Carrier Code List Numeric

CARRIER NUM
CARRIE CC CARRIER
R CODE CROSSWALK CARRIER TPL NAME ADDRESS LINE CITY
100 90303 AETNA US HEALTHCARE PO BOX 26190 GREENSBORO
100DN 90303 AETNA US HEALTHCARE PO BOX 14094 LEXINGTON
100RX 90303 AETNA PHARMACY PO BOX 14024 LEXINGTON
101 90304 INTERNATIONAL CLAIMS SERVICES 27092 BURBANK FOOTHILL
ST RANCH
103 90306 UNITED CLAIMS SOLUTIONS 10835 N. 25TH AVE.
PHOENIX
10
104 90307 KAISER FOUNDATION HEALTH PLAN P.O. BOX 7004 DOWNEY
105 90308 LIBERTY LIFE INSURANCE COMPANYPOST OFFICE BOX GREENVILLE
106 90309 AMERICAN FIDELITY ASSURANCE BENEF
POST OFFICE BOX OKLAHOMA
251 CITY
107 90310 MUTUAL OF OMAHA MUTUAL OF OMAHA OMAHA
PLA
108 90311 METROPOLITAN LIFE INSURANCE COMP
P.O. BOX 981282 EL PASO
109 90312 JEFFERSON PILOT INSURANCE COMPANY
POST OFFICE BOX GREENSBORO
260
110 90313 AMERIHEALTH HMO, INC. P.O. BOX 41574 PHILADELPHIA
110RX 90314 PROVIDENT/CAREMARK P.O. BOX 686005 SAN ANTONIO
111 90315 PRUDENTIAL INSURANCE COMPANY 841OPRUDENTIALJACKSONVILLE
DRIVE
112 90316 TRAVELERS INSURANCE COMPANY P O BOX 473500 CHARLOTTE
113 90317 UNITED HEALTHCARE P.O. BOX 30555 SALT LAKE CITY
113DN 90317 UNITED HEALTHCARE P.O. BOX 30555 SALT LAKE CITY
114 90318 CLAIMEDIX INC. P.O. BOX 140067 KANSAS CITY
115 90319 ALLSTATE INSURANCE P.O. BOX 7068 COLUMBIA
116 90320 WILLIS CORROON ADMINISTRATIVE POST
SE OFFICE BOX NASHVILLE
305
117 90321 HEWITT COLEMAN AND ASSOCIATES P O BOX 6708 GREENVILLE
118 90322 AMERICAN HEALTH & LIFE INSURANCE
300 ST. PAUL PLACE
BALTIMORE
119 90323 AMERICAN HERITAGE LIFE INSURANCE
1776 AMERICAN JACKSONVILLE
HER
120 90324 AMERICAN NATIONAL INSURANCE PCOMP
O BOX 1790 GALVESTON
121 90325 GREATER HEALTHCARE P.O. BOX 3400 MONROE
122 90326 ATLANTIC COAST LIFE INSURANCEPOCOBOX 20010 CHARLESTON
123 90327 BANKERS LIFE & CASUALTY PO BOX 66927 CHICAGO
124 90328 UNITED COMMERCIAL TRAVELERSP.O.OF BOX 159019 COLUMBUS
125 90329 AMERICAN TRAVELERS LIFE INSURA3220 TILLMAN DRIVE
BEN SALEM
126 90330 HEALTH PLAN SERVICES (COVENTRYP.O. BOX 24146 SEATTLE
127 90331 BENEFITSOURCE, INC P.O. BOX 240 MONROE
128 90332 CAPITOL LIFE INSURANCE COMPANYP.O. BXO 1200 DENVER
129 90333 INTERGROUP SERVICES CORPORATION
101 LINDENWOOD MALVERN
DR,
130 90334 EMPLOYERS LIFE INSURANCE COMPANY
P.O. BOX 6305 SPARTANBURG
131 90335 USI POST OFFICE BOX SAVANNAH
9888
132 90336 COLONIAL LIFE AND ACCIDENT IN POST OFFICE BOX COLUMBIA
1365
133 90337 COMBINED INSURANCE COMPANY5050 OF ABROADWAYCHICAGO
134 90338 CIGNA CONN GENERAL LIFE INSURANCE
P.O. BOX 188021 CHATTANOOGA
134DN 90338 CIGNA CONN GENERAL LIFE INSURANCE
134RX 90338 CIGNA CONN GENERAL LIFE INSURANCE
135 90339 ALLIED NATIONAL, INC. P.O. BOX 419233 KANSAS CITY
136 90340 CIGNA FLEXCARE P.O. BOX 30575 CHARLOTTE
137 90341 EDUCATORS MUTUAL LIFE INSURANCPOST OFFICE BOX LANCASTER
3149
138 90342 CORESOURCE P.O. BOX 2920 CLINTON
139 90343 FISERV HEALTH POST OFFICE BOX WAUSAU,
8013
139DN 90343 FISERV HEALTH POST OFFICE BOX WAUSAU,
8014
139RX 90343 WAUSAU INSURANCE COMPANY POST OFFICE BOX WAUSAU,
8013
140 90344 STERLING OPTION I (PFFS) P.O. BOX 5348 BELLINGHAM
141 90345 NEOA HEALTH BENEFITS FUND 428 E SCOTT AVENU
KNOXVILLE
142 90346 GENERAL AMERICAN LIFE INSURANCE
719 TEACO ROAD KENNETH
143 90347 UMR P.O. BOX 30530 SALT LAKE CITY
144 90348 GLOBE LIFE & ACCIDENT INSURANCE
204 N. ROBINSONOKLAHOMA CITY
145 90349 GMP EMPLOYERS RETIREE TRUST5245 BIG PINE WAY FORTSE MYERS
146 90350 HARTFORD INSURANCE GROUP P O BOX 25600 CHARLOTTE
147 90351 STATE MUTUAL INSURANCE P.O. BOX 10811 CLEARWATER
148 90352 MONUMENTAL LIFE INSURANCE COMPAN
POST OFFICE BOXDURHAM
61
149 90353 INSURANCE COMPANY OF NORTH 195AMER BROADWAY NEW
11TH YORK
150 90354 AMERICAN GENERAL LIFE AND ACCID
P.O. BOX 1500 NASHVILLE
151 90355 CARELINK P.O. BOX 7373 LONDON
152 90356 MEDICA P.O. BOX 30990 SALT LAKE CITY
153 90357 KANAWHA LIFE INSURANCE COMPANYPOST OFFICE BOXLANCASTER
6000
153DN 90357 KANAWHA LIFE INSURANCE COMPANYPOST OFFICE BOXLANCASTER
6000
154 90358 CONSUMER DRIVEN BENEFITS ASSO.P.O. BOX 6080-228
MISSION VIEIO
155 90359 WORLDWIDE INSURANCE & CLAIM4675
SERVS HOLLANDSPRINGFIELD
156 90360 LIFE INSURANCE COMPANY OF GEORGIA
POST OFFICE BOXATLANTA
105
157 90361 LIFE INSURANCE COMPANY OF VIRGINI
P O BOX 27601 RICHMOND
158 90362 LINCOLN NATIONAL LIFE INSURANCE
P O BOX 1110 FORT WAYNE
159 90363 MAKSIN MANAGMENT CORP CN98000 PENNSAUKEN
160 90364 UNI-CARE HEALTH AND LIFE INSURANC
P.O. BOX 4458 CHICAGO
160DN 90364 UNICARE HEALTH AND LIFE INSURANCE
POST OFFICE BOXSCHAUMBURG
4059
161 90365 AMA INSURANCE AGNECY, INC. 200 N. LASALLE ST.CHICAGO
162 90366 HARVARD PILGRIM HEALTHCARE P.O.BOX 656653 SAN ANTONIO
163 90367 NATIONWIDE LIFE INSURANCE COMPANY
POST OFFICE BOXCOLUMBUS
182
164 90368 AMERICAN PROGRESSIVE INSURANCEP.O. BOX 130 PENSACOLA
165 90369 NEW YORK LIFE INSURANCE COMPANY
105
166 90370 CAPITOL AMERICAN LIFE INSURANCE
P.O. BOX 94953 CLEVELAND
167 90371 AMERICAN INTERNATIONAL GROUP P.O.
( BOX 3726 SEATTLE
168 90372 PRECISE BENEFIT ADMINISTRATORSP.O. BOX 9064 JERICHO
169 90373 CROWN CORK & SEAL COMPANY, INC.
930 BEAUMONT AVENUE
SPARTANBURG
170 90374 OCCIDENTAL LIFE INSURANCE COMPA
PO BOX 10324 RALEIGH
171 90375 AON POST OFFICE BOXWINSTON
66 SALEM
172 90376 PAUL REVERE LIFE INSURANCE COMPAN
P.O. BOX 15118 WORCESTER
173 90377 PENNSYLVANIA LIFE INSURANCE COMP
P.O. BOX 100 PENSACOLA
174 90378 NMU PENSION & WELFARE FUND 360 WEST 31ST STRENEW YORK
175 90379 COLUMBIA UNIVERSAL LIFE INSURANCE
POST OFFICE BOXAUSTIN
200
176 90380 GUIDESTAR HEALTH SYSTEMS P.O. BOX 35238 BIRMINGHAM
177 90381 CINERGY HEALTH PREFERRED PLAN 144 N BEVERWYCKLAKERDHIAWATHA
178 91191 MASHANTUCKET PLAN ADMINISTRATORS
P.O. BOX 3620 MASHANTUCKET
179 90382 DESERET MUTUAL BENEFIT ADMINISTR
P O BOX 45530 SALT LAKE CITY
180 90383 ESIS P O BOX 31122 TAMPA
181 90384 GROUP ADMINISTRATORS,LTD. 450 E. REMINGTON SCHAUMBURG
RD.
182 90385 PENN TREATY NETWORK AMERICAP.O. INS.BOX 7066 ALLENTOWN
183 90386 GILSBAR INSURANCE COMPANY P O BOX 2947 COVINGTON
184 90387 SECURITY LIFE INSURANCE CO. OFPOST
AM OFFICE BOXWINSTON-SALEM
3199
185 90388 S&S HEALTHCARE STRATEGIES P.O. BOX 46511 CINCINNATI
186 90389 SOUTHLAND LIFE INSURANCE COMPANY
105
187 90390 RELIANCE STANDARD LIFE INS. CO.
P.O. BOX 82520 LINCOLN
188 90391 STANDARD LIFE & CASUALTY INSURPOST OFFICE DRAWER
FORT MILL
189 90392 INTERNATIONAL EDUCATION EXCHANP.O. BOX 370 ITHACA
190 90393 BOILERMAKERS NATIONAL HEALTH 754 MINNESOTA KANSAS
AVE CITY
191 90394 COVENTRY HEALTHCARE OF DELAWARE,
P O BOX 7713 LONDON
192 90395 CONVENTRY HEALTHCARE OF NEBRASK
P O BOX 7705 LONDON
194 90397 DAKOTACARE 1323 S. MINNESOTA
SIOUX
AV FALLS
195 90398 UNION BANKERS INSURANCE COMPANY POST OFFICE BOX DALLAS
655
196 90399 UNITED BENEFIT LIFE INSURANCE3909 HULEN ST FT. WORTH
197 90400 HARVARD PILGRIM HEALTH CARE P.O. BOX 699183 QUINCY
198 90401 UNIVERSAL FIDELITY LIFE INS. CO.P.O. BOX 1428 DUNCAN
199 90402 ALL OTHER CARRIERS - -
200 90403 ALL AMERICAN LIFE INSURANCE CO. 8501 WEST HIGGINS
CHICAGO
R
201 90404 HCH ADMINISTRATORS P.O. BOX 1986 PEORIA
201DN 90404 HCH ADMINISTRATORS P.O. BOX 1986 PEORIA
202 90405 JOHN HANCOCK INSURANCE COMPANY P.O. BOX 852 BOSTON
203 90406 HEALTH CARE SUPPORT/PRIVATE 29 COLUMBIA HEIGHTS BROOKLYN
204 90407 SELF INSURED BENEFIT ADMINISTRATO
18167 US HWY 19NCLEARWATER
205 90408 FIDELITY LIFE SECURITY 3130 BROADWAYKANSAS CITY
206 90409 MED COST BENEFITS SERVICES P.O. BOX 25987 WINSTON SALEM
207 90410 MEDICAL SAVINGS HEALTH PLAN 419 E. MAIN ST MIDDLETON
208 90411 SIEBA, LTD P.O. BOX 5000 ENDICOTT
209 90412 SUMMIT AMERICA INSURANCE SERVICES
7400 COLLEGE BLVD.
OVERLAND PARK
210 90413 AMERITAS LIFE INSURANCE P O BOX 82520 LINCOLN
211 90414 COORDINATED BENEFIT PLANS INC. P O BOX 853925 RICHARDSON
212 90415 TRUSTMARK INSURANCE CO. P.O. BOX 2942 CLINTON
213 90416 COVENANT ADMINISTRATORS P.O. BOX 105738 ATLANTA
214 90417 RISK BENEFIT MANAGEMENT SERVIC P.O. BOX 241569 ANCHORAGE
215 90418 OXFORD LIFE INSURANCE COMPANY P.O. BOX 46518 MADISON
216 90419 HUMANA HEALTH INSURANCE OF FLORID
P.O. BOX 19080-FJACKSONVILLE
217 90420 UNITED WORLD LIFE INS. CO. 3316 FARNAM STREET
OMAHA
218 90421 ROCKY MOUNTAIN HEALTH PLAN (RMHP)
P O BOX 4517 ENGLEWOOD
219 90422 CLAIMS PRO P.O. BOX 577 SOUTHFIELD
220 90423 HEALTH NEW ENGLAND ONE MONARCH PLACE
SPRINGFIELD
221 90424 QUAL CARE P.O. BOX 249 PISCATHAWAY
222 90425 MEDICA P.O. BOX 659752 SAN ANTONIO
223 90426 MED COST PREFERRED P.O. BOX 25437 WINSTON SALEM
224 90427 SOUTHERN ELEC. HEALTH FUND 3928 VOLUNTEER CHATTANOOGA
DRIV
225 90428 HEALTH SERVICES FOUNDATION P O BOX 2109 LIVERMORE
226 90429 MASTER HEALTH PLAN P O BOX 16367 AUGUSTA
227 90430 MONUMENTAL GENERAL INSURANCE 1111CN CHARLESBALTIMORE
STRE
228 91249 PHYSICIANS PLUS INS. CO. P.O. BOX 909953 MILWAUKEE
229 90431 PRESCRIPTION HEALTH SERVICESP.O. BOX 80716 LOS ANGELES
230 90432 PYRAMID LIFE INSURANCE COMPANY P O BOX 772 SHAWNEE MISSION
231 90433 SAVERS LIFE INSURANCE COMPANY 8064 NORTH POINTWINSTON SALEM
232 90434 GENERAL ADJUSTMENT BUREAU P.O. BOX 81808 ALTANTA
233 90435 STERLING LIFE INSURANCE P.O. BOX 5348 BELLINGHAM
234 90436 ALWAYSCARE BENEFITS INC P.O. BOX 80139 BATON ROUGE
235 90437 SHAW INDUSTRIES P.O. BOX 10 DALTON
236 90438 GUARANTEE TRUST LIFE INSURANCE 1275 MILWAUKEEGLENVIEW
AVEN
237 90439 GUARDIAN LIFE INSURANCE COMPAN P O BOX 8019 APPLETON
237DN 90404 GUARDIAN LIFE INSURANCE CO. OF P.O.
A BOX 2459 SPOKANEN
238 90440 HORIZON HEALTHCARE P.O. BOX 1028 WEST TRENTON
239 90441 HORACE MANN LIFE INSURANCE COMPA1 HORACE MANNSPRINGFIELD
PLAZA
240 90442 STARBRIDGE P.O. BOX 55270 PHOENIX
241 90443 LIFE REINSURANCE CO. P.O. BOX 792070 SAN ANTONIO
242 90444 HELLER ASSOCIATES 8228 MAYFIELD RD.
CHESTERLANDE
S
243 90445 LIFE & CASUALTY INSURANCE COM AMERICAN GENERALNASHVILLE
C
244 90446 STERLING INVESTORS LIFE INS. CO.P.O. BOX 10844 CLEARWATER
245 90447 FIRST HEALTH P.O. BOX 23070 TUCSON
245RX 90447 FIRST HEALTH P.O. BOX 23070 TUCSON
246 90448 FIRST HEALTH RX P.O.BOX 11010 TUCSON
247 90449 EMPLOYERS DIRECT HEALTH 5050 SPRING VALLEY
DALLAS
248 90450 NEW ENGLAND LIFE INSURANCE 25145 COUNTRY NORTHCLUB OLMSTED
250 90452 IDEAL SCRIPTS 144 METRO CENTERWARWICK
BL
251 90453 PYMARID LIFE INSURANCE CO. P.O. BOX 12922 PENSACOLA
252 90454 WELLNET HEALTHCARE 57 STREET RD SOUTH HAMPTON
253 90455 AMERICAN STERLING INSURANCE P.O.
SERV BOX 26103 OVERLAND PARK
254 90456 PACIFIC MUTUAL LIFE INSURANCE700
CO NEWPORT CENTER
NEWPORT BEACH
255 90457 PAN-AMERICAN LIFE INSURANCE COMP
POST OFFICE BOX NEW602ORLEANS
256 90458 BENICOMP 8310 CLINTON PARK
FT WAYNE
DR
257 90459 PHARMACY NETWORK NATIONAL OF 4000
N.C.
OLD WAKEFORE
RALEIGH
258 90460 DIVERSIFIED ADMINISTRATION CORPO
P.O. BOX 299 MARLBOROUGH
259 90461 CNA HEALTHCARE PARTNERS P. O. BOX 34197 LITTLE ROCK
260 90462 NATIONAL CLAIMS ADMINISTRATIVEPOST
S OFFICE BOX FAIRFAX
101
261 90463 UICI ADMINISTRATORS P.O. BOX 30087 RENO
262 90464 CAIC (CONTINENTAL AMERICAN INS.
P.O.
COBOX 6080-179
MISSION VIEJO
263 90465 NATIONAL FINANCIAL COMPANY 110 WEST 7TH ST. FTSU
WORTH
264 90466 HEALTH AMERICA P.O. BOX 7089 LONDON
265 90467 TODAY'S OPTION PO BOX 391883 CAMBRIDGE
266 90468 ACMG ADMINISTRATORS OF SOUTH 2570
CATECHNICALMIAMISBURG
DRIVE
267 90469 NATIONAL CLAIMS ADMINISTRATIVEP.O.
S BOX 220887 CHARLOTTE
268 90470 MARQUETTE NATIONAL LIFE INS. CO.
269 90471 THE EPOCH GROUP POST OFFICE BOX OVERLAND
121 PARK
270 90472 PREFERRED HEALTH PLAN OF THEP.O,
CA BOX 220397 CHARLOTTE
271 90473 AMERICAN BENEFIT PLAN ADMINISTRAT
22OO-B ROSSELLE JACKSONVILLE
ST
272 90474 ALLIANCE HEALTH BENEFIT PLAN P O BOX 6443 ROCKVILLE
273 90475 CENTRAL BENEFITS USA (CENBENP.O.
USA)BOX 619059 DALLAS
274 90476 CAPITAL DISTRICT PHYSICIANS PLAN
P.O. BOX 66602 ALBANY
275 90477 AMERICAN TRUST ADMINISTRATORS P O BOX 87 SHAWNEE MISSION
276 90478 PLAN HANDLERS 930 CANTERBURY ESCONDIDO
PLAC
277 90479 UNITED AMERICAN INSURANCE COMPANY
POST OFFICE BOX MCKINNEY
8080
278 90480 ROCKY MOUNTIAN HEALTH PLAN P.O. BOX 10600 GRAND JUNCTION
279 90481 UNITED INSURANCE COMPANY OF1AMERE WACKER DRIVECHICAGO
280 90482 CAREMARK PRESCRIPTION SERVICESP O BOX 52188 PHOENIX
281 90483 HEALTH NETWORK AMERICA/TRIVERIS
P.O. BOX 307 EATONTOWN
282 90484 WASHINGTON NATIONAL INSURANCE P.O.CBOX 1934 DES PLAINES
283 90485 GUARDIAN HEALTHCARE P.O. BOX 4197 SCRANTON
284 90486 AMERIHEALTH ADMINISTRATORS 720 BLAIR ROAD HORSHAM
285 90487 WOODMAN OF THE WORLD LIFE INS 1700 FARNAM STREET
OMAHA
286 90488 CONSOLIDATED GROUP PO BOX 248 BATTLEBORO
287 90489 COMMUNITY HEALTH PLAN P.O. BOX 14467 CINCINNATI
288 90490 BENEFIT ADMINISTRATORS OF AMERICA
P O BOX 9120 DES MOINES
289 90491 AFTRA HEALTH FUND 261 MADISON AVE NEW YORK
290 90492 FEDERATED MUTUAL INSURANCE P C.O. BOS 31716 TAMPA
291 90493 NALC HEALTH BENEFIT PLAN 20547 WAVERLY ASHBURN
COURT
292 90494 WELLMARK ADMINISTRATORS P.O. BOX 9901 SIOUX CITY
293 90495 PARAMOUNT HEALTH CARE P.O. BOX 497 TOLEDO
294 90496 BRIDGESTONE/FIRESTONE COMPANIES
P.O. BOX 26605 AKRON
295 90497 MEDICAL BENEFIT ADMINISTRATORS5940 SEMINOLE CEN
MADISON
296 90498 RESERVE NATIONAL INSURANCE P.O. BOX 26620 OKLAHOMA CITY
297 90499 AMALGAMATED LIFE INSURANCE P.O. BOX 1451 NEW YORK
298 90500 SMITH PREMIERE PHARMACY PLAN P.O. BOX 5824 SPARTANBURG
299 90501 ALICARE P.O. BOX 1447 NEW YORK
300 90502 BENEFIT ADMINISTRATORS INC P O BOX 6279 ERIE
300DN 90502 BENEFIT ADMINISTRATORS INC P O BOX 6279 ERIE
301 90503 BENEFIT PLAN ADMINISTRATORS 2145 FORD PARKWAY,ST. PAUL
302 90504 GOVERNMENT EMPLOYEE HOSP. ASSNPOST OFFICE BOX INDEPENDENCE
4665
303 90505 PREFERRED HEALTH PLAN, INC. P O BOX 24125 LOUISVILLE
304 90506 BUTLER BENEFIT SERVICE, INC. 215 NORTH MAINDAVENPORT
ST.
305 90507 WELLS FARGO TPA, INC. P.O. BOX 2801 CHARLESTON
306 90508 UNION LABOR LIFE INSURANCE 111 MASSACHUSETTS WASHINGTON
307 90509 STANDARD SECURITY LIFE INS. COP.O. BOX 828 PARK RIDGE
308 90510 GREAT WEST LIFE 1000 GREAT WEST KENNETT
DR
308DN 90510 GREAT WEST LIFE P.O.BOX 11111 FORT SCOTT
309 90511 CONSOLIDATED BENEFIT SERVICES,P.O.
INC
BOX 1391 DAYTON
310 90512 ADVANCED DATA SOLUTIONS P.O. BOX 723097 ATLANTA
311 90513 BENEFIT PLANNERS, INC P.O. BOX 682010 SAN ANTONIO
312 90514 NATIONAL BENEFIT ADMINISTRATORS
P.O. BOX 690903 CHARLOTTE
312DN 90514 NATIONAL BENEFIT ADMINISTRATORS
313 91165 GREAT WEST HEALTHCARE 1000 GREAT WEST KENNETT
DR
314 90516 PHARMACY ADVANTAGE NETWORK 50 LENNOX POINTEATLANTA
315 90517 THOMAS COOPER AND COMPANY P.O. BOX 22557 CHARLESTON
315DN 90517 THOMAS COOPER AND COMPANY P.O. BOX 22557 CHARLESTON
316 90518 PROFESSIONAL INSURANCE CORPORATI
2610 WYCLIFF RD RALEIGH
317 90519 EMPLOYEE BENEFITS MANAGEMENT 4789 RINGS ROAD DUBLIN
318 90520 KLAIS & COMPANY 1867 WEST MARKETAKRONS
319 90521 BENEFIT CONCEPTS P.O. BOX 60608 KING OF PRUSSIA
320 90522 LAMAR LIFE INSURANCE COMPANY POST OFFICE BOX JACKSON
880
321 90523 AMERICAN POSTAL WORKERS UNION POST OFFICE BOX SILVER
967 SPRINGS
322 90524 TIME INSURANCE COMPANY P.O. BOX 981602 EL PASO
323 90525 LINCOLN HERITAGE LIFE INSURANCE
P.O.CO
BOX 10843 CLEARWATER
324 90526 HEALTH REIMBURSEMENT MANAGME 5 HUTCHINSON DR DANVERS
325 90527 PERSONAL CARE P.O. BOX 7141 LONDON
326 90528 PHYSICIANS HEALTH PLAN OF MIDP.O.
MICBOX 247 ALPHARETTA
327 90529 MAIL HANDLERS BENEFIT PLAN P O BOX 8402 LONDON
328 90530 PROVIDER SELECT, INC. P.O. BOX 330070 FORT WORTH
329 90531 SMITHFIELD FOODS HEALTHCAREP.O. BOX 158 SMITHFIELD
330 90532 ANNUITY BOARD OF SOUTHERN BAP P.O. BOX 2190 NASHVILLE
331 91178 CONSECO HEALTH INS. CO P.O. BOX 66904 CHICAGO
332 90533 HEALTH PLANS INC. P.O. BOX 5199 WESTBOROUGH
333 90534 EXPRESS SCRIPTS P.O. BOX 390873 BLOOMINGTON
334 90535 NATIONAL RURAL LETTER CARRIERS1750 PENNSYLVANIA
WASHINGTON
335 90536 J.P. FARLEY CORP. P.O. BOX 458022 WESTLAKE
336 90537 CASEBP (CATSKILL AREA SCHOOLS P O BOX 220 STAMFORD
337 90538 BOARD OF PENSIONS OF THE PREP.O. BOX 13896 PHILADELPHIA
338 90539 PITTMAN & ASSOCIATES, INC. P.O. BOX 111047 MEMPHIS
339 91192 CELTIC INDIVIDUAL HEALTH P.O. BOX 33839 INDIANAPOLIS
340 90540 UNITED HEALTCARE PLAN OF RIVER3800
V 23RD AVE OFMOLINE
341 90541 ADMINISTRATIVE CONCEPTS INC. 997 OLD EAGLE SCHWAYNE
342 90542 SUN LIFE INSURANCE COMPANY OF ONE
CASUN LIFE EXECU
WELLESLEY
343 90543 GROUP BENEFITS ADMINISTRATORS 70 GRAND AVENUE RIVEREDGE
344 90544 ALIA CLAIMS DEPARTMENT P.O. BOX 9060 PHOENIX
345 90545 EMPLOYEE BENEFIT SERVICES INC P.O. BOX 1929 FORT MILL
345DN 90545 EMPLOYEE BENEFIT SERVICES INC P.O. BOX 1929 FORT MILL
346 90546 ADMINISTRATIVE SERVICES, INC. 2187 NORTHLAKE TUCKER
347 90547 PREFERRED CARE INC (PCI) P.O. BOX 1235 FREDERICK
348 90548 FIRST AGENCY, INC. 5071 WEST H AVE KALAMAZOO
349 90549 HEALTH PLAN SELECT P.O. BOX 382767 BIRMINGHAM
350 90550 NORTH AMERICA ADMINISTRATORS P O BOX 1984 NASHVILLE
351 90551 FISERV P.O. BOX 8077 WAUSAU
352 90552 FISERV HEALTH-COLORADO P.O. BOX 720 PUEBLO
353 90553 ONE HEALTH PLAN OF SC P.O. BOX 190019 N CHARLESTON
354 90554 FIRST BENEFITS CORP P.O. BOX 879 ANDERSON
355 90555 ACTIVA HEALTH GROUP 4350 E. CAMELBACK
PHOENIX
R
356 90556 FISERV HEALTH P.O. BOX 2697 WICHITA
357 90557 HEALTH PLAN SERVICES POST OFFICE BOX TAMPA
302
358 90558 BAKERY & CONFECTIONERY UNION 10401 CONNECTICUT
KENSINGTON
359 90559 NORTH CAROLINA MUTUAL LIFE INSUR
411 W. CHAPEL HILL
DURHAM
360 90560 NEW ENGLAND FINANCIAL P.O. BOX 190019 N. CHARLESTON
361 90561 MDI GOVERNMENT HEALTH SERVICES822 HIGHWAY A1A PONTE
N VEDRA BEACH
362 90562 GUARDIAN HEALTHCARE P.O. BOX 4197 SCRANTON
363 90563 PEARCE ADMINISTRATION P.O. BOX 2437 FLORENCE
364 90564 CORESTAR P.O. BOX 1195 MINNEAPOLIS
365 90565 GERBER CHILDRENS WEAR, INC. P.O. BOX 2126 GREENVILLE
366 90566 CATALYST RX P.O. BOX 1069 ROCKVILLE
367 90567 LOOMIS INSURANCE COMPANY P O BOX 7011 WYOMISSING
368 90568 MED BENEFITS SYSTEM P O BOX 177 SOUTH BEND
369 90569 AMERICAN INTERNATIONAL GROUP P.O. BOX 25050 WILMINGTON
370 90570 P5 HEALTH PLAN SOLUTIONS P.O. BOX 9554 SALT LAKE
371 90571 ICON BENEFIT ADMINISTRATORS, INC.
P.O. BOX 53010 LUBBOCK
372 90572 MEDIPLAN 502 VALLEY ROAD WAYNE
373 90573 STATE FARM INSURANCE COMPANIES7401 CYPRESS GARDE
WINTERHAVEN,
374 90574 STONEBRIDGE LIFE INSURANCE CO.2700 W. PLANO PARKW
PLANO
375 90575 RESTAT P.O. BOX 758 WEST BEND
