ENS ECT Participating Payer List

State Payer Name Payer ID

Claim Office

ECT Reports

All AC Retiree's Voluntary Benefit Services 39140 NOCD ParAll ACCLAIM 64071 NOCD Par

ALL Accordia National 87815 MCSI ParAll Admar Corporation 95285 NOCD Par

ALL Advanced Data Solutions Inc. 58202 NOCD ParALL Advantage Care 61123 NOCD ParALL Advantra/Health America, Inc./Health Assurance 25126 NOCD ParGA Advica/Northeast Gerogia Health System, Inc. 13376 NOCD ParAll Aetna Health Plan - PPO 60054 NOCD ParAll Aetna Life & Casualty Company 60054 NOCD ParAll Aetna Life & Casualty Company 60054 NOCD ParAll Aetna Life & Casualty Company 60054 NOCD ParAll Aetna Life & Casualty Company 60054 NOCD ParAll Aetna Life & Casualty Company 60054 NOCD ParAll AETNA US Healthcare (HMO) 23222 NOCD ParCA Affinity Medical Group AMGCA NOCD NonALL AH & L 80705 NOCD ParAK Alaska Premera Blue Cross AKBLC BCBS NonALL Alexian Brothers 37117 NOCD ParAll All Savers Insurance Co. 37602 NOCD ParCO Alliance ALNCE ALLI NonMD Alliance PPO Inc. 52149 MCSI ParGA Alliant Health Plans of Georgia 58234 NOCD ParALL Allied Benefit Systems 37308 NOCD ParFL Allied Health Group-HIP New York AXH01 AHGF Non

ALL Alta Bates Medical Group 94318 NOCD ParAll Alta Health Stratagies (First Health) 87043 NOCD ParAll Amalgamated Life Insurance Co. 13550 NOCD ParTX Americaid Community Care (Dallas/Ft Worth) 27514 NOCD ParMD Americaid Community Care (Maryland) 27517 NOCD ParNJ Americaid Community Care (New Jersey) 27516 NOCD ParAll American Community Mutual Insurance 60305 NOCD ParAll American Medical Security 81400 NOCD NonAll American Postal Workers Union Health Plan 44444 NOCD ParAll American Postal Workers Union Health Plan 44444 NOCD ParAll AmeriHealth Mercy Health Plan 22248 NOCD ParAll Amway Corporation 38254 NOCD ParTX APPENDAmericaid Community Care (Houston) 27515 NOCD ParAll Associates for Healthcare 36326 NOCD Par

ALL Athens Health Plan 95691 NOCD ParALL Automotive Machinists Local 289 Health & Welfare Trust - Grp#F32 91136 NOCD Par

All Bankers Unified Life (Student Division) 74227 NOCD ParAll Bell Atlantic (Prudential) 68241 NOCD ParAll Benefit Planners, Inc. 74223 NOCD ParAll Benefit Systems and Services, Inc. 36342 NOCD ParAll Benefit Trust Life Insurance Company 61425 NOCD Par

ALL Benesight (formerly The TPA) 87265 NOCD ParFL Blue Cross Blue Shield of Florida* FLBLS BCBS NonCA Blue Cross of California BC001 NOCD ParCA Blue Cross of California Encounters 47199 NOCD ParID Blue Cross of Idaho* IDBLC BCBS Non

WA Blue Cross Premera of Washington WABLC BCBS NonAZ Blue Shield of Arizona * AZBLS NOCD NonCA Blue Shield of California* BS001 NOCD ParCA Blue Shield of California* BS001 NOCD Par

ENS Confidential Page 1

ENS ECT Participating Payer List

State Payer Name Payer ID

Claim Office

ECT Reports

CO Blue Shield of Colorado* COBLS BCBS ParDE Blue Shield of Delaware DEBLS BCBS NonGA Blue Shield of Georgia* GABLS BCBS NonID Blue Shield of Idaho* IDBLS BCBS NonIL Blue Shield of Illinois* ILBLS BCBS NonIA Blue Shield of Iowa* IABLS BCBS NonKS Blue Shield of Kansas* KSBLS BCBS NonMD Blue Shield of Maryland MDBLS BCBS NonMT Blue Shield of Montana MTBLS BCBS NonNE Blue Shield of Nebraska* NEBLS BCBS NonNJ Blue Shield of New Jersey* 22099 NOCD ParND Blue Shield of North Dakota* NDBLS BCBS NonOK Blue Shield of Oklahoma* OKBLC BCBS NonSD Blue Shield of South Dakota* SDBLS BCBS NonTN Blue Shield of Tennessee* TNBLS BCBS NonTX Blue Shield of Texas TXBLS NOCD NonVA Blue Shield of Virginia VABLS BCBS NonWI Blue Shield of Wisconsin* WIBLS BCBS NonWY Blue Shield of Wyoming* WYBLS BCBS NonWA Blue Shield Regence of Washington RGBLS BCBS NonALL Bluegrass Family Health (UPIN required in Box 33a) 61124 NOCD ParALL Boilermakers national Health & Welfare Fund 36609 NOCD ParALL Boon-Chapman Benefit Administrators, Inc. 74238 NOCD ParALL Brown & Toland Medical Group 94316 NOCD ParFL CAC/United Healthcare (Coral Gables claim office only) CAC01 NOCD ParFL CAC/United Healthcare (Coral Gables claim office only) CAC01 NOCD ParFL CAC/United Healthcare (Coral Gables claim office only) CAC01 NOCD ParFL CAC/United Healthcare (Coral Gables claim office only) CAC01 NOCD ParFL CAC/United Healthcare (Coral Gables claim office only) CAC01 NOCD ParFL CAC/United Healthcare (Coral Gables claim office only) CAC01 NOCD ParNY Care Management Group of Greater NY, Inc. 11331 NOCD ParAll Care Partners 43172 NOCD ParAll Cascade Health Partners 93102 NOCD ParAll Caterpillar, Inc. - Located in Peoria, Illinios 37060 NOCD ParAll CBA, Inc. (Cooperative Benefits Administrators, Inc.) 52132 NOCD Par

