Payers list | PCH Health

Payer Name	Plan Name	Plan Type	State	Address
Payer Name	Plan Name	Plan Type head	State head	Address
Payer Name United Healthcare	Plan Name UHG - United Healthcare	Plan Type Exclusive Payers	State CA	Address PO BOX 6106 Zip- 90630 City- Cypress
Payer Name Midlands Choice	Plan Name Midlands Choice	Plan Type Exclusive Payers	State CA	Address PO BOX 5809 Zip- 09375 City- Fresno
Payer Name United Healthcare	Plan Name UHG - Lucent	Plan Type Exclusive Payers	State GA	Address PO BOX 740802 Zip- 30374-0801 City- Atlanta
Payer Name United Healthcare	Plan Name Hearst Executive	Plan Type Exclusive Payers	State GA	Address PO BOX 740830 Zip- 30374-0380 City- Atlanta
Payer Name United Healthcare	Plan Name UHG - GE Medical & GE Dental Claims	Plan Type Exclusive Payers	State GA	Address PO BOX 740801 Zip- 30374-0801 City- Atlanta
Payer Name United Healthcare	Plan Name UHG - Generic	Plan Type Exclusive Payers	State GA	Address PO BOX 740800 Zip- 30374-0801 City- Atlanta
Payer Name United Healthcare	Plan Name Pamona CA Mailroom	Plan Type Exclusive Payers	State GA	Address PO BOX 740381 Zip- 30374 City- Atlanta
Payer Name United Healthcare	Plan Name FSA Appeals	Plan Type Exclusive Payers	State GA	Address PO BOX 740380 Zip- 30374-0380 City- Atlanta
Payer Name United Healthcare	Plan Name FSA Claims	Plan Type Exclusive Payers	State GA	Address PO BOX 740379 Zip- 30374 City- Atlanta
Payer Name United Healthcare	Plan Name Health Care Account Service Center - FSA/HRA	Plan Type Exclusive Payers	State GA	Address PO BOX 740378 Zip- 30374 City- Atlanta
Payer Name United Healthcare	Plan Name UHG - UHI - Royal Caribbean Cruise Lines	Plan Type Exclusive Payers	State GA	Address PO BOX 740375 Zip- 30374 City- Atlanta
Payer Name United Healthcare	Plan Name UHG - International & Foreign Claims	Plan Type Exclusive Payers	State GA	Address PO BOX 740373 Zip- 30374 City- Atlanta
Payer Name United Healthcare	Plan Name UHG - International & Foreign Claims	Plan Type Exclusive Payers	State GA	Address PO BOX 740372 Zip- 30374 City- Atlanta
Payer Name United Healthcare	Plan Name UnitedHealthcare Dental - Texas	Plan Type Exclusive Payers	State GA	Address PO BOX 740224 Zip- 30374-0224 City- Atlanta
Payer Name United Healthcare	Plan Name UHG - Global Solutions Provider	Plan Type Exclusive Payers	State GA	Address PO BOX 740222 Zip- 30374 City- Atlanta
Payer Name United Healthcare	Plan Name United Healthcare Business Services	Plan Type Exclusive Payers	State GA	Address PO BOX 740221 Zip- 30374-0221 City- Atlanta
Payer Name United Healthcare	Plan Name Levy & Garnishment checks	Plan Type Exclusive Payers	State GA	Address PO BOX 740113 Zip- 30374 City- Atlanta
Payer Name United Healthcare	Plan Name Ortho Litigation Appeals	Plan Type Exclusive Payers	State GA	Address PO BOX 740112 Zip- 30374 City- Atlanta
Payer Name United Healthcare	Plan Name UnitedHealthcare Global Expatriate Insurance Claim	Plan Type Exclusive Payers	State GA	Address PO BOX 740111 Zip- 30374-0111 City- Atlanta
Payer Name United Healthcare	Plan Name CSP MIPS Return Checks	Plan Type Exclusive Payers	State GA	Address PO BOX 740005 Zip- 30374 City- Atlanta
Payer Name United Healthcare	Plan Name United Healthcare - GTE Claim Service Center	Plan Type Exclusive Payers	State GA	Address PO BOX 740803 Zip- 30374 City- Atlanta
Payer Name United Healthcare	Plan Name UHG - Fraud & Abuse	Plan Type Exclusive Payers	State GA	Address PO BOX 740805 Zip- 30374 City- Atlanta
Payer Name United Healthcare	Plan Name UHG - Pittsburgh Recovery	Plan Type Exclusive Payers	State GA	Address PO BOX 740804 Zip- 30374 City- Atlanta
Payer Name United Healthcare	Plan Name UHG - International & Foreign Claims	Plan Type Exclusive Payers	State GA	Address PO BOX 740817 Zip- 30374 City- Atlanta
Payer Name United Healthcare	Plan Name UHG - Vision Claims	Plan Type Exclusive Payers	State GA	Address PO BOX 740827 Zip- 30374 City- Atlanta
Payer Name United Healthcare	Plan Name United HealthCare Optimum Choice (MAMSI)	Plan Type Exclusive Payers	State GA	Address PO BOX 740825 Zip- 30374 City- Atlanta
Payer Name United Healthcare	Plan Name UHG - Goldman Sachs Gym Benefit	Plan Type Exclusive Payers	State GA	Address PO BOX 740824 Zip- 30374 City- Atlanta
Payer Name United Healthcare	Plan Name United Healthcare - Service Employees International Union (SEIU)	Plan Type Exclusive Payers	State GA	Address PO BOX 740823 Zip- 30374 City- Atlanta
Payer Name United Healthcare	Plan Name UHG - GE- Dental	Plan Type Exclusive Payers	State GA	Address PO BOX 740822 Zip- 30374 City- Atlanta
Payer Name United Healthcare	Plan Name UHG - Clearing House Claims	Plan Type Exclusive Payers	State GA	Address PO BOX 740821 Zip- 30374 City- Atlanta
Payer Name United Healthcare	Plan Name UHG - Unison Recovery	Plan Type Exclusive Payers	State GA	Address PO BOX 740820 Zip- 30374 City- Atlanta
Payer Name United Healthcare	Plan Name UnitedHealthcare Appeals Unit	Plan Type Exclusive Payers	State GA	Address PO BOX 740816 Zip- 30374-0816 City- Atlanta
Payer Name United Healthcare	Plan Name UHG - State of Georgia	Plan Type Exclusive Payers	State GA	Address PO BOX 740806 Zip- 30374 City- Atlanta
Payer Name United Healthcare	Plan Name UnitedHealthcare-Customer Service - Privacy Unit	Plan Type Exclusive Payers	State GA	Address PO BOX 740815 Zip- 30374-0815 City- Atlanta
Payer Name United Healthcare	Plan Name UHG - Delta FAA Flight Physical	Plan Type Exclusive Payers	State GA	Address PO BOX 740814 Zip- 30374 City- Atlanta
Payer Name United Healthcare	Plan Name UHG - Group Conversion Kingston	Plan Type Exclusive Payers	State GA	Address PO BOX 740813 Zip- 30374 City- Atlanta
Payer Name United Healthcare	Plan Name UHG - Ingenix - FAF Facility	Plan Type Exclusive Payers	State GA	Address PO BOX 740812 Zip- 30374 City- Atlanta
Payer Name United Healthcare	Plan Name UHG - Definity	Plan Type Exclusive Payers	State GA	Address PO BOX 740810 Zip- 30374 City- Atlanta
Payer Name United Healthcare	Plan Name UHG - State of Georgia	Plan Type Exclusive Payers	State GA	Address PO BOX 740809 Zip- 30374 City- Atlanta
Payer Name United Healthcare	Plan Name UHG - New York Remediation	Plan Type Exclusive Payers	State GA	Address PO BOX 740808 Zip- 30374 City- Atlanta
Payer Name United Healthcare	Plan Name UnitedHealthcare	Plan Type Exclusive Payers	State GA	Address PO BOX 740807 Zip- 30374 City- Atlanta
Payer Name United Healthcare	Plan Name UnitedHealthcare Global Assistance	Plan Type Exclusive Payers	State GA	Address PO BOX 740004 Zip- 30374 City- Atlanta
Payer Name United Healthcare	Plan Name UNITED HEALTHCARE	Plan Type Exclusive Payers	State GA	Address PO BOX 740831 Zip- 30374 City- Atlanta
Payer Name United Healthcare	Plan Name UHG - Unison Recovery	Plan Type Exclusive Payers	State GA	Address PO BOX 740829 Zip- 30374 City- Atlanta
Payer Name Provider Awareness	Plan Name Provider Awareness	Plan Type Exclusive Payers	State GA	Address PO BOX 105759 Zip- 30348 City- Atlanta
Payer Name Elder Plan	Plan Name Elder Plan	Plan Type Exclusive Payers	State GA	Address PO Box 73111 Zip- 30271 City- Newnan
Payer Name CS CSP Facets Facility Claims	Plan Name CS CSP Facets Facility Claims	Plan Type Exclusive Payers	State GA	Address PO BOX 105126 Zip- 30348-5056 City- Atlanta
Payer Name United Healthcare	Plan Name United Healthcare - MAHP	Plan Type Exclusive Payers	State GA	Address PO BOX 740833 Zip- 30374 City- Atlanta
Payer Name OPTUM F&A	Plan Name OPTUM F&A	Plan Type Exclusive Payers	State GA	Address PO BOX 105067 Zip- 30348-5067 City- Atlanta
Payer Name OptumInsight Institutional	Plan Name OptumInsight Institutional	Plan Type Exclusive Payers	State GA	Address PO BOX 105424 Zip- 30348 City- Atlanta
Payer Name Oxford	Plan Name Oxford	Plan Type Exclusive Payers	State GA	Address PO BOX 105131 Zip- 30348-5131 City- Atlanta
Payer Name United Healthcare	Plan Name UHG - Covidien - Special forms	Plan Type Exclusive Payers	State GA	Address PO BOX 740828 Zip- 30374 City- Atlanta
Payer Name Provider Education	Plan Name Provider Education	Plan Type Exclusive Payers	State GA	Address PO BOX 105756 Zip- 30348 City- Atlanta
Payer Name United Healthcare	Plan Name UnitedHealthcare Global - Business Travel Insurance	Plan Type Exclusive Payers	State GA	Address PO BOX 740836 Zip- 30374-0836 City- Atlanta
Payer Name United Healthcare	Plan Name UHG - State of Florida	Plan Type Exclusive Payers	State GA	Address PO BOX 740835 Zip- 30374 City- Atlanta
Payer Name United Payment Integrity	Plan Name United Payment Integrity	Plan Type Exclusive Payers	State GA	Address PO BOX 105128 Zip- 30348 City- Atlanta
Payer Name AmeriHealth	Plan Name AmeriHealth Caritas Northeast Aligned	Plan Type Exclusive Payers	State KY	Address PO BOX 7143 Zip- 40742 City- London
Payer Name AmeriHealth	Plan Name AmeriHealth Caritas Northeast Community Health Choices (Northeast - Zone 4)	Plan Type Exclusive Payers	State KY	Address PO BOX 7110 Zip- 40742 City- London
Payer Name AmeriHealth	Plan Name AmeriHealth Caritas PA Community HealthChoices (Southwest - Zone 2)	Plan Type Exclusive Payers	State KY	Address PO BOX 7110 Zip- 40742 City- London
Payer Name AmeriHealth	Plan Name AmeriHealth Caritas Pennsylvania Community Health Choices (Lehigh Capital - Zone 5)	Plan Type Exclusive Payers	State KY	Address PO BOX 7110 Zip- 40742 City- London
Payer Name AmeriHealth	Plan Name AmeriHealth Caritas Pennsylvania Community Health Choices (Northwest - Zone 3)	Plan Type Exclusive Payers	State KY	Address PO BOX 7110 Zip- 40742 City- London
Payer Name AmeriHealth	Plan Name Keystone First Health Plan	Plan Type Exclusive Payers	State KY	Address PO BOX 7115 Zip- 40742 City- London
Payer Name AmeriHealth	Plan Name AmeriHealth Caritas North East	Plan Type Exclusive Payers	State KY	Address PO BOX 7118 Zip- 40742 City- London
Payer Name AmeriHealth	Plan Name AmeriHealth Caritas Pennsylvania	Plan Type Exclusive Payers	State KY	Address PO BOX 7118 Zip- 40742 City- London
Payer Name AmeriHealth	Plan Name Select Health-First Choice	Plan Type Exclusive Payers	State KY	Address PO BOX 7120 Zip- 40742 City- London
Payer Name AmeriHealth	Plan Name Keystone First VIP Choice (PA01)	Plan Type Exclusive Payers	State KY	Address PO BOX 7137 Zip- 40742 City- London
Payer Name AmeriHealth	Plan Name AmeriHealth Caritas VIP Care (PA02/PA03)	Plan Type Exclusive Payers	State KY	Address PO BOX 7139 Zip- 40742 City- London
Payer Name AmeriHealth	Plan Name ACFC Aligned Plan (Southwest)	Plan Type Exclusive Payers	State KY	Address PO BOX 7143 Zip- 40742 City- London
Payer Name AmeriHealth	Plan Name AmeriHealth Caritas Pennsylvania Aligned (Northwest)	Plan Type Exclusive Payers	State KY	Address PO BOX 7143 Zip- 40742 City- London
Payer Name AmeriHealth	Plan Name AmeriHealth Caritas Pennsylvania Aligned (Lehigh Capital)	Plan Type Exclusive Payers	State KY	Address PO BOX 7143 Zip- 40742 City- London
Payer Name AmeriHealth	Plan Name AmeriHealth Caritas North Carolina	Plan Type Exclusive Payers	State KY	Address PO BOX 7380 Zip- 40742 City- London
Payer Name AmeriHealth	Plan Name Keystone Aligned Plan (Southeast)	Plan Type Exclusive Payers	State KY	Address PO BOX 7143 Zip- 40742 City- London
Payer Name AmeriHealth	Plan Name Keystone First Community HealthChoices (Southeast - Zone 1)	Plan Type Exclusive Payers	State KY	Address PO BOX 7146 Zip- 40742 City- London
Payer Name AmeriHealth	Plan Name PerformCare	Plan Type Exclusive Payers	State KY	Address PO BOX 7308 Zip- 40742 City- London
Payer Name AmeriHealth	Plan Name AmeriHealth Caritas Louisiana	Plan Type Exclusive Payers	State KY	Address PO BOX 7322 Zip- 40742 City- London
Payer Name AmeriHealth	Plan Name Amerihealth District of Columbia - Medicaid	Plan Type Exclusive Payers	State KY	Address PO BOX 7342 Zip- 40742 City- London
Payer Name AmeriHealth	Plan Name Amerihealth District of Columbia - Alliance	Plan Type Exclusive Payers	State KY	Address PO BOX 7354 Zip- 40742 City- London
Payer Name AmeriHealth	Plan Name Blue Cross Complete of Michigan	Plan Type Exclusive Payers	State KY	Address PO BOX 7355 Zip- 40742 City- London
Payer Name AmeriHealth	Plan Name Amerihealth Caritas Florida	Plan Type Exclusive Payers	State KY	Address PO BOX 7367 Zip- 40742 City- London
Payer Name Lumeris	Plan Name Mary Washington	Plan Type Exclusive Payers	State KY	Address PO BOX 7118 Zip- 40742 City- Troy
Payer Name AmeriHealth	Plan Name AmeriHealth Caritas Delaware	Plan Type Exclusive Payers	State KY	Address PO BOX 80100 Zip- 40742 City- London
Payer Name AmeriHealth	Plan Name AmeriHealth Caritas New Hampshire	Plan Type Exclusive Payers	State KY	Address PO BOX 7387 Zip- 40742 City- London
Payer Name AmeriHealth	Plan Name First Choice VIP Care (SC D-SNP)	Plan Type Exclusive Payers	State KY	Address PO BOX 7182 Zip- 40742 City- London
Payer Name AmeriHealth	Plan Name Amerihealth Caritas Pennsylvania Community HealthChoices	Plan Type Exclusive Payers	State KY	Address PO BOX 7118 Zip- 40742 City- London
Payer Name AmeriHealth	Plan Name AmeriHealth Caritas Next A product of Amerihealth Caritas Delaware, Inc.	Plan Type Exclusive Payers	State KY	Address PO BOX 7425 Zip- 40742 City- London
Payer Name AmeriHealth	Plan Name First Choice Next A Product of Select Health South Carolina, Inc.	Plan Type Exclusive Payers	State KY	Address PO BOX 7186 Zip- 40742 City- London
Payer Name AmeriHealth	Plan Name AmeriHealth Caritas Next A Product of Amerihealth Caritas Florida, Inc	Plan Type Exclusive Payers	State KY	Address PO BOX 7344 Zip- 40742 City- London
Payer Name AmeriHealth	Plan Name AmeriHealth Caritas Next A Product of Amerihealth Caritas North Carolina, Inc.	Plan Type Exclusive Payers	State KY	Address PO BOX 7412 Zip- 40742 City- London
Payer Name AmeriHealth	Plan Name AmeriHealth Caritas Ohio	Plan Type Exclusive Payers	State KY	Address EDI Payer ID - 35374 Zip- 40742 City- London
Payer Name AmeriHealth	Plan Name AmeriHealth Caritas VIP Care Delaware DSNP	Plan Type Exclusive Payers	State KY	Address PO BOX 7125 Zip- 40742 City- London
Payer Name AmeriHealth	Plan Name AmeriHealth Caritas VIP Care Florida DSNP	Plan Type Exclusive Payers	State KY	Address PO BOX 7155 Zip- 40742 City- London
Payer Name AmeriHealth	Plan Name AmeriHealth Caritas VIP Care Plus (MI Health Link)	Plan Type Exclusive Payers	State KY	Address PO BOX 7074 Zip- 40742 City- London
Payer Name AmeriHealth	Plan Name First Choice VIP Care Plus (South Carolina)	Plan Type Exclusive Payers	State KY	Address PO BOX 7106 Zip- 40742 City- London
Payer Name HAP	Plan Name Health Alliance Plan (HAP)	Plan Type Exclusive Payers	State MI	Address 2850 W GRAND BLVD Zip- 48202 City- DETROIT
Payer Name HAP	Plan Name Alliance Health and Life Insurance Company	Plan Type Exclusive Payers	State MI	Address PO BOX 02459 Zip- 48202-2459 City- Detroit
Payer Name Lumeris	Plan Name BCBS of Louisiana	Plan Type Exclusive Payers	State MI	Address PO BOX 7003 Zip- 48007 City- Troy
Payer Name Lumeris	Plan Name BCBS of Kansas City	Plan Type Exclusive Payers	State MI	Address PO BOX 7065 Zip- 48007 City- Troy
Payer Name Lumeris	Plan Name Physician's Health Plan	Plan Type Exclusive Payers	State MI	Address PO BOX 7119 Zip- 48007 City- Troy
Payer Name Lumeris	Plan Name Lumeris General	Plan Type Exclusive Payers	State MI	Address PO BOX 5904 Zip- 48007-5904 City- ROY
Payer Name Lumeris	Plan Name Mutual of Omaha Medicare Advantage Company	Plan Type Exclusive Payers	State MI	Address PO BOX 5084 Zip- 48007 City- Troy
Payer Name Lumeris	Plan Name BayCare Health Plans	Plan Type Exclusive Payers	State MI	Address PO BOX 3710 Zip- 48007 City- Troy
Payer Name NGS Health Plan	Plan Name NGS Health Plan	Plan Type Exclusive Payers	State MI	Address PO BOX 99993 Zip- 48007 City- Troy
Payer Name Claimshop	Plan Name Claimshop	Plan Type Exclusive Payers	State MI	Address PO BOX 5810 Zip- 48007-5810 City- Troy
Payer Name HAP	Plan Name HAP Empowered Claims	Plan Type Exclusive Payers	State MI	Address PO BOX 2578 Zip- 48202 City- Detroit
Payer Name NGS Health Plan	Plan Name NGS Health Plan	Plan Type Exclusive Payers	State MI	Address PO BOX 5555 Zip- 48007 City- Troy
Payer Name HAP	Plan Name Health Alliance Plan (HAP)	Plan Type Exclusive Payers	State MI	Address PO BOX 2399 Zip- 48202 City- Detroit
Payer Name Optum	Plan Name BCBS MI	Plan Type Exclusive Payers	State MI	Address PO BOX 5021 Zip- 48007-5021 City- Troy
Payer Name NGS Health Plan	Plan Name NGS Health Plan	Plan Type Exclusive Payers	State MI	Address PO BOX 5088 Zip- 48007-5087 City- Troy
Payer Name Lumeris	Plan Name Lumeris	Plan Type Exclusive Payers	State MI	Address PO BOX 5907 Zip- 04800 City- Troy
Payer Name GPA	Plan Name GROUP & PENSION ADMINISTRATORS	Plan Type Exclusive Payers	State TX	Address PO BOX 830248 Zip- 75374-9075 City- Dallas
Payer Name GPA	Plan Name GROUP & PENSION ADMINISTRATORS	Plan Type Exclusive Payers	State TX	Address PO BOX 830827 Zip- 75374-9075 City- Dallas
Payer Name GPA	Plan Name GROUP & PENSION ADMINISTRATORS	Plan Type Exclusive Payers	State TX	Address PO BOX 834150 Zip- 75374-9075 City- Dallas
Payer Name Allstate	Plan Name Allstate	Plan Type Exclusive Payers	State TX	Address PO BOX 853935 Zip- 75085 City- Richardson
Payer Name GPA	Plan Name GROUP & PENSION ADMINISTRATORS	Plan Type Exclusive Payers	State TX	Address PO BOX 749075 Zip- 75374-9075 City- Dallas
Payer Name Priority	Plan Name Priority	Plan Type Exclusive Payers	State TX	Address PO BOX 850958 Zip- 75085 City- Richardson
Payer Name Meritain	Plan Name Meritain	Plan Type Exclusive Payers	State TX	Address PO BOX 853921 Zip- 75085 City- Richardson
Payer Name EMI	Plan Name Employers Mutual Inc. (EMI)	Plan Type Exclusive Payers	State TX	Address PO BOX 853915 Zip- 75085 City- Richardson
Payer Name DenSelect	Plan Name DenSelect	Plan Type Exclusive Payers	State TX	Address PO BOX 851917 Zip- 75085 City- Richardson
Payer Name GPA	Plan Name GROUP & PENSION ADMINISTRATORS	Plan Type Exclusive Payers	State TX	Address PO BOX 830246 Zip- 75374-9075 City- Dallas
Payer Name GPA	Plan Name GROUP & PENSION ADMINISTRATORS	Plan Type Exclusive Payers	State TX	Address PO BOX 830245 Zip- 75374-9075 City- Dallas
Payer Name Alterwood	Plan Name Alterwood Advantage	Plan Type Exclusive Payers	State TX	Address PO BOX 981832 Zip- 79998-1832 City- EL PASO
Payer Name United Healthcare	Plan Name United Healthcare Student Resources	Plan Type Exclusive Payers	State TX	Address PO BOX 809025 Zip- 75380 City- Dallas
Payer Name United Healthcare	Plan Name UNITED HEALTHCARE DENTAL - Dental Benefit Providers (DBP)	Plan Type Exclusive Payers	State UT	Address PO BOX 30566 Zip- 84130-0566 City- Salt Lake City
Payer Name Optum Health	Plan Name EMS-OPTUM	Plan Type Exclusive Payers	State UT	Address PO BOX 30768 Zip- 84130-0768 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - United Healthcare	Plan Type Exclusive Payers	State UT	Address PO BOX 30555 Zip- 84310 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - United Healthcare	Plan Type Exclusive Payers	State UT	Address PO BOX 30556 Zip- 84130 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - United Healthcare	Plan Type Exclusive Payers	State UT	Address PO BOX 30557 Zip- 84130 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - United Healthcare	Plan Type Exclusive Payers	State UT	Address PO BOX 30558 Zip- 84130 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - United Healthcare	Plan Type Exclusive Payers	State UT	Address PO BOX 30559 Zip- 84130 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - United Healthcare	Plan Type Exclusive Payers	State UT	Address PO BOX 30562 Zip- 84130 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - United Healthcare	Plan Type Exclusive Payers	State UT	Address PO BOX 30564 Zip- 84130 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - United Healthcare	Plan Type Exclusive Payers	State UT	Address PO BOX 30565 Zip- 84130 City- Salt Lake City
Payer Name Optum Health	Plan Name Optum Care Network	Plan Type Exclusive Payers	State UT	Address PO BOX 30788 Zip- 84130-0788 City- Salt Lake City
Payer Name Optum Health	Plan Name Optum Care Network Claims	Plan Type Exclusive Payers	State UT	Address PO BOX 30781 Zip- 84130-0781 City- Salt Lake City
Payer Name Optum Health	Plan Name Optum Bank	Plan Type Exclusive Payers	State UT	Address PO BOX 30777 Zip- 84130-0777 City- Salt Lake City
Payer Name Optum Health	Plan Name UHC Specialty Benefits - UnitedHealthcare Life	Plan Type Exclusive Payers	State UT	Address PO BOX 30759 Zip- 84130 City- Salt Lake City
Payer Name Optum Health	Plan Name United Behavioral Health - OptumHealth Behavioral Solutions	Plan Type Exclusive Payers	State UT	Address PO BOX 30760 Zip- 84130-0760 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - United Healthcare	Plan Type Exclusive Payers	State UT	Address PO BOX 30553 Zip- 84130 City- Salt Lake City
Payer Name Optum Health	Plan Name United Behavioral Health (UBH) - Program & Network Integrity (PNI)	Plan Type Exclusive Payers	State UT	Address PO BOX 30612 Zip- 84130-0612 City- Salt Lake City
Payer Name Optum Health	Plan Name URN	Plan Type Exclusive Payers	State UT	Address PO BOX 30606 Zip- 84130 City- Salt Lake City
Payer Name Optum Health	Plan Name United Behavioral Health - PacifiCare Behavioral Health	Plan Type Exclusive Payers	State UT	Address PO BOX 30602 Zip- 84130 City- Salt Lake City
Payer Name Optum Health	Plan Name OUM-ARKANSAS	Plan Type Exclusive Payers	State UT	Address PO BOX 30542 Zip- 84130 City- Salt Lake City
Payer Name Optum Health	Plan Name Optum - OPTUM - MONTANA	Plan Type Exclusive Payers	State UT	Address PO BOX 30540 Zip- 84130 City- Salt Lake City
Payer Name Optum Health	Plan Name Optum Care Claims	Plan Type Exclusive Payers	State UT	Address PO BOX 30539 Zip- 84130 City- Salt Lake City
Payer Name Optum Health	Plan Name Program and Network Integrity (PNI) - Optum Anti-Fraud, Waste and Abuse program	Plan Type Exclusive Payers	State UT	Address PO BOX 30535 Zip- 84130-0535 City- Salt Lake City
Payer Name Optum Health	Plan Name Optum Maryland	Plan Type Exclusive Payers	State UT	Address PO BOX 30531 Zip- 84130 City- Salt Lake City
Payer Name Optum Health	Plan Name Optum - A.C.N	Plan Type Exclusive Payers	State UT	Address PO BOX 30525 Zip- 84130 City- Salt Lake City
Payer Name Optum Health	Plan Name OptumHealth Care Solutions - Provider Credentialing System	Plan Type Exclusive Payers	State UT	Address PO BOX 30520 Zip- 84130 City- Salt Lake City
Payer Name Optum Health	Plan Name Optum - OptumHealth Financial Services	Plan Type Exclusive Payers	State UT	Address PO BOX 30517 Zip- 84130 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - United Healthcare	Plan Type Exclusive Payers	State UT	Address PO BOX 30554 Zip- 84130 City- Salt Lake City
Payer Name United Healthcare	Plan Name UNITED HEALTHCARE DENTAL - Dental Benefit Providers (DBP)	Plan Type Exclusive Payers	State UT	Address PO BOX 30552 Zip- 84130-0552 City- Salt Lake City
Payer Name Optum Health	Plan Name OptumHealth Behavioral Solutions - OHBS (OPTUM CLINICAL)	Plan Type Exclusive Payers	State UT	Address PO BOX 30509 Zip- 84130 City- Salt Lake City
Payer Name United Healthcare	Plan Name UMR COLONIAL-Dental	Plan Type Exclusive Payers	State UT	Address PO BOX 30507 Zip- 84130 City- Salt Lake City
Payer Name Gilsbar	Plan Name Gilsbar	Plan Type Exclusive Payers	State UT	Address PO BOX 660091 Zip- 660091 City- Salt Lake City
Payer Name HealthSCOPE Benefits	Plan Name HealthSCOPE Benefits	Plan Type Exclusive Payers	State UT	Address PO BOX 30962 Zip- 84130 City- Salt Lake City
Payer Name United Healthcare	Plan Name UnitedHealthcare Enrollment Department	Plan Type Exclusive Payers	State UT	Address PO BOX 30770 Zip- 84130-0770 City- Salt Lake City
Payer Name United Healthcare	Plan Name UnitedHealthcare Enrollment Department	Plan Type Exclusive Payers	State UT	Address PO BOX 30782 Zip- 84130-0782 City- Salt Lake City
Payer Name WellmedPro	Plan Name Wellmed D-SNP Claims	Plan Type Exclusive Payers	State UT	Address PO BOX 30578 Zip- 84130-0578 City- Salt Lake City
Payer Name OptumCare	Plan Name OptumCare Payment Integrity (OCPI)	Plan Type Exclusive Payers	State UT	Address PO BOX 30773 Zip- 84130 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - UNITED HEALTHCARE DENTAL	Plan Type Exclusive Payers	State UT	Address PO BOX 30567 Zip- 84310 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - United Healthcare	Plan Type Exclusive Payers	State UT	Address PO BOX 30431 Zip- 84130 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - United Healthcare	Plan Type Exclusive Payers	State UT	Address PO BOX 30432 Zip- 84130 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - United Healthcare	Plan Type Exclusive Payers	State UT	Address PO BOX 30434 Zip- 84130 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - UNITED HEALTHCARE DENTAL	Plan Type Exclusive Payers	State UT	Address PO BOX 30489 Zip- 84130-0489 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - PACIFICARE	Plan Type Exclusive Payers	State UT	Address PO BOX 30510 Zip- 84130 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - United Healthcare	Plan Type Exclusive Payers	State UT	Address PO BOX 30551 Zip- 84130 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - Optum Health Behavioural	Plan Type Exclusive Payers	State UT	Address PO BOX 30512 Zip- 84310 City- Salt Lake City
Payer Name United Healthcare	Plan Name UMR- (NRECA) National Rural Electric Cooperative Association	Plan Type Exclusive Payers	State UT	Address PO BOX 30515 Zip- 84130 City- Salt Lake City
Payer Name UMR	Plan Name United Medical Resources	Plan Type Exclusive Payers	State UT	Address PO BOX 30526 Zip- 84130-0526 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - UNITED HEALTHCARE DENTAL	Plan Type Exclusive Payers	State UT	Address PO BOX 30533 Zip- 84130 City- Salt Lake City
Payer Name HPS	Plan Name HealthPlan Services	Plan Type Exclusive Payers	State UT	Address PO BOX 30537 Zip- 84130-0537 City- Salt Lake City
Payer Name UMR	Plan Name United Medical Resources	Plan Type Exclusive Payers	State UT	Address PO BOX 30541 Zip- 84310 City- Salt Lake City
Payer Name UMR	Plan Name United Medical Resources	Plan Type Exclusive Payers	State UT	Address PO BOX 30543 Zip- 84130-0543 City- Salt Lake City
Payer Name UMR	Plan Name United Medical Resources	Plan Type Exclusive Payers	State UT	Address PO BOX 30544 Zip- 84130 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - UNITED HEALTHCARE DENTAL	Plan Type Exclusive Payers	State UT	Address PO BOX 30545 Zip- 84130 City- Salt Lake City
Payer Name UMR	Plan Name United Medical Resources	Plan Type Exclusive Payers	State UT	Address PO BOX 30546 Zip- 84310 City- Salt Lake City
Payer Name HPS	Plan Name HealthPlan Services	Plan Type Exclusive Payers	State UT	Address PO BOX 30547 Zip- 84130-0547 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - UNITED HEALTHCARE VISION	Plan Type Exclusive Payers	State UT	Address PO BOX 30549 Zip- 84310 City- Salt Lake City
Payer Name Optum Health	Plan Name Optum - OptumHealth Financial Services	Plan Type Exclusive Payers	State UT	Address PO BOX 30516 Zip- 84130-0516 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - United Healthcare	Plan Type Exclusive Payers	State UT	Address PO BOX 30304 Zip- 84130 City- Salt Lake City
Payer Name Optum Health	Plan Name UnitedHealthcare Benefit Services - OptumHealth Financial Services	Plan Type Exclusive Payers	State UT	Address PO BOX 30506 Zip- 84130 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - PACIFICARE	Plan Type Exclusive Payers	State UT	Address PO BOX 30965 Zip- 84130 City- Salt Lake City
Payer Name UMR	Plan Name United Medical Resources	Plan Type Exclusive Payers	State UT	Address PO BOX 30783 Zip- 84310 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - Optum Health Behavioural	Plan Type Exclusive Payers	State UT	Address PO BOX 30784 Zip- 84130 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - PACIFICARE	Plan Type Exclusive Payers	State UT	Address PO BOX 30786 Zip- 84130 City- Salt Lake City
Payer Name UMR	Plan Name United Medical Resources	Plan Type Exclusive Payers	State UT	Address PO BOX 30787 Zip- 84130-0787 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - UNITED HEALTHCARE VISION	Plan Type Exclusive Payers	State UT	Address PO BOX 30790 Zip- 84310 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - United Healthcare	Plan Type Exclusive Payers	State UT	Address PO BOX 30882 Zip- 84130 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - United Healthcare	Plan Type Exclusive Payers	State UT	Address PO BOX 30884 Zip- 84130 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - PACIFICARE	Plan Type Exclusive Payers	State UT	Address PO BOX 30966 Zip- 84130 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - UNITED HEALTHCARE DENTAL	Plan Type Exclusive Payers	State UT	Address PO BOX 30779 Zip- 84310 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - PACIFICARE	Plan Type Exclusive Payers	State UT	Address PO BOX 30967 Zip- 84130 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - PACIFICARE	Plan Type Exclusive Payers	State UT	Address PO BOX 30968 Zip- 84130 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - PACIFICARE	Plan Type Exclusive Payers	State UT	Address PO BOX 30969 Zip- 84130 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - PACIFICARE	Plan Type Exclusive Payers	State UT	Address PO BOX 30970 Zip- 84130 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - PACIFICARE	Plan Type Exclusive Payers	State UT	Address PO BOX 30971 Zip- 84130 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - PACIFICARE	Plan Type Exclusive Payers	State UT	Address PO BOX 30972 Zip- 84130 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - PACIFICARE	Plan Type Exclusive Payers	State UT	Address PO BOX 30973 Zip- 84130 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - Optum Health Behavioural	Plan Type Exclusive Payers	State UT	Address PO BOX 30780 Zip- 84125 City- Salt Lake City
Payer Name United Healthcare	Plan Name UnitedHealthcare	Plan Type Exclusive Payers	State UT	Address PO BOX 30769 Zip- 84130-0769 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - PACIFICARE	Plan Type Exclusive Payers	State UT	Address PO BOX 30975 Zip- 84130 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - UNITED HEALTHCARE VISION	Plan Type Exclusive Payers	State UT	Address PO BOX 30610 Zip- 84310 City- Salt Lake City
Payer Name WellmedPro	Plan Name Wellmed	Plan Type Exclusive Payers	State UT	Address PO BOX 30548 Zip- 84130 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - UNITED HEALTHCARE DENTAL	Plan Type Exclusive Payers	State UT	Address PO BOX 30569 Zip- 84130-0569 City- Salt Lake City
Payer Name HPS	Plan Name HealthPlan Services	Plan Type Exclusive Payers	State UT	Address PO BOX 30571 Zip- 84130 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - United Healthcare	Plan Type Exclusive Payers	State UT	Address PO BOX 30572 Zip- 84130 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - United Healthcare	Plan Type Exclusive Payers	State UT	Address PO BOX 30573 Zip- 84130 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - United Healthcare	Plan Type Exclusive Payers	State UT	Address PO BOX 30575 Zip- 84130 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - UNITED HEALTHCARE DENTAL	Plan Type Exclusive Payers	State UT	Address PO BOX 30605 Zip- 84310 City- Salt Lake City
Payer Name United Healthcare	Plan Name UNITEDHEALTHCARE COMMUNITY PLAN FOR KIDS	Plan Type Exclusive Payers	State UT	Address PO BOX 30753 Zip- 84130-0573 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - PACIFICARE	Plan Type Exclusive Payers	State UT	Address PO BOX 30767 Zip- 84130 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - Optum Health Behavioural	Plan Type Exclusive Payers	State UT	Address PO BOX 30755 Zip- 84310 City- Salt Lake City
Payer Name UnitedHealthcare	Plan Name OptumHealth Care Solutions	Plan Type Exclusive Payers	State UT	Address PO BOX 30758 Zip- 84310 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - Optum Health Behavioural	Plan Type Exclusive Payers	State UT	Address PO BOX 30761 Zip- 84130 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - PACIFICARE	Plan Type Exclusive Payers	State UT	Address PO BOX 30762 Zip- 84130 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - PACIFICARE	Plan Type Exclusive Payers	State UT	Address PO BOX 30763 Zip- 84130 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - PACIFICARE	Plan Type Exclusive Payers	State UT	Address PO BOX 30764 Zip- 84130 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - UNITED HEALTHCARE DENTAL	Plan Type Exclusive Payers	State UT	Address PO BOX 30766 Zip- 84310 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - PACIFICARE	Plan Type Exclusive Payers	State UT	Address PO BOX 30974 Zip- 84130 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - United Healthcare	Plan Type Exclusive Payers	State UT	Address PO BOX 30886 Zip- 84130 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - PACIFICARE	Plan Type Exclusive Payers	State UT	Address PO BOX 30984 Zip- 84130 City- Salt Lake City