376 90576 TUFTS HEATH PLAN P O BOX 9171 WATERTOWN
377 90577 MERITAIN HEALTH P O BOX 853921 RICHARDSON
378 90578 SELF INSURERS SERVICE INC. 2218 SOUTH PRIEST
TEMPED
379 90579 GOODYEAR TIRE & RUBBER COMPANYP.O. BOX 677 DEPT.
AKRON
6
380 90580 BENMARK, INC. P.O. BOX 16767 JACKSON
381 90581 PROVIDENT INDEMNITY LIFE INSURPO BOX 511 NORRISTOWN
382 91199 HEALTH PLAN OF NEVADA P.O. BOX 15645 LAS VEGAS
383 90582 AMERICAN HEALTHCARE ALLIANCE P.O. BOX 8530 KANSAS CITY
384 90583 NORTH AMERICAN BENEFIT NETWORKP O BOX 94928 CLEVELAND
385 90584 POSTMASTERS BENEFIT PLAN 1019 N. ROYAL STREET
ALEXANDRIA
386 90585 ASSURANT HEALTH P.O. BOX 981602 EL PASO
386DN 90585 ASSURANT HEALTH P.O. BOX 2940 CLINTON
387 90586 PRIMARY PHYSICIANS CARE P.O. BOX 11088 CHARLOTTE
388 90587 NATIONALWAY HEALTHCARE ASSOCIATE
P O BOX 682708 HOUSTON
389 90588 GROUP LINK P.O. BOX 20593 INDIANAPOLIS
390 90589 BOARD OF PENSIONS EVANGELICA P O BOX 59093 MINNEAPOLIS
391 90590 POMCO P O BOX 6329 SYRACUSE
392 90591 SELF FUNDED GROUP INSURANCEPAO BOX 1719 KALAMAZOO
393 90592 FOUNTAINHEAD ADMINISTRATORS, P INC.
O BOX 13188 BIRMINGHAM
394 90593 HEALTH CHOICES, INC P.O. BOX 5003 DUBURQUE
395 90594 T R PAUL GROUP SERVICES, INC. P.O. BOX 5508 NEWTOWN
396 90595 LIFE PARTNERS INS GROUP 7887 E. BELLEVIEW
ENGLEWOOD
AV
397 90596 PRIME THERAPEUDIC P.O. BOX 64812 ST. PAUL
398 90597 RIGHT CHOICE BENEFITS ADMINISTRAT
12250 WEBER HILLST R
LOUIS
399 90598 PACIFIC LIFE AND ANNUITY P.O. BOX 34799 PHOENIX
400 10599 STATE EMPLOYEES HEALTH PLAN4101
BLU PERCIVAL ROAD
COLUMBIA
401 90600 BLUE CROSS AND BLUE SHIELD OF4101
SC PERCIVAL ROAD
COLUMBIA
401DN 90600 BLUE CROSS AND BLUE SHIELD OF4101
SC PERCIVAL ROAD
COLUMBIA
402 90601 FEDERAL EMPLOYEE PLAN BLUE CROSS
I-20 AT ALPINE ROAD
COLUMBIA
403 90602 BLUE CHOICE/MEDICAID PO BOX 6170 COLUMBIA
404 90603 BOB JONES UNIVERSITY 1700 WADE HAMPTON
GREENVILLE
405 90604 EMPLOYEE HEALTH GROUP PLAN 101 LYNHAVEN ROAD VIRGINIA BEACH
406 90605 TRAVELERS PLAN ADMINISTRATORSP OOBOX 52100 PHOENIX
407 90606 CINERGY HEALTH INS. 1844 N. NOB HILLPLANTATION
RD.
408 90607 LIFE INVESTORS INSURANCE COMPA
POST OFFICE BOX LITTLE
8043 ROCK
409 90608 UPSTATE ADMINISTRATIVE SERVICES
P.O. BOX 6589 SYRACUSE
410 90609 SAFECO INSURANCE COMPANY P.O. BOX 34699 REDMOND,
411 90610 INTERPLAN HEALTH GROUP P.O. BOX 90613 ARLINGTON
412 90611 CONNECTICARE P.O. BOX 546 FARRINGTON
413 90612 ALLIED BENEFITS SYSTEM P.O. BOX 909786 CHICAGO
414 90613 NATIONAL TELEPHONE COOP. ASSN.
1 WEST PACK SQUAR
ASHEVILLE
415 90614 WEYCO, INC. P O BOX 30132 LANSING
415DN 90614 WEYCO, INC. P O BOX 30132 LANSING
416 90615 COMPANION BENEFIT ALTERNATIVES
P.O. BOX 100185 COLUMBIA
417 90616 JULY PRODUCTS 5 GATEWAY CENTERPITTSBURG
S
418 90617 GUARDIAN INSURANCE COMPANYP O BOX 8007 APPLETON
419 90618 GEORGIA STATE HEALTH BENEFITPOST
PLANOFFICE BOX ATLANTA
381
420 90619 CUNA MUTUAL INSURANCE GROUP POST OFFICE BOX MADISON
391
421 90620 PRIMARILY CARE 75 SOCKANOSSET CRANSTON
C
432 90621 M-PLAN CARDINAL HEALTH P.O .BOX 357 LINTHICUM
433 90622 COMPANION LIFE P.O. BOX 100133 COLUMBIA
434 90623 PIEDMONT HEALTH ALLIANCE 116 BONHAM CT.ANDERSON
435 90624 SEABURY AND SMITH COMPANY, INC.
P.O. BOX 2545 NASHVILLE
436 90625 DAVIS-GARVIN AGENCY #1 FERNANDINA COLUMBIA
COURT
437 90626 NEW ERA LIFE INSURANCE CO PO BOX 4884 HOUSTON
438 90627 MAMSI LIFE AND HEALTH INSURANCE
P.O.CO
BOX 993 FREDRICKS
439 90628 UNION SECURITY INSURANCE CO P O BOX 981602 EL PASO
440 90629 HEALTHNET P.O. BOX 14702 LEXINGTON
441 90630 FEDERAL MOGUL HEALTHCARE P O BOX 1999 DETROIT
442 90631 GE LIFE & ANNUITY ASSURANCE CO.
P.O. BOX 6700 LYNCHBURG
443 90632 GATES HEALTH CARE PLAN P O BOX 5887 DENVER
444 90633 NATIONAL DISASTER MEDICAL SYSTEM
445 90634 SUPERMED P.O. BOX 100234 COLUMBIA
446 90635 EMPLOYEE BENEFIT SERVICES POST OFFICE BOX SAVANNAH
9888
447 90636 HEALTH NET P.O. BOX 14700 LEXINGTON
448 90637 ASSURANT HEALTH INSURANCE P O BOX 42033 HAZELWOOD
449 90638 UNITED SERVICE ASSO. FOR HEALTHC
P.O. BOX 200848 ARLINGTON
450 90639 EMPLOYEE BENEFITS TRUST P.O. BOX 8788 WILMINGTON
451 90640 ASSURE CARE 340 QUANRINGLE BOILING
BLVD BROOK
452 90641 GENERAL MILLS HEALTH CLAIMS SERVI
P O BOX 59054 MINNEAPOLIS
453 90642 BLUE CROSS ANTHEM MEDICARE ADVA
2100 CORPORATE NEWBURY
CEN PARK
454 90643 INTERNATIONAL UNION OF OPERATI
166 WEST KELLYMETUCHEN
STRE
455 90644 ALASKA TEAMSTER TRUST 520 E 34TH AVENUE
ANCHORAGE
456 90645 LAIDLAW EMPLOYEE BENEFIT PLAN,
4144
INCNORTH CENTR
DALLAS
457 90646 LAQUINTA INN P.O. BOX 2636 SAN ANTONIO
458 90647 OBA MIDWEST 8160 SOUTH CASS DARIEN
AVE
459 90648 GLASS MOTORS & PLASTIC (GMPA)5245 BIG PINE WAY,
FORT MYERS
460 90649 MORRIS ASSOCIATES P.O. BOX 50440 INDIANAPOLIS
461 90650 ECKERD HEALTH SERVICES 620 EPSILON DRIVE
PITTSBURGH
462 90651 PICCADILLY INSURANCE EMPLOYEEP O BOX 2467 BATON ROUGE
463 90652 TIM BAR CORP P.O. BOX 449 HANOVER
464 90653 INTERNATIONAL MEDICAL GROUP 407 N. FULTON STREET
INDIANAPOLIS
465 90654 INTER CARE BENEFIT SYSTEMS P.O. BOX 3559 ENGLEWOOD
466 90655 VALUE RX PO BOX 421150 PLYMOUTH
467 90656 FIRSERV HEALTH P O BOX 182173 COLUMBUS
468 90657 PHOENIX HEALTHCARE P.O. BOX 150809 ARLINGTON
469 90658 AMERICAN ASSOCIATION OF RETIRP O BOX 740819 ATLANTA
470 90659 YODER BROTHERS 1001 LEBANON RD PENDLETON
471 90660 CAREMARK P.O. BOX 52188 PHOENIX
472 90661 NATIONAL HEALTH CARE HEALTH BPOST OFFICE BOX MURFREESBORO
1398
473 90662 INTERNATIONAL MISSION BOARD (IMB)
P.O. BOX 6767 RICHMOND
474 90663 DIVERSIFIED PHARMACUETICAL P.O. BOX 169052 DELUTH
475 90664 BENEFIT ASSISTANCE CORP. P.O. BOX 950 HURRICANE
476 90665 CENTRAL STATES, SOUTHEAST & SOU
P.O. BOX 5116 DEPLAINES
476DN 90665 CENTRAL STATES, SOUTHEAST & SOU
P.O. BOX 5116 DEPLAINES
477 90666 MEGA LIFE AND HEALTH INSURANCE
P.O. BOX 982009 NORTH RICHLAND HIL
478 90667 SMITH ADMINISTRATORS P.O. BOX 163289 FORT WORTH
479 90668 PRIMEXTRA P.O. BOX 1088 TWINSBURG
480 90669 COVENTRY HEALTH CARE OF THEP.O.
CARBOX 7715 LONDON
481 90670 BENOVATION 3481 CENTRAL PARK
CINCINNATI
482 90671 COVENTRY HEALTHCARE OF GEORGIA
P.O. BOX 7128 LONDON
483 90672 COOPERATIVE BENEFITS ADMINISTRAT
POST OFFICE BOX LINCOLN
6249
484 90673 INTEGRITY BENEFITS NETWORK PO BOX 4537 MARIETTA
485 90674 PROVIDENT HEALTH PLAN P.O. BOX 3125 PORTLAND
486 90675 PREFERRED CARE P O BOX 22920 ROCHESTER
487 90676 PIEDMONT INS COMPANY P.O. BOX 979 MARION
488 90677 AMERICAN BENEFITS MANAGEMENT 8310 PORT JACKSONORTH CANTON
489 90678 SAVRX P.O. BOX 8 FREEMONT
490 90679 SHEET METAL LOCAL 20 PO BOX 42489 INDIANAPOLIS
491 90680 VISION SERVICE PLAN PO BOX 997100 SACRAMENTO
492 90681 LT11-LIFETRAC NETWORK 111100 WAYZATAMINNEAPOLIS
BLVD
493 90682 CLAIMS ADMINISTRATIVE SERVICES
P.O.
O BOX 8244 SOUTH BEND
494 90683 AVESIS PHARMACY NETWORK 3724 N 3RD ST STE
PHOENIX
30
495 90684 NATIONAL PRESCRIPTION ADMINISTRA
P.O. BOX 1981 EAST HANOVER
496 90685 AMERICAN VETERINARIAN MEDICINE
P.O.AS
BOX 909720 CHICAGO
497 90686 TEXAS INTERNATIONAL P.O. BOX 11007 WINSTON SALEM
498 90687 CAROLINA BENEFIT ADMINISTRATORS
499 90688 EMPLOYEE BENEFIT CONSULTANTS P.O. BOX 928 FINDLAY
500 90689 DELTA DENTAL P.O. BOX 1809 ALPHARETTA
501 90690 UNION FIDELITY INSURANCE COMPANY
4850 STREET ROADTREVOSE
502 90691 HIP HEALTH PLAN P.O. BOX 2803 NEW YORK
503 90692 AMERICAN SPECIAL RISK MANAGEMENT
509 SOUTH LENOLAMOORESTOWN
504 90693 M CARE P.O. BOX 130799 ANN ARBOR
505 90694 ASSOCIATED ADMINISTRATORS P.O. BOX 27806 BALTIMORE
506 90695 EMPLOYEE BENEFIT PLAN ADMINISTRA
PO BOX 2000 HAMPTON
507 90696 CENTRAL STATES HEALTH & LIFE CO
POST OFFICE BOX OMAHA
343
508 90697 GROUP HEALTH INC. PO BOX 2832 NEW YORK
509 90698 EQUITABLE LIFE AND CASUALTY PO BOX 2460 SALT LAKE CITY
510 90699 EQUITABLE PLAN SERVICES P.O. BOX 720460 OKLAHOMA
511 90700 CIGNA BEHAVIORAL HEALTH P.O. BOX 46270 EDEN PRAIRIE
512 90701 ST11-STRATEGIC HEALTH 9501 NE 2ND AVEMIAMI SHORES
513 90702 VALUE OPTIONS P.O. BOX 1079 TROY
514 90703 JLT SERVICES (TPA FOR NY LIFE) P.O. BOX 1511 LATHAM
515 90704 LIFE OF THE SOUTH INSURANCE COMPA
P.O. BOX 45237 JACKSONVILLE
516 90705 DIRECT REIMBURSEMENT BENEFIT1111 PLAN
ALDERMANALPHARETTA
DR S
517 90706 UNIFORM MEDICAL PLAN P.O. BOX 34850 SEATTLE
518 90707 NAT'L ASBESTOS WORKERS MED FUND4600 POWDER MILLBELTSVILLE
RD.
519 90708 HEALTHSOURE ADMINISTRATORS P.O. BOX 382617 BIRMINGHAM
520 90709 NEW JERSERY CARPENTERS P.O. BOX 7818 EDISON
521 90710 ALLIANCE PPO, INC. P.O. BOX 934 FREDERICK
522 90711 NATIONAL AUTOMATIC SPRINKLER800 INDCORPORATELANDOVER
DRIVE
523 90712 APA PARTNERS, INC. P.O. BOX 1506 LATHAM
524 90713 HEALTHFIRST P.O. BOX 130217 TYLER
525 90714 CONSECO MEDICAL INSURANCE CO. P.O. BOX 1205 ROCKFORD
526 90715 AULTCARE P.O. BOX 6910 CANTON
528 90716 KAISER PERMANENTE P.O. BOX 190849 ALTANTA
529 90717 ANTHEM HEALTH 3575 KROGER BLVD.,
DULUTH
530 90718 UNIVERSAL BENEFITS CORPORATION P.O. BOX 97 SCRANTON
531 90719 MARY BLACK HEALTHNETWORK 1690 SKYLYN DRIVE, SPARTANBURG
532 90720 AMERICAN MEDICAL SECURITY P.O. BOX 19032 GREENBAY
533 90721 PHYSICIANS CARE NETWORK P.O. BOX 101111 COLUMBIA
534 90722 PROVANTAGE PRESCRIPTION BENP.O. BOX 1662 WAUKEHA
535 90723 CHP DIRECT/SUPERMED P.O. BOX 1640 COLUMBIA
536 90724 CLAIMSWARE MANAGEMED P.O. BOX 6125 GREENVILLE
536DN 90724 CLAIMSWARE MANAGEMED P.O. BOX 6125 GREENVILLE
537 90725 KAISER PERMANENTE-OHIO REGION P.O. BOX 5316-9774
CLEVELAND
538 90726 PENN GENERAL SERVICES P.O. BOX 72077 ATLANTA
539 90727 MEDICAL MUTUAL INSURANCE OF P OHIO
O BOX 94648 CLEVELAND
540 90728 LIBERTY NATIONAL LIFE INSURANCEPOST OFFICE BOX BIRMINGHAM
2612
541 90729 CHILDRENS REHAB SERVICES P.O. BOX 4217 SPATANBURG
542 90730 THIRD PARTY ADMINISTRATORS/AME 1733 PARK ST. NAPERVILLE
543 90731 LONE STAR LIFE INSURANCE P.O. BOX 709009 DALLAS
545 90732 MOLINA HEALTHCARE OF OHIO P.O. BOX 22712 LONGBEACH
546 90733 RISK MANGEMENT SERVICES P.O. BOX 6309 SYRACUSE
547 90734 HARRINGTON HEALTH P.O. BOX 30544 SALT LAKE CITY
548 90735 COMPBENEFITS INSURANCE CO. P.O. BOX 804483 CHICAGO
549 90736 WAL-MART STORES GROUP HEALTH 922PLAN
W WALNUT STEROGERS
A
550 90737 EMPLOYEE SECURITY, INC 7125 THOMAS EDISO
COLUMBIA
551 90738 COOPERATIVE MANAGED CARE SERVICP O BOX 502530 INDIANAPOLIS
552 90739 CORESOURCE INC 6100 FAIRVIEW ROAD
CHARLOTTE
552DN 90739 CORESOURCE INC 6100 FAIRVIEW ROAD
CHARLOTTE
553 90740 HEALTHSCOPE BENEFITS, INC.. P.O. BOX 8076 LITTLE ROCK
554 90741 DIAMOND G EMPLOYEE BENEFIT TRUST
P O BOX 1298 GREENVILLE
555 90742 PHILADELPHIA AMERICAN LIFE INSUR
P.O. BOX 4884 HOUSTON
556 90743 UNIFIED GROUP SERVICES P.O. BOX 10 PENDLETON
557 91128 AMERICORP INS. CO P.O. BOX 3430 CARMEL
558 90744 NATIONAL TRAVELERS LIFE INS. CO.
P.O. BOX 9197 DES MOINES
559 90745 CAROLINA HOSPITAL SYSTEMS BENEFI
P.O. BOX 100569 FLORENCE
560 90746 ALLEN MEDICAL CLAIMS ADMINISTRATO
P.O. BOX 978 FT. VALLEY
561 90747 PHOENIX MUTUAL LIFE INSURANCE ONE
COAMERICAN ROWHARTFORD
562 90748 HEALTH CLAIMS SERVICES,INC. P.O. BOX 9615 DEERFIELD BEACH
563 90749 ADMINISTRATIVE SERVICE CONSULTANT
3301 E ROYALTON BROADVIEW
R HEIGHTS
564 90750 MULTINATIONAL UNDERWRITERS P.O. BXO 863 INDIANAPOLIS
565 90751 UNITED BENEFITS P.O. BOX 2480 DAYTONA BEACH
566 90752 - - -
567 90753 EASTERN BENEFIT SYSTEMS 200 FREEWAY DR. EAST
E. ORANGE
568 90754 CBCA ADMINISTRATORS P.O. BOX 1272 MINNEAPOLIS
569 90755 MARYLAND PHYSICIANS CARE PO BOX 61778 PHOENIX
570 90756 SAMBA HEALTH BENEFIT PLAN 11301 OLD GEORGETO
ROCKVILLE
571 90757 CORESOURCE, INC. P.O. BOX 8215 LITTLE ROCK
572 91294 HEALTH TRANS, LLC 8300 E MAPLEWOODGREENWOOD
AV VILLAGE
573 90758 ST JOHN'S CLAIMS ADMINISTRATION
P.O. BOX 14409 SPRINGFIELD
574 90759 CITY OF AMARILLO GROUP HEALTH P.O. BOX 15130 AMARILLO
575 90760 WISCONSIN ELECTRICAL EMPLOYEESP.O. BOX 2430 BROOKFIELD
576 90761 SIOUX VALLEY HEALTH P.O. BOX 91110 SIOUX FALLS
577 90762 UNITED FIDELITY LIFE INSURANCEPCO BOX 13487 KANSAN CITY
578 90763 PROFESSIONAL ADMINISTRATORS,3751INC.MAGUIRE BLVD.
ORLANDO
579 91126 ANTHEM PRESCRIPITION MANAGEMENT
P O BOX 145433 CINCINNATI
580 90764 WORLD INSURANCE COMPANY P.O. BOX 3160 OMAHA
581 90765 ALTA RX P.O. BOX 30081 SALT LAKE CITY
582 90766 USAA GENERAL INDEMNITY CO. P.O. BOX 15506 SACRAMENTO
583 90767 ONE NATION BENEFIT ADMINISTRATORS
P.O. BOX 528 COLUMBUS
584 90768 GOLDEN RULE INSURANCE COMPANY 7440 WOODLANDINDIANAPOLIS
DRIVE
585 90769 PLUMBERS & STEAMFITTERS WELFARE
1024 MCKINLEY STPEEKSILL
586 90770 MCA ADMINISTRATORS (MANAGEDMANORC OAK TWO,PITTSBURGH
587 90771 FUTURE SCRIPTS P.O. BOX 419019 KANSAS
DEP CITY
588 90772 AUTOMATED BENEFIT SERVICES INC.
P.O. BOX 321223 DETROIT
589 90773 COMBINED ADMINISTRATIVE SERVICES
P.O. BOX 4539 DALTON
590 90774 PHYSICIANS HEALTH SERVICES P.O. BOX 981 BRIDGEPORT
591 90775 OLD AMERICAN INSURANCE COMPANYPOST OFFICE BOX KANSAS
418 CITY
592 90776 ROBEY BARBER INSURANCE SERVICES
P.O. BOX 10100 TAMPA
593 90777 CONTEC 525 LOCUS GROVE SPARTANBURG
RD
594 90778 WELLS FARGO FINANCIAL 206 EIGHTH STREET
DES MOINES
595 90779 AFLAC -AMERICAN FAMILY LIFE ASSO
1932CWYNNTON ROAD
COLUMBUS
596 90780 SECURE HORIZONS P.O. BOX 659787 SAN ANTONIO
597 90781 MONARCH DIRECT POST OFFICE BOX SPRINGFIELD
9004
599 90783 NATIONAL ELEVATOR INDUSTRY HEAPO BOX 477 NEWTOWN SQUARE
603 91227 OTHER INDIGENT (HOSPITAL CHARITY)
604 90784 CHAMPVA PO BOX 65024 DENVER
606 90785 VOCA.REHAB GENERAL
607 91237 WPS TRICARE FOR LIFE P.O. BOX 7889 MADISON
608 90786 VOCATIONAL REHAB DISABILITY
609 90787 COMM FOR BLIND
610 90788 DHEC CANCER
611 90789 DHEC C. CHILDREN
612 90790 DHEC LOW RISK MATERNITY
613 90791 DHEC HIGH RISK MATERNITY
614 90792 TRICARE SOUTH REGION P.O. BOX 7031 CAMDEN
615 90793 DHEC STERILIZATION
616 90794 MEDICAID-OUT-OF-STATE
617 90795 MEDICARE RAILROAD (PGBA) PROFEP.O. BOX 10066 AUGUSTA
618 90796 MEDICARE PART A
619 90797 MEDICAID, SC
620 90798 MEDICARE PART B ONLY
621 90799 DEPT CORRECTIONS
622 90800 WORKMEN'S COMP
623 90801 CAROLINA MEDICARE PRIME HMO 201 EXECUTIVE CENT
COLUMBIA
624 90802 OTHER SPONSOR
625 90803 DHEC MIGRANT HEALTH
626 90804 DHEC SICKLE CELL
627 90805 DHEC HEART - -
628 90806 DHEC HEMOPHILIA - -
629 90807 DHEC FAMILY PLANNING - -
630 90808 DHEC TB - -
631 90809 SHRINERS - -
632 90810 CRIME VICTIMS - -
633 20811 VETERANS ADMINISTRATION - -
635 91122 MUTUAL OF OMAHA MUTUAL OF OMAHA
OMAHA
PLA
636 91125 MUTUAL OF OMAHA MUTUAL OF OMAHA
OMAHA
PLA
637 90812 SELECT HEALTH/FIRST CHOICE P.O. BOX 7120 LONDON
638 90813 UNISON HEALTH PLAN HMO 250 BERRYHILL RD
COLUMBIA
639 91247 HEALTHFIRST HMO 255 ENTERPRISEGREENVILLE
BLV
642 91120 TRICARE FOR LIFE P.O. BOX 7890 MADISON
643 91153 BCBS OF TENNESSEE 730 CHESTNUT ST
CHATTANOOGA
644 91127 BCBS OF GEORGIA P.O. BOX 9907 COLUMBUS
645 91123 STERLING MEDICARE CHOICE HMOP.O. BOX 70 LINTHIEUM
646 91124 CIGNA-MEDICARE P.O. BOX 671 NASHVILLE
648 91160 HUMANA GOLD CHOICE (PFFS) P.O. BOX 7060 CAMDEN
650 90814 ABBEVILLE COUNTY - -
651 90815 AIKEN COUNTY - -
652 90816 ALLENDALE COUNTY - -
653 90817 ANDERSON COUNTY - -
654 90818 BAMBERG COUNTY - -
655 90819 BARNWELL COUNTY - -
656 90820 BEAUFORT COUNTY - -
657 90821 BERKELEY COUNTY - -
658 90822 CALHOUN COUNTY - -
659 90823 CHARLESTON COUNTY - -
660 90824 CHEROKEE COUNTY - -
661 90825 CHESTER COUNTY - -
662 90826 CHESTERFIELD COUNTY - -
663 90827 CLARENDON COUNTY - -
664 90828 COLLETON COUNTY - -
665 90829 DARLINGTON COUNTY - -
666 90830 DILLON COUNTY - -
667 90831 DORCHESTER COUNTY - -
668 90832 EDGEFIELD COUNTY - -
669 90833 FAIRFIELD COUNTY - -
670 90834 FLORENCE COUNTY - -
671 90835 GEORGETOWN COUNTY - -
672 90836 GREENVILLE COUNTY - -
673 90837 GREENWOOD COUNTY - -
674 90838 HAMPTON COUNTY - -
675 90839 HORRY COUNTY - -
676 90840 JASPER COUNTY - -
677 90841 KERSHAW COUNTY - -
678 90842 LANCASTER COUNTY - -
679 90843 LAURENS COUNTY - -
680 90844 LEE COUNTY - -
681 90845 LEXINGTON COUNTY - -
682 90846 MARION COUNTY - -
683 90847 MARLBORO COUNTY - -
684 90848 MCCORMICK COUNTY - -
685 90849 NEWBERRY COUNTY - -
686 90850 OCONEE COUNTY - -
687 90851 ORANGEBURG COUNTY - -
688 90852 PICKENS COUNTY - -
689 90853 RICHLAND COUNTY - -
690 90854 SALUDA COUNTY - -
691 90855 SPARTANBURG COUNTY - -
692 90856 SUMTER COUNTY - -
693 90857 UNION COUNTY - -
694 90858 WILLIAMSBURG COUNTY - -
695 90859 YORK COUNTY - -
696 90860 OUT-OF-STATE GA - -
697 90861 OUT-OF-STATE NC - -
698 90862 OUT-OF-STATE OTHER - -
701 90864 UNI-CARE CHOICE HEALTH BENEFITS
P.O. BOX 51130 SPRINGFIELD
702 90865 BOON CHAPMAN BENEFIT ADMINISTRAT
P.O. BOX 9201 AUSTIN
703 90866 TUCKER COMPANY & ADMINISTRATORS
9140 ARROW POINTCHARLOTTE
B
704 90867 UNITED FOOD & COMMERCIAL WORKE
1800 PHOENIX BLVD.
ATLANTA
705 90868 APS HEALTHCARE, INC. P.O. BOX 1307 ROCKVILLE
706 90869 PLUMBERS & PIPEFITTERS LOCAL P.O.
NO. 4
BOX 840 MACON
707 90870 DILLON YARN MEDICAL BENEFITS 1019 TITAN RD DILLON
708 90871 PERFORMAX P.O. BOX 61505 KING OF PRUSSIA
709 90872 MERCER ADMINISTRATION 701 MARKET ST. ST SUI
LOUIS
709DN 90872 MARSH ADVANTAGE AMERICA 501 NORTH BROADWA
ST LOUIS
710 90873 21ST CENTURY HEALTH AND BENEFITS
P.O. BOX 5037 CHERRY HILL
711 90874 LABORERS DISTRICT COUNCIL OFPGAO BOX 607 JONESBORO
712 90875 TDI MANAGED CARE SERVICES 620 EPSILON DRIVE PITTSBURG
713 90876 HEALTH CARE CREDIT UNION ASSOC.
P.O. BOX 260957 PLANT
714 90877 STOWE ASSOCIATES 2872 WOODCOCK ATLANTA
BLV
715 90878 UNITED HEALTH & LIFE INSURANCE
P.O.
C BOX 169050 DULUTH
716 90879 INDECS CORP P.O. BOX 668 LYNDHURST
717 90880 USA HEALTH CARE (MVP HEALTH CARE)
P.O. BOX 22920 ROCHESTER
718 90881 RX PRIME/CIGNA PHARMACY SERVICES
P.O. BOX 3598 SCRANTON
719 90882 FLORIDA HEALTH ALLIANCE P.O. BOX 10269 JACKSONVILLE
720 90883 UNITED MINE WORKERS HEALTH &ROUTE 2 BOX 218A BIG STONE GAP
721 90884 EHD ADMINISTRATORS P.O. BOX 83080 LANCASTER
722 90885 AMERICAN REPUBLIC INSURANCE POST
COMPOFFICE BOX DES 10MOINES
723 90886 CAROLINA CONTINENTAL INSURANCE
POST OFFICE BOX COLUMBIA
427
724 90887 MUTUAL MEDICAL PLANS P.O. BOX 689 PEORIA
725 90888 DIALYSIS CLINIC, INC. 203 FREEMONT AVENUE
SPARTANBURG
726 90889 INSURANCE SERVICE AND BENEFITS
3218 HIGHWAY 67 MESQUITE
SUI
727 90890 GUARANTEE MUTUAL LIFE CO. 8801 INDIAN HILLS
OMAHA
DR
728 90891 GENERAL PRESCRIPTION PROGRAMS305 MEDICINE
INC BLVD.
NEW YORK
729 90892 GROUP INSURANCE SERVICES (GIS)
