Payer ID Tech ID OI Code Coverage Type Payer
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Coverage Payer ID Tech ID OI Code Type Payer Phone Street City State Payer Name 600 LAFAYETTE,PO 00029005 359274 05 AS (999) 999-9999 BOX 2500 DETROIT MI BCBSM PO BOX 2500,600 00029010 359274 89 AS (999) 999-9999 LAFAYETTE DETROIT MI BCBSM PO BOX 2500, 600 00029015 359274 87 RX (999) 999-9999 LAFAYETTE DETROIT MI BCBS MEDCO PO BOX 2500,600 00029020 359274 87 RX (999) 999-9999 LAFAYETTE DETROIT MI BCBSM/BCN PHARMACY PO BOX 2500/600 00029021 359274 87 RX (999) 999-9999 LAFAYETTE DETROIT MI MEDCO BCBS 00038005 359274 89 X3 (800) 482-3600 600 LAFAYETTE DETROIT MI BC BS FEDERAL EMPLOYEE PROGRAM 00038010 359274 89 XR (800) 482-3600 600 LAFAYETTE DETROIT MI BC BS FEDERAL EMPLOYEE PROGRAM 00047005 359196 89 AS (877) 874-2273 PO BOX 7021 CAMDEN SC TRICARE/CHAMPUS 00056005 352530 88 DO (616) 254-3000 PO BOX 353 GRAND RAPIDS MI AETNA US HEALTHCARE 00056010 352530 01 AS (800) 635-2095 PO BOX 2295 FORT WAYNE IN AETNA US HEALTHCARE 00056015 352530 01 AS (800) 433-1594 PO BOX 871 FORT WAYNE IN AETNA US HEALTHCARE 7400 WEST CAMPUS 00056020 352530 01 AS (999) 999-9999 ROAD NEW ALBANY OH AETNA US HEALTHCARE 7400 WEST CAMPUS 00056025 352530 01 AS (614) 933-6000 ROAD NEW ALBANY OH AETNA US HEALTHCARE 00056030 352530 89 AS (800) 643-4301 PO BOX 150437 HARTFORD CT AETNA US HEALTHCARE 00056035 352530 01 AS (800) 442-1566 PO 2265 BLUE BELL PA AETNA US HEALTHCARE 00056040 352530 01 AS (414) 266-9700 PO BOX 26279 MILWAUKEE WI AETNA US HEALTHCARE 3541 WINCHESTER 00056045 352530 01 AS (800) 858-5630 ROAD ALLENTOWN PA AETNA US HEALTHCARE 1300 HIGGINS RD 00056050 352530 01 AS (999) 999-9999 SUITE 119 PARK RIDGE IL AETNA US HEALTHCARE 00056055 352530 01 AS (877) 362-0869 PO BOX 981107 EL PASO TX AETNA US HEALTHCARE 00056060 352530 89 AS (800) 972-8614 PO BOX 26279 MILWAUKEE WI AETNA US HEALTHCARE 00056065 352530 01 AS (817) 417-2000 PO BOX 91511 ARLINGTON TX AETNA US HEALTHCARE 00056070 352530 01 AS (800) 434-1927 PO BOX 5569 AKRON OH AETNA US HEALTHCARE PO BOX 2907 LOOP 00056075 352530 01 AS (952) 594-6250 STATION MINNEAPOLIS MN AETNA US HEALTHCARE 00056080 352530 89 AS (877) 371-2009 PO BOX 150409 HARTFORD CT AETNA US HEALTHCARE 4300 B STEET SUITE 00056085 352530 01 AS (907) 561-0011 205 ANCHORAGE AK AETNA US HEALTHCARE 00056090 352530 01 AS (800) 237-3197 PO BOX 12340 FRESNO CA AETNA US HEALTHCARE 00056095 352530 01 AS (877) 272-6375 PO BOX 150409 HARTFORD CT AETNA US HEALTHCARE 00056100 352530 01 AS (800) 770-6803 PO BOX 26107 GREENSBORO NC AETNA US HEALTHCARE 7676 HAZARD CENTER 00056105 352530 89 AS (800) 451-2967 DRIVE SAN DIEGO CA AETNA US HEALTHCARE 00056110 352530 01 AS (714) 888-2060 PO BOX 50031 SAN BERNADINO CA AETNA US HEALTHCARE 00056115 352530 89 AS (888) 632-3862 PO BOX 981107 EL PASO TX AETNA US HEALTHCARE 00056120 352530 89 AS (800) 237-0575 PO BOX 14079 LEXINGTON KY AETNA US HEALTHCARE 00056125 352530 89 AS (800) 942-5208 PO BOX 26190 GREENSBORO NC AETNA US HEALTHCARE 00056130 352530 89 AS (800) 531-9878 PO BOX 2523 FORT WAYNE IN AETNA US HEALTHCARE 00056135 352530 89 AS (800) 635-2095 PO BOX 2295 FORT WAYNE IN AETNA US HEALTHCARE 00056140 352530 89 AS (800) 654-7248 PO BOX 2559 FORT WAYNE