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Medicare Advantage Claims Processing Contacts

Sorted by Contract Number

CBC/POAG/DPD July 2007

IMPORTANT NOTES 1. 2. This directory contains information for Medicare Advantage, demonstration, PACE, and cost organizations that have an active contract with CMS at the time of the directory's publication. These data have been extracted from the Health Plan Management System (HPMS), maintained by the Center for Beneficiary Choices/Plan Oversight and Accountability Group/Division of Plan (CBC/POAG/DPD). This directory will be updated on a monthly basis. The MA claims processing contact data is maintained by each organization in HPMS. If an organization needs to update its contact data, the plan user should use the following navigation path in HPMS: HPMS Homepage > Contract Management > Contract Management > Select a Contract Number > Contact Data > MA Claims Processing Contact. Pilot contracts are excluded from this directory.

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Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization:

90091 UNITED MINE WORKERS OF AMERICA United Mine Workers of America UNITED MINE WORKERS OF AMERICA

Organization Type: HCPP - 1833 Cost Plan Type: HCPP - 1833 Cost Contract Effective Date: 2/1/1974

MA Contact: No contact data submitted Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: E5088 DESERET HEALTHCARE EMPLOYEE BENEFITS TRUST Deseret Mutual DMBA (Deseret Mutual Benefit Administrators) Organization Type: Employer/Union Only Direct Contract PFFS Plan Type: Employer/Union Only Direct Contract PFFS Contract Effective Date: 1/1/2007

Tracy Gould 1-801-578-5746 1-801-578-5903 [email protected] 60 East South Temple Salt Lake City UT 84111 5/3/2006 H0104 BLUE CROSS AND BLUE SHIELD OF ALABAMA Blue Cross Blue Shield of Alabama BlueCross BlueShield of Alabama Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 7/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Operations Manager Blue Advantage Ashley Mosko 1-205-220-6401

[email protected] 450 Riverchase Parkway East Birmingham AL 35244 7/27/2005 H0150 HEALTHSPRING OF ALABAMA, INC. Healthspring of Alabama, Inc. NewQuest Health Solutions LLC Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 3/1/1994

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Vice President, Business Service Operations Beth Keisler 1-615-291-7000 2511 [email protected] 44 Vantage Way Suite 300 Nashville TN 37228 9/14/2005 Claims Processing Contacts Sorted by Contract Number Page 3 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H0151 UNITED HEALTHCARE OF ALABAMA, INC. SecureHorizons by UnitedHealthcare UHC - Pacificare

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 2/1/1995

Leslie Sheldon 1-715-858-2295

[email protected] 2725 Mall Drive Eau Claire WI 54701 8/3/2005 H0154 VIVA HEALTH, INC. VIVA Medicare Plus UAB Health System Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 5/1/1998

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Supervisor of Medicare Claims Treasure McGee 1-205-939-0819 1-205-930-5597 [email protected] 1222 14th Avenue South Birmingham AL 35205 9/6/2006 H0251 UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC. AmeriChoice Secure Plus Complete UHC - Pacificare Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Manager, Claims Donna Luchman 1-309-762-2310

[email protected] 3800 Avenue of the Cities, Suite 200 Moline IL 61265 3/27/2007 H0302 SUN HEALTH MEDISUN, INC. Sun Health MediSunONE Sun Health Corporation Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 8/1/1999

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Director, Medical Economics Diane Icard 1-623-544-7446 1-623-544-7450 [email protected] P.O. Box 1489 13632 N. 99th Ave Suite B Sun City AZ 85372 7/28/2005 Claims Processing Contacts Sorted by Contract Number Page 4 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H0303 PACIFICARE OF ARIZONA, INC SecureHorizons by UnitedHealthcare UHC - Pacificare

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 4/1/1986

Judith Valenzuela 1-480-377-5004

[email protected] 4601 E Hilton Avenue Phoenix AZ 85034 9/12/2006 H0307 HUMANA HEALTH PLAN, INC. Humana Health Plan, Inc. Humana Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 4/1/1988

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Pamela Wilson 1-502-580-4854 1-502-580-7370 [email protected] 101 East Main Street Louisville KY 40202 2/14/2006 H0316 UNITEDHEALTHCARE OF ARIZONA INC SecureHorizons by UnitedHealthcare UHC - Pacificare Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 9/1/2004

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Leslie Sheldon 1-715-858-2295

[email protected] 2725 Mall Drive Eau Claire WI 54701 8/3/2005 H0317 HUMANA INSURANCE COMPANY Humana Insurance Company Humana Inc. Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 1/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Pamela Wilson 1-502-580-4854 1-502-580-7370 [email protected] 101 East Main Street Louisville KY 40202 2/14/2006 Claims Processing Contacts Sorted by Contract Number Page 5 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H0318 AETNA HEALTH INC. Aetna Medicare Aetna Inc.

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 7/1/2005

Head of Regulatory Mgmt and Claims Services Rhonda Arvin 1-405-794-7040 1-860-262-9642 [email protected] 3030 Northwest Expressway MS F714 Oklahoma City OK 73101 4/6/2007 H0319 UNITED HEALTHCARE INSURANCE COMPANY Evercare« Health Plans UHC - Pacificare Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 1/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director of Operations Leslie K Sheldon 1-715-858-2200

[email protected] 2725 Mall Drive WI080-1000 Eau Claire WI 54701 4/17/2006 H0320 ARCADIAN HEALTH PLAN, INC. Desert Canyon Community Care Arcadian Management Services Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 7/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Vice President of Claims Mae Regalado 1-909-971-6703 1-909-971-6753 [email protected] 955 Overland Court, Second Floor San Dimas CA 91773 6/8/2007 H0321 ARIZONA PHYSICIANS IPA, INC. APIPA Personal Care Plus UHC - Pacificare Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 9/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Manager, Operations Shevawn Molina 1-602-651-6216 1-602-664-5335 [email protected] 3141 North Third Ave AZ060-S225 Phoenix AZ 85013 5/23/2007 Claims Processing Contacts Sorted by Contract Number Page 6 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H0322 AETNA LIFE INSURANCE COMPANY Aetna Medicare Aetna Inc.

Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 8/1/2005

Head of Regulatory Mgmt & Claims Services Rhonda Arvin 1-405-794-7040 1-860-262-9642 [email protected] 3030 Northwest Expressway MS F714 Oklahoma City OK 73101 4/6/2007 H0351 HEALTH NET OF ARIZONA, INC. Health Net of Arizona, Inc. Health Net, Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 3/1/1992

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director, Claims Silvia Hay 1-203-402-6141

[email protected] Health Net of Arizona Claims - ACS/Health Net P.O. Box 14225 Lexington KY 40512-4225 4/23/2007 H0354 CIGNA HEALTHCARE OF ARIZONA, INC. CIGNA HealthCare of Arizona CIGNA Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 12/1/1992

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director of Claims Kerrey Hunt 1-602-371-2690

[email protected] 11001 N. Black Canyon Highway Phoenix AZ 85029 7/28/2006 H0401 UNITEDHEALTHCARE OF ARKANSAS, INC. SecureHorizons by UnitedHealthcare UHC - Pacificare Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 7/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Leslie Sheldon 1-715-858-2295

[email protected] 2725 Mall Drive Eau Claire WI 54701 8/3/2005 Claims Processing Contacts Sorted by Contract Number Page 7 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H0408 UNITED HEALTHCARE INSURANCE COMPANY United HealthCare Insurance Company UHC - Pacificare

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Leslie Sheldon 1-715-858-2295

[email protected] 2725 Mall Drive Eau Claire WI 54701 4/19/2006 H0410 UNITED HEALTHCARE INSURANCE COMPANY Erickson Advantage UHC - Pacificare Organization Type: Demo Plan Type: Continuing Care Retirement Community Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Leslie Sheldon 1-715-858-2295

[email protected] 2725 Mall Drive Eau Claire WI 54701 4/19/2006 H0502 CONTRA COSTA HEALTH PLAN Contra Costa Health Plan Contra Costa Health Services Organization Type: 1876 Cost Plan Type: 1876 Cost Contract Effective Date: 7/1/1977

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Business Services Manager Cindy Shelby 1-925-313-6000

[email protected] 595 Center Ave Suite 100 Martinez CA 94553 2/27/2007 H0504 CALIFORNIA PHYSICIANS' SERVICE Blue Shield of California Blue Shield of California Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 5/1/1996

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Sr. Operations Manager, Claims, Customer Service Larry Wilson 1-818-228-6029 1-818-228-5130 [email protected] 6300 Canoga Avenue Woodland Hills CA 91367 1/24/2007 Claims Processing Contacts Sorted by Contract Number Page 8 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H0523 AETNA HEALTH OF CALIFORNIA,INC. Aetna Medicare Aetna Inc.

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 5/1/1986

Head of Regulatory Mgmt & Claims Services Rhonda Arvin 1-405-794-7040 1-860-262-9642 [email protected] 3030 Northwest Expressway MS F714 Oklahoma City OK 73101 4/6/2007 H0524 KAISER FOUNDATION HP, INC. Kaiser Permanente Kaiser Permanente Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 8/1/1987

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Medicare Compliance Officer Jason Hall 1-626-405-5333

[email protected] 393 E. Walnut Street, Floor 5 Pasadena CA 91188 7/27/2005 H0532 WESTERN HEALTH ADVANTAGE Western Health Advantage Western Health Advantage Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 8/1/1999

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Compliance Specialist Jamie Hershman 1-916-563-2217 1-916-563-3182 [email protected] 1331 Garden Hwy., Ste. 100 Sacramento CA 95833 2/1/2006 H0540 UNICARE LIFE AND HEALTH INS. COMPANY Unicare Life & Health Ins. Company Wellpoint, Inc. Organization Type: PFFS Plan Type: PFFS Contract Effective Date: 4/1/2003

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Manager II, Customer Care Multi Debra Kaiser 1-920-923-8339

[email protected] 145 S. Pioneer Blvd Mail Stop WIW201-FDL Fon Du Lac WI 54935 4/29/2006 Claims Processing Contacts Sorted by Contract Number Page 9 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H0542 ALTAMED HEALTH SERVICES CORPORATION AltaMed Senior BuenaCare Altamed Health Services Corporation

Organization Type: National PACE Plan Type: National PACE Contract Effective Date: 11/1/2002

Center Manager Jennifer Spalding 1-323-832-7601

[email protected] 5425 E. Pomona Blvd. Los Angeles CA 90022 10/11/2005 H0543 PACIFICARE OF CALIFORNIA/SECURE HORIZONS SecureHorizons by UnitedHealthcare UHC - Pacificare Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 6/1/1985

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Dir, Cust Svc Ctr-II Debbie A Salas 1-714-226-4720 1-714-226-4640 [email protected] 10801 Walker Drive M/S CY48-117 Cypress CA 90630 8/2/2005 H0544 CAREMORE HEALTH PLAN CareMore Health Plan CareMore Medical Enterprises Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 2/1/2003

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Stacy Brouhard 1-562-741-4400

[email protected] 12900 Park Plaza Drive Suite 150 Cerritos CA 90703 10/12/2006 H0545 INTER VALLEY HEALTH PLAN, INC. Inter Valley Health Plan InterValley Health Plan Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 6/1/1986

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Director Information Technology Bill Chen 1-800-251-8191 206 1-909-623-5043 [email protected] PO Box 6002 300 South Park Ave, Suite 300 Pomona CA 91769-6002 4/28/2006 Claims Processing Contacts Sorted by Contract Number Page 10 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H0562 HEALTH NET_OF CA Health Net Of CA Health Net, Inc.

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 10/1/1992

Lead Customer Service Representative Joseph A Varga 1-818-676-6591 1-818-676-8100 [email protected] Health Net Claims Department P.O. Box 14703 Lexington KY 40512 4/23/2007 H0564 BLUE CROSS OF CALIFORNIA Blue Cross of California Wellpoint, Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 6/1/1993

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Manager II, Customer Care Multi Debra Kaiser 1-920-923-8339

[email protected] 145 S. Pioneer Blvd,á Mail Stop WIW201-FDL Fon Du Lac WI 54935 2/22/2007 H0571 CHINESE COMMUNITY HEALTH PLAN Chinese Community Health Plan Chinese Community Health Plan Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 8/1/1994

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director of Operation Amy Lee 1-415-955-8800 3247 1-415-955-8812 [email protected] 445 Grant Avenue Suite 700 San Francisco CA 94108 10/9/2006 H0602 ROCKY MOUNTAIN HEALTH PLANS Rocky Mountain Health Plans Rocky Mountain Health Plans (RMHP) Organization Type: 1876 Cost Plan Type: 1876 Cost Contract Effective Date: 11/1/1977

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Claims Manager - Government Products Judi Everett 1-970-244-7760 1-970-244-7880 [email protected] PO Box 10600 Grand Junction CO 81502 5/2/2007 Claims Processing Contacts Sorted by Contract Number Page 11 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H0609 PACIFICARE OF COLORADO, INC AARP MedicareComplete provided by SecureHorizons UHC - Pacificare

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 7/1/1986

Judith Valenzuela 1-480-377-5004

[email protected] 460 E Hilton Ave Phoenix AZ 85034 9/12/2006 H0613 TOTAL LONGTERM CARE, INC. Total Longterm Care, Inc. Total Longterm Care, Inc. Organization Type: National PACE Plan Type: National PACE Contract Effective Date: 4/1/2003

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

ARRA Supervisor Matt Zimmerman 1-303-869-4664 1-303-996-1600 [email protected] 200 E 9th Ave Denver CO 80203 3/13/2007 H0620 UNITED HEALTHCARE INSURANCE COMPANY Evercare« Health Plans UHC - Pacificare Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 1/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director of Operations Leslie K Sheldon 1-715-858-2200

[email protected] 2725 Mall Drive WI080-1000 Eau Claire WI 54701 4/17/2006 H0621 COLORADO ACCESS Colorado Access Colorado Access Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 2/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Claims Supervisor Delicia Johnson 1-720-744-5311

[email protected] 10065 E. Harvard Ave. Suite 600 Denver CO 80231 5/31/2006 Claims Processing Contacts Sorted by Contract Number Page 12 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H0623 HUMANA INSURANCE COMPANY Humana Insurance Company Humana Inc.

Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 7/1/2005

Pamela Wilson 1-502-580-4854 1-502-580-7370 [email protected] 101 East Main Street Louisville KY 40202 2/14/2006 H0624 UNITED HEALTHCARE INSURANCE COMPANY Evercare« Health Plans UHC - Pacificare Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 7/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director of Operations Leslie K Sheldon 1-715-858-2200

[email protected] 2725 Mall Drive WI080-1000 Eau Claire WI 54701 4/17/2006 H0630 KAISER FOUNDATION HP OF CO Kaiser Permanente Kaiser Permanente Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/1986

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Claims and Referrals Manager Carol Pickens 1-303-338-3601 1-303-338-3919 [email protected] 2500 S. Havana St. Aurora CO 80014 2/27/2006 H0657 COLORADO CHOICE HEALTH PLANS San Luis Valley HMO HMO Health Plans, Inc. Organization Type: 1876 Cost Plan Type: 1876 Cost Contract Effective Date: 1/1/1994

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Senior Director of Operations Joyce F Little 1-719-589-3696 1-719-589-4901 [email protected] 700 Main Street, Suite 100 Alamosa CO 81101 9/15/2005 Claims Processing Contacts Sorted by Contract Number Page 13 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H0710 UNITED HEALTHCARE INSURANCE COMPANY Evercare« Health Plans UHC - Pacificare

Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 7/1/2004

Director of Operations Leslie K Sheldon 1-715-858-2200

[email protected] 2725 Mall Drive WI080-1000 Eau Claire WI 54701 4/17/2006 H0712 WELLCARE OF CONNECTICUT, INC. WellCare WellCare Health Plans, Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 5/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director Claims Patricia Thomas 1-813-290-6200 3711 [email protected] 8735 Henderson Rd. Ren 2 Tampa FL 33634 1/15/2007 H0752 OXFORD HEALTH PLANS (CT), INC. SecureHorizons by UnitedHealthCare UHC - Pacificare Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 10/1/1995

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Michael Santoro 1-203-459-7853

[email protected] 48 Monroe Turnpike CT015-1000 Trumbull CT 06611 5/1/2007 H0755 HEALTH NET OF CONNECTICUT Health Net of Connecticut Health Net, Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 12/1/1996

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Manager, Calls and Claims, NE Operations Beth J Kelly 1-203-402-4273

[email protected] Medicare Advantage Claims Processing 100 Beard Sawmill Rd., M/S CT-104-06-11 Shelton CT 06484 3/30/2007 Claims Processing Contacts Sorted by Contract Number Page 14 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H0838 HMO CALIFORNIA Brand New Day Universal Care, Inc

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 4/1/2006

Vice President Medicare Operations & Compliance Connie Snyder 1-562-981-5054 1-562-981-5818 [email protected] 1600 East Hill Street Signal Hill CA 90755 5/25/2006 H0846 FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY Advantra« Freedom Coventry Health Care Inc. Organization Type: PFFS Plan Type: PFFS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director of Service Operations Meg Knight 1-800-713-5095

[email protected] Advantra Freedom/Coventry Health Care, Inc PO Box 7154 London KY 40742 3/27/2007 H0901 AETNA HEALTH INC. Aetna Medicare Aetna Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 7/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Head of Regulatory Mgmt & Claims Services Rhonda Arvin 1-405-794-7040 1-860-262-9642 [email protected] 3030 Northwest Expressway Oklahoma City OK 73101 4/6/2007 H0902 AETNA LIFE INSURANCE COMPANY Aetna Medicare Aetna Inc. Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 9/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Head of Regulatory Mgmt and Claims Services Rhonda Arvin 1-405-794-7040 1-860-262-9642 [email protected] 3030 Northwest Expressway MS F714 Oklahoma City OK 73101 4/6/2007 Claims Processing Contacts Sorted by Contract Number Page 15 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H0974 HMO MINNESOTA D/B/A BLUE PLUS CareBlue Blue Cross and Blue Shield of Minnesota

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Manager, Govenment Programs Operations Cathy Birkholz 1-651-662-9415

[email protected] 3400 Yankee Drive Eagan MN 55122 5/4/2007 H1013 VISTA HEALTHPLAN OF SOUTH FLORIDA, INC. Vista Healthplan of South Florida, Inc. VISTA Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 6/1/1987

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Vice President Ted Jones 1-954-858-3440 1-954-858-3695 [email protected] 1340 Concord Terrace Sunrise FL 33323 2/2/2007 H1016 AVMED, INC AvMed Medicare Preferred AvMed Health Plans Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 9/1/1987

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director, Claims Operations Helen Creech 1-352-337-8833 1-352-337-8820 [email protected] AvMed Health Plans 4300 NW 89 Blvd. Gainesville FL 32606 8/21/2006 H1019 CARE PLUS HEALTH PLAN CarePlus Health Plans, Inc. Humana Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 2/1/1998

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Pamela Wilson 1-502-580-4854 1-502-580-7370 [email protected] 101 East Main Street Louisville KY 40202 2/14/2006 Claims Processing Contacts Sorted by Contract Number Page 16 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H1026 HEALTH OPTIONS, INC Health Options, Inc / Blue Cross Blue Shield of FL Blue Cross and Blue Shield of Florida

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 8/1/1986

CSR Customer Service Ops 1-800-926-6565

[email protected] 8400 NW 33rd St Suite 100 Miami FL 33122-1932 3/9/2007 H1032 WELL CARE OF FLORIDA, INC. WellCare WellCare Health Plans, Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2000

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director, Claims Patricia Thomas 1-813-290-6200 3711 1-813-675-2650 [email protected] 8735 Henderson Rd, Ren 2 Tampa FL 33634 1/15/2007 H1034 AMERICA'S HEALTH CHOICE MEDICAL PLAN America's Health Choice America's Health Choice Medical Plans, Inc Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 7/1/2000

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director of Claims James Robinson 1-772-794-0030 1030 [email protected] 1175 South US Highway 1 Vero Beach FL 32962 12/21/2006 H1035 FLORIDA HEALTH CARE PLAN, INC. Florida Health Care Plan, Inc. Halifax Community Health System Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 11/1/1985

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Provider Services Administrator Sherrie Hutchinson 1-800-352-9824 4020 [email protected] 1340 Ridgewood Avenue Holly Hill FL 32117 4/18/2006 Claims Processing Contacts Sorted by Contract Number Page 17 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H1036 HUMANA MEDICAL PLAN, INC Humana Medical Plan, Inc. Humana Inc.

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 2/1/1986

Pamela Wilson 1-502-580-4854 1-502-580-7370 [email protected] 101 East Main Street Louisville KY 40202 2/14/2006 H1037 CHOICE CARE HEALTH PLAN, INC. Choice Care Health Plan, Inc. Choice Care Health Plan, Inc. Organization Type: HCPP - 1833 Cost Plan Type: HCPP - 1833 Cost Contract Effective Date: 2/1/2000

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

to b determined 1-123-123-4567

[email protected] P.O. Box 1980 Melbourne FL 32902 9/14/2005 H1043 FLORIDA PACE CENTERS, INC. Florida Pace Centers, Inc. Florida PACE Centers, Inc. Organization Type: National PACE Plan Type: National PACE Contract Effective Date: 1/1/2003

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Chief Financial Officer Eyta Brafman 1-305-751-8626 2509 1-305-762-1431 [email protected] 5200 NE 2nd Avenue Miami FL 33137 5/26/2006 H1045 PREFERRED CARE PARTNERS INC. Preferred Care Partners, Inc. Preferred Care Partners Inc Organization Type: Local CCP Plan Type: PSO (State License) Contract Effective Date: 8/1/2002

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Claims Director Elizabeth Pierre 1-305-670-8440 1260 [email protected] 9100 S. Dadeland Blvd. Suite 1250 Miami FL 33156 2/20/2007 Claims Processing Contacts Sorted by Contract Number Page 18 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H1076 VISTA HEALTHPLAN, INC. Vista Healthplan, Inc. VISTA

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/1995

Vice President Ted Jones 1-954-858-3440 1-954-858-3695 [email protected] 1340 Concord Terrace Sunrise FL 33323 2/2/2007 H1080 UNITED HEALTHCARE OF FL, INC. SecureHorizons by UnitedHealthcare UHC - Pacificare Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/1996

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Leslie Sheldon 1-715-858-2295

[email protected] 2725 Mall Drive Eau Claire WI 54701 8/3/2005 H1099 HEALTH FIRST HEALTH PLANS, INC. Health First Medicare Plans Health First Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 4/1/1997

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director of Government Programs & Compliance Beth Fleming 1-321-434-5617 1-321-434-4361 [email protected] 6450 US Highway 1 Rockledge FL 32955-5747 9/11/2006 H1108 UNITED HEALTHCARE INSURANCE COMPANY Evercare« Health Plans UHC - Pacificare Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 1/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Director of Operations Leslie K Sheldon 1-715-858-2200

[email protected] 2725 Mall Drive WI080-1000 Eau Claire WI 54701 4/17/2006 Claims Processing Contacts Sorted by Contract Number Page 19 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H1109 AETNA HEALTH INC.(GEORGIA) Aetna Medicare Aetna Inc.