P.O. BOX 2291 DURHAM
730 90893 GEORGIA HEALTHCARE PARTNERSHIP
P.O. BOX 16388 SAVANNAH
731 90894 ADOVA HEALTH P.O. BOX 725549 ATLANTA
732 90895 HERTZ CLAIM MANAGEMENT P.O BOX 726 PARK RIDGE
733 90896 MOUNTAIN CLAIMS MANAGEMENTP.O. BOX 1008 FRUITLAND
734 90897 STRATEGIC OUTBURSTING INC. P O BOX 241508 CHARLOTTE
735 90898 EATON BENEFIT PAYMENT OFFICEP O BOX 16691 COLUMBUS
736 90899 SPECTERA 2811 LORD BALTIMORE
BALTIMORE
737 90900 UNITED CONCORDIA P.O. BOX 69421 HARRISBURG
738 90901 FHA-TPA DIVISION POST OFFICE BOX FT 327
LAUDERDALE
739 90902 BOLLINGER INC P.O. BOX 727 SHORT HILLS
740 90903 PHARMACARE P.O. BOX 52188 PHOENIX
741 90904 SPENCER & ASSOCIATES INS. 1 S. LIMESTONE SPRINGFIELD
ST
742 90905 MIDA DENTAL PLAN 2000 TOWN CENTER,
SOUTHFIELD
743 90906 EMPLOYEE PLANS, INC. P.O. BOX 2362 FT WAYNE
744 90907 COLUMBIA PHARMACY SOLUTIONSPO BOX 30 COLUMBI GREENSBURG
745 90908 GROUP BENEFIT SERVICES 1312 BELLONE AVENUE
LUTHERVILLE
746 90909 MED-TAC CLAIMS P.O. BOX 9110 NEWTON
747 90910 PACIFICARE P.O. BOX 6099 CYPRESS
748 90911 HEALTH CARE SAVINGS, INC. 4530 PARK RD CHARLOTTE
749 90912 GERBER LIFE INSURANCE COMPANY P.O. BOX 2088 GRAND RAPIDS
750 90913 BENEFIT ADMINISTRATIVE SERVICESP.O. BOX 4509 ROCKFORD
751 90914 POLARIS BENEFIT ADMINISTRATORS P O BOX 2010 WESTERVILLE
751DN 90914 POLARIS BENEFIT ADMINISTRATORS P O BOX 1008 DELAWARE
751RX 90914 POLARIS BENEFIT ADMINISTRATORS P O BOX 1008 DELAWARE
752 90915 HYGEIA CORPORATION 15500 NEW BARNMIAMI
ROADLAKES
753 90916 HEALTHNET P.O. BXO 2226 AUGUSTA
754 90917 1199 SEIU NATIONAL BENEFIT FUNDPO BOX 933 NEW YORK
755 90918 TOTAL BENEFIT SERVICES INC PO BOX 30180 NEW ORLEANS
756 90919 MANUS INSURANCE COMPANY 6350 W ANDREWTALBOTT
JAC
757 90920 J C PENNEY LIFE INSURANCE COMPANY
POST OFFICE BOX PLANO
869
758 90921 HEALTHCHOICE P.O. BOX 24870 OKLAHOMA
759 90922 MEDIPLUS P.O. BOX 9126 DES MOINES
760 90923 KEY BENEFIT ADMINISTRATORS P .O. BOX 55230 INDIANAPOLIS
761 90924 EMPLOYEE BENEFIT STRATEGIES 229 EAST MICHIGAN KALAMAZOO
762 90925 ROYAL NEIGHBORS OF AMERICA P.O. BOX 10850 CLEARWATER
763 90926 THE PROVIDENT P.O. BOX 31499 TAMPA
764 90927 CARE LINK HEALTH PLAN P.O. BOX 7373 LONDON
765 90928 DRIVERS CHOICE P.O. BOX 25427 COLUMBIA
766 90929 PALMER & CAY/CARSWELL, INC. POST OFFICE BOX SAVANNAH
1286
766DN 90929 PALMER & CAY/CARSWELL, INC. POST OFFICE BOX SAVANNAH
1286
767 90930 THIELE KAOLIN CO. P.O. BOX 1868 STATESBORO
768 90931 WISCONSIN PHYSICIANS SERVICES 1717 WEST BROADWA
MADISON
769 90932 FEDEX FREIGHTWAYS P O BOX 840 HARRISON
770 90933 PEOPLES BENEFIT LIFE INSURANCE P O BOX 484 VALLEY FORGE
771 90934 PACIFIC FIDELITY LIFE INSURANCEPCO
O BOX 982009 N RICHLAND HILLS
772 90935 BENEFIT SYSTEMS INC P O BOX 6001 INDIANAPOLIS
773 90936 PHYSICIANS MUTUAL INSURANCE P.O.
COMP 2018 OMAHA
774 90937 DISNEY WORLDWIDE SERVICES P O BOX 10130 LAKE BUENA VISTA
775 90938 FIRST CHOICE BENEFITS MANAGEMENT
P O BOX 658 BELOIT
776 90939 GULF SOUTH ADMINISTRATORS P O BOX 8570 METAIRIE
777 90940 US HEALTH AND LIFE P O BOX 37504 OAK PARK
778 90941 DUKE BENEFIT SERVICES, INC. 3078 BRICKHOUSE VIRGINIA
CT. BEACH
779 90942 UNISYS P O BOX 13500 TALLAHASEE
780 90943 CORPORATE SYSTEMS ADMINISTRATION
P O BOX 4985 JOHNSON CITY
781 90944 MEDICAL CLAIMS MANAGEMENT CORP P O BOX 12995 CHARLOTTE
781DN 90944 MEDICAL CLAIMS MANAGEMENT CORP P O BOX 12995 CHARLOTTE
782 90945 HOUSING BENEFIT PLAN P O BOX 542077 DALLAS
784 90946 PACIFIC HEALTH ADMINISTRATORS P.O. BOX 620123 ORLANDO
785 90947 THE HARVEST INSURANCE CO. P.O. BOX 956003 LAKE MARY
786 90948 E S BEVERIDGE & ASSO., CIN. P.O. BOX 636 MANSFIELD
787 90949 PACIFICARE SENIOR SUPPLEMENTP.O. PLAN
BOX 6072 CYPRESS
788 90950 ERISA DESIGN SYSTEMS ADM.(EDSA)P.O. BOX 1557 BALTIMORE
789 90951 NATIONAL CASUALTY COMPANY PO BOX 1250 ROCKFORD
790 90952 NATIONAL TWIST DRILL COMPANY3950 LAKE DRIVELORIS
791 90953 LADD FURNITURE HEALTH PLAN POST OFFICE BOX GREENSBORO
7405
792 90954 PIONEER LIFE INSURANCE COMPANY P O BOX 1250 ROCKFORD
793 90955 ASSURITY LIFE INSURANCE CO. P.O. BOX 80926 LINCOLN
794 90956 UNITED FAMILY LIFE INSURANCE COMP
POST OFFICE BOX ATLANTA
2204
795 90957 REGIONAL MEDICAL ADMINISTRATORSP.O. BOX
I 4128 GLEN RAVEN
796 91279 LINECO 2000 SPRINGER DRIVE
LOMBARD
797 90958 DOAN PET CARE GROUP 451 PROSPERITYORANGEBURG
DRIVE
798 90959 INCENTUS 1710 FIRMAN RICHARDSON
799 90960 GENWORTH FINANCIAL P.O. BOX 8021 SAN RAFAEL
800 90961 NEBCO (TENNECO) P.O. BOX 97 SCRATNON
801 90962 IMERICA LIFE AND HEALTH INS. COP.O. BOX 3287 ENGLEWOOD
802 90963 CONSTITUTION LIFE INSURANCE CO P.O. BOX 130 PENSACOLA
803 90964 FIRST CONTINENTAL LIFE INSURANCE
POST OFFICE BOX CARMEL
1911
804 90965 PIEDMONT COMMUNITY HEALTHCARE P.O. INC
BOX 14408 CINCINNATI
805 91250 PENN TREATY NETWORK AMERICAP.O. (PTNA
BOX 130 PENSACOLA
806 90966 NETWORK HEALTH PLAN P.O. BOX 568 MENASHA
807 91289 OPTIMA HEALTH PLAN P O BOX 5028 TROY
808 90967 NEW MARKET DIMENSION P.O. BOX 1338 COCKEYVILLE
809 90968 OHIP CARPENTERS HEALTH & WELFAR8281 YOUNGSTOWN NILES
810 90969 UNITED RESOURCE NETWORK P.O. BOX 30758 SALT LAKE CITY
811 90970 SPARTANBURG REGIONAL HEALTHCAR P.O. BOX 1000 LANCASTER
812 91190 MAJOR LEAGUE BASEBALL BENEFIT P.O.
PLA
BOX 7003 PARKERSBURG
813 90971 CENTURY PLANNER 9201 WATSON RD, ST.SUI
LOUIS
814 90972 HEALTHCOMP ADMINISTRATORS P.O. BOX 45018 FRESNO
815 90973 YOUNG LIFE BENEFIT PLAN P.O. BOX 520 COLORADO SPRINGS
816 90974 ARCADIAN MEMBER CARE P.O. BOX 4946 COVINA
817 90975 CITIZENS HEALTH P.O. BOX 770 PUEBLO
818 90976 PENNSYLVANIA EMPLOYEES BENEFIT 150 SOUTH 43RDHARRISBURG
ST.
819 90977 PHYSICIANS HEALTH PLAN P.O. BOX 2359 FORT WAYNE
820 90978 MANAGE MED P.O. BOX 6125 GREENVILLE
821 90979 ODS HEALTH PLAN ADVANTAGE P.O. BOX 4030 PORTLAND
822 90980 MEDICAL MUTUAL P.O.BOX 6018 CLEVELAND
823 90981 - - -
824 90982 PEARCE INSURANCE P.O. BOX 2437 FLORENCE
825 90983 UNISON ADVANTAGE P.O. BOX 1138 MONROEVILLE
826 90984 WILLSE & ASSOCIATES, INC. P O BOX 1196 BALTIMORE
827 90985 J. SMITH LANIER P.O. BOX 72749 NEWNAN
828 90986 NATIONAL PHARMACEUTICAL SERVICES
P.O. BOX 407 BOYSTOWN
829 90987 ADMINISTRATIVE SOLUTIONS P.O. BOX 2490 ALPHARETTA
830 90988 CONTRACTORS EMPLOYEE BENEFIT 9003ADWATERFORD AUSTIN
CE
831 90989 CORPORATE BENEFIT SOLUTIONS,P.O. INC.BOX 8215 LITTLE ROCK
832 90990 CAMERON AND ASSOCIATES 6100 LAKE FORESTATLANTA
DR
833 90991 MERCY HEALTH PLANS PO BOX 4568 SPRINGFIELD
834 90992 DEFINITY HEALTH P.O. BOX 9525 AMHERST
835 90993 MANAGED PHARMACY BENEFITS 1100 NORTH LINDBERG ST. LOUIS
836 90994 HUMANA 1100 EMPLOYERS GREEN
BLVD BAY
837 90995 HEALTH ADMINISTRATION SERVICES P.O. BOX 6724208HOUSTON
838 90996 SHESFIELD, OLSON & MCQUEEN P.O. BOX 16608 ST PAUL
839 90997 CITIZENS SECURITY LIFE INS. P.O. BOX 436149 LOUISVILLE
840 90998 AMERICAN INCOME LIFE INSURANCE
POST OFFICE BOX WACO
2608
841 90999 WATKINS ASSOCIATED INDUSTRIES
P.O. BOX 1738 ATLANTA
842 91000 GARDNER AND WHITE INC POST OFFICE BOX INDIANAPOLIS
406
842DN 91000 GARDNER AND WHITE INC POST OFFICE BOX INDIANAPOLIS
406
843 91001 CORE MANAGEMENT RESOURCESP.O.GROUP
BOX 840 MACON
844 91188 KEYSTONE HEALTH PLAN CENTRALP.O.
( BOX 898880 CAMPHILL
845 91002 GEISINGER HEALTH PLAN GOLD P.O. BOX 8200 DANVILLE
846 91003 SCRIPT CARE, INC. 6380 FOLSOM DRBEAUMONT
847 91004 MAHONEY BENEFIT ADMINISTRATORS
P.O. BOX 7260 FORT LAUDERDALE
848 91005 HERITAGE P.O. BOX 1730 AUBURNDALE
849 91006 E.O.S. HEALTH P.O. BOX 27088 TEMPE
850 91007 ONENET PPO P.O. BOX 934 FREDERICK
852 91121 EMPLOYERS MUTUAL 1000 RIVERSIDE JACKSONVILLE
AVE
853 91008 COMPSYCH CORP. P.O. BOX 8379 CHICAGO
854 91009 BOYD CARE (BOYD BROTHERS TRANS
P.O. BOX 70 CLAYTON
855 91010 UNIVERSITY HEALTH PLANS P.O. BOX 830926 BIRMINGHAM
DEP
856 91011 TRANSAMERICA OCCIDENTAL LIFEPOST OFFICE BOX LOS ANGELES
857 91012 CORPORATE BENEFIT SERVICES INC
857DN 91012 CORPORATE BENEFIT SERVICES INC
858 91195 PREVEA HEALTH PLAN P.O. BOX 7955 LAKE FOREST
859 91013 NEW ENGLAND GROUP TRUST P.O. BOX 30466 TAMPA
860 91014 MANAGED HEALTH NETWORK P.O.BOX 209010 AUSTIN
861 91015 SUPERIOR ESSEX P.O. BOX 724907 ATLANTA
862 91016 PERFORMAX 300 CORPORATEAMHERST
PARK
863 91017 INSURANCE ADMINISTRATION CORP.
P.O. BOX 39119 PHOENIX
864 91018 GE GROUP ADMINISTRATORS P.O. BOX 150809 ARLINGTON
865 91019 AMERICAN HEARTLAND HEALTH ADMI
866 91020 OLYMPIC HEALTH MANAGEMENT P.O.BOX 5348 BELLINGHAM
867 91021 STATE OF NC COMP. HEALTH BENEFIT
P O BOX 30025 DURHAM
868 91022 KANSAS CITY LIFE P.O. BOX 219325 KANSAS CITY
869 91023 EMPLOYEE BENEFIT MANAGEMENT P.O.
SERBOX 21367 BILLINGS
870 91024 FOUNDATION HEALTH P.O. BOX 453219 SUNRISE
871 91025 UNITED BEHAVIORAL HEALTH P.O. BOX 169053 DULUTH
872 91026 UNITED HEALTHCARE PLAN OF RIVER
3800 23RD AVE. #200
MOLINE
873 91027 MEDCO HEALTH P.O. BOX 8190 MADISON
874 91028 HEALTH NET P.O. BOX 14700 LEXINGTON
875 91029 AMERICAN SENTINEL P.O. BOX 61140 HARRISBURG
876 91030 HEALTHSOURCE OF NC INC PO BOX 28087 RALEIGH
877 91031 CARTER-JONES LUMBER CO WELFARE PLAN FLORENCE
878 91032 PENSION AND GROUP SERVICE/HRPOST OFFICE BOX KALAMAZOO
4022
879 91033 WELLPATH SELECT P O BOX 7102 LONDON
880 91034 OPTIMUM HEALTH PARTNERS PO BOX 2243 GREENVILLE
881 91035 UNITED HEALTHCARE OF NC P.O. BOX 26303 GREENSBORO
882 91036 PRUDENTIAL HEALTHCARE SYSTEM2701
OFCOLTSGATE
N CHARLOTTE
RD
883 91037 SELECT HEALTH OF SOUTH CAROLINA
7410 INORTHSIDECHARLESTON
DRI
884 91038 HEALTH FIRST HEALTH PLANS P.O. BOX 565001 ROCKLEDGE
885 91039 JOHN ALDEN INSURANCE COMPANYPOST OFFICE BOX MIAMI
020
885DN 91039 JOHN ALDEN INSURANCE COMPANYPOST OFFICE BOX MIAMI
020
886 91040 PLANNED ADMINISTRATORS INC POST OFFICE BOX COLUMBIA
6927
886DN 91040 PLANNED ADMINISTRATORS INC POST OFFICE BOX COLUMBIA
6927
887 91041 CNIC HEALTH SOLUTIONS P.O. BOX 3559 ENGLEWOOD
888 91042 SOUTHEASTERN BENEFIT PLANS INC.
335 ARCHDALE DRIVE
CHARLOTTE
889 91043 GROUP INSURANCE ADMINISTRATION3350IN PEACHTREEATLANTA
RD
889DN 91043 GROUP INSURANCE ADMINISTRATION3350IN PEACHTREEATLANTA
RD
890 91044 PARTNERS NATIONAL HEALTH PLAP O BOX 17368 WINSTON SALEM
891 91045 OPTIMUM CHOICE OF THE CAROLINAS
4 TAFTI COURT ROCKVILLE
892 91046 INDEPENDENT HEALTH P.O. BOX 9066 BUFFALO
893 91047 KEYSTON HEALTH PLAN EAST P.O. BOX 8339 PHILADELPHIA
894 91048 AMERIHEALTH MERCY HEALTH PLAN P.O. BOX 7118 LONDON
895 91049 CONTINENTAL LIFE INS. OF TENNESSEE
P.O. BOX 1188 BRENTWOOD
896 91050 OPTIMED HEALTH PLAN 902 CLINT MOORE BOCA
RD RATON
897 91051 SOUTHERN BENEFIT ADM. 5305 VIRGINIA BEACH
NORFOLK
898 91052 ASSOCIATION & SOCIETY INS. CORP
P.O. BOX 2510 ROCKVILLE
899 91053 AETNA HEALTH PLANS OF THE CAROLI
3 CENTERVIEW DRIVE
GREENSBORO
900 91054 KOHLER COMPANY 444 HIGHLAND DRIVE
KOHLER
901 91055 YORK PRESCRIPTION BENEFITS 1 CHURCH ST. 5TH NEWFL HAVEN
902 91278 M CARE P.O. BOX 130799 ANN ARBOR
903 91154 ACORDIA NATIONAL P.O. BOX 11064 CHARLESTON
904 91185 BEST CHOICE HEALTH PLAN P.O. BOX 21128 FORT LAUDERDALE
905 91169 BETTER BENEFITS P.O. BOX 93929 SOUTHLAKE
906 91056 GROUP HEALTH ADMINISTRATOR INCP O BOX 6244 CHARLOTTE
907 91057 CELTIC LIFE INSURANCE CO. P O BOX 46337 MADISON
909 91058 PREFERRED HEALTH ALLIANCE CORP.
P.O. BOX 382048 BIRMINGHAM
909DN 91058 PREFERRED HEALTH ALLIANCE CORP.
300 CORPORATEBIRMINGHAM
PKWY
910 91059 AMERICAN ADMINISTRATIVE GROUP P.O. BOX 5227 LISLE
911 91176 COMMUNITY HEALTH PARTNERS P.O. BOX 5787 SPARTANBURG
912 91060 WELLS FARGO TPA-NC OFFICES POST OFFICE BOX FAYETTEVILLE
2857
913 91061 WELLNESS PLAN & ATLANTIC HEALTH
P.O. PBOX 12980 CHARLOTTE
915 91062 MANAGED HEALTH RESOURCES P.O. BOX 30742 CHARLOTTE
916 91063 ELMCO, INC. 215 EAST CHURCH ELMIRA
ST
919 91064 AMERICAN HEALTH GROUP, INC. P.O. BOX 1500 MAUMEE
920 91161 HEALTHSMART PREFERRED CAREP.O. BOX 53010 LUBBOCK
922 91065 BLUE CHOICE HEALTHPLAN POST OFFICE BOX COLUMBIA
6170
923 91066 WJ JONES ADMINISTRATIVE SERVICES
1979 MARCUS AVE LAKE SUCCESS
928 91179 DIRECT CARE AMERICA P.O. BOX 2090C STOW
929 91067 NATIONAL HEALTH INSURANCE COMPANY
P O BOX 619999 DALLAS/FORT WORT
931 91068 GOOD SAMARITAN PROGRAM 5151 WEST HWY BEACHGROVE
40
932 91069 ALTERNATIVE RISK MANAGEMENT3275 NORTH ARLIN ARLINGTON
933 91070 PREFERRED HEALTHCARE SYSTEMS 620 HOWARD AVE ALTOONA
934 91167 ASSOCIATION & SOCIETY INS. CORP.
P.O. BOX 2510 ROCKVILLE
936 91071 KEY BENEFITS-TRANSCHOICE PLUS P.O.BOX 1279 FORT MILL
937 91150 MVP HEALTH CARE 259 MONROE AVE ROCHESTER
939 91072 PREMIER HEALTH SYSTEMS P.O. BOX 1640 COLUMBIA
940 91283 PRIVATE HEALTH CARE SYSTEMS P.O.
(PHCSBOX 2914 DES PLAINES
941 91182 FIDELITY SECURITY LIFE INSURANCE
419 C
E MAIN ST MIDDLETOWN
942 91073 PRINCIPAL FINANCIAL GROUP P.O. BOX 39710 COLORADO SPRINGS
943 91074 LIBERTY MUTUAL LIFE INSURANCE5 HUTCHINSON DR DANVERS
945 91075 CAROLINA ATLANTIC MEDICAL SERP O BOX 22528 CHARLESTON
946 91076 FIRST HEALTH P.O. BOX 1377 THOMASVILLE
948 91077 PHILADELPHIA AMERICAN LIFE INS.
P.O.
CO.BOX 2465 HOUSTON
951 91166 AMERICAN GROUP ADMINISTRATORS 101 CONVENTION LAS
CEVEGAS
952 91078 STARK TRUSS CO., INC. P.O. BOX 2080C STOW
953 91079 USA HEALTHCARE ORGANIZATION7301 N. 16TH ST PHOENIX
STE
954 91080 MULTIPLAN 115 5TH AVE NEW YORK
955 91270 DESIGN SAVERS PLAN 2814 SPRING RD.ATLANTA
STE.
958 91081 ITPE-NMU HEALTH AND WELFARE POST
FUND OFFICE BOX SAVANNAH
138
958DN 91081 ITPE-NMU HEALTH AND WELFARE POST
FUND OFFICE BOX SAVANNAH
138
960 91267 HEALTH EOS P.O. BX 6090 DER PERE
961 91082 CLARK COUNTY FIRE FIREFIGHTERS P.O. BOX 27018 LAS VEGAS
962 91083 VICARE PLUS P.O. BOX 1710 SUFFOLK
963 91194 OXFORD HEALTH PLANS P.O. BOX 2083 NASHUA
964 91084 PHARMACEUTICAL CARE NETWORK 9343 TECH CENTERSACRAMENTO
DR.
965 91085 PROFESSIONAL BENEFIT ADMINISTR P.O. BOX 4687 OAKBROOK
966 91086 CAPITOL ADMINISTRATORS OF THE P.O.
S BOX 346 ALPHARETTA
967 91087 UNDERWRITERS SAFETY AND CLAIMS P.O. BOX 23507 LOUISVILLE
968 91088 AMERICAN BENEFIT ADMINISTRATIVEP.O. BOX 0928 BROOKFIELD
969 91089 WHP HEALTH INITIATIVE P.O. BXO 545 DEERFIELD
970 91090 CONSOLIDATED WORKERS ASSOCIATIOP.O. BOX 2647 CHINO HILLS
971 91091 ATLANTA ADMINISTRATIONS 135 BEAVER STREET
WALTHAM
972 91092 ASR CORP (ADMINISTRATION SYSTE P.O. BOX 6392 GRAND RAPIDS
973 91093 CAMBRIDGE INTERGRATED SERVICES P.O. BOX 1687 GRAND RAPIDS
974 91094 COMMERCE BENEFIT GROUP P.O. BOX 900 ELYRIA
975 91095 NATIONAL MEDICAL HEALTH CARDP.O. BOX 1170 FORT WASHINGTON
976 91096 PARAGON BENEFITS, INC. P.O. BOX 12288 COLUMBUS
977 91097 ZENITH ADMINISTRATION P.O. BOX 91014 SEATTLE
978 91098 LEGGETT & PLATT P.O. BOX 7687 HIGH POINT
979 91099 MEDICAL REIMBURSEMENT OF AMERICA
113 SEABOARD LANE
FRANKLIN
980 91100 BENEFIT SUPPORT, INC. P.O. BOX 2977 GAINSVILLE
981 91101 UNITED PACIFIC LIFE INSURANCE CO.
PO. BOX 2996 PARKERSBURG
982 91102 OFFICE OF GROUP BENEFITS STATE P.O. BOX 44036 BATON ROUGE
983 91103 INTERNATIONAL BROTHERHOOD O3901 E. WINSLOW PHOENIX
AVE
984 91104 BF&M INSURANCE P.O. BOX 5118 TAMPA
985 91105 BENESIGHT P.O. BOX 340 PUEBLO
986 91106 COMMON WEALTH BENEFIT ADMINISTR115 HANOVER STREET
ASHLAND
987 91107 BANKERS FIDELITY LIFE INS CO POST OFFICE BOX ATLANTA
190
988 91108 MID WEST NATIONAL LIFE INS. CO.P.O. BOX 982017 NORTH RICHLAND HIL
989 91109 UNIVERA HEALTHCARE P.O. BOX 23000 ROCHESTER
990 91110 SOUTHERN GROUP ADMINISTRATORS, 200 SOUTH
IN MARSHALL
WINSTON SALEM
991 91111 WEST PORT BENEFITS P.O. BOX 66743 ST. LOUIS
992 91112 CHESTERFIELD RESOURCES, INC.P.O. BOX 1884 AKRON
993 91113 MPI INTERNATIONAL, INC. P.O. BOX 81913 ROCHESTER
994 91114 UNITED PROVIDER SERVICES P.O. BOX 820277 FORT WORTH
995 91115 MEDIMPACT 10680 TREENA ST.SAN DIEGO
996 91116 J.F. MOLLOY & ASSO. P.O. BOX 68947 INDIANAPOLIS
997 91117 GENWORTH FINANCIAL P O BOX 10821 CLEARWATER
998 91118 CANADA LIFE ASSURANCE CO. 6201 POWERS FERRY
ATLANTA
999 91119 CIGNA HEALTHCARE OF SC/HEALTHSOP.O. BOX 190024 CHARLESTON
A01 90000 THRIVENT FINANCIAL FOR LUTHERANS
4341 N. BALLARDAPPLETON
RD
A02 90001 ALTERNATIVE BENEFITS PLANS, INC.
2920 BRANDYWINE ATLANTA
RD
A03 90002 STARMARK P O BOX 2942 CLINTON
A04 90003 CONSULTEC PRESCRIPTION BENEFI 9040 ROSWELL ROAD
ATLANTA
A05 90004 AMERICAN PUBLIC LIFE INSURANCE P.O.
CO.BOX 925 JACKSON
A06 90005 COLONIAL PENN FRANKLIN LIFE I 1818 MARKET STREET
PHILADELPHIA
A07 90006 CONTINENTAL LIFE INSURANCE CO POST OFFICE BOX COLUMBIA
6138
A08 90007 AMERICAN PHARMACY BENEFITS P O BOX 27000 JACKSON HOLE
A09 90008 RX AMERICA 221 N CHARLES LIND
SALT LAKE CITY
A10 90009 AMERISCRIPT 4301 DARROW RD. STOW
ST
A11 90010 PREFERRED ADMINISTRATORS P.O. BOX 18263 TAMPA
A12 90011 MOUNTAIN CLAIMS MANAGEMENTP.O. BOX 1008 FRUITLAND
A13 90012 HOLDEN & COMPANY PO BOX 10411 SAVANNAH
A14 90013 EB RX 2045 MIDWAY DRTWINSBURG
A15 90014 MANAGED PRESCRIPTIONS SERVICES
ONE (CITY CENTREST LOUIS
S
A16 90015 FCE BENEFIT ADMINISTRATOR 445 RECOLETA STE.
SAN ANTONIO
1
A17 90016 NOVA HEALTHCARE ADMINISTRATORS
2680 GRAND ISLAND
GRAND
B ISLAND
A18 90017 MSH MOBILITY BENEFITS P.O. BOX 77 BEEBE PLAIN
A19 90018 ISLAND GROUP ADMINISTRATION, 3INC`
TOILSOME LANEEAST HAMPTON
A20 90019 PROFESSIONAL CLAIMS MANAGEMENT
PO BOX 35276 CANTON
A20DN 90019 PROFESSIONAL CLAIMS MANAGEMENT
PO BOX 35276 CANTON
A21 90020 PC HEALTH PLAN ADMINISTRATIONP.O BOX 1377 THOMASVILLE
A22 90021 PIEDMONT ADMINISTRATORS PO BOX 78030 GREENSBORO
A23 90022 SERV U PRESCRIPTION PO BOX 23237 MILWAUKEE
A24 90023 WELLPOINT NEXT RX PO BOX 9081 OXNARD
A25 90024 BENESCRIPT PO BOX 921229 NORCROSS
A26 90025 WISCONSIN EDUCATION ASSO. P.O. BOX 8220 MADISON
A27 90026 HEALTHCARE SUPPORT 25 COLUMBIA HEIGHTS
BROOKLYN HEIGHTS
A28 90027 SHENANDOAH LIFE INSURANCE CO PO BOX 12847 ROANOKE
A29 90028 MERITAN HEALTH P.O. BOX 80884 INDIANAPOLIS
A30 90029 RMSCO, INC. P.O. BOX 678 LIVERPOOL
A30DN 90029 RMSCO, INC. P.O. BOX 678 LIVERPOOL
A31 90030 UNITY HEALTH INSURANCE P.O. BOX 610 SAUK CITY
A32 90031 MAGELLEN BEHAVIORAL HEALTH PO BOX 1659 MARYLAND HEIGHTS
A33 90032 ALLIANT HEALTH PLANS, INC. P.O. BOX 21109 ROANOKE
A34 90033 WOODS & GROOM 2549 17TH STREETCOLUMBUS
A35 90034 FABRI-KAL CORPORATION POST OFFICE DRAWER
PIEDMONT
A36 90035 FIELDCREST CANNON (CANNON MILLS)
P O BOX 5000 EDEN
A37 90036 UNITED BEHAVIORAL/DENTAL SYSTEMS
PO BOX 30755 SALT LAKE CITY
A38 90037 UNITED HEALTHCARE OF NC PO BOX 2604 GREENSBORO
A39 90038 COMPLETE BENEFITS SOLUTIONS P.O. BOX 3649 GREENVILLE
