carrier code carrier name phone number address address

47
Carrier Code Carrier Name Phone Number Address Address Line 1 City State Zip Code D6J ANTHEN BLUE OF VIRGINIA PO BOX 30043 DURHAM NC 27702-0000 326 1199 NATIONAL BENEFIT FUND 6464737160 PO BOX 1034 NEW YORK NY 10108-1034 589 1199 SEIU NATIONAL BENEFITS 8888191199 330 WEST 42ND STREET NEW YORK NY 10036-0000 028 AARP HEALTH ADVANTAGE HEALTHCARE OPTIONS 8886872277 PO BOX 740819 ATLANTA GA 30374-0819 D6P AARP MEDICARE COMPLETE PLAN 2 8003930939 950 WINTER ST SUITE 3800 WALTHEM MA 02451-0000 D6K AARP MEDICARE COMPLETE PLAN 2 (HMO) PO BOX 66773 ST LOUIS MO 63166-0000 D9H AARP MEDICARE RX PREFERRED 600 NEW LONDON AVE CRANSTON RI 02920-0000 D8T AARP MEDICARE RX PREFERRED 8888675575 PO BOX 29300 HOT SPRINGS AR 71903-0000 D9L AARP MEDICARE RX SAVER 600 NEW LONDON CRANSTON RI 02920-0000 D8V AARP MEDICARERX SAVER (PDP) 8888675575 PO BOX 29300 HOT SPRINGS AR 71903-0000 D4Q ABRAZO ADVANTAGE 7878 NORTH 16TH STREET SUITE 105 PHOENIX AZ 85020-0000 301 ACADIA INSURANCE CO. 8887861170 PO BOX 9168 MARLBOROUGH MA 01752-0000 390 ACE INTERNATIONAL INSURANCE 8002628028 PO BOX 15417 WILMINGTON DE 19850-0000 470 ACE USA 8607316800 PO BOX 5001 HARTFORD CT 06102-5001 030 ACORDIA BENEFIT SERVICES PO BOX 18197 COLUMBUS OH 43218-0000 346 ACS HEALTH NET - NORTHEAST 8004415741 PO BOX 14700 LEXINGTON KY 40512-0000 768 ADMINISTRATION CONCEPTS (AXIS) ACIA PRIME IN 8002265116 994 OLD EAGLE SCHOOL ROAD STE 1005 WAYNE PA 19087-0000 795 ADMINISTRATIVE CONCEPTS, INC 8882939229 994 OLD EAGLE SCHOOL ROAD SUITE 1005 WAYNE PA 19087-1802 101 ADMINISTRATIVE ENTERPRISES, INC 6027891101 3404 WESTCHESTER DR SUITE 281 PHOENIX AZ 85051-9588 267 ADMINISTRATIVE SERVICE CONSULTANTS 8006348816 301 E. ROYALTON ROAD CLEVELAND OH 44147-2886 198 ADVANCED PARADIGM 8003646331 PO BOX 853901 RICHARDSON TX 75081-3901 327 ADVANCED PCS 8003646331 PO BOX 961066 FORT WORTH TX 76161-0000 331 ADVANCED PCS HELP SYSTEM, INC. 8003455413 PO BOX 52115 ATTN: MAIL CODE 128 PHOENIZ AZ 85072-2115 D8M ADVANTAGE FREEDOM PLAN RX AMERICA 8004296686 221 N CHARLES LINDBERGH DR. SL SLC UT 84116-0000 D5B ADVANTRA FREEDOM PO BOX 690 MAHWAH NJ 07430-0000 D5S ADVANTRA FREEDOM PO BOX 690 MAHWAH NJ 07430-0000 D8O ADVANTRA RX 8668235177 VALUE (PDP) LEXINGTON KY 40512-0000 722 ADVENTIST RISK MANAGEMENT 8004475002 P O BOX 1808 GRAPEVINE TX 76099-0000

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Page 1: Carrier Code Carrier Name Phone Number Address Address

