Payer ID Tech ID OI Code Coverage Type Payer

Payer ID Tech ID OI Code Coverage Type Payer

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

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