CARRIER CARRIER PHONE

CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE
326 1199 NATIONAL BENEFIT FUN (646) 473-7160 PO BOX 1034 NEW YORK NY 10108-1034
589 1199 SEIU NATIONAL BENEFI (888) 819-1199 330 WEST 42ND STREET NEW YORK NY 10036
28 AARP HEALTH ADVANTAGE HEA (800) 227-7789 PO BOX 740819 ATLANTA GA 30374-0819
D6K AARP MEDICARE COMPLETE PL PO BOX 66773 ST LOUIS MO 63166
D6P AARP MEDICARE COMPLETE PL (800) 393-0939 950 WINTER ST SUITE 3800 WALTHEM MA 02451
D8T AARP MEDICARE RX PREFERRE (888) 867-5575 PO BOX 29300 HOT SPRINGS AR 71903
D9H AARP MEDICARE RX PREFERRE 600 NEW LONDON AVE CRANSTON RI 02920
D9L AARP MEDICARE RX SAVER 600 NEW LONDON CRANSTON RI 02920
D8V AARP MEDICARERX SAVER (PD (888) 867-5575 PO BOX 29300 HOT SPRINGS AR 71903
D4Q ABRAZO ADVANTAGE 7878 NORTH 16TH STRE SUITE 105 PHOENIX AZ 85020
301 ACADIA INSURANCE CO. (888) 786-1170 PO BOX 9168 MARLBOROUGH MA 01752
390 ACE INTERNATIONAL INSURAN (800) 262-8028 PO BOX 15417 WILMINGTON DE 19850
470 ACE USA (860) 731-6800 PO BOX 5001 HARTFORD CT 06102-5001
30 ACORDIA BENEFIT SERVICES PO BOX 18197 COLUMBUS OH 43218
346 ACS HEALTH NET - NORTHEAS (800) 441-5741 PO BOX 14700 LEXINGTON KY 40512
768 ADMINISTRATION CONCEPTS ( (800) 226-5116 994 OLD EAGLE SCHOOL ST E1 WAYNE PA 19087
795 ADMINISTRATIVE CONCEPTS, (888) 293-9229 994 OLD EAGLE SCHOOL SUITE 1005 WAYNE PA 19087-1802
101 ADMINISTRATIVE ENTERPRISE (602) 789-1101 3404 WESTCHESTER DR PHOENIX AZ 85051-9588
267 ADMINISTRATIVE SERVICE CO (800) 634-8816 3301 E. ROYALTON ROA CLEVELAND OH 44147-2886
198 ADVANCED PARADIGM (800) 364-6331 PO BOX 853901 RICHARDSON TX 75081-3901
327 ADVANCED PCS (800) 364-6331 PO BOX 961066 FORT WORTH TX 76161
331 ADVANCED PCS HELP SYSTEM, (800) 345-5413 PO BOX 52115 ATTN: MAIL CODE 12 8 PHOENIZ AZ 85072-2115
D8M ADVANTAGE FREEDOM PLAN RX (800) 429-6686 221 N CHARLES LINDBE SLC UT 84116
D5B ADVANTRA FREEDOM PO BOX 690 MAHWAH NJ 07430
D5S ADVANTRA FREEDOM PO BOX 690 MAHWAH NJ 07430
D8O ADVANTRA RX (866) 823-5177 VALUE (PDP) LEXINGTON KY 40512
722 ADVENTIST RISK MANAGEMENT (800) 447-5002 P O BOX 1808 GRAPEVINE TX 76099
593 ADVNATAGE HEALTH SOL (317) 573-6228 9490 PRIORITY WAY INDIANANPOLIS IA 46240
22P AETNA HEALTH CARE (800) 811-5671 PO BOX 15048 ALBANY NY 12212
D1T AETNA HEALTH INSURANCE OF 151 FARMINGTON AVENU HARTFORD CT 06156
22D AETNA HEALTH PLAN (800) 222-5553 PO BOX 25519 RICHMOND VA 23260
22E AETNA HEALTH PLAN (800) 237-0575 UPS CLAIMS PO BOX 26053 GREENSBORO NC 27420
22I AETNA HEALTH PLAN (800) 624-0756 PO BOX 5569 AKRON OH 44334
22K AETNA HEALTH PLAN (800) 238-6221 PO BOX 795083 SAN ANTONIO TX 78279
22L AETNA HEALTH PLAN (800) 624-0756 PO BOX 2231 BLUE BELL PA 19422
CARRIER CARRIER PHONE
CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE
22A AETNA HEALTH PLANS (610) 391-1700 PO BOX 3909 ALLENTOWN PA 18106-0909
22B AETNA HEALTH PLANS (800) 624-0756 3 HIGHWOOD DRIVE TEWKSBURY MA 01876
22C AETNA HEALTH PLANS (800) 624-0756 PO BOX 120 GRAND RAPIDS MI 49501
22 AETNA LIFE INS. CO. P O BOX 18040 COLUMBUS OH 43218-0040
D01 AETNA MEDICARE (877) 238-6211 980 JOLLY ROAD BLUE BELL PA 19422
D3U AETNA MEDICARE 151 FARMINGTON AVENU HARTFORD CT 06156
D5J AETNA MEDICARE 151 FARMINGTON AVENU HARTFORD CT 06156
D7I AETNA MEDICARE (800) 445-1796 151 FARMINGTON AVENU HARTFORD CT 06156
D8S AETNA MEDICARE RX ESSENTI (877) 238-6211 PO BOX 14023 LEXINGTON KY 40512
D9G AETNA MEDICARE RX PLUS 600 NEW LONDON AVE CRANSTON RI 02920

22G AETNA PHARMACY MANAGEMENT (800) 238-6279 PO BOX 14024 ATTN: CLAIM PROCESS LEXINGTON KY 40512
603 AETNA STRATEGIC RESOURCE (800) 800-8121 PO BOX 14079 LEXINGTON KY 40512-4079
563 AETNA STUDENT HEALTH PLAN (800) 966-7772 PO BOX 981106 EL PASO RI 79998
22H AETNA U.S. HEALTHCARE (800) 624-0756 PO BOX 31450 TAMPA FL 33631
22N AETNA U.S. HEALTHCARE (800) 445-7175 PO BOX 26106 GREENSBORO NC 27402-6106
22X AETNA U.S. HEALTHCARE (866) 899-4378 PO BOX 14586 LEXINGTON KY 40512-4586
22Z AETNA U.S. HEALTHCARE (800) 624-0756 PO BOX 14079 LEXINGTON KY 40512
22F AETNA US HEALTH CARE (800) 624-0756 PO BOX 150417 HARTFORD CT 06115
22Q AETNA US HEALTH CARE (800) 293-3536 PO BOX 14091 LEXINGTON KY 40512
22J AETNA US HEALTHCARE (800) 545-5862 CITIBANK DIVISION PO BOX 3911 ALLENTOWN PA 18106-0911
22M AETNA US HEALTHCARE (800) 624-0756 PO BOX 7012 DOVER DE 19903-1512
22R AETNA US HEALTHCARE (888) 632-3862 PO BOX 981109 EL PASO TX 79998
22S AETNA US HEALTHCARE (800) 323-9930 PO BOX 1125 BLUE BELL PA 19422
22T AETNA US HEALTHCARE (800) 624-0756 7676 HAZARD CENTER D SAN DIEGO CA 92108
22U AETNA US HEALTHCARE (800) 741-4781 PO BOX 14066 LEXINGTON KY 40512
22V AETNA US HEALTHCARE (800) 635-2095 PO BOX 2295 FORT WAYNE IN 46601-2295
22W AETNA US HEALTHCARE (877) 535-2128 PO BOX 981106 EL PASO TX 79998
22Y AETNA US HEALTHCARE (800) 543-5458 PO BOX 14094 LEXINGTON KY 40512
683 AETNA US HEALTHCARE/VISIO (888) 632-3862 PO BOX 981106 EL PASO TX 79998-1106
D4G AFFINITY HEALTH PLAN 2500 HALSEY STREET BRONX NY 10461
197 AFFORDABLE MEDICAL NETWOR (800) 255-8109 PO BOX 3281 SCOTTSDALE AZ 85271-3281
288 AFLAC (800) 992-3522 1932 WYNNTON ROAD COLUMBUS GA 31999
254 AH & L (631) 666-2616 EPC ASSOCIATES PO BOX 5329 BAY SHORE NY 11706
CARRIER CARRIER PHONE
CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE
WORKERS COMP. CLAIM 99 SUMMER
274 AIG (617) 790-9000 STREET BOSTON MA 02110
500 AIG LIFE INSURANCE CO. (800) 221-3480 PO BOX 1581 NEPTUNE NJ 07754-1581
614 AIG LTC 11000 PRAIRIE LAKES EDEN PRAIRI MN 55344
D8D ALAMEDA ALLIANCE FOR HEAL (510) 747-4500 12401 SOUTH LOOP ROA ALAMEDA ALLIANCE CA 94501
102 ALBANY INSURANCE CO. (518) 445-2200 PO BOX 1907 ALBANY NY 12201
540 ALICARE (MASS STATE HEALT (800) 338-4330 P.O. BOX 1477 NEW YORK NY 10116-1477
739 ALL SAVERS UNITED HEALT (800) 232-5432 P.O. BOX 31375 SALT LAKE CITY UT 84131-0375
724 ALLEGIANCE BENEFIT PLAN M (800) 877-1122 P.O.BOX 3018 MISSOULA MT 59086-3018
725 ALLEGIANCE BENEFIT PLAN M (800) 877-1122 P.O.BOX 3018 MISSOULA MT 59086-3018
400 ALLIANCE (608) 276-6620 PO BOX 44365 MADISON WI 53744-4365
417 ALLIANCE BLUE CROSS OF MI PO BOX 14882 ST. LOUIS MO 63178-4882
527 ALLIED BENEFIT SYSTEMS (800) 288-2078 PO BOX 909786-60690 CHICAGO IL 60690
350 ALLSTATE FINANCIAL GROUP (800) 937-7039 1776 AMERICAN HERITA JACKSONVILLE FL 32224
173 ALLSTATE INSURANCE CO (401) 333-6100 625 GEORGE WASHINGTO LINCOLN RI 02865
391 ALTUS DENTAL INSURANCE CO (877) 223-0588 PO BOX 1557 PROVIDENCE RI 02901-1557
697 ALWAYS HEALTH PARTNERS (855) 444-4647 P O BOX 10 NUTTING LAKE MA 01865
787 ALWAYS PARTNERS (800) 432-9449 PO. BOX 852099 RICHARDSON TX 75085
29 AM. POSTAL WORKERS UNION (800) 222-2798 P.O. BOX 967 SILVER SPRINGS MD 20910
403 AMA INSURANCE AGENCY (800) 458-5736 200 NORTH LASALLE ST CHICAGO IL 60601
0AK AMALG LIFE (800) 333-4456 770 BROADWAY NEW YORK NY 10003
707 AMALGAMATED LIFE INSURANC (800) 315-9174 333 WESTCHESTER AVEN WHITE PLANS NY 10604
389 AMERIBEN SOLUTIONS (800) 786-7930 PO BOX 7186 BOISE ID 83707
252 AMERICAN FREIGHTWAYS (870) 741-7227 NPPN 419 E MAIN STRE MIDDLETOWN NY 10940
D31 AMERICAN HEALTH MEDICARE (866) 620-2420 PO BOX 11320 SAN JUAN PR 09220
D7Y AMERICAN HEALTH MEDICARE (787) 620-1919 PO BOX 11320 CAPARRA PR 09229- 907
655 AMERICAN HERITAGE LIFE (800) 535-8086 1776 AMERICAN HERITA JACKSONVILLE FL 32224
PO BOX 25050 EMPLOYEE BENEFITS
103 AMERICAN INTERNATIONAL CO (800) 468-7077 DE WILMINGTON DE 19899
541 AMERICAN MEDICAL & LIFE I (888) 264-1512 PO BOX 1235 FREDERICK MD 21702
691 AMERICAN MEDICAL AND LIFE (888) 264-1512 P O BOX 34912 PHILADELPHIA PA 19101
656 AMERICAN NATIONAL I PO BOX 696520 SAN ANTONIO TX 78269-6520
464 AMERICAN PIONEER LIFE INS (800) 999-2224 PO BOX 130 PENSACOLA FL 32591
205 AMERICAN REPUBLIC INSURAN (515) 245-2000 PO BOX 10 ATTN: CLAIMS DES MOINES IA 50301-0010
CARRIER CARRIER PHONE
CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE

340 AMERICAN SPECIAL RISK MGM (800) 359-7475 509 SOUTH LENOLA ROA BUILDING 2 MOORESTOWN NJ 08057
472 AMERICAN TRUST ADMINISTRA (800) 843-4121 P.O. BOX 87 SHAWNEE MISSION KS 66201
D4N AMERICA'S HEALTH CHOICE M 1175 US HIGHWAY 1 VERO BEACH FL 32962

D40 AMERICHOICE PERSONAL CARE (877) 289-1915 1 RIVERFRONT PLAZA PO BOX 200449 NEWARK NJ 07102
309 AMERICORPS (800) 847-8217 PO BOX 33757 INDIANAPOLIS IN 46203-0757
D4E AMERIGROUP COMMUNITY CARE 4200 WEST CRPRESS ST SUITE 900 TAMPA FL 33607
D51 AMERIHEALTH 65 (866) 282-3235 1901 MARKET STREET 28TH FLOOR PHILADELPHIA PA 19103
401 AMERI-HEALTH ADMINISTRATO (800) 480-5032 720 BLAIR MILL ROAD HORSHAM PA 19044-0975
D2V AMERIHEALTH ADVANTAGE PO BOX 41514 PHILADELPHIA PA 19101
D44 AMERIHEALTH ADVANTAGE (866) 456-1694 PO BOX 41514 PHILADELPHIA PA 19101
D8Q AMERIHEALTH ADVANTAGE RX (800) 645-3965 PO BOX 7576 PHILADELPHIA PA 19101-8951

203 AMERITAS LIFE INSURANCE C (800) 487-5553 GROUP CLAIMS DEPT. PO BOX 82520 LINCOLN NE 68501-2520

D88 ANTHEM 1351 WILLIAM HOWARD CN14B-818 CINCINNATI OH 45206

626 ANTHEM BLUE CROSS - KENTU (800) 880-2583 135500 TRITTON PARK LOUISVILLE KY 40223
409 ANTHEM BLUE CROSS - VIRGI (800) 451-1527 PO BOX 27401 RICHMOND VA 23279
D75 ANTHEM BLUE CROSS & BLUE (800) 334-7676 PO BOX 14046 ROANOKE VA 24038

D5X ANTHEM BLUE CROSS AND BLU 1351 WILLIAM HOWARD CN1413-818 CINCINNATI OH 45206
628 ANTHEM BLUE CROSS BLUE SH (800) 422-4304 2 GANNETT DRIVE SOUTH PORTLAND ME 04106
630 ANTHEM BLUE CROSS BLUE SH (800) 932-4480 PO BOX 105557 ATLANTA GA 30348
766 ANTHEM BLUE CROSS COLORAD (800) 677-6669 P.O.BOX 5747 DENVER CO 80217-5747
619 ANTHEM BLUE CROSS CONNECT (800) 438-5856 PO BOX 105557 ATLANTA GA 30348
328 ANTHEM BLUE CROSS OF (888) 290-9160 PO BOX 37180 LOUISVILLE KY 40233-7180
430 ANTHEM BLUE CROSS OF NEW (800) 238-2465 PO BOX 660 NORTH HAVEN CT 06473
507 ANTHEM BLUE CROSS- OHIO (888) 290-9160 PO BOX 37180 LOUISVILLE KY 40233-7180
706 ANTHEM BLUE CROSS VERIZON (855) 869-8138 P O BOX 105187 ATLANTA GA 30348-5187
479 ANTHEM BLUE CROSS/BLUE SH (800) 345-4344 PO BOX 7101 INDIANAPOLIS IN 46207-7101
488 ANTHEM BLUE CROSS/BLUE SH (800) 234-0111 PO BOX 4109 WOODLAND HILLS CA 91365
491 ANTHEM BLUE CROSS/BLUE SH (800) 822-7442 PO BOX 34210 LOUISVILLE KY 40232-4210

D24 ANTHEM BLUE CROSS/BLUE SH (800) 692-5399 1351 WILLIAM HOWARD CN14B-818 CINCINNATI OH 45206
CARRIER CARRIER PHONE
CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE

D3R ANTHEM BLUE CROSS/BLUE SH 1351 WILLIAM HOWARD CN14B-818 CINCINNATI OH 45206
105 ANTHEM BLUE OF CALIFORNIA (800) 333-0912 PO BOX 9061 OXNARD CA 93031
729 ANTHEM OHIO/DENTAL (866) 641-7762 P O BOX 659444 ST ANTONIO TX 78265
332 ANTHEM RX PHARMACY (800) 962-8192 PO BOX 746000 CINCINNATI OH 45274-6000
435 ANTHEM RX PHARMACY PO BOX 145433 CINCINNATI OH 45250-5433
D6J ANTHEN BLUE PO BOX 30043 DURHAM NC 27702
240 AON SELECT (800) 822-3287 110 GIBRALTAR ROAD HORSHAM PA 19044
D5Q APIPA PERSONAL CARE 3141 NORTH THIRD AVE PHOENIX AZ 85013

