Payers list | PCH Health

Payer Name	Plan Name	Plan Type	State	Address
Payer Name	Plan Name	Plan Type head	State head	Address
Payer Name Riverside	Plan Name Riverside	Plan Type Exclusive Payers	State AL	Address PO BOX 66004 Zip- 35283-0698 City- Canton
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross Blue Shield of CA - FSA	Plan Type Exclusive Payers	State CA	Address PO BOX 4381 Zip- 91365 City- Woodlands Hill
Payer Name Elevance Health AKA Anthem	Plan Name Unicare State Indemnity Plan - Andover	Plan Type Exclusive Payers	State CA	Address PO BOX 9016 Zip- 91365 City- Woodlands Hill
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross of CA	Plan Type Exclusive Payers	State CA	Address PO BOX 60099 Zip- 90060-0007 City- Los Angeles
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross of CA	Plan Type Exclusive 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 Exclusive 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 Exclusive 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 Exclusive Payers	State CA	Address PO BOX 4386 Zip- 91365 City- Woodlands Hill
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross of CA	Plan Type Exclusive Payers	State CA	Address PO BOX 4310 Zip- 91365 City- Woodlands Hill
Payer Name Midlands Choice	Plan Name Midlands Choice	Plan Type Exclusive Payers	State CA	Address PO BOX 5809 Zip- 09375 City- Fresno
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross of CA	Plan Type Exclusive 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 Exclusive Payers	State CA	Address PO BOX 4109 Zip- 91365 City- Woodlands Hill
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross of CA	Plan Type Exclusive 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 Exclusive Payers	State CA	Address PO BOX 4089 Zip- 91365 City- Woodlands Hill
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross of CA	Plan Type Exclusive Payers	State CA	Address PO BOX 4083 Zip- 91365 City- Woodlands Hill
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 Elevance Health AKA Anthem	Plan Name Anthem Blue Cross Blue Shield of CO/NV	Plan Type Exclusive Payers	State CO	Address PO BOX 17862 Zip- 80217-7549 City- Denver
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross Blue Shield of CO/NV	Plan Type Exclusive 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 Exclusive Payers	State CO	Address PO BOX 17549 Zip- 80217-7549 City- Denver
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross Blue Shield of CO/NV	Plan Type Exclusive Payers	State CO	Address PO BOX 26587 Zip- 80217-7549 City- Denver
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross Blue Shield of CO/NV	Plan Type Exclusive Payers	State CO	Address PO BOX 5425 Zip- 80217-7549 City- Denver
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross Blue Shield of CO/NV	Plan Type Exclusive 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 Exclusive Payers	State CO	Address PO BOX 173681 Zip- 80217-7549 City- Denver
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross Blue Shield of Georgia	Plan Type Exclusive Payers	State GA	Address PO BOX 105370 Zip- 30348 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 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 - Group Conversion Kingston	Plan Type Exclusive Payers	State GA	Address PO BOX 740813 Zip- 30374 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 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 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 - International & Foreign Claims	Plan Type Exclusive Payers	State GA	Address PO BOX 740817 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 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 - GE- Dental	Plan Type Exclusive Payers	State GA	Address PO BOX 740822 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 - 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 Optimum Choice (MAMSI)	Plan Type Exclusive Payers	State GA	Address PO BOX 740825 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 United Healthcare	Plan Name UHG - Covidien - Special forms	Plan Type Exclusive Payers	State GA	Address PO BOX 740828 Zip- 30374 City- Atlanta
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross Blue Shield of Georgia	Plan Type Exclusive Payers	State GA	Address PO BOX 105187 Zip- 30348 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 UNITED HEALTHCARE	Plan Type Exclusive Payers	State GA	Address PO BOX 740831 Zip- 30374 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 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 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 Elder Plan	Plan Name Elder Plan	Plan Type Exclusive Payers	State GA	Address PO Box 73111 Zip- 30271 City- Newnan
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross Blue Shield of Georgia	Plan Type Exclusive Payers	State GA	Address PO BOX 105662 Zip- 30348 City- Atlanta
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross Blue Shield of Georgia	Plan Type Exclusive Payers	State GA	Address PO BOX 105568 Zip- 30348 City- Atlanta
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross Blue Shield of Georgia	Plan Type Exclusive Payers	State GA	Address PO BOX 105557 Zip- 30348 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 Elevance Health AKA Anthem	Plan Name Anthem Blue Cross Blue Shield of Georgia	Plan Type Exclusive 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 Exclusive Payers	State GA	Address PO BOX 105148 Zip- 30348 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 740806 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 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	Plan Type Exclusive Payers	State GA	Address PO BOX 740807 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 Medica	Plan Type Exclusive Payers	State GA	Address PO BOX 740110 Zip- 30374-0110 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 UnitedHealthcare Global Assistance	Plan Type Exclusive Payers	State GA	Address PO BOX 740004 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 Provider Awareness	Plan Name Provider Awareness	Plan Type Exclusive Payers	State GA	Address PO BOX 105759 Zip- 30348 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 Oxford	Plan Name Oxford	Plan Type Exclusive Payers	State GA	Address PO BOX 105131 Zip- 30348-5131 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 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 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-M&R	Plan Name UnitedHealthcare Medicare & Retirement Plan	Plan Type Exclusive Payers	State GA	Address PO BOX 740807 Zip- 30374 City- Atlanta
Payer Name United Healthcare-M&R	Plan Name UnitedHealthcare Medicare & Retirement Plan	Plan Type Exclusive 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 Exclusive Payers	State GA	Address PO BOX 740819 Zip- 30374-0819 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 UHG - Global Solutions Provider	Plan Type Exclusive Payers	State GA	Address PO BOX 740222 Zip- 30374 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 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 - Lucent	Plan Type Exclusive Payers	State GA	Address PO BOX 740802 Zip- 30374-0801 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 - Generic	Plan Type Exclusive Payers	State GA	Address PO BOX 740800 Zip- 30374-0801 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 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 Medica FSA/HRA	Plan Type Exclusive Payers	State GA	Address PO BOX 740377 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 United Healthcare - GTE Claim Service Center	Plan Type Exclusive Payers	State GA	Address PO BOX 740803 Zip- 30374 City- Atlanta
Payer Name Elevance Health AKA Anthem	Plan Name Unicare	Plan Type Exclusive Payers	State IL	Address PO BOX 4450 Zip- 60680-4458 City- Chicago
Payer Name Elevance Health AKA Anthem	Plan Name Unicare	Plan Type Exclusive Payers	State IL	Address PO BOX 4456 Zip- 60680-4458 City- Chicago
Payer Name Elevance Health AKA Anthem	Plan Name Unicare	Plan Type Exclusive Payers	State IL	Address PO BOX 4458 Zip- 60680-4458 City- Chicago
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross and Blue Shield of Kansas	Plan Type Exclusive Payers	State KS	Address PO BOX 239 Zip- 66629 City- Topeka
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 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 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 First Choice VIP Care Plus (South Carolina)	Plan Type Exclusive Payers	State KY	Address PO BOX 7106 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 North East	Plan Type Exclusive Payers	State KY	Address PO BOX 7118 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 District of Columbia - Medicaid	Plan Type Exclusive Payers	State KY	Address PO BOX 7342 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 AmeriHealth Caritas New Hampshire	Plan Type Exclusive Payers	State KY	Address PO BOX 7387 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 - Alliance	Plan Type Exclusive Payers	State KY	Address PO BOX 7354 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 Florida	Plan Type Exclusive Payers	State KY	Address PO BOX 7367 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 AmeriHealth Caritas Delaware	Plan Type Exclusive Payers	State KY	Address PO BOX 80100 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 Lumeris	Plan Name Mary Washington	Plan Type Exclusive Payers	State KY	Address PO BOX 7118 Zip- 40742 City- Troy
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 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 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 Delaware DSNP	Plan Type Exclusive Payers	State KY	Address PO BOX 7125 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 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 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 Blue Cross Complete of Michigan	Plan Type Exclusive Payers	State KY	Address PO BOX 7355 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 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 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 Northeast Aligned	Plan Type Exclusive Payers	State KY	Address PO BOX 7143 Zip- 40742 City- London
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross Blue Shield of Massachusetts	Plan Type Exclusive Payers	State MA	Address PO BOX 9209 Zip- 02171 City- North Quincy
Payer Name Riverside	Plan Name Riverside	Plan Type Exclusive Payers	State MA	Address PO BOX 66005 Zip- 02021 City- Canton
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross Blue Shield of Massachusetts	Plan Type Exclusive Payers	State MA	Address SSB Massachusetts Zip- 02171 City- North Quincy
Payer Name Lumeris	Plan Name Lumeris	Plan Type Exclusive Payers	State MI	Address PO BOX 5907 Zip- 04800 City- Troy
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 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 BCBS of Kansas City	Plan Type Exclusive Payers	State MI	Address PO BOX 7065 Zip- 48007 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 NGS Health Plan	Plan Name NGS Health Plan	Plan Type Exclusive Payers	State MI	Address PO BOX 5555 Zip- 48007 City- Troy
Payer Name Optima Health	Plan Name Sentara Health Management (Optima)	Plan Type Exclusive Payers	State MI	Address PO BOX 5028 Zip- 48007-5028 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 Optima Health	Plan Name Sentara Health Management (Optima)	Plan Type Exclusive Payers	State MI	Address PO BOX 1440 Zip- 48099-1440 City- Troy
Payer Name Optima Health	Plan Name Sentara Health Management (Optima)	Plan Type Exclusive Payers	State MI	Address PO BOX 5806 Zip- 48007-5806 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 Lumeris	Plan Name BayCare Health Plans	Plan Type Exclusive Payers	State MI	Address PO BOX 3710 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 NGS Health Plan	Plan Name NGS Health Plan	Plan Type Exclusive Payers	State MI	Address PO BOX 99993 Zip- 48007 City- Troy
Payer Name Optum	Plan Name BCBS MI	Plan Type Exclusive Payers	State MI	Address PO BOX 5021 Zip- 48007-5021 City- Troy
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross and Blue Shield of Kansas	Plan Type Exclusive Payers	State MO	Address PO BOX 419016 Zip- 64141 City- Kansas City