Payer Name United Healthcare	Plan Name SLW	Plan Type Exclusive Payers	State UT	Address PO BOX 30804 Zip- 84130-0804 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - PACIFICARE	Plan Type Exclusive Payers	State UT	Address PO BOX 30983 Zip- 84130 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - Optum Chiro & Optum CMC	Plan Type Exclusive Payers	State UT	Address PO BOX 30982 Zip- 84310 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - PACIFICARE	Plan Type Exclusive Payers	State UT	Address PO BOX 30980 Zip- 84130 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - UNITED HEALTHCARE VISION	Plan Type Exclusive Payers	State UT	Address PO BOX 30978 Zip- 84310 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - PACIFICARE	Plan Type Exclusive Payers	State UT	Address PO BOX 30977 Zip- 84130 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - PACIFICARE	Plan Type Exclusive Payers	State UT	Address PO BOX 30976 Zip- 84130 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - United Healthcare	Plan Type Exclusive Payers	State UT	Address PO BOX 30985 Zip- 84130 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - United Healthcare	Plan Type Exclusive Payers	State UT	Address PO BOX 30994 Zip- 84130 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - United Healthcare	Plan Type Exclusive Payers	State UT	Address PO BOX 31365 Zip- 84131-0365 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - Golden care	Plan Type Exclusive Payers	State UT	Address PO BOX 31374 Zip- 84131-0374 City- Salt Lake City
Payer Name United Healthcare	Plan Name UHG - United Healthcare	Plan Type Exclusive Payers	State UT	Address PO BOX 30996 Zip- 84130 City- Salt Lake City
Payer Name WellmedPro	Plan Name Wellmed	Plan Type Exclusive Payers	State UT	Address PO BOX 30508 Zip- 84130-0508 City- Salt Lake City
Payer Name PREMERA BCBS ALASKA	Plan Name PREMERA BCBS ALASKA	Plan Type Other Payers	State AK	Address PO BOX 240489 Zip- 99524 City- ANCHORAGE
Payer Name ALASKA ELECT TRUST FUND (IBE	Plan Name ALASKA ELECT TRUST FUND (IBE	Plan Type Other Payers	State AK	Address 701 E TUDOR RD SUITE 200 Zip- 99503 City- ANCHORAGE
Payer Name Centene	Plan Name WELLCARE	Plan Type Other Payers	State AL	Address 450 RIVERCHASE PKWY Zip- 35244-2858 City- BIRMINGHAM
Payer Name Centene	Plan Name COORDINATED BENEFITS	Plan Type Other Payers	State AL	Address PO BOX 2069 Zip- 36533-2069 City- FAIRHOPE
Payer Name BC/BS ALABAMA	Plan Name BC/BS ALABAMA	Plan Type Other Payers	State AL	Address PO BOX 995 Zip- 35298 City- BIRMINGHAM
Payer Name Riverside	Plan Name Riverside	Plan Type Other Payers	State AL	Address PO BOX 66004 Zip- 35283-0698 City- Canton
Payer Name BCBS ALABAMA FEDERAL EMPLOYEE	Plan Name BCBS ALABAMA FEDERAL EMPLOYEE	Plan Type Other Payers	State AL	Address PO BOX 10401 Zip- 35202 City- BIRMINGHAM
Payer Name HEALTH CHOICE	Plan Name HEALTH CHOICE	Plan Type Other Payers	State AL	Address 3201 4TH AVE S Zip- 35222 City- BIRMINGHAM
Payer Name VIVA HEALTHCARE	Plan Name VIVA HEALTHCARE	Plan Type Other Payers	State AL	Address PO BOX 55926 Zip- 35255 City- BIRMINGHAM
Payer Name MEDIGOLD	Plan Name MEDIGOLD	Plan Type Other Payers	State AL	Address PO BOX 830697 Zip- 35283 City- BIRMINGHAM
Payer Name FIRST COMMUNITY HEALTH PLAN	Plan Name FIRST COMMUNITY HEALTH PLAN	Plan Type Other Payers	State AL	Address PO BOX 382947 Zip- 35238 City- BIRMINGHAM
Payer Name Centene	Plan Name FIRST HEALTH	Plan Type Other Payers	State AL	Address PO BOX 2069 Zip- 36533-2069 City- FAIRHOPE
Payer Name First Health - First Health	Plan Name First Health - First Health	Plan Type Other Payers	State AL	Address PO BOX 3040 Zip- 35283-0698 City- Birmingham
Payer Name Centene	Plan Name ALLWELL BY WELLCARE QFAR	Plan Type Other Payers	State AR	Address PO BOX 25438 Zip- 72221-5438 City- LITTLE ROCK
Payer Name Centene	Plan Name ALLWELL BY WELLCARE QFAR	Plan Type Other Payers	State AR	Address 1 ALLIED DRIVE SUITE 2520 Zip- 72202-2073 City- LITTLE ROCK
Payer Name Centene	Plan Name AMBETTER OF ARK	Plan Type Other Payers	State AR	Address 23635 STATE HWY 307 Zip- 72824-9092 City- BELLEVILLE
Payer Name BCBS ARKANSAS	Plan Name BCBS ARKANSAS	Plan Type Other Payers	State AR	Address PO BOX 2181 Zip- 722032181 City- LITTLE ROCK
Payer Name Centene	Plan Name AMBETTER OF ARKANSAS	Plan Type Other Payers	State AR	Address PO BOX 25538 Zip- 72221-5538 City- LITTLE ROCK
Payer Name Centene	Plan Name QUALCHOICE	Plan Type Other Payers	State AR	Address PO BOX 25610 Zip- 72221-5610 City- LITTLE ROCK
Payer Name CENTENE	Plan Name AMBETTER OF ARKANSAS CENTENE	Plan Type Other Payers	State AR	Address 1200 W 3RD ST Zip- 72201-1904 City- LITTLE ROCK
Payer Name OXFORD HEALTH INSURANCE	Plan Name OXFORD HEALTH INSURANCE	Plan Type Other Payers	State AR	Address PO BOX 29130 Zip- 71903 City- HOT SPRINGS
Payer Name USABLE INSURANCE	Plan Name USABLE INSURANCE	Plan Type Other Payers	State AR	Address PO BOX 1460 Zip- 722031460 City- LITTLE ROCK
Payer Name Centene	Plan Name QUALCHOICE BY MAGELLAN QFAR	Plan Type Other Payers	State AR	Address PO BOX 25610 Zip- 72221-5610 City- LITTLE ROCK
Payer Name HEALTH ADVANTAGE	Plan Name HEALTH ADVANTAGE	Plan Type Other Payers	State AR	Address PO BOX 8069 Zip- 72203 City- LITTLE ROCK
Payer Name HEALTHSCOPE BENEFITS	Plan Name HEALTHSCOPE BENEFITS	Plan Type Other Payers	State AR	Address 27 CORPORATE HILL DR Zip- 72205 City- LITTLE ROCK
Payer Name DELTA DENTAL ARKANSAS	Plan Name DELTA DENTAL ARKANSAS	Plan Type Other Payers	State AR	Address PO BOX 15965 Zip- 722310000 City- NORTH LITTL
Payer Name ADVANCED BENEFIT SOLUTIONS	Plan Name ADVANCED BENEFIT SOLUTIONS	Plan Type Other Payers	State AZ	Address PO BOX 71490 Zip- 85050 City- PHOENIX
Payer Name Centene	Plan Name FIDELIS CARE INSURANCE	Plan Type Other Payers	State AZ	Address PO BOX 52136 Zip- 85072-2136 City- PHOENIX
Payer Name Centene	Plan Name FIDELIS IGWENWANNE	Plan Type Other Payers	State AZ	Address 4041 S 58TH LN Zip- 85043-0145 City- PHOENIX
Payer Name Centene	Plan Name FIRST HEALTH NETWORK	Plan Type Other Payers	State AZ	Address PO BOX 22009 Zip- 85285-2009 City- TEMPE
Payer Name Centene	Plan Name AETNA SIGNATURE	Plan Type Other Payers	State AZ	Address PO BOX 52136 Zip- 85072-2136 City- PHOENIX
Payer Name Centene	Plan Name ARIZONA COMPLETE HEALTH	Plan Type Other Payers	State AZ	Address 1850 W RIO SALADO PKWY STE 211 Zip- 85281-5713 City- TEMPE
Payer Name INSURANCE SYSTEMS INC	Plan Name INSURANCE SYSTEMS INC	Plan Type Other Payers	State AZ	Address 15560 N FRANK LLOYD WRIGHT Zip- 85260 City- SCOTTSDALE
Payer Name BCBS - AZ	Plan Name Blue Cross Blue Shield of Arizona	Plan Type Other Payers	State AZ	Address PO BOX 13466 Zip- 85002-3466 City- Phoenix
Payer Name BCBS - AZ	Plan Name Blue Cross Blue Shield of Arizona	Plan Type Other Payers	State AZ	Address PO BOX 2924 Zip- 85062-2924 City- Phoenix
Payer Name CHC	Plan Name AETNA CA	Plan Type Other Payers	State AZ	Address PO BOX 66125 Zip- 85082-6125 City- Phoenix
Payer Name Centene	Plan Name BANNER HEALTH NETWORK	Plan Type Other Payers	State AZ	Address PO BOX 37459 Zip- 85069-7459 City- PHOENIX
Payer Name Centene	Plan Name INDIAN HEALTH SERVICES	Plan Type Other Payers	State AZ	Address PO BOX 9020 Zip- 86515-9020 City- WINDOW ROCK
Payer Name Centene	Plan Name HEALTH CHOICE	Plan Type Other Payers	State AZ	Address PO BOX 52136 Zip- 85072-2136 City- PHOENIX
Payer Name Centene	Plan Name WELLCARE	Plan Type Other Payers	State AZ	Address 1850 W RIO SALADO PKWY STE 211 Zip- 85281-5713 City- TEMPE
Payer Name CHC	Plan Name OSCAR HEALTH	Plan Type Other Payers	State AZ	Address PO BOX 52146 Zip- 85072-214 City- PHOENIX
Payer Name Centene	Plan Name HEALTHNET SONORQUEST	Plan Type Other Payers	State AZ	Address 630 N ALVERNON STE 120 Zip- 85711-1895 City- TUCSON
Payer Name AVESIS	Plan Name AVESIS	Plan Type Other Payers	State AZ	Address PO BOX 38300 Zip- 85069-830 City- PHOENIX
Payer Name CHC	Plan Name OSCAR HEALTH	Plan Type Other Payers	State AZ	Address PO BOX 62045 Zip- 85082 City- Phoenix
Payer Name CHC	Plan Name OSCAR HEALTH	Plan Type Other Payers	State AZ	Address PO BOX 62108 Zip- 85082 City- Phoenix
Payer Name CHC	Plan Name OSCAR HEALTH	Plan Type Other Payers	State AZ	Address PO BOX 62378 Zip- 85082 City- Phoenix
Payer Name CHC	Plan Name PALADIN - THM	Plan Type Other Payers	State AZ	Address PO BOX 67840 Zip- 85082 City- Phoenix
Payer Name Centene	Plan Name CATCHALL1	Plan Type Other Payers	State AZ	Address PO BOX 52136 Zip- 85072-2136 City- PHOENIX
Payer Name Centene	Plan Name HEALTHFIRST	Plan Type Other Payers	State AZ	Address PO BOX 52136 Zip- 85072-2136 City- PHOENIX
Payer Name Centene	Plan Name UMWA HEALTH AND RETIREMENT FUND	Plan Type Other Payers	State AZ	Address PO BOX 52136 Zip- 85072-2136 City- PHOENIX
Payer Name IMX INC	Plan Name IMX INC	Plan Type Other Payers	State AZ	Address PO BOX 22009 Zip- 85285-200 City- TEMPE
Payer Name MOUNTAIN STATES ADMIN	Plan Name MOUNTAIN STATES ADMIN	Plan Type Other Payers	State AZ	Address PO BOX 32709 Zip- 85751 City- TUCSON
Payer Name COMPUSYS	Plan Name COMPUSYS	Plan Type Other Payers	State AZ	Address 4725 N 19TH AVE SUITE 1 Zip- 85015 City- PHOENIX
Payer Name CITY OF MESA	Plan Name CITY OF MESA	Plan Type Other Payers	State AZ	Address 20 E MAIN STREET SUITE 600 Zip- 85201 City- MESA
Payer Name NEW MEXICO UFCW	Plan Name NEW MEXICO UFCW	Plan Type Other Payers	State AZ	Address PO BOX 42048 Zip- 85080 City- PHOENIX
Payer Name BANNER CHOICS PLUS	Plan Name BANNER CHOICS PLUS	Plan Type Other Payers	State AZ	Address PO BOX 16423 Zip- 85211 City- MESA
Payer Name CHC	Plan Name AETNA FL	Plan Type Other Payers	State AZ	Address PO BOX 63578 Zip- 85082-1925 City- Phoenix
Payer Name SUMMIT ADMINISTRATIVE SERVICE	Plan Name SUMMIT ADMINISTRATIVE SERVICE	Plan Type Other Payers	State AZ	Address 14646 N KIERLAND BLVD Zip- 85254 City- SCOTTSDALE
Payer Name Centene	Plan Name FIRST HEALTH NETWORK	Plan Type Other Payers	State AZ	Address 23048 N 15TH AVE Zip- 85027-1315 City- PHOENIX
Payer Name CHC	Plan Name AETNA NY	Plan Type Other Payers	State AZ	Address PO BOX 63848 Zip- 85082-4205 City- Phoenix
Payer Name STAR ADMINISTRATIVE SERVICES	Plan Name STAR ADMINISTRATIVE SERVICES	Plan Type Other Payers	State AZ	Address PO BOX 55270 Zip- 85078 City- PHOENIX
Payer Name CHC	Plan Name AETNA IL	Plan Type Other Payers	State AZ	Address PO BOX 66545 Zip- 85082-6545 City- Phoenix
Payer Name CHC	Plan Name AETNA KS	Plan Type Other Payers	State AZ	Address PO BOX 61838 Zip- 85082 City- Phoenix
Payer Name CHC	Plan Name AETNA KY	Plan Type Other Payers	State AZ	Address PO BOX 65195 Zip- 85082-5195 City- Phoenix
Payer Name CHC	Plan Name AETNA LA	Plan Type Other Payers	State AZ	Address PO BOX 61808 Zip- 85082-1808 City- Phoenix
Payer Name CHC	Plan Name CENCAL	Plan Type Other Payers	State AZ	Address PO BOX 29081 Zip- 85082 City- Phoenix
Payer Name CHC	Plan Name AETNA MCRP	Plan Type Other Payers	State AZ	Address PO BOX 60785 Zip- 85082 City- Phoenix
Payer Name CHC	Plan Name AETNA MD	Plan Type Other Payers	State AZ	Address PO BOX 61538 Zip- 85082-1538 City- Phoenix
Payer Name CHC	Plan Name AETNA MI	Plan Type Other Payers	State AZ	Address PO BOX 66215 Zip- 85082-1808 City- Phoenix
Payer Name CHC	Plan Name AETNA MMIC	Plan Type Other Payers	State AZ	Address PO BOX 64835 Zip- 85082-4835 City- Phoenix
Payer Name GALLAGHER BENEFITS	Plan Name GALLAGHER BENEFITS	Plan Type Other Payers	State AZ	Address PO BOX 23812 Zip- 85734 City- TUCSON
Payer Name CHC	Plan Name AETNA NJ	Plan Type Other Payers	State AZ	Address PO BOX 61925 Zip- 85082-1925 City- Phoenix
Payer Name CHC	Plan Name AETNA MCRP	Plan Type Other Payers	State AZ	Address PO BOX 52089 Zip- 85082 City- Phoenix
Payer Name CHC	Plan Name AETNA WV	Plan Type Other Payers	State AZ	Address PO BOX 67450 Zip- 85082-7450 City- Phoenix
Payer Name Centene	Plan Name FIRST HEALTH NETWORK	Plan Type Other Payers	State AZ	Address 15560 N FRANK LLOYD WRIGHT BLVD Zip- 85260-2091 City- SCOTTSDALE
Payer Name CHC	Plan Name AETNA OH	Plan Type Other Payers	State AZ	Address PO BOX 64205 Zip- 85082 City- Phoenix
Payer Name CHC	Plan Name AETNA PA	Plan Type Other Payers	State AZ	Address PO BOX 62198 Zip- 85082-2198 City- Phoenix
Payer Name CHC	Plan Name AETNA TXAR	Plan Type Other Payers	State AZ	Address PO BOX 60938 Zip- 85082 City- Phoenix
Payer Name CHC	Plan Name AETNA VA	Plan Type Other Payers	State AZ	Address PO BOX 63518 Zip- 85082 City- Phoenix
Payer Name PRINCIPAL MUTUAL	Plan Name PRINCIPAL MUTUAL	Plan Type Other Payers	State AZ	Address PO BOX 52115 Zip- 85072 City- PHOENIX
Payer Name Centene	Plan Name CANOPY HEALTH	Plan Type Other Payers	State CA	Address PO BOX 261760 Zip- 91426-1760 City- ENCINO
Payer Name DELTA DENTAL CALIFORNIA	Plan Name DELTA DENTAL CALIFORNIA	Plan Type Other Payers	State CA	Address PO BOX 997330 Zip- 95899-733 City- SACRAMENTO
Payer Name Centene	Plan Name HEALTHNET COMMERCIAL	Plan Type Other Payers	State CA	Address PO BOX 260890 Zip- 91426-0890 City- ENCINO
Payer Name CAPITOL ADMINISTRATORS	Plan Name CAPITOL ADMINISTRATORS	Plan Type Other Payers	State CA	Address PO BOX 2318 Zip- 95741 City- RANCHO CORDOVA
Payer Name Centene	Plan Name VALLEY PRESBYTERIAN HOSP	Plan Type Other Payers	State CA	Address PO BOX 260890 Zip- 91426-0890 City- ENCINO
Payer Name Centene	Plan Name HEALTHNET COMMERCIAL	Plan Type Other Payers	State CA	Address PO BOX 72710 Zip- 94612-8910 City- OAKLAND
Payer Name Centene	Plan Name CALVIVA HEALTH MCD	Plan Type Other Payers	State CA	Address PO BOX 10196 Zip- 91410-0196 City- VAN NUYS
Payer Name Centene	Plan Name HEALTHNET	Plan Type Other Payers	State CA	Address PO BOX 10196 Zip- 91410-0196 City- VAN NUYS
Payer Name Centene	Plan Name CALIFORNIA HEALTH AND WELLNESS	Plan Type Other Payers	State CA	Address PO BOX 989730 Zip- 95798-9730 City- WEST SACRAMENTO
Payer Name AMERICAN HEALTHCARE	Plan Name AMERICAN HEALTHCARE	Plan Type Other Payers	State CA	Address 3850 ATHERTON ROAD Zip- 95765 City- ROCKLIN
Payer Name CA FIELD IRONWORKERS	Plan Name CA FIELD IRONWORKERS	Plan Type Other Payers	State CA	Address 131 N EL MOLINO AVE STE 330 Zip- 91101-187 City- PASADENA
Payer Name Centene	Plan Name CALIFORNIA HOSPITAL	Plan Type Other Payers	State CA	Address PO BOX 260890 Zip- 91426-0890 City- ENCINO
Payer Name Centene	Plan Name HEALTHNET SENIORITY HVVMG	Plan Type Other Payers	State CA	Address PO BOX 1957 Zip- 92393-1957 City- VICTORVILLE
Payer Name Centene	Plan Name FIRST HEALTH NETWORK	Plan Type Other Payers	State CA	Address 1200 WILSHIRE BLVD FL 5 Zip- 90017-1906 City- LOS ANGELES
Payer Name Centene	Plan Name HERITAGE HEALTHNET QBCA	Plan Type Other Payers	State CA	Address PO BOX 1957 Zip- 92393-1957 City- VICTORVILLE
Payer Name Centene	Plan Name HEALTHNET SR HERITAGE QBCA	Plan Type Other Payers	State CA	Address PO BOX 1957 Zip- 92393-1957 City- VICTORVILLE
Payer Name Centene	Plan Name BTMG COMMERCIAL	Plan Type Other Payers	State CA	Address PO BOX 72710 Zip- 94612-8910 City- OAKLAND
Payer Name Centene	Plan Name HEALTHNET HERITAGE QBCA	Plan Type Other Payers	State CA	Address PO BOX 1957 Zip- 92393-1957 City- VICTORVILLE
Payer Name Centene	Plan Name HEALTHNET COVERED CA EX	Plan Type Other Payers	State CA	Address PO BOX 1957 Zip- 92393-1957 City- VICTORVILLE
Payer Name Centene	Plan Name CALIFORNIA CARE COMM H	Plan Type Other Payers	State CA	Address PO BOX 1957 Zip- 92393-1957 City- VICTORVILLE
Payer Name Centene	Plan Name HEALTHNET MEDI-CAL	Plan Type Other Payers	State CA	Address PO BOX 261760 Zip- 91426-1760 City- ENCINO
Payer Name DELTA HEALTH SYSTEMS	Plan Name DELTA HEALTH SYSTEMS	Plan Type Other Payers	State CA	Address PO BOX 80 Zip- 952013080 City- STOCKTON
Payer Name Centene	Plan Name HEALTHNET MEDICAL	Plan Type Other Payers	State CA	Address PO BOX 261760 Zip- 91426-1760 City- ENCINO
Payer Name Centene	Plan Name SEQUOIA HEALTH IPA INC	Plan Type Other Payers	State CA	Address PO BOX 261760 Zip- 91426-1760 City- ENCINO
Payer Name Centene	Plan Name HEALTHNET PROSPECT MEDICAL GROUP	Plan Type Other Payers	State CA	Address PO BOX 11466 Zip- 92711-1466 City- SANTA ANA
Payer Name Centene	Plan Name HEALTHNET MEDPRO MCR PT B	Plan Type Other Payers	State CA	Address PO BOX 261040 Zip- 91426-1040 City- ENCINO
Payer Name Centene	Plan Name CALOPTIMA-MEDICAID	Plan Type Other Payers	State CA	Address PO BOX 11466 Zip- 92711-1466 City- SANTA ANA
Payer Name Centene	Plan Name HEALTHNET COVERED CA HMO	Plan Type Other Payers	State CA	Address PO BOX 6906 Zip- 91729-6906 City- RANCHO CUCAMONGA
Payer Name BENEFIT AND RISK MANAGEMENT	Plan Name BENEFIT AND RISK MANAGEMENT	Plan Type Other Payers	State CA	Address PO BOX 2140 Zip- 95763 City- FOLSOM
Payer Name Centene	Plan Name BS 65 MEDPRO MCR PT B	Plan Type Other Payers	State CA	Address PO BOX 261760 Zip- 91426-1760 City- ENCINO
Payer Name Centene	Plan Name HEALTHNET	Plan Type Other Payers	State CA	Address PO BOX 371330 Zip- 91337-1330 City- RESEDA
Payer Name Centene	Plan Name BLUE CROSS BLUE SHIELD OF CA	Plan Type Other Payers	State CA	Address PO BOX 371330 Zip- 91337-1330 City- RESEDA
Payer Name CENTENE	Plan Name CENTENE	Plan Type Other Payers	State CA	Address PO BOX 10420 Zip- 91410-0420 City- VAN NUYS
Payer Name Centene	Plan Name ASCENSION COMPLETE MEDICARE	Plan Type Other Payers	State CA	Address PO BOX 10420 Zip- 91410-0420 City- VAN NUYS
Payer Name Centene	Plan Name AMBETTER OF TN	Plan Type Other Payers	State CA	Address PO BOX 277610 Zip- 95827-7610 City- SACRAMENTO
Payer Name Centene	Plan Name AMBETTER OF TENNESSEE	Plan Type Other Payers	State CA	Address PO BOX 10341 Zip- 91410-0341 City- VAN NUYS
Payer Name Centene	Plan Name HERITAGE REGAL MED GROUP	Plan Type Other Payers	State CA	Address PO BOX 371330 Zip- 91337-1330 City- RESEDA
Payer Name Centene	Plan Name UHC HMO PCAMG SCRIPPS	Plan Type Other Payers	State CA	Address PO BOX 6906 Zip- 91729-6906 City- RANCHO CUCAMONGA
Payer Name Centene	Plan Name REGAL MEDICAL GROUP	Plan Type Other Payers	State CA	Address PO BOX 371330 Zip- 91337-1330 City- RESEDA
Payer Name Centene	Plan Name MOLINA SR	Plan Type Other Payers	State CA	Address PO BOX 6906 Zip- 91729-6906 City- RANCHO CUCAMONGA
Payer Name Centene	Plan Name BS HMO PCAMG	Plan Type Other Payers	State CA	Address PO BOX 6906 Zip- 91729-6906 City- RANCHO CUCAMONGA
Payer Name Centene	Plan Name BRAND NEW DAY SANTE PT B	Plan Type Other Payers	State CA	Address PO BOX 261040 Zip- 91426-1040 City- ENCINO
Payer Name Centene	Plan Name SCAN HEALTH PLAN	Plan Type Other Payers	State CA	Address PO BOX 371330 Zip- 91337-1330 City- RESEDA
Payer Name Centene	Plan Name BLUE SHIELD SR 65 PLUS PCAMG	Plan Type Other Payers	State CA	Address PO BOX 6906 Zip- 91729-6906 City- RANCHO CUCAMONGA
Payer Name Centene	Plan Name BLUE SHIELD HMO SCRIPPS	Plan Type Other Payers	State CA	Address PO BOX 2079 Zip- 92038-2079 City- LA JOLLA
Payer Name Centene	Plan Name BS PROMISE SCRIPPS PHYSICIANS MED	Plan Type Other Payers	State CA	Address PO BOX 2079 Zip- 92038-2079 City- LA JOLLA
Payer Name Centene	Plan Name ALIGNMENT SR PCAMG	Plan Type Other Payers	State CA	Address PO BOX 6906 Zip- 91729-6906 City- RANCHO CUCAMONGA
Payer Name Centene	Plan Name SCAN SCRIPPS COASTAL MED GROUP	Plan Type Other Payers	State CA	Address PO BOX 2079 Zip- 92038-2079 City- LA JOLLA
Payer Name AVIAP	Plan Name AVIAP	Plan Type Other Payers	State CA	Address 5918 STONERIDGE MALL RD Zip- 94588 City- PLEASANTON
Payer Name Centene	Plan Name PREMIER CARE	Plan Type Other Payers	State CA	Address PO BOX 261040 Zip- 91426-1040 City- ENCINO
Payer Name BLUE SHIELD CALIFORNIA	Plan Name BLUE SHIELD CALIFORNIA	Plan Type Other Payers	State CA	Address 4203 TOWN CENTER BLVD Zip- 95762 City- EL DORADO H
Payer Name Centene	Plan Name UHC SCRIPPS COASTAL MEDICAL GROUP	Plan Type Other Payers	State CA	Address PO BOX 2079 Zip- 92038-2079 City- LA JOLLA
Payer Name Centene	Plan Name UNITEDHEALTH CARE HMO SCRIPPS COASTAL MG	Plan Type Other Payers	State CA	Address PO BOX 2079 Zip- 92038-2079 City- LA JOLLA
Payer Name Centene	Plan Name BRAND NEW DAY PROSPECT IPA	Plan Type Other Payers	State CA	Address PO BOX 11466 Zip- 92711-1466 City- SANTA ANA
Payer Name Centene	Plan Name CONIFER	Plan Type Other Payers	State CA	Address PO BOX 261040 Zip- 91426-1040 City- ENCINO
Payer Name Centene	Plan Name SCRIPPS HEALTHPLAN	Plan Type Other Payers	State CA	Address PO BOX 2079 Zip- 92038-2079 City- LA JOLLA
Payer Name Centene	Plan Name PROSPECT MEDICAL GROUP	Plan Type Other Payers	State CA	Address PO BOX 11466 Zip- 92711-1466 City- SANTA ANA
Payer Name Centene	Plan Name SANTE COMMUNITY PHYS MCR	Plan Type Other Payers	State CA	Address PO BOX 1507 Zip- 93716-1507 City- FRESNO
Payer Name CENTENE	Plan Name HEALTH NET CENTENE	Plan Type Other Payers	State CA	Address 1025 N BRAND BLVD STE 225 Zip- 91202-3641 City- GLENDALE
Payer Name BSC	Plan Name Blue Shield of California	Plan Type Other Payers	State CA	Address PO BOX 272650 Zip- 95927-2620 City- Chico
Payer Name Centene	Plan Name HEALTHNET	Plan Type Other Payers	State CA	Address PO BOX 10439 Zip- 91410-0439 City- VAN NUYS
Payer Name Centene	Plan Name HEALTHNET	Plan Type Other Payers	State CA	Address PO BOX 10406 Zip- 91410-0406 City- VAN NUYS
Payer Name Centene	Plan Name HEALTHNET MEDICAL	Plan Type Other Payers	State CA	Address FILE # 056527 Zip- 90074-6527 City- LOS ANGELES
Payer Name Centene	Plan Name HEALTHNET	Plan Type Other Payers	State CA	Address FILE # 056527 Zip- 90074-6527 City- LOS ANGELES
Payer Name Centene	Plan Name HEALTHNET	Plan Type Other Payers	State CA	Address 900 UNIVERSITY AVE Zip- 95825-6737 City- SACRAMENTO
Payer Name WESTERN GROWERS	Plan Name WESTERN GROWERS	Plan Type Other Payers	State CA	Address PO BOX 7240 Zip- 92658 City- NEWPORT BEA
Payer Name BSC	Plan Name Blue Shield of California	Plan Type Other Payers	State CA	Address PO BOX 272640 Zip- 95927-2640 City- Chico
Payer Name Centene	Plan Name HEALTHNET CENTENE	Plan Type Other Payers	State CA	Address 1025 N BRAND BLVD STE 225 Zip- 91202-3641 City- GLENDALE
Payer Name Centene	Plan Name HEALTHNET MEDI-CAL	Plan Type Other Payers	State CA	Address PO BOX 570590 Zip- 91357-0590 City- TARZANA
Payer Name BSC	Plan Name Blue Shield of California	Plan Type Other Payers	State CA	Address PO BOX 272857 Zip- 95927-2857 City- Chico
Payer Name BSC	Plan Name Blue Shield of California	Plan Type Other Payers	State CA	Address PO BOX 272630 Zip- 95927-2630 City- Chico
Payer Name Centene	Plan Name HEALTH CARE LA IPA	Plan Type Other Payers	State CA	Address PO BOX 570590 Zip- 91357-0590 City- TARZANA
Payer Name BSC	Plan Name Blue Shield of California	Plan Type Other Payers	State CA	Address PO BOX 272620 Zip- 95927-2620 City- Chico
Payer Name Centene	Plan Name HEALTH CARE LA	Plan Type Other Payers	State CA	Address PO BOX 570590 Zip- 91357-0590 City- TARZANA
Payer Name BSC	Plan Name Blue Shield of California	Plan Type Other Payers	State CA	Address PO BOX 272610 Zip- 95927-2610 City- Chico
Payer Name BSC	Plan Name Blue Shield of California	Plan Type Other Payers	State CA	Address PO BOX 272600 Zip- 95927-2600 City- Chico
Payer Name BSC	Plan Name Blue Shield of California	Plan Type Other Payers	State CA	Address PO BOX 272590 Zip- 95927-2590 City- Chico
Payer Name BSC	Plan Name Blue Shield of California	Plan Type Other Payers	State CA	Address PO BOX 272580 Zip- 95927-2580 City- Chico
Payer Name BSC	Plan Name Blue Shield of California	Plan Type Other Payers	State CA	Address PO BOX 272570 Zip- 95927-2570 City- Chico
Payer Name Centene	Plan Name HEALTHNET	Plan Type Other Payers	State CA	Address PO BOX 989736 Zip- 95798-9736 City- WEST SACRAMENTO
Payer Name BSC	Plan Name Blue Shield of California	Plan Type Other Payers	State CA	Address PO BOX 272859 Zip- 95927-2859 City- Chico
Payer Name Centene	Plan Name HEALTHNET COMMERCIAL	Plan Type Other Payers	State CA	Address PO BOX 70190 Zip- 94612-0190 City- OAKLAND
Payer Name Centene	Plan Name HEALTHNET OF CA REFUNDS	Plan Type Other Payers	State CA	Address FILE # 56527 Zip- 90074-6527 City- LOS ANGELES
Payer Name Centene	Plan Name HEALTHNET CMC SANTE PT B	Plan Type Other Payers	State CA	Address PO BOX 1507 Zip- 93716-1507 City- FRESNO
Payer Name Centene	Plan Name HEALTHNET MEDICAL	Plan Type Other Payers	State CA	Address PO BOX 989881 Zip- 95798-9881 City- WEST SACRAMENTO
Payer Name Centene	Plan Name IPA PAYOR MEDICARE	Plan Type Other Payers	State CA	Address PO BOX 70190 Zip- 94612-0190 City- OAKLAND
Payer Name Centene	Plan Name HEALTHNET HMO GTCIPA	Plan Type Other Payers	State CA	Address PO BOX 5059 Zip- 92052-5059 City- OCEANSIDE
Payer Name Centene	Plan Name HEALTHNET	Plan Type Other Payers	State CA	Address PO BOX 989881 Zip- 95798-9881 City- WEST SACRAMENTO
Payer Name Centene	Plan Name HEALTHNET MEDICAL	Plan Type Other Payers	State CA	Address PO BOX 989736 Zip- 95798-9736 City- WEST SACRAMENTO
Payer Name Centene	Plan Name HEALTHNET IMG IPA	Plan Type Other Payers	State CA	Address PO BOX 1560 Zip- 93302-1560 City- BAKERFIELD
Payer Name Centene	Plan Name HEALTHNET LA SALLE IPA	Plan Type Other Payers	State CA	Address 1600 CORPORATE CENTER DR SUITE 108 Zip- 91754-7626 City- MONTEREY PARK
Payer Name ZENITH ILWU PMA	Plan Name ZENITH ILWU PMA	Plan Type Other Payers	State CA	Address 580 CALIFORNIA ST 21ST FL Zip- 94104 City- SANFRANSICO
Payer Name Centene	Plan Name HEALTHNET SENIORITY PLUS HMO HEALTH NET SENIOR HM	Plan Type Other Payers	State CA	Address PO BOX 6426 Zip- 93160-6426 City- SANTA BARBARA
Payer Name BSC	Plan Name Blue Shield of California	Plan Type Other Payers	State CA	Address PO BOX 272861 Zip- 95927 City- Chico
Payer Name Centene	Plan Name HEALTHNET SR CHOICE	Plan Type Other Payers	State CA	Address 19111 TOWN CENTER DRIVE Zip- 92308-8989 City- APPLE VALLEY
Payer Name Centene	Plan Name HERITAGE HEALTHNET QBCA	Plan Type Other Payers	State CA	Address PO BOX 7014 Zip- 93539-7014 City- LANCASTER
Payer Name Centene	Plan Name MEDICAL HEALTHNET	Plan Type Other Payers	State CA	Address PO BOX 7014 Zip- 93539-7014 City- LANCASTER
Payer Name VISION SERVICE PLAN	Plan Name VISION SERVICE PLAN	Plan Type Other Payers	State CA	Address 3333 QUALITY DRIVE,MS323 Zip- 95670 City- RANCHO CORDOVA
Payer Name UFCW & EMPLOYERS BENEFIT TRUS	Plan Name UFCW & EMPLOYERS BENEFIT TRUS	Plan Type Other Payers	State CA	Address PO BOX 4100 Zip- 94524-410 City- CONCORD
Payer Name TRANSWESTERN INSURANCE ADMIN	Plan Name TRANSWESTERN INSURANCE ADMIN	Plan Type Other Payers	State CA	Address 955 N STREET Zip- 93721-221 City- FRESNO
Payer Name Centene	Plan Name PROSPECT MED GROUP	Plan Type Other Payers	State CA	Address PO BOX 11466 Zip- 92711-1466 City- SANTA ANA
Payer Name BSC	Plan Name Blue Shield of California	Plan Type Other Payers	State CA	Address PO BOX 8309 Zip- 95927 City- Chico
Payer Name BSC	Plan Name Blue Shield of California	Plan Type Other Payers	State CA	Address PO BOX 400 Zip- 95927 City- Chico
Payer Name BSC	Plan Name Blue Shield of California	Plan Type Other Payers	State CA	Address PO BOX 272560 Zip- 95927-2560 City- Chico
Payer Name BSC	Plan Name Blue Shield of California	Plan Type Other Payers	State CA	Address PO BOX 272550 Zip- 95927-2550 City- Chico
Payer Name BSC	Plan Name Blue Shield of California	Plan Type Other Payers	State CA	Address PO BOX 272540 Zip- 95927-2540 City- Chico
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross of CA	Plan Type Other Payers	State CA	Address PO BOX 4090 Zip- 91365 City- Woodlands Hill
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross of CA	Plan Type Other Payers	State CA	Address PO BOX 54159 Zip- 90054-0159 City- Los Angeles
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross of CA	Plan Type Other Payers	State CA	Address PO BOX 54139 Zip- 90054-0139 City- Los Angeles
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross of CA	Plan Type Other Payers	State CA	Address PO BOX 4386 Zip- 91365 City- Woodlands Hill
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross Blue Shield of CA - FSA	Plan Type Other Payers	State CA	Address PO BOX 4381 Zip- 91365 City- Woodlands Hill
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross of CA	Plan Type Other Payers	State CA	Address PO BOX 4310 Zip- 91365 City- Woodlands Hill
Payer Name First Health - First Health	Plan Name First Health - First Health	Plan Type Other Payers	State CA	Address PO BOX 3084 Zip- 95926 City- Birmingham
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross of CA	Plan Type Other Payers	State CA	Address PO BOX 4306 Zip- 91365 City- Woodlands Hill
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross of CA	Plan Type Other Payers	State CA	Address PO BOX 4109 Zip- 91365 City- Woodlands Hill
Payer Name HEALTHNET TRICARE NORTHERN RE	Plan Name HEALTHNET TRICARE NORTHERN RE	Plan Type Other Payers	State CA	Address PO BOX 870140 Zip- 29587-014 City- SURFSIDE BE
Payer Name BSC	Plan Name Blue Shield of California	Plan Type Other Payers	State CA	Address PO BOX 272530 Zip- 95927-2530 City- Chico
Payer Name KAISER OF CALIFORNIA	Plan Name KAISER OF CALIFORNIA	Plan Type Other Payers	State CA	Address PO BOX 7004 Zip- 09242-700 City- DOWNEY
Payer Name Centene	Plan Name WELLCARE OF CALIFORNIA INC	Plan Type Other Payers	State CA	Address 180 E OCEAN BLVD STE 700 Zip- 90802-4721 City- LONG BEACH
Payer Name Promise Health Plan	Plan Name Promise Health Plan	Plan Type Other Payers	State CA	Address PO BOX 272660 Zip- 95927-2640 City- Chico
Payer Name Promise Health Plan	Plan Name Promise Health Plan	Plan Type Other Payers	State CA	Address PO BOX 3829 Zip- 90640 City- MONTEBELLO
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross of CA	Plan Type Other Payers	State CA	Address PO BOX 4089 Zip- 91365 City- Woodlands Hill
Payer Name WESTERN HEALTH ADVANTAGE	Plan Name WESTERN HEALTH ADVANTAGE	Plan Type Other Payers	State CA	Address 2349 GATEWAY OAKS DR STE100 Zip- 95833 City- SACRAMENTO
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross of CA	Plan Type Other Payers	State CA	Address PO BOX 4083 Zip- 91365 City- Woodlands Hill
Payer Name PHARMAVAIL	Plan Name PHARMAVAIL	Plan Type Other Payers	State CA	Address 7815 N PALM AVE SUITE 400 Zip- 93711 City- FRESNO
Payer Name Centene	Plan Name FIRST HEALTH NETWORK	Plan Type Other Payers	State CA	Address 551 E SAN BERNARDINO RD Zip- 91723-1732 City- COVINA
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross of CA	Plan Type Other Payers	State CA	Address PO BOX 60007 Zip- 90060-0007 City- Los Angeles
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross of CA	Plan Type Other Payers	State CA	Address PO BOX 60099 Zip- 90060-0007 City- Los Angeles
Payer Name Elevance Health AKA Anthem	Plan Name Unicare State Indemnity Plan - Andover	Plan Type Other Payers	State CA	Address PO BOX 9016 Zip- 91365 City- Woodlands Hill
Payer Name Centene	Plan Name MES VISION HEALTHNET	Plan Type Other Payers	State CA	Address PO BOX 25209 Zip- 92799-5209 City- SANTA ANA
Payer Name BSC	Plan Name Blue Shield of California	Plan Type Other Payers	State CA	Address PO BOX 272520 Zip- 95927-2520 City- Chico
Payer Name BSC	Plan Name Blue Shield of California	Plan Type Other Payers	State CA	Address PO BOX 272510 Zip- 95927-2510 City- Chico
Payer Name BSC	Plan Name Blue Shield of California	Plan Type Other Payers	State CA	Address PO BOX 1505 Zip- 96080 City- Red Bluff
Payer Name PREMIER DENTAL	Plan Name PREMIER DENTAL	Plan Type Other Payers	State CA	Address PO BOX 659010 Zip- 95865-901 City- SACRAMENTO
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross Blue Shield of CO/NV	Plan Type Other Payers	State CO	Address PO BOX 26587 Zip- 80217-7549 City- Denver
Payer Name Centene	Plan Name PERSONICARE HEALTH NETWORK	Plan Type Other Payers	State CO	Address 9200 W CROSS DR STE 406 Zip- 80123-0759 City- LITTLETON
Payer Name BCBS COLORADO	Plan Name BCBS COLORADO	Plan Type Other Payers	State CO	Address 700 BROADWAY Zip- 80273 City- DENVER
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross Blue Shield of CO/NV	Plan Type Other Payers	State CO	Address PO BOX 173690 Zip- 80217-7549 City- Denver
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross Blue Shield of CO/NV	Plan Type Other Payers	State CO	Address PO BOX 17549 Zip- 80217-7549 City- Denver
Payer Name STATE FARM	Plan Name STATE FARM	Plan Type Other Payers	State CO	Address PO BOX 339403 Zip- 80633-940 City- GREELEY
Payer Name FISERV HEALTH BENESIGHT	Plan Name FISERV HEALTH BENESIGHT	Plan Type Other Payers	State CO	Address PO BOX 360 Zip- 81002 City- PUEBLO
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross Blue Shield of CO/NV	Plan Type Other Payers	State CO	Address PO BOX 17862 Zip- 80217-7549 City- Denver
Payer Name INTERCARE HEALTH PLANS	Plan Name INTERCARE HEALTH PLANS	Plan Type Other Payers	State CO	Address PO BOX 3559 Zip- 801553359 City- ENGLEWOOD
Payer Name SAN LUIS VALLEY HMO	Plan Name SAN LUIS VALLEY HMO	Plan Type Other Payers	State CO	Address 700 MAIN Zip- 811010000 City- ALAMOSA
Payer Name RX WEST	Plan Name RX WEST	Plan Type Other Payers	State CO	Address PO BOX 4517 Zip- 80155 City- ENGLEWOOD
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross Blue Shield of CO/NV	Plan Type Other Payers	State CO	Address PO BOX 173681 Zip- 80217-7549 City- Denver
Payer Name CHAMPVA	Plan Name CHAMPVA	Plan Type Other Payers	State CO	Address PO BOX 469064 Zip- 80246-906 City- DENVER
Payer Name DELTA DENTAL COLORADO	Plan Name DELTA DENTAL COLORADO	Plan Type Other Payers	State CO	Address PO BOX 173803 Zip- 802173803 City- DENVER
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross Blue Shield of CO/NV	Plan Type Other Payers	State CO	Address PO BOX 5747 Zip- 80217-7549 City- Denver
