www.adventhealth.com Open in urlscan Pro
2606:4700::6811:7639  Public Scan

Submitted URL: http://redmondfamilycare.com/
Effective URL: https://www.adventhealth.com/find-a-location?facility=&name=adventhealth+medical+group&geolocation_geocoder_google_geocoding_...
Submission: On August 08 via manual from US — Scanned from US

Form analysis 6 forms found in the DOM

GET /search

<form role="search" action="/search" method="get" id="views-exposed-form-ahs-search-exposed-form--hhyshr2BFwE" accept-charset="UTF-8" novalidate="">
  <div class="search-form__item ui-front js-form-item form-item js-form-type-search-api-autocomplete form-item-query js-form-item-query form-no-label">
    <div class="form-item__inner">
      <label for="edit-query-e8df8998cd26cd169429de39a4ed5326" class="search-form__label" data-close-text="Close" data-open-text="Search" title="Enter the terms you wish to search for."> Search </label>
      <span class="icon--search" role="presentation" aria-hidden="true" focusable="false"></span>
      <input data-drupal-selector="edit-query-e8df8998cd26cd169429de39a4ed5326" aria-describedby="edit-query-e8df8998cd26cd169429de39a4ed5326--description" data-search-api-autocomplete-search="ahs_search"
        class="form-autocomplete search-form__input form-text ui-autocomplete-input" data-autocomplete-path="/search_api_autocomplete/ahs_search?display=exposed_form&amp;&amp;filter=query" aria-autocomplete="list" placeholder="Search"
        title="Enter the terms you wish to search for." type="text" id="edit-query-e8df8998cd26cd169429de39a4ed5326" name="query" value="" size="30" maxlength="128" data-once="autocomplete ahsAutocompleteAttach ahsAutocompleteOnFocus"
        autocomplete="off">
      <div id="edit-query-e8df8998cd26cd169429de39a4ed5326--description" class="description visually-hidden"> Search </div>
    </div>
    <ul id="ui-id-1" tabindex="0" class="ui-menu ui-widget ui-widget-content ui-autocomplete ui-front search-api-autocomplete-search" unselectable="on" style="display: none;"></ul>
  </div>
  <input data-drupal-selector="edit-cat" type="hidden" name="cat" value="global">
  <div data-drupal-selector="edit-e8df8998cd26cd169429de39a4ed5326" class="form-actions js-form-wrapper form-wrapper" id="edit-e8df8998cd26cd169429de39a4ed5326"><input data-views-ajax-submit-disabled=""
      class="ahs-views-action-submit ahs-views-submit button search-form__submit js-form-submit form-submit" data-drupal-selector="edit-submit-ahs-search-e8df8998cd26cd169429de39a4ed5326" type="submit"
      id="edit-submit-ahs-search-e8df8998cd26cd169429de39a4ed5326" value="Search">
  </div>
</form>

GET /search

<form role="search" action="/search" method="get" id="views-exposed-form-ahs-search-exposed-form--I-mhb-OaZHo" accept-charset="UTF-8" novalidate="">
  <div class="search-form__item ui-front js-form-item form-item js-form-type-search-api-autocomplete form-item-query js-form-item-query form-no-label">
    <div class="form-item__inner">
      <label for="edit-query-df5602159444af05e3fe226016619244" class="search-form__label" data-close-text="Close" data-open-text="Search" title="Enter the terms you wish to search for."> Search </label>
      <span class="icon--search" role="presentation" aria-hidden="true" focusable="false"></span>
      <input data-drupal-selector="edit-query-df5602159444af05e3fe226016619244" aria-describedby="edit-query-df5602159444af05e3fe226016619244--description" data-search-api-autocomplete-search="ahs_search"
        class="form-autocomplete search-form__input form-text ui-autocomplete-input" data-autocomplete-path="/search_api_autocomplete/ahs_search?display=exposed_form&amp;&amp;filter=query" aria-autocomplete="list" placeholder="Search"
        title="Enter the terms you wish to search for." type="text" id="edit-query-df5602159444af05e3fe226016619244" name="query" value="" size="30" maxlength="128" data-once="autocomplete ahsAutocompleteAttach ahsAutocompleteOnFocus"
        autocomplete="off">
      <div id="edit-query-df5602159444af05e3fe226016619244--description" class="description visually-hidden"> Search </div>
    </div>
    <ul id="ui-id-2" tabindex="0" class="ui-menu ui-widget ui-widget-content ui-autocomplete ui-front search-api-autocomplete-search" unselectable="on" style="display: none;"></ul>
  </div>
  <input data-drupal-selector="edit-cat" type="hidden" name="cat" value="global">
  <div data-drupal-selector="edit-df5602159444af05e3fe226016619244" class="form-actions js-form-wrapper form-wrapper" id="edit-df5602159444af05e3fe226016619244"><input data-views-ajax-submit-disabled=""
      class="ahs-views-action-submit ahs-views-submit button search-form__submit js-form-submit form-submit" data-drupal-selector="edit-submit-ahs-search-2-df5602159444af05e3fe226016619244" type="submit"
      id="edit-submit-ahs-search--2-df5602159444af05e3fe226016619244" value="Search">
  </div>
</form>

