Benjamin Reigle, founder and host of the Revenue Cycle podcast “My Good Friends,” shares his extensive experience in the healthcare industry, including co-founding Health Rise Consulting Firm and leading initiatives at companies like McKinsey & Company and Accredited Health (now R1). He is also the CEO of Tarpon Health, a community driving automation for healthcare providers. In this episode, Benjamin dives into the topic of healthcare change, emphasizing the importance of understanding industry shifts. Stay tuned to gain insights into the evolving landscape of healthcare.

The Change Healthcare breach, as discussed in the podcast episode with Benjamin Reigle, has had a profound impact on the healthcare industry. The breach resulted in challenges with claim submission, cash flow, and data security, affecting not only the operations of Change Healthcare but also having a ripple effect on healthcare providers, payers, and patients.

The breach led to issues with claim submission, as some payers who relied solely on Change as their intermediary were unable to process claims. This created a backlog of claims and disrupted the revenue cycle for many healthcare organizations. Some providers resorted to manual processes, such as printing and mailing claims, which added complexity and delays to the billing process.

Cash flow was significantly impacted by the breach, especially for smaller healthcare entities like physician groups and community hospitals. With claims not being processed efficiently, these organizations faced financial strain due to delayed payments and uncertainty about when the situation would be resolved. The lack of cash flow threatened the financial stability of these smaller entities, highlighting the importance of having contingency plans and backup systems in place.

Data security concerns arose as a result of the breach, with questions about the extent of the data compromised and the potential implications for patient privacy. The breach raised questions about the adequacy of security measures in place and the vulnerability of healthcare systems to cyber threats. The need for enhanced data security protocols and proactive measures to prevent future breaches became a pressing issue for healthcare organizations.

Experian Health Client Communication

February 23, 2024

Experian Health is aware of Change Healthcare’s (Optum’s) announcement on February 21 about a cybersecurity incident affecting its systems. Experian’s Cyber Incident Response team and Cyber Threat Intelligence teams have been engaged and are closely monitoring the situation. We have not seen evidence of a threat to Experian. Out of an abundance of caution and consistent with Experian’s security practices, Experian has temporarily severed connectivity to Change Healthcare. During the period of this severed connectivity, there will be an impact to batch and EDI authorizations, claims and remits, claim status, eligibility, and notice of care transactions that Experian Health sends to Change Healthcare. Experian will resume connectivity to Change when it receives assurances from Change Healthcare that it has adequately contained the threat. Payers work with a variety of clearinghouses to process data. In many cases, multiple payer connections are available although sometimes payer connectivity may be limited or even exclusive to a single clearinghouse. In the majority of cases, transactions from Experian Health route directly to the requestedpayer.