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 7/1/2005

Head of Regulatory Mgmt & Claims Services Rhonda Arvin 1-405-794-7040 1-860-262-9642 [email protected] 3030 Northwest Expressway MS F714 Oklahoma City OK 73101 4/6/2007 H1110 AETNA LIFE INSURANCE COMPANY Aetna Medicare Aetna Inc. Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 8/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Head of Regulatory Mgmt & Claims Services Rhonda Arvin 1-405-794-7040 1-860-262-9642 [email protected] 3030 Northwest Expressway MS F174 Oklahoma City OK 73101 4/6/2007 H1111 UNITED HEALTHCARE OF GEORGIA, INC. SecureHorizons UHC - Pacificare Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 7/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Leslie Sheldon 1-715-858-2295

[email protected] 2725 Mall Drive Eau Claire WI 54701 8/3/2005 H1112 WELLCARE OF GEORGIA, INC. WellCare WellCare Health Plans, Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 7/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Director, Claims Patricia Thomas 1-888-888-8935 3711 1-813-675-2650 [email protected] 8735 Henderson Rd Ren 2 Tampa FL 33634 1/15/2007 Claims Processing Contacts Sorted by Contract Number Page 20 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H1170 KAISER FOUNDATION HP OF GA, INC. Kaiser Permanente Senior Advantage Kaiser Permanente

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/1997

Barbara Brown 1-404-364-7379

[email protected] 3495 Piedmont Road NE Atlanta GA 30305 9/7/2005 H1200 KAISER FOUNDATION HP, INC. Kaiser Foundation Health Plan, Inc. Kaiser Permanente Organization Type: 1876 Cost Plan Type: 1876 Cost Contract Effective Date: 1/1/1987

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Claims Administration 1-877-875-3805

[email protected] Claims Administration 80 Mahalani Street Wailuku HI 96793 3/28/2007 H1230 KAISER FOUNDATION HP, INC. Kaiser Foundation Health Plan, Inc. (Hawaii) Kaiser Permanente Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 5/1/1986

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Claims Administration 1-877-875-3805

[email protected] Claims Administration 80 Mahalani Street Wailuku HI 96793 3/28/2007 H1251 HAWAII MED. SRVC. ASSN. HMSA's 65C Plus Hawaii Medical Service Association Organization Type: 1876 Cost Plan Type: 1876 Cost Contract Effective Date: 1/1/1998

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Supervisor Jenell Juarez 1-808-948-5288 1-808-948-6585 [email protected] 8 - CA 818 Keeaumoku St Honolulu HI 96814 1/16/2007 Claims Processing Contacts Sorted by Contract Number Page 21 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H1254 UPMC HEALTH BENEFITS, INC. UPMC Health Plan University of Pittsburgh Medical Center

Organization Type: PFFS Plan Type: PFFS Contract Effective Date: 1/1/2007

Manager, Medicare Operations John O Cain 1-412-454-5539

[email protected] 112 Washington Place Pittsburgh PA 15219 4/11/2006 H1286 UNITED HEALTHCARE INSURANCE COMPANY SecureHorizons by UnitedHealthcare UHC - Pacificare Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Leslie Sheldon 1-715-858-2295

[email protected] 2725 Mall Dr Eau Claire WI 54701 4/19/2006 H1302 BLUE CROSS OF IDAHO HLTH SERVICES INC Blue Cross Of Idaho Hlth Services Inc Blue Cross of Idaho Health Services, Inc. Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 7/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Medicare Advantage Operations Manager Gwen Ohlson 1-208-387-6822 1-208-387-6811 [email protected] 3000 E. Pine Ave. Meridian ID 83642 7/27/2005 H1303 UNITED HEALTHCARE INSURANCE COMPANY SecureHorizons by UnitedHealthcare UHC - Pacificare Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 9/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Leslie Sheldon 1-715-858-2295

[email protected] 2725 Mall Drive Eau Claire WI 54701 8/3/2005 Claims Processing Contacts Sorted by Contract Number Page 22 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H1304 REGENCE BLUE SHIELD OF IDAHO Regence BlueShield Of Idaho The Regence Group

Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 7/1/2005

Manager Claims Processing Holly M Moore 1-503-587-3274

[email protected] 201 High Street, SE PO Box 12625 Salem OR 97309-0625 5/22/2007 H1340 ADVANCE/WELLCARE PFFS INSURANCE, INC. WellCare WellCare Health Plans, Inc. Organization Type: PFFS Plan Type: PFFS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director, Claims Vince Geraci 1-813-290-6200 6028 [email protected] 8735 Henderson Rd Ren 2 Tampa FL 33634 4/27/2007 H1349 REGENCE BLUESHIELD OF IDAHO. Regence BlueShield of Idaho The Regence Group Organization Type: 1876 Cost Plan Type: 1876 Cost Contract Effective Date: 1/1/1997

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Manager, Medicare Claims Processing Kari Favor 1-208-798-2412

[email protected] 21602 21st Avenue Lewiston ID 83501 5/29/2007 H1350 BLUE CROSS OF IDAHO HEALTH SERVICES, INC Blue Cross Of Idaho Hlth Services Inc Blue Cross of Idaho Health Services, Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 9/1/1997

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Operations Manager Gwen Ohlson 1-208-387-6822 1-208-387-6811 [email protected] 3000 E. Pine Ave. Meridian ID 83642 7/27/2005 Claims Processing Contacts Sorted by Contract Number Page 23 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H1406 HUMANA HEALTH PLAN, INC. Humana Health Plan, Inc. Humana Inc.

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 7/1/1985

Pamela Wilson 1-502-580-4854 1-502-580-7370 [email protected] 101 East Main Street Louisville KY 40202 2/14/2006 H1415 HEALTHSPRING, INC. HealthSpring, Inc. NewQuest Health Solutions LLC Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Vice President, Business Services Operations Beth Keisler 1-615-291-7000

[email protected] 44 Vantage Way Suite 300 Nashville TN 37228 9/14/2005 H1416 HARMONY HEALTH PLAN OF ILLINOIS, INC. WellCare WellCare Health Plans, Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 5/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director, Claims Patricia Thomas 1-888-888-9355 3711 1-813-675-2650 [email protected] 8735 Henderson Rd. Ren 2 Tampa FL 33634 1/16/2007 H1417 HEALTH ALLIANCE MEDICAL PLANS Health Alliance Medical Plans Health Alliance Medical Plans Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 5/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Director of Operations Kim Griffith 1-217-337-8090 1-217-337-8008 [email protected] 301 S Vine St Urbana IL 61801 8/10/2005 Claims Processing Contacts Sorted by Contract Number Page 24 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H1418 HUMANA INSURANCE COMPANY Humana Insurance Company Humana Inc.

Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 8/1/2005

Pamela Wilson 1-502-580-4854 1-502-580-7370 [email protected] 500 West Main Street Louisville KY 40202 2/14/2006 H1419 AETNA HEALTH OF ILLINOIS, INC. Aetna Medicare Aetna Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 7/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Head of Regulatory Mgmt & Claims Services Rhonda Arvin 1-405-794-7040 1-860-262-9642 [email protected] 3030 Northwest Expressway MS F174 Oklahoma City OK 73101 4/6/2007 H1420 AETNA LIFE INSURANCE COMPANY Aetna Medicare Aetna Inc. Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 9/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Head of Regulatory Mgmt & Claims Services Rhonda Arvin 1-405-794-7040 1-860-262-9642 [email protected] 3030 Northwest Expressway MS F714 Oklahoma City OK 73101 4/6/2007 H1463 HEALTH ALLIANCE MEDICAL PLANS Health Alliance Medical Plans Health Alliance Medical Plans Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 10/1/1997

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Director of Operations Kim Griffith 1-217-337-8090 1-217-337-8008 [email protected] 301 S Vine St Urbana IL 61801 8/10/2005 Claims Processing Contacts Sorted by Contract Number Page 25 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H1468 OSF HEALTHPLANS, INC. OSF Care Advantage OSF Saint Francis, Inc.

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 2/1/1999

Medicare Claims Department 1-309-677-8203 1-309-677-8354 [email protected] 7915 N. Hale Ave., Ste D Peoria IL 61615 10/17/2005 H1472 UNITED HEALTHCARE PLAN OF THE RIVER VALLEY, INC. UnitedHealthcare Plan of the River Valley, Inc. UHC - Pacificare Organization Type: 1876 Cost Plan Type: 1876 Cost Contract Effective Date: 1/1/1999

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Keith Winfield 1-309-762-2701

[email protected] 3800 Avenue of the Cities, Suite 200 Moline IL 61265 2/15/2007 H1509 UNITED HEALTHCARE INSURANCE COMPANY SecureHorizons by UnitedHealthcare UHC - Pacificare Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 7/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Leslie Sheldon 1-715-858-2295

[email protected] 2725 Mall Drive Eau Claire WI 54701 8/3/2005 H1510 HUMANA INSURANCE COMPANY Humana Insurance Company Humana Inc. Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 7/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Pamela Wilson 1-502-580-4854 1-502-580-7370 [email protected] 101 East Main Street Louisville KY 40202 2/14/2006 Claims Processing Contacts Sorted by Contract Number Page 26 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H1511 ANTHEM INSURANCE COMPANIES, INC. Anthem Blue Cross and Blue Shield Wellpoint, Inc.

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 8/1/2005

Program Manager Virginia Breeden 1-513-336-5301 1-513-336-3654 [email protected] 4361 Irwin Simpson Road Mailstop OH0102-C535 Mason OH 45040-9498 3/1/2007 H1553 THE M PLAN, INC. The M Plan, Senior Smart Choice The M Plan Inc. Organization Type: 1876 Cost Plan Type: 1876 Cost Contract Effective Date: 1/1/1993

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Vice President, Provider Services & Govt. Prod. LeAnn Donovan 1-317-571-5326 1-317-580-4517 [email protected] 8802 N. Meridian St. Suite 100 Indianapolis IN 46260 7/27/2005 H1555 ARNETT HMO Arnett HMO Arnett Health Systems Organization Type: 1876 Cost Plan Type: 1876 Cost Contract Effective Date: 3/1/1997

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Compliance Coordinator Michele Lawson 1-765-448-7765

[email protected] PO BOX 6108 Lafayette IN 46903 6/11/2007 H1558 WELBORN HEALTH PLAN Welborn Health Plans Welborn Clinic Organization Type: 1876 Cost Plan Type: 1876 Cost Contract Effective Date: 11/1/1997

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Director of Operations Heather Burns 1-812-773-0307 1-812-773-0507 [email protected] 101 SE Third St Evansville IN 47708 6/21/2007 Claims Processing Contacts Sorted by Contract Number Page 27 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H1607 ANTHEM INSURANCE COMPANIES, INC. Anthem Blue Cross and Blue Shield Wellpoint, Inc.

Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 8/1/2005

Program Manager Virginia Breeden 1-513-336-5301 1-513-336-3654 [email protected] 4361 Irwin Simpson Road Mailstop OH0102-C535 Mason OH 45040-9498 2/23/2007 H1608 COVENTRY HEALTH AND LIFE INS COMPANY Coventry Health and Life Insurance Company Coventry Health Care Inc. Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 7/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Service Operations Manager Kathy Capello 1-717-671-6827

[email protected] 3721 TecPort Drive PO Box 67103 Harrisburg PA 17106 6/19/2007 H1609 COVENTRY HEALTH CARE OF IOWA, INC. Coventry Health Care of Iowa, Inc. Coventry Health Care Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 7/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Service Operations Manager Kathy Capello 1-717-671-6827

[email protected] 3721 TecPort Drive PO Box 67103 Harrisburg PA 17106 6/19/2007 H1651 MEDICAL ASSOCIATES HEALTH PLAN, INC. Medical Associates Health Plan, Inc. Medical Associates Clinic Organization Type: 1876 Cost Plan Type: 1876 Cost Contract Effective Date: 2/1/1996

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Claims Manager Dan Waldbillig 1-563-584-4835 1-563-556-5134 [email protected] 1605 Associates Drive, Suite 101 P.O. Box 5002 Dubuque IA 52001 9/14/2005 Claims Processing Contacts Sorted by Contract Number Page 28 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H1689 ANTHEM INSURANCE COMPANIES, INC. Anthem Insurance Companies, Inc. Wellpoint, Inc.

Organization Type: PFFS Plan Type: PFFS Contract Effective Date: 1/1/2007

Program Manager Virginia Breeden 1-513-336-5301 1-513-336-3654 [email protected] 4361 Irwin Simpson Road Mailstop OH0102-C535 Mason OH 45040-9498 2/26/2007 H1714 VIA CHRISTI HEALTHCARE OUTREACH PROGRAM FOR ELDERS Via Christi HOPE Via Christi Outreach Pgrm. Elders, Inc Organization Type: National PACE Plan Type: National PACE Contract Effective Date: 9/1/2002

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director of Finance Kent Shank 1-316-946-5107 1-316-946-5106 [email protected] 2622 W. Central Wichita KS 67203 3/28/2007 H1716 HUMANA INSURANCE COMPANY Humana Insurance Company Humana Inc. Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 1/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Pamela Wilson 1-502-580-4854 1-502-580-7370 [email protected] 101 East Main Street Louisville KY 40202 2/14/2006 H1717 UNITED HEALTHCARE INSURANCE COMPANY SecureHorizons by UnitedHealthcare UHC - Pacificare Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 4/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Leslie Sheldon 1-715-858-2295

[email protected] 2725 Mall Drive Eau Claire WI 54701 8/3/2005 Claims Processing Contacts Sorted by Contract Number Page 29 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H1804 HUMANA INSURANCE COMPANY Humana Insurance Company Humana Inc.

Organization Type: PFFS Plan Type: PFFS Contract Effective Date: 1/1/2003

Pamela Wilson 1-502-580-4854 1-502-580-7370 [email protected] 500 West Main Street Louisville KY 40202 2/14/2006 H1806 HUMANA INSURANCE COMPANY Humana Insurance Company Humana Inc. Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 1/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Pamela Wilson 1-502-580-4854 1-502-580-7370 [email protected] 500 West Main Street Louisville KY 40202 2/14/2006 H1807 UNIVERSITY HEALTH CARE, INC. Passport Advantage University Health Care, Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director, Passport Advantage Lisa Lusby 1-215-863-5866 1-215-937-5304 [email protected] 200 Stevens Drive Philadelphia PA 19113 3/12/2007 H1849 ANTHEM HEALTH PLANS OF KENTUCKY, INC. Anthem Blue Cross and Blue Shield Wellpoint, Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/1998

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Program Manager Virginia Breeden 1-513-336-5301 1-513-336-3654 [email protected] 4361 Irwin Simpson Road Mailstop OH0102-C535 Mason OH 45040-9498 2/26/2007 Claims Processing Contacts Sorted by Contract Number Page 30 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H1850 WINDSOR HEALTH PLAN, INC. Windsor Medicare Extra Windsor Health Group

Organization Type: PFFS Plan Type: PFFS Contract Effective Date: 1/1/2007

VP of Administration Robin Bradley 1-615-782-7949

[email protected] 7100 Commerce Way, Ste 285 Brentwood TN 37027 9/7/2006 H1903 WELLCARE OF LOUISIANA, INC. WellCare WellCare Health Plans, Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 9/1/2004

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director, Claims Tom Middleton 1-888-888-8935 3711 1-813-675-2650 [email protected] 8735 Henderson Rd. Ren 2 Tampa FL 33634 1/16/2007 H1906 HUMANA HEALTH BENEFIT PLAN OF LA, INC. Humana Health Benefit Plan of LA, Inc. Humana Inc. Organization Type: PFFS Plan Type: PFFS Contract Effective Date: 5/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Pamela Wilson 1-502-580-4854 1-502-580-7370 [email protected] 500 West Main Street Louisville KY 40202 2/14/2006 H1951 HUMANA HEALTH BENEFIT PLAN OF LOUISIANA INC Humana Health Benefit Plan Of Louisiana Inc Humana Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 6/1/1994

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Pamela Wilson 1-502-580-4854 1-502-580-7370 [email protected] 500 West Main Street Louisville KY 40202 2/14/2006 Claims Processing Contacts Sorted by Contract Number Page 31 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H1961 TENET CHOICES, INC. Peoples Health Tenet Healthcare Corporation

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 7/1/1997

Claims Manager Susan Thibodeaux 1-504-849-4500 8680 1-504-849-6973 [email protected] Three Lakeway Center 3838 N Causeway Blvd, Suite 2200 Metairie LA 70002 2/6/2007 H2001 UNITED HEALTHCARE INSURANCE COMPANY SecureHorizons by UnitedHealthcare UHC - Pacificare Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 8/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Leslie Sheldon 1-715-858-2295

[email protected] 2725 Mall Drive Eau Claire WI 54701 8/3/2005 H2003 UNITED HEALTHCARE INSURANCE COMPANY Evercare« Health Plans UHC - Pacificare Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 8/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director of Operations Leslie Sheldon 1-715-858-2200

[email protected] 2725 Mall Drive WI080-1000 Eau Claire WI 54701 4/17/2006 H2108 ELDER HEALTH MID-ATLANTIC, INC. Bravo by Elder Health Elder Health, Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2001

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Assistant Vice President, Managed Care Systems Louise McCagg 1-410-864-4566 1-410-864-4467 [email protected] 3601 O'Donnell Street Baltimore MD 21224 5/4/2006 Claims Processing Contacts Sorted by Contract Number Page 32 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H2109 JOHNS HOPKINS HEALTH SYSTEM, INC. Hopkins Elderplus Johns Hopkins Bayview Medical Center

Organization Type: National PACE Plan Type: National PACE Contract Effective Date: 11/1/2002

Director Karen Armacost 1-410-550-7044 1-410-550-7045 [email protected] 4940 Eastern Avenue, Mason Lord Bldg., East Tower, First Floor Baltimore MD 21224 10/11/2005 H2111 UNITED HEALTHCARE INSURANCE COMPANY Evercare« Health Plans UHC - Pacificare Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 1/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director of Operations Leslie K Sheldon 1-715-858-2200

[email protected] 2725 Mall Drive WI080-1000 Eau Claire WI 54701 4/17/2006 H2112 AETNA HEALTH INC. (MARYLAND) Aetna Medicare Aetna Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 2/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Head of Regulatory Mgmt & Claims Services Rhonda Arvin 1-405-794-7040 1-860-262-9642 [email protected] 3030 Northwest Expressway MS F714 Oklahoma City OK 73101 4/6/2007 H2150 KAISER FNDN HP OF THE MID-ATLANTIC STS Kaiser Permanente Medicare Plus Kaiser Permanente Organization Type: 1876 Cost Plan Type: 1876 Cost Contract Effective Date: 1/1/1991

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Senior Director, Claims Administration Darryl M Wiley 1-301-625-2201

[email protected] 2101 East Jefferson Street Rockville MD 20852 12/4/2006 Claims Processing Contacts Sorted by Contract Number Page 33 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H2174 TRILLIUM COMMUNITY HEALTH PLAN Trillium Advantage Trillium Community Health Plan

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Assoc. VP Claims Administration Shannon Conley 1-541-485-2155

[email protected] 1800 Millrace Drive Eugene OR 97403 12/21/2006 H2218 HARBOR HEALTH SERVICES Elder Service Plan of Harbor Health Services, Inc Harbor Health Services Organization Type: National PACE Plan Type: National PACE Contract Effective Date: 11/1/2002

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Financial Supervisor James Malone 1-617-296-5100 1-617-296-5610 [email protected] 2216 Dorchester Avenue Dorchester MA 02124 10/11/2005 H2219 FALLON COMMUNITY HEALTH PLAN Fallon Community Health Plan - Summit ElderCare Fallon Community Health Plan Organization Type: National PACE Plan Type: National PACE Contract Effective Date: 11/1/2002

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director - Claims Administration Frank Mausolf 1-800-333-2535 69191 [email protected] One Chestnut Place 10 Chestnut Street Worcester MA 01608 5/7/2007 H2220 UPHAMS CORNER HEALTH COMMITTEE, INC. Uphams Corner Health Committee, Inc. Uphams Corner Health Committee, Inc. Organization Type: National PACE Plan Type: National PACE Contract Effective Date: 11/1/2002

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Operations Manager Jagdeep Trivedi 1-617-288-0970 11 1-617-474-0757 [email protected] 1140 Dorchester Ave. Dorchester MA 02125 7/27/2005 Claims Processing Contacts Sorted by Contract Number Page 34 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H2221 ELDER SRVC PLN/CAMBRIDGE HEALTH ALLIANCE Elder Srvc Pln/Cambridge Health Alliance Cambridge Health Alliance

Organization Type: National PACE Plan Type: National PACE Contract Effective Date: 11/1/2002

Financial Analyst ll Estenieau Jean 1-781-306-8671 1-781-306-8660 [email protected] 270 Green Street Cambridge MA 02139 5/24/2007 H2222 ELDER SERVICE PLAN OF THE NORTH SHORE Elder Service Plan of the North Shore Elder Service Plan of the North Shore Organization Type: National PACE Plan Type: National PACE Contract Effective Date: 11/1/2003

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Patient Account Manager Dee Caruso-Mahoney 1-781-715-6640 1-781-715-6699 [email protected] 37 Friend Street Lynn MA 01901 4/24/2007 H2223 ELDER SVC PLN/E BOSTON HEALTH CENTER Elder Svc Pln/E Boston Health Center Elder Svc Pln/E Boston Health Center Organization Type: National PACE Plan Type: National PACE Contract Effective Date: 11/1/2003

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Business Manager Aimee Olsen 1-617-569-5800

[email protected] 10 Gove St East Boston MA 02128 5/3/2007 H2224 SENIOR WHOLE HEALTH, LLC Senior Whole Health Senior Whole Health, LLC Organization Type: Demo Plan Type: MA Health Senior Care Options Contract Effective Date: 8/1/2004

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Director, Claims Peter Harrington 1-617-494-5353 6336 1-617-494-5599 [email protected] 58 Charles Street, 2nd Floor Cambridge MA 02141 2/8/2007 Claims Processing Contacts Sorted by Contract Number Page 35 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H2225 COMMONWEALTH CARE ALLIANCE, INC. Commonwealth Care Alliance, Inc. Commonwealth Care Alliance

Organization Type: Demo Plan Type: MA Health Senior Care Options Contract Effective Date: 6/1/2004

Jan Levinson 1-617-426-0600 222 [email protected] 30 Winter Street, 7th Floor Boston MA 02108 8/25/2005 H2226 UNITED HEALTHCARE INSURANCE COMPANY Evercare« Senior Care Options UHC - Pacificare Organization Type: Demo Plan Type: MA Health Senior Care Options Contract Effective Date: 3/1/2004

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director of Operations Leslie Sheldon 1-715-858-2200

[email protected] 2725 Mall Drive WI080-1000 Eau Claire WI 54701 4/17/2006 H2228 UNITED HEALTHCARE INSURANCE COMPANY Evercare« Health Plans UHC - Pacificare Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 1/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director of Operations Leslie Sheldon 1-715-858-2200

[email protected] 2725 Mall Drive WI080-1000 Eau Claire WI 54701 4/17/2006 H2229 TUFTS ASSOCIATED HMO, INC. Tufts Health Plan Tufts Associated Health Plans Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 8/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Director, Medicare Claims Rob Galan 1-888-880-8699 9480 [email protected] 705 Mt Auburn Street Watertown MA 02471 5/30/2007 Claims Processing Contacts Sorted by Contract Number Page 36 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H2230 BLUE CROSS AND BLUE SHIELD OF MA HMO BLUE, INC. Blue Cross And Blue Shield Of Massachusetts, Inc. Blue Cross and Blue Shield of Massachusetts

Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 9/1/2005

Lil E Rindone 1-617-246-8649

[email protected] 1 Enterprise Drive Mail Stop 02-03 North Quincy MA 02171 10/18/2005 H2237 INDEPENDENT CARE HEALTH PLAN, INC. iCare Independent Care Health Plan Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Loretta Lorenzen 1-414-231-1164 1-414-231-1092 [email protected] 1555 N Rivercenter Drive Suite 202A Milwaukee WI 53211 9/27/2006 H2256 TUFTS ASSOCIATED HMO, INC. Tufts Health Plan Tufts Associated Health Plans Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 7/1/1994

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director, Medicare Claims & Customer Service Rob Galan 1-888-880-8699 9480 [email protected] 705 Mt Auburn Street PO Box 9170 Watertown MA 02471 3/6/2007 H2261 BLUE CROSS and BLUE SHIELD OF MA HMO BLUE, INC. Blue Cross and Blue Shield of Massachusetts, Inc. Blue Cross and Blue Shield of Massachusetts Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/1996

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Lil E Rindone 1-617-246-8649

[email protected] 1 Enterprise Drive Mail Stop 02-03 North Quincy MA 02171 10/18/2005 Claims Processing Contacts Sorted by Contract Number Page 37 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H2312 HEALTH ALLIANCE PLAN OF MICHIGAN HAP Senior Plus Health Alliance Plan (HAP)

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/1987

Compliance & Privacy Officer Deborah Marine 1-313-664-8711 1-313-664-8479 [email protected] 2850 West Grand Boulevard Detroit MI 48375 9/14/2005 H2318 HENRY FORD HEALTH SYSTEM Henry Ford Health System Henry Ford Health System Organization Type: National PACE Plan Type: National PACE Contract Effective Date: 11/1/2003

