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Payer Connection - Electronic Claims Payer ListAddress - Some payers have multiple locations, but claims go to the same electronic location*Indicates claim is routed by paper. Several payers that DO receive claims electronically have been placed on this list forhaving poor services available.CityStateZip1220 SW MORRISONST 300PORTLANDOR97205NPO BOX 6680PORTLANDOR97228NamePayer IDERA6 DEGREES HEALTHINCORPORATED20446NA I BENEFIT PLAN ADMINAIBPANAAI TESTPaper* AddressAARP Medicare Supplement36273NPO BOX 30976Salt Lake CityUT84130AARP MedicareComplete fromSecureHorizonsAARPNPO BOX 31362SALT LAKE CITYUT84131ABA AFFORDABLE BENEFITSADMIN95426NPO BOX 10787BURBANKCA91510ABC ASSOCIATED BENIFITSCORPFAABCNPO BOX 71039DES MOSINESIA50325AblePay HealthABLPYNACS Consulting Services72467NADMINISTRATIVE CONCEPTSINC22384N994 OLD EAGLE RDSUITE 1005WAYNEPA19087Administrative Services, Inc.59141NADMINISTRATORS WESTAWESTNY612 NE SAVANNAHDRBENDOR97701ADVANCED BENEFITADMINISTRATORADVBANY6420 SW MACADAMAVE STE 380PORTLANDOR97201ADVANTRA FREEDOM25133NADVENTIST HEALTH SYSTEMWEST95340NPO BOX 619031ROSEVILLECA95661Aetna Affordable Health Choices 57604(SM) - SRCNAETNA INSURANCE COMPANY60054NAffinity Medical Group46594NAFL Hotel & Work Hlth & WTF75309NPo Box 29939HONOLULUHI96820AFTRA HEALTH FUND13346N261 Madison AveNew YorkNY10016AgeRight AdvantageARA01NAHA/FIRST HEALTH01066NAlameda Alliance for Health95327NAlaska Electrical Health &Welfare Fund92600NALASKA LABORERS91136NP O Box 34567SeattleWA98124Aliera HealthcareALH01NAllCare Health PlanMRIPANPage 1 of 21All AddressYList Current As of 6/14/2021 5:00:09 AM

AllCare PEBB26158N740 SE 7th StreetGrant PassOR97526ALLEGIANCE BENEFIT PLAN81040N1000 GREAT WESTDRKENNETTMO63857Alliance PPO Inc - OneNet PPO52149NALLIED ADMINISTRATORS94177NPO BOX 2500SAN FRANCISOCA94126ALLIED BENEFITS SYSTEMS37308NPO BOX 909786-60690 CHICAGOIL60690AlohaCare AdvantageALOHANY1357 Kapiolani Blvd Ste Honolulu1250HI96814Alohacare QuestALQSTNY1357 Kapiolani Blvd Ste Honolulu1250HI96814Alta Bates Medical Group ABMG A0701NAMA INSURANCE AGENCYAMAIAN200 NORTH LASALLEST SUITE 4CHICAGOIL60601AMERIBEN SOLUTIONS INC75137NP O BOX 7186BOISEID83707America's Choice20029NAMERICAN FAMILY INSURANCEAMF11N6000 AMERICANPARKWAYMADISONWI53783American Heritage77083NAMERICAN MEDICAL SECURITY81400NPO BOX 19032GREEN BAYWI54307American National Ins Co74048NAMERICAN REPUBLIC INS42011NPO BOX 2975CLINTONIA52733American Specialty HealthASH01NAMERICAN SPECIALTY HEALTHASH01NP O BOX 509001P O BOX 509001CA92150Americhoice NJ Medicaid &Family Care86047NAmerigroup26375NAMERIGROUP NJ28806NAMERIGROUP VA28804NP.O. Box 62509Virginia BeachVA234662509AMERIHEALTHADMINISTRATORS54763N720 Blair Mill RoadHorshamPA19044AMERIHEALTH HMO NEWJERSEY AND DELAWARE23037NAMERIHEALTH MERCY HEALTHPLAN22248N720 BLAIR MILL RDHORSHAMPA19044Anthem BCBS Colorado00050NAnthem BCBS Colorado (WGSEncounters)ENCWGSNAnthem BCBS Indiana00130NAnthem BCBS Kentucky00160NAnthem BCBS Maine00180NAnthem BCBS Missouri00241NAnthem BCBS Nevada00265NAnthem BCBS New Hampshire00270NAnthem BCBS Ohio00332NAnthem BCBS Virginia00423NPage 2 of 21List Current As of 6/14/2021 5:00:09 AM