A40 90039 STRATEGIC RESOURCE COMPANYPO BOX 23759 COLUMBIA
A41 90040 CLAIMS MANAGEMENT SERVICES PO BOX 10888 GREENBAY
A42 90041 PRIMERICA LIFE INSURANCE COMPANY
3120 BRECKINRIDGE
DULUTH
A43 90042 PREMIER BENEFIT MANAGEMENT ,7070-A
INC. KAIGHN AVE
PENSAUKEN
A44 90043 GLOBAL MEDICAL MANAGEMENT, INC
7901 SW 36TH ST.DAVIE
STE
A45 90044 INTEQ GROUP 5445 LASIERRA DRDALLAS
SU
A46 90045 STANDARD INSURANCE COMPANYPO BOX 209 PORTLAND
A47 90046 STATESMAN NATIONAL LIFE INSURA
3815 MONTROSEHOUSTON
BOUL
A48 90047 QUALMED OF OREGON PO BOX 286 CLACKMAS
A49 91163 ARIZONA FOUNDATION FOR MEDICAL
P.O.CBOX 2909 PHONEIX
A50 91181 FEDERAL EMPLOYEES COMPENSATION
P.O. BOX
A 8300 LONDON
A51 90048 COAL MINE WORKERS COMP PROGRAM
P.O. BOX 8300 LONDON
A52 90049 ENERGY EMPLOYEES OCCUPATIONALP.O.BOX 8300 LONDON
A53 91189 LONGSHORE & HARBOR WORKERS P.O.
COBOX 8300 LONDON
A54 91297 CENTURY HEALTHCARE P.O. BOX 2256 GRAPEVINE
A55 90050 AETNA LIFE AND CASUALTY P.O. BOX 36890 LOUISVILLE
A56 90051 VULCAN MATERIALS COMPANY P O BOX 530187 BIRMINGHAM
A57 90052 AMERICAN GROUP ADMINISTRATORS,
101 CONVENTION
IN LAS
CEVEGAS
A58 90053 COMPREHENSIVE BENEFITS P.O. BOX 8955 MELVILLE
A62 90055 CORESOURCE INS. P.O. BOX 83301 LANCASTER
A63 91173 CITIZENS INSURANCE P.O. BOX 1627 ANDERSON
A64 90056 ORION AUTO INSURANCE P.O. BOX 118090 CHARLESTON
A65 91198 STATE AUTO INSURANCE P.O. BOX 199 GREER
A66 91197 SOUTHERN BENEFIT ADMINISTRATORS,
P.O. BOX 1449 GOODLETTSVILLE
A67 91172 CENTRAL PA TEAMSTERS HEALTHP.O.BOX
&W 15224 READING
A68 90057 HOLLINGSWORTH SACO LOWELL CORP.
P O DRAWER 2327 GREENVILLE
A69 91187 KAISER FOUNDATION HEALTH PLAN P.O. BOX 7004 DOWNEY
A70 91193 NATIONAL EMPLOYEE BENEFIT ADMI1920 N. FLORIDAWEST
MAN PALM BEACH
A71 91184 GRAPHIC COMMUNICATIONS NAT' 5 GATEWAY CTR,PITTSBURGH
# 620
A72 91129 BABB, INC. 850 RIDGE AVE PITTSBURGH
A73 91130 CLAIMS TECHNOLOGY, INC. 100 COURT AVE.DESSUITMOINES
A74 91131 FIRST CAROLINA CARE, INC. P.O. BOX 381686 BIRMINGHAM
A75 91132 HEALTH COST SOLUTIONS P.O. BOX 1439 HENDERSONVILLE
A76 91133 TOWER LIFE INS. CO. 310 S. MARY ST SAN ANTONIO
A77 90058 SISCO P.O. BOX 389 DUDUQUE
A78 90059 HIGHWAY TO HEALTH (HTH) P.O. BOX 968 HORSHAM
A79 90060 HEALTH SPECIAL RISK 4001 N. JOSEY LANE
CARROLLTON
A80 90061 TOTAL SCRIPT 10901 WEST 120THBROOMFIELD
A
A81 90062 BENESYS P.O. BOX 90082 LUBBOCK
A82 90063 UNITED HEALTHCARE INDEMNITY P.O. BOX 740801 ATLANTA
A83 90064 GROUP RESOURCES INC P.O. BOX 100043 DULUTH
A84 90065 EQUINOX PLANT P.O.BOX 1658 ANDERSON
A85 90066 MEGA LIFE STUDENT INSURANCE P.O. BOX 809025 WESTON
A86 90067 BENEFIT MANAGEMENT CO P.O. BOX 269000 WESTON
A88 90069 ST JOHNS CLAIMS ADMINISTRATIONP.O. BOX 14230 SPRINGFIELD
A89 90070 SPECIAL INSURANCE SERVICES (SIS)
P.O. BOX 250349PLANO
A90 90071 EMPLOYEE BENEFIT CLAIMS INC 9501 WEST DEVON ROSEMONT
A91 90072 STATES GENERAL LIFE INS. CO 115 WEST 7TH ST. FORT
SU WORTH
A92 91196 PROVIDENT AMERICAN LIFE & HEALTH
P.O. BOX
I 29158 SHAWNEE MISSION
A93 90073 AMERICAN COLLEGE OF SURGEONS P.O. BOX 2522 FORT WORTH
A94 91174 COLONIAL HEALTHCARE MEDICARE P.O.
S BOX 827 LANHAM
A95 90074 REYNOLDS & REYNOLDS P.O. BOX 1272 DAYTON
A96 90075 HAMRICKS INC 742 PEACHOID ROAD
GAFFNEY
A97 91180 EMPLOYER PLAN SERVICES, INC. 2180 NORTH LOOP HOUSTON
W
A98 90076 CORPORATE BENEFIT SERVICES OF P.O.
A BOX 738 HOPKINS
A99 90077 ALLIED ADMINISTRATORS 911 BROADWAY KANSAS CITY
B01 90078 HEALTH PARTNERS P.O. BOX 1289 MINNEAPOLIS
B02 90079 MILLENNIUM HEALTH GROUP, INC.P.O. BOX 260130 PEMBROKE PINES
B03 90080 CHESAPEAKE LIFE INS. CO. P.O. BOX 809025 DALLAS
B04 90081 CARITEN HEALTHCARE P O BOX 22987 KNOXVILLE
B05 91183 FOCUS HEALTHCARE MANAGEMENT, 720INC.
COOL SPRINGSFRANKLIN
BL
B06 90082 SOUTHCARE HEALTHCARE PREFERRED1100 CIRCLE 75 PA
ATLANTA
B07 90083 MAGNACARE NY WELFARE FUND-LOCAL
P.O. BOX 1001 GARDEN CITY
B08 90084 NEW WORLD SERVICES POST OFFICE BOX NILES
1030
B09 90085 MARINE CORPS ASSO.PLAN ADMINISTR
P.O. BOX 21357 SANTA BARBARA
B10 90086 PILGRIM HEALTH & LIFE INSURANCE
POST OFFICE BOX ATLANTA
897
B11 91171 CBCA ADMINISTRATORS, INC. P.O. BOX 1272 MINNEAPOLIS
B12 91186 JOHN HANCOCK MUTUAL LIFE INS.JOHN HANCOCK BOSTON
PLAC
B13 91139 WEB TPA P.O. BOX 539508 GRAND PRAIRIE
B14 90087 A.C.S. CONSULTING SERVICES, INC.
P. O. BOX 2000 WINSTON SALEM
B14DN 90087 A.C.S. CONSULTING SERVICES, INC.
P. O. BOX 2000 WINSTON SALEM
B15 91134 HILLCREST BENEFIT ADMINISTRATORS
P.O. BOX 1516 MT. DORA
B16 91135 PARTNER RX MANAGEMENT P.O. BOX 12119 PHOENIX
B17 91136 ULTRA BENEFITS P.O. BOX 763 WESTBORO
B18 91137 LUMENOS P.O. BOX 69309 HARRISBURG
B19 90088 TUPPERWARE, INC POST OFFICE DRAWER
HEMINGWAY
B20 90089 FMH BENEFIT SERVICES, INC. P.O. BOX 25946 OVERLAND PARK
B21 90090 PIONEER HEALTH P.O. BOX 6600 HOLYOKE
B22 91138 SOUTHERN HEALTH SERVICES P.O. BOX 7704 LONDON
B23 90091 FOX EVERETT, INC. P.O. BOX 870 MONROE
B24 90092 CORPS CARE MANAGEMENT CLAIMS P.O.DEP
BOX 863 INDIANAPOLIS
B25 90093 HEALTH AND WELFARE FUND LOCALPOST
218OFFICE BOXATLANTA
115
B26 90094 IMSCO HEALTH PLAN P.O. BOX 697 BUCKEYSTOWN
B27 90095 HEALTH FIRST (PPO) P O BOX 17709 GREENVILLE
B28 90096 DORMANT 8/91
B29 91200 US NOW INS. GROUP P.O. BOX 260808 PLANTO
B30 91162 SOUTHERN BENEFITS, SOUTHEASTEP.O. BOX 1449 GOODLETTSVILLE
B31 90097 ALTERNATIVE INS RESOURCES P.O. BOX 660787 BIRMINGHAM
B32 91177 COMPREHENSIVE CARE SERVICES, P.O.
INC.
BOX 64008 ST PAUL
B33 90098 ALUMAX OF SOUTH CAROLINA, INC.
POST OFFICE BOX GOOSE
100 CREEK
B34 90099 ATLANTA LIFE INSURANCE COMPANY
100 AUBURN AVENUE,
ATLANTA
B35 91170 C & R CONSULTING INC. 1501 BROADWAY, NEW
SUI YORK
B36 91175 COMMONWEALTH INDEMITY PLANP.O. BOX 9016 ANDOVER
B37 90100 BENEFIT ADMINISTRATORS POST OFFICE BOX COLUMBIA
213
B37DN 90100 BENEFIT ADMINISTRATORS POST OFFICE BOX BEATTYVILLE
1957
B39 90102 MEDICAL SAVINGS INSURANCE CO.5835 WEST 74THINDIANAPOLIS
ST
B41 90104 VYTRA HEALTHCARE P O BOX 9091 MELVILLE
B42 90105 UMR P.O. BOX 266 ONALASKA
B43 90106 HEALTH OPTION PROGRAM P.O. BOX 1764 LANCASTER
B44 90107 AMERICAN CHOICE HEALTH PLAN,P.O.BOX
LLC 922043 HOUSTON
B44DN 90107 AMERICAN CHOICE HEALTH PLAN,P.O.BOX
LLC 922009 HOUSTON
B45 90108 ATLANTICARE P.O. BOX 613 HAMMONTON
B46 90109 TOTAL CLAIMS SOLUTION (TCS) P.O. BOX 10888 GREEN BAY
B47 90110 LA-Z-BOY EAST GROUP HEALTH 901 N. DOUGLASFLORENCE
ST
B48 90111 COMPREHENSIVE CARE SERVICESP.O. BOX 64668 ST PAUL
B49 91140 HEALTH NET P.O. BOX 14702 LEXINGTON
B50 91141 MEMBER HEALTH P.O. BOX 391180 CLEVELAND
B51 90112 INNOVIANT P.O. BOX 8082 WAUSAU
B52 91142 SOUTHERN PLANNED ADMINISTRATORS
B53 90113 NATIONAL FOUNDATION LIFE INSUR
110 WEST 7TH ST.FORT
SU WORTH
B54 90114 NGS AMERICAN INC POST OFFICE BOX ST.7676
CLAIR SHORES
B55 91143 COMPLETE BENEFITS SOLUTIONS P.O. BOX 3649 GREENVILLE
B56 90115 LINCOLN HERITAGE P.O. BOX 10843 CLEARWATER
B58 91168 AUSA MASTERCARE P.O. BOX 10408 DES MOINES
B59 90117 MARYLAND INDIVIDUAL PRACTICEP.O.
ASSO.BOX 930 FREDRICK
B60 90118 STATE MUTUAL LIFE ASSURANCE 1100 31ST STREET DOWNERS GROVE
B61 90119 STOWE-PHARR MILLS 100 MAIN STREET MCADENVILLE
B62 90120 COX HEALTH SYSTEMS INS. CO P.O. BOX 5750 SPRINGFIELD
B63 90121 GE PENSIONER HEALTH BENEFITSP.O. BOX 740801 ATLANTA
B64 90122 UNITED MEDICAL RESOURCES INC.P.O. BOX 145804 CINCINNATI
B65 90123 CHRISTIAN CARE MEDI SHARE P.O. BOX 674 STERLING
B66 90124 KIRKE-VAN ORSDEL, INC. P.O. BOX 9126 DES MOINES
B67 91144 MARSH AFFINITY SERVICES P.O. BOX 5108 DES MOINES
B68 90125 HUMANA GOLD CHOICE P.O. BOX 202047 FLORENCE
B69 91145 AMERICAN INSURANCE ADMINISTRATORS
P.O. BOX 2348 COLUMBUS
B70 90126 ELECTRICAL WELFARE TRUST FUND4601 PRESIDENTS LANHAM
DR,
B71 90127 CHCS SERVICES, INC. P.O. BOX 12467 PENSACOLA
B72 90128 INTEGRITY NATIONAL LIFE INS. P.O. BOX 32350 LOUISVILLE
B73 90129 SOUTHERN CALIFORNIA PIPE TRADE
501 SHATTO PLACE,
LOS ANGELES
B74 90130 STAR HRG P.O. BOX 54150 PHOENIX
B75 90131 HEALTH DESIGN PLUS P.O. BOX 2584 HUDSON
B76 90132 INTERNATIONAL ASSO. BENEFITS 1747 PENNSYLVANIWASHINGTON
B77 90133 UNITED HEALTHCARE PLAN ADMINIST
P O BOX 121212 MARIETTA
B78 90134 ARKANSAS BEST CORP. CHOICE BENEFI
P.O. BOX 10048 FT SMITH
B79 90135 SHASTA ADMINISTRATIVE SERVICES
P.O. BOX 5735 CINCINNATI
B80 90136 IMB-SBC MEDICAL PLAN P.O. BOX 1746 INDIANAPOLIS
B81 91151 HM BENEFITS ADMINISTRATORS, INC.
P.O. BOX 535078 PITTSBURGH
B82 91152 LIFEGUARD BENEFITS P.O. BOX 93929 SOUTHLAKE
B83 90137 STATE OF LOUISIANA EMPLOYEESP.O. BOX 44036 BATON ROUGE
B84 90138 HEALTH CARE CORPORATION 203 JANDERS ROADCARY
B85 90139 TUFTS HEALTHCARE P.O. BOX 9185 WATERTOWN
B86 90140 PREFERRED ONE ADMINISTRATIVEP.O.
SERBOX 59212 MINNEAPOLIS
B87 91147 HEALTH ALLIANCE 102 E. MAIN ST URBANA
B88 90141 GETTYSBURG HEALTH ADMINISTRATORS
P.O. BOX 1169 FREDERICK
B89 91146 WESTERN & SOUTHERN FINANCIAL P.O.
GROBOX 5735 CINCINNATI
B90 90142 WESTERN FIDELITY INSURANCE P O BOX 901010 FORT WORTH
B91 91148 CHRISTIAN BROTHERS EMPLOYEE1205
BE WINDHAM PARKWA
ROMEOVILLE
B92 91149 CARE SOURCE ONE SOUTH MAIN DAYTON
B93 90143 WESTERN STATES ADMINISTRATIONP.O. BOX 8082 FRESNO
B94 90144 THE CAPELLA GROUP P.O. BOX 200368 ARLINGTON
B95 90145 HDR EMPLOYEE BENEFITS ADMINISTRA
B96 90146 PENN TREATY & AMERICAN NETWORK
B97 91155 NIPPON LIFE INSURANCE CO. P.O. BOX 39710 COLORADO SPRINGS
B98 90147 AMERICAN PIONEER LIFE INSURANCE
P O BOX 130 PENSACOLA
B99 91164 GROUP & PENSION ADMINISTRATORS,
P.O. BOX
I 749075 DALLAS
C01 90151 TERMINIX SERVICE P.O. BOX 2627 COLUMBIA
C02 90152 FOUNDATION BENEFITS ADMINISTRATOR
6300 BRIDGEPOINTAUSTIN
C03 90153 TOTAL PLAN SERVICES, INC. P.O. BOX 251369 PLANO
C04 90154 MOTOR CITY WELFARE FUND 2075 W BIG BEAVER
TROYS
C05 91156 STRATEGIC OUTSOURCING, INC. (SOI)
C06 90155 MISSIONARY MEDICAL P.O. BOX 45730 SALT LAKE CITY
C07 90156 AMERIBEN SOLUTIONS P.O. BOX 7186 BOISE
C08 91157 MEDICAL DEVELOPMENT INTERNATION
19450 DEERFIELD LANSTOWNE
AV
C09 91158 HEALTH PLAN ADMINISTRATORS P.O. BOX 2638 ROCKFORD
C10 90157 ZAVATA P O BOX 1208 AMERICUS
C11 90158 BENEFIT MANAGEMENT SERVICESPINCO BOX 1178 MATTHEWS
C11DN 90158 BENEFIT MANAGEMENT SERVICESPINCO BOX 1317 MATTHEWS
C12 90159 BENICOMP, INC.. 8310 CLINTON PARK
FT WAYNE
DR
C13 90160 CENTRAL RESERVE LIFE OF NOR 17800 ROYALTON STRONGSVILLE
RD.
C14 90161 COASTAL LUMBER CO P O BOX 1576 WALTERBORO
C15 90162 ADVANCE PCS P.O.BOX 52188 PHOENIX
C16 90163 CONSOLIDATED BENEFITS, INC P O BOX 23686 COLUMBIA
C17 90164 NATIONAL BENEFITS 110 GIBRALTAR ROAD
HORSHAM
C18 90165 EVOLUTIONS HEALTHCARE SYSTEMSP.O. BOX 5001 NEW PORT RICHEY,
C19 91159 TAYLOR BENEFIT RESOURCES, INC.
P.O. BOX 6580 THOMASVILLE
C20 90166 SCREEN ACTORS GUILD-PRODUCERSP.O. BOX 7830 BURBANK
C22 90167 BOSTON MUTUAL LIFE INSURANCE120
COMROYALL STREET
CANTON
C24 90169 ENCOMPASS HEALTH MANAGMENT 6000
SYST
WEST TOWN DES
PA MOINES
C25 90170 MEDICAL CLAIMS SERVICES 1 WALL ST. STE 2A
RAVENSWOOD
C26 90171 INTERACTIVE MEDICAL SYSTEMS, P
INC.
O BOX 19108 RALEIGH
C27 90172 SELECT BENEFIT ADMINISTRATORSP.O. BOX 440 ASHLAND
C27DN 90172 SELECT BENEFIT ADMINISTRATORS P.O. BOX 440 ASHLAND
C28 90173 BENEFIT PLAN MANAGEMENT P.O. BOX 536 ROCKLYN
C29 90174 TRUE CHOICE USA P.O. BOX 251369 PLANO
C30 90175 KEENAN AND COMPANY P.O. BOX 11431 TORRANCE
C31 90176 CONSUMER HEALTH SOLUTIONS P.O. BOX 3492 SPARTANBURG
C32 90177 WELLS FARGO FINANCIAL P O BOX 2801 CHARLESTON
C32DN 90177 WELLS FARGO P O BOX 11064 CHARLESTON
C33 91202 THE DESTINY HEALTH PLAN P.O. BOX 4628 OAKBROOK
C34 90178 HTH WORLDWIDE INSURANCE SERVICES
P.O. BOX 39 MINNEAPOLIS
C35 90179 MUTUAL PROTECTIVE MEDICO LIF1515 S 75TH STREETOMAHA
C36 90180 NORTH AMERICAN INSURANCE COMPANY
P O BOX 44160 MADISON
C37 90181 OLD SURETY LIFE INSURANCE CO P O BOX 54407 OKLAHOMA CITY
C38 90182 STANDARD LIFE & ACCIDENT INSURP O BOX 1800 GALVESTON
C39 90183 CONTINENTAL GENERAL INSURANCE P.O.CBOX 247007 OMAHA
C40 91204 AVERA HEALTH PLANS P.O. BOX 381506 BIRMINGHAM
C41 90184 INSUREX BENEFITS ADMINISTRATORS,
PO BOX 41779 MEMPHIS
C41DN 90184 INSUREX BENEFITS ADMINISTRATORS,
PO BOX 41779 MEMPHIS
C42 90185 STANDARD CORPORATION 1400 MAIN STREETCOLUMBIA
ST
C43 90186 EMPLOYEE BENEFIT ADMINISTRATORS
C44 90187 S C MEDICAL ASSOCIATION-MEMBP O BOX 11188 COLUMBIA
C45 91205 TALL TREE ADMINISTRATORS P.O. BOX 71747 SALT LAKE CITY
C46 90188 MEDCO HEALTH/PAID PRESCRIPTIONS
P O BOX 14711 LEXINGTON
C47 90189 KANAWHA BENEFIT SERVICES P O BOX 50098 KNOXVILLE
C47DN 90189 KANAWHA BENEFIT SERVICES P O BOX 50098 KNOXVILLE
C48 90190 SOUTHERN ADMINISTRATIVE SERVICES
P O BOX 8069 COLUMBUS
C49 90191 PENN WESTERN BENEFITS, INC P O BOX 7834 GREENSBORO
C49DN 90191 PENN WESTERN BENEFITS, INC P O BOX 7834 GREENSBORO
C50 90192 TENNESSEE BENEFIT ADMINISTATORS
C51 90193 YALE HEALTH PLAN P.O.BOX 208217 NEW HAVEN
C52 90194 TPA OF GEORGIA 2900 CHAMBLEE-TUC
ATLANTA
C54 90196 INTER-AMERICAS INS. CORP. (OOIDA)
P.O. BOX 9510 WICHITA
C55 90197 PLAN ADMINISTRATORS (MATURE 734
AMER15TH STREET WASHINGTON
NW
C56 90198 COMPDENT 1930 BISHOP LANELOUISVILLE
SU
C57 90199 WORLD TRAVEL PROTECTION 4600 WITMER INDUS
NIAGARA FALLS
C59 90200 HUMANA CHOICE (PPO) P.O .BOX 14605 LEXINGTON
C60 90201 INSTILL HEALTH SYSTEMS (FFS) P.O. BOX 7061 CAMDEN
C61 90202 INSTILL HEALTH SYSTEMS (PPO) P.O. BOX 7061 CAMDEN
C62 90203 BCBS OF SC MEDICARE BLUE PRIVATE
P.O. BOX 100133 COLUMBIA
C63 90204 BCBS OF SC MEDICARE BLUE&MED P.O. BOX 100133 COLUMBIA
C64 91201 BLUE CHOICE HEALTH PLAN (PPO)P.O. BOX 6170 COLUMBIA
C66 90206 CATERPILLAR, INC. P O BOX 62920 COLORADO SPRINGS
C68 90208 DENTAL BENEFIT PROVIDERS P.O. BOX 389 ROCKVILLE
C71 91206 JOHNS HOPKINS HEALTHCARE P.O. BOX 0607 GLEN BURNIE
C72 91207 ADVANCED INSURANCE ADMINISTRATION
125 MERRILL DR.LITTLE
STE ROCK
C73 90210 UNION PACIFIC RAILROAD EMPLOYEE
795 NORTH 400 WEST
SALT LAKE
C74 90211 NATIONAL CLAIMS ADMINISTRATIVEPOS BOX 220887 CHARLOTTE
C74DN 90211 NATIONAL CLAIMS ADMINISTRATIVEPOS BOX 220887 CHARLOTTE
C75 91212 FLORIDA 1ST SERVICE ADMINISTRATO
P.O. BOX 3607 WINTER HAVEN
C76 90212 SELF FUNDING ADMINISTRATORS P.O.BOX 6596 ANNAPOLIS
C77 91213 CARPENTERS HOSPITALIZATION PLAN
3611 CHESTER AVECLEVELAND
C78 90213 KAISER PERMANENTE P.O. BOX 190849 ATLANTA
C79 90214 BENEFIT ADMINISTRATIVE SYSTEM,P.O.
LTDBOX 17475 JO
HOMEWOOD
C80 90215 ELDER HEALTH (MHN/HMC) P.O. BOX 4433 BALTIMORE
C81 90216 UNITED PAYORS & UNITED PROVIDERS
2273 RESEARCHROCKVILLE
BLVD
C82 90217 AMERICAN STANDARD LIFE & ACCIDEN
P O DRAWER 3248 ENID
C83 90218 FREEDOM LIFE INSURANCE CO. OFP AM O BOX 24294 LOUISVILLE
C84 90219 CENTRAL UNITED & CHRISTIAN MUTU2727 ALLEN PARKWAY
HOUSTON
C85 90220 LOYAL AMERICAN LIFE INSURANCE P CO
O BOX 559004 AUSTIN
C86 90221 NATIONAL STATES INSURANCE COMPANY
P O BOX 27321, ST LOUIS
C87 91217 SIHO INSURANCE SERVICES P.O. BOX 1787 COLUMBUS
C88 90222 ADVENTIST RISK MANAGEMENT P.O. BOX 1928 GRAPEVINE
C89 91220 NEW SOURCES BENEFITS P.O. BOX 6305 SPARTANBURG
C92 91229 AMERICAN HEALTH CARE 2217 PLAZA DR SUITE
ROCKLIN
C92DN 91229 AMERICAN HEALTH CARE 3001 DOUGLAS ST ROSEVILLE
C93 91230 STUDENT ASSURANCE INSURANCE P.O.
SER BOX 196 STILL WATER
C94 91231 ERIN GROUP ADMINISTRATORS P.O. BOX 7777 LANCASTER
C94DN 91231 ERIN GROUP ADMINISTRATORS P.O. BOX 7777 LANCASTER
C95 91232 MIDWEST SECURITY 2700 MIDWEST DR ONALASKA
C96 91209 MEDTRACK SERVICES 6310 LAMAR AVEOVERLAND
. ST PARK
C97 91210 GEM GROUP 1200 THREE GATEWAPITTSBURGH
C98 91211 MEDICAL BENEFIT ADM. OF MARYLAND,
P.O .BOX 950 FORREST HILL
C99 91208 MUTUAL PROTECTIVE MEDICO LIFE 1515
INSS. 75TH ST OMAHA
CAS 90148 CASUALTY CASE - -
CO9 90150 EMPLOYEE BENEFITS TRUST P.O. BOX 1431 WICHITA FALLS
D01 91203 INTERLINK HEALTH SERVICES 4950 NE BELNAPHILLSBORO
CT #
D02 91214 INSURANCE ADMINISTRATOR OF AMERIC
P.O. BOX 5082 MT. LAUREL
D03 91215 PACIFIC SOURCE P.O. BOX 7068 EUGENE
D04 91221 LBA HEALTH PLANS, INC./PRIMARYP.O.
SE BOX 17098 OWINGS MILL
D05 91222 UPMC HEALTH BENEFITS, INC. P.O. BOX 2999 PITTSBURGH
D06 91224 SOUTHERN CALIFORNIA BAKERY &P.O. BOX 22041 COMMERCE
D08 91225 BIG LOTS ASSOCIATE BENEFIT PLANP.O. BOX 9071 DUBLIN
D09 91226 JM FAMILY ENTERPRISES 8019 BAYBERRY JACKSONVILLE
RD
D11 90223 ADVANCED BENEFIT SOLUTIONS P.O. BOX 71490 PHOENIX
D12 91238 SECUREHORIZONS DIRECT PFFS P.O. BOX 12466 PENSACOLA
D13 91284 ARCADIAN P.O. BOX 4946 COVINA
D14 91277 MEDICARE PLUS BLUE (BCBS OF MICHI
27000 ELEVEN MILESOUTHFIELD
RD
D15 91276 SECURITYCHOICE ENHANCED PLUS P O BOX 795180 SAN ANTONIO
D16 91310 AETNA MEDICARE OPEN PLAN P.O.BOX 14079 LEXINGTON
D17 91274 WELLCARE P.O. BOX 795184 SAN ANTONIO
D18 91262 COMMUNITY CARE SENIOR HEALTH P. PLAN
O. BOX 3249 TULSA
D19 91263 HEALTHFIRST 65 PLUS P.O. BOX 5196 NEW YORK
D20 91311 EXCELLUS MEDICARE BLUE CHOICE P.O.O BOX 41915 ROCHESTER
D21 91264 CARITEN SENIOR HEALTH P.O. BOX 22885 KNOXVILLE
D22 91248 SMART VALUE (BC OF GA) (PFFS) P.O. BOX 3897 SCRANTON
D23 91245 AMERICA'S HEALTH CHOICE MEDICA 762 SOUTH US HWY.VERO BEACH
D24 91246 MOUNT CARMEL HEALTH PLAN (MC P.O. BOX 6111 WESTERVILLE
D25 91218 ELDER PLAN, INC. (HMO) P.O. BOX 199100 BROOKLYN
D26 91228 OXFORD MEDICARE ADVANTAGE (HMO)P.O. BOX 7082 BRIDGEPORT
D27 91233 SECURE HORIZONS PACIFICARE P.O. BOX 25032 SANTA ANA
D28 91234 PYRAMID LIFE INSURANCE CO (PFFS)
P.O. BOX 958465 LAKE MARY
D29 91235 UNICARE LIFE & HEALTH INS. CO (PFFS
233 S WACKER DR. CHICAGO
ST
D30 91236 UNITED HEALTHCARE INS. CO (PPO)P.O. BOX 150450 HARTFORD
D31 91266 LEON MEDICAL CENTER HEALTH PLANP.O. BOX 65-9006MIAMI
D32 91268 MEDICARE COMPLETE (UNITED HEALTH
P.O. BOX 659735 SAN ANTONIO
D33 91269 ADVANTRA FREEDOM P.O. BOX 7154 LONDON
D34 91271 UNIVERSAL HEALTH CARE P.O. BOX 3211 ST PETERSBURG
D36 91239 HOP/PSERS HEALTH ADMINISTRATION
P.O. BOX 2921 CLINTON
D37 91240 WEST VIRGINIA LOCAL 152 HEALTH
5&HOT METAL ST.PITTSBURGH
SUI
D38 91241 AMERICAN INSURANCE ADMINISTRATORS
D39 91242 NEW YORK WELFARE FUND 101-49 WOOKHAVENOZONEBL PARK
D40 91243 MINNESOTA POWER HEALTH PLANS 30 W SUPERIOR DULUTH
ST
D41 91244 BLUEGRASS FAMILY HEALTH P.O. BOX 22738 LEXINGTON
D42 91272 CARE IMPROVEMENT PLUS P.O. BOX 4347 SCRANTON
D43 91273 SOUTHEAST COMMUNITY CARE BYP.O.A BOX 4946 COVINA
D44 91280 INDEPENDENT HEALTH P.O. BOX 9066 BUFFALO
D45 91281 HIGHMARK SECURITY BLUE 120 5TH AVE PITTSBURGH
D46 91282 GROUPHEALTH OPTIONS, INC P.O. BOX 34585 SEATTLE