Carrier

Code Carrier Name Phone Number Address Address Line 1 City State Zip Code

D6J ANTHEN BLUE OF VIRGINIA PO BOX 30043 DURHAM NC 27702-0000

326 1199 NATIONAL BENEFIT FUND 6464737160 PO BOX 1034 NEW YORK NY 10108-1034

589 1199 SEIU NATIONAL BENEFITS 8888191199 330 WEST 42ND STREET NEW YORK NY 10036-0000

028

AARP HEALTH ADVANTAGE HEALTHCARE

OPTIONS 8886872277 PO BOX 740819 ATLANTA GA 30374-0819

D6P AARP MEDICARE COMPLETE PLAN 2 8003930939 950 WINTER ST SUITE 3800 WALTHEM MA 02451-0000

D6K AARP MEDICARE COMPLETE PLAN 2 (HMO) PO BOX 66773 ST LOUIS MO 63166-0000

D9H AARP MEDICARE RX PREFERRED 600 NEW LONDON AVE CRANSTON RI 02920-0000

D8T AARP MEDICARE RX PREFERRED 8888675575 PO BOX 29300 HOT SPRINGS AR 71903-0000

D9L AARP MEDICARE RX SAVER 600 NEW LONDON CRANSTON RI 02920-0000

D8V AARP MEDICARERX SAVER (PDP) 8888675575 PO BOX 29300 HOT SPRINGS AR 71903-0000

D4Q ABRAZO ADVANTAGE 7878 NORTH 16TH STREET SUITE 105 PHOENIX AZ 85020-0000

301 ACADIA INSURANCE CO. 8887861170 PO BOX 9168 MARLBOROUGH MA 01752-0000

390 ACE INTERNATIONAL INSURANCE 8002628028 PO BOX 15417 WILMINGTON DE 19850-0000

470 ACE USA 8607316800 PO BOX 5001 HARTFORD CT 06102-5001

030 ACORDIA BENEFIT SERVICES PO BOX 18197 COLUMBUS OH 43218-0000

346 ACS HEALTH NET - NORTHEAST 8004415741 PO BOX 14700 LEXINGTON KY 40512-0000

768

ADMINISTRATION CONCEPTS (AXIS) ACIA

PRIME IN 8002265116 994 OLD EAGLE SCHOOL ROAD STE 1005 WAYNE PA 19087-0000

795 ADMINISTRATIVE CONCEPTS, INC 8882939229 994 OLD EAGLE SCHOOL ROAD SUITE 1005 WAYNE PA 19087-1802

101 ADMINISTRATIVE ENTERPRISES, INC 6027891101 3404 WESTCHESTER DR SUITE 281 PHOENIX AZ 85051-9588

267 ADMINISTRATIVE SERVICE CONSULTANTS 8006348816 301 E. ROYALTON ROAD CLEVELAND OH 44147-2886

198 ADVANCED PARADIGM 8003646331 PO BOX 853901 RICHARDSON TX 75081-3901

327 ADVANCED PCS 8003646331 PO BOX 961066 FORT WORTH TX 76161-0000

331 ADVANCED PCS HELP SYSTEM, INC. 8003455413 PO BOX 52115

ATTN: MAIL

CODE 128 PHOENIZ AZ 85072-2115

D8M ADVANTAGE FREEDOM PLAN RX AMERICA 8004296686

221 N CHARLES LINDBERGH

DR. SL SLC UT 84116-0000

D5B ADVANTRA FREEDOM PO BOX 690 MAHWAH NJ 07430-0000

D5S ADVANTRA FREEDOM PO BOX 690 MAHWAH NJ 07430-0000

D8O ADVANTRA RX 8668235177 VALUE (PDP) LEXINGTON KY 40512-0000

722 ADVENTIST RISK MANAGEMENT 8004475002 P O BOX 1808 GRAPEVINE TX 76099-0000

Page 2: Carrier Code Carrier Name Phone Number Address Address

Carrier

Code Carrier Name Phone Number Address Address Line 1 City State Zip Code

593 ADVNATAGE HEALTH SOL 3175736228 9490 PRIORITY WAY INDIANANPOLIS IN 46240-0000

22A AETNA MEDICARE ADVANTAGE PLAN 8335706670 PO BOX 14088 LEXINGTON KY 40512-0000

22P AETNA HEALTH CARE 8008115671 PO BOX 15048 ALBANY NY 12212-0000

D1T AETNA HEALTH INSURANCE OF CALIFORNIA 151 FARMINGTON AVENUE HARTFORD CT 06156-0000

22D AETNA HEALTH PLAN 8002225553 PO BOX 25519 RICHMOND VA 23260-0000

22E AETNA HEALTH PLAN 8002370575 UPS CLAIMS PO BOX 26053 GREENSBORO NC 27420-0000

22K AETNA HEALTH PLAN 8002386221 PO BOX 795083 SAN ANTONIO TX 78279-0000

22L AETNA HEALTH PLAN 8006240756 PO BOX 2231 BLUE BELL PA 19422-0000

22I AETNA HEALTH PLAN 8006240756 PO BOX 5569 AKRON OH 44334-0000

22B AETNA HEALTH PLANS 8006240756 3 HIGHWOOD DRIVE TEWKSBURY MA 01876-0000

22C AETNA HEALTH PLANS 8006240756 PO BOX 120 GRAND RAPIDS MI 49501-0000

022 AETNA LIFE INS. CO. P O BOX 18040 COLUMBUS OH 43218-0040

D5J AETNA MEDICARE 151 FARMINGTON AVENUE HARTFORD CT 06156-0000

D3U AETNA MEDICARE 151 FARMINGTON AVENUE HARTFORD CT 06156-0000

D7I AETNA MEDICARE 8004451796 151 FARMINGTON AVENUE HARTFORD CT 06156-0000

D01 AETNA MEDICARE 8772386211 980 JOLLY ROAD BLUE BELL PA 19422-0000

D8S AETNA MEDICARE RX ESSENTIALS 8772386211 PO BOX 14023 LEXINGTON KY 40512-0000

D9G AETNA MEDICARE RX PLUS 600 NEW LONDON AVE CRANSTON RI 02920-0000

22G AETNA PHARMACY MANAGEMENT 8002386279 PO BOX 14024

ATTN: CLAIM

PROCESSING LEXINGTON KY 40512-0000

603 AETNA STRATEGIC RESOURCE 8008008121 PO BOX 14079 LEXINGTON KY 40512-4079

563 AETNA STUDENT HEALTH PLAN 8009667772 PO BOX 981106 EL PASO RI 79998-0000

22N AETNA U.S. HEALTHCARE 8004457175 PO BOX 26106 GREENSBORO NC 27402-6106

22X AETNA U.S. HEALTHCARE 8668994378 PO BOX 14586 LEXINGTON KY 40512-4586

22Z AETNA U.S. HEALTHCARE 8006240756 PO BOX 14079 LEXINGTON KY 40512-0000

22H AETNA U.S. HEALTHCARE 8006240756 PO BOX 31450 TAMPA FL 33631-0000

22Q AETNA US HEALTH CARE 8002933536 PO BOX 14091 LEXINGTON KY 40512-0000

22F AETNA US HEALTH CARE 8006240756 PO BOX 150417 HARTFORD CT 06115-0000

22S AETNA US HEALTHCARE 8003239930 PO BOX 1125 BLUE BELL PA 19422-0000

22M AETNA US HEALTHCARE 8006240756 PO BOX 7012 DOVER DE 19903-1512

22V AETNA US HEALTHCARE 8006352095 PO BOX 2295 FORT WAYNE IN 46601-2295

22U AETNA US HEALTHCARE 8007414781 PO BOX 14066 LEXINGTON KY 40512-0000

22J AETNA US HEALTHCARE 8005455862 CITIBANK DIVISION PO BOX 3911 ALLENTOWN PA 18106-0911

22T AETNA US HEALTHCARE 8006240756 7676 HAZARD CENTER DRUVE SAN DIEGO CA 92108-0000

Page 3: Carrier Code Carrier Name Phone Number Address Address

Carrier

Code Carrier Name Phone Number Address Address Line 1 City State Zip Code

22R AETNA US HEALTHCARE 8886323862 PO BOX 981109 EL PASO TX 79998-0000

22W AETNA US HEALTHCARE 8775352128 PO BOX 981106 EL PASO TX 79998-0000

22Y AETNA US HEALTHCARE 8005435458 PO BOX 14094 LEXINGTON KY 40512-0000

683 AETNA US HEALTHCARE/VISION 8886323862 PO BOX 981106 EL PASO TX 79998-1106

D4G AFFINITY HEALTH PLAN 2500 HALSEY STREET BRONX NY 10461-0000

197 AFFORDABLE MEDICAL NETWORK 8002558109 C/O WILLIS CORROON PO BOX 305154 NASHVILLE TN 37230-5154

288 AFLAC 8009923522 1932 WYNNTON ROAD COLUMBUS GA 31999-0000

254 AH & L 6316662616 EPC ASSOCIATES PO BOX 5329 BAY SHORE NY 11706-0000

274 AIG 6177909000

WORKERS COMP. CLAIM

SERVICE

99 SUMMER

STREET BOSTON MA 02110-0000

500 AIG LIFE INSURANCE CO. 8002213480 PO BOX 1581 NEPTUNE NJ 07754-1581

614 AIG LTC 11000 PRAIRIE LAKES DRIVE EDEN PRAIRI MN 55344-0000

800 AITHER HEALTH 8339092384 P.O.BOX 211440 EAGAN MN 55121-0000

D8D ALAMEDA ALLIANCE FOR HEALTH 5107474500 12401 SOUTH LOOP ROAD ALAMEDA ALLIANCE LOOCA 94501-0000

102 ALBANY INSURANCE CO. 5184452200

C/O 21ST CENTURY HLTH &

BEN

1760 MARKET

ST PHILADELPHIA PA 19103-0000

540

ALICARE (MASS STATE HEALTH CARE PROF

DENTAL) 8003384330 P.O. BOX 1477 NEW YORK NY 10116-1477

739 ALL SAVERS UNITED HEALTH CARE 8002325432 P,O,BOX 31375 SALT LAKE CITY UT 84131-0375

724

ALLEGIANCE BENEFIT PLAN

MANAGEMENT/DENTAL 8008771122 P.O.BOX 3018 MISSOULA MT 59086-3018

725

ALLEGIANCE BENEFIT PLAN

MANAGEMENT/VISION 8008771122 P.O.BOX 3018 MISSOULA MT 59086-3018

400 ALLIANCE 6082766620 PO BOX 44365 MADISON WI 53744-4365

417 ALLIANCE BLUE CROSS OF MISSOURI PO BOX 14882 ST. LOUIS MO 63178-4882

527 ALLIED BENEFIT SYSTEMS 8002882078 PO BOX 909786-60690 CHICAGO IL 60690-0000

350 ALLSTATE FINANCIAL GROUP 8009377039

1776 AMERICAN HERITAGE

LIFE DR JACKSONVILLE FL 32224-0000

173 ALLSTATE INSURANCE CO 4013336100

625 GEORGE WASHINGTON

HWY LINCOLN RI 02865-0000

804 ALLWAYS HEALTH PARTNERS 8004329449 399 REVOLUTION DRIVE SOMERVILLE MA 02145-0000

391 ALTUS DENTAL INSURANCE CO. 8772230588 PO BOX 1557 PROVIDENCE RI 02901-1557

803 ALWAYS HEALTH PARTNERS 8554444647 399 REVOLUTION DRIVE SUITE 810 SOMERVILLE MA 02145-0000

697 ALWAYS HEALTH PARTNERS 8554444647 P O BOX 10 NUTTING LAKE MA 01865-0000

Page 4: Carrier Code Carrier Name Phone Number Address Address

Carrier

Code Carrier Name Phone Number Address Address Line 1 City State Zip Code

787 ALWAYS PARTNERS 8004329449 PO. BOX 853908 RICHARDSON TX 75085-0000

029 AM. POSTAL WORKERS UNION 8002222798 P.O. BOX 967 SILVER SPRINGS MD 20910-0000

403 AMA INSURANCE AGENCY 8004585736 200 NORTH LASALLE ST SUITE 400 CHICAGO IL 60601-0000

0AK AMALG LIFE 8003334456 770 BROADWAY NEW YORK NY 10003-0000

707

AMALGAMATED LIFE INSURANCE

COMPANY (ALICARE) 8003159174 333 WESTCHESTER AVENUE WHITE PLANS NY 10604-0000

389 AMERIBEN SOLUTIONS 8007867930 PO BOX 7186 BOISE ID 83707-0000

252 AMERICAN FREIGHTWAYS 8707417227 NPPN 419 E MAIN STREET MIDDLETOWN NY 10940-0000

D31 AMERICAN HEALTH MEDICARE 8666202420 PO BOX 11320 SAN JUAN PR 00922-0000

D7Y AMERICAN HEALTH MEDICARE 7876201919 PO BOX 11320 CAPARRA PR 00922-9907

655 AMERICAN HERITAGE LIFE 8005358086 1776 AMERICAN HERITAGE DR JACKSONVILLE FL 32224-0000

103 AMERICAN INTERNATIONAL COMPANIES 8004687077 PO BOX 25050

EMPLOYEE

BENEFITS DEPT WILMINGTON DE 19899-0000

541

AMERICAN MEDICAL & LIFE INSURANCE

CO. 8882641512 PO BOX 1235 FREDERICK MD 21702-0000

691 AMERICAN MEDICAL AND LIFE INSURANCE 8882641512 P O BOX 34912 PHILADELPHIA PA 19101-0000

656 AMERICAN NATIONAL I PO BOX 696520 SAN ANTONIO TX 78269-6520

464 AMERICAN PIONEER LIFE INSURANCE 8009992224 PO BOX 130 PENSACOLA FL 32591-0000

205 AMERICAN REPUBLIC INSURANCE CO 5152452000 PO BOX 10 ATTN: CLAIMS DES MOINES IA 50301-0010

340 AMERICAN SPECIAL RISK MGMT. CORP 8003597475 509 SOUTH LENOLA ROAD BUILDING 2 MOORESTOWN NJ 08057-0000

472 AMERICAN TRUST ADMINISTRATORS 8008434121 P.O. BOX 87 SHAWNEE MISSION KS 66201-0000

D4N AMERICA'S HEALTH CHOICE MEDICAL PLAN 1175 US HIGHWAY 1 VERO BEACH FL 32962-0000

D40 AMERICHOICE PERSONAL CARE PLUS 8772891915 1 RIVERFRONT PLAZA PO BOX 200449 NEWARK NJ 07102-0000

309 AMERICORPS 8008478217 PO BOX 33757 INDIANAPOLIS IN 46203-0757

D4E AMERIGROUP COMMUNITY CARE 4200 WEST CYPRESS STREET SUITE 900 TAMPA FL 33607-0000

D51 AMERIHEALTH 65 8662823235 1901 MARKET STREET 28TH FLOOR PHILADELPHIA PA 19103-0000

401 AMERI-HEALTH ADMINISTRATORS 8004805032 720 BLAIR MILL ROAD HORSHAM PA 19044-0975

D2V AMERIHEALTH ADVANTAGE PO BOX 41514 PHILADELPHIA PA 19101-0000

D44 AMERIHEALTH ADVANTAGE 8664561694 PO BOX 41514 PHILADELPHIA PA 19101-0000

D8Q AMERIHEALTH ADVANTAGE RX OPTION 8006453965 PO BOX 7576 PHILADELPHIA PA 19101-8951

203 AMERITAS LIFE INSURANCE CORP. 8004875553 GROUP CLAIMS DEPT. PO BOX 82520 LINCOLN NE 68501-2520

Page 5: Carrier Code Carrier Name Phone Number Address Address

Carrier

Code Carrier Name Phone Number Address Address Line 1 City State Zip Code

D88 ANTHEM

1351 WILLIAM HOWARD TAFT

ROAD CN14B-818 CINCINNATI OH 45206-0000

626 ANTHEM BLUE CROSS - KENTUCKY 8008802583 135500 TRITTON PARK BLVD LOUISVILLE KY 40223-0000

409 ANTHEM BLUE CROSS - VIRGINIA 8004511527 PO BOX 27401 RICHMOND VA 23279-0000

D75 ANTHEM BLUE CROSS & BLUE SHIELD 8003347676 PO BOX 14046 ROANOKE VA 24038-0000

D5X ANTHEM BLUE CROSS AND BLUE SHIELD

1351 WILLIAM HOWARD TAFT

ROAD CN1413-818 CINCINNATI OH 45206-0000

628

ANTHEM BLUE CROSS BLUE SHIELD -

MAINE 8004224304 2 GANNETT DRIVE SOUTH PORTLAND ME 04106-0000

630

ANTHEM BLUE CROSS BLUE SHIELD

MISSOURI FEP 8009324480 PO BOX 105557 ATLANTA GA 30348-0000

766

ANTHEM BLUE CROSS COLORADO AND

NEVADA 8006776669 P.O.BOX 5747 DENVER CO 80217-5747

619 ANTHEM BLUE CROSS CONNECTICUT FEP 8004385856 PO BOX 105557 ATLANTA GA 30348-0000

328 ANTHEM BLUE CROSS OF 8882909160 444 WESTMINSTER STREET PROVIDENCE RI 02903-0000

430 ANTHEM BLUE CROSS OF NEW HAMPSHIRE 8002382465 PO BOX 660 NORTH HAVEN CT 06473-0000

507 ANTHEM BLUE CROSS- OHIO 8882909160 444 WESTMINSTER STREET PROVIDENCE RI 02903-0000

706 ANTHEM BLUE CROSS VERIZON NATIONAL 8558698138 P O BOX 15187 ATLANTA GA 30348-5187

D24 ANTHEM BLUE CROSS/BLUE SHIELD 8006925399

1351 WILLIAM HOWARD TAFT

ROAD CN14B-818 CINCINNATI OH 45206-0000

D3R ANTHEM BLUE CROSS/BLUE SHIELD

1351 WILLIAM HOWARD TAFT

ROAD CN14B-818 CINCINNATI OH 45206-0000

488

ANTHEM BLUE CROSS/BLUE SHIELD -

CALIFORNIA 8002340111 PO BOX 4109 WOODLAND HILLS CA 91365-0000

491

ANTHEM BLUE CROSS/BLUE SHIELD -

WISCONSIN 8008227442 PO BOX 34210 LOUISVILLE KY 40232-4210

479 ANTHEM BLUE CROSS/BLUE SHIELD-IN 8003454344 PO BOX 7101 INDIANAPOLIS IN 46207-7101

105 ANTHEM BLUE OF CALIFORNIA 8003330912 PO BOX 9061 OXNARD CA 93031-0000

729 ANTHEM OHIO/DENTAL 8666417762 P O BOX 659444 ST ANTONIO TX 78265-0000

435 ANTHEM RX PHARMACY PO BOX 145433 CINCINNATI OH 45250-5433

332 ANTHEM RX PHARMACY 8009628192 PO BOX 746000 CINCINNATI OH 45274-6000

240 AON SELECT 8008223287 110 GIBRALTAR ROAD SUITE 116 HORSHAM PA 19044-0000

D5Q APIPA PERSONAL CARE 3141 NORTH THIRD AVENUE PHOENIX AZ 85013-0000

Page 6: Carrier Code Carrier Name Phone Number Address Address

Carrier

Code Carrier Name Phone Number Address Address Line 1 City State Zip Code

526 APWU HEALTH PLAN 8002222798 799 CROMWELL PARK DRIVE SUITES K-Z GLEN BURNIE MD 21061-0000

202 ARBELLA INDEMNITY INSURANCE 6177693100 1100 CROWN COLONIAL DRIVE PO BOX 699227 QUINCY MA 02269-0000

565 ARGUS PHARMACY SERVICES 8002413371 1300 WASHINGTON ST. KANSAS CITY MO 64105-1433

D1L ARKANSAS COMMUNITY CARE PLUS 3810 FRONT STREET SUITE 8 FAYETTEVILLE AR 72703-0000

228 ASC 8004726630 PO BOX 928 FINDLAY OH 45839-0000

299 ASSOCIATED PLAN ADMINISTRATION 8006263880 PO BOX 9568 NEW HAVEN CT 06535-0000

104 ASSOCIATED PRESCRIPTION SERVICE 4109862168 104 CHURCH LANE SUITE 200 BALTIMORE MD 21208-0000

553 ASSURANT EMPLOYEE BENEFITS PLAN 1800442774 PO BOX 2940 CLINTON IA 52733-0000

792 ATLAS (ZENITH ADMINISTRATORS) 3126491200 18891 90TH AVENUE SUITE A MOKENA IL 60448-0000

609 AULTCARE 8005052858 PO BOX 6910 CANTON OH 44706-0000

733 AUTOMATED BENEFIT SERVICES 8002259369 8220 IRVING ROAD STERLING HEIGHTS MI 48312-0000

282 AUTOMATED BENEFIT SERVICES 8005211321 PO BOX 37506 OAK PARK MI 48237-0000

D1E AVALON HEALTH, LTD. 2500 ELMERTON AVENUE HARRISBURG PA 17177-0000

612 AVERA HEALTH PLAN 6053224545 PO BOX 381506 BIRMINGHAM AL 65238-0000

586 AVESIS 8008289341 PO BOX 7777 PHOENIX AZ 85011-0000

615 AV-MED 3056715437 9400 SOUTH DADELAND BLVD MIAMI FL 33156-0000

D6L AVMED PREMIER CARE (HMO) PO BOX823 GAINNESVILLE FL 32602-0000

0CH B/S OF PENNSYLVANIA 7177633533 1800 CENTER STREET CAMP HILL PA 17089-0000

302 BAKERY & CONF. UNION HEALTH BENEFIT 3014683731 10401 CONNECTICUT AVENUE KENSINGTON MD 20895-3731

037 BANKERS LIFE & CASUALTY 8008002254

222 MERCHANDISE MART

PLAZA CHICAGO IL 60654-2001

0H8 BC OF FLORIDA 9047916111 P.O. BOX 1798 JACKSONVILLE FL 32331-0014

119 BEACON MUTUAL INSURANCE 4018252667 444 WESTMINSTER ST PROVIDENCE RI 02903-0000

308 BENEFIRST 8778236334 PO BOX 1421 MARSHFIELD MA 02050-0000

268 BENEFIT ADMINISTRATIVE SYSTEMS, LTD 7087997400 17475 JOVANNA DRIVE SUITE 1B HOMEWOOD IL 60430-4623

705 BENEFIT ADMINISTRATOR OF MA 8777072583 P O BOX 2000 EXETER NH 03833-0000

805 BENEFIT AND RISK MANAGEMENT 9164671400 P O BOX 2140 FOLSOM CA 95763-0000

031 BENEFIT CONCEPTS, INC HEALTH CARE VALUE MGMT

100 RIVER

RIDGE DR NORWOOD MA 02062-0000

122 BENEFIT MANAGEMENT SERVICES 8002791171 PO BOX 1178 MATTHEWS NC 28106-0000

035 BENEFIT PLAN MANAGEMENT 8776427500 PO BOX 536 ROCKLAND MA 02370-0000

112 BENEFIT PLANNERS 2106991872 PO BOX 690450 SAN ANTONIO TX 78269-0000

Page 7: Carrier Code Carrier Name Phone Number Address Address

Carrier

Code Carrier Name Phone Number Address Address Line 1 City State Zip Code

351 BENEFIT SYSTEM & SERVICE, INC. 8004231841 760 PASQUINELLI DRIVE SUITE 320 WESTMONT IL 60059-0000

566 BENEMAX DENTAL HEALTH PLAN 5083594107 PO BOX 355 MEDFIELD MA 02052-0000

204 BENEMAX HEALTH PLAN 5083594107 PO BOX 355 MEDFIELD MA 02052-0000

310 BENESIGHT 8153950080 PO BOX 7045 ROCKFORD IL 61125-7045

801 BIND HEALTH PLAN 8335766494 P.O.BOX 211758 EAGAN MN 55121-0000

576 BLUE ADVANTAGE , BLUE OF ARKANSAS 8668233790 PO BOX 1460 LITTLE ROCK AR 72203-0000

578

BLUE ADVANTAGE BLUE CROSS OF

ARKANSAS 8668233790 PO BOX 1460 LITTLE ROCK AR 72203-0000

682

BLUE BENEFIT ADMINISTRATORS OF

MASSACHUSETTS 8777072583 PO BOX 55917 BOSTON MA 02205-5917

12A BLUE CHIP - MEDICARE HMO 8005284141 15 LASALLE SQUARE PROVIDENCE RI 02903-1814

012 BLUE CHIP-COORD HLTH PARTNERS 4012743500 15 LASALLE SQUARE PROVIDENCE RI 02903-1814

623 BLUE CORSS NY HEALTHNOW 8008560480 PO BOX 80 BUFFALO NY 14240-0000

D64

BLUE CROSS & BLUE SHIELD OF FLORIDA,

INC. 8008762227

4800 DEERWOOD CAMPUS

PKWY. JACKSONVILLE FL 32246-0000

D2C BLUE CROSS & BLUE SHIELD OF OKLAHOMA 1215 SOUTH BOULDER TULSA OK 74119-0000

D20

BLUE CROSS & BLUE SHIELD OF RHODE

ISLAND 8005052583 15 LA SALLE SQUARE PROVIDENCE RI 02903-0000

552 BLUE CROSS BLUE SHEILD OF FLORIDA 8664702963 PO BOX 3355 PITTSBURGH PA 15230-3355

D5T BLUE CROSS BLUE SHEILD OF TENNESSEE PO BOX 180205 CHATTANOOGA TN 37402-0000

633 BLUE CROSS BLUE SHIELD OKLAHOMA 8007223130 PO BOX 660044 DALLAS TX 75266-0044

621 BLUE CROSS BLUE SHIELD FLORIDA FEP 8004325373 PO BOX 1798 JACKSONVILLE FL 32231-0000

624 BLUE CROSS BLUE SHIELD KANSAS CITY 8004512348 PO BOX 419169 KANSAS CITY MO 64108-0000

625 BLUE CROSS BLUE SHIELD KANSAS CITY FEP 8004512348 PO BOX 419169 KANSAS CITY MO 64108-0000

631

BLUE CROSS BLUE SHIELD NORTH

CAROLINA FEP 5901 CHAPEL HILL RD DURHAM NC 27702-0000

632

BLUE CROSS BLUE SHIELD NORTH

CAROLINA FEP 5901 CHAPEL HILL RD DURHAM NC 27702-0000

616 BLUE CROSS BLUE SHIELD OF ALABAMA PO BOX 995 BIRMINGHAM AL 35298-0000

617 BLUE CROSS BLUE SHIELD OF ARKANSAS 8008274814 PO BOX 2181 LITTLE ROCK AR 72203-0000

D5E BLUE CROSS BLUE SHIELD OF COLORADO PO BOX 9092 OXNARD CA 93031-0000

618 BLUE CROSS BLUE SHIELD OF COLORADO 8778113106 700 BROADWAY DENVER CO 80273-0000

629 BLUE CROSS BLUE SHIELD OF MAIN FEP 8007220203 PO BOX 105557 ATLANTA GA 30348-0000

Page 8: Carrier Code Carrier Name Phone Number Address Address

Carrier

Code Carrier Name Phone Number Address Address Line 1 City State Zip Code

627 BLUE CROSS BLUE SHIELD OF MASS FEP 8008802583 13550 TRITTON PARK BLVD LOUISVILLE KY 40223-0000

D4S BLUE CROSS BLUE SHIELD OF MICHIGAN 27000 WEST ELEVEN MILE RD MC H404 SOUTHFIELD MI 48034-0000

D6F

BLUE CROSS BLUE SHIELD OF SOUTH

CAROLINA PO BOX 100206 COLUMBIA SC 29223-0000

636 BLUE CROSS BLUE SHIELD OF VIRIGINA 8005526989 PO BOX 27401 RICHMOND VA 23279-0000

713

BLUE CROSS FEDERAL EMPLOYEE

PROGRAM BLUE VISI 8885502583 P O BOX 2010 LATHAM LATHAM NY 12110-2010

016 BLUE CROSS OF ALABAMA 8003349041 PO BOX 360508 BIRMINGHAM AL 35236-0000

398 BLUE CROSS OF ALABAMA/DENTAL PO BOX 830389 BIRMINGHAM AL 35283-0000

034 BLUE CROSS OF CONNECTICUT 8009226621 444 WESTMINSTER ST PROVIDENCE RI 02901-0000

0H7 BLUE CROSS OF FLORIDA 8773522583 PO BOX 1798 JACKSONVILLE FL 32231-0000

0H9 BLUE CROSS OF FLORIDA 8009266565 PO BOX 44160 JACKSONVILLE FL 32231-4160

399 BLUE CROSS OF GEORGIA 8006762583 444 WESTMINSTER ST. PROVIDENCE RI 02901-0000

677 BLUE CROSS OF GEORGIA/DENTAL 8006270004 PO BOX 9907 COLUMBUS GA 31908-0000

253 BLUE CROSS OF GREATER NEW YORK 8008428421 PO BOX 4782 SYRACUSE NY 13221-0000

716 BLUE CROSS OF IDAHO 8664822250 PO BOX 7408 BOISE ID 83707-0000

116 BLUE CROSS OF ILLINOIS 8007308445 444 WESTMINSTER ST PROVIDENCE RI 02901-0000

298 BLUE CROSS OF IOWA (WELLMARK) 8005249242 444 WESTMINSTER STREET PROVIDENCE RI 02901-0000

411 BLUE CROSS OF KANSAS 8004323990 1133 S.W. TOPEKA BLVD. TOPEKA KS 66629-0001

042 BLUE CROSS OF MAINE 8004820966 444 WESTMINSTER ST PROVIDENCE RI 02901-0000

120 BLUE CROSS OF MARYLAND 8002250131

STATE OF MD OPERATIONS

CTR PO BOX 9885 BALTIMORE MD 21284-9885

0J3 BLUE CROSS OF MASSACHUSETTS 6173764700 PO BOX 1996 MEDEX CLAIMS BOSTON MA 02105-1996

0J4 BLUE CROSS OF MASSACHUSETTS 8007823675 PO BOX 9196 NORTH QUINCY MA 02171-9196

107 BLUE CROSS OF MEMPHIS 8002227212 444 WESTMINSTER ST PROVIDENCE RI 02901-0000

169 BLUE CROSS OF MICHIGAN 8003245760 444 WESTMINSTER ST PROVIDENCE RI 02901-0000

125 BLUE CROSS OF MINNESOTA 8003822000 PO BOX 64338 ST PAUL MN 55164-0000

260 BLUE CROSS OF MISSOURI 8004335929 1831 CHESTNUT STREET ATTN: NASCO ST. LOUIS MO 63103-2275

281 BLUE CROSS OF MISSOURI 8885719054 PO BOX 66893

ATTN: LOCAL

655 ST. LOUIS MO 63166-0000

032 BLUE CROSS OF NEBRASKA 8885928963 444 WESTMINSTER ST PROVIDENCE RI 02901-0000

039 BLUE CROSS OF NEW HAMPSHIRE 8004389672 3000 GOFFS FALLS RD MANCHESTER NH 03111-0001

033 BLUE CROSS OF NEW MEXICO 8008358699 PO BOX 27630 ALBUQUERQUE NM 87125-7630

223

BLUE CROSS OF NORTH EASTERN

PENNSYLVANIA 8008298599 70 NORTH MAIN STREET WILKES BARRE PA 18711-0000

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Code Carrier Name Phone Number Address Address Line 1 City State Zip Code

784 BLUE CROSS OF OREGON (REGENCE) 8886756570 100 SW MARKET ST PORTLAND OR 97201-0000

199 BLUE CROSS OF PUERTO RICO 8097494949

AV FRANKLIN D ROOSVELT

1441 CAPARRA HEIGHTS PR 00920-0000

284 BLUE CROSS OF ROCHESTER 8006762583 444 WESTMINSTER STREET PROVIDENCE RI 02901-0000

634 BLUE CROSS OF TENNESSEE 8005659140 1 CAMERON HILL CIRCLE CHATANOOGA TN 37402-0000

304 BLUE CROSS OF TENNESSEE 8005659140 PO BOX 180150 CHATTANOOGA TN 37401-0000

0J2 BLUE CROSS OF TEXAS 5087476530 P O BOX 1658 BOSTON MA 02110-0000

172 BLUE CROSS OF TEXAS 8004510287 444 WESTMINSTER ST PROVIDENCE RI 02901-0000

465

BLUE CROSS OF TEXAS/PHARMACY

PROGRAM PO BOX 660201 DALLAS TX 75266-0201

635

BLUE CROSS OF TEXAX FEDERAL

EMPLOYEES 8005212227 PO BOX 660044 DALLAS TX 75266-0077

109

BLUE CROSS OF THE NATIONAL CAPITAL

AREA 2024796560 550 12TH STREET SW WASHINGTON DC 20065-0000

040 BLUE CROSS OF VERMONT PO BOX 186 MONTPELIER VT 05601-0000

421 BLUE CROSS OF WESTERN NEW YORK 7168876900 PO BOX 80 BUFFALO NY 14240-0000

041 BLUE CROSS OF WESTERN PENNSYLVANIA 8002452763 444 WESTMINSTER STREET PROVIDENCE RI 02901-0000

41A BLUE CROSS OF WESTERN PENNSYLVANIA 8003457808 PO BOX 898845 CAMP HILL PA 17089-8845

693 BLUE CROSS VIRGINIA/DENTAL 8004511527 PO BOX 27401 RICHMOND VA 23279-0000

536 BLUE CROSS/BLUE SHIELD OF ARIZONA 6025444990 P.O. BOX 2924 PHOENIX AZ 85062-2924

370 BLUE CROSS/BLUE SHIELD OF DELAWARE 8006332563 444 WESTMINSTER STREET PROVIDENCE RI 02901-0000

D2U BLUE CROSS/BLUE SHIELD OF GEORGIA PO BOX 9092 OXNARD CA 93031-0000

106 BLUE CROSS/BLUE SHIELD OF HAWAII 8089486111 PO BOX 860 HONOLULU HI 96808-0000

493 BLUE CROSS/BLUE SHIELD OF LOUISIANA PO BOX 98029 BATON ROUGE LA 70898-0000

D38

BLUE CROSS/BLUE SHIELD OF

MASSACHUSETTS, INC. 8006782265 PO BOX 9201 NORTH QUINCY MA 02171-0000

108 BLUE CROSS/BLUE SHIELD OF MICHIGAN 8004820898 PO BOX 166 DETROIT MI 48231-0000

D2Z BLUE CROSS/BLUE SHIELD OF MICHIGAN 27000 W ELEVEN MILE ROAD MC H404 SOUTHFIELD MI 48034-0000

038 BLUE CROSS/BLUE SHIELD OF MONTANA 4064448200 PO BOX 5004 GREAT FALLS MT 59403-0000

36A BLUE CROSS/BLUE SHIELD OF NEW JERSEY 9734562000 PO BOX 247 DEPT V NEWARK NJ 07101-0247

036 BLUE CROSS/BLUE SHIELD OF NJ 8003552583 444 WESTMINSTER ST PROVIDENCE RI 02901-0000

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Code Carrier Name Phone Number Address Address Line 1 City State Zip Code

461

BLUE CROSS/BLUE SHIELD OF NORTH

CAROLINA 8002144844 444 WESTMINSTER STREET PROVIDENCE RI 02901-0000

110 BLUE CROSS/BLUE SHIELD OF OKLAHOMA 8009425837 PO BOX 3283 TULSA OK 74102-3283

001 BLUE CROSS/BLUE SHIELD OF R.I. 8006373718 444 WESTMINISTER ST PROVIDENCE RI 02901-0000

D02 BLUE CROSS/BLUE SHIELD OF R.I. 8774792227 220 VIRGINIA AVENUE INDIANAPOLIS IN 46204-0000

D3K

BLUE CROSS/BLUE SHIELD OF SOUTH

CAROLINA PO BOX 100206 COLUMBIA SC 29223-0000

D2E

BLUE CROSS/BLUE SHIELD OF SOUTH

CAROLINA PO BOX 100206 COLUMBIA SC 29223-0000

303

BLUE CROSS/BLUE SHIELD OF SOUTH

CAROLINA 8008301501 444 WESTMINSTER STREET PROVIDENCE RI 02901-0000

305 BLUE CROSS/BLUE SHIELD OF WISCONSIN 8005484455 PO BOX 167 STEVENS POINT WI 54481-0167

D4I BLUE MEDICARE PPO

4800 DEERWOOD CAMPUS

PARKWAY JACKSONVILLE FL 32246-0000

D2B BLUE MEDICARE RX PO BOX 34160 LOUISVILLE KY 40232-0000

D8H BLUE MEDICARE RX (PDP) 8772131821 PO BOX 3897 SCRANTON PA 18505-9947

D1N BLUE RX OPTION III

450 RIVERCHASE PARKWAY

EAST BIRMINGHAM AL 35244-0000

297 BLUE SHIELD OF CALIFORNIA 8779323375 444 WESTMINSTER STREET PROVIDENCE RI 02901-0000

D3X BLUE SHIELD OF CALIFORNIA 6300 CANOGA AVENUE WOODLAND HILLS CA 91367-0000

D6X

BLUECROSS & BLUESHIELD OF

MASSACHUSETTS 8002004255 ONE ENTERPRISE DRIVE NORTH QUINCY MA 02171-0000

556 BLUECROSS OF ARKANSAS 8006762583 PO BOX 1460 LITTLEROCK AR 72203-0000

562

BLUESHIELD OF NORTHEASTERN NEW

YORK 8008881238 PO BOX 80 BUFFALO NY 14240-0080

554 BMC HEALTHNET PLAN 8885660010 TWO COPLEY PLACE SUITE 600 BOSTON MA 02116-0000

323

BOILERMAKER NATIONAL HEALTH &

WELFARE FUND 9133426555 754 MINNESOTA AVENUE SUITE 522 KANSAS CITY KS 66101-2766

594 BOILERMAKERS NAT'L HEALTH & WELFARE 9133426555 754 MINNESOTA AVE SUITE 522 KANSAS CITY KS 66101-0000

330 BOLLINGER INSURANCE 8005261379 PO BOX 727 SHORT HILLS NJ 07078-5000

685 BOON CHAPMAN 8008050622 3012 RIDGE ROAD #102 ROCKWALL TX 75032-0000

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Code Carrier Name Phone Number Address Address Line 1 City State Zip Code

200 BOSTON MUTUAL LIFE 8006692668 CLAIMS DEPARTMENT

120 ROYALL

STREET CANTON MA 02021-0000

D4J BRAVO CLASSIC 3601 O'DONNELL STREET BALTIMORE MD 21224-0000

D2Y BRAVO HEALTH 3601 O'DONNELL STREET BALTIMORE MD 21224-0000

D9P BRAVO RX 600 NEW LONDON AVE CRANSTON RI 02920-0000

D1D BRAVO RX II 3601 O'DONNELL STREET BALTIMORE MD 21224-0000

D8Z BRAVORX 8775047252 3601 O'DONNELL ST. BALTIMORE MD 21224-0000

810 BRECKPOINT INC. 8447984878 P.O.BOX 211055 EAGAN MN 55121-0000

483 BRIDGESTONE CLAIM SERVICES 3303796500 PO BOX 247 SHELDON IA 51201-0000

111 BROOKS MAXI DRUG 4018253900 50 SERVICE AVE WARWICK RI 02886-0000

D7O CALOPTIMA 8874122734 1120 W LA VETA AVE ORANGE CA 92868-0000

306 CAMBRIDGE INTEGRATED GROUP 4013543223

1420 MINERAL SPRING

AVENUE NORTH PROVIDENCE RI 02904-0000

456 CAPITAL BLUE CROSS 8009622242 PO BOX 779503 HARRISBURG PA 17177-9503

719 CAPITAL BLUE CROSS/DENTAL 8006132624 PO BOX 1126 ELK GROVE VILLAGE IL 60009-0000

798 CAPITAL DISTRICT PHYSICIAN HEALTH 5186413700 500 PATROON CREEK BLVD ALBANY NY 12206-0000

D6B CAPITAL HEALTH PLAN PO BOX 15349 TALLAHASSEE FL 32317-0000

315 CARE FIRST ADMINISTRATORS 8004239791 PO BOX 1196 OWINGS MILLS MD 21117-0000

D4F CARE OREGON ADVANTAGE

315 SW FIFTH AVENUE SUITE

900 PORTLAND OR 97204-0000

710 CARELINK (TUFTS) 8007991240 P O BOX 9165 WATERTOWN MA 02471-0000

CLC CARELINK CHT 8007991240 P.O.BOX 9165 WATERTOWN MA 02471-0000

100 CAREMARK 8008246349 PO BOX 52195 PHOENIX AZ 85072-2195

113 CAREMARK PRESCRIPTION SERVICE 8008415550 7034 ALAMO DOWNS PKWY SAN ANTONIO TX 78238-0000

432

CAREMARK PRESCRIPTION SERVICE

(MOTOROLA) 8003355268 9501 E. SHEY BLVD. SCOTTSDALE AZ 85260-0000

481 CAREMARK PRESCRIPTION SERVICES 8007015833 PO BOX 52116 PHOENIX AZ 85072-2116

249 CAREMARK PRESCRIPTION SERVICES 8773533879 PO BOX 686005 SAN ANTONIO TX 78268-0000

D7K CAREONE 8007945907 PO BOX 31286 TAMPA FL 33631-0000

D9C CAREONE 600 NEW LONDON CRANSTON RI 02920-0000

D6M CAREONE (HMO) 8007945907 PO BOX345 DORAL FL 33172-0000

D71 CAREPLUS HEALTH PLANS, INC. 8007944105 55 ALHAMBRA PLAZA 7TH FLOOR MIAMI FL 33134-0000

392 CATALYST RX 8888694600 PO BOX 1069 ROCKVILLE MD 20849-0000

694 CATAMARAN 8885465502 P.O. BOX 5216 LISLE IL 60532-5216

531 CBA - BLUE 8882229206 P.O. BOX 2365 SOUTH BURLINGTON VT 05407-0000

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Code Carrier Name Phone Number Address Address Line 1 City State Zip Code