ALL CCEA Welfare Benefit Trust 88019 NOCD ParALL CCN 33005 NOCD ParALL Cement Masons & Plasterers Health & Welfare Trust - Grp#F16 91136 NOCD ParAll Centra Benefit Services 75243 NOCD NonAll Central & Southwest Services 75177 NOCD ParAll Central Benefit National 31118 NOCD ParAll Central Reserve Life 34097 NOCD ParAll Central States Southeast and Southwest Areas Health and Welfare and

Pensions Funds36215 NOCD Par

All Champus Non-Partnership Claims* 99999 9999 ParAll Champus Partnership Claims* 99999 8888 ParAll Choice Plus (TRW) 68241 NOCD ParAll CIGNA - PPO 62308 NOCD ParAll CIGNA - PPO 62308 NOCD ParAll CIGNA Behavioral Health MCCBV NOCD NonAll CIGNA Health Plan - HMO 62308 NOCD ParAll Claims Administration Coporation 62413 X100 ParAll CNA Health Partners 71063 NOCD Par

ALL CNA Health Partners Repricing - AR 48153 NOCD ParAll CNA Insurance PH005 NOCD ParAll CNA Mailhanders 62413 NOCD Par

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ENS ECT Participating Payer List

State Payer Name Payer ID

Claim Office

ECT Reports

All CNA Mailhanders 62413 NOCD ParCO Colorado Access HMO COACC COAC NonCO Colorado Blue Advantage COHMO BCBS ParCO Colorado Kaiser Permanente (Colorado plans only **EXCEPT COLORADO

SPRINGS**)COKSR NOCD Non

CO Colorado Springs Kaiser Permanente (Colorado Springs plan only) KSRCS NOCD Par

ALL Columbia Cornell Care 25351 NOCD ParALL Commerce Benefits Group 34181 NOCD ParAll Community Care Behavioral Health Org. 25179 NOCD ParMI Community Choice of Michigan (MI Medicaid) MICOM NOCD ParAll Community Health Plan of Albany (CHP) 23742 NOCD ParCA Community Preferred Health Plan (CA) 39026 NOCD ParCO Compusys of Colorado COMPU COLO NonALL Confederation Admin Services 80705 NOCD ParALL Confederation Life Insurance 80705 NOCD ParAll Connecticare, Inc. 06105 NOCD ParAll Connecticare, Inc. 06105 NOCD ParAll Consolidated Group / Health Plan Services 04284 NOCD NonAll Consolidated Group Claims (CGC) 04284 NOCD NonAll Continental Assurance PH005 NOCD Par

ALL Continental Life & Accident Co 35196 NOCD ParAll Cooperative Benefit Administrators, Inc. 52132 NOCD ParAR Coresource - Little Rock 71063 NOCD ParALL CoreStar 41045 NOCD ParAll Country Life Insurance Company 62553 NOCD ParDE Coventry Health Care of Delaware 25130 NOCD ParDE Coventry Health Care of Delaware, Inc. 25130 NOCD ParGA Coventry Health Care of Georgia 25127 NOCD ParIN Coventry Health Care of Indiana 25131 NOCD ParIA Coventry Health Care of Iowa 25132 NOCD ParKS Coventry Health Care of Kansas -- Kansas City 25133 NOCD ParKS Coventry Health Care of Kansas -- Wichita 25134 NOCD ParLA Coventry Health Care of Louisiana 25135 NOCD ParNE Coventry Health Care of Nebraska 25136 NOCD ParNC Coventry Health Care of North Carolina 25129 NOCD ParSC Coventry Health Care of South Carolina 25129 NOCD ParALL Crown Life 80705 NOCD ParALL CustomCare 68241 NOCD ParAll Daymed Health Maintenance 31111 NOCD ParAll Delaware Health Plan Consortium 63081 NOCD ParDE DelawareCare, Inc. 25137 NOCD ParAll Diversified Group Brokerage 06102 NOCD Par

ALL East Bay Medical Network 94318 NOCD ParAll EAU Claire Health Protection Plan 39026 NOCD ParAll EBA - Employee Benefits America 67466 NOCD ParAll EBA - Employee Benefits America 67466 NOCD ParAll Electronic Transmission Corporation 75260 NOCD ParAll Emerald Health Network 34167 NOCD Par

ALL Emerald Health Network, Inc. (All HMO Business) 34167 NOCD ParALL Employee Plans, LLC 35112 NOCD ParALL Employee Security, Inc. 54098 NOCD ParAll Employers Health Insurance EMPHE EMPH NonAll Employers Health Insurance EMPHE EMPH NonFL Employers Mutual, Inc. 59298 NOCD Par

ALL Encompass 37110 NOCD Par

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ENS ECT Participating Payer List

State Payer Name Payer ID

Claim Office

ECT Reports

ALL Enstar Natural Gas - Grp# P61 91136 NOCD ParAll EQUICOR 62308 NOCD ParAll EQUICOR - PPO 62308 NOCD ParAll Equifax Healthcare Admin. Svc. (EHAS) 75196 NOCD NonAll Erisa Administrative Services, Inc. 74234 NOCD Par

ALL Evergreen Health Plan 58233 NOCD ParAll ExclusiveCare 71412 NOCD NonCO FHP of Colorado - HMO claims only. Trading Partner Number required COFHP FHPC Par

All First Allmerica Financial Life Ins. Co. 69140 NOCD ParALL First Great West Life & Annuity 80705 NOCD ParALL First Great-West Life & Annuity 80705 NOCD ParAll First Health (Alta Health Strategies) 87043 NOCD ParAll First Option Health Plan 22324 NOCD ParAll First State Health Plan 63080 NOCD ParFL Florida 1st - Winterhaven, Florida 59276 NOCD ParFL Florida Power & Light 68241 NOCD ParAll FORTIS (Formerly Time Insurance) 39065 NOCD Par

