Your Practice Name VSS Medical Office System Run: Feb 24, 2003 +-----------------------------+ Page: 2 | HEALTH INSURANCE CARRIERS | | ELECTRONIC SUBMISSION DATA | +-----------------------------+ Payor Claim Plan Prod Code Company Name ID Office# OCNA# CO SOP Group # Code Plan Name Line NAIC+Suffix ---- ------------------------------ ------ ------- -------- -- --- ------------- ------ ------------------------- ---------------- AL53 ACCELERATED LIFE 00003 3 CLAIMS DEPT MANAGER COLUMBUS OH 43214 ---- ------------------------------ ------------------------------ --------------- AB ACORDIA BENEFITS 92806 A001 92806 2401 E KATELLA AVE ANAHEIM CA 92806 ---- ------------------------------ ------------------------------ --------------- ALGS ACORDIA LOCAL GOVT SVCS 46240 A001 46240 PO BOX 40987 INDIANAPOLIS IN 46240 ---- ------------------------------ ------------------------------ --------------- ASB ACORDIA SENIOR BENEFIT 00094 94 ATTN DIANE SZCZERBA INDIANAPOLIS IN 46207 ---- ------------------------------ ------------------------------ --------------- AC ADMAR CORP 92702 A001 92702 P O BOX 478 SANTA ANA CA 92702 ---- ------------------------------ ------------------------------ --------------- AS30 ADMINISTRATIVE SRVS INC 30345 A001 30345 2300 HENDERSON MILL RD ATLANTA GA 30345 ---- ------------------------------ ------------------------------ ---------------