CARRIER CARRIER PHONE CODE CARRIER NAME NUMBER … - [PDF Document] (2024)

CARRIER CARRIER PHONE CODE CARRIER NAME NUMBER … - [PDF Document] (1)

CARRIER CODE CARRIER NAME

CARRIER PHONE NUMBER CARRIER ADDRESS CITY STATE ZIP CODE

326 1199 NATIONAL BENEFIT FUN (646) 473-7160 PO BOX 1034 NEW YORK NY 10108-1034589 1199 SEIU NATIONAL BENEFI (888) 819-1199 330 WEST 42ND STREET NEW YORK NY 1003628 AARP HEALTH ADVANTAGE HEA (800) 227-7789 PO BOX 740819 ATLANTA GA 30374-0819D6K AARP MEDICARE COMPLETE PL PO BOX 66773 ST LOUIS MO 63166D6P AARP MEDICARE COMPLETE PL (800) 393-0939 950 WINTER ST SUITE 3800 WALTHEM MA 02451D8T AARP MEDICARE RX PREFERRE (888) 867-5575 PO BOX 29300 HOT SPRINGS AR 71903D9H AARP MEDICARE RX PREFERRE 600 NEW LONDON AVE CRANSTON RI 02920D9L AARP MEDICARE RX SAVER 600 NEW LONDON CRANSTON RI 02920D8V AARP MEDICARERX SAVER (PD (888) 867-5575 PO BOX 29300 HOT SPRINGS AR 71903D4Q ABRAZO ADVANTAGE 7878 NORTH 16TH STRE SUITE 105 PHOENIX AZ 85020301 ACADIA INSURANCE CO. (888) 786-1170 PO BOX 9168 MARLBOROUGH MA 01752390 ACE INTERNATIONAL INSURAN (800) 262-8028 PO BOX 15417 WILMINGTON DE 19850470 ACE USA (860) 731-6800 PO BOX 5001 HARTFORD CT 06102-500130 ACORDIA BENEFIT SERVICES PO BOX 18197 COLUMBUS OH 43218346 ACS HEALTH NET - NORTHEAS (800) 441-5741 PO BOX 14700 LEXINGTON KY 40512768 ADMINISTRATION CONCEPTS ( (800) 226-5116 994 OLD EAGLE SCHOOL ST E1 WAYNE PA 19087795 ADMINISTRATIVE CONCEPTS, (888) 293-9229 994 OLD EAGLE SCHOOL SUITE 1005 WAYNE PA 19087-1802101 ADMINISTRATIVE ENTERPRISE (602) 789-1101 3404 WESTCHESTER DR PHOENIX AZ 85051-9588267 ADMINISTRATIVE SERVICE CO (800) 634-8816 3301 E. ROYALTON ROA CLEVELAND OH 44147-2886198 ADVANCED PARADIGM (800) 364-6331 PO BOX 853901 RICHARDSON TX 75081-3901327 ADVANCED PCS (800) 364-6331 PO BOX 961066 FORT WORTH TX 76161331 ADVANCED PCS HELP SYSTEM, (800) 345-5413 PO BOX 52115 ATTN: MAIL CODE 12 8 PHOENIZ AZ 85072-2115D8M ADVANTAGE FREEDOM PLAN RX (800) 429-6686 221 N CHARLES LINDBE SLC UT 84116D5B ADVANTRA FREEDOM PO BOX 690 MAHWAH NJ 07430D5S ADVANTRA FREEDOM PO BOX 690 MAHWAH NJ 07430D8O ADVANTRA RX (866) 823-5177 VALUE (PDP) LEXINGTON KY 40512722 ADVENTIST RISK MANAGEMENT (800) 447-5002 P O BOX 1808 GRAPEVINE TX 76099593 ADVNATAGE HEALTH SOL (317) 573-6228 9490 PRIORITY WAY INDIANANPOLIS IA 4624022P AETNA HEALTH CARE (800) 811-5671 PO BOX 15048 ALBANY NY 12212D1T AETNA HEALTH INSURANCE OF 151 FARMINGTON AVENU HARTFORD CT 0615622D AETNA HEALTH PLAN (800) 222-5553 PO BOX 25519 RICHMOND VA 2326022E AETNA HEALTH PLAN (800) 237-0575 UPS CLAIMS PO BOX 26053 GREENSBORO NC 2742022I AETNA HEALTH PLAN (800) 624-0756 PO BOX 5569 AKRON OH 4433422K AETNA HEALTH PLAN (800) 238-6221 PO BOX 795083 SAN ANTONIO TX 7827922L AETNA HEALTH PLAN (800) 624-0756 PO BOX 2231 BLUE BELL PA 19422

CARRIER CARRIER PHONE CODE CARRIER NAME NUMBER … - [PDF Document] (2)

CARRIER CODE CARRIER NAME

CARRIER PHONE NUMBER CARRIER ADDRESS CITY STATE ZIP CODE

22A AETNA HEALTH PLANS (610) 391-1700 PO BOX 3909 ALLENTOWN PA 18106-090922B AETNA HEALTH PLANS (800) 624-0756 3 HIGHWOOD DRIVE TEWKSBURY MA 0187622C AETNA HEALTH PLANS (800) 624-0756 PO BOX 120 GRAND RAPIDS MI 4950122 AETNA LIFE INS. CO. P O BOX 18040 COLUMBUS OH 43218-0040D01 AETNA MEDICARE (877) 238-6211 980 JOLLY ROAD BLUE BELL PA 19422D3U AETNA MEDICARE 151 FARMINGTON AVENU HARTFORD CT 06156D5J AETNA MEDICARE 151 FARMINGTON AVENU HARTFORD CT 06156D7I AETNA MEDICARE (800) 445-1796 151 FARMINGTON AVENU HARTFORD CT 06156D8S AETNA MEDICARE RX ESSENTI (877) 238-6211 PO BOX 14023 LEXINGTON KY 40512D9G AETNA MEDICARE RX PLUS 600 NEW LONDON AVE CRANSTON RI 02920

22G AETNA PHARMACY MANAGEMENT (800) 238-6279 PO BOX 14024 ATTN: CLAIM PROCESS LEXINGTON KY 40512603 AETNA STRATEGIC RESOURCE (800) 800-8121 PO BOX 14079 LEXINGTON KY 40512-4079563 AETNA STUDENT HEALTH PLAN (800) 966-7772 PO BOX 981106 EL PASO RI 7999822H AETNA U.S. HEALTHCARE (800) 624-0756 PO BOX 31450 TAMPA FL 3363122N AETNA U.S. HEALTHCARE (800) 445-7175 PO BOX 26106 GREENSBORO NC 27402-610622X AETNA U.S. HEALTHCARE (866) 899-4378 PO BOX 14586 LEXINGTON KY 40512-458622Z AETNA U.S. HEALTHCARE (800) 624-0756 PO BOX 14079 LEXINGTON KY 4051222F AETNA US HEALTH CARE (800) 624-0756 PO BOX 150417 HARTFORD CT 0611522Q AETNA US HEALTH CARE (800) 293-3536 PO BOX 14091 LEXINGTON KY 4051222J AETNA US HEALTHCARE (800) 545-5862 CITIBANK DIVISION PO BOX 3911 ALLENTOWN PA 18106-091122M AETNA US HEALTHCARE (800) 624-0756 PO BOX 7012 DOVER DE 19903-151222R AETNA US HEALTHCARE (888) 632-3862 PO BOX 981109 EL PASO TX 7999822S AETNA US HEALTHCARE (800) 323-9930 PO BOX 1125 BLUE BELL PA 1942222T AETNA US HEALTHCARE (800) 624-0756 7676 HAZARD CENTER D SAN DIEGO CA 9210822U AETNA US HEALTHCARE (800) 741-4781 PO BOX 14066 LEXINGTON KY 4051222V AETNA US HEALTHCARE (800) 635-2095 PO BOX 2295 FORT WAYNE IN 46601-229522W AETNA US HEALTHCARE (877) 535-2128 PO BOX 981106 EL PASO TX 7999822Y AETNA US HEALTHCARE (800) 543-5458 PO BOX 14094 LEXINGTON KY 40512683 AETNA US HEALTHCARE/VISIO (888) 632-3862 PO BOX 981106 EL PASO TX 79998-1106D4G AFFINITY HEALTH PLAN 2500 HALSEY STREET BRONX NY 10461197 AFFORDABLE MEDICAL NETWOR (800) 255-8109 PO BOX 3281 SCOTTSDALE AZ 85271-3281288 AFLAC (800) 992-3522 1932 WYNNTON ROAD COLUMBUS GA 31999254 AH & L (631) 666-2616 EPC ASSOCIATES PO BOX 5329 BAY SHORE NY 11706

CARRIER CARRIER PHONE CODE CARRIER NAME NUMBER … - [PDF Document] (3)

CARRIER CODE CARRIER NAME

CARRIER PHONE NUMBER CARRIER ADDRESS CITY STATE ZIP CODE

274 AIG (617) 790-9000WORKERS COMP. CLAIM 99 SUMMER STREET BOSTON MA 02110

500 AIG LIFE INSURANCE CO. (800) 221-3480 PO BOX 1581 NEPTUNE NJ 07754-1581614 AIG LTC 11000 PRAIRIE LAKES EDEN PRAIRI MN 55344D8D ALAMEDA ALLIANCE FOR HEAL (510) 747-4500 12401 SOUTH LOOP ROA ALAMEDA ALLIANCE CA 94501102 ALBANY INSURANCE CO. (518) 445-2200 PO BOX 1907 ALBANY NY 12201540 ALICARE (MASS STATE HEALT (800) 338-4330 P.O. BOX 1477 NEW YORK NY 10116-1477739 ALL SAVERS UNITED HEALT (800) 232-5432 P.O. BOX 31375 SALT LAKE CITY UT 84131-0375724 ALLEGIANCE BENEFIT PLAN M (800) 877-1122 P.O.BOX 3018 MISSOULA MT 59086-3018725 ALLEGIANCE BENEFIT PLAN M (800) 877-1122 P.O.BOX 3018 MISSOULA MT 59086-3018400 ALLIANCE (608) 276-6620 PO BOX 44365 MADISON WI 53744-4365417 ALLIANCE BLUE CROSS OF MI PO BOX 14882 ST. LOUIS MO 63178-4882527 ALLIED BENEFIT SYSTEMS (800) 288-2078 PO BOX 909786-60690 CHICAGO IL 60690350 ALLSTATE FINANCIAL GROUP (800) 937-7039 1776 AMERICAN HERITA JACKSONVILLE FL 32224173 ALLSTATE INSURANCE CO (401) 333-6100 625 GEORGE WASHINGTO LINCOLN RI 02865391 ALTUS DENTAL INSURANCE CO (877) 223-0588 PO BOX 1557 PROVIDENCE RI 02901-1557697 ALWAYS HEALTH PARTNERS (855) 444-4647 P O BOX 10 NUTTING LAKE MA 01865787 ALWAYS PARTNERS (800) 432-9449 PO. BOX 852099 RICHARDSON TX 7508529 AM. POSTAL WORKERS UNION (800) 222-2798 P.O. BOX 967 SILVER SPRINGS MD 20910403 AMA INSURANCE AGENCY (800) 458-5736 200 NORTH LASALLE ST CHICAGO IL 606010AK AMALG LIFE (800) 333-4456 770 BROADWAY NEW YORK NY 10003707 AMALGAMATED LIFE INSURANC (800) 315-9174 333 WESTCHESTER AVEN WHITE PLANS NY 10604389 AMERIBEN SOLUTIONS (800) 786-7930 PO BOX 7186 BOISE ID 83707252 AMERICAN FREIGHTWAYS (870) 741-7227 NPPN 419 E MAIN STRE MIDDLETOWN NY 10940D31 AMERICAN HEALTH MEDICARE (866) 620-2420 PO BOX 11320 SAN JUAN PR 09220D7Y AMERICAN HEALTH MEDICARE (787) 620-1919 PO BOX 11320 CAPARRA PR 09229- 907655 AMERICAN HERITAGE LIFE (800) 535-8086 1776 AMERICAN HERITA JACKSONVILLE FL 32224

103 AMERICAN INTERNATIONAL CO (800) 468-7077PO BOX 25050 EMPLOYEE BENEFITS DE WILMINGTON DE 19899

541 AMERICAN MEDICAL & LIFE I (888) 264-1512 PO BOX 1235 FREDERICK MD 21702691 AMERICAN MEDICAL AND LIFE (888) 264-1512 P O BOX 34912 PHILADELPHIA PA 19101656 AMERICAN NATIONAL I PO BOX 696520 SAN ANTONIO TX 78269-6520464 AMERICAN PIONEER LIFE INS (800) 999-2224 PO BOX 130 PENSACOLA FL 32591205 AMERICAN REPUBLIC INSURAN (515) 245-2000 PO BOX 10 ATTN: CLAIMS DES MOINES IA 50301-0010

CARRIER CARRIER PHONE CODE CARRIER NAME NUMBER … - [PDF Document] (4)

CARRIER CODE CARRIER NAME

CARRIER PHONE NUMBER CARRIER ADDRESS CITY STATE ZIP CODE

340 AMERICAN SPECIAL RISK MGM (800) 359-7475 509 SOUTH LENOLA ROA BUILDING 2 MOORESTOWN NJ 08057472 AMERICAN TRUST ADMINISTRA (800) 843-4121 P.O. BOX 87 SHAWNEE MISSION KS 66201D4N AMERICA'S HEALTH CHOICE M 1175 US HIGHWAY 1 VERO BEACH FL 32962

D40 AMERICHOICE PERSONAL CARE (877) 289-1915 1 RIVERFRONT PLAZA PO BOX 200449 NEWARK NJ 07102309 AMERICORPS (800) 847-8217 PO BOX 33757 INDIANAPOLIS IN 46203-0757D4E AMERIGROUP COMMUNITY CARE 4200 WEST CRPRESS ST SUITE 900 TAMPA FL 33607D51 AMERIHEALTH 65 (866) 282-3235 1901 MARKET STREET 28TH FLOOR PHILADELPHIA PA 19103401 AMERI-HEALTH ADMINISTRATO (800) 480-5032 720 BLAIR MILL ROAD HORSHAM PA 19044-0975D2V AMERIHEALTH ADVANTAGE PO BOX 41514 PHILADELPHIA PA 19101D44 AMERIHEALTH ADVANTAGE (866) 456-1694 PO BOX 41514 PHILADELPHIA PA 19101D8Q AMERIHEALTH ADVANTAGE RX (800) 645-3965 PO BOX 7576 PHILADELPHIA PA 19101-8951

203 AMERITAS LIFE INSURANCE C (800) 487-5553 GROUP CLAIMS DEPT. PO BOX 82520 LINCOLN NE 68501-2520

D88 ANTHEM 1351 WILLIAM HOWARD CN14B-818 CINCINNATI OH 45206626 ANTHEM BLUE CROSS - KENTU (800) 880-2583 135500 TRITTON PARK LOUISVILLE KY 40223409 ANTHEM BLUE CROSS - VIRGI (800) 451-1527 PO BOX 27401 RICHMOND VA 23279D75 ANTHEM BLUE CROSS & BLUE (800) 334-7676 PO BOX 14046 ROANOKE VA 24038

D5X ANTHEM BLUE CROSS AND BLU 1351 WILLIAM HOWARD CN1413-818 CINCINNATI OH 45206628 ANTHEM BLUE CROSS BLUE SH (800) 422-4304 2 GANNETT DRIVE SOUTH PORTLAND ME 04106630 ANTHEM BLUE CROSS BLUE SH (800) 932-4480 PO BOX 105557 ATLANTA GA 30348766 ANTHEM BLUE CROSS COLORAD (800) 677-6669 P.O.BOX 5747 DENVER CO 80217-5747619 ANTHEM BLUE CROSS CONNECT (800) 438-5856 PO BOX 105557 ATLANTA GA 30348328 ANTHEM BLUE CROSS OF (888) 290-9160 PO BOX 37180 LOUISVILLE KY 40233-7180430 ANTHEM BLUE CROSS OF NEW (800) 238-2465 PO BOX 660 NORTH HAVEN CT 06473507 ANTHEM BLUE CROSS- OHIO (888) 290-9160 PO BOX 37180 LOUISVILLE KY 40233-7180706 ANTHEM BLUE CROSS VERIZON (855) 869-8138 P O BOX 105187 ATLANTA GA 30348-5187479 ANTHEM BLUE CROSS/BLUE SH (800) 345-4344 PO BOX 7101 INDIANAPOLIS IN 46207-7101488 ANTHEM BLUE CROSS/BLUE SH (800) 234-0111 PO BOX 4109 WOODLAND HILLS CA 91365491 ANTHEM BLUE CROSS/BLUE SH (800) 822-7442 PO BOX 34210 LOUISVILLE KY 40232-4210

D24 ANTHEM BLUE CROSS/BLUE SH (800) 692-5399 1351 WILLIAM HOWARD CN14B-818 CINCINNATI OH 45206

CARRIER CARRIER PHONE CODE CARRIER NAME NUMBER … - [PDF Document] (5)

CARRIER CODE CARRIER NAME

CARRIER PHONE NUMBER CARRIER ADDRESS CITY STATE ZIP CODE

D3R ANTHEM BLUE CROSS/BLUE SH 1351 WILLIAM HOWARD CN14B-818 CINCINNATI OH 45206105 ANTHEM BLUE OF CALIFORNIA (800) 333-0912 PO BOX 9061 OXNARD CA 93031729 ANTHEM OHIO/DENTAL (866) 641-7762 P O BOX 659444 ST ANTONIO TX 78265332 ANTHEM RX PHARMACY (800) 962-8192 PO BOX 746000 CINCINNATI OH 45274-6000435 ANTHEM RX PHARMACY PO BOX 145433 CINCINNATI OH 45250-5433D6J ANTHEN BLUE PO BOX 30043 DURHAM NC 27702240 AON SELECT (800) 822-3287 110 GIBRALTAR ROAD HORSHAM PA 19044D5Q APIPA PERSONAL CARE 3141 NORTH THIRD AVE PHOENIX AZ 85013

526 APWU HEALTH PLAN (800) 222-2798 799 CROMWELL PARK DR SUITES K-Z GLEN BURNIE MD 21061

202 ARBELLA INDEMNITY INSURAN (617) 769-31001100 CROWN COLONIAL PO BOX 699227 QUINCY MA 02269

565 ARGUS PHARMACY SERVICES (800) 241-3371 1300 WASHINGTON ST. KANSAS CITY MO 64105-1433D1L ARKANSAS COMMUNITY CARE P 3810 FRONT STREET SUITE 811 FAYETTEVILLE AR 72703228 ASC (800) 472-6630 PO BOX 928 FINDLAY OH 45839299 ASSOCIATED PLAN ADMINISTR (800) 626-3880 PO BOX 9568 NEW HAVEN CT 06535104 ASSOCIATED PRESCRIPTION S (410) 986-2168 104 CHURCH LANE BALTIMORE MD 21208553 ASSURANT EMPLOYEE BENEFIT (180) 044-2774 PO BOX 2940 CLINTON IA 52733792 ATLAS (ZENITH ADMINISTRAT (312) 649-1200 18891 90TH AVENUE SUITE A MOKENA IL 60448609 AULTCARE (800) 505-2858 PO BOX 6910 CANTON OH 44706282 AUTOMATED BENEFIT SERVICE (800) 521-1321 PO BOX 37506 OAK PARK MI 48237733 AUTOMATED BENEFIT SERVICE (800) 225-9369 8220 IRVING ROAD STERLING HEIGHTS MI 48312D1E AVALON HEALTH, LTD. 2500 ELMERTON AVENUE HARRISBURG PA 17177612 AVERA HEALTH PLAN (605) 322-4545 PO BOX 381506 BIRMINGHAM AL 65238586 AVESIS (800) 828-9341 PO BOX 7777 PHOENIX AZ 85011615 AV-MED (305) 671-5437 9400 SOUTH DADELAND MIAMI FL 33156D6L AVMED PREMIER CARE (HMO) PO BOX823 GAINNESVILLE FL 326020CH B/S OF PENNSYLVANIA (717) 763-3533 1800 CENTER STREET CAMP HILL PA 17089302 BAKERY & CONF. UNION HEAL (301) 468-3731 10401 CONNECTICUT AV KENSINGTON MD 20895-373137 BANKERS LIFE & CASUALTY (800) 800-2254 222 MERCHANDISE MART CHICAGO IL 60654-20010H8 BC OF FLORIDA (904) 791-6111 P.O. BOX 1798 JACKSONVILLE FL 32331-0014119 BEACON MUTUAL INSURANCE (401) 825-2667 ONE BEACON CENTER WARWICK RI 02886308 BENEFIRST (877) 823-6334 PO BOX 1421 MARSHFIELD MA 02050268 BENEFIT ADMINISTRATIVE SY (708) 799-7400 17475 JOVANNA DRIVE SUITE 1B HOMEWOOD IL 60430-4623