393 CBCA ADMINISTRATORS 8003091851 PO BOX 902 BEATTYVILLE KY 41311-0000

600 CBCA ADMINISTRATORS INC 9528293500 PO BOX 552 MINNEAPOLIS MN 55440-0552

224 CCEBT HEALTH BENEFITS 8006424456 PO BOX 226 MINNEAPOLIS MN 55440-0226

222 CCMSI 8006343506 PO BOX 1430 DANVILLE IL 61834-1430

492 CCN PO BOX 5190 TAMPA FL 33675-0000

D3N CDPHP MEDICARE CHOICE 500 PATROON CREEK BLVD. ALBANY NY 12206-0000

DC5 CDPHP NY 5184460181 500 PATROON CREEK BLVD ALBANY NY 12206-0000

371 CELTIC INSURANCE 8004777870 PO BOX 06410 CHICAGO IL 60606-0000

638 CELTIC INSURANCE COMPANY 8007662525 PO BOX 46337 MADISON WI 53744-0000

D6A CENTRAL HEALTH MEDICARE PLAN 1540 BRIDEGATE DRIVE DIAMOND BAR CA 91765-0000

114 CENTRAL STATES HEALTH & WELFARE 8003232190 PO BOX 5116 DES PLAINES IL 60017-0000

735 CENTRAL STATES HEALTH (TEAM HEALTH) 8003232190 P.O. BOX 34952 OMAHA NE 68134-0000

013 CHAMPVA 8007338387 ATTN CLAIMS PO BOX 469064 DENVER CO 80246-9064

558 CHARTIS HEALTH INS. 8778039095 PO BOX 3726 SEATTLE WA 98124-0000

701 CHESAPEAKE LIFE INSURANCE 8005275504 9151 BLVD.26 NORTH RICHLAND HILLLTX 76180-0000

044

CHESTERFIELD RESOURCES/SALVATION

ARMY 8003210935 PO BOX 1884 AKRON OH 44309-0000

117

CHICKERING CLAIMS ADMINISTRATORS,

INC. 8009667772 PO BOX 368 CAMBRIDGE MA 02142-0000

043

CHRISTIAN BROS EMPLOYEE BENEFIT

TRUST 8008070400 1205 WINDHAM PKWY ROMEOVILLE IL 60441-1693

CPC CHT PROVDER 1 VIRGINIA AVENUE PROVIDENVE RI 02905-0000

045 CHUBB LIFE AMERICA PO BOX 2023 CONCORD NH 03302-0000

458 CIGNA DENTAL 8228824462 PO BOX 188036 CHATTANOOGA TN 37422-8036

334 CIGNA DENTAL 8008824462 PO BOX 15558 WILMINGTON DE 19850-5558

333 CIGNA DENTAL 8003671037 PO BOX 189060 PLANTATION FL 33318-9060

46D CIGNA HEALTH CARE 8006457300 PO BOX 978 BRISTOL CT 06011-0000

46J CIGNA HEALTH CARE PO BOX 30151 LANSING MI 48909-0000

46N CIGNA HEALTH CARE 8004437451 PO BOX 32894 CHARLOTTE NC 28232-2894

46R CIGNA HEALTH CARE 8004622135 PO BOX 34335 CHARLOTTE NC 28234-0000

46S CIGNA HEALTH CARE 8002522091 PO BOX 5000 VISALIA CA 93278-0000

46Z CIGNA HEALTH CARE 8008287622 PO BOX 2100 BOURBONNAIS IL 60914-0000

46F CIGNA HEALTH CARE PO BOX 5001 HARTFORD CT 06102-5001

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Code Carrier Name Phone Number Address Address Line 1 City State Zip Code

46B CIGNA HEALTH CARE 8007227535 PO BOX 182352 COLUMBUS OH 43218-0000

46W CIGNA HEALTH CARE 8005255803 PO BOX 2546 SHERMAN TX 75091-2546

46T CIGNA HEALTH CARE PO BOX 10433 DES MOINES IA 50306-0000

397 CIGNA HEALTH CARE 8002446224 PO BOX 8012 PLAINVILLE CT 06062-0000

46G CIGNA HEALTH CARE 8005424271 PO BOX 2048 GASTONIA NC 28053-0000

46P CIGNA HEALTH CARE 8004627486 PO BOX 2005 FARMINGTON CT 06034-0000

46Y CIGNA HEALTH CARE 8002446224 PO BOX 5200 SCRANTON PA 18505-5200

46I CIGNA HEALTH CARE 8004417150 PO BOX 15558 WILMINGTON DE 19850-0000

46O CIGNA HEALTH CARE 8008323211 PO BOX 49180 ATLANTA GA 30350-0000

046 CIGNA HEALTH CARE 8008824462 PO BOX 366 AVON CT 06001-0000

46C CIGNA HEALTH CARE 8005663344 PO BOX 89000 ATLANTA GA 30359-0000

46X CIGNA HEALTH CARE 8005255803 PO BOX 9013 SHERMAN TX 75091-0000

46A CIGNA HEALTH CARE PO BOX 34336 CHARLOTTE NC 28234-4336

46H CIGNA HEALTH CARE 8003459458 PO BOX 800 UNIONVILLE CT 06085-0000

46K CIGNA HEALTH CARE 8008453818 PO BOX 171806 MEMPHIS TN 38187-0000

46Q CIGNA HEALTH CARE OF NEW HAMPSHIRE PO BOX 2041 CONCORD NH 03302-0000

715 CIGNA HEALTH CARE VISION 8555613805 PO BOX 5200 SCRANTON PA 18505-5200

DC7 CIGNA HEALTH SPRING PREFERRED 8002226700 P O BOX 269005 WESTON FL 33326-0000

46V CIGNA HEALTHCARE 8003792192 PO BOX 188013 CHATTANOOGA TN 37422-8013

463 CIGNA HEALTHCARE 8005456534 PO BOX 182223

CLAIMS

ADMINISTRATO

R CHATTANOOGA TN 37422-0000

46L CIGNA HEALTHCARE 8007227535 PO BOX 188007 CHATTANOOGA TN 37422-0000

D03 CIGNA HEALTHCARE 8007351459 13650 NW 8TH STREET SUNRISE FL 33325-0000

568 CIGNA HEALTHCARE DENTAL 8002446224 PO BOX 5200 SCRANTON PA 18505-5200

46E CIGNA INTERNATIONAL 8004412668 PO BOX 15050 WILMINGTON DE 19850-5050

D8L CIGNA MEDICARE RX PLAN ONE (PDP) 8002226700 PO BOX 269005 WESTON FL 33326-0000

D8K CIGNA MEDICARE RX PLAN TWO 8002226700 PO BOX 269005 WESTON FL 33326-0000

46U CIGNA OF MASSACHUSETTS 8009228380 PO BOX 2083 CONCORD NH 03302-0000

429 CIGNA PHARMACY 8002446224 PO BOX 3598 SCRANTON PA 18505-0000

637 CIGNA VOLUNTARY 8007622727 PO BOX 55270 PHOENIX AZ 85051-0000

545 CINERGY HEALTH INSURANCE 1844 NORTH NOL HILL RD PLANTATION FL 33322-0000

D3E CITIZENS CHOICE HEALTH PLAN 5400 E. OLYMPIC BLVD. SUITE 130 LOS ANGELES CA 90022-0000

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D7L CITRUS HEALTH CARE INC. 8134908903

5420 BAY CENTER DRIVE SUITE

25 TAMPA FL 33609-0000

D2G CITRUS HEALTH CARE, INC. 5420 BAY CENTER DRIVE SUITE 250 TAMPA FL 33609-0000

165 CLAIM MANAGEMENT, INC. 8005270566 PO BOX 1288 BENTONVILLE AK 72712-1288

168 CLAIM STRATEGIES 4014352800 60 CATAMORE BLVD. EAST PROVIDENCE RI 02914-0000

349 CLAIMS PRO 24370 NORTHWESTERN HWY SOUTHFIELD MI 48075-0000

469 CLARITY VISION 8005412039 PO BOX 890500 CAMP HILL PA 17089-0500

047 CNA INSURANCE CO 8006210839 PO BOX 1134 CHICAGO IL 60690-0000

47A CNA RISK MANAGEMENT 3 FARM GLEN BLVD. FARMINGTON CT 06032-0000

019 COLE VISION 8003347591 PO BOX 8056 TWINSBURG OH 44087-0000

700

COLONIAL PENN (AFFILIATE BANKER LIFE

& CAS) 8008002254 PO BOX 1935 CARMEL IN 48082-0000

D3Y COLORADO ACCESS 10065 EAST HARVARD AVENUE SUITE 600 DENVER CO 80231-0000

206 COMCAR INSURANCE 8005241101 PO DRAWER 67 AUBURNDLE FL 33823-0000

335 COMMERCE BENEFIT GROUP 8002239941 PO BOX 900 ELYRIA OH 44036-0000

D04 COMMUNITY CARE RX 8666845353 1 CSC WAY RENSSELAER NY 12144-0000

D9F COMMUNITY CCRX BASIC 600 NEW LONDON AVE. CRANSTON RI 02920-0000

D8R COMMUNITY CCRX BASIC (PDP) 8666845353 PO BOX 1593 PENSACOLA FL 32591-0000

777 COMMUNITY HEALTH CHOICE 7132952294 P. O. BOX 301424 HOUSTAN TX 77230-1424

714 COMPANION LIFE LTD MED CLAIMS 8662275400 PO BOX 99906 GRAPEVINE TX 76009-0000

718 COMPASS ROSE HEALTH PLAN 8775311159 P.O. BOX 141501 NASHVILLE TN 37214-0000

548 COMPREHENSIVE BENEFITS 6313065100 P.O BOX 8955 MELVILLE NY 11747-0000

D78

COMPREHENSIVE CARE MANAGEMENT

CORP. 2401 WHITE PLAINS ROAD BRONX NY 10467-0000

048 CONN. GENERAL LIFE INSURANCE 2037474591 P O BOX 8013 PLAINVILLE CT 06062-0000

CCC CONNECT CARE CHOICE 171 SERVICE AVENUE SUITE 100 WARWICK RI 02888-0000

CCP

CONNECT CARE CHOICE COMMUNITY

PARTNERS 225 CHAPMAN STREET PROVIDENCE RI 02905-0000

D3F CONNECTICARE, INC. 8008468578 175 SCOTT SWAMP ROAD FARMINGTON CT 06032-0000

024 CONNECTICARE, INC. 8008468578 PO BOX 546 FARMINGTON CT 06034-0000

48A CONNECTICUT GENERAL 8005234626 PO BOX 5112 SOUTHFIELD MI 48086-0000

48B CONNECTICUT GENERAL (CIGNA) 8002270269 PO BOX 1976 BOURBONNAIS IL 60914-0000

679 CONNECTION'S AVESIS VISION PLAN 8006727552 PO BOX 61000-4 PHOENIX AZ 85011-7777

207 CONSOLIDATED HEALTH PLANS 8006337867 195 STAFFORD STREET SPRINGFIELD MA 01104-3503

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Code Carrier Name Phone Number Address Address Line 1 City State Zip Code

769 CONSTELLATION HEALTH, LLC 7873044040 PO BOX 384647 SAN JUAN PR 00938-4547

208 CONSTITUTION STATE SERVICE CO 5089466437 44 BEDFORD STREET MIDDLEBORO MA 02344-1450

727 CONTINENTAL BENEFITS 8558944984 PO BOX 3610 BRANDON FL 33509-1390

482 COOK & ASSOCIATES 3038615100 700 BROADWAY SUITE 811 DENVER CO 80203-0000

704

COORDINATED BENEFIT PLAN

(COMPANION) 8779029918 P O BOX 21944 EAGAN MN 55121-0000

D2L

COORPERATIVA DE SEGUROS DE VIDA DE

PUERTO RIC PO BOX 363428 SAN JUAN PR 00936-0000

502 CORESOURCE 8002233943 PO BOX 2920 CLINTON IA 52733-2920

115 CORE-SOURCE 7172959201 PO BOX 83301 LANCASTER PA 17608-3301

227 CORESOURCE, INC. 4109315060 4940 CAMPBELL BLVD. SUITE 200 BALTIMORE MD 21236-0000

255 CORESTAR 8004446965 PO BOX 1195 MINNEAPOLIS MN 55440-0020

596 CORP BENEFIT SERVICES ADM 8009252272 PO BOX 27267 MINNEAPOLIS MN 55427-0000

311 CORPORATE BENEFITS SERVICE 8002779476 PO BOX 12953 CHARLOTTE NC 28220-0000

49A CORPORATE HEALTH ADMINISTRATORS 8007887247 PO BOX 1858 BISMARCK ND 58502-0000

049 CORPORATE HLTH ADM/HOME DEPOT 8002350123 PO BOX 1257 BISMARK ND 58502-0000

D66 COSVIMED-CARE 8773110013 PO BOX 363428 SAN JUAN PR 00936-0000

D05 COVENTRY ADVANTRA RX 8008823822 PO BOX 686007 SAN ANTONIO TX 78268-0000

D1B

COVENTRY HEALTH AND LIFE INSURANCE

COMPANY PO BOX 686007 SAN ANTONIO TX 78268-0000

422 COVENTRY HEALTH CARE OF KANSAS 8009693343 PO BOX 7109 LONDON KY 40742-0000

322

COVENTRY HEALTH CARE OF LOUISIANA,

INC. 8003416613 PO BOX 7707 LONDON KY 40742-0000

510 COVENTRY NATIONAL 8006388432 PO BOX 8400 LONDON KY 40742-0000

749 CRYSTAL RUN HEALTH PLANS 8446386507 P O BOX 3630 AKRON OH 44309-3630

023 CUNA INSURANCE CO 8002330367 PO BOX 484 VALLEY FORGE PA 19493-0000

D9S CVS CAREMARK 600 NEW LONDON AVE CRANSTON RI 02920-0000

774 CYPRESS BENEFIT ADMINISTRATORS, INC 8772360844 P.O BOX 7020 APPLETON WI 54912-7020

754 DAKOTA CARE 8006283778 P.O. BOX 7406 SIOUX FALLS SD 57117-7406

050 DAVIS VISION 8009995431 P.O. BOX 971 VISION CARE SCHENECTADY NY 12301-0000

763

DC11 TAFT-HARTLEY / TEAMSTERS FOR

DENTAL 8009721627 PO BOX 5817 WALLINGFORD CT 06492-0000

476 DEFINITY HEALTH CLAIMS PO BOX 740810

UHC OPTION

HEALTH PPO ATLANTA GA 30374-0000

396 DEFINITY HEALTH CLAIMS 8663334648 PO BOX 9525 AMHERST NY 14226-9525

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Code Carrier Name Phone Number Address Address Line 1 City State Zip Code

014

DELTA DENTAL (USA) PREMIER PLAN OF

MA 8004511249 PO BOX 9695 BOSTON MA 02114-9695

499 DELTA DENTAL OF ARIZONA 8003526132 PO BOX 43026 PHOENIX AZ 85080-3026

258 DELTA DENTAL OF ARKANSAS 8004625410 PO BOX 15965 N. LITTLE ROCK AR 72231-5965

426 DELTA DENTAL OF CALIFORNIA 8774427462 PO BOX 537007

FEDERAL

SERVICES SACRAMENTO CA 95853-0000

737 DELTA DENTAL OF COLORADO 8006100201 P.O. BOX 173803 DENVER CO 80217-3803

220 DELTA DENTAL OF GEORGIA 8006163631 PO BOX 1809 ALPHARETTA GA 30023-1809

256 DELTA DENTAL OF ILLINOIS 8003987203 PO BOX 5402 LISLE IL 60532-0000

495 DELTA DENTAL OF IOWA 8005440718 PO BOX 919 ANKENY IA 50021-0919

394 DELTA DENTAL OF KANSAS 8002343375 PO BOX 49198 WICHITA KS 67201-9198

504 DELTA DENTAL OF KENTUCKY 8009552030 PO BOX 242810 LOUISVILLE KY 40224-2810

337 DELTA DENTAL OF MICHIGAN 8005240149 PO BOX 9085 FARMINGHAM MI 48333-0000

501 DELTA DENTAL OF MINNESOTA 8775985342 PO BOX 59238 MINNEAPOLIS MN 55459-0238

583 DELTA DENTAL OF MISSOURI 8003358266 PO BOX 8690 ST LOUIS MO 63126-0000

336 DELTA DENTAL OF NEW JERSEY 8004529310 PO BOX 222 PARSIPPANY NJ 07054-0000

395 DELTA DENTAL OF NEW YORK 8009320783 1 DELTA DRIVE MECHANICSBURG PA 17055-0000

770 DELTA DENTAL OF NH 8008325700 P.O. BOX 2002 CONCORD NH 03302-2002

807 DELTA DENTAL OF NORTH CAROLINA 8005879514 NORTH HILLS

4242 SIX FORKS

RD #970 RALEIGH NC 27609-0000

533 DELTA DENTAL OF PENNSYLVANIA 8009320783 ONE DELTA DRIVE MECHANICSBURG PA 17055-0000

010 DELTA DENTAL OF RI 8008433582 PO BOX 1517 PROVIDENCE RI 02901-1517

505 DELTA DENTAL OF TENNESSEE 8002233104 240 VENTURE CIRCLE NASHVILLE TN 37228-0000

525 DELTA DENTAL OF TEXAS 8005212651

700 PARKER SQUARE SUITE

150 FLOWER MOUND TX 75028-0000

402 DELTA DENTAL OF VIRGINIA 8003358289 4818 STARKEY ROANOKE VA 24014-0000

524 DELTA DENTAL OF WASHINGTON 8002383107 P.O. BOX 75983 SEATTLE WA 98175-0983

515 DELTA DENTAL OF WISCONSIN 8002363712 PO BOX 828 STEVENS POINT WI 54481-0000

269 DELTA USA 8004483815 PO BOX 59238 MINNEAPOLIS MN 55459-0238

118 DENTAL 8008762840 PO BOX 21078 NEW YORK NY 10129-0000

412 DENTAPAY PO BOX 9783 AUSTIN TX 78766-0000

759 DENTEGRA INSURANCE COMPANY 8772804204 PO BOX 1850 ALPHARETTA GA 30023-1850

746 DESERET MUTUAL 8015785765 60 EAST SOUTH TEMPLE SALT LAKE CITY UT 84111-0000

744 DESERT MUTUAL 8007773622 P.O BOX 45530 SALT LAKE CITY UT 84145-0530

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Code Carrier Name Phone Number Address Address Line 1 City State Zip Code

459

DISTRICT COUNCIL 1707 HEALTH &

BENEFITS 2127802703 75 VARICK STREET NEW YORK NY 10013-1917

257 DIVERSIFIED ADMINISTRATORS 8883222524 PO BOX 299 MARLBOROUGH CT 06447-0000

639 DIVERSIFIED GROUP BROKERAGE 8883222524 PO BOX 299 MARLBOROUCH CT 06447-0000

51A DIVERSIFIED PHARMACEUTICAL SERVICES 8002338065 14000 RIVER PORT DR MARYLAND HEIGHTS MO 63043-0000

051 DIVERSIFIED PHARMACY SERVICES 8002338065 14000 RIVERPORT DR MARYLAND HEIGHTS MO 63043-0000

D4X DOCTORCARE INC

3001 PONCE DE LEON

BOULEVARD CORAL GABLES FL 33134-0000

239 EASTERN CASUALTY INSURANCE CO. 5083031000 325 DONALD J. LYNCH BLVD. MARLBOROUGH MA 01752-0000

D6G EASY CHOICE HEALTH PLAN

180 EAST OCEAN BLVD SUITE

700 LONG BEACH CA 90802-0000

783 EBMS 4068695573 EBMS, LLC PO BOX 20281 BILLINGS MT 59104-1367

055 EBPA (EMPLOYEE BENEFIT PLAN ADMINIS) 8002587298 PO BOX 2000 EXETER NH 03842-5020

551 EBS-RMSCO, INC P.O. BOX 6309 SYRACOUSE NY 13217-6309

640 ECKERD HEALTH SERVICES PO BOX 9062 CLEARWATER FL 34618-0000

209 EDSA 8009524442 PO BOX 2395 BALTIMORE MD 21203-2395

709

EHMRX EMPLOYEE HEALTH INS

MANAGEMENT 8003113446 26711 NW HIGHWAY SOUTHFIELD MI 48033-0000

D45 ELDER HEALTH PDP MID ATLANTIC 8887870272 3601 O'DONNELL STREET BALTIMORE MD 21224-0000

D74 ELDER SVCPLNE/E BOSTON HC 10 GROVE STREET EAST BOSTON MA 02128-0000

D3V ELDERPLAN, INC. 6323 SEVENTH AVENUE BROOKLYN NY 11220-0000

008 ELECTRIC BOAT 2034332990 P O BOX 1127 ATTN: BENEFITS GROTON CT 06340-1127

259

ELECTRIC WORKERS HEALTH & WELFARE

BENEFITS 6172885999 256 FREEPORT STREET BOSTON MA 02122-0000

791 EMBLEMHEALTH 8006242414 GHI P O BOX 2832 NEW YORK NY 10116-2832

772 EMI HEALTH 8006625851 852 E. ARROWHEAD LANE MURRAY UT 84107-5298

773 EMI HEALTH DENTAL 8006625851 852 E. ARROWHEAD LANE MURRAY UT 84107-5298

543

EMIH (EMPLOYEE HEALTH INSURANCE

MANAGEMENT) 8003113446

26711 NORTHWESTERN

HIGHWAY SUITE 400 SOUTHFIELD MI 48033-0000

54B EMPIRE BLUE CROSS 2124767700 PO BOX 11802 ALBANY NY 12211-0802

54D EMPIRE BLUE CROSS NY STATE SERVICE CTR PO BOX 11815 ALBANY NY 12211-0815

54C EMPIRE BLUE CROSS 8004688802 PO BOX 5012 MIDDLETOWN NY 10940-9012

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54E EMPIRE BLUE CROSS 8777327717 PO BOX 1407

CHURCH ST.