ALL Fortis (Western Life Ins. Benefit Plan) 39065 NOCD ParALL Fortis Benefits, Inc. (Woodbury) PHCS Network Claims 39065 NOCD ParALL Fortis Self Funded Administrative Services 41124 MCSI ParAll FORTIS Western 39065 NOCD ParFL Foundation Health of Florida-Claims FHFLC FLHL ParFL Foundation Health of Florida-Encounters FHFLE FLHL Par

ALL FoxEverett - Ingalls Ship Building 64067 NOCD ParALL Fox-Everett, Inc. 64069 NOCD ParCO Ft Collins IPA (Paragon) (In Testing) PRGON NOCD NonAll Gateway Health Plan 25169 NOCD ParAll Gateway Health Plan 25169 NOCD ParMO GenCare Health (St. Louis only) 63665 NOCD ParMO Geneico (St. Louis only) 63665 NOCD ParAll General American Life Insurance Company 63665 NOCD ParAll George Washington University Health Plan GWUNI NOCD ParGA Georgia Power Company 01124 NOCD ParALL Glassworkers Health & Welfare Fund - Grp# F29 91136 NOCD ParAll Golden Rule Insurance 37602 NOCD Par

ALL Goodyear Tire & Rubber Company 34025 NOCD ParAll Government Employees Hospital Association (GEHA) 44054 NOCD ParAll Government Employees Hospital Association (GEHA) 44054 NOCD ParCA Great West (SF) 80705 NOCD ParWA Great West (WA) 80705 NOCD ParALL Great West Care 80705 NOCD ParCO Great West Denver 80705 NOCD ParALL Great West Life Assurance 80705 NOCD ParAll Great West Life Assurance Company of America 80705 NOCD ParWI Greater WI Rapids Health Protection Plan 39026 NOCD ParWA Great-West Bellevue 80705 NOCD ParWI Green Bay Health Protection Plan 39026 NOCD Par

ALL Group Administrators Ltd. 36338 NOCD ParWA Group Health Cooperative (WA) 91051 NOCD ParAll Group Health Incorporated (GHI) (New York City)* 13551 NOCD ParDE Group Health Insurance - DE 95885 NOCD ParDE Group Health Insurance - DE 61101 NOCD Par

ID,WA Group Health Northwest (E Washington & N Idaho only) 91121 NOCD ParAll Guardian Life Insurance Company of America 64246 NOCD ParFL Gut Management - Cigna GT102 FLSN Non

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ENS ECT Participating Payer List

State Payer Name Payer ID

Claim Office

ECT Reports

FL Gut Management - United Health Care Plan GT104 FLSN NonALL GWL 80705 NOCD ParALL GWL & A 80705 NOCD ParAll Harrington Benefit Services 95266 NOCD NonAll Harris Methodist Health Plan 75201 NOCD ParAll Harris Methodist Hlth Plan (EDS Members Only) 75204 NOCD Par

ALL Harvard Pilgrim Health Care 04271 NOCD ParHI Hawaii Medicare HIMCR BCBS Non

ALL Hawki 86065 NOCD ParALL HCH Administration 37111 NOCD ParIL Health Alliance ILHAL NOCD Par

ALL Health Alliance Medical Plans 77950 NOCD ParAll Health Alliance Plan of Michigan 38224 NOCD Par

ALL Health America Inc. 25126 NOCD ParALL Health Assurance 25126 NOCD ParAll Health Care Alliance (Sears) 68241 NOCD ParGA Health Care Svcs., Georgia Power 01124 NOCD ParAll Health Choice Plus 69140 NOCD Par

ALL Health Data Solutions 46112 NOCD ParAll Health Economics Corporation 75196 NOCD NonTX Health First-Tyler, TX 75234 NOCD ParAll Health Help Networks, Inc. 59087 NOCD Par

ALL Health Management Associates (HMA) 86065 NOCD ParCA Health Net (California Encounters Only) HM001 NOCD ParCA Health Net (of California) 95567 NOCD ParOR Health Net Oregon 22340 NOCD ParFL Health Options of Florida (Blue Shield HMO) FLHLT BCBS NonFL Health Options of Florida (Blue Shield HMO) ENCOUNTERS ONLY!! FLENC BCBS Non

All Health Plan Services Oklahoma Office 59142 NOCD NonAll Health Plan Services, Tampa Office 59140 NOCD NonAll Health Risk Management 41170 NOCD ParAll Health Services Medical Corporation 16105 NOCD ParDE Health Value Mgmt. - DE (Humana) 95885 NOCD Par

TN,MS,AR

HealthChoice of Memphis 62168 NOCD Par

NY Healthfirst, Inc. (NY) 80141 NOCD ParAll HEALTHLINK HMO 96475 NOCD ParAll HEALTHLINK PPO 90001 NOCD ParMO Healthnet, Kansas City, MO 43132 NOCD ParAll Healthpoint Corporation 68195 NOCD ParAll HealthPower HMO 31106 NOCD ParAll HealthRight Inc. 06142 NOCD ParAR Healthsource Arkansas - Claims must contain Healthsource specific

Vendor ID & specific Rendering Provider ID71074 NOCD Par

IN Healthsource Indiana - Claims must contain Healthsource specific Vendor ID & specific Rendering Provider ID

35167 NOCD Par

KY Healthsource Kentucky - Claims must contain Healthsource specific Vendor ID & specific Rendering Provider ID

61127 NOCD Par

ME Healthsource Maine - Claims must contain Healthsource specific Vendor ID & specific Rendering Provider ID

01041 NOCD Par

NH Healthsource New Hampshire - Claims must contain Healthsource specific Vendor ID & specific Rendering Provider ID

02038 NOCD Par

NY Healthsource New York - Claims must contain Healthsource specific Vendor ID & specific Rendering Provider ID