526 APWU HEALTH PLAN (800) 222-2798 799 CROMWELL PARK DR SUITES K-Z GLEN BURNIE MD 21061
1100 CROWN COLONIAL PO BOX
202 ARBELLA INDEMNITY INSURAN (617) 769-3100 699227 QUINCY MA 02269
565 ARGUS PHARMACY SERVICES (800) 241-3371 1300 WASHINGTON ST. KANSAS CITY MO 64105-1433
D1L ARKANSAS COMMUNITY CARE P 3810 FRONT STREET SUITE 811 FAYETTEVILLE AR 72703
228 ASC (800) 472-6630 PO BOX 928 FINDLAY OH 45839
299 ASSOCIATED PLAN ADMINISTR (800) 626-3880 PO BOX 9568 NEW HAVEN CT 06535
104 ASSOCIATED PRESCRIPTION S (410) 986-2168 104 CHURCH LANE BALTIMORE MD 21208
553 ASSURANT EMPLOYEE BENEFIT (180) 044-2774 PO BOX 2940 CLINTON IA 52733
792 ATLAS (ZENITH ADMINISTRAT (312) 649-1200 18891 90TH AVENUE SUITE A MOKENA IL 60448
609 AULTCARE (800) 505-2858 PO BOX 6910 CANTON OH 44706
282 AUTOMATED BENEFIT SERVICE (800) 521-1321 PO BOX 37506 OAK PARK MI 48237
733 AUTOMATED BENEFIT SERVICE (800) 225-9369 8220 IRVING ROAD STERLING HEIGHTS MI 48312
D1E AVALON HEALTH, LTD. 2500 ELMERTON AVENUE HARRISBURG PA 17177
612 AVERA HEALTH PLAN (605) 322-4545 PO BOX 381506 BIRMINGHAM AL 65238
586 AVESIS (800) 828-9341 PO BOX 7777 PHOENIX AZ 85011
615 AV-MED (305) 671-5437 9400 SOUTH DADELAND MIAMI FL 33156
D6L AVMED PREMIER CARE (HMO) PO BOX823 GAINNESVILLE FL 32602
0CH B/S OF PENNSYLVANIA (717) 763-3533 1800 CENTER STREET CAMP HILL PA 17089
302 BAKERY & CONF. UNION HEAL (301) 468-3731 10401 CONNECTICUT AV KENSINGTON MD 20895-3731
37 BANKERS LIFE & CASUALTY (800) 800-2254 222 MERCHANDISE MART CHICAGO IL 60654-2001
0H8 BC OF FLORIDA (904) 791-6111 P.O. BOX 1798 JACKSONVILLE FL 32331-0014
119 BEACON MUTUAL INSURANCE (401) 825-2667 ONE BEACON CENTER WARWICK RI 02886
308 BENEFIRST (877) 823-6334 PO BOX 1421 MARSHFIELD MA 02050
268 BENEFIT ADMINISTRATIVE SY (708) 799-7400 17475 JOVANNA DRIVE SUITE 1B HOMEWOOD IL 60430-4623
CARRIER CARRIER PHONE
CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE
705 BENEFIT ADMINISTRATOR OF (877) 707-2583 P O BOX 2000 EXETER NH 03833
PO BOX 60608 651 ALLENDALE
31 BENEFIT CONCEPTS, INC RD KING OF PRUSSIA PA 19406-0608
122 BENEFIT MANAGEMENT SERVIC (800) 279-1171 PO BOX 1178 MATTHEWS NC 28106
35 BENEFIT PLAN MANAGEMENT (877) 642-7500 PO BOX 536 ROCKLAND MA 02370
112 BENEFIT PLANNERS (210) 699-1872 PO BOX 690450 SAN ANTONIO TX 78269
351 BENEFIT SYSTEM & SERVICE, (800) 423-1841 760 PASQUINELLI DRIV WESTMONT IL 60059
566 BENEMAX DENTAL HEALTH PLA (508) 359-4107 PO BOX 355 MEDFIELD MA 02052
204 BENEMAX HEALTH PLAN (508) 359-4107 PO BOX 355 MEDFIELD MA 02052
310 BENESIGHT (815) 395-0080 PO BOX 7045 ROCKFORD IL 61125-7045
576 BLUE ADVANTAGE , BLUE OF (866) 823-3790 PO BOX 1460 LITTLE ROCK AR 72203
578 BLUE ADVANTAGE BLUE CROSS (866) 823-3790 PO BOX 1460 LITTLEROCK AR 72203
682 BLUE BENEFIT ADMINISTRATO (877) 707-2583 PO BOX 55917 BOSTON MA 02205-5917
12A BLUE CHIP - MEDICARE HMO (800) 528-4141 15 LASALLE SQUARE PROVIDENCE RI 02903-1814
12 BLUE CHIP-COORD HLTH PART (401) 274-3500 15 LASALLE SQUARE PROVIDENCE RI 02903-1814
623 BLUE CORSS NY HEALTHNOW (800) 856-0480 PO BOX 80 BUFFALO NY 14240
D20 BLUE CROSS & BLUE SHIELD (800) 505-2583 15 LA SALLE SQUARE PROVIDENCE RI 02903
D2C BLUE CROSS & BLUE SHIELD 1215 SOUTH BOULDER TULSA OK 74119
D64 BLUE CROSS & BLUE SHIELD (800) 876-2227 4800 DEERWOOD CAMPUS JACKSONVILLE FL 32246
552 BLUE CROSS BLUE SHEILD OF (866) 470-2963 PO BOX 3355 PITTSBURGH PA 15230-3355
D5T BLUE CROSS BLUE SHEILD OF PO BOX 180205 CHATTANOOGA TN 37402
633 BLUE CROSS BLUE SHIELD O (800) 722-3130 PO BOX 660044 DALLAS TX 75266-0044
621 BLUE CROSS BLUE SHIELD FL (800) 432-5373 PO BOX 1798 JACKSONVILLE FL 32231
624 BLUE CROSS BLUE SHIELD KA (800) 451-2348 PO BOX 419169 KANSAS CITY MO 64108
625 BLUE CROSS BLUE SHIELD KA (800) 451-2348 PO BOX 419169 KANSAS CITY MO 64108
631 BLUE CROSS BLUE SHIELD NO 5901 CHAPEL HILL RD DURHAM NC 27702
632 BLUE CROSS BLUE SHIELD NO 5901 CHAPEL HILL RD DURHAM NC 27702
616 BLUE CROSS BLUE SHIELD OF PO BOX 995 BIRMINGHAM AL 35298
617 BLUE CROSS BLUE SHIELD OF (800) 827-4814 PO BOX 2181 LITTLE ROCK AR 72203
618 BLUE CROSS BLUE SHIELD OF (877) 811-3106 700 BROADWAY DENVER CO 80273
627 BLUE CROSS BLUE SHIELD OF (800) 880-2583 13550 TRITTON PARK B LOUISVILLE KY 40223
629 BLUE CROSS BLUE SHIELD OF (800) 722-0203 PO BOX 105557 ATLANTA GA 30348
636 BLUE CROSS BLUE SHIELD OF (800) 552-6989 PO BOX 27401 RICHMOND VA 23279
D4S BLUE CROSS BLUE SHIELD OF 27000 WEST ELEVEN MI MCH44 SOUTHFIELD MI 48034
D5E BLUE CROSS BLUE SHIELD OF PO BOX 9092 OXNARD CA 93031
CARRIER CARRIER PHONE
CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE
D6F BLUE CROSS BLUE SHIELD OF PO BOX 100206 COLUMBIA SC 29223
713 BLUE CROSS FEDERAL EMPLOY (888) 550-2583 P O BOX 2010 LATHAM LATHAM NY 12110-2010
16 BLUE CROSS OF ALABAMA (800) 334-9041 PO BOX 360508 BIRMINGHAM AL 35236
398 BLUE CROSS OF ALABAMA/DEN PO BOX 830389 BIRMINGHAM AL 35283
34 BLUE CROSS OF CONNECTICUT (800) 922-6621 PO BOX 533 NORTH HAVEN CT 06473
0H7 BLUE CROSS OF FLORIDA (877) 352-2583 PO BOX 1798 JACKSONVILLE FL 32231
0H9 BLUE CROSS OF FLORIDA (800) 926-6565 PO BOX 44160 JACKSONVILLE FL 32231-4160
399 BLUE CROSS OF GEORGIA (800) 676-2583 PO BOX 9907 COLUMBUS GA 31908
677 BLUE CROSS OF GEORGIA/DEN (800) 627-0004 PO BOX 9907 COLUMBUS GA 31908
253 BLUE CROSS OF GREATER NEW (800) 842-8421 PO BOX 4782 SYRACUSE NY 13221
716 BLUE CROSS OF IDAHO (866) 482-2250 PO BOX 7408 BOISE ID 83707
116 BLUE CROSS OF ILLINOIS (800) 730-8445 PO BOX 1220 CHICAGO IL 60690
298 BLUE CROSS OF IOWA (WELLM (800) 524-9242 636 GRAND AVENUE DES MOINES IA 50309-2565
411 BLUE CROSS OF KANSAS (800) 432-3990 1133 S.W. TOPEKA BLV TOPEKA KS 66629-0001
42 BLUE CROSS OF MAINE (800) 482-0966 2 GANNET DRIVE SOUTH PORTLAND ME 04106
STATE OF MD OPERATIO PO BOX
120 BLUE CROSS OF MARYLAND (800) 225-0131 9885 BALTIMORE MD 21284-9885
0J3 BLUE CROSS OF MASSACHUSET (617) 376-4700 PO BOX 1996 MEDEX CLAIMS BOSTON MA 02105-1996
0J4 BLUE CROSS OF MASSACHUSET (800) 782-3675 PO BOX 9196 NORTH QUINCY MA 02171-9196
107 BLUE CROSS OF MEMPHIS (800) 222-7212 PO BOX 10 MEMPHIS TN 38101
169 BLUE CROSS OF MICHIGAN (800) 324-5760 NASCO CLAIMS PO BOX 5124 SOUTHFIELD MI 48086-5124
125 BLUE CROSS OF MINNESOTA (800) 382-2000 PO BOX 64338 ST PAUL MN 55164
1831 CHESTNUT STREET ATTN:
260 BLUE CROSS OF MISSOURI (800) 433-5929 NASCO ST. LOUIS MO 63103-2275
281 BLUE CROSS OF MISSOURI (888) 571-9054 PO BOX 66893 ATTN: LOCAL 655 ST. LOUIS MO 63166
32 BLUE CROSS OF NEBRASKA (888) 592-8963 PO BOX 3248 OMAHA NE 68180
39 BLUE CROSS OF NEW HAMPSHI (800) 438-9672 3000 GOFFS FALLS RD MANCHESTER NH 03111-0001
33 BLUE CROSS OF NEW MEXICO (800) 835-8699 PO BOX 27630 ALBUQUERQUE NM 87125-7630
223 BLUE CROSS OF NORTH EASTE (800) 829-8599 P.O. BOX 890179 CAMP HILL PA 17089
784 BLUE CROSS OF OREGON (REG (888) 675-6570 100 SW MARKET ST PORTLAND OR 97201
199 BLUE CROSS OF PUERTO RICO (809) 749-4949 AV FRANKLIN D ROOSVE CAPARRA HEIGHTS PR 09200
284 BLUE CROSS OF ROCHESTER (800) 676-2583 165 COURT STREET ROCHESTER NY 14617
304 BLUE CROSS OF TENNESSEE (800) 565-9140 PO BOX 180150 CHATTANOOGA TN 37401
634 BLUE CROSS OF TENNESSEE (800) 565-9140 1 CAMERON HILL CIRCL CHATANOOGA TN 37402
172 BLUE CROSS OF TEXAS (800) 451-0287 PO BOX 655488 DALLAS TX 75265-5488
CARRIER CARRIER PHONE
CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE
0J2 BLUE CROSS OF TEXAS (508) 747-6530 P O BOX 1658 BOSTON MA 02110
465 BLUE CROSS OF TEXAS/PHARM PO BOX 660201 DALLAS TX 75266-0201
635 BLUE CROSS OF TEXAX FEDER (800) 521-2227 PO BOX 660044 DALLAS TX 75266-0077
109 BLUE CROSS OF THE NATIONA (202) 479-6560 550 12TH STREET SW WASHINGTON DC 20065
40 BLUE CROSS OF VERMONT PO BOX 186 MONTPELIER VT 05601
421 BLUE CROSS OF WESTERN NEW (716) 887-6900 PO BOX 80 BUFFALO NY 14240
41 BLUE CROSS OF WESTERN PEN (800) 245-2763 PO BOX 559 PITTSBURGH PA 15230
41A BLUE CROSS OF WESTERN PEN (800) 345-7808 120 FIFTH AVENUE PITTSBURGH PA 15222-3099
693 BLUE CROSS VIRGINIA/DENTA (800) 451-1527 PO BOX 27401 RICHMOND VA 23279
1 BLUE CROSS/BLUE SHIELD OF (800) 637-3718 444 WESTMINISTER ST PROVIDENCE RI 02901
36 BLUE CROSS/BLUE SHIELD OF (800) 355-2583 PO BOX 1609 NEWARK NJ 07101
38 BLUE CROSS/BLUE SHIELD OF (406) 444-8200 PO BOX 5004 GREAT FALLS MT 59403
106 BLUE CROSS/BLUE SHIELD OF (808) 948-6111 PO BOX 860 HONOLULU HI 96808
108 BLUE CROSS/BLUE SHIELD OF (800) 482-0898 PO BOX 166 DETROIT MI 48231
110 BLUE CROSS/BLUE SHIELD OF (800) 942-5837 PO BOX 3283 TULSA OK 74102-3283
303 BLUE CROSS/BLUE SHIELD OF (800) 830-1501 PO BOX 100300 COLUMBIA SC 29202-3300
305 BLUE CROSS/BLUE SHIELD OF (800) 548-4455 PO BOX 167 STEVENS POINT WI 54481-0167
370 BLUE CROSS/BLUE SHIELD OF (800) 633-2563 PO BOX 8799 WILMINGTON DE 19899
461 BLUE CROSS/BLUE SHIELD OF (800) 214-4844 PO BOX 100121 COLUMBIA SC 29202-3121
493 BLUE CROSS/BLUE SHIELD OF PO BOX 98029 BATON ROUGE LA 70898
536 BLUE CROSS/BLUE SHIELD OF (602) 544-4990 P.O. BOX 2924 PHOENIX AZ 85062-2924
36A BLUE CROSS/BLUE SHIELD OF (973) 456-2000 PO BOX 247 DEPT V NEWARK NJ 07101-0247
D02 BLUE CROSS/BLUE SHIELD OF (877) 479-2227 220 VIRGINIA AVENUE INDIANAPOLIS IN 46204
D2E BLUE CROSS/BLUE SHIELD OF PO BOX 100206 COLUMBIA SC 29223
D2U BLUE CROSS/BLUE SHIELD OF PO BOX 9092 OXNARD CA 93031
D2Z BLUE CROSS/BLUE SHIELD OF 27000 W ELEVEN MILE MCH44 SOUTHFIELD MI 48034
D38 BLUE CROSS/BLUE SHIELD OF (800) 678-2265 PO BOX 9201 NORTH QUINCY MA 02171
D3K BLUE CROSS/BLUE SHIELD OF PO BOX 100206 COLUMBIA SC 29223
D4I BLUE MEDICARE PPO 4800 DEERWOOD CAMPUS JACKSONVILLE FL 32246
D2B BLUE MEDICARE RX PO BOX 34160 LOUISVILLE KY 40232
D8H BLUE MEDICARE RX (PDP) (877) 213-1821 PO BOX 3897 SCRANTON PA 18505-9947
D1N BLUE RX OPTION III 450 RIVERCHASE PARKW BIRMINGHAM AL 35244
297 BLUE SHIELD OF CALIFORNIA (877) 932-3375 PO BOX 272540 CHICO CA 95927-2540
D3X BLUE SHIELD OF CALIFORNIA 6300 CANOGA AVENUE WOODLAND HILLS CA 91367
D6X BLUECROSS & BLUESHIELD OF (800) 200-4255 ONE ENTERPRISE DRIVE NORTH QUINCY MA 02171
CARRIER CARRIER PHONE
CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE
556 BLUECROSS OF ARKANSAS (800) 676-2583 PO BOX 1460 LITTLEROCK AR 72203
562 BLUESHIELD OF NORTHEASTER (800) 888-1238 PO BOX 80 BUFFALO NY 14240-0080
554 BMC HEALTHNET PLAN (888) 566-0010 TWO COPLEY SUITE 600 BOSTON MA 02116
323 BOILERMAKER NATIONAL HEAL (913) 342-6555 754 MINNESOTA AVENUE KANSAS CITY KS 66101-2766
594 BOILERMAKERS NAT'L HEALTH (913) 342-6555 754 MINNESOTA AVE SUITE 522 KANSAS CITY KS 66101
330 BOLLINGER INSURANCE (800) 526-1379 PO BOX 727 SHORT HILLS NJ 07078-5000
685 BOON CHAPMAN (800) 805-0622 3012 RIDGE ROAD #102 ROCKWALL TX 75032
200 BOSTON MUTUAL LIFE (800) 669-2668 120 ROYALL STREET CLAIMS DEPT. CANTON MA 02021
D4J BRAVO CLASSIC 3601 O'DONNELL STREE BALTIMORE MD 21224
D2Y BRAVO HEALTH 3601 O'DONNELL STREE BALTIMORE MD 21224
D9P BRAVO RX 600 NEW LONDON AVE CRANSTON RI 02920
D1D BRAVO RX II 3601 O'DONNELL STREE BALTIMORE MD 21224
D8Z BRAVORX (877) 504-7252 3601 O'DONNELL ST. BALTIMORE MD 21224
483 BRIDGESTONE CLAIM SERVICE (330) 379-6500 PO BOX 247 SHELDON IA 51201
111 BROOKS MAXI DRUG (401) 825-3900 50 SERVICE AVE WARWICK RI 02886
D7O CALOPTIMA (887) 412-2734 1120 W LA VETA AVE ORANGE CA 92868
306 CAMBRIDGE INTEGRATED GROU (401) 354-3223 1420 MINERAL SPRING NORTH PROVIDENCERI 02904
456 CAPITAL BLUE CROSS (800) 962-2242 PO BOX 779503 HARRISBURG PA 17177-9503
719 CAPITAL BLUE CROSS/DENTAL (800) 613-2624 PO BOX 1126 ELK GROVE VILLAGE IL 60009
D6B CAPITAL HEALTH PLAN PO BOX 15349 TALLAHASSEE FL 32317
315 CARE FIRST ADMINISTRATORS (800) 423-9791 PO BOX 1196 OWINGS MILLS MD 21117
D4F CARE OREGON ADVANTAGE 315 SW FIFTH AVENUE PORTLAND OR 97204
710 CARELINK (TUFTS) (800) 799-1240 P O BOX 9165 WATERTOWN MA 02471
CLC CARELINK CHT (800) 799-1240 P.O.BOX 9165 WATERTOWN MA 02471
100 CAREMARK (800) 824-6349 PO BOX 52195 PHOENIX AZ 85072-2195
113 CAREMARK PRESCRIPTION SER (800) 841-5550 7034 ALAMO DOWNS PKW SAN ANTONIO TX 78238
249 CAREMARK PRESCRIPTION SER (877) 353-3879 PO BOX 686005 SAN ANTONIO TX 78268
432 CAREMARK PRESCRIPTION SER (800) 335-5268 9501 E. SHEY BLVD. SCOTTSDALE AZ 85260
481 CAREMARK PRESCRIPTION SER (800) 701-5833 PO BOX 52116 PHOENIX AZ 85072-2116
D7K CAREONE (800) 794-5907 PO BOX 31286 TAMPA FL 33631
D9C CAREONE 600 NEW LONDON CRANSTON RI 02920
D6M CAREONE (HMO) (800) 794-5907 PO BOX345 DORAL FL 33172
D71 CAREPLUS HEALTH PLANS, IN (800) 794-4105 55 ALHAMBRA PLAZA 7TH FLOOR MIAMI FL 33134
392 CATALYST RX (888) 869-4600 PO BOX 1069 ROCKVILLE MD 20849
694 CATAMARAN (888) 546-5502 P.O. BOX 5216 LISLE IL 60532-5216
CARRIER CARRIER PHONE
CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE
531 CBA - BLUE (888) 222-9206 P.O. BOX 2365 SOUTH BURLINGTONVT 05407
393 CBCA ADMINISTRATORS (800) 309-1851 PO BOX 902 BEATTYVILLE KY 41311
600 CBCA ADMINISTRATORS INC (952) 829-3500 PO BOX 552 MINNEAPOLIS MN 55440-0552
224 CCEBT HEALTH BENEFITS (800) 642-4456 PO BOX 226 MINNEAPOLIS MN 55440-0226
222 CCMSI (800) 634-3506 PO BOX 1430 DANVILLE IL 61834-1430
492 CCN PO BOX 5190 TAMPA FL 33675
D3N CDPHP MEDICARE CHOICE 500 PATROON CREEK BL ALBANY NY 12206
DC5 CDPHP NY (518) 446-0181 500 PATROON CREEK BL ALBANY NY 12206
371 CELTIC INSURANCE (800) 477-7870 PO BOX 06410 CHICAGO IL 60606
638 CELTIC INSURANCE COMPANY (800) 766-2525 PO BOX 46337 MADISON WI 53744
D6A CENTRAL HEALTH MEDICARE P 1540 BRIDEGATE DRIVE DIAMOND BAR CA 91765
114 CENTRAL STATES HEALTH & W (800) 323-2190 PO BOX 5116 DES PLAINES IL 60017
735 CENTRAL STATES HEALTH (TE (800) 323-2190 P.O. BOX 34952 OMAHA NE 68134
13 CHAMPVA (800) 733-8387 PO BOX 65024 DENVER CO 80206-5024
558 CHARTIS HEALTH INS. (877) 803-9095 PO BOX 3726 SEATTLE WA 98124
701 CHESAPEAKE LIFE INSURANCE (800) 527-5504 9151 BLVD.26 NORTH RICHLAND H TX 76180
44 CHESTERFIELD RESOURCES/SA (800) 321-0935 PO BOX 1884 AKRON OH 44309
117 CHICKERING CLAIMS ADMINIS (800) 966-7772 PO BOX 368 CAMBRIDGE MA 02142
43 CHRISTIAN BROS EMPLOYEE B (800) 807-0400 1205 WINDHAM PKWY ROMEOVILLE IL 60441-1693
CPC CHT PROVDER 1 VIRGINIA AVENUE PROVIDENVE RI 02905
45 CHUBB LIFE AMERICA PO BOX 2023 CONCORD NH 03302
333 CIGNA DENTAL (800) 367-1037 PO BOX 189060 PLANTATION FL 33318-9060
334 CIGNA DENTAL (800) 882-4462 PO BOX 15558 WILMINGTON DE 19850-5558
458 CIGNA DENTAL (822) 882-4462 PO BOX 188036 CHATTANOOGA TN 37422-8036
46 CIGNA HEALTH CARE (800) 882-4462 PO BOX 366 AVON CT 06001
397 CIGNA HEALTH CARE (800) 244-6224 PO BOX 8012 PLAINVILLE CT 06062
46A CIGNA HEALTH CARE PO BOX 34336 CHARLOTTE NC 28234-4336
46B CIGNA HEALTH CARE (800) 722-7535 PO BOX 182352 COLUMBUS OH 43218
46C CIGNA HEALTH CARE (800) 566-3344 PO BOX 89000 ATLANTA GA 30359
46D CIGNA HEALTH CARE (800) 645-7300 PO BOX 978 BRISTOL CT 06011
46F CIGNA HEALTH CARE PO BOX 5001 HARTFORD CT 06102-5001
46G CIGNA HEALTH CARE (800) 542-4271 PO BOX 2048 GASTONIA NC 28053
46H CIGNA HEALTH CARE (800) 345-9458 PO BOX 800 UNIONVILLE CT 06085
46I CIGNA HEALTH CARE (800) 441-7150 PO BOX 15558 WILMINGTON DE 19850
46J CIGNA HEALTH CARE PO BOX 30151 LANSING MI 48909
CARRIER CARRIER PHONE
CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE
46K CIGNA HEALTH CARE (800) 845-3818 PO BOX 171806 MEMPHIS TN 38187
46N CIGNA HEALTH CARE (800) 443-7451 PO BOX 32894 CHARLOTTE NC 28232-2894
46O CIGNA HEALTH CARE (800) 832-3211 PO BOX 49180 ATLANTA GA 30350
46P CIGNA HEALTH CARE (800) 462-7486 PO BOX 2005 FARMINGTON CT 06034
46R CIGNA HEALTH CARE (800) 462-2135 PO BOX 34335 CHARLOTTE NC 28234
46S CIGNA HEALTH CARE (800) 252-2091 PO BOX 5000 VISALIA CA 93278
46T CIGNA HEALTH CARE PO BOX 10433 DES MOINES IA 50306
46W CIGNA HEALTH CARE (800) 525-5803 PO BOX 2546 SHERMAN TX 75091-2546
46X CIGNA HEALTH CARE (800) 525-5803 PO BOX 9013 SHERMAN TX 75091
46Y CIGNA HEALTH CARE (800) 244-6224 PO BOX 5200 SCRANTON PA 18505-5200
46Z CIGNA HEALTH CARE (800) 828-7622 PO BOX 2100 BOURBONNAIS IL 60914
46Q CIGNA HEALTH CARE OF NEW PO BOX 2041 CONCORD NH 03302
715 CIGNA HEALTH CARE VISION (855) 561-3805 PO BOX 5200 SCRANTON PA 18505-5200
DC7 CIGNA HEALTH SPRING PREFE (800) 222-6700 P O BOX 269005 WESTON FL 33326
PO BOX 182223 CLAIMS
463 CIGNA HEALTHCARE (800) 545-6534 ADMINISTRAT R CHATTANOOGA TN 37422
46L CIGNA HEALTHCARE (800) 722-7535 PO BOX 188007 CHATTANOOGA TN 37422
46V CIGNA HEALTHCARE (800) 379-2192 PO BOX 188013 CHATTANOOGA TN 37422-8013
D03 CIGNA HEALTHCARE (800) 735-1459 13650 NW 8TH STREET SUNRISE FL 33325
568 CIGNA HEALTHCARE DENTAL (800) 244-6224 PO BOX 5200 SCRANTON PA 18505-5200
46E CIGNA INTERNATIONAL (800) 441-2668 PO BOX 15050 WILMINGTON DE 19850-5050
D8L CIGNA MEDICARE RX PLAN ON (800) 222-6700 PO BOX 269005 WESTON FL 33326
D8K CIGNA MEDICARE RX PLAN TW (800) 222-6700 PO BOX 269005 WESTON FL 33326
46U CIGNA OF MASSACHUSETTS (800) 922-8380 PO BOX 2083 CONCORD NH 03302
429 CIGNA PHARMACY (800) 244-6224 PO BOX 3598 SCRANTON PA 18505
637 CIGNA VOLUNTARY (800) 762-2727 PO BOX 55270 PHOENIX AZ 85051
545 CINERGY HEALTH INSURANCE 1844 NORTH NOL HILL PLANTATION FL 33322
D3E CITIZENS CHOICE HEALTH PL 5400 E. OLYMPIC BLVD SUITE 130 LOS ANGELES CA 90022
D7L CITRUS HEALTH CARE INC. (813) 490-8903 5420 BAY CENTER DRIV TAMPA FL 33609
D2G CITRUS HEALTH CARE, INC. 5420 BAY CENTER DRIV SUITE 250 TAMPA FL 33609
165 CLAIM MANAGEMENT, INC. (800) 527-0566 PO BOX 1288 BENTONVILLE AK 72712-1288
168 CLAIM STRATEGIES (401) 435-2800 60 CATAMORE BLVD. EAST PROVIDENCE RI 02914
349 CLAIMS PRO 24370 NORTHWESTERN H SOUTHFIELD MI 48075
469 CLARITY VISION (800) 541-2039 PO BOX 890500 CAMP HILL PA 17089-0500
47 CNA INSURANCE CO (800) 621-0839 PO BOX 1134 CHICAGO IL 60690
CARRIER CARRIER PHONE
CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE
47A CNA RISK MANAGEMENT 3 FARM GLEN BLVD. FARMINGTON CT 06032
19 COLE VISION (800) 334-7591 PO BOX 8056 TWINSBURG OH 44087
700 COLONIAL PENN (AFFILIAT (800) 800-2254 PO BOX 1935 CARMEL IN 48082
D3Y COLORADO ACCESS 10065 EAST HARVARD A SUITE 600 DENVER CO 80231
206 COMCAR INSURANCE (800) 524-1101 PO DRAWER 67 AUBURNDLE FL 33823
335 COMMERCE BENEFIT GROUP (800) 223-9941 PO BOX 900 ELYRIA OH 44036
D04 COMMUNITY CARE RX (866) 684-5353 1 CSC WAY RENSSELAER NY 12144
D9F COMMUNITY CCRX BASIC 600 NEW LONDON AVE. CRANSTON RI 02920
D8R COMMUNITY CCRX BASIC (PDP (866) 684-5353 PO BOX 1593 PENSACOLA FL 32591
777 COMMUNITY HEALTH CHOICE (713) 295-2294 P. O. BOX 301424 HOUSTAN TX 77230-1424
714 COMPANION LIFE LTD MED CL (866) 227-5400 PO BOX 99906 GRAPEVINE TX 76009
718 COMPASS ROSE HEALTH PLAN (877) 531-1159 P.O. BOX 141501 NASHVILLE TN 37214
548 COMPREHENSIVE BENEFITS (631) 306-5100 .PO BOX 8955 MELVILLE NY 11747
D78 COMPREHENSIVE CARE MANAGE 2401 WHITE PLAINS RO BRONX NY 10467
48 CONN. GENERAL LIFE INSURA (203) 747-4591 P O BOX 8013 PLAINVILLE CT 06062
CCC CONNECT CARE CHOICE 171 SERVICE AVENUE SUITE 1005 WARWICK RI 02888
CCP CONNECT CARE CHOICE COMMU 225 CHAPMAN STREET PROVIDENCE RI 02905
24 CONNECTICARE, INC. (800) 846-8578 PO BOX 546 FARMINGTON CT 06034
D3F CONNECTICARE, INC. (800) 846-8578 175 SCOTT SWAMP ROAD FARMINGTON CT 06032
48A CONNECTICUT GENERAL (800) 523-4626 PO BOX 5112 SOUTHFIELD MI 48086
48B CONNECTICUT GENERAL (CIGN (800) 227-0269 PO BOX 1976 BOURBONNAIS IL 60914
679 CONNECTION'S AVESIS VISIO (800) 672-7552 PO BOX 61000-4 PHOENIX AZ 85011-7777
207 CONSOLIDATED HEALTH PLANS (800) 633-7867 195 STAFFORD STREET SPRINGFIELD MA 01104-3503
769 CONSTELLATION HEALTH, LLC (787) 304-4040 PO BOX 384647 SAN JUAN PR 09384- 547
208 CONSTITUTION STATE SERVIC (508) 946-6437 44 BEDFORD STREET MIDDLEBORO MA 02344-1450
727 CONTINENTAL BENEFITS (855) 894-4984 PO BOX 3610 BRANDON FL 33509-1390
482 COOK & ASSOCIATES (303) 861-5100 700 BROADWAY SUITE 811 DENVER CO 80203
704 COORDINATED BENEFIT PLAN (877) 902-9918 P O BOX 21944 EAGAN MN 55121
D2L COORPERATIVA DE SEGUROS D PO BOX 363428 SAN JUAN PR 09360
502 CORESOURCE (800) 223-3943 PO BOX 2920 CLINTON IA 52733-2920
115 CORE-SOURCE (717) 295-9201 PO BOX 83301 LANCASTER PA 17608-3301
227 CORESOURCE, INC. (410) 931-5060 4940 CAMPBELL BLVD. BALTIMORE MD 21236
255 CORESTAR (800) 444-6965 PO BOX 1195 MINNEAPOLIS MN 55440-0020
596 CORP BENEFIT SERVICES ADM (800) 925-2272 PO BOX 27267 MINNEAPOLIS MN 55427
311 CORPORATE BENEFITS SERVIC (800) 277-9476 PO BOX 12953 CHARLOTTE NC 28220
CARRIER CARRIER PHONE
CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE
49A CORPORATE HEALTH ADMINIST (800) 788-7247 PO BOX 1858 BISMARCK ND 58502
49 CORPORATE HLTH ADM/HOME D (800) 235-0123 PO BOX 1257 BISMARK ND 58502
D66 COSVIMED-CARE (877) 311-0013 PO BOX 363428 SAN JUAN PR 09360
D05 COVENTRY ADVANTRA RX (800) 882-3822 PO BOX 686007 SAN ANTONIO TX 78268
D1B COVENTRY HEALTH AND LIFE PO BOX 686007 SAN ANTONIO TX 78268
422 COVENTRY HEALTH CARE OF K (800) 969-3343 PO BOX 7109 LONDON KY 40742
322 COVENTRY HEALTH CARE OF L (800) 341-6613 PO BOX 7707 LONDON KY 40742
510 COVENTRY NATIONAL (800) 638-8432 PO BOX 8400 LONDON KY 40742
749 CRYSTAL RUN HEALTH PLANS (844) 638-6507 P O BOX 3630 AKRON OH 44309-3630
23 CUNA INSURANCE CO (800) 233-0367 PO BOX 484 VALLEY FORGE PA 19493
D9S CVS CAREMARK 600 NEW LONDON AVE CRANSTON RI 02920
774 CYPRESS BENEFIT ADMINISTR (877) 236-0844 5960W. GRAND MARKET APPLETON WI 54913
754 DAKOTA CARE (800) 628-3778 P.O. BOX 7406 SIOUX FALLS SD 57117-7406
50 DAVIS VISION (800) 999-5431 P.O. BOX 971 VISION CARE SCHENECTADY NY 12301
763 DC11 TAFT-HARTLEY / TEAMS (800) 972-1627 PO BOX 5817 WALLINGFORD CT 06492
396 DEFINITY HEALTH CLAIMS (866) 333-4648 PO BOX 9525 AMHERST NY 14226-9525
PO BOX 740810 UHC OPTION HEALTH
476 DEFINITY HEALTH CLAIMS PP ATLANTA GA 30374
14 DELTA DENTAL (USA) PREMIE (800) 451-1249 PO BOX 9695 BOSTON MA 02114-9695
499 DELTA DENTAL OF ARIZONA (800) 352-6132 PO BOX 43026 PHOENIX AZ 85080-3026
258 DELTA DENTAL OF ARKANSAS (800) 462-5410 PO BOX 15965 N. LITTLE ROCK AR 72231-5965
426 DELTA DENTAL OF CALIFORNI (877) 442-7462 PO BOX 537007 FEDERAL SERVICES SACRAMENTO CA 95853
737 DELTA DENTAL OF COLORADO (800) 610-0201 P.O. BOX 173803 DENVER CO 80217-3803
220 DELTA DENTAL OF GEORGIA (800) 616-3631 PO BOX 1809 ALPHARETTA GA 30023-1809
256 DELTA DENTAL OF ILLINOIS (800) 398-7203 PO BOX 5402 LISLE IL 60532
495 DELTA DENTAL OF IOWA (800) 544-0718 PO BOX 919 ANKENY IA 50021-0919
394 DELTA DENTAL OF KANSAS (800) 234-3375 PO BOX 49198 WICHITA KS 67201-9198
504 DELTA DENTAL OF KENTUCKY (800) 955-2030 PO BOX 242810 LOUISVILLE KY 40224-2810
337 DELTA DENTAL OF MICHIGAN (800) 524-0149 PO BOX 9085 FARMINGHAM MI 48333
501 DELTA DENTAL OF MINNESOTA (877) 598-5342 PO BOX 59238 MINNEAPOLIS MN 55459-0238
583 DELTA DENTAL OF MISSOURI (800) 335-8266 PO BOX 8690 ST LOUIS MO 63126
336 DELTA DENTAL OF NEW JERSE (800) 346-5377 PO BOX 222 PARSIPPANY NJ 07054
395 DELTA DENTAL OF NEW YORK (800) 932-0783 1 DELTA DRIVE MECHANICSBURG PA 17055
770 DELTA DENTAL OF NH (800) 832-5700 P.O. BOX 2002 CONCORD NH 03302-2002
533 DELTA DENTAL OF PENNSYLVA (800) 932-0783 ONE DELTA DRIVE MECHANCISBURG PA 17055
CARRIER CARRIER PHONE
CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE
10 DELTA DENTAL OF RI (800) 843-3582 PO BOX 1517 PROVIDENCE RI 02901-1517
505 DELTA DENTAL OF TENNESSEE (800) 223-3104 240 VENTURE CIRCLE NASHVILLE TN 37228
525 DELTA DENTAL OF TEXAS (800) 521-2651 700 PARKER SQUARE SU FLOWER MOUND TX 75028
402 DELTA DENTAL OF VIRGINIA (800) 335-8289 4818 STARKEY ROANOKE VA 24014
524 DELTA DENTAL OF WASHINGTO (800) 238-3107 P.O. BOX 75983 SEATTLE WA 98175-0983
515 DELTA DENTAL OF WISCONSIN (800) 236-3712 PO BOX 828 STEVENS POINT WI 54481
269 DELTA USA (800) 448-3815 PO BOX 59238 MINNEAPOLIS MN 55459-0238
118 DENTAL (800) 876-2840 PO BOX 21078 NEW YORK NY 10129
412 DENTAPAY PO BOX 9783 AUSTIN TX 78766
759 DENTEGRA INSURANCE COMPAN (877) 280-4204 100 1ST SAN FRANCISCO CA 94105
746 DESERET MUTUAL (801) 578-5765 60 EAST SOUTH TEMPLE SALT LAKE CITY UT 84111
744 DESERT MUTUAL (800) 777-3622 P.O BOX 45530 SALT LAKE CITY UT 84145-0530
459 DISTRICT COUNCIL 1707 HEA (212) 780-2703 75 VARICK STREET NEW YORK NY 10013-1917
257 DIVERSIFIED ADMINISTRATOR (888) 322-2524 PO BOX 299 MARLBOROUGH CT 06447
639 DIVERSIFIED GROUP BROKERA (888) 322-2524 PO BOX 299 MARLBOROUCH CT 06447
51A DIVERSIFIED PHARMACEUTICA (800) 233-8065 14000 RIVER PORT DR MARYLAND HEIGHTSMO 63043
51 DIVERSIFIED PHARMACY SERV (800) 233-8065 14000 RIVERPORT DR MARYLAND HEIGHTSMO 63043
D4X DOCTORCARE INC 3001 PONCE DE LEON B CORAL GABLES FL 33134
239 EASTERN CASUALTY INSURANC (508) 303-1000 325 DONALD J. LYNCH MARLBOROUGH MA 01752
D6G EASY CHOICE HEALTH PLAN 180 EAST OCEAN BLVD LONG BEACH CA 90802
783 EBMS (406) 869-5573 EBMS, LLC PO BOX 20281 BILLINGS MT 59104-1367
55 EBPA (EMPLOYEE BENEFIT PL (800) 258-7298 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
209 EDSA (800) 952-4442 PO BOX 2395 BALTIMORE MD 21203-2395
709 EHMRX EMPLOYEE HEALTH INS (800) 311-3446 26711 NW HIGHWAY SOUTHFIELD MI 48033
D45 ELDER HEALTH PDP MID ATLA (888) 787-0272 3601 O'DONNELL STREE BALTIMORE MD 21224
D74 ELDER SVCPLNE/E BOSTON HC 10 GROVE STREET EAST BOSTON MA 02128
D3V ELDERPLAN, INC. 6323 SEVENTH AVENUE BROOKLYN NY 11220
8 ELECTRIC BOAT (203) 433-2990 P O BOX 1127 ATTN: BENEFITS GROTON CT 06340-1127
259 ELECTRIC WORKERS HEALTH & (617) 288-5999 256 FREEPORT STREET BOSTON MA 02122
791 EMBLEMHEALTH (800) 624-2414 GHI P O BOX 2832 NEW YORK NY 10116-2832
772 EMI HEALTH (800) 662-5851 852 E. ARROWHEAD LAN MURRAY UT 84107-5298
773 EMI HEALTH DENTAL (800) 662-5851 852 E. ARROWHEAD LAN MURRAY UT 84107-5298
CARRIER CARRIER PHONE
CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE