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross and Blue Shield of Kansas	Plan Type Exclusive Payers	State MO	Address SSB Kansas Zip- 64141 City- Kansas City
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross BlueShield of South Carolina	Plan Type Exclusive Payers	State SC	Address PO BOX 100300 Zip- 29202 City- COLUMBIA
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross BlueShield of South Carolina	Plan Type Exclusive Payers	State SC	Address South Carolina Zip- 29202 City- Columbia
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 GPA	Plan Name GROUP & PENSION ADMINISTRATORS	Plan Type Exclusive Payers	State TX	Address PO BOX 749075 Zip- 75374-9075 City- Dallas
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 Allstate	Plan Name Allstate	Plan Type Exclusive Payers	State TX	Address PO BOX 853935 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 Elevance Health AKA Anthem	Plan Name Anthem Blue Cross and Blue Shield of Texas	Plan Type Exclusive Payers	State TX	Address PO BOX 684787 Zip- 78768 City- Austin
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 Elevance Health AKA Anthem	Plan Name Anthem Blue Cross and Blue Shield of Texas	Plan Type Exclusive Payers	State TX	Address PO BOX 684249 Zip- 78768 City- Austin
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 834150 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 830248 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 GPA	Plan Name GROUP & PENSION ADMINISTRATORS	Plan Type Exclusive Payers	State TX	Address PO BOX 830246 Zip- 75374-9075 City- Dallas
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 Gilsbar	Plan Name Gilsbar	Plan Type Exclusive Payers	State UT	Address PO BOX 660091 Zip- 660091 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 EMS-OPTUM	Plan Type Exclusive Payers	State UT	Address PO BOX 30768 Zip- 84130-0768 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 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 (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 United Healthcare	Plan Name UHG - PACIFICARE	Plan Type Exclusive Payers	State UT	Address PO BOX 30977 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 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 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 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 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 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 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 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 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 UHG - UNITED HEALTHCARE VISION	Plan Type Exclusive Payers	State UT	Address PO BOX 30610 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 - 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 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 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	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 30554 Zip- 84130 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 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 HealthSCOPE Benefits	Plan Name HealthSCOPE Benefits	Plan Type Exclusive Payers	State UT	Address PO BOX 30962 Zip- 84130 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	Plan Type Exclusive Payers	State UT	Address PO BOX 30304 Zip- 84130 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 UMR COLONIAL-Dental	Plan Type Exclusive Payers	State UT	Address PO BOX 30507 Zip- 84130 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 - Optum Health Behavioural	Plan Type Exclusive Payers	State UT	Address PO BOX 30512 Zip- 84310 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	Plan Type Exclusive Payers	State UT	Address PO BOX 30553 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 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 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 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 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 30763 Zip- 84130 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 - 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 - PACIFICARE	Plan Type Exclusive Payers	State UT	Address PO BOX 30975 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 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 30980 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 30984 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 30996 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 SLW	Plan Type Exclusive Payers	State UT	Address PO BOX 30804 Zip- 84130-0804 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 WellmedPro	Plan Name Wellmed	Plan Type Exclusive Payers	State UT	Address PO BOX 30508 Zip- 84130-0508 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 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 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 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 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 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 - 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 Optum Maryland	Plan Type Exclusive Payers	State UT	Address PO BOX 30531 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 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 - PACIFICARE	Plan Type Exclusive Payers	State UT	Address PO BOX 30973 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 - United Healthcare	Plan Type Exclusive Payers	State UT	Address PO BOX 30882 Zip- 84130 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 - 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 - Optum Health Behavioural	Plan Type Exclusive Payers	State UT	Address PO BOX 30780 Zip- 84125 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 - PACIFICARE	Plan Type Exclusive Payers	State UT	Address PO BOX 30971 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 - 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 30965 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 - 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 Elevance Health AKA Anthem	Plan Name Anthem Blue Cross Blue Shield of West Virginia	Plan Type Exclusive Payers	State WV	Address West Virginia Zip- 26003 City- Wheeling
Payer Name Elevance Health AKA Anthem	Plan Name Anthem Blue Cross Blue Shield of West Virginia	Plan Type Exclusive Payers	State WV	Address 45 20th Street Zip- 26003 City- Wheeling
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 PREMERA BCBS ALASKA	Plan Name PREMERA BCBS ALASKA	Plan Type Other Payers	State AK	Address PO BOX 240489 Zip- 99524 City- ANCHORAGE
Payer Name MEDIGOLD	Plan Name MEDIGOLD	Plan Type Other Payers	State AL	Address PO BOX 830697 Zip- 35283 City- BIRMINGHAM
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 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 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 VIVA HEALTHCARE	Plan Name VIVA HEALTHCARE	Plan Type Other Payers	State AL	Address PO BOX 55926 Zip- 35255 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 HEALTH CHOICE	Plan Name HEALTH CHOICE	Plan Type Other Payers	State AL	Address 3201 4TH AVE S Zip- 35222 City- BIRMINGHAM
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 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 USABLE INSURANCE	Plan Name USABLE INSURANCE	Plan Type Other Payers	State AR	Address PO BOX 1460 Zip- 722031460 City- LITTLE ROCK
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 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 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 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 AMBETTER OF ARK	Plan Type Other Payers	State AR	Address 23635 STATE HWY 307 Zip- 72824-9092 City- BELLEVILLE
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 AMBETTER OF ARKANSAS CENTENE	Plan Type Other Payers	State AR	Address 1200 W 3RD ST Zip- 72201-1904 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 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 QUALCHOICE BY MAGELLAN QFAR	Plan Type Other Payers	State AR	Address PO BOX 25610 Zip- 72221-5610 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 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 MMIC	Plan Type Other Payers	State AZ	Address PO BOX 64835 Zip- 85082-4835 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 OH	Plan Type Other Payers	State AZ	Address PO BOX 64205 Zip- 85082 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 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 MI	Plan Type Other Payers	State AZ	Address PO BOX 66215 Zip- 85082-1808 City- Phoenix
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 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 MCRP	Plan Type Other Payers	State AZ	Address PO BOX 52089 Zip- 85082 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 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 AETNA KY	Plan Type Other Payers	State AZ	Address PO BOX 65195 Zip- 85082-5195 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 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 CHC	Plan Name AETNA FL	Plan Type Other Payers	State AZ	Address PO BOX 63578 Zip- 85082-1925 City- Phoenix
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 FIDELIS IGWENWANNE	Plan Type Other Payers	State AZ	Address 4041 S 58TH LN Zip- 85043-0145 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 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 CATCHALL1	Plan Type Other Payers	State AZ	Address PO BOX 52136 Zip- 85072-2136 City- PHOENIX
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 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 FIRST HEALTH NETWORK	Plan Type Other Payers	State AZ	Address PO BOX 22009 Zip- 85285-2009 City- TEMPE
Payer Name Centene	Plan Name HEALTHFIRST	Plan Type Other Payers	State AZ	Address PO BOX 52136 Zip- 85072-2136 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 UMWA HEALTH AND RETIREMENT FUND	Plan Type Other Payers	State AZ	Address PO BOX 52136 Zip- 85072-2136 City- PHOENIX
Payer Name CHC	Plan Name CENCAL	Plan Type Other Payers	State AZ	Address PO BOX 29081 Zip- 85082 City- Phoenix
Payer Name AVESIS	Plan Name AVESIS	Plan Type Other Payers	State AZ	Address PO BOX 38300 Zip- 85069-830 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 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 BANNER CHOICS PLUS	Plan Name BANNER CHOICS PLUS	Plan Type Other Payers	State AZ	Address PO BOX 16423 Zip- 85211 City- MESA
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 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 MD	Plan Type Other Payers	State AZ	Address PO BOX 61538 Zip- 85082-1538 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 CHC	Plan Name OSCAR HEALTH	Plan Type Other Payers	State AZ	Address PO BOX 62108 Zip- 85082 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 Centene	Plan Name INDIAN HEALTH SERVICES	Plan Type Other Payers	State AZ	Address PO BOX 9020 Zip- 86515-9020 City- WINDOW ROCK
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 Centene	Plan Name HEALTHNET SONORQUEST	Plan Type Other Payers	State AZ	Address 630 N ALVERNON STE 120 Zip- 85711-1895 City- TUCSON
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 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 COMPUSYS	Plan Name COMPUSYS	Plan Type Other Payers	State AZ	Address 4725 N 19TH AVE SUITE 1 Zip- 85015 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 PRINCIPAL MUTUAL	Plan Name PRINCIPAL MUTUAL	Plan Type Other Payers	State AZ	Address PO BOX 52115 Zip- 85072 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 NEW MEXICO UFCW	Plan Name NEW MEXICO UFCW	Plan Type Other Payers	State AZ	Address PO BOX 42048 Zip- 85080 City- PHOENIX
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 CHC	Plan Name OSCAR HEALTH	Plan Type Other Payers	State AZ	Address PO BOX 52146 Zip- 85072-214 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 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 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 HEALTHNET COVERED CA HMO	Plan Type Other Payers	State CA	Address PO BOX 6906 Zip- 91729-6906 City- RANCHO CUCAMONGA
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 COMMERCIAL	Plan Type Other Payers	State CA	Address PO BOX 72710 Zip- 94612-8910 City- OAKLAND