When connectivity is limited or certain routes are unavailable, however, it is common to route traffic through another clearinghouse. Below is a list of potentially impacted payers. Our teams are actively evaluating and rerouting transactions when an alternative route is available and will provide an update to this list as soon as possible. BCBS-MA Blue Cross Blue Shield of Massachusetts Claims 13162 1199 National Benefit Fund 93044 A & I Benefit Plan Administrators 37283 AAG-American Administravie Group 72467 ACS Benefit Services Inc. © Experian Health, Inc. Experian Confidential Information Page 2 of 28 83077 Advantek Benefit Administrators CB159 Advisory Health Administrators 65093 Advocate Physician Partners CB637 Aegis Administrative Services 128CA Aetna Better Health of California 128FL Aetna Better Health of Florida 68024 Aetna Better Health of Illinois 128KS Aetna Better Health of Kansas 128KY Aetna Better Health of Kentucky 128LA Aetna Better Health of Louisiana 128MD Aetna Better Health of Maryland 128MI Aetna Better Health of Michigan 46320 Aetna Better Health of New Jersey 34734 Aetna Better Health of New York 50023 Aetna Better Health of Ohio 23228 Aetna Better Health of Pennsylvania 38692 Aetna Better Health of Texas (Medicaid & CHIP) 128VA Aetna Better Health of Virginia 128WV Aetna Better Health of West Virginia 26337 Aetna Better Health Premier Plan MMAI 45221 Aetna OhioRISE 13334 Affinity Health Plan 46594 AFFINITY MEDICAL GROUP 37280 AGA 20048 Agate Resources Inc. (LIPA) 64158 Agency Services Inc ARA01 AgeRight Advantage AWNY6 Agewell New York 95422 AIDS Healthcare Foundation 12K01 Alabama Medicaid 91136 Alaska Carpenters Trust 44423 Alexian Brothers Community Services of TN 13550 ALICARE AHCA1 Alignment Healthcare 26160 AllCare Advantage 58234 Alliant Health Plans of Georgia 50749 Allianz Global Assistance 37308 Allied Benefit Systems A0701 Alta Bates Medical Group RP016 Alterwood Advantage 13343 Amalgamated Life – PA / Alicare 75137 AmeriBen Solutions Inc. TH095 American Family Insurance 62030 American General © Experian Health, Inc. Experian Confidential Information Page 3 of 28 31135 American Health Advantage of Mississippi 31125 American Health Advantage of Oklahoma 31130 American Health Advantage of Tennessee 31155 American Health Advantage of Texas 1066 American Healthcare Alliance 74048 American National Ins. Co. (ANICO) 44444 American Postal Workers Union Health Plan 48055 American Progressive Life and Health Insurance Company 56195 American Trust Administrators Inc. 54763 AmeriHealth Administrators 77799 AmeriHealth Caritas Delaware 77003 AmeriHealth Caritas Florida 27357 Amerihealth Caritas Louisiana (LACare) 47073 AmeriHealth Caritas Next – A Product of AmeriHealth Caritas VIP Next, Inc. 45408 AmeriHealth Caritas Next A Product of AmeriHealth Caritas Florida, Inc. 83148 AmeriHealth Caritas Next North Carolina 81671 AmeriHealth Caritas North Carolina 84243 AmeriHealth Caritas Ohio 22248 AmeriHealth Caritas Pennsylvania 77062 AmeriHealth Caritas VIP Care 87406 AmeriHealth Caritas VIP Care – Delaware DSNP 77013 AmeriHealth Caritus VIP Care Plus (Michigan) 77002 Amerihealth District of Columbia 77001 AmeriHealth NorthEast 64090 AmFirst Insurance Company (payer only accepts Secondary claims) 24818 Amida Care 79966 Amida Care Medicare 37105 Amita Health Medical Care Group 34192 Antares Management Solutions 29370 Anthem Ohio Medicaid 34196 Apex Benefit Services 83112 Apex Health 11081 Arcadia Healthcare Solutions – IPG 36364 Arcadia Healthcare Solutions – NPA 39185 ARISE 61184 Arkansas Superior Select 6603 ASAGEHA AAMG1 Asian American Medical Group 46156 Aspire Health Plan 36483 Aspirus Medicare Advantage 75068 Assurant Health Self Funded 74240 Assured Benefits Administrators 84320 Astiva Health 87020 Atlantic Coast Life © Experian Health, Inc. Experian Confidential Information Page 4 of 28 AVA01 Avalon Administrative Services 46045 Avera Health Plans 87098 Avesis (Vision) 59274 AvMed Inc. 65101 AXA Assistance_USA 77005 Bakersfield Family Medical Group 12X42 Banner Health SX145 Banner Health AZ 84323 Banner Medicare Advantage Prime HMO 81079 BayCare Select Health Plans 63100 Behavioral Health Systems 99320 Benefit & Risk Management Services 48611 Benefit Management Inc. of KS 37212 Benefit Management Systems Inc 88052 Benefit Plan Administrators 39081 Benefit Plan Administrators Co. (Eau Claire WI) 38238 BeneSys, Inc. 95606 Berkshire Lehigh Partners 62183 Better Health Plans Inc. CB987 