Anthem BCBS Wisconsin00450NAnthem Blue Cross00060NAnthem E ConsultAECONNANTHEM HEALTH AND LIFE80705ANAnthem TelemedicineATMEDNAPWU AMERICAN POSTALWORKERS UNION44444NArizona Physicians IPA (APIPA)(UHC APIPA)03432NARM LTD NORTHWESTARMNWNArnett Health Plan - formerpayer id 9544087726NASRM CORPASRM1NYPO Box 533North HavenCT0647310200 SW Nimbus SteG5PORTLANDOR97223P O Box 6108LafayetteIN47903ASSOCIATED ADMINISTRATORS AAIORNPO BOX 1271PORTLANDOR97207ASSOCIATES FOR HEALTHCARE36326NPO BOX 981BROOKFIELDWI53008Assurant Employee Benefits Formerly FortisASSURNPO BOX 624MILWAUKEEWI53201ASSURANT HEALTH - AETNASIGNATURE ADMIN58730NPO BOX 91604LUBBOCKTX79490ASSURECARE INC88035NASURIS NORTHWEST HEALTH93221NPO BOX 30271SALT LAKE CITYUT84130Athens Area Health Plan Select95691NPO BOX 370LOUISEVILLEKY40233ATPAATPA1N7600 SW Mohawk StTualatinOR97062ATRIO Health Plan / Marion Polk ATRIOCommunity AdvantagNAUSTIN REGIONAL CLINICEMPLOYEE BENEFITCMSEBNAvMed59274NPO BOX 569000MIAMIFL33256BANKERS LIFEBNKLINPO BOX 1935CHICAGOIL60654Banner HealthSX145NBEECH STREET CORPORATION95377NP O BOX 57015IRVINECA92619BENEFIRST37125N1020 Plain StMarshfieldMA02050BENEFIT ADMINISTRATOR SYS36149N17475 JOVANNADRIVE 1BHOMEWOODIL60430BENEFIT AND RISKMANAGEMENT SVS FC99320NPO BOX 2140FOLSOMCA95763BENEFIT CONCEPTS51037NPO BOX C50WARMINSTERPA18974BENEFIT COORDINATORSCORPORATION25145N111 Ryan Court Suite300PittsburgPA15205BENEFIT MGMT SERVICES37220NPO BOX 98044BATON ROUGELA70898Benefit Plan Administrators Inc.(BPA) - MA19753NBenefit Plan Administrators Inc.(BPA) - Nevada88027NBENEFIT PLANNERS, INC.39026NPO BOX 690450SAN ANTONIOTX78269Page 3 of 21YYList Current As of 6/14/2021 5:00:09 AM

BENESIGHT87265NPO BOX 375PUEBLOCO81002BIG LOTS ASSOCIATES BENEFITPLANSCX025NP O Box 9071DublinOH43017Bind Benefits Inc25463NPO Box 211758EaganMN55121BLUE CARE NETWORK HMO BCBS MIHM710NPO BOX 68767GRAND RAPIDSMI49516BLUE CROSS BLUE SHIELD AZ53589NBlue Cross Blue Shield Georgia00101NBLUE CROSS BLUE SHIELD MI00710NPO BOX 44407DETROITMI48244BLUE CROSS BLUE SHIELD MIMedicare PlusP0710NPO BOX 440SouthfieldMI48034Blue Cross Blue Shield MTBCSMTNBLUE CROSS BLUE SHIELD RI00870N500 Exchange StPROVIDENCERI02903BLUE CROSS CA - Anthem47198NPO BOX 60007Los AngelesCA90060BLUE CROSS ID00610NPO BOX 7408BOISEID83707Blue Cross Medicare Advantage66006NBLUE SHIELD CA94036NChicoCABLUE SHIELD NY (EMPIRE)00303NBlueChoice HealthPlan Medicaid 00403NBLUECROSS BLUESHIELD