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iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name 1 Arnoff Moving & Storage - WC 207 RESOLUTIONS LLC Address 1282 Dutchess Turnpike Poughkeepsie, NY 12603 8417 Oswego Road PMB111 Baldwinsville, NY 13027 21ST CENTURY PLAZA PO BOX 15510 WILMINGTON, DE 19850 PO BOX 268820 Oklahoma City, OK 73126 PO BOX 52165 Phoenix, AZ 85072 PO BOX 29229 PHOENIX, AZ 85038 PO BOX 4397 WOODLAND HILLS, CA 91367 9916 CARVER RD STE 400 CINCINNATI, OH 45242 PO BOX 3115 ST PAUL, MN 55133 PO Box 14431 Lexington, KY 40512 PO Box 9342 Uniondale, NY 11553 1899 CENTRAL PLAZA EAST STE 2000 EDMESTON, NY 13335-1899 PO BOX 367 Lancaster, NY 14086 3761 E LAKE ROAD DUNKIRK, NY 14048 AVE A & NORTH STREET BAYONNE, NJ 07002 PO BOX 6001 GILBERT, AZ 85299 PO Box 66502 Saint Louis, MO 63166 2560 East Paris, attn: Jennifer Kentwood, MI 49516 2560 East Paris, attn: Jennifer Kentwood, MI 49516 3 Executive Campus, Suite 100 Route 70 & Cuthbert Blvd. Cherry Hill, NJ 08002 3 Executive Campus, Suite 100 Route 70 & Cuthbert Blvd. Cherry Hill, NJ 08002 345 BAY RD. QUEENSBURY, NY 12804 345 BAY RD. QUEENSBURY, NY 12804 PO BOX 24523 Oakland, CA 94623 PO BOX 24523 Oakland, CA 94623 PO Box 248 Essington, PA 19029 PO Box 248 Essington, PA 19029 PO Box 26260 San Diego, CA 921960260 PO Box 26260 San Diego, CA 921960260 PO BOx 31107 Tampa, FL 33631 PO BOx 31107 Tampa, FL 33631 PO Box 920 Siusun, CA 94585 PO Box 920 Siusun, CA 94585 PO BOX 24523 OAKLAND, CA 94623-1523 PO BOX 2946 CLINTON, IA 52733-2946 Payer ID 1ARNO001 207RE001 New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

21 CENTURY INSURANCE

21CEN001

21st Centruy 21st Century 21ST CENTURY 21ST CENTURY INSURANCE 3-HAB

21STC005 21STC002 21STC001 21STC004 3HAB001

Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

3M disability 3M Disability Program/Sedgewick A & P Dedicated Unit A CENTRAL INSURANCE

3MDIS001 3MDIS002 APDED001 ACENT001

A T & A Trucking Corp A W FARRELL & SON A&P AAA AAA / Liability AAA [Electronic Indirect] AAA [Electronic Indirect] AAA [Electronic Indirect]

ATATR001 AWFAR002 AP001 AAA017 AAALI001 AAA001 AAA002 AAA003

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Auto/No-Fault New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY)

AAA [Electronic Indirect]

AAA010

AAA [Electronic Indirect] AAA [Electronic Indirect] AAA [Electronic Indirect] AAA [Electronic Indirect] AAA [Electronic Indirect] AAA [Electronic Indirect] AAA [Electronic Indirect] AAA [Electronic Indirect] AAA [Electronic Indirect] AAA [Electronic Indirect] AAA [Electronic Indirect] AAA [Electronic Indirect] AAA INSURANCE AAA INSURANCE

AAA004 AAA011 AAA005 AAA012 AAA006 AAA013 AAA007 AAA014 AAA008 AAA015 AAA009 AAA016 AAAIN001 AAAIN002

New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) Auto/No-Fault Auto/No-Fault

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name AAA MID ATLANTIC AAA MID ATLANTIC AAA MID ATLANTIC AAA MID ATLANTIC INS Address 379 THORNALL ST EDISON, NJ 08837 PO BOX 508 VOORHEES, NJ 08043 PO BOX 5432 MT LAUREL, NJ 08054 500 SCARBOROUGH DR SUITE 302 EGG HARBOR TWSP, NJ 08234 PO BOX 348 ESSINGTON, PA 19029 PO BOX 5483 MT LAUREL, NJ 08054 345 BAY RD. QUEENSBURY, NY 12804 175 HUMBOLDT ST ROCHESTER, NY 14610 1701 UNION RD WEST SENECA, NY 14224 PO Box 9783 Fresno, CA 97831 4017 13TH AVE WEST SEATTLE, WA 98119 6315 FLY RD E SYRACUSE, NY 13057 4460 107th CIRCLE CLEARWATER, FL 33762 PO BOX 2928 LAKELAND, FL 33806 6619 JOY ROAD EAST SYRACUSE, NY 13057 PO BOX 13367 Norfolk, VA 23506 7020 NORTH BLVD E SYRACUSE, NY 13057 PO BOX 10048 FORTSMITH, AR 72917 265 CHANDLER ST BUFFALO, NY 14207 777 Sheridan Dr Tonawanda, NY 14150 292 MAIN ST E AURORA, NY 14052 301 NANTUCKET DRIVE ENDICOTT, NY 13760 300 GLEED AVENUE EAST AURORA, NY 14052 6060 ARMOUR RD ORCHARD PARK, NY 14127 200 SALINA MEADOWS PARKWAY SUITE 250 NORTH SYRACUSE, NY 13212 PO BOX 9010 WESTBROOK, ME 04098-5010 3275 NORTH BENZING RD ORCHARD PARK, NY 14127 PO BOX 105143 AUTO CLAIMS ATLANTA, GA 30348 PO BOX 250087 ATLANTA, GA 30325 PO Box 40790 Lansing, MI 48901 P.O. Box 40790 Lansing, MI 48901-7990 232 Cherry Street Ithaca, NY 14850 4100 INTERNATIONAL PKWY SUITE 1010 CARROLLTON, TX 75007 53 BRIDGE ST CORNING, NY 14830 PO Box 5790 Portland, OR 97208 Payer ID AAAMI002 AAAMI006 AAAMI003 AAAMI004 Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault

AAA MIDATLANTIC AAA Midlantic AAA NORTHWAY WC AAC CONTRACTING AAMCO AARLA AASGARD SUMMIT MANAGEMENT ABC COMP TRUST ABC HEAVY TRANSPORT ABC HEAVY TRANSPORT ABC REFRIGERATION Abercrombi, Simmons, and Gillette ABF FRIEGHT SYSTEMS ABF FRIEGHT SYSTEMS ABLE COM ANSWERING SERVICE ABM Industries ABSOLUT OF AURORA PARK ABSOLUTE CARE AT ENDICOTT ABSOLUTE FACILITY MANAGEMENT ABSOLUTE OF ORCHARD PARK ACADIA INS

AAAMI005 AAAMI001 AAANO001 AACCO001 AAMCO001 AARLA001 AASGA001 ABC02 ABCHEA01 ABC03 ABCRE001 ABERC001 ABF01 ABFFREI01 ABLEC001 ABMIN001 ABSOL003 ABSOL001 ABSOL002 AOP01 ACADI001

Auto/No-Fault Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

ACADIA INS CO ACCENT STRIPE INC ACCESS GENERAL INS ADJSTR

ACA02 ACCEN001 ACCES003

Access General Insurance [Electronic] Accident Fund Ins Co of America / WC ACCIDENT FUNDS INS CO OF AMERICA ACCUFAB ACCUMED DALLAS

ACCES001 ACCID001 ACCID002 ACCUF001 ACCUM001

Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

ACCUSTAFF Ace

ACCUS001 ACE005

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name ACE Address PO Box 1685 616 Idaho St. Salem, VA 24153 PO BOX 1000 WA04R PHILADELPHIA, PA 19106 PO BOX 31080 WA04R TAMPA, FL 33631 PO BOX 8958 TRENTON, NJ 08650 PO BOX 14519 Lexington, KY 405124519 PO BOX 14519 Lexington, KY 405124519 PO BOX 14519 Lexington, KY 405124519 PO BOX 1000 WA04R PHILADELPHIA, PA 19106 PO BOX 31080 WA04R TAMPA, FL 33631 PO BOX 1000 WA04R PHILADELPHIA, PA 19106 PO BOX 1000 WA04R PHILADELPHIA, PA 19106 PO BOX 1000 WA04R PHILADELPHIA, PA 19106 PO BOX 31080 WA04R TAMPA, FL 33631 PO BOX 31080 WA04R TAMPA, FL 33631 PO BOX 31080 WA04R TAMPA, FL 33631 ACE USA DEPT CH 14089 PALATINE, IL 60055 134 CECIL A MALONE DRIVE ITHACA, NY 14850 PO Box 574 Deer Park, NY 11729 PO Box 574 Deerpark, NY 11729 PO BOX 1000 WA04R PHILADELPHIA, PA 19106 PO BOX 31080 WA04R TAMPA, FL 33631 P.O. BOX 1685 616 IDAHO STREET SALEM, VA 24153 125 CUTLER POND ROAD ATT:HUMAN RESOURCES BINGHAMTON, NY 13905 SUITE 1660 12222 MERIT DRIVE DALLAS, TX 75251 GARFIELD AVENUE JERSEY CITY, NJ 07305 3355 VETERANS MEMORIAL HWY RONKONKOMA, NY 11779 11499 ROUTE 6 WELLSBORO, PA 16901 35 TESLA WAY STE 100 IRVINE, CA 92618 P.O. Box 8300 London, KY 40742 Po Box 257 Mechanicsburg, PA 17055 Payer ID ACE004 Auto/No-Fault

ACE AMERICAN IN COMPANY

ACEA01

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

ACE AMERICAN IN COMPANY

ACEAMER01

ACE AMERICAN INS. CO. Ace American Insurance Company [Electronic Indirect] Ace American Insurance Company [Electronic Indirect] Ace American Insurance Company [Electronic Indirect] ACE FIRE UNDERWRITERS INS CO

ACEA02 ACEAM002 ACEAM003 ACEAM004 ACEF01

ACE FIRE UNDERWRITERS INS CO

ACEFIRE01

Ace Fire Underwriters Insurance Co [Electronic Indirect] Ace Fire Underwriters Insurance Co [Electronic Indirect] Ace Fire Underwriters Insurance Co [Electronic Indirect] Ace Fire Underwriters Insurance Co [Electronic Indirect] Ace Fire Underwriters Insurance Co [Electronic Indirect] Ace Fire Underwriters Insurance Co [Electronic Indirect] ACE INSURANCE COMPANY OF NORTH AMERICA ACE MASONRY Ace Private Risk Services ACE Private Risk Services ACE PROPERTY & CASUALTY INS CO

ACEFI001

ACEFI003

ACEFI005

Other WC (Non-NY)

ACEFI002

New York Workers' Compensation Auto/No-Fault

ACEFI004

ACEFI006

Other WC (Non-NY)

ACEIN001 ACEMA001 ACEPR001 ACEPR002 ACEP01

New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

ACE PROPERTY AND CASUALTY INS CO

ACEPROP01

ACE RISK SERVICES C/O BALBOA INS CO

ACERI001

ACHIEVE

ACHIE001

ACIG INSURANCE COMPANY

ACIG01

ACME ACME BUS CORP ACORN MARKET / PUTNAM COMPANY ACS ACS ACS Claims Service

ACME001 ACMEB001 ACORN001 ACS002 ACS001 ACSCL001

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name ACS COMP IQ ACS Montgomery ACS SEDWICK WC ACUITY Address 1851 EAST 1ST ST STE 200 SANTA ANA, CA 92705 PO Box 1052 Montgomeryville, PA 18936 101 YORKSHIRE BLVD LEXINGTON, KY 40509 2800 S TAYLOR DR PO BOX 58 SHEBOYGAN, WI 53081 2800 S TAYLOR DR PO BOX 58 SHEBOYGAN, WI 53081 2800 S TAYLOR DR PO BOX 58 SHEBOYGAN, WI 53081 765 Dutchess Turnpike Poughkeepsie, NY 12603 120 CHURCH ST BUFFALO, NY 14202 2500 Renaissance Blvd King of Prussia, PA 19406 7787 STATE ROUTE 417 ATTN: SUE/ PAYROLL ADDISON, NY 14801 1 WEST MARKET STREET CORNING, NY 14830 4 EAST WILLIAM STREET CORNING, NY 14830 4100 OLD VESTAL ROAD VESTAL, NY 13850 PO BOX 547 BRENTWOOD, TN 37024 PO BOX 5155 BUFFALO, NY 14240 P.O. BOX 5155 BUFFALO, NY 14240-5155 499 HURLEY AVE. HURLEY, NY 12443 403 MAIN ST #500 BUFFALO, NY 14203 PO BOX 639 WHITE PLAINS, NY 10603 1950 BRIGHTON HENRIETTA TOWLINE RD ROCHESTER, NY 14623 8970 WEst 35 W Service Dr NE Minneapolis, MN 55449 THREE UNIVERSITY PLAZA HACKENSACK, NJ 07601 325 COLUMBIA TURNPIKE SUITE 106 FLORHAM PARK, NJ 07932 10940 DUTTON ROAD PHILADELPHIA, PA 19154 PO BOX 60467 Attn Alicia Gionta ROCHESTER, NY 14606 PO BOX 235 SOMERS POINT, NJ 08244 PO BOX 500 SCIBAL ASSOC SOMERS POINT, NJ 08244 2255 N TRIPHAMMER RD ATTN: MARGO ITHACA, NY 14850 883 Broadway Albany, NY 12207 PO BOX 61140 HARRISBURG, PA 17106 3838 N. Causeway Blvd. Metairie, LA 70002 3838 N. Causeway Blvd. Metairie, LA 70002 PO BOX 466 ALBANY, NY 12201 Payer ID ACSCO001 ACSMO001 ASW01 ACUIT001 New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY)

ACUITY [Electronic Indirect]

ACUIT002

ACUITY [Electronic Indirect]

ACUIT003

Adams Fairacre Farms - WC ADAMS MARK HOTEL Addis Group ADDISON CENTRAL SCHOOL

ADAMS001 ADAMS002 ADDIS002 ADDIS001

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation

ADECCO EMPLOYMENT SERVICES ADECCO EMPLOYMENT SERVICES ADECCO EMPLOYMENT SERVICES ADIN HEALTHCARE INC ADIRONDACK INS ADIRONDACK INSURANCE EXCHANGE ADIRONDACK TRANSIT LINE ADJUSTCO

ADECC003 ADECC001 ADECC002 ADI01 ADIRO001 ADIRO003 ADIRO002 ADJ01

ADJUSTCO ADMAR SUPPLY

ADJ02 ADMAR001

Administrative Claim Service ADMIRAL INDEMNITY CORP ADP STATEWIDE INS

ADMIN001 ADMI01 ADPST001

ADVANCE SPORTS Advanced Glass Industry

ADVAN005 ADVAN001

ADVANTAGE COMP ADVANTAGE COMP/

ADVAN003 ADVAN004

ADVANTAGE SPORTS AND FITNESS

ADVAN002

AE Rosen Electrical Aegis Security Ins co AERS / WC AERS WC AETNA

AEROS001 AEGIS001 AERSW001 AERSW002 AETNA03

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name AETNA INSURANCE Address 100 MERIDAN CENTER PO BOX 22986 ROCHESTER, NY 14692-2986 PO BOX 21645 SEATTLE, WA 98111 10100 REUNION PLACE SUITE 402 SAN ANTONIO, TX 78216 7775 Cooper Road Cincinatti, OH 45242 1301 ATWOOD AVE JOHNSTON, RI 02919 3407 DELAWARE AVE KENMORE, NY 14217 Po Box 9030 Addison, TX 75001 713 BATAVIA STREET ELMIRA, NY 14904 PO BOX 3097 BLOOMINGTON , IL 61702 99 CHAPEL STREET NEWARK, NJ 07105 229 EAST 22ND STREET BAYONNE, NJ 07002 P O BOX 9851 ATTN: PAR ACCIDENT CLAIMS PHOENIX, AZ 85068 ATTN: TERESA 847 UNION ST SCHENECTADY, NY 12308 297 REVONAH HILL RD LIBERTY, NY 12754 660 WHITEPLAINS RD 2ND FLOOR TERRYTOWN, NY 10591 PO BOX 15510 WILMINGTON, DE 19850 PO BOX 2017 JERSEY CITY, NJ 073032017 PO BOX 2970 ALPHARETTA, GA 30023 PO BOX 334 PARSIPPANY, NJ 07054 PO BOX 3726 SEATTLE, WA 98124 PO BOX 66 WILMINGTON, DE 19899 PO BOX 830189 BIRMINGHAM, AL 35283-0189 PO Box 25929 Shawnee Mission, KS 66225 100 CONNELL DR SUITE 2100 BERKELEY HEIGHTS, NJ 07922 100 CONNELL DR SUITE 2100 BERKELEY HEIGHTS, NJ 07922 1000 Midatlantic Drive Mt. Laurel, NJ 08054 1000 Midatlantic Drive Mt. Laurel, NJ 08054 11311 McCormick Avenue Suite 200 Baltimore, MD 210318675 11311 McCormick Avenue Suite 200 Baltimore, MD 210318675 120 Great Oaks Office 2nd Floor Albany, NY 12203 120 Great Oaks Office 2nd Floor Albany, NY 12203 15 Cornell Road 2nd Floor Latham, NY 12110 Payer ID AETNA01 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY)

AETNA LIFE & CASUALTY AF CENTRAL INSURANCE FUND Affiance Partners AFFILIATED F M INSURANCE CO AFFINITY PERSONNEL SOLUTIONS Affirmative Insurance AFI CYBERNETICS CORPORATION AFNI INSURANCE SERVICES AG SHIP MAINTENANCE AGC CHEMICALS USA INC AGIA.

AETNA02 AFCEN001 AFFIA001 AFFF01 AFFIN001 AFFIR001 AFICY001 AFNII001 AGSHI001 AGCCH001 AGIA001

AGRI-BUSINESS CHILD DEVELOPM

AGRIB001

AHRC CAMP CATSKILL AIG

AHRC01 AIG078

AIG AIG AIG AIG AIG AIG AIG AIG / WC AIG [Electronic Indirect]

AIG081 AIG079 AIG082 AIG080 AIG083 AIG084 AIG003 AIGWC001 AIG004

AIG [Electronic Indirect]

AIG041

AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect]

AIG005 AIG042 AIG006

New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY)

AIG [Electronic Indirect]

AIG043

AIG [Electronic Indirect]

AIG007

New York Workers' Compensation Other WC (Non-NY)

AIG [Electronic Indirect]

AIG044

AIG [Electronic Indirect]

AIG008

New York Workers' Compensation

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name AIG [Electronic Indirect] Address 15 Cornell Road 2nd Floor Latham, NY 12110 200 Old Country Road-Suite 240 Mineola, NY 11501 200 Old Country Road-Suite 240 Mineola, NY 11501 3 Executive Campus-Ste 100, Rt.70 & Cuthbert Attention: Dawn Adkins Cherry Hill, NJ 08002 3 Executive Campus-Ste 100, Rt.70 & Cuthbert Attention: Dawn Adkins Cherry Hill, NJ 08002 485 Route 1 South Building D Suite 220 Woodbridge, NJ 07095 485 Route 1 South Building D Suite 220 Woodbridge, NJ 07095 505 8TH AVE NEW YORK, NY 10018 505 8TH AVE NEW YORK, NY 10018 508 Virginia Drive * Ft. Washington, PA 19034 508 Virginia Drive * Ft. Washington, PA 19034 8144 WALNUT HILL LANE SUITE 1600 Dallas, TX 75231 8144 WALNUT HILL LANE SUITE 1600 Dallas, TX 75231 8607 WESTWOOD CENTER DRIVE VIENNA, VA 22182 8607 WESTWOOD CENTER DRIVE VIENNA, VA 22182 999 Stewart Avenue Garden City, NY 11530 999 Stewart Avenue Garden City, NY 11530 P.O. Box 2006 Chadsford, PA 19317 P.O. Box 2006 Chadsford, PA 19317 PO Box 15701 Wilmington, DE 198505701 PO Box 15701 Wilmington, DE 198505701 PO Box 1821 Alpharetta, GA 300231822 PO Box 1821 Alpharetta, GA 300231822 PO Box 1822 Alpharetta, GA 300231822 PO Box 1822 Alpharetta, GA 300231822 PO Box 1832 Alpharetta, GA 300231832 PO Box 1832 Alpharetta, GA 300231832 PO Box 1836 Alpharetta, GA 300231836 PO Box 1836 Alpharetta, GA 300231836 PO Box 219059 Dallas, TX 75231 PO Box 219059 Dallas, TX 75231 PO Box 2310 Peck Slip Station New York, NY 10272 Payer ID AIG045 Other WC (Non-NY)

AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect]

AIG009 AIG046 AIG010

New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation

AIG [Electronic Indirect]

AIG047

Other WC (Non-NY)

AIG [Electronic Indirect]

AIG011

New York Workers' Compensation Other WC (Non-NY)

AIG [Electronic Indirect]

AIG048

AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect]

AIG012 AIG049 AIG013

New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY)

AIG [Electronic Indirect]

AIG050

AIG [Electronic Indirect]

AIG014

New York Workers' Compensation Other WC (Non-NY)

AIG [Electronic Indirect]

AIG051

AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect]

AIG015 AIG052 AIG016 AIG053 AIG017 AIG054 AIG018 AIG055 AIG019 AIG056 AIG020 AIG057 AIG021 AIG058 AIG022 AIG059 AIG023 AIG060 AIG024

New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name AIG [Electronic Indirect] Address PO Box 2310 Peck Slip Station New York, NY 10272 PO Box 25588 Shawnee Mission, KS 66225 PO Box 25588 Shawnee Mission, KS 66225 PO BOX 25971 Shawnee Mission, KS 66225 PO BOX 25971 Shawnee Mission, KS 66225 PO Box 25972 Shawnee Mission, KS 66225 PO Box 25972 Shawnee Mission, KS 66225 PO Box 25974 Shawnee Mission, KS 66225 PO Box 25974 Shawnee Mission, KS 66225 PO Box 25975 Shawnee Mission, KS 66225 PO Box 25975 Shawnee Mission, KS 66225 PO BOX 25987 Overland Park, KS 66225 PO BOX 25987 Overland Park, KS 66225 PO BOX 29229 Phoenix, AZ 850388945 PO BOX 29229 Phoenix, AZ 850388945 PO Box 2970 Alpharetta, GA 30023 PO Box 2970 Alpharetta, GA 30023 PO Box 43025 Phoenix, AZ 850803025 PO Box 43025 Phoenix, AZ 850803025 PO Box 499 Essington, PA 19029 PO Box 499 Essington, PA 19029 PO Box 52165 Phoenix, AZ 850722165 PO Box 52165 Phoenix, AZ 850722165 PO Box 5460 Mt Laurel, NJ 08054 PO Box 5460 Mt Laurel, NJ 08054 PO Box 670 Mineola, NY 11501 PO Box 670 Mineola, NY 11501 PO BOX 830189 BIRMINGHAM, AL 352830189 PO BOX 830189 BIRMINGHAM, AL 352830189 PO BOX 9973 WILMINGTON, DE 19809 PO BOX 9973 WILMINGTON, DE 19809 PO Box 999 Mt. Laurel, NJ 08054 PO Box 999 Mt. Laurel, NJ 08054 8607 WESTWOOD CENTER DRIVE VIENNA, VA 22182 160 WATER ST 22ND FLN NEW YORK, NY 10019 625 LIBERTY AVE SUITE 1200 PITTSBURG, PA 153333150 Payer ID AIG061 Other WC (Non-NY)

AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect] AIG [Electronic Indirect] AIG C/O FELD ENTERTAINMENT AIG CLAIM SERVICES AIG CLAIM SERVICES

AIG025 AIG062 AIG026 AIG063 AIG027 AIG064 AIG028 AIG065 AIG029 AIG066 AIG030 AIG067 AIG031 AIG068 AIG032 AIG069 AIG033 AIG070 AIG034 AIG071 AIG035 AIG072 AIG036 AIG073 AIG037 AIG074 AIG038 AIG075 AIG039 AIG076 AIG040 AIG077 AIGCO001 AIGCL003 AIGCL005

New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name AIG CLAIMS SRVS Address 400 INTERPACE PKWY BLDG.A 2ND FLOOR PARSIPPANY, NJ 07054 1000 Midlantic Mt. Laurel, NJ 08054 271 E FIRST STREET CORNING, NY 14830 PO BOX 4070 BURLINGTON, MA 01803 PO BOX 4070 BURLINGTON, MA 01803 PO BOX 570 59 LOVE LANE BUD LAKE, NJ 07828 40 SOUTH MAIN STREET PRATTSBURG, NY 14873 2261 Hughes Ave., Ste 156 Lackland AFB, TX 78236 2720 KIRKBRIDGE ROAD NIAGARA FALLS, NY 14304 6001 E MOLLY RD BUILDING 174 DPMC SYRACUSE, NY 13211 1165 FRONT ST BINGHAMTON, NY 13905 365 UPPER OAKWOOD AVE ELMIRA HEIGHTS,NY, NY 14903 1200 SULLIVAN STREET ELMIRA, NY 14901 900 OLD LIVERPOOL ROAD SUITE 17 LIVERPOOL, NY 13088 407 W. Main Attn: Jeff Jake Fairfield, IL 62837 407 W. Main Attn: Jeff Jake Fairfield, IL 62837 1 Maguire Way Newburg, NY 12550 ATTN: TERRY NOBLE 1842 LINWOOD RD LINWOOD, NY 14486 2 DUNSBACK ROAD CLIFTON PARK, NY 12065 PO Box 240549 Montgomery, AL 36124 807 G STREET Ste 356 ANCHORAGE, AK 99501 MAIL CODE A140 ALBANY, NY 12208 30 N MAIN ST ALBION, NY 14411 PO Box541487 Attn: Theresa Oquendo Flushing, NY 11354 934 CLEVELAND DR BUFFALO, NY 14225 55 CAPITAL BLVD ROCKY HILL, CT 06067 1170 AIRPORT ROAD LAKEWOOD, NJ 08701 1280 WALL ST WEST LYNDHURST, NJ 07071 PO BOX 4736 SYRACUSE, NY 13202 420 FORT DUQUESNE BLVD PITTSBURGH, PA 15243 48 SOUTH SERVICE RD STE 301 MELVILLE, NY 11747 PO Box 25637 Tampa, FL 33622 PO BOX 25637 TAMPA, FL 33622-5637 Payer ID AIGCL002 New York Workers' Compensation Auto/No-Fault New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

AIG/American International Grp-CSG AIM AIM INSURANCE AIM MUTUAL INSURANCE AIR CONTACT SUPPORT

AIGAM001 AIM001 AIMIN001 AIMMU001 AIRCO001

AIR FLO Air Force Insurance Fund / WC AIR FORCE RESERVE AIR NATIONAL GUARD WC

AIRFL001 AIRFO001 AIRFO002 AIR01

AIR TEMP AIR-FLO MANUFACTURING AIRGAS SAFETY AIRSIDE TECHNOLOGIES

AIRT01 AIRFL002 AIRGA001 AIRSI001

Airtex Products / WC

AIRTE001

Airtex Products / WC

AIRTE003

Other WC (Non-NY)

AirWay AJAC TRUCKING INC

AIRWA001 AJACT001

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation

AJS MASONRY INC Alabama Retail Comp ALASKA MUNICIPAL LEAGUE JOINT INS ASSOC

AJSMA001 ALABA001 ALASK001

ALBANY MEDICAL CENTER WC ALBION AGENCY ALCO No Fault Ins

ALBAN001 ALBIO001 ALCON001

ALCOTT GROUP ALEA NORTH AMERICA INSURANCE CO ALERT AMBULANCE CO ALEXIS ALEXIS ALEXSIS ALEXSIS

ALCOT001 ALEA01 ALERT001 ALE01 ALE02 ALE03 ALE04

Align Networks ALIGNETWORKS

ALIGN001 ALI01

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name ALL AMERICA INSURANCE COMPANY ALL CAR RENT/CITIWIDE AUTO ALL CITY INS CO ALL CITY/YORK CLAIMS SVCS Address PO BOX 353 VAN WERT, OH 45891 1941 UTICA AVENUE BROOKLYN, NY 11234 325 ADAMS ST BROOKLYN, NY 11201 111 JOHN ST NEW YORK, NY 10038 ALL METRO HEALTHCARE ALL PRO PROPERTY SERVICES All State Insurance All State Insurance Company ALLEGHANY COUNTY SELF INS PLAN Allegiant Professional Busines Services 50 BROADWAY LYNBROOK, NY 11563 16 WAYSIDE COURT TONAWANDA, NY 14150 PO Box 1064 Buffalo, NY 14240 P.O. Box 660636 Dalls, TX 75266 5435B COUNTY RD 48 BELMONT, NY 14813 11838 Bernardo Plaza Court, Ste 220 San Diego, CA 92128 PO BOX 250 SILOAM SPRINGS, AR 72761 771 Corporate Drive Suite 1000 Lexington, KY 40503 1341 FAIRPORT ROAD FAIRPORT, NY 14450 PO BOX 998 Fort Washington, PA 19034 370 Commerce Dr. STE 101 Ft. Washington, PA 19034-2619 PO BOX 7780 BURBANK, CA 91510-7780 PO BOX 909786-60690 CHICAGO, IL 60690 250 STATE STREET BROCKPORT, NY 14420 282 DELAWARE AVE SUITE 200 BUFFALO, NY 14202 1 Nationwide Gateway Dept 5574 De Moines, IA 50391 1 NATIONWIDE GATEWAY DEPT 5574 DES MOINES, IA 50391-5574 1100 Locust / Dept. 2016 Des Moines, NY 50391 PO BOX 10479 DES MOINES, IA 50306-0479 390 N BROADWAY JERICHO, NY 11753 475 Morgan Highway Scranton, NY 18501 PO BOX 250 PLUCKEMIN, NJ 07978 1111 MARCUS AVENUE LAKE SUCCESS, NY 11042 1325 CAMPUS PARKWAY, WALL, NJ 07753 2245 COLEMAN ST BROOKLYN, NY 11234 300 WESTAGE BUSINESS CTR STE 410 FISHKILL, NY 12524 30750 SANDERS RD SUITE CH14 NORTHBROOK, IL 600627127 6711 TOWPATH RD E SYRACUSE, NY 13057 888 VETERANA MEMORIALHIGHWAY STE 300 HAUPPAUGE, NY 11788 ALL02 ALLPR001 ALLST027 ALLST002 ACSI01 ALLEG001 New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) Payer ID ALLA01 ALLCA001 ALL01 ALL03 New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation

ALLENS INC Alliance Coal / WC

ALIN01 ALLIA002

ALLIANCE GROUP Alliance National Insurance Company ALLIANCE NATIONAL INSURANCE COMPANY

ALLIA003 ALLIA001 ALLI01

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY)

ALLIANZ INSURANCE CO ALLIED BENEFIT SYSTEM INC ALLIED BUILDERS ALLIED CLAIMS

ALLI02 ABS01 ALLIE002 ALLIE006

Allied Insurance

ALLIE004

ALLIED INSURANCE

ALLIE007

Auto/No-Fault

ALLIED INSURANCE ALLIED INSURANCE ALLIED NORTH AMERICA Allied Services Allstate ALLSTATE ALLSTATE ALLSTATE ALLSTATE

ALLIE005 ALLIE008 ALLIE001 ALLIE003 ALLST004 ALLST010 ALLST013 ALLST018 ALLST019

Other WC (Non-NY) Auto/No-Fault New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault

ALLSTATE

ALLST024

Auto/No-Fault

ALLSTATE ALLSTATE

ALLS01 ALLST009

New York Workers' Compensation Auto/No-Fault

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name ALLSTATE ALLSTATE Address PO BOX 3010 BARRINGTON, IL 60011 SOUTH 61 PARAMUS RD 5TH FLOOR PARAMUS, NJ 07652 10815 DAVID TAYLOR DRIVE THREE RESOURCE SQUARE STE 300 CHARLOTTE, NC 28262 PO BOX 660 FARMINGDALE, NY 11735 400 RELLA BLVD SUITE 210 SUFFERN, NY 10901 888 VETERANS MEMORIAL HWY HAUPPAUGE, NY 11788 1200 ATWATER DRIVE SUITE 220 MALVERN, PA 19355 309 LAKESIDE DR. #100 HORSHAM, PA 190442396 PO BOX 440519 KENNESAW, GA 30160 P.O. Box 5038 Woodbridge, NJ 07095 PO BOX 440519 Kennesaw, GA 30160 721 US HIGHWAY 202/2 SUITE 300 BRIDGEWATER, NJ 08807 PO BOX 5227 JANESVILLE, WI 53547 1330 LAUREL AVE 102 SEA GIRT, NJ 08750 1819 ELECTRIC ROAD ROANOKE, VA 24018 766 SHREWBURY AVE TINTON FALLS, NJ 07724 PO BOX 660636 DALLAS, TX 75266 PO BOX 5038 Woodbridge, NJ 07095 PO Box 5227 Janesville, WI 53547-5227 P O BOX 1085 BUFFALO, NY 14220 PO BOX 837 MACEDON, NY 14502 300 AMERICAN METRO BLVD. HAMILTON, NJ 08619 P.O. BOX 2195 BALLSTON SPA, NY 12020 914 Old Liverpool Road Liverpool, NY 13088-5513 PO BOX 291587 NASHVILLE, TN 37229 4 Tower Place Albany, NY 12203 PO BOX 1177 MECHANICSBURG, PA 17055 2250 WALDEN AVE CHEEKTOWAGA, NY 14225 59 Aurora Street PO Box 1118 Moravia, NY 13118 209 MAIN ST HAWLEY, PA 18428 59 MAIDEN LN 6TH FL NEW YORK, NY 10038 PO BOX 105010 ATLANTA, GA 30348 PO BOX 291887 NASHVILLE, TN 37229 665 COLLEGE RD EAST PRINCETON, NJ 08543 Payer ID ALLST028 ALLST014 Auto/No-Fault Auto/No-Fault

ALLSTATE

ALLS03

New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

ALLSTATE ALLSTATE INS

ALLS02 ALLST020

ALLSTATE INS ALLSTATE INS CO

ALLS04 ALLST021

New York Workers' Compensation Auto/No-Fault

ALLSTATE INS CO

ALLST025

Auto/No-Fault

ALLSTATE INS CO Allstate insurance Allstate Insurance ALLSTATE NEW JERSEY

ALLS05 ALLST007 ALLST003 ALLST015

New York Workers' Compensation Auto/No-Fault Auto/No-Fault Auto/No-Fault

ALLSTATE NJ PROCURA ALLSTATE NO FAULT ALLSTATE NO FAULT ALLSTATE NO FAULT ALLSTATE Allstate/ AIS Allstate/Procura ALP STEEL CORP ALPCO RECYCLING ALTA CLAIMS ALTAMURA & ASSOCIATES Altavista Group ALTERNATIVE CONCEPTS Alternative Srvcs Concept ALTERNATIVE SVC CONCEPTS LLC ALTON RESTAURANT Alyne Trucking LLC

ALLST022 ALLST016 ALLST023 ALLST017 ALLST026 ALLST008 ALLST011 ALPST001 ALPR01 ALTA01 ALTAM001 ALTAV001 ALTE01 ALTER001 ATLS02 ALTON001 ALYNE001

Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

AM SKIER AM TRUST

AMSKI001 AMT01

AM TRUST AMCOMP AMERICAN ALTERNATIVE

AMT02 AMC01 AMEALT01

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name AMERICAN AUTOMOBILE INSURANCE CO AMERICAN CASUALTY COMPANY OF READING PA American Claims Service American Commerce Ins Co American Commerce Ins Co - ACIC - NJ [Electronic] American Commerce Ins Co - ACIC - NY [Electronic] American Commerce Ins Co - ACIC [Electronic] American Commerce Insurance AMERICAN CONVEYOR AMERICAN COUNTRY CARE AMERICAN ECONOMY INS CO Address 777 SAN MARIN DRIVE NOVATO, CA 94998 PO BOX 8317 CHICAGO, IL 60680 Po Box 8010 Goldsboro, NY 27533 PO Box 9301 Garden City, NY 11530 11 GORE ROAD WEBSTER, MA 01570 11 GORE ROAD WEBSTER, MA 01570 11 GORE ROAD WEBSTER, MA 01570 P.O. Box 1126 Dalphe, AL 36526 1601 HARMER ST LEVITTOWN, PA 19057 PO Box 1522 NEW YORK, NY 10268 SAFECO PLAZA T-15 SEATTLE, WA 98185-0001 3838 N CAUSEWAY BLVD #2424 METAIRIE, LA 70002 PO Box 657 Kalona, IA 52247 4501 N Sterling Avenue Suite 300 Peoria, IL 61615 6000 American Parkway Madison, WI 53783 9450 SEWARD RD FAIRFIELD, OH 45014 3606 JOHN GLENN BLVD SYRACUSE, NY 13209 1400 AMERICAN LANE TOWER 1, 20TH FL SCHAUMBURG, IL 60196-1056 PO BOX 66946 CHICAGO, IL 60666 PO BOX 182476 COLUMBUS, OH 43218 PO BOX 540549 GRAND PRAIRIE, NY 75057 PO BOX 540549 GRAND PRAIRIE, NY 75057 PO BOX 540549 GRAND PRAIRIE, NY 75057 PO BOX 540549 GRAND PRAIRIE, NY 75057 PO BOX 1822 ALPHARETTA, GA 30023 PO BOX 3002 PLYMOUTH MEETING, PA 19462 PO Box 5323 Cincinnati, OH 45201 ONE KEMPER DRIVE LONG GROVE, IL 60049 C/O NYS SUPERINTENDENT OF INS 123 WILLIAM STREET-5TH FLOOR NEW YORK, NY 10038-3804 1949 E SUNSHINE ST SPRINGFIELD, MO 65899-0001 777 DRIVING PARK AVE ROCHESTER, NY 14613 PO BOX 4070 BURLINGTON, MA 01803 PO BOX 9165 FARMINGHAM, MA 01701 150 NORTHWEST POINT BLVD ELK GROVE VILLAGE, IL 60007 PO BOX 18443 GREENSBORO, NC 27419 Payer ID AAMI01 New York Workers' Compensation

AMCASCO01 New York Workers' Compensation AMERI028 AMERI039 AMERI011 AMERI013 AMERI015 AMERI030 AMERI031 AMERI008 AMCE01 New York Workers' Compensation Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Auto/No-Fault

AMERICAN EQUITY UNDERWRITERS, INC

AMERI004

American Family / Liability American Family Ins / Liability

AMERI025 AMERI026

American Family Insurance AMERICAN FIRE & CASUALTY COMPANY AMERICAN FOOD & VENDING AMERICAN GUARANTEE & LIABILITY

AMERI024 AFCC01 AMERI005 AMGL01

Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation

AMERICAN GUARANTEE AND LIABILITY AMERICAN HARDWARE INS GRP AMERICAN HOME ASSURANCE American Home Assurance [Electronic Indirect] American Home Assurance [Electronic Indirect] American Home Assurance [Electronic Indirect] AMERICAN HOME ASSURANCE CO. AMERICAN INDEPENDENT American Modern AMERICAN MOTORIST INSURANCE CO AMERICAN MUTUAL LIABILITY INSURANCE

AMGUALI01 AMHARIN01 AHA03 AMERI020 AMERI021 AMERI022 AMEHO03 AMERI036 AMERI040 AMMI01 AMERI007

AMERICAN NATIONAL AMERICAN PACKAGING CORP AMERICAN POLICY HOLDERS AMERICAN POLICY HOLDERS AMERICAN SERVICE INTL AMERICAN STAFFING

AMERI037 AMERI041

AMPOLHO01 New York Workers' Compensation AMEP01 AMERI038 AMERI034 New York Workers' Compensation Auto/No-Fault New York Workers' Compensation

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name AMERICAN STATES INSURANCE CO Address SAFECO PLAZA T-15 SEATTLE, WA 98185-0001 330 W 34TH ST 10FL NEW YORK, NY 10001 330 WEST 34TH ST 10 TH FL NEW YORK, NY 10001 1400 AMERICAN LANE TOWER 1, 20TH FL SCHAUMBURG, IL 60196-1056 PO BOX 695427 SAN ANTONIO, TX 78265 100 CORPORATE CENTER DRIVE SUITE 101 CAMP HILL, PA 17011 PO BOX 987 HORSHAM, PA 19044-0987 1880 JFK BLVD 8TH FL PHILADELPHIA, PA 19103 PO BOX 758 MT. LAUREL, NJ 08054 2505 North Front Street Harrisburg, PA 17110 1717 ARCH ST 45TH FLOOR PHILADELPHIA, PA 19103 PO BOX 19018 GREEN BAY, WI 54307-9018 10 East Stow Road Suite 100 Marlton, NJ 08053 3500 Packerland Drive Depere, WI 54115 2301 Highway 190 West Deridder, LA 70634 2301 Hwy 190 West Deridder, LA 70634 P O BOX 33478 DETROIT, MI 48232 PO BOX 3044 LISLE, IL 60532 PO BOX 2060 FARMINGTON HILLS, MI 483332060 PO BOX 9203 FARMINGTON HILLS, MI 48333 PO BOX 1368 WILKES BARRE, PA 18703 PO BOX 31121 TAMPA, FL 33631 P.O. BOX 5201 WESTBOROUGH, MA 01581-5201 PO BOX 903 MT LAUREL, NJ 08054 PO BOX 9640 PROVIDENCE, RI 02940 ATTN KAREN KUHL PO BOX 3100 FRESCO, TX 75034 PO BOX 1927 HORSHAM, PA 19044 PO Box 6008 Providence, RI 02940 PO BOX 9690 PROVIDENCE, RI 02940 10 E STOW RD SUITE 100 MARLTON, NJ 08053 PO BOX 986 Marlton, NJ 08053 14160 Dallas Parkway Suite 500 Dallas, TX 75254 825 REIN ROAD CHEEKTOWAGA, NY 14225 3301A LOWER TRIBLY ROAD LINDEN, NJ 07036 Payer ID AMSI01 New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Auto/No-Fault

AMERICAN TRANSIT AMERICAN TRANSIT AMERICAN ZURICH INSURANCE CO

AMERI002 AMERI009 AMZI01

AMERICHOICE AMERIHEALTH (CAMP HILL)

AME01 AMERI006

AMERIHEALTH ADMINISTRATORS AMERIHEALTH CASUALTY AMERIHEALTH CASUALTY AmeriHealth Casualty Services AMERIHEALTH CASUALTY SVS Ameriprise Ameriprise [Electronic]

AMERI029 AMERI032 AMERI035 AMERI003 AMERI033 AMERI010 AMERI018

Ameriprise/ CSG Amerisafe Amerisafe Risk Services, Inc. / WC AMERISURE AMERISURE AMERISURE MUTUAL INSURANCE COMPANY

AMERI019 AMERI001 AMERI023 AMERI027 AMER01 AMER02

New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

AMERISURE MUTUAL INSURANCE COMPANY AMGUARD INSURANCE CO AMHERST WORKERS COMP AMICA AMICA AMICA AMICA AUTO INSURANCE

AMSURE01

AMGUARD01 New York Workers' Compensation AWC01 AMICA007 AMICA008 AMICA006 AMICA011 New York Workers' Compensation Auto/No-Fault Auto/No-Fault New York Workers' Compensation Auto/No-Fault

AMICA INSURANCE Amica Insurance Company [Electronic] AMICA MUTUAL INS AMICA PREMIER PRIZM

AMICA010 AMICA001 AMICA002 AMICA009

Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault

Amica/ Premier Prizm AMS Staff Leasing

AMICA005 AMSST001

Auto/No-Fault Other WC (Non-NY)

AMSTAR OF WESTERN NY AMTRAK

AMSTA001 AMTRA003

New York Workers' Compensation New York Workers' Compensation

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name AMTRAK CLAIMS amtrak wc amtrak wc Amtrest North America AMTRUST AmTrust / WC AmTrust / WC Amtrust Ins Amtrust North America AMTRUST NORTH AMERICA ANCHOR GLASS CONTAINER CORP An-Cor Industrial Plastics Anderson Precision Anderson Trucking Inc ANDERSON'S ANDREW MANCINI ANDROMEDA HOUSE ANIELLO'S PIZZERIA ANNSEAL INC Address 30TH & MARKET STS PHILA, PA 19134 15 river road wilton, CT 06897 15 river road wilton, CT 06897 PO BOX 15096 ALBANY, NY 12212-5096 PO BOX 740042 ATLANTA, GA 30374 P.O. Box 105074 Atlanta, GA 30348 PO Box 105010 Atlanta, GA 30348 5800 Lombardo Center Cleveland, OH 44131 PO Box 105010 Atlanta, GA 30348-5010 PO BOX 15096 ALBANY, NY 12212 151 E MCCANNS BLVD ELMIRA HEIGHTS, NY 14903 100 Melody Lane North Tonawanda, NY 14120 20 Livingston Ave Jamestown, NY 14701 PO Box 1377 Saint Cloud, MN 56302 6075 MAIN ST Williamsville, NY 14221 129 ODELL AVE ENDICOTT, NY 13760 39132 MOUNT PLEASANT RD SPARTANSBURG, PA 16434 68 E MARKET STREET CORNING, NY 14830 130 MAIN ST ATTN TERESA JOHNSON CITY, NY 13790 PO BOX 400 EAST SYRACUSE, NY 13057 199 Water St 12th Floor New York, NY 10038 PO BOX 1506 8 BRITISH AMERICAN BLVD LATHAM, NY 12110 PO BOX 348 WYNANTSKILL, NY 12198 PO BOX 66601 ALBANY, NY 12206 2100 88TH ST NORTH BERGEN, NJ 07047 5856 HERITAGE LANDING DRIVE EAST SYRACUSE, NY 13057 872 ALBANY-SHAKER RD LATHAM, NY 12110 2777 WALDEN AVE BUFFALO, NY 14225 5036 INDUSTRIAL FARMINGDALE, NJ 07727 592 WINKS LANE BENSALEM, PA 19020 17921 Smith Road PO Box 256 Broadhead, WI 53520 PO BOX 3804 OMAHA, NE 68103 PO BOX 189 OWEGO, NY 13827 P.O. BOX 699195 QUINCY, MA 02269-9103 957 DIXON AVENUE CROYDON, PA 19021 511 EAST 4TH STREET WATKINS GLENS, NY 14891 Payer ID AMTRA004 AMTRA001 AMTRA002 AMTRE001 AMTRU003 AMTRU004 AMTRU005 AMTRU002 AMTRU001 AMTRU006 ANCHO001 ANCOR001 ANDER002 ANDER003 ANDER001 ANDRE001 ANDRO001 ANIEL001 ANNSE001 New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation

ANTHONY OLIVA, INC AON Risk Services - WC

ANTHO001 AONRI001

APA PARTNERS

APAP01

APA PARTNERS APA PARTNERS INC. APA TRANSPORT APA WC APEX PLUMBING API BASCO APOLON INTERNATIONAL WC APPLE VENDING Applied Ecological Services

APAP02 APAP03 APAT01 APAW01 APEXP001 APIBA001 APOLO001 APPLE001 APPLI001

APPLIED RISK APPLIED TECH (ATM CORP) ARBELLA MUTUAL INS CO ARBOR LANDSCAPING ARBY'S

APP01 APPLI002 ARBEL001 ARBOR001 ARBYS002

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name ARBY'S (PAINTED POST) ARC ARC OF ORLEANS ARC OF SCHUYLER ARCADIA INS CO Arc-Chemung Co Arch ARCH INSURANCE ARCH INSURANCE Address 257 SOUTH HAMILTON STREET PAINTED POST, NY 14870 245 Genesee St Utica, NY 13501 P O BOX 439 ALBION, NY 14411 203 12TH STREET WATKINS GLEN, NY 14891 75 SOUTH HOUCAS RD HARRISBURG, PA 17109 711 Sullivan Street Elmira, NY 14901 4 Flowers Dr. Mechanicsburg, PA 17050 30 EAST 7TH STREET ST PAUL, MN 55101 300 1ST STAMFORD PL 5TH FL STAMFORD, CT 06902 ONE SOUTH WACKER DRIVE CHICAGO, IL 60606 10909 Mill Valley RD #210 Omaha, NE 68154 ONE LIBERTY PLAZA 53RD FL NEW YORK, NY 10006 10909 Mill Valley RD #210 Omaha, NE 68154 10909 Mill Valley RD #210 Omaha, NE 68154 10909 Mill Valley RD #210 Omaha, NE 68154 ONE LIBERTY PLAZA 53RD FL NEW YORK, NY 10006 ONE LIBERTY PLAZA 53RD FL NEW YORK, NY 10006 ONE LIBERTY PLAZA 53RD FL NEW YORK, NY 10006 PO BOX 542033 Omaha, NE 68154 PO BOX 807 PEORIA, IL 61652-0807 PO BOX 152007 IRVING, TX 75015 BILL REVIEW OPERATIONS PO BOX 6028 SCRANTON, PA 18503 10101 REUNION PL SUITE 500 SAN ANTONIO, TX 78216 5100 NORTH OCONNOR BLVD STE 200 IRVING, TX 75039 1 INTERNATIONAL PLACE LESTER, PA 19113 125 Pheasant Run Newtown, PA 19840 PO BOX 10048 FORT SMITH, AR 72917 50 FLYDER ST TONAWANDA, NY 14150 93 EAST AVE N TONAWANDA, NY 14120 600 Roe Avenue Elmira, NY 14905 600 Roe Avenue Elmira, NY 14905 600 Roe Avenue Elmira, NY 14905 Payer ID ARBYS001 ARC001 ARCOF002 ARCOF001 ARIN01 ARCCH001 ARCH002 ARCHI010 ARCHI009 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

ARCH INSURANCE Arch Insurance Company

ARCHI011 ARCHI002

ARCH INSURANCE COMPANY

ARCH01

Arch Insurance Company [Electronic Indirect]

ARCHI003

Arch Insurance Company [Electronic Indirect]

ARCHI005

Arch Insurance Company [Electronic Indirect]

ARCHI007

Other WC (Non-NY)

Arch Insurance Company [Electronic Indirect]

ARCHI004

New York Workers' Compensation Auto/No-Fault

Arch Insurance Company [Electronic Indirect]

ARCHI006

Arch Insurance Company [Electronic Indirect]

ARCHI008

Other WC (Non-NY)

Arch Insurance Group ARGO INSURANCE ARGONAUT INS CO ARGONAUT INS.CO

ARCHI001 ARGOI001 ARG01 ARGON001

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

ARGONAUT INSURANCE COMPANY

ARG02

ARGONAUT INSURANCE COMPANY

ARGOINS01

ARGONAUT/AIG Ari Insurance ARKANSAS BEST CORP ARKANSAS BEST FREIGHT ARMSTRONG PUMPS Arnot Ogden Emergency Room Arnot Ogden memorial Hospital Arnot Ogden Nursing Home

ARGON002 ARIIN001 ARK01 ARKAN001 ARMST001 ARNOT002 ARNOT003 ARNOT004

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name ARNOT REALTY CORP Address PO BOX 209 ATTN DEB KOSLOSKI ELMIRA, NY 14902 7784 NEW ROUTE 31 BALDWINSVILLE, NY 13027 PO Box 1000 Charlotte, NC 28201 PO BOX 1000 CHARLOTTE, NC 28201-1000 PO Box 19809 Charlotte, NC 28219 PO BOX 1000 CHARLOTTE, NC 28201 444 Madison Avenue 20th Floor New York, NY 10022 7 WEST 34TH ST NEW YORK, NY 10001 6804 MANLIUS CENTER ROAD East Syracuse, NY 13057 107 Institute Street Jamestown, NY 14701 PO BOX 4910 SYRACUSE, NY 13221 3601 HIGHWAY 66 NEPTUNE, NJ 07753 200 South Main Street Athens, NY 18810 PO BOX 803465 DALLAS, TX 75380 281 SANDERS CREEK PARKWAY EAST SYRACUSE, NY 13057 575 UNION BLVD LAKEWOOD, CO 80228 PO BOX 1248 ASPEN, CO 81612 5154 STATE ROUTE 26 WHITNEY POINT, NY 13862 113 W LINCOLN HWY PENNDEL, PA 19047 6315 FLY RD E SYRACUSE, NY 13057 85 WOODRIDGE DRIVE WEST AMHERST, NY 14228 PO BOX 740174 ATLANTA, GA 30374 777 SAN MARIN DRIVE NOVATO, CA 98998 PO BOX 307 WOODRIDGE, NY 12789 1400 AMERICAN LANE PTAX/20 SCHAUMBURG, IL 60196 50 WEST BIG BEAVER STE 245 TROY, MI 48084 130 COMMERCE WAY EAST AURORA, NY 14052 PO BOX 14627 LEXINGTON, KY 40512 534 MAIN ST MEDINA, NY 14103 ONE TOWER SQUARE HARTFORD, CT 06183-1190 7 NORTH STREET STATEN ISLAND, NY 10302 2 RIDGEDALE AVE SUITE A-10 CEDAR KNOLLS, NJ 07927 100 WALL ST NEW YORK, NY 10005 ATLANTIC MUTUAL ATLANTIC MUTUAL INS CO 616 IDAHO ST SALEM, VA 24153 PO BOX 821 MADISON, NJ 07940 ATLAN013 ATLAN011 Auto/No-Fault New York Workers' Compensation Payer ID ARNOT001 New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

ARROW FENCE COMPANY Arrow Point Capital / WC ARROWOOD INDEMNITY COMPANY Arrowpoint Capital ARROWPOINT CAPITAL Arthur J. Gallagher Risk

ARROW002 ARROW003 ARRO01 ARROW001 ACI02 ARTHU001

ARTISAN ARTISTRY IN WOOD OF SYRACUSE Artone Manufacturing ASA ASBURY PARK PRESS Ashton Healthcare ASPEN ADMINISTRATION ASPEN DENTAL ASPEN SKIING CO ASPEN SKIING CO ASPLUNDH TREE EXPERTS ASSETS PROTECTION ASSOC BLDRS & CONTRACTORS ASSOCIATED HEALTH CARE ASSOCIATED INDEMNITY ASSOCIATED INDEMNITY CORP ASSOCIATED MUTUAL INS CO ASSURANCE CO OF AMERICA

ART01 ARTIS001 ARTON001 ASA001 ASBUR001 ASHTO001 ASPEN001 ASPEN002 ASP01 ASPSKI01 ASPLU001 ASSET001 ASS01 ASSOC001 ASSOC002 ASSO01 AMI01 ASSU01

ASSURED SOURCE

ASSUR001

ASTRONICS AT&T IDSC ATB STAFFING ATHENA ASSURANCE COMPANY ATLANTIC EXPRESS ATLANTIC IMAGING OF NY

ASTRO001 ATTID001 ATBST001 ATHE01 ATLAN012 ATLI01

ATLANTIC MUTUAL

ATLM11

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name Atlantic Mutual Ins Co. Atlantic Mutual Insurance [Electronic Indirect] Atlantic Mutual Insurance [Electronic Indirect] Atlantic Mutual Insurance [Electronic Indirect] Atlantic Mutual Insurance [Electronic Indirect] Atlantic Mutual Insurance [Electronic Indirect] Atlantic Mutual Insurance [Electronic Indirect] Atlantic Mutual Insurance [Electronic Indirect] Atlantic Mutual Insurance [Electronic Indirect] Atlantic Mutual Insurance [Electronic Indirect] ATLANTIC PACIFICA TEA CO ATLANTIC SPECIALTY INS CO ATLANTIC SPECIALTY INS CO ATLAS PIZZERIA ATOFINA CHEMICALS ATWATER FOODS AUBURN ARMATURE AUBURN MEMORIAL HOSPITAL AUBURN POLICE DEPT Auburn Tank & Mfg. Co. Inc Address P.O. Box 827 Madison, NJ 07940 100 WALL ST NEW YORK, NY 10005 100 WALL ST NEW YORK, NY 10005 100 WALL ST NEW YORK, NY 10005 3 GIRALDA FARMS MADISON, NJ 07940 3 GIRALDA FARMS MADISON, NJ 07940 3 GIRALDA FARMS MADISON, NJ 07940 7 Giralda Farms-Suite 120 Madison, NJ 07940 7 Giralda Farms-Suite 120 Madison, NJ 07940 7 Giralda Farms-Suite 120 Madison, NJ 07940 2 PARAGON DR MONTVALE, NJ 07645 ONE BEACON LANE CANTON, MA 02021-1030 PO BOX 9155 CANTON, MA 02021-1030 35 EAST MARKET STREET CORNING, NY 14830 100 PA RT 413 BRISTOL, PA 19007 10190 RT 18 LYNDONVILLE, NY 14098 70 WRIGHT CIRCLE AUBURN, NY 13021 17 LANSING ST AUBURN, NY 13021 46 NORTH ST AUBURN, NY 13021 PO Box 488 24 McMaster St Auburn, NY 13021 PO BOX 633 ATTN: WORKERS COMP BUFFALO, NY 14231 5054 COUNTY ROUTE 125 CAMPBELL, NY 14821 121 TALMEDGE HILL WEST WAVERLY, NY 14892 PO BOX 5038 Woodbridge, NJ 07095 PO BOX 9026 MELVILLE, NY 11747 5788 WIDEWATERS PARKWAY SYRACUSE, NY 13214 PO BOX 5788 SYRACUSE, NY 13214 PO Box 50 Syracuse, NY 13214 P O BOX 50 SYRACUSE, NY 13214 P.O. Box 338 Mt. Vernon, IL 62864 PO Box 3337 Peoria, IL 61612 13435 ENTERPRISE DRIVE PAINTED POST, NY 14870 3 CORCORAN AUBURN, NY 13021 ONE TOWER SQUARE HARTFORD, CT 06183-1190 5788 Widewaters Parkway Syracuse, NY 13214 ONE BEACON LANE CANTON, MA 02021-1030 PO BOX 9155 CANTON, MA 02021-1030 Payer ID ATLAN010 ATLAN001 ATLAN004 ATLAN007 ATLAN002 ATLAN005 ATLAN008 ATLAN003 ATLAN006 ATLAN009 APT01 ATSI01 ATLSPE01 ATLAS001 ATOFI001 ATWF01 AUBA01 AUBM01 AUBP01 AUBUR001 New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Auto/No-Fault New York Workers' Compensation Auto/No-Fault Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation

AUSMUS CORPORATION AUSTIN CONSTRUCTION AUSTIN EXCAVATING Auto Injury Solutions AUTO ONE AUTO ONE INS AUTO ONE INS Auto One Insurance AUTO ONE INSURANCE Auto Owners / Liability Auto Owners Ins AUTOMATED CELLS & EGUIPMENT, INC AUTOMATIC ROLLS AUTOMOBILE INS CO OF HARTFORD CT AutoOne Insurance [Electronic] AUTOONE INSURANCE COMPANY AUTOONE INSURANCE COMPANY

AUSMU001 AUSTI001 AUSTI002 AUTOI001 AUTOO009 AUTOO010 AUTOO011 AUTOO001 AUTOO003 AUTOO007 AUTOO005 AUTOM001 AUR01 ACHC01 AUTOO002 AUTO01 AUTOINS01

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name AUTOPART INCORPORATED AUTUMVIEW HEALTH CARE Auxillary Services Auxilliary Services Address 101 LESTER AVE JOHNSON CITY, NY 13790-2261 4650 SOUTHWESTERN BLVD HAMBURG, NY 14075 507 Culkin Hall, Osu Oswego, NY 13126 Neubig Hall 15 Neubig Rd. Cortland, NY 13045 700 HOWARD ST BUFFALO, NY 14206 425 New Karner Rd Albany, NY 12205 146 CONSTELLATION WAY NORTH NORTH SYRACUSE, NY 13212 6 SYLVAN WAY PARSIPPANY, NJ 07054 125 Wolf Road suite 314 Albany, NY 12205 2400 E. Katella Ave #650 Anaheim, CA 92806 3 Gateway Center Ste 430 Pittsburgh, PA 15222 125 Wolf Road STE: 314 Albany, NY 12205 PO BOX 182364 COLUMBUS, OH 43218-2364 20 N Martingale Road, Suite 170 Schaumburg, IL 60173 3761 East Lake RD Dunkirk, NY 14048 2716 ALBANY ST SCHENECTADY, NY 12301 25511 BUDDE ROAD WOODLANDS, TX 77380 PO BOX 2069 IVYLAND, PA 18974 22 SIMON AVE ATTN: WORKERS COMPENSATION LACKAWANNA, NY 14218 480 E SWEDESFORD ROAD WAYNE, PA 19087 7637 CANAL RD GASPORT, NY 14067 PO Box 2092 Milwaukee, WI 53201 780 RIDGE RD LACKAWANNA, NY 14218 2 STANTON MEADOWS DRIVE SENECA FALLS, NY 13148 60 OLD ITHACA ROAD HORSEHEADS, NY 14845 PO BOX 66932 CHICAGO, IL 60666 PO BOX 1000 WA04R PHILADELPHIA, PA 19106 PO BOX 1000 WA04R PHILADELPHIA, PA 19106 PO BOX 1000 WA04R PHILADELPHIA, PA 19106 PO BOX 1000 WA04R PHILADELPHIA, PA 19106 6396 EAST MALLOY ROAD EAST SYRACUSE, NY 13057 PO BOX 280 COURT STREET RD SYRACUSE, NY 13206 1540 WALDEN AVE CHEEKTOWAGA, NY 14225 Payer ID AUTOP001 AUTUM001 AUXIL002 AUXIL001 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation Other WC (Non-NY)

AVETERAN CORP Avid Insurance Co. AVIS BUDGET CAR RENTALS AVIS RENT A CAR Avizent

AVETE001 AVIDI001 AVISB001 AVISR001 AVIZE001

Avizent

AVIZE008

Avizent AVIZENT

AVIZE005 AVIZE007

New York Workers' Compensation Auto/No-Fault

AVIZENT Avizent Risk / WC Aw Farrell AW LAWRENCE CO AXIOM MEDICAL CONSULTING AZLEC MACHINERY B GI INTERIORS INC

AVIZE002 AVIZE006 AWFAR001 AWL01 AXIOM001 AZLEC001 BGIIN001

New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

BABB INC BABCOCK UTILITIES INC Badger Mutual / Liability BAKER VICTORY SERVICES BALDWIN STANTON MEADOWS BALLAND POOL & EXCAVATION BANKERS MULTI LINE INS CO Bankers Standard Insurance [Electronic Indirect]

BABBI001 BABCO001 BADGE001 BAKER001 BALDW001 BALLA001 BAN01 BANKE001

Bankers Standard Insurance [Electronic Indirect]

BANKE002

Bankers Standard Insurance [Electronic Indirect]

BANKE003

Other WC (Non-NY)

BANKERS STANDARD INSURANCE CO

DASI01

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

BARBAGALLO UNITED BARNES & CONE INC

BARBA001 BARN01

BASIL FORD

BASIL001

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name BASSETT HEALTHCARE BATH & BODY WORKS Address 1 ATWELL RD COOPERSTOWN, NY 13326 3300 CHAMBERS ROAD SUITE 5006 HORSEHEADS, NY 14845 33 MAINE STREET BATH, NY 14810 7 SOUTH AVE BATH, NY 14810 654A STATE ROUTE 54 BATH, NY 14810 76 Veterans Ave Bath, NY 14810 77 JOHNNIE CAKE LANE GREENVILLE, NY 12083 771 ROUTE 70E SUITE D100 MARLTON, NJ 08053 100 BAY VILLAGE DR ROCHESTER, NY 14609 AVE A & 29TH STREEET BAYONNE, NJ 07002 50 EAST 21ST STREET BAYONNE, NJ 07002 29TH STREET AVE E ATTN: HR, MARYANN BAYONNE, NJ 07002 302 WASHINGTON AVE EXT ALBANY, NY 12203 PO BOX 1407 CHURCH STREET STATION, NY 10008-1407 PO BOX 22999 ROCHESTER, NY 14692-2999 PO Box 729 Centralia, IL 62801 PO BOX 8229 HARRISBURG, PA 17105 PO BOX 9 RT 414 SENECA FALLS, NY 13148 1 EMMA LANE CLIFTON PARK, NY 12065 PO Box 768 Mt. Vernon, IL 62864 318 S ALBANY STREET PO BOX 6569 ITHACA, NY 14851 1 Racehorse Drive Attn: Kathy East Saint Louis, IL 62205 3330 SOUTH PARK AVE LACKAWANNA, NY 14218 3769 Ridge Road Scotia, NY 12302 12134 Vaughn St East Concord, NY 14055 15 W MAIN ST OWEGO, NY 13827 PO BOX 420 OWEGO, NY 13827 PO BOX 348 WYNANTSKILL, NY 12198 PO BOX C5009 WARMINSTER, PA 18924 2400 BYBERRY ROAD BENSALEM, PA 19020 PO Box 901 Ramsey, NJ 07446 PO BOX 901 RAMSEY, NJ 07446 16 LEWIS ST BINGHAMTON, NY 13901 45 WASHINGTON STREET BINGHAMTON, NY 13901 Payer ID BASS01 BATHB001 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY)

BATH AMERICAN LEGION BATH ELECTRIC & WATER SYSTEMS BATH EXPRESS LUBE Bath Veterans Hospital BAUMANNS BROOKSIDE BAY ENTERPRISES, INC

BATHA001 BATHE001 BATHE002 BATHV001 BAUMA001 BAYEN001

BAY VILLAGE CONDOS BAYONNE BOARD OF ED BAYONNE HOUSING AUTHORITY BAYONNE MEDICAL CTR

BAYVI001 BAYON001 BAYON002 BAYON003

BBL CARLTON BC/BS OF NEW JERSEY

BBLCA001 BCBC01

BCBS BCMW BDD SERVICES BE WRIGHT

BCBS001 BCMW001 BDDSE001 BEW01

BEACON POINT MEMORY CARE Beck Bus BEECH TREE CARE CENTER

BEACO001 BECKB001 BEECH001

Beelman Trucking / WC

BEELM001

BELLA PIZZA Bellamy Construction Bellinger Electric BEN WEITSMAN & SON INC BEN WEITSMAN & SONS BENETECH INC BENIFIT CONCEPTS BENSALEM TWP Bergen Risk BERGEN RISK MANAGEMENT BERGERS SKI & SNOWBOARD BERGERS SKI & SNOWBOARD SHOP

BELLA002 BELLA001 BELLI001 BENWE001 BENWE002 BENE01 BENI01 BENSA001 BERGE002 BERGE003 BERGE004 BERGE001

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name BERKEY'S NURSERY BERKLEY ADMINISTRTORS BERKLEY MID ATLANTIC GRP Berkley Risk Administrators / WC BERKLEY RISK MANAGERS BERKLEY SPECIALTY BERKSHIRE HATHAWAY BERKSHIRE HATHAWAY HOMESTATES C Address 138 JEFFERSON ST SPARTANSBURG, PA 16434 P.O.BOX 4012 FARMINGTON, CT 06034 PO BOX 61038 RICHMOND, VA 23261 PO Box 59143 Minneapolis, MN 55459 PO BOX 776 MAY LANDING, NJ 08330 PO BOX 141299 IRVING, TX 75014-1299 PO BOX 881716 SAN FRANCISCO, CA 94188 1725 WINWARD CONCOURSE SUITE 200 ALPHARETTA, GA 30005 13870 TAYLOR HOLLOW RD COLLINS, NY 14034 C/O DAVE HECKMAN 200 E MAIN ST MACEDON, NY 14502 526 HOOPER ROAD ENDWELL, NY 13760 751 Watkins Road Horseheads, NY 14845 3005 WATKINS ROAD ATTN DAVE STANBRO HORSEHEADS, NY 14845 90 ADAMS PLACE DELMAR, NY 12054 22 CENTURY HILL DRIVE, SUITE 201 LATHAM, NY 12110 PO BOX 250 PINELLAS PARK, FL 33780 PO BOX 9071 DUBLIN, OH 430170971 251 N Illinois Hwy 37 Ina, IL 62846 1913 Routes 5 & 20 Waterloo, NY 13148 500 S MAIN STREET ELMIRA, NY 14904 124 VICTORY HWY PAINTED POST, NY 14870 741 NORTH SALINA STREET SYRACUSE, NY 13208 2991 SHERIDAN DR AMHERST, NY 14226 651 HOLIDAY DRIVE FOSTER PLAZA 5 PITTSBURGH, PA 15220-2757 10733 Sunset Office Drive Suite 430 Saint Louis, MO 63127 320 18TH ST ROCK ISLAND, IL 61201 1 NEEDLE LANE SYRACUSE, NY 13215 PO BOX 3880 HARRISBURG, PA 17105 137 EAST PULTNEY STREET CORNING, NY 14830 11388 SCHULER RD Cato, NY 13033 1389 Curtis Co Op Rd. Sterling, NY 13156 PO BOX 194 SKIPPACK, PA 19474 3921 MAIN ST AMHERST, NY 14226 P.O. Box 22999 Rochester, NY 14692 86 HOPMEADOW ST SIMSBURY, CT 06070 Payer ID BERKE001 BERKL005 BERKL004 BERKL002 BERKL003 BERKL001 BERKS001 BERKS002 New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY)