Black Hawk 3036 Blue Benefit Administrators of MA 12B54 Blue Cross Blue Shield of Alabama 77078 Blue Cross Blue Shield of Arizona Advantage SB580 Blue Cross Blue Shield of District of Columbia (Carefirst) 12000 Blue Cross Blue Shield of District of Columbia (Carefirst) SB971 Blue Cross Blue Shield of Hawaii (HMSA) SB690 Blue Cross Blue Shield of Maryland (Carefirst) 12011 Blue Cross Blue Shield of Maryland (Carefirst) 12B15 Blue Cross Blue Shield of Missouri (Blue Cross) BCSVT Blue Cross Blue Shield of Vermont BOONG Boon Administrative Services 22286 BritCay 35182 Brodart 51037 Brokerage Concepts 94316 Brown & Toland Medical Group BTHS1 Brown and Toland Health Services 42020 Buckeye Ohio Medicaid 42150 Butler Benefit 23708 C&O Employees Hospital Association CAIPA California IPA 71057 Cannon Cochran Management Services Inc. Metairie LA 95399 CAP Management Systems 12X03 Capital District Physicians Health Plan 95112 Capital Health Plan © Experian Health, Inc. Experian Confidential Information Page 5 of 28 68011 Capitol Administrators 12K89 Care Access Health Plan (CAHP) 77082 Care Improvement Plus 66010 Care N’ Care 57116 Care1st Health Plan of Arizona – Medicaid (DOS 1.1.21) 11752 ClaimsBridge HPN 85468 Clear Spring Heath 13285 Clover Health 51579 Coastal Communities Physician Network 42049 Cofinity – Group Resources 22284 Colonial Medical 88091 Commercial Travelers/PHX 14315 Commonwealth Care Alliance 14316 Commonwealth Care Alliance – Medicare Advantage 60995 Community Care Inc. – Family Care (Wisconsin) © Experian Health, Inc. Experian Confidential Information Page 6 of 28 73143 Community Care Managed Health Care Plans of Oklahoma 35193 Community Health Alliance 48145 Community Health Choice 75261 Community Health Electronic Claims/CHEC/webTPA 37322 Companion Life 37363 Compsych 6105 ConnectiCare Inc 75284 Consolidated Associates Railroad 87843 Consolidated Health Plans 45321 Consumers Choice Health SC 99433 Contessa Health 46478 Continuum (formerly Marrick WRx) 55544 Conversion Plan-APWU THCP9 Cook Children STAR Plan 58231 Core Administrative Services 43160 Corizon Inc. 35202 Cornerstone Benefit Adminstrators CB268 Cornerstone Preferred Resources CMSP1 County Services Medical Program 58102 Covenant Administrators, Inc. 64068 Creative Medical Systems CC304 Curaechoice 38261 Dell Children’s Health Plan (DCHP) 63740 DentaQuest Vision 84133 Denver Health and Hospital Authority DESRT Desert Medical Group 44006 Desert Oasis Healthcare 27133 Dignity Health MSO 12001 District of Columbia Medicaid 6102 Diversified Administration Corporation 74284 Driscoll Children’s Health Plan 35186 Dunn and Associates Benefits Administrators Inc. TH084 Early Intervention Central 66122 Eastland Medical Group 31074 EBMC 31625 ElderPlan Inc. 4326 Element Care Inc. EMP01 Empire Physician’s Medical Group 42149 Employee Benefit Systems 35112 Employee Plans LLC 20818 Essence Healthcare RP037 Eternal Health 35605 Everence I & P 32052 Everpointe © Experian Health, Inc. Experian Confidential Information Page 7 of 28 62160 eviCore 59313 Evolutions Healthcare Systems (New Port Richey FL) 22344 Exceedent LLC 12B38 Excellus – BCBS Utica Watertown 12B40 Excellus – Blue Cross Blue Shield Rochester Area 71412 ExclusiCare 22254 Fallon Community Health Plan 88055 First Agency FCC01 First Carolina Care 91131 First Choice Health Administrators 57103 First Choice Next (SC) 32456 First Choice VIP Care (SC – DSNP) 77009 First Choice VIP Care Plus by Select Health of South Carolina 59322 Florida Health Care Plan 48116 Florida Hospital Waterman 48117 FMH Benefit Services Inc. 64069 Fox-Everett Inc. 99660 Fresno PACE 34171 FrontPath Health Coalition 25169 Gateway Health Plan Medicaid PA 75273 Geisinger Health Plan 31140 Georgia Health Advantage 7205 Gilsbar Inc. 7689 Global Care Inc. GEM01 Global Excel Management GHOKC Global Health GMICC Global Medical Management 47083 GMS Inc. 76923 Good Shephard Hospice Inc. 45235 Government Employees Health Association (Multiplan) GRV01 Gravie Inc. 36338 Group Administrators Ltd. CB951 Group Benefit Services Inc. 39167 Group Health Cooperative of South Central Wisconsin 64246 Guardian Life Insurance Company of America 47738 Hamaspik Choice 59143 Harrington Health Non-EPO 62061 Harrington Health-Kansas (formerly known as Fiserv Health-Kansas) 4245 Harvard Community Health Plan 4271 Harvard Pilgrim 12K62 Hawaii Medicaid 62180 Health Change Pathway 62179 Health Choice Arizona 46221 Health Choice Insurance Co © Experian