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Financial Manager Christine Loussia 1-313-653-2230

[email protected] 7800 W. Outer Dr., Suite 240 Detroit MI 48235 6/1/2007 H2319 BLUE CROSS BLUE SHIELD OF MICHIGAN Blue Cross Blue Shield of Michigan Blue Cross Blue Shield of Michigan Organization Type: PFFS Plan Type: PFFS Contract Effective Date: 7/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Manager Linda Anderson 1-248-350-4522 1-248-350-4531 [email protected] 27000 W. Eleven Mile Road H 404 Southfield MI 48034 12/6/2006 H2320 PRIORITY HEALTH PriorityMedicare PriorityHealth Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 7/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Manager, Claims Laura Sterkenburg 1-616-464-8688

[email protected] 1231 East Beltline Ave NE Grand Rapids MI 49525 12/5/2005 Claims Processing Contacts Sorted by Contract Number Page 38 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H2322 ALLIANCE HEALTH AND LIFE INSURANCE, CO Alliance Medicare PPO Health Alliance Plan (HAP)

Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 8/1/2005

Corporate Compliance Officer Deborah L Marine 1-313-664-8711 1-313-664-8479 [email protected] 2850 W. Grand Blvd. Detroit MI 48202 9/14/2005 H2323 FIDELIS SECURECARE OF MICHIGAN Fidelis SecureCare Of Michigan Fidelis SecureCare Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 9/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

VP Operations & Analysis Kathy Cortez 1-847-605-0501

[email protected] 1700 East Golf Road Suite 1115 Schaumburg IL 60173 4/10/2007 H2354 HEALTHPLUS OF MICHIGAN HealthPlus of Michigan HealthPlus of Michigan Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 4/1/1997

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director of Insurance Operations Annette Nicolosi 1-810-720-7787 1-810-230-2289 [email protected] 2050 S. Linden Road P.O. Box 1700 Flint MI 48501-1700 8/22/2006 H2406 UNITED HEALTHCARE INSURANCE COMPANY Evercare« Health Plans UHC - Pacificare Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 6/1/2001

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Director of Operations Leslie K Sheldon 1-715-858-2200

[email protected] 2725 Mall Drive WI080-1000 Eau Claire WI 54701 4/17/2006 Claims Processing Contacts Sorted by Contract Number Page 39 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H2407 UCARE MINNESOTA UCare Minnesota UCare Minnesota

Organization Type: Demo Plan Type: MN Disability Health Options Contract Effective Date: 11/1/2001

Claims Processing Operations Manager Cheryl Tuttle 1-612-676-3411

[email protected] 500 Stinson Boulevard NE Minneapolis MN 55413 2/27/2007 H2408 UNITED HEALTHCARE INSURANCE COMPANY SecureHorizons MedicareDirect UHC - Pacificare Organization Type: PFFS Plan Type: PFFS Contract Effective Date: 9/1/2004

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Leslie Sheldon 1-715-858-2295

[email protected] 2725 Mall Drive Eau Claire WI 54701 8/3/2005 H2409 MEDICA HEALTH PLAN S OF WISCONSIN Medica Health Plans of Wisconsin Medica Health Plans Organization Type: PFFS Plan Type: PFFS Contract Effective Date: 7/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Tami Froehlich 1-952-992-3605 1-952-992-3660 [email protected] 401 Carlson Parkway Minnetonka MN 55305 9/6/2006 H2410 MEDICA HEALTH PLANS Medica Health Plans Medica Health Plans Organization Type: PFFS Plan Type: PFFS Contract Effective Date: 8/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Tami Froehlich 1-952-992-3605 1-952-992-3660 [email protected] 401 Carlson Parkway Minnetonka MN 55305 9/6/2006 Claims Processing Contacts Sorted by Contract Number Page 40 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H2411 FALLON COMMUNITY HEALTH PLAN Fallon Community Health Plan Fallon Community Health Plan

Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 7/1/2005

Director-Claims Administration Frank Mausolf 1-800-333-2535 69191 [email protected] One Chestnut Place 10 Chestnut Street Worcester MA 01608 10/13/2006 H2416 PRIMEWEST HEALTH SYSTEM Primewest Health System PrimeWest Health System Organization Type: Demo Plan Type: MN Senior Health Options Contract Effective Date: 7/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director of Claims Bruce Wegner 1-320-335-5231 1-320-335-5331 [email protected] PrimeWest Health System 510 22nd Ave Ease Alexandria MN 56308 1/17/2007 H2417 ITASCA MEDICAL CARE Itasca Medical Care Itasca County Health & Human Services Organization Type: Demo Plan Type: MN Senior Health Options Contract Effective Date: 6/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Medical Account Tech Terasa Koran 1-218-327-5528 1-218-327-5545 [email protected] 1219 SE 2nd Ave. Grand Rapids MN 55744 4/3/2007 H2419 SOUTH COUNTRY HEALTH ALLIANCE South Country Health Alliance South Country Health Alliance Organization Type: Demo Plan Type: MN Senior Health Options Contract Effective Date: 8/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Colleen Warnemunde 1-507-444-7771

[email protected] 110 W Fremont Street Owatonna MN 55060 11/15/2006 Claims Processing Contacts Sorted by Contract Number Page 41 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H2422 HEALTHPARTNERS HealthPartners Classic MN Senior Health Options HealthPartners

Organization Type: Demo Plan Type: MN Senior Health Options Contract Effective Date: 5/1/2005

Senior Manager Claims Eric Johnson 1-952-967-7380

[email protected]thpartners.com 8170 33rd Avenue South, PO Box 1309 MS: 21103R Minneapolis MN 55440 4/18/2007 H2424 FIRST PLAN OF MINNESOTA First Plan Blue Blue Cross and Blue Shield of Minnesota Organization Type: Demo Plan Type: MN Senior Health Options Contract Effective Date: 5/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Dr Plan Health Improvement & Service Operations Stacia Cohen 1-218-740-2330 6702 1-218-727-7247 [email protected] 525 S Lake Avenue Suite 222 Duluth MN 55802 4/17/2007 H2425 BLUE PLUS SecureBlue Blue Cross and Blue Shield of Minnesota Organization Type: Demo Plan Type: MN Senior Health Options Contract Effective Date: 9/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Manager, Governement Programs Operations Cathy Birkholz 1-651-662-9415

[email protected] 3400 Yankee Drive Eagan MN 55122 5/4/2007 H2450 MEDICA INSURANCE COMPANY Medica Insurance Company Medica Health Plans Organization Type: 1876 Cost Plan Type: 1876 Cost Contract Effective Date: 1/1/1990

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Tami Froehlich 1-952-992-3605

[email protected] 401 Carlson Parkway Minnetonka MN 55305 9/6/2006 Claims Processing Contacts Sorted by Contract Number Page 42 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H2456 UCARE MINNESOTA UCare Minnesota UCare Minnesota

Organization Type: Demo Plan Type: MN Senior Health Options Contract Effective Date: 1/1/1997

Claims Processing Operations Manager Cheryl Tuttle 1-612-676-3411

[email protected] 500 Stinson Boulevard NE Minneapolis MN 55413 2/27/2007 H2457 METROPOLITAN HEALTH PLAN Metropolitan Health Plan MSHO Metropolitan Health Plan Organization Type: Demo Plan Type: MN Senior Health Options Contract Effective Date: 1/1/1997

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Sr Accountant Phil Carlson 1-612-543-3317 1-612-904-4264 [email protected] 822 South Third Street Suite 140 Minneapolis MN 55415 1/4/2007 H2458 MEDICA HEALTH PLANS Medica Dual Solution Medica Health Plans Organization Type: Demo Plan Type: MN Senior Health Options Contract Effective Date: 7/1/1997

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Tami Froehlich 1-952-992-3605

[email protected] 401 Carlson Parkway Minnetonka MN 55305 9/6/2006 H2459 UCARE MINNESOTA UCare Minnesota UCare Minnesota Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 5/1/1998

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Claims Processing Operations Manager Cheryl Tuttle 1-612-676-3411 1-612-676-6501 [email protected] 500 Stinson Boulevard NE Minneapolis MN 55413 2/27/2007 Claims Processing Contacts Sorted by Contract Number Page 43 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H2461 BLUE CROSS BLUE SHIELD OF MINNESOTA Blue Cross Blue Shield of Minnesota Blue Cross and Blue Shield of Minnesota

Organization Type: 1876 Cost Plan Type: 1876 Cost Contract Effective Date: 1/1/1999

Manager Medicare Business Services Cathy Birkholz 1-651-662-9415 1-651-662-9415 [email protected] 3400 Yankee Drive Eagan MN 55122 2/14/2006 H2462 HEALTHPARTNERS HealthPartners HealthPartners Organization Type: 1876 Cost Plan Type: 1876 Cost Contract Effective Date: 1/1/1999

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Senior Manager Claims Eric W Johnson 1-952-967-7380

[email protected] 8170 33rd Avenue South PO Box 1309 Minneapolis MN 55440-1309 6/26/2006 H2609 ALEXIAN BROTHERS COMMUNITY SERVICES Alexian Brothers Community Services Alexian Brothers Community Services Organization Type: National PACE Plan Type: National PACE Contract Effective Date: 11/1/2001

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Accounting Assistant Martha Bernard 1-314-771-5800 129 1-314-664-2125 [email protected] 3900 S. Grand St. Louis MO 63118 6/14/2007 H2610 ESSENCE INC. Essence Inc. Essence Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 6/1/2004

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Manager, Claims and Customer Service Dawn Walter 1-314-851-3600

[email protected] 12655 Olive 4th Floor saint louis MO 63141 3/28/2007 Claims Processing Contacts Sorted by Contract Number Page 44 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H2611 PREMIER HEALTH INSURANCE COMPANY, INC. Premier Health Insurance Company, Inc. Sisters of Mercy Health System-St. Louis.

Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 1/1/2005

Benefits Administrator JoAnne Bell 1-417-836-0438

[email protected] 1949 E. Sunshine One Corporate Centre, Ste. 200 Springfield MO 65804 7/28/2005 H2613 HEALTHY ALLIANCE LIFE INSURANCE COMPANY Blue Cross Blue Shield of Missouri Wellpoint, Inc. Organization Type: PFFS Plan Type: PFFS Contract Effective Date: 6/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Manager II, Customer Care Multi Debra Kaiser 1-920-923-8339

[email protected] 145 S. Pioneer Blvd Mail Stop WIW201-FDL Fon Du Lac WI 54935 5/1/2006 H2649 HUMANA HEALTH PLAN, INC. Humana Health Plan, Inc. Humana Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/1990

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Pamela Wilson 1-502-580-4854 1-502-580-7370 [email protected] 500 West Main Street Louisville KY 40202 2/14/2006 H2654 UNITED HEALTHCARE OF THE MIDWEST, INC. SecureHorizons by UnitedHealthcare UHC - Pacificare Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 10/1/1992

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Leslie Sheldon 1-715-858-2295

[email protected] 2725 Mall Drive Eau Claire WI 54701 8/3/2005 Claims Processing Contacts Sorted by Contract Number Page 45 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H2663 GROUP HEALTH PLAN, INC. Group Health Plan, Inc. Coventry Health Care Inc.

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 11/1/1995

Director of Compliance Geneva Clark 1-314-506-1808

[email protected] 550 Maryville Centre Drive Suite 300 St. Louis MO 63141-5818 9/11/2006 H2667 MERCY HEALTH PLANS OF MISSOURI INC. Mercy Health Plans, Inc. Sisters of Mercy Health System-St. Louis. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 2/1/1997

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Benefits Administrator JoAnne Bell 1-417-836-0438

[email protected] 1949 E. Sunshine One Corporate Centre, Ste. 200 Springfield MO 65804 7/28/2005 H2672 COVENTRY HEALTH CARE OF KANSAS, INC. Coventry Health Care of Kansas, Inc. Coventry Health Care Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 5/1/1999

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Manager, Medicare Compliance Gail D Howard-King 1-816-460-4003 1-816-460-4429 [email protected] 8320 Ward Parkway Kansas City MO 64114 7/27/2005 H2701 NEW WEST HEALTH SERVICES New West Medicare New West Health Services Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 6/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Medicare Operations Director Bonnie Franklin 1-406-751-3334 1-406-257-2600 [email protected] 1203 Highway 2 West, Suite 45 Kalispell MT 59901 11/12/2006 Claims Processing Contacts Sorted by Contract Number Page 46 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H2802 UNITED HEALTHCARE OF THE MIDLANDS, INC. SecureHorizons by UnitedHealthcare UHC - Pacificare

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 10/1/1985

Leslie Sheldon 1-715-858-2295

[email protected] 2725 Mall Drive Eau Claire WI 54701 8/3/2005 H2803 UNITED HEALTHCARE INSURANCE COMPANY SecureHorizons by UnitedHealthcare UHC - Pacificare Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 4/1/2003

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Leslie Sheldon 1-715-858-2295

[email protected] 2725 Mall Drive Eau Claire WI 54701 8/3/2005 H2905 SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. Sierra Spectrum Sierra Health Services, Inc Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 8/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director, Health Informatics Alejandro Corral 1-702-242-7215

[email protected] 2716 N. Tenaya Way Las Vegas NV 89128 10/18/2006 H2906 HOMETOWN HEALTH PLAN Senior Care Plus Washoe Medical Center Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 7/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Business Analyst Manager Tricha Hutchcraft 1-775-982-3274 1-775-982-3751 [email protected] 830 Harvard Way Reno NV 89502 10/12/2005 Claims Processing Contacts Sorted by Contract Number Page 47 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H2931 HEALTH PLAN OF NEVADA, INC. Senior Dimensions Sierra Health Services, Inc

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 6/1/1985

Director, Health Informatics Alejandro Corral 1-702-242-7215

[email protected] 2716 N. Tenaya Way Las Vegas NV 89128 10/18/2006 H2949 PACIFICARE OF NEVADA, INC AARP MedicareComplete provided by SecureHorizons UHC - Pacificare Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 10/1/1992

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Dir, Cust Svc Ctr-II Leo Maes 1-480-377-5001 75001 [email protected] 4601 E Hilton Ave M/S AZ74-149 Phoenix AZ 85034 8/2/2005 H2960 HOMETOWN HEALTH PLAN Senior Care Plus Washoe Medical Center Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 10/1/1995

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Business Analyst Manager Tricha Hutchcraft 1-775-982-3274

[email protected] 830 Harvard Way Reno NV 89502 10/12/2005 H2961 HEALTH PLAN OF NEVADA, INC. Senior Dimensions Sierra Health Services, Inc Organization Type: Demo Plan Type: SHMO Contract Effective Date: 10/1/1996

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Director, Health Informatics Alejandro Corral 1-702-242-7215

[email protected] 2716 N. Tenaya Way Las Vegas NV 89128 10/18/2006 Claims Processing Contacts Sorted by Contract Number Page 48 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H3107 OXFORD HEALTH PLANS (NJ), INC. AARP MedicareComplete provided by SecureHorizons UHC - Pacificare

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 10/1/1991

Michael Santoro 1-203-459-7853

[email protected] 48 Monroe Turnpike CT015-0661 Trumbull CT 06611 5/1/2007 H3112 AMERIHEALTH HMO_INC AmeriHealth 65 Independence Blue Cross Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 10/1/2004

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director, Claims Processing Theresa Baugh 1-215-241-4476

[email protected] 925 Chestnut Street - C4 Philadelphia PA 19107 11/9/2006 H3113 OXFORD HEALTH PLANS OF NEW JERSEY, INC Evercare« Health Plans UHC - Pacificare Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 7/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Leslie Sheldon 1-715-858-2295

[email protected] 2725 Mall Drive Eau Claire WI 54701 4/14/2006 H3152 AETNA HEALTH, INC. Aetna Medicare Aetna Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 9/1/1993

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Head of Regulatory Mgmt & Claims Services Rhonda Arvin 1-405-794-7040 1-860-262-9642 [email protected] 3030 Northwest Expressway MS F714 Oklahoma City OK 73101 4/6/2007 Claims Processing Contacts Sorted by Contract Number Page 49 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H3154 HORIZON HEALTHCARE OF NEW JERSEY, INC. Horizon Blue Cross Blue Shield of New Jersey, Inc. Horizon Blue Cross Blue Shield of New Jersey,

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/1996

Service Director Magna S Hadley 1-973-466-6651

[email protected] 3 Penn Plaza East PP02Q Newark NJ 07105-2200 7/27/2005 H3156 AMERIHEALTH HMO_INC AmeriHealth 65 Independence Blue Cross Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 10/1/1995

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director, Government Programs Claims Processing Theresa Baugh 1-215-241-4476

[email protected] 925 Chestnut Street - C4 Philadelphia PA 19107 11/9/2006 H3164 AMERICHOICE OF NEW JERSEY, INC AmeriChoice Personal Care Plus UHC - Pacificare Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/1999

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

VP, Medicare Operations and Compliance Christine Liberato 1-602-664-5483 1-602-266-1846 [email protected] 3141 North Third Avenue Phoenix AZ 85013 11/25/2006 H3204 PRESBYTERIAN HEALTH PLAN Presbyterian Senior Care Presbyterian Healthcare Services Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 4/1/1986

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Director, Claims Patricia Wilson 1-505-923-5915

[email protected] P.O. Box 27489 Albuquerque NM 87125-7489 8/23/2005 Claims Processing Contacts Sorted by Contract Number Page 50 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H3206 PRESBYTERIAN INSURANCE COMPANY, INC. Presbyterian MediCare PPO Presbyterian Healthcare Services

Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 7/1/2005

Director, Claims Patricia Wilson 1-505-923-5915

[email protected] P.O. Box 26267 Albuquerque NM 87125-6267 8/23/2005 H3207 LOVELACE INSURANCE COMPANY Lovelace Insurance Company Ardent Health Services. Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 8/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Ruth Blea 1-505-262-3816 1-505-232-1821 [email protected] 4101 Indian School Rd. NE Albuquerque NM 87110 2/7/2007 H3208 HCSC INSURANCE SERVICES COMPANY HISC - Blue Cross Blue Shield of New Mexico Health Care Service Corporation Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 8/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Customer Service 1-866-706-7745

[email protected] Blue Medicare PPO P.O. Box 3567 Scranton PA 18503 4/19/2006 H3209 UNITED HEALTHCARE INSURANCE COMPANY Evercare« Health Plans UHC - Pacificare Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 8/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Director of Operations Leslie L Sheldon 1-715-858-2200

[email protected] 2725 Mall Drive WI080-1000 Eau Claire WI 54701 4/17/2006 Claims Processing Contacts Sorted by Contract Number Page 51 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H3251 LOVELACE HEALTH PLAN, INC. Lovelace Senior Plan Ardent Health Services.

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 11/1/1993

Ruth Blea 1-505-262-3816 1-505-232-1821 [email protected] 4101 Indian School Rd. NE Albuquerque NM 87110 2/7/2007 H3304 EXCELLUS HEALTH PLAN, INC. Excellus Health Plan, Inc. Excellus, Inc Organization Type: 1876 Cost Plan Type: 1876 Cost Contract Effective Date: 9/1/1980

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director, Medicare Business Process Improvement Karen Bodley 1-585-399-6655 1-585-339-7777 [email protected] 165 Court Street Rochester NY 14647 6/5/2007 H3305 ROCHESTER AREA HMO/ DBA PREFERRED CARE Preferred Care Gold Rochester Area Health Maintenance Organization Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 11/1/1985

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Kelli Traver 1-585-327-2529

[email protected] 259 Monroe Ave. Rochester NY 14607 7/26/2005 H3307 OXFORD HEALTH PLANS (NY) INC. SecureHorizons by UnitedHealthcare UHC - Pacificare Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 10/1/1991

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Michael Santoro 1-203-459-7853

[email protected] 48 Monroe Turnpike CT015-1000 Trumbull CT 06611 5/1/2007 Claims Processing Contacts Sorted by Contract Number Page 52 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H3312 AETNA HEALTH INC. Aetna Medicare Aetna Inc.

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 10/1/1986

Head of Regulatory Mgmt & Claims Services Rhonda Arvin 1-405-794-7040 1-860-262-9642 [email protected] 3030 Northwest Expressway MS F714 Oklahoma City OK 73101 4/6/2007 H3314 HIP OF GREATER NEW YORK HIP Health Plan of Greater New York HIP, Health Plan of New York Organization Type: 1876 Cost Plan Type: 1876 Cost Contract Effective Date: 1/1/1987

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization:

MA Contact: No contact data submitted Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: H3321 INDEPENDENT LIVING SRVCS OF CENTRAL NY Independent Living Srvcs Of Central Ny Independent Living Srvcs of Central NY Organization Type: National PACE Plan Type: National PACE Contract Effective Date: 11/1/2002

Heather Page 1-315-452-5800 130 [email protected] 100 Malta Lane North Syracuse NY 13212 9/11/2006 H3322 SENIOR CARE CONNECTION, INC. Senior Care Connection, Inc. Senior Care Connection, Inc. Organization Type: National PACE Plan Type: National PACE Contract Effective Date: 11/1/2002

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

VicePresident/Director Bernadette Hallam 1-518-382-3290 216 1-518-382-3398 [email protected] 504 State Street Schenectady NY 12305 10/11/2005 Claims Processing Contacts Sorted by Contract Number Page 53 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H3327 TOUCHSTONE HEALTH PARTNERSHIP Touchstone Health Touchstone Health Partnership, Inc

Organization Type: Local CCP Plan Type: PSO (Federal Waiver of State License) Contract Effective Date: 1/1/2005

Vice President, Operations Brian Bodick 1-212-294-6555 1-212-295-1040 [email protected] 14 Wall Street New York NY 10005 5/16/2006 H3328 NEW YORK STATE CATHOLIC HLTH PLAN INC Fidelis Catholic Med Ctr/Diocese of Brooklyn Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 5/1/2004

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

AVP Claims Sharon Ryan 1-716-564-3630 2021 1-716-564-3645 [email protected] 40 John Glenn Amherst NY 14228 7/26/2005 H3329 COMPREHENSIVE CARE MANAGEMENT CORP. Comprehensive Care Management Corp. Comprehensive Care Management Corp. Organization Type: National PACE Plan Type: National PACE Contract Effective Date: 11/1/2003

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Richard Rosen 1-718-944-2100

[email protected] 2275 Olinville Ave. Bronx NY 10467 5/11/2006 H3330 HIP OF GREATER NEW YORK HIP Health Plan of Greater New York HIP, Health Plan of New York Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 7/1/1987

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Cynthia Aureli 1-646-447-6377

[email protected] 55 Water Street New York NY 10041 10/14/2005 Claims Processing Contacts Sorted by Contract Number Page 54 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H3331 INDEPENDENT LIVING FOR SENIORS, INC. Independent Living For Seniors, Inc. Independent Living For Seniors

Organization Type: National PACE Plan Type: National PACE Contract Effective Date: 11/1/2003

Enrollment Specialist Enza Mormino 1-585-922-2848 1-585-922-2864 [email protected] 2066 Hudson Avenue Rochester NY 14617 5/22/2007 H3333 AMERICAN PROGRESSIVE LIFE/HLTH INS. Today's Option Universal American Financial Corporation Organization Type: PFFS Plan Type: PFFS Contract Effective Date: 5/1/2004

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director, Claims Darian Newman 1-713-273-8633 1-713-952-7819 [email protected] 4888 Loop Central Drive Suite 700 Houston TX 77081 2/12/2007 H3335 EXCELLUS HEALTH PLAN, INC. Excellus Health Plan, Inc. Excellus, Inc Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 7/1/2004

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director, Medicare Business Process Improvement Karen Bodley 1-585-399-6655 1-585-339-7777 [email protected] 165 Court Street Rochester NY 14647 6/5/2007 H3336 NEIGHBORHOOD HEALTH PROVIDERS LLC Neighborhood Health Providers Brookdale University and Hospital Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Vice President Joanne Rodd 1-631-582-5435 1-631-582-7230 [email protected] 1377 Motor Parkway Suite 400 Islandia NY 11749 7/28/2005 Claims Processing Contacts Sorted by Contract Number Page 55 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H3337 LIBERTY HEALTH ADVANTAGE, INC. Liberty Health Advantage Liberty Health Advantage, Inc.