16126 NOCD Par

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ENS ECT Participating Payer List

State Payer Name Payer ID

Claim Office

ECT Reports

NC Healthsource North Carolina - Claims must contain Healthsource specific Vendor ID & specific Rendering Provider ID

56147 NOCD Par

TX Healthsource North Texas - Claims must contain Healthsource specific Vendor ID & specific Rendering Provider ID

75255 NOCD Par

All Healthsource Provident Ins. Co. 68195 NOCD ParAR Healthsource, AR (Med) (CIGNA) 71075 NOCD ParGA Healthsource, GA (CIGNA) 58210 NOCD ParMA Healthsource, Mass 02041 NOCD ParOH Healthsource, OH 31141 NOCD ParTN Healthsource, TN (CIGNA) 62129 NOCD ParAll HealthStar, Inc. 36332 NOCD ParAll Healthy Choice 69140 NOCD ParAll Heritage New York Medical Group 11328 NOCD ParAll Hinsdale Physicians Healthcare 37115 NOCD ParNY HIP-Health Insurance Plan of Greater NY* 55247 MCSI ParAll HMA 86065 NOCD ParCO HMO of Colorado, also known as HMOC (Prior appproval by HMOC

required prior to sending claims electronically)COHMO BCBS Par

All HMPK, Inc. 95885 NOCD ParAll Hotel Employees & Restaurant Employees Health Trust - Grp#F19 91136 NOCD Par

All HPlan, Inc. 95885 NOCD ParAll HPM 41170 NOCD ParAll HPR 94254 NOCD ParAll HPS Paradigm, Inc. 58227 NOCD ParAll HRM 41170 NOCD ParAll HRM Claim Management 41170 NOCD ParAll Humana 95885 NOCD ParAll Humana Employers Health (Green Bay WI) EMPHE EMPH NonIL Humana Health Chicago Ins. Co. 95885 NOCD ParAll Humana Health Plan 95885 NOCD ParAll Humana Health Plan 95885 NOCD ParAll Humana Insurance Agency 95885 NOCD ParAll Humana Insurance Company 95885 NOCD ParCA Humana Medical Plan - CA 95885 NOCD ParKY Humana Medical Plan - KY 95885 NOCD ParALL Humana Medicare Gold Plus 95885 NOCD ParAll Humana, Encounters Only 61102 NOCD ParAll IBI 41124 NOCD ParAll IBM Medical Plans 68241 NOCD ParIN Indiana ProHealth Network 35161 NOCD ParAll InHealth, Inc. 31112 NOCD ParAll InProNet 93112 NOCD ParAll Institutes of Quality 68241 NOCD ParAll Insurance Service of Lubbock ISL11 NOCD ParAll Integrated Benefit Services 37124 NOCD ParAll Interactive Diagnostic Services, Inc. 94315 NOCD ParIA Iowa Benefits, Inc. 41124 NOCD ParIA Iowa Health Solutions 86065 NOCD ParAll JF Molly 61271 NOCD ParAll John Alden Life Ins. 41099 NOCD ParAll John Deere Healthcare/Heritage 95378 NOCD ParAll John Hancock Health Security Plan 65099 NOCD ParAll John Hancock Mutual Life Insurance Company 65099 NOCD ParAll John Hancock Preferred Health Plan 65099 NOCD Par

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ENS ECT Participating Payer List

State Payer Name Payer ID

Claim Office

ECT Reports

GA Kaiser Foundation Health Plan of Georgia 21313 NOCD ParCA Kaiser Foundation Health Plan of Southern CA Region * 94134 NOCD ParAll Kaiser Permanente - Northeast Division (formerly Community Health of NY) 23742 NOCD Par

All Kapiolani Health Commercial KAP01 NOCD NonKY Kentucky Kare 95885 NOCD ParAll Kepple & Company 37124 NOCD ParCA Key Health Plan (CA) 39026 NOCD ParAll Keystone Mercy Health Plan 22248 NOCD ParAll LaCrosse Care Plus 39026 NOCD ParAll Lake Forest Managed Care Associates 37112 NOCD ParAll Lakeside Health Services 95415 NOCD Par

ALL Lakeside Medical Group Inc. 80705 NOCD ParAll Lewer Agency (The) 44066 NOCD ParCA LifeGuard LFGRD NOCD ParAZ Lincoln National - Phoenix, AZ (Humana) 95885 NOCD ParAll Lovelace Health Plan 62310 NOCD ParAll Lovelace Senior Options (LSO) 62310 NOCD ParAll Lovelace Senior Plan (LSP) 62310 NOCD ParAll MAG Mutual Healthcare 22445 NOCD ParFL Magellan United Health Care - GUT GT104 FLSN NonFL Magellan United Health Care - Sky SM104 FLSN NonAll MAMSI Life and Health Insurance Co. (MLH) 52148 NOCD ParAll Manhattan National Life Insurance 35196 NOCD ParAll MAPCO Inc. 75258 NOCD ParAll Marriott 68241 NOCD ParAll Massachusetts Mutual also known as Mass Mutual 80314 NOCD ParAll Matthew Thornton Health Plan 02030 NOCD ParAll Mcare 38264 NOCD ParAll MCC Behavioral Care MCCBV NOCD NonAll MD-Individual Practice Association, Inc. (M.D. IPA) 52148 NOCD Par