STATION NEW YORK NY 10008-0000

54A EMPIRE BLUE CROSS PO BOX 170

MURPHY HILL

STATION NEW YORK NY 10156-0000

D3B EMPIRE BLUE CROSS/BLUE SHIELD HMO 3 HUNTINGTON QUADRANGLE MELVILLE NY 11747-0000

054 EMPIRE BLUE CROSS/NYNEX 8558800575 NYNEX DEDICATED SVC CTR PO BOX 5047 MIDDLETOWN NY 10941-0000

313 EMPLOYEE BENEFIT ADMINISTRATORS 8002242522 64 SCHOOSETT STREET ROUTE 139 PEMBROKE MA 02359-0000

121 EMPLOYEE BENEFITS TRUST 3024263224 PO BOX 8788 WILMINGTON DE 19899-0000

641 EMPLOYEE HEALTH INS MANAGEMENT 8003113446 26711 NW HIGHWAY SOUTHFIELD MI 48033-0000

764 ENVISION RX 8444296893 2181 EAST AURORA RD #201 TWINSBURG OH 44087-0000

D1H ENVISION RX PLUS 8662502005 2181 EAST AURORA ROAD SUITE 201 TWINSBURG OH 44087-0000

D9A ENVISION RX PLUS SILVER 8662502005 2181 E. AURORA RD STE 201 TWINSBURG OH 44087-0000

D9R ENVISION RX PLUS SILVER 600 NEW LONDON AVE CRANSTON RI 02920-0000

059 EQUICOR, INC. PO BOX 34337 CHARLOTTE NC 28234-0000

307 ERN ADMINISTRATORS 8002524698 PO BOX 9137 FORT WORTH TX 76147-2137

755 ESSENTIALSTAFFCARE 8667980803 PO BOX 6702 COLUMBIA SC 29260-6702

455 EURO-CENTER USA 2122658522 140 W 57TH STREET SUITE 6B NEW YORK NY 10019-0000

06B EVERCARE 8003930993 PO BOX 659754 SAN ANTONIO TX 78265-9754

D4V EVERCARE HEALTH PLANS 13621 N.W. 12TH STREET SUNRISE FL 33323-0000

D2W EVERCARE HEALTH PLANS 13621 NW 12 STREET SUNRISE FL 33323-0000

D84 EVERCARE OF TEXAS, LLC 8663824642 9700 BISSONNET SUITE 2225 HOUSTON TX 77036-0000

D5L EVERCARE PLAN 450 COLUMBUS BOULEVARD CT028-07SB HARTFORD CT 06115-0000

D4U EVERCARE PLAN DH PO BOX 459018 SUNRISE FL 33345-0000

D4K EVERCARE PLAN IH 900 4TH AVENUE, SUITE 1500 WA033-1000 SEATTLE WA 98164-0000

D4R EVERCARE PLAN IP

275 GROVE STREET SUITE 3-

120 AUBURNDALE MA 02466-0000

D1J EVERCARE PLAN IP 6085 MARSHALEE DRIVE SUITE 110 ELKRIDGE MD 21075-0000

620 EXCELLUS BLUE CROSS BLUE SHIELD UTICA 8003113536 UTICA BUSINESS PARK

12 RHOADS

DRIVE UTICA NY 13502-0000

498 EXCELLUS BLUE CROSS/ BLUE SHIELD 8777573850 PO BOX 22999 ROCHESTER NY 14692-0000

053 EXPRESS SCRIPT 8004516245 14000 RIVERPORT DR MARYLAND HEIGHTS MO 63043-0000

53A EXPRESS SCRIPT 8772121021 6625 W. 78TH STREET

ATTN": CLAIMS

BL0630 BLOOMINGTON MN 55439-0000

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Code Carrier Name Phone Number Address Address Line 1 City State Zip Code

53C EXPRESS SCRIPT 8009641888 PO BOX 1180

433 RIVER

STREET TROY NY 12180-0000

53E EXPRESS SCRIPTS 8009551171 PO BOX 66518 ATTN: SA TEAM ST. LOUIS MO 63166-6518

53D EXPRESS SCRIPTS 8778585938 PO BOX 390873 BL0470-Q4H BLOOMINGTON MN 55439-0873

53B EXPRESS SCRIPTS/BCMA RX 8005244491 PO BOX 66583

ATTN: CLAIMS

DEPT. ST. LOUIS MO 63166-6773

126 EYE CARE PLAN OF AMERICA 8002213272 PO BOX 51810 PHOENIX AZ 85076-0000

471 EYE MED VISION PLAN 8669393633 PO BOX 8506 MASON OH 45040-7111

485 EYEMED MANAGED CARE CLAIMS 8667230513 010120 MASON OH 45040-7111

D29 FALLON COMMUNITY HEALTH PLAN 8888465997 ONE CHESTNUT PLACE

10 CHESTNUT

STREET WORCESTER MA 01608-0000

057 FALLON COMMUNITY HEALTH PLAN 8884681541 PO BOX 15207 WORCESTER MA 01615-5207

690 FCE BENEFIT ADMINISTRATORS, INC 8008999355 4615 WALZEM ROAD SUITE #300 SAN ANTONIO TX 78218-0000

339 FEDERAL EMPLOYEE COMP ACT (FECA) 8008886227 JFK BLDG-ROOM E 260

US DEPT OF

LABOR/OWCP BOSTON MA 02203-0000

058 FEDERAL EMPLOYEE PLAN/BC 4018310153 444 WESTMINSTER ST PROVIDENCE RI 02903-3279

418 FEDERL MUTUAL INSURANCE 5074555200 PO BOX 328 OWATONNA MN 55060-0000

235 FFI, RX MANAGED CARE 8006997857 8536 CROW DRIVE SUITE 105 MACEDONIA OH 44056-0000

210 FIREMAN'S FUND 5167566100 538 BROADHOLLOW ROAD MELVILLE NY 11747-0000

270 FIRST HEALTH PO BOX 11127 TUCSON AZ 85734-0000

123 FIRST HEALTH 4122691178 PO BOX 8400 LONDON KY 40742-0000

262 FIRST HEALTH PO BOX 23550 TUCSON AZ 85734-0000

124 FIRST HEALTH PO BOX 945030 MAITLAND FL 32797-5030

453 FIRST HEALTH PO BOX 24308

ELECTRONIC

CLAIM PAYER

#87043 TUCSON AZ 85734-0000

280 FIRST HEALTH PO BOX 23070 TUCSON AZ 85734-0000

317 FIRST HEALTH PO BOX 10000

ELEC. CLAIMS

PAYOR #87043 CORAOPOLIS PA 15108-6910

D9E FIRST HEALTH PART D-PREMIER 600 NEW LONDON AVE CRANSTON RI 02920-0000

D67 FIRST HEALTH PREMIER 8005883322 2222 EWING ROAD MOON TOWNSHIP PA 15108-0000

D30 FIRST HEALTH PREMIER 8005883322 2222 EWING ROAD MOON TOWNSHIP PA 15108-0000

D4L FIRST MEDICAL

HEALTH PLAN MEDICAL

HEALTH INC PO BOX 195080 SAN JUAN PR 00919-0000

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D8C FIRST MEDICAL HEALTH PLAN INC. 7876259557 PO BOX 195080 SAN JUAN PR 00919-0000

D27 FIRST MEDICAL HEALTH PLAN, INC. 8665155885 P.O. BOX 195080 SAN JUAN PR 00919-0000

D83 FIRST PLAN BLUE 8006354159 525 S. LAKE AVENUE SUITE 222 DULUTH MN 55802-0000

D2H

FIRST UNITED AMERICAN LIFE INSURANCE

CO.

3700 SOUTH STONEBRIDGE

DRIVE MCKINNEY TX 75070-0000

520 FISERV 8008269781 PO BOX 8077 WAUSAU WI 54402-9781

329 FISERV HEALTH 8668810800 PO BOX 310 PUEBLO CO 81002-0000

642 FISERV SAN ANTONIO 8002181004 PO BOX 2838 CLINTON IA 52733-0000

595 FISERV WAUSAU 8008269781 754 MINNESTOA AVE SUITE 522 SALT LAKE CITY UT 84130-0000

D80 FLORIDA HEALTH CARE PLAN, INC. 8002320578 1340 RIDGEWOOD AVENUE HOLLY HILL FL 32117-0000

517 FLRX 8007245033 PO BOX 22999 ROCHESTER NY 14692-0000

358 FMH BENEFITS 8009909058 PO BOX 25946 OVERLAND PARK KS 66225-0000

261 FOREMOST OF AMERICA 8008478217 1009 LENOX DRIVE SUITE 107 LAWRENCEVILLE NJ 08648-0000

060 FORTIS BENEFIT INSURANCE 8008002000 GROUP CLAIM DEPT ST PAUL MN 55164-0000

60B FORTIS BENEFITS 8004342638 PO BOX 2940 CLINTON IA 52733-0000

60A FORTIS SELF FUNDED INSURANCE 8008478284 PO BOX 2043 HOPKINS MN 55343-0000

486

FOUNDATION BENEFITS ADMINISTRATOR

(FBA) 8668689449 6300 BRIDGEPOINT PARKWAY

BLDG. 3, SUITE

400 AUSTIN TX 78730-0000

D8G FOX INSURANCE 8773699564 40 WEST 25TH ST. 6TH FL NEWYORK NEWYORKNY 10010-0000

D1A FOX INSURANCE COMPANY

6263 NORTH SCOTTSDALE

ROAD SUITE 200A SCOTTSDALE AZ 85250-0000

291 FRA INSURANCE PLANS 8004241120 PO BOX 10340 DES MOINES IA 50306-0340

D4O FREEDOM BLUE 700 MARKET SQUARE PO BOX 1948 PARKERSBURG WV 26101-0000

D5I FREEDOM BLUE PPO PO BOX 1068 PITTSBURG PA 15230-0000

D82 FREEDOM HEALTH, INC. 8887960946 5501 49TH STREET N ST PETERSBURG FL 33709-0000

D7N FREEDOM MEDI-MEDI PARTIAL (HMO) 8887960946 5403 N.CHURCH AVE. TAMPA FL 33614-0000

809 FRINGEBENEFIT GROUP 8887989480 P.O.BOX 21854 AGAN MN 55121-0000

579 FUTURE SCRIPTS 8553902604 1600 ARCH STREET SUITE 2600 PHILADELPHIA PA 19103-0000

721 FUTURE SCRIPTS 8886787012 1901 MARKET STREET PHILADELPHIA PA 19103-0000

405 GALLAGHER BENEFIT ADMINISTRATORS 8667616280 PO BOX 34297 SAN ANTONIO TX 78265-0000

211 GALLAGHER-BASSETT 4017397111 475 KILVERT STREET WARWICK RI 02886-0000

129 GALLAGHER-BASSETT 7818499090 100 GRANDVIEW ROAD SUITE 406 BRAINTREE MA 02184-0000

062 GALLAGHER-BASSETT BENEFITS PO BOX 41 MINNEAPOLIS MN 55440-0041

263 GATES MCDONALD HEALTH PLUS, INC. 8006427587 PO BOX 182720 COLUMBUS OH 43218-0000

D1G GATEWAY HEALTH PLAN, INC. 600 GRANT STREET 41ST FLOOR PITTSBURGH PA 15219-0000

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597 GEHA 8008216136 PO BOX 4665 INDEPENDENCE MO 64051-4665

678 GEHA CONNECTION DENTAL FEDERAL 8774342336 PO BOX 2336 INDEPENDENCE MO 64051-2336

D4Z GEISINGER GOLD 100 NORTH ACADEMY AVENUE DANVILLE PA 17822-0000

760 GEISINGER HEALTH PLAN 8004474000 P.O. BOX 8200 DANVILLE PA 17821-8200

738 GEISINGER HEALTH PLAN 8005040443 P.O. BOX 8200 DANVILLE PA 17821-8200

D7V GEMCARE HEALTH PLAN 8776972464

5080 CALIFORNIA AVENUE

SUITE 4 BAKERSFIELD CA 93309-0000

063 GENERAL AMERICAN LIFE INS CO 8008547309 PO BOX 5445 ROCKFORD IL 61125-0445

127 GENERAL ELECTRIC DENTAL BENEFITS 8005523232 PO BOX 6113 CLAIM CENTER UTICA NY 13504-6113

064

GENERAL ELECTRIC PENSIONER HEALTH

BENEFITS 8008488406 MEDICAL CLAIMS CTR PO BOX 6125 UTICA NY 13504-0000

128 GENERAL ELECTRIC VISION CARE BENEFITS 8004339375 PO BOX 2243 SCHENECTADY NY 12301-0000

537

GENWORTH LIFE & ANNUITY MEDICARE

SUPPLEMENT 8778259337 PO BOX 10821 CLEARWATER FL 33757-8821

802 GEOBLUE INSURANCE 8552823577 933 1ST AVENUE KING OF PRUSSIA PA 19406-0000

454 GERBER LIFE INSURANCE 8006280011 PO BOX 7005 PARKERSBURG WV 26102-7015

404 GHI - GOVERNMENT HEALTH INS. 2125014444 PO BOX 2834 NEW YORK NY 10116-0000

D7P GHI MEDICARE CHOICE PPO 8665577300 789 GRANT AVE. LAKE KATRINE NY 12449-0000

D50 GHI MEDICARE PRESCRIPTION DRUG PLAN 8006118454 441 NINTH AVENUE NEW YORK NY 10001-0000

221 GIC INDEMNITY PLAN BY UNICARE 8003338724 PO BOX 8397 AMORYVILLE CA 94662-0000

066 GLOBE LIFE INS. CO. 5050 N. BROADWAY CHICAGO IL 60640-0000

342 GM-SOUTHWEST 8008230804 PO BOX 803473 DALLAS TX 75380-3473

731 GOLDEN RULE 6189438000 7211 11TH STREET LAWRENCEVILLE IL 62439-0000

343 GOLDEN RULE INSURANCE CO. 3172974149 7440 WOODLAND DRIVE INDIANAPOLIS IN 46278-1719

131

GOVERNMENT EMPLOYEES HOSP ASSN

(GEHA) 8162575500 PO BOX 10304 KANSAS CITY MO 64171-0304

132

GOVERNMENT EMPLOYEES HOSP ASSN

(GEHA) 8008216136 PO BOX 4665 INDEPENDENCE MO 64051-4665

067 GREAT WEST HEALTHCARE 8006638081 1000 GREAT WEST DRIVE KENNETT MO 63857-0000

67E GREAT WEST LIFE 8006638081 PO BOX 11111 FORT SCOTT KS 66701-0000

67A GREAT WEST LIFE 8006638081 PO BOX 11111 FORT SCOTT KS 66701-0000

67B GREAT WEST LIFE 8006638081 PO BOX 11111 FORT SCOTT KS 66701-0000

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Code Carrier Name Phone Number Address Address Line 1 City State Zip Code

67C GREAT WEST LIFE 8006638081 PO BOX 11111 FORT SCOTT KS 66701-0000

67D GREAT WEST LIFE (ONE HEALTH PLAN) 8006638081 PO BOX 11111 FORT SCOTT KS 66701-0000

708 GROUP & PENSION PLAN 9722387900 12770 MERIT DRIVE 2 ND FLOOR DALLAS TX 75251-0000

069 GROUP ADMINISTRATORS LTD 7085191880 1880 N ROSELLE ROAD SUITE 214 SCHAUMBURG IL 60195-0000

215 GROUP HEALTH, INC. 8003585500 PO BOX 2832 NEW YORK NY 10116-2832

415 GROUP INSURANCE SERVICE CENTER, INC. 8002424472 PO BOX 9120 MARSHFIELD MA 02050-0000

643 GROUP LINK INC 3175787128 PO BOX 21518 ST PAUL MN 55121-0518

523 GROUP RESOURCES INC 8886201297 PO BOX 100043 DULUTH GA 30096-9343

512 GROUPLINK, INC. 8772234693 PO BOX 20593 INDIANAPOLIS IN 46220-0000

341 GUARANTEE TRUST LIFE INS. CO. 8006221993 PO BOX 1148 GLENVIEW IL 60025-0000

68A GUARDIAN INSURANCE 8006854542 PO BOX 26020 LEIGH VALLEY PA 18002-6025

68B GUARDIAN INSURANCE 8005417846 PO BOX 2459 SPOKANE WA 99210-2459

068 GUARDIAN INSURANCE 8005417846 PO BOX 8007 APPLETON WI 54913-0000

68C GUARDIAN INSURANCE 8008734542 PO BOX 9129 NORWELL MA 02061-9129

410 H.E.R.E.I.U. 8662615676 PO BOX 6020 AURORA IL 60598-0000

355 HANOVER INSURANCE 5089970454 PO BOX 15146 WORCESTER MA 01615-0000

D2M HAP SENIOR PLUS 2850 WEST GRAND BLVD. DETROIT MI 48202-0000

376 HARBORSIDE HEALTH PLAN 8002359562 PO BOX 4925 LANCASTER PA 17604-4925

644 HARRINGTON BENEFIT SERVICES 8008484623 675 BROOKSEDGE BLVD WESTERVILLE OH 43081-0000

357 HARRINGTON BENEFIT SERVICES 8009951430 PO BOX 30367 TAMPA FL 33630-3367

133 HARRINGTON BENEFIT SERVICES 8002417483 PO BOX 74206 CHICAGO IL 60690-8206

406 HARRISON TRUST 8005474457 1220 SW MORRISON SUITE 300 PORTLAND OR 97205-0000

073 HARTFORD LIFE & ACC. INS. CO. HARTFORD PLAZA HARTFORD CT 06115-0000

73A HARTFORD LIFE & ACCIDENT 8002472192 MEDI PLUS CLAIMS PO BOX 9126 DES MOINES IA 50306-9126

007 HARVARD PILGRIM 8883334742 PO BOX 699183 QUINCY MA 02269-9183

D86 HARVARD PILGRIM HEALTH CARE 1600 CROWN COLONY DRIVE QUINCY MA 02169-0000

D1R HARVARD PILGRIM HEALTHCARE INC 93 WORCESTER STREET WELLESLEY MA 02481-0000

726 HCC LIFE INSURANCE COMPANY 8664007102 P.O,BOX 2005 FARMINGTON MI 48333-2005

011 HEALTH ADVANTAGE 4018311518 P.O. BOX 488 PROVIDENCE RI 02901-0000

312 HEALTH CARE ADMINISTRATORS 8884487447 PO BOX 6108 LAFAYETTE IN 47903-0000

345

HEALTH CARE PAYERS COALITION OF NEW

JERSEY 8004279005 PO BOX 6858 EDISON NJ 08818-0000

D28 HEALTH CHOICE GENERATIONS 8003228670 1600 W. BROADWAY SUITE 110 TEMPE AZ 85282-0000

407 HEALTH FINEST NETWORK (HFN) 8006343506 PO BOX 3428 OAK BROOK IL 60522-0000

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D57 HEALTH FIRST MEDICARE PLANS 8008568652 HEALTH FIRST HEALTH PLANS

6450 US

HIGHWAY 1 ROCKLEDGE FL 32955-0000

072 HEALTH INS PLAN OF GREATER NEW YORK 2126305000 CLAIMS SERVICE CTR PO BOX 2803 NEW YORK NY 10116-2803

136 HEALTH LINK 8006242356 PO BOX 419104 ST LOUIS MO 63141-0000

408 HEALTH NET 8004415741 PO BOX 14700 LEXINGTON KY 40512-0000

344 HEALTH NET 8008473991 PO BOX 10196 VAN NUYS CA 91410-0196

D06 HEALTH NET 8005478734 ONE FAR MILL CROSSING SHELTON CT 06484-0000

D5A HEALTH NET OF ARIZONA, INC 1230 WEST WASHINGTON ST SUITE 401 TEMPE AZ 85281-0000

D8P HEALTH NET ORANGE OPTION 1 (PDP) 8008068811 2222 EWING ROAD MOON TOWNSHIP PA 15108-0000

D9D HEALTH NET ORANGE OTION 1 600 NEW LONDON AVE CRANSTON RI 02920-0000

611 HEALTH NEW ENGLAND 8003102835 ONE MONARCH PLACE SUITE 1500 SPRINGFILED MA 01144-1500

460 HEALTH OPTIONS - JACKSONVILLE 8007346656 532 RIVERSIDE AVENUE JACKSONVILLE FL 32202-0000

D5G HEALTH OPTIONS PROGRAM PO BOX 1764 LANCASTER PA 17608-0000

D79 HEALTH OPTIONS, INC.\BSBSF 8008762227

4800 DEERWOOD CAMPUS

PKWY JACKSONVILLE FL 32246-0000

529 HEALTH PARTNERS ADMINISTRATORS, INC 9528836000 8170 33RD AVENUE SOUTH PO BOX 1309 MINNEAPOLIS MN 55440-1309

DE6 HEALTH PARTNERS OF PA 8005530784 P.O.BOX 1220 PHILADELPHIA PA 19105-1220

511 HEALTH PLAN ADMINISTRATORS 8665131479 PO BOX 828

STM CLAIMS

DEPT. PARK RIDGE IL 60068-0828

052 HEALTH PLAN INC 8005327575 PO BOX 419 MARLBOROUGH CT 06447-0000

D4T HEALTH PLAN OF NEVADA, INC PO BOX 15645 LAS VEGAS NV 89114-0000

D53 HEALTH PLAN OF SAN MATEO 8668800606 701 GATEWAY BLVD. SUITE 400 SOUTH SAN FRANCISCOCA 94080-0000

065 HEALTH PLAN SERVICES 8004468182 PO BOX 30367 TAMPA FL 33630-3367

234

HEALTH PLANS, INC.(HARVARD PILGRIM

HEALTH CR) 5087522480 PO BOX 5199 WESTBOROUGH MA 01581-0000

646 HEALTH PLUS LOUISIANA 3182128520 PO BOX 69316 HARRISBURG PA 17106-0000

720 HEALTH SMART BENEFIT SOLUTIIONS 8003311096 3320 WEST MARKET STREET BLDG 100 FAIRLAWN OH 44333-0000

608

HEALTH SMART WEST VIRGINIA

(FORMERLY WELLS FA 8006248605 PO BOX 3262 CHARLESTON WV 25332-0000

669 HEALTH SOLUTIONS 8885465502 PO BOX 3163 LISLE IL 60532-0000

46M HEALTH SOURCE/CIGNA PO BOX 188002 CHATTANOOGA TN 37422-0000

D9M HEALTH SPRING PRESCRIPTION DRUG PLAN 600 NEW LONDON AVE. CRANSTON RI 02920-0000

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D7H HEALTH SPRING TENNESSEE INC., INC. 8668456941 44 VANTAGE WAY SUITE 300 NASHVILLE TN 37228-0000