BERNATT GRAVEL BERRY PLASTICS

BERNA001 BERRY001

BEST BAGELS Bethany Center BETHANY RETIREMENT HOME

BESTB001 BETHA002 BETHA001

BETHLEHEM SCHOOL DIST. BETTE AND CRING

BETHL001 BETTE001

BETTER BUSINESS FORMS BIG LOTS ASSOCIATION Big Muddy Corrections / WC Bill Cram BIRNEY MURRAYS BIRNIE TRANSPORTATION SERVICES BISCOTTI CAFE AND GELATO BISON BATH AND KITCHEN BITUMINOUS

BETT01 BIGLO001 BIGMU001 BILLC001 BIRNE001 BIRNI001 BISCO001 BISON001 BITUM001

Bituminous / WC

BITUM002

BITUMINOUS CASUALTY CORP BJ SULZE BK CONSTRUCTION W/C BLACKS SERVICE CENTER Bland Farms Bland Farms BLOOMING GLEN BLUE CROSS ANIMAL HOSP Blue Cross Blue Shield BLUE RIDGE INDEMNITY CO

BITC01 BJSU01 BKCON001 BLACK001 BLAND002 BLAND001 BLOOM001 BLUEC002 BLUEC001 BLUR01

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name BLUE RIDGE INSURANCE CO BLUM BUILDERS BMI Benefits BNU Claims / WC BOB EVANS FARMS RESTAURANT BOBBY K ENTERTAINMENT BOC GASES BOMBARDIER BONADENT BONCRAFT INC Address ONE GENERAL DRIVE SUN PRAIRIE, WI 53596 8750 ROLL ROAD CLARENCE CENTER, NY 14032 PO Box 511 Matawan, NJ 07747 P.O. Box 49129 Greensboro, NC 27419 1 BUFFALO STREET CORNING, NY 14830 PO BOX 937 ELMIRA, NY 14902 1011 EAST MARKET STREET BETHLEHEM, PA 18017 7940 RT 415 BATH, NY 14810 PO BOX 499 SENECA FALLS, NY 13148 4222 S TAYLOR RD ATTN:GLORIA WORKERS COMP ORCHARD PARK, NY 14127 3520 UNION STREET CHILI, NY 14514 800 Warren Road Ithaca, NY 14850 ATTN: KAREN O'BRIEN 170 EAST SERVICE ROAD BINGHAMTON, NY 13901 PO BOX 34 154 EAST 5TH STREET ELMIRA, NY 14902 RR3 Box 322 Troy, NY 16947 7 SEMINARY ST UNION SPRINGS, NY 13160 129 South 8 Street Brooklyn, NY 11211 1580 LAKE ST Elmira, NY 14901 PO Box 7110 Champaign, IL 61826 One Sam Stratton Road Amsterdam, NY 12010 6605 WOODHAVEN BLVD REGO PARK, NY 11374 407 Wyckoff ave attn: Elizabeth Ithica, NY 14852 PO Box 3151 Charleston, WV 25339 511 E HIGH STREET PAINTED POST, NY 14870 150 pleasant Grove Road Ithica, NY 14850 1001 FAIRWAY DRIVE BENSENVILLE, IL 60106 1440 MAPLE AVE STE 6B LISLE, IL 60532 2067 Burlington Ave LISLE, IL 60532 1500 MAIN STREET BUFFALO, NY 14209 6401 MILL CREEK ROAD LEVITTOWN, PA 19057 PO Box 22-9085 Hollywood, FL 33314 RD 3 BOX 249 Wellsboro, PA 16901 PO BOX 10001 VAN NUYS, CA 91410 100 Passaic Avenue Suite 140 Fairfield, NJ 07004 P.O. Box 5000 Smithtown, NY 11787 Payer ID BLRI01 BLUMB001 BMIBE001 BNUCL001 BOBEV001 BOBBY001 BOCGA001 BOMBA002 BON01 BONCR001 New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

BOON & SONS Borg Automotive BOTHAR CONSTRUCTION

BOONS001 BORGA001 BOTHA001

BOUILLE ELECTRIC & CORP

BOUIL001

Bradford County Manor BRADYS FLOOR WORKS Brand Management Services Inc. BRAVO SOLUTIONS Brentwood Services / WC Breton Industries BRICKLAYERS INS WELFARE Bridges Cornell

BRADF001 BFW01 BRAND001 BRAVO001 BRENT001 BRETO001 BRICK001 BRIDG001

Bridgestreet Mutual BRIGGS AUTO SERVICE Bright Horizons BRIGHT SKY BRIMAR ADMIN CO

BRIDG002 BRIGG001 BRIGH001 BRIGH002 BRIM01

BRIMER ADMIN CO BRISTOL HOME BRISTOL TOWNSHIP SCHOOLS Bristol West No Fault Broad Acres Nursing Home BROAD SPIRE Broadspire

BRIMER01 BRIST001 BRIST003 BRIST002 BROAD004 BROAD026 BROAD002

Broadspire

BROAD001

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name BROADSPIRE BROADSPIRE BROADSPIRE BROADSPIRE BROADSPIRE BROADSPIRE BROADSPIRE Broadspire / WC Broadspire / WC Broadspire [Electronic Indirect] Address 1601 STHWST 80TH TERRACE PLANTATION, FL 33324 PO BOX 14645 LEXINGTON, KY 40512 PO BOX 2036 MECHANICSBURG, PA 17055 PO BOX 37 WESTWOOD, MA 02090 PO BOX 5000 Smithtown, NY 11787 PO BOX 814610 DALLAS, TX 10016 PO BOX 25104 LEHIGH VALLEY, PA 18002 PO Box 25104 Lehigh Valley, PA 18002 PO Box 681519 Schaumburg, IL 60168 100 Passaic Avenue Suite 140 Fairfield, NJ 07004 100 Passaic Avenue Suite 140 Fairfield, NJ 07004 100 Passaic Avenue Suite 140 Fairfield, NJ 07004 333 Earle Ovington Blvd. Suite 303 Uniondale, NY 115533067 333 Earle Ovington Blvd. Suite 303 Uniondale, NY 115533067 333 Earle Ovington Blvd. Suite 303 Uniondale, NY 115533067 PO BOX 25104 LEHIGH VALLEY, PA 18002 PO BOX 25104 LEHIGH VALLEY, PA 18002 PO BOX 25104 LEHIGH VALLEY, PA 18002 PO BOX 5000 Smithtown, NY 11787 PO BOX 5000 Smithtown, NY 11787 PO BOX 5000 Smithtown, NY 11787 898 Veteran Hwy #410 Hauppauge, NY 11788 4548 MAIN ST SCHNEIDER, NY 14226 59-17 JUNCTION BLVD RM # 1524 CORONA, NY 11368 103 BUNDY ROAD ITHACA, NY 14850 PO BOX 1766 BINGHAMTON, NY 13902 56 BROADWAY OWEGO, NY 13827 6400 Brotherhood Way Fort Wayne, IN 46825 PO BOX 2228 FT WAYNE, IN 46801 500 PLUM ST SUITE 200 SYRACUSE, NY 13204 9647 IDOT Shed Road Nashville, IL 62263 ONE HERITAGE PLACE PIQUA, OH 45356 535 DIVISION ST NORTH TONAWANDA, NY 14120 HSBC Arena Plaza III One Seymour Knox Plaza Buffalo, NY 14203-3096 Payer ID BROAD025 BROAD027 BROAD023 BROAD021 BROAD005 BROAD022 BROA03 BROAD019 BROAD020 BROAD007 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault

Broadspire [Electronic Indirect]

BROAD011

Broadspire [Electronic Indirect]

BROAD015

Other WC (Non-NY)

Broadspire [Electronic Indirect]

BROAD008

New York Workers' Compensation Auto/No-Fault

Broadspire [Electronic Indirect]

BROAD012

Broadspire [Electronic Indirect]

BROAD016

Other WC (Non-NY)

Broadspire [Electronic Indirect] Broadspire [Electronic Indirect] Broadspire [Electronic Indirect] Broadspire [Electronic Indirect] Broadspire [Electronic Indirect] Broadspire [Electronic Indirect] Broadspire Services BRODO BRONX HEALTH CARE

BROAD009 BROAD013 BROAD017 BROAD010 BROAD014 BROAD018 BROAD029 BRODO001 BHC01

New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) Auto/No-Fault New York Workers' Compensation New York Workers' Compensation

BROOKDALE SENIOR LIVING BROOME COUNTY RISK MANAGEMENT BROOME TIOGA ARC/OWEGO Brotherhood Mutual BROTHERHOOD MUTUAL Brown & Brown Empire State Brown Brothers Produce Buckeye Insurance Group [Electronic] BUDWEY'S MARKET Buffalo Bandits

BROOK001 BCRM01 BROOM001 BROTH001 BROTH002 BROWN001 BROWN002 BUCKE001 BUDWE001 BUFFA006

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name BUFFALO BILLS Address ONE BILLS DRIVE ATTN ACCTS PAYABLE ORCHARD PARK, NY 14127 1 JAMES D GRIFFIN PLAZA BUFFALO, NY 14203 721 B CITY HALL BUFFALO, NY 14202 806 City Hall Buffalo, NY 14202 2544 CLINTON ST WEST SENECA, NY 14224 171 WALDEN AVE BUFFALO, NY 14211 3636 NORTH BUFFALO ST ORCHARD PARK, NY 14127 85 HIGH ST WC DEPT 85 BUFFALO, NY 14203 200 BROADWAY ST BUFFALO, NY 14204 1 SEYMOUR H KNOX III PLAZA HSBC ARENA BUFFALO, NY 14203 71 MILITARY ROAD BUFFALO NY, NY 14207 1165 CLINTON ST BUFFALO, NY 14206 1340 MILLERSPORT HWY AMHERST, NY 14226 4 PEUQUET PARKWAY TONAWANDA, NY 14150 PO BOX 32037 LAKELAND, FL 33802 PO BOX 32037 LAKELAND, FL 33802 PO BOX 32045 LAKELAND, FL 33802 PO BOX 32045 LAKELAND, FL 33802 3500 Reynolds Road lakeland, FL 33803 PO BOX 32045 LAKELAND, FL 38802 PO BOX 32037 LAKELAND, FL 33802 PO BOX 32045 LAKELAND, FL 33802 10814 NORTHEAST AVE PHILADELPHIA,, PA 19116 1171 S CAMERSON STREET ROOM 20O HARRISBURG, PA 17104 1732 WESTERN AVE STE 1 ALBANY, NY 12203 6360 DEAN PKWY ONTARIO, NY 14519 PO BOX 162667 ALTAMONTE SPRINGS, FL 32716 3112 OLD VESTAL ROAD VESTAL, NY 13850 HANCOCK INTERL AIRPORT SYRACUSE, NY 13212 P O BOX 900 SCOTTSVILLE, NY 14546 2018 DUNCAN ROAD WILMINGTON, DE 19808 200 SALTONSTALL ST CANANDAIGUA, NY 14424 21 LUDWIG AVE CHEEKTOWAGA, NY 14227 4194 CAMERON ROAD CALEDONIA, NY 14423 P.O. BOX 15097 ALBANY, NY 12212 Payer ID BUFF01 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

BUFFALO BISONS BASEBALL BUFFALO BOARD OF EDUCATION Buffalo Board of Education, Workers Comp BUFFALO CRUSH STONE BUFFALO ENGINE COMPONENTS BUFFALO EXTERMINATING BUFFALO MEDICAL GROUP

BUFFA003 BBED01 BUFFA008 BUFFA002 BUFFA005 BUFFA004 BMG01

BUFFALO NEWPRESS INC BUFFALO SABRES

BUFFA001 BUFF02

BUFFALO TRANSPORTATION BUFFALO WIRE WORKS BUFFALO/NIAGARA MARRIOTT BUILDING CONTROLS AND SERVICES Bunch & Assoc. Inc [Electronic Indirect] Bunch & Assoc. Inc [Electronic Indirect] Bunch & Assoc. Inc [Electronic Indirect] Bunch & Assoc. Inc [Electronic Indirect] Bunch & Associates Bunch & Associates BUNCH & ASSOCIATES BUNCH & ASSOCIATES BUNZL DIST. BUREAU OF DISABILITY

BUFFA007 BWW01 BUFFA009 BUILD001 BUNCH002 BUNCH004 BUNCH003 BUNCH005 BUNCH001 BUNCH006 BUNC02 BUNC01 BUNZL001 BUREA001

BURNS MANAGEMENT

BURNS001

BURROWS BROS INC BUSINESS INS CO C & C READY MIX C & S TECHNICAL RESOURCES C P WARD C.H. HETRICK ASSOCIATES CA REED ASSOCIATES CALABRESE GENERAL CONTRACTING CALLAN FARMS CALLANAN INDUSTRIES

BURRO001 BUSI01 CCREA001 CSTE01 CPWAR001 CHHET001 CAREE001 CALAB001 CALLA002 CALLA001

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name CALSPAN Cambridge CAMBRIDGE Address 4455 GENESSEE ST BUFFALO, NY 14225 PO BOX H Whippany, NJ 07981-0407 1501 N.LUNA ROAD SUITE 102 CARROLLTON, TX 75006 300 West Wilson Bridghe Rd Suite 2 Worthington , OH 43085 1905 WEST 4700 SUITE 534 SALT LAKE CITY , UT 84118 PO BOX 669200 POMPANO BEACH, FL 33066 PO BOX 9607 PROVIDENCE, RI 02940 P O BOX 1288 BENTVILLE, AR 72712-1288 25 KING LANE SAYRE, PA 18840 PO BOX 986 Marlton, NJ 08053 PO BOX 478 727 BLOSTEIN BLVD HORSEHEADS, NY 14845 PO Box 3160 Binghamton, NY 13902 200 CLIFTON CORPORATE PARKWAY CLIFTON PARK, NY 12065-8002 121 W. Center St. Canastota, NY 13032 925 EXCHANGE ST ROCHESTER, NY 14608 2001 MAIN ST BUFFALO, NY 14208 8800 PAGE AVE ST LOUIS, MO 63114 3535 RT 66 BLD 6 NEPTUNE CITY, NJ 07753 PO BOX 97 CANTON, PA 17724 PO BOX 212128 COLUMBIA, SC 29221 Po Box 5900 Madison, WI 53705-0900 1120 WELSH RD STE 220 CLAIMS MGT RESOURCES NORTH WALES, PA 19454 59 North Main Street Carbondale, PA 18407 10 BRITISH AMERICAN BLVD LATHAM, NY 12110 47 RIVERSIDE AVE JOHNSON CITY, NY 13790 4999 LOUISE DRIVE SUITE 204 MECHANICSBURG, PA 17055 1300 COLLEGE AVE ELMIRA, NY 14901 718 SOUTH STATE STREET CLARKS SUMMIT, PA 14811 3450 LAKESIDE DRIVE SUITE 610 MIRAMAR, FL 33027 PO BOX 94748 CLEVELAND, OH 44101 703 S ELMER AVE SAYRE, PA 18840 PO BOX 7373 LONDON, KY 40742 PO BOX 94748 CLEVELAND, OH 44101 PO BOX 8101 DUBLIN, OH 43016 Payer ID CALSP001 CAMBR010 CAMBR008 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

Cambridge Int Service - WC

CAMBR006

CAMBRIDGE INTEGRATED

CAMBR007

CAMBRIDGE INTEGRATED INS CAMBRIDGE INTERGRATED Cambridge/Sedgwick CAMCO MANUFACTURING INC Camden Fire Insurance (Auto One) Premier CAMERON MANUFACTURING AND DESIGN INC

CAMBR004 CAMBR012 CAMBR009 CAMCO001 CAMDE001 CAMER001

Canadain Pacific RR CANADIAN PACIFIC - DELAWARE & HUDSON RAILWAY Canastota N/C Corp CANFIELD AND TACK INC. CANISIUS COLLEGE CANNON COCHRAN MGT CANNON COCHREN MANAGEMENT CANTON MANUFACTURING CAPITAL CITY INSURANCE Capital Indemnity Corp CAPITOL INS

CANAD001 CPDH01

CANAS001 CANFI001 CANIS01 CANNO001 CANNO002 CANTO001 CAPI01 CAPIT001 CAPIT002

Carbondale Nursing Home CARDINAL NY TRANSIT CARE AMERICA CARE CAPITAL MANAGEMENT

CARBO001 CANY01 CAREA001 CAREC001

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

CARE GIVERS CARE GIVERS CARE IQ

CAREG001 CAREG003 CAREI001

CARE WORKS CAREGIVERS AMERICA CARELINKS CAREWORKS CAREWORKS CONSULTANTS INC

CARE01 CAREG002 CAREL001 CAREW003 CAREW002

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name CAREWORKS OF OHIO CARGILL TAYLOR BEEF Address PO BOX 182726 COLUMBUS, OH 43218 PO BOX 188 ROUTE 706 WYALUSING, PA 18853 10 West Avenue Wellsboro, PA 16901 RR7 Box 12 Virginia Drive Tunkhannock, NY 18657 PO BOX 14662 HEALTH SERVICES BLDG 22 READING, PA 19612 2753 NIAGARA FALLS BLVD. AMHERST, NY 14226 9200 TRANSIT RD E AMHERST, NY 14051 494 Western Tpke Ste 1 Altamont, NY 12009 40 AVENUE A BAYONNE, NJ 07002 3555 County Rd 49 Attn:Lisa Archer Stanley, NY 14561 1601 Penfield Rd Rochester, NY 14625 SUNY GENESEO 1 COLLEGE CIRCLE GENESEO, NY 14454 100 EAST TUJUNGA AVE 2ND FL BURBANK, CA 91502 2224 PIERCE CREEK ROAD BINGHAMTON, NY 13903 1715 CASTLE GARDENS ROAD VESTAL, NY 13850 120 BROADWAY 31ST FL NEW YORK, NY 10271-3199 PO Box 907 paramus, NJ 07653 225 BROADHOLLOW RD MELVILLE, NY 11747 PO BOX 176 CATAWISSA, PA 17820 100 NE ADAMS AB4320/WC PEORIA, IL 61629 4 Nichols Street Johnstown, NY 12095 1 PARK PL STE 200 ALBANY, NY 12205 215 EAST CHURCH STREET SUITE 101 ELMIRA, NY 14901 232 MAIN ST BINGHAMTON, NY 13905 PO BOX 511 240 EAST ONONDAGA ST SYRACUSE, NY 13202 33 Elk Street Albany, NY 12207 303 COURT ST LITTLE VALLEY, NY 14755 3429 Route 9 Valatie, NY 12184 2712 N TRIPHAMMER RD ITHACA, NY 14850 101 DATES RD ITHACA, NY 14850 215 South Main St. Cortland, NY 13045 1229 TRUMANSBURG ROAD ITHACA, NY 14850 PO BOX 28 DUBUQUE, IA 52004 Payer ID CAREW001 CARGI001 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

Carleton Nursing Home Carpenter Care Home CARPENTER TECHNOLOGY CORP

CARLE001 CARPE001 CARPE002

CARSTAR COLLISION AMHERST CARUBBA COLLISION Carver Construction

CARST001 CARUB001 CARVE001

CAS-CHEMICAL Casella Waste Management

CASCH001 CASEL001

Caseys Hallmark Shop CAS-HUMAN RESOURCES

CASEY001 CASHU001

CAST AND CREW PAYROLL INC

CASTA001

CASTLE GARDENS SENIOR LIVING CASTLE GARDENS SENIOR LIVING CENTER CASTLE POINT INS CO.

CASTL002 CASTL003 CPI01

Castle Point/Tower Group CASTLEPOINT INSURANCE COMPANY CATAWISSA LUMBER CATERPILLAR INC

CASTL005 CAIC01 CATAW001 CATER001

Catholic Charities CATHOLIC CHARITIES

CATHO006 CACH01

CATHOLIC CHARITIES

CATHO004

CATHOLIC CHARTIES CATHOLIC DIOCESE

CATHO005 CATH01

Catholic Mutual Group CATTARAUGUS COUNTY SELF INS PLAN Cavagnaro Construction CAYUGA LANDSCAPE CO CAYUGA MEDICAL CENTER Cayuga Press CAYUGA RIDGE HEALTH & RESIDENTIAL CENTER CBCS

CATHO001 CATT01 CAVAG001 CAYUG002 CAYU01 CAYUG001 CAYUG004 CBCS002

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name CBO GLASS CBP / Liability CCMG ccmsi CCMSI Address 13595 BROADWAY ST ALDEN, NY 14004 P.O. Box 21282 Tampa, FL 33622 911 MAIN ST STE 2340 KANSAS CITY, MO 64105 PO BOX 27920 scottsdale, AZ 85255 100 QUANNA POWITT PKWY SUITE 20 WAKEFILED,MA, NY 01880 133 S 11th Suite 430 St. Louis, MO 63102 2 East Main Street Town Center Bldg, Suite 208 Danville, IL 61832 2600 LAKE LUCIEN DR. - STE# 225 MAITLAND, FL 32751 3535 Route 66 Building 6 Neptune, NJ 07753 3535 State Route 66 STE: 6 Neptune, NJ 07753 Po Box 4998 Green Wood Village, CO 80155 2 E Main Street Danville, IL 61832 3333 Warrenville Road Suite 550 Lisle, IL 60532 910 W. VanBuren Suite 406 Chicago, IL 60607 200 LEHIGH ST GENEVA, NY 14456 P O BOX 541328 DALLAS, TX 75354 PO BOX 541388 Dallas, TX 75354 P.O. Box 542528 Dallas, TX 75354 PO BOX 542528 DALLAS, TX 75354-2528 2995 LBJ FREEWAY STE 121 DALLAS, TX 75234 547 W. 26th St. New York, NY 10001 53 HOOK RD BAYONNE, NJ 07002 ONE INSURANCE SQUARE CELINA, OH 45822 35-30 Francis Lewis Blvd Flushing, NY 11358 PO BOX 61247 VIRGINIA BEACH, VA 23466 PO BOX 61247 VIRGINIA BEACH, VA 23466 55 E. JACKSON BLVD CHICAGO, IL 60604-4104 314 SO. MANNING BLVD. ALBANY, NY 12208 PO BOX 365 RUGBY, ND 58368 86 YELLOWBROOK RD FARMINGDALE, NJ 07727 958 CHURCH ST BALDWIN, NY 11510 PO BOX 353 800 WASHINGTON ST VAN WERT, OH 45891 800 South Washington St. PO Box 353 Van Wert, OH 45891-2381 260 LATTABROOK PARK HORSEHEADS, NY 14845 Payer ID CBOGL001 CBPLI001 CCMG001 CCMSI004 CCMSI013 New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

CCMSI CCMSI

CCMSI008 CCMSI005

CCMSI CCMSI

CCMSI001 CCMSI003

CCMSI

CCMSI012

New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) Other WC (Non-NY)

CCMSI CCMSI / WC CCMSI / WC

CCMSI002 CCMSI007 CCMSI006

CCMSI / WC

CCMSI010

Other WC (Non-NY)

CCN CCS HOLDINGS CCS HOLDINGS CCSI / WC CCSI LP CEBCOR SERVICES CORP

CCN01 CCSHO002 CCSHO001 CCSIW001 CCSIL001 CEBC01

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation Auto/No-Fault Auto/No-Fault New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

Cedar Lake CEJON ACCESSORIES Celina Insurance Group [Electronic] Cement And Concrete Worker Cendant - Avis [Electronic] Cendant - Budget [Electronic] CENTENNIAL INS CENTER FOR DISABILITY CENTER MUTUAL INSURANCE CO CENTRAL CONCETE WC CENTRAL HEALTHCARE CENTRAL INS CO

CEDAR001 CEJON001 CELIN001 CEMEN001 CENDA003 CENDA001 CEIN01 CENTE001 CENTE002 CENTR008 CENTR001 CENT01

Central Mutual Insurance Co.

CENTR002

CENTRAL RECYCLING

CENTR003

New York Workers' Compensation

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name Centralia Correctional Center Centralia High School / WC Centralia Press / WC CENTURY INDEMNITY COMPANY Address PO Box 1266 Centralia, IL 62801 2100 E Calumet Centralia, IL 62801 PO Box 627 Centralia, IL 62801 PO BOX 1000 WA04R PHILADELPHIA, PA 19106 204 BROADWAY BROOKLYN, NY 11211 POB 8220 CORAOPOLIS, PA 15108-8220 PO Box 1554 Elmira, NY 14904 565 MARRIOT DRIVE NASHVILLE, TN 37214 35 INDUSTRIAL PARK BLVD ELMIRA, NY 14902 PO BOX 302 BUFFALO, NY 14240-0965 3 Wright Ave Leroy, NY 14482 PO BOX 1096 SKANEATELES, NY 13152 800 CANAL ST ELMIRA, NY 14902 PO BOX 195 GLEN SHAW, PA 15116 103 PHILO ROAD WEST ELMIRA, NY 14901 3200 LAKE AVENUE ROCHESTER, NY 14612 P.O. BOX 47 BURNT HILLS, NY 12027 PO BOX 294 ATTEN: LINDA WAVERLY, NY 14892 ONE TOWER SQUARE HARTFORD, CT 06183-1190 P.O. Box 25972 Shawnee Mission, KS 66225 PO BOX 1822 ALPHARETTA, GA 30023 PO BOX 1822 ALPHARETTA, GA 30023 PO Box 25987 Shawnee Mission, KS 66225 PO Box 25987 Shawnee Mission, KS 66225 99 HIGH STREET 29TH FLOOR BOSTON, MA 02110 PO BOX 1830 ALPHARETTA, GA 30023 100 CONNELL DR BERKELEY HEIGHTS, NJ 07922 P.O. Box 25972 Shawnee Mission, KS 66225 100 CONNELL DRIVE BERKELEY HEIGHTS, NJ 07922 PO BOX 37 CORRY, PA 16407 PO Box 310 Bemus Point, NY 14712 13600 COLUMBUS AVE CORRY, PA 16407 3 NORTH ERIE ST MAYVILLE, NY 14757 PO BOX 28 Chautauqua, NY 14722 104 WEST LAKE RD MAYVILLE, NY 14757 110 BARNES RD WALLINGFORD, CT 06492 Payer ID CENTR006 CENTR005 CENTR007 CEIC01 Other WC (Non-NY) Other WC (Non-NY) Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

CENTURY INS Century Insurance cerebral palsy of Chemung Count CERES TERMINAL INSURANCE CFE INC (EVANS ROOFING COMPANY) CGU GENERAL ACCIDENT CH Wright CHARLES DRISCOLL MASONRY RESTORATION CHARLES F EVANS CO CHARLES M. CONE & ASSOCIATES CHARLES OLIN & SONS CHARLOTTE APPLIANCE CHARLTON SCHOOL CHARM POOLS MFG

CENTU001 CENTU002 CEREB001 CERES001 CFEIN001 CGU01 CHWRI001 CHARL005 CHARL002 CHMC01 CHARL003 CHARL004 CHARL001 CHARM001

CHARTER OAK FIRE INS CO Chartis Chartis Chartis Chartis Chartis CHARTIS

CHAR01 CHART007 AIG01 CHART005 AIG002 CHART004 CHART003

CHARTIS CHARTIS (AIG) Chartis / WC CHARTIS INSURANCE CHASE MANUFACTURING Chautauqua Brick CHAUTAUQUA BRICK CHAUTAUQUA COUNTY Chautauqua Institution CHAUTAUQUA MARINA CHAWCT

CHART009 CHART002 CHART006 CHART010 CHASE001 CHAUT003 CHAUT005 CHAUT002 CHAUT004 CHAUT001 CHAW01

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name CHEMUNG CANAL TRUST COMPANY Chemung Contracting Chemung County Arc CHEMUNG COUNTY BUILDING Chemung County Self Insured Address 1 CHEMUNG CANAL PLAZA ELMIRA, NY 14902 2105 South Broadway Pine City, NY 14871 711 Sullivan Street Elmira, NY 14901 PO BOX 707 VESTAL, NY 13851 PO BOX 588 203 Lake st. Elmira, NY 14902 2435 STATE RT 352 ELMIRA, NY 14903 679 MAIN STREET PO BOX 138 CHEMUNG, NY 14825 PO BOX 249 CHEMUNG, NY 14825 34200 MOUND RD STERLING HEIGHTS, MI 48310 PO BOX 159 WARREN, MI 48090 PO BOX 1884 AKRON, OH 44309 PO Box 610 Green, OH 44232 PO BOX 610 GREEN, OH 44232 PO BOX 527 ELMIRA, NY 14902 333 WEST 35TH ST CHICAGO, IL 60616 Attn: Lisa Beaudry 774 Fairmount Ave Jamestown, NY 14701 1182 chenango street jo perez ext: 168 binghamton,, NY 13902 4247 WEST KENNEDY BLVD TAMPA, FL 33609 8123 PROLE RD EXT BYRON, NY 14422 2977 MAGNOLIA STEDMAN RD MAYVILLE, NY 14757 990 James Street Syracuse, NY 13203 PO BOX 1618 Entry West Mail Stop E-135 Warren, NJ 07059 PO BOX 1616 warren, NJ 07059 55 WATER ST NEW YORK, NY 10041 333 EARLE COVINGTON BLVD - 800 UNIONDALE, NY 11533 333 EARLE OVINGTON BLVD UNIONDALE, NY 11553-3644 PO BOX 4700 CHESAPEAKE, VA 233274700 P.O. Box 1903 New Haven, CT 06059 3445 PEACHTREE RD NE STE 900 ATLANTA, GA 30326 4 PENN CTR 1600 JFK BLVD PHILADELPHIA, PA 19103 233 S Wacker Drive Suite 4700, Sears Tower Chicago, IL 60606 15 MOUNTAIN VIEW ROAD WARREN, NJ 07059 1 LIBERTY PLACE 1650 MARKET ST PHILA, PA 191037301 PO BOX 1618 WARREN, NJ 07059 Payer ID CHEMU001 CHEMU003 CHEMU004 CHEMU005 CHEMU007 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY)

CHEMUNG COUNTY/SPCA CHEMUNG FIRE DEPT

CHEMU002 CHEMU006

CHEMUNG SPRING WATER CHEROKEE INSURANCE COMPANY CHEROKEE INSURANCE COMPANY CHESTERFIELD RESOURCES INC (NY) Chesterfield Service / WC CHESTERFIELD SERVICES CHEUMUNG SUPPLY CO CHICAGO WHITE SOC Childrens Educational Services

CHEMU008 CHER01 CHEROK01 CHEST001 CHEST002 CHES01 CHEUM001 CHIC01 CHILD002

childrens home wyoming conf

CHILD001

CHIROPRACTIC CARE CENTRE, PA CHMIELOWIEC PAINTING INC CHRIS KEEFE BUILDERS Christopher Community Inc. Chubb

CHIRO001 CHMIE001 CKB01 CHRIS001 CHUBB003

CHUBB CHUBB CHUBB GROUP INSURANCE CHUBB INS CHUBB INS Chubb Insurance CHUBB INSURANCE

CHUBB007 CHUB03 CHUBB006 CHUBB005 CHUBB013 CHUBB004 CHUBB008

CHUBB INSURANCE

CHUBB002

Chubb Insurance / WC

CHUBB010

CHUBB INSURANCE COMPANY CHUBB LIFE

CHUBB009 CHUBB011

New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

CHUBB SERVICES CORP

CHUBB012

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name CHUBB SONS Church Mutual CHURCH MUTUAL INSURANCE COMPANY chuyler Ambulatory Service CIGA CIGNA CIGNA CIGNA CIGNA CINCINATTI INS CO CINCINATTI INS CO Cincinnati Ins Cincinnati Ins CINCINNATI INS CINCINNATI INS CO Cincinnati Ins. CINCINNATI INSURANCE CINCINNATI INSURANCE Cincinnati Insurance / Liability Cincinnati Insurance Co [Electronic Indirect] Cincinnati Insurance Co [Electronic Indirect] Cincinnati Insurance Co [Electronic Indirect] Cincinnati Insurance Co [Electronic Indirect] Cincinnati Insurance Co [Electronic Indirect] Cincinnati Insurance Co [Electronic Indirect] Cincinnati Insurance Co [Electronic Indirect] Cincinnati Insurance Co [Electronic Indirect] Cincinnati Insurance Co [Electronic Indirect] Cincinnati Insurance Co [Electronic Indirect] Cincinnati Insurance Co [Electronic Indirect] Cincinnati Insurance Co [Electronic Indirect] Cincinnati Insurance Co [Electronic Indirect] Cincinnati Insurance Co [Electronic Indirect] Cincinnati Insurance Co [Electronic Indirect] Cincinnati Insurance Co [Electronic Indirect] Cincinnati Insurance Co [Electronic Indirect] Cincinnati Insurance Co [Electronic Indirect] Address 555 LONGWHARF DRIVE NEW HAVEN, CT 06511 PO Box 342 Merrill, WI 54452 PO BOX 342 MERRILL, WI 54452 220 Steuben Street Montour Falls, NY 14865 PO BOX 29066 GLENDALE, CA 91209-9066 PO BOX 1350 BUFFALO, NY 14240 PO BOX 15527 WILINGTON, DE 19850 PO BOX 5200 SCRANTON, PA 18505 PO BOX 5200 SCRANTON, PA 18505 PO BOX 1277 CANONSBURG, PA 15317 PO BOX 9333 SYRACUSE, NY 13290 PO Box 1098 Getzville, NY 14068 PO Box 2682 Liverpool, NY 13089 PO BOX 109 MEADVILLE, PA 16335 PO BOX 1230 CANONSBURG, PA 15317 PO BOX 326 Clay, NY 13041 PO BOX 1024 TROY, NY 12180 PO BOX 23978 ROCHESTER, NY 14682 PO Box 495 Centralia, IL 62801 PO BOX 1024 TROY, NY 12180 PO BOX 1024 TROY, NY 12180 PO BOX 1024 TROY, NY 12180 PO BOX 1230 CANONSBURG, PA 15317 PO BOX 1230 CANONSBURG, PA 15317 PO BOX 1230 CANONSBURG, PA 15317 PO BOX 1277 CANONSBURG, PA 15317 PO BOX 1277 CANONSBURG, PA 15317 PO BOX 1277 CANONSBURG, PA 15317 PO BOX 23978 ROCHESTER, NY 14682 PO BOX 23978 ROCHESTER, NY 14682 PO BOX 23978 ROCHESTER, NY 14682 PO BOX 42536 ST PETERSBURG, FL 33742 PO BOX 42536 ST PETERSBURG, FL 33742 PO BOX 42536 ST PETERSBURG, FL 33742 PO Box 920338 Norcross, GA 30092 PO Box 920338 Norcross, GA 30092 PO Box 920338 Norcross, GA 30092 Payer ID CHUBB001 CHURC001 CHUR02 CHUYL001 CIGA001 CIGNA002 CIGN02 CIGN03 CIGNA003 CINCINS01 CINC10 CINCI005 CINCI004 CINCI028 CINI02 CINCI027 CINCI001 CINCI002 CINCI029 CINCI006 CINCI013 CINCI020 CINCI007 CINCI014 CINCI021 CINCI008 CINCI015 CINCI022 CINCI009 CINCI016 CINCI023 CINCI010 CINCI017 CINCI024 CINCI011 CINCI018 CINCI025 New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault Other WC (Non-NY)

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name Cincinnati Insurance Co [Electronic Indirect] Cincinnati Insurance Co [Electronic Indirect] Cincinnati Insurance Co [Electronic Indirect] CINCINNATTI INS CO CINTAS CIRMA CIS Address PO BOX 9333 SYRACUSE, NY 13290 PO BOX 9333 SYRACUSE, NY 13290 PO BOX 9333 SYRACUSE, NY 13290 PO BOX 42536 ST PETERSBURG, FL 33742 5740 GENESEE ST LANCASTER, NY 14086 PO BOX 9558 NEW HAVEN, CT 06510 6143 SOUTH WILLOW DR STE. 330 GREENWOOD VILLAGE, CO 80111 PO BOX 290 HOWELL, MI 48844 PO BOX 15146 WORCESTER, MA 16150 P.O. Box 620 Howell, MI 48844 1007 City Hall Buffalo , NY 14202 630 AVE C BAYONNE, NJ 07002 65 NIAGARA SQUARE RM 1014 BUFFALO, NY 14202 Workers Compensation 721B City Hall Buffalo, NY 14202 74 FRANKLIN ST BUFFALO, NY 14202 2 PORTER AVE BUFFALO, NY 14201 1 CIVIC CENTER CORNING, NY 14830 317 East Church Street Elmira, NY 14901 310 WEST GREEN STREET ITHACA, NY 14850 280 GROVE ST B-6 JERSEY CITY, NJ 07302 1 Roosevelt Square Mount Vernon, NY 10550 PO box 1708 Mt. Vernon, IL 62864 515 NORTH AVE NEW ROCHELLE, NY 10801 55 BROADWAY NEWBURGH, NY 12550 PO Box 69 Niagara Falls, NY 14302 62 CIVIC CENTER PLAZA POUGHKEEPSIE, NY 12601 30 CHURCH ST CITY HALL- ACCTS PAYABLE ROCHESTER, NY 14614 19800 N WASHINGTON ST ROME, NY 13440 1051 Boston Post Road Rye, NY 10580 474 BROADWAY SARATOGA SPRINGS, NY 12866 550 BLEEKER ST UTICA, NY 13501 222 AVENUE E BAYONNE, NJ 07002 PO BOX 4439 SANDY, UT 84091 15 MAPLE DELL STE 4 SARATOGA SPRINGS, NY 12866 PO BOX 22478 OKLAHOMA CITY, OK 73123 Payer ID CINCI012 CINCI019 CINCI026 CINC03 CINTA001 CIRMA001 CIS01 New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

CITIZEN INSURANCE / HANOVER CITIZENS INS CO Citizens Management City Clerk Office CITY OF BAYONNE CITY OF BUFFALO

CITI03 CITI01 CITIZ001 CITYC001 CITYO012 COB03

City of Buffalo, Board of Education

CITYO002

CITY OF BUFFALO-POLICE CITY OF BUFFALO-WATER CITY OF CORNING City of Elmira CITY OF ITHACA FIRE DEPT CITY OF JERSEY CITY City of Mount Vernon City of Mt. Vernon / WC CITY OF NEW ROCHELLE CITY OF NEWBURGH POLICE DEPT City of Niagara Falls CITY OF POUGHKEEPSIE CITY OF ROCHESTER

CITYO006 CITYO004 CITYO008 CITYO007 CITYO010 CITYO013 CITYO001 CITYO011 CITYO014 CNPD01 CITYO003 CITYO009 COR02

CITY OF ROME City Of Rye CITY OF SARATOGA SPRINGS COMMISSIONER OF ACCOUNTS CITY OF UTICA CJ MURPHY CLAIM DIRECT ACCESS CLAIM SERVICES INC

COR01 CITYO015 SSCA01 COU01 CJMUR001 CLAIM004 CLAI01

CLAIMETRICS

CLAH01

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name CLAIMS MANAGEMENT INSURANCE Claims One WC CLAIMS SERVICE BUREAU CLAIMS SERVICE BUREAU CLAIMS SERVICE BUREAU CLAIR BRIDGE CLAREMONT INS CLARENCE FIRE D #1 Clarendon CLARENDON INS CLARENDON NATIONAL INS Clarendon National Insurance CLARENDON NATIONAL INSURANCE CO Address PO BOX 1288 BENTONVILLE, AR 72712 225 Smith Road St. Charles, IL 60174 21 HEMPSTEAD AVE LYNBROOK, NY 11563 21 HEMPSTEAD AVENUE LYNBROOK, NY 11563 PO BOX 805 LYNBROOK, NY 11563 101 BUNDY ROAD ITHACA, NY 14850 2 UNIVERSITY PLACE HACKENSACK, NJ 07601 PO BOX 340 CLARENCE, NY 14031 Park 80 West 8th Floor Saddlebrook, NJ 07662 PO BOX 6579 SADDLEBROOK, NJ 07663 PO BOX 6580 SADDLEBROOK, NJ 07663-6579 PO Box 6580 Saddlebrook, NJ 07663 466 LEXINGTON AVE 19TH FL NEW YORK, NY 10017-3135 45-53 Norwood Ave Jamestown, NY 14701 443 S CAYUGA RD WILLIAMSVILLE, NY 14221 PO BOX 3015 515 ROUTE 528 LAKEWOOD, NJ 08701 3 UNIVERSITY PLAZA SUITE 604 HACKENSACK, NJ 07601 1 Cliffstar Ave Dunkirk, NY 14048 2 coulter road clifton springs, NY 14432 GUTHRIE SQUARE SAYRE, PA 18840 PO Box 97 246 E St Louis St Hoyleton, IL 62803 348 HARRIS HILL RD WILLIAMSVILLE, NY 14221 476 Hamilton Street Geneva, NY 14456 926 MADISON AVE NEW YORK, NY 10021 P. O. Box 918 Gainsville, GA 30503 922 W WALNUT ST ROGERS, AR 72756 PO Box 1288 Bentonville, AR 72712 PO BOX 31121 Tampa, FL 33631 100 MATSON FORD #505 FIVE RADNOR CORP CTR RAFNOR, PA 19087 201 E Madison Suite 3C Springfield, IL 62794 25 Melville Park Rd. Ste 100 Melville, NY 11747 401 Penn Street Reading, PA 19601 443 Electronics Parkway building # 1 Liverpool, NY 13088 P.O. Box 8317 Chicago, IL 60680 Payer ID CLAIM001 CLAIM002 CSB01 CLAIM003 CSB02 CLAIR001 CLARE006 CLARE001 CLARE003 CLARE005 CLARE002 CLARE004 CLAR02 New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Auto/No-Fault Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY)

Clark Box it CLARK HOLDINGS INC CLAYTON COMPANIES

CLARK002 CLARK001 CLAYT001

CLERMONT INSURANCE COMPANY

CLEIC01

CliffStar Corp clifton springs hospital CLINIC PHARMACY Clover Leaf Grain Elevator / WC

CLIF01 CLIFT001 CLINI001 CLOVE001

CLOVER MANAGEMENT Club 86, Bagels & Cakes CLYDES CHEMISTS LTD Cma CMI CMI / WC CMI OCTAGON CMI OCTAGON INC

CLOVE002 CLUB8001 CCL01 CMA001 CMI002 CMIWC001 CMI01 CMIOC001

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY)

CMS / WC

CMSWC001

CNA

CNA004

New York Workers' Compensation Auto/No-Fault New York Workers' Compensation Auto/No-Fault

CNA CNA

CNA005 CNA003

CNA

CNA006

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name CNA CNA CNA (READING) CNA /QUALCARE CNA [Electronic Indirect] Address PO BOX 55270 PHOENIX, AZ 85078 PO BOX 8317 CHICAGO, IL 60680 PO BOX 16203 READING, PA 19612 PO BOX 609 MELVILLE, NY 11747 25 Melville Park Rd. Ste 100 Melville, NY 11747 25 Melville Park Rd. Ste 100 Melville, NY 11747 401 Penn Street Reading, PA 19601 401 Penn Street Reading, PA 19601 443 Electronics Parkway building # 1 Liverpool, NY 13088 443 Electronics Parkway building # 1 Liverpool, NY 13088 PO Box 16010 Reading, PA 19612 PO Box 16010 Reading, PA 19612 PO BOX 16203 READING, PA 19612 PO BOX 16203 READING, PA 19612 PO BOX 8317 CHICAGO, IL 60680 PO BOX 8317 CHICAGO, IL 60680 PO Box 1046 New York, NY 10268 PO BOX 4855 SYRACUSE, NY 13221 40 Wall Street Suite 1000 New York, NY 10005 4939 Brittonfield Parkway East Syracuse, NY 13057 PO BOX 2308 SYRACUSE, NY 13220 518 JAMES STREET SUITE 240 SYRACUSE, NY 13203 PO BOX 36 PENN YAN, NY 14527 P.O.BOX 2 MELENVILLE, NY 12544 ATTN WKRS COMP DEPT 43647 FAIRVIEW RD SPARTANSBURG, PA 16434 1290 SHERIDAN DRIVE BUFFALO, NY 14217 1 SHIP CANAL PKWY BUFFALO, NY 14218 3 JACKSON ST AKRON, NY 14001 PO BOX 358 AKRON, NY 14001 142 Colgate Av Buffalo, NY 14220 6542 COLLAMER ROAD EAST SYRACUSE, NY 13057 1525 LAKE STREET ELMIRA, NY 14901 1400 AMERICAN LANE PTAX - T2 - 20 SCHAUMBURG, IL 60196-1056 1000 CHOPPER CIR DENVER, CO 80204 Payer ID CNA019 CNAI02 CNARE001 CNAQU001 CNA007 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation Other WC (Non-NY)

CNA [Electronic Indirect]

CNA013

CNA [Electronic Indirect] CNA [Electronic Indirect] CNA [Electronic Indirect]

CNA008 CNA014 CNA009

New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY)

CNA [Electronic Indirect]

CNA015

CNA [Electronic Indirect] CNA [Electronic Indirect] CNA [Electronic Indirect] CNA [Electronic Indirect] CNA [Electronic Indirect] CNA [Electronic Indirect] CNA Claimplus CNA CLAIMPLUS CNA Risk Management - WC

CNA010 CNA016 CNA011 CNA017 CNA012 CNA018 CNACL002 CNACL001 CNARI001

New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

CNY Family Care CNY MANAGEMENT CNY SERVICES COACH & EQUIP SALES CORP COARC COASTAL LUMBER CO

CNYFA001 CNYMA001 CNYSE001 COACH001 COARC001 COAST001

COASTAL STAFFING COBEY INC COLD SPRING CONSTRUCTION COLD SPRING CONSTRUCTION Colgate Industries COLLAMER STOP AND SHOP COLLINS & WALTON COLONIAL AMERICAN CASUALTY

COAST002 COBEY001 COLDS002 COLDS001 COLGA001 COLLA001 COWA01 COAC01

COLORADO AVALANCHE

CAVA01

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name COLUMBIA DIVERSIFIED COLUMBIA GAS TRANSMISSION Columbia Insurance / WC COLUMBIA LIGHTING Address 527 CHARLES AVE SYRACUSE, NY 13209 4401 COLLEGE AVE CORNING, NY 14830-9115 P.O. Box 618 Columbia, MO 65205 RT 13 AND BEAVER ST PO BOX 700 BRISTOL, PA 19007 410 W. 118th St. b230 New York, NY 10036 200 W NATIONWIDE BLVD COLUMBUS, OH 43215 1000 pittsford victor rd pittsford, NY 14534 6500 NEW VENTURE GEAR DRIVE EAST SYRACUSE, NY 13057 3410 2 ST RT 414 CORNING, NY 14830 12415 STONEY PLAN RD EDMONTON, AL T5N3N3 11 Gore Road WEBSTER, MA 01570 11 Gore Road WEBSTER, MA 01570 PO BOX 758 WEBSTER, MA 01540 PO BOX 5038 Woodbridge, NJ 07095 175 PINE LAWN RD MELVILLE, NY 11747 15 JOYS LANE KINGSTON, NY 12401 70 HARVARD PL BUFFALO, NY 14209 15 HUBERT ST PO BOX 980 AUBURN, NY 13021 2-8 W. MAIN STREET JOHNSTOWN, NY 12095 1570 BUFFALO AVE NIAGARA FALLS, NY 14303 1851 EAST 1ST ST. SUITE 200 SANTA ANA, CA 92705 PO Box 8835 Camphill, PA 17001 PO BOX 59059 PHILA, PA 19102 PO Box 12859 Newport Beach, CA 92658 8000 Midlantic Drive E. 410 North Mount Laurel, NJ 08054 PO BOX 100165 COLUMBIA, SC 09202 P.O. Box 100165 Columbia, SC 29202 PO Box 100195 Columbia, SC 29202 PO BOX 310 GALWAY, NY 12074 PO BOX 1999 POUGHKEEPSIE, NY 12601 2700 WILLIAM ST BUFFALO, NY 14227 939 OFFICE PARK ROAD #331 WEST DES MOINES, IA 50265 PO BOX 1040 DUBLIN, OH 43017 100 Corp. Center Drive ste 101 Camp Hill, PA 17011 Payer ID COLD01 COLUM002 COLUM003 COLUM004 New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation Auto/No-Fault Auto/No-Fault New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) Auto/No-Fault

Columbia University

COLUM001

COLUMBUS BLUE JACKETS comforce information technologies COMFORT SYSTEMS COMMAND EQUIPMENT CO COMMAND EQUIPMENT COMPANY COMMERCE INSURANCE COMMERCE INSURANCE COMMERCE INSURANCE Commerce/ ACIS/ AIS COMMERCIAL INS COMP COMMERCIAL MUTUAL INS COMMUNITY ACTION ORG COMMUNITY COMPUTERS MEDENT

COLB01 COMFO002 COMFO001 COMMA002 COMMA001 COMME005 COMME009 COMME008 COMME006 CIC01 COMME007 COMMU001 COMMU004

COMMUNITY HEALTH CENTER COMMUNITY MISSIONS COMP IQ

COMMU002 COMMU003 COMPI001

Comp Services COMP SERVICES INC Comp West Companion Property & Casualty

COMPS003 COMPS005 COMPW001 COMPA001

COMPANION PROPERTY & CASUALTY Companion Property & Casualty / WC Companion Property And Casualty COMPASS INVESTIGATORS & ADJUSTERS COMPENSATION RISK MANAGEMENT COMPLETE PERSONNEL COMPLOGIC

COMPA002 COMPA003 CPAC01 CIA01 COMP02 COMPL002 COMPL001

New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

COMPMGMT HEALTH SYSTEMS, INC COMPSERVICES

COMPM001 COMPS001

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name COMPSERVICES INC COMPSERVICES INC CompServices, Inc. Address 2505 NORTH FRONT STREET HARRISBURG, PA 17110 PO BOX 535370 PITTSBURGH, PA 15253-5370 1717 Arch Street 45th Floor Philadelphia, PA 19103 6310 S. TRANSIT RD LOCKPORT, NY 14094 10 WOODBRIDGE CTR 4TH FL WOODBRIDGE, NJ 07095 503 MARTINDALE ST DL CLARK BLDG-2ND FL PITTSBURGH, PA 15212 687 Lee Rd. Rochester, NY 14606 PO BOX 274090 TAMPA, FL 33688 PO BOX 15095 ALBANY, NY 12212 3200 HIGHLAND AVE #FCM DOWNERS GROVE, IL 60515-1223 27880 NORTH MAIN ST,STE C USAA DOC PRO DAPHNE, AL 36526 100 WILLOW BROOK AVE. BLDG. 1 FREEHOLD, NJ 07728 PO BOX 5038 WOODBRIDGE, NJ 07095 2555 TRANSIT RD ELMA, NY 14059 PO BOX 1350 AUBURN, ME 04211 20281 HAMMOND RD CORRY, PA 16407 249 BOXART STREET ROCHESTER, NY 14612 43 WITMER ROAD NORTH TONAWANDA, NY 14120 94 Stewart Avenue Newburgh, NY 12550 PO BOX 19809 Charlotte, NC 28219 504 IST CENTER HORSEHEADS, NY 14854 PO BOX 90 MINOA, NY 13116 3797 REDMAN ROAD BROCKPORT, NY 14420 40 WASHINGTON ST WESTBOROUGH, MA 01581 985 OLD EAGLE SCHOOL SUITE 504 WAYNE, PA 19087 4 Irving Pl New York , NY 10003 14 LAFAYETTE SQ STE 700 BUFFALO, NY 14203 3 Executive Campus Ste: 100 Cherry Hill, NJ 08002 300 American Metro Blvd, Ste170 Hamilton, NJ 08619 PO BOX 22986 ROCHESTER, NY 14692 100 BAYLIS RD 2ND FL MELVILLE, NY 11747 100 BAYLIS RD 2ND FL MELVILLE, NY 11747 100 BAYLIS RD 2ND FL MELVILLE, NY 11747 Payer ID COMPS004 CMPI01 COMPS002 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

COMTEC OF WNY, INC CONCENTRA CONCENTRA

COMT01 CONCE004 CONCE003

CONCENTRA CONCENTRA CONCENTRA CLMS SVCS CONCENTRA INSURANCE

CONC02 CONC01 CONC03 CONC04

CONCENTRA INTEGRATED -

CONCE006

CONCENTRA/LIBERY MUTUAL

CONCE002

New York Workers' Compensation Auto/No-Fault New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY)

CONCENTRA/NHR/ALLSTATE CONCEPT CONSTRUCTION CONCORD GROUP CONCORD RIDGE HOLSTEINS CONCRETE DELIVERY CO CONFER PLASTICS Conklin Srvces Construction CONNECTICUT INDEMNITY CONQUEST CONRAIL WORKER COMPENSATI CONROW FARMS CONSERVATION SERVICES GR CONSOLIDATED CLAIMS SERVICES

CONCE005 CONCE001 CONCO002 CONCO001 CONCR001 CONFE001 CONKL001 CONN01 CONQU001 CONR01 CONRO001 CONS01 CONS02

Consolidated Edison Company of NY CONSOLIDATED RISK SERV

CONSO001 CORS01

Consolidated Service Group

CONSO002

Consolidated Service Group Inc CONSTITUTION STATE SERVIE CONSTITUTION STATES

CONSO003 COSS01 CON01

Constitution States (St. Paul Travelers) [Electronic Indirect] Constitution States (St. Paul Travelers) [Electronic Indirect]

CONST001

CONST002

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name Contemporary Personel Staffing CONTINENTAL CONTINENTAL CONTINENTAL Continental Casualty Company Continental Indemnity Insurance / WC Continental Insurance Co [Electronic Indirect] Continental Insurance Co [Electronic Indirect] Continental Insurance Co [Electronic Indirect] Continental Insurance Co [Electronic Indirect] Continental Insurance Co [Electronic Indirect] Continental Insurance Co [Electronic Indirect] Continental Insurance Co [Electronic Indirect] Continental Insurance Co [Electronic Indirect] Continental Insurance Co [Electronic Indirect] Continental Insurance Co [Electronic Indirect] Continental Insurance Co [Electronic Indirect] Continental Insurance Co [Electronic Indirect] Continental Western CONTINENTIAL INDEMNITY Contract Claims CONTRACT CLAIMS SERVICES CONTRACT SPECIALIST CONTRACTORS SELF INS TRST Address 907 7th North St. Liverpool, NY 13088 333 GLEN ST GLENS FALLS, NY 12801 PO BOX 3646 OMAHA, NE 68103 PO BOX 9010 WESTBROOK, ME 04098-5010 401 Penn St. Reading, PA 19601 PO Box 3804 Omaha, NE 68103 333 GLEN ST GLENS FALLS, NY 12801 333 GLEN ST GLENS FALLS, NY 12801 401 Penn St. Reading, PA 19601 401 Penn St. Reading, PA 19601 PO BOX 3646 OMAHA, NE 68103 PO BOX 3646 OMAHA, NE 68103 PO Box 5200 Scranton, PA 185055200 PO Box 5200 Scranton, PA 185055200 PO Box 55270 Phoenix, AZ 85078 PO Box 55270 Phoenix, AZ 85078 PO BOX 9010 WESTBROOK, ME 40985010 PO BOX 9010 WESTBROOK, ME 40985010 PO Box 1594 Des Moines, IA 50306 PO BOX 3804 OMAHA, NE 68103 PO Box 541328 Dallas, TX 75354 PO BOX 541388 DALLAS, TX 75354 255 GREAT ARROW AVE STE 2 BUFFALO, NY 14207 141 LAFAYETTE SQ STE 500 BUFFALO, NY 14203 145 Commerce Drive Rochester, NY 14623 P O BOX 5205 BINGHAMTON, NY 13902 784 TROY SCHENECTADY RD LATHAM, NY 12110 784 TROY SCHENECTADY RD LATHAM, NY 12110 10 BRITISH AMERICAN BLVD LATHAM, NY 12110 351 LAWRENCE STATION LAWRENCE, NJ 08648 3625 SENECA ST SENECA, NY 14224 600 CENTER AVE BENSALEM, PA 19020 527 WEST STATE STREET ITHACA, NY 14850 JESSUP ROAD ITHACA, NY 14850 130 DAY HALL ITHACA, NY 14853 110 DAY HALL ITHACA, NY 14853 365 PINE TREE ROAD ITHACA, NY 14850 Payer ID CONTE001 CONT01 CONT02 CONT03 CONTI001 CONTI015 CONTI003 CONTI009 CONTI004 CONTI010 CONTI005 CONTI011 CONTI006 CONTI012 CONTI007 CONTI013 CONTI008 CONTI014 CONTI016 CONTI002 CONTR002 COCS01 CONTR001 COSI01 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

Cook Moving Systems COOL INSURANCE COOL RISK MANAGEMENT COOL RISK MGMT COOP ASSOC OF FOOD ENTERP COOPER PEST SOLUTION COPPOLA AGENCY COREN METAL CRAFTS CORNELL LAUNDRY CORNELL UNIV (ROBT PERCELL DINI CORNELL UNIVERSITY - DOWD CORNELL UNIVERSITY - STATE CORNELL UNIVERSITY- DOWD

COOKM001 COOLI001 COOLR001 CORM01 COAS01 COOPE001 COPPO001 COREN001 CORNE002 CORNE003 CORNE009 CORNE001 CORNE008

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name Cornerstone Florida [Electronic] CORNERSTONE MANAGEMENT Cornerstone National Ins. Co. [Electronic] Address PO BOX 915499 LONGWOOD, FL 32791 944 COUNTY LINE RD BRYN MAWR, PA 19010 3100 FALLING LEAF COURT SUITE 200 COLUMBIA, MO 65201 176 Denison parkway Corning, NY 14830 330 West William Street Corning, NY 14830 346 PARK AVE CORNING, NY 14830 9 ONTARIO STREET CORNING, NY 14830 107 ARTHUR STREET CORNING, NY 14830 1 ACADEMIC DRIVE ATTEN: DEBRA HARTY CORNING, NY 14830 11819 E Corning Rd Corning, NY 14830 2501 COUNTRY CLUB DRIVE CORNING, NY 14830 218 DENSION PKWY E SUITE 201 CORNING, NY 14830 114 Columbia Street Corning, NY 14830 176 Denison parkway Corning, NY 14830 176 Denison parkway Corning, NY 14830 88 TIOGA AVE BUILDING: MP-US-02 CORNING, NY 14831 673 COUNTY ROUTE 64 BIG FLATS, NY 14814 PO BOX 542 CORNING, NY 14831 201 East First Street Corning, NY 14830 330 Wi William Street Corning, NY 14830 ATTN W/C DEPT RD 1 BOX 140 BEAR LAKE, PA 16402 1 KATTELVILLE RD BINGHAMTON, NY 13901 782 SPIRIT 40 PARK CHESTERFIELD, MO 63005 38 Hawley Street Binghamton , NY 13901 1600 L ST NW 9TH FL WASHINGTON, DC 20036 P.O. Box 4477 Englewood, CO 80155 441 E MAIN ST CORRY, PA 16117 PO BOX 38 CORRY, PA 16407 630 E COLUMBUS AVE CORRY, PA 16407 ATTN BARB 640 WORTH ST CORRY, PA 16407 ATTN PAULA MERKLE 519 W MAIN ST CORRY, PA 16407 ATTN: JUDY LATHROP 612 W SMITH ST CORRY, PA 16407 120 SOUTH CENTER STREET CORRY, PA 16407 800 EAST SOUTH STREET CORRY, PA 16407 Payer ID CORNE004 CORNE010 CORNE006 Auto/No-Fault New York Workers' Compensation Auto/No-Fault

Corning Ambulatory Surgery Corning Appliances CORNING BUILDING CO INC CORNING CATERING INC CORNING CHILDRENS CENTER CORNING COMMUNITY COLLEGE

CORNI008 CORNI007 CORNI013 CORNI004 CORNI001 CORNI014

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

Corning Concrete CORNING COUNTRY CLUB CORNING DENTAL ASSOCIATES Corning Guthriecancer Treatment Corning Hospital Corning Hospital ER CORNING INC

CORNI005 CORNI015 CORNI017 CORNI009 CORNI010 CORNI011 CORNI003

CORNING INC - BIG FLATS CORNING INN Corning medical Surgical Corning Natural Gas CORNISH LUMBER

CORNI002 CORNI018 CORNI012 CORNI006 CORNI016

CORPORATE CARE MANAGEMENT CORPORATE CLAIMS Corporate Council CORPS CARE-CLEMENTS INTER

CCM01 CORPO002 CORPO001 CORP01

Correctional Healthcare Co / Liability CORRY FORGE/MCINNES STEEL CORRY HOUSING AUTHORITY CORRY LUMBER CORRY MANOR

CORRE001 CORRY001 CORRY002 CORRY003 CORRY004

CORRY MANUFACTURING

CORRY005

CORRY MEMORIAL HOSPITAL

CORRY006

CORRY RE-DEVELOPEMENT CORRY SCHOOL DISTRICT

CORRY007 CORRY008

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name CORTLAND CTY Cortland Housing Authority Cortland Wood Products Corvel Address 60 CENTRAL AVE CORTLAND, NY 13045 42 Church Street Cortland, NY 13045 150 Mclean Road Cortland, NY 13045 30001 NE Broadway Suite 600 Minneapolis, MN 55413 5694 Mission Center Rd Ste. 700 San Diego, CA 92108 600 City Parkway West Suite 700 Orange, CA 92868 P O Box 44006 Charlotte, NC 28271-7700 PO BOX 4058 Portland, OR 97208 1000 MADISON AVE. VALLEY FORGE CORPORATE CE NORRISTOWN, PA 19403 51 HADDENFIELD RD STE 200 CHERRY HILL, NJ 08002 9920 FRANKLIN SQ DR STE 100 BALTIMORE, MD 21236-4971 PO BOX 4410 PORTLAND, OR 97208-4410 PO Box 979 ORANGE, CA 92856 PO BOX 4360 PORTLAND, OR 97208-4360 1900 Northwest Expressway Suite 1410 Oklahoma City, OK 73101 320 Carleton Ave Suite 2200 Central Islip, NY 11722 PO BOX 2249 SYRACUSE, NY 13220 PO BOX 2910 GLEN ALLEN, VA 23058 3010 HIGHLAND PKWY Suite #600 DOWNERS GROVE, IL 60515 KODAK PO BOX 4430 PORTLAND, OR 97208 P.O. Box 30306 Cleveland, OH 44130 PO Box 71652 DesMoines, IA 50325 7201 METRO BLVD MINNEAPOLIS, MN 55439 300 SECURITY BLDG PO BOX 28 DUBUQUE, IA 52001 604 GATEWAY INDUSTRIAL PARK ROA ATHENS, PA 18810 PO BOX 70 CLYMER, NY 14724 PO Box 2020 Bloomington, IL 61702 PO Box 64035 Saint Paul, MN 55164 2325 DEAN STREET SUITE 300 ST. CHARLES, IL 60175 8121 WEST QUINAULT STE F101 SHANNA BROST KENNEWICK, WA 99336 PO Box 1265 Effingham, IL 62401 Payer ID CORT01 CORTL001 CORTL002 CORVE012 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

Corvel

CORVE014

Other WC (Non-NY)

Corvel

CORVE005

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY)

Corvel Corvel CORVEL

CORVE013 CORVE009 CORVE011

CORVEL

CORV01

CORVEL

CORV02

CORVEL CORVEL CORVEL (SPECIALTY RISK SERVICES) Corvel / WC

CORV03 CORVE003 CORV04 CORVE010

Corvel Corp.