MD,NY MDNY Healthcare 11338 NOCD ParALL MedCost Benefit Services 56205 NOCD ParAll MedCost, Inc. 56162 NOCD ParCO Medicaid of Colorado* COMCD BCBS NonFL Medicaid of Florida* FLMCD UNIS NonID Medicaid of Idaho* IDMCD NOCD NonIA Medicaid of Iowa* IAMCD CONS NonKS Medicaid of Kansas* KSMCD BCBS NonMN Medicaid of Minnesota MNMCD NOCD NonMT Medicaid of Montana* MTMCD CONS NonNE Medicaid of Nebraska* NEMCD NOCD NonND Medicaid of North Dakota* NDMCD NOCD NonSD Medicaid of South Dakota* SDMCD NOCD NonTX Medicaid of Texas* TXMCD NOCD NonWA Medicaid of Washington (DSHS) WADSH BCBS NonWI Medicaid of Wisconsin* WIMCD EDS NonWY Medicaid of Wyoming* WYMCD NOCD NonALL Medical Benefits Mutual 74323 NOCD ParCA MediCal of California* (In Testing) MDCAL NOCD NonMO Medical Plan of Kansas City - MO 95885 NOCD ParALL Medical Resource Network (MRN, INC) 58203 NOCD ParALL Medical Select Management 13375 NOCD ParOH Medical Value Plan - Ohio (MVP) 38224 NOCD ParALL Medicare Extra 95436 NOCD ParAZ Medicare of AZ * AZMCR NOCD Non

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ENS ECT Participating Payer List

State Payer Name Payer ID

Claim Office

ECT Reports

DC Medicare of DC* (inc. Prince George County, Montgomery, Fairfax, Arlington, City of Alexandria)

00903 NOCD Non

DE Medicare of Delaware* 00902 NOCD NonIA Medicare of Iowa* IAMCR BCBS NonLA Medicare of Louisiana* LAMCR BCBS ParMD Medicare of Maryland* 00901 NOCD NonNC Medicare of North Carolina* NCMCR NOCD NonCA Medicare of Northern California* CNMCR NOCD NonSD Medicare of South Dakota* (In Testing) SDMCR NOCD NonCA Medicare of Southern California* CSMCR NOCD NonTN Medicare of Tennessee* TNMCR NOCD NonWA Medicare of Washington WAMCR BCBS NonWI MEDICARE OF WISCONSIN WIMCR WPS NonCO Medicare Part B of Colorado* COMCR BCBS NonFL Medicare Part B of Florida* FLMCR BCBS NonGA Medicare Part B of Georgia* GAMCR AETN NonIL Medicare Part B of Illinois* ILMCR BCBS NonKS Medicare Part B of Kansas* KSMCR BCBS NonNE Medicare Part B of Nebraska* NEMCR BCBS NonTX Medicare Part B of Texas* TXMCR NOCD NonWY Medicare Part B of Wyoming* (Test required) WYMCR BCBS NonAll Medicare Railroad* (MetraHealth Medicare) RRWMC TRAV NonAll Medicare Smart 58228 NOCD ParAll MediPrime 94254 NOCD Par

ALL MedSolutions, Inc. 62160 NOCD ParAll MEGA Life & Health Ins. Co. (Student Division) 74227 NOCD ParAll Mercy Health Plan of New Jersey* 22326 NOCD ParAll Meridian Health Care Management 77042 NOCD ParAll Met Elect 65978 NOCD Par

ALL MethodistCare, Inc. 95420 NOCD ParAll Metlife Health Care Network - PPO/HMO 65978 NOCD ParAll Metlife Health Care Network - PPO/HMO 65978 NOCD ParAll MetraHealth 87726 NOCD ParAll Metropolitan Life Insurance Company 65978 NOCD Par

IL, IN Michael Reese HMO Plan - IL, IN 95885 NOCD ParAll Mid Atlantic Health Plans 63709 NOCD Par

ALL Mid Atlantic Psychiatric Services, Inc. (MAPSI) 52149 NOCD ParAll Mid-Atlantic Health Systems, Inc. - First State Health Plan 51035 NOCD Par

NE,IA Midlands Choice 47080 NOCD ParALL Midlands Health Partners 47080 NOCD ParAll Mid-Valley Carenet 31140 NOCD ParAll MidWest Securities MIDSC NOCD ParAll Mid-West United Life (Student Division) 74227 NOCD ParMN Minneapolis Prudential Business 68241 NOCD ParAll Mississippi Select Healthcare 75203 NOCD ParAll Momentum Health Services 72135 NOCD ParCO Mountain Medical (MMA) COMMA CMMA ParAll Mutual Alliance Plan (MAP) 69140 NOCD ParAll Mutual Alliance Plan (MAP) 69140 NOCD ParAll Mutual Benefit 39065 NOCD ParAll Mutual Benefit Life 39065 NOCD ParAll Mutual Group, The (US) 70491 NOCD NonAll Mutual of Omaha Insurance Company 71412 NOCD NonAll Mutual of Omaha Insurance Company 71412 NOCD NonAll Mutually Preferred 71412 NOCD Non

ALL N.W. Ironworkers Health & Security Trust Fund - Grp#F15 91136 NOCD Par

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ENS ECT Participating Payer List

State Payer Name Payer ID

Claim Office

ECT Reports

ALL N.W. Roofers & Employers Health & Security Trust Fund - Grp#F14 91136 NOCD Par

ALL N.W. Textile Processors - Grp#F14 91136 NOCD ParAll National Association of Letter Carriers 53011 NOCD ParAll National Association of Letter Carriers 53011 NOCD Par

DC VA MD

National Capital Area* NCABS NOCD Non

All National Rural Electric 52132 NOCD ParAll Nationwide Group 31417 NOCD Par

ALL Nationwide Health Plans - HMO, PPO, POS 31112 NOCD ParAll Nationwide Insurance 31417 NOCD ParAll Nationwide Life and Health 31417 NOCD ParAll Nationwide Mutual Insurance 31417 NOCD ParVA NCAS - Charlotte, VA 75191 NOCD ParVA NCAS - Fairfax, VA 75190 NOCD ParALL Neighborhood Health Providers 11325 NOCD ParNV Nevada Health Solutions 86065 NOCD ParNV NevadaCare 86065 NOCD ParNV NevadaCare Kids 86065 NOCD ParAll New England, The 66893 NOCD ParAll New England, The 66893 NOCD Par