543 EMIH (EMPLOYEE HEALTH INS (800) 311-3446 26711 NORTHWESTERN H SUITE 400 SOUTHFIELD MI 48033
54A EMPIRE BLUE CROSS PO BOX 170 MURPHY HILL STATION NEW YORK NY 10156
54B EMPIRE BLUE CROSS (212) 476-7700 PO BOX 11802 ALBANY NY 12211-0802
54C EMPIRE BLUE CROSS (800) 468-8802 PO BOX 5012 MIDDLETOWN NY 10940-9012

54D EMPIRE BLUE CROSS NY STATE SERVICE CTR PO BOX 11815 ALBANY NY 12211-0815
54E EMPIRE BLUE CROSS (877) 732-7717 PO BOX 1407 CHURCH ST. STATION NEW YORK NY 10008
D3B EMPIRE BLUE CROSS/BLUE SH 3 HUNTINGTON QUADRAN MELVILLE NY 11747

54 EMPIRE BLUE CROSS/NYNEX (855) 880-0575 NYNEX DEDICATED SVC PO BOX 5047 MIDDLETOWN NY 10941
313 EMPLOYEE BENEFIT ADMINIST (800) 224-2522 64 SCHOOSETT STREET ROUTE 139 PEMBROKE MA 02359
121 EMPLOYEE BENEFITS TRUST (302) 426-3224 PO BOX 8788 WILMINGTON DE 19899
641 EMPLOYEE HEALTH INS MANAG (800) 311-3446 26711 NW HIGHWAY SOUTHFIELD MI 48033
764 ENVISION RX (844) 429-6893 2181 EAST AURORA RD #21 TWINSBURG OH 44087
D1H ENVISION RX PLUS (866) 250-2005 2181 EAST AURORA ROA SUITE 201 TWINSBURG OH 44087
D9A ENVISION RX PLUS SILVER (866) 250-2005 2181 E. AURORA RD ST TWINSBURG OH 44087
D9R ENVISION RX PLUS SILVER 600 NEW LONDON AVE CRANSTON RI 02920
59 EQUICOR, INC. PO BOX 34337 CHARLOTTE NC 28234
307 ERN ADMINISTRATORS (800) 252-4698 PO BOX 9137 FORT WORTH TX 76147-2137
755 ESSENTIALSTAFFCARE (866) 798-0803 PO BOX 6702 COLUMBIA SC 29260-6702
455 EURO-CENTER USA (212) 265-8522 140 W 57TH STREET SUITE 6B NEW YORK NY 10019
06B EVERCARE (800) 393-0993 PO BOX 659754 SAN ANTONIO TX 78265-9754
D2W EVERCARE HEALTH PLANS 13621 NW 12 STREET SUNRISE FL 33323
D4V EVERCARE HEALTH PLANS 13621 N.W. 12TH STRE SUNRISE FL 33323
D84 EVERCARE OF TEXAS, LLC (866) 382-4642 9700 BISSONNET SUITE 2225 HOUSTON TX 77036