D6H HEALTH SUN HEALTH PLANS

1205 SW 37TH AVENUE 2ND

FLOOR MIAMI FL 33135-0000

264 HEALTHCARE PLAN OF MOHAWK CORP. 8009917401 PO BOX 100184 COLUMBIA SC 29202-3184

413 HEALTHCARE VALUE MANAGEMENT 8004476588 2180 NORTH LOOP WEST SUITE 400 HOUSTON TX 77018-0000

134 HEALTHCARE VALUE MANAGEMENT 8005272845 100 RIVER RIDGE DR SUITE 111 NORWOOD MA 02062-0000

135 HEALTHCARE VALUE MANAGEMENT 8002375949 PO BOX 2075 NASHUA NH 03061-0000

424

HEALTHCARE VALUE MANAGEMENT

(LOCAL 103) 8005645999 256 FREEPORT STREET 2ND FLOOR BOSTON MA 02127-0000

D41 HEALTHFIRST MEDICARE PLAN 8772371303 PO BOX 5165 NEW YORK NY 10274-0000

606 HEALTHFIRST NEW YORK 2128016000 25 BROADWAY NEW YORK NY 10004-0000

676 HEALTHFIRST NEW YORK/DENTAL 2128016000 25 BROADWAY NEW YORK NY 10004-0000

004 HEALTHMATE CLAIMS DEPT. 4014595000 1 WEYBOSSET ST. PROVIDENCE RI 02903-0000

585 HEALTHNET NORTH EAST 8008484747 PO BOX 14700 LEXINGTON KY 40512-0000

D1Y HEALTHNET OF CALIFORNIA PO BOX 10198 VAN NUYS CA 91410-0000

D1F HEALTHNET OF CONNECTICUT ONE FAR MILL CROSSING SHELTON CT 06484-0000

D7D HEALTHNOW NEW YORK 5182204699 30 CENTURY HILL DRIVE LATHAM NY 12110-0000

732 HEALTHPLEX 6317943000 333 EARLE OVINGTON BLVD SUITE 300 UNIONDALE NY 11553-0000

591 HEALTHSCOPE BENEFITS 8003335711 PO BOX 619055 DALLAS TX 75261-9055

789

HEALTHSCOPE BENEFITS AETNA

SIGNATURE NETWORK 8006606212 PO BOX 99006 LUBBOCK TX 79490-0000

D55 HEALTHSPRING 8888861993 9701 WEST HIGGINS ROAD SUITE 360 ROSEMONT IL 60018-0000

D3G HEALTHSPRING HEALTHCARE OF UTAH 44 VANTAGE WAY SUITE 300 NASHVILLE TN 37228-0000

D3S HEALTHSPRING OF ALABAMA, INC. 2 PERIMETER PARK SOUTH SUITE 300 WEST BIRMINGHAM AL 34243-0000

D48 HEALTHSPRING PRESCRIPTION DRUG PLAN 8885833346 44 VANTAGE WAY SUITE 300 NASHVILLE TN 37228-0000

D8W

HEALTHSPRING PRESCRIPTION DRUG PLAN

REG 32 6152917024 601 MAINSTREAM DR. NASHVILLE TN 37228-0000

808

HELATH ALLIANCE PLAN/CONFLUENT

HEALTH 8777503350 HEALTH ALLIANCE CLAIMS P.O.BOX 6003 URBANA IL 61803-0000

212 HELLSMAN MANAGEMENT 4013512200 245 WATERMAN STREET PROVIDENCE RI 02906-0000

236 HERITAGE CONSULTANTS 8002822460 PO BOX 1730 AUBURNDALE FL 33823-0000

730 HERITAGE/VISION 8002522053 1 WOODWARD AVENUE SUITE 2020 DETROIT MI 48226-0000

645 HIGHMARK BLUE CROSS 8005446679 PO BOX 69316 HARRISBURG PA 17106-0000

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Code Carrier Name Phone Number Address Address Line 1 City State Zip Code

214 HIGHMARK BLUE CROSS/BLUE SHIELD 8665886966 444 WESTMINSTER ST PROVIDENCE RI 02901-0000

D56 HIGHMARK SENIOR RESOURCES, INC. 8664654030 PO BOX 535049

SENIOR

PRODUCTS

ENROLLMENT

DEP PITTSBURGH PA 15253-0000

702 HIP HEALTH PLAN OF NEW YORK 8004478255 55 WATER STREET NEW YORK NY 10041-0000

D7B HIP HEALTH PLAN OF NEW YORK 8004478255 55 WATER STREET NEW YORK NY 10041-8190

D1C HIP HEALTH PLAN OF NEW YORK 55 WATER STREET NEW YORK NY 10041-0000

D97 HIP OF GREATER NEW YORK 8004478255 55 WATER STREET NEW YORK NY 10041-0000

D89 HISC BLUE CROSS/BLUE SHIELD OF ILLINOIS PO BOX 7020 LAWRENCE KS 66044-0000

009 HMO - BLUE OF MASSACHUSETTS 8008822060 PO BOX 9196 NORTH QUINCY MA 02171-9196

130 HOLYOKE MUTUAL INSURANCE CO 9787446123 PO BOX 2006

HOLYOKE

SQUARE SALEM MA 01970-3391

782

HOME DEPOT CO-ORDINATED BENEFIT

PLAN 8779029923 P.O. BOX 21673 EAGAN MN 55121-0000

071 HOME LIFE INSURANCE CO. 8002418813 PO BOX 956353 DULUTH GA 30136-0000

494

HORIZON BLUE CROSS/BLUE SHIELD OF

NEW JERSEY 8884567910 PO BOX 1219 NEWARK NJ 07105-1219

D2J

HORIZON HEALTHCARE OF NEW JERSEY,

INC. 3 PENN PLAZA EAST PP-09 W NEWARK NJ 07101-0000

D1X HORIZON HEALTHCARE SERVICES 3 PENN PLAZA, EAST NEWARK NJ 07105-0000

D9T HUMANA 600 NEW LONDON AVE. CRANSTON RI 02920-0000

D9Q HUMANA 8007831307 PO BOX 1457 LEXINGTON KY 40512-0000

D6R HUMANA 8002816918 PO BOX 14601 LEXINGTON KY 40512-0000

DC4 HUMANA CHOICE 8592328686 P O BOX14605 LEXINGTON KY 40512-4605

D5H HUMANA CHOICE PPO 500 WEST MAIN STREET LOUISVILLE KY 40202-0000

D7R HUMANA COMPLETE S5884-046 PDP 8002816918 WEST MAIN ST, LOUISVILLE KY 40202-0000

265

HUMANA EMPLOYERS HEALTH INSURANCE

CO. 8005584444 P.O. BOX 14610 LEXINGTON KY 40512-4610

D9I HUMANA ENHANCED 600 NEW LONDON CRANSTON RI 02920-0000

D6N HUMANA ENHANCED S5884-005 8002816918 500 WEST MAIN ST. LOUISVILLE KY 40202-0000

DC6 HUMANA GOLD CHOICE 8592328686 P O BOX 14605 LEXINGTON KY 40512-4605

D6Z HUMANA GOLD CHOICE H2944-133 (PFFS) 8002816918 PO BOX 14601 LEXINGTON KY 40512-0000

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Code Carrier Name Phone Number Address Address Line 1 City State Zip Code

D5W

HUMANA HEALTH BENEFIT PLAN OF

LOUISIANA INC 500 WEST MAIN STREET LOUISVILLE KY 40202-0000

D61

HUMANA HEALTH INSURANCE CO. OF

FLORIDA, INC. 8008332364 500 WEST MAIN STREET LOUISVILLE KY 40202-0000

D1P HUMANA HEALTH PLAN 8002816918 500 WEST MAIN ST. LOUISVILLE KY 40202-0000

D9W HUMANA HEALTH PLAN 8002816918 500 WEST MAIN ST LOUISVILLE KY 40202-0000

D5O HUMANA HEALTH PLAN INC 500 WEST MAIN STREET LOUISVILLE KY 40202-0000

D7G HUMANA HEALTH PLANS OF PUERTO RICO 8667735959 101 EAST MAIN STREET SALSIBURY KY 40202-0000

D65

HUMANA HEALTH PLANS OF PUERTO RICO,

INC. 8006813625 500 WEST MAIN STREET LOUISVILLE KY 40202-0000

D9U HUMANA INC. 8002816918 PO BOX 14601 LEXINGTON KY 40512-0000

D8F HUMANA INS OF NEW YORK 8004862620 500 WEST MAIN STREET LOUISVILLE KY 40202-0000

D6V HUMANA INS. CO. (PFFS) 8775115000 101 EAST MAIN STREET LOUISVILLE KY 40202-0000

D59 HUMANA INSURANCE CO. 8008332312 500 WEST MAIN STREET LOUISVILLE KY 40202-0000

D2A HUMANA INSURANCE CO. 500 WEST MAIN STREET LOUISVILLE KY 40202-0000

D68

HUMANA INSURANCE COMPANY OF NEW

YORK 8007060872 500 WEST MAIN STREET LOUISVILLE KY 40202-0000

D5Z HUMANA INSURANCE OF PUERTO RICO INC 500 WEST MAIN STREET LOUISVILLE KY 40202-0000

D32 HUMANA MEDICAL PLAN, INC. 8008332364 500 WEST MAIN STREET LOUISVILLE KY 40202-0000

26A HUMANA MEDICARE ADVANTAGE PLAN 8443307799

LOUISVILLE WATERSIDE

SERVICE C P.O.BOX 14601 LOUISVILLE KY 40512-4601

778 HUMANA MILITARY 8004445445

TRICARE CARE EAST REGION

DEPT CLAIMS DEPT MADISON WI 53707-7981

D7S HUMANA VALUE S5884-102 (PDP) 8002816918 102 WEST MAIN ST LOUISVILLE KY 40202-0000

D07 HUMANA, INC. 8002816918 500 WEST MAIN STREET LOUISVILLE KY 40202-0000

DC3 HYMANA GOLD PLUS 8592328686 P O BPX 14605 LEXINGTON KY 40512-4605

347 IBEW LOCAL 223 HEALTH & WELFARE FUND 5089478555 PO BOX 1238 LAKEVILLE MA 02347-0000

0BX IBEW LOCAL UNION 42 & 104 P O BOX 1213 MANCHESTER CT 06040-0000

780 IMG 8557319442 P.O.BOX 88506 INDIANAPOLIS IN 46201-0000

216 INDECS CORPORATION 8002250324 PO BOX 668 LYNDHURST NJ 07071-0668

225 INDEPENDENCE BLUE CROSS 8774487526 1901 MARKET STREET PHILADELPHIA PA 19103-1480

740 INDEPENDENT HEALTH ASSOCIATION 8005013439 P O BOX 9066 BUFFALO NY 14231-0000

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Code Carrier Name Phone Number Address Address Line 1 City State Zip Code

D93 INDEPENDENT LIVING FOR SENIORS, INC. 2066 HUDSON AVENUE ROCHESTER NY 14617-0000

686 INFORMED RX 8008801188 2441 WARRENVILLE ROAD LISLE IL 60532-0000

648 INNOVIANT 8775592955 PO BOX 8082 WAUSAU WI 54402-0000

D49 INSTIL HEALTH INSURANCE CO. 8774467845 17 TECHNOLOGY CIRCLE COLUMBIA SC 29203-0000

266 INSURANCE ADMINISTRATORS OF AMERICA 8885991515 PO BOX 5082 MT. LAUREL NJ 08054-0000

348 INSURERS ADMINISTRATIVE CORP (IAC) 8003975800 PO BOX 39119 PHOENIX AZ 85069-9119

D4H INTER VALLEY HEALTH PLAN 300 S PARK AVENUE PO BOX 6002 POMONA CA 91769-0000

647 INTERACTIVE MEDICAL SYSTEMS 8004268739 11635 NORTHPARK DR SUITE 335 WAKE FOREST NC 27587-0000

416 INTERNATIONAL MEDICAL GROUP 8006284664 407 FULTON STREET INDIANAPOLIS IN 46202-0000

414 INTERPLAN CORPORATION 8004444036 2575 GRAND CANAL BLVD SUITE 200 STOCKTON CA 95207-0000

487 IRON CLAD INSURANCE 8662294766 161 GRANITE AVENUE DORCHESTER MA 02124-0000

567 IRON CLAD INSURANCE DENTAL 8662294766 161 GRANITE AVE DORCHESTER MA 02052-0000

217 J.C. PENNEY LIFE INSURANCE CO. 2700 WEST PLANO PKWY PLANO TX 75075-0000

359 J.F. MALLOY & ASSOCIATES 8003735208 PO BOX 790215 ST. LOUIS MO 63179-0000

137 JEFFERSON PILOT INSURANCE 7137761761 10101 SW FREEWAY SUITE 204 HOUSTON TX 77074-0000

025 JOHN ALDEN LIFE INSURANCE CO. 8003284316 PO BOX 9398 MINNEAPOLIS MN 55440-0000

83B JOHN HANCOCK HEALTH INSURANCE 8004429300

COMMONWEALTH SERVICE

CTR PO BOX 9016 ANDOVER MA 01810-0000

83C JOHN HANCOCK INSURANCE 8008436147 PO BOX 833898 RICHARDSON TX 75083-0000

083 JOHN HANCOCK MUTUAL LIFE INS. CO. 8003430034 200 BERKELEY ST BOSTON MA 02117-0000

83A JOHN HANCOCK MUTUAL LIFE INS. CO. 8003451335 208 OLD LANCASTER RD DEVON PA 19333-0000

428 KAISER FOUNDATION HEALTH PLAN 8004644000 PO BOX 7004

ATTN:

SOUTHERN CA

REGION DOWNEY CA 90242-7004

D3I

KAISER FOUNDATION HEALTH PLAN OF

OHIO 1001 LAKESIDE AVENUE CLEVELAND OH 44114-0000

218 KAISER PERMANENTE 8004644000 PO BOX 12923

ATTN: CLAIMS

DEPT OAKLAND CA 94604-2923

D58 KAISER PERMANENTE 8007771238 1800 HARRISON STREET OAKLAND CA 94612-0000

D8E KAISER PERMANENTE 8772218221

500 NE MULTNOMAH SUITE

100 PORTLAND OR 97232-0000

0EB KEMPER INS - LUMBERMAN'S MUTUAL 8009223185 1 KEMPER DRIVE LONG GROVE IL 60049-0000

0EC KEMPER INSURANCE/WORKERS COMP 5089981123 PO BOX 51148 NEW BEDFORD MA 02745-0000

785 KEY BENEFIT ADMINISTRATORS 8778510906 PO BOX 3252 MILWAUKEE WI 53201-3262

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Code Carrier Name Phone Number Address Address Line 1 City State Zip Code

D1K KEYSTONE HEALTH PLAN EAST, INC. 1901 MARKET STREET 28TH FLOOR PHILADELPHIA PA 19103-0000

668 KEYSTONE WEST 8772583123 PO BOX 898819 CAMP HILL PA 17089-8316

452 KLAIS & CO., INC. 3308678443 1867 WEST MARKET STREET AKRON OH 44313-0000

761 KROGER RX 8009174926 1014 VINE STREET CINCINNATI OH 45202-0000

D87 LEON MEDICAL CENTERS HEALTH, INC. 11501 SW 40TH STREET MIAMI FL 33165-0000

D6I LIBERTY HEALTH ADVANTAGE

ONE HUNTINGTON

QUADRANGLE SUITE 3N01 MELVILLE NY 11747-0000

547 LIBERTY MUTUAL 8002451700 PO BOX 1052

ATTN: CLAIMS

DEPT MONTGOMERYVILLE PA 18936-0000

0H4 LIBERTY MUTUAL ASSURANCE CO. 5167249100 P O BOX 1500 SMITHTOWN NY 11787-0000

142 LIBERTY MUTUAL GROUP 8004224718 PO BOX 9212 WESTWOOD MA 02090-9212

143 LIBERTY MUTUAL GROUP 8008454075 245 WATERMAN ST PROVIDENCE RI 02906-0000

561 LIFE INS. CO OF NORTH AMERICA 8007264474 MAPLEWOOD OFFICE PARK

1300 VIRGINIA

DR. SUITE 315 FORT WASHINGTON PA 19034-0000

514 LIFEWISE HEALTH PLAN OF ARIZONA 8005926834 4343 N. SCOTTSDALE ROAD SUITE 355 SCOTTSDALE AZ 85251-0000

742 LIFEWISE PLAN OF ARIZONA 8005926804 P.O. BOX 91134 SEATTLE WA 98111-0000

086 LINCOLN NATIONAL LIFE 2194552000 1300 S. CLINTON ST FORT WAYNE IN 46801-0000

146 LINDSEY MORDEN CLAIM SERVICES 4019416900 75 OXFORD STREET PROVIDENCE RI 02905-0000

352 LOCAL 1102 BENEFITS FUND 5168329200 1587 STEWART AVENUE WESTBURY NY 11590-0000

467 LOCAL 534 HEALTH & WELFARE FUND 6178253302 7 FREDERICKA STREET BOSTON MA 02124-0000

271 LONDON HEALTH ADMINISTRATORS 4014354700 40 COMMERICAL WAY EAST PROVIDENCE RI 02914-0000

353 LOOMIS CO. 8007820392 PO BOX 7011 WYOMISSING PA 19610-0000

D1U LOVELACE HEALTH PLAN, INC. 4101 INDIAN SCHOOL ROAD NE

SENIOR

SERVICES 1

NORTH ALBUQUERQUE NM 87110-0000

020 LOYAL AMERICAN LIFE INSURANCE CO. 8007527818 PO BOX 6408 MOBILE AL 36660-0000

762 MADISON NATIONAL LIFE 8003569601 P.O. BOX 5008 MADISON WI 53705-0000

781 MAGELLAN RX MANAGEMENT 4013441000 88 SILVA LN MIDDLETOWN RI 02842-0000

555 MAGNACARE 7188591624 825 EASTGATE BLVD GARDEN CITY NY 11530-0000

692 MAGNACARE/PHARMACY 8002357267 1600 STEWART AVENUE SUITE 700 WESTBURRY NY 11590-0000

0L8 MAIL HANDLERS BENEFIT PLAN 8004107778 P O BOX 45118 JACKSONVILLE FL 32232-5118

598 MAIL HANDLERS BENEFIT PLAN 8004107778 PO BO 8402 LONDON KY 40742-0000

601 MAMSI 8003438205 PO BOX 930 FREDERICK MD 21705-0000

150 MANAGED COMP 4014532110 ONE RICHMOND SQUARE BOX 3 PROVIDENCE RI 02906-0000

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Code Carrier Name Phone Number Address Address Line 1 City State Zip Code

DD2 MANAGED HEALTH SERVICES ADVANTAGE 8779358024 10700 W. RESEARCH DRIVE SUITE 300 MILWAUKEE WI 53226-0000

078 MANAGEMENT SERVICES, INC 2174461089 PO BOX 1430 DANVILLE IL 61834-1430

D8A MAPFRE LIFE INSURANCE COMPANY 7872506500 PO BOX 70297 SAN JUAN PR 00936-8297

D70 MAPFRE LIFE INSURANCE COMPANY 8887505288 PO BOX 71419 SAN JUAN PR 00936-0000

138 MARRIOTT CLAIMS SERVICE 7812450376 301 EDGEWATER DRIVE SUITE 414 WAKEFIELD MA 01880-6279

649 MARSH 8006382603 PO BOX 4542 IOWA CITY IA 52244-0000

490 MARSH AFFINITY GROUP SERVICES 8006268567 PO BOX 10439 DES MOINES IA 50306-0000

588 MARTIN'S POINT HEALTH 8887327364 PO BOX 9746 PORTLAND ME 04104-0000

079

MASHANTUCKET PEQUOT HEALTH

BENEFITS PLAN 8887796872 PO BOX 3620 MASHANTUCKET CT 06338-0000

695

MASHANTUCKET PEQUOT HEALTH

BENEFITS PLAN/DENT 8887796872 PO BOX 3620 MASHANTUCKET CT 06338-0000

419 MASS HEALTH 8003255231 PO BOX 9101

PROVIDER

SERVICES SOMERVILLE MA 02145-0000

094 MASS LABORERS H & W FUND 7812721000 14 NEW ENGLAND EXEC PARK PO BOX 4000 BURLINGTON MA 01803-0000

82B MASS MUTUAL INSURANCE 8003333304 PO BOX 149160 AUSTIN TX 78714-9160

082 MASS MUTUAL LIFE INSURANCE 7087473000 PO BOX 6004 MATTESON IL 60443-0000

82A MASS. MUTUAL INSURANCE 8002271555 WINDSOR SERVICE CENTER PO BOX 743 WINDSOR CT 06095-0000

139 MASS. STATE CARPENTERS HLTH BENEFITS 9786941000 PO BOX 7075 WILMINGTON MA 01887-7075

354 MATTHEW THORTON HEALTH PLAN 8005448333 3000 GOFFS FALLS ROAD MANCHESTER NH 03111-0001

717 MAXOR PLUS 8006870707 320 S POLK SUITE 200 AMARILLO TX 79101-0000

542 MAXOR PLUS 8006870707 320 SOUTH POL AMARILLO TX 79101-0000

539 MAXORPLUS 8006870707 320 SOUTH POLK, SUITE 200 AMARILLO TX 79101-0000

569 MCDONALDS INSURANCE / DENTAL 8886456410 PAL PO BOX 6702 COLUMBIA SC 29260-0000

564 MCDONALD'S INSURANCE PROGRAM 8886456460 PAL PO BOX 6702 COLUMBIA SC 29260-0000

D63 MCS CLASSICARE 8666278181 255 PONCE DE LEON AVENUE SUITE 201 SAN JUAN PR 00917-0000

D77 MCS CLASSICARE 255 PONCE DE LEON AVENUE SUITE 201 SAN JUAN PR 00917-0000

779 MCS INSURANCE 8666278181 P.O. BOX 191720 SAN JUAN PR 00917-0000

365 MED IMPACT 8007882949 10680 TREENE STREET 5TH FLOOR SAN DIEGO CA 92131-0000

276 MEDCO HEALTH 8009221557 399 JEFFERSON ROAD MAILSTOP P PARSIPPANY NJ 07054-0000

420 MEDCO HEALTH PRESCRIPTIONS 8887966245 PO BOX 2187 LEE'S SUMMIT MO 64063-0000

D08 MEDCO HEALTH SOLUTIONS, INC. 8007583605 PO BOX 630246 IRVING TX 75063-0000

D5F MEDCO MEDICARE PRESCRIPTION PLAN P.O. BOX 630246 IRVING TX 75063-0000

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Code Carrier Name Phone Number Address Address Line 1 City State Zip Code