GET /find-doctors

<form class="views-exposed-form bef-exposed-form ahs-physician-search-wizard-form find-doctors-form__inner" data-jquery-validation="" data-drupal-selector="views-exposed-form-ahs-physician-search-global-exposed-form-nklo-yhnxv8"
  action="/find-doctors" method="get" id="views-exposed-form-ahs-physician-search-global-exposed-form--NKlo-YhNXV8" accept-charset="UTF-8" novalidate="novalidate" data-once="ahs-theme--onload-search-form AhsJsJqueryValidate">
  <div class="find-doctors-form__item ui-front js-form-item form-item js-form-type-search form-item-search js-form-item-search form-no-label">
    <div class="form-item__inner">
      <label for="edit-search-918e942e18dfa8531397c2426df0c843" class="find-doctors-form__label visually-hidden"> Enter a condition, specialty, doctor name, or practice name for which to search. </label>
      <span class="icon--search" role="presentation" aria-hidden="true" focusable="false"></span>
      <input class="physician-search-autocomplete-input find-doctors-form__input form-text ui-autocomplete-input" data-drupal-selector="edit-search-918e942e18dfa8531397c2426df0c843"
        aria-describedby="edit-search-918e942e18dfa8531397c2426df0c843--description" placeholder="Condition / specialty / name" title="Enter a condition, specialty, doctor name, or practice name for which to search." type="text"
        id="edit-search-918e942e18dfa8531397c2426df0c843" name="search" value="" size="30" maxlength="128" data-once="ahsSearchPhysicianAutocomplete" autocomplete="off">
      <div id="edit-search-918e942e18dfa8531397c2426df0c843--description" class="description visually-hidden"> Condition / specialty / name </div>
    </div>
    <ul id="ui-id-11" tabindex="0" class="ui-menu ui-widget ui-widget-content ui-autocomplete physician-autocomplete ui-front" unselectable="on" style="display: none;"></ul>
  </div>
  <div class="find-doctors-form__item ui-front js-form-item form-item js-form-type-textfield form-item-geolocation-geocoder-google-geocoding-api js-form-item-geolocation-geocoder-google-geocoding-api form-no-label">
    <div class="form-item__inner">
      <label for="edit-geolocation-geocoder-google-geocoding-api-918e942e18dfa8531397c2426df0c843" class="find-doctors-form__label visually-hidden"> Enter an address, city, or zip code for which to search. </label>
      <span class="icon--location" role="presentation" aria-hidden="true" focusable="false"></span>
      <input class="form-autocomplete geolocation-views-filter-geocoder geolocation-geocoder-google-geocoding-api ahs-search-geolocation--has-submitted find-doctors-form__input form-text ui-autocomplete-input" data-source-identifier="latlng[value]"
        aria-autocomplete="list" aria-live="polite" data-geocoding-input-placeholder="Retrieving your location ..." data-sorts-geolocation-selector="[value=&quot;ahs_geolocation_latlng_distance_ASC&quot;]"
        data-drupal-selector="edit-geolocation-geocoder-google-geocoding-api-918e942e18dfa8531397c2426df0c843" aria-describedby="edit-geolocation-geocoder-google-geocoding-api-918e942e18dfa8531397c2426df0c843--description"
        placeholder="Address / City / Zip" title="Enter an address, city, or zip code for which to search." type="text" id="edit-geolocation-geocoder-google-geocoding-api-918e942e18dfa8531397c2426df0c843"
        name="geolocation_geocoder_google_geocoding_api" value="Rome, GA" size="60" maxlength="128"
        data-once="autocomplete googleGeocodingAPIAttach ahs-search-geolocation--init ahsSearchGeolocationOnFocus ahsAutocompleteAttach ahsAutocompleteOnFocus" autocomplete="off">
      <span
        class="field-suffix"><a href="#" title="Use current location to search" aria-label="Use current location based on IP to search." role="button" data-input-aria-description="Key forward to the 'Use Current Location' link to select your location based on IP." data-ahs-search-my-location-submits-form="0" class="ahs-search-my-location-link u-link--blue--dark" rel="nofollow" data-once="ahs-search-geolocation--init ahs-search-geolocation--my-location-link-input-setup AhsJsAnchorLinks AhsMicrositesNonMsPage" aria-controls="edit-geolocation-geocoder-google-geocoding-api-918e942e18dfa8531397c2426df0c843">Use Current Location</a>
        <span class="ahs-search-geolocation--my-location-not-available hidden" aria-hidden="true">Current Location Not Available</span></span>
      <div id="edit-geolocation-geocoder-google-geocoding-api-918e942e18dfa8531397c2426df0c843--description" class="description visually-hidden"> Address / City / Zip <span class="ahs-search-geolocation--my-location-aria-description"> - Key forward
          to the 'Use Current Location' link to select your location based on IP.</span></div>
    </div>
    <ul id="ui-id-3" tabindex="0" class="ui-menu ui-widget ui-widget-content ui-autocomplete ui-front geolocation-geocoder-google-geocoding-api-autocomplete-list" unselectable="on" style="display: none;"></ul>
  </div>
  <input class="geolocation-geocoder-google-geocoding-api-state" data-source-identifier="latlng[value]" data-drupal-selector="edit-geolocation-geocoder-google-geocoding-api-state-918e942e18dfa8531397c2426df0c843" type="hidden"
    name="geolocation_geocoder_google_geocoding_api_state" value="1">
  <input class="latlng-source" data-drupal-selector="edit-latlng-value-918e942e18dfa8531397c2426df0c843" type="hidden" name="latlng[value]" value="34.257038,-85.1646726">
  <input class="latlng-city" data-drupal-selector="edit-latlng-city-918e942e18dfa8531397c2426df0c843" type="hidden" name="latlng[city]" value="Rome">
  <input class="latlng-state" data-drupal-selector="edit-latlng-state-918e942e18dfa8531397c2426df0c843" type="hidden" name="latlng[state]" value="GA">
  <input class="latlng-precision" data-drupal-selector="edit-latlng-precision-918e942e18dfa8531397c2426df0c843" type="hidden" name="latlng[precision]" value="city">
  <div class="find-doctors-form__item ui-front js-form-item form-item js-form-type-select form-item-insurance js-form-item-insurance">
    <div class="form-item__inner">
      <label for="edit-insurance-918e942e18dfa8531397c2426df0c843" class="find-doctors-form__label visually-hidden"> Choose an Insurance Provider </label>
      <span class="icon--search" role="presentation" aria-hidden="true" focusable="false"></span>
      <div class="find-doctors-form__select select-wrapper"><span class="select-wrapper__arrow icon--select" role="presentation" aria-hidden="true" focusable="false"></span><select
          data-drupal-selector="edit-insurance-918e942e18dfa8531397c2426df0c843" id="edit-insurance-918e942e18dfa8531397c2426df0c843" name="insurance" class="form-select simpler-select">
          <option value="All" selected="selected">Choose insurance later</option>
          <option value="AARP">AARP</option>
          <option value="AdventHealth Advantage Plan">AdventHealth Advantage Plan</option>
          <option value="AdventHealth Advantage Plans (all plans – employee, Rosen, Medicare Advantage, Individual)">AdventHealth Advantage Plans (all plans – employee, Rosen, Medicare Advantage, Individual)</option>
          <option value="AdventHealth Employee Plan">AdventHealth Employee Plan</option>
          <option value="Advocate Health Centers">Advocate Health Centers</option>
          <option value="Aetna">Aetna</option>
          <option value="Aetna-Coventry Medicare Individual HMO">Aetna-Coventry Medicare Individual HMO</option>
          <option value="Aetna-Coventry Medicare Individual PPO">Aetna-Coventry Medicare Individual PPO</option>
          <option value="Aetna / US Healthcare - non HMO">Aetna / US Healthcare - non HMO</option>
          <option value="Aetna / US Healthcare HMO">Aetna / US Healthcare HMO</option>
          <option value="Aetna/US Healthcare HMO">Aetna/US Healthcare HMO</option>
          <option value="Aetna ACA">Aetna ACA</option>
          <option value="Aetna ACO">Aetna ACO</option>
          <option value="Aetna AdventHealth Employee Plan">Aetna AdventHealth Employee Plan</option>
          <option value="Aetna Behavioral Health">Aetna Behavioral Health</option>
          <option value="Aetna Better Health">Aetna Better Health</option>
          <option value="Aetna Better Health - FL Medicaid">Aetna Better Health - FL Medicaid</option>
          <option value="Aetna Better Health-KS Medicaid">Aetna Better Health-KS Medicaid</option>
          <option value="Aetna Better Health-KY Medicaid">Aetna Better Health-KY Medicaid</option>
          <option value="Aetna EPO">Aetna EPO</option>
          <option value="Aetna HMO-POS">Aetna HMO-POS</option>
          <option value="Aetna Medicare Advantage">Aetna Medicare Advantage</option>
          <option value="Aetna Medicare Group/Retiree HMO/PPO">Aetna Medicare Group/Retiree HMO/PPO</option>
          <option value="Aetna POS">Aetna POS</option>
          <option value="Aetna PPO">Aetna PPO</option>
          <option value="Aetna Senior Supplemental Insurance">Aetna Senior Supplemental Insurance</option>
          <option value="Aetna Signature Administrators">Aetna Signature Administrators</option>
          <option value="Aetna Student Health">Aetna Student Health</option>
          <option value="Aetna Voluntary">Aetna Voluntary</option>
          <option value="Aetna Whole Health">Aetna Whole Health</option>
          <option value="AH Care Advantage">AH Care Advantage</option>
          <option value="Alicare">Alicare</option>
          <option value="Alignment Health Plan">Alignment Health Plan</option>
          <option value="Allegiance">Allegiance</option>
          <option value="Allegiance AdventHealth">Allegiance AdventHealth</option>
          <option value="Alliant Health Plan">Alliant Health Plan</option>
          <option value="Allied Benefit Systems">Allied Benefit Systems</option>
          <option value="Allwell (Wellcare) Medicare Advantage (KS &amp; MO)">Allwell (Wellcare) Medicare Advantage (KS &amp; MO)</option>
          <option value="Ambetter">Ambetter</option>
          <option value="Ambetter Exchange (KS &amp; MO)">Ambetter Exchange (KS &amp; MO)</option>
          <option value="Ameriben Solutions">Ameriben Solutions</option>
          <option value="American Healthcare Alliance">American Healthcare Alliance</option>
          <option value="American Insurance Admin">American Insurance Admin</option>
          <option value="Amerigroup">Amerigroup</option>
          <option value="Amerigroup - Americaid">Amerigroup - Americaid</option>
          <option value="Anthem Blue Cross Blue Shield">Anthem Blue Cross Blue Shield</option>
          <option value="Any insurance with out of network coverage">Any insurance with out of network coverage</option>
          <option value="APWU">APWU</option>
          <option value="Assurant Health">Assurant Health</option>
          <option value="Aultcare/Primetime Health Plan">Aultcare/Primetime Health Plan</option>
          <option value="Auto">Auto</option>
          <option value="Avesis">Avesis</option>
          <option value="AvMed">AvMed</option>
          <option value="AvMed HMO/PPO">AvMed HMO/PPO</option>
          <option value="Banker's Life">Banker's Life</option>
          <option value="BayCare Health Plans">BayCare Health Plans</option>
          <option value="BayCare Plus">BayCare Plus</option>
          <option value="BayCare Select">BayCare Select</option>
          <option value="BCBS-AZ">BCBS-AZ</option>
          <option value="BCBS-CANADA">BCBS-CANADA</option>
          <option value="BCBS-FL">BCBS-FL</option>
          <option value="BCBS-GA">BCBS-GA</option>
          <option value="BCBS-Kansas City">BCBS-Kansas City</option>
          <option value="BCBS-KY">BCBS-KY</option>
          <option value="BCBS-NC">BCBS-NC</option>
          <option value="BCBS-NC Blue Medicare">BCBS-NC Blue Medicare</option>
          <option value="BCBS-SC">BCBS-SC</option>
          <option value="BCBS-WI">BCBS-WI</option>
          <option value="BCBS ACA Exchange-Kansas City">BCBS ACA Exchange-Kansas City</option>
          <option value="BCBS HMO">BCBS HMO</option>
          <option value="BCBS POS">BCBS POS</option>
          <option value="BCBS PPO">BCBS PPO</option>
          <option value="Beacon Health Options">Beacon Health Options</option>
          <option value="Beacon Health Strategies">Beacon Health Strategies</option>
          <option value="Beech Street">Beech Street</option>
          <option value="Behavioral Health Payors">Behavioral Health Payors</option>
          <option value="Bell County Public Health District">Bell County Public Health District</option>
          <option value="Benefit Administrative Systems">Benefit Administrative Systems</option>
          <option value="Better Health">Better Health</option>
          <option value="BIND On Demand with UHC Choice Plus">BIND On Demand with UHC Choice Plus</option>
          <option value="BlueBell Creameries">BlueBell Creameries</option>
          <option value="BlueCare">BlueCare</option>
          <option value="Blue Cross-CA">Blue Cross-CA</option>
          <option value="Blue Cross/Blue Shield">Blue Cross/Blue Shield</option>
          <option value="Blue Medicare Advantage-Kansas City">Blue Medicare Advantage-Kansas City</option>
          <option value="BlueOptions">BlueOptions</option>
          <option value="Blue Select">Blue Select</option>
          <option value="Blue Select Plus">Blue Select Plus</option>
          <option value="Bright Health">Bright Health</option>
          <option value="Brookshire Brothers">Brookshire Brothers</option>
          <option value="CarePlus">CarePlus</option>
          <option value="Care Plus Health Plan">Care Plus Health Plan</option>
          <option value="Caresource">Caresource</option>
          <option value="Caresource KY">Caresource KY</option>
          <option value="Careworks">Careworks</option>
          <option value="Careworks PPO">Careworks PPO</option>
          <option value="Carolina Crescent Health Plan">Carolina Crescent Health Plan</option>
          <option value="Central Florida IPA">Central Florida IPA</option>
          <option value="Century Health Solutions">Century Health Solutions</option>
          <option value="Champus">Champus</option>
          <option value="Champus Tricare For Life">Champus Tricare For Life</option>
          <option value="Champus Tricare West">Champus Tricare West</option>
          <option value="Champva">Champva</option>
          <option value="CHC National">CHC National</option>
          <option value="CHC of Florida">CHC of Florida</option>
          <option value="CHC of Georgia">CHC of Georgia</option>
          <option value="CHC of KS-Kansas City">CHC of KS-Kansas City</option>
          <option value="CHC of Louisiana">CHC of Louisiana</option>
          <option value="CHC of Missouri">CHC of Missouri</option>
          <option value="CHC of The Carolinas/Wellpath">CHC of The Carolinas/Wellpath</option>
          <option value="Choicecare (Cinci OH)">Choicecare (Cinci OH)</option>
          <option value="ChoiceCare Humana PPO">ChoiceCare Humana PPO</option>
          <option value="Cigna">Cigna</option>
          <option value="Cigna-Healthspring">Cigna-Healthspring</option>
          <option value="Cigna BayCare">Cigna BayCare</option>
          <option value="Cigna Behavioral">Cigna Behavioral</option>
          <option value="Cigna Bravo Health MCA">Cigna Bravo Health MCA</option>
          <option value="Cigna CAC">Cigna CAC</option>
          <option value="Cigna Connect">Cigna Connect</option>
          <option value="Cigna EPO">Cigna EPO</option>
          <option value="Cigna HealthSpring Medicare Advantage HMO">Cigna HealthSpring Medicare Advantage HMO</option>
          <option value="Cigna HMO">Cigna HMO</option>
          <option value="Cigna POS">Cigna POS</option>
          <option value="Cigna PPO">Cigna PPO</option>
          <option value="Cigna Supplemental Insurance">Cigna Supplemental Insurance</option>
          <option value="Clear Health">Clear Health</option>
          <option value="Coalition">Coalition</option>
          <option value="Coastal Healthcare Admin">Coastal Healthcare Admin</option>
