CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Insurance/Payers

1199 NATIONAL BENEFIT FUND HEALTH ACME ENGINEERING & MFG CORP (ADMINISTERED BY ADVANCED CORRECTIONAL HEALTHCARE-MC ---IN PREMIER HEALTHCARE EXCHANGE DBA ZELIS) 1921 IRON WORKERS ---CA ADVANCED CORRECTIONAL HEALTHCARE-MC ---KS ACMG, INC. 21ST CENTURY & HEALTH BENEFITS ---NJ ADVANCED CORRECTIONAL HEALTHCARE-MC ---MO ACMS 21ST CENTURY HEALTH & BENEFITS ADVANCED CORRECTIONAL HEALTHCARE-MC ---NE ACS - COMP IQ 3P ADMINISTRATORS ADVANCED CORRECTIONAL HEALTHCARE-MC ---OH ACS BENEFIT SERVICES, INC. 3P ADMINISTRATORS ---IA ADVANCED CORRECTIONAL HEALTHCARE-MC ---WI ACS COMPIQ CORPORATION 3P ADMINISTRATORS ---MN ADVANCED MEDICAL STRATEGIES ACTIVA BENEFIT SERVICES, LLC 3P ADMINISTRATORS ---WI ADVANCED SPORTS ENTERPRISES, INC. (ADMINISTERED ACTIVAR INC. ---MN BY GROUP & PENSION ADMINISTRATORS) 5 LIFE INSURANCE COMPANY ACTUARIAL & EMPLOYEE BENEFIT SERVICES CO. ---OH ADVANTAGE CITY OF GREENWOOD SELF FUNDED ---IN A & B PROCESS SYSTEMS (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE DBA ZELIS) ACTUARIAL MANAGEMENT RESOURCES - CLIC ADVANTAGE FRANCISCAN SELF FUNDED ---IN A & L GREAT LAKE LABS INC (ADMINISTERED BY ACTUARIAL MANAGEMENT RESOURCES - CLIC ---NC ADVANTAGE HEALTH SOLUTIONS PREMIER HEALTHCARE EXCHANGE DBA ZELIS) ACTUARIAL MANAGEMENT RESOURCES - GAFRI ADVANTAGE HEALTH SOLUTIONS, INC. ---IN A & S FINANCIAL SERVICES ACTUARIAL MANAGEMENT RESOURCES - KCL ADVANTEK BENEFIT ADMINISTRATION A W REHN & ASSOCIATES ACTUARIAL MANAGEMENT RESOURCES - KCL ---NC ADVANTEK BENEFIT ADMINISTRATION ---CA A-1 LIMOUSINE, INC. (ADMINISTERED BY GROUP & ACTUARIAL MANAGEMENT RESOURCES, INC. ADVANTEK BENEFIT ADMINISTRATORS PENSION ADMINISTRATORS) ADAIR, MCCLELLEN, ALEXANDRIA AND ASSOCIATES ADVATAGE INSURANCE A&S FINANCIAL SERVICES INC ADAMS RESOURCES & ENERGY, INC. (ADMINISTERED ADVENTIST RISK MANAGEMENT ---MD AAA CENTRAL PA ---PA BY GROUP & PENSION ADMINISTRATORS) ADVENTIST RISK MANAGEMENT, INC AAA INSURANCE ADECCO USA INC AEGLE STAFFING, LLC (ADMINISTERED BY GROUP & AAON (ADMINISTERED BY PREMIER HEALTHCARE ADJUSTMENT SERVICES, INC. PENSION ADMINISTRATORS) EXCHANGE DBA ZELIS) ADMINISTRATION SYSTEMS RESEARCH CORP AEGON AFFINITY SERVICES ABC PEST CONTROL OF HOUSTON, INC. (ADMINISTERED BY GROUP & PENSION ADMINISTRATORS) ADMINISTRATION SYSTEMS RESEARCH CORP / AWI AETNA AP PRICING HOLDINGS INC ABILENE CHRISTIAN UNIVERSITY (ADMINISTERED BY AETNA HEALTH AND LIFE INSURANCE COMPANY GROUP & PENSION ADMINISTRATORS) ADMINISTRATIVE CLAIMS MANAGEMENT AETNA HEALTH MANAGEMENT, LLC ABTC INC DBA BOUDOIR NOIR (ADMINISTERED BY ADMINISTRATIVE CONCEPTS, INC. AETNA HEALTH PLANS PREMIER HEALTHCARE EXCHANGE DBA ZELIS) ADMINISTRATIVE SERVICE CONSULT AETNA LIFE INSURANCE COMPANY ACADIA INSURANCE COMPANY ---NE ADMINISTRATIVE SERVICES INC. ---MD AETNA RURAL PROGRAM / AETNA ACADIA INSURANCE COMPANY ---OR ADMINISTRATIVE SOLUTIONS INC AETNA RURAL PROGRAM / AETNA POS/EPO ACCELERA HEALTH INC/ATPA ADMINITRON, INC. AETNA WP PRICING ACCELERA HEALTH INC/ATPA ---CA ADMINONE AFFILIATED OF ACCELERATED CURING (ADMINISTERED BY PREMIER ADVA-NET HEALTHCARE EXCHANGE DBA ZELIS) AFFINITY GROUP UNDERWRITERS, INC. ADVANCE ADMIN LOCAL 592 ---PA ACCESS ADMINISTRATORS INC ---MO AFFORDABLE BENEFIT ADMINISTRATORS, INC. ADVANCE ADMIN LOCAL 803 ---AL ACCICENT FUND INSURANCE AFS INSURANCE SERVICES ADVANCED BENEFIT ADMINISTRATORS ---OR ACCIDENT INSURANCE COMPANY AG ADMINISTRATORS INC. ADVANCED BENEFIT SOLUTIONS ACCLAIM, INC. AGLC ADVANCED CORRECTIONAL HEALTHCARE-MC ---AL ACE AMERICAN INSURANCE COMPANY AGVA WELFARE TRUST FUND ADVANCED CORRECTIONAL HEALTHCARE-MC ---AR ACE INTERNATIONAL AHBL, INC. (ADMINISTERED BY EQUIAN, HMA TPA) ADVANCED CORRECTIONAL HEALTHCARE-MC ---IL ACE PROPERTY AND CASUALTY GROUP INSURANCE AHH - ADVOCATE SERVICES

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Insurance/Payers

AHH - AMERICAN BENEFIT MANAGEMENT - 1426 ALCONEX SPECIALITY PRODUCTS (ADMINISTERED BY ALLIED TRUST FUND PREMIER HEALTHCARE EXCHANGE DBA ZELIS) AHH - AMERICAN HEALTH HOLDING ALLINA HEALTH ---MN ALDEN RISK MANAGEMENT SERVICES AHH - AULTCARE ---NJ ALFA MUTUAL INSURANCE ---VA AHH - CORRECTCARE ALLSTATE INSURANCE COMPANY ALFA VISION ---AK AHH - IRONWORKS LOCAL 549 & 550 ---OH ALLSTATE WORKPLACE DIVISION ALFA VISION ---GA AHH - IRONWORKS LOCAL 549 & 550 ---WV ALPHA DATA SYSTEMS, INC. ALFA VISION ---IN AHH - MOTOROLA ALPHA VISION INSURANCE ---AL ALFA VISION ---KY AHH - MOTOROLA EMPLOYEES/ACS EMPLOYEES ALPHA VISION INSURANCE ---AZ ALFA VISION ---MO AHH - OH CARPENTERS HEALTH & WELFARE ---OH ALPHA VISION INSURANCE ---MN ALFA VISION ---OH AHH - PAINTING INDUSTRY FUNDS ALPHA VISION INSURANCE ---NV ALFA VISION ---TN AHH - TOLEDO ELECTRICAL WELFARE FUND ---MI ALPHA VISION INSURANCE ---OH ALFA VISION ---TX AHH - TOLEDO ELECTRICAL WELFARE FUND ---OH ALPHA VISION INSURANCE ---PA ALFA VISION ---VA AHH - UNIVERSITY OF ALASKA ---AK ALPHA VISION INSURANCE ---TN ALICARE AIDS HEALTHCARE FOUNDATION (ADMINISTERED BY ALTERNATIVE BENEFIT PLANS INC GROUP & PENSION ADMINISTRATORS) ALIERA HEALTHCARE, INC. AND UNITY HEALTHSHARE ALTERNATIVE BENEFIT PLANS WP LLCP AIG ALTERNATIVE BENEFIT PLANS, INC. ---GA ALL NATIONS INSURANCE AIG ACCIDENT AND HEALTH ALTERNATIVE INSURANCE RESOURCES,INC ALL RISK INSURANCE AIG BENEFIT SOLUTIONS ALTERNATIVE RISK MANAGEMENT ALLEGEANT, LLC FKA LBA HEALTH PLANS/DOCFIRST AIG CLAIMS SERVICES ALTERNATIVE RISK MANAGEMENT / CARPENTER ALLEGIANCE - MC AIG HAWAII ---HI BROTHERS INC ALLEGIANCE / ALLEGIANCE BENEFIT PL AIG WORKER’S COMP MANUAL ALTERNATIVE RISK MANAGEMENT / CENTRAL STORAGE ALLEGIANCE / PROVINCE OF ST JOSEPH & WAREHOUSE CO INC AIM BENEFIT SERVICES ALLEGIANCE / PROVINCE OF ST JOSEPH OF CAPACHIN ALTERNATIVE RISK MANAGEMENT / M-B-W INC AIR FORCE CENTRAL INSURANCE ORDER ALTERNATIVE RISK SOLUTIONS AJ MANUFACTURING INC (ADMINISTERED BY PREMIER ALLEGIANCE BENEFIT PLAN MANAGEMENT, INC. HEALTHCARE EXCHANGE DBA ZELIS) ALTERNATIVE SERVICE CONCEPTS ---TN ALLIANCE BENEFIT MANAGEMENT COMPANY AKESO CARE MANAGEMENT, INC ALTRUA ALLIANCE COMPUTER TECHNOLOGIES (ADMINISTERED INSURANCE GUARANTY ASSOCIATION ---AL AMACORE DIRECT MARKETING, INC. (LIFEGUARD BY PREMIER HEALTHCARE EXCHANGE DBA ZELIS) SERVICES) ALABAMA TRUCKING ASSOCIATION ---AL ALLIANCE NATIONAL INSURANCE MASTER AMALGAMATED LIFE INSURANCE CO ALASKA CARE ---AK ALLIANCE PPO, LLC AMALGAMATED TRANSIT UNION DIVISION 1001 H&W ALASKA CHILDRENS SERVICES ---AK ALLIANCE, THE ---IL TRUST ALASKA FOREST ASSOCIATION ---AK ALLIANCE, THE ---WI AMALGAMATED WORKERS OF NORTH AMERICA ALASKA HERE HEALTH & WELFARE ---AK WELFARE FUND ALLIANCE, THE---IA ALASKA LABORERS CONSTRUCTION ---AK AMBASSADOR CARE ALLIANT INSURANCE ALASKA NATIVE TRIBAL HEALTH PLAN ---AK AMD HEALTH PLAN (C/O ZENITH ADMINISTRATORS) ALLIANZ GLOBAL ASSISTANCE FKA SELECTCARE ALASKA PIPE TRADES 367 ---AK WORLDWIDE AMERAPLAN SECURITY CORPORATION (ADMINISTERED BY EQUIAN) ALASKA UFCW HEALTH AND WELFARE TRUST ---AK ALLIED BENEFIT SYSTEMS INC / SYNERGY PLAN LLC AMERI-PLUS SELECT SERVICES LLC ALASKAN COPPER (ADMINISTERED BY EQUIAN, HMA ALLIED BENEFIT SYSTEMS, INC. TPA) AMERIBEN SOLUTIONS ALLIED INDUSTRIES HEALTH PLAN ALBERT LEE APPLIANCE (ADMINISTERED BY EQUIAN, AMERICA’S CHOICE HEALTHPLANS, LLC (INCENTUS ALLIED NATIONAL, INC. HMA TPA) ADMINISTRATORS, OX INTERNATIONAL AND ITS

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Insurance/Payers

AFFILIATES: EQUIVANTAGE FINANCIAL CORPORATION, AMERICAN PROFESSIONAL RISK SERVICES, INC ---IN AMERIPRISE ---MI UNIMARK GENERAL AGENCY, INC., AMERICA’S CHOICE AMERICAN PROFESSIONAL RISK SERVICES, INC ---MD AMERIPRISE ---NC HEALTHPLANS, LLC, AND NATIONAL MARKETING & ADMINISTRATION, ACH BETA, LLC) AMERICAN PROFESSIONAL RISK SERVICES, INC ---ME AMERIPRISE ---NJ AMERICAN ADMINISTRATORS AMERICAN PROFESSIONAL RISK SERVICES, INC ---SD AMERIPRISE ---NV AMERICAN AIRLINES AMERICAN PROFESSIONAL RISK SERVICES, INC ---VT AMERIPRISE ---NY AMERICAN BENEFIT CORPORATION AMERICAN PROFESSIONAL RISK SERVICES, INC ---WV AMERIPRISE ---OH AMERICAN BENEFIT CORPORATION ---WV AMERICAN PROFESSIONAL RISK SERVICES, INC ---WY AMERIPRISE ---OK AMERICAN BENEFITS ASSOCIATION (ADMINISTERED BY AMERICAN PROFESSIONAL RISK SERVICES, INC---NM AMERIPRISE ---OR PREMIER HEALTHCARE EXCHANGE DBA ZELIS) AMERICAN PROFESSIONAL RISK SERVICES, INC---RI AMERIPRISE ---PA AMERICAN BENEFITS COMPANY, INC. AMERICAN PROGRESSIVE LIFE AND HEALTH INSURANCE AMERIPRISE ---TN AMERICAN BENEFITS MANAGEMENT COMPANY OF AMERIPRISE ---TX AMERICAN COMMUNITY MUTUAL INSURANCE COMPANY AMERICAN REPUBLIC CORP INSURANCE COMPANY AMERIPRISE ---UT AMERICAN CONTINENTAL INSURANCE COMPANY AMERICAN REPUBLIC INSURANCE COMPANY AMERIPRISE ---VA AMERICAN ENTERPRISE AMERICAN RETIREMENT LIFE INSURANCE COMPANY AMERIPRISE FINANCIAL AMERICAN FAMILY INSURANCE AMERICAN SEAFOODS GROUP, LLC (ADMINISTERED BY AMERISAFE ---CA EQUIAN, HMA TPA) AMERICAN FIDELITY ASSURANCE, LBP AMERISAFE ---GA AMERICAN SPECIALTY INSURANCE AMERICAN GROUP (TN) AMERISAFE ---NC AMERICAN TRUST ADMINISTRATORS AMERICAN HEALTH, INC AMERISAFE ---PA AMERICAN WORKERS INSURANCE SERVICES (AWIS) AMERICAN HEALTHCARE ALLIANCE AMERISAFE ---VA AMERICAS CHOICE HEALTHPLANS LLC AMERICAN HYDROTECH, INC. ---IL AMERISAFE ---WA AMERICAS CHOICE/EBA AMERICAN INSURANCE AMERISAFE---SC AMERICO FINANCIAL LIFE & ANNUITY INSURANCE AMERICAN INTERNATIONAL COMPANIES COMPANY AMERISTAR CASINOS AMERICAN INTERNATIONAL GROUP (AIG) AMERICOMP BENEFITS ---GA AMERISURE INSURANCE COMPANY AMERICAN MANAGEMENT ADVISORS AMERICOMP BILLING SOLUTIONS, INC. AMERITRUST INSURANCE CORPORATION ---CA AMERICAN MANAGEMENT SYSTEMS AMERIGROUP INSURANCE COMPANY AMERITRUST INSURANCE CORPORATION ---FL AMERICAN MEDICAL BILL REVIEW/AUTO MED AMERIHEALTH AMERITRUST INSURANCE CORPORATION ---MA AMERICAN MEDICAL SECURITY AMERIHEALTH ADMINISTRATORS/ICHP (AMERIHEALTH AMERITRUST INSURANCE CORPORATION ---MD AMERICAN MEDICAL SECURITY LIFE INSURANCE HMO, INC.; AMERIHEALTH INSURANCE COMPANY AMERITRUST INSURANCE CORPORATION ---ME COMPANY (UNITED LIFE INSURANCE OF ; AND AMERIHEALTH INSURANCE COMPANY) COMPANY, INC.) AMERITRUST INSURANCE CORPORATION ---NE AMERICAN NATIONAL INSURANCE COMPANY AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY AMERITRUST INSURANCE CORPORATION ---NH AMERICAN NATIONAL LIFE INSURANCE COMPANY ---MO AMERIPLAN AMERITRUST INSURANCE CORPORATION ---NV AMERICAN NATIONAL LIFE INSURANCE COMPANY ---NY AMERIPRISE AMERITRUST INSURANCE CORPORATION ---NY AMERICAN NATIONAL LIFE INSURANCE COMPANY ---TX AMERIPRISE ---AZ AMERITRUST INSURANCE CORPORATION ---TX AMERICAN NATIONAL LIFE INSURANCE COMPANY OF AMERIPRISE ---CA AMERITRUST INSURANCE CORPORATION---KY AMERIPRISE ---GA AMESTOWN S’KLALLAM TRIBE (ADMINISTERED BY AMERICAN PIONEER LIFE INSURANCE COMPANY PREMIER HEALTHCARE EXCHANGE DBA ZELIS) AMERIPRISE ---IN AMERICAN PLAN ADMINISTRATORS AMP PLSTICS (ADMINISTERED BY PREMIER AMERIPRISE ---KY HEALTHCARE EXCHANGE DBA ZELIS) AMERICAN PROFESSIONAL RISK SERVICES, INC ---DC AMERIPRISE ---ME AMTRUST AMERICAN PROFESSIONAL RISK SERVICES, INC ---IA

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Insurance/Payers

AMWAY HEALTH PLAN ---MI ARIEL THIRD PARTY ADMINISTRATORS ---MD BRYAN MATERIALS GROUP (ADMINISTERED BY GROUP & PENSION ADMINISTRATORS) ANALYTIC ALTERNATIVE, LLC ARIEL THIRD PARTY ADMINISTRATORS ---MS ASSOCIATED BENEFITS CORPORATION ---IA ANCHOR BENEFIT CONSULTING, INC ARIEL THIRD PARTY ADMINISTRATORS ---NJ ASSOCIATED PLAN ADMINISTRATORS INC/COLUMBUS ANDERSON REGIONAL MEDICAL CENTER ARIEL THIRD PARTY ADMINISTRATORS ---PA (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE ASSOCIATED SURGEONS & PHYSICIANS LLC ARIES FREIGHT SYSTEMS, LP (ADMINISTERED BY DBA ZELIS) (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE GROUP & PENSION ADMINISTRATORS) DBA ZELIS) ANDREWS EXCAVATING ---PA ARIES INSURANCE COMPANY ASSOCIATION COUNSEL FOR THE ACCUSED ANGEL OF THE WINDS CASINO (ADMINISTERED BY ARISE/WPS ---WI (ADMINISTERED BY EQUIAN, HMA TPA) EQUIAN, HMA TPA) ARISSA COST STRATEGIES ASSOCIATION MASTER TRUST ANGELINA COUNTY (ADMINISTERED BY GROUP & PENSION ADMINISTRATORS) METROPOLITAN TRUST ---AZ ASSURANCE GROUP INC, THE (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE DBA ZELIS) ANPAC ARIZONA PIPE TRADES HEALTH AND WELFARE FUND ---AZ ASSURANT HEALTH ANTARES MANAGEMENT SOLUTIONS ARKANSAS PIPE TRADES HEALTH AND WELFARE FUND ASSURE CARE ---MI ANTARES MANAGEMENT SOLUTIONS ---OH ---AR ASSURE CARE RISK MANAGEMENT ANTARES PROTECTIVE LIFE INSURANCE ARMED FORCES INSURANCE ASSURED BENEFIT ADMINISTRATORS ANTHEM HEALTH PLANS OF , INC. ARMOUR RISK ---NJ ASSURED BENEFITS ADMINISTRATORS ---AZ ANTHEM INSURANCE COMPANIES, INC. ARNOLD OIL COMPANY OF AUSTIN, LP (ADMINISTERED ASSURED BENEFITS ADMINISTRATORS ---TX ANTHEM WORKERS COMPENSATION BY GROUP & PENSION ADMINISTRATORS) ASSURED BENEFITS ADMINISTRATORS---NM ANTHONY TERRASSE MD (ADMINISTERED BY PREMIER AS&G CLAIMS ADMINISTRATION HEALTHCARE EXCHANGE DBA ZELIS) ASU GROUP ASBESTOS WORKERS LOCAL 8 ---OH APACHE INDUSTRIAL SERVICES, INC. (ADMINISTERED BY ASURIS NORTHWEST HEALTH (ADMINISTERED BY ASCENDANT HEALTHCARE GROUP & PENSION ADMINISTRATORS) EQUIAN) ASCENDANT HEALTHCARE ---CA APARTMENT LIFE (ADMINISTERED BY GROUP & ATLANTA PUBLIC SCHOOLS ---GA PENSION ADMINISTRATORS) ASCENT MANAGEMENT INC ATLANTIC MEDICAL IMAGING APEA AFT ---AK ASE/AFSCME L 52 HEALTH BENEFITS ---AK ATLAS ADMINISTRATORS INC APEX BENEFITS SERVICES, LLC ASEA/AFSCME L 52 HEALTH BENEFITS TRUST AUBURN CITY POLICE DEPARTMENT APPALACHIAN BENEFIT ADMINISTRATORS ---NC ASERT BENEFIT AULTCARE APPALACHIAN CLAIMS SERVICE ASHLAND FOOD COOPERATIVE (ADMINISTERED BY AULTCARE ---OH EQUIAN, HMA TPA) APPLIED ECOLOGICAL SERVICES (ADMINISTERED BY AULTCARE CORPORATION PREMIER HEALTHCARE EXCHANGE DBA ZELIS) ASM ACQUISITION INC (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE DBA ZELIS) AULTRA ADMINISTRATIVE GROUP APPLIED TECHNICAL SERVICES CORP (ADMINISTERED BY EQUIAN, HMA TPA) ASPEN ADMINISTRATORS AUTO CLUB ASSOCIATION ---AR APR ASR CORPORATION AUTO CLUB ASSOCIATION ---CA APWU HEALTH PLANS ASR HEALTH PLANS (ASR CORP) AUTO CLUB ASSOCIATION ---KS ARC BEST CORP ASRM, LLC AUTO CLUB ASSOCIATION (AAA) ARCORP, LLC (ARC ADMINISTRATORS) ASSIST-CARD OF FLORIDA, INC AUTO INJURY SOLUTIONS ARGO INSURANCE COMPANY ASSOCIATED ADMINISTRATORS (4MOST) AUTO INJURY SOLUTIONS, INC. ARGONAUT INSURANCE COMPANY ASSOCIATED ADMINISTRATORS LLC ---MD AUTO OWNERS (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE DBA ZELIS) ARIEL CORPORATION ---OH ASSOCIATED ANESTHESIOLOGISTS OF FORT WA (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE AUTOMATED BENEFIT SERVICES (ABS/US HEALTH AND ARIEL THIRD PARTY ADMINISTRATORS ---CO DBA ZELIS) LIFE) ARIEL THIRD PARTY ADMINISTRATORS ---KS ASSOCIATED BENEFIT PLAN ADMINISTRATORS, INC. DBA AUTOMATED GROUP ADMINISTRATORS

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Insurance/Payers

AUTOMOBILE MECHANICS LOCAL 701 ---IL AUXIANT / MASTERMOLD LLC AVANDE, LLC AUTOZONE AUXIANT / MB COMPANIES AVERA HEALTH PLAN AUXIANT AUXIANT / MERRILL IRON & STEEL AVERA HEALTH PLANS ---SD AUXIANT ---IA AUXIANT / METROPOLITAN ASSOCIATES AVMED HEALTH PLANS AUXIANT ---WI AUXIANT / MID-STATE GROUP INC AVMED HEALTH PLANS ---FL AUXIANT (MEDICAL BENEFIT ADMINISTRATORS) AUXIANT / MIDLAND PLASTICS INC AXIS SERVICES, INC. AND AXIS INSURANCE COMPANY AUXIANT / A & B PROCESS SYSTEMS AUXIANT / MIDWEST WIRE PRODUCTS LLC AZ FOUNDATION FOR MED CARE ---AZ AUXIANT / ADAMS COLUMBIA ELECTRIC COOP AUXIANT / MINIATURE PRECISION COMPONENTS AZLGEBT (A.K.A. ARIZONIA LOCAL GOVERNMENT) AUXIANT / AJ MANUFACTURING AUXIANT / MLSNA DAIRY SUPPLY INC B.J BALDWIN ELECTRIC---PA AUXIANT / AMERICAN STATE EQUIPMENT AUXIANT / OAKDALE ELECTRIC COOP BABB, INC. AUXIANT / APPLIED ECOLOGICAL SERVICES INC AUXIANT / OCENCO INC BABER’S CHECK NOW (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE DBA ZELIS) AUXIANT / BAND BOX CLEANERS & LAUNDRY INC AUXIANT / OCONTO ELECTRIC COOP BABER’S INC. (ADMINISTERED BY GROUP & PENSION AUXIANT / BOSTON INC AUXIANT / PLYCO CORPORATION ADMINISTRATORS) AUXIANT / DELTA DENTAL OF WI INC AUXIANT / POMP’S TIRE SERVICE INC BAC LOCAL UNION 15 WELFARE FUND ---KS AUXIANT / FIRST SUPPLY LLC AUXIANT / REEDSBURG AREA MEDICAL CENTER BADEN SPORTS, INC. (ADMINISTERED BY EQUIAN, HMA AUXIANT / FLASH INC AUXIANT / RIPON PICKLE CO INC TPA) AUXIANT / GENERAL BEVERAGE MADISON AUXIANT / SAND CASTLE INVESTMENTS LLC BAKER BENEFITS ADMINISTRATORS AUXIANT / GI ASSOCIATES LLC AUXIANT / SCENIC RIVERS ENERGY COOP BAKER BENEFITS ADMINISTRATORS ---TX AUXIANT / GO RITEWAY TRANSPORTATION GROUP AUXIANT / SCHOOL DISTRICT OF WEYAUWEGA BAKER GROUP, THE (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE DBA ZELIS) AUXIANT / GREAT LAKES VENEER INC AUXIANT / SCOTT CONSTRUCTION INC BAKER NORTH, INC. (ADMINISTERED BY GROUP AUXIANT / GREAT MIDWEST BANK SSB AUXIANT / SHARED MEDICAL SERVICES & PENSION ADMINISTRATORS) AUXIANT / GUNDERSON INC AUXIANT / SMC METAL FABRICATORS INC BAKERY & CONFECTION HEALTH & PENSION FUND AUXIANT / HALLMAN LINDSAY QUALITY PAINTS AUXIANT / STOCKBRIDGE MUNSEE COMMUNITY BAKERY & CONFECTIONERY UNION & INDUSTRY AUXIANT / HEHLI VOLD CORPORATION AUXIANT / SUPERIOR CHIPPEWA INDIANS AKA LAC DU INTERNATIONAL HEALTH BENEFITS FUND FLAMBEAU AUXIANT / HO-CHUNK NATION BAKERY AND SALES DRIVERS AUXIANT / T & T TOOL INC AUXIANT / ARCHITECTURAL PLYWOOD BALDWIN COUNTY ---AL AUXIANT / THE INSURANCE CENTER INC AUXIANT / J.H. FINDORFF & SON INC. BALDWIN WALLACE UNIVERSITY (ADMINISTERED BY AUXIANT / TREK BICYCLE CORPORATION PREMIER HEALTHCARE EXCHANGE DBA ZELIS) AUXIANT / JACOBUS ENERGY AUXIANT / UNITED CONSTRUCTION & REALTY INC BANK LIFE & CASUALTY AUXIANT / JERRY WILLKOMM INC AUXIANT / VOLM COMPANIES INC ET AL BANKERS FIDELITY ASSURANCE COMPANY AUXIANT / KITCHEN FRESH FOODS AUXIANT / WALWORTH COUNTY BANKERS FIDELITY LIFE INSURANCE COMPANY AUXIANT / KNIGHT BARRY TITLE INC AUXIANT / WAUPACA NORTHWOODS LLC BANKERS LIFE AND CASUALTY COMPANY AUXIANT / KUNES COUNTRY AUTO GROUP AUXIANT / WISCONSIN MUTUAL INSURANCE BANNER HEALTH SYSTEMS AUXIANT / LAKESHORE DISPLAY MANUFACTURING AUXIANT EMPLOYEES (ADMINISTERED BY PREMIER BARTELT VENTURES, INC. (ADMINISTERED BY GROUP & AUXIANT / LEE BEVERAGE OF WISCONSIN LLC HEALTHCARE EXCHANGE DBA ZELIS) PENSION ADMINISTRATORS) AUXIANT / MALLERY & ZIMMERMAN SC AUXIANT HEALTH PLAN - (ADMINISTERED BY BASHAS’ RISK MANAGEMENT ---AZ AUXIANT / MANITOWOC TOOL & MACHINING PREMIER HEALTHCARE EXCHANGE DBA ZELIS) BASIL CASTROVINCI ASSOCIATES, INC. AUXIANT / MARK’S TRANSPORTATION INC AVALON BENEFIT SERVICES BASS PRO, INC. (BIG CEDAR, LLC; TRACKER MARINE, AUXIANT / MARKING SERVICES INCORPORATED AVALON HEALTH CARE CONSULTANTS, LLC DBA AVALON LLC) PLUS

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Insurance/Payers

BAY BRIDGE ADMINISTRATORS, LLC BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL SERVICE / ADVANCE SCREW PRODUCTS CO SERVICE / E80 PLUS CONSTRUCTORS LLC BCI ADMINISTRATORS BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL BDG BENEFITS DESIGN GROUP INC SERVICE / ADVANCE SCREW PRODUCTS INC SERVICE / EAU ZONE INC BED BATH & BEYOND BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL BED DAVIS INC SERVICE / AJ TOOL COMPANY INC SERVICE / ERV SMITH SERVICES (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL DBA ZELIS) SERVICE / ALLIED DIES INC SERVICE / FIVE STAR TELECOM BEECH STREET OF , IN BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL BELLEVUE CHRISTIAN SCHOOL (ADMINISTERED BY SERVICE / AMERICAN PHOENIX INC SERVICE / FOX VALLEY WOOD PRODUCTS EQUIAN, HMA TPA) BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL BEN-E-LECT SERVICE / ASHLAND COUNTY SERVICE / GORDY’S FOOD AND LIQUOR INC BENEFIT & RISK MANAGEMENT SERVICES BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL SERVICE / BALLWEG MANAGMENT SERVICES SERVICE / GORDYS MARKET INC BENEFIT ADMINISTRATION & INSURANCE SERVICES LLC BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL BENEFIT ADMINISTRATION SERVICES LIMITED (BAS; SERVICE / BARIBEAU IMPLEMENT CO INC SERVICE / GRAF CREAMERY INC BENEFIT ADMINISTRATION SERVICES) BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL BENEFIT ADMINISTRATIVE SYSTEMS SERVICE / BONE & JOINT CLINIC SC SERVICE / GRANITE PEAK CORPORATION BENEFIT ADMINISTRATIVE SYSTEMS / ANDIES CANDIES BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL BENEFIT ADMINISTRATIVE SYSTEMS / BLACHFORD INC SERVICE / BROWNS LIVING LLC SERVICE / GRASSLAND DAIRY PRODUCTS INC BENEFIT ADMINISTRATIVE SYSTEMS / SCHAEFFER BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL MANUFACTURING COMPANY SERVICE / CESA 10 SERVICE / GUMZ MUCK FARMS LLC BENEFIT ADMINISTRATIVE SYSTEMS / STRAUSS HEALTH BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL & BENEFIT PLAN SERVICE / CHIPPEWA FALLS AREA UNIFIED SCHOOLS SERVICE / HARTJE LUMBER INC BENEFIT ADMINISTRATOR SERVICES BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL SERVICE / CHIPPEWA VALLEY ORTHOPEDICS AND SERVICE / HENRY WISCONSIN LLC BENEFIT ADMINISTRATORS SERVICES ---MO SPORTS MEDICINE SC BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL BENEFIT AND RISK MANAGEMENT SERVICES INC BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL SERVICE / HOUSE OF HEATING INC BENEFIT ASSISTANCE CORP SERVICE / CHOICE PRODUCTS USA INC BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL BENEFIT ASSISTANCE CORPORATION ---WV BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL SERVICE / INDIANHEAD FOODSERVICE DISTRIBUTOR INC SERVICE / CITY OF LA CROSSE BENEFIT BUCKS, INC. BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL SERVICE / IRONWOOD PLASTICS INC BENEFIT CLAIMS PAYORS INC SERVICE / COMPUMOLD TOOL & DESIGN BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL BENEFIT CONCEPTS, INC. BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL SERVICE / KOXLIEN BROTHERS WOOD PRODUCTS BENEFIT CONSULTANTS INC SERVICE / CONSUMERS COOPERATIVE ASSOCIATION BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL BENEFIT GROUP, THE BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL SERVICE / KRATZ FARMS SERVICE / COOPER ENGINEERING CO INC BENEFIT MANAGEMENT ADMINISTRATORS ---TX BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL SERVICE / KROHN CLINIC BENEFIT MANAGEMENT ADMINISTRATORS, INC. SERVICE / COULEE BANK BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL BENEFIT MANAGEMENT SERVICES BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL SERVICE / MARKET & JOHNSON INC BENEFIT MANAGEMENT SERVICES ---LA SERVICE / DIOCESE OF LACROSSE-LAY GROUP BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL BENEFIT MANAGEMENT SYSTEMS, INC. BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL SERVICE / MARKETING FOCUS INC SERVICE / DIOCESE OF LACROSSE-PRIEST FUND BENEFIT MANAGEMENT, INC. (MO) ---MO BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL SERVICE / MARKQUART AUTOMOTIVE INC BENEFIT MANAGEMENT, INC. AKA BENEFIT SERVICE / DORO INC MANAGEMENT CONSULTANT BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL SERVICE / MARKQUART INC BENEFIT PLAN ADMINISTRATORS

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Insurance/Payers

BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL BEST LIFE AND HEALTH INSURANCE COMPANY (BEST SERVICE / MASON SHOE COMPANY INC SERVICE / WESTCONSIN CREDIT UNION EMPLOYER BENEFIT SOLUTIONS, INC., BEST LIFE HEALTH INSURANCE CO.) BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL SERVICE / MCDONOUGH MANUFACTURING COMPANY SERVICE / WORKFORCE CONNECTIONS INC BEVERAGE DRIVERS LOCAL 792 ---MN BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL BIBB COUNTY PUBLIC SCHOOLS ---GA SERVICE / MILLIS TRANSFER SERVICE / WS DARLEY & COMPANY BIG 4 ERECTORS, LP (ADMINISTERED BY GROUP & BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL PENSION ADMINISTRATORS) SERVICE / MILTRIM FARMS INC SERVICE / ZIMBRICK INC BITUMINOUS INSURANCE COMPANIES BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL BLALOCK CONSTRUCTION ---AL SERVICE / NORTHERN BATTERY SERVICE / ZIMMERMAN TRANSFER BLESSING CORPORATE SERVICES BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL BENEFIT PLAN ADMINISTRATORS OF EAU CLAIRE SERVICE / NORTHERN CROSSARM CO INC (MINTON FINANCIAL SERVICE, BENEFIT PLAN BLOODWORKS NORTHWEST (ADMINISTERED BY ADMINISTRATORS) EQUIAN, HMA TPA) BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL SERVICE / PARK RIDGE DISTRIBUTING INC BENEFIT PLAN ADMINISTRATORS, INC. (VA) BLUE RIDGE TISSUE AKA NATIONAL PACKAGIN (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL BENEFIT PLAN MANAGEMENT, INC. DBA ZELIS) SERVICE / PRIESTS OF THE SACRED HEART BENEFIT PLAN SERVICES BLUEGRASS FAMILY HEALTH PLAN ---TN BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL BENEFIT PLANNERS, INC ---AL SERVICE / R STRESAU LABORATORY INC BMI BENEFITS, LLC BENEFIT PLANNERS, INC ---TX BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL BMI-HEALTHPLANS SERVICE / RIVER RIDGE SCHOOL DISTRICT BENEFIT RESOURCES, INC. BOB EVANS FARMS INC BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL BENEFIT RISK MANAGEMENT SERVICES ---CA BOB MCCLOSKEY INSURANCE/BMI BENEFITS SERVICE / ROTTINGHAUS COMPANY INC BENEFIT SERVICES OF PA BOGALUSA SCHOOL BOARD (ADMINISTERED BY BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL BENEFIT SERVICES, INC. (BSI) PREMIER HEALTHCARE EXCHANGE DBA ZELIS) SERVICE / RURAL COMMUNICATIONS DBA BEVCOMM BENEFIT SOLUTIONS, INC BOGGUS MOTOR SALES II, LLC (ADMINISTERED BY BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL GROUP & PENSION ADMINISTRATORS) SERVICE / SENN BLACKTOP INC BENEFIT SUPPORT, INC. BOILERMAKERS BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL BENEFIT SYSTEMS & SERVICES, IN SERVICE / SFI INC BOLLINGER STUDENT BUSINESS COLLEGE LEVEL BENEFITCIAL IN HOME CARE INC. (ADMINISTERED BY (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL EQUIAN, HMA TPA) DBA ZELIS) SERVICE / SOLUTIONS 7 INC BENEFITS INCORPORATED BOLLINGER, INC. BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL BENESYS, INC. SERVICE / SPENCER IGA DBA A-F COUNTY MARKET BOLLINGER/FOWLER BENICOMP, INC. BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL BOON ADMINISTRATIVE SERVICES, INC. SERVICE / ST JOSEPH EQUIPMENT INC BENMARK ADMINISTRATORS, LLC BOON-CHAPMAN BENEFIT ADMINISTRATORS BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL BENTEGRITY SOLUTIONS BOON-CHAPMAN, INC. ---TX SERVICE / STI HOLDINGS INC BENTON COUNTY GOVERNMENT (ADMINISTERED BY BOSTON PLASTERERS ---MA BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL GROUP & PENSION ADMINISTRATORS) SERVICE / THALER OIL COMPANY INC BOSTWICK-BRAUN COMPANY (ADMINISTERED BY BERGEN COMMUNITY COLLEGE (ADMINISTERED BY GROUP & PENSION ADMINISTRATORS) BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL PREMIER HEALTHCARE EXCHANGE DBA ZELIS) SERVICE / TIMBER TECHNOLOGIES LLC BOULDER ADMINISTRATION SERVICES INC BERKLY ---TN BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL BOYD BROTHERS TRANSPORTATION ---AL BERKSHIRE HATHAWAY HOMESTATE COMPANIES SERVICE / VERITAS STEEL LLC BPA BERTCH CABINET MANUFACTURING, INC. BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL (ADMINISTERED BY GROUP & PENSION BRAGG AND ASSOCIATES, INC ---CA SERVICE / VITERBO UNIVERSITY INC ADMINISTRATORS) BRAGG AND ASSOCIATES, INC ---NV BENEFIT PLAN ADMINISTRATORS MINTON FINANCIAL BERWANGER OVERMYER ASSOCIATES SERVICE / WELD, RILEY, PRENN & RICCI SC BRAGG AND ASSOCIATES, INC ---OR

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Insurance/Payers

BRAGG AND ASSOCIATES, INC ---TN BULK TRANSIT CORPORATION (ADMINISTERED BY CAPE RESORTS MANAGEMENT, INC. (ADMINISTERED BY GROUP & PENSION ADMINISTRATORS) GROUP & PENSION ADMINISTRATORS) BRENNER TANK LLC ---WI BUNCH & ASSOCIATES, INC CAPITAL DISTRICT PHYSICIANS HEALTH PLAN BRENTWOOD SERVICES, INC ---GA BURGER KING CORPORATION CAPITAL DISTRICT PHYSICIANS HEALTH PLAN ---NY BRENTWOOD SERVICES, INC ---IL BURROWS MILLWORKS, INC. (ADMINISTERED BY CAPITAL INSURANCE BRENTWOOD SERVICES, INC ---IN GROUP & PENSION ADMINISTRATORS) CAPITAL PUMPING, LP (ADMINISTERED BY GROUP & BRENTWOOD SERVICES, INC ---KY BUSINESS ADMINISTRATORS & CONSULTANTS PENSION ADMINISTRATORS) BRENTWOOD SERVICES, INC ---MT BUSINESS INSURANCE GROUP, LLC ---AL CAPITOL ADMINISTRATORS BRENTWOOD SERVICES, INC ---NC BUSINESS SOLUTIONS, LLC (ADMINISTERED BY GROUP CAPITOL ADMINISTRATORS A LUCENT COMPANY BRENTWOOD SERVICES, INC ---OH & PENSION ADMINISTRATORS) CAPITOL ADMINISTRATORS OF THE SOUTHEAST, LLC BRENTWOOD SERVICES, INC ---TN BUSINESSFIRST INSURANCE COMPANY CAPITOL ADMINISTRATORS, INC. BRENTWOOD SERVICES, INC ---VA BUTLER BENEFIT SERVICE INC CAPROCK HEALTHPLANS BRENTWOOD SERVICES, INC ---WV C.H. CARPENTER LUMBER---MN CARDEA HEALTH SOLUTIONS BRETHREN MUTUAL INSURANCE COMPANY C&O EMPLOYEES’ HOSPITAL ASSOCIATION ---VA CARDINAL ADMINISTRATIVE SVCS BREVARD PARTNERSHIP NETWORK ---FL CADENT ADMINISTRATORS INC CAREATC M4088 (ADMINISTERED BY PREMIER BRICK MASONS TRUST FUND CALIFORNIA INDEMNITY ---CA HEALTHCARE EXCHANGE DBA ZELIS) BRICKLAYERS - LOCAL 6 ---AL CALIFORNIA WATER SERVICES (CWS) ---CA CARECONNECT INSURANCE COMPANY, INC. AND AFFILIATES (NORTH SHORE-LIJ CARECONNECT BRIDGEFIELD CASUALTY INSURANCE COMPANY CALVO’S INSURANCE UNDERWRITERS, INC. INSURANCE AGENCY, INC., CARECONNECT BRIDGEFIELD EMPLOYERS INSURANCE COMPANY CALVO’S SELECT CARE HEALTHPLAN ADMINISTRATIVE SERVICES, INC.), FKA NORTH SHORE-LIJ CARECONNECT INSURANCE COMPANY, INC. BRIDGESPAN (ADMINISTERED BY EQUIAN) CAM ADMINISTRATIVE SERVICES, INC. AND AFFILIATES (NORTH SHORE-LIJ CARECONNECT BRIDGESTONE AMERICAS, INC. CAMBRIDGE COLLEGE (ADMINISTERED BY PREMIER INSURANCE AGENCY, INC., CARECONNECT HEALTHCARE EXCHANGE DBA ZELIS) ADMINISTRATIVE SERVICES, INC.) BRIDGESTONE/FIRESTONE INC CAMBRIDGE INSURANCE CO. ---IA CAREINGTON INTERNATIONAL CORPORATION BROADREACH MEDICAL RESOURCES, INC. CANADIAN MEDICAL NETWORK CAREPOINT BROADSPIRE SERVICES, INC. CANADIAN MEDICAL NETWORK – SEVEN CORNERS CARESOURCE-KENTUCKY MARKETPLACE BROETJE ORCHARDS (ADMINISTERED BY EQUIAN) CANAL INSURANCE CO. ---AK CAREY INTERNATIONAL ---FL BROKERAGE CONCEPTS, INC. (AKA BENEFIT CONCEPTS, INC.) CANAL INSURANCE CO. ---AL CAREY INTERNATIONAL ---MA BROTHERHOOD MUTUAL CANAL INSURANCE CO. ---CA CAREY INTERNATIONAL ---OH BROWN AND BIGELOW ---CA CANAL INSURANCE CO. ---FL CAREY INTERNATIONAL---SC BROWN AND BIGELOW ---MD CANAL INSURANCE CO. ---GA CARIOTI JEWELERS (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE DBA ZELIS) BROWN AND BIGELOW ---NJ CANAL INSURANCE CO. ---KS CAROLINA BENEFIT ADMINISTRATORS BROWN AND BIGELOW ---NY CANAL INSURANCE CO. ---MA CARPENTER CONTRACTORS OF AMERICA BROWN COUNTY SHERIFFS DEPT CANAL INSURANCE CO. ---MO CARPENTERS DISTRICT COUNCIL OF ---IL BRUNER MOTORS, INC. (ADMINISTERED BY GROUP & CANAL INSURANCE CO. ---MS PENSION ADMINISTRATORS) CARPENTERS H&W TRUST OF ST LOUIS ---MO CANAL INSURANCE CO. ---NC BRUNSWICK COMMUNITY COLLEGE (ADMINISTERED BY CARPENTERS LOCAL 491 HEALTH & WELFARE PLAN CANAL INSURANCE CO. ---OH PREMIER HEALTHCARE EXCHANGE DBA ZELIS) ---MD CANAL INSURANCE CO. ---TN BT ACQUISITION, INC. FKA BIG TEX TRAILERS CARPENTERS SOUTHERN CALIFORNIA ---CA MANUFACTURING, INC. (ADMINISTERED BY GROUP & CANASSISTANCE CARPENTERS’ BENEFIT FUND PENSION ADMINISTRATORS) CANNON COCHRAN MANAGEMENT SERVICES, INC. (AKA CARSONS INC (ADMINISTERED BY PREMIER CCMSI MIDLAND, LLC) HEALTHCARE EXCHANGE DBA ZELIS)