CARRIER CARRIER PHONE CODE CARRIER NAME NUMBER … - [PDF Document] (6)

CARRIER CODE CARRIER NAME

CARRIER PHONE NUMBER CARRIER ADDRESS CITY STATE ZIP CODE

705 BENEFIT ADMINISTRATOR OF (877) 707-2583 P O BOX 2000 EXETER NH 03833

31 BENEFIT CONCEPTS, INCPO BOX 60608 651 ALLENDALE RD KING OF PRUSSIA PA 19406-0608

122 BENEFIT MANAGEMENT SERVIC (800) 279-1171 PO BOX 1178 MATTHEWS NC 2810635 BENEFIT PLAN MANAGEMENT (877) 642-7500 PO BOX 536 ROCKLAND MA 02370112 BENEFIT PLANNERS (210) 699-1872 PO BOX 690450 SAN ANTONIO TX 78269351 BENEFIT SYSTEM & SERVICE, (800) 423-1841 760 PASQUINELLI DRIV WESTMONT IL 60059566 BENEMAX DENTAL HEALTH PLA (508) 359-4107 PO BOX 355 MEDFIELD MA 02052204 BENEMAX HEALTH PLAN (508) 359-4107 PO BOX 355 MEDFIELD MA 02052310 BENESIGHT (815) 395-0080 PO BOX 7045 ROCKFORD IL 61125-7045576 BLUE ADVANTAGE , BLUE OF (866) 823-3790 PO BOX 1460 LITTLE ROCK AR 72203578 BLUE ADVANTAGE BLUE CROSS (866) 823-3790 PO BOX 1460 LITTLEROCK AR 72203682 BLUE BENEFIT ADMINISTRATO (877) 707-2583 PO BOX 55917 BOSTON MA 02205-591712A BLUE CHIP - MEDICARE HMO (800) 528-4141 15 LASALLE SQUARE PROVIDENCE RI 02903-181412 BLUE CHIP-COORD HLTH PART (401) 274-3500 15 LASALLE SQUARE PROVIDENCE RI 02903-1814623 BLUE CORSS NY HEALTHNOW (800) 856-0480 PO BOX 80 BUFFALO NY 14240D20 BLUE CROSS & BLUE SHIELD (800) 505-2583 15 LA SALLE SQUARE PROVIDENCE RI 02903D2C BLUE CROSS & BLUE SHIELD 1215 SOUTH BOULDER TULSA OK 74119D64 BLUE CROSS & BLUE SHIELD (800) 876-2227 4800 DEERWOOD CAMPUS JACKSONVILLE FL 32246552 BLUE CROSS BLUE SHEILD OF (866) 470-2963 PO BOX 3355 PITTSBURGH PA 15230-3355D5T BLUE CROSS BLUE SHEILD OF PO BOX 180205 CHATTANOOGA TN 37402633 BLUE CROSS BLUE SHIELD O (800) 722-3130 PO BOX 660044 DALLAS TX 75266-0044621 BLUE CROSS BLUE SHIELD FL (800) 432-5373 PO BOX 1798 JACKSONVILLE FL 32231624 BLUE CROSS BLUE SHIELD KA (800) 451-2348 PO BOX 419169 KANSAS CITY MO 64108625 BLUE CROSS BLUE SHIELD KA (800) 451-2348 PO BOX 419169 KANSAS CITY MO 64108631 BLUE CROSS BLUE SHIELD NO 5901 CHAPEL HILL RD DURHAM NC 27702632 BLUE CROSS BLUE SHIELD NO 5901 CHAPEL HILL RD DURHAM NC 27702616 BLUE CROSS BLUE SHIELD OF PO BOX 995 BIRMINGHAM AL 35298617 BLUE CROSS BLUE SHIELD OF (800) 827-4814 PO BOX 2181 LITTLE ROCK AR 72203618 BLUE CROSS BLUE SHIELD OF (877) 811-3106 700 BROADWAY DENVER CO 80273627 BLUE CROSS BLUE SHIELD OF (800) 880-2583 13550 TRITTON PARK B LOUISVILLE KY 40223629 BLUE CROSS BLUE SHIELD OF (800) 722-0203 PO BOX 105557 ATLANTA GA 30348636 BLUE CROSS BLUE SHIELD OF (800) 552-6989 PO BOX 27401 RICHMOND VA 23279D4S BLUE CROSS BLUE SHIELD OF 27000 WEST ELEVEN MI MCH44 SOUTHFIELD MI 48034D5E BLUE CROSS BLUE SHIELD OF PO BOX 9092 OXNARD CA 93031

CARRIER CARRIER PHONE CODE CARRIER NAME NUMBER … - [PDF Document] (7)

CARRIER CODE CARRIER NAME

CARRIER PHONE NUMBER CARRIER ADDRESS CITY STATE ZIP CODE

D6F BLUE CROSS BLUE SHIELD OF PO BOX 100206 COLUMBIA SC 29223713 BLUE CROSS FEDERAL EMPLOY (888) 550-2583 P O BOX 2010 LATHAM LATHAM NY 12110-201016 BLUE CROSS OF ALABAMA (800) 334-9041 PO BOX 360508 BIRMINGHAM AL 35236398 BLUE CROSS OF ALABAMA/DEN PO BOX 830389 BIRMINGHAM AL 3528334 BLUE CROSS OF CONNECTICUT (800) 922-6621 PO BOX 533 NORTH HAVEN CT 064730H7 BLUE CROSS OF FLORIDA (877) 352-2583 PO BOX 1798 JACKSONVILLE FL 322310H9 BLUE CROSS OF FLORIDA (800) 926-6565 PO BOX 44160 JACKSONVILLE FL 32231-4160399 BLUE CROSS OF GEORGIA (800) 676-2583 PO BOX 9907 COLUMBUS GA 31908677 BLUE CROSS OF GEORGIA/DEN (800) 627-0004 PO BOX 9907 COLUMBUS GA 31908253 BLUE CROSS OF GREATER NEW (800) 842-8421 PO BOX 4782 SYRACUSE NY 13221716 BLUE CROSS OF IDAHO (866) 482-2250 PO BOX 7408 BOISE ID 83707116 BLUE CROSS OF ILLINOIS (800) 730-8445 PO BOX 1220 CHICAGO IL 60690298 BLUE CROSS OF IOWA (WELLM (800) 524-9242 636 GRAND AVENUE DES MOINES IA 50309-2565411 BLUE CROSS OF KANSAS (800) 432-3990 1133 S.W. TOPEKA BLV TOPEKA KS 66629-000142 BLUE CROSS OF MAINE (800) 482-0966 2 GANNET DRIVE SOUTH PORTLAND ME 04106

120 BLUE CROSS OF MARYLAND (800) 225-0131STATE OF MD OPERATIO PO BOX 9885 BALTIMORE MD 21284-9885

0J3 BLUE CROSS OF MASSACHUSET (617) 376-4700 PO BOX 1996 MEDEX CLAIMS BOSTON MA 02105-19960J4 BLUE CROSS OF MASSACHUSET (800) 782-3675 PO BOX 9196 NORTH QUINCY MA 02171-9196107 BLUE CROSS OF MEMPHIS (800) 222-7212 PO BOX 10 MEMPHIS TN 38101169 BLUE CROSS OF MICHIGAN (800) 324-5760 NASCO CLAIMS PO BOX 5124 SOUTHFIELD MI 48086-5124125 BLUE CROSS OF MINNESOTA (800) 382-2000 PO BOX 64338 ST PAUL MN 55164

260 BLUE CROSS OF MISSOURI (800) 433-59291831 CHESTNUT STREET ATTN: NASCO ST. LOUIS MO 63103-2275

281 BLUE CROSS OF MISSOURI (888) 571-9054 PO BOX 66893 ATTN: LOCAL 655 ST. LOUIS MO 6316632 BLUE CROSS OF NEBRASKA (888) 592-8963 PO BOX 3248 OMAHA NE 6818039 BLUE CROSS OF NEW HAMPSHI (800) 438-9672 3000 GOFFS FALLS RD MANCHESTER NH 03111-000133 BLUE CROSS OF NEW MEXICO (800) 835-8699 PO BOX 27630 ALBUQUERQUE NM 87125-7630223 BLUE CROSS OF NORTH EASTE (800) 829-8599 P.O. BOX 890179 CAMP HILL PA 17089784 BLUE CROSS OF OREGON (REG (888) 675-6570 100 SW MARKET ST PORTLAND OR 97201199 BLUE CROSS OF PUERTO RICO (809) 749-4949 AV FRANKLIN D ROOSVE CAPARRA HEIGHTS PR 09200284 BLUE CROSS OF ROCHESTER (800) 676-2583 165 COURT STREET ROCHESTER NY 14617304 BLUE CROSS OF TENNESSEE (800) 565-9140 PO BOX 180150 CHATTANOOGA TN 37401634 BLUE CROSS OF TENNESSEE (800) 565-9140 1 CAMERON HILL CIRCL CHATANOOGA TN 37402172 BLUE CROSS OF TEXAS (800) 451-0287 PO BOX 655488 DALLAS TX 75265-5488

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CARRIER CODE CARRIER NAME

CARRIER PHONE NUMBER CARRIER ADDRESS CITY STATE ZIP CODE

0J2 BLUE CROSS OF TEXAS (508) 747-6530 P O BOX 1658 BOSTON MA 02110465 BLUE CROSS OF TEXAS/PHARM PO BOX 660201 DALLAS TX 75266-0201635 BLUE CROSS OF TEXAX FEDER (800) 521-2227 PO BOX 660044 DALLAS TX 75266-0077109 BLUE CROSS OF THE NATIONA (202) 479-6560 550 12TH STREET SW WASHINGTON DC 2006540 BLUE CROSS OF VERMONT PO BOX 186 MONTPELIER VT 05601421 BLUE CROSS OF WESTERN NEW (716) 887-6900 PO BOX 80 BUFFALO NY 1424041 BLUE CROSS OF WESTERN PEN (800) 245-2763 PO BOX 559 PITTSBURGH PA 1523041A BLUE CROSS OF WESTERN PEN (800) 345-7808 120 FIFTH AVENUE PITTSBURGH PA 15222-3099693 BLUE CROSS VIRGINIA/DENTA (800) 451-1527 PO BOX 27401 RICHMOND VA 232791 BLUE CROSS/BLUE SHIELD OF (800) 637-3718 444 WESTMINISTER ST PROVIDENCE RI 0290136 BLUE CROSS/BLUE SHIELD OF (800) 355-2583 PO BOX 1609 NEWARK NJ 0710138 BLUE CROSS/BLUE SHIELD OF (406) 444-8200 PO BOX 5004 GREAT FALLS MT 59403106 BLUE CROSS/BLUE SHIELD OF (808) 948-6111 PO BOX 860 HONOLULU HI 96808108 BLUE CROSS/BLUE SHIELD OF (800) 482-0898 PO BOX 166 DETROIT MI 48231110 BLUE CROSS/BLUE SHIELD OF (800) 942-5837 PO BOX 3283 TULSA OK 74102-3283303 BLUE CROSS/BLUE SHIELD OF (800) 830-1501 PO BOX 100300 COLUMBIA SC 29202-3300305 BLUE CROSS/BLUE SHIELD OF (800) 548-4455 PO BOX 167 STEVENS POINT WI 54481-0167370 BLUE CROSS/BLUE SHIELD OF (800) 633-2563 PO BOX 8799 WILMINGTON DE 19899461 BLUE CROSS/BLUE SHIELD OF (800) 214-4844 PO BOX 100121 COLUMBIA SC 29202-3121493 BLUE CROSS/BLUE SHIELD OF PO BOX 98029 BATON ROUGE LA 70898536 BLUE CROSS/BLUE SHIELD OF (602) 544-4990 P.O. BOX 2924 PHOENIX AZ 85062-292436A BLUE CROSS/BLUE SHIELD OF (973) 456-2000 PO BOX 247 DEPT V NEWARK NJ 07101-0247D02 BLUE CROSS/BLUE SHIELD OF (877) 479-2227 220 VIRGINIA AVENUE INDIANAPOLIS IN 46204D2E BLUE CROSS/BLUE SHIELD OF PO BOX 100206 COLUMBIA SC 29223D2U BLUE CROSS/BLUE SHIELD OF PO BOX 9092 OXNARD CA 93031D2Z BLUE CROSS/BLUE SHIELD OF 27000 W ELEVEN MILE MCH44 SOUTHFIELD MI 48034D38 BLUE CROSS/BLUE SHIELD OF (800) 678-2265 PO BOX 9201 NORTH QUINCY MA 02171D3K BLUE CROSS/BLUE SHIELD OF PO BOX 100206 COLUMBIA SC 29223D4I BLUE MEDICARE PPO 4800 DEERWOOD CAMPUS JACKSONVILLE FL 32246D2B BLUE MEDICARE RX PO BOX 34160 LOUISVILLE KY 40232D8H BLUE MEDICARE RX (PDP) (877) 213-1821 PO BOX 3897 SCRANTON PA 18505-9947D1N BLUE RX OPTION III 450 RIVERCHASE PARKW BIRMINGHAM AL 35244297 BLUE SHIELD OF CALIFORNIA (877) 932-3375 PO BOX 272540 CHICO CA 95927-2540D3X BLUE SHIELD OF CALIFORNIA 6300 CANOGA AVENUE WOODLAND HILLS CA 91367D6X BLUECROSS & BLUESHIELD OF (800) 200-4255 ONE ENTERPRISE DRIVE NORTH QUINCY MA 02171

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CARRIER CODE CARRIER NAME

CARRIER PHONE NUMBER CARRIER ADDRESS CITY STATE ZIP CODE

556 BLUECROSS OF ARKANSAS (800) 676-2583 PO BOX 1460 LITTLEROCK AR 72203562 BLUESHIELD OF NORTHEASTER (800) 888-1238 PO BOX 80 BUFFALO NY 14240-0080554 BMC HEALTHNET PLAN (888) 566-0010 TWO COPLEY SUITE 600 BOSTON MA 02116323 BOILERMAKER NATIONAL HEAL (913) 342-6555 754 MINNESOTA AVENUE KANSAS CITY KS 66101-2766594 BOILERMAKERS NAT'L HEALTH (913) 342-6555 754 MINNESOTA AVE SUITE 522 KANSAS CITY KS 66101330 BOLLINGER INSURANCE (800) 526-1379 PO BOX 727 SHORT HILLS NJ 07078-5000685 BOON CHAPMAN (800) 805-0622 3012 RIDGE ROAD #102 ROCKWALL TX 75032200 BOSTON MUTUAL LIFE (800) 669-2668 120 ROYALL STREET CLAIMS DEPT. CANTON MA 02021D4J BRAVO CLASSIC 3601 O'DONNELL STREE BALTIMORE MD 21224D2Y BRAVO HEALTH 3601 O'DONNELL STREE BALTIMORE MD 21224D9P BRAVO RX 600 NEW LONDON AVE CRANSTON RI 02920D1D BRAVO RX II 3601 O'DONNELL STREE BALTIMORE MD 21224D8Z BRAVORX (877) 504-7252 3601 O'DONNELL ST. BALTIMORE MD 21224483 BRIDGESTONE CLAIM SERVICE (330) 379-6500 PO BOX 247 SHELDON IA 51201111 BROOKS MAXI DRUG (401) 825-3900 50 SERVICE AVE WARWICK RI 02886D7O CALOPTIMA (887) 412-2734 1120 W LA VETA AVE ORANGE CA 92868306 CAMBRIDGE INTEGRATED GROU (401) 354-3223 1420 MINERAL SPRING NORTH PROVIDENCERI 02904456 CAPITAL BLUE CROSS (800) 962-2242 PO BOX 779503 HARRISBURG PA 17177-9503719 CAPITAL BLUE CROSS/DENTAL (800) 613-2624 PO BOX 1126 ELK GROVE VILLAGE IL 60009D6B CAPITAL HEALTH PLAN PO BOX 15349 TALLAHASSEE FL 32317315 CARE FIRST ADMINISTRATORS (800) 423-9791 PO BOX 1196 OWINGS MILLS MD 21117D4F CARE OREGON ADVANTAGE 315 SW FIFTH AVENUE PORTLAND OR 97204710 CARELINK (TUFTS) (800) 799-1240 P O BOX 9165 WATERTOWN MA 02471CLC CARELINK CHT (800) 799-1240 P.O.BOX 9165 WATERTOWN MA 02471100 CAREMARK (800) 824-6349 PO BOX 52195 PHOENIX AZ 85072-2195113 CAREMARK PRESCRIPTION SER (800) 841-5550 7034 ALAMO DOWNS PKW SAN ANTONIO TX 78238249 CAREMARK PRESCRIPTION SER (877) 353-3879 PO BOX 686005 SAN ANTONIO TX 78268432 CAREMARK PRESCRIPTION SER (800) 335-5268 9501 E. SHEY BLVD. SCOTTSDALE AZ 85260481 CAREMARK PRESCRIPTION SER (800) 701-5833 PO BOX 52116 PHOENIX AZ 85072-2116D7K CAREONE (800) 794-5907 PO BOX 31286 TAMPA FL 33631D9C CAREONE 600 NEW LONDON CRANSTON RI 02920D6M CAREONE (HMO) (800) 794-5907 PO BOX345 DORAL FL 33172D71 CAREPLUS HEALTH PLANS, IN (800) 794-4105 55 ALHAMBRA PLAZA 7TH FLOOR MIAMI FL 33134392 CATALYST RX (888) 869-4600 PO BOX 1069 ROCKVILLE MD 20849694 CATAMARAN (888) 546-5502 P.O. BOX 5216 LISLE IL 60532-5216

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CARRIER CODE CARRIER NAME

CARRIER PHONE NUMBER CARRIER ADDRESS CITY STATE ZIP CODE

531 CBA - BLUE (888) 222-9206 P.O. BOX 2365 SOUTH BURLINGTONVT 05407393 CBCA ADMINISTRATORS (800) 309-1851 PO BOX 902 BEATTYVILLE KY 41311600 CBCA ADMINISTRATORS INC (952) 829-3500 PO BOX 552 MINNEAPOLIS MN 55440-0552224 CCEBT HEALTH BENEFITS (800) 642-4456 PO BOX 226 MINNEAPOLIS MN 55440-0226222 CCMSI (800) 634-3506 PO BOX 1430 DANVILLE IL 61834-1430492 CCN PO BOX 5190 TAMPA FL 33675D3N CDPHP MEDICARE CHOICE 500 PATROON CREEK BL ALBANY NY 12206DC5 CDPHP NY (518) 446-0181 500 PATROON CREEK BL ALBANY NY 12206371 CELTIC INSURANCE (800) 477-7870 PO BOX 06410 CHICAGO IL 60606638 CELTIC INSURANCE COMPANY (800) 766-2525 PO BOX 46337 MADISON WI 53744D6A CENTRAL HEALTH MEDICARE P 1540 BRIDEGATE DRIVE DIAMOND BAR CA 91765114 CENTRAL STATES HEALTH & W (800) 323-2190 PO BOX 5116 DES PLAINES IL 60017735 CENTRAL STATES HEALTH (TE (800) 323-2190 P.O. BOX 34952 OMAHA NE 6813413 CHAMPVA (800) 733-8387 PO BOX 65024 DENVER CO 80206-5024558 CHARTIS HEALTH INS. (877) 803-9095 PO BOX 3726 SEATTLE WA 98124701 CHESAPEAKE LIFE INSURANCE (800) 527-5504 9151 BLVD.26 NORTH RICHLAND H TX 7618044 CHESTERFIELD RESOURCES/SA (800) 321-0935 PO BOX 1884 AKRON OH 44309117 CHICKERING CLAIMS ADMINIS (800) 966-7772 PO BOX 368 CAMBRIDGE MA 0214243 CHRISTIAN BROS EMPLOYEE B (800) 807-0400 1205 WINDHAM PKWY ROMEOVILLE IL 60441-1693CPC CHT PROVDER 1 VIRGINIA AVENUE PROVIDENVE RI 0290545 CHUBB LIFE AMERICA PO BOX 2023 CONCORD NH 03302333 CIGNA DENTAL (800) 367-1037 PO BOX 189060 PLANTATION FL 33318-9060334 CIGNA DENTAL (800) 882-4462 PO BOX 15558 WILMINGTON DE 19850-5558458 CIGNA DENTAL (822) 882-4462 PO BOX 188036 CHATTANOOGA TN 37422-803646 CIGNA HEALTH CARE (800) 882-4462 PO BOX 366 AVON CT 06001397 CIGNA HEALTH CARE (800) 244-6224 PO BOX 8012 PLAINVILLE CT 0606246A CIGNA HEALTH CARE PO BOX 34336 CHARLOTTE NC 28234-433646B CIGNA HEALTH CARE (800) 722-7535 PO BOX 182352 COLUMBUS OH 4321846C CIGNA HEALTH CARE (800) 566-3344 PO BOX 89000 ATLANTA GA 3035946D CIGNA HEALTH CARE (800) 645-7300 PO BOX 978 BRISTOL CT 0601146F CIGNA HEALTH CARE PO BOX 5001 HARTFORD CT 06102-500146G CIGNA HEALTH CARE (800) 542-4271 PO BOX 2048 GASTONIA NC 2805346H CIGNA HEALTH CARE (800) 345-9458 PO BOX 800 UNIONVILLE CT 0608546I CIGNA HEALTH CARE (800) 441-7150 PO BOX 15558 WILMINGTON DE 1985046J CIGNA HEALTH CARE PO BOX 30151 LANSING MI 48909

