Hometown Health October 2, 2013

State Health Network – SHBP Blue Open Access POS 17,674 Physicians 182 Hospitals BlueCard® PPO Traveling benefits outside of Georgia

Hometown Health hospitals participate in Blue Open Access POS All Blue Open Access POS reimbursement arrangements were negotiated prior to the SHBP award. Rates have not changed. All contracts are evergreen. Today, BCBSGa represents on average less than 5% of Hometown Health hospitals’ total patient revenue. Hometown Health in Blue Open Access POS

State Health Network – SHBP. In Georgia Blue Open Access POS (reimbursement) No PCP required No referrals required Out-of-network benefits Outside of Georgia BlueCard PPO for traveling benefits

SHBP Network Communication Plan Being in the know. Customized communication introducing SHBP programs and resources Bi-monthly Network Bulletins will have a special section dedicated to SHBP news eBlasts as needed to deepen provider awareness of SHBP specifics Provider pages at bcbsga.com with dedicated SHBP real estate Webinars in November for providers to learn even more Outreach as needed with providers Dedicated provider resources

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SHBP Member ID card Network in GA: this is the reimbursement you can expect PPO “suitcase” for traveling benefits

SHBP Precertification Details Additional services requiring pre- certification for SHBP members include, but are not limited to: Outpatient MH/SA (13 visits and over provided by out of network providers) Nutritional / Enteral Therapy Home Health Care Home Infusion Ankle Arthroplasty and Bi-Compartmental Knee Arthroplasty Dental Services due to accident

1300+ health plans in one place 20+ Blue Cross and Blue Shield plans, commercial payers and more File claims, check eligibility, review clinical history, process payments and more Accessible 24/7 from any computer with Internet access Real-time information exchange means highest accuracy of information from health plans Simple to use. Consistent look and feel Expert client service representatives and free training Use with your existing practice management system No-cost and premium solutions fit every practice. Ease of doing business availity.com Multiple payers. One website. One Login.

Interactive Care Reviewer (ICR) Utilizing cutting edge IBM Watson™ Technology Self - Service Provider Web tool Initiates precertification requests online more efficiently and more conveniently Allows providers to request outpatient procedures for SHBP members

SHBP Contact Information Dedicated Provider Customer Service: Phone: Claims or correspondence should be mailed to: Blue Cross and Blue Shield of Georgia P.O. Box Atlanta, GA We appreciate your service to our members, your patients..

Questions

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& Provider Engagement & Contracting Locations

HospitalContractorContact address Network Management ConsultantContact address Appling HospitalNicole Early(404) Chatman(404) Archbold Memorial Hospital Debra Gee(706) Key(229) Berrien County HospitalDebra Gee(706) Key(229) Bleckley Memorial Hospital Joseph Jay(706) Key(229) Brooks County HospitalDebra Gee(706) Key(229) Burke Medical CenterDebra Smalley(706) Hullum(706) Charlton Memorial Hospital Cheryl Holyfield(404) Chatman(404) Chatuge Regional Hospital & Nursing Home Christy Cunningham(770) Mason(770) Chestatee Regional Hospital Christy Cunningham(770) Mason(770) Clearview Regional Medical Center Debra Smalley(706) Hullum(706) Clinch Memorial Hospital Debra Gee(706) Key(229) Crisp Regional HospitalDebra Gee(706) Key(229) Doctor's Hospital of Tattnall Nicole Early(404) Chatman(404) Dodge County HospitalJoseph Jay(706) Key(229) Hometown Health Provider Relations

HospitalContractorContact address Network Management ConsultantContact address East Georgia Regional Medical Center Debra Smalley(404) Hullum(706) Effingham HospitalNicole Early(404) Chatman(404) Elbert Memorial Hospital Debra Smalley(706) Hullum(706) Emanuel Medical Center Debra Smalley(706) Hullum(706) Evans Memorial Hospital Nicole Early(404) Chatman(404) Fairview Park HospitalDave Chastain(404) O'Connor(706) Flint River HospitalDaniel Steines(706) Mendoza(706) m Good SamaritanChristy Cunningham(770) Ward(706) Grady General HospitalDebra Gee(706) Key(229) Habersham Medical Cener Christy Cunningham(770) Mason(770) Higgins General Hospital Cheryl Holyfield(404) Hrydziusko(404) Irwin County HospitalDebra Gee(706) Key(229) Jeff Davis HospitalCheryl Holyfield(404) Chatman(404) Jefferson HospitalDebra Smalley(706) Hullum(706) Hometown Health Provider Relations

HospitalContractorContact address Network Management ConsultantContact address Liberty Regional Medical Center Cheryl Holyfield(404) Chatman(404) t.com Louis Smith Memorial Hospital Debra Gee(706) Key(229) Lower Oconee Community Hospital Joseph Jay(706) Thompson(706) com Medical Center of Peach County Melanie Williams(404) om Angie Thompson(706) com Miller County HospitalDebra Gee(706) Key(229) Mitchell County HospitalDebra Gee(706) Key(229) Monroe County HospitalMelanie Williams(404) om Angie Thompson(706) com Morgan Memorial Hospital Debra Smalley(706) Hullum(706) Mountain Lakes Medical Center Christy Cunningham (770) Mason(770) Murray Medical CenterAngie Howard(404) O'Connor(706) North Georgia Medical Center Christy Cunningham (770) Mason(770) Northridge Medical Center Debra Smalley(706) Hullum(706) Optim Medical Center Jenkins Nicole Early(404) Chatman(404) t.com Pioneer - Early Memorial Hospital Debra Gee(706) Key(229) Hometown Health Provider Relations

HospitalContractorContact address Network Management ConsultantContact address Putnam General Hospital Melanie Williams(404) m Toni Key(229) Screven County Hospital Nicole Early(404) Chatman(404) nt.com Smith Northview Hospital Debra Gee(706) Key(229) Taylor Regional Hospital Melanie Williams(404) m Angie Thompson(706) nt.com Ty Cobb Regional Medical Christy Cunningham(770) Ward(706) m Union General HospitalChristy Cunningham(770) Mason(770) Upson Regional Medical Center Daniel Steines(706) Mendoza(478) om Warm Springs Medical Center Daniel Steines(706) Mendoza(478) om Washington County Regional Medical Center Debra Smalley(706) Hullum(706) Wills Memorial HospitalDebra Smalley(706) Hullum(706) Hometown Health Provider Relations