          <option value="Commercial Travelers">Commercial Travelers</option>
          <option value="CommunityCare OK">CommunityCare OK</option>
          <option value="Community Health Plan of MO">Community Health Plan of MO</option>
          <option value="Continental General Ins">Continental General Ins</option>
          <option value="Contracts">Contracts</option>
          <option value="Coordinated Care">Coordinated Care</option>
          <option value="Coresource">Coresource</option>
          <option value="Corporate Billing">Corporate Billing</option>
          <option value="Corvel">Corvel</option>
          <option value="Coventry-Aetna Medicare Advantage HMO &amp; PPO">Coventry-Aetna Medicare Advantage HMO &amp; PPO</option>
          <option value="Coventry/First Health Network/GEHA">Coventry/First Health Network/GEHA</option>
          <option value="Coventry Cares of KY">Coventry Cares of KY</option>
          <option value="Coventry HMO">Coventry HMO</option>
          <option value="Coventry PPO">Coventry PPO</option>
          <option value="CWI Benefits/ManageMed">CWI Benefits/ManageMed</option>
          <option value="Delta Dental">Delta Dental</option>
          <option value="Devoted Health">Devoted Health</option>
          <option value="Disney Direct">Disney Direct</option>
          <option value="Employee Benefit Consultants">Employee Benefit Consultants</option>
          <option value="Everence">Everence</option>
          <option value="Evolutions Healthcare">Evolutions Healthcare</option>
          <option value="FamilyCare Health Plans">FamilyCare Health Plans</option>
          <option value="Farm Bureau with United HealthCare Choice Plus">Farm Bureau with United HealthCare Choice Plus</option>
          <option value="Federal Black Lung Benefits">Federal Black Lung Benefits</option>
          <option value="FHHS-FH Care Advantage">FHHS-FH Care Advantage</option>
          <option value="FirstCare Health Plans">FirstCare Health Plans</option>
          <option value="First Health Network">First Health Network</option>
          <option value="FL-Aetna Better Health (Medicaid HMO)">FL-Aetna Better Health (Medicaid HMO)</option>
          <option value="FL-Aetna Better Health of FL Healthy Kids">FL-Aetna Better Health of FL Healthy Kids</option>
          <option value="FL-Aetna Commercial (EPO, Managed Choice, PPO, HMO)">FL-Aetna Commercial (EPO, Managed Choice, PPO, HMO)</option>
          <option value="FL-Aetna Medicare HMO/PPO">FL-Aetna Medicare HMO/PPO</option>
          <option value="FL-AHPN (CIN Central South)">FL-AHPN (CIN Central South)</option>
          <option value="FL-AHPN Allegiance/Disney">FL-AHPN Allegiance/Disney</option>
          <option value="FL-AHPN Bright Health Commercial EPO">FL-AHPN Bright Health Commercial EPO</option>
          <option value="FL-AHPN Bright Health Medicare">FL-AHPN Bright Health Medicare</option>
          <option value="FL-AHPN Cigna Surefit HMO, PPO, POS">FL-AHPN Cigna Surefit HMO, PPO, POS</option>
          <option value="FL-AHPN Oscar Health EPO">FL-AHPN Oscar Health EPO</option>
          <option value="FL-AHPN Sunshine-Ambetter">FL-AHPN Sunshine-Ambetter</option>
          <option value="FL-Av-Med Commercial (HMO, POS, PPO)">FL-Av-Med Commercial (HMO, POS, PPO)</option>
          <option value="FL-BCBS Blue Medicare">FL-BCBS Blue Medicare</option>
          <option value="FL-BCBS Blue Select">FL-BCBS Blue Select</option>
          <option value="FL-BCBS Comm (Bl Care HO, Bl Choice PPC, NWB, PPS)">FL-BCBS Comm (Bl Care HO, Bl Choice PPC, NWB, PPS)</option>
          <option value="FL-BCBS myBlue HMO">FL-BCBS myBlue HMO</option>
          <option value="FL-CIGNA Comm (Open Accs Plus, POS Open Accs, PPO)">FL-CIGNA Comm (Open Accs Plus, POS Open Accs, PPO)</option>
          <option value="FL-Cigna HealthSpring Medicare Advantage HMO">FL-Cigna HealthSpring Medicare Advantage HMO</option>
          <option value="FL-Coventry First Health (Commercial)">FL-Coventry First Health (Commercial)</option>
          <option value="FL-Devoted Health Medicare (HMO/PPO/POS/D-SNP)">FL-Devoted Health Medicare (HMO/PPO/POS/D-SNP)</option>
          <option value="FL-Evolutions">FL-Evolutions</option>
          <option value="FL-FHHS AdventHealth Advantage Plan Medicare Advan">FL-FHHS AdventHealth Advantage Plan Medicare Advan</option>
          <option value="FL-FHHS AdventHealth Indiv/Family Plan, HMO, POS, EPO">FL-FHHS AdventHealth Indiv/Family Plan, HMO, POS, EPO</option>
          <option value="FL-FHHS Aetna/AdventHealth Employee Plan">FL-FHHS Aetna/AdventHealth Employee Plan</option>
          <option value="FL-FHHS EPO (Commercial)">FL-FHHS EPO (Commercial)</option>
          <option value="FL-FHHS EPO Employees">FL-FHHS EPO Employees</option>
          <option value="FL-FHHS HealthFirst Indiv/Family Plan (HMO, POS, EPO)">FL-FHHS HealthFirst Indiv/Family Plan (HMO, POS, EPO)</option>
          <option value="FL-FHHS HealthFirst Medicare Advantage Plan">FL-FHHS HealthFirst Medicare Advantage Plan</option>
          <option value="FL-FHHS Rosen Hotels">FL-FHHS Rosen Hotels</option>
          <option value="FL-FHWHS EPO">FL-FHWHS EPO</option>
          <option value="FL-Florida Community Care Medicaid">FL-Florida Community Care Medicaid</option>
          <option value="FL-Florida Hospital Care Advantage Medicare">FL-Florida Hospital Care Advantage Medicare</option>
          <option value="FL-Fortified PPO">FL-Fortified PPO</option>
          <option value="FL-Freedom Medicare">FL-Freedom Medicare</option>
          <option value="FL-Health First Health Plans HMO &amp; Medicare">FL-Health First Health Plans HMO &amp; Medicare</option>
          <option value="FL-Humana (Medicare) HMO">FL-Humana (Medicare) HMO</option>
          <option value="FL-Humana (Medicare) PPO/PFFS">FL-Humana (Medicare) PPO/PFFS</option>
          <option value="FL-Humana Comm (EPO/HMO/POS/PPO/SmtNet PPO/Open Accs)">FL-Humana Comm (EPO/HMO/POS/PPO/SmtNet PPO/Open Accs)</option>
          <option value="FL-Humana Commercial (EPO, POS, PPO, SmartNet PPO)">FL-Humana Commercial (EPO, POS, PPO, SmartNet PPO)</option>
          <option value="FL-Longevity Health Plan (Medicare)">FL-Longevity Health Plan (Medicare)</option>
          <option value="FL-Magellan Complete (Medicaid Spec Plan)">FL-Magellan Complete (Medicaid Spec Plan)</option>
          <option value="FL-Medicaid">FL-Medicaid</option>
          <option value="FL-Medicare">FL-Medicare</option>
          <option value="FL-Molina FL SMI Specialty Plan (Medicaid)">FL-Molina FL SMI Specialty Plan (Medicaid)</option>
          <option value="FL-Molina Healthcare Medicaid">FL-Molina Healthcare Medicaid</option>
          <option value="FL-Molina Healthcare Medicare">FL-Molina Healthcare Medicare</option>
          <option value="FL-MultiPlan/Beech Street/Private Healthcare Systm">FL-MultiPlan/Beech Street/Private Healthcare Systm</option>
          <option value="FL-NPPN PPO/Coalition America">FL-NPPN PPO/Coalition America</option>
          <option value="FL-Optimum Medicare HMO">FL-Optimum Medicare HMO</option>
          <option value="FL-Simply Health Plans Healthy Kids">FL-Simply Health Plans Healthy Kids</option>
          <option value="FL-Simply Health Plans Medicaid">FL-Simply Health Plans Medicaid</option>
          <option value="FL-Simply Health Plans Medicaid - Clear Health All">FL-Simply Health Plans Medicaid - Clear Health All</option>
          <option value="FL-Simply Health Plans Medicare">FL-Simply Health Plans Medicare</option>
          <option value="FL-Sunshine State - Medicaid">FL-Sunshine State - Medicaid</option>
          <option value="FL-Sunshine State - Medicare">FL-Sunshine State - Medicare</option>
          <option value="FL-Tricare Humana Military">FL-Tricare Humana Military</option>
          <option value="FL-Tricare Select">FL-Tricare Select</option>
          <option value="FL-United (Medicaid)">FL-United (Medicaid)</option>
          <option value="FL-United Commercial (HMO, POS, PPO)">FL-United Commercial (HMO, POS, PPO)</option>
          <option value="FL-United Exchange Benefit Plan (IEX)">FL-United Exchange Benefit Plan (IEX)</option>
          <option value="FL-United Medicare Complete Choice, Evercare HMO">FL-United Medicare Complete Choice, Evercare HMO</option>
          <option value="FL-VA Community Care Network (UHC)">FL-VA Community Care Network (UHC)</option>
          <option value="FL-WellCare/Staywell  (Medicaid)">FL-WellCare/Staywell (Medicaid)</option>
          <option value="FL-WellCare/Staywell Childrens Medical Svcs (CMS)">FL-WellCare/Staywell Childrens Medical Svcs (CMS)</option>
          <option value="FL-WellCare Health Plan (Medicare)">FL-WellCare Health Plan (Medicare)</option>
          <option value="Florida Blue (PPO, HMO – no My Blue)">Florida Blue (PPO, HMO – no My Blue)</option>
          <option value="Florida Blue/GuideWell">Florida Blue/GuideWell</option>
          <option value="Florida Health Care">Florida Health Care</option>
          <option value="Florida Health Care Plan">Florida Health Care Plan</option>
          <option value="Florida Health Solutions">Florida Health Solutions</option>
          <option value="Florida Hospital HC Systems">Florida Hospital HC Systems</option>
          <option value="Florida Hospital Health Insurance">Florida Hospital Health Insurance</option>
          <option value="Focus">Focus</option>
          <option value="Fortified Provider Network, Inc.">Fortified Provider Network, Inc.</option>
          <option value="Freedom/Optimum">Freedom/Optimum</option>
          <option value="Freedom Health">Freedom Health</option>
          <option value="Freedom Life">Freedom Life</option>
          <option value="Galaxy Health Network">Galaxy Health Network</option>
          <option value="GEHA">GEHA</option>
          <option value="GHI">GHI</option>
          <option value="Gilsbar">Gilsbar</option>
          <option value="Global Care">Global Care</option>
          <option value="Great West">Great West</option>
          <option value="Group &amp; Pension Administrators">Group &amp; Pension Administrators</option>
          <option value="Group Health Cooperative">Group Health Cooperative</option>
          <option value="Hallmark employees with United HealthCare">Hallmark employees with United HealthCare</option>
          <option value="Harken Health">Harken Health</option>
          <option value="Healthcare Partners IPA">Healthcare Partners IPA</option>
          <option value="Health Design Plus">Health Design Plus</option>
          <option value="Healthease of FL">Healthease of FL</option>
          <option value="Health First Health Plans">Health First Health Plans</option>
          <option value="HealthFirst TPA">HealthFirst TPA</option>
          <option value="Healthgram">Healthgram</option>
          <option value="HealthLink-NCPPO">HealthLink-NCPPO</option>
          <option value="HealthNet Federal Services (Tricare)">HealthNet Federal Services (Tricare)</option>
          <option value="HealthPartners">HealthPartners</option>
          <option value="Health Partners of KS">Health Partners of KS</option>
          <option value="HealthReach">HealthReach</option>
          <option value="Healthscope Benefits Inc">Healthscope Benefits Inc</option>
          <option value="HealthSmart Accel &amp; Preferred Networks">HealthSmart Accel &amp; Preferred Networks</option>
          <option value="HealthSmart Benefit Solutions/Wells Fargo TPA">HealthSmart Benefit Solutions/Wells Fargo TPA</option>
          <option value="HealthSmart PPO">HealthSmart PPO</option>
          <option value="Hillsborough County Healthcare">Hillsborough County Healthcare</option>
          <option value="Home State Health Allwell Medicare Advantage">Home State Health Allwell Medicare Advantage</option>
          <option value="Home State Health Ambetter Exchange">Home State Health Ambetter Exchange</option>
          <option value="Humana">Humana</option>
          <option value="Humana Behavioral">Humana Behavioral</option>
          <option value="Humana EPO">Humana EPO</option>
          <option value="Humana Gold Medicare Advantage">Humana Gold Medicare Advantage</option>
          <option value="Humana HMO">Humana HMO</option>
          <option value="Humana POS">Humana POS</option>
          <option value="Humana PPO">Humana PPO</option>
          <option value="HVHS">HVHS</option>
          <option value="IL-Access To Care">IL-Access To Care</option>
          <option value="IL-Accountable Care Organization">IL-Accountable Care Organization</option>
          <option value="IL-ACTIN">IL-ACTIN</option>
          <option value="IL-Adventist Health Network">IL-Adventist Health Network</option>
          <option value="IL-Aetna Better Health (ABD)">IL-Aetna Better Health (ABD)</option>
          <option value="IL-Aetna Better Health MMAI">IL-Aetna Better Health MMAI</option>
          <option value="IL-All Kids">IL-All Kids</option>
          <option value="IL-Ascension Health Medicare">IL-Ascension Health Medicare</option>
          <option value="IL-Blue Choice PPO">IL-Blue Choice PPO</option>
          <option value="IL-Blue Choice PPO – Unite Here Health">IL-Blue Choice PPO – Unite Here Health</option>
          <option value="IL-Blue Cross/Blue Shield-MCNP PPO">IL-Blue Cross/Blue Shield-MCNP PPO</option>
          <option value="IL-Blue Cross/Blue Shield-Workers Choice WC">IL-Blue Cross/Blue Shield-Workers Choice WC</option>
          <option value="IL-Blue Cross/Blue Shield Community ICP">IL-Blue Cross/Blue Shield Community ICP</option>
          <option value="IL-Blue Cross/Blue Shield HMO Medicaid">IL-Blue Cross/Blue Shield HMO Medicaid</option>
          <option value="IL-Blue Cross/Blue Shield Medicare Advantage">IL-Blue Cross/Blue Shield Medicare Advantage</option>
          <option value="IL-Blue Cross Community Family Health/Medicaid">IL-Blue Cross Community Family Health/Medicaid</option>
          <option value="IL-Bright Health Medicare HMO">IL-Bright Health Medicare HMO</option>
          <option value="IL-Clear Springs Health (Medicare HMO)">IL-Clear Springs Health (Medicare HMO)</option>
          <option value="IL-County Care–Medicaid">IL-County Care–Medicaid</option>
          <option value="IL-Harmony (Medicaid) Insurance">IL-Harmony (Medicaid) Insurance</option>
          <option value="IL-Healthlink HMO/PPO">IL-Healthlink HMO/PPO</option>
          <option value="IL-HFN, Inc">IL-HFN, Inc</option>
          <option value="IL-Humana Gold Plus">IL-Humana Gold Plus</option>
          <option value="IL-Humana Medicare Advantage">IL-Humana Medicare Advantage</option>
          <option value="IL-Illini Care (Medicaid ABD)">IL-Illini Care (Medicaid ABD)</option>
          <option value="IL-IlliniCare Medicaid - Medicare">IL-IlliniCare Medicaid - Medicare</option>
          <option value="IL-Kidcare">IL-Kidcare</option>
          <option value="IL-Medicaid">IL-Medicaid</option>
          <option value="IL-Medicare">IL-Medicare</option>
          <option value="IL-Meridian (Medicaid)">IL-Meridian (Medicaid)</option>
          <option value="IL-MultiPlan/PHCS Savility">IL-MultiPlan/PHCS Savility</option>
          <option value="IL-PPONEXT (Healthstar/PHN)">IL-PPONEXT (Healthstar/PHN)</option>
          <option value="IL-Smart Health">IL-Smart Health</option>
          <option value="IL-Tricare">IL-Tricare</option>
          <option value="Imagine Health">Imagine Health</option>
          <option value="Independent Medical Systems">Independent Medical Systems</option>
          <option value="Injury Management org">Injury Management org</option>
          <option value="Insurance Mgmt Admin of LA">Insurance Mgmt Admin of LA</option>
          <option value="IU Health Plan">IU Health Plan</option>
          <option value="Kelsey Seybold">Kelsey Seybold</option>
          <option value="Key Benefit Administrators">Key Benefit Administrators</option>
          <option value="Maestro Health">Maestro Health</option>
          <option value="Magellan Behavioral">Magellan Behavioral</option>