Payer Name Centene	Plan Name BTMG COMMERCIAL	Plan Type Other Payers	State CA	Address PO BOX 72710 Zip- 94612-8910 City- OAKLAND
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 AMBETTER OF TENNESSEE	Plan Type Other Payers	State CA	Address PO BOX 10341 Zip- 91410-0341 City- VAN NUYS
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 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 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 BLUE CROSS BLUE SHIELD OF CA	Plan Type Other Payers	State CA	Address PO BOX 371330 Zip- 91337-1330 City- RESEDA
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 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 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 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 MEDICAL	Plan Type Other Payers	State CA	Address PO BOX 261760 Zip- 91426-1760 City- ENCINO
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 Centene	Plan Name HEALTHNET MEDI-CAL	Plan Type Other Payers	State CA	Address PO BOX 261760 Zip- 91426-1760 City- ENCINO
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 HEALTHNET SENIORITY HVVMG	Plan Type Other Payers	State CA	Address PO BOX 1957 Zip- 92393-1957 City- VICTORVILLE
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 VALLEY PRESBYTERIAN HOSP	Plan Type Other Payers	State CA	Address PO BOX 260890 Zip- 91426-0890 City- ENCINO
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 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 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 ALIGNMENT SR PCAMG	Plan Type Other Payers	State CA	Address PO BOX 6906 Zip- 91729-6906 City- RANCHO CUCAMONGA
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 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 CALVIVA HEALTH MCD	Plan Type Other Payers	State CA	Address PO BOX 10196 Zip- 91410-0196 City- VAN NUYS
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 HEALTHNET COMMERCIAL	Plan Type Other Payers	State CA	Address PO BOX 260890 Zip- 91426-0890 City- ENCINO
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 CALIFORNIA HOSPITAL	Plan Type Other Payers	State CA	Address PO BOX 260890 Zip- 91426-0890 City- ENCINO
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 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 ASCENSION COMPLETE MEDICARE	Plan Type Other Payers	State CA	Address PO BOX 10420 Zip- 91410-0420 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 AVIAP	Plan Name AVIAP	Plan Type Other Payers	State CA	Address 5918 STONERIDGE MALL RD Zip- 94588 City- PLEASANTON
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 SR HERITAGE QBCA	Plan Type Other Payers	State CA	Address PO BOX 1957 Zip- 92393-1957 City- VICTORVILLE
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 REGAL MEDICAL GROUP	Plan Type Other Payers	State CA	Address PO BOX 371330 Zip- 91337-1330 City- RESEDA
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 272859 Zip- 95927-2859 City- Chico
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 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 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 CALOPTIMA-MEDICAID	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 272861 Zip- 95927 City- Chico
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 PHARMAVAIL	Plan Name PHARMAVAIL	Plan Type Other Payers	State CA	Address 7815 N PALM AVE SUITE 400 Zip- 93711 City- FRESNO
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 BSC	Plan Name Blue Shield of California	Plan Type Other Payers	State CA	Address PO BOX 272640 Zip- 95927-2640 City- Chico
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 BSC	Plan Name Blue Shield of California	Plan Type Other Payers	State CA	Address PO BOX 272630 Zip- 95927-2630 City- Chico
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 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 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 UHC SCRIPPS COASTAL MEDICAL GROUP	Plan Type Other Payers	State CA	Address PO BOX 2079 Zip- 92038-2079 City- LA JOLLA
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 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 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 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 SCAN SCRIPPS COASTAL MED GROUP	Plan Type Other Payers	State CA	Address PO BOX 2079 Zip- 92038-2079 City- LA JOLLA
Payer Name Centene	Plan Name MEDICAL HEALTHNET	Plan Type Other Payers	State CA	Address PO BOX 7014 Zip- 93539-7014 City- LANCASTER
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 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 HEALTHNET OF CA REFUNDS	Plan Type Other Payers	State CA	Address FILE # 56527 Zip- 90074-6527 City- LOS ANGELES
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 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 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 HMO GTCIPA	Plan Type Other Payers	State CA	Address PO BOX 5059 Zip- 92052-5059 City- OCEANSIDE
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 COMMERCIAL	Plan Type Other Payers	State CA	Address PO BOX 70190 Zip- 94612-0190 City- OAKLAND
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 PREMIER DENTAL	Plan Name PREMIER DENTAL	Plan Type Other Payers	State CA	Address PO BOX 659010 Zip- 95865-901 City- SACRAMENTO
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 272570 Zip- 95927-2570 City- Chico
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 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 HEALTHNET MEDI-CAL	Plan Type Other Payers	State CA	Address PO BOX 570590 Zip- 91357-0590 City- TARZANA
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 Centene	Plan Name HEALTH CARE LA	Plan Type Other Payers	State CA	Address PO BOX 570590 Zip- 91357-0590 City- TARZANA
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 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 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 CONIFER	Plan Type Other Payers	State CA	Address PO BOX 261040 Zip- 91426-1040 City- ENCINO
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 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 BSC	Plan Name Blue Shield of California	Plan Type Other Payers	State CA	Address PO BOX 272520 Zip- 95927-2520 City- Chico
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 AMERICAN HEALTHCARE	Plan Name AMERICAN HEALTHCARE	Plan Type Other Payers	State CA	Address 3850 ATHERTON ROAD Zip- 95765 City- ROCKLIN
Payer Name Centene	Plan Name PREMIER CARE	Plan Type Other Payers	State CA	Address PO BOX 261040 Zip- 91426-1040 City- ENCINO
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 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 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 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 272530 Zip- 95927-2530 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 Centene	Plan Name HEALTHNET MEDICAL	Plan Type Other Payers	State CA	Address PO BOX 989736 Zip- 95798-9736 City- WEST SACRAMENTO
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 BSC	Plan Name Blue Shield of California	Plan Type Other Payers	State CA	Address PO BOX 272550 Zip- 95927-2550 City- Chico
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 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 HEALTHNET	Plan Type Other Payers	State CA	Address PO BOX 989881 Zip- 95798-9881 City- WEST SACRAMENTO
Payer Name Centene	Plan Name HEALTHNET	Plan Type Other Payers	State CA	Address PO BOX 989736 Zip- 95798-9736 City- WEST SACRAMENTO
Payer Name Centene	Plan Name HEALTHNET	Plan Type Other Payers	State CA	Address 900 UNIVERSITY AVE Zip- 95825-6737 City- SACRAMENTO
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 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 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	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 PROSPECT MED GROUP	Plan Type Other Payers	State CA	Address PO BOX 11466 Zip- 92711-1466 City- SANTA ANA
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 CHAMPVA	Plan Name CHAMPVA	Plan Type Other Payers	State CO	Address PO BOX 469064 Zip- 80246-906 City- DENVER
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 FISERV HEALTH BENESIGHT	Plan Name FISERV HEALTH BENESIGHT	Plan Type Other Payers	State CO	Address PO BOX 360 Zip- 81002 City- PUEBLO
Payer Name BCBS COLORADO	Plan Name BCBS COLORADO	Plan Type Other Payers	State CO	Address 700 BROADWAY Zip- 80273 City- DENVER
Payer Name RX WEST	Plan Name RX WEST	Plan Type Other Payers	State CO	Address PO BOX 4517 Zip- 80155 City- ENGLEWOOD
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 STATE FARM	Plan Name STATE FARM	Plan Type Other Payers	State CO	Address PO BOX 339403 Zip- 80633-940 City- GREELEY
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 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 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 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 CONNECTICARE	Plan Name CONNECTICARE	Plan Type Other Payers	State CT	Address PO BOX 4050 Zip- 06034-405 City- FARMINGTON
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 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 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 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 DIVERSIFIED GROUP ADMIN	Plan Name DIVERSIFIED GROUP ADMIN	Plan Type Other Payers	State CT	Address PO BOX 299 Zip- 06447 City- MARLBOROUGH
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 MEDSPAN	Plan Name MEDSPAN	Plan Type Other Payers	State CT	Address PO BOX 340725 Zip- 06134 City- HARTFORD
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 CONNECTICUT GENERAL LIFE	Plan Name CONNECTICUT GENERAL LIFE	Plan Type Other Payers	State CT	Address PO BOX 800 Zip- 06085 City- UNIONVILLE
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 INSURANCE PROGRAMMERS	Plan Name INSURANCE PROGRAMMERS	Plan Type Other Payers	State CT	Address PO BOX 5817 Zip- 60492 City- WALLINGFORD
Payer Name AETNA	Plan Name AETNA	Plan Type Other Payers	State CT	Address 151 FARMINGTON AVE Zip- 06156 City- HARTFORD
Payer Name STIRLING & STIRLING	Plan Name STIRLING & STIRLING	Plan Type Other Payers	State CT	Address 20 ARMORY LANE Zip- 06460 City- MILFORD
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 MEDICAID CARE FIRST ARIZONA	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 MCD	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 KY MCD	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 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 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 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 MDMC WELLCARE MEDICAID	Plan Type Other Payers	State FL	Address PO BOX 31224 Zip- 33631-3224 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 OPTIMUM HEALTHCARE INC	Plan Name OPTIMUM HEALTHCARE INC	Plan Type Other Payers	State FL	Address PO BOX 151258 Zip- 33684 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 CENTENE WELLCARE BY ALLWELL	Plan Type Other Payers	State FL	Address PO BOX 31224 Zip- 33631-3224 City- TAMPA
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 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 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 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 FREEDOM HEALTH MEDICARE	Plan Name FREEDOM HEALTH MEDICARE	Plan Type Other Payers	State FL	Address PO BOX 151348 Zip- 33684 City- TAMPA
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 MDMC WELLCARE MCA	Plan Type Other Payers	State FL	Address PO BOX 31224 Zip- 33631-3224 City- TAMPA
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 MCR	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 OPTUM	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 SUPERIOR ALLWELL MA	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 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 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 8735 HENDERSON RD Zip- 33634-1143 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 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 MCR	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 GA OP	Plan Type Other Payers	State FL	Address PO BOX 31368 Zip- 33631-3368 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 AMERICAN NATIONAL	Plan Type Other Payers	State FL	Address 8735 HENDERSON RD Zip- 33634-1143 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 MCR HMO	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 MEDICARE	Plan Type Other Payers	State FL	Address PO BOX 31368 Zip- 33631-3368 City- TAMPA