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CARRIER CODE CARRIER NAME

CARRIER PHONE NUMBER CARRIER ADDRESS CITY STATE ZIP CODE

46K CIGNA HEALTH CARE (800) 845-3818 PO BOX 171806 MEMPHIS TN 3818746N CIGNA HEALTH CARE (800) 443-7451 PO BOX 32894 CHARLOTTE NC 28232-289446O CIGNA HEALTH CARE (800) 832-3211 PO BOX 49180 ATLANTA GA 3035046P CIGNA HEALTH CARE (800) 462-7486 PO BOX 2005 FARMINGTON CT 0603446R CIGNA HEALTH CARE (800) 462-2135 PO BOX 34335 CHARLOTTE NC 2823446S CIGNA HEALTH CARE (800) 252-2091 PO BOX 5000 VISALIA CA 9327846T CIGNA HEALTH CARE PO BOX 10433 DES MOINES IA 5030646W CIGNA HEALTH CARE (800) 525-5803 PO BOX 2546 SHERMAN TX 75091-254646X CIGNA HEALTH CARE (800) 525-5803 PO BOX 9013 SHERMAN TX 7509146Y CIGNA HEALTH CARE (800) 244-6224 PO BOX 5200 SCRANTON PA 18505-520046Z CIGNA HEALTH CARE (800) 828-7622 PO BOX 2100 BOURBONNAIS IL 6091446Q CIGNA HEALTH CARE OF NEW PO BOX 2041 CONCORD NH 03302715 CIGNA HEALTH CARE VISION (855) 561-3805 PO BOX 5200 SCRANTON PA 18505-5200DC7 CIGNA HEALTH SPRING PREFE (800) 222-6700 P O BOX 269005 WESTON FL 33326

463 CIGNA HEALTHCARE (800) 545-6534PO BOX 182223 CLAIMS ADMINISTRAT R CHATTANOOGA TN 37422

46L CIGNA HEALTHCARE (800) 722-7535 PO BOX 188007 CHATTANOOGA TN 3742246V CIGNA HEALTHCARE (800) 379-2192 PO BOX 188013 CHATTANOOGA TN 37422-8013D03 CIGNA HEALTHCARE (800) 735-1459 13650 NW 8TH STREET SUNRISE FL 33325568 CIGNA HEALTHCARE DENTAL (800) 244-6224 PO BOX 5200 SCRANTON PA 18505-520046E CIGNA INTERNATIONAL (800) 441-2668 PO BOX 15050 WILMINGTON DE 19850-5050D8L CIGNA MEDICARE RX PLAN ON (800) 222-6700 PO BOX 269005 WESTON FL 33326D8K CIGNA MEDICARE RX PLAN TW (800) 222-6700 PO BOX 269005 WESTON FL 3332646U CIGNA OF MASSACHUSETTS (800) 922-8380 PO BOX 2083 CONCORD NH 03302429 CIGNA PHARMACY (800) 244-6224 PO BOX 3598 SCRANTON PA 18505637 CIGNA VOLUNTARY (800) 762-2727 PO BOX 55270 PHOENIX AZ 85051545 CINERGY HEALTH INSURANCE 1844 NORTH NOL HILL PLANTATION FL 33322D3E CITIZENS CHOICE HEALTH PL 5400 E. OLYMPIC BLVD SUITE 130 LOS ANGELES CA 90022D7L CITRUS HEALTH CARE INC. (813) 490-8903 5420 BAY CENTER DRIV TAMPA FL 33609D2G CITRUS HEALTH CARE, INC. 5420 BAY CENTER DRIV SUITE 250 TAMPA FL 33609165 CLAIM MANAGEMENT, INC. (800) 527-0566 PO BOX 1288 BENTONVILLE AK 72712-1288168 CLAIM STRATEGIES (401) 435-2800 60 CATAMORE BLVD. EAST PROVIDENCE RI 02914349 CLAIMS PRO 24370 NORTHWESTERN H SOUTHFIELD MI 48075469 CLARITY VISION (800) 541-2039 PO BOX 890500 CAMP HILL PA 17089-050047 CNA INSURANCE CO (800) 621-0839 PO BOX 1134 CHICAGO IL 60690

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CARRIER CODE CARRIER NAME

CARRIER PHONE NUMBER CARRIER ADDRESS CITY STATE ZIP CODE

47A CNA RISK MANAGEMENT 3 FARM GLEN BLVD. FARMINGTON CT 0603219 COLE VISION (800) 334-7591 PO BOX 8056 TWINSBURG OH 44087700 COLONIAL PENN (AFFILIAT (800) 800-2254 PO BOX 1935 CARMEL IN 48082D3Y COLORADO ACCESS 10065 EAST HARVARD A SUITE 600 DENVER CO 80231206 COMCAR INSURANCE (800) 524-1101 PO DRAWER 67 AUBURNDLE FL 33823335 COMMERCE BENEFIT GROUP (800) 223-9941 PO BOX 900 ELYRIA OH 44036D04 COMMUNITY CARE RX (866) 684-5353 1 CSC WAY RENSSELAER NY 12144D9F COMMUNITY CCRX BASIC 600 NEW LONDON AVE. CRANSTON RI 02920D8R COMMUNITY CCRX BASIC (PDP (866) 684-5353 PO BOX 1593 PENSACOLA FL 32591777 COMMUNITY HEALTH CHOICE (713) 295-2294 P. O. BOX 301424 HOUSTAN TX 77230-1424714 COMPANION LIFE LTD MED CL (866) 227-5400 PO BOX 99906 GRAPEVINE TX 76009718 COMPASS ROSE HEALTH PLAN (877) 531-1159 P.O. BOX 141501 NASHVILLE TN 37214548 COMPREHENSIVE BENEFITS (631) 306-5100 .PO BOX 8955 MELVILLE NY 11747D78 COMPREHENSIVE CARE MANAGE 2401 WHITE PLAINS RO BRONX NY 1046748 CONN. GENERAL LIFE INSURA (203) 747-4591 P O BOX 8013 PLAINVILLE CT 06062CCC CONNECT CARE CHOICE 171 SERVICE AVENUE SUITE 1005 WARWICK RI 02888CCP CONNECT CARE CHOICE COMMU 225 CHAPMAN STREET PROVIDENCE RI 0290524 CONNECTICARE, INC. (800) 846-8578 PO BOX 546 FARMINGTON CT 06034D3F CONNECTICARE, INC. (800) 846-8578 175 SCOTT SWAMP ROAD FARMINGTON CT 0603248A CONNECTICUT GENERAL (800) 523-4626 PO BOX 5112 SOUTHFIELD MI 4808648B CONNECTICUT GENERAL (CIGN (800) 227-0269 PO BOX 1976 BOURBONNAIS IL 60914679 CONNECTION'S AVESIS VISIO (800) 672-7552 PO BOX 61000-4 PHOENIX AZ 85011-7777207 CONSOLIDATED HEALTH PLANS (800) 633-7867 195 STAFFORD STREET SPRINGFIELD MA 01104-3503769 CONSTELLATION HEALTH, LLC (787) 304-4040 PO BOX 384647 SAN JUAN PR 09384- 547208 CONSTITUTION STATE SERVIC (508) 946-6437 44 BEDFORD STREET MIDDLEBORO MA 02344-1450727 CONTINENTAL BENEFITS (855) 894-4984 PO BOX 3610 BRANDON FL 33509-1390482 COOK & ASSOCIATES (303) 861-5100 700 BROADWAY SUITE 811 DENVER CO 80203704 COORDINATED BENEFIT PLAN (877) 902-9918 P O BOX 21944 EAGAN MN 55121D2L COORPERATIVA DE SEGUROS D PO BOX 363428 SAN JUAN PR 09360502 CORESOURCE (800) 223-3943 PO BOX 2920 CLINTON IA 52733-2920115 CORE-SOURCE (717) 295-9201 PO BOX 83301 LANCASTER PA 17608-3301227 CORESOURCE, INC. (410) 931-5060 4940 CAMPBELL BLVD. BALTIMORE MD 21236255 CORESTAR (800) 444-6965 PO BOX 1195 MINNEAPOLIS MN 55440-0020596 CORP BENEFIT SERVICES ADM (800) 925-2272 PO BOX 27267 MINNEAPOLIS MN 55427311 CORPORATE BENEFITS SERVIC (800) 277-9476 PO BOX 12953 CHARLOTTE NC 28220

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CARRIER CODE CARRIER NAME

CARRIER PHONE NUMBER CARRIER ADDRESS CITY STATE ZIP CODE

49A CORPORATE HEALTH ADMINIST (800) 788-7247 PO BOX 1858 BISMARCK ND 5850249 CORPORATE HLTH ADM/HOME D (800) 235-0123 PO BOX 1257 BISMARK ND 58502D66 COSVIMED-CARE (877) 311-0013 PO BOX 363428 SAN JUAN PR 09360D05 COVENTRY ADVANTRA RX (800) 882-3822 PO BOX 686007 SAN ANTONIO TX 78268D1B COVENTRY HEALTH AND LIFE PO BOX 686007 SAN ANTONIO TX 78268422 COVENTRY HEALTH CARE OF K (800) 969-3343 PO BOX 7109 LONDON KY 40742322 COVENTRY HEALTH CARE OF L (800) 341-6613 PO BOX 7707 LONDON KY 40742510 COVENTRY NATIONAL (800) 638-8432 PO BOX 8400 LONDON KY 40742749 CRYSTAL RUN HEALTH PLANS (844) 638-6507 P O BOX 3630 AKRON OH 44309-363023 CUNA INSURANCE CO (800) 233-0367 PO BOX 484 VALLEY FORGE PA 19493D9S CVS CAREMARK 600 NEW LONDON AVE CRANSTON RI 02920774 CYPRESS BENEFIT ADMINISTR (877) 236-0844 5960W. GRAND MARKET APPLETON WI 54913754 DAKOTA CARE (800) 628-3778 P.O. BOX 7406 SIOUX FALLS SD 57117-740650 DAVIS VISION (800) 999-5431 P.O. BOX 971 VISION CARE SCHENECTADY NY 12301763 DC11 TAFT-HARTLEY / TEAMS (800) 972-1627 PO BOX 5817 WALLINGFORD CT 06492396 DEFINITY HEALTH CLAIMS (866) 333-4648 PO BOX 9525 AMHERST NY 14226-9525

476 DEFINITY HEALTH CLAIMSPO BOX 740810 UHC OPTION HEALTH PP ATLANTA GA 30374

14 DELTA DENTAL (USA) PREMIE (800) 451-1249 PO BOX 9695 BOSTON MA 02114-9695499 DELTA DENTAL OF ARIZONA (800) 352-6132 PO BOX 43026 PHOENIX AZ 85080-3026258 DELTA DENTAL OF ARKANSAS (800) 462-5410 PO BOX 15965 N. LITTLE ROCK AR 72231-5965426 DELTA DENTAL OF CALIFORNI (877) 442-7462 PO BOX 537007 FEDERAL SERVICES SACRAMENTO CA 95853737 DELTA DENTAL OF COLORADO (800) 610-0201 P.O. BOX 173803 DENVER CO 80217-3803220 DELTA DENTAL OF GEORGIA (800) 616-3631 PO BOX 1809 ALPHARETTA GA 30023-1809256 DELTA DENTAL OF ILLINOIS (800) 398-7203 PO BOX 5402 LISLE IL 60532495 DELTA DENTAL OF IOWA (800) 544-0718 PO BOX 919 ANKENY IA 50021-0919394 DELTA DENTAL OF KANSAS (800) 234-3375 PO BOX 49198 WICHITA KS 67201-9198504 DELTA DENTAL OF KENTUCKY (800) 955-2030 PO BOX 242810 LOUISVILLE KY 40224-2810337 DELTA DENTAL OF MICHIGAN (800) 524-0149 PO BOX 9085 FARMINGHAM MI 48333501 DELTA DENTAL OF MINNESOTA (877) 598-5342 PO BOX 59238 MINNEAPOLIS MN 55459-0238583 DELTA DENTAL OF MISSOURI (800) 335-8266 PO BOX 8690 ST LOUIS MO 63126336 DELTA DENTAL OF NEW JERSE (800) 346-5377 PO BOX 222 PARSIPPANY NJ 07054395 DELTA DENTAL OF NEW YORK (800) 932-0783 1 DELTA DRIVE MECHANICSBURG PA 17055770 DELTA DENTAL OF NH (800) 832-5700 P.O. BOX 2002 CONCORD NH 03302-2002533 DELTA DENTAL OF PENNSYLVA (800) 932-0783 ONE DELTA DRIVE MECHANCISBURG PA 17055

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CARRIER CODE CARRIER NAME

CARRIER PHONE NUMBER CARRIER ADDRESS CITY STATE ZIP CODE

10 DELTA DENTAL OF RI (800) 843-3582 PO BOX 1517 PROVIDENCE RI 02901-1517505 DELTA DENTAL OF TENNESSEE (800) 223-3104 240 VENTURE CIRCLE NASHVILLE TN 37228525 DELTA DENTAL OF TEXAS (800) 521-2651 700 PARKER SQUARE SU FLOWER MOUND TX 75028402 DELTA DENTAL OF VIRGINIA (800) 335-8289 4818 STARKEY ROANOKE VA 24014524 DELTA DENTAL OF WASHINGTO (800) 238-3107 P.O. BOX 75983 SEATTLE WA 98175-0983515 DELTA DENTAL OF WISCONSIN (800) 236-3712 PO BOX 828 STEVENS POINT WI 54481269 DELTA USA (800) 448-3815 PO BOX 59238 MINNEAPOLIS MN 55459-0238118 DENTAL (800) 876-2840 PO BOX 21078 NEW YORK NY 10129412 DENTAPAY PO BOX 9783 AUSTIN TX 78766759 DENTEGRA INSURANCE COMPAN (877) 280-4204 100 1ST SAN FRANCISCO CA 94105746 DESERET MUTUAL (801) 578-5765 60 EAST SOUTH TEMPLE SALT LAKE CITY UT 84111744 DESERT MUTUAL (800) 777-3622 P.O BOX 45530 SALT LAKE CITY UT 84145-0530459 DISTRICT COUNCIL 1707 HEA (212) 780-2703 75 VARICK STREET NEW YORK NY 10013-1917257 DIVERSIFIED ADMINISTRATOR (888) 322-2524 PO BOX 299 MARLBOROUGH CT 06447639 DIVERSIFIED GROUP BROKERA (888) 322-2524 PO BOX 299 MARLBOROUCH CT 0644751A DIVERSIFIED PHARMACEUTICA (800) 233-8065 14000 RIVER PORT DR MARYLAND HEIGHTSMO 6304351 DIVERSIFIED PHARMACY SERV (800) 233-8065 14000 RIVERPORT DR MARYLAND HEIGHTSMO 63043D4X DOCTORCARE INC 3001 PONCE DE LEON B CORAL GABLES FL 33134239 EASTERN CASUALTY INSURANC (508) 303-1000 325 DONALD J. LYNCH MARLBOROUGH MA 01752D6G EASY CHOICE HEALTH PLAN 180 EAST OCEAN BLVD LONG BEACH CA 90802783 EBMS (406) 869-5573 EBMS, LLC PO BOX 20281 BILLINGS MT 59104-136755 EBPA (EMPLOYEE BENEFIT PL (800) 258-7298 PO BOX 2000 EXETER NH 03842-5020551 EBS-RMSCO, INC P.O. BOX 6309 SYRACOUSE NY 13217-6309640 ECKERD HEALTH SERVICES PO BOX 9062 CLEARWATER FL 34618209 EDSA (800) 952-4442 PO BOX 2395 BALTIMORE MD 21203-2395709 EHMRX EMPLOYEE HEALTH INS (800) 311-3446 26711 NW HIGHWAY SOUTHFIELD MI 48033D45 ELDER HEALTH PDP MID ATLA (888) 787-0272 3601 O'DONNELL STREE BALTIMORE MD 21224D74 ELDER SVCPLNE/E BOSTON HC 10 GROVE STREET EAST BOSTON MA 02128D3V ELDERPLAN, INC. 6323 SEVENTH AVENUE BROOKLYN NY 112208 ELECTRIC BOAT (203) 433-2990 P O BOX 1127 ATTN: BENEFITS GROTON CT 06340-1127259 ELECTRIC WORKERS HEALTH & (617) 288-5999 256 FREEPORT STREET BOSTON MA 02122791 EMBLEMHEALTH (800) 624-2414 GHI P O BOX 2832 NEW YORK NY 10116-2832772 EMI HEALTH (800) 662-5851 852 E. ARROWHEAD LAN MURRAY UT 84107-5298773 EMI HEALTH DENTAL (800) 662-5851 852 E. ARROWHEAD LAN MURRAY UT 84107-5298

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CARRIER CODE CARRIER NAME

CARRIER PHONE NUMBER CARRIER ADDRESS CITY STATE ZIP CODE

543 EMIH (EMPLOYEE HEALTH INS (800) 311-3446 26711 NORTHWESTERN H SUITE 400 SOUTHFIELD MI 4803354A EMPIRE BLUE CROSS PO BOX 170 MURPHY HILL STATION NEW YORK NY 1015654B EMPIRE BLUE CROSS (212) 476-7700 PO BOX 11802 ALBANY NY 12211-080254C EMPIRE BLUE CROSS (800) 468-8802 PO BOX 5012 MIDDLETOWN NY 10940-9012

54D EMPIRE BLUE CROSS NY STATE SERVICE CTR PO BOX 11815 ALBANY NY 12211-081554E EMPIRE BLUE CROSS (877) 732-7717 PO BOX 1407 CHURCH ST. STATION NEW YORK NY 10008D3B EMPIRE BLUE CROSS/BLUE SH 3 HUNTINGTON QUADRAN MELVILLE NY 11747

54 EMPIRE BLUE CROSS/NYNEX (855) 880-0575 NYNEX DEDICATED SVC PO BOX 5047 MIDDLETOWN NY 10941313 EMPLOYEE BENEFIT ADMINIST (800) 224-2522 64 SCHOOSETT STREET ROUTE 139 PEMBROKE MA 02359121 EMPLOYEE BENEFITS TRUST (302) 426-3224 PO BOX 8788 WILMINGTON DE 19899641 EMPLOYEE HEALTH INS MANAG (800) 311-3446 26711 NW HIGHWAY SOUTHFIELD MI 48033764 ENVISION RX (844) 429-6893 2181 EAST AURORA RD #21 TWINSBURG OH 44087D1H ENVISION RX PLUS (866) 250-2005 2181 EAST AURORA ROA SUITE 201 TWINSBURG OH 44087D9A ENVISION RX PLUS SILVER (866) 250-2005 2181 E. AURORA RD ST TWINSBURG OH 44087D9R ENVISION RX PLUS SILVER 600 NEW LONDON AVE CRANSTON RI 0292059 EQUICOR, INC. PO BOX 34337 CHARLOTTE NC 28234307 ERN ADMINISTRATORS (800) 252-4698 PO BOX 9137 FORT WORTH TX 76147-2137755 ESSENTIALSTAFFCARE (866) 798-0803 PO BOX 6702 COLUMBIA SC 29260-6702455 EURO-CENTER USA (212) 265-8522 140 W 57TH STREET SUITE 6B NEW YORK NY 1001906B EVERCARE (800) 393-0993 PO BOX 659754 SAN ANTONIO TX 78265-9754D2W EVERCARE HEALTH PLANS 13621 NW 12 STREET SUNRISE FL 33323D4V EVERCARE HEALTH PLANS 13621 N.W. 12TH STRE SUNRISE FL 33323D84 EVERCARE OF TEXAS, LLC (866) 382-4642 9700 BISSONNET SUITE 2225 HOUSTON TX 77036