          <option value="Magellan Complete Care">Magellan Complete Care</option>
          <option value="Magellan Health">Magellan Health</option>
          <option value="Magellan Providers of Texas">Magellan Providers of Texas</option>
          <option value="Mayo Management Services (MMSI)">Mayo Management Services (MMSI)</option>
          <option value="Medcost">Medcost</option>
          <option value="Medica">Medica</option>
          <option value="Medicaid">Medicaid</option>
          <option value="Medicaid-AL">Medicaid-AL</option>
          <option value="Medicaid-FL">Medicaid-FL</option>
          <option value="Medicaid-FL Institutional">Medicaid-FL Institutional</option>
          <option value="Medicaid-GA">Medicaid-GA</option>
          <option value="Medicaid-KS">Medicaid-KS</option>
          <option value="Medicaid-KY">Medicaid-KY</option>
          <option value="Medicaid-KY Passport HP">Medicaid-KY Passport HP</option>
          <option value="Medicaid-MO Professional">Medicaid-MO Professional</option>
          <option value="Medicaid-NC">Medicaid-NC</option>
          <option value="Medicaid-Virgin Islands">Medicaid-Virgin Islands</option>
          <option value="Medicaid-WI">Medicaid-WI</option>
          <option value="Medicaid KANCARE">Medicaid KANCARE</option>
          <option value="Medical Mutual of Ohio">Medical Mutual of Ohio</option>
          <option value="Medical Systems">Medical Systems</option>
          <option value="Medicare">Medicare</option>
          <option value="Medicare Advantage PFFS">Medicare Advantage PFFS</option>
          <option value="Medicare Part A and/or B">Medicare Part A and/or B</option>
          <option value="Medicare PBB">Medicare PBB</option>
          <option value="Medicare PIN">Medicare PIN</option>
          <option value="Medicare Railroad - Palmetto">Medicare Railroad - Palmetto</option>
          <option value="Medicare RHC/FQHC">Medicare RHC/FQHC</option>
          <option value="Medicare Supplement Policies">Medicare Supplement Policies</option>
          <option value="Medica through United Healthcare">Medica through United Healthcare</option>
          <option value="MEDICA with United Healthcare">MEDICA with United Healthcare</option>
          <option value="Medico Insurance Company">Medico Insurance Company</option>
          <option value="MedRisk">MedRisk</option>
          <option value="Memorial Integrated Healthcare">Memorial Integrated Healthcare</option>
          <option value="Mental Health">Mental Health</option>
          <option value="Meritain Health">Meritain Health</option>
          <option value="Midland Memorial Hosital">Midland Memorial Hosital</option>
          <option value="Molina Healthcare of FL">Molina Healthcare of FL</option>
          <option value="Multiplan">Multiplan</option>
          <option value="Mutual of Omaha">Mutual of Omaha</option>
          <option value="MVA">MVA</option>
          <option value="MVP (Mohawk Valley Plan)">MVP (Mohawk Valley Plan)</option>
          <option value="MyBlue">MyBlue</option>
          <option value="Neighborhood Health Ptnr">Neighborhood Health Ptnr</option>
          <option value="New Century Health">New Century Health</option>
          <option value="New Directions Behavioral Health">New Directions Behavioral Health</option>
          <option value="NGS Coresource">NGS Coresource</option>
          <option value="Nippon Life Benefits">Nippon Life Benefits</option>
          <option value="OccuNet">OccuNet</option>
          <option value="Occupational Health Management">Occupational Health Management</option>
          <option value="OneNet PPO">OneNet PPO</option>
          <option value="Optimum Healthcare">Optimum Healthcare</option>
          <option value="OptumCare">OptumCare</option>
          <option value="Optum Health">Optum Health</option>
          <option value="Optum VA">Optum VA</option>
          <option value="Oscar">Oscar</option>
          <option value="Oscar Health">Oscar Health</option>
          <option value="Other Commercial (MedLic#)">Other Commercial (MedLic#)</option>
          <option value="Oxford">Oxford</option>
          <option value="Palmetto GBA Railroad">Palmetto GBA Railroad</option>
          <option value="Paradigm">Paradigm</option>
          <option value="Paragon Benefits">Paragon Benefits</option>
          <option value="Partners Behavioral Hlth Mgmt">Partners Behavioral Hlth Mgmt</option>
          <option value="PaySpan">PaySpan</option>
          <option value="Peach State Health Plan">Peach State Health Plan</option>
          <option value="Ped-I-Care/ CMS">Ped-I-Care/ CMS</option>
          <option value="PHCS">PHCS</option>
          <option value="PlanVista">PlanVista</option>
          <option value="Point Comfort">Point Comfort</option>
          <option value="Political Subdivision">Political Subdivision</option>
          <option value="POMCO">POMCO</option>
          <option value="PreferredOne">PreferredOne</option>
          <option value="Prestige Health Choice">Prestige Health Choice</option>
          <option value="Prime Health">Prime Health</option>
          <option value="Prime Health Services">Prime Health Services</option>
          <option value="Principal Financial Group">Principal Financial Group</option>
          <option value="ProvDRs">ProvDRs</option>
          <option value="ProviDRs">ProviDRs</option>
          <option value="PsycHealth">PsycHealth</option>
          <option value="Pyramid Life Insurance Company">Pyramid Life Insurance Company</option>
          <option value="Qualcare">Qualcare</option>
          <option value="Railroad Medicaid">Railroad Medicaid</option>
          <option value="Railroad Medicare-Palmetto">Railroad Medicare-Palmetto</option>
          <option value="Redmond Occupational Health">Redmond Occupational Health</option>
          <option value="Renaissance Physician Org">Renaissance Physician Org</option>
          <option value="Rockwell">Rockwell</option>
          <option value="S&amp;S Healthcare Strategies">S&amp;S Healthcare Strategies</option>
          <option value="Scott &amp; White Health Plan">Scott &amp; White Health Plan</option>
          <option value="Seafarers Health Benefits">Seafarers Health Benefits</option>
          <option value="Security Health Plan">Security Health Plan</option>
          <option value="Sedgwick Preferred Network">Sedgwick Preferred Network</option>
          <option value="Select Health of UT">Select Health of UT</option>
          <option value="Self-Pay">Self-Pay</option>
          <option value="Simply Health">Simply Health</option>
          <option value="Simply Healthcare">Simply Healthcare</option>
          <option value="SISCO">SISCO</option>
          <option value="Solis Health Plans">Solis Health Plans</option>
          <option value="Spira Care with Blue Select Plus">Spira Care with Blue Select Plus</option>
          <option value="Starmark">Starmark</option>
          <option value="State Farm Insurance">State Farm Insurance</option>
          <option value="Staywell">Staywell</option>
          <option value="Sterling Life Insur Co">Sterling Life Insur Co</option>
          <option value="Sunflower (Kansas Medicaid)">Sunflower (Kansas Medicaid)</option>
          <option value="Sunflower AllWell Medicare Advantage">Sunflower AllWell Medicare Advantage</option>
          <option value="Sunflower AmBetter Exchange">Sunflower AmBetter Exchange</option>
          <option value="Sunflower State Health Plan">Sunflower State Health Plan</option>
          <option value="Sunshine">Sunshine</option>
          <option value="Sunshine State Health Plan">Sunshine State Health Plan</option>
          <option value="Superior">Superior</option>
          <option value="Texas Health Aetna PPO">Texas Health Aetna PPO</option>
          <option value="The Health Plan">The Health Plan</option>
          <option value="Three Rivers Insurance">Three Rivers Insurance</option>
          <option value="TML">TML</option>
          <option value="Today's Option Pyramid Life">Today's Option Pyramid Life</option>
          <option value="Total Claims Administration Inc">Total Claims Administration Inc</option>
          <option value="Tri-Care">Tri-Care</option>
          <option value="Tricare-HealthNet Federal Services">Tricare-HealthNet Federal Services</option>
          <option value="Tricare East">Tricare East</option>
          <option value="Tricare for Life">Tricare for Life</option>
          <option value="Tricare Prime">Tricare Prime</option>
          <option value="Tricare Select">Tricare Select</option>
          <option value="Tricare Standard">Tricare Standard</option>
          <option value="Tricare West">Tricare West</option>
          <option value="TriWest">TriWest</option>
          <option value="Trustmark Insurance Co">Trustmark Insurance Co</option>
          <option value="UCare">UCare</option>
          <option value="Ultimate Healthcare">Ultimate Healthcare</option>
          <option value="Unicare">Unicare</option>
          <option value="Uninsured">Uninsured</option>
          <option value="United">United</option>
          <option value="United-Medicaid">United-Medicaid</option>
          <option value="United American Ins">United American Ins</option>
          <option value="United Behavioral">United Behavioral</option>
          <option value="United DSNP">United DSNP</option>
          <option value="United Healthcare">United Healthcare</option>
          <option value="United Healthcare - The Empire Plan">United Healthcare - The Empire Plan</option>
          <option value="United Healthcare Choice Plus">United Healthcare Choice Plus</option>
          <option value="United Healthcare Community Plan">United Healthcare Community Plan</option>
          <option value="United Healthcare Community Plan (Kansas Medicaid)">United Healthcare Community Plan (Kansas Medicaid)</option>
          <option value="United Healthcare Community Plan of KY">United Healthcare Community Plan of KY</option>
          <option value="United Healthcare Compass Plans">United Healthcare Compass Plans</option>
          <option value="United Healthcare Dual Complete">United Healthcare Dual Complete</option>
          <option value="United Healthcare Dual Medicare &amp; Medicaid">United Healthcare Dual Medicare &amp; Medicaid</option>
          <option value="United Healthcare Golden Rule">United Healthcare Golden Rule</option>
          <option value="United Healthcare HMO">United Healthcare HMO</option>
          <option value="United Healthcare Life Ins Co">United Healthcare Life Ins Co</option>
          <option value="United Healthcare Medicare Advantage">United Healthcare Medicare Advantage</option>
          <option value="United Healthcare of River Valley">United Healthcare of River Valley</option>
          <option value="United Healthcare POS">United Healthcare POS</option>
          <option value="United Healthcare PPO">United Healthcare PPO</option>
          <option value="United Healthcare Student Resources">United Healthcare Student Resources</option>
          <option value="United Healthcare West">United Healthcare West</option>
          <option value="UnitedHealth Care – WellMed">UnitedHealth Care – WellMed</option>
          <option value="UnitedHealthOne">UnitedHealthOne</option>
          <option value="United Medical Resources">United Medical Resources</option>
          <option value="United Medicare Supplement">United Medicare Supplement</option>
          <option value="UPMC Health Plan">UPMC Health Plan</option>
          <option value="US Dept of Labor-Workers Comp">US Dept of Labor-Workers Comp</option>
          <option value="VACCN">VACCN</option>
          <option value="VA Community Care">VA Community Care</option>
          <option value="Vaya Health">Vaya Health</option>
          <option value="Veterans Affairs-Federal">Veterans Affairs-Federal</option>
          <option value="Veterans Affairs - HealthNet">Veterans Affairs - HealthNet</option>
          <option value="Viva Health">Viva Health</option>
          <option value="Web TPA">Web TPA</option>
          <option value="Wellcare">Wellcare</option>
          <option value="Wellcare of KY">Wellcare of KY</option>
          <option value="Wellmed">Wellmed</option>
          <option value="Wellspan Health">Wellspan Health</option>
          <option value="Wisconsin Physicians Services">Wisconsin Physicians Services</option>
          <option value="Work Comp">Work Comp</option>
          <option value="Workers' Comp Alliance">Workers' Comp Alliance</option>
          <option value="Workers Compensation">Workers Compensation</option>
        </select></div>
    </div>
  </div>
  <div class="find-doctors-form__item ui-front js-form-item form-item js-form-type-select form-item-reason js-form-item-reason form-no-label">
    <div class="form-item__inner">
      <label for="edit-reason-918e942e18dfa8531397c2426df0c843" class="find-doctors-form__label visually-hidden js-form-required form-required"> Reason for Visit </label>
      <span class="icon--search" role="presentation" aria-hidden="true" focusable="false"></span>
      <div class="find-doctors-form__select select-wrapper"><span class="select-wrapper__arrow icon--select" role="presentation" aria-hidden="true" focusable="false"></span><select aria-label="Reason for Visit"
          data-msg-required="Reason for Visit selection is required." data-drupal-selector="edit-reason-918e942e18dfa8531397c2426df0c843" id="edit-reason-918e942e18dfa8531397c2426df0c843" name="reason" class="form-select required simpler-select"
          required="required" aria-required="true">
          <option value="" selected="selected">Select Visit Reason (required)</option>
          <option value="3">Annual Exam</option>
          <option value="1">New Patient</option>
          <option value="2">Return Visit or Sick</option>
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  <div class="hidden find-doctors-form__item ui-front js-form-item form-item js-form-type-select form-item-sort-bef-combine js-form-item-sort-bef-combine" aria-hidden="true">
    <div class="form-item__inner">
      <label for="edit-sort-bef-combine-918e942e18dfa8531397c2426df0c843" class="find-doctors-form__label"> Sort by </label>
      <span class="icon--search" role="presentation" aria-hidden="true" focusable="false"></span>
      <div class="find-doctors-form__select find-doctors-form__sort-wrapper select-wrapper"><span class="select-wrapper__arrow icon--select" role="presentation" aria-hidden="true" focusable="false"></span><select
          class="ahs-exposed-sort-options-wrapper physicians-search-results-form__sort hidden form-select simpler-select" data-bef-auto-submit="" data-drupal-selector="edit-sort-bef-combine-918e942e18dfa8531397c2426df0c843" aria-hidden="true"
          id="edit-sort-bef-combine-918e942e18dfa8531397c2426df0c843" name="sort_bef_combine" data-once="ahs-views-bef-auto-submit">
          <option value="ahs_provider_availability_sort_ASC">Availability</option>
          <option value="provider_tiering_ASC">Best Match</option>
          <option value="ahs_geolocation_latlng_distance_ASC" selected="selected">Distance</option>
          <option value="provider_sort_name_ASC">Name (A-Z)</option>
          <option value="provider_sort_name_DESC">Name (Z-A)</option>
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    </div>
  </div>
  <input data-drupal-selector="edit-cat" type="hidden" name="cat" value="doctor">
  <div data-drupal-selector="edit-918e942e18dfa8531397c2426df0c843" class="form-actions js-form-wrapper form-wrapper" id="edit-918e942e18dfa8531397c2426df0c843"><input data-views-ajax-submit-disabled=""
      class="ahs-views-action-submit ahs-views-submit button find-doctors-form__submit js-form-submit form-submit" data-bef-auto-submit-click="" data-drupal-selector="edit-submit-ahs-physician-search-918e942e18dfa8531397c2426df0c843" type="submit"
      id="edit-submit-ahs-physician-search-918e942e18dfa8531397c2426df0c843" value="Continue">
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</form>

