates, Inc. Deseret Mutual Benefit Admin District #77 IAMAW Duluth Building Trades Durex EBAM Corporation Educators Mutual Life Electrical Workers (IBEW) Elite Brokerage Service Emons Employee Plans LLC (IRM) Epharata Manufacturing FCCI PPO and EPO First Administrators Inc. (FAI) Five Rivers Carpenters FMA Food Drug Administration Formula Corporation Fox's Market GEICO George J Hayden Electric Graphic Communications Great West Greater Cincinnati Bricklayers Greater Kansas City Laborers Welfare Fund Grosvenor Group & Pension Admin (GPA) Group Administrators Ltd (GAL) Group Executive Insurance Marketing

Group Insurance Service Center (GISC) Group Resources Gulf Guarantee H&B Fund Hanover Foods Hanover Lantern Health Net Health Net Federal Services Healthcare St HealthEZ (Formerly America's TPA) Heating, Piping and Refrigeration Medical Fund Highland Physicians Holtra Chem Hometown Health Hotel Restaurant Employees Trust HSBA Hubbard Construction Humana Military IATSE Local 22 Welfare Fund IBEW Local No. 1 H&W Fund IBEW Local Union 124 Idaho Pipe Trades ILWU-PMA Indian River Industrial Harness Company Insurance Programmers International Medical Group (IMG) International Risk Consultants IPM Health & Welfare Iron Workers IUOE Local No. 132 H&W Fund John Copes Food Kansas Building Trade Kovatch KRB Laborers District Council Local 351 Health and Welfare Laborers International Union Local 616 Laborers SE Laborers Trust Fund Local 980 Health and Welfare Laird Lake County Lancaster Bible College Lee Memorial Hospital System Local 1102 TWDSU Local 1180 TWDSU Local 226 IBEW Local 229 IBEW Local 23 IBEW Local 25 SEIU Welfare Fund Local 309 Benefits Office Local 520 Benefits Office Local 57 Benefits Office Local 70 Benefits Office

Local 877 IUOE Lockheed Loomis Companies Los Angeles Fire Fighters Local 10121 Magstar Technologies Maksin Manatee Glens Mariners Hospital Maryland Electrical Industry Health Fund Mega Life and Health Insurance Company Meridian Products Messelman Lumber Inc. Middletown Retirees Midwest National Life Insurance Company of Tennessee Minneapolis and Suburban Lumber Dealers Minneapolis Auto Dealers Minnesota and North Dakota Bricklayers Minnesota Laborers Minnesota Teamsters Construction Division Highway Minnesota Timber Workers Mutual Assurance Admin National Employee Benefits National Telephone Corporation NECA - Local 145 New Holland Custom Wood New Jersey Health Northern California Carpenters ODS Ogden Benefit Administrators Ohio Bricklayers Operating Engineers Local 4 Orange County Public Schools Osceloa County (Florida) Painters and Allied Trades Pekin Insurance Pipefitters 533 Health and Welfare Fund Plumbers & Pipefitters Local 25 Plumbers & Pipefitters Local 501 Plumbers & Steamfitters Local #106 H&W Fund Plumbers & Steamfitters Local 33 Plumbers and Steamfitters Local #486 Medical Fund Plumbers Local 522 Plumbers Local 75 Plumbers Local 8 Plumbers Local 88 POMCO Professional Benefit Admin (PBA) PSI Pulaski Memorial Hospital

September 2012

Quantum Imaging Railroad Maintenance and Industrial Health and Welfare Ready Mixed Concrete Remco Petroleum RG Applegate RGB Retailer Group Rich Maid Kabinetry Rigldply Riverside County, CA. Roanoke Iron Workers Trust Fund Local 697 Robert F Kennedy Farm Workers Roofers Local 74 Roofers Local 96 S A Allen San Diego Electrical HWT San Jose Administrators Sarasota County Government Sarasota Heart Sarasota Memorial Hospital Sarasota Pathology Sarasota YMCA School District #1 Health and Welfare Tryst (Oregon) Security Health Plans Security Workers Health and Welfare Fund Sheet Metal #10 Sheet Metal WK Local 24 Sheet Metal WK Local 265 Sheet Metal Workers Local 100 Simplifi (Formerly CBCA) Southern and Central Illinois Union Fund Spec Paper St Paul Electric Workers St Paul Printing

St. Paul Auto Dealers and District Steel of West Virginia Stirling and Stirling Stoner and Associates Sturm and Associates Susquehanna Laborers Teachers Protective Team Health Teamster Local 175 & 505 Health and Welfare Trust Fund Teamsters Local 560 Benefit Fund Teamsters Local 618 Texas Carpenters and Millwrights Health and Welfare Fund The Chesapeake Life Insurance Company Therma Core THIPA- Torrance Hospital Independent Practice Toledo Electric Welfare Transport Workers Union Health and Welfare Funds Travel Care Services TriStar Benefit Administrators Tristate Local 1035 Tristate Local 191 Tristate Local 404 Tristate Local 443 Tristate Local 493 Tristate Local 559 Tristate Local 677 Tristate Retires TriWest Healthcare Alliance Truck Drivers and Helpers Local 365 Trusteed Plans Twin City Floor Covering Twin City Pipe