D5L EVERCARE PLAN 450 COLUMBUS BOULEVA CT 28-07SB HARTFORD CT 06115D4U EVERCARE PLAN DH PO BOX 459018 SUNRISE FL 33345

D4K EVERCARE PLAN IH 900 4TH AVENUE, SUITE WA33-1000 SEATTLE WA 98164D1J EVERCARE PLAN IP 6085 MARSHALEE DRIVE SUITE 110 ELKRIDGE MD 21075D4R EVERCARE PLAN IP 275 GROVE STREET SUI AUBURNDALE MA 02466

620 EXCELLUS BLUE CROSS BLUE (800) 311-3536UTICA BUSINESS PARK 12 RHOADS DRIVE UTICA NY 13502

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CARRIER CODE CARRIER NAME

CARRIER PHONE NUMBER CARRIER ADDRESS CITY STATE ZIP CODE

498 EXCELLUS BLUE CROSS/ BLUE (877) 757-3850 PO BOX 22999 ROCHESTER NY 1469253 EXPRESS SCRIPT (800) 451-6245 14000 RIVERPORT DR MARYLAND HEIGHTSMO 63043

53A EXPRESS SCRIPT (877) 212-10216625 W. 78TH STREET ATTN: CLAIMS BL0630 BLOOMINGTON MN 55439

53C EXPRESS SCRIPT (800) 964-1888 PO BOX 1180 433 RIVER STREET TROY NY 1218053D EXPRESS SCRIPTS (800) 772-3979 PO BOX 390873 B 470-Q4H BLOOMINGTON MN 55439-087353E EXPRESS SCRIPTS (800) 955-1171 PO BOX 66518 ATTN: SA TEAM ST. LOUIS MO 63166-651853B EXPRESS SCRIPTS/BCMA RX (800) 524-4491 PO BOX 66583 ATTN: CLAIMS DEPT. ST. LOUIS MO 63166-6773126 EYE CARE PLAN OF AMERICA (800) 221-3272 PO BOX 51810 PHOENIX AZ 85076471 EYE MED VISION PLAN (866) 939-3633 PO BOX 8506 MASON OH 45040-7111485 EYEMED MANAGED CARE CLAIM (866) 723-0513 PO BOX 8504 MASON OH 45040-711157 FALLON COMMUNITY HEALTH P (888) 468-1541 PO BOX 15121 WORCESTER MA 01615-0121

D29 FALLON COMMUNITY HEALTH P (888) 846-5997ONE CHESTNUT PLACE 10 CHESTNUT STREET WORCESTER MA 01608

690 FCE BENEFIT ADMINISTRATOR (800) 899-9355 4615 WALZEM ROAD SUITE #300 SAN ANTONIO TX 78218

339 FEDERAL EMPLOYEE COMP ACT (800) 888-6227JFK BLDG-ROOM E 260 US DEPT OF LABOR/OWC BOSTON MA 02203

58 FEDERAL EMPLOYEE PLAN/BC (401) 831-0153 444 WESTMINSTER ST PROVIDENCE RI 02903-3279418 FEDERL MUTUAL INSURANCE (507) 455-5200 PO BOX 328 OWATONNA MN 55060235 FFI, RX MANAGED CARE (800) 699-7857 8536 CROW DRIVE MACEDONIA OH 44056210 FIREMAN'S FUND (516) 756-6100 538 BROADHOLLOW ROAD MELVILLE NY 11747123 FIRST HEALTH (412) 269-1178 PO BOX 8400 LONDON KY 40742124 FIRST HEALTH PO BOX 945030 MAITLAND FL 32797-5030262 FIRST HEALTH PO BOX 23550 TUCSON AZ 85734270 FIRST HEALTH PO BOX 11127 TUCSON AZ 85734280 FIRST HEALTH PO BOX 23070 TUCSON AZ 85734317 FIRST HEALTH PO BOX 10000 ELEC. CLAIMS PAYOR CORAOPOLIS PA 15108-6910

453 FIRST HEALTHPO BOX 24308 ELECTRONIC CLAIM PAY TUCSON AZ 85734

D9E FIRST HEALTH PART D-PREMI 600 NEW LONDON AVE CRANSTON RI 02920D30 FIRST HEALTH PREMIER (800) 588-3322 2222 EWING ROAD MOON TOWNSHIP PA 15108D67 FIRST HEALTH PREMIER (800) 588-3322 2222 EWING ROAD MOON TOWNSHIP PA 15108

D4L FIRST MEDICALHEALTH PLAN MEDICAL PO BOX 195080 SAN JUAN PR 09190

D27 FIRST MEDICAL HEALTH PLAN (866) 515-5885 P.O. BOX 195080 SAN JUAN PR 09190

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CARRIER CODE CARRIER NAME

CARRIER PHONE NUMBER CARRIER ADDRESS CITY STATE ZIP CODE

D8C FIRST MEDICAL HEALTH PLAN (787) 625-9557 PO BOX 195080 SAN JUAN PR 09190D83 FIRST PLAN BLUE (800) 635-4159 525 S. LAKE AVENUE SUITE 222 DULUTH MN 55802D2H FIRST UNITED AMERICAN LIF 3700 SOUTH STONEBRID MCKINNEY TX 75070520 FISERV (800) 826-9781 PO BOX 8077 WAUSAU WI 54402-9781329 FISERV HEALTH (866) 881-0800 PO BOX 310 PUEBLO CO 81002642 FISERV SAN ANTONIO (800) 218-1004 PO BOX 2838 CLINTON IA 52733595 FISERV WAUSAU (800) 826-9781 754 MINNESOTA AVE SUITE 522 SALT LAKE CITY UT 84130D80 FLORIDA HEALTH CARE PLAN, (800) 232-0578 1340 RIDGEWOOD AVENU HOLLY HILL FL 32117517 FLRX (800) 724-5033 PO BOX 22999 ROCHESTER NY 14692358 FMH BENEFITS (800) 990-9058 PO BOX 25946 OVERLAND PARK KS 66225261 FOREMOST OF AMERICA (800) 847-8217 1009 LENOX DRIVE LAWRENCEVILLE NJ 0864860 FORTIS BENEFIT INSURANCE (800) 800-2000 GROUP CLAIM DEPT ST PAUL MN 5516460B FORTIS BENEFITS (800) 434-2638 PO BOX 2940 CLINTON IA 5273360A FORTIS SELF FUNDED INSURA (800) 847-8284 PO BOX 2043 HOPKINS MN 55343

486 FOUNDATION BENEFITS ADMIN (866) 868-94496300 BRIDGEPOINT PAR BLDG. 3, SUITE 400 AUSTIN TX 78730

D8G FOX INSURANCE (877) 369-9564 40 WEST 25TH ST. 6TH NEWYORK NEWYORNY 10010

D1A FOX INSURANCE COMPANY 6263 NORTH SCOTTSDAL SUITE 200 A SCOTTSDALE AZ 85250291 FRA INSURANCE PLANS (800) 424-1120 PO BOX 10340 DES MOINES IA 50306-0340D4O FREEDOM BLUE 700 MARKET SQUARE PO BOX 1948 PARKERSBURG WV 26101D5I FREEDOM BLUE PPO PO BOX 1068 PITTSBURG PA 15230D82 FREEDOM HEALTH, INC. (888) 796-0946 5501 49TH STREET N ST PETERSBURG FL 33709D7N FREEDOM MEDI-MEDI PARTIAL (888) 796-0946 5403 N.CHURCH AVE. TAMPA FL 33614579 FUTURE SCRIPTS (855) 390-2604 1600 ARCH STREET SUITE 2600 PHILADELPHIA PA 19103721 FUTURE SCRIPTS (888) 678-7012 1650 ARCH STREET SUITE 2600 PHILADELPHIA PA 19103405 GALLAGHER BENEFIT ADMINIS (866) 761-6280 PO BOX 34297 SAN ANTONIO TX 78265129 GALLAGHER-BASSETT (781) 849-9090 100 GRANDVIEW ROAD BRAINTREE MA 02184211 GALLAGHER-BASSETT (401) 739-7111 475 KILVERT STREET WARWICK RI 0288662 GALLAGHER-BASSETT BENEFIT PO BOX 41 MINNEAPOLIS MN 55440-0041263 GATES MCDONALD HEALTH PLU (800) 642-7587 PO BOX 182720 COLUMBUS OH 43218D1G GATEWAY HEALTH PLAN, INC. 600 GRANT STREET 41ST FLOOR PITTSBURGH PA 15219597 GEHA (800) 821-6136 PO BOX 4665 INDEPENDENCE MO 64051-4665678 GEHA CONNECTION DENTAL FE (877) 434-2336 PO BOX 2336 INDEPENDENCE MO 64051-2336D4Z GEISINGER GOLD 100 NORTH ACADEMY AV DANVILLE PA 17822

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CARRIER CODE CARRIER NAME

CARRIER PHONE NUMBER CARRIER ADDRESS CITY STATE ZIP CODE

738 GEISINGER HEALTH PLAN (800) 504-0443 P.O. BOX 8200 DANVILLE PA 17821-8200760 GEISINGER HEALTH PLAN (800) 447-4000 P.O. BOX 8200 DANVILLE PA 17821-8200D7V GEMCARE HEALTH PLAN (877) 697-2464 5080 CALIFORNIA AVEN BAKERSFIELD CA 9330963 GENERAL AMERICAN LIFE INS (800) 854-7309 PO BOX 5445 ROCKFORD IL 61125-0445127 GENERAL ELECTRIC DENTAL B (800) 552-3232 PO BOX 6113 CLAIM CENTER UTICA NY 13504-611364 GENERAL ELECTRIC PENSIONE (800) 848-8406 MEDICAL CLAIMS CTR PO BOX 6125 UTICA NY 13504128 GENERAL ELECTRIC VISION C (800) 433-9375 PO BOX 2243 SCHENECTADY NY 12301537 GENWORTH LIFE & ANNUITY M (877) 825-9337 PO BOX 10821 CLEARWATER FL 33757-8821454 GERBER LIFE INSURANCE (800) 628-0011 PO BOX 7005 PARKERSBURG WV 26102-7015404 GHI - GOVERNMENT HEALTH I (212) 501-4444 PO BOX 2834 NEW YORK NY 10116D7P GHI MEDICARE CHOICE PPO (866) 557-7300 789 GRANT AVE. LAKE KATRINE NY 12449D50 GHI MEDICARE PRESCRIPTION (800) 611-8454 441 NINTH AVENUE NEW YORK NY 10001221 GIC INDEMNITY PLAN BY UNI (800) 333-8724 PO BOX 8397 AMORYVILLE CA 9466266 GLOBE LIFE INS. CO. 5050 N. BROADWAY CHICAGO IL 60640342 GM-SOUTHWEST (800) 823-0804 PO BOX 803473 DALLAS TX 75380-3473731 GOLDEN RULE (618) 943-8000 7211 11TH STREET LAWRENCEVILLE IL 62439343 GOLDEN RULE INSURANCE CO. (317) 297-4149 7440 WOODLAND DRIVE INDIANAPOLIS IN 46278-1719131 GOVERNMENT EMPLOYEES HOSP (816) 257-5500 PO BOX 10304 KANSAS CITY MO 64171-0304132 GOVERNMENT EMPLOYEES HOSP (800) 821-6136 PO BOX 4665 INDEPENDENCE MO 64051-466567 GREAT WEST HEALTHCARE (800) 663-8081 1000 GREAT WEST DRIV KENNETT MO 6385767A GREAT WEST LIFE (800) 663-8081 PO BOX 11111 FORT SCOTT KS 6670167B GREAT WEST LIFE (800) 663-8081 PO BOX 11111 FORT SCOTT KS 6670167C GREAT WEST LIFE (800) 663-8081 PO BOX 11111 FORT SCOTT KS 6670167E GREAT WEST LIFE (800) 663-8081 PO BOX 11111 FORT SCOTT KS 6670167D GREAT WEST LIFE (ONE HEAL (800) 663-8081 PO BOX 11111 FORT SCOTT KS 66701708 GROUP & PENSION PLAN (972) 238-7900 12770 MERIT DRIVE 2ND FLOOR DALLAS TX 7525169 GROUP ADMINISTRATORS LTD (708) 519-1880 1880 N ROSELLE ROAD SCHAUMBURG IL 60195215 GROUP HEALTH, INC. (800) 358-5500 PO BOX 2832 NEW YORK NY 10116-2832415 GROUP INSURANCE SERVICE C (800) 242-4472 PO BOX 9120 MARSHFIELD MA 02050643 GROUP LINK INC (317) 578-7128 PO BOX 21518 ST PAUL MN 55121-0518523 GROUP RESOURCES INC (888) 620-1297 PO BOX 100043 DULUTH GA 30096-9343512 GROUPLINK, INC. (877) 223-4693 PO BOX 20593 INDIANAPOLIS IN 46220341 GUARANTEE TRUST LIFE INS. (800) 622-1993 PO BOX 1148 GLENVIEW IL 6002568 GUARDIAN INSURANCE (800) 541-7846 PO BOX 8007 APPLETON WI 5491368A GUARDIAN INSURANCE (800) 685-4542 PO BOX 26020 LEIGH VALLEY PA 18002-6025

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CARRIER CODE CARRIER NAME

CARRIER PHONE NUMBER CARRIER ADDRESS CITY STATE ZIP CODE

68B GUARDIAN INSURANCE (800) 541-7846 PO BOX 2459 SPOKANE WA 99210-245968C GUARDIAN INSURANCE (800) 873-4542 PO BOX 9129 NORWELL MA 02061-9129410 H.E.R.E.I.U. (866) 261-5676 PO BOX 6020 AURORA IL 60598355 HANOVER INSURANCE (508) 997-0454 PO BOX 15146 WORCESTER MA 01615D2M HAP SENIOR PLUS 2850 WEST GRAND BLVD DETROIT MI 48202376 HARBORSIDE HEALTH PLAN (800) 235-9562 1 BEACON STREET 11TH FLOOR BOSTON MA 02108133 HARRINGTON BENEFIT SERVIC (800) 241-7483 PO BOX 74206 CHICAGO IL 60690-8206357 HARRINGTON BENEFIT SERVIC (800) 995-1430 PO BOX 30367 TAMPA FL 33630-3367644 HARRINGTON BENEFIT SERVIC (800) 848-4623 675 BROOKSEDGE BLVD WESTERVILLE OH 43081406 HARRISON TRUST (800) 547-4457 1220 SW MORRISON PORTLAND OR 9720573 HARTFORD LIFE & ACC. INS. HARTFORD PLAZA HARTFORD CT 0611573A HARTFORD LIFE & ACCIDENT (800) 247-2192 MEDI PLUS CLAIMS PO BOX 9126 DES MOINES IA 50306-91267 HARVARD PILGRIM (888) 333-4742 2 DAVOL SQUARE PROVIDENCE RI 02903D86 HARVARD PILGRIM HEALTH CA 1600 CROWN COLONY DR QUINCY MA 02169D1R HARVARD PILGRIM HEALTHCAR 93 WORCESTER STREET WELLESLEY MA 02481726 HCC LIFE INSURANCE COMPAN (866) 400-7102 P.O.BOX2005 FARMINGTON MI 48333-200511 HEALTH ADVANTAGE (401) 831-1518 P.O. BOX 488 PROVIDENCE RI 02901312 HEALTH CARE ADMINISTRATOR (888) 448-7447 PO BOX 6108 LAFAYETTE IN 47903345 HEALTH CARE PAYERS COALIT (800) 427-9005 PO BOX 6858 EDISON NJ 08818D28 HEALTH CHOICE GENERATIONS (800) 322-8670 1600 W. BROADWAY SUITE 110 TEMPE AZ 85282407 HEALTH FINEST NETWORK (HF (800) 634-3506 PO BOX 3428 OAK BROOK IL 60522

D57 HEALTH FIRST MEDICARE PLA (800) 856-8652HEALTH FIRST HEALTH 6450 US HIGHWAY 1 ROCKLEDGE FL 32955

72 HEALTH INS PLAN OF GREATE (212) 630-5000 CLAIMS SERVICE CTR PO BOX 2803 NEW YORK NY 10116-2803136 HEALTH LINK (800) 624-2356 PO BOX 419104 ST LOUIS MO 63141344 HEALTH NET (800) 847-3991 PO BOX 10196 VAN NUYS CA 91410-0196408 HEALTH NET (800) 441-5741 PO BOX 14700 LEXINGTON KY 40512D06 HEALTH NET (800) 547-8734 ONE FAR MILL CROSSIN SHELTON CT 06484

D5A HEALTH NET OF ARIZONA, IN 1230 WEST WASHINGTON SUITE 401 TEMPE AZ 85281D8P HEALTH NET ORANGE OPTION (800) 806-8811 2222 EWING ROAD MOON TOWNSHIP PA 15108D9D HEALTH NET ORANGE OTION 1 600 NEW LONDON AVE CRANSTON RI 02920611 HEALTH NEW ENGLAND (800) 310-2835 ONE MONARCH PLACE SUITE 1500 SPRINGFILED MA 01144-1500460 HEALTH OPTIONS - JACKSONV (800) 734-6656 532 RIVERSIDE AVENUE JACKSONVILLE FL 32202D5G HEALTH OPTIONS PROGRAM PO BOX 1764 LANCASTER PA 17608

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CARRIER CODE CARRIER NAME

CARRIER PHONE NUMBER CARRIER ADDRESS CITY STATE ZIP CODE

D79 HEALTH OPTIONS, INC.\BSBS (800) 876-2227 4800 DEERWOOD CAMPUS JACKSONVILLE FL 32246

529 HEALTH PARTNERS ADMINISTR (952) 883-60008170 33RD AVENUE SOU PO BOX 1309 MINNEAPOLIS MN 55440-1309

DE6 HEALTH PARTNERS OF PA (800) 553-0784 P.O.BOX 1220 PHILADELPHIA PA 19105-1220511 HEALTH PLAN ADMINISTRATOR (866) 513-1479 PO BOX 828 ST M CLAIMS DEPT. PARK RIDGE IL 60068-082852 HEALTH PLAN INC (800) 532-7575 PO BOX 419 MARLBOROUGH CT 06447D4T HEALTH PLAN OF NEVADA, IN PO BOX 15645 LAS VEGAS NV 89114D53 HEALTH PLAN OF SAN MATEO (866) 880-0606 701 GATEWAY BLVD. SUITE 400 SOUTH SAN FRANCISCA 9408065 HEALTH PLAN SERVICES (800) 446-8182 PO BOX 30367 TAMPA FL 33630-3367234 HEALTH PLANS, INC.(HARVAR (508) 752-2480 PO BOX 5199 WESTBOROUGH MA 01581646 HEALTH PLUS LOUISIANA (318) 212-8520 PO BOX 69316 HARRISBURG PA 17106720 HEALTH SMART BENEFIT SOLU (800) 331-1096 3320 WEST MARKET STR BLDG 100 FAIRLAWN OH 44333608 HEALTH SMART WEST VIRGINI (800) 624-8605 PO BOX 3262 CHARLESTON WV 25332669 HEALTH SOLUTIONS (888) 546-5502 PO BOX 3163 LISLE IL 6053246M HEALTH SOURCE/CIGNA PO BOX 188002 CHATTANOOGA TN 37422D9M HEALTH SPRING PRESCRIPTIO 600 NEW LONDON AVE. CRANSTON RI 02920D7H HEALTH SPRING TENNESSEE I (866) 845-6941 44 VANTAGE WAY SUITE NASHVILLE TN 37228D6H HEALTH SUN HEALTH PLANS 1205 SW 37TH AVENUE MIAMI FL 33135264 HEALTHCARE PLAN OF MOHAWK (800) 991-7401 PO BOX 100184 COLUMBIA SC 29202-3184134 HEALTHCARE VALUE MANAGEME (800) 527-2845 100 RIVER RIDGE DR NORWOOD MA 02062135 HEALTHCARE VALUE MANAGEME (800) 237-5949 PO BOX 2075 NASHUA NH 03061413 HEALTHCARE VALUE MANAGEME (800) 447-6588 2180 NORTH LOOP WEST HOUSTON TX 77018424 HEALTHCARE VALUE MANAGEME (800) 564-5999 256 FREEPORT STREET 2ND FLOOR BOSTON MA 02127D41 HEALTHFIRST MEDICARE PLAN (877) 237-1303 PO BOX 5165 NEW YORK NY 10274606 HEALTHFIRST NEW YORK (212) 801-6000 25 BROADWAY NEW YORK NY 10004676 HEALTHFIRST NEW YORK/DENT (212) 801-6000 25 BROADWAY NEW YORK NY 100044 HEALTHMATE CLAIMS DEPT. (401) 459-5000 1 WEYBOSSET ST. PROVIDENCE RI 02903585 HEALTHNET NORTH EAST (800) 848-4747 PO BOX 14700 LEXINGTON KY 40512D1Y HEALTHNET OF CALIFORNIA PO BOX 10198 VAN NUYS CA 91410D1F HEALTHNET OF CONNECTICUT ONE FAR MILL CROSSIN SHELTON CT 06484D7D HEALTHNOW NEW YORK (518) 220-4699 30 CENTURY HILL DRIV LATHAM NY 12110732 HEALTHPLEX (631) 794-3000 333 EARLE OVINGTON B SUITE 300 UNIONDALE NY 11553591 HEALTHSCOPE BENEFITS (800) 333-5711 PO BOX 619055 DALLAS TX 75261-9055789 HEALTHSCOPE BENEFITS AET (800) 660-6212 PO BOX 99006 LUBBOCK TX 79490D55 HEALTHSPRING (888) 886-1993 9701 WEST HIGGINS RO SUITE 360 ROSEMONT IL 60018