IL(HCSC)00621NPO BOX 805107CHICAGOIL60680BlueCross BlueShield of Western 00246New YorkNBLUEGRASS FAMILY HEALTH61124NPo Box 21921LEXINGTONKY40522BOILERMAKERS HEALTH ANDWELFARE36609NBOON-CHAPMAN BENEFITADMINISTRATORS74238NPO BOX 9201AUSTINTX78766BOSTON MEDICAL CENTERHEALTH PLAN13337NBOULDER ADMINISTRATIONSERVICES18768N23048 N 15TH AVEPHOENIXAZ85027Bridgespan HealthBRIDGNBridgeway Health Solutions68054NBRIGHTWOOD INS - KIPCOMPANYBRIGHTNPO BOX 1400PORTLANDOR97207Brown & Toland Medical Group94316NPO Box 640469San FranciscoCA94164CAMBRIDGE ISG59334N920 SW 6TH AVENUEPORTLANDOR97204CAPITOL ADMINISTRATORS68011NCAPROCK HEALTH PLANSCAPHPNCare 1st Health Plan of Arizona57116NCare 1st Health Plan of CA57115NCARE OREGON93975NPO BOX 403PORTLANDOR97204CARE OREGON ADVANTAGE93975MNPO BOX 40328PORTLANDOR97204Page 4 of 21List Current As of 6/14/2021 5:00:09 AM

CAREFIRST ADMINISTRATORSMA52118NPO BOX 1196OWINGS MILLSMD21117CareFirst BCBSSB580NPO BOX 14116LexingtonKY40512CARESOURCE HEALTH PLAN OFOREGONMRCHPN740 SE 7TH STGRANTS PASSOR97526CARESOURCE OF INDIANA37311NPO BOX 2920CLINTONIA52733CARPENTERS HEALTH &WELFARE25133NPO Box 42031HAZELWOODMO63042CASCADE HEALTH ALLIANCECHA01NCASCADE HEALTH SERVICECHLTHNPO BOX 85008BELLEVUEWA98015CBCA ADMINISTRATORS55438NCBSA41124NPO BOX 27267MINNEAPOLISMN55427CCN, MANAGED CARE INC73159NPO BOX 235SAN DIEGOCA92193CDS GROUP HEALTH88022NPO BOX 50190SPARKSNVCELTIC INSURANCECELTCNPO BOX 26440LITTLE ROCKAR72221CEMENT MASONS PLASTERERSHEALTH91136NPO BOX 34203SEATTLEWA98324CENTRAL RESERVE LIFE34097NPO BOX 946CLEVELANDOH44101CHAMP VA - HAC84146NPO BOX 65024DENVERCO80206CHESTERFIELD RESOURCES34154NChildren's First HealthcareNetwork94321NCHOICE BENEFIT ADMIN75278NPO BOX 10048FT SMITHAR72917CHRISTIAN BROTHERS SERVICES 38308N1205 WINDHAM PKWY ROMEOVILLEIL60446Christian Care - Medishare59355NCIGNA62308NCIGNA BEHAVIORAL HEALTH02331NCIGNA MEDICARE ACCESS86033NPO BOX 696018SAN ANTONIOTX78269CLAIM MANAGEMENT SERVICES 39141INCNPO BOX 10888GREEN BAYWI54307CLAIMS CENTRAL95340NPO BOX 619031ROSEVILLECA95661CLEAR CHOICE COIHS77201NPO BOX 5729BENDOR97708CNA - PHCS71063NPO BOX 305065NASHVILLETN37230CO FINITY PPO NETWORK38335NCOASTAL ADMINISTRATIVESERVICES77052NCOLONIAL HEALTHCARE37123N399 Market StreetPhiladelphiaPA19181Columbia Pacific CCOCPCCON315 SW Fifth Avenue,Suite 900PortlandOR97204COLUMBIA UNITED PROVIDERSCUP91162N19120 SE 34th #201VancouverWA98683COMMERCE BENEFITS GROUP34181NPO BOX 900ELYRISOH44036COMMONWEALTHADMINISTRATIVE GROUP37237NPO BOX 9016ANDOVERMA01810Page 5 of 21YYYList Current As of 6/14/2021 5:00:09 AM