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 8/1/2005

Patrina Jackson 1-212-642-3433

[email protected] 335 West 16th Street, 4th Floor New York NY 10011-5902 5/29/2007 H3338 NATIONAL HEALTH PLAN NETWORK INC. National Health Plan Network Inc. National Health Plan Network Inc Organization Type: HCPP - 1833 Cost Plan Type: HCPP - 1833 Cost Contract Effective Date: 7/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization:

MA Contact: No contact data submitted Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: H3342 EMPIRE HEALTHCHOICE ASSURANCE, INC. Empire BlueCross BlueShield Wellpoint, Inc. Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 9/1/2005

Claims Director William Hartman 1-518-367-6286 1-518-367-6013 [email protected] 11 Corporate Woods Blvd Loudonville NY 12211 10/13/2005 H3344 INDEPENDENT HEALTH BENEFITS CORP Independent Health Independent Health Benefits Corporation Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 9/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Product Admin, Medicare Operations Carleen Dunne 1-716-635-7568 1-716-631-1038 [email protected] 511 Farber Lakes Drive Buffalo NY 14221 8/24/2005 Claims Processing Contacts Sorted by Contract Number Page 56 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H3345 HIP INSURANCE COMPANY OF NEW YORK Hip Insurance Company Of New York HIP, Health Plan of New York

Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 9/1/2005

Cynthia Aureli 1-646-447-6377

[email protected] 55 Water Street New York NY 10041 10/14/2005 H3346 ROCHESTER AREA HEALTH MAINTENANCE ORG. Preferred Care GoldAnywhere Rochester Area Health Maintenance Organization Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 9/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Kelli Traver 1-585-327-2529

[email protected] 259 Monroe Ave. Rochester NY 14607 7/26/2005 H3347 ELDERPLAN, INC. Elderplan, Inc. Metropolitan Jewish Health System (MJHS) Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

AVP Claims & Technical Services Laurissa Burns 1-718-921-7615 1-718-759-4034 [email protected] 6323 Seventh Avenue Brooklyn NY 11220 2/21/2007 H3351 EXCELLUS HEALTH PLAN, INC. Excellus Health Plan, Inc. Excellus, Inc Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/1990

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Director, Medicare Business Process Improvement Karen Bodley 1-585-399-6655 1-585-339-7777 [email protected] 165 Court Street Rochester NY 14647 6/5/2007 Claims Processing Contacts Sorted by Contract Number Page 57 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H3356 EXCELLUS HEALTH PLAN, INC. Excellus Health Plan, Inc. Excellus, Inc

Organization Type: 1876 Cost Plan Type: 1876 Cost Contract Effective Date: 1/1/1993

Director, Medicare Business Process Improvement Karen Bodley 1-585-399-6655 1-585-339-7777 [email protected] 165 Court Street Rochester NY 14647 6/5/2007 H3359 MANAGED HEALTH, INC. Healthfirst Medicare Plan Managed Health, Inc Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 6/1/1994

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H3359 Healthfirst Medicare 1-888-801-1660

[email protected] PO Box 5196 New York NY 10004 6/6/2007 H3361 WELLCARE_OF NEW YORK, INC. WellCare WellCare Health Plans, Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 9/1/1995

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director, Claims Patricia Thomas 1-888-888-8935 3711 1-813-675-2650 [email protected] 8735 Henderson Blvd. Ren 2 Tampa FL 33634 1/16/2007 H3362 INDEPENDENT HEALTH ASSOCIATION, INC. Independent Health Independent Health Benefits Corporation Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/1996

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Product Admin, Medicare Carleen Dunne 1-716-635-7865 1-716-250-7197 [email protected] 511 Faber Lakes Drive Buffalo NY 14221 8/24/2005 Claims Processing Contacts Sorted by Contract Number Page 58 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H3366 HEALTH NET OF NY Health Net Of NY Health Net, Inc.

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 3/1/1996

Manager, Calls and Claims, NE Operations Beth J Kelly 1-203-402-4273

[email protected] 100 Beard Sawmill Rd. Mail Stop: CT-104-06-11 Shelton CT 06484 3/30/2007 H3370 EMPIRE HEALTHCHOICE HMO, INC. Empire BlueCross BlueShield HMO Wellpoint, Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 7/1/1996

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Manager, Application Develop/Financial Reporting Robert Isea 1-718-312-5252 1-718-312-6038 [email protected] 15 Metrotech Center, 2nd Floor Brooklyn NY 11201 7/28/2005 H3379 UNITED HEALTHCARE OF NEW YORK, INC. SecureHorizons by UnitedHealthcare UHC - Pacificare Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 3/1/1997

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Leslie Sheldon 1-715-858-2295

[email protected] 2725 Mall Drive Eau Claire WI 54701 8/3/2005 H3384 HEALTHNOW NEW YORK INC Senior Blue HealthNow New York Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 2/1/1998

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Director, CSCO Denise Blattenberger 1-716-887-2069

[email protected] 1901 Main Street Buffalo NY 13905 3/8/2006 Claims Processing Contacts Sorted by Contract Number Page 59 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H3387 AMERICHOICE OF NEW YORK, INC AmeriChoice Personal Care Plus UHC - Pacificare

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/1999

VP, Operations and Compliance Christine Liberato 1-602-664-5483 1-602-266-1846 [email protected] 3141 North Third Avenue Phoenix AZ 85013 11/25/2006 H3388 CAPITAL DISTRICT PHYSICIANS' HP, INC. CDPHP Medicare Choice Capital District Physicians' Health Plan, Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 8/1/1999

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Manager of Claims Operations Joanne Carlough 1-518-641-3620 1-518-641-3505 [email protected] 500 Patroon Creek Blvd Albany NY 12206 5/1/2006 H3404 PARTNERS NATIONAL HEALTH PLANS OF NC INC Medicare Blue PPO Partners National Health Plans of North Carolina Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 7/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Sr. Segment Operations Director Sonya Walker 1-336-201-4600

[email protected] 5660 University Parkway Winston-Salem NC 27105 11/16/2006 H3405 HUMANA INSURANCE COMPANY Humana Insurance Company Humana Inc. Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 8/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Pamela Wilson 1-502-580-4854 1-502-580-7370 [email protected] 500 West Main Street Louisville KY 40202 2/14/2006 Claims Processing Contacts Sorted by Contract Number Page 60 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H3435 UNITED HEALTHCARE INSURANCE COMPANY Erickson Advantage UHC - Pacificare

Organization Type: Demo Plan Type: Continuing Care Retirement Community Contract Effective Date: 1/1/2007

Leslie Sheldon 1-715-858-2295

[email protected] 2725 Mall Drive Eau Claire WI 54701 4/19/2006 H3449 PARTNERS NATIONAL HEALTH PLANS OF NC, INC. Medicare Blue HMO Partners National Health Plans of North Carolina Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 7/1/1995

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director Sonya Walker 1-336-201-4600

[email protected] 5660 University Parkway Winston-Salem NC 27105 9/11/2006 H3456 UNITED HEALTHCARE OF NORTH CAROLINA SecureHorizons by UnitedHealthcare UHC - Pacificare Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 6/1/1997

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Leslie Sheldon 1-715-858-2295

[email protected] 2725 Mall Drive Eau Claire WI 54701 8/3/2005 H3503 HEART OF AMERICA HMO Heart of America Health Plan Heart of America HMO Organization Type: 1876 Cost Plan Type: 1876 Cost Contract Effective Date: 1/1/1984

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization:

MA Contact: No contact data submitted Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007 Claims Processing Contacts Sorted by Contract Number Page 61 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H3613 CONCORDIA CARE Concordia Care Concordia Care

Organization Type: National PACE Plan Type: National PACE Contract Effective Date: 11/1/2002

Finance Manager James Adamowicz 1-216-791-3580 234 1-216-791-3281 [email protected] 2373 Euclid Heights Blvd. Cleveland Heights OH 44106 7/27/2005 H3614 TRIHEALTH SENIORLINK Trihealth Seniorlink TriHealth SeniorLink Organization Type: National PACE Plan Type: National PACE Contract Effective Date: 11/1/2002

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Billing Specialist Stacy Straub 1-513-569-5057

[email protected] 619 0ak Street Cincinnati OH 45206 10/11/2005 H3619 HUMANA INSURANCE COMPANY Humana Insurance Company Humana Inc. Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 1/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Pamela Wilson 1-502-580-4854 1-502-580-7370 [email protected] 500 West Main Street Louisville KY 40202 2/14/2006 H3620 MCKINLEY LIFE INSURANCE COMPANY PrimeTime Health Plan McKinley Life Insurance Company Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 7/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Member Services/Claims Coordinator Robert James 1-330-363-3931 1-330-580-6764 [email protected] 214 Dartmouth Avenue SW Canton OH 44710 8/28/2006 Claims Processing Contacts Sorted by Contract Number Page 62 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H3623 AETNA HEALTH OF (OHIO) Aetna Medicare Aetna Inc.

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 7/1/2005

Head of Regulatory Mgmt & Claims Services Rhonda Arvin 1-405-794-7040 1-860-262-9642 [email protected] 3030 Northwest Expressway MS F714 Oklahoma City OK 73101 4/6/2007 H3624 AETNA LIFE INSURANCE COMPANY Aetna Medicare Aetna Inc. Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 9/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Head of Regulatory Mgmt & Claims Services Rhonda Arvin 1-405-794-7040 1-860-262-9642 [email protected] 3030 Northwest Expressway MS F714 Oklahoma City OK 73101 4/6/2007 H3653 PARAMOUNT CARE, INC Paramount Elite Promedica Health System Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 2/1/1995

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director of Claims Karen Holben 1-419-887-2604

[email protected] 1901 Indian Wood Circle Maumee OH 43537 8/2/2005 H3655 COMMUNITY INSURANCE COMPANY Anthem Blue Cross and Blue Shield Wellpoint, Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 10/1/1994

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Program Manager Virginia Breeden 1-513-336-5301 1-513-336-3654 [email protected] 4361 Irwin Simpson Road Mailstop OH0102-C535 Mason OH 45040-9498 2/26/2007 Claims Processing Contacts Sorted by Contract Number Page 63 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H3659 UNITED HEALTHCARE OF OHIO, INC. SecureHorizons by UnitedHealthcare UHC - Pacificare

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 5/1/1996

Leslie Sheldon 1-715-858-2295

[email protected] 2725 Mall Drive Eau Claire WI 54701 8/3/2005 H3660 SUMMACARE INC. SummaCare SummaCare Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 6/1/1996

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director of Claims Linda Hunsicker 1-330-996-8414 68957 1-330-996-8977 [email protected] P.O. Box 3620 Akron OH 44309-3620 11/30/2006 H3664 MCKINLEY LIFE INSURANCE COMPANY PrimeTime Health Plan McKinley Life Insurance Company Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/1997

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Member Services/Claims Coordinator Robert James 1-800-577-5084 1-330-580-6764 [email protected] 214 Dartmouth Avenue SW Canton OH 44710 10/3/2006 H3668 MT. CARMEL HEALTH PLAN, INC. MediGold Trinity Health Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 3/1/1997

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Director, Audit Cheri Randle 1-614-546-3204 1-614-546-3145 [email protected] 6150 E. Broad St, EE320 Columbus OH 43213 3/28/2007 Claims Processing Contacts Sorted by Contract Number Page 64 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H3672 HOMETOWN HEALTH PLAN The Health Plan Hometown Health

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 3/1/1997

Vice-President, Operations Patti Fast 1-740-695-7605 1-740-695-8103 [email protected] The Health Plan 52160 National Road East St. Clairsville OH 43950 2/28/2007 H3706 GLOBALHEALTH, INC. Generations Healthcare Universal American Financial Corporation Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2004

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director, Claims Darian Newman 1-713-965-4444 1145 1-713-965-0433 [email protected] 4888 Loop Central Drive Suite 800 Houston TX 77081 4/10/2007 H3708 SELECTCARE OF OKLAHOMA, INC. SelectCare of Oklahoma Universal American Financial Corporation Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 8/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director, Claims Darian Newman 1-713-273-8633 1-713-952-7819 [email protected] 4888 Loop Central Drive Suite 700 Houston TX 77081 2/12/2007 H3709 BLUE CROSS AND BLUE SHIELD OF OKLAHOMA Blue Cross And Blue Shield Of Oklahoma Health Care Service Corporation Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 7/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

director, Claims Administration Roxanne King 1-918-594-5200 1-918-594-5260 [email protected] 218 W. 6th Street Tulsa, OK 74119 1/9/2006 Claims Processing Contacts Sorted by Contract Number Page 65 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H3749 PACIFICARE OF OKLAHOMA, INC. SecureHorizons by UnitedHealthcare UHC - Pacificare

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/1991

Dir, Cust Svc Ctr Raynee D Andrews 1-210-474-5440 1-210-478-4327 [email protected] 6200 Northwest Parkway San Antonio TX 78249 8/2/2005 H3755 COMMUNITY CARE HMO, INC CommunityCare Senior Health Plan Francis Hospital and St. John Medical Center Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 5/1/1996

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Roxanne King 1-918-594-5200 6801 [email protected] 218 W.6TH STREET TULSA OK 74119 7/26/2005 H3805 PACIFICARE OF OREGON, INC. AARP MedicareComplete provided by SecureHorizons UHC - Pacificare Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/1986

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Dir, Cust Svc Ctr Debbie A Salas 1-714-226-4720 1-714-226-4640 [email protected] 10801 Walker Dr Cypress CA 90630 8/2/2005 H3809 PROVIDENCE HEALTH SYSTEM - OREGON Providence ElderPlace Portland Providence Health System Organization Type: National PACE Plan Type: National PACE Contract Effective Date: 11/1/2003

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Finance Director Brantley Dettmer 1-503-215-3859 1-503-215-0685 [email protected] 4531 SE Belmont Suite 100 Portland OR 97215 5/22/2007 Claims Processing Contacts Sorted by Contract Number Page 66 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H3810 MID ROGUE INDEPENDENT PHYSICIAN ASSOCIATION CareSource Mid Rogue Community Health Plan

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 5/1/2005

Claims Manager Sharon Vaughn 1-541-471-4106 1-541-471-1524 [email protected] 820 NE 7th Street Grants Pass OR 97526 7/26/2005 H3811 SAMARITAN HEALTH PLANS, INC. Samaritan Advantage Health Plan Samaritan Health Services Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 6/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Claims Manager Georgette Lugo 1-541-768-4550 1-541-768-4294 [email protected] PO Box M Corvallis OR 97339 5/15/2006 H3812 UNITED HEALTHCARE INSURANCE COMPANY SecureHorizons by UnitedHealthcare UHC - Pacificare Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 6/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Leslie Sheldon 1-715-858-2295

[email protected] 2725 Mall Drive Eau Claire WI 54701 8/3/2005 H3813 ODS HEALTH PLAN, INC. ODS Health Plan, Inc. The ODS Companies (ODS) Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 7/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

ODS Advantage Customer Service Customer Service 1-877-299-9062 1-503-948-5577 [email protected] 601 SW Second Ave Portland OR 97204 6/6/2007 Claims Processing Contacts Sorted by Contract Number Page 67 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H3814 ATRIO HEALTH PLANS ATRIO MyAdvantage ATRIO Health Plans

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 7/1/2005

Director of Operations Renee Dodd 1-541-672-8620 1-541-672-8670 [email protected] 500 SE Cass Ave. Suite 230 Roseburg OR 97470 6/24/2007 H3815 CITIZENS CHOICE HEALTHPLAN Citizens Choice Healthplan Honored Citizens Choice Health Plan Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 7/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Claims Manager Valerie Padilla 1-323-728-7232 1-323-728-8494 [email protected] 5400 E. Olympic Blvd., Suite 130 Los Angeles CA 90022 8/2/2006 H3817 REGENCE BLUECROSS BLUESHIELD OF OR Regence BlueCross BlueShield of Oregon The Regence Group Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 7/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Manager Claims Processing Holly M Moore 1-503-587-3274

[email protected] 201 High Street, SE PO Box 12625 Salem OR 97309-0625 5/11/2007 H3818 FAMILYCARE HEALTH PLANS, INC. FamilyCare Health Plans, Inc. FamilyCare Incorporated Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 9/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Claims Supervisor Theresa Mengis 1-503-471-2127 1-503-471-2177 [email protected] 2121 SW Broadway #300 Portland OR 97201 3/28/2007 Claims Processing Contacts Sorted by Contract Number Page 68 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H3851 REGENCE BLUE CROSS BLUE SHIELD OF OREGON Regence BlueCross BlueShield Of Oregon The Regence Group

Organization Type: 1876 Cost Plan Type: 1876 Cost Contract Effective Date: 1/1/1993

Manager Claims Processing Holly M Moore 1-503-387-3274

[email protected] 201 High Street, SE PO Box 12625 Salem OR 97309-0625 5/11/2007 H3864 CLEAR CHOICE HEALTH PLANS, INC. Clear Choice Health Plans Clear Choice Health Plans, Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/1999

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

VP of Operations Rowena Rosenblum 1-541-385-5315 111 [email protected] 2650 NE Courtney Dr. Bend OR 97701 11/8/2006 H3887 UNITED HEALTHCARE INSURANCE COMPANY SecureHorizons UHC - Pacificare Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Leslie Sheldon 1-715-858-2295

[email protected] 2725 Mall Dr Eau Claire WI 54701 4/19/2006 H3907 UNIVERSITY OF PITTSBURGH MEDICAL CENTER UPMC Health Plan University of Pittsburgh Medical Center Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2001

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Manager, Medicare Operations John Cain 1-412-454-5539 1-412-454-7711 [email protected] 112 Washington Place Suite 800 Pittsburgh PA 15219 8/5/2005 Claims Processing Contacts Sorted by Contract Number Page 69 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H3908 TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA Trustees Of The University Of Pennsylvania Trustees of the University of Pennsylvania

Organization Type: National PACE Plan Type: National PACE Contract Effective Date: 1/1/2002

Director of Finance Terry Klein 1-215-573-7201

[email protected] 4508 Chestnut Street Philadelphia PA 19139 5/21/2007 H3909 INDEPENDENCE BLUE CROSS Personal Choice 65 Independence Blue Cross Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 1/1/2002

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director, Government Programs Claims Processing Theresa Baugh 1-215-241-4476

[email protected] 925 Chestnut Street - C4 Philadelphia PA 19107 11/9/2006 H3912 UNITED HEALTHCARE INSURANCE COMPANY Evercare« Health Plans UHC - Pacificare Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 9/1/2002

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director of Operations Leslie K Sheldon 1-715-858-2200

[email protected] 2725 Mall Drive WI080-1000 Eau Claire WI 54701 4/17/2006 H3916 HIGHMARK, INC. Highmark Inc. Highmark Inc. Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 5/1/2003

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Director, Claims & Customer Service J. Mark Hoover 1-412-544-7075 1-412-544-2458 [email protected] 120 Fifth Avenue, Ste. FAP 1835 Pittsburgh PA 15222 7/28/2005 Claims Processing Contacts Sorted by Contract Number Page 70 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H3917 PITTSBURGH CARE PARTNERSHIP, INC. Community LIFE Pittsburgh Care Partnership, Inc.

Organization Type: National PACE Plan Type: National PACE Contract Effective Date: 3/1/2004

CONTROLLER ANGIE M TRUMP 1-412-436-1333 1-412-436-1322 [email protected] SUITE # 700 2400 ARDMORE BOULEVARD PITTSBURGH PA 15221 5/23/2007 H3918 LIVING INDEPENDENCE FOR THE ELDERLY LIFE Pittsburgh Living Independence for the Elderly Organization Type: National PACE Plan Type: National PACE Contract Effective Date: 5/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director of Finance Laura B Schmitt 1-412-388-8042 1-412-388-8055 [email protected] 875 Greentree Road One Parkway Center, Suite 200 Pittsburgh PA 15220 1/9/2006 H3919 ST AGNES MEDICAL CENTER St Agnes LIFE St Agnes Medical Center Organization Type: National PACE Plan Type: National PACE Contract Effective Date: 10/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Finance Director Sue Graydon 1-215-339-4533 1-215-339-4554 [email protected] 1900 S. Broad St. Philadelphia PA 19145 1/29/2007 H3920 UNISON HEALTH PLAN OF PENNSYLVANIA, INC. Unison Advantage Three Rivers Health Group Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 4/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Manager, Claims Department Nancy Heider 1-412-858-4030 1-412-457-1627 [email protected] Building 801, 4th Floor 1388 Beulah Road Monroeville PA 15146 1/18/2006 Claims Processing Contacts Sorted by Contract Number Page 71 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H3921 UNITED HEALTHCARE INSURANCE COMPANY SecureHorizons UHC - Pacificare

Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 9/1/2005

Leslie Sheldon 1-715-858-2295

[email protected] 2725 Mall Drive Eau Claire WI 54701 8/3/2005 H3923 CAPITAL ADVANTAGE INSURANCE COMPANY Capital Advantage Insurance Company Capital BlueCross Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 9/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Senior Director Medicare Programs Margaret Williard 1-717-541-7561 1-717-541-6072 [email protected] 2500 Elmerton Avenue Harrisburg PA 17177 10/30/2006 H3924 GEISINGER INDEMNITY INSURANCE COMPANY Geisinger Health Plan Gold Preferred Geisinger Health System Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 9/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Team Leader, Customer Service Rita Buggy 1-570-214-1997 1-570-271-5970 [email protected] 100 North Academy Avenue Danville PA 17822-3029 5/4/2007 H3931 AETNA HEALTH INC Aetna Medicare Aetna Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 11/1/1985

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Head of Regulatory Mgmt & Claims Services Rhonda Arvin 1-405-794-7040 1-860-262-9642 [email protected] 3030 Northwest Expressway MS F714 Oklahoma City OK 73101 4/6/2007 Claims Processing Contacts Sorted by Contract Number Page 72 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H3949 ELDER HEALTH PENNSYLVANIA, INC. Bravo by Elder Health Elder Health, Inc.

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 2/1/1992

Assistant Vice President, Managed Care Systems Louise McCagg 1-410-864-4566 1-410-864-4467 [email protected] 3601 O'Donnell Street Baltimore MD 21224 8/15/2005 H3952 KEYSTONE HEALTH PLAN EAST, INC. Keystone 65 Independence Blue Cross Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/1993

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director, Government Programs Claims Processing Theresa Baugh 1-215-241-4476

[email protected] 925 Chestnut Street - C4 Philadelphia PA 19107 11/9/2006 H3954 GEISINGER HEALTH PLAN Geisinger Health Plan Gold Geisinger Health System Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 3/1/1994

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Team Leader, Customer Service Rita Buggy 1-570-214-1997 1-570-271-5970 [email protected] 100 N. Academy Ave. Danville PA 17822-3029 3/6/2007 H3957 KEYSTONE HEALTH PLAN WEST, INC. Keystone Health Plan West, Inc. Highmark Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 3/1/1995

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Director Claims and Customer Service J. Mark Hoover 1-412-544-7075 1-412-544-2458 [email protected] 120 Fifth Avenue, Ste. FAP 1835 Pittsburgh PA 15222 1/18/2007 Claims Processing Contacts Sorted by Contract Number Page 73 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H3959 HEALTHAMERICA PENNSYLVANIA, INC. HealthAmerica Advantra Coventry Health Care Inc.