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CARRIER CODE CARRIER NAME

CARRIER PHONE NUMBER CARRIER ADDRESS CITY STATE ZIP CODE

D3G HEALTHSPRING HEALTHCARE O 44 VANTAGE WAY SUITE 300 NASHVILLE TN 37228

D3S HEALTHSPRING OF ALABAMA,2 PERIMETER PARK SOU SUITE 300 WEST BIRMINGHAM AL 34243

D48 HEALTHSPRING PRESCRIPTION (888) 583-3346 44 VANTAGE WAY SUITE 300 NASHVILLE TN 37228D8W HEALTHSPRING PRESCRIPTION (615) 291-7024 37228-0000 NASHVILLE TN 37228212 HELLSMAN MANAGEMENT (401) 351-2200 245 WATERMAN STREET PROVIDENCE RI 02906236 HERITAGE CONSULTANTS (800) 282-2460 PO BOX 1730 AUBURNDALE FL 33823730 HERITAGE/VISION (800) 252-2053 1 WOODWARD AVENUE SUITE 2020 DETROIT MI 48226645 HIGHMARK BLUE CROSS (800) 544-6679 PO BOX 69316 HARRISBURG PA 17106214 HIGHMARK BLUE CROSS/BLUE (866) 588-6966 FIFTH AVENUE PLACE PITTSBURGH PA 15222-3099

D56 HIGHMARK SENIOR RESOURCES (866) 465-4030PO BOX 535049 SENIOR PRODUCTS ENRO PITTSBURGH PA 15253

702 HIP HEALTH PLAN OF NEW YO (800) 447-8255 55 WATER STREET NEW YORK NY 10041D1C HIP HEALTH PLAN OF NEW YO 55 WATER STREET NEW YORK NY 10041D7B HIP HEALTH PLAN OF NEW YO (800) 447-8255 55 WATER STREET NEW YORK NY 10041-8190D97 HIP OF GREATER NEW YORK (800) 447-8255 55 WATER STREET NEW YORK NY 10041D89 HISC BLUE CROSS/BLUE SHIE PO BOX 7020 LAWRENCE KS 660449 HMO - BLUE OF MASSACHUSET (800) 882-2060 PO BOX 9196 NORTH QUINCY MA 02171-9196130 HOLYOKE MUTUAL INSURANCE (978) 744-6123 PO BOX 2006 HOLYOKE SQUARE SALEM MA 01970-3391782 HOME DEPOT CO-ORDINATED B (877) 902-9923 P.O.BOX 23802 TAMPA FL 33623-380271 HOME LIFE INSURANCE CO. (800) 241-8813 PO BOX 956353 DULUTH GA 30136494 HORIZON BLUE CROSS/BLUE S (888) 456-7910 PO BOX 1219 NEWARK NJ 07105-1219D2J HORIZON HEALTHCARE OF NEW 3 PENN PLAZA EAST PP-9 W NEWARK NJ 07101D1X HORIZON HEALTHCARE SERVIC 3 PENN PLAZA, EAST NEWARK NJ 07105D6R HUMANA (800) 281-6918 PO BOX 14601 LEXINGTON KY 40512D9Q HUMANA (800) 783-1307 PO BOX 1457 LEXINGTON KY 40512D9T HUMANA 600 NEW LONDON AVE. CRANSTON RI 02920DC4 HUMANA CHOICE (859) 232-8686 P O BOX14605 LEXINGTON KY 40512-4605D5H HUMANA CHOICE PPO 500 WEST MAIN STREET LOUISVILLE KY 40202D7R HUMANA COMPLETE S5884-046 (800) 281-6918 WEST MAIN ST, LOUISVILLE KY 40202265 HUMANA EMPLOYERS HEALTH I (800) 558-4444 P.O. BOX 14610 LEXINGTON KY 40512-4610D9I HUMANA ENHANCED 600 NEW LONDON CRANSTON RI 02920D6N HUMANA ENHANCED S5884-005 (800) 281-6918 500 WEST MAIN ST. 500 WEST MAIN ST KY 40202DC6 HUMANA GOLD CHOICE (859) 232-8686 P O BOX 14605 LEXINGTON KY 40512-4605D6Z HUMANA GOLD CHOICE H2944- (800) 281-6918 PO BOX 14601 LLEXINGTON KY 40512

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CARRIER CODE CARRIER NAME

CARRIER PHONE NUMBER CARRIER ADDRESS CITY STATE ZIP CODE

D5W HUMANA HEALTH BENEFIT PLA 500 WEST MAIN STREET LOUISVILLE KY 40202D61 HUMANA HEALTH INSURANCE C (800) 833-2364 500 WEST MAIN STREET LOUISVILLE KY 40202D1P HUMANA HEALTH PLAN (800) 281-6918 500 WEST ST. LOUISVILLE KY 40202D9W HUMANA HEALTH PLAN (800) 281-6918 500 WEST MAIN ST LOUISVILLE KY 40202D5O HUMANA HEALTH PLAN INC 500 WEST MAIN STREET LOUISVILLE KY 40202D65 HUMANA HEALTH PLANS OF PU (800) 681-3625 500 WEST MAIN STREET LOUISVILLE KY 40202D7G HUMANA HEALTH PLANS OF PU (866) 773-5959 101 EAST MAIN STREET SALSIBURY KY 40202D9U HUMANA INC. (800) 281-6918 PO BOX 14601 LEXINGTON KY 40512D8F HUMANA INS OF NEW YORK (800) 486-2620 500 WEST MAIN STREET LOUISVILLE KY 40202D6V HUMANA INS. CO. (PFFS) (877) 511-5000 101 EAST MAIN STREET LOUISVILLE KY 40202D2A HUMANA INSURANCE CO. 500 WEST MAIN STREET LOUISVILLE KY 40202D59 HUMANA INSURANCE CO. (800) 833-2312 500 WEST MAIN STREET LOUISVILLE KY 40202D68 HUMANA INSURANCE COMPANY (800) 706-0872 500 WEST MAIN STREET LOUISVILLE KY 40202D5Z HUMANA INSURANCE OF PUERT 500 WEST MAIN STREET LOUISVILLE KY 40202D32 HUMANA MEDICAL PLAN, INC. (800) 833-2364 500 WEST MAIN STREET LOUISVILLE KY 40202

778 HUMANA MILITARY (800) 444-5445 TRICARE CARE EAST RE CLAIMS DEPT MADISON WI 53707-7981D7S HUMANA VALUE S5884-102 (P (800) 281-6918 102 WEST MAIN ST LOUISVILLE KY 40202D07 HUMANA, INC. (800) 281-6918 500 WEST MAIN STREET LOUISVILLE KY 40202DC3 HYMANA GOLD PLUS (859) 232-8686 P O BPX 14605 LEXINGTON KY 40512-4605347 IBEW LOCAL 223 HEALTH & W (508) 947-8555 PO BOX 1238 LAKEVILLE MA 023470BX IBEW LOCAL UNION 42 & 104 P O BOX 1213 MANCHESTER CT 06040780 IMG (855) 731-9442 P.O.BOX 88506 INDIANAPOLIS IN 46201216 INDECS CORPORATION (800) 225-0324 PO BOX 668 LYNDHURST NJ 14779-7215225 INDEPENDENCE BLUE CROSS (877) 448-7526 1901 MARKET STREET PHILADELPHIA PA 19103-1480740 INDEPENDENT HEALTH ASSOCI (800) 501-3439 P O BOX 9066 BUFFALO NY 14231D93 INDEPENDENT LIVING FOR SE 2066 HUDSON AVENUE ROCHESTER NY 14617686 INFORMED RX (800) 880-1188 2441 WARRENVILLE ROA LISLE IL 60532648 INNOVIANT (877) 559-2955 PO BOX 8082 WAUSAU WI 54402D49 INSTIL HEALTH INSURANCE C (877) 446-7845 17 TECHNOLOGY CIRCLE COLUMBIA SC 29203266 INSURANCE ADMINISTRATORS (888) 599-1515 PO BOX 5082 MT. LAUREL NJ 08054348 INSURERS ADMINISTRATIVE C (800) 397-5800 PO BOX 39119 PHOENIX AZ 85069-9119D4H INTER VALLEY HEALTH PLAN 300 S PARK AVENUE PO BOX 6002 POMONA CA 91769647 INTERACTIVE MEDICAL SYSTE (800) 426-8739 11635 NORTHPARK DR SUITE 335 WAKE FOREST NC 27587416 INTERNATIONAL MEDICAL GRO (800) 628-4664 407 FULTON STREET INDIANAPOLIS IN 46202

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414 INTERPLAN CORPORATION (800) 444-4036 2575 GRAND CANAL BLV STOCKTON CA 95207487 IRON CLAD INSURANCE (866) 229-4766 161 GRANITE AVENUE DORCHESTER MA 02124567 IRON CLAD INSURANCE DENTA (866) 229-4766 161 GRANITE AVE DORCHESTER MA 02052217 J.C. PENNEY LIFE INSURANC 2700 WEST PLANO PKWY PLANO TX 75075359 J.F. MALLOY & ASSOCIATES (800) 373-5208 PO BOX 790215 ST. LOUIS MO 63179137 JEFFERSON PILOT INSURANCE (713) 776-1761 10101 SW FREEWAY HOUSTON TX 7707425 JOHN ALDEN LIFE INSURANCE (800) 328-4316 PO BOX 9398 MINNEAPOLIS MN 55440

83B JOHN HANco*ck HEALTH INSUR (800) 442-9300COMMONWEALTH SERVICE PO BOX 9016 ANDOVER MA 01810

83C JOHN HANco*ck INSURANCE (800) 843-6147 PO BOX 833898 RICHARDSON TX 7508383 JOHN HANco*ck MUTUAL LIFE (800) 343-0034 200 BERKELEY ST BOSTON MA 0211783A JOHN HANco*ck MUTUAL LIFE (800) 345-1335 208 OLD LANCASTER RD DEVON PA 19333

428 KAISER FOUNDATION HEALTH (800) 464-4000 PO BOX 7004 ATTN: SOUTHERN CAR DOWNEY CA 90242-7004D3I KAISER FOUNDATION HEALTH 1001 LAKESIDE AVENUE CLEVELAND OH 44114218 KAISER PERMANENTE (800) 464-4000 PO BOX 12923 ATTN: CLAIMS DEPT. OAKLAND CA 94604-2923D58 KAISER PERMANENTE (800) 777-1238 1800 HARRISON STREET OAKLAND CA 94612D8E KAISER PERMANENTE (877) 221-8221 500 NE MULTNOMAH SUI PORTLAND OR 972320EB KEMPER INS - LUMBERMAN'S (800) 922-3185 1 KEMPER DRIVE LONG GROVE IL 600490EC KEMPER INSURANCE/WORKERS (508) 998-1123 PO BOX 51148 NEW BEDFORD MA 02745785 KEY BENEFIT ADMINISTRATOR (877) 851-0906 PO BOX 3252 MILWAUKEE WI 53201-3252D1K KEYSTONE HEALTH PLAN EAST 1901 MARKET STREET 28TH FLOOR PHILADELPHIA PA 19103668 KEYSTONE WEST (877) 258-3123 PO BOX 898819 CAMP HILL PA 17089-8316452 KLAIS & CO., INC. (330) 867-8443 1867 WEST MARKET STR AKRON OH 44313761 KROGER RX (800) 917-4926 1014 VINE STREET CINCINNATI OH 45202D87 LEON MEDICAL CENTERS HEAL 11501 SW 40TH STREET MIAMI FL 33165

D6I LIBERTY HEALTH ADVANTAGEONE HUNTINGTON QUADR SUITE 3N01 MELVILLE NY 11747

547 LIBERTY MUTUAL (800) 245-1700 PO BOX 1052 ATTN: CLAIMS DEPT. MONTGOMERYVILLEPA 189360H4 LIBERTY MUTUAL ASSURANCE (516) 724-9100 P O BOX 1500 SMITHTOWN NY 11787142 LIBERTY MUTUAL GROUP (800) 422-4718 PO BOX 9212 WESTWOOD MA 02090-9212143 LIBERTY MUTUAL GROUP (800) 845-4075 245 WATERMAN ST PROVIDENCE RI 02906

561 LIFE INS. CO OF NORTH AME (800) 726-4474MAPLEWOOD OFFICE PAR 130 VIRGINIA DR. SU FORT WASHINGTON PA 19034

514 LIFEWISE HEALTH PLAN OF A (800) 592-6834 4343 N. SCOTTSDALE R SUITE 355 SCOTTSDALE AZ 85251

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742 LIFEWISE PLAN OF ARIZONA (800) 592-6804 P.O. BOX 91134 SEATTLE WA 9811186 LINCOLN NATIONAL LIFE (219) 455-2000 1300 S. CLINTON ST FORT WAYNE IN 46801146 LINDSEY MORDEN CLAIM SERV (401) 941-6900 75 OXFORD STREET PROVIDENCE RI 02905352 LOCAL 1102 BENEFITS FUND (516) 832-9200 1587 STEWART AVENUE WESTBURY NY 11590467 LOCAL 534 HEALTH & WELFAR (617) 825-3302 7 FREDERICKA STREET BOSTON MA 02124271 LONDON HEALTH ADMINISTRAT (401) 435-4700 40 COMMERCIAL WAY EAST PROVIDENCE RI 02914353 LOOMIS CO. (800) 782-0392 PO BOX 7011 WYOMISSING PA 19610

D1U LOVELACE HEALTH PLAN, INC4101 INDIAN SCHOOL R SENIOR SERVICES 1 NO ALBUQUERQUE NM 87110

20 LOYAL AMERICAN LIFE INSUR (800) 752-7818 PO BOX 6408 MOBILE AL 36660762 MADISON NATIONAL LIFE (800) 356-9601 P.O. BOX 5008 MADISON WI 53705781 MAGELLAN RX MANAGEMENT (401) 344-1000 88 SILVA LN MIDDLETOWN RI 02842555 MAGNACARE (718) 859-1624 825 EASTGATE BLVD GARDEN CITY NY 11530692 MAGNACARE/PHARMACY (800) 235-7267 1600 STEWART AVENUE SUITE 700 WESTBURRY NY 11590598 MAIL HANDLERS BENEFIT PLA (800) 410-7778 PO BO 8402 LONDON KY 407420L8 MAIL HANDLERS BENEFIT PLA (800) 410-7778 P O BOX 45118 JACKSONVILLE FL 32232-5118601 MAMSI (800) 343-8205 PO BOX 930 FREDERICK MD 21705150 MANAGED COMP (401) 453-2110 ONE RICHMOND SQUARE BOX 3 PROVIDENCE RI 02906DD2 MANAGED HEALTH SERVICES A (877) 935-8024 10700 W. RESEARCH DR SUITE 300 MILWAUKEE WI 5322678 MANAGEMENT SERVICES, INC (217) 446-1089 PO BOX 1430 DANVILLE IL 61834-1430D70 MAPFRE LIFE INSURANCE COM (888) 750-5288 PO BOX 71419 SAN JUAN PR 09360D8A MAPFRE LIFE INSURANCE COM (787) 250-6500 PO BOX 70297 SAN JUAN PR 09368- 297138 MARRIOTT CLAIMS SERVICE (781) 245-0376 301 EDGEWATER DRIVE WAKEFIELD MA 01880-6279649 MARSH (800) 638-2603 PO BOX 4542 IOWA CITY IA 52244490 MARSH AFFINITY GROUP SERV (800) 626-8567 PO BOX 10439 DES MOINES IA 50306588 MARTIN'S POINT HEALTH (888) 732-7364 PO BOX 9746 PORTLAND ME 0410479 MASHANTUCKET PEQUOT HEALT (888) 779-6872 PO BOX 3620 MASHANTUCKET CT 06338695 MASHANTUCKET PEQUOT HEALT (888) 779-6872 PO BOX 3620 MASHANTUCKET CT 06338419 MASS HEALTH (800) 325-5231 PO BOX 9101 PROVIDER SERVICES SOMERVILLE MA 02145

94 MASS LABORERS H & W FUND (781) 272-1000 14 NEW ENGLAND EXEC PO BOX 4000 BURLINGTON MA 0180382B MASS MUTUAL INSURANCE (800) 333-3304 PO BOX 149160 AUSTIN TX 78714-916082 MASS MUTUAL LIFE INSURANC (708) 747-3000 PO BOX 6004 MATTESON IL 60443

82A MASS. MUTUAL INSURANCE (800) 227-1555 WINDSOR SERVICE CENT PO BOX 743 WINDSOR CT 06095

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139 MASS. STATE CARPENTERS HL (978) 694-1000 PO BOX 7075 WILMINGTON MA 01887-7075354 MATTHEW THORTON HEALTH PL (800) 544-8333 3000 GOFFS FALLS ROA MANCHESTER NH 03111-0001542 MAXOR PLUS (800) 687-0707 320 SOUTH POLK AMARILLO TX 79101717 MAXOR PLUS (800) 687-0707 320 S POLK SUITE 200 AMARILLO TX 79101539 MAXORPLUS (800) 687-0707 320 SOUTH POLK, SUIT AMARILLO TX 79101569 MCDONALDS INSURANCE / DEN (888) 645-6410 PAL PO BOX 6702 COLUMBIA SC 29260564 MCDONALD'S INSURANCE PROG (888) 645-6460 PAL PO BOX 6702 COLUMBIA SC 29260D63 MCS CLASSICARE (866) 627-8181 255 PONCE DE LEON AV SUITE 201 SAN JUAN PR 09170D77 MCS CLASSICARE 255 PONCE DE LEON AV SUITE 201 SAN JUAN PR 09170779 MCS INSURANCE (866) 627-8181 P.O. BOX 191720 SAN JUAN PR 09170365 MED IMPACT (800) 788-2949 10680 TREENE STREET 5TH FLOOR SAN DIEGO CA 92131276 MEDCO HEALTH (800) 922-1557 399 JEFFERSON ROAD MAIL STOP P PARSIPPANY NJ 07054420 MEDCO HEALTH PRESCRIPTION (888) 796-6245 PO BOX 2187 LEE'S SUMMIT MO 64063D08 MEDCO HEALTH SOLUTIONS, I (800) 758-3605 PO BOX 630246 IRVING TX 75063D5F MEDCO MEDICARE PRESCRIPTI P.O. BOX 630246 IRVING TX 75063D8N MEDCO MEDICARE PRESCRIPTI (800) 758-4574 PO BOX 14570 LEXINGTON KY 40512275 MEDCO PRESCRIPTIONS, LLC (877) 842-6048 PO BOX 14711 LEXINGTON KY 40512751 MEDICA (800) 228-1403 P.O. BOX 30990 SALT LAKE CITY UT 84130D7M MEDICA HEALTHCARE PLANS M (800) 407-9069 4000 PONCE DE LEON B CORAL GABLES FL 23314MET MEDICAID EXPANSION TUFTS (866) 738-4116 P O BOX 9194 WATERTOWN MA 02741-9194MDC MEDICAL ASSISTANCE 171 SERVICE AVENUE SUITE 100 WARWICK RI 02888650 MEDICAL BENEFITS (800) 903-2032 PO BOX 1099 NEWARK OH 43058141 MEDICAL CLAIMS SERVICE (304) 273-5594 1 WALL STREET SUITE 2A RAVENSWOOD WV 26164654 MEDICAL MUTUAL OF OHIO (800) 362-1279 2060 EAST NINTH STRE CLEVELAND OH 44115-1355MDA MEDICARE CLAIMS DEPT. (866) 339-3714 1 WEYBOSSET ST. PROVIDENCE RI 02903MDB MEDICARE CLAIMS DEPT. (866) 801-5304 PO BOX 8102 LITTLE ROCK AR 72203D4M MEDICARE RX CUSTOMER SERVICE PO BOX 995 BLUE BELL PA 19422D9N MEDICARE RX REWARDS 600 NEW LONDON AVE CRANSTON RI 02920D8X MEDICARE RX REWARDS STAND (800) 928-6201 PO BOX 9092 OXNARD CA 93031D26 MEDICARE Y MUCHO MAS (787) 622-0490 350 CHARDON AVENUE SUITE 500 SAN JUAN PR 09180D37 MEDIGOLD (800) 964-4525 495 COOPER ROAD SUITE 200 WESTERVILLE OH 430810R7 MEDIMET (315) 792-3882 P.O. BOX 52011 PHOENIX AR 85072651 MEDMETRICS (800) 644-4079 100 CENTURY DRIVE WORCESTER MA 0160680 MEDTAC (800) 347-9355 PO BOX 9110 NEWTONVILLE MA 02460747 MEDTRAK (800) 771-4648 6310 LAMAR SUITE 230 OVERLAND PARK KS 66202