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Insurance/Payers

CARTER EXPRESS, INC. (ADMINISTERED BY GROUP & CENTER FOR HEART HEALTH, LLC (ADMINISTERED BY CHRISTENSEN INC (ADMINISTERED BY EQUIAN, HMA PENSION ADMINISTRATORS) PREMIER HEALTHCARE EXCHANGE DBA ZELIS) TPA) CAS BENEFIT PLANS ---WA CENTRAL DATA SERVICES, INC. CHRISTIAN BROTHERS ---CA CASCADE DAFO (ADMINISTERED BY EQUIAN, HMA TPA) CENTRAL TECHNICAL COLLEGE (ADMINISTERED CHRISTIAN BROTHERS EMPLOYEE BE BY PREMIER HEALTHCARE EXCHANGE DBA ZELIS) CASCADE WINDOWS EMPLOYEE BENEFIT PLAN CHRISTIAN BROTHERS SERVICES (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE CENTRAL RESERVE LIFE INSURANCE CHRISTIAN CARE MINISTRY AKA MEDI-SHARE, DBA ZELIS) CENTRAL SECURITY LIFE INSURANCE COMPANY ---TX FORMERLY AEA INTERNATIONAL CASCADIAN M&D FUND LLC (ADMINISTERED BY CENTRAL STATE UNIVERSITY (ADMINISTERED BY CHRISTIAN FIDELITY LIFE INSURANCE COMPANY EQUIAN, HMA TPA) PREMIER HEALTHCARE EXCHANGE DBA ZELIS) CHRISTIAN HEALTH AID CASS COUNTY GOVERNMENT (ADMINISTERED BY CENTRAL STATES H&W FUND GROUP & PENSION ADMINISTRATORS) CHRISTIANSON AIR CONDITIONING & PLUMBING CENTRAL STATES SOUTHEAST AND SOUTHWEST AREAS (ADMINISTERED BY GROUP & PENSION CASTO TECHNICAL SERVICES ---WV HEALTH & WELFARE FUND ADMINISTRATORS) CATHEDRAL ROCK MANAGEMENT, LP BY AND ON CENTRAL UNITED LIFE INSURANCE COMPANY, INC. CHUBB INSURANCE BEHALF OF ITS ENTITIES (ADMINISTERED BY GROUP & PENSION ADMINISTRATORS) CENTURY HEALTHCARE CHURCH COMMUNITIES CATHOLIC DIOCESE OF EL PASO TX ---TX CENTURY PLANNERS CHURCH MUTUAL CATSKILL AREA SCHOOLS EMPLOYEE BENEFIT PLAN CERCO I, INC. (ADMINISTERED BY GROUP & PENSION CIGNA HEALTH AND LIFE INSURANCE COMPANY ADMINISTRATORS) CBA CIGNA HEALTHCARE CERNER CORPORATION CBA-SERRA COMM MEDICAL CTR EMPLOYEES CIGNA HEALTHCARE ( GENERAL LIFE (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE CFBB ---CA INSURANCE COMPANY) DBA ZELIS) CHAMPION INT’L CORPORATION CIGNA SUPPLEMENTAL BENEFITS CBCA - SAVANNAH ---GA CHANGE HEALTHCARE PAYER PAYMENT INTEGRITY, LLC CIGNA/GREAT WEST LIFE CBCA W J JONES ADMINISTRATORS - F/K/A TC3 HEALTH INC. CINCINNATI CASUALTY CBSA CHARLES ZUGERMAN MD LLC (ADMINISTERED BY CINCINNATI INSURANCE ---AL PREMIER HEALTHCARE EXCHANGE DBA ZELIS) CCMSI CINCINNATI INSURANCE ---GA CHARTER BENEFIT ADMINISTRATORS CCR CINCINNATI INSURANCE ---NC CHARTER CONSTRUCTION (ADMINISTERED BY EQUIAN, CCS HOLDINGS, LTD. PARTNERSHIP HMA TPA) CINCINNATI INSURANCE ---TN CDS HEALTH PLANS CHARTER/ POLARIS CINCINNATI INSURANCE---PA CDS HEALTH PLANS ---NV CHARTIS CINCINNATI INSURANCE---SC CELADON GROUP, INC. (ADMINISTERED BY GROUP & CHEESMAN, LLC (ADMINISTERED BY GROUP & PENSION CIRCLE S ENTERPRISE (ADMINISTERED BY PREMIER PENSION ADMINISTRATORS) ADMINISTRATORS) HEALTHCARE EXCHANGE DBA ZELIS) CELTIC INSURANCE COMPANY CHEMGLASS CIS RISK MANAGEMENT SERVICES, INC. CELTIC LIFE INSURANCE COMPANY CHESAPEAKE EMPLOYERS INSURANCE COMPANY ---MD CITIES AND VILLAGES MUTUAL INSURANCE CEMENT MASONS CHESMAR HOMES, LTD (ADMINISTERED BY GROUP & CITY ELECTRIC SUPPLY COMPANY (ADMINISTERED BY CEMENT MASONS & PLASTERERS HEALTH & WELFARE PENSION ADMINISTRATORS) GROUP & PENSION ADMINISTRATORS) TRUST CHESTERFIELD RESOURCES ---OH CITY MASONRY, INC. (ADMINISTERED BY GROUP & CENERO, LLC (ADMINISTERED BY GROUP & PENSION PENSION ADMINISTRATORS) CHILDREN’S CLINIC, THE (ADMINISTERED BY EQUIAN, ADMINISTRATORS) HMA TPA) CITY OF AMARILLO ---TX CENTENE MANAGEMENT COMPANY CHINESE COMMUNITY HEALTH PLAN CITY OF CLINTON (ADMINISTERED BY PREMIER CENTER FOR GYNECOLOTY & COSMETICS HEALTHCARE EXCHANGE DBA ZELIS) CHIZEK TRANSPORT INC (ADMINISTERED BY PREMIER (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE HEALTHCARE EXCHANGE DBA ZELIS) CITY OF DAVENPORT ---IA DBA ZELIS) CHOICECARE NETWORK CITY OF EVERETT (ADMINISTERED BY EQUIAN, HMA TPA)

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Insurance/Payers

CITY OF FOND DU LAC (ADMINISTERED BY PREMIER CLASSIC CARRIERS, INC. (ADMINISTERED BY GROUP & COFFEE COUNTY SCHOOLS (ADMINISTERED BY HEALTHCARE EXCHANGE DBA ZELIS) PENSION ADMINISTRATORS) PREMIER HEALTHCARE EXCHANGE DBA ZELIS) CITY OF HOLLYWOOD (FLORIDA) ---FL CLASSIC CARS (ADMINISTERED BY PREMIER COFFEY COMMUNICATIONS, INC. (ADMINISTERED BY HEALTHCARE EXCHANGE DBA ZELIS) EQUIAN, HMA TPA) CITY OF KENT CORRECTIONS CLEAR ONE HEALTH PLANS, INC. COFINITY HEALTH BENEFITS CITY OF LAKELAND, FL, THE CLEARWATER SERVICES (ADMINISTERED BY PREMIER COFINITY, INC. CITY OF LAS VEGAS FIREFIGHTERS HEALTH AND HEALTHCARE EXCHANGE DBA ZELIS) WELFARE TRUST COHO (ADMINISTERED BY EQUIAN) CLETEX TRUCKING, INC. (ADMINISTERED BY GROUP & CITY OF MARYSVILLE/MARYSVILLE POLICE DEP COLBY COLLEGE (ADMINISTERED BY PREMIER PENSION ADMINISTRATORS) HEALTHCARE EXCHANGE DBA ZELIS) CITY OF MIDWEST CITY CLEVELAND BROTHERS---PA COLIBRI SOLUTIONS (ADMINISTERED BY PREMIER CITY OF MONTGOMERY ---AL CLEVELAND CLINIC HEALTH SYSTEM HEALTHCARE EXCHANGE DBA ZELIS) CITY OF NORTH MIAMI BEACH, FL, THE CLIENT FIRST HEALTH PLANS (ADMINISTERED BY COLLEGE OF THE ATLANTIC (ADMINISTERED BY CITY OF PLANT CITY, FL, THE GROUP BENEFIT SERVICES) PREMIER HEALTHCARE EXCHANGE DBA ZELIS) CITY OF PUYALLUP (ADMINISTERED BY EQUIAN, HMA CLIENT FIRST NATIONAL, INC. COLONIAL GROUP ---CO TPA) CLINTON’S DITCH COLONIAL GROUP INTERNATIONAL CITY OF REDMOND (ADMINISTERED BY EQUIAN, HMA CM HIGH---PA COLONIAL HEALTHCARE, INC. TPA) CMC ICOS BIOLOGIES, INC. (ADMINISTERED BY EQUIAN, COLONIAL PENN LIFE INSURANCE COMPANY CITY OF RENTON (ADMINISTERED BY EQUIAN, HMA TPA) HMA TPA) CHOICE HEALTH PLANS DBA SAN LUIS CITY OF RENTON RETIREES (ADMINISTERED BY EQUIAN, CMN – EUROP ASSISTANCE VALLEY HMO HMA TPA) CMN, INC. COLORADO CONTRACTORS TRUST CITY OF SARASOTA PPO AND EPO (FLORIDA) ---FL CMR ADMINISTRATORS, INC. COLORADO FARM BUREAU ---CO CITY OF SPRINGFIELD CNA - TPA MANAGEMENT COLORADO LABORERS HEALTH & WELFARE TRUST CITY OF TUKWILA (ADMINISTERED BY EQUIAN, HMA FUND OF CO TPA) CNA AFFINITY COLORADO NORTHWESTERN (ADMINISTERED BY CITY OF TURLOCK (ADMINISTERED BY PREMIER CNA INSURANCE COMPANIES PREMIER HEALTHCARE EXCHANGE DBA ZELIS) HEALTHCARE EXCHANGE DBA ZELIS) CNIC COLORADO VALLEY TELEPHONE COOPERATIVE CITY OF VENICE (FLORIDA) ---FL CNIC HEALTH SOLUTIONS (CHOICE NET) (ADMINISTERED BY GROUP & PENSION CITY OF YORK ()---PA ADMINISTRATORS) CNO SERVICES, LLC CL FRATES & COMPANY/PLICO HEALTH COLUMBIA COUNTY ---GA CO-ORDINATED BENEFIT PLANS, INC. CLAIM MANAGEMENT SERVICES INC COLUMBIA INSURANCE GROUP COALITION AMERICA AP CLAIM TECHNOLOGIES INCORPORATED COMBINED BENEFITS ADMINISTRATORS, LLC COASTAL ADMINISTRATIVE SERVICES DBA CAS BENEFIT CLAIMDOC LLC PLANS COMBINED INSURANCE COMPANY OF AMERICA CLAIMS & BENEFIT MANAGEMENT COASTAL ADMINISTRATIVE SVCS INC DBA CAS BENEFIT COMBINED LIFE INSURANCE COMPANY OF NEW YORK PLANS ---WA CLAIMS ADMINISTRATIVE SERVICES ---IL COMBINED UNDERWRITERS LIFE INSURANCE COMPANY COASTAL CREDIT, LLC (ADMINISTERED BY GROUP & CLAIMS ADMINISTRATIVE SERVICES ---KY COMLUX AMERICA, LLC (ADMINISTERED BY GROUP & PENSION ADMINISTRATORS) PENSION ADMINISTRATORS) CLAIMS ADMINISTRATIVE SERVICES ---OH COATINGS & ADHESIVES CORPORATION (ADMINISTERED COMMERCE BANK ---CO CLAIMS ADMINISTRATIVE SERVICES ---TX BY GROUP & PENSION ADMINISTRATORS) COMMERCE BANK ---IL CLAIMS MANAGMENT OF ---MO COCA COLA ENTERPRISES COMMERCE BANK ---KS CLARIAN HEALTH PARTNERS AKA SENATE HEALTH PLAN COCA-COLA BOTTLERS’ ASSOCIATION SOLUTIONS COMMERCE BANK ---OH COEUR D’ALENE TRIBE AND RESORT (ADMINISTERED BY CLARION BENEFITS ADMINISTRATION LLC EQUIAN, HMA TPA) COMMERCE BANK ---OK COMMERCE BENEFITS GROUP, INC.

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Insurance/Payers

COMMERCIAL TRAVELERS MUTUAL INSURANCE COMPREHENSIVE BENEFITS COMPSTAR SYSTEMS, INC ---AK COMPANY COMPREHENSIVE BENEFITS ---VA COMPSTAR SYSTEMS, INC ---AZ COMMODITY SPECIALISTS COMPANY---MN COMPREHENSIVE BENEFITS ADMINISTRATOR INC ---MA COMPSTAR SYSTEMS, INC ---CO COMMON GROUND (ADMINISTERED BY EQUIAN) COMPREHENSIVE BENEFITS ADMINISTRATOR, INC. COMPSTAR SYSTEMS, INC ---FL COMMUNITY ADMINISTRATORS (CBA) COMPSTAR SYSTEMS, INC ---GA COMMUNITY CARE ---MI COMPREHENSIVE BENEFITS SERVICE INC.---PA COMPSTAR SYSTEMS, INC ---HI COMMUNITY CARE ---NY COMPREHENSIVE CARE SERVICES / ACA CATHOLIC COMPSTAR SYSTEMS, INC ---KY CHARITIES MN450 COMMUNITY CARE HMO, COMMUNITY CARE LIFE AND COMPSTAR SYSTEMS, INC ---MD HEALTH INSURANCE COMPANY, AND HOSPITAL CLAIMS, COMPREHENSIVE CARE SERVICES / ACTION FLOOR INC. SYSTEMS LLC COMPSTAR SYSTEMS, INC ---MO COMMUNITY HEALTH ALLIANCE (ADMINISTERED BY COMPREHENSIVE CARE SERVICES / ARTISANS COMPSTAR SYSTEMS, INC ---NC HEALTHSCOPE BENEFITS) COMPREHENSIVE CARE SERVICES / BRENNY COMPSTAR SYSTEMS, INC ---VA COMMUNITY HEALTH CENTER (ADMINISTERED BY TRANSPORTATION INC COMPSTAR SYSTEMS, INC ---WA GROUP & PENSION ADMINISTRATORS) COMPREHENSIVE CARE SERVICES / CATHOLIC COMPSTAR SYSTEMS, INC---PA COMMUNITY HEALTH OF CENTRAL CHARITIES BUREAU INC (ADMINISTERED BY EQUIAN, HMA TPA) COMPSTAR SYSTEMS, INC---SC COMPREHENSIVE CARE SERVICES / CEDAR COMMUNITY INSURANCE COMPANY CORPORATION COMPTECH GROUP LLC COMP IQ COMPREHENSIVE CARE SERVICES / CITY OF AUSTIN COMPTECH GROUP, THE COMPANION ---AL COMPREHENSIVE CARE SERVICES / DIOCESE OF COMPUSYS SUPERIOR INC COMPANION ---AR CONCENTRA MANAGED CARE COMPREHENSIVE CARE SERVICES / GENESIS COMPANION ---DC CONCENTRA PREFERRED SYSTEMS, INC. INDUSTRIES COMPANION ---FL CONCENTRA UNIVERSAL CARE WP COMPREHENSIVE CARE SERVICES / HANKS SPECIALTIES COMPANION ---GA INC CONCENTRIX INSURANCE ADMINISTRATION SOLUTIONS CORPORATION COMPANION ---IL COMPREHENSIVE CARE SERVICES / JEFF FOSTER TRUCKING INC CONCIERGE ADMINISTRATIVE SERVICES, LLC AKA COMPANION ---KY CONCIERGE BENEFIT SERVICES COMPREHENSIVE CARE SERVICES / MARINE CREDIT COMPANION ---MD UNION CONCORDIA CARE, INC. COMPANION ---MS COMPREHENSIVE CARE SERVICES / OSI CONFEDERATED TRIBES OF GRAND RONDE COMPANION ---NC ENVIRONMENTAL INC (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE DBA ZELIS) COMPANION ---NJ COMPREHENSIVE CARE SERVICES / SARATOGA LIQUOR COMPANY INC CONFEDERATED TRIBES OF THE WARM SPR, THE COMPANION ---NV (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE COMPREHENSIVE CARE SERVICES / ST CROIX COMPANION ---TN DBA ZELIS) CHIPPEWA INDIANS OF WISCONSIN COMPANION ---WI CONIFER HEALTH SOLUTIONS COMPREHENSIVE CARE SERVICES / TUOHY FURNITURE COMPANION---SC CONMED HEALTHCARE COMPREHENSIVE CARE SERVICES / UPPER LAKES COMPASS ROSE BENEFITS GROUP FOODS, INC CONMED HEALTHCARE MANAGEMENT ---CA COMPCARE HEALTH SERVICES INSURANCE COMPANY COMPREHENSIVE CARE SERVICES INC (CCSTPA) CONMED HEALTHCARE MANAGEMENT ---CO COMPETITIVE HEALTH LIMITED BENEFIT PLAN COMPREHENSIVE COST SOLUTIONS ---HI CONMED HEALTHCARE MANAGEMENT ---FL COMPETITIVE HEALTH, INC. AND ACCESS ONE COMPREHENSIVE COST SOLUTIONS ---MO CONMED HEALTHCARE MANAGEMENT ---MS CONSUMER HEALTH, INC. COMPREHENSIVE COST SOLUTIONS ---NC CONMED HEALTHCARE MANAGEMENT ---NY COMPFIRST COMPREHENSIVE COST SOLUTIONS ---WA CONMED HEALTHCARE MANAGEMENT ---OK COMPLEX CHEMICAL CO INC (ADMINISTERED BY COMPREHENSIVE COST SOLUTIONS---PA CONNECTICARE PREMIER HEALTHCARE EXCHANGE DBA ZELIS)

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Insurance/Payers

CONNECTICARE ---CT CONTINENTAL WESTERN GROUP ---IA CORVALLIS CLINIC (ADMINISTERED BY EQUIAN, HMA TPA) CONNECTICARE ---MA CONTINENTAL WESTERN GROUP ---IL CORVEL HEALTHCARE CORPORATION CONNECTICARE, INC. & AFFILIATES CONTINENTAL WESTERN GROUP ---IN COST OF WISCONSIN (ADMINISTERED BY PREMIER CONNECTICUT PIPE TRADES HEALTH FUND ---CT CONTINENTAL WESTERN GROUP ---KS HEALTHCARE EXCHANGE DBA ZELIS) CONRON & ASSOCIATES (ADMINISTERED BY PREMIER CONTINENTAL WESTERN GROUP ---MI COTIVITI HEALTHCARE EXCHANGE DBA ZELIS) CONTINENTAL WESTERN GROUP ---MO COTTINGHAM & BUTLER CONSECO CONTINENTAL WESTERN GROUP ---ND COTTINGHAM & BUTLER / BAY INDUSTRIES, INC CONSECO MEDICAL INSURANCE COMPANY (BANKERS CONTINENTAL WESTERN GROUP ---NE LIFE & CASUALTY CO; PIONEER LIFE INSURANCE COTTINGHAM & BUTLER / BETHEL HOME & SERVICE, COMPANY; WASHINGTON NATIONAL INSURANCE CONTINENTAL WESTERN GROUP ---SD INC COMPANY) CONTINENTAL WESTERN GROUP ---WI COTTINGHAM & BUTLER / BROOKS TRACTOR INC CONSOCIATE GROUP CONTINENTAL WESTERN GROUP ---WY COTTINGHAM & BUTLER / CARE WISCONSIN FIRST INC CONSOCIATE GROUP ---IL CONTINENTAL WESTERN GROUP---MN COTTINGHAM & BUTLER / CITY OF LAKE GENEVA CONSOCIATE GROUP / SLOAN IMPLEMENT COMPANY CONTINENTAL WESTERN INSURANCE CO. COTTINGHAM & BUTLER / COTTINGHAM & BUTLER INC CONSOCIATE GROUP DBA CONSOCIATE GROUP---TN CONTRACT CLAIMS SERVICES, INC COTTINGHAM & BUTLER / CULVER FRANCHISING CONSOLIDATED ASSOCIATION OF RAILROAD EMPLOYEES SYSTEM INC CONTRACT PHARMACY SERVICES, INC. (ADMINISTERED CONSOLIDATED BENEFITS RESOURCES BY GROUP & PENSION ADMINISTRATORS) COTTINGHAM & BUTLER / FEHR GRAHAM & ASSOCIATES CONSOLIDATED HEALTH PLAN (ADMINISTERED BY COOPERATIVA DE SEGUROS DE VIDA DE PR COTTINGHAM & BUTLER / HEART OF AMERICA PREMIER HEALTHCARE EXCHANGE DBA ZELIS) MANAGEMENT, LLC COOPERATIVE MANAGED CARE SERVICES, LLC (CMCS) CONSOLIDATED HEALTH PLANS, INC. COTTINGHAM & BUTLER / HODGE COMPANY CORE MANAGEMENT RESOURCES CONSOLIDATED RESTAURANTS (ADMINISTERED BY COTTINGHAM & BUTLER / JACK WALTERS & SONS CORP CORE RISK EQUIAN, HMA TPA) COTTINGHAM & BUTLER / LAKESIDE INTERNATIONAL CORECHOICE, INC. CONSOLIDATED SERVICES GROUP, INC. TRUCKS CORESOURCE INC. CONSTITUTION LIFE INSURANCE COMPANY COTTINGHAM & BUTLER / LIME ROCK SPRINGS CORLISS RESOURCES, INC. (ADMINISTERED BY EQUIAN, COMPANY CONSTRUCTION BENEFIT ADMINISTR HMA TPA) COTTINGHAM & BUTLER / MANSUR TRUCKING INC CONSTRUCTION INDUSTRY & LABORERS HEALTH & CORNERSTONE BENEFITS ADMIN WELFARE TRUST COTTINGHAM & BUTLER / NORD GEAR CORPORATION CORNERSTONE BENEFITS ADMINISTRATOR ---IN CONSTRUCTION INDUSTRY LABORERS WELFARE FUND COTTINGHAM & BUTLER / ORTHO MOLECULAR ---KS CORNERSTONE BENEFITS ADMINISTRATOR, INC. PRODUCT INC PROVIDENT NUTRACEUTICA CONSTRUCTION INDUSTRY WELFARE FUND CORNERSTONE HEALTH GROUP COTTINGHAM & BUTLER / QUALITY LIQUID FEEDS INC CONSTRUCTION SUPPLIERS FUND A ---KS CORNERSTONE PREFERRED RESOURCES COTTINGHAM & BUTLER / RAND’S TRUCKING INC CONSTRUCTION SUPPLIERS FUND B ---KS CORPORATE BENEFIT CONSULTANTS INC/PHA COTTINGHAM & BUTLER / RICHLAND HOSPITAL INC CONSTRUCTION WORKERS TRUST FUND ---MD CORPORATE BENEFIT SERVICES, INC. COTTINGHAM & BUTLER / SPUNCAST INC CONSUMER CHOICE HEALTH PLAN (ADMINISTERED BY CORPORATE BENEFITS SERVICE OF AMERICA (CBSA, COTTINGHAM & BUTLER SISCO HEALTHSCOPE BENEFITS) INC.) COUNTRY MUTUAL INSURANCE CO. CONTAINER STORE, INC., THE (ADMINISTERED BY CORPORATE DIVERSIFIED SERVICES COUNTRYSIDE RENTALS, INC. DBA RENT 2 GROUP & PENSION ADMINISTRATORS) CORPORATE HEALTH PLANS OF AMERICA, INC. OWN (ADMINISTERED BY GROUP & PENSION CONTINENTAL BENEFITS, LLC ADMINISTRATORS) CORPORATE MANAGEMENT PLAN CONTINENTAL GENERAL INSURNACE COMPANY COUNTY COLLEGE OF MORRIS (ADMINISTERED BY CORPORATE SYSTEMS ADMINISTRATI PREMIER HEALTHCARE EXCHANGE DBA ZELIS) CONTINENTAL LIFE INSURANCE COMPANY OF CORPORATE SYSTEMS ADMINISTRATION, INC BRENTWOOD, TENNESSEE COUNTY OF CARROLL (ADMINISTERED BY GROUP & CORRECTCARE INTEGRATED HEALTH PENSION ADMINISTRATORS) CONTINENTAL WESTERN GROUP ---CO

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Insurance/Payers

COUNTY OF RIVERSIDE AKA EXCLUSIVE CARE CURTIS C. GUNN, INC. (ADMINISTERED BY GROUP & DALLAS RETIREMENT VILLAGE (ADMINISTERED BY PENSION ADMINISTRATORS) EQUIAN, HMA TPA) COUNTY OF RIVERSIDE, CA. ---CA CWI BENEFITS DAN FREITAS ELECTRIC (ADMINISTERED BY PREMIER COUTURE DRAPES CO. (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE DBA ZELIS) HEALTHCARE EXCHANGE DBA ZELIS) CWI BENEFITS INC ---SC DAN SHIPLEY, ARCHITECT LLC (ADMINISTERED BY COVENANT ADMINISTRATORS INC (GA) CYPRESS BENEFIT ADMIN LLC PREMIER HEALTHCARE EXCHANGE DBA ZELIS) COVENANT CHRISTIAN SCHOOL (ADMINISTERED BY CYPRESS BENEFIT ADMINISTRATORS / BROWNS LIVING DANIEL H. COOK ASSOCIATES PREMIER HEALTHCARE EXCHANGE DBA ZELIS) CYPRESS BENEFIT ADMINISTRATORS / CASTLE SALES DANIEL H. COOK ASSOCIATES, INC.---PA COVENANT CHURCH (ADMINISTERED BY GROUP & CO INC PENSION ADMINISTRATORS) DARI-MART INC (ADMINISTERED BY EQUIAN, HMA TPA) CYPRESS BENEFIT ADMINISTRATORS / CRYSTAL PRINT COVENANT GROUP SERVICES INC DATAXPORT NET, LLC COVERDELL & COMPANY, INC. CYPRESS BENEFIT ADMINISTRATORS / CUSTOM MARINE DCA, INC. INC COW CREEK BANK OF UMPQUA TRIBE (ADMINISTERED DEAN HEALTH PLAN INC PREMIER MEDICAL INSURANCE BY PREMIER HEALTHCARE EXCHANGE DBA ZELIS) CYPRESS BENEFIT ADMINISTRATORS / CYPRESS GROUP BENEFIT ADMINISTRATORS EMPLOYEES COX HEALTH PLAN ---MO DEAN HEALTH PLAN INC PREMIER MEDICAL INSURANCE CYPRESS BENEFIT ADMINISTRATORS / DAAR GROUP / CITY OF JANESVILLE COX HEALTHPLAN (COX HEALTH SYSTEMS INSURANCE ENGINEERING INC COMPANY; COX HEALTH SYSTEMS HMO, INC.) DEAN HEALTH PLAN INC PREMIER MEDICAL INSURANCE CYPRESS BENEFIT ADMINISTRATORS / DOOR COUNTY GROUP / GRANT REGIONAL HEALTH CENTER CPC LOGISTICS COOPERATIVE DEAN HEALTH PLAN INC PREMIER MEDICAL INSURANCE CREATIVE ALTERNATIVES (ADMINISTERED BY PREMIER CYPRESS BENEFIT ADMINISTRATORS / FOX WORLD GROUP / HOSPITAL SISTERS HEALTH SYSTEM HEALTHCARE EXCHANGE DBA ZELIS) TRAVEL DEAN HEALTH PLAN INC PREMIER MEDICAL INSURANCE CREATIVE PLAN ADMINISTRATORS LLC ---CT CYPRESS BENEFIT ADMINISTRATORS / HALRON GROUP / JONES DAIRY FARM CREATIVE PLAN ADMINISTRATORS, LLC LUBRICANTS DEAN HEALTH PLAN INC PREMIER MEDICAL INSURANCE CREATIVE RISK SOLUTIONS CYPRESS BENEFIT ADMINISTRATORS / KELLER INC GROUP / TPA GRANT REGIONAL HEALTH CENTER CREST FOODS (ADMINISTERED BY PREMIER CYPRESS BENEFIT ADMINISTRATORS / MSA DEAN HEALTH PLAN INC PREMIER MEDICAL INSURANCE HEALTHCARE EXCHANGE DBA ZELIS) PROFESSIONAL SERVICES INC GROUP / UNVIERSAL ACOUSTICS & EMISSIONS TECHNOLOGIES CRESTPOINT HEALTH CYPRESS BENEFIT ADMINISTRATORS / PENZEYS LTD DEAN HEALTH PLAN, INC. ---WI CRF AFFORDABLE HOUSING, INC. (ADMINISTERED BY CYPRESS BENEFIT ADMINISTRATORS / SECURA GROUP & PENSION ADMINISTRATORS) INSURANCE COMPANY DEAN WORD COMPANY (ADMINISTERED BY GROUP & PENSION ADMINISTRATORS) CROELL REDI-MIX, INC. (ADMINISTERED BY GROUP & CYPRESS BENEFIT ADMINISTRATORS / SERVICE MOTOR PENSION ADMINISTRATORS) COMPANY DEDC, INC. DBA DOW ELECTRONICS (ADMINISTERED BY GROUP & PENSION ADMINISTRATORS) CROELL, INC. (ADMINISTERED BY GROUP & PENSION CYPRESS BENEFIT ADMINISTRATORS / SHADY LANE INC ADMINISTRATORS) DEFINITI HEALTHCARE MANAGEMENT CYPRESS BENEFIT ADMINISTRATORS / SILICA APPLIANCE CROSS COUNTY SCHOOL DISTRICT (ADMINISTERED BY & ELECTRONICS DELAWARE COLLEGE OF ART AND DESIGN PREMIER HEALTHCARE EXCHANGE DBA ZELIS) (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE CYPRESS BENEFIT ADMINISTRATORS / SJOBERG TOOL & DBA ZELIS) CROSSROADS HEALTHCARE MANAGEMENT, LLC MANUFACTURING CORPORATION DELAWARE COUNTY GOVERNMENT (ADMINISTERED BY CRYSTAL RUN HEALTH INSURANCE COMPANY, INC. CYPRESS BENEFIT ADMINISTRATORS / TTI INC GROUP & PENSION ADMINISTRATORS) CSO D C 1707 HEALTH & BENEFIT FUND DELTA HEALTH SYSTEMS CTI D.H. EVANS ASSOCIATES, INC.---PA DELTA HEALTH SYSTEMS ---CA CTI ADMINISTRATORS, INC. D.R. HOMES, LLC (ADMINISTERED BY PREMIER DELTA HEALTH SYSTEMS ---UT HEALTHCARE EXCHANGE DBA ZELIS) CULINARY DELTA MARINE INDUSTRIES, INC. (ADMINISTERED BY DAKOTACARE ---SD CUMBERLAND INSURANCE EQUIAN, HMA TPA) DAKOTACARE ADMINISTRATIVE SERVICES CURE AUTO INSURANCE DENISON UNIVERSITY (ADMINISTERED BY PREMIER DALLAS NATIONAL HEALTHCARE EXCHANGE DBA ZELIS)

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Insurance/Payers

DERMATOLOGY ASSOCIATES (ADMINISTERED BY DUCKWATER SHOSHONE TRIBE EDUCATORS MUTUAL INSURANCE ASSOCIATION PREMIER HEALTHCARE EXCHANGE DBA ZELIS) DULUTH BUILDING TRADES---MN EDUCATORS MUTUAL LIFE DESERET MUTUAL BENEFIT ADMIN DUNCANSON & HOLT ADMIN SRV INC EL PASO FIRST HEALTH PLANS, INC. DBA PREFERRED DESERET MUTUAL BENEFIT ADMIN ---UT ADMINISTRATORS DUNN & ASSOCIATION BENEFIT ADMINISTRATORS DETEX (ADMINISTERED BY GROUP & PENSION ELAP SERVICES, LLC (ADMINISTERED BY GROUP & DYLAN CONSULTING SERVICES, LLC ADMINISTRATORS) PENSION ADMINISTRATORS) E L DELLINGER ORTHODONTICS LLC (ADMINISTERED BY DETROIT MEDICAL CENTER ELECTRIC INSURANCE COMPANY PREMIER HEALTHCARE EXCHANGE DBA ZELIS) DEVON HEALTH SERVICES ELECTRIC MIRROR, INC. (ADMINISTERED BY EQUIAN, E-Z MART STORES, INC. (ADMINISTERED BY GROUP & HMA TPA) DEVON ROUTER (ADMINISTERED BY PREMIER PENSION ADMINISTRATORS) HEALTHCARE EXCHANGE DBA ZELIS) ELECTRICAL WELFARE TRUST FUND ---MD EA INSURANCE DIAMONDBACK MANAGEMENT SERVICES, ELECTRICAL WORKERS (IBEW) PASS ISD (ADMINISTERED BY GROUP & PENSION LTD. (ADMINISTERED BY GROUP & PENSION ADMINISTRATORS) ELECTRICIANS HEALTH AND WELFARE, LOCAL 995 ADMINISTRATORS) (FKA. BATON ROUGE HEALTH AND WELFARE PLAN, EAST OREGONIAN PUBLISHING COMPANY DICK LAVY TRUCKING, INC. (ADMINISTERED BY GROUP LOCAL 995) (ADMINISTERED BY EQUIAN, HMA TPA) & PENSION ADMINISTRATORS) ELITE BROKERAGE SERVICE EASTEX TELEPHONE ---TX DICKINSON WEBBER ELMCO EBAM CORPORATION DIGESTIVE HEALTH SPECIALISTS (ADMINISTERED BY ELMCO ---CA EQUIAN, HMA TPA) EBC (ADMINISTERED BY EQUIAN) EM RISK MANAGEMENT DIN TAI FUNG (ADMINISTERED BY EQUIAN, HMA TPA) EBC (EMPLOYEE BENEFIT CONSULTANTS) EMBLEM HEALTH DIRECT HEALTHCARE, INC. EBC HILLSBORO AREA HOSPITAL (ADMINISTERED BY EQUIAN) EMC INSURANCE COMPANIES DIRECTORS GUILD OF AMERICA-PRODUCER HEALTH EBIX HEALTH ADMINISTRATION EXCHANGE, INC. (FKA EMPIRE DISTRICT ELECTRIC CO., THE DISTRICT #77 IAMAW ---IA IHC ADMINISTRATIVE SERVICES, INC. AND/OR IHC EMPLOYEE BENEFIT ADMINISTRATORS DISTRICT #77 IAMAW ---WI HEALTH SOLUTIONS, INC.) EMPLOYEE BENEFIT CLAIMS OF WISCONSIN ---WI DISTRICT #77 IAMAW---MN EBP HEALTHPLANS EMPLOYEE BENEFIT CONCEPTS, INC. DIVERSIFIED ADMINISTRATION EBPA ---NH EMPLOYEE BENEFIT CONSULTANTS DIVERSIFIED GROUP ADMINISTRATORS ---MO EBSO INC / BRAKEBUSH BROTHERS INC EMPLOYEE BENEFIT MANAGEMENT CORP DIVERSIFIED HEALTH CARE SERVICES EBSO INC / CJW INC EMPLOYEE BENEFIT MANAGEMENT SERVICES DJ ADERSON (ADMINISTERED BY PREMIER EBSO INC / MASTERGRAPHICS INC HEALTHCARE EXCHANGE DBA ZELIS) EMPLOYEE BENEFIT MANAGEMENT SERVICES ---CO EBSO INC / WHITE CONSTRUCTION COMPANY INC DOCTORS’ CHOICE ADMINISTRATORS EMPLOYEE BENEFIT MANAGEMENT SERVICES ---MT EBSO, INC. FKA EMPLOYEE BENEFIT CONSULTANTS DOGGETT CONCRETE (ADMINISTERED BY PREMIER EMPLOYEE BENEFIT MANAGEMENT SERVICES ---OR EBSO, INC. FKA SHEFFIELD OLSON & MCQUEEN HEALTHCARE EXCHANGE DBA ZELIS) EMPLOYEE BENEFIT MANAGEMENT SERVICES (EBMS) ECOM (NELIC) DOLLAR GENERAL EMPLOYEE BENEFIT PROFESSIONAL ADMINISTRATION, ECOM (PALIC) DON CHALMERS FORD (ADMINISTERED BY PREMIER INC. (EBPA) HEALTHCARE EXCHANGE DBA ZELIS) ECOM ATLANTIC, INC. (ADMINISTERED BY GROUP & EMPLOYEE BENEFIT SERVICE CENTER, THE PENSION ADMINISTRATORS) DONLEY & COMPANY EMPLOYEE BENEFIT SERVICES OF SAN ANTONIO ECOM NEW ERA (ADMINISTERED BY EQUIAN) DOUBLE DIAMOND MANAGEMENT CORP. EMPLOYEE BENEFIT SOLUTIONS, LLC (ADMINISTERED BY GROUP & PENSION ECONOMIC OPPORTUNITY COMMISSION OF NASSAU ADMINISTRATORS) COUNTY EMPLOYEE BENEFIT SYSTEMS (ADMINISTERED BY EQUIAN) DOW CORNING, INC. ED MARTIN AUTOMITIVE GROUP (ADMINISTERED BY GROUP & PENSION ADMINISTRATORS) EMPLOYEE BENEFITS ADMINISTRATION & MANAGEMENT DRAKE INSURANCE ADMINISTRATORS INC CORPORATION EDALEEN DAIRY PRODUCTS (ADMINISTERED BY DT CARSON ENTERPRISES (ADMINISTERED BY GROUP EQUIAN, HMA TPA) EMPLOYEE BENEFITS CORP. & PENSION ADMINISTRATORS)

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Insurance/Payers

EMPLOYEE BENEFITS CORP. ---WI ESURANCE FARMERS INSURANCE ---NC EMPLOYEE PLAN, LLC ETAN INDUSTRIES, INC. & AFFILIATED COMPANIES FARMERS INSURANCE ---OH (ADMINISTERED BY GROUP & PENSION EMPLOYEE PLANS LLC (IRM) FARMERS INSURANCE ---TN ADMINISTRATORS) EMPLOYEE PLANS, LLC FARMERS INSURANCE ---TX EUTECTIC CORPORATION (ADMINISTERED BY PREMIER EMPLOYEE SECURITY, INC. HEALTHCARE EXCHANGE DBA ZELIS) FARMERS INSURANCE ---UT EMPLOYEE SECURITY, INC. ---MD EVOLENT HEALTH ---VA FARMERS INSURANCE ---WI EMPLOYEE SERVICES, INC. EVOLENT HEALTH INC FARMERS INSURANCE GROUP EMPLOYER ADVANTAGE (WAUSAU TPA), THE EVOLENT HEALTH---PA FARMERS INSURANCE---MN EMPLOYER DRIVEN INSURANCE SERVICES EVOLENT HEALTH, LLC FKA EVOLENT HEALTH, INC. FARMERS INSURANCE---PA EMPLOYER PLAN SERVICES WP EVOLUTION HEALTHCARE SYSTEM FBMC EMPLOYER PLAN SERVICES, INC. EXAM WORKS ---CA FCCI INSURANCE GROUP EMPLOYERS DIRECT HEALTH, INC. EXAM WORKS ---ME FCCI PPO AND EPO EMPLOYERS HEALTH INSURANCE,INC EXAM WORKS REVIEW SERVICES, INC. FCE BENEFIT ADMINISTRATORS EMPLOYERS MUTUAL, INC. (ASCENSION) EXAMWORKS FCE BENEFIT ADMINISTRATORS ---CA ENCORE HEALTH NETWORK EXAMWORKS REVIEW SERVICES LLC FCE BENEFIT ADMINISTRATORS ---DC ENCORE/DONLEY & CO EXCEEDENT LLC FCE BENEFIT ADMINISTRATORS ---FL ENERGY PROGRAM ---KY EXCELLUS HEALTH PLANS FCE BENEFIT ADMINISTRATORS ---LA ENNIS, INC. (ADMINISTERED BY GROUP & PENSION EXPRESS BILL REVIEW FCE BENEFIT ADMINISTRATORS ---MD ADMINISTRATORS) EXPRESS SERVICES INC (ADMINISTERED BY PREMIER FCE BENEFIT ADMINISTRATORS ---TX ENT SPECIALIST (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE DBA ZELIS) FCE BENEFIT ADMINISTRATORS / CHALLENGE HEALTHCARE EXCHANGE DBA ZELIS) EXTENDED STAY AMERICA INC UNLIMITED ENTERPRISE GROUP PLANNING EXXEL PACIFIC INC (ADMINISTERED BY EQUIAN, HMA FEDERAL ASSIST ENTERPRISE RENT-A-CAR TPA) FEDERAL ASSIST, INC. ENTRUST INC FAIR ISAAC FEDERAL BLACK LUNG PROGRAM EPHARATA MANUFACTURING---PA FAIRBANKS NORTH STAR BOROUGH SCHOOL DISTRICT FEDERAL EXPRESS EPIC ADMINISTRATORS FAIRBANKS NORTHSTAR BOROUGH ---AK FEDERATED ---FL EPIC LIFE INSURANCE COMPANY FAIRMONT SPECIALTY FEDERATED ---IA EPITOME, INC. FAISON INSURANCE ASSOCIATES, I FEDERATED ---IN EQUIAN FALLON COMMUNITY HEALTH PLAN (FALLON HEALTH & FEDERATED ---KS LIFE ASSURANCE COMPANY) EQUIAN / GROUP HEALTH COOPERATIVE OF S CENTRAL FEDERATED INSURANCE WI HEOS FAMILY LIFE INSURANCE COMPANY FEDERATED INSURANCE ---TN EQUIAN AM FAMILY THRIFT CENTER (ADMINISTERED BY GROUP & PENSION ADMINISTRATORS) FEDERATED INSURANCE COMPANIES (FEDERATED EQUIAN- F/K/A HEALTH SYSTEMS INTERNATIONAL, LLC INSURANCE MAIL CODE HC06; FEDERATED MUTUAL FAMILY THRIFT STORE, INC. (ADMINISTERED BY GROUP EQUIAN-FORMERLY HEALTH SYSTEMS INT’L INSURANCE CO.) & PENSION ADMINISTRATORS) EQUINOX FEDERATED INSURANCE COMPANIES / ARNOTT FARM BUREAU - IOWA ---IA PLUMBING & HEATING LLC EQUITABLE LIFE & CASUALTY INSURANCE COMPANY FARMERS INSURANCE ---CA FEDERATED INSURANCE COMPANIES / ASH CREEK PLBG EQUITABLE PLAN SERVICES, INC. FARMERS INSURANCE ---MD & HEATING ERIN GROUP ADMINSTRATORS FARMERS INSURANCE ---MI FEDERATED INSURANCE COMPANIES / ATOMIC COUNTY COLLEGE (ADMINISTERED BY PREMIER PLUMBING & HEATING FARMERS INSURANCE ---MO HEALTHCARE EXCHANGE DBA ZELIS)