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross Blue Shield of CO/NV	Plan Type Other Payers	State CO	Address PO BOX 5425 Zip- 80217-7549 City- Denver
Payer Name STIRLING & STIRLING	Plan Name STIRLING & STIRLING	Plan Type Other Payers	State CT	Address 20 ARMORY LANE Zip- 06460 City- MILFORD
Payer Name SERVICE EMPLOYEES INT'L UNION	Plan Name SERVICE EMPLOYEES INT'L UNION	Plan Type Other Payers	State CT	Address PO BOX 231418 Zip- 06123-141 City- HARTFORD
Payer Name HARTFORD LIFE & ACCIDENT	Plan Name HARTFORD LIFE & ACCIDENT	Plan Type Other Payers	State CT	Address HARTFORD PLAZA Zip- 06115 City- HARTFORD
Payer Name AETNA	Plan Name AETNA	Plan Type Other Payers	State CT	Address 151 FARMINGTON AVE Zip- 06156 City- HARTFORD
Payer Name YALE HEALTH PLAN	Plan Name YALE HEALTH PLAN	Plan Type Other Payers	State CT	Address 55 LOCK STREET Zip- 65208237 City- NEW HAVEN
Payer Name CONNECTICUT PIPE TRADES	Plan Name CONNECTICUT PIPE TRADES	Plan Type Other Payers	State CT	Address 1155 SILAS DEANE HWY Zip- 06109 City- WETHERSFIELD
Payer Name MEDSPAN	Plan Name MEDSPAN	Plan Type Other Payers	State CT	Address PO BOX 340725 Zip- 06134 City- HARTFORD
Payer Name CONNECTICUT GENERAL LIFE	Plan Name CONNECTICUT GENERAL LIFE	Plan Type Other Payers	State CT	Address PO BOX 800 Zip- 06085 City- UNIONVILLE
Payer Name CONNECTICARE	Plan Name CONNECTICARE	Plan Type Other Payers	State CT	Address PO BOX 4050 Zip- 06034-405 City- FARMINGTON
Payer Name NEW ENGLAND HEALTHCARE	Plan Name NEW ENGLAND HEALTHCARE	Plan Type Other Payers	State CT	Address 77 HUYSHOPE AVENUE 2ND FL Zip- 61067000 City- HARTFORD
Payer Name ANTHEM BCBS CONNECTICUT	Plan Name ANTHEM BCBS CONNECTICUT	Plan Type Other Payers	State CT	Address PO BOX 1091 Zip- 64735191 City- NORTH HAVEN
Payer Name OPERATING ENGINEERS LOCAL 478	Plan Name OPERATING ENGINEERS LOCAL 478	Plan Type Other Payers	State CT	Address 1965 DIXWELL AVE Zip- 06514 City- HAMDEN
Payer Name CT CARPENTERS BENEFIT FUND	Plan Name CT CARPENTERS BENEFIT FUND	Plan Type Other Payers	State CT	Address 10 BROADWAY Zip- 06518 City- HAMDEN
Payer Name INSURANCE PROGRAMMERS	Plan Name INSURANCE PROGRAMMERS	Plan Type Other Payers	State CT	Address PO BOX 5817 Zip- 60492 City- WALLINGFORD
Payer Name DIVERSIFIED GROUP ADMIN	Plan Name DIVERSIFIED GROUP ADMIN	Plan Type Other Payers	State CT	Address PO BOX 299 Zip- 06447 City- MARLBOROUGH
Payer Name YALE HEALTH PLAN	Plan Name YALE HEALTH PLAN	Plan Type Other Payers	State CT	Address PO BOX 208207 Zip- 06520-821 City- NEW HAVEN
Payer Name BCBS DELAWARE FEDERAL EMPLOYE	Plan Name BCBS DELAWARE FEDERAL EMPLOYE	Plan Type Other Payers	State DE	Address PO BOX 1991 Zip- 198998814 City- WILMINGTON
Payer Name BC/BS OF DELAWARE	Plan Name BC/BS OF DELAWARE	Plan Type Other Payers	State DE	Address PO BOX 8830 Zip- 19899 City- WILMINGTON
Payer Name Centene	Plan Name CARE 1ST HEALTH PLAN AZ	Plan Type Other Payers	State FL	Address PO BOX 31224 Zip- 33631-3224 City- TAMPA
Payer Name FREEDOM HEALTH MEDICARE	Plan Name FREEDOM HEALTH MEDICARE	Plan Type Other Payers	State FL	Address PO BOX 151348 Zip- 33684 City- TAMPA
Payer Name OPTIMUM HEALTHCARE INC	Plan Name OPTIMUM HEALTHCARE INC	Plan Type Other Payers	State FL	Address PO BOX 151258 Zip- 33684 City- TAMPA
Payer Name OPTIMED HEALTH PLANS	Plan Name OPTIMED HEALTH PLANS	Plan Type Other Payers	State FL	Address 2500 N MILITARY TRAIL Zip- 33431 City- BOCA RATON
Payer Name CONTINENTAL BENEFITS	Plan Name CONTINENTAL BENEFITS	Plan Type Other Payers	State FL	Address PO BOX 3610 Zip- 33509-361 City- BRANDON
Payer Name Centene	Plan Name WELLCARE MEDICAID KENTUCKY	Plan Type Other Payers	State FL	Address PO BOX 31224 Zip- 33631-3224 City- TAMPA
Payer Name Centene	Plan Name WELLCARE MEDICAID	Plan Type Other Payers	State FL	Address PO BOX 31224 Zip- 33631-3224 City- TAMPA
Payer Name GMP EMPLOYEE RETIREE TRUST	Plan Name GMP EMPLOYEE RETIREE TRUST	Plan Type Other Payers	State FL	Address 5245 BIG PINE WAY SE Zip- 33907-599 City- FORT MYERS
Payer Name Centene	Plan Name WELLCARE MCR HMO	Plan Type Other Payers	State FL	Address PO BOX 31224 Zip- 33631-3224 City- TAMPA
Payer Name Centene	Plan Name WELLCARE MCR	Plan Type Other Payers	State FL	Address PO BOX 31224 Zip- 33631-3224 City- TAMPA
Payer Name Centene	Plan Name WELLCARE MCD HMO	Plan Type Other Payers	State FL	Address PO BOX 31224 Zip- 33631-3224 City- TAMPA
Payer Name Centene	Plan Name WELLCARE KY MCDMCR	Plan Type Other Payers	State FL	Address PO BOX 31224 Zip- 33631-3224 City- TAMPA
Payer Name Centene	Plan Name WELLCARE MCD	Plan Type Other Payers	State FL	Address PO BOX 31224 Zip- 33631-3224 City- TAMPA
Payer Name CENTENE	Plan Name CENTENE WELLCARE BY ALLWELL	Plan Type Other Payers	State FL	Address PO BOX 31224 Zip- 33631-3224 City- TAMPA
Payer Name Centene	Plan Name WELLCARE KY MCD	Plan Type Other Payers	State FL	Address PO BOX 31224 Zip- 33631-3224 City- TAMPA
Payer Name Centene	Plan Name WELLCARE MEDICARE ACUTE	Plan Type Other Payers	State FL	Address PO BOX 31224 Zip- 33631-3224 City- TAMPA
Payer Name Centene	Plan Name WELLCARE HEALTH PLANS INC	Plan Type Other Payers	State FL	Address PO BOX 31224 Zip- 33631-3224 City- TAMPA
Payer Name Centene	Plan Name MEDICAID OUT OF STATE	Plan Type Other Payers	State FL	Address PO BOX 31224 Zip- 33631-3224 City- TAMPA
Payer Name Centene	Plan Name MEDICAID CARE FIRST ARIZONA	Plan Type Other Payers	State FL	Address PO BOX 31224 Zip- 33631-3224 City- TAMPA
Payer Name Centene	Plan Name MDMC WELLCARE MEDICAID	Plan Type Other Payers	State FL	Address PO BOX 31224 Zip- 33631-3224 City- TAMPA
Payer Name HEALTH PLAN SERVICES	Plan Name HEALTH PLAN SERVICES	Plan Type Other Payers	State FL	Address 3501 EAST FRONTAGE ROAD Zip- 33607 City- TAMPA
Payer Name HEALTHFIRST NEW YORK	Plan Name HEALTHFIRST NEW YORK	Plan Type Other Payers	State FL	Address PO BOX 958438 Zip- 32795 City- LAKE MARY
Payer Name Centene	Plan Name MDMC WELLCARE MCA	Plan Type Other Payers	State FL	Address PO BOX 31224 Zip- 33631-3224 City- TAMPA
Payer Name Centene	Plan Name KY WELLCARE MEDICARE DUAL PLAN	Plan Type Other Payers	State FL	Address PO BOX 31224 Zip- 33631-3224 City- TAMPA
Payer Name Centene	Plan Name FISERV HEALTH	Plan Type Other Payers	State FL	Address PO BOX 31224 Zip- 33631-3224 City- TAMPA
Payer Name Centene	Plan Name AHCCCS CARE 1ST HEALTH PLAN AZ	Plan Type Other Payers	State FL	Address PO BOX 31224 Zip- 33631-3224 City- TAMPA
Payer Name Centene	Plan Name WELLCARE MEDICARE	Plan Type Other Payers	State FL	Address PO BOX 31224 Zip- 33631-3224 City- TAMPA
Payer Name Centene	Plan Name SUNSHINE STATE HEALTH PLAN	Plan Type Other Payers	State FL	Address PO BOX 459089 Zip- 33345-9089 City- Fort Lauderdale
Payer Name FLORIDA HEALTH CARE PLAN, INC	Plan Name FLORIDA HEALTH CARE PLAN, INC	Plan Type Other Payers	State FL	Address PO BOX 9910 Zip- 32120 City- DAYTONA BEACH
Payer Name Centene	Plan Name WELLCARE MCR HMO	Plan Type Other Payers	State FL	Address PO BOX 31368 Zip- 33631-3368 City- TAMPA
Payer Name Centene	Plan Name WELLCARE HEALTH INSURANCE OF NC	Plan Type Other Payers	State FL	Address PO BOX 31368 Zip- 33631-3368 City- TAMPA
Payer Name Centene	Plan Name WELLCARE HEALTH PLAN INC	Plan Type Other Payers	State FL	Address PO BOX 31368 Zip- 33631-3368 City- TAMPA
Payer Name Centene	Plan Name WELLCARE HEALTH PLANS OF KY	Plan Type Other Payers	State FL	Address PO BOX 31368 Zip- 33631-3368 City- TAMPA
Payer Name USAA INSURANCE	Plan Name USAA INSURANCE	Plan Type Other Payers	State FL	Address PO BOX 12750 Zip- 32591 City- PENSACOLA
Payer Name Centene	Plan Name WELLCARE MCD HMO	Plan Type Other Payers	State FL	Address PO BOX 31368 Zip- 33631-3368 City- TAMPA
Payer Name Centene	Plan Name WELLCARE MCR	Plan Type Other Payers	State FL	Address PO BOX 31368 Zip- 33631-3368 City- TAMPA
Payer Name Centene	Plan Name WELLCARE MEDICARE	Plan Type Other Payers	State FL	Address PO BOX 31368 Zip- 33631-3368 City- TAMPA
Payer Name Centene	Plan Name STAYWELL	Plan Type Other Payers	State FL	Address PO BOX 31368 Zip- 33631-3368 City- TAMPA
Payer Name Centene	Plan Name WELLCARE MCR	Plan Type Other Payers	State FL	Address 8735 HENDERSON RD Zip- 33634-1143 City- TAMPA
Payer Name Centene	Plan Name AMERICAN NATIONAL	Plan Type Other Payers	State FL	Address 8735 HENDERSON RD Zip- 33634-1143 City- TAMPA
Payer Name Centene	Plan Name WELLCARE MEDICARE ACUTE	Plan Type Other Payers	State FL	Address PO BOX 31368 Zip- 33631-3368 City- TAMPA
Payer Name Centene	Plan Name WELLCARE OF GA OP	Plan Type Other Payers	State FL	Address PO BOX 31368 Zip- 33631-3368 City- TAMPA
Payer Name Centene	Plan Name WELLCARE OF KY ACUTE	Plan Type Other Payers	State FL	Address PO BOX 31368 Zip- 33631-3368 City- TAMPA
Payer Name Centene	Plan Name WELLCARE OP	Plan Type Other Payers	State FL	Address PO BOX 31368 Zip- 33631-3368 City- TAMPA
Payer Name Centene	Plan Name SUPERIOR ALLWELL MA	Plan Type Other Payers	State FL	Address PO BOX 31368 Zip- 33631-3368 City- TAMPA
Payer Name Centene	Plan Name OPTUM	Plan Type Other Payers	State FL	Address PO BOX 31368 Zip- 33631-3368 City- TAMPA
Payer Name FLORIDA COMBINED LIFE	Plan Name FLORIDA COMBINED LIFE	Plan Type Other Payers	State FL	Address 4800 DEERWOOD CAMPUS PKWAY Zip- 32246 City- JACKSONVILL
Payer Name Centene	Plan Name WELLCARE OF KENTUCKY	Plan Type Other Payers	State FL	Address PO BOX 31224 Zip- 33631-3224 City- TAMPA
Payer Name Centene	Plan Name WELLCARE MEDICARE DUAL QFGA	Plan Type Other Payers	State FL	Address PO BOX 31224 Zip- 33631-3224 City- TAMPA
Payer Name Centene	Plan Name ALLWELL BY WELLCARE QFAR	Plan Type Other Payers	State FL	Address PO BOX 459089 Zip- 33345-9089 City- Fort Lauderdale
Payer Name Centene	Plan Name WELLCARE NORTH CAROLINA	Plan Type Other Payers	State FL	Address PO BOX 31224 Zip- 33631-3224 City- TAMPA
Payer Name Centene	Plan Name WELLCARE OF GA	Plan Type Other Payers	State FL	Address PO BOX 31224 Zip- 33631-3224 City- TAMPA
Payer Name Centene	Plan Name WELLCARE OF GA QTKY	Plan Type Other Payers	State FL	Address PO BOX 31224 Zip- 33631-3224 City- TAMPA
Payer Name Centene	Plan Name WELLCARE OF GEORGIA INC	Plan Type Other Payers	State FL	Address PO BOX 31224 Zip- 33631-3224 City- TAMPA
Payer Name Centene	Plan Name WELLCARE OF KY	Plan Type Other Payers	State FL	Address PO BOX 31224 Zip- 33631-3224 City- TAMPA
Payer Name Centene	Plan Name MEDICARE WELLCARE	Plan Type Other Payers	State FL	Address PO BOX 31368 Zip- 33631-3368 City- TAMPA
Payer Name Centene	Plan Name WELLCARE OF KY ACUTE	Plan Type Other Payers	State FL	Address PO BOX 31224 Zip- 33631-3224 City- TAMPA
Payer Name Centene	Plan Name WELLCARE OF NC	Plan Type Other Payers	State FL	Address PO BOX 31224 Zip- 33631-3224 City- TAMPA
Payer Name Centene	Plan Name WELLCARE OF NC QMNC	Plan Type Other Payers	State FL	Address PO BOX 31224 Zip- 33631-3224 City- TAMPA
Payer Name Centene	Plan Name WELLCARE QRKY	Plan Type Other Payers	State FL	Address PO BOX 31224 Zip- 33631-3224 City- TAMPA
Payer Name Centene	Plan Name ALLWELL	Plan Type Other Payers	State FL	Address PO BOX 31368 Zip- 33631-3368 City- TAMPA
Payer Name Centene	Plan Name MEDICAID WELLCARE	Plan Type Other Payers	State FL	Address PO BOX 31368 Zip- 33631-3368 City- TAMPA
Payer Name Centene	Plan Name WELLCARE OF KY	Plan Type Other Payers	State FL	Address PO BOX 31368 Zip- 33631-3368 City- TAMPA
Payer Name Centene	Plan Name WELLCARE OF MISSISSI	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name CHC	Plan Name AvMed	Plan Type Other Payers	State FL	Address PO BOX 981611 Zip- 33156 City- Miami
Payer Name Centene	Plan Name WELLCARE MEDICARE HEALTH PLAN	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name WELLCARE MCR HMO	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name WELLCARE MED ADV	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name WELLCARE MEDICAID	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name WELLCARE MEDICAID KENTUCKY	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name WELLCARE MEDICARE	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name WELLCARE MEDICARE ADVANTAGE	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name WELLCARE MEDICARE PPO	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name WELLCARE MCD HMO	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name WELLCARE MEDICARE QTKY	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name WELLCARE MGG	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name WELLCARE OF CALIFORNIA	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name WELLCARE OF GA	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name WELLCARE OF KY	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name WELLCARE OF KY ACUTE	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name WELLCARE MCR	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name WELLCARE MC	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name WELLCARE OF TEXAS INC	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name WELLCARE HEALTH INSUR NC QMNC	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name BC/BS OF FLORIDA	Plan Name BC/BS OF FLORIDA	Plan Type Other Payers	State FL	Address PO BOX 1798 Zip- 32231 City- JACKSONVILL
Payer Name CENTENE	Plan Name WELLCARE CENTENE HEALTH PLANS MA	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name WELLCARE EDGE PLUS	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name WELLCARE GIVEBACK	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name WELLCARE HEALTH	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name WELLCARE HEALTH INSUR NC	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name AV-MED	Plan Name AV-MED	Plan Type Other Payers	State FL	Address 9400 SOUTH DADELAND BLVD Zip- 33156 City- MIAMI
Payer Name Centene	Plan Name WELLCARE HMO-COMMERCIAL	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name WELLCARE HEALTH INSURANCE	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name WELLCARE HEALTH PLAN	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name WELLCARE HEALTH PLAN ENCOUNTER	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name WELLCARE HEALTH PLAN MEDICARE	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name WELLCARE HEALTH PLAN OF FLORIDA	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name WELLCARE HEALTH PLANS	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name AMERICAN HERITAGE LIFE	Plan Name AMERICAN HERITAGE LIFE	Plan Type Other Payers	State FL	Address PO BOX 43067 Zip- 32203-306 City- JACKSONVILL
Payer Name Centene	Plan Name WELLCARE OF TX MCARE	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name WELLACARE OF GA	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name WELLCARE OF KENTUCKY	Plan Type Other Payers	State FL	Address PO BOX 31394 Zip- 33631-3394 City- TAMPA
Payer Name Centene	Plan Name SUNSHINE STATE HEALTH PLAN	Plan Type Other Payers	State FL	Address 1301 INTERNATIONAL PKWY STE 400 Zip- 33323-2874 City- SUNRISE
Payer Name Centene	Plan Name WELLCARE	Plan Type Other Payers	State FL	Address PO BOX 1368 Zip- 33601 City- TAMPA
Payer Name Centene	Plan Name WELLCARE	Plan Type Other Payers	State FL	Address PO BOX 16457 Zip- 33766 City- CLEARWATER
Payer Name Centene	Plan Name WELLCARE	Plan Type Other Payers	State FL	Address PO BOX 31320 Zip- 33631-3320 City- TAMPA
Payer Name Centene	Plan Name WELLCARE	Plan Type Other Payers	State FL	Address PO BOX 31394 Zip- 33631-3394 City- TAMPA
Payer Name Centene	Plan Name WELLCARE MEDICARE	Plan Type Other Payers	State FL	Address PO BOX 31394 Zip- 33631-3394 City- TAMPA
Payer Name Centene	Plan Name WELLLCARE HEALTHS PLANS	Plan Type Other Payers	State FL	Address PO BOX 31394 Zip- 33631-3394 City- TAMPA
Payer Name Centene	Plan Name WELLCARE OF KY	Plan Type Other Payers	State FL	Address PO BOX 31426 Zip- 33631-3426 City- TAMPA
Payer Name Centene	Plan Name WELLCARE	Plan Type Other Payers	State FL	Address PO BOX 31658 Zip- 33631-3658 City- TAMPA
Payer Name Centene	Plan Name WELLCARE HEALTH PLANS INC	Plan Type Other Payers	State FL	Address PO BOX 31246 Zip- 33631-3246 City- TAMPA
Payer Name Centene	Plan Name WELLCARE HMO	Plan Type Other Payers	State FL	Address PO BOX 25885 Zip- 33622-5885 City- TAMPA
Payer Name Centene	Plan Name WELLCARE PPO	Plan Type Other Payers	State FL	Address PO BOX 25885 Zip- 33622-5885 City- TAMPA
Payer Name Centene	Plan Name WELLCARE KY MCD	Plan Type Other Payers	State FL	Address PO BOX 31244 Zip- 33631-3244 City- TAMPA
Payer Name Centene	Plan Name WELLCARE MCR	Plan Type Other Payers	State FL	Address PO BOX 31367 Zip- 33631-3367 City- TAMPA
Payer Name Centene	Plan Name SUNSHINE HEALTHCARE	Plan Type Other Payers	State FL	Address PO BOX 459086 Zip- 33345-9086 City- SUNRISE
Payer Name Centene	Plan Name WELLCARE MEDICARE ACUTE	Plan Type Other Payers	State FL	Address PO BOX 31426 Zip- 33631-3426 City- TAMPA
Payer Name Centene	Plan Name WELLCARE OF TX MCARE HMO	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name WINDSOR MEDICARE MA NON PAR	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name WELLCARE OP	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name CARE 1ST HEALTH PLAN ARIZONA	Plan Type Other Payers	State FL	Address PO BOX 31370 Zip- 33631-3370 City- TAMPA
Payer Name Centene	Plan Name WELLCARE PREMIER PPO	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name WELLCARE PSY QGIL	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name WELLCARE TEXANPLUS MCR	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name WELLCARE-MCR HMO	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name COORDINATED BENEFIT PLANS	Plan Type Other Payers	State FL	Address PO BOX 23802 Zip- 33623-3802 City- TAMPA
Payer Name Centene	Plan Name WELLCARE HEALTH PLAN	Plan Type Other Payers	State FL	Address PO BOX 31426 Zip- 33631-3426 City- TAMPA
Payer Name Centene	Plan Name UBA	Plan Type Other Payers	State FL	Address PO BOX 23802 Zip- 33623-3802 City- TAMPA
Payer Name Centene	Plan Name FIRST HEALTH NETWORK	Plan Type Other Payers	State FL	Address PO BOX 5190 Zip- 33675-5190 City- TAMPA
Payer Name Centene	Plan Name MAGELLAN COMPLETE CARE OF FLORIDA	Plan Type Other Payers	State FL	Address 8300 NW 33RD ST Zip- 33122-1944 City- DORAL
Payer Name Centene	Plan Name MEDICAID	Plan Type Other Payers	State FL	Address PO BOX 459086 Zip- 33345-9086 City- Fort Lauderdale
Payer Name Centene	Plan Name MISC COMMERCIAL HEALTH PLAN	Plan Type Other Payers	State FL	Address PO BOX 459086 Zip- 33345-9086 City- Fort Lauderdale
Payer Name Centene	Plan Name MEDICARE WELLCARE HEALTH PLANS	Plan Type Other Payers	State FL	Address PO BOX 31426 Zip- 33631-3426 City- TAMPA
Payer Name Centene	Plan Name WELLCARE	Plan Type Other Payers	State FL	Address PO BOX 31426 Zip- 33631-3426 City- TAMPA
Payer Name Centene	Plan Name WELLCARE	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name WELLCARE PPO	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name TEXAN PLUS MCR	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name WELLCARE HEALTH INSURANCE	Plan Type Other Payers	State FL	Address PO BOX 31370 Zip- 33631-3370 City- TAMPA
Payer Name Centene	Plan Name WELLCARE OF KENTUCKY	Plan Type Other Payers	State FL	Address PO BOX 31370 Zip- 33631-3370 City- TAMPA
Payer Name Centene	Plan Name WELLCARE OF GA OP	Plan Type Other Payers	State FL	Address PO BOX 31370 Zip- 33631-3370 City- TAMPA
Payer Name Centene	Plan Name WELLCARE OF FLORIDA	Plan Type Other Payers	State FL	Address PO BOX 31370 Zip- 33631-3370 City- TAMPA
Payer Name Centene	Plan Name WELLCARE MEDICARE ACUTE	Plan Type Other Payers	State FL	Address PO BOX 31370 Zip- 33631-3370 City- TAMPA
Payer Name Centene	Plan Name WELLCARE MEDICARE	Plan Type Other Payers	State FL	Address PO BOX 31370 Zip- 33631-3370 City- TAMPA
Payer Name Centene	Plan Name WELLCARE MEDICAID	Plan Type Other Payers	State FL	Address PO BOX 31370 Zip- 33631-3370 City- TAMPA
Payer Name Centene	Plan Name WELLCARE MED ADV	Plan Type Other Payers	State FL	Address PO BOX 31370 Zip- 33631-3370 City- TAMPA
Payer Name Centene	Plan Name WELLCARE MED	Plan Type Other Payers	State FL	Address PO BOX 31370 Zip- 33631-3370 City- TAMPA
Payer Name Centene	Plan Name WELLCARE MCR HMO	Plan Type Other Payers	State FL	Address PO BOX 31370 Zip- 33631-3370 City- TAMPA
Payer Name Centene	Plan Name WELLCARE LIBERTY	Plan Type Other Payers	State FL	Address PO BOX 31370 Zip- 33631-3370 City- TAMPA
Payer Name Centene	Plan Name WELLCARE HEALTH PLANS	Plan Type Other Payers	State FL	Address PO BOX 31370 Zip- 33631-3370 City- TAMPA
Payer Name Centene	Plan Name STAYWELL HEALTH PLAN	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name WELLCARE DUAL LIBERTY	Plan Type Other Payers	State FL	Address PO BOX 31370 Zip- 33631-3370 City- TAMPA
Payer Name Centene	Plan Name WELLCARE OF OKLAHOMA	Plan Type Other Payers	State FL	Address PO BOX 31370 Zip- 33631-3370 City- TAMPA
Payer Name Centene	Plan Name WELLCARE DUAL ACCESS MEDICARE	Plan Type Other Payers	State FL	Address PO BOX 31370 Zip- 33631-3370 City- TAMPA
Payer Name Centene	Plan Name WELLCARE DUAL ACCESS MCR PRO	Plan Type Other Payers	State FL	Address PO BOX 31370 Zip- 33631-3370 City- TAMPA
Payer Name Centene	Plan Name WELLCARE DUAL ACCESS	Plan Type Other Payers	State FL	Address PO BOX 31370 Zip- 33631-3370 City- TAMPA
Payer Name Centene	Plan Name WELLCARE CLAIMS	Plan Type Other Payers	State FL	Address PO BOX 31370 Zip- 33631-3370 City- TAMPA
Payer Name Centene	Plan Name WELLCARE CHOICE	Plan Type Other Payers	State FL	Address PO BOX 31370 Zip- 33631-3370 City- TAMPA
Payer Name Centene	Plan Name WELLCARE CALIFORNIA	Plan Type Other Payers	State FL	Address PO BOX 31370 Zip- 33631-3370 City- TAMPA
Payer Name Centene	Plan Name WELLCARE BY HEALTHNET	Plan Type Other Payers	State FL	Address PO BOX 31370 Zip- 33631-3370 City- TAMPA
Payer Name Centene	Plan Name WELLCARE	Plan Type Other Payers	State FL	Address PO BOX 31370 Zip- 33631-3370 City- TAMPA
Payer Name Centene	Plan Name SELECT CARE	Plan Type Other Payers	State FL	Address PO BOX 31370 Zip- 33631-3370 City- TAMPA
Payer Name Centene	Plan Name MISC MEDICARE ADVANTAGE	Plan Type Other Payers	State FL	Address PO BOX 31370 Zip- 33631-3370 City- TAMPA
Payer Name Centene	Plan Name MEDICARE WELLCARE HEALTH PLANS	Plan Type Other Payers	State FL	Address PO BOX 31370 Zip- 33631-3370 City- TAMPA
Payer Name Centene	Plan Name HARMONY HEALTH PLAN INC	Plan Type Other Payers	State FL	Address PO BOX 31370 Zip- 33631-3370 City- TAMPA
Payer Name Centene	Plan Name WELLCARE OF KY ACUTE	Plan Type Other Payers	State FL	Address PO BOX 31370 Zip- 33631-3370 City- TAMPA
Payer Name INDEPENDENT LIFE/ACCD	Plan Name INDEPENDENT LIFE/ACCD	Plan Type Other Payers	State FL	Address 1 INDEPENDENT DR Zip- 32276 City- JACKSONVILLE
Payer Name Centene	Plan Name WELLCARE OP	Plan Type Other Payers	State FL	Address PO BOX 31370 Zip- 33631-3370 City- TAMPA
Payer Name Centene	Plan Name MEDICAID OOS FL M46	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name MISC MEDICARE ADVANTAGE	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name MISC MEDICARE SUPPLEMENT	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name MISC COMMERCIAL HEALTH PLAN	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name MEDICARE WELLCARE HEALTH PLANS	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name OHANA HEALTH PLAN	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name OHANA QUEST QEXA	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name OHANA WELLCARE MCR	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name OTHER INSURANCE	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name CHILDREN MED SVCS FL	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name QHANA QUEST QEXA	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name MEDICAID OOS FL T06	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name MEDICARE SUNSHINE STATE HEALTH PLAN WELLCARE	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name MANAGED CARE	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name MEDICAID OF FLORIDA	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name HUMANA MEDICAID KENTUCKY	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name DEVOTED HLTH PLAN OF FL INC	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name HARMONY MEDICARE	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Centene	Plan Name HARMONY HEALTH PLAN	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross Blue Shield of Georgia	Plan Type Other Payers	State GA	Address PO BOX 105568 Zip- 30348 City- Atlanta
Payer Name Centene	Plan Name BANKERS FIDELITY QMNV	Plan Type Other Payers	State GA	Address PO BOX 105652 Zip- 30348-5652 City- ATLANTA
Payer Name Centene	Plan Name BANKERS LIFE AND CASUALTY	Plan Type Other Payers	State GA	Address PO BOX 105652 Zip- 30348-5652 City- ATLANTA
Payer Name Centene	Plan Name BANKERS LIFE CASUALTY MEDICAR	Plan Type Other Payers	State GA	Address PO BOX 105652 Zip- 30348-5652 City- ATLANTA
Payer Name Centene	Plan Name BANKERS LIFE MEDICARE SUPPLEMENT	Plan Type Other Payers	State GA	Address PO BOX 105652 Zip- 30348-5652 City- ATLANTA
Payer Name BCBS GEORGIA FEP	Plan Name BCBS GEORGIA FEP	Plan Type Other Payers	State GA	Address PO BOX 7037 Zip- 31908-703 City- COLUMBUS
Payer Name Centene	Plan Name BFLIC	Plan Type Other Payers	State GA	Address PO BOX 105652 Zip- 30348-5652 City- ATLANTA
Payer Name SECURE HLTH PLAN GA	Plan Name SECURE HLTH PLAN GA	Plan Type Other Payers	State GA	Address PO BOX 13477 Zip- 31208-344 City- MACON
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross Blue Shield of Georgia	Plan Type Other Payers	State GA	Address PO BOX 105662 Zip- 30348 City- Atlanta
Payer Name PROCARE RX	Plan Name PROCARE RX	Plan Type Other Payers	State GA	Address 1267 PROFESSIONAL PARKWAY Zip- 30507 City- GAINESVILLE
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross Blue Shield of Georgia	Plan Type Other Payers	State GA	Address PO BOX 105557 Zip- 30348 City- Atlanta
Payer Name BCBS GEORGIA	Plan Name BCBS GEORGIA	Plan Type Other Payers	State GA	Address PO BOX 9907 Zip- 31908 City- COLUMBUS
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross Blue Shield of Georgia	Plan Type Other Payers	State GA	Address PO BOX 105449 Zip- 30348 City- Atlanta
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross Blue Shield of Georgia	Plan Type Other Payers	State GA	Address PO BOX 105370 Zip- 30348 City- Atlanta
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross Blue Shield of Georgia	Plan Type Other Payers	State GA	Address PO BOX 105187 Zip- 30348 City- Atlanta
Payer Name GROUP RESOURCES INC	Plan Name GROUP RESOURCES INC	Plan Type Other Payers	State GA	Address 3080 PREMIERE PKWY STE 100 Zip- 30097-490 City- DULUTH
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross Blue Shield of Georgia	Plan Type Other Payers	State GA	Address PO BOX 105148 Zip- 30348 City- Atlanta
Payer Name Centene	Plan Name AMBETTER HEALTH	Plan Type Other Payers	State GA	Address 1100 CIRCLE 75 PKWY Zip- 30339-3064 City- ATLANTA
Payer Name CORE MANAGEMENT SERVICES	Plan Name CORE MANAGEMENT SERVICES	Plan Type Other Payers	State GA	Address 515 MULBERRY ST SUITE 300 Zip- 31201 City- MACON
Payer Name PARAGON BENEFITS	Plan Name PARAGON BENEFITS	Plan Type Other Payers	State GA	Address PO BOX 12288 Zip- 31917 City- COLUMBUS
Payer Name United Healthcare-M&R	Plan Name UnitedHealthcare Medicare & Retirement Plan	Plan Type Other Payers	State GA	Address PO BOX 740819 Zip- 30374-0819 City- Atlanta
Payer Name United Healthcare-M&R	Plan Name UnitedHealthcare Medicare & Retirement Plan	Plan Type Other Payers	State GA	Address PO BOX 740818 Zip- 30374 City- Atlanta
Payer Name United Healthcare-M&R	Plan Name UnitedHealthcare Medicare & Retirement Plan	Plan Type Other Payers	State GA	Address PO BOX 740807 Zip- 30374 City- Atlanta
Payer Name United Healthcare	Plan Name Medica FSA/HRA	Plan Type Other Payers	State GA	Address PO BOX 740377 Zip- 30374 City- Atlanta
Payer Name United Healthcare	Plan Name Medica	Plan Type Other Payers	State GA	Address PO BOX 740110 Zip- 30374-0110 City- Atlanta
Payer Name Centene	Plan Name BANKERS FIDELITY SUPPLEMENT	Plan Type Other Payers	State GA	Address PO BOX 105652 Zip- 30348-5652 City- ATLANTA
Payer Name Centene	Plan Name MAGELLAN	Plan Type Other Payers	State GA	Address PO BOX 247 Zip- 30009-0247 City- ALPHARETTA
Payer Name Centene	Plan Name BANKERS LIFE AND CASUALTY	Plan Type Other Payers	State GA	Address PO BOX 105185 Zip- 30348-5185 City- ATLANTA
Payer Name Centene	Plan Name BANKERS FIDELITY MEDICARE SUPP	Plan Type Other Payers	State GA	Address PO BOX 105652 Zip- 30348-5652 City- ATLANTA
Payer Name Centene	Plan Name FIRST HEALTH NETWORK	Plan Type Other Payers	State GA	Address PO BOX 247 Zip- 30009-0247 City- ALPHARETTA
Payer Name DENTEGRA INSURANCE COMPANY	Plan Name DENTEGRA INSURANCE COMPANY	Plan Type Other Payers	State GA	Address PO BOX 1850 Zip- 30023-185 City- ALPHARETTA
Payer Name AFLAC	Plan Name AFLAC	Plan Type Other Payers	State GA	Address 1932 WYNNTON ROAD Zip- 319997251 City- COLUMBUS
Payer Name Centene	Plan Name BANKERS FIDELITY LIFE INS CO	Plan Type Other Payers	State GA	Address PO BOX 105652 Zip- 30348-5652 City- ATLANTA
Payer Name Centene	Plan Name BANKERS FIDELITY	Plan Type Other Payers	State GA	Address PO BOX 105652 Zip- 30348-5652 City- ATLANTA
Payer Name Centene	Plan Name BANKERS FIDELITY	Plan Type Other Payers	State GA	Address PO BOX 10562 Zip- 30310-0562 City- ATLANTA
Payer Name Centene	Plan Name BANKERS LIFE MEDICARE SUPP	Plan Type Other Payers	State GA	Address PO BOX 105185 Zip- 30348-5185 City- ATLANTA
Payer Name Centene	Plan Name BANKERS FIDELITY LIFE INS	Plan Type Other Payers	State GA	Address PO BOX 105185 Zip- 30348-5185 City- ATLANTA
Payer Name ALTERNATIVE BENEFITS INC	Plan Name ALTERNATIVE BENEFITS INC	Plan Type Other Payers	State GA	Address 3295 RIVER EXCHANGE DRIVE Zip- 30092 City- NORCROSS
Payer Name Centene	Plan Name BANKERS FIDELITY	Plan Type Other Payers	State GA	Address PO BOX 105185 Zip- 30348-5185 City- ATLANTA
Payer Name HAWAII WESTERN MANAGEMENT	Plan Name HAWAII WESTERN MANAGEMENT	Plan Type Other Payers	State HI	Address 737 BISHOP STREET STE 1200 Zip- 96813 City- HONOLULU
Payer Name UHA HAWAII	Plan Name UHA HAWAII	Plan Type Other Payers	State HI	Address 700 BISHOP ST SUITE 300 Zip- 96813 City- HONOLULU
Payer Name BCHI FEDERAL EMPLOYEES	Plan Name BCHI FEDERAL EMPLOYEES	Plan Type Other Payers	State HI	Address PO BOX 1346 Zip- 968071346 City- HONOLULU
Payer Name HMSA HAWAII	Plan Name HMSA HAWAII	Plan Type Other Payers	State HI	Address PO BOX 860 Zip- 96808 City- HONOLULU
Payer Name BCBS ILLINOIS	Plan Name BCBS ILLINOIS	Plan Type Other Payers	State IA	Address PO BOX 2905 Zip- 52733-270 City- CLINTON
Payer Name CORESOURCE	Plan Name CORESOURCE	Plan Type Other Payers	State IA	Address PO BOX 2920 Zip- 52733 City- CLINTON
Payer Name COVENTRY HEALTHCARE IOWA	Plan Name COVENTRY HEALTHCARE IOWA	Plan Type Other Payers	State IA	Address 4320 114TH STREET Zip- 50322 City- URBANDALE
Payer Name DELTA DENTAL IOWA	Plan Name DELTA DENTAL IOWA	Plan Type Other Payers	State IA	Address PO BOX 9000 Zip- 50131-900 City- JOHNSTON
Payer Name ADMINISTRATIVE SOLUTIONS	Plan Name ADMINISTRATIVE SOLUTIONS	Plan Type Other Payers	State IA	Address PO BOX 410 Zip- 52101 City- DECORAH
Payer Name AMERICAN ADMINISTRAT	Plan Name AMERICAN ADMINISTRAT	Plan Type Other Payers	State IA	Address PO BOX 65887 Zip- 50265 City- WEST DES MO
Payer Name Centene	Plan Name MEDICAID IOWA	Plan Type Other Payers	State IA	Address PO BOX 150001 Zip- 50315-0501 City- DES MOINES
Payer Name SHEET METAL WORKERS LOCAL 263	Plan Name SHEET METAL WORKERS LOCAL 263	Plan Type Other Payers	State IA	Address 150 FIRST AVE SUITE 450 Zip- 52401 City- CEDAR RAPID
Payer Name Centene	Plan Name UNIVERSITY OF IOWA	Plan Type Other Payers	State IA	Address 200 HAWKINS DR Zip- 52242-1009 City- IOWA CITY
Payer Name MIDWEST GROUP BENEFITS	Plan Name MIDWEST GROUP BENEFITS	Plan Type Other Payers	State IA	Address PO BOX 408 Zip- 52101 City- DECORAH
Payer Name WELLMARK BCBS IOWA	Plan Name WELLMARK BCBS IOWA	Plan Type Other Payers	State IA	Address PO BOX 9291 Zip- 50306 City- DES MOINES
Payer Name EMPLOYEE BNFT SYS	Plan Name EMPLOYEE BNFT SYS	Plan Type Other Payers	State IA	Address PO BOX 1053 Zip- 52601 City- BURLINGTON
Payer Name TRUSTMARK	Plan Name TRUSTMARK	Plan Type Other Payers	State IA	Address PO BOX 2942 Zip- 52733-294 City- CLINTON
Payer Name Centene	Plan Name IOWA TOTAL CARE	Plan Type Other Payers	State IA	Address 1080 JORDAN CREEK PKWY STE 100S Zip- 50266-6011 City- WEST DES MOINES
Payer Name TRANSAMERICA LIFE INSURANCE	Plan Name TRANSAMERICA LIFE INSURANCE	Plan Type Other Payers	State IA	Address 4333 EDGEWOOD DR NE 3350 Zip- 524990002 City- CEDAR RAPID
Payer Name IUPAT DISTRICT COUNCIL 81	Plan Name IUPAT DISTRICT COUNCIL 81	Plan Type Other Payers	State IA	Address 150 1ST AVE NE #450 Zip- 52401 City- CEDAR RAPID
Payer Name MARSH ADVANTAGE	Plan Name MARSH ADVANTAGE	Plan Type Other Payers	State IA	Address PO BOX 10374 Zip- 503068809 City- DES MOINES
Payer Name Centene	Plan Name IOWA MEDICAID	Plan Type Other Payers	State IA	Address PO BOX 150001 Zip- 50315-0501 City- DES MOINES
Payer Name Centene	Plan Name IOWA MUNICIPALITIES WORKERS CO	Plan Type Other Payers	State IA	Address 500 SW 7TH ST STE 101 Zip- 50309-4506 City- DES MOINES