CORVE001

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Auto/No-Fault Auto/No-Fault

CORVEL CORPORATION CORVEL CORPORATION CORVEL INSURANCE CO

CORVE006 CORV05 CORVE008

CORVEL MED CHECK

CORVE007

Corvell CORVELL COST CUTTERS COTTINGHAM & BUTLER CLAIM SERVICE INC

CORVE002 CORVE004 COSTC001 CBCS01

COTTON'S CONCRETE

COTTO001

COUNTERTOP SOLUTIONS Country Financial / Liability Country Financial / Liability COUNTRY FINANICAL

COUNT021 COUNT019 COUNT009 COUNT027

COUNTRY FINANICAL

COUNT025

Auto/No-Fault

Country Ins. Claims / Liability

COUNT014

Auto/No-Fault

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name COUNTRY INSURANCE Country Insurance / Liability Country Insurance / Liability Country Insurance / Liability Country Insurance Claims / Liability Country Mutual Insurance Country Mutual Insurance COUNTRY RISK COUNTRY WIDE Country Wide Management Countryside Manor / Liability Countryside Manor Nursing Home / WC COUNTRYWAY INS COUNTRYWAY INS CO Countryway Insurance Company [Electronic] Countryway/ Premier Prizm COUNTY ATTORNEY, WC DIVISION Address PO BOX 14151 SALEM, OR 97309 Country Insurance / Liability Harrisburg, IL 62946 P.O. Box 1807 Centralia, IL 62801 PO Drawer E Harrisburg, IL 62946 PO Box 1265 Effingham, IL 62401 Po Box 2100 Bloomington, IL 61702 Po Box 2100 Bloomington, IL 61702 122 AVENUE OF THE AMERICAS NEW YORK, NY 10020 40 WALL STREET NEW YORK, NY 10005 40 Wall St. New York, NY 10005 606 E IL Hwy 15 Mt. Vernon, IL 62864 606 E IL Hwy 15 Mt. Vernon, IL 62864 PO BOX 4851 SYRACUSE, NY 13221 PO BOX 4851 SYRACUSE, NY 13221 224 Harrison Street Syracuse, NY 13202 PO BOX 986 Marlton, NJ 08053 ONE WEST ST MINEOLA, NY 11501-4820 COUNTY OF BUCKS County of San Diego 50 N MAIN STREET DOYLESTOWN, PA 18901 444 w. beech street 3rd floor San Diego, CA 92101 30 YAPHANK AVE YAPHANK, NY 11980 P.O. Box 6100 7th Fl/Dennison Bldg Happauge, NY 11788 1927 Route 9 PO BOX 431 CLIFTON PARK, NY 12065 8400 ROUTE 13 LEVITTOWN, PA 19057 802 COUNTY RT 64 ELMIRA, NY 14903 PO BOX 740042 ATLANTA, GA 30374 PO Box 14407 Tucson, AZ 85732 PO BOX 24506 Tuscon, AZ 85734 4511 WOODLAND CORP BLVD TAMPA, FL 33614 PO Box 7713 London, KY 40742 PO BOX 11930 TUSCON, AZ 85734 140 CORTLAND AVE SYRACUSE, NY 13202 PO BOX 900 SCOTTSVILLE,NY, NY 14546 11 DRYWALL LANE VOORHEESVILLE, NY 12186 PO BOX 261107 COLUMBUS, OH 43226 PO BOX 787 LEBANON, TN 37088 PO BOX 311 TOWANDA, PA 18848 COUNT022 COUNT026 New York Workers' Compensation Other WC (Non-NY) Payer ID COUNT024 COUNT010 COUNT015 COUNT011 COUNT016 COUNT007 COUNT008 COUNT023 COUNT020 COUNT002 COUNT018 COUNT017 COUNT004 CTRY01 COUNT003 COUNT006 CAWC01 Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault Other WC (Non-NY) Auto/No-Fault New York Workers' Compensation Auto/No-Fault New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) Auto/No-Fault New York Workers' Compensation Auto/No-Fault Auto/No-Fault New York Workers' Compensation

COUNTY OF SUFFOLK County Risk Management

COS01 COUNT013

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

COUNTY WASTE

COUNT001

COURIER TIMES COURSER INC COVENANT GROUP Coventry DMEplus Coventry Insurance COVENTRY WC SERVICES Coventry Worker's Comp COVENTRY WORKERS COMP SERVICES COYNE TEXTILES CP WARD INC CR DRYWALL INC. CRA MANAGED CARE CRACKER BARREL CRAFTMASTERS MANUFACTURING INC

COURI001 COURS001 COVE01 COVEN003 FIRH01 COVEN002 COVEN001 COV01 COYNE001 CPWAR002 CRDRY001 CRAM01 CRACK002 CRAFT001

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name CRAIG LINDSEY ASSOCIATES CRANES TOWING CRANESVILLE BLOCK CO CRAWFORD Address PO BOX 9063 JERICHO, NY 11753 691 ADDISON ROAD PAINTED POST, NY 14870 1250 RIVERFRONT CENTER AMSTERDAM, NY 12010 2665 N Air FRESNO DR Suite 111 FRESNO, CA 93727 PO BOX 5047 ATLANTA, GA 30302 PO BOX 680519 FRANKLIN, TN 37068 1842 CENTER POINT CR STE 103S NAPERVILLE, IL 60563 2829 Wehrle Dr. STE:11A WILIIAMSVILLE, NY 14221 3711 MAPLEWOOD AVE #205 WICHITA FALLS, TX 76308 520 COLUMBIA DR JOHNSON CITY, NY 13790 629 FRENCH RD CAMPUS PLAZA NEW HARTFORD, NY 13413 PO BOX 24016 FRESNO, CA 93779 PO BOX 3608 STUYVESANT PARK ALBANY, NY 12203 PO BOX 516 GLASTONBURY, CT 06033 600 REED ROAD BROOMALL, PA 19008 PO BOX 539 GLASTONBURY, CT 06033 PO BOX 915 WAYNE, NJ 07474 122 E. 42ND ST NEW YORK, NY 10168-0002 CRAWFORD & COMPANY CRAWFORD & COMPANY CRAWFORD & COMPANY 160 LAWRENCE BELL RD WILLIAMSVILLE, NY 14221 22 IBM RD POUGHKEEPSIE, NY 12601 TOWER PL #4 EXECUTIVE PARK ALBANY, NY 12203 PO BOX 5000 SMITHTOWN, NY 11787 PO BOX 9076 MELVILLE, NY 11747 PO Box 69 Binghampton, NY 13903 1230 E DIEHL RD SUITE 108 NAPERVILLE, IL 60563 1501 N CEDAR CREST BLVD SUITE 108 ALLENTOWN, PA 181042309 55 Broadway 10th floor New York, NY 10006 6711 Towpath Rd Suite 255 East Syracuse, NY 13057 45 BROADWAY 27TH FL NEW YORK, NY 10151 100 PASSAIC AVE STE 140 FAIRFIELD, NJ 07004 100 PASSAIC AVE STE 140 FAIRFIELD, NJ 07004 CRAW14 CRAW15 CRAW17 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Payer ID CLAS01 CRANE001 CRANE002 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

CRAWFORD01New York Workers' Compensation CRAWF002 CRAWF078 CRAW03 New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

CRAWFORD CRAWFORD CRAWFORD

CRAWFORD

CRAW05

CRAWFORD

CRAW09

CRAWFORD CRAWFORD CRAWFORD CRAWFORD

CRAW01 CRAW12 CRQ01 CRAW06

CRAWFORD CRAWFORD & CO CRAWFORD & CO CRAWFORD & CO CRAWFORD & COMPANY

CRAW07 CRAWF075 CRAWF079 CRAWF074 CRAW18

CRAWFORD & CRAWFORD CRAWFORD &COMPANY Crawford and Co CRAWFORD AND CO

CRCR01 CRAWF080 CRAWF01 CRAWF076

CRAWFORD AND CO

CRAWF077

Crawford and Company

CRAWF081

Crawford and Company CRAWFORD AND COMPANY

CRAWF073 CRAW20

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

CRAWFORD INS

CRAW16

Crawford Insurance [Electronic Indirect]

CRAWF004

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name Crawford Insurance [Electronic Indirect] Address 100 PASSAIC AVE STE 140 FAIRFIELD, NJ 07004 100 PASSAIC AVE STE 140 FAIRFIELD, NJ 07004 121 ExecutiveCenter Drive Suite 220 Columbia, SC 29210 121 ExecutiveCenter Drive Suite 220 Columbia, SC 29210 121 ExecutiveCenter Drive Suite 220 Columbia, SC 29210 122 E. 42ND ST NEW YORK, NY 101680002 122 E. 42ND ST NEW YORK, NY 101680002 122 E. 42ND ST NEW YORK, NY 101680002 160 LAWRENCE BELL RD WILLIAMSVILLE, NY 14221 160 LAWRENCE BELL RD WILLIAMSVILLE, NY 14221 160 LAWRENCE BELL RD WILLIAMSVILLE, NY 14221 1842 CENTER POINT CR STE 103S NAPERVILLE, IL 60563 1842 CENTER POINT CR STE 103S NAPERVILLE, IL 60563 1842 CENTER POINT CR STE 103S NAPERVILLE, IL 60563 22 IBM RD POUGHKEEPSIE, NY 12601 22 IBM RD POUGHKEEPSIE, NY 12601 22 IBM RD POUGHKEEPSIE, NY 12601 220 Horizon Drive-Suite 203 Raleigh, NC 27615 220 Horizon Drive-Suite 203 Raleigh, NC 27615 220 Horizon Drive-Suite 203 Raleigh, NC 27615 2665 N Air FRESNO DR Suite 111 FRESNO, CA 93727 2665 N Air FRESNO DR Suite 111 FRESNO, CA 93727 2665 N Air FRESNO DR Suite 111 FRESNO, CA 93727 2829 Wehrle Dr. STE:11A WILIIAMSVILLE, NY 14221 2829 Wehrle Dr. STE:11A WILIIAMSVILLE, NY 14221 2829 Wehrle Dr. STE:11A WILIIAMSVILLE, NY 14221 3 ADLER DRIVE E. SYRACUSE, NY 13057 3 ADLER DRIVE E. SYRACUSE, NY 13057 3 ADLER DRIVE E. SYRACUSE, NY 13057 3711 MAPLEWOOD AVE #205 WICHITA FALLS, TX 76308 Payer ID CRAWF027 Auto/No-Fault

Crawford Insurance [Electronic Indirect]

CRAWF050

Other WC (Non-NY)

Crawford Insurance [Electronic Indirect]

CRAWF005

New York Workers' Compensation Auto/No-Fault

Crawford Insurance [Electronic Indirect]

CRAWF028

Crawford Insurance [Electronic Indirect]

CRAWF051

Other WC (Non-NY)

Crawford Insurance [Electronic Indirect] Crawford Insurance [Electronic Indirect] Crawford Insurance [Electronic Indirect] Crawford Insurance [Electronic Indirect] Crawford Insurance [Electronic Indirect] Crawford Insurance [Electronic Indirect] Crawford Insurance [Electronic Indirect]

CRAWF006 CRAWF029 CRAWF052 CRAWF007 CRAWF030 CRAWF053 CRAWF008

New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault

Crawford Insurance [Electronic Indirect]

CRAWF031

Crawford Insurance [Electronic Indirect]

CRAWF054

Other WC (Non-NY)

Crawford Insurance [Electronic Indirect] Crawford Insurance [Electronic Indirect] Crawford Insurance [Electronic Indirect] Crawford Insurance [Electronic Indirect] Crawford Insurance [Electronic Indirect] Crawford Insurance [Electronic Indirect] Crawford Insurance [Electronic Indirect]

CRAWF009 CRAWF032 CRAWF055 CRAWF010 CRAWF033 CRAWF056 CRAWF011

New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault

Crawford Insurance [Electronic Indirect]

CRAWF034

Crawford Insurance [Electronic Indirect]

CRAWF057

Other WC (Non-NY)

Crawford Insurance [Electronic Indirect]

CRAWF012

New York Workers' Compensation Auto/No-Fault

Crawford Insurance [Electronic Indirect]

CRAWF035

Crawford Insurance [Electronic Indirect]

CRAWF058

Other WC (Non-NY)

Crawford Insurance [Electronic Indirect] Crawford Insurance [Electronic Indirect] Crawford Insurance [Electronic Indirect] Crawford Insurance [Electronic Indirect]

CRAWF013 CRAWF036 CRAWF059 CRAWF014

New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name Crawford Insurance [Electronic Indirect] Address 3711 MAPLEWOOD AVE #205 WICHITA FALLS, TX 76308 3711 MAPLEWOOD AVE #205 WICHITA FALLS, TX 76308 45 BROADWAY 27TH FL NEW YORK, NY 11501 45 BROADWAY 27TH FL NEW YORK, NY 11501 45 BROADWAY 27TH FL NEW YORK, NY 11501 520 COLUMBIA DR JOHNSON CITY, NY 13790 520 COLUMBIA DR JOHNSON CITY, NY 13790 520 COLUMBIA DR JOHNSON CITY, NY 13790 629 FRENCH RD CAMPUS PLAZA NEW HARTFORD, NY 13413 629 FRENCH RD CAMPUS PLAZA NEW HARTFORD, NY 13413 629 FRENCH RD CAMPUS PLAZA NEW HARTFORD, NY 13413 PO BOX 337 EAST SYRACUSE, NY 13057 PO BOX 337 EAST SYRACUSE, NY 13057 PO BOX 337 EAST SYRACUSE, NY 13057 PO BOX 3608 STUYVESANT PARK ALBANY, NY 12203 PO BOX 3608 STUYVESANT PARK ALBANY, NY 12203 PO BOX 3608 STUYVESANT PARK ALBANY, NY 12203 PO BOX 411280-Attn:Tina Litwiller St. Louis, MI 63141 PO BOX 411280-Attn:Tina Litwiller St. Louis, MI 63141 PO BOX 411280-Attn:Tina Litwiller St. Louis, MI 63141 PO BOX 5000 SMITHTOWN, NY 11787 PO BOX 5000 SMITHTOWN, NY 11787 PO BOX 5000 SMITHTOWN, NY 11787 PO BOX 5047 ATLANTA, GA 30302 PO BOX 5047 ATLANTA, GA 30302 PO BOX 5047 ATLANTA, GA 30302 PO BOX 516 GLASTONBURY, CT 06033 PO BOX 516 GLASTONBURY, CT 06033 PO BOX 516 GLASTONBURY, CT 06033 PO Box 69 Binghampton, NY 13903 PO Box 69 Binghampton, NY 13903 PO Box 69 Binghampton, NY 13903 PO BOX 9342 UNIONDALE, NY 11553 PO BOX 9342 UNIONDALE, NY 11553 Payer ID CRAWF037 Auto/No-Fault

Crawford Insurance [Electronic Indirect]

CRAWF060

Other WC (Non-NY)

Crawford Insurance [Electronic Indirect]

CRAWF015

New York Workers' Compensation Auto/No-Fault

Crawford Insurance [Electronic Indirect]

CRAWF038

Crawford Insurance [Electronic Indirect]

CRAWF061

Other WC (Non-NY)

Crawford Insurance [Electronic Indirect] Crawford Insurance [Electronic Indirect] Crawford Insurance [Electronic Indirect] Crawford Insurance [Electronic Indirect] Crawford Insurance [Electronic Indirect] Crawford Insurance [Electronic Indirect] Crawford Insurance [Electronic Indirect] Crawford Insurance [Electronic Indirect] Crawford Insurance [Electronic Indirect] Crawford Insurance [Electronic Indirect]

CRAWF016 CRAWF039 CRAWF062 CRAWF017 CRAWF040 CRAWF063 CRAWF018 CRAWF041 CRAWF064 CRAWF019

New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault

Crawford Insurance [Electronic Indirect]

CRAWF042

Crawford Insurance [Electronic Indirect]

CRAWF065

Other WC (Non-NY)

Crawford Insurance [Electronic Indirect] Crawford Insurance [Electronic Indirect] Crawford Insurance [Electronic Indirect] Crawford Insurance [Electronic Indirect] Crawford Insurance [Electronic Indirect] Crawford Insurance [Electronic Indirect] Crawford Insurance [Electronic Indirect] Crawford Insurance [Electronic Indirect] Crawford Insurance [Electronic Indirect] Crawford Insurance [Electronic Indirect] Crawford Insurance [Electronic Indirect] Crawford Insurance [Electronic Indirect] Crawford Insurance [Electronic Indirect] Crawford Insurance [Electronic Indirect] Crawford Insurance [Electronic Indirect] Crawford Insurance [Electronic Indirect] Crawford Insurance [Electronic Indirect]

CRAWF020 CRAWF043 CRAWF066 CRAWF021 CRAWF044 CRAWF067 CRAWF022 CRAWF045 CRAWF068 CRAWF023 CRAWF046 CRAWF069 CRAWF024 CRAWF047 CRAWF070 CRAWF025 CRAWF048

New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name Crawford Insurance [Electronic Indirect] Crawford Insurance [Electronic Indirect] Address PO BOX 9342 UNIONDALE, NY 11553 TOWER PL #4 EXECUTIVE PARK ALBANY, NY 12203 TOWER PL #4 EXECUTIVE PARK ALBANY, NY 12203 TOWER PL #4 EXECUTIVE PARK ALBANY, NY 12203 614 LOCUST ST ST LOUIS, MO 63101 249 Research Pkwy / Ste 220 Davenport, IA 52806 6745 Pittsford Palmyra Rd Attn: Alana Mitchell Fairport, NY 14450 1 MUSTARD ST ROCHESTER, NY 14609 2075 SCOTTSVILLE ROAD ROCHESTER, NY 14623 5700 HALIFAX AVE FORT MYERS, FL 33912 PO BOX 1849 POUGHKEEPSIE, NY 12601 202 NORTH CENTER STREET EAST SYRACUSE, NY 13057 ONE CROWN WAY PHILADELPHIA, PA 19159 2 WATER ST CUBA, NY 14727 575 STATE FAIR BOULEVARD SOLVAY, NY 13209 PO Box 958426 Lake Mary, FL 32795 1600 MARKET STREET FIFTH FLOOR PHILADELPHIA, PA 19103 305 MADISON AVE MORRISTOWN, NJ 07962 6404 INTERNATIONAL PKWY STE 100 PLANO, TX 75093 PO BOX 1916 MORRISTOWN, NJ 07963 PO BOX 1960 MORRISTOWN, NJ 07962 PO Box 958426 Lake Mary, FL 32795 300 American Metro Blvd HAMILTON, NJ 08619 PO BOX 110 SPENCERPORT, NY 14559 PO BOX 3460 PITTSBURGH, PA 15230 PO BOX 955 BLUE BELL, PA 19422 3218 HIGHWAY 67 MESQUITE, TX 75150 PO BOX 4614 BUFFALO, NY 14240-4614 PO BOX 8924 MELVILLE, NY 11747 1 BELL CROSSING SELKIRK, NY 12158 500 WATER ST JACKSONVILLE, FL 32202 1 CENTRE STREET RM 1200 AUTO CLAIMS NEW YORK, NY 10007 PO BOX 3002 COATSVILLE, PA 19320 PO BOX 1084 MADISON, WI 53701 Payer ID CRAWF071 CRAWF026 Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault

Crawford Insurance [Electronic Indirect]

CRAWF049

Crawford Insurance [Electronic Indirect]

CRAWF072

Other WC (Non-NY)

CRCC Creative Risk Sol. / WC Crest Manor (Self Insured)

CRCC01 CREAT001 CREST001

New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

CRESTWOOD CHILDRENS CENTER CRESTWOOD CHILDRENS CENTER CRITTENDEN ADJUSTER CO. CRM CROWLEY INSURANCE CROWN CORK & SEAL CROWN RECYCLING CRUCIBLE SPECIALTY METALS Crum & Forster CRUM & FORSTER

CCC02 CCC01 CRITT001 CRM01 CROWL001 CROWN002 CROWN001 CRUCI001 CRUMF002 CRUMF001

CRUM & FORSTER CRUM AND FORESTER

CRUM02 CRUMA001

CRUM AND FORSTER CRUM AND FORSTER Crum and Foster CSG CSG CSI CSI CSI INSURANCE CSS LLC CSSC CSX CSX TRANSPORTATION CTY OF NY OFFC OF COMPTRO

CRUM05 CRUM07 CRUMA002 CSG002 CSG001 CSI001 CSI002 CSII01 CSS01 CSSC02 CSX01 CSXTR001 CTYOF001

CUMBERLAND INS GRP CUMIS INS

CUMBE001 CUMI02

New York Workers' Compensation New York Workers' Compensation

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name CUMIS INS CUNA MUTUAL CURBELL Address PO BOX 1221 MADISON, WI 53701-1221 PO BOX 1221 MADISON, WI 53701 7 COBHAM DR ATT: JILL HIMES ORCHARD PARK, NY 14127 214 Carnegie Center Suite 101 Princeton, NJ 08540 31 SAINT JAMES AVE. BOSTON, MA 02116-0430 602 Route 299 HIGHLAND LAKES, NY 12528 55 JERICHO TPKE STE 101 AUTO CLAIMS JERICHO, NY 11753 1129 LOWMAN RD LOWMAN, NY 14861 6465 TRANSIT RD ELBA, NY 14058 P O BOX 2829 SUWANEE, GA 30024 PO BOX 534430 ATLANTA, GA 30353 1503 Clark Street Road Auburn, NY 13021 403 PORT JERSEY BLVD JERSEY CITY, NJ 07305 5140 MAIN STREET WILLIAMSVILLE, NY 14221 2345 MAXON ROAD, EXT. SCHENECTADY, NY 12308 PO BOX 9220 FARMINGTON HILLS, MI 483339220 730 WARREN ROAD ITHACA, NY 14850 P O BOX 8044 STEVENS POINT, WI 54481-8021 30 SOUTH PEARL STREET ALBANY, NY 12207 PO BOX 22439 Tucson, AZ 85734 PO Box 22439 Tucson, AZ 85734 2105 SOUTH BROADWAY PINE CITY, NY 14871 211 W61ST ST 3RD FL NEW YORK, NY 10023 239 ROBINSON STREET BINGHAMTON, NY 13904 100 HENRY STREET SAYRE, PA 18840 RD 2 Forksville, PA 18616 2105 S Broadway Pine City, NY 14871 1770 HERTEL AVE BUFFALO, NY 14216 1700 BROADWAY BUFFALO, NY 14212 96 MENAND ROAD MENANDS, NY 12204 180 WASHINGTON AVE EXT ALBANY, NY 12203 S 5540 SOUTHWESTERN BLVD HAMBURG, NY 14075 PO BOX 191 WATKINS GLEN, NY 14891 100 CROSSING ROAD BRISTOL, PA 19007 1 COMMERCE DRIVE AMHERST, NY 14228-2395 5861 PYLE DRIVE EAST SYRACUSE, NY 13057 Payer ID CUMI01 CUNA01 CURBE001 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

Cure Auto Insurance CURTIN, MURPHY & O'REILLY, P.C. Custard Ins CUSTARD INS ADJUSTERS

CUREA001 CURTI001 CUSTA001 CUSTA002

CUSTOM MIX CONCRETE CY FARMS CYPRESS CARE CYPRESS CARE D & W Diesel D&L RAIL SERVICE DAILEY MANAGEMENT DAILY GAZETTE DAIMLERCHRYSLER INSURANCE CO

CUSTO001 CYFAR001 CYPRE001 CYPC01 DWDIE001 DLRAI001 DLYM01 DAILY001 DACH01

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

DAIRY ONE DAIRYLAND INS DALE MILLER RESTAURANT Dallas National Insurance Co Dallas National Insurance/Coventry / WC DALRYMPLE GRAVEL (PINE CITY NY) DANCE THEATER DANDEE'S BAR AND GRILL DANDY MINI MARTS (MAIN OFFICE) Darway Nursing Home Darymple Co (Pine City) DASH'S MARKET DATES WIESER FURNITURE DAUGHTERS OF CHARITY DAUGHTERS OF SARAH DAVID BURKE CONSTRUCTION DAVID SIDLE AGENCY DAVID'S BRIDAL DAVIS ULMER DAVIS WALLBRIDGE

DAIRY001 DAIRY002 DALEM001 DALLA002 DALLA001 DALRY001 DANCE001 DANDE001 DANDY001 DARWA001 DARYM001 DASHS001 DATES001 DAUGH001 DAUGH002 DAVID002 DAVID001 DAVID003 DAVIS001 DAVIS002

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name Day Zimmerman Address 1827 Freedom Rd. St. 101 Lancaster, PA 17601 2209 QUARRY DRIVE WESTLAWN, PA 19609 112 ORCHARD HILL RD ELMIRA, NY 14903 1622 State Route 414 Waterloo, NY 13165 240 COMMERCE DR ROCHESTER,NY, NY 14623 1620B GRAND CENTRAL AVE ELMIRA, NY 14903 1051 SOUTH MAIN STREET PO BOX 4075 ELMIRA, NY 14904 211 N.MAIN STREET P.O. BOX 231 MECHANICVILLE, NY 12118 P.O. Box 1775 Columbia, SC 29202 PO BOX 1775 Columbia, SC 29202 1015 N YORK RD WILLOW GROVE, PA 19090 PO BOX J MAYFIELD, NY 12117 111 MAIN STREET DELHI, NY 13753 3007 NEW RODGERS RD BRISTOL, PA 19007 PO BOX 10006 BOWLING GREEN STA NEW YORK, NY 10274 570 Delaware Ave Buffalo, NY 14202 6701 Manlius Center Rd East Syracuse, NY 13057 1 TURTLE CIRCLE HORSEHEADS, NY 14845 PO BOX 542528 DALLAS, TX 75354 950 Pennsylvania Avenue Workers Compensation Washington, DC 20535 PO BOX 5204 BINGHAMTON, NY 13902 PO BOX 44269 Olympia, WA 98504 1931 buffalo road rochester, NY 14624 100 LACKAWANNA AVE PO BOX 5100 SCRANTON, PA 185055100 800 NO CAPITAL ST NW ROOM 800 WASHINGTON, DC 20211 UNIVERSITY & WOODLAND AVE PHILADELPHIA, PA 19104 18 LIMESTONE DR #4 WILLIAMSVILLE, NY 14221 49 EXECUTIVE AVENUE EDISON, NJ 08816 590 DUKE RD CHEEKTOWAGA, NY 14225 one Brick Avenue Binghamton, NY 13901 19065 HICKORY CREEK DR STE 240 MOKENA, IL 60448 11764 WEST SAMPLE RD STE 104 CORAL SPRINGS, FL 33065 703 Shotgun Rd. Bldg. E Sunrise, FL 33326 Payer ID DAYZI001 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

DAY ZIMMERMAN DC COMMUNICATIONS DC Rauscher DDS UTILITIES DEAN FOODS DECKER INC

DAYZI002 DCCOM001 DCRAU001 DDSUT001 DEANF001 DECKE001

DECRESANTE DISTRIBUTION

DECRE001

Defender Services Defender Services DEL VALLEY TRUST DELANEY GROUP DELAWARE COUNTY SELF INS. DELAWARE VALLEY PEST DELOS INS/COUNTRYWIDE

DEFEN002 DEFEN001 DELVA001 DELAN001 DELAW001 DELAW002 DELOS001

Delta Sonic Demco NY Corp DEMETS DEPARTMENT OF COMMERCE Department Of Justice

DELTA001 DEMCO001 DEMET001 DEPAR002 DEPAR003

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY)

DEPARTMENT OF LABOR Department of Labor and Industry depaul community service DEPT OF LABOR & INDUSTRY

DOLA01 DEPAR001 DEPAU001 DEPTO003

DEPT OF LABOR OWCP

DEPTO002

DEPT OF VET AFFAIRS DERICO OF EAST AMHERST CORP DERR FLOORING COMPANY DERRICK CORP DeVincentis DIA TRI

DEPTO001 DERIC001 DERRF001 DEC01 DEVIN001 DIAT01

DIAGNOSTIC PLUS

DIAGN002

Diagnostics Plus / WC

DIAGN001

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name DIAMOND & BACORN DIAMOND PACKAGING DIETRICH'S MILK PRODUCTS Address 93 INDUSTRIAL PARK BLVD ELMIRA, NY 14901 111 COMMERCE DR ROCHESTER, NY 14623 PO BOX 102 ROUTE 287 MIDDLEBURY CENTER, PA 16935 PO BOX 68 NEWTON, NJ 07860 111 W 2nd St 3rd Fl Jamestown, NY 14701 10123 Main Street Clarence, NY 14031 234 WEST GENESEE STREET SYRACUSE, NY 13202 40 N. MAIN AVE ALBANY, NY 12203 795 MAIN ST BUFFALO, NY 14203 PO BOX 369 OGDENSBURG, NY 13669 PO Box 857 Farmington, CT 06034 5905 HAMPTON OAKS PARKWAY TAMPA, FL 33610 217 AVENUE A CARLSTADT, NJ 07072 ONE TOWER SQUARE HARTFORD, CT 06183-1190 5 BATTERSON PARK RD FARMINGTON, CT 06032 PO BOX 160 E SYRACUSE, NY 13057 121 JACKSON AVENUE ATTN: MARYBETH SANTUCCI JAMESTOWN, NY 14701 P O BOX 823 AMHERST, NY 14226 PO BOX 426 LEWISTON, NY 14092 3250 WEST 17TH STREET ERIE, PA 16505 5795 WIDEWATERS PKWY DEWITT, NY 13214 406 E MAIN ST CORRY, PA 16407 20 TUSCAORA STREET ADDISON, NY 14801 PO BOX 3409 Coppelle, TX 75019 po box 1728 goodlettsville, TN 37070 1359 SILVERBACK LANE PAINTED POST, NY 14870 ATTN: H.R. DEPT. 500 VOLVO PARKWAY CHESAPEAKE, NY 23320-9924 1150 PENNFIELD RD ROCHESTER, NY 14625 7610 COUNTY ROUTE 65 PO BOX 590 HORNELL, NY 14843 1370 BURNET AVENUE SYRACUSE, NY 13206 21 PALMER PL LANCASTER, NY 14086 174 VILLAGE SQUARE PAINTED POST, NY 14870 PO BOX 302 MARIETTA, PA 17547 216 Colesville Rd binghamton, NY 13904 20 LOSSON RD STE 215 CHEEKTOWAGA, NY 14227 Payer ID DIAMO002 DIAMO001 DIETR001 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

DIETZ & HAMMER Digitell Inc Dimar Manufacturing Corp. DINOSAUR BBQ DIOCESE OF ALBANY DIOCESE OF BUFFALO DIOCESE OF OGDENSBG Direct DME DIRECT GENERAL INSURANCE DIRECT TECH DISCOVER PROPERTY & CASUALTY IN DISCOVER PROPERTY AND CASUALTY IN DISTRIBUTION SERVICES INC DIVERSIFIED ERECTION

DIETZ001 DIGIT001 DIMAR001 DINOS001 DOA01 DIOCE001 DIOCE002 DIREC002 DIREC003 DIREC001 DISC01 DPCI01 DIST01 DIVER001

DIVITA CORP DLB ELEVATOR DODSWORTH TRUCKING DOLGENCORP OF NY DOLLAR GENERAL DOLLAR GENERAL (ADDISON) DOLLAR GENERAL CORP dollar general risk mgmt DOLLAR TREE (PAINTED POST,NY) DOLLAR TREE INCORPORATED

DIVIT001 DLBEL001 DODSW001 DONY01 DOLLA004 DOLLA002 DOLLA003 DOLLA001 DOLLA006 DOLLA005

DOLOMITE GROUP DOLOMITE PRODUCTS CO INC

DOLOM002 DOLOM001

DOMINICK'S RESTAURANT DOMMER CONSTRUCTION DONALD D SMITH DMD DONEGAL COMPANIES don's automotive DOODLE BUGS

DOMIN001 DOMME001 DONAL001 DOCO01 DONSA001 DOBU01

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name DORITEX UNIFORM CO DOUBLE DOUBLE DOUG GROSS CONSTRUCTION INC DOUGLAS G PATERSON AND SONS DR JOSEPH PISKOROWSKI DDS DREICOR INC DRESSER RAND (PAINTED POST) DRIVERS INSURANCE DRIVER'S VILLAGE DS2 DEFENSE SUPPORT SERVICE DS2 DEFENSE SUPPORT SERVICE DSNY - WC dual printing ,inc DUEPPENGIESSER DAIRY CO DUNKIN DONUTS DUNKIN DONUTS DUNKIN DONUTS (CORNING) DUNKIRK SPECIALTY STEEL DUNN TIRE DUNN TIRE DURA BUILT DURAMIX DURHAM STAFFING DUTCHESS COUNTY DV BROWN AND ASSOCIATES DWC Mechanical Dynalec Corp Address 11980 WALDEN AVE ALDEN, NY 14004 P O BOX 646 HAMBURG, NY 14075 600 RITA'S WAY PAINTED POST, NY 14870 PO BOX 826 LOCKPORT, NY 14094 26 BARR ROAD ITHACA, NY 14850 PO BOX 565 HENDERSONVILLE, NC 28793 100 CHEMUNG ST PAINTED POST, NY 14870 PO BOX 4008 SUNNYSIDE, NY 11104 5885 EAST CIRCLE DRIVE STE 200 CICERO, NY 13039 BUILDING 2050F MUNNS CORNER FORT DRUM, NY 13602 PO BOX 71 GREAT BEND, NY 13643 44 Beaver Street New York, NY 10004 340 nagel drive cheektowaga, NY 14225 7835 BUTLER ROAD PERRY, NY 14530 1315 UPPER FRONT ST BINGHAMTON, NY 13905 509 RTE 67 BALLSTON SPA, NY 12020 125 CONHOCTON STREET CORNING, NY 14830 830 BRIGHAM RD DUNKIRK, NY 14048 475 CAYUGA RD STE 500 BUFFALO, NY 14225 9540 NIAGARA FALLS BLVD NIAGARA FALLS, NY 14304 PO BOX 188 WELLSBURG,NY, NY 14894 160 EAST 22ND STREET BAYONNE, NJ 07002 255 DELAWARE AVE BUFFALO, NY 14202 76 NORTH BROADWAY IRVINGTON, NY 10533 567 VICKERS STREET TONAWANDA, NY 14150-2575 49 Stradtman Street Cheektowaga, NY 14206 PO Box 188 87 West Main St Sodus, NY 14551 P.O. Box 146 Monsey, NY 10952 8433 N. BLACK CANYON HWY STE 200 PHOENIX, AZ 85021 P.O. BOX 1234 ROUTE 355 POESTENKILL, NY 12140 5795 BRIDGE STREET EAST SYRACUSE, NY 13057 PO BOX 3500 RENO, NV 89511 PO BOX 539004 HINDERSON, NV 89053 PO BOX 1176 WEEDSPORT, NY 13166 25 DEAN STREET OWEGO, NY 13827-3352 1320 OLD COUNTRY RD RIVERHEAD, NY 11901 Payer ID DUC01 DOUBL001 DOUGG001 DOUGL001 DRJOS001 DREIC001 DRESS001 DRIVE002 DRIVE001 DS2DE001 DS2DE002 DSNYW001 DUALP001 DUEPP001 DUNKI001 DUNKI002 DUNKI003 DSS01 DUNNT002 DUNNT001 DURAB001 DURAM001 DURHA001 DUTCH001 DVBRO001 DWCME002 DYNAL001 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

Dynamic Claims Services DYNAMIC EDUCATION SYS INC

DYNAM001 DYED01

DYNAMIC SYSTEMS, INC.

DYNAM002

E & G BINDING EICN EINC E&V ENERGY E.E. ROOT & SON EAGLE CHEVROLET

EGBIN001 EICN01 EINC01 EVENE001 EEROO001 EAGLE002

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name EAGLE CLAIMS SERVICES Address 251 SALINA MEDOWS PKY Suite 150 NORTH SYRACUSE, NY 13212 PO BOX 2249 SYRACUSE, NY 13220 PO BOX12895 Rochester, NY 14612 115 WEST COURT STREET 2ND FLOOR DOYLESTOWN, PA 18901 395 JACKSONVILLE RD FIRST FLOOR WARMINSTER, PA 18944 PO BOX 83777 LANCASTER, PA 17608-3777 325 Donald J Lynch Blvd Marlborough, MA 01752 880 BROADWAY ALBANY, NY 12207 1430 SULLIVAN STREET ELMIRA, NY 14901 2600 WILLIAM STREET NEWFANE, NY 14108 PO BOX 480 101 CAYUGA ST FULTON, NY 13069 PO BOX 1368 WILKES-BARRE, PA 18703-1368 PO BOX A-H 16 SOUTH RIVER ST WILKES-BARRE, PA 18703-0020 200 WESTINGHOUSE CIRCLE HORSEHEADS, NY 14845 1005 INDIAN CHURCH RD #3 WEST SENECA, NY 14224 PO Box 541487 Flushing, NY 11354 200 ROBERT DANN DRIVE PAINTED POST, NY 14870 871 RTE 64 ELMIRA, NY 14903 650 BALDWIN STREET ELMIRA, NY 14901 2790 W CLINTON STREET WEST SENECA, NY 14224 101 COLUMBIA ST CORNING, NY 14830 330 EAST 14TH STREET ELMIRA HEIGHTS, NY 14903 6801 MYERS ROAD EAST SYRACUSE, NY 13057 1700 CLINTON ST BUFFALO, NY 14206-3197 111 Premier Drive Belleville, IL 62220 111 Premier Drive Belleville, IL 62220 1019 ROUTE 519 EIGHTY FOUR, PA 15330 PO BOX 1849 POUGHKEEPSIE, NY 12601 909 LINDEN AVE ROCHESTER, NY 14625 PO BOX 541487 FLUSHING, NY 11354-1548 48 Colonial Drive Horseheads, NY 14845 48 COLONIAL DRIVE HORSEHEADS, NY 14845 729 Cross Road Oaks Corners, NY 14518 4459 BAILEY AVE AMHERST, NY 14226 37 NORTH CHEMUNG ST WAVERLY, NY 14892 Payer ID EAGL04 New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

EAGLE CLAIMS SERVICES EAGLE CLAIMS SERVICES EAGLE TRUST MANAGEMENT

EAGL01 EAGLE001 EAGLE004

EAGLE TRUST MGT

EAGLE003

EASTERN ALLIANCE INSURANCE Eastern Casualty Insurance EASTERN HEATING & COOLING EASTERN METAL OF ELMIRA EASTERN NIAGARA HOSPITAL EASTERN SHORES

EAI01 EASTE001 EASTE003 EASTE002 EASTE004 EAST01

EASTGUARD EASTGUARD INSURANCE CO

EASTG001 EAIN01

EATON CORPORATION EBENEZER RAILCARS/ATTN JENNET J Echo Administrative Service ECONO LODGE (PAINTED POST) ECONOLODGE ECONOMIC OPPORTUNITIES PROGRAM ED BAUER CONSTRUCTION EDC MANAGEMENT EDGER ENTERPRISE INC EDWARD SCHALK AND SONS EGW PERSONNEL Ehret Inc / WC Ehret Inc / WC EIGHT FOUR LUMBER EIMAR MANAGED CARE EJ DELMONTE CORP ELCO ADMIN SERVICE Elcor Health Services ELCOR NURSING Elderlee Inc ELDERWOOD AT WEDGEWOOD ELDERWOOD HEALTHCARE AT TIOGA

EATON001 EBENE001 ECHOA001 ECONO001 ECONO003 ECONO002 EDBAU001 EDCMA001 EDGER001 EDWAR001 EGW01 EHRET001 EHRET002 EIGHT001 EMC01 EJDEL001 ELCOA001 ELCOR002 ELCOR001 ELDER001 ELDER004 ELDER002

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name Elderwood Nursing Home ELECTRIC BOAT CORP Address 37 North Chemung Street Waverly, NY 14892 75 EASTERN PT ROAD MAIL J35B GROTON, CT 06340 152 CONANT ST BEERLY, MA 01915 2901 EAST LAKE RD ERIE, PA 16531 PO BOX 1029 BEVERLY, MA 01915-0729 75 Sam Fonzo Drive BEVERLY, MA 01915 PO BOX 15065 ALBANY, NY 12212 10 East Stow Road-Suite 100 Marlton, NJ 33172 75 SAM FONZO DRIVE PO BOX 1029 BEVERLY, MA 01915-0729 4 CORP PLAZA STE 425 ALBANY, NY 12203 PO BOX 986 Marlton, NJ 08053 158-11 HARRY VAN ARSDALE JR.AVE. FLUSHING, NY 11365 15811 Jewel Ave #203 Flushing, NY 11365 19 Davis Ave Poughkeepsie, NY 12603 PO BOX 1999 POUGHKEEPSIE, NY 12601-0999 201 CENTRAL AVE SILVERCREEK, NY 14136 PO BOX 500 ELMIRA, NY 14902 410 14TH STREET ELMIRA, NY 14903 346 WOODLAWN AVE ELMIRA, NY 14901 317 E Church Street Elmira, NY 14901 100 WASHINGTON ST ELMIRA, NY 14902 170 E SERVICE ROAD BINGHAMTON, NY 13901 1704 CEDAR ST ELMIRA, NY 14904 166 NORTH MAIN STREET ELMIRA, NY 14901 436 GRANT ST BUFFALO, NY 14213 291 GROTE ST BUFFALO, NY 14207 1 FRONT STREET ATTN: DOTTY E/DAVID TIPTO IRVINE, PA 16329 204 E FRANKLIN STREET HORSEHEADS, NY 14845 PO BOX 325 SYRACUSE, NY 13206 PO BOX 884 DES MOINES, IA 50304 PO BOX 1657 DAVENPORT, IA 52809-1657 PO BOX 297 10610 Medical D St 205 Pottstown, PA 19464 PO BOX 1897 BISMARCK, ND 58502 1851 East 1st Street Suite 200 Santa Anna, CA 92705 Payer ID ELDER003 ELECT009 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation

ELECTRIC INS ELECTRIC INS ELECTRIC INS ELECTRIC INS CO ELECTRIC INSURANCE Electric Insurance [Electronic] ELECTRIC INSURANCE COMPANY

ELEC01 ELEC02 ELECT008 ELECT005 ELECT010 ELECT004 ELECT001

ELECTRIC MUTUAL

ELEM01

Electric/ Premier Prizm ELECTRICAL EMPLOY.SELF INS.SAFETY PLAN

ELECT007 ELECT003

Electrical Employers Elite Contractor Trust of NY ELITE CONTRACTORS TRUST NY ELLIE'S DELI ELMIRA CORRECTIONAL FACILITY ELMIRA FLORAL PRODUCTS ELMIRA HOUSING AUTHORITY Elmira Police Dept ELMIRA PSYCHIATRIC CENTER ELMIRA ROAD MATERIAL ELMIRA STAMPING CO ELMIRA TROPHY AWARD ELMWOOD VILLAGE CONTRACTING ELWOOD FIRE PROTECTION ELWOOD NATIONAL FORGE

ELECT002 ELITE001 ELCT01 ELLIE001 ELMIR005 ELMIR008 ELMIR004 ELMIR006 ELMIR001 ELMIR007 ELMIR003 ELMIR002 ELMWO001 ELFP01 ELWOO001

EM PFAFF AND SONS EM RISK MANAGEMENT EMC INS CO EMC INSURANCE CO EMC Insurance Company

EMPFA001 EMRI01 EMCI01 EMCIN002 EMCIN001

EMC INSURANCE COMPANY Emerald Claims Management

EMCIN003 EMERA002

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name EMERALD CLAIMS MANAGEMENT EMERGICARE EMERITUS SENIOR LIVING EMERLING AGENCY EMERSON EXPRESS Address 21977 EAST WALLIS DRIVE PORTER, TX 77365 1701 SASSAFRAS ST ERIE, PA 16502 120 CREEKSIDE DRIVE PAINTED POST, NY 14870 8625 MAIN STREET WILLIAMSVILLE, NY 14221 ATT HR 545 LYELL AVE ROCHESTER, NY 14606 620 South Aurora Street Ithica, NY 14850 1815 S Meyers Road, Suite 500 Oak Brook Terrace, IL 60181 1140 SULLIVAN STREET ELMIRA, NY 14901 PO Box 542003 Omaha, NE 68154-8003 PO Box 6178 Indianapolis, IN 46206 PO BOX 514 UTICA, NY 13503 1606 ROUTE 414 WATERLOO, NY 13165 PO BOX 5847 HILLSBOROUGH, NJ 08844 1 UNION AVE SARATOGA SPRINGS, NY 12866 10 BRITISH AMERICAN BLVD LATHAM, NY 12110 400 North West 74th Ave Plantation, FL 33317 ONE BEACON LANE CANTON, MA 02021-1030 PO Box 71088 Charlotte, NC 28272 P.O. Box 1657 Davenport, IA 52807 700 SE CENTRAL PKWY STUART, FL 34994 PO BOX 2991 OVERLAND PARK, KS 66201 111 NORTH MAIN STREET ELMIRA, NY 14901 PO BOX 8300 LONDON, KY 40742 107 SOUTH ELMER AVE SAYRE, PA 18840 1603 Court Street Syracuse, NY 13208 PO BOX 40047 ROANOKE, VA 24022 1100 CORNWALL RD STE 100 MONMOUTH JCT, NJ 08852 PO BOX 1688 6000 ATRIUM WAY MOUNT LAUREL, NJ 08054 PO BOX 8400 WOODRIDGE, IL 60517 PO BOX 5000 GLEN FALLS, NY 12801 PO BOX 440457 KENNESAW, GA 30160 24 CHARLOTTE STREET BINGHAMTON, NY 13905 3 Grow Avenue Montrose, PA 18801 207 PENNA AVENUE ELMIRA, NY 14904 516 West 36th Street Second Floor New York, NY 10018 Payer ID EMERA001 EMERG001 EMERI001 EMERL001 EMERS002 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Auto/No-Fault

Emerson Power Transmission EMG Insurance / WC EMHART GLASS Empire Fire and Marine Insurance Company Empire Medicare EMPIRE RECYCLING EMPIRE SENECA EMPIRE SOUTHERN TIER EMPIRE STATE COLLEGE EMPIRE STATE TRANS Emplify EMPLOYERS FIRE INSURANCE COMPANY Employers Insurance / WC Employers Mutual Casualty / WC EMPLOYERS MUTUAL INC EMPLOYERS REINSURANCE CORP EMPLOYMENT SOLUTIONS OF NY EMPLOYMENT STANDARDS ADMI EMPOWERED STAFFING SOLUTIONS ENABLE ENCOMPAS ENCOMPASS

EMERS001 EMGIN001 EMHAR001 EMPIR003 EMPIR002 EMR01 EMS01 EST01 EMPIR001 EMP01 EMPLI001 EMPF01 EMPLO004 EMPLO003 EMPLO002 EMPR01 EMPLO001 EMPL01 EMPOW001 ENABL001 ENCOM005 ENCOM003

ENCOMPASS

ENCOM004

Auto/No-Fault

ENCOMPASS ENCOMPASS /BROADSPIRE ENCOMPASS INS ENDICOTT COIL Endless Mountains Healthcare Systems ENERGY SAVERS England Ins Brokerage

ENCOM008 ENCOM006 ENCOM001 ENDIC001 ENDLE001 ENERG001 ENGLA001

Auto/No-Fault Auto/No-Fault Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name Engler Electric Address 609 Columbia St. PO Box 1745 Utica, NY 13503 12 TENAFLY RD ENGLEWOOD, NJ 07631 SOUTH VANVARNT ST. ENGLEWOOD, NJ 07631 PO BOX 269025 SAN DIEGO, CA 92196 PO BOX 551 LITTLE ROCK, AK 72203 10940 WILSHIRE BLVD 17th Floor LOS ANGELES, CA 90024 141 BROADWAY RENSSELAER, NY 12144 4 HOOK ROAD BAYONNE, NJ 07002 200 ERB Ind. Drive FEnton, MO 63026 PO BOX 9500 JOHNSTOWN, PA 15907-8500 1341 WEST 16TH STREET ERIE, PA 16502 2000 WEST BROAD ST BETHLEHEM, PA 18018 100 ERIE INS PLACE ERIE, PA 16530 PO Box 20769 Roanoke, VA 20418 PO Box 28120 Richmond, CA 23228 PO Box 4286 Bethlehem, PA 18018 100 ERIE INSURANCE PLACE ERIE, PA 16530 120 CORPORATE WOODS STE 150 ROCHESTER, NY 14623-1464 1400 N PROVIDENCE RD SUITE 216 MEDIA, PA 19063 PO BOX 2013 MECHANICSBURG, PA 17055 PO BOX 22840 ROCHESTER, NY 14692 PO BOX 22840 ROCHESTER, NY 14692 PO BOX 4286 BETHLEHEM, PA 18018-4286 PO BOX 8267 ERIE, PA 16505 PO BOX 2832 NEW YORK, NY 10116-2832 PO BOX 2832 NEW YORK, NY 10116-2832 PO BOX 4409 SILVER SPRING, MD 20914 POBOX 20769 ROANOKE, VA 24018 100 Erie Ins. Pl. Erie, PA 16530 P.O. Box 2410 East Peoria, IL 61611 5428 GENESEE ST LANCASTER, NY 14086 311 ROTTERDAM INDUSTRIAL PKWY SCHENECTADY, NY 12306 105 LYNWOOD AVE ELMIRA HEIGHT, NY 14903 300 Airborne Parkway Suite 300 Buffalo, NY 14225 PO BOX 31116 TAMPA, FL 33631 Payer ID ENGLE001 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

ENGLEWOOD BOARD OF EDUCAT ENGLEWOOD POLICE DEPT 75 ENSURANCE ENTERGY CLAIMS MGMT INC ENTERTAINMENT BROKERS INTERNATIONAL

ENGLE002 ENGLE003 ENSUR001 ENTE01 ENTER001

ENVIRONMENTAL SERVICES EQ ENVIRONMENTAL ERB Equipment / WC ERIE ERIE FORGE AND STEEL ERIE INS CO ERIE INS COMPANY Erie Insurance Erie Insurance Erie Insurance ERIE INSURANCE ERIE INSURANCE

ENVIR001 EQENV001 ERBEQ001 ERIE03 ERIEF001 ERIEI008 ERIEI014 ERIEI004 ERIEI002 ERIEI001 ERIE02 ERIE04

ERIE INSURANCE

ERIEI009

ERIE INSURANCE ERIE INSURANCE ERIE INSURANCE ERIE INSURANCE ERIE INSURANCE ERIE INSURANCE GROUP ERIE INSURANCE GROUP ERIE INSURANCE GROUP ERIE INSURANCE GROUP Erie Insurance Group / Liability Erie Insurance Group / WC ERIE INTERSTATE CONTRACTORS ERSI

ERIEI005 ERIE01 ERIEI003 ERIEI011 ERIEI010 ERIEI015 ERIEI016 ERIEI013 ERIEI012 ERIEI007 ERIEI006 EIC01 ERSI001

New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Auto/No-Fault Auto/No-Fault Other WC (Non-NY) Auto/No-Fault Other WC (Non-NY) Other WC (Non-NY) Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

ESCHER'S TIRE ESIS

ESCHE001 ESIS009

ESIS

ESIS010

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name ESIS ESIS ESIS - Atlanta [Electronic] ESIS - Cherry Hill [Electronic] ESIS - Chicago [Electronic] ESIS - Columbia [Electronic] ESIS - Dallas [Electronic] ESIS - Dallas MK [Electronic] Esis - Minnetonka [Electronic] ESIS - New Orleans [Electronic] ESIS - Tampa [Electronic] ESIS - Wilmington [Electronic] Address PO BOX 31117 TAMPA, FL 33631-3117 PO BOX 31133 TAMPA, FL 33631 PO BOX 31145 TAMPA, FL 33631 PO BOX 31079 TAMPA, FL 33631 PO BOX 31134 TAMPA, FL 33631 55 HADDONFIELD ROAD #210 CHERRY HILL, NJ 08002 PO BOX 31090 TAMPA, FL 33631 1100 POYDRAS STREET SUITE 2150 NEW ORLEANS, LA 70163 PO BOX31079 TAMPA, FL 33631 10320 LITTLE PATUXENT PARKWAY COLUMBIA, MD 21044 PO BOX 31052 TAMPA, FL 33631 5100 WEST LEMON STREET SUITE 207 TAMPA, FL 33609 PO BOX 31145 TAMPA, FL 33631 PO BOX 31123 TAMPA, FL 33631 PO Box 31080 Tampa, FL 33631 PO Box 31080 Tampa, FL 33631 PO BOX 31117 TAMPA, FL 336313117 PO BOX 31117 TAMPA, FL 336313117 PO BOX 31133 TAMPA, FL 33631 PO BOX 31133 TAMPA, FL 33631 300 Airborne Parkway Suite 300 Buffalo, NY 14225 300 Airborne Parkway Suite 300 Buffalo, NY 14225 PO Box 6566 Scranton, PA 18505-6566 PO Box 31051 Tampa, FL 33631 PO Box 31109 Tampa, FL 33631 PO Box 31186 Tampa, FL 33631 PO Box 6561 Scranton, PA 18505 PO BOX 60036 NEW ORLEANS, LA 70160 PO BOX 14545 LEXINGTON, KY 40512 PO BOX 5127 AUTO CLAIMS SCRANTON, PA 185050559 PO BOX 31080 TAMPA, FL 33631-3080 PO BOX 6566 SCRANTON, PA 18505 PO BOX 31080 TAMPA, FL 33631 407 FREMONT RD E SYRACUSE, NY 13057 33 Washington Street 11th floor Newark, NJ 07102-3194 Payer ID ESIS07 ESIS008 ESISA001 ESISC003 ESISC005 ESISC001 ESISD003 ESISD001 ESISM001 ESISN001 ESIST002 ESISW001 New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault

ESIS - Windsor [Electronic] ESIS - Woodland Hills [Electronic] Esis (Florida) [Electronic Indirect] Esis (Florida) [Electronic Indirect] Esis (Florida) [Electronic Indirect] Esis (Florida) [Electronic Indirect] Esis (Florida) [Electronic Indirect] Esis (Florida) [Electronic Indirect] Esis (New York) [Electronic Indirect]

ESISW005 ESISW003 ESISF001 ESISF002 ESISF003 ESISF004 ESISF005 ESISF006 ESISN003

Auto/No-Fault Auto/No-Fault New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY)

Esis (New York) [Electronic Indirect]

ESISN004

ESIS / ACE ESIS / WC ESIS / WC ESIS / WC ESIS / WC ESIS CO ESIS WC CLAIMS ESIS WILMINGTON CLM CENTR

ESISA003 ESISW008 ESISW007 ESISW009 ESISW010 ESISC007 ESISW012 ESISW013

New York Workers' Compensation Other WC (Non-NY) Other WC (Non-NY) Other WC (Non-NY) Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

ESIS(TAMPA) ESIS/NE WC CLAIMS ESIS-WILMINGTON ESM SCHOOL DISTRICT Essurance/ HCS

ESIST001 ESISN006 ESISW011 ESMS01 ESSUR001

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name ESTEE LAUDER Esurance ESURANCE CO ETS STAFFING EVANS AGENCY EVENS CHEMETICS EVEREADY INSURANCE CO Address 300 CROSSINGS ROAD BRISTOL, PA 19007 PO Box 335 Addison, TX 75001 PO BOX 9020 MELVILLE, NY 11747 3259 SOUTH WINTON ROAD ROCHESTER, NY 14623 135 MAIN ST LOCKPORT, NY 14094 228 EAST MAIN ST WATERLOO, NY 13165 59 MAIDEN LANE 43RD FLR AUTO CLAIMS NEW YORK, NY 10038 PO BOX 830 477 MARTINSVILLE RD LIBERTY CORNERS, NJ 07938-0830 PO BOX 830 477 MARTINSVILLE RD LIBERTY CORNERS, NJ 07938 PO BOX 830 477 MARTINSVILLE RD LIBERTY CORNERS, NJ 07938 213 SMITH ST DUNMORE, PA 18512 PO BOX 4863 SYRACUSE, NY 13221-4863 275 GRANDVIEW AVENUE SUITE 300 CAMP HILL, PA 17001 62 MAPLE AVE KEENE, NH 03431 PO BOX 370 SYRACUSE, NY 13209 PO BOX 4858 SYRACUSE, NY 13221 5062 Brittonfield Parkway East Syracuse, NY 10388 40 WANTAGE AVE BRANCHVILLE, NJ 07826-5640 6300 Center Hill Road Cincinnati, OH 45202 265 Stebbings Court Bradley, IL 60915 5100 W.LEMON ST. SW.109 TAMPA, FL 33609 6567 Kinne Road Dewitt, NY 13214 49 South Main Street Gloversville, NY 12078 3225 GALLOWS RD 2C FAIRFAX, VA 22037 400 HOWELL ST BRISTOL, PA 19007 150 VANETTA RD WAVERLY, NY 14892 TROMBLEY RD WEDDSPORT, NY 13166 3170 RIDGE ROAD RANSOMVILLE, NY 14131 2224 Pierce Creek Rd. Binghamton, NY 13903 3 SOUTH BUFFALO STREET CORNING, NY 14830 217 Potomac Blvd Mt. Vernon, IL 62864 PO BOX 10350 STAMFORD, CT 06904-2350 P O BOX 600183 DALLAS, TX 75360 2850 Lake Vista Dr. STE 150 Lewisville, TX 75067 Payer ID ESTEE001 ESURA002 ESURA001 ETSST001 EVANS001 EVCH01 EVERE003 New York Workers' Compensation Auto/No-Fault Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

EVEREST NATIONAL INS COMPANY

EVNA01

New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY)

Everest National Insurance (NJ) [Electronic Indirect] Everest National Insurance (NJ) [Electronic Indirect] EXCALIBUR EXCELLUS BENEFIT SERVICE EXCELSIOR

EVERE001

EVERE002

EXCAL001 EXCE04 EXCEL003

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

EXCELSIOR INS CO EXCELSIOR INS CO EXCELSIOR INS CO Excelsior Insurance - WC EXCHANGE MUTUAL Exchanging Executive Security Specialists / WC EXPRESS HEALTH SERVICES Express Mart (Dewitt, NY) Express Staffing EXXON MOBIL

EXCE03 EXCE01 EXCE02 EXCEL002 EXCH01 EXCHA001 EXECU001 EXPRE001 EXPRE002 EXPRE003 EXXO01

F C YOUNG F.G. MASONARY F.P. RIESTER TRUCK EQUIP FAERY'S NURSERY Fahs Construction Group FAIRFIELD INN Fairfield Inn / WC FAIRFIELD INSURANCE COMPANY FAIRMONT SPECIALTY FAIRMONT SPECIALTY INSURANCE COMPANY

FCYOU001 FGMAS001 FPR01 FAERY001 FAHSC001 FAIRF001 FAIRF002 FAIC01 FAIRM001 FASI01

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name FAIRPLAY EQUINE INS FALSO INDUSTRIES FAMILY DOLLAR FANCHER APPLIANCE FARA Address 567 CHESTNUT ST HARRODSBURG, KY 40330 4100 NEW COURT AVENUE SYRACUSE, NY 13206 42 WEST MAIN STREET OWEGO, NY 13827 P.O. BOX 6 VESTAL, NY 13851 2901 WILCREST STE 285 HOUSTON, TX 77042 1625 WEST CAUSEWAY APPROACH MANDEVILLE, LA 70471 2525 CHERRY AVE #350 SIGNAL HILL, CA 90755 7000 executive center drive brentwood, TN 37027 15 Interstate Corp Ctr STE 102 Norfolk , VA 23502 1625 WEST CAUESEWAY APPROACH MANDEVILLE, LA 70471 1000 Technology Pkwy Newark, NY 14513-2174 PO BOX 80299 LINCOLN, NE 68501 PO BOX 80299 LINCOLN, NE 68502 1 TECHNOLOGY PLACE #2 HOMER, NY 13077 9054 STATE RTE 96 INTERLAKEN, NY 14847 PO BOX 656 ALBANY, NY 12201 PO BOX 656 ALBANY, NY 12201-0656 8865 SHERIDAN DR CLARENCE, NY 14221 344 ROUTE 9W Glenmont, NY 12077 PO BOX 150 WATKINS GLEN, NY 14891 2080 FARRAGUT AVE BRISTOL, PA 19007 PO Box 108843 Oklahoma City, OK 73101 PO BOX 268993 OKLAHOMA CITY, OK 73126 PO Box 108843 Oklahoma City, OK 73101 PO Box 268994 Oklahoma City, OK 73126 PO Box 268995 Oklahoma City, OK 73126 PO BOX 2020 JAMESTOWN, ND 58402-2020 ONE TOWER SQUARE HARTFORD, CT 06183-1190 26 FEDERAL PLAZA NEW YORK, NY 10278 PO BOX 58004 SARASOTA, FL 34232 P.O. Box 58004 Sarasota, FL 34232 PO BOX 1248 WILLIAMSVILLE, NY 14231 9 METRO TECH CENTER BROOKLYN, NY 11201 9 METRO TECH CENTER BROOKLYN, NY 11201 PO BOX 840 DEPT 226 HARRISON, AR 72602 Payer ID FAIRP001 FALSO001 FAMIL001 FANCH001 FAIS02 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) Auto/No-Fault New York Workers' Compensation Auto/No-Fault New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation

FARA INS SERVICES FARA INS SERVICES

FAIS03 FAIS01

fara insurance service Fara Insurance Services

FARAI002 FARAI001

FARA WORKERS COMPENSATION FARADYNE MOTORS Farm Bureau Mutual [NEFB BC 1] [Electronic] Farm Bureau Mutual [NEFB BC 2] [Electronic] FARM CREDIT EAST FARM FAMILY CASUALTY FARM FAMILY CASUALTY INS CO FARM FAMILY INS CO FARM FAMILY INSURANCE Farm Family/ Procura FARM SANCUTARY FARMCO Farmers / WC FARMERS INS GROUP Farmers Insurance FARMERS INSURANCE Farmers Insurance Group FARMERS UNION CLAIMS FARMINGTON CASUALTY COMPANY FBI FCCI FCCI / WC FCS ADMINISTRATORS FDNY FDNY FED EX FREIGHT

FARAW001 FARA01 FARMB001 FARMB003 FARMC001 FARMF005 FAFC01 FARMF002 FARMF001 FARMF004 FARMS001 FARMC002 FARME005 FARME002 FARME001 FARME003 FARME006 FARME004 FACC01 FBI001 FCCI01 FCCIW001 FCSA01 FDNY01 FDNY02 FDEX01

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name Fed Ex Freight East / WC Address Del Code 2266 PO Box 840 Harrison, AR 72602 3620 Hacks Cross, Bldg B 3rd Fl Memphis, TN 38125 55 WATER ST 28TH AND 30TH FLR NEW YORK, NY 10041 555 LONG WHARF DR NEW HAVEN, CT 06511 1330 Post Oak Blvd Suite 2400 Houston, TX 77056 1330 Post Oak Blvd Suite 2400 Houston, TX 77056 1330 Post Oak Blvd Suite 2400 Houston, TX 77056 1330 Post Oak Blvd Suite 2400 Houston, TX 77056 PO BOX 1615 WARREN, NJ 07061 PO BOX 1615 WARREN, NJ 07061 PO BOX 1615 WARREN, NJ 07061 P.O. BOX 1903 NEW HAVEN, CT 06509 PO BOX 1615 WARREN, NJ 07061 201 VARICK ST NEW YORK, NY 10014 PO BOX 8300-REGION 2 LONDON, KY 40742-8300 7004 SECURITY BLVD STE 304 BALTIMORE, MD 21244 PO BOX 3069 CINCINNATI, OH 45201 7 WEST SEVENTH ST CINCINNATI, OH 45202 PO BOX 50487 INDIANAPOLIS, IN 46250 P.O. Box 390850 Minneapolis, MN 55439 PO BOX 15147 LENEXA, KS 66285-5147 PO BOX 50487 INDIANAPOLIS, IN 46250 4660 Harris Hill Rd. Clarence, NY 14221 333 ELLICOTT ST BUFFALO, NY 14203 71 CAROLYN BLVD FARMINGDALE, NY 11735 2472 CORNING RD ELMIRA, NY 14903 13590 genesee st alden, NY 14004 5859 STATE RT 31 VERONA, NY 13478 PO BOX 616648 ORLANDO, FL 32861 15 EASE ELM STREET BROADALBIN, NY 12025 3 UNIVERSITY PLAZA HACKENSACK, NJ 07601 1400 AMERICAN LANE PTAX/20 SCHAUMBURG, IL 60196 PO BOX 3570 C/O ST PAUL FIRE & CASUALTY BRANDON, FL 33509 Payer ID FEDEX002 Other WC (Non-NY)

Fed Ex, Risk Management, WC Dept FEDERAL INS CO

FEDEX001 FIC02

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

FEDERAL INSURANCE Federal Insurance Co

FERDE001 FEDER001

Federal Insurance Co [Electronic Indirect]

FEDER003

Federal Insurance Co [Electronic Indirect]

FEDER005

Federal Insurance Co [Electronic Indirect]

FEDER007

Other WC (Non-NY)

Federal Insurance Co [Electronic Indirect] Federal Insurance Co [Electronic Indirect] Federal Insurance Co [Electronic Indirect] FEDERAL INSURANCE COMPANY FEDERAL INSURANCE COMPANY FEDERAL WORKERS COMP FEDERAL WORKERS COMP FEDERATED CLAIM SCVS

FEDER004 FEDER006 FEDER008 FEDER002 FEIC01 FEWC01 FEDWC01 FECS01

New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

FEDERATED CLAIMS SERVICE FEDERATED DEPT STORES FEDERATED INS Federated Insurance / WC FEDERATED RURAL ELECTRIC INS EXCH FEDERATED SERVICE INSURANCE CO Feline's Pride FERGUSON ELECTRIC FERRANDINO & SONS FERRARIO FORD ferraro pile & shoring FERRELLGAS FHM INSURANCE COMPANY FIBER CONVERSION FICO INSURANCE CO FIDELITY & DEPOSIT COMPANY

FECS02 FEDS01 FEDI01 FEDER009 FEDR01 FEDSERV01 FELIN001 FERGU001 FERRA001 FERRA003 FERRA002 FERRE001 FHMI01 FIBER001 FICO01 FIDE01

FIDELITY & GUARANTY INS

FIDG02

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name FIDELITY AND GUARANTY INS UND INC Address 385 WASHINGTON ST MAIL CODE 102B ST. PAUL, MN 55102 ONE TOWER SQUARE HARTFORD, CT 06183-1190 ONE TOWER SQUARE HARTFORD, CT 06104 ONE TOWER SQUARE HARTFORD, CT 06104 ONE TOWER SQUARE HARTFORD, CT 06104 PO BOX 17171 BALTIMORE, MD 21297 5 BATTERSON PARK FARMINGTON, CT 06032 P.O. BOX 8924 MELVILLE, NY 11747 45-07 DAVIS STREET LONG ISLAND CITY, NY 11101 1 Ice Cream Dr PO Box 1318 Dunkirk, NY 14048 1775 BROADWAY STE 627 NEW YORK, NY 10019 1 GLEN STREET GLENS FALLS, NY 12801 PO BOX 2989 GROUP BENEFIT CENTER SYRACUSE, NY 13220-2989 10269 Old Route 31 Clyde, NY 14433 620 WEST FALL ROAD ROCHESTER, NY 14620 PO Box 558 Union Springs, NY 13160 2985 GORTON RD CORNING, NY 14830 555 ALGONQUIN RD ARLINGTON HGTS, IL 60005 9 FARMS SPRINGS RD FARMINGTON, CT 06032 7035 VAN BUREN ROAD SYRACUSE, NY 13209 777 CHESTNUT RIDGE RD STE 302 CHESTNUT RIDGE, NY 10977 PO BOX 2478 LOS ANGELES, CA 90051 OF WASHINGTON DC PO BOX 27827 RICHMOND, VA 23261 PO BOX 970 O'Fallon, MO 63366 1 Chase Manhattan PLZ. Fl. 37 New York, NY 10005-1423 11475 GREAT OAKS WAY #200 ALPHARETTA, GA 30022 777 SAN MARIAN DR NOVATO, CA 94998 P O BOX 740174 ATLANTA, GA 30374 P.O. BOX 970 O FALLON, MO 63366 PO BOX 9003 400 SJ ROAD WILLIAMSVILLE, NY 14231 1 Progress Point Ct. Fallon, MO 63368-2216 3301 RIDER TRAIL SOUTH EARTH CITY, MO 63045 PO BOX 24506 TUCSON, AZ 85734 ATTN: FEP DEPT PO BOX 24506 TUSCON, AZ 85734 Payer ID FIDGUAR01 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation

FIDELITY AND GUARANTY INS UND INC Fidelity and Guaranty Insurance Co. [Electronic Indirect] Fidelity and Guaranty Insurance Co. [Electronic Indirect] Fidelity and Guaranty Insurance Co. [Electronic Indirect] FIDELITY DEPOSIT FIDELITY INDERETY FIDELTY & G. INS C/O ST. PAUL TRAVE FIDUCIARY INSURANCE CO OF AMERICA FIELDBROOK FARMS

FIDG01 FIDEL002 FIDEL003 FIDEL004 FIDD01 FIDI01 FIDEL001 FIDUC001 FIELD001

FILIP L TIFFENBERG FINCH PAPER LLC FINGER LAKES ASSOCIATION

FILIP001 FINCH001 FLA01

Finger Lakes Construction FINGER LAKES DEVELOPMENTAL CENTER Finger Lakes Extrusion FINGERLAKES DDSO (CORNING) FINN-POWER FIRE & CASUALTY INS CO FIRE AND WATER RESTORATION FIRE DISTRICT MUTUAL INS WC

FINGE004 FINGE002 FINGE003 FINGE001 FINNP001 FICI01 FIREA001 FIDN02

FIRE INSURANCE EXCHANGE FIREMAN INSURANCE CO

FIEX01 FIREM007

Fireman's Fund FIREMANS FUND FIREMANS FUND

FIREM005 FIRF05 FIRF06

FIREMANS FUND FIREMANS FUND FIREMANS FUND FIREMANS FUND

FIREM006 FIREM002 FIREM003 FIRF04

Firemans Fund Insurance FIREMANS FUND INSURANCE FIREMANS FUND INSURANCE CO FIREMAN'S FUND/COVENTRY

FIRF03 FIREM008 FIRF10 FIREM001

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name Firemans Home FIREMENS INSURANCE COMPANY OF WASHINGTON DC FIRESTONE DISTRICT FIRESTONE TIRE AND SERVICE CENT FIRST AMHERST DEVELOPEMENT CO First Cardinal FIRST CARDINAL FIRST CARDINAL FIRST COMP WC Address 125 Harry Howard Ave. Hudson, NY 12534 3 UNIVERSITY PLAZA HACKENSACK, NJ 07601 4667 TRANSIT ROAD BUFFALO, NY 14221 100 VICTORY HIGHWAY PAINTED POST, NY 14870 4508 MAIN ST BUFFALO, NY 14226 PO BOX 859222 Braintree, MA 02185 PO BOX 15095 ALBANY, NY 12212 PO BOX 2070 LATHAM, NY 12110 222 SOUTH 15TH ST SUITE 1200 OMAHA, NE 68102-1608 PO BOX 3188 OMAHA, NE 68103 4421 Aramingo Avenue Philadelphia, PA 19124 175 BERKELEY ST 4TH FL BOSTON, MA 02117-0000 PO BOX 5010 PARSIPPANY, NJ 07054 PO Box 5010 Parsippany, NJ 07054 PO BOX 410 Ashville, NY 14710 239 VAN RENSSELAER ST BUFFALO, NY 14210 501 SOUTH MEADOW ST ITHACA, NY 14850 777 CANAL VIEW BLVD SUITE 100 ROCHESTER, NY 14623 600 Northern Boulevard Suite 310 Great Neck, NY 11021 1 TOWER SQUARE HARTFORD, CT 061839027 PO BOX 509 225 LITTLETON ROAD MORRIS PLAINS, NJ 07950 PO BOX 1900 MORRISTOWN, NJ 079621900 PO BOX 3188 OMAHA, NE 68103 PO BOX 3188 OMAHA, NE 68103 PO BOX 3188 OMAHA, NE 68103 5175 SOUTHWESTEN BLVD HAMBURG, NY 14075 9 Fishkill Farm Rd Hopewell Juntion, NY 12533 PO BOX 9182 FARMINGDALE, NY 11735 6491 Younger Road Bliss, NY 14024 2850 Clover Street Pittsford, NY 14534 9611 WEST GRANT AVE FRANKLIN PARK, IL 60131 PO BOX 128 Buffalo, NY 14240 1516 ROUTE 5 & 20 GENEVA, NY 14456 PO BOX 7135 PENNDEL, PA 19047 1 PANTHER PKWY SUNRISE, FL 33323 Payer ID FIREM004 FIIC01 FIRES002 FIRES001 FIRST006 FIRST001 FIRC01 FIRST017 FCWC01 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

FIRST COMP WC First Keystone Risk Retention Group [Electronic] FIRST LIBERTY INSURANCE CO

FIRSTCWC01 New York Workers' Compensation FIRST002 FILI01 Auto/No-Fault New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Auto/No-Fault

FIRST MANAGED CARE OPTION First MCO First Niagara FIRST NIAGARA RISK MANAGEMENT FIRST NIAGRA FIRST NIAGRA BUSINESS WORKS

FIRST004 FIRST010 FIRST011 FIRST015 LAMA01 FIRST003

First Rehabilitation Life

FIRST005

FIRST TRENTON FIRST TRENTON

FIRST013 FIRST012

FIRST TRENTON AUTO Firstcomp [Electronic Indirect] Firstcomp [Electronic Indirect] Firstcomp [Electronic Indirect] FISHER MOVING & STORAGE Fishkill Farms WC FITZHARRIS AGENCY Five Corner Repair Flanders Group FLEXICORPS Flexo Transparent FLINT CREEK TRUCKING FLORI REALSTATE FLORIDA PANTHERS

FIRST014 FIRST007 FIRST008 FIRST009 FISHE001 FISHK001 FHA01 FIVEC001 FLAND001 FLEXI001 FLEXO001 FLINT001 FLORI006 FLORI001

Auto/No-Fault New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name FLORIDA SCHOOL BOARD Florist Mutual Insurance [Electronic Indirect] Address PO BOX 10709 TALLAHASSEE, FL 32302 #1 HORTICULTURAL LN PO BOX 428 EDWARDSVILLE, IL 62025 #1 HORTICULTURAL LN PO BOX 428 EDWARDSVILLE, IL 62025 #1 HORTICULTURAL LN PO BOX 428 EDWARDSVILLE, IL 62025 #1 HORTICULTURAL LN PO BOX 428 EDWARDSVILLE, IL 62025 9815 ROOSEVELT BLVD PHILADELPHIA, PA 19115 PO BOX 845 BUFFALO, NY 14240 PO BOX 418 ASHVILLE, NY 14701 100 WILLIAM ST NEW YORK, NY 10038 Human Resources 112 W 34th St New York, NY 10001 135 Bedford Rd. Katonah, NY 10536 3663 LAKESHORE RD BUFFALO, NY 14219 PO BOX 607 DEARBORN, MI 481210607 15 WATTSBURG STREET UNION CITY, PA 16438 PO Box 2739 Grand Rapids, MI 49501 230 PITKIN HILL ROAD JOHNSON CITY, NY 13790 PO BOX 394 FORT EDWARD, NY 12828 225 PATERSON AVE WALLINGTON, NJ 07057 PO BOX 1455 Harrisburg, PA 17105 205 East First Street Corning, NY 14830 Po Box 480 Lawrence, NY 11559 8571 NORTH MAIN ST EDEN, NY 14057 988 POINT BREEZE RD KENT, NY 14477 23 Diane Ln Cheektowaga, NY 14225 315 W SMITH ST CORRY, PA 16407 11 GREEN MOUNTAIN DRIVE COHOES, NY 12047 3551 RT 43 WEST SAND LAKE, NY 12196 405 CAPITOL STREET SUITE 905 CHARLESTON, WV 25301 3 GATEWAY CENTER 4 WEST PITTSBURGH, PA 15222 4751 BEST RD SUITE 100 ATLANTA, GA 30337 5795 WIDEWATERS PKWY DEWITT, NY 13214 118 SOUTH FOREST RD WILLIAMSVILLE, NY 14221 63 W MAIN ST MALONE, NY 12953 4500 ROYAL AVE NIAGARA FALLS, NY 14303 Payer ID FLORI002 FLORI003 New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

