Eligibility Payor ID List - Genius Solutions, Inc. - Main

1 Genius Solutions 11/15/2017 Eligibility Payor ID List Quick Reference Guide for Our Most Popular Payors Payor ID Payor Name Subscriber Dependent 10319 AARP Y N 10004 Aetna Y Y 11026 Aetna Better Health Michigan Y N 10038 Blue Cross Blue Shield of Michigan Y Y 10038 Blue Care Network Michigan Providers Y Y 10062 Cigna Great West Y Y 10308 HAP Health Alliance Plan Y N 10100 Humana Y N 10038 Medicare Plus Blue Michigan Providers Y N 10136 Michigan Medicaid Y N 10250 Molina of Michigan Y N 10490 Priority Health Y N 10189 TRICARE Y Y 10879 TRICARE for Life Y N 10002 United Healthcare Y y Complete Eligibility Payor List Payor ID Payor Name Subscriber Dependent 10431 AARP (A United HealthCare Insurance Company) Y N 10560 Absolute Total Care Y N 11009 ACS Benefit Services Y Y 10619 Administrative Services, Inc.

2 Y N 10561 Advantage by Bridgeway Health Solutions Y N 10562 Advantage by Buckeye Community Health Plan Y N 10563 Advantage by Managed Health Services Y N 10564 Advantage by Superior HealthPlan Y N 10004 Aetna Y Y 11099 Aetna Better Health (FL) Y N 10892 Aetna Better Health (IL) Y N Genius Solutions 11/15/2017 11119 Aetna Better Health (KY) Y N 11008 Aetna Better Health (LA) Y N 11026 Aetna Better Health (MI) Y N 11064 Aetna Better Health (MO) Y N 10976 Aetna Better Health (NE) Y N 10994 Aetna Better Health (NJ) Y N 10816 Aetna Better Health (NY) Y N 10887 Aetna Better Health (OH) Y N 10894 Aetna Better Health (PA) Y N 10895 Aetna Better Health (TX) Y N 10896 Aetna Better Health (TX) CHIP Y N 10217 Aetna Better Health (VA) Y Y 11154 Aetna Better Health (WV)

3 Y N 10397 Aetna Long Term Care Y N 10891 Aetna Retiree Medical Plan - Administrator Y Y 10897 Aetna Senior Supplemental Y N 11115 Affinity Essentials Y N 10594 Affinity Health Plan Y N 10661 Affinity Health Plan Medicare Y N 10955 AFLAC Y Y 10398 AFLAC - Dental Y Y 10663 AFLAC - Medicare Supplemental Y Y 11149 AGIA, Inc. 10007 Alabama Medicaid Y N 10798 Alan Sturm and Associates - Dental Y N 11016 Alaska Medicaid Y N 10829 All Savers Insurance (American Medical Security) Y Y 11027 All Savers Life Insurance Y Y 10654 Allegiance Benefit Plan Management Y Y 11109 Alliant Health Plans Y Y 10898 Allied Benefit Systems Y Y 11017 AlohaCare Y N 11002 Alternative Insurance Resources Inc Y Y 10786 Altus Dental Y N 11082 Ambetter Superior Health Plan TX Y N 10985 AmeriBen Y Y 10664 American Health Medicare Y N 10986 American Income Life Insurance Company Y N 10829 American Medical Security Y Y 10595 American National Insurance Company Y Y 10596 American National Life Insurance Company of Texas Y Y 10899 American Network

4 Ins. Medicare Supplement Y Y 10016 American Postal Workers Union (APWU) Y Y 10538 American Retirement Life Ins Co Medicare Supplement Y N 10018 AmeriChoice of New Jersey (Commercial) Y N 11085 Americo Financial Life & Annuity Y N Genius Solutions 11/15/2017 10019 AMERIGROUP Y N 10974 AmeriHealth Y Y 10416 AmeriHealth Administrators Y Y 11193 AmeriHealth Caritas DC Y N 11142 AmeriHealth Caritas Iowa Y N 10640 Amerihealth Caritas Louisiana (LaCare) Y N 10340 AmeriHealth Caritas Pennsylvania Y N 11151 AmeriHealth Caritas VIP Care Plus Y N 10020 AmeriHealth Group - Ameritas Life Insurance Inc Y Y 11189 AmeriHealth Northeast Pennsylvania Y N 11152 AmeriHealth VIP Care Y N 10232 Ameritas Group - First Ameritas of New York Y Y 10233 Ameritas Group - First Reliance Standard Life Y Y 10234 Ameritas Group - Reliance Standard Life Y Y 10236 Ameritas Group - Standard Insurance Y Y 10237 Ameritas Group - Standard Insurance of New York Y Y 10993 Anthem Vivity Y N 10708 Apex Benefits Services Y Y 10641

5 Arbor Health Plan Y N 11181 Arise Health Care Y Y 10868 Arise Health Plan Medicare Select Policy Y N 10021 Arizona Medicaid (AHCCCS) Y N 10022 Arizona Physicians IPA (APIPA) Y N 10023 Arkansas Medicaid Y N 10957 Associacion De Maestros Puerto Rico Y N 10529 Asuris Northwest Health Y Y 10472 AultCare Y Y 10890 Automated Benefit Services Y Y 10900 Auxiant Y Y 11145 Avalon Administrative Services Y 10869 Avera Health Plans Y N 10024 AvMed Health Plans Y N 10813 Bankers Life and Casualty Y N 10707 Banner Health Plans Y Y 10025 BCBS of Alabama Y Y 10609 BCBS of Alabama (Institutional) Y Y 10027 BCBS of Arizona Y Y 10028 BCBS of Arkansas Y Y 10029 BCBS of Colorado (Wellpoint) Y Y 10030 BCBS of Connecticut (Wellpoint)