D47 91285 TOUCHSTONE HEALTH PSO P.O. BOX 33519 INDIANAPOLIS
D48 91286 AMERICAN CONTINENTAL INSURANCE
P.O. CO
BOX 2368 BRENTWOOD
D51 91260 AMERIGROUP COMMUNITY CARE P.O. BOX 61010 VIRGINIA BEACH
D52 91261 WELLCARE OF GEORGIA P.O. BOX 31224 TAMPA
D53 91265 SIERRA OPTIMA PLUS CLAIMS P.O. BOX 15645 LAS VEGAS
D54 91312 GATEWAY HEALTH PLAN MEDICARE P.O.BOX
AS 11560 ALBANY
D55 91292 TOTAL CAROLINA CARE, INC 1441 MAIN ST COLUMBIA
D56 91291 CITRUS HEALTH CARE, INC. P.O. BOX 20547 TAMPA
D57 90224 CIGNA MEDICARE ACCESS P.O. BOX 22174 TEMPE
D58 91298 BRAVO HEALTH MEDICARE ADVANTAGE
P.O, BOX 4433 BALTIMORE
D60 91295 AMERIGROUP COMMUNITY CARE OF P.O.
SCBOX 31789 VIRGINIA BEACH
D61 91296 AMERICA'S 1ST CHOICE P.O. BOX 210769 COLUMBIA
D62 91313 SECURE HORIZONS DIRECT (UNITED
P.O.BOX 31353 SALT LAKE CITY
D63 91288 UNIVERA SENIOR CHOICE SECUREP O BOX 23000 ROCHESTER
D64 91314 EMPIRE HEALTHCHOICE ASSURANCE,
P.O.BOX
IN 100300 CL
COLUMBIA
D65 91315 ANTHEM SENIOR ADVANTAGE P.O. BOX 37690 LOUISVILLE
D66 91293 CHCCARES OF SOUTH CAROLINA 140 STONE RIDGE COLUMBIA
DR
D67 91316 BLUE CROSS OF FLORIDA HEALTHP.O.BOX
OPT 1798 JACKSONVILLE
D69 91317 TOTAL CARE/HEALTHSPRING P.O. BOX 20000 NASHVILLE
D71 91318 KEYSTONE 65 P.O.BOX 7799 PHILADELPHIA
D75 91319 WINDSOR MEDICARE EXTRA P.O. BOX 269025 PLANTO
D94 91302 AMERIGROUP COMMUNITY CARE P.O. BOX 61010 VIRGINIA BEACH
D99 91290 MEDICARE ADVANTAGE
E12 91299 CAROLINA CRESCENT 1201 MAIN ST. STE
COLUMBIA
970
E37 91300 SELECT HEALTH P.O. BOX 7120 LONDON
E38 91301 UNISON HEALTH PLAN 250 BERRYHILL RDCOLUMBIA
E51 91305 AMERIGROUP COMMUNITY CARE P.O. BOX 61010 VIRGINIA BEACH
E55 91303 TOTAL CAROLINA CARE INC. 1441 MAIN ST COLUMBIA
E66 91304 CHCCARE OF SOUTH CAROLINA 140 STONE RIDGE COLUMBIA
DR
X01 90252 BLUE CROSS & BLUE SHIELD OF MAR
P O BOX 14115 LEXINGTON
X0A 90226 BLUE CROSS OF GEORGIA/COLUMBUS
P O BOX
IN 9907 COLUMBUS
X0ARX 90226 BLUE CROSS OF GEORGIA/COLUMBUS
P O BOX
IN 9907 COLUMBUS
X0B 90227 BLUE CROSS & BLUE SHIELD OF GP O BOX 9907 COLUMBUS
X0BDN 91322 BCBS OF GEORGIA DENTAL P.O. BOX 9201 OXNARD
X0C 90228 BLUE CROSS & BLUE SHIELD OF NO
P O BOX 35 DURHAM
X0CDN 90228 BLUE CROSS & BLUE SHIELD OF NO
P O BOX 35 DURHAM
X0D 90229 BLUE CROSS AND BLUE SHIELD OFP FLO
O BOX 1798 JACKSONVILLE
X0E 90230 EMPIRE BLUE CROSS AND BLUE SHIELD
P.O. BOX 1407 CHU
NEW YORK
X0F 90231 BLUE CROSS & BLUE SHIELD OF VIRGIN
P O BOX 27401 RICHMOND
X0H 90233 BLUE CROSS & BLUE SHIELD UNITE
P O BOX 2025 MILWAUKEE
X0I 90234 BLUE CROSS & BLUE SHIELD OF MAR
P O BOX 9836 BALTIMORE
X0J 90235 PENNSYLVANIA BLUE SHIELD P.O. BOX 890089 CAMP HILL
X0K 90236 REGENCE BLUE CROSS BLUE SHIELD
P O BOX 1271 PORTLAND
X0KRS 91321 REGENCE BCBS OF OREGON P.O. BOX 12625 MAI
SALEM OREGON
X0KRX 91321 REGENCE BCBS OF OREGON P.O .BOX 12625 MA
SALEM
X0L 90237 BLUE CROSS & BLUE SHIELD OF DEL
P O BOX 1991 WILMINGTON
X0M 90238 BLUE CROSS OF MASSACHUSETTSP.O.INCBOX 986020 BOSTON
X0N 90239 BLUE CROSS AND BLUE SHIELD OFP TEX
O BOX 655730 DALLAS
X0O 90240 BLUE CROSS AND BLUE SHIELD OFP AL
O BOX 2294 BIRMINGHAM
X0P 90241 BLUE CROSS & BLUE SHIELD OF TENN
801 PINE STREETCHATTANOOGA
X0Q 90242 BLUE CROSS & BLUE SHIELD OF MICHI
600 LAFAYETTE EAST
DETROIT
X0R 90243 MEDICAL MUTUAL OF OHIO 2060 EAST 9TH STREET
CLEVELAND
X0S 90244 BLUE CROSS & BLUE SHIELD OF NEW
P O BOX 1938 NEWARK
X0SDN 90244 BLUE CROSS & BLUE SHIELD OF NEW
P O BOX 420 NEWARK
X0T 90245 BLUE CROSS OF ILLINOIS P O BOX 1364 CHICAGO
X0TDN 90245 BLUE CROSS OF ILLINOIS P O BOX 1364 CHICAGO
X0U 90246 BLUE CROSS & BLUE SHIELD OF KENT
9901 LINN STATION
LOUISVILLE
R
X0V 90247 BLUE SHIELD OF NORTHEASTERN P.O.
NEWBOX 15013 ALBANY
X0W 90248 BLUE CROSS OF CALIFORNIA P.O. BOX 60007 LOS ANGELES
X0X 90249 CENTRAL BENEFITS MUTUAL INSURA
X0Y 90250 ANTHEM BLUE CROSS AND BLUE SHIELD
P.O. BOX 37010 LOUISVILLE
X0YRX 90250 ANTHEM BLUE CROSS AND BLUE SHIELD
P.O. BOX 37010 LOUISVILLE
X0Z 90251 BLUE CROSS & BLUE SHIELD OF MISS
P O BOX 1043 JACKSON
X1A 90253 BLUE CROSS BLUE SHIELD OF NEWP.O.
MEBOX 27630 ALBUQUERQUE
X1D 90254 BLUE CROSS /BLUE SHIELD OF NA550 12TH STREET WASHINGTON
SW
X1E 90255 BLUE CROSS OF PUERTO RICO P.O. BOX 366068 SAN JUAN
X1F 90256 BLUE CROSS & BLUE SHIELD OF RHO
444 WESTMINSTER PROVIDENCE
MAL
X1G 90257 INDEPENDENCE BLUE CROSS 1901 MARKET STREET
PHILADELPHIA
X1H 90258 BLUE CROSS & BLUE SHIELD OF CO
P O BOX 504 NEW HAVEN
X1I 90259 ARKANSAS BLUE CROSS AND BLUE P SH
O BOX 2181 LITTLE ROCK
X1J 90260 BLUE CROSS & BLUE SHIELD OF P O BOX 80 BUFFALO
X1K 90261 BLUE CROSS & BLUE SHIELD OF MEMPH
85 NORTH DANNY MEMPHIS
TH
X1L 90262 BLUE CROSS & BLUE SHIELD OF LOUIS
P O BOX 98029 BATON ROUGE
X1M 90263 BLUE CROSS & BLUE SHIELD OF KANSAS
1133 SOUTHWEST TOPEKA
TO
X1N 90264 MEDICAL SERVICE CORPORATIONP O BOX 3048 SPOKANE
X1O 90265 WELLMARK BLUE CROSS BLUE SHIELD
P.O. BOX 5023 SIOUX FALLS
X1P 90266 BLUE CROSS & BLUE SHIELD OF MINN
P O BOX 64338 ST PAUL
X1Q 90267 BLUE CROSS & BLUE SHIELD OF MAINE
2 GANNETT DRIVE SOUTH PORTLAND
X1R 90268 HIGHMARK BLUE CROSS BLUE SHIELD
P O BOX 535053 PITTSBURGH
X1S 90269 COMMUNITY MUTUAL INSURANCE 1351
COMP WILLIAM HOWA
CINCINNATI
X1U 90271 BLUE CROSS & BLUE SHIELD OF NEBRA
P O BOX 3248, MAIN
OMAHA
X1V 90272 BLUE CROSS & BLUE SHIELD OF COLO
700 BROADWAY DENVER
X1W 90273 BLUE CROSS & BLUE SHIELD OF UTAH
P O BOX 30270 SALT LAKE CITY
X1X 90274 BLUE CROSS OF OHIO P O BOX 956 TOLEDO
X1Y 90275 BLUE SHIELD OF CALIFORNIA P O BOX 7168 SAN FRANCISCO
X2A 90277 WELLMARK BLUE CROSS BLUE SHIELD
P O BOX 5023 SIOUX FALLS
X2B 90278 BLUE CROSS & BLUE SHIELD OF KANS
P O BOX 419169 KANSAS CITY
X2F 90282 BLUE CROSS AND BLUE SHIELD O 165 COURT STREETROCHESTER
X2G 90283 BLUE CROSS & BLUE SHIELD CENTP O BOX 4809 SYRACUSE
X2H 90284 BLUE CROSS & BLUE SHIELD OF U12 RHOADS DRIVE UTICA
X2J 90286 BLUE CROSS & BLUE SHIELD OF NOR
4510 13TH AVE. SW
FARGO
X2K 90287 CAPITAL BLUE CROSS 2500 ELMERTONHARRISBURG
AVENU
X2L 90288 BLUE CROSS OF NORTHEASTERN 70PEN NORTH MAIN STREE
WILKES-BARRE
X2M 90289 BLUE CROSS OF WASHINGTON AND PO ALA
BOX 327 SEATTLE
X2O 90291 BLUE CROSS & BLUE SHIELD OF WES
P O BOX 1353 CHARLESTON
X2P 90292 MOUNTAIN STATE BLUE CROSS & BLU
P O BOX 1948 PARKERSBERG
X2S 90295 BLUE CROSS & BLUE SHIELD OF VERMO
P O BOX 186 MONTPELIER
X2T 90296 BLUE CROSS & BLUE SHIELD OF OKLA
P O BOX 3283 TULSA
X2U 90297 BLUE CROSS & BLUE SHIELD OF MISSO
1831 CHESTNUT STSTREE
LOUIS
X2V 90298 BLUE CROSS OF IDAHO HEALTH SERVI
P O BOX 7408 BOISE
X2W 90299 BLUE CROSS & BLUE SHIELD OF ARIZ
P O BOX 13466 PHOENIX
X2X 91306 BLUE CROSS BLUE SHIELD OF HAWAII
P.O. BOX 44500 HONOLULU
X2Y 91307 BLUE CROSS BLUE SHIELD OF MONTANA
P.O. BOX 5004 GREAT FALLS
X3A 91309 UNITED TEACHERS ASSO. INS. CO.P.O. BOX 30010 AUSTIN
X3B 91320 TPA EXCHANGE P.O. BOX 4363 ST AUGUSTINE
XOKRX 91321 REGENCE BCBS OF OREGON RX PLANP.O. BOX 12625 MAI
SALEM
XOV 90225 BLUE CROSS OF NORTHEASTERN P NEW
O BOX 15013 ALBANY
XYZ 91308 PRESCRIPTIONS SOLUTIONS P.O. BOX 6037 CYPRESS
1335 rows
###
CARRIER CARRIER
STATE ZIP PHONE NO COMMENT
NC 27402 8002792175
KY 40512 8002792175
KY 40512 8002386279
CA 92610 8779167920 ASSIGNED BY SCHA
AZ 85029 8667448482 CODE ASSIGNED BY SCHA
CA 90242 8003903510 CODE ASSIGNED BY SCHA
SC 29602 8646098111
OK 731250160 8006548489
NE 68175 8002289090 DO NOT USE FOR MEDICARE.THIS CODE IS ONLY USED FOR HEA
TX 79998 8006386626
NC 27420 3366913000
PA 191011574 8666817373 CODE ASSIGNED BY SCHA
TX 78268 8008415550 USE CODE 280 CAREMARK
FL 32207 8003463778 THIS CARRIER BOUGHT OUT BY AETNA CC100
NC 282473500 7045443665 USE CODE 113 UNITED HEALTHCARE INACTIVE 8-02
UT 84130 8005215505
UT 84130 8005215505
MO 64114 8009224262 CODE ASSIGNED BY SCHA
SC 29202 8003668997 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA
TN 372305154 8002558109
SC 29606 8642405840
MD 21202 3013323000
FL 32224 8005358086
TX 77553 8008996803
NC 28110 7042258887
SC 294130010 8437638680
IL 606660927 8006213724
OH 43215 8008480123
PA 19020 2152441600
WA 98124 8008610056 CODE ASSIGNED BY SCHA
MI 48161 8004231028 CODE ASSIGNED BY SCHA
CO 80201 8005252115 PER HOSP. ASSO. 07/02, THIS IS STILL A VALID CARRIER
PA 19355 8005379389
SC 29304 8889628437 CARRIER WAS COASTAL STATE LIFE INS. CO.
GA 31412 9126911551 THIS CARRIER BOUGHT JONES, HILL & MERCER INS.
SC 29202 8037987000
IL 60640 8002254500
TN 37422 8002510670 DO NOT USE FOR MEDICARE.THIS CODE IS ONLY USED FOR HEA
MO 641416233 8008257531 CARRIER WAS ALLIED GROUP INSURANCE TRUST
NC 282303211 CODE ASSIGNED BY SCHA
PA 17601 7173972751
IA 527332920 8009222918
WI 544028013 8008269781 WAS WAUSAU INS. CO.
WI 544028013 8008269781 WAS WAUSAU INS. CO.
WI 544028013 8008269781
WA 982270010 MEDICARE ADVANTAGE PLAN
TN 37927 -
MO 63857 8004452158 USE CODE 308 GREAT WEST LIFE INACTIVE 8-02
UT 84130 8004668182 CODE NOT REQUESTED BY MEDICAID ASSIGNED BY SCHA
OK 73102 4052701400
FL 33907 9419366242
NC 28212 7045366230
FL 337578811 8887806388
NC 27702 8004445431
NY 100073100 2126184000
TN 372501500 8008882452
KY 40742 8003482922 MEDICAID HMO
UT 84130 8004585512 CODE NOT REQUESTED BY MEDICAID ASSIGNED BY SCHA
SC 29721 8032862440
SC 29721 8032862440
MO 65810 4178828100 CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA
GA 303485006 7709805100
VA 23230 8042816000
IN 46801 2194552000
NJ 08110 8002570625
IL 606804458 8772179677 WAS MASS MUTUAL
IL 601684059 8772179677
IL 606819785 8004585736 CODE NOT REQUESTED BY MEDICAID. SCHA ASSIGNED
TX 82655 8004213550 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA
OH 432182202 6142497111
FL 325910130 8006454116 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA
GA 30348 8003884580
OH 441014953 2166966400
WA 98124 8775039095 CODE ASSIGNED BY SCHA
NY 11753 5163906000
SC 29303 8645856456
NC 27605 9198318189
NC 27102 8003683804
MA 016150118 5087994441
FL 325910100 8002757366
NY 10001 2123374900
TX 787200225 5123453200
AL 35238 8005956949
NJ 080341997 8008471148 CODE IN OPEN STATUS BY SCHA
CT 06338 8887796872 CODE NOT REQUESTED BY MEDICAID. SCHA ASSIGNED
UT 84145 8007773622
FL 33631 8008847975 CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA
IL 60173 8475191880
PA 181057066 8003620700 CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA
LA 70434 8002342643
NC 27102 8003009566 DORMANT 8/06
OH 45216 8888008717
GA 303485006 7709805100
NE 68501 8004977044
SC 29716 8035483657
NY 148510307 8664337462
KS 661012762 9133426555
KY 40742 8008337423 CODE NOT REQUESTED BY MEDICAID. ASSIGNED MY SCHA
KY 40742 8002883343 CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA
SD 57105 CODE ASSIGNED BY SCHA
TX 752655433 2149547840
TX 76107 8007320657
MA 022699183 8888884742
OK 735344 8003668355 CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA
- -
IL 60631 7733996645
IL 61656 8003221516
IL 61656 8003221516
MA 02117 8002331449 CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA
NY 11201 8005544022 CODE ASSIGNED BY SCHA
FL 33764 7275320400
MO 641112406 8006488624
NC 271142987 8007951023
NY 10940 3173298222
NY 13761 8002524624
KS 66210 8772466997
NE 68501 8002559678
TX 750853925 8007531000
IA 52733 8476151500 USE THIS CARRIER FOR GROUPS WITH MORE THAN 50 EMPLOYE
GA 30348 7702396230
AK 99524 8007703740
WI 53744 8774693073
FL 32245 8004574708
NE 68175 8776175587
CO 80155 8884792000
MI 48075 8008379600 RX CARRIER ONLY
MA 011441500 8003102835 CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA
NJ 08855 8009926613 CODE ASSIGNED BY SCHA
TX 78265 8009523455
NC 27114 8008247406 CODE ASSIGNED BY SCHA
TN 37416 4238992593
CA 94551 5104497070
GA 303919123 7068635955
MD 20201 8007529797
WI 53209 8005455015 CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA
KS 66201 8004440321
NC 27106 8006420483
GA 30366 4044579555 CODE ASSIGNED BY SCHA
WA 98227 8006880010
LA 70898 8887295433 DENTAL PLAN
GA 30722 8003211855
IL 8476990600
WI 54913 8008734542
WA 99210 8005417846
NJ 08628 8007923666
IL 62715 2177892500
AZ 85078 8003085948
TX 78279 8002291024
OH 44026 4405272955 CODE IN OPEN STATUS BY SCHA
TN 37250 6157491000
FL 337578844 8776045240
AZ 85734 8005544954
AZ 85734 8005544954
AZ 85734 8008449636
TX 752443909 8008729934 CARRIER WAS FIRST INTERGRATED HEALTH
OH 440705300 8002558063
RI 02886 8007176614
FL 325912922 8006581413 CODE IN OPEN STATUS BY SCHA MEDICARE SUPPLEMENTAL PLA
PA 18966 8007271733
KS 66225 8772926037
CA 92660 8004512513
LA 70160 5045661300
IN 46825 8008377400 CODE ASSIGNED BY SCHA
NC 27609 8003317108 SEE CARRIER 366 CATALYST RX
CT 06447 8883222524
AK 72203 8005083772
VA 220388022 8662199292 CODE IN OPEN STATUS BY SCHA
NV 895203087 8003153440
TX 76102 8007251407
KY 40742 8007888445
MA 02139 8662225137 MEDICARE ADVANTAGE
OH 45342 8002326242
FL 32591 8009348203 CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA
KS 66212 8002556065
NC 28222 8666360239 CODE IN OPEN STATUS BY SCHA
FL 32204 8004685126
MD 20850 8003423289
TX 85261 8007725924 CODE ASSIGNED BY SCHA
NY 122066602 8009267526
KS 66201 9134514900
CA 92025 8005385512
TX 750708080 9725295085
CO 81502 8008544558
IL 60601 8007778467
AZ 850722196 8008415550 USE CARRIER 471
IL 60017 8009470319
PA 77010 8668501256
PA 19044 8003454017
NE 68102 8002253108
VT 05302 8002411121 CODE IN OPEN STATUS BY SCHA
OH 45250 8888008717
IA 50306 5152433210
NY 10016 8005624690 CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA
FL 336313716 8134968100
VA 20149 7037294677
IO 51102 8005265710
OH 43697 8888912564
OH 44319 8002378447
WI 53711 6082731776
OK 73126 8006549106
NY 101161451 2124735700
SC 29304 8002474526
NY 10116 2125395115
PA 16512 8007772524
PA 16512 8007772524
MN 55116 8002778973
MO 640514665 8162575500
KY 40224 5023397500
IA 52801 8669272200 THIS CODE ASSIGNED BY SCHA
WV 253302801 8668695597 CODE ASSIGNED BY SCHA
DC 20001 8004438087
IL 60068 8665131479
MO 63857 8006638081
KS 66701 8776314227
OH 45401 8004766789 CODE NOT REQUSTED BY MEDICAID. ASSIGNED BY SCHA
GA 31139 8007425246
TX 78269---- 2106991872
NC 282277016 8004826736
NC 282277016 8004826736
MO 63857 8006638081
GA 30324 8887275560 SEE CARRIER 366 CATALYST RX
SC 29413 8437222115
SC 29413 8437222115
NC 27607 8002891122
OH 43017 8005520455
OH 443136977 3308678443
PA 19406 8002202600
MS 39201 6019493100
MD 20910 8002222798
TX 799980624 8005537654 USE 386 ASSURANT HEALTH
FL 337578843 8885868810
MA 01923 8889994767 CODE IN OPEN STATUS BY SCHA
KY 40742 8005625792
GA 300090247 8008329186
KY 40742 8004107778
TX 76163 8667747766 CODE NOT REQUESTED BY MEDICAID. SCHA ASSIGNED
VA 23431 8008095916
TN 37234 2147200511
IL 606660904 8005412254 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA
MA 01581 8005327575
MN 554390873 8009554879
DC 20006 8006388432
OH 441468022 4402504300
NY 12167 8009626294 CODE IN OPEN STATUS BY SCHA
PA 19101 8007737752
TN 38111 8002381344
IN 462030839 8004777870 CODE NOT REQUESTED BY MEDICAID. SCHA ASSIGNED
IL 61265 8002246602 THIS COMPANY BOUGHT OUT JOHN DEERE INS. CO. 6/29/07
PA 19087 8882939229
MA 02181 8002253950
NJ 07661 2013433003
AZ 850689060 8008825707 CODE NOT REQUESTED BY MEDICAID. SCHA ASSIGNED
SC 29716 8002421510
SC 29716 8002421510
GA 30084- 7709343953
MD 217020235 8882641512 CODE NOT REQUESTED BY MEDICAID. SCHA ASSIGNED
MI 490098501 2693816630 THIS CODE ASSIGNED BY SCHA 8/28/07
AL 352382767 8002936260 CODE NOT REQUESTED BY MEDICAID. SCHA ASSIGNED
TN 37203 6152563561
WI 544028077 8666848090 CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA
CO 810020720 8004468182 CODE NOT REQUESTED BY MEDICAID. SCHA ASSIGNED
SC 29419 8003149010 CODE ASSIGNED BY SCHA
IN 46015 CODE ASSIGNED BY SCHA
AZ 85018 6024689500
KS 67201 8003620788 USE CODE 139
FL 33630- 8002377767
MD 208953960 3014683742
NC 27701 9196829201
SC 29419 8004087681 USE CARRIER 859 NEW ENGLAND GROUP TRUST
FL 32082 8008416288 CODE ASSIGNED BY SCHA
PA 18505 8668501253
SC 29503 8886226001 GM SOUTHWEST IS THE CLAIMS PROCESSOR FOR PEARCE ADM
MN 55440 8004446965
SC 29602 8649875200
MD 20849 8009973784
PA 196107011 8007820392
IN 46601 2192370560
DE 19899 8004687077
UT 84109 8774740605 WAS P5 ELECTRONIC HEALTH SERVICES
TX 794533070 8006589777
NJ 07410 9736963111
FL 338880007 8633183000
TX 75075 8003319955
WI 530950758 8002481062
MA 024719171 8004620224 CODE ASSIGNED BY SCHA
TX 75085 7163195399 WAS NORTH AMERICAN ADMINISTRATORS, INC.
AZ 85282
OH 44309 2167966531
MS 39236 6013660596
PA 19404 8005199175
NV 891145615 8007771840
MO 641140530 8772840102
OH 441014928 8003214085
VA 22314 7036835585
TX 79998 8004446254 WAS FORTIS INSURANCE COMPANY
IA 52733 8004446254 WAS FORTIS INSURANCE COMPANY
NC 28220 7045232758
TX 77268 8008107856 CODE IN OPEN STATUS BY SCHA
IN 46220 8003597408
MN 554590093 6123337651
NY 13217 8002344393
MI 490051790 8003421895
AL 35202 8009919155
IA 520045003 8003257442 CODE NOT REQUESTED BY MEDICAID. SCHA ASSIGNED
CT 064705508 2034268161 CODE ASSIGNED BY SCHA
CO 80111 8005257662 CODE ASSIGNED BY SCHA
MN 55164 6518468370
AZ 85067 8007332285
SC 29219 8008682520 CLAIMS SHOULD BE SENT TO THE ATTN OF SARAH TOWNES AX-B
SC 29219 8037883860 DO NOT USE FOR MEDICARE.THIS CODE IS ONLY USED FOR HEA
SC 29219 8037883860 THIS CODE USED ONLY FOR DENTAL CLAIMS WHERE BCBS IS TH
SC 29260 8037883860
SC 29260 8772753256 MEDICAID HMO
SC 29614 8643701800
VA 23451
AZ 85072 6028661066 CODE IN OPEN STATUS BY SCHA
AR 72203 5013760426 AKA AEGON
NY 132176589 3154221533
WA 981241699 2068678000
TX 76006 8660511-47 CODE ASSIGNED BY SCHA
CT 06034 8002517722
IL 60690 8002882078
NC 28801 8282529776
MI 48909 5173497010
MI 48909 5173497010
SC 29202 8008681032 THIS CARRIER ASSIGNED BY SCHA NOT REQUESTED OR USED B
PA 15222 8669008322 CODE NOT REQUESTED BY MEDICAID. SCHA ASSIGNED
WI 549128007 8006854542 CODE ASSIGNED BY SCHA
GA 30334 8006266402
WI 53701 6082385851
RI 02920 4147975000 CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA
MD 210900357 8006752605 CODE ASSIGNED BY SCHA
SC 29202 8037880500
SC 29621 8643759661
TN 37219 8005822498
SC 29212 8037320060
TX 772104884 2813687200
MD 21705 8002576458
TX 79998 8004446254 USE 386 ASSURANT HEALTH
KY 40512 8006417761
MI 48235 8005220041
VA 24505 8002530856
CO 80217 8007770595
SC 292023234 8003153143 WAS CAROLINA CARE PLAN ANOTHER PHONE # 800-232-3143