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289 MEGA LIFE & HEALTH INSURA (800) 527-2845 PO BOX 982009 NORTH RICHLAND H TX 76182-8009356 MEGA LIFE & HEALTH INSURA (800) 446-1315 601 PENNSYLVANIA AVE WASHINGTON DC 2000421 MENNONITE MUTUAL AID HEAL (800) 348-7468 PO BOX 483 GOSHEN IN 46527D2O MERCY HEALTH PLANS, INC. 14528 SOUTH OUTER 40 SUITE 300 CHESTERFIELD MO 63017652 MERITAIN (800) 828-6922 PO BX 9501 AMHERST NY 14226363 MERITAIN HEALTH (800) 828-6922 PO BOX 853921 RICHARDSON TX 75085-392195B MET LIFE (800) 638-0166 PO BOX 6132 UTICA NY 13504-613295D MET LIFE DENTAL (800) 942-0854 PO BOX 2078 AURORA IL 6050795F MET LIFE DENTAL (800) 988-8333 PO BOX 14093 LEXINGTON KY 40512-409395C MET LIFE DENTAL (NYNEX) (800) 556-3490 PO BOX 6048 UTICA NY 1350495E MET LIFE INSURANCE CO. (800) 638-4288 PO BOX 3023 UTICA NY 13504140 MET LIFE VISION/NYNEX (800) 556-3490 PO BOX 6049 UTICA NY 13504D81 METCARE/ADVANTAGE HEALTH (877) 692-3822 250 SOUTH AUSTRALIAN SUITE 400 WEST PALM BEACH FL 3340195A METLIFE DENTAL (800) 260-1093 PO BOX 6127 UTICA NY 1350495G METLIFE DENTAL (PEPSI) (800) 942-0854 PO BOX 981282 EL PASO TX 79998-1282689 METLIFE TRICARE DENTAL PR (855) 638-8371 PO BOX 14181 LEXINGTON KY 40512723 METLIFE VISION (800) 988-8333 PO BOX 997565 SACRAMENTO CA 9589970 METRAHEALTH (800) 998-7488 PIZZA HUT CLAIMS PO BOX 23759 COLUMBIA SC 29224-375970A METRAHEALTH (800) 842-8000 PO BOX 323 GRAND RAPIDS MI 4950170B METRAHEALTH (800) 842-6563 PO BOX 8010 VOORHEES NJ 0804370C METRAHEALTH (203) 281-2000 PO BOX 9516 NEW HAVEN CT 0653470D METRAHEALTH (800) 424-1181 PO BOX 9807 NEW HAVEN CT 06536-080770F METRAHEALTH (800) 843-5955 PO BOX 22064 ALBANY NY 12201-206470G METRAHEALTH (800) 842-9492 PO BOX 22026 ALBANY NY 1220170H METRAHEALTH (800) 334-2400 PO BOX 7579 GREENSBORO NC 2741770I METRAHEALTH (800) 826-8720 PO BOX 1989 MATTESON IL 6044370J METRAHEALTH (800) 842-4576 PO BOX 30990 SALT LAKE CITY UT 8413070K METRAHEALTH (800) 552-3232 PO BOX 3025 UTICA NY 1350470L METRAHEALTH (800) 842-9905 PO BOX 2511 AUGUSTA GA 3090370M METRAHEALTH (800) 638-4412 PO BOX 7126 SAN FRANCISCO CA 94120-7126530 METRO PLUS HEALTHPLAN 160 WATER STREET NEW YORK NY 10038D4P METRO PLUS HEALTHPLAN 160 WATER STREET NEW YORK NY 10038D6Y METROPOLITAN HEALTH PLAN (888) 562-8000 400 SOUTH FOURTH STR MINNEAPOLIS MN 5541595 METROPOLITAN LIFE INS. CO (401) 827-2000 700 QUAKER LANE WARWICK RI 02887653 METROPOLITAN LIFE LONG TE (800) 308-0179 57 GREENFARMS ROAD WESTPORT CT 06880

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436 MID-AMERICAN PLAN ADMINIS (800) 747-0600 PO BOX 2850 ROCKFORD IL 61132-2850147 MID-WEST NATIONAL LIFE IN (800) 733-8880 PO BOX 982017 NORTH RICHLAND H TX 76182-8017743 MID-WEST NATIONAL LIFE IN (800) 733-8880 P.O. BOX 982017 NORTH RICHLAND TX 76182229 MIM HEALTH PLANS (800) 944-2668 33 NORTH ROAD WAKEFIELD RI 02879750 MMSI INC (800) 635-6671 4001 41ST STREET NW ROCHESTER MN 55901765 MODA-DELTA DENTAL OF OREG (888) 374-8906 P.O. BOX 40384 PORTLAND OR 97240-0384468 MOHEGAN SUN VALUEOPTIONS PO BOX 1347 LATHAM NY 12110D3H MOLINA HEALTHCARE OF UTAH 7050 UNION PARK #200 MIDVALE UT 8404796 MONARCH LIFE INS. CO. (413) 784-2000 1250 STATE ST SPRINGFIELD MA 01101434 MONUMENTAL GENERAL INSURA (800) 752-9797 PO BOX 97 SCRANTON PA 18504-0097433 MOTOROLA HEALTH ADVANTAGE (800) 421-3973 PO BOX 29005 PHOENIX AZ 8503898 MUTUAL LIFE INS. CO. OF N (800) 221-4015 P O BOX 4815 SYRACUSE NY 13221-481597 MUTUAL OF OMAHA INS. CO. (402) 342-7600 MUTUAL OMAHA PLAZA OMAHA NE 68175546 MVP HEALTH INSURANCE COMP (800) 684-9286 625 STATE STREET SCHENECTADY NY 12305610 MVP ROCHESTER (585) 325-3113 PO BOX 2207 SCHENECTADY NY 1230117 NALC HEALTH BENEFIT PLAN (703) 729-4677 20547 WAVERLY COURT ASHBURN VA 22093423 NATIONAL BENEFIT ADMINIST (888) 333-4477 140 LITTLETON ROAD PARSIPPANY NJ 07054314 NATIONAL ELEVATOR INDUSTR (800) 252-4611 PO BOX 477 NEWTOWN SQUARE PA 19073-0477144 NATIONAL EMPLOYEE BENEFIT (304) 273-5522 PO BOX 160 RAZENSWOOD WV 26164797 NATIONAL GENERAL ACCIDENT (888) 781-0585 P.O. BOX 2070 MILWAUKEE WI 53201-2070521 NATIONAL MEDICAL HEALTHCA (800) 227-7269 P.O. BOX 1170 PORT WASHINGTON NY 1105026 NATIONAL PRESCRIPTION ADM (800) 526-7813 PO BOX 1981 HANOVER NJ 07936D6C NATIONAL RURAL ELECTRIC C 4301 WILSON BOULEVAR ARLINGTON VA 2220377 NATIONAL RX SERVICES (800) 875-3147 399 JEFFERSON RD PARSIPPANY NJ 0705481 NATIONAL STATES INSURANCE (314) 878-0101 1830 CRAIG PARK CT ST LOUIS MO 63146145 NATIONAL STUDENT SERVICES (800) 345-1335 1 WALL STREET RAVENSWOOD WV 26164-1714703 NATIONAL VISION ADMINISTR (800) 672-7723 P O BOX 2187 CLIFTON NJ 07015425 NATIONWIDE HEALTH CARE PL (877) 768-7231 PO BOX 182690 COLUMBUS OH 43218-2690681 NATIONWIDE SPECIALTY HEAL (800) 635-6585 P.O. BOX SPRINGFIELD MA 0110175 NATL AUTOMATIC SPRINKLER (800) 638-2603 8000 CORPORATE DR LANDOVER MD 20785-2285574 NCAS ( NATIONAL CLAIMS AD (877) 889-2479 PO BOX 981610 EL PASO TX 79998361 NCAS-VIA (800) 888-6227 PO BOX 1227 FAIRFAX VA 22030-0862752 NEIGHBORHOOD HEALTH PLAN (877) 972-8845 P.O. BOX 5210 KINGSTON NY 12402CDN NEIGHBORHOOD HEALTH PLAN (401) 459-6092 299 PROMENADE STREET PROVIDENCE RI 02908RHN NEIGHBORHOOD HEALTH PLAN (401) 459-6621 299 PROMENADE STREET PROVIDENCE RI 02908

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RON NEIGHBORHOOD HEALTH PLAN 299 PROMENADE STREET PROVIDENCE RI 0290815 NEIGHBORHOOD HEALTH PLAN/ (855) 321-9244 299 PROMENADE STREET PROVIDENCE RI 02908D3A NEIGHBORHOOD HEALTH PROVI 521 5TH AVENUE 3RD FLOOR NEW YORK NY 10175MEN NEIGHBORHOOD HEALTHPLAN O (401) 459-6092 299 PROMENDADE STREE PROVIDENCE RI 02908360 NEIGHBORHOOD SOLUTIONS (401) 459-6622 50 HOLDEN STREET PROVIDENCE RI 02908657 NEW DIRECTIONS BEHAVIORAL (800) 528-5763 P.O. BOX 6729 LEAWOOD KS 66206-072974 NEW ENG HLTH CARE EMPLOYE (800) 227-4744 77 HUYSHOPE AVE HARTFORD CT 06106148 NEW ENGLAND BENEFIT PLAN (800) 944-6692 25145 COUNTRY CLUB B NORTH OLMSTEAD OH 44070149 NEW ENGLAND EMPLOYEE BENE PO BOX 30466 TAMPA FL 33630-3466233 NEW ENGLAND FINANCIAL (800) 284-9763 PO BOX 7000 CORAOPOLIS PA 15108272 NEW ENGLAND HEALTH ADVANT (800) 227-4744 PO BOX 22669 LONG BEACH CA 90801226 NEW ENGLAND TEAMSTERS (800) 637-9096 PO BOX 38 NORTH ANDOVER MA 01845605 NEW ERA LIFE INSURANCE (800) 522-7879 PO BOX 4884 HOUSTON TX 77210-4884243 NEW JERSEY CARPENTER HEAL (800) 624-3096 PO BOX 7818 PARITAN PLAZA #2 EDISON NJ 08818658 NEW YORK HOTEL UNION PO BOX 3877 NEW YORK NY 10008-3877659 NEW YORK HOTEL UNION PO BOX 1407 NEW YORK NY 10007

0A8 NEW YORK LIFE (212) 437-1000FREEHOLD CLAIMS OFFI 200 CRAIG ROAD MANALAPAN NJ 07726

0A9 NEW YORK LIFE INSURANCE C (212) 576-7000 51 MADISON AVE NEW YORK NY 10010362 NEXCALIBER (800) 625-2631 PO BOX 802422 DALLAS TX 7538076 NGS AMERICAN, INC (810) 779-7676 PO BOX 7676 ST CLAIRE SHORES MI 48080NHP NHPRI HBE (401) 459-6148 299 PROMENADE STREET PROVIDENCE RI 02908D5P NMHC MEDICARE PDP GOLD 9343 TECH CENTER DRI SACRAMENTO CA 95826427 NMHC RX (800) 645-3332 PO BOX 1170 PORT WASHINGTON NY 11050535 NORTHEAST DELTA DENTAL (603) 223-1234 P.O. BOX 2002 CONCORD NH 03302-2002582 NORTHERN NEW ENGLAND BENE (800) 258-9732 PO BOX 4604 MANCHESTER NH 03108364 NOVA INSURANCE (800) 999-5703 PO BOX 308 GRAND ISLAND NY 14072152 NYLCARE HEALTH PLAN (800) 666-3168 PO BOX 672 EXTON PA 19341151 NYLCARE HEALTH PLANS (800) 777-6140 PO BOX 30769 JAMAICA NY 11430273 ONE HEALTH PLAN (800) 663-8081 PO BOX 11111 FORT SCOTT KS 66701557 ONE NET PPO (800) 337-4973 PO BOX 934 FREDRICK MD 21705684 OPTIMA (800) 543-3359 P.O. BOX 5028 TROY MI 48007-5028575 OPTIMED PLAN (800) 482-8770 4 TERRY DRIVE NEWTON PA 18940375 OPTIMUM CHOICE (800) 331-2102 PO BOX 930 FREDERICK MD 21705D7U OPTIMUM HEALTHCARE INC. (352) 688-9131 5478 SPRING HILL DRI SPRING HILL FL 34606

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CARRIER PHONE NUMBER CARRIER ADDRESS CITY STATE ZIP CODE

D3J OPTIMUM HEALTHCARE, INC. 5478 SPRING HILL DRI SPRING HILL FL 34606559 OPTIUMHEALTH VISION (800) 638-3120 PO BOX 30978 SALT LAKE CITY UT 84130549 OPTUM HEALTH (866) 633-2446 P.O. BOX 30978 SALT LAKE CITY UT 84130699 OPTUM RX (800) 788-7871 PO BOX 29044 HOT SPRINGS AR 71903538 OPTUMRX (800) 217-0094 6300 OLSON MEMORIAL GOLDEN VALLEY MN 55427790 OSCAR HEALTH PLAN (855) 672-2788 PO BOX 52146 PHOENIX AR 85072-214699 OTHER (401) 464-2181 600 NEW LONDON CRANSTON RI 02920230 OXFORD HEALTH PLANS (800) 666-1353 PO BOX 7082 ATTN: CLAIMS DEPT. BRIDGEPORT CT 06601-7082153 OXFORD LIFE (800) 308-2318 2721 NORTH CENTRAL A PHOENIX AZ 85004318 P5 ELECTRONICS HEALTH SER (800) 397-3685 PO BOX 9554 SALT LAKE CITY UT 84109-0554D72 PAC RX 225 CHAPMAN STREET PROVIDENCE RI 02905PAC PACE ORGANIZATION OF RHOD (401) 490-6566 225 CHAPMAN STREET PROVIDENCE RI 02905155 PACIFIC MUTUAL (800) 733-2285 PO BOX 33699 PHOENIX AZ 85067-3699613 PACIFICARE (800) 877-9777 PO BOX 30975 SALT LAKE CITY UT 84130-0975D09 PACIFICARE LIFE & HEALTH (800) 943-0399 3515 HARBOR BLVD. COSTA MESA CA 92626157 PAID PRESCRIPTIONS (800) 463-9279 PO BOX 700 PARSIPPANY NJ 07054156 PAID PRESCRIPTIONS, INC. (800) 842-0070 PO BOX 6121 FAIR LAWN NJ 0741061 PAINTERS DC35 HEALTH BENE (617) 524-1240 25 COLGATE ROAD ROSLINDALE MA 02131431 PAN-AMERICAN LIFE INSURAN (866) 668-6299 PO BOX 61070 NEW ORLEANS LA 70160-1070775 PARADIGM PLAN SPONSOR: MA (888) 422-8181 2 INTERNATIONAL DRIVE 335 PORTSMOUTH NH 03801570 PARAMOUNT HEALTHCARE (800) 462-3589 PO BOX TOLEDO OH 43697D2K PARTNERCARE HEALTH PLAN, 5501 WEST WATERS AVE SUITE 40 TAMPA FL 33688450 PATIENT RESPONSIBILITY 600 NEW LONDON AVENU CRANSTON RI 0292087 PCS (480) 391-4600 9501 E SHEA BLVD SCOTTSDALE AZ 85260-6719D1M PDP MEDI-MAX PART D 1551 CALLE ALDA URB. SAN JUAN PR 09260MDD PDP UNKNOWN 171 SERVICE AVENUE WARWICK RI 02886231 PENN STATE GEISINGER HEAL (800) 498-9731 PO BOX 8200 VANVILLE PA 17821-8200277 PERFORMAX (800) 220-2600 PO BOX 61505 KING OF PRUSSIA PA 1940618 PHARMACARE (800) 777-1023 695 GEORGE WASHINGTO LINCOLN RI 02865338 PHARMACARE MANAGEMENT SER (866) 332-6422 620 EPSILON DRIVE PITTSBURGH PA 15238793 PHARMACEUTICAL TECHNOLOGI (888) 334-4488 13660 CALIFORNIA STR OMAHA NE 68154664 PHARMACY DATA MANAGEMENT (800) 549-0093 1170 E. WESTERN RESE POLAND OH 44512D69 PHARMACY INSURANCE CORP O (866) 990-7422 PO BOX 70232 SAN JUAN PR 09360163 PHARMACY SERVICES CORPORA (800) 227-7269 210 GREAT OAKS BLVD. ALBANY NY 12203316 PHN CONNECTICUT PIPE TRAD (860) 643-6401 PO BOX 22669 LONG BEACH CA 90801

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159 PHOENIX HOME LIFE (800) 451-2513 PO BOX 677 GREENFIELD MA 01302158 PHYSICIAN HEALTH SERVICES (800) 566-6698 120 HAWLEY LANE TRUMBALL CT 06611-6343661 PHYSICIANS HEALTH PL (260) 432-6690 8101 WEST JEFFERSON FORT WAYNE TN 46804-4163607 PHYSICIANS MUTUAL (888) 932-7642 PO BOX 2018 OMAHA NE 68103-201885 PHYSICIANS MUTUAL INSURAN (800) 228-9100 2600 DODGE STREET OMAHA NE 68131D5K PHYSICIANS UNITED PLAN 6220 SO. ORANGE BLOS ORLANDO FL 32809660 PIEDMONT ADMINISTRATORS (336) 774-4190 PO BOX 1407 NEW YORK NY 100082 PILGRIM HEALTH CARE (800) 708-4414 1200 CROWN COLONY DR QUINCY MA 02169-0933161 PIONEER LIFE (800) 950-0084 PO BOX 1250 ROCKFORD IL 61105756 PITTMAN AND ASSOCIATES (800) 238-1344 P.O. BOX 111047 MEMPHIS TN 381113 PLAN 65 1 WEYBOSSET ST. PROVIDENCE RI 02903745 PLANNED ADMINISTRATORS IN (866) 798-0803 PO BOX 6702 COLUMBIA SC 29260251 POLARIS INSURANCE/J.W. HA (800) 234-0225 PO BOX 2010 WESTERVILLE OH 43086696 POMCO THIRD PARTY ADMINIS (800) 934-2459 P O BOX 6329 SYRACUSE NY 13217232 PRE-DENT/BLUE CROSS OF IL (800) 523-5758 DENTAL DEPT. PO BOX 2935 CHICAGO IL 60690D8I PREESCRIBA RX BRONZE (PDP (800) 818-0007 PO BOX 5203 RENSSELAER NY 12144587 PREFERRED CARE PARTNERS (305) 670-8430 PO BOX 565790 MIAMI FL 33256D98 PREFERRED CARE PARTNERS, (305) 670-8430 PO BOX 56-5748 MIAMI FL 33256474 PREFERRED HEALTH PLAN, IN (800) 832-8212 PO BOX 24125 LOUISVILLE KY 40224D52 PREFERRED MEDICARE CHOICE (866) 516-7700 1551 CALLE ALDA URB. SAN JUAN PR 09260D7F PREFERRED MEDICARE CHOICE (787) 622-3000 350 CHARDSON AVENUE SAN JUAN PR 09182- 137366 PREMERA BLUE CROSS (800) 722-1471 PO BOX 91080 SEATTLE WA 98111-9180622 PREMIER OD BLUE CROSS (800) 718-8831 PO BOX 9907 COLUMBUS GA 31908PA1 PREMIUM ASSISTANCE PROGRA 74 WEST ROAD CRANSTON RI 02920D96 PRESBYTERIAN INSURANCE CO PO BOX 26267 ALBUQUERQUE NM 87125D11 PRESCRIPTION PATHWAY (800) 825-8200 411 N. BAYLEN STREET PENSACOLA FL 32501D10 PRESCRIPTION PATHWAY MULT (800) 765-8900 411 N. BAYLEN STREET PENSACOLA FL 32501