Payer Name Centene	Plan Name IMWCA	Plan Type Other Payers	State IA	Address 500 SW 7TH ST STE 101 Zip- 50309-4506 City- DES MOINES
Payer Name MEDICAL ASSOCIATES HEALTH PLA	Plan Name MEDICAL ASSOCIATES HEALTH PLA	Plan Type Other Payers	State IA	Address 1605 ASSOCIATES DR STE 101 Zip- 52002 City- DUBUQUE
Payer Name AUXIANT	Plan Name AUXIANT	Plan Type Other Payers	State IA	Address PO BOX 75008 Zip- 52407 City- CEDAR RAPID
Payer Name Centene	Plan Name FIRST HEALTH NETWORK	Plan Type Other Payers	State IA	Address PO BOX 3190 Zip- 52004-3190 City- DUBUQUE
Payer Name SISCO	Plan Name SISCO	Plan Type Other Payers	State IA	Address PO BOX 389 Zip- 520040389 City- DUBUQUE
Payer Name DELTA DENTAL IDAHO	Plan Name DELTA DENTAL IDAHO	Plan Type Other Payers	State ID	Address PO BOX 2870 Zip- 83701 City- BOISE
Payer Name REGENCE BCBS IDAHO	Plan Name REGENCE BCBS IDAHO	Plan Type Other Payers	State ID	Address PO BOX 7408 Zip- 83707 City- BOISE
Payer Name AMERIBEN SOLUTIONS	Plan Name AMERIBEN SOLUTIONS	Plan Type Other Payers	State ID	Address PO BOX 7186 Zip- 83707 City- BOISE
Payer Name BCBS UTAH FEP	Plan Name BCBS UTAH FEP	Plan Type Other Payers	State ID	Address PO BOX 1106 Zip- 83501 City- LEWISTON
Payer Name MS ADMINISTRATIVE SERVICES	Plan Name MS ADMINISTRATIVE SERVICES	Plan Type Other Payers	State ID	Address PO BOX 45073 Zip- 83711-507 City- BOISE
Payer Name BCBS IDAHO FEP	Plan Name BCBS IDAHO FEP	Plan Type Other Payers	State ID	Address 3000 E PINE AVE Zip- 83642-233 City- MERIDIAN
Payer Name LABORERS LOCAL 231	Plan Name LABORERS LOCAL 231	Plan Type Other Payers	State IL	Address 2503 BROADWAY Zip- 61554 City- PERKIN
Payer Name IOUE LOCAL 399	Plan Name IOUE LOCAL 399	Plan Type Other Payers	State IL	Address 2260 SOUTH GROVE STREET Zip- 60616 City- CHICAGO
Payer Name INSURANCE SYSTEMS INC	Plan Name INSURANCE SYSTEMS INC	Plan Type Other Payers	State IL	Address PO BOX 3428 Zip- 60522 City- OAK BROOK
Payer Name MIDWEST OPERATING ENGINEERS	Plan Name MIDWEST OPERATING ENGINEERS	Plan Type Other Payers	State IL	Address 6150 W JOLIET ROAD Zip- 60525 City- COUNTRYSIDE
Payer Name NECA IBEW WELFARE TRUST FUND	Plan Name NECA IBEW WELFARE TRUST FUND	Plan Type Other Payers	State IL	Address 2120 HUBBARD AVENUE Zip- 62526 City- DECATUR
Payer Name LINECO	Plan Name LINECO	Plan Type Other Payers	State IL	Address 2000 SPRINGER DRIVE Zip- 60148 City- LOMBARD
Payer Name IRON WRKERS TRI-STATE FUND	Plan Name IRON WRKERS TRI-STATE FUND	Plan Type Other Payers	State IL	Address 18861 90TH AVENUE STE A Zip- 60448 City- MOKENA
Payer Name Centene	Plan Name WELLCARE MGD	Plan Type Other Payers	State IL	Address 3303 SOLUTIONS CTR DEPT 4007 Zip- 60677-3303 City- CHICAGO
Payer Name MIDWEST OPERATING ENGINEERS	Plan Name MIDWEST OPERATING ENGINEERS	Plan Type Other Payers	State IL	Address 6150 JOLIET ROAD Zip- 60525 City- COUNTRYSIDE
Payer Name NECA IBEW LOCAL 176	Plan Name NECA IBEW LOCAL 176	Plan Type Other Payers	State IL	Address 1100 NE FRONTAGE ROAD Zip- 60431 City- JOLIET
Payer Name NECA IBEW LOCAL 145	Plan Name NECA IBEW LOCAL 145	Plan Type Other Payers	State IL	Address 1700 52ND AVENUE SUITE B Zip- 61265 City- MOLINE
Payer Name Centene	Plan Name WELLCARE PRO	Plan Type Other Payers	State IL	Address PO BOX 838 Zip- 60056-0838 City- MOUNT PROSPECT
Payer Name LOCAL 25 SEIU WELFARE FUND	Plan Name LOCAL 25 SEIU WELFARE FUND	Plan Type Other Payers	State IL	Address 111 E WACKER DR 25TH FLR Zip- 60601 City- CHICAGO
Payer Name Centene	Plan Name BANKERS LIFE AND CASUALTY COMPANY	Plan Type Other Payers	State IL	Address 222 MERCHANDISE MART PLAZA Zip- 60654-1103 City- CHICAGO
Payer Name NORTH CENTRAL IL LABORERS	Plan Name NORTH CENTRAL IL LABORERS	Plan Type Other Payers	State IL	Address 4208 W PARTRIDGE WAY UNIT 3 Zip- 61615 City- PEORIA
Payer Name TEAM LOCAL 786	Plan Name TEAM LOCAL 786	Plan Type Other Payers	State IL	Address 1300 W HIGGINS STE 208 Zip- 60068 City- PARK RIDGE
Payer Name ZENITH AMERICAN SOLUTIONS INC	Plan Name ZENITH AMERICAN SOLUTIONS INC	Plan Type Other Payers	State IL	Address 18861 90TH AVE STE A Zip- 60448 City- MOKENA
Payer Name ZENITH ADMINISTRATORS	Plan Name ZENITH ADMINISTRATORS	Plan Type Other Payers	State IL	Address 18861 90TH AVENUE,SUITE A Zip- 60448 City- MOKENA
Payer Name ZENITH ADMINISTRATORS	Plan Name ZENITH ADMINISTRATORS	Plan Type Other Payers	State IL	Address 18861 90TH AVENUE SUITE A Zip- 60448 City- MOKENA
Payer Name ZENITH ADMINISTRATORS	Plan Name ZENITH ADMINISTRATORS	Plan Type Other Payers	State IL	Address 1100 NE FRONTAGE RD Zip- 60431 City- JOLIET
Payer Name Centene	Plan Name HEALTH NETWORK	Plan Type Other Payers	State IL	Address 1420 KENSINGTON RD Zip- 60523-2143 City- OAK BROOK
Payer Name Centene	Plan Name HEALTHNET	Plan Type Other Payers	State IL	Address 25026 W PETITE AVE Zip- 60002-8227 City- ANTIOCH
Payer Name UNITE HERE HEALTH	Plan Name UNITE HERE HEALTH	Plan Type Other Payers	State IL	Address PO BOX 6020 Zip- 60598-002 City- AURORA
Payer Name UFCW-MIDWEST	Plan Name UFCW-MIDWEST	Plan Type Other Payers	State IL	Address 18867 90TH AVE SUITE A Zip- 60448 City- MOKENA
Payer Name TUCKPOINTERS LOCAL 52	Plan Name TUCKPOINTERS LOCAL 52	Plan Type Other Payers	State IL	Address 660 INDUSTRIAL DR STE 101 Zip- 60126 City- ELMHURST
Payer Name TEAMSTERS LOCAL 734	Plan Name TEAMSTERS LOCAL 734	Plan Type Other Payers	State IL	Address 6643 N NORTHWEST HIGHWAY Zip- 60631 City- CHICAGO
Payer Name TEAMSTERS LOCAL 727 MSTD	Plan Name TEAMSTERS LOCAL 727 MSTD	Plan Type Other Payers	State IL	Address 1300 WHIGGINS RD SUITE103 Zip- 60068 City- PARK RIDGE
Payer Name TEAMSTAER LOCAL 710	Plan Name TEAMSTAER LOCAL 710	Plan Type Other Payers	State IL	Address 9000 W 187TH STREET 2ND FL Zip- 60448 City- MOKENA
Payer Name SUBURBAN TEAMSTERS NORTHERN I	Plan Name SUBURBAN TEAMSTERS NORTHERN I	Plan Type Other Payers	State IL	Address 1171 COMMERCE DRIVE Zip- 60185 City- W CHICAGO
Payer Name PAINTERS DISTRICT COUCIL #30	Plan Name PAINTERS DISTRICT COUCIL #30	Plan Type Other Payers	State IL	Address 1905 SEQUOIA DR SUITE 203 Zip- 60506 City- AURORA
Payer Name SPRINKLER FITTERS LOCAL 281	Plan Name SPRINKLER FITTERS LOCAL 281	Plan Type Other Payers	State IL	Address 11900 SOUTH LARAMIE AVENUE Zip- 60803 City- ALSIP
Payer Name SHREVEPORT ELECTRICAL HLTH	Plan Name SHREVEPORT ELECTRICAL HLTH	Plan Type Other Payers	State IL	Address PO BOX 1449 Zip- 37070-144 City- GOODLETTSVI
Payer Name Centene	Plan Name BANKERS LIFE AND CASUALTY QVIL	Plan Type Other Payers	State IL	Address PO BOX 1935 Zip- 60690-1935 City- CHICAGO
Payer Name SHEET METAL WORKERS LOCAL 91	Plan Name SHEET METAL WORKERS LOCAL 91	Plan Type Other Payers	State IL	Address 8124 42ND STREET WEST Zip- 61201 City- ROCK ISLAND
Payer Name SHEET METAL WORKERS LOCAL 73	Plan Name SHEET METAL WORKERS LOCAL 73	Plan Type Other Payers	State IL	Address 4530 ROOSEVELT ROAD Zip- 60162 City- HILLSIDE
Payer Name SHEET METAL WORKERS LOCAL 265	Plan Name SHEET METAL WORKERS LOCAL 265	Plan Type Other Payers	State IL	Address 205 ALEXANDRA WAY Zip- 60188 City- CAROL STREAM
Payer Name ROOFERS UNION LOCAL 11	Plan Name ROOFERS UNION LOCAL 11	Plan Type Other Payers	State IL	Address 2021 SWIFT DRIVE, SUITE B Zip- 60523 City- OAK BROOK
Payer Name PROFESSIONAL BENEFIT ADMINIST	Plan Name PROFESSIONAL BENEFIT ADMINIST	Plan Type Other Payers	State IL	Address PO BOX 4687 Zip- 605224687 City- OAK BROOK
Payer Name PLUMBERS LOCAL 25	Plan Name PLUMBERS LOCAL 25	Plan Type Other Payers	State IL	Address 4600 46TH AVENUE Zip- 61201 City- ROCK ISLAND
Payer Name PLUMBERS LOCAL 130, UA	Plan Name PLUMBERS LOCAL 130, UA	Plan Type Other Payers	State IL	Address 1340 W WASHINGTON BLVD Zip- 60607 City- CHICAGO
Payer Name PLUMBERS & PIPEFITTERS 247	Plan Name PLUMBERS & PIPEFITTERS 247	Plan Type Other Payers	State IL	Address 1520 KESINGTON RD STE 200 Zip- 60622 City- OAK BROOK
Payer Name PIPE FITTERS LOCAL 597 HEALTH	Plan Name PIPE FITTERS LOCAL 597 HEALTH	Plan Type Other Payers	State IL	Address 45 NORTH OGDEN AVENUE Zip- 60607 City- CHICAGO
Payer Name PEKIN LIFE INSURANCE CO	Plan Name PEKIN LIFE INSURANCE CO	Plan Type Other Payers	State IL	Address 2505 COURT STREET Zip- 61558 City- PEKIN
Payer Name TEAMSTERS LOCAL 781 HEALTH	Plan Name TEAMSTERS LOCAL 781 HEALTH	Plan Type Other Payers	State IL	Address 747 CHURCH ROAD BUILDING D Zip- 60126 City- ELMHURST
Payer Name Centene	Plan Name ZURICH SERVICES CORP	Plan Type Other Payers	State IL	Address PO BOX 4040 Zip- 60168-4040 City- SCHAUMBURG
Payer Name IBT LOCAL 705 HEALTH	Plan Name IBT LOCAL 705 HEALTH	Plan Type Other Payers	State IL	Address 1645 W JACKSON BLVD STE 700 Zip- 60612 City- CHICAGO
Payer Name CELTIC INSURANCE COMPANY	Plan Name CELTIC INSURANCE COMPANY	Plan Type Other Payers	State IL	Address 200 SOUTH WACKER DRIVE Zip- 606565802 City- CHICAGO
Payer Name ALLIED BENEFIT SYSTEMS	Plan Name ALLIED BENEFIT SYSTEMS	Plan Type Other Payers	State IL	Address PO BOX 909786-606090 Zip- 60690 City- CHICAGO
Payer Name ALLIED SERVICES DIVISION	Plan Name ALLIED SERVICES DIVISION	Plan Type Other Payers	State IL	Address 53 WEST SEEGERS ROAD Zip- 60005 City- ARLINGTON HEIGHTS
Payer Name ALLSTATE	Plan Name ALLSTATE	Plan Type Other Payers	State IL	Address 2775 SANDERS RD Zip- 60062-612 City- NORTHBROOK
Payer Name ANTHEM BCBS	Plan Name ANTHEM BCBS	Plan Type Other Payers	State IL	Address 300 E RANDOLPH STEET Zip- 60601 City- CHICAGO
Payer Name ARCHITECTURAL IRON WRKRS LC 6	Plan Name ARCHITECTURAL IRON WRKRS LC 6	Plan Type Other Payers	State IL	Address 2525 W LEXINGSTON AVE Zip- 60155 City- BROADVIEW
Payer Name BCBS ILLINOIS	Plan Name BCBS ILLINOIS	Plan Type Other Payers	State IL	Address 1000 BURR RIDGE PKWY Zip- 60527-004 City- BURR RIDGE
Payer Name BCBS ILLINOIS	Plan Name BCBS ILLINOIS	Plan Type Other Payers	State IL	Address 1211 W 22ND ST STE 406 Zip- 60523 City- OAK BROOK
Payer Name BCBS ILLINOIS	Plan Name BCBS ILLINOIS	Plan Type Other Payers	State IL	Address 1640 W VAN BUREN Zip- 60612 City- CHICAGO
Payer Name BCBS ILLINOIS	Plan Name BCBS ILLINOIS	Plan Type Other Payers	State IL	Address 18861 90TH AVE SUITE A Zip- 60448 City- MOKENA
Payer Name BCBS ILLINOIS	Plan Name BCBS ILLINOIS	Plan Type Other Payers	State IL	Address 2371 BOWES ROAD SUITE 500 Zip- 60123 City- ELGIN
Payer Name BCBS ILLINOIS	Plan Name BCBS ILLINOIS	Plan Type Other Payers	State IL	Address PO BOX 805107 Zip- 60680-4112 City- Chicago
Payer Name HEALTH ALLIANCE	Plan Name HEALTH ALLIANCE	Plan Type Other Payers	State IL	Address 301 S VINE ST Zip- 61801 City- URBANA
Payer Name BEER INDUSTRY LOCAL 703	Plan Name BEER INDUSTRY LOCAL 703	Plan Type Other Payers	State IL	Address 300 S ASHLAND AVE STE 201 Zip- 60607 City- CHICAGO
Payer Name GUARANTEE TRUST LIFE	Plan Name GUARANTEE TRUST LIFE	Plan Type Other Payers	State IL	Address PO BOX 1144 Zip- 60025 City- GLENVIEW
Payer Name CENTRAL IL CARPENTERS	Plan Name CENTRAL IL CARPENTERS	Plan Type Other Payers	State IL	Address 200 S MADIGAN DRIVE Zip- 62656 City- LINCOLN
Payer Name HEAT & FROST LOCAL 17	Plan Name HEAT & FROST LOCAL 17	Plan Type Other Payers	State IL	Address 18520 SPRING CREEK DRIVE Zip- 60477 City- TINLEY PARK
Payer Name CHRISTIAN BROTHERS SERVICES	Plan Name CHRISTIAN BROTHERS SERVICES	Plan Type Other Payers	State IL	Address 1205 WINDHAM PARKWAY Zip- 60446 City- ROMEOVILLE
Payer Name EAST CENTRAL IL PIPE TRADES	Plan Name EAST CENTRAL IL PIPE TRADES	Plan Type Other Payers	State IL	Address 9045 EAST 59TH ST 1ST FLR Zip- 46216 City- INDIANAPOLI
Payer Name DOMINION DENTAL SVCS	Plan Name DOMINION DENTAL SVCS	Plan Type Other Payers	State IL	Address PO BOX 1126 Zip- 60009 City- ELK GROVE V
Payer Name DENTAL NETWORK OF AMERICA	Plan Name DENTAL NETWORK OF AMERICA	Plan Type Other Payers	State IL	Address PO BOX 23060 Zip- 62223 City- BELLEVILLE
Payer Name DELTA DENTAL ILLINOIS	Plan Name DELTA DENTAL ILLINOIS	Plan Type Other Payers	State IL	Address PO BOX 5402 Zip- 60532 City- LISLE
Payer Name COUNTRY LIFE INSURANCE	Plan Name COUNTRY LIFE INSURANCE	Plan Type Other Payers	State IL	Address PO BOX 2000 Zip- 617022000 City- BLOOMINGTON
Payer Name CONSOCIATE GROUP	Plan Name CONSOCIATE GROUP	Plan Type Other Payers	State IL	Address PO BOX 1068 Zip- 62525 City- DECATUR
Payer Name CHICAGO TRUCK DRIVERS WELFARE	Plan Name CHICAGO TRUCK DRIVERS WELFARE	Plan Type Other Payers	State IL	Address 6648 S NARRAGANSETT Zip- 60638 City- BEDFORD PARK
Payer Name CENTRAL LABORERS	Plan Name CENTRAL LABORERS	Plan Type Other Payers	State IL	Address 201 NORTH MAIN STREET Zip- 62650 City- JACKSONVILLE
Payer Name CHICAGO REGIONAL COUNCIL	Plan Name CHICAGO REGIONAL COUNCIL	Plan Type Other Payers	State IL	Address 12 E ERIE STREET Zip- 60611 City- CHICAGO
Payer Name CHICAGO LABORERS	Plan Name CHICAGO LABORERS	Plan Type Other Payers	State IL	Address 11465 CERMAK ROAD Zip- 60154 City- WESTCHESTER
Payer Name CHICAGO AREA LOCAL 703	Plan Name CHICAGO AREA LOCAL 703	Plan Type Other Payers	State IL	Address 1333 BUTTERFIELD ROAD Zip- 60515 City- DOWNERS GROVE
Payer Name GOLDEN RULE	Plan Name GOLDEN RULE	Plan Type Other Payers	State IL	Address 712 11TH ST Zip- 624392316 City- LAWRENCEVILLE
Payer Name CENTRAL STATES HEALTH	Plan Name CENTRAL STATES HEALTH	Plan Type Other Payers	State IL	Address PO BOX 5116 Zip- 60017 City- DES PLAINES
Payer Name CENTRAL STATES BENEFIT FUNDS	Plan Name CENTRAL STATES BENEFIT FUNDS	Plan Type Other Payers	State IL	Address 8647 W HIGGINS ROAD Zip- 60631 City- CHICAGO
Payer Name ADMIN DISTRICT COUNCIL WELFAR	Plan Name ADMIN DISTRICT COUNCIL WELFAR	Plan Type Other Payers	State IL	Address 660 N INDUSTRIAL DR STE 100 Zip- 60126 City- ELMHURST
Payer Name HEALTH ALLIANCE	Plan Name HEALTH ALLIANCE	Plan Type Other Payers	State IL	Address PO BOX 6003 Zip- 61803 City- URBANA
Payer Name HOUSING BENEFITS PLAN	Plan Name HOUSING BENEFITS PLAN	Plan Type Other Payers	State IL	Address 900 JORIE BLVD SUITE 250 Zip- 60523 City- OAK BROOK
Payer Name IBEW LOCAL 701	Plan Name IBEW LOCAL 701	Plan Type Other Payers	State IL	Address 28600 BELLA VISTA PARKWAY Zip- 60555 City- WARRENVILLE
Payer Name Elevance Health AKA Anthem	Plan Name Unicare	Plan Type Other Payers	State IL	Address PO BOX 4456 Zip- 60680-4458 City- Chicago
Payer Name HOTEL & RESTAURANT EMPLOYEES	Plan Name HOTEL & RESTAURANT EMPLOYEES	Plan Type Other Payers	State IL	Address PO BOX 6680 Zip- 605980020 City- AURORA
Payer Name Elevance Health AKA Anthem	Plan Name Unicare	Plan Type Other Payers	State IL	Address PO BOX 4458 Zip- 60680-4458 City- Chicago
Payer Name Elevance Health AKA Anthem	Plan Name Unicare	Plan Type Other Payers	State IL	Address PO BOX 4450 Zip- 60680-4458 City- Chicago
Payer Name Centene	Plan Name COLONIAL PENN LIFE INS COMPANY	Plan Type Other Payers	State IN	Address PO BOX 1935 Zip- 46082-1935 City- CARMEL
Payer Name Centene	Plan Name BANKERS LIFE QBTX	Plan Type Other Payers	State IN	Address PO BOX 1935 Zip- 46082-1935 City- CARMEL
Payer Name PHP NORTHERN INDIANA	Plan Name PHP NORTHERN INDIANA	Plan Type Other Payers	State IN	Address PO BOX 2359 Zip- 46801-235 City- FORT WAYNE
Payer Name Centene	Plan Name BANKERS LIFE CASUALITY CO	Plan Type Other Payers	State IN	Address PO BOX 1935 Zip- 46082-1935 City- CARMEL
Payer Name Centene	Plan Name CELTIC INDIV HLTH PHCS	Plan Type Other Payers	State IN	Address PO BOX 33839 Zip- 46203-0839 City- INDIANAPOLIS
Payer Name Centene	Plan Name BANKERS FIDELITY MEDICARE SUPP	Plan Type Other Payers	State IN	Address PO BOX 1935 Zip- 46082-1935 City- CARMEL
Payer Name Centene	Plan Name BANKERS UNITED LIFE	Plan Type Other Payers	State IN	Address PO BOX 1935 Zip- 46082-1935 City- CARMEL
Payer Name Centene	Plan Name BANKERS LIFE QRKY	Plan Type Other Payers	State IN	Address PO BOX 1935 Zip- 46082-1935 City- CARMEL
Payer Name BANKERS LIFE	Plan Name BANKERS LIFE	Plan Type Other Payers	State IN	Address PO BOX 1935 Zip- 46082-193 City- CARMEL
Payer Name Centene	Plan Name BANKERS LIFE MEDICARE SUPPLEMENT	Plan Type Other Payers	State IN	Address PO BOX 1935 Zip- 46082-1935 City- CARMEL
Payer Name EMPLOYEE PLANS LLC	Plan Name EMPLOYEE PLANS LLC	Plan Type Other Payers	State IN	Address PO BOX 2362 Zip- 468012362 City- FT WAYNE
Payer Name Centene	Plan Name BANKERS LIFE MEDICARE	Plan Type Other Payers	State IN	Address PO BOX 1935 Zip- 46082-1935 City- CARMEL
Payer Name Centene	Plan Name COLONIAL PENN LIFE INSURANCE CO	Plan Type Other Payers	State IN	Address PO BOX 1935 Zip- 46082-1935 City- CARMEL
Payer Name Centene	Plan Name FIRST HEALTH NETWORK	Plan Type Other Payers	State IN	Address PO BOX 10 Zip- 46064-0010 City- PENDLETON
Payer Name Centene	Plan Name BANKERS LIFE CASUALTY	Plan Type Other Payers	State IN	Address PO BOX 1935 Zip- 46082-1935 City- CARMEL
Payer Name Centene	Plan Name BANKERS LIFE COLONIAL PENN LIFE INSURANCE	Plan Type Other Payers	State IN	Address PO BOX 1935 Zip- 46082-1935 City- CARMEL
Payer Name DELTA DENTAL MI	Plan Name DELTA DENTAL MI	Plan Type Other Payers	State IN	Address PO BOX 17250 Zip- 46217 City- INDIANAPOLI
Payer Name UNIFIED GROUP SERVICES	Plan Name UNIFIED GROUP SERVICES	Plan Type Other Payers	State IN	Address PO BOX 10 Zip- 460640010 City- PENDLETON
Payer Name Centene	Plan Name COLONIAL PENN MEDICARE SUPPLE	Plan Type Other Payers	State IN	Address PO BOX 1935 Zip- 46082-1935 City- CARMEL
Payer Name Centene	Plan Name BANKERS	Plan Type Other Payers	State IN	Address PO BOX 1934 Zip- 46082-1934 City- CARMEL
Payer Name Centene	Plan Name ST ANTHONY HEALTH NETWORK	Plan Type Other Payers	State IN	Address 7905 CALUMET AVE STE 1 Zip- 46321-2439 City- MUNSTER
Payer Name SIHO TPA	Plan Name SIHO TPA	Plan Type Other Payers	State IN	Address PO BOX 1787 Zip- 472021487 City- COLUMBUS
Payer Name Centene	Plan Name BANKERS FIDELITY LIFE	Plan Type Other Payers	State IN	Address PO BOX 1935 Zip- 46082-1935 City- CARMEL
Payer Name Centene	Plan Name BANKERS LIFE AND CASUALTY QMNM	Plan Type Other Payers	State IN	Address PO BOX 1937 Zip- 46082-1937 City- CARMEL
Payer Name Centene	Plan Name MEDICARE PART A AND B	Plan Type Other Payers	State IN	Address PO BOX 1935 Zip- 46082-1935 City- CARMEL
Payer Name Centene	Plan Name BANKERS LIFE	Plan Type Other Payers	State IN	Address PO BOX 1935 Zip- 46082-1935 City- CARMEL
Payer Name Centene	Plan Name HUMANA	Plan Type Other Payers	State IN	Address PO BOX 1935 Zip- 46082-1935 City- CARMEL
Payer Name Centene	Plan Name BANKERS	Plan Type Other Payers	State IN	Address PO BOX 1935 Zip- 46082-1935 City- CARMEL
Payer Name Centene	Plan Name MEDICARE HMO COORDINATED CARE CORP	Plan Type Other Payers	State IN	Address 550 N MERIDIAN ST STE 100 Zip- 46204-1207 City- INDIANAPOLIS
Payer Name Centene	Plan Name COLONIAL PENN QRIL	Plan Type Other Payers	State IN	Address PO BOX 1935 Zip- 46082-1935 City- CARMEL
Payer Name DUNN & ASSOCIATES TPA	Plan Name DUNN & ASSOCIATES TPA	Plan Type Other Payers	State IN	Address PO BOX 2369 Zip- 472022369 City- COLUMBUS
Payer Name Centene	Plan Name BANKERS LIFE AND CASUALTY	Plan Type Other Payers	State IN	Address PO BOX 1935 Zip- 46082-1935 City- CARMEL
Payer Name Centene	Plan Name COLONIAL PENN SUPP	Plan Type Other Payers	State IN	Address PO BOX 1935 Zip- 46082-1935 City- CARMEL
Payer Name STEWART C MILLER CO,INC	Plan Name STEWART C MILLER CO,INC	Plan Type Other Payers	State IN	Address PO BOX 5769 Zip- 479035769 City- LAFAYETTE
Payer Name ZENITH ADMINISTRATORS	Plan Name ZENITH ADMINISTRATORS	Plan Type Other Payers	State IN	Address PO BOX 42489 Zip- 46242 City- INDIANAPOLI
Payer Name Centene	Plan Name BANKERS LIFE CASUALTY MEDICARE SUPP	Plan Type Other Payers	State IN	Address PO BOX 1935 Zip- 46082-1935 City- CARMEL
Payer Name Centene	Plan Name BANKERS LIFE CASUALTY SECOND ONLY	Plan Type Other Payers	State IN	Address PO BOX 1935 Zip- 46082-1935 City- CARMEL
Payer Name Centene	Plan Name AMBETTERMP	Plan Type Other Payers	State KS	Address 206 S 7TH ST LOT MARYS Zip- 66536-1778 City- SAINT MARYS
Payer Name NIPPON LIFE INSURANCE	Plan Name NIPPON LIFE INSURANCE	Plan Type Other Payers	State KS	Address PO BOX 25951 Zip- 66225 City- SHAWNEE MIS
Payer Name INSURANCE SYSTEMS INC	Plan Name INSURANCE SYSTEMS INC	Plan Type Other Payers	State KS	Address PO BOX 25938 Zip- 662255938 City- SHAWNEE MIS
Payer Name BCBS KANSAS	Plan Name BCBS KANSAS	Plan Type Other Payers	State KS	Address 1133 SOUTHWEST TOPEKA BLVD Zip- 66629-000 City- TOPEKA
Payer Name MEDTRACK	Plan Name MEDTRACK	Plan Type Other Payers	State KS	Address 7101 COLLEGE BLVD STE 1000 Zip- 66210 City- OVERLAND PA
Payer Name Centene	Plan Name FIRST HEALTH NETWORK	Plan Type Other Payers	State KS	Address PO BOX 26127 Zip- 66225-6127 City- OVERLAND PARK
Payer Name BENEFIT MGMNT INC (KS)	Plan Name BENEFIT MGMNT INC (KS)	Plan Type Other Payers	State KS	Address PO BOX 1090 Zip- 67530 City- GREAT BEND
Payer Name Centene	Plan Name IOWA TOTAL CARE MEDICAID	Plan Type Other Payers	State KS	Address 819 S ALLEGHANY ST Zip- 67042-2410 City- EL DORADO
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross and Blue Shield of Kansas	Plan Type Other Payers	State KS	Address PO BOX 239 Zip- 66629 City- Topeka
Payer Name HEALTH AMERICA	Plan Name HEALTH AMERICA	Plan Type Other Payers	State KY	Address PO BOX 7089 Zip- 40742 City- LONDON
Payer Name Centene	Plan Name MEDICAID OUT OF STATE	Plan Type Other Payers	State KY	Address PO BOX 14598 Zip- 40512-4598 City- LEXINGTON
Payer Name Centene	Plan Name MA OF CALIFORNIA	Plan Type Other Payers	State KY	Address PO BOX 14598 Zip- 40512-4598 City- LEXINGTON
Payer Name Centene	Plan Name HEALTHNET MEDICAL	Plan Type Other Payers	State KY	Address PO BOX 14598 Zip- 40512-4598 City- LEXINGTON
Payer Name Centene	Plan Name HEALTH BILLING DEPARTMENT	Plan Type Other Payers	State KY	Address PO BOX 14598 Zip- 40512-4598 City- LEXINGTON
Payer Name Centene	Plan Name CALVIVA MEDICAID	Plan Type Other Payers	State KY	Address PO BOX 14598 Zip- 40512-4598 City- LEXINGTON
Payer Name CAREFIRST BCBS NCA	Plan Name CAREFIRST BCBS NCA	Plan Type Other Payers	State KY	Address PO BOX 14113 Zip- 40512 City- LEXINGTON
Payer Name CAREFIRST BCBS NCA	Plan Name CAREFIRST BCBS NCA	Plan Type Other Payers	State KY	Address PO BOX 14114 Zip- 40512 City- LEXINGTON
Payer Name BLUEGRASS FAMILY HEALTH	Plan Name BLUEGRASS FAMILY HEALTH	Plan Type Other Payers	State KY	Address PO BOX 21973 Zip- 405221973 City- LEXINGTON
Payer Name Centene	Plan Name MEDICARE HEALTH NET	Plan Type Other Payers	State KY	Address PO BOX 14130 Zip- 40512-4130 City- LEXINGTON
Payer Name ALTIUS	Plan Name ALTIUS	Plan Type Other Payers	State KY	Address PO BOX 7147 Zip- 407427147 City- LONDON
Payer Name MAIL HANDLERS BENEFIT PLAN	Plan Name MAIL HANDLERS BENEFIT PLAN	Plan Type Other Payers	State KY	Address PO BOX 8402 Zip- 40742 City- LONDON
Payer Name COVENTRY NORTH CAROLINA	Plan Name COVENTRY NORTH CAROLINA	Plan Type Other Payers	State KY	Address PO BOX 7102 Zip- 40742 City- LONDON
Payer Name MENTAL HEALTH NETWORK	Plan Name MENTAL HEALTH NETWORK	Plan Type Other Payers	State KY	Address PO BOX 7802 Zip- 40742 City- LONDON
Payer Name Centene	Plan Name WELLCARE OF KY ACUTE	Plan Type Other Payers	State KY	Address PO BOX 14465 Zip- 40512-4465 City- LEXINGTON
Payer Name Centene	Plan Name HEALTHNET	Plan Type Other Payers	State KY	Address PO BOX 14225 Zip- 40512-4225 City- LEXINGTON
Payer Name MANAGED HEALTH NETWORK	Plan Name MANAGED HEALTH NETWORK	Plan Type Other Payers	State KY	Address PO BOX 14621 Zip- 40512 City- LEXINGTON
Payer Name MAIL HANDLERS PHARMACY	Plan Name MAIL HANDLERS PHARMACY	Plan Type Other Payers	State KY	Address PO BOX 8404 Zip- 40742 City- LONDON
Payer Name Centene	Plan Name HEALTHNET	Plan Type Other Payers	State KY	Address PO BOX 14621 Zip- 40512-4621 City- LEXINGTON
Payer Name Centene	Plan Name WELLCARE OF KENTUCKY	Plan Type Other Payers	State KY	Address PO BOX 438000 Zip- 40253-8000 City- LOUISVILLE
Payer Name Centene	Plan Name MANAGED HEALTH NETWORK QMOR	Plan Type Other Payers	State KY	Address PO BOX 14621 Zip- 40512-4621 City- LEXINGTON
Payer Name Centene	Plan Name MISC COMMERCIAL HEALTH PLAN	Plan Type Other Payers	State KY	Address PO BOX 14621 Zip- 40512-4621 City- LEXINGTON
Payer Name Centene	Plan Name HEALTHNET COVERED CA PPO	Plan Type Other Payers	State KY	Address PO BOX 14702 Zip- 40512-4702 City- LEXINGTON
Payer Name Centene	Plan Name HEALTHNET LLC	Plan Type Other Payers	State KY	Address PO BOX 14702 Zip- 40512-4702 City- LEXINGTON
Payer Name Centene	Plan Name USA HEALTHNET P29	Plan Type Other Payers	State KY	Address PO BOX 14702 Zip- 40512-4702 City- LEXINGTON
Payer Name VISTA HEALTH PLAN	Plan Name VISTA HEALTH PLAN	Plan Type Other Payers	State KY	Address PO BOX 7807 Zip- 40742 City- LONDON
Payer Name COVENTRY HEALTH CARE KS	Plan Name COVENTRY HEALTH CARE KS	Plan Type Other Payers	State KY	Address PO BOX 7109 Zip- 40742 City- LONDON
Payer Name DELTA DENTAL KY	Plan Name DELTA DENTAL KY	Plan Type Other Payers	State KY	Address PO BOX 242810 Zip- 402242810 City- LOUISVILLE
Payer Name Centene	Plan Name AMBETTER	Plan Type Other Payers	State KY	Address PO BOX 14835 Zip- 40512-4835 City- LEXINGTON
Payer Name HUMANA DENTAL PLANS	Plan Name HUMANA DENTAL PLANS	Plan Type Other Payers	State KY	Address PO BOX 14611 Zip- 40512-461 City- LEXINGTON
Payer Name Centene	Plan Name NEW HAMPSHIRE INSURANCE C	Plan Type Other Payers	State KY	Address PO BOX 14731 Zip- 40512-4731 City- LEXINGTON
Payer Name AETNA DENTAL CLAIMS	Plan Name AETNA DENTAL CLAIMS	Plan Type Other Payers	State KY	Address PO BOX 14094 Zip- 40512-409 City- LEXINGTON
Payer Name CITIZENS SECURITY LIFE	Plan Name CITIZENS SECURITY LIFE	Plan Type Other Payers	State KY	Address PO BOX 436149 Zip- 40253-614 City- LOUISVILLE
Payer Name AETNA STRATEGIC RESOURCE	Plan Name AETNA STRATEGIC RESOURCE	Plan Type Other Payers	State KY	Address PO BOX 14079 Zip- 40512-407 City- LEXINGTON
Payer Name HUMANA HEALTH PLANS	Plan Name HUMANA HEALTH PLANS	Plan Type Other Payers	State KY	Address PO BOX 14601 Zip- 40512-460 City- LEXINGTON
Payer Name Centene	Plan Name WELLCARE OF KENTUCKY	Plan Type Other Payers	State KY	Address PO BOX 436000 Zip- 40253-6000 City- LOUISVILLE
Payer Name Centene	Plan Name WELLCARE OF KENTUCKY	Plan Type Other Payers	State KY	Address 13551 TRITON PARK BLVD Zip- 40223-4199 City- LOUISVILLE
Payer Name OFFICE OF GROUP BENEFITS	Plan Name OFFICE OF GROUP BENEFITS	Plan Type Other Payers	State LA	Address PO BOX 44036 Zip- 70804 City- BATON ROUGE
Payer Name PLUMBERS LOCAL 286	Plan Name PLUMBERS LOCAL 286	Plan Type Other Payers	State LA	Address 3515 I-10 SERVICE RD NORTH Zip- 70002 City- METAIRIE
Payer Name MEDCO HEALTH	Plan Name MEDCO HEALTH	Plan Type Other Payers	State LA	Address 050 S FOSTER DRIVE Zip- 70806 City- BATON ROUGE
Payer Name ZENITH ADMINISTRATORS	Plan Name ZENITH ADMINISTRATORS	Plan Type Other Payers	State LA	Address 2450 SEVERN AVE STE 305 Zip- 70001 City- METAIRIE
Payer Name BCBS LOUISIANA	Plan Name BCBS LOUISIANA	Plan Type Other Payers	State LA	Address PO BOX 98024 Zip- 70898 City- BATON ROUGE
Payer Name IBEW 995	Plan Name IBEW 995	Plan Type Other Payers	State LA	Address 8111 TOM DRIVE Zip- 70815 City- BATON ROUGE
Payer Name GILSBAR	Plan Name GILSBAR	Plan Type Other Payers	State LA	Address PO BOX 2947 Zip- 704342947 City- COVINGTON
Payer Name COVENTRY HEALTH CARE OF LA	Plan Name COVENTRY HEALTH CARE OF LA	Plan Type Other Payers	State LA	Address 3838 N CAUSEWAY BLVD Zip- 70002 City- METAIRIE
Payer Name Centene	Plan Name WELLCARE MM	Plan Type Other Payers	State LA	Address 8585 ARCHIVES AVE STE 310 Zip- 70809-2423 City- BATON ROUGE
Payer Name INSURANCE MANAGEMENT ADMIN	Plan Name INSURANCE MANAGEMENT ADMIN	Plan Type Other Payers	State LA	Address PO BOX 71120 Zip- 71171-112 City- BOSSIER CITY
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross Blue Shield of Massachusetts	Plan Type Other Payers	State MA	Address SSB Massachusetts Zip- 02171 City- North Quincy
Payer Name HEALTH PLANS INC	Plan Name HEALTH PLANS INC	Plan Type Other Payers	State MA	Address 1500 WEST PARK DR STE 330 Zip- 01581 City- WESTBOROUGH
Payer Name HEALTH NEW ENGLAND	Plan Name HEALTH NEW ENGLAND	Plan Type Other Payers	State MA	Address ONE MONARCH PLACE STE 1500 Zip- 01144-150 City- SPRINGFIELD
Payer Name LIBERTY MUTUAL LIFE	Plan Name LIBERTY MUTUAL LIFE	Plan Type Other Payers	State MA	Address 175 BERKELEY STREET Zip- 21165066 City- BOSTON
Payer Name JOHN HANCOCK LTC	Plan Name JOHN HANCOCK LTC	Plan Type Other Payers	State MA	Address PO BOX 111 Zip- 02117 City- BOSTON
Payer Name BCBS MASS FEP	Plan Name BCBS MASS FEP	Plan Type Other Payers	State MA	Address 401 PARK DRIVE LANDMARK CEN Zip- 02115 City- BOSTON
Payer Name BMC HEALTHNET PLAN	Plan Name BMC HEALTHNET PLAN	Plan Type Other Payers	State MA	Address PO BOX 55282 Zip- 02205 City- BOSTON
Payer Name ULTRA BENEFITS INC	Plan Name ULTRA BENEFITS INC	Plan Type Other Payers	State MA	Address 22 ELM STREET Zip- 01608 City- WORCESTER
Payer Name ULTRA BENEFITS INC	Plan Name ULTRA BENEFITS INC	Plan Type Other Payers	State MA	Address 100 NORTH PKWY STE 302 Zip- 16051349 City- WORCESTER
Payer Name DELTA DENTAL MA	Plan Name DELTA DENTAL MA	Plan Type Other Payers	State MA	Address PO BOX 9695 Zip- 02114-969 City- BOSTON
Payer Name HARVARD PILGRIM INS	Plan Name HARVARD PILGRIM INS	Plan Type Other Payers	State MA	Address PO BOX 699183 Zip- 22699183 City- QUINCY
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross Blue Shield of Massachusetts	Plan Type Other Payers	State MA	Address PO BOX 9209 Zip- 02171 City- North Quincy
Payer Name TUFTS HEALTH PLAN	Plan Name TUFTS HEALTH PLAN	Plan Type Other Payers	State MA	Address PO BOX 9163 Zip- 02471 City- WATERTOWN
Payer Name Riverside	Plan Name Riverside	Plan Type Other Payers	State MA	Address PO BOX 66005 Zip- 02021 City- Canton
Payer Name BCBS MASSACHUSETTS	Plan Name BCBS MASSACHUSETTS	Plan Type Other Payers	State MA	Address PO BOX 986030 Zip- 02298 City- BOSTON
Payer Name Centene	Plan Name BMC HEALTHNET PLAN	Plan Type Other Payers	State MA	Address PO BOX 55282 Zip- 02205-5282 City- BOSTON
Payer Name Centene	Plan Name BEHAVIOURAL HMO	Plan Type Other Payers	State MD	Address PO BOX 5171 Zip- 21046-5171 City- COLUMBIA
Payer Name SAMBA	Plan Name SAMBA	Plan Type Other Payers	State MD	Address 11301 OLD GEORGETOWN RD Zip- 20852 City- NO BETHEDA
Payer Name Centene	Plan Name MAGELLAN BEHAVIORAL HMO	Plan Type Other Payers	State MD	Address PO BOX 5171 Zip- 21046-5171 City- COLUMBIA
Payer Name EMPLOYEE HEALTH PROGRAM	Plan Name EMPLOYEE HEALTH PROGRAM	Plan Type Other Payers	State MD	Address 6704 CURTIS COURT Zip- 21600 City- GLEN BURNIE
Payer Name EXPRESS SCRIPTS	Plan Name EXPRESS SCRIPTS	Plan Type Other Payers	State MD	Address PO BOX 1725 Zip- 21501 City- CUMBERLAND
Payer Name EBMC (OHIO PPO CONNECT)	Plan Name EBMC (OHIO PPO CONNECT)	Plan Type Other Payers	State MD	Address PO BOX 828 Zip- 21012 City- ARNOLD
Payer Name ASSOCIATED ADMONISTRATORS	Plan Name ASSOCIATED ADMONISTRATORS	Plan Type Other Payers	State MD	Address 911 RIDGEBROOK ROAD Zip- 21152 City- SPARKS GLEN
Payer Name Centene	Plan Name FIRST HEALTH NETWORK	Plan Type Other Payers	State MD	Address PO BOX 306 Zip- 21012-0306 City- ARNOLD
Payer Name NATIONAL AUTOMATIC SPRINKLER	Plan Name NATIONAL AUTOMATIC SPRINKLER	Plan Type Other Payers	State MD	Address 8000 CORPORATE DRIVE Zip- 20785 City- LANDOVER
Payer Name MONUMENTAL LIFE INSURANCE	Plan Name MONUMENTAL LIFE INSURANCE	Plan Type Other Payers	State MD	Address 100 LIGHT ST FL B1 Zip- 21202 City- BALTIMORE
Payer Name ADVENTIST RISK MANAGEMENT	Plan Name ADVENTIST RISK MANAGEMENT	Plan Type Other Payers	State MD	Address 12501 OLD COLUMBIA PIKE Zip- 20904 City- SILVER SPRI
Payer Name Centene	Plan Name MEDICAID	Plan Type Other Payers	State MD	Address PO BOX 1935 Zip- 21203-1935 City- BALTIMORE
Payer Name POSTAL WORKERS UNION	Plan Name POSTAL WORKERS UNION	Plan Type Other Payers	State MD	Address PO BOX 1358 Zip- 21060 City- GLEN BURNIE
Payer Name Centene	Plan Name FIRST HEALTH NETWORK	Plan Type Other Payers	State MD	Address PO BOX 9763 Zip- 21012-0763 City- ARNOLD
Payer Name GROUP BENEFIT SERVICES	Plan Name GROUP BENEFIT SERVICES	Plan Type Other Payers	State MD	Address PO BOX 4368 Zip- 21094 City- LUTHERVILLE
Payer Name Centene	Plan Name MARYLAND MEDICAID	Plan Type Other Payers	State MD	Address PO BOX 1935 Zip- 21203-1935 City- BALTIMORE
Payer Name MARTIN'S POINT HEALTH	Plan Name MARTIN'S POINT HEALTH	Plan Type Other Payers	State ME	Address PO BOX 11410 Zip- 41047410 City- PORTLAND
Payer Name ANTHEM BCBS MAINE	Plan Name ANTHEM BCBS MAINE	Plan Type Other Payers	State ME	Address 2 GANNETT DRIVE Zip- 04106 City- SOUTH PORTLAND
Payer Name INDIANA UNIVERSITY HEALTH PLA	Plan Name INDIANA UNIVERSITY HEALTH PLA	Plan Type Other Payers	State ME	Address PO BOX 11196 Zip- 04104-719 City- PORTLAND
Payer Name ASCENSION SMART HEALTH	Plan Name ASCENSION SMART HEALTH	Plan Type Other Payers	State MI	Address PO BOX 37705 Zip- 482377705 City- OAK PARK
Payer Name HEALTH PLUS OF MI	Plan Name HEALTH PLUS OF MI	Plan Type Other Payers	State MI	Address PO BOX 1700 Zip- 48501 City- FLINT
Payer Name ILLINOIS STATE PAINTERS	Plan Name ILLINOIS STATE PAINTERS	Plan Type Other Payers	State MI	Address PO BOX 279 Zip- 48099-027 City- TROY
Payer Name Centene	Plan Name AMBETTER MERIDIAN HEALTH	Plan Type Other Payers	State MI	Address 1 CAMPUS MARTIUS STE 700 Zip- 48226-5012 City- DETROIT
Payer Name Centene	Plan Name AMBETTER	Plan Type Other Payers	State MI	Address 44 BEECHWOODE LN Zip- 48340-2200 City- PONTIAC
