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Currently Active Utilization Review Plans with DWC

Page |1. Current Active Utilization Review Plans on file with the DWC. Updated - December 22, 2020. Date of plan URO Name of Entity Address Phone Contact Receipt 10360 Old Placerville Road, 019 Allied Managed Care, Inc. (AMC) 12/28/2005 (916) 563-1911 Karen Mazza Sacramento, CA 95827. 140 Alexandria Boulevard Suite 146 AmeriSys 2/6/2020 (800) 752-0886 Cheryl Gulasa H, Oviedo, FL 32765. 1175 Peachtree Street NE Suite 145 Arbicare, LLC 9/10/2019 (404) 759-0220 Alex O'Neal 1000, Atlanta, GA 30361. 2062 Business Center Dr. #100. 120 Arissa Cost Strategies 8/22/2012 (714) 259-1053 Leea Doust Irvine, CA 92612.

Currently Active Utilization Review Plans with DWC September 9, 2019 1 Plan # Name of Entity Date of Plan Receipt Address Phone Contact 019 Allied Managed Care, Inc. (AMC) 28-Dec-05

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Transcription of Currently Active Utilization Review Plans with DWC

1 Page |1. Current Active Utilization Review Plans on file with the DWC. Updated - December 22, 2020. Date of plan URO Name of Entity Address Phone Contact Receipt 10360 Old Placerville Road, 019 Allied Managed Care, Inc. (AMC) 12/28/2005 (916) 563-1911 Karen Mazza Sacramento, CA 95827. 140 Alexandria Boulevard Suite 146 AmeriSys 2/6/2020 (800) 752-0886 Cheryl Gulasa H, Oviedo, FL 32765. 1175 Peachtree Street NE Suite 145 Arbicare, LLC 9/10/2019 (404) 759-0220 Alex O'Neal 1000, Atlanta, GA 30361. 2062 Business Center Dr. #100. 120 Arissa Cost Strategies 8/22/2012 (714) 259-1053 Leea Doust Irvine, CA 92612.

2 20687-2 Amar Road, Suite 824, Vanessa 134 Artisan Claims Craft, Inc. 7/22/2016 (626) 699-4614. Walnut, CA 91789 Rodriguez 1301 6th Ave West, Bonnie Dayhaw, 144 Ascential Care 5/31/2019 (941) 213-0443. Bradenton, FL 34205 RN CCM. Box 4010, 122 Athens Managed Care 7/11/2013 (949) 296-3962 Cathy Gilman Concord, CA 94524. Berkshire Hathaway Homestate 1314 Douglas Street, 12th floor, 086 11/6/2006 (402) 952-5120 Theresa Kelly Companies Omaha, NE 68102. 1391 NW 136th Ave, 006 Broadspire Services, Inc. 1/14/2004 (803) 521-6780 Cindy Buxton Sunrise, FL 33323. 2221 E. Lamar Blvd, 136 CareReview 5/23/2016 (888) 274-6562 Melissa Starnes Arlington, TX 76006.

3 CareWorks Managed 10535 Boyer Blvd #100, 063 10/25/2004 (901) 415-7790 Roxanne Brown Care Services Austin, TX 78758. 1. Page |2. Date of plan URO Name of Entity Address Phone Contact Receipt 4890 Rocklin Road, 082 Claims Eval, Inc. 12/15/2005 (916) 797-9997 Kat Atkins Rocklin, CA 95677. 1010 E. Union Street, Suite 203, 029 CompAlliance 3/26/2004 (626) 585-1808 Jay Garrard Pasadena, CA 91106. 3 Hutton Centre Dr., Suite 550, 116 CompWest Insurance Company 3/1/2011 (714) 641-9536 Jackie Young Santa Ana, CA 92707. 2345 Commerce Point Drive, 037 Conduent Care Solutions, LLC 4/16/2004 (863) 669-0861 Amy Arnold Suite 140, Lakeland, FL 33801.

4 1100 W Town & Country Rd 028 CorVel 3/1/2004 (714) 385-8500 Linda Laubach Suite 400, Orange CA 92868. Box 1120, 114 County of Riverside 10/28/2010 (951) 955-5866 Armi Edera Riverside, CA 92502-1120. Coventry Health Care Workers' 3200 Highland Avenue, Caitlin Roux- 018 3/9/2004 (860) 273-2259. Compensation, Inc. Downers Grove, IL 60515 Halloran 992 S De Anza Blvd Suite 101, 033 EK Health Services, Inc. 3/28/2004 (408) 973-0888 Glenn Crafts San Jose, CA 95129. Excel Managed Care & Disability 3840-C Watt Ave Suite 200, 034 4/5/2004 (888) 464-0044 Steve Smetana Services, Inc. Sacramento, CA 95821. 2435 N Central Expy Suite 1350, 113 Inc.