D5L EVERCARE PLAN 450 COLUMBUS BOULEVA CT 28-07SB HARTFORD CT 06115

D4U EVERCARE PLAN DH PO BOX 459018 SUNRISE FL 33345

D4K EVERCARE PLAN IH 900 4TH AVENUE, SUITE WA33-1000 SEATTLE WA 98164
D1J EVERCARE PLAN IP 6085 MARSHALEE DRIVE SUITE 110 ELKRIDGE MD 21075
D4R EVERCARE PLAN IP 275 GROVE STREET SUI AUBURNDALE MA 02466
UTICA BUSINESS PARK 12 RHOADS
620 EXCELLUS BLUE CROSS BLUE (800) 311-3536 DRIVE UTICA NY 13502
CARRIER CARRIER PHONE
CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE
498 EXCELLUS BLUE CROSS/ BLUE (877) 757-3850 PO BOX 22999 ROCHESTER NY 14692
53 EXPRESS SCRIPT (800) 451-6245 14000 RIVERPORT DR MARYLAND HEIGHTSMO 63043
6625 W. 78TH STREET ATTN: CLAIMS
53A EXPRESS SCRIPT (877) 212-1021 BL0630 BLOOMINGTON MN 55439
53C EXPRESS SCRIPT (800) 964-1888 PO BOX 1180 433 RIVER STREET TROY NY 12180
53D EXPRESS SCRIPTS (800) 772-3979 PO BOX 390873 B 470-Q4H BLOOMINGTON MN 55439-0873
53E EXPRESS SCRIPTS (800) 955-1171 PO BOX 66518 ATTN: SA TEAM ST. LOUIS MO 63166-6518
53B EXPRESS SCRIPTS/BCMA RX (800) 524-4491 PO BOX 66583 ATTN: CLAIMS DEPT. ST. LOUIS MO 63166-6773
126 EYE CARE PLAN OF AMERICA (800) 221-3272 PO BOX 51810 PHOENIX AZ 85076
471 EYE MED VISION PLAN (866) 939-3633 PO BOX 8506 MASON OH 45040-7111
485 EYEMED MANAGED CARE CLAIM (866) 723-0513 PO BOX 8504 MASON OH 45040-7111
57 FALLON COMMUNITY HEALTH P (888) 468-1541 PO BOX 15121 WORCESTER MA 01615-0121
ONE CHESTNUT PLACE 10 CHESTNUT
D29 FALLON COMMUNITY HEALTH P (888) 846-5997 STREET WORCESTER MA 01608
690 FCE BENEFIT ADMINISTRATOR (800) 899-9355 4615 WALZEM ROAD SUITE #300 SAN ANTONIO TX 78218
JFK BLDG-ROOM E 260 US DEPT OF
339 FEDERAL EMPLOYEE COMP ACT (800) 888-6227 LABOR/OWC BOSTON MA 02203
58 FEDERAL EMPLOYEE PLAN/BC (401) 831-0153 444 WESTMINSTER ST PROVIDENCE RI 02903-3279
418 FEDERL MUTUAL INSURANCE (507) 455-5200 PO BOX 328 OWATONNA MN 55060
235 FFI, RX MANAGED CARE (800) 699-7857 8536 CROW DRIVE MACEDONIA OH 44056
210 FIREMAN'S FUND (516) 756-6100 538 BROADHOLLOW ROAD MELVILLE NY 11747
123 FIRST HEALTH (412) 269-1178 PO BOX 8400 LONDON KY 40742
124 FIRST HEALTH PO BOX 945030 MAITLAND FL 32797-5030
262 FIRST HEALTH PO BOX 23550 TUCSON AZ 85734
270 FIRST HEALTH PO BOX 11127 TUCSON AZ 85734
280 FIRST HEALTH PO BOX 23070 TUCSON AZ 85734
317 FIRST HEALTH PO BOX 10000 ELEC. CLAIMS PAYOR CORAOPOLIS PA 15108-6910
PO BOX 24308 ELECTRONIC CLAIM
453 FIRST HEALTH PAY TUCSON AZ 85734
D9E FIRST HEALTH PART D-PREMI 600 NEW LONDON AVE CRANSTON RI 02920
D30 FIRST HEALTH PREMIER (800) 588-3322 2222 EWING ROAD MOON TOWNSHIP PA 15108
D67 FIRST HEALTH PREMIER (800) 588-3322 2222 EWING ROAD MOON TOWNSHIP PA 15108
HEALTH PLAN MEDICAL PO BOX
D4L FIRST MEDICAL 195080 SAN JUAN PR 09190
D27 FIRST MEDICAL HEALTH PLAN (866) 515-5885 P.O. BOX 195080 SAN JUAN PR 09190
CARRIER CARRIER PHONE
CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE
D8C FIRST MEDICAL HEALTH PLAN (787) 625-9557 PO BOX 195080 SAN JUAN PR 09190
D83 FIRST PLAN BLUE (800) 635-4159 525 S. LAKE AVENUE SUITE 222 DULUTH MN 55802
D2H FIRST UNITED AMERICAN LIF 3700 SOUTH STONEBRID MCKINNEY TX 75070
520 FISERV (800) 826-9781 PO BOX 8077 WAUSAU WI 54402-9781
329 FISERV HEALTH (866) 881-0800 PO BOX 310 PUEBLO CO 81002
642 FISERV SAN ANTONIO (800) 218-1004 PO BOX 2838 CLINTON IA 52733
595 FISERV WAUSAU (800) 826-9781 754 MINNESOTA AVE SUITE 522 SALT LAKE CITY UT 84130
D80 FLORIDA HEALTH CARE PLAN, (800) 232-0578 1340 RIDGEWOOD AVENU HOLLY HILL FL 32117
517 FLRX (800) 724-5033 PO BOX 22999 ROCHESTER NY 14692
358 FMH BENEFITS (800) 990-9058 PO BOX 25946 OVERLAND PARK KS 66225
261 FOREMOST OF AMERICA (800) 847-8217 1009 LENOX DRIVE LAWRENCEVILLE NJ 08648
60 FORTIS BENEFIT INSURANCE (800) 800-2000 GROUP CLAIM DEPT ST PAUL MN 55164
60B FORTIS BENEFITS (800) 434-2638 PO BOX 2940 CLINTON IA 52733
60A FORTIS SELF FUNDED INSURA (800) 847-8284 PO BOX 2043 HOPKINS MN 55343
6300 BRIDGEPOINT PAR BLDG. 3,
486 FOUNDATION BENEFITS ADMIN (866) 868-9449 SUITE 400 AUSTIN TX 78730
D8G FOX INSURANCE (877) 369-9564 40 WEST 25TH ST. 6TH NEWYORK NEWYORNY 10010

D1A FOX INSURANCE COMPANY 6263 NORTH SCOTTSDAL SUITE 200 A SCOTTSDALE AZ 85250
291 FRA INSURANCE PLANS (800) 424-1120 PO BOX 10340 DES MOINES IA 50306-0340
D4O FREEDOM BLUE 700 MARKET SQUARE PO BOX 1948 PARKERSBURG WV 26101
D5I FREEDOM BLUE PPO PO BOX 1068 PITTSBURG PA 15230
D82 FREEDOM HEALTH, INC. (888) 796-0946 5501 49TH STREET N ST PETERSBURG FL 33709
D7N FREEDOM MEDI-MEDI PARTIAL (888) 796-0946 5403 N.CHURCH AVE. TAMPA FL 33614
579 FUTURE SCRIPTS (855) 390-2604 1600 ARCH STREET SUITE 2600 PHILADELPHIA PA 19103
721 FUTURE SCRIPTS (888) 678-7012 1650 ARCH STREET SUITE 2600 PHILADELPHIA PA 19103
405 GALLAGHER BENEFIT ADMINIS (866) 761-6280 PO BOX 34297 SAN ANTONIO TX 78265
129 GALLAGHER-BASSETT (781) 849-9090 100 GRANDVIEW ROAD BRAINTREE MA 02184
211 GALLAGHER-BASSETT (401) 739-7111 475 KILVERT STREET WARWICK RI 02886
62 GALLAGHER-BASSETT BENEFIT PO BOX 41 MINNEAPOLIS MN 55440-0041
263 GATES MCDONALD HEALTH PLU (800) 642-7587 PO BOX 182720 COLUMBUS OH 43218
D1G GATEWAY HEALTH PLAN, INC. 600 GRANT STREET 41ST FLOOR PITTSBURGH PA 15219
597 GEHA (800) 821-6136 PO BOX 4665 INDEPENDENCE MO 64051-4665
678 GEHA CONNECTION DENTAL FE (877) 434-2336 PO BOX 2336 INDEPENDENCE MO 64051-2336
D4Z GEISINGER GOLD 100 NORTH ACADEMY AV DANVILLE PA 17822
CARRIER CARRIER PHONE
CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE
738 GEISINGER HEALTH PLAN (800) 504-0443 P.O. BOX 8200 DANVILLE PA 17821-8200
760 GEISINGER HEALTH PLAN (800) 447-4000 P.O. BOX 8200 DANVILLE PA 17821-8200
D7V GEMCARE HEALTH PLAN (877) 697-2464 5080 CALIFORNIA AVEN BAKERSFIELD CA 93309
63 GENERAL AMERICAN LIFE INS (800) 854-7309 PO BOX 5445 ROCKFORD IL 61125-0445
127 GENERAL ELECTRIC DENTAL B (800) 552-3232 PO BOX 6113 CLAIM CENTER UTICA NY 13504-6113
64 GENERAL ELECTRIC PENSIONE (800) 848-8406 MEDICAL CLAIMS CTR PO BOX 6125 UTICA NY 13504
128 GENERAL ELECTRIC VISION C (800) 433-9375 PO BOX 2243 SCHENECTADY NY 12301
537 GENWORTH LIFE & ANNUITY M (877) 825-9337 PO BOX 10821 CLEARWATER FL 33757-8821
454 GERBER LIFE INSURANCE (800) 628-0011 PO BOX 7005 PARKERSBURG WV 26102-7015
404 GHI - GOVERNMENT HEALTH I (212) 501-4444 PO BOX 2834 NEW YORK NY 10116
D7P GHI MEDICARE CHOICE PPO (866) 557-7300 789 GRANT AVE. LAKE KATRINE NY 12449
D50 GHI MEDICARE PRESCRIPTION (800) 611-8454 441 NINTH AVENUE NEW YORK NY 10001
221 GIC INDEMNITY PLAN BY UNI (800) 333-8724 PO BOX 8397 AMORYVILLE CA 94662
66 GLOBE LIFE INS. CO. 5050 N. BROADWAY CHICAGO IL 60640
342 GM-SOUTHWEST (800) 823-0804 PO BOX 803473 DALLAS TX 75380-3473
731 GOLDEN RULE (618) 943-8000 7211 11TH STREET LAWRENCEVILLE IL 62439
343 GOLDEN RULE INSURANCE CO. (317) 297-4149 7440 WOODLAND DRIVE INDIANAPOLIS IN 46278-1719
131 GOVERNMENT EMPLOYEES HOSP (816) 257-5500 PO BOX 10304 KANSAS CITY MO 64171-0304
132 GOVERNMENT EMPLOYEES HOSP (800) 821-6136 PO BOX 4665 INDEPENDENCE MO 64051-4665
67 GREAT WEST HEALTHCARE (800) 663-8081 1000 GREAT WEST DRIV KENNETT MO 63857
67A GREAT WEST LIFE (800) 663-8081 PO BOX 11111 FORT SCOTT KS 66701
67B GREAT WEST LIFE (800) 663-8081 PO BOX 11111 FORT SCOTT KS 66701
67C GREAT WEST LIFE (800) 663-8081 PO BOX 11111 FORT SCOTT KS 66701
67E GREAT WEST LIFE (800) 663-8081 PO BOX 11111 FORT SCOTT KS 66701
67D GREAT WEST LIFE (ONE HEAL (800) 663-8081 PO BOX 11111 FORT SCOTT KS 66701
708 GROUP & PENSION PLAN (972) 238-7900 12770 MERIT DRIVE 2ND FLOOR DALLAS TX 75251
69 GROUP ADMINISTRATORS LTD (708) 519-1880 1880 N ROSELLE ROAD SCHAUMBURG IL 60195
215 GROUP HEALTH, INC. (800) 358-5500 PO BOX 2832 NEW YORK NY 10116-2832
415 GROUP INSURANCE SERVICE C (800) 242-4472 PO BOX 9120 MARSHFIELD MA 02050
643 GROUP LINK INC (317) 578-7128 PO BOX 21518 ST PAUL MN 55121-0518
523 GROUP RESOURCES INC (888) 620-1297 PO BOX 100043 DULUTH GA 30096-9343
512 GROUPLINK, INC. (877) 223-4693 PO BOX 20593 INDIANAPOLIS IN 46220
341 GUARANTEE TRUST LIFE INS. (800) 622-1993 PO BOX 1148 GLENVIEW IL 60025
68 GUARDIAN INSURANCE (800) 541-7846 PO BOX 8007 APPLETON WI 54913
68A GUARDIAN INSURANCE (800) 685-4542 PO BOX 26020 LEIGH VALLEY PA 18002-6025
CARRIER CARRIER PHONE
CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE
68B GUARDIAN INSURANCE (800) 541-7846 PO BOX 2459 SPOKANE WA 99210-2459
68C GUARDIAN INSURANCE (800) 873-4542 PO BOX 9129 NORWELL MA 02061-9129
410 H.E.R.E.I.U. (866) 261-5676 PO BOX 6020 AURORA IL 60598
355 HANOVER INSURANCE (508) 997-0454 PO BOX 15146 WORCESTER MA 01615
D2M HAP SENIOR PLUS 2850 WEST GRAND BLVD DETROIT MI 48202
376 HARBORSIDE HEALTH PLAN (800) 235-9562 1 BEACON STREET 11TH FLOOR BOSTON MA 02108
133 HARRINGTON BENEFIT SERVIC (800) 241-7483 PO BOX 74206 CHICAGO IL 60690-8206
357 HARRINGTON BENEFIT SERVIC (800) 995-1430 PO BOX 30367 TAMPA FL 33630-3367
644 HARRINGTON BENEFIT SERVIC (800) 848-4623 675 BROOKSEDGE BLVD WESTERVILLE OH 43081
406 HARRISON TRUST (800) 547-4457 1220 SW MORRISON PORTLAND OR 97205
73 HARTFORD LIFE & ACC. INS. HARTFORD PLAZA HARTFORD CT 06115
73A HARTFORD LIFE & ACCIDENT (800) 247-2192 MEDI PLUS CLAIMS PO BOX 9126 DES MOINES IA 50306-9126
7 HARVARD PILGRIM (888) 333-4742 2 DAVOL SQUARE PROVIDENCE RI 02903
D86 HARVARD PILGRIM HEALTH CA 1600 CROWN COLONY DR QUINCY MA 02169
D1R HARVARD PILGRIM HEALTHCAR 93 WORCESTER STREET WELLESLEY MA 02481
726 HCC LIFE INSURANCE COMPAN (866) 400-7102 P.O.BOX2005 FARMINGTON MI 48333-2005
11 HEALTH ADVANTAGE (401) 831-1518 P.O. BOX 488 PROVIDENCE RI 02901
312 HEALTH CARE ADMINISTRATOR (888) 448-7447 PO BOX 6108 LAFAYETTE IN 47903
345 HEALTH CARE PAYERS COALIT (800) 427-9005 PO BOX 6858 EDISON NJ 08818
D28 HEALTH CHOICE GENERATIONS (800) 322-8670 1600 W. BROADWAY SUITE 110 TEMPE AZ 85282
407 HEALTH FINEST NETWORK (HF (800) 634-3506 PO BOX 3428 OAK BROOK IL 60522
HEALTH FIRST HEALTH 6450 US
D57 HEALTH FIRST MEDICARE PLA (800) 856-8652 HIGHWAY 1 ROCKLEDGE FL 32955
72 HEALTH INS PLAN OF GREATE (212) 630-5000 CLAIMS SERVICE CTR PO BOX 2803 NEW YORK NY 10116-2803
136 HEALTH LINK (800) 624-2356 PO BOX 419104 ST LOUIS MO 63141
344 HEALTH NET (800) 847-3991 PO BOX 10196 VAN NUYS CA 91410-0196
408 HEALTH NET (800) 441-5741 PO BOX 14700 LEXINGTON KY 40512
D06 HEALTH NET (800) 547-8734 ONE FAR MILL CROSSIN SHELTON CT 06484