Health, Inc. Experian Confidential Information Page 8 of 28 62111 Health Cost Solutions 34158 Health Design Plus (Hudson OH) RP039 Health First Health Plans TH049 Health Management Administrators (HMA) 4286 Health New England SX030 Health Options Inc (FL – BCBS HMO) 80142 Health Partners of Philadelphia 20270 Health Payment Systems Inc. 83253 Health Plan of Michigan 68035 Health Plan of San Joaquin 44273 Health Plans Inc. 37290 Health Services for Children with Special Needs HCH01 Healthcare Highways 56731 Healthcare Resources NW 73147 Healthcare Solutions Group 71064 HealthChoice Oklahoma 85729 Healthcomp Inc. 56144 Healthgram Inc. 55204 Healthnow Division 94267 Healthpartners 59140 HealthPlan Services 75237 Healthsmart Accel 37272 HealthSmart Benefit Solutions 87815 HealthSmart Benefit Solutions fka Wells Fargo TPA.Inc. 75250 HealthSmart Preferred Care Inc. 60058 Hennepin Health 30862 Heritage Victor Valley Medical Group 95393 High Desert Medical Group 95461 Highmark Senior Solutions (WV) 46 Hill Physicians Medical Group HPIPA Hispanic Physicians IPA (Encounters Only) 12T11 HMA – Health Management Admin 86066 HMA Hawaii 75318 HMC HealthWorks aka Health Management Co 84555 HMO Louisiana Inc 91164 HMSO-Highline Medical Service Organization HLSTA Holista (Novant Health Direct to Employer) 88023 Hometown Health Plan Nevada 37224 HSBS Memphis 37256 HSBS Oklahoma City 31172 HSBS World Trade Center Health Program 37137 HSHS Medical Group IPA 61103 Humana Ohio Medicaid 94154 Humboldt-Del Norte Foundation for Medical Care © Experian Health, Inc. Experian Confidential Information Page 9 of 28 54750 Huron PACE 37279 IAA 19028 IBM Business Transformation Outsourcing Insurance Services Corporate 26054 iCare Health Solutions 97661 IEC Group – AmeriBen 41600 I’Mcare 40585 INDECS Corporation TA720 Independence Administrators MHM01 Independence Medical Group 12X01 Independent Health SX073 Independent Health INDPM Independent Physicians at Mercy 12X75 Indian Health Services SX171 Indian Health Services 35600 Indiana Childrens Special Health Care Services 35107 Indiana Teamsters Health Benefits Fund (Indianapolis IN) 95444 Indiana University Health Plan 26212 Indiana University Health Plan (Commercial) 30360 Individual Assurance Company 31053 Individual Health Insurance Companies 43471 Inetico Inc. 52196 Informed LLC 38343 Ingham Health Plan Corporation 31182 InnovAge TH012 Insurance Services of Lubbock 39182 InsuranceTPA.com 86304 Insurers Administrative Corp. 51020 Integra Administrative Group (Seaford DE) 31127 Integra Group 20050 Integrated Medical Solutions LLC 23287 Intergroup Services Corporation 93116 Interlink 11329 International Benefit Administrator RP075 Iowa Health Advantage 47262 IU Health Transplant Evaluation Program JLSFE JLS Family Enterprises 38310 JOHN MORRELL COMPANY CO. – AHPBA 68036 John Muir Mt. Diablo Health System 66003 Johns Hopkins Health Advantage 52189 Johns Hopkins Healthcare (EHP/PP) 52123 Johns Hopkins Healthcare (USFHP) 43178 Joplin Claims / Benefit Management Inc 34136 JP Farley Corporation 91617 Kaiser Foundation Health Plan of Colorado © Experian Health, Inc. Experian Confidential Information Page 10 of 28 94123 Kaiser Foundation Health Plan of Hawaii 94135 Kaiser Foundation Health Plan of Northern CA Region 52095 Kaiser Foundation Health Plan of the Mid-Atlantic States Inc. 21313 Kaiser Permanente of Georgia 94320 Kaiser Self Funded 40137 Kalos Heath KCIPA Kane County BCBS 71066 Kansas Superior Select 95279 Keenan Associates (CA) 73100 Kempton Company 77039 Kern Health Systems 37217 Key Benefit Administrators (Indianapolis IN) 37321 Key Select 37323 Key Solution 23284 Keystone First 42344 Keystone First Community HealthChoices 77741 Keystone First VIP Choice 34145 Klais & Company KPS01 KPS-Kitsap Physician Services 72107 LA Blue Advantage Louisiana LACAR LA Care Health Plan 37116 Lake County Physicians Association 66125 Lakeside Medical Group LNDMK Landmark Healthcare Inc 52193 LBA Health Plans 37316 Leon Medical Center Health Plan LIB01 Liberty Advantage Health Plan (HMO SNP) 87071 Liberty Health Advantage 37281 Liberty Union 25181 LIFE Pittsburgh 41136 Life Trac 71498 LifeCircles PACE 76870 LifePath Hospice Inc LWA01 Lifeworks Advantage CB752 Lockard & Williams 37267 Loma Linda University Adventist Health Sciences Center Employee Health Plan 33036 Loma Linda University Healthcare SKLA2 Louisiana Medicaid – Ambulance claims 37175 Loyola Physician Partners 88056 Lucent Health Solutions 82694 Lucentis