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Insurance/Payers

FEDERATED INSURANCE COMPANIES / B & B TOOL FEDERATED INSURANCE COMPANIES / FIRST NATIONAL FEDERATED INSURANCE COMPANIES / MICA TOOL & COMPANY BANK OF WAKEFIE MANUFACTURING INC FEDERATED INSURANCE COMPANIES / B & M MACHINE FEDERATED INSURANCE COMPANIES / FONDY HEATING FEDERATED INSURANCE COMPANIES / NEW AGE CORPORATION OF & AIR CHEMICAL INC FEDERATED INSURANCE COMPANIES / BARK RIVER FEDERATED INSURANCE COMPANIES / FORSLUND FEDERATED INSURANCE COMPANIES / NORTHERN AIR BIBLE CHURCH BUILDING SUPPY INC SYSTEMS INC FEDERATED INSURANCE COMPANIES / BEE WINDOW & FEDERATED INSURANCE COMPANIES / FREDONIA FEDERATED INSURANCE COMPANIES / NORTHERN SIDING CO INC AUTOMOTIVE INC COATINGS & CHEMICAL C FEDERATED INSURANCE COMPANIES / BIG VALLEY FORD FEDERATED INSURANCE COMPANIES / GLOBE FEDERATED INSURANCE COMPANIES / NORTHERN INC CONTRACTORS MACHINING & REPAIR FEDERATED INSURANCE COMPANIES / BOWE TRUCKING FEDERATED INSURANCE COMPANIES / HARMON TOOL FEDERATED INSURANCE COMPANIES / OSLER INSTITUTE & EXCAVATING & DIE INC FEDERATED INSURANCE COMPANIES / PORTAGE DIESEL FEDERATED INSURANCE COMPANIES / C & M OIL CO OF FEDERATED INSURANCE COMPANIES / HAWKS AUTO INC BESSEMER INC PARTS INC FEDERATED INSURANCE COMPANIES / POWELL FEDERATED INSURANCE COMPANIES / CHAMPION FEDERATED INSURANCE COMPANIES / HEALTH & PETROLEUM INC COMPANIES OF WI INC FITNESS HEADQUARTERS FEDERATED INSURANCE COMPANIES / PRODUCTION FEDERATED INSURANCE COMPANIES / CHRISTENSEN FEDERATED INSURANCE COMPANIES / HECKEL TOOL & SALES INC MACHINERY & SUPPLY MANUFACTURING C FEDERATED INSURANCE COMPANIES / PROFILE FEDERATED INSURANCE COMPANIES / COLFAX FARMERS FEDERATED INSURANCE COMPANIES / HEYNSSENS PLASTICS LLC UNION CO-OP SELINS FEDERATED INSURANCE COMPANIES / PWAW/WACS FEDERATED INSURANCE COMPANIES / COREY OIL LTD FEDERATED INSURANCE COMPANIES / HI STANDARD FEDERATED INSURANCE COMPANIES / QUALITY EDGE MACHINING CO FEDERATED INSURANCE COMPANIES / CORULLO INC FOREST PRODUCTS FEDERATED INSURANCE COMPANIES / IDEAL FEDERATED INSURANCE COMPANIES / RIDGLAN FARMS MANUFACTURING SOLUTIONS FEDERATED INSURANCE COMPANIES / CUSTOM INC MANUFACTURING INC FEDERATED INSURANCE COMPANIES / INFINITY EDM LLC FEDERATED INSURANCE COMPANIES / RONIOR FEDERATED INSURANCE COMPANIES / DENNISONS FEDERATED INSURANCE COMPANIES / IRELAND ENTERPRISES INC RETAIL LUMBER LLC HEATING & AIR FEDERATED INSURANCE COMPANIES / RUSSELL HOMES FEDERATED INSURANCE COMPANIES / DIAMOND FEDERATED INSURANCE COMPANIES / IRON RIVER AUTO INC INDUSTRIES INC SUPPLY FEDERATED INSURANCE COMPANIES / ST PAUL STAMP FEDERATED INSURANCE COMPANIES / DIMENSION TOOL FEDERATED INSURANCE COMPANIES / KANE ELECTRIC WORKS & TIE CORP INC FEDERATED INSURANCE COMPANIES / KOEHN & KOEHN FEDERATED INSURANCE COMPANIES / TEMPERATURE FEDERATED INSURANCE COMPANIES / DON JACOBS JEWELERS INC EQUIPMENT COMPANY IMPORTS INC FEDERATED INSURANCE COMPANIES / LINCOLN FEDERATED INSURANCE COMPANIES / THE ROWLEY FEDERATED INSURANCE COMPANIES / DONALD W SUPPLIERS INC TOOL CORP MITCHELL OD FEDERATED INSURANCE COMPANIES / LOUIE’S FINER FEDERATED INSURANCE COMPANIES / TR MACHINE INC FEDERATED INSURANCE COMPANIES / EDGAR FOOD MEATS INC FEDERATED INSURANCE COMPANIES / TUREKS CENTER INC FEDERATED INSURANCE COMPANIES / LUEDTKE PLUMBING INC FEDERATED INSURANCE COMPANIES / EICKMEYER ELECTRIC INC FEDERATED INSURANCE COMPANIES / UP MACHINE & HEATING & SHEET METAL FEDERATED INSURANCE COMPANIES / LUNDQUIST ENGINEERING INC FEDERATED INSURANCE COMPANIES / ENDEAVOR PLUMBING INC FEDERATED INSURANCE COMPANIES / PLASTIC ELECTRIC INC FEDERATED INSURANCE COMPANIES / MACQUEEN PACKAGING INC FEDERATED INSURANCE COMPANIES / FARMERS UNION EQUIPMENT INC FEDERATED INSURANCE COMPANIES / WAUKON OIL CO FEDERATED INSURANCE COMPANIES / MARK J MULLER YAMAHA FEDERATED INSURANCE COMPANIES / FECHNER LLC FEDERATED INSURANCE COMPANIES / WOLF BROTHERS ENTERPRISES INC FEDERATED INSURANCE COMPANIES / MEYERS FUEL & FEED ELECTRIC

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Insurance/Payers

FEDERATED INSURANCE COMPANIES / WOOLF FLASH INC (ADMINISTERED BY PREMIER HEALTHCARE FRONTIER DISTRIBUTING CO INC EXCHANGE DBA ZELIS) FRONTIER DOOR & CABINET (ADMINISTERED BY FEDERATED MUTUAL INSURANCE CO. FLORIDA HOSPITAL HEALTHCARE SYSTEMS ---FL EQUIAN) FEDERATED RURAL ---KY FLORIDA LEAGUE OF CITIES, INC. ---FL FRONTIER INSURANCE FEDERATED---MN FLORIDA WORKERS COMPENSATION ---FL FRONTIER INTERNATIONAL (ADMINISTERED BY EQUIAN) FEISCO FMA FRONTPATH HEALTH COALITION FELLERS (ADMINISTERED BY PREMIER HEALTHCARE FMH BENEFIT ADMINISTRATORS (FMH BENEFIT FRONTPATH HEALTH COALITION ---OH EXCHANGE DBA ZELIS) SERVICES, INC.; FMH-CORESOURCE) FROST MANAGEMENT COMPANY, INC. (ADMINISTERED FHA-TPA FMH BENEFIT SERV BY GROUP & PENSION ADMINISTRATORS) FIDELITY INSURANCE FOCUS HEALTH SOLUTIONS FRUIT OF THE LOOM FINE SWINE LLC (ADMINISTERED BY PREMIER FOCUS HEALTHCARE MANAGEMENT FULTON COUNTY ---GA HEALTHCARE EXCHANGE DBA ZELIS) FOCUS HEALTHCARE MGMT WC FUTURE CARE FIREMAN’S FUND FOOD DRUG ADMINISTRATION G5 SEARCH MARKETING, INC (ADMINISTERED BY FIRST ADMINISTRATORS INC. (FAI) EQUIAN, HMA TPA) FORESIGHT TPA (ACCESS ADMINISTRATORS, INC.) FIRST AGENCY, INC GAB ROBINS FOREST COUNTY POTAWATOMI / FOREST COUNTY FIRST AGENCY, INC ---MI MEMBER POTAWATOMI PLAN GAB/ITS FIRST ALLMERICA FINANCIAL LIFE FOREST COUNTY POTAWATOMI / NORTHERN LIGHTS GALLAGHER BASSETT CASINO FIRST BENEFITS INSURANCE GALLAGHER HEALTH STRATEGIES, INC. FOREST COUNTY POTAWATOMI COMMUNITY AND ITS FIRST CAROLINA CARE ---NC GARD (NORTH AMERICA) INC AFFILIATED PLANS FIRST CAROLINA CARE ---SC GARDEN STATE LIFE INSURANCE COMPANY FOREVER 21 INC FIRST CHOICE HEALTH NETWORK, INC. GBS - CAREPLUS FORMOST FUJI (ADMINISTERED BY EQUIAN, HMA TPA) FIRST HEALTH GEISINGER HEALTH PLAN FORMULA CORPORATION ---WA FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY GEISINGER HEALTH PLAN---PA FORTIS BENEFITS INSURANCE COMPANY FIRST HEALTH TPA GEISINGER QUALITY OPTIONS, INC. FOUNDATION FOR MEDICAL CARE ---CA FIRST KEYSTONE RISK RETENTION GEM INSURANCE FOUNDATION FOR MEDICAL CARE TULARE\KINGS FIRST MCO GEMEINHARDT MUSICAL INSTRUMENTS LLC FOUNDATION HEALTH PREFERRED ADMINISTRATORS (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE FIRST MEDICAL HEALTH PLAN, INC. FOX EVERETT DBA ZELIS) FIRST SALES (ADMINISTERED BY PREMIER HEALTHCARE FOX’S MARKET---PA GEMGROUP, THE EXCHANGE DBA ZELIS) FRANK GATES SERVICE CO., THE GENERAL FLOOR INDUSTRIES, INC. (ADMINISTERED BY FIRST SERVICE ADMINISTRATORS, INC. GROUP & PENSION ADMINISTRATORS) FRANK GATES SERVICE COMPANY, THE FIRST STATE BANK OF UVALDE (ADMINISTERED BY GENERAL INSURANCE GROUP & PENSION ADMINISTRATORS) FRANKENMUTH INSURANCE COMPANY ---MI GENEX SERVICES INC. FIRSTCARE FRANKLIN MUTUAL INSURANCE ---NJ GENWORTH FINANCIAL FIRSTCARE ---TX FRATES BENEFIT ADMINISTRATORS GENWORTH LIFE AND ANNUITY INSURANCE COMPANY FISERV/UMR FREEDOM INSURANCE GENWORTH LIFE INSURANCE COMPANY FISK UNIVERSITY (ADMINISTERED BY PREMIER FREEMAN ADMIN SOLUTIONS, INC ---TX HEALTHCARE EXCHANGE DBA ZELIS) DESIGN INC (ADMINISTERED BY PREMIER FREIGHT DRIVERS LOCAL UNION NO. 557 ---MD HEALTHCARE EXCHANGE DBA ZELIS) FIVE RIVERS CARPENTERS ---IL FRIEDLAND MISLER, PLLC ---DC GEORGE J HAYDEN ELECTRIC---PA FIVEPOINT FEDERAL CREDIT UNION (ADMINISTERED BY FRINGE BENEFIT GROUP, INC FKA EMPLOYER PLAN GROUP & PENSION ADMINISTRATORS) INSURERS INSOLVENCY POOL ---GA SERVICES, INC. FLANDREAU SANTEE SIOUX TRIBAL HEALTH CLINIC GERBER LIFE INSURANCE COMPANY

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Insurance/Payers

GETTYSBURG HEALTH ADMINISTRATORS GRAND TRUNK CORPORATION GROUP HEALTH COOPERATIVE OF EAU CLAIRE / APPLIED DATA CONSULTANTS INC GHI – NY BRIDGE PLAN GRAND WAYNE CENTER (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE DBA ZELIS) GROUP HEALTH COOPERATIVE OF EAU CLAIRE / GIBBONS, HUGHES AND ASSOCIATES, LLC DBA GH CITIZENS COMMUNITY FEDERAL WELLNESS GRANGE INSURANCE GROUP HEALTH COOPERATIVE OF EAU CLAIRE / GILSBAR, INC. GRANGE INSURANCE GROUP ---LA COUNTERTOPS INC GLENDALE BAPTIST CHURCH (ADMINISTERED BY GRANGE INSURANCE GROUP ---OK GROUP HEALTH COOPERATIVE OF EAU CLAIRE / EAU PREMIER HEALTHCARE EXCHANGE DBA ZELIS) GRANGE INSURANCE GROUP ---UT CLAIRE COUNTY GLOBAL ASSURANCE GROUP GRANT COUNTY (ADMINISTERED BY EQUIAN, HMA TPA) GROUP HEALTH COOPERATIVE OF EAU CLAIRE / EAU GLOBAL CARE, INC. CLAIRE FAMILY DENTAL GRAPHIC ARTS BENEFIT CORPORATION GLOBAL EXCEL MANAGEMENT, INC. GROUP HEALTH COOPERATIVE OF EAU CLAIRE / ELEVA GRAPHIC COMMUNICATIONS---PA STRUM SCHOOL DISTRICT GLOBAL EXCEL MANAGEMENT, INC. (ETFS) GRAVIE ADMINISTRATIVE SERVICES, LLC GROUP HEALTH COOPERATIVE OF EAU CLAIRE / FIVE GLOBAL EXCHANGE, INC. GRAY INSURANCE COMPANY, INC., THE STAR PLASTICS GLOBAL HEALTH CLAIM SERVICES, INC. GREAT AMERICAN FINANCIAL RESOURCES GROUP HEALTH COOPERATIVE OF EAU CLAIRE / GROSS GLOBAL HEALTH PROVIDER NETWORKS ---OK MOTORS INC GREAT AMERICAN INSURANCE GROUP GLOBAL MEDICAL MANAGEMENT GROUP HEALTH COOPERATIVE OF EAU CLAIRE / H GREAT AMERICAN LIFE INSURANCE COMPANY WINDOW COMPANY GLOBAL MEDICAL MANAGEMENT INC GREAT WEST GROUP HEALTH COOPERATIVE OF EAU CLAIRE / GLOBAL RISK CONSULTANTS CORP. (ADMINISTERED BY GREAT WEST CASUALTY COMPANY ---VT HUEBSCH SERVICES GROUP & PENSION ADMINISTRATORS) GREAT WEST CASUALTY COMPANY---MN GROUP HEALTH COOPERATIVE OF EAU CLAIRE / J & D GLOBAL UNDERWRITERS INC. SALES INC OF EAU CLAIRE GREAT WEST RISK MANAGEMENT GLOBALCARE INC GROUP HEALTH COOPERATIVE OF EAU CLAIRE / PRAIRIE GREATER CINCINNATI BRICKLAYERS ---OH GLOBALCARE INC AP FARM SCHOOLS GREATER CITY LABORERS WELFARE FUND ---KS GLOBALCARE INC WP GROUP HEALTH COOPERATIVE OF EAU CLAIRE / SCHOOL GREATER ST LOUIS LABORERS HEALTH FUND DISTRICT OF MONDOVI GLOBE LIFE AND ACCIDENT INSURANCE CO. GREEN INVESTMENT, LLC (ADMINISTERED BY EQUIAN, GROUP HEALTH COOPERATIVE OF EAU CLAIRE / SIEDOW GM SOUTHWEST HMA TPA) & JACKSON SC GMAC INSURANCE GREEN MOUNTAIN DOM & INTL (ADMINISTERED BY GROUP HEALTH COOPERATIVE OF EAU CLAIRE / GMMI PREMIER HEALTHCARE EXCHANGE DBA ZELIS) STANLEY BOYD AREA GMS TPA SERVICES GROUP & PENSION ADMINISTRATORS (GPA HOLDING, GROUP HEALTH COOPERATIVE OF EAU CLAIRE / VILLAGE INC.) OF WESTON GMT CORPORATION (ADMINISTERED BY GROUP & PENSION ADMINISTRATORS) GROUP ADMINISTRATORS LTD. (GAL) GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN (ADMINISTERED BY EQUIAN) GOLDEN RULE INSURANCE COMPANY GROUP ADMINISTRATORS WP GROUP HEALTH INCORPORATED (AKA GHI) GOLDEN TRAIL ADVISERS (ADMINISTERED BY PREMIER GROUP BENEFIT SERVICES HEALTHCARE EXCHANGE DBA ZELIS) GROUP HEALTH MANAGERS GROUP BENEFIT ADMINISTRATORS, INC. GOLDEN VALLEY HEALTH CENTERS (ADMINISTERED BY GROUP HEALTH NORTHWEST GROUP BENEFIT SERVICE ---MD PREMIER HEALTHCARE EXCHANGE DBA ZELIS) GROUP HEALTH OPTIONS GROUP BENEFIT SERVICE ---MO GOOD KARMA (ADMINISTERED BY PREMIER GROUP HEALTH PROGRAM OF THE NATIONAL HEALTHCARE EXCHANGE DBA ZELIS) GROUP BENEFIT SERVICES, INC. TELECOMMUNICATIONS COOPERATIVE ASSOCIATION GOODWILL INDUSTRIES (ADMINISTERED BY EQUIAN, GROUP EXECUTIVE INSURANCE MARKETING ---AZ AND ITS MEMBERS HMA TPA) GROUP HEALTH COOPERATIVE GROUP INSURANCE SERVICE CENTER GOVERNMENTAL RISK SOLUTIONS ---NC GROUP HEALTH COOPERATIVE ---ID GROUP INSURANCE SERVICE CENTER, INC. GOVERNMENTAL RISK SOLUTIONS ---SC GROUP HEALTH COOPERATIVE ---WA GROUP MANAGEMENT SERVICES INC GOVERNMENTAL RISK SOLUTIONS---PA GROUP HEALTH COOPERATIVE OF EAU CLAIRE GROUP RESOURCES, INC.

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Insurance/Payers

GROUP SERVICES & ADMINISTRATION INC HARBOR WHOLESALE GROCERY (ADMINISTERED BY HEALTH ACCESS AMERICA LLC ---NC EQUIAN, HMA TPA) GUARANTEE BANK & TRUST HEALTH ACCESS AMERICA LLC ---NV HARLEYSVILLE INSURANCE COMPANIES, THE ---MN GUARANTEE INSURANCE COMPANY HEALTH ACCESS AMERICA LLC ---TN HARMANSON COMPANY (ADMINISTERED BY EQUIAN, GUARANTEE INSURANCE RESOURCES HEALTH ACCESS AMERICA---NM HMA TPA) GUARANTEE TRUST LIFE INSURANCE CO. HEALTH ADMINISTRATION SERVICES, INC. HARRINGTON BENEFIT SERVICES GUARANTEE TRUST LIFE INSURANCE CO. ---IL HEALTH ALLIANCE ---IA HARRINGTON HEALTH GUARD INSURANCE HEALTH ALLIANCE ---IL HARRISON COUNTY (ADMINISTERED BY GROUP & GUARDIAN LIFE INSURANCE PENSION ADMINISTRATORS) HEALTH ALLIANCE MEDICAL PLANS GUARDIAN LIFE OF THE CARIBBEAN HARRISON ELECTRICAL WORKERS TRUST FUND HEALTH ALLIANCE PLAN GUIDE ONE INSURANCE HARTFORD LIFE INSURANCE CO. HEALTH CARE ADMINISTRATORS GULF COAST MEDICAL CENTER/HCA HARTFORD, THE HEALTH CARE COST MGMT CORP AK GULF COAST PRE-STRESS INC (ADMINISTERED BY HASTINGS MUTUAL INSURANCE COMPANY ---IA HEALTH CARE PLAN OF SOUTH DAKOTA MEDICAL PREMIER HEALTHCARE EXCHANGE DBA ZELIS) ASSOCIATION (SOUTH DAKOTA STATE MEDICAL HASTINGS MUTUAL INSURANCE COMPANY ---IL HOLDING COMPANY, INC. DBA DAKOTACARE AND GULF GUARANTEE ---MS HASTINGS MUTUAL INSURANCE COMPANY ---IN ITS SUBSIDIARY CORPORATIONS, DAKOTACARE GUNDERSEN HEALTH PLAN / BEHRENS MFG ADMINISTRATIVE SERVICES, INC. AND CAREWEST, INC.) HASTINGS MUTUAL INSURANCE COMPANY ---MI GUNDERSEN HEALTH PLAN / CITY OF LACROSSE HEALTH CARE PLAN OF SOUTH DAKOTA MEDICAL HASTINGS MUTUAL INSURANCE COMPANY ---OH ASSOCIATION/DAKOTACARE ---SD GUNDERSEN HEALTH PLAN / LA CROSSE BEVERAGE HASTINGS MUTUAL INSURANCE COMPANY ---WI HEALTH CHOICE INSURANCE CO GUNDERSEN HEALTH PLAN / S & S CYCLE HATTIESBURG CLINIC (ADMINISTERED BY PREMIER HEALTH CHOICE OF AMERICA, INC. GUNDERSEN HEALTH PLAN / WALSH ACE HARDWARE HEALTHCARE EXCHANGE DBA ZELIS) HEALTH CLAIMS ADMINISTRATION, INC. GUNDERSEN HEALTH PLAN FKA GUNDERSEN LUTHERAN HAWAII MAINLAND ADMINISTRATION HEALTH PLAN HEALTH CLAIMS SOLUTIONS HAWAII MAINLAND ADMINISTRATION ---HI H&B FUND ---FL HEALTH COALITION PARTNERS HAWAII MAINLAND ADMINISTRATORS HAA PREFERRED PARTNERS, L.L.C. HEALTH COST SOLUTIONS HAWAII MAINLAND ADMINISTRATORS AKA HMA TPA HAA-AXA HEALTH DESIGN PLUS, INC HAWAII-WESTERN MANAGEMENT GROUP, INC. HAAS OUTDOORS DBA MOSSY OAK (ADMINISTERED BY (HWMG), FKA HAWAII MANAGEMENT ALLIANCE HEALTH DISCOUNT SYSTEMS, INC. PREMIER HEALTHCARE EXCHANGE DBA ZELIS) ASSOCIATION HEALTH FIRST HAGERSTOWN TEAMSTERS AND MOTOR CARRIERS HAWTHORN GROUP, INC., THE (ADMINISTERED BY HEALTH FIRST ADMINISTRATIVE PLANS, INC. FKA HEALTH ---MD GROUP & PENSION ADMINISTRATORS) HEALTH FIRST HEALTH PLAN HAGERSTOWN TEAMSTERS AND MOTOR CARRIERS HCC LIFE INSURANCE COMPANY HEALTH FIRST HEALTH PLANS HEALTH AND WELFARE FUND HCCMIS (ADMINISTERED BY EQUIAN) HEALTH INFONET HALFF ASSOCIATES, INC. (ADMINISTERED BY GROUP & HDM BENEFIT SOLUTIONS PENSION ADMINISTRATORS) HEALTH INSURANCE PLAN OF GREATER NY ---NY HEALTH ACCESS AMERICA ---CA HAMBLEM COUNTY BOARD OF EDUCATION HEALTH MANAGEMENT NETWORK, INC. (A.K.A. IMX) (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE HEALTH ACCESS AMERICA ---NV HEALTH MARKETS INC DBA ZELIS) HEALTH ACCESS AMERICA ---OH HEALTH NET - BEE HANGING OUT (ADMINISTERED BY PREMIER HEALTH ACCESS AMERICA ---SC HEALTHCARE EXCHANGE DBA ZELIS) HEALTH NET - BEEACP HEALTH ACCESS AMERICA ---TN HANOVER FOODS---PA HEALTH NET - BEEWRP HEALTH ACCESS AMERICA ---TX HANOVER INSURANCE HEALTH NET ---AZ HEALTH ACCESS AMERICA LLC ---DE HANOVER INSURANCE GROUP, THE HEALTH NET ---CA HEALTH ACCESS AMERICA LLC ---LA HANOVER LANTERN---PA HEALTH NET FEDERAL HEALTH ACCESS AMERICA LLC ---MI

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Insurance/Payers

HEALTH NET OF CALIFORNIA AP HEALTHCOMP, INC. HEATING, PIPING AND REFRIGERATION MEDICAL FUND HEALTH NET OF THE NORTHEAST AP HEALTHEZ HEAVY & GENERAL LABORERS FUNDS OF NJ HEALTH NET PLAN OF CALIFORNIA HEALTHFIRST HEAVY CONSTRUCTION SYSTEMS SPECIA (ADMINISTERED BY GROUP & PENSION HEALTH NEW ENGLAND HEALTHFIRST – TRISURANT ADMINISTRATORS) HEALTH NEW ENGLAND ---CT HEALTHFIRST TPA HEP ADMINISTRATORS INC HEALTH NEW ENGLAND ---MA HEALTHFIRST TPA ---TX HERITAGE CONSULTANTS HEALTH PARTNERSHIP PROGRAM HEALTHGRAM ---NC HERITAGE CONSULTANTS WP HEALTH PLAN ADMINISTRATORS, INC. HEALTHGRAM FKA PRIMARY PHYSICIANCARE HERITAGE CONSULTATNTS - PROFESSIONAL HEALTH PLAN INTERMEDIARIES HEALTHLINK INSURANCE COMPANY ADMINISTRATORS HEALTH PLAN INTERMEDIARIES LLC ---DE HEALTHMARKETS HERR FOODS, INC.---PA HEALTH PLAN INTERMEDIARIES, LLC DBA HEALTH HEALTHMARKETS BEEWRP HFN TPA ---IL INSURANCE INNOVATIONS HEALTHMARKETS, INC., SMALL GROUP DIVISION HFN TPA ---IN HEALTH PLAN OF UPPER OHIO VALLEY, THE HEALTHNET, INC. HFN TPA ---WI HEALTH PLAN SELECT HEALTHPARTNERS HFN, INC. HEALTH PLAN SELECT ---GA HEALTHPLAN SOUTHEAST ---TX HFS HOLDING CORPORATION (ADMINISTERED BY HEALTH PLANS, INC. GROUP & PENSION ADMINISTRATORS) HEALTHPLUS OF , INC. HEALTH PLUS OF MICHIGAN ---MI HHC HEALTHRISK RESROUCE GROUP, LLC (HRGI) HEALTH SERVICES BENEFIT ADMINISTRATORS HHC GROUP HEALTHSCOPE BENEFITS / STEVENS INDUSTRIES INC HEALTH SERVICES REVIEW, INC. HIGDON GROUP, INC., THE (ADMINISTERED BY HEALTHSCOPE BENEFITS, INC. DBA HEALTHSCOPE PREMIER HEALTHCARE EXCHANGE DBA ZELIS) HEALTH SPECIAL RISK, INC. BENEFITS, INC., THE PLAN HANDLERS, INC., AND EDWARD B. MORRIS ASSOCIATES, INC. HIGHER GROUND EDUCATION (ADMINISTERED BY HEALTH SPRING PREMIER HEALTHCARE EXCHANGE DBA ZELIS) HEALTHSMART HEALTH SYSTEMS INTERNATIONAL (HSI) HIGHLAND PHYSICIANS---PA HEALTHSMART BENEFIT SOLUTIONS, INC. FKA PITTMAN HEALTH SYSTEMS TECHNOLOGY & ASSOCIATES HIGHLANDS WELLMONT HEALTH NETWORK, INC. HEALTH WEST ---NE HEALTHSMART BENEFIT SOLUTIONS, INC. FKA WELLS HIGHMARK LIFE INSURANCE COMPANY HEALTH WEST, LLC FARGO THIRD PARTY ADMINISTRATORS, INC. HINES & ASSOCIATES, INC. HEALTHALLIES HEALTHSMART HOLDINGS HKP CORP (ADMINISTERED BY GROUP & PENSION HEALTHCARE HIGHWAYS, LLC HEALTHSMART PREFERRED CARE II, LP ADMINISTRATORS) HEALTHCARE MANAGMENT ADMIN HEALTHSOURCE NEW HAMPSHIRE, INC. HM BENEFITS ADMINISTRATORS, INC. HEALTHCARE PARTNERS AFFILIATES MEDICAL GROUPS HEALTHSPRING USA, LLC. HM INSURANCE GROUP HEALTHCARE PARTNERS MEDICAL GROUP ---CA HEALTHTRANS, LLC DBA IMERICA OR INNOVATE BENEFIT HMA (ADMINISTERED BY EQUIAN) ADMINISTRATORS HEALTHCARE PAYERS COALITION OF NJ HMA INC ---HI HEALTHY ADVANTAGE FKA CLIENT FIRST NATIONAL, INC. HEALTHCARE RESOURCES GROUP HMA, LLC HEALTHY ALLIANCE® LIFE INSURANCE COMPANY HEALTHCARE SERVICES GROUP PLUS HMS PREFERRED HEALTH CHOICES INC / HEALTHY CT ---CT SOUTHWESTERN WISCONSIN SCHOOL DISTRICT HEALTHCARE SOLUTIONS GROUP, INC. HEALTHYCT INC ---CT HOGAN MANUFACTURING (ADMINISTERED BY PREMIER HEALTHCARE ST ---MS HEALTHCARE EXCHANGE DBA ZELIS) HEART CITY HEALTH CENTER (ADMINISTERED BY HEALTHCARE STRATEGIES, INC. PREMIER HEALTHCARE EXCHANGE DBA ZELIS) HOLDEN & COMPANY HEALTHCARE WORKERS COMP FUND ---AL HEARTLAND FARMS INC (ADMINISTERED BY PREMIER HOLLOW METAL TRUST FUND HEALTHCOMP ADMINISTRATORS HEALTHCARE EXCHANGE DBA ZELIS) HOLTRA CHEM ---ME HEALTHCOMP INC ---CA HEARTLAND NATIONAL LIFE INSURANCE COMPANY, INC.

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Insurance/Payers

HOMESTEADER TRAILER CO (ADMINISTERED BY HUMANA/EMPLOYERS HEALTH INSURANCE (EMPLOYERS IMA, INC. AKA INSURANCE MANAGEMENT PREMIER HEALTHCARE EXCHANGE DBA ZELIS) HEALTH INSURANCE COMPANY [HUMANA]) ADMINISTRATORS (IMA OF ) HOMETOWN HEALTH HUNT FOREST PRODUCTS (ADMINISTERED BY PREMIER IMAGINE HEALTH, INC. HEALTHCARE EXCHANGE DBA ZELIS) HOMETOWN HEALTH ---NV IMCS/INTERNATIONAL MANAGED CARE SERVICES HUNT INSURANCE GROUP INC HOMETOWN HEALTH PLAN, INC. AND HOMETOWN IMPACT RTO HOLDINGS, LLC (ADMINISTERED BY HEALTH PROVIDERS INSURANCE COMPANY, INC., DBA HUNT MEMORIAL (ADMINISTERED BY LONE STAR) GROUP & PENSION ADMINISTRATORS) ONEHEALTH I E SHAFFER & COMPANY IMPERIAL LIGHTING (ADMINISTERED BY PREMIER HONEY BAKED HAM INC HEALTHCARE EXCHANGE DBA ZELIS) I RICH KOREA COMPANY LIMITED HOPEWELL MENNONITE SHARING PLN IMT INSURANCE ---IA IAB/HEALTHCORP INTERNATIONAL HORACE MANN IMT INSURANCE ---IL IAIC HORIZON HEALTHCARE OF NEW YORK IMT INSURANCE ---NE IATSE LOCAL 22 WELFARE FUND HORIZON HEALTHCARE SERVICES, INC. DBA HORIZON IMT INSURANCE ---SD IBEELOW’S STEAKHOUSE (ADMINISTERED BY PREMIER BLUE CROSS BLUE SHIELD OF NEW JERSEY HEALTHCARE EXCHANGE DBA ZELIS) IMT INSURANCE ---WI HORNER ELECTRIC, INC. (ADMINISTERED BY GROUP & IBEW 640 ---AZ IMT INSURANCE---MN PENSION ADMINISTRATORS) IBEW LOCAL 701 IMWCA ---IA HOSPITAL BENEFITS, INC. IBEW LOCAL NO. 1 H&W FUND ---MO INCENTUS ---TX HOSPITAL BENEFITS, INC. OF FLORIDA IBEW LOCAL UNION 124 ---CA INCOMMONS BANK (ADMINISTERED BY GROUP & HOT TOPIC PENSION ADMINISTRATORS) IBEW LOCAL UNION 124 ---ID HOTEL RESTAURANT EMPLOYEES TRUST INDECS CORPORATION INDEPENDENT HEALTH IBEW LOCAL UNION 124 ---NV HOWELL INSTRUMENTS (ADMINISTERED BY GROUP & INDEPENDENCE AMERICAN INSURANCE COMPANY, PENSION ADMINISTRATORS) IBEW LOCAL UNION 124 ---OR STANDARD SECURITY LIFE INSURANCE COMPANY OF HPHG, LLC DBA CAPROCK HEALTHPLANS IBEW WESTERN UTILITIES ---UT NEW YORK, AND MADISON NATIONAL LIFE INSURANCE COMPANY, INC. HPM IBT LOCAL UNION NO. 145 ---CT INDEPENDENT FOODS, LLC (ADMINISTERED BY EQUIAN, HR SPINNER CORPORATION (ADMINISTERED BY IC INTRACORP HMA TPA) EQUIAN, HMA TPA) ICC (ADMINISTERED BY EQUIAN) INDEPENDENT HEALTH HRGI ICC INTERNATIONAL (ADMINISTERED BY EQUIAN) INDEPENDENT HEALTH ASSOC INC ---NY HS BENEFIT SUPPORT INC ICHIA (ADMINISTERED BY EQUIAN) INDEPENDENT HEALTH ASSOCIATION, INC. HSBA ICW GROUP (INDEPENDENT HEALTH CORPORATION; INDEPENDENT HSI HDS AP HEALTH BENEFITS CORPORATION) IDAHO CENTRAL CREDIT UNION (ADMINISTERED BY HSI HDS WC EQUIAN, HMA TPA) INDEPENDENT HEALTH BENEFITS CO HSI HEALTH PLANS IDAHO PIPE TRADES ---ID INDEPENDENT MEDICAL SYSTEMS (IMS) (A.K.A. NHSI) HSR ADMINISTRATORS IEES, INC. INDEPENDENT PROVIDERS CONSULTING ASSOC. (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE HTH WORLDWIDE IHC HEALTH PLANS, INC. DBA ZELIS) HUBBARD CONSTRUCTION ---FL IHC HEALTH SOLUTIONS INDIAN RIVER ---FL HUDSON AQUATIC SYSTEMS (ADMINISTERED BY IIDON, INC. (ADMINISTERED BY GROUP & PENSION INDIANA COMPREHENSIVE HEALTH INSURANCE ASSOC. PREMIER HEALTHCARE EXCHANGE DBA ZELIS) ADMINISTRATORS) ---IN HUGH M. CUNNINGHAM, INC. (ADMINISTERED BY IL PROPERTIES, LLC (ADMINISTERED BY PREMIER INDIANA HEALTH NETWORK GROUP & PENSION ADMINISTRATORS) HEALTHCARE EXCHANGE DBA ZELIS) INDIANA INSURANCE ---IA HUMAN RESOURCE BENEFIT ADMINISTRATORS, INC. ILIAD PAPER INDIANA INSURANCE ---IL HUMANA INSURANCE COMPANY ILWU-PMA INDIANA INSURANCE ---IN HUMANA, INC. ILWU-PMA ---CA INDIANA INSURANCE ---MI

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Insurance/Payers

INDIANA INSURANCE ---ND INSURANCE COMPANY OF SCOTT & WHITE INTERNATIONAL BENEFITS ADMINISTRATION INDIANA INSURANCE ---NE INSURANCE DESIGN ADMINISTRATORS (ADMINISTERED INTERNATIONAL BENEFITS ADMINISTRATORS BY PREMIER HEALTHCARE EXCHANGE DBA ZELIS) INDIANA INSURANCE ---SD INTERNATIONAL COMMUNITY HEALTH SERVICES INSURANCE MANAGEMENT ADMINISTRATORS, INC. (IMA (ADMINISTERED BY EQUIAN, HMA TPA) INDIANA INSURANCE ---WI OF LOUISIANA) INTERNATIONAL EDUCATIONAL EXCHANGE SERVICES INDIANA INSURANCE---MN INSURANCE MANAGEMENT SERVICES INTERNATIONAL MEDICAL GROUP (IMG) INDIANA PHOENIX INC (ADMINISTERED BY PREMIER INSURANCE MANAGEMENT SERVICES IMS HEALTHCARE EXCHANGE DBA ZELIS) INTERNATIONAL MEDICAL SERVICES INSURANCE MANAGMENT SERVICES TPO INDIANA STATE COUNCIL OF ROOFERS HEALTH AND INTERNATIONAL SOS ASSISTANCE INC WELFARE FUND OF IOWA--INDIANA-KENTUCKY- INSURANCE PROGRAMMERS, INC. INTERPATH LABORATORY, INC. (ADMINISTERED BY MISSOURI-OHIO-WEST VIRGINIA INSURANCE SERVICES OF AMERICA EQUIAN, HMA TPA) INDIANA UNIVERSITY HEALTH INSURANCE SERVICES OF LUBBOCK INTERWEST HEALTH, LLC INDIANA UNIVERSITY HEALTH ---IN INSURANCE SERVICES, LLC INTRACORP INDUSTRIAL MARKETING (ADMINISTERED BY GROUP & INSURANCETPA LIMITED BENEFIT PLAN INVENTIV MEDICAL MANAGEMENT, LLC PENSION ADMINISTRATORS) INSURANCETPA STM (ADMINISTERED BY PREMIER INVESTCO FINANCIAL CORP. (ADMINISTERED BY INETICO, INC. HEALTHCARE EXCHANGE DBA ZELIS) EQUIAN, HMA TPA) INFORMED 9000 INSURANCETPA.COM, INC. IOA RE INFORMED LLC/CONIFER HEALTH SOLUTIONS INSURERS ADMIN CORP IOWA NATIONAL INSURANCE COMPANY INFORMED, LLC INSURERS ADMIN CORP ---AZ IPM HEALTH & WELFARE ---CA ING - MEDICAL RISK SOLUTIONS INSURERS ADMINISTRATIVE CORPORATION IPMG ING EMPLOYEE BENEFITS INSUREX BENEFITS ADMIN INC IPMG EBS INGENEX INSUREX HOLDINGS, INC. IPMG-EMPLOYEE BENEFITS SERVICES INHEALTH (ADMINISTERED BY HEALTHSCOPE BENEFITS) INT. UNION OF OPERATING ENGINE IRON WORKERS INJURED WORKERS INSURANCE FUND INTEGRA ADMINISTRATIVE GROUP IRON WORKERS DIST COUNSIL INNOVATE REINSURANCE GROUP INTEGRA BENEFIT MANAGEMENT SERVICES IRON WORKERS H&W TRUST FUND FOR CO INNOVATIVE CLAIM SOLUTIONS INTEGRA EMPLOYER HEALTH IRONWORKERS INTERMOUNTAIN HEALTH & WELFARE INNVENTURES IVI, LLC (ADMINISTERED BY GROUP & TRUST (C/O COMPUSYS) INTEGRA EMPLOYER HEALTH, LLC DBA MAESTRO PENSION ADMINISTRATORS) HEALTH ISLAND GROUP ADMINISTRATION INSURA PROPERTY & CASUALTY CO. ---CA INTEGRA GROUP ---NH ISM-MICHIGAN LUTHERAN HIGH SCHOOL INSURA PROPERTY & CASUALTY CO. ---CT (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE INTEGRA GROUP ---VT DBA ZELIS) INSURA PROPERTY & CASUALTY CO. ---GA INTEGRITY ADMINISTRATORS ISONOVA TECHNOLOGIES (ADMINISTERED BY PREMIER INSURA PROPERTY & CASUALTY CO. ---KY INTEGRITY BENEFIT NETWORK, THE HEALTHCARE EXCHANGE DBA ZELIS) INSURA PROPERTY & CASUALTY CO. ---TX INTER VALLEY HEALTH PLAN ITI INDIANA LLC (ADMINISTERED BY PREMIER INSURA PROPERTY AND CASUALTY COMPANY HEALTHCARE EXCHANGE DBA ZELIS) INTER-AMERICAS INSURANCE CORPORATION, INC. INSURANCE & RISK MANAGEMENT ITT HARTFORD LIFE INSURANCE COMPANY INTERMEDIARY INSURANCE SERVICES INSURANCE ADMIN OF AMERICA IU MEDICAL GROUP P CARE INTERMOUNTAIN UFCW ---NV INSURANCE ADMINISTRATIVE CORPORATION IAC IUOE LOCAL 25 MARINE DIVISION MEDICAL PLAN INTERMOUNTAIN UFCW ---UT INSURANCE ADMINISTRATIVE SOLUTIONS, LLC IUOE LOCAL NO. 132 H&W FUND ---WV INTERMOUNTAIN UNITED FOOD & COMMERCIAL INSURANCE ADMINISTRATOR WORKERS AND FOOD INDUSTRY HEALTH FUND IVAR’S INC. (ADMINISTERED BY EQUIAN, HMA TPA) INSURANCE ADMINISTRATORS OF AMERICA, INC. INTERNATIONAL BENEFIT ADMINISTRATORS LLC IVY TECH COMMUNITY COLLEGE OF INDIANA (INTERNATIONAL BENEFITS ADMINISTRATORS) (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE INSURANCE CLAIM SERVICES INC DBA ZELIS)

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Insurance/Payers

J & S FOREIGN CAR REPAIR (ADMINISTERED BY JP, INC. DBA JASPER PLASTICS SOLUTIONS KENTUCKY ACCESS ---KY PREMIER HEALTHCARE EXCHANGE DBA ZELIS) (ADMINISTERED BY GROUP & PENSION KENTUCKY COAL PRODUCERS ---KY ADMINISTRATORS) J P FARLEY CORPORATION KENTUCKY HEALTH ADMINISTRATORS, LLC ---KY JSA P5 UTAH, LLC J SMITH LANIER AND COMPANY ADMINISTRATORS, INC. KENTUCKY LEAGUE OF CITIES ---KY JSL ADMINISTRATORS J SMITH LANIER WP KENTUCKY SCHOOL BOARD INSURANCE TRUST ---KY JW TERRILL J T S ENTERPRISES OF TAMPA, LTD DBA CASPERS KENYON COLLEGE (ADMINISTERED BY PREMIER COMPANY (ADMINISTERED BY GROUP & PENSION KAISER ---CA HEALTHCARE EXCHANGE DBA ZELIS) ADMINISTRATORS) KAISER ---CO KEY BENEFIT ADMINISTRATORS JAMES KING & COMPANY, INC. (ADMINISTERED BY KAISER ---GA GROUP & PENSION ADMINISTRATORS) KEY BENEFIT ADMINISTRATORS / FRED WEBER INC KAISER ---HI JAMES MADISON UNIVERSITY (ADMINISTERED BY KEY BENEFIT ADMINISTRATORS / KEY BENEFIT PREMIER HEALTHCARE EXCHANGE DBA ZELIS) KAISER ---OH ADMINISTRATORS JAYNES COMPANIES (ADMINISTERED BY GROUP & KAISER ---OR KEY BENEFIT ADMINISTRATORS / WATERFURNACE PENSION ADMINISTRATORS) INTERNATIONAL KAISER ---WA JEFFERSON COUNTY SCHOOLS RISK MANAGEMENT KEY EXTERIORS (ADMINISTERED BY PREMIER KAISER FOUNDATION ---TN HEALTHCARE EXCHANGE DBA ZELIS) KAISER FOUNDATON HEALTH PLAN OF WASHINGTON, JEFFERSON LIFE INSURANCE KEY HEALTH PLANS FKA GROUP HEALTH COOPERATIVE JEFFREY T. WARD & ASSOCIATES (ADMINISTERED BY KEY PARTNERS, INC. (KEY BENEFIT ADMINISTRATORS, KAISER PERMANENTE INSURANCE COMPANY PREMIER HEALTHCARE EXCHANGE DBA ZELIS) INC.) KAISER PERMANENTE NCAL JENSEN ADMINISTRATIVE SERVICES ---UT KEY RISK KAISER PERMANENTE SCAL JF MOLLOY & ASSOCIATES KEYLINK SOLUTIONS, LLC, DBA VIRTUAL BENEFITS KANAWHA INS. CO./METLIFE INDIV ADMINISTRATOR JI COMPANIES KANSAS BUILDING TRADE ---KS KHS A KMG AMERICA CO JI SPECIALTY KANSAS CITY LIFE INSURANCE CO. KIMBALL HEALTHCARE BENEFITS JLS FAMILY ENTERPRISES, LLC KAPPA BENEFIT SERVICES KING UNIVERSITY- F/K/A KING COLLEGE JMH HEALTH PLAN KASPAR COMPANIES, INC. (ADMINISTERED BY GROUP & KITTITAS VALLEY HEALTHCARE (ADMINISTERED BY JMH HEALTH PLAN ---FL PENSION ADMINISTRATORS) EQUIAN, HMA TPA) JN SAVASTA CORP KCS MANAGEMENT SERVICES KLAIS & COMPANY, INC. JO-ANN STORES KEENAN KLAMATH TRIBES, THE (ADMINISTERED BY EQUIAN, JOHN COPES FOOD---PA HMA TPA) KEITH ZARS POOLS, LTD (ADMINISTERED BY GROUP & JOHN EAGLE DEALERSHIPS (ADMINISTERED BY GROUP PENSION ADMINISTRATORS) KOVATCH---PA & PENSION ADMINISTRATORS) KELLY DEAN KING (ADMINISTERED BY PREMIER KRAFT FOODS JOHN L. SCOTT REAL ESTATE (ADMINISTERED BY HEALTHCARE EXCHANGE DBA ZELIS) KRB ---TX EQUIAN, HMA TPA) KEMPER INSURANCE ---AL KROGER JOHN MUIR PHYSICIAN NETWORK ---CA KEMPER INSURANCE ---MO KSKJ LIFE, AMERICAN SLOVENIAN CATHOLIC UNION JOHNS HOPKINS HEALTHCARE, LLC KEMPER INSURANCE ---SC KWPH ENTERPRISES DBA AMERICAN AMBULANCE JOINT COUNCIL OF TEAMSTERS NO. 3 HEALTH & KEMPER INSURANCE ---SD (ADMINISTERED BY GROUP & PENSION WELFARE FUND ADMINISTRATORS) KEMPTON COMPANY, THE JP FARLEY CORPORATION (AKA LONG CLAIM SERVICES, LA & MS CARPENTERS REGULATORY COUNCIL HEALTH J.P. FARLEY) KEMPTON GROUP, THE AND WELFARE JP HART LUMBER COMPANY (ADMINISTERED BY KENDALL COLLEGE (ADMINISTERED BY PREMIER LABETTE COMMUNITY COLLEGE (ADMINISTERED BY GROUP & PENSION ADMINISTRATORS) HEALTHCARE EXCHANGE DBA ZELIS) PREMIER HEALTHCARE EXCHANGE DBA ZELIS) KENDALL HEALTH PLAN (ADMINISTERED BY EQUIAN, LABORERS DISTRICT COUNCIL LOCAL 351 H&W ---WA HMA TPA)

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Insurance/Payers

LABORERS INTERNATIONAL UNION LOCAL 616 ---MD LION INSURANCE COMPANY ---GA LONG CLAIM SERVICES LABORERS SE ---TN LION INSURANCE COMPANY ---LA LONGVIEW BRIDGE & ROAD, LTD. (ADMINISTERED BY GROUP & PENSION ADMINISTRATORS) LABORERS TRUST FUND LOCAL 980 H&W ---VA LION INSURANCE COMPANY ---TN LOOMIS COMPANIES LAGRANGE COLLEGE (ADMINISTERED BY GROUP & LITTLE LEAGUE ASSOCIATION PENSION ADMINISTRATORS) LOS ANGELES FIRE FIGHTERS LOCAL 10121 ---CA LITTLE RIVER HEALTHCARE (ADMINISTERED BY GROUP LAIRD ---NC & PENSION ADMINISTRATORS) LOVE’S TRAVEL STOPS AND COUNTRY STORES LAKE CHELAN COMMUNITY HOSPITAL (ADMINISTERED LOCAL 108 HEALTH FUND LOYAL AMERICAN LIFE INSURANCE COMPANY BY EQUIAN) LOCAL 1102 TWDSU ---NY LUBBOCK COUNTY HOSPITAL DISTRICT DBA UMC LAKE COUNTY ---IL HEALTH PLAN OPERATIONS (UMC HEALTH SYSTEM) LOCAL 1180 TWDSU ---NY LANCASTER BIBLE COLLEGE---PA LUCENT HEALTH SOLUTIONS, INC. LOCAL 1199 NATIONAL BENEFIT FUND LAND O LAKES INC LUCENT HEALTH SYSTEMS DBA NORTH AMERICAN LOCAL 147 CONSTRUCTION WORKERS WELFARE FUND ADMIN LANDMARK COLLEGE (ADMINISTERED BY PREMIER LOCAL 210 UNITY WELFARE FUND HEALTHCARE EXCHANGE DBA ZELIS) LUMICO LIFE INSURANCE COMPANY LOCAL 226 IBEW ---NV LAS VEGAS FIREFIGHTERS HEALTH & WELFARE TRUST LUMMI INDIAN BUSINESS COUNCIL (ADMINISTERED BY ---NV LOCAL 229 IBEW ---CA EQUIAN, HMA TPA) LASLETT, BLUE & ASSOCIATES ---MD LOCAL 23 IBEW ---OH LUMMI TRIBAL HEALTH CENTER LASTING CHANGE (ADMINISTERED BY PREMIER LOCAL 23 IBEW ---WV LYLE HUGHART WELFARE PLAN (ADMINISTERED BY HEALTHCARE EXCHANGE DBA ZELIS) GROUP & PENSION ADMINISTRATORS) LOCAL 23 IBEW---PA LAWRENCE E SMITH & ASSOC, INC. LYNCPAY, LLC LOCAL 25 SEIU WELFARE FUND ---IL LBA HEALTH PLANS LYND COMPANY, THE (ADMINISTERED BY GROUP & LOCAL 309 BENEFITS OFFICE ---IL PENSION ADMINISTRATORS) LBA PHYSICIAN ONLY LOCAL 338 WELFARE FUND M S ADMINISTRATIVE SERVICES, INC. LEASE CRUTCHER LEWIS (ADMINISTERED BY EQUIAN, LOCAL 463 HEALTH FUND HMA TPA) M S ADMINISTRATIVE SERVICES, INC. ---ID LOCAL 475 STEAMFITTERS WELFARE FUND LEITNER-POMA OF AMERICA, INC. (ADMINISTERED BY M. LIPSITZ & COMPANY (ADMINISTERED BY GROUP & GROUP & PENSION ADMINISTRATORS) LOCAL 520 BENEFITS OFFICE---PA PENSION ADMINISTRATORS) LENOIR COMMUNITY COLLEGE (ADMINISTERED BY LOCAL 57 BENEFITS OFFICE ---UT M.A.M.I. PREMIER HEALTHCARE EXCHANGE DBA ZELIS) LOCAL 70 BENEFITS OFFICE---MN MACKAY RESTAURANTS (ADMINISTERED BY EQUIAN, LEWER AGENCY AP HMA TPA) LOCAL 723 I B T WELFARE FUND LIBERTY MUTUAL INSURANCE COMPANY MACY’S COROPRATE SERVICES LOCAL 734 L I U OF N A LIBERTY NATIONAL LIFE INSURANCE COMPANY MAGIC METALS (ADMINISTERED BY EQUIAN, HMA TPA) LOCAL 734 WELFARE/PENSION FUND LIEN ON ME, INC. MAGNA ADMINISTRATIVE SERVICES LOCAL 8 ROOFERS WELFARE FUND LIFE BENEFIT PLAN MAGNACARE LOCAL 877 IUOE ---MA LIFETIME BENEFIT SOLUTIONS, INC. FKA EBS-RMSCO MAGNACARE ADMINISTRATIVE SERVICES, LLC LOCALS 302 & 612 CONSTRUCTION ---WA LIFEWISE (LIFEWISE HEALTHPLANS OF AZ, OR, WA) MAGNACARE TPA ---NJ LOCHMEAD DAIRY INC. (ADMINISTRATED BY EQUIAN, LINCOLN EDUCATIONAL SERVICES (ADMINISTERED BY HMA TPA) MAGNACARE TPA ---NY PREMIER HEALTHCARE EXCHANGE DBA ZELIS) LOCHMEAD DARI-MART INC. (ADMINISTRATED BY MAGSTAR TECHNOLOGIES---MN LINDBLAD FCHNB EQUIAN) MAHLS MEDICAL REVIEW LINN COUNTY RISK MANAGEMENT ---IA LOCHMEAD FARMS INC. (ADMINISTRATED BY EQUIAN, MAINE COLLEGE OF ART (ADMINISTERED BY PREMIER HMA TPA) LION INSURANCE COMPANY ---AL HEALTHCARE EXCHANGE DBA ZELIS) LOCKHEED ---CA LION INSURANCE COMPANY ---CA MAINE MARITIME COLLEGE (ADMINISTERED BY LONDON INSURANCE PREMIER HEALTHCARE EXCHANGE DBA ZELIS) LION INSURANCE COMPANY ---FL LONE STAR TPA MAJOR AMERICAN MARKETING INTERNATIONAL, INC.

