Top Banner
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
47

Carrier Code Carrier Name Phone Number Address Address ...

Apr 20, 2022

Download

Documents

dariahiddleston
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
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

Page 9: Carrier Code Carrier Name Phone Number Address Address ...

Carrier

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

Page 10: Carrier Code Carrier Name Phone Number Address Address ...

Carrier

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

Page 11: Carrier Code Carrier Name Phone Number Address Address ...

Carrier

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

Page 12: Carrier Code Carrier Name Phone Number Address Address ...

Carrier

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

Page 13: Carrier Code Carrier Name Phone Number Address Address ...

Carrier

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

Page 14: Carrier Code Carrier Name Phone Number Address Address ...

Carrier

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

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

Page 15: Carrier Code Carrier Name Phone Number Address Address ...

Carrier

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

Page 16: Carrier Code Carrier Name Phone Number Address Address ...

Carrier

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

Page 17: Carrier Code Carrier Name Phone Number Address Address ...

Carrier

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

Page 18: Carrier Code Carrier Name Phone Number Address Address ...

Carrier

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

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

Page 19: Carrier Code Carrier Name Phone Number Address Address ...

Carrier

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

Page 20: Carrier Code Carrier Name Phone Number Address Address ...

Carrier

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

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

Page 21: Carrier Code Carrier Name Phone Number Address Address ...

Carrier

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

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

Page 22: Carrier Code Carrier Name Phone Number Address Address ...

Carrier

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

Page 23: Carrier Code Carrier Name Phone Number Address Address ...

Carrier

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

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

Page 24: Carrier Code Carrier Name Phone Number Address Address ...

Carrier

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

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

Page 25: Carrier Code Carrier Name Phone Number Address Address ...

Carrier

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

Page 26: Carrier Code Carrier Name Phone Number Address Address ...

Carrier

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

Page 27: Carrier Code Carrier Name Phone Number Address Address ...

Carrier

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

Page 28: Carrier Code Carrier Name Phone Number Address Address ...

Carrier

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

Page 29: Carrier Code Carrier Name Phone Number Address Address ...

Carrier

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

Page 30: Carrier Code Carrier Name Phone Number Address Address ...

Carrier

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

Page 31: Carrier Code Carrier Name Phone Number Address Address ...

Carrier

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

Page 32: Carrier Code Carrier Name Phone Number Address Address ...

Carrier

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

Page 33: Carrier Code Carrier Name Phone Number Address Address ...

Carrier

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

Page 34: Carrier Code Carrier Name Phone Number Address Address ...

Carrier

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

Page 35: Carrier Code Carrier Name Phone Number Address Address ...

Carrier

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

Page 36: Carrier Code Carrier Name Phone Number Address Address ...

Carrier

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

Page 37: Carrier Code Carrier Name Phone Number Address Address ...

Carrier

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

Page 38: Carrier Code Carrier Name Phone Number Address Address ...

Carrier

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

Page 39: Carrier Code Carrier Name Phone Number Address Address ...

Carrier

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

Page 40: Carrier Code Carrier Name Phone Number Address Address ...

Carrier

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

Page 41: Carrier Code Carrier Name Phone Number Address Address ...

Carrier

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

Page 42: Carrier Code Carrier Name Phone Number Address Address ...

Carrier

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

Page 43: Carrier Code Carrier Name Phone Number Address Address ...

Carrier

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

Page 44: Carrier Code Carrier Name Phone Number Address Address ...

Carrier

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

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

Page 45: Carrier Code Carrier Name Phone Number Address Address ...

Carrier

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

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

Page 46: Carrier Code Carrier Name Phone Number Address Address ...

Carrier

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

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

Page 47: Carrier Code Carrier Name Phone Number Address Address ...

Carrier

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