SECOND QUARTER 2015 INSURANCE/PAYORS CURRENTLY FILED IN CALIFORNIA (SOUTHERN) Provider TIN #: 27-3267315 Note: All services will be billed under Esoterix Genetic Laboratories, LLC Esoterix Genetic Laboratories, LLC will file claims for insured patients directly to Medicare, Medicaid, and many insurance companies and managed care plans. It is always important to verify and update insurance information and know which testing laboratories are in-network or participating providers for your benefit plan. This information may impact your level of coverage. Insurance/Payor Name Insurance/Payor Name Insurance/Payor Name Access IPA Access Medical Group Advantage Health Network* Aetna Affiliated Doctors of Orange Cnty (ADOC) AKM Medical Group Bright Health Physicians of PIH Bristol Park Medical Group (Reproductive Services only) Brookshire IPA California Children's Services (CCS) Encompass Evercare/UnitedHealthcare Evolutions Healthcare Systems Exceptional Care Medical Group Facey Medical Group Family Care Specialists IPA Alamitos IPA All Care Medical Group Alliance IPA/HCP Allied Healthcare Providers Allied Physicians of California, IPA Alpha Care Medical Group** American CareSource* American Medical Security/UnitedHealthcare AmeriChoice/UnitedHealthcare AMVI Care Health Network AMVI/Prospect Health Network Ancillary Care Services (ACS)* Angeles IPA AppleCare Medical Group Arch Health Partners Associated Hispanic Physicians of S. California Avalon Medical Group of Whittier Axminster Medical Group Bakersfield Family Medical Center BCBS Federal Employee Plan (FEP) Beaver Medical Group Beech Street* Bella Vista Medical Group Benefit Panel Services (BPS) Blue Cross of California State Sponsored Programs Blue Cross of California/Anthem Blue Shield of California Bravo/HealthSpring/CIGNA California Desert Medical Group CalOptima CareMore Health Plan Cedars-Sinai Health Associates Cedars-Sinai Medical Group Centre for Health Care CHAMPUS Chino Medical Group Choice Medical Group/Choice Physicians Network ChoiceCare Network* CHW Central Coast Region, d/b/a Marian Medical Center (Marian Health Services) CHW Medical Foundation-Sacramento & Woodland CHW Medical Foundation-Sequoia, d/b/a Sequoia Physicians Network CIGNA Healthcare CIGNA HealthSpring Citrus Valley Physicians Medical Group Coachella Valley Physicians (authorization is required for all services) Community Health Group HMO (San Diego) Corporate Health Administrators (CHA)* Coventry Health Care National Accounts Definity Health Plan/UnitedHealthcare Desert Medical Group - HPN Downey Alliance Medical Group Empire Physicians Medical Group Employee Health Systems (authorization is required for all services) Family Choice Health Network Family Health Alliance Medical Group Family Practice Medical Group (of San Bernardino) Family/Seniors Medical Group First Health Network FPN-Fortified Provider Network Galaxy Health Network Gateway Medical Group GEHA (through applicable contracted networks only) Genesis Healthcare Global Care Medical Group Golden Empire Managed Care (GEMCare) Golden Rule/UnitedHealthcare Good Samaritan Medical Practice Assoc Greater Covina Medical Group Greater Newport Physicians (authorization is required for all services) Greater Orange County Medical Group/NMM Greater San Gabriel Valley Physician Greater Tri-Cities IPA Greater Valley Medical Group/HCPartners Greater Valley Phys. Assoc. (GVPA)/HCPartners Great-West Healthcare/Cigna Health Care LA IPA Health Net Health Net Federal Services - TRICARE HealthCare Partners Affiliates Medical Group HealthSmart Preferred Care (HSPC)* * Group/Employer/TPA Name and Number must be provided when submitting Integrated Genetics Test Requisition. This list contains Integrated Genetics' most commonly billed insurance carriers, which is subject to change, and is not all inclusive. Certain exceptions may apply by geographic or specific member coverage or plan. If you have any questions regarding a specific insurance carrier, please contact your local Integrated Genetics Representative or call 1-800-848-4436. For Integrated Genetics services go to www.IntegratedGenetics.com. Integrated Genetics is a business unit of Esoterix Genetic Laboratories, LLC, a wholly-owned subsidiary of Laboratory Corporation of America® Holdings. Page 1 of 3 Esoterix Genetic Laboratories, LLC will file claims for insured patients directly to Medicare, Medicaid, and many insurance companies and managed care plans. It is always important to verify and update insurance information and know which testing laboratories are in-network or participating providers for your benefit plan. This information may impact your level of coverage. Insurance/Payor Name Insurance/Payor Name Insurance/Payor Name HealthSpring/Bravo/CIGNA HealthStar, Inc. (PPO Next) Hemet Community Medical Group Heritage Victor Valley Medical Group High Desert Medical Group Humana Oasis IPA d/b/a Desert Oasis Healthcare OmniCare Medical Group Orange County Foundation for Medical Care OCPPO/EPO Pacific Alliance Medical Group IPA ProAmerica Managed Care* Producers Health Plan Indemnity Professional Care Medical Group ProMed Health Network (authorization is required for all services) Pacific IPA PacifiCare/UnitedHealthcare Pasadena Primary Care Physicians Payer Fusion Holdings Penn Elm Medical Group (PEMG) (authorization is required for all services) PHCS* Pioneer Med Group - Pioneer Provider Network PPO Next (formerly HealthStar) Preferred Health Network (PHN) Preferred IPA of California Prospect Health Source Medical Group Prospect Medical Group Prospect NWOC Medical Group Prospect Professional Care Medical Group Provider Select, Inc (PSI)* Prudent Medical Group f/k/a Hollywood Presbyterian Medical Group Redlands-Yucaipa Medical Group Regal Medical Group