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Insurance/Payers

MAKSIN MANAGEMENT GROUP MASTERS MATES & PILOTS / MASTERS MATES & PILOTS MEDATA-COMPSOURCEOK/STATE FUND MAMSI ---MD MAVERICK COIUNTY (ADMINISTERED BY GROUP & MEDATA-PROVIDENCE RISK PENSION ADMINISTRATORS) MANAGE CARE MANAGE COST (MCMC) MEDATA-RMPG MAXON ADMINISTRATORS, INC. MANAGEABILITY, INC. MEDATA-RMPG PORT AUTHORITY MAXON COMPANY MANAGED CARE ADMINISTRATORS MEDAVANT HEALTHCARE SOLUTIONS MAYO CLINIC HEALTH SOLUTIONS (ADMINISTERED BY MANAGED CARE OF AMERICA MEDBEN/MEDICAL BENEFITS COMPANIES PREMIER HEALTHCARE EXCHANGE DBA ZELIS) MANAGED CARE OF AMERICA---PA MEDCOM MAYO SIERRA PEAKS/MARPAC (ADMINISTERED BY MANAGED HEALTH SERVICES ---IN PREMIER HEALTHCARE EXCHANGE DBA ZELIS) MEDCOST BENEFIT SERVICES MANAGED HEALTH, INC. (DBA HEALTH FIRST) MAYS HOUSECALL HOME HEALTH, INC. (ADMINISTERED MEDEX HEALTHCARE, INC. BY GROUP & PENSION ADMINISTRATORS) MANATEE GLENS ---FL MEDEX MANAGED CARE INC MBA BENEFIT ADMINISTRATORS, INC. MANHATTAN LIFE INSURANCE COMPANY MEDICA HEALTH PLANS OF WISCONSIN, MEDICA MBA BENEFITS ---ID HEALTH PLANS, AND MEDICA INSURANCE COMPANY MAPFRE #4461 MBA MERRILL BOSTROM ASSOC MEDICAL ADVOCACY SERVICES FOR HEALTHCARE, INC. MAPS CREDIT UNION (ADMINISTERED BY EQUIAN, HMA TPA) MBMC MEDICAL ASSOCIATES HEALTH PLAN, INC.; THE MEDICAL ASSOCIATES CLINIC PROFESSIONAL CORPORATION, MARCO DISPLAY SPECIALIST, LP DBA THE MARCO MCA ADMINISTRATORS, INC. FOR THE BENEFIT OF MEDICAL ASSOCIATES CLINIC COMPANY (ADMINISTERED BY GROUP & PENSION MCAUDIT HEALTH PLAN OF WISCONSIN; AND PREFERRED HEALTH ADMINISTRATORS) CHOICES MCKENZIE TANK LINES (ADMINISTERED BY PREMIER MARIANA JACOBSON HOMES (ADMINISTERED BY HEALTHCARE EXCHANGE DBA ZELIS) MEDICAL ASSOCIATES HEALTH PLANS ---IA PREMIER HEALTHCARE EXCHANGE DBA ZELIS) MCLARENS TOPLIS NORTH AMERICA, INC. MEDICAL BENEFITS ADMINISTRATOR MARIETTA COLLEGE (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE DBA ZELIS) MCM MAXCARE PPO MEDICAL BENEFITS ADMINISTRATORS, INC. MARINE ENGINEERS BENEFIT ASSOCIATION ---MD MCMC - CHELMSFORD MEDICAL BENEFITS COMPANIES MARINEMAX SERVICES, INC. (ADMINISTERED BY GROUP MCMC - NASHVILLE MEDICAL BENEFITS COMPANIES ---OH & PENSION ADMINISTRATORS) MCMC - WILTON MEDICAL BENEFITS COMPANIES (MEDBEN; MEDICAL MARINERS HOSPITAL ---FL BENEFITS ADMINISTRATORS, INC.; MEDICAL BENEFITS MCMC - YORK/COMMONWEALTH OF VIRGINIA MUTUAL LIFE INSURANCE CO.) MARITIME HEALTH SERVICES VAN HALL HEALTH MCMC -RANCHO MEDICAL BENEFITS COMPANIES / NISSIN BRAKE OHIO MARKEL INSURANCE COMPANY MCMC LLC INC MARKETING DIVERSIFIED SERVICES MCMC-MERIT MEDICAL BENEFITS MUTUAL NATIONAL LIFE INSURANCE COMPANY MCMC-YORK MEDICAL CARD SYSTEM, INC. MARRIOT CLAIMS SERVICES MD SELECT MEDICAL CLAIMS NEGOTIATIONS LLC DBA GMR HEALTH MARSH AFFINITY GROUP SERVICES LLC. MDABROAD MARSH AND MCLENNAN AGENCY, LLC (ADMINISTERED MEDICAL COLLEGE OF WISCONSIN MEADOWBROOK INSURANCE GROUP BY GROUP & PENSION ADMINISTRATORS) MEDICAL EXCELLENCE INTERNATIONAL, LLC MEATCUTTERS - WILSON MCSHANE CORP---MN MARSH@WORKSOLUTIONS MEDICAL MUTUAL OF OHIO MEBA BENEFIT PLANS MARY LEE CORPORATION ---IL MEDICAL MUTUAL OF OHIO ---OH MED PAY, INC. MARY LEE CORPORATION ---MO MEDICAL NETWORK MED TAC ELECTRICAL INDUSTRY HEALTH FUND ---MD MEDICAL NETWORK ---CO MED3000 MASHANTUCKET PEQUOT TRIBAL NATION MEDICAL SERVICES INTERNATIONAL ACCOR MEDATA MASON GENERAL HOSPITAL (ADMINISTERED BY MEDICO CORP LIFE INSURANCE COMPANY EQUIAN, HMA TPA) MEDATA-AMERISAFE MEDICO HEALTH & LIFE INSURANCE COMPANY MASTERS MATES & PILOTS MEDATA-ARROWPOINT INS.

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Insurance/Payers

MEDICO INSURANCE COMPANY MERITAIN - MINNEAPOLIS / METAL PRODUCTS MICHIGAN PROPERTY & CASUALTY GAURANTY ASSOCIATION ---AR MEDICOMPANIES LLC MERITAIN - MINNEAPOLIS / NOG INC MICHIGAN PROPERTY & CASUALTY GAURANTY MEDICUS MERITAIN - MINNEAPOLIS / SUMMIT DENTAL ASSOCIATION ---CA CONSULTING MEDIPAC ASSISTANCE INTERNATIONAL, INC. MICHIGAN PROPERTY & CASUALTY GAURANTY MERITAIN - MINNEAPOLIS / THEDACARE INC MEDOVA HEALTHCARE ASSOCIATION ---MO MERITAIN HEALTH - MN (FKA CBSA) MEDOVA HEALTHCARE FINANCIAL GROUP MICHIGAN PROPERTY & CASUALTY GAURANTY MERITAIN HEALTH (MERITAIN HEALTH, INC. NORTH ASSOCIATION ---MS MEDPARTNERS AMERICAN HEALTH PLANS, INC.) MICHIGAN PROPERTY & CASUALTY GAURANTY MEDPARTNERS ADMINISTRATIVE SERVICES MERITAIN HEALTH CORP. ASSOCIATION ---NC MEDPAY MERITAIN HEALTH CORP. ---NY MICHIGAN PROPERTY & CASUALTY GAURANTY MEDPAY RESOURCES ARTISAN CLAIMS ASSOCIATION ---NJ MERITAIN HEALTH FKA CBSA MEDRISK, INC MICHIGAN PROPERTY & CASUALTY GAURANTY MERITAIN HEALTH FKA EBS OF LA ASSOCIATION ---NY MEDSAVE MERITAIN HEALTH, INC. (NORTH AMERICAN BENEFITS MICHIGAN PROPERTY & CASUALTY GAURANTY MEDSAVE USA INC NETWORK; NORTH AMERICAN BENEFITS NETWORK, ASSOCIATION ---OH INC.) MEDSOL, INC. MICHIGAN PROPERTY & CASUALTY GAURANTY MERITAIN HEALTH, INC. (WESTPORT BENEFITS LLC, MEMCO, INC. (ADMINISTERED BY GROUP & PENSION ASSOCIATION ---SC CENTURY PLANNERS) ADMINISTRATORS) MICHIGAN PROPERTY & CASUALTY GAURANTY MERITAIN MINNEAPOLIS MEMORIAL HERMANN HEALTH NETWORK ASSOCIATION ---SD MERITAIN-AZ-LOCAL MENNONITE MUTUAL AID MICHIGAN PROPERTY & CASUALTY GAURANTY MERITAIN-NACOG ASSOCIATION ---TN MENNONITE MUTUAL AID ASSOCIATION AND MMA INSURANCE COMPANY MERITE MICHIGAN PROPERTY & CASUALTY GAURANTY ASSOCIATION ---TX MENOMINEE INDIAN TRIBE OF WISCONSIN MERITE MICHIGAN PROPERTY & CASUALTY GAURANTY MENOMINEE TRIBE OF WI / MENOMINEE CONTRACT MERITE AKA MCMC ASSOCIATION ---WV HEALTH MERITIAN HEALTH MICROVISION (ADMINISTERED BY EQUIAN, HMA TPA) MERCER COUNTY COMMUNITY (ADMINISTERED BY MESA PRODUCTS INC (ADMINISTERED BY PREMIER PREMIER HEALTHCARE EXCHANGE DBA ZELIS) MID AMERICA ASSOCIATES HEALTHCARE EXCHANGE DBA ZELIS) MERCHANTS INSURANCE GROUP MID AMERICA PLAN ADMINISTRATOR MESSELMAN LUMBER INC.---PA INSURANCE MID-AMERICA ASSOCIATES METHODIST CARE, INC. MERCY CARE ADVANTAGE MID-AMERICAN BENEFITS METHODIST RETIREMENT COMMUNITIES MERCY CARE PLAN (ADMINISTERED BY GROUP & PENSION MID-FLORIDA MEDICAL SERVICES, INC. ADMINISTRATORS) MERCY HEALTH PLANS MIDAMERICA ADMINISTRATORS METHODIST UNIVERSITY (ADMINISTERED BY PREMIER MERCY MARICOPA INTEGRATED CARE MIDDLETOWN RETIREES ---WI HEALTHCARE EXCHANGE DBA ZELIS) MERCYCARE MIDLANDS CHOICE, INC. METLIFE MERCYCARE HEALTH PLANS MIDLANDS CLAIM ADMINISTRATORS ---AL MG INVESTMENTS INC MERCYCARE INSURANCE COMPANY MIDLANDS CLAIM ADMINISTRATORS ---CA MHP, INC. MERIDIAN HEALTH PLAN OF MICHIGAN, INC. MIDLANDS CLAIM ADMINISTRATORS ---FL MIAMI COUNTY GOVERNMENT (ADMINISTERED BY MERIDIAN PRODUCTS ---TX GROUP & PENSION ADMINISTRATORS) MIDLANDS CLAIM ADMINISTRATORS ---GA MERITAIN MICHELSEN PACKAGING COMPANY (ADMINISTERED BY MIDLANDS CLAIM ADMINISTRATORS ---LA EQUIAN, HMA TPA) MERITAIN - MINNEAPOLIS / AZTECA SYSTEMS INC MIDLANDS CLAIM ADMINISTRATORS ---NV MICHIGAN PROPERTY & CASUALTY GAURANTY MERITAIN - MINNEAPOLIS / FABICK CAT MIDLANDS CLAIM ADMINISTRATORS ---OK ASSOCIATION ---AK MERITAIN - MINNEAPOLIS / HARTUNG BROTHERS, INC MIDLANDS CLAIM ADMINISTRATORS ---OR

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Insurance/Payers

MIDLANDS CLAIM ADMINISTRATORS ---TX MITCHELL - THE RENY COMPANY MOUNTAIN STATE HEALTH ALLIANCE MIDLANDS CLAIM ADMINISTRATORS ---UT MITCHELL - TYSON FOODS MOUNTAIN STATES ADMINISTRATIVE SERVICES MIDLANDS CLAIM ADMINISTRATORS---PA MITCHELL - WORCOMP MS SPORTS MEDICINE & ORTHOPEDIC CENTER (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE MIDWEST INDUSTRIAL METAL FABRICATION IN MITCHELL - ZURICH DBA ZELIS) (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE MITCHELL INTERNATIONAL, INC. DBA ZELIS) MT UNION DOM & INTL (ADMINISTERED BY PREMIER MKT RAILROAD EMPLOYEES HOSPITAL ASSOCIATION HEALTHCARE EXCHANGE DBA ZELIS) MIDWEST SECURITY INSURANCE CO. MMG INSURANCE CORP MTV-HUM1 MIDWESTERN INSURANCE ALLIANCE MMSI MUCKLESHOOT INDIAN TRIBE (ADMINISTERED BY MIGNONE COMMUNCIATIONS INC (ADMINISTERED BY EQUIAN) PREMIER HEALTHCARE EXCHANGE DBA ZELIS)...... MOBILITY SVM LLC (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE DBA ZELIS) MUCKLESHOOT TRIBAL HEALTH CLINIC MILLENNIUM HEALTH GROUP INC MODA HEALTH - F/K/A ODS HEALTH PLAN MUNICIPAL HEALTH BENEFIT FUND MINNEAPOLIS AND SUBURBAN LUMBER DEALERS---MN MODEL GROUP, INC, THE (ADMINISTERED BY GROUP & MUNICIPAL HEALTH BENEFIT FUND ---AR MINNEAPOLIS AUTO DEALERS---MN PENSION ADMINISTRATORS) MURPHY COMPANY (ADMINISTERED BY EQUIAN, HMA AND NORTH DAKOTA BRICKLAYERS---MN MODERN TRANSPORTATION SERVICES, LLC TPA) MINNESOTA LABORERS---MN (ADMINISTERED BY GROUP & PENSION MURPHY OIL CORPORATION ADMINISTRATORS) MINNESOTA TEAMSTERS CONSTRUCTION DIV HIGHWAY MUSKOGEE COUNTY EMS (ADMINISTERED BY PREMIER ---MN MOLTON, ALLEN & WILLIAMS HEALTHCARE EXCHANGE DBA ZELIS) MINNESOTA TIMBER WORKERS ---MN MONMOUTH COLLEGE (ADMINISTERED BY PREMIER MUTUAL ASSURANCE HEALTHCARE EXCHANGE DBA ZELIS) MISSISSIPPI COLLEGE (ADMINISTERED BY PREMIER MUTUAL ASSURANCE ADMINISTRATORS HEALTHCARE EXCHANGE DBA ZELIS) MONTANA TEAMSTERS ---MT MUTUAL HEALTH SERVICES MITCHELL - ALLIANZ MONTGOMERY INSURANCE CO MUTUAL HEALTH SERVICES / OIL-RITE CORPORATION MITCHELL - ALPHA REVIEW MONTGOMERY MUTUAL INSURANCE COMPANY MUTUAL HEALTH SERVICES FKA BENEFIT SERVICES INC MITCHELL - AMFED MONUMENTAL LIFE INSURANCE GO MUTUAL HEALTH SERVICES LLC, FKA BENEFIT SERVICES, MITCHELL - BERKLEY MOODY BIBLE INSTITUTE (ADMINISTERED BY PREMIER INC. HEALTHCARE EXCHANGE DBA ZELIS) MITCHELL - CHURCH MUTUAL INSURANCE CO. MUTUAL MEDICAL PLANS (MUTUAL MEDICAL OF MOODY INTERNATIONAL (VIA EBS CONTRACT) MITCHELL - CLAIMS ADMIN SVCS ROCKFORD) MORGAN CREEK CAPITAL (ADMINISTERED BY PREMIER MITCHELL - COMPTECH MUTUAL MEDICAL PLANS INC ---IL HEALTHCARE EXCHANGE DBA ZELIS) MITCHELL - CONTRACT CLAIMS SOLUTIONS MUTUAL OF AMERICA MORGAN-WHITE ADMINISTRATORS INTERNATIONAL, MITCHELL - EMC INSURANCE CO INC. MUTUAL OF OMAHA (UNITED OF OMAHA LIFE INSURANCE COMPANY; UNITED WORLD LIFE MITCHELL - FAIRPAY / AMTRUST MORIDGE MANUFACTURING INC (ADMINISTERED BY INSURANCE COMPANY) PREMIER HEALTHCARE EXCHANGE DBA ZELIS) MITCHELL - FEDERATED MUTUAL INSURANCE CO. MVP MORITZ DBA MDV AUTO GROUP (ADMINISTERED BY MITCHELL - FUTURE CARE GROUP & PENSION ADMINISTRATORS) MVP HEALTH PLAN (MVP HEALTH CARE; MVP HEALTH MITCHELL - GAIC INSURANCE COMPANY; MVP HEALTH SERVICES CORP.; MORTON GENERAL HOSPITAL (ADMINISTERED BY MVP SELECT CARE, INC.; UPSTATE ADMINISTRATIVE MITCHELL - ICS EQUIAN) SERVICES) MITCHELL - INSURANCE COMPANY OF THE WEST MOSES LAKE COMMUNITY HEALTH CENTER MVP/PREFERRED CARE (ADMINISTERED BY EQUIAN, HMA TPA) MITCHELL - KEY RISK MANAGEMENT MWI CORPORATION (ADMINISTERED BY GROUP & MOTHER FRANCES REGIONAL HEALTHCARE MITCHELL - MEDINSIGHTS PENSION ADMINISTRATORS) MOTOR TRUCKS, INC. (ADMINISTERED BY EQUIAN, HMA MITCHELL - PARADIGM N IL HEALTH PLAN / AQUA AEROBICS (ADMINISTERED TPA) BY EQUIAN) MITCHELL - REVIEWWORKS MOUNT VERNON HILLS (ADMINISTERED BY PREMIER N IL HEALTH PLAN / ETNYRE INTERNATIONAL LTD MITCHELL - STATE FARM HEALTHCARE EXCHANGE DBA ZELIS) (ADMINISTERED BY EQUIAN)

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Insurance/Payers

N IL HEALTH PLAN / FRANKLIN DISPLAY GR NATIONAL RURAL ELECTRICAL COOP. ASSOCIATION NEW RESOURCES COMPANIES INC (ADMINISTERED BY (ADMINISTERED BY EQUIAN) PREMIER HEALTHCARE EXCHANGE DBA ZELIS) NATIONAL TARGET/ACORDIA OF CO N IL HEALTH PLAN / GLEASON CUTTIN (ADMINISTERED NEW WORLD CLAIMS NATIONAL TELECOM COOPERATIVE BY EQUIAN) NEWEGG, INC. (ADMINISTERED BY GROUP & PENSION NATIONAL TELEPHONE CORPORATION N IL HEALTH PLAN / GLEASON SALES (ADMINISTERED ADMINISTRATORS) BY EQUIAN) NATIONWIDE INDIVIDUAL NEWLETT INC (ADMINISTERED BY PREMIER N.A.I.U. NATIONWIDE INSURANCE HEALTHCARE EXCHANGE DBA ZELIS) NAHGA, INC. NATIONWIDE LIFE INSURANCE COMPANY NEXCALIBER NAME BRANDS (ADMINISTERED BY PREMIER NATIVE CARE HEALTH, LLC ---MO NGS AMERICAN, INC. HEALTHCARE EXCHANGE DBA ZELIS) NAVY ARMY (ADMINISTERED BY GROUP & PENSION NHBC (NATIONAL ACCESS) NAT’L HEALTHCARE SOLUTIONS INC ADMINISTRATORS) NHBC PHP NATIONAL ACCIDENT INSURANCE UNDERWRITERS NBR NHIC AKA NATIONAL GENERAL MANAGEMENT CORP NATIONAL ADMINISTRATIVE SERVICES NCAS NIAGARA COUNTY ---NY NATIONAL ASBESTOS WORKERS NCI VENTURES LLC (ADMINISTERED BY PREMIER NIAGARA FRONTIER TRANSIT METRO SYSTEM, INC. ---NY HEALTHCARE EXCHANGE DBA ZELIS) NATIONAL ASSOCIATION OF LETTER CARRIERS NIPPON LIFE INSURANCE COMPANY OF AMERICA NECA - LOCAL 145 ---IL NATIONAL ASSOCIATION OF PHYSICIAN ACO’S NIPPON PAPER INDUSTRIES USA COMPANY NEIGHBORHOOD HEALTH PLAN, INC. NATIONAL BENEFIT ADMINISTRATORS, INC. (ADMINISTERED BY EQUIAN, HMA TPA) NEOS HEALTHCARE NATIONAL BENEFIT BUILDERS, INC. AND ACCESS ONE NISQUALLY RED WIND CASINO (ADMINISTERED BY CONSUMER HEALTH, INC. NES ASSURANCE, LLC EQUIAN, HMA TPA) NATIONAL BENEFIT RESOURCES, INC. NESCO ENTERPRISES DBA MERIDIAN PRODUCTS NOEL CORPORATION (ADMINISTERED BY EQUIAN, HMA (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE TPA) NATIONAL BENEFITS ASSOCIATES, LLC, FKA BENETECH, DBA ZELIS) INC. NOKOMIS HEALTH, INC. NETWORK HEALTH PLAN ---WI NATIONAL BENEFITS INC NORCAL LABORERS ---CA NETWORK HEALTH PLAN (NETWORK HEALTH NATIONAL CAPITOL PPO NORFOLK DREDGING COMPANY ---VA INSURANCE CORPORATION, NETWORK HEALTH NATIONAL CARE NETWORK (A.K.A. NCN) ADMINISTRATIVE SERVICES, LLC) NORIDIAN MUTUAL INSURANCE COMPANY NATIONAL CLAIMS ADMINISTRATIVE SERVICES NETWORKS BY DESIGN NORTH AMERICA ADMINISTRATORS NATIONAL COUNCIL OF JUVENILE AND FAMILY NEW AMERICAN EMPLOYEE LEASING COMPANY NORTH AMERICA VAN LINES (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE NEW BENEFITS, LTD. NORTH AMERICAN HEALTH PLANS/MERITAIN HEALTH DBA ZELIS) NEW ENGLAND COLLEGE (ADMINISTERED BY PREMIER NORTH AMERICAN INSURANCE COMPANY NATIONAL EMPLOYEE BENEFITS HEALTHCARE EXCHANGE DBA ZELIS) NORTH AMERICAN NATIONAL STATES NATIONAL FARMERS UNION NEW ERA LIFE INSURANCE COMPANY, NEW ERA NORTH CAROLINA ELECTRIC COOPERATIVE ---NC NATIONAL FROZEN FOODS (ADMINISTERED BY EQUIAN, LIFE INSURANCE COMPANY OF THE MIDWEST AND HMA TPA) PHILADELPHIA AMERICAN LIFE INSURANCE COMPANY NORTH CLACKAMAS SCHOOL DISTRICT (ADMINISTERED BY EQUIAN, HMA TPA) NATIONAL GENERAL MANAGEMENT CORP (NHIC) NEW HAMPSHIRE MOTOR TRANSPORT ASSOCIATION ---NH NORTH CYPRESS MEDICAL CENTER (ADMINISTERED BY NATIONAL GUARDIAN LIFE INSURANCE COMPANY GROUP & PENSION ADMINISTRATORS) NEW HOLLAND CUSTOM WOOD---PA NATIONAL HEALTH ADMINISTRATORS, INC. NORTH SHORE-LIJ CARECONNECT INSURANCE NEW HORIZON BENEFIT ADMINISTRATORS NATIONAL HEALTH BENEFITS & CASUALTY CORP COMPANY, INC. AND AFFILIATES (NORTH SHORE- NEW JERSEY HEALTH ---NJ LIJ CARECONNECT INSURANCE AGENCY, INC., NATIONAL HEALTH BENEFITS CORPORATION CARECONNECT ADMINISTRATIVE SERVICES, INC.) NEW MEXICO ASSOCIATION OF COUNTIES---NM NATIONAL HEALTHCARE SOLUTIONS, INC. NORTHEAST GEORGIA HEALTH PARTNERS, LLC NEW MEXICO HEALTH CONNECTIONS NATIONAL LIABILITY NORTHERN ARIZONA COUNCIL OF GOVERNMENTS NEW ORLEANS EMPLOYERS / ILA NATIONAL NURSING & REHAB, INC. (ADMINISTERED BY (NACOG) GROUP & PENSION ADMINISTRATORS)

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Insurance/Payers

NORTHERN CALIFORNIA BAKERY DRIVERS SECURITY ODS HEALTH PLANS (BESTCHOICE ADMINISTRATORS, OPTIMA HEALTH (SENTARA HEALTH PLAN) DBA FUND INC.) OHIOHEALTHY NORTHERN CALIFORNIA CARPENTERS ---CA ODYSSEY ENTERPRISES INC (ADMINISTERED BY OPTUMHEALTH EQUIAN, HMA TPA) NORTHERN ILLINOIS HEALTH PLAN / THE COBURN ORANGE COUNTY PUBLIC SCHOOLS ---CA COMPANY OGBURN LEASING CORPORATION (ADMINISTERED BY ORCO STEEL LLC (ADMINISTERED BY GROUP & GROUP & PENSION ADMINISTRATORS) NORTHERN ILLINOIS HEALTH PLAN/FIRST NATIONAL PENSION ADMINISTRATORS) BANK & TRUST (ADMINISTERED BY EQUIAN) OGDEN BENEFIT ADMINISTRATORS (OBA) ORDER OF UNITED COMMERCIAL TRAVELERS OF NORTHERN VALLEY INDIAN HEALTH OHIO BRICKLAYERS ---OH AMERICA, THE NORTHSIDE DERMATOLOGY SC (ADMINISTERED BY OHIO CASUALTY GROUP ---DC CLINIC, THE (ADMINISTERED BY EQUIAN, HMA PREMIER HEALTHCARE EXCHANGE DBA ZELIS) TPA) OHIO CASUALTY GROUP ---DE NORTHWEST CHRISTIAN UNIVERSITY (ADMINISTERED OREGON STATE UNIVERSITY FOUNDATION OHIO CASUALTY GROUP ---KY BY PREMIER HEALTHCARE EXCHANGE DBA ZELIS) (ADMINISTERED BY EQUIAN, HMA TPA) OHIO CASUALTY GROUP ---OH NORTHWEST DOOR (ADMINISTERED BY EQUIAN, HMA ORION AUTO ---CO TPA) OHIO CASUALTY GROUP ---VA ORLANDO HEALTH DBA HEALTHCHOICE NORTHWEST IOWA BUILDING & CONSTRUCTION OHIO CASUALTY GROUP ---WV ORORA VISUAL TX, LLC FKA INTEGRACOLOR, TRADES OHIO CASUALTY GROUP---PA LLC (ADMINISTERED BY GROUP & PENSION NORTHWEST MEDICAL SPECIALTIES (ADMINISTERED BY ADMINISTRATORS) OHIO CONFERENCE OF PLASTERERS AND CEMENT EQUIAN, HMA TPA) MASONS HEALTH AND WELFARE FUND ORTHOPAEDICS NORTHEAST PC (ADMINISTERED BY NORTHWEST MISSISSIPPI (ADMINISTERED BY PREMIER PREMIER HEALTHCARE EXCHANGE DBA ZELIS) OHIO HERITAGE HEALTHCARE EXCHANGE DBA ZELIS) OSCAR INSURANCE CORPORATION OHIO STATE UNIVERSITY HEALTH PLAN ---OH NORTHWEST ORTHOPAEDIC SPECIALISTS, P.S. OSCAR INSURANCE CORPORATION ---NY (ADMINISTERED BY EQUIAN, HMA TPA) OHIO WESLYAN DOMESTIC (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE DBA ZELIS) OSCELOA COUNTY (FLORIDA) ---FL NORTHWEST PHYSICIANS NETWORK DBA BENEFITMD OKLAHOMA CITY CLINIC DBA GLOBALHEALTH OUTSOURCE ONE NORTHWEST PLUMBING & PIPEFITTING ---WA HOLDINGS, LLC FKA GLOBALHEALTH, INC., THE OUTSOURCEONE INC ---MN NORTHWEST SHEET METAL WORKERS OLD REPUBLIC INSURANCE OUTSOURCEONE INC / AMES CONSTRUCTION NORTHWEST SHEET METAL WORKS ---WA OLD SURETY LIFE INSURANCE CO, OXFORD HEALTH PLANS NORTHWESTERN SPECIALIST (ADMINISTERED BY OLYMPIC EAGLE DISTRIBUTING (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE DBA ZELIS) OXFORD HEALTH PLANS ---NJ EQUIAN, HMA TPA) NORWICH UNIVERSITY (ADMINISTERED BY PREMIER OXFORD HEALTH PLANS ---NY OLYMPUS HEALTHCARE EXCHANGE DBA ZELIS) OXFORD LIFE INSURANCE COMPANY, INC. OLYMPUS MANAGED HEALTH CARE, INC. NOVA HEALTHCARE ADMINISTRATORS OXFORD NATIONAL STATES OMAHA FIREFIGHTERS HEALTHCARE TRUST NOVAE CORPORATION (ADMINISTERED BY PREMIER (ADMINISTERED BY GROUP & PENSION P5 HEALTH PLAN SOLUTIONS HEALTHCARE EXCHANGE DBA ZELIS) ADMINISTRATORS) P5E HEALTH PLANS NOVANET INC OMAHA INSURANCE COMPANY PA MANUFACTURER’S ASSOCIATION INSURANCE---PA NOVASYS HEALTH ---AR OMNI ADMINISTRATORS ---NY PACIFIC LIFE & ANNUITY NU REPUBLIC, LLC OMNI ADMINISTRATORS, INC. PACIFIC NORTHWEST UNIVERSITY OF HEALTH SERVICES NURSING CARE MANAGEMENT OF AMERICA, INC. ONE BEACON INSURANCE CO. (ADMINISTERED BY EQUIAN, HMA TPA) (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE DBA ZELIS) ONE BEACON PROFESSIONAL PARTNERS PACIFICARE HEALTH SYSTEMS OASIS HEALTH CARE ONTRACK, INC. (ADMINISTERED BY EQUIAN) OCEAN COUNTY COLLEGE (ADMINISTERED BY PREMIER OPEIU LOCAL 30 & 537 HEALTH & WELFARE FUND HEALTHCARE EXCHANGE DBA ZELIS) OPERATING ENGINEERS H&W TRUST FUND FOR CO ODS ---OR OPERATING ENGINEERS LOCAL 4 ---MA ODS COMPANIES, THE

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Insurance/Payers

PACIFICARE OF CALIFORNIA (PACIFICARE HEALTH PEKIN INSURANCE CO / A&A SHEET METAL WORKS PEKIN INSURANCE CO / CAMBRIDGE AUTOMOTIVE SYSTEMS; PACIFICARE LIFE ASSURANCE CORPORATION; REPAIR PEKIN INSURANCE CO / ACKER MILLWORK CO INC PACIFICARE LIFE AND HEALTH INSURANCE COMPANY; PEKIN INSURANCE CO / CE DOYLE LLC PACIFICARE LIFE AND HEALTH INSURANCE COMPANY, PEKIN INSURANCE CO / AF GLASS INSURANCE AGENCY INC.; PACIFICARE HEALTH PLAN ADMINISTRATORS, INC PEKIN INSURANCE CO / CENTRAL STATES INSURANCE INC.; AND HARRIS METHODIST HEALTH INSURANCE PEKIN INSURANCE CO / AGIS INSURANCE CENTER INC PEKIN INSURANCE CO / CHAIN O LAKES CONTRACTORS COMPANY) INC PEKIN INSURANCE CO / ALONGI SANTAS MOSS PACIFICARE PRICED CLAIM FILE INSURANCE PEKIN INSURANCE CO / CHAMBERLAIN & PACIFICSOURCE HEALTHPLANS ---MT HENNINGFIELD CPA PEKIN INSURANCE CO / ALTERNATIVE MAINTENANCE PACIFICSOURCE HEALTHPLANS ---OR SOLUTI PEKIN INSURANCE CO / CLEEREMAN EXPORTS INC PACIFICSOURCE HELTHPLANS ---ID PEKIN INSURANCE CO / AMUSEMENT BROKERS LTD PEKIN INSURANCE CO / COACHLIGHT COMMUNITIES LLC PAINTERS AND ALLIED TRADES PEKIN INSURANCE CO / ANCHOVIES & CAPERS INC PEKIN INSURANCE CO / CONCRETE SERVICES LLC PALADIN MANAGED CARE SERVICES PEKIN INSURANCE CO / APPLIANCE SERVICE CO EAU PEKIN INSURANCE CO / CONSTRUCTION RESOURCES CLAIR LLC PAN AMERICAN LIFE PEKIN INSURANCE CO / AQUINAS ACADEMY PEKIN INSURANCE CO / CORRIGANS CUSTOM BUILT PAN AMERICAN LIFE INSURANCE COMPANY OF PUERTO RICO PEKIN INSURANCE CO / AREA DENTAL CLINIC PEKIN INSURANCE CO / COUNTRY QUALITY DAIRY INC PAN-AMERICA LIFE INSURANCE COMPANY AND/OR PEKIN INSURANCE CO / ARMSTRONG HEATING & COOL PEKIN INSURANCE CO / CRAVE PHOTOGRAPHY LTD PAN-AMERICAN BENEFITS SOLUTIONS, INC. (FORMERLY PEKIN INSURANCE CO / ASHWAUBENON AUTO REPAIR PEKIN INSURANCE CO / CREATIVE GRAPHIC IMAGING USNOW, LP) LLC PEKIN INSURANCE CO / AUTO PARTS POWER SPORTS PANORMA (ADMINISTERED BY EQUIAN, HMA TPA) INC PEKIN INSURANCE CO / CRM CORPORATION PARAGON PEKIN INSURANCE CO / B & B PRINTING PEKIN INSURANCE CO / CYBERWORKS TEMPUS INC PARAGON BENEFITS, INC. PEKIN INSURANCE CO / BAKER HOUSE BISTRO PEKIN INSURANCE CO / D & M AUTO BODY PARAMOUNT CARE, INC. & PARAMOUNT CARE OF PEKIN INSURANCE CO / BAUMGART MECHANICAL INC PEKIN INSURANCE CO / D&P VEAL MICHIGAN, INC. PEKIN INSURANCE CO / BAY VIEW SERVICE PEKIN INSURANCE CO / DAY CARE CENTER OF NEW PARAMOUNT HEALTH PLANS, INC. LONDON PEKIN INSURANCE CO / BEHNKE & SONS PARKLAND COMMUNITY HEALTH PLAN CONSTRUCTION LLC PEKIN INSURANCE CO / DBR BUILDERS INC PARKSIDE LENDING, LLC (ADMINISTERED BY GROUP & PEKIN INSURANCE CO / BELLA VEIN & MEDICAL SPA PEKIN INSURANCE CO / DE JARDIN FARMS LLC PENSION ADMINISTRATORS) PEKIN INSURANCE CO / BRIAN E BOZELKA MD PHD SC PEKIN INSURANCE CO / DEBT ADVISORS SC PARRISH (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE DBA ZELIS) PEKIN INSURANCE CO / BRIDGEWOOD DESIGNS PEKIN INSURANCE CO / DELLS SERVICE CENTER INC PATH ADMINISTRATORS FKA DH EVANS ASSOCIATES, PEKIN INSURANCE CO / BUDZISZ AGENCY INC PEKIN INSURANCE CO / DISTINCTIVE TRUCKING LLC INC. PEKIN INSURANCE CO / BURDICK TRUCKING & PEKIN INSURANCE CO / DOM LA PAL ENTERPRIZES LLC PATIENT ADVOCATES, LLC EXCAVATING PEKIN INSURANCE CO / DRACH LAW FIRM PATRIOT HEALTH FLORIDA, INC. PEKIN INSURANCE CO / BURGRAFF CONSTRUCTION PEKIN INSURANCE CO / DREVDAHL AUTO BODY PATRIOT HEALTH, INC. PEKIN INSURANCE CO / BURLINGTON BEHAVIORAL PEKIN INSURANCE CO / DRS DAHLGREN & NEITZKE INC HEALTH PAYER FUSION PEKIN INSURANCE CO / DS STAINLESS LLC PEKIN INSURANCE CO / BURR OAK GREENHOUSES & PCE SOLUTIONS GIFT SH PEKIN INSURANCE CO / DURAND TRANSPORT OF PCE SYSTEMS JACKSON PEKIN INSURANCE CO / BUSHMAN ELECTRIC COMPANY PCF ACQUISITION COMPANY DBA WORLD CLASS INC PEKIN INSURANCE CO / ESTHETICALLY YOURS LLC AUTOMOTIVE GROUP (ADMINISTERED BY GROUP & PEKIN INSURANCE CO / C&D MOBIL PEKIN INSURANCE CO / FARMERS AUTO MANAGEMENT PENSION ADMINISTRATORS) PEKIN INSURANCE CO / C&M PROPERTIES & PEKIN INSURANCE CO / FREDON HOLDINGS LLC PEACEHEALTH (ADMINISTERED BY EQUIAN) CONSTRUCTION PEKIN INSURANCE CO / FUHRMAN INSURANCE PEKIN INSURANCE CO / A G I S INSURANCE CENTER INC PEKIN INSURANCE CO / CALHOUNS AUTO REPAIR INC UNLIMITED

