Network Providers As of 12/17/14 (Subject to Change at Anytime)

Coordinated Care Plan (Effective 1/1/15)  Norman Regional Health System – Porter Campus Primary Network Tier  Norman Regional Health System – HealthPlex  Norman Regional Health System – Moore Medical No Referral or Authorization Needed  Norman Regional Health System – Physical Performance Center (However, subject to Pre-certification for  Physicians Surgical Center hospitalizations)  Central Oklahoma Surgical Institute  Oklahoma Sleep Associates  Norman Specialty Hospital  NPHO (Norman Hospital Physicians Organization) Physicians Go to: http://normanpho.com/find-a-physician/ for a list of physicians  Direct Contract Physicians (Physician Services Only) o Pediatrix - Jennifer Hunter, Lorry Krous, Sudhakara Kunamneni, Rajkumar Reddy, Ajay Verma o Team Health (ED Physicians) o Immediate Care (Urgent Care Physicians) o University of Oklahoma Neurosurgery - Kim Pratt, Clay Cochran o Mercy Clinic Oncologists - Sherri Durica, Kristin Thorp, Kathy Dagg, Janae Clapp o Dermatologists - David Duncan, Thomas Urice, Jennifer Roberts o Any Individual Physician who is Employed directly by NRHS, but has not yet joined NPHO  Myriad Genetic Laboratories, Inc.  NPHO Other Services (i.e., not part of physician’s direct care), [Unless Prior Authorization Required specifically listed in the plan document as being included as part of the NPHO Care Coordinators: (405)515-6746 office visit co-pay, then included within the primary tier above] - Rachel Pieper, RN, MSN, CCNS  NPHO Facilities (not otherwise included within the primary tier above) - Michelle Davis, RN, BSN  IHP (Integris Health Partners) Go to: http://integrisok.com/Physicians/oklahoma-doctors No benefits paid by insurance without Prior for a list of physicians and ancillary facilities Authorization. Patient would be fully  OHN (Oklahoma Health Network) responsible for all charges without prior Go to: http://www.ohnonline.com/ProviderSearch.aspx authorization by NPHO Care Coordinator. for a list of physicians and ancillary facilities  PHCS/Multiplan Network (out of state only) (Authorization is offered only for services Go to: http://www.multiplan.com/ which are not available at a lower network for a list of physicians and ancillary facilities tier. Pre-certification required for (Choose the selection for “PHCS Healthy Directions”) hospitalizations)

Note: Life Threatening Emergency Services (as defined by EMTALA) do not require prior authorization.  Out of Network – All others Out of Network - No Benefits Paid

Note: Life Threatening Emergency Services (as defined by EMTALA) do not require prior authorization and will be processed at the in-network rates; but the patient is subject to balance billing from the provider.

Enhanced Plan (eliminated 12/31/14), Basic Plan, and High Deductible Healthcare Plan  Norman Regional Health System – Porter Campus NRHS Network Tier  Norman Regional Health System – HealthPlex  Norman Regional Health System – Moore Medical  Norman Regional Health System – Physical Performance Center  NPHO (Norman Hospital Physicians Organization) Physicians NRHS PPO Network Tier Go to: http://normanpho.com/find-a-physician/ for a list of physicians  NPHO (Norman Hospital Physicians Organization) Facilities Go to: http://normanpho.com/ancillary/ for a list of ancillary facilities  Direct Contract Physicians (Physician Services Only) o Pediatrix - Jennifer Hunter, Lorry Krous, Sudhakara Kunamneni, Rajkumar Reddy, Ajay Verma o Team Health (ED Physicians) o Immediate Care (Urgent Care Physicians) o University of Oklahoma Neurosurgery - Kim Pratt, Clay Cochran o Mercy Clinic Oncologists - Sherri Durica, Kristin Thorp, Kathy Dagg, Janae Clapp o Dermatologists - David Duncan, Thomas Urice, Jennifer Roberts  Any Individual Physician who is Employed directly by NRHS, but has not yet joined NPHO  OHN (Oklahoma Health Network) OHN Network Tier Go to: http://www.ohnonline.com/ProviderSearch.aspx for a list of physicians and ancillary facilities  PHCS/Multiplan Network (out of state only) Go to: http://www.multiplan.com/ for a list of physicians and ancillary facilities  Out of Network – All others Out of Network Tier

Note: Life Threatening Emergency Services (as defined by EMTALA) will be processed at the in-network rates; but the patient is subject to balance billing from the provider.