COMMUNITY HEALTH PLAN OFWASHINGTONCHPWAN720 OLIVE WAY #300SEATTLEWA98101COMPLIMENTARY HEALTHCARE 93101PLANS KAISERNComprehensive Benefits03036NPo Box 8955MelvilleNY11747CONNECTICARE INC06105NPO BOX 546FARMINGTONCT06034CONNECTICUT GENERALCONNGNP O BOX 29000ATLANTAGA30359CONNECTICUT GENERAL MEDICAL ONLYCONGENPO BOX 9003JERICHONY11753CONSOLIDATED GROUP/HPS04274NConsolidated Health Plans87843N2077 Roosevelt Avenue SpringfieldMA01104CONTINENTAL AMERICANINSURANCE35315NPO BOX 2086FT MILLSC29716Continental Benefits35245NCONTINENTAL GENERALINSURANCE CO71404NPO BOX 24505TUCSONAZ85734Cook Group Health Plan35149NCOOPERATIVE BENEFIT ADMININC52132NPO BOX 145LEXINGTONKY14586COORDINATED BENEFIT PLAN14829NPO BOX 20594TAMPAFL33622COORDINATED CARE68069NPO BOX 4030FARMINGTONMO63640CORE MANAGEMENTRESOURCES58231NCORESOURCE LITTLE ROCK75136NPO BOX 8215LITTLE ROCKAR72221CORESOURCE OF AZ & MN41045N7830 E BROADWAYTUCSONAZ85710CORESOURCE OF FLORIDACOREPNPO BOX 5190TAMPAFL33675CORESOURCE OF MD PA IL35182NCORESOURCE OF NORTHCAROLINA35180N6100 FAIRVIEW RDSUITE 1000CHARLOTTENC28210CORESTAR41045NPO BOX 1195MINNEAPOLISMN55440Corizon - Correctional MedicalServices43160NCORPORATE BENEFITS SERVICE56116NPO BOX 12953CHARLOTTENC28220Correctional Health PartnersPHPMCNCOUNTRY LIFE INSURANCE62553NCOVENANT ADMINISTRATORS,INC58102NPO BOX 105ATLANTAGA30348COVENTRY HEALTH CARE25133NPO BOX 8400LONDONKY40742Cox Health Plan00019NPO BOX 5750SPRINGFIELDMO65801CYPRESS BENEFITADMINISTRATORS88056N5560 W GRANDEMARKET DRAPPLETONWI54913DAKOTACARE ADMIN SVC INCDAK01NPO BOX 7406SIOUX FALLSSD57117DEAN HEALTH PLANORDEANPO BOX 56099MADISONWI53705DEFINITY SERVICES87726NPO BOX 9525AMHERSTNY14226DELTA HEALTH SYSTEMDHS01NPO BOX 311STOCKTONCA95201Page 6 of 21YYList Current As of 6/14/2021 5:00:09 AM

YDESERET MUTUALUH105NDESTINY HEALTH PLAN36436NPO BOX 4628OAK BROOKIL60522DIRECTORS GUILD OF AMERICA23706NPO BOX 48127LOS ANGELESCA90048DIVERSIFIED ADMINISTRATIONCORP06102NPO BOX 299MARLBOROUGHCT06447DMERC REGION D19003NPO Box 6727FargoND58108Eastern Oregon CCOEOCCONEBMC31074N4789 RINGS RDDUBLINOH43017EDS HEALTH CHOICE22521NPO BOX 24870OKLAHOMA CITY OK73124Employee Benefit Administration 95288& ManagementNEMPLOYEE BENEFIT CONCEPTSINC38241NEMPLOYEE BENEFITCONSULTANT & ADMIN34145N1867 W MARKETSTREETAKRONOH44313EMPLOYEE BENEFITMANAGEMENT EBMS81039NPO BOX 21367BILLINGSMT59104EMPLOYEE BENEFIT SERVICES37216NEmployee Painters TrustEMPPTN104 S Freya Ste 220SPOKANEWA99202EMPLOYERS DIRECT HEALTH(FULLY)75235NEMPLOYERS HEALTH TRUSTEMPHTNPO BOX 1188PORTLANDOREMPLOYERS INS OF WAUSAU39026NPO BOX 801WAUSAUWI54402EMPLOYERS LIFE INSURANCECORP.37249NP O Box 5787SpartanburgSC29304Envolve Benefit Options56190NEPREHS HEALTH87042N795 NORTH 400 WEST SALT LAKE CITYUT84103EQUICOREQUICNP O Box 182015COLUMBUSOH43218EQUIFAX HEALTHCARE ADMIN(EHAS)75196NEquitable Life and CasualtyInsurance Company87012NEQUITABLE PLAN SERVICES73126NERIN GROUP ADMINISTRATORS 23250NPO BOX 7777LANCASTERPA17604Euro Center USA65101NFAMILY CARE INC CCO/PHTECHPHD01NPO BOX 5930SALEMOR97304FAMILY CARE INC - MEDICAIDFCD01N2121 SW BROADWAY PORTLANDSTE #300OR97201FAMILY CARE INC - MEDICAREPHR01NFAMILY CARE INC - MHO MENTAL HEALTHFCM01NFEDERATED MUTUAL41041NPO BOX 328OWATONNAMN55060FIRST CHOICE (CT)14162NFIRST CHOICE HEALTH CNN91131NPOBox 3000ScottsdaleAZ85271Page 7 of 21YYList Current As of 6/14/2021 5:00:09 AM