Copay Program 35183 Luminare Health (CoreSource OH) 35187 Luminare Health Internal (CoreSource-Internal) © Experian Health, Inc. Experian Confidential Information Page 11 of 28 75136 Luminare Health Little Rock (CoreSource Little Rock) 36334 MacNeal Health Providers- CHS 56139 Maestro Health Plan MCC01 Magellan Complete Care of Arizona MCC02 Magellan Complete Care of Virginia 1260 Magellan Health Services 11303 Magnacare 45341 Maine Community Health Options 35162 Managed Care Services LLC 52461 March Vision Care Inc. 53275 MARTINS POINT HEALTH CARE 83269 Mary Washington Health Plan 37121 Mashantucket Pequot Tribal Nation 86220 Mass Advantage 12T52 Masters Mates and Pilots Program TH111 Masters Mates and Pilots Program 88090 Mayo Clinic FL/GA 83028 MBA Benefit Administrators Inc (Salt Lake UT) 25160 MCA ADMINISTRATORS 88058 MED PAY 74323 MedBen (Newark OH) 56821 Medcost Benefit Services Bundled Billing 78857 Medica HealthCare Plan of Florida MAHC1 MEDICAL ASSOCIATES HEALTH PLAN L0170 Medical Card System ( MCS ) 62177 Medical Reimbursements of America L0210 Medicare y Mucho Mas ( MMM ) 95655 MediGold 35205 MedPartners Administrative Services RP062 Medstar Family Choice, Inc (DC) RP063 Medstar Family Choice, Inc (MD) 37050 Mental Health Consultants Inc. 86087 Merchants Benefit Administration 86052 Mercy Care Plan (AHCCCS) 33628 Mercy Maricopa Integrated Care 41124 Meritain Health Minneapolis 13265 MetroPlus Health Plan 23550 MFC & HealthPlus Peoria 47080 Midlands Choice Inc. 76079 Midwest Health Partners SKMS0 Mississippi Medicaid 12K17 Mississippi Medicaid SKMS1 Mississippi Medicaid 12K18 Mississippi Medicaid © Experian Health, Inc. Experian Confidential Information Page 12 of 28 64084 Mississippi Physicians Care Network 37233 Mississippi Public Entity Employee Benefit Trust MMS01 Missouri Medicare Select 13350 Moda Health 12X09 Molina Healthcare 38333 Molina Healthcare of California 51062 Molina Healthcare of Florida 61799 Molina Healthcare of Idaho 20934 Molina Healthcare of Illinois 38334 Molina Healthcare of Michigan 77010 Molina Healthcare of Mississippi MLNNV Molina Healthcare of Nevada 9824 Molina Healthcare of New Mexico – Salud 20149 Molina Healthcare of Ohio 46299 Molina Healthcare of South Carolina SX109 Molina Healthcare of Utah (aka American Family Care) 38336 Molina Healthcare of Washington ABRI1 Molina Healthcare of Wisconsin 73160 Molina Ohio Medicaid 7316V Molina Ohio Medicaid Vision 12M77 Montana Medicare 13174 Montefiore Contract Management Organization TLINS Monumental Life Insurance Company (AR) TRCLF Monumental Life Insurance Company (IA) TRP1E Monumental Life Insurance Company (IA, MD, PA) TRLTC Monumental Life Insurance Company (TX) SB941 Mountain State Blue Cross Blue Shield of West Virginia 20572 MSA Care Guard 80019 MSC (Medical Service Company) Group, Inc. RP036 Multicare Connected Care (MCC) 34080 Multiplan Wisconsin Preferred Provider Network 81883 Municipal Health Benefit Fund 27004 My Choice Wisconsin 65085 NAA (North America Administrators L.P.) (Nashville TN) 53011 NALC/Affordable 58182 NAPHCARE INC. ASHC1 National General 52104 National Telecommunications Cooperative Association (NTCA – Staff) 52103 National Telecommunications Cooperative Association (NTCA) SKNE0 Nebraska Medicaid 12K19 Nebraska Medicaid 12M19 Nebraska Medicare 96107 Neighborhood Health Partnership (NHP) 5047 Neighborhood Health Plan Rhode Island © Experian Health, Inc. Experian Confidential Information Page 13 of 28 96240 Neighborhood Health Plan Rhode Island – Exchange, Unity, Integrity 66055 Netcare Life and Health Insurance (Hagatna Guam) 77076 Network Health Insurance Corp-Medicare 39144 Network Health Plan of Wisconsin Inc. 95998 NEW AVENUES INC. NCH11 New Century Health – IEHP Oncology NCH09 New Century Health – Vista Cardiology 75281 New Era Life Insurance Company 12K90 New Hampshire Medicaid 12K22 New Mexico Medicaid 7707C New York Hotel Fund 81085 Next Level Health Partners 38225 NGS American Inc 88050 NHBCAUX NHC01 NHC Advantage 81264 Nippon Life Insurance Company of America 36347 Northern Illinois Health Plan 88027 Northern Nevada Trust Fund OSCAR Novanet 71080 Novasys Health Network PHMD1 NP Providence Health Plan Commercial PHMD2 NP Providence Health Plan Medicare PHMD3 NP Providence Health Plan OHP PHMD4 NP Yamhill County CCO 37299 Nyhart 14142 NYS DOH UCP 36400 Oak West Physician Association 69879 OCRW Orange County Health Services Dept – Ryan White Program 34189 Ohio Health Choice PPO 74431 