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 MEDICARE	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 MEDICARE DUAL QFGA	Plan Type Other Payers	State FL	Address PO BOX 31224 Zip- 33631-3224 City- TAMPA
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 GEORGIA INC	Plan Type Other Payers	State FL	Address PO BOX 31224 Zip- 33631-3224 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 KENTUCKY	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 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 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 ALLWELL	Plan Type Other Payers	State FL	Address PO BOX 31368 Zip- 33631-3368 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 Centene	Plan Name WELLCARE TEXANPLUS MCR	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 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 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 HEALTH PLAN	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 MEDICARE QTKY	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 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 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 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 OF MISSISSI	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 MCR HMO	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 City- TAMPA
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 WELLCARE HEALTH PLAN	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 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 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 ENCOUNTER	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 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 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 MC	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 OF TEXAS INC	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 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 WELLCARE	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 OP	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 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 WELLCARE PPO	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 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-MCR 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 COORDINATED BENEFIT PLANS	Plan Type Other Payers	State FL	Address PO BOX 23802 Zip- 33623-3802 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 HEALTH PLAN	Plan Type Other Payers	State FL	Address PO BOX 31426 Zip- 33631-3426 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 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 OF GA	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 LIBERTY	Plan Type Other Payers	State FL	Address PO BOX 31370 Zip- 33631-3370 City- TAMPA
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 WELLCARE OF OKLAHOMA	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 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 HEALTH PLANS	Plan Type Other Payers	State FL	Address PO BOX 31370 Zip- 33631-3370 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 WELLCARE HEALTH INSURANCE	Plan Type Other Payers	State FL	Address PO BOX 31370 Zip- 33631-3370 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 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 MEDICARE WELLCARE HEALTH PLANS	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 TEXAN PLUS MCR	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 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 CHILDREN MED SVCS FL	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 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 HARMONY HEALTH PLAN	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 STAYWELL HEALTH PLAN	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 OTHER INSURANCE	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 OHANA QUEST QEXA	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 MISC MEDICARE SUPPLEMENT	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 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 MISC MEDICARE ADVANTAGE	Plan Type Other Payers	State FL	Address PO BOX 31370 Zip- 33631-3370 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 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 HARMONY MEDICARE	Plan Type Other Payers	State FL	Address PO BOX 31372 Zip- 33631-3372 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 BANKERS LIFE MEDICARE SUPP	Plan Type Other Payers	State GA	Address PO BOX 105185 Zip- 30348-5185 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 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 FIDELITY SUPPLEMENT	Plan Type Other Payers	State GA	Address PO BOX 105652 Zip- 30348-5652 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 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 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 LIFE MEDICARE SUPPLEMENT	Plan Type Other Payers	State GA	Address PO BOX 105652 Zip- 30348-5652 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 PROCARE RX	Plan Name PROCARE RX	Plan Type Other Payers	State GA	Address 1267 PROFESSIONAL PARKWAY Zip- 30507 City- GAINESVILLE
Payer Name AFLAC	Plan Name AFLAC	Plan Type Other Payers	State GA	Address 1932 WYNNTON ROAD Zip- 319997251 City- COLUMBUS
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 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 BFLIC	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 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 AND CASUALTY	Plan Type Other Payers	State GA	Address PO BOX 105652 Zip- 30348-5652 City- ATLANTA
Payer Name PARAGON BENEFITS	Plan Name PARAGON BENEFITS	Plan Type Other Payers	State GA	Address PO BOX 12288 Zip- 31917 City- COLUMBUS
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 BCBS GEORGIA	Plan Name BCBS GEORGIA	Plan Type Other Payers	State GA	Address PO BOX 9907 Zip- 31908 City- COLUMBUS
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 Centene	Plan Name BANKERS FIDELITY	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 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	Plan Type Other Payers	State GA	Address PO BOX 10562 Zip- 30310-0562 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 AMBETTER HEALTH	Plan Type Other Payers	State GA	Address 1100 CIRCLE 75 PKWY Zip- 30339-3064 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 HMSA HAWAII	Plan Name HMSA HAWAII	Plan Type Other Payers	State HI	Address PO BOX 860 Zip- 96808 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 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 COVENTRY HEALTHCARE IOWA	Plan Name COVENTRY HEALTHCARE IOWA	Plan Type Other Payers	State IA	Address 4320 114TH STREET Zip- 50322 City- URBANDALE
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 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 CORESOURCE	Plan Name CORESOURCE	Plan Type Other Payers	State IA	Address PO BOX 2920 Zip- 52733 City- CLINTON
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 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 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 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 AUXIANT	Plan Name AUXIANT	Plan Type Other Payers	State IA	Address PO BOX 75008 Zip- 52407 City- CEDAR RAPID
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 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 MIDWEST GROUP BENEFITS	Plan Name MIDWEST GROUP BENEFITS	Plan Type Other Payers	State IA	Address PO BOX 408 Zip- 52101 City- DECORAH
Payer Name SISCO	Plan Name SISCO	Plan Type Other Payers	State IA	Address PO BOX 389 Zip- 520040389 City- DUBUQUE
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 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 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 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 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 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 IMWCA	Plan Type Other Payers	State IA	Address 500 SW 7TH ST STE 101 Zip- 50309-4506 City- DES MOINES
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 AMERIBEN SOLUTIONS	Plan Name AMERIBEN SOLUTIONS	Plan Type Other Payers	State ID	Address PO BOX 7186 Zip- 83707 City- BOISE
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 DELTA DENTAL IDAHO	Plan Name DELTA DENTAL IDAHO	Plan Type Other Payers	State ID	Address PO BOX 2870 Zip- 83701 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 REGENCE BCBS IDAHO	Plan Name REGENCE BCBS IDAHO	Plan Type Other Payers	State ID	Address PO BOX 7408 Zip- 83707 City- BOISE
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 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 PRO	Plan Type Other Payers	State IL	Address PO BOX 838 Zip- 60056-0838 City- MOUNT PROSPECT
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 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 LINECO	Plan Name LINECO	Plan Type Other Payers	State IL	Address 2000 SPRINGER DRIVE Zip- 60148 City- LOMBARD
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 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 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 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 MIDWEST OPERATING ENGINEERS	Plan Name MIDWEST OPERATING ENGINEERS	Plan Type Other Payers	State IL	Address 6150 JOLIET ROAD Zip- 60525 City- COUNTRYSIDE
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 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 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 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 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 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 Centene	Plan Name HEALTH NETWORK	Plan Type Other Payers	State IL	Address 1420 KENSINGTON RD Zip- 60523-2143 City- OAK BROOK
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 Centene	Plan Name HEALTHNET	Plan Type Other Payers	State IL	Address 25026 W PETITE AVE Zip- 60002-8227 City- ANTIOCH
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 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 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 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 Centene	Plan Name ZURICH SERVICES CORP	Plan Type Other Payers	State IL	Address PO BOX 4040 Zip- 60168-4040 City- SCHAUMBURG
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 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 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 BCBS ILLINOIS	Plan Name BCBS ILLINOIS	Plan Type Other Payers	State IL	Address 2371 BOWES ROAD SUITE 500 Zip- 60123 City- ELGIN
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 CHICAGO LABORERS	Plan Name CHICAGO LABORERS	Plan Type Other Payers	State IL	Address 11465 CERMAK ROAD Zip- 60154 City- WESTCHESTER
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 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 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 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 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 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 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 CENTRAL LABORERS	Plan Name CENTRAL LABORERS	Plan Type Other Payers	State IL	Address 201 NORTH MAIN STREET Zip- 62650 City- JACKSONVILLE
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 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 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 HOTEL & RESTAURANT EMPLOYEES	Plan Name HOTEL & RESTAURANT EMPLOYEES	Plan Type Other Payers	State IL	Address PO BOX 6680 Zip- 605980020 City- AURORA
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 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 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 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 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 1640 W VAN BUREN Zip- 60612 City- CHICAGO
Payer Name GOLDEN RULE	Plan Name GOLDEN RULE	Plan Type Other Payers	State IL	Address 712 11TH ST Zip- 624392316 City- LAWRENCEVILLE