Florist Mutual Insurance [Electronic Indirect]

FLORI004

Florist Mutual Insurance [Electronic Indirect]

FLORI005

Other WC (Non-NY)

FLORISTS MUTUAL INSURANCE CO

FLORMUT01

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

FLUIDICS INC FMC FNRM (First Niagara) FOLEY, SMIT, OBOYLE & WEISMAN Foot Locker

FLUID001 FMC001 FNRMF001 FROW01 FOOTL001

Forbes FORD MOTOR CO. WC FORD MOTOR COMPANY FORDYCE NORTH TRANSPORT Foremost Property & Cas FOREVER GREEN FARMS FORT EDWARD EXPRESS CO. INC FORTE PLUMBING & HEATING Founders Insurance Founders Pavillion FountainView At College Road FOUR CORNERS CAFE FOUR C'S MARINA Four Seasons Window FOX'S INSURANCE FPI MECHANICAL FRAME PRO FRANK GATES SERVICE CO

FORBE001 FORD01 FRD01 FORDY001 FOREM001 FOREV001 FEE01 FORTE001 FOUND002 FOUND001 FOUNT001 FOURC002 FOURC001 FOURS001 FOXSI001 FPIME001 FRAME001 FRANK002

FRANK GATES SERVICE CORP FRANK GATES SERVICE CORP

FRGA03 FRGA02

FRANK GATES SERVICE CORP FRANK MISCHLERS FLORIST FRANKLIN COUNTY SELF INS FRANKS VACUUM TRUCKS SER INC

FRGA01 FMF01 FRCS01 FRANK001

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name FRANZISKA RACKER CENTERS,INC Address 3226 WILKINS ROAD ADMINISTRATION OFFICES ITHACA, NY 14850 PO BOX H WHIPPANY, NJ 07981 123 William Street 7th Fl New York, NY 10038 933 E MAIN ST FREMONT, MI 49453 933 East Main Street Fremont, MI 49412 560 SYLVAN ACE ENGELWOOD CLIFFS, NJ 07632 100 PIERCE TONAWANDA, NY 14150 2500 WESTCHESTER AVE SUITE 400A PURCHASE, NY 10577 323 ELMIRA ROAD ITHACA, NY 14850 195 LAKE LOUISE MARIE RD ROCK HILL, NY 01277-5800 PO BOX 185 NEW PALASTINE, IN 46163 3430 STATE ROUTE 434 APALACHIN, NY 13732 5596 MILLS ROAD CAMPBELL, NY 14821 4520 COUNTY ROUTE 6 AVOCA, NY 14809 5596 MILLS ROAD CAMPBELL, NY 14821 208 South Maize Road Wichita, KS 67209 330 FILLMORE AVE TONAWANDA, NY 14150 ATTEN: MICHELLE HARPER 101 OLD UNDERWOOD RD BLDG E LAPORTE, TX 77571 5606 GERA WAY ELDERSBURG, MD 21784 123 INSTERSTATE DRIVE WEST SPRINGFIELD, MA 01090 356 CONKLIN AVENUE BINGHAMTON, NY 13903 PO BOX 19000 SYRACUSE, NY 13209 PO Box 255 Hemlock, NY 14466 POX 305 ELMIRA, NY 14902 PO BOX 7777 MACON, GA 31209 123 WILLIAM ST NEW YORK, NY 10038 PO BOX 23812 TUCSON, AZ 85734 800 Connecticut Blvd Suite 5-A East Hartford, CT 06108 10091 LENOX DRIVE LAWRENCEVILLE, NJ 08648 PO BOX 32045 LAKELAND, FL 33802 9 Campus Dr. Parsippany, NJ 07054 1936 HEMPSTED TPKE STE 341 EAST MEADOW, NY 11554 3 TERRI LANE SUITE #1 BURLINGTON, NJ 08016 6320 Fly Road East Syracuse, NY 13057-9392 730 NW 107th Ave. Miami, FL 33172 3300 Vickery Road North Syracuse, NY 13212 Payer ID FRANZ002 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation

FREEMONT WORKERS COMP Frement Comp Ins - WC FREMONT INSURANCE Fremont Insurance Co. Auto FRENKEL & CO FREY ELECTRIC FRIEDLANDER GROUP

FREE01 FREME001 FREMO001 FREMO002 FREN01 FREY01 FRIED002

FRIENDLYS/ITHACA FRONTIER INS GR FRY CONSTRUCTION FS LOPKE CONTRACTING,INC FT SEISMIC FT SEISMIC SUPPORT FT WELLS SUPPORT Fugate Enterprises / Sonic Liability FUNK LAWN CARE FURMANITE AMERICA INC

FRIEN001 FRON01 FRYCO001 FSLOP001 FTSEI001 FTSEI002 FTWEL001 FUGAT001 FUNKL001 FURMA001

FUTURE CARE INC. FUTURE COMP/TD INS FUTURE FACES DAY CARE G&C G & J Construction G. O, WICK, INC GA FARM BUREAU GAB BUSINESS SERVICES GAB BUSINESS SERVICES GAB Robbins GAB ROBBINS GAB ROBBINS GAB Robins GAB ROBINS GAB ROBINS

FUTUR003 FUTUR001 FUTUR002 GC001 GJCON001 GOWIC001 GAFAR001 GABU02 GABU01 GABRO002 GABRO004 GABRO003 GABRO001 GABRO005 GABR01

GAB ROBINS Gainsco [Electronic] Gallagher Bassett

GABRO006 GAINS001 GALLA014

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name Gallagher Bassett Address 540 Pellis Rd Suite 3000 Greensburg, PA 15601 P O Box 23812 Tucson, AZ 85734 Po Box 23812 Tucson, AZ 85734 PO Box 4104 Schaumburg, IL 60168 1 Sterling Way 100 Sterling Parkway Suite 110 Mechanicsburg, PA 17050 PO BOX 204527 AUBURN, MI 48321 PO BOX 23812 TUSCON, AZ 85734 PO BOX 566 TREVOSE, PA 19053 P.O. Box 5520 Oak Brook Terrace, IL 60181 PO Box 5520 Oakbrook Terrace, IL 60181 8 FLOWERS DRIVE MECHANICSBURG, PA 17055 P.O. Box 23812 Tuscon, AZ 85734 P.O. Box 23812 Tuscon, AZ 85734 PO BOX 405 PARSIPPANY, NJ 070540405 KANSAS CITY /CMC PO BOX 419797 KANSAS CITY, MO 64141 PO BOX 98 GLEN ROCK, NJ 074520058 50 THRUWAY PARK DRIVE HENRIETTA, NY 14586 1 Sheakley Way Suite 100 Cincinnati, OH 45246-3779 605 NIAGARA ST BUFFALO, NY 14204 1401 S BRENTWOOD BLVD SUITE 1000, 10TH FL ST LOUIS, MO 63144-1416 22 Fox Court Suffern, NY 10901 1842 Center Point Circle Suite 1035 Naperville, IL 60563 11 Beach Street London, KY 40742 11 BEACH ST NEW YORK, NY 10013 CLAIMS DEPT. 10004 PRINCETOWN RD SCHENECTADY, NY 12306 HCR 1 BOX 69C PORT HENRY, NY 12974 3160 LAKE ROAD HORSEHEADS, NY 14845 6300 BRIDGEPOINT PARKWAY SUITE #200 AUSTIN, TX 78730 PO BOX 15065 ALBANY, NY 12212 One Geico Landing Virginia Beach, VA 23454 P O BOX 9507 Fredericksburg, VA 22403-9526 PO Box 9091 Macon, GA 31208 PO BOX 986 Marlton, NJ 08053 1 GEICO BLVD FREDERICKSBURG, VA 22412 Payer ID GALLA015 New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) Other WC (Non-NY) Other WC (Non-NY)

Gallagher Bassett Gallagher Bassett Gallagher Bassett GALLAGHER BASSETT

GALLA004 GALLA001 GALLA016 GALLA017

GALLAGHER BASSETT GALLAGHER BASSETT GALLAGHER BASSETT Gallagher Bassett / Liability Gallagher Bassett / Liability GALLAGHER BASSETT SERV Gallagher Bassett Services, Inc. [Electronic Indirect] Gallagher Bassett Services, Inc. [Electronic Indirect] GALLAGHER BASSETT W/C GALLAGHER BASSETT/KS CMC

GALLA011 GALL01 GALLA010 GALLA007 GALLA005 GALLA009 GALLA002 GALLA003 GALLA012 GALLA006

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault

GARDEN STATE REINSURANCE GATES AUTOMOTIVE Gates McDonald

GARDE001 GATES001 GATES002

GATEWAY - LONGVIEW GATEWAY INS CO

GATW02 GATW01

Gayle Caron - WC GB Naperville/First Americ

GAYLE001 GBNAP001

GCG Risk Management GCG RISK MANAGEMENT GCG RISK MANAGEMENT

GCGRI001 GCGC01 GCGRI002

GCG RISK MANAGEMENT GCR GCR TIRE

GCG02 GCR001 GCRTI001

GE HEALTH AND DISABILITY Geico Geico Geico Geico GEICO

GEHD01 GEICO019 GEICO004 GEICO008 GEICO006 GEICO012

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name GEICO GEICO GEICO GEICO GEICO GEICO GEICO GEICO GEICO GEICO (AUTO CLMS FOR PA) Geico [Electronic] GEICO INSURANCE Address 1 GEICO CENTER MACON, GA 31296 5260 WESTON ROAD CHEVY CHASE, MD 20815 750 WOODBURY RD WOODBURY, NY 11797 750 WOODBURY RD WOODBURY, NY 11797 8000 LINCOLN DR MARLTON, NJ 08053 ONE GEICO PLAZA WASHINGTON, DC 20076 PO BOX 509090 SAN DIEGO, CA 92186 PO BOX 509119 SAN DIEGO, CA 92150 PO BOX 9515 PISCATAWAY, NJ 08855 PO BOX 9505 FREDERICKSBURG, VA 22403 750 WOODBURY RD Woodbury, NY 11797 300 CROSSPOINT PKWY ATTN CLAIMS GETZVILLE, NY 14068 PO BOX 303 BUFFALO, NY 14240-0302 GENERAL ACCIDENT PO BOX 4860 973 JAMES ST SYRACUSE, NY 13203 PO BOX 975 Sun Prairie, WI 53590 82 HOPEMEADOW STREET SIMSBURY, CT 06089 P.O. Box 975 Sun Prairie, WI 53590 ONE GENERAL DRIVE SUN PRAIRIE, WI 53596 PO Box 975 Sun Prairie, WI 53590 2901 EAST LAKE ROAD ERIE, PA 16501 PO BOX 69 SOUTHFIELD, MI 48037 PO BOX 14607 Lexington, KY 40512 15 MAIN ST BATAVIA, NY 14020 1060 EAST GENESEE STREET SYRACUSE, NY 13210 PO BOX 10352 FINANCIAL CENTRE - B4 STAMFORD, CT 06904-2352 947 Waterloo Geneva Road Waterloo, NY 13165 5795 WIDEWATERS PKWY SYRACUSE, NY 13214 2950 EXPRESSWAY DR SOUTH ISLANDIA, NY 11722 GENEX Services Genex Services / WC GENEX SERVICES/PDM GEORGEN-MACKWIRTH GEORGIA PACIFIC COMP GEORGINE'S GERBER & GERBER 555 Route 1 South Iselin, NJ 08830 5795 Widewaters Parkway Dewitt, NY 13214 2241 LAVA RIDGE COURT, STE #1 ROSEVILLE, CA 95661 765 HERTLE AVE BUFFALO, NY 14207 PO BOX 105605 ATLANTA, GA 30348 3915 RT 413 LEVITTOWN, PA 19056 26 COURT ST SUITE 1405 AUTO CLAIMS BROOKLYN, NY 11242 GENEX001 GENEX003 GENEX002 GEMA01 GEPC01 GEORG001 GERBE001 Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault GENA01 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Payer ID GEICO018 GEICO013 GEICO009 GEICO2 GEICO010 GEIC01 GEICO014 GEICO020 GEICO011 GEICO015 GEICO001 GEICO016 Auto/No-Fault Auto/No-Fault Auto/No-Fault New York Workers' Compensation Auto/No-Fault New York Workers' Compensation Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault

GENERAL ACCIDENT

GENA03

New York Workers' Compensation

General Casualty GENERAL CASUALTY General Casualty / WC GENERAL CASUALTY CO OF WISCONSIN General Casualty/Liability GENERAL ELECTRIC GENERAL MOTORS GENERAL MOTORS BENEFITS GENESEE COUNTY SELF INS GENESEE GRANDE HOTEL GENESIS INSURANCE CO

GENCO03 GENER001 GENER002 GENC02 GENER003 GENER004 GENM01 GENM02 GEN02 GENES001 GIC01

Geneva Homes GENEX GENEX

GENEV001 GENX01 GENX02

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name GERMANIA SELECT INS Gernold Captive Group Address PO BOX 645 BRENHAM, TX 77834 726 Exchange Street Suite 900 Buffalo, NY 14210 75 WOODBURY BLVD ROCHESTER, NY 14607 PO BOX 9507 Fredericksburg, VA 22403-9525 300 EAST STATE STREET SHARON, PA 16146 210 CLINTON ROAD PO BOX 542 NEW HARTFORD, NY 13413 PO BOX 17 HUDSON, NY 12534 PO BOX 5126 YORK, PA 17405 535 BAY ROAD SUITE 1 GLENS FALLS, NY 12804 100 PARK STREET GLENNS FALLS, NY 12801 800 SOUTH BRONX TRENTON, NJ 08618 5677 PENNA AVE APALACHIN, NY 13732 PO BOX 100 PLAINVIEW, NY 11803 PO BOX 100 PLAINVIEW, NY 11803 PO Box 1149 Amarillo, TX 79105 PO BOX 273 JERSEY CITY, NJ 07305 att: David Cozad 510 W. Church Street Elmira, NY 14905 PO BOX 14594 LEXINGTON, KY 40512 PO Box 109 Rushville, IL 62681 500 West 5th Street WINSTON SALEM, NC 27102 PO BOX 14607 LEXINGTON, KY 40512 PO BOX 1623 WINSTON SALEM, NC 27102 PO BOX 66937 ST LOUIS, MO 631663937 PO BOX 1623 WINSTON SALEM, NC 27102 PO BOX 1040 WINSTON-SALEM, NC 27102 attn: Joyce 25 Liberty Street Bath, NY 14810 7115 NEW FALLS RD LEVITTOWN, PA 19055 7440 WOODLAND DRIVE INDIANAPOLIS, IN 46278 PO BOX 3918 ATTN: DIXIE MERCED, CA 95344 attn: Workers Comp 461 Nott Street Schenectady, NY 12308 PO BOX 1074 SCHENECTADY, NY 12301 501 Duanesburg Rd Schenectady, NY 12306 605 N 12th Street Mt. Vernon, IL 62864 7255 WORTH ROAD BATH, NY 14810 Payer ID GERMA001 GERNO001 Auto/No-Fault New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) Auto/No-Fault New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Auto/No-Fault Auto/No-Fault New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation

GEVA THEATRE GIECO DIRECT GILBERT'S CONSULTING Gilroy, Kernan, & Gilroy

GEVAT001 GIECO001 GILBE001 GILRO001

GINSBERG FOODS WC Glatfelter Claims Inc. GLENNS FALLS EYE ASSOCIATES

GINSB001 VFIS001 GLENN002

GLENNS FALLS HOSPITAL GLOBAL ESTAFIN GLOBAL INDUSTRIES GLOBAL LIBERTY INS GLOBAL LIBERTY INS OF NY Global Sports Services GLOBAL TERMINAL Glove House Inc (Elmira)

GLENN001 GLOBA006 GLOBA004 GLOBA003 GLOBA002 GLOBA001 GLOBA005 GLOVE001

GM NATIONAL BENEFITS STR GM Sipes Construction / WC GMAC GMAC GMAC GMAC GMAC Insurance GMAC INSURANCE Gold Mine Jewelry

GMNB01 GMSIP001 GMAC002 GMAC003 GMAC01 GMAC004 GMACI001 GMACI002 GOLDM001

GOLDEN DAWN GOLDEN RULE GOLDEN VALLEY TRANSPORT

GOLDE003 GOLDE002 GOLDE001

Golub Corp

GOLUB002

GOLUB CORPORATION Golub Insurance-WC Good Samaritan Hospital / Liability GOODRICH AUTO WORKS

GOLU02 GOLUB001 GOODS001 GOODR001

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name GORDON TRUCK LEASING GOW MANAGEMENT SERVICES GP 50 NEWYORK ATTN: JENNIFER GRAFIC ART MUTUAL graham corp GRANAHAN ELECTRIC GRANCO FEED GRAND CENTRAL PLAZA INC Address 835 EAST LYCOMING ST PHILADELPHIA, PA 19111 344 DELAWARE AVE BUFFALO, NY 14202 2770 LONG RD GRANDISLAND, NY 14072 180 GENESEE ST NEW HARTFORD, NY 13413 20 florence ave batavia, NY 14020 PO BOX 1866 DOYLESTOWN, PA 18901 299 WAVERLY AVE SPRINGVILLE, NY 14141 1020 CENTER ST SUITE 4 HORSEHEADS, NY 14845 ATTN PRES NEVEL-W/C CLAIM MAIN STREET GRAND VALLEY, PA 16420 69 South Street Auburn, NY 13021 PO Box 5310 Bonghampton, NY 13902 PO BOX 530 UTICA, NY 13503 495 Rochester ST Attn Patty Mager Avon, NY 14414 1 WATERSIDE CROSSING WINDSOR, CT 06095 500 LANIPEX CENTER PARSIPPANY, NJ 07054 PO BOX 2575 CINCINNATTI, OH 45201 PO BOX 4931 SYRACUSE, NY 13221 PO BOX 5432 CINCINNATTI, OH 45201 PO Box 2348 Cincinatti, OH 45202 One Waterside Crossing WINDSOR, CT 06095 401 Plymouth Rd. Suite 100 Plymouth Meeting, PA 19462 PO BOX 807 Peoria, IL 65612 PO BOX 141299 IRVING, TX 75014 7233 EAST BUTHERUS DRIVE SCOTTSDALE, AZ 85260 P.O. BOX 511 LAKE GEORGE, NY 12845 2122 YORK RD. OAK BROOK, IL 60523 ATTN W/C DEPT 18433 SCIOTA RD CORRY, PA 16407 5690 CAMP RD HAMBURG, NY 14075 PO BOX 1615 WARREN, NJ 07061 188 JEFFERSON ST ST 192 NEWARK, NJ 07105 PO BOX 277 SO SIOUX CITY, NE 68776-0277 PO Box 277 South Sioux City, NE 68776 200 MADISON AVE NEW YORK, NY 10016 790 Washington St. Geneva, NY 14456 200 NYS RT 392 CORTLAND, NY 13045 Payer ID GORDO001 GOWM01 GP50N001 GRAM01 GRAHA001 GRANA001 GRANC001 GRAND001 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

GRAND VALLEY FIRE DEPT

GRAND002

Grant Ave Development Graphic Arts Mutual Ins GRAPHIC ARTS MUTUAL INS CO Gray Metal Products

GRANT001 GRAPH001 GRAP01 GRAYM001

GREAT AMERICAN GREAT AMERICAN GREAT AMERICAN GREAT AMERICAN GREAT AMERICAN Great American Ins GREAT AMERICAN INS Great American Insurance

GREA02 GREA01 GREA05 GREA03 GREA04 GREAT007 GREA06 GREAT005

Great Central GREAT DIVIDE INS CO GREAT DIVIDE INSURANCE CO GREAT ESCAPE LODGE GREAT LAKE DREDGE GREAT LAKES CASE&CABINET

GREAT001 GREAT003 GRD01 GREAT011 GREAT004 GREAT010

GREAT LAKES CONCRETE GREAT NORTHERN INSURANCE CO Great Wall Logistics

GREAT009 GRN01 GREAT002

GREAT WEST CASUALITY Great West Casualty / WC GREATER NY INSURANCE Greco Painting GREEK PEAK SKI RESORT

GRWC01 GREAT008 GRNI01 GRECO001 GPSR01

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name GREEN HILLS FARMS Green Home Nursing Home GREEN TREE ADMIN INC. GREEN TREE SCHOOL Greenbelt Industries GREENFIELD HEALTH/REHAB CENTER GREENFIELD HEALTH/REHAB CENTER GREENWICH INSURANCE CO GRIDLEY EXCAVATING Grinnell Mutual / Liability Address 5933 SOUTH SALINA STREET SYRACUSE, NY 13205 37 Central Avenue Wellsboro, PA 16901 PO BOX 7306 BEAUMONT, TX 77726 146 WEST WALNUT LANE PHILADELPHIA, PA 19144 45 Comet Ave Buffalo, NY 14216 5949 BROADWAY LANCASTER, NY 14059 752 CENTER ST EAST AURORA, NY 14052 1201 NORTH MARKET ST WILMINGTON, DE 19801 41 RIVER RD CORNING, NY 14830 PO Box 790 4215 Highway 146 Grinnell, IA 50112 PO BOX 8317 Chicago, IL 60680 PO BOX 1218 COLUMBUS, OH 43216 131 READING ST BUFFALO, NY 14220 431 PHILO ROAD ELMIRA, NY 14903 One Bowdoin Square 2nd Floor Boston, MA 02114 P.O. Box 958470 Lake Mary, FL 32795 PO Box 1160 Canonsburg, PA 15317 401 E LAS OLAS BLVD Fort Lauderdale, FL 33301-2247 p.o. box 1144 glenview, IL 60025 317 VULCAN ST BUFFALO, NY 14207 PO BOX 1368 WILKES-BARRE, PA 18703 350 THEODORE FREUD RYE, NY 10580 GUARDCO INS CO GUARDIAN INSURANCE CO GUARNATEE INSURANCE COMPANY PO BOX 1365 WILKES BARRE, PA 18701 PO BOX 26150 LEHIGH VALLEY, PA 18002 401 E LAS OLAS BLVD STE 1540 FT LAUDERDALE, FL 33301-2247 PO BOX 14543 DES MOINES, IA 50306 1025 ASHWORTH RD STE 101 WEST DES MOINES, IA 50265 1111 ASHWORTH RD WEST DES MOINES, IA 50265 PO BOX 71652 DES MOINES, IA 50325 P.O. BOX 36 GUILDERLAND CENTER, NY 12085 11505 CHIMNEY ROCK HUSTON, TX 77035 PO BOX 660281 DALLAS, TX 75266 PO BOX 130446 DALLAS, TX 75313 1 GUNLOCK DR WAYLAND, NY 14572 150 Mclean Road Cortland, NY 13045 GUARD002 GUARD001 GUIC01 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Payer ID GREEN003 GREEN002 GRTA01 GREEN004 GREEN001 GREEN006 GREEN005 GREW01 GRIDL001 GRINN001 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

GRM GRNAGE INSURANCE COMPANY GROOVE ROOFING GST BOCES Guarantee Funds Management Services

GRM01 GRNAG001 GRVR01 GSTBO001 GUARA002

New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

Guarantee Insurance Guarantee Insurance Co Guarantee Insurance Co - W Guarantee Trust Life Insurance GUARD CONTRACTING ATTN:CHERYL GUARD INS CO GUARD INS./CUNNINGHAM LINDSEY

GUARA006 GUARA003 GUARA001 GUARA004 GUARD003 GUAR01 GUAR03

GUIDE ONE INS GUIDEONE

GUOI02 GUIP01

GUIDEONE GUIDEONE GUILDERLAND CENTER NURSING HOME GULF COAST CLAIM SVCS GULF INS GULF INSURANCE GUNLOCKE COMPANY INC. Gutchess Lumber Co.

GUIP02 GUOI01 GUILD001 GUCC01 GULFI001 GULFI002 GUNLO001 GUTCH001

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name Guthrie Clinic Employees Inc Guthrie Clinic Endoscopy Suite Guthrie Same Day Surgery GWINNETTE SCHOOLS Address 1 Guthrie Square Sayre, PA 18840 1 Guthrie Square Sayre, PA 18840 31 Arnot Road Big Flats, NY 14814 53 GWINNETTE DR BLDG A LAWRENCEVILLE, GA 30046 PO BOX 449 640 POUND RD ATTN: MARJORIE ELMA, NY 14059 4551 STATE HIGHWAY 30 AMSTERDAM, NY 12010 PO BOX 184 PINE CITY, NY 14871 5841 SENECA ST ELMA, NY 14059 75 N. Main Street Fairport, NY 14450 99 WEST AVE LYNDONVILLE, NY 14098 221 CURRYHALLOW RD PITTSBURG, PA 15236 1700 ELMWOOD AVENUE BUFFALO, NY 14207 BROAD STREET EXT PO BOX 29 WAVERLY, NY 14892 P.O. Box 87 Traverse City, MI 49685 20CARRINGTON STREET AVOCA, NY 14809 4644 MEADS CREEK ROAD PAINTED POST, NY 14870 2054 GRAND CENTRAL AVE HORSEHEADS, NY 14845 PO BOX 22478 OKLAHOMA CITY, OK 73123 18759 ROUTE 287 TIOGA, PA 16946 13 COMMERCE DRIVE BALLSTON SPA, NY 12020 22 HAMILTON WAY CASTLETON, NY 12033 2635 SOUTH BROAD STREET HAMILTON, NJ 08610 6800 JERICHO TURNPIKE STE 105W SYOSSET, NY 11791 1983 MARCUS AVE SUITE C-102 LAKE SUCCESS, NY 11012-0408 PO BOX 676 HAMMONDSPORT, NY 14840 139 GRAND AVENUE JOHNSON CITY, NY 13790 PO BOX 32045 LAKELAND, FL 33802 PO BOX 32045 LAKELAND, FL 33802 PO BOX 32045 LAKELAND, FL 33802 1112 COMMERCIAL DR NEW HARTFORD, NY 13413 970 ROUTE 9 SCHODACK LANDING, NY 12156 PO BOX 15146 Worcester, MA 07615 PO Box 4898 Syracuse, NY 13202 1701 RTE 70 EAST CHERRY HILL, NJ 08034 PO BOX 15146 WORCHESTER, MA 01615 PO BOX 4898 SYRACUSE, NY 13221 Payer ID GUTHR001 GUTHR002 GUTHR003 GWSC01 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Auto/No-Fault Auto/No-Fault New York Workers' Compensation New York Workers' Compensation

GYPSUM SYSTEMS

GYPSU001

H AND M EQUIPMENT H W STREETER PAVING H. D. E. ELECTRIC INC H. P. Neun Insurance H.H. DOBBINS HADDAD'S TRUCKING HADLEY EXHIBITS INC HAGEN PET FOODS INC

HANDM001 HWSTR001 HDEEL001 HPNEU001 HHD01 HADDA001 HADLE001 HAGEN001

Hagerty Ins. HAINES EQUIPMENT INC HAKES CONSTRUCTION HALE CONTRACTING HALLMARK MANAGEMENT HALL'S HOME & LUMBER HALSTEAD COMMUNICATIONS HAMILTON PRINTING HAMILTON YAMAHA HAMMOND SAFETY MANAGEMENT,LLC HAMMOND SAFETY MGT LLC

HAGER001 HAINE001 HAKES001 HALEC001 HALLM001 HALLS001 HALST001 HAMIL001 HAMIL002 HAMMO003 HAMMO002

HAMMONDSPORT FIRE DISTRICT HANDICAPP CHILDREN ASSOCIATION HANNAFORD HANNAFORD [Electronic Indirect] HANNAFORD [Electronic Indirect] HANNAFORD BROS CO HANNAFORD BROTHERS WC SELF INSURED Hanover Hanover HANOVER HANOVER HANOVER

HAMMO001 HANDI001 HAN01 HANNA001 HANNA002 HANN01 HANN02 HANOV004 HANOV002 HANOV007 HANO01 HANI01

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name HANOVER HANOVER INS CO HANOVER INS. Hanover Ins. Co Address PO BOX 944 HOWELL, MI 48844 440 LINCOLN ST BOX 4686 WORCESTER, MA 01653 PO BOX 6770 SOMERSET, NJ 08875 400 Atrium Drive 5th fl Somerset, NJ 08873 103 COMMERCE BLVD LIVERPOOL, NY 10308 PO BOX 15144 WORCESTER, MA 01615 Workers Compensation PO Box 15144 Worcester, MA 01615 PO BOX 15145 Worcester, MA 01615 PO BOX 68309 SCHAUMBURG, IL 60168-0309 PO BOX 68309 schaumburg, IL 60168-0309 230 GRIDER ST BUFFALO, NY 14215 1 HARDINGE DRIVE PO BOX 1507 ELMIRA, NY 14902 355 Maple Avenue Harleysville, PA 19455 120 FRONT ST SUITE 500 WORCESTER, MA 01608 215 WASHINTON ST STE 3 WATERTOWN, NY 13601-3332 PO BOX 244 CENTRAL CLAIMS UNIT HARLEYSVILLE, PA 194370244 PO BOX 199 HARLEYSVILLE, PA 19438-1194 P O BOX 199 HARLEYSVILLE, PA 19438-9914 PO BOX 348 HARLEYSVILLE, PA 194380348 2201 BAILEY AVE BUFFALO, NY 14211 2699 WEHRLE DR WILLIAMSVILLE, NY 14221 200 NORTH MAIN STREET BELAIR, MD 21014 PO BOX 14170 LEXINGTON, KY 40512 PO BOX 30773 TAMPA, FL 336303773 PO Box 14472 Lexington, KY 40512 PO Box 14170 Lexington, KY 40512 PO BOX 2041 AURORA, IL 60507 PO BOX 14187 NE WRKS COMP LEXINGTON, KY 40512 PO BOX 14268 LEXINGTON, KY 405124268 404 E. Woodlawn Ave. Hastings, MI 49058 100 MARCUS BLVD SUITE 1 HAUPPAUGE, NY 11788 327 Rt. 21 C Ghent, NY 12075 207 Wallins Corners Rd. Suite 1 Amsterdam, NY 12010 60 COMMERCE DR BUFFALO, NY 14218 Payer ID HANOV009 HANOV008 HANOV006 HANOV012 Auto/No-Fault Auto/No-Fault New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation Other WC (Non-NY)

HANOVER INSURANCE HANOVER INSURANCE Hanover Insurance Group

HANOV011 HANOV003 HANOV005

HANOVER NO FAULT CLAIMS HARCO NATIONAL HARCO NATIONAL INS CO HARD MANUFACTURING HARDINGE INC

HANOV001 HARC01 HARCO001 HARDM001 HARDI001

Auto/No-Fault New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Auto/No-Fault New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

Harleysville HARLEYSVILLE

HARLE001 HARL01

HARLEYSVILLE

HARL04

HARLEYSVILLE INS

HARLE004

HARLEYSVILLE INS (HARLEYSVILLE) HARLEYSVILLE INSURANCE HARLEYSVILLE INSURANCE HARMAC MED PRODUCTS HARRIS HILL NURSING FAC HARTFORD HARTFORD HARTFORD Hartford (14472) Hartford / WC HARTFORD INS (AURORA) HARTFORD INSURANCE

HARLE002 HARLE003 HARLE005 HARMA001 HARRI001 HARTF008 HATI01 HARTF006 HARTF001 HARTF003 HARTF002 HARTF004

HARTFORD INSURANCE Hastings Mutual Insurance HAWKEYE LLC

HARTF007 HASTI001 HAWKE002

Hawthorne Valley Assoc. Hays & Wormuth Insur. HAZMAT ENVIRONMENTAL

HAWTH001 HAYSW001 HAEN01

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name HCR MANORCARE Address WORKERS COMPENSATION DEPT PO BOX 10086 TOLEDO, OH 43699 125 WORTH ST NEW YORK, NY 10013 100 STATE ST SUITE 320 ERIE, PA 16512 EXECUTIVE DR STE, FL 26 335 ADAMS ST BROOKLYN, NY 11201 PO BOX 8872 CAMP HILL, PA 170118872 HSR PLAZA II 4100 MEDICAL PARKWAY CARROLLTON, TX 75007-1517 PO Box 90198 attn: NCL Claims Milwaukee, WI 53209 5975 CASTLE CREEK PKWY STE 100 INDIANAPOLIS, IN 46250 2716 ALBANY STREET SCHENECTADY, NY 12304-1857 PO BOX 5182 SOUTHFIELD, MI 48086 PO BOX 530790 LIVONIA, MI 48153 620 Erie Blvd West Suite 100 Syracuse, NY 13204 3220 TILLMAN DR BENSALEM, PA 19020 726 WEST COURT ST ITHACA, NY 14850 901 north kansas ave north liberty, IA 52317 269 ALVANAR ROAD ATTN PATTI ROCHESTER,, NY 14606 PO BOX 29073 Glendale, CA 91209 PO BOX 4836 SYRACUSE, NY 13221 80 Grasslands Road Suite 1 Elmsford, NY 10523 444 MERRICK RD LYNBROOK, NY 11563 1001 BISHOP ST SUITE 1000,PAUAHI TOWER KOLOA, HI 96813 P.O. BOX 6964 SYRACUSE, NY 13217 35033 LAKE ROAD CENTERVILLE, PA 16404 3601 43RD AVE 2ND FL LONG ISLAND CITY, NY 11101 36-01 43RD AVE 2ND FLOOR LONG ISLAND, NY 11101 101 OAK STREET BUFFALO, NY 14214 2643 MAIN STREET BUFFALO, NY 14214 349 W COMMERCIAL ST SUITE 2795 EAST ROCHESTER, NY 14445 2175 Point Blvd Ste 375 elgin, IL 60123 Attn: April Johnson 3017 N Main St Jamestown, NY 14701 2049 E McCord Centralia, IL 62801 7777 BREWSTER AVE PHILADELPHIA, PA 19153 Payer ID HCRMA001 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation

HEALTH & HOSPITALS CORP HEALTH AMERICA HEALTH PLUS PHSP INC

HHC01 HEALT007 HEALT005

HEALTH RESOURCES HEALTH SPECIAL RISK INC

HEALT003 HEALT006

Health System Int'l

HEALT002

HEALTH SYSTEMS INTL HEALTHCARE ADMINSTRATORS SERVIC HEALTHCARE COMPARE HEALTHCARE COMPARE Healthcare of NY WC Trust

HEALT004 HART04 HECO01 HECO02 HEALT001

HEALTHCARE SERVICES GROUP HEARTH & HOME heartland express HEBERLE DISPOSAL

HEALT008 HEART001 HEART002 HEBER001

Helmsman Management HELMSMAN MANAGEMENT SERVICES Helmsman Management Svs.

HELMS001 HELM02 HELMS002

HELMSMANS MANAGEMEN SEV HEMIC

HELM01 HEMIC001

HENDERSON JOHNSON, CO. HENNIGH WAREHOUSE HEREFORD

HENDE001 HENNI001 HERE02

HEREFORD INS CO HERITAGE CENTER HERITAGE CENTERS W/C CLAIMS HERITAGE CHRISTIAN SVC

HEREF001 HERIT001 HERIT003 HERI01

Heritage Crystal Clean/HC

HERIT005

Heritage Ministries

HERIT002

Heritage Woods / WC HERMAN GOLDNER COMP

HERIT004 HERMA001

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name HERR FOODS INC HERTZ Hertz Claim Management - W HERTZ CLAIMS MANAGEMENT HEWITT, COLEMAN, & ASSOC High Point Insurance High Point Insurance HIGH POINT INSURANCE HIGHLAND HOSPITAL LAB Address PO BOX 300 NOTTINGHAM, PA 19362 900 DOREMUS AVE NEWARK, NJ 07114 PO Box 719 Park Ridge, NJ 07656 PO BOX 719 PARK RIDGE, NJ 07656-0719 PO BOX 244 KINGSTON, TN 37082 PO BOX 900 Lincroft, NJ 07738 PO BOX 920 Lincroft, NJ 07738-0920 PO BOX 2280 WEST CALDWELL, NJ 07007 1000 SOUTH AVE ACCOUNTS PAYABLE ROCHESTER, NY 14620 33 RANSIER DR WEST SENECA, NY 14224 PO BOX 2738 PITTSBURGH, PA 15230 PO BOX 856900 LOUISVILLE, KY 40285 Route 42 Main Street Laporte, PA 18626 101 Merritt 7 Corporate Park Fl. 5 Norwalk, CT 06851 PO BOX 368 AMSTERDAM, NY 12010 100 West Fourth Street Elmira, NY 14902 35 ARNOT RD HORSEHEADS, NY 14845 PO BOX 6050 SCRANTON, PA 18505 430 WEST OAK ORCHARD ST MEDINA, NY 14103 525 W. Monroe Street Suite 2400 Chicago, IL 60661 PO BOX 2803 NEW YORK, NY 10116-2803 8248 State Route 96 Interlaken, NY 14847 761 conklin road binghamton, NY 13903 770 RIVERVIEW BLVD TONAWANDA, NY 14150 760 E WATER STREET ELMIRA, NY 14901 222 S Cayuga Street attn: Casey Ithica, NY 14850 2 HAWLEY ST BINGHAMTON, NY 13901 RT 219 PO BOX 370 ELLICOTTVILLE, NY 14731 P O BOX 279 ELLICOTTVILLE, NY 14731 PO BOX 9207 DES MOINES, IA 50306 54 WEST MARKET STREET CORNING, NY 14830 2461 Lake Avenue Rochester, NY 14612 PO BOX 250 HORNELL, NY 14843 151 CENTRAL AVENUE OWEGO, NY 13827 59 MAIDEN LANE 5th FLOOR New York, NY 10038 Payer ID HERRF001 HERTZ003 HERTZ001 HERTZ002 HEWI01 HIGHP010 HIGHP008 HIGHP003 HHL01 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation Auto/No-Fault Auto/No-Fault Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY)

HIGHLAND MASONRY HIGHMARK CASUALTY WORKERS COMPE HIGHPOINT SAFETY Higlands Care Center (Laporte) Hilb Rogal & Hobbs - WC HILLCREST SPRING ADULT HOME HILLIARD CORPORATION HILTON INN (HORSEHEADS) HILTON/INTRACORP HINSPERGER POLY INC Hinz Claim Management / WC

HIGHL001 HIGHM001 HIGHP007 HIGLA001 HILBR001 HILLC001 HILLI001 HILTO001 HILTO002 HIPI01 HINZC001

HIP Hip Shot Products hobart stone dealers inc. HOHL INDUSTRIAL HOLIDAY INN (ELMIRA) Holiday Inn (Ithica)

HIP01 HIPSH001 HOBAR001 HOHLI001 HOLID003 HOLID002

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

HOLIDAY INN ARENA HOLIDAY VALLEY HOLLYMONT SKI RESORT HOLMES MURPHY WC HOLMES PLATE Holy Sepulchre Cemetery HOME & HEALTH CARE SERVICES (HO HOME CENTRAL HOME INDEMNITY CO

HIA01 HOLID001 HOLLY001 HMWC01 HOLME001 HOLYS001 HOMEH001 HOMEC001 HOME01

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name HOME INSURANCE CO Address 2540 US HGWY 130 STE 109 CRANBURY, NJ 08512 PO BOX 4835 SYRACUSE, NY 13221 850 CLINTON SQUARE ROCHESTER, NY 14604 ONE BEACON LANE CANTON, MA 02021-1030 PO BOX 451 VESTAL, NY 13851 Main Street Fairfield, IL 62837 316 ELMIRA ROAD ITHACA, NY 14850 1 EXECUTIVE CENTER DR CORPORATE PLAZA ALBANY, NY 12203 159 WEST FIRST ST OSWEGO, NY 13126 620 ERIE BLVD WEST SUITE 100 SYRACUSE, NY 13204 SUNSET ROAD BURLINGTON, NJ 08640 ATTN: PAM PARLA 84 HOPKINS AVE Jamestown, NY 14701 P O BOX 962 MORRISVILLE, NC 27560 PO BOX 1626 PURCELL, OK 73080 33 Washington St., 11th Fl. Newark, NJ 07102 33 Washington Street 33-11 Newark, NJ 07102 671 COURT STREET BROOKLYN, NY 11020 150 WYGANT ROAD HORSEHEADS, NY 14845 1592 SEARS RD ELMIRA, NY 14903 PO BOX 428 EDWARDSVILLE, IL 62025 211 RT 100 SOUTH ALLENTOWN, PA 18106 172 EAST KING ROAD ITHACA, NY 14850 225 COMO PARK BLVD CHEEKTOWAGA, NY 14227 20 W Fairmount Ave LAKEWOOD, NY 14750 189 Commerce Court PO BOX 189 CHESHIRE, CT 06410-0189 PO BOX 5028 TROY, MI 48007 950 COUNTY ROAD 64 ELMIRA, NY 14903 1520 SHERIDAN DR BUFFALO, NY 14217 112 Delafield St Poughkeepsie, NY 12601 PO Box 1237 Bismark, ND 58502 1037 MAIN ST. PEEKSKILL, NY 10566 Po Box 609015 San Diego, CA 92160 3 WINKLER ROAD ATTEN: JOHN HUFF SIDNEY, NY 13838 140 IRWIN DR W. AMHERST, NY 14228 PO BOX 391 CORRY, PA 16407 Payer ID HOME02 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

HOME INSURANCE CO HOME PROPERTIES HOMELAND INS COMPANY OF NY HOMER C GOW & SONS Hometown IGA HONDA OF ITHACA HONEYWELL INC

HOME03 HOMEP001 HOML01 HOMER001 HOMET001 HONDA001 HONE01

HONY TRUST HONY TRUST

HONY02 HONY01

HOPE TRUCKING CO HOPES WINDOWS

HOPET001 HOPES001

HORACE MANN INSURANCE HORIONTAL WELL DRILLERS Horizon Casualty Horizon Casualty Svcs - WC HORNBECK OFFSHORE HORSEHEADS HIGHWAY DEPARTMENT HORSEHEADS PICK A PART HORTICA INS HOSFELD INS AGENCY HOSPICARE HOSPICE BUFFALO Hospice Chautauqua County HOUSING AUTH.INS.GR.

HORAC001 HORIO001 HORIZ002 HORIZ001 HORNB001 HORSE001 HORSE002 HORT01 HOSFE001 HOSPI002 HOSBU01 HOSPI001 HOUSI001

HOV HQ HOME AND OFFICE HR KELLER CO HRH MANAGEMENT Hub International HUDSON RIVER COMMUNITY HEALTH Hudson Tribal First HUFF ICE CREAM

HOV001 HQHOM001 HRKE01 HRHM01 HUBIN001 HUDSO001 HUDSO002 HUFFI001

HUGHESCO HUMES FORD

HUGHE001 HUMES001

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name HUNTER MOUNTAIN SKI BOWL HUNTER TRUCK SALES I & S Inc Of New York IBM ENDICOTT ICA SPECIAL FUND DIVISION ICS Address P.O. BOX 295, RT 23A HUNTER, NY 12442 8125 WATTSBURG ROAD ERIE, PA 16509 4174 Route 417 Allegany, NY 14706 1701 NORTH STREET ENDICOTT,NY, NY 13760 PO BOX 19070 PHOENIX, AZ 85005 485A ROUTE 1 SOUTH SUITE 300 ISELIN, NJ 08830 1151 E. Warrenville Road PO Box 3015 Naperville, IL 60566 602 WILLIAM STREET ELMIRA, NY 14901 10 East Stow Road Suite 100 Marlton, NJ 08053 14 Walnut Avenue Claims department Clark, NJ 07066 P.O. BOX H WHIPPANY, NJ 07981 1151 East Warrenville Road PO Box 3015 Naperville, IL 60566 PO Box 19281 Springfield, IL 62794 1301 Concordia Ct PO Box 19277 Springfield, IL 62794 1102 East Port Plaza Drive Collinsville, IL 62234 PO Box 100 Carbondale, IL 62903 1 Natural Resources Way Springfield, IL 62702 3333 Warrenville Rd., Ste 550 Lisle, IL 60532 1391 S Washington DuQuoin, IL 62832 3785 SOUTHPARK AVE BALSDELL, NY 14219 80 PINE ST 5TH FL NEW YORK, NY 10005 80 PINE ST 5TH FL NEW YORK, NY 10005 80 PINE ST 5TH FL NEW YORK, NY 10005 5229 SOUTH PARK AVE HAMBURG, NY 14075 3301 ZOELLER RD ALDEN, NY 14004 59 HOOK ROAD BAYONNE, NJ 07002 131 Woodsedge Drive Lansing, NY 14882 PO BOX 129 CAMILLUS, NY 13031 1122 Franklin Avenue Ste 406 Garden City, NY 11530 PO BOX 1000 WAO4R PHILADELPHIA, PA 19106 PO BOX 7716 1601 CHESTNUT ST PHILADELPHIA, PA 19106 6091 ROUTE 31 PO BOX 1478 CICERO, NY 13039 Payer ID HUNTE001 HUNTE002 ISINC001 IBMEN001 ICA01 ICS001 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

ICT WC

ICTWC002

Other WC (Non-NY)

ID BOOTH IDS Property Casualty [Electronic]

IDBOO001 IDSPR001

New York Workers' Compensation Auto/No-Fault

IFA Insurance

IFAIN001

Auto/No-Fault

IHDS OF NEW JERSEY IL Compensation Trust / WC

IHDSO001 ILCOM001

New York Workers' Compensation Other WC (Non-NY)

IL Dept of Agriculture / WC IL Dept of Corrections / WC

ILDEP001 ILDEP003

Other WC (Non-NY) Other WC (Non-NY)

IL Dept of Transportation IL Dept. of Transportation / WC IL Depto f Natural Resources / WC IL Public Risk Fund / WC IL State Police ILIO DIPAOLOS ILLINOIS NATIONAL INSURANCE CO

ILDEP002 ILDEP004 ILDEP005 ILPUB001 ILSTA001 ILIOD001 ILN01

Other WC (Non-NY) Other WC (Non-NY) Other WC (Non-NY) Other WC (Non-NY) Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY)

Illinois National Insurance Co [Electronic Indirect]

ILLIN001

Illinois National Insurance Co [Electronic Indirect]

ILLIN002

IMMACULATE CONCEPTION CONVENT ATTN: LENA IMMORTAL ENTERTAINMENT IMPERIAL BAG & PAPER IMR Test Labs IMS GROUP NE CORP Indemnity Ins Co of North America

IMMAC001 IMMOR001 IMPER001 IMRTE001 IMSG01 INDEM001

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

INDEMNITY INS CO OF NORTH AMERICA

IND01

INDEMNITY INS CO OF NORTH AMERICA

IND02

INDEPENDENT REVIEW SERVICES

IRS01

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name Indiana Farm Bureau [Electronic] Indiana Insurance Indiana Insurance Indiana Insurance / WC Indiana Insurance / WC INDIANA LUMBERMENS MUTUAL Industrial Furnace INDUSTRIAL POWER AND LIGHTING INERGY Address 6767 EAST WASHINGTON STREET INDIANAPOLIS, IN 46219 PO Box 515097 Los Angeles, CA 90051 PO Box 815 Pewaukee, WI 53072 PO Box 8021 Wausau, WI 54402 PO Box 815 Pewaukee, WI 53072 P.O. BOX 68600 INDIANAPOLIS, IN 46268 40 Humboldt St Rochester, NY 14609 701 SENECA ST STE 500 BUFFALO, NY 14210 #2 BRUSH CREEK BLVD SUITE 200 ATTN MACKENZIE DOUGHERTY KANAS CITY, MO 64112 5205 N O CONNOR BLVD SUITE 700 IRVING, TX 75039-3789 PO BOX 830807 BIRMINGHAM, AL 35283 PO BOX 830617 BIRMINGHAM, AL 35283 2700 MARKET TOWER 10 WEST MARKET STREET INDIANAPOLIS, IN 46204 33 lewis road binghamton,, NY 13905 8035 Oswego Road Liverpool, NY 13090 101 NORTH MAIN STREET ATHENS, PA 18810 8722 Loch Raven Boulevard Towson, MD 21286-2235 PO BOX 9899 BALTIMORE, MD 21284 1000 WESTCHESTER AVE WHITE PLAINS, NY, NY 10610-9431 PO BOX 9446 NEWBURGH, NY 12555 30 OLD KARNER RD ALBANY, NY 12288 179 SOUTH MAPLE AVE RIDGEWOOD, NJ 07450 10123 MAIN ST CLARENCE, NY 14031 1431 GREENWAY DR #620 IRVING, TX 75038 80 PINE ST 5TH FL NEW YORK, NY 10005 20 Ridge Rd Mahwah, NJ 07430 PO BOX 1451 HARRISBURG, PA 171051545 PO BOX 3899 HARRISBURG, PA 17105 3150 BRUNSWICK PIKE SUITE 200 LAWRENCEVILLE, NJ 08648 PO BOX 1457 HARRISBURG, PA 171051457 1112 Emerson St Rochester, NY 14606 7780 STATE ROUTE 417 ADDISON, NY 14801 666 COUNTY ROAD 11 BATH, NY 14810 PO BOX 132 BATAVIA, NY 14021-0132 Payer ID INDIA003 INDIA008 INDIA002 INDIA007 INDIA006 INDIA005 INDUS001 INDUS002 INERG001 Auto/No-Fault Auto/No-Fault New York Workers' Compensation Other WC (Non-NY) Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

INFINITY ASSURANCE INS CO

INFA01

New York Workers' Compensation Auto/No-Fault Auto/No-Fault Auto/No-Fault

INFINITY AUTO INSURANCE INFINITY INSURANCE INFINITY LOW COST

INFIN001 INFIN002 INFIN003

INFO PRINT SOLUTION CO InFocus Advisors Inc. INGERSOLL RAND ATHENS Injured Worker's Ins Fund INJURED WORKERS INS FUND INJURY COMP INJURY COMP OFFICE INJURY COMPENSATION INNOVAITIVE RISK CONCEPTS INNOVATIVE CONCEPTS INNOVATIVE RISK MANAGEMEN

INFOP001 INFOC001 INGER001 INJUR001 IWIF01 INJUR002 INC02 INC01 INNOV001 INNOV002 INRM01

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

INS CO OF THE STATE OF PENN

INSP01

Inserra Supermarkets INSERVCO INS INSERVCO INS SERVICE INSERVCO INS SERVICES

INSER004 INSER003 INIS01 INSER001

INSERVCO INSURANCE Insley McEntee INSTANTHEAT WOOD PELLETS INC INSTITUTE FOR HUMAN SERVICES INSURANCE ADMINISTRATION

INSER002 INSLE001 INSTA001 INSTI001 INSA01

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name INSURANCE CO STATE OF PA INSURANCE CO. OF PENNSYLVANIA INSURANCE COMPANY OF NORTH AMERICA Address 70 PINE ST NEW YORK, NY 10270 PO BOX 4614 BUFFALO, NY 14240-4614 PO BOX 1000 WAO4R PHILADELPHIA, PA 19106 PO BOX 85563 SAN DIEGO, CA 92186 500 West Lockerman ST SUITE 300 DOVER, DE 19904 PO BOX 380 ALLEGENY, NY 14706 PO BOX 45171 JACKSONVILLE, FL 32232 15 THORNWOOD DRIVE ITHACA, NY 14852 155 Mineola Blvd New York , NY 11501 155 MINEOLA BLVD MINEOLA, NY 11501 38 FRONT STREET SUITE D BINGHAMTON, NY 13905 Worker's Compensation Center 400 North 8th Street Richmond, VA 23219 3295 River Exchange Drive Norcross, GA 30092 3567 Parkway Lane Suite 300 Norcross, GA 30092 3010 HIGHLAND PKWY DOWNERS GROVE, IL 60515 2455 PACES FERRY RD NW ATLANTA, GA 30339 509 9th STreet PO Box 290 DeWitt, IA 52742 7571 STATE RTE 54 BATH, NY 14810 BOX 350 Bath, NY 14810 Box 350 Bath, NY 14810 Box 350 Bath, NY 14810 155 COMMERCE DR LACKAWANNA, NY 14218 4600 SOUTHWOOD HEIGHTS DRIVE JAMESVILLE, NY 13078 908 NIAGARA FALLS BLVD NORTH TONAWANDA, NY 14120 761 COEHLER AVE RONKONKOMA, NY 11779 180 CHARLOTTE ST ROCHESTER, NY 14607 400 N MEADOW ST ATTN: DEBBIE BENSON ITHACA, NY 14850 PO BOX 549 ITHACA, NY 14850 PO BOX 642 ITHACA, NY 14851 950 DANDY RD SUITE 100 ITHACA, NY 14850-5714 PO BOX 7247-0234 PHILADELPHIA, PA 19178-0234 PO BOX 574 MANASQUAN, NJ 08736 1780 ORCHARD PARK RD WEST SENECA, NY 14224 5 BRIDGE STREET CORNING, NY 14830 Payer ID ICPA01 ICP01 ICNA01 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

INSURANCE COMPANY OF THE WEST INSURANCE COVERAGE OFFICE

INSUR001 INSUR002

INSURANCE OF NEW YORK INTEGRATED ADMINISTRATION INTEGRATED PROPERTIES Interboro INTERBORO MUTUAL INTERIM HEALTHCARE

INSUR003 INTEG002 INTEG001 INBO01 INTER004 INTER002

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY)

Internal Revenue Service

INTER003

International Risk Management Intracorp

INTER001 INTRA002

INTRACORP INTRACORP/MAGNA COMP Iowa Mutual

INTRA001 INMC01 IOWAM001

IRA DAVENPORT & TAYLOR HEALTH F IRA davenport Ambulatory Surgur IRA Davenport Emergency IRA Davenport Hospital IROQUOIS BAR CORP IROQUOIS NURSING HOME IRR SUPPLY CENTERS IRVING WEBER ASSOCIATES ISAAC HEATING AND AIR CONDITIONING ITHACA BAKERY

IRADA001 IRADA002 IRADA003 IRADA004 IROQU002 IROQU001 IRRSU001 IRVIN001 ISAAC001 ITHAC001

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

ITHACA CITY SCHOOL DISTRICT ITHACA RENTING ITHACO INCORPORATED

ITHAC004 ITHAC003 ITHAC002

ITT HARTFORD INSURANCE J & G ASSOCIATES J & P PAPPAS J & T AUTO CAFE

ITT01 JGASS001 JPPAP001 JTAUT001

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name J A ROOFING J DAVID CONSTRUCTION J&B Installations Address 3 CLARENDON AVENUE KINGSTON, NY 12401 550 DRYBROOK ROAD WAVERLY, NY 14892 PO Box 188 4449 Jordan Road Skaneateles Falls, NY 13153 24 THORPE STREET BINGHAMTON, NY 13905 3647 CEDAR CREST ROAD BENSALEM, PA 19020 1500 CENTRAL AVENUE ALBANY, NY 12205 PO BOX 2299 ELMIRA HEIGHTS, NY 14903 42 STATE STREET ALBANY, NY 12207 100 HORSESHOE BLVD AVON, NY 14414 P.O. BOX 11016 LOUDONVILLE, NY 12211 850 FOOTE AVE JAMESTOWN, NY 14701 178 Blackstone Ave Jamestown, NY 14701 201 EAST 4TH STREET JAMESTOWN, NY 14701 P.O. Box 71 Newton, IL 62448 2877 RICHMAN TERRACE STATEN ISLAND, NY 10303 463 REYNOLDS STREET ATTN SHARI ELMIRA, NY 14904 2612 West Henrietta Road Rochester, NY 14623 175 ARSENAL ST WATERTOWN, NY 13601 289 RAMSDELL AVENUE BUFFALO, NY 14216 664A CLEARVIEW AVE SHAMONG, NJ 08088 346 CLAIRMONT AVE JERSEY CITY, NJ 07305 115 Metropolitan Drive Liverpool, NY 13088 1500 BRIGHTON HENRIETTA TL RD ROCHESTER, NY 14623 1421 Scottsville Road Rochester, NY 14624 191 OSBORNE STREET ALBANY, NY 12209 199 CENTER AVENUE WESTWOOD, NJ 07675 80 ETNA LANE FREEVILLE, NY 13068 1836 GRAND CENTRAL AVE ELMIRA HEIGHTS, NY 14903 121 SOUTH KINYON STREET ELMIRA, NY 14904 PO BOX 327 BIG FLATS, NY 14814 45 Pannel Street Buffalo, NY 14215 1088 STATE ROUTE 434 OWEGO, NY 13827 250 RITTENHOUSE CIRCLE BRISTOL, PA 19007 2099 Route 17A Goshen, NY 10924 PO BOX 902 JORDAN, NY 13080 120 WEST TUPPER ST BUFFALO, NY 14201 1125 MAIN ST BUFFALO, NY 14209 Payer ID JAROO001 JDAVI001 JBINS001 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

J&K HEATING & PLUMBING J&M DISTRIBUTOR J.J. YOUNG J.M. WHEELER CONSTRUCTION INC JACK'S OYSTER HOUSE JACOBSON COMPANIES JAMES MALOY, INC. JAMESTOWN BOWLING COMPANY Jamestown Metal Products JAMESTOWN PUBLIC SCHOOLS Jasper County Insurance / WC JAY CASHMAN JAYNESS ENTERPRISE

JKHEA001 JMDIS001 JJYOU001 JMWHE001 JACKS001 JACOB001 JAMES003 JAMES001 JAMES002 JAMES004 JASPE001 JAYCA001 JAYNE001

Jays Diner JEFFERSON COUNTY JEG CONTRACTING JEM ERECTORS JERSEY CITY BORAD OF EDUC JGB Enterprises JK JEWELRY INC Joe Benson Svc JOE'S OSBORNE STREET GARAGE JOHL & COMPANY JOHN C LOWERY JOHN MILLS ELECTRIC JOHN OCONNOR PLUMBING AND HEATI JOHN'S TRUCK & AUTO Johnson & Son JOHNSONS POOLS & SPAS JONES APPAREL Jones Services JORDAN ELBRIDGE SCHOOLS JOSEPH DAVIS INC JOURNEYS CHILD ENRICHMENT CENTER

JAYSD001 JEFF01 JEGCO001 JEMER001 JERSE001 JGBEN001 JKJEW001 JOEBE001 JOESO001 JOHLC001 JOHNC001 JOHNM001 JOHNO001 JOHNS003 JOHNS001 JOHNS002 JONES001 JONES002 JORDA001 JOSE01 JOURN001

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name Jrlon, Inc. JSMC EMPL WRK COMP JUPITER ENVIRONMENTAL JW DANFORTH COMPANY K & K Insurance / Liability Address Po Box 244 Palmyra, NY 14522 1945 CORLIES AVE NEPTUNE, NJ 07753 3 LYNN COURT LINCOLN PARK, NJ 07035 200 COLVIN WOODS PARKWAY TONAWANDA, NY 14150 PO Box 2338 1712 Magnavox Way Fort Wayne, IN 46801 PO BOX 2338 1712 MAGNAVOX WAY FORT WAYNE, IN 46801 508 THURSTON AVE ITHACA, NY 14850 29 W. PULTNEY STREET CORNING, NY 14830 27210 College Road Centralia, IL 62801 150 N AMERICA DR WEST SENECA, NY 14224 90 river road scottsville, NY 14546 RR 1 BOX 70 MILLERTON, PA 16936 1010 e ridge road rochester, NY 14621 500 MAMARONECK AVE HARRISON, NY 10528 181 OWEGO STREET CANDOR, NY 13743 1130 annapolis road ste 202 odenton, MD 21113 2706 PINE AVE NIAGARA FALLS, NY 14072 222 CHICAGO ST BUFFALO, NY 14204 110 WEST MAIN STREET SUITE 6 LEROY, NY 14482 3225 EAST LAKE RD CANADAIGUA, NY 14424 55 FERRIS STREET CORNING, NY 14830 1200 Taylor Road Owego, NY 13827 PO BOX 282 ITHACA, NY 14851 2375 Route 89 Seneca Falls, NY 13148 P O BOX 4780 Syracuse, NY 13221 PO Box 650767 Dallas, TX 75265 PO BOX 2845 SYRACUSE REGIONAL CLAIMS CLINTON, IA 527332845 PO BOX 2845 Clinton, IA 52733-2845 ONE PLYMOUTH MEETING PLYMOUTH MEETIN, PA 19462 2230 NORTH TIRPHAMMER RD ITHACA, NY 14850 Savage Drive Ithica, NY 14850 2950 ELMWOOD AVE. IDM DEPT. kenmore, NY 14217 1021 E WATER STREET PO BOX 931 ELMIRA, NY 14901 1 UNION PLAZA NEW LONDON, CT 06320 PO BOX 1319 RICHFIELD SPRINGS, NY 13439 Payer ID JRLON001 JSMCE001 JUPIT001 JWDAN001 KKINS001 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

K&K INS GROUP

KKIG01

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation Auto/No-Fault

KAPPA KAPPA GAMMA KAPRALS AUTO SERVICE Kaskaskia College / WC KAZ BROTHERS CONSTRUCTION kbh construction KECKS MEAT PLANT keenan's restrurant KEEVILYSPERO WHITELAW KELBER ENTERPRISES keller foundation inc KELLER GROUP KELLNER VROTHERS KELLY SERVICES

KAPPA001 KAPRA001 KASKA001 KAZBR001 KBHCO001 KECKS001 KEENA001 KEEV01 KELBE001 KELLE001 KELLE002 KELLN001 KELLY001

KELLY SERVICES KELLY SERVICES (CORNING) Kelly Services at Samina KELMAR CONSTRUCTION SALES INC Kelsey Construction KEMPER Kemper Insurance Co KEMPER UNITRIN

KESE01 KELLY002 KELLY003 KELMA001 KELSE001 KEMPE003 KEMPE006 KEMPE005

KEMPER UNITRIN BUSINESS KENCREST SERVICES KENDAL AT ITHACA Kendal Rest Home-Ithaca kenmore mercy hospital KENNEDY VALVE

KEMPE002 KENCR001 KENDA002 KENDA003 KENMO001 KENNE001

Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

KENNEY, MURPHY AND BEANE KENN-SCHL

KMB01 KESC01

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name KENS MARINE KERSAT LANDSCAPING KESSLER FAMILY LLC KEUKA CONSTRUCTION KEY RISK MANAGEMENT KEYBANK KEYSTONE BUILDERS KEYSTONE INSURANCE CO Keystone Mills KICHNER, LLC KIMMEL COMPANY Address 22ND STREET BAYONNE, NJ 07002 348 CONLON ROAD LANSING, NY 14882 410 WHITE SPRUCE BLVD ROCHESTER, NY 14830 PO BOX 19 CORNING, NY 14830 PO BOX 49129 GREENSBORO, NC 27419 127 PUBLIC SQUARE CLEVELAND, OH 44114 5 ELM AVENUE DELMAR, NY 12054 1 RIVER PLACE WILMINGTON, DE 19801 1975 Route 336 Romulus, NY 14541 PO BOX 242 TONAWANDA, NY 14150 33 CLARK RIDGE DRIVE KIM KIMMEL BROCKPORT, NY 14420 3813 BROADWAY CHEEKTOWAGA, NY 14227 RR2 BOX 160-B MILAN, PA 18831 P O BOX 2217 SOUTHEASTERN, PA 19399 PO BOX 2 7 WEST 1ST ST LAKEWOOD, NY 14750 323 KINGS ROAD SCHENECTADY, NY 12304 79 FLINT AVE CORNING, NY 14830 7170 BOSTON STATE RD NORTH BOSTON, NY 14110 1435 UPPER FRONT STREET BINGHAMTON, NY 13901 PO BOX 794 VALATIE, NY 12184 105 VANGUARD PKWY ROCHESTER, NY 14606 1 KRESEGE RD FAIRLESS HILLS, PA 19030 74 E. Jewett Ave Buffalo, NY 14204 PO Box 279 East Syracuse, NY 13057 PO BOX 2337 SYRACUSE, NY 13220 3461 ERIE BLVD EAST DEWITT, NY 13214 512 NORTH ELMIRA STREET SAYRE, PA 18840 335 COURT STREET BINGHAMTON, NY 13904 Workers Compensation Account 11 Beach Street, 8th Floor New York, NY 10013 666 TANGLEWOOD RD. WEST ISLIP, NY 11795 ONE TOWER CENTER BLOULEVARD 17TH FLOOR EAST BRUNSWICK, NJ 08816 659 Exchange Street Buffalo, NY 14210 3408 EAST MAIN STREET ENDWELL, NY 13760 1428 FILLMORE AVE BUFFALO, NY 14211 2070 HARTELL LEVITTOWN, PA 19057 563 LINDLEY RD LINDLEY, NY 14858 Payer ID KENSM001 KERSA001 KESSL001 KEUKA001 KEYRI001 KEY01 KEYST002 KEYST003 KEYST001 KICH01 KIMME001 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

KINGS EXPRESS KINGSLEY LUMBER CO KINGSTREE GROUP KINGSVIEW PAVING

KINGS005 KINGS003 KINGS002 KINGS001

KINGSWAY ARMS NURSING HOME KINSHIP FAMILY YOUTH SERVICE KIRST CONSTRUCTION KJP BAGELS LLC KLEEBER AGENCY KLEIN STEEL KMART WAREHOUSE Koch Metal Spinning Koldin Law Center KOPP-WORKERS COMP BILLING KOST TIRE KOST TIRE & MUFFLER #41 KOST TIRE & MUFFLER BINGHAMTON Krasdale Foods Inc

KINGS004 KINSH001 KIRST001 KJPBA001 KLEEB001 KLST01 KMART001 KOCHM001 KOLDI001 KOPP01 KOST01 KOSTT002 KOSTT001 KRASD001

KRG K-SCA TRANSPORTATION

KRG001 KSCAT001

KW Textile KWIK FILL L & L GARAGE L & R INSTALLATION L&M TRUCKING

KWTEX001 KWIKF001 LLGAR001 LRINS001 LMTRU001

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name L&S Drywall L&S DRYWALL INCORP Lab Alliance CNY LABOR READY LACKAWANA Address 11500 Transit Road E. Amherst, NY 14051 7332 TOWNLINE RD N TONAWANDA, NY 14120 1304 Buckley Road North Syracuse, NY 13212 1587 KENMORE AVE KENMORE, NY 14217 2 VALLEY SQUARE SUITE 301 BLUE BELL, PA 19422 46 PUBLIC SQUARE SUITE 101 WILKESBORO, PA 18701 46 Public Square Suite 501 Wilkes Barres, PA 18701 ATTN: MED CLAIMS PO BOX 270 WILKS-BARRE, PA 18703 PO Box 657 Kalona, IA 52247 156 WEST AVE ATTENT: JANICE DOLLARD BROCKPORT, NY 14420 1229 Trumansburg Road Ithaca, NY 14850 13780A WESTLAKE ROAD HAMMONDSPORT, NY 14840 600 w washington st geneva, NY 14456 5304 STATE RT 417 WOODHULL, NY 14898 6581 TOWNLINE ROAD SYRACUSE, NY 13206 1101 Kingshighway North Cherry Hill, NJ 08034 3850 NORTH CAUSEWAY METARIE, LA 70002 PO BOX 9123 PLAINVIEW, NY 11803-9123 7330 Eastman Road North Syracuse, NY 13212 PO BOX 1841 SPRING VALLEY, NY 10977 2963 RUGER ROAD ROYCE CITY, TX 75187 420 RTE 440 JERSEY CITY, NJ 07307 150 TRENTON RD LANGHORNE, PA 19047 208 FRONT STREET OWEGO, NY 13827 391 WESTERN AVENUE ALBANY, NY 12203 238 MAIN ST BUFFALO, NY 14202 100 Church Street New York, NY 10007 565 Taxter Road Attn: Claims Dept. Elmsford, NY 10523 361 DELAWARE AVE BUFFALO, NY 14202 Lawrence Correctional Center / WC Sumner, IL 62466 PO BOX 663 WELLSVILLE, NY 14895 84 PINE ST STE 450 BURLINGTON, VT 05401 300 TROLLEY BLVD ROCHESTER, NY 14606 300 TROLLEY BLVD ROCHESTER, NY 14606 Payer ID LSDRY002 LSDRY001 LABAL001 LABOR001 LACKA005 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

LACKAWANNA CASUALTY

LACKA003

Lackawanna Insurance

LACKA001

LACKAWANNA INSURANCE GRP

LACKA004

Lackland AFB LAKESIDE HOSPITAL

LACKL001 LAKES002

Lakeside Nursing Home LAKESIDE RESTAURANT lakeview mental health LAMB & WEBSTER LAMBERT MATERIAL HANDLING Lamorte Burns LAMORTE BURNS COMPANY LANCER INS CO Lan-Co Companies LAND GATE REALTY LAND STAR LIGHT TOWERS INC LANGER TRANPORT LANGHORNE WOOD PROD LAS CHICAS TAQUERIA LASALLE SCHOOL LAVERACK & HAINES Law Department Lawley Insurance