Ohio PPO Connect 71065 Oklahoma DRS DOC 65074 Olympus Managed Health Care 22321 One Call Medical 56190 OptiCare Managed Vision 96277 Optimed Health Plans 13382 Orthonet – Uniformed Services Family Health Plan OSFC9 OSF Healthcare Central OSFE9 OSF Healthcare East I & P 72436 PACE Central Iowa 86711 PACE Southeast Michigan 20416 PacificSource Community Solutions 93029 PacificSource Health Plans 20377 PacificSource Medicare 94115 Palo Alto Medical Foundation © Experian Health, Inc. Experian Confidential Information Page 14 of 28 4218 Pan American Life Insurance Group 52613 PARTNERS BEHAVIORAL HEALTH MANAGEMENT PARTH Partners In Health 66008 Passport Advantage 61325 Passport Health Plan by Molina Healthcare 20510 Patient Physician Cooperatives 27048 Payer Fusion 20172 Pennsylvania Pace 72126 Peoples Health Network 72099 PHCS Claims (formerly American LIFECARE) PA513 Physician Associates of the Greater San Gabriel Valley 36345 Physicians Care Network (Rockford IL only) MHM03 Physicians Health Network 83276 Physicians Health Plan of Michigan Medicare PMGSC Physicians Medical Group of Santa Cruz County 47027 Physicians Mutual Insurance Company 91171 Physicians of Southwest Washington 55768 PIEDMONT COMMUNITY HEALTH PLAN 24735 Pinnacle Claims Management Inc. 84109 Pinnacol Assurance IP057 Pomona Valley Medical Group 95411 Positive Healthcare Florida (FL MCO PHC/PHP) 36373 Prairie States Enterprises Inc. 73145 Preferred Community Choice/PCCSelect/CompMed 14966 Preferred Health Partners CB404 Preferred Health Plan of the Carolinas 41147 PreferredOne (MN) 65054 Premier Eye Care 88051 Premier HealthCare Exchange, Inc. (PHX) 5003 Presbyterian (NM) 46311 Presence ERC 61604 Prime West Health Plan 37268 Prism Network Inc. 93082 Prominence Health Plan of Nevada 83352 Prominence Healthfirst SX133 Providence of Oregon Health Plan 77240 Providence PACE CA SX187 Providence PPO 48100 ProviDRs Care Network PH001 Pruitt Health Premier PSKW0 PSKW Physician Reimbursement Program 89461 Quality Care Partners CX077 Quality Plan Administrator, Inc 73067 QuikTrip © Experian Health, Inc. Experian Confidential Information Page 15 of 28 57117 QVI Risk Solutions Inc. 44219 Reading Hospital Employer Group 95449 Regal Medical Group SB611 Regence Blue Shield Idaho 12B88 Regence Blue Shield Idaho 38221 Regency Employee Benefits 79846 Reliance Community Care Partners 36396 Resurrection Healthcare Preferred 74205 Right Care from Scott & White RIOS1 RIOS SOUTHWEST MEDICAL GROUP RCMG1 RIVER CITY MEDICAL GROUP 45281 Riverside Health Inc. RMC01 Riverside Medical Clinic 5178 Riverspring Health Plans (ElderServe) AMM03 Ryan White Network 88029 SAINT MARY’S HEALTH PLAN CP001 Samaritan Health Plans 96400 San Diego PACE 91184 Sanford Health Plan RP035 Sanford Health Plan Medicare Advantage 24077 SANTA CLARA FAMILY HEALTH PLAN SNTMC Sante Community Physicians Medical Group Corp 77038 Sante Health System and Affiliates 72261 SCAN Health Plan 73172 Scan Health Plan Arizona TH002 Scott & White Health Plan 12T05 Scott & White Health Plan 10010 Sedgwick Managed Care Ohio (formerly Careworks) 15243 Sedwick Managed Care Ohio (formerly CompManagement) 93031 Select Benefit Administrators Inc. 37282 Select Benefit Administrators of America 23285 Select Health of South Carolina 61225 SelectCare of Texas (Kelsey-Seybold) 36404 Self Insured Plans (Naples FL) 34131 Self-Funded Plans Inc. 52214 Selman Tricare Supp SWHMA Senior Whole Health Massachusetts 23249 Sentinel Management Services SMG01 Seoul Medical Group 25404 Seven Corners 30891 Sierra Medical Group 23250 Significa Benefits Services Inc. SIM02 Simpra Advantage Inc. (DOS > 12/31/2022) SKSD0 South Dakota Medicaid © Experian Health, Inc. Experian Confidential Information Page 16 of 28 SMSD0 South Dakota Medicare 23253 Spectrum Administrators Inc. – TPA Allentown PA (IHS Gateway Payer) 73099 Standard Life and Accident (Secondary claims only) 46407 Stanford Healthcare Advantage 61425 Starmark TRP1P Stonebridge Life Insurance Company (TX) 95202 SummaCare Health Plan 37301 Summit America Insurance Services Inc. 77306 Sutter Connect – Solano Regional Medical Foundation (SRMF) 94269 Sutter East Bay Medical Foundation 77302 Sutter Gould Medical Foundation 77304 Sutter Medical Group of the Redwoods 56621 Sutter Senior Care TALMG Talbert Medical Group 88067 Tall Tree Administrators 43619 Teamsters Medicare Trust for Retired Employees 20212 Tethys Health Ventures TXCSM TEXAS CHILDRENS HEALTH 76048 Texas Children’s Health Plan 75228 