Riverside Family Health Medical Group Riverside Medical Clinic Premier Physician Network Primary Care and Pediatric IPA Primary Care Associates Medical Group (authorization is required for all services) Prime Health Services, Inc (PHS+)* PrimeCare Medical Group of Chino Valley (authorization is required for all services) PrimeCare Medical Network (authorization is required for all services) Riverside Physician Network San Diego Physicians Medical Group San Luis Obispo Select IPA Santa Barbara Medical Foundation/Sansum Santa Barbara Select IPA Scripps Clinic Medical Group (SCMG) (authorization is required for all services) Scripps Coastal Medical Center (SCMC) (authorization is required for all services) Scripps Health Plan Services (SHPS) (authorization is required for all services) Scripps Medical Plans/Aetna (authorization is required for all services) Scripps Mercy Medical Group (SMMG) (authorization is required for all services) SeaView IPA Secure Horizons by UnitedHealthcare Seoul Medical Group Serra Medical Clinic Humana Military/Tricare South Huntington Park Mission Medical Group Imperial County Physicians Medical Group Inland Empire Health Plan Inland Health Care Group Interplan Health Group (IHG)* Kaiser Permanente/Southern California Region Key Medical Group Lakeside Medical Group Lakewood Health Plan Loma Linda University Health Care Los Angeles Foundation for Medical Care PPO Mabuhay Medical Group Magan Medical Group Mail Handlers/Coventry National Network Maverick Medical Group Medi-Cal (Reproductive Services only excluding Genetic Counseling)) Medical Diagnostic Management (MDM)* Medicare Medicina Familiar Medical Group Memorial HealthCare IPA Memorial Medical Group/HCPartners MemorialCare Medical Group (Reproductive Services only) Mercy Physicians Medical Group Mid Cities IPA Midcoast Care, Inc. Midwest Security/UnitedHealthcare Mission Community IPA Monarch HealthCare (authorization is required for all services) Multiplan* National Preferred Provider Network (NPPN)* Northeast Valley Health Corp. Northwest Orange County Medical Group Nuestra Familia Medical Group PrimeCare of Citrus Valley (authorization is required for all services) PrimeCare of Corona (authorization is required for all services) PrimeCare of Hemet Valley (authorization is required for all services) PrimeCare of Inland Valley (authorization is required for all services) PrimeCare of Moreno Valley (authorization is required for all services) PrimeCare of Redlands (authorization is required for all services) PrimeCare of Riverside (authorization is required for all services) PrimeCare of San Bernardino (authorization is required for all services) PrimeCare of Sun City (authorization is required for all services) PrimeCare of Temecula (authorization is required for all services) Sharp Community Medical Group (authorization is required for all services) Sharp Health Plan Sharp Rees-Stealy Medical Group (authorization is required for all services) Sierra Primary Care Medical Group Southern California Permanente Medical Group (SCPMG) St. Francis IPA Medical Group * Group/Employer/TPA Name and Number must be provided when submitting Integrated Genetics Test Requisition. This list contains Integrated Genetics' most commonly billed insurance carriers, which is subject to change, and is not all inclusive. Certain exceptions may apply by geographic or specific member coverage or plan. If you have any questions regarding a specific insurance carrier, please contact your local Integrated Genetics Representative or call 1-800-848-4436. For Integrated Genetics services go to www.IntegratedGenetics.com. Integrated Genetics is a business unit of Esoterix Genetic Laboratories, LLC, a wholly-owned subsidiary of Laboratory Corporation of America® Holdings. Page 2 of 3 Esoterix Genetic Laboratories, LLC will file claims for insured patients directly to Medicare, Medicaid, and many insurance companies and managed care plans. It is always important to verify and update insurance information and know which testing laboratories are in-network or participating providers for your benefit plan. This information may impact your level of coverage. Insurance/Payor Name Insurance/Payor Name Insurance/Payor Name St. Joseph Heritage Medical Group (authorization is required for all services) St. Joseph Hospital Affiliated Physicians (authorization is required for all services) St. Jude Heritage Medical Group St. Vincent IPA Medical Group Talbert Medical Group/HCP The Industry Health Network Three Rivers Provider Network* Torrance Hospital IPA (THIPA) Tricare UHP Health Plan (Watts) HMO Unicare Unified IPA - Healthcare Partners United Care Medical Group United Medical Resources (UMR) UnitedHealthcare UnitedHealthcare Community Plan Universal Care d/b/a Brand New day Upland Medical Group (authorization is required for all services) USA Health Network* Valley Care IPA Valley Care Physicians IPA Valley Physicians Network (authorization is required for all services) Vantage Medical Group/PPMC Ventura County Health Care Plan Verdugo Hills IPA * Group/Employer/TPA Name and Number must be provided when submitting Integrated Genetics Test Requisition. This list contains Integrated Genetics' most commonly billed insurance carriers, which is subject to change, and is not all inclusive. Certain exceptions may apply by geographic or specific member coverage or plan. If you have any questions regarding a specific insurance carrier, please contact your local Integrated Genetics Representative or call 1-800-848-4436. For Integrated Genetics services go to www.IntegratedGenetics.com. Integrated Genetics is a business unit of Esoterix Genetic Laboratories, LLC, a wholly-owned subsidiary of Laboratory Corporation of America® Holdings. Page 3 of 3