GA 314120088 8035778051 USE CODE 345 EMPLOYEE BENEFIT SERVICES
KY 405125225 9004387886 AKA HEALTH NET OF AZ. CODE ASSIGNED BY SCHA
MD 63042 8005537654 CODE ASSIGED BY SCHA
DE 19899 8007522677 OPEN 6/06
IL 60440 8007597422
MN 554590054 8004468182
NJ 08840 9085486662
AK 995034116 8004784450 CODE ASSIGNED BY SCHA
TX 782790064 CODE ASSIGNED BY SCHA
IL 60561 6309602035 WHEN CALLING THE ABOVE PHONE NUMBER, YOU ARE ASKED TO
FL 33907 8139366242
IN 462500440 3175549000
PA 15230 8005815300 USE CODE 712 TDI MANAGED CARE SERVICES
LA 70821 5042968382
PA 17331 7176324727
IN 46202 8006284664
CO 801553559 3037705710
MN 554420150 8009554879 USE CODE 333 EXPRESS SCRIPTS
OH 432182173 8008482664 USE CODE 139
TX 76015 8003976241
GA 30374 8005235880
SC 29670 8646468331
AZ 850722196 8008642352
TN 371331398 6158902020
VA 232300767 8042191585 CODE ASSIGNED BY SCHA
MN 55816 8002338065 USE CODE 333 EXPRESS SCRIPTS
WV 25526 3045621913
IL 60017 8003235000
IL 60017 8003235000
TX 761828009 8005272845
TX 76161 8008672582
OH 44087 8004334893
KY 40742 8008891947 COVENTRY HEALTH CARE IS PARENT CO. OF SOUTHERN HEALTH
OH 45223 8006816912 CODE ASSIGNED BY SCHA
KY 40742 8667321017
NE 68506 4024839250
GA 30061 7704281604
OR 972083125 8006283912 CODE ASSIGNED BY SCHA
NY 146922920 8009993920 MEDICARE ADVANTAGE
SC 29571 8434235541
OH 44720 3309665500
NE 68026 8003506714
CA 958997100 8006227444
MN 55305 CODE ASSIGNED BY SCHA
IN 46660 CODE ASSIGNED BY SCHA
AZ 85012 6022413400
NJ 079361981 8005226727 BOUGHT OUT BY EXPRESS SCRIPTS CC333
IL 606049720 8006216360
NC 27116 8663074711
SC 29304 8645736937
OH 45839 8005587798
GA 300232651 8005212651
PA 19049- 8005236599
NY 101162803 8004478255
NJ 08057 8003597475
MI 481130779 2156578920 CODE IN OPEN STATUS BY SCHA
MD 212857806 8006382972
NH 03842 8002587298
NE 68134 4023971111
NY 10116 8006242414
UT 84110 8003525150
OK 73172 8007492631
MN 55344 8003364091
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NY 121811079 8002880882
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TX 77292 8005989799
NJ 08037 8883282287
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DC 20006 8002751171
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SC 29224 8037365088
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MA 02021 6178287000
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SC 29211 8037986207
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GA 31908 8004268803
NC 27417 3366659400
NC 27417 3366659400
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NC 28222 7043643865
MD 21401 8004248622
GA 31119 4042612590
IL 60430 7087997400
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CA 95661 8008728276
MN 55085 8003282739
PA 17604 8004333746 ANOTHER PHONE NUMBER 717-581-1300
PA 17604 8004333746 ANOTHER PHONE NUMBER 717-581-1300
WI 54650 8002368672
KS 66202 8007714648
PA 15222 8002428923
MA 60631 8885323467
NE 68124 8002286080 CARRIER WAS PREVIOUSLY C35.
- -
TX 76307 8177617611 CODE ASSIGNED WITH LETTER O INSTEAD OF NUMERIC ZERO.
OR 97124 5036402000 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA
NJ 08054 8009896739
OR 97401 8006246052
AZ 85050 8884191094 CODE NOT REQUESTED BY MEDICAID ASSIGNED BY SCHA MEDI
FL 325912466 8882024340 MEDICARE ADVANTAGE PLAN PRIVATE FEE FOR SERVICE
CA 91723 8007756490 CODE ORIGINALLY ASSIGNED AS MA IN ERROR USE CODE 816 FO
MI 48034 8002495103 ASSIGNED BY SCHA
TX 78279 8884458916 CODE ASSIGNED MY SCHA
KY 405124079 8006240756 MEDICARE ADVANTAGE
TX 78279 8662352770 ASSIGNED BY SCHA (PFFS)
OK 741013249 8006428065 MEDICARE ADVANTAGE PLAN
NY 10274 8882601010 MEDICARE ADVANTAGE PLAN
TN 37933 8656707790 MEDICARE ADVANTAGE PLAN
PA 18505 8668659329
FL 32962 8003089823
OH 43086 8002403870
CT 06601 8002341228 MEDICARE ADVANTAGE
CA 927995032 7148253828 MEDICARE ADVANTAGE PLAN
FL 327958465 4076281776 MEDICARE ADVANTAGE PLAN
IL 68606 3123247000 MEDICARE ADVANTAGE PLAN
CT 061150450 8607025000 MEDICARE ADVANTAGE PLAN
KY 407427154 8007135095 ASSIGNED BY HOSPITAL ASSOCIATION
IA 52733 8007737725 CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA
OH 43216 8009221245 CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA
MN 55802 8888128800 CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA
PA 18505 8666862506
NY 14231 8666178585 MEDICARE ADVANTAGE HMO
PA 15222309 8005473627 MEDICARE ADVANTAGE HMO
WA 98124 8887674670 CODE ASSIGNED BY SCHA 6/11/07
IN 462030519 8887770204
TN 37024 6153371300
VA 234661010 8006004441 MEDICAID HMO
FL 33531 8662311821
NV 891145645 8882742207
AZ 852852174 8005779410 MEDICARE ADVANTAGE PLAN
MD 21223 8005561570
VA 234661789 8006004441 CODE ASSIGNED BY SCHA
SC 29210 8663213947 MEDICARE ADVANTAGE PLAN
UT 84131 8665798774 MEDICARE ADVANTAGE
SC 29204 8037888562 MEDICARE ADVANTAGE
KY 402337180 8882909160 MEDICARE ADVANTAGE
FL 32231 8773522583 MEDICARE ADVANTAGE
TN 372024070 8007437141 MEDICARE ADVANTAGE
PA 191017799 8002273116 MEDICARE ADVANTAGE
TX 750269025 8662705223 MEDICARE ADVANTAGE
VA 234661010 8006004441 MEDICAID HMO
GENERIC MA CODE ASSIGNED BY SCHA
SC 29201 8032516630 HEALTHY KIDS CONNECTION
KY 40742 8882762020 HEALTHY KIDS CONNECTION
SC 29210 8037985852 HEALTHY KIDS CONNECTION
VA 234661010 8006004441
SC 29210 8664336041
SC 29210 8668022474
KY 405124115 8005244555
GA 319089907 8004412273 POLICIES SHOULD BE ADDED WITH XOB. BCBS OF OF GA.
GA 319089907 8004412273 DO NOT USE FOR MEDICARE.THIS CODE IS ONLY USED FOR HEA
GA 319086007 4048428000 FOR GEORGIA STATE EMPLOYEES USE CARRIER 419 GEORGIA S
CA 930319201 4048428000
NC 27702 9194897431
NC 27702 9194897431
FL 322310014 8007272227
NY 10008 8003429816
VA 23279 8009916061
WI 53201 4142246100
MD 21204 8005244555 USE CARRIER X01
PA 17089 8006373493
OR 97207 5032255221
OR 97309 8884371508 RX PLAN ONLY MM CODE X0K
OR 97309 8884371508 RX PLAN ONLY X0K IS MM PLAN
DE 19899 3024210260
MA 022986020 8002535210
TX 752655730 9726693900
AL 35298 8006762583 DO NOT USE FOR MEDICARE.THIS CODE IS ONLY USED FOR HEA
TN 37402 4237555920
MI 482262998 8004820898
OH 441151355 2166877000
NJ 07102 8003552583 AKA HORIZON BCBS OF NEW JERSEY
NJ 07102 8003552583 AKA HORIZON BCBS OF NEW JERSEY
IL 60690 3129387500
IL 60690 3129387500
KY 40223 5024232011
NY 12212 5184534600
CA 90060 8888878969
OH 43216 6144645870
KY 40233 8006224822
KY 40233 8006224822
MS 39208 6019323800
NM 87125 8007113795
DC 20024 2024798000
PR 009366068 8097599898
RI 02901 4018317300
PA 19103 2152412400
CT 06473 2032394961
AR 72203 5013782010
NY 142400080 8008880757
TN 38103 9015293111
LA 708989029 5042915370
KS 66629 7852914180
WA 99220 5095364900
SD 57104 5152454500 USE CARRIER CODE X2A
MN 55164 8003822000
ME 041066911 2077751550
PA 152535053 4125447000
OH 45206 5132821016 CODE IN OPEN STATUS BY SCHA
NE 681800001 4023901820
CO 80273 3038312131
UT 841300270 8013332100
OH 43696 8003621279
CA 94120 4154455000
SD 57104 8005268995
MO 641416169 8008926048
NY 14647 7163253630
NY 132214809 3154483801
NY 13501 3157984238
ND 581210001 8003682312
PA 17110 8009585588
PA 18711 8008298599
WA 98111 8003456784
WV 25325 3043477709
WV 26102 3044247700
VT 05602 8022472583
OK 74102 9185603535
MO 63103 3149234444 AKA ALLIANCE BLUE CROSS BLUE SHIELD
ID 83707 2083447411
AZ 850023466 6028644100
HI 96801 8007764672
MT 59403 4067914000
TX 78755 8008808824
FL 32085 8885022789
OR 97309 8884371508 RX PLAN ONLY MM PLAN IS X0K
NY 12212 5184385500
CA 90630 8007887871
DE IS ONLY USED FOR HEALTH RELATED COVERAGE.
A CC100
INACTIVE 8-02
CAID. ASSIGNED BY SCHA
A VALID CARRIER
NS. CO.
MERCER INS.
DE IS ONLY USED FOR HEALTH RELATED COVERAGE