Texas Childrens Health Plan (Medicaid) 31403 Texas Independence Health Plan 68423 The Care Network/The Savannah Business Group 75600 The City of Odessa 95677 The Health Plan 23223 The Loomis Company – TPA Wyomissing PA (IHS Gateway Payer) 59227 The MEGA Life & Health Insurance Company-OKC J1746 Thomas McGee THIPA Torrance Hospital IPA 37284 TransChoice-Key Benefit Administrators 31118 Tribute Health Plan SX176 Tricare for Life 12X43 Tricare for Life SX163 Tricare for Overseas 12X46 Tricare for Overseas 12C01 Tricare West 31144 TRIHEALTH PHYSICIAN SOLUTIONS 56089 Trillium Health Resources TRNPC Trinity Health Pace TRIN1 Trinity HealthShare 42137 TRISTAR Benefit Administrators L0230 TRUSTED HEALTH PLAN 91078 Trusteed Plans Service Corporation 94603 UC-Davis Health 74223 UICI Administrators © Experian Health, Inc. Experian Confidential Information Page 17 of 28 41206 Ultra Benefits Inc. 95266 UMR – Harrington 52180 UMWA Health & Retirement Funds 35198 Unified Group Services 62170 Unified Health Services RP064 Unified Life UPN99 Unified Physicians Network 87042 Union Pacific Railroad Employees Health Systems 38260 United Benefit Advisors 84132 United Medical Alliance 86003 UnitedHealthcare Community Plan / PA – formerly AmeriChoice Personal Care 25175 UnitedHealthcare Community Plan / SC (formerly Unison) 88337 UnitedHealthcare Ohio Medicaid 8357V UnitedHealthcare Ohio Medicaid Vision 95999 UnitedHealthcare West (formerly PacifiCare PPO – All States) 33001 Universal Care – California 9830 University Family Care 37601 University of Illinois at Chicago Div of Specialized Care for Children 45282 University of Maryland Health Advantage IP056 Upland Medical Group 37324 Upper Peninsula Health Group (TPA) 38337 Upper Peninsula Health Plan (Medicaid) 93092 US Benefits 12X31 US Department of Labor 90551 US Family Health Plan 74095 USAA (United Services Automobile Association) 13407 USFHP – St. Vincent Catholic Medical Centers of New York 12K42 Utah Medicaid SKUT0 Utah Medicaid 12115 VA Fee Basis Programs 43259 Valor Health Plan 77701 Vantage Health Plan 50701 VGM Homelink VVIPA Victor Valley IPA 25924 VieCare Life and Beaver and Life Lawrence Counties 25923 VieCare LIFE Butler 73743 Village Family Practice VLGMD Village MD 26545 VillageCareMAX 12003 Virginia Medicaid 12004 Virginia Medicare 63114 Viva Health Plan 31626 VNA Homecare Options 85256 Wabash Memorial Hospital Association © Experian Health, Inc. Experian Confidential Information Page 18 of 28 SX063 Washington State Dept of Labor and Industry 73155 Waterstone Benefit Administrators (Oklahoma Providers) 36337 Weiss Health Providers 35245 WellSystems LLC 80942 West Suburban Health Providers 12K28 West Virginia Medicaid SMWV0 West Virginia Medicare 68039 Western Health Advantage 77225 Western Health Advantage 31048 Western Southern Financial Group (Cincinnati OH) 12K29 Wisconsin Medicaid 13413 Women’s Integrated Network Inc. (WIN Fertility) SX022 WPS Commercial 12X29 WPS Commercial 60646 Yale University Heath Plan 83248 Zing Choice IL (HMO) Claim Status AARP AARP AETNA-BH-CA Aetna Better Health (CA) AETNA-BH-FL Aetna Better Health (FL) AETNA-BETTER-HEALTH-IL Aetna Better Health (IL) AETNA-BH-KS Aetna Better Health (KS) AETNA-BETTER-HEALTH-KY Aetna Better Health (KY) AETNA-BETTER-HEALTH-LA Aetna Better Health (LA) AETNA-BH-MD Aetna Better Health (MD) AETNA-BETTER-HEALTH-MI Aetna Better Health (MI) AETNA-BETTERHEALTH-NJ Aetna Better Health (NJ) AETNA-BETTER-HEALTH-OH Aetna Better Health (OH) AETNA-BETTER-HEALTH-PA Aetna Better Health (PA) AETNA-BETTER-HEALTH-TX Aetna Better Health (TX) AETNA-BETTER-HEALTH-VA Aetna Better Health (VA) AETNA-LONG-TERM Aetna Long Term Care AETNA-SENIOR-SUPP Aetna Senior Supplemental AFLAC AFLAC AFLAC-MCARE-SUPP AFLAC Medicare Supplement ALL-SAVERS-BATCH All Savers ALLIED-BENEFIT-BATCH Allied Benefit Systems HEALTHLINK-PPO-AMERIBEN-BATCH AmeriBen AMERICAN-GENERAL American General Life and Accident © Experian Health, Inc. Experian Confidential Information Page 19 of 28 AMERICAN-NATL-INS-CO American National Insurance Company AMERICAN-NATL-LIFE-TX American National Insurance Company of Texas AM-POSTAL-WKRS-UNION American Postal Workers Union AMERICAN-RET-LIFE-MCARESUPP American Retirement Life Ins Co Medicare Supplement AMERITAS-LIFE Ameritas Life Insurance Company BANKERS-FIDELITY-LIFE Bankers Fidelity Life Insurance Company BANNER-ADV-PRIME Banner Medicare Advantage Prime HMO BAYCARE-SELECT BayCare Select Health Plans Inc. BEST-LIFE-HEALTH