5 8/9/2010 (800) 773-3413 Ujwala Nagare Richardson, TX 75080. 440 E Swedesford Rd, Suite Daniel 005 Genex Services, LLC 1/20/2004 (888) 464-3639. 1000, Wayne, PA 19087 Maldonado Hartford Fire Insurance Company One Hartford Plaza (T14), JulieeAnn 031 3/29/2007 (860) 547-8823. (The Hartford) Hartford, CT 06155 McCollum 4100 Alpha Road, 8th Floor, Andrea 009 Health Direct, Inc. (HDI) 1/29/2004 (860) 321-3815. Dallas, TX 75244 Kazmercyk 2. Page |3. Date of plan URO Name of Entity Address Phone Contact Receipt One Spectrum Pointe Dr., 138 Intelligent Medical Solutions 5/30/2017 (949) 465-7083 Michael Decker Suite 140, Lake Forest, CA 92630.

6 InterMed Cost Containment Box 7111, 068 12/10/2004 (818) 254-6059 Christina Dellosa Services Pasadena, CA 91109. Liberty Mutual Managed Care LLC 150 Liberty Way MS 94A, Tammy 021 3/22/2004 (864) 720-6773. (LMMC) Dover, NH 03820 Copeland Box 85251, 102 Marquee Managed Care Solutions 7/2/2008 (619) 744-8301 Vanessa Neuner San Diego, CA 92186-5251. 5 Peters Canyon Road, Suite 141 Medata Inc. 1/7/2019 (714) 918-1310 Tori Henson 250, Irvine, CA 92606. 1201 Dove Street Suite 300, 073 Medex Managed Care 3/4/2005 (949) 221-1700 Edward Santos Newport Beach, CA 92660. MediCall, Inc., dba as Cognizant 9655 Maroon Circle, 098 11/29/2007 (303) 542-2640 Eric Myers Technology Solutions Englewood, CO 80112.

7 377 Riverside Drive Suite 400, Melanie 015 MedInsights, Inc. 2/23/2004 (615) 778-5080. Franklin, TN 37064 Courtemanche Box 3730, 076 MedReview 1/24/2005 (909) 718-1099 Brandy Williams Ontario, CA 91761. 1350 Lakeshore Drive, 003 Mitchell International, Inc. 1/8/2004 (972) 957-1653 Peggy Hohertz Suite 100, Coppell, TX 75019. Box 707, 131 Nexus Enterprises, LLC 5/12/2016 (512) 216-6711 Candace Daigle Schertz, TX 78154. Box 5067, 085 Novare, LLC 5/5/2006 (888) 705-1070 Cindy Doktor Frisco, TX 75035. 11128 John Galt Blvd, 140 Omaha National Underwriters, LLC 9/21/2017 (844) 761-8400 Naomi Wilson Omaha, NE 68137.

8 3. Page |4. Date of plan URO Name of Entity Address Phone Contact Receipt 2607 S. Southeast Blvd. Pacific Medical Review and 139 6/14/2017 Building A, Suite 203, (800) 455-5206 Karen Orvik Consultation (PMRC). Spokane, WA 99223. 770 The City Drive South, Suite 004 Paladin Managed Care Services 1/20/2004 (714) 559-6669 Dawn Gladden 3000, Orange, CA 92868-4928. 311 N Robertson Blvd. 318, 137 PeerLink Medical, Inc. 3/24/2017 (310) 893-6390 Robert Gold Beverly Hills, CA 90211. 2805 Peachtree Industrial Blvd. 104 PRIUM 1/22/2009 (678) 932-5696 David Price Suite 112, Duluth, GA 30097. 5170 Golden Foothill Parkway, 016 Professional Dynamics, Inc.

9 (PDI) 2/27/2004 (800) 591-5501 Caitlin Valcic El Dorado Hills, CA 95762. Box 3247, Dusty Horn- 097 Promesa Health, Inc. 10/26/2007 (800) 615-4320. Omaha, NE 68103 Larkins, RN. Box 519, 126 Propeer Resources, LLC. 3/6/2015 (800) 292-3051 Candace Daigle Schertz, TX 78154-9998. 277 Rancheros Drive, Suite 370, 001 Rehab West, Inc. 1/2/2004 (310) 339-4443 Lisa Paroly San Marcos, CA 92069. Box 9839, 011 Risico Total Managed Care, Inc. 2/9/2004 (559) 271-3586 Amy Skinner Fresno, CA 93794-9839. 325 North LaSalle Street, 100 Rising Medical Solutions, LLC. 1/25/2008 (330) 322-6895 Suda Miller Suite 600, Chicago, IL 60654.

10 Box 276710, 096 Schools Insurance Authority (SIA) 8/27/2007 (916) 364-1281 Opal Weiser Sacramento, CA 95828-6710. Sedgwick Claims Management 8125 Sedgwick Way, 027 3/24/2005 (901) 415-7790 Roxanne Brown Services, Inc. Memphis, TN, 38125. 4. Page |5. Date of plan URO Name of Entity Address Phone Contact Receipt 330 East Liberty Street, 097 Specialty Health Inc. 11/16/2005 (888) 425-2973 Jacqueline Cox Suite 200, Reno, NV 89501. Status Medical Management Box 5038, 017 3/3/2004 (209) 549-3029 Jackie Smith (SMM) Modesto, CA 95352. Travelers Indemnity Company One Tower Square MS05A, 032 3/31/2004 (503) 534-4420 Kimberly Layton of Connecticut (TCT) Hartford, CT 06183.


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