LAKES001 LAKES003 LAKEV001 LAMBW001 LAMBE001 LAMOR001 LAMOR002 LANCE001 LANCO001 LANDG001 LANDS001 LANGE001 LANGH001 LASCH001 LASAL001 LAVE01 LAWDE001 LAWLE001

LAWLEY SERVICES Lawrence Correctional Center / WC LC WHITFORD COMPANY LEADVILLE INS

LAW01 LAWRE001 LCWHI001 LEAD01

LECHASE CONSTRUCTION LECHASE INSURANCE

LECHA002 LEIN01

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name LEE BRASWELL MASONARY Legion in Liquidation LEGION INS COMPANY LENOX Leonardi Manufacturing Leroy Manor LETCHWORTH STATE PARK LEVITT & FUIRST INSURANCE LEVITTOWN TRACE APT LEWIS COUNTY SELF INSURANCE LI RAILROAD LIBERTY BELL LIBERTY ENTERPRISES LIBERTY INSURANCE CORP Liberty Mutual Liberty Mutual Liberty Mutual Liberty Mutual Liberty Mutual Liberty Mutual Liberty Mutual LIBERTY MUTUAL Address 17240 TOWNHOUSE ROAD SAGERTWON, PA 16433 123 William St New York, NY 10038 PO BOX 59239 PHILADELPHIA, PA 19102 1414 RADCLIFFE ST BRISTOL, PA 19007 2728 Erie Drive Weedsport, NY 13166 P.O. Box 40 LeRoy, NY 14482 7 LETCHWORTH STATE PARK CASTLE, NY 14427 1 EXECUTIVE BLVD YONKERS, NY 10701 3000 FORD RD BRISTOL, PA 19007 7669 STATE ST LOWVILLE , NY 13367 173 MINEOLA BLVD MINEOLA, NY 11501 P O BOX 159 WARREN, MI 48090 43 LIBERTY DRIVE AMSTERDAM, NY 12010 175 BERKELEY ST BOSTON, MA 02117 P.O. Box 8021 Wausau, WI 54402 PO Box 1050 Marlton, NJ 08053 PO BOX 1203 Elmsford, NY 10523 PO BOX 7170 Indianapolis, IN 46207 PO BOX 7203 London, KY 40742 po Box 7205 London, KY 40742 po Box 7205 London, KY 40742 10 Corporate Drive STE 100 Bedford, NH 03110 100 FRANKLIN SQUARE DR SOMERSET, NJ 08873 100 LIBERTY WAY DOVER, NH 03820 1485 PARK AVE 15C NEW YORK, NY 10029 2100 WALNUT HILL LANE STE 100 IRVING, TX 75038 2501 WILMINGTON RD NEW CASTLE, PA 16105 26 NESBITT STE 2 NEW CASTLE, PA 16105 3 BECKER FARM RD ROSELAND, NJ 07068 323 ESSJAY RD WILLIAMSVILLE, NY 14221 70 East Sunrise HWY STE 618 VALLEY STREAM, NY 11581 80 Grasslands Rd Ste: 1 Elmsford, NY 10523-1100 P O BOX 7205 LONDON, KY 40742 PO BOX 993 MARLTON, NJ 080539988 PO BOX 1049 MARLTON, NJ 08053 Payer ID LEEBR001 LEGIO001 LEGI01 LENOX001 LEONA001 LEROY001 LETCH001 LFI01 LEVIT001 LEWCOU01 LIRAI001 LIBER011 LIBER016 LIMU16 LIBER161 LIBER013 LIBER018 LIBER001 LIBER021 LIBER009 LIBER020 LIBER003 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault Auto/No-Fault Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Auto/No-Fault

LIBERTY MUTUAL LIBERTY MUTUAL LIBERTY MUTUAL LIBERTY MUTUAL

LIBER153 LIBER154 LIBER158 LIMU13

LIBERTY MUTUAL LIBERTY MUTUAL

LIMU03 LIBER151

LIBERTY MUTUAL LIBERTY MUTUAL LIBERTY MUTUAL

LIMU21 LUMU15 LIBER002

LIBERTY MUTUAL

LIMU06

LIBERTY MUTUAL LIBERTY MUTUAL LIBERTY MUTUAL

LIBER007 LIBER159 LIBER155

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name LIBERTY MUTUAL LIBERTY MUTUAL LIBERTY MUTUAL LIBERTY MUTUAL Address PO BOX 1052 MONTGOMERYVILLE, PA 18936 PO BOX 31204 TAMPA, FL 33631 PO BOX 3634 BALACYNWID, PA 19004 PO BOX 4836 STE 202 SYRACUSE, NY 13221 PO BOX 7072 LONDON, KY 40742 PO BOX 8016 WAUSAU, WI 54402 PO BOX 9525 MANCHESTER, NH 03108 PO BOX 970 MISHAWAKA, IN 46546 PO BOX 3423 GAINESVILLE , GA 30503 PO Box 245037 Milwaukee, WI 53224 PO Box 8090 WAusau, WI 54402 PO BOX 300003 ELLENWOOD, GA 30049 PARK 80 PLAZA E SADDLE BROOK, NJ 07663 10 Corporate Drive STE 100 Bedford, NH 03110 10 Corporate Drive STE 100 Bedford, NH 03110 10 Corporate Drive STE 100 Bedford, NH 03110 10 East Stow Road Suite 100 Marlton, NJ 08053 10 East Stow Road Suite 100 Marlton, NJ 08053 10 East Stow Road Suite 100 Marlton, NJ 08053 1084 South Laurel Road London, KY 40744 1084 South Laurel Road London, KY 40744 1084 South Laurel Road London, KY 40744 1401 Matthews Township Parkway Suite 300 Matthews, NC 28106 1401 Matthews Township Parkway Suite 300 Matthews, NC 28106 1401 Matthews Township Parkway Suite 300 Matthews, NC 28106 175 BERKELEY ST BOSTON, MA 02117 175 BERKELEY ST BOSTON, MA 02117 175 BERKELEY ST BOSTON, MA 02117 2000 Westwood Drive Wausau, WI 54401 2000 Westwood Drive Wausau, WI 54401 2000 Westwood Drive Wausau, WI 54401 2100 WALNUT HILL LANE STE 100 IRVING, TX 75038 Payer ID LIBER014 LIMU05 LIMU09 LIMU04 Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) Auto/No-Fault Auto/No-Fault New York Workers' Compensation Auto/No-Fault

LIBERTY MUTUAL LIBERTY MUTUAL LIBERTY MUTUAL LIBERTY MUTUAL LIBERTY MUTUAL Liberty Mutual / Liability Liberty Mutual / WC LIBERTY MUTUAL INS LIBERTY MUTUAL INS C Liberty Mutual Insurance Co [Electronic Indirect]

LIBER008 LIMU20 LIMU19 LIBER152 LIBER004 LIBER149 LIBER148 LIBER160 LIBER156 LIBER22

Liberty Mutual Insurance Co [Electronic Indirect]

LIBER23

Liberty Mutual Insurance Co [Electronic Indirect]

LIBER24

Other WC (Non-NY)

Liberty Mutual Insurance Co [Electronic Indirect]

LIBER25

Other WC (Non-NY)

Liberty Mutual Insurance Co [Electronic Indirect]

LIBER26

Auto/No-Fault

Liberty Mutual Insurance Co [Electronic Indirect]

LIBER27

New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) Other WC (Non-NY)

Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect]

LIBER28 LIBER29 LIBER30 LIBER31

Liberty Mutual Insurance Co [Electronic Indirect]

LIBER32

Auto/No-Fault

Liberty Mutual Insurance Co [Electronic Indirect]

LIBER33

New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) Other WC (Non-NY) Auto/No-Fault New York Workers' Compensation New York Workers' Compensation

Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect]

LIBER34 LIBER35 LIBER36 LIBER37 LIBER38 LIBER39 LIBER40

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name Liberty Mutual Insurance Co [Electronic Indirect] Address 2100 WALNUT HILL LANE STE 100 IRVING, TX 75038 2100 WALNUT HILL LANE STE 100 IRVING, TX 75038 2501 WILMINGTON RD NEW CASTLE, PA 16105 2501 WILMINGTON RD NEW CASTLE, PA 16105 2501 WILMINGTON RD NEW CASTLE, PA 16105 3 BECKER FARM RD ROSELAND, NJ 07068 3 BECKER FARM RD ROSELAND, NJ 07068 3 BECKER FARM RD ROSELAND, NJ 07068 323 ESSJAY RD WILLIAMSVILLE, NY 14221 323 ESSJAY RD WILLIAMSVILLE, NY 14221 323 ESSJAY RD WILLIAMSVILLE, NY 14221 43 LIBERTY DRIVE AMSTERDAM, NY 12010 43 LIBERTY DRIVE AMSTERDAM, NY 12010 43 LIBERTY DRIVE AMSTERDAM, NY 12010 50 Charles Lindbergh Blvd. Uniondale, NY 11553 50 Charles Lindbergh Blvd. Uniondale, NY 11553 50 Charles Lindbergh Blvd. Uniondale, NY 11553 520 White Plains Road Tarrytown, NY 10591 520 White Plains Road Tarrytown, NY 10591 520 White Plains Road Tarrytown, NY 10591 70 East Sunrise HWY STE 618 VALLEY STREAM, NY 11581 70 East Sunrise HWY STE 618 VALLEY STREAM, NY 11581 70 East Sunrise HWY STE 618 VALLEY STREAM, NY 11581 80 Grasslands Rd Ste: 1 Elmsford, NY 10523-1100 80 Grasslands Rd Ste: 1 Elmsford, NY 10523-1100 80 Grasslands Rd Ste: 1 Elmsford, NY 10523-1100 P O BOX 7205 LONDON, KY 40742 P O BOX 7205 LONDON, KY 40742 P O BOX 7205 LONDON, KY 40742 P.O Box 7072 London, KY 40742 P.O Box 7072 London, KY 40742 P.O Box 7072 London, KY 40742 P.O. Box 1200 Elmsford, NY 10523 P.O. Box 1200 Elmsford, NY 10523 Payer ID LIBER41 Auto/No-Fault

Liberty Mutual Insurance Co [Electronic Indirect]

LIBER42

Other WC (Non-NY)

Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect]

LIBER43 LIBER44 LIBER45 LIBER46 LIBER47 LIBER48 LIBER49 LIBER50 LIBER51 LIBER52 LIBER53 LIBER54 LIBER55 LIBER56 LIBER57 LIBER58 LIBER59 LIBER60 LIBER61

Other WC (Non-NY) Auto/No-Fault New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) Other WC (Non-NY) Auto/No-Fault New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) Other WC (Non-NY) Auto/No-Fault New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) Other WC (Non-NY)

Liberty Mutual Insurance Co [Electronic Indirect]

LIBER62

Auto/No-Fault

Liberty Mutual Insurance Co [Electronic Indirect]

LIBER63

New York Workers' Compensation Other WC (Non-NY)

Liberty Mutual Insurance Co [Electronic Indirect]

LIBER103

Liberty Mutual Insurance Co [Electronic Indirect]

LIBER104

Auto/No-Fault

Liberty Mutual Insurance Co [Electronic Indirect]

LIBER105

New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) Other WC (Non-NY) Auto/No-Fault New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect]

LIBER64 LIBER65 LIBER66 LIBER67 LIBER68 LIBER69 LIBER70 LIBER71

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Address P.O. Box 1200 Elmsford, NY 10523 P.O. Box 3634 Bala Cynwyd, PA 19004 P.O. Box 3634 Bala Cynwyd, PA 19004 P.O. Box 3634 Bala Cynwyd, PA 19004 P.O. Box 490 Central Islip, NY 117229814 P.O. Box 490 Central Islip, NY 117229814 P.O. Box 490 Central Islip, NY 117229814 P.O. Box 8027 Huntington Station, NY 11746 P.O. Box 8027 Huntington Station, NY 11746 P.O. Box 8027 Huntington Station, NY 11746 PO BOX 100058 DELUTH, GA 30096 PO BOX 100058 DELUTH, GA 30096 PO BOX 100058 DELUTH, GA 30096 PO BOX 1046 Marlton, NJ 08053 PO BOX 1046 Marlton, NJ 08053 PO BOX 1046 Marlton, NJ 08053 PO Box 1050 Marlton, NJ 08053 PO Box 1050 Marlton, NJ 08053 PO Box 1050 Marlton, NJ 08053 PO BOX 1052 MONTGOMERYVILLE, PA 18936 PO BOX 1052 MONTGOMERYVILLE, PA 18936 PO BOX 1052 MONTGOMERYVILLE, PA 18936 PO Box 1128 Blue Bell, PA 19422 PO Box 1128 Blue Bell, PA 19422 PO Box 1128 Blue Bell, PA 19422 PO BOX 1507 DOVER, NH 03825 PO BOX 1507 DOVER, NH 03825 PO BOX 1507 DOVER, NH 03825 PO Box 1901 100 Eagle Rock Ave. East Hanover, NJ 07936 PO Box 1901 100 Eagle Rock Ave. East Hanover, NJ 07936 PO Box 1901 100 Eagle Rock Ave. East Hanover, NJ 07936 PO BOX 31204 TAMPA, FL 33631 PO BOX 31204 TAMPA, FL 33631 PO BOX 31204 TAMPA, FL 33631 PO BOX 3423 GAINESVILLE, GA 30503 PO BOX 3423 GAINESVILLE, GA 30503 Payer ID LIBER72 LIBER73 LIBER74 LIBER75 LIBER76 LIBER77 LIBER78 LIBER79 LIBER80 LIBER81 LIBER82 LIBER83 LIBER84 LIBER85 LIBER86 LIBER87 LIBER88 LIBER89 LIBER90 LIBER91 LIBER92 LIBER93 LIBER94 LIBER95 LIBER96 LIBER97 LIBER98 LIBER99 LIBER100 Other WC (Non-NY) Other WC (Non-NY) Auto/No-Fault New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) Other WC (Non-NY) Auto/No-Fault New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) Other WC (Non-NY) Auto/No-Fault New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) Other WC (Non-NY) Auto/No-Fault New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) Other WC (Non-NY) Auto/No-Fault New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

Liberty Mutual Insurance Co [Electronic Indirect]

LIBER101

Liberty Mutual Insurance Co [Electronic Indirect]

LIBER102

Other WC (Non-NY)

Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect]

LIBER106 LIBER107 LIBER108 LIBER109 LIBER110

New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) Other WC (Non-NY) Auto/No-Fault

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Address PO BOX 3423 GAINESVILLE, GA 30503 PO BOX 3634 BALACYNWID, PA 19004 PO BOX 3634 BALACYNWID, PA 19004 PO BOX 3634 BALACYNWID, PA 19004 PO Box 4834 Syracuse, NY 13221 PO Box 4834 Syracuse, NY 13221 PO Box 4834 Syracuse, NY 13221 PO BOX 4836 STE 202 SYRACUSE, NY 13221 PO BOX 4836 STE 202 SYRACUSE, NY 13221 PO BOX 4836 STE 202 SYRACUSE, NY 13221 PO Box 5061 Freehold, NJ 07728 PO Box 5061 Freehold, NJ 07728 PO Box 5061 Freehold, NJ 07728 PO BOX 7072 LONDON, KY 40742 PO BOX 7072 LONDON, KY 40742 PO BOX 7072 LONDON, KY 40742 PO BOX 7170 Indianapolis, IN 46207 PO BOX 7170 Indianapolis, IN 46207 PO BOX 7170 Indianapolis, IN 46207 PO BOX 7203 LONDON, KY 40742 PO BOX 7203 LONDON, KY 40742 PO BOX 7203 LONDON, KY 40742 po Box 7205 London, KY 40742 po Box 7205 London, KY 40742 po Box 7205 London, KY 40742 PO BOX 8016 WAUSAU, WI 54402 PO BOX 8016 WAUSAU, WI 54402 PO BOX 8016 WAUSAU, WI 54402 PO Box 9045 Farmingdale, NY 11735 PO Box 9045 Farmingdale, NY 11735 PO Box 9045 Farmingdale, NY 11735 PO Box 9101 Weston, MA 02493 PO Box 9101 Weston, MA 02493 PO Box 9101 Weston, MA 02493 PO BOX 9525 MANCHESTER, NH 03108 PO BOX 9525 MANCHESTER, NH 03108 Payer ID LIBER111 LIBER112 LIBER113 LIBER114 LIBER115 LIBER116 LIBER117 LIBER118 New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) Other WC (Non-NY) Auto/No-Fault New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

Liberty Mutual Insurance Co [Electronic Indirect]

LIBER119

Liberty Mutual Insurance Co [Electronic Indirect]

LIBER120

Other WC (Non-NY)

Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect] Liberty Mutual Insurance Co [Electronic Indirect]

LIBER121 LIBER122 LIBER123 LIBER124 LIBER125 LIBER126 LIBER127 LIBER128 LIBER129 LIBER130 LIBER131 LIBER132 LIBER133 LIBER134 LIBER135 LIBER136 LIBER137 LIBER138 LIBER139 LIBER140 LIBER141 LIBER142 LIBER143 LIBER144 LIBER145 LIBER146

Other WC (Non-NY) Auto/No-Fault New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) Other WC (Non-NY) Auto/No-Fault New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) Other WC (Non-NY) Auto/No-Fault New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) Auto/No-Fault Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY)

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name Liberty Mutual Insurance Co [Electronic Indirect] LIBERTY MUTUAL INSURANCE COMPANY LIBERTY MUTUAL/PIP LIBERTY PAPER LIBERTY RESEARCH CO Address PO BOX 9525 MANCHESTER, NH 03108 PO BOX 7203 LONDON, KY 40742 80 PARK PLAZA EAST SADDLE BROOK, NJ 07662 180 WEST 52ND S BAYONNE, NJ 07002 PO BOX 107 ROUTE 17C WAVERLY, NY 14892 1065 James St. Syracuse, NY 13203 350 Fifth Ave New York, NY 10118 3111 WINTON RD S ROCHESTER, NY 14623 111000 WAYZATA BLVD STE 350 MINNEAPOLIS, MN 55305-5556 939 Jefferson Road Rochester, NY 14623 3350 WHITEFORD ROAD YORK, PA 17402 999 STEWART AVE BETHPAGE, NY 11714 PO Box 3608 York, PA 17402 PO Box 3608 York, PA 17402 9449 MORGAN CREEK RD LINDLEY, NY 14858 631 Waterloo Geneva Rd Waterloo, NY 13165 123 WILLIAM ST NEW YORK, NY 10038 1144 JAMAICA STATION JAMAICA, NY 11435 LIVERPOOL POOL AND SPA LM AGENCY MARKETS WC CLAIMS LMC INDUSTRIAL CONTRACTORS INC LMS Shipmanagement Inc LOBUS & WAUSAU SERVICES LOCAL 15 WELFARE FUND LOCAL 15 WELFARE FUND LOCAL 4 COMP ROOFERS Locton Company 3424 ROUTE 31 BALDWINSVILLE, NY 13027 PO BOX 8021 WAUSAU, WI 54402 2060 LAKEVILLE ROAD AVON, NY 14414 11 North Water St. Ste. 18 Mobile, AL 36602 PO BOX 100341 BROOKLYN, NY 11210 265 WEST 14TH ST ROOM 500 NEW YORK, NY 10011 265 WEST 14TH ST. ROOM 500 NEW YORK, NY 10011 385 PARSIPPANY RD PARSIPPANY, NJ 07054 725 S Figueroa Street 35th Floor Los Angeles, CA 90017, NY 90017 1 LeFrak Plaza 59-17 Junction Blvd. Corona, NY 11368 59-17 JUNCTION BLVD ROOM 1524 CORONA, NY 11368 339 HICKS STREET BROOKLYN, NY 11201 PO BOX 1345 425 BROAD HOLLOW RD MELVILLE, NY 11747 Jamaica Station Claims Dept 1144 Jamaica, NY 11435 3430 State Route 434 Apalachin, NY 13732 10171 BETHANY CENTER RD EAST BETHANY, NY 14054 LIVER001 LMAGE001 LMCIN001 LMSSH001 LWS01 LOCAL003 LOCAL002 LOCAL001 LOCTO001 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Payer ID LIBER147 LIBER006 LIBER157 LIBER150 LIBER010 Auto/No-Fault New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

Liberty Resources LifeSpire - WC LIFETIME CARE LIFETRAC NETWORK

LIBER015 LIFES001 LIF01 LTN01

Lincare LINCOLN GENERAL INS CO LINCOLN GENERAL INS CO Lincoln General Insurance Lincoln General Insurance LINDLEY WOOD WORKS Liquid Products, LLC LIQUIDATION BUREAU DEPT LIRR CLAIMS BUREAU

LINCA001 LINC01 LINCO001 LINCO002 LINCO003 LINDL001 LIQUI001 LIQU01 LIRR01

Long Island Health Care Facility

LONGI001

LONG ISLAND CITY HEALTH CARE UNIT

LONGI003

LONG ISLAND COLLEGE HOSPITAL LONG ISLAND INSURANCE

LONGI004 LONGI005

Long Island Rail Road Claims

LONGI002

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

Lopke Gravel Products LOR-ROB DAIRY FARM

LOPKE001 LOR01

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name louis picciano & son plumbing LOURDES HOSP LOURDES HOSPITAL H.R. Lovell Safety Management Address 320 n jenson road vestal, NY 13850 169 RIVERSIDE DR BINGHAMTON, NY 13905 169 RIVERSIDE DR BINGHAMTON, NY 13905 11 Computer Drive West Suite 111 Albany, NY 12205 16 W main Street Rochester, NY 14614 110 WILLIAM 12TH FLOOR NEW YORK, NY 10038 4914 WEST GENESEE ST CAMILLUS, NY 13031 680 MILLARD FILLMORE PL EAST AURORA, NY 14052 PERSONNEL/WORKCOMP 501 BATH RD BRISTOL, PA 19007 8 CHERRY STREET HATFIELD, PA 19053 200 SALINA STREET LIVERPOOL, NY 13088 501 S OX VALLEY RD FAIRLESS HILLS, PA 19030 1 SPEEN STREET PO BOX 9165 FRAMINGHAM, MA 01701-9165 2101 HUNTER RD BRISTOL, PA 19007 PO BOX 5000 SMITHTOWN, NY 11787 5784 WIDEWATERS PKWY SYRACUSE, NY 13214 1 Corporate Dr Suite 200 Lake Zurich, IL 60047 1905 NW CORP BLVD BOCA RATON, FL 33431-7315 7401 METRO BLVD SUITE 250 MINNEAPOLIS, MN 55439 PO BOX 3061 BOCA RATON, FL 33431 7401 Metro Blvd. Suite 250 Minneapolis, MN 55439 P.O Box 349016 Sacramento, CA 95834 PO Box 70 Blossvale, NY 13308 8830 BLOSSVALE RD BLOSSVALE, NY 13308 PO BOX 20001 Woodstock, GA 30188 PO BOX 200001 WOODSTOCK, GA 30189 7 west 7th street 8th floor cinncinati, OH 45202 PO BOX 3069 Cincinnati, OH 45201 3300 FASHION WAY JOPPA, MD 21085-3205 PO BOX 3069 CINCINNATI, OH 45201 PO BOX 3069 CINCINNATI, OH 45201 701 Lenox Avenue Oneida, NY 13421 PO BOX 256 RICHVILLE, NY 13681 3897 ADLER PLACE BETHLEHEM, PA 18017 Payer ID LOUIS001 LOURD001 LHHR01 LOVEL002 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY)

Lovell Safety Management LOVELL SAFETY MANAGEMENT

LOVEL001 LOVE02

LOVELL SAFETY MANAGEMENT LOVELL SAFETY MANAGEMENT LOWER BUCKS HOSPITAL

LOVE01 LOVE03 LOWER001

LOWRY ELECTRIC LPS ENTERPRISES LUKOIL LUMBER SERVICE INS

LOWRY001 LPSEN001 LUKOI001 LUMB01

LUMBERMAN ASSOC LUMBERMANS MUTUAL LUMBERMANS MUTUAL CASUALTY Lumbermans Mutual Group

LUMBE004 LUBU01 LUBU02 LUMBE003

LUMBERMANS UNDERWRITING LUMBERMANS UNDERWRITING

LUMU03 LUMBE001

LUMBERMANS UNDERWRITING Lumbermans Underwriting Alliance / WC

LUMU01 LUMBE002

LWP Claims Solution Lynn H Scott Inc LYNN H. SCOTT MAC RISK MANAGEMENT/BOSTON MACRISK MANAGEMENT macy's

LWPCL001 LYNNH002 LYNNH001 MACRI001 MAMA01 MACYS004

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

Macys MACYS CORP. SERVICES Macys Corporate Services [Electronic Indirect] Macys Corporate Services [Electronic Indirect] Madison Cortland ARC MADISON ONEIDA HERK COMP MAGELLAN

MACYS001 MACS02 MACYS002 MACYS003 MADIS001 MOHC01 MAGEL001

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name MAGNA CARTA CO Magna Comp Magna Comp MAGNACARE Address ONE PARK AVE NEW YORK, NY 10016 1600 Stewart Avenue Westbury, NY 11590 825 East Gate Rd Garden City, NY 11530 PO BOX AA 825 E GATE BLVD GARDEN CITY, NY 11530 PO BOX 1001 Garden City, NY 11530 1600 Stewart Ave. Westbury, NY 11590 1600 Stewart avenue Suite 200 Westbury, NY 11590 6281 BEACH BLVD #220 BUENA PARK, CA 90621 1210 CORBIN ST ELIZABETH, NJ 07201 PO BOX 8402 LONDON, KY 40742 PO BOX 2300 55 WEST ST KEENE, NH 03431-7000 27 E. Midstate Drive Auburn, MA 01501 PO BOX 4828 SYRACUSE, NY 13221 PO BOX 2428 SYRACUSE, NY 13221 PO BOX 4828 SYRACUSE, NY 13221 6777 MAIN STREET WILLIAMSVILLE, NY 14221 PO BOX 2667 AUGUSTA, ME 04338-2667 PO BOX 1849 POUGHKEEPSIE, NY 12601 PO Box 2648 Camden, NJ 08101 PO BOX 622 LYNBROOK, NY 11563 560 WHITE PLAINS RD STE 307 TARRYTOWN, NY 10591 PO Box 1140 Richmond, VA 23261-7472 PO BOX 347 Elma, NY 14059 100 MAIN STREET TULLYTOWN, PA 19007 66 SOUTH BROAD ST NORWICH, NY 13815 122 CENTRAL AVE LANCASTER, NY 14086 1249 Front St Binghampton, NY 13905 PO BOX 685 Batavia, NY 14021 300 leader Drive Williamsport, PA 17701 117 GREAT OAKS ALBANY, NY 12203 411 WASHINGTON AVENUE KINGSTON, NY 12401 1600 COLLEGE AVE ELMIRA, NY 14901 380 SENTRY PARKWAY PMA BUILDING BLUE BELL, PA 19422-2357 301 Sullivan Way Trenton, NJ 08622 6250 SOUTH BAY RD SYRACUSE, NY 13220 Payer ID MACC01 MAGNA005 MAGNA02 MAGNA01 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Auto/No-Fault New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

MagnaCare Workers Comp Magnacomp Magnacomp

MAGNA003 MAGNA004 MAGNA006

MAGNETIC IMAGING SERVICE

MAIS01

MAHER TERMINAL MAIL HANDLERS BENEFIT PLAN MAIN STREET AMERICA ASSURANCE CO

MAHER001 MAIL01 MSAA01

Main Street America Group MAIN STREET AMERICA GROUP MAIN STREET AMERICAN GR MAIN STREET AMERICAN GR MAIN TRANSIT FIRE DEPT. MAINE AUTO DEALERS ASSOC MAJESTIC INSURANCE Maksin MALONEY ASSOCIATES MANAGE COMP

MAINS003 MSAG01 MAINS001 MAINS002 MAINT001 MAINE001 MAIN01 MAKSI001 MALON001 MANA02

Managed Care Innovations Managed Care Network Inc. MANFI LEASING CO MANG INS. GROUP MANITOBA CORPORATION Manleys Mighty Mart Manning Squire Henning Manor Care North MANPOWER MANPOWER MANPOWER (ELMIRA) MANUFACTURERS ALLIANCE INS CO

MANAG001 MANAG002 MANFI001 MANGI001 MANIT001 MMMA01 MANNI001 MANOR001 MANPO002 MANPO003 MANPO001 MANA01

Manufacturers Insurance Company MANUFACTURING SELF INS

MANUF001 MASI01

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name MANZO/RAM INS AGENCY Mapfre Insurance Company of Florida [Electronic] Address 484 WESTSIDE AVE JERSEY CITY, NJ 07304 5959 BLUE LAGOON DRIVE SUITE NUMBER 400 MIAMI, FL 33126 ATTN WKRS COMP 8956 WEST MAIN STREET CLYMER, NY 14724 204 N Washington Salem, IL 62881 PO BOX 615 FAIRHAVEN, MA 02719 10 PARKWAY N DEERFIELD, IL 60015-2544 PO BOX 29202 HOT SPRINGS, AR 71903 1 MARRIOTT DR Dept. 924.37 WASHINGTON, DC 20058-0003 4946 Bayview Rd Bemus Pt, NY 14712, NY 14712 113 SARATOGA RD GLENVILLE, NY 12302 66 LLOYD LANE TROY, PA 16947 83 CANAL STREET BIG FLATS, NY 14814 3908 WAVERLY RD OWEGO, NY 13827 1000 ELMWOOD AVE STE 100 ROCHESTER, NY 14620 1750 FORESTER DR ANNAPOLIS, MD 21401 PO BOX 968064 SCHAUMBURG , IL 60196 2701 BARTRAM RD BRISTOL, PA 19007 440 LINCOLN STREET WORCESTER, MA 01653 PO BOX 394 LOCKPORT, LA 70374 PO BOX 746 CRANFORD, NJ 07016 P.O.Box 1468 San Jose, CA 95109 PO BOX 1468 San Jose, CA 95109 PO BOX 1468 San Jose, CA 95109 PO BOX 1468 San Jose, CA 95109 PO BOX 43 PENNSBURG, PA 18073 181 metro Drive STE: 300 San Jose, CA 95110-1416 P O BOX 11456 TUSCON, AZ 85737 555 12TH STREET OAKLAND, CA 94607-4046 25 CHESTNUT ST SENECA FALLS, NY 13148 3 Schoolhouse Lane Waterford, NY 12188 76 N BROADWAY IRVINGTON, NY 10533 614 LOCUST ST CNTRL REG ST LOUIS, MO 63101 45-18 Court Sq,Ste 502 Long Island City, NY 11101 PO BOX 1896 AUTO CLAIMS LONG ISLAND CITY, NY 11101 Payer ID MANZO001 MAPFR001 Auto/No-Fault Auto/No-Fault

MAPLEVALE FARMS WHOLESALE

MAPLE001

New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

Marion County Jail / Liability MARITIME CLAIMS ASSOCIATES MARKEL INS CO MARRIOTT MARRIOTT MARQUIS CORP

MARIO001 MARIT001 MARK01 MARR01 MARR02

Marsh Tree Landscaping MARSHALL & STERLING MARTHA LLOYD SCHOOL MARTINEC BUILDING & REMODELING MARTIN'S PLUMBING & HEATING Mary Cariola Childrens Center

MARSH005 MARSH001 MARTH001 MARTI001 MARTI002 MARYC001

MARYLAND AUTO INS MARYLAND CASUALTY MASEL INC MASSACHUSETTS BAY INSURANCE CO MASSE CONTRACTOR INC MASTER CARE MATIX ABSENCE MANAGEMENT Matrix Absence Management Matrix Absence Management [Electronic Indirect] Matrix Absence Management [Electronic Indirect] MATRIX ABSENCE MANEGEMENT Matrix Absence Mgmt.

MARYL001 MARCA01 MASEL001 MASS01 MASSE001 MACA01 MATIX001 MATRI002 MATRI004 MATRI005 MATRI003 MATRI007

MATRIX/ COVENTRY MATSON NAVIGATION MATTHEWS INTERNATIONAL Maximum Security Products MAXON CO MAY DEPT STORES

MATRI006 MATSO001 MATTH001 MAXIM001 MAXON001 MAYD01

Maya Assurance Co MAYA ASSURANCE CO

MAYAA001 MAYAA002

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name MAYA INSURANCE COMPANY MAYO MANAGEMENT SERVICES MAYSHARK BUILDERS MAZZONE HOSPITALITY MB FARMS mc donald corp. Address PO BOX 1896 LONG ISLAND CITY, NY 11101 1001 41ST STREET NW ROCHESTER, MN 55901 PO BOX 12 MAPLE SPRINGS, NY 14756 1 GLEN AVENUE SCOTIA, NY 12302 8283 HARRIS RD LEROY, NY 14482 521 e main street beth dibble owner endicott, NY 13760 rr3 box 239 montrose, PA 18801 3875 CALIFORNIA ROAD ORCHARD PARK , NY 14127 15 RIVER RD STE 200 WILTON, CT 06897 1503 MILITARY RD KENMORE, NY 14217 1341 N Rock Hill Road Saint Louis, MO 63124 355 W Morris St BATH, NY 14810 5316 MAIN STREET WILLIAMSVILLE, NY 14221 205 Harrison Ave Endicott, NY 13760 3701 NEW RODGERS RD LEVITTOWN, PA 19056 PO BOX 400 CORNING, NY 14830 80 DENISON PKWY CORNING, NY 14830 603 E MAIN ST ENDICOTT, NY 13760 609 CHEMUNG STREET HORSEHEADS, NY 14845 12 CHARLESTON STREET WELLSBORO, PA 16901 560 DELAWARE AVE RM 400 BUFFALO, NY 14202 835 Hillcrest Lane Charleston, WV 25311 54 NORTH TIMBER LANE ELMIRA, NY 14904 701 TECHNOLOGY DRIVE SUITE 100 CANONSBURG, PA 15317 P.O. Box 1160 Canonsburg, PA 15317 P.O. BOX 1160 CANONSBURG, PA 15317 1301 5TH AVENUE SUITE 2900 SEATTLE, WA 98101 P O BOX 5670 CORTLAND, NY 13045 P.O. Box 5670 Cortland, NY 13045 PO BOX 5670 CORTLAND, NY 13045 PO Box 4064 New Windsor, NY 12553 19065 Hickory Creek Dr Ste 240 Mokena, IL 60448 RR 4 Box 4000 Montrose, PA 18801 PO BOX 5086 SOUTHFIELD, MI 48086 PO BOX 5086 SOUTHFIELD, MI 48086 26255 AMERICAN DRIVE SOUTHFIELD, MI 48034 Payer ID MAYAI001 MAYOM001 MAYSH001 MAZZO001 MBFAR001 MCDON002 Auto/No-Fault Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

mc donald corp. Mc Gard MC MC

MCDON001 MCGAR001 MCMC01

MCAULEY RESIDENCE HOME McCarthy / WC MCDONALDS MCDONALDS MCDONALD'S MCDONALD'S MCDONALD'S MCDONALD'S (CORNING ) MCDONALD'S (ENDICOTT) MCDONALD'S (HORSEHEADS) MCDONALD'S (WELLSBORO) MCGUIRE GROUP

MCAUL001 MCCAR001 MCDON010 MCDON007 MCDON011 MCDON009 MCDON008 MCDON006 MCDON004 MCDON005 MCDON003 MCG01

McJunkin/ MRC MCLAUGHLIN PHILLIPS,LLC MCMC

MCJUN001 MCLAU001 MCMC002

MCMC / WC MCMC/GUARANTEE MCN MCNEIL & CO McNeil & Company McNEIL & COMPANY McQuade Children Srv - WC MDM / WC Meadow View Senior Living Center Meadowbrook MEADOWBROOK MEADOWBROOK INS GROUP

MCMCW001 MCMCG001 MCN001 MCNEI002 MCNEI001 MCNE01 MCQUA001 MDMWC001 MEADO001 META01 MEADO002 MEAD01

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name Meadowbrook Insurance / WC MEC CONSTRUCTION LLC MECHANICAL TESTING MECO CONSTRUCTORS MED BILL INC MED EVAL Address 3001 NE Broadway #645 Minneapolis, MN 55413 PO BOX 440 BRIDGE PORT, WV 26330 95 HUDSON RIVER ROAD WATERFORD, NY 12188 684 DUNKSFERRY ROAD BENSALEM, PA 19020 PO BOX 30725 WALNUT CREEK, CA 94598 109 CARPENTER DRIVE SUITE 200 STERLING, VA 20164 2811 WILSHIRE BLVD STE 900 SANTA MONICA, CA 90403 18 AGASSIZ CIRCLE BUFFALO, NY 14214 PO Box 61656 Irvine, CA 92602-6055 2811 Wilshire Blvd Ste 900 Santa Monica, CA 90403 5700 E 11 Mile Rd Warren, MI 48091 608 S CLINTON AVE ROCHESTER, NY 14620 PO BOX 6018 CLEVELAND, OH 44107 3959 Bates Road Medina, NY 14103 200 Ohio St Attn: Linda Paron Medina, NY 14103 200 OHIO ST MEDINA, NY 14103 13451 DAMAR DRIVE PHILEDALPHIA, PA 19053 12 METRO PARK RD STE 103 ALBANY, NY 12205 PO BOX 3606 PORTLAND, ME 04104 PO BOX 3606 PORTLAND, ME 04104 1 Hospital Drive Towanda, PA 18848 PO BOX 3580 SYRACUSE, NY 13220 10 NORTH HIGHWAY 31 PO BOX 278 PENNINGTON, NJ 08534 PO BOX 57 BALDWINSVILLE, NY 13027 4698 CROSSROADS PARK DRIVE LIVERPOOL, NY 13088 PO Box 78 Buffalo, NY 14240 PO BOX 868 MORRISTOWN, NJ 08057 250 Main St. Buffalo, NY 14240 PO BOX 78 BUFFALO, NY 14240 309 FELLOWSHIP RD SUITE 300 MOUNT LAUREL, NJ 08054 200 Somerset Corporate Blvd. 7th Floor Bridgewater, NJ 08807 17 WHEELER AVENUE HAMMONDSPORT, NY 14840 19 BRITISH AMERICAN BLVD EAST LATHAM, NY 12110 13 Cornell Road Latham, NY 12110 Payer ID MEADO003 MECCO001 MECHA001 MECOC001 MEDBI001 MEDEV001 Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

MED FOCUS

MEDF01

MEDAILLE COLLEGE Medata Service Bureau - For Vons Medfocus Radiology Network

MEDAI001 MEDAT001 MEDFO001

Medical Evaluation Specialists / WC MEDICAL MOTOR SERVICE MEDICAL MUTUAL Medina Brunner Medina Memorial Healthcare System

MEDIC001 MEDIC002 MEDMU01 MEDIN003 MEDIN002

MEDINA MEMORIAL HOSPITAL MEGA CONSTRUCTION MEMIC MEMIC MEMIC Memorial Home Health & Hospice MERCANTILE SEF INJURED MERCER INS CO

MEDIN001 MEGAC001 MEMIC001 MEMI02 MEMIC002 MEMOR001 MSI01 MEIN01

MERCER MILLING MERCER MILLING COMPANY

MERM01 MERCE001

Merchants Insurance Group MERCHANTS MUTUAL Merchants Mutual Ins Co MERCHANTS MUTUAL INS CO MERCHANTS MUTUAL INSURANC

MERCH002 MERCH004 MERCH001 MEMU01 MERCH003

Mercury [Electronic]

MERC001

MERCURY AIRCRAFT CORP MERCURY CASUAL INS MERCURY INS CO

MERCU001 MERCU011 MERCU003

New York Workers' Compensation Auto/No-Fault Auto/No-Fault

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name MERCURY INS GROUP Address PO BOX 31476 ATTN: PIP UNIT TAMPA, FL 33630 PO BOX 30173 TAMPA, FL 33630 PO BOX 566188 ATLANTA, GA 31156 PO Box 367 Marlton, NJ 08053 PO BOX 5919 BRIDGEWATER, NJ 08807 PIP UNIT PO BOX 31476 TAMPA, FL 336303476 PO BOX 986 Marlton, NJ 08053 565 ABBOTT RD ATTN JOY BACKER BUFFALO, NY 14220 PO BOX 4802 TOLEDO, OH 43610 2104 COLLEGE AVE ELMIRA HEIGHTS, NY 14903 1118 STATE ROUTE 434 OWEGO, NY 13827 PO BOX 410450 CHARLOTTE, NC 28241 PO BOX 986 PIP CLAIMS Marlton, NJ 08053 P O BOX 410200 CHARLOTTE, NC 28241 PO BOX 5038 Woodbridge, NJ 07095 PO BOX 30018 TAMPA, FL 33630-3018 31 BRITISH AMERICAN BLVD LATHAM, NY 12110 PO BOX 5038 Woodbridge, NJ 07095 PO BOX 1248 WILLIAMSVILLE, NY 14231 216 Colgate Avenue Buffalo, NY 14220 2319 FOOTHILL DR STE 280 SALT LAKE CITY, UT 84109 1 METLIFE PL 2701 QU LONG ISLAND CITY, NY 11131 P.O. BOX 3038 LOWELL, MA 01853 PO Box 410400 Charlotte, NC 28241-0400 PO Box 410450 Charlotte, NC 28241-0450 9001 WESLEYAN, BX 68975 INDIANAPOLIS, IN 46268 PO Box 14590 Lexington, KY 40511-4590 National Benefits Center PO BOX 14608 Lexington, KY 40511-4608 5130 EISENHOWER BLVD TAMPA, FL 33634 3545 JOHN GLENN BLVD SYRACUSE, NY 13209 347 MADISON AVE 6TH FLR NEW YORK, NY 10017 160 WATER STREET FL 3 NEW YORK, NY 10038 106 BEECHWOOD DR WASHINGTON CROS, PA 18977 817 WEST MAIN STREET BROWNSVILLE, WI 53006 Payer ID MERCU008 Auto/No-Fault

MERCURY INSURANCE MERCURY INSURANCE Mercury Insurance Co. MERCURY INSURANCE GROUP MERCURY INSURANCE GRP

MERCU009 MERCU012 MERCU013 MERCU007 MERCU010

Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault

Mercury/ Premier Prizm MERCY HOSPITAL HUMAN RESOURCES MERCY WORK SOLUTIONS MERRY MAIDS MERRY MAIDS (OWEGO) MET CASUALTY INS CO Met Life

MERCU005 MERCY001 MEWS01 MERRY002 MERRY001 METCA001 METLI004

Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

MET LIFE Met Life / AIS MET LIFE AUTO MET LIFE AUTO/HOME Met Life/ AIS METAL GOODS TRUST FUND Metal Locking Service, Inc. METAL TRANSPORTATION

METLI011 METLI007 METLI012 METLI003 METLI006 MGTF01 METAL001 METR01

Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

METLIFE

METL01

METLIFE MetLife [Electronic] MetLife Auto & Home METLIFE AUTO & HOME MetLife Disability Metlife National for Delphi

METLI008

METLIFE001 Auto/No-Fault METLI009 METLI010 METLI001 METLI002 Auto/No-Fault Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

METRACOMP METRO MATTRESS METRO NORTH RAILROAD CLAIMS

METC01 METRO001 MNRC01

METROPLUS MICHAEL ANTOLINO CON MICHEL'S CORPORATION

METRO002 MICHA001 MICHE002

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name MICHELS POWER MICHIGAN MILLER MICHIGAN MILLERS MUTUAL MICHIGAN MUT INS CO Michigan Mutual Ins Co. MID ATLANTIC MID ATLANTIC MID ATLANTIC GROWERS MIDDENDORF TRACTOR MIDDLESEX CNTY MUNICIPAL Address 1775 E SHADY LANE NEENAH, WI 54956 PO BOX 30060 LANSING, MI 48909 PO BOX 30060 LANSING, MI 48909 PO BOX 9203 FARMINGTON HILLS, MI 48333 2677 Halsted Road Farmington Hill, NY 48333 321 HAMBURG TURNPIKE WAYNE, NJ 07470 PO BOX 16203 READING, PA 19612 PO BOX 428 NEW EGYPT, NJ 08533 932 WEST RIVER ROAD NICHOLS, NY 13812 2-JOCAMA BLVD 4 OLD BRIDGE, NJ 08857 PO BOX 8032 STEVENS POINT, WI 54481 223 Wisner Avenue Middletown, NY 10940 3150 FIFTH AVENUE EAST MOLING, IL 61244 11 Jordan Rd PO Box 61 Skaneateles, NY 13152 550 NEWARK AVE JERSEY CITY, NJ 07306 1956 CENTRAL AVENUE ALBANY, NY 12205 213 N JENSEN ROAD VESTAL, NY 13850 19065 HICKORY CREEK DRIVE SUITE 240 MOKENA, IL 60448 PO Box 13369 Springfield, IL 62791 Po Box 436909 Louisville, KY 40253 9362 TRANSIT RD EAST AMHERST, NY 14051 1766 WINCHESTER RD BENSALEM, PA 19020 PO BOX 869 518 EAST BROAD ST COLUMBUS, OH 43216-0869 1201 WILSON AVE BRISTOL, PA 19007 PO BOX 37 VESTAL, NY 13851 2939 FLETON ROAG BLDG 2 NORRISTOWN, PA 19401 470 CAYUGA ROAD BUFFALO, NY 14225 PO BOX 455 BIG FLATS, NY 14814 1 Twins Way Minneapolis, MN 55415 ATTN: COLLEEN PO BOX 988 AMHERST, NY 14226 PO BOX 5435 Cincinnati, OH 45201 PO BOX 4602 WARREN, NJ 07061 15 Independence Boulevard Warren, NJ 07059 2040 MILITARY RD TONAWANDA, NY 14150 9 CAMERON STREET PO BOX 747 BATH, NY 14810 Payer ID MICHE001 MIMI01 MICHI001 MIMU01 MICHI002 MIDAT002 MIDAT003 MIDAT001 MIDDE001 MIDDL002 New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

MIDDLESEX INSURANCE COMPANY Middletown Enlarged Cty Shc MIDEAST UNDERGROUND Midlakes Navigation

MIDI01 MIDDL001 MIDU01 MIDLA001

MIDTOWN OCCUPATIONAL MIDWAY FIRE DEPARTMENT MIDWAY LANES INC MIDWEST DIAGNOSTIC MNGMT

MIDTO001 MIDWA002 MIDWA001 MIDWE003

Midwest Insurance / WC Midwestern Insurance Alliance MIGHTY TACO MIKE RICH INC MILBANK INSURANCE COMPANY

MIDWE002 MIDWE001 MIGHT001 MIKER001 MILB01

MILL RUN MILLER AUTO GROUP MILLER BROTHERS

MILLR001 MILLE001 MILLE002

MILLINGTON LOCKWOOD INC MINIER BROTHERS Minnesota Twins MISTER SNACKS Mitsui Sumitomo MITSUI SUMITOMO INS CO OF AMERICA Mitsui Sumitomo Ins. MJ MECHANICAL SERVICES MJ WARD AND SON

MILLI001 MINIE001 MINNE001 MISTE001 MITSU002 MISU02 MITSU001 MJMEC001 MJWAR001

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name MLP PLUMBING & MECHANICAL MODERN BUSINESS ASSOC Modern Marketing Concepts Address 3198 UNION RD CHEEKTOWAGA, NY 14227 9455 KOGER BLVD SUITE 200 ST. PETERSBURG, FL 33702 29 Industrial Park Drive Rebecca Bendert Binghamton, NY 13905 1801 ELMWOOD AVE BUFFALO, NY 14207 71 W 23RD STREET NEW YORK, NY 10010 ATTN HUMAN RESOURCES 9882 RIVER RD UTICA, NY 13502 225 FOLCONER DR FREWSBURG, NY 14738 1669 Lyell Ave Rochester, NY 14606 200 HOLLEDER PARKWAY ROCHESTER, NY 14615 200 HOLLEDER PKWY ROCHESTER, NY 14604 970 Emerson Street Rochester, NY 14606-2708 938 STATE RTE 21 HORNELL, NY 14843 2171 MONROE AVE STE 205A ROCHESTER, NY 14618 P.O. Box 8021 Wausau, WI 54402 PO BOX 1187 MORAVIA, NY 13118 145 BROADWAY MENANDS, NY 12204 380 Vulcan Street PO BOX 68 Buffalo, NY 14207 139 WASHINGTON STREET MORRISVILLE, PA 19067 413 BROAD ST WAVERLY, NY 14892 6680 ONTARIO CENTER ROAD ONTARIO, NY 14519 2243 CORNING RD ELMIRA, NY 14903 AUTO CLAIMS PO BOX 5123 SOUTH FIELD, MI 48086 110 Williams Street 19th Floor New York, NY 10038 20 WASHINGTON PL PROVIDENCE, RI 02903 PO BOX 182476 COLUMBUS, OH 43218-2476 470 EAST LINCOLN AVE MOUNT VERNON, NY 10553 470 EAST LINCOLN AVE MOUNT VERNON, NY 10553 95 ROUTE 17 SOUTH PARAMUS, NJ 07653 PO Box 2005 Warren, MI 48090 2 ROOSEVELT SQUARE MT VERNON, NY 10552 5300 Military Road Attn: Employee Benefits Lewiston, NY 14092 2 BROADWAY 21ST FL NEW YORK, NY 10004 128-15 28th Avenue College Point Depot Flushing, NY 11354 165-25 147 AVE JFK DEPOT JAMAICA, NY 11434 Payer ID MLPPL001 MODER002 MODER001 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

MOD-PACK MOHAWK INDUSTRIES MOHAWK VALLEY COMMUNITY ACTION ASSOC

MOD01 MOHAW001 MOHAW002

MONARCH PLASTICS Monroe Ambulance MONROE MUFFLER MONROE MUFFLER (ROCHESTER) Monroe School Transportation MONROE TRACTOR MONTANA MILLS

MONAR001 MONRO003 MONRO001 MONRO004 MONRO002 MONRO005 MONT01

Montgomery Insurance MORFAB MORGAN LINEN Morgan Materials

MONTG001 MORFA001 MORGA002 MORGA001

MORRISVILLE AMBULANCE MORTONS CLEANERS MOSS ARCHITECTURAL PRODUCTS MOTOR COMPONENTS LLC MOTOR INSURANCE CORP.

MORRI001 MORTO001 MOSSA001 MOTOR001 MOTOR003

Motor Vehicle Accident Indemnity MOTOR VEHICLE CASUALTY CO MOTORIST INS GROUP MOUNT VERNON FIRE DEPT MOUNT VERNON FIRE DEPT MOUNTAIN VALLEY INDEMNITY COMPANY MSC Care Management MT VERNON POLICE DEPT Mt. St. Mary's Hospital

MOTOR002 MVC01 MOTOR004 MOUNT002 MOUNT001 MTVA01 MSCCA001 MTVER001 MTSTM001

Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

MTA - RISK MGMT MTA - WC

MTARI001 MTAWC001

MTA BUS COMPANY

MTA02

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name MTA LONG ISLAND BUS MTN DAIRY Address 700 COMMERCIAL AVE GARDEN CITY, NY 11530-6434 PO BOX 1020 88 ROCK HILL DR ROCK HILL, NY 12775 789 COLVIN BLVD. KENMORE, NY 14217 617 HIAWATHA BLVD E SYRACUSE, NY 13208 927 WEST SMITH STREET CORRY, PA 16407 425 DAY HILL RD WINDSOR, CT 06095 1 Union Plaza New London, CT 06320-6314 5901 GREEN VALLEY CIR STE 145 CLOVER CITY, CA 90230 PO BOX 590, ONE UNION PL NEW LONDON, CT 06320 1535 W McCord Centralia, IL 62801 P.O.Box 1728 Lancaster, PA 17608 8574 Sheridan Drive Willaimsville, NY 14221 100 STINSON STREET SYRACUSE, NY 13209 110 William Street 19th floor New York, NY 10038 PO BOX 22920 ROCHESTER, NY 14692-2920 241 DELAWARE AVENUE DELMAR, NY 12054 PRINCETON MARKET PRINCETON, NJ 08824 PO BOX 183 BAYONNE, NJ 07002 PO BOX 2039 ELMIRA HEIGHTS, NY 14903 PO BOX 189 88 MAIN STREET BRIDGTON, ME 00409-0189 1122 FRANKLIN AVE STE 406 GARDEN CITY, NY 11530-7602 1122 FRANKLIN AVENUE SUITE 406 GARDEN CITY, NY 11530 2275 S. Main Paris, IL 61944 Address Line 1 Address Line 2 City, St Zip 1112 NY 12 GREENE, NY 13778 282 DELAWARE AVE STE 200 BUFFALO, NY 14202 400 EAST 14TH STREET ELMIRA HEIGHTS, NY 14903 P O BOX 166002 ALTAMONTE SPG, FL 32716-6002 2201 Hempstead Turnpike NCMC - Building A East Meadow, NY 11554 11 TEAL ROAD WAKEFIELD, MA 01880 P.O. BOX 38 CHANDLER, OK 74834 PO BOX 9 CHANDLER, OK 74834 2 Park Ave New York, NY 10016 One Court Square Long Island City, NY 11120 Payer ID MTA01 MTN01 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) Auto/No-Fault

MUELLER CORP MUENCH-KREUZER CANDLE COMPANY MUNSEE ESCAVATING MURDOCK CLAIMS MGMT CO Murphy & Beane MURPHY & BEANE

MUELL001 MUENC001 MUNSE001 MURD01 MURPH002 KNM02

MURPHY & BEANE Murray Center / WC Murray Insurance Musso Plumbing & Heating MUSTANG CONSTRUCTION GROUP MVAC

MURPH001 MURRA002 MURRA001 MUSSO001 MUSTA001 MVAC001

MVP HEALTHCARE MY PLACE & COMPANY MYSTIQUE NACIREMA NAGLEE MOVING & STORAGE NAHGA CLAIMS SERVICES

PCR01 MYPLA001 MYSTI001 NACIR001 NAGLE001 NAHGA001

NAI CLAIMS CONSULTING

NAI01

NAI CLAIMS CONSULTING INC.

NAICL001

NAL / WC Name

NALWC001 NAME001

NAPA AUTO PARTS (GREENE, NY) NAPLES CLAIM MANAGEMENT

NAPAA001 NAPL02

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

NARDE PAVING CO NARS Nassau County Attorney - W

NARDE001 NARS002 NASSA001

NATGUN CORP NATIONAL AMERICAN NATIONAL AMERICAN INSURANCE CO National Benefit Life National Benefit Life Ins

NATGU001 NATIO002 NATA01 NATIO003 NATIO008

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name National Casualty NATIONAL CONTINENTAL NATIONAL CRANKSHAFT NATIONAL EARTH SERVICE NATIONAL EMPLOYER SERVICES (NES) NATIONAL FIRE INSURANCE CO OF HARTFORD Address PO Box 4120 Scottsdale, AZ 85261 PO BOX 94762 CLEVELAND, OH 44101 PO BOX 24278 TUCSON, AZ 85734 245 BUTLER AVENUE LANCASTER, PA 17601 584 NORTH DIAMOND BAR BLVD DIAMOND BAR, CA 91765 333 SOUTH WABASH 30S CHICAGO, IL 60604 6363 MAIN ST WILLIAMSVILLE, NY 14221 PO BOX 6239 Indianapolis, IN 46206 PO BOX 4828 SYRACUSE, NY 13221 POB 4828 SYRACUSE, NY 13221 4016 FARNHAM STREET OMAHA, NE 68131 PO Box 521 Richfield, OH 44286 PO BOX 549 RICHFIELD, OH 44286 3250 INTERSTATE DRIVE RICHFIELD, OH 44286-9000 PO BOX 549 RICHFIELD, OH 44286 999 STEWART AVENUE BETHPAGE, NY 11714 3024 HARNEY ST OMAHA, NE 68131 PO BOX 9028 BETHPAGE, NY 11714 Helmsman Mgmt svcs PO BOX 307230 COLUMBUS, OH 43230 148-06 HILLSIDE AVENE JAMAICA, NY 11435 3421 Old Vestal Road Vestal , NY 13850 3421 OLD VESTAL ROAD ATTN SHELLY/HUMAN RESOURCES VESTAL, NY 13850 145 Dwight Park Circle Syracuse, NY 13209 333 SOUTH WABASH AVE CHICAGO, IL 60604 777 SAN MARIN DRIVE NOVATO, CA 94998 70 PINE ST NEW YORK, NY 10038 PO BOX 4794 SYRACUSE, NY 13221 PO BOX 8 TARRYTOWN, NY 10591 PO BOX 1830 ALPHARETTA, GA 30023 1 NATIONWIDE GATEWAY DEPT 5576 DES MOINES, IA 50391 215 N FRONT ST COLUMBUS , OH 43215 3300 SOUTHWEST WILLISTON ATTN:CLAIMS GAINSVILLE, FL 32608 5525 Park Center Circle Dublin, OH 43017 PO BOX 1960 MORRISTOWN, NJ 07962 PO BOX 69600 DEPT 5575 HARRISBURG, PA 17106 Payer ID NATIO016 NATIO022 NATIO020 NATIO019 NATIO032 NATF01 Auto/No-Fault Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Auto/No-Fault New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

NATIONAL FUEL GAS National Government Services NATIONAL GRANGE INSURANCE NATIONAL GRANGE MUTUAL NATIONAL INDEMNITY COMPANY National Interstate Ins NATIONAL INTERSTATE INS NATIONAL INTERSTATE INSURANCE CO NATIONAL INTERSTATE INSURANCE CO NATIONAL LIABILITY & FIRE INS NATIONAL LIABILITY AND FIRE NATIONAL LIABILITY INS CO National Market Claims

NAFG02 NATIO025 NAGI01 NATIO029 NATIO026 NATIO035 NATIO006 NATI01 NATI02 NATIO027 NATL01 NATIO028 NATIO015

NATIONAL ORG OF INDUSTRY National Pipe & Plastics NATIONAL PIPE & PLASTICS ELECTR

NATIO018 NPP01 NATIO004

National Structures NATIONAL SURETY CORPORATION NATIONAL SURETY CORPORATION NATIONAL UNION & FIRE NATIONAL UNION & FIRE NATIONAL UNION FIRE INS NATIONAL UNION FIRE INS. CO NATIONWIDE

NATIO001 NAT02 NATS01 NAUF02 NAUF01 NAUF03 NUFI02 NATIO034

NATIONWIDE NATIONWIDE

NAWI05 NATIO023

New York Workers' Compensation Auto/No-Fault

NATIONWIDE NATIONWIDE NATIONWIDE

NATIO013 NAWI03 NATIO030

Auto/No-Fault New York Workers' Compensation Auto/No-Fault

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name NATIONWIDE Nationwide / Allied Insurance / Liabilit NATIONWIDE AGRIBUSINESS INS CO NATIONWIDE AGRIBUSINESS INS CO Nationwide Agribusiness Insurance Co [Electronic Indirect] Nationwide Agribusiness Insurance Co [Electronic Indirect] Nationwide Agribusiness Insurance Co [Electronic Indirect] Nationwide Agribusiness Insurance Co [Electronic Indirect] NATIONWIDE HEALTH PLAN Address PO BOX 69080 HARRISBURG, PA 17106 955 County Line Road W Westerville, OH 43082 1 NATIONWIDE GATEWAY DES MOINES, IA 50391 1100 LOCUST ST DES MOINES, IA 50391-1100 1 NATIONWIDE GATEWAY DES MOINES, IA 50391 1 NATIONWIDE GATEWAY DES MOINES, IA 50391 1100 LOCUST ST DES MOINES, IA 50391 1100 LOCUST ST DES MOINES, IA 50391 PO BOX 2399 SPECIAL RISK HEALTH DEPT COLUMBUS, OH 432162399 7125 GATEWAY DRIVE 350 COLUMBIA, MD 21046 7125 Columbia Gateway Drive Suite 350 Columbia, MD 21046 PO BOX 2655 HARRISBURG, PA 17105-9971 PO Box 2655 Harrisburg, PA 17105 P.O. BOX 2635 HARRISBURG, PA 17105 110 ELWOOD DAVIS RD N SYRACUSE, NY 13212-9909 PO Box 3000 Raleigh, NC 27612 72 WALL ST 5TH FL NEW YORK, NY 10005 80 PINE ST 5TH FL NEW YORK, NY 10005 645 5TH AVE NEW YORK, NY 10022 52 South Broad Street P.O. Box 351 Norwich, NY 13815 14 LAFAYETTE SQUARE SUITE 700 BUFFALO, NY 14203 14 Lafayette Sq. Suite 700 New York, NY 14203 4601 N FAIRFAX DR ARLINGTON, VA 22203 530 FRANKLIN STREET SCHENECTADY, NY 12305 5 FRITZ BLVD. ALBANY, NY 12205 3800 E. Middle Rd Dunkirk, NY 14048 146 TAYLOR DR DEPEW, NY 14043 PO BOX 4858 SYRACUSE, NY 13221 Po Box 8021 Wausau, WI 54402 62 MAPLE AVE KEENE, NH 03431 PO BOX 9035 FARMINGDALE, NY 11735 2 WINDY KNOLL LOWMAN, NY 14861 356 MAIN ST ER RANDOLPH, NY 14772 1-71 NORTH AVENUE EAST ELIZABETH, NJ 07201 Payer ID NAWI01 NATIO014 NAWI04 NAWI02 NATIO009 NATIO011 NATIO010 NATIO012 NATIO021 New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault Auto/No-Fault

NATIONWIDE INS Nationwide Insurance

NATIO031 NATIO017

NATIONWIDE INSURANCE Nationwide Insurance - NF NATIONWIDE INSURANCE WC NYS NATIONWIDE MUTUAL INS Nationwide Mutual Ins. Co. NATL UNION FIRE INS CO OF PITT PA

NATIO007 NATIO005 NATIO033 NMI01 NATIO038 NUFI03

Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY)

NATL UNION FIRE INS CO OF PITT PA

NUFI01

NBA OPERATIONS DEPT NBT Bancorp, Inc.

NBA01 NBTBA001

NCA

NCA01

NCA Comp Inc.