367 PRESCRIPTION SOLUTIONS, I (877) 559-295510833 VALLEY VIEW ST MAILSTOP 10202 CYPRESS CA 90630

162 PRESIDIUM INSURANCE (800) 354-4225 PO BOX 365 PARSIPPANY NJ 07054473 PRIMARILY CARE (800) 395-1300 75 SOCKANOSSET CROSS CRANSTON RI 02920480 PRIME THERAPEUTICS (800) 821-4795 PO BOX 64812 ST PAUL MN 55164497 PRIME THERAPEUTICS (800) 423-1973 PO BOX 790118 REG250 ST LOUIS MO 6317988 PRINCIPAL FINANCIAL GROUP (800) 323-4646 PO BOX 39710 COLORADO SPRINGSCO 8094988A PRINCIPAL FINANCIAL GROUP (800) 247-4695 PO BOX 65990 WEST DESMOINES IA 50265

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CARRIER PHONE NUMBER CARRIER ADDRESS CITY STATE ZIP CODE

88B PRINCIPAL FINANCIAL GROUP (800) 522-1279 401 EAST CITY AVE SUITE 509 BALA CYNWYD PA 1900488C PRINCIPAL FINANCIAL GROUP (800) 757-0616 620 S GLENSTONE AVE SUITE 300 SPRINGFIELD MO 6580288D PRINCIPAL FINANCIAL GROUP (800) 323-4646 PO BOX 37910 COLORADO SPRINGSCO 80903278 PRINCIPAL LIFE INSURANCE (800) 247-4695 1 INTERNATIONAL PLAZ PHILADELPHIA PA 19113711 PRIORITY HEALTH (800) 942-4765 P O BOX 232 GRAND RAPIDS MI 49501734 PRIORITY HEALTH (616) 464-8235 1231 EAST BELTLINE GRAND RAPIDS MI 49525D46 PRIORITY MEDICARE RX (888) 389-6676 1231 EAST BELTLINE N GRAND RAPIDS MI 49525368 PRIVATE HEALTHCARE SYSTEM (800) 231-3019 PO BOX 68947 INDIANAPOLIS IN 46268154 PROFESSIONAL BENEFIT ADMI (630) 655-3755 PO BOX 4687 OAK BROOK IL 60522279 PROVIDENCE WASHINGTON INS (401) 453-7000 88 BOYD AVENUE EAST PROVIDENCE RI 0291484 PROVIDENT LIFE (800) 251-7420 PO BOX 40-6050 CINCINNATI OH 45240160 PROVIDIAN HLTH & LIFE INS (800) 523-7900 CLAIM SERVICE DIVISI PO BOX 484 VALLEY FORGE PA 194930S3 PRUDENTIAL GROUP DENTAL (800) 543-5458 PO BOX 44123 JACKSONVILLE FL 32231-41230S6 PRUDENTIAL HEALTH CARE PO BOX 3016 MILLVILLE NJ 08332-90100S7 PRUDENTIAL HEALTH CARE 841 PRUDENTIAL DRIVE JACKSONVILLE FL 322070S8 PRUDENTIAL HEALTH CARE (800) 825-7778 PO BOX 27718 HOUSTON TX 772270R8 PRUDENTIAL HEALTH PLAN PO BOX 15075 ALBANY NY 122120T1 PRUDENTIAL HEALTHCARE (800) 552-4545 16850 BEAR VALLEY RO VICTORVILLE CA 923920S0 PRUDENTIAL HEALTHCARE DEN (800) 811-5671 PO BOX 9250 LINWOOD NJ 082210R9 PRUDENTIAL INS. OF AMERIC PO BOX 537 MATTESON IL 60443-05370S1 PRUDENTIAL INSURANCE (800) 235-0739 PO BOX 1018 ANDOVER MA 018100S4 PRUDENTIAL INSURANCE PO BOX 5400 MILLVILLE NJ 083320S2 PRUDENTIAL INSURANCE CO PO BOX 4046 ISELIN NJ 08830

0S9 PRUDENTIAL INSURANCE CO.STOCKTON CLAIMS COMP PO BOX 207006 STOCKTON CA 95267

D5M PSERS HOP PROGRAM 13900 RIVERPORT DRIV MARYLAND HEIGHTSMO 63043369 PUBLIC SERVICE MUTUAL INS (212) 591-9304 ONE PARK AVENUE NEW YORK NY 10157-2500776 QUALCARE, INC (DBA QUNI A (844) 883-2425 P.O. BOX 459 PISCATAWAY NJ 08855-0459D3O QUALITY HEALTH PLANS 2435 US HWY. 19 SUITE 470 HOLIDAY FL 34691D3W QUALITY HEALTH PLANS 2435 US HIGHWAY 19 SUITE 470 HOLIDAY FL 34691D7J QUALITY HEALTH PLANS INC. (727) 945-8400 2435 US HWY 19 SUITE HOLIDAY FL 34691374 R.I. NURSING HOME GROUP (401) 435-2800 PO BOX 549 PROVIDENCE RI 029010HM REDBOOK GR. HEALTH (303) 121-2121 1304 VINCENT PLACE MCLEAN VA 40404

D3Z REDMED239 ARTERIAL HOSTOS SOUTH TOWER, SUITE 7 SAN JUAN PR 09180

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372 REGENCE BLUE SHIELD (800) 222-6129 PO BOX 30271 SALT LAKE CITY UT 84130577 REGENCE GREAT ADMINISTRAT (866) 738-3924 PO BOX 52890 BELLEVIEW WA 98015580 REGENCE GREAT ADMINISTRAT (866) 738-3924 PO BOX BELLEVIEW WA 98015581 REGENCE GREAT ADMINISTRAT (866) 738-3924 PO BOX 52890 BELLEVIEW WA 98015503 RELIANCE STANDARD LIFE IN (800) 497-7044 PO BOX 82510 LINCOLN NE 68501-25100B4 RELIASTAR (800) 274-6965 146 INDUSTRIAL PARK JACKSON MN 56143544 RENAISSANCE DENTAL (800) 886-3908 PO BOX 17250 INDIANAPOLIS IN 46217164 RESTAT (855) 399-7342 11900 WEST LAKE PARK MILWAUCEE WI 53224662 RESTAT RX (800) 248-1062 PO BOX 758 WEST BEND WI 50395RHT RHODYHEALTH PARTNERS TUFT P O BOX 9194 WATERTOWN MA 02471-9194373 RI INTERLOCAL RISK MANAGE 501 WAMPANOAG TRAIL EAST PROVIDENCE RI 02915RIP RIPAE (RI PHARMACEUTICAL 35 HOWARD AVENUE BLDG. 55 CRANSTON RI 02920513 RITE AID HEALTH SOLUTIONS (866) 828-5966 30 HUNTER LANE ATTN: CLAIMS CAMP HILL PA 17011687 RLS SPEC PRD (RELIANCE ST (866) 375-0775 505 SOUTH LENOLA RD MOORESTOWN NJ 08057663 RMSCO (315) 448-9000 115 CONTINUUM DRIVE LIVERPOOL NY 13088-4300D7C ROCHESTER AREA HEALTH MAI (888) 280-6205 259 MONROE AVE ROCHESTER NY 14607D12 RX AMERICA (877) 279-0370 221 N. CHARLES LINDB SALT LAKE CITY UT 84116665 RX OPTIONS (800) 361-4542 2181 E AURORA RD SUITE 201 TWINSBURG OH 44087167 RX PRIME PHARMACY SERVICE (800) 622-5579 900 COTTAGE GROVE RD HARTFORD CT 06152-1121D4C SALUD DORADA CON MEDICARE PO BOX 3078 BAYAMON PR 09600D5V SAMASCRIPT 13900 RIVERPORT DRIV MARYLAND HEIGHTSMO 63043550 SAMBA HEALTH BENEFIT PLAN 11301 OLD GEORGETOWN ROCKVILLE MD 20852-2800D5U SAN MIGUEL PLAN 100 WEST BROADWAY SU LONG BEACH CA 90802741 SANDFORD HEALTH PLAN (800) 752-5863 221 8TH STREET SHELDON IA 51201767 SANFORD HEALTH PLAN (800) 499-3416 P.O. BOX 91110 SIOUX FALLS SD 57109-1110508 SAV-RX (866) 233-4239 PO BOX 8 FREMONT NE 68026D3Q SCAN HEALTH PLAN 3800 KILROY AIRPORT SUITE 100 LONG BEACH CA 90806753 SCOTT AND WHITE HEALTH PL (800) 321-7974 P.O. BOX 21800 EAGAN MN 55121-0800D9J SCOTT AND WHITE PLAN TEXA 600 NEW LONDON CRANSTON RI 02920667 SCRIPT WORLD (800) 830-2310 4246 RIVERBOAT RD SUITE 175 SALT LAKE CITY UT 84123D7A SECURE HHORIZONS (800) 234-1228 13621 NW 12TH STREET SUNRISE FL 33323D5C SECURE HORIZONS PO BOX 29550 HOT SPRINGS AR 71903D5D SECURE HORIZONS 275 GROVE STREET SUI AUBURNDALE MA 02466D2P SECURE HORIZONS BY UNITED PO BOX 29800 HOT SPRINGS AR 71903D2Q SECURE HORIZONS BY UNITED 44 SOUTH BROADWAY WHITE PLAINS NY 10601

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D2R SECURE HORIZONS BY UNITED 44 SOUTH BROADWAY 14TH FLOOR WHITE PLAINS NY 10601D2T SECURE HORIZONS BY UNITED PO BOX 29800 HOT SPRINGS AR 71903D3C SECURE HORIZONS BY UNITED 1 PENN PLAZA 8TH FLOOR NEW YORK NY 10119D3P SECURE HORIZONS BY UNITED 13621 NW 12 STREET SUNRISE FL 33323D3T SECURE HORIZONS BY UNITED 44 SOUTH BROADWAY 14TH FLOOR WHITE PLAINS NY 10601

D5Y SECURE HORIZONS BY UNITEDONE EMBASSY CENTER S 9820 WASHINGTON ROAD PORTLAND OR 97223

D2N SECURE HORIZONS MEDICARE 13621 NW 12TH STREET SUNRISE FL 33323D39 SECURE HORIZONS MEDICARE (800) 385-5588 PO BOX 489 CYPRESS CA 90630D7Q SECURE HORIZONS UHC-PACIF (888) 867-5517 FL075-1000 13621 NW SUNRISE FL 33323DC9 SECURITY BLUE VALUE RX (800) 935-2583 P O BOX 226 PITTSBURGH PA 15222D1I SECURITY CHOICE PLUS PO BOX 9092 OXNARD CA 93031D6O SECURITY CHOICE PLUS (PFF (800) 949-5384 PO BOX 86773 ST LOUIS MO 83166604 SECURITY LIFE INSURANCE C (800) 328-4667 10901 RED CIRCLE DRI MINNETONKA MN 55343170 SEDGWICK INSURANCE (617) 357-6716 40 BROAD STREET BOSTON MA 02109D5N SELECT ADVANTAGE SILVER 1901 MARKET STREET 2 PHILADELPHIA PA 19103D2F SELECT CARE OF TEXAS LLC 4888 LOOP CENTRAL DR SUITE 300 HOUSTON TX 77081283 SELMAN & COMPANY (800) 603-1212 6110 PARKLAND BLVD. CLEVELAND OH 44124-4187D25 SENIOR PARTNERS (888) 776-9466 833 CHESTNUT STREET SUITE 900 PHILADELPHIA PA 19107D60 SENIOR WHOLE HEALTH (888) 566-3526 58 CHARLES STREET 2ND FLOOR CAMBRIDGE MA 02141599 SENTARA HEALTHCARE (800) 229-8822 6015 POPLAR HALL DRI NORFOLK VA 23502171 SERVICE BENEFIT PLAN RETA (800) 624-5060 PO BOX 52057 PHOENIX AZ 85072-2057748 SEVEN CORNERS INC (317) 575-2652 303 CONGRESSIONAL BL CARMEL IN 46032666 SHEFFIELD OLSON & MCQUEEN (888) 330-8480 1000 GREAT WEST DR KENNETT MO 63857506 SHENANDOAH LIFE INSURANCE (800) 848-5433 PO BOX 12847 ROANOKE VA 24029675 SIERRA NEVADA (530) 271-3200 PO BOX 15645 LAS VEGAS NC 89114-5645D47 SIERRA RX (866) 789-0565 PO BOX 15645 LAS VEGAS NV 89114D13 SILVER SCRIPT (866) 552-6106 PO BOX 688 MAHWAH NJ 07430D8J SILVER SCRIPT VALUE (866) 235-5660 PO BOX 52067 PHOENIX AZ 85072D54 SIMPLY PRESCRIPTIONS (800) 659-1986 PO BOX 40246 BUFFALO NY 14201736 SISCO (586) 254-0020 6605 19? MILE ROAD STERLING HEIGHTS OH 48314698 SISCO (SELF INSURED SERVI (800) 457-4726 151 W 8TH ST DUBUQUE IA 52001439 SISTERS OF MERCY (800) 578-3272 37 INDUSTRIAL DRIVE SUTIE E EXETER NH 03833-4593D6U SMARTVALUE PLUS ( PFFS) (888) 445-8916 PO BOX 9154 OXNARD CA 93031440 SMC RX (800) 273-9166 4535 MISSOURI FLAT R PLACERVILLE CA 95667

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CARRIER PHONE NUMBER CARRIER ADDRESS CITY STATE ZIP CODE

786 SMITH RX (844) 512-3030 PO BOX 77864 SAN FRANCISCO CA 94107D7X SOUTH COUNTY HEALTH ALLIA (507) 444-7770 110 WEST FREMONT STR OWATONNA MN 55060

285 SPECIALTY RISK SERVICES (800) 224-3696PO BOX 4787 MEDICAL MANAGEMENT C SYRACUSE NY 13221

489 SPECTERA (800) 638-3120 PO BOX 30978 SALT LAKE CITY UT 84130532 STANDARD INSURANCE COMPAN (800) 547-9515 P.O. BOX 82622 LINCOLN NE 68501-2622237 STAR ADMINISTRATIVE SERVI (800) 308-5948 PO BOX 55270 PHOENIX AZ 85078-5270475 STAR HRG (800) 288-4474 PO BOX 54150 PHOENIX AZ 85078286 STARBRIDGE T/A CIGNA (800) 859-0086 PO BOX 70529 LOUISVILLE KY 40270-0529519 STARMARK (800) 522-1246 PO BOX 2942 CLINTON IA 52733-2942378 STATE FARM INSURANCE (603) 524-7733 HEALTH DIVISION PO BOX 8000 BALLSTON SPA NY 12020

93 STATE MUTUAL LIFE ASSURAN (800) 423-6011440 LINCOLN STREET DEPT N082- GR HLTH WORCESTER MA 01653

175 STATE OF R.I. WORKERS COM (401) 222-6571 1 CAPITOL HILL PROVIDENCE RI 02908174 STATEWIDE SCHOOLS CORPORA (800) 679-7247 PO BOX 11450 ALBANY NY 12211-0450D73 STERLIND LIFE INSURANCE C 16 INTERNATIONAL WAY WARWICK RI 02886287 STERLING & STERLING (203) 876-1660 20 ARMORY LANE MILFORD CT 06460D14 STERLING PRESCRIPTION DRU (800) 688-0010 PO BOX 1917 BELLINGHAM WA 98227571 STRATEGIC RESOURCE CO. AT (888) 772-9682 PO BOX 23759 COLUMBIA SC 29224300 STRATEGIC RESOURCE CO./ A (888) 772-9682 PO BOX 23759 COLUMBIA SC 29224573 STRATEGIC RESOURCES CO. A (888) 772-9682 PO BOX 23759 COLUMBIA SC 29224572 STRATEGIC RESOURCES CO./ (888) 772-9682 PO BOX 23759 COLUMBIA SC 29224D99 SUMMIT HEALTH PLAN, INC. 300 SOUTH PARK ROAD HOLLYWOOD FL 33021D8B SUMMIT PLUS (866) 797-8648 1340 CONCORD TERRACE SUNRISE FL 33323238 SUN HEALTHCARE GROUP (800) 759-3098 PO BOX 93098 ALBUQUERQUE NM 87199788 SUN LIFE FINANCIAL (800) 442-7742 PO BOX 2940 CLINTON IA 52733451 SUPERIOR VISION (800) 507-3800 PO BOX 967 RANCHO CORDOVA CA 95741670 SXC HEALTHSPRING (888) 546-5502 PO BOX 3163 LISLE IL 60532DC8 SYMPHONIX RITE AID (800) 220-6773 P O BOX 29046 HOT SPRINGS AR 71903176 SYSTEMED PHARMACY, INC (800) 729-3784 PO BOX 94785 CLEVELAND OH 44101-4785182 T.R. PAUL GROUP (800) 678-8161 14 COMMERCE ROAD NEW TOWN CT 06470442 TAYLOR BENEFIT RESOURCE, (888) 352-5246 PO BOX 6580 THOMASVILLE GA 31758180 TDI MANAGED CARE (412) 967-2300 620 EPSILON DRIVE PITTSBURGH PA 15238319 TEAMSTERS CARE (800) 225-6135 61 SEVER STREET CHARLESTOWN MA 02129320 TEAMSTERS LOCAL 59 (508) 996-0231 27 SOUTH 6TH STREET NEW BEDFORD MA 02740

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484 TEAMSTERS RX (866) 888-0105 PO BOX 4604 MANCHESTER NH 03108D42 TENET CHOICES 65 (800) 631-8443 200 W. ESPLANADE AVE SUITE 600 KENNER LA 70065D7W TEXAS FIRST HEALTH PLAN (800) 958-2707 4888 LOOP CENTRAL DR HOUSTON TX 77081

D43 TEXAS HEALTHSPRING PRESCR (800) 846-2098 2900 NORTH LOOP WEST SUITE 1300 HOUSTON TX 77092201 THE BENEFIT GROUP (402) 697-8094 11725 ARBOR STREET OMAHA NE 6814456 THE EQUITABLE (800) 782-9355 PO BOX 3000 LANCASTER SC 29721-3000590 THE LOOMIS COMPANY (866) 915-6618 PO BOX 7011 WYOMISSING PA 19610242 THE TPA (800) 247-1740 PO BOX 29050 PHOENIX AZ 85038441 THE TRUST RISK MANAGEMENT (401) 438-6511 501 WAMPANOAG TRAIL EAST PROVIDENCE RI 02915443 TIAA-CREF (877) 829-8958 PO BOX 5714 HOPKINS MN 55343D1Z TODAY'S OPTION 4888 LOOP CENTRAL DR SUITE 800 HOUSTON TX 77081438 TOTAL CLAIMS SOLUTION (800) 376-0110 PO BOX 10888 GREEN BAY WI 54307-0880771 TOTAL PLAN CONCEPTS (877) 435-2063 571 MC DONALD AVE BRROKLYN NY 11218241 TOTAL PLAN SERVICES (800) 969-5238 PO BOX 11379 PORTLAND ME 04104-7379