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/1996

Medicare Compliance Manager, HAPA, Carelink Barbara Sellman 1-800-470-4272 1-412-577-5416 [email protected] 11 Stanwix Street Suite 2300 Pittsburgh PA 15222 7/27/2005 H3962 KEYSTONE HEALTH PLAN CENTRAL,INC. Keystone Health Plan Central, Inc. Capital BlueCross Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 5/1/1996

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Senior Director Medicare Programs Margaret A Williard 1-717-541-7561 1-717-541-6072 [email protected] 2500 Elmerton Avenue Harrisburg PA 17177 10/30/2006 H3964 HEALTH PARTNERS OF PHILADELPHIA INC Senior Partners Health Partners, Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/1997

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director, Pharmacy Ramesh Vangala 1-215-991-4300 1-215-849-2150 [email protected] 901 Market Street Suite 500 Philadelphia PA 19107 2/1/2006 H4003 MMM HEALTHCARE, INC. Medicare y Mucho Mßs Aveta, LLC. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 9/1/2001

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Maritza I Vazquez 1-787-622-3000 5990 1-787-620-2399 [email protected] Bechara Industrial Park, Marginal Avenue Kennedy Segarra Street Bldg., No. 411 San Juan PR 00936 4/16/2007 Claims Processing Contacts Sorted by Contract Number Page 74 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H4004 PREFERRED MEDICARE CHOICE, INC. Preferred Medicare Choice, Inc. Preferred Health Management

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 8/1/2004

Maritza Vazquez 1-787-622-3000 5990 1-787-620-2399 [email protected] Bechara Industrial Park Marginal Avenue, Kennedy Segarra Street Bldg., No. 411 San Juan PR 00936 4/27/2007 H4005 TRIPLE-S, INC. Triple-S, Inc. Blue Shield of Puerto Rico Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 1/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Claims Processing Supervisor Leticia Olmo 1-787-273-1110 4371 [email protected] PO Box 363628 San Juan PR 00936-3628 7/29/2005 H4006 MCS ADVANTAGE INC. MCS Classicare Medical Card System, Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Special Projects Claims Director Hilda Serrano 1-787-758-2500 2601 1-787-622-2473 [email protected] PO Box 191720 San Juan PR 00919-1720 5/22/2007 H4007 HUMANA HEALTH PLANS OF PUERTO RICO INC Humana Health Plans Of Puerto Rico Inc Humana Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 6/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Pamela Wilson 1-502-580-4854 1-502-580-7370 [email protected] 500 West Main Street Louisville KY 40202 2/14/2006 Claims Processing Contacts Sorted by Contract Number Page 75 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H4008 HUMANA INSURANCE OF PUERTO RICO, INC Humana Insurance Of Puerto Rico, Inc Humana Inc.

Organization Type: PFFS Plan Type: PFFS Contract Effective Date: 6/1/2005

Pamela Wilson 1-502-580-4854 1-502-580-7370 [email protected] 500 West Main Street Louisville KY 40202 2/14/2006 H4009 SDM HEALTHCARE MANAGEMENT, INC. Salud Dorada con Medicare SDM Healthcare Management, Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 9/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Manager Provider Systems Jessica Alamo 1-787-999-4848 1-787-999-7939 [email protected] P.O. Box 3078 Bayamon PR 00960-3078 3/1/2007 H4011 FIRST MEDICAL HEALTH PLAN, INC. First Medical Health Plan, Inc. First Medical Health Plan Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 8/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Project Manager Kristin S Greeley 1-787-625-9557 225 1-787-300-3912 [email protected] P.O. Box 195559 San Juan PR 00919 4/23/2007 H4012 TRIPLE-S, INC. Triple-S, Inc. Blue Shield of Puerto Rico Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 6/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Claims Director Samuel Ortiz 1-787-277-6588 1-787-706-4044 [email protected] PO Box 363628 San Juan PR 00936-3628 8/4/2005 Claims Processing Contacts Sorted by Contract Number Page 76 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H4102 UNITED HEALTH PLANS OF NEW ENGLAND, INC. AARP MedicareComplete provided by SecureHorizons UHC - Pacificare

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 10/1/1987

Leslie Sheldon 1-715-858-2295

[email protected] 2725 Mall Drive Eau Claire WI 54701 8/3/2005 H4105 PACE ORGANIZATION OF RHODE ISLAND Pace Organization Of Rhode Island PACE Organization of Rhode Island Organization Type: National PACE Plan Type: National PACE Contract Effective Date: 12/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

CFO Lisa M Cohen 1-401-490-6566 1-401-490-7614 [email protected] 225 Chapman Street, Box 7 Providence RI 02905 5/10/2006 H4106 UNITED HEALTHCARE INSURANCE COMPANY Evercare« Health Plans UHC - Pacificare Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 9/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director of Operations Leslie Sheldon 1-715-858-2200

[email protected] 2725 Mall Drive WI080-1000 Eau Claire WI 54701 4/17/2006 H4152 BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND Blue Cross & Blue Shield Of Rhode Island Blue Cross & Blue Shield of Rhode Island Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/1997

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Jack Emerson 1-401-459-2514

[email protected] 444 Westminster Street Providence RI 02903 3/16/2006 Claims Processing Contacts Sorted by Contract Number Page 77 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H4203 PALMETTO HEALTH ALLIANCE Palmetto SeniorCare Palmetto Health Alliance

Organization Type: National PACE Plan Type: National PACE Contract Effective Date: 11/1/2003

Health Information Coordinator Ollie McCray 1-803-434-3770 1-803-434-3773 [email protected] 15 Richland Medical Park Drive, Suite 203 Columbia SC 29203 1/10/2007 H4204 INSTIL HEALTH INSURANCE COMPANY InStil Health Insurance Company BlueCross BlueShield of South Carolina (BCBSSC) Organization Type: PFFS Plan Type: PFFS Contract Effective Date: 4/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Contracts & Administration Dee A Yurko 1-803-763-5888 1-803-935-1411 [email protected] InStil Health Insurance Company 17 Technology Circle Columbia SC 29203 6/7/2006 H4205 BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA Blue Cross Blue Shield of South Carolina BlueCross BlueShield of South Carolina (BCBSSC) Organization Type: PFFS Plan Type: PFFS Contract Effective Date: 6/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Manager Ellen Fuseler 1-888-645-6025 1-803-264-9581 [email protected] PO Box 100191 Columbia SC 29202 4/30/2007 H4206 INSTIL HEALTH INSURANCE COMPANY Instil Health Insurance Company BlueCross BlueShield of South Carolina (BCBSSC) Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 6/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Contracts & Administration Dee A Yurko 1-803-763-5888 1-803-935-1411 [email protected] InStil Health Insurance Company 17 Technology Circle Columbia SC 29203 6/7/2006 Claims Processing Contacts Sorted by Contract Number Page 78 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H4207 BLUECHOICE HEALTHPLAN OF SOUTH CAROLINA, INC. BlueChoice HealthPlan BlueCross BlueShield of South Carolina (BCBSSC)

Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 9/1/2005

Senior Director, Claims Ida Myers 1-803-382-5267 1-803-382-5157 [email protected] P.O. Box 6170 AX-415 Columbia SC 29260 2/27/2006 H4209 BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA Blue Cross Blue Shield of South Carolina BlueCross BlueShield of South Carolina (BCBSSC) Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 9/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Manager Ellen Fuseler 1-888-645-6025 1-803-264-9581 [email protected] PO Box 100191 Columbia SC 29202 4/30/2007 H4402 ALEXIAN BROTHERS COMMUNITY SERVICES Alexian Brothers Community Services Alexian Brothers Community Services Organization Type: National PACE Plan Type: National PACE Contract Effective Date: 11/1/2002

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director of Accounting Catherine McKenzie 1-423-698-0802 200 1-423-622-6048 [email protected] 425 Cumberland Street Suite 110 Chattanooga TN 37404 5/9/2007 H4406 UNITED HEALTHCARE OF TENNESSEE, INC. AARP MedicareComplete provided by SecureHorizons UHC - Pacificare Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Leslie Sheldon 1-715-858-2295

[email protected] 2725 Mall Drive Eau Claire WI 54701 8/3/2005 Claims Processing Contacts Sorted by Contract Number Page 79 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H4407 HEALTHSPRING OF TENNESSEE, INC. Healthspring, Inc. NewQuest Health Solutions LLC

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 7/1/2005

Vice President, Business Service Operations Beth Keisler 1-615-291-7000

[email protected] 44 Vantage Way Suite 300 Nashville TN 37228 9/14/2005 H4408 HUMANA INSURANCE COMPANY Humana Insurance Company Humana Inc. Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 9/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Pamela Wilson 1-502-580-4854 1-502-580-7370 [email protected] 500 West Main Street Louisville KY 40202 2/14/2006 H4449 SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. Sierra Optima Sierra Health Services, Inc Organization Type: PFFS Plan Type: PFFS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director, Health Informatics Alejandro Corral 1-702-242-7215

[email protected] 2716 N. Tenaya Way Las Vegas NV 89128 10/18/2006 H4454 HEALTHSPRING OF TENNESSEE, INC. Healthspring NewQuest Health Solutions LLC Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 10/1/1996

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Vice President Beth Kiesler 1-615-291-7039 2511 1-615-291-7011 [email protected] 44 Vantage Way Suite 300 Nashville TN 37228 9/15/2005 Claims Processing Contacts Sorted by Contract Number Page 80 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H4456 UNITED HEALTHCARE PLAN OF THE RIVER VALLEY, INC. SecureHorizons by UnitedHealthcare UHC - Pacificare

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 7/1/1997

Director Customer Support Keith B Winfield 1-800-747-1446

[email protected] 3800 Avenue of the Cities, Suite 200 Moline IL 61265 2/15/2007 H4461 CARITEN HEALTH PLAN IN Cariten Senior Health Covenant Health & Mountain States Health Alliance Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/1998

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Compliance Specialist Julie A Sellers 1-865-670-7214 1-865-374-4246 [email protected] 1420 Centerpoint Blvd Knoxville TN 37932 3/6/2006 H4506 SELECTCARE OF TEXAS, L.L.C. SelectCare of Texas, LLC Universal American Financial Corporation Organization Type: Local CCP Plan Type: PSO (State License) Contract Effective Date: 3/1/2001

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director, Claims Darian Newman 1-713-273-8633 1-713-952-7819 [email protected] 4888 Loop Central Drive Suite 700 Houston TX 77081 2/12/2007 H4510 HUMANA HEALTH PLAN OF TEXAS,INC. Humana Health Plan of Texas, Inc. Humana Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 3/1/1988

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Pamela Wilson 1-502-580-4854 1-502-580-7370 [email protected] 500 West Main Street Louisville KY 40202 2/14/2006 Claims Processing Contacts Sorted by Contract Number Page 81 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H4513 TEXAS HEALTHSPRING LLC Texas HealthSpring NewQuest Health Solutions LLC

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 3/1/2001

Vice President, Business Service Operations Beth Keisler 1-615-291-7000 1-615-291-7011 [email protected] 44 Vantage Way - Suite 300 Nashville TN 37228 9/14/2005 H4514 EVERCARE OF TEXAS, LLC SecureHorizons by UnitedHealthcare UHC - Pacificare Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 8/1/2002

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director of Operations Leslie K Sheldon 1-715-858-2200

[email protected] 2725 Mall Drive WI080-1000 Eau Claire WI 54701 4/30/2006 H4517 AMARILLO MULTISVC CTR FR THE AGING INC Amarillo Multisvc Ctr For The Aging Inc Amarillo Multisvc Ctr Fr the Aging Inc Organization Type: National PACE Plan Type: National PACE Contract Effective Date: 3/1/2004

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Business Manager Janet Pancake 1-806-374-5516 1-806-373-9446 [email protected] 3108 S Fillmore Amarillo TX 79110 7/27/2005 H4518 BIENVIVIR SENIOR HEALTH SERVICES Bienvivir Senior Health Services Bienvivir Senior Health Services Organization Type: National PACE Plan Type: National PACE Contract Effective Date: 11/1/2003

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Accounting Supervisor Irene Garcia 1-915-562-3444 2370 [email protected] 2300 McKinley El Paso TX 79930 8/11/2005 Claims Processing Contacts Sorted by Contract Number Page 82 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H4520 HUMANA INSURANCE COMPANY Humana Insurance Company Humana Inc.

Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 1/1/2005

Pamela Wilson 1-502-580-4854 1-502-580-7370 [email protected] 500 West Main Street Louisville KY 40202 2/14/2006 H4521 VALLEY BAPTIST INSURANCE COMPANY Valley Baptist Health Plans Valley Baptist Health System Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 6/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Provider Relations Supervisor Carlos Rogel 1-956-389-2273

[email protected] 2005 Ed Carey Drive Harlingen TX 78550 9/25/2006 H4522 UNITED HEALTHCARE INSURANCE COMPANY SecureHorizons by UnitedHealthcare UHC - Pacificare Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 7/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Leslie Sheldon 1-715-858-2295

[email protected] 2725 Mall Drive Eau Claire MI 54701 8/3/2005 H4523 AETNA HEALTH INC. Aetna Medicare Aetna Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 8/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Head of Regulatory Mgmt & Claims Services Rhonda Arvin 1-405-794-7040 1-860-262-9642 [email protected] 3030 Northwest Expressway MS F714 Oklahoma City OK 06156 4/6/2007 Claims Processing Contacts Sorted by Contract Number Page 83 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H4524 AETNA LIFE INSURANCE COMPANY Aetna Medicare Aetna Inc.

Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 8/1/2005

Head of Regulatory Mgmt & Claims Services Rhonda Arvin 1-405-794-7040 1-860-262-9642 [email protected] 3030 Northwest Expressway MS F714 Oklahoma City OK 73101 4/6/2007 H4525 SHA, L.L.C FirstCare Advantage Baptist St. Anthony's Health System, Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 7/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director, Government Programs, Medicare Laura Gleason 1-512-257-6342 1-512-257-6017 [email protected] 12940 North Highway 183 Austin TX 78750 3/14/2006 H4527 PSO HEALTH SERVICES, LLC PHYSICIANS HEALTH CHOICE PSO Health Services, LLC Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 8/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Vice President of Finance, WellMed Joe Zimmerman 1-210-617-4741

[email protected] 8637 FREDERICKSBURG RD STE 360 SAN ANTONIO TX 78240 8/11/2006 H4528 ELDER HEALTH TEXAS, INC. Bravo by Elder Health Elder Health, Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 7/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Associate Vice President of Medicare Systems Louise McCagg 1-410-864-4566 1-410-864-4467 [email protected] 3601 O'Donnell Street Baltimore MD 21224 8/19/2005 Claims Processing Contacts Sorted by Contract Number Page 84 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H4529 ARCADIAN HEALTH PLAN, INC. Texas Community Care Arcadian Management Services Inc.

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 7/1/2005

Vice President Claims Mae Regalado 1-909-971-6703 1-909-971-6753 [email protected] 955 Overland Court., Second Floor San Dimas CA 91773 6/8/2007 H4531 HCSC INSURANCE SERVICES COMPANY HISC - Blue Cross Blue Shield of Texas Health Care Service Corporation Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 8/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Claims Department 1-800-718-2031

[email protected] Blue Medicare PPO PO Box 3567 Scranton PA 18503 4/19/2006 H4556 CONSOLIDATED ASSOC OF RAILROAD EMPLOYEES HC Consolidated Assoc Of Railroad Employees Hc Consolidated Assoc of Railroad Employees HC Organization Type: HCPP - 1833 Cost Plan Type: HCPP - 1833 Cost Contract Effective Date: 1/1/1992

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization:

MA Contact: No contact data submitted Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007 H4564 SCOTT AND WHITE HEALTH PLAN Scott and White Health Plan SeniorCare Scott and White Organization Type: 1876 Cost Plan Type: 1876 Cost Contract Effective Date: 4/1/1996

Claims Manager Vernell Labaj 1-254-298-3110 1-254-298-3272 [email protected] 2401 South 31st Street Temple TX 76508 7/28/2005 Claims Processing Contacts Sorted by Contract Number Page 85 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H4577 HOMEOWNER'S/WELLCARE PFFS INSURANCE INC. WellCare WellCare Health Plans, Inc.

Organization Type: PFFS Plan Type: PFFS Contract Effective Date: 1/1/2007

Director Pharmacy Operations Vince Geraci 1-813-290-6200 6028 [email protected] 8735 Henderson Rd Ren 2 Tampa FL 33634 4/27/2007 H4590 PACIFICARE OF TEXAS, INC. SecureHorizons by UnitedHealthcare UHC - Pacificare Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 11/1/1987

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director, Customer Service Center Raynee D Andrews 1-210-474-5440

[email protected] 6200 Northwest Parkway San Antonio TX 78249 8/2/2005 H4604 UNITEDHEALTHCARE OF UTAH, INC. SecureHorizons by UnitedHealthcare UHC - Pacificare Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Leslie Sheldon 1-715-858-2295

[email protected] 2725 Mall Drive Eau Claire WI 54701 8/3/2005 H4605 REGENCE BLUECROSS BLUESHIELD OF UT Regence BlueCross BlueShield of Utah The Regence Group Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 7/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Manager, Government Programs Claims Processing Holly M Moore 1-503-587-3274

[email protected] 201 High Street, SE PO Box 12625 Salem OR 97309-0625 7/27/2005 Claims Processing Contacts Sorted by Contract Number Page 86 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H4606 HUMANA INSURANCE COMPANY Humana Insurance Company Humana Inc.

Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 8/1/2005

Pamela Wilson 1-502-580-4854 1-502-580-7370 [email protected] 500 West Main Street Louisville KY 40202 2/14/2006 H4652 UNION PACIFIC RR EMPLOYES HEALTH SYS Union Pacific Railroad Employes Health Systems Union Pacific Railroad Employees Health Systems Organization Type: HCPP - 1833 Cost Plan Type: HCPP - 1833 Cost Contract Effective Date: 12/1/1993

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director of Claims Processing Pat Jensen 1-801-595-4362 1-801-595-2062 [email protected] 795 N 400 W Salt Lake City UT 84103 3/20/2006 H4720 UNITED HEALTHCARE INSURANCE COMPANY OF NEW YORK SecureHorizons MedicareDirect UHC - Pacificare Organization Type: PFFS Plan Type: PFFS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Leslie Sheldon 1-715-858-2295

[email protected] 2725 Mall Drive Eau Claire WI 54701 1/29/2007 H4779 UNITED HEALTHCARE INSURANCE COMPANY Erickson Advantage UHC - Pacificare Organization Type: Demo Plan Type: Continuing Care Retirement Community Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Leslie Sheldon 1-715-858-2295

[email protected] 2725 Mall Dr Eau Claire WI 54701 4/19/2006 Claims Processing Contacts Sorted by Contract Number Page 87 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H4906 C and O EMPLOYEES' HOSPITAL ASSOCIATION C and O Employees' Hospital Association C & O Employees' Hospital Association

Organization Type: HCPP - 1833 Cost Plan Type: HCPP - 1833 Cost Contract Effective Date: 5/1/1999

Benefits Manager Anna M Brooks 1-540-862-5728 1-540-862-4958 [email protected] 511 Main Street, 2nd Floor Clifton Forge VA 24422 9/15/2005 H4908 OPTIMA HEALTH INSURANCE COMPANY Optima Medicare Sentara Healthcare Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 9/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Product manager Bill Nipper 1-757-552-7401 1-757-552-7396 [email protected] 4417 Corporation Lane Virginia Beach VA 23462 7/27/2005 H4909 ANTHEM HEALTH PLANS OF VIRGINIA, INC. Anthem Blue Cross and Blue Shield Wellpoint, Inc. Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 7/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Virginia Breeden 1-513-336-5301

[email protected] 4361 Irwin Simpson Road Mason OH 45040-9498 9/15/2006 H4910 AETNA HEALTH INC. Aetna Medicare Aetna Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 7/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Head of Regulatory Mgmt & Claims Services Rhonda Arvin 1-405-794-7040 1-860-262-9642 [email protected] 3030 Northwest Expressway MS F714 Oklahoma City OK 73101 4/6/2007 Claims Processing Contacts Sorted by Contract Number Page 88 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H4911 AETNA LIFE INSURANCE COMPANY Aetna Medicare Aetna Inc.

Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 7/1/2005

Head of Regulatory Mgmt & Claims Services Rhonda Arvin 1-405-794-7040 1-860-262-9642 [email protected] 3030 Northwest Expressway MS F714 Oklahoma City OK 73101 4/6/2007 H5005 PACIFICARE OF WASHINGTON, INC. AARP MedicareComplete provided by SecureHorizons UHC - Pacificare Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 3/1/1987

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Dir, Cust Svc Ctr Debbie A Salas 1-714-226-4720 1-714-226-4640 [email protected] 10801 Walker Dr Cypress CA 90630 8/2/2005 H5006 STERLING LIFE INSURANCE COMPANY Sterling Life Insurance Company Sterling Insurance Group Organization Type: PFFS Plan Type: PFFS Contract Effective Date: 7/1/2000

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

V.P. Compliance & Regulatory Affairs Craig Bodway 1-360-647-9080 29098 1-360-647-8632 [email protected] 2219 Rimland Drive PO Box 5348 Bellingham WA 98227-5348 7/25/2006 H5007 PROVIDENCE HEALTH SYSTEM Providence Health System Providence Health System Organization Type: National PACE Plan Type: National PACE Contract Effective Date: 11/1/2002

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Administrative Services Manager Kathy Mellecker 1-206-320-5325 1-206-760-6339 [email protected] 4515 Martin Luther King Jr. Way S. Ste. 100 Seattle WA 98108 5/24/2007 Claims Processing Contacts Sorted by Contract Number Page 89 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H5008 UNITED HEALTHCARE INSURANCE COMPANY Evercare« Health Plans UHC - Pacificare

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 7/1/2005

Leslie Sheldon 1-715-858-2295

[email protected] 2725 Mall Drive Eau Claire WI 54701 4/19/2006 H5009 REGENCE BLUESHIELD Regence BlueShield The Regence Group Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 7/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Manager, Government Programs Claims Processing Holly M Moore 1-503-587-3274

[email protected] 201 High Street, SE PO Box 12625 Salem OR 97309-0625 7/27/2005 H5010 ASURIS NORTHWEST HEALTH Asuris Northwest Health The Regence Group Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 7/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Manager, Government Programs Claims Processing Holly M Moore 1-503-587-3274

[email protected] 201 High Street, SE PO Box 12625 Salem OR 97309-0625 7/27/2005 H5050 GROUP HEALTH COOPERATIVE Group Health Cooperative Group Health Cooperative Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/1989

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Medicare Programs & Compliance Consultant Lyra Hardy 1-206-448-6759 1-206-448-2799 [email protected] Group Health Cooperative 521 Wall Street Seattle WA 98121 6/15/2007 Claims Processing Contacts Sorted by Contract Number Page 90 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H5102 HEALTH PLAN OF THE UPPER OHIO VALLEY The Health Plan Hometown Health

Organization Type: 1876 Cost Plan Type: 1876 Cost Contract Effective Date: 2/1/1983

VP, Operations Patti Fast 1-740-695-7605 1-740-695-8103 [email protected] The Health Plan 52160 National Road East St. Clairsville OH 43950 9/14/2005 H5106 HIGHMARK HEALTH INSURANCE COMPANY Highmark Health Insurance Company Highmark Inc. Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 7/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director, Claims Administration and Analysis J. Mark Hoover 1-412-544-7075 1-412-544-5677 [email protected] 120 Fifth Avenue Suite 1835 Pittsburgh PA 15222-3099 2/28/2007 H5151 HEALTH PLAN OF THE UPPER OHIO VALLEY The Health Plan Hometown Health Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 2/1/1999

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Vice-President, Operations Patti Fast 1-740-695-7605 1-740-695-8103 [email protected] The Health Plan 52160 National Road East St. Clairsville OH 43950 2/28/2007 H5204 HEALTH PLAN FOR COMMUNITY LIVING, INC. Health Plan for Community Living Community Living Alliance Organization Type: Demo Plan Type: WI Partnership Program Contract Effective Date: 1/1/1999

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Claims Manager Michelle J Osgood 1-608-242-8335 1363 1-608-240-7060 [email protected] 1414 MacArthur Road PO Box 8028 Madison WI 53708-8028 7/26/2005 Claims Processing Contacts Sorted by Contract Number Page 91 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H5206 PARTNERSHIP HEALTH PLAN, INC. Community Health Partnership Community Health Partnership, Inc.

Organization Type: Demo Plan Type: WI Partnership Program Contract Effective Date: 1/1/1999

Customer Service Coordinator Judy Cornell 1-715-858-7815

[email protected] 2240 EastRidge Center Eau Claire WI 54701 12/29/2006 H5207 COMMUNITY CARE HEALTH PLAN, INC Community Care Community Care Organization, Inc. Organization Type: Demo Plan Type: WI Partnership Program Contract Effective Date: 1/1/1999

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Controller Lori Janny 1-414-902-2427 1-414-385-6615 [email protected] 1555 S. Layton Blvd. Milwaukee WI 53215 5/4/2007 H5209 ELDER CARE HEALTH PLAN, INC. Elder Care Health Plan, Inc. Elder Care of Wisconsin Organization Type: Demo Plan Type: WI Partnership Program Contract Effective Date: 1/1/1999

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Claims Specialist Ann Hansen 1-608-245-3437 1-608-241-5195 [email protected] 2802 International Lane Madison WI 53704 9/19/2006 H5211 SECURITY HEALTH PLAN OF WISCONSIN, INC Security Health Plan Of Wisconsin, Inc Marshfield Clinic. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 8/1/2002

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Claims Medicare Manager Barbara Hack 1-715-221-9763 1-715-221-9500 [email protected] 1515 Saint Joseph Avenue Marshfield WI 54449 8/31/2005 Claims Processing Contacts Sorted by Contract Number Page 92 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H5212 COMMUNITY CARE, INC. Community Care Community Care Organization, Inc.