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 CONSOCIATE GROUP	Plan Name CONSOCIATE GROUP	Plan Type Other Payers	State IL	Address PO BOX 1068 Zip- 62525 City- DECATUR
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 COUNTRY LIFE INSURANCE	Plan Name COUNTRY LIFE INSURANCE	Plan Type Other Payers	State IL	Address PO BOX 2000 Zip- 617022000 City- BLOOMINGTON
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 CHRISTIAN BROTHERS SERVICES	Plan Name CHRISTIAN BROTHERS SERVICES	Plan Type Other Payers	State IL	Address 1205 WINDHAM PARKWAY Zip- 60446 City- ROMEOVILLE
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 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 ALLSTATE	Plan Name ALLSTATE	Plan Type Other Payers	State IL	Address 2775 SANDERS RD Zip- 60062-612 City- NORTHBROOK
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 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 GUARANTEE TRUST LIFE	Plan Name GUARANTEE TRUST LIFE	Plan Type Other Payers	State IL	Address PO BOX 1144 Zip- 60025 City- GLENVIEW
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 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 COLONIAL PENN QRIL	Plan Type Other Payers	State IN	Address PO BOX 1935 Zip- 46082-1935 City- CARMEL
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 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 UNITED 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 FIRST HEALTH NETWORK	Plan Type Other Payers	State IN	Address PO BOX 10 Zip- 46064-0010 City- PENDLETON
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 AND CASUALTY QMNM	Plan Type Other Payers	State IN	Address PO BOX 1937 Zip- 46082-1937 City- CARMEL
Payer Name SIHO TPA	Plan Name SIHO TPA	Plan Type Other Payers	State IN	Address PO BOX 1787 Zip- 472021487 City- COLUMBUS
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 Centene	Plan Name CELTIC INDIV HLTH PHCS	Plan Type Other Payers	State IN	Address PO BOX 33839 Zip- 46203-0839 City- INDIANAPOLIS
Payer Name ZENITH ADMINISTRATORS	Plan Name ZENITH ADMINISTRATORS	Plan Type Other Payers	State IN	Address PO BOX 42489 Zip- 46242 City- INDIANAPOLI
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 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 QBTX	Plan Type Other Payers	State IN	Address PO BOX 1935 Zip- 46082-1935 City- CARMEL
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 BANKERS LIFE QRKY	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 SUPPLEMENT	Plan Type Other Payers	State IN	Address PO BOX 1935 Zip- 46082-1935 City- CARMEL
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 FIDELITY MEDICARE SUPP	Plan Type Other Payers	State IN	Address PO BOX 1935 Zip- 46082-1935 City- CARMEL
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	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 BANKERS 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	Plan Type Other Payers	State IN	Address PO BOX 1935 Zip- 46082-1935 City- CARMEL
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 ST ANTHONY HEALTH NETWORK	Plan Type Other Payers	State IN	Address 7905 CALUMET AVE STE 1 Zip- 46321-2439 City- MUNSTER
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 BANKERS LIFE COLONIAL PENN LIFE INSURANCE	Plan Type Other Payers	State IN	Address PO BOX 1935 Zip- 46082-1935 City- CARMEL
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 DUNN & ASSOCIATES TPA	Plan Name DUNN & ASSOCIATES TPA	Plan Type Other Payers	State IN	Address PO BOX 2369 Zip- 472022369 City- COLUMBUS
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 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 IOWA TOTAL CARE MEDICAID	Plan Type Other Payers	State KS	Address 819 S ALLEGHANY ST Zip- 67042-2410 City- EL DORADO
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 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 FIRST HEALTH NETWORK	Plan Type Other Payers	State KS	Address PO BOX 26127 Zip- 66225-6127 City- OVERLAND PARK
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 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 MEDTRACK	Plan Name MEDTRACK	Plan Type Other Payers	State KS	Address 7101 COLLEGE BLVD STE 1000 Zip- 66210 City- OVERLAND PA
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 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 USA HEALTHNET P29	Plan Type Other Payers	State KY	Address PO BOX 14702 Zip- 40512-4702 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 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 MAIL HANDLERS PHARMACY	Plan Name MAIL HANDLERS PHARMACY	Plan Type Other Payers	State KY	Address PO BOX 8404 Zip- 40742 City- LONDON
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 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 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 LLC	Plan Type Other Payers	State KY	Address PO BOX 14702 Zip- 40512-4702 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 Centene	Plan Name HEALTHNET COVERED CA PPO	Plan Type Other Payers	State KY	Address PO BOX 14702 Zip- 40512-4702 City- LEXINGTON
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 COVENTRY NORTH CAROLINA	Plan Name COVENTRY NORTH CAROLINA	Plan Type Other Payers	State KY	Address PO BOX 7102 Zip- 40742 City- LONDON
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 Centene	Plan Name MISC COMMERCIAL HEALTH PLAN	Plan Type Other Payers	State KY	Address PO BOX 14621 Zip- 40512-4621 City- LEXINGTON
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 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 HEALTHNET	Plan Type Other Payers	State KY	Address PO BOX 14621 Zip- 40512-4621 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 VISTA HEALTH PLAN	Plan Name VISTA HEALTH PLAN	Plan Type Other Payers	State KY	Address PO BOX 7807 Zip- 40742 City- LONDON
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 Centene	Plan Name AMBETTER	Plan Type Other Payers	State KY	Address PO BOX 14835 Zip- 40512-4835 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 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 MEDICAID OUT OF STATE	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 HEALTH AMERICA	Plan Name HEALTH AMERICA	Plan Type Other Payers	State KY	Address PO BOX 7089 Zip- 40742 City- LONDON
Payer Name ALTIUS	Plan Name ALTIUS	Plan Type Other Payers	State KY	Address PO BOX 7147 Zip- 407427147 City- LONDON
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 Centene	Plan Name WELLCARE OF KENTUCKY	Plan Type Other Payers	State KY	Address PO BOX 438000 Zip- 40253-8000 City- LOUISVILLE
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 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 BLUEGRASS FAMILY HEALTH	Plan Name BLUEGRASS FAMILY HEALTH	Plan Type Other Payers	State KY	Address PO BOX 21973 Zip- 405221973 City- LEXINGTON
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 MEDICARE HEALTH NET	Plan Type Other Payers	State KY	Address PO BOX 14130 Zip- 40512-4130 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 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 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 ZENITH ADMINISTRATORS	Plan Name ZENITH ADMINISTRATORS	Plan Type Other Payers	State LA	Address 2450 SEVERN AVE STE 305 Zip- 70001 City- METAIRIE
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 BCBS LOUISIANA	Plan Name BCBS LOUISIANA	Plan Type Other Payers	State LA	Address PO BOX 98024 Zip- 70898 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 IBEW 995	Plan Name IBEW 995	Plan Type Other Payers	State LA	Address 8111 TOM DRIVE Zip- 70815 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 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 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 MEDCO HEALTH	Plan Name MEDCO HEALTH	Plan Type Other Payers	State LA	Address 050 S FOSTER DRIVE Zip- 70806 City- BATON ROUGE
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 JOHN HANCOCK LTC	Plan Name JOHN HANCOCK LTC	Plan Type Other Payers	State MA	Address PO BOX 111 Zip- 02117 City- BOSTON
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 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 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 Centene	Plan Name BMC HEALTHNET PLAN	Plan Type Other Payers	State MA	Address PO BOX 55282 Zip- 02205-5282 City- BOSTON
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 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 ULTRA BENEFITS INC	Plan Name ULTRA BENEFITS INC	Plan Type Other Payers	State MA	Address 22 ELM STREET Zip- 01608 City- WORCESTER
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 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 BCBS MASSACHUSETTS	Plan Name BCBS MASSACHUSETTS	Plan Type Other Payers	State MA	Address PO BOX 986030 Zip- 02298 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 ASSOCIATED ADMONISTRATORS	Plan Name ASSOCIATED ADMONISTRATORS	Plan Type Other Payers	State MD	Address 911 RIDGEBROOK ROAD Zip- 21152 City- SPARKS GLEN
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 NATIONAL AUTOMATIC SPRINKLER	Plan Name NATIONAL AUTOMATIC SPRINKLER	Plan Type Other Payers	State MD	Address 8000 CORPORATE DRIVE Zip- 20785 City- LANDOVER
Payer Name Centene	Plan Name MEDICAID	Plan Type Other Payers	State MD	Address PO BOX 1935 Zip- 21203-1935 City- BALTIMORE
Payer Name Centene	Plan Name MARYLAND MEDICAID	Plan Type Other Payers	State MD	Address PO BOX 1935 Zip- 21203-1935 City- BALTIMORE
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 Centene	Plan Name BEHAVIOURAL HMO	Plan Type Other Payers	State MD	Address PO BOX 5171 Zip- 21046-5171 City- COLUMBIA
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 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 FIRST HEALTH NETWORK	Plan Type Other Payers	State MD	Address PO BOX 306 Zip- 21012-0306 City- ARNOLD
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 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 GROUP BENEFIT SERVICES	Plan Name GROUP BENEFIT SERVICES	Plan Type Other Payers	State MD	Address PO BOX 4368 Zip- 21094 City- LUTHERVILLE
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 MAGELLAN BEHAVIORAL HMO	Plan Type Other Payers	State MD	Address PO BOX 5171 Zip- 21046-5171 City- COLUMBIA
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 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 CHEROKEE INSURANCE	Plan Name CHEROKEE INSURANCE	Plan Type Other Payers	State MI	Address PO BOX 159 Zip- 28090 City- WARREN
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 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 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 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 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 CAM ADMIN SERVICES	Plan Name CAM ADMIN SERVICES	Plan Type Other Payers	State MI	Address 25800 NORTHWESTERN HWY Zip- 48075 City- SOUTHFIELD
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 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 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 CENTENE	Plan Name CENTENE HEALTH PLAN	Plan Type Other Payers	State MI	Address PO BOX 37705 Zip- 48237-0705 City- OAK PARK
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 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 BENESYS	Plan Name BENESYS	Plan Type Other Payers	State MI	Address 700 TOWER DRIVE SUITE 300 Zip- 48098-280 City- TROY
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 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 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 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 VARIPRO	Plan Name VARIPRO	Plan Type Other Payers	State MI	Address 5300 PATTERSON AVE SE #150 Zip- 49512 City- GRANDRAPIDS
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 AMBETTER	Plan Type Other Payers	State MI	Address 44 BEECHWOODE LN Zip- 48340-2200 City- PONTIAC
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 JFP BENEFITS MANAGEMENT	Plan Name JFP BENEFITS MANAGEMENT	Plan Type Other Payers	State MI	Address PO BOX 189 Zip- 49204 City- JACKSON
Payer Name Centene	Plan Name WELLCARE MCR	Plan Type Other Payers	State MI	Address 777 WOODWARD AVE Zip- 48226-3536 City- DETROIT
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 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 ACTIVA BENEFITS	Plan Name ACTIVA BENEFITS	Plan Type Other Payers	State MI	Address PO BOX 37 Zip- 48332 City- FARMINGTON