IN AETNA US HEALTHCARE 00056145 352530 89 AS (800) 362-9497 PO BOX 5569 AKRON OH AETNA US HEALTHCARE 00056150 352530 89 AS (800) 345-4061 PO BOX 3926 ALLENTOWN PA AETNA US HEALTHCARE 7400 W CAMPUS 00056155 352530 89 AS (614) 933-6000 ROAD NEW ALBANY OH AETNA US HEALTHCARE 00056160 352530 89 AS (800) 454-2239 PO BOX 182756 COLUMBUS OH AETNA US HEALTHCARE 00056165 352530 89 AS (800) 362-9996 PO BOX 1858 BISMARK ND AETNA US HEALTHCARE 00056170 352530 89 AS (800) 227-2641 PO BOX 91555 ARLINGTON TX AETNA US HEALTHCARE 00056175 352530 89 AS (800) 531-5506 PO BOX 52121 MINNEAPOLIS MN AETNA US HEALTHCARE 00056180 352530 89 AS (800) 424-1909 PO BOX 1125 BLUE BELL PA AETNA US HEALTHCARE HMO 00056185 352530 89 AS (800) 557-9726 PO BOX 2520 TYLER TX AETNA US HEALTHCARE 00056190 352530 88 DO (800) 558-0860 PO BOX 14094 LEXINGTON KY AETNA US HEALTHCARE 00056195 352530 89 AS (800) 337-7224 PO BOX 91028 SEATTLE WA AETNA US HEALTHCARE 00056200 352530 89 AS (888) 257-0403 PO BOX 54467 LOS ANGELES CA AETNA US HEALTHCARE 00056210 352530 88 DO (800) 220-5479 PO BOX 44259 JACKSONVILLE FL AETNA US HEALTHCARE DMO 00056215 352530 88 DO (800) 843-3661 PO BOX 15250 ALBANY NY AETNA US HEALTHCARE DMO 00065005 352530 34 AS (999) 999-9999 26555 EVERGREEN RD SOUTHFIELD MI TRAVELERS INSURANCE COMPANY 1701 PINECROFT RD 00065010 352530 34 AS (800) 334-2400 ST300 GREENSBORO NC UNITED HEALTHCARE INS CO 00065015 352530 34 X3 (706) 855-1386 PO BOX 10066 AUGUSTA GA UNITED HEALTHCARE INS CO 00065020 352530 34 AS (800) 582-1005 PO BOX 9806 NEW HAVEN CT UNITED HEALTHCARE INS CO 00065025 352530 34 AS (860) 702-6984 ONE TOWER SQUARE HARTFORD CT UNITED HEALTHCARE INS CO 00065030 352530 34 AS (999) 999-9999 1375 EAST 9TH ST CLEVELAND OH UNITED HEALTHCARE INS CO 00065035 352530 34 AS (516) 296-2000 PO BOX 7005 EAST MEADOW NY UNITED HEALTHCARE INS CO 00065040 352530 34 AS (877) 842-3210 PO BOX 740800 ATLANTA GA UNITED HEALTHCARE INS CO 00065045 352530 34 AS (800) 357-1359 ONE PRAIRIE CT MATTESON IL UNITED HEALTHCARE INS CO 00065050 352530 34 AS (804) 254-4000 PO BOX C32056 RICHMOND VA UNITED HEALTHCARE INS CO 00065055 352530 34 AS (999) 999-9999 PO BOX 323 GRAND RAPIDS MI UNITED HEALTHCARE INS CO 00065060 352530 34 AS (800) 809-0453 PO BOX 30304 SALT LAKE CITY UT UNITED HEALTHCARE INS CO 00065065 352530 34 AS (800) 874-5693 PO BOX 3098 NAPERVILLE IL BENESIGHT 00065070 352530 34 AS (999) 999-9999 PO BOX 16676 COLUMBUS OH UNITED HEALTHCARE INS CO 00065075 352530 34 AS (800) 547-7433 PO BOX 700 VOORHEES TWNSHP NJ UNITED HEALTHCARE INS CO 2205 W WABASH AVE 00065080 351113 38 AS (800) 258-6534 #211 SPRINGFIELD IL RAILROAD MAINT & IND H & W 00065085 352530 34 AS (518) 437-0038 PO BOX 22010 ALBANY NY UNITED HEALTHCARE INS CO 00065090 352530 34 AS (516) 296-2000 90 MERRICK AVE LONG ISLAND NY TRAVELERS PLAN ADMINISTRATION 00065095 352530 34 AS (999) 999-9999 PO BOX 6533 ENGLEWOOD CO UNITED HEALTHCARE INS CO 5214 MARYLAND 00065100 352530 34 AS (615) 373-3207 SUITE 207 BRENTWOOD TN UNITED HEALTHCARE INS CO 00065101 352530 34 AS (215) 371-3711 850 PARK RD NORTH WYOMISSING PA UNITED HEALTHCARE INS CO WEST GATE CTR STE 00065102 352530 34 AS (404) 393-7500 BLDG B AUGUSTA GA UNITED HEALTHCARE INS CO 3401 WEST END AVE 00065103 352530 34 AS (615) 747-5200 STE690 NASHVILLE TN UNITED HEALTHCARE INS CO 00065104 352530 34 AS (800) 338-0327 PO BOX 380 PUEBLO CO BENESIGHT 00065105 352530 34 AS (999) 999-9999 PO BOX 17076 BALTIMORE MD UNITED HEALTHCARE INS CO 00065106 352530 34 AS (314) 425-8500 PO BOX 66878 ST LOUIS MO UNITED HEALTHCARE INS CO 00065107 352530 34 AS (800) 842-8000 PO BOX 473505 CHARLOTTE NC UNITED HEALTHCARE INS CO 00065108 352530 34 AS (800) 945-0150 415 N MCKINLEY LITTLE ROCK AR UNITED HEALTHCARE INS CO 7878 N 16TH ST, STE 00065109 352530 34 AS (602) 861-8600 140 PHOENIX AZ UNITED HEALTHCARE INS CO 00065110 352530 34 AS (800) 732-1086 PO BOX 2258 BREA CA UNITED HEALTHCARE INS CO 00065111 352530 34 AS (813) 281-6200 PO BOX 30015 TAMPA FL UNITED HEALTHCARE INS CO 00065112 352530 34 AS (617) 777-2800 208 ROSEWOOD DANVERS MA UNITED HEALTHCARE INS CO 00065113 352530 34 AS (800) 848-8406 PO BOX 740801 ATLANTA GA UNITED HEALTHCARE INS CO 00065114 352530 34 AS (999) 999-9999 250 JOHNSON RD MORRIS PLAINS NJ UNITED HEALTHCARE INS CO 00065115 352530 34 AS (801) 486-3161 7090 S UNION PARK MIDVALE UT UNITED HEALTHCARE INS CO 00065116 352530 34 AS (800) 426-9930 1200 6TH SEATTLE WA UNITED HEALTHCARE INS CO 00065117 352530 34 AS (999) 999-9999 PO BOX 29130 OVERLAND PARK KS UNITED HEALTHCARE INS CO 00065118 358569 38 AS (800) 441-3978 PO BOX 10319 DES MOINES IA CONSECO SENIOR HEALTH INS CO 00065119 352530 34 AS (999) 999-9999 PO BOX 441280 INDIANAPOLIS IN TRAVELERS IMASERV INC 00065120 352530 34 AS (800) 447-7020 PO BOX 901069 FORT WORTH TX UNITED HEALTHCARE INS CO 00065123 352530 34 AS (888) 334-6974 PO BOX 350 PUEBLO CO BENESIGHT 00065125 352530 34 AS (801) 942-6200 PO BOX 71409 SALT LAKE CITY UT UNITED HEALTHCARE INS CO 00065130 352530 34 AS (800) 872-8323 PO BOX 7046 ROCKFORD IL BENESIGHT 00065135 352530 89 AS (800) 648-4480 PO BOX 7046 ROCKFORD IL BENESIGHT 00065140 352530 89 AS (800) 842-8000 PO BOX 473505 CHARLOTTE NC UNITED HEALTHCARE INS CO 00065145 352530 89 AS (800) 842-6562 PO BOX 26721 GREENSBORO NC UNITED HEALTHCARE INS CO 00065150 352530 89 AS (800) 842-1126 PO BOX 30555 SALT LAKE CITY UT UNITED HEALTHCARE INS CO 00065155 352530 89 AS (630) 637-4400 PO BOX 3098 NAPERVILLE IL BENESIGHT 00065160 352530 89 AS (877) 842-3210 PO BOX 740800 ATLANTA GA UNITED HEALTHCARE INS CO 00065165 352530 89 AS (800) 528-8778 PO BOX 30298 TAMPA FL UNITED HEALTHCARE INS CO 600 COLONIAL 00065170 352530 34 AS (407) 660-0202 CENTER PKWY LAKE MARY FL BENESIGHT 00065175 352530 89 AS (800) 842-9905 PO BOX 30985 SALT LAKE CITY UT UNITED HEALTHCARE INS CO 00065180 352530 89 AS (877) 832-7734 PO BOX 30551 SALT LAKE CITY UT UNITED HEALTHCARE INS CO 00065185 352530 89 AS (800) 732-1086 PO BOX 2258 BREA CA UNITED HEALTHCARE INS CO 00074005 351113 33 AS (313) 964-2400 2700 TRUMBULL DETROIT MI MI CONF OF TEAMSTERS WELFARE 00074010 351113 89 XR (313) 964-2400 2700 TRUMBULL DETROIT MI MI CONFERENCE OF TEAMSTERS 00074020 351113 86 VO (313) 964-2400 2700 TRUMBULL DETROIT MI MI CONF OF TEAMSTERS WELFARE/DELTA VISION 00074025 351113 88 DO (313) 964-2400 PO BOX 331237 DETROIT MI MI CONF OF TEAMSTERS WELFARE 00083005 358569 31 AS (999) 999-9999 PO BOX 1143 MINNEAPOLIS MN PRUDENTIAL INSURANCE COMPANY 00083010 358569 31 AS (999) 999-9999 PO BOX