D5A HEALTH NET OF ARIZONA, IN 1230 WEST WASHINGTON SUITE 401 TEMPE AZ 85281
D8P HEALTH NET ORANGE OPTION (800) 806-8811 2222 EWING ROAD MOON TOWNSHIP PA 15108
D9D HEALTH NET ORANGE OTION 1 600 NEW LONDON AVE CRANSTON RI 02920
611 HEALTH NEW ENGLAND (800) 310-2835 ONE MONARCH PLACE SUITE 1500 SPRINGFILED MA 01144-1500
460 HEALTH OPTIONS - JACKSONV (800) 734-6656 532 RIVERSIDE AVENUE JACKSONVILLE FL 32202
D5G HEALTH OPTIONS PROGRAM PO BOX 1764 LANCASTER PA 17608
CARRIER CARRIER PHONE
CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE
D79 HEALTH OPTIONS, INC.\BSBS (800) 876-2227 4800 DEERWOOD CAMPUS JACKSONVILLE FL 32246
8170 33RD AVENUE SOU PO BOX
529 HEALTH PARTNERS ADMINISTR (952) 883-6000 1309 MINNEAPOLIS MN 55440-1309
DE6 HEALTH PARTNERS OF PA (800) 553-0784 P.O.BOX 1220 PHILADELPHIA PA 19105-1220
511 HEALTH PLAN ADMINISTRATOR (866) 513-1479 PO BOX 828 ST M CLAIMS DEPT. PARK RIDGE IL 60068-0828
52 HEALTH PLAN INC (800) 532-7575 PO BOX 419 MARLBOROUGH CT 06447
D4T HEALTH PLAN OF NEVADA, IN PO BOX 15645 LAS VEGAS NV 89114
D53 HEALTH PLAN OF SAN MATEO (866) 880-0606 701 GATEWAY BLVD. SUITE 400 SOUTH SAN FRANCISCA 94080
65 HEALTH PLAN SERVICES (800) 446-8182 PO BOX 30367 TAMPA FL 33630-3367
234 HEALTH PLANS, INC.(HARVAR (508) 752-2480 PO BOX 5199 WESTBOROUGH MA 01581
646 HEALTH PLUS LOUISIANA (318) 212-8520 PO BOX 69316 HARRISBURG PA 17106
720 HEALTH SMART BENEFIT SOLU (800) 331-1096 3320 WEST MARKET STR BLDG 100 FAIRLAWN OH 44333
608 HEALTH SMART WEST VIRGINI (800) 624-8605 PO BOX 3262 CHARLESTON WV 25332
669 HEALTH SOLUTIONS (888) 546-5502 PO BOX 3163 LISLE IL 60532
46M HEALTH SOURCE/CIGNA PO BOX 188002 CHATTANOOGA TN 37422
D9M HEALTH SPRING PRESCRIPTIO 600 NEW LONDON AVE. CRANSTON RI 02920
D7H HEALTH SPRING TENNESSEE I (866) 845-6941 44 VANTAGE WAY SUITE NASHVILLE TN 37228
D6H HEALTH SUN HEALTH PLANS 1205 SW 37TH AVENUE MIAMI FL 33135
264 HEALTHCARE PLAN OF MOHAWK (800) 991-7401 PO BOX 100184 COLUMBIA SC 29202-3184
134 HEALTHCARE VALUE MANAGEME (800) 527-2845 100 RIVER RIDGE DR NORWOOD MA 02062
135 HEALTHCARE VALUE MANAGEME (800) 237-5949 PO BOX 2075 NASHUA NH 03061
413 HEALTHCARE VALUE MANAGEME (800) 447-6588 2180 NORTH LOOP WEST HOUSTON TX 77018
424 HEALTHCARE VALUE MANAGEME (800) 564-5999 256 FREEPORT STREET 2ND FLOOR BOSTON MA 02127
D41 HEALTHFIRST MEDICARE PLAN (877) 237-1303 PO BOX 5165 NEW YORK NY 10274
606 HEALTHFIRST NEW YORK (212) 801-6000 25 BROADWAY NEW YORK NY 10004
676 HEALTHFIRST NEW YORK/DENT (212) 801-6000 25 BROADWAY NEW YORK NY 10004
4 HEALTHMATE CLAIMS DEPT. (401) 459-5000 1 WEYBOSSET ST. PROVIDENCE RI 02903
585 HEALTHNET NORTH EAST (800) 848-4747 PO BOX 14700 LEXINGTON KY 40512
D1Y HEALTHNET OF CALIFORNIA PO BOX 10198 VAN NUYS CA 91410
D1F HEALTHNET OF CONNECTICUT ONE FAR MILL CROSSIN SHELTON CT 06484
D7D HEALTHNOW NEW YORK (518) 220-4699 30 CENTURY HILL DRIV LATHAM NY 12110
732 HEALTHPLEX (631) 794-3000 333 EARLE OVINGTON B SUITE 300 UNIONDALE NY 11553
591 HEALTHSCOPE BENEFITS (800) 333-5711 PO BOX 619055 DALLAS TX 75261-9055
789 HEALTHSCOPE BENEFITS AET (800) 660-6212 PO BOX 99006 LUBBOCK TX 79490
D55 HEALTHSPRING (888) 886-1993 9701 WEST HIGGINS RO SUITE 360 ROSEMONT IL 60018
CARRIER CARRIER PHONE
CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE
D3G HEALTHSPRING HEALTHCARE O 44 VANTAGE WAY SUITE 300 NASHVILLE TN 37228
2 PERIMETER PARK SOU SUITE 300
D3S HEALTHSPRING OF ALABAMA, WEST BIRMINGHAM AL 34243
D48 HEALTHSPRING PRESCRIPTION (888) 583-3346 44 VANTAGE WAY SUITE 300 NASHVILLE TN 37228
D8W HEALTHSPRING PRESCRIPTION (615) 291-7024 37228-0000 NASHVILLE TN 37228
212 HELLSMAN MANAGEMENT (401) 351-2200 245 WATERMAN STREET PROVIDENCE RI 02906
236 HERITAGE CONSULTANTS (800) 282-2460 PO BOX 1730 AUBURNDALE FL 33823
730 HERITAGE/VISION (800) 252-2053 1 WOODWARD AVENUE SUITE 2020 DETROIT MI 48226
645 HIGHMARK BLUE CROSS (800) 544-6679 PO BOX 69316 HARRISBURG PA 17106
214 HIGHMARK BLUE CROSS/BLUE (866) 588-6966 FIFTH AVENUE PLACE PITTSBURGH PA 15222-3099
PO BOX 535049 SENIOR PRODUCTS
D56 HIGHMARK SENIOR RESOURCES (866) 465-4030 ENRO PITTSBURGH PA 15253
702 HIP HEALTH PLAN OF NEW YO (800) 447-8255 55 WATER STREET NEW YORK NY 10041
D1C HIP HEALTH PLAN OF NEW YO 55 WATER STREET NEW YORK NY 10041
D7B HIP HEALTH PLAN OF NEW YO (800) 447-8255 55 WATER STREET NEW YORK NY 10041-8190
D97 HIP OF GREATER NEW YORK (800) 447-8255 55 WATER STREET NEW YORK NY 10041
D89 HISC BLUE CROSS/BLUE SHIE PO BOX 7020 LAWRENCE KS 66044
9 HMO - BLUE OF MASSACHUSET (800) 882-2060 PO BOX 9196 NORTH QUINCY MA 02171-9196
130 HOLYOKE MUTUAL INSURANCE (978) 744-6123 PO BOX 2006 HOLYOKE SQUARE SALEM MA 01970-3391
782 HOME DEPOT CO-ORDINATED B (877) 902-9923 P.O.BOX 23802 TAMPA FL 33623-3802
71 HOME LIFE INSURANCE CO. (800) 241-8813 PO BOX 956353 DULUTH GA 30136
494 HORIZON BLUE CROSS/BLUE S (888) 456-7910 PO BOX 1219 NEWARK NJ 07105-1219
D2J HORIZON HEALTHCARE OF NEW 3 PENN PLAZA EAST PP-9 W NEWARK NJ 07101
D1X HORIZON HEALTHCARE SERVIC 3 PENN PLAZA, EAST NEWARK NJ 07105
D6R HUMANA (800) 281-6918 PO BOX 14601 LEXINGTON KY 40512
D9Q HUMANA (800) 783-1307 PO BOX 1457 LEXINGTON KY 40512
D9T HUMANA 600 NEW LONDON AVE. CRANSTON RI 02920
DC4 HUMANA CHOICE (859) 232-8686 P O BOX14605 LEXINGTON KY 40512-4605
D5H HUMANA CHOICE PPO 500 WEST MAIN STREET LOUISVILLE KY 40202
D7R HUMANA COMPLETE S5884-046 (800) 281-6918 WEST MAIN ST, LOUISVILLE KY 40202
265 HUMANA EMPLOYERS HEALTH I (800) 558-4444 P.O. BOX 14610 LEXINGTON KY 40512-4610
D9I HUMANA ENHANCED 600 NEW LONDON CRANSTON RI 02920
D6N HUMANA ENHANCED S5884-005 (800) 281-6918 500 WEST MAIN ST. 500 WEST MAIN ST KY 40202
DC6 HUMANA GOLD CHOICE (859) 232-8686 P O BOX 14605 LEXINGTON KY 40512-4605
D6Z HUMANA GOLD CHOICE H2944- (800) 281-6918 PO BOX 14601 LLEXINGTON KY 40512
CARRIER CARRIER PHONE
CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE
D5W HUMANA HEALTH BENEFIT PLA 500 WEST MAIN STREET LOUISVILLE KY 40202
D61 HUMANA HEALTH INSURANCE C (800) 833-2364 500 WEST MAIN STREET LOUISVILLE KY 40202
D1P HUMANA HEALTH PLAN (800) 281-6918 500 WEST ST. LOUISVILLE KY 40202
D9W HUMANA HEALTH PLAN (800) 281-6918 500 WEST MAIN ST LOUISVILLE KY 40202
D5O HUMANA HEALTH PLAN INC 500 WEST MAIN STREET LOUISVILLE KY 40202
D65 HUMANA HEALTH PLANS OF PU (800) 681-3625 500 WEST MAIN STREET LOUISVILLE KY 40202
D7G HUMANA HEALTH PLANS OF PU (866) 773-5959 101 EAST MAIN STREET SALSIBURY KY 40202
D9U HUMANA INC. (800) 281-6918 PO BOX 14601 LEXINGTON KY 40512
D8F HUMANA INS OF NEW YORK (800) 486-2620 500 WEST MAIN STREET LOUISVILLE KY 40202
D6V HUMANA INS. CO. (PFFS) (877) 511-5000 101 EAST MAIN STREET LOUISVILLE KY 40202
D2A HUMANA INSURANCE CO. 500 WEST MAIN STREET LOUISVILLE KY 40202
D59 HUMANA INSURANCE CO. (800) 833-2312 500 WEST MAIN STREET LOUISVILLE KY 40202
D68 HUMANA INSURANCE COMPANY (800) 706-0872 500 WEST MAIN STREET LOUISVILLE KY 40202
D5Z HUMANA INSURANCE OF PUERT 500 WEST MAIN STREET LOUISVILLE KY 40202
D32 HUMANA MEDICAL PLAN, INC. (800) 833-2364 500 WEST MAIN STREET LOUISVILLE KY 40202

778 HUMANA MILITARY (800) 444-5445 TRICARE CARE EAST RE CLAIMS DEPT MADISON WI 53707-7981
D7S HUMANA VALUE S5884-102 (P (800) 281-6918 102 WEST MAIN ST LOUISVILLE KY 40202
D07 HUMANA, INC. (800) 281-6918 500 WEST MAIN STREET LOUISVILLE KY 40202
DC3 HYMANA GOLD PLUS (859) 232-8686 P O BPX 14605 LEXINGTON KY 40512-4605
347 IBEW LOCAL 223 HEALTH & W (508) 947-8555 PO BOX 1238 LAKEVILLE MA 02347
0BX IBEW LOCAL UNION 42 & 104 P O BOX 1213 MANCHESTER CT 06040
780 IMG (855) 731-9442 P.O.BOX 88506 INDIANAPOLIS IN 46201
216 INDECS CORPORATION (800) 225-0324 PO BOX 668 LYNDHURST NJ 14779-7215
225 INDEPENDENCE BLUE CROSS (877) 448-7526 1901 MARKET STREET PHILADELPHIA PA 19103-1480
740 INDEPENDENT HEALTH ASSOCI (800) 501-3439 P O BOX 9066 BUFFALO NY 14231
D93 INDEPENDENT LIVING FOR SE 2066 HUDSON AVENUE ROCHESTER NY 14617
686 INFORMED RX (800) 880-1188 2441 WARRENVILLE ROA LISLE IL 60532
648 INNOVIANT (877) 559-2955 PO BOX 8082 WAUSAU WI 54402
D49 INSTIL HEALTH INSURANCE C (877) 446-7845 17 TECHNOLOGY CIRCLE COLUMBIA SC 29203
266 INSURANCE ADMINISTRATORS (888) 599-1515 PO BOX 5082 MT. LAUREL NJ 08054
348 INSURERS ADMINISTRATIVE C (800) 397-5800 PO BOX 39119 PHOENIX AZ 85069-9119
D4H INTER VALLEY HEALTH PLAN 300 S PARK AVENUE PO BOX 6002 POMONA CA 91769
647 INTERACTIVE MEDICAL SYSTE (800) 426-8739 11635 NORTHPARK DR SUITE 335 WAKE FOREST NC 27587
416 INTERNATIONAL MEDICAL GRO (800) 628-4664 407 FULTON STREET INDIANAPOLIS IN 46202
CARRIER CARRIER PHONE
CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE
414 INTERPLAN CORPORATION (800) 444-4036 2575 GRAND CANAL BLV STOCKTON CA 95207
487 IRON CLAD INSURANCE (866) 229-4766 161 GRANITE AVENUE DORCHESTER MA 02124
567 IRON CLAD INSURANCE DENTA (866) 229-4766 161 GRANITE AVE DORCHESTER MA 02052
217 J.C. PENNEY LIFE INSURANC 2700 WEST PLANO PKWY PLANO TX 75075
359 J.F. MALLOY & ASSOCIATES (800) 373-5208 PO BOX 790215 ST. LOUIS MO 63179
137 JEFFERSON PILOT INSURANCE (713) 776-1761 10101 SW FREEWAY HOUSTON TX 77074
25 JOHN ALDEN LIFE INSURANCE (800) 328-4316 PO BOX 9398 MINNEAPOLIS MN 55440
COMMONWEALTH SERVICE PO BOX
83B JOHN HANCOCK HEALTH INSUR (800) 442-9300 9016 ANDOVER MA 01810
83C JOHN HANCOCK INSURANCE (800) 843-6147 PO BOX 833898 RICHARDSON TX 75083
83 JOHN HANCOCK MUTUAL LIFE (800) 343-0034 200 BERKELEY ST BOSTON MA 02117
83A JOHN HANCOCK MUTUAL LIFE (800) 345-1335 208 OLD LANCASTER RD DEVON PA 19333

428 KAISER FOUNDATION HEALTH (800) 464-4000 PO BOX 7004 ATTN: SOUTHERN CAR DOWNEY CA 90242-7004
D3I KAISER FOUNDATION HEALTH 1001 LAKESIDE AVENUE CLEVELAND OH 44114
218 KAISER PERMANENTE (800) 464-4000 PO BOX 12923 ATTN: CLAIMS DEPT. OAKLAND CA 94604-2923
D58 KAISER PERMANENTE (800) 777-1238 1800 HARRISON STREET OAKLAND CA 94612
D8E KAISER PERMANENTE (877) 221-8221 500 NE MULTNOMAH SUI PORTLAND OR 97232
0EB KEMPER INS - LUMBERMAN'S (800) 922-3185 1 KEMPER DRIVE LONG GROVE IL 60049
0EC KEMPER INSURANCE/WORKERS (508) 998-1123 PO BOX 51148 NEW BEDFORD MA 02745
785 KEY BENEFIT ADMINISTRATOR (877) 851-0906 PO BOX 3252 MILWAUKEE WI 53201-3252
D1K KEYSTONE HEALTH PLAN EAST 1901 MARKET STREET 28TH FLOOR PHILADELPHIA PA 19103
668 KEYSTONE WEST (877) 258-3123 PO BOX 898819 CAMP HILL PA 17089-8316
452 KLAIS & CO., INC. (330) 867-8443 1867 WEST MARKET STR AKRON OH 44313
761 KROGER RX (800) 917-4926 1014 VINE STREET CINCINNATI OH 45202
D87 LEON MEDICAL CENTERS HEAL 11501 SW 40TH STREET MIAMI FL 33165
ONE HUNTINGTON QUADR SUITE
D6I LIBERTY HEALTH ADVANTAGE 3N01 MELVILLE NY 11747
547 LIBERTY MUTUAL (800) 245-1700 PO BOX 1052 ATTN: CLAIMS DEPT. MONTGOMERYVILLEPA 18936
0H4 LIBERTY MUTUAL ASSURANCE (516) 724-9100 P O BOX 1500 SMITHTOWN NY 11787
142 LIBERTY MUTUAL GROUP (800) 422-4718 PO BOX 9212 WESTWOOD MA 02090-9212
143 LIBERTY MUTUAL GROUP (800) 845-4075 245 WATERMAN ST PROVIDENCE RI 02906
MAPLEWOOD OFFICE PAR 130
561 LIFE INS. CO OF NORTH AME (800) 726-4474 VIRGINIA DR. SU FORT WASHINGTON PA 19034
514 LIFEWISE HEALTH PLAN OF A (800) 592-6834 4343 N. SCOTTSDALE R SUITE 355 SCOTTSDALE AZ 85251
CARRIER CARRIER PHONE
CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE
742 LIFEWISE PLAN OF ARIZONA (800) 592-6804 P.O. BOX 91134 SEATTLE WA 98111
86 LINCOLN NATIONAL LIFE (219) 455-2000 1300 S. CLINTON ST FORT WAYNE IN 46801
146 LINDSEY MORDEN CLAIM SERV (401) 941-6900 75 OXFORD STREET PROVIDENCE RI 02905
352 LOCAL 1102 BENEFITS FUND (516) 832-9200 1587 STEWART AVENUE WESTBURY NY 11590
467 LOCAL 534 HEALTH & WELFAR (617) 825-3302 7 FREDERICKA STREET BOSTON MA 02124
271 LONDON HEALTH ADMINISTRAT (401) 435-4700 40 COMMERCIAL WAY EAST PROVIDENCE RI 02914
353 LOOMIS CO. (800) 782-0392 PO BOX 7011 WYOMISSING PA 19610
4101 INDIAN SCHOOL R SENIOR
D1U LOVELACE HEALTH PLAN, INC SERVICES 1 NO ALBUQUERQUE NM 87110
20 LOYAL AMERICAN LIFE INSUR (800) 752-7818 PO BOX 6408 MOBILE AL 36660
762 MADISON NATIONAL LIFE (800) 356-9601 P.O. BOX 5008 MADISON WI 53705
781 MAGELLAN RX MANAGEMENT (401) 344-1000 88 SILVA LN MIDDLETOWN RI 02842
555 MAGNACARE (718) 859-1624 825 EASTGATE BLVD GARDEN CITY NY 11530
692 MAGNACARE/PHARMACY (800) 235-7267 1600 STEWART AVENUE SUITE 700 WESTBURRY NY 11590
598 MAIL HANDLERS BENEFIT PLA (800) 410-7778 PO BO 8402 LONDON KY 40742
0L8 MAIL HANDLERS BENEFIT PLA (800) 410-7778 P O BOX 45118 JACKSONVILLE FL 32232-5118
601 MAMSI (800) 343-8205 PO BOX 930 FREDERICK MD 21705
150 MANAGED COMP (401) 453-2110 ONE RICHMOND SQUARE BOX 3 PROVIDENCE RI 02906
DD2 MANAGED HEALTH SERVICES A (877) 935-8024 10700 W. RESEARCH DR SUITE 300 MILWAUKEE WI 53226
78 MANAGEMENT SERVICES, INC (217) 446-1089 PO BOX 1430 DANVILLE IL 61834-1430
D70 MAPFRE LIFE INSURANCE COM (888) 750-5288 PO BOX 71419 SAN JUAN PR 09360
D8A MAPFRE LIFE INSURANCE COM (787) 250-6500 PO BOX 70297 SAN JUAN PR 09368- 297
138 MARRIOTT CLAIMS SERVICE (781) 245-0376 301 EDGEWATER DRIVE WAKEFIELD MA 01880-6279
649 MARSH (800) 638-2603 PO BOX 4542 IOWA CITY IA 52244
490 MARSH AFFINITY GROUP SERV (800) 626-8567 PO BOX 10439 DES MOINES IA 50306
588 MARTIN'S POINT HEALTH (888) 732-7364 PO BOX 9746 PORTLAND ME 04104
79 MASHANTUCKET PEQUOT HEALT (888) 779-6872 PO BOX 3620 MASHANTUCKET CT 06338
695 MASHANTUCKET PEQUOT HEALT (888) 779-6872 PO BOX 3620 MASHANTUCKET CT 06338
419 MASS HEALTH (800) 325-5231 PO BOX 9101 PROVIDER SERVICES SOMERVILLE MA 02145

94 MASS LABORERS H & W FUND (781) 272-1000 14 NEW ENGLAND EXEC PO BOX 4000 BURLINGTON MA 01803
82B MASS MUTUAL INSURANCE (800) 333-3304 PO BOX 149160 AUSTIN TX 78714-9160
82 MASS MUTUAL LIFE INSURANC (708) 747-3000 PO BOX 6004 MATTESON IL 60443