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Insurance/Payers

PEKIN INSURANCE CO / FURSETH MACHINING INC PEKIN INSURANCE CO / KOLNIK TRUCKING INC PEKIN INSURANCE CO / OPTIMA MACHINERY CORPORATION PEKIN INSURANCE CO / G&G INDUSTRIAL FLOORING INC PEKIN INSURANCE CO / KRUMPEN WOODWORKS INC PEKIN INSURANCE CO / P & J BATHROOM SPECIALISTS PEKIN INSURANCE CO / GARY T VANGRUNSVEN SC PEKIN INSURANCE CO / KURTS STEAKHOUSE INC PEKIN INSURANCE CO / PALERMO ENTERPRISES PEKIN INSURANCE CO / GC OF WISCONSIN PEKIN INSURANCE CO / LADERS TIFFANY FEED & SUPPLY PEKIN INSURANCE CO / PAULS TRAILERS & RV PEKIN INSURANCE CO / GEM CONSTRUCTION & REPAIR LLC PEKIN INSURANCE CO / LAKE STREET CAFE PEKIN INSURANCE CO / PEKIN PEKIN INSURANCE CO / GEOFFREY L MYKLEBY DDS PEKIN INSURANCE CO / LAKEWOOD HARDWARE & PEKIN INSURANCE CO / PEKIN INSURANCE - LUMBER RECIPROCITY PEKIN INSURANCE CO / GREAT LAKES ASSET CORP PEKIN INSURANCE CO / LARRY FRITSCH CARDS INC PEKIN INSURANCE CO / PEKIN INSURANCE (FAIA PEKIN INSURANCE CO / GROUP PLAN SOLUTIONS HEOS ACTIVE) PEKIN INSURANCE CO / LUEDERS POWER SYSTEM INC PEKIN INSURANCE CO / H30-PPO POLICY PEKIN INSURANCE CO / PEKIN LIFE INSURANCE PEKIN INSURANCE CO / MACHINED PRODUCTS INC PEKIN INSURANCE CO / H38-PPO FOR HOSPITALS ONLY PEKIN INSURANCE CO / PENN RAKAUSKI PEKIN INSURANCE CO / MADISON SUB SYSTEMS PEKIN INSURANCE CO / H39-HOSP/PHYS PPO POLICY PEKIN INSURANCE CO / PENTT INC PEKIN INSURANCE CO / MARCELL INSURANCE AGENCY PEKIN INSURANCE CO / H41-HIGH DEDUCTIBLE HLTH INC PEKIN INSURANCE CO / PERTHEL HOMES INC PLAN PEKIN INSURANCE CO / MARCELLS SPECIALTIES PEKIN INSURANCE CO / PFP HOLDING INC PEKIN INSURANCE CO / HESGARD COLLISION CENTER LLC PEKIN INSURANCE CO / MARK J RINDERLE TIRE INC PEKIN INSURANCE CO / PICHLER CONSTRUCTION INC PEKIN INSURANCE CO / HIGGINS AUTO REPAIR INC PEKIN INSURANCE CO / MARSHFIELD AREA UNITED WAY PEKIN INSURANCE CO / PRAIRIE CRAFTSMEN INC INC PEKIN INSURANCE CO / IMPERIAL TRIM LLC PEKIN INSURANCE CO / PREMIER HEATING & COOLING PEKIN INSURANCE CO / MCCLURES SERVICE PEKIN INSURANCE CO / INDUSTRIAL CLEANING PEKIN INSURANCE CO / PREMIER LAWNS INC PEKIN INSURANCE CO / MEADOW BROOK FARMS PEKIN INSURANCE CO / INGERSOLL & CO PEKIN INSURANCE CO / PREMIER MARKETING INTL INC PEKIN INSURANCE CO / METRO SOUND INC PEKIN INSURANCE CO / INSURANCE ASSOC OF AMERICA PEKIN INSURANCE CO / PRESTIGE AUTO BODY & TRUCK PEKIN INSURANCE CO / MIDSTATE PARKING GARAGE PEKIN INSURANCE CO / ISC INC WATERTOWN PEKIN INSURANCE CO / PROCORP ENTERPRISES LLC PEKIN INSURANCE CO / MIDSTATE PARKING LOT MAIN PEKIN INSURANCE CO / J & J SOIL TESTING LTD PEKIN INSURANCE CO / PUMP N PANTRY INC PEKIN INSURANCE CO / MIDWEST TRAILER SALES PEKIN INSURANCE CO / J & R OIL PEKIN INSURANCE CO / RESOURCE RECOVERY SYSTEMS PEKIN INSURANCE CO / MIKE MURPHY FORD INC INC PEKIN INSURANCE CO / J W SCHULTZ CONSTRUCTION INC PEKIN INSURANCE CO / MOBILE WAREHOUSE LLC PEKIN INSURANCE CO / RHODES CHARAPATA FUNERAL HOME PEKIN INSURANCE CO / JAYS LANES INC PEKIN INSURANCE CO / MODERN TOUCH DENTAL PEKIN INSURANCE CO / RIDGEWAY TRAILER CO INC PEKIN INSURANCE CO / JEROME DRUGS PEKIN INSURANCE CO / MTG PLUMBING LLC PEKIN INSURANCE CO / RILEY ELECTRIC SUPPLY INC PEKIN INSURANCE CO / JERRYS PARK AVE AUTO BODY PEKIN INSURANCE CO / NEIGHBORHOOD PUB & GRILL PEKIN INSURANCE CO / RR WALTON AND CO PEKIN INSURANCE CO / JERRYS PIER SERVICE PEKIN INSURANCE CO / NORTH COUNTRY PLUMBING INC PEKIN INSURANCE CO / RYAN HEATING & PLUMBING PEKIN INSURANCE CO / KAMMEL CUSTOM EXCAVATING LLC PEKIN INSURANCE CO / NORTH RIDGE CHURCH PEKIN INSURANCE CO / SAFETY MED PRODUCTS INC PEKIN INSURANCE CO / KASBOHM CUSTOM DRILLING PEKIN INSURANCE CO / NORTHEAST INSURANCE PEKIN INSURANCE CO / SAINT WIRE & CABLE INC INC CENTER PEKIN INSURANCE CO / SAVAGE DISTRIBUTING CO PEKIN INSURANCE CO / KEIZER FARMS INC PEKIN INSURANCE CO / NORTHEAST WISCONSIN PEKIN INSURANCE CO / SERVICE MOTORS INC PRINTING PEKIN INSURANCE CO / KELMOR LLC PEKIN INSURANCE CO / SHARON TELEPHONE CO INC PEKIN INSURANCE CO / OK CONSTRUCTION PEKIN INSURANCE CO / KELNIC LTD PEKIN INSURANCE CO / SHEBOYGAN ANIMAL HOSPITAL PEKIN INSURANCE CO / OLSEN FABRICATING INC PEKIN INSURANCE CO / KERKMAN BROS CONST CO INC INC PEKIN INSURANCE CO / OLSON TIRE & AUTO SERVICE PEKIN INSURANCE CO / KINDLER CONSTRUCTION CORP PEKIN INSURANCE CO / SIGN EFFECTZ INC INC PEKIN INSURANCE CO / KOENECKE FORD PEKIN INSURANCE CO / SILVERWATER PRODUCTIONS LLC

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Insurance/Payers

PEKIN INSURANCE CO / SMITH & HATCH INSURANCE PEKIN LIFE INSURANCE PHYSICIANS PLUS INSURANCE CORPORATION / AGENCY CARPETSPLUS OF WI INC PENFIELD CARE MANAGEMENT INC PEKIN INSURANCE CO / SMITH INSURANCE AGENCY INC PHYSICIANS PLUS INSURANCE CORPORATION / CEDAR PENFIELD CARE MANAGEMENT, INC. INTERNATIONAL GROVE CHEESE INC PEKIN INSURANCE CO / SNACK CITY VENDING PENINSULA INSURANCE COMPANY, THE PHYSICIANS PLUS INSURANCE CORPORATION / PEKIN INSURANCE CO / SOUTHSIDE AUTO MART PENN NATIONAL INSURANCE CO ---TN CELLULAR DYNAMICS PEKIN INSURANCE CO / SPECIALTY MACHINE INC PENN WESTERN BENEFITS, INC. PHYSICIANS PLUS INSURANCE CORPORATION / PEKIN INSURANCE CO / SPIEGELBERG IMPLEMENT INC COLUMBUS CHEMICAL INDUSTRIES INC PENN WESTERN BENEFITS, INC. ---NC PEKIN INSURANCE CO / STANS AUTOMOTIVE INC PHYSICIANS PLUS INSURANCE CORPORATION / CROSS PENNSYLVANIA LIFE INSURANCE COMPANY COUNTRY CABLE PEKIN INSURANCE CO / STRASMAN ELECTRICAL WIRING PEPPERMILL INC ---NV INC PHYSICIANS PLUS INSURANCE CORPORATION / DANE PEPPERMILL, INC. COUNTY BAR PEKIN INSURANCE CO / STUPAR GOLF PEQUOT PLUS HEALTH BENEFIT SERVICES PHYSICIANS PLUS INSURANCE CORPORATION / DESIGN PEKIN INSURANCE CO / SUPERIOR POWER LLC CONCEPTS INC PERFECT HEALTH INSURANCE ---NY PEKIN INSURANCE CO / SURPRE AUTO SERVICE INC PHYSICIANS PLUS INSURANCE CORPORATION / EASTER PERFORMANCE COMPANIES, LP (ADMINISTERED BY PEKIN INSURANCE CO / TENNESSEN & ASSOCIATES INC SEALS WISCONSIN INC- SC GROUP & PENSION ADMINISTRATORS) PEKIN INSURANCE CO / THE CAROM ROOM PHYSICIANS PLUS INSURANCE CORPORATION / EDGE PERFORMAX CONSULTING PEKIN INSURANCE CO / THERMO FAB PLASTIC INC PERSONAL INSURANCE ADMINISTRATORS PHYSICIANS PLUS INSURANCE CORPORATION / EXACT PEKIN INSURANCE CO / TIMON PERRON TRUCKING INC PETRO CHEM INSPECTIONS SERVICES, INC. SCIENCES CORPORATION PEKIN INSURANCE CO / TITAN RELOADING INC (ADMINISTERED BY GROUP & PENSION PHYSICIANS PLUS INSURANCE CORPORATION / ADMINISTRATORS) PEKIN INSURANCE CO / TRI COUNTY HEATING FAMILYPATH AUTISM SERVICES LLC PHILADELPHIA AMERICAN LIFE INSURANCE COMPANY PEKIN INSURANCE CO / TURKE FAMILY MEDICINE PHYSICIANS PLUS INSURANCE CORPORATION / FLEXION PHOENIX ADMINISTRATORS, LLC DBA PERFORMANCE PEKIN INSURANCE CO / TWOHIG FURNITURE & FUNERAL PHYSICIANS PLUS INSURANCE CORPORATION / FLOOR HEALTH 360 LLC PEKIN INSURANCE CO / UPRIGHT SERVICES PHONE GUY, THE (ADMINISTERED BY PREMIER PHYSICIANS PLUS INSURANCE CORPORATION / GE PEKIN INSURANCE CO / VEITH CONSTRUCTION HEALTHCARE EXCHANGE DBA ZELIS) HEALTHCARE PEKIN INSURANCE CO / VFW DEPT OF WISCONSIN PHX PHYSICIANS PLUS INSURANCE CORPORATION / GILSON PEKIN INSURANCE CO / VON STIEHL WINERY PHX/NHBC INC PEKIN INSURANCE CO / VOYAGER CAPITOL PHYSICIAN HOSPITAL COMMUNITY ORGANIZATION PHYSICIANS PLUS INSURANCE CORPORATION / MANAGEMENT LLC GINGRAS CATE AND WACH PHYSICIANS BENEFIT TRUST PEKIN INSURANCE CO / W H MAJOR & SONS INC PHYSICIANS PLUS INSURANCE CORPORATION / PHYSICIANS CHOICE NETWORK HAMMES COMPANY SPORTS DEVELOPMENT INC PEKIN INSURANCE CO / WAHLS APPLIANCE INC PHYSICIANS HEALTH PLAN OF MICHIGAN ---MI PHYSICIANS PLUS INSURANCE CORPORATION / HY CITE PEKIN INSURANCE CO / WARD INSURANCE AGENCY INC PHYSICIANS HEALTH PLAN OF NORTHERN INDIANA, INC. CORP PEKIN INSURANCE CO / WATERMARK SOFTWARE PHYSICIANS PLUS INSURANCE CORPORATION PHYSICIANS PLUS INSURANCE CORPORATION / IDEAL PEKIN INSURANCE CO / WELCOME HOME INTERIORS CRANE RENTAL INC PHYSICIANS PLUS INSURANCE CORPORATION ---WI LTD PHYSICIANS PLUS INSURANCE CORPORATION / INOC PHYSICIANS PLUS INSURANCE CORPORATION / AE PEKIN INSURANCE CO / WENZ HOME FURNITURE LLC LLC BUSINESS SOLUTIONS PEKIN INSURANCE CO / WEST AIR LLC PHYSICIANS PLUS INSURANCE CORPORATION / JOHN F PHYSICIANS PLUS INSURANCE CORPORATION / AIR LLC SUBY & ASSOCIATES SC PEKIN INSURANCE CO / WILLOW CREEK LANES DBA TANTACOMM PHYSICIANS PLUS INSURANCE CORPORATION / PEKIN INSURANCE CO / WILSON PRAIRIE VIEW FARMS PHYSICIANS PLUS INSURANCE CORPORATION / JOHNSON BLOCK AND COMPANY INC BRUNSELL BROTHERS LTD PEKIN INSURANCE CO / WISCONSIN CORRALS INC PHYSICIANS PLUS INSURANCE CORPORATION / KELLY PHYSICIANS PLUS INSURANCE CORPORATION / BT PEKIN INSURANCE CO / WOLF DENTAL STUDIO MOSS MOTORSPORTS SQUARED INC PEKIN INSURANCE CO / ZETA GROUP ENGINEERING

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Insurance/Payers

PHYSICIANS PLUS INSURANCE CORPORATION / LIONS PHYSICIANS PLUS INSURANCE CORPORATION / QTI - PHYSICIANS PLUS INSURANCE CORPORATION / SCHOOL EYE BANK OF WISCONSIN MNGT GROUP - BDDS & DISTRICT OF MCFARLAND PHYSICIANS PLUS INSURANCE CORPORATION / PHYSICIANS PLUS INSURANCE CORPORATION / QTI - PHYSICIANS PLUS INSURANCE CORPORATION / SHOE MADISON METRO SCHOOL DISTRICT PANATRACK INC BOX PHYSICIANS PLUS INSURANCE CORPORATION / MARLIN PHYSICIANS PLUS INSURANCE CORPORATION / QTI - PHYSICIANS PLUS INSURANCE CORPORATION / SIELAFF TECHNOLOGIES INC PEOPLE FIRST WISCON CORPORATION PHYSICIANS PLUS INSURANCE CORPORATION / PHYSICIANS PLUS INSURANCE CORPORATION / QTI - PHYSICIANS PLUS INSURANCE CORPORATION / STONE MONONA GROVE SCHOOL DISTRICT RADIOLOGY ASSOCIATE HOUSE DEVELOPMENT INC PHYSICIANS PLUS INSURANCE CORPORATION / NORTH PHYSICIANS PLUS INSURANCE CORPORATION / QTI - PHYSICIANS PLUS INSURANCE CORPORATION / AMERICAN FUR PRODUCE REDEEMER EVANGELICA TEMPERATURE SYSTEMS INC PHYSICIANS PLUS INSURANCE CORPORATION / PHYSICIANS PLUS INSURANCE CORPORATION / QTI - PHYSICIANS PLUS INSURANCE CORPORATION / TOP PELLITTERI WASTE SYSTEMS INC RIDGEWOOD BAPTIST C PROMOTIONS PHYSICIANS PLUS INSURANCE CORPORATION / PHYSICIANS PLUS INSURANCE CORPORATION / QTI - PHYSICIANS PLUS INSURANCE CORPORATION / URBAN PHYSICIANS PLUS SCILOG INC LAND INTEREST LLC PHYSICIANS PLUS INSURANCE CORPORATION / PRO PHYSICIANS PLUS INSURANCE CORPORATION / QTI - PHYSICIANS PLUS INSURANCE CORPORATION / VIRENT METAL WORKS INC SHARP LITERACY INC ENERGY SYSTEMS INC PHYSICIANS PLUS INSURANCE CORPORATION / QTI PHYSICIANS PLUS INSURANCE CORPORATION / QTI - PHYSICIANS PLUS INSURANCE CORPORATION / WEB SINGLEWIRE SOFTWARE COURSEWORKS LTD PHYSICIANS PLUS INSURANCE CORPORATION / QTI - ALL NATIONS BIBLE C PHYSICIANS PLUS INSURANCE CORPORATION / QTI - PHYSICIANS PLUS INSURANCE CORPORATION / SPIEGELBERG WORTH & WEGNER LLP PHYSICIANS PLUS INSURANCE CORPORATION / QTI - ANTIGO COMMUNITY CH PHYSICIANS PLUS INSURANCE CORPORATION / QTI - PHYSICIANS PLUS INSURANCE CORPORATION / TAMMY BALDWIN FOR S WILDWOOD FAMILY CLINIC SC PHYSICIANS PLUS INSURANCE CORPORATION / QTI - AQUAMOST PHYSICIANS PLUS INSURANCE CORPORATION / QTI - PHYSICIANS PLUS INSURANCE CORPORATION / THREE LAKES EV FREE WISCONSIN MILK MARKETING BOARD PHYSICIANS PLUS INSURANCE CORPORATION / QTI - BIBLE EV FREE CHURC PHYSICIANS PLUS INSURANCE CORPORATION / QTI - PHYSICIANS’ CARE OF CALIFORNIA URBAN ECONOMIC DEVE PHYSICIANS PLUS INSURANCE CORPORATION / QTI - PICTSWEET COMPANY, THE (ADMINISTERED BY CUSTOMER ANALYTIC PHYSICIANS PLUS INSURANCE CORPORATION / QTI - PREMIER HEALTHCARE EXCHANGE DBA ZELIS) WANGARD PHYSICIANS PLUS INSURANCE CORPORATION / QTI - PIEDMONT HEALTH ALLIANCE DAIRYLAND ELECTRICA PHYSICIANS PLUS INSURANCE CORPORATION / QTI - WI PILGRIM RISK MANAGEMENT CONCRETE PAVEMEN PHYSICIANS PLUS INSURANCE CORPORATION / QTI - PINNACLE CLAIMS MANAGEMENT FAITH EV FREE CHURC PHYSICIANS PLUS INSURANCE CORPORATION / QTI - WI MFG EXTENSION PR PINNACLE CLAIMS MANAGEMENT ---CA PHYSICIANS PLUS INSURANCE CORPORATION / QTI - FIRST EVANGELICAL F PHYSICIANS PLUS INSURANCE CORPORATION / QTI - WI PIONEER MANAGMENT SYSTEMS RX PHYSICIANS PLUS INSURANCE CORPORATION / QTI - PIONEER MANAGMENT SYSTEMS ---MA FOREST LAKES DISTRI PHYSICIANS PLUS INSURANCE CORPORATION / QTI PIPE FITTERS LOCAL 430 HEALTH & WELFARE FUND HUMAN RESOURCES, INC PHYSICIANS PLUS INSURANCE CORPORATION / QTI - PIPEFITTERS 533 HEALTH AND WELFARE FUND ---MO GATHERING OF SOUTHE PHYSICIANS PLUS INSURANCE CORPORATION / RAINBOW GROUP LLC PIPELINE TRUCKING, INC. (ADMINISTERED BY GROUP & PHYSICIANS PLUS INSURANCE CORPORATION / QTI - PENSION ADMINISTRATORS) HEALTH & DISABILITY PHYSICIANS PLUS INSURANCE CORPORATION / RECIPROCAL LABS DBA PROPELLER HEALTH PIPKIN CONSTRUCTION (ADMINISTERED BY EQUIAN, PHYSICIANS PLUS INSURANCE CORPORATION / QTI - HMA TPA) HIGHLAND COMMUNITY PHYSICIANS PLUS INSURANCE CORPORATION / RENEWAIRE LLC PLAN HANDLERS PHYSICIANS PLUS INSURANCE CORPORATION / QTI - HOPE COMMUNITY - MA PHYSICIANS PLUS INSURANCE CORPORATION / ROYLE PLANNED ADMINISTRATORS, INC. PRINTING COMPANY PHYSICIANS PLUS INSURANCE CORPORATION / QTI - PLANSTIN, INC. LEGACY GROUP INC PHYSICIANS PLUS INSURANCE CORPORATION / RURAL PLANVISTA SOLUTIONS, INC. GRAVURE SERVICE

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Insurance/Payers

PLUMBERS & PIPEFITTERS LOCAL 25 ---IL PORTLAND CLINIC, THE (ADMINISTERED BY EQUIAN, PRAIRIE STATES ENTERPRISES INC / WPPI ENERGY HMA TPA) PLUMBERS & PIPEFITTERS LOCAL 501 ---IL PRAIRIE STATES ENTERPRISES INC / YMCA OF THE FOX POST UNIVERSITY (ADMINISTERED BY PREMIER CITIES PLUMBERS & PIPEFITTERS MEDICAL FUND LOCAL 5 HEALTHCARE EXCHANGE DBA ZELIS) PRAIRIE STATES ENTERPRISES, INC. PLUMBERS & PIPEFITTERS UNION LOCAL 525 H&W PPO NEXT, INC. TRUST PREFERRED ADMINISTRATORS PPOPLUS PLUMBERS & STEAMFITTERS LOCAL #106 H&W FUND PREFERRED ADMINISTRATORS NOVANET ---LA PPOPLUS/STRATOSE PREFERRED BENEFIT ADMINISTRATORS PLUMBERS & STEAMFITTERS LOCAL 33 ---MI PPOPLUS/ZELIS PREFERRED CARE - MVP HEALTH PLANS ---NY PLUMBERS AND STEAMFITTERS LOCAL #486 ---MD PRAIRIE ELECTRIC, INC. (ADMINISTERED BY EQUIAN) PREFERRED HEALTH ALLIANCE ---AL PLUMBERS AND STEAMFITTERS LOCAL UNION 33 PRAIRIE STATE INSURANCE COOPERATIVE ---FL PREFERRED HEALTH PLAN, INC. (DETROIT, MI) PLUMBERS LOCAL #93 PRAIRIE STATE INSURANCE COOPERATIVE ---IA PREFERRED HEALTH PROFESSIONALS, LLC. PLUMBERS LOCAL 130 PRAIRIE STATE INSURANCE COOPERATIVE ---IL PREFERRED HEALTH UTI PLUMBERS LOCAL 522---NM PRAIRIE STATE INSURANCE COOPERATIVE ---ME PREFERRED INC FORT WAYNE (ADMINISTERED BY PLUMBERS LOCAL 75 ---WI PRAIRIE STATE INSURANCE COOPERATIVE ---MN PREMIER HEALTHCARE EXCHANGE DBA ZELIS) PLUMBERS LOCAL 8 ---AZ PRAIRIE STATE INSURANCE COOPERATIVE ---TN PREFERRED MEDICAL CLAIM SOLUTIONS PLUMBERS LOCAL 88 ---AZ PRAIRIE STATE INSURANCE COOPERATIVE ---TX PREFERRED MEDICAL CLAIM SOLUTIONS, LLC FOAM (ADMINISTERED BY PREMIER PRAIRIE STATE INSURANCE COOPERATIVE ---WI PREFERRED MEDICAL PLAN INC ---FL HEALTHCARE EXCHANGE DBA ZELIS) PRAIRIE STATES ENTERPRISES INC / ASSISTED LIVING BY PREFERRED ONE PMA HILLCREST LLC PREFERRED ONE ---MN PMH MEDICAL CENTER (ADMINISTERED BY EQUIAN, PRAIRIE STATES ENTERPRISES INC / AUTO-OWNERS PREFERRED ONE ADMINISTRATORS / AMERICAN HMA TPA) INSURANCE COMPANY BUSINESS GROUP PNR PRAIRIE STATES ENTERPRISES INC / CARE WISCONSIN PREFERRED ONE ADMINISTRATORS / ATRIX FIRST POINT SPRING COMPANY (ADMINISTERED BY GROUP & INTERNATIONAL INC PENSION ADMINISTRATORS) PRAIRIE STATES ENTERPRISES INC / CITY OF PLYMOUTH PREFERRED ONE ADMINISTRATORS / BADGER STATE POINTERS CLEANERS & CAULKERS WELFARE FUND PRAIRIE STATES ENTERPRISES INC / FAIRCHILD FRUIT PROCESSING LOCAL 66 EQUIPMENT INC PREFERRED ONE ADMINISTRATORS / BRAND POLARIS BENEFITS PRAIRIE STATES ENTERPRISES INC / J&E ADVANTAGE GROUP INC CONSTRUCTION COMPANY INC POLISH FALCONS OF AMERICA, A FRATERNAL BENEFIT PREFERRED ONE ADMINISTRATORS / BROWN-WILBERT SOCIETY PRAIRIE STATES ENTERPRISES INC / JOHNSON BRASS & INCORPORATED MACHINE FOUNDRY INC POMCO PREFERRED ONE ADMINISTRATORS / CAMBRIDGE PRAIRIE STATES ENTERPRISES INC / KOBUSSEN BUSES ISANTI ISD #911 POPPLEMANN PLASTICS USA (ADMINISTERED BY LTD PREMIER HEALTHCARE EXCHANGE DBA ZELIS) PREFERRED ONE ADMINISTRATORS / CENTRAL POWER PRAIRIE STATES ENTERPRISES INC / OMNI GLASS & DISTRIBUTORS INC POPULYTICS, INC. FKA SPECTRUM ADMINISTRATORS, PAINT INC. PREFERRED ONE ADMINISTRATORS / CHANDLER PRAIRIE STATES ENTERPRISES INC / PIGGLY WIGGLY EXHIBITS INC PORT GAMBLE S’KLALLAM TRIBE (ADMINISTERED BY MIDWEST EQUIAN, HMA TPA) PREFERRED ONE ADMINISTRATORS / CITY OF PRAIRIE STATES ENTERPRISES INC / RCS EMPOWERS MENOMONIE PORT MADISON ENTERPRISES (ADMINISTERED BY INC EQUIAN, HMA TPA) PREFERRED ONE ADMINISTRATORS / CONCRETE PRAIRIE STATES ENTERPRISES INC / RUMAR MFG CORP PRODUCTS HEALTH & WELFARE PLAN PORT OF BELLINGHAM (ADMINISTERED BY EQUIAN, HMA TPA) PRAIRIE STATES ENTERPRISES INC / SOCIETY PREFERRED ONE ADMINISTRATORS / COVENANT INSURANCE HEALTHCARE LLC PORT TOWNSEND PAPER (ADMINISTERED BY EQUIAN, HMA TPA) PRAIRIE STATES ENTERPRISES INC / VALUE ADDED PREFERRED ONE ADMINISTRATORS / CRUSTS DISTRIBUTORS LLC UNLIMITED

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Insurance/Payers

PREFERRED ONE ADMINISTRATORS / DIOCESE OF ST PREFERRED ONE ADMINISTRATORS / LETNES BROTHERS PREFERRED ONE ADMINISTRATORS / THE RFA GROUP CLOUD PREFERRED ONE ADMINISTRATORS / LOFTECH PREFERRED ONE ADMINISTRATORS / THERMO KING PREFERRED ONE ADMINISTRATORS / DON STEVENS LLC PROTOTYPE PREFERRED ONE ADMINISTRATORS / THRIFTY WHITE PREFERRED ONE ADMINISTRATORS / DUNN COUNTY PREFERRED ONE ADMINISTRATORS / MIKARA CORP DBA STORES INC NATIONAL SALON RESOURCES PREFERRED ONE ADMINISTRATORS / E GROUP PREFERRED ONE ADMINISTRATORS / UNITED STATES PREFERRED ONE ADMINISTRATORS / MY TECH DISTILLED PRODUCTS CO PREFERRED ONE ADMINISTRATORS / EIRMED LLC PARTNERS INC PREFERRED ONE ADMINISTRATORS / VALLEY NEWS PREFERRED ONE ADMINISTRATORS / ELLSWORTH PREFERRED ONE ADMINISTRATORS / MYHRE COMPANY COOPERATIVE CREAMERY INVESTMENTS PREFERRED ONE ADMINISTRATORS / WATKINS PREFERRED ONE ADMINISTRATORS / ERIK’S BIKE SHOP PREFERRED ONE ADMINISTRATORS / NORTHERN INCORPORATED PREFERRED ONE ADMINISTRATORS / FAIRVIEW RANGE WHOLESALE SUPPLY INC PREFERRED ONE ADMINISTRATORS / WILSON TOOL REGIONAL HEALTH PREFERRED ONE ADMINISTRATORS / NORTHLAND INTERNATIONAL PREFERRED ONE ADMINISTRATORS / FIRENET SYSTEMS HEARING CENTERS INC PREFERRED PAYMENT SYSTEMS INC PREFERRED ONE ADMINISTRATORS / NOTT COMPANY PREFERRED REVIEW PREFERRED ONE ADMINISTRATORS / GEOMETRIX CO PREFERRED ONE ADMINISTRATORS / ONE TECH PREMIER ACCESS INC PREFERRED ONE ADMINISTRATORS / GO CORPORATION ENGINEERING INC PREMIER ACCESS PPO, INC. PREFERRED ONE ADMINISTRATORS / GOLDLEAF PREFERRED ONE ADMINISTRATORS / OPEN SYSTEMS FINANCIAL LTD INTERNATIONAL PREMIER ACCESS, INC. PREFERRED ONE ADMINISTRATORS / GTI BENSON PREFERRED ONE ADMINISTRATORS / ORIGIN MEALS PREMIER ADMINISTRATIVE SOLUTIONS, INC. PREFERRED ONE ADMINISTRATORS / HEALTH PREFERRED ONE ADMINISTRATORS / ORIGIN MEALS LLC PREMIER CLAIMS ADMINISTRATORS, LLC DIMENSIONS REHABILITATION INC PREFERRED ONE ADMINISTRATORS / PREMIER COMP SOLUTIONS PREFERRED ONE ADMINISTRATORS / HENNEPIN OTOLARYNGOLOGY HEAD AND NECK SURGERY PREMIER HEALTHCARE EXCHANGE COUNTY PREFERRED ONE ADMINISTRATORS / OXFORD PREMIER HEALTHCARE EXCHANGE INC PHX PREFERRED ONE ADMINISTRATORS / HIAWATHA HOMES PROPERTY MANAGEMENT PREMIER HEALTHCARE EXCHANGE WEST, INC. PREFERRED ONE ADMINISTRATORS / HOM FURNITURE PREFERRED ONE ADMINISTRATORS / PEARSON-ARNOLD TECHNOLOGIES LLC PREMIER HEALTHCARE EXCHANGE, INC. DBA ZELIS PREFERRED ONE ADMINISTRATORS / IDENTIFICATION SERVICES INC PREFERRED ONE ADMINISTRATORS / PREFERREDONE PREMIO FOODS INC (ADMINISTERED BY PREMIER ADMINISTRATIVE SERVICES HEALTHCARE EXCHANGE DBA ZELIS) PREFERRED ONE ADMINISTRATORS / INDIANHEAD MEDICAL CENTER PREFERRED ONE ADMINISTRATORS / ROBINSON PRESBYTERIAN HEALTH PLAN (PRESBYTERIAN RUBBER PRODUCTS CO INC INSURANCE COMPANY INC.) PREFERRED ONE ADMINISTRATORS / INFINITE CAMPUS INC PREFERRED ONE ADMINISTRATORS / SABRE HEATING & PRESTIGE (ADMINISTERED BY GROUP & PENSION AIR CONDITIONG INC ADMINISTRATORS) PREFERRED ONE ADMINISTRATORS / INNOVATIVE LASER TECHNOLOGIES LLC PREFERRED ONE ADMINISTRATORS / SARATOGA LIQUOR PRESTIGE INTERNATIONAL USA, INC. COMPANY PREFERRED ONE ADMINISTRATORS / INTEGRATED PRIMARY PROVIDER MANAGEMENT COMPANY - PPMC PROCESS SOLUTIONS INC PREFERRED ONE ADMINISTRATORS / SARATOGA LIQUOR PRIME BENEFITS, INC. COMPANY INC PREFERRED ONE ADMINISTRATORS / JERKY SNACK PRIME HEALTH SERVICES INC BRANDS PREFERRED ONE ADMINISTRATORS / SEMPRIS LLC PRIME HEALTH SERVICES WC PREFERRED ONE ADMINISTRATORS / KNITCRAFT PREFERRED ONE ADMINISTRATORS / SMYTH CORPORATION COMPANIES INC PRIME HEALTH SERVICES, INC. PREFERRED ONE ADMINISTRATORS / KURT PREFERRED ONE ADMINISTRATORS / STARKEY PRIMENET, INC. ---OH MANUFACTURING LABORATORIES INC PRINCETON PROPERTY MANAGEMENT (ADMINISTERED PREFERRED ONE ADMINISTRATORS / LAKES GAS CO PREFERRED ONE ADMINISTRATORS / SUMMIT BY EQUIAN, HMA TPA) ORTHOPEDIC LTD PRIORITY HEALTH ---MI PREFERRED ONE ADMINISTRATORS / THE BERNARD PREFERRED ONE ADMINISTRATORS / LANDSCAPE PRIORITY HEALTH / COLEMAN MACHINE INC GROUP STRUCTURES INC

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Insurance/Payers

PRIORITY HEALTH / CT CHARLTON & ASSOCIATES INC PROCURA MANAGEMENT, INC., A DIVISION OF PRUDENTIAL INSURANCE COMPANY HEALTHCARE SOLUTIONS COMPANY PRIORITY HEALTH / DIPSOL OF AMERICA INC PRUETT FINANCIAL HOLDINGS, INC. (ADMINISTERED BY PROFESSIONAL ADMINISTRATORS, INC. GROUP & PENSION ADMINISTRATORS) PRIORITY HEALTH / ELZINGA & VOLKERS INC PROFESSIONAL BENEFIT ADMIN (PBA) PSI PRIORITY HEALTH / EMERGENCY TECHNOLOGY DBA SOUNDOFF SIGNAL PROFESSIONAL BENEFIT ADMINISTRATORS-IL PUBLIC EMPLOYEES HEALTH PLAN ---UT PRIORITY HEALTH / FABRI-TECH PROFESSIONAL BENEFITS ADMIN IN PUBLIC EMPLOYEES HEALTH PROGRAM PRIORITY HEALTH / GMB ARCHITECTS & ENGINEERS PROFESSIONAL BENEFITS ADMIN INC / BILL DORAN PUBLIC EMPLOYEES LOCAL 71 COMPANY INC PRIORITY HEALTH / HASTINGS MUTUAL INSURANCE PUBLIC EMPLOYERS LOCAL 71 TRUST ---AK COMPANY PROFESSIONAL BENEFITS ADMIN INC / BLISS PUPIL BENEFITS PLAN, INC. COMMUNICATIONS PRIORITY HEALTH / JASPER WELLER LLC PURITAN LIFE INSURANCE COMPANY OF AMERICA F/K/A PROFESSIONAL BENEFITS ADMIN INC / HUFCOR INC PRIORITY HEALTH / JOMAR INVESTMENTS ADMIRAL LIFE INSURANCE COMPANY PROFESSIONAL BENEFITS ADMIN INC / MID WISCONSIN PRIORITY HEALTH / JSJ CORPORATION PYRAMID LIFE INSURANCE COMPANY BEVERAGE PRIORITY HEALTH / KEWEENAW LAND ASSOCIATION Q3 BUSINESS TECHNOLOGIES PROFESSIONAL BENEFITS ADMIN INC / NORTH STAR LIMITED BEVERAGE COMPANY INC QMEDTRIX ---ID PRIORITY HEALTH / LIGHTHOUSE INSURANCE GROUP PROFESSIONAL BENEFITS ADMIN INC / OMNI GLASS & QSI AUTOMATION INC (ADMINISTERED BY PREMIER PRIORITY HEALTH / MDA HEALTH PLAN PAINT INC HEALTHCARE EXCHANGE DBA ZELIS) PRIORITY HEALTH / MORTGAGE CENTER PROFESSIONAL BENEFITS ADMIN INC / PACKER CITY QUADGRAPHICS (ADMINISTERED BY PROFESSIONAL INTERNATIONAL TRUCKS BENEFITS ADMINISTRATORS) PRIORITY HEALTH / OPCO LUBRICATION SYSTEMS INC PROFESSIONAL BENEFITS ADMIN INC / STEINHAFELS - QUALCARE PRIORITY HEALTH / RANIER LLC HEOS QUALCARE PREFERRED PROVIDERS PRIORITY HEALTH / STEELTECH LTD PROFESSIONAL BENEFITS ADMIN, INC. QUALCHOICE OF ARKANSAS PRIORITY HEALTH MANAGED BENEFITS PROFESSIONAL CLAIMS ADMINISTRATORS QUALITY HEALTH MANAGEMENT, LLC PRIORITY HEALTH MANAGED BENEFITS, INC. PROFESSIONAL CLAIMS MANAGEMENT INC QUALITY JEWELERS (ADMINISTERED BY PREMIER PRO CLAIMS PLUS PROFESSIONAL CLAIMS MANAGEMENT, INC. HEALTHCARE EXCHANGE DBA ZELIS) PRO SPORTS CLUB (ADMINISTERED BY EQUIAN, HMA PROFESSIONAL RISK MANAGEMENT QUANTUM CARE, INC. TPA) PROGRESSIVE QUANTUM IMAGING---PA PRO-CLAIMS PLUS PROGRESSIVE BENEFITS SERVICES QUAPAW TRIBE OF OKLAHOMA ---OK PROCENTURY INSURANCE COMPANY ---AR PROLIANCE (ADMINISTERED BY EQUIAN, HMA TPA) QUEENSBORO CORPORATION ---GA PROCENTURY INSURANCE COMPANY ---AZ PROMESA HEALTH QUEST MEDICAL CLAIMS, LLC PROCENTURY INSURANCE COMPANY ---CA PROPEER RESOURCES, INC. QUICK TAB II (ADMINISTERED BY PREMIER HEALTHCARE PROCENTURY INSURANCE COMPANY ---CT EXCHANGE DBA ZELIS) PROSPECT EDUCATION, LLC (ADMINISTERED BY GROUP PROCENTURY INSURANCE COMPANY ---GA & PENSION ADMINISTRATORS) QUIK TRIP CORPORATION ---AZ PROCENTURY INSURANCE COMPANY ---ID PROTECTIVE LIFE INSURANCE CO. QUIKTRIP CORPORATION PROCENTURY INSURANCE COMPANY ---KY PROVIDENCE ADMINISTRATIVE SERVICES, INC. QUINCY MEDICAL GROUP PROCENTURY INSURANCE COMPANY ---NV PROVIDENCE ADMINISTRATIVE SERVICES, INC. ---TX QVI RISK SOLUTIONS, INC. PROCENTURY INSURANCE COMPANY ---NY PROVIDENCE HEALTH PLANS R H ADMINISTRATORS PROCENTURY INSURANCE COMPANY ---OK PROVIDENCE RISK R. T. NELSON & ASSOCIATES, LTD PROCENTURY INSURANCE COMPANY ---TX PROVIDENT AMERICAN INSURANCE COMPANY ---TX R&A ENTERPRISES OF CARBONDALES, INC. PROCENTURY INSURANCE COMPANY ---UT (ADMINISTERED BY GROUP & PENSION PROVIDENT AMERICAN LIFE AND HEALTH INSURANCE ADMINISTRATORS) PROCENTURY INSURANCE COMPANY ---WI COMPANY PROCURA MANAGEMENT INC PRUDENTIAL HEALTHCARE

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Insurance/Payers

RACHEL H JACOBS PHD PC (ADMINISTERED BY RELIAMAX INSURANCE CO ---OK RH ADMINISTRATORS PREMIER HEALTHCARE EXCHANGE DBA ZELIS) RELIAMAX INSURANCE CO ---SD RHS BUSINESS SERVICES ---CA RACHEL O’MARA MD LLC (ADMINISTERED BY PREMIER RELIAMAX INSURANCE CO ---UT RICH MAID KABINETRY---PA HEALTHCARE EXCHANGE DBA ZELIS) RELIGIOUS ORDER OF THE JEHOVAH’S WITNESSES RICHLAND COUNTY SCHOOL DISTRICT ONE RADY CHILDRENS HOSPITAL SAN DIEGO ---CA (WATCHTOWER) (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE RAILROAD MAINTENANCE AND INDUSTRIAL H&W FUND DBA ZELIS) REMCO PETROLEUM ---CA ---NV RIETER (ADMINISTERED BY PREMIER HEALTHCARE RENEGADE WELL SERVICES, LLC (ADMINISTERED BY RAILROAD MEDICARE EXCHANGE DBA ZELIS) GROUP & PENSION ADMINISTRATORS) RAM MUTUAL INSURANCE ---CA RIGHT CHOICE BENEFIT ADMINISTRATORS RENFRO, INC. (ADMINISTERED BY GROUP & PENSION RAM MUTUAL INSURANCE ---MD ADMINISTRATORS) RIGHTCHOICE® MANAGED CARE, INC. RAM MUTUAL INSURANCE ---MI RENY COMPANY RIGIDPLY ---MD RAM MUTUAL INSURANCE ---MO REPUBLIC GROUP ---AZ RIGIDPLY---PA RAM MUTUAL INSURANCE ---ND REPUBLIC GROUP ---CA RIKELN, INC. FKA RICHANN LTD. (ADMINISTERED BY GROUP & PENSION ADMINISTRATORS) RAM MUTUAL INSURANCE ---WI REPUBLIC GROUP ---CO RIO GRANDE EMPLOYEES HOSPITAL ASSOCIATION RATE REHAB (ADMINISTERED BY GROUP & PENSION REPUBLIC GROUP ---GA ADMINISTRATORS) RISING MEDICAL SOLUTIONS REPUBLIC GROUP ---IA RCB BANK (ADMINISTERED BY PREMIER HEALTHCARE RISING MEDICAL SOLUTIONS, INC. REPUBLIC GROUP ---IL EXCHANGE DBA ZELIS) RISK MANAGEMENT SERVICES CO REPUBLIC GROUP ---KY RCI CONSULTANTS, INC. (ADMINISTERED BY GROUP & RISK REDUCTION (FKA SKILSTAF) PENSION ADMINISTRATORS) REPUBLIC GROUP ---ME RISK SOLUTION RESOURCES RDWSU LOCAL 338 ---NY REPUBLIC GROUP ---MN RIVERSIDE BENEFIT ADMINISTRATORS READY MIXED CONCRETE ---CA REPUBLIC GROUP ---MO RIVERSIDE COUNTY, CA. ---CA REDBRIDGE NETWORK AND HEALTHCARE REPUBLIC GROUP ---NC RMJP EQUITY, INC. DBA FRATES BENEFIT REECE ALBERT, INC. (ADMINISTERED BY GROUP & REPUBLIC GROUP ---NV ADMINISTRATORS FKA CL FRATES AND COMPANY PENSION ADMINISTRATORS) REPUBLIC GROUP ---NY RMSCO, INC. REFUGIO COUNTY MEMORIAL HOSPITAL (ADMINISTERED RESERVE NATIONAL INSURANCE COMPANY BY GROUP & PENSION ADMINISTRATORS) RMSCO, INC. ---NY RESOURCEONE REGENCE/ASURIS ---WA ROANOKE IRON WORKERS TRUST FUND LOCAL 697 RESOURCEONE ADMINISTRATORS, INC ---WV REGENCY EMPLOYEE BENEFITS RETAIL FIRST INSURANCE COMPANY ROBERT C. BOUCK, INC. REGENT MANAGEMENT SERVICES, LP (ADMINISTERED BY GROUP & PENSION ADMINISTRATORS) RETAIL INVESTORS OF TEXAS, LTD. (ADMINISTERED BY ROBERT F KENNEDY FARM WORKERS ---CA GROUP & PENSION ADMINISTRATORS) REGIONAL CARE, INC. ROCHE FRUIT LTD. (ADMINISTERED BY EQUIAN, HMA RETAILERS CASUALTY INSURANCE COMPANY TPA) RELIAMAX INSURANCE CO ---CO RETIREE HEALTH TRUST ---NV ROCKINGHAM RELIAMAX INSURANCE CO ---FL REVIEW WORKS ROCKPORT COMMUNITY NETWORK RELIAMAX INSURANCE CO ---GA REVSTONE ROCKPORT HEALTHCARE GROUP RELIAMAX INSURANCE CO ---IA REYTEC CONSTRUCTION RESOURCES, INC. ROCKPORT WELLCOMP RELIAMAX INSURANCE CO ---ID (ADMINISTERED BY GROUP & PENSION ROCKWOOD CASUALTY INSURANCE COMPANY RELIAMAX INSURANCE CO ---KS ADMINISTRATORS) ROCKY MOUNTAIN ADMINISTRATORS ---WY RELIAMAX INSURANCE CO ---KY RFJ AUTO GROUP, INC. (ADMINISTERED BY GROUP & PENSION ADMINISTRATORS) ROCKY MOUNTAIN HEALTH PLAN ---CO RELIAMAX INSURANCE CO ---MN RG APPLEGATE ---IN ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICE, RELIAMAX INSURANCE CO ---NE INC. RGB RETAILER GROUP