Payer Name CHEROKEE INSURANCE	Plan Name CHEROKEE INSURANCE	Plan Type Other Payers	State MI	Address PO BOX 159 Zip- 28090 City- WARREN
Payer Name COLUMBIA UNIVERSAL LIFE	Plan Name COLUMBIA UNIVERSAL LIFE	Plan Type Other Payers	State MI	Address 10559 CITATION DR STE 300 Zip- 48116 City- BRIGHTON
Payer Name 4D PHARMACY MGMNT	Plan Name 4D PHARMACY MGMNT	Plan Type Other Payers	State MI	Address 2520 INDUSTRIAL ROW DRIVE Zip- 48084 City- TROY
Payer Name MCLAREN HEALTH PLAN	Plan Name MCLAREN HEALTH PLAN	Plan Type Other Payers	State MI	Address PO BOX 1511 Zip- 48501-151 City- FLINT
Payer Name Centene	Plan Name SUPERIOR HEALTHPLAN	Plan Type Other Payers	State MI	Address PO BOX 3000 Zip- 48333-3000 City- FARMINGTON
Payer Name MID-AMERICA ASSOCIATES, INC	Plan Name MID-AMERICA ASSOCIATES, INC	Plan Type Other Payers	State MI	Address 560 KIRTS BLVD STE 125 Zip- 48084 City- TROY
Payer Name EMPLOYEE HLTH INS MANAGEMENT	Plan Name EMPLOYEE HLTH INS MANAGEMENT	Plan Type Other Payers	State MI	Address 26711 NORTHWESTERN HWY Zip- 48034 City- SOUTHFIELD
Payer Name MICHIGAN UFCW HEALTH	Plan Name MICHIGAN UFCW HEALTH	Plan Type Other Payers	State MI	Address PO BOX 71400 Zip- 48071-040 City- MADISON HEI
Payer Name INDIANA TEAMSTERS HBF	Plan Name INDIANA TEAMSTERS HBF	Plan Type Other Payers	State MI	Address PO BOX 47130 Zip- 482377130 City- OAK PARK
Payer Name ACTIVA BENEFITS	Plan Name ACTIVA BENEFITS	Plan Type Other Payers	State MI	Address PO BOX 37 Zip- 48332 City- FARMINGTON
Payer Name MEDCO HEALTH	Plan Name MEDCO HEALTH	Plan Type Other Payers	State MI	Address 700 TOWER DRIVESUITE 300 Zip- 48098 City- TROY
Payer Name PRIORITY HEALTH	Plan Name PRIORITY HEALTH	Plan Type Other Payers	State MI	Address 1231 EAST BELTLINE NE Zip- 49525-450 City- GRAND RAPID
Payer Name Optima Health	Plan Name Sentara Health Management (Optima)	Plan Type Other Payers	State MI	Address PO BOX 5028 Zip- 48007-5028 City- Troy
Payer Name Centene	Plan Name SUPERIOR HEALTHPLAN-MCD	Plan Type Other Payers	State MI	Address PO BOX 3000 Zip- 48333-3000 City- FARMINGTON
Payer Name Optima Health	Plan Name Sentara Health Management (Optima)	Plan Type Other Payers	State MI	Address PO BOX 5806 Zip- 48007-5806 City- Troy
Payer Name BENESYS	Plan Name BENESYS	Plan Type Other Payers	State MI	Address 700 TOWER DRIVE SUITE 300 Zip- 48098-280 City- TROY
Payer Name PHYSICIANS CARE	Plan Name PHYSICIANS CARE	Plan Type Other Payers	State MI	Address 618 KENMOOR AVE SE STE 200 Zip- 49546 City- GRAND RAPID
Payer Name SECURE ONE BENEFITS ADMIN	Plan Name SECURE ONE BENEFITS ADMIN	Plan Type Other Payers	State MI	Address PO BOX N Zip- 49501 City- GRAND RAPID
Payer Name Centene	Plan Name WELLCARE MCR	Plan Type Other Payers	State MI	Address 777 WOODWARD AVE Zip- 48226-3536 City- DETROIT
Payer Name CENTENE	Plan Name CENTENE HEALTH PLAN	Plan Type Other Payers	State MI	Address PO BOX 37705 Zip- 48237-0705 City- OAK PARK
Payer Name BCBS MICHIGAN FEP	Plan Name BCBS MICHIGAN FEP	Plan Type Other Payers	State MI	Address PO BOX 2599 ATTN: DEPT 1061 Zip- 48231-259 City- DETROIT
Payer Name Optima Health	Plan Name Sentara Health Management (Optima)	Plan Type Other Payers	State MI	Address PO BOX 1440 Zip- 48099-1440 City- Troy
Payer Name VARIPRO	Plan Name VARIPRO	Plan Type Other Payers	State MI	Address 5300 PATTERSON AVE SE #150 Zip- 49512 City- GRANDRAPIDS
Payer Name Centene	Plan Name BCBS OF ILOUTPT COM	Plan Type Other Payers	State MI	Address PO BOX 870140 Zip- 48763-9238 City- TAWAS CITY
Payer Name HEALTH ALLIANCE OF MICHIGAN	Plan Name HEALTH ALLIANCE OF MICHIGAN	Plan Type Other Payers	State MI	Address 2850 W GRAND BLVD Zip- 48202 City- DETROIT
Payer Name BCBS MICHIGAN FEP	Plan Name BCBS MICHIGAN FEP	Plan Type Other Payers	State MI	Address PO BOX 2599 Zip- 48231-259 City- DETROIT
Payer Name BCBS MICHIGAN	Plan Name BCBS MICHIGAN	Plan Type Other Payers	State MI	Address 600 LAFAYETTE EAST Zip- 48226 City- DETROIT
Payer Name JFP BENEFITS MANAGEMENT	Plan Name JFP BENEFITS MANAGEMENT	Plan Type Other Payers	State MI	Address PO BOX 189 Zip- 49204 City- JACKSON
Payer Name CAM ADMIN SERVICES	Plan Name CAM ADMIN SERVICES	Plan Type Other Payers	State MI	Address 25800 NORTHWESTERN HWY Zip- 48075 City- SOUTHFIELD
Payer Name Centene	Plan Name FIRST HEALTH NETWORK	Plan Type Other Payers	State MN	Address PO BOX 21801 Zip- 55121-0801 City- EAGAN
Payer Name Centene	Plan Name BLACKHAWK CLAIMS SERVICES	Plan Type Other Payers	State MN	Address PO BOX 21661 Zip- 55121-0661 City- EAGAN
Payer Name DELTA DENTAL OF MINNESOTA	Plan Name DELTA DENTAL OF MINNESOTA	Plan Type Other Payers	State MN	Address PO BOX 330 Zip- 55440-033 City- MINNEAPOLIS
Payer Name Centene	Plan Name MULTIPLAN	Plan Type Other Payers	State MN	Address PO BOX 21661 Zip- 55121-0661 City- EAGAN
Payer Name AMERICA'S TPA	Plan Name AMERICA'S TPA	Plan Type Other Payers	State MN	Address 7201 W 78TH ST Zip- 55439 City- BLOOMINGTON
Payer Name Centene	Plan Name HILL PHYSICIAN MEDICAL GROUP	Plan Type Other Payers	State MN	Address PO BOX 21913 Zip- 55121-0913 City- EAGAN
Payer Name Centene	Plan Name FIRST HEALTH NETWORK BRECKPOINT	Plan Type Other Payers	State MN	Address PO BOX 211055 Zip- 55121-2455 City- EAGAN
Payer Name Centene	Plan Name HEALTH PHYSICAL MEDICAL GROUP	Plan Type Other Payers	State MN	Address PO BOX 21913 Zip- 55121-0913 City- EAGAN
Payer Name Centene	Plan Name HEALTHNET COMMERCIAL	Plan Type Other Payers	State MN	Address PO BOX 21913 Zip- 55121-0913 City- EAGAN
Payer Name Centene	Plan Name FIRST HEALTH NETWORK	Plan Type Other Payers	State MN	Address PO BOX 21474 Zip- 55121-0474 City- EAGAN
Payer Name ZENITH ADMINISTRATORS	Plan Name ZENITH ADMINISTRATORS	Plan Type Other Payers	State MN	Address PO BOX 124 Zip- 55440 City- MINNEAPOLIS
Payer Name Centene	Plan Name MULTIPLAN PHCS NETWORK	Plan Type Other Payers	State MN	Address PO BOX 21661 Zip- 55121-0661 City- EAGAN
Payer Name Centene	Plan Name STRATEGIC LIMITED PARTNERS LP	Plan Type Other Payers	State MN	Address PO BOX 21661 Zip- 55121-0661 City- EAGAN
Payer Name Centene	Plan Name SUBLIME	Plan Type Other Payers	State MN	Address PO BOX 21661 Zip- 55121-0661 City- EAGAN
Payer Name Centene	Plan Name MAGELLAN HEALTH	Plan Type Other Payers	State MN	Address PO BOX 211403 Zip- 55121-3003 City- EAGAN
Payer Name WORLD INSURANCE CO	Plan Name WORLD INSURANCE CO	Plan Type Other Payers	State MN	Address PO BOX 21670 Zip- 551210000 City- EAGAN
Payer Name Centene	Plan Name VITAL CARE	Plan Type Other Payers	State MN	Address PO BOX 21661 Zip- 55121-0661 City- EAGAN
Payer Name CAPROCK	Plan Name CAPROCK	Plan Type Other Payers	State MN	Address PO BOX 21548 Zip- 55121-054 City- EAGAN
Payer Name Centene	Plan Name FIRST HEALTH NETWORK	Plan Type Other Payers	State MN	Address PO BOX 211197 Zip- 55121-2597 City- EAGAN
Payer Name DECARE DENTAL	Plan Name DECARE DENTAL	Plan Type Other Payers	State MN	Address PO BOX 1348 Zip- 55440-134 City- MINNEAPOLIS
Payer Name Centene	Plan Name FREEDOM LIFE INS COMPANY OF AMERICA	Plan Type Other Payers	State MN	Address PO BOX 21944 Zip- 55121-0944 City- EAGAN
Payer Name ASSURED BENEFITS ADMINISTRATO	Plan Name ASSURED BENEFITS ADMINISTRATO	Plan Type Other Payers	State MN	Address PO BOX 211517 Zip- 55121 City- EAGAN
Payer Name AMERICAN FAMILY MUTUAL	Plan Name AMERICAN FAMILY MUTUAL	Plan Type Other Payers	State MN	Address PO BOX 21801 Zip- 55121 City- EAGEN
Payer Name ALLIANZ INSURANCE	Plan Name ALLIANZ INSURANCE	Plan Type Other Payers	State MN	Address PO BOX 1344 Zip- 55416-129 City- MINNEAPOLIS
Payer Name Centene	Plan Name COORDINATED BENEFIT PLANS LLC	Plan Type Other Payers	State MN	Address PO BOX 241989 Zip- 55124-1989 City- APPLE VALLEY
Payer Name Centene	Plan Name WELLCARE	Plan Type Other Payers	State MN	Address PO BOX 21661 Zip- 55121-0661 City- EAGAN
Payer Name Centene	Plan Name OUT OF CNTRYINSURED G09	Plan Type Other Payers	State MN	Address PO BOX 241989 Zip- 55124-1989 City- APPLE VALLEY
Payer Name BCBS MINNESOTA	Plan Name BCBS MINNESOTA	Plan Type Other Payers	State MN	Address PO BOX 64560 Zip- 551640560 City- ST PAUL
Payer Name Centene	Plan Name COORDINATED BENEFIT PLANS PHCS	Plan Type Other Payers	State MN	Address PO BOX 21944 Zip- 55121-0944 City- EAGAN
Payer Name AIG LTC	Plan Name AIG LTC	Plan Type Other Payers	State MN	Address 11000 PRAIRIE LAKES DRIVE Zip- 55344 City- EDEN PRAIRI
Payer Name Centene	Plan Name FIRST HEALTH NETWORK	Plan Type Other Payers	State MN	Address PO BOX 211704 Zip- 55121-3704 City- EAGAN
Payer Name Centene	Plan Name FIRST HEALTH	Plan Type Other Payers	State MN	Address PO BOX 211757 Zip- 55121-3757 City- EAGAN
Payer Name Centene	Plan Name FIRST HEALTH	Plan Type Other Payers	State MN	Address PO BOX 21854 Zip- 55121-0854 City- EAGAN
Payer Name CLEAR SCRIPT	Plan Name CLEAR SCRIPT	Plan Type Other Payers	State MN	Address 711 KASOTA AVENUE SE Zip- 55414 City- MINNEAPOLIS
Payer Name CNA	Plan Name CNA	Plan Type Other Payers	State MN	Address PO BOX 64912 Zip- 55164 City- ST PAUL
Payer Name COMPREHENSIVE CARE SERVICES	Plan Name COMPREHENSIVE CARE SERVICES	Plan Type Other Payers	State MN	Address PO BOX 64668 Zip- 55164 City- ST PAUL
Payer Name BCBS EXCELLUS FEP	Plan Name BCBS EXCELLUS FEP	Plan Type Other Payers	State MN	Address PO BOX 211256 Zip- 55121 City- EAGAN
Payer Name CALPERS LTC	Plan Name CALPERS LTC	Plan Type Other Payers	State MN	Address PO BOX 64902 Zip- 55164 City- ST PAUL
Payer Name Centene	Plan Name FIRST HEALTH NETWORK	Plan Type Other Payers	State MN	Address PO BOX 211348 Zip- 55121-2948 City- EAGAN
Payer Name CAPITAL BCBS	Plan Name CAPITAL BCBS	Plan Type Other Payers	State MN	Address PO BOX 211457 Zip- 55121 City- EAGAN
Payer Name Centene	Plan Name FIRST HEALTH	Plan Type Other Payers	State MN	Address PO BOX 241989 Zip- 55124-1989 City- APPLE VALLEY
Payer Name Centene	Plan Name MISC COMMERCIAL HEALTH PLAN	Plan Type Other Payers	State MN	Address PO BOX 21661 Zip- 55121-0661 City- EAGAN
Payer Name PRIME THERAPEUTICS	Plan Name PRIME THERAPEUTICS	Plan Type Other Payers	State MN	Address 2655 EAGAN WOODS Zip- 55121 City- EAGAN
Payer Name GEC LTC	Plan Name GEC LTC	Plan Type Other Payers	State MN	Address PO BOX 64904 Zip- 55164 City- ST PAUL
Payer Name OUTSOURCE ONE	Plan Name OUTSOURCE ONE	Plan Type Other Payers	State MN	Address 730 SECOND AVE S Zip- 55402 City- MINNEAPOLIS
Payer Name FEDERATED MUTUAL	Plan Name FEDERATED MUTUAL	Plan Type Other Payers	State MN	Address PO BOX 328 Zip- 55060-032 City- OWATONNA
Payer Name HEALTH PARTNERS	Plan Name HEALTH PARTNERS	Plan Type Other Payers	State MN	Address PO BOX 1289 Zip- 55440 City- MINNEAPOLIS
Payer Name NEW MEXICO HEALTH CONNECTIONS	Plan Name NEW MEXICO HEALTH CONNECTIONS	Plan Type Other Payers	State MN	Address PO BOX 211468 Zip- 55121 City- EAGAN
Payer Name U CARE MINNESOTA	Plan Name U CARE MINNESOTA	Plan Type Other Payers	State MN	Address PO BOX 70 Zip- 55440 City- MINNEAPOLIS
Payer Name HORIZON BCBS NEW JERSEY DENTA	Plan Name HORIZON BCBS NEW JERSEY DENTA	Plan Type Other Payers	State MN	Address PO BOX 1311 Zip- 55440-131 City- MINNEAPOLIS
Payer Name HEALTH RISK MANAGMNT	Plan Name HEALTH RISK MANAGMNT	Plan Type Other Payers	State MN	Address PO BOX 1479 Zip- 554401479 City- MINNEAPOLIS
Payer Name MMSI INC	Plan Name MMSI INC	Plan Type Other Payers	State MN	Address 4001 41ST STREET NW Zip- 55901 City- ROCHESTER
Payer Name SOUTHERN FARMERS	Plan Name SOUTHERN FARMERS	Plan Type Other Payers	State MN	Address PO BOX 64903 Zip- 55164-090 City- SAINT PAUL
Payer Name MEDICO INSURANCE COMPANY	Plan Name MEDICO INSURANCE COMPANY	Plan Type Other Payers	State MN	Address PO BOX 21660 Zip- 55121 City- EAGAN
Payer Name FALLON HEALTHCARE	Plan Name FALLON HEALTHCARE	Plan Type Other Payers	State MN	Address PO BOX 211308 Zip- 55121-290 City- EAGAN
Payer Name INSURANCE SYSTEMS INC	Plan Name INSURANCE SYSTEMS INC	Plan Type Other Payers	State MN	Address PO BOX 211006 Zip- 55121 City- EAGAN
Payer Name PREFERRED ONE	Plan Name PREFERRED ONE	Plan Type Other Payers	State MN	Address PO BOX 59212 Zip- 55459 City- MINNEAPOLIS
Payer Name GEHA	Plan Name GEHA	Plan Type Other Payers	State MN	Address PO BOX 21542 Zip- 55121-054 City- EAGAN
Payer Name INDEPENDENCE AMERICA	Plan Name INDEPENDENCE AMERICA	Plan Type Other Payers	State MN	Address PO BOX 21456 Zip- 551210456 City- EAGAN
Payer Name GROUP LINK INC	Plan Name GROUP LINK INC	Plan Type Other Payers	State MN	Address PO BOX 21518 Zip- 55121-051 City- ST PAUL
Payer Name SCOTT AND WHITE HEALTH PLAN	Plan Name SCOTT AND WHITE HEALTH PLAN	Plan Type Other Payers	State MN	Address PO BOX 21800 Zip- 551210800 City- EAGAN
Payer Name RMSCO	Plan Name RMSCO	Plan Type Other Payers	State MN	Address PO BOX 21951 Zip- 55121 City- EAGAN
Payer Name Centene	Plan Name ARKANSAS HEALTH AND WELLNES	Plan Type Other Payers	State MO	Address 7700 FORSYTH BLVD Zip- 63105-1807 City- SAINT LOUIS
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross and Blue Shield of Kansas	Plan Type Other Payers	State MO	Address PO BOX 419016 Zip- 64141 City- Kansas City
Payer Name Centene	Plan Name SUNFLOWER HEALTH PLAN	Plan Type Other Payers	State MO	Address PO BOX 955889 Zip- 63195-5889 City- SAINT LOUIS
Payer Name Centene	Plan Name ASCENSION COMPLETE HEALTH CARE	Plan Type Other Payers	State MO	Address 7700 FORSYTH BLVD Zip- 63105-1807 City- SAINT LOUIS
Payer Name Centene	Plan Name SUPERIOR MEDICAID ADVANTAGE	Plan Type Other Payers	State MO	Address PO BOX 3003 Zip- 63640-3803 City- FARMINGTON
Payer Name Centene	Plan Name SUPERIOR HEALTHPLAN-MCD	Plan Type Other Payers	State MO	Address PO BOX 3003 Zip- 63640-3803 City- FARMINGTON
Payer Name Centene	Plan Name SUPERIOR HEALTHPLAN STAR	Plan Type Other Payers	State MO	Address PO BOX 3003 Zip- 63640-3803 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER QBTX	Plan Type Other Payers	State MO	Address PO BOX 3003 Zip- 63640-3803 City- FARMINGTON
Payer Name Centene	Plan Name BRIDGEWAY HEALTH SOLUTIONS OF AZ	Plan Type Other Payers	State MO	Address 7700 FORSYTH BLVD Zip- 63105-1807 City- SAINT LOUIS
Payer Name Centene	Plan Name TEXAS CHILDRENS HEALTH PL	Plan Type Other Payers	State MO	Address PO BOX 3003 Zip- 63640-3803 City- FARMINGTON
Payer Name Centene	Plan Name AMERIGROUP	Plan Type Other Payers	State MO	Address PO BOX 3003 Zip- 63640-3803 City- FARMINGTON
Payer Name Centene	Plan Name SUPERIOR HEALTHPLAN QMNM	Plan Type Other Payers	State MO	Address PO BOX 3003 Zip- 63640-3803 City- FARMINGTON
Payer Name Centene	Plan Name SUPERIOR HEALTHPLAN MCD	Plan Type Other Payers	State MO	Address PO BOX 3003 Zip- 63640-3803 City- FARMINGTON
Payer Name Centene	Plan Name SUPERIOR HEALTHPLAN	Plan Type Other Payers	State MO	Address PO BOX 3003 Zip- 63640-3803 City- FARMINGTON
Payer Name Centene	Plan Name SUPERIOR HEALTH MCD HMO	Plan Type Other Payers	State MO	Address PO BOX 3003 Zip- 63640-3803 City- FARMINGTON
Payer Name Centene	Plan Name SUPERIOR FOSTER CARE	Plan Type Other Payers	State MO	Address PO BOX 3003 Zip- 63640-3803 City- FARMINGTON
Payer Name Centene	Plan Name BUCKEYE COMMUNITY HEALTH PLAN	Plan Type Other Payers	State MO	Address 7700 FORSYTH BLVD Zip- 63105-1807 City- SAINT LOUIS
Payer Name Centene	Plan Name SUPERIOR AMBETTER	Plan Type Other Payers	State MO	Address PO BOX 3003 Zip- 63640-3803 City- FARMINGTON
Payer Name Centene	Plan Name PHPKERN FAMILY HLTH CARE	Plan Type Other Payers	State MO	Address PO BOX 3003 Zip- 63640-3803 City- FARMINGTON
Payer Name Centene	Plan Name COMMUNITY HEALTH CHOICE	Plan Type Other Payers	State MO	Address PO BOX 3003 Zip- 63640-3803 City- FARMINGTON
Payer Name Centene	Plan Name MEDICAID OTHER STATES	Plan Type Other Payers	State MO	Address PO BOX 3003 Zip- 63640-3803 City- FARMINGTON
Payer Name Centene	Plan Name PHPINLAND EMPIRE HLTH PLAN	Plan Type Other Payers	State MO	Address PO BOX 3003 Zip- 63640-3803 City- FARMINGTON
Payer Name Centene	Plan Name PARTNERSHIP HEALTHPLAN OF CA	Plan Type Other Payers	State MO	Address PO BOX 3003 Zip- 63640-3803 City- FARMINGTON
Payer Name Centene	Plan Name SUPERIOR CHIP PERINATAL	Plan Type Other Payers	State MO	Address PO BOX 3003 Zip- 63640-3803 City- FARMINGTON
Payer Name Centene	Plan Name DRISCOLL CHILDRENS HEALTH	Plan Type Other Payers	State MO	Address PO BOX 3003 Zip- 63640-3803 City- FARMINGTON
Payer Name Centene	Plan Name CENTENE VENTURE COMPANY ILLINOIS	Plan Type Other Payers	State MO	Address 7700 FORSYTH BLVD Zip- 63105-1807 City- SAINT LOUIS
Payer Name Centene	Plan Name WELLCARE MEDICAID	Plan Type Other Payers	State MO	Address 7700 FORSYTH BLVD Zip- 63105-1807 City- SAINT LOUIS
Payer Name Centene	Plan Name SILVERSUMMIT MCR	Plan Type Other Payers	State MO	Address PO BOX 5090 Zip- 63640-5090 City- FARMINGTON
Payer Name Centene	Plan Name WESTERN SKY COMMUNITY CA	Plan Type Other Payers	State MO	Address PO BOX 5090 Zip- 63640-5090 City- FARMINGTON
Payer Name Centene	Plan Name MEDICAID OUT OF MISSOURI	Plan Type Other Payers	State MO	Address 615 HOWERTON CT Zip- 65109-6806 City- JEFFERSON CITY
Payer Name Centene	Plan Name MEDICAID OUT OF STATE MCO	Plan Type Other Payers	State MO	Address 615 HOWERTON CT Zip- 65109-6806 City- JEFFERSON CITY
Payer Name Centene	Plan Name MO HEALTHNET	Plan Type Other Payers	State MO	Address 615 HOWERTON CT Zip- 65109-6806 City- JEFFERSON CITY
Payer Name LEGGETT & PLATT	Plan Name LEGGETT & PLATT	Plan Type Other Payers	State MO	Address PO BOX 757 Zip- 64836 City- CARTHAGE
Payer Name Centene	Plan Name MENTAL HEALTH VENDOR MAGELLAN	Plan Type Other Payers	State MO	Address PO BOX 2154 Zip- 63043-0954 City- MARYLAND HEIGHTS
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross and Blue Shield of Kansas	Plan Type Other Payers	State MO	Address SSB Kansas Zip- 64141 City- Kansas City
Payer Name FORTIS	Plan Name FORTIS	Plan Type Other Payers	State MO	Address 2323 GRAND BOULEVARD Zip- 641082670 City- KANSAS CITY
Payer Name FORREST T JONES	Plan Name FORREST T JONES	Plan Type Other Payers	State MO	Address PO BOX 418131 Zip- 641419131 City- KANSAS CITY
Payer Name Centene	Plan Name WELLCARE OF ILLINOIS INC	Plan Type Other Payers	State MO	Address 7700 FORSYTH BLVD Zip- 63105-1807 City- SAINT LOUIS
Payer Name Centene	Plan Name WELLCARE OF CONNECTICUT INC. QVIL	Plan Type Other Payers	State MO	Address 7700 FORSYTH BLVD Zip- 63105-1807 City- SAINT LOUIS
Payer Name Centene	Plan Name WELLCARE HP OF KY	Plan Type Other Payers	State MO	Address 7700 FORSYTH BLVD Zip- 63105-1807 City- SAINT LOUIS
Payer Name Centene	Plan Name CENTENE VENTURE COMPANY INDIANA INC	Plan Type Other Payers	State MO	Address 7700 FORSYTH BLVD Zip- 63105-1807 City- SAINT LOUIS
Payer Name Centene	Plan Name WELLCARE HEALTH SOUTHWEST	Plan Type Other Payers	State MO	Address 7700 FORSYTH BLVD Zip- 63105-1807 City- SAINT LOUIS
Payer Name Centene	Plan Name WELLCARE HEALTH PLANS	Plan Type Other Payers	State MO	Address 7700 FORSYTH BLVD Zip- 63105-1807 City- SAINT LOUIS
Payer Name Centene	Plan Name WELLCARE GIVEBACK	Plan Type Other Payers	State MO	Address 7700 FORSYTH BLVD Zip- 63105-1807 City- SAINT LOUIS
Payer Name Centene	Plan Name WELLCARE DUAL LIBERTY	Plan Type Other Payers	State MO	Address 7700 FORSYTH BLVD Zip- 63105-1807 City- SAINT LOUIS
Payer Name Centene	Plan Name SUPERIOR HEALTHPLAN	Plan Type Other Payers	State MO	Address 7700 FORSYTH BLVD Zip- 63105-1807 City- SAINT LOUIS
Payer Name Centene	Plan Name SUNFLOWER STATE HEALTH PLAN INC	Plan Type Other Payers	State MO	Address 7700 FORSYTH BLVD Zip- 63105-1807 City- SAINT LOUIS
Payer Name Centene	Plan Name MISC MEDICARE ADVANTAGE	Plan Type Other Payers	State MO	Address 7700 FORSYTH BLVD Zip- 63105-1807 City- SAINT LOUIS
Payer Name Centene	Plan Name MERIDIAN HEALTH PLAN OFIL	Plan Type Other Payers	State MO	Address 7700 FORSYTH BLVD Zip- 63105-1807 City- SAINT LOUIS
Payer Name Centene	Plan Name MERDIAN MEDICARE	Plan Type Other Payers	State MO	Address 7700 FORSYTH BLVD Zip- 63105-1807 City- SAINT LOUIS
Payer Name Centene	Plan Name SUNFLOWER KANCARE	Plan Type Other Payers	State MO	Address PO BOX 955889 Zip- 63195-5889 City- SAINT LOUIS
Payer Name Centene	Plan Name MEDICARE DIRECT CONNECT	Plan Type Other Payers	State MO	Address 7700 FORSYTH BLVD Zip- 63105-1807 City- SAINT LOUIS
Payer Name Centene	Plan Name MEDICAID MICHIGAN	Plan Type Other Payers	State MO	Address 7700 FORSYTH BLVD Zip- 63105-1807 City- SAINT LOUIS
Payer Name Centene	Plan Name HARMONY HEALTH PLAN QFAR	Plan Type Other Payers	State MO	Address 7700 FORSYTH BLVD Zip- 63105-1807 City- SAINT LOUIS
Payer Name Centene	Plan Name AMBETTER OF ARKANSAS	Plan Type Other Payers	State MO	Address PO BOX 9010 Zip- 63640-9010 City- FARMINGTON
Payer Name Centene	Plan Name WELLCARE QMOR	Plan Type Other Payers	State MO	Address PO BOX 9040 Zip- 63640-9040 City- FARMINGTON
Payer Name Centene	Plan Name SUNFLOWER HP	Plan Type Other Payers	State MO	Address PO BOX 6000 Zip- 63640-3809 City- FARMINGTON
Payer Name Centene	Plan Name ASCENSION COMPLETE MDR	Plan Type Other Payers	State MO	Address PO BOX 8050 Zip- 63640-8050 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER	Plan Type Other Payers	State MO	Address PO B0X 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name SUPERIOR MEDICAID ADVANTAGE HEALTHPLAN	Plan Type Other Payers	State MO	Address 1350 AIRPARK DR Zip- 63640-2066 City- FARMINGTON
Payer Name Centene	Plan Name US HEALTH AND LIFE	Plan Type Other Payers	State MO	Address PO BOX 8050 Zip- 63640-8050 City- FARMINGTON
Payer Name Centene	Plan Name STATELOCAL PROGRAM	Plan Type Other Payers	State MO	Address PO BOX 8050 Zip- 63640-8050 City- FARMINGTON
Payer Name Centene	Plan Name OPTUM	Plan Type Other Payers	State MO	Address PO BOX 8050 Zip- 63640-8050 City- FARMINGTON
Payer Name Centene	Plan Name MEDICARE HMOSM07	Plan Type Other Payers	State MO	Address PO BOX 8050 Zip- 63640-8050 City- FARMINGTON
Payer Name Centene	Plan Name CENTENE VENTURE COMP	Plan Type Other Payers	State MO	Address PO BOX 8050 Zip- 63640-8050 City- FARMINGTON
Payer Name CENTENE	Plan Name CENTENE HEALTH PLAN	Plan Type Other Payers	State MO	Address PO BOX 8050 Zip- 63640-8050 City- FARMINGTON
Payer Name Centene	Plan Name CENTENE ASCENSION COMPLETE	Plan Type Other Payers	State MO	Address PO BOX 8050 Zip- 63640-8050 City- FARMINGTON
Payer Name Centene	Plan Name ASCENSION PERSONALIZED CARE	Plan Type Other Payers	State MO	Address PO BOX 8050 Zip- 63640-8050 City- FARMINGTON
Payer Name Centene	Plan Name ASCENSION COMPLETE MICH	Plan Type Other Payers	State MO	Address PO BOX 8050 Zip- 63640-8050 City- FARMINGTON
Payer Name Centene	Plan Name ASCENSION COMPLETE MEDICARE	Plan Type Other Payers	State MO	Address PO BOX 8050 Zip- 63640-8050 City- FARMINGTON
Payer Name Centene	Plan Name ASCENSION COMPLETE MCR	Plan Type Other Payers	State MO	Address PO BOX 8050 Zip- 63640-8050 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER	Plan Type Other Payers	State MO	Address PO BOX 5000 Zip- 63640-5000 City- FARMINGTON
Payer Name Centene	Plan Name ASCENSION COMPLETE MCARE HMO	Plan Type Other Payers	State MO	Address PO BOX 8050 Zip- 63640-8050 City- FARMINGTON
Payer Name Centene	Plan Name ASCENSION COMPLETE MA	Plan Type Other Payers	State MO	Address PO BOX 8050 Zip- 63640-8050 City- FARMINGTON
Payer Name Centene	Plan Name ASCENSION COMPLETE DUAL	Plan Type Other Payers	State MO	Address PO BOX 8050 Zip- 63640-8050 City- FARMINGTON
Payer Name CENTENE	Plan Name ASCENSION COMPLETE CENTENE	Plan Type Other Payers	State MO	Address PO BOX 8050 Zip- 63640-8050 City- FARMINGTON
Payer Name Centene	Plan Name ASCENSION COMPLETE CARE	Plan Type Other Payers	State MO	Address PO BOX 8050 Zip- 63640-8050 City- FARMINGTON
Payer Name Centene	Plan Name ASCENSION COMPLETE 6109 MED	Plan Type Other Payers	State MO	Address PO BOX 8050 Zip- 63640-8050 City- FARMINGTON
Payer Name Centene	Plan Name ASCENSION	Plan Type Other Payers	State MO	Address PO BOX 8050 Zip- 63640-8050 City- FARMINGTON
Payer Name Centene	Plan Name ALLWELL FLORIDA MEDICAID	Plan Type Other Payers	State MO	Address PO BOX 8050 Zip- 63640-8050 City- FARMINGTON
Payer Name Centene	Plan Name SUPERIOR HEALTHPLAN	Plan Type Other Payers	State MO	Address 1 CENTENE DR Zip- 63640-8109 City- FARMINGTON
Payer Name Centene	Plan Name SUPERIOR HEALTHPLAN	Plan Type Other Payers	State MO	Address PO BOX 6300 Zip- 63640-3806 City- FARMINGTON
Payer Name Centene	Plan Name SUPERIOR MEDICAID ADVANTAGE	Plan Type Other Payers	State MO	Address PO BOX 6300 Zip- 63640-3806 City- FARMINGTON
Payer Name Centene	Plan Name WELLCARE BY HEALTHNET	Plan Type Other Payers	State MO	Address PO BOX 9030 Zip- 63640-9030 City- FARMINGTON
Payer Name Centene	Plan Name WELLCARE ALLWELL	Plan Type Other Payers	State MO	Address PO BOX 9030 Zip- 63640-9030 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER	Plan Type Other Payers	State MO	Address PO BOX 2010 Zip- 63640-3832 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER FROM MAGNOL	Plan Type Other Payers	State MO	Address PO BOX 5000 Zip- 63640-5000 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER OF AR	Plan Type Other Payers	State MO	Address PO BOX 510 Zip- 63640-0510 City- FARMINGTON
Payer Name Centene	Plan Name HEALTHNET COVERED CA PPO	Plan Type Other Payers	State MO	Address PO BOX 9040 Zip- 63640-9040 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER HEALTH	Plan Type Other Payers	State MO	Address PO BOX 4050 Zip- 63640-3829 City- FARMINGTON
Payer Name Centene	Plan Name SUPERIOR CHIP	Plan Type Other Payers	State MO	Address 1350 AIRPARK DR Zip- 63640-2066 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER BALANE CARE 30	Plan Type Other Payers	State MO	Address PO BOX 610 Zip- 63640 City- FARMINGTON
Payer Name Centene	Plan Name SELF ARIZONA COMPLETE HEALTH	Plan Type Other Payers	State MO	Address PO BOX 9040 Zip- 63640-9040 City- FARMINGTON
Payer Name Centene	Plan Name MULTIPLAN	Plan Type Other Payers	State MO	Address PO BOX 9040 Zip- 63640-9040 City- FARMINGTON
Payer Name Centene	Plan Name MISC COMMERCIAL HEALTH PLAN	Plan Type Other Payers	State MO	Address PO BOX 9040 Zip- 63640-9040 City- FARMINGTON
Payer Name Centene	Plan Name MCARE ALLWELL	Plan Type Other Payers	State MO	Address PO BOX 9040 Zip- 63640-9040 City- FARMINGTON
Payer Name Centene	Plan Name HEALTHNET RUBY	Plan Type Other Payers	State MO	Address PO BOX 9040 Zip- 63640-9040 City- FARMINGTON
Payer Name Centene	Plan Name HEALTHNET PPO	Plan Type Other Payers	State MO	Address PO BOX 9040 Zip- 63640-9040 City- FARMINGTON
Payer Name Centene	Plan Name HEALTHNET OF CALIFORNIA	Plan Type Other Payers	State MO	Address PO BOX 9040 Zip- 63640-9040 City- FARMINGTON
Payer Name Centene	Plan Name HEALTHNET OF AZ	Plan Type Other Payers	State MO	Address PO BOX 9040 Zip- 63640-9040 City- FARMINGTON
Payer Name Centene	Plan Name HEALTHNET MEDICAL	Plan Type Other Payers	State MO	Address PO BOX 9040 Zip- 63640-9040 City- FARMINGTON
Payer Name Centene	Plan Name HEALTHNET HMO	Plan Type Other Payers	State MO	Address PO BOX 9040 Zip- 63640-9040 City- FARMINGTON
Payer Name Centene	Plan Name HEALTHNET COMMERCIAL CLAIMS	Plan Type Other Payers	State MO	Address PO BOX 9040 Zip- 63640-9040 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER FROM MHS	Plan Type Other Payers	State MO	Address PO BOX 5000 Zip- 63640-5000 City- FARMINGTON
Payer Name Centene	Plan Name HEALTHNET COMMERCIAL	Plan Type Other Payers	State MO	Address PO BOX 9040 Zip- 63640-9040 City- FARMINGTON
Payer Name Centene	Plan Name HEALTHNET CA	Plan Type Other Payers	State MO	Address PO BOX 9040 Zip- 63640-9040 City- FARMINGTON
Payer Name Centene	Plan Name HEALTHNET	Plan Type Other Payers	State MO	Address PO BOX 9040 Zip- 63640-9040 City- FARMINGTON
Payer Name Centene	Plan Name FIRST HEALTH PPO	Plan Type Other Payers	State MO	Address PO BOX 9040 Zip- 63640-9040 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER ARIZONA COMPLETE HEALTH	Plan Type Other Payers	State MO	Address PO BOX 9040 Zip- 63640-9040 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER APPEALS	Plan Type Other Payers	State MO	Address PO BOX 959329 Zip- 63195-9329 City- SAINT LOUIS
Payer Name Centene	Plan Name SUPERIOR AMBETTER	Plan Type Other Payers	State MO	Address PO BOX 5000 Zip- 63640-5000 City- FARMINGTON
Payer Name Centene	Plan Name SUNFLOWER HEALTH PLAN	Plan Type Other Payers	State MO	Address PO BOX 5000 Zip- 63640-5000 City- FARMINGTON
Payer Name Centene	Plan Name STATE HEALTH PLAN	Plan Type Other Payers	State MO	Address PO BOX 5000 Zip- 63640-5000 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER SUNFLOWER	Plan Type Other Payers	State MO	Address PO BOX 5000 Zip- 63640-5000 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER OF TENNESSEE	Plan Type Other Payers	State MO	Address PO BOX 5000 Zip- 63640-5000 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER OF ARKANSAS	Plan Type Other Payers	State MO	Address PO BOX 5000 Zip- 63640-5000 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER HEALTH	Plan Type Other Payers	State MO	Address PO BOX 5000 Zip- 63640-5000 City- FARMINGTON
Payer Name Centene	Plan Name SILVERSUMMIT MCD	Plan Type Other Payers	State MO	Address PO BOX 5090 Zip- 63640-5090 City- FARMINGTON
Payer Name Centene	Plan Name PEACH STATE HEALTH PLAN	Plan Type Other Payers	State MO	Address PO BOX 3000 Zip- 63640-3800 City- FARMINGTON
Payer Name Centene	Plan Name SILVER SUMMIT HEALTH PLAN	Plan Type Other Payers	State MO	Address PO BOX 5090 Zip- 63640-5090 City- FARMINGTON
Payer Name Centene	Plan Name WESTERN SKY COMMUNITY CAR QMNM	Plan Type Other Payers	State MO	Address PO BOX 8010 Zip- 63640-8010 City- FARMINGTON
Payer Name Centene	Plan Name SUNSINE STATE	Plan Type Other Payers	State MO	Address PO BOX 3070 Zip- 63640-3823 City- FARMINGTON
Payer Name Centene	Plan Name SUNSHINE STATE HLTH PLAN FL	Plan Type Other Payers	State MO	Address PO BOX 3070 Zip- 63640-3823 City- FARMINGTON
Payer Name Centene	Plan Name SUNSHINE STATE HEALTH PLAN HMO ALL PATIENTS	Plan Type Other Payers	State MO	Address PO BOX 3070 Zip- 63640-3823 City- FARMINGTON
Payer Name Centene	Plan Name SUNSHINE STATE HEALTH MCD HMO	Plan Type Other Payers	State MO	Address PO BOX 3070 Zip- 63640-3823 City- FARMINGTON
Payer Name Centene	Plan Name SUNSHINE HEALTH PLAN	Plan Type Other Payers	State MO	Address PO BOX 3070 Zip- 63640-3823 City- FARMINGTON
Payer Name Centene	Plan Name SUNSHINE HEALTH MEDICAID	Plan Type Other Payers	State MO	Address PO BOX 3070 Zip- 63640-3823 City- FARMINGTON
Payer Name Centene	Plan Name SUNSHINE HEALTH FLORIDA MEDICAID	Plan Type Other Payers	State MO	Address PO BOX 3070 Zip- 63640-3823 City- FARMINGTON
Payer Name Centene	Plan Name SUNSHINE HEALTH CLAIM APPEALS	Plan Type Other Payers	State MO	Address PO BOX 3070 Zip- 63640-3823 City- FARMINGTON
Payer Name Centene	Plan Name OSCAR INSURANCE	Plan Type Other Payers	State MO	Address PO BOX 3070 Zip- 63640-3823 City- FARMINGTON
Payer Name Centene	Plan Name MEDICAID OUT OF STATE	Plan Type Other Payers	State MO	Address PO BOX 3070 Zip- 63640-3823 City- FARMINGTON
Payer Name Centene	Plan Name CMS HEATH PLAN	Plan Type Other Payers	State MO	Address PO BOX 3070 Zip- 63640-3823 City- FARMINGTON
Payer Name Centene	Plan Name CHILDERNS MEDICAL SERVICES	Plan Type Other Payers	State MO	Address PO BOX 3070 Zip- 63640-3823 City- FARMINGTON
Payer Name CENTENE	Plan Name CENTENE	Plan Type Other Payers	State MO	Address 310 MAIN DELTA ST Zip- 63744 City- DELTA
Payer Name Centene	Plan Name WESTERN SKY COMMUNITY	Plan Type Other Payers	State MO	Address PO BOX 8010 Zip- 63640-8010 City- FARMINGTON
Payer Name BCBS ILLINOIS	Plan Name BCBS ILLINOIS	Plan Type Other Payers	State MO	Address 502 EARTH CITY EXPY STE 203 Zip- 63045 City- EARTH CITY
Payer Name Centene	Plan Name CAROLINA COMPLETE HEALTH	Plan Type Other Payers	State MO	Address PO BOX 8010 Zip- 63640-8010 City- FARMINGTON
Payer Name Centene	Plan Name IOWA TOTAL CARE MCO	Plan Type Other Payers	State MO	Address PO BOX 8030 Zip- 63640-8030 City- FARMINGTON
Payer Name Centene	Plan Name MEDICAID	Plan Type Other Payers	State MO	Address PO BOX 8030 Zip- 63640-8030 City- FARMINGTON
Payer Name Centene	Plan Name MEDICAID IOWA	Plan Type Other Payers	State MO	Address PO BOX 8030 Zip- 63640-8030 City- FARMINGTON
Payer Name Centene	Plan Name MEDICAID IOWA TOTAL CARE	Plan Type Other Payers	State MO	Address PO BOX 8030 Zip- 63640-8030 City- FARMINGTON
Payer Name Centene	Plan Name MISC COMMERCIAL HEALTH PLAN	Plan Type Other Payers	State MO	Address PO BOX 8030 Zip- 63640-8030 City- FARMINGTON
Payer Name BENEFIT MANAGEMENT INC	Plan Name BENEFIT MANAGEMENT INC	Plan Type Other Payers	State MO	Address PO BOX 3001 Zip- 648044361 City- JOPLIN
Payer Name Centene	Plan Name KIRK JULIE R	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640 City- FARMINGTON
Payer Name Centene	Plan Name MAGELLAN	Plan Type Other Payers	State MO	Address PO BOX 1325 Zip- 63043-0325 City- MARYLAND HEIGHTS
Payer Name Centene	Plan Name MAGELLAN HEALTHCARE	Plan Type Other Payers	State MO	Address PO BOX 1325 Zip- 63043-0325 City- MARYLAND HEIGHTS
Payer Name Centene	Plan Name MAGELLAN BEHAVIORAL HEALTH	Plan Type Other Payers	State MO	Address PO BOX 1718 Zip- 63043-0718 City- MARYLAND HEIGHTS
Payer Name Centene	Plan Name MAGELLAN BEHAVIORAL HLTH	Plan Type Other Payers	State MO	Address PO BOX 1289 Zip- 63043-0289 City- MARYLAND HEIGHTS
Payer Name Centene	Plan Name MAGELLAN BH MEDICAID U32	Plan Type Other Payers	State MO	Address PO BOX 1289 Zip- 63043-0289 City- MARYLAND HEIGHTS