NCE TRUST
CTIVE 8-02
ASSIGNED BY SCHA
ASSIGNED BY SCHA
ASSIGNED BY SCHA
SCHA ASSIGNED
SCHA ASSIGNED
ASSIGNED BY SCHA
ASSIGNED BY SCHA
ASSIGNED MY SCHA
ASSIGNED BY SCHA
ASSIGNED BY SCHA
ASSIGNED BY SCHA
H MORE THAN 50 EMPLOYEES. USE CCA03 FOR GROUPS LESS THAN 50 EMPLOYEES
ASSIGNED BY SCHA
ASSIGNED BY SCHA
EALTH
CARE SUPPLEMENTAL PLAN G
ASSIGNED BY SCHA
ASSIGNED BY SCHA
ASSIGNED BY SCHA
SCHA ASSIGNED
SCHA ASSIGNED
EERE INS. CO. 6/29/07
SCHA ASSIGNED
SCHA ASSIGNED
7
SCHA ASSIGNED
ASSIGNED BY SCHA
SCHA ASSIGNED
OUP TRUST
ESSOR FOR PEARCE ADMINISTRATION
ES
ORS, INC.
SCHA ASSIGNED
N OF SARAH TOWNES AX-B10
CLAIMS WHERE BCBS IS THE INSURANCE CARRIER
T REQUESTED OR USED BY DHHS.