D4W TOUCHSTONE HEALTH CHURCH STREET STATIO PO BOX 990 NEW YORK NY 10008181 TPA UNITED HEALTH CARE (203) 234-1614 PO BOX 218 NORTH HAVEN CT 06473680 TR. PAUL, INC (866) 334-4553 PO BOX 14669 CINCINNATI OH 45246478 TRANS AMERICA (877) 851-0906 PO BOX 1901 FORT MILL SC 297160K8 TRAVELERS (203) 281-2000 1952 WHITNEY AVE HAMDEN CT 065170BC TRAVELERS INSURANCE (860) 277-0111 ONE TOWER SQUARE HARTFORD CT 06183-11000D7 TRAVELERS INSURANCE CO. (203) 281-2000 1952 WHITNEY AVE HAMDEN CT 065170BD TRAVELERS PROPERTY & CASU (800) 238-6225 PO BOX 1450 MIDDLEBORO MA 02344-1450213 TRIAD, LLC (860) 652-4400 115 GLASTONBURY BLVD GLASTONBURY CT 0603305A TRICARE FOR LIFE (866) 773-0404 PO BOX 7889 MADISON WI 53707-7889

5 TRICARE/CHAMPUS REGION 1 (800) 444-5445PO BOX 870140 NORTH REGION CLAIMS SURFSIDE BEACH SC 29587

179 TRIGON BLUE CROSS (800) 451-0361 PO BOX 13087 ROANOKE VA 24031-3087D6E TRIPLE-S SALUD, INC PO BOX 363628 SAN JUAN PR 09360D1W TRIPLE-S, INC. PO BOX 363628 SAN JUAN PR 09360D2D TRIPLE-S, INC. PO BOX 363628 SAN JUAN PR 09360D91 TRIPLE-S, INC. PO BOX 363628 SAN JUAN PR 09360166 TROA MEDIPLUS CLAIMS (800) 247-2192 PO BOX 9126 DES MOINES IA 50306-9126757 TRUSTMARK (FORMER NGS AME (800) 521-1555 P.O. BOX 2310 MT CLEMENS MI 48046

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380 TRUSTMARK INSURANCE - DEN (800) 396-2850 PO BOX 2980 CLINTON IA 52733379 TRUSTMARK INSURANCE CO. (877) 367-5690 PO BOX 9055 BOARDMAN OH 44513-905589B TUFTS (888) 884-2404 PO BOX 9163 WATERTOWN MA 02471-9163D6W TUFTS HEALTH CARE (800) 701-9000 705 MT AUBURN STREET WATERTOWN MA 02471D3M TUFTS HEALTH PLAN 705 MT AUBURN STREET WATERTOWN MA 0247189A TUFTS HEALTH PLAN (PPO) (888) 884-2404 PO BOX 9185 WATERTOWN MA 02471-918589 TUFTS TOTAL HEALTH PLAN (888) 884-2404 PO BOX 9163 WATERTOWN MA 02710-247190 U.S. HEALTHCARE (800) 624-0756 PO BOX 1125 BLUE BELL PA 1942227 U.S. LIFE INSURANCE CO. PO BOX 15205 READING PA 19612-5205D90 UCARE MINNESOTA 2000 SUMMER STREET, MINNEAPOLIS MN 55413321 UFCW NATIONAL HEALTH & WE (888) 773-8329 PO BOX 751 ENGLEWOOD NJ 07631758 ULTRA BENEFITS INC (866) 858-7223 29 E MOUNTAIN STREET SUITE 2 WORCESTER MA 01606-1400444 ULTRABENEFITS (866) 858-7223 PO BOX 763 WESTBORO MA 01581528 UMR (UNITED MEDICAL RESOU (877) 233-1800 PO BOX 30541 SALT LAKE CITY UT 84130381 UNICARE (800) 333-3304 PO BOX 51180 INDIAN ORCHARD MA 01151D15 UNICARE (800) 928-6201 PO BOX 9092 OXNARD CA 93031193 UNICARE HEALTH & LIFE INS (800) 442-9300 PO BOX 9016 ANDOVER MA 01810191 UNICARE INSURANCE (800) 543-9121 PO BOX 5003 BOWLINGBROOK IL 60440194 UNICARE INSURANCE (800) 367-4949 PO BOX 26060 GREENSBORO NC 27420-6060290 UNICARE INSURANCE (800) 288-8630 PO BOX 51130 SPRINGFIELD MA 01151445 UNICARE INSURANCE PO BOX 4071 SCHAUMBURG IL 60168177 UNICARE INSURANCE COMPANY (800) 442-9300 PO BOX 60004 CITY OF INDUSTRY CA 91716244 UNICARE-DOW CHEMICAL (800) 736-9369 PO BOX 833813 RICHARDSON TX 75083246 UNION FIDELITY INSURANCE (800) 523-5758 4860 STREET ROAD TREVOSE PA 19049

UNION LABOR LIFE (877) 800-2956 161 FORBES ROAD BRAINTREE MA 02184UNION LABOR LIFE INS. CO. (877) 800-2956 260 PARK AVE NEW YORK NY 10010

D2S UNISON ADVANTAGE 300 OXFORD DRIVE MONROEVILLE PA 15146D7E UNISON ADVANTAGE, THREE R (800) 290-4009 UNISON PLAZA 1001 BR PITTSBURGH PA 15221446 UNITED AMERICAN INSURANCE (972) 529-5085 PO BOX 268818 OKLAHOMA CITY OK 73126-8818D17 UNITED AMERICAN INSURANCE (866) 524-4169 3700 S. STONEBRIDGE MC KINNEY TX 750700M3 UNITED CHAMBERS TRUST (708) 897-5000 P.O. BOX 3048 NAPERVILLE IL 60566

189 UNITED CONCORDIA (UCCI) (866) 357-3304TDP-CLAIM PROCESSING PO BOX 69421 HARRISBURG PA 17106-9421

447 UNITED FOOD & COMMERICAL (888) 773-8329 PO BOX 751 ENGLEWOOD NJ 07631D6T UNITED HEALTH CARE (888) 867-5517 9900 BREN ROAD E MINNETONKA MN 55343

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CARRIER CODE CARRIER NAME

CARRIER PHONE NUMBER CARRIER ADDRESS CITY STATE ZIP CODE

D9K UNITED HEALTH CARE MEDICA 600 NEW LONDON AVE CRANSTON RI 02920184 UNITED HEALTH CARE/COLORA (800) 638-3933 PO BOX 2925 ENGLEWOOD CO 80150-0125192 UNITED HEALTH CARE/GEORGI (800) 241-9964 PO BOX 2517 SMYRNA GA 30081186 UNITED HEALTH CARE/N.C. (800) 334-2400 PO BOX 26723 GREENSBORO NC 27417D92 UNITED HEALTH GROUP 275 GROVE STREET SUITE 3-120 AUBURNDALE MA 02466534 UNITED HEALTH INTEGRATED (800) 708-4414 PO BOX 30783 SALT LAKE CITY UT 84130-0783293 UNITED HEALTH PLAN OF NEW (800) 942-4640 PO BOX 1600 KINGSTON NY 12402245 UNITED HEALTHCARE (800) 447-7020 PO BOX 650403 DALLAS TX 75265457 UNITED HEALTHCARE PO BOX 981502 EL PASO TX 79998-1502D16 UNITED HEALTHCARE (888) 867-5564 PO BOX 29300 HOT SPRINGS AR 71903D62 UNITED HEALTHCARE (888) 556-7052 PO BOX 29350 HOT SPRINGS AR 71903MEU UNITED HEALTHCARE - MEDIC (401) 732-7434 475 KILVERT STREET WARWICK RI 02886RHU UNITED HEALTHCARE - RHODY (401) 732-7152 475 KILVERT STREET WARWICK RI 02886382 UNITED HEALTHCARE FOR DEN (877) 816-3596 PO BOX 30560 BETHESDA MD 20824-056070E UNITED HEALTHCARE GM/DELP (800) 241-9964 PO BOX 673588 MARIETTA GA 30067D1S UNITED HEALTHCARE INSURAN TWO PENN PLAZA NEW YORK NY 10121D21 UNITED HEALTHCARE INSURAN (800) 962-8251 PO BOX 459016 SUNRISE FL 33345D22 UNITED HEALTHCARE INSURAN (800) 393-0939 275 GROVE STREET SUITE 3-120 AUBURNDALE MA 02466D23 UNITED HEALTHCARE INSURAN (800) 393-0939 275 GROVE STREET SUITE 3-120 AUBURNDALE MA 02466D76 UNITED HEALTHCARE MEDICAR (800) 973-6467 9009 CORPORATE LAKE TAMPA FL 33634D8U UNITED HEALTHCARE MEDICAR (888) 867-5562 PO BOX 2975 SHAWNEE MISSION KS 66201D6S UNITED HEALTHCARE OF FL (888) 867-5517 4350 WEST CYPRESS SU TAMPA FL 33607D35 UNITED HEALTHCARE OF FLOR (800) 973-6467 9009 CORPORATE LAKE TAMPA FL 336346 UNITED HEALTHCARE OF NEW (800) 422-1404 PO BOX 659768 SAN ANTONIO TX 78265-9768D19 UNITED HEALTHCARE OF NEW (800) 962-8251 475 KILVERT STREET WARWICK RI 02886D1V UNITED HEALTHCARE OF NORT 3803 NORTH ELM STREE GREENSBORO NC 27455D36 UNITED HEALTHCARE OF OHIO (800) 504-4848 9050 CENTRE POINT DR SUITE 400 WEST CHESTER OH 45069516 UNITED HEALTHCARE STUDENT (800) 767-0700 PO BOX 809025 DALLAS TX 75380-9025560 UNITED HEALTHCARE STUDENT (800) 767-0700 PO BOX 809025 DALLAS TX 75380-9025712 UNITED HEALTHCARE VISION (800) 638-3120 P O BOX 30978 SALT LAKE CITY UT 84130178 UNITED HEALTHCARE/CHEVRON (800) 654-0079 PO BOX 30555 SALT LAKE CITY UT 84130190 UNITED HEALTHCARE/CONNECT (800) 424-1181 PO BOX 9807 NEW HAVEN CT 06536185 UNITED HEALTHCARE/FLORIDA (800) 257-1009 PO BOX 9032 CLEARWATER FL 34618-9032195 UNITED HEALTHCARE/GEORGIA (800) 842-8000 PO BOX 740800 ATLANTA GA 30374-0800292 UNITED HEALTHCARE/MINNESO (800) 526-2414 PO BOX 169050 ROUTE 2971 DULUTH MN 55816-8200

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CARRIER CODE CARRIER NAME

CARRIER PHONE NUMBER CARRIER ADDRESS CITY STATE ZIP CODE

188 UNITED HEALTHCARE/UTAH (800) 809-0453 PO BOX 30304 SALT LAKE CITY UT 84130-0304383 UNITED HEALTHCARE/UTAH (800) 848-8406 PO BOX 30996 SALT LAKE CITY UT 84130437 UNITED HEALTHCARE/UTAH-DE (877) 816-3596 PO BOX 30567 LAKE CITY UT 84130-0567294 UNITED MEDICAL RESOURCES, (800) 950-4867 PO BOX 145804 CINCINNATI OH 45250-5804671 UNITED MEDICAL RESOURCES, (800) 826-9781 4050 S 500 WEST SALT LAKE CITY UT 84123295 UNITED PACIFIC 443 S. SHATTO PLACE LOS ANGELES CA 9002006A UNITED SENIOR CARE (877) 842-3210 PO BOX 659768 SAN ANTONIO TX 78265-9768D7Z UNIVERSAL HEALTH CARE INS (866) 690-4842 150 2ND AVENUE N. SU ST PETERSBURG FL 33701D33 UNIVERSAL HEALTH CARE, IN (866) 690-4842 150 2ND AVENUE NORTH SUITE 400 ST PETERSBURG FL 33701D85 UNIVERSAL HEALTH CARE, IN (866) 690-4842 150 2ND AVENUE NORTH SUITE 400 ST PETERSBURG FL 33701D1Q UNIVERSAL HEALTHCARE INSU 150 2ND AVENUE NORTH SUITE 200 ST PETERSBURG FL 33701DD1 UNIVERSITY PHYSICIANS C (877) 874-3930 UNIVERSITY OF ARIZON TUSCON AZ 85721D2I UNIVERSITY HEALTH CARE, I 305 WEST BROADWAY LOUISVILLE KY 40202DBM UNKNOWN DENTAL PLAN 171 SERVICE AVENUE WARWICK RI 02886

296 UNUM LIFE INSURANCE (800) 922-3420 509 SOUTH LEMOLA ROAD BLDG. #2 MOORES TOWN NJ 08057592 UPMC (888) 876-2756 PO BOX 2999 PITTSUBRGH PA 15230D2X UPMC HEALTH PLAN 112 WASHINGTON PLACE SUITE 900 PITTSBURGH PA 15219509 US FAMILY HEALTH PLAN (800) 818-8589 PO BOX 9195 WATERTOWN MA 02471-919527A US LIFE INSURANCE COMPANY PO BOX 15236 READING PA 19612673 US SCRIPTS (800) 460-8988 2425 WEST SHAW AVENU FRESNO CA 93711183 USAA LIFE INSURANCE CO (800) 531-8000 9800 FREDRICKSBURG R SAN ANTONIO TX 78288-0346672 USABLE INSURANCE/BLUE ADV (866) 823-3790 PO BOX 1460 LITTLE ROCK AR 72203-1460D3L USACARE RX 259 MONROE AVENUE ROCHESTER NY 14607387 USI ADMINISTRATORS, INC.- (866) 632-3372 PO BOX 1539 FORT WORTH TX 76101388 USI RX (877) 200-5533 675 FOXON ROAD EAST HAVEN CT 0651392 VALUE RX (800) 945-6444 30445 NORTHWESTERN H FARMINGTON HILLS MI 4833492A VALUE RX (800) 726-7220 PO BOX 421150 PLYMOUTH MN 55442-01500S5 VETERANS ADMIN. CTR FEE B (401) 273-7100 830 CHALKSTONE AVE. PROVIDENCE RI 02908496 VISION BENEFITS OF AMERIC 300 WEYMAN PLAZA PITTSBURGH PA 15236187 VISION SERVICE PLAN (800) 877-7195 PO BOX 997100 SACRAMENTO CA 95899-7100D1O VISTA HEALTHPLAN OF SOUTH 300 SOUTH PARK ROAD HOLLYWOOD FL 33021D94 VISTA HEALTHPLAN, INC. 300 SOUTH PARK ROAD HOLLYWOOD FL 33021602 VIVA HEALTHCARE (800) 294-7780 PO BOX 55926 BIRMINGHAM AL 35255D9V VIVA SALUD MEDICARE ADVAN 150 DE DIEGO AVE. SAN JUAN PR 09070

CARRIER CARRIER PHONE CODE CARRIER NAME NUMBER … - [PDF Document] (39)

CARRIER CODE CARRIER NAME

CARRIER PHONE NUMBER CARRIER ADDRESS CITY STATE ZIP CODE

D4D VIVA SALUDE (787) 724-1888 SUITE 701 S SANTURCE PR 09070D9X VIVA SALUDE (787) 724-1888 MEDICARE ADVANTAGE S SANTURCE PR 09070D9B VIVA SALUDE MEDICARE ADVA 600 NEW LONDON AVE CRANSTON RI 02920D3D VIVA SALUDE! MEDICARE ADV 2217 PLAZA DRIVE SUITE 100 ROCKLIN CA 95765D4B VNS CHOICE MEDICARE 1250 BROADWAY 3RD FLOOR NEW YORK NY 10001D7T VNS CHOICE SELECT (212) 609-5602 40202-0000 NEW YORK NEWYORNY 10001219 W.J. JONES ADMINISTRATORS (800) 831-7783 1979 MARCUS AVENUE SUITE C101 LAKE SUCCESS NY 11042674 WALGREENS (800) 825-5467 PO BOX 545 DEERFIELD MI 60015466 WALGREEN'S HEALTH INITIAT (800) 451-3101 PO BOX 545 DEERFIELD IL 6001591 WAL-MART GROUP HEALTH (800) 421-1362 702 SW 8TH STREET BENTONVILLE AR 72716-8086

91A WAL-MART GROUP HEALTH (800) 421-1362 PO BOX 1411 C/O CLEAR CARE CORP CLEARFIELD PA 16830325 WAUSAU BENEFITS (800) 523-3578 PO BOX 8079 WAUSAU WI 54402-8079324 WAUSAU INSURANCE (866) 881-0800 PO BOX 8014 WAUSAU WI 54402-8014449 WAUSAU/LIBERTY MUTUAL INS (800) 468-3000 PO BOX 4834 SYRACUSE NY 13221-4834385 WEA TRUST (800) 279-4000 PO BOX 8220 MADISON WI 53708-8220522 WEB-TPA (888) 792-2432 PO BOX 1808 GRAPEVINE TX 76099D18 WELLCARE (888) 423-5252 8735 HENDERSON BLVD. TAMPA FL 33634D34 WELLCARE (866) 238-3885 PO BOX 25885 TAMPA FL 33622D5R WELLCARE PO BOX 25885 TAMPA FL 33622D6D WELLCARE P.O. BOX 25885 TAMPA FL 33622D6Q WELLCARE (888) 888-9355 PO BOX 31577 TAMPA FL 33631D8Y WELLCARE CLASSIC (888) 550-5252 8735 HENDERSON BLVD TAMPA FL 33634D9O WELLCARE CLASSIC 600 NEW LONDON AVE CRANSTON RI 02920794 WELLCARE HMO HEALTH PLANS (888) 453-2534 P.O .BOX 31224 TAMPA FL 33631-3224D95 WELLCARE OF NEW YORK, INC PO BOX 25885 TAMPA FL 33622728 WELLDYNE RX (FL) (888) 886-5822 PO BOX 90369 LAKELAND FL 33804796 WELLFLEET INTERNATIONAL S (800) 633-7867 P O BOX 15369 SPRINGFIELD MS 01115688 WELLMARK BLUE CROSS AND B P.O. BOX 9291 DES MOINES IA 50306448 WELLMARK BLUE CROSS OF SO (800) 831-4818 1601 WEST MADISON ST SIOUX FALLS SD 57104386 WELLPOINT DENTAL (888) 209-7852 PO BOX 9201 OXNARD CA 93031518 WELLPOINT NEXT RX (877) 850-0185 PO BOX 145433 CINCINNATI OH 45250

377 WELLPOINT PHARMACY (800) 962-7378PO BOX 27908 ATTN: PHARMACY SVCS WILWAUKEE WI 53227

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CARRIER CODE CARRIER NAME

CARRIER PHONE NUMBER CARRIER ADDRESS CITY STATE ZIP CODE

384 WELLPOINT PHARMACY MANAGE (888) 218-4844 PO BOX 9085 ATTN: CLAIMS SERVICE OXNARD CA 93031462 WELLPOINT PHARMACY MANAGE (800) 700-2541 ATTN: BLUE CROSS OF PO BOX 4165 WOODLAND HILLS CA 91365-4165477 WELLS FARGO DEFINITY HEAL (866) 333-4648 PO BOX 9525 AMHERST NY 14226-9525196 WESTERN FIDELITY INSURANC (800) 800-7201 PO BOX 1250 ROCKFORD IL 61105584 WESTERN HEALTH ADVANTAGE (916) 563-2250 2349 GATEWAY OAKS DR ST E1 SACRAMENTO CA 95833

247 WILLIS-CORROON (800) 255-8109PO BOX 305154 ADMINISTRATIVE SERVICES NASHVILLE TN 37230-5154

D4Y WINDSOR HEALTH PLANS INC7100 COMMERCE WAY SU ATTN: MARKETING BRENTWOOD TN 37027

D4A WINDSOR RX 7100 COMMERCE WAY SUITE 285 BRENTWOOD TN 37027248 WOODHALL WEAVING (973) 684-1600 PO BOX AE PATERSON NJ 07509250 ZURICH INSURANCE (800) 818-5835 PO BOX 9217 BOSTON MA 02205

CARRIER CARRIER PHONE CODE CARRIER NAME NUMBER … - [PDF Document] (2024)

FAQs

What is the phone carrier code? ›

As far as English is concerned, the carrier is the company that provides the phone service. I believe it is the company that owns the infrastructure (wires or whatever is used to transmit (carry) the phone signal). "Code" would mean the number representing the particular company that is acting as your carrier.

How do I find my carrier code? ›

The Carrier Code is a 4 digit alpha/numeric code at the beginning of your PARS label or Cargo Control Number.

What is a carrier code number? ›

Carrier Codes identify the providers of shipping services (UPS, FedEx, etc.). Carrier Codes are set on the Customer Class record assigned to Customer Master records.

What is the carrier code in medical billing? ›

Carrier codes—National Electronic Insurance Clearinghouse (NEIC) codes that identify insurance carriers—are necessary to complete claims that involve Third Party Liability.

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