Payer Name Centene	Plan Name IOWA TOTAL CARE	Plan Type Other Payers	State MO	Address PO BOX 8030 Zip- 63640-8030 City- FARMINGTON
Payer Name Centene	Plan Name MO HEALTHNET	Plan Type Other Payers	State MO	Address PO BOX 5600 Zip- 65102-5600 City- JEFFERSON CITY
Payer Name CARPENTERS HEALTH OF ST LOUIS	Plan Name CARPENTERS HEALTH OF ST LOUIS	Plan Type Other Payers	State MO	Address 1419 HAMPTON AVE STE 100 Zip- 63139 City- ST LOUIS
Payer Name MEDPAY	Plan Name MEDPAY	Plan Type Other Payers	State MO	Address 1650 E BATTLEFIELD Zip- 65804 City- SPRINGFIELD
Payer Name Centene	Plan Name HEALTHNET	Plan Type Other Payers	State MO	Address PO BOX 904 Zip- 63640-0904 City- FARMINGTON
Payer Name MAGELLEN BEHAVIORAL	Plan Name MAGELLEN BEHAVIORAL	Plan Type Other Payers	State MO	Address 14100 MAGELLAN PLAZA Zip- 63043 City- MARYLAND HE
Payer Name Centene	Plan Name SUNFLOWER HEALTH PLAN	Plan Type Other Payers	State MO	Address PO BOX 4040 Zip- 63640-3826 City- FARMINGTON
Payer Name Centene	Plan Name MEDICAID OUT OF STATE	Plan Type Other Payers	State MO	Address PO BOX 4040 Zip- 63640-3826 City- FARMINGTON
Payer Name Centene	Plan Name MEDICAID OOSLA T01	Plan Type Other Payers	State MO	Address PO BOX 4040 Zip- 63640-3826 City- FARMINGTON
Payer Name Centene	Plan Name LOUISIANA HEALTHCARE CONNECTIONS	Plan Type Other Payers	State MO	Address PO BOX 4040 Zip- 63640-3826 City- FARMINGTON
Payer Name Centene	Plan Name LOUISIANA HEALTHCARE CONNECTIO	Plan Type Other Payers	State MO	Address PO BOX 4040 Zip- 63640-3826 City- FARMINGTON
Payer Name Centene	Plan Name LOUISIANA HEALTHCARE	Plan Type Other Payers	State MO	Address PO BOX 4040 Zip- 63640-3826 City- FARMINGTON
Payer Name Centene	Plan Name LA HEALTHCARE MCD	Plan Type Other Payers	State MO	Address PO BOX 4040 Zip- 63640-3826 City- FARMINGTON
Payer Name Centene	Plan Name LA BAYOU HEALTHCARE	Plan Type Other Payers	State MO	Address PO BOX 4040 Zip- 63640-3826 City- FARMINGTON
Payer Name Centene	Plan Name HEALTHCARE HEALTHCARE	Plan Type Other Payers	State MO	Address PO BOX 4040 Zip- 63640-3826 City- FARMINGTON
Payer Name MEDIGOLD	Plan Name MEDIGOLD	Plan Type Other Payers	State MO	Address PO BOX 219638 Zip- 64121 City- KANSAS CITY
Payer Name HEALTHNET CA	Plan Name HEALTHNET CA	Plan Type Other Payers	State MO	Address PO BOX 9040 Zip- 63640-904 City- FARMINGTON
Payer Name Centene	Plan Name FIRST HEALTH QGIL	Plan Type Other Payers	State MO	Address PO BOX 5750 Zip- 65801-5750 City- SPRINGFIELD
Payer Name Centene	Plan Name MEDICAID MISSOURI	Plan Type Other Payers	State MO	Address PO BOX 5600 Zip- 65102-5600 City- JEFFERSON CITY
Payer Name Centene	Plan Name FIRST HEALTH	Plan Type Other Payers	State MO	Address PO BOX 5750 Zip- 65801-5750 City- SPRINGFIELD
Payer Name Centene	Plan Name FIDELIS MEDICAID	Plan Type Other Payers	State MO	Address PO BOX 10500 Zip- 63640-5001 City- FARMINGTON
Payer Name Centene	Plan Name FIDELIS MARKETPLACE	Plan Type Other Payers	State MO	Address PO BOX 10600 Zip- 63640-5002 City- FARMINGTON
Payer Name Centene	Plan Name WASHINGTON MCD COORDINATED CARE	Plan Type Other Payers	State MO	Address PO BOX 4030 Zip- 63640-4197 City- FARMINGTON
Payer Name Centene	Plan Name MISO MEDICAID OOS HMO	Plan Type Other Payers	State MO	Address PO BOX 4030 Zip- 63640-4197 City- FARMINGTON
Payer Name Centene	Plan Name MEDICAID OOS WA M66	Plan Type Other Payers	State MO	Address PO BOX 4030 Zip- 63640-4197 City- FARMINGTON
Payer Name Centene	Plan Name COORDINATED CARE	Plan Type Other Payers	State MO	Address PO BOX 4030 Zip- 63640-4197 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER MEDICAID	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name HEALTHNET MCD HMO	Plan Type Other Payers	State MO	Address PO BOX 5200 Zip- 65102-5200 City- JEFFERSON CITY
Payer Name ASSURANT EMPLOYEE BENEFITS	Plan Name ASSURANT EMPLOYEE BENEFITS	Plan Type Other Payers	State MO	Address 2323 GRAND BOULEVARD Zip- 641082670 City- KANSAS CITY
Payer Name CENTENE	Plan Name ILLINOIS MERIDIAN CENTENE	Plan Type Other Payers	State MO	Address PO BOX 4020 Zip- 63640-4402 City- FARMINGTON
Payer Name BC/BS KANSAS CITY	Plan Name BC/BS KANSAS CITY	Plan Type Other Payers	State MO	Address PO BOX 419169 Zip- 641086169 City- KANSAS CITY
Payer Name Centene	Plan Name INFOCROSSING HEALTH SERVICES	Plan Type Other Payers	State MO	Address PO BOX 5600 Zip- 65102-5600 City- JEFFERSON CITY
Payer Name Centene	Plan Name MAGELLAN HEALTH	Plan Type Other Payers	State MO	Address PO BOX 1655 Zip- 63043-0655 City- MARYLAND HEIGHTS
Payer Name Centene	Plan Name MAGELLAN HEALTHCARE	Plan Type Other Payers	State MO	Address PO BOX 1516 Zip- 63043-0516 City- MARYLAND HEIGHTS
Payer Name Centene	Plan Name SILVER SUMMIT	Plan Type Other Payers	State MO	Address PO BOX 5090 Zip- 63640-5090 City- FARMINGTON
Payer Name Centene	Plan Name MEDICAID NEBRASKA	Plan Type Other Payers	State MO	Address PO BOX 5060 Zip- 63640-5060 City- FARMINGTON
Payer Name Centene	Plan Name MISC COMMERCIAL HEALTH PLAN	Plan Type Other Payers	State MO	Address PO BOX 1516 Zip- 63043-0516 City- MARYLAND HEIGHTS
Payer Name Centene	Plan Name MAGELLAN HEALTHCARE	Plan Type Other Payers	State MO	Address PO BOX 1959 Zip- 63043-6959 City- MARYLAND HEIGHTS
Payer Name Centene	Plan Name MAGNOLIA HEALTH MCD	Plan Type Other Payers	State MO	Address PO BOX 3090 Zip- 63640-3825 City- FARMINGTON
Payer Name CENTENE	Plan Name MAGNOLIA HEALTH PLAN CENTENE	Plan Type Other Payers	State MO	Address PO BOX 3090 Zip- 63640-3825 City- FARMINGTON
Payer Name Centene	Plan Name MAGNOLIA HEALTH PLAN INC	Plan Type Other Payers	State MO	Address PO BOX 3090 Zip- 63640-3825 City- FARMINGTON
Payer Name Centene	Plan Name MAGNOLIA HEALTH PLAN QHAR	Plan Type Other Payers	State MO	Address PO BOX 3090 Zip- 63640-3825 City- FARMINGTON
Payer Name Centene	Plan Name MAGNOLIA HLTHCARE MI	Plan Type Other Payers	State MO	Address PO BOX 3090 Zip- 63640-3825 City- FARMINGTON
Payer Name Centene	Plan Name MAGNOLIA MCD HMO	Plan Type Other Payers	State MO	Address PO BOX 3090 Zip- 63640-3825 City- FARMINGTON
Payer Name Centene	Plan Name MOLINA HEALTH CARE	Plan Type Other Payers	State MO	Address PO BOX 3090 Zip- 63640-3825 City- FARMINGTON
Payer Name Centene	Plan Name MAGNOLIA MCD	Plan Type Other Payers	State MO	Address PO BOX 5040 Zip- 63640-5040 City- FARMINGTON
Payer Name Centene	Plan Name SUNSHINE HEALTH PLAN	Plan Type Other Payers	State MO	Address PO BOX 5040 Zip- 63640-5040 City- FARMINGTON
Payer Name LEGGETT AND PLATT, INC	Plan Name LEGGETT AND PLATT, INC	Plan Type Other Payers	State MO	Address NO 1 LEGGETT ROAD Zip- 64836 City- CARTHAGE
Payer Name Centene	Plan Name MEDICAID	Plan Type Other Payers	State MO	Address PO BOX 5060 Zip- 63640-5060 City- FARMINGTON
Payer Name Centene	Plan Name MEDICAID NEBRASKA TOTAL CARE	Plan Type Other Payers	State MO	Address PO BOX 5060 Zip- 63640-5060 City- FARMINGTON
Payer Name Centene	Plan Name BUCKEYE HEALTH PLAN	Plan Type Other Payers	State MO	Address PO BOX 6200 Zip- 63640-3805 City- FARMINGTON
Payer Name Centene	Plan Name NEBRASKA TOTAL CARE	Plan Type Other Payers	State MO	Address PO BOX 5060 Zip- 63640-5060 City- FARMINGTON
Payer Name Centene	Plan Name TOTAL CARE NE MCD	Plan Type Other Payers	State MO	Address PO BOX 5060 Zip- 63640-5060 City- FARMINGTON
Payer Name GREAT WEST	Plan Name GREAT WEST	Plan Type Other Payers	State MO	Address 1000 GREAT WEST DR Zip- 638573749 City- KENNETT
Payer Name Centene	Plan Name MEDICAID NEVADA SILVERSUMMIT	Plan Type Other Payers	State MO	Address PO BOX 5090 Zip- 63640-5090 City- FARMINGTON
Payer Name Centene	Plan Name BH MAGELLAN BEHAVIORAL	Plan Type Other Payers	State MO	Address PO BOX 1167 Zip- 63043-0167 City- MARYLAND HEIGHTS
Payer Name Centene	Plan Name MISC COMMERCIAL HEALTH PLAN	Plan Type Other Payers	State MO	Address PO BOX 5090 Zip- 63640-5090 City- FARMINGTON
Payer Name Centene	Plan Name SUPERIOR HEALTHPLAN	Plan Type Other Payers	State MO	Address PO BOX 3000 Zip- 63640-3800 City- FARMINGTON
Payer Name Centene	Plan Name STAR HEALTH FOSTER CARE	Plan Type Other Payers	State MO	Address PO BOX 3000 Zip- 63640-3800 City- FARMINGTON
Payer Name Centene	Plan Name MISC MEDICARE ADVANTAGE	Plan Type Other Payers	State MO	Address PO BOX 9030 Zip- 63640-9030 City- FARMINGTON
Payer Name Centene	Plan Name MHS MEDICARE REPLACEMENT	Plan Type Other Payers	State MO	Address PO BOX 3000 Zip- 63640-3800 City- FARMINGTON
Payer Name Centene	Plan Name MANAGED HEALTH SERVICES	Plan Type Other Payers	State MO	Address PO BOX 3000 Zip- 63640-3800 City- FARMINGTON
Payer Name Centene	Plan Name BUCKEYE MEDICAID	Plan Type Other Payers	State MO	Address PO BOX 3000 Zip- 63640-3800 City- FARMINGTON
Payer Name Centene	Plan Name BCPLUS MANAGED HEALTH SERVICES NETWORK HEALTH	Plan Type Other Payers	State MO	Address PO BOX 3000 Zip- 63640-3800 City- FARMINGTON
Payer Name Centene	Plan Name BUCKEYE COMMUNITY HEALTH PLAN	Plan Type Other Payers	State MO	Address PO BOX 6200 Zip- 63640-3805 City- FARMINGTON
Payer Name Centene	Plan Name BUCKEYE HEALTH PLAN MCD	Plan Type Other Payers	State MO	Address PO BOX 6200 Zip- 63640-3805 City- FARMINGTON
Payer Name CENTENE	Plan Name CENTENE EXCHANGE	Plan Type Other Payers	State MO	Address 7700 FORSYTH BOULEVARD Zip- 63105 City- ST LOUIS
Payer Name Centene	Plan Name HEALTHNET OF ARIZONA	Plan Type Other Payers	State MO	Address PO BOX 9020 Zip- 63640-9020 City- FARMINGTON
Payer Name CENTENE EXCHANGE	Plan Name CENTENE EXCHANGE	Plan Type Other Payers	State MO	Address 7700 FORSYTH BOULEVARD Zip- 63105 City- ST LOUIS
Payer Name Centene	Plan Name SEQUOIA HEALTH IPA INC	Plan Type Other Payers	State MO	Address PO BOX 9020 Zip- 63640-9020 City- FARMINGTON
Payer Name Centene	Plan Name SANTE COMMUNITY PHYSICIANS	Plan Type Other Payers	State MO	Address PO BOX 9020 Zip- 63640-9020 City- FARMINGTON
Payer Name Centene	Plan Name RIVER CITY MEDICAL GROUP	Plan Type Other Payers	State MO	Address PO BOX 9020 Zip- 63640-9020 City- FARMINGTON
Payer Name Centene	Plan Name REGAL MEDICAL GROUP	Plan Type Other Payers	State MO	Address PO BOX 9020 Zip- 63640-9020 City- FARMINGTON
Payer Name Centene	Plan Name PRIVATE HEALTH CARE	Plan Type Other Payers	State MO	Address PO BOX 9020 Zip- 63640-9020 City- FARMINGTON
Payer Name Centene	Plan Name PHP HEALTHNET	Plan Type Other Payers	State MO	Address PO BOX 9020 Zip- 63640-9020 City- FARMINGTON
Payer Name Centene	Plan Name MISC MEDICAID OOS HMO	Plan Type Other Payers	State MO	Address PO BOX 9020 Zip- 63640-9020 City- FARMINGTON
Payer Name Centene	Plan Name MISC MEDICAID CA HMO	Plan Type Other Payers	State MO	Address PO BOX 9020 Zip- 63640-9020 City- FARMINGTON
Payer Name Centene	Plan Name MEDICAL HEALTHNET	Plan Type Other Payers	State MO	Address PO BOX 9020 Zip- 63640-9020 City- FARMINGTON
Payer Name Centene	Plan Name MEDICAID OOS SNW SS 5506	Plan Type Other Payers	State MO	Address PO BOX 9020 Zip- 63640-9020 City- FARMINGTON
Payer Name Centene	Plan Name MEDICAID OOS CA T02	Plan Type Other Payers	State MO	Address PO BOX 9020 Zip- 63640-9020 City- FARMINGTON
Payer Name Centene	Plan Name HEALTHNET OF CALIFORNIA	Plan Type Other Payers	State MO	Address PO BOX 9020 Zip- 63640-9020 City- FARMINGTON
Payer Name Centene	Plan Name HEALTHNET MEDICAL	Plan Type Other Payers	State MO	Address PO BOX 9020 Zip- 63640-9020 City- FARMINGTON
Payer Name Centene	Plan Name BUCKEYE MEDICAID	Plan Type Other Payers	State MO	Address PO BOX 6200 Zip- 63640-3805 City- FARMINGTON
Payer Name Centene	Plan Name HEALTHNET CALIFORNIA QMOR	Plan Type Other Payers	State MO	Address PO BOX 9020 Zip- 63640-9020 City- FARMINGTON
Payer Name Centene	Plan Name HEALTHNET CALIFORNIA MEDICAL	Plan Type Other Payers	State MO	Address PO BOX 9020 Zip- 63640-9020 City- FARMINGTON
Payer Name Centene	Plan Name HEALTHNET CA	Plan Type Other Payers	State MO	Address PO BOX 9020 Zip- 63640-9020 City- FARMINGTON
Payer Name Centene	Plan Name HEALTHNET	Plan Type Other Payers	State MO	Address PO BOX 9020 Zip- 63640-9020 City- FARMINGTON
Payer Name Centene	Plan Name COMMUNITY FAMILY CARE IPA	Plan Type Other Payers	State MO	Address PO BOX 9020 Zip- 63640-9020 City- FARMINGTON
Payer Name Centene	Plan Name CALVIVA MEDICAL QBCA	Plan Type Other Payers	State MO	Address PO BOX 9020 Zip- 63640-9020 City- FARMINGTON
Payer Name Centene	Plan Name CALVIVA HEALTH CALIFORNIA MCD	Plan Type Other Payers	State MO	Address PO BOX 9020 Zip- 63640-9020 City- FARMINGTON
Payer Name Centene	Plan Name CALIFORNIA HEALTH AND WELLNESS	Plan Type Other Payers	State MO	Address PO BOX 9020 Zip- 63640-9020 City- FARMINGTON
Payer Name Centene	Plan Name CAL VIVA HEALTH	Plan Type Other Payers	State MO	Address PO BOX 9020 Zip- 63640-9020 City- FARMINGTON
Payer Name Centene	Plan Name CAL VIVA CLAIMS QMNV	Plan Type Other Payers	State MO	Address PO BOX 9020 Zip- 63640-9020 City- FARMINGTON
Payer Name Centene	Plan Name MEDICAID OF CALIFORNIA	Plan Type Other Payers	State MO	Address PO BOX 4080 Zip- 63640-3835 City- FARMINGTON
Payer Name Centene	Plan Name CALIFORNIA HEALTH AND WELLNESS	Plan Type Other Payers	State MO	Address PO BOX 4080 Zip- 63640-3835 City- FARMINGTON
Payer Name Centene	Plan Name CA HEALTH AND WELLNESS MCD	Plan Type Other Payers	State MO	Address PO BOX 4080 Zip- 63640-3835 City- FARMINGTON
Payer Name Centene	Plan Name WELLCARE	Plan Type Other Payers	State MO	Address PO BOX 9030 Zip- 63640-9030 City- FARMINGTON
Payer Name Centene	Plan Name MEDICARE HMO	Plan Type Other Payers	State MO	Address 7700 FORSYTH BLVD Zip- 63105-1807 City- SAINT LOUIS
Payer Name Centene	Plan Name MEDICARE HEALTHNET	Plan Type Other Payers	State MO	Address PO BOX 9030 Zip- 63640-9030 City- FARMINGTON
Payer Name Centene	Plan Name ALLWELL BY SUNFLOWER	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name BUCKEYE MY CARE	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name BOSTIC STEPHEN	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name ASCENSION COMPLETE ILLINOIS MEDICARE	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name ARKANSAS HEALTH AND WELLNES QHAR	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name ARIZONA COMPLETE HEALTH	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name AR HEALTH AND WELLNESS	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER FROM SUNSHINE STATE H	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name ALLWELL SUPERIOR HP	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name ALLWELL MEDICARE HMO	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name ALLWELL MEDICARE ADV	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name ALLWELL FROM WESTERN SKY	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name ALLWELL FROM ARKANSAS HEALTH AND WELLNESS	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name ALLWELL BY WELLCARE	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name ALLWELL ARKANSAS HEALTH A	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name HEALTHNET	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name ALLWELL AR HEALTH WELLNESS	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name ALLWELL	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name ALLCARE FROM MHS	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name ADVANTAGE BY SUPERIOR	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name ABSOLUTE TOTAL CARE	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name ABBOTT SEAN	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name WELLCARE MEDICAID	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name SUPERIOR HEALTHPLAN	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name SUPERIOR AMBETTER	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name SUNSHINE HEALTH QVIL	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name SUNSHINE HEALTH PLAN	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name SUNSHINE HEALTH MCD	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name SUNFLOWER HEALTH PLAN	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name FIDELIS SECURE LIFE OON	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name MCR ALLWELL DUAL HMO SNP	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name PEACH STATE HEALTH PLAN	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name MHS MEDICARE REPLACEMENT	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name WELLCARE BY ALLWELL DUAL MEDI	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name WELLCARE BY ALLWELL	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name WELLCARE ASSIST	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name WELLCARE	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name TRILLIUM	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name SUPERIOR HEALTHPLAN	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name SUPERIOR ALLWELL MA	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name SILVER SUMMIT HEALTHPLAN INC	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name PA HEALTH AND WELLNESS MC ADV	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name MISC MEDICARE ADVANTAGE	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name MICHIGAN COMPLETE HEALTH	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name MHS WELLCARE BY ALLWELL	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name MHS MEDICARE	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name MCR ALLWELL MEDICARE HMO	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name MHS	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name MERIDIAN MMAI	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name MERIDIAN INTEGRATED DUAL	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name MERIDIAN HEALTH PLAN OF ILLINOIS	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name MERIDIAN HEALTH	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name MERIDIAN COMPLETE MMP	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name MERIDIAN COMPLETE MMAI	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name MERIDIAN COMPLETE DUAL QUIL	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name MEDICARE WELLCARE	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name MEDICARE HMO	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name MEDICAID OTHER STATES	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name MEDICAID OOSMERIDIAN COM	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name MCR WELLCARE MEDICARE HMO	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name SILVER SUMMIT HEALTHPLAN	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name OKLAHOMA COMPLETE HEALTH	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name WELLCARE BY ALLWELL QMNM	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER FROM MHS	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name CENTENE	Plan Name AMBETTER MISSOURI CENTENE QGIL	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER MISSOURI CENTENE	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER MHS	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER MERIDIAN HEALTH	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER MAGNOLIA HEALTH	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER MAGNOLIA COMMERCIAL	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER KANSAS CENTENE	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER IL EXCHANGE	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER HEALTH PLAN	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER FROM SUPERIOR HEALTH PLAN	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER FROM SUNSHINE HEALTH	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER FROM PEACH STATE	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER FROM NEBRASKA TOTAL CARE	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER FROM MERIDIAN	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER OF AL QDAL	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER FROM MAGNOLIA HEALTH	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER FROM COORDINATED CARE	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER FROM ARKANSAS HEALTH AND WELLNESS	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER EXCH	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER COORDINATED CARE	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER BY SUPERIOR CPG	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER BY SUPERIOR	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER ARKANSAS HEALTH WELLN	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name ALLEN MICHAEL	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name ALL SERVICES	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name A B COMMERCIAL	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name ZENITH ADMINISTRATORS	Plan Name ZENITH ADMINISTRATORS	Plan Type Other Payers	State MO	Address 502 EARTH CITY EXPWY #203 Zip- 63045 City- EARTH CITY
Payer Name Centene	Plan Name AMBETTER MP	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER OF ALABAMA	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name NEBRASKA TOTAL CARE	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER WELLCARE	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name MISC COMMERCIAL HEALTH PLAN	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name MHS AMBETTER MARKETPLACE	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name MERIDIAN HEALTH	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name MEDICAID OUT OF STATE MCO	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name MEDICAID OOS FL T06	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name MEDICAID IOWA	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name MANAGED HEALTH SERVICES	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name COORDINATED CARE	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name HUMANA KEY MEDICAL PT B	Plan Type Other Payers	State MO	Address PO BOX 9030 Zip- 63640-9030 City- FARMINGTON
Payer Name Centene	Plan Name BUCKEYE AMBETTER	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name ARKANSAS MEDICAID	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name ARKANSAS HEALTH	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER WELLCARE OF KY	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER SUPERIOR HEALTH	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER OF AR	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER SUNSHINE HEALTH FLORIDA	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER SUNSHINE HEALTH BALKA	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER SUNFLOWER HEALH PLAN	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER SILVER SUMMIT	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER SECURE CARE	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER QFAR	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER QBTX	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER PEACH STATE HEALTH	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER OF TENNESSEE	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name CENTENE	Plan Name AMBETTER OF OKLAHOMA CENTENE	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER OF NORTH CAROLINA INC	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER OF ILLINOIS	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name AMBETTER OF ARKANSAS	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name WELLCARE BY ALLWELL MEDIC	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name CENTENE AMBETTER	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
Payer Name Centene	Plan Name MCR KANCARE SUNFLOWER	Plan Type Other Payers	State MO	Address PO BOX 4070 Zip- 63640-3833 City- FARMINGTON
Payer Name Centene	Plan Name HEALTHNET SENIOR QBCA	Plan Type Other Payers	State MO	Address PO BOX 9030 Zip- 63640-9030 City- FARMINGTON
Payer Name Centene	Plan Name HEALTHNET LIFE INSURANCE COMPANY	Plan Type Other Payers	State MO	Address PO BOX 9030 Zip- 63640-9030 City- FARMINGTON
Payer Name Centene	Plan Name HEALTHNET MEDICARE	Plan Type Other Payers	State MO	Address PO BOX 9030 Zip- 63640-9030 City- FARMINGTON
Payer Name Centene	Plan Name HEALTHNET NON PAR	Plan Type Other Payers	State MO	Address PO BOX 9030 Zip- 63640-9030 City- FARMINGTON
Payer Name Centene	Plan Name HEALTHNET RUBY	Plan Type Other Payers	State MO	Address PO BOX 9030 Zip- 63640-9030 City- FARMINGTON
Payer Name Centene	Plan Name HEALTHNET SENIOR PLUS	Plan Type Other Payers	State MO	Address PO BOX 9030 Zip- 63640-9030 City- FARMINGTON
Payer Name Centene	Plan Name HEALTHNET SENIOR PLUS QBCA	Plan Type Other Payers	State MO	Address PO BOX 9030 Zip- 63640-9030 City- FARMINGTON
Payer Name Centene	Plan Name HEALTHNET SRHERITAGE	Plan Type Other Payers	State MO	Address PO BOX 9030 Zip- 63640-9030 City- FARMINGTON
Payer Name Centene	Plan Name HEALTHNET FEDERAL SERVICES	Plan Type Other Payers	State MO	Address PO BOX 9030 Zip- 63640-9030 City- FARMINGTON
Payer Name Centene	Plan Name HEALTHSHARE OF OREGON	Plan Type Other Payers	State MO	Address PO BOX 9030 Zip- 63640-9030 City- FARMINGTON
Payer Name Centene	Plan Name SUNFLOWER HP	Plan Type Other Payers	State MO	Address PO BOX 4070 Zip- 63640-3833 City- FARMINGTON
Payer Name Centene	Plan Name WELLCARE	Plan Type Other Payers	State MO	Address PO BOX 503891 Zip- 63150-3891 City- SAINT LOUIS
Payer Name Centene	Plan Name WELLCARE BY FIDELIS CARE MEDICARE	Plan Type Other Payers	State MO	Address PO BOX 10700 Zip- 63640-5003 City- FARMINGTON
Payer Name COX HEALTH PLAN	Plan Name COX HEALTH PLAN	Plan Type Other Payers	State MO	Address PO BOX 5750 Zip- 65801-575 City- SPRINGFIELD
Payer Name Centene	Plan Name WELLCARE DUAL LIBERTY	Plan Type Other Payers	State MO	Address 77 FORSYTHIA LN Zip- 63132 City- SAINT LOUIS
Payer Name Centene	Plan Name HEALTHNET KY	Plan Type Other Payers	State MO	Address PO BOX 9030 Zip- 63640-9030 City- FARMINGTON
Payer Name Centene	Plan Name HEALTHNET COMMERCIAL	Plan Type Other Payers	State MO	Address PO BOX 9030 Zip- 63640-9030 City- FARMINGTON
Payer Name UFCW LOCAL 655	Plan Name UFCW LOCAL 655	Plan Type Other Payers	State MO	Address 300 WEIDMAN ROAD Zip- 63011 City- BALLWIN
Payer Name Centene	Plan Name KANCARE SUNFLOWER	Plan Type Other Payers	State MO	Address PO BOX 4070 Zip- 63640-3833 City- FARMINGTON
Payer Name Centene	Plan Name MEDICAID SUNFLOWER STATE HEALTH PLAN	Plan Type Other Payers	State MO	Address PO BOX 4070 Zip- 63640-3833 City- FARMINGTON
Payer Name Centene	Plan Name SUNFLOWER KANCARE	Plan Type Other Payers	State MO	Address PO BOX 4070 Zip- 63640-3833 City- FARMINGTON
Payer Name Centene	Plan Name MCR KANCARE SUNFLOWR	Plan Type Other Payers	State MO	Address PO BOX 4070 Zip- 63640-3833 City- FARMINGTON
Payer Name Centene	Plan Name SUNFLOWER KANSAS	Plan Type Other Payers	State MO	Address PO BOX 4070 Zip- 63640-3833 City- FARMINGTON
Payer Name Centene	Plan Name MCD KANCARE SUNFLOWER	Plan Type Other Payers	State MO	Address PO BOX 4070 Zip- 63640-3833 City- FARMINGTON
Payer Name Centene	Plan Name SUNFLOWER KANSAS (MCAID)	Plan Type Other Payers	State MO	Address PO BOX 4070 Zip- 63640-3833 City- FARMINGTON
Payer Name Centene	Plan Name HUMANA MEDICARE ADVANTAGE	Plan Type Other Payers	State MO	Address PO BOX 4070 Zip- 63640-3833 City- FARMINGTON
Payer Name Centene	Plan Name HEALTHNET	Plan Type Other Payers	State MO	Address PO BOX 9030 Zip- 63640-9030 City- FARMINGTON
Payer Name Centene	Plan Name ALLWELL	Plan Type Other Payers	State MO	Address PO BOX 4070 Zip- 63640-3833 City- FARMINGTON
Payer Name Centene	Plan Name SUNFLOWER STATE HEALTH	Plan Type Other Payers	State MO	Address PO BOX 4070 Zip- 63640-3833 City- FARMINGTON
Payer Name Centene	Plan Name ALLWELL	Plan Type Other Payers	State MO	Address PO BOX 9030 Zip- 63640-9030 City- FARMINGTON
Payer Name Centene	Plan Name ALLWELL MEDICARE RP	Plan Type Other Payers	State MO	Address PO BOX 9030 Zip- 63640-9030 City- FARMINGTON
Payer Name Centene	Plan Name CENTRAL VALLEY MEDPRO	Plan Type Other Payers	State MO	Address PO BOX 9030 Zip- 63640-9030 City- FARMINGTON
Payer Name Centene	Plan Name SUPERIOR STAR FOSTER U17	Plan Type Other Payers	State MO	Address PO BOX 6300 Zip- 63640-3806 City- FARMINGTON
Payer Name Centene	Plan Name THE FIRST HEALTH NETWORK	Plan Type Other Payers	State MO	Address PO BOX 165750 Zip- 64116-5750 City- KANSAS CITY
Payer Name DELTA DENTAL MO	Plan Name DELTA DENTAL MO	Plan Type Other Payers	State MO	Address PO BOX 8690 Zip- 631260000 City- ST LOUIS
Payer Name Centene	Plan Name SUNFLOWER HEALTH PLAN	Plan Type Other Payers	State MO	Address PO BOX 4070 Zip- 63640-3833 City- FARMINGTON
Payer Name Centene	Plan Name WELLCARE MGD MEDICARE	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name WELLCARE DUAL ACCESS	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name WELLCARE DUAL LIBERTY	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name WELLCARE DUAL LIBERTY QMNM	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name WELLCARE MCR	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name WELLCARE MEDICARE MANAGED	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name WELLCARE NO PREMIUM	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name Centene	Plan Name WELLCARE OF OKLAHOMA INC	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 City- FARMINGTON
Payer Name MORGAN WHITE ADMINISTRATORS	Plan Name MORGAN WHITE ADMINISTRATORS	Plan Type Other Payers	State MS	Address 5722 I 55 N Zip- 39211-263 City- JACKSON
Payer Name FOX EVERETT INSURANCE	Plan Name FOX EVERETT INSURANCE	Plan Type Other Payers	State MS	Address PO BOX 6006 Zip- 39158 City- RIDGELAND
Payer Name BCBS MISSISSIPPI	Plan Name BCBS MISSISSIPPI	Plan Type Other Payers	State MS	Address PO BOX 1043 Zip- 392151043 City- JACKSON
Payer Name AMERICAN PUBLIC LIFE	Plan Name AMERICAN PUBLIC LIFE	Plan Type Other Payers	State MS	Address PO BOX 925 Zip- 39205 City- JACKSON
Payer Name Centene	Plan Name DANII NEWELL CARE OF JHERRIKA ATTERBERRY	Plan Type Other Payers	State MS	Address 412 IRVIN JONES RD Zip- 39149-3826 City- PINOLA
Payer Name Centene	Plan Name REFUNDS MAGNOLIA HEALTH PLAN	Plan Type Other Payers	State MS	Address 1020 HIGHLAND COLONY PKWY STE Zip- 39157-2152 City- RIDGELAND
Payer Name LOCKARD & WILLIAMS	Plan Name LOCKARD & WILLIAMS	Plan Type Other Payers	State MS	Address PO BOX 1688 Zip- 39568 City- PASCAGOULA
Payer Name BCBS OF MONTANA	Plan Name BCBS OF MONTANA	Plan Type Other Payers	State MT	Address PO BOX 7982 Zip- 59604 City- HELENA
Payer Name ALLEGIANCE BENEFITS	Plan Name ALLEGIANCE BENEFITS	Plan Type Other Payers	State MT	Address PO BOX 3018 Zip- 59806 City- MISSOULA
Payer Name EMPLOYEE BENEFIT MGMT SERVICE	Plan Name EMPLOYEE BENEFIT MGMT SERVICE	Plan Type Other Payers	State MT	Address PO BOX 21367 Zip- 59104 City- BILLINGS
Payer Name PRIMARY PHYSICIAN CARE INC	Plan Name PRIMARY PHYSICIAN CARE INC	Plan Type Other Payers	State NC	Address PO BOX 11088 Zip- 28220 City- CHARLOTTE
Payer Name COVENTRY FORMERLY WELL PATH S	Plan Name COVENTRY FORMERLY WELL PATH S	Plan Type Other Payers	State NC	Address 6330 QUADRANGLE DRIVE Zip- 27514 City- CHAPEL HILL
Payer Name Centene	Plan Name WELLCARE	Plan Type Other Payers	State NC	Address 500 CENTREPARK DR Zip- 28805-1262 City- ASHEVILLE
Payer Name BC/BS OF NORTH CAROLINA	Plan Name BC/BS OF NORTH CAROLINA	Plan Type Other Payers	State NC	Address PO BOX 2291 Zip- 27702 City- DURHAM
Payer Name PIEDMONT ADMINISTRATORS	Plan Name PIEDMONT ADMINISTRATORS	Plan Type Other Payers	State NC	Address PO BOX 25987 Zip- 27114-598 City- WINSTON SALEM
Payer Name INTERACTIVE MEDICAL SYSTEMS	Plan Name INTERACTIVE MEDICAL SYSTEMS	Plan Type Other Payers	State NC	Address 11635 NORTHPARK DR STE 335 Zip- 27587 City- WAKE FOREST
Payer Name BCBS SOUTH CAROLINA FEP	Plan Name BCBS SOUTH CAROLINA FEP	Plan Type Other Payers	State NC	Address PO BOX 35 Zip- 27702-003 City- DURHAM
Payer Name JEFFERSON PILOT	Plan Name JEFFERSON PILOT	Plan Type Other Payers	State NC	Address 100 NORTH GREEN ST Zip- 27401 City- GREENSBORO
Payer Name Centene	Plan Name FIRST HEALTH NETWORK MEDCOST	Plan Type Other Payers	State NC	Address PO BOX 25307 Zip- 27114-5307 City- WINSTON SALEM
Payer Name ACS BENEFIT SERVICES	Plan Name ACS BENEFIT SERVICES	Plan Type Other Payers	State NC	Address PO BOX 2000 Zip- 27102 City- WINSTON SAL
Payer Name BCBS NORTH DAKOTA	Plan Name BCBS NORTH DAKOTA	Plan Type Other Payers	State ND	Address 4510 13TH AVE SW Zip- 58121 City- FARGO
Payer Name AMERITAS	Plan Name AMERITAS	Plan Type Other Payers	State NE	Address PO BOX 81889 Zip- 68501 City- LINCOLN
Payer Name MUTUAL OF OMAHA	Plan Name MUTUAL OF OMAHA	Plan Type Other Payers	State NE	Address MUTUAL OF OMAHA PLAZA Zip- 68175 City- OMAHA
Payer Name Centene	Plan Name NEBRASKA MEDICAID	Plan Type Other Payers	State NE	Address 1733 W MULBERRY ST Zip- 68522-2516 City- LINCOLN
Payer Name PHARMACEUTICAL TECHNOLOGIES	Plan Name PHARMACEUTICAL TECHNOLOGIES	Plan Type Other Payers	State NE	Address PO BOX 407 Zip- 68010 City- BOYSTOWN
Payer Name Centene	Plan Name SAIF CORPORATION	Plan Type Other Payers	State NE	Address PO BOX 1602 Zip- 68101-1602 City- OMAHA
Payer Name COMMUNITY HEALTH OPTIONS	Plan Name COMMUNITY HEALTH OPTIONS	Plan Type Other Payers	State NE	Address PO BOX 233 Zip- 69162 City- SIDNEY
Payer Name Centene	Plan Name HUMANA HONOR	Plan Type Other Payers	State NE	Address PO BOX 1602 Zip- 68101-1602 City- OMAHA