PO BOX 12659SEATTLEWA98111PO BOX 11748TUSCONAZ85734NPO BOX 520PUEBLOCO81002FISWAUNPO BOX 30541SALT LAKE CITYUT8412348117NP O BOX 25946OVERLAND PARK KS66221FORTIS BENEFITS INS COMPANY 70408NPO BOX 624MILWAUKEEWI53204FOUNDATION BENEFITS ADMIN BOONGN6300 BRIDGEPOINTPARKWAYAUSTINTX78730FOX EVERETT INC64069NPO BOX 6012RIDGELANDMS39158FREEDOM CAREFDMCRNFRINGE BENEFITSCOORDINATORS59204NGALLAGHER BENEFITADMINISTRATORS37283NPO BOX 5227LISLEIL60532GEHA ASA (Aetna SignatureAdministrators)06603NGEHA MO44054NPO BOX 466INDEPENDENCEMO64051GENERAL AMERICAN LIFE INSGENAM63665NGHI - GROUP HEALTH INC13551NPO BOX 2832NEW YORK CITYNY10116GHP (GROUP HEALTH PLAN)25133NPO BOX 3000NEW YORKNY10116GIC INDEMNITY PLAN65099NPO BOX 406SCHAUMBURGIL60168GILSBAR07205NPO BOX 2947COVINGTONLA70434GLOBAL CARE07689NPO BOX 247ALPHARETTAGA30009Global Excel ManagementGEM01NPO BOX 9Beebe PlainVT05823GOLDEN RULE INSURANCE CO37602N7440 Woodland DriveIndianapolisIN46278GOVERNMENT EMPLOYEESHOSP ASSOC44054NGREAT WEST LIFE80705N1000 GREAT WESTDRIVEKENNETTMO638573749GROUP - PENSIONADMINISTRATORS48143NPO BOX 830248RICHARDSONTX75083GROUP ADMINISTRATORS36338N1880 NORTHROSELLE ROADSCHAUMBURGIL60195Group Health Cooperative ofSouth Central WI39167NPO Box 44971MADISONWI53744GROUP HEALTH COOPERATIVEWEST91051NPO Box 34585SeattleWA98124Group Health Inc13551NPO BOX 2832NEW YORKNY10116GROUP HEALTH MANAGERS38194NFIRST CHOICE HEALTHNETWORK91131NFIRST HEALTH87043NFIRST HEALTH BENEFITCONCEPTS25133NFIRST HEALTH NETWORK75139NFIRST SERVICEADMINISTRATOR'S LAKELANDFL59276NFISERV HEALTH KANSAS/TENNESSEE62061FISERV HEALTH - WAUSAUFMH BENEFIT SERVICES INCPage 8 of 21List Current As of 6/14/2021 5:00:09 AM

GROUP HEALTH NW91121NPO BOX 200SPOKANEWA99210GROUP INSURANCE SERVICECTR37276NPO BOX 9120MARSHFIELDMA02050HARRINGTON BENEFIT SVCS95266NPO BOX 720PUEBLOCO81002HARRINGTON HEALTH BPO59143NPO BOX 30537SALT LAKE CITYUT84130HARVARD PILGRIM HEALTHCARE04271NP O BOX 699183QUINCYMA02269HAWAII MANAGEMENTALLIANCE ASSOCIATION HMAA48330NHAWAII MEDICAL SERVICEASSOCIATIONHMSA2NHCC MISHCCMINPO BOX 2005Farmington HillsMI483332005HCH ADMINISTRATION INC37111NPO BOX 1986PERORIAILHealth Alliance Medical Plans ofIllinois77950NHealth Alliance Plan of Michigan 38224NHealth Choice Arizona62179NHealth Choice Generations62180NHEALTH COMP85729NHEALTH COST SOLUTIONS62111NHEALTH DESIGNS PLUS34158NPO Box 5065FindlayOH45839HEALTH EXCHANGE20356NHealth First95019NPo Box 565001RockledgeFL32956HEALTH FIRST TPA75234NHEALTH FUTURE30946N825 E MAIN STREET#DMEDFORDOR97504Health Mana