6 Y Y 11102 BCBS of DC (Carefirst) Y Y 10831 BCBS of Delaware Y Y 10031 BCBS of Florida Y Y 10032 BCBS of Georgia (Wellpoint) Y Y 10530 BCBS of Hawaii Y Y 10033 BCBS of Illinois Y Y Genius Solutions 11/15/2017 10258 BCBS of Indiana (Wellpoint) Y Y 10396 BCBS of Iowa Y Y 10034 BCBS of Kansas Y Y 10473 BCBS of Kansas City Y Y 10259 BCBS of Kentucky (Wellpoint) Y Y 10035 BCBS of Louisiana Y Y 10036 BCBS of Maine (Wellpoint) Y Y 10270 BCBS of Maryland (Carefirst) Y Y 10037 BCBS of Massachusetts Y Y 10519 BCBS of Michigan (Institutional) Y Y 10038 BCBS of Michigan (Professional) Y Y 10039 BCBS of Minnesota Y Y 10040 BCBS of Mississippi Y N 10322 BCBS of Missouri (Wellpoint) Y Y 10516 BCBS of Montana Y Y 10384 BCBS of Nebraska Y Y 10260 BCBS of Nevada (Wellpoint) Y Y 10261 BCBS of New Hampshire (Wellpoint) Y Y 10041 BCBS of New Jersey (Horizon) Y Y 10042 BCBS of New Mexico Y Y 10043 BCBS of New York (Empire) Y Y 10323 BCBS of New York (Excellus) Y Y 10461 BCBS of New york(Central) Y Y 10469 BCBS of New york(Rochester Area) Y Y 10470 BCBS of New york(Utica-Watertown)

7 Y Y 10383 BCBS of North Carolina Y Y 10478 BCBS of North Dakota Y Y 10044 BCBS of Ohio (Wellpoint) Y Y 10582 BCBS of Oklahoma Y Y 10045 BCBS of Oregon (Regence) Y Y 10046 BCBS of Pennsylvania (Highmark) [Includes Blue Shield PA - Highmark Senior Health] Y Y 10524 BCBS of Pennsylvania (Highmark) Institutional Y Y 10304 BCBS of Rhode Island Y Y 10047 BCBS of South Carolina Y Y 10395 BCBS of South Dakota (Wellmark) Y Y 10430 BCBS of Tennessee Y Y 10048 BCBS of Texas Y Y 10618 BCBS of Utah Y Y 10624 BCBS of Vermont Y Y 10049 BCBS of Virginia (Wellpoint) Y Y 10462 BCBS of West Virginia Y Y 10498 BCBS of Western NY Y Y 10299 BCBS of Wisconsin (Wellpoint) Y Y 10480 BCBS of Wyoming Y Y 10665 Benefit Management Inc Y Y Genius Solutions 11/15/2017 10256 Best Choice Health Plan Y N 10050 Best Life and Health Y Y 10187 Better Health Plans (Unison Health Plans)

8 Y N 10999 Better Health Plans of Florida Y N 10803 Blue Benefit Administrators of Mass Y Y 11183 Blue Cross Community Options Y N 10262 Blue Cross Independence (Pennsylvania) Y Y 10264 Blue Cross Northeastern Pennsylvania Y Y 10051 Blue Cross of California (Wellpoint) Y Y 10638 Blue Cross of Idaho Y Y 10326 Blue Cross of Washington and Alaska (Premera) Y Y 10325 Blue Cross Pennsylvania (Capital) Y Y 10053 Blue Shield of California Y N 10052 Blue Shield of Idaho (Regence) Y Y 10499 Blue Shield of NorthEastern NY Y N 10054 Blue Shield of Washington (Regence) Y Y 10046 Blue Shield PA - Highmark Senior Health Y Y 10504 BlueChoice HealthPlan South Carolina Medicaid Y N 11174 BlueCross Medicare Advantage Y N 10429 Bluegrass Family Health (Baptist Health Plan) Y Y 10556 BMC HealthNet Plan (Boston Medical) Y N 10821 Boon Group Y Y 10414 Boon-Chapman Benefit Admin Y Y 10399 Bravo Health (Cigna Bravo Healthspring)

9 Y N 10827 Bridgespan Y N 10565 Bridgeway Arizona Y N 10783 Brokers National - Dental Y N 10566 Buckeye Community Health Y N 10997 C and C Employees' Hospital Association Plan Y N 10759 California Health & Wellness Y N 10055 California Medicaid (Medi-Cal) Y N 11070 Cal-Viva Y N 10458 Capital District Physicians Health Plan (CDPHP) Y N 10903 Capitol Administrators Y N 10660 Caprock Y N 10806 Care Improvement Plus Y N 10981 Care1st Health Plan Arizona Y N 11080 CareMore Y Y 10056 CarePlus Health Plan Y N 10822 Carepoint Medicare Advantage Y N 10057 CareSource Health Y N 10762 Carolina Care Plan Y Y 11161 Carpenters Health and Welfare Trust Fund of St Louis Y D 10667 CDS Group Health Y Y 10668 Celtic Insurance Y Y 10589 Celticare Y Y Genius Solutions 11/15/2017 11106 CenCal Y N 10567 Cenpatico - Arizona Y N 10568 Cenpatico - Florida Y N 10569 Cenpatico - Georgia Y N

10 10631 Cenpatico - Illinois Y N 10570 Cenpatico - Indiana Y N 10571 Cenpatico - Kansas Y N 10632 Cenpatico - Kentucky Y N 10588 Cenpatico Massachusetts Y N 10769 Cenpatico.