82A MASS. MUTUAL INSURANCE (800) 227-1555 WINDSOR SERVICE CENT PO BOX 743 WINDSOR CT 06095
CARRIER CARRIER PHONE
CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE
139 MASS. STATE CARPENTERS HL (978) 694-1000 PO BOX 7075 WILMINGTON MA 01887-7075
354 MATTHEW THORTON HEALTH PL (800) 544-8333 3000 GOFFS FALLS ROA MANCHESTER NH 03111-0001
542 MAXOR PLUS (800) 687-0707 320 SOUTH POLK AMARILLO TX 79101
717 MAXOR PLUS (800) 687-0707 320 S POLK SUITE 200 AMARILLO TX 79101
539 MAXORPLUS (800) 687-0707 320 SOUTH POLK, SUIT AMARILLO TX 79101
569 MCDONALDS INSURANCE / DEN (888) 645-6410 PAL PO BOX 6702 COLUMBIA SC 29260
564 MCDONALD'S INSURANCE PROG (888) 645-6460 PAL PO BOX 6702 COLUMBIA SC 29260
D63 MCS CLASSICARE (866) 627-8181 255 PONCE DE LEON AV SUITE 201 SAN JUAN PR 09170
D77 MCS CLASSICARE 255 PONCE DE LEON AV SUITE 201 SAN JUAN PR 09170
779 MCS INSURANCE (866) 627-8181 P.O. BOX 191720 SAN JUAN PR 09170
365 MED IMPACT (800) 788-2949 10680 TREENE STREET 5TH FLOOR SAN DIEGO CA 92131
276 MEDCO HEALTH (800) 922-1557 399 JEFFERSON ROAD MAIL STOP P PARSIPPANY NJ 07054
420 MEDCO HEALTH PRESCRIPTION (888) 796-6245 PO BOX 2187 LEE'S SUMMIT MO 64063
D08 MEDCO HEALTH SOLUTIONS, I (800) 758-3605 PO BOX 630246 IRVING TX 75063
D5F MEDCO MEDICARE PRESCRIPTI P.O. BOX 630246 IRVING TX 75063
D8N MEDCO MEDICARE PRESCRIPTI (800) 758-4574 PO BOX 14570 LEXINGTON KY 40512
275 MEDCO PRESCRIPTIONS, LLC (877) 842-6048 PO BOX 14711 LEXINGTON KY 40512
751 MEDICA (800) 228-1403 P.O. BOX 30990 SALT LAKE CITY UT 84130
D7M MEDICA HEALTHCARE PLANS M (800) 407-9069 4000 PONCE DE LEON B CORAL GABLES FL 23314
MET MEDICAID EXPANSION TUFTS (866) 738-4116 P O BOX 9194 WATERTOWN MA 02741-9194
MDC MEDICAL ASSISTANCE 171 SERVICE AVENUE SUITE 100 WARWICK RI 02888
650 MEDICAL BENEFITS (800) 903-2032 PO BOX 1099 NEWARK OH 43058
141 MEDICAL CLAIMS SERVICE (304) 273-5594 1 WALL STREET SUITE 2A RAVENSWOOD WV 26164
654 MEDICAL MUTUAL OF OHIO (800) 362-1279 2060 EAST NINTH STRE CLEVELAND OH 44115-1355
MDA MEDICARE CLAIMS DEPT. (866) 339-3714 1 WEYBOSSET ST. PROVIDENCE RI 02903
MDB MEDICARE CLAIMS DEPT. (866) 801-5304 PO BOX 8102 LITTLE ROCK AR 72203
D4M MEDICARE RX CUSTOMER SERVICE PO BOX 995 BLUE BELL PA 19422
D9N MEDICARE RX REWARDS 600 NEW LONDON AVE CRANSTON RI 02920
D8X MEDICARE RX REWARDS STAND (800) 928-6201 PO BOX 9092 OXNARD CA 93031
D26 MEDICARE Y MUCHO MAS (787) 622-0490 350 CHARDON AVENUE SUITE 500 SAN JUAN PR 09180
D37 MEDIGOLD (800) 964-4525 495 COOPER ROAD SUITE 200 WESTERVILLE OH 43081
0R7 MEDIMET (315) 792-3882 P.O. BOX 52011 PHOENIX AR 85072
651 MEDMETRICS (800) 644-4079 100 CENTURY DRIVE WORCESTER MA 01606
80 MEDTAC (800) 347-9355 PO BOX 9110 NEWTONVILLE MA 02460
747 MEDTRAK (800) 771-4648 6310 LAMAR SUITE 230 OVERLAND PARK KS 66202
CARRIER CARRIER PHONE
CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE
289 MEGA LIFE & HEALTH INSURA (800) 527-2845 PO BOX 982009 NORTH RICHLAND H TX 76182-8009
356 MEGA LIFE & HEALTH INSURA (800) 446-1315 601 PENNSYLVANIA AVE WASHINGTON DC 20004
21 MENNONITE MUTUAL AID HEAL (800) 348-7468 PO BOX 483 GOSHEN IN 46527
D2O MERCY HEALTH PLANS, INC. 14528 SOUTH OUTER 40 SUITE 300 CHESTERFIELD MO 63017
652 MERITAIN (800) 828-6922 PO BX 9501 AMHERST NY 14226
363 MERITAIN HEALTH (800) 828-6922 PO BOX 853921 RICHARDSON TX 75085-3921
95B MET LIFE (800) 638-0166 PO BOX 6132 UTICA NY 13504-6132
95D MET LIFE DENTAL (800) 942-0854 PO BOX 2078 AURORA IL 60507
95F MET LIFE DENTAL (800) 988-8333 PO BOX 14093 LEXINGTON KY 40512-4093
95C MET LIFE DENTAL (NYNEX) (800) 556-3490 PO BOX 6048 UTICA NY 13504
95E MET LIFE INSURANCE CO. (800) 638-4288 PO BOX 3023 UTICA NY 13504
140 MET LIFE VISION/NYNEX (800) 556-3490 PO BOX 6049 UTICA NY 13504
D81 METCARE/ADVANTAGE HEALTH (877) 692-3822 250 SOUTH AUSTRALIAN SUITE 400 WEST PALM BEACH FL 33401
95A METLIFE DENTAL (800) 260-1093 PO BOX 6127 UTICA NY 13504
95G METLIFE DENTAL (PEPSI) (800) 942-0854 PO BOX 981282 EL PASO TX 79998-1282
689 METLIFE TRICARE DENTAL PR (855) 638-8371 PO BOX 14181 LEXINGTON KY 40512
723 METLIFE VISION (800) 988-8333 PO BOX 997565 SACRAMENTO CA 95899
70 METRAHEALTH (800) 998-7488 PIZZA HUT CLAIMS PO BOX 23759 COLUMBIA SC 29224-3759
70A METRAHEALTH (800) 842-8000 PO BOX 323 GRAND RAPIDS MI 49501
70B METRAHEALTH (800) 842-6563 PO BOX 8010 VOORHEES NJ 08043
70C METRAHEALTH (203) 281-2000 PO BOX 9516 NEW HAVEN CT 06534
70D METRAHEALTH (800) 424-1181 PO BOX 9807 NEW HAVEN CT 06536-0807
70F METRAHEALTH (800) 843-5955 PO BOX 22064 ALBANY NY 12201-2064
70G METRAHEALTH (800) 842-9492 PO BOX 22026 ALBANY NY 12201
70H METRAHEALTH (800) 334-2400 PO BOX 7579 GREENSBORO NC 27417
70I METRAHEALTH (800) 826-8720 PO BOX 1989 MATTESON IL 60443
70J METRAHEALTH (800) 842-4576 PO BOX 30990 SALT LAKE CITY UT 84130
70K METRAHEALTH (800) 552-3232 PO BOX 3025 UTICA NY 13504
70L METRAHEALTH (800) 842-9905 PO BOX 2511 AUGUSTA GA 30903
70M METRAHEALTH (800) 638-4412 PO BOX 7126 SAN FRANCISCO CA 94120-7126
530 METRO PLUS HEALTHPLAN 160 WATER STREET NEW YORK NY 10038
D4P METRO PLUS HEALTHPLAN 160 WATER STREET NEW YORK NY 10038
D6Y METROPOLITAN HEALTH PLAN (888) 562-8000 400 SOUTH FOURTH STR MINNEAPOLIS MN 55415
95 METROPOLITAN LIFE INS. CO (401) 827-2000 700 QUAKER LANE WARWICK RI 02887
653 METROPOLITAN LIFE LONG TE (800) 308-0179 57 GREENFARMS ROAD WESTPORT CT 06880
CARRIER CARRIER PHONE
CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE
436 MID-AMERICAN PLAN ADMINIS (800) 747-0600 PO BOX 2850 ROCKFORD IL 61132-2850
147 MID-WEST NATIONAL LIFE IN (800) 733-8880 PO BOX 982017 NORTH RICHLAND H TX 76182-8017
743 MID-WEST NATIONAL LIFE IN (800) 733-8880 P.O. BOX 982017 NORTH RICHLAND TX 76182
229 MIM HEALTH PLANS (800) 944-2668 33 NORTH ROAD WAKEFIELD RI 02879
750 MMSI INC (800) 635-6671 4001 41ST STREET NW ROCHESTER MN 55901
765 MODA-DELTA DENTAL OF OREG (888) 374-8906 P.O. BOX 40384 PORTLAND OR 97240-0384
468 MOHEGAN SUN VALUEOPTIONS PO BOX 1347 LATHAM NY 12110
D3H MOLINA HEALTHCARE OF UTAH 7050 UNION PARK #200 MIDVALE UT 84047
96 MONARCH LIFE INS. CO. (413) 784-2000 1250 STATE ST SPRINGFIELD MA 01101
434 MONUMENTAL GENERAL INSURA (800) 752-9797 PO BOX 97 SCRANTON PA 18504-0097
433 MOTOROLA HEALTH ADVANTAGE (800) 421-3973 PO BOX 29005 PHOENIX AZ 85038
98 MUTUAL LIFE INS. CO. OF N (800) 221-4015 P O BOX 4815 SYRACUSE NY 13221-4815
97 MUTUAL OF OMAHA INS. CO. (402) 342-7600 MUTUAL OMAHA PLAZA OMAHA NE 68175
546 MVP HEALTH INSURANCE COMP (800) 684-9286 625 STATE STREET SCHENECTADY NY 12305
610 MVP ROCHESTER (585) 325-3113 PO BOX 2207 SCHENECTADY NY 12301
17 NALC HEALTH BENEFIT PLAN (703) 729-4677 20547 WAVERLY COURT ASHBURN VA 22093
423 NATIONAL BENEFIT ADMINIST (888) 333-4477 140 LITTLETON ROAD PARSIPPANY NJ 07054
314 NATIONAL ELEVATOR INDUSTR (800) 252-4611 PO BOX 477 NEWTOWN SQUARE PA 19073-0477
144 NATIONAL EMPLOYEE BENEFIT (304) 273-5522 PO BOX 160 RAZENSWOOD WV 26164
797 NATIONAL GENERAL ACCIDENT (888) 781-0585 P.O. BOX 2070 MILWAUKEE WI 53201-2070
521 NATIONAL MEDICAL HEALTHCA (800) 227-7269 P.O. BOX 1170 PORT WASHINGTON NY 11050
26 NATIONAL PRESCRIPTION ADM (800) 526-7813 PO BOX 1981 HANOVER NJ 07936
D6C NATIONAL RURAL ELECTRIC C 4301 WILSON BOULEVAR ARLINGTON VA 22203
77 NATIONAL RX SERVICES (800) 875-3147 399 JEFFERSON RD PARSIPPANY NJ 07054
81 NATIONAL STATES INSURANCE (314) 878-0101 1830 CRAIG PARK CT ST LOUIS MO 63146
145 NATIONAL STUDENT SERVICES (800) 345-1335 1 WALL STREET RAVENSWOOD WV 26164-1714
703 NATIONAL VISION ADMINISTR (800) 672-7723 P O BOX 2187 CLIFTON NJ 07015
425 NATIONWIDE HEALTH CARE PL (877) 768-7231 PO BOX 182690 COLUMBUS OH 43218-2690
681 NATIONWIDE SPECIALTY HEAL (800) 635-6585 P.O. BOX SPRINGFIELD MA 01101
75 NATL AUTOMATIC SPRINKLER (800) 638-2603 8000 CORPORATE DR LANDOVER MD 20785-2285
574 NCAS ( NATIONAL CLAIMS AD (877) 889-2479 PO BOX 981610 EL PASO TX 79998
361 NCAS-VIA (800) 888-6227 PO BOX 1227 FAIRFAX VA 22030-0862
752 NEIGHBORHOOD HEALTH PLAN (877) 972-8845 P.O. BOX 5210 KINGSTON NY 12402
CDN NEIGHBORHOOD HEALTH PLAN (401) 459-6092 299 PROMENADE STREET PROVIDENCE RI 02908
RHN NEIGHBORHOOD HEALTH PLAN (401) 459-6621 299 PROMENADE STREET PROVIDENCE RI 02908
CARRIER CARRIER PHONE
CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE
RON NEIGHBORHOOD HEALTH PLAN 299 PROMENADE STREET PROVIDENCE RI 02908
15 NEIGHBORHOOD HEALTH PLAN/ (855) 321-9244 299 PROMENADE STREET PROVIDENCE RI 02908
D3A NEIGHBORHOOD HEALTH PROVI 521 5TH AVENUE 3RD FLOOR NEW YORK NY 10175
MEN NEIGHBORHOOD HEALTHPLAN O (401) 459-6092 299 PROMENDADE STREE PROVIDENCE RI 02908
360 NEIGHBORHOOD SOLUTIONS (401) 459-6622 50 HOLDEN STREET PROVIDENCE RI 02908
657 NEW DIRECTIONS BEHAVIORAL (800) 528-5763 P.O. BOX 6729 LEAWOOD KS 66206-0729
74 NEW ENG HLTH CARE EMPLOYE (800) 227-4744 77 HUYSHOPE AVE HARTFORD CT 06106
148 NEW ENGLAND BENEFIT PLAN (800) 944-6692 25145 COUNTRY CLUB B NORTH OLMSTEAD OH 44070
149 NEW ENGLAND EMPLOYEE BENE PO BOX 30466 TAMPA FL 33630-3466
233 NEW ENGLAND FINANCIAL (800) 284-9763 PO BOX 7000 CORAOPOLIS PA 15108
272 NEW ENGLAND HEALTH ADVANT (800) 227-4744 PO BOX 22669 LONG BEACH CA 90801
226 NEW ENGLAND TEAMSTERS (800) 637-9096 PO BOX 38 NORTH ANDOVER MA 01845
605 NEW ERA LIFE INSURANCE (800) 522-7879 PO BOX 4884 HOUSTON TX 77210-4884
243 NEW JERSEY CARPENTER HEAL (800) 624-3096 PO BOX 7818 PARITAN PLAZA #2 EDISON NJ 08818
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
FREEHOLD CLAIMS OFFI 200 CRAIG
0A8 NEW YORK LIFE (212) 437-1000 ROAD MANALAPAN NJ 07726
0A9 NEW YORK LIFE INSURANCE C (212) 576-7000 51 MADISON AVE NEW YORK NY 10010
362 NEXCALIBER (800) 625-2631 PO BOX 802422 DALLAS TX 75380
76 NGS AMERICAN, INC (810) 779-7676 PO BOX 7676 ST CLAIRE SHORES MI 48080
NHP NHPRI HBE (401) 459-6148 299 PROMENADE STREET PROVIDENCE RI 02908
D5P NMHC MEDICARE PDP GOLD 9343 TECH CENTER DRI SACRAMENTO CA 95826
427 NMHC RX (800) 645-3332 PO BOX 1170 PORT WASHINGTON NY 11050
535 NORTHEAST DELTA DENTAL (603) 223-1234 P.O. BOX 2002 CONCORD NH 03302-2002
582 NORTHERN NEW ENGLAND BENE (800) 258-9732 PO BOX 4604 MANCHESTER NH 03108
364 NOVA INSURANCE (800) 999-5703 PO BOX 308 GRAND ISLAND NY 14072
152 NYLCARE HEALTH PLAN (800) 666-3168 PO BOX 672 EXTON PA 19341
151 NYLCARE HEALTH PLANS (800) 777-6140 PO BOX 30769 JAMAICA NY 11430
273 ONE HEALTH PLAN (800) 663-8081 PO BOX 11111 FORT SCOTT KS 66701
557 ONE NET PPO (800) 337-4973 PO BOX 934 FREDRICK MD 21705
684 OPTIMA (800) 543-3359 P.O. BOX 5028 TROY MI 48007-5028
575 OPTIMED PLAN (800) 482-8770 4 TERRY DRIVE NEWTON PA 18940
375 OPTIMUM CHOICE (800) 331-2102 PO BOX 930 FREDERICK MD 21705
D7U OPTIMUM HEALTHCARE INC. (352) 688-9131 5478 SPRING HILL DRI SPRING HILL FL 34606
CARRIER CARRIER PHONE
CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE
D3J OPTIMUM HEALTHCARE, INC. 5478 SPRING HILL DRI SPRING HILL FL 34606
559 OPTIUMHEALTH VISION (800) 638-3120 PO BOX 30978 SALT LAKE CITY UT 84130
549 OPTUM HEALTH (866) 633-2446 P.O. BOX 30978 SALT LAKE CITY UT 84130
699 OPTUM RX (800) 788-7871 PO BOX 29044 HOT SPRINGS AR 71903
538 OPTUMRX (800) 217-0094 6300 OLSON MEMORIAL GOLDEN VALLEY MN 55427
790 OSCAR HEALTH PLAN (855) 672-2788 PO BOX 52146 PHOENIX AR 85072-2146
99 OTHER (401) 464-2181 600 NEW LONDON CRANSTON RI 02920
230 OXFORD HEALTH PLANS (800) 666-1353 PO BOX 7082 ATTN: CLAIMS DEPT. BRIDGEPORT CT 06601-7082
153 OXFORD LIFE (800) 308-2318 2721 NORTH CENTRAL A PHOENIX AZ 85004
318 P5 ELECTRONICS HEALTH SER (800) 397-3685 PO BOX 9554 SALT LAKE CITY UT 84109-0554
D72 PAC RX 225 CHAPMAN STREET PROVIDENCE RI 02905
PAC PACE ORGANIZATION OF RHOD (401) 490-6566 225 CHAPMAN STREET PROVIDENCE RI 02905
155 PACIFIC MUTUAL (800) 733-2285 PO BOX 33699 PHOENIX AZ 85067-3699
613 PACIFICARE (800) 877-9777 PO BOX 30975 SALT LAKE CITY UT 84130-0975
D09 PACIFICARE LIFE & HEALTH (800) 943-0399 3515 HARBOR BLVD. COSTA MESA CA 92626
157 PAID PRESCRIPTIONS (800) 463-9279 PO BOX 700 PARSIPPANY NJ 07054
156 PAID PRESCRIPTIONS, INC. (800) 842-0070 PO BOX 6121 FAIR LAWN NJ 07410
61 PAINTERS DC35 HEALTH BENE (617) 524-1240 25 COLGATE ROAD ROSLINDALE MA 02131
431 PAN-AMERICAN LIFE INSURAN (866) 668-6299 PO BOX 61070 NEW ORLEANS LA 70160-1070
775 PARADIGM PLAN SPONSOR: MA (888) 422-8181 2 INTERNATIONAL DRIVE 335 PORTSMOUTH NH 03801
570 PARAMOUNT HEALTHCARE (800) 462-3589 PO BOX TOLEDO OH 43697
D2K PARTNERCARE HEALTH PLAN, 5501 WEST WATERS AVE SUITE 40 TAMPA FL 33688
450 PATIENT RESPONSIBILITY 600 NEW LONDON AVENU CRANSTON RI 02920
87 PCS (480) 391-4600 9501 E SHEA BLVD SCOTTSDALE AZ 85260-6719
D1M PDP MEDI-MAX PART D 1551 CALLE ALDA URB. SAN JUAN PR 09260
MDD PDP UNKNOWN 171 SERVICE AVENUE WARWICK RI 02886
231 PENN STATE GEISINGER HEAL (800) 498-9731 PO BOX 8200 VANVILLE PA 17821-8200
277 PERFORMAX (800) 220-2600 PO BOX 61505 KING OF PRUSSIA PA 19406
18 PHARMACARE (800) 777-1023 695 GEORGE WASHINGTO LINCOLN RI 02865
338 PHARMACARE MANAGEMENT SER (866) 332-6422 620 EPSILON DRIVE PITTSBURGH PA 15238
793 PHARMACEUTICAL TECHNOLOGI (888) 334-4488 13660 CALIFORNIA STR OMAHA NE 68154
664 PHARMACY DATA MANAGEMENT (800) 549-0093 1170 E. WESTERN RESE POLAND OH 44512
D69 PHARMACY INSURANCE CORP O (866) 990-7422 PO BOX 70232 SAN JUAN PR 09360
163 PHARMACY SERVICES CORPORA (800) 227-7269 210 GREAT OAKS BLVD. ALBANY NY 12203
316 PHN CONNECTICUT PIPE TRAD (860) 643-6401 PO BOX 22669 LONG BEACH CA 90801
CARRIER CARRIER PHONE
CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE
159 PHOENIX HOME LIFE (800) 451-2513 PO BOX 677 GREENFIELD MA 01302
158 PHYSICIAN HEALTH SERVICES (800) 566-6698 120 HAWLEY LANE TRUMBALL CT 06611-6343
661 PHYSICIANS HEALTH PL (260) 432-6690 8101 WEST JEFFERSON FORT WAYNE TN 46804-4163
607 PHYSICIANS MUTUAL (888) 932-7642 PO BOX 2018 OMAHA NE 68103-2018
85 PHYSICIANS MUTUAL INSURAN (800) 228-9100 2600 DODGE STREET OMAHA NE 68131
D5K PHYSICIANS UNITED PLAN 6220 SO. ORANGE BLOS ORLANDO FL 32809
660 PIEDMONT ADMINISTRATORS (336) 774-4190 PO BOX 1407 NEW YORK NY 10008
2 PILGRIM HEALTH CARE (800) 708-4414 1200 CROWN COLONY DR QUINCY MA 02169-0933
161 PIONEER LIFE (800) 950-0084 PO BOX 1250 ROCKFORD IL 61105
756 PITTMAN AND ASSOCIATES (800) 238-1344 P.O. BOX 111047 MEMPHIS TN 38111
3 PLAN 65 1 WEYBOSSET ST. PROVIDENCE RI 02903
745 PLANNED ADMINISTRATORS IN (866) 798-0803 PO BOX 6702 COLUMBIA SC 29260
251 POLARIS INSURANCE/J.W. HA (800) 234-0225 PO BOX 2010 WESTERVILLE OH 43086
696 POMCO THIRD PARTY ADMINIS (800) 934-2459 P O BOX 6329 SYRACUSE NY 13217
232 PRE-DENT/BLUE CROSS OF IL (800) 523-5758 DENTAL DEPT. PO BOX 2935 CHICAGO IL 60690
D8I PREESCRIBA RX BRONZE (PDP (800) 818-0007 PO BOX 5203 RENSSELAER NY 12144
587 PREFERRED CARE PARTNERS (305) 670-8430 PO BOX 565790 MIAMI FL 33256
D98 PREFERRED CARE PARTNERS, (305) 670-8430 PO BOX 56-5748 MIAMI FL 33256
474 PREFERRED HEALTH PLAN, IN (800) 832-8212 PO BOX 24125 LOUISVILLE KY 40224
D52 PREFERRED MEDICARE CHOICE (866) 516-7700 1551 CALLE ALDA URB. SAN JUAN PR 09260
D7F PREFERRED MEDICARE CHOICE (787) 622-3000 350 CHARDSON AVENUE SAN JUAN PR 09182- 137
366 PREMERA BLUE CROSS (800) 722-1471 PO BOX 91080 SEATTLE WA 98111-9180
622 PREMIER OD BLUE CROSS (800) 718-8831 PO BOX 9907 COLUMBUS GA 31908
PA1 PREMIUM ASSISTANCE PROGRA 74 WEST ROAD CRANSTON RI 02920
D96 PRESBYTERIAN INSURANCE CO PO BOX 26267 ALBUQUERQUE NM 87125
D11 PRESCRIPTION PATHWAY (800) 825-8200 411 N. BAYLEN STREET PENSACOLA FL 32501
D10 PRESCRIPTION PATHWAY MULT (800) 765-8900 411 N. BAYLEN STREET PENSACOLA FL 32501
10833 VALLEY VIEW ST MAILSTOP
367 PRESCRIPTION SOLUTIONS, I (877) 559-2955 10202 CYPRESS CA 90630
162 PRESIDIUM INSURANCE (800) 354-4225 PO BOX 365 PARSIPPANY NJ 07054
473 PRIMARILY CARE (800) 395-1300 75 SOCKANOSSET CROSS CRANSTON RI 02920
480 PRIME THERAPEUTICS (800) 821-4795 PO BOX 64812 ST PAUL MN 55164
497 PRIME THERAPEUTICS (800) 423-1973 PO BOX 790118 REG250 ST LOUIS MO 63179
88 PRINCIPAL FINANCIAL GROUP (800) 323-4646 PO BOX 39710 COLORADO SPRINGSCO 80949
88A PRINCIPAL FINANCIAL GROUP (800) 247-4695 PO BOX 65990 WEST DESMOINES IA 50265
CARRIER CARRIER PHONE
CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE
88B PRINCIPAL FINANCIAL GROUP (800) 522-1279 401 EAST CITY AVE SUITE 509 BALA CYNWYD PA 19004
88C PRINCIPAL FINANCIAL GROUP (800) 757-0616 620 S GLENSTONE AVE SUITE 300 SPRINGFIELD MO 65802
88D PRINCIPAL FINANCIAL GROUP (800) 323-4646 PO BOX 37910 COLORADO SPRINGSCO 80903
278 PRINCIPAL LIFE INSURANCE (800) 247-4695 1 INTERNATIONAL PLAZ PHILADELPHIA PA 19113
711 PRIORITY HEALTH (800) 942-4765 P O BOX 232 GRAND RAPIDS MI 49501
734 PRIORITY HEALTH (616) 464-8235 1231 EAST BELTLINE GRAND RAPIDS MI 49525
D46 PRIORITY MEDICARE RX (888) 389-6676 1231 EAST BELTLINE N GRAND RAPIDS MI 49525
368 PRIVATE HEALTHCARE SYSTEM (800) 231-3019 PO BOX 68947 INDIANAPOLIS IN 46268
154 PROFESSIONAL BENEFIT ADMI (630) 655-3755 PO BOX 4687 OAK BROOK IL 60522
279 PROVIDENCE WASHINGTON INS (401) 453-7000 88 BOYD AVENUE EAST PROVIDENCE RI 02914
84 PROVIDENT LIFE (800) 251-7420 PO BOX 40-6050 CINCINNATI OH 45240
160 PROVIDIAN HLTH & LIFE INS (800) 523-7900 CLAIM SERVICE DIVISI PO BOX 484 VALLEY FORGE PA 19493
0S3 PRUDENTIAL GROUP DENTAL (800) 543-5458 PO BOX 44123 JACKSONVILLE FL 32231-4123
0S6 PRUDENTIAL HEALTH CARE PO BOX 3016 MILLVILLE NJ 08332-9010
0S7 PRUDENTIAL HEALTH CARE 841 PRUDENTIAL DRIVE JACKSONVILLE FL 32207
0S8 PRUDENTIAL HEALTH CARE (800) 825-7778 PO BOX 27718 HOUSTON TX 77227
0R8 PRUDENTIAL HEALTH PLAN PO BOX 15075 ALBANY NY 12212
0T1 PRUDENTIAL HEALTHCARE (800) 552-4545 16850 BEAR VALLEY RO VICTORVILLE CA 92392
0S0 PRUDENTIAL HEALTHCARE DEN (800) 811-5671 PO BOX 9250 LINWOOD NJ 08221
0R9 PRUDENTIAL INS. OF AMERIC PO BOX 537 MATTESON IL 60443-0537
0S1 PRUDENTIAL INSURANCE (800) 235-0739 PO BOX 1018 ANDOVER MA 01810
0S4 PRUDENTIAL INSURANCE PO BOX 5400 MILLVILLE NJ 08332
0S2 PRUDENTIAL INSURANCE CO PO BOX 4046 ISELIN NJ 08830
STOCKTON CLAIMS COMP PO BOX
0S9 PRUDENTIAL INSURANCE CO. 207006 STOCKTON CA 95267
D5M PSERS HOP PROGRAM 13900 RIVERPORT DRIV MARYLAND HEIGHTSMO 63043
369 PUBLIC SERVICE MUTUAL INS (212) 591-9304 ONE PARK AVENUE NEW YORK NY 10157-2500
776 QUALCARE, INC (DBA QUNI A (844) 883-2425 P.O. BOX 459 PISCATAWAY NJ 08855-0459
D3O QUALITY HEALTH PLANS 2435 US HWY. 19 SUITE 470 HOLIDAY FL 34691
D3W QUALITY HEALTH PLANS 2435 US HIGHWAY 19 SUITE 470 HOLIDAY FL 34691
D7J QUALITY HEALTH PLANS INC. (727) 945-8400 2435 US HWY 19 SUITE HOLIDAY FL 34691
374 R.I. NURSING HOME GROUP (401) 435-2800 PO BOX 549 PROVIDENCE RI 02901
0HM REDBOOK GR. HEALTH (303) 121-2121 1304 VINCENT PLACE MCLEAN VA 40404
239 ARTERIAL HOSTOS SOUTH
D3Z REDMED TOWER, SUITE 7 SAN JUAN PR 09180
CARRIER CARRIER PHONE
CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE
372 REGENCE BLUE SHIELD (800) 222-6129 PO BOX 30271 SALT LAKE CITY UT 84130
577 REGENCE GREAT ADMINISTRAT (866) 738-3924 PO BOX 52890 BELLEVIEW WA 98015
580 REGENCE GREAT ADMINISTRAT (866) 738-3924 PO BOX BELLEVIEW WA 98015
581 REGENCE GREAT ADMINISTRAT (866) 738-3924 PO BOX 52890 BELLEVIEW WA 98015
503 RELIANCE STANDARD LIFE IN (800) 497-7044 PO BOX 82510 LINCOLN NE 68501-2510
0B4 RELIASTAR (800) 274-6965 146 INDUSTRIAL PARK JACKSON MN 56143
544 RENAISSANCE DENTAL (800) 886-3908 PO BOX 17250 INDIANAPOLIS IN 46217
164 RESTAT (855) 399-7342 11900 WEST LAKE PARK MILWAUCEE WI 53224
662 RESTAT RX (800) 248-1062 PO BOX 758 WEST BEND WI 50395
RHT RHODYHEALTH PARTNERS TUFT P O BOX 9194 WATERTOWN MA 02471-9194
373 RI INTERLOCAL RISK MANAGE 501 WAMPANOAG TRAIL EAST PROVIDENCE RI 02915
RIP RIPAE (RI PHARMACEUTICAL 35 HOWARD AVENUE BLDG. 55 CRANSTON RI 02920
513 RITE AID HEALTH SOLUTIONS (866) 828-5966 30 HUNTER LANE ATTN: CLAIMS CAMP HILL PA 17011
687 RLS SPEC PRD (RELIANCE ST (866) 375-0775 505 SOUTH LENOLA RD MOORESTOWN NJ 08057
663 RMSCO (315) 448-9000 115 CONTINUUM DRIVE LIVERPOOL NY 13088-4300
D7C ROCHESTER AREA HEALTH MAI (888) 280-6205 259 MONROE AVE ROCHESTER NY 14607
D12 RX AMERICA (877) 279-0370 221 N. CHARLES LINDB SALT LAKE CITY UT 84116
665 RX OPTIONS (800) 361-4542 2181 E AURORA RD SUITE 201 TWINSBURG OH 44087
167 RX PRIME PHARMACY SERVICE (800) 622-5579 900 COTTAGE GROVE RD HARTFORD CT 06152-1121
D4C SALUD DORADA CON MEDICARE PO BOX 3078 BAYAMON PR 09600
D5V SAMASCRIPT 13900 RIVERPORT DRIV MARYLAND HEIGHTSMO 63043
550 SAMBA HEALTH BENEFIT PLAN 11301 OLD GEORGETOWN ROCKVILLE MD 20852-2800
D5U SAN MIGUEL PLAN 100 WEST BROADWAY SU LONG BEACH CA 90802
741 SANDFORD HEALTH PLAN (800) 752-5863 221 8TH STREET SHELDON IA 51201
767 SANFORD HEALTH PLAN (800) 499-3416 P.O. BOX 91110 SIOUX FALLS SD 57109-1110
508 SAV-RX (866) 233-4239 PO BOX 8 FREMONT NE 68026
D3Q SCAN HEALTH PLAN 3800 KILROY AIRPORT SUITE 100 LONG BEACH CA 90806
753 SCOTT AND WHITE HEALTH PL (800) 321-7974 P.O. BOX 21800 EAGAN MN 55121-0800
D9J SCOTT AND WHITE PLAN TEXA 600 NEW LONDON CRANSTON RI 02920
667 SCRIPT WORLD (800) 830-2310 4246 RIVERBOAT RD SUITE 175 SALT LAKE CITY UT 84123
D7A SECURE HHORIZONS (800) 234-1228 13621 NW 12TH STREET SUNRISE FL 33323
D5C SECURE HORIZONS PO BOX 29550 HOT SPRINGS AR 71903
D5D SECURE HORIZONS 275 GROVE STREET SUI AUBURNDALE MA 02466
D2P SECURE HORIZONS BY UNITED PO BOX 29800 HOT SPRINGS AR 71903
D2Q SECURE HORIZONS BY UNITED 44 SOUTH BROADWAY WHITE PLAINS NY 10601
CARRIER CARRIER PHONE
CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE
D2R SECURE HORIZONS BY UNITED 44 SOUTH BROADWAY 14TH FLOOR WHITE PLAINS NY 10601
D2T SECURE HORIZONS BY UNITED PO BOX 29800 HOT SPRINGS AR 71903
D3C SECURE HORIZONS BY UNITED 1 PENN PLAZA 8TH FLOOR NEW YORK NY 10119
D3P SECURE HORIZONS BY UNITED 13621 NW 12 STREET SUNRISE FL 33323
D3T SECURE HORIZONS BY UNITED 44 SOUTH BROADWAY 14TH FLOOR WHITE PLAINS NY 10601
ONE EMBASSY CENTER S 9820
D5Y SECURE HORIZONS BY UNITED WASHINGTON ROAD PORTLAND OR 97223
D2N SECURE HORIZONS MEDICARE 13621 NW 12TH STREET SUNRISE FL 33323
D39 SECURE HORIZONS MEDICARE (800) 385-5588 PO BOX 489 CYPRESS CA 90630
D7Q SECURE HORIZONS UHC-PACIF (888) 867-5517 FL075-1000 13621 NW SUNRISE FL 33323
DC9 SECURITY BLUE VALUE RX (800) 935-2583 P O BOX 226 PITTSBURGH PA 15222
D1I SECURITY CHOICE PLUS PO BOX 9092 OXNARD CA 93031
D6O SECURITY CHOICE PLUS (PFF (800) 949-5384 PO BOX 86773 ST LOUIS MO 83166
604 SECURITY LIFE INSURANCE C (800) 328-4667 10901 RED CIRCLE DRI MINNETONKA MN 55343
170 SEDGWICK INSURANCE (617) 357-6716 40 BROAD STREET BOSTON MA 02109
D5N SELECT ADVANTAGE SILVER 1901 MARKET STREET 2 PHILADELPHIA PA 19103
D2F SELECT CARE OF TEXAS LLC 4888 LOOP CENTRAL DR SUITE 300 HOUSTON TX 77081
283 SELMAN & COMPANY (800) 603-1212 6110 PARKLAND BLVD. CLEVELAND OH 44124-4187
D25 SENIOR PARTNERS (888) 776-9466 833 CHESTNUT STREET SUITE 900 PHILADELPHIA PA 19107
D60 SENIOR WHOLE HEALTH (888) 566-3526 58 CHARLES STREET 2ND FLOOR CAMBRIDGE MA 02141
599 SENTARA HEALTHCARE (800) 229-8822 6015 POPLAR HALL DRI NORFOLK VA 23502
171 SERVICE BENEFIT PLAN RETA (800) 624-5060 PO BOX 52057 PHOENIX AZ 85072-2057
748 SEVEN CORNERS INC (317) 575-2652 303 CONGRESSIONAL BL CARMEL IN 46032
666 SHEFFIELD OLSON & MCQUEEN (888) 330-8480 1000 GREAT WEST DR KENNETT MO 63857
506 SHENANDOAH LIFE INSURANCE (800) 848-5433 PO BOX 12847 ROANOKE VA 24029
675 SIERRA NEVADA (530) 271-3200 PO BOX 15645 LAS VEGAS NC 89114-5645
D47 SIERRA RX (866) 789-0565 PO BOX 15645 LAS VEGAS NV 89114
D13 SILVER SCRIPT (866) 552-6106 PO BOX 688 MAHWAH NJ 07430
D8J SILVER SCRIPT VALUE (866) 235-5660 PO BOX 52067 PHOENIX AZ 85072
D54 SIMPLY PRESCRIPTIONS (800) 659-1986 PO BOX 40246 BUFFALO NY 14201
736 SISCO (586) 254-0020 6605 19? MILE ROAD STERLING HEIGHTS OH 48314
698 SISCO (SELF INSURED SERVI (800) 457-4726 151 W 8TH ST DUBUQUE IA 52001
439 SISTERS OF MERCY (800) 578-3272 37 INDUSTRIAL DRIVE SUTIE E EXETER NH 03833-4593
D6U SMARTVALUE PLUS ( PFFS) (888) 445-8916 PO BOX 9154 OXNARD CA 93031
440 SMC RX (800) 273-9166 4535 MISSOURI FLAT R PLACERVILLE CA 95667
CARRIER CARRIER PHONE
CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE
786 SMITH RX (844) 512-3030 PO BOX 77864 SAN FRANCISCO CA 94107
D7X SOUTH COUNTY HEALTH ALLIA (507) 444-7770 110 WEST FREMONT STR OWATONNA MN 55060
PO BOX 4787 MEDICAL
285 SPECIALTY RISK SERVICES (800) 224-3696 MANAGEMENT C SYRACUSE NY 13221
489 SPECTERA (800) 638-3120 PO BOX 30978 SALT LAKE CITY UT 84130
532 STANDARD INSURANCE COMPAN (800) 547-9515 P.O. BOX 82622 LINCOLN NE 68501-2622
237 STAR ADMINISTRATIVE SERVI (800) 308-5948 PO BOX 55270 PHOENIX AZ 85078-5270
475 STAR HRG (800) 288-4474 PO BOX 54150 PHOENIX AZ 85078
286 STARBRIDGE T/A CIGNA (800) 859-0086 PO BOX 70529 LOUISVILLE KY 40270-0529
519 STARMARK (800) 522-1246 PO BOX 2942 CLINTON IA 52733-2942
378 STATE FARM INSURANCE (603) 524-7733 HEALTH DIVISION PO BOX 8000 BALLSTON SPA NY 12020
440 LINCOLN STREET DEPT N082- GR
93 STATE MUTUAL LIFE ASSURAN (800) 423-6011 HLTH WORCESTER MA 01653
175 STATE OF R.I. WORKERS COM (401) 222-6571 1 CAPITOL HILL PROVIDENCE RI 02908
174 STATEWIDE SCHOOLS CORPORA (800) 679-7247 PO BOX 11450 ALBANY NY 12211-0450
D73 STERLIND LIFE INSURANCE C 16 INTERNATIONAL WAY WARWICK RI 02886
287 STERLING & STERLING (203) 876-1660 20 ARMORY LANE MILFORD CT 06460
D14 STERLING PRESCRIPTION DRU (800) 688-0010 PO BOX 1917 BELLINGHAM WA 98227
571 STRATEGIC RESOURCE CO. AT (888) 772-9682 PO BOX 23759 COLUMBIA SC 29224
300 STRATEGIC RESOURCE CO./ A (888) 772-9682 PO BOX 23759 COLUMBIA SC 29224
573 STRATEGIC RESOURCES CO. A (888) 772-9682 PO BOX 23759 COLUMBIA SC 29224
572 STRATEGIC RESOURCES CO./ (888) 772-9682 PO BOX 23759 COLUMBIA SC 29224
D99 SUMMIT HEALTH PLAN, INC. 300 SOUTH PARK ROAD HOLLYWOOD FL 33021
D8B SUMMIT PLUS (866) 797-8648 1340 CONCORD TERRACE SUNRISE FL 33323
238 SUN HEALTHCARE GROUP (800) 759-3098 PO BOX 93098 ALBUQUERQUE NM 87199
788 SUN LIFE FINANCIAL (800) 442-7742 PO BOX 2940 CLINTON IA 52733
451 SUPERIOR VISION (800) 507-3800 PO BOX 967 RANCHO CORDOVA CA 95741
670 SXC HEALTHSPRING (888) 546-5502 PO BOX 3163 LISLE IL 60532
DC8 SYMPHONIX RITE AID (800) 220-6773 P O BOX 29046 HOT SPRINGS AR 71903
176 SYSTEMED PHARMACY, INC (800) 729-3784 PO BOX 94785 CLEVELAND OH 44101-4785
182 T.R. PAUL GROUP (800) 678-8161 14 COMMERCE ROAD NEW TOWN CT 06470
442 TAYLOR BENEFIT RESOURCE, (888) 352-5246 PO BOX 6580 THOMASVILLE GA 31758
180 TDI MANAGED CARE (412) 967-2300 620 EPSILON DRIVE PITTSBURGH PA 15238
319 TEAMSTERS CARE (800) 225-6135 61 SEVER STREET CHARLESTOWN MA 02129
320 TEAMSTERS LOCAL 59 (508) 996-0231 27 SOUTH 6TH STREET NEW BEDFORD MA 02740
CARRIER CARRIER PHONE
CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE
484 TEAMSTERS RX (866) 888-0105 PO BOX 4604 MANCHESTER NH 03108
D42 TENET CHOICES 65 (800) 631-8443 200 W. ESPLANADE AVE SUITE 600 KENNER LA 70065
D7W TEXAS FIRST HEALTH PLAN (800) 958-2707 4888 LOOP CENTRAL DR HOUSTON TX 77081