Organization Type: National PACE Plan Type: National PACE Contract Effective Date: 11/1/2003

Controller Lori Janny 1-414-902-2427 1-414-385-6615 [email protected] 1555 S. Layton Blvd. Milwaukee WI 53215 5/4/2007 H5213 TOTAL COMMUNITY CARE, L.L.C. Total Community Care Total Community Care,LLC Organization Type: National PACE Plan Type: National PACE Contract Effective Date: 6/1/2004

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Controller Lori Janny 1-414-902-2427 1-414-385-6615 [email protected] 1555 S. Layton Blvd. Milwaukee WI 53215 5/4/2007 H5214 HUMANA INSURANCE COMPANY Humana Insurance Company Humana Inc. Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 1/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Pam Wilson 1-502-580-4854 1-502-580-7370 [email protected] 500 West Main Street Louisville KY 40202 1/29/2006 H5215 NETWORK HEALTH INSURANCE CORPORATION Network PlatinumPlus Affinity Health System Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 1/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Claims Coding Specialist Barb Wisneski 1-920-720-1540

[email protected] 1570 Midway Place Menasha WI 54952 4/10/2007 Claims Processing Contacts Sorted by Contract Number Page 93 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H5216 HUMANA INSURANCE COMPANY Humana Insurance Company Humana Inc.

Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 7/1/2005

Pamela Wilson 1-502-580-4854 1-502-580-7370 [email protected] 500 West Main Street Louisville KY 40202 2/14/2006 H5227 COVENTRY HEALTH AND LIFE INSURANCE COMPANY Advantra« Freedom Coventry Health Care Inc. Organization Type: PFFS Plan Type: PFFS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director Service Organization Meg Knight 1-800-713-5095

[email protected] Advantra Freedom/Coventry Health Care, Inc PO Box 7154 London KY 40742 3/27/2007 H5253 UNITED HEALTHCARE OF WISCONSIN, INC SecureHorizons by UnitedHealthcare UHC - Pacificare Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 8/1/1995

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Leslie Sheldon 1-715-858-2295

[email protected] 2725 Mall Drive Eau Claire WI 54701 8/4/2005 H5256 MEDICAL ASSOCIATES CLINIC HEALTH PLAN Medical Associates Clinic Health Plan of Wisconsin Medical Associates Clinic Organization Type: 1876 Cost Plan Type: 1876 Cost Contract Effective Date: 2/1/1996

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Claims Manager Dan Waldbillig 1-563-584-4895 1-563-556-5134 [email protected] 1605 Associates Drive, Suite 101 P.O. Box 5002 Dubuque IA 52001 6/20/2006 Claims Processing Contacts Sorted by Contract Number Page 94 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H5262 GUNDERSEN LUTHERAN HEALTH PLAN Gundersen Lutheran Health Plan, Inc. Gunderson Lutheran, Inc.

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 8/1/1999

Manager of Claims and Customer Service Ann Kiel 1-608-775-8070 1-608-775-8091 [email protected] 1900 South Avenue Mail Stop NCA2-01 La Crosse WI 54601 12/12/2006 H5264 DEAN HEALTH PLAN, INC. Dean Health Plan, Inc. Dean Health Systems Inc. Organization Type: 1876 Cost Plan Type: 1876 Cost Contract Effective Date: 1/1/1999

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Charles Henderson 1-608-827-4247

[email protected] 1277 Deming Way Madison WI 53717 9/18/2006 H5301 PENNSYLVANIA LIFE INSURANCE COMPANY Fresenius Medical Care Health Plan Universal American Financial Corporation Organization Type: Demo Plan Type: ESRD I - PFFS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director, Claims Darian Newman 1-713-273-8633 1-713-952-7819 [email protected] 4888 Loop Central Drive Suite 700 Houston TX 77081 2/12/2007 H5302 COVENTRY HEALTH CARE OF GEORGIA, INC. Advantra Coventry Health Care Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Medicare Compliance Manager Max Parsons 1-301-581-5756

[email protected] 6705 Rockledge Dr Ste 900 Bethesda MD 20817 6/1/2007 Claims Processing Contacts Sorted by Contract Number Page 95 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H5304 EMPIRE HEALTHCHOICE ASSURANCE, INC. Empire BlueCross BlueShield Wellpoint, Inc.

Organization Type: PFFS Plan Type: PFFS Contract Effective Date: 1/1/2007

Virginia Breeden 1-513-336-5301

[email protected] 4361 Irwin Simpson Road Mason OH 45040-9498 9/15/2006 H5402 QUALITY HEALTH PLANS, INC. Quality Health Plans, Inc. Quality Health Plans, Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2003

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Sabiha Khan 1-727-945-8400 102 1-727-945-8434 [email protected] 2435 US Hwy 19 Suite 470 Holiday FL 34691 8/15/2005 H5403 ON LOK SENIORHEALTH On Lok SeniorHealth On Lok SeniorHealth Organization Type: National PACE Plan Type: National PACE Contract Effective Date: 11/1/2003

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Fiscal Officer Ken Choi 1-415-292-8725 1-415-292-8745 [email protected] 1333 Bush Street San Francisco CA 94109 8/2/2005 H5404 UNIVERSAL HEALTH CARE, INC. Universal Health Care, Inc. Universal Health Care Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 7/1/2003

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

System Analyst Himanshu Desai 1-866-690-4842 6510 1-727-822-3556 [email protected] Universal Health Care, Inc. 150 2nd Avenue North, Ste #400 Saint Petersburg FL 33701 5/13/2006 Claims Processing Contacts Sorted by Contract Number Page 96 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H5405 CENTER FOR ELDERS INDEPENDENCE Center For Elders Independence Center For Elders Independence

Organization Type: National PACE Plan Type: National PACE Contract Effective Date: 11/1/2003

Dir. IT Bryce Morrison 1-510-433-1150 8025 1-510-452-8836 [email protected] 510-17th St., Suite 400 Oakland CA 94612 1/9/2007 H5406 SUTTER HEALTH SACRAMENTO SIERRA REGION Sutter SeniorCare Sutter Health Sacramento Sierra Region Organization Type: National PACE Plan Type: National PACE Contract Effective Date: 11/1/2003

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director William Clearwater 1-916-424-8412 13404 1-916-491-3484 [email protected] 7000 Franklin Blvd., Suite 1020 Sacramento CA 95823 5/30/2007 H5407 CITRUS HEALTH CARE, INC. Citrus Health Care, Inc. Citrus Health Care, Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 6/1/2004

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Claims Director Maureen Lach 1-813-490-8900 8953 [email protected] 5420 Bay Center Drive Suite 250 Tampa FL 33609 6/3/2005 H5410 LEON MEDICAL CENTERS HEALTH PLANS, INC Leon Medical Centers Health, Inc. Leon Medical Centers Health Plans, Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 5/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

VP of Claims Luis Fernandez 1-305-631-5337 1-305-553-7227 [email protected] 11501 SW 40th Street Miami FL 33165 7/27/2005 Claims Processing Contacts Sorted by Contract Number Page 97 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H5414 AETNA HEALTH INC. Aetna Medicare Aetna Inc.

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2005

Product Head Rhonda Arvin 1-405-794-7040 1-860-262-9642 [email protected] 3030 Northwest Expressway MS F714 Oklahoma City OK 73101 4/6/2007 H5415 HUMANA HEALTH INSURANCE COMPANY OF FL, INC. Humana Health Insurance Company Of Fl, Inc. Humana Inc. Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 1/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Pamela Wilson 1-502-580-4854 1-502-580-7370 [email protected] 500 West Main Street Louisville KY 40202 2/14/2006 H5416 ARCADIAN HEALTH PLAN Spokane Community Care Arcadian Management Services Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Vice President of Claims Mae Regalado 1-909-971-6703 1-909-971-6753 [email protected] 955 Overland Court., Second Floor San Dimas CA 91773 6/11/2007 H5417 UNITED HEALTHCARE INSURANCE COMPANY SecureHorizons by UnitedHealthcare UHC - Pacificare Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 1/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Director of Operations Leslie L Sheldon 1-715-858-2200

[email protected] 2725 Mall Drive WI080-1000 Eau Claire WI 54701 4/17/2006 Claims Processing Contacts Sorted by Contract Number Page 98 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H5419 BLUE CROSS OF CALIFORNIA Blue Cross Of California Wellpoint, Inc.

Organization Type: PFFS Plan Type: PFFS Contract Effective Date: 2/1/2005

Manager II, Customer Care Multi Debra Kaiser 1-920-923-8339

[email protected] 145 S. Pioneer Blvd Mail Stop WIW201-FDL Fon Du Lac WI 54935 4/29/2006 H5420 MEDICA HEALTHCARE PLANS, INC. Medica HealthCare Plans, Inc. Medica HealthCare Plans, Inc. Organization Type: Local CCP Plan Type: PSO (State License) Contract Effective Date: 6/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Compliance Officer Matthew Cruse 1-305-460-0618 1-305-476-0021 [email protected] 4000 Ponce De Leon Blvd. Suite 650 Coral Gables FL 33146 9/15/2005 H5421 PYRAMID LIFE INSURANCE COMPANY Today's Option Universal American Financial Corporation Organization Type: PFFS Plan Type: PFFS Contract Effective Date: 8/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director, Claims Darian Newman 1-713-273-8633 1-713-952-7819 [email protected] 4888 Loop Central Drive Suite 700 Houston TX 77081 2/12/2007 H5422 BLUE CROSS BLUE SHIELD OF GEORGIA Blue Cross Blue Shield Healthcare Plan of Georgia Wellpoint, Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Manager II, Customer Care Multi Debra Kaiser 1-920-923-8339

[email protected] 145 S. Pioneer Blvd,á Mail Stop WIW201-FDL Newbury Park WI 54935 2/22/2007 Claims Processing Contacts Sorted by Contract Number Page 99 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H5424 UNITED HEALTHCARE INSURANCE COMPANY SecureHorizons by UnitedHealthcare UHC - Pacificare

Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 6/1/2005

Leslie Sheldon 1-715-858-2295

[email protected] 2725 Mall Drive Eau Claire WI 54701 8/4/2005 H5425 SCAN HEALTH PLAN SCAN Health Plan SCAN Health Plan, Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 5/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Vice President, Claims Allen Freymuth 1-562-989-5100 1-562-989-5215 [email protected] 3800 Kilroy Airport Way Suite 100 Long Beach CA 90806 5/25/2007 H5426 METCARE HEALTH PLANS, INC. AdvantageCare Metropolitan Health Networks, Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 7/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

VP of Finance Alejandro Alonso 1-561-805-8500 1-561-805-8501 [email protected] 250 South Australian Avenue, Suite 400 West Palm Beach FL 33401 7/26/2005 H5427 FREEDOM HEALTH PLAN, INC. Freedom Health, Inc. Freedom Health, Inc Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 9/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Manager, Claims Jamie Cox 1-727-471-2100 1-727-471-2108 [email protected] 5501 49th Street N St. Petersburg FL 33709 5/11/2006 Claims Processing Contacts Sorted by Contract Number Page 100 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H5428 SAN MATEO HEALTH COMMISSION Health Plan of San Mateo Health Plan of San Mateo

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 9/1/2005

Director of Finance and Administrative Services Ron Robinson 1-650-616-2118

[email protected] 701 Gateway Blvd, Ste 400 South San Francisco CA 94080 4/12/2007 H5429 UNIVERSAL HEALTH CARE, INC. Universal Health Care, Inc. Universal Health Care Inc. Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 9/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

System Analyst Himanshu A Desai 1-866-690-4842 6510 1-727-822-3556 [email protected] Universal Health Care, Inc. 150 2nd Avenue North, Ste #400 Saint Petersburg FL 33701 5/13/2006 H5430 CARE1ST HEALTH PLAN OF ARIZONA ONECare by Care1st Health Plan Of Arizona Care1st Health Plan Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 9/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director of Medicare Tida M Garcia 1-602-778-1850 1815 [email protected] 2355 E. Camelback Rd., Ste 300 Phoenix AZ 85016 12/28/2006 H5431 HEALTHSUN HEALTH PLANS, INC. HealthSun Health Plans, Inc. HealthSun Health Plans, Inc Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 8/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Claims and Finance Manager Alexsis Pecuch 1-305-234-9292 1-305-444-9148 [email protected] 1205 SW 37th Avenue Miami FL 33135 4/17/2007 Claims Processing Contacts Sorted by Contract Number Page 101 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H5433 ORANGE COUNTY HEALTH AUTHORITY OneCare CalOptima

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 8/1/2005

Claims Director Marsha Buford 1-714-246-8432

[email protected] 1120 W. La Veta Avenue Orange CA 92868 1/11/2007 H5434 BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. Blue Cross and Blue Shield of Florida, Inc. Blue Cross and Blue Shield of Florida Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 8/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

CSR Customer Service Ops 1-800-926-6565

[email protected] 8400 NW 33rd St Suite 100 Miami FL 33122-1932 3/5/2007 H5435 PACIFICARE LIFE AND HEALTH INSURANCE COMPANY SecureHorizons MedicareDirect UHC - Pacificare Organization Type: PFFS Plan Type: PFFS Contract Effective Date: 9/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Lee Lee 1-714-825-2057 52057 1-714-825-5870 [email protected] 3100 Lake Center Dr M/S LC03-377 Santa Ana CA 92704 4/10/2006 H5436 AVMED, INC. AvMed Medicare Preferred PPO AvMed Health Plans Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 7/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Director, Claims Operations Helen Creech 1-352-337-8833 1-352-337-8820 [email protected] AvMed Health Plans 4300 NW 89 Blvd. Gainesville FL 32606 7/25/2006 Claims Processing Contacts Sorted by Contract Number Page 102 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H5437 AETNA LIFE INSURANCE COMPANY Aetna Medicare Aetna Inc.

Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 8/1/2005

Head of Regulatory Mgmt & Claims Services Rhonda Arvin 1-405-794-7040 1-860-262-9642 [email protected] 3030 Northwest Expressway MS F714 Oklahoma City OK 73101 4/6/2007 H5439 HEALTH NET LIFE INSURANCE COMPANY Health Net Life Insurance Company Health Net, Inc. Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 9/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Lead, Customer Service Representative Joseph A Varga 1-818-676-6591 1-818-676-8100 [email protected] Health Net Claims Department P.O. Box 14703 Lexington KY 40512 4/23/2007 H5440 UNITED HEALTHCARE INSURANCE COMPANY Evercare« Health Plans UHC - Pacificare Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 7/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director of Operations Leslie L Sheldon 1-715-858-2200

[email protected] 2725 Mall Drive WI080-1000 Eau Claire WI 54701 4/17/2006 H5485 MCKINLEY LIFE INSURANCE COMPANY PrimeTime Health Plan McKinley Life Insurance Company Organization Type: PFFS Plan Type: PFFS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Member Services/Claims Coordinator Robert James 1-800-577-5084 1-330-580-6764 [email protected] 214 Dartmouth Avenue SW Canton OH 44710 8/28/2006 Claims Processing Contacts Sorted by Contract Number Page 103 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H5501 TENET CHOICES, INC. / PEOPLES HEALTH NETWORK Peoples Health Tenet Healthcare Corporation

Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 1/1/2006

Claims Manager Susan Thibodeaux 1-504-849-4500 8680 1-504-849-6973 [email protected] Three Lakeway Center 3838 N Causeway Blvd, Suite 2200 Metairie LA 70002 2/22/2007 H5507 UNITED HEALTHCARE INS. COMPANY, INC. SecureHorizons by UnitedHealthcare UHC - Pacificare Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Leslie Sheldon 1-715-858-2295

[email protected] 2725 Mall Drive Eau Claire WI 54701 8/4/2005 H5508 ADVANTAGE HEALTH SOLUTIONS, INC. Advantage Health Solutions, Inc. Advantage Health Solutions Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Medicare Program Director Danielle Jaber 1-317-573-2784 1-317-573-6218 [email protected] 9490 Priority Way West Drive Indianapolis IN 46240 6/6/2007 H5509 COVENTRY HEALTH AND LIFE INS. COMPANY Coventry Health And Life Ins. Company Coventry Health Care Inc. Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Manager, Medicare Compliance Gail D Howard-King 1-816-460-4003 1-816-460-4429 gdhking[email protected] 8320 Ward Parkway Kansas City MO 64114 7/27/2005 Claims Processing Contacts Sorted by Contract Number Page 104 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H5510 AETNA LIFE INSURANCE COMPANY Aetna Medicare Aetna Inc.

Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 1/1/2006

Head of Regulatory Mgmt & Claims Services Rhonda Arvin 1-405-794-7040 1-860-262-9642 [email protected] 3030 Northwest Expressway MS F714 Oklahoma City OK 73101 4/6/2007 H5512 AETNA LIFE INSURANCE COMPANY Aetna Medicare Aetna Inc. Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Head of Regulatory Mgmt & Claims Services Rhonda Arvin 1-405-794-7040 1-860-262-9642 [email protected] 3030 Northwest Expressway MS F714 Oklahoma City OK 73101 4/6/2007 H5516 UNITED HEALTHCARE INS. COMPANY, INC. SecureHorizons by UnitedHealthcare UHC - Pacificare Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Leslie Sheldon 1-715-858-2295

[email protected] 2725 Mall Drive Eau Claire WI 54701 8/4/2005 H5517 COVENTRY HEALTH AND LIFE INS. COMPANY Carelink Advantra PPO Coventry Health Care Inc. Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Manager Government Programs, Medicare Barbara Sellman 1-412-577-5442 1-412-577-4360 [email protected] 11 Stanwix Street Pittsburgh PA 15222 7/27/2005 Claims Processing Contacts Sorted by Contract Number Page 105 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H5520 HEALTH NET LIFE INSURANCE COMPANY Health Net Medicare Advantage Health Net, Inc.

Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 1/1/2006

Manager, Customer Service Elizabeth Heath 1-503-213-5183 1-503-213-5788 [email protected] Health Net Medicare Advantage P.O. Box 14130 Lexington KY 40512 4/23/2007 H5521 AETNA LIFE INSURANCE COMPANY Aetna Medicare Aetna Inc. Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Head of Regulatory Mgmt & Claims Services Rhonda Arvin 1-405-794-7040 1-860-262-9642 [email protected] 3030 Northwest Expressway MS F714 Oklahoma City OK 08512 4/6/2007 H5522 HEALTH ASSURANCE PENNSYLVANIA, INC. Advantra PPO Coventry Health Care Inc. Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Medicare Compliance Manager, HAPA, Carelink Barbara Sellman 1-800-470-4272 1-412-577-5416 [email protected] 11 Stanwix Street Suite 2300 Pittsburgh PA 15222 7/27/2005 H5523 CARITEN INSURANCE COMPANY Cariten Senior Health (PPO) Covenant Health & Mountain States Health Alliance Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Regulatory Specialist Julie A Sellers 1-865-670-7214 1-865-670-7290 [email protected] 1420 Centerpoint Blvd. Knoxville TN 37932 3/23/2006 Claims Processing Contacts Sorted by Contract Number Page 106 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H5525 OSF HEALTHPLANS, INC. OSF Care Preferred OSF Saint Francis, Inc.

Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 1/1/2006

Medicare Claims Department 1-309-677-8203 1-309-677-8354 [email protected] 7915 N. Hale Ave., Ste D Peoria IL 61615 9/14/2005 H5526 HEALTHNOW NEW YORK INC. Traditional Blue Medicare PPO HealthNow New York Inc. Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director, CSCO Denise Blattenberger 1-716-887-2069 1-716-887-7022 [email protected] 1901 Main Street PO Box 80 Buffalo NY 14240 9/28/2006 H5528 GROUP HEALTH INCORPORATED GHI Medicare Choice PPO Group Health Incorporated (GHI) Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

John Lamb 1-845-340-2613

[email protected] 789 Grant Ave. Lake Katrine NY 12449 8/2/2006 H5529 COMMUNITY INSURANCE COMPANY Anthem Blue Cross and Blue Shield Wellpoint, Inc. Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Program Manager Virginia Breeden 1-513-336-5301 1-513-336-3654 [email protected] 4361 Irwin Simpson Road Mailstop OH0102-C535 Mason OH 45040-9498 2/27/2007 Claims Processing Contacts Sorted by Contract Number Page 107 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H5530 ANTHEM HEALTH PLANS OF KENTUCKY, INC. Anthem Blue Cross and Blue Shield Wellpoint, Inc.

Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 1/1/2006

Program Manager Virginia Breeden 1-513-336-5301 1-513-336-3654 [email protected] 4361 Irwin Simpson Road Mailstop OH0102-C535 Mason OH 45040-9498 2/28/2007 H5531 AETNA LIFE INSURANCE COMPANY Aetna Medicare Aetna Inc. Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Head of Regulatory Mgmt & Claims Services Rhonda Arvin 1-405-794-7040 1-860-262-9642 [email protected] 3030 Northwest Expressway MS F714 Oklahoma City OK 73101 4/6/2007 H5532 UNITED HEALTHCARE INSURANCE COMPANY SecureHorizons by UnitedHealthcare UHC - Pacificare Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Leslie Sheldon 1-715-858-2295

[email protected] 2725 Mall Drive Eau Claire WI 54701 8/4/2005 H5533 UPMC HEALTH NETWORK UPMC Health Plan University of Pittsburgh Medical Center Organization Type: Local CCP Plan Type: Local PPO Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Manager, Medicare Operations John Cain 1-412-454-5539 1-412-454-7711 [email protected] 112 Washington Place Suite 800 Pittsburgh PA 15219 8/5/2005 Claims Processing Contacts Sorted by Contract Number Page 108 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H5539 MARYLAND CARE - MEDICARE, INC. Golden Advantage Plus MARYLAND CARE INC.

Organization Type: Local CCP Plan Type: PSO (State License) Contract Effective Date: 1/1/2007

Director of Claims Operation Leo Maes 1-602-659-1862

[email protected] 4645 E Cotton Center Blvd Phoenix AZ 85040 5/18/2006 H5549 VNS CHOICE VNS CHOICE Select Visiting Nurse Service of New York Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Alberto Miraz 1-212-609-5621

[email protected] 1250 Broadway 11th Floor New York NY 10001 5/9/2006 H5554 SANTA CLARA COUNTY HEALTH AUTHORITY Santa Clara Family Health Plan SANTA CLARA COUNTY HEALTH AUTHORITY Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Robert Ostrander 1-408-874-1750

[email protected] 210 E. Hacienda Avenue Campbell CA 95008 5/17/2006 H5575 FIDELIS SECURECARE OF NORTH CAROLINA Fidelis SecureCare of North Carolina Fidelis SecureCare Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

VP Operations and Analysis Kathy Cortez 1-847-605-0501 1-847-517-1085 [email protected] 1700 East Golf Road Suite 1115 Schaumburg IL 60193 4/10/2007 Claims Processing Contacts Sorted by Contract Number Page 109 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H5576 VANTAGE HEALTH PLAN, INC. Vantage Health Plan, Inc. Vantage Health Plan, Inc.

