Software Clearinghouse TP# Payor ID Vendor

Office Ally Professional: SX107 Ability HT006842-001 (specifically Capario) Institutional: 12X37 RelayHealth Professional: HT000015-001 CPID: 4480 AdvancedMD (McKesson)/Change HT000270-001 Institutional: 12X37 CPID: 1532 Healthcare Professional: SX107 AllegianceMD Office Ally HT006842-001 Institutional: RelayHealth Professional: HT000015-001 CPID: 4480 Allscripts (McKesson)/Change HT000270-001 Institutional: 12X37 CPID: 1532 Healthcare Emdeon/Change HT001755-006 Professional: SX107 Alveo Healthcare HT001755-017 Institutional: 12X37 HT001046-001 Professional: UHIHC Apex EDI Apex EDI HT000492-001 Dental: UTIHD Emdeon/Change HT001755-006 Professional: SX107 Healthcare HT001755-017 Institutional: 12X37 Emdeon/Change Emdeon/Change Healthcare (Advanced Healthcare software) HT001755-006 Professional or ERA's: SX107 HT001755-017 Institutional: 12X37 Availity Availity UHIN (Basic UHIN (Basic software) software) 10575 HT006873-001 HT002245-001 Professional: Z0001 Avea Solutions WayStar/WayStar HT002245-002 Institutional: Z0001 (WayStar 2) Emdeon/Change HT001755-006 Professional: SX107 Brightree Healthcare HT001755-017 Institutional: 12X37 Emdeon/Change Capario HT001755-006 Professional: SX107 Healthcare Carestream (Orthotrac / 01134 Practice Works) Emdeon/Change HT001755-006 Professional: SX107 Centricity Healthcare HT001755-017 Institutional: 12X37 Gateway EDI Professional: SELUT HT005157-001 (Trizetto) Institutional: UELUT Emdeon/Change Healthcare Emdeon/Change Healthcare HT001755-054 Dental: CX107 HT001755-006 Professional: SX107 Change HT001755-017 Institutional: 12X37 Change Healthcare Healthcare RelayHealth RelayHealth (McKesson) / Change Healthcare (McKesson) / Change Professional: HT000015-001 CPID: 4480 Healthcare Institutional: 12X37 CPID: 1532 HT000270-001 ChiroFusion Office Ally HT006842-001 Professional: SX107 Gateway EDI Professional: SELUT chirotouch HT005157-001 (Trizetto) Institutional: UELUT Gateway EDI Professional: SELUT Claim Logic HT005157-001 (Trizetto) Institutional: UELUT Emdeon/Change Claim MD HT007612-001 Professional: SX107 Healthcare Emdeon/Change HT001755-006 Professional: SX107 ClaimRemedi Healthcare HT001755-017 Institutional: 12X37 RelayHealth Professional: HT000015-001 CPID: 4480 ClaimsConnect (McKesson)/Change HT000270-001 Institutional: 12X37 CPID: 1532 Healthcare ClaimX Emdeon/Change Dental: CX107 HT001755-054 (ExtraDent) Healthcare Dental RelayHealth Professional: HT000015-001 CPID: 4480 CollaborateMD (McKesson)/Change HT000270-001 Institutional: 12X37 CPID: 1532 Healthcare Cortex EDI Cortex EDI HT002055-001 Professional: SX107 CPSI CPSI HT005050-001 4003 Emdeon/Change CureConnect HT001755-006 SX107 Healthcare Emdeon/Change CureMD HT001755-006 SX107 Healthcare Emdeon/Change Dental: CX107 Curve Dental HT001755-054 Healthcare Dental?