GET /find-a-location

<form class="views-exposed-form bef-exposed-form ahs-facility-search-wizard-form find-locations-form__inner" data-drupal-selector="views-exposed-form-ahs-facility-search-list-wizard-exposed-form-dou7fne2jvs" action="/find-a-location" method="get"
  id="views-exposed-form-ahs-facility-search-list-wizard-exposed-form--Dou7fnE2JVs" accept-charset="UTF-8" novalidate="" data-once="ahs-theme--onload-search-form">
  <input data-drupal-selector="edit-facility-9856f4b0c8b1f2d9c4f1e0704fa4eba5" type="hidden" name="facility" value="">
  <div class="find-locations-form__item ui-front js-form-item form-item js-form-type-textfield form-item-geolocation-geocoder-google-geocoding-api js-form-item-geolocation-geocoder-google-geocoding-api form-no-label">
    <div class="form-item__inner">
      <label for="edit-geolocation-geocoder-google-geocoding-api-9856f4b0c8b1f2d9c4f1e0704fa4eba5" class="find-locations-form__label visually-hidden"> Located Near </label>
      <span class="icon--location" role="presentation" aria-hidden="true" focusable="false"></span>
      <input class="form-autocomplete geolocation-views-filter-geocoder geolocation-geocoder-google-geocoding-api ahs-search-geolocation--has-submitted find-locations-form__input notranslate form-text ui-autocomplete-input"
        data-source-identifier="latlng[value]" aria-autocomplete="list" aria-live="polite" data-auto-fill-on-load="1" data-geocoding-input-placeholder="Retrieving your location ..."
        data-drupal-selector="edit-geolocation-geocoder-google-geocoding-api-9856f4b0c8b1f2d9c4f1e0704fa4eba5" aria-describedby="edit-geolocation-geocoder-google-geocoding-api-9856f4b0c8b1f2d9c4f1e0704fa4eba5--description"
        placeholder="Address / State / City / Zip" title="Address / State / City / Zip" type="text" id="edit-geolocation-geocoder-google-geocoding-api-9856f4b0c8b1f2d9c4f1e0704fa4eba5" name="geolocation_geocoder_google_geocoding_api" value="Rome, GA"
        size="60" maxlength="128" data-once="autocomplete googleGeocodingAPIAttach ahs-search-geolocation--init ahsSearchGeolocationOnFocus ahsAutocompleteAttach ahsAutocompleteOnFocus" autocomplete="off">
      <span
        class="field-suffix"><a href="javascript:void(0);" title="Use current location to search" aria-label="Use current location based on IP to search." role="button" data-input-aria-description="Key forward to the 'Use Current Location' link to select your location based on IP." data-ahs-search-my-location-submits-form="1" class="ahs-search-my-location-link" rel="nofollow" data-once="ahs-search-geolocation--init ahs-search-geolocation--my-location-link-input-setup AhsJsAnchorLinks AhsMicrositesNonMsPage" aria-controls="edit-geolocation-geocoder-google-geocoding-api-9856f4b0c8b1f2d9c4f1e0704fa4eba5">Use Current Location</a>
        <span class="ahs-search-geolocation--my-location-not-available hidden" aria-hidden="true">Current Location Not Available</span></span>
      <div id="edit-geolocation-geocoder-google-geocoding-api-9856f4b0c8b1f2d9c4f1e0704fa4eba5--description" class="description visually-hidden"> Address / State / City / Zip <span class="ahs-search-geolocation--my-location-aria-description"> - Key
          forward to the 'Use Current Location' link to select your location based on IP.</span></div>
    </div>
    <ul id="ui-id-4" tabindex="0" class="ui-menu ui-widget ui-widget-content ui-autocomplete ui-front geolocation-geocoder-google-geocoding-api-autocomplete-list" unselectable="on" style="display: none;"></ul>
  </div>
  <input class="geolocation-geocoder-google-geocoding-api-state" data-source-identifier="latlng[value]" data-drupal-selector="edit-geolocation-geocoder-google-geocoding-api-state-9856f4b0c8b1f2d9c4f1e0704fa4eba5" type="hidden"
    name="geolocation_geocoder_google_geocoding_api_state" value="1">
  <div class="find-locations-form__item facility-search-form__item ui-front js-form-item form-item js-form-type-select form-item-latlng-distance-from js-form-item-latlng-distance-from">
    <div class="form-item__inner">
      <label for="edit-latlng-distance-from-9856f4b0c8b1f2d9c4f1e0704fa4eba5" class="facility-search-form__label"> Within </label>
      <span class="icon--search" role="presentation" aria-hidden="true" focusable="false"></span>
      <div class="find-locations-form__select select-wrapper"><span class="select-wrapper__arrow icon--select" role="presentation" aria-hidden="true" focusable="false"></span><select
          data-drupal-selector="edit-latlng-distance-from-9856f4b0c8b1f2d9c4f1e0704fa4eba5" id="edit-latlng-distance-from-9856f4b0c8b1f2d9c4f1e0704fa4eba5" name="latlng[distance][from]" class="form-select simpler-select">
          <option value="8.04672">5 miles</option>
          <option value="16.0934">10 miles</option>
          <option value="32.1869" selected="selected">20 miles</option>
          <option value="80.4672">50 miles</option>
          <option value="160.9344">100 miles</option>
          <option value="-">Any miles</option>
        </select></div>
    </div>
  </div>
  <input class="latlng-source" data-drupal-selector="edit-latlng-value-9856f4b0c8b1f2d9c4f1e0704fa4eba5" type="hidden" name="latlng[value]" value="34.257038,-85.1646726">
  <input class="latlng-city" data-drupal-selector="edit-latlng-city-9856f4b0c8b1f2d9c4f1e0704fa4eba5" type="hidden" name="latlng[city]" value="Rome">
  <input class="latlng-state" data-drupal-selector="edit-latlng-state-9856f4b0c8b1f2d9c4f1e0704fa4eba5" type="hidden" name="latlng[state]" value="GA">
  <input class="latlng-precision" data-drupal-selector="edit-latlng-precision-9856f4b0c8b1f2d9c4f1e0704fa4eba5" type="hidden" name="latlng[precision]" value="city">
  <div class="find-locations-form__item ui-front js-form-item form-item js-form-type-search-api-autocomplete form-item-service js-form-item-service form-no-label">
    <div class="form-item__inner">
      <label for="edit-service-9856f4b0c8b1f2d9c4f1e0704fa4eba5" class="find-locations-form__label visually-hidden"> Service Offered </label>
      <span class="icon--search" role="presentation" aria-hidden="true" focusable="false"></span>
      <input placeholder="Search our services" data-drupal-selector="edit-service-9856f4b0c8b1f2d9c4f1e0704fa4eba5" data-search-api-autocomplete-search="ahs_facility_search_list__search_api_fulltext_1"
        class="form-autocomplete find-locations-form__input form-text ui-autocomplete-input" data-autocomplete-path="/search_api_autocomplete/ahs_facility_search_list__search_api_fulltext_1?display=wizard_exposed_form&amp;&amp;filter=service"
        aria-autocomplete="list" title="Service Offered" type="text" id="edit-service-9856f4b0c8b1f2d9c4f1e0704fa4eba5" name="service" value="" size="30" maxlength="128" data-once="autocomplete ahsAutocompleteAttach ahsAutocompleteOnFocus"
        autocomplete="off">
    </div>
    <ul id="ui-id-5" tabindex="0" class="ui-menu ui-widget ui-widget-content ui-autocomplete ui-front search-api-autocomplete-search" unselectable="on" style="display: none;"></ul>
  </div>
  <div class="find-locations-form__item ui-front js-form-item form-item js-form-type-search-api-autocomplete form-item-name js-form-item-name">
    <div class="form-item__inner">
      <label for="edit-name-9856f4b0c8b1f2d9c4f1e0704fa4eba5" class="find-locations-form__label visually-hidden"> Name of Care Location </label>
      <span class="icon--search" role="presentation" aria-hidden="true" focusable="false"></span>
      <input placeholder="Care Location Name" data-drupal-selector="edit-name-9856f4b0c8b1f2d9c4f1e0704fa4eba5" data-search-api-autocomplete-search="ahs_facility_search_list__search_api_fulltext"
        class="form-autocomplete find-locations-form__input form-text ui-autocomplete-input" data-autocomplete-path="/search_api_autocomplete/ahs_facility_search_list__search_api_fulltext?display=wizard_exposed_form&amp;&amp;filter=name"
        aria-autocomplete="list" title="Name of Care Location" type="text" id="edit-name-9856f4b0c8b1f2d9c4f1e0704fa4eba5" name="name" value="adventhealth medical group" size="30" maxlength="128"
        data-once="autocomplete ahsAutocompleteAttach ahsAutocompleteOnFocus" autocomplete="off">
    </div>
    <ul id="ui-id-6" tabindex="0" class="ui-menu ui-widget ui-widget-content ui-autocomplete ui-front search-api-autocomplete-search" unselectable="on" style="display: none;"></ul>
  </div>
  <div data-drupal-selector="edit-9856f4b0c8b1f2d9c4f1e0704fa4eba5" class="form-actions find-locations-form__actions js-form-wrapper form-wrapper" id="edit-9856f4b0c8b1f2d9c4f1e0704fa4eba5"><input data-views-ajax-submit-disabled=""
      class="ahs-views-action-submit ahs-views-submit button find-locations-form__submit js-form-submit form-submit" data-drupal-selector="edit-submit-ahs-facility-search-list-9856f4b0c8b1f2d9c4f1e0704fa4eba5" type="submit"
      id="edit-submit-ahs-facility-search-list-9856f4b0c8b1f2d9c4f1e0704fa4eba5" value="Continue">
  </div>
</form>