D8N

MEDCO MEDICARE PRESCRIPTION PLAN

VALUE 8007584574 PO BOX 14570 LEXINGTON KY 40512-0000

275 MEDCO PRESCRIPTIONS, LLC 8778426048 PO BOX 14711 LEXINGTON KY 40512-0000

751 MEDICA 8002281403 P.O. BOX 30990 SALT LAKE CITY UT 84130-0000

D7M

MEDICA HEALTHCARE PLANS

MEDICAREMAX (PSO) 8004079069

4000 PONCE DE LEON BLVD

STE 65 CORAL GABLES FL 23314-0000

MET MEDICAID EXPANSION TUFTS 8667384116 P O BOX 859 PARK RIDGE IL 60068-0859

MDC MEDICAL ASSISTANCE 171 SERVICE AVENUE SUITE 100 WAEWICK RI 02888-0000

650 MEDICAL BENEFITS 8009032032 PO BOX 1099 NEWARK OH 43058-0000

141 MEDICAL CLAIMS SERVICE 3042735594 1 WALL STREET SUITE 2A RAVENSWOOD WV 26164-0000

654 MEDICAL MUTUAL OF OHIO 8003621279 2060 EAST NINTH STREET CLEVELAND OH 44115-1355

TB2

MEDICAL TRANSPORTATION

MANAGEMENT, INC BROKE 6365615686 875 CENTERVILLE RD UNIT 11 WARWICK, RI 02886-0000

MDA MEDICARE CLAIMS DEPT. 8663393714 1 WEYBOSSET ST. PROVIDENCE RI 02903-0000

MDB MEDICARE CLAIMS DEPT. 8668015304 PO BOX 8102 LITTLE ROCK AR 72203-0000

D4M MEDICARE RX CUSTOMER SERVICE PO BOX 995 BLUE BELL PA 19422-0000

D9N MEDICARE RX REWARDS 600 NEW LONDON AVE CRANSTON RI 02920-0000

D8X MEDICARE RX REWARDS STANDARD (PDP) 8009286201 PO BOX 9092 OXNARD CA 93031-0000

D26 MEDICARE Y MUCHO MAS 7876220490 350 CHARDON AVENUE SUITE 500 SAN JUAN PR 00918-0000

D37 MEDIGOLD 8009644525 495 COOPER ROAD SUITE 200 WESTERVILLE OH 43081-0000

0R7 MEDIMET 3157923882 P.O. BOX 52011 PHOENIX AR 85072-0000

651 MEDMETRICS 8006444079 100 CENTURY DRIVE WORCESTER MA 01606-0000

080 MEDTAC 8003479355 PO BOX 9110 NEWTONVILLE MA 02460-0000

747 MEDTRAK 8007714648 6310 LAMAR SUITE 230 OVERLAND PARK KS 66202-0000

356 MEGA LIFE & HEALTH INSURANCE 8004461315 601 PENNSYLVANIA AVE, NW SUITE 900 WASHINGTON DC 20004-0000

289 MEGA LIFE & HEALTH INSURANCE CO 8005272845 PO BOX 982009 NORTH RICHLAND HILLSTX 76182-8009

021

MENNONITE MUTUAL AID HEALTH

INSURANCE 8003487468 PO BOX 483 GOSHEN IN 46527-0000

806

MERCHANTS BENEFIT ADMINISTRATION,

INC 4408353511 7077 E MARILYN ROAD BLDG 1 SCOTTSDALE AZ 85254-0000

D2O MERCY HEALTH PLANS, INC. 14528 SOUTH OUTER 40 SUITE 300 CHESTERFIELD MO 63017-0000

652 MERITAIN 8008286922 PO BX 9501 AMHERST NY 14226-0000

363 MERITAIN HEALTH 8008286922 PO BOX 853921 RICHARDSON TX 75085-3921

95B MET LIFE 8006380166 PO BOX 6132 UTICA NY 13504-6132

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Code Carrier Name Phone Number Address Address Line 1 City State Zip Code

95F MET LIFE DENTAL 8009888333 PO BOX 14093 LEXINGTON KY 40512-4093

95D MET LIFE DENTAL 8009420854 PO BOX 2078 AURORA IL 60507-0000

95C MET LIFE DENTAL (NYNEX) 8005563490 PO BOX 6048 UTICA NY 13504-0000

95E MET LIFE INSURANCE CO. 8006384288 PO BOX 3023 UTICA NY 13504-0000

140 MET LIFE VISION/NYNEX 8005563490 PO BOX 6049 UTICA NY 13504-0000

D81

METCARE/ADVANTAGE HEALTH PLANS,

INC. 8776923822

250 SOUTH AUSTRALIAN

AVENUE SUITE 400 WEST PALM BEACH FL 33041-0000

95A METLIFE DENTAL 8002601093 PO BOX 6127 UTICA NY 13504-0000

95G METLIFE DENTAL (PEPSI) 8009420854 PO BOX 981282 EL PASO TX 79998-1282

689 METLIFE TRICARE DENTAL PROGRAM 8556388371 PO BOX 14181 LEXINGTON KY 40512-0000

723 METLIFE VISION 8009888333 PO BOX 997565 SACRAMENTO CA 95899-0000

70G METRAHEALTH 8008429492 PO BOX 22026 ALBANY NY 12201-0000

70H METRAHEALTH 8003342400 PO BOX 7579 GREENSBORO NC 27417-0000

070 METRAHEALTH 8009987488 PIZZA HUT CLAIMS PO BOX 23759 COLUMBIA SC 29224-3759

70A METRAHEALTH 8008428000 PO BOX 323 GRAND RAPIDS MI 49501-0000

70B METRAHEALTH 8008426563 PO BOX 8010 VOORHEES NJ 08043-0000

70C METRAHEALTH 2032812000 PO BOX 9516 NEW HAVEN CT 06534-0000

70M METRAHEALTH 8006384412 PO BOX 7126 SAN FRANCISCO CA 94120-7126

70J METRAHEALTH 8008424576 PO BOX 30990 SALT LAKE CITY UT 84130-0000

70D METRAHEALTH 8004241181 PO BOX 9807 NEW HAVEN CT 06536-0807

70F METRAHEALTH 8008435955 PO BOX 22064 ALBANY NY 12201-2064

70I METRAHEALTH 8008268720 PO BOX 1989 MATTESON IL 60443-0000

70K METRAHEALTH 8005523232 PO BOX 3025 UTICA NY 13504-0000

70L METRAHEALTH 8008429905 PO BOX 2511 AUGUSTA GA 30903-0000

D4P METRO PLUS HEALTHPLAN 160 WATER STREET NEW YORK NY 10038-0000

530 METRO PLUS HEALTHPLAN 160 WATER STREET NEW YORK NY 10038-0000

D6Y METROPOLITAN HEALTH PLAN MSHO 8885628000

400 SOUTH FOURTH STREET,

SUITE MINNEAPOLIS MN 55415-0000

095 METROPOLITAN LIFE INS. CO. 4018272000 700 QUAKER LANE WARWICK RI 02887-0000

653 METROPOLITAN LIFE LONG TERM 8003080179 57 GREENFARMS ROAD WESTPORT CT 06880-0000

436 MID-AMERICAN PLAN ADMINISTRATORS 8007470600 PO BOX 2850 ROCKFORD IL 61132-2850

147 MID-WEST NATIONAL LIFE INS CO 8007338880 PO BOX 982017 NORTH RICHLAND HILLSTX 76182-8017

743 MID-WEST NATIONAL LIFE INSURANCE CO 8007338880 P.O. BOX 982017 NORTH RICHLAND TX 76182-0000

229 MIM HEALTH PLANS 8009442668 33 NORTH ROAD WAKEFIELD RI 02879-0000

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Code Carrier Name Phone Number Address Address Line 1 City State Zip Code

750 MMSI INC 8006356671 4001 41ST STREET NW ROCHESTER MN 55901-0000

765

MODA-DELTA DENTAL OF OREGON /DELTA

DENTAL OR 8883748906 P.O. BOX 40384 PORTLAND OR 97240-0384

468 MOHEGAN SUN VALUEOPTIONS PO BOX 1347 LATHAM NY 12110-0000

D3H MOLINA HEALTHCARE OF UTAH 7050 UNION PARK #200 MIDVALE UT 84047-0000

096 MONARCH LIFE INS. CO. 4137842000 1250 STATE ST SPRINGFIELD MA 01101-0000

434

MONUMENTAL GENERAL INSURANCE

GROUP 8007529797 PO BOX 97 SCRANTON PA 18504-0097

433 MOTOROLA HEALTH ADVANTAGE PLAN 8004213973 PO BOX 29005 PHOENIX AZ 85038-0000

098 MUTUAL LIFE INS. CO. OF NY 8002214015 P O BOX 4815 SYRACUSE NY 13221-4815

097 MUTUAL OF OMAHA INS. CO. 4023427600 MUTUAL OMAHA PLAZA OMAHA NE 68175-0000

546 MVP HEALTH INSURANCE COMPANY 8006849286 625 STATE STREET SCHENECTADY NY 12305-0000

610 MVP ROCHESTER 5853253113 PO BOX 2207 SCHENECTADY NY 12301-0000

017 NALC HEALTH BENEFIT PLAN 7037294677 20547 WAVERLY COURT ASHBURN VA 22093-0000

423 NATIONAL BENEFIT ADMINISTRATORS 8883334477 140 LITTLETON ROAD PARSIPPANY NJ 07054-0000

314

NATIONAL ELEVATOR INDUSTRY HLTH.

BENEFIT PLAN 8002524611 PO BOX 477 NEWTOWN SQUARE PA 19073-0477

144 NATIONAL EMPLOYEE BENEFITS SERVICES 3042735522 PO BOX 160 RAZENSWOOD WV 26164-0000

797 NATIONAL GENERAL ACCIDENT & HEALTH 8887810585 P.O. BOX 2070 MILWAUKEE WI 53201-2070

521 NATIONAL MEDICAL HEALTHCARD 8002277269 P.O. BOX 1170 PORT WASHINGTON NY 11050-0000

026

NATIONAL PRESCRIPTION

ADMINISTRATORS (NPA) 8005267813 PO BOX 1981 HANOVER NJ 07936-0000

D6C

NATIONAL RURAL ELECTRIC COOPERATIVE

ASSOC. 4301 WILSON BOULEVARD ARLINGTON VA 22203-0000

077 NATIONAL RX SERVICES 8008753147 399 JEFFERSON RD PARSIPPANY NJ 07054-0000

081 NATIONAL STATES INSURANCE CO 3148780101 1830 CRAIG PARK CT ST LOUIS MO 63146-0000

145 NATIONAL STUDENT SERVICES INC 8003451335 1 WALL STREET RAVENSWOOD WV 26164-1714

703 NATIONAL VISION ADMINISTRATORS LLC 8006727723 P O BOX 2187 CLIFTON NJ 07015-0000

425 NATIONWIDE HEALTH CARE PLAN 8777687231 PO BOX 182690 COLUMBUS OH 43218-2690

681 NATIONWIDE SPECIALTY HEALTH 8006356585 P.O. BOX SPRINGFIELD MA 01101-0000

075

NATL AUTOMATIC SPRINKLER INDUSTRY

FUND 8006382603 8000 CORPORATE DR LANDOVER MD 20785-2285

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Code Carrier Name Phone Number Address Address Line 1 City State Zip Code

574

NCAS ( NATIONAL CLAIMS ADMINISTRATIVE

SERVICE 8778892479 PO BOX 981610 EL PASO TX 79998-0000

361 NCAS-VIA 8008886227 PO BOX 1227 FAIRFAX VA 22030-0862

NHP NEIGHBORHOOD 4014596148 299 PROMENADE STREET PROVIDENCE RI 02908-0000

752 NEIGHBORHOOD HEALTH PLAN FLORIDA 8779728845 P.O. BOX 5210 KINGSTON NY 12402-0000

CDN

NEIGHBORHOOD HEALTH PLAN OF RI - CMS

DEMO 4014596092 299 PROMENADE STREET PROVIDENCE RI 02908-0000

RHN

NEIGHBORHOOD HEALTH PLAN OF RI -

RHODY HEALTH 4014596621 299 PROMENADE STREET PROVIDENCE RI 02908-0000

RON

NEIGHBORHOOD HEALTH PLAN RHODY

HEALTH OPTIONS 299 PROMENADE STREET PROVIDENCE RI 02908-0000

015

NEIGHBORHOOD HEALTH

PLAN/COMMERCIAL 8553219244 299 PROMENADE STREET PROVIDENCE RI 02908-0000

D3A NEIGHBORHOOD HEALTH PROVIDERS 521 5TH AVENUE 3RD FLOOR NEW YORK NY 10175-0000

MEN

NEIGHBORHOOD HEALTHPLAN OF RI -

MEDICAID EXP 4014596092 299 PROMENADE STREET PROVIDENCE RI 02908-0000

360 NEIGHBORHOOD SOLUTIONS 4014596622 50 HOLDEN STREET PROVIDENCE RI 02908-0000

657 NEW DIRECTIONS BEHAVIORAL HEALTH 8005285763 P.O. BOX 6729 LEAWOOD KS 66206-0729

074

NEW ENG HLTH CARE EMPLOYEE WELFARE

FUND 8002274744 77 HUYSHOPE AVE HARTFORD CT 06106-0000

148 NEW ENGLAND BENEFIT PLAN 8009446692 25145 COUNTRY CLUB BLVD NORTH OLMSTEAD OH 44070-0000

149 NEW ENGLAND EMPLOYEE BENEFITS PO BOX 30466 TAMPA FL 33630-3466

233 NEW ENGLAND FINANCIAL 8002849763 PO BOX 7000 CORAOPOLIS PA 15108-0000

272 NEW ENGLAND HEALTH ADVANTAGE 8002274744 PO BOX 22669 LONG BEACH CA 90801-0000

226 NEW ENGLAND TEAMSTERS 8006379096 PO BOX 38 NORTH ANDOVER MA 01845-0000

605 NEW ERA LIFE INSURANCE 8005227879 PO BOX 4884 HOUSTON TX 77210-4884

243 NEW JERSEY CARPENTER HEALTH FUND 8006243096 PO BOX 7818

PARITAN PLAZA

#2 EDISON NJ 08818-0000

658 NEW YORK HOTEL UNION PO BOX 3877 NEW YORK NY 10008-3877

659 NEW YORK HOTEL UNION PO BOX 1407 NEW YORK NY 10007-0000

0A8 NEW YORK LIFE 2124371000 FREEHOLD CLAIMS OFFICE

200 CRAIG

ROAD MANALAPAN NJ 07726-0000

0A9 NEW YORK LIFE INSURANCE CO. 2125767000 51 MADISON AVE NEW YORK NY 10010-0000

362 NEXCALIBER 8006252631 PO BOX 802422 DALLAS TX 75380-0000

076 NGS AMERICAN, INC 8107797676 PO BOX 7676 ST CLAIRE SHORES MI 48080-0000

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Code Carrier Name Phone Number Address Address Line 1 City State Zip Code

D5P NMHC MEDICARE PDP GOLD 9343 TECH CENTER DRIVE SACRAMENTO CA 95826-0000

427 NMHC RX 8006453332 PO BOX 1170 PORT WASHINGTON NY 11050-0000

799 NORTHEAST DELTA DENTAL 6032231000 P.O. BOX 2002 CONCORD NH 03302-2002

535 NORTHEAST DELTA DENTAL 6032231234 P.O. BOX 2002 CONCORD NH 03302-2002

582 NORTHERN NEW ENGLAND BENEFIT TRUST 8002589732 PO BOX 4604 MANCHESTER NH 03108-0000

364 NOVA INSURANCE 8009995703 PO BOX 308 GRAND ISLAND NY 14072-0000

152 NYLCARE HEALTH PLAN 8006663168 PO BOX 672 EXTON PA 19341-0000

151 NYLCARE HEALTH PLANS 8007776140 PO BOX 30769 JAMAICA NY 11430-0000

273 ONE HEALTH PLAN 8006638081 PO BOX 11111 FORT SCOTT KS 66701-0000

557 ONE NET PPO 8003374973 PO BOX 934 FREDRICK MD 21705-0000

684 OPTIMA 8005433359 P.O. BOX 5028 TROY MI 48007-5028

575 OPTIMED PLAN 8004828770 4 TERRY DRIVE NEWTOWN PA 18940-0000

375 OPTIMUM CHOICE 8003312102 PO BOX 930 FREDERICK MD 21705-0000

D7U OPTIMUM HEALTHCARE INC. 3526889131 5478 SPRING HILL DRIVE SPRING HILL FL 34606-0000

D3J OPTIMUM HEALTHCARE, INC. 5478 SPRING HILL DRIVE SPRING HILL FL 34606-0000

559 OPTIUMHEALTH VISION 8006383120 PO BOX 30978 SALT LAKE CITY UT 84130-0000

549 OPTUM HEALTH 8666332446 P.O. BOX 30978 SALT LAKE CITY UT 84130-0000

699 OPTUM RX 8007887871 PO BOX 29044 HOT SPRINGS AR 71903-0000

538 OPTUMRX 8002170094 6300 OLSON MEMORIAL HWY GOLDEN VALLEY MN 55427-0000

790 OSCAR HEALTH PLAN 8556722788 PO BOX 52146 PHOENIX AR 85072-2146

099 OTHER 4014642181 600 NEW LONDON AVE. CRANSTON RI 02920-0000

230 OXFORD HEALTH PLANS 8006661353 PO BOX 7082

ATTN: CLAIMS

DEPT. BRIDGEPORT CT 06601-7082

153 OXFORD LIFE 8003082318 2721 NORTH CENTRAL AVENUE PHOENIX AZ 85004-0000

318 P5 ELECTRONICS HEALTH SERVICES 8003973685 PO BOX 9554 SALT LAKE CITY UT 84109-0554

D72 PAC RX 225 CHAPMAN STREET PROVIDENCE RI 02905-0000

PAC PACE ORGANIZATION OF RHODE ISLAND 4014906566 225 CHAPMAN STREET PROVIDENCE RI 02905-0000

155 PACIFIC MUTUAL 8007332285 PO BOX 33699 PHOENIX AZ 85067-3699

613 PACIFICARE 8008779777 PO BOX 30975 SALT LAKE CITY UT 84130-0975

D09 PACIFICARE LIFE & HEALTH INSURANCE CO. 8009430399 3515 HARBOR BLVD. COSTA MESA CA 92626-0000

157 PAID PRESCRIPTIONS 8004639279 PO BOX 700 PARSIPPANY NJ 07054-0000

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Code Carrier Name Phone Number Address Address Line 1 City State Zip Code

156 PAID PRESCRIPTIONS, INC. 8008420070 PO BOX 6121 FAIR LAWN NJ 07410-0000

061 PAINTERS DC35 HEALTH BENEFITS 6175241240 25 COLGATE ROAD SUITE 204 ROSLINDALE MA 02131-0000

431 PAN-AMERICAN LIFE INSURANCE CO. 8666686299 PO BOX 61070 NEW ORLEANS LA 70160-1070

775

PARADIGM PLAN SPONSOR: MARQUIS

HLTH SERVICES 8884228181 2 INTERNATIONAL DRIVE 3305 PORTSMOUTH NH 03801-0000

570 PARAMOUNT HEALTHCARE 8004623589 PO BOX 497 TOLEDO OH 43697-0000

D2K PARTNERCARE HEALTH PLAN, INC. 5501 WEST WATERS AVENUE SUITE 40 TAMPA FL 33688-0000

450 PATIENT RESPONSIBILITY 600 NEW LONDON AVENUE CRANSTON RI 02920-0000

087 PCS 4803914600 9501 E SHEA BLVD SCOTTSDALE AZ 85260-6719

D1M PDP MEDI-MAX PART D 1551 CALLE ALDA URB. CARIBE SAN JUAN PR 00926-0000

MDD PDP UNKNOWN 171 SERVICE AVENUE WARWICK RI 02886-0000

231 PENN STATE GEISINGER HEALTH PLAN 8004989731 PO BOX 8200 VANVILLE PA 17821-8200

277 PERFORMAX 8002202600 PO BOX 61505 KING OF PRUSSIA PA 19406-0000

018 PHARMACARE 8007771023

695 GEORGE WASHINGTON

HWY LINCOLN RI 02865-0000

338 PHARMACARE MANAGEMENT SERVICES 8663326422 PO BOX 2860 PITTSBURGH PA 15230-0000

793 PHARMACEUTICAL TECHNOLOGIES 8883344488 13660 CALIFORNIA STREET OMAHA NE 68154-0000

664 PHARMACY DATA MANAGEMENT 8005490093 1170 E. WESTERN RESERVE RD POLAND OH 44512-0000

D69

PHARMACY INSURANCE CORP OF AMERICA-

-PICA 8669907422 PO BOX 70232 SAN JUAN PR 00936-0000

163 PHARMACY SERVICES CORPORATION 8002277269 210 GREAT OAKS BLVD. ALBANY NY 12203-0000

316

PHN CONNECTICUT PIPE TRADES HEALTH

FUND 8606436401 PO BOX 22669 LONG BEACH CA 90801-0000

159 PHOENIX HOME LIFE 8004512513 PO BOX 677 GREENFIELD MA 01302-0000

158 PHYSICIAN HEALTH SERVICES 8005666698 PO BOX 981 BRIDGEPORT CT 06601-0000

661 PHYSICIANS HEALTH PL 2604326690 8101 WEST JEFFERSON BLVD FORT WAYNE TN 46804-4163

607 PHYSICIANS MUTUAL 8889327642 PO BOX 2018 OMAHA NE 68103-2018

085 PHYSICIANS MUTUAL INSURANCE CO 8002289100 2600 DODGE STREET OMAHA NE 68131-0000

D5K PHYSICIANS UNITED PLAN

6220 SO. ORANGE BLOSSOM

TRAIL ORLANDO FL 32809-0000

660 PIEDMONT ADMINISTRATORS 3367744190 PO BOX 1407 NEW YORK NY 10008-0000

002 PILGRIM HEALTH CARE 8007084414 PO BOX 699183 QUINCY MA 02269-9183

161 PIONEER LIFE 8009500084 PO BOX 1250 ROCKFORD IL 61105-0000

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Code Carrier Name Phone Number Address Address Line 1 City State Zip Code

