Blue Cross Blue Shield of Michigan, Electronic Interchange Group Professional Commercial Payer List 8/7/2012 Payer Claim ID Office # Type Name Address City St Zip 98999 2691 X A.B.S. BANKERS PO BOX 37511 OAK PARK MI 48237 98999 0248 X A.B.S. BANKERS CLAIM SER. PO BOX 37504 OAK PARK MI 48237 98999 1275 X AAA MI REVIEW DOF 443 PO BOX 26260 SAN DIEGO CA 921960260 98999 0803 X AAA MI REVIEW UNIT DOF 44 PO BOX 26260 SAN DIEGO CA 921960260 98999 1311 X AAA MI REVIEW UNIT DOF 44 PO BOX 26260 SAN DIEGO CA 921960260 98999 1318 X AAA MI REVIEW UNIT DOF 44 PO BOX 26260 SAN DIEGO CA 921960260 98999 1348 X AAA MI REVIEW UNIT DOF 44 PO BOX 26260 SAN DIEGO CA 921960260 98999 1507 X AAA MI REVIEW UNIT DOF 44 PO BOX 26260 SAN DIEGO CA 921960260 98999 1522 X AAA MI REVIEW UNIT DOF 44 PO BOX 26260 SAN DIEGO CA 921960260 98999 1705 X AAA MI REVIEW UNIT DOF 44 PO BOX 26260 SAN DIEGO CA 921960260 98999 1744 X AAA MI REVIEW UNIT DOF 44 PO BOX 2946 CLINTON IA 52733 98999 1831 X AAA MI REVIEW UNIT DOF 44 PO BOX 26260 SAN DIEGO CA 921960260 98999 1981 X AAA MI REVIEW UNIT DOF 44 PO BOX 26260 SAN DIEGO CA 921960260 98999 2007 X AAA MI REVIEW UNIT DOF 44 PO BOX 26260 SAN DIEGO CA 921960260 98999 2417 X AAA MI REVIEW UNIT DOF 44 PO BOX 26260 SAN DIEGO CA 921960260 98999 2418 X AAA MI REVIEW UNIT DOF 44 PO BOX 26260 SAN DIEGO CA 921960260 98999 2598 X AAA MI REVIEW UNIT DOF 44 PO BOX 26260 SAN DIEGO CA 921960260 98999 2943 X AAA MI REVIEW UNIT DOF 44 PO BOX 26260 SAN DIEGO CA 921960260 98999 0198 X AARP CLAIM UNIT OBRA PO BOX 740819 ATLANTA GA 303740819 98999 2178 X AARP CLAIMS UNIT PO BOX 740819 ATLANTA GA 303740819 98999 0404 X AARP PRUDENTIAL CLAIMS PO BOX 740819 ATLANTA GA 303740819 36273 E AARP UNITEDHEALTHCARE ALL CLAIM OFFICE ADDRESSES 98999 2816 X ABS BANKERS PO BOX 37504 OAK PARK MI 48237 98999 1484 X ACCIDENT FUND OF MICHIGAN 232 S CAPITOL AVE LANSING MI 48901 98999 1581 X ACCIDENT FUND OF MICHIGAN PO BOX 40790 LANSING MI 48901 87815 E ACCORDIA NATIONAL ALL CLAIM OFFICE ADDRESSES 98999 2970 X ACEC HEALTHPLAN SERVICES PO BOX 44109 LAS VEGAS NV 89116 98999 2202 X ACTION INDUSTRIES PO BOX 1627 TUPELO MS 38802 98999 1449 X ADMIN SERVICE CONSULTANT 213 STANFORD PK FINDLAY OH 45840 98999 0289 X ADMIN SERVICE CONSULTANTS PO BOX 928 FINDLAY OH 45839 98999 2183 X ADMIN SYSTEMS RESEARCH PO BOX 6392 GRAND RAPIDS MI 49516 38265 E ADMIN SYSTEMS RESEARCH AS ALL CLAIM OFFICE ADDRESSES 98999 0924 X ADMINISTRATION SYSTEMS PO BOX 6392 GRAND RAPIDS MI 48506 98999 1452 X ADMINISTRATIVE SERVICES 215 STANFORD PK FINDLAY OH 45840 98999 2601 X ADOPTION SUBSIDY PROGRAM PO BOX 30037 LANSING MI 48909 Type column: X=print and mail, D=direct electronic connection to payer from BCBSM EDI, E=electronic transmission through clearinghouse BCBSM is a non profit corporation and independent licensee of the Blue Cross and Blue Shield Association 1 Blue Cross Blue Shield of Michigan, Electronic Interchange Group Professional Commercial Payer List 8/7/2012 Payer Claim ID Office # Type Name Address City St Zip 98999 0957 X ADULTCARE PO BOX 6910 CANTON OH 44706 