GET /find-doctors

<form class="views-exposed-form bef-exposed-form ahs-physician-search-wizard-form find-doctors-form__inner" data-jquery-validation="" data-drupal-selector="views-exposed-form-ahs-physician-search-global-exposed-form-jaetantj-yq"
  action="/find-doctors" method="get" id="views-exposed-form-ahs-physician-search-global-exposed-form--JAEtantj-yQ" accept-charset="UTF-8" novalidate="novalidate" data-once="ahs-theme--onload-search-form AhsJsJqueryValidate">
  <div class="find-doctors-form__item ui-front js-form-item form-item js-form-type-search form-item-search js-form-item-search form-no-label">
    <div class="form-item__inner">
      <label for="edit-search-fee908432482a6163a616bcef06b263c" class="find-doctors-form__label visually-hidden"> Enter a condition, specialty, doctor name, or practice name for which to search. </label>
      <span class="icon--search" role="presentation" aria-hidden="true" focusable="false"></span>
      <input class="physician-search-autocomplete-input find-doctors-form__input form-text ui-autocomplete-input" data-drupal-selector="edit-search-fee908432482a6163a616bcef06b263c"
        aria-describedby="edit-search-fee908432482a6163a616bcef06b263c--description" placeholder="Condition / specialty / name" title="Enter a condition, specialty, doctor name, or practice name for which to search." type="text"
        id="edit-search-fee908432482a6163a616bcef06b263c" name="search" value="" size="30" maxlength="128" data-once="ahsSearchPhysicianAutocomplete" autocomplete="off">
      <div id="edit-search-fee908432482a6163a616bcef06b263c--description" class="description visually-hidden"> Condition / specialty / name </div>
    </div>
    <ul id="ui-id-12" tabindex="0" class="ui-menu ui-widget ui-widget-content ui-autocomplete physician-autocomplete ui-front" unselectable="on" style="display: none;"></ul>
  </div>
  <div class="find-doctors-form__item ui-front js-form-item form-item js-form-type-textfield form-item-geolocation-geocoder-google-geocoding-api js-form-item-geolocation-geocoder-google-geocoding-api form-no-label">
    <div class="form-item__inner">
      <label for="edit-geolocation-geocoder-google-geocoding-api-fee908432482a6163a616bcef06b263c" class="find-doctors-form__label visually-hidden"> Enter an address, city, or zip code for which to search. </label>
      <span class="icon--location" role="presentation" aria-hidden="true" focusable="false"></span>
      <input class="form-autocomplete geolocation-views-filter-geocoder geolocation-geocoder-google-geocoding-api ahs-search-geolocation--has-submitted find-doctors-form__input form-text ui-autocomplete-input" data-source-identifier="latlng[value]"
        aria-autocomplete="list" aria-live="polite" data-geocoding-input-placeholder="Retrieving your location ..." data-sorts-geolocation-selector="[value=&quot;ahs_geolocation_latlng_distance_ASC&quot;]"
        data-drupal-selector="edit-geolocation-geocoder-google-geocoding-api-fee908432482a6163a616bcef06b263c" aria-describedby="edit-geolocation-geocoder-google-geocoding-api-fee908432482a6163a616bcef06b263c--description"
        placeholder="Address / City / Zip" title="Enter an address, city, or zip code for which to search." type="text" id="edit-geolocation-geocoder-google-geocoding-api-fee908432482a6163a616bcef06b263c"
        name="geolocation_geocoder_google_geocoding_api" value="Rome, GA" size="60" maxlength="128"
        data-once="autocomplete googleGeocodingAPIAttach ahs-search-geolocation--init ahsSearchGeolocationOnFocus ahsAutocompleteAttach ahsAutocompleteOnFocus" autocomplete="off">
      <span
        class="field-suffix"><a href="#" title="Use current location to search" aria-label="Use current location based on IP to search." role="button" data-input-aria-description="Key forward to the 'Use Current Location' link to select your location based on IP." data-ahs-search-my-location-submits-form="0" class="ahs-search-my-location-link u-link--blue--dark" rel="nofollow" data-once="ahs-search-geolocation--init ahs-search-geolocation--my-location-link-input-setup AhsJsAnchorLinks AhsMicrositesNonMsPage" aria-controls="edit-geolocation-geocoder-google-geocoding-api-fee908432482a6163a616bcef06b263c">Use Current Location</a>
        <span class="ahs-search-geolocation--my-location-not-available hidden" aria-hidden="true">Current Location Not Available</span></span>
      <div id="edit-geolocation-geocoder-google-geocoding-api-fee908432482a6163a616bcef06b263c--description" class="description visually-hidden"> Address / City / Zip <span class="ahs-search-geolocation--my-location-aria-description"> - Key forward
          to the 'Use Current Location' link to select your location based on IP.</span></div>
    </div>
    <ul id="ui-id-7" tabindex="0" class="ui-menu ui-widget ui-widget-content ui-autocomplete ui-front geolocation-geocoder-google-geocoding-api-autocomplete-list" unselectable="on" style="display: none;"></ul>
  </div>
  <input class="geolocation-geocoder-google-geocoding-api-state" data-source-identifier="latlng[value]" data-drupal-selector="edit-geolocation-geocoder-google-geocoding-api-state-fee908432482a6163a616bcef06b263c" type="hidden"
    name="geolocation_geocoder_google_geocoding_api_state" value="1">
  <input class="latlng-source" data-drupal-selector="edit-latlng-value-fee908432482a6163a616bcef06b263c" type="hidden" name="latlng[value]" value="34.257038,-85.1646726">
  <input class="latlng-city" data-drupal-selector="edit-latlng-city-fee908432482a6163a616bcef06b263c" type="hidden" name="latlng[city]" value="Rome">
  <input class="latlng-state" data-drupal-selector="edit-latlng-state-fee908432482a6163a616bcef06b263c" type="hidden" name="latlng[state]" value="GA">
  <input class="latlng-precision" data-drupal-selector="edit-latlng-precision-fee908432482a6163a616bcef06b263c" type="hidden" name="latlng[precision]" value="city">
  <div class="find-doctors-form__item ui-front js-form-item form-item js-form-type-select form-item-insurance js-form-item-insurance">
    <div class="form-item__inner">
      <label for="edit-insurance-fee908432482a6163a616bcef06b263c" class="find-doctors-form__label visually-hidden"> Choose an Insurance Provider </label>
      <span class="icon--search" role="presentation" aria-hidden="true" focusable="false"></span>
      <div class="find-doctors-form__select select-wrapper"><span class="select-wrapper__arrow icon--select" role="presentation" aria-hidden="true" focusable="false"></span><select
          data-drupal-selector="edit-insurance-fee908432482a6163a616bcef06b263c" id="edit-insurance-fee908432482a6163a616bcef06b263c" name="insurance" class="form-select simpler-select">
          <option value="All" selected="selected">Choose insurance later</option>
          <option value="AARP">AARP</option>
          <option value="AdventHealth Advantage Plan">AdventHealth Advantage Plan</option>
          <option value="AdventHealth Advantage Plans (all plans – employee, Rosen, Medicare Advantage, Individual)">AdventHealth Advantage Plans (all plans – employee, Rosen, Medicare Advantage, Individual)</option>
          <option value="AdventHealth Employee Plan">AdventHealth Employee Plan</option>
          <option value="Advocate Health Centers">Advocate Health Centers</option>
          <option value="Aetna">Aetna</option>
          <option value="Aetna-Coventry Medicare Individual HMO">Aetna-Coventry Medicare Individual HMO</option>
          <option value="Aetna-Coventry Medicare Individual PPO">Aetna-Coventry Medicare Individual PPO</option>
          <option value="Aetna / US Healthcare - non HMO">Aetna / US Healthcare - non HMO</option>
          <option value="Aetna / US Healthcare HMO">Aetna / US Healthcare HMO</option>
          <option value="Aetna/US Healthcare HMO">Aetna/US Healthcare HMO</option>
          <option value="Aetna ACA">Aetna ACA</option>
          <option value="Aetna ACO">Aetna ACO</option>
          <option value="Aetna AdventHealth Employee Plan">Aetna AdventHealth Employee Plan</option>
          <option value="Aetna Behavioral Health">Aetna Behavioral Health</option>
          <option value="Aetna Better Health">Aetna Better Health</option>
          <option value="Aetna Better Health - FL Medicaid">Aetna Better Health - FL Medicaid</option>
          <option value="Aetna Better Health-KS Medicaid">Aetna Better Health-KS Medicaid</option>
          <option value="Aetna Better Health-KY Medicaid">Aetna Better Health-KY Medicaid</option>
          <option value="Aetna EPO">Aetna EPO</option>
          <option value="Aetna HMO-POS">Aetna HMO-POS</option>
          <option value="Aetna Medicare Advantage">Aetna Medicare Advantage</option>
          <option value="Aetna Medicare Group/Retiree HMO/PPO">Aetna Medicare Group/Retiree HMO/PPO</option>
          <option value="Aetna POS">Aetna POS</option>
          <option value="Aetna PPO">Aetna PPO</option>
          <option value="Aetna Senior Supplemental Insurance">Aetna Senior Supplemental Insurance</option>
          <option value="Aetna Signature Administrators">Aetna Signature Administrators</option>
          <option value="Aetna Student Health">Aetna Student Health</option>
          <option value="Aetna Voluntary">Aetna Voluntary</option>
          <option value="Aetna Whole Health">Aetna Whole Health</option>
          <option value="AH Care Advantage">AH Care Advantage</option>
          <option value="Alicare">Alicare</option>
          <option value="Alignment Health Plan">Alignment Health Plan</option>
          <option value="Allegiance">Allegiance</option>
          <option value="Allegiance AdventHealth">Allegiance AdventHealth</option>
          <option value="Alliant Health Plan">Alliant Health Plan</option>
          <option value="Allied Benefit Systems">Allied Benefit Systems</option>
          <option value="Allwell (Wellcare) Medicare Advantage (KS &amp; MO)">Allwell (Wellcare) Medicare Advantage (KS &amp; MO)</option>
          <option value="Ambetter">Ambetter</option>
          <option value="Ambetter Exchange (KS &amp; MO)">Ambetter Exchange (KS &amp; MO)</option>
          <option value="Ameriben Solutions">Ameriben Solutions</option>
          <option value="American Healthcare Alliance">American Healthcare Alliance</option>
          <option value="American Insurance Admin">American Insurance Admin</option>
          <option value="Amerigroup">Amerigroup</option>
          <option value="Amerigroup - Americaid">Amerigroup - Americaid</option>
          <option value="Anthem Blue Cross Blue Shield">Anthem Blue Cross Blue Shield</option>
          <option value="Any insurance with out of network coverage">Any insurance with out of network coverage</option>
          <option value="APWU">APWU</option>
          <option value="Assurant Health">Assurant Health</option>
          <option value="Aultcare/Primetime Health Plan">Aultcare/Primetime Health Plan</option>
          <option value="Auto">Auto</option>
          <option value="Avesis">Avesis</option>
          <option value="AvMed">AvMed</option>
          <option value="AvMed HMO/PPO">AvMed HMO/PPO</option>
          <option value="Banker's Life">Banker's Life</option>
          <option value="BayCare Health Plans">BayCare Health Plans</option>
          <option value="BayCare Plus">BayCare Plus</option>
          <option value="BayCare Select">BayCare Select</option>
          <option value="BCBS-AZ">BCBS-AZ</option>
          <option value="BCBS-CANADA">BCBS-CANADA</option>
          <option value="BCBS-FL">BCBS-FL</option>
          <option value="BCBS-GA">BCBS-GA</option>
          <option value="BCBS-Kansas City">BCBS-Kansas City</option>
          <option value="BCBS-KY">BCBS-KY</option>
          <option value="BCBS-NC">BCBS-NC</option>
          <option value="BCBS-NC Blue Medicare">BCBS-NC Blue Medicare</option>
          <option value="BCBS-SC">BCBS-SC</option>
          <option value="BCBS-WI">BCBS-WI</option>
          <option value="BCBS ACA Exchange-Kansas City">BCBS ACA Exchange-Kansas City</option>
          <option value="BCBS HMO">BCBS HMO</option>
          <option value="BCBS POS">BCBS POS</option>
          <option value="BCBS PPO">BCBS PPO</option>
          <option value="Beacon Health Options">Beacon Health Options</option>
          <option value="Beacon Health Strategies">Beacon Health Strategies</option>
          <option value="Beech Street">Beech Street</option>
          <option value="Behavioral Health Payors">Behavioral Health Payors</option>
          <option value="Bell County Public Health District">Bell County Public Health District</option>
          <option value="Benefit Administrative Systems">Benefit Administrative Systems</option>
          <option value="Better Health">Better Health</option>
          <option value="BIND On Demand with UHC Choice Plus">BIND On Demand with UHC Choice Plus</option>
          <option value="BlueBell Creameries">BlueBell Creameries</option>
          <option value="BlueCare">BlueCare</option>
          <option value="Blue Cross-CA">Blue Cross-CA</option>
          <option value="Blue Cross/Blue Shield">Blue Cross/Blue Shield</option>
          <option value="Blue Medicare Advantage-Kansas City">Blue Medicare Advantage-Kansas City</option>
          <option value="BlueOptions">BlueOptions</option>
          <option value="Blue Select">Blue Select</option>
          <option value="Blue Select Plus">Blue Select Plus</option>
          <option value="Bright Health">Bright Health</option>
          <option value="Brookshire Brothers">Brookshire Brothers</option>
          <option value="CarePlus">CarePlus</option>
          <option value="Care Plus Health Plan">Care Plus Health Plan</option>
          <option value="Caresource">Caresource</option>
          <option value="Caresource KY">Caresource KY</option>
          <option value="Careworks">Careworks</option>
          <option value="Careworks PPO">Careworks PPO</option>
          <option value="Carolina Crescent Health Plan">Carolina Crescent Health Plan</option>
          <option value="Central Florida IPA">Central Florida IPA</option>
          <option value="Century Health Solutions">Century Health Solutions</option>
          <option value="Champus">Champus</option>
          <option value="Champus Tricare For Life">Champus Tricare For Life</option>
          <option value="Champus Tricare West">Champus Tricare West</option>
          <option value="Champva">Champva</option>
          <option value="CHC National">CHC National</option>
          <option value="CHC of Florida">CHC of Florida</option>
          <option value="CHC of Georgia">CHC of Georgia</option>
          <option value="CHC of KS-Kansas City">CHC of KS-Kansas City</option>
          <option value="CHC of Louisiana">CHC of Louisiana</option>
          <option value="CHC of Missouri">CHC of Missouri</option>
          <option value="CHC of The Carolinas/Wellpath">CHC of The Carolinas/Wellpath</option>
          <option value="Choicecare (Cinci OH)">Choicecare (Cinci OH)</option>
          <option value="ChoiceCare Humana PPO">ChoiceCare Humana PPO</option>
          <option value="Cigna">Cigna</option>
          <option value="Cigna-Healthspring">Cigna-Healthspring</option>
          <option value="Cigna BayCare">Cigna BayCare</option>
          <option value="Cigna Behavioral">Cigna Behavioral</option>
          <option value="Cigna Bravo Health MCA">Cigna Bravo Health MCA</option>
          <option value="Cigna CAC">Cigna CAC</option>
          <option value="Cigna Connect">Cigna Connect</option>
          <option value="Cigna EPO">Cigna EPO</option>
          <option value="Cigna HealthSpring Medicare Advantage HMO">Cigna HealthSpring Medicare Advantage HMO</option>
          <option value="Cigna HMO">Cigna HMO</option>
          <option value="Cigna POS">Cigna POS</option>
          <option value="Cigna PPO">Cigna PPO</option>
          <option value="Cigna Supplemental Insurance">Cigna Supplemental Insurance</option>
          <option value="Clear Health">Clear Health</option>
          <option value="Coalition">Coalition</option>
          <option value="Coastal Healthcare Admin">Coastal Healthcare Admin</option>
          <option value="Commercial Travelers">Commercial Travelers</option>
          <option value="CommunityCare OK">CommunityCare OK</option>
          <option value="Community Health Plan of MO">Community Health Plan of MO</option>
          <option value="Continental General Ins">Continental General Ins</option>
          <option value="Contracts">Contracts</option>
          <option value="Coordinated Care">Coordinated Care</option>
          <option value="Coresource">Coresource</option>
          <option value="Corporate Billing">Corporate Billing</option>
          <option value="Corvel">Corvel</option>
          <option value="Coventry-Aetna Medicare Advantage HMO &amp; PPO">Coventry-Aetna Medicare Advantage HMO &amp; PPO</option>
          <option value="Coventry/First Health Network/GEHA">Coventry/First Health Network/GEHA</option>
          <option value="Coventry Cares of KY">Coventry Cares of KY</option>
          <option value="Coventry HMO">Coventry HMO</option>
          <option value="Coventry PPO">Coventry PPO</option>
          <option value="CWI Benefits/ManageMed">CWI Benefits/ManageMed</option>
          <option value="Delta Dental">Delta Dental</option>
          <option value="Devoted Health">Devoted Health</option>
          <option value="Disney Direct">Disney Direct</option>
          <option value="Employee Benefit Consultants">Employee Benefit Consultants</option>
          <option value="Everence">Everence</option>
          <option value="Evolutions Healthcare">Evolutions Healthcare</option>
          <option value="FamilyCare Health Plans">FamilyCare Health Plans</option>
          <option value="Farm Bureau with United HealthCare Choice Plus">Farm Bureau with United HealthCare Choice Plus</option>
          <option value="Federal Black Lung Benefits">Federal Black Lung Benefits</option>
          <option value="FHHS-FH Care Advantage">FHHS-FH Care Advantage</option>
          <option value="FirstCare Health Plans">FirstCare Health Plans</option>
          <option value="First Health Network">First Health Network</option>
          <option value="FL-Aetna Better Health (Medicaid HMO)">FL-Aetna Better Health (Medicaid HMO)</option>
          <option value="FL-Aetna Better Health of FL Healthy Kids">FL-Aetna Better Health of FL Healthy Kids</option>
          <option value="FL-Aetna Commercial (EPO, Managed Choice, PPO, HMO)">FL-Aetna Commercial (EPO, Managed Choice, PPO, HMO)</option>
          <option value="FL-Aetna Medicare HMO/PPO">FL-Aetna Medicare HMO/PPO</option>
          <option value="FL-AHPN (CIN Central South)">FL-AHPN (CIN Central South)</option>
          <option value="FL-AHPN Allegiance/Disney">FL-AHPN Allegiance/Disney</option>
          <option value="FL-AHPN Bright Health Commercial EPO">FL-AHPN Bright Health Commercial EPO</option>
          <option value="FL-AHPN Bright Health Medicare">FL-AHPN Bright Health Medicare</option>
          <option value="FL-AHPN Cigna Surefit HMO, PPO, POS">FL-AHPN Cigna Surefit HMO, PPO, POS</option>
          <option value="FL-AHPN Oscar Health EPO">FL-AHPN Oscar Health EPO</option>
          <option value="FL-AHPN Sunshine-Ambetter">FL-AHPN Sunshine-Ambetter</option>
          <option value="FL-Av-Med Commercial (HMO, POS, PPO)">FL-Av-Med Commercial (HMO, POS, PPO)</option>
          <option value="FL-BCBS Blue Medicare">FL-BCBS Blue Medicare</option>
          <option value="FL-BCBS Blue Select">FL-BCBS Blue Select</option>
          <option value="FL-BCBS Comm (Bl Care HO, Bl Choice PPC, NWB, PPS)">FL-BCBS Comm (Bl Care HO, Bl Choice PPC, NWB, PPS)</option>
          <option value="FL-BCBS myBlue HMO">FL-BCBS myBlue HMO</option>
          <option value="FL-CIGNA Comm (Open Accs Plus, POS Open Accs, PPO)">FL-CIGNA Comm (Open Accs Plus, POS Open Accs, PPO)</option>
          <option value="FL-Cigna HealthSpring Medicare Advantage HMO">FL-Cigna HealthSpring Medicare Advantage HMO</option>
          <option value="FL-Coventry First Health (Commercial)">FL-Coventry First Health (Commercial)</option>
          <option value="FL-Devoted Health Medicare (HMO/PPO/POS/D-SNP)">FL-Devoted Health Medicare (HMO/PPO/POS/D-SNP)</option>
          <option value="FL-Evolutions">FL-Evolutions</option>
          <option value="FL-FHHS AdventHealth Advantage Plan Medicare Advan">FL-FHHS AdventHealth Advantage Plan Medicare Advan</option>
          <option value="FL-FHHS AdventHealth Indiv/Family Plan, HMO, POS, EPO">FL-FHHS AdventHealth Indiv/Family Plan, HMO, POS, EPO</option>
          <option value="FL-FHHS Aetna/AdventHealth Employee Plan">FL-FHHS Aetna/AdventHealth Employee Plan</option>
          <option value="FL-FHHS EPO (Commercial)">FL-FHHS EPO (Commercial)</option>
          <option value="FL-FHHS EPO Employees">FL-FHHS EPO Employees</option>
          <option value="FL-FHHS HealthFirst Indiv/Family Plan (HMO, POS, EPO)">FL-FHHS HealthFirst Indiv/Family Plan (HMO, POS, EPO)</option>
          <option value="FL-FHHS HealthFirst Medicare Advantage Plan">FL-FHHS HealthFirst Medicare Advantage Plan</option>
          <option value="FL-FHHS Rosen Hotels">FL-FHHS Rosen Hotels</option>
          <option value="FL-FHWHS EPO">FL-FHWHS EPO</option>
          <option value="FL-Florida Community Care Medicaid">FL-Florida Community Care Medicaid</option>
          <option value="FL-Florida Hospital Care Advantage Medicare">FL-Florida Hospital Care Advantage Medicare</option>
          <option value="FL-Fortified PPO">FL-Fortified PPO</option>
          <option value="FL-Freedom Medicare">FL-Freedom Medicare</option>
          <option value="FL-Health First Health Plans HMO &amp; Medicare">FL-Health First Health Plans HMO &amp; Medicare</option>
          <option value="FL-Humana (Medicare) HMO">FL-Humana (Medicare) HMO</option>
          <option value="FL-Humana (Medicare) PPO/PFFS">FL-Humana (Medicare) PPO/PFFS</option>
          <option value="FL-Humana Comm (EPO/HMO/POS/PPO/SmtNet PPO/Open Accs)">FL-Humana Comm (EPO/HMO/POS/PPO/SmtNet PPO/Open Accs)</option>
          <option value="FL-Humana Commercial (EPO, POS, PPO, SmartNet PPO)">FL-Humana Commercial (EPO, POS, PPO, SmartNet PPO)</option>
          <option value="FL-Longevity Health Plan (Medicare)">FL-Longevity Health Plan (Medicare)</option>
          <option value="FL-Magellan Complete (Medicaid Spec Plan)">FL-Magellan Complete (Medicaid Spec Plan)</option>
          <option value="FL-Medicaid">FL-Medicaid</option>
          <option value="FL-Medicare">FL-Medicare</option>
          <option value="FL-Molina FL SMI Specialty Plan (Medicaid)">FL-Molina FL SMI Specialty Plan (Medicaid)</option>
          <option value="FL-Molina Healthcare Medicaid">FL-Molina Healthcare Medicaid</option>
          <option value="FL-Molina Healthcare Medicare">FL-Molina Healthcare Medicare</option>
          <option value="FL-MultiPlan/Beech Street/Private Healthcare Systm">FL-MultiPlan/Beech Street/Private Healthcare Systm</option>
          <option value="FL-NPPN PPO/Coalition America">FL-NPPN PPO/Coalition America</option>
          <option value="FL-Optimum Medicare HMO">FL-Optimum Medicare HMO</option>
          <option value="FL-Simply Health Plans Healthy Kids">FL-Simply Health Plans Healthy Kids</option>
          <option value="FL-Simply Health Plans Medicaid">FL-Simply Health Plans Medicaid</option>
          <option value="FL-Simply Health Plans Medicaid - Clear Health All">FL-Simply Health Plans Medicaid - Clear Health All</option>
          <option value="FL-Simply Health Plans Medicare">FL-Simply Health Plans Medicare</option>
          <option value="FL-Sunshine State - Medicaid">FL-Sunshine State - Medicaid</option>
          <option value="FL-Sunshine State - Medicare">FL-Sunshine State - Medicare</option>
          <option value="FL-Tricare Humana Military">FL-Tricare Humana Military</option>
          <option value="FL-Tricare Select">FL-Tricare Select</option>
          <option value="FL-United (Medicaid)">FL-United (Medicaid)</option>