ALL New West Health Plan 84141 NOCD ParNY New York Medical Imaging-MVP 14179 NOCD ParNY New York State Employees (Empire) 65978 NOCD ParALL NGS American, Inc. 38225 NOCD ParAll Nippon Life Insurance Company 81264 NOCD Par

ALL North American Administrators, Inc. 64157 NOCD ParCA North American Medical Management (NAMM) - Northern California E3510 NOCD Par

All North Texas Healthcare Network 35212 NOCD ParAll North West Life PH018 NOCD ParAll Northwestern National Life PH018 NOCD ParAll NYLCare (HMO Encounters only) 66916 NOCD ParAll Oaktree Health Plan 95356 NOCD ParOH Ohio Health Plan 34189 NOCD ParAll Olympic Health Management Systems, Inc. 91150 NOCD Par

ALL One Health Plan Inc. 80705 NOCD ParMI One Health Plan Michigan, Inc. 80705 NOCD ParNY One Health Plan New York, Inc. 80705 NOCD ParAK One Health Plan of Alaska 80705 NOCD ParAZ One Health Plan of Arizona, Inc. 80705 NOCD ParCA One Health Plan of California 95379 NOCD ParCO One Health Plan of Colorado 95412 NOCD ParDC One Health Plan of DC Inc, 80705 NOCD ParFL One Health Plan of Florida 80705 NOCD ParGA One Health Plan of Georgia 95569 NOCD ParIL One Health Plan of Illinois 95388 NOCD ParIN One Health Plan of Indiana, Inc. 80705 NOCD Par

KS,MS One Health Plan of Kansas and Missouri 80705 NOCD ParMA One Health Plan of Maine, Inc. 80705 NOCD ParMA One Health Plan of Massachusetts, Inc. 80705 NOCD ParMN One Health Plan of Minnesota, Inc. 80705 NOCD ParNV One Health Plan of Nevada, Inc. 80705 NOCD ParNJ One Health Plan of New Jersey 80705 NOCD ParNC One Health Plan of North Carolina 80705 NOCD ParOH One Health Plan of Ohio 80705 NOCD Par

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ENS ECT Participating Payer List

State Payer Name Payer ID

Claim Office

ECT Reports

PA One Health Plan of Pennsylvania 80705 NOCD ParSC One Health Plan of South Carolina 80705 NOCD ParTN One Health Plan of Tennessee 80705 NOCD ParTX One Health Plan of Texas 95415 NOCD ParVA One Health Plan of Virginia, Inc. 80705 NOCD ParWA One Health Plan of Washington 80705 NOCD ParWI One Health Plan of Wisconsin, Inc. 80705 NOCD ParWY One Health Plan of Wyoming 80705 NOCD ParALL Operating Engineers Locals 302 & 612 Health & Security Fund - Grp#F12 91136 NOCD Par

ALL Opticare Eye Health Network 06163 MCSI ParNC,SC Optimum Choice of the Carolina's 52152 NOCD Par

ALL Oschner Health Plan 72127 NOCD ParWI Oshkosh Area Health Protection Plan 39026 NOCD ParAll Oxford Health Plans 06111 NOCD ParAll Pacific Life & Annuity Company 67466 NOCD ParAll Pacific Mutual Life Insurance Company 67466 NOCD ParCO PacificCare/FHP (FHP of Colorado HMO claims Only) COFHP FHPC ParALL PacificSource Health Plans 93029 NOCD ParALL Parity Healthcare, Inc. 58204 NOCD ParALL Passport Health Plan 61129 NOCD ParALL PCMC/ICSL-Allergy 65000 NOCD ParALL PCMC/ICSL-Chiropractic 65007 NOCD ParALL PCMC/ICSL-Dermatology 65001 NOCD ParALL PCMC/ICSL-Gastroenterology 65003 NOCD ParALL PCMC/ICSL-Physical Therapy 65004 NOCD ParALL PCMC/ICSL-Podiatry 65002 NOCD ParALL PCMC/ICSL-Pulmonary 65005 NOCD ParALL PCMC/ICSL-Urolory 65006 NOCD ParAll Phoenix American Life 67814 0001 ParTX Phoenix Group Services (Texas) 75238 NOCD Par

ALL Phoenix Group Services, Inc. 06143 NOCD ParALL Phoenix Home Life 67814 NOCD ParALL Phoenix Home Life Mutual Ins. Co. 67814 NOCD ParALL Phoenix Mutual 67814 NOCD ParMI PHP of Mid Michigan 87726 NOCD ParSC PHP of South Carolina 87726 NOCD ParMI PHP of South Michigan 87726 NOCD ParMI PHP of Southwest Michigan 87726 NOCD ParMI PHP of West Michigan 87726 NOCD ParCO Phycor (Ft Collins office only) PHYCR UPNC NonALL Physicians Corporation of America 95885 NOCD ParFL Physicians Corporation of America (Florida Plan Only) 65018 NOCD ParAll Physicians Services Inc. also known as Physicians Medical Group 77008 NOCD Par

ALL Pioneer Life Insurance Co. 35196 NOCD ParAll PM Group 67466 NOCD ParAll PMG (Pacific Mutual Life) 67466 NOCD ParCA PMG of San Jose PMGSJ NOCD NonALL POMCO 16111 NOCD ParALL PPOI 46113 NOCD ParALL PPOM,LLC 38335 NOCD ParAll Preferred Health Network (PHN) 35173 NOCD ParKY Preferred Health Plan (Louisville, KY) 61106 NOCD ParALL Preferred One 41147 NOCD ParCA Premier Care SCIPA NOCD Par

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ENS ECT Participating Payer List

State Payer Name Payer ID

Claim Office

ECT Reports

AR Premier Care of North West Arkansas 93114 NOCD ParNY, NJ Primary Choice (Aetna HP-NY/NJ) 60054 NOCD Par