Best Life and Health CARE-N-CARE Care N Care Insurance Company CARE1ST-HP-AZ Care1st Health Plan Arizona CAREFIRST-BCBS-BATCH CareFirst BCBS CENTRAL-STATES Central States Fund CHAMPVA CHAMPVA CHRISTIAN-BROTHERS Christian Brothers Services CHRISTUS-HP CHRISTUS Health Plan HEALTHSPRING Cigna-HealthSpring CSH-IL Clear Spring Health of Illinois COLORADO-ACCESS Colorado Access COMM-CARE-OK-BATCH Community Care of Oklahoma COUNTYCARE CountyCare CULINARY-HEALTH-FUND Culinary Health Fund UNITE HERE Health DIVERSIFIED-ADM-CORP Diversified Administration Corporation ELDERPLAN Elderplan ESSENCE-HC Essence Healthcare FARM-BUREAU Farm Bureau Health Plans GLOBE-LIFE-ACCIDENT Globe Life and Accident Insurance Company FIRST-UNITED-AMER Globe Life Insurance Company of New York GOLDEN-RULE Golden Rule GREAT-AMERICAN-INSURANCEMCARESUPP Great American Life Ins Co Medicare Supplement RECALL-GROUP-PENSION Group and Pension HEALTH-CHOICE-AZ Health Choice Arizona HEALTH-PARTNERS-PHILADELPHIA Health Partners Plans HEALTH-SVC-CHILDREN-SPEC-NEEDS Health Services for Children with Special Needs HEALTHCOMP HealthComp Administrators HEALTHGRAM Healthgram HEALTH_SMART-BATCH HealthSmart KEY-BENEFIT-ADMIN-BATCH Key Benefit Administrators LOCAL-1199 Local 1199 LOYAL-AMERICAN-MCARESUPP Loyal American Life Ins Co Medicare Supplement MAGNACARE MagnaCare MANAGED-HEALTH-NETWORK Managed Health Network MEDBEN MedBen (Newark OH) © Experian Health, Inc. 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PREFERRED-CARE-PARTNERS Preferred Care Partners PROVIDENCE-HP Providence Health Plan SANTA-CLARA Santa Clara Family Health Plan SELECT-ADMIN-SVCS Select Administrative Services SELMAN Selman and Company STANDARD-LIFE Standard Life and Accident Insurance Company TX-CHILDRENS-HP Texas Childrens Health Plan TRANSAMERICA-FIN-LIFE Transamerica Financial Life Insurance © Experian Health, Inc. 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Experian Confidential Information Page 23 of 28 CSH-IL Clear Spring Health of Illinois CAREPOINT-MEDICARE-ADVANTAGE Clover Health CMFG-LIFE-INSURANCE CMFG Life Insurance COLONIAL-PENN Colonial Penn COLORADO-ACCESS Colorado Access COMMUNITY-HEALTH-OPTIONS-WC Community Health Options COMPSYCH Compsych Corporation IBM-INS-OUTSOURCING Concentrix Insurance Solutions CONSOLIDATED-ASSOC-RR Consolidated Associates Railroad CONSUMERS-LIFE Consumers Life CONTINENTAL-GEN-MCARESUPP Continental General Ins Co Medicare Supplement COUNTYCARE CountyCare COX-HP Cox Health Plans CULINARY-HEALTH-FUND Culinary Health Fund UNITE HERE Health DELTA-DENTAL-CA Delta Dental of California DD-FL Delta Dental of Florida DD-GA Delta Dental of Georgia DD-MO Delta Dental of Missouri DDOFNY Delta Dental of New York DD-NC Delta Dental of North Carolina DD-OK Delta Dental of Oklahoma DD-SC Delta Dental of South Carolina DIVERSIFIED-ADM-CORP Diversified Administration Corporation DRISCOLL-HP Driscoll Health Plan EDUCATORS-MUTUAL Educators Mutual Insurance Association ELDERPLAN Elderplan EMBLEM-HEALTH-BATCH Emblem Health EMPOWER Empower Healthcare Solutions ESSENCE-HC Essence Healthcare EVERENCE-FINANCIAL Everence Financial FALLON Fallon Community Health Plan FARM-BUREAU Farm Bureau Health Plans FIDELITY-SECURITY-LIFE Fidelity Security Life Insurance Company FIRST-AMERITAS-NY First Ameritas of New York FIRSTCHOICE-HEALTH-BATCH First Choice Health FIRST-MEDICAL-NETWORK First Medical Network FIRSTCAROLINACARE FirstCarolinaCare Insurance Company FOOD-BAKERY-FUND-SOCAL Food Bakery Confection Workers Fund of So Cal GATEWAY-HEALTH-PLAN-BATCH Gateway Health Plan GLOBAL-HEALTH Global Health GLOBAL-ADV Global Health Medicare Advantage GLOBE-LIFE-ACCIDENT Globe Life and Accident Insurance Company FIRST-UNITED-AMER Globe Life Insurance Company of New York GOLDEN-RULE Golden Rule © Experian Health, Inc. 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[00:01:15] Change in healthcare industry.

[00:04:42] Cybersecurity breach at Change.

[00:08:55] Cash flow challenges for healthcare groups.

[00:13:37] Major issues in healthcare cybersecurity.

[00:16:28] Hackers demanding ransom for data.

[00:20:45] Cybersecurity threats in healthcare.

[00:24:40] Healthcare system vulnerabilities.

[00:29:53] Lack of transparency in communication.

For more insights and takeaways, visit http://www.leadersinmedicalbilling.com. This episode is sponsored by 4D Global, empowering medical billing companies to grow through offshore staffing. Visit them at http://www.4DGlobalInc.com