          <option value="FL-United Commercial (HMO, POS, PPO)">FL-United Commercial (HMO, POS, PPO)</option>
          <option value="FL-United Exchange Benefit Plan (IEX)">FL-United Exchange Benefit Plan (IEX)</option>
          <option value="FL-United Medicare Complete Choice, Evercare HMO">FL-United Medicare Complete Choice, Evercare HMO</option>
          <option value="FL-VA Community Care Network (UHC)">FL-VA Community Care Network (UHC)</option>
          <option value="FL-WellCare/Staywell  (Medicaid)">FL-WellCare/Staywell (Medicaid)</option>
          <option value="FL-WellCare/Staywell Childrens Medical Svcs (CMS)">FL-WellCare/Staywell Childrens Medical Svcs (CMS)</option>
          <option value="FL-WellCare Health Plan (Medicare)">FL-WellCare Health Plan (Medicare)</option>
          <option value="Florida Blue (PPO, HMO – no My Blue)">Florida Blue (PPO, HMO – no My Blue)</option>
          <option value="Florida Blue/GuideWell">Florida Blue/GuideWell</option>
          <option value="Florida Health Care">Florida Health Care</option>
          <option value="Florida Health Care Plan">Florida Health Care Plan</option>
          <option value="Florida Health Solutions">Florida Health Solutions</option>
          <option value="Florida Hospital HC Systems">Florida Hospital HC Systems</option>
          <option value="Florida Hospital Health Insurance">Florida Hospital Health Insurance</option>
          <option value="Focus">Focus</option>
          <option value="Fortified Provider Network, Inc.">Fortified Provider Network, Inc.</option>
          <option value="Freedom/Optimum">Freedom/Optimum</option>
          <option value="Freedom Health">Freedom Health</option>
          <option value="Freedom Life">Freedom Life</option>
          <option value="Galaxy Health Network">Galaxy Health Network</option>
          <option value="GEHA">GEHA</option>
          <option value="GHI">GHI</option>
          <option value="Gilsbar">Gilsbar</option>
          <option value="Global Care">Global Care</option>
          <option value="Great West">Great West</option>
          <option value="Group &amp; Pension Administrators">Group &amp; Pension Administrators</option>
          <option value="Group Health Cooperative">Group Health Cooperative</option>
          <option value="Hallmark employees with United HealthCare">Hallmark employees with United HealthCare</option>
          <option value="Harken Health">Harken Health</option>
          <option value="Healthcare Partners IPA">Healthcare Partners IPA</option>
          <option value="Health Design Plus">Health Design Plus</option>
          <option value="Healthease of FL">Healthease of FL</option>
          <option value="Health First Health Plans">Health First Health Plans</option>
          <option value="HealthFirst TPA">HealthFirst TPA</option>
          <option value="Healthgram">Healthgram</option>
          <option value="HealthLink-NCPPO">HealthLink-NCPPO</option>
          <option value="HealthNet Federal Services (Tricare)">HealthNet Federal Services (Tricare)</option>
          <option value="HealthPartners">HealthPartners</option>
          <option value="Health Partners of KS">Health Partners of KS</option>
          <option value="HealthReach">HealthReach</option>
          <option value="Healthscope Benefits Inc">Healthscope Benefits Inc</option>
          <option value="HealthSmart Accel &amp; Preferred Networks">HealthSmart Accel &amp; Preferred Networks</option>
          <option value="HealthSmart Benefit Solutions/Wells Fargo TPA">HealthSmart Benefit Solutions/Wells Fargo TPA</option>
          <option value="HealthSmart PPO">HealthSmart PPO</option>
          <option value="Hillsborough County Healthcare">Hillsborough County Healthcare</option>
          <option value="Home State Health Allwell Medicare Advantage">Home State Health Allwell Medicare Advantage</option>
          <option value="Home State Health Ambetter Exchange">Home State Health Ambetter Exchange</option>
          <option value="Humana">Humana</option>
          <option value="Humana Behavioral">Humana Behavioral</option>
          <option value="Humana EPO">Humana EPO</option>
          <option value="Humana Gold Medicare Advantage">Humana Gold Medicare Advantage</option>
          <option value="Humana HMO">Humana HMO</option>
          <option value="Humana POS">Humana POS</option>
          <option value="Humana PPO">Humana PPO</option>
          <option value="HVHS">HVHS</option>
          <option value="IL-Access To Care">IL-Access To Care</option>
          <option value="IL-Accountable Care Organization">IL-Accountable Care Organization</option>
          <option value="IL-ACTIN">IL-ACTIN</option>
          <option value="IL-Adventist Health Network">IL-Adventist Health Network</option>
          <option value="IL-Aetna Better Health (ABD)">IL-Aetna Better Health (ABD)</option>
          <option value="IL-Aetna Better Health MMAI">IL-Aetna Better Health MMAI</option>
          <option value="IL-All Kids">IL-All Kids</option>
          <option value="IL-Ascension Health Medicare">IL-Ascension Health Medicare</option>
          <option value="IL-Blue Choice PPO">IL-Blue Choice PPO</option>
          <option value="IL-Blue Choice PPO – Unite Here Health">IL-Blue Choice PPO – Unite Here Health</option>
          <option value="IL-Blue Cross/Blue Shield-MCNP PPO">IL-Blue Cross/Blue Shield-MCNP PPO</option>
          <option value="IL-Blue Cross/Blue Shield-Workers Choice WC">IL-Blue Cross/Blue Shield-Workers Choice WC</option>
          <option value="IL-Blue Cross/Blue Shield Community ICP">IL-Blue Cross/Blue Shield Community ICP</option>
          <option value="IL-Blue Cross/Blue Shield HMO Medicaid">IL-Blue Cross/Blue Shield HMO Medicaid</option>
          <option value="IL-Blue Cross/Blue Shield Medicare Advantage">IL-Blue Cross/Blue Shield Medicare Advantage</option>
          <option value="IL-Blue Cross Community Family Health/Medicaid">IL-Blue Cross Community Family Health/Medicaid</option>
          <option value="IL-Bright Health Medicare HMO">IL-Bright Health Medicare HMO</option>
          <option value="IL-Clear Springs Health (Medicare HMO)">IL-Clear Springs Health (Medicare HMO)</option>
          <option value="IL-County Care–Medicaid">IL-County Care–Medicaid</option>
          <option value="IL-Harmony (Medicaid) Insurance">IL-Harmony (Medicaid) Insurance</option>
          <option value="IL-Healthlink HMO/PPO">IL-Healthlink HMO/PPO</option>
          <option value="IL-HFN, Inc">IL-HFN, Inc</option>
          <option value="IL-Humana Gold Plus">IL-Humana Gold Plus</option>
          <option value="IL-Humana Medicare Advantage">IL-Humana Medicare Advantage</option>
          <option value="IL-Illini Care (Medicaid ABD)">IL-Illini Care (Medicaid ABD)</option>
          <option value="IL-IlliniCare Medicaid - Medicare">IL-IlliniCare Medicaid - Medicare</option>
          <option value="IL-Kidcare">IL-Kidcare</option>
          <option value="IL-Medicaid">IL-Medicaid</option>
          <option value="IL-Medicare">IL-Medicare</option>
          <option value="IL-Meridian (Medicaid)">IL-Meridian (Medicaid)</option>
          <option value="IL-MultiPlan/PHCS Savility">IL-MultiPlan/PHCS Savility</option>
          <option value="IL-PPONEXT (Healthstar/PHN)">IL-PPONEXT (Healthstar/PHN)</option>
          <option value="IL-Smart Health">IL-Smart Health</option>
          <option value="IL-Tricare">IL-Tricare</option>
          <option value="Imagine Health">Imagine Health</option>
          <option value="Independent Medical Systems">Independent Medical Systems</option>
          <option value="Injury Management org">Injury Management org</option>
          <option value="Insurance Mgmt Admin of LA">Insurance Mgmt Admin of LA</option>
          <option value="IU Health Plan">IU Health Plan</option>
          <option value="Kelsey Seybold">Kelsey Seybold</option>
          <option value="Key Benefit Administrators">Key Benefit Administrators</option>
          <option value="Maestro Health">Maestro Health</option>
          <option value="Magellan Behavioral">Magellan Behavioral</option>
          <option value="Magellan Complete Care">Magellan Complete Care</option>
          <option value="Magellan Health">Magellan Health</option>
          <option value="Magellan Providers of Texas">Magellan Providers of Texas</option>
          <option value="Mayo Management Services (MMSI)">Mayo Management Services (MMSI)</option>
          <option value="Medcost">Medcost</option>
          <option value="Medica">Medica</option>
          <option value="Medicaid">Medicaid</option>
          <option value="Medicaid-AL">Medicaid-AL</option>
          <option value="Medicaid-FL">Medicaid-FL</option>
          <option value="Medicaid-FL Institutional">Medicaid-FL Institutional</option>
          <option value="Medicaid-GA">Medicaid-GA</option>
          <option value="Medicaid-KS">Medicaid-KS</option>
          <option value="Medicaid-KY">Medicaid-KY</option>
          <option value="Medicaid-KY Passport HP">Medicaid-KY Passport HP</option>
          <option value="Medicaid-MO Professional">Medicaid-MO Professional</option>
          <option value="Medicaid-NC">Medicaid-NC</option>
          <option value="Medicaid-Virgin Islands">Medicaid-Virgin Islands</option>
          <option value="Medicaid-WI">Medicaid-WI</option>
          <option value="Medicaid KANCARE">Medicaid KANCARE</option>
          <option value="Medical Mutual of Ohio">Medical Mutual of Ohio</option>
          <option value="Medical Systems">Medical Systems</option>
          <option value="Medicare">Medicare</option>
          <option value="Medicare Advantage PFFS">Medicare Advantage PFFS</option>
          <option value="Medicare Part A and/or B">Medicare Part A and/or B</option>
          <option value="Medicare PBB">Medicare PBB</option>
          <option value="Medicare PIN">Medicare PIN</option>
          <option value="Medicare Railroad - Palmetto">Medicare Railroad - Palmetto</option>
          <option value="Medicare RHC/FQHC">Medicare RHC/FQHC</option>
          <option value="Medicare Supplement Policies">Medicare Supplement Policies</option>
          <option value="Medica through United Healthcare">Medica through United Healthcare</option>
          <option value="MEDICA with United Healthcare">MEDICA with United Healthcare</option>
          <option value="Medico Insurance Company">Medico Insurance Company</option>
          <option value="MedRisk">MedRisk</option>
          <option value="Memorial Integrated Healthcare">Memorial Integrated Healthcare</option>
          <option value="Mental Health">Mental Health</option>
          <option value="Meritain Health">Meritain Health</option>
          <option value="Midland Memorial Hosital">Midland Memorial Hosital</option>
          <option value="Molina Healthcare of FL">Molina Healthcare of FL</option>
          <option value="Multiplan">Multiplan</option>
          <option value="Mutual of Omaha">Mutual of Omaha</option>
          <option value="MVA">MVA</option>
          <option value="MVP (Mohawk Valley Plan)">MVP (Mohawk Valley Plan)</option>
          <option value="MyBlue">MyBlue</option>
          <option value="Neighborhood Health Ptnr">Neighborhood Health Ptnr</option>
          <option value="New Century Health">New Century Health</option>
          <option value="New Directions Behavioral Health">New Directions Behavioral Health</option>
          <option value="NGS Coresource">NGS Coresource</option>
          <option value="Nippon Life Benefits">Nippon Life Benefits</option>
          <option value="OccuNet">OccuNet</option>
          <option value="Occupational Health Management">Occupational Health Management</option>
          <option value="OneNet PPO">OneNet PPO</option>
          <option value="Optimum Healthcare">Optimum Healthcare</option>
          <option value="OptumCare">OptumCare</option>
          <option value="Optum Health">Optum Health</option>
          <option value="Optum VA">Optum VA</option>
          <option value="Oscar">Oscar</option>
          <option value="Oscar Health">Oscar Health</option>
          <option value="Other Commercial (MedLic#)">Other Commercial (MedLic#)</option>
          <option value="Oxford">Oxford</option>
          <option value="Palmetto GBA Railroad">Palmetto GBA Railroad</option>
          <option value="Paradigm">Paradigm</option>
          <option value="Paragon Benefits">Paragon Benefits</option>
          <option value="Partners Behavioral Hlth Mgmt">Partners Behavioral Hlth Mgmt</option>
          <option value="PaySpan">PaySpan</option>
          <option value="Peach State Health Plan">Peach State Health Plan</option>
          <option value="Ped-I-Care/ CMS">Ped-I-Care/ CMS</option>
          <option value="PHCS">PHCS</option>
          <option value="PlanVista">PlanVista</option>
          <option value="Point Comfort">Point Comfort</option>
          <option value="Political Subdivision">Political Subdivision</option>
          <option value="POMCO">POMCO</option>
          <option value="PreferredOne">PreferredOne</option>
          <option value="Prestige Health Choice">Prestige Health Choice</option>
          <option value="Prime Health">Prime Health</option>
          <option value="Prime Health Services">Prime Health Services</option>
          <option value="Principal Financial Group">Principal Financial Group</option>
          <option value="ProvDRs">ProvDRs</option>
          <option value="ProviDRs">ProviDRs</option>
          <option value="PsycHealth">PsycHealth</option>
          <option value="Pyramid Life Insurance Company">Pyramid Life Insurance Company</option>
          <option value="Qualcare">Qualcare</option>
          <option value="Railroad Medicaid">Railroad Medicaid</option>
          <option value="Railroad Medicare-Palmetto">Railroad Medicare-Palmetto</option>
          <option value="Redmond Occupational Health">Redmond Occupational Health</option>
          <option value="Renaissance Physician Org">Renaissance Physician Org</option>
          <option value="Rockwell">Rockwell</option>
          <option value="S&amp;S Healthcare Strategies">S&amp;S Healthcare Strategies</option>
          <option value="Scott &amp; White Health Plan">Scott &amp; White Health Plan</option>
          <option value="Seafarers Health Benefits">Seafarers Health Benefits</option>
          <option value="Security Health Plan">Security Health Plan</option>
          <option value="Sedgwick Preferred Network">Sedgwick Preferred Network</option>
          <option value="Select Health of UT">Select Health of UT</option>
          <option value="Self-Pay">Self-Pay</option>
          <option value="Simply Health">Simply Health</option>
          <option value="Simply Healthcare">Simply Healthcare</option>
          <option value="SISCO">SISCO</option>
          <option value="Solis Health Plans">Solis Health Plans</option>
          <option value="Spira Care with Blue Select Plus">Spira Care with Blue Select Plus</option>
          <option value="Starmark">Starmark</option>
          <option value="State Farm Insurance">State Farm Insurance</option>
          <option value="Staywell">Staywell</option>
          <option value="Sterling Life Insur Co">Sterling Life Insur Co</option>
          <option value="Sunflower (Kansas Medicaid)">Sunflower (Kansas Medicaid)</option>
          <option value="Sunflower AllWell Medicare Advantage">Sunflower AllWell Medicare Advantage</option>
          <option value="Sunflower AmBetter Exchange">Sunflower AmBetter Exchange</option>
          <option value="Sunflower State Health Plan">Sunflower State Health Plan</option>
          <option value="Sunshine">Sunshine</option>
          <option value="Sunshine State Health Plan">Sunshine State Health Plan</option>
          <option value="Superior">Superior</option>
          <option value="Texas Health Aetna PPO">Texas Health Aetna PPO</option>
          <option value="The Health Plan">The Health Plan</option>
          <option value="Three Rivers Insurance">Three Rivers Insurance</option>
          <option value="TML">TML</option>
          <option value="Today's Option Pyramid Life">Today's Option Pyramid Life</option>
          <option value="Total Claims Administration Inc">Total Claims Administration Inc</option>
          <option value="Tri-Care">Tri-Care</option>
          <option value="Tricare-HealthNet Federal Services">Tricare-HealthNet Federal Services</option>
          <option value="Tricare East">Tricare East</option>
          <option value="Tricare for Life">Tricare for Life</option>
          <option value="Tricare Prime">Tricare Prime</option>
          <option value="Tricare Select">Tricare Select</option>
          <option value="Tricare Standard">Tricare Standard</option>
          <option value="Tricare West">Tricare West</option>
          <option value="TriWest">TriWest</option>
          <option value="Trustmark Insurance Co">Trustmark Insurance Co</option>
          <option value="UCare">UCare</option>
          <option value="Ultimate Healthcare">Ultimate Healthcare</option>
          <option value="Unicare">Unicare</option>
          <option value="Uninsured">Uninsured</option>
          <option value="United">United</option>
          <option value="United-Medicaid">United-Medicaid</option>
          <option value="United American Ins">United American Ins</option>
          <option value="United Behavioral">United Behavioral</option>
          <option value="United DSNP">United DSNP</option>
          <option value="United Healthcare">United Healthcare</option>
          <option value="United Healthcare - The Empire Plan">United Healthcare - The Empire Plan</option>
          <option value="United Healthcare Choice Plus">United Healthcare Choice Plus</option>
          <option value="United Healthcare Community Plan">United Healthcare Community Plan</option>
          <option value="United Healthcare Community Plan (Kansas Medicaid)">United Healthcare Community Plan (Kansas Medicaid)</option>
          <option value="United Healthcare Community Plan of KY">United Healthcare Community Plan of KY</option>
          <option value="United Healthcare Compass Plans">United Healthcare Compass Plans</option>
          <option value="United Healthcare Dual Complete">United Healthcare Dual Complete</option>
          <option value="United Healthcare Dual Medicare &amp; Medicaid">United Healthcare Dual Medicare &amp; Medicaid</option>
          <option value="United Healthcare Golden Rule">United Healthcare Golden Rule</option>
          <option value="United Healthcare HMO">United Healthcare HMO</option>
          <option value="United Healthcare Life Ins Co">United Healthcare Life Ins Co</option>
          <option value="United Healthcare Medicare Advantage">United Healthcare Medicare Advantage</option>
          <option value="United Healthcare of River Valley">United Healthcare of River Valley</option>
          <option value="United Healthcare POS">United Healthcare POS</option>
          <option value="United Healthcare PPO">United Healthcare PPO</option>
          <option value="United Healthcare Student Resources">United Healthcare Student Resources</option>
          <option value="United Healthcare West">United Healthcare West</option>
          <option value="UnitedHealth Care – WellMed">UnitedHealth Care – WellMed</option>
          <option value="UnitedHealthOne">UnitedHealthOne</option>
          <option value="United Medical Resources">United Medical Resources</option>
          <option value="United Medicare Supplement">United Medicare Supplement</option>
          <option value="UPMC Health Plan">UPMC Health Plan</option>
          <option value="US Dept of Labor-Workers Comp">US Dept of Labor-Workers Comp</option>
          <option value="VACCN">VACCN</option>
          <option value="VA Community Care">VA Community Care</option>
          <option value="Vaya Health">Vaya Health</option>
          <option value="Veterans Affairs-Federal">Veterans Affairs-Federal</option>
          <option value="Veterans Affairs - HealthNet">Veterans Affairs - HealthNet</option>
          <option value="Viva Health">Viva Health</option>
          <option value="Web TPA">Web TPA</option>
          <option value="Wellcare">Wellcare</option>
          <option value="Wellcare of KY">Wellcare of KY</option>
          <option value="Wellmed">Wellmed</option>
          <option value="Wellspan Health">Wellspan Health</option>
          <option value="Wisconsin Physicians Services">Wisconsin Physicians Services</option>
          <option value="Work Comp">Work Comp</option>
          <option value="Workers' Comp Alliance">Workers' Comp Alliance</option>
          <option value="Workers Compensation">Workers Compensation</option>
        </select></div>
    </div>
  </div>
  <div class="find-doctors-form__item ui-front js-form-item form-item js-form-type-select form-item-reason js-form-item-reason form-no-label">
    <div class="form-item__inner">
      <label for="edit-reason-fee908432482a6163a616bcef06b263c" class="find-doctors-form__label visually-hidden js-form-required form-required"> Reason for Visit </label>
      <span class="icon--search" role="presentation" aria-hidden="true" focusable="false"></span>
      <div class="find-doctors-form__select select-wrapper"><span class="select-wrapper__arrow icon--select" role="presentation" aria-hidden="true" focusable="false"></span><select aria-label="Reason for Visit"
          data-msg-required="Reason for Visit selection is required." data-drupal-selector="edit-reason-fee908432482a6163a616bcef06b263c" id="edit-reason-fee908432482a6163a616bcef06b263c" name="reason" class="form-select required simpler-select"
          required="required" aria-required="true">
          <option value="" selected="selected">Select Visit Reason (required)</option>
          <option value="3">Annual Exam</option>
          <option value="1">New Patient</option>
          <option value="2">Return Visit or Sick</option>
        </select></div>
    </div>
  </div>
  <div class="hidden find-doctors-form__item ui-front js-form-item form-item js-form-type-select form-item-sort-bef-combine js-form-item-sort-bef-combine" aria-hidden="true">
    <div class="form-item__inner">
      <label for="edit-sort-bef-combine-fee908432482a6163a616bcef06b263c" class="find-doctors-form__label"> Sort by </label>
      <span class="icon--search" role="presentation" aria-hidden="true" focusable="false"></span>
      <div class="find-doctors-form__select find-doctors-form__sort-wrapper select-wrapper"><span class="select-wrapper__arrow icon--select" role="presentation" aria-hidden="true" focusable="false"></span><select
          class="ahs-exposed-sort-options-wrapper physicians-search-results-form__sort hidden form-select simpler-select" data-bef-auto-submit="" data-drupal-selector="edit-sort-bef-combine-fee908432482a6163a616bcef06b263c" aria-hidden="true"
          id="edit-sort-bef-combine-fee908432482a6163a616bcef06b263c" name="sort_bef_combine" data-once="ahs-views-bef-auto-submit">
          <option value="ahs_provider_availability_sort_ASC">Availability</option>
          <option value="provider_tiering_ASC">Best Match</option>
          <option value="ahs_geolocation_latlng_distance_ASC" selected="selected">Distance</option>
          <option value="provider_sort_name_ASC">Name (A-Z)</option>
          <option value="provider_sort_name_DESC">Name (Z-A)</option>
        </select></div>
    </div>
  </div>
  <input data-drupal-selector="edit-cat" type="hidden" name="cat" value="doctor">
  <div data-drupal-selector="edit-fee908432482a6163a616bcef06b263c" class="form-actions js-form-wrapper form-wrapper" id="edit-fee908432482a6163a616bcef06b263c"><input data-views-ajax-submit-disabled=""
      class="ahs-views-action-submit ahs-views-submit button find-doctors-form__submit js-form-submit form-submit" data-bef-auto-submit-click="" data-drupal-selector="edit-submit-ahs-physician-search-2-fee908432482a6163a616bcef06b263c" type="submit"
      id="edit-submit-ahs-physician-search--2-fee908432482a6163a616bcef06b263c" value="Continue">
  </div>
</form>