D43 TEXAS HEALTHSPRING PRESCR (800) 846-2098 2900 NORTH LOOP WEST SUITE 1300 HOUSTON TX 77092
201 THE BENEFIT GROUP (402) 697-8094 11725 ARBOR STREET OMAHA NE 68144
56 THE EQUITABLE (800) 782-9355 PO BOX 3000 LANCASTER SC 29721-3000
590 THE LOOMIS COMPANY (866) 915-6618 PO BOX 7011 WYOMISSING PA 19610
242 THE TPA (800) 247-1740 PO BOX 29050 PHOENIX AZ 85038
441 THE TRUST RISK MANAGEMENT (401) 438-6511 501 WAMPANOAG TRAIL EAST PROVIDENCE RI 02915
443 TIAA-CREF (877) 829-8958 PO BOX 5714 HOPKINS MN 55343
D1Z TODAY'S OPTION 4888 LOOP CENTRAL DR SUITE 800 HOUSTON TX 77081
438 TOTAL CLAIMS SOLUTION (800) 376-0110 PO BOX 10888 GREEN BAY WI 54307-0880
771 TOTAL PLAN CONCEPTS (877) 435-2063 571 MC DONALD AVE BRROKLYN NY 11218
241 TOTAL PLAN SERVICES (800) 969-5238 PO BOX 11379 PORTLAND ME 04104-7379