98999 2750 X ADVANCED INSURANCE ADMIN 1525 MERRILL STE 2000 LITTLE ROCK AR 72211 25133 0003 E ADVANTRA FREEDOM ALL CLAIM OFFICE ADDRESSES 25152 E ADVANTRA FREEDOM ALL CLAIM OFFICE ADDRESSES 60054 NOCD E AETNA ALL CLAIM OFFICE ADDRESSES 98999 1387 X AFLAC 1932 WYNNTON ROAD COLUMBUS GA 31999 98999 1354 X ALEXIS CORP. SERVICE 17187 NORTH LAUREL PARK DR LIVONIA MI 48152 37308 E ALLIED BENEFIT SYSTEMS ALL CLAIM OFFICE ADDRESSES 98999 1464 X ALLIED BENEFIT SYSTEMS 208 S LASALLE STE 1300 CHICAGO IL 60604 98999 1927 X ALLSTATE 6200 HAGGERTY RD CANTON MI 48187 98999 2747 X ALLSTATE 7200 W SAGINAW HWY LANSING MI 48917 98999 0742 X ALLSTATE CLAIMS OFFICE PO BOX 380 FLINT MI 48501 98999 1736 X ALLSTATE INS CO 37650 GARFIELD MT CLEMENS MI 48043 98999 2817 X ALLSTATE INS. CO. PO BOX 85690 WESTLAND MI 48185 98999 1674 X ALLSTATE INSURANCE CO 3200 EAGLE PARK DR. NE GRAND RAPIDS MI 49505 98999 2619 X ALLSTATE INSURANCE COMP. 100 GALLERIA STE 300 SOUTHFIELD MI 48034 25133 0001 E ALTA HEALTH STRATEGIES ALL CLAIM OFFICE ADDRESSES 98999 1472 X AMERA PLAN 3001 W BIG BEAVER #320 TROY MI 48084 34187 E AMERICAN BENEFIT MANAGEME ALL CLAIM OFFICE ADDRESSES 98999 0720 X AMERICAN BENEFITS MANAGE PO BOX 35008 CANTON OH 44735 60305 E AMERICAN COMMUNITY MUT IN ALL CLAIM OFFICE ADDRESSES 98999 0409 X AMERICAN EXECUTICE ASSOC PO BOX 141700 GRAND RAPIDS MI 49514 98999 2869 X AMERICAN FMLY HLTHCARE NE 6000 AMERICAN PKWY MADISON WI 53783 98999 0177 X AMERICAN INTERNATIONAL PO BOX 25050 WILMINGTON DE 19899 81400 E AMERICAN MEDICAL SECURITY ALL CLAIM OFFICE ADDRESSES 60739 E AMERICAN NATIONAL INS CO ALL CLAIM OFFICE ADDRESSES 98999 0170 X AMERICAN NATIONAL INS CO PO BOX 1520 GALVESTON TX 77553 44444 NOCD E AMERICAN POSTAL WORKERS U ALL CLAIM OFFICE ADDRESSES 42011 E AMERICAN REPUBLIC INS CO ALL CLAIM OFFICE ADDRESSES 98999 2822 X AMERICAN STATES INS. CO. PO BOX 299 SOUTHFIELD MI 48037 98999 2924 X AMERICAN WHOLE HLTH NETWO PO BOX 503 HARTLAND WI 53029 54763 E AMERIHEALTH ADMINISTRATOR ALL CLAIM OFFICE ADDRESSES 98999 1427 X AMERISURE COMPANIES PO BOX 116 GRAND RAPIDS MI 49501 98999 0516 X AMERISURE COMPANIES PO BOX 2060 FARMINGTON HILL MI 48333 98999 0202 X AMERISURE INSURANCE COMP. PO BOX 116 GRAND RAPIDS MI 49501 Type column: X=print and mail, D=direct electronic connection to payer from BCBSM EDI, E=electronic transmission through clearinghouse BCBSM is a non profit corporation and independent licensee of the Blue Cross and Blue Shield Association 2 Blue Cross Blue Shield of Michigan, Electronic Interchange Group Professional Commercial Payer List 8/7/2012 Payer Claim ID Office # Type Name Address City St Zip 98999 0010 X AMICA 900 VICTORS WAY ANN ARBOR MI 48106 98999 2898 X AMO BENEFIT PLAN PO BOX 35 DANIA FL 33004 38254 E AMWAY CORPORATION ALL CLAIM OFFICE ADDRESSES 75278 E ARKANSAS BEST CORPORATION ALL CLAIM OFFICE ADDRESSES 98999 2422 X ASO NORTH AMERICA INDIANA PO BOX 8311 FORT WAYNE IN 46898 98999 2228 X ASR CLAIM MASTER PLUS PO BOX 6392 GRAND RAPIDS MI 49516 98999 2229 X ASSOC BUILD CONTR PO BOX 1273 GRAND RAPIDS MI 49501 98999 