UA Local 125 H&W UA Local 782 Health Plan UFCW - CA UFCW - NJ UFCW National UFCW Southern California UICI Holding Company UMR/Benesight/Fiserv Union Trowel Trades United Med Res United Press International Vallorbs Warehouse Employees Local 570 Trust Fund Wasatch Watkins Welfare and Education Fund Welfare and Education Fund Wells Fargo Third Party Administrators, Inc. (AKA HealthSmart) Wenger Family of Companies West Virginia Laborers' Trust Fund Willims, Parker, Harrison, Dietz, & Getzen Wilson Mcshane Twin City Sheet Metal Wisconsin Health Fund WP Northwest Iron Workers Trust WP Northwest Roofers WP Operating Engineers WP Puget Yoders Yorktowne Caskets Zenith Administrators

America's Choice Provider Network (ACPN) – Worker's Compensation Fee Schedule: 20% off of providers’ billed charges or where a federal or state mandated fee schedule applies, provider agrees to 10% below federal or state mandated fee schedule. States applicable: All States Specialties applicable: All specialties Reimbursement: Fee for Service. Service’s less any applicable co-payments, co-insurance, or deductible’s. Claims Submission: Submit claim to address on patient form Patient Identification: ACPN will appear on patient ID card.

America's Choice Provider Network (ACPN) – Auto Accident Injury Fee Schedule: 20% off of providers’ billed charges or where a federal or state mandated fee schedule applies, provider agrees to 10% below federal or state mandated fee schedule. States applicable: All States Specialties applicable: All specialties

September 2012

Reimbursement: Fee for Service. Service’s less any applicable co-payments, co-insurance, or deductible’s. Claims Submission: Submit claim to address on patient form Patient Identification: ACPN will appear on patient ID card.

National ChoiceCare (NCC)– Workers Compensation Fee Schedule: 15% discount off providers usual charge for covered services less any applicable co-payments, co-insurance, or deductibles. Where a state mandated fee schedule exists, provider agrees to accept a 10% discount below the state schedule. States applicable: All States Specialties applicable: All specialties Reimbursement: Fee for Service Claims Submission: Submit claim to address on patient form Patient Identification: Contact employer / see incident report Payer clients: The following list of Payer clients are National ChoiceCare Payers 1 & 1 AIG Hawaii Insurance Co Allen ISD American Professional Risk Services Builders Insurance Groups Amfed Argus Services Corp. Association of Counties Berkley Specialty Underwriting Managers CA Joint Powers Insurance – Authority Employers Mutual Casualty Co CA State University CareWorks Catholic Mutual City of Arlington City of Atlanta City of Beaumont City of El Paso Texas City of Fort City of North Richland Hills City of Plano City of San Antonio City of San Jose City of San Jose City of Waco Clarendon National Companion Property & Casualty Mitchell International MedInsights/GAB Comptech Dallas County Dollar General Duncanville ISD East Central ISD

Edgewood ISD El Paso Community College El Paso County El Paso ISD El Paso Water Utilities FCCI Federated Insurance Federated Mutual Insurance Fort Worth ISD Freeman Admin Futurecare Genex Genex Services Golden Eagle Insurance Co Trust Integrated Care Mgmt Great American Insurance Harlandale ISD Hurst-Euless-Bedford ISD Harris County Harris County Hospital District HRH/Global Sports Services JB Hunt Transportation Midwest Drywall Houston Metro Transit Irving ISD Jefferson County Judson ISD Key Risk Management Llano ISD Lubbock County MBMS Medical Consultants Network Premier Inc. Mission Linen Supply New Braunfels ISD Northeast ISD Northside ISD

One Beacon Insurance Co PBC Companies, Inc Procare Management Services LLC Review Works Publix Supermarkets Raleys Red Oak ISD Risk Management Services of America San Antonio ISD Schertz/Cibolo ISD Selective Insurance Co of America Ward-US Risk LLC/ERMC Self Insured Service Co of CA Texas General Sonic Drive-Ins South San ISD Southwest ISD Tarrant County Texas Mutual Insurance Co SUA Insurance The Comptech Group The University of Texas System TQ Consultants Travis County Tyson United ISD University Health System Vision Quest Wal-Mart - Texas Weslaco ISD Whataburger Restaurants Workwell Work Comp Bill Review Worth City of Philadelphia

September 2012

National Association of Preferred Providers (NAPP) / Family Care

Fee schedule: Medicare plus 25% or 80% of billed charges, whichever is less. Patients enrolled: 80,000+ nationwide Claims submission: Not applicable Patient identification: NAPP indicated on member ID card. Payer clients: Individuals States applicable: All states Specialties applicable: Reimbursement: Fee for Service