GET /find-a-location

<form class="views-exposed-form bef-exposed-form facility-search-form__form" data-drupal-selector="views-exposed-form-ahs-facility-search-list-map-w14gbk4xcqo" action="/find-a-location" method="get"
  id="views-exposed-form-ahs-facility-search-list-map--w14Gbk4XCQo" accept-charset="UTF-8" novalidate="" data-once="ahs-theme--onload-search-form exposed-form">
  <input data-drupal-selector="edit-facility-55ce709fc90ce01b3c1614ccf7150477" type="hidden" name="facility" value="">
  <div class="facility-search-form__item ui-front js-form-item form-item js-form-type-textfield form-item-geolocation-geocoder-google-geocoding-api js-form-item-geolocation-geocoder-google-geocoding-api">
    <div class="form-item__inner">
      <label for="edit-geolocation-geocoder-google-geocoding-api-55ce709fc90ce01b3c1614ccf7150477" class="facility-search-form__label"> Located Near </label>
      <span class="icon--location" role="presentation" aria-hidden="true" focusable="false"></span>
      <input class="form-autocomplete geolocation-views-filter-geocoder geolocation-geocoder-google-geocoding-api ahs-search-geolocation--has-submitted facility-search-form__input notranslate form-text ui-autocomplete-input"
        data-source-identifier="latlng[value]" aria-autocomplete="list" aria-live="polite" data-auto-fill-on-load="1" data-geocoding-input-placeholder="Retrieving your location ..."
        data-drupal-selector="edit-geolocation-geocoder-google-geocoding-api-55ce709fc90ce01b3c1614ccf7150477" aria-describedby="edit-geolocation-geocoder-google-geocoding-api-55ce709fc90ce01b3c1614ccf7150477--description"
        placeholder="Address / State / City / Zip" title="Address / State / City / Zip" type="text" id="edit-geolocation-geocoder-google-geocoding-api-55ce709fc90ce01b3c1614ccf7150477" name="geolocation_geocoder_google_geocoding_api" value="Rome, GA"
        size="60" maxlength="128" data-once="autocomplete googleGeocodingAPIAttach ahs-search-geolocation--init ahsSearchGeolocationOnFocus ahsAutocompleteAttach ahsAutocompleteOnFocus" autocomplete="off">
      <span
        class="field-suffix"><a href="javascript:void(0);" title="Use current location to search" aria-label="Use current location based on IP to search." role="button" data-input-aria-description="Key forward to the 'Use Current Location' link to select your location based on IP." data-ahs-search-my-location-submits-form="1" class="ahs-search-my-location-link" rel="nofollow" data-once="ahs-search-geolocation--init ahs-search-geolocation--my-location-link-input-setup AhsJsAnchorLinks AhsMicrositesNonMsPage" aria-controls="edit-geolocation-geocoder-google-geocoding-api-55ce709fc90ce01b3c1614ccf7150477">Use Current Location</a>
        <span class="ahs-search-geolocation--my-location-not-available hidden" aria-hidden="true">Current Location Not Available</span></span>
      <div id="edit-geolocation-geocoder-google-geocoding-api-55ce709fc90ce01b3c1614ccf7150477--description" class="description visually-hidden"> Address / State / City / Zip <span class="ahs-search-geolocation--my-location-aria-description"> - Key
          forward to the 'Use Current Location' link to select your location based on IP.</span></div>
    </div>
    <ul id="ui-id-8" tabindex="0" class="ui-menu ui-widget ui-widget-content ui-autocomplete ui-front geolocation-geocoder-google-geocoding-api-autocomplete-list" unselectable="on" style="display: none;"></ul>
  </div>
  <input class="geolocation-geocoder-google-geocoding-api-state" data-source-identifier="latlng[value]" data-drupal-selector="edit-geolocation-geocoder-google-geocoding-api-state-55ce709fc90ce01b3c1614ccf7150477" type="hidden"
    name="geolocation_geocoder_google_geocoding_api_state" value="1">
  <div class="facility-search-form__item ui-front js-form-item form-item js-form-type-select form-item-latlng-distance-from js-form-item-latlng-distance-from">
    <div class="form-item__inner">
      <label for="edit-latlng-distance-from-55ce709fc90ce01b3c1614ccf7150477" class="facility-search-form__label"> Within </label>
      <span class="icon--search" role="presentation" aria-hidden="true" focusable="false"></span>
      <div class="facility-search-form__select select-wrapper"><span class="select-wrapper__arrow icon--select" role="presentation" aria-hidden="true" focusable="false"></span><select
          data-drupal-selector="edit-latlng-distance-from-55ce709fc90ce01b3c1614ccf7150477" id="edit-latlng-distance-from-55ce709fc90ce01b3c1614ccf7150477" name="latlng[distance][from]" class="form-select simpler-select">
          <option value="8.04672">5 miles</option>
          <option value="16.0934">10 miles</option>
          <option value="32.1869" selected="selected">20 miles</option>
          <option value="80.4672">50 miles</option>
          <option value="160.9344">100 miles</option>
          <option value="-">Any miles</option>
        </select></div>
    </div>
  </div>
  <input class="latlng-source" data-drupal-selector="edit-latlng-value-55ce709fc90ce01b3c1614ccf7150477" type="hidden" name="latlng[value]" value="34.257038,-85.1646726">
  <input class="latlng-city" data-drupal-selector="edit-latlng-city-55ce709fc90ce01b3c1614ccf7150477" type="hidden" name="latlng[city]" value="Rome">
  <input class="latlng-state" data-drupal-selector="edit-latlng-state-55ce709fc90ce01b3c1614ccf7150477" type="hidden" name="latlng[state]" value="GA">
  <input class="latlng-precision" data-drupal-selector="edit-latlng-precision-55ce709fc90ce01b3c1614ccf7150477" type="hidden" name="latlng[precision]" value="city">
  <div class="facility-search-form__item ui-front js-form-item form-item js-form-type-search-api-autocomplete form-item-service js-form-item-service">
    <div class="form-item__inner">
      <label for="edit-service-55ce709fc90ce01b3c1614ccf7150477" class="facility-search-form__label"> Service Offered </label>
      <span class="icon--search" role="presentation" aria-hidden="true" focusable="false"></span>
      <input placeholder="Search our services" data-drupal-selector="edit-service-55ce709fc90ce01b3c1614ccf7150477" data-search-api-autocomplete-search="ahs_facility_search_list__search_api_fulltext_1"
        class="form-autocomplete facility-search-form__input form-text ui-autocomplete-input" data-autocomplete-path="/search_api_autocomplete/ahs_facility_search_list__search_api_fulltext_1?display=map&amp;&amp;filter=service"
        aria-autocomplete="list" title="Service Offered" type="text" id="edit-service-55ce709fc90ce01b3c1614ccf7150477" name="service" value="" size="30" maxlength="128" data-once="autocomplete ahsAutocompleteAttach ahsAutocompleteOnFocus"
        autocomplete="off">
    </div>
    <ul id="ui-id-9" tabindex="0" class="ui-menu ui-widget ui-widget-content ui-autocomplete ui-front search-api-autocomplete-search" unselectable="on" style="display: none;"></ul>
  </div>
  <div class="facility-search-form__item ui-front js-form-item form-item js-form-type-search-api-autocomplete form-item-name js-form-item-name">
    <div class="form-item__inner">
      <label for="edit-name-55ce709fc90ce01b3c1614ccf7150477" class="facility-search-form__label"> Name of Care Location </label>
      <span class="icon--search" role="presentation" aria-hidden="true" focusable="false"></span>
      <input placeholder="Care Location Name" data-drupal-selector="edit-name-55ce709fc90ce01b3c1614ccf7150477" data-search-api-autocomplete-search="ahs_facility_search_list__search_api_fulltext"
        class="form-autocomplete facility-search-form__input form-text ui-autocomplete-input" data-autocomplete-path="/search_api_autocomplete/ahs_facility_search_list__search_api_fulltext?display=map&amp;&amp;filter=name" aria-autocomplete="list"
        title="Name of Care Location" type="text" id="edit-name-55ce709fc90ce01b3c1614ccf7150477" name="name" value="adventhealth medical group" size="30" maxlength="128" data-once="autocomplete ahsAutocompleteAttach ahsAutocompleteOnFocus"
        autocomplete="off">
    </div>
    <ul id="ui-id-10" tabindex="0" class="ui-menu ui-widget ui-widget-content ui-autocomplete ui-front search-api-autocomplete-search" unselectable="on" style="display: none;"></ul>
  </div>
  <div data-drupal-selector="edit-55ce709fc90ce01b3c1614ccf7150477" class="form-actions facility-search-form__actions js-form-wrapper form-wrapper" id="edit-55ce709fc90ce01b3c1614ccf7150477"><input data-views-ajax-submit-disabled=""
      class="ahs-views-action-submit ahs-views-submit button facility-search-form__submit js-form-submit form-submit" data-drupal-selector="edit-submit-ahs-facility-search-list-2-55ce709fc90ce01b3c1614ccf7150477" type="submit"
      id="edit-submit-ahs-facility-search-list--2-55ce709fc90ce01b3c1614ccf7150477" value="Search">
    <input data-views-ajax-submit-disabled="" class="ahs-views-action-reset button facility-search-form__reset js-form-submit form-submit" data-drupal-selector="edit-reset-55ce709fc90ce01b3c1614ccf7150477" type="submit"
      id="edit-reset-55ce709fc90ce01b3c1614ccf7150477" name="op" value="Reset" data-once="ahsThemeViewsReset">
  </div>
  <div class="hidden exposed-facets-container js-form-wrapper form-wrapper" data-drupal-selector="edit-f-55ce709fc90ce01b3c1614ccf7150477" id="edit-f-55ce709fc90ce01b3c1614ccf7150477"><input
      data-drupal-selector="edit-f-0-55ce709fc90ce01b3c1614ccf7150477" type="hidden" name="f[0]" value="facility_type:373">
  </div>
</form>

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 * About 0.9 miles away
   
   
   ADVENTHEALTH MEDICAL GROUP INTERNAL MEDICINE AT EAST 2ND AVENUE ADVENTHEALTH
   MEDICAL GROUP INTERNAL MEDICINE AT EAST 2ND AVENUE
   
   
   Directions to AdventHealth Medical Group Internal Medicine at East 2nd Avenue
   715 East 2nd Avenue Southwest
   Rome, GA  30161
   
   Call AdventHealth Medical Group Internal Medicine at East 2nd Avenue
   at706-291-9898
   
   Download Practice Contact Card
   Visit Website
   Driving Directions
 * About 2.3 miles away
   
   
   ADVENTHEALTH MEDICAL GROUP CARDIOTHORACIC SURGERY AT REDMOND ROAD
   ADVENTHEALTH MEDICAL GROUP CARDIOTHORACIC SURGERY AT REDMOND ROAD
   
   
   Directions to AdventHealth Medical Group Cardiothoracic Surgery at Redmond
   Road 504 Redmond Road
   Rome, GA  30165
   
   Call AdventHealth Medical Group Cardiothoracic Surgery at Redmond Road
   at706-528-9060
   
   Download Practice Contact Card
   Visit Website
   Driving Directions
 * About 3.6 miles away
   
   
   ADVENTHEALTH MEDICAL GROUP FAMILY AND OCCUPATIONAL MEDICINE AT SHORTER AVENUE
   ADVENTHEALTH MEDICAL GROUP FAMILY AND OCCUPATIONAL MEDICINE AT SHORTER AVENUE
   
   
   Directions to AdventHealth Medical Group Family and Occupational Medicine at
   Shorter Avenue 2112 Shorter Avenue Rome, Suite 200
   Rome, GA  30165
   
   Call AdventHealth Medical Group Family and Occupational Medicine at Shorter
   Avenue at706-233-4000
   
   Download Practice Contact Card
   Visit Website
   Driving Directions
 * About 3.6 miles away
   
   
   ADVENTHEALTH MEDICAL GROUP INTERNAL MEDICINE AT SHORTER AVENUE ADVENTHEALTH
   MEDICAL GROUP INTERNAL MEDICINE AT SHORTER AVENUE
   
   
   Directions to AdventHealth Medical Group Internal Medicine at Shorter Avenue
   2112 Shorter Avenue, Suite 200
   Rome, GA  30165
   
   Call AdventHealth Medical Group Internal Medicine at Shorter Avenue
   at706-295-1184
   
   Download Practice Contact Card
   Visit Website
   Driving Directions
 * About 15.8 miles away
   
   
   ADVENTHEALTH MEDICAL GROUP ORTHOPEDICS AND SPORTS MEDICINE AT ADAIRSVILLE
   HEALTH PARK
   
   Formerly known as Northwest Georgia Orthopedics and Sports Medicine,
   Adairsville
   
   
   Directions to AdventHealth Medical Group Orthopedics and Sports Medicine at
   Adairsville Health Park 21 Commerce Parkway
   Adairsville, GA  30103
   
   Download Practice Contact Card
   Driving Directions
 * About 15.8 miles away
   
   
   ADVENTHEALTH MEDICAL GROUP FAMILY MEDICINE AT ADAIRSVILLE HEALTH PARK
   ADVENTHEALTH MEDICAL GROUP FAMILY MEDICINE AT ADAIRSVILLE HEALTH PARK
   
   Formerly known as Gordon Physicians Group Gordon Hospital Adairsville Family
   Medicine
   
   
   Directions to AdventHealth Medical Group Family Medicine at Adairsville
   Health Park 21 Commerce Parkway
   Adairsville, GA  30103
   
   Call AdventHealth Medical Group Family Medicine at Adairsville Health Park
   at770-773-9201
   
   Download Practice Contact Card
   Visit Website
   Driving Directions


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