2876 X ASSOC. FOR HLTH CARE INC. PO BOX 981 BROOKFIELD WI 53008 36326 E ASSOCIATES FOR HEALTHCARE ALL CLAIM OFFICE ADDRESSES 39065 0002 E ASSURANT HEALTH ALL CLAIM OFFICE ADDRESSES 98999 0318 X ASU RISK MANAGEMENT PO BOX 0077 OKEMOS MI 48805 98999 2230 X ATLANTA LIFE INS CO 30755 BARRINGTON MADISON HEIGHTS MI 48071 98999 0794 X ATWOOD GRP. BENE. PLAN PO BOX 4509 ROCKFORD IL 61110 98999 0671 X AUTO OWNERS PO BOX 30660 LANSING MI 48909 98999 0789 X AUTO OWNERS INS PO BOX 4480 TROY MI 48099 98999 1502 X AUTO OWNERS INSURANCE CO 2401 EAST PARIS, SE GRAND RAPIDS MI 49508 98999 0249 X AUTOMATED BENEFIT SERV PO BOX 37511 OAK PARK MI 48237 98999 0736 X AUTOMATED BENEFIT SERV PO BOX 37506 OAK PARK MI 48237 38259 E AUTOMATED BENEFIT SERVICE ALL CLAIM OFFICE ADDRESSES 98999 MI12 X AUTOMATED BENEFIT SERVICE 8220 IRVING STERLING HEIGHT MI 48312 98999 2885 X AUTOMATED BENEFIT SVS. IN PO BOX 37705 OAK PARK MI 48237 98999 2009 X BABB INC 850 RIDGE AVENUE PITTSBURGH PA 152126095 98999 2953 X BAKERY CONFECTIONARY 10401 CONNECTICUT AVENUE KENSINGTON MD 20895 98999 1814 X BANKERS LIFE 000045 4444 W LAWRENCE AVE CHICAGO IL 60630 98999 2920 X BANKERS LIFE AND CASUALTY PO BOX 66927 CHICAGO IL 60666 98999 1101 X BANKERS LIFE CASUALTY COM PPOM PO BOX 37504 OAK PARK MI 48237 98999 2921 X BANKERS LIFE INS CO OF IL 222 MERCHANDISE MART PLAZA CHICAGO IL 606542001 74227 0001 E BANKERS UNITED LIFE ALL CLAIM OFFICE ADDRESSES 94156 0001 E BAY AREA FOUNDATION ALL CLAIM OFFICE ADDRESSES 98999 2879 X BEECH STREET CORP PO BOX 853925 RICHARDSON TX 75085 95377 E BEECH STREET CORPORATION ALL CLAIM OFFICE ADDRESSES 98999 2433 X BENEFIT ADMIN 17475 JOVANNA DR SUITE 18 HOMEWOOD IL 60430 98999 1044 X BENEFIT ADMIN OF AMERICA PO BOX 9120 DES MOINES IA 50306 98999 0294 X BENEFIT ASSISTANCE CORP PO BOX 950 HURRICANE WV 255260950 51037 E BENEFIT CONCEPTS ALL CLAIM OFFICE ADDRESSES Type column: X=print and mail, D=direct electronic connection to payer from BCBSM EDI, E=electronic transmission through clearinghouse BCBSM is a non profit corporation and independent licensee of the Blue Cross and Blue Shield Association 3 Blue Cross Blue Shield of Michigan, Electronic Interchange Group Professional Commercial Payer List 8/7/2012 Payer Claim ID Office # Type Name Address City St Zip 98999 2956 X BENEFIT COORDINATORS CORP 111 RYAN COURT SUITE 300 PITTSBURGH PA 15205 98999 2434 X BENEFIT MANAGEMENT CORP PO BOX 269000 WESTON FL 333269000 37118 E BENEFIT PLAN ADM ROANOKE, ALL CLAIM OFFICE ADDRESSES 74223 E BENEFIT PLANNERS INC. ALL CLAIM OFFICE ADDRESSES 98999 1478 X BENEFIT SOURCE INC PO BOX 240 MONROE MI 48161 36342 E BENEFIT SYSTEMS AND SERVI ALL CLAIM OFFICE ADDRESSES 98999 0283 X BENEFIT SYSTEMS, INC. PO BOX 80447 INDIANAPOLIS IN 46280 61425 0005 E BENEFIT TRUST ALL CLAIM OFFICE ADDRESSES 61425 0001 E BENEFIT TRUST INSURANCE ALL CLAIM OFFICE ADDRESSES 61425 0003 E BENEFIT TRUST LIFE ALL CLAIM OFFICE ADDRESSES 61425 0002 E BENEFIT TRUST LIFE INS ALL CLAIM OFFICE ADDRESSES 61425 0006 E BENEFIT TRUSTS ALL CLAIM OFFICE ADDRESSES 98999 2886 X BENEFITS ADMIN.