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Insurance/Payers

ROOFERS & WATERPROOFER LOCAL 136 ---GA SANFORD HEALTH PLAN SEAPORT STEEL (ADMINISTERED BY EQUIAN, HMA TPA) ROOFERS H & W TRUST FUND OF CENTRAL CA SANFORD HEALTH PLAN ---SD SEATS (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE DBA ZELIS) ROOFERS LOCAL 74 ---NY SANFORD HEALTH PLAN, SANFORD HEART OF AMERICA HEALTH PLAN, AND SANFORD HEALTH PLAN OF SECURA INSURANCE COMPANY ---AZ ROOFERS LOCAL 96---NM MINNESOTA SECURA INSURANCE COMPANY ---CO ROSE HULMAN (ADMINISTERED BY PREMIER SANTA MONICA BAY PHYSICIANS HEALTH SVCS ---CA HEALTHCARE EXCHANGE DBA ZELIS) SECURA INSURANCE COMPANY ---IA SARASOTA COUNTY GOVERNMENT ---FL ROTH’S FRESH MARKETS (ADMINISTERED BY EQUIAN, SECURA INSURANCE COMPANY ---IL HMA TPA) SARASOTA HEART ---FL SECURA INSURANCE COMPANY ---IN ROYAL CARGO TRAILERS INC (ADMINISTERED BY SARASOTA MEMORIAL HOSPITAL ---FL SECURA INSURANCE COMPANY ---KS PREMIER HEALTHCARE EXCHANGE DBA ZELIS) SARASOTA PATHOLOGY ---FL SECURA INSURANCE COMPANY ---KY ROYAL INSURANCE SARASOTA YMCA ---FL SECURA INSURANCE COMPANY ---MI ROYAL NEIGHBORS OF AMERICA SATILLA WAYCROSS GA (ADMINISTERED BY PREMIER SECURA INSURANCE COMPANY ---MN RSL HEALTHCARE EXCHANGE DBA ZELIS) SECURA INSURANCE COMPANY ---MO RT MOORE COMPANY, INC. (ADMINISTERED BY GROUP SAVERS PROPERTY & CASUALTY ---CA & PENSION ADMINISTRATORS) SECURA INSURANCE COMPANY ---ND SAVERS PROPERTY & CASUALTY ---GA RUAN ---IA SECURA INSURANCE COMPANY ---WI SAVERS PROPERTY & CASUALTY ---IL S & S HEALTHCARE STRATEGIES ---OH SECURE COMP ---NJ SAVERS PROPERTY & CASUALTY ---KS S & S HEALTHCARE STRATEGIES, LTD SECURE COMP ---NY SAVERS PROPERTY & CASUALTY ---KY S A ALLEN ---GA SECURE COMP ---OH SAVERS PROPERTY & CASUALTY ---MA SAFEWAY, INC. SECURE COMP ---TN SAVERS PROPERTY & CASUALTY ---ME SAG ALLIED BENEFIT PLANS SECURE COMP ---TX SAVERS PROPERTY & CASUALTY ---MO SAGAMORE READY MIX FKA BUILDERS CONCRETE SECURE HEALTH SAVERS PROPERTY & CASUALTY ---NH (ADMINISTERED BY GROUP & PENSION SECURE HEALTH ---GA ADMINISTRATORS) SAVERS PROPERTY & CASUALTY ---TN SECURE HEALTH PLANS OF GA, LLC SAINT XAVIER UNIVERSITY (ADMINISTERED BY PREMIER SAVERS PROPERTY & CASUALTY---PA HEALTHCARE EXCHANGE DBA ZELIS) SECURECHOICE SCHOOL DISTRICT #1 HEALTH & WELFARE TRUST SAKS FIFTH AVE (OREGON) ---OR SECUREONE BENEFIT ADMINISTRATORS INC / JFK INVESTMENT CORP SALEM CLINIC (ADMINISTERED BY EQUIAN, HMA TPA) SCHOOL INSURANCE OF FLORIDA ---FL SECUREONE BENEFIT ADMINISTRATORS, INC. SALLIE CONTINI WELL DRESSED HOME (ADMINISTERED SCHWARTZ BROTHERS RESTAURANTS (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE DBA ZELIS) BY EQUIAN, HMA TPA) SECURITY ADMINISTRATIVE SERVICES SALT RIVER ---AZ SCIS AIR SECURITY CORPORATION (ADMINISTERED BY SECURITY ADMINISTRATIVE SERVICES LLC / ABBYLAND GROUP & PENSION ADMINISTRATORS) FOODS SALT RIVER PIMA-MARICOPA INDIAN COMMUNITY SCOT INDUSTRIES, INC. SECURITY ADMINISTRATIVE SERVICES LLC / BADGER SALVATION ARMY WHOLESALE COMPANY SCOTT & WHITE HEALTH PLAN ---TX SAMARITAN HEALTH SERVICES ---OR SECURITY ADMINISTRATIVE SERVICES LLC / CITY OF SCOTT AND WHITE HEALTH PLAN SAMISH CONTRACT HEALTH ELKHORN SCOTTISH RITE SAN DIEGO ELECTRICAL HWT ---CA SECURITY ADMINISTRATIVE SERVICES LLC / GALLMAR SDS LUMBER COMPANY (ADMINISTERED BY EQUIAN, INDUSTRIES LLC SAN FRANCISCO CULINARY BARTENDER & SERVICE EES HMA TPA) SECURITY ADMINISTRATIVE SERVICES LLC / GREEN BAY SAN JOAQUIN COUNTY HEALTH COMMISSION SEA MAR COMMUNITY HEALTH CENTERS PLASTICS INC SAN JOSE ADMINISTRATORS (ADMINISTERED BY EQUIAN, HMA TPA) SECURITY ADMINISTRATIVE SERVICES LLC / MARATHON SAN LUIS VALLEY HMO ---CO SEABURY & SMITH SAVINGS BANK SAN LUIS VALLEY HMO, INC SEABURY & SMITH - TULSA

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Insurance/Payers

SECURITY ADMINISTRATIVE SERVICES LLC / MEMORIAL SELF FUNDED PLANS INC (SELF FUNDED PLANS; SHEET METAL WK LOCAL 24 ---OH MEDICAL CENTER MEDILLUME III, INC.) SHEET METAL WK LOCAL 265 ---IL SECURITY ADMINISTRATIVE SERVICES LLC / RCS SELF FUNDING ADMINISTRATORS CORPORATION SHEET METAL WORKER’S INTERNATIONAL ASSOC. SYSTEMS, INC SELF INSURED GROUP MARKETING(SIGMA) SHEET METAL WORKERS #73 ---IL SECURITY ADMINISTRATIVE SERVICES LLC / RIVER VIEW SELF INSURED PLANS, LLC CONSTRUCTION SHEET METAL WORKERS LOCAL 100 ---MD SELF INSURED SERVICES COMPANY SECURITY ADMINISTRATIVE SERVICES LLC / TEAM SHEET METAL WORKERS UNION SCHIERL COMPANIES SELF INSURED SERVICES CORPORATION (SISCO, SHEFFIELD INSURANCE ---NC COTTINGHAM & BUTLER) SECURITY HEALTH PLAN SHEFFIELD RISK MANAGEMENT SERVICE SELF-INSURED PLANS, LLC SECURITY HEALTH PLANS ---WI SHEFFIELD, OLSON & MCQUEEN SELMAN-OLD FL DENTAL SECURITY LIFE INSURANCE COMPANY OF AMERICA SHELTER INSURANCE COMPANIES SENTARA HEALTH MANAGEMENT INC ---NC SECURITY WORKERS HEALTH AND WELFARE FUND SHELTER INSURANCE GROUP SENTARA HEALTH MANAGEMENT INC ---VA SEDGWICK SHIELD BENEFIT ADMINISTRATORS SENTARA HEALTH PLANS, INC. SEE’S CANDIES SHIELDS ASPHALT PAVING, INC. (ADMINISTERED BY SENTARA HELATH MANAGEMENT INC SEGIO CORPORATION DBA FIRST RESPONS, THE GROUP & PENSION ADMINISTRATORS) (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE SENTINEL SECURITY LIFE INSURANCE COMPANY SHOWPLACE, INC. (ADMINISTERED BY GROUP & DBA ZELIS) SENTRA HEALTH MANAGEMENT PENSION ADMINISTRATORS) SEH AMERICA (ADMINISTERED BY EQUIAN) SENTRY INSURANCE SIDNEY SCHLUSSELBERG CO. (ADMINISTERED BY SELECT BENEFIT ADMINISTRATORS PREMIER HEALTHCARE EXCHANGE DBA ZELIS) SERVICE MECHANICAL INC (ADMINISTERED BY PREMIER SELECT BROKERAGE SERVICES HEALTHCARE EXCHANGE DBA ZELIS) SIEBA LTD SELECT HEALTH ---ID SEVEN CORNERS (ADMINISTERED BY EQUIAN) SIERRA HEALTH AND LIFE ---CO SELECT HEALTH ---UT SEVEN CORNERS, INC. SIERRA HEALTH AND LIFE ---NV SELECT HEALTH PLANS SFM MUTUAL INSURANCE SIERRA HEALTH SERVICES SELECTCARE RISK MANAGEMENT SHA, LLC DBA FIRSTCARE AND SOUTHWEST LIFE AND SIGNIFICA BENEFIT SERVICES INC HEALTH INSURANCE COMPANY SELECTCARE RISK MANAGEMENT CORP SIGNIFICA BENEFIT SEVICES INC---PA SHADY COVE RESORT & MARINA LLC (ADMINISTERED SELECTHEALTH SIGNIFICA INSURANCE GROUP INC---PA BY PREMIER HEALTHCARE EXCHANGE DBA ZELIS) SELECTHEALTH PLANS SIGNIFICA INSURANCE GROUP, INC. SHARED HEALTH DIRECT SELECTIVE INSURANCE ---AL SIHO ---IN SHARP HEALTH PLAN SELECTIVE INSURANCE ---AZ SILCOTECT INC (ADMINISTERED BY PREMIER SHASTA HEALTHCARE EXCHANGE DBA ZELIS) SELECTIVE INSURANCE ---CA SHASTA ADMINISTRATIVE SERVICES SIMPLICITY HEALTH PLANS SELECTIVE INSURANCE ---GA SHAWNEE ADMINISTRATIVE SERVICES LLC - H SIMPLIFI SELECTIVE INSURANCE ---IL SHEAKLEY VOCATIONAL SERVICES ---CO SIMPLIFI (FORMERLY CBCA) SELECTIVE INSURANCE ---KY SHEAKLEY VOCATIONAL SERVICES ---KS SIRIUS AMERICA INSURANCE COMPANY SELECTIVE INSURANCE ---MI SHEAKLEY VOCATIONAL SERVICES ---LA SIX FLAGS ENTERTAINMENT CORP SELECTIVE INSURANCE ---NV SHEAKLEY VOCATIONAL SERVICES ---ME SKAGIT VALLEY FOOD CO-OP (ADMINISTERED BY SELECTIVE INSURANCE ---NY SHEAKLEY VOCATIONAL SERVICES ---MN EQUIAN, HMA TPA) SELECTIVE INSURANCE ---OH SHEAKLEY VOCATIONAL SERVICES ---TX SKC ENTERPRISES, INC. (ADMINISTERED BY GROUP & SELECTIVE INSURANCE ---SD PENSION ADMINISTRATORS) SHEAKLEY VOCATIONAL SERVICES ---VA SELECTIVE INSURANCE ---TX SKJODT-BARRETT CONTRACT PACKAGING SHEET METAL #10 ---ND (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE SELECTIVE INSURANCE COMPANY SHEET METAL #10 ---SD DBA ZELIS)

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Insurance/Payers

SKOOKUM HEALTH ASSISTANCE PROGRAM SOUTHLAKE CLINIC (ADMINISTERED BY EQUIAN) STATE FARM - ILL. REGION (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE SOUTHWEST ADMINISTRATORS STATE MUTUAL INSURANCE COMPANY DBA ZELIS) SOUTHWEST SERVICE ADMINISTRATORS STATE NATIONAL INSURANCE CO. ---FL SLIDELL MEMORIAL HOSPITAL & MEDICAL CENTER SOUTHWEST SERVICE ADMINISTRATORS ---AZ STATE NATIONAL INSURANCE CO. ---IL SLOANS LAKE MANAGEMENT CORPORATION SOUTHWEST SERVICE ADMINISTRATORS, INC. STATE NATIONAL INSURANCE CO. ---MS SMG IMPORTS LTD (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE DBA ZELIS) SOUTHWIRE COMPANY ---GA STATE NATIONAL INSURANCE CO. ---NC SMITH ADMINISTRATORS (JMG DEVELOPERS) SPARTAN EDUCATION GROUP, LLC (ADMINISTERED BY STATE NATIONAL INSURANCE CO. ---NJ GROUP & PENSION ADMINISTRATORS) SMITH ADMINISTRATORS CVCH STATE NATIONAL INSURANCE CO. ---OH SPECIAL AGENTS MUTUAL BENEFIT ASSOCIATION SMITH FROZEN FOODS (ADMINISTERED BY EQUIAN, STATE NATIONAL INSURANCE CO. ---OK (SAMBA) HMA TPA) STATE NATIONAL INSURANCE CO. ---SC SPECIAL INSURANCE SERVICES INC. SMITHFIELD FOODS, INC. STATE NATIONAL INSURANCE CO. ---TX SPECIALTIES & PAPER PRODUCTS LOCAL 527 SMU ATHLETIC DEPARTMENT STATE NATIONAL INSURANCE CO.---PA SPECIALTY CLAIMS SERVICE SNOHOMISH COUNTY FIRE DISTRICT 1 (ADMINISTERED STATE OF GEORGIA, DOAS ---GA BY EQUIAN, HMA TPA) SPECTRUM RISK STEADFAST INSURANCE COMPANY SO NH UNIV DOMESTIC (ADMINISTERED BY PREMIER SPEEDWAY REDI-MIX INC (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE DBA ZELIS) HEALTHCARE EXCHANGE DBA ZELIS) STEEL OF WEST VIRGINIA ---WV SOAVE ENTERPRISES ---MI SPOHN HEALTH NETWORK STEMLERS INSURANCE AGENCY INC SOCIAL SECURITY FUND UFCW INTL SPOKANE EYE CLINIC (ADMINISTERED BY EQUIAN, HMA STERLING INVESTORS LIFE INSURANCE COMPANY TPA) SOCIETY INSURANCE ---IA STERLING LIFE INSURANCE COMPANY ST JOHNS CLAIMS ADMINISTRATION ---MO SOCIETY INSURANCE ---IL STEVENSON AUTOMOTIVE GROUP (ADMINISTERED BY ST JOSEPH COLLEGE (ADMINISTERED BY PREMIER GROUP & PENSION ADMINISTRATORS) SOCIETY INSURANCE ---IN HEALTHCARE EXCHANGE DBA ZELIS) STIRLING AND STIRLING SOCIETY INSURANCE ---WI ST LAWRENCE LEWIS COUNTY SCHOOL DISTRICT EMP STIRLING BENEFITS INC ---CT SOLUTIONS PLUS (ADMINISTERED BY PREMIER (ST. LAWRENCE-LEWIS COUNTY SCHOOL DISTRICT) HEALTHCARE EXCHANGE DBA ZELIS) STOCKBRIDGE MUNSEE HEALTH & WELLNESS / ST LOUIS CARPENTER’S UNION ---KS STOCKBRIDGE MUNSEE COMMUNITY SOUND CREDIT UNION (ADMINISTERED BY EQUIAN, ST MARY OF THE LAKE (ADMINISTERED BY PREMIER HMA TPA) STOCKBRIDGE-MUNSEE COMMUNITY HEALTHCARE EXCHANGE DBA ZELIS) SOUTH BROWARD HOSPITAL DISTRICT DBA MEMORIAL STONER AND ASSOCIATES ST PAUL ELECTRIC WORKERS ---MN MANAGED CARE STONEVIEW LLC ST PAUL PRINTING ---MN SOUTH CENTRAL PREFERRED STONEWOOD INSURANCE COMPANY ST. FRANCIS HEALTH NETWORK ---IN SOUTH PIKE COUNTY (ADMINISTERED BY PREMIER STOREWORKERS SECURITY PLAN HEALTHCARE EXCHANGE DBA ZELIS) ST. JOHN’S HEALTH SYSTEM STRATACARE SOUTHEASTERN INDIANA HEALTH ---IN ST. JOSEPH HERITAGE HEALTHCARE ---CA STRATACARE, INC. SOUTHEASTERN INDIANA HEALTH ORGANIZATION (SIHO) ST. LAWRENCE COUNTY CENTRAL SERVICES DEPARTMENT (STATEWIDE) STRATEGIC RESOURCE COMPANY SOUTHEASTERN INSURANCE GROUP ST. PAUL AUTO DEALERS AND DISTRICT ---MN STRATEGIES FOR CHANGE (ADMINISTERED BY PREMIER SOUTHERN BENEFIT ADMINISTRATORS HEALTHCARE EXCHANGE DBA ZELIS) STAFF BENEFITS MANAGEMENT, INC. SOUTHERN CALIFORNIA CARPENTERS STRATOSE STANDARD LIFE AND CASUALTY INSURANCE COMPANY SOUTHERN CALIFORNIA LUMBER IND WELFARE STUDENT ASSURANCE SERVICES INC STAR HEALTHCARE NETWORK, INC. SOUTHERN GROUP ADMINISTRATORS, INC. STUDENT ASSURANCE SERVICES INC / MARQUETTE STAR INSURANCE COMPANY SOUTHERN IONICS INC (ADMINISTERED BY PREMIER UNIVERSITY HARD WAIVER GRAD ASSIST HEALTHCARE EXCHANGE DBA ZELIS) STARMARK INSURANCE COMPANY STUDENT OSTEOPATHIC MEDICAL ASSO (ADMINISTERED SOUTHERN NATIONAL LIFE INSURANCE ---LA STATE FARM BY PREMIER HEALTHCARE EXCHANGE DBA ZELIS)

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Insurance/Payers

STUDENT PLANS, INC. SYCAMORE JEWELERS (ADMINISTERED BY PREMIER TEAMSTERS LOCAL 560 BENEFIT FUND HEALTHCARE EXCHANGE DBA ZELIS) STUDENT RESOURCES TEAMSTERS LOCAL 560 BENEFIT FUND---NJ SYMETRA LIFE INSURANCE COMPANY STURGES LLC (ADMINISTERED BY PREMIER TEAMSTERS LOCAL 618 ---MD HEALTHCARE EXCHANGE DBA ZELIS) SYMPSON & ASSOCIATES TECHNOLOGY INSURANCE COMPANY STURM AND ASSOCIATES SYNERGID INC (ADMINISTERED BY PREMIER TEMP MASTERS INC (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE DBA ZELIS) SUBURBAN HEALTH ORGANIZATION ---IN HEALTHCARE EXCHANGE DBA ZELIS) SYRACUSE UNIVERSITY ATHLETIC DEPARTMENT ---NY SUFFOLK HEALTH PLANS TENNESSEE INSURANCE COMPANY T L GROSECLOSE ASSOCIATES, INC. SUMITOMO MARINE CLAIMS SERVICES USA TENNESSEE RISK MANAGEMENT TRUST ---TN T.L. GROSECLOSE ASSOCIATES, INC.---NJ SUMMACARE (SUMMA INSURANCE COMPANY, APEX TERMINIX SERVICES BENEFIT SERVICES) T.R. PAUL INC TERRABONNE PARISH (ADMINISTERED BY PREMIER SUMMIT - PIA TAKE CARE HEALTHCARE EXCHANGE DBA ZELIS) SUMMIT AMERICA INSURANCE SERVICES TALL TREE ADMIN TERRIBLE HERBST INC SUMMIT AMERICA INSURANCE SERVICES ---KS TALL TREE ADMIN ---UT TEX-TRUDE, LP (ADMINISTERED BY GROUP & PENSION ADMINISTRATORS) SUMMIT CONSULTING LLC TALL TREE ADMINISTRATORS, LLC AND MANAGED CARE ADMINISTRATORS, INC. TEXAS AG BENEFIT ADMINISTRATORS, INC. DBA SUMMIT, INC. BENTEGRITY SOLUTIONS TANDY LEATHER FACTORY, INC. (ADMINISTERED BY SUN HOLDINGS, LLC (ADMINISTERED BY GROUP & GROUP & PENSION ADMINISTRATORS) TEXAS CARPENTERS AND MILLWRIGHTS H&W FUND PENSION ADMINISTRATORS) ---TX TANGRAM, INC. (ADMINISTERED BY GROUP & PENSION SUN LIFE ASSURANCE COMPANY OF CANADA ADMINISTRATORS) TEXAS DISPOSAL SYSTEMS, INC. (ADMINISTERED BY SUN LIFE FINANCIAL GROUP & PENSION ADMINISTRATORS) TARGET CORPORATE SUNY INSTITUTE OF TECHNOLOGY AT UTICA ROME TEXAS MUTUAL INSURANCE ---TX TARGET POINT ADMINISTRATORS, I (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE TEXAS PLAN ADMINISTRATORS DBA ZELIS) TAYLOR EXPRESS INC (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE DBA ZELIS) TEXAS REGIONAL MEDICAL CENTER, LTD. DBA SUPERIOR ADMINISTRATORS, INC. TEXAS REGIONAL MEDICAL CENTER AT SUNNYVALE TBA INSURANCE GROUP, LTD. DBA STATE NATIONAL SUPERIOR INSURANCE SERVICES, INC. (ADMINISTERED BY GROUP & PENSION COMPANIES (ADMINISTERED BY GROUP & PENSION ADMINISTRATORS) SUPPLY CORE (ADMINISTERED BY PREMIER ADMINISTRATORS) HEALTHCARE EXCHANGE DBA ZELIS) THCM, LLC FKA AMERICAN INDEMNITY, LLC TBG ADMINISTRATIVE SERVICES (ADMINISTERED BY GROUP & PENSION SUSQUEHANNA LABORERS---PA TC3 ADMINISTRATORS) SUSSEX COUNTY COMMUNITY (ADMINISTERED BY TC3 BAP DEMO ONLY THERMA CORE---PA PREMIER HEALTHCARE EXCHANGE DBA ZELIS) TC3 HEALTH INC THF SUTHERLAND FOOD SERVICE ---GA TEACHER’S PROTECTIVE MUTUAL LIFE INSURANCE THIPA- TORRANCE HOSPITAL INDEPENDENT PRACTICE SUTTER HEALTH PLAN COMPANY---PA ---CA SUTTON SPECIAL RISK TEACHERS HEALTH TRUST ---NV THOMAS COLLEGE (ADMINISTERED BY PREMIER SWANSON GROUP, INC. (ADMINISTERED BY EQUIAN, HEALTHCARE EXCHANGE DBA ZELIS) TEACHERS PROTECTIVE MUTUAL LIFE INSURANCE HMA TPA) COMPANY THOMAS COOPER & COMPANY ---SC SWEETEST DAY, THE (ADMINISTERED BY PREMIER TEAM HEALTH ---TN THOMAS COOPER & COMPANY, INC. DBA TCC OF HEALTHCARE EXCHANGE DBA ZELIS) TEAM RAHAL OF MECHANICSBURG, INC. SWINOMISH CASINO & LODGE (ADMINISTERED BY (ADMINISTERED BY GROUP & PENSION THOMAS-MCGEE EQUIAN) ADMINISTRATORS) THREE RIVERS SWINOMISH INDIAN TRIBAL COMMUNITY TEAMSTER LOCAL 175 & 505 H&W TRUST FUND ---NC (ADMINISTERED BY EQUIAN, HMA TPA) THREE RIVERS BENEFIT CORPORATION TEAMSTERS 435 SWINOMISH TRIBAL COMMUNITY TIGER LINES LLC TEAMSTERS LOCAL 135 HEALTH BENEFIT FUND ---IN SWISS RE

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Insurance/Payers

TITUS WILL AUTOMOTIVE GROUPS (ADMINISTERED BY TRANSAMERICA PREMIER LIFE INSURANCE COMPANY - TRITON HEALTH SYSTEM DBA VIVA HEALTH, INC. EQUIAN, HMA TPA) F/K/A MONUMENTAL LIFE INSURANCE COMPANY TRIVERIS LLC DBA SEECHANGE HEALTH TJT ENTERPRISES, LLC (ADMINISTERED BY PREMIER TRANSGUARD INSURANCE ---CA TRUCK DRIVERS AND HELPERS LOCAL 365 ---WA HEALTHCARE EXCHANGE DBA ZELIS) TRANSGUARD INSURANCE ---DE TRUE HEALTH DIAGNOSTICS (ADMINISTERED BY GROUP TLC ADVANTAGE TRANSGUARD INSURANCE ---FL & PENSION ADMINISTRATORS) TLC ADVANTAGE SANFORD HEALTH ---SD TRANSGUARD INSURANCE ---GA TRULUCK’S RESTAURANT GROUP, LTD (ADMINISTERED TLC COMPANY, INC. DBA TLC PLUMBING & BY GROUP & PENSION ADMINISTRATORS) TRANSGUARD INSURANCE ---IA UTILITY (ADMINISTERED BY GROUP & PENSION TRUSTEED PLANS ADMINISTRATORS) TRANSGUARD INSURANCE ---IL TRUSTEED PLANS SERVICE CORP TM CLAIMS SERVICES, INC. TRANSGUARD INSURANCE ---MD TRUSTMARK INSURANCE CO TNM CORPORATION DBA MAGNOLIA GARDENS TRANSGUARD INSURANCE ---ME NURSERY (ADMINISTERED BY GROUP & PENSION TRUSTMARK INSURANCE COMPANY (ACEC HEALTH TRANSGUARD INSURANCE ---NC ADMINISTRATORS) PLAN SERVICES, INC.) TRANSGUARD INSURANCE ---NV TOKIO MARINE HCC STOP LOSS GROUP FKA HCC LIFE TRUSTMARK INSURANCE COMPANY / COUNTRY INSURANCE COMPANY TRANSGUARD INSURANCE ---OH TERRACE OF WISCONSIN TOLEDO ELECTRIC WELFARE ---OH TRANSGUARD INSURANCE ---TX TRUSTMARK INSURANCE COMPANY / TRUSTMARK INDIVIDUAL HEALTH DIVISION TOPA BENEFITS PLAN TRANSGUARD INSURANCE---NJ TUFTS BENEFIT ADMINISTRATORS (DBA TUFTS HEALTH TORCHMARK CORPORATION TRANSPORT WORKERS UNION HEALTH & WELFARE PLAN) FUNDS TOTAL BROKER BENEFITS ---IL TUFTS HEALTH PLAN ---MA TRANSWESTERN INSURANCE ADMINISTRATORS, INC. TOTAL CLAIMS MANAGEMENT TULALIP TRIBES OF WASHINGTON (ADMINISTERED BY TRAVEL CARE SERVICES - CGC TOTAL HEALTHCARE USA, INC. EQUIAN, HMA TPA) TRAVEL CARE SERVICES WP TOTAL PLAN ADMINISTRATORS TULLCOK MANAGEMENT COMPANY (ADMINISTERED BY TRAVEL INSURANCE SERVICES PREMIER HEALTHCARE EXCHANGE DBA ZELIS) TOTAL PLAN SERVICES, INC. TRAVELERS INSURANCE TUV SUD AMERICA, INC. (ADMINISTERED BY GROUP & TOWER LIFE INSURANCE PENSION ADMINISTRATORS) TRI NORTH BUILDERS (ADMINISTERED BY PREMIER TOWN OF ALBION (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE DBA ZELIS) TWIN CITIES CASE MANAGEMENT HEALTHCARE EXCHANGE DBA ZELIS) TRI-STATE INSURANCE COMPANY TWIN CITY FLOOR COVERING ---CA TOWNES TELECOMMUNICATIONS, INC. (ADMINISTERED BY GROUP & PENSION ADMINISTRATORS) TRI-STATE JOINT FUND ---CT TWIN CITY PIPE ---CA TOYSMITH (ADMINISTERED BY EQUIAN, HMA TPA) TRIDENT PLAN ADMINISTRATORS TWINSTAR CREDIT UNION (ADMINISTERED BY EQUIAN, HMA TPA) TPA OF GEORGIA TRIPLE S STEEL HOLDINGS, INC. (ADMINISTERED BY GROUP & PENSION ADMINISTRATORS) TYSON FOODS TPA OF MINNESOTA, INC., THE TRISTAR BENEFIT ADMINISTRATORS, INC U.S. LIFE INSURANCE COMPANY TPA OF WASHINGTON TRISTAR MANAGED CARE UA LOCAL 125 H&W ---IA TPA, INC. TRISTAR MANAGED CARE ---CA UA LOCAL 198 HEALTH & WELFARE PENSION TPM ADMINISTRATORS (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE DBA ZELIS) TRISTATE LOCAL 1035 ---CT UA LOCAL 782 HEALTH PLAN ---DE TR PAUL GROUP SERVICES, INC TRISTATE LOCAL 191 ---CT UCHEALTH PLAN ADMINISTRATORS TR PAUL, INC. TRISTATE LOCAL 404 ---CT UFC LOCAL 711 ---NV TRANS-BRIDGE LINES, INC. (ADMINISTERED BY GROUP TRISTATE LOCAL 443 ---CT UFC LOCAL 711 ---UT & PENSION ADMINISTRATORS) TRISTATE LOCAL 493 ---CT UFCW - CA ---CA TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY TRISTATE LOCAL 559 ---CT UFCW - NJ TRANSAMERICA LIFE INSURANCE COMPANY TRISTATE LOCAL 677 ---CT UFCW EMPLOYER ARIZONA UNION ---AZ TRISTATE RETIRES

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Insurance/Payers

UFCW LOCAL 711 AND RETAIL FOOD EMPLOYERS UNDERWRITERS SAFETY & CLAIMS, INC. UNITED HEALTHCARE INTEGRATED BENEFIT FUND SERVICES(ADMINISTERED BY UMR) UNDERWRITERS SERVICES CORPORATION UFCW LOCAL 880-H&W UNITED HEALTHCARE INTERNATIONAL, FKA HYGEIA UNICARE CORPORATION UFCW NATIONAL UNICARE L & H INSURANCE COMPANY UNITED HEALTHCARE SERVICES CO OF THE RIVER UFCW NATIONAL HEALTH AND WELFARE FUND UNICARE LIFE & HEALTH INS CO VALLEY/UHC PLAN OF THE RIVER VALLEY (FKA JOHN UFCW SOUTHERN CALIFORNIA ---CA DEERE) UNIFIED GROUP SERVICES (UNIFIED GROUP SERVICES, UHG HARKEN HEALTH INC.) UNITED HEALTHCARE STUDENTRESOURCES, FKA STUDENT INSURANCE A DIVISION OF UICI UICI HOLDING COMPANY UNIFIED LIFE INSURANCE COMPANY UNITED HEALTHCARE SVCS CO OF THE RIVER VALLEY UICI, INC. (A.K.A. THE MEGA LIFE AND HEALTH INS. CO, UNION ADMINISTRATOR THE CHESAPEAKE LIFE INS. CO, MID-WEST NATIONAL UNITED HERITAGE LIFE INSURANCE COMPANY UNION INSURANCE COMPANY ---AL LIFE INS. CO OF TN) UNITED INSURANCE COMPANIES, INC. UNION INSURANCE COMPANY ---AR ULLICO UNITED INTERNATIONAL BROTHERHOOD OF ALL TRADES UNION LABOR LIFE INSURANCE COMPANY ULTRABENEFITS, INC. TECHNOLOGIES SERVICES UNION PACIFIC RAILROAD EMP HEALTH SYS. UMR UNITED LABOR BENEFITS UNION PACIFIC RAILROAD EMPLOYEES HEALTH UMR -WAUSAU / B & G FOODS INC UNITED MED RES SYSTEMS UMR -WAUSAU / CENTRAL PROCESSING UNITED MEDICAL RESOURCES UNION STANDARD INSURANCE GROUP ---AR UMR -WAUSAU / CPC LOGISTICS INC UNITED MEDICAL RESOURCES-FH UNION STANDARD INSURANCE GROUP ---AZ UMR -WAUSAU / GENERAL STAMPING & METALWORKS UNITED OF OMAHA LIFE INSURANCE COMPANY UNION STANDARD INSURANCE GROUP ---NM UMR -WAUSAU / GEORGIA PACIFIC UNITED PRESS INTERNATIONAL UNION STANDARD INSURANCE GROUP ---OK UMR -WAUSAU / INTEGRITY MUTUAL INSURANCE UNITED SECURITY LIFE AND HEALTH INSURANCE UNION STANDARD INSURANCE GROUP ---TX COMPANY COMPANY ---IL UNION TROWEL TRADES---PA UMR -WAUSAU / JARP INDUSTRIES INC UNITED STATES PLASTIC CORP. (ADMINISTERED BY UNITED AIRLINES GROUP & PENSION ADMINISTRATORS) UMR -WAUSAU / KOHL’S DEPARTMENT STORES UNITED AMERICAN INSURANCE COMPANY UNITED STATES STEEL CORPORATION UMR -WAUSAU / KOLBE & KOLBE MILLWORK UNITED AMERICAN INSURANCE COMPANY THROUGH UNITED TEACHER ASSOCIATES INSURANCE COMPANY UMR -WAUSAU / LEARFIELD COMMUNICATIONS INC COMPETITIVE HEALTH, INC. UNITED TRAVEL (ADMINISTERED BY PREMIER UMR -WAUSAU / MID-STATE TECHNICAL COLLEGE UNITED BENEFITS HEALTHCARE EXCHANGE DBA ZELIS) UMR -WAUSAU / MORAINE PARK TECHNICAL COLLEGE UNITED BENEFITS INC UNITED WORLD LIFE INSURANCE COMPANY UMR -WAUSAU / MSI MOLD BUILDERS SOUTHEAST INC UNITED BROTHERHOOD OF CARPENTERS & JOINERS OF UNITEDHEALTHCARE ---ALASKA UMR -WAUSAU / N & M TRANSFER CO INC AMERICA LOCAL 953 HEALTH AND WELFARE PLAN UNITRIN KEMPER PREFERRED UMR -WAUSAU / NATIONAL BUSINESS INSTITUTE INC UNITED CLAIM SOLUTIONS UNITY COLLEGE (ADMINISTERED BY PREMIER UMR -WAUSAU / OTT SCHWEITZER DISTRIBUTORS UNITED COMPANY, THE HEALTHCARE EXCHANGE DBA ZELIS) UMR -WAUSAU / PEOPLES STATE BANK UNITED EMPLOYEE HEALTH PLANS ---NY UNITY HEALTH INSURANCE UMR -WAUSAU / REGAL BELOIT CORPORATION UNITED EMPLOYEES HEALTH PLANS UNITY HEALTH INSURANCE ---WI UMR -WAUSAU / RUSS DAVIS WHOLESALE INC UNITED FIRE GROUP UNITY HEALTH INSURANCE / A-F MOTORS INC UMR -WAUSAU / THE SCOTT FETZER COMPANY UNITED FOOD & COMMERCIAL WORKERS LOCAL 1245 UNITY HEALTH INSURANCE / ACCOUNTING EQUIPMENT CORPORATION DBA AE BUSINESS S UMR -WAUSAU / V & S MIDWEST CARRIERS CORP UNITED GROUP PROGRAMS, INC. (OPTIMED) UNITY HEALTH INSURANCE / ACCURAY INCORPORATED UMR IL ---IL UNITED HEALTH PLUS ADMINISTRATORS UNITY HEALTH INSURANCE / ACHIEVE SOLUTIONS INC UMR WAUSAU UNITED HEALTH PROGRAMS OF AMERICA UNITY HEALTH INSURANCE / ADORABLE IO LLC UMR/BENESIGHT/FISERV UNITED HEALTHCARE UNITY HEALTH INSURANCE / AGRACE HOSPICECARE UNDERWRITER SAFETY & CLAIMS UNITED HEALTHCARE INSURANCE COMPANY

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Insurance/Payers

UNITY HEALTH INSURANCE / ALL NATIONS BIBLE UNITY HEALTH INSURANCE / DAVE JONES PLUMBING & UNITY HEALTH INSURANCE / FARMERS STATE BANK CHURCH INC HSA F 4000 HEATING MARKESAN HSA-F UNITY HEALTH INSURANCE / AMERICAN TEL-A-SYSTEMS UNITY HEALTH INSURANCE / DEER VALLEY LODGE 1000 UNITY HEALTH INSURANCE / FEEDING WISCONSIN INC INC 300 UNITY HEALTH INSURANCE / DEER VALLEY LODGE 2500 UNITY HEALTH INSURANCE / ANGI ENERGY SYSTEMS UNITY HEALTH INSURANCE / FIRST BUSINESS FINANCIAL UNITY HEALTH INSURANCE / DEFOREST AREA SCHOOL LLC SERVICES DISTRICT UNITY HEALTH INSURANCE / APPLE ANNIE INC UNITY HEALTH INSURANCE / FISH & ASSOCIATES UNITY HEALTH INSURANCE / DEMCO INC UNITY HEALTH INSURANCE / APPLIED TECH SOLUTIONS UNITY HEALTH INSURANCE / FLEMING DEVELOPMENT UNITY HEALTH INSURANCE / DESIGN HOMES INC 1000 INC UNITY HEALTH INSURANCE / ASSOCIATED BUILDERS & HEOS CONTRACTORS INC UNITY HEALTH INSURANCE / FORTE RESEARCH SYSTEMS UNITY HEALTH INSURANCE / DIDION MILLING INC UNITY HEALTH INSURANCE / AUTOMATION UNITY HEALTH INSURANCE / FOX VALLEY SYMPHONY UNITY HEALTH INSURANCE / DIESEL FORWARD COMPONENTS INC ORCHESTRA ASSOC 300 UNITY HEALTH INSURANCE / DISCOVER MEDIAWORKS UNITY HEALTH INSURANCE / BADGER CORRUGATING UNITY HEALTH INSURANCE / FRAWLEY OIL INC CO INC COMPANY UNITY HEALTH INSURANCE / FRISTAM PUMPS USA LTD UNITY HEALTH INSURANCE / DIVERSIFIED SERVICES OF UNITY HEALTH INSURANCE / BEACON TECHNOLOGIES PARTNERSHIP WISCONSIN INC UNITY HEALTH INSURANCE / GALLINA CORPORATION UNITY HEALTH INSURANCE / DODGELAND SCHOOL UNITY HEALTH INSURANCE / BELL LABORATORIES INC DISTRICT UNITY HEALTH INSURANCE / GAMMEX INC UNITY HEALTH INSURANCE / BERNSTEN INTERNATIONAL UNITY HEALTH INSURANCE / DON EVANS UNITY HEALTH INSURANCE / GENERAL UNITY HEALTH INSURANCE / BIO-VET INC COMMUNICATIONS INC UNITY HEALTH INSURANCE / DRM INDUSTRIES CORP UNITY HEALTH INSURANCE / BIT 7 INC UNITY HEALTH INSURANCE / GILLWARE INC UNITY HEALTH INSURANCE / DUMORE CORPORATION UNITY HEALTH INSURANCE / C-M GLO LLC UNITY HEALTH INSURANCE / GOLDLEAF DEVELOPMENT UNITY HEALTH INSURANCE / DURA TECH INDUSTRIES LLC UNITY HEALTH INSURANCE / CAPITAL BREWERY CO INC LA CROSSE UNITY HEALTH INSURANCE / GREAT LAKES HIGHER UNITY HEALTH INSURANCE / CELLECTAR BIOSCIENCES UNITY HEALTH INSURANCE / DURA TECH INDUSTRIES EDUCATION CORP INC SOUTHEAST HSA F UNITY HEALTH INSURANCE / GREATER WISCONSIN UNITY HEALTH INSURANCE / CERTCO INC NON UNION UNITY HEALTH INSURANCE / EATSTREET INC AGENCY FOR AGING RESOURCES 300 UNITY HEALTH INSURANCE / CLASEN QUALITY COATINGS UNITY HEALTH INSURANCE / EMPLOYMENT RESOURCES UNITY HEALTH INSURANCE / GREATER WISCONSIN INC INC 300 AGENCY FOR AGING RESOURCES HSA F UNITY HEALTH INSURANCE / COLUMBUS CHEMICAL UNITY HEALTH INSURANCE / EMPLOYMENT RESOURCES UNITY HEALTH INSURANCE / GREENWOODS STATE BANK INDUSTRIES INC INC 750 UNITY HEALTH INSURANCE / GUNDERSEN MOUNDVIEW UNITY HEALTH INSURANCE / COOPERATIVE REGIONS OF UNITY HEALTH INSURANCE / EMPLOYMENT RSOURCES HOSPITAL AND CLINIC ORGANIC PRODUCER POOLS INC HSA F 12000 UNITY HEALTH INSURANCE / HAUSMANN-JOHNSON UNITY HEALTH INSURANCE / COOPERATIVE REGIONS OF UNITY HEALTH INSURANCE / ENERGY CENTER OF INSURANCE INC ORGANICE PRODUCER POOLS WISCONSIN INC UNITY HEALTH INSURANCE / HIGHLAND COMMUNITY UNITY HEALTH INSURANCE / CREDIT UNION NATIONAL UNITY HEALTH INSURANCE / ENERGY SERVICES INC CHURCH HSA F 12000 ASSOCIATION UNITY HEALTH INSURANCE / ENVIRONMENT CONTROL UNITY HEALTH INSURANCE / HIGHLAND COMMUNITY UNITY HEALTH INSURANCE / CREDIT UNION NATIONAL OF WISCONSIN CHURCH HSA F 4000 ASSOCIATION INC UNITY HEALTH INSURANCE / ERDMAN COMPANY UNITY HEALTH INSURANCE / HIGHLAND COMMUNITY UNITY HEALTH INSURANCE / DAIRYLAND ELECTRICAL UNITY HEALTH INSURANCE / ESKER INC CHURCH HSA S 2000 INDUSTRIES INC 750 UNITY HEALTH INSURANCE / EVALD MOULDING UNITY HEALTH INSURANCE / HOLWERDA ENTERPRISES UNITY HEALTH INSURANCE / DAIRYLAND ELECTRICAL LLC INDUSTRIES INC HSA F 4000 UNITY HEALTH INSURANCE / EVENING TELEGRAM COMPANY DBA MORGAN MURPHY MEDIA UNITY HEALTH INSURANCE / HOME SECURITY OF UNITY HEALTH INSURANCE / DANIELS FOOD INC DBA AMERICA DANIELS FOOD SENTRY UNITY HEALTH INSURANCE / EYEKOR INC UNITY HEALTH INSURANCE / HOPE COMMUNITY CHURCH INC 750

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Insurance/Payers

UNITY HEALTH INSURANCE / HOPE COMMUNITY UNITY HEALTH INSURANCE / MIKE ENTERPRISES UNITY HEALTH INSURANCE / PRIDHAM ELECTRONICS CHURCH INC HSA F 4000 INC DBA MALLATTS PHARMACY INC UNITY HEALTH INSURANCE / HORIZON DEVELOPMENT UNITY HEALTH INSURANCE / MIKE HYNE AGENCY LLC UNITY HEALTH INSURANCE / QTI HUMAN RESOURCES GROUP INC HSA S 2000 INC 300 UNITY HEALTH INSURANCE / HOWLWERDA UNITY HEALTH INSURANCE / MILE BLUFF MEDICAL UNITY HEALTH INSURANCE / QTI HUMAN RESOURCES ENTERPRISES LLC CENTER 1000 EARLY RETIREE INC 750 UNITY HEALTH INSURANCE / IDEAL CRANE RENTAL INC UNITY HEALTH INSURANCE / MILE BLUFF MEDICAL UNITY HEALTH INSURANCE / QTI HUMAN RESOURCES CENTER INC INC HSA S 2000 UNITY HEALTH INSURANCE / IDEAS UNLIMITED SEMINARS INC 300 UNITY HEALTH INSURANCE / MILLWORK SPECIALISTS UNITY HEALTH INSURANCE / R MUELLER SERV & EQUIP OF WI CO INC UNITY HEALTH INSURANCE / INDEPENDENCE SCHOOL DISTRICT HSA F UNITY HEALTH INSURANCE / MORGRIDGE UNITY HEALTH INSURANCE / REDEEMER EVANGELICAL FREE CHURCH INC 750 UNITY HEALTH INSURANCE / INDEPENDENCE SCHOOL UNITY HEALTH INSURANCE / MOY BORCHERT ERBS LLP DISTRICT HSA S UNITY HEALTH INSURANCE / REHABILITATION FOR UNITY HEALTH INSURANCE / MUELLER SPORTS WISCONSIN UNITY HEALTH INSURANCE / INTEGRATED MEDICINE INC DEVELOPMENT SERVICES INC UNITY HEALTH INSURANCE / RHYME BUSINESS UNITY HEALTH INSURANCE / MUNICIPAL ELECTRIC PRODUCTS LLC UNITY HEALTH INSURANCE / INTERCON CONSTRUCTION UTILITIES OF WISCONSIN & ENERGY SERVICES HAS F UNITY HEALTH INSURANCE / ROPLAN INC UNITY HEALTH INSURANCE / MUNICIPAL ELECTRIC UNITY HEALTH INSURANCE / INTERCON CONSTRUCTION UTILITIES OF WISCONSIN 300 UNITY HEALTH INSURANCE / RPT RESTAURANT & ENERGY SERVICES HAS S ACCOUNTING LLC UNITY HEALTH INSURANCE / MUNICIPAL ELECTRIC UNITY HEALTH INSURANCE / KESTREL MANAGEMENT UTILITIES OF WISCONSIN 750 UNITY HEALTH INSURANCE / S & S CYCLE INC LLC 750 UNITY HEALTH INSURANCE / MUNZ CORPORATION UNITY HEALTH INSURANCE / SAELENS CORPORATION UNITY HEALTH INSURANCE / KING PIN MANAGEMENT UNITY HEALTH INSURANCE / NEESVIGS INC UNITY HEALTH INSURANCE / SAND COUNTY INC FOUNDATION INC 750 UNITY HEALTH INSURANCE / NETWORK ENGINEERING UNITY HEALTH INSURANCE / LIVESEY COMPANY LLC TECHNOLOGIES UNITY HEALTH INSURANCE / SCHEDULESOFT UNITY HEALTH INSURANCE / LOEB LORMAN METALS INC CORPORATION UNITY HEALTH INSURANCE / NORTH AMERICAN - FORT ATKINSON MECHANICAL INC UNITY HEALTH INSURANCE / SCHOEPS ICE CREAM CO UNITY HEALTH INSURANCE / MADISON INVESTMENT INC UNITY HEALTH INSURANCE / NORTHERN ENGRAVING HOLDINGS INC CORPORATION 250 HEOS UNITY HEALTH INSURANCE / SCHOOL DISTRICT OF UNITY HEALTH INSURANCE / MADISON METROPOLITAN BOSCOBEL AREA SCHOOL DP UNITY HEALTH INSURANCE / OLIPHANT GOLF INC SCHOOL DISTRICT UNITY HEALTH INSURANCE / SCHOOL DISTRICT OF UNITY HEALTH INSURANCE / OPPORTUNITIES INC OF UNITY HEALTH INSURANCE / MADISON NEWSPAPERS JOHNSON CREEK JEFFERSON COUNTY INC UNITY HEALTH INSURANCE / SCHOOL DISTRICT OF UNITY HEALTH INSURANCE / ORGANIC MEAT COMPANY UNITY HEALTH INSURANCE / MAPLE BLUFF COUNTRY MONROE LLC 5000 CLUB UNITY HEALTH INSURANCE / SCHOOL DISTRICT OF UNITY HEALTH INSURANCE / PANATRACK INC 750 UNITY HEALTH INSURANCE / MARQUARDT MEMORIAL ONALASKA MANOR INC UNITY HEALTH INSURANCE / PARDEEVILLE AREA UNITY HEALTH INSURANCE / SCHOOL DISTRICT OF SCHOOL DISTRICT UNITY HEALTH INSURANCE / MARTINS BULK MILK PLATTEVILLE TEACHERS HEOP SERVICES INC UNITY HEALTH INSURANCE / PERFORMANCE MICRO UNITY HEALTH INSURANCE / SCHWARZ INSURANCE TOOL UNITY HEALTH INSURANCE / MD GROUP LLC AGENCY INC UNITY HEALTH INSURANCE / PHARMASEEK LLC UNITY HEALTH INSURANCE / MEISTER LOG & LUMBER UNITY HEALTH INSURANCE / SHULLSBURG CREAMERY UNITY HEALTH INSURANCE / PLACON CORPORATION II LLC UNITY HEALTH INSURANCE / METASTAR INC UNITY HEALTH INSURANCE / POTATO KING UNITY HEALTH INSURANCE / SINSINAWAY DOMINICAN UNITY HEALTH INSURANCE / METRO HARDWOODS - TRANSPORTATION INC JACKSON UNITY HEALTH INSURANCE / SKINNER TRANSFER UNITY HEALTH INSURANCE / PREFERRED TITLE LLC CORPORATION UNITY HEALTH INSURANCE / MIDDLETON MOTORS INC UNITY HEALTH INSURANCE / SMART SOLUTIONS INC UNITY HEALTH INSURANCE / MIDWEST WELL SERVICES