Payer Name Centene	Plan Name NOVATO FIRE PROTECTION DISTRICT	Plan Type Other Payers	State NE	Address PO BOX 1602 Zip- 68101-1602 City- OMAHA
Payer Name AMERITAS DENTAL	Plan Name AMERITAS DENTAL	Plan Type Other Payers	State NE	Address PO BOX 82520 Zip- 68501-252 City- LINCOLN
Payer Name Centene	Plan Name MEDICARE RAILROAD	Plan Type Other Payers	State NE	Address PO BOX 1602 Zip- 68101-1602 City- OMAHA
Payer Name Centene	Plan Name MISC MEDICARE HMO	Plan Type Other Payers	State NE	Address PO BOX 1602 Zip- 68101-1602 City- OMAHA
Payer Name Centene	Plan Name NEBRASKA DEPARTMENT OF LABOR	Plan Type Other Payers	State NE	Address 2317 N 6TH ST STE 3 Zip- 68310-1204 City- BEATRICE
Payer Name Centene	Plan Name LIABILITY INSURER	Plan Type Other Payers	State NE	Address PO BOX 1602 Zip- 68101-1602 City- OMAHA
Payer Name Centene	Plan Name MEDICARE	Plan Type Other Payers	State NE	Address PO BOX 1602 Zip- 68101-1602 City- OMAHA
Payer Name STANDARD LIFE	Plan Name STANDARD LIFE	Plan Type Other Payers	State NE	Address PO BOX 82622 Zip- 685012622 City- LINCOLN
Payer Name Centene	Plan Name MEDICARE NEBRASKA	Plan Type Other Payers	State NE	Address PO BOX 1602 Zip- 68101-1602 City- OMAHA
Payer Name PHYSICIANS MUTUAL	Plan Name PHYSICIANS MUTUAL	Plan Type Other Payers	State NE	Address 2600 DODGE STREET Zip- 68131-267 City- OMAHA
Payer Name BCBS NEBRASKA	Plan Name BCBS NEBRASKA	Plan Type Other Payers	State NE	Address PO BOX 3248 Zip- 681800001 City- OMAHA
Payer Name Centene	Plan Name HOSPICE PROVIDER	Plan Type Other Payers	State NE	Address PO BOX 1602 Zip- 68101-1602 City- OMAHA
Payer Name AMERITAS	Plan Name AMERITAS	Plan Type Other Payers	State NE	Address PO BOX 82520 Zip- 68501-252 City- LINCOLN
Payer Name KNIGHTS OF COLUMBUS	Plan Name KNIGHTS OF COLUMBUS	Plan Type Other Payers	State NE	Address 3316 FARNUM STREET Zip- 68175 City- OMAHA
Payer Name Centene	Plan Name AIG PROPERTY CASUALTY INC	Plan Type Other Payers	State NE	Address PO BOX 1602 Zip- 68101-1602 City- OMAHA
Payer Name Centene	Plan Name AETNA SENIOR SUPPLEMENTAL	Plan Type Other Payers	State NE	Address PO BOX 1602 Zip- 68101-1602 City- OMAHA
Payer Name Centene	Plan Name HOSPICE HOME CARE	Plan Type Other Payers	State NE	Address PO BOX 1602 Zip- 68101-1602 City- OMAHA
Payer Name Centene	Plan Name STATE OF NEBRASKA MDCD	Plan Type Other Payers	State NE	Address PO BOX 95026 Zip- 68509-5026 City- LINCOLN
Payer Name Centene	Plan Name NEBRASKA MEDICAID DHHS	Plan Type Other Payers	State NE	Address PO BOX 95026 Zip- 68509-5026 City- LINCOLN
Payer Name Centene	Plan Name MEDICAID NEBRASKA FEE FOR SERVICE	Plan Type Other Payers	State NE	Address PO BOX 95026 Zip- 68509-5026 City- LINCOLN
Payer Name MEDIPLAN	Plan Name MEDIPLAN	Plan Type Other Payers	State NJ	Address PO BOX 590 Zip- 74100590 City- FAIR LAWN
Payer Name TEAMSTERS LOCAL 641	Plan Name TEAMSTERS LOCAL 641	Plan Type Other Payers	State NJ	Address 714 RAHWAY AVENUE Zip- 07083-663 City- UNION
Payer Name HORIZON BCBS NEW JERSEY	Plan Name HORIZON BCBS NEW JERSEY	Plan Type Other Payers	State NJ	Address 1427 WYCKOFF RD Zip- 07727 City- FARMINGDALE
Payer Name NEW JERSEY CARPENTERS FUND	Plan Name NEW JERSEY CARPENTERS FUND	Plan Type Other Payers	State NJ	Address PO BOX 7818 Zip- 08818-781 City- EDISON
Payer Name NEW JERSEY CARPENTERS FUND	Plan Name NEW JERSEY CARPENTERS FUND	Plan Type Other Payers	State NJ	Address PO BOX 1301 Zip- 07754 City- NEPTUNE
Payer Name HORIZON HEALTHCARE	Plan Name HORIZON HEALTHCARE	Plan Type Other Payers	State NJ	Address PO BOX 79 Zip- 07101 City- NEWARK
Payer Name CHUBB LIFE AMERICA	Plan Name CHUBB LIFE AMERICA	Plan Type Other Payers	State NJ	Address 15 MOUNTAIN VIEW ROAD Zip- 07059 City- WARREN
Payer Name IUOE	Plan Name IUOE	Plan Type Other Payers	State NJ	Address 55 SPRINGFIELD AVE Zip- 07081 City- SPRINGFIELD
Payer Name ASRM INC	Plan Name ASRM INC	Plan Type Other Payers	State NJ	Address 505 S LENOLA RD STE 231 Zip- 08057 City- MORRESTOWN
Payer Name INSURERS ADMIN OF AMERICA	Plan Name INSURERS ADMIN OF AMERICA	Plan Type Other Payers	State NJ	Address 1934 OLNEY AVENUE STE 200 Zip- 80032130 City- CHERRY HILL
Payer Name INSURANCE DESIGN ADMINISTRATO	Plan Name INSURANCE DESIGN ADMINISTRATO	Plan Type Other Payers	State NJ	Address 153 BAUER DRIVE Zip- 07436 City- OAKLAND
Payer Name QUALCARE	Plan Name QUALCARE	Plan Type Other Payers	State NJ	Address PO BOX 249 Zip- 08854-024 City- PISCATAWAY
Payer Name CONTINENTAL INSURANCE COMPANY	Plan Name CONTINENTAL INSURANCE COMPANY	Plan Type Other Payers	State NJ	Address PO BOX 1209 Zip- 08855 City- PISCATAWAY
Payer Name BCBS NEW MEXICO	Plan Name BCBS NEW MEXICO	Plan Type Other Payers	State NM	Address PO BOX 27630 Zip- 87125-7630 City- Albuquerque
Payer Name Centene	Plan Name WELLCARE DUAL ACCESS	Plan Type Other Payers	State NM	Address 5300 HOMESTEAD RD NE Zip- 87110-1293 City- ALBUQUERQUE
Payer Name PRESBYTERIAN HEALTHCARE SERV	Plan Name PRESBYTERIAN HEALTHCARE SERV	Plan Type Other Payers	State NM	Address PO BOX 27489 Zip- 87125 City- ALBUQUERQUE
Payer Name BCBS ILLINOIS	Plan Name BCBS ILLINOIS	Plan Type Other Payers	State NM	Address 2300 BUENA VISTA SE STE 127 Zip- 87106-434 City- ALBUQUERQUE
Payer Name CENTENE	Plan Name CENTENE	Plan Type Other Payers	State NV	Address PO BOX 30042 Zip- 89520-3042 City- RENO
Payer Name Centene	Plan Name MEDICAID NEVADA	Plan Type Other Payers	State NV	Address PO BOX 30042 Zip- 89520-3042 City- RENO
Payer Name Centene	Plan Name LOUISIANA MEDICAID	Plan Type Other Payers	State NV	Address PO BOX 30042 Zip- 89520-3042 City- RENO
Payer Name SAINT MARYS HEALTHPLANS	Plan Name SAINT MARYS HEALTHPLANS	Plan Type Other Payers	State NV	Address 1510 MEADOW WOOD LANE Zip- 89502 City- RENO
Payer Name TEACHERS HEALTH TRST	Plan Name TEACHERS HEALTH TRST	Plan Type Other Payers	State NV	Address PO BOX 96238 Zip- 89193 City- LAS VEGAS
Payer Name CDS GROUP HEALTH	Plan Name CDS GROUP HEALTH	Plan Type Other Payers	State NV	Address PO BOX 50190 Zip- 894350190 City- SPARKS
Payer Name Centene	Plan Name MAGELLAN MEDICAID ADM	Plan Type Other Payers	State NV	Address PO BOX 30042 Zip- 89520-3042 City- RENO
Payer Name SIERRA HEALTH & LIFE	Plan Name SIERRA HEALTH & LIFE	Plan Type Other Payers	State NV	Address PO BOX 15645 Zip- 89114-564 City- LAS VEGAS
Payer Name Centene	Plan Name NV FFS MEDICAID QMNV	Plan Type Other Payers	State NV	Address PO BOX 30042 Zip- 89520-3042 City- RENO
Payer Name Centene	Plan Name HP ENTERPRISE SVCS	Plan Type Other Payers	State NV	Address PO BOX 30042 Zip- 89520-3042 City- RENO
Payer Name Emblem Health	Plan Name Emblem Health	Plan Type Other Payers	State NY	Address PO BOX 2803 Zip- 10116-2845 City- New York
Payer Name Emblem Health	Plan Name Emblem Health	Plan Type Other Payers	State NY	Address PO BOX 2844 Zip- 10116-2845 City- New York
Payer Name Emblem Health	Plan Name Emblem Health	Plan Type Other Payers	State NY	Address PO BOX 2788 Zip- 10116-2845 City- New York
Payer Name HEALTH ECONOMICS GROUP	Plan Name HEALTH ECONOMICS GROUP	Plan Type Other Payers	State NY	Address 1050 UNIVERSITY AVENUE Zip- 14607 City- ROCHESTER
Payer Name Centene	Plan Name FIDELIS CARE NEW YORK	Plan Type Other Payers	State NY	Address PO BOX 19166 Zip- 11101-9266 City- LONG ISLAND CITY
Payer Name Centene	Plan Name FIDELIS CARE FIDA PLAN	Plan Type Other Payers	State NY	Address PO BOX 19166 Zip- 11101-9266 City- LONG ISLAND CITY
Payer Name Emblem Health	Plan Name Emblem Health	Plan Type Other Payers	State NY	Address PO BOX 2863 Zip- 10116-2845 City- New York
Payer Name Emblem Health	Plan Name Emblem Health	Plan Type Other Payers	State NY	Address PO BOX 2868 Zip- 10116-2845 City- New York
Payer Name Emblem Health	Plan Name Emblem Health	Plan Type Other Payers	State NY	Address PO BOX 2862 Zip- 10116-2845 City- New York
Payer Name MAGNACARE (LOCAL 1298)	Plan Name MAGNACARE (LOCAL 1298)	Plan Type Other Payers	State NY	Address 681 FULTON AVENUE Zip- 11550 City- HEMPSTEAD
Payer Name Emblem Health	Plan Name Emblem Health	Plan Type Other Payers	State NY	Address PO BOX 2845 Zip- 10116-2845 City- New York
Payer Name ZENITH ADMIN BENESER	Plan Name ZENITH ADMIN BENESER	Plan Type Other Payers	State NY	Address 270 PARK AVE Zip- 117432799 City- HUNTINGTON
Payer Name Emblem Health	Plan Name Emblem Health	Plan Type Other Payers	State NY	Address PO BOX 2861 Zip- 10116-2845 City- New York
Payer Name Emblem Health	Plan Name Emblem Health	Plan Type Other Payers	State NY	Address PO BOX 2838 Zip- 10116-2845 City- New York
Payer Name Emblem Health	Plan Name Emblem Health	Plan Type Other Payers	State NY	Address PO BOX 2787 Zip- 10116-2845 City- New York
Payer Name 1199 SEIU NATIONAL BENEFITS	Plan Name 1199 SEIU NATIONAL BENEFITS	Plan Type Other Payers	State NY	Address 498 SEVENTH AVENUE Zip- 10018-697 City- NEW YORK
Payer Name MONTEFIORE	Plan Name MONTEFIORE	Plan Type Other Payers	State NY	Address 200 CORPORATE DRIVE Zip- 10701 City- YONKERS
Payer Name HEALTHCARE PARTNERS	Plan Name HEALTHCARE PARTNERS	Plan Type Other Payers	State NY	Address 501 FRANKLIN AVENUE Zip- 11530 City- GARDEN CITY
Payer Name DICKINSON GROUP	Plan Name DICKINSON GROUP	Plan Type Other Payers	State NY	Address PO BOX 3877 CHURCH ST STATI Zip- 100083877 City- NEW YORK
Payer Name Emblem Health	Plan Name Emblem Health	Plan Type Other Payers	State NY	Address PO BOX 2857 Zip- 10116-2845 City- New York
Payer Name Emblem Health	Plan Name Emblem Health	Plan Type Other Payers	State NY	Address PO BOX 2830 Zip- 10116-2845 City- New York
Payer Name MAGNACARE	Plan Name MAGNACARE	Plan Type Other Payers	State NY	Address 2 HUNTINGTON QUADRANGLE Zip- 11747 City- MELVILLE
Payer Name Emblem Health	Plan Name Emblem Health	Plan Type Other Payers	State NY	Address PO BOX 2858 Zip- 10116-2845 City- New York
Payer Name Centene	Plan Name FIDELIS CARE	Plan Type Other Payers	State NY	Address PO BOX 170 Zip- 14051 City- EAST AMHERST
Payer Name BCBS EMPIRE FEDERAL EMPLOYEES	Plan Name BCBS EMPIRE FEDERAL EMPLOYEES	Plan Type Other Payers	State NY	Address PO BOX 1407 Zip- 100081407 City- NEW YORK
Payer Name Centene	Plan Name FIDELIS CARE	Plan Type Other Payers	State NY	Address PO BOX 724 Zip- 14226-0724 City- AMHERST
Payer Name Centene	Plan Name FIDELIS SECURE CARE	Plan Type Other Payers	State NY	Address PO BOX 724 Zip- 14226-0724 City- AMHERST
Payer Name Emblem Health	Plan Name Emblem Health	Plan Type Other Payers	State NY	Address PO BOX 2828 Zip- 10116-2845 City- New York
Payer Name AMALGAMATED LIFE INSURANCE	Plan Name AMALGAMATED LIFE INSURANCE	Plan Type Other Payers	State NY	Address PO BOX 5435 Zip- 10602 City- WHITE PLAIN
Payer Name NEIGHBORHOOD HEALTH PLAN	Plan Name NEIGHBORHOOD HEALTH PLAN	Plan Type Other Payers	State NY	Address PO BOX 5210 Zip- 12402 City- KINGSTON
Payer Name Centene	Plan Name FIDELIS CARE CORP CLAIMS DEPT	Plan Type Other Payers	State NY	Address PO BOX 724 Zip- 14226-0724 City- AMHERST
Payer Name Emblem Health	Plan Name Emblem Health	Plan Type Other Payers	State NY	Address PO BOX 9091 Zip- 10116-2845 City- New York
Payer Name MVP HEALTH	Plan Name MVP HEALTH	Plan Type Other Payers	State NY	Address PO BOX 2207 Zip- 12301 City- SCHENECTADY
Payer Name ALICARE (AMALGAMATED LIFE INS)	Plan Name ALICARE (AMALGAMATED LIFE INS)	Plan Type Other Payers	State NY	Address 333 WESTCHESTER AVENUE Zip- 10604 City- WHITE PLAIN
Payer Name Emblem Health	Plan Name Emblem Health	Plan Type Other Payers	State NY	Address PO BOX 2827 Zip- 10116-2845 City- New York
Payer Name DICKINSON GROUP	Plan Name DICKINSON GROUP	Plan Type Other Payers	State NY	Address PO BOX 3877 Zip- 100083877 City- NEW YORK
Payer Name Emblem Health	Plan Name Emblem Health	Plan Type Other Payers	State NY	Address PO BOX 2884 Zip- 10116-2845 City- New York
Payer Name Centene	Plan Name FIDELIS CARE	Plan Type Other Payers	State NY	Address 480 CROSSPOINT PKWY Zip- 14068-1608 City- GETZVILLE
Payer Name Emblem Health	Plan Name Emblem Health	Plan Type Other Payers	State NY	Address PO BOX 3000 Zip- 10116-2845 City- New York
Payer Name Centene	Plan Name FIDELIS CARE	Plan Type Other Payers	State NY	Address PO BOX 1205 Zip- 14226-7205 City- AMHERST
Payer Name Emblem Health	Plan Name Emblem Health	Plan Type Other Payers	State NY	Address PO BOX 3235 Zip- 10116-2845 City- New York
Payer Name Centene	Plan Name FIDELIS CARE	Plan Type Other Payers	State NY	Address PO BOX 178 Zip- 13411-0178 City- NEW BERLIN
Payer Name Emblem Health	Plan Name Emblem Health	Plan Type Other Payers	State NY	Address PO BOX 4000 Zip- 10116-2845 City- New York
Payer Name Centene	Plan Name FIDELIS CARE	Plan Type Other Payers	State NY	Address PO BOX 806 Zip- 14226-0806 City- AMHERST
Payer Name Emblem Health	Plan Name Emblem Health	Plan Type Other Payers	State NY	Address PO BOX 2826 Zip- 10116-2845 City- New York
Payer Name Emblem Health	Plan Name Emblem Health	Plan Type Other Payers	State NY	Address PO BOX 2804 Zip- 10116-2845 City- New York
Payer Name Emblem Health	Plan Name Emblem Health	Plan Type Other Payers	State NY	Address PO BOX 2814 Zip- 10116-2845 City- New York
Payer Name Centene	Plan Name FIDELIS CARE COMMUNITY	Plan Type Other Payers	State NY	Address 31 BRITISH AMERICAN BLVD Zip- 12110-1405 City- LATHAM
Payer Name Emblem Health	Plan Name Emblem Health	Plan Type Other Payers	State NY	Address PO BOX 2833 Zip- 10116-2845 City- New York
Payer Name Emblem Health	Plan Name Emblem Health	Plan Type Other Payers	State NY	Address PO BOX 2805 Zip- 10116-2845 City- New York
Payer Name BC AND BS OF ROCHESTER	Plan Name BC AND BS OF ROCHESTER	Plan Type Other Payers	State NY	Address 165 COURT STREET Zip- 14647 City- ROCHESTER
Payer Name Emblem Health	Plan Name Emblem Health	Plan Type Other Payers	State NY	Address PO BOX 2832 Zip- 10116-2845 City- New York
Payer Name Emblem Health	Plan Name Emblem Health	Plan Type Other Payers	State NY	Address PO BOX 2808 Zip- 10116-2845 City- New York
Payer Name Emblem Health	Plan Name Emblem Health	Plan Type Other Payers	State NY	Address PO BOX 2809 Zip- 10116-2845 City- New York
Payer Name Emblem Health	Plan Name Emblem Health	Plan Type Other Payers	State NY	Address PO BOX 2874 Zip- 10116-2845 City- New York
Payer Name Centene	Plan Name FIDELIS CARE NEW YORK	Plan Type Other Payers	State NY	Address PO BOX 806 Zip- 14226-0806 City- AMHERST
Payer Name Centene	Plan Name FIDELIS CARE	Plan Type Other Payers	State NY	Address PO BOX 905 Zip- 14226-0905 City- AMHERST
Payer Name Emblem Health	Plan Name Emblem Health	Plan Type Other Payers	State NY	Address PO BOX 2815 Zip- 10116-2845 City- New York
Payer Name NEW JERSEY CARPENTERS FUND	Plan Name NEW JERSEY CARPENTERS FUND	Plan Type Other Payers	State NY	Address 253 W 35TH ST 12TH FLOOR Zip- 10001 City- NEW YORK
Payer Name A1 LIFE INSURANCE	Plan Name A1 LIFE INSURANCE	Plan Type Other Payers	State NY	Address 102 MAIDEN LANE Zip- 10038 City- NEW YORK
Payer Name Centene	Plan Name FIDELIS CARE	Plan Type Other Payers	State NY	Address PO BOX 898 Zip- 14226-0898 City- AMHERST
Payer Name Centene	Plan Name FIDELIS CARE QDAL	Plan Type Other Payers	State NY	Address PO BOX 806 Zip- 14226-0806 City- AMHERST
Payer Name Emblem Health	Plan Name Emblem Health	Plan Type Other Payers	State NY	Address PO BOX 2817 Zip- 10116-2845 City- New York
Payer Name Emblem Health	Plan Name Emblem Health	Plan Type Other Payers	State NY	Address PO BOX 2818 Zip- 10116-2845 City- New York
Payer Name Emblem Health	Plan Name Emblem Health	Plan Type Other Payers	State NY	Address PO BOX 2807 Zip- 10116-2845 City- New York
Payer Name Emblem Health	Plan Name Emblem Health	Plan Type Other Payers	State NY	Address PO BOX 2843 Zip- 10116-2845 City- New York
Payer Name Emblem Health	Plan Name Emblem Health	Plan Type Other Payers	State NY	Address PO BOX 1701 Zip- 10116-2845 City- New York
Payer Name BCBS WESTERN NEW YORK	Plan Name BCBS WESTERN NEW YORK	Plan Type Other Payers	State NY	Address PO BOX 80 Zip- 14240-008 City- BUFFALO
Payer Name Emblem Health	Plan Name Emblem Health	Plan Type Other Payers	State NY	Address PO BOX 2786 Zip- 10116-2845 City- New York
Payer Name POMCO	Plan Name POMCO	Plan Type Other Payers	State NY	Address PO BOX 6329 Zip- 13217 City- SYRACUSE
Payer Name UFCW - LOCAL 464A	Plan Name UFCW - LOCAL 464A	Plan Type Other Payers	State NY	Address PO BOX 606 Zip- 12765 City- NEVERSINK
Payer Name Emblem Health	Plan Name Emblem Health	Plan Type Other Payers	State NY	Address PO BOX 2842 Zip- 10116-2845 City- New York
Payer Name EXCELLUS BCBS NEW YORK	Plan Name EXCELLUS BCBS NEW YORK	Plan Type Other Payers	State NY	Address PO BOX 22999 Zip- 14692 City- ROCHESTER
Payer Name EMPIRE BCBS NEW YORK	Plan Name EMPIRE BCBS NEW YORK	Plan Type Other Payers	State NY	Address PO BOX 3876 Zip- 10008-387 City- NEW YORK
Payer Name C&R	Plan Name C&R	Plan Type Other Payers	State NY	Address 1501 BROADWAY Zip- 10036 City- NEW YORK
Payer Name COMMERCIAL TRAVELERS MUTUAL I	Plan Name COMMERCIAL TRAVELERS MUTUAL I	Plan Type Other Payers	State NY	Address 70 GENESEE ST Zip- 13502 City- UTICA
Payer Name SEIU DENTAL	Plan Name SEIU DENTAL	Plan Type Other Payers	State NY	Address 330 WEST 42ND STREET Zip- 10036 City- NEW YORK
Payer Name BLUE CROSS/BLUE SHIELD OF NY	Plan Name BLUE CROSS/BLUE SHIELD OF NY	Plan Type Other Payers	State NY	Address PO BOX 5068 Zip- 10940 City- MIDDLETOWN
Payer Name SEIU DENTAL	Plan Name SEIU DENTAL	Plan Type Other Payers	State NY	Address NEW YORK,NY 10036 Zip- 10036 City- NEW YORK
Payer Name INTERNATIONAL BENEFITS ADMIN	Plan Name INTERNATIONAL BENEFITS ADMIN	Plan Type Other Payers	State NY	Address PO BOX 9306 Zip- 11530 City- GARDEN CITY
Payer Name SEIU DENTAL	Plan Name SEIU DENTAL	Plan Type Other Payers	State NY	Address ATTN: RICHARD FABIO Zip- 10036 City- NEW YORK
Payer Name EMBLEM	Plan Name EMBLEM	Plan Type Other Payers	State NY	Address 253 W 35TH 12TH FLOOR Zip- 10001 City- NEW YORK
Payer Name PRIVATE HEALTHCARE SYSTEMS	Plan Name PRIVATE HEALTHCARE SYSTEMS	Plan Type Other Payers	State NY	Address 115 FIFTH AVENUE Zip- 10001 City- NEW YORK
Payer Name DAVIS VISION	Plan Name DAVIS VISION	Plan Type Other Payers	State NY	Address PO BOX 1525 Zip- 12110 City- LATHAM
Payer Name SIEBA LTD	Plan Name SIEBA LTD	Plan Type Other Payers	State NY	Address PO BOX 5000 Zip- 13761 City- ENDICOTT
Payer Name DANIEL H COOK ASSOCIATES, IN	Plan Name DANIEL H COOK ASSOCIATES, IN	Plan Type Other Payers	State NY	Address 253 W 35TH ST Zip- 10001 City- NEW YORK
Payer Name HEALTH SERVICE REVIEW OF OHIO	Plan Name HEALTH SERVICE REVIEW OF OHIO	Plan Type Other Payers	State OH	Address 6730 ROOSEVELT AVE STE 304 Zip- 45005-573 City- FRANKLIN
Payer Name CareSource	Plan Name Indiana claims	Plan Type Other Payers	State OH	Address PO BOX 3607 Zip- 45401 City- Dayton
Payer Name Centene	Plan Name MEDICAID OTHER STATES	Plan Type Other Payers	State OH	Address PO BOX 1461 Zip- 43216-1461 City- COLUMBUS
Payer Name Centene	Plan Name MEDICAID OH BUCKEYE	Plan Type Other Payers	State OH	Address PO BOX 1461 Zip- 43216-1461 City- COLUMBUS
Payer Name CareSource	Plan Name IOWA claims	Plan Type Other Payers	State OH	Address PO BOX 3209 Zip- 45401 City- Dayton
Payer Name Centene	Plan Name MEDICAID OF OHIO	Plan Type Other Payers	State OH	Address PO BOX 1461 Zip- 43216-1461 City- COLUMBUS
Payer Name MEDICAL MUTUAL OF OHIO	Plan Name MEDICAL MUTUAL OF OHIO	Plan Type Other Payers	State OH	Address 2060 EAST NINTH STREET Zip- 44115-135 City- CLEVELAND
Payer Name CINCINNATI LIFE LTC	Plan Name CINCINNATI LIFE LTC	Plan Type Other Payers	State OH	Address PO BOX 145496 Zip- 45250-549 City- CINCINNATI
Payer Name CUSTOM DESIGN BENEFITS	Plan Name CUSTOM DESIGN BENEFITS	Plan Type Other Payers	State OH	Address 5589 CHEVIOT ROAD Zip- 45247 City- CINCINNATI
Payer Name CareSource	Plan Name Ohio CustomerCare Finance Investment	Plan Type Other Payers	State OH	Address PO BOX 8730 Zip- 45401 City- Dayton
Payer Name Centene	Plan Name FIRST HEALTH	Plan Type Other Payers	State OH	Address PO BOX 825 Zip- 44685-0825 City- UNIONTOWN
Payer Name CareSource	Plan Name West Virginia claims	Plan Type Other Payers	State OH	Address PO BOX 804 Zip- 45401 City- Dayton
Payer Name COMPENSATION PROGRAMS OF OHIO	Plan Name COMPENSATION PROGRAMS OF OHIO	Plan Type Other Payers	State OH	Address 33 FITCH BLVD Zip- 44515 City- YOUNGSTOWN
Payer Name UNITED COMMERCIAL TRAVELLERS	Plan Name UNITED COMMERCIAL TRAVELLERS	Plan Type Other Payers	State OH	Address PO BOX 159019 Zip- 43215 City- COLUMBUS
Payer Name E S BEVERIDGE & ASSOC INC	Plan Name E S BEVERIDGE & ASSOC INC	Plan Type Other Payers	State OH	Address PO BOX 636 Zip- 44901 City- MANSFIELD
Payer Name Centene	Plan Name AMBETTER HEALTH	Plan Type Other Payers	State OH	Address PO BOX 6018 Zip- 44101-1018 City- CLEVELAND
Payer Name ENTERPRISE GROUP PLANNING	Plan Name ENTERPRISE GROUP PLANNING	Plan Type Other Payers	State OH	Address 5910 HARPER RD Zip- 44139 City- SOLON
Payer Name Centene	Plan Name BUCKEYE HEALTH PLAN	Plan Type Other Payers	State OH	Address 4349 EASTON WAY STE 300 Zip- 43219-0001 City- COLUMBUS
Payer Name Centene	Plan Name OOS MEDICAID OF OHIO	Plan Type Other Payers	State OH	Address PO BOX 1461 Zip- 43216-1461 City- COLUMBUS
Payer Name CareSource	Plan Name Kentucky claims	Plan Type Other Payers	State OH	Address PO BOX 824 Zip- 45401 City- Dayton
Payer Name CareSource	Plan Name Mississippi claims	Plan Type Other Payers	State OH	Address PO BOX 1362 Zip- 45401 City- Dayton
Payer Name MUTUAL HEALTH SERVICES	Plan Name MUTUAL HEALTH SERVICES	Plan Type Other Payers	State OH	Address PO BOX 5700 Zip- 44101 City- CLEVELAND
Payer Name CareSource	Plan Name North Carolina claims	Plan Type Other Payers	State OH	Address PO BOX 967 Zip- 45401 City- Dayton
Payer Name MUTUAL HEALTH SERVICES	Plan Name MUTUAL HEALTH SERVICES	Plan Type Other Payers	State OH	Address 3636 COPLEY ROAD Zip- 44321 City- COPLEY
Payer Name Centene	Plan Name OHIO DEPT OF HUMAN	Plan Type Other Payers	State OH	Address PO BOX 1461 Zip- 43216-1461 City- COLUMBUS
Payer Name EMP BENEFIT CONSULTANTS	Plan Name EMP BENEFIT CONSULTANTS	Plan Type Other Payers	State OH	Address 3505 E ROYALTON RD STE 200 Zip- 44147-299 City- BROADVW HTS
Payer Name APEX BENEFITS	Plan Name APEX BENEFITS	Plan Type Other Payers	State OH	Address PO BOX 3620 Zip- 443093620 City- AKRON
Payer Name BUSINESS ADMIN & CONSULTANTS	Plan Name BUSINESS ADMIN & CONSULTANTS	Plan Type Other Payers	State OH	Address PO BOX 107 Zip- 43068 City- REYNOLDSBUR
Payer Name PHARMACY DATA MANAGEMENT	Plan Name PHARMACY DATA MANAGEMENT	Plan Type Other Payers	State OH	Address 1170 E WESTERN RESERVE RD Zip- 44512 City- POLAND
Payer Name Centene	Plan Name WELLCARE	Plan Type Other Payers	State OH	Address PO BOX 2645 Zip- 43216-2645 City- COLUMBUS
Payer Name Centene	Plan Name OH FFS MEDICAID	Plan Type Other Payers	State OH	Address PO BOX 2645 Zip- 43216-2645 City- COLUMBUS
Payer Name Centene	Plan Name CARESOURCE CAID	Plan Type Other Payers	State OH	Address PO BOX 2645 Zip- 43216-2645 City- COLUMBUS
Payer Name PARAMOUNT HEALTH PLANS	Plan Name PARAMOUNT HEALTH PLANS	Plan Type Other Payers	State OH	Address 1901 INDIAN WOOD CIRCLE Zip- 43537 City- MAUMEE
Payer Name CareSource	Plan Name Arkansas claims	Plan Type Other Payers	State OH	Address PO BOX 2308 Zip- 45401 City- Dayton
Payer Name HEALTH DESIGN PLUS	Plan Name HEALTH DESIGN PLUS	Plan Type Other Payers	State OH	Address 1755 GEORGETOWN ROAD Zip- 44236 City- HUDSON
Payer Name CAREMARK/APM	Plan Name CAREMARK/APM	Plan Type Other Payers	State OH	Address 603 E 27TH ST Zip- 44114 City- CLEVELAND
Payer Name CHESTERFIELD RESOURCES	Plan Name CHESTERFIELD RESOURCES	Plan Type Other Payers	State OH	Address 3520 4TH LAKE DRIVE Zip- 44685 City- UNIONTOWN
Payer Name EYEMED VISION	Plan Name EYEMED VISION	Plan Type Other Payers	State OH	Address PO BOX 8504 Zip- 450407111 City- MASON
Payer Name EBMC (MEDICAL MUTUAL OF OHIO)	Plan Name EBMC (MEDICAL MUTUAL OF OHIO)	Plan Type Other Payers	State OH	Address PO BOX 94648 Zip- 44101-464 City- CLEVELAND
Payer Name ANTARES MANAGEMENT	Plan Name ANTARES MANAGEMENT	Plan Type Other Payers	State OH	Address PO BOX 89472 Zip- 44101-647 City- CLEVELAND
Payer Name EBMC (CIGNA)	Plan Name EBMC (CIGNA)	Plan Type Other Payers	State OH	Address PO BOX 9057 Zip- 43017 City- DUBLIN
Payer Name CareSource	Plan Name Georgia claims	Plan Type Other Payers	State OH	Address PO BOX 803 Zip- 45401 City- Dayton
Payer Name SUMMIT INSURANCE COMPANY	Plan Name SUMMIT INSURANCE COMPANY	Plan Type Other Payers	State OH	Address PO BOX 94875 Zip- 44101-487 City- CLEVELAND
Payer Name WESTERN & SOUTHERN	Plan Name WESTERN & SOUTHERN	Plan Type Other Payers	State OH	Address PO BOX 5735 Zip- 45201 City- CINCINNATI
Payer Name MEDICAL BENEFITS	Plan Name MEDICAL BENEFITS	Plan Type Other Payers	State OH	Address PO BOX 1099 Zip- 430581099 City- NEWARK
Payer Name AULTRA ADMINISTRATIVE GROUP	Plan Name AULTRA ADMINISTRATIVE GROUP	Plan Type Other Payers	State OH	Address PO BOX 6910 Zip- 44706-091 City- CANTON
Payer Name SYSTEMS & STRATEGIES HEALTH	Plan Name SYSTEMS & STRATEGIES HEALTH	Plan Type Other Payers	State OH	Address PO BOX 46511 Zip- 45246 City- CINCINNATI
Payer Name Centene	Plan Name MEDICARE HMO	Plan Type Other Payers	State OH	Address PO BOX 31372 Zip- 45437-0372 City- DAYTON
Payer Name GLOBAL HEALTH	Plan Name GLOBAL HEALTH	Plan Type Other Payers	State OK	Address PO BOX 2328 Zip- 73101-232 City- OKLAHOMA CITY
Payer Name HEALTHCARE SOLUTIONS GROUP	Plan Name HEALTHCARE SOLUTIONS GROUP	Plan Type Other Payers	State OK	Address PO BOX 1309 Zip- 74402 City- MUSKOGEE
Payer Name CENTENE	Plan Name AMBETTER OF OKLAHOMA CENTENE	Plan Type Other Payers	State OK	Address PO BOX 18506 Zip- 73154-0506 City- OKLAHOMA CITY
Payer Name COMMUNITY HEALTH PLAN	Plan Name COMMUNITY HEALTH PLAN	Plan Type Other Payers	State OK	Address PO BOX 3249 Zip- 74101-324 City- TULSA
Payer Name Centene	Plan Name FIRST HEALTH NETWORK	Plan Type Other Payers	State OK	Address PO BOX 4070 Zip- 74006-4070 City- BARTLESVILLE
Payer Name MID SOUTH IRON WORKERS	Plan Name MID SOUTH IRON WORKERS	Plan Type Other Payers	State OK	Address 1300 S MERIDIAN AVE STE 125 Zip- 73108-175 City- OKLAHOMA CITY
Payer Name BCBS OKLAHOMA	Plan Name BCBS OKLAHOMA	Plan Type Other Payers	State OK	Address PO BOX 3283 Zip- 74102-3283 City- Tulsa
Payer Name BCBS ILLINOIS	Plan Name BCBS ILLINOIS	Plan Type Other Payers	State OK	Address 4845 S 83RD EAST AVENUE Zip- 74145 City- TULSA
Payer Name DELTA DENTAL OK	Plan Name DELTA DENTAL OK	Plan Type Other Payers	State OK	Address PO BOX 548809 Zip- 73154-880 City- OKLAHOMA CITY
Payer Name LA CARPENTERS COUNCIL	Plan Name LA CARPENTERS COUNCIL	Plan Type Other Payers	State OK	Address 1300 S MERIDIAN, STE 125 Zip- 73108 City- OKLAHOMA CITY
Payer Name GLOBE LIFE & ACCIDENT	Plan Name GLOBE LIFE & ACCIDENT	Plan Type Other Payers	State OK	Address GLOBE LIFE CENTER Zip- 73184 City- OKLAHOMA CITY
Payer Name RESERVE NATIONAL	Plan Name RESERVE NATIONAL	Plan Type Other Payers	State OK	Address PO BOX 26620 Zip- 73126 City- OKLAHOMA CY
Payer Name KEMPTON GROUP ADMIN	Plan Name KEMPTON GROUP ADMIN	Plan Type Other Payers	State OK	Address 13431 BROADWAY EXT STE 130 Zip- 73114 City- OKLAHOMA CITY
Payer Name PACIFICSOURCE HEALTH PLANS	Plan Name PACIFICSOURCE HEALTH PLANS	Plan Type Other Payers	State OR	Address PO BOX 7068 Zip- 97401 City- EUGENE
Payer Name PHYSICIAN HLTH SVCS	Plan Name PHYSICIAN HLTH SVCS	Plan Type Other Payers	State OR	Address PO BOX M/S 13249 CS02 Zip- 973091249 City- SALEM
Payer Name OREGON DENTAL SERVICES	Plan Name OREGON DENTAL SERVICES	Plan Type Other Payers	State OR	Address 601 SOUTHWEST 2ND STREET Zip- 97204 City- PORTLAND
Payer Name KAISER NORTHWEST	Plan Name KAISER NORTHWEST	Plan Type Other Payers	State OR	Address 500 NE MULTNOMAH STREET Zip- 97232 City- PORTLAND
Payer Name MODA HEALTH PLAN	Plan Name MODA HEALTH PLAN	Plan Type Other Payers	State OR	Address PO BOX 40384 Zip- 97240-038 City- PORTLAND
Payer Name SHASTA ADMINISTRATIVE SERVICE	Plan Name SHASTA ADMINISTRATIVE SERVICE	Plan Type Other Payers	State OR	Address PO BOX 1747 Zip- 97756 City- REDMOND
Payer Name ATRIO HEALTH PLANS	Plan Name ATRIO HEALTH PLANS	Plan Type Other Payers	State OR	Address 2270 NW AVIATION DRIVE #3 Zip- 97470 City- ROSENBURG
Payer Name Centene	Plan Name MEDICARE HEALTHNET	Plan Type Other Payers	State OR	Address 13221 SW 68TH PKWY STE 200 Zip- 97223-8328 City- PORTLAND
Payer Name Centene	Plan Name HEALTHNET	Plan Type Other Payers	State OR	Address 13221 SW 68TH PKWY STE 200 Zip- 97223-8328 City- PORTLAND
Payer Name Centene	Plan Name WELLCARE MCR HMO	Plan Type Other Payers	State PA	Address PO BOX 52846 Zip- 19115-7846 City- PHILADELPHIA
Payer Name PRUDENTIAL LTC	Plan Name PRUDENTIAL LTC	Plan Type Other Payers	State PA	Address 2101 WELSH RD Zip- 19025 City- DRESCHER
Payer Name SHEFFIELD OLSON AND MCQUEEN I	Plan Name SHEFFIELD OLSON AND MCQUEEN I	Plan Type Other Payers	State PA	Address 3 GATEWAY CENTER Zip- 15222 City- PITTSBURGH
Payer Name Centene	Plan Name OPTUM WELLCARE	Plan Type Other Payers	State PA	Address PO BOX 52846 Zip- 19115-7846 City- PHILADELPHIA
Payer Name Centene	Plan Name WELLCARE OF TX MCR	Plan Type Other Payers	State PA	Address PO BOX 52846 Zip- 19115-7846 City- PHILADELPHIA
Payer Name Centene	Plan Name TEXAN PLUS MCR	Plan Type Other Payers	State PA	Address PO BOX 52846 Zip- 19115-7846 City- PHILADELPHIA
Payer Name UNITED CONCORDIA DENTAL	Plan Name UNITED CONCORDIA DENTAL	Plan Type Other Payers	State PA	Address PO BOX 69421 Zip- 171069421 City- HARRISBURG
Payer Name KEYSTONE WEST	Plan Name KEYSTONE WEST	Plan Type Other Payers	State PA	Address PO BOX 890062 ATTN CLAIMS Zip- 17089 City- CAMP HILL
Payer Name HIGHMARK BLUE CROSS	Plan Name HIGHMARK BLUE CROSS	Plan Type Other Payers	State PA	Address PO BOX 890062 Zip- 17089-006 City- CAMP HILL
Payer Name Centene	Plan Name WELLCARE HEALTH PLANS	Plan Type Other Payers	State PA	Address PO BOX 52846 Zip- 19115-7846 City- PHILADELPHIA
Payer Name LUMENOS	Plan Name LUMENOS	Plan Type Other Payers	State PA	Address PO BOX 69309 Zip- 171069309 City- HARRISBURG
Payer Name UPMC	Plan Name UPMC	Plan Type Other Payers	State PA	Address PO BOX 2999 Zip- 15230 City- PITTSBURGH
Payer Name Centene	Plan Name OPTUM	Plan Type Other Payers	State PA	Address PO BOX 52846 Zip- 19115-7846 City- PHILADELPHIA
Payer Name ERIN GROUP ADMINISTRATORS	Plan Name ERIN GROUP ADMINISTRATORS	Plan Type Other Payers	State PA	Address PO BOX 7777 Zip- 17604 City- LANCASTER
Payer Name BROKERAGE CONCEPTS	Plan Name BROKERAGE CONCEPTS	Plan Type Other Payers	State PA	Address 801 LAKEVIEW DRIVE STE 301 Zip- 19422 City- BLUE BELL
Payer Name AMERIHEALTH	Plan Name AMERIHEALTH	Plan Type Other Payers	State PA	Address 1901 MARKET STREET 18 FLOOR Zip- 19103 City- PHILADELPHI
Payer Name NATIONAL ELEVATOR INDUSTRY	Plan Name NATIONAL ELEVATOR INDUSTRY	Plan Type Other Payers	State PA	Address 19 CAMPUS BLVD SUITE 200 Zip- 19073 City- NEWTOWN SQU
Payer Name CONSECO INSURANCE	Plan Name CONSECO INSURANCE	Plan Type Other Payers	State PA	Address 399 MARKET STREET Zip- 19181 City- PHILADELPHI
Payer Name CIGNA	Plan Name CIGNA	Plan Type Other Payers	State PA	Address PO BOX 5200 Zip- 18505 City- SCRANTON
Payer Name Centene	Plan Name ALLIANCE MED SUPPLEMENT	Plan Type Other Payers	State PA	Address PO BOX 4000 Zip- 19426-9000 City- COLLEGEVILLE
Payer Name CIGNA	Plan Name CIGNA	Plan Type Other Payers	State PA	Address 53 GLENMAURA NATIONAL BLVD Zip- 185072132 City- MOOSIC
Payer Name HIGHMARK BCBS	Plan Name HIGHMARK BCBS	Plan Type Other Payers	State PA	Address 120 FIFTH AVENUE Zip- 152223000 City- PITTSBURGH
Payer Name Centene	Plan Name AMBETTER	Plan Type Other Payers	State PA	Address PO BOX 99577 Zip- 15233-4577 City- PITTSBURGH
Payer Name BROKERAGE CONCEPTS	Plan Name BROKERAGE CONCEPTS	Plan Type Other Payers	State PA	Address 1021 W 8TH AVENUE Zip- 19406 City- KING OF PRUSSIA
Payer Name Centene	Plan Name KAISER COTIVITI	Plan Type Other Payers	State PA	Address 731 ARBOR WAY # 12019 Zip- 19422-1907 City- BLUE BELL
Payer Name BCBS INDEPENDENCE FE	Plan Name BCBS INDEPENDENCE FE	Plan Type Other Payers	State PA	Address 1901 MARKET STREET Zip- 19103-148 City- PHILADELPH
Payer Name DELTA DENTAL	Plan Name DELTA DENTAL	Plan Type Other Payers	State PA	Address PO BOX 2105 Zip- 17055 City- MECHANICSBU
Payer Name HIGHMARK BC	Plan Name HIGHMARK BC	Plan Type Other Payers	State PA	Address 120 5TH AVENUE Zip- 15222 City- PITTSBURGH
Payer Name FIRST MEDICAL HEALTH PLAN	Plan Name FIRST MEDICAL HEALTH PLAN	Plan Type Other Payers	State PR	Address PO BOX 195200 Zip- 00919-520 City- SAN JUAN
Payer Name TRIPLE S INC	Plan Name TRIPLE S INC	Plan Type Other Payers	State PR	Address PO BOX 363628 Zip- 9363628 City- SAN JUAN
Payer Name BCBS RHODE ISLAND	Plan Name BCBS RHODE ISLAND	Plan Type Other Payers	State RI	Address 500 EXCHANGE STREET Zip- 29032699 City- PROVIDENCE
Payer Name Centene	Plan Name TRICARE WEST REGION	Plan Type Other Payers	State SC	Address PO BOX 202100 Zip- 29502-2100 City- FLORENCE
Payer Name Centene	Plan Name TRICARE HEALTHNET FED SVC	Plan Type Other Payers	State SC	Address PO BOX 202100 Zip- 29502-2100 City- FLORENCE
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross BlueShield of South Carolina	Plan Type Other Payers	State SC	Address PO BOX 100300 Zip- 29202 City- COLUMBIA
Payer Name ANTHEM BCBS	Plan Name ANTHEM BCBS	Plan Type Other Payers	State SC	Address PO BOX 100300 Zip- 29202 City- COLUMBIA