SCHA ASSIGNED
ASSIGNED BY SCHA
ER PHONE # 800-232-3143
ERVICES
NED BY SCHA
UMBER, YOU ARE ASKED TO DIAL AN EXTENSION. DIAL EXTENSION 23.

ERVICES
CO. OF SOUTHERN HEALTH AND WELLPATH
C333
GNED BY SCHA
MEDICAID REQUEST
ASSIGNED BY SCHA
ASSIGNED BY SCHA
ASSIGNED BY SCHA
AL
ASSIGNED BY SCHA
SCHA ASSIGNED
SCHA ASSIGNED
ASSIGNED BY SCHA
ELD OF SC
GE GROUP ADMINISTRATORS
T ADMINISTRATORS
ATORS
SERVICES DORMANT 8/02

ATE)
ASSIGNED BY SCHA
RICA
ARE CC 740
ASSIGNED BY SCHA
ASSIGNED BY SCHA
MARK (471) ADD NEW POLICIES WITH 471

A. ASSIGNED BY SCHA
AL
LTH PLAN
ASSIGNED BY SCHA

ASSIGNED BY SCHA

ER CODE 536
E CARRIER 113
ESS SCRIPTS.
HMO
MPANY BOUGHT OUT JOHN DEERE INS. CO. THIS WAS THE HMO FOR JOHN DEERE 6/29/07
CAID. ASSIGNED BY THE SCHA
A. ASSIGNED BY SCHA
THE PARENT CO. COVENTRY HEALTH CARE

ASSIGNED BY SCHA
ASSIGNED BY SCHA
E HMO TO CC 504 WHICH IS THE POS

S

E CHANGE EFFECTIVE 7/1/05
DICAID. ASSIGNED BY SCHA
ERRED CARE

ASSIGNED BY SCHA
UESTED BY MEDICAID
ACTIVE MEDICAID CODE
ASSIGNED BY SCHA
ARMACARE
AL GROUP
34
H LESS THAN 50 EMPLOYEES. SEE CC212 FFOR GROUPS OVER 50 EMPLOYEES.
URANCE GROUP

ASSIGNED BY SCHA

REQUESTED BY MEDICAID
ADMINISTRATORS



ASSIGNED BY SCHA
ASSIGNED BY SCHA
NT SERVICE CO.


BY SCHA. SEE CARRIER CODE 440
BY SCHA. SEE CARRIER CODE A39



BY HOSP. ASSO. USE CODE 648 FOR THE MEDICARE ADVANTAGE PLAN 648
CAID. ASSIGNED BY SCHA.
CAID. ASSIGNED BY SCHA.


CAID. ASSSIGNED BY SCHA


OUT BY WELLS FARGO FINANCIAL AND NAME CHANGED EFFECTIVE 1/1/07

R SUBSIDIARY PAID PRESCRIPTIONS IS NOW MEDCO HEALTH.

GE


00
00
EAD OF NUMERIC ZERO.


ASSIGNED BY SCHA MEDICARE SUPPLEMENTAL PLAN
E FEE FOR SERVICE
N ERROR USE CODE 816 FOR MA PLAN
N
ASSIGNED BY SCHA
ASSIGNED BY SCHA
ASSIGNED BY SCHA
ASSIGNED BY SCHA
ASSIGNED BY SCHA
ASSIGNED BY SCHA
OB. BCBS OF OF GA.

SE CARRIER 419 GEORGIA STATE HEALTH BENEFIT PLAN
IELD

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SC 292023234 8003153143 WAS CAROLINA CARE PLAN ANOTHER PHONE # 800-232-3143

SC 290207031 8004033950 INTERNET WWW.MYTRICARE.COM

CAID. ASSIGNED BY SCHA

DE IS ONLY USED FOR HEALTH RELATED COVERAGE

CAID. ASSIGNED BY SCHA

CARE SUPPLEMENTAL PLAN G

CAID. ASSIGNED BY SCHA

ESSOR FOR PEARCE ADMINISTRATION

T REQUESTED OR USED BY DHHS.

UMBER, YOU ARE ASKED TO DIAL AN EXTENSION. DIAL EXTENSION 23.

CO. OF SOUTHERN HEALTH AND WELLPATH

CAID. ASSIGNED BY SCHA

SERVICES DORMANT 8/02

CAID. ASSIGNED BY SCHA

CAID. ASSIGNED BY SCHA

CAID. ASSIGNED BY SCHA

CAID. ASSIGNED BY SCHA

CAID. ASSIGNED BY SCHA

CAID. ASSIGNED BY SCHA

CAID. ASSIGNED BY SCHA

CAID. ASSIGNED BY SCHA

CAID. ASSIGNED BY SCHA

CAID. ASSIGNED BY SCHA

THE PARENT CO. COVENTRY HEALTH CARE

E HMO TO CC 504 WHICH IS THE POS

CAID. ASSIGNED BY SCHA

DICAID. ASSIGNED BY SCHA

CAID. ASSIGNED BY SCHA

CAID. ASSIGNED BY SCHA

CAID. ASSIGNED BY SCHA

ACTIVE MEDICAID CODE

CAID. ASSIGNED BY SCHA

H LESS THAN 50 EMPLOYEES. SEE CC212 FFOR GROUPS OVER 50 EMPLOYEES.

CAID. ASSIGNED BY SCHA

CAID. ASSIGNED BY SCHA

CAID. ASSIGNED BY SCHA

CAID. ASSIGNED BY SCHA

CAID. ASSIGNED BY SCHA

CAID. ASSIGNED BY SCHA

CAID. ASSIGNED BY SCHA

CAID. ASSIGNED BY SCHA

CAID. ASSIGNED BY SCHA

CAID. ASSIGNED BY SCHA

CAID. ASSIGNED BY SCHA

CAID. ASSIGNED BY SCHA

CAID. ASSIGNED BY SCHA

CAID. ASSIGNED BY SCHA

CAID. ASSIGNED BY SCHA

CAID. ASSIGNED BY SCHA

BY SCHA. SEE CARRIER CODE 440

BY SCHA. SEE CARRIER CODE A39

CAID. ASSIGNED BY SCHA

CAID. ASSIGNED BY SCHA

CAID. ASSIGNED BY SCHA

CAID. ASSIGNED BY SCHA

CAID. ASSIGNED BY SCHA

CAID. ASSIGNED BY SCHA

CAID. ASSIGNED BY SCHA

CAID. ASSIGNED BY SCHA

CAID. ASSIGNED BY SCHA

CAID. ASSIGNED BY SCHA

CAID. ASSIGNED BY SCHA