NCACO002

NCS PERSON HR SERVICES TS NE PARENT & CHILD SOCIETY NES RENTALS Nestle Purina NETH & SON NETHERLANDS Netherlands Insurance NETHERLANDS INSURANCE COMPANY NETWORK ADJUSTERS NEW BRITTON ROOFING NEW DIRECTIONS NEW ENGLAND MOTOR FREIGHT

NCSP01 NEPAR001 NESRE001 NESTL001 NETHS001 NETH02 NETHE001 NETH01 NEAD01 NEWBR001 NDIR01 NEWEN001

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name NEW ENGLAND MOTOR FREIGHT NEW ERA CAP CO INC NEW FANE GENERAL NEW HAMPSHIRE INSURANCE NEW HAMPSHIRE INSURANCE COMPANY Address 91 SILVER SPRINGS ROAD OWEGO,NY, NY 13827 160 DELAWARE AVE BUFFALO, NY 14202 1998 QUAKER RD BARKER, NY 14012 PO BOX 14007 NEW BRUNSWICK, NJ 08906 300 AIRBORNE PKWY SUITE 200 BUFFALO, NY 14225 33 Oxford Rd. Westmoreland, NY 13490 165 MULBERRY STREET NEWART, NJ 07102 301 Sullivan Way West Trenton, NJ 08628 1599 LITTLETON RD PARSIPPANY, NJ 07054 301 Sullivan Way WEST TRENTON, NJ 08628 1599 Littleton Road Attn: Kathy Hellmann Parsippany, NJ 07054 PO BOX 623 BASKING RIDGE, NJ 07920 6600 CHRYSLER DR EAST SYRACUSE, NY 13057 90 Beaufort Place New Rochelle, NY 10801 1 LEFRAK CITY PLAZA RM 1524 CORONA, NY 11368 1 LEFRAK CITY PLAZA RM 1524 CORONA, NY 11368 130 Livingston Street New York, NY 11201 PO BOX 3580 SYRACUSE, NY 13220 RENAISSANCE PLAZA 9TH FLOOR 9th floor Brooklyn, NY 11201 9600 MAIN STREET SUITE 3 CLARENCE, NY 14031 12301 ROOSEVELT AVE FLUSHING, NY 11368 PO BOX 6015 HAUPPAUGE, NY 11788 55-10 37TH AVENUE FLUSHING, NY 11377 55-10 37TH AVE WOODSIDE, NY 11377 2700 RESAERCH FOREST DRIVE THE WOODLANDS, TX 77381 181 ELLICOTT STREET BUFFALO, NY 14203 P.O. BOX 4828 SYRACUSE, NY 13221 P O BOX 4828 SYRACUSE, NY 13221 55 WEST ST KEENE, NH 03431 P.O. BOX 2337 507 SOUTH ST. CONCORD, NH 03302-2337 PO Box 7110 Champaign, IL 61826 5526 NIAGARA ST EXT LOCKPORT, NY 14094 18455 SCIOTA STREET CORRY, PA 16407 822 CEDAR AVE NIAGARA FALLS, NY 14301 Payer ID NEWEN002 NEWER001 NEWFA001 NEWHA003 NEWHA002 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

New Hartford Schools NEW JERSEY DEVILS New Jersey Manufacturers NEW JERSEY MANUFACTURERS NEW JERSEY MANUFACTURERS New Jersey Manufacturers Insurance

NEWHA001 NEWJE004 NEWJE003 NJM01 NJM02 NEWJE002

NEW JERSEY SKYLANDS /ESUR NEW PROCESS GEAR New Rochelle Fire Dept NEW YORK CITY POLICE DEPT

NEWJE005 NPG01 NEWRO001 NYPD01

Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY)

NEW YORK CITY POLICE DEPT

NYPD02

New York City Transit NEW YORK COMPENSATION MANAGEMENT New York Law Department

NEWYO003 NEWYO002 NEWYO006

Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

NEW YORK LUMBERMANS INS

NEWYO008

NEW YORK METS/BUFFALO BISON NEW YORK PRESBYTERIAN/CHP NEW YORK TRANSPORTATION INS NEW YORK TRANSPORTATION INS CORP NEWPARK RESOURCES NFTA-NF NGM INS CO NGM INSURANCE NGM INSURANCE COMPANY NHADA WOKERS' COMP. TRUST

NEWYO001 NEWYO007 NEWYO009 NYTR01 NEWPA001 NFTAN001 NGMIN002 NGMIN001 NGM01 NHADA001

NHRMA / WC NIAGARA COUNTY SHERIFF'S DEPT NIAGARA PISTON RING NIAGARA REHAB

NHRMA001 NIAGA005 NIAGA003 NIAGA004

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name NIAGARA RISK MANAGEMENT Address 726 EXCHANGE STREET STE 900 BUFFALO, NY 14210 6743 KINNE STREET EAST SYRACUSE, NY 13057 1908 LIBERTY BUILDING BUFFALO, NY 14302 189 AVE E BAYONNE, NJ 07002 1253 COLONIAL ROAD HEWLETT, NY 11557-2006 15 South Maple Street Michael Corning, NY 14930 41 COLUMBIA ST BUFFALO, NY 14204 RD 2 BOX 173 CORRY, PA 16407 ONE TOWER SQUARE HARTFORD, CT 06183-1190 NEW 56 HOOK ROAD BAYONNE, NJ 07002 PO BOX 428 WEST TRENTON, NJ 08628 1599 littleton rd parsippany, NY 07054 301 Sullivan Way West Trenton, NY 08628 PO BOX 6010 HAMMONTON, NJ 08037 33 Washington Street 11th floor Newark, NJ 07102-3194 PO BOX 620 TRENTON, NJ 08625 PO BOX 7068 W. TRENTON, NJ 08628 PO BOX 1121 NEW BRNSWICK, NJ 08903 PO BOX 5196 CLINTON, NJ 08809 PO BOX 628 W. Trenton, NJ 08628 1818 Linwood Rd Linwood, NY 14486 ATTN: LYNN MONTGOMERY PO BOX 7575 LANCASTER, NY 14086 268 Frissel Rd Jamestown, NY 14701 PO BOX 21865 SEATTLE, WA 98111-3865 222 AMES STREET P.O. 9109 DEDHAM, MA 02027-9109 4600 Deer Path Road Harrisburg, PA 17110 5720 Ellis Rd Orchard Park, NY 14127 PO BOX 945055 MAITLAND, FL 32794 PO BOX 945055 MAITLAND, FL 32794-5044 PO BOX 166002 ALTAMONTE SPRINGS, FL 32716 650 ELM ST 6TH FL MANCHESTER, NH 03101 650 ELM ST 6TH FL MANCHESTER, NH 03101 650 ELM ST 6TH FL MANCHESTER, NH 03101 650 ELM ST 6TH FL MANCHESTER, NH 03101 Payer ID NIAGA001 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Auto/No-Fault

NIAGARA SCIENTIFIC INC NIAGRA MONTAUK NICARETTA CONSTRUCTION CO NICHOLAS DESIBIO Nichols Packs & Delivery Inc

NIAGA002 NIAGR001 NICAR001 NIC01 NICHO002

NICHOLSON & HALL CORP NICKERSON FARMS NIPPONKOA INSURANCE COMPANY LTD NJ MANUFACTURER NJ MANUFACTURERS nj manufacturers ins NJ Manufactures NJ MANUF-NO FAULT NJ Skyland /HCS

NICHO001 NICKE001 NIPP01 NJMAN003 NJMAN004 NJMAN001 NJMAN002 NJMAN005 NJSKY001

NJ STATE OF RISK MGMT NJ STATE POLICE NJ TURNPIKE AUTHORITY NJ WATER SUPPLY NJM Noblehurst Farms NORAMPAC

NJSTA001 NJSTA002 NJTUR001 NJWAT001 NJM003 NOBLE001 NORAM001

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

Nordland Farm NORDSTROM NORFOLK & DEDHAM

NORDL001 NORD01 NORFO001

Norfolk Southern North American Carbine NORTH AMERICAN RISK SERVI NORTH AMERICAN RISK SERVI NORTH AMERICAN RISK SVS NORTH AMERICAN SPECIALTY INS CO

NOSOU01 NORTH023 NARS01 NORTH007 NORTH022 NASI01

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Auto/No-Fault New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

North American Specialty Insurance [Electronic Indirect] North American Specialty Insurance [Electronic Indirect] North American Specialty Insurance [Electronic Indirect]

NORTH014

NORTH015

NORTH016

Other WC (Non-NY)

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name NORTH JERSEY DEVELOPMENT NORTH LINE UTILITIES NORTH RIVER INS CO NORTH SENECA AMBULANCE NORTH STAR MUTUAL NORTH TONAWANDA DEPT. OF PUBLIC WORKS NORTHBROOK INDEMNITY CO Address 169 MINI SINK ROAD NEWARK, NJ 07106 PO BOX 656 AUSABLE FORKS, NY 12912 PO BOX 1960 MORRISTOWN, NJ 07962 1645 NORTH ROAD WATERLOO, NY 13165 PO BOX 48 Cottonwood, MN 56229-0048 758 ERIE AVE N TONAWANDA, NY 14120 3075 SANDERS RD SUITE H2D NORTHBROOK, IL 60062 Arcadian Health Plan 955 Overland San Dimas, CA 91773 600 NORTHERN BLVD ALBANY, NY 12204 530 FRANKLIN STREET 3RD FLOOR SCHENECTADY, NY 12305 2455 PACESFAIRY RD ATLANTA, GA 00339 PO BOX 9155 CANTON, MA 02021-1030 1805 MAIN STREET WEST ASHLAND, WI 54806 1400 AMERICAN LANE PTAX 2/20 SCHAUMBURG, IL 60196 385 WASHINGTON STREET SAINT PAUL, MN 55102 385 WASHINGTON STREET SAINT PAUL, MN 55102 PO BOX 64808 SAINT PAUL, MN 55164 4101 WASHINGTON AVE NEWPORT NEWS, VA 23607 411 SINCLAIR ST BRISTOL, PA 19007 1135 MILLERSPORT HWY STE 14226 AMHERST, NY 14226 1300 NIAGARA ST PO BOX 657 BUFFALO, NY 14213 PO BOX 2918 MILWAUKEE, WI 532012918 9277 CENTRE POINTE DR STE 140 WEST CHESTER, OH 45069-4844 148 EAST 5TH STREET BAYONNE, NJ 07002 2 WATERSIDE CROSSING STE 400 WINDSOR, CT 06095 PO BOX 101600 ANCHORGE, AK 99510 PO BOX 484 LUTHERVILLE, MD 21094 PO BOX 279 MOUNTPELIER, VT 05601 PO BOX 189 AMSTERDAM, NY 12010 25 QUARRY RD AUBURN, NY 13021 155 LAWN AVE BUFFALO, NY 14207 155 LAWN AVE BUFFALO, NY 14207 30 WALL ST 10TH FLR NEW YORK, NY 10005 1899 CENTRAL PLAZA EDMESTON, NY 13335 Payer ID NORTH019 NORTH001 NORI01 NORTH004 NORTH018 NTDP01 NOBI01 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Auto/No-Fault Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

Northeast Community Care

NORTH006

NORTHEAST HEALTH WORK COMP NORTHEAST PARENT & CHILD SOCIETY

NHWC01 NORTH005

NORTHEAST SRS NORTHERN ASSURANCE CO OF AMERICA NORTHERN CLEARING NORTHERN INSURANCE CO OF NY

NSRS01 NOAC01 NORTH017 NICN01

Northfield Insurance Co(385 WASHINGTON S [Electronic] Northland Casualty Ins [Electronic] Northland Insurance Co(PO BOX 64808) [Electronic] NORTHROP GRUMMAN SHIPBUILDING NORTHTEC NORTHTOWN AUTOMOTIVE

NORTH008 NORTH010 NORTH012 NORTH003 NORTH020 NAUT01

NORTHWEST COMM MENTAL HEALTH NORTHWESTERN MUTUAL NORTHWESTERN NATIONAL INS CO

NORTH002 NORTH021 NONA01

NORTON AND SONS NOVA CASUALTY COMPANY

NORTO001 NOCC02

NOVA PRORISK SOLUTIONS NOVA RPO RISK SOLUTIONS NOYLE JOHNSON NTI GLOBAL NUCOR NWBUFFALO COM. CENTER/ATTNPAT KOWALEWSKI NWBUFFALO COM. CENTER/ATTNPAT KOWALEWSKI NY BLACK CAR

NOVAP001 NOVA01 NOYLE001 NTIGL001 NUCOR001 NWBUF001 NWBUF002 NYBC01

NY CENTRAL MUTUAL

NCM01

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name NY CENTRAL MUTUAL NY CENTRAL MUTUAL Ny Compensation Manager Address 1899 Central Plaza East EDMESTON, NY 13335 PO BOX 737 SHERBORNE, NY 13460 6520 S. Bay Road PO Box3580 Syracuse, NY 13220 PO BOX 3580 SYRACUSE, NY 13220 655 W 34TH ST NEW YORK, NY 10001 PIER 81 WEST 41ST ST & HUDSON NEW YORK, NY 10018 110 William Street, 16th Floor New York, NY 10038 123 WILLIAM ST NEW YORK, NY 10038 9600 MAIN ST STE 3 CLARENCE, NY 14031 9600 MAIN ST CLARENCE, NY 14031 PO BOX 1138 JAMESTOWN, NY 14702 PO BOX 1248 WILLIAMSVILLE, NY 14231 2500 WEST CHESTER AVE STE 203 PURCHASE, NY 10577 PO BOX 7347 ALBANY, NY 12224 377 OAK Street GARDEN CITY, NY 11530 225 oak street buffalo, NY 14023 1045 7TH NORTH STREET LIVERPOOL, NY 13088 PO BOX 3929 NEW YORK, NY 100083929 44 HAWLEY ST STATE OFFICE BUILDING BINGHAMTON, NY 139014434 100 BROADWAY ALBANY, NY 12241 784 TROY-SCHENECTADY RD LATHAM, NY 12110 130 LIVINGSTON ST 10TH FL BROOKLYN, NY 11201 280 BROADWAY 6TH FLR NEW YORK, NY 10007 44 BEAVER ST 4TH FL, LODI BILLING UNIT NEW YORK, NY 10004 350 Jay Street 9th Floor Brooklyn, NY 11201 59-17 Junction Blvd - RM# 1524 Corona, NY 11368 370 JAY STREET BROOKLYN, NY 11201 2360 Route 89 Seneca Falls, NY 13148 PO Box 508 Mineola, NY 11501 130 LIVINGSTON ST 10th FL BROOKLYN, NY 11201 PO BOX 3470 EAST SYRACUSE, NY 13057 PO BOX 549 MINEOLA, NY 11501 1285 FISHER AVENUE CORTLAND, NY 13045 100 SENECA ST BUFFALO, NY 14203 Payer ID NYCEN001 NYCEN002 NYCOM001 Auto/No-Fault Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY)

NY COMPENSATION MGRS INC NY CONVENTION CENTER NY CRUISE LINE NY Liquidation Bureau NY LIQUIDATION BUREAU NY LUMBERMAN INS NY LUMBERMANS INSURANCE NY MUTUAL INS NY OIL & PETROLEUM SELF INS NY SAFETY GROUP LLZ

NYCM01 NYCON001 NYCRU001 NYLIQ002 NYLIQ001 NYLUM001 NYLI01 NYMUT001 NYOP01 NYSAF001

NY STATE AUTO DEALERS INC NY STATE EMP RISK MGMT ny state insurance fund NY STATE INSURANCE FUND NY STATE INSURANCE FUND NY STATE INSURANCE WC

NYSA01 NYSE01 NYSTA002 NYSTA001 NYSTA003 NYSTA004

NY STATE WCB NYAHSA C-O RISK NYC COMPTROLLER NYC DEPARTMENT OF BUILDINGS

NYSW01 NYAHS001 NYCCO001 NYDB01

NYC DEPT OF SANITATION

NYDS01

NYC Law Department

NYCLA001

NYC Police Department NYC TRANSIT AUTHORITY NYCC NYCHA-WC NYCTA COMP DIV

NYCPO001 NYCTR001 NYCC001 NYCHA001 NYCTA01

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

NYEDA HEALTH & WELFARE NYLB NYS DEPT OF ENVIRONMENTAL CON NYS DEPT OF TRANSPORTATION

NHW01 NYLB01 NYSDE002 NYSDE001

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name NYS DEPT OF TRANSPORTATION PP NYS Dept. of Civil Service NYS DOT (WATKINS GLEN) NYS Law Department Address 3863 MEADES CREEK ROAD PAINTED PPOST, NY 14870 Alfred Smith State Office Building Albany, NY 12239 3545 COUNTY ROUTE 16 WATKINS GLEN, NY 14891 Workers Compensation 350 Jay Street - 9th Floor Brooklyn, NY 11201 333 EARLE OVINGTON BLVD #505 UNIONDALE, NY 11553-3624 333 EARLE OVINGTON BD STE 505 Uniondale, NY 11553-3624 BLD 22 1220 WASHINGON AVE ALBANY, NY 12226 220 RICHMOND AVE BATAVIA, NY 14020-1227 PO Box 5205 Binghamton, NY 13902 1 ELECTRIC PARKWAY HORSEHEADS, NY 14845 199 CHURCH STREET-2ND FLOOR New York, NY 10007 199 CHURCH STREET-2ND FLOOR New York, NY 10007 PO BOX 3803 CHURCH ST STATION NEW YORK, NY 10008 780 RIDGE RD LACKAWANA, NY 14218 602 Hudson Street Ithaca, NY 14850 301 WEST AVE ALBION, NY 14411 PO BOX 4873 SYRACUSE, NY 13221 AUTO CLAIMS DEPARTMENT P O BOX 771270 CORAL SPRINGS, FL 33077 SMH BOX 654 ROCHESTER, NY 14642 PO BOX 24 TROY, NY 12182 PO BOX 337 EAST SYRACUSE, NY 13057 830 PHILLIPS RD VICTOR, NY 14564 1249 County Road 1500 N Carmi, IL 62821 140 OLD NIAGARA RD LOCKPORT, NY 14094 PO Box 325 Nashville, IL 62263 PO BOX 1766 BINGHAMTON, NY 13902-1766 PO BOX 8300 DFEC CENTRAL MAILROOM LONDON, KY 40742-8300 PO BOX 8300 LONDON, KY 40742-8300 275 Grandview Avenue, Suite 300 Camp Hill, PA 17001 P.O. BOX 4858 SYRACUSE, NY 13221 P.O. BOX 8021 WAUSAU,WI, WI 54402 PO BOX 296 HAMILTON, OH 45012 PO BOX 29621 RALEIGH, NC 276907138 PO BOX 60521 PHILA, PA 19145 PO BOX 8851 CAMP HILL, PA 17001-8851 Payer ID NYSDE003 NYSDE004 NYSDO001 NYSLA001 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

NYS MUNICIPAL ALLIANCE

NYMA01

NYS Municiple Workers Comp NYS POLICE NYS VETS HOME BATAVIA NYS Work Comp Unisured Employers NYSEG NYSIF NYSIF NYSIFU

NYSMU001 NYSPO001 NVET01 NYSWO001 NYSEG001 NYSIF NYSIF1500 NYSIF1501

OLV Oak Hill Manor OAK ORCHARD COMM HEALTH OBRIEN AND GERE OCCIDENTAL

OLV001 OAKHI001 OOCH01 OBRIE001 OCCID001

OCCUPATIONAL MEDICINE PROGRAM OCG OCM CONSORTIUM OCONNELL ELECTRIC O'Daniel Trucking / WC ODD FELLOWS REBEKAH RHCC INC Oelze Equipment Co / WC OFFICE OF RISK MGMT OFFICE OF WC PROGRAM-FECA

OMP01 OCG02 OCM01 OCONN001 ODANI001 ODDFE001 OELZE001 ORM01 OOWC01

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Auto/No-Fault New York Workers' Compensation New York Workers' Compensation

OFFICE OF WC PROGRAM-POSTAL SER Ohio Casualty OHIO CASUALTY OHIO CASUALTY OHIO CASUALTY OHIO CASUALTY OHIO CASUALTY OHIO CASUALTY (CAMP HILL)

OOWC02 OHIOC004 OHIOC001 OHIOC002 OHIOC003 OHIOC012 OHIOC008 OHIOC006

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name OHIO CASUALTY GROUP Address 136 NORTH 3RD STREET 5TH FLOOR HAMILTON, OH 45025 PO BOX 1129 MARLTON, NJ 08053 PO BOX 507 KEENE, NH 03431 PO BOX 188066 AUTO CLAIMS FAIRFIELD, OH 45018 9450 SEWARD RD FAIRFIELD, OH 45014 PO BOX 1951 VOORHEES, NJ 08043 2900 CARNEGIE AVE CLEVELAND, OH 44115 445 HUTCHINSON AVE STE 205 COLUMBUS, OH 43235 1105 schrock ste 210 columbus, OH 43229 9450 SEWARD RD FAIRFIELD, OH 45014 PO BOX 599 WARREN, PA 16365 47-49 OLD LINCOLN HWY KEARNY, NJ 07032 845 COUNTY RT 64 ATTN: JEN GRIFFEN ELMIRA, NY 14903 PO BOX 2200 133 OAKLAND AVE GREENSBURG, PA 15601-0789 PO BOX 1590 PIKEVILLE, KY 41502 PO BOX 728 OLEAN, NY 14760 2400 BUFFALO AVENUNE NIAGARA FALLS, NY 14304 P.O. BOX 948154 MAITLAND, FL 32794 4 COMMERCE DR CRANFORD, NJ 07016 26 Journal Square 16th Fl Jersey City, NJ 07306 PO Box 105019 Atlanta, GA 03348 PO Box 887 Brentwood, TN 37024 PO BOX 15052 WORCHESTER, MA 01615 PO BOX 302 BUFFALO, NY 14240 PO BOX 9150 FOXBORO, MA 020359150 PO Box 887 Brentwood, TN 37024 PO BOX 288 AUTO CLAIMS CANTON, MA 02021 PO BOX 5155 6400 SHERIDAN DRIVE WILLIAMSVILLE, NY 14221 PO BOX 9155 CANTON, MA 02021 PO BOX 614 20 WATERVIEW BLVD PARSIPPANY, NJ 07054 P.O. Box 614 Parsippany, NJ 07054 171 CEDAR STREET CORNING, NY 14830-2603 PO BOX 373 SYRACUSE, NY 13206 PO BOX 9 AUBURN,NY, NY 13021 Payer ID OHIOC009 New York Workers' Compensation Auto/No-Fault New York Workers' Compensation Auto/No-Fault

OHIO CASUALTY GROUP OHIO CASUALTY GROUP OHIO CASUALTY INSURANCE

OHIOC010 OCG01 OHIOC011

OHIO CASUALTY INSURANCE CO OHIO CASULATY OHIO COMP OHIO EMPLOYEE HEALTH PARTNERS ohio employee health partnership OHIO SECURITY INSURANCE COMPANY OIL REFINERY COMPANY OF PA OJ FOOD GRADE TANK OLD NAVY (ELMIRA)

OHI01 OHIOC007 OHIOC005 OHIOE002 OHIOE001 OHIO01 OILRE001 OJFOO001 OLDNA001

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

OLD REPUBLIC GENERAL INS CORP

OLD01

OLD REPUBLIC INS OLEAN GENERAL HOSPITAL OLIN CORPORATION OMEGA SOLUTIONS OMNE STAFFING INC Omni Asset Workers Comp Omni Insurance Group One Beacon ONE BEACON ONE BEACON ONE BEACON One Beacon American Ins Co ONE BEACON INSURANCE

OLDRE001 OGH01 OLINC001 OMEGA001 OMNE01 OMNIA001 OMNII001 ONEBE007 ONEBE002 ONEBE001 ONEBE003 ONEBE006 ONEBE004

ONE BEACON INSURANCE

ONEBE005

Auto/No-Fault

ONE BEACON INSURANCE ONE CALL MEDICAL

ONEB08 ONEC01

New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

One Call Medical / WC ONE SEVENTY ONE CEDAR ARTS CENTER ONE TREE DISTRIBUTION ONEDIA WAREHOUSING INC

ONECA001 ONESE001 ONETR001 ONEDI001

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name ONEIDA CTY COMP DEPARTMENT Address 800 PARK AVE COUNTY OFFICE BUILDING UTICA, NY 13501 321 Genesee St Oneida, NY 13421 2 TERRITORY RD ONEIDA, NY 13421 7655 EDGECOMB DRIVE LIVERPOOL, NY 13088 6730 VIP PKWY SYRACUSE, NY 13211 PO BOX 373 EAST SYRACUSE, NY 13057 3071 County Complex Drive Canandaigua, NY 14424 239 Rensselaer St Buffalo, NY 14210 3019 COUNTY COMPLEX DR CANANDAIGUA, NY 14424 6 Atlas Street Rochester, NY 14604 TR 6 BOX 31A PITTSFIELD, PA 16340 358 SAWMILL RIVER RD MILLWOOD, NY 10546 249 BROADWAY NEWBURGH, NY 12550 3930 NORTH BUFFALO RD ORCHARD PARK, NY 14127 8715 LAKE ST LEROY, NY 14482 360 W PULTENEY ST CORNING, NY 14830 5479 MAIN ST WILLIAMSVILLE, NY 14221 204 BROADWAY BROOKLYN, NY 11211 PO BOX 855 1310 UTICA ST ORISKANY, NY 13424 14016 Route 31 West Albion, NY 14411 13925 STATE RTE 31- STE 400 ADMINISTRATIVE OFFICE ATTN AGGI ALBION, NY 14411 4121 Veterans Memorial Drive Mt. Vernon, IL 62864 3979 Walden Ave Lancaster, NY 14086 PO BOX 2849 SYRACUSE, NY 13220 po box 2849 e.syracuse, NY 13220 191 OSBORNE STREET ALBANY, NY 12209 333 Ganson St Buffalo, NY 14203 980 Ellicott St Buffalo, NY 14209 46 EAST BRIDGE ST OSWEGO, NY 13126 2495 MAIN ST SUITE 234 BUFFALO, NY 14214 PO BOX 330 attn: Kevin Wellsville, NY 14895 197 MAIN ST COOPERSTOWN, NY 13326 1649 FILLMORE AVENUE BUFFALO, NY 14211 200 constitution ave washington dc, DC 20210 1100 STATE RT 17C OWEGO, NY 13827 Payer ID OCCD01 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

Oneida Healthcare Center ONEIDA INDIAN NATION ONONDAGA BEVERAGE ONSITE FACILITY SERVICES ONSITE FACILITY SERVICES Ontario ARC Ontario County ONTARIO COUNTY WOMENS HEALTH PA Ontario Spec Contractors ONYX ORACLE MANAGEMENT ORANGE COUNTY AHRC ORCHARD PARK VETERINARY MED ORCON INDUSTRIES ORIGINAL ITALIAN PIZZA ORIGINAL PANCAKE HOUSE ORISKA ORISKA

ONEID001 OIN01 ONOND001 OFS01 ONSIT001 ONTAR001 ONTAR003 OCWH01 ONTAR002 ONYX001 ORMA01 OROC01 ORCHA001 ORCON001 ORIGI002 ORIGI001 ORISK001 ORIN01

Orleans County Self Insurance Fund ORLEANS COUNTY SHERIFFS DEPT

ORLEA001 OCSD01

Orthopaedic Center of Southern Illinois Orville's Home Appliances ORYX INSURANCE oryx insurance incorp OSBORNE STREET GARAGE OSC Equipment Services Osmose OSWEGO CITY SELF INS OTAS Otis Eastern

ORTHO001 ORVIL001 ORYX01 ORYXI002 OSBOR001 OSCEQ001 OSMOS001 OCSI01 OTAS001 OTISE001

Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

OTSEGO COUNTY OURSOURCE CNTR owcp OWEGO TREADWAY INN

OTSE01 OURSO001 OWCP001 OWEGO001

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name OWL HOMES OWL HOMES P & C (ITHACA) P & C (WATKINS) P COMP PA TURNPIKE COMMISSION PACE PLUMBING AND HEATING PACE SETTER ADJUSTMENT PACESETTERS ADJ CO Pacific Employers Inc. Co. Address PO BOX 189 ALLEGANY, NY 14706 PO BOX 407 BATH, NY 14706 315 PINETREE RD ITHACA, NY 14850 504 1/2 SOUTH FRANKLIN ST WATKINS GLEN, NY 14891 PO BOX 60769 HARRISBURG, PA 17106 PO BOX 67676 HARRISBURG, PA 17106 2323 CURRY ROAD SCHENECTADY, NY 12303 3045 WESTFORK DRIVE BATON ROUGE, LA 70816 3045 WESTFORK DR BATON ROUGE, LA 70816-2253 PO Box 31121 ESIS05 Tampa, FL 33631 PO Box 40 Anaheim, CA 92815 215 John Glenn Drive AMHERST, NY 14228 200 Connell Drive Suite 3000 Berkeley Heights, NJ 07922 PO BOX 159 NEWARK, NJ 07101 PO BOX 46 Newark, NJ 07101 PO BOX 46 Newark, NJ 07101 ATTN: NANCY NEALY 310 GRAND ISLAND BLVD TONAWANDA, NY 14150 10089 WARNER GOLF RD HOLLAND, NY 14080 147 ROUTE 17C ATTN MARYLOU WAVERLY, NY 14892 226 CECIL A MILLONE DRIVE STE 1 ITHACA, NY 14850 205 WEST GENESEE STREET FAYETTEVILLE, NY 13066 1001 GALAXY WAY, STE 300 CONCORD, CA 94520 1001 GALAXY WAY, STE 300 CONCORD, CA 94520 1001 GALAXY WAY, STE 300 CONCORD, CA 94520 1001 GALAXY WAY, STE 300 CONCORD, CA 94520 1277 TREAT BLVD SUITE 800 WALNUT CREEK, CA 94597 PO BOX 6 MEDICAL PLAZA GLENCOVE, NY 11542 1 PARK AVE 15TH FL NEW YORK, NY 10016-5002 PO BOX 91 Darien Center , NY 14040 100 DUN RD LYONS, NY 14489 715 UPPER GLEN STREET QUEENSBURY, NY 12804 138 LUDLOWVILLE ROAD LANSING, NY 14882 100 SOUTH ALTO MESA ST ATTN: LIZ FRAKER EL PASO, TX 79912 PO BOX 911 PARSIPPANY, NJ 07054 Payer ID OWLHO002 OWLHO001 PCITH001 PCWAT001 PCOMP001 PATUR001 PACEP001 PACES002 PACES001 PACIF001 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

Pacific Specialty-McGraw Packstar Palisades

PACIF002 PACKS001 PALIS003

PALISADES Palisades Insurance Palisades/ HCS PALLET SERVICES

PALIS005 PALIS002 PALIS004 PALLE001

Auto/No-Fault Auto/No-Fault Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

PALMER FARMS PALMER MOBILE HOMES INC

PALME002 PALME001

PAOLANGELI CONTRACTORS

PAOLA001

PAPAGALLOS Paradigm [Electronic Indirect] Paradigm [Electronic Indirect] Paradigm [Electronic Indirect] PARADIGM MGMT SERVICES LLC PARADIGM MGMT SERVIVES LLC

PAPAG001 PARAD002 PARAD003 PARAD004 PARAD001 PARAD005

PARAGON MGMT

PARA01

PARAMOUNT INSURANCE COMPANY

PAIC01

Park Darien Lake LLC PARKER HANNIFIN PARKER,HAMMOND CONSTRUCTION PARKITECTS INC PARKWAY INSURANCE

PARKD001 PAHA01 PARKE001 PARKI001 PARKW001

PARSIPPANY OP CEN

PARSI001

New York Workers' Compensation

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name PARTNERS HEALTH PLAN Address 101 MERRIMACK STREET SUITE 420B, WC DIVISION BOSTON, MA 02114 311 S. Franklin St. Syracuse, NY 13202 200 MILIK ST WC DEPT. M-154 CATERET, NJ 07008 200 MILIK ST DEPT M154 CARTERET, NJ 07008 33 DENNISON PARKWAY CORNING, NY 14830 1320 WILLO PASS RD STE 485 CONCORD, CA 94520 2175 N CALIFORNIA BLVD WALNUT, CA 94596 1800 NORTH POINT DR STEVENS POINT, WI 54481 PO BOX 8032 STEVENS POINT, WI 54481 P.O. Box 1160 Canonsburg, PA 15317 PO Box 2159 Ft Lauderdale, FL 33303 43 SKYONE DR SUITE 2020 LAKE MARY, FL 32746 8417 OSWEGO RD PMB 111 BALDWINSVILLE, NY 13207 136-25 37TH AVENUE FLUSHING, NY 11354 PO BOX 219 PAVILLION, NY 14525 3045 West Fork Rd Baton Rouge, LA 70816 448 COMMERCE ROAD VESTAL, NY 13850 PO BOX 49468 ATTN RON WALKER SARASOTA, FL 34230 2241 LAVA RIDGE CT STE 1 ROSEVILLE, CA 95661 P O BOX 93027 ROCHESTER, NY 14692 5TH FLOOR ATTN: WORKERS COMP 1111 20TH STREET WASHINGTON, DC 20526 76 Pearl Street Buffalo, NY 14202 PO Box 360 Attn: Heidi Buesink Findley Lake, NY 14736-0360 62 MAPLE AVE KEENE, NH 03431 PO BOX 4858 SYRACUSE, NY 13221 PO BOX 8021 WAUSAU, WI 544028021 PO Box 4858 Syracuse, NY 13221 1170 PITTSFORD-VICTOR RD PITTSFORD, NY 14534 PO BOX 8851 CAMPHILL, PA 17011 135 MAIN ST. LOCKPORT, NY 14094 PO Box 1951 Voorhees, NJ 08043 PO BOX 2400 Voorhees, NJ 08043 P.O.BOX 515099 LOS ANGELES, CA 90051 Payer ID PARTN001 Other WC (Non-NY)

Pastabilities PATHMARK INC

PASTA001 PATHM001

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault New York Workers' Compensation Auto/No-Fault Auto/No-Fault New York Workers' Compensation

PATHMARK STORES

PATHM002

PATHWAYS PATRIOT CONTRACT SERVICES

PATHW001 PATRIOT01

PATRIOT CONTRACT SERVICES PATRIOT GENERAL INSURANCE CO PATRIOT GENERAL INSURANCE CO Patriot Insurance Patriot Risk Services PATRIOT RISK SERVICES

PACS01 PGIN01 PATRIOT02 PATRI002 PATRI003 PATRI001

PAULA TINER FCLS

PTF01

PAVERS & ROAD BUILDERS PAVILLION DRAINAGE Paxesetters Adj Co. PB INDUSTRIES PBOA INS.

PAVER001 PAVIL001 PAXES001 PBIND001 PBOAI001

PDM

PDM01

PDQ DELIVERY PEACE CORPS

PDQDE001 PEACE001

Pearl Street Grill Peek N Peek Resort

PEARL001 PEEKN001

PEERLESS PEERLESS PEERLESS Peerless Ins PEERLESS INS PEERLESS INS CO PEERLESS INSUR. EVANS Peerless Insurance Peerless Insurance PEERLESS INSURANCE

PEER02 PEER01 PEERL009 PEERL006 PEERL005 PEERL010 PEERL001 PEERL003 PEERL008 PEERL011

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name PEERLESS INSURANCE PEERLESS INSURANCE Address P.O.BOX 7205 LONDON, KY 40742 PO BOX 1951 MEMBER OF LIBERTY MUTUAL GRP VOORHEES, NJ 08043 PO BOX 515097 LOS ANGELES, CA 90051 PO BOX 2400 Voorhees, NJ 08043 PO BOX 8021 WAUSAU, WI 54402 2505 Court St Pekin, IL 61558 PO Box 904 Attn: Mike Brasel Mt. Vernon, IL 62864 PO Box 948 Mattoon, IL 61938 2505 Court St Pekin, IL 61558 PO BOX 778 SEATTLE, WA 98111 P O BOX 108 SALISBURY, MD 21803 PO BOX P 72 NORTH FRANKLIN ST WILKES BARRE, PA 18773 PO Box P Wilkes Barre, PA 18773 830 PENNSYLVANIA BLVD FEASTERVILLE, PA 19053 PO BOX 1364 HARRISBURG, PA 171051364 PO BOX 1455 HARRISBURG, PA 171051455 PO Box 3880 Harrisburg, PA 17105-3880 PO BOX 4737 SYRACUSE, NY 13221 PO BOX 9155 CANTON, MA 02021-1030 2005 MARKET ST ONE COMMERCE SQUARE, SUITE 1200 PHILADELPHIA, PA 19103-7008 300 SENTRY PARKWAY BLUE BELL, PA 19422-2357 PO BOX 2361 HARRISBURG, PA 17105-2361 1219 NORTH FOREST RD WILLIAMSVILLE, NY 14231 210 WINGO WAY SUITE 400 MOUNT PLEASANT, SC 29464 155 GREAT ARROW AVE BUFFALO, NY 14207 1466 BROADWAY NEW YORK, NY 10036 4 PARAGON WAY FREEHOLD, NJ 07728 90 INDUSTRIAL PARK ROAD ALBANY, NY 12206 PO BOX 12250 ALBANY, NY 12212 9700 ROCKSIDE ROAD SUITE 250 CLEVELAND, OH 44125 PO BOX 305195 Nashville, TN 37230-5195 PO Box 3002 Plymouth Meeting, PA 19462 1000 River Road Ste: 300 Conshohoken, PA 19428 112 PERTHSHIRE DRIVE AMSTERDAM, NY 12010 Payer ID PEERL004 PEER04 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Other WC (Non-NY)

PEERLESS INSURANCE Peerless Insurance Company PEERLESS INSURANCE COMPANY Pekin / Liability Pekin / WC

PEERL002 PEERL007 PEER05 PEKIN001 PEKIN003

Pekin Insurance Pekin Insurance / WC PEMCO INSURANCE PENINSULA INSURANCE PENN MILLERS INSURANCE COMPANY

PEKIN004 PEKIN002 PEMCO001 PENIN001 PMICO01

Other WC (Non-NY) Other WC (Non-NY) Auto/No-Fault Auto/No-Fault New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

Penn Millers Mutual / WC PENN NATIONAL PENN NATIONAL PENN NATIONAL Penn National Insurance Co PENN TRAFFIC COMPANY PENNSYLVANIA GENERAL INS CO PENNSYLVANIA LUMBERMENS MUTUAL

PENNM001 PENNN002 PENNN003 PENNN004 PENNN001 PETC01 PGIC01 PLMU01

PENNSYLVANIA MFG INDEMNITY CO PENNSYLVANIA NATIONAL MUTUAL PEOPLE, INC PEOPLEASE

PMFG01 PNMU01 PEOPL001 PEOPL003

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Auto/No-Fault Auto/No-Fault New York Workers' Compensation New York Workers' Compensation

PERAFLEX HOSE PERFECT BUILDING PERFORMANCE INS PERLMAN'S TOWING & RECOVERY PERMA Permanent General Assurance Corp(PGAC) [Electronic] PERMANENT GENERAL ASSURANCE CORP. Personal Service Insurance Co Personel Service/ CSG

PERAF001 PERFE001 PERFO001 PERLM001 PERM01 PERMA002 PERMA001 PERSO003 PERSO002

PERTHSHIRE CATERING

PERTH001

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name PETER KOCH AUTO REPAIR PETRALL CORPORATION PETR-ALL PETROLEUM PETRI BAKING PRODUCTS PETROLEUM CASUALTY CO PF Northeast - WC PHILADELPHIA IND CO PHILADELPHIA IND CO Philadelphia Insurance Company Address 201 FALL STREET SENECA FALLS, NY 13148 PO BOX 46 SYRACUSE, NY 13214 6567 KINNE ROAD DEWITT, NY 13214 18 MAIN ST SILVER CREEK, NY 14136 PO BOX 3342 HOUSTON, TX 77001 27 Highridge Road Hopewell Junction, NY 12533 1 BALA PLA STE 100 BALA KYNWYD, PA 19004 PO BOX 70251 Philadeplhia, PA 19176-0251 1 Bala Kynwyd STE 100 Bala Kynwyd, PA 19004 207 PROGRESS DRIVE MONTGOMERYVILLE, PA 18936 17 WEST PULTNEY STREET CORNING, NY 14830 3400 MARINE MIDLAND CTR BUFFALO, NY 14203 1144 Military Rd Buffalo, NY 14217 PO BOX 2289 BUCKHANNON, WV 26201 PO BOX 5056 HARTFORD, CT 06183-1190 295 1ST STREET TROY, NY 12180 1264 RTE 9 Castleton, NY 12033 37 BRANDYWINE ST BINGHAMTON, NY 13901 88 CADBURY WAY HOLLEY, NY 14470 1432 N LEE ST SALISBURY, NC 28144 7400 MORGAN RD LIVERPOOL, NY 13090 P.O. BOX 120540 BOSTON, MA 02112 PO BOX 10146 KNOXVILLE, PA 37939 PO Box 10146 Knoxville, TN 37939 PO Box 1000 Pinckneyville, IL 62274 PO BOX 469013 STE 100N DENVER, CO 80246 8700 MAIN ST ANGOLA NY, NY 14005 PO BOX 962 ROSELAND, NJ 07068 26 COURT ST SUITE 1100 BROOKLYN, NY 11242 6305 HALLE DRIVE CLEVELAND, OH 44125 55 E PULTENEY ST CORNING, NY 14830 116 WALTON STREET SYRACUSE, NY 13202 PO BOX 336 LEVITTOWN, PA 19057 222 Mount Airy Rd. Basking Ridge, NJ 07920 7570 CAPLE BLVD STE B NORTHWOOD, OH 43619 PO BOX 9112 Boston, MA 02112 Payer ID PETER001 PETRA002 PETRA001 PBP01 PECA01 PFNOR001 PHILA001 PHILA002 PHILA003 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation Other WC (Non-NY) Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation Auto/No-Fault

PHILADELPHIA SCIENTIFIC PHILLIPS FUNERAL HOME PHILLIPS, LYTE ET A1 Philpac PHOENIX DRILLING PHOENIX INSURANCE CO PHOENIX METAL INC. Piasecki Steel PICCIRILLI,SLAVIK & VINCENT PIEDMARTO SONS PIEDMONT STRUCTURAL PIETRAFESA CO PILGRIM INSURANCE PILOT Pilot Travel Centers / WC Pinckneyville Corrections / WC PINNACOL ASSURANCE

PHILA004 PHILL001 PHIL01 PHILP001 PHOEN002 PHOE01 PHOEN001 PIASE001 PICCI001 PIEDM002 PIEDM001 PIET01 PILGR001 PILOT002 PILOT001 PINCK001 PINN01

PINTOS LLC TOWING AND RECOVERY PIP PIP MANAGEMENT PIPEFITTERS 120 TRUSTEES PIZZA HUT (CORNING) PJ'S PUB AND GRILL PLAVINS PLIGA PLUMBERS & PIPE FITTERS

PINTO001 PIP001 PIPMA001 PIPEF001 PIZZA001 PJSPU001 PLAVI001 PLIGA001 PLUMB001

PLYMOUTH ROCK

PLYMO001

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name PMA PMA GROUP Address 2545 WEST 26TH STREET ERIE, PA 16506 380 SENTRY PARKWAY PO BOX 3031 BLUE BELL, PA 194220754 PO BOX 25250 LEHIGH VALLEY, PA 180025250 PO BOX 25248 LEHIGH VALLEY, PA 18002 200 4 FALLS CORPORATE CTR CONSHOHOCKEN, PA 19406 PO BOX 5231 JANESVILLE, WI 53547 PO BOX 5231 JANESVILLE, WI 53547 PO BOX 5231 JANESVILLE, WI 53547 PO BOX 31340 TAMPA, FL 33631 8600 MAIN STREET CAMPBELL, NY 14821 23 MOONLANDING RD ROCHESTER, NY 14624 PO BOX 6329 SYRACUSE, NY 13217 PO BOX 325 SYRACUSE, NY 13206 20 DUCHT MILL ROAD ITHACA, NY 14850 PO Box 457 Hempstead, NY 11550 RISK MANAGEMENT PLANNING GROUP PO BOX 457 HEMPSTEAD, NY 11550 PO BOX 390 88 SIMMENTAL LANE WAVERLY, NY 14892 99 wood ave iselin, NJ 08830 4644 State Route 414 Beaver Dams, NY 14812 615 SOUTH AVE ROCHESTER, NY 14620 1062 CENTRAL AVENUE ALBANY, NY 12205 96 RIVER ROAD SCOTTSVILLE, NY 14546 PO BOX 58 HAMBURG, NY 14075 PO Box 6580 Saddle Brook, NJ 07663 PO BOX 248 MORGAN HILL, CA 95038 P O BOX 212128 COLUMBIA, SC 29221 P.O. BOX 6580 Saddle Brook, NJ 07663 88 PINE ST WALL STREET PLAZA - 16TH FL NEW YORK, NY 10005 Park 80 West 2 8th Floor Saddlebrook, NJ 07662 4020 JEFFEREY BLVD BLASDELL, NY 14219 1 PREFERRED WAY NEW BERLIN, NY 13411 11605 MIRACLE HILLS DR STE 200 OMAHA, NE 68154-4467 PO Box 540658 Omaha , NE 68154 403 MAIN ST BUFFALO, NY 14203 PO BOX 97 ST CLAIRVILLE, OH 43950 Payer ID PMA001 PMAGR002 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation

PMA GROUP PMA INS GROUP PMA MANAGEMENT CORP PMA MEDICAL BILLING PMA MEDICAL BILLING PMA MEDICAL BILLING PMSI POLLIO DAIRY PRODUCTS-CAMPBELL POLYMER ENGINEERING POMCO POMCO GROUP POROUS MATERIAL Port Authority Of NY and NJ PORT AUTHORITY OF NY AND NJ

PMAGR001 PMAIN001 PMAMA001 PMAME004 PMAME005 PMAME006 PMSI001 POLLI001 POLYM001 POMCO001 POIC02 POROU001 PORTA001 PAUN01

PORTERS CONCRETE SERVICE INC

PORTE001

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Auto/No-Fault New York Workers' Compensation Auto/No-Fault New York Workers' Compensation Auto/No-Fault New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

ports insurance Post Creek Busy Mart POSTLER & JAECKLE (ROCHESTER) POSTLER & JAECKLE CORP. POWER AND CONSTRUCTION PPM MANAGEMENT Praetorian PRAETORIAN INS PRAETORIAN INSURANCE Praetorian Insurance Co. PRAETORIAN INSURANCE COMPANY

PORTS001 POSTC001 POSTL002 POSTL001 POWER001 PPMM01 PRAET002 PRAET001 PRAET006 PRAET004 PRAE01

Praetorian/ Procura PRECISION PHOTO LAB PREFERRED MUTUAL INS PREFERRED PROFESSIONAL INS CO

PRAET003 PRECI001 PREFE002 PRPR01

Preferred Professionals In PREFERRED WORKS PREMIER COMP OF HOMETOWN

PREFE001 PRW01 PREMI002

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name Premier Prizm Address 10 East Stow Road Ste: 10 Marlton, NJ 08053 10 East Stoe Road Suite 100 Marlton, NJ 08053 100 MARCUS BLVD. STE 3 HAUPPAUGE, NY 11788 743 Pierce Road Clifton Park, NY 12065 501 DUANESBURG RD SCHENECTADY, NY 12306 4200 GENESEE ST CHEEKTOWAGA, NY 14225 2740 NORTH MAYFAIR ROAD SPRINGFIELD, MO 65803 458 UNION AVENUE SARATOGA SPRINGS, NY 12866 746 ALEXANDER RD PRINCETON, NJ 08540 PO BOX 5322 PRINCETON, NJ 08543 6070 COLLETT ROAD FARMINGTON,NY, NY 14425 PO BOX 828 LYNBROOK, NY 11563 11 EVES DRIVE STE 170 MEDICAL MGMT MARLTON, NJ 08053 PO BOX 12305 Albany, NY 12212-2305 ROUTE 415 BATH, NY 14810 RR1 Box 140C Towanda, PA 18848 107 SOUTH AVENUE WEST CRANFORD, NJ 07016 PO BOX 879 OAKS, PA 19456 2435 Blvd. of The General Ste: 200 Norristown, PA 19403 2435 BLVD OF THE GENERALS SUITE 200 NORRISTOWN, PA 19403 2241 LAVA RIDGE COURT SUITE 1 ROSEVILLE, CA 95661 TWO PARK AVE ROOM 2500 NEW YORK, NY 10016 1917 GARNET CT NEW LENOX, IL 60451 135 DELAWARE AVE BUFFALO, NY 14202 725 Broadway Albany, NY 12207 PO Box 879 Oaks, PA 19456 PO BOX 879 Oaks, PA 19403 121 CONTINENTAL DRIVE SUITE 208 NEWARK, DE 19713 4221 WEST BOY SCOUT BLVD SUITE 500 TAMPA, FL 33607 4TH FL MEDICAL UNIT 300 OXFORD DRIVE MONROEVILLE, PA 15146 725 BROADWAY POB 22031 DSNY NO FAULT CLAIMS ALBANY, NY 12201-2031 7600 MINERAL DRIVE SUITE 300 COEUR D'ALENE, ID 83815 Payer ID PREMI003 Auto/No-Fault

Premier Prizm Solutions

PRIZM001

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

PREMIER UTILITY CONTRACTING Prestige Services Inc. PRICE CHOPPER/GOLB CORP PRIME FLIGHT PRIME INC PRIME SARATOGA NATIONAL GOLF PRINCTON INSURANCE CO PRINCTON INSURANCE CO PRIORITY TRANSPORTATION PRISM CONSULTANTS PRISM SOLUTIONS

PREMI001 PREST001 PRCH01 PRIME001 PRIME003 PRIME002 PRIN01 PRIN02 PRIOR001 PRC01 PRISM001

PRM Claim Services PRO AUTO SERVICE Procare Physical Therapy Center

PRMCL001 PROAU001 PROCA001

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Auto/No-Fault

PROCURA PROCURA Procura Management Inc

PROCU002 PROCU003 PROCU001

PROCURA MANAGEMENT INC

PRMA01

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) Auto/No-Fault

PROFESSIONAL DIAGNOS MGT

PROFE003

PROFESSIONAL LIABILITY INS CO OF AMERICA

PLIC01

PROFESSIONAL MEDICAL PROFESSIONAL PERSONNEL MANAG. Progressive Progressive Progressive PROGRESSIVE

PROFE002 PROFE001 PROGR001 PROGR007 PROGR004 PROGR023

PROGRESSIVE

PROGR011

Auto/No-Fault

PROGRESSIVE

PROGR016

Auto/No-Fault

PROGRESSIVE

PROGR002

Auto/No-Fault

PROGRESSIVE

PROGR026

Auto/No-Fault

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name PROGRESSIVE PROGRESSIVE PROGRESSIVE PROGRESSIVE Address P O BOX 512926 LOS ANGELES, CA 90001 PO BOX 22031 ALBANY, NY 12201-2031 PO BOX 2862 CLINTON, IA 52733 PO BOX 485 ROUTE 1 SOUTH BUILDING A SUITE 400 ISELIN, NJ 08830 PO BOX 701700 PLYMOUTH, MI 48170 PO Box 512926 Los Angelos, NY 90051 4114 North Water Tower Place Mt. Vernon, IL 62864 P.O. Box 512926 Los Angeles, CA 90051 500 WINDING BROOK DR GLASTONBURY, CT 06033 5165 CAMPUS DR SUITE 100 PLYMOUTH MTG, PA 19462 250 Progressive Way Westerville, OH 43082 PO BOX 22031 ALBANY, NY 12201-2031 PO BOX 31260 TAMPA, FL 33631 485 RT 1 SOUTH SUITE 470 ISLAND, NJ 08830 13 Executive Drive Fairview Heights, IL 62208 PO Box 407 Pinckneyville, IL 62274 5165 CAMPUS DR SUITE 100 PLYMOUTH MEETIN, PA 19462 PO BOX 31033 TAMPA, FL 33633 PO Box 879 Oaks, PA 19456 6470 MAIN STREET SUITE2 WILLIAMSVILLE, NY 14221 323 EAST WATER STREET SYRACUSE, NY 13202 92 RANDY ROAD UNIT 1095 ATHENS, NY 12015 PO BOX 7099 INDIANAPOLIS, IN 46207 260 WEKIVA SPRINGS RD PO BOX 914700 LONGWOOD, FL 32791 PO BOX 2009 FRISCO, TX 75034 PO BOX 1425 CONSHOCKEN, PA 19428 PO BOX 14545 EAST PROVIDENCE, RI 02914-0545 1275 Wampanoag Trail Riverside, RI 02915 PO BOX 11588 PITTSBURGH, PA 15238 DISABILITY MANAGEMENT SERVICES PO BOX 13480 PHILADELPHIA, PA 19176 1 WILLIAM J BRUCKEL DRIVE AVON, NY 14414 606 HALSTEAD AVENUE MAMARONECK, NY 10543 9155 Main Street Clarence, NY 14033 1 PARK AVE 15TH FL NEW YORK, NY 10016 Payer ID PROGR009 PROGR003 PROGR017 PROGR012 Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault

PROGRESSIVE Progressive - NF Progressive / Liability Progressive / Liability PROGRESSIVE AUTO INS PROGRESSIVE AUTO INS

PROGR018 PROGR027 PROGR010 PROGR008 PROGR015 PROGR019

Auto/No-Fault New York Workers' Compensation Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault

PROGRESSIVE CO PROGRESSIVE CO PROGRESSIVE HALCYON PROGRESSIVE INS Progressive Insurance Progressive Insurance PROGRESSIVE INSURANCE PROGRESSIVE INSURANCE Progressive/ Procura PROMARK ASSOCIATES

PROC01 PROC02 PROGR020 PROGR013 PROGR025 PROGR024 PROGR021 PROGR022 PROGR005 PROMA001

New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

PROPERTY MANAGEMENT ALLIANCE PROPERTY OWNERS OF SLEEPY HOLLOW LAKE

PROPE001 PROPE002

PROTECTIVE INSURANCE 1 PROTEGRITY SERVICES, INC

PROT02 PROTE001

PROVIDENCE PROPERTY & CAS PROVIDENCE STEEL PROVIDENCE WASHINGTON INS COMPANY Providence Washington Insurance Company PROVIDENT LIFE & CASULTY PRUDENTIAL INSURANCE CO OF AMERICA

PPC01 PROVI002 PWIC01 PROVI001 PRLC01 PRUDE001

PS BRUCKEL PSP GROUP PTS Services of Western New York PUBLIC SERVICE MUTUAL

PSBRU001 PSPGR001 PTSSE001 PUSM01

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name Publix Supermarket Pure Insurance Address P.O. Box 32016 Lakeland, FL 33802 1 North Kexington Ave Suite 1450 White Plains, NY 10601 P.O. Box 4798 Ithaca, NY 14852 1 GENERAL DRIVE SUN PRAIRE, WI 53596 PO Box 509 Bryant, AR 72089 PO BOX 975 Sun Prairie, WI 53590 40 WALL STREET NEW YORK, NY 10005 7001 ST ANDREW RD STE 370 COLUMBIA, SC 29212 7001 St Andrews Rd, Ste 370 Columbia, SC 29212 PO BOX 309 PISCATAWAY, NJ 08855 Po Box 309 Piscataway, NJ 08855-0309 14 Sanford Road North Churchville, NY 14428 250 Mill Street Rochester, NY 14614 8280 ROUTE 54 HAMMONSPORT, NY 14810 PO BOX 824 CLIFTON PARK, NY 12065 57 WASHINGTON STREET QUINCY, MA 02169 6891 SENECA ST ELMA, NY 14059 600 GILLAM ROAD WILMINGTON, OH 45177 361 Duanesburg Road Schenectady, NY 12306 1120 CONNECTING RD NIAGARA FALLS, NY 14304 ONE BRICK AVE BINGHAMTON, NY 13901 po box 412 vestal, NY 13850 100 BLUFF DRIVE PO BOX 70 EAST ROCHESTER, NY 14445 100 ROCKWOOD ST ROCHESTER, NY 14610 1044 E Hazelwood Ave Rahway, NJ 07065 PO BOX 29 BRISTOL, PA 19007 4644 MEADS CREEK ROAD PAINTED POST, NY 14870 2975 GALLOWAY ROAD BENSALEM, PA 19020 PO BOX 298 PORT CRANE, NY 13833 P.O. Box 89310 Sioux Falls, SD 57109 PO BOX 130 18-20 SOUTH CANAL ST GREENE, NY 13778 ATT BRYAN 89 TOMPKINS STREET SPENCER, NY 14883 7230 MORGAN RD LIVERPOOL, NY 13088 166 N. PORTAGE ST WESTFIELD, NY 14787 101 WEST 4TH AVE COLLEGEVILLE, PA 19426 Payer ID PUBLI001 PUREI001 New York Workers' Compensation Auto/No-Fault

PW Wood Ins. Q V E INSURANCE QBE QBE QBE INSURANCE COMPANY QBE SPECIALITIES QBE Specialty / WC QUALCARE PLAN ADMIN Qualcare WC Qualicoat Quality Recruiting QUICK FILL QUICK RESPONSE QUINCY HEALTH CARE MANAGEMENT, INC. R CONLEY TRUCKING R&L CARRIERS R, Marcil and Associates R. B. U'REN R. DEVICENTIS CONSTRUCTION CO r.lindsey reglin employee leasing corp. R.W. DAKE

PWWOO001 QVEIN001 QBE001 QBE002 QBEIN001 QBESP001 QBESP002 QPA01 QUALC002 QUALI001 QUALI002 QUICK002 QUICK001 QUINC001 RCONL001 RLCAR001 RMARC001 RBURE001 RDEVI001 RLIND001 RWDAK001

New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) Auto/No-Fault Auto/No-Fault New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

RADEC CORP Rahway Center USHW of NJ RAILWAY SPECIAL RALPHS TRUCKING RANSOME CAT RAPP PETROLIUM RAS-SD / WC RAYMOND CORP

RADEC001 RAHWA001 RAILW001 RALPH001 RANSO001 RAPPP001 RASSD001 RAYCO02

RAYMOND HADLEY CORP

RAYMO001

RAYMOUR & FLANIGAN RAYNOR CONSTRUCTION RAYTEL IMAGING NETWORK

RAYMO002 RAC01 RAYTE001

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name RCIL Address P.O. Box 210 409 Columbia St. Utica, NY 13503 1 HARMON PLAZA SEACAUCUS, NJ 07094 3328 CHAMBERS RD S HORSEHEADS, NY 14845 88 PINE ST WALL STREET PLAZA - 16TH FL NEW YORK, NY 10005 ONE GENERAL DRIVE SUN PRAIRIE, WI 53596 1372 EAST MAIN ST ROCHESTER, NY 14609 159 West First St. Oswego, NY 13126 311 ALEXANDER ST SUITE 308 ROCHESTER, NY 14604 5174 WESTERN AVENUE ALTAMONT, NY 12009 204 COUNTY HIGHWAY 157 GLOVERSVILLE, NY 12078 1983 RICHMOND TERR Staten Island, NY 10302 7310 CHESTNUT RIDGE RD LOCKPORT, NY 14094 10 AIRLINE DR ALBANY, NY 12205 1080 PITTSFORD-VICTOR RD PITTSFORD, NY 14534 3 PARKWAY PHILADELPHIA, PA 19102 10 AIRLINE DR ALBANY, NY 12205 10 AIRLINE DR ALBANY, NY 12205 10 AIRLINE DR ALBANY, NY 12205 1080 PITTSFORD-VICTOR RD PITTSFORD, NY 14534 1080 PITTSFORD-VICTOR RD PITTSFORD, NY 14534 1080 PITTSFORD-VICTOR RD PITTSFORD, NY 14534 3 PARKWAY PHILADELPHIA, PA 19102 3 PARKWAY PHILADELPHIA, PA 19102 3 PARKWAY PHILADELPHIA, PA 19102 PO BOX 549 MINEOLA, NY 11501 PO BOX 549 MINEOLA, NY 11501 PO BOX 549 MINEOLA, NY 11501 PO BOX 549 MINEOLA, NY 11501 6315 FLY RD EAST SYRACUSE, NY 13057 PO BOX 9807 Cranbury, NJ 08512 615 CHESTNUT ST PHILADELPHIA, PA 19106 97 Seneca St Geneva, NY 14456 79 GENESEE ST AVON, NY 14414 147 E MAIN ST SPRINGVILLE, NY 14141 100 BOURNE ST Attn: Laura Shearer WESTFIELD, NY 14787 PO BOX 151227 TAMPA, FL 33684 Payer ID RCIL001 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

RED BULLS NEW YORK RED LOBSTER (HORSEHEADS) REDLAND INSURANCE CO

REDBU001 REDLO001 REDL01

REGENT INSURANCE CO REGIONAL TRANSIT Rehab Resources REHABILITATION COUNSELING ASSESSMENT

REGE01 RETR02 REHAB001 REHAB002

REHABILITATION SUPPORT SERVICES REHIG PENN LOGISTIC REINAUER TRANSPORTATION RELCO RELIANCE RELIANCE INS CO RELIANCE INS CO Reliance Insurance Company [Electronic Indirect] Reliance Insurance Company [Electronic Indirect] Reliance Insurance Company [Electronic Indirect] Reliance Insurance Company [Electronic Indirect] Reliance Insurance Company [Electronic Indirect] Reliance Insurance Company [Electronic Indirect] Reliance Insurance Company [Electronic Indirect] Reliance Insurance Company [Electronic Indirect] Reliance Insurance Company [Electronic Indirect] Reliance Insurance Company [Electronic Indirect] Reliance Insurance Company [Electronic Indirect] Reliance Insurance Company [Electronic Indirect] RELIANCE LIQUIDATION RELLER RISK MANAGEMENT REM REM RISK MGT Remedy Intelligent Staffing REMEDY INTELLIGENT STAFFING RENNAISANCE WARRANTIED RENOLD INC

REHAB003 REHIG001 RETR01 RELCO001 RELI02 RELI03 RELI01 RELIA001 RELIA005 RELIA009 RELIA002 RELIA006 RELIA010 RELIA003 RELIA007 RELIA011 RELIA004 RELIA008 RELIA012 RELQ01 RRM01 REM02 REM01 REMED001 REMED002 RENNA001 RENI01

RENTAL INSURANCE SERVICES

RENTA002

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name Rental Insurance Services, Inc. REPUBLIC FRANKLIN INSURANCE CO REPUBLIC WESTERN INS REPUBLIC WESTERN INS Republic Western Insurance RER SUPPLY RESCUE MISSION RESOURCE CENTER RESPONSE INSURANCE Response Worldwide RETAILERS OF NY TRUST Retention Management Insurance Address PO Box 670010 Coral Springs, FL 33067 PO BOX 530 UTICA, NY 13503 2721 N CENTRAL AVE PHOENIX, AZ 85004 PO BOX 24463 PHOENIX, AZ 85074 P O Box 69 Elmsford, NY 10523 20 COTLUSS RD RIVERDALE, NJ 07457 155 GIFFORD STREET SYRACUSE, NY 13202 200 DUNHAM AVE JAMESTOWN, NY 14701 PO BOX 1034 MERIDAN, CT 06405 PO Box 4199 Melville, NY 11747 PO BOX 15095 ALBANY, NY 12212 10816 Executive Center Drive Suite 203 Little Rock, AR 72211 1 Revere Park Rd Rome, NY 13440 ATTN BENEFITS DEPT 304 MAIN AVENUE WARREN, PA 16365 1870 NEW YORK AVENUE FAULKNER, NY 14724 19 QUARRY ROAD ITHACA, NY 14850 5355 JUNCTION ROAD LOCKPORT, NY 14049 159 BRICK CHURCH ROAD TROY, NY 12180 658 OHIO STREET ATTN: WORKERS COMP/DOUG LUM BUFFALO, NY 14203 40TH FLOOR, CORNING TOWER EMPIRE STATE PLAZA ALBANY, NY 12242 615 CHESTNUT ST SUITE 1600 PHILA, PA 19106 2540 US Highway 130 Cranbury, NJ 08512 2540 LOT 37 CRANBURY, NJ 08512 300 CROWNCOLONY DRIVE QUINCY, MA 02169 PO BOX 126 KINGSPARK, NY 11754 PO BOX 9801 CRANBURY, NJ 08512 PO BOX 9803 Cranbury, NJ 08512 1355 Mendota heights Road Mendota Heights, MN 55125-1112 833 CHESTNUT ST STE 720 PHILADELPHIA, PA 19107 PO BOX 325 SYRACUSE, NY 13206 PO BOX 105026 ATLANTA, GA 30348 2540 US huighway 130 ste 109 Cranbury, NJ 08512 PO Box 6100 7th Floor Hauppauge, NY 11788 PO BOX 425 HEMPSTEAD, NY 11550 Payer ID RENTA001 REFI01 REPW01 REPUB002 REPUB001 RERSU001 RESCU001 RESOU001 RESPO002 RESPO001 RNYT01 RETEN001 Auto/No-Fault New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

Revere Copper & Brass REXNORD CORP

REVER001 REXNO001

RHI MONOFAX RICHARDSON BROS ELECTRICAL CONT RIDGE ROAD EXPRESS RIFENBURG CONSTRUCTION RIGIDIZED METALS CORP

RHIMO001 RICHA001 RIDGE001 RIFEN001 RIGID001

RISK & INSURANCE MANAGEMENT

RISKI001

RISK ENTERPRISE

RISKE007

Risk Enterprise Management RISK ENTERPRISE MANAGEMENT RISK ENTERPRISE MANAGEMENT RISK ENTERPRISE MANAGEMENT RISK ENTERPRISE MANAGEMENT RISK ENTERPRISE MANAGEMENT RISK ENTERPRISE MANAGEMENT LIMI RISK ENTERPRISE MANAGMENT

RISKE006 RISK12 RISK05 RISK02 RISK13 RISK04 RISKE002 RISK09

RISK ENTERPRISE MGMT RISK ENTERPRISES Risk Management

RISKE005 RISKE001 RISKM004

Risk Management

RISKM001

RISK MANAGEMENT

RISK15

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name RISK MANAGEMENT RISK MANAGEMENT (PORT AUTHORITY) Risk management Corp. Risk management Corp. Risk Management Planning Group Risk Management Planning Group RISK MANAGEMENT- STATE OF NJ RISK MANAGEMENT WC Risk Management/ Pilot Travel RISK MANAGERS Risk Mgmt Planning Group risk mgmt planning group - sif Address PO BOX 670 MINEOLA, NY 11501 PO BOX 457 HEMPSTEAD, NY 19550 PO Box 12306 Albany, NY 12212 PO Box 485 Hempstead, NY 11550 P.O. Box 427 Hempstead, NY 11550 PO Box 455 Hempstead, NY 11550 P.O.BOX 620 TRENTON, NJ 08625 PO BOX 10048 FORT SMITH, AR 72917 PO Box 10146 Noxville, TN 37920 PO BOX 1849 POUGHKEEPSIE, NY 12601 PO Box 508 Mineloa, NY 11501 211 station road suite 700 mineola, NY 11501 369 BOSTWICK ROAD PHELPS, NY 14532 8 LOMB DR ROCHESTER, NY 14623 100 SANDY DRIVE AMSTERDAM, NY 12010 5881 COURT STREET RD SYRACUSE, NY 13221 2049 Bartow Ave 23A Bronx, NY 10475 510 FIFTH AVENUE OWEGO, NY 13827 PO BOX 566 APALACHIN, NY 13732 1150 COUNTY ROAD 19 BEAVER DAMS, NY 14812 2970 CLAIRMONT ROAD STE 1000 ATLANTA, GA 30329 316 COLONIAL DRIVE HORSEHEADS, NY 14845 104 WEST 27TH STREET #8 NEW YORK, NY 10001 P.O. Box 508 Mineola, NY 11501 PO BOX 427 Hemstead, NY 11540 PO BOX 485 HEMPSTEAD, NY 11550 PO BOX 485 Mineola, NY 11550 PO BOX 670 MINEOLA, NY 11501 80 WOLFE RD STE 403 ALBANY, NY 12205 PO BOX 6509 SYRACUSE, NY 13217 PO BOX 6509 Syracuse, NY 13217 PO Box 6509 Syracuse, NY 13217 180 Schwenk Dr Kingston, NY 12401 1 Guthrie Square Sayre, PA 18840-1698 1 Guthrie Square Sayre, PA 18840-1698 1 Guthrie Square Sayre, PA 18840-1698 96-05 HORACE HARDING EXPWY CORONA, NY 11368 Payer ID RISK10 RMPA01 RISKM007 RISKM008 RISKM003 RISKM005 RISKM011 RISKM012 RISKM006 RISK14 RISKM010 RISKM009 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

RIST TRANSPORTATION RIT OUTP RIVER RIDGE LIVING CENTER RIVER VALLEY FOODS Riverbay Corp-Risk Management RIVERVIEW MANOR NURSING HOME RJ WILLIAMS LUMBER CO RL CALLAHAN CONSTRUCTION RLI TRANSPORTATION RMCO PLASTICS RMG INVESTIGATIONS RMPG RMPG RMPG RMPG RMPG RMSCO RMSCO RMSCO INS CO RMSCO Nofault Robert J. Ryan Inc Robert Packer Hospital Robert Packer Hospital Emergency Room Robert Packer Hospital Out Pt ROBERT THOMAS HEALTH CARE

RISTT001 RIT01 RIVER001 RVF01 RIVER003 RIVER002 RJWIL001 RLCAL001 RLITR001 RMCOP001 RMGIN001 RMPG009 RMPG011 RMPG08 RMPG010 RMPG02 RMSCO002 RMSC04 RMSCO001 RMSCO003 ROBER001 ROBER002 ROBER003 ROBER004 RTHC01

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name ROBINSON LUMBER (OWEGO) ROB'S AUTOMOTIVE Address 1878 DAY HOLLOW ROAD OWEGO, NY 13827 ATTN: GUY GUNNELLS 2700 NEW RODGERS RD BRISTOL, PA 19007 2501 OLD RODGERS RD BRISTOL, PA 19007 29 PHELPS STREET PORT DICKINSON, NY 13902 1545 ST PAUL ST ROCHESTER, NY 14621 742 Alexander Road Princeton, NJ 08543 59 MAIDEN LN 16TH FL NEW YORK, NY 10038 P O BOX 15096 ALBANY, NY 12212 P O BOX 926 BURLINGTON, VT 05402 PO BOX 105010 ATLANTA, GA 30348 PO BOX 740042 ATLANTA, GA 30374 5800 LOMBARDO CENTER SEVEN HILLS, OH 44131 PO Box 2849 Syracuse, NY 13220 1 WAR MEMORIAL SQ ROCHESTER, NY 14614 3599 BIG RIDGE RD SPENCERPORT, NY 14559 150 State Street 4th floor Rochester, NY 14614 175 DODGE ST ROCHESTER, NY 14606 185 Exchange Blvd Ste 673 Rochester, NY 14614 306 PUBLIC SAFETY BUILDING STE 673 ROCHESTER, NY 14614 18 FOURTH STREET ROCHESTER, NY 14609 150 JOSONS DRIVE ROCHESTER, NY 14623 185 EXCHANGE BLVD 6TH FLOOR ROCHESTER, NY 14614-2125 75 NEW SCOTLAND AVE ALBANY, NY 12208 1372 E. Main St Rochester, NY 14609 460 OAK ST ROCHESTER, NY 14608 2 SPARTAN WAY ROCHESTER, NY 14624 910 WEGMAN ROAD GATES CHILI CENTRAL SCHOOL ROCHESTER, NY 14624 961 LYELL AVE BLDG 5 ROCHESTER, NY 14606 50 SCENIC ROAD P.O. BOX 65 ACCORD, NY 12404 PO Box 5626 Rockford, IL 61125 600 State Route 44 55 Attn: JoAnne in Payroll Highland, NY 12528 654 MAIN STREET ROCKWOOD , PA 15557 654 Main Street Rockwood, PA 15557 239 VANRENSSLAER BUFFALO, NY 14210 Payer ID ROBIN001 ROBSA001 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation

ROBS TOWING ROCCO J TESTANI,INC ROCH SCL FOR THE DEAF Rochdale ROCHDALE ROCHDALE ROCHDALE ROCHDALE ROCHDALE INS ROCHDALE INSURANCE CO Rochdale-Oryx Ins. Claims ROCHESTER AMERICANS ROCHESTER AREA W.C. PLAN Rochester Business Alliance ROCHESTER DAVIS FETCH CORP Rochester Fire Department

ROBST001 ROCCO001 ROCHS001 ROCHD004 ROCHD002 ROCHD006 ROCHD001 ROCH01 ROCHD007 ROCHD003 ROCHD005 ROCH03 RAWC01 ROCHE005 ROCHE006 ROCHE003

ROCHESTER FIRE DEPT

ROCH04

ROCHESTER LABORERS WELFARE ROCHESTER MEDICAL TRANSPORT ROCHESTER POLICE DEPT

ROCH06 ROCHE007 ROCH07

ROCHESTER PSYCH CENTER Rochester Regional Transit ROCHESTER RHINOS ROCHESTER SCHOOL WC ROCHESTER SCHOOL WC

ROCH08 ROCHE001 ROCH09 ROCHWC01 ROCH10

ROCHESTER STRUCTURE

ROCHE002

ROCHESTER TOWN HALL

ROCHE004

Rockford Mutual Rocking Horse Ranch

ROCKF001 ROCKI001

ROCKWOOD CASUALTY Rockwood Casualty Ins / WC ROGERS FOAM

ROCKW001 ROCKW002 ROGER001

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name ROHM & HAAS ROHRER ROMAN CATHOLIC DIOCESE ROMAR TRUCK REPAIR & MECHANICAL SERVICES ROSE CITY GLASS ROSEDALE MILLS INC ROSEWOOD REHABILITATION Rosina/Celentano ROSSETTI ROSETTIE & MARTION ROTORK ROTO-ROOTER Royal & Sunalliance ROYAL CARIBBEAN CRUISE ROYAL CARRIBEAN INT ROYAL CHRYSLER MOTORS INC Address 200 US HIGHWAY 13 BRISTOL, PA 190073517 1180 ROUTE 6 WATERFORD, PA 16404 DEPT OF INSURANCE 795 MAIN ST BUFFALO, NY 14203 1989 HARLEM RD BUFFALO, NY 14212 2487 ROCHESTER ROAD CANADIAGUA, NY 14424 101 RT 31 NORTH PENNINGTON, NJ 08053 284 TROY ROAD RENSSELAER, NY 12144 170 French Rd Buffalo, NY 14227 269 W PULTENEY ST CORNING, NY 14830 675 MILE CROSSING BLVD ROCHESTER, NY 14624 PO BOX 614 ITHACA, NY 14851-0614 PO Box 19809 Charlotte, NC 28219-0809 PO BOX 1087 CHICAGO, IL 60690 1050 CARRIBEAN WAY MIAMI, FL 33132 PO BOX 118 3961 WAVERLY ROAD OWEGO, NY 13827 1320 SHERIDAN DR KENMORE, NY 14217 6004 EMILIE ROAD LEVITTOWN, PA 19057 63 NORTH HOOK ROAD BAYONNE, NJ 07002 60 FALL ST SENECA FALLS, NY 13148 140 Cooper Ave Tonawanda, NY 14150 99 HOOK ROAD BAYONNE, NJ 07002 6712 BROOKLAWN PKWY SUITE 102 SYRACUSE, NY 13211-2167 PO BOX 6009 HAUPPAUGE, NY 11788 PO BOX 946600 MAITLAND, FL 37294-6600 PO BOX 390327 MINNEAPLOIS, MN 55439 811 WEST AVENUE ROCHESTER, NY 14611 25 E PULTNEY ST CORNING, NY 14830 1375 ADAMS ROAD BENSALEM, PA 19020 285 N. MAIN ST LYNDONVILLE, NY 14098 535 WEST MAIN STREET SPRINGVILLE, NY 14141 2250 CHAPEL AVE W CHERRY HILL, NJ 07626 6000 WINDWARD PKWY ALPHARETTA, GA 30023 PO BOX 2370 ALPHARETTA, GA 30023 229 HOWARD STREET WAVERLY, NY 14892 PO BOX 128 SAYRE, PA 18840 SHORTCUT RD STERLING, NY 13156 Payer ID ROHMH001 ROHRE001 ROMAN001 ROMAR001 ROSEC001 ROSED001 ROSEW001 ROSIN001 ROSSE001 ROTOR002 ROTOR001 ROYAL004 ROYAL008 ROYAL001 ROYAL003 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