Payer Name Centene	Plan Name TRICARE EAST	Plan Type Other Payers	State SC	Address PO BOX 202100 Zip- 29502-2100 City- FLORENCE
Payer Name PLANNED ADMINISTRATORS INC	Plan Name PLANNED ADMINISTRATORS INC	Plan Type Other Payers	State SC	Address PO BOX 6702 Zip- 29260 City- COLUMBIA
Payer Name COMPANION LIFE INSURANCE	Plan Name COMPANION LIFE INSURANCE	Plan Type Other Payers	State SC	Address PO BOX 100102 Zip- 292023102 City- COLUMBIA
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross BlueShield of South Carolina	Plan Type Other Payers	State SC	Address South Carolina Zip- 29202 City- Columbia
Payer Name COLONIAL LIFE & ACCIDENT	Plan Name COLONIAL LIFE & ACCIDENT	Plan Type Other Payers	State SC	Address PO BOX 100195 Zip- 29202 City- COLUMBIA
Payer Name Centene	Plan Name TRICARE WEST HUMANA	Plan Type Other Payers	State SC	Address PO BOX 202112 Zip- 29502-2112 City- FLORENCE
Payer Name Centene	Plan Name TRICARE WEST QMUT	Plan Type Other Payers	State SC	Address PO BOX 202112 Zip- 29502-2112 City- FLORENCE
Payer Name Centene	Plan Name HEALTHNET FEDERA	Plan Type Other Payers	State SC	Address PO BOX 870140 Zip- 29587-9740 City- SURFSIDE BEACH
Payer Name Centene	Plan Name TRICARE	Plan Type Other Payers	State SC	Address PO BOX 870140 Zip- 29587-9740 City- SURFSIDE BEACH
Payer Name Centene	Plan Name TRICARE WEST REGION CLAIMS DEPT	Plan Type Other Payers	State SC	Address PO BOX 202112 Zip- 29502-2112 City- FLORENCE
Payer Name Centene	Plan Name TRICARE WEST	Plan Type Other Payers	State SC	Address PO BOX 202105 Zip- 29502-2105 City- FLORENCE
Payer Name Centene	Plan Name TRICARE WEST REGION	Plan Type Other Payers	State SC	Address PO BOX 202112 Zip- 29502-2112 City- FLORENCE
Payer Name Centene	Plan Name TRICARE WEST REGION WPS	Plan Type Other Payers	State SC	Address PO BOX 202112 Zip- 29502-2112 City- FLORENCE
Payer Name Centene	Plan Name TRICARE NORTH REGION	Plan Type Other Payers	State SC	Address PO BOX 870140 Zip- 29587-9740 City- SURFSIDE BEACH
Payer Name Centene	Plan Name HEALTHNET FEDERAL SERVICES	Plan Type Other Payers	State SC	Address PO BOX 202112 Zip- 29502-2112 City- FLORENCE
Payer Name Centene	Plan Name TRICARE CHAMPUS	Plan Type Other Payers	State SC	Address PO BOX 870140 Zip- 29587-9740 City- SURFSIDE BEACH
Payer Name Centene	Plan Name HEALTHNET FEDERAL SERVICES WEST REGION	Plan Type Other Payers	State SC	Address PO BOX 202112 Zip- 29502-2112 City- FLORENCE
Payer Name Centene	Plan Name WPS CHAMPUS TRICARE TRIWEST	Plan Type Other Payers	State SC	Address PO BOX 202112 Zip- 29502-2112 City- FLORENCE
Payer Name Centene	Plan Name TRICARE FOR LIFE	Plan Type Other Payers	State SC	Address PO BOX 202112 Zip- 29502-2112 City- FLORENCE
Payer Name TRICARE	Plan Name TRICARE	Plan Type Other Payers	State SC	Address PO BOX 202112 Zip- 295022112 City- FLORENCE
Payer Name Centene	Plan Name TRICARE PRIME	Plan Type Other Payers	State SC	Address PO BOX 202112 Zip- 29502-2112 City- FLORENCE
Payer Name Centene	Plan Name TRIWEST CLAIMS	Plan Type Other Payers	State SC	Address PO BOX 202112 Zip- 29502-2112 City- FLORENCE
Payer Name Centene	Plan Name TRIWEST VA CCN CLAIMS	Plan Type Other Payers	State SC	Address PO BOX 202112 Zip- 29502-2112 City- FLORENCE
Payer Name Centene	Plan Name HEALTHNET FEDERAL SERVICES	Plan Type Other Payers	State SC	Address PO BOX 202105 Zip- 29502-2105 City- FLORENCE
Payer Name DAKOTA CARE	Plan Name DAKOTA CARE	Plan Type Other Payers	State SD	Address 2600 W49TH ST PO BOX 7406 Zip- 571177406 City- SIOUX FALLS
Payer Name DAKOTA CARE	Plan Name DAKOTA CARE	Plan Type Other Payers	State SD	Address PO BOX 7406 Zip- 571177406 City- SIOUX FALLS
Payer Name WELLMARK BCBS SOUTH DAKOTA	Plan Name WELLMARK BCBS SOUTH DAKOTA	Plan Type Other Payers	State SD	Address PO BOX 5023 Zip- 57117-502 City- SIOUX FALLS
Payer Name AVERA HEALTH PLAN	Plan Name AVERA HEALTH PLAN	Plan Type Other Payers	State SD	Address 5300 S BROADBAND LANE Zip- 57108-222 City- SIOUX FALLS
Payer Name AVERA HEALTH PLAN	Plan Name AVERA HEALTH PLAN	Plan Type Other Payers	State SD	Address 3816 SOUTH ELMWOOD AVE Zip- 571056538 City- SIOUX FALLS
Payer Name SANDFORD HEALTH PLAN	Plan Name SANDFORD HEALTH PLAN	Plan Type Other Payers	State SD	Address PO BOX 91110 Zip- 57109 City- SIOUX FALLS
Payer Name EBMC (CIGNA)	Plan Name EBMC (CIGNA)	Plan Type Other Payers	State TN	Address PO BOX 188061 Zip- 37422-806 City- CHATTANOOGA
Payer Name LUCENT HEALTH	Plan Name LUCENT HEALTH	Plan Type Other Payers	State TN	Address PO BOX 25207 Zip- 37202 City- NASHVILLE
Payer Name CNA	Plan Name CNA	Plan Type Other Payers	State TN	Address 100 CNA DRIVE Zip- 37214 City- NASHVILLE
Payer Name HEALTH COST SOLUTION	Plan Name HEALTH COST SOLUTION	Plan Type Other Payers	State TN	Address PO BOX 1439 Zip- 370771439 City- HENDERSONVI
Payer Name CENTRAL STATES JOINT BOARD	Plan Name CENTRAL STATES JOINT BOARD	Plan Type Other Payers	State TN	Address PO BOX 305133 Zip- 37230-134 City- NASHVILLE
Payer Name CIGNA BEHAVIORAL HEALTH	Plan Name CIGNA BEHAVIORAL HEALTH	Plan Type Other Payers	State TN	Address PO BOX 188022 Zip- 37422 City- CHATTANOOGA
Payer Name NALC	Plan Name NALC	Plan Type Other Payers	State TN	Address PO BOX 188021 Zip- 37422 City- CHATTANOOGA
Payer Name NORTH AMERICA ADMINISTRATORS	Plan Name NORTH AMERICA ADMINISTRATORS	Plan Type Other Payers	State TN	Address PO BOX 1984 Zip- 37202 City- NASHVILLE
Payer Name CIGNA	Plan Name CIGNA	Plan Type Other Payers	State TN	Address PO BOX 182223 Zip- 374227223 City- CHATTANOOGA
Payer Name BC/BS TENNESSEE	Plan Name BC/BS TENNESSEE	Plan Type Other Payers	State TN	Address 1 CAMERON HILL CIRCLE Zip- 37402 City- CHATTANOOGA
Payer Name PLUMBERS AND STEAMFITTERS	Plan Name PLUMBERS AND STEAMFITTERS	Plan Type Other Payers	State TN	Address 2001 CALDWELL DRIVE Zip- 37072 City- GOODLETTSVI
Payer Name CIGNA DENTAL	Plan Name CIGNA DENTAL	Plan Type Other Payers	State TN	Address PO BOX 188037 Zip- 37422 City- CHATTANOOGA
Payer Name Centene	Plan Name REFUNDS SUPERIOR HEALTHPLANS	Plan Type Other Payers	State TX	Address 5900 E BEN WHITE BLVD Zip- 78741-7502 City- AUSTIN
Payer Name Centene	Plan Name JASON HALLMARK	Plan Type Other Payers	State TX	Address 216 BLAZING STAR DR Zip- 78737-4578 City- AUSTIN
Payer Name Centene	Plan Name SUPERIOR HEALTHPLAN QFAR	Plan Type Other Payers	State TX	Address 5900 E BEN WHITE BLVD Zip- 78741-7502 City- AUSTIN
Payer Name Centene	Plan Name MAGNOLIA R FOX	Plan Type Other Payers	State TX	Address 9304 SILK OAK CV Zip- 78748-5000 City- AUSTIN
Payer Name Centene	Plan Name WELLCARE OF TEXAS	Plan Type Other Payers	State TX	Address 4888 LOOP CENTRAL DR Zip- 77081-2227 City- HOUSTON
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross and Blue Shield of Texas	Plan Type Other Payers	State TX	Address PO BOX 684787 Zip- 78768 City- Austin
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross and Blue Shield of Texas	Plan Type Other Payers	State TX	Address PO BOX 684249 Zip- 78768 City- Austin
Payer Name INSURANCE MANAGMENT SERVICES	Plan Name INSURANCE MANAGMENT SERVICES	Plan Type Other Payers	State TX	Address PO BOX 15688 Zip- 79105 City- AMARILLO
Payer Name US HEALTH & LIFE	Plan Name US HEALTH & LIFE	Plan Type Other Payers	State TX	Address 300 BURNETT ST SUITE 200 Zip- 76102 City- FORT WORTH
Payer Name CHC	Plan Name Atlantic Medical Insurance	Plan Type Other Payers	State TX	Address PO BOX 981628 Zip- 79998-1628 City- El Paso
Payer Name CHC	Plan Name EVERENCE	Plan Type Other Payers	State TX	Address PO BOX 981631 Zip- 79998-1631 City- El Paso
Payer Name SCRIPT CARE, LTD	Plan Name SCRIPT CARE, LTD	Plan Type Other Payers	State TX	Address 6380 FOLSOM DRIVE Zip- 77706 City- BEAUMONT
Payer Name CHC	Plan Name LEVEL BENEFITS	Plan Type Other Payers	State TX	Address PO BOX 981741 Zip- 79998 City- El Paso
Payer Name CHC	Plan Name LBA HEALTH PLANS	Plan Type Other Payers	State TX	Address PO BOX 981801 Zip- 79998 City- El Paso
Payer Name CHC	Plan Name LANDMARK	Plan Type Other Payers	State TX	Address PO BOX 981809 Zip- 79998-1809 City- El Paso
Payer Name CHC	Plan Name InforMed	Plan Type Other Payers	State TX	Address PO BOX 981637 Zip- 79998-1637 City- El Paso
Payer Name CHC	Plan Name HSBA	Plan Type Other Payers	State TX	Address PO BOX 981816 Zip- 79998 City- El Paso
Payer Name CHC	Plan Name HOMETOWN HEALTH	Plan Type Other Payers	State TX	Address PO BOX 981703 Zip- 79998 City- El Paso
Payer Name CHC	Plan Name HEALTHSPRING INC	Plan Type Other Payers	State TX	Address PO BOX 981804 Zip- 79998 City- EL PASO
Payer Name CHC	Plan Name Health Works	Plan Type Other Payers	State TX	Address PO BOX 981605 Zip- 79998 City- El Paso
Payer Name CHC	Plan Name Harbor Health Choice	Plan Type Other Payers	State TX	Address PO BOX 981745 Zip- 79998-1745 City- El Paso
Payer Name CHC	Plan Name HAA Preferred Partner	Plan Type Other Payers	State TX	Address PO BOX 981603 Zip- 79998 City- El Paso
Payer Name CHC	Plan Name Fulcrum Health	Plan Type Other Payers	State TX	Address PO BOX 981808 Zip- 79998-1808 City- El Paso
Payer Name CHC	Plan Name FORETHOUGHT	Plan Type Other Payers	State TX	Address PO BOX 981721 Zip- 79998 City- El Paso
Payer Name CHC	Plan Name Evicore	Plan Type Other Payers	State TX	Address PO BOX 981807 Zip- 79998-2329 City- El Paso
Payer Name CHC	Plan Name Dominion Dental	Plan Type Other Payers	State TX	Address PO BOX 981743 Zip- 79998-1743 City- El Paso
Payer Name FIRSTCARE HEALTH PLANS	Plan Name FIRSTCARE HEALTH PLANS	Plan Type Other Payers	State TX	Address 1901 WEST LOOP 289 STE 9 Zip- 79407 City- LUBBOCK
Payer Name CHC	Plan Name CHRISTUS HP-Mcare Adv	Plan Type Other Payers	State TX	Address PO BOX 981651 Zip- 79998-1651 City- El Paso
Payer Name CHC	Plan Name CareFirst Administrators NC	Plan Type Other Payers	State TX	Address PO BOX 981608 Zip- 79998-1633 City- El Paso
Payer Name CHC	Plan Name Christian Care Ministries	Plan Type Other Payers	State TX	Address PO BOX 981652 Zip- 79998-1652 City- El Paso
Payer Name CHC	Plan Name Christus Health Plan Medicaid	Plan Type Other Payers	State TX	Address PO BOX 981638 Zip- 79998 City- El Paso
Payer Name CHC	Plan Name Christus Health Texas	Plan Type Other Payers	State TX	Address PO BOX 981654 Zip- 79998-1654 City- El Paso
Payer Name CHC	Plan Name Christus Health US Family Health Plan	Plan Type Other Payers	State TX	Address PO BOX 981696 Zip- 79998 City- El Paso
Payer Name CHC	Plan Name CHRISTUS HP New Mexico HIX	Plan Type Other Payers	State TX	Address PO BOX 981636 Zip- 79998-1636 City- El Paso
Payer Name CHC	Plan Name Clearspring Health	Plan Type Other Payers	State TX	Address PO BOX 981731 Zip- 79998-1731 City- El Paso
Payer Name CHC	Plan Name Dentist Direct	Plan Type Other Payers	State TX	Address PO BOX 981714 Zip- 79998-1587 City- El Paso
Payer Name CHC	Plan Name CLOVER HEALTH	Plan Type Other Payers	State TX	Address PO BOX 981704 Zip- 79998-163 City- EL PASO
Payer Name CHC	Plan Name Colonial Medical	Plan Type Other Payers	State TX	Address PO BOX 981619 Zip- 79998-1619 City- El Paso
Payer Name CHC	Plan Name Colonial Medical LTD	Plan Type Other Payers	State TX	Address PO BOX 981701 Zip- 79998 City- El Paso
Payer Name CHC	Plan Name COMBINED	Plan Type Other Payers	State TX	Address PO BOX 981625 Zip- 79998-1625 City- El Paso
Payer Name CHC	Plan Name Conifer Value Based Care	Plan Type Other Payers	State TX	Address PO BOX 981697 Zip- 79998-1697 City- El Paso
Payer Name PROVIDENCE RISK & INSURANCE	Plan Name PROVIDENCE RISK & INSURANCE	Plan Type Other Payers	State TX	Address PO BOX 700370 Zip- 78270-037 City- SAN ANTONIO
Payer Name GEISINGER HEALTH PLAN	Plan Name GEISINGER HEALTH PLAN	Plan Type Other Payers	State TX	Address PO BOX 853910 Zip- 75085-391 City- RICHARDSON
Payer Name SOUTHWEST LABORERS HEALTH	Plan Name SOUTHWEST LABORERS HEALTH	Plan Type Other Payers	State TX	Address 520 CENTRAL PKWY EASTSTE 311 Zip- 75074 City- PLANO
Payer Name CHC	Plan Name Bravo Health Inc	Plan Type Other Payers	State TX	Address PO BOX 981706 Zip- 79998 City- El Paso
Payer Name CIGNA	Plan Name CIGNA	Plan Type Other Payers	State TX	Address PO BOX 2546 Zip- 750910000 City- SHERMAN
Payer Name CHC	Plan Name Value Based Brandman	Plan Type Other Payers	State TX	Address PO BOX 981751 Zip- 79998 City- El Paso
Payer Name CHC	Plan Name Village Practice Management	Plan Type Other Payers	State TX	Address PO BOX 981750 Zip- 79998-1750 City- El Paso
Payer Name CHC	Plan Name Western and Southern Life	Plan Type Other Payers	State TX	Address PO BOX 981621 Zip- 79998 City- El Paso
Payer Name CHC	Plan Name Zing Health	Plan Type Other Payers	State TX	Address PO BOX 981718 Zip- 79998 City- El Paso
Payer Name CHEROKEE NATION BUSINESS	Plan Name CHEROKEE NATION BUSINESS	Plan Type Other Payers	State TX	Address 222 W LAS COLINAS BLVD Zip- 75309 City- IRVING
Payer Name CHESAPEAKE LIFE INSURANCE	Plan Name CHESAPEAKE LIFE INSURANCE	Plan Type Other Payers	State TX	Address 9151 BOULEVARD 26 STE 100 Zip- 751305611 City- NORTH RICHLAND HILLS
Payer Name CONTINENTAL GENERAL INSURANCE	Plan Name CONTINENTAL GENERAL INSURANCE	Plan Type Other Payers	State TX	Address PO BOX 30010 Zip- 78755-301 City- AUSTIN
Payer Name CHC	Plan Name St. Marys Health Plan	Plan Type Other Payers	State TX	Address PO BOX 981747 Zip- 79998 City- El Paso
Payer Name TOTAL PLAN SERVICES	Plan Name TOTAL PLAN SERVICES	Plan Type Other Payers	State TX	Address 15455 NORTH DALLAS PKWY Zip- 75001 City- ADDISON
Payer Name EMERALD HEALTH	Plan Name EMERALD HEALTH	Plan Type Other Payers	State TX	Address 222 WEST LAS COLINAS 600N Zip- 75039 City- IRVING
Payer Name UNITED AMERICAN	Plan Name UNITED AMERICAN	Plan Type Other Payers	State TX	Address PO BOX 8080 Zip- 75070 City- MCKINNEY
Payer Name EBEN CONCEPTS	Plan Name EBEN CONCEPTS	Plan Type Other Payers	State TX	Address 5050 SPRING VALLEY ROAD Zip- 75244 City- DALLAS
Payer Name WEB TPA	Plan Name WEB TPA	Plan Type Other Payers	State TX	Address PO BOX 1928 Zip- 76099 City- GRAPEVINE
Payer Name UNITED MINE WORKERS OF WA	Plan Name UNITED MINE WORKERS OF WA	Plan Type Other Payers	State TX	Address PO BOX 990002 Zip- 79490-900 City- LUBBOCK
Payer Name CHC	Plan Name Value Based Astivia	Plan Type Other Payers	State TX	Address PO BOX 981752 Zip- 79998 City- El Paso
Payer Name CHC	Plan Name SENTINEL	Plan Type Other Payers	State TX	Address PO BOX 981710 Zip- 79998-1710 City- El Paso
Payer Name CHC	Plan Name Medcore Health Plan	Plan Type Other Payers	State TX	Address PO BOX 981694 Zip- 79998 City- El Paso
Payer Name CHC	Plan Name NCAS NC	Plan Type Other Payers	State TX	Address PO BOX 981610 Zip- 79998 City- El Paso
Payer Name CHC	Plan Name MedSolutions, Inc.	Plan Type Other Payers	State TX	Address PO BOX 981612 Zip- 79998 City- El Paso
Payer Name CHC	Plan Name Merchants Benefit	Plan Type Other Payers	State TX	Address PO BOX 981640 Zip- 79998 City- El Paso
Payer Name CHC	Plan Name MyNexus Aetna Home	Plan Type Other Payers	State TX	Address PO BOX 981719 Zip- 79998 City- El Paso
Payer Name CHC	Plan Name MyNexus LLC	Plan Type Other Payers	State TX	Address PO BOX 981620 Zip- 79998-1620 City- El Paso
Payer Name CHC	Plan Name Nascentia Health-RAM	Plan Type Other Payers	State TX	Address PO BOX 981814 Zip- 79998-1814 City- El Paso
Payer Name FIRST CONTINENTAL LIFE	Plan Name FIRST CONTINENTAL LIFE	Plan Type Other Payers	State TX	Address 2302 SMITH STREET Zip- 77006 City- HOUSTON
Payer Name CHC	Plan Name Network Leasing (NCAS)	Plan Type Other Payers	State TX	Address PO BOX 981633 Zip- 79998 City- El Paso
Payer Name CHC	Plan Name SCOTT & WHITE	Plan Type Other Payers	State TX	Address PO BOX 981727 Zip- 79998-1727 City- El Paso
Payer Name CHC	Plan Name PAN-AMERICAN LIFE	Plan Type Other Payers	State TX	Address PO BOX 981644 Zip- 799981644 City- EL PASO
Payer Name CHC	Plan Name Peoples Health Network	Plan Type Other Payers	State TX	Address PO BOX 981645 Zip- 79998 City- El Paso
Payer Name CHC	Plan Name Prison Health Services, Inc	Plan Type Other Payers	State TX	Address PO BOX 981639 Zip- 79998 City- El Paso
Payer Name CHC	Plan Name Prominence Health	Plan Type Other Payers	State TX	Address PO BOX 981748 Zip- 79998 City- El Paso
Payer Name FCE BENEFIT ADMINISTRATORS	Plan Name FCE BENEFIT ADMINISTRATORS	Plan Type Other Payers	State TX	Address 4615 WALZEM ROAD SUITE 300 Zip- 782181610 City- SAN ANTONIO
Payer Name CHC	Plan Name Sanford Health	Plan Type Other Payers	State TX	Address PO BOX 981813 Zip- 79998-1813 City- El Paso
Payer Name CHC	Plan Name Bravo TX CAID	Plan Type Other Payers	State TX	Address PO BOX 981709 Zip- 79998-1709 City- El Paso
Payer Name CHC	Plan Name Crowe Paradis Solutions \Ametros Finacial Corp	Plan Type Other Payers	State TX	Address PO BOX 981609 Zip- 79998 City- El Paso
Payer Name CHC	Plan Name ASA GEHA	Plan Type Other Payers	State TX	Address PO BOX 981707 Zip- 79998-1707 City- El Paso
Payer Name Centene	Plan Name MISC MEDICARE ADVANTAGE	Plan Type Other Payers	State TX	Address PO BOX 260519 Zip- 75026-0519 City- PLANO
Payer Name OK & AR CARPENTERS HEALTH	Plan Name OK & AR CARPENTERS HEALTH	Plan Type Other Payers	State TX	Address 520 CENTRAL PKWY EAST STE 311 Zip- 75074 City- PLANO
Payer Name BC/BS OF TEXAS	Plan Name BC/BS OF TEXAS	Plan Type Other Payers	State TX	Address PO BOX 660044 Zip- 75266-004 City- DALLAS
Payer Name NM PIPE TRADES HEALTH & WEALT	Plan Name NM PIPE TRADES HEALTH & WEALT	Plan Type Other Payers	State TX	Address 4040 MCEWEN ROAD STE 200 Zip- 75244 City- DALLAS
Payer Name NEW YORK LIFE LONG TERM CARE	Plan Name NEW YORK LIFE LONG TERM CARE	Plan Type Other Payers	State TX	Address PO BOX 559005 Zip- 78755 City- AUSTIN
Payer Name AMERICAN PROGRESSIVE	Plan Name AMERICAN PROGRESSIVE	Plan Type Other Payers	State TX	Address PO BOX 742568 Zip- 77274 City- HOUSTON
Payer Name CHC	Plan Name American Behavioral	Plan Type Other Payers	State TX	Address PO BOX 981699 Zip- 79998-1699 City- El Paso
Payer Name NEW ERA LIFE INSURANCE	Plan Name NEW ERA LIFE INSURANCE	Plan Type Other Payers	State TX	Address PO BOX 4884 Zip- 77210-488 City- HOUSTON
Payer Name AMERICAN BENEFIT PLAN ADMIN	Plan Name AMERICAN BENEFIT PLAN ADMIN	Plan Type Other Payers	State TX	Address 4040 MCEWEN SUITE 100 Zip- 75244 City- DALLAS
Payer Name AMERICA'S CHOICE HEALTH PLAN	Plan Name AMERICA'S CHOICE HEALTH PLAN	Plan Type Other Payers	State TX	Address PO BOX 922043 Zip- 772922043 City- HOUSTON
Payer Name ALLSTATE INSURANCE	Plan Name ALLSTATE INSURANCE	Plan Type Other Payers	State TX	Address PO BOX 853916 Zip- 75085-391 City- RICHARDSON
Payer Name Centene	Plan Name EASY CHOICE HEALTH PLANS	Plan Type Other Payers	State TX	Address PO BOX 260519 Zip- 75026-0519 City- PLANO
Payer Name Centene	Plan Name WELLCARE	Plan Type Other Payers	State TX	Address PO BOX 260519 Zip- 75026-0519 City- PLANO
Payer Name BCBS NEW MEXICO	Plan Name BCBS NEW MEXICO	Plan Type Other Payers	State TX	Address PO BOX 660044 Zip- 75266-004 City- DALLAS
Payer Name Centene	Plan Name FIRST HEALTH	Plan Type Other Payers	State TX	Address PO BOX 91608 Zip- 79490-1608 City- LUBBOCK
Payer Name Centene	Plan Name FIRST HEALTH INTERGROUP SVS	Plan Type Other Payers	State TX	Address PO BOX 981806 Zip- 79998-1806 City- EL PASO
Payer Name AETNA	Plan Name AETNA	Plan Type Other Payers	State TX	Address PO BOX 981106 Zip- 79998-110 City- EL PASO
Payer Name Centene	Plan Name FIRST HEALTH NETWORK	Plan Type Other Payers	State TX	Address PO BOX 16327 Zip- 79490-6327 City- LUBBOCK
Payer Name MET LIFE DENTAL	Plan Name MET LIFE DENTAL	Plan Type Other Payers	State TX	Address PO BOX 981282 Zip- 79998 City- EL PASO
Payer Name MEGA LIFE	Plan Name MEGA LIFE & HEALTH INS CO	Plan Type Other Payers	State TX	Address 9151 BOULEVARD 26 STE 100 Zip- 75130 City- NORTH RICHLAND HILLS
Payer Name HEALTHFIRST TPA	Plan Name HEALTHFIRST TPA	Plan Type Other Payers	State TX	Address PO BOX 132317 Zip- 75713 City- TYLER
Payer Name Centene	Plan Name FIRST HEALTH NETWORK	Plan Type Other Payers	State TX	Address PO BOX 559017 Zip- 78755-9017 City- AUSTIN
Payer Name Centene	Plan Name FIRST HEALTH NETWORK	Plan Type Other Payers	State TX	Address PO BOX 93670 Zip- 79493-3670 City- LUBBOCK
Payer Name Centene	Plan Name FIRST HEALTH NETWORK	Plan Type Other Payers	State TX	Address PO BOX 99906 Zip- 76099-9706 City- GRAPEFINE
Payer Name HEALTHSCOPE BENEFITS	Plan Name HEALTHSCOPE BENEFITS	Plan Type Other Payers	State TX	Address PO BOX 91603 Zip- 794901603 City- LUBBOCK
Payer Name BCBS ILLINOIS	Plan Name BCBS ILLINOIS	Plan Type Other Payers	State TX	Address PO BOX 660044 Zip- 75266-004 City- DALLAS
Payer Name AMERICAN HEALTHCARE	Plan Name AMERICAN HEALTHCARE	Plan Type Other Payers	State TX	Address 320 S POLK SUITE 200 Zip- 95765 City- AMARILL0
Payer Name BCBS OKLAHOMA	Plan Name BCBS OKLAHOMA	Plan Type Other Payers	State TX	Address PO BOX 660044 Zip- 75266-004 City- DALLAS
Payer Name CHC	Plan Name AMERICA'S TPA AMTPA	Plan Type Other Payers	State TX	Address PO BOX 981623 Zip- 79998-1623 City- El Paso
Payer Name CHC	Plan Name Allegian Choice Plan	Plan Type Other Payers	State TX	Address PO BOX 981742 Zip- 79998-1742 City- El Paso
Payer Name CHC	Plan Name Affinity Health Plan	Plan Type Other Payers	State TX	Address PO BOX 981726 Zip- 79998-1726 City- El Paso
Payer Name BCBSNM Behavioral Health Unit	Plan Name BCBSNM Behavioral Health Unit	Plan Type Other Payers	State TX	Address PO Box 660235 Zip- TX 75266-0235 City- Dallas
Payer Name PIPEFITTERS LOCAL NO 211	Plan Name PIPEFITTERS LOCAL NO 211	Plan Type Other Payers	State TX	Address PO BOX 721708 Zip- 77272-170 City- HOUSTON
Payer Name BOON CHAPMAN ADMINISTRATORS	Plan Name BOON CHAPMAN ADMINISTRATORS	Plan Type Other Payers	State TX	Address PO BOX 9201 Zip- 78766 City- AUSTIN
Payer Name CHC	Plan Name Advantica EyeCare	Plan Type Other Payers	State TX	Address PO BOX 981607 Zip- 79998-1607 City- El Paso
Payer Name PLUMBERS LOCAL 68	Plan Name PLUMBERS LOCAL 68	Plan Type Other Payers	State TX	Address 468 LINK ROAD Zip- 77249 City- HOUSTON
Payer Name BENEFIT PLANNERS	Plan Name BENEFIT PLANNERS	Plan Type Other Payers	State TX	Address 12668 SILICONE DRIVE Zip- 78249 City- SAN ANTONIO
Payer Name Optum Health	Plan Name Optum Health - CAT360	Plan Type Other Payers	State UT	Address PO BOX 30752 Zip- 84130 City- Salt Lake City
Payer Name Centene	Plan Name AMBETTER PEACH STATE HEALTH	Plan Type Other Payers	State UT	Address PO BOX 31362 Zip- 84131-0362 City- SALT LAKE CITY
Payer Name Centene	Plan Name LOYAL CHRISTIAN BENEFIT ASSOC	Plan Type Other Payers	State UT	Address PO BOX 3090 Zip- 84110-3090 City- SALT LAKE CITY
Payer Name Centene	Plan Name UTAH BEHAVIORAL HEALTH NETWOR	Plan Type Other Payers	State UT	Address 883 W 2100 S Zip- 84087-2109 City- WOODS CROSS
Payer Name Centene	Plan Name UTAH BEHAVIORAL HEALTH NETWORK	Plan Type Other Payers	State UT	Address PO BOX 45180 Zip- 84145-0180 City- SALT LAKE CITY
Payer Name TALL TREE ADMINISTRATORS	Plan Name TALL TREE ADMINISTRATORS	Plan Type Other Payers	State UT	Address PO BOX 1807 Zip- 84020-180 City- DAUPER
Payer Name Optum Health	Plan Name Optum Health - CAT360	Plan Type Other Payers	State UT	Address PO BOX 30611 Zip- 84130 City- Salt Lake City
Payer Name Optum Health	Plan Name Optum Health - CAT360	Plan Type Other Payers	State UT	Address PO BOX 30607 Zip- 84130-0607 City- Salt Lake City
Payer Name AMERICAN MEDICAL SEC	Plan Name AMERICAN MEDICAL SEC	Plan Type Other Payers	State UT	Address PO BOX 31375 Zip- 84131-037 City- SALT LAKE C
Payer Name EQUITABLE LIFE & CASUALTY	Plan Name EQUITABLE LIFE & CASUALTY	Plan Type Other Payers	State UT	Address PO BOX 2460 Zip- 84110 City- SALT LAKE CITY
Payer Name DESERET MUTUAL	Plan Name DESERET MUTUAL	Plan Type Other Payers	State UT	Address PO BOX 45530 Zip- 84145 City- SALT LAKE C
Payer Name UNITED BEHAVIORAL HEALTH	Plan Name UNITED BEHAVIORAL HEALTH	Plan Type Other Payers	State UT	Address PO BOX 30756 Zip- 84130-060 City- SALT LAKE C
Payer Name UNITED BEHAVIORAL HEALTH	Plan Name UNITED BEHAVIORAL HEALTH	Plan Type Other Payers	State UT	Address PO BOX 30757 Zip- 84130-075 City- SALT LAKE CITY
Payer Name UNITED BEHAVIORAL HEALTH	Plan Name UNITED BEHAVIORAL HEALTH	Plan Type Other Payers	State UT	Address PO BOX 31361 Zip- 84131-036 City- SALT LAKE CITY
Payer Name EDUCATOR MUTUAL	Plan Name EDUCATOR MUTUAL	Plan Type Other Payers	State UT	Address 852 E ARROW LN Zip- 84107 City- MURRAY
Payer Name MEDICA	Plan Name MEDICA	Plan Type Other Payers	State UT	Address PO BOX 30990 Zip- 84130 City- SALT LAKE C
Payer Name MBA BENEFITS ADMINISTRATORS	Plan Name MBA BENEFITS ADMINISTRATORS	Plan Type Other Payers	State UT	Address PO BOX 57340 Zip- 84157-034 City- MURRAY
Payer Name SELECT HEALTH	Plan Name SELECT HEALTH	Plan Type Other Payers	State UT	Address PO BOX 30192 Zip- 84120 City- SALT LAKE CITY
Payer Name P5 HEALTH SERVICES	Plan Name P5 HEALTH SERVICES	Plan Type Other Payers	State UT	Address PO BOX 702500 Zip- 84170-250 City- SALT LAKE C
Payer Name Centene	Plan Name MEDICARE SELECT HEALTH NETWORK	Plan Type Other Payers	State UT	Address PO BOX 30196 Zip- 84130-0196 City- SALT LAKE CITY
Payer Name SMITHFIELD FOODS INC	Plan Name SMITHFIELD FOODS INC	Plan Type Other Payers	State VA	Address PO BOX 158 Zip- 23431 City- SMITHFIELD
Payer Name Centene	Plan Name AMERIGROUP IOWA	Plan Type Other Payers	State VA	Address PO BOX 61010 Zip- 23466-1010 City- VIRGINIA BEACH
Payer Name ANTHEM BCBS VIRGINIA	Plan Name ANTHEM BCBS VIRGINIA	Plan Type Other Payers	State VA	Address 2015 STAPLES MILL ROAD Zip- 23279 City- RICHMOND
Payer Name Genworth Long Term Care Claims	Plan Name Genworth Long Term Care Claims	Plan Type Other Payers	State VA	Address PO BOX 40007 Zip- 24506 City- LYNCHBURG
Payer Name CONSUMERS UNITED INSCO	Plan Name CONSUMERS UNITED INSCO	Plan Type Other Payers	State VA	Address 2009 NORTH 14TH STREET Zip- 22201 City- ARLINGTON
Payer Name Centene	Plan Name VIRGINIA HEALTHNET	Plan Type Other Payers	State VA	Address 7400 BEAUFONT SPRINGS DR Zip- 23225-5556 City- NORTH CHESTERFIELD
Payer Name BCBS VIRGINIA FEP	Plan Name BCBS VIRGINIA FEP	Plan Type Other Payers	State VA	Address PO BOX 27401 Zip- 23279 City- RICHMOND
Payer Name DELTA DENTAL VIRGINIA	Plan Name DELTA DENTAL VIRGINIA	Plan Type Other Payers	State VA	Address 4818 STARKEY ROAD Zip- 24018 City- ROANOKE
Payer Name OPTIMA HEALTH PLAN	Plan Name OPTIMA HEALTH PLAN	Plan Type Other Payers	State VA	Address 4417 CORPORATION LANE Zip- 23462 City- VA BEACH
Payer Name BCBS VERMONT	Plan Name BCBS VERMONT	Plan Type Other Payers	State VT	Address PO BOX 1862 Zip- 05601 City- MONTPELIER
Payer Name EMPLOYEE BENEFIT PLAN	Plan Name EMPLOYEE BENEFIT PLAN	Plan Type Other Payers	State VT	Address PO BOX 2365 Zip- 05407-236 City- SOUTH BURLINGTON
Payer Name PREMERA BCBS WA & AK	Plan Name PREMERA BCBS WA & AK	Plan Type Other Payers	State WA	Address PO BOX 91080 Zip- 98111 City- SEATTLE
Payer Name HEALTHCARE MANAGEMENT ADMIN	Plan Name HEALTHCARE MANAGEMENT ADMIN	Plan Type Other Payers	State WA	Address 10700 NORTHUP WAY STE 100 Zip- 98004 City- BELLEVUE
Payer Name PREMERA BCAW FEDERAL EMPLOYEE	Plan Name PREMERA BCAW FEDERAL EMPLOYEE	Plan Type Other Payers	State WA	Address PO BOX 33932 Zip- 98113 City- SEATTLE
Payer Name LIFEWISE	Plan Name LIFEWISE	Plan Type Other Payers	State WA	Address PO BOX 327-MS453 Zip- 98111-032 City- SEATTLE
Payer Name GROUP HEALTH COOPERATIVE	Plan Name GROUP HEALTH COOPERATIVE	Plan Type Other Payers	State WA	Address PO BOX 34585 Zip- 98124-158 City- SEATTLE
Payer Name NORTHWEST ADMIN INC	Plan Name NORTHWEST ADMIN INC	Plan Type Other Payers	State WA	Address 2323 EASTLAKE AVE Zip- 98102 City- SEATTLE
Payer Name ASURIS	Plan Name ASURIS	Plan Type Other Payers	State WA	Address PO BOX 91130 Zip- 981119230 City- SEATTLE
Payer Name GUARDIAN LIFE INS	Plan Name GUARDIAN LIFE INS	Plan Type Other Payers	State WA	Address PO BOX 2459 Zip- 99210-245 City- SPOKANE
Payer Name Centene	Plan Name COORDINATED CARE	Plan Type Other Payers	State WA	Address 1145 BROADWAY STE 300 Zip- 98402-3523 City- TACOMA
Payer Name KAISER WA	Plan Name KAISER WA	Plan Type Other Payers	State WA	Address 601 UNION STREET Zip- 98101 City- SEATTLE
Payer Name FIRST CHOICE HEALTH	Plan Name FIRST CHOICE HEALTH	Plan Type Other Payers	State WA	Address 600 UNIVERSITY ST #1400 Zip- 98101 City- SEATTLE
Payer Name WELFARE AND PENSION ADMIN	Plan Name WELFARE AND PENSION ADMIN	Plan Type Other Payers	State WA	Address PO BOX 34203 Zip- 98124-120 City- SEATTLE
Payer Name TRUSTEED ADMIN	Plan Name TRUSTEED ADMIN	Plan Type Other Payers	State WA	Address PO BOX 2950 Zip- 98401 City- TACOMA
Payer Name PREMERA BCBS WASHINGTON	Plan Name PREMERA BCBS WASHINGTON	Plan Type Other Payers	State WA	Address PO BOX 91080 Zip- 98111 City- SEATTLE
Payer Name GUARDIAN	Plan Name GUARDIAN	Plan Type Other Payers	State WI	Address PO BOX 8007 Zip- 54912-800 City- APPLETON
Payer Name Centene	Plan Name FIRST HEALTH NETWORK	Plan Type Other Payers	State WI	Address PO BOX 5600 Zip- 53705 City- MADISON
Payer Name ZENITH ADMINISTRATORS	Plan Name ZENITH ADMINISTRATORS	Plan Type Other Payers	State WI	Address 2001 N MAYFAIR ROAD Zip- 53226 City- MILWAUKEE
Payer Name Centene	Plan Name FIRST HEALTH NETWORK	Plan Type Other Payers	State WI	Address PO BOX 3252 Zip- 53201-3252 City- MILWAUKEE
Payer Name NORTHWESTERN LONG TERM CARE	Plan Name NORTHWESTERN LONG TERM CARE	Plan Type Other Payers	State WI	Address PO BOX 3230 Zip- 53202-323 City- MILWAUKEE
Payer Name WISCONSIN PHYSICIAN SERVICE	Plan Name WISCONSIN PHYSICIAN SERVICE	Plan Type Other Payers	State WI	Address PO BOX 8190 Zip- 537088190 City- MADISON
Payer Name OXFORD LIFE INSURANCE	Plan Name OXFORD LIFE INSURANCE	Plan Type Other Payers	State WI	Address PO BOX 46518 Zip- 53744-651 City- MADISON
Payer Name UNITY HEALTH PLANS	Plan Name UNITY HEALTH PLANS	Plan Type Other Payers	State WI	Address 840 CAROLINA ST Zip- 53583 City- SAUK CITY
Payer Name Centene	Plan Name MEDICARE IOWA	Plan Type Other Payers	State WI	Address PO BOX 8550 Zip- 53708-8550 City- MADISON
Payer Name SYMETRA FINANCIAL	Plan Name SYMETRA FINANCIAL	Plan Type Other Payers	State WI	Address 118 3RD ST E Zip- 54806 City- ASHLAND
Payer Name THRIVENT FINANCIAL	Plan Name THRIVENT FINANCIAL	Plan Type Other Payers	State WI	Address 4321 N BALLARD RD Zip- 54919 City- APPLETON
Payer Name PRAIRIE STATES ENTERPRISES	Plan Name PRAIRIE STATES ENTERPRISES	Plan Type Other Payers	State WI	Address PO BOX 23 Zip- 53082 City- SHEBOYGAN
Payer Name ASSURANT GMS	Plan Name ASSURANT GMS	Plan Type Other Payers	State WI	Address 501 W MICHIGAN AVE BOX 624 Zip- 532010624 City- MILWAUKEE
Payer Name KEY BENEFIT ADMINISTRATORS	Plan Name KEY BENEFIT ADMINISTRATORS	Plan Type Other Payers	State WI	Address PO BOX 3252 Zip- 53201-325 City- MILWAUKEE
Payer Name ASSURANT HEALTH	Plan Name ASSURANT HEALTH	Plan Type Other Payers	State WI	Address PO BOX 624 Zip- 532010624 City- MILWAUKEE
Payer Name GUNDERSON LUTHERAN HEALTH PLA	Plan Name GUNDERSON LUTHERAN HEALTH PLA	Plan Type Other Payers	State WI	Address PO BOX 610 Zip- 53583 City- SAUK CITY
Payer Name NETWORK HEALTH PLANS	Plan Name NETWORK HEALTH PLANS	Plan Type Other Payers	State WI	Address PO BOX 120 Zip- 54952 City- MENASHA
Payer Name Centene	Plan Name FIRST HEALTH	Plan Type Other Payers	State WI	Address PO BOX 56099 Zip- 53705-9399 City- MADISON
Payer Name SHEFFIEND,OLSEN & MCQUEEN	Plan Name SHEFFIEND,OLSEN & MCQUEEN	Plan Type Other Payers	State WI	Address 7020 N PORT WASHINGTON ROAD Zip- 53217 City- MILWAUKEE
Payer Name SELECT BENEFITS ADMINISTRATOR	Plan Name SELECT BENEFITS ADMINISTRATOR	Plan Type Other Payers	State WI	Address PO BOX 440 Zip- 54806 City- ASHLAND
Payer Name SECURITY HEALTH PLAN	Plan Name SECURITY HEALTH PLAN	Plan Type Other Payers	State WI	Address PO BOX 8000 Zip- 54449 City- MARSHFIELD
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross Blue Shield of West Virginia	Plan Type Other Payers	State WV	Address West Virginia Zip- 26003 City- Wheeling
Payer Name BENEFIT ASSISTANCE CORPORATIO	Plan Name BENEFIT ASSISTANCE CORPORATIO	Plan Type Other Payers	State WV	Address PO BOX 950 Zip- 25528 City- HURRICANE
Payer Name HEALTH SMART WEST VIRGINIA	Plan Name HEALTH SMART WEST VIRGINIA	Plan Type Other Payers	State WV	Address PO BOX 3262 Zip- 25332 City- CHARLESTON
Payer Name HIGHMARK WEST VIRGINIA	Plan Name HIGHMARK WEST VIRGINIA	Plan Type Other Payers	State WV	Address PO BOX 7026 Zip- 26003 City- WHEELING
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross Blue Shield of West Virginia	Plan Type Other Payers	State WV	Address 45 20th Street Zip- 26003 City- Wheeling
Payer Name HEALTH PLAN OF OHIO VA	Plan Name HEALTH PLAN OF OHIO VA	Plan Type Other Payers	State WV	Address 1110 MAIN STREET Zip- 26003 City- WHEELING
Payer Name BC AND BS OF SOUTHERN WV	Plan Name BC AND BS OF SOUTHERN WV	Plan Type Other Payers	State WV	Address PO BOX 1948 Zip- 26102 City- PARKERSBURG
Payer Name BLUE CROSS BLUE SHIELD OF WYO	Plan Name BLUE CROSS BLUE SHIELD OF WYO	Plan Type Other Payers	State WY	Address PO BOX 2266 Zip- 82003 City- CHEYENNE

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193M+

1.7T+

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4K+

278+

14.8M+

$4B+

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40+

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We’re enabling a better, more efficient healthcare system

156K

193M+

1.7T+

5/5

4K+

278+

14.8M+

$4B+

2.7K+

40+

Payers

DISCOVER

COMPANY

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We’re enabling
a better, more efficient
healthcare system