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Insurance/Payers

UNITY HEALTH INSURANCE / SOUTHERN WISCONSIN UNITY HEALTH INSURANCE / UNIVERSITY OF WISCONSIN UNIVERSITY OF CHICAGO HEALTH PLAN (UCHP) ---IL FOODS CREDIT UNION HSA F UNIVERSITY OF COLORADO-UNIVERSITY RISK MGMT UNITY HEALTH INSURANCE / SPARTA SCHOOL DISTRICT UNITY HEALTH INSURANCE / UNIVERSITY OF WISCONSIN ---CO CREDIT UNION HSA S UNITY HEALTH INSURANCE / SPECIAL OLYMPICS WI UNIVERSITY OF NEW HAVEN (ADMINISTERED BY UNITY HEALTH INSURANCE / UW MEDICAL FOUNDATION PREMIER HEALTHCARE EXCHANGE DBA ZELIS) UNITY HEALTH INSURANCE / STEVENS CONSTRUCTION CORP UNITY HEALTH INSURANCE / UW PROVISION COMPANY UNIVERSITY OF ST. THOMAS (ADMINISTERED BY GROUP INC & PENSION ADMINISTRATORS) UNITY HEALTH INSURANCE / STONE HOUSE DEVELOPMENT UNITY HEALTH INSURANCE / V SOFT CONSULTING UNIVERSITY OF THE SOUTHWEST (ADMINISTERED BY GROUP PREMIER HEALTHCARE EXCHANGE DBA ZELIS) UNITY HEALTH INSURANCE / STRANG INC UNITY HEALTH INSURANCE / VERIDIAN MANAGEMENT UNIVERSITY OF UTAH HEALTH PLAN UNITY HEALTH INSURANCE / SUMMIT CREDIT UNION SOLUTIONS LLC UPMC HEALTH PLAN UNITY HEALTH INSURANCE / SUNCOR INC UNITY HEALTH INSURANCE / VONLAY LLC UPPER SKAGIT INDIAN TRIBE (ADMINISTERED BY UNITY HEALTH INSURANCE / SUNDIAL SOFTWARE UNITY HEALTH INSURANCE / WEATHER CENTRAL INC EQUIAN, HMA TPA) CORPORATION UNITY HEALTH INSURANCE / WESTBY AREA SCHOOL UPSHURE COUNTY (ADMINISTERED BY GROUP & UNITY HEALTH INSURANCE / SUPPORTING FAMILIES DISTRICT PENSION ADMINISTRATORS) TOGETHER UNITY HEALTH INSURANCE / WHITE HILL CHEESE URSINUS COLLEGE (ADMINISTERED BY PREMIER UNITY HEALTH INSURANCE / SURE FIRE INC COMPANY LLC HEALTHCARE EXCHANGE DBA ZELIS) UNITY HEALTH INSURANCE / SVA CERTIFIED PUBLIC UNITY HEALTH INSURANCE / WI MANAGEMENT US ADMINISTRATOR CLAIMS ACCOUNTANTS SC COMPANY INC DBA FIRST GENERAL SERVIC US BEEF CORPORATION UNITY HEALTH INSURANCE / TAMMY BALDWIN FOR UNITY HEALTH INSURANCE / WICK BUILDING INC SENATE 750 US FAMILY HEALTH PLAN UNITY HEALTH INSURANCE / WILDWOOD FAMILY CLINIC UNITY HEALTH INSURANCE / TEAMSOFT INC US HEALTH GROUP FKA ASCENT MANAGEMENT UNITY HEALTH INSURANCE / WISCONSIN ALUMNI (NATIONAL FOUNDATION LIFE INSURANCE COMPANY; UNITY HEALTH INSURANCE / TERRA ENGINEERING & RESEARCH FOUNDATION FREEDOM LIFE INSURANCE COMPANY) CONSTRUCTION UNITY HEALTH INSURANCE / WISCONSIN AVIATION INC US IMAGING NETWORK, LLC UNITY HEALTH INSURANCE / THE GREAT DANE PUB & BREWING CO UNITY HEALTH INSURANCE / WISCONSIN CONCRETE US LIFE INSURANCE COMPANY PAVING ASSOCIATION INC 300 UNITY HEALTH INSURANCE / THE GREAT DANE PUB US NETWORK AND HEALTHCARE ---IN BREWING CO- WAUSAU UNITY HEALTH INSURANCE / WISCONSIN ENERGY US NETWORK AND HEALTHCARE ---OH CONSERVATION CORPORATION UNITY HEALTH INSURANCE / THE KRAEMER COMPANY US OIL COMPANY LLC UNITY HEALTH INSURANCE / WISCONSIN ESCHOOL NETWORK USA GROUP INTERNATIONAL, INC. UNITY HEALTH INSURANCE / THE LITTLE POTATO COMPANY USA INC UNITY HEALTH INSURANCE / WISCONSIN INSTITUTE FOR USAA HEALTHY AGING INC 300 UNITY HEALTH INSURANCE / TKC REAL ESTATE USAABLE LIFE INSURANCE COMPANY HOLDINGS LLC UNITY HEALTH INSURANCE / WISCONSIN MANAGEMENT USABLE CORPORATION COMPANY INC DBA FIRST GENERAL UNITY HEALTH INSURANCE / TOMOTHERAPY INC UTILITY CONTRACTORS, INC. (ADMINISTERED BY GROUP UNITY HEALTH INSURANCE / WISCONSIN PROPERTY UNITY HEALTH INSURANCE / TOTAL WATER TREATMENT & PENSION ADMINISTRATORS) MANAGEMENT LLC SYSTEMS UVALDE COUNTY (ADMINISTERED BY GROUP & UNITY HEALTH INSURANCE / WISCONSIN REINSURANCE UNITY HEALTH INSURANCE / TRICOR INSURANCE PENSION ADMINISTRATORS) CORPORATION UNITY HEALTH INSURANCE / UNIEK INC UVALDE MEMORIAL HOSPITAL (ADMINISTERED BY UNITY HEALTH INSURANCE / WOLLERSHEIM WINERY GROUP & PENSION ADMINISTRATORS) UNITY HEALTH INSURANCE / UNIROYAL ENGINEERED INC PRODUCTS LLC VALE U HEALTH UNIVERSAL AMERICAN FINANCIAL CORPORATION UNITY HEALTH INSURANCE / UNITY HEALTH INSURANCE VALENCE HEALTH ALLIANT UNIVERSAL ASSISTANCE, INC. UNITY HEALTH INSURANCE / UNIVERSITY OF WISCONSIN VALLEY BAPTIST HEALTH PLAN INC ---TX UNIVERSAL CARE CREDIT UNION VALLEY TELEPHONE (ADMINISTERED BY GROUP & UNIVERSAL FIDELITY LIFE INSURANCE COMPANY PENSION ADMINISTRATORS)

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Insurance/Payers

VALLEY TIRE COMPANY, INC. (ADMINISTERED BY GROUP WASHINGTON PARISH SCHOOL BOARD (ADMINISTERED WESLEY COLLEGE (ADMINISTERED BY PREMIER & PENSION ADMINISTRATORS) BY PREMIER HEALTHCARE EXCHANGE DBA ZELIS) HEALTHCARE EXCHANGE DBA ZELIS) VALLEY VIEW HEALTH CENTER (ADMINISTERED BY WASHINGTON STATE DEPARTMENT OF TRANSPORT WEST BEND MUTUAL INSURANCE ---IA EQUIAN, HMA TPA) ---WA WEST BEND MUTUAL INSURANCE ---NE VALLORBS---PA WASHINGTON TEAMSTERS WELFARE TRUST ---WA WEST BEND MUTUAL INSURANCE ---WI VALUE OPTIONS/NRLC WATCHGUARD VIDEO (ADMINISTERED BY GROUP & WEST VIRGINIA LABORERS’ TRUST FUND ---WV PENSION ADMINISTRATORS) VANLINER INSURANCE WESTERN & SOUTHERN FINANCIAL GROUP WATCHGUARD, INC., FKA ENFORCEMENT VIDEO LLC VANTAGE HEALTH PLAN DBA WATCHGUARD VIDEO (ADMINISTERED BY GROUP WESTERN GROWERS ASSURANCE TRUST VARIABLE PROTECTION ADMIN INC & PENSION ADMINISTRATORS) WESTERN GROWERS ASSURANCE TRUST ---AZ VERMONT SCHOOL BOARD INSURANCE TRUST ---VT WATERSTONE BENEFIT ADMINISTRATORS WESTERN GROWERS ASSURANCE TRUST ---CA VIA METROPOLITAN TRANSIT ---TX WATKINS WESTERN GROWERS ASSURANCE TRUST ---CO VIANT WAUNA CREDIT UNION (ADMINISTERED BY EQUIAN, WESTERN GUARANTY FUND SERVICES ---CO HMA TPA) VIANT (FORMERLY CONCENTRA PREFERRED SYSTEMS) WESTERN GUARANTY FUND SERVICES ---ID WAUPACA NORTHWOODS FOR PREFONE VIKING YACHT (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE WESTERN GUARANTY FUND SERVICES ---KS VINTAGE ARCHONICS INC (ADMINISTERED BY PREMIER DBA ZELIS) WESTERN GUARANTY FUND SERVICES ---MT HEALTHCARE EXCHANGE DBA ZELIS) WCR WESTERN GUARANTY FUND SERVICES ---WA VIRGINIA MILITARY INSTITUTE (ADMINISTERED BY WE CARE FOOD STORES INC (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE DBA ZELIS) WESTERN GUARANTY FUND SERVICES ---WY PREMIER HEALTHCARE EXCHANGE DBA ZELIS) VIRGINIA UNIVERSITY OF LYNCHBURG (ADMINISTERED WESTERN KENTUCKY UNIVERSITY (ADMINISTERED BY WEA ---WI BY PREMIER HEALTHCARE EXCHANGE DBA ZELIS) PREMIER HEALTHCARE EXCHANGE DBA ZELIS) WEA (ADMINISTERED BY EQUIAN) VIVA HEALTH ---AL WESTERN MUTUAL INSURANCE (FULLY) WEA INSURANCE CORPORATION (WEA TRUST) VOLUSIA HEALTH NETWORK WESTERN SOUTHERN LIFE INSURANCE COMPANY WEB TPA VOLUSIA HEALTH VENTURES, INC. DBA VOLUSIA HEALTH WESTERN TEXAS COLLEGE (ADMINISTERED BY NETWORK WEBBCO ---GA PREMIER HEALTHCARE EXCHANGE DBA ZELIS) VOYA FINANCIAL WEBBCO ---IL WESTERN UNITED VSCL CORPORATION DBA CANALES FURNITURE WEBBCO ---NC WESTERN WASHINGTON MEDICAL GROUP (ADMINISTERED BY GROUP & PENSION (ADMINISTERED BY EQUIAN) WEBBCO ---UT ADMINISTRATORS) WESTMORELAND COUNTY COMM (ADMINISTERED BY WEBMD VURVHEALTH, LLC FKA PACIFIC RX NETWORK, LLC PREMIER HEALTHCARE EXCHANGE DBA ZELIS) WELFARE & PENSION ADMIN SVC VYTRA HEALTH PLANS WEXFORD HEALTH SOURCES WELFARE AND EDUCATION FUND WABASH VALLEY ALLIANCE, INC. (ADMINISTERED BY WEYCO, INC. GROUP & PENSION ADMINISTRATORS) WELLCARE HEALTH PLANS WHATCOM COUNTY (ADMINISTERED BY EQUIAN, HMA WALGREEN COMPANY, THE WELLCARE OF CONNECTICUT, INC. TPA) WAREHOUSE EMPLOYEES LOCAL 570 TRUST FUND---PA WELLCARE OF NEW YORK, INC. WHATCOM TRANSPORTATION AUTHORITY (ADMINISTERED BY EQUIAN, HMA TPA) WAREHOUSE HOME FURNISHINGS DISTRIBUTORS, INC. WELLCOMP DBA FARMERS FURNITURE (ADMINISTERED BY GROUP WHIRLPOOL WELLNET HEALTHCARE & PENSION ADMINISTRATORS) WILBERT FUNERAL SERVICES, INC. (ADMINISTERED BY WELLNET HEALTHCARE ADMIN WARRENTON FIBER COMPANY (ADMINISTERED BY GROUP & PENSION ADMINISTRATORS) EQUIAN, HMA TPA) WELLPOINT WILCO FARMERS (ADMINISTERED BY EQUIAN, HMA WASATCH WELLRITHMS, INC. TPA) WASHINGTON FRUIT (ADMINISTERED BY EQUIAN, HMA WENDY’S WILLBANKS METALS, INC. (ADMINISTERED BY GROUP & TPA) PENSION ADMINISTRATORS) WENGER FAMILY OF COMPANIES ---PA WASHINGTON NATIONAL INSURANCE COMPANY WILLIAM EARHART CO, INC. ---OR

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Insurance/Payers

WILLIAM J. SUTTON & COMPANY, LTD. D/B/A SUTTON WPS HEALTH INSURANCE ---WI ZELIS CLAIMS INTEGRITY, INC. AND GLOBALCARE, INC. SPEICAL RISK WR BERKLEY CORP ZELIS HEALTHCARE WILLIAMSBURG NATIONAL INSURANCE CO. WSECU (ADMINISTERED BY EQUIAN, HMA TPA) ZENEKS WILLIMS, PARKER, HARRISON, DIETZ, & GETZEN ---FL XEROX ZENITH ADMINISTRATORS WILLSE & ASSOCIATES, INC. (DBA NATIONAL CLAIMS XEROX(CIQ)-ANCHOR CLAIMS MANAGEMENT ZENITH ADMINISTRATORS---AZ ADMINISTRATIVE SERVICES, NCAS) XEROX(CIQ)-EK HEALTH ZENITH ADMINISTRATORS, INC.---WA WILMINGTON UNIVERSITY (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE DBA ZELIS) XEROX(CIQ)-ESIS ZENITH AMERICAN SOLUTIONS WILSON MCSHANE TWIN CITY SHEET METAL ---WI XEROX(CIQ)-GEORGIA ADMIN SVC ZIRKLE FRUIT COMPANY (ADMINISTERED BY EQUIAN, HMA TPA) WILSON MUTUAL INSURANCE ---MN XEROX(CIQ)-JOHN EASTERN ZIVELO LLC (ADMINISTERED BY PREMIER HEALTHCARE WILSON MUTUAL INSURANCE ---WI XEROX(CIQ)-REVIEW MED EXCHANGE DBA ZELIS) WINCO MASONRY, LP. (ADMINISTERED BY GROUP & XEROX(STR)-ACCIDENT FUND INS/ UNITED HEARTLAND ZURICH SERVICES CORP PENSION ADMINISTRATORS) XEROX(STR)-ADVANTAGE WORKCOMP SERVICES ZYERGY (ADMINISTERED BY PREMIER HEALTHCARE WINDOW ROCK SCHOOL DISTRICT NO. 8 XEROX(STR)-CARE SOLUTIONS EXCHANGE DBA ZELIS) WISCONSIN HEALTH FUND XEROX(STR)-CARELOGIC WISCONSIN HEALTH FUND ---WI XEROX(STR)-CCMSI WISCONSIN INSURANCE SECURITY FUND ---WI XEROX(STR)-CITY OF LOS ANGELES WJ COX ASSOCIATES, INC. XEROX(STR)-COMPRESULTS WMI MUTUAL INSURANCE CO & WMI TPA XEROX(STR)-FCS ADMINISTRATION WMI MUTUAL INSURANCE COMPANY FKA WESTERN XEROX(STR)-FLORIDA SCHOOL BOARD INS TRUST MUTUAL INSURANCE COMPANY XEROX(STR)-OCCUSYSTEM WOMEN’S HEALTHCARE ASSOCIATES (ADMINISTERED BY EQUIAN, HMA TPA) XEROX(STR)-RAS WOODMAN OF THE WORLD/ASSURED LIFE XEROX(STR)-REHABREVIEW WOODMEN ACCIDENT & LIFE CO. XEROX(STR)-SEDGWICK WOODS AND GROOMS BENEFIT SVCS XEROX(STR)-WAL-MART WORKSITE BENEFIT SERVICES, LLC XEROX(STR)-XEROX BILL REVIEW SERVICES WORLD ASSISTANCE SERVICE, INC. XPERTON LLC (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE DBA ZELIS) WORLD INSURANCE COMPANY YAKAMA NATION (ADMINISTERED BY EQUIAN, HMA TPA) WORLD OF GOD FELLOWSHIP, INC. DBA DAYSTAR TELEVISION NETWORK (ADMINISTERED BY GROUP & YAKIMA VALLEY FARM WORKERS CLINIC PENSION ADMINISTRATORS) (ADMINISTERED BY EQUIAN, HMA TPA) WORLD TRAVEL PROTECTION CANADA, INC. YAKIMA VALLEY MEMORIAL HOSPITAL (ADMINISTERED BY EQUIAN, HMA TPA) WORLDWIDE MANAGED CARE PARTNERS, LLC. YODERS ---FL WP NORTHWEST IRON WORKERS TRUST ---WA YORK - RISK SVC GROUP (SBR-CA) WP NORTHWEST ROOFERS ---WA YOUNG WOMENS CHRISTIAN ASSOCIATION WP OPERATING ENGINEERS ---WA (ADMINISTERED BY PREMIER HEALTHCARE EXCHANGE WP PUGET ---WA DBA ZELIS) WPHS (ADMINISTERED BY EQUIAN) YUSEN TRANSPORTATION WPR ZAVATA WPS (ADMINISTERED BY EQUIAN) ZELIS

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Blue Cross and Blue Shield

ANTHEM BLUE CROSS ANTHEM BLUE CROSS AND BLUE SHIELD ARKANSAS BLUE CROSS BLUE SHIELD BLUE CARE NETWORK OF MICHIGAN BLUE CROSS OF ATLANTIC CANADA BLUE CROSS BLUE SHIELD OF ARIZONA BLUE CROSS OF CALIFORNIA BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC. BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA BLUE CROSS BLUE SHIELD OF TENNESSEE, INC. BLUE CROSS BLUE SHIELD OF TEXAS BLUE CROSS AND BLUE SHIELD OF WISCONSIN BLUE SHIELD OF CALIFORNIA CAREFIRST BLUE CROSS BLUE SHIELD (CAREFIRST BLUECHOICE, INC.) HORIZON HEALTHCARE SERVICES, INC. DBA HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY MANITOBA BLUE CROSS ---CANADA PACIFIC BLUE CROSS

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Medicaid

AHCCCS---AZ ALABAMA MEDICAID ARIZONA MEDICAID GEORGIA MEDICAID IDAHO MEDICAID INDIANA MEDICAID IOWA MEDICAID KANSAS MEDICAID (KMAP) LOUISIANA MEDICAID MAINECARE MEDICAID MINNESOTA MEDICAID MONTANA MEDICAID NEW MEXICO MEDICAID OREGON MEDICAID SOUTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES MEDICAID UTAH MEDICAID WASHINGTON MEDICAID WISCONSIN MEDICAID WYOMING MEDICAID

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Worker’s Compensation

2CS ALLIANZ GLOBAL CORPORATE AND SPECIALTY AGCS Aon eSolutions - Self-Insured Schools of CA 7ELEVEN SEDGWICK ALLIED Aon eSolutions- SISCO ACCELERATED CLAIMS SERVICES ALLIED MANAGED CARE AON SERVICE CENTER ACCIDENT FUND Allmerica Financial Benefit Ins. Co. APPLIED UNDERWRITERS Accident Fund Insurance Co of America ALPHA REVIEW INGENIX WC Aramark ACORDIA NATIONAL ALSCO ARDEN GROUP ACORDIA WELLS FARGO DISABILITY ALTERNATIVE SERVICE CONCEPTS Argent ACROMETIS AMERICA FIRST INSURANCE ARIEL ACUITY American Airlines ARISSA COST STRATEGIES AdminSure American Claims Management ARIZONA SCHOOL ALLIANCE FOR WORKERS COMP INC ADP CHANNELING AMERICAN EQUITY RISK SERVICES LLC ARKANSAS BEST CORPORATION Advance Auto Parts AMERICAN FAMILY ARKANSAS MCO ADVANTAGE AMERICAN FAMILY HOME INSURANCE COMPANY ARMOUR RISK MANAGEMENT ADVENTIST HEALTH SYSTEM AMERICAN GUARANTEE AND LIABILITY Arrow Mutual ADVOCATE CASE MANAGEMENT AMERICAN ZURICH INS CO ARROWPOINT INSURANCE AIC PRIMARY MPN AmeriGas ASC AIC SELECT MPN AMERISAFE ASIS TRIBAL FIRST AIG AEROSPACE AMERISURE ASPEN DENTAL MANAGEMENT, INC AIG CLAIMS INC AMERISURE INS. CO-FARMINGTON HILLS WC ASSOCIATED COMPENSATION RESOURCES AIG CLAIMS INC EXCL MN AMERISURE INSURANCE COMPANY ASU Group, The AIG CLAIMS INC HAMILTON SUNSTRAND AMERISYS ASI AT GLOBAL AIG CLAIMS INC JC PENNEYS AMERISYS CHANNELING ONLY ATHENS ADMINISTRATORS AIG CLAIMS INC NYC AMERISYS INC Atlantic Charter Insurance Company AIG CLAIMS INC PBAMEDMPN AMERISYS PGCS ATLAS GENERAL INSURANCE AIG CLAIMS INC PBAMEDOBN AMERISYS USIS ATLAS GROUP CAPTIVE AIG CLAIMS INC PBAMEDOBT AMFED AULTCOMP AIG CLAIMS INC PRATT AND WHITNEY AMFO FOCUS CA MPN NY METRACOMP AURORA EAST SCHOOL DISTRICT AIG CLAIMS INC TX HCN NY CERTIFIED AMTRUST Axis Medical Management AIG OBN NO PER CLAIM ANALYTIC HEALTH REVIEW Bank of America AIG PE CA MPN OBN ANALYTICAL HEALTH REVIEW Bartlett, City Of AIG PE OBN NO PER CLAIM REGULAR NETWORK ANASAZI BASS AND BABB AIG PRODUCTIVITY EDGE TX HCN ANDERSEN CORPORATION 001577 BASS AND BABB II AIG WORLD SOURCE ANDERSONS, INC., THE BASSBABB FRANKENMUTH WC AIIS ANHEUSER BUSCH Bed Bath & Beyond Alaska Municipal League Anthem Workers’ Compensation LLC BENCHMARK INSURANCE COMPANY Alaska National Insurance AON BENEFIT & RISK MANAGEMENT SERVICES ALLIANCE COAL AON CITIZENS MANAGEMENT INC BERKELYS ASSIGNED RISK BUSINESS ALLIANZ Aon eSolutions BERKLEY ADMINISTRATORS

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Worker’s Compensation

BERKLEY MEDICAL MANAGEMENT BUNCH GOODRICH Christmas Tree Shops BERKLEY NET UNDERWRITERS BUNCH MITSUI Chubb Indemnity Insurance Berkley Risk Administrators BUNCH MLB CHURCH MUTUAL INSURANCE BERKLEY RISK ADMINISTRATORS INGENIX WC BUNCH REGIS CIAGA BERKLEY SPECIALTY CA MPN BUNCH SALVATION ARMY CIGA BERKLEY SPECIALTY UNDERWRITING MANAGERS LLC BUNCH SEATTLE SEAHAWKS CIRMA BERKSHIRE HATHAWAY HOMESTATE COMPANIES BUNCH SPHERION RANDSTAD CITIZEN S MANAGEMENT INC BEST BUY SEDGWICK BUNCH TARGET Citizens Insurance Co. of America BEST POWER CO BUNCH TRACTOR SUPPLY CITY OF AZUSA BISON PAYROLL BUNCH WILLIAMS SONOMA CITY OF BREA COST CONTAINMENT STRATEGIES INC BLESSEY MARINE SERVICES INC Bureau of State Risk Management, WI CITY OF BUENA PARK COST CONTAINMENT STRATEGIES INC BLUEGRASS HEALTH NETWORK California Casualty - Maine CITY OF CHICAGO Boston Zone CALIFORNIA CONSTRUCTION NETWORK CITY OF CHICAGO CIVILIAN BRIDGEWAY MEDICAL CALIFORNIA EVEREST CUSTOM MPN CITY OF CHICAGO FIRE BROADSPIRE CALIFORNIA INSURANCE GUARANTEE ASSOCIATION CIGA CITY OF CHICAGO POLICE BROADSPIRE FH TX HCN CANNON COCHRAN MANAGEMENT SERVICES INC CITY OF JACKSONVILLE BROADSPIRE LEGACY FOCUS CIGA CUSTOM MPN Care Logic CITY OF LOMPOC BROADSPIRE LEGACY FOCUS TX HCN CARE SOLUTIONS CITY OF LOS ANGELES Broadspire Services Inc CARE SOLUTIONS WITH OON CITY OF MODESTO- RISK MANAGEMENT BROADSPIRE STANDARD PPO NETWORK CARESYS NB RATE CITY OF MOLINE IL Brock Enterprises, Inc. CAREWORKS OF OHIO LTD CITY OF PLACENTIA BROTHERHOOD MUTUAL INSURANCE CO CARMEL HIGHLAND FIRE CITY OF RIALTO BROWN REHAB CARMEL VALLEY FIRE CITY OF SAN FERNANDO BROWN REHAB COD CASENET MANAGED CARE CLAIM QUEST MERCHANT Budway Enterprises Cash Room CLAIMS ADMINISTRATIVE SERVICES INC Bunch & Associates, Inc. CBRL GROUP CLAIMS MANAGEMENT, INC. - IP BUNCH AND ASSOC PRIM WITH OUT TX HCN CCMSI CNA BUNCH AND ASSOC STANDARD WITH OUT TX HCN CCMSI CA CUSTOM MPN CNA FEDERAL BUNCH AND ASSOCIATES STANDARD CA CCMSI FOCUS COVENTRY STANDARD CA CNA GLOBAL INSURANCE BUNCH ARAMARK CCMSI SELECT CNA LONGSHORE BUNCH BARNES GROUP INC CCS Holdings CNA STANDARD NETWORKS BUNCH BIG LOTS CENTURY WORKERS COMPENSATION CNA TX HCN BUNCH BUFFETS INC CF JORDAN CONSTRUCTION LLC 003975 GALHCN975 COASTAL COMP BUNCH CARESOLUTIONS LLC CHAPMAN AND ASSOCIATES COLONIAL HEALTH INGENIX WC BUNCH CITY OF JACKSONVILLE Charter Oak Fire Insurance Company (The), NAIC #25615 COLORADO CASUALTY BUNCH COSTCO CHASE STAFFING COMMONWEALTH OF PA BUNCH CVS CHEROKEE INSURANCE COMPANY COMMONWEALTH OF VIRGINIA BUNCH GEO GROUP CHESAPEAKE COMP IQ ASP

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Worker’s Compensation

COMP-SIGMA CONTINENTAL WESTERN GROUP EBI COMPANIES PHOENIX Comp/Med Consulting Inc CONTRACT CLAIMS SERVICES Edward Jones COMPANION Copperpoint EKHealth COMPANION PROPERTY AND CASUALTY INSURANCE CO CORONA NORCO UNIFIED EL CAMINO HOSPITAL COMPANION TPA CORVEL Electric Boat COMPCHOICE CorVel Healthcare Corp EMC COMPENSATION CONSULTANTS, INC. COST CONTAINMENT SOLUTIONS EMC COMPANIES TXHCN COMPIQ COST CONTAINMENT STRATEGIES INC EMEDFEE INC COMPIQ COMPCHOICE COTTINGHAM AND BUTLER INC Employer’s Insurance COMPIQ CORP CHANNELING ONLY COUNTY OF LOS ANGELES EMPLOYERS COMPIQ ESIS COUNTY OF RIVERSIDE TALISPOINT CA Employers Choice COMPIQ ESIS CAP RATE COVENTRY EMPLOYERS COMPENSATION INSURANCE CO COMPIQ ESIS LOST TIME Coventry Health Care Workers Compensation Inc EMPLOYERS INSURANCE COMPIQ ESIS MEDICAL ONLY COVENTRY INTEGRATED NETWORK EMPLOYERS INSURANCE COMPANY OF WAUSAU COMPIQ ESIS TX I COVENTRY TEST ACRO 3 NEW NTW PARTNERS EMPLOYERS RISK SERVICES COMPIQ ESIS TX II COVENTRY TEST ACRO 4 NEW NTW PARTNERS ENERGI INC COMPIQ ESIS TX III CREATIVE RISK SOLUTIONS ENIC GALLAGHER BASSETT ALL RISK CA COMPIQ NORDSTROM CREDIT GENERAL INSURANCE ENIC GALLAGHER BASSETT ALL RISK LTD COMPIQ SEDGWICK EXTENDED MPN CRUM AND FORSTER ENIC GALLAGHER BASSETT RISK SERVICES CA COMPIQ STANDARD PPO CRUM AND FORSTER PRIMARY MPN ENIC GALLAGHER RISK SERVICES CA COMPIQ TOKIO MARINE CVS CAREMARK ENSTAR U S COMPIQ TOKIO MARINE CHANNELING ONLY CVS HEALTH EOS COMPIQ TOKIO MARINE FH COVENTRY MPN CVS MANUAL CLAIMS EOS GROUP COMPIQ TOKIO MARINE FH PRIMARY MPN DALLAS NATIONAL INSURANCE COMPANY EOS HEALTH CARE COMPMANAGEMENT DATA TAPE CORP EPCAMPN COMPPARTNERS HCO DAY AND ZIMMERMAN Equian Comprehensive Cost Solutions - 2CS DEDICATED TRANSPORTATION INC ERIE WC COMPRESULTS Definiti ESIS COMPSOURCE DEFINITI PG AND E ESIS CT MCO CompTech Group, The DEMONSTRATION INSURANCE SOLUTIONS ESIS FEDERAL CompTech Medical Management Inc DeMoulas ESIS NON SUBSCRIBER TX NS Con-Way Trucking DG ESIS NY Conduent Bill Review Corporation fka ACS CompIQ Corp DILLARDS ESIS STANDARD CONDUENT WORKERS COMPENSATION Discover Property & Casualty Insurance Company, NAIC ESIS TX #36463 CONEJO PARK AND REC ESIS WV DIVERSIFIED HEALTH CARE SERVICES CONSOLIDATED INSURANCE COMPANY EVEREST ACM DMI Consolidated Services Group Inc EVEREST ADMINISTRATORS INC DOAS Constitution States Services Company EVEREST FARA MPN DSW

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Worker’s Compensation

EVEREST FARA PPO ONLY GALLAGHER BASSETT FOCUS TX HCN GALLAGHER BASSETT SERVICES INC B20 EVEREST GROUP GALLAGHER BASSETT G4S WACKENHUT GALLAGHER BASSETT SERVICES INC B23 EVST CHANNELING MPN SELECT AND CVTY PROVIDERS GALLAGHER BASSETT MANAGED CARE SERVICES GALLAGHER BASSETT SERVICES INC B24 EXCELSIOR INSURANCE COMPANY GALLAGHER BASSETT MANAGED CARE SERVICES TX GALLAGHER BASSETT SERVICES INC B26 HCN BR4 TO MCPS OCT 2010 ExxonMobil GALLAGHER BASSETT SERVICES INC B27 GALLAGHER BASSETT MANAGED CARE WITH FA RICHARD AND ASSOCIATES GALLAGHER BASSETT SERVICES INC B28 MAGNACARE FA RICHARD AND ASSOCIATES STANDARD MPN GALLAGHER BASSETT SERVICES INC B30 GALLAGHER BASSETT MCS NY METRACOMP FairPay GALLAGHER BASSETT SERVICES INC B32 GALLAGHER BASSETT MCS STANDARD POWERTRAK FARA GALLAGHER BASSETT SERVICES INC B36 GALLAGHER BASSETT MCS TX HCN FARA CA SELECT MPN GALLAGHER BASSETT SERVICES INC B37 GALLAGHER BASSETT MCS TX HCN 2 FARA INGALLS GALLAGHER BASSETT SERVICES INC B38 187 SAN GALLAGHER BASSETT MCS TX HCN 3 DIEGO FARA TX LONGSHORE GALLAGHER BASSETT MCS TX HCN 4 GALLAGHER BASSETT SERVICES INC B40 Farmers Insurance Exchange GALLAGHER BASSETT MCS TX HCN APR 2011 GALLAGHER BASSETT SERVICES INC B41 Farmington Casualty Company, NAIC #41483 GALLAGHER BASSETT MCS TX HCN DEC 2010 GALLAGHER BASSETT SERVICES INC B42 FCCI INSURANCE GROUP GALLAGHER BASSETT MCS TX HCN FEB 2011 GALLAGHER BASSETT SERVICES INC B43 FCS ADMINISTRATORS GALLAGHER BASSETT MCS TX HCN JAN 2011 GALLAGHER BASSETT SERVICES INC B45 Federal Express Corporation GALLAGHER BASSETT MCS TX HCN JULY 2011 GALLAGHER BASSETT SERVICES INC B46 Federal Insurance Company GALLAGHER BASSETT MCS TX HCN JUNE 2011 GALLAGHER BASSETT SERVICES INC B56 FEDERATED MUTUAL INSURANCE CO GALLAGHER BASSETT MCS TX HCN MARCH 2011 GALLAGHER BASSETT SERVICES INC B58 Feld Entertainment, Inc. GALLAGHER BASSETT MCS TX HCN NOV 2010 GALLAGHER BASSETT SERVICES INC B61 FGA GALLAGHER BASSETT MCS TX HCN SEPT 2011 GALLAGHER BASSETT SERVICES INC B62 FIDELITY GALLAGHER BASSETT MEDRISK OPT OUT GSA CLIENTS GALLAGHER BASSETT SERVICES INC E24 Fidelity and Guaranty Insurance Company, NAIC #35386 GALLAGHER BASSETT MINUS SMARTCOMP GALLAGHER BASSETT SERVICES INC E25 FIREMANS FUND BR4 FIRMOSOOO GALLAGHER BASSETT MPN GALLAGHER BASSETT SERVICES INC E32 FIREMANS FUND INSURANCE COMPANY EPP GALLAGHER BASSETT SERVICES G99 GALLAGHER BASSETT SERVICES INC E33 FIRST LIBERTY INSURANCE CORPORATION, THE GALLAGHER BASSETT SERVICES INC GALLAGHER BASSETT SERVICES INC E36 FIRST MANAGED CARE OPTION GALLAGHER BASSETT SERVICES INC G32 GALLAGHER BASSETT SERVICES INC E56 FLEMING ASSOCIATES SO CA COUNTIES GALLAGHER BASSETT SERVICES INC B01 GALLAGHER BASSETT SERVICES INC E63 FLOC GALLAGHER BASSETT SERVICES INC B02 GALLAGHER BASSETT SERVICES INC E64 FLORIDA FRUITS AND VEGETABLES ASSOCIATION GALLAGHER BASSETT SERVICES INC B04 GALLAGHER BASSETT SERVICES INC E85 FLORIDA SCHOOL BOARD INSURANCE TRUST FSBIT GALLAGHER BASSETT SERVICES INC B07 GALLAGHER BASSETT SERVICES INC G01 FLORIST MUTUAL GALLAGHER BASSETT SERVICES INC B08 GALLAGHER BASSETT SERVICES INC G02 FOOT LOCKER GALLAGHER BASSETT SERVICES INC B09 GALLAGHER BASSETT SERVICES INC G03 Fox Run Mall GALLAGHER BASSETT SERVICES INC B12 GALLAGHER BASSETT SERVICES INC G04 FRANKENMUTH MUTUAL INSURANCE WC GALLAGHER BASSETT SERVICES INC B13 GALLAGHER BASSETT SERVICES INC G05 FREESCALE SEMICONDUCTOR 1740 GALLAGHER BASSETT SERVICES INC B14 GALLAGHER BASSETT SERVICES INC G06 GALLAGHER BASSETT GALLAGHER BASSETT SERVICES INC B18 GALLAGHER BASSETT SERVICES INC G07 GALLAGHER BASSETT FOCUS MPN GALLAGHER BASSETT SERVICES INC B19 GALLAGHER BASSETT SERVICES INC G08

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Worker’s Compensation

GALLAGHER BASSETT SERVICES INC G10 GALLAGHER BASSETT SERVICES INC G66 GB TX HCN EFFECTIVE APR 2012 GALLAGHER BASSETT SERVICES INC G11 GALLAGHER BASSETT SERVICES INC G68 GB TX HCN EFFECTIVE DEC 2011 GALLAGHER BASSETT SERVICES INC G12 GALLAGHER BASSETT SERVICES INC G70 GB TX HCN EFFECTIVE FEB 2012 GALLAGHER BASSETT SERVICES INC G16 GALLAGHER BASSETT SERVICES INC G71 GB TX HCN EFFECTIVE JAN 2012 GALLAGHER BASSETT SERVICES INC G17 GALLAGHER BASSETT SERVICES INC G73 GB TX HCN EFFECTIVE MAR 2012 GALLAGHER BASSETT SERVICES INC G19 GALLAGHER BASSETT SERVICES INC G74 GB TX HCN EFFECTIVE MAY 2012 GALLAGHER BASSETT SERVICES INC G20 GALLAGHER BASSETT SERVICES INC G75 GB TX HCN EFFECTIVE NOV 2011 GALLAGHER BASSETT SERVICES INC G21 GALLAGHER BASSETT SERVICES INC G76 GBMCS MEDRISK OPT OUT GALLAGHER BASSETT SERVICES INC G22 GALLAGHER BASSETT SERVICES INC G78 GBMCS MINUS MAGNA CARE GALLAGHER BASSETT SERVICES INC G23 GALLAGHER BASSETT SERVICES INC G81 GBMCS UPS GALLAGHER BASSETT SERVICES INC G24 GALLAGHER BASSETT SERVICES INC G88 GCIWCMCMC GALLAGHER BASSETT SERVICES INC G25 GALLAGHER BASSETT SERVICES INC G89 General Parts GALLAGHER BASSETT SERVICES INC G27 GALLAGHER BASSETT SERVICES INC G90 Genex GALLAGHER BASSETT SERVICES INC G29 GALLAGHER BASSETT SERVICES INC G92 GENEX ABARI MANAGEMENT GALLAGHER BASSETT SERVICES INC G31 GALLAGHER BASSETT SERVICES INC G93 GENEX AC TRANSIT GALLAGHER BASSETT SERVICES INC G33 GALLAGHER BASSETT SERVICES INC G94 GENEX ACE USA GALLAGHER BASSETT SERVICES INC G34 GALLAGHER BASSETT SERVICES INC G96 GENEX ADVANCED AUTO PARTS SEDGWICK GALLAGHER BASSETT SERVICES INC G37 GALLAGHER BASSETT SERVICES INC G97 GENEX AIG GALLAGHER BASSETT SERVICES INC G38 GALLAGHER BASSETT SERVICES INC P10 GENEX AIR FORCE CENTRAL INSURANCE GALLAGHER BASSETT SERVICES INC G39 GALLAGHER BASSETT SERVICES INC P23 GENEX ALASKA RAILROAD CORP NOVAPRO GALLAGHER BASSETT SERVICES INC G40 GALLAGHER BASSETT SERVICES INC P32 GENEX ALLIANCE NATIONAL INSURANCE GALLAGHER BASSETT SERVICES INC G41 GALLAGHER BASSETT SERVICES INC P51 GENEX ALTERNATIVE INSURANCE RESOURCE GALLAGHER BASSETT SERVICES INC G42 GALLAGHER BASSETT SERVICES INC P52 GENEX ALTERNATIVE SERVICE CONCEPTS ASC GALLAGHER BASSETT SERVICES INC G43 GALLAGHER BASSETT SERVICES INC P61 GENEX ALUMINUM PRECISION GALLAGHER BASSETT SERVICES INC G44 GALLAGHER BASSETT SERVICES INC P71 GENEX AMERICAN AIRLINES GALLAGHER BASSETT SERVICES INC G46 GALLAGHER BASSETT SERVICES INC P81 GENEX ANDERSON TULLY MANAGEMENT SERVICES GALLAGHER BASSETT SERVICES INC G47 GALLAGHER BASSETT SERVICES INC P82 GENEX ANNE ARUNDEL COUNTY GOVERNMENT GALLAGHER BASSETT SERVICES INC G48 GALLAGHER BASSETT SERVICES INC P85 GENEX ARGO SELECT GALLAGHER BASSETT SERVICES INC G51 GALLAGHER BASSETT SERVICES INC P96 GENEX ARGONAUT INS CO GALLAGHER BASSETT SERVICES INC G52 Gallagher Bassett Services, Inc. GENEX ARI INSURANCE COMPANY GALLAGHER BASSETT SERVICES INC G55 GALLAGHER BASSETT TX NON GENEX BAY AREA RAPID TRANSIT BART GALLAGHER BASSETT SERVICES INC G56 GALLAGHER BASSETT WV MCO NOV 2010 GENEX BCN SERVICES INC GALLAGHER BASSETT SERVICES INC G57 GALLAHGER BASSETT SERVICES INC G60 GENEX BERKLEY RISK ADMINISTRATORS GALLAGHER BASSETT SERVICES INC G59 Galliano Marine Service, LLC GENEX BRIDGESTONE AMERICA GALLAGHER BASSETT SERVICES INC G61 GALLO WORKERS COMPENSATION GENEX BRINKER INTERNATIONAL GALLAGHER BASSETT SERVICES INC G62 GAP, THE GENEX BRISTOL BAY AREA HEALTH NOVAPRO GALLAGHER BASSETT SERVICES INC G63 GB BRAGG AND ASSOCIATES GENEX BROADSPIRE A CRAWFORD COMPANY GALLAGHER BASSETT SERVICES INC G65 GB CUSTOM MPN KOJ GENEX BROADSPIRE SERVICES INC