Dental Xchange Dental Xchange HT006310-001 Dental: CX107 Emdeon/Change Dentrix HT001755-054 Dental: CX107 Healthcare Dental Emdeon/Change Dental: CX107 eAssist Dental HT001755-054 Healthcare Dental Emdeon/Change Dental: CX107 EasyDental HT001755-054 Healthcare Dental Emdeon/Change Dental: CX107 eCentral HT001755-054 Healthcare Dental Emdeon/Change Dental: CX107 eClaims HT001755-054 Healthcare Dental HT001755-054 Dental: CX107 Emdeon/Change eClinicalWorks HT001755-006 Professional: SX107 Healthcare HT001755-017 Institutional: 12X37 Emdeon/Change ECP HT001755-006 Professional: SX107 Healthcare Electronic Emdeon/Change Dental Services HT001755-054 Dental: CX107 Healthcare / EDS Eligible Inc Eligible Inc HT007367-002 UH107 Emdeon / HT001755-054 Dental: CX107 Emdeon/Change Change HT001755-006 Professional: SX107 Healthcare Healthcare HT001755-017 Institutional: 12X37 Emdeon/Change HT001755-006 Professional: SX107 Emedix Healthcare HT001755-017 Institutional: 12X37 Professional: UH107 Institutional: 12X37 ENS (Optum) ENS (Optum) HT005191-001 Eligibility: SELHT Payer Name: SELECTHEALTH Emdeon/Change HT001755-006 Professional: SX107 Envoy Healthcare HT001755-017 Institutional: 12X37 RelayHealth Professional: HT000015-001 CPID: 4480 ePremis (McKesson)/Change HT000270-001 Institutional: 12X37 CPID: 1532 Healthcare eProvider Professional: SX107 Solutions Institutional: 12X37 Etactics Practice Insight HT005915-001 Professional: SX107 Evident CPSI HT005050-001 4003 Emdeon/Change Emdeon/Change Healthcare (Availity Healthcare Advanced software) Availity Advanced HT001755-006 Professional: SX107 (prior to 10/10/20) HT001755-017 Experian Health Institutional: 12X37 UHIN (<=10/10/20) Nebo Systems Inc Nebo Systems Inc (UHIN) (UHIN) HT000015-001 HT008151-001 Gateway EDI Professional: SELUT EZ Claims HT005157-001 (Trizetto) Institutional: UELUT Fusion EDI Emdeon/Change (Payer Fusion or HT001755-006 Professional: SX107 Healthcare Claim MD) fusion EDI Emdeon/Change Dental: CX107 (Payer Fusion or HT001755-054 Healthcare Dental Claim MD) Gateway EDI Professional: SELUT Gateway EDI HT005157-001 (Trizetto) Institutional: UELUT Greenway / Greenway / Global Professional: SELUT Global Health HT002357-001 Health Net (GHN) Institutional: UELUT Net (GHN) Emdeon/Change HT001755-006 Professional: SX107 HCRnet Healthcare HT001755-017 Institutional: 12X37 Emdeon/Change HT001755-006 Professional: SX107 Healtheon Healthcare HT001755-017 Institutional: 12X37 Emdeon/Change HT001755-006 Professional: SX107 HealthFusion Healthcare HT001755-017 Institutional: 12X37 HealthSmart SX107 Emdeon/Change Dental: CX107 Henry Schein HT001755-054 Healthcare Dental HeW (Health-e- Professional: UH107 Eligible Inc HT007367-002 Web) Institutional: Emdeon/Change Dental: CX107 HSPS HT001755-054 Healthcare Dental Professional: UH107 Igenix Institutional: 12X37 Connectivity ENS (Optum) HT005191-001 Eligibility: SELHT Solutions Payer Name: SELECTHEALTH imspro Practice Insight HT005915-001 Professional: SX107 Professional: SX107 Infinedi Infinedi HT005997-001 Institutional: UHN36 InstaMed Professional: SX107 Greenway / Global Professional: SELUT Intergy HT002357-001 Health Net (GHN) Institutional: UELUT Gateway EDI Professional: SELUT HT005157-001 (Trizetto) Institutional: UELUT Lindsay Professional: UH107 Technical Institutional: 12X37 ENS (Optum) HT005191-001 Consultants, Inc. Eligibility: SELHT (LTC) Payer Name: SELECTHEALTH Office Ally Professional: SX107 MD On-Line HT006842-001 (specifically Capario) Institutional: HT000323-001 Professional: Med USA Med USA HT001904-001 Institutional: Emdeon/Change Medisoft HT001755-006 Professional: SX107 Healthcare Meditech Emdeon/Change HT001755-006 Professional: SX107 MediTouch Healthcare HT001755-017 Institutional: 12X37 Emdeon/Change Dental: CX107 Medivant HT001755-054 Healthcare Dental nAble MD InstaMed Professional: SX107 Navicure WayStar HT002245-001 Professional: U1039 NDC (National Data RelayHealth Professional: HT000015-001 CPID: 4480 Corporation / (McKesson)/Change HT000270-001 Institutional: 12X37 CPID: 1532 NDCHealth Healthcare Corp) Dental: CX107 NEA (Eaglesoft) Emdeon HT001755-054 Optum Professional: SX107 Netwerkes (Emdeon/Change HT001755-006 Institutional: 12X37 Healthcare) Gateway EDI Professional: SELUT Nextech HT005157-001 (Trizetto) Institutional: UELUT Professional: SX107 NextGen NextGen HT005914-001 Institutional: 12X37 Emdeon/Change Dental: CX107 NIS HT001755-054 Healthcare Dental Emdeon/Change HT001755-006 Professional: SX107 NueMed Healthcare HT001755-017 Institutional: 