Payer Name BCBS MICHIGAN	Plan Name BCBS MICHIGAN	Plan Type Other Payers	State MI	Address 600 LAFAYETTE EAST Zip- 48226 City- DETROIT
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 Centene	Plan Name SUPERIOR HEALTHPLAN	Plan Type Other Payers	State MI	Address PO BOX 3000 Zip- 48333-3000 City- FARMINGTON
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 WORLD INSURANCE CO	Plan Name WORLD INSURANCE CO	Plan Type Other Payers	State MN	Address PO BOX 21670 Zip- 551210000 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 BCBS MINNESOTA	Plan Name BCBS MINNESOTA	Plan Type Other Payers	State MN	Address PO BOX 64560 Zip- 551640560 City- ST PAUL
Payer Name ZENITH ADMINISTRATORS	Plan Name ZENITH ADMINISTRATORS	Plan Type Other Payers	State MN	Address PO BOX 124 Zip- 55440 City- MINNEAPOLIS
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 CAPITAL BCBS	Plan Name CAPITAL BCBS	Plan Type Other Payers	State MN	Address PO BOX 211457 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 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 BLACKHAWK CLAIMS SERVICES	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 MMSI INC	Plan Name MMSI INC	Plan Type Other Payers	State MN	Address 4001 41ST STREET NW Zip- 55901 City- ROCHESTER
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 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 DECARE DENTAL	Plan Name DECARE DENTAL	Plan Type Other Payers	State MN	Address PO BOX 1348 Zip- 55440-134 City- MINNEAPOLIS
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 INDEPENDENCE AMERICA	Plan Name INDEPENDENCE AMERICA	Plan Type Other Payers	State MN	Address PO BOX 21456 Zip- 551210456 City- EAGAN
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 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 Centene	Plan Name MAGELLAN HEALTH	Plan Type Other Payers	State MN	Address PO BOX 211403 Zip- 55121-3003 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 MULTIPLAN	Plan Type Other Payers	State MN	Address PO BOX 21661 Zip- 55121-0661 City- EAGAN
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 VITAL CARE	Plan Type Other Payers	State MN	Address PO BOX 21661 Zip- 55121-0661 City- EAGAN
Payer Name Centene	Plan Name WELLCARE	Plan Type Other Payers	State MN	Address PO BOX 21661 Zip- 55121-0661 City- EAGAN
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 FEDERATED MUTUAL	Plan Name FEDERATED MUTUAL	Plan Type Other Payers	State MN	Address PO BOX 328 Zip- 55060-032 City- OWATONNA
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 Centene	Plan Name FIRST HEALTH	Plan Type Other Payers	State MN	Address PO BOX 241989 Zip- 55124-1989 City- APPLE VALLEY
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 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 Centene	Plan Name COORDINATED BENEFIT PLANS PHCS	Plan Type Other Payers	State MN	Address PO BOX 21944 Zip- 55121-0944 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 Centene	Plan Name FIRST HEALTH NETWORK BRECKPOINT	Plan Type Other Payers	State MN	Address PO BOX 211055 Zip- 55121-2455 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	Plan Type Other Payers	State MN	Address PO BOX 211348 Zip- 55121-2948 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 FREEDOM LIFE INS COMPANY OF AMERICA	Plan Type Other Payers	State MN	Address PO BOX 21944 Zip- 55121-0944 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 Centene	Plan Name FIRST HEALTH NETWORK	Plan Type Other Payers	State MN	Address PO BOX 21474 Zip- 55121-0474 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 AIG LTC	Plan Name AIG LTC	Plan Type Other Payers	State MN	Address 11000 PRAIRIE LAKES DRIVE Zip- 55344 City- EDEN PRAIRI
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 GEC LTC	Plan Name GEC LTC	Plan Type Other Payers	State MN	Address PO BOX 64904 Zip- 55164 City- ST PAUL
Payer Name HEALTH PARTNERS	Plan Name HEALTH PARTNERS	Plan Type Other Payers	State MN	Address PO BOX 1289 Zip- 55440 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 ASSURED BENEFITS ADMINISTRATO	Plan Name ASSURED BENEFITS ADMINISTRATO	Plan Type Other Payers	State MN	Address PO BOX 211517 Zip- 55121 City- EAGAN
Payer Name GEHA	Plan Name GEHA	Plan Type Other Payers	State MN	Address PO BOX 21542 Zip- 55121-054 City- EAGAN
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 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 HEALTHNET COMMERCIAL	Plan Type Other Payers	State MN	Address PO BOX 21913 Zip- 55121-0913 City- EAGAN
Payer Name RMSCO	Plan Name RMSCO	Plan Type Other Payers	State MN	Address PO BOX 21951 Zip- 55121 City- EAGAN
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 PREFERRED ONE	Plan Name PREFERRED ONE	Plan Type Other Payers	State MN	Address PO BOX 59212 Zip- 55459 City- MINNEAPOLIS
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 Centene	Plan Name FIRST HEALTH NETWORK	Plan Type Other Payers	State MN	Address PO BOX 211704 Zip- 55121-3704 City- EAGAN
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 Centene	Plan Name FIRST HEALTH	Plan Type Other Payers	State MN	Address PO BOX 21854 Zip- 55121-0854 City- EAGAN
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 SELF ARIZONA COMPLETE HEALTH	Plan Type Other Payers	State MO	Address PO BOX 9040 Zip- 63640-9040 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 WELLCARE QMOR	Plan Type Other Payers	State MO	Address PO BOX 9040 Zip- 63640-9040 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 DRISCOLL CHILDRENS HEALTH	Plan Type Other Payers	State MO	Address PO BOX 3003 Zip- 63640-3803 City- FARMINGTON
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 AMERIGROUP	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 SUPERIOR HEALTHPLAN	Plan Type Other Payers	State MO	Address 1 CENTENE DR Zip- 63640-8109 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 AMBETTER OF ARKANSAS	Plan Type Other Payers	State MO	Address PO BOX 9010 Zip- 63640-9010 City- FARMINGTON
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 SUPERIOR MEDICAID ADVANTAGE HEALTHPLAN	Plan Type Other Payers	State MO	Address 1350 AIRPARK DR Zip- 63640-2066 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 OF AR	Plan Type Other Payers	State MO	Address PO BOX 510 Zip- 63640-0510 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 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 SUPERIOR AMBETTER	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 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 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 MEDICARE HMO	Plan Type Other Payers	State MO	Address 7700 FORSYTH BLVD Zip- 63105-1807 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 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 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 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 PHPINLAND EMPIRE HLTH PLAN	Plan Type Other Payers	State MO	Address PO BOX 3003 Zip- 63640-3803 City- FARMINGTON
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 ARKANSAS HEALTH AND WELLNES	Plan Type Other Payers	State MO	Address 7700 FORSYTH BLVD Zip- 63105-1807 City- SAINT LOUIS
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 TEXAS CHILDRENS HEALTH PL	Plan Type Other Payers	State MO	Address PO BOX 3003 Zip- 63640-3803 City- FARMINGTON
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 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 FOSTER CARE	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 PHPKERN FAMILY HLTH CARE	Plan Type Other Payers	State MO	Address PO BOX 3003 Zip- 63640-3803 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 SUPERIOR STAR FOSTER U17	Plan Type Other Payers	State MO	Address PO BOX 6300 Zip- 63640-3806 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 ASCENSION PERSONALIZED CARE	Plan Type Other Payers	State MO	Address PO BOX 8050 Zip- 63640-8050 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 AMBETTER FROM MAGNOL	Plan Type Other Payers	State MO	Address PO BOX 5000 Zip- 63640-5000 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 AMBETTER	Plan Type Other Payers	State MO	Address PO BOX 2010 Zip- 63640-3832 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 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 COMPLETE MICH	Plan Type Other Payers	State MO	Address PO BOX 8050 Zip- 63640-8050 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 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 MDR	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 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 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 HEALTH	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 SUPERIOR MEDICAID ADVANTAGE	Plan Type Other Payers	State MO	Address PO BOX 6300 Zip- 63640-3806 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 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 WELLCARE HEALTH PLANS	Plan Type Other Payers	State MO	Address 7700 FORSYTH BLVD Zip- 63105-1807 City- SAINT LOUIS
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 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 HEALTHNET MEDICAL	Plan Type Other Payers	State MO	Address PO BOX 9040 Zip- 63640-9040 City- FARMINGTON
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 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 SUNFLOWER	Plan Type Other Payers	State MO	Address PO BOX 5000 Zip- 63640-5000 City- FARMINGTON
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 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 LA HEALTHCARE MCD	Plan Type Other Payers	State MO	Address PO BOX 4040 Zip- 63640-3826 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 LA BAYOU HEALTHCARE	Plan Type Other Payers	State MO	Address PO BOX 4040 Zip- 63640-3826 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 HEALTHCARE HEALTHCARE	Plan Type Other Payers	State MO	Address PO BOX 4040 Zip- 63640-3826 City- FARMINGTON
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 MEDICAID OUT OF STATE	Plan Type Other Payers	State MO	Address PO BOX 4040 Zip- 63640-3826 City- FARMINGTON
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 MAGNOLIA HEALTH MCD	Plan Type Other Payers	State MO	Address PO BOX 3090 Zip- 63640-3825 City- FARMINGTON
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 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 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 MAGELLAN HEALTH	Plan Type Other Payers	State MO	Address PO BOX 1655 Zip- 63043-0655 City- MARYLAND HEIGHTS
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 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 CENTENE EXCHANGE	Plan Type Other Payers	State MO	Address 7700 FORSYTH BOULEVARD Zip- 63105 City- ST LOUIS
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 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 PLAN CENTENE	Plan Type Other Payers	State MO	Address PO BOX 3090 Zip- 63640-3825 City- FARMINGTON
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 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 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 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 CENTENE	Plan Type Other Payers	State MO	Address 310 MAIN DELTA ST Zip- 63744 City- DELTA
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 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 MO HEALTHNET	Plan Type Other Payers	State MO	Address PO BOX 5600 Zip- 65102-5600 City- JEFFERSON CITY
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 INFOCROSSING HEALTH SERVICES	Plan Type Other Payers	State MO	Address PO BOX 5600 Zip- 65102-5600 City- JEFFERSON CITY
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 ILLINOIS MERIDIAN CENTENE	Plan Type Other Payers	State MO	Address PO BOX 4020 Zip- 63640-4402 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 Centene	Plan Name MEDICAID	Plan Type Other Payers	State MO	Address PO BOX 8030 Zip- 63640-8030 City- FARMINGTON