ALL Primary Delivery Systems 73288 NOCD ParALL Primary PhysicianCare, Inc. 56144 NOCD ParMO Prime Health Kansas City Inc. - MO 95885 NOCD ParMO Prime Helath Mgmt. Services - MO 95885 NOCD ParAll Principal Financial Group 61271 NOCD ParAll Principal Mutual Life Insurance Company 61271 NOCD ParAll Printing Ind Assoc of So CA (PIASC) 87056 NOCD ParAll Pro Health CompCare 31132 NOCD Par

ALL Promina 58226 NOCD ParAll Provident Life & Accident Insurance Company 68195 NOCD ParAll Provident Life & Accident Insurance Company of America 68195 NOCD ParAll Provident Life & Casualty Insurance Company 68195 NOCD Par

ALL Provider Networks of America (PRO-NET) 51032 NOCD ParAll PruCare 68241 NOCD ParAll PruCare HMO (Encounters Only) HM015 NOCD ParAll Prucare Plus 68241 NOCD ParAll Prudential 68241 NOCD ParAll Prudential Encounters HM015 NOCD ParAll Prudential Health Care Systems 68241 NOCD ParAll PruNetwork 68241 NOCD ParWA Puget Sound Benefits Trust - Grp#F25 91136 NOCD ParWA Puget Sound Electrical Workers Trust - Grp#33 91136 NOCD ParAR Qual Choice of Arkansas 35174 NOCD ParNC Qual Choice of North Carolina 35172 NOCD ParVA Qual Choice of Virginia 35171 NOCD ParAll QualMed Colorado QMDCO NOCD NonAll QualMed Colorado EPO QMDCE NOCD NonAll QualMed New Jersey QMDNJ NOCD NonAll QualMed New Mexico QMDAL NOCD NonAll QualMed Philadelphia QMDPH NOCD NonOR Qual-Med, Portland (PO) QMDPO NOCD NonWA Qual-Med, Seattle (SE) QMDSE NOCD NonWA Qual-Med, Spokane (SP) QMDSP NOCD NonAll Regional HealthPlus 57103 NOCD ParCO Rehab Provider Network (RPN) SPECIALIZED FORMAT REQUIRED -

CONTACT EDSSRPN01 NOCD Non

All RELIASTAR (Formerly NWNL) PH018 NOCD ParAll Rockwell International 75196 NOCD NonCO Rocky Mountain HMO RMHMO NOCD NonAll Rooney Life Ins. 37602 NOCD Par

ALL Rush Prudential Health Plans (HMO Only) 36389 NOCD ParALL Rush Prudential Insurance Co. (PPO & POS Only) 68241 NOCD ParAll Sagamore Health Network, Inc. 35164 NOCD Par

ALL Sandia Triple Option Plan (Sandia TOP) 68241 NOCD ParCA Santa Clara County IPA SCIPA NOCD ParAll Sanus HMO-St. Louis (General America) 63665 NOCD ParAll Sanus PPO (General America) 63665 NOCD ParAll Seabury & Smith also known as Benefit Plan Administrators 13310 NOCD Par

ALL Security Health Plan 39045 NOCD ParAll Select Choice 60054 NOCD Par

ALL SelectCare (Coca Cola) 68241 NOCD ParMI SelectCare, Inc. of Michigan 38253 NOCD Par

IL,PA,OH Self-Funded Plans (IL, PA, OH) 34131 NOCD Par

ENS Confidential Page 11

ENS ECT Participating Payer List

State Payer Name Payer ID

Claim Office

ECT Reports

All Senior Care 68241 NOCD ParAll Senior Choice (Aetna HP-NY/NJ) 60054 NOCD ParFL Sky Management - CAC/United Health Care SM104 FLSN NonCO Sloans Lake - See attached Sloans Instructional Sheet SLOAN SLON NonAll SMA 72112 NOCD ParAll SMA 65 72112 NOCD ParAll SMA Health Plan 72112 NOCD ParAll SMA HMO 72112 NOCD ParAll SmartPlan 72112 NOCD ParAll SmartPlan 65 72112 NOCD ParAll Sound Health 91131 NOCD ParIA Southeast Iowa Health Plan 86065 NOCD ParAll Southeast Medical Alliance 72112 NOCD Par

ALL Southwest Physicians Associates SX021 NOCD ParAll Southwestern Bell 68241 NOCD ParAll Southwestern Bell Executive - Custom Care 68241 NOCD ParAll Southwestern Bell Executive - Southwestern Bell 68241 NOCD Par

ALL St. Therese Physician Association 37116 NOCD ParTX Star Medicaid 75202 NOCD ParAll Starmark 61425 NOCD Par

ALL State Farm Group Medical & Ind Health Ins Co 31053 MCSI ParAll State Mutual Life Assurance Company of America 69140 NOCD ParFL Staywell SWELL NOCD NonAll Student Insurance 74227 NOCD Par

ALL SummaCare Health Plan 95202 NOCD ParAll Sun Trust Bank, Inc. 68241 NOCD Par

ALL Superion 46116 NOCD ParFL Surgical Associates of South Florida - Cigna SA103 FLSN Non

ALL Team Choice PPO 75133 NOCD ParALL Team Choice UMC 75134 NOCD ParAll Teamcare 36215 NOCD ParTX Texas Children's Health Plan 76048 NOCD ParTX Texas Municipal League Group Benefits Risk Pool 74214 NOCD ParCO The Alliance ALNCE ALLI NonALL The Calends Group 46115 NOCD ParALL The EPOCH Group 28777 NOCD ParAll The EyePA EYEPA NOCD Par

ALL BUT CO

Theraphysics (All but Colorado) THERA NOCD Non

CO Theraphysics (Colorado Only) COTHE NOCD NonAll Third Party Claims Management 06131 NOCD NonAll Time Insurance (A Fortis Company) 39065 NOCD ParAll Tooling & Manufacturing Assoc. 61425 NOCD ParAll Tower Life Insurance Company 69493 NOCD ParAll TRANE Health Protection Plan, The 39026 NOCD ParAll Travelers Health Network 87726 NOCD ParAll Travelers Plan Administrators 87726 NOCD ParAll Travelers, The 87726 NOCD ParAll Travelers, The 87726 NOCD ParAll Trustmark (Includes Starmark & TMA) 61425 NOCD Par

