2021

INSURANCE/PAYORS CURRENTLY FILED IN Provider TIN #: 27-3267315 Note: All services will be billed under Esoterix Genetic Laboratories, LLC

Esoterix Genetic Laboratories, LLC will file claims for insured patients directly to , , and many insurance companies and plans. It is always important to verify and update insurance information and know which testing laboratories are in-network or participating providers for your benefit plan. This information may impact your level of coverage.

Insurance/Payer Name Insurance/Payer Name Insurance/Payer Name 6 Degrees Health Health West ProAmerica Managed Care* Aetna Medicare Open Plan (Private Fee-for- HealthLink (PPO) Progyny Service) HealthLink HMO Providence Health Plan EPO/PASO Aetna** HealthSCOPE Benefits, Inc. Provider Network of America Alliance Coal Health Plan HealthSmart* Provider Select, Inc (PSI)* American Medical Security/UnitedHealthcare HealthSmart/World Trade Center Program QuikTrip Corp* AmeriChoice/UnitedHealthcare HealthSpring/Bravo/CIGNA Regence BCBS of Oregon Ancillary Care Services* HealthStar, Inc. (PPO Next) Secure Horizons by UnitedHealthcare BCBS Federal Employee Plan (FEP) Humana The Medical Cost Savings Solution (MCS)* Beech Street* Humana Military/ Three Rivers Provider Network (TRPN)* Benefit Panel Services (BPS) Integrated Medical Solutions Tricare Bravo/HealthSpring/CIGNA Interplan Health Group (IHG)* Trillium Community Health Plan CHAMPUS Kaiser NorthWest Unicare ChoiceCare Network/Humana* Mail Handlers/Coventry National Network United Medical Resources (UMR) CIGNA Healthcare Medicaid of Oregon (excludes Genetic UnitedHealthcare CIGNA HealthSpring Counseling) USA Health Network* Corporate Health Administrators (CHA)* Medical Diagnostic Management (MDM)* Willow Health* Coventry Health Care National Accounts Medicare Zelis Network Solutions Definity Health Plan/UnitedHealthcare MediNcrease Health Plans* Devoted Health Midwest Security/UnitedHealthcare Employers Health Network (EHN)* Moda Health Plan (including OHSU Tuality H&A Eon Health and OHSU EPO Networks) Evercare/UnitedHealthcare Multiplan* Evolutions Healthcare Systems NaphCare FedMed NPPN/Plan Vista Solutions* First Health Network NX Health Network* Fortified Provider Network (FPN) (excludes Genetic Counseling) Galaxy Health Network PacifiCare/UnitedHealthcare GEHA (through applicable contracted networks only) PacificSource Community Solutions Golden Rule/UnitedHealthcare PacificSource Health Plans Great-West Healthcare/Cigna Payer Fusion Holdings Group Benefit Services* PHCS* Health Net Federal Services-TRICARE PPO Next (formerly HealthStar) Health Net of California Preferred Health Network (PHN) Prime Health Services, Inc (PHS+)*

* Group/Employer/TPA Name and Number must be provided when submitting Integrated Genetics Test Requisition. ** A preferred provider. Integrated Genetics is a preferred national, in-network provider for all markets for Aetna patients. Integrated Genetics is a UnitedHealthcare Preferred Laboratory Network (PLN) provider. This list contains Integrated Genetics' most commonly billed insurance carriers, which is subject to change and is not all-inclusive. Certain exceptions may apply by geographic or specific member coverage or plan. If you have any questions regarding a specific insurance carrier, please contact your local Integrated Genetics representative or call 1-800-848-4436. For Integrated Genetics services go to www.IntegratedGenetics.com.

Integrated Genetics is a business unit of Esoterix Genetic Laboratories, LLC, a wholly-owned subsidiary of Laboratory Corporation of America® Holdings. Page 1 of 1