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Worker’s Compensation

GENEX BV GENERAL INC GENEX EMPLOYMENT PLUS GENEX KELSO BURNETT GENEX C AND S WHOLESALE CCMSI GENEX EXEMPLA LUTHERN MED CTR GENEX KEYSTONE SHIPPING GENEX C R AND R INC NOVAPRO GENEX FEDEX EXPRESS GENEX LANCASTER COUNTY GENEX CA STATE UNIVERSITY SEDGWICK GENEX FITZHARRIS INSURANCE GENEX LIGHTHOUSE COMMERICAL INSURANCE INC GENEX CARBER GENEX FRONT PORCH GENEX LINCOLN PUBLIC SCHOOLS NE GENEX CARDENAS MARKETS CARL WARREN GENEX FULTON COUNTY GENEX LINDBLAD CONSTRUCTION GENEX CARL WARREN AND COMPANY GENEX FURMANITE GENEX LINEAGE LOGISTICS GENEX CBS STUDIOS INC GENEX GAB ROBINS GENEX LIVINGSTON GRAHAM GENEX CCMSI GENEX GALLAGHER BASSETT NON DIRECT GENEX LOCKHEED MARTIN CORPORATION GENEX CENTENNIAL HEALTHCARE GENEX GARDEN GROVE SCHOOLS GENEX LOGANS ROADHOUSE GENEX CIGNA CORPORATION GENEX GB ADVANTAGE WORKERS COMPENSATION GENEX LOGANS ROADHOUSE TX NON SUB GENEX CITY AND COUNTY OF SAN FRANCISCO GENEX GB BASS HOTELS AND RESORTS GENEX LONG BEACH UNIFIED SCHOOL GENEX CITY OF ATLANTA GA GENEX GB CHEMED CORPORATION GENEX MACKINAW ADMINISTRATORS GENEX CITY OF BIRMINGHAM AL GENEX GB CLOROX COMPANY, THE GENEX MACYS GENEX CITY OF NAPERVILLE GENEX GB ESTES EXPRESS LINES GENEX MARRIOTT CLAIMS SERVICES GENEX CITY OF OKEECHOBEE GENEX GB GENMAR HOLDINGS GENEX MARRIOTT CLAIMS SERVICES TX NON SUB GENEX CITY OF OKLAHOMA CITY GENEX GB J S J CORPORATION GENEX MAYO FOUNDATION RECOVERY AND CLAIMS SERVICES GENEX CITY OF SAN DIEGO GENEX GB NON DIRECT GENEX MCANDREWS FORBES HOLDING GENEX CITY OF SANTA CLARA CA GENEX GB PUTNAM COUNTY GENEX MEADOWBROOK INSURANCE GENEX CITY OF TALLAHASSEE GENEX GB TORCHMARK CORPORATION GENEX METRO PHILLY MANAGEMENT GENEX CITY OF WESTMINSTER COLORADO GENEX GB UPTONS DEPARTMENT STORES GENEX MGM RESORTS INTERNATIONAL GENEX CLAIMS MANAGEMENT OF MISSOURI LLC GENEX GB WALSH GROUP LIMITED, THE GENEX MIDLANDS MGMT CORP GENEX CLAIMS RISK SERVICES GENEX GB WATKINS ENGINEERING AND CONSTRUCTION GENEX MILLENNIUM RISK MANAGERS GENEX COCA COLA BOTTLING COMPANY GENEX GB WHIRLPOOL CORPORATION GENEX MISSOURI AUTO DEALERS ASSOC MADA GENEX COMMERCIAL RISK FL SELF INSURED GENEX GO SELF INSURED GENEX MISSOURI UNITED SCHOOL INS GENEX COMMUNITY HEALTH SYSTEM GENEX GREAT AMERICAN STEAMBOAT COMPANY GENEX MONUMENT GENEX COMMUNITY HEALTH SYSTEM TX NON SUB GENEX GULF LOGISTICS GENEX MOUNTAIN STATES INSURANCE GROUP GENEX COMPASS HEALTH INC GENEX HEALTH SMART GENEX NATIONWIDE AGRIBUSINESS NEBRASKALAND GENEX CONKLIN BENHAM GENEX HEALTHSMART TX NON SUB GENEX NATIONWIDE EQUINOX HOLDINGS GENEX CONSOLIDATED RIB INC GENEX HILL INSURANCE GENEX NATIONWIDE INSURANCE COMPANY GENEX CONTINENTAL WESTERN GROUP GENEX HOFFER PLASTICS GENEX NAVISTAR INC GENEX COUNTY OF SAN DIEGO CA GENEX HP ADMIN GENEX NAVISTAR INC TX NON SUB GENEX DILLARDS INC GENEX IN N OUT BURGER CCMSI GENEX INSURANCE GUARANTY ASSOCIATION GENEX DOMINOS PIZZA GENEX INDIANA LUMBERMENS GENEX NEW HAMPSHIRE MOTOR TRANS AUTH GENEX DUNCAN REGIONAL HOSPITAL GENEX INDUSTRIAL MANUFACTURING COMPANY GENEX NEW YORK KNICKS GENEX EAGLE CLAIMS MGMT GENEX INFINITY HEALTHCARE MGMT GENEX NEXT LEVEL ADMINISTRATORS GENEX EBERLE VIVIAN GENEX INGLES MARKETS GENEX NORDSTROM GENEX EMPLOYER CLAIMS SERVICES GENEX IRON MOUNTAIN ESIS GENEX NORTH CAROLINA FARM BUREAU

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Worker’s Compensation

GENEX NOVAPRO GENEX SUTTER HEALTH GLOBALCARE INC GENEX O I OWENS ILLINOIS GENEX TAYLOR CORPORATION GO AMERICA GENEX OFFICE DEPOT GENEX TECHNICOLOR GOLDEN EAGLE INSURANCE CORPORATION GENEX OFFICE DEPOT TX NONSUBSCRIBER GENEX TEST NATL NETWORK W FL MCA GRAY INSURANCE COMPANY, THE GENEX OKLAHOMA NATURAL GAS GENEX TETCO Great American Insurance Company GENEX OKLAHOMA PUBLISHING COMPANY AKA GENEX THE ALLIANCE GROUP PEO GREAT AMERICAN INSURANCE COMPANY TX HCN OPUBCO GENEX THE PMA GROUP Great Northern Insurance Co. GENEX ONESOURCE EMPLOYEE MANAGEMENT GENEX TOPA INSURANCE COMPANY GREATER NEW YORK COMPANY GENEX ORISKA INSURANCE GENEX TRADESMEN INTERNATIONAL GREATER NEW YORK SERVICES GENEX PEABODY ENERGY CCMSI GENEX TRANSAM TRUCKING Grinnell Mutual Group GENEX PENSER NORTH AMERICA INC GENEX TRIANGLE INSURANCE GUARANTEE INSURANCE COMPANY GENEX PROPERTY CASUALTY GUARANTY GENEX TRIDENT INS FILEHANDLER Guaranty Fund Management Svc GENEX PROVIDENCE HEALTH AND SERVICES GENEX TRINET SOI CCMSI Guard Insurance GENEX PUBLIC RISK MGMT OF FL GENEX TRUEBLUE INC GUARD INSURANCE GROUP GENEX RAINBOW ENVIRONMENTAL GENEX TX NON SUBSCRIBER WITH NATIONAL GUARD INSURANCE GROUP CA MPN GENEX REM INTEGRATED NETWORK GUARD INSURANCE GROUP WITH WV MHCP GENEX RESCARE INC GENEX UNINSURED EMPLOYERS BENEFIT GuideOne Mutual Company GENEX RESOURCE MANAGEMENT SYSTEMS INC GENEX UNINSURED EMPLOYERS FUND Gwinnett Medcl GENEX REYES HOLDINGS LLC SEDGWICK GENEX UNISOURCE SEDGWICK H & R Block GENEX RISK ENTERPRISE MANAGEMENT GENEX UNITED AIRLINES Hanna Brothers Enterprise GENEX ROCKFORD MUTUAL INSURANCE CO GENEX UNIVERSITY OF CA SEDGWICK HANNAFORD GENEX ROCKWOOD CASUALTY GENEX UNUM Hanover Insurance Company GENEX ROTH STAFFING COMPANIES INC GENEX US FOODS INC TX NS Harbor Freight GENEX SALVATION ARMY GENEX USS POSCO INDUSTRIES HARBOR HEALTH SYSTEMS GENEX SANTA CLARA VALLEY TRANSPORTATION GENEX UTICA NATIONAL INSURANCE GROUP HARTFORD MULTIPLAN CHANNELING ONLY GENEX SCHNUCK MARKETS INC GENEX VIACOM HARTFORD PRIMARY NETWORK WITH QMEDTRIX GENEX SEDGWICK GENEX VILLAGE OF SCHAUMBURG IL HARTFORD PRIMARY NETWORK WITHOUT QMEDTRIX GENEX SEDGWICK CMS GENEX VILLARA CORP HARTFORD SELECT NETWORK WITHOUT QMEDTRIX GENEX SERVICES LLC GENEX WASTE MANAGEMENT INC HARTFORD WITH QMEDTRIX STANDARD TXHCN SELECT GENEX SERVICES WC NETWORK GENEX WORKFORCE OUTSOURCING MPN GENEX SISTERS OF MERCY HEALTH SYSTEM AKA MERCY GENTIVA 001926 ORG GALGET1US Hartford, The GENEX SPRINT NEXTEL GENX TEST NATL NETWRK W MPN PRIM WV MCHP TX HAWKEYE SECURITY INSURANCE COMPANY HCN GENEX ST JOHNS KNIT HAZELRIGG GEORGIA ADMINISTRATION SERVICES GENEX STAFF MANAGEMENT SOLUTIONS LLC HCA THE HEALTHCARE COMPANY GEORGIA MCO GENEX STANDARD PROCESSING HCRG GLAZERS DISTRIBUTOR ORG GALHCN266 GENEX STANDARD PROCESSING TX NON SUB HDI GERLING GLENDALE COMMUNITY COLLEGE GENEX STARBUCKS HEALTH SYSTEMS INTERNATIONAL LLC GLENDALE POLICE GENEX STATE OF FLORIDA HEALTHCARE RESOURCES GROUP Globalcare GENEX SUPER SERVICE LLC HEALTHCHOICE ACS COMPIQ

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Worker’s Compensation

HEALTHSMART BENEFIT SOLUTIONS INTEGRATED CARE SYSTEMS LIBERTY MUTUAL WC PROD 104 HELMSMAN MANAGEMENT SERVICES LLC INTEGRATED HEALTH PLAN, INC. LIBERTY MUTUAL WC PROD 105 HEWITT COLEMAN INTELLIGENT MEDICAL SOLUTIONS LIBERTY MUTUAL WC PROD 106 HEWITT COLEMAN AND ASSOCIATES INC INTERCARE INSURANCE SERVICES - INTERMED LIBERTY MUTUAL WC PROD 107 HFN INC INTERMED LIBERTY MUTUAL WC PROD 108 HIGHLANDS INSURANCE Jamason Hotel Management, Inc. LIBERTY MUTUAL WC PROD 11 HIGHMARK JAMIE W444 1ST LEVEL AE LIBERTY MUTUAL WC PROD 110 HIGHMARK CASUALTY INSURANCE JI COMPANIES LIBERTY MUTUAL WC PROD 112 HINZ CLAIM MANAGEMENT INC JI COMPANIES NON HCN 504 CLAIMS LIBERTY MUTUAL WC PROD 113 HMS Host JJ White Inc. LIBERTY MUTUAL WC PROD 12 HNC INSURANCE SOLUTIONS COMPREVIEW AUTO JOHNSEASTERN LIBERTY MUTUAL WC PROD 13 HOFFMAN HANAFIN JT2 INTEGRATED RESOURCES LIBERTY MUTUAL WC PROD 14 HOOVER REHABILITATION SERVICES INC KAISER SEDGWICK LIBERTY MUTUAL WC PROD 15 HORIZON MANAGED CARE KALIDA MANUFACTURING LIBERTY MUTUAL WC PROD 16 HORTICA FLORIST INSURANCE COMPANY FH TX HCN Keebler LIBERTY MUTUAL WC PROD 17 HORTICA FLORISTS INSURANCE COMPANY CA MPN KEENAN AND ASSOCIATES LIBERTY MUTUAL WC PROD 18 HORTICA FLORISTS MUTUAL INSURANCE COMPANY CA KENTUCKY MHCS LIBERTY MUTUAL WC PROD 19 MPN KEY INSURANCE AND BENEFIT SERVICES INC LIBERTY MUTUAL WC PROD 2 HORTICA FLORISTS MUTUAL INSURANCE COMPANY FH KEY RISK MANAGEMENT SERVICES INC LIBERTY MUTUAL WC PROD 20 TX HCN KKSG ASSOCIATES LIBERTY MUTUAL WC PROD 21 HORTICA INSURANCE KOHLS SEDGWICK LIBERTY MUTUAL WC PROD 22 HORTICA INSURANCE CA MPN KOHLS TX NON SUBSCRIBER LIBERTY MUTUAL WC PROD 23 Hortica Insurance Company LA HOUSING AUTHORITY LIBERTY MUTUAL WC PROD 24 HORTICA INSURANCE FH TX HCN LEK TEST CLIENT 4 R2 2013 LIBERTY MUTUAL WC PROD 25 Hughes - Maintenance LIBERTY AGENCY MARKET LIBERTY MUTUAL WC PROD 26 HUNTER CONSULTING COMPANY LIBERTY INSURANCE COMPANY OF AMERICA LIBERTY MUTUAL WC PROD 27 HUSTLER CASINO LIBERTY INSURANCE CORPORATION LIBERTY MUTUAL WC PROD 28 ICS INTEGRATED CLAIMS STRATEGIES LIBERTY LLOYDS OF TEXAS INSURANCE COMPANY LIBERTY MUTUAL WC PROD 29 IMS Liberty Mutual LIBERTY MUTUAL WC PROD 3 INDIAN PRAIRIE SCHOOL DISTRICT LIBERTY MUTUAL FIRE INSURANCE COMPANY LIBERTY MUTUAL WC PROD 30 INDIANA INSURANCE COMPANY LIBERTY MUTUAL INSURANCE COMPANY LIBERTY MUTUAL WC PROD 31 INGENIX INC LIBERTY MUTUAL SAFECO LIBERTY MUTUAL WC PROD 32 INJURY MANAGEMENT ORG LIBERTY MUTUAL WC PROD 1 LIBERTY MUTUAL WC PROD 33 Innovative Claims Strategies LIBERTY MUTUAL WC PROD 10 LIBERTY MUTUAL WC PROD 34 INNOVATIVE RISK MANAGEMENT IRM LIBERTY MUTUAL WC PROD 100 LIBERTY MUTUAL WC PROD 35 INNOVATIVE RISK MANAGEMENT IRM CA SELECT MPN LIBERTY MUTUAL WC PROD 101 LIBERTY MUTUAL WC PROD 36 INRMA IN LIBERTY MUTUAL WC PROD 102 LIBERTY MUTUAL WC PROD 37 INSTALLED BUILDING PRODUCTS LIBERTY MUTUAL WC PROD 103 LIBERTY MUTUAL WC PROD 38 Insurance Company of the West

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Worker’s Compensation

LIBERTY MUTUAL WC PROD 39 LIBERTY MUTUAL WC PROD 75 Maine Automobile Dealers Assoc. LIBERTY MUTUAL WC PROD 40 LIBERTY MUTUAL WC PROD 76 Maine Employers Mutual Insurance LIBERTY MUTUAL WC PROD 41 LIBERTY MUTUAL WC PROD 77 Maine Merchants Association LIBERTY MUTUAL WC PROD 43 LIBERTY MUTUAL WC PROD 78 Major League Baseball LIBERTY MUTUAL WC PROD 44 LIBERTY MUTUAL WC PROD 79 MANAGEABILITY LIBERTY MUTUAL WC PROD 45 LIBERTY MUTUAL WC PROD 8 MANAGED COMP LLC LIBERTY MUTUAL WC PROD 46 LIBERTY MUTUAL WC PROD 80 ManagedAbility Inc LIBERTY MUTUAL WC PROD 47 LIBERTY MUTUAL WC PROD 82 Markel LIBERTY MUTUAL WC PROD 48 LIBERTY MUTUAL WC PROD 83 MARQUEE MANAGED CARE SOLUTIONS LIBERTY MUTUAL WC PROD 49 LIBERTY MUTUAL WC PROD 84 MARTIN BOYER LIBERTY MUTUAL WC PROD 5 LIBERTY MUTUAL WC PROD 9 Massachusetts Bay Insurance LIBERTY MUTUAL WC PROD 50 LIBERTY MUTUAL WC PROD 90 MASSACHUSETTS INTERLOCAL INSURANCE ASSOCIATION INC MIA LIBERTY MUTUAL WC PROD 51 LIBERTY MUTUAL WC PROD 91 MASSACHUSETTS PPA LIBERTY MUTUAL WC PROD 52 LIBERTY MUTUAL WC PROD 93 MATRIX ABSENCE MANAGEMENT LIBERTY MUTUAL WC PROD 53 LIBERTY MUTUAL WC PROD 94 NS MATRIX ABSENCE MANAGEMENT INC LIBERTY MUTUAL WC PROD 54 LIBERTY MUTUAL WC PROD 95 MATRIX ABSENCE MGMT COVENTRY MPN LIBERTY MUTUAL WC PROD 55 LIBERTY MUTUAL WC PROD 96 MATRIX ABSENCE MGMT PRIMARY MPN LIBERTY MUTUAL WC PROD 56 LIBERTY MUTUAL WC PROD 97 MATRIX ABSENCE MGT BR4FH MAT000000 LIBERTY MUTUAL WC PROD 57 LIBERTY MUTUAL WC PROD 98 MATRIX MPN LIBERTY MUTUAL WC PROD 58 LIBERTY MUTUAL WC PROD 99 MATRIX MPN WITH KOJ LIBERTY MUTUAL WC PROD 59 LIBERTY NORTHWEST INSURANCE COMPANY MATRIX OBN LIBERTY MUTUAL WC PROD 6 Lien on Me MATRIX OBN WITH CA MPN LIBERTY MUTUAL WC PROD 60 Linda Bean Restaurant MATRIX TALISPOINT CHANNELING LIBERTY MUTUAL WC PROD 61 LM INSURANCE CORPORATION MATSON NAVIGATION LIBERTY MUTUAL WC PROD 62 LOCAL GOVERNMENT WORKERS COMPENSATION MATSON NAVIGATION SEATTLE LIBERTY MUTUAL WC PROD 63 LOMPOC HOSPITAL DISTRICT MCMC LLC LIBERTY MUTUAL WC PROD 64 LONESTAR MCO ADVANTAGE LIBERTY MUTUAL WC PROD 65 LONG BEACH TRANSIT MEADOWBROOK INSURANCE GROUP LIBERTY MUTUAL WC PROD 66 LONG BEACH UNIFIED MEDATA INC LIBERTY MUTUAL WC PROD 67 LOVE STORES MEDEX MANAGED CARE INC LIBERTY MUTUAL WC PROD 68 LQ MANAGEMENT MEDICAL ADMINISTRATORS, INC. LIBERTY MUTUAL WC PROD 69 LWP MEDICAL CONSULTANTS NETWORK LIBERTY MUTUAL WC PROD 7 LWP CLAIMS MEDINSIGHTS COMMUNITY OPTIONS LIBERTY MUTUAL WC PROD 70 LWP Claims Solutions, Inc. MEDINSIGHTS INC LIBERTY MUTUAL WC PROD 71 M.M.A. WORKERS COMPENSATION TRUST MedRisk Inc LIBERTY MUTUAL WC PROD 72 Magna Carta MEMIC LIBERTY MUTUAL WC PROD 73 MagnaCare Administrative Services LLC Men’s Warehouse LIBERTY MUTUAL WC PROD 74 Main Street America Assurance MENTOR NETWORK, THE

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Worker’s Compensation

MERCHANTS NATIONAL SEMICONDUCTOR FAIRCHILD 103 ONE SOURCE MEDICAL SERVICES Merrimack Premium Outlets Nationwide Ins Co. ONPOINT UNDERWRITING METROPOLITAN GOVT. OF NASHVILLE NETHERLANDS INSURANCE COMPANY, THE OWL ROCK PRODUCTIONS METROPOLITAN STEVEDORE NEVADA MCO PACBLU MIAMI DADE COUNTY PUBLIC SCHOOLS 000074 New England Regional Auto Claims Pacific Indemnity Company MID AMERICAN FIRE AND CASUALTY COMPANY New Hampshire Employers Insurance PACMED, INC MID VALLEY FIRE New Hampshire Motor Transport Assoc PALADIN MANAGED CARE SERVICES Middlesex Mutual Assurance NEW MEXICO MUTUAL PAN PACIFIC BENEFIT ADMINISTRATIVE MIDLANDS INJURY MANAGEMENT NEW YORK STATE INSURANCE FUND PARADIGM MANAGEMENT SERVICES LLC Midwest NEZ PERCE PATRIOT CARE MANAGEMENT MIDWEST INSURANCE NH WC Self Insured Trust PAULA INSURANCE SO CA COUNTIES MIDWESTERN INSURANCE ALLIANCE NHRMA PEERLESS INDEMNITY INSURANCE COMPANY MISSION LINEN NIKE PEERLESS INSURANCE COMPANY Mitchell International NJ PLIGA WC PEREGRIN MEDICAL REVIEW MITCHELL INTERNATIONAL INC (FAIR ISAAC) NORCAL PEREGRIN MEDICAL REVIEW-OREGON MITCHELL SA EK HEALTH MAJOR LEAGUE BASEBALL Normandy PETER CHANG ENTERPRISES INC MITCHELL SA PALADIN ALLIANZ RESOLUTION MGMT NORTH AMERICAN RISK SERVICES Phoenix Insurance Company (The), NAIC #25623 MITCHELL SMARTADVISOR SOLUTIONS NORTH COUNTY FIRE PILGRIM INSURANCE MITCHELL WORKERS’ COMPENSATION SOLUTIONS North River Insurance Co., The PINNACLE MMTA Workers Comp Trust NORTHEAST INDEPENDENT SCHOOL DISTRICT PITTSBURGH NB RATE MONTANA ASSOCIATION OF COUNTIES NORTHSTAR PROVIDERS LLC PLAINFIELD SCHOOL DISTRICT MONTANA MCO NovaNet PMA INSURANCE GROUP CT NETWORK MONTEREY MUSHROOM NOVAPRO RISK MANAGEMENT PMA INSURANCE GROUP,THE MONTEREY SALINAS TRANSIT NOVARE PMA MC OF NEW ENGLAND MONTGOMERY MUTUAL INSURANCE COMPANY NPIT Polar Tanker, Inc. MORNINGSIDE MINISTRIES TX 646 NY SPECIAL FUNDS POLYONE Motorists O’Reilly Auto Parts POMONA POLICE MOUNTAIN STATES HEALTH ALLIANCE Oakdale Mall POOL 1 04017 MURPHY AND BEANE OCCUNET POOL 3 04016 MURPHY AND BEANE CA MPN OCCUSYSTEM Popeye’s Restaurant MURRAY RISK MANAGEMENT AND INSURANCE OCTAGON RISK SERVICES INC PREFERRED ADMINISTRATIVE SERVICE MURRAY SELF INSURED OHIO CASUALTY PREMIER COMP SOLUTIONS INC NARS NORTH AMERICAN RISK OHIO QHP PRESERVER INSURANCE COMPANY NARS SYSTEM LEASE WC OKLAHOMA CWMP PRIME HEALTH SERVICES, INC. NASHVILLE NB RATE Old Dominion Insurance Company Priority Care Solutions, LLC NATIONAL CHOICE CARE Old Navy PROCURA National Grange Mutual OMNITRANS Procura Management Inc NATIONAL HEALTH BENEFITS AND CASUALTY NHBC ONE BEACON INSURANCE COMPANY Property-Liability Trust, Inc.

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Worker’s Compensation

Protective Insurance RTW STATE AUTO INSURANCE COMPANIES SEDGWICK TX NON SUBSCRIBER PS, Boise RYDER SYSTEM INC SELECT STAFFING PUBLIX S1 MEDICAL SELECTIVE INSURANCE AGENCY PUGET SOUND EDUCATIONAL SERVICE DISTRICT SAFECO SELF-INSURED SCHOOLS OF CALIFORNIA QUINCY SCHOOL DISTRICT SAFECO INSURANCE SELTZER ASSOCIATES RALEYS SAFETY KLEEN STANDARD Sentry Insurance RANCHO NB RATE SALINAS RURAL FIRE SENTRY INSURANCE A MUTUAL COMPANY RCS SAN FRANCISCO MUNICIPAL TRANSPORTATION AGENCY SENTRY INSURANCE BR4 0512 REED GROUP SANDNER GROUP CLAIMS MANAGEMENT, THE SENTRY INSURANCE COMPANY CA MPN RENY COMPANY SANDNER GROUP, THE SENTRY INSURANCE FEDERAL BUSINESS REPUBLIC AK SANTA BARBARA MTD SENTRY INSURANCE FH TX HCN REVIEW MED SCRIPPS HEALTH SENTRY NATL PROG NO MOSAIC PM REVIEW MED L P SEARS HOLDINGS CORPORATION SENTRY NETWORK CHANNELING REVIEW MED TAEP SECOND INJURY FUND SFCC REVIEW WORKS SECOND INJURY FUND STATE OF CONNECTICUT SFM MUTUAL INSURANCE COMPANY REVIEW WORKS NO COFINITY WC SECURITY INSURANCE OF HARTFORD SHEAKLEY UNICOMP, INC. REVIEW WORKS WORK COMP Sedgwick SHEETZ ReviewMed SEDGWICK CLAIMS MANAGEMENT Sheffield InsuranceTN ReviewWorks SEDGWICK CMS SIERRA HEALTH SERVICES RI Trust SEDGWICK CUSTOM CA MPN KAISER EXTENDED MPN SISCO RISING MEDICAL SOLUTION KOJ CUSTOM MPN SEDGWICK CUSTOM CA MPN NON KAISER SISCO AON RISING MEDICAL SOLUTIONS CUSTOM MPN SEDGWICK CUSTOM CA MPN NON KAISER STANDARD SMD MPN Rising Medical Solutions, Inc. SOI SEDGWICK EVEREST RISK ADMINISTRATION SERVICES SOLIN USA SEDGWICK HARBOR CUSTOM NETWORK RMPG South Carolina State Accident Fund SEDGWICK HARBOR CUSTOM NETWORK NY ROC RMS - HANNAFORD SOUTH DAKOTA MCP METRACOMP ROCKPORT SOUTHWEST SEDGWICK HARBOR CUSTOM NETWORK WITH NY ROC Rockport Community Network Inc dba Rockport METRACOMP ONLY AND TX NON SUB SPARTA Healthcare Group SEDGWICK KAISER NY CERTIFIED SPLASHLIGHT Roffe Enterprises Inc t/a HHC Group SEDGWICK KAISER NY ROC SRS ROLLINS INC SEDGWICK KMART SRS COMPIQ RONALD WOLF AND ASSOCIATES SEDGWICK NON KAISER NY ROC SRS EVEREST COMPIQ ROSS STORES SEDGWICK PRIMARY SRS PRIMARY RSKCO CUNNINGHAM AND LINDSEY SEDGWICK ROC SRS SELECT RSKCO HCA RTK0C0000 NON SUBSCRIBER SEDGWICK SEARS OBN SRS TX HCN STANDARD RSKCO PARK PLACE ENTERTAINMENT FKA GRAND SEDGWICK SEARS TX NON SUBSCRIBER SSIE CASINOS LOUI SEDGWICK STD CA MPN NETWORK St. Paul Fire and Marine Insurance Company, NAIC RSKCO PARK PLACE ENTERTAINMENT FKA GRAND #24767 CASINOS LOUI SEDGWICK STD NETWORK St. Paul Guardian Insurance Company, NAIC #24775

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Worker’s Compensation

St. Paul Mercury Insurance Company, NAIC #24791 TENET UPS CHANNELING STANDARD BRANDS TENNESSEE RISK MANAGEMENT TRUST US ADMINISTRATOR CLAIMS Standard Fire Insurance Company (The), NAIC #19070 TEST BILL REVIEW TO MCPS CLIENT US Administrators STAR INSURANCE COMPANY TEST SERVICE GROUP 2 WORKERS COMPFIRST HEALTH US Fire Insurance Co. USE ONLY Starbucks Casualty Program US Foods Inc Texas Roadhouse STARR COMPREHENSIVE SOLUTIONS INC US Outlets, Kittery Premium Outlets TOTAL MANAGED CARE (AARLA) STARTECH Utica National Insurance TRANSOCEAN STARTECH WORK COMP VALLEY OAK SYSTEMS TRAVELERS STATE OF VERMONT VERITAS CLAIMS LLC Travelers State of Wyoming VIANT Travelers Casualty and Surety Company, NAIC #19038 STATE WORKERS INSURANCE FUND SWIF Vigilant Insurance Company Travelers Casualty Insurance Company of America, NAIC STATUS MEDICAL MANAGEMENT VILLAGE MUSEUMS #19046 STEADFAST INSURANCE CO VIRTUEMED INC Travelers Commercial Casualty Company, NAIC #40282 STOCKMAN GROUP WALMART STRATACARE NON SUBSCRIBER Travelers Indemnity Company (The), NAIC #25658 STONE TRUST COMMERCIAL INSURANCE WARNER BROTHERS Travelers Indemnity Company of America (The), NAIC StoneView, LLC #25666 Waste Management STONEWOOD INSURANCE COMPANY NC TRAVELERS NS WAUSAU BUSINESS INSURANCE COMPANY StrataCare Travelers Property Casualty Company of America, NAIC WAUSAU GENERAL INSURANCE COMPANY #25674 STRATACARE CIGA WAUSAU UNDERWRITERS INSURANCE COMPANY TRI STAR RISK MANAGMENT STRATACARE EASTERN ALLIANCE INSURANCE WC MCPS ONLY TEST ACRO 4 TRIBUNE COMPANY STRATACARE INC WC REGRESSIION TESTING 2 NETWORK ONLY TriNet/SOI STRATOSE WC REGRESSION TESTING 1 BLRVMCPS Tristar SUMMIT HOLDINGS WC REGRESSION TESTING 5 NETWORK ONLY TRISTAR MANAGED CARE Sunset Park Elementary Wegmans TRISTAR NJ MCO SUNZ INSURANCE COMPANY 1155 WELLCOMP TRISTAR NJ MCO SUPERIEN HEALTH NETWORK WELLS FARGO BLACK LUNG PROGRAM Triton Healthcare Partners SWISS RE WELLS FARGO THIRD PARTY ADMINISTRATORS INC TYSON FOODS SWISS RE CYBERCOMP Western National Mutual UNDERWRITERS SAFETY AND CLAIMS INC FEDERAL SWISS RE ERC STAFFING LINES Westfield UNDERWRITERS SERVICES CORPORATION SYNERGY WMBR UNITED AIRLINES Synernet WOODALL AND BROOME INC UNITED AIRLINES GB IL PPP SYNERNET AON WORK COMP ADVANTAGE FOR EDI NETWORK VALS UNITED PARCEL SERVICES INC SYSCO CORPORATION 011924 WORKSTAR HEALTH SERVICES United States Fidelity and Guaranty Company, NAIC T.H.E. Insurance Company XBR1 #25887 TANDEM XPO Logistics UNITRIN TARGET YASUDA FIRE MARINE CO UNITRIN BUSINESS INSURANCE TC3 YASUDA FIRE MARINE CO UNITRIN Team Transportation Trust YORK KY MCO UNIVERSITY OF OKLAHOMA

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Worker’s Compensation

YORK REVIEW ONLY YORK RISK SERVICES ZELIS Zenith Insurance Company ZENITH, THE ZURICH ZURICH AMERICAN INSURANCE ZURICH CHANNELING ONLY ZURICH FARMERS INSURANCE GROUP Zurich North America ZURICH NORTH AMERICA FOCUS TX HCN ZURICH OCC ACCIDENT NON SUBSCRIBER ZURICH PRIMARY TALISPOINT ONLY ZURICH SERVICES CORPORATION

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Auto

AIG CLAIMS INC FRANKENMUTH MUTUAL INSURANCE AUTO MCMC CMI AUTO AIICO FRED LOYA INSURANCE MEDATA INC ALFA VISION INSURANCE GALLAGHER BASSETT MANAGED CARE SERVICES MERCHANTS ALLIED MANAGED CARE AUTO GENERAL, THE MERCHANTS INSURANCE AUTO ALLSTATE INSURANCE COMPANY GENEX MERCURY INSURANCE ALPHA REVIEW AUTO GENEX A DUIE PYLE INC AUTO METROMILE AMERICAN FAMILY GENEX ACE USA AUTO METROPOLITAN PROPERTY AND CASUALTY INSURANCE AMERIPRISE INSURANCE COMPANY GENEX ARI INSURANCE COMPANY AUTO MITCHELL INTERNATIONAL INC (FAIR ISAAC) ASU GROUP GENEX ENTERPRISE LEASING CO ELCO AUTO MITCHELL MEDICAL AUTO CLUB GROUP ACG GENEX FIRST NIAGARA RISK MANAGEMENT AUTO MITCHELL SA PALADIN AUTO Auto Injury Solutions Inc GENEX NETWORK ADJUSTERS AUTO MITCHELL SMARTADVISOR SOLUTIONS BASS AND BABB AUTO GENEX NORTHWEST INSURANCE AUTO MITCHELL WORKERS’ COMPENSATION SOLUTIONS CALIFORNIA CASUALTY GENEX ROCKFORD MUTUAL INSURANCE CO AUTO MOUNTAIN WEST FARM BUREAU CHURCH MUTUAL INSURANCE GENEX SAFE AUTO INSURANCE CO AUTO NARS CLAIMS MANAGEMENT, INC. - IP GENEX SERVICES AUTO NETWORK NASHVILLE AUTO CNA GENEX SERVICES LLC NGIC Cofinity GENEX STANDARD PROCESSING AUTO NJ PLIGA AUTO COMPIQ GENEX US FOODS INC AUTO NORTHLAND CompTech Medical Management Inc GENEX UTICA NATIONAL INS GRP AUTO NYCM CONCORD GROUP INSURANCE GENEX WASTE MANAGEMENT INC AUTO ONEBEACON Conduent Bill Review Corporation fka ACS CompIQ Corp GRANGE INSURANCE ASSOCIATION PETER CHANG ENTERPRISES AUTO CONDUENT WORKERS COMPENSATION GRANGE MUTUAL CASUALTY COMPANY PETER CHANG ENTERPRISES INC Consolidated Services Group Inc HARTFORD INSURANCE GROUP PILGRIM INSURANCE AUTO CORVEL HAZELRIGG AUTO PILGRIM INSURANCE COMPANY CorVel Healthcare Corp HEALTHSMART PREFERRED CARE, INC. PILGRIM RISK MANAGEMENT LLC Coventry HOOVER REHABILITATION SERVICES INC PLYMOUTH ROCK ASSURANCE CORPORATION COVENTRY HEALTHCARE HORACE MANN PMIC CSAA INURANCE EXCHANGE HSI PREMIER COMP SOLUTIONS INC EMC INSURANCE AUTO INTEGRATED HEALTH PLAN, INC. PRIME HEALTH SERVICES, INC. ENCOMPASS INSURANCE COMPANY KEMPER DIRECT Procura Management Inc Equian KEMPER PREFERRED PROGRESSIVE INSURANCE COMPANY AUTO ERIE AUTO KEY INSURANCE COMPANY PWC TEST FILE MAY 2012 ESIS AUTO KNIGHT MANAGEMENT INSURANCE SERVICES QBE AMERICA ESURANCE LEK TEST FILE 2012 REVIEW WORKS ExamWorks Review Services LIBERTY MUTUAL REVIEW WORKS NON COFINITY AUTO FARM BUREAU FINANCIAL SERVICES MagnaCare Administrative Services Rising Medical Solutions Inc FARMERS AUTO INSURANCE MANAGEABILITY Rockport Community Network Inc dba Rockport Healthcare Group FCCI AUTO MCMC AUTO SAFE AUTO

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

Auto

SEDGWICK AUTO SENTRY SHARED TECHNOLOGY SERVICES GROUP INC STARTECH STATE AUTO INSURANCE COMPANIES STATE FARM AUTO STATUS MEDICAL MANAGEMENT StoneView, LLC STRATACARE INC SUPPORT CLAIM SERVICES TC3 TOWER TRAVELERS VERMONT MUTUAL INSURANCE COMPANY VIANT WAWANESA YORK RISK SERVICES

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

International

ARGENTINA--ACE ARGENTINA CANADA--UNIFUND ASSURANCE COMPANY GERMANY--MALTESER ARGENTINA--CARDINAL SERVICIOS INTEGRALES S.A. CAYMAN ISLANDS--PAN-AMERICAN LIFE INSURANCE GERMANY--MD MEDICUS GROUP ARGENTINA--QBE INSURANCE GERMANY--MEDICAL HELPLINE COLUMBIA--MAPFRE ASISTENCIA ARGENTINA--UNIVERSAL ASSISTANCE GERMANY--MOS MEDICAL HELPLINE GMBH COLUMBIA--PAN-AMERICAN LIFE INSURANCE GROUP ARUBA--PAN-AMERICAN LIFE INSURANCE GROUP GERMANY--ROLAND ASSISTANCE CONGO--WORLD HEALTH ORGANIZATION AUSTRALIA--AAI LIMITED GERMANY--SÜDDEUTSCHE KRANKENVERSICHERUNG COSTA RICA--PAN-AMERICAN LIFE INSURANCE GROUP A.G. AUSTRALIA--AGA ASSISTANCE AUSTRALIA PTY LTD. CURACAO--PAN-AMERICAN LIFE INSURANCE GROUP GUATEMALA--PAN-AMERICAN LIFE INSURANCE GROUP AUSTRALIA--CERBERUS SPECIAL RISKS CZECH REPUBLIC--CORIS PRAGUE HONDURAS--PAN-AMERICAN LIFE INSURANCE GROUP AUSTRALIA--CORPORATE SERVICES NETWORK CZECH REPUBLIC--EURO-CENTER PRAGUE LTD. HONG KONG--AIA INTERNATIONAL LIMITED AUSTRALIA--CUSTOMER CARE CZECH REPUBLIC--EUROCROSS ASSISTANCE HONG KONG--ASSISTANCE ALLIANCE INTERNATIONAL AUSTRALIA--MAPFRE ASISTENCIA (HK) LIMITED CZECH REPUBLIC--GLOBAL ASSISTANCE AUSTRALIA--QBE INSURANCE HONG KONG--GLOBAL HEALTH ASIA LIMITED DENMARK--SOS INTERNATIONAL AUSTRALIA--ZURICH INSURANCE AU INDIA--AGA ASSISTANCE (INDIA) PVT. LTD. DENMARK--WORLD HEALTH ORGANIZATION AUSTRIA--EUROPA ASSISTANCE INDIA--PARAMOUNT HEALTHCARE MANAGEMENT PVT. DOMINICAN REPUBLIC--ANGEL GUARD ASSIST AUSTRIA--INTERNATIONALER FLUGSRETTUNGSDIENST LTD AUSTRIA CARIBBEAN ISLANDS--PAN-AMERICAN LIFE INSURANCE INDIA--WORLD HEALTH ORGANIZATION GROUP AUSTRIA--OEAMTC INTERNATIONAL--ACCESS INTERNATIONAL HEALTHCARE ECUADOR--PAN-AMERICAN LIFE INSURANCE GROUP BARBADOS--PAN-AMERICAN LIFE INSURANCE GROUP INTERNATIONAL--ADMINISTRATORS AND CONSULTANTS, EGYPT--WORLD HEALTH ORGANIZATION BELGIUM--IMA BENELUX LTD EL SALVADOR--PAN-AMERICAN LIFE INSURANCE GROUP BELGIUM--TOURING CLUB OF BELGIUM INTERNATIONAL--AMERICAN INSITUTE FOR FOREIGN FRANCE--HENNER STUDY/EQUINOX BULGARIA--EUROCROSS ASSISTANCE FRANCE--INTER MUTUELLES ASSISTANCE INTERNATIONAL--AMIL INTERNATIONAL CANADA--AIG INSURANCE COMPANY OF CANADA FRANCE--MAPFRE ASISTENCIA INTERNATIONAL--ARC EUROPE CANADA--ALCAN FRANCE--MEDICAL ADMINISTRATORS INTERNATIONAL INTERNATIONAL--AXIS ACCIDENT & HEALTH CANADA--BLUE CROSS OF ATLANTIC CANADA FRANCE--MSH INTERNATIONAL INTERNATIONAL--CANADIAN MEDICAL NETWORK CANADA--CHARTIS INSURANCE COMPANY OF CANADA FRANCE--VERSPIEREN INTERNATIONAL--CERNER CORPORATION CANADA--CORPORATE CLIENT SERVICES SPECIAL GERMANY--ACE FRANKFURT INTERNATIONAL--GLOBAL UNDERWRITERS CANADA--DESJARDINS ASSURANCES GERMANY--ADAC INTERNATIONAL--HTH WORLDWIDE CANADA--EDMONTON PIPE GERMANY--AGA INTERNATIONAL SA INTERNATIONAL--KEY BENEFIT ADMINSTRATORS CANADA--INTACT GERMANY--AGA SERVICE DEUTSCHLAND GMBH INTERNATIONAL--LINKHAM CANADA--JOHNSON INC GERMANY--ALMEDA INTERNATIONAL--MARRIOTT INTERNATIONAL CANADA--K&K INSURANCE GROUP CANADA GERMANY--BAYERISCHE BEAMTENKRANKENKASSE INTERNATIONAL--MASTERS, MATES AND PILOTS PLANS CANADA--MANITOBA BLUE CROSS GERMANY--BDAE HOLDING GMBH INTERNATIONAL--SEVEN CORNERS CANADA--MANULIFE TRAVEL INSURANCE GERMANY--CONTINENTALE KRANKENVERSICHERUNG INTERNATIONAL--SUN LIFE OF CANADA CANADA--OLD REPUBLIC INSURANCE COMPANY OF CANADA GERMANY--DEUTSCHE ASSISTANCE SERVICE GMBH INTERNATIONAL--SUNMED CANADA--PRUDENTIAL GERMANY--DEVK KRANKENVERSICHERUNG AG INTERNATIONAL--DUREX CANADA--RSA TRAVEL INSURANCE GERMANY--EUROPA VERSICHERUNG INTERNATIONAL--EMONS CANADA--SIGMA ASSISTEL GERMANY--HANSE MERKUR INTERNATIONAL--GLOBAL MEDICAL MANAGEMENT CANADA--TRAVELERS CANADA GERMANY--HUK - COBURG INTERNATIONAL--GROSVENOR

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018 CONTRACTED INSURANCE / REGIONAL & NATIONAL PAYERS 4th Quarter

As a courtesy to all our patients, Premier Lab Solutions will submit claims to both contracted and out of network insurance companies. In order to bill services correctly and in a timely manner, complete patient and insurance information must be included on the test requisitions including: patient full name, address, gender, DOB, insurance policy ID/group number, billing address, physician notes and complete ICD-10 codes.

International

INTERNATIONAL--INDUSTRIAL HARNESS COMPANY SWITZERLAND--AXA WINTERTHUR INSURANCE UK--INTANA INTERNATIONAL--INTERNATIONAL RISK CONSULTANTS SWITZERLAND--INTERNATIONAL LABOR OFFICE (ILO) UK--INTERGLOBAL LIMITED INTERNATIONAL--OLYMPUS MANAGED HEALTHCARE SWITZERLAND--MEDGATE AG UK--MAPFRE ASISTENCIA INTERNATIONAL--SELECTCARE WORLDWIDE SWITZERLAND--UNIQA ASSURANCES SA VENEZUELA--BANESCO SEGUROS INTERNATIONAL--SPEC PAPER SWITZERLAND--UNITED NATIONS IRELAND--MAPFRE ASISTENCIA SWITZERLAND--WORLD HEALTH ORGANIZATION ITALY--ACI GLOBAL S.P.A. TOBAGO--ALGICO ITALY--IMA SERVIZI TOBAGO--CLICO INTERNATIONAL LIFE INSURANCE ITALY--PREVIMEDICAL S.P.A. TOBAGO--PAN-AMERICAN LIFE INSURANCE GROUP JORDAN--MEDNET JORDAN CO. W.L.L. TOBAGO--TATIL KUWAIT--WAPMED TPA SERVICES CO TRINIDAD--ALGICO LEBANON--GLOBEMED LEBANON TRINIDAD--CLICO INTERNATIONAL LIFE INSURANCE MEXICO--ACE MEXICO TRINIDAD--PAN-AMERICAN LIFE INSURANCE GROUP MEXICO--INBURSA TRINIDAD--TATIL MEXICO--METLIFE MEXICO, S.A. UAE--DAMAN UAE MEXICOPAN-AMERICAN LIFE INSURANCE GROUP UAE--MEDNET UAE FZ L.L.C. MOROCCO--INTER MUTUELLES ASSISTANCE UK--MAYDAY ASSISTANCE NETHERLANDS-- ANWB UK--ONE ASSIST NETHERLANDS-- EUROCROSS ASSISTANCE UK--PREFERENTIAL ADMINISTRATION SERVICES NETHERLANDS-- SOS INTERNATIONAL AMSTERDAM UK--PROFESSIONAL TRAVEL INSURANCE NEW ZEALAND--AGA ASSISTANCE AUSTRALIA PTY LTD. UK--QBE INSURANCE NEW ZEALAND--ALLIANZ GLOBAL ASSISTANCE NZ UK--REACTIVE CLAIMS LTD NEW ZEALAND--FIRST ASSISTANCE UK--RIGHTPATH CLAIMS NEW ZEALAND--HEALIX ASSISTANCE NZ UK--SPECIALTY ASSIST NEW ZEALAND--IAG UK--TOWERGATE CHASE PARKINSON NEW ZEALAND--QBE INSURANCE UK--TRAVEL CLAIMS SERVICES LIMITED PANAMA--PAN-AMERICAN LIFE INSURANCE GROUP UK--UK GENERAL INSURANCE PHILIPPINES--WORLD HEALTH ORGANIZATION UK--ARIA ASSISTANCE PUERTO RICO--MCS - PUERTO RICAN HEALTH GROUP UK--ASSISTANCE INTERNATIONAL PUERTO RICO--PAN-AMERICAN LIFE INSURANCE GROUP UK--BUPA QATAR--DAMAN HEALTH INSURANCE QATAR LLC UK--CIGNA INSURANCE SERVICES (EUROPE) LIMITED SAUDI ARABIA--SAUDI ENAYA COOPERATIVE INSURANCE UK--CLAIMS SETTLEMENT AGENCIES LTD COMPANY UK--DIRECT LINE INSURANCE GROUP SOUTH AFRICA--TRAVEL INSURANCE CONSULTANTS UK--ERV INSURANCE UK SPAIN--ADVANCE MEDICAL UK--FEDERAL ASSIST SPAIN--IMA IBERCIA UK--GLOBAL RESPONSE SPAIN--RACE SPAIN UK--HEALIX GROUP OF COMPANIES SPAIN--SOS SEGUROS Y REASEGUROS SA UK--HEALTHCARE INTERNATIONAL ST. MAARTEN--PAN-AMERICAN LIFE INSURANCE GROUP

The above list of contracted insurance carriers is provided by Premier Lab Solutions and contains our most commonly billed insurance carriers, which is Premier subject to change at any time, for any reason and is not all-inclusive. Although Premier Lab Solutions has made every effort to ensure the content of this list is accurate and complete, Premier Lab Solutions cannot be responsible for the accuracy of the information contained herein. It is the patient’s responsibility Lab Solutions to confirm benefits prior to lab services performed by contacting their insurance carrier directly. For additional information, please call the customer service Your Community Lab TM number listed on patient’s insurance card.

602.441.2808 | premierlabsolutions.com | 4350 E. Camelback Rd. | Suite E-150 | Phoenix, AZ 85018