12X37 Professional: SX107 Office Ally Office Ally HT006842-001 Institutional: SX107 Emdeon/Change HT001755-054 Dental: CX107 OMS Vision Healthcare Dental HT001755-006 Professional: SX107 Patterson Dental: CX107 Emdeon HT001755-054 (Eaglesoft) RelayHealth PayerPath / Professional: HT000015-001 CPID: 4480 (McKesson)/Change HT000270-001 Allscripts Institutional: 12X37 CPID: 1532 Healthcare RelayHealth PER-SE Utah Professional: HT000015-001 CPID: 4480 (McKesson)/Change HT000270-001 Group Institutional: 12X37 CPID: 1532 Healthcare PHIcure PHIcure Inc HT007439-002 Professional: SX107 Practice Insight Practice Insight HT005915-001 Professional: SX107 Professional: SX107 Practice Mate Office Ally HT006842-001 Institutional: ProClaim Professional: HT000015-001 ProClaim Partners HT007187-001 Partners Institutional: 12X37 Professional: UH107 Provider Express Institutional: 12X37 ENS (Optum) HT005191-001 (Optum) Eligibility: SELHT Payer Name: SELECTHEALTH Emdeon/Change HT001755-006 Professional: SX107 Quadax Healthcare HT001755-017 Institutional: 12X37 Emdeon/Change Emdeon/Change Healthcare (Advanced Healthcare software) HT001755-006 Professional or ERA's: SX107 HT001755-017 Institutional: 12X37 RealMed Availity UHIN (Basic UHIN (Basic software) software) 10575 HT006873-001 RelayHealth RelayHealth (McKesson) / Professional: HT000015-001 CPID: 4480 (McKesson)/Change HT000270-001 Change Institutional: 12X37 CPID: 1532 Healthcare Healthcare Emdeon/Change Dental: CX107 Remote Lite HT001755-054 Healthcare Dental Renaissance Emdeon/Change Dental: CX107 HT001755-054 Systems Healthcare Dental RelayHealth ResourceOne / Professional: HT000015-001 CPID: 4480 (McKesson)/Change HT000270-001 Allscripts Institutional: 12X37 CPID: 1532 Healthcare Revenue Gateway EDI Professional: SELUT HT005157-001 Manager (Trizetto) Institutional: UELUT Revenue Performance Emdeon/Change HT001755-006 Professional: SX107 Advisor Healthcare HT001755-017 Institutional: 12X37 (through Change Healthcare) Emdeon/Change HT001755-006 Professional: SX107 Rycan Healthcare HT001755-017 Institutional: 12X37 Professional: UH107 SecureEDI Eligible Inc HT007367-002 Payer Name: Intermountain Health Care Simple Practice Eligible API HT007367-002 UH107 HT002245-001 Smart Data Professional: Z0001 WayStar HT002245-002 Solutions Institutional: Z0001 (WayStar 2) SoftDent 904 (Carestream) SOS Software Manager Emdeon/Change HT001755-006 Professional: SX107 (Synergistic Healthcare Office Solutins) Emdeon/Change Dental: CX107 Tab 32 HT001755-054 Healthcare Dental Tesia Tesia HT006707-001 Dental: TPC17 Professional: 99999-0377 HT001720-002 The SSI Group The SSI Group Institutional: 99999-0377 HT001720-003 Remote: 0358 Emdeon/Change Healthcare (Availity Emdeon/Change Advanced software) Therabill Availity (Advanced) Healthcare Professional or ERA's: SX107 HT001755-006 HT001046-001 Professional: UHIHC TheraNest Apex EDI HT000492-001 Dental: UTIHD Therapy Notes / Emdeon/Change HT001755-006 Professional: SX107 My Clients Plus Healthcare Thrive CPSI HT005050-001 4003 Gateway EDI Professional: SELUT TrakNet HT005157-001 (Trizetto) Institutional: UELUT TransMedic / Emdeon/Change MedCom (Claim HT001755-006 Professional: SX107 Healthcare MD) Professional: UH107 Institutional: 12X37 TransUnion ENS (Optum) HT005191-001 Eligibility: SELHT Payer Name: SELECTHEALTH Gateway EDI Professional: SELUT Trizetto HT005157-001 (Trizetto) Institutional: UELUT Emdeon/Change Emdeon/Change Healthcare (Advanced Healthcare software) HT001755-006 Professional or ERA's: SX107 HT001755-017 Institutional: 12X37 TSI Healthcare Availity UHIN (Basic UHIN (Basic software) software) 10575 HT006873-001 TSYS PHIcure Inc HT007439-002 Professional: SX107 Professional/Institutional/Dental (same): SX107 UHIN UHIN (Individual TPIDs) OR HT000015-001 ViaTrack Professional: SX107 ViaTrack Systems HT005914-001 Solutions Institutional: 12X37 HT002245-001 Professional: Z0001 WayStar WayStar HT002245-002 Institutional: Z0001 (WayStar 2) HT001755-054 Dental: CX107 Emdeon/Change WebMD HT001755-006 Professional: SX107 Healthcare HT001755-017 Institutional: 12X37 WRS Health PHIcure Inc HT007439-002 Professional: SX107 Xclaims Practice Insight HT005915-001 Professional: SX107 Professional: UH107 Institutional: 12X37 Xifin ENS (Optum) HT005191-001 Eligibility: SELHT Payer Name: SELECTHEALTH HT002245-001 Professional: Z0001 ZirMed WayStar HT002245-002 Institutional: Z0001 (WayStar 2) HT002245-001 Professional: Z0001 ZirMed 2 WayStar HT002245-002 Institutional: Z0001 (WayStar 2) Zyantus Professional: SX107