D4W TOUCHSTONE HEALTH CHURCH STREET STATIO PO BOX 990 NEW YORK NY 10008
181 TPA UNITED HEALTH CARE (203) 234-1614 PO BOX 218 NORTH HAVEN CT 06473
680 TR. PAUL, INC (866) 334-4553 PO BOX 14669 CINCINNATI OH 45246
478 TRANS AMERICA (877) 851-0906 PO BOX 1901 FORT MILL SC 29716
0K8 TRAVELERS (203) 281-2000 1952 WHITNEY AVE HAMDEN CT 06517
0BC TRAVELERS INSURANCE (860) 277-0111 ONE TOWER SQUARE HARTFORD CT 06183-1100
0D7 TRAVELERS INSURANCE CO. (203) 281-2000 1952 WHITNEY AVE HAMDEN CT 06517
0BD TRAVELERS PROPERTY & CASU (800) 238-6225 PO BOX 1450 MIDDLEBORO MA 02344-1450
213 TRIAD, LLC (860) 652-4400 115 GLASTONBURY BLVD GLASTONBURY CT 06033
05A TRICARE FOR LIFE (866) 773-0404 PO BOX 7889 MADISON WI 53707-7889
PO BOX 870140 NORTH REGION
5 TRICARE/CHAMPUS REGION 1 (800) 444-5445 CLAIMS SURFSIDE BEACH SC 29587
179 TRIGON BLUE CROSS (800) 451-0361 PO BOX 13087 ROANOKE VA 24031-3087
D6E TRIPLE-S SALUD, INC PO BOX 363628 SAN JUAN PR 09360
D1W TRIPLE-S, INC. PO BOX 363628 SAN JUAN PR 09360
D2D TRIPLE-S, INC. PO BOX 363628 SAN JUAN PR 09360
D91 TRIPLE-S, INC. PO BOX 363628 SAN JUAN PR 09360
166 TROA MEDIPLUS CLAIMS (800) 247-2192 PO BOX 9126 DES MOINES IA 50306-9126
757 TRUSTMARK (FORMER NGS AME (800) 521-1555 P.O. BOX 2310 MT CLEMENS MI 48046
CARRIER CARRIER PHONE
CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE
380 TRUSTMARK INSURANCE - DEN (800) 396-2850 PO BOX 2980 CLINTON IA 52733
379 TRUSTMARK INSURANCE CO. (877) 367-5690 PO BOX 9055 BOARDMAN OH 44513-9055
89B TUFTS (888) 884-2404 PO BOX 9163 WATERTOWN MA 02471-9163
D6W TUFTS HEALTH CARE (800) 701-9000 705 MT AUBURN STREET WATERTOWN MA 02471
D3M TUFTS HEALTH PLAN 705 MT AUBURN STREET WATERTOWN MA 02471
89A TUFTS HEALTH PLAN (PPO) (888) 884-2404 PO BOX 9185 WATERTOWN MA 02471-9185
89 TUFTS TOTAL HEALTH PLAN (888) 884-2404 PO BOX 9163 WATERTOWN MA 02710-2471
90 U.S. HEALTHCARE (800) 624-0756 PO BOX 1125 BLUE BELL PA 19422
27 U.S. LIFE INSURANCE CO. PO BOX 15205 READING PA 19612-5205
D90 UCARE MINNESOTA 2000 SUMMER STREET, MINNEAPOLIS MN 55413
321 UFCW NATIONAL HEALTH & WE (888) 773-8329 PO BOX 751 ENGLEWOOD NJ 07631
758 ULTRA BENEFITS INC (866) 858-7223 29 E MOUNTAIN STREET SUITE 2 WORCESTER MA 01606-1400
444 ULTRABENEFITS (866) 858-7223 PO BOX 763 WESTBORO MA 01581
528 UMR (UNITED MEDICAL RESOU (877) 233-1800 PO BOX 30541 SALT LAKE CITY UT 84130
381 UNICARE (800) 333-3304 PO BOX 51180 INDIAN ORCHARD MA 01151
D15 UNICARE (800) 928-6201 PO BOX 9092 OXNARD CA 93031
193 UNICARE HEALTH & LIFE INS (800) 442-9300 PO BOX 9016 ANDOVER MA 01810
191 UNICARE INSURANCE (800) 543-9121 PO BOX 5003 BOWLINGBROOK IL 60440
194 UNICARE INSURANCE (800) 367-4949 PO BOX 26060 GREENSBORO NC 27420-6060
290 UNICARE INSURANCE (800) 288-8630 PO BOX 51130 SPRINGFIELD MA 01151
445 UNICARE INSURANCE PO BOX 4071 SCHAUMBURG IL 60168
177 UNICARE INSURANCE COMPANY (800) 442-9300 PO BOX 60004 CITY OF INDUSTRY CA 91716
244 UNICARE-DOW CHEMICAL (800) 736-9369 PO BOX 833813 RICHARDSON TX 75083
246 UNION FIDELITY INSURANCE (800) 523-5758 4860 STREET ROAD TREVOSE PA 19049
UNION LABOR LIFE (877) 800-2956 161 FORBES ROAD BRAINTREE MA 02184
UNION LABOR LIFE INS. CO. (877) 800-2956 260 PARK AVE NEW YORK NY 10010
D2S UNISON ADVANTAGE 300 OXFORD DRIVE MONROEVILLE PA 15146
D7E UNISON ADVANTAGE, THREE R (800) 290-4009 UNISON PLAZA 1001 BR PITTSBURGH PA 15221
446 UNITED AMERICAN INSURANCE (972) 529-5085 PO BOX 268818 OKLAHOMA CITY OK 73126-8818
D17 UNITED AMERICAN INSURANCE (866) 524-4169 3700 S. STONEBRIDGE MC KINNEY TX 75070
0M3 UNITED CHAMBERS TRUST (708) 897-5000 P.O. BOX 3048 NAPERVILLE IL 60566
TDP-CLAIM PROCESSING PO BOX
189 UNITED CONCORDIA (UCCI) (866) 357-3304 69421 HARRISBURG PA 17106-9421
447 UNITED FOOD & COMMERICAL (888) 773-8329 PO BOX 751 ENGLEWOOD NJ 07631
D6T UNITED HEALTH CARE (888) 867-5517 9900 BREN ROAD E MINNETONKA MN 55343
CARRIER CARRIER PHONE
CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE
D9K UNITED HEALTH CARE MEDICA 600 NEW LONDON AVE CRANSTON RI 02920
184 UNITED HEALTH CARE/COLORA (800) 638-3933 PO BOX 2925 ENGLEWOOD CO 80150-0125
192 UNITED HEALTH CARE/GEORGI (800) 241-9964 PO BOX 2517 SMYRNA GA 30081
186 UNITED HEALTH CARE/N.C. (800) 334-2400 PO BOX 26723 GREENSBORO NC 27417
D92 UNITED HEALTH GROUP 275 GROVE STREET SUITE 3-120 AUBURNDALE MA 02466
534 UNITED HEALTH INTEGRATED (800) 708-4414 PO BOX 30783 SALT LAKE CITY UT 84130-0783
293 UNITED HEALTH PLAN OF NEW (800) 942-4640 PO BOX 1600 KINGSTON NY 12402
245 UNITED HEALTHCARE (800) 447-7020 PO BOX 650403 DALLAS TX 75265
457 UNITED HEALTHCARE PO BOX 981502 EL PASO TX 79998-1502
D16 UNITED HEALTHCARE (888) 867-5564 PO BOX 29300 HOT SPRINGS AR 71903
D62 UNITED HEALTHCARE (888) 556-7052 PO BOX 29350 HOT SPRINGS AR 71903
MEU UNITED HEALTHCARE - MEDIC (401) 732-7434 475 KILVERT STREET WARWICK RI 02886
RHU UNITED HEALTHCARE - RHODY (401) 732-7152 475 KILVERT STREET WARWICK RI 02886
382 UNITED HEALTHCARE FOR DEN (877) 816-3596 PO BOX 30560 BETHESDA MD 20824-0560
70E UNITED HEALTHCARE GM/DELP (800) 241-9964 PO BOX 673588 MARIETTA GA 30067
D1S UNITED HEALTHCARE INSURAN TWO PENN PLAZA NEW YORK NY 10121
D21 UNITED HEALTHCARE INSURAN (800) 962-8251 PO BOX 459016 SUNRISE FL 33345
D22 UNITED HEALTHCARE INSURAN (800) 393-0939 275 GROVE STREET SUITE 3-120 AUBURNDALE MA 02466
D23 UNITED HEALTHCARE INSURAN (800) 393-0939 275 GROVE STREET SUITE 3-120 AUBURNDALE MA 02466
D76 UNITED HEALTHCARE MEDICAR (800) 973-6467 9009 CORPORATE LAKE TAMPA FL 33634
D8U UNITED HEALTHCARE MEDICAR (888) 867-5562 PO BOX 2975 SHAWNEE MISSION KS 66201
D6S UNITED HEALTHCARE OF FL (888) 867-5517 4350 WEST CYPRESS SU TAMPA FL 33607
D35 UNITED HEALTHCARE OF FLOR (800) 973-6467 9009 CORPORATE LAKE TAMPA FL 33634
6 UNITED HEALTHCARE OF NEW (800) 422-1404 PO BOX 659768 SAN ANTONIO TX 78265-9768
D19 UNITED HEALTHCARE OF NEW (800) 962-8251 475 KILVERT STREET WARWICK RI 02886
D1V UNITED HEALTHCARE OF NORT 3803 NORTH ELM STREE GREENSBORO NC 27455
D36 UNITED HEALTHCARE OF OHIO (800) 504-4848 9050 CENTRE POINT DR SUITE 400 WEST CHESTER OH 45069
516 UNITED HEALTHCARE STUDENT (800) 767-0700 PO BOX 809025 DALLAS TX 75380-9025
560 UNITED HEALTHCARE STUDENT (800) 767-0700 PO BOX 809025 DALLAS TX 75380-9025
712 UNITED HEALTHCARE VISION (800) 638-3120 P O BOX 30978 SALT LAKE CITY UT 84130
178 UNITED HEALTHCARE/CHEVRON (800) 654-0079 PO BOX 30555 SALT LAKE CITY UT 84130
190 UNITED HEALTHCARE/CONNECT (800) 424-1181 PO BOX 9807 NEW HAVEN CT 06536
185 UNITED HEALTHCARE/FLORIDA (800) 257-1009 PO BOX 9032 CLEARWATER FL 34618-9032
195 UNITED HEALTHCARE/GEORGIA (800) 842-8000 PO BOX 740800 ATLANTA GA 30374-0800
292 UNITED HEALTHCARE/MINNESO (800) 526-2414 PO BOX 169050 ROUTE 2971 DULUTH MN 55816-8200
CARRIER CARRIER PHONE
CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE
188 UNITED HEALTHCARE/UTAH (800) 809-0453 PO BOX 30304 SALT LAKE CITY UT 84130-0304
383 UNITED HEALTHCARE/UTAH (800) 848-8406 PO BOX 30996 SALT LAKE CITY UT 84130
437 UNITED HEALTHCARE/UTAH-DE (877) 816-3596 PO BOX 30567 LAKE CITY UT 84130-0567
294 UNITED MEDICAL RESOURCES, (800) 950-4867 PO BOX 145804 CINCINNATI OH 45250-5804
671 UNITED MEDICAL RESOURCES, (800) 826-9781 4050 S 500 WEST SALT LAKE CITY UT 84123
295 UNITED PACIFIC 443 S. SHATTO PLACE LOS ANGELES CA 90020
06A UNITED SENIOR CARE (877) 842-3210 PO BOX 659768 SAN ANTONIO TX 78265-9768
D7Z UNIVERSAL HEALTH CARE INS (866) 690-4842 150 2ND AVENUE N. SU ST PETERSBURG FL 33701
D33 UNIVERSAL HEALTH CARE, IN (866) 690-4842 150 2ND AVENUE NORTH SUITE 400 ST PETERSBURG FL 33701
D85 UNIVERSAL HEALTH CARE, IN (866) 690-4842 150 2ND AVENUE NORTH SUITE 400 ST PETERSBURG FL 33701
D1Q UNIVERSAL HEALTHCARE INSU 150 2ND AVENUE NORTH SUITE 200 ST PETERSBURG FL 33701
DD1 UNIVERSITY PHYSICIANS C (877) 874-3930 UNIVERSITY OF ARIZON TUSCON AZ 85721
D2I UNIVERSITY HEALTH CARE, I 305 WEST BROADWAY LOUISVILLE KY 40202
DBM UNKNOWN DENTAL PLAN 171 SERVICE AVENUE WARWICK RI 02886

296 UNUM LIFE INSURANCE (800) 922-3420 509 SOUTH LEMOLA ROAD BLDG. #2 MOORES TOWN NJ 08057
592 UPMC (888) 876-2756 PO BOX 2999 PITTSUBRGH PA 15230
D2X UPMC HEALTH PLAN 112 WASHINGTON PLACE SUITE 900 PITTSBURGH PA 15219
509 US FAMILY HEALTH PLAN (800) 818-8589 PO BOX 9195 WATERTOWN MA 02471-9195
27A US LIFE INSURANCE COMPANY PO BOX 15236 READING PA 19612
673 US SCRIPTS (800) 460-8988 2425 WEST SHAW AVENU FRESNO CA 93711
183 USAA LIFE INSURANCE CO (800) 531-8000 9800 FREDRICKSBURG R SAN ANTONIO TX 78288-0346
672 USABLE INSURANCE/BLUE ADV (866) 823-3790 PO BOX 1460 LITTLE ROCK AR 72203-1460
D3L USACARE RX 259 MONROE AVENUE ROCHESTER NY 14607
387 USI ADMINISTRATORS, INC.- (866) 632-3372 PO BOX 1539 FORT WORTH TX 76101
388 USI RX (877) 200-5533 675 FOXON ROAD EAST HAVEN CT 06513
92 VALUE RX (800) 945-6444 30445 NORTHWESTERN H FARMINGTON HILLS MI 48334
92A VALUE RX (800) 726-7220 PO BOX 421150 PLYMOUTH MN 55442-0150
0S5 VETERANS ADMIN. CTR FEE B (401) 273-7100 830 CHALKSTONE AVE. PROVIDENCE RI 02908
496 VISION BENEFITS OF AMERIC 300 WEYMAN PLAZA PITTSBURGH PA 15236
187 VISION SERVICE PLAN (800) 877-7195 PO BOX 997100 SACRAMENTO CA 95899-7100
D1O VISTA HEALTHPLAN OF SOUTH 300 SOUTH PARK ROAD HOLLYWOOD FL 33021
D94 VISTA HEALTHPLAN, INC. 300 SOUTH PARK ROAD HOLLYWOOD FL 33021
602 VIVA HEALTHCARE (800) 294-7780 PO BOX 55926 BIRMINGHAM AL 35255
D9V VIVA SALUD MEDICARE ADVAN 150 DE DIEGO AVE. SAN JUAN PR 09070
CARRIER CARRIER PHONE
CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE
D4D VIVA SALUDE (787) 724-1888 SUITE 701 S SANTURCE PR 09070
D9X VIVA SALUDE (787) 724-1888 MEDICARE ADVANTAGE S SANTURCE PR 09070
D9B VIVA SALUDE MEDICARE ADVA 600 NEW LONDON AVE CRANSTON RI 02920
D3D VIVA SALUDE! MEDICARE ADV 2217 PLAZA DRIVE SUITE 100 ROCKLIN CA 95765
D4B VNS CHOICE MEDICARE 1250 BROADWAY 3RD FLOOR NEW YORK NY 10001
D7T VNS CHOICE SELECT (212) 609-5602 40202-0000 NEW YORK NEWYORNY 10001
219 W.J. JONES ADMINISTRATORS (800) 831-7783 1979 MARCUS AVENUE SUITE C101 LAKE SUCCESS NY 11042
674 WALGREENS (800) 825-5467 PO BOX 545 DEERFIELD MI 60015
466 WALGREEN'S HEALTH INITIAT (800) 451-3101 PO BOX 545 DEERFIELD IL 60015
91 WAL-MART GROUP HEALTH (800) 421-1362 702 SW 8TH STREET BENTONVILLE AR 72716-8086

91A WAL-MART GROUP HEALTH (800) 421-1362 PO BOX 1411 C/O CLEAR CARE CORP CLEARFIELD PA 16830
325 WAUSAU BENEFITS (800) 523-3578 PO BOX 8079 WAUSAU WI 54402-8079
324 WAUSAU INSURANCE (866) 881-0800 PO BOX 8014 WAUSAU WI 54402-8014
449 WAUSAU/LIBERTY MUTUAL INS (800) 468-3000 PO BOX 4834 SYRACUSE NY 13221-4834
385 WEA TRUST (800) 279-4000 PO BOX 8220 MADISON WI 53708-8220
522 WEB-TPA (888) 792-2432 PO BOX 1808 GRAPEVINE TX 76099
D18 WELLCARE (888) 423-5252 8735 HENDERSON BLVD. TAMPA FL 33634
D34 WELLCARE (866) 238-3885 PO BOX 25885 TAMPA FL 33622
D5R WELLCARE PO BOX 25885 TAMPA FL 33622
D6D WELLCARE P.O. BOX 25885 TAMPA FL 33622
D6Q WELLCARE (888) 888-9355 PO BOX 31577 TAMPA FL 33631
D8Y WELLCARE CLASSIC (888) 550-5252 8735 HENDERSON BLVD TAMPA FL 33634
D9O WELLCARE CLASSIC 600 NEW LONDON AVE CRANSTON RI 02920
794 WELLCARE HMO HEALTH PLANS (888) 453-2534 P.O .BOX 31224 TAMPA FL 33631-3224
D95 WELLCARE OF NEW YORK, INC PO BOX 25885 TAMPA FL 33622
728 WELLDYNE RX (FL) (888) 886-5822 PO BOX 90369 LAKELAND FL 33804
796 WELLFLEET INTERNATIONAL S (800) 633-7867 P O BOX 15369 SPRINGFIELD MS 01115
688 WELLMARK BLUE CROSS AND B P.O. BOX 9291 DES MOINES IA 50306
448 WELLMARK BLUE CROSS OF SO (800) 831-4818 1601 WEST MADISON ST SIOUX FALLS SD 57104
386 WELLPOINT DENTAL (888) 209-7852 PO BOX 9201 OXNARD CA 93031
518 WELLPOINT NEXT RX (877) 850-0185 PO BOX 145433 CINCINNATI OH 45250
PO BOX 27908 ATTN: PHARMACY
377 WELLPOINT PHARMACY (800) 962-7378 SVCS WILWAUKEE WI 53227
CARRIER CARRIER PHONE
CODE CARRIER NAME NUMBER CARRIER ADDRESS CITY STATE ZIP CODE

384 WELLPOINT PHARMACY MANAGE (888) 218-4844 PO BOX 9085 ATTN: CLAIMS SERVICE OXNARD CA 93031
462 WELLPOINT PHARMACY MANAGE (800) 700-2541 ATTN: BLUE CROSS OF PO BOX 4165 WOODLAND HILLS CA 91365-4165
477 WELLS FARGO DEFINITY HEAL (866) 333-4648 PO BOX 9525 AMHERST NY 14226-9525
196 WESTERN FIDELITY INSURANC (800) 800-7201 PO BOX 1250 ROCKFORD IL 61105
584 WESTERN HEALTH ADVANTAGE (916) 563-2250 2349 GATEWAY OAKS DR ST E1 SACRAMENTO CA 95833
PO BOX 305154 ADMINISTRATIVE
247 WILLIS-CORROON (800) 255-8109 SERVICES NASHVILLE TN 37230-5154
7100 COMMERCE WAY SU ATTN:
D4Y WINDSOR HEALTH PLANS INC MARKETING BRENTWOOD TN 37027
D4A WINDSOR RX 7100 COMMERCE WAY SUITE 285 BRENTWOOD TN 37027
248 WOODHALL WEAVING (973) 684-1600 PO BOX AE PATERSON NJ 07509
250 ZURICH INSURANCE (800) 818-5835 PO BOX 9217 BOSTON MA 02205