All specialties

Payer clients: Individuals

Contract Analysis Systems/VIIAD – Discount Product Fee schedule: 20% discount off providers billed charges for covered services less applicable co-payments, co-insurance or deductibles. Patients enrolled: 30,000 States applicable: All states Specialties applicable: Reimbursement: Fee for Service

All specialties

Patient identification: HNA logo will be identified on all ID Cards Payer clients:

HNA/Triveris Companion Technologies

ABC Health Value National Discount Medical Card

Access Plans, Inc

Fee schedule: 20% discount off billed charges on all visits. Patients enrolled: 400,000+ States applicable: All states Specialties applicable: Reimbursement: Fee for service

Podiatry only

Claims submission: Not applicable Patient identification: HNA indicated on member ID card. Payer clients: Marketed to individuals through CVS Pharmacy

Coverdell and Company, Inc Fee schedule: 50% discount on initial visit, 20% on subsequent visits. Patients enrolled: 30,000+ nationwide States applicable: All states Specialties applicable: Reimbursements: Fee for service

Podiatry Only

Claims submission: Not applicable

September 2012

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

All Risk Health Care American Healthcard Americard Best Benefits Care One Careinton Savings/Podiatry Cathedral Rock Central Carolina Bank Chiro Access Enhanced Benefits Family Care Plus

Guardian Health HCNP Health Advocates Alliance Health Plan Extras Healthcare America Healthcare Savings Plan LaSalle MedPlan Program MedStrong North Bank of Commerce Perpetual Business Resource

Plan Plus Primed Reassurance Health Senior First Senior Healthcare Partners Solutions Healthcare Standard Federal THN Discount Card Unicare One USI Affinity Vantage America

Bank/Marketing Organizations 10 in 10 Biz Plus Card ABN Amro Advantage Benefits AIS Insurance All Risk Healthcare Amcard Services American Benefits Alliance American Whole Health Americans for Fair Pricing Americard At your business.com Banco Poplar Bank of America BB Comp all Benefits BB Coverdell BB Coverdell Comp BENEX

Blue Print Health BOA Card Benefit Services Care One Careington Savings/Podiatry Cathedral Rock Central Carolina Bank CHAS Mitchell Family LTD Parnership Chiro Access Commonwealth Benefit Plan Community Value Level- Level 5 Compass Bank Complete Care Plan Demo All Benefits Dental Plus Deluxe Plan Discount Card Services Eclipse Coreplus

E-Hanced Benefits E-Hanced Optimum EZ Discount Card EZ Senior Care Family Care Plus Plan Family Shared Success Fleet Framing Contracts Assoc. Genesis Healthcare Geocare Benefits Global Coreplus Harvard Health & Welfare Plan HCNP Health Market Insights Health Provider Plan Health Quest Benefit Group Healthcare Privileges

Healthcare Savings Plan Helping Handz Platinum HMD Best Benefits Independence Key Bank Kirkwood Insurance Service LaSalle Medstrong PDQ VIP Plus Michigan Democratic Party Missouri Assoc. of State Employ Namasta Standard

NAPE-Basic National Bank of Commerce National Benefit Services Nationwide Northpoint Optimum + Counseling MO Passport to Wealth PEAG Perpetual Business Resource Plan Plus 7 Benefit Plan Plus Assoc

Plan Plus Deposit Plan Plus Mortgage Retirement Association Sauer and Assoc. Senior Access Card Senior Care Card Senior First – State Mutual Senior Healthcare Network Wells Fargo

National Benefit Builders, Inc. (NBBI) Fee Schedule: 20% off patients out of pocket expenses Patients enrolled: 200,000+ nationwide States applicable: All states Specialties applicable: Reimbursement: Fee for service

Podiatry Only

Patient identification: NBBI will be indicated on the patients ID card

September 2012

Claims submission: Not applicable Payer clients: Individuals Notes: The NBBI Program may not be used in conjunction with any other discount, sale or other promotion offer accepted by provider, nor in conjunction with any managed care benefit program. JCPenney Financial Services, Inc. / Plan Plus

Fee schedule: 50% discount on the out of pocket expenses for the initial visit, 20% discount on subsequent visits. Covered Lives: 155,000 Patients enrolled: 200,000+ nationwide States applicable: All states Specialties applicable: Reimbursement: Fee for service

Podiatry Only

Initial Exam and Consultation:

Member Receive:

Complete Gait Analysis X-Ray Neurologic Exam Vascular Exam

50% off out of pocket expenses

Treatment Programs: Members Receive: Heel Pain, Bunions Hammer Toes, Ingrown toenails, Diabetes, Arch pain, Arthritis and other Foot & Ankle Problems

20% off out of pocket expenses

Claims submission: Not applicable Patient identification: HNA indicated on member ID card Payer clients: Individuals Notes: The Plan Plus Program may not be used in conjunction with any other discount, sale or other promotion offer or accepted by provider, nor in conjunction with any managed care benefit program. The Plan Plus Program may be sued by a cardholder who has indemnity insurance coverage, with the claims submitted to the insurance company based upon the discounted fee.