ROYAL FAMILY RESTAURANT ROYAL UNDERWRITERS ROYAL WINE CORP ROYCE & ROSENCRANS Roys Plumming RPM WAREHOUSING RSKCO

ROYAL002 ROYAL009 ROYAL006 RNR01 ROYSP001 RPMWA001 RSKC04

RSKCO RSKCO RTW INC RURAL METRO RURAL METRO MEDICAL SERVICES RUSS WHELAN INC RUSSELL BENTLEY RUSSO DEVELOPMENT RUTGERS CAS INS CO MVA RYDER CLAIM SERVICES RYDER CLAIM SERVICES RYNONE MANUFACTURING RYNONE MFG CORP-SAYRE,PA S&B CONSTRUCTION

RSKC03 RSKC01 RTW01 RURAL002 RURAL001 RUSSW001 RUNE01 RUSSO001 RUTGE001 RYCS02 RYCS01 RYNON001 RYNON002 SBC01

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name SAFE Address 620 ERIE BLVD WEST #100 SYRACUSE, NY 13204 PO Box 182384 Columbus, OH 43218 201 BUSTLETON PK TREVOSE, PA 19053 27 SECOND AVENUE UNION CITY, PA 16438 PO Box 461 St. Louis, MO 63166 PO Box 515097 Los Angeles, CA 90051 PO BOX 461 ST LOUIS, MO 63166 PO BOX 515097 LOS ANGELES, CA 90051 PO BOX 515097 LOS ANGELES, CA 90051 PO Box 461 St. Louis, MO 63166 PO Box 461 St. Louis, MO 63166 252 FILLMORE AVE TONAWANDA, NY 14150 PO BOX 9098 BOSTON, MA 02205-9098 1832 SCHETZ RD ST LOUIS, MO 63146 PO BOX 1504 LANHAM, MD 20703 32 EAST DENISON PKWY CORNING, NY 14830 830 COUNTY RTE 64 BUILDING 2 ELMIRA, NY 14903 PO BOX 814 BUFFALO, NY 14240 PO BOX 511 Horseheads, NY 14845 1200 TAYLOR ROAD OWEGO, NY 13827 624 DELAWARE AVENUE ALBANY, NY 12209 1108 SPRING STREET SYRACUSE, NY 13208 PO BOX 11125 SYRACUSE, NY 13218 40 MCMASTER ST BALLSTON SPA, NY 12020 11 CHARLOTTE STREET PO BOX 1925 BINGHAMTON, NY 13902 313 HIGH STREET HACKETTSTOWN, NJ 07840 110 WEST PACKER AVE SAYRE, PA 18840 1001 North Elmer Ave Sayre, PA 18840 1 RIVER STREET SOUTH SOUTH GLENS FALLS, NY 12803 400 ITHACA ROAD SPENCER, NY 14883 60 RIVER ROAD CORNING, NY 14830 11 LAMB RD SENECA FALLS, NY 13148 PO Box 36070 Phoenix, AZ 85067 PO BOX 33069 PHOENIX, AZ 85067 9920 FRANKLIN SQUARE DR BALTIMORE, MD 21236 210 SCHUTT RD DRYDEN, NY 13053 Payer ID SAFE01 New York Workers' Compensation Auto/No-Fault Auto/No-Fault New York Workers' Compensation Auto/No-Fault Auto/No-Fault New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

Safe Auto / Liability SAFE GUARD SECURITY SAFE HORIZON Safeco SAFECO SAFECO SAFECO SAFECO [Electronic] Safeco Insurance [Electronic Indirect] Safeco Insurance [Electronic Indirect] SAFESPAN SAFETY INS CO SAFETY NATIONAL CASUALTY CORP SAFEWAY SALVATION ARMY (CORNING) SAM'S CLUB (BIG FLATS)

SAFEA001 SAFEG001 SAFEH001 SAFEC006 SAFEC002 SAIC01 SAIC02 SAFEC003 SAFEC007 SAFEC008 SAFES001 SAFET001 SAFENAT01 SAFEW001 SALVA001 SAMSC001

SANDERS ROOFING SANDZEE ONTAP SANMINA SCT SANO RUBIN CONSTRUCTION CO SANS SPAY AND NEUTER SYRACUSE SANTERO DEVELOPMENT SARATOGA COUNTY SELF INSURANCE SARKISIAN BROTHERS INC

SANDE001 SANDZ001 SANMI001 SANOR001 SANSS001 SANTE001 SAC01 SARKI001

SASCO INSURANCE SERVICE SAYRE BOROUGH Sayre House Inc SCA PAPER SCENIC LANDSCAPE SCENIC SERVICES INC SCEPTOR SCF Arizona SCF OF ARIZONA SCHAFFER INS SCHICKLE CONSTRUCTION

SASCO001 SAYRE001 SAYRE002 SCAPA001 SCENI001 SCENI002 SCEP01 SCFAR001 SCF01 SCHAF001 SCHIC001

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name SCHLUMBERGER (HORSEHEADS,NY) Address 224 N.MAIN ST BLDG S HORSEHEADS, NY 14845 850 MALLARD DRIVE MAYVILLE, WI 53050 PO BOX 2545 GREEN BAY, WI 543069970 11420 Lackland Road Saint Louis, MO 63146 PO BOX 813 NEW CUMBERLAND, PA 17070 PO BOX 67073 ATTN PAT BARES HARRISBURG, PA 17106 PO BOX 1249 NORTH WALES, PA 19454 PO BOX 253 RICHVILLE, NY 13681 250 MT HOPE AVE ROCHESTER, NY 14620 105 Nine Street Unit 32 WATKINS GLEN, NY 14891 220 Steuben Street Montour Falls, NY 14865 220 Steuben Street Montour Falls, NY 14865 Townsend Line Road Montour Falls, NY 14865 1250 SCHWEIZER RD HORSEHEADS, NY 14845 PO BOX 788 ITHACA, NY 14851 23 MAYS LANDING RD SOMERS POINT, NJ 08244 6750 Alexander Bell Dr Columbia, MD 21046 PO Box 500 Somers Point, NJ 08244 PO Box 1209 Piscataway, NJ 08855 1035 ANDREW DRIVE SUITE A WEST CHESTER, PA 19380 1195 MCDERMOTT DR STE 3 WEST CHESTER, PA 19380 250D CORPORATE COURT S PLAINFIELD, NJ 07080 6700 OLD COLLAMER RD STE 117 E SYRACUSE, NY 13057 8019 Corporate Drive. STE: C Baltimore, MD 21236-4917 PO BOX 2849 SYRACUSE, NY 13220 PO BOX 1209 30 KNIGHTSBRIDGE RD PISCATAWAY, NJ 08854 1601 N BROAD ST USB ROOM 205 PHILA, PA 19122 7211 STATE RT 54 BATH, NY 14810 PO BOX 13 SLATERVILLE SPRINGS, NY 14881 8 DELPHINE STREET OWEGO, NY 13827 64 NEW BUFFALO ROAD CLYMER, NY 14724 PO Box 4120 Scottsdale, AZ 85261 8877 NORTH GAINEY CENTER DRIVE SCOTTSDALE, AZ 85258 839 STATE RTE 17C OWEGO, NY 13827 Payer ID SCHLU001 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

SCHMID PIPELINE SCHNEIDER NATIONAL Schnucks Market / WC SCHOOL CLAIMS SERVICE SCHOOL CLAIMS SVS LLC

SCHMI001 SCHNE001 SCHNU001 SCHOO001 SCHOO003

SCHOOL DISTRICTS INS SCHOOL WORKERS COMP PLAN SCHULER-HAAS ELECTIC CORP SCHUYLER COUNTY HIGHWAY DEPT

SCHOO004 SCHOO002 SCHUL001 SCHUY001

Schuyler Hospital Schuyler Hospital ER Schuyler Long Term Care SCHWEIZER AIRCRAFT CORP SCIARRABA & WALKER SCIBAL ASSOC Scibal Associate Scibal Associate Scibal Associates SCIBAL ASSOCIATES

SCHUY002 SCHUY003 SCHUY004 SCHWE001 SCIAR001 SCIBA008 SCIBA001 SCIBA002 SCIBA004 SCIBA011

SCIBAL ASSOCIATES SCIBAL ASSOCIATES SCIBAL ASSOCIATES

SCIBA006 SCIBA007 SCAS01

SCIBAL ASSOCIATES

SCIBA003

SCIBAL ASSOCIATES SCIBAL ASSOCIATES INC

SCAS02 SCIBA009

SCIBALL

SCIBA010

SCOLFIELD REPAIR SCOTT LAND AND YARD SERVICE SCOTT SMITH & SON INC SCOTT WALLACE Scottsdale Ins Scottsdale Insurance Company [Electronic]

SCOLF001 SCOTT002 SCOTT001 SCOTT006 SCOTT005 SCOTT003

SCOVILLE MENO AUTO PLAZA

SCOVI001

New York Workers' Compensation

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name SCS ADMIN. SELF FUNDED WC GROUP SDC INFORMATION SERVICES SDS OF NEW YORK SEA WOLF MARINE SEABRIGHT INSURANCE CO Address PO BOX 1248 WILLIAMSVILLE, NY 14231 250 INTERNATIONAL DR WILLIAMSVILLE, NY 14221 1618 SEARS ROAD ELMIRA, NY 14903 473 BROADWAY BAYONNE, NJ 07002 150 N RADNOR CHESTER RD STE E110 Radnor, PA 19087 PO BOX 91100 SEATTLE, WA 98111 4015 CASILIO PKWY CLARENCE, NY 14031 30 VETERANS MEMORIAL DRIVE TROY, NY 12183 PO BOX 4100 SEATTLE, WA 98194 196 Howlett Building Springfield, IL 62756 PO BOX 1000 CHARLOTTE, NC 28201-1000 PO BOX 1620 BINGHAMTON, NY 13902 196 MAPLE AVE SELKIRK, NY 12158 po box 14533 lexington, KY 40512 PO Box 14440 lexington, KY 40510 PO BOX 15065 Albany, NY 12212 120 E BALTIMORE ST SUITE 1910 BALTIMORE, MD 21202 PO BOX 14448 LEXINGTON, KY 40504 PO BOX 14459 LEXINGTON, KY 40519 PO BOX 14517 LEXINGTON, KY 40512-4517 PO BOX 14545 LEXINGTON, KY 40512 PO BOX 14453 Lexington, KY 40512 PO Box 15065 Albany, NY 12212 P.O. Box 14439 Lexington, KY 40512 PO Box 14437 Lexington, KY 40512 PO Box 14497 Lexington, KY 40512 PO Box 14519 Lexington, KY 40512 Po Box 14537 Lexington, KY 40512 111 WESTPORT PLAZA SUITE 900 ST LOUIS, MO 63146-3011 1801 MARKET ST #10 PENN CTR, 5TH FLOOR PHILADELPIA, PA 19103 600 GRANT ST USX TOWER SUITE 1160 PITTSBURGH, PA 15219 PO BOX 1029 COLUMBUS, OH 43216 PO BOX 11930 TUSCON, AZ 85734 PO BOX 1444 LEXINGTON, KY 40509 PO BOX 14484 LEXINGTON, KY 40512 Payer ID SCSAD001 SDCIN001 SDSOF001 SEAWO001 SEABR001 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) Other WC (Non-NY) Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

SEABRIGHT INSURANCE COMPANY SEAL AND DESIGN SEALY SEATTLE MARINERS Secretary of State /WC SECURITY INSURANCE COMPANY OF HART SECURITY MUTUAL SECURITY SUPPLY CORP sedgewick Sedgewick Sedgewick SEDGEWICK

SCIB01 SEALA001 SEALY001 SEMA01 SECRE001 SICH01 SECUR001 SECUR002 SEDGE006 SEDGE007 SEDGE004 SEDGE008

SEDGEWICK SEDGEWICK SEDGEWICK SEDGEWICK SEDGEWICK CMS Sedgewick WC Sedgwick Sedgwick Sedgwick Sedgwick Sedgwick SEDGWICK

SCMS22 SEDGE002 SEDGE009 SCMS19 SEDGE003 SEDGE005 SEDGW007 SEDGW006 SEDGW046 SEDGW036 SEDGW034 SCMS12

SEDGWICK

SEDGW052

SEDGWICK

SEDGW048

SEDGWICK SEDGWICK SEDGWICK SEDGWICK

SEDGW053 SCMS15 SCMS16 SEDGW011

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name SEDGWICK SEDGWICK SEDGWICK SEDGWICK Address PO BOX 830 BROOKFIELD, WI 53008 PO BOX 92889 ROCHESTER, NY 14692 PO BOX 95407 HOFFMAN ESTATES, IL 60195 179 John Roberts Rd Ste 300 S. Portland, ME 04106 4 CORPORATE PLAZA ALBANY, NY 12203-5372 CSX TOWER SUITE 2944 PITTSBURGH, PA 15219 PO BOX 14515 LEXINGTON, KY 40512 PO BOX 14574 LEXINGTON, KY 40512 PO BOX 15065 ALBANY, NY 12212 PO BOX 5186 SOUTHFIELD, MI 48056 PO BOX 69 SOUTHFIELD, MI 48034 PO BOX 14565 LEXINGTON, KY 40512 PO Box 14452 Lexington, KY 40512 P.O. Box 14627 Lexington, KY 40512 PO Box 111189 Carrollton, TX 75011 PO Box 14446 Lexington, KY 40512 PO Box 14448 Lexington, KY 40512 PO Box 14459 Lexington, KY 40512 PO Box 14538 Lexington, KY 40512 3 PARKWAY 15TH FLOOR PHILADELPHIA, PA 19102 PO BOX 92899 ROCHESTER, NY 14692 PO BOX 14454 LEXINGTON, KY 40512 PO BOX 105166 ATLANTA, GA 303485166 P.O. Box 8901 Melville, NY 11747 3 huntington quadrangle so melville, NY 11747 P. O .Box 14446 LEXINGTON, KY 40512 P.O. Box H Whippany, NJ 07981 Po Box 14156 Lexington, KY 40512 Po Box 14491 Lexington, KY 40512 PO BOX 14497 Lexington, KY 40512-4497 PO BOX 29079 GLENDALE, CA 91209-9079 P.O.BOX 14205 LEXINGTON, KY 40512 PO BOX 14152 LEXINGTON, KY 40512 PO BOX 14492 LEXINGTON, KY 40512-4492 PO BOX 14517 LEXINGTON, KY 40512 PO BOX 14661 LEXINGTON, KY 40512-4661 PO BOX 8006 PHILADELPHIA, PA 19101 Payer ID SEDGW008 SEDGW009 SEDGW061 SCMS04 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) Other WC (Non-NY) Other WC (Non-NY) Other WC (Non-NY) Other WC (Non-NY) Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

SEDGWICK SEDGWICK

SEJA01 SCMS09

SEDGWICK SEDGWICK SEDGWICK SEDGWICK SEDGWICK SEDGWICK (LEXINGTON) Sedgwick / Liability Sedgwick / WC Sedgwick / WC Sedgwick / WC Sedgwick / WC Sedgwick / WC Sedgwick / WC SEDGWICK CLAIMS SEDGWICK CLAIMS Sedgwick Claims Management - Verizon [Electronic] SEDGWICK CLAIMS MGMT Sedgwick Claims Mgmt Services sedgwick cms Sedgwick CMS Sedgwick CMS Sedgwick CMS Sedgwick CMS Sedgwick CMS Sedgwick CMS SEDGWICK CMS SEDGWICK CMS SEDGWICK CMS SEDGWICK CMS SEDGWICK CMS SEDGWICK CMS

SCMS07 SCMS06 SEJA02 SCMS11 SCMS10 SEDGW010 SEDGW041 SEDGW039 SEDGW055 SEDGW043 SEDGW044 SEDGW042 SEDGW045 SEDGW051 SEDGW047 SEDGW014 SEDGW054 SEDGW040 SEDGW004 SEDGW037 SEDGW057 SEDGW059 SEDGW035 SEDGW003 SEDGW005 SEDGW056 SEDGW060 SCMS17 SEDGW002 SCMS21 SEDGW050

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name SEDGWICK CMS Sedgwick CMS - Colgate [Electronic] Sedgwick CMS / WC Sedgwick CMS Ascension Health SEDGWICK CMS/ADELPHI Address PO BOX 9002 HARRISBURG, PA 17108 PO BOX 14517 LEXINGTON, KY 40512 PO Box 14441 Lexington, KY 40512 Po Box 14562 Lexington, KY 40512 PO BOX 14422 DELPHI NATIONAL BENEFIT CENTERLEXINGTON, KY 40512-4422 PO BOX 14517 LEXINGTON, KY 40512 PO BOX 14517 LEXINGTON, KY 40512 PO BOX 14517 LEXINGTON, KY 40512 PO BOX 14607 LEXINGTON, KY 40512-4607 PO BOX 14432 LEXINGTON, KY 40512-4432 1250 PITTSFORD-VICTOR ROAD BLDG 100 PITTSFORD, NY 14534 PO BOX 14432 LEXINGTON, KY 40512 2700 NORTH MILITARY TRAIL SUITE 380 BOCA RATON, FL 33431 PO BOX 14517 LEXINGTON, KY 40512 PO BOX 14517 LEXINGTON, KY 40512 PO BOX 14517 LEXINGTON, KY 40512 5260 PARKWAY PLAZA CHARLOTTE, NC 28217 PO Box 669200 Pampano, FL 33066 PO Box 14485 Lexington, KY 40512 2901 E LAKE RD BLD 2 D ERIE, PA 16531 1074 BROADWAY ALBANY, NY 12204 3820 STATE ST SANTA BARBRA, CA 93105 PO BOX 512 NEWTON, NJ 078600512 PO BOX 5384 PASSAIC, NJ 07055 P.O.Box 480 Branchville, NJ 07826-5640 40 WANTAGE AVE BRANCHVILLE, NJ 07826-5640 PO BOX 25333 LEHIGH VALLEY, PA 18002 1275 GLENLIVIT DR LEHIGH VALLEY, PA 18106 PO BOX 7950 TRENTON, NJ 08650-7950 11711 N. Meridian St. #800 Carmel, IN 46032 1395 Yardville Hamilton Square Suite 202 Hamilton, NJ 08691 528 OXFORD VALLEY RD LANGHORNE, PA 19047 PO BOX 158 AUGUSTA, NJ 07822 PO BOX 13325 RICHMOND, VA 23225 1395 Yardville Hamilton Square Road Hamilton, NJ 08691 Payer ID SEDGW049 SEDGW012 SEDGW038 SEDGW058 SEJA04 New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation

Sedgwick Coach [Electronic] Sedgwick Coach Audit [Electronic] Sedgwick Cola [Electronic] SEDGWICK MANAGED - GM WC SEDGWICK MANAGED CARE SEDGWICK/ CMS

SEDGW030 SEDGW028 SEDGW016 SEJA06 SEMC02 SCM23

Auto/No-Fault Auto/No-Fault Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Auto/No-Fault

Sedgwick-AMEX [Electronic] Sedgwick-Bill [Electronic]

SEDGW022 SEDGW032

Sedgwick-Cigna Corporation [Electronic] Sedgwick-North Carolina [Electronic] Sedgwick-Pepsi [Electronic] Sedgwick-Sunrise Sr. Living [Electronic] Sedwick Sedwick CMS SEGWICK JAMES SELBY & SMITH SELECT STAFFING - RISK MGMT SELECTIVE SELECTIVE Selective Ins SELECTIVE INS SELECTIVE INS SELECTIVE INS CO SELECTIVE INS WC Selective Insurance Selective Insurance

SEDGW018 SEDGW020 SEDGW024 SEDGW026 SEDWI002 SEDWI001 SEGWI001 SELBY001 SSRM01 SELEC011 SELEC009 SELEC006 SEIN03 SELEC007 SEIN07 SEIN05 SELEC005 SELEC002

Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) Auto/No-Fault

SELECTIVE INSURANCE SELECTIVE INSURANCE SELECTIVE INSURANCE CO Selective/ CSG Hamilton

SELEC008 SELEC010 SELEC003 SELEC004

New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name SELF FUNDING INC SELMAN AND COMPANY Address 5687 MAIN ST WILLIAMSVILLE, NY 14221 6110 PARKLAND BLVD WC CLAIMS CLEVELAND, OH 441244187 7701 ROUNDPOND ROAD NORTH SYRACUSE, NY 13212 388 UPPER OAKWOOD PO BOX 148 ELMIRA, NY 14902 1083 WATERLOO GENEVA RD WATERLOO, NY 13165 1 DIPRONIO DR WATERLOO, NY 13165 2 Butler Ave Seneca Falls, NY 13148 310 4TH STREET ATTN: AMY SHERIDAN NIAGARA FALLS, NY 14303 2829 SENECA ST BUFFALO, NY 14224 160 WATER ST NEW YORK, NY 10038-4922 1786 SALCMAN RD WATERLOO, NY 13165 PO BOX 480 SALAMANCA, NY 14779 200 DOUGLAS DR WATERLOO, NY 13165 184 Ovid Street Seneca Falls, NY 13148 220 Steuben Street Montour Falls, NY 14865 690 ASYLUM AVE HARTFORD, CT 06105-9701 PO Box 8042 Stevenspoint, WI 54481 1800 NORTH POINT DRIVE STEVENS POINT, WI 54481 PO BOX 4944 SYRACUSE, NY 13221 PO BOX 584 WESTFORD, MA 01886 PO BOX 8032 STEVENS POINT, WI 54481 PO BOX 584 WESTFORD, MA 01886 3 Carlsisle Rd. POB 584 Westford, MA 01886 204 BROADWAY BROOKLYN, NY 11211 PO BOX 26363 RICHMOND, VA 23260 204 BROADWAY BROOKLYN, NY 11211 204 BROADWAY BROOKLYN, NY 11211 204 BROADWAY BROOKLYN, NY 11211 PO BOX 26363 RICHMOND, VA 23260 PO BOX 26363 RICHMOND, VA 23260 PO BOX 26363 RICHMOND, VA 23260 PO Box 8021 Davenport, IA 52808 PO Box 8021 Davenport, IA 52808 PO Box 8021 Davenport, IA 52808 PO BOX 26363 1025 BOULDERS PKWY RICHMOND, VA 23260-6363 Payer ID SFI01 SELMA001 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) Auto/No-Fault

SENECA SENECA BEVERAGE CORP

SENEC005 SENEC002

SENECA CAYUGA ARC SENECA CO SELF INSURED PLAN Seneca Falls School SENECA GAMING AND ENTERTAINMENT

SCA01 SCSI01 SENEC006 SENEC003

SENECA HOSE SENECA INSURANCE COMPANY INC SENECA MEADOWS SENECA NATION HEALTH DEPARTMENT SENECA NURSING & REHAB Seneca Pipe & Paving Seneca View Nursing Home SENTINEL INSURANCE CO LTD Sentry SENTRY SENTRY SENTRY SENTRY SENTRY CLAIM SERVICE Sentry Claims

SENEC007 SENC01 SEM01 SENC02 SNR01 SENEC004 SENEC001 SICI01 SENTR015 SENI04 SENI01 SENI02 SENI03 SENTR002 SENTR016

SENTRY INSURANCE SENTRY INSURANCE Sentry Insurance [Electronic Indirect] Sentry Insurance [Electronic Indirect] Sentry Insurance [Electronic Indirect] Sentry Insurance [Electronic Indirect] Sentry Insurance [Electronic Indirect] Sentry Insurance [Electronic Indirect] Sentry Insurance [Electronic Indirect] Sentry Insurance [Electronic Indirect] Sentry Insurance [Electronic Indirect] SENTRY INSURANCE CO

SENTR001 SENI05 SENTR006 SENTR009 SENTR012 SENTR007 SENTR010 SENTR013 SENTR008 SENTR011 SENTR014 SENTR003

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name Sentry Select Ins. / AIS Sentry/ AIS Address PO BOX 5038 Woodbridge, NJ 07095 485 D Route 1 South Ste: 220 - attn: diversified account Iselin, NJ 08830 1234 MARKET ST PHILA, PA 19107 243 OLD ITHACA RD HORSEHEADS, NY 14845 1257 STATE RT 96 WATERLOO, NY 13165 1257 Route 96 North Waterloo, NY 13165 261 S MAIN ST CATTARAUGUS, NY 11201 9250 KEYSTONE STREET PHILADELPHIA, PA 19114 3300 MONROE AVE #14 ROCHESTER, NY 14618 1 SHEAKLEY WAY CINCINNATI, OH 45246 PO BOX 422402 CINCINNATI, OH 45242 646 MAIN ST BUFFALO, NY 14202 1862 GRAND CENTRAL AVE ELMIRA, NY 14903 7448 COUNTY ROAD 153 OVID, NY 14521 PO BOX 6008 COLUMBIA, MO 65205 3901 SHERIDAN DR AMHERST, NY 14226 PO BOX 5819 CLEVELAND, OH 44101 583 AVENUE C BAYONNE, NJ 07002 10190 ROUTE 18 LYNDONVILLE, NY 14098 197 E WASHINGTON AVE ELMIRA, NY 14901 10190 ROUTE 18 LYNDONVILLE, NY 14098 20 Gristmill Lane Gardiner, NY 12525 590 PRE EMPTION ROAD Suite 6 GENEVA, NY 14456 304 N FRANKLIN STREET WATKINS GLEN, NY 14891 700 WHITE PLAINS RD SCARSDALE, NY 10583 228 PARK AVENUE SOUTH # 43584 NEW YORK, NY 10003 711 PARK AVENUE MEDINA, NY 14103 361 DANIEL ZENKER DR HORSEHEADS, NY 14845 1700 NO. BROADWAY ALBANY, NY 12204 1160 COUNTY ROUTE 66 HORNELL, NY 14843 367 ELLICOTT ST BUFFALO, NY 14203 5167 PARK AVE HAMBURG, NY 14075 1 MOROCCO RD FALCONER, NY 14733 1 MAROCO ROAD FALCONER, NY 14733 1 BLUE JAYS WAY TORONTO, ON M5V1J 33 Washington St., 11th Fl Newark, NJ 07102 Payer ID SENTR005 SENTR004 Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

SEPTA SERVICE MASTER (HORSEHEADS) SESSLER TRUCKING Sessler Wrecking Company SETTERSTIX SHANDELMAN BUILDERS SHAREL VENTURES

SEPTA001 SERVI001 SESSL002 SESSL001 SETT01 SHAND001 SHARE001

SHEAKLEY COMP SHEAKLEY COMP SHEAS SHEESLEY SEWER SERVICE SHELDRAKE POINT WINERY SHELTER INSURANCE SHERIDAN FAMILY RESTAURANT SHERWIN WILLIAMS SHOPRITE SHORELINE FRUIT LLC SHULMAN & SONS SHURLINE FRUIT Shwangunk River Inc. SIBLEY NURSING

SHEAK01 SHEA01 SHEAS001 SHEES001 SHELD001 SHELT001 SHERI001 SHER01 SHOPR001 SHORE001 SHULM001 SHURL001 SHWAN001 SIBLE001

SIDLER INSURANCE SIEGER AND SMITH SIERRA CLAIM SERVICE SIGMA INTERNATIONAL SILICON CARBIDE PRODUCTS SIMMONS MACHINE TOOLS SIMMONS-ROCKWELL FORD INC. SIMON ELECTRIC SJB SERVICES, INC SKF AERO ENGINE SKF SELF INSURED SKYCHIEFS Skylands Insurance

SIDLE001 SIEGE001 SIERR001 SIGMA001 SILIC001 SIMMO001 SIMMO002 SIMON001 SJB01 SKFAE001 SKF01 SKY01 SKYLA002

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name SKYWAY ROOFING SLATTERY SKANSKA SLONE MELHUISH Address 1268 BROADWAY ALBANY, NY 12204 1616 WHITESTONE EXP WHITESTONE, NY 113573055 306 SPRING ST. PO BOX 878 JAMESTOWN, NY 14701 899 Pardee Rd Campti, LA 71411 320 E WASHINGTON STREET BATH, NY 14810 280 Michigan St North Tonawanda, NY 14120 2293 SAUNDERS SETTLEMENT ROAD SANBORN, NY 14132 414 WEST PITTSBURGH ST GREENSBURG, PA 15601 42 W MARKET STREET CORNING, NY 14830 32-36 Central Avenue Wellsboro, PA 16901 32-36 Central Avenue Wellsboro, PA 16901 1A LAKEVIEW DRIVE CLIFTON PARK, NY 12065 3546 WALTERS RD SYRACUSE, NY 13209 225 LIBERTY ST TWO WORLD FINANCIAL CENTER NEW YORK, NY 10281 543 WEST RIVER STREET NICHOLS, NY 13812 2650 SOUTH DECKER LAKE BLVD SALT LAKE CITY, UT 84095 1250 BROADWAY ST BUFFALO, NY 14212 7 Clark Street Corning, NY 14830 111 GRANT AVE SUITE 210 ENDICOTT, NY 13760 190 Choate Circle Suite 2 Montoursville, PA 17754 190 Choate Cirle Suite 2 Montoursville, PA 17754 PO Box 10 Fairfield, IL 62837 805 S Elizabeth Carbondale, IL 62901 2072 Stoneman Circle Lakewood, NY 14750 1322 COLLEGE AVE ELMIRA, NY 14902 3385 LOWER MAPLE AVE Apt A ELMIRA, NY 14901 PO BOX 550 352 GLENMARY DRIVE OWEGO, NY 13827 8390 CRESENT PARKWAY STE 200 GREENWOOD VILLAGE, CO 80111 185 ASYLUM STREET HARTFORD, CT 06103 PO Box 5301 Binghamton, NY 13902 2 TOWER PLACE ALBANY, NY 12203 2875 UNION RD SUITE 3510 CHEEKTOWAGA, NY 14227 60 East 42nd Street 27th Floor New York, NY 10165 Payer ID SKYWA001 SLATT001 SLME01 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

SM Communications SMART SYSTEMS INCORPORATED Smith Boys SMOKIN JOES

SMCOM001 SMART001 SMITH001 SMOKI001

SNAPTITE/OLD REPUBLIC SNELLING PERSONNEL SERVICES Soldiers and Sailors Emergency Soldiers and Sailors Hospital SOLOMON ORGANIZATION SOLVAY IRON WORKS INC SOMPO JAPAN INS CO OF AMERICA

SNAPT001 SNELL001 SOLDI001 SOLDI002 SOLOM001 SOLV01 SJIC01

SOPRANOS2 SOS STAFFING SOUTH BUFFALO ELECTRIC South Corning Fire Department SOUTH WEST GRILL

SOPRA001 SOSST001 SOUTH001 SOUTH007 SOUTH008

Southern Care Hospice

SOUTH005

Southern Care Inc

SOUTH006

Southern IL Lumber / WC Southern Ilinois University Southern Tier Brewing Co SOUTHERN TIER CUSTOM FAB SOUTHERN TIER HIDE AND TALLOW

SOUTH010 SOUTH011 SOUTH002 SOUTH003 SOUTH004

SOUTHERN TIER RECYCLERS, INC

SOUTH009

SOVERIGN INDIAN NATION SPARTA INSURANCE Special Fund Conservation SPECIAL FUNDS SPECIAL FUNDS

SOVER001 SPART001 SPECI028 SPFU03 SPECI001

SPECIAL FUNDS

SPFU04

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name Special Funds Conservation Committee SPECIAL FUNDS CONSERVATION COMMITTTEE SPECIAL FUNDS-ALB SPECIAL RISK CLAIMS SPECIAL TRADES CONTRACTIN SPECIALITY RISK SERVICES LLC Specialty Risk / WC Specialty Risk Service Specialty Risk Services Specialty Risk Services Specialty Risk Services SPECIALTY RISK SERVICES SPECIALTY RISK SERVICES SPECIALTY RISK SERVICES Address PO BOX 5311 Binghamton, NY 13902 PO BOX 5304 BINGHAMTON, NY 13902 PO BOX 5312 BINGHAMTON, NY 13902 70 GENESEE ST UTICA, NY 13502 PO BOX 3580 SYRACUSE, NY 13220 P.O.BOX 61513 KING OF PRUSSIA, PA 19406 P.O. Box 790066 Saint Louis, MO 63179 PO Box 14170 Lexington, KY 40512 PO Box 14151 Lexington, KY 40512 po box 14154 Lexington, KY 40512 PO BOX 14214 Lexington, KY 40512 150 SOUTH WARNER ROAD KING OF PRUSSIA, PA 19406 P O BOX 14156 LEXINGTON, KY 40512 PO BOX 14205 Attn: ACS Mail room LEXINGTON, KY 40512 PO BOX 958424 LAKE MARY, FL 32795-8424 P.O. Box 14205 Lexington, KY 40512 PO Box 14155 Lexington, KY 40512 PO BOX 799 MARLTON, NJ 08053 PO BOX 4360 PORTLAND, OR 97208 1101 MARKET ST 13TH FL PHILADELPHIA, PA 19107 3 McCrea HIll Road Ballston Spa, NY 12020 2100 HARTEL ST LEVITTOWN, PA 19057 ONE KEMPER DRIVE LONG GROVE, IL 60049-0001 229 KENMORE AVE BUFFALO, NY 14217 PO BOX 738 KENMORE, NY 14217 P.O. Box 738 Kenmore, NY 14217 16 DARTTS CROSSROAD PO BOX 307 SPENCER, NY 14883 PO BOX 359 ATTN: TOM FRIEDO SPENCERPORT, NY 14559 46 SHELTER ROCK RD DANBURY, CT 06810 PO BOX 98 CORNING, NY 14830 33-41 NEWARK ST STE 4A HOBOKEN, NJ 07030 P.O. Box 25 Springville, NY 14141 WORKERS COMPENSATION 135 DELAWARE AVE BUFFALO, NY 14202 P.O. Box 14205 Lexington, KY 40512 PO BOX 4058 PORTLAND, OR 97208 Payer ID SPECI027 SPECI024 SPECI023 SRC01 SPTC01 SPECI006 SPECI008 SPECI020 SPECI012 SPECI011 SPECI010 SPECI015 SPECI009 SPRS01 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation

SPECIALTY RISK SERVICES (LAKE M Specialty Risk Services / WC Specialty Risk Services / WC SPECIALTY RISK SVS SPECIALTY RISKS (WC CLMS) SPECIALTY SERVICES

SPECI003 SPECI007 SPECI019 SPECI018 SPECI017 SPS01

Specialty Silicon Products SPECIALTY SUPPORT SPECIALTY SURPLUS INSURANCE CO SPEED GLOBAL SERVICES SPEED MOTOR EXPRESS Speed Transportation SPENCER VANETTEN CFD

SPECI002 SPECI014 SSIC01 SPEED003 SPEED001 SPEED002 SPENC001

Spencerport Fire District

SPENC002

SPERRY RAIL SERVICE SPRAGUE INSURANCE SPREEMO Spring Creek Point Break SPS TEMP

SPERR001 SPRAG001 SPREE001 SPRIN001 SPSTE001

SRS / WC SRS C/O CORVEL

SRSWC001 SRSCO002

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name SRS(LEXINGTON) ST BARNABAS COMM ENTER INC Address PO BOX 14214 LEXINGTON, KY 40512 11 BEACH STREET 8TH FL NEW YORK, NY 10013 411 CANISTEO STREET ATTN GAIL WEIR HORNELL, NY 14843 555 E Market Street Elmira, NY 14902 100 Lincoln Ave Carbondale, PA 18407 555 East Market Street Elmira, NY 14902 555 EAST MARKET STREET ELMIRA, NY 14902 555 East Market Street Elmira, NY 14902 PO BOX 274 RICHVILLE, NY 13681 ONE TOWER SQUARE HARTFORD, CT 06183-1190 PO BOX 3570 BRANDON, FL 33509 PO Box 466 Albany, NY 12201 PO BOX 4095 EDISON, NJ 08830 P.O. Box 4095 Iselin, NJ 08830 1200 AMERICAN RD PO BOX 530 MORRIS PLAINS, NJ 07950 144 GRAND STREET JERSEY CITY, NJ 07302 160 NORTH MAIN AVENUE ALBANY, NY 12206 813 FAY ROAD SYRACUSE, NY 13219 48 COURT ST CANTON, NY 13617 ATT: Kelly Flewelling 427 Guy Park Ave. Amsterdam, NY 12010 PO BOX 22986 ROCHESTER, NY 14692 258 GENESEE ST STE 103 UTICA, NY 13502 PO BOX 1015 BINGHAMTON, NY 13902 600 French Road New Hartford, NY 13413 PO BOX 1015 ATTN: DEANNA COBB BINGHAMTON, NY 13902 ONE TOWER SQUARE HARTFORD, CT 06183-1190 po box 25339 farmington, NY 14425 2060 brighton-henrietta townline road rochester, NY 14623 PO BOX 5086 SOUTHFIELD, MI 480865086 PO Box 138 Point of Rock, MD 21777 9201 STAE LINE RD KANSAS CITY, MO 64114 26255 AMERICAN DRIVE SOUTHFIELD, MI 48034-6112 105 HARBORSIDE DRIVE JERSEY CITY, NJ 07305 74 RAILROAD AVENUE ATTN: SANDY SPENCER, NY 14883 Payer ID SRSLE001 STBAR001 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

ST JAMES MERCY HOSPITAL

STJAM001

St Joseph Emergency Room St Joseph ER Carbondale St Joseph Rehab ST JOSEPHS HOSPITAL St Jospeh Skilled Nursing Unit ST LAWRENCE ST PAUL ST PAUL ST PAUL ST PAUL FIRE AND MARINE St Paul Insurance Co. ST PAUL TRAVELERS

STJOS002 STJOS003 STJOS005 STJOS001 STJOS006 STLL01 SPFM01 STPC01 STPF01 STPAU002 STPAU001 SPFM04

ST PETER'S PREP ST. ANNE'S INSTITUTE ST. CAMILLUS St. Lawrence WC Self Ins. St. Mary's Hospital

STPET001 STANN001 STCAM001 STLS01 STMAR001

ST. PAUL FIRE AND MARINE INSURA STAFF SOURCE

STPF03 STSO01

STAFFKINGS Staffworks STAFKINGS Personnel Systems

STAFF002 STAFF001 STAFK001

STANDARD FIRE INS CO standard security stantec consulting service

STFC01 STAND001 STANT001

STAR ADMIN Star Concrete STAR INSURANCE CO STAR INSURANCE COMPANY STAR SNACKS STARFIRE SWORDS LTD

STARA001 STARC001 STARI001 STAR01 STARS001 STARF001

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name STATE ACC FUND State Auto / WC STATE AUTO INSURANCE State Comp Fund of AZ STATE COMP INS FUND STATE COMP INS FUND STATE COMPENSATION INS State Farm STATE FARM Address PO BOX 102100 COLUMBIA, SC 29221 P.O. Box 7183 Indianapolis, IN 46206 PO BOX 6165 INDIANAPOLIS, IN 46206-6165 PO Box 33069 Phoenix, AZ 85067 PO BOX 3171 SUISIN CITY, CA 94585-6171 PO BOX 65005 Pinedale, CA 93650-5005 PO BOX 92622 LOS ANGELES, CA 92103 PO Box 8015 Ballston Spa, NY 12020 201 N 19TH ST TERRY RICHTER / ATTN PATTY BISMARCK, ND 58501 270 HACKENSACK RD WOODBRIDGE, NJ 07075 300 KIMBALL DR PO BOX 911 parsippany, NJ 07054 334 WEST MAIN STREET BOONTON, NJ 07005 750 ROUTE 73 S MARLTON, NJ 08053 8100 ROLSTON ROAD SUITE 131 ARVADA, CO 80002 8517 HOSPITAL DR SUITE A DOUGLASVILLE, GA 30134 P.O BOX 25005 BAKERSFIELD, CA 93390-9887 PO BOX 20707 MURFREESBORO, TN 37129 PO BOX 52284 PHOENIX, AZ 85072 PO BOX 10003 DULUTH, GA 30096 PO BOX 106134 ALANTA, GA 30348 PO BOX 106135 ALANTA, GA 30348 PO BOX 106145 ATLANTA, GA 30348 PO BOX 1268 COLUMBIA, MO 652061268 PO BOX 14007 YORK, PA 174040867 PO BOX 221 DUPONT, WA 98327 PO BOX 2363 BLOOMINGTON, IL 61702 PO BOX 25002 BAKERSFIELD, CA 93390-5002 PO BOX 52270 PHOENIX, AZ 85072 PO BOX 52272 PHOENIX, AZ 85072-2272 PO BOX 52299 PHOENIX, AZ 85072-2299 PO BOX 661023 DALLAS, TX 75266 PO BOX 799011 DALLAS, TX 75379-9011 PO BOX 82613 LINCOLN, NE 68501 PO BOX 82640 LINCOLN, NE 68501-2640 PO BOX 830852 BIRMINGHAM, AL 35283 PO BOX 83106 LINCOLN, NE 68501-3106 Payer ID STAF01 STATE021 STATE119 STATE088 STATE139 STCI01 STATE098 STATE017 STATE129 New York Workers' Compensation Other WC (Non-NY) Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

STATE FARM STATE FARM

STATE101 STATE003

Auto/No-Fault New York Workers' Compensation Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault

STATE FARM STATE FARM STATE FARM STATE FARM

STATE102 STATE103 STATE085 STATE087

STATE FARM STATE FARM STATE FARM STATE FARM STATE FARM STATE FARM STATE FARM STATE FARM STATE FARM STATE FARM STATE FARM STATE FARM STATE FARM STATE FARM STATE FARM STATE FARM STATE FARM STATE FARM STATE FARM STATE FARM STATE FARM

STATE084 STATE092 STATE132 STATE126 STATE136 STATE135 STATE128 STATE111 STATE112 STATE086 STATE117 STATE140 STATE133 STATE134 STATE124 STATE137 STATE093 STATE125 STATE120 STATE127 STATE091

Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name STATE FARM STATE FARM STATE FARM STATE FARM STATE FARM STATE FARM STATE FARM STATE FARM STATE FARM State Farm / Liability STATE FARM [Electronic Indirect] Address PO BOX 911 PARSIPPANY, NJ 07054 PO BOX 92 CONCORDVILLE, PA 19331 PO BOX 953 FREDERICK, ME 21705 PO BOX 9608 WINTER HEAVEN, FL 33883 PO Box 9618 Winter Haven, FL 33883 ONE STATE FARM PLAZA BLOOMINGTON, IL 61701 PO BOX 41 CONCORDVILLE, PA 19331 PO BOX 41 CONCORDVILLE, PA 19331 PO BOX 8011 BALLSTON SPA, NY 12020 PO Box 2308 Bloomington, IA 61702 300 KIMBALL DR PO BOX 911 Parsippany, NJ 07054 300 KIMBALL DR PO BOX 911 Parsippany, NJ 07054 300 KIMBALL DR PO BOX 911 Parsippany, NJ 07054 900 Old River RD Bakersfield, CA 93311 900 Old River RD Bakersfield, CA 93311 900 Old River RD Bakersfield, CA 93311 Centralized Medical Unit P.O. Box 3020 Newark, OH 43058 Centralized Medical Unit P.O. Box 3020 Newark, OH 43058 Centralized Medical Unit P.O. Box 3020 Newark, OH 43058 ONE STATE FARM PLAZA BLOOMINGTON, IL 61701 ONE STATE FARM PLAZA BLOOMINGTON, IL 61701 ONE STATE FARM PLAZA BLOOMINGTON, IL 61701 PO BOX 1003 DULUTH, GA 30096 PO BOX 1003 DULUTH, GA 30096 PO BOX 1003 DULUTH, GA 30096 PO Box 2361 Bloomington, IL 61702 PO Box 2361 Bloomington, IL 61702 PO Box 2361 Bloomington, IL 61702 Po box 2363 Bloomington, IL 61702-2363 Po box 2363 Bloomington, IL 61702-2363 Po box 2363 Bloomington, IL 61702-2363 PO BOX 41 CONCORDVILLE, PA 19331 PO BOX 41 CONCORDVILLE, PA 19331 PO BOX 41 CONCORDVILLE, PA 19331 PO Box 8000 Ballston Spa, NY 12020 Payer ID STATE144 STATE142 STATE143 STATE023 STATE116 SFFC02 STATE121 STFI01 SFFC01 STATE082 STATE024 Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation Auto/No-Fault

STATE FARM [Electronic Indirect]

STATE025

STATE FARM [Electronic Indirect]

STATE026

Other WC (Non-NY)

STATE FARM [Electronic Indirect] STATE FARM [Electronic Indirect] STATE FARM [Electronic Indirect] STATE FARM [Electronic Indirect]

STATE030 STATE031 STATE032 STATE027

New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault

STATE FARM [Electronic Indirect]

STATE028

STATE FARM [Electronic Indirect]

STATE029

Other WC (Non-NY)

STATE FARM [Electronic Indirect] STATE FARM [Electronic Indirect] STATE FARM [Electronic Indirect] STATE FARM [Electronic Indirect] STATE FARM [Electronic Indirect] STATE FARM [Electronic Indirect] STATE FARM [Electronic Indirect] STATE FARM [Electronic Indirect] STATE FARM [Electronic Indirect] STATE FARM [Electronic Indirect] STATE FARM [Electronic Indirect] STATE FARM [Electronic Indirect] STATE FARM [Electronic Indirect] STATE FARM [Electronic Indirect] STATE FARM [Electronic Indirect] STATE FARM [Electronic Indirect]

STATE033 STATE034 STATE035 STATE036 STATE037 STATE038 STATE039 STATE040 STATE041 STATE042 STATE043 STATE044 STATE045 STATE046 STATE047 STATE051

New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name STATE FARM [Electronic Indirect] STATE FARM [Electronic Indirect] STATE FARM [Electronic Indirect] STATE FARM [Electronic Indirect] STATE FARM [Electronic Indirect] STATE FARM [Electronic Indirect] STATE FARM [Electronic Indirect] STATE FARM [Electronic Indirect] STATE FARM [Electronic Indirect] STATE FARM [Electronic Indirect] STATE FARM [Electronic Indirect] STATE FARM [Electronic Indirect] STATE FARM [Electronic Indirect] STATE FARM [Electronic Indirect] STATE FARM [Electronic Indirect] STATE FARM [Electronic Indirect] STATE FARM [Electronic Indirect] STATE FARM [Electronic Indirect] STATE FARM [Electronic Indirect] STATE FARM [Electronic Indirect] STATE FARM [Electronic Indirect] STATE FARM [Electronic Indirect] STATE FARM [Electronic Indirect] STATE FARM [Electronic Indirect] STATE FARM [Electronic Indirect] STATE FARM [Electronic Indirect] STATE FARM [Electronic Indirect] STATE FARM [Electronic Indirect] STATE FARM [Electronic Indirect] State Farm Fire & Casualty STATE FARM INS STATE FARM INS Address PO Box 8000 Ballston Spa, NY 12020 PO Box 8000 Ballston Spa, NY 12020 PO BOX 8011 BALLSTON SPA, NY 12020 PO BOX 8011 BALLSTON SPA, NY 12020 PO BOX 8011 BALLSTON SPA, NY 12020 PO BOX 8016 BALLSTON SPA, NY 12020 PO BOX 8016 BALLSTON SPA, NY 12020 PO BOX 8016 BALLSTON SPA, NY 12020 PO BOX 8020 BALLSTON SPA, NY 12020-8020 PO BOX 8020 BALLSTON SPA, NY 12020-8020 PO BOX 8020 BALLSTON SPA, NY 12020-8020 PO Box 820 Ballston Spa, NY 12020 PO Box 820 Ballston Spa, NY 12020 PO Box 820 Ballston Spa, NY 12020 PO BOX 905 Parsippany, NJ 07054 PO BOX 905 Parsippany, NJ 07054 PO BOX 905 Parsippany, NJ 07054 PO Box 92 Concordville, PA 19331-0092 PO Box 92 Concordville, PA 19331-0092 PO Box 92 Concordville, PA 19331-0092 PO BOX 926 Parsippany, NJ 07054 PO BOX 926 Parsippany, NJ 07054 PO BOX 926 Parsippany, NJ 07054 PO Box 953 Frederick, MD 21705 PO Box 953 Frederick, MD 21705 PO Box 953 Frederick, MD 21705 PO Box 9608 Winterhaven, FL 33883 PO Box 9608 Winterhaven, FL 33883 PO Box 9608 Winterhaven, FL 33883 900 Old River RD Bakersfield, CA 93311 PO BOX 102 CONCORDVILLE, PA 19331 PO BOX 2213 414 EAGLE ROCK AVE W ORANGE, NJ 07052 PO BOX 8020 DOWNSTATE CLAIM BALLSTON SPA, NY 12020-8020 100 STATE FARM PL PO BOX 8016 BALLSTON SPA, NY 12020 1433 HWY 34 BLDG B FARMINGDALE, NJ 07727 Payer ID STATE052 STATE053 STATE078 STATE079 STATE080 STATE075 STATE076 STATE077 STATE072 STATE073 STATE074 STATE069 STATE070 STATE071 STATE066 STATE067 STATE068 STATE063 STATE064 STATE065 STATE060 STATE061 STATE062 STATE057 STATE058 STATE059 STATE054 STATE055 STATE056 STATE006 STATE107 STATE104 Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault Auto/No-Fault

STATE FARM INS

STATE009

Auto/No-Fault

STATE FARM INS CO

STFI02

New York Workers' Compensation Auto/No-Fault

STATE FARM INS CO

STATE105

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name STATE FARM INS CO Address 15 EAST COLUMBUS AVE PO BOX 6 CORRY, PA 16407 PO BOX 151 CONCORDVILLE, PA 19331 PO BOX 2978 CLINTON, IA 527332978 PO BOX 3070 NEWARK, OH 430583070 PO BOX 8010 BALLSTON SPA, NY 12020 PO BOX 8016 BALLSTON SPA, NY 12020 P.O. BOX 8015 BALLSTON SPA, NY 12020 2702 Ireland Grove Road PO Box 2550 Bloomington, IL 61709 po box 696044 san antonio, TX 78269 po box 696044 san antonio, TX 78269 599 BROADWAY BAYONNE, NJ 07002 PO BOX 71 CONCORDVILLE, PA 19331 PO BOX 8062 BALLSTON SPA, NY 12020 PO BOX 8062 Ballston Spa, NY 12020-8062 PO BOX 8062 Ballston Spa, NY 12020-8062 PO BOX 953 FREDERICK, MD 21705 404 W Noleman Centralia, IL 62801 P.O. Box 2363 Bloomington, IL 61702 PO Box 2350 Bloomington, IL 61702 PO Box 661011 Dallas, TX 75266 PO Box 2313 Bloomington, IL 61702 PO BOX 84 CONCORDVILLE, PA 19331 PO BOX 26929 LAS VEGAS, NV 89126 3100 HAMILTON AVE CLEVELAND, OH 44114 935 James Street Syracuse, NY 13203 1 MARINE MIDLAND PLAZA ROCHESTER, NY 14604 105 CORPORATE PARK DR SUITE 200 WHITE PLAINS, NY 10604 1450 NEOTOMAS AVE SANTA ROSA, CA 95405-7575 159 N. FRANKLIN ST HEMPSTEAD, NY 11550 161 DELAWARE ST BUFFALO, NY 14202 524 ROUTE 303 ORANGEBURG, NY 10962-1397 PO BOX 3922 CHURCH ST STATION NEW YORK, NY 10008 PO BOX 3934 UNIT 329 NEW YORK, NY 10008-3934 PO BOX 608 PLAINVIEW, NY 11803 PO BOX 977 PLAINVIEW, NY 11803 Payer ID STATE108 Auto/No-Fault

STATE FARM INS CO STATE FARM INS CO STATE FARM INS CO STATE FARM INS CO STATE FARM INS CO STATE FARM INS COMPANIES State Farm Insurance

STATE097 STATE113 STATE114 STATE109 STATE010 STATE138 STATE118

New York Workers' Compensation Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault New York Workers' Compensation Auto/No-Fault

State Farm Insurance State Farm Insurance STATE FARM INSURANCE STATE FARM INSURANCE STATE FARM INSURANCE STATE FARM INSURANCE STATE FARM INSURANCE STATE FARM INSURANCE State Farm Insurance / Liability State Farm Insurance / Liability State Farm Insurance / Liability State Farm Insurance / Liability State Farm Insurance / WC STATE FARM WC STATE INDUSTRIAL INS STATE INDUSTRIAL PRODUCTS State Insurance Fund STATE INSURANCE FUND STATE INSURANCE FUND

STATE014 STATE015 STATE106 STFI03 STATE016 STATE130 STATE131 STATE019 STATE122 STATE020 STATE083 STATE123 STATE081 STATE115 STII01 STATE022 STATE007 NYSIF10 NYSIF09

Other WC (Non-NY) Auto/No-Fault Auto/No-Fault New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

STATE INSURANCE FUND STATE INSURANCE FUND STATE INSURANCE FUND STATE INSURANCE FUND STATE INSURANCE FUND

SIF01 NYSIF16 NYSIF12 NYSIF14 NYSIF17

STATE INSURANCE FUND

NYSIF11

STATE INSURANCE FUND STATE INSURANCE FUND

NYSIF18 NYSIF15

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name STATE INSURANCE FUND [Electronic] STATE INSURANCE FUND [Electronic] STATE INSURANCE FUND [Electronic] STATE INSURANCE FUND [Electronic] STATE INSURANCE FUND [Electronic] STATE INSURANCE FUND [Electronic] STATE INSURANCE FUND [Electronic] STATE INSURANCE FUND [Electronic] Address 1 WATERVLIET EXT ALBANY, NY 12206 100 CHESTNUT ST ROCHESTER, NY 14604 1045 7TH NO ST LIVERPOOL, NY 13088 15 COMPUTER DRIVE WEST ALBANY, NY 12205 2001 PERIMETER RD EAST ENDICOTT, NY 13760 225 OAK ST BUFFALO, NY 14203 701 WESTCHESTER AVE WHITE PLAINS, NY 10604 8 CORPORATE CENTER DRIVE 2ND FLOOR MELVILLE, NY 11747 8 CORPORATE CENTER DRIVE 3RD FLOOR MELVILLE, NY 11747 830 TALMADGE HILL ROAD SOUTH PO BOX 351 WAVERLY, NY 14892 PO BOX 24622 FORT WORTH TEXAS, TX 76124 100 North 15th Ave Suite 301 Phoenix, AZ 85007 PO BOX 381 DEPT OF LABOR WC TRENTON, NJ 086250381 20 PARK ST ALBANY, NY 12207 1 CAPITAL HILL PROVIDENCE, RI 02908 PO BOX 9301 GARDEN CITY, NY 11530 901 Franklin Garden City, NY 11530 PO BOX 425 HEMPSTEAD, NY 11551-0425 PO Box 9001 20 Main Street Hempstead, NY 11551 90 FRANKLIN AVENUE AUTO CLAIMS GARDEN CITY, NY 11530 444 NORTH THIRD STREET 4TH FLOOR PHILADELPHIA, PA 19123 1316 STATE STREET ROOM 1 ERIE, PA 165031916 100 LACKAWANNA AVE SCRANTON, PA 18503 75 PENN AVENUE MORRISVILLE, PA 19067 PO BOX 5100 SCRANTON, PA 18505 607 Main St. Suite 300 Fisher Building Johnstown, PA 15901 PO BOX 22101 TULSA, OK 74121-2101 201 TOWNLEY AVE CORNING, NY 14830 8343 GULLY RD LEROY, NY 14482 237 COMMERCE DRIVE AMHERST, NY 14228 PO BOX 49228 SARASOTA, FL 34230 182 Barnerville Road Cobleskill, NY 12043 5661 TRANSIT RD DEPEW, NY 14043 Payer ID NYSIF07 NYSIF05 NYSIF03 NYSIF04 NYSIF02 NYSIF01 NYSIF06 NYSIF13 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY)

STATE INSURANCE FUND [Electronic]

NYSIF08

STATE LINE AUTO AUCTION

STATE008

STATE NATIONAL INSURANCE COMPANY INC State of Arizona Mgmt

SNIC01 STATE089

STATE OF NJ WORKERS COMP

STATE099

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

STATE OF NY WC CLAIM BOARD STATE OF RHOADE ISLAND State Wide Ins Co [Electronic] State Wide Insurance State Wide Insurance State Wide Insurance

NYSW02 STRI01 STATE011 STATE141 STATE004 STATE005

STATE WIDE INSURANCE CO

STATE110

STATE WORKERS' INS

STATE096

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation

STATE WORKERS INS FD

STATE100

STATE WORKERS INS FUND STATE WORKERS INS FUND STATE WORKERS INS FUND State Workers Insurance Fund

STWF02 STATE095 STWF01 STATE018

STATEFARM INSURANCE STAYBRIDGE SUITES STEIN FARMS, LLC STELLAR TECHNOLOGIES STERLING COOKE INS Sterling Insurance STERLING MODULAR HOMES

STATE094 STAYB001 STEIN001 STELL001 STCO01 STERL002 STERL001

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name STEUBEN ARC STEUBEN COUNTY HEALTHCARE STEUBEN COUNTY SELF INSURANCE Address 6838 INDUSTRIAL PARK RD BATH, NY 14810 7009 RUMSEY STREET EXTENSION BATH, NY 14810 CORVEL CORP. 350 SOLINA MEADOW PARKWAY SUITE 150 NORTH SYRACUSE, NY 13212 3 E PULTENEY SQUARE ATTN GARY BROCKWAY BATH, NY 14810 PO BOX 435 SARATOGA SPRINGS, NY 12866 PO BOX 480 1 STICKLEY DR MANLIUS, NY 13104 1217 W. ARTESIA BLVD COMPTON, CA 90220 4 TECHNOLOGY BLVD CANASTOTA, NY 13032 392 W PULTENEY STREET CORNING, NY 14830 334 COMFORT ROAD ITHACA, NY 14850 725 HARRISON STREET SYRACUSE, NY 13210 120 Madison Street, Suite Chittenango, NY 13037 PO BOX 1445 ALPHARETTA, GA 30009 200 MADISON AVE NEW YORK, NY 10016 101 EAST WOODLAWN AVE ELMIRA, NY 14902 11 CORCORAN AUBURN, NY 13021 901 NORTH ELMER AVENUE SAYRE, PA 18840 1700 CEDAR STREET ELMIRA, NY 14904 3496 Court St. Syracuse, NY 13206 22 TURNER DRIVE SPENCERPORT, NY 14559 PO BOX 3489 BETHLEHEM, PA 18017 PO BOX 6100 HAUPPAUGE, NY 11788 PO BOX 38 4060 SUNRISE HWY OAKDALE, NY 11769 PO BOX 116 325 RIVERSIDE DR FALLSBURG, NY 12733 PO BOX 4602 WARREN, NJ 07059 1118 Fairfield Road Mt. Vernon, IL 62864 PO BOX 80793 ATTN: CYNTHIA MELANCON BATON ROUGE, LA 71040 150 STAHL RD GETZVILLE, NY 14068 PO BOX 2928 LAKELAND, FL 33806 ONE SUN LIFE EXECUTIVE PARK WELLESLEY HILLS, MA 02481 1735 Market St Suite LL Philadelphia, PA 19103 2094 Route 96 Clifton Springs, NY 14432 421 7TH NORTH STREET LIVERPOOL, NY 13088 400 SOUTH MEADOW STREET ITHACA, NY 14850 Payer ID STEUB002 STEUB003 STEUB004 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

STEUBEN COUNTY SOCIAL SERVICES

STEUB001

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

STEWARTS SHOPS STICKLEY FURNITURE

STEWA001 STFU01

STILLA AUTOMOTIVE STORE AMERICA STORFLEX FIXTURE CORP(CORNING) STORK H & E TURBO BLADING (ITHA STRACUSE CITY SCHOOL DISTRICT Strategic Claims Solution STRATEGIC RESOURCE CO STRATHMORE INSURANCE CO STREETER ASSOC INC STROEHMANN BAKERY STROEHMANN BROS SAYRE STROEHMANS BAKERY (ELMIRA) STS Trailer & Truck Equipment SUBURBAN DISPOSAL SUE ESPINAL SUFFOLK COUNTY RISK MANAGEMENT SUFFOLK COUNTY WATER AUTHORITY SULLIVAN CORRECTIONAL FACILITY

STILL001 STORE001 STORF001 STORK001 STRAC001 STRAT002 STRAT001 STRA01 STREE001 STROE01 STROE002 STROE003 STSTR001 SUBUR001 SUEES001 SCRM01 SUFFO001 SULLI001

SUMITOMO MARINE INC Summersville School District 79 / WC SUMMIT CLAIMS

SUMA01 SUMME001 SUMMI003

SUMMIT EDUCATIONAL RESOURCE SUMMIT METALS SUN LIFE FINANCIAL Sunoco

SUMMI002 SUMMI001 SUNLI001 SUNO01

Sunshine Bulk SUPER 8 MOTEL SUPER 8 MOTEL (ITHACA)

SUNSH001 SUPER007 SUPER002

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name Superior Adjusters SUPERIOR AMBULANCE SERVICE Address PO BOX 407193 FORT LAUDERDALE, FL 33340 46 EXCHANGE STREET MARK FORREST BINGHAMTON, NY 13901 1000 Jorie Blvd Suite 228 Oak Brook, IL 60523 32 WARD AVE N TONAWANDA, NY 14120 7050 W. 107th Street Suite 210 Overland Park, KS 66212 460 NIAGARA ST BUFFALO , NY 14201 215 JUDSON STREET ELMIRA, NY 14901 4565 State Route 414 Romulus, NY 14541 1171 S CAMERON ST RM 103 HARRISBURG, PA 17104 PO BOX 879 ELMIRA, NY 14902 3830 JEFFREY BLVD BLASDELL, NY 14219 PO BOX 9061 BRANDON, FL 33509 3440 Toringdon Way Suite 300 Charlotte, NC 28277 SKYTOP OFFICE BUILDING RM 104 SYRACUSE, NY 13244 725 HARRISON STREET SYRACUSE, NY 13210 PO BOX 14187 LEXINGTON, KY 40512 PO BOX 4920 SYRACUSE, NY 13221 5870 fisher Rd. East Syracuse, NY 13057 511 SOUTH STATE ST SYRACUSE, NY 13202 401 South Ave Syracuse, NY 13204 375 ERIE BOULEVARD WEST SYRACUSE, NY 13202 124 PICKARD DRIVE EAST SYRACUSE, NY 13211 20 THEODORE CONRAD DR JERSEY CITY, NJ 07305 PO BOX 67008 TREASURE ISLAND, FL 33706 10451 GULF BLVD TREASURE ISLAND, FL 33706 100 LEXINGTON AVE TRENTON, NJ 08086 1 Tropicana Drive St. Petersburg, FL 33705 PO BOX 21607 TAMPA, FL 33622 270 SHIEFFELD STREET MOUNTAINSIDE, NJ 07092 PO BOX 1822 Alpharetta, GA 30023 Attn: Human Resources 560 Fairmount Ave Jamestown, NY 14701 7571 Route 54 Box 350 Bath, NY 14810 737 WILLOW AVENUE ITHACA, NY 14850 PO BOX 83246 LINCOLN, NE 68501 PO BOX 900 Lincroft, NJ 07738 Payer ID SUPER004 SUPER003 Auto/No-Fault New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault

Superior Enterprises SUPERIOR LUBRICANTS CO, INC Supermarket Insurance Group

SUPER006 SUPER001 SUPER005

SUPERMARKET MANAGEMENT SURFACE FINISH TECHNOLOGIES Swedish Hill Vineyard SWIF (STATE WORKERS' INS)

SUPMA001 SURFA001 SWEDI001 SWIFS001

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

SWIFT GLASS SYNCHRONOUS SUPPORT CTR SYNCHRONY Synergy Coverage Solutions/WC SYR UNIV RISK MANAGEMENT

SWIFT001 SYNCH002 SYNCH001 SYNER001 SYRU01

SYRACUSE CITY SCHOOL DISTRICT SYRACUSE CLAIMXCHANGE CTR SYRACUSE CLM/EXCHANGE CTR Syracuse Constructors SYRACUSE Fire & Police DEPT Syracuse Model Neighborhood SYRACUSE OFFICE ENVIRONMENTS SYRACUSE SALES SYSCO FOOD SERVICE T.H.E INSURANCE COMPANY T.H.E. INS CO TALLON DRILLING Tampa Bay Rays TAMPA WORK COMP CTR TANASEYBERT Tanenbaum And Harberg Co - WC Tanglewood Manor

SYRAC001 SYRAC006 SYRAC005 SYRAC002 SYFP01 SYMN01 SYRAC004 SYRAC003 SYSCO001 THEIN001 THEI01 TALLO001 TAMPA001 TWCC01 TANAS001 TANEN001 TANGL001

Taylor Health Center

TAYLO001

T-CAT TCI Teacher's Insurance Plan

TCAT001 TCI001 TEACH001

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name TECH HEALTH INC Address 14025 RIVEREDGE DR STE 400 TAMPA, FL 33637 357 MILTON AVENUE BALLSTON SPA, NY 12020 37 Summit Avenue Walden, NY 12586 PO BOX 105010 ATLANTA, NY 30348-5010 PO BOX 318004 CLEVELAND, OH 44131 59 MAIDEN LANE 16TH FL NEW YORK, NY 10038 P.O. BOX 459 WINDHAM, NY 12496 P O BOX 888 HENRIETTA, NY 14467 PO BOX 12029 AUSTIN, TX 78711 830 COUNTY ROUTE 64 ELMIRA, NY 14903 900 N.C. HIGHWAY 86 NORTH HILLSBOROUGH, NC 27278 Attn: Patti Crean 1127 Dewey Ave Rochester, NY 14613 526 ALTAMONT AVENUE SCHENECTADY, NY 12303 PO Box 356 ATTN: Bonnie North Oxford, MA 01537 388 DELAWARE AVE BUFFALO, NY 14215 1 NEWS PLAZA BUFFALO, NY 14203 PO BOX 9511 CANTON, MA 02021-1030 69 Cascade Drive Suite 303 Rochester, NY 14614 1 PENN SQUARE W PHILADELPHIA, PA 19102 116 JOHN ST NEW YORK, NY 10038 6400 SHERIDAN DR SUITE 120 WILLIAMSVILLE, NY 14221 Northeast Work Comp PO BOX 14473 Lexington, KY 40512 PO BOX 14219 Lexington, KY 40512 PO BOX 2910 HARTFORD, CT 06104-2910 PO BOX 14170 LEXINGTON, KY 40512 PO BOX 14472 Lexington, KY 40512-4472 CN 3605, 21 Christopher Way Eatontown, NJ 77013605 CN 3605, 21 Christopher Way Eatontown, NJ 77013605 CN 3605, 21 Christopher Way Eatontown, NJ 77013605 Northeast Work Comp PO BOX 14473 Lexington, KY 40512 Northeast Work Comp PO BOX 14473 Lexington, KY 40512 Northeast Work Comp PO BOX 14473 Lexington, KY 40512 PO BOX 14219 Lexington, KY 40512 PO BOX 14219 Lexington, KY 40512 Payer ID TEHI01 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Auto/No-Fault New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault

TECH VALLEY ELECTRIC Technical Solutions TECHNOLOGY INS AMTRUST TECHNOLOGY INSURANCE TECHNOLOGY INSURANCE CO INC

TECHV001 TECHN002 TECHN001 TECHN003 TECH01

TED DAVIS WC Ted Hosmer Enterprises TEXAS MUTUAL INS TGI FRIDAYS THALLE CONSTRUCTION The Aquinas Institute

TEDDA001 TEDHO001 TEXAS001 TGIFR001 THALL001 THEAQ001

THE AVENUE NURSING AND REHAB CENTER The Barton Center WC

THEAV001 THEBA001

THE BUFFALO CLUB THE BUFFALO NEWS THE CAMDEN FIRE INS ASSOC. The Employment Store

THEBU001 THEBU002 TCFA01 THEEM001

THE GRAHAM COMPANY THE GUARDIAN LIFE INSURANCE CO THE HAMISTER GROUP ATTN: DENISE The Hartford

GRAC01 GLIC01 THEHA005 THEHA003

The Hartford The Hartford THE HARTFORD THE HARTFORD The Hartford Insurance Group [Electronic Indirect] The Hartford Insurance Group [Electronic Indirect] The Hartford Insurance Group [Electronic Indirect] The Hartford Insurance Group [Electronic Indirect]

THEHA002 THEHA004 THEHA024 THEHA001 THEHA006 THEHA012 THEHA018 THEHA007

The Hartford Insurance Group [Electronic Indirect]

THEHA013

The Hartford Insurance Group [Electronic Indirect]

THEHA019

Other WC (Non-NY)

The Hartford Insurance Group [Electronic Indirect] The Hartford Insurance Group [Electronic Indirect]