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Chief Financal Officer Rhonda Haygood 1-318-361-0900 123 [email protected] 130 DeSiard St Suite 300 Monroe LA 71201 5/16/2006 H5577 RED MEDICA DE PUERTO RICO, INC. Red Med Red Medica De Puerto Rico Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Delia Torres 1-787-620-7772 1-787-620-7774 [email protected] Capital Center Building, South Tower, Ste. 704 239 Ave Arterial Hostos San Juan PR 00918-1476 2/7/2007 H5578 ARCADIAN HEALTH PLAN OF GEORGIA, INC. Southeast Community Care Arcadian Management Services Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Vice President of Claims Mae Regalado 1-909-971-6703 1-909-971-6753 [email protected] 955 Overland Court., Second Floor San Dimas CA 91773 6/11/2007 H5580 SOUTHWEST CATHOLIC HEALTH NETWORK CORPORATION Mercy Care Advantage Southwest Catholic Health Network Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Director, Claims Joseph Jefferson 1-602-659-1862 1-602-414-7035 [email protected] 4645 E Cotton Center Blvd Phoenix AZ 85040 1/22/2007 Claims Processing Contacts Sorted by Contract Number Page 110 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H5586 SOUTH DAKOTA STATE MEDICAL HOLDING COMPANY, INC. DAKOTACARE South Dakota Medical Association

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2006

Mark Tracy 1-605-334-4000 3711 [email protected] 2600 W 49th St Sioux Falls SD 57117 4/10/2007 H5587 HEALTH CHOICE ARIZONA, INC. Health Choice Generations IASIS Healthcare Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director, Claims Mary Boyd 1-480-350-2216 1-480-784-2933 [email protected] 1600 W. Broadway, Suite 110 Tempe AZ 85282 10/11/2006 H5588 MOLINA HEALTHCARE OF NEVADA, INC. Molina Healthcare of Nevada Molina Healthcare, Inc., Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Vice President, Claims Processing Mike Reddy 1-562-951-1565 1-562-499-6189 [email protected] One Golden Shore Drive Long Beach CA 90802 5/17/2006 H5591 MARTINS POINT GENERATIONS, LLC Martin's Point Generations Advantage MARTINS POINT GENERATIONS, LLC Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Claims Manager John Pickett 1-207-253-6137

[email protected] P.O. Box 9746 891 Washington Avenue Portland ME 04104 8/23/2006 Claims Processing Contacts Sorted by Contract Number Page 111 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H5594 OPTIMUM HEALTHCARE, INC. Optimum HealthCare, Inc. COMMUNITY HEALTH VENTURES, INC

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Director of Claims, Member Services & Enrollment Carolyn White 1-352-688-9131 311 1-352-688-6375 [email protected] 5478 Spring Hill Drive Spring Hill FL 34606 2/14/2007 H5598 UNITED HEALTHCARE INSURANCE COMPANY Evercare« Health Plans UHC - Pacificare Organization Type: Demo Plan Type: ESRD II - HMOPOS Contract Effective Date: 9/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director of Operations Leslie K Sheldon 1-715-858-2200

[email protected] 2725 Mall Drive WI080-1000 Eau Claire WI 54701 4/17/2006 H5606 STERLING LIFE INSURANCE COMPANY Fresenius Medical Health Plan, Inc. - Pennsylvania Sterling Insurance Group Organization Type: Demo Plan Type: ESRD I - PFFS Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

VP Compliance & Regulatory Affairs Craig A Bodway 1-360-647-9080 29098 1-360-647-8632 [email protected] 2219 Rimland Drive PO Box 5348 Bellingham WA 98227-5348 8/25/2006 H5608 DENVER HEALTH MEDICAL PLAN, INC. Denver Health Medical Plan Denver Health Medical Center Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Claims Manager Charlotte Duran-Walker 1-720-956-2327

[email protected] 777 Bannock St Mail Code 6000 Denver CO 80204 7/26/2005 Claims Processing Contacts Sorted by Contract Number Page 112 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H5609 GEMCARE HEALTH PLAN INC. GEMCARE Health Plan Golden Empire Managed Care

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Trannie Delay 1-661-716-7161

[email protected] 5080 California Avenue Suite 200 Bakersfield CA 93309 4/25/2006 H5610 CARE RESOURCES, INC. Care Resources CARE RESOURCES, INC. Organization Type: National PACE Plan Type: National PACE Contract Effective Date: 9/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address:

Quality Manager Kim Motter 1-616-956-9440 185 [email protected] 5363 44th Street

City: Grand Rapids State: MI Zip: 49512 Last Updated: Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: H5619 ARCADIAN HEALTH PLAN, INC. Northeast Community Care Arcadian Management Services Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Vice President of Claims Mae Regalado 1-909-971-6703 1-909-971-6753 [email protected] 955 Overland Court., Second Floor San Dimas CA 91773 6/13/2007 H5628 MOLINA HEALTHCARE OF UTAH, INC. Molina Healthcare of Utah Molina Healthcare, Inc., Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Vice President, Claims Services Mike Reddy 1-562-951-1565 1-562-499-6189 [email protected] One Golden Shore Dr. Long Beach CA 90802 5/17/2006 Claims Processing Contacts Sorted by Contract Number Page 113 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H5640 IEHP HEALTH ACCESS IEHP Medicare DualChoice INLAND EMPIRE HEALTH PLAN

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Director of Claims David Baray 1-909-890-2790 1-909-890-2068 [email protected] 303 E. Vanderbilt Way, Suite 100 San Bernardino CA 92408 1/30/2007 H5649 CENTRAL HEALTH PLAN OF CALIFORNIA, INC. Central Health Medicare Plan Central Health Plan of California Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

MA Claims Processing MA Claims 1-626-388-2386 1-626-388-2361 [email protected] 1051 Park View Drive Suite 120 Covina CA 91724 12/12/2006 H5652 UNITED HEALTHCARE INSURANCE COMPANY Erickson Advantage UHC - Pacificare Organization Type: Demo Plan Type: Continuing Care Retirement Community Contract Effective Date: 9/1/2005

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director of Operations Leslie K Sheldon 1-715-858-2200

[email protected] 2725 Mall Drive WI080-1000 Eau Claire WI 54701 4/17/2006 H5656 SELECTCARE HEALTH PLANS, INC. TexasFirst Health Plans Universal American Financial Corporation Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Director, Claims Darian Newman 1-713-273-8633 1-713-952-7819 [email protected] 4888 Loop Central Drive Suite 700 Houston TX 77081 2/12/2007 Claims Processing Contacts Sorted by Contract Number Page 114 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H5657 HUMANA INSURANCE COMPANY OF NEW YORK Humana Insurance Company of New York Humana Inc.

Organization Type: PFFS Plan Type: PFFS Contract Effective Date: 1/1/2007

Pamela Wilson 1-502-580-4854 1-502-580-7370 [email protected] 500 West Main Street Louisville KY 40202 4/7/2006 H5665 CARE IMPROVEMENT PLUS OF MARYLAND, INC. Care Improvement Plus XLHealth Corporation Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Senior Director of Operations, CIP Group Austin Ifedirah 1-443-872-3033 1-410-244-0092 [email protected] 250 West Pratt Street Suite 200 Baltimore MD 21201 6/4/2007 H5678 UNITED HEALTHCARE INSURANCE COMPANY Erickson Advantage UHC - Pacificare Organization Type: Demo Plan Type: Continuing Care Retirement Community Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Leslie K Sheldon 1-715-858-2200

[email protected] 2725 Mall Drive WI080-1000 Eau Claire WI 54701 4/17/2006 H5679 ANTHEM BC/BS OF COLORADO Anthem Blue Cross and Blue Shield Wellpoint, Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Manager II, Customer Care Multi Debra Kaiser 1-920-923-8339

[email protected] 145 S. Pioneer Blvd,á Mail Stop WIW201-FDL Fon Du Lac WI 54935 2/20/2007 Claims Processing Contacts Sorted by Contract Number Page 115 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H5685 MIDWEST HEALTH PLAN, INC. Midwest Advantage Midwest Health Plan, Inc.

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2006

Sr. Director of Operations Vasudha Gadgil 1-313-586-6001 1-313-582-3092 [email protected] 5050 Schaefer Road Dearborn MI 48126 7/26/2005 H5696 PHYSICIANS UNITED PLAN, INC. Physicians United Plan Physician's United Plan, Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director of Operations Don A Whitfield 1-866-571-0693 1-407-647-4220 [email protected] 6220 South Orange Blossom Trail Suite 199 Orlando FL 32809 6/25/2007 H5697 UNITED HEALTHCARE INSURANCE COMPANY Erickson Advantage UHC - Pacificare Organization Type: Demo Plan Type: Continuing Care Retirement Community Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director of Operations Leslie Sheldon 1-715-858-2200

[email protected] 2725 Mall Drive WI080-1000 Eau Claire WI 54701 4/17/2006 H5698 WINDSOR HEALTH PLANS, INC. Windsor Medicare Extra Windsor Health Group Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

VP of Administration Robin Bradley 1-615-782-7949

[email protected] 7100 Commerce Way, Ste 285 Brentwood TN 37027 9/8/2006 Claims Processing Contacts Sorted by Contract Number Page 116 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H5700 ARKANSAS COMMUNITY CARE Arkansas Community Care, Inc. Arcadian Management Services Inc.

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2006

Vice President of Claims Mae Regalado 1-909-971-6703 1-909-971-6753 [email protected] 955 Overland Court., Second Floor Sam Dimas CA 91773 6/13/2007 H5703 SOUTH COUNTRY HEALTH ALLIANCE South Country Health Alliance South Country Health Alliance Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Colleen Warnemunde 1-507-444-7771

[email protected] 110 W Fremont Street Owatonna MN 55060 8/21/2006 H5711 QMEDCARE OF NEW JERSEY, INC QMedCare QMed, Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Project Manager Kim Hess 1-732-544-5544 1306 1-732-544-5404 [email protected] 25 Christopher Way Eatontown NJ 07724 12/22/2006 H5721 HEALTH NET INSURANCE OF NEW YORK, INC. Health Net Pearl Health Net, Inc. Organization Type: PFFS Plan Type: PFFS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Vice President, Customer Experience Michael R Thomas 1-916-935-1347

[email protected] Health Net Medicare Programs P.O. Box 870502 Surfside Beach SC 29587-8713 4/23/2007 Claims Processing Contacts Sorted by Contract Number Page 117 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H5729 PARTNERCARE HEALTH PLAN, INC. PartnerCare Health Plan, Inc. CareOne Health Plan, Inc.

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2006

Financial Analyst John Dionisio 1-813-901-9208 1114 1-813-901-9209 [email protected] 5501 West Waters Ave. Suite 401 Tampa FL 33634 1/31/2007 H5732 AUXILIO PLATINO, INC. Auxilio Platino Hospital Auxilio Mutuo Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Claims Manager Susan Thibodeaux 1-504-849-4500 8680 1-504-849-6973 [email protected] Three Lakeway Center 3838 N Causeway Blvd, Suite 2200 Metairie LA 70002 2/27/2007 H5736 AETNA LIFE INSURANCE COMPANY Aetna Medicare Aetna Inc. Organization Type: PFFS Plan Type: PFFS Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Head of Regulatory Mgmt & Claims Services Rhonda Arvin 1-405-794-7040 1-860-262-9642 [email protected] 3030 Northwest Expressway MS F714 Oklahoma City OK 73101 4/6/2007 H5750 METROPOLITAN HEALTH PLAN North Star Advantage / North Star Advantage Plus Metropolitan Health Plan Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Sr Accountant Phillip Carlson 1-612-543-3317 1-612-904-4264 [email protected] 400 South 4th St Suite 210 Minneapolis MN 55415 5/30/2007 Claims Processing Contacts Sorted by Contract Number Page 118 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H5754 UNITED HEALTHCARE INSURANCE COMPANY Erickson Advantage UHC - Pacificare

Organization Type: Demo Plan Type: Continuing Care Retirement Community Contract Effective Date: 1/1/2006

Director of Operations Leslie K Sheldon 1-715-858-2200

[email protected] 2725 Mall Drive WI080-1000 Eau Claire WI 54701 4/17/2006 H5756 DELAWARE PHYSICIANS CARE, INC. Delaware Physicians Care Advantage Delaware Physicians Care, Inc. Organization Type: Local CCP Plan Type: PSO (State License) Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director Claims Operation Leo Maes 1-602-659-1862

[email protected] 4645 E Cotton Center Blvd Phoenix AZ 85004 5/18/2006 H5760 COOPERATIVA DE SEGUROS DE VIDA DE PUERTO RICO Cooperativa de Seguros de Vida de PR (COSVI) Cooperativa de Seguros de Vida de Puerto Rico Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Claims Supervisor Sonia Torres 1-787-751-5656 2626 [email protected] PO BOX 363428 SAN JUAN PR 00936-3428 9/19/2005 H5769 BLUE CROSS OF CALIFORNIA Blue Cross of California Wellpoint, Inc. Organization Type: MSA Plan Type: MSA Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Manager II, Customer Care Multi Debra Kaiser 1-920-923-8339

[email protected] 145 S. Pioneer Blvd,á Mail Stop WIW201-FDL Fon Du Lac WI 54935 2/22/2007 Claims Processing Contacts Sorted by Contract Number Page 119 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H5774 AMERICAN HEALTH, INC. American Health Medicare American Health Plan

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2006

Vice President - Operations Fred Gordo 1-787-620-1919 4020 [email protected] American Health Medicare PO BOx 11320 Caparra PR 00922-9907 1/18/2006 H5782 SOLANO-NAPA-YOLO COMMISSION ON MEDICAL CARE Partnership HealthPlan of California PARTNERSHIP HEALTHPLAN OF CALIFORNIA Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Claims Director Paula Frederickson 1-707-863-4201 1-707-863-4119 [email protected] 360 Campus Lane, Suite 100 Fairfield CA 94534 4/25/2006 H5783 ARCADIAN HEALTH PLAN, INC. Southeast Community Care Arcadian Management Services Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Vice President Claims Processing Mae Regalado 1-909-971-6703 1-909-971-6753 [email protected] 955 Overland Court., Second Floor San Dimas CA 91773 6/13/2007 H5793 AETNA HEALTH INC. Aetna Medicare Aetna Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Head of Regulatory Mgmt & Claims Services Rhonda Arvin 1-405-794-7040 1-860-262-9642 [email protected] 3030 Northwest Expressway MS F714 Oklahoma City OK 73101 4/6/2007 Claims Processing Contacts Sorted by Contract Number Page 120 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H5810 MOLINA HEALTHCARE OF CALIFORNIA Molina Healthcare of California Molina Healthcare, Inc.,

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2006

Vice President, Claims Services Gabriel Viola 1-562-435-3666 1-562-499-6189 [email protected] One Golden Shore Dr. Long Beach CA 90802 9/6/2005 H5811 MEDCORE HP Medcore HP Medcore HP Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Chief Operating Officer Sheila Stephens 1-209-320-2616 1-209-320-2644 [email protected] 509 W. Weber Ave. Suite 200 Stockton CA 95203-3164 5/26/2006 H5812 GEISINGER INDEMNITY INSURANCE COMPANY Geisinger Health Plan Gold Choice Geisinger Health System Organization Type: PFFS Plan Type: PFFS Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Team Leader, Customer Service Rita Buggy 1-570-214-1997 1-570-271-5970 [email protected] 100 North Academy Avenue Danville PA 17822-3029 3/6/2007 H5813 AETNA HEALTH, INC Aetna Medicare Aetna Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Head of Regulatory Mgmt & Claims Services Rhonda Arvin 1-405-794-7040 1-860-262-9642 [email protected] 3030 Northwest Expressway MS F714 Oklahoma City OK 73101 4/6/2007 Claims Processing Contacts Sorted by Contract Number Page 121 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H5817 AMERIGROUP TEXAS, INC. AMERIGROUP Community Care AMERIGROUP Corporation

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2006

VP Claims Sue Armbruster 1-757-473-2737

[email protected] AMERIGROUP Corporation 4425 Corporation Lane Virginia Beach VA 23462 7/29/2005 H5820 UNIVERSAL HEALTH CARE INSURANCE COMPANY Universal Health Care Insurance Company, Inc. Universal Health Care Inc. Organization Type: PFFS Plan Type: PFFS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

System Analyst Himanshu Desai 1-866-690-4842 6510 1-727-497-3623 [email protected] 150 2nd Avenue North Suite 400 Saint Petersburg FL 33701 5/16/2006 H5821 MAPFRE LIFE INSURANCE COMPANY MAPFRE LIFE Insurance Company MAPFRE PRAICO Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Manager, Claims Pablo Gorn 1-787-250-6500 6366 [email protected] PO Box 70297 San Juan PR 00936-8297 4/11/2007 H5822 MIDLAND CARE CONNECTION Midland PACE MIDLAND HOSPICE, INC. Organization Type: National PACE Plan Type: National PACE Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Data Information Director Gale Remington Smith 1-785-232-2044 1-785-232-5567 [email protected] 200 SW Frazier Circle Topeka KS 66606 3/13/2006 Claims Processing Contacts Sorted by Contract Number Page 122 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H5823 MOLINA HEALTHCARE OF WASHINGTON, INC. Molina Healthcare of Washington, Inc. Molina Healthcare, Inc.,

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2006

Vice President, Claim Services Gabriel Viola 1-562-951-1565 1-562-499-6189 [email protected] One Golden Shore Dr Long Beach CA 90802 9/6/2005 H5826 COMMUNITY HEALTH PLAN OF WASHINGTON Community HealthFirst Medicare Advantage Plan Community Health Plan of Washington Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director of Operations Allan Fisher 1-206-515-7975 1-206-613-5055 [email protected] 720 Olive Way Suite 300 Seattle WA 98101-1830 6/5/2007 H5832 AETNA HEALTH INC. Aetna Medicare Aetna Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Head of Regulatory Mgmt & Claims Services Rhonda Arvin 1-405-794-7040 1-860-262-9642 [email protected] 3030 Northwest Expressway MS F714 Oklahoma City OK 73101 4/6/2007 H5838 COMMONWEALTH CARE ALLIANCE Commonwealth Care Alliance Commonwealth Care Alliance Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Jan Levinson 1-617-426-0600 1-617-426-1311 [email protected] 30 Winter Street, 7th Floor Boston MA 02108 8/25/2005 Claims Processing Contacts Sorted by Contract Number Page 123 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H5839 STERLING LIFE INSURANCE COMPANY (MT) Sterling Life Insurance Company Sterling Insurance Group

Organization Type: PFFS Plan Type: PFFS Contract Effective Date: 1/1/2006

VP Compliance & Regulatory Affairs Craig A Bodway 1-360-647-9080 29098 1-360-647-8632 [email protected] 2219 Rimland Drive PO Box 5348 Bellingham WA 98227-5348 7/11/2006 H5849 ARKANSAS BLUE CROSS AND BLUE SHIELD, A MUTUAL INS. Arkansas Blue Cross - Medi-Pak Advantage Arkansas Blue Cross Blue Shield Organization Type: PFFS Plan Type: PFFS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Manager, Senior Products Marilyn Herrington 1-501-378-6951 1-501-379-2703 [email protected] 601 Gaines Stret Little Rock AR 72201 5/11/2007 H5850 SUMMIT HEALTH PLAN, INC. Summit Health Plan, Inc. VISTA Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

VP Ted Jones 1-954-858-3440 1-954-858-3695 [email protected] 1340 Concord Terrace Sunrise FL 33323 2/2/2007 H5852 AIDS HEALTHCARE FOUNDATION POSITIVE HEALTHCARE PARTNERS AIDS Healthcare Foundation Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

CLAIMS MANAGER ELMER ARCEO 1-323-436-5006 1-323-436-5032 [email protected] 1001 NORTH MARTEL AVE LOS ANGELES CA 90046 5/31/2007 Claims Processing Contacts Sorted by Contract Number Page 124 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H5854 ANTHEM HEALTH PLANS, INC Anthem Blue Cross and Blue Shield Wellpoint, Inc.

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Claims Director William Hartman 1-518-367-5175 1-518-367-6013 [email protected] 11 Corporate Woods Blvd. Loudonville NY 12211 5/16/2006 H5859 HEALTH PLAN OF CAREOREGON, INC. CareOregon Advantage CareOregon, Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Claims & Member Services Director Nina Emerick 1-503-416-1703 1-503-416-3720 [email protected] CareOregon Advantage 315 SW Fifth Avenue, Suite 900 Portland OR 97204 5/26/2006 H5862 BLUE CROSS OF IDAHO HEALTH SERVICES, INC. Blue Cross Of Idaho Hlth Services Inc Blue Cross of Idaho Health Services, Inc. Organization Type: PFFS Plan Type: PFFS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Operations Manager, Medicare Advantage Plans Gwen Ohlson 1-208-387-6822 1-208-387-6808 [email protected] 3000 E. Pine Ave. Meridian ID 83642 5/15/2006 H5880 VOLUNTEER STATE HEALTH PLAN, INC Volunteer State Health Plan BlueCross BlueShield of Tennessee Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Carol Troxell 1-423-535-5183

[email protected] 801 Pine Street Chattanooga TN 37402 4/14/2006 Claims Processing Contacts Sorted by Contract Number Page 125 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H5883 BLUE CARE NETWORK OF MICHIGAN Blue Care Network Blue Cross Blue Shield of Michigan

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2006

Director Claims Administration Molly Beyer 1-616-956-5890

[email protected] 611 Cascade W. Parkway Grand Rapids MI 49546 7/27/2005 H5884 BLUECROSS BLUESHIELD OF TENNESSEE BlueCross BlueShield of Tennessee BlueCross BlueShield of Tennessee Organization Type: PFFS Plan Type: PFFS Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Janine Colbaugh 1-423-535-7023

[email protected] 801 Pine Street Chattanooga TN 37402 9/20/2005 H5887 FIRST MEDICAL HEALTH PLAN, INC. First Medical Health Plan, Inc. First Medical Health Plan Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Project Manager Kristin S Greeley 1-787-625-9557 225 1-787-300-3912 [email protected] P.O. Box 195559 San Juan PR 00919 4/23/2007 H5893 ELDER CARE HEALTH PLAN, INC. Elder Care Health Plan, Inc Elder Care of Wisconsin Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Claims Specialist Ann Hansen 1-608-245-3437 1-608-241-5195 [email protected] 2802 International Lane Madison WI 53704 9/20/2006 Claims Processing Contacts Sorted by Contract Number Page 126 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H5895 CONTRA COSTA CO MED SVCS DBA CONTRA COSTA HEALTH Contra Costa Health Plan Contra Costa Health Services

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Business Services Manager Cindy Shelby 1-925-957-5177 1-925-957-5173 [email protected] 595 Center Ave. Ste. 100 Martinez CA 94553 4/14/2006 H5896 AMERIGROUP MARYLAND, INC. AMERIGROUP Community Care AMERIGROUP Corporation Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

VP Claims Sue Armbruster 1-757-473-2737

[email protected] 4425 Corporation Lane Virginia Beach VA 23462 5/8/2006 H5908 SUN HEALTH MEDISUN, INC. MediSun Private Fee For Service Sun Health Corporation Organization Type: PFFS Plan Type: PFFS Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director, Medical Economics Diane Icard 1-623-544-7446 1-623-544-7450 [email protected] P.O. Box 1489 13632 N. 99th Ave, Suite B Sun City AZ 85372 8/10/2005 H5909 AMERICAN PROGRESSIVE LIFE AND HEALTH OF NEW YORK Fresenius Medical Care Health Plan Universal American Financial Corporation Organization Type: Demo Plan Type: ESRD I - PFFS Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Director, Claims Darian Newman 1-713-273-8633 1-713-952-7819 [email protected] 4888 Loop Central Drive Suite 700 Houston TX 77081 2/12/2007 Claims Processing Contacts Sorted by Contract Number Page 127 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H5918 UNITED HEALTHCARE INSURANCE COMPANY Erickson Advantage UHC - Pacificare

Organization Type: Demo Plan Type: Continuing Care Retirement Community Contract Effective Date: 1/1/2006

Leslie K Sheldon 1-715-858-2200

[email protected] 2725 Mall Drive WI080-1000 Eau Clair WI 54701 4/17/2006 H5926 MOLINA HEALTHCARE OF MICHIGAN Molina Healthcare of Michigan Molina Healthcare, Inc., Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Vice President, Claim Services Gabriel Viola 1-562-435-3666 1565 1-562-499-6189 [email protected] One Golden Shore Drive Long Beach CA 90802 8/22/2005 H5928 CARE1ST HEALTH PLAN Care1st Medicare Advantage Plan Care1st Health Plan Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Janet Jan 1-323-889-5258

[email protected] 601 N. Potrero Grande Dr. Monterey Park CA 91755 6/19/2007 H5932 GATEWAY HEALTH PLAN, INC. Gateway Health Plan Medicare Assured Highmark Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