Payer Name Centene	Plan Name HEALTHNET	Plan Type Other Payers	State MO	Address PO BOX 904 Zip- 63640-0904 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 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 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 CHILDERNS MEDICAL SERVICES	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 MISC MEDICARE ADVANTAGE	Plan Type Other Payers	State MO	Address PO BOX 9030 Zip- 63640-9030 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 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 KIRK JULIE R	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640 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 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 MAGELLAN	Plan Type Other Payers	State MO	Address PO BOX 1325 Zip- 63043-0325 City- MARYLAND HEIGHTS
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 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 HEALTHNET OF CALIFORNIA	Plan Type Other Payers	State MO	Address PO BOX 9020 Zip- 63640-9020 City- FARMINGTON
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 SILVERSUMMIT MCD	Plan Type Other Payers	State MO	Address PO BOX 5090 Zip- 63640-5090 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 FIDELIS MEDICAID	Plan Type Other Payers	State MO	Address PO BOX 10500 Zip- 63640-5001 City- FARMINGTON
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	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 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 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 MISC COMMERCIAL HEALTH PLAN	Plan Type Other Payers	State MO	Address PO BOX 5090 Zip- 63640-5090 City- FARMINGTON
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 SILVER SUMMIT HEALTH PLAN	Plan Type Other Payers	State MO	Address PO BOX 5090 Zip- 63640-5090 City- FARMINGTON
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 PEACH STATE HEALTH PLAN	Plan Type Other Payers	State MO	Address PO BOX 3000 Zip- 63640-3800 City- FARMINGTON
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 FIRST HEALTH QGIL	Plan Type Other Payers	State MO	Address PO BOX 5750 Zip- 65801-5750 City- SPRINGFIELD
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 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 MENTAL HEALTH VENDOR MAGELLAN	Plan Type Other Payers	State MO	Address PO BOX 2154 Zip- 63043-0954 City- MARYLAND HEIGHTS
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 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 MEDICAID	Plan Type Other Payers	State MO	Address 7700 FORSYTH BLVD Zip- 63105-1807 City- SAINT LOUIS
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 STAR HEALTH FOSTER CARE	Plan Type Other Payers	State MO	Address PO BOX 3000 Zip- 63640-3800 City- FARMINGTON
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	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 HEALTHNET MEDICAL	Plan Type Other Payers	State MO	Address PO BOX 9020 Zip- 63640-9020 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 BUCKEYE MEDICAID	Plan Type Other Payers	State MO	Address PO BOX 6200 Zip- 63640-3805 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 BUCKEYE HEALTH PLAN MCD	Plan Type Other Payers	State MO	Address PO BOX 6200 Zip- 63640-3805 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 BUCKEYE COMMUNITY HEALTH PLAN	Plan Type Other Payers	State MO	Address PO BOX 6200 Zip- 63640-3805 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 COORDINATED CARE	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 MISO MEDICAID OOS HMO	Plan Type Other Payers	State MO	Address PO BOX 4030 Zip- 63640-4197 City- FARMINGTON
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 WASHINGTON MCD COORDINATED CARE	Plan Type Other Payers	State MO	Address PO BOX 4030 Zip- 63640-4197 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 BH MAGELLAN BEHAVIORAL	Plan Type Other Payers	State MO	Address PO BOX 1167 Zip- 63043-0167 City- MARYLAND HEIGHTS
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 Centene	Plan Name WELLCARE	Plan Type Other Payers	State MO	Address PO BOX 9030 Zip- 63640-9030 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 MEDICARE HEALTHNET	Plan Type Other Payers	State MO	Address PO BOX 9030 Zip- 63640-9030 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 MHS MEDICARE REPLACEMENT	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 MHS	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 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 AMBETTER WELLCARE OF KY	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 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 COMPLETE MMP	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 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 MCR ALLWELL MEDICARE HMO	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 MHS WELLCARE BY ALLWELL	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 FIDELIS SECURE LIFE OON	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 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 WELLCARE MGD MEDICARE	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 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 SUNSHINE HEALTH FLORIDA	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 WELLCARE MEDICARE MANAGED	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 DUAL LIBERTY QMNM	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 ACCESS	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 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 MISC MEDICARE ADVANTAGE	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 HEALTHNET	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 WELLCARE OF OKLAHOMA INC	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 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 BY SUNFLOWER	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 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 ABSOLUTE TOTAL CARE	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 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 PEACH STATE HEALTH PLAN	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 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 SUNFLOWER HEALTH PLAN	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 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 OKLAHOMA COMPLETE HEALTH	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 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 CENTENE AMBETTER	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 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 ARKANSAS HEALTH	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 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 BUCKEYE AMBETTER	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 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 MANAGED HEALTH SERVICES	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 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 OUT OF STATE MCO	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 MHS AMBETTER MARKETPLACE	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 NEBRASKA TOTAL CARE	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 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 WELLCARE NO PREMIUM	Plan Type Other Payers	State MO	Address PO BOX 3060 Zip- 63640-3822 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 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 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 MCR KANCARE SUNFLOWR	Plan Type Other Payers	State MO	Address PO BOX 4070 Zip- 63640-3833 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 MCD KANCARE SUNFLOWER	Plan Type Other Payers	State MO	Address PO BOX 4070 Zip- 63640-3833 City- FARMINGTON
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 HUMANA MEDICARE ADVANTAGE	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 4070 Zip- 63640-3833 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 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 SUNFLOWER HP	Plan Type Other Payers	State MO	Address PO BOX 4070 Zip- 63640-3833 City- FARMINGTON
Payer Name FORTIS	Plan Name FORTIS	Plan Type Other Payers	State MO	Address 2323 GRAND BOULEVARD Zip- 641082670 City- KANSAS CITY
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 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 ALLEN MICHAEL	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 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 BY SUPERIOR	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 SECURE CARE	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 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 AMBETTER COORDINATED CARE	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 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 HEALTHSHARE OF OREGON	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 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 HEALTHNET SENIOR QBCA	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 SENIOR PLUS	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 NON PAR	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 SUNFLOWER KANSAS	Plan Type Other Payers	State MO	Address PO BOX 4070 Zip- 63640-3833 City- FARMINGTON
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 FEDERAL SERVICES	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 Centene	Plan Name HEALTHNET	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 ALLWELL MEDICARE RP	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 9030 Zip- 63640-9030 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 SUNFLOWER KANSAS (MCAID)	Plan Type Other Payers	State MO	Address PO BOX 4070 Zip- 63640-3833 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 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 SUNSHINE HEALTH MCD	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 MEDPAY	Plan Name MEDPAY	Plan Type Other Payers	State MO	Address 1650 E BATTLEFIELD Zip- 65804 City- SPRINGFIELD
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 MERIDIAN HEALTH	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 MISSOURI CENTENE	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 MP	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 OF AR	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 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 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 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 NORTH CAROLINA INC	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 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 AMBETTER OF TENNESSEE	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 QBTX	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 MAGNOLIA HEALTH	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 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 AMBETTER MAGNOLIA COMMERCIAL	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 City- FARMINGTON
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 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 FROM COORDINATED CARE	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 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 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 AMBETTER FROM MERIDIAN	Plan Type Other Payers	State MO	Address PO BOX 5010 Zip- 63640-5010 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 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 NEBRASKA TOTAL CARE	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 KANSAS CENTENE	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 PEACH STATE	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 DANII NEWELL CARE OF JHERRIKA ATTERBERRY	Plan Type Other Payers	State MS	Address 412 IRVIN JONES RD Zip- 39149-3826 City- PINOLA
Payer Name BCBS MISSISSIPPI	Plan Name BCBS MISSISSIPPI	Plan Type Other Payers	State MS	Address PO BOX 1043 Zip- 392151043 City- JACKSON
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 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 AMERICAN PUBLIC LIFE	Plan Name AMERICAN PUBLIC LIFE	Plan Type Other Payers	State MS	Address PO BOX 925 Zip- 39205 City- JACKSON
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 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 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 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 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 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 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 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 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 JEFFERSON PILOT	Plan Name JEFFERSON PILOT	Plan Type Other Payers	State NC	Address 100 NORTH GREEN ST Zip- 27401 City- GREENSBORO