756 PITTMAN AND ASSOCIATES 8002381344 P.O. BOX 111047 MEMPHIS TN 38111-0000

003 PLAN 65 1 WEYBOSSET ST. PROVIDENCE RI 02903-0000

745 PLANNED ADMINISTRATORS INC 8667980803 PO BOX 6702 COLUMBIA SC 29260-0000

251 POLARIS INSURANCE/J.W. HARRIS 8002340225 PO BOX 2010 WESTERVILLE OH 43086-0000

696 POMCO THIRD PARTY ADMINISTRATOR 8009342459 P O BOX 6329 SYRACUSE NY 13217-0000

232 PRE-DENT/BLUE CROSS OF ILLINOIS 8005235758 DENTAL DEPT. PO BOX 2935 CHICAGO IL 60690-0000

D8I PREESCRIBA RX BRONZE (PDP) 8008180007 PO BOX 5203 RENSSELAER NY 12144-0000

587 PREFERRED CARE PARTNERS 3056708430 PO BOX 565790 MIAMI FL 33256-0000

D98 PREFERRED CARE PARTNERS, INC. 3056708430 PO BOX 56-5748 MIAMI FL 33256-0000

474 PREFERRED HEALTH PLAN, INC. 8008328212 PO BOX 24125 LOUISVILLE KY 40224-0000

D7F PREFERRED MEDICARE CHOICE 7876223000

350 CHARDSON AVENUE SUITE

500 SAN JUAN PR 00918-2137

D52 PREFERRED MEDICARE CHOICE, INC. 8665167700 1551 CALLE ALDA URB. CARIBE SAN JUAN PR 00926-0000

366 PREMERA BLUE CROSS 8007221471 PO BOX 91080 SEATTLE WA 98111-9180

622 PREMIER OD BLUE CROSS 8007188831 PO BOX 9907 COLUMBUS GA 31908-0000

PA1 PREMIUM ASSISTANCE PROGRAM 74 WEST ROAD CRANSTON RI 02920-0000

D96 PRESBYTERIAN INSURANCE CO. PO BOX 26267 ALBUQUERQUE NM 87125-0000

D11 PRESCRIPTION PATHWAY 8008258200 411 N. BAYLEN STREET PENSACOLA FL 32501-0000

D10 PRESCRIPTION PATHWAY MULTI PLAN 8007658900 411 N. BAYLEN STREET PENSACOLA FL 32501-0000

367 PRESCRIPTION SOLUTIONS, INC. (PSI) 8775592955 MAIL STOP 10202

10833 VALLEY

VIEW ST CYPRESS CA 90630-0000

162 PRESIDIUM INSURANCE 8003544225 PO BOX 365 PARSIPPANY NJ 07054-0000

473 PRIMARILY CARE 8003951300

75 SOCKANOSSET

CROSSROADS SUITE 300 CRANSTON RI 02920-0000

497 PRIME THERAPEUTICS 8004231973 PO BOX 790118

REG25-

REMITTANCE

PROCESS ST LOUIS MO 63179-0000

480 PRIME THERAPEUTICS 8008214795 PO BOX 64812 ST PAUL MN 55164-0000

88C PRINCIPAL FINANCIAL GROUP 8007570616 620 S GLENSTONE AVE SUITE 300 SPRINGFIELD MO 65802-0000

88D PRINCIPAL FINANCIAL GROUP 8003234646 PO BOX 37910 COLORADO SPRINGS CO 80903-0000

088 PRINCIPAL FINANCIAL GROUP 8003234646 PO BOX 39710 COLORADO SPRINGS CO 80949-0000

88A PRINCIPAL FINANCIAL GROUP 8002474695 PO BOX 10357 DESMOINES IA 50265-0000

88B PRINCIPAL FINANCIAL GROUP 8005221279 401 EAST CITY AVE SUITE 509 BALA CYNWYD PA 19004-0000

278 PRINCIPAL LIFE INSURANCE 1 INTERNATIONAL PLAZA SUITE 100 PHILADELPHIA PA 19113-0000

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Code Carrier Name Phone Number Address Address Line 1 City State Zip Code

734 PRIORITY HEALTH 6164648235 1231 EAST BELTLINE GRAND RAPIDS MI 49525-0000

711 PRIORITY HEALTH 8009424765 P O BOX 232 GRAND RAPIDS MI 49501-0000

D46 PRIORITY MEDICARE RX 8883896676 1231 EAST BELTLINE NE GRAND RAPIDS MI 49525-0000

368 PRIVATE HEALTHCARE SYSTEMS (PHCS) 8002313019 PO BOX 68947 INDIANAPOLIS IN 46268-0000

154 PROFESSIONAL BENEFIT ADMINISTRATORS 6306553755 PO BOX 4687 OAK BROOK IL 60522-0000

279 PROVIDENCE WASHINGTON INSURANCE 4014537000 88 BOYD AVENUE EAST PROVIDENCE RI 02914-0000

084 PROVIDENT LIFE 8002517420 PO BOX 40-6050 CINCINNATI OH 45240-0000

160 PROVIDIAN HLTH & LIFE INS CO 8005237900 CLAIM SERVICE DIVISION PO BOX 484 VALLEY FORGE PA 19493-0000

0S3 PRUDENTIAL GROUP DENTAL 8005435458 PO BOX 44123 JACKSONVILLE FL 32231-4123

0S7 PRUDENTIAL HEALTH CARE PO BOX 44039 JACKSONVILLE FL 32231-0000

0S8 PRUDENTIAL HEALTH CARE 8008257778 PO BOX 27718 HOUSTON TX 77227-0000

0S6 PRUDENTIAL HEALTH CARE PO BOX 3016 MILLVILLE NJ 08332-9010

0R8 PRUDENTIAL HEALTH PLAN PO BOX 15075 ALBANY NY 12212-0000

0T1 PRUDENTIAL HEALTHCARE 8005524545 16850 BEAR VALLEY ROAD VICTORVILLE CA 92392-0000

0S0 PRUDENTIAL HEALTHCARE DENTAL 8008115671 PO BOX 9250 LINWOOD NJ 08221-0000

0R9 PRUDENTIAL INS. OF AMERICA PO BOX 537 MATTESON IL 60443-0537

0S1 PRUDENTIAL INSURANCE 8002350739 PO BOX 1018 ANDOVER MA 01810-0000

0S4 PRUDENTIAL INSURANCE PO BOX 5400 MILLVILLE NJ 08332-0000

0S2 PRUDENTIAL INSURANCE CO PO BOX 4046 ISELIN NJ 08830-0000

0S9 PRUDENTIAL INSURANCE CO. STOCKTON CLAIMS COMPLEX PO BOX 207006 STOCKTON CA 95267-0000

D5M PSERS HOP PROGRAM 13900 RIVERPORT DRIVE MARYLAND HEIGHTS MO 63043-0000

369 PUBLIC SERVICE MUTUAL INS. CO. 2125919304 ONE PARK AVENUE NEW YORK NY 10157-2500

776

QUALCARE, INC (DBA QUNI ADM, CIGNA

COMPANY) 8448832425 P.O. BOX 459 PISCATAWAY NJ 08855-0459

D3O QUALITY HEALTH PLANS 2435 US HWY. 19 SUITE 470 HOLIDAY FL 34691-0000

D3W QUALITY HEALTH PLANS 2435 US HIGHWAY 19 SUITE 470 HOLIDAY FL 34691-0000

D7J QUALITY HEALTH PLANS INC. 7279458400 2435 US HWY 19 SUITE 470 HOLIDAY FL 34691-0000

374 R.I. NURSING HOME GROUP 4014352800 PO BOX 549 PROVIDENCE RI 02901-0000

0HM REDBOOK GR. HEALTH 3031212121 1304 VINCENT PLACE MCLEAN VA 40404-0000

D3Z REDMED 239 ARTERIAL HOSTOS AVENUE

SOUTH TOWER,

SUITE 704 SAN JUAN PR 00918-0000

372 REGENCE BLUE SHIELD 8002226129 PO BOX 30271 SALT LAKE CITY UT 84130-0000

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Code Carrier Name Phone Number Address Address Line 1 City State Zip Code

577 REGENCE GREAT ADMINISTRATOR 8667383924 PO BOX 52890 BELLEVIEW WA 98015-0000

580 REGENCE GREAT ADMINISTRATOR/ DENTAL 8667383924 PO BOX 52890 BELLEVIEW WA 98015-0000

581 REGENCE GREAT ADMINISTRATOR/ RX 8667383924 PO BOX 52890 BELLEVIEW WA 98015-0000

503 RELIANCE STANDARD LIFE INSURANCE CO 8004977044 PO BOX 82510 LINCOLN NE 68501-2510

0B4 RELIASTAR 8002746965 146 INDUSTRIAL PARK JACKSON MN 56143-0000

544 RENAISSANCE DENTAL 8008863908 PO BOX 17250 INDIANAPOLIS IN 46217-0000

164 RESTAT 8553997342 11900 WEST LAKE PARK MILWAUCEE WI 53224-0000

662 RESTAT RX 8002481062 PO BOX 758 WEST BEND WI 50395-0000

RHT RHODYHEALTH PARTNERS TUFTS P O BOX 859 PARK RIDGE IL 60068-0859

373 RI INTERLOCAL RISK MANAGEMENT TRUST 501 WAMPANOAG TRAIL SUITE 301 EAST PROVIDENCE RI 02915-0000

RIP

RIPAE (RI PHARMACEUTICAL ASSIST. FOR

ELDERLY) 35 HOWARD AVENUE BLDG. 55 CRANSTON RI 02920-0000

513 RITE AID HEALTH SOLUTIONS 8668285966 30 HUNTER LANE ATTN: CLAIMS CAMP HILL PA 17011-0000

687

RLS SPEC PRD (RELIANCE STANDARD

SPECIALITY PR 8663750775 505 SOUTH LENOLA RD MOORESTOWN NJ 08057-0000

663 RMSCO 3154489000 115 CONTINUUM DRIVE LIVERPOOL NY 13088-4300

D7C

ROCHESTER AREA HEALTH MAINTENANCE

ORGANIZATIO 8882806205 259 MONROE AVE ROCHESTER NY 14607-0000

D12 RX AMERICA 8772790370

221 N. CHARLES LINDBERGH

DRIVE SALT LAKE CITY UT 84116-0000

665 RX OPTIONS 8003614542 2181 E AURORA RD SUITE 201 TWINSBURG OH 44087-0000

167 RX PRIME PHARMACY SERVICES 8006225579 900 COTTAGE GROVE RD HARTFORD CT 06152-1121

D4C SALUD DORADA CON MEDICARE PO BOX 3078 BAYAMON PR 00960-0000

D5V SAMASCRIPT 13900 RIVERPORT DRIVE MARYLAND HEIGHTS MO 63043-0000

550 SAMBA HEALTH BENEFIT PLAN

11301 OLD GEORGETOWN

ROAD ROCKVILLE MD 20852-2800

D5U SAN MIGUEL PLAN

100 WEST BROADWAY SUITE

4000 LONG BEACH CA 90802-0000

741 SANDFORD HEALTH PLAN 8007525863 221 8TH STREET SHELDON IA 51201-0000

767 SANFORD HEALTH PLAN 8004993416 P.O. BOX 91110 SIOUX FALLS SD 57109-1110

508 SAV-RX 8662334239 PO BOX 8 FREMONT NE 68026-0000

D3Q SCAN HEALTH PLAN 3800 KILROY AIRPORT WAY SUITE 100 LONG BEACH CA 90806-0000

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Code Carrier Name Phone Number Address Address Line 1 City State Zip Code

753 SCOTT AND WHITE HEALTH PLAN 8003217974 P.O. BOX 21800 EAGAN MN 55121-0800

D9J SCOTT AND WHITE PLAN TEXAS RX BASIC 600 NEW LONDON CRANSTON RI 02920-0000

667 SCRIPT WORLD 8008302310 4246 RIVERBOAT RD SUITE 175 SALT LAKE CITY UT 84123-0000

D7A SECURE HHORIZONS 8002341228 13621 NW 12TH STREET SUNRISE FL 33323-0000

D5C SECURE HORIZONS PO BOX 29550 HOT SPRINGS AR 71903-0000

D5D SECURE HORIZONS

275 GROVE STREET SUITE 3-

120 AUBURNDALE MA 02466-0000

D2T

SECURE HORIZONS BY UNITED

HEALTHCARE PO BOX 29800 HOT SPRINGS AR 71903-0000

D5Y

SECURE HORIZONS BY UNITED

HEALTHCARE

ONE EMBASSY CENTER SUITE

420

9820

WASHINGTON

ROAD PORTLAND OR 97223-0000

D2Q

SECURE HORIZONS BY UNITED

HEALTHCARE 44 SOUTH BROADWAY WHITE PLAINS NY 10601-0000

D3T

SECURE HORIZONS BY UNITED

HEALTHCARE 44 SOUTH BROADWAY 14TH FLOOR WHITE PLAINS NY 10601-0000

D2P

SECURE HORIZONS BY UNITED

HEALTHCARE PO BOX 29800 HOT SPRINGS AR 71903-0000

D3P

SECURE HORIZONS BY UNITED

HEALTHCARE 13621 NW 12 STREET SUNRISE FL 33323-0000

D2R

SECURE HORIZONS BY UNITED

HEALTHCARE 44 SOUTH BROADWAY 14TH FLOOR WHITE PLAINS NY 10601-0000

D3C

SECURE HORIZONS BY UNITED

HEALTHCARE 1 PENN PLAZA 8TH FLOOR NEW YORK NY 10119-0000

D39

SECURE HORIZONS MEDICARE ADVANTAGE

PLAN 8003855588 PO BOX 489 CYPRESS CA 90630-0000

D2N SECURE HORIZONS MEDICARE DIRECT 13621 NW 12TH STREET SUNRISE FL 33323-0000

D7Q SECURE HORIZONS UHC-PACIFICARE 8888675517 FL075-1000 13621 NW 12ST SUNRISE FL 33323-0000

DC9 SECURITY BLUE VALUE RX 8009352583 P O BOX 226 PITTSBURGH PA 15222-0000

D1I SECURITY CHOICE PLUS PO BOX 9092 OXNARD CA 93031-0000

D6O SECURITY CHOICE PLUS (PFFS) 8009495384 PO BOX 86773 ST LOUIS MO 83166-0000

604 SECURITY LIFE INSURANCE COMPANY 8003284667 10901 RED CIRCLE DRIVE MINNETONKA MN 55343-0000

170 SEDGWICK INSURANCE 6173576716 40 BROAD STREET BOSTON MA 02109-0000

D5N SELECT ADVANTAGE SILVER

1901 MARKET STREET 28TH

FLOOR PHILADELPHIA PA 19103-0000

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Code Carrier Name Phone Number Address Address Line 1 City State Zip Code

D2F SELECT CARE OF TEXAS LLC 4888 LOOP CENTRAL DRIVE SUITE 300 HOUSTON TX 77081-0000

283 SELMAN & COMPANY 8006031212 6110 PARKLAND BLVD. CLEVELAND OH 44124-4187

D25 SENIOR PARTNERS 8887769466 833 CHESTNUT STREET SUITE 900 PHILADELPHIA PA 19107-0000

D60 SENIOR WHOLE HEALTH 8885663526 58 CHARLES STREET 2ND FLOOR CAMBRIDGE MA 02141-0000

599 SENTARA HEALTHCARE 8002298822 6015 POPLAR HALL DRIVE NORFOLK VA 23502-0000

171

SERVICE BENEFIT PLAN RETAIL PHARMACY

PROGRAM 8006245060 PO BOX 52057 PHOENIX AZ 85072-2057

748 SEVEN CORNERS INC 3175752652 303 CONGRESSIONAL BLVD CARMEL IN 46032-0000

666 SHEFFIELD OLSON & MCQUEEN 8883308480 1000 GREAT WEST DR KENNETT MO 63857-0000

506 SHENANDOAH LIFE INSURANCE CO. 8008485433 PO BOX 12847 ROANOKE VA 24029-0000

675 SIERRA NEVADA 5302713200 PO BOX 15645 LAS VEGAS NV 89114-5645

D47 SIERRA RX 8667890565 PO BOX 15645 LAS VEGAS NV 89114-0000

D13 SILVER SCRIPT 8665526106 PO BOX 688 MAHWAH NJ 07430-0000

D8J SILVER SCRIPT VALUE 8662355660 PO BOX 52067 PHOENIX AZ 85072-0000

D54 SIMPLY PRESCRIPTIONS 8006591986 PO BOX 40246 BUFFALO NY 14201-0000

736 SISCO 5862540020 6605 19? MILE ROAD STERLING HEIGHTS OH 48314-0000

698 SISCO (SELF INSURED SERVICES, INC) 8004574726 151 W 8TH ST DUBUQUE IA 52001-0000

439 SISTERS OF MERCY 8005783272 37 INDUSTRIAL DRIVE SUITE E EXETER NH 03833-4593

D6U SMARTVALUE PLUS ( PFFS) 8884458916 PO BOX 9154 OXNARD CA 93031-0000

440 SMC RX 8002739166 4535 MISSOURI FLAT ROAD SUITE 200 PLACERVILLE CA 95667-0000

786 SMITH RX 8445123030 PO BOX 77864 SAN FRANCISCO CA 94107-0000

D7X SOUTH COUNTY HEALTH ALLIANCE 5074447770 110 WEST FREMONT STREET OWATONNA MN 55060-0000

285 SPECIALTY RISK SERVICES 8002243696 PO BOX 4787

MEDICAL

MANAGEMENT

CTR. SYRACUSE NY 13221-0000

489 SPECTERA 8006383120 PO BOX 30978 SALT LAKE CITY UT 84130-0000

532 STANDARD INSURANCE COMPANY 8005479515 P.O. BOX 82622 LINCOLN NE 68501-2622

237 STAR ADMINISTRATIVE SERVICES 8003085948 PO BOX 55270 PHOENIX AZ 85078-5270

475 STAR HRG 8002884474 PO BOX 54150 PHOENIX AZ 85078-0000

286 STARBRIDGE T/A CIGNA 8008590086 PO BOX 70529 LOUISVILLE KY 40270-0529

519 STARMARK 8005221246 PO BOX 2942 CLINTON IA 52733-2942

378 STATE FARM INSURANCE 6035247733 HEALTH DIVISION PO BOX 8000 BALLSTON SPA NY 12020-0000

093 STATE MUTUAL LIFE ASSURANCE 8004236011 440 LINCOLN STREET

DEPT N082 - GR

HLTH WORCESTER MA 01653-0000

175 STATE OF R.I. WORKERS COMPENSATION 4012226571 1 CAPITOL HILL PROVIDENCE RI 02908-0000

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Code Carrier Name Phone Number Address Address Line 1 City State Zip Code

174

STATEWIDE SCHOOLS CORPORATIVE

HEALTH PLAN 8006797247 PO BOX 11450 ALBANY NY 12211-0450

D73 STERLIND LIFE INSURANCE COMPANY 16 INTERNATIONAL WAY WARWICK RI 02886-0000

287 STERLING & STERLING 2038761660 20 ARMORY LANE MILFORD CT 06460-0000

D14 STERLING PRESCRIPTION DRUG PLAN 8006880010 PO BOX 1917 BELLINGHAM WA 98227-0000

571

STRATEGIC RESOURCE CO. ATENA /

DENTAL 8887729682 PO BOX 23759 COLUMBIA SC 29224-0000

300 STRATEGIC RESOURCE CO./ ATENA 8887729682 PO BOX 23759 COLUMBIA SC 29224-0000

573

STRATEGIC RESOURCES CO. ATENA /

PHARMACY 8887729682 PO BOX 23759 COLUMBIA SC 29224-0000

572 STRATEGIC RESOURCES CO./ MEDICAL 8887729682 PO BOX 23759 COLUMBIA SC 29224-0000

D99 SUMMIT HEALTH PLAN, INC. 300 SOUTH PARK ROAD HOLLYWOOD FL 33021-0000

D8B SUMMIT PLUS 8667978648 1340 CONCORD TERRACE SUNRISE FL 33323-0000

238 SUN HEALTHCARE GROUP 8007593098 PO BOX 93098 ALBUQUERQUE NM 87199-0000

788 SUN LIFE FINANCIAL 8004427742 PO BOX 2940 CLINTON IA 52733-0000

451 SUPERIOR VISION 8005073800 PO BOX 967 RANCHO CORDOVA CA 95741-0000

670 SXC HEALTHSPRING 8885465502 PO BOX 3163 LISLE IL 60532-0000

DC8 SYMPHONIX RITE AID 8002206773 P O BOX 29046 HOT SPRINGS AR 71903-0000

176 SYSTEMED PHARMACY, INC 8007293784 PO BOX 94785 CLEVELAND OH 44101-4785

182 T.R. PAUL GROUP 8006788161 14 COMMERCE ROAD NEW TOWN CT 06470-0000

442 TAYLOR BENEFIT RESOURCE, INC. 8883525246 PO BOX 6580 THOMASVILLE GA 31758-0000

180 TDI MANAGED CARE 4129672300 620 EPSILON DRIVE PITTSBURGH PA 15238-0000

319 TEAMSTERS CARE 8002256135 61 SEVER STREET CHARLESTOWN MA 02129-0000

320 TEAMSTERS LOCAL 59 5089960231 27 SOUTH 6TH STREET NEW BEDFORD MA 02740-0000

484 TEAMSTERS RX 8668880105 PO BOX 4604 MANCHESTER NH 03108-0000

D42 TENET CHOICES 65 8006318443 200 W. ESPLANADE AVENUE SUITE 600 KENNER LA 70065-0000

D7W TEXAS FIRST HEALTH PLAN 8009582707

4888 LOOP CENTRAL DRIVE

SUITE HOUSTON TX 77081-0000

D43

TEXAS HEALTHSPRING PRESCRIPTION DRUG

PLAN 8008462098 2900 NORTH LOOP WEST SUITE 1300 HOUSTON TX 77092-0000

201 THE BENEFIT GROUP 4026978094 11725 ARBOR STREET OMAHA NE 68144-0000

056 THE EQUITABLE 8007829355 PO BOX 3000 LANCASTER SC 29721-3000

590 THE LOOMIS COMPANY 8669156618 PO BOX 7011 WYOMISSING PA 19610-0000

242 THE TPA 8002471740 PO BOX 29050 PHOENIX AZ 85038-0000

441 THE TRUST RISK MANAGEMENT 4014386511 501 WAMPANOAG TRAIL SUITE 301 EAST PROVIDENCE RI 02915-0000

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Code Carrier Name Phone Number Address Address Line 1 City State Zip Code