ALL UBH Employer Division UBHRI UBHR ParALL UBH Healthplan 87726 NOCD ParALL UBH Metrahealth Business 87726 NOCD ParCA UC Care (University of CA) 68241 NOCD ParALL UICI Administrators 75240 NOCD ParNV UICI Administrators - State of Nevada 75245 NOCD Par

ENS Confidential Page 12

ENS ECT Participating Payer List

State Payer Name Payer ID

Claim Office

ECT Reports

All UMWA Health & Retirement Funds 52180 NOCD ParAll Unicare Life & Health Insurance Company 80314 NOCD ParAll Unicare Life & Health Insurance Company (Formerly Mass Mutual) 80314 NOCD Par

TX Unicare of Texas 47195 NOCD ParAll UNICARE Special Projects 65099 NOCD Par

ALL Unified Health Services 62170 NOCD ParALL Uniform Medical Plan 75243 NOCD NonFL United Health Care of Florida UHC01 RAM ParFL United Health Care of Florida (Southern Region) UHC05 FLA ParGA United Health Care of Georgia UHC06 ATL ParAll UNITED Healthcare (Excludes UHC of AL, AR, DC, IL, KY, LA, MD, TN, and

Miami) All claims w/Metrahealth, Metlife, & Travelers ID cards can be sent as this paye

65978 NOCD Par

All United Healthcare (Excludes UHC of AL,AR,DC,IL,KY,LA,MD,TN, and Miami)All claims for patients w/ Metrahealth, Metlife, and Travelers ID cards can be sent here

87726 NOCD Par

CO United Healthcare of Colorado (no Metrahealth) UHC03 DEN ParFL United HealthCare of Florida (old CAC/Ramsay/Coral Gables Plan ONLY) 59129 NOCD Par

IL United Healthcare of Illinois HMO UHC02 ILX ParIL United Healthcare of Illinois PPO & POS UHC04 ILL ParAll United of Omaha 71412 NOCD NonCO United Physicians of Northern Colorado 84132 NOCD NonALL Univera Healthcare-CNY 16105 NOCD ParALL Universal Standard Healthcare, Inc. 38298 NOCD ParALL University Health Plan 58248 NOCD ParALL University Health Plan (Medicaid) 58247 NOCD ParALL University MSO 13393 NOCD ParWA University of Washington Students & Graduate Appts. - Grp#P67 91136 NOCD Par

All US Healthcare 23222 NOCD ParAll USAA 74095 NOCD ParAll UtiliMED, Inc. 36369 NOCD ParAll UTMB Healthcare Systems 76049 NOCD ParAll Varian Health Care Plan 68241 NOCD Par

ALL VENCOR 73288 NOCD ParALL Vista Del Sol Health Care 86079 NOCD ParCO Wal-Mart Colorado 75257 NOCD ParCT Wal-Mart Conneticut 75257 NOCD ParDE Wal-Mart Delaware 75257 NOCD ParGA Wal-Mart Georgia 75257 NOCD ParLA Wal-Mart Louisiana 75257 NOCD ParME Wal-Mart Maine 75257 NOCD ParMS Wal-Mart Mississippi 75257 NOCD ParMT Wal-Mart Montana 75257 NOCD ParNH Wal-Mart New Hampshire 75257 NOCD ParNY Wal-Mart New York 75257 NOCD ParND Wal-Mart North Dakota 75257 NOCD ParOH Wal-Mart Ohio 75257 NOCD ParOR Wal-Mart Oregon 75257 NOCD ParSD Wal-Mart South Dakota 75257 NOCD ParVT Wal-Mart Vermont 75257 NOCD ParWA Wal-Mart Washington 75257 NOCD ParWV Wal-Mart West Virgina 75257 NOCD ParWY Wal-Mart Wyoming 75257 NOCD Par

ENS Confidential Page 13

ENS ECT Participating Payer List

State Payer Name Payer ID

Claim Office

ECT Reports

WA Washington Labor and Industries WALAI NOCD NonALL Washington National Insurance Co. 35196 NOCD ParAll Watkins Associated Industries 60054 NOCD ParAll Wausau Insurance Companies 39026 NOCD ParAll WEA Insurance Group (Excluding Chiropractic Claims) 39151 NOCD ParFL Wellcare WELLC NOCD Non

ALL Wellcare HMO, Inc. 14163 NOCD ParCT Wellcare of CT 14164 NOCD ParAll Wellcare of New York (Wellcare Management Group) WELLC NOCD NonAll Wellcare of New York (Wellcare Management Group) WELLC NOCD NonNY Wellcare of NY 14178 NOCD ParALL West Coast Stationary Engineers Health & Security Trust Fund - Grp#F13 14164 NOCD Par

All West Virginia State Employees (PEIA) (Virginia only) 75196 NOCD NonAll Western 39065 NOCD ParAll Western Care 39065 NOCD Par

ALL Western Grower's Assurance Trust 24735 NOCD ParALL Western Grower's Insurance Company 24735 NOCD ParAll Western Life Ins. Benefit Plan (FORTIS) 39065 NOCD Par

ALL Weyco Inc. 38232 NOCD ParALL Willis Administrative Services Corporation 62061 NOCD ParALL WinHealth WNHLT NOCD ParAll Writer's Guild PH005 NOCD ParAll Yale New Haven Health-MSO, Inc. 06121 NOCD ParCT Yale Preferred Health/HealthChoice of Connecticut 95375 NOCD Par

* EMC - Agreements Are Required ** Specialized format required - contact EDSS

Report Symbols Par Payer Acknowledgement and Any Status Messages Aavailable in ECTNon Tracking to EDSS only, Payer Acknowledgement Not Available in ECT

ENS Confidential Page 14