THEHA009 THEHA015

New York Workers' Compensation Auto/No-Fault

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name The Hartford Insurance Group [Electronic Indirect] The Hartford Insurance Group [Electronic Indirect] The Hartford Insurance Group [Electronic Indirect] The Hartford Insurance Group [Electronic Indirect] The Hartford Insurance Group [Electronic Indirect] The Hartford Insurance Group [Electronic Indirect] The Hartford Insurance Group [Electronic Indirect] THE HURLBUT NURSING HOME THE INS COMPANY THE MAXON CO The Pike Company Address PO BOX 14219 Lexington, KY 40512 PO BOX 2910 HARTFORD, CT 61042910 PO BOX 2910 HARTFORD, CT 61042910 PO BOX 2910 HARTFORD, CT 61042910 PO BOX 4771 SYRACUSE, NY 13221 PO BOX 4771 SYRACUSE, NY 13221 PO BOX 4771 SYRACUSE, NY 13221 1177 EAST HENRIETTA RD ROCHESTER, NY 14607 10451 GULF BLVD TREASURE ISLAND, FL 33706 76 N BROADWAY IRVINGTON, NY 10533 Christine Scheene 1 Circle Street Rochester, NY 14607 9822 RT 16 PO BOX 310 MATHIAS, NY 14101 190 Oliver Street North Tonawanda, NY 14120 1474 CATON AVE ELMIRA, NY 14904 79 North Front Street Kingston, NY 12401 200 Dunham Ave Jamestown, NY 14701 655 DRIVING PARK AVE ROCHESTER, NY 14613 13800 HWY 57 N EVANSVILLE, IN 47725 PO BOX 17059 IRVINE, CA 92623 PO BOX 220 ITHACA, NY 14851 6926 FLAY ROAD ATTN: ANGEL GIAMARTINO SYRACUSE, NY 13057 PO BOX 99 CORRY, PA 16407 73 EAST MARKET STREET CORNING, NY 14830-2708 101 CREEKSIDE DRIVE ATTN: DIANA MEYER PAINTED POST, NY 14850 101 Creekside Drive Painted Post, NY 14870 PO BOX 870 N TONAWANDA, NY 14122 5701 Pine Island Drive # 3 ATTN: Workers Comp Depart Tamarac, FL 33321 5745 Lincoln Hwy Human Resources Gap, PA 17527 EASTERN CLAIM CENTER 1550 Valley Center Pkwy Bethlehem, PA 18017 460 NIAGARA ST BUFFALO, NY 14201 20 CENTRY HILL DR ATTEN: LORAINE LATHEM, NY 12110 4033 Route 281 Cortland, NY 13045 37 North Chemung Street Waverly, NY 14892 9 FISH STREET PO BOX 456 TIOGA, PA 16946 Payer ID THEHA021 THEHA010 THEHA016 THEHA022 THEHA011 THEHA017 THEHA023 THEHU001 THEIN002 MAX01 THEPI002 Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

THE PINES The RE Krug Corp. THE REFRIGERATION COMPANY ELMIRA The Reis Group THE RESOURCE CENTER THE RIVERSIDE GROUP THE STATE GROUP INDUSTRIAL THE TOWERS GROUP THERM INC ITHACA,NY THOMPSON & JOHNSON EQUIP/ELMIRA

THEPI001 THERE001 THERE002 THERE003 RECE01 THERI001 THEST001 THETO001 THERM001 THOMP001

THOMPSON MAPLE PRODUCTS THREE BIRDS RESTAURANT CORNING THREE RIVERS HEALTHCARE CENTER

THOMP002 THREE003 THREE002

Three Rivers Nursing Home THRUWAY FASTENERS Thyssen Krupp Elevator - W

THREE001 THFA01 THYSS001

Tier NY LLC

TIERN001

TIG SPECIALTY INSURANCE

TIGSP001

TIM HORTONS TIME WARNER CABLE

TIMHO001 TIMEW001

Timebuyer Inc Tioga Ambulatory Service TIOGA CONTAINER CO INC

TIMEB001 TIOGA003 TIOGA006

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name TIOGA COUNTY SELF INSURANCE PLAN TIOGA FARM & HOME INC. Tioga Healthcare facility Tioga Nursing Home TIOGA OPPORTUNITIES INC Tioga Senior Living TIOGA STATE BANK (SPENCER) TITAN INDEMNITY COMPANY TLC EMS Address 56 MAIN ST OWEGO, NY 13827 38 WEST AVE OWEGO, NY 13827 37 North Chemung Street Waverly, NY 14892 37 North Chemung Street Waverly, NY 14892 9 SHELDON GUILE BLVD OWEGO, NY 13827 37 North Chemung Street Waverly, NY 14892 PO BOX 386 SPENCER, NY 14883 PO BOX 659792 SAN ANTONIO, TX 78265 638 BURNET AVE ATTN:JIM ALEXANDER SYRACUSE, NY 13203 845 RTES 5 And 20 Irving, NY 14081 230 PARK AVE NEW YORK, NY 10169 38 PULASKI STREET BAYONNE, NJ 07002 165 CEDAR SR CORNING, NY 14830 101 PARK AVENUE NEW YORK, NY 10178 230 PARK AVE NEW YORK, NY 10169 PO BOX 60408 ROSSFORD, OH 43460 PO BOX 250 SPRINGBROOK, NY 14140 90 Main Street Batavia, NY 14020 701 SPENCER ROAD ITHACA, NY 14850 2309 NORTH TRIPHAMMER ROAD ITHACA, NY 14850 PO BOX 253 RICHVILLE, NY 13681 3875 RIVER ROAD TONAWANDA, NY 14150 10 Jefferson Square Batavia, NY 14020 124 North Genesee Street Geneva, NY 14456 4820 LAKE BROOK DRIVE GLENN ALAM, VA 23060 2 EAST MARKET STREET CORNING, NY 14830 408 WEST AVE ALBION, NY 14411 1 BLUE JAY WAY TORONTO, ON M5V1J1 1115 INSTRUMENT DRIVE ROCKY MOUNT, NC 27804 1 Lawrence Street Glens falls, NY 12801 1 Hospital Drive Towanda, NY 18848 1 Hospital Drive Towanda, PA 18848 1 Hospital Drive Towanda, PA 18848 1 Hospital Drive Towanda, PA 18848 1 Hospital Drive Towanda Drive, PA 18848 225 Broadhollow Rd Melville, NY 11747 PO BOX 907 PARAMUS, NJ 07653 Payer ID TIOGA007 TIOGA009 TIOGA002 TIOGA004 TIOGA001 TIOGA005 TIOGA008 TITA01 TLCEM001 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation

TLC Health Care TM CASUALTY INSURANCE CO TOBERT LOGISTICS TOBEY CO MGF INC TOKIO MARINE TOKIO MARINE MGMT TOLEDO ELECTRICAL TOM GREENHAUER DEVELOPMENT Tompkins TOMPKINS COMMUNITY ACTION TOMPKINS DENTAL HEALTH TOMPKINS-SENECA-TIOGA WC TONAWANDA COKE Tonawanda Valley Federal Credit Union Toner Paving TONNARD MFG TONY R STEAK AND SEAFOOD TOPS MARKETS LLC TORONTO BLUE JAYS TORPEDO SPECIALTY Total Benefits Towanda Ambulatory Surgery Towanda Hospital Emergency Room Towanda Memorial Hospital Towanda Memorial Nursing Home Towanda Skilled Nursing Tower Group [Electronic] TOWER GROUP CO

TLCHE001 TMCA01 TOBER001 TOBEY001 TOKIO001 TOKO01 TOLED001 TOMGR001 TOMPK003 TOMPK001 TOMPK002 TOST01 TONAW001 TONAW002 TONER001 TONNA001 TONYR001 TOPSM001 TOBJ01 TORPE001 TOTAL001 TOWAN001 TOWAN002 TOWAN003 TOWAN004 TOWAN005 TOWER001 TOWER005

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name Tower Group Companies [Electronic] TOWER INSURANCE CO OF NY Address 95 ROUTE 17 SOUTH PARAMUS, NJ 07653 120 BROADWAY FL 31 NEW YORK, NY 10271 PO BOX 907 PARAMUS, NJ 07653 120 BROADWAY 31ST 14TH FL NEW YORK, NY 102713199 PO BOX 26265 NEW YORK, NY 10087-6265 225 BROADHOLLOW RD STE 410E MELVILLE, NY 11747 PO BOX 3519 SYRACUSE, NY 13220 PO BOX 1 RAILROAD AVE ALEXANDER, NY 14005 2300 ELMWOOD AVE ROCHESTER, NY 14618 11161 HENDY ROAD CORNING, NY 14830 1 Town Place Attn: Pam Smith Clarence, NY 14031 P.O. BOX 508 NEWTONVILLE, NY 12128 20 SOUTH MAPLE STREET CORNING, NY 14830 1830 DANBY RD ITHACA, NY 14850 40 MILL RD EASTCHESTER, NY 10709 1605 Buffalo Rd Rochester, NY 14624 P.O. BOX 339 GUILDERLAND, NY 12084 200 N FRANKLIN ST HEMPSTEAD, NY 11550 21 CENTRAL AVE LANCASTER, NY 14086 899 HORNDY ROAD BEAVER DAMS, NY 14812 1253 Colonial Road Hewlett, NY 11557 54 AUDREY AVE TOWN HALL OYSTER BAY, NY 11771 1142 ROUTE 311 PATTERSON, NY 12563 2700 BLIR RD WALL TOWNSHIP, NJ 07719 PO 9061 BRANDON, FL 33509-9061 5100 AHBURY RD FARMINGDALE, NJ 07727 PO BOX 4403 CHICAGO, IL 606804403 230 PARK AVE NEW YORK, NY 10169 PO BOX 1506 LATHAM, NY 12110-8006 2540 ROUTE 130 STE109 CRANBURY, NJ 08512 PO BOX 2148 WARRENVILLE, IL 60555 215 SHUMAN BLVD STE 400 NAPERVILLE, IL 60563 702 OBERLIN RD RALEIGH, NC 27605 7408 TRANSIT RD WILLIAMSVILLE, NY 14221 PO Box 83246 Lincoln, NE 68501-3246 Payer ID TOWER003 TOIC02 Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

TOWER INSURANCE/CASTLEPOINT TOWER NATIONAL INS CO TOWER RISK MANAGEMENT TOWERS INSURANCE CO

TOIC03 TOWER006 TRM01 TOIC01

TOWERS INSURANCE CO TOWN OF ALEXANDER

TOWE01 TOA01

TOWN OF BRIGHTON TOWN OF CATON HIGHWAY DEPT Town of Clarence

TOWNO001 TOWNO008 TOWNO006

TOWN OF COLONIE TOWN OF CORNING TOWN OF DANBY TOWN HALL TOWN OF EASTCHESTER LAW DEPT Town Of Gates TOWN OF GUILDERLAND TOWN OF HEMPSTEAD TOWN OF LANCASTER TOWN OF ORANGE HIGHWAY DEPT Town Of Oyster Bay TOWN OF OYSTER BAY TOWN OF PATTERSON TOWNSHIP OF WALL TPA OF NEW HAMPSHIRE INS CO TRAFFIC LINES INC TRANS GUARD TRANS PACIFIC INS CO LTD US BR TRANS WORKERS COMP TRUST TRANSAMERICA/REM

TOWNO014 TOWNO005 TOWNO003 TOWNO009 TOWNO012 TOWNO007 TOH01 TOWNO002 TOWNO004 TOWNO010 TOWNO011 TOWNO013 TOWNS001 TPAOF001 TRAFF001 TRANS004 TRPI01 TWCT01 TRANS005

TRANSGUARD TRANSGUARD INS CO OF AMERICA INC

TRANS002 TRANSG01

TRANSGUARD INS CO OF AMERICA INC TRANSIT TOWN DODGE Transportation Claims

TGUA01 TRANS003 TRANS001

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name TRANSPORTATION INDUSTRY WC TRUST Address 620 ERIE BLVD STE 100 SYRACUSE, NY 13204 PO BOX 4855 SYRACUSE, NY 13221-4855 333 SOUTH WABASH 30S CHICAGO, IL 60604 PO Box 2927 Hartford, CT 06104 PO Box 42927 Houston, TX 77242 PO Box 66852 St. Louis, MO 63166 PO BOX 85554 Richmond, VA 23285 PO BOX 9511 Manchester, NH 03108 100 BAYLIS RD MELVILLE, NY 11747 1200 AMERICAN RD MORRIS PLAINS, NJ 07950 60 LAKEFRONT BLVD PO BOX 4614 BUFFALO, NY 14240 900 WATERVLIET/SHAKER RD ALBANY, NY 12205 ONE TOWER SQUARE HARTFORD, CT 06183-1190 P O BOX 173762 DENVER, CO 80217 P.O. BOX 17623 BALTIMORE, MD 21297 P.O.BOX 1900 MORRISTOWN, NJ 07962-1900 PO BOX 13933 READING, PA 19612 PO BOX 1430 ALBANY, NY 12201 PO BOX 1450 MIDDLEBORO, MA 02344 PO BOX 150448 HARTFORD, CT 06115 PO BOX 1507 PITTSBURGH, PA 15230 PO BOX 17158 BALTIMORE, MD 21297 PO BOX 203 ISELIN, NJ 08830 PO BOX 220 BUFFALO, NY 14240-0220 PO BOX 22005 ALBANY, NY 12201 PO BOX 22986 ROCHESTER, NY 14692-2986 PO BOX 2928 OVERLAND PARK, KS 66201 PO BOX 3570 BRANDON, FL 33509 PO BOX 4005 ISELIN, NJ 08830 PO BOX 4614 BUFFALO, NY 14240 PO BOX 466 ALBANY, NY 12201 PO BOX 5008 HARTFORD, CT 06102 PO BOX 50472 INDIANAPOLIS, IN 40513 PO BOX 521 MORRIS PLAINS, NJ 079500521 PO BOX 530 MORRIS PLAINS, NJ 07950 PO BOX 530 MORRIS PLAINS, NJ 07950 Payer ID TRWC02 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY)

TRANSPORTATION INS CO TRANSPORTATION INSURANCE COMPANY

TRAN02 TRAN01

Travelers Travelers Travelers Travelers Travelers TRAVELERS TRAVELERS TRAVELERS

TRAVE111 TRAVE130 TRAVE103 TRAVE009 TRAVE008 TRAV17 TRAVE117 TRAV08

TRAVELERS TRAVELERS TRAVELERS TRAVELERS TRAVELERS TRAVELERS TRAVELERS TRAVELERS TRAVELERS TRAVELERS TRAVELERS TRAVELERS TRAVELERS TRAVELERS TRAVELERS TRAVELERS TRAVELERS TRAVELERS TRAVELERS TRAVELERS TRAVELERS TRAVELERS TRAVELERS TRAVELERS TRAVELERS

TRAV15 TPCC01 TRAVE017 TRAVE107 TRAVE110 TRAV13 TRAV16 TRAV18 TRAV05 TRAVE004 TRAI01 TRAVE006 TRAVE014 TRAVE003 TRAVE019 TRAVE010 TRAI03 TRAVE113 TRAV03 TRAV01 TRAV04 TRAVE011 TRAVE116 TRAVE002 TRAVE016

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name TRAVELERS TRAVELERS TRAVELERS TRAVELERS TRAVELERS (CLEVELAND) TRAVELERS (NO-FAULT) TRAVELERS (WORKERS COMPENSATION) Travelers / Liability Travelers / WC Travelers / WC TRAVELERS [Electronic Indirect] TRAVELERS [Electronic Indirect] TRAVELERS AUTO INS TRAVELERS CAR INSURA TRAVELERS INDEMNITY TRAVELERS INDEMNITY TRAVELERS INDEMNITY CO TRAVELERS INS TRAVELERS INS TRAVELERS INS TRAVELERS INS CO Travelers Insurance Travelers Insurance TRAVELERS INSURANCE TRAVELERS INSURANCE TRAVELERS INSURANCE TRAVELERS INSURANCE TRAVELERS INSURANCE TRAVELERS INSURANCE TRAVELERS INSURANCE TRAVELER'S INSURANCE TRAVELER'S INSURANCE Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Address PO BOX 660281 DALLAS, TX 75266 PO BOX 660456 DALLAS, TX 75266 PO BOX 715 ORLANDO, FL 32802 PO BOX 8924 MELVILLE, NY 11747 PO BOX 94918 CLEVELAND, OH 44101 PO BOX 22005 ALBANY, NY 12201 PO BOX 9093 MELVILLE, NY 11747 P.O. Box 3095 Naperville, IL 60566 P.O. Box 3205 Naperville, IL 60566 PO Box 64907 Saint Paul, MN 55164 P.O. BOX 3205 NAPERVILLE, IL 60566 P.O. BOX 3205 NAPERVILLE, IL 60566 6 CENTURY DR PARSIPPANY, NJ 07054 21 CEDAR AVE FAIRHAVEN, NJ 07704 PO BOX 1538 PITTSBURGH, PA 15230 PO BOX 6050 GLEN FALLS, NY 12801 PO BOX 199 ALBANY, NY 12205 75 TOWN CENTER RD ROCHESTER, NY 14692 P.O BOX 9093 MELVILLE, NY 11747 PO BOX 42927 HOUSTON, TX 77242 PO BOX 12201 ALBANY, NY 12201 PO Box 10892 Chantilly, VA 20153 PO BOX 6510 Diamond Bar, CA 91765 P.O.BOX 1900 MORRISTOWN, NJ 07962 PO BOX 10069 ALBANY, NY 12201 PO BOX 1450 MIDDLEBORO, MA 02344 PO BOX 1450 MIDDLEBORO, MA 02344 PO BOX 5008 HARTFORD, CT 06102 PO BOX 5013 DANVERS, MA 01923-5013 PO BOX 6890 PORTLAND, OR 97228 55 Ferncroft Road Danvers, MA 01923 55 Ferncroft Road Danvers, MA 01923 100 BAYLIS RD MELVILLE, NY 11747 100 BAYLIS RD MELVILLE, NY 11747 75 TOWN CENTER RD ROCHESTER, NY 14692 75 TOWN CENTER RD ROCHESTER, NY 14692 900 WATERVLIET/SHAKER RD ALBANY, NY 12205 Payer ID TRAV26 TRAV25 TRAV07 TRAV06 TRAVE013 TRAVE015 TRAV19 TRAVE102 TRAVE098 TRAVE104 TRAVE100 TRAVE101 TRAVE118 TRAVE119 TRAVE122 TRAVE115 TRAV11 TRAV14 TRAVE106 TRAVE131 TRAVE114 TRAVE007 TRAVE129 TRAVE124 TRAV12 TRAVE126 TRAVE127 TRAVE012 TRAVE128 TRAVE125 TRAVE108 TRAVE109 TRAVE020 TRAVE059 TRAVE021 TRAVE060 TRAVE022 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) Auto/No-Fault Auto/No-Fault Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault Auto/No-Fault New York Workers' Compensation Auto/No-Fault New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Address 900 WATERVLIET/SHAKER RD ALBANY, NY 12205 ONE TOWER SQUARE HARTFORD, CT 061831190 ONE TOWER SQUARE HARTFORD, CT 061831190 P O BOX 173762 DENVER, CO 80217 P O BOX 173762 DENVER, CO 80217 P.O. Box 260 Buffalo, NY 14240 P.O. Box 260 Buffalo, NY 14240 PO BOX 10069 ALBANY, NY 12201 PO BOX 10069 ALBANY, NY 12201 PO Box 10892 Chantilly, VA 20153 PO Box 10892 Chantilly, VA 20153 PO Box 111 Middleborough, MA 02346 PO Box 111 Middleborough, MA 02346 PO Box 13485 Reading, PA 19612 PO Box 13485 Reading, PA 19612 PO BOX 136 CORNING, NY 14830 PO BOX 136 CORNING, NY 14830 PO BOX 13933 READING, PA 19612 PO BOX 13933 READING, PA 19612 PO BOX 1430 ALBANY, NY 12201 PO BOX 1430 ALBANY, NY 12201 PO BOX 1450 MIDDLEBORO, MA 02344 PO BOX 1450 MIDDLEBORO, MA 02344 PO BOX 150448 HARTFORD, CT 06115 PO BOX 150448 HARTFORD, CT 06115 PO BOX 1507 PITTSBURGH, PA 15230 PO BOX 1507 PITTSBURGH, PA 15230 PO BOX 17158 BALTIMORE, MD 21297 PO BOX 17158 BALTIMORE, MD 21297 PO BOX 199 ALBANY, NY 12205 PO BOX 199 ALBANY, NY 12205 PO BOX 203 ISELIN, NJ 08830 PO BOX 203 ISELIN, NJ 08830 PO BOX 220 BUFFALO, NY 142400220 PO BOX 220 BUFFALO, NY 142400220 PO BOX 22005 ALBANY, NY 12201 PO BOX 22005 ALBANY, NY 12201 Payer ID TRAVE061 TRAVE023 TRAVE062 TRAVE024 TRAVE063 TRAVE025 TRAVE064 TRAVE026 TRAVE065 TRAVE027 TRAVE066 TRAVE028 TRAVE067 TRAVE029 TRAVE068 TRAVE030 TRAVE069 TRAVE031 TRAVE070 TRAVE032 TRAVE071 TRAVE033 TRAVE072 TRAVE034 TRAVE073 TRAVE035 TRAVE074 TRAVE036 TRAVE075 TRAVE037 TRAVE076 TRAVE038 TRAVE077 TRAVE039 TRAVE078 TRAVE040 TRAVE079 Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY)

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers Insurance [Electronic Indirect] Travelers NJ TRAVELERS OF NJ Travelers/Synchrony TRAVELERS/WC UNIT TRAVELLERS TRAVELLERS WC Trayer Products inc. Address PO BOX 22986 ROCHESTER, NY 14692 PO BOX 22986 ROCHESTER, NY 14692 PO BOX 2928 OVERLAND PARK, KS 66201 PO BOX 2928 OVERLAND PARK, KS 66201 Po Box 3060 Blue Bell, PA 19422 Po Box 3060 Blue Bell, PA 19422 PO BOX 5008 HARTFORD, CT 06102 PO BOX 5008 HARTFORD, CT 06102 PO BOX 50472 INDIANAPOLIS, IN 40513 PO BOX 50472 INDIANAPOLIS, IN 40513 PO BOX 530 MORRIS PLAINS, NJ 07950 PO BOX 530 MORRIS PLAINS, NJ 07950 PO BOX 660281 DALLAS, TX 75266 PO BOX 660281 DALLAS, TX 75266 PO BOX 660456 DALLAS, TX 75266 PO BOX 660456 DALLAS, TX 75266 PO BOX 715 ORLANDO, FL 32802 PO BOX 715 ORLANDO, FL 32802 PO BOX 85554 Richmond, VA 23285 PO BOX 85554 Richmond, VA 23285 PO Box 906 Cedar Knolls, NJ 07927 PO Box 906 Cedar Knolls, NJ 07927 PO BOX 9093 MELVILLE, NY 11747 PO BOX 9093 MELVILLE, NY 11747 PO BOX 94918 CLEVELAND, OH 44101 PO BOX 94918 CLEVELAND, OH 44101 PO Box 5038 Woodbridge, NJ 07095 PO BOX 906 CEDAR KNOLLS, NJ 07927 PO BOX 136 Corning, NY 14830 PO BOX 9511 MANCHESTER, NH 03108 PO BOX 13089 SACRAMENTO, CA 95813 PO BOX 350 MORRIS PLAINS, NJ 07950 541 East Clinton Street attn: Jerry Elmira, NY 14902 PO BOX 0811 LIBERTY CORNER, NJ 07938 575 JERICHO TURNPIKE AUTO CLAIMS JERICHO, NY 11753 400 EXECUTIVE BLVD OSSINING, NY 10562 185 Jordan Road Troy, NY 12180 Payer ID TRAVE041 TRAVE080 TRAVE042 TRAVE081 TRAVE043 TRAVE082 TRAVE047 TRAVE086 TRAVE048 TRAVE087 TRAVE049 TRAVE088 TRAVE050 TRAVE089 TRAVE051 TRAVE090 TRAVE052 TRAVE091 TRAVE053 TRAVE092 TRAVE055 TRAVE094 TRAVE056 TRAVE095 TRAVE057 TRAVE096 TRAVE018 TRAVE120 TRAVE105 TRAVE121 TRAVE123 TRAVE112 TRAYE001 New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) Auto/No-Fault Auto/No-Fault New York Workers' Compensation Auto/No-Fault Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

TREVCON CONSTRUCTION TRI STATE CONSUMER INS CO

TREVC001 TRIST004

TRIAD Triad Group

TRAD01 TRIAD001

New York Workers' Compensation Other WC (Non-NY)

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name TRIAD GROUP Triad Group, LLC Triangle Insurance Company TRIBAL FIRST TRI-C,INC TRICARE Tri-County Electric Trident Insurance Trident Insurance TRINITY TRIPI FOODS TRIPLE V ELECTRIC Triplett Machine Tri-R Mechanical TRISTAR RISK MANAGEMENT TRISTATE CONTAINER TriState Employment Services Inc. TROPICANA Troy Community Hospital Troy Hospital Emergency TRS TRUCK INSURANCE EXCHANGE TRUCK-LITE TRUGREEN TRUST MFG GROCERIES TST School Workers Comp Plan TUNISION LABORATORY OF AQUATIC Tunkhannock Manor TUSCARORA PROPANE Tweens Brands Justice TWIN CITIES Twin Lights TWIN TIER KITCHEN & BATH Twinlights Insurance Two Plus Four Management Co. Tyler Memorial Hospital Address 185 JORDAN RD TROY, NY 12180 PO Box 629 Armonk, NY 10504 PO Box 6008 Sherwood, AR 72124 PO BOX 609015 SAN DIEGO, CA 92160 1 BABCOCK ST BUFFALO, NY 14210 PO BOX 870140 SURFSIDE BEACH, SC 29587 PO Box 309 Mt. Vernon, IL 62864 PO BOX 460729 San Antonio, TX 78246 PO BOX 460729 San Antonio, TX 78246 P.O. BOX 1723 MANDEVILLE, LA 70470 1427 WILLIAMS ST BUFFALO, NY 14206 RR2 BOX 493 ATHENS, PA 18810 1374 Phelps Junction Rd Phelps, NY 14532 25 Ransier Drive West Seneca, NY 14224 PO BOX 277490 SACRAMENTO, CA 95827 1440 BRIDGEWATER RD BENSALEM, PA 19020 160 Broadway New York, NY 10038 9 LINDEN AVE JERSEY CITY, NJ 07305 100 John Street Troy, PA 16947 100 John Street Troy, PA 16947 7314 SCHUYLER EAST SYRACUSE, NY 13057 4680 WILSHIRE BLVD LOS ANGELES, CA 90010 310 EAST ELMWOOD AVE FALCONER, NY 14733 629 DICKSON ST ENDICOTT, NY 13760 PO BOX 3580 SYRACUSE, NY 13220 PO Box 253 Richville, NY 13681 3075 GARCIE ROAD CORTLAND, NY 13045 50 West Tioga Street Tunkhannock, PA 18657 2301 SAUNDERS SETTLEMENT RD SANBORN, NY 14132 8323 Wlaton Parkway New Albany, OH 43054 1 HARTFORD PLACE HARTFORD, CT 06115 PO BOX 900 Lincroft, NJ 07738-0900 168 BEARTOWN ROAD PAINTED POST, NY 14870 PO Box 1428 Newark, NJ 07101 6320 Fly Road East Syracuse, NY 13057 Route 6 Road 1 Tunkhannock, PA 18657 403 CUSTER AVE NEW HOLLAND, PA 17557 Payer ID TRGR01 TRIAD002 TRIAN001 TRIB01 TRICI001 TRIC01 TRICO001 TRIDE001 TRIDE002 TRINI001 TRIPI001 TRIPL001 TRIPL002 TRIRM001 TRIST001 TRIST003 TRIST002 TROPI001 TROYC001 TROYH001 TRS001 TRUI01 TRUCK001 TRUGR001 TRUS01 TSTSC001 TUNIS001 TUNKH001 TUSCA001 TWEEN001 TWIN01 TWINL002 TWINT001 TWINL001 TWOPL001 TYLER001 New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

TYSON FOODS

TYF01

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name TZETZO BROTHERS U STORE IT U.S. Dept. Of Labor (DOL) [Electronic Indirect] Address 1100 MILITARY RD BUFFALO, NY 14217 192 OLD ITHACA RD HORSEHEADS, NY 14845 200 Constitution Ave. N.W. OWC Room c35134 Washington, DC 20210 200 Constitution Ave. N.W. OWC Room c35134 Washington, DC 20210 PO BOX 8300 LONDON, KY 40742 PO BOX 8300 LONDON, KY 40742 16 Hudson Avenue Glens Falls, NY 12839 35 GEORGE KARL BLVD WILLIAMSVILLE, NY 14221 C/O J ZENOSKY PO BOX 900 BUFFALO, NY 14226 8403 COLESVILLE RD SILVER SPRING, MD 20910 PMB 132 JACKSONVILLE, FL 32223 287 TENTH AVE NEW YORK, NY 10001 1625 eye street nw washington, DC 20006 PO BOX 1800 KINGSTON, NY 12401 PO Box 1800 Kingston, NY 12401 PO BOX 3995 KINGSTON, NY 12401 52CN MAIN STREET MARLBORO, NJ 07746 3800 Lee Mulroy Road Marcellus, NY 13108 PO Box 23640 Louisville, KY 40223 PO Box 23640 Louisville, KY 40223 PO Box 23640 Louisville, KY 40223 P O BOX 4479 DEARBORN, MI 48126 571 HOWARD ST BUFFALO, NY 14208 157 TROY SCHENECTADY ROAD WATERVLIET, NY 12189 PO BOX 5000 SMITHTOWN, NY 11787 Workers Compensation Board PO Box 5205 Binghamton, NY 13902 100 BROADWAY ALBANY, NY 12241 P.O. Box 5205 Binghamton, NY 13902 807 UNION STREET SCHENECTADY, NY 12308 PO BOX 410 W. SENECA, NY 14224 PO BOX 9010 WESTBROOK, ME 04098-5010 100 N. Broadway, Suite 1500 Saint Louis, MO 63102 2501 Chatham Rd Ste 310 Springfield, IL 62804 5951 CATTLERIDGE BLVD SARASOTA, FL 34234 1808 N. WESTSHORE DISTRICT TAMPA, FL 33607 237 WEST VESTAL PARKWAY VESTAL, NY 13850 Payer ID TZETZ001 USTOR001 USDEP006 New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

U.S. Dept. Of Labor (DOL) [Electronic Indirect]

USDEP007

Other WC (Non-NY)

U.S. Dept. Of Labor (DOL) [Electronic Indirect] U.S. Dept. Of Labor (DOL) [Electronic Indirect] U.S. Postal Service UAW 9 UB FOUNDATION

USDEP009 USDEP010 USPOS004 UAW9001 UBFOU001

Auto/No-Fault Other WC (Non-NY) Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

ULICO CASUALTY ULICO CASUALTY ULICO INSURANCE CASUALTY ullico casualty company ULSTER COUNTY SELF Ulster County Self-Insured ULSTER INSURANCE ULTIMATE CATERERS Ultimate Goal Underwriters Safety & Claims Underwriters Safety & Claims [Electronic Indirect] Underwriters Safety & Claims [Electronic Indirect] UNICARE UNICELL BODY CO UNIFIRST CORP UNIGARD Uninsured Employer's Fund

ULIC02 ULIC01 ULICO001 ULLIC001 UCS01 ULSTE001 UCS02 ULTIM002 ULTIM001 UNDER001 UNDER002 UNDER003 UNICA001 UNICE001 UNIFI001 UNIG01 UNINS001

UNINSURED EMPLOYERS FUND Uninsured Insurance Fund UNION COLLEGE WC UNION CONCRETE & CONSTRUCTION UNION INSURANCE COMPANY Union Pacific Claims Management / WC Unique Personnel Consultants / WC UNISOURCE ADMINISTRATORS UNITAN DISTRICT UNITED AUTO SUPPLY

UNIN01 UNINS002 UNION002 UNION003 UNIC01 UNION004 UNIQU001 UNIS01 UND01 UNITE005

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name United Auto Workers United Cerebral Palsy UNITED COMMUNITY INS CO UNITED DIVIDERS INC United Fire Group / WC UNITED HEALTHCARE OCC CL UNITED HEALTHCARE OXFORD UNITED HEARTLAND United Heartland / WC UNITED MEDICAL RESOURCES UNITED MEMORIAL MEDICAL CENTER UNITED OCCUPATIONAL UNITED PACIFIC INS OF NY Address 8000 East Jefferson Detroit , MI 48214 PO Box 1554 Elmira, NY 14902 24 AVIATION RD ALBANY, NY 12212 108 STEPHENS PLACE ELMIRA, NY 14901 PO Box 73909 Cedar Rapids, IA 52407 PO BOX 5500 KINGSTON, NY 12402 PO BOX 7082 BRIDGEPORT, CT 06601 PO BOX 3026 MILWAUKEE, WI 53201 P.O. Box 3026 Milwaukee, WI 53201 PO BOX 145804 CINCINNATI, OH 45214 127 NORTH ST BATAVIA, NY 14020 33 MITCHELL ST BINGHAMTON, NY 13903 10 AIRLINE DR #200 ALBANY, NY 13202 PO BOX 616648 ORLANDO, FL 32861 PO BOX 659468 AUTO CLAIMS SAN ANTONIO, TX 78265 ONE TOWER SQUARE HARTFORD, CT 06183-1190 305 MADISON AVE MORRISTOWN, NJ 07960 PO Box 1960 Morristown, NJ 07962 PO BOX 6700 190 SOUTH WARNER RD WAYNE, PA 190872191 PO Box 4199 TEACHERS INS Scranton, PA 18505-6199 PO BOX 9927 SALT LAKE CITY, UT 84109 34 WRIGHT AVE SUITE C AUBURN, NY 13021 13549 SOUTH MOSIERTOWN RD MEADVILLE, PA 16335 P.O. BOX 14469 LEXINGTON, KY 40512 P.O. BOX 800 MEADOWLANDS, PA 15347 PENN CENTER W BLG 2 # 200 PITTSBURGH, PA 15276 7045 COLLEGE BLVD OVERLAND PARK, KS 66211 PO BOX 2904 SHAWNEE MISSION, KS 662011304 100 WALNUT AVENUE SUITE 600 CLARK, NJ 07066 ATTN:TERRY BENFIELD 201 ARCH STREET 2ND FL MEADVILLE, PA 16335 2402 NORTH FOREST ROAD GETZVILLE, NY 14068 100 Trade Center Drive Suite 103 Champaign, IL 61820 PO BOX 270025 ROCHESTER, NY 14627 260 CRITTENDEN BLVD ROCHESTER, NY 14642 Payer ID UAW01 UNITE006 UNCO01 UNITE004 UNITE008 UNHO01 UNITE001 UNITE003 UNITE007 UNITE002 UMMC01 UNOC01 UNPA01 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

UNITED SELF INS SERVICE UNITED SERVICE AUTO ASSOC

UNSS01 UNITE009

UNITED STATES FIDELITY & GUARANTY CO UNITED STATES FIRE INS CO 994 United States Fire Ins. Co UNITED STATES LIABILITY INS CO

USFI01 UFIR01 UNITE010 UNSL01

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

Unitran Direct

UNITR002

UNITRIN DIRECT INS UNITY HOUSE OF CAYUGA COUNTY INC UNIVERSAL SERVICES UNIVERSAL SMART COMP UNIVERSAL SMARTCOMP UNIVERSAL UNDERWRITERS

UNITR001 UNITY001 UNIVE006 UNIVE004 UNIVE001 UNUN01

Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY)

UNIVERSAL UNDERWRITERS UNIVERSAL UNDERWRITERS GROUP

UNUN02 UNUN03

Universal Underwriters Ins. Company [Electronic] UNIVERSAL WELLS SERVICES

UNIVE002 UNIVE007

UNIVERSITY INN CONFERENCE CENTER University of Illinois Claim Office / WC

UNIVE005 UNIVE008

UNIVERSITY OF ROCHESTER UNIVERSITY OF ROCHESTER HR

UNOR01 UNOR02

New York Workers' Compensation New York Workers' Compensation

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name UNUM UPMC Health Plan UPS UPS STORE 3983 (CORNING,NY) UPSTATE CEREBAL PALSEY Address P.O. Box 100158 Columbia, SC 29202 PO BOX 2939 Pittsburgh, PA 15230 18 Forge Avenue Geneva, NY 14456 60 EAST MARKET STREET CORNING, NY 14830 RISK MANAGEMENT DEPT 1020 MARY ST UTICA, NY 13501 PO BOX 420 OWEGO, NY 13827 ATTN: JOHN 1800 DALE RD BUFFALO, NY 14225 8408 COLLAMER RD E SYRACUSE, NY 13057 SECAUCUS ROAD SECAUCUS, NJ 07094 10225 MAIN ST CLARENCE, NY 14031 ATT: CHUCK HATHAWAY 276 SING SING RD SUITE 7 Horseheads, NY 14845 1 BUFFINGTON STREET WATERVLIET, NY 12189 PO BOX 2024 NIAGARA UNIVERSITY, NY 14109 1 BEACON ST FL 7 BOSTON, MA 10041 4 COPLEY PLACE SUITE 301 BOSTON, MA 02117 101 E. CENTRAL PARK BLVD DESOTO, TX 75115 2925 BRIARPARK SUITE 1050 HOUSTON, TX 77042 494 BROAD ST RM,210 NEWARK, NJ 07102 800 N CAPITOL ST RM #800 WASHINGTON, DC 20211 800 N CAPITOL ST RM #800 WASHINGTON, DC 20211 CURTIS CENTER, STE.715 E. 170 S. INDEP. MALL WEST PHILADELPHIA, PA 191063308 PO BOX 681 NEW YORK, NY 10014 PO BOX 681 NEW YORK, NY 10014 PO BOX 8300 LONDON, KY 40742 PO BOX 8300 LONDON, KY 40742 P.O.BOX 8304 LONDON, KY 40742 PO BOX 1960 MORRISTOWN, NJ 07960 1200 WILLIAMS STREET BUFFALO, NY 14240 30 OLD KARNER RD ALBANY, NY 12288 421 8th Ave Room 4129 New york, NY 10199-9425 1200 WILLIAM STREET BUFFALO, NY 14240-9998 198 BAKER STREET CORNING, NY 14830 625 DELAWARE AVE #200 BUFFALO, NY 14202 13403 N.W. Freeway Houston, TX 77040 Payer ID UNUM001 UPMCH001 UPS001 UPSST001 UPSTA003 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY)

UPSTATE SHREDDING UPSTATE STEEL UPSTATE THERMO KING UPS-UNITED PARCELS SVS URSO CONSTRUCTION US AIR ELMIRA/CORNING AIRPORT

UPSTA002 UPSTA001 UPTK01 UPSUN001 URSOC001 USAIR001

US ARMY NATIONAL GUARD US ARMY ROTC US CENSUS BUREAU

USARM001 USARM002 USCB01

US CENSUS BUREAU (BOSTON,MA) US CONCRETE US CONCRETE

USCEN001 USCON001 USCON002

US DEP OF LABOR WC US DEPT OF LABOR

USDEP013 USDEP012

US DEPT OF LABOR

USDL03

New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

US DEPT OF LABOR

USDEP014

US DEPT OF LABOR US DEPT OF LABOR US DEPT OF LABOR US DEPT OF LABOR US DEPT OF LABOR,DIVISION OF ENERGY US FIRE INSURANCE WC US POSTAL SERVICE US POSTAL SERVICE US Postal Service - HRM

USDEP011 USDL02 USDEP003 USDL01 USDEP004 UFIR02 USPS02 USPS01 USPOS001

US POSTAL SERVICE (BUFFALO) US POSTAL SERVICE (CORNING) US SECURITY ASSOCIATES INC US Specialty Ins

USPOS002 USPOS003 USSEC001 USSPE001

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name US SURETY USA TPA USA TPA USA TPA CLAIMS USA TRUCK INC Address 108 GREENWICH ST 7TH FLOOR NEW YORK, NY 10006 P O BOX 3580 SYRACUSE, NY 13220 PO BOX 28 DUBUQUE, IA 52004 PO BOX 3309 SYRACUSE, NY 13220 PO BOX 449 3200 INDUSTRIAL PARK ROAD VANBUREN, AR 72957 9800 FREDERICKSBURG ROAD SAN ANTONIO, TX 78288 PO BOX 26001 ATTN: MEDICAL MAIL DEPT DAPHNE, AL 36526 PO BOX 33490 SAN ANTONIO, TX 78265 PO BOX 33490 SAN ANTONIO, TX 78265 PO BOX 5000 DAPHNE, AL 36526 PO BOX 3570 BRANDON, FL 33509 PO BOX 4929 SYRACUSE, NY 13221 810 BEAR TAVERN ROAD STE 206 WEST TRENTON, NJ 08628 180 USHERS ROAD ROUND LAKE, NY 12151 PO BOX 616648 Orlando, FL 32861 1000 WESTCHESTER AVE WHITE PLAINS, NY 10610 PO BOX 5310 BINGHAMTON, NY 13902 PO BOX 5310 BINGHAMTON, NY 13902 413 Oriskany St West Utica, NY 13502 617 N MAIN ST JAMESTOWN, NY 14701 56 PINE ST 11TH FLOOR NEW YORK, NY 10005 PO BOX 2789 NORTH SYRACUSE, NY 13220 113 HOLLAND AVE ALBANY, NY 12208 3495 Bailey Avenue Buffalo, NY 14215 78 Veterans Ave Bath, NY 14810 800 IRVING AVE SYRACUSE, NY 13210 130 S ELMWOOD AVE BUFFALO, NY 14202 1 BRICK AVE BINGHAMTON, NY 13901-2099 13 N CHEMUNG STREET WAVERLY, NY 14892 PO BOX 8317 CHICAGO, IL 60680 PO BOX 16030 READING, PA 19612 PO BOX 4855 SYRACUSE, NY 13221 333 SOUTH WABASH 30S CHICAGO, IL 60604 16 WILBUR AVENUE SCHECTADY, NY 12304 45 South Rossler Street BUFFALO, NY 14206 Payer ID USSUR001 USATP001 USATP002 USA01 USATR001 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault Auto/No-Fault

USAA USAA

USAA004 USAA003

USAA USAA [Electronic] USAA AUTO INJURY SOLUTION USF&G USF&G USGS

USAA01 USAA001 USAAA001 USFG02 USFG01 USGS001

New York Workers' Compensation Auto/No-Fault Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

USHERS MACHINE & TOOLS USIS Claims USPS UTICA NATIONAL UTICA NATIONAL Utica Police Department UTICA/LOCKWOOD AGENCY UTILITIES MUTUAL

USHER001 USISC001 USPS003 UTICA005 UTICA008 UTICA002 ULA01 UTMU03

UTILITIES MUTUAL VA HEALTHCARE NETWORK VA Medical Center VA Medical Center Bath VA MEDICAL CENTER WC VA REGIONAL OFFICE VACRI CONSTRUCTION CORPORATION VALLEY BOWLING CENTER VALLEY FORGE INS CO VALLEY FORGE INSURANCE VALLEY FORGE INSURANCE VALLEY FORGE INSURANCE COMPANY

UTMU04 VAHN01 VAMED002 VAMED001 VAMC01 VAREG001 VACRI001 VALLE002 VALLE001 VALLE003 VALL02 VALL01

VALLYE PETROLEUM SERVICES VALUE HOME CENTERS

VALLY001 VHC01

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name VAN INSURANCE LINES VAN LINER INSURANCE COMPANY VANCE METAL FABRICATORS VANDERHEYDEN HALL VANDERHOOF ROOFING VANGUARD CLAIMS DEPT VANLINER INSURANCE VANOCUR REFRACTORIES LLC VECTOR MAGNETICS VEOLIA ENVIRONMENTAL VERIZON Address PO BOX 26352 FENTON, MO 63026 ONE PREMIER DRIVE FENTON, MO 63026 BOX 191 GAMBEE RD GENEVA, NY 14456 P.O. BOX 219 WYNANTSKILL, NY 12198 4914 WEST GENESEE STREET CAMILLUS, NY 13031 PO BOX 22299 TULSA, OK 741212299 P.O.BOX 26352 FENTON, MO 63026 PO BOX 146 TONAWANDA, NY 14151 236 CHERRY ST ITHACA, NY 14850 PO BOX 31A PITTSFIELD, PA 16340 395 flatbush ave ext 7th Floor BROOKLYN, NY 11201 7901 NEW FALLS RD FLOOR 1 LEVITTOWN, PA 19057 89 STATE STREET MONTPELIER, VT 05601 116 NORTH JENSON STREET VESTAL, NY 13850 501 SOUTH MAIN ST SPRING VALLEY, NY 10977 7852 WALKER DR SUITE 450 GREENBELT, MD 27770 PO BOX 5126 YORK, PA 17405-9726 3325 PASSADENA BLVD PASSADENA, TX 77503 ATTN: JASON ROSENBERGER PO BOX 93863 CLEVELAND, OH 44101 150 VICTORY HIGHWAY PAINTED POST, NY 14870 PO BOX 1615 WARREN, NJ 07061 300 STEUBEN STREET PAINTED POST, NY 14870 110 LIBERTY STREET BATH, NY 14810 116 E Main Street Corfu, NY 14036 72 PUBLIC SQUARE HOLLEY, NY 14470 PO BOX 110 PAINTED POST, NY 14870 7 Clark Street Corning, NY 14830 1 Municipal Square Walden, NY 12586 2100 LIBERTY BLDG BUFFALO, NY 14202 1 WEBSTERS LANDING SYRACUSE, NY 13202 1 Bowdoin Square Boston, MA 02114 1000 milwaukee #6 glenview , IL 60025 200 EAST RANDOLPH ST 18TH FL CHICAGO, IL 60601 6333 JERICHO TPKE COMMACK, NY 11725 382 EAST SECOND STREET CORNING, NY 14830 Payer ID VANIN001 VANL01 VMF01 VANDE001 VANDE002 VANGU001 VANLI001 VANOC001 VECTO001 VEOLI001 VERI01 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

VERIZON

VERIZ001

Vermont Mutual Ins [Electronic] VESTAL HEALTH CARE LLC VFBL VOLUNTEER FIRE DEPTS VFBL VOLUNTEER FIRE DEPTS

VERMO001 VESTA001 VFBL01 VFBL02

VFIS VICKERY INC VICTORIA INSURANCE

VFIS002 VICK01 VICTO002

VICTORY HIGHWAY WESLEYAN CHURCH VIGILANT INSURANCE COMPANY VILLAGE MANOR APARTMENTS VILLAGE OF BATH MUNICIPAL BUILDING Village of Corfu VILLAGE OF HOLLEY VILLAGE OF PAINTED POST Village of South Corning Village Of Walden VIOLET REALTY, INC. VIP STRUCTURES Virginia Property and Casualty Ins virginia surety VIRGINIA SURETY COMPANY INC

VICTO001 VIGI01 VILLA004 VILLA001 VILLA003 VOH01 VILLA006 VILLA002 VILLA005 VIOLE001 VIPS01 VIRGI002 VIRGI001 VIRG01

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

VISION RISK SERVICES VISIONS HOTEL

VRS01 VISIO001

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name VONS SAFEWAY CO Address PO BOX 29223 MS 7300 PHOENIX, AZ 85038 PO BOX 87 BUFFALO, NY 14207 5362 RAILROAD STREET ATTN: TOM DONNELLE CONFIDENTIAL CHEMUNG, NY 14825 708 COUNTY ROUTE 7 HANNIBAL, NY 13074 PO BOX 408 MECHANICVILLE, NY 12118 206 W WATER STREET ADDISON, NY 14801 94 FRONT STREET ADDISON, NY 14801 369 BOSTWICK ROAD PHELPS, NY 14532 PO BOX 68 CAYUTA, NY 14824 4060 GASKILL RD OWEGO, NY 13827 5100 Lake Terrace NE Mt. Vernon, IL 62864 3217 SILVERBACK LANE PAINTED POST, NY 14870 PO BOX 5016 Buffalo, NY 14205 PO BOX 10050 LAKE BUENA VISTA, FL 32830 123 N UNION AVE STE 105 CRANFORD, NJ 07016 162 NORTH AVE PO BOX 359 OWEGO, NY 13827 1636 CRESCENT DR TARRYTOWN, NY 10591 PO BOX 1553 ALTOONA, PA 16603-1553 1340 STATE ROUTE 9 LAKE GEORGE, NY 12845 925 N. POINT PARKWAY STE 300 ALPHARETTA, GA 30005 108 GREENWICH ST 7TH FLOOR NEW YORK, NY 10006 1000 E NIAGARA STREET TONAWANDA, NY 14150 PO BOX 44299 OLYMPIA, WA 98501 2590 OLD RODGERS RD BRISTOL, PA 19007 #2 15th Street ATT: Bruce Hidley Watervliet, NY 12189 2509 BRISTOL PIKE CROYDON, PA 19021 14437 MAIN STREET WATTSBURG, PA 16442 PO Box 8021 Wausau, WI 54402 34 CROSBY DR BEDFORD, MA 01730 2000 Westwood Dr. MS3260 Wausau, WI 54401 PO BOX 4025 BEAVERTON, OR 97076-4025 300 EXECUTIVE DR WEST ORANGE, NJ 07052 PO BOX 3499 CHARLOTTE, NC 28106 PO BOX 4836 SYRACUSE, NY 13221-4836 Payer ID VONSS001 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

VULCAN STEAM FORGE VULCRAFT OF NEW YORK, INC

VSF01 VULCR001

W.D. MALONE W.W. PATENAUDE SONS, INC WADE'S CONCRETE WADE'S FARM & HOME WADHAMS ENTERPRISES WAGNER HARDWOOD LLC WAGNER LUMBER COMPANY Walgreens/WC WALMART (PAINTED POST) Walsh Duffield WALT DISNEY WORLD WALTER NIXON GROUP

WDMAL001 WWPAT001 WADES002 WADES001 WADHA001 WAGNE002 WAGNE001 WALGR001 WALMA001 WALSH001 WALT01 WANG01

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

WARD & VAN SCOY INC

WARDV001

WARD NORTH AMERICA WARD TRUCKING & LOGISTICS WARREN COUNTY SELF-INSURANCE WASAU INSURANCE

WARDN001 WARDT001 WCSI01 WAIN03

WASHINGTON INTERNATIONAL INS WASHINGTON MILLS WASHINGTON ST DEPT/LABOR WASTE MANAGEMENT Watervliet City Hall

WASHI002 WASHI001 WASH01 WASTE001 WATER001

WATKINS MOTOR LINE WATTSBURG FIRE DEPT Wausau WAUSAU Wausau Claims Service

WATKI001 WATTS001 WAUSA002 WAIN07 WAUSA001

WAUSAU INS WAUSAU INS CO WAUSAU INS CO WAUSAU INS CO

WAUI01 WAUSA003 WAIN15 WAIN05

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name WAUSAU SIGNATURE AGENCY WAVERLY CENTRAL SCHOOL DIST Address 27201 BELLA VISTA PKWY WARRENVILLE, IL 60555 15 FREDERICK STREET ATTN: KATHY ROTE WAVERLY, NY 14892 150 VAN BUREN ST NEWARK, NY 14513 Area School WC Plan 3599 Big Ridge Road Spencerport, NY 14559 3599 BIG RIDGE RD SPENCERPORT, NY 14559 100 WEST TOWNE RIDGE PARKWAY SANDY, UT 84070 5109 BLEIGH AVE PHILADELPHIA, PA 19136 111 livingston street 22nd floor brooklyn, NY 11202-0761 PO BOX 5205 BINGHAMTON, NY 13902 PO Box 8021 Wausau, WI 54402 401 EAST AMHERST ST BUFFALO, NY 14215 285 Chandler St Buffalo, NY 14207 PO BOX 1041 MERIDEN, CT 06450 PO BOX 120650 EAST HAVEN, CT 06512 550 Mamaroneck Ave Harrison, NY 10528 1500 Brooks Avenue Rochester, NY 14692 1885 CHILI AVE ROCHESTER, NY 14624 1 BRIDGE ST CORNING, NY 14830 1100 CLEMENS CENTER PRWY ELMIRA, NY 14901 PO BOX 30844 1500 BROOKS AVE ROCHESTER, NY 14603 160 ALLENS CREEK OFFICE PARK ROCHESTER, NY 14618 766 ADDISON ROAD PAINTED POST, NY 14870 36 LEVEL ACRES DRIVE HORSEHEADS, NY 14845 25 PARK PL 4TH FL NEW YORK, NY 10007 PO BOX 97 SKANEATELES FALLS, NY 13153 250 NORTH GENESSEE STREET MONTOUR FALLS, NY 14865 580 N 4th Street Suite 400 Columbus, OH 43216 PO BOX 95 HOUSTON, TX 15342 5 S BUFFALO STREET CORNING, NY 14830 27 CENTRAL AVE ATTN TRICIA CORTLAND, NY 13045 2123 GRAND CENTRAL AVENUE HORSEHEADS, NY 14845 170 FIFTH AVE OWEGO, NY 13827 169 PRESCOTT AVE ELMIRA HEIGHTS, NY 14903 PO BOX 45308 Omaha, NE 68145 8500 WOLCOTT RD CLARENCE CENTER, NY 14032 Payer ID WAUSA004 WAVER001 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

WAYNE ARC Wayne Finger Lakes

WARC01 WAYNE001

WAYNE FINGERLAKES AREA WC WC FUND OF UTAH WC SERVICES LIC wcb WCB UNINSURED UNIT WCSC - WC WE CARE TRANSPORTATION Weatherpanel WEBSTER RISK SERVICES #9915 WEBSTER RISK SVCS Webter Insurance - WC Wegman Comp. Department WEGMANS WEGMANS (CORNING) WEGMANS (ELMIRA) WEGMANS ACCIDENT SERVICES

WFA01 WCFUN001 WCSER001 WCB001 WCUU01 WCSCW001 WECAR001 WEATH001 WEBR01 WEBR02 WEBTE001 WEGMA003 WEGMA002 WEGMA001 WEGMA004 WEAS01

WEGMANS EMPLOYEE ASSISTANCE WEIL ENTERPRISES INC WEIR SPM WEISS WEXLER AND WORNOW

WEA01 WEILE001 WEIRS001 WWAW01

WELCH ALLYN WELLIVER MCGUIRE INC Wells Fargo

WEAL01 WELLI001 WELLS001

WELLS FARGO WENDYS (CORNING) WENDYS (CORTLAND)(WENDBING CORP)

WELLS002 WENDY003 WENDY002

WENDYS (HORSEHEADS) WENDY'S (OWEGO) WENZEL CONTRACTORS Werner Enterprises WESCO

WENDY001 WENDY004 WENZE001 WERNE001 WESCO002

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name WESCO INS CO Address 59 MAIDEN LANE 6TH FL NEW YORK, NY 10038 PO Box 105010 Atlanta, GA 30348 131 Lawrence Street Saratoga Springs, NY 12866 9450 SEWARD RD FAIRFIELD, OH 45014 1900 18th Ave West Bend, WI 53095 300 Sanderson Drive Camillus, NY 13031 5025 CAMP RD HAMBURG, NY 14075 P O BOX 1998 BLASDELL, NY 14219 PO BOX 3151 CHARLESTON, WV 25332 148 MARTINE AVE WHITE PLAINS, NY 10601 PO BOX 22185 PORTLAND, OR 97269 5350 WEST 78TH ST EDINA, MN 55439-3101 8315 PARK RD BATAVIA, NY 14120 800 CRANBERRY WOODS DR SUITE 150 CRANBERRY TWNSH, NJ 16066 201 E OREGON ROAD PO BOX 3010 LANCASTER, PA 17604 PO BOX 5005 WESTFIELD CTR, OH 44251 2325 DEAN ST STE 100 ST. CHARLES, IL 60175 5200 METCALF OPN323 OVERLAND PARK, KS 66202-1265 747 YOUNGS ST TONAWANDA, NY 14150 3599 BIG RIDGE RD SPENCERPORT, NY 14559 2890 NIAGARA FALLS BLVD N TONWANDA, NY 14120 PO Box 457 Carmi, IL 62821 113 CEDAR ST AKRON, NY 14001 2995 Curry Road SCHENECTADY, NY 12303 7116 County Rd 132 Willard, NY 14588 346 DELAWARE AVE BUFFALO, NY 14202 19 ORCHARD ST SPENCER, NY 14883 380 FREEVILLE ROAD FREEVILLE, NY 13068 PO BOX 181 PAINTED POST, NY 14870 PO BOX 3190 CERRITOS, CA 90703-3190 4 TOWER PLACE EXECUTIVE PARK ALBANY, NY 12203 PO BOX 3506 ALBANY, NY 12203 1412 MAPLE AVE ELMIRA, NY 14904 1780 WEHRLE DRIVE WILLIAMSVILLE, NY 14221 33-57 Harrison Street Johnson City, NY 13790 Payer ID WESC01 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

Wesco Insurance Company Wesley Health Care WEST AMERICAN INSURANCE CO West Bend Mutual / WC West Genesee School District WEST HERR AUTOMOTIVE WEST HERR AUTOMOTIVE WEST VIRGINIA WORKERS WESTCHESTER COUNTY WESTERN BENEFITS WESTERN NATIONAL MUTUAL INSURANCE COMPAN WESTERN REGIONAL OFF TRACK BETTING WESTFIELD GROUP

WESCO001 WESLE001 WEAI01 WESTB001 WESTG001 WESTH001 WESTH002 WVW01 WESTC001 WEBE01 WESTE003 WESTE001 WESTF002

WESTFIELD GROUP (LANCASTER)

WESTF001

WESTFIELD INS WESTFIELD INS CO

WESTF003 WESTF004

WESTPORT INSURANCE CORP

WEST01

WEYDMAN ELECTRONIC,INC WFL AREA WAYNE CO SCHOOLS WHEATFIELD PEDIATRICS White County Coal / WC WHITING DOOR WILDWOOD PROGRAMS Willard Drug Treatment Center WILLCARE WILLIAM FRANDSEN & SON WILLIAM GEORGE AGENCY WILLIAM WOOD MASONARY WILLIAMSBURG NATIONAL INS CO WILLIS - NY

WEYDM001 WFL01 WHEAT001 WHITE001 WHITI001 WILDW001 WILLA001 WILLC001 WILLI003 WILLI004 WILLI002 WNIC01 WILL02

WILLIS ADMIN SERVICES WILSON FARMS (ELMIRA) WILSON FARMS (WILLIAMSVILLE,NY) Wilson Hospital

WILL01 WILSO001 WILSO002 WILSO004

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name WILSON RENTAL WILTSIE CONSTRUCTION windsong radiology WIREWORKS WJ COX ASSOCIATES Address 369 PARK AVE CORNING, NY 14830 735 EAST STREET OSWEGO,NY, NY 13126 55 spindrift drive williamsville, NY 14221 517 BALDWIN STREET ELMIRA, NY 14901 9600 MAIN ST STE 3 CLARENCE, NY 14031 PO BOX 42065 PHOENIX, AZ 85027 3125 WALDEN AVE DEPEW, NY 14043 25 CHESTNUT STREET STE 105 HADDONFIELD, NJ 08033 800 CARTER ST ROCHESTER, NY 14621 BUREAU OF COMPLIANCE NO INSURANCE UNIT PO BOX 5205 BINGHAMTON, NY 13902 PO Box 2227 100 West Towne Ridge Parkway Sandy, UT 84070 1160 CHILI AVE STE 200 ROCHESTER, NY 14624 714 WEST OLYMPIC BOULEVARD SUITE 800 LOS ANGELES, CA 90015 PO BOX 3206 TULSA, OK 74101-3206 1 STEUBEN STREET CORNING, NY 14830 600 NORTH PEARL STE 700 DALLAS, TX 75201 PO BOX 7246 ST LOUIS, MO 63177 333 EARLE OVINGTON BLVD STE 505 UNIONDALE, NY 11553 620 ERIE BLVD WEST SUITE 100 SYRACUSE, NY 13204 POX 225 NEW ALBANY, PA 18833 338 NORTH MAIN STREET WARSAW, NY 14569 1 TECH DR STE 112 ANDOVER, MA 01810 1420 MINERAL SPRINGS AVE NORTH PROVIDENCE, RI 02904 1701 UTICA AVE BROOKLYN, NY 11234 300 W WILSON BRIDGE RD STE 200 WORTHINGTON, OH 43085 5505 13 MILE RD STE 300 WARREN, MI 48090 850 CLINTON SQ ROCHESTER, NY 14604 PO BOX 1238 MANGO, FL 33550 PO BOX 1288 BENTONVILLE, AR 72712 PO BOX 21405 EAGAN, MN 55121 PO BOX H Whippany, NJ 07981 8755 W. Higgins Rd 11th Floor OHare Plaza Chicago, IL 60631 Payer ID WILSO003 WILTS001 WINDS001 WIREW001 WJC01 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

WKMNCOMP NJ NETS WNY FACILITY SERVICES WORK FIRST CASUALTY COMPANY

WKMNC001 WNYFA001 WFCC01

WORKER COMP CHOICE WORKERS COMP BD - UNINSURED

WCC01 WORKE001

Workers Compsensation Fund

WORKE002

WORKFIT STAFFING

WORKF001

Workmens Ins Group [Electronic]

WORKM001

WORKNET OF OKLAHOMA WORLD KITCHEN,INC WORLD SOURCE

WORKN001 WORLD002 WORLD001

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

WORLDWIDE INS CO WRIGHT RISK MANAGEMENT

WORLD003 WRM01

WRWCTNY

WRWCT001

WYOMING CASING SERVICE WYOMING COUNTY WORKERS COMP X CHANGING

WYOMI003 WYOMI001 CAMB08

X CHANGING X CHANGING X CHANGING

CAMBR002 CQC01 CAMB06

X CHANGING

CAMB14

X CHANGING X CHANGING X CHANGING X CHANGING X CHANGING Xchanging

CHP01 CAMBR001 CAMB05 CAMB13 XCHAN024 XCHAN001

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name Xchanging Xchanging Xchanging XCHANGING Xchanging / WC XCHANGING/WC Address PO Box 1270 Columbus, OH 43085 PO Box 669200 Pompano Beach, FL 33066 PO BOX 94950 Cleveland, OH 44113 6300 CENTER HILL RD CINCINNATI, OH 45224 PO Box 16000 Columbus, OH 43216 8755 W Higgins Rd Suite 1100 Chicago, IL 60631 505 EAGLEVIEW BLVD # 100 EXTON, PA 19341-1120 1201 NORTH MARKET ST WILMINGTON, DE 19801 1000 HOMESTEAD AVE MAYBROOK, NY 12543 PO BOX 7932 OVERLAND PARK, KS 66207 127 CENTERWAY ATTEN: RITA CORNING, NY 14830 465 NEW KARNER ROAD #4 Albany, NY 12205 280 CAYUGA ATTN: WORKERS COMPENSATION CHEEKTOWAGA, NY 14225 444 EAST MAIN STREET ROCHESTER, NY 14604 99 CHERRY HILL RD PARSIPPANY, NJ 07054 3AAA DRIVE STE 201 ROBBINSVILLE, NJ 08691 PO BOX 253 PARSIPPANY, NJ 07054-0250 1 WHITEHALL ST #14 NEW YORK, NY 10004 2 PENN CENTER WEST SUITE 320 PITTSBURGH, PA 15276 MONMOUTH EXECUTIVE CENTER 3 PARAGON WAY BLDG 3 FREEHOLD, NJ 07728 P.O. BOX 10609 SUITE 102 TALLAHASSE, FL 32302 99 Cherry Hill Rd, #102 Parsippany, NJ 07054 Attn: Sabrina Defares 90 Merrick Ave ste. 205 East Meadow, NY 11554 500 PLUM ST SYRACUSE, NY 13204 40 RAILROAD STREET YOUNGSVILLE, PA 16371 98 NIVER STREET COHOES, NY 12047 136 Pfohl Rd Cheektowaga, NY 14225 2 VALLEY SQUARE BLUE BELL, PA 194222717 TWO VALLEY SUITE 301 BLUE BELL, PA 19422 P.O. Box 1558 Sarasota, FL 34230 21255 CALIFA ST WOODLAND HILLS, CA 91367-5021 2824 LEMOYNE AVENUE SYRACUSE, NY 13211 1505 LYELL AVE ROCHESTER, NY 14606 750 HOWARD STREET ELMIRA, NY 14904 Payer ID XCHAN007 XCHAN004 XCHAN006 XCHAN003 XCHAN023 XCHAN022 New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation Other WC (Non-NY) Other WC (Non-NY)

XL SPECIALTY INS XL SPECIALTY INSURANCE COMPANY YELLOW FREIGHT YELLOW FREIGHT SYSTEMS YMCA

XLSPE001 XLSI01 YFS02 YFS01 YMCA003

New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

YMCA

YMCA002

YMCA CORPORATE OFFICE

YMCAC001

YMCA GREATER ROCHESTER YORK CLAIM SERVICE YORK CLAIM SERVICES YORK CLAIM SERVICES YORK CLAIMS SERVICE

YMCA01 YCS03 YORKC001 YCS02 YCS01

YORK CLAIMS SERVICE

YORKC002

YORK INSURANCE SERVICES

YORKI001

Auto/No-Fault

YORK RISK SERVICE GROUP

YORKR001

New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation

York risk Services Group York Risk Services Group

YORKR003 YORKR002

YOUNG AGENCY YOUNGSVILLE BOROUGH ZANDRI CONSTRUCTION INC WC Zelasko ZENITH ZENITH INSURANCE Zenith Insurance (IL) / WC ZENITH INSURANCE CO ZERO DRAFT ZIEBART ZIESER WILBURT

YOAG01 YOUNG001 ZANDR001 ZELAS001 ZENIT003 ZENIT002 ZENIT001 ZENI01 ZEROD001 ZIEBA001 ZIESE001

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name ZIOLKOWSKI CONSTRUCTION ZMK CONSTRUCTION ZOTO'S INTERNATIONAL Zurich Zurich Zurich ZURICH Address 1005 S LAFAYETTE SOUTH BEND, IN 46601 3430 ROUTE 434 APALACHIN, NY 13732 300 FORGE AVE GENEVA, NY 14456 PO BOX 968002 Schaumburg, IL 60196 PO BOX 968020 Schaumburg, IL 60196 PO Box 968045 Schaumburg, IL 60196-8045 25 VREELAND RD PO BOX 982 FLORHAM PARK, NJ 07932 P O BOX 968070 SCHAUMBURG, IL 60196 PO BOX 35028 COLORADO SPRING, CO 80949 PO BOX 4040 SCHAUMBURG, IL 601684040 PO BOX 49457 COLORADO SPRINGS, CO 80949 PO BOX 968011 SCHAUMBURG, IL 60196 PO BOX 968041 SCHAUMBURG, IL 60196 PO BOX 968044 SCHAUMBURG, IL 60196-8044 PO BOX 968064 SCHAUMBURG, IL 60196 15 British American Blvd. airport park Latham, NY 12110 PO Box 968070 Schaumburg, IL 60196 P.O. Box 968070 Schaumburg, IL 60196 PO BOX 968045 SCHAUMBURG, IL 60196-8045 P.O. BOX 968077 SCHAUMBURG, IL 60196 1400 AMERICAN LANE TW-2, 20TH FL SCHAUMBURG, IL 60196-1056 PO BOX 968053 SCHAUMBURG, IL 60196 PO BOX 2904 SHAWNEE MISSION, KS 66201 PO BOX 10400 JACKSONVILLE, FL 32247 PO BOX 13761 PHILADELPHIA, PA 19104 P O Box 4034 Shaumburg, IL 60168 PO BOX 66946 CHICAGO, IL 60666-0946 PO BOX 968051 Schaumburg, IL 60196-8051 20 N CENTRAL AVE VALLEY STREAM, NY 11580 PO BOX 49547 COLORADO SPRINGS, CO 809499547 2355 BRIAR GATE PKWY COLORADO SPRING, CO 80920 550 WEST WASHINGTON BLVD SUITE 1440 CHICAGO, IL 60661 PO BOX 1880 PITTSBURGH, PA 15230 PO BOX ZZ JAMAICA, NY 11430 PO BOX 66941 CHICAGO, IL 60666 Payer ID ZIOLK001 ZMKCO001 ZOTOS002 ZURIC001 ZURIC002 ZURIC010 ZURIC017 New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault

ZURICH ZURICH ZURICH ZURICH ZURICH ZURICH ZURICH ZURICH Zurich (Universal Underwriters Insurance

ZURIC016 ZURIC024 ZURIC025 ZUAM13 ZUAM07 ZURIC003 ZUAM12 ZURIC004 ZURIC011

Zurich / Liability Zurich / WC ZURICH AM INS CO ZURICH AMERICA ZURICH AMERICAN

ZURIC015 ZURIC014 ZUAM08 ZURIC027 ZUAM05

Auto/No-Fault Other WC (Non-NY) New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation New York Workers' Compensation Auto/No-Fault New York Workers' Compensation New York Workers' Compensation

ZURICH AMERICAN/PHILA ZURICH DIRECT ZURICH INS ZURICH INS (WORK/COMP) ZURICH INSURANCE ZURICH INSURANCE ZURICH INSURANCE ZURICH NORTH AMER Zurich North America

ZURIC009 ZURIC006 ZURIC021 ZURIC020 ZURIC028 ZUAM10 ZUAM09 ZURIC019 ZUAM06

ZURICH NORTH AMERICA ZURICH NORTH AMERICA

ZURIC023 ZURIC022

ZURICH NORTH AMERICA ZURICH NORTH AMERICA ZURICH NORTH AMERICAN

ZURIC026 ZURIC018 ZURIC007

iHCFA.com Master Payor List - Generated on 12/8/2011 4:00:08 AM Name Zurich North American /WC Zurich/ AIS Address P.O. Box 66941 Chicago, IL 60666 PO BOX 1126 Daphne, AL 36526 Payer ID ZURIC013 ZURIC012 Other WC (Non-NY) Auto/No-Fault

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