443 TIAA-CREF 8778298958 PO BOX 5714 HOPKINS MN 55343-0000

D1Z TODAY'S OPTION 4888 LOOP CENTRAL DRIVE SUITE 800 HOUSTON TX 77081-0000

438 TOTAL CLAIMS SOLUTION 8003760110 PO BOX 10888 GREEN BAY WI 54307-0880

771 TOTAL PLAN CONCEPTS 8774352063 571 MC DONALD AVE BRROKLYN NY 11218-0000

241 TOTAL PLAN SERVICES 8009695238 PO BOX 11379 PORTLAND ME 04104-7379

D4W TOUCHSTONE HEALTH CHURCH STREET STATION PO BOX 990 NEW YORK NY 10008-0000

181 TPA UNITED HEALTH CARE 2032341614 PO BOX 218 NORTH HAVEN CT 06473-0000

680 TR. PAUL, INC 8663344553 PO BOX 14669 CINCINNATI OH 45246-0000

478 TRANS AMERICA 8778510906 BOON ADM SERV, INC PO BPX 559017 AUSTIN TX 78755-0000

TB1 TRANSPORTATION BROKER PROGRAM 8553309129

30 CHAPEL VIEW BLVD, SUITE

100 CRANSTON RI 02920-0000

0K8 TRAVELERS 2032812000 1952 WHITNEY AVE HAMDEN CT 06517-0000

0BC TRAVELERS INSURANCE 8602770111 ONE TOWER SQUARE HARTFORD CT 06183-1100

0D7 TRAVELERS INSURANCE CO. 2032812000 1952 WHITNEY AVE HAMDEN CT 06517-0000

0BD TRAVELERS PROPERTY & CASUALTY 8002386225 PO BOX 1450 MIDDLEBORO MA 02344-1450

213 TRIAD, LLC 8606524400 115 GLASTONBURY BLVD GLASTONBURY CT 06033-0000

05A TRICARE FOR LIFE 8667730404 PO BOX 7889 MADISON WI 53707-7889

005

TRICARE/CHAMPUS REGION 1

CLAIMS/HUMANA MILIT 8004445445 PO BOX 870140

NORTH REGION

CLAIMS SURFSIDE BEACH SC 29587-0000

179 TRIGON BLUE CROSS 8004510361 PO BOX 13087 ROANOKE VA 24031-3087

D6E TRIPLE-S SALUD, INC PO BOX 363628 SAN JUAN PR 00936-0000

D1W TRIPLE-S, INC. PO BOX 363628 SAN JUAN PR 00936-0000

D91 TRIPLE-S, INC. PO BOX 363628 SAN JUAN PR 00936-0000

D2D TRIPLE-S, INC. PO BOX 363628 SAN JUAN PR 00936-0000

166 TROA MEDIPLUS CLAIMS 8002472192 PO BOX 9126 DES MOINES IA 50306-9126

757 TRUSTMARK (FORMER NGS AMERICAN INC) 8005211555 P.O. BOX 2310 MT CLEMENS MI 48046-0000

380 TRUSTMARK INSURANCE - DENTAL 8003962850 PO BOX 2980 CLINTON IA 52733-0000

379 TRUSTMARK INSURANCE CO. 8773675690 PO BOX 9055 BOARDMAN OH 44513-9055

89B TUFTS 8888842404 PO BOX 9163 WATERTOWN MA 02471-9163

D6W TUFTS HEALTH CARE 8007019000

705 MT AUBURN STREET PO

BOX 91 WATERTOWN MA 02471-0000

D3M TUFTS HEALTH PLAN 705 MT AUBURN STREET WATERTOWN MA 02471-0000

89A TUFTS HEALTH PLAN (PPO) 8888842404 PO BOX 9185 WATERTOWN MA 02471-9185

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Code Carrier Name Phone Number Address Address Line 1 City State Zip Code

089 TUFTS TOTAL HEALTH PLAN 8888842404 PO BOX 9163 WATERTOWN MA 02710-2471

090 U.S. HEALTHCARE 8006240756 PO BOX 1125 BLUE BELL PA 19422-0000

027 U.S. LIFE INSURANCE CO. PO BOX 15205 READING PA 19612-5205

D90 UCARE MINNESOTA 2000 SUMMER STREET, NE MINNEAPOLIS MN 55413-0000

321

UFCW NATIONAL HEALTH & WELFARE

FUND 8887738329 PO BOX 751 ENGLEWOOD NJ 07631-0000

758 ULTRA BENEFITS INC 8668587223 29 E MOUNTAIN STREET SUITE 2 WORCESTER MA 01606-1400

444 ULTRABENEFITS 8668587223 PO BOX 763 WESTBORO MA 01581-0000

528 UMR (UNITED MEDICAL RESOURCES) 8772331800 PO BOX 30541 SALT LAKE CITY UT 84130-0000

D15 UNICARE 8009286201 PO BOX 9092 OXNARD CA 93031-0000

381 UNICARE 8003333304 PO BOX 51180 INDIAN ORCHARD MA 01151-0000

193 UNICARE HEALTH & LIFE INSURANCE 8004429300 PO BOX 9016 ANDOVER MA 01810-0000

445 UNICARE INSURANCE PO BOX 4071 SCHAUMBURG IL 60168-0000

290 UNICARE INSURANCE 8002888630 PO BOX 51130 SPRINGFIELD MA 01151-0000

191 UNICARE INSURANCE 8005439121 PO BOX 5003 BOWLINGBROOK IL 60440-0000

194 UNICARE INSURANCE 8003674949 PO BOX 26060 GREENSBORO NC 27420-6060

177 UNICARE INSURANCE COMPANY 8004429300 PO BOX 60004 CITY OF INDUSTRY CA 91716-0000

244 UNICARE-DOW CHEMICAL 8007369369 PO BOX 833813 RICHARDSON TX 75083-0000

246 UNION FIDELITY INSURANCE 8005235758 4860 STREET ROAD TREVOSE PA 19049-0000

0E3 UNION LABOR LIFE 8778002956 161 FORBES ROAD SUITE 204 BRAINTREE MA 02184-0000

0E2 UNION LABOR LIFE INS. CO. 8778002956 260 PARK AVE NEW YORK NY 10010-0000

D2S UNISON ADVANTAGE 300 OXFORD DRIVE MONROEVILLE PA 15146-0000

D7E

UNISON ADVANTAGE, THREE RIVERS

HEALTH GROUP 8002904009

UNISON PLAZA 1001 BRINTON

ROAD PITTSBURGH PA 15221-0000

446 UNITED AMERICAN INSURANCE CO. 9725295085 PO BOX 268818 OKLAHOMA CITY OK 73126-8818

D17 UNITED AMERICAN INSURANCE CO. 8665244169 3700 S. STONEBRIDGE DRIVE MC KINNEY TX 75070-0000

0M3 UNITED CHAMBERS TRUST 7088975000 P.O. BOX 3048 NAPERVILLE IL 60566-0000

189 UNITED CONCORDIA (UCCI) 8663573304 TDP-CLAIM PROCESSINGNG PO BOX 69421 HARRISBURG PA 17106-9421

447

UNITED FOOD & COMMERICAL WORKERS

NATL. FUND 8887738329 PO BOX 751 ENGLEWOOD NJ 07631-0000

D6T UNITED HEALTH CARE 8888675517 9900 BREN ROAD E MINNETONKA MN 55343-0000

D9K UNITED HEALTH CARE MEDICARERX 600 NEW LONDON AVE CRANSTON RI 02920-0000

184 UNITED HEALTH CARE/COLORADO 8006383933 PO BOX 2925 ENGLEWOOD CO 80150-0125

192 UNITED HEALTH CARE/GEORGIA 8002419964 PO BOX 2517 SMYRNA GA 30081-0000

186 UNITED HEALTH CARE/N.C. 8003342400 PO BOX 26723 GREENSBORO NC 27417-0000

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D92 UNITED HEALTH GROUP 275 GROVE STREET SUITE 3-120 AUBURNDALE MA 02466-0000

534 UNITED HEALTH INTEGRATED SERVICES 8007084414 PO BOX 30783 SALT LAKE CITY UT 84130-0783

293 UNITED HEALTH PLAN OF NEW YORK 8009424640 PO BOX 1600 KINGSTON NY 12402-0000

457 UNITED HEALTHCARE PO BOX 981502 EL PASO TX 79998-1502

D62 UNITED HEALTHCARE 8885567052 PO BOX 29350 HOT SPRINGS AR 71903-0000

245 UNITED HEALTHCARE 8004477020 PO BOX 650403 DALLAS TX 75265-0000

D16 UNITED HEALTHCARE 8888675564 PO BOX 29300 HOT SPRINGS AR 71903-0000

MEU

UNITED HEALTHCARE - MEDICAID

EXPANSION 4017327434 475 KILVERT STREET WARWICK RI 02886-0000

RHU

UNITED HEALTHCARE - RHODY HEALTH

PARTNERS 4017327152 475 KILVERT STREET WARWICK RI 02886-0000

UHC

UNITED HEALTHCARE DENTAL - RITE

SMILES 4017327152 475 KILVERT STREET WARWICK RI 02886-0000

382

UNITED HEALTHCARE FOR DENTAL

SERVICES 8778163596 PO BOX 30560 BETHESDA MD 20824-0560

70E UNITED HEALTHCARE GM/DELPHI 8002419964 PO BOX 673588 MARIETTA GA 30067-0000

D1S

UNITED HEALTHCARE INSURANCE CO OF

NEW YORK TWO PENN PLAZA NEW YORK NY 10121-0000

D22 UNITED HEALTHCARE INSURANCE CO. 8003930939 275 GROVE STREET SUITE 3-120 AUBURNDALE MA 02466-0000

D23 UNITED HEALTHCARE INSURANCE CO. 8003930939 275 GROVE STREET SUITE 3-120 AUBURNDALE MA 02466-0000

D21 UNITED HEALTHCARE INSURANCE CO., INC. 8009628251 PO BOX 459016 SUNRISE FL 33345-0000

D76

UNITED HEALTHCARE MEDICARE

COMPLETE 8009736467 9009 CORPORATE LAKE DRIVE TAMPA FL 33634-0000

D8U UNITED HEALTHCARE MEDICARERX 8888675562 PO BOX 2975 SHAWNEE MISSION KS 66201-0000

D6S UNITED HEALTHCARE OF FL 8888675517 4350 WEST CYPRESS SUITE 908 TAMPA FL 33607-0000

D35 UNITED HEALTHCARE OF FLORIDA, INC. 8009736467 9009 CORPORATE LAKE DRIVE TAMPA FL 33634-0000

006 UNITED HEALTHCARE OF NEW ENGLAND 8004221404 PO BOX 659768 SAN ANTONIO TX 78265-9768

D19

UNITED HEALTHCARE OF NEW ENGLAND,

INC. 8009628251 475 KILVERT STREET WARWICK RI 02886-0000

D1V UNITED HEALTHCARE OF NORTH CAROLINA 3803 NORTH ELM STREET GREENSBORO NC 27455-0000

D36 UNITED HEALTHCARE OF OHIO, INC. 8005044848 9050 CENTRE POINT DRIVE SUITE 400 WEST CHESTER OH 45069-0000

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560 UNITED HEALTHCARE STUDENT RESOURCES 8007670700 PO BOX 809025 DALLAS TX 75380-9025

516 UNITED HEALTHCARE STUDENT RESOURCES 8007670700 PO BOX 809025 DALLAS TX 75380-9025

712 UNITED HEALTHCARE VISION 8006383120 P O BOX 30978 SALT LAKE CITY UT 84130-0000

178 UNITED HEALTHCARE/CHEVRON 8006540079 PO BOX 30555 SALT LAKE CITY UT 84130-0000

190 UNITED HEALTHCARE/CONNECTICUT 8004241181 PO BOX 9807 NEW HAVEN CT 06536-0000

185 UNITED HEALTHCARE/FLORIDA 8002571009 PO BOX 9032 CLEARWATER FL 34618-9032

195 UNITED HEALTHCARE/GEORGIA 8008428000 PO BOX 740800 ATLANTA GA 30374-0800

292 UNITED HEALTHCARE/MINNESOTA 8005262414 PO BOX 169050 ROUTE 2971 DULUTH MN 55816-8200

188 UNITED HEALTHCARE/UTAH 8008090453 PO BOX 30304 SALT LAKE CITY UT 84130-0304

383 UNITED HEALTHCARE/UTAH 8008488406 PO BOX 30996 SALT LAKE CITY UT 84130-0000

437

UNITED HEALTHCARE/UTAH-DENTAL

BENEFIT PLAN 8778163596 PO BOX 30567 LAKE CITY UT 84130-0567

294 UNITED MEDICAL RESOURCES, INC. 8009504867 PO BOX 145804 CINCINNATI OH 45250-5804

671 UNITED MEDICAL RESOURCES, INC. 8008269781 4050 S 500 WEST SALT LAKE CITY UT 84123-0000

295 UNITED PACIFIC 443 S. SHATTO PLACE LOS ANGELES CA 90020-0000

06A UNITED SENIOR CARE 8778423210 PO BOX 659768 SAN ANTONIO TX 78265-9768

D7Z

UNIVERSAL HEALTH CARE INSURANCE

COMPANY INC. 8666904842 150 2ND AVENUE N. SUITE 400 ST PETERSBURG FL 33701-0000

D33 UNIVERSAL HEALTH CARE, INC. 8666904842 150 2ND AVENUE NORTH SUITE 400 ST PETERSBURG FL 33701-0000

D85 UNIVERSAL HEALTH CARE, INC. 8666904842 150 2ND AVENUE NORTH SUITE 400 ST PETERSBURG FL 33701-0000

D1Q UNIVERSAL HEALTHCARE INSURANCE CO, 150 2ND AVENUE NORTH SUITE 200 ST PETERSBURG FL 33701-0000

DD1 UNIVERSITY PHYSICIANS CAREADVANTAGE 8778743930 UNIVERSITY OF ARIZONA TUSCON AZ 85721-0000

D2I UNIVERSITY HEALTH CARE, INC. 305 WEST BROADWAY LOUISVILLE KY 40202-0000

DBM UNKNOWN DENTAL PLAN 171 SERVICE AVENUE WARWICK RI 02886-0000

296 UNUM LIFE INSURANCE 8009223420 509 SOUTH LEMOLA ROAD BLDG. #2 MOORES TOWN NJ 08057-0000

592 UPMC 8888762756 PO BOX 2999 PITTSUBRGH PA 15230-0000

D2X UPMC HEALTH PLAN 112 WASHINGTON PLACE SUITE 900 PITTSBURGH PA 15219-0000

509 US FAMILY HEALTH PLAN 8008188589 PO BOX 9195 WATERTOWN MA 02471-9195

27A US LIFE INSURANCE COMPANY PO BOX 15236 READING PA 19612-0000

673 US SCRIPTS 8004608988 2425 WEST SHAW AVENUE FRESNO CA 93711-0000

183 USAA LIFE INSURANCE CO 8005318000 9800 FREDRICKSBURG RD. SAN ANTONIO TX 78288-0346

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672

USABLE INSURANCE/BLUE ADVANTAGE ,

BLUE OF ARK 8668233790 PO BOX 1460 LITTLE ROCK AR 72203-1460

D3L USACARE RX 259 MONROE AVENUE ROCHESTER NY 14607-0000

387 USI ADMINISTRATORS, INC.--CBCA 8666323372 PO BOX 1539 FORT WORTH TX 76101-0000

388 USI RX 8772005533 675 FOXON ROAD SUITE 204 EAST HAVEN CT 06513-0000

92A VALUE RX 8007267220 PO BOX 421150 PLYMOUTH MN 55442-0150

092 VALUE RX 8009456444 30445 NORTHWESTERN HWY FARMINGTON HILLS MI 48334-0000

0S5 VETERANS ADMIN. CTR FEE BASIS 4012737100 830 CHALKSTONE AVE. PROVIDENCE RI 02908-0000

496 VISION BENEFITS OF AMERICA 300 WEYMAN PLAZA PITTSBURGH PA 15236-0000

187 VISION SERVICE PLAN 8008777195 PO BOX 997100 SACRAMENTO CA 95899-7100

D1O VISTA HEALTHPLAN OF SOUTH FLORIDA 300 SOUTH PARK ROAD HOLLYWOOD FL 33021-0000

D94 VISTA HEALTHPLAN, INC. 300 SOUTH PARK ROAD HOLLYWOOD FL 33021-0000

602 VIVA HEALTHCARE 8002947780 PO BOX 55926 BIRMINGHAM AL 35255-0000

D9V VIVA SALUD MEDICARE ADVANTAGE 150 DE DIEGO AVE. SAN JUAN PR 00907-0000

D4D VIVA SALUDE 7877241888 SUITE 701 S SANTURCE PR 00907-0000

D9X VIVA SALUDE 7877241888

MEDICARE ADVANTAGE SUITE

701 S SANTURCE PR 00907-0000

D9B VIVA SALUDE MEDICARE ADVANTAGE 600 NEW LONDON AVE CRANSTON RI 02920-0000

D3D VIVA SALUDE! MEDICARE ADVANTAGE 2217 PLAZA DRIVE SUITE 100 ROCKLIN CA 95765-0000

D4B VNS CHOICE MEDICARE 1250 BROADWAY 3RD FLOOR NEW YORK NY 10001-0000

D7T VNS CHOICE SELECT 2126095602 1250 BROADWAY 3RD FLOOR NEW YORK NEWYORKNY 10001-0000

219 W.J. JONES ADMINISTRATORS 8008317783 1979 MARCUS AVENUE SUITE C101 LAKE SUCCESS NY 11042-0000

674 WALGREENS 8008255467 PO BOX 545 DEERFIELD MI 60015-0000

466 WALGREEN'S HEALTH INITIATIVE (WHI) 8004513101 PO BOX 545 DEERFIELD IL 60015-0000

091 WAL-MART GROUP HEALTH 8004211362 702 SW 8TH STREET BENTONVILLE AR 72716-8086

91A WAL-MART GROUP HEALTH 8004211362 PO BOX 1411

C/O CLEAR

CARE CORP CLEARFIELD PA 16830-0000

325 WAUSAU BENEFITS 8005233578 PO BOX 8079 WAUSAU WI 54402-8079

324 WAUSAU INSURANCE 8668810800 PO BOX 8014 WAUSAU WI 54402-8014

449 WAUSAU/LIBERTY MUTUAL INSURANCE 8004683000 PO BOX 4834 SYRACUSE NY 13221-4834

385 WEA TRUST 8002794000 PO BOX 8220 MADISON WI 53708-8220

522 WEB-TPA 8887922432 PO BOX 1808 GRAPEVINE TX 76099-0000

D34 WELLCARE 8662383885 PO BOX 25885 TAMPA FL 33622-0000

D18 WELLCARE 8884235252 8735 HENDERSON BLVD. TAMPA FL 33634-0000

D5R WELLCARE PO BOX 25885 TAMPA FL 33622-0000

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Code Carrier Name Phone Number Address Address Line 1 City State Zip Code

D6Q WELLCARE 8888889355 PO BOX 31577 TAMPA FL 33631-0000

D6D WELLCARE P.O. BOX 25885 TAMPA FL 33622-0000

D9O WELLCARE CLASSIC 600 NEW LONDON AVE CRANSTON RI 02920-0000

D8Y WELLCARE CLASSIC 8885505252 8735 HENDERSON BLVD TAMPA FL 33634-0000

794 WELLCARE HMO HEALTH PLANS 8884532534 P.O .BOX 31224 TAMPA FL 33631-3224

18A WELLCARE MEDICARE ADVANTAGE PLAN 8334449089 CENTENE PLAZA

7700 FORSYTH

BOULEVARD ST LOUIS MO 63105-0000

D95 WELLCARE OF NEW YORK, INC. PO BOX 25885 TAMPA FL 33622-0000

728 WELLDYNE RX (FL) 8888865822 PO BOX 90369 LAKELAND FL 33804-0000

796

WELLFLEET INTERNATIONAL STUDENTS

INSURANCE 8006337867 P O BOX 15369 SPRINGFIELD MA 01115-0000

688

WELLMARK BLUE CROSS AND BLUE SHIELD

OF IOWA P.O. BOX 9291 DES MOINES IA 50306-0000

448

WELLMARK BLUE CROSS OF SOUTH

DAKOTA 8008314818 1601 WEST MADISON STREET SIOUX FALLS SD 57104-0000

386 WELLPOINT DENTAL 8882097852 PO BOX 9201 OXNARD CA 93031-0000

518 WELLPOINT NEXT RX 8778500185 PO BOX 145433 CINCINNATI OH 45250-0000

377 WELLPOINT PHARMACY 8009627378 PO BOX 27908

ATTN:

PHARMACY

SVCS. WILWAUKEE WI 53227-0000

462 WELLPOINT PHARMACY MANAGEMENT 8007002541

ATTN: BLUE CROSS OF

CALIFORNIA PO BOX 4165 WOODLAND HILLS CA 91365-4165

384 WELLPOINT PHARMACY MANAGEMENT 8882184844 PO BOX 9085

ATTN: CLAIMS

SERVICE OXNARD CA 93031-0000

477 WELLS FARGO DEFINITY HEALTH PLAN 8663334648 PO BOX 9525 AMHERST NY 14226-9525

196 WESTERN FIDELITY INSURANCE CO 8008007201 PO BOX 1250 ROCKFORD IL 61105-0000

584 WESTERN HEALTH ADVANTAGE 9165632250 2349 GATEWAY OAKS DR STE 100 SACRAMENTO CA 95833-0000

247 WILLIS-CORROON 8002558109 PO BOX 305154

ADMINISTRATIV

E SERVICES NASHVILLE TN 37230-5154

D4Y WINDSOR HEALTH PLANS INC

7100 COMMERCE WAY SUITE

285

ATTN:

MARKETING BRENTWOOD TN 37027-0000

D4A WINDSOR RX 7100 COMMERCE WAY SUITE 285 BRENTWOOD TN 37027-0000

248 WOODHALL WEAVING 9736841600 PO BOX AE PATERSON NJ 07509-0000

250 ZURICH INSURANCE 8008185835 PO BOX 9217 BOSTON MA 02205-0000