V.P. Operations Margaret Worek 1-412-255-4648

[email protected] 600 Grant Street - 41st Floor Pittsburgh PA 15219 7/26/2005 Claims Processing Contacts Sorted by Contract Number Page 128 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H5938 CAPITAL HEALTH PLAN Capital Health Plan Blue Cross and Blue Shield of Florida

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2006

Director, Claims, OPL, Premium Billing Amy Adams 1-850-383-3421 1-850-523-7250 [email protected] P.O. Box 15349 Tallahassee FL 32317 7/27/2005 H5942 SUNCOAST PHYSICIANS HEALT PLAN, INC. SunCoast Physicians Health Plan, Inc Suncoast Physicians Health Plan Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

CIO/CTO Bruce J Romanello 1-954-384-8988

[email protected] 2900 Glades Circle Suite 250 Weston FL 33327 9/3/2005 H5943 SCAN HEALTH PLAN VillageHealth SCAN Health Plan, Inc. Organization Type: Demo Plan Type: ESRD II - HMOPOS Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Vice President, Claims Allen Freymuth 1-562-989-5100 1-562-989-5215 [email protected] 3800 Kilroy Airport Way Suite 100 Long Beach CA 90806 5/9/2006 H5948 ARTA MEDICARE HEALTH PLAN, INC. Arta Medicare Health Plan ARTA MEDICARE HEALTH PLAN, INC. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Vice President, Operations Karen Richmond 1-949-260-6515 1-949-567-0211 [email protected] 3333 Michelson Drive, Suite 735 Irvine CA 92612 4/12/2006 Claims Processing Contacts Sorted by Contract Number Page 129 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H5949 SENIOR WHOLE HEALTH, LLC Senior Whole Health of Connecticut Senior Whole Health, LLC

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Director, Claims Peter Harrington 1-617-494-5353 6336 1-617-494-5599 [email protected] 58 Charles Street, 2nd Floor Cambridge MA 02141 2/8/2007 H5950 AETNA HEALTH INC. Aetna Medicare Aetna Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Head of Regulatory Mgmt & Claims Services Rhonda Arvin 1-405-794-7040 1-860-262-9642 [email protected] 3030 Northwest Expressway MS F714 Oklahoma City OK 73101 4/6/2007 H5952 CAMBRIDGE LIFE INSURANCE COMPANY Advantra« Freedom Coventry Health Care Inc. Organization Type: PFFS Plan Type: PFFS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director Service Organization Meg Knight 1-800-713-5095

[email protected] Advantra Freedom/Coventry Health Care, Inc. PO Box 7154 London KY 40742 3/27/2007 H5962 STERLING LIFE INSURANCE COMPANY Fresenius Medical Care Health Plan, Inc. - Texas Sterling Insurance Group Organization Type: Demo Plan Type: ESRD I - PFFS Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

VP Compliance & Regulatory Affairs Craig A Bodway 1-360-647-9080 29098 1-360-647-8632 [email protected] 2219 Rimland Drive PO Box 5348 Bellingham WA 98227-5348 8/25/2006 Claims Processing Contacts Sorted by Contract Number Page 130 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H5969 ALOHACARE AlohaCare AlohaCare

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2006

Administrator of Plan Operations Patrick Brennan 1-808-973-1650 1-808-973-0726 [email protected] 1357 Kapiolani Blvd., Suite 1250 Honolulu HI 96814 7/26/2005 H5980 FIDELIS SECURECARE OF TEXAS, INC. Fidelis SecureCare of Texas, Inc. Fidelis SecureCare Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

VP Operations and Analysis Kathy Cortez 1-847-605-0501 1-847-517-1085 [email protected] 1700 East Golf Road Suite 1115 Schaumburg IL 60173 4/10/2007 H5985 ABRAZO ADVANTAGE HEALTH PLAN Abrazo Advantage Health Plan Vanguard Health Systems Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director of Claims Michell Foster 1-602-824-3741 1-602-824-3769 [email protected] 7878 N. 16th St., #105 Phoenix AZ 85020 3/9/2006 H5989 COMPREHENSIVE CARE MANAGEMENT CORP. Comprehensive Care Management Corp. Comprehensive Care Management Corp. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Richard Rosen 1-718-944-2100

[email protected] 2275 Olinville Avenue Bronx NY 10467 9/13/2006 Claims Processing Contacts Sorted by Contract Number Page 131 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H5991 AFFINITY HEALTH PLAN, INC. Affinity Health Plan Affinity Health System

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Director of Claims Shelli Moore 1-718-794-5701 1-718-794-7858 [email protected] 2500 Halsey Street Bronx NY 10461 7/5/2006 H5992 SENIOR WHOLE HEALTH, LLC Senior Whole Health of New York Senior Whole Health, LLC Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director, Claims Peter Harrington 1-617-494-5353 6336 1-617-494-5599 [email protected] 58 Charles Street, 2nd Floor Cambridge MA 02141 2/8/2007 H5995 MARION POLK COMMUNITY HEALTH PLAN ADVANTAGE, INC. Marion Polk Community Health Plan Advantage Marion Polk Community Health Plan LLC Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Chief Financial Officer Dean Andretta 1-503-371-7701 107 1-503-371-8046 [email protected] 245 Commercial St. SE, Ste. 200 Salem OR 97301 8/29/2006 H5996 HEALTH NET LIFE INSURANCE COMPANY, INC. Health Net Health Net, Inc. Organization Type: PFFS Plan Type: PFFS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Vice President, Customer Experience Michael R Thomas 1-913-985-1347

[email protected] Health Net Medicare Programs P.O. Box 870502 Surfside Beach SC 29587-8713 4/23/2007 Claims Processing Contacts Sorted by Contract Number Page 132 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H5998 UNISON HEALTH PLAN OF TENNESSEE, INC. Unison Advantage Three Rivers Health Group

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Manager, Claims Department Nancy Heider 1-412-858-4030

[email protected] Unison Plaza 1001 Brinton Road Pittsburgh PA 15221 4/17/2007 H6050 KAISER FOUNDATION HP, INC. Kaiser Foundation Health Plan, Inc. Kaiser Permanente Organization Type: 1876 Cost Plan Type: 1876 Cost Contract Effective Date: 1/1/1987

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director, Medicare Compliance Jason Hall 1-626-405-5333

[email protected] 393 E Walnut Street Pasadena CA 91188 9/13/2006 H6052 KAISER FOUNDATION HP, INC. Kaiser Foundation Health Plan, Inc. Kaiser Permanente Organization Type: 1876 Cost Plan Type: 1876 Cost Contract Effective Date: 1/1/1987

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director, Medicare Compliance Jason Hall 1-626-405-5333

[email protected] 393 E Walnut Street Pasadena CA 91188 9/13/2006 H6053 SANTE FE EMPLOYEES HOSPITAL ASSN. Santa Fe Employees Hospital Association Sante Fe Employees Hospital Assn. Organization Type: HCPP - 1833 Cost Plan Type: HCPP - 1833 Cost Contract Effective Date: 1/1/1987

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization:

MA Contact: No contact data submitted Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007 Claims Processing Contacts Sorted by Contract Number Page 133 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization:

H6140 WABASH MEM. HOSPITAL Wabash Mem. Hospital Wabash Memorial Hospital Association

Organization Type: HCPP - 1833 Cost Plan Type: HCPP - 1833 Cost Contract Effective Date: 1/1/1987

MA Contact: No contact data submitted Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: H6141 SIDNEY HILLMAN HC Sidney Hillman HC Sidney Hillman Health Center (SHHC) Organization Type: HCPP - 1833 Cost Plan Type: HCPP - 1833 Cost Contract Effective Date: 2/1/1983

MA Contact: No contact data submitted Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: H6142 UNION HEALTH SERVICES, INC. Union Health Services, Inc. Union Health Services, Inc. Organization Type: HCPP - 1833 Cost Plan Type: HCPP - 1833 Cost Contract Effective Date: 2/1/1983

MA Contact: No contact data submitted Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007 H6143 UNION MEDICAL CENTER Union Medical Center Union Medical Center Organization Type: HCPP - 1833 Cost Plan Type: HCPP - 1833 Cost Contract Effective Date: 2/1/1983

Lisa R Silva 1-312-829-0850 336 1-312-829-4526 [email protected] 1649 West Adams 3rd Floor Chicago IL 60612 9/7/2006 Claims Processing Contacts Sorted by Contract Number Page 134 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization:

H6331 BORO MEDICAL CENTER Boro Medical, P.C. Boro Medical Center

Organization Type: HCPP - 1833 Cost Plan Type: HCPP - 1833 Cost Contract Effective Date: 1/1/1987

MA Contact: No contact data submitted Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: H6334 NY HOTEL TRADES COUNCIL and HOTEL ASSN OF NYC NY Hotel Trades Council and Hotel Assn. of NYC NY Hotel Trades Council&Hotel Assn of NYC Organization Type: HCPP - 1833 Cost Plan Type: HCPP - 1833 Cost Contract Effective Date: 1/1/1987

MA Contact: No contact data submitted Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: H6360 KAISER FOUNDATION HP OF OHIO Kaiser Foundation Health Plan of Ohio Kaiser Permanente Organization Type: 1876 Cost Plan Type: 1876 Cost Contract Effective Date: 1/1/1987

Project Manager Maureen Pallas 1-216-398-3159 1-216-749-8426 [email protected] 5420 Lancaster Drive Pharmacy Administration Brooklyn Heights OH 44131 9/14/2006 H6421 ELDER HEALTH MID-ATLANTIC, INC. Bravo by Elder Health Elder Health, Inc. Organization Type: PFFS Plan Type: PFFS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Assistant Vice President, Managed Care Systems Louise McCagg 1-410-864-4566 1-410-864-4467 [email protected] 3601 O'Donnell Street Baltimore MD 21224 5/17/2006 Claims Processing Contacts Sorted by Contract Number Page 135 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H6499 STONE HARBOR INSURANCE COMPANY WellCare WellCare Health Plans, Inc.

Organization Type: PFFS Plan Type: PFFS Contract Effective Date: 1/1/2007

Director Pharmacy Operations Vince Geraci 1-813-290-6200 6208 [email protected] 8735 Henderson Rd Ren 2 Tampa FL 33634 4/27/2007 H6934 UAHC HEALTH PLAN OF TENNESSEE, INC. UAHC Gold Plus UAHC HEALTH PLAN OF TENNESSEE Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Vice President of Information Systems/Customer Se Stacey Hill 1-901-348-3311 1-901-348-2212 [email protected] 1769 Paragon Drive Suite 100 Memphis TN 38132 5/18/2006 H7065 GROUP HEALTH COOPERATIVE OF EAU CLAIRE Wisconsin Personal Care Plan Group Health Cooperative Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Claims Manager Sandy Cramer 1-715-852-2600 1-715-836-7683 [email protected] 2503 N. Hillcrest Parkway Altoona WI 54720 3/29/2007 H7187 UNITED HEALTHCARE INSURANCE COMPANY SecureHorizons by UnitedHealthcare UHC - Pacificare Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Leslie Sheldon 1-715-858-2295

[email protected] 2725 Mall Drive Eau Claire WI 54701 4/19/2006 Claims Processing Contacts Sorted by Contract Number Page 136 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H7226 HARVARD PILGRIM HEALTH CARE INC. HARVARD PILGRIM HEALTH CARE INC. Harvard Pilgrim Health Care

Organization Type: PFFS Plan Type: PFFS Contract Effective Date: 1/1/2007

First Seniority Compliance Officer Michael J Comerford 1-617-509-1411 1-617-509-2257 [email protected] 1600 Crown Colony Dr Quincy MA 02169 3/29/2007 H7274 UNITED HEALTHCARE INSURANCE COMPANY Evercare« Health Plans UHC - Pacificare Organization Type: Demo Plan Type: ESRD II - HMOPOS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

MA Claims processing Leslie Sheldon 1-715-858-2295

[email protected] 2725 Mall Drive Eau Claire WI 54701 4/19/2006 H7289 UNICARE LIFE AND HEALTH INSURANCE, INC. UniCare Wellpoint, Inc. Organization Type: MSA Plan Type: MSA Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Manager II, Customer Care Multi Debra Kaiser 1-920-923-8339

[email protected] 145 S. Pioneer Blvd,á Mail Stop WIW201-FDL Fon Du Lac WI 54935 2/22/2007 H7981 MCS LIFE INSURANCE COMPANY MCS Classicare Medical Card System, Inc. Organization Type: PFFS Plan Type: PFFS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Special Projects Claims Director Hilda Serrano 1-787-758-2500 2601 1-787-622-2473 [email protected] PO Box 191720 San Juan PR 00919-1720 5/22/2007 Claims Processing Contacts Sorted by Contract Number Page 137 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H8011 AMERICAN PROGRESSIVE MPower Health Universal American Financial Corporation

Organization Type: Demo Plan Type: MSA Demo Contract Effective Date: 1/1/2007

Director of Claims Darian Newman 1-713-273-8633 1-713-952-7819 [email protected] 4888 Loop Central Drive Suite 700 Houston TX 77081 2/12/2007 H8031 GATEWAY HEALTH PLAN OF OHIO, INC. Gateway Health Plan Medicare Assured Highmark Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

V.P. Operations Margaret Worek 1-412-255-4648

[email protected] 600 Grant Street, 41st Floor Pittsburgh PA 15219 4/21/2006 H8201 METROPOLITAN HEALTH PLAN Metropolitan Health Plan Metropolitan Health Plan Organization Type: PFFS Plan Type: PFFS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Accountant/Claims Manager Phillip Carlson 1-612-543-3317 1-612-904-4264 [email protected] 822 South Third Street Suite 140 Minneapolis MN 55415 1/4/2007 H8742 ABRI HEALTH PLAN, INC Today's Health Universal American Financial Corporation Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Director, Claims Darian Newman 1-713-273-8633 1-713-952-7819 [email protected] 4888 Loop Central Drive Suite 700 Houston TX 77081 2/12/2007 Claims Processing Contacts Sorted by Contract Number Page 138 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H9001 FALLON COMMUNITY HEALTH PLAN Fallon Community Health Plan Fallon Community Health Plan

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 4/1/1980

Director-Claims Administration Frank Mausolf 1-800-333-2535 69191 [email protected] One Chestnut Place 10 Chestnut Street Worcester MA 01608 10/13/2006 H9003 KAISER FOUNDATION HP OF THE N W Kaiser Foundation Health Plan of the NW Kaiser Permanente Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 4/1/1980

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

MMA/Document Intake Supervisor Keith Mathias 1-503-813-2315

[email protected] 500 NE Multnomah, #100 Portland OR 97232 3/22/2007 H9005 GROUP HEALTH PLAN, INC. HealthPartners HealthPartners Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 5/1/1984

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Senior Manager Claims Eric W Johnson 1-952-967-7380

[email protected] 8170 33rd Avenue South PO Box 1309 Minneapolis MN 55440-1309 6/26/2006 H9011 UNITED HEALTHCARE OF FLORIDA INC. SecureHorizons by UnitedHealthcare UHC - Pacificare Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 10/1/1982

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Leslie Sheldon 1-715-858-2295

[email protected] 2725 Mall Drive Eau Claire WI 54701 8/4/2005 Claims Processing Contacts Sorted by Contract Number Page 139 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H9047 PROVIDENCE HEALTH PLAN Providence Health Plan Providence Health System

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 12/1/1985

Manager Jane Hooper 1-503-574-5922

[email protected] 3601 SW Murray Blvd Beaverton OR 97005 3/22/2006 H9101 ELDERPLAN, INC. - SHMO Elderplan, Inc. Metropolitan Jewish Health System (MJHS) Organization Type: Demo Plan Type: SHMO Contract Effective Date: 3/1/1985

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

AVP Claims & Technical Services Laurissa Burns 1-718-921-7615 1-718-759-4034 [email protected] 6323 Seventh Avenue Brooklyn NY 11220 2/21/2007 H9103 KAISER FOUNDATION HP OF THE N W Kaiser Foundation Health Plan of the NW Kaiser Permanente Organization Type: Demo Plan Type: SHMO Contract Effective Date: 3/1/1985

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

MMA/Document Intake Supervisor Keith I Mathias 1-503-813-2315

[email protected] 500 NE Multnomah, #100 Portland OR 97232 3/22/2007 H9104 SCAN HEALTH PLAN SCAN Health Plan SCAN Health Plan, Inc. Organization Type: Demo Plan Type: SHMO Contract Effective Date: 3/1/1985

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Vice President, Claims Allen Freymuth 1-562-989-5100 1-562-989-5215 [email protected] 3800 Kilroy Airport Way Suite 100 Long Beach CA 90806 5/9/2006 Claims Processing Contacts Sorted by Contract Number Page 140 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H9136 MEDICARE ULTRA, INC. Health Medicare Ultra Medicare Ultra, Inc.

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Chief Financial Officer Marisol Gonzßlez 1-787-262-5511 1-787-262-5511 [email protected] PO Box 5000 PMB 426 Camuy PR 00627-5000 6/1/2007 H9313 MEDICAL MUTUAL OF OHIO Advantage Plans from Medical Mutual of Ohio MEDICAL MUTUAL OF OHIO Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Vice President, Statewide Operations Sue Parsil 1-419-473-7844

[email protected] 2060 East Ninth Street Cleveland OH 44115 5/17/2006 H9385 SCAN HEALTH PLAN OF ARIZONA SCAN Health Plan Arizona SCAN Health Plan, Inc. Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Vice President, Claims Allen Freymuth 1-562-989-5100 1-562-989-5215 [email protected] 3800 Kilroy Airport Way Suite 100 Long Beach CA 90806 5/9/2006 H9519 INDEPENDENT HEALTH BENEFITS CORPORATION Independent Health Independent Health Benefits Corporation Organization Type: PFFS Plan Type: PFFS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Product Administrator, Medicare Carleen Dunne 1-716-635-7865 1-716-250-7197 [email protected] 511 Farber Lakes Drive Buffalo NY 14221 4/24/2006 Claims Processing Contacts Sorted by Contract Number Page 141 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

H9859 MVP HEALTH PLAN, INC, MVP Gold MVP HEALTH PLAN, INC.

Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Manager, Claims Kellie Traver 1-585-327-2529

[email protected] 259 Monroe Avenue Rochester NY 14607 8/24/2006 H9984 GOLDEN CROSS HMO HEALTH PLAN CORPORATION Viva Salud! Medicare Advantage Golden Cross HMO Organization Type: Local CCP Plan Type: HMO/HMOPOS Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

MIS ASSISTANT WALTER THEUT 1-787-724-6565 1-787-721-5028 [email protected] 150 DE DIEGO AVE SAN JUAN HEALTH CENTRE SUITE 504 SAN JUAN PR 00907 5/18/2006 R3175 UNITED HEALTHCARE INSURANCE COMPANY SecureHorizons UHC - Pacificare Organization Type: Regional CCP Plan Type: Regional PPO Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Leslie Sheldon 1-715-858-2295

[email protected] 2725 Mall Drive Eau Claire WI 54701 8/4/2005 R3444 CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. Care Improvement Plus XLHealth Corporation Organization Type: Regional CCP Plan Type: Regional PPO Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Senior Director of Operations, CIP Group Austin Ifedirah 1-443-872-3033 1-410-625-2244 [email protected] 351 West Camden Street Suite 100 Baltimore MD 21207 6/4/2007 Claims Processing Contacts Sorted by Contract Number Page 142 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

R5287 UNITED HEALTHCARE INSURANCE COMPANY SecureHorizons by UnitedHealthcare UHC - Pacificare

Organization Type: Regional CCP Plan Type: Regional PPO Contract Effective Date: 1/1/2006

Leslie Sheldon 1-715-858-2295

[email protected] 2725 Mall Drive Eau Claire WI 54701 8/4/2005 R5342 UNITED HEALTHCARE INSURANCE COMPANY OF NEW YORK SecureHorizons UHC - Pacificare Organization Type: Regional CCP Plan Type: Regional PPO Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Leslie Sheldon 1-715-858-2295

[email protected] 2725 Mall Drive Eau Claire WI 54701 8/3/2005 R5553 INSTIL HEALTH INSURANCE COMPANY InStil Health Insurance Company BlueCross BlueShield of South Carolina (BCBSSC) Organization Type: Regional CCP Plan Type: Regional PPO Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Contracts & Administration Dee A Yurko 1-803-763-5888 1-803-935-1411 [email protected] 17 Technology Circle Columbia SC 29203 6/8/2006 R5566 BLUE CROSS BLUE SHIELD NORTHERN PLAINS ALLIANCE Blue Cross Blue Shield Northern Plains Alliance Wellmark, Inc Organization Type: Regional CCP Plan Type: Regional PPO Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Cathy Birkholz 1-651-662-9415 1-651-662-9415 [email protected] Blue Cross and Blue Shield of Minnesota 3400 Yankee Drive, R337 Eagan MN 55121 5/17/2007 Claims Processing Contacts Sorted by Contract Number Page 143 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

R5595 AETNA LIFE INSURANCE COMPANY Aetna Medicare Aetna Inc.

Organization Type: Regional CCP Plan Type: Regional PPO Contract Effective Date: 1/1/2006

Head of Regulatory Mgmt & Claims Services Rhonda Arvin 1-405-794-7040 1-860-262-9642 [email protected] 3030 Northwest Expressway MS F714 Oklahoma City OK 73101 4/6/2007 R5674 SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. Sierra Nevada Spectrum Sierra Health Services, Inc Organization Type: Regional CCP Plan Type: Regional PPO Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director, Health Informatics Alejandro Corral 1-702-242-7215

[email protected] 2716 N. Tenaya Way Las Vegas NV 89128 10/18/2006 R5826 HUMANA INSURANCE COMPANY Humana Insurance Company Humana Inc. Organization Type: Regional CCP Plan Type: Regional PPO Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Pamela Wilson 1-502-580-4854 1-502-580-7370 [email protected]com 500 West Main Street Louisville KY 40202 2/14/2006 R5863 HEALTH NET LIFE INSURANCE COMPANY Health Net Health Net, Inc. Organization Type: Regional CCP Plan Type: Regional PPO Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Director, Claims Silvia Hay 1-203-402-6141

[email protected] Health Net of Arizona Claims - ACS/Health Net P.O. Box 14225 Lexington KY 40512-4225 4/23/2007 Claims Processing Contacts Sorted by Contract Number Page 144 of 145

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

R5941 ANTHEM INSURANCE COMPANIES, INC. Anthem Blue Cross and Blue Shield Wellpoint, Inc.

Organization Type: Regional CCP Plan Type: Regional PPO Contract Effective Date: 1/1/2006

Program Manager Virginia Breeden 1-513-336-5301 1-513-336-3654 [email protected] 4361 Irwin Simpson Road Mailstop OH0102-C535 Mason OH 45040-9498 3/1/2007 R6801 CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY Care Improvement Plus XLHealth Corporation Organization Type: Regional CCP Plan Type: Regional PPO Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Senior Director of Operations, CIP Group Austin Ifedirah 1-443-872-3033 1-410-244-0092 [email protected] 250 West Pratt Street Suite 200 Baltimore MD 21201 6/4/2007 R9896 CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO Care Improvement Plus XLHealth Corporation Organization Type: Regional CCP Plan Type: Regional PPO Contract Effective Date: 1/1/2007

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated:

Director of the Special Needs Plan Austin Ifedirah 1-443-872-3033 1-410-625-2244 [email protected] 351 West Camden Street Suite 100 Baltimore MD 21201 6/11/2007 R9943 BC LIFE and HEALTH INSURANCE COMPANY BC LIFE & HEALTH INSURANCE COMPANY Wellpoint, Inc. Organization Type: Regional CCP Plan Type: Regional PPO Contract Effective Date: 1/1/2006

Contract Number: Legal Entity Name: Organization Marketing Name: Parent Organization: MA Contact: Name: Phone: Extension: Fax: Email: Address: City: State: Zip: Last Updated: July 2007

Manager II, Customer Care Multi Debra Kaiser 1-920-923-8339

[email protected] 145 S. Pioneer Blvd,á Mail Stop WIW201-FDL Fon Du Lac WI 54935 2/22/2007 Claims Processing Contacts Sorted by Contract Number Page 145 of 145

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