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 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 Centene	Plan Name LIABILITY INSURER	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 NEBRASKA	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 Centene	Plan Name NOVATO FIRE PROTECTION DISTRICT	Plan Type Other Payers	State NE	Address PO BOX 1602 Zip- 68101-1602 City- OMAHA
Payer Name Centene	Plan Name HUMANA HONOR	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 Centene	Plan Name HOSPICE PROVIDER	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 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 PHARMACEUTICAL TECHNOLOGIES	Plan Name PHARMACEUTICAL TECHNOLOGIES	Plan Type Other Payers	State NE	Address PO BOX 407 Zip- 68010 City- BOYSTOWN
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 PHYSICIANS MUTUAL	Plan Name PHYSICIANS MUTUAL	Plan Type Other Payers	State NE	Address 2600 DODGE STREET Zip- 68131-267 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 KNIGHTS OF COLUMBUS	Plan Name KNIGHTS OF COLUMBUS	Plan Type Other Payers	State NE	Address 3316 FARNUM STREET Zip- 68175 City- OMAHA
Payer Name AMERITAS	Plan Name AMERITAS	Plan Type Other Payers	State NE	Address PO BOX 81889 Zip- 68501 City- LINCOLN
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 NEBRASKA MEDICAID	Plan Type Other Payers	State NE	Address 1733 W MULBERRY ST Zip- 68522-2516 City- LINCOLN
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 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 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 SAIF CORPORATION	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 MEDICARE RAILROAD	Plan Type Other Payers	State NE	Address PO BOX 1602 Zip- 68101-1602 City- OMAHA
Payer Name HORIZON HEALTHCARE	Plan Name HORIZON HEALTHCARE	Plan Type Other Payers	State NJ	Address PO BOX 79 Zip- 07101 City- NEWARK
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 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 CONTINENTAL INSURANCE COMPANY	Plan Name CONTINENTAL INSURANCE COMPANY	Plan Type Other Payers	State NJ	Address PO BOX 1209 Zip- 08855 City- PISCATAWAY
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 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 1301 Zip- 07754 City- NEPTUNE
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 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 IUOE	Plan Name IUOE	Plan Type Other Payers	State NJ	Address 55 SPRINGFIELD AVE Zip- 07081 City- SPRINGFIELD
Payer Name QUALCARE	Plan Name QUALCARE	Plan Type Other Payers	State NJ	Address PO BOX 249 Zip- 08854-024 City- PISCATAWAY
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 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 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 WELLCARE DUAL ACCESS	Plan Type Other Payers	State NM	Address 5300 HOMESTEAD RD NE Zip- 87110-1293 City- ALBUQUERQUE
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 MAGELLAN MEDICAID ADM	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 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 Centene	Plan Name HP ENTERPRISE SVCS	Plan Type Other Payers	State NV	Address PO BOX 30042 Zip- 89520-3042 City- RENO
Payer Name CENTENE	Plan Name CENTENE	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 CDS GROUP HEALTH	Plan Name CDS GROUP HEALTH	Plan Type Other Payers	State NV	Address PO BOX 50190 Zip- 894350190 City- SPARKS
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 Centene	Plan Name FIDELIS CARE	Plan Type Other Payers	State NY	Address PO BOX 170 Zip- 14051 City- EAST AMHERST
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 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 2805 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 Centene	Plan Name FIDELIS CARE	Plan Type Other Payers	State NY	Address 480 CROSSPOINT PKWY Zip- 14068-1608 City- GETZVILLE
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 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 2814 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 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 2809 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 2817 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 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 1701 Zip- 10116-2845 City- New York
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 Emblem Health	Plan Name Emblem Health	Plan Type Other Payers	State NY	Address PO BOX 2787 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 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 2815 Zip- 10116-2845 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 Emblem Health	Plan Name Emblem Health	Plan Type Other Payers	State NY	Address PO BOX 2818 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 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 2845 Zip- 10116-2845 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 2858 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 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 2874 Zip- 10116-2845 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 SIEBA LTD	Plan Name SIEBA LTD	Plan Type Other Payers	State NY	Address PO BOX 5000 Zip- 13761 City- ENDICOTT
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 Emblem Health	Plan Name Emblem Health	Plan Type Other Payers	State NY	Address PO BOX 2843 Zip- 10116-2845 City- New York
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 SEIU DENTAL	Plan Name SEIU DENTAL	Plan Type Other Payers	State NY	Address ATTN: RICHARD FABIO Zip- 10036 City- NEW YORK
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 SEIU DENTAL	Plan Name SEIU DENTAL	Plan Type Other Payers	State NY	Address 330 WEST 42ND STREET Zip- 10036 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 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 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 Emblem Health	Plan Name Emblem Health	Plan Type Other Payers	State NY	Address PO BOX 4000 Zip- 10116-2845 City- New York
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 POMCO	Plan Name POMCO	Plan Type Other Payers	State NY	Address PO BOX 6329 Zip- 13217 City- SYRACUSE
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 Emblem Health	Plan Name Emblem Health	Plan Type Other Payers	State NY	Address PO BOX 2842 Zip- 10116-2845 City- New York
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 Centene	Plan Name FIDELIS CARE NEW YORK	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 2827 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 2828 Zip- 10116-2845 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 MVP HEALTH	Plan Name MVP HEALTH	Plan Type Other Payers	State NY	Address PO BOX 2207 Zip- 12301 City- SCHENECTADY
Payer Name Centene	Plan Name FIDELIS CARE	Plan Type Other Payers	State NY	Address PO BOX 724 Zip- 14226-0724 City- AMHERST
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 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 Centene	Plan Name FIDELIS SECURE CARE	Plan Type Other Payers	State NY	Address PO BOX 724 Zip- 14226-0724 City- AMHERST
Payer Name Centene	Plan Name FIDELIS CARE	Plan Type Other Payers	State NY	Address PO BOX 806 Zip- 14226-0806 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 2838 Zip- 10116-2845 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	Plan Type Other Payers	State NY	Address PO BOX 905 Zip- 14226-0905 City- AMHERST
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 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 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 Emblem Health	Plan Name Emblem Health	Plan Type Other Payers	State NY	Address PO BOX 2830 Zip- 10116-2845 City- New York
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 NEIGHBORHOOD HEALTH PLAN	Plan Name NEIGHBORHOOD HEALTH PLAN	Plan Type Other Payers	State NY	Address PO BOX 5210 Zip- 12402 City- KINGSTON
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 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 2861 Zip- 10116-2845 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 DICKINSON GROUP	Plan Name DICKINSON GROUP	Plan Type Other Payers	State NY	Address PO BOX 3877 Zip- 100083877 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 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 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 EMBLEM	Plan Name EMBLEM	Plan Type Other Payers	State NY	Address 253 W 35TH 12TH FLOOR Zip- 10001 City- NEW YORK
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 ZENITH ADMIN BENESER	Plan Name ZENITH ADMIN BENESER	Plan Type Other Payers	State NY	Address 270 PARK AVE Zip- 117432799 City- HUNTINGTON
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 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 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 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 ENTERPRISE GROUP PLANNING	Plan Name ENTERPRISE GROUP PLANNING	Plan Type Other Payers	State OH	Address 5910 HARPER RD Zip- 44139 City- SOLON
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 Centene	Plan Name MEDICAID OH BUCKEYE	Plan Type Other Payers	State OH	Address PO BOX 1461 Zip- 43216-1461 City- COLUMBUS
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 Centene	Plan Name MEDICAID OTHER STATES	Plan Type Other Payers	State OH	Address PO BOX 1461 Zip- 43216-1461 City- COLUMBUS
Payer Name MEDICAL BENEFITS	Plan Name MEDICAL BENEFITS	Plan Type Other Payers	State OH	Address PO BOX 1099 Zip- 430581099 City- NEWARK
Payer Name Centene	Plan Name AMBETTER HEALTH	Plan Type Other Payers	State OH	Address PO BOX 6018 Zip- 44101-1018 City- CLEVELAND
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 Centene	Plan Name OHIO DEPT OF HUMAN	Plan Type Other Payers	State OH	Address PO BOX 1461 Zip- 43216-1461 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 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 CAREMARK/APM	Plan Name CAREMARK/APM	Plan Type Other Payers	State OH	Address 603 E 27TH ST Zip- 44114 City- CLEVELAND
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 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 APEX BENEFITS	Plan Name APEX BENEFITS	Plan Type Other Payers	State OH	Address PO BOX 3620 Zip- 443093620 City- AKRON
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 Centene	Plan Name WELLCARE	Plan Type Other Payers	State OH	Address PO BOX 2645 Zip- 43216-2645 City- COLUMBUS
Payer Name EBMC (CIGNA)	Plan Name EBMC (CIGNA)	Plan Type Other Payers	State OH	Address PO BOX 9057 Zip- 43017 City- DUBLIN
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 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 Centene	Plan Name MEDICARE HMO	Plan Type Other Payers	State OH	Address PO BOX 31372 Zip- 45437-0372 City- DAYTON
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 MUTUAL HEALTH SERVICES	Plan Name MUTUAL HEALTH SERVICES	Plan Type Other Payers	State OH	Address 3636 COPLEY ROAD Zip- 44321 City- COPLEY
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 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 HEALTH DESIGN PLUS	Plan Name HEALTH DESIGN PLUS	Plan Type Other Payers	State OH	Address 1755 GEORGETOWN ROAD Zip- 44236 City- HUDSON
Payer Name CareSource	Plan Name Arkansas claims	Plan Type Other Payers	State OH	Address PO BOX 2308 Zip- 45401 City- Dayton
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 Georgia claims	Plan Type Other Payers	State OH	Address PO BOX 803 Zip- 45401 City- Dayton
Payer Name WESTERN & SOUTHERN	Plan Name WESTERN & SOUTHERN	Plan Type Other Payers	State OH	Address PO BOX 5735 Zip- 45201 City- CINCINNATI
Payer Name CareSource	Plan Name Indiana claims	Plan Type Other Payers	State OH	Address PO BOX 3607 Zip- 45401 City- Dayton
Payer Name CareSource	Plan Name IOWA claims	Plan Type Other Payers	State OH	Address PO BOX 3209 Zip- 45401 City- Dayton
Payer Name EYEMED VISION	Plan Name EYEMED VISION	Plan Type Other Payers	State OH	Address PO BOX 8504 Zip- 450407111 City- MASON
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 CareSource	Plan Name North Carolina claims	Plan Type Other Payers	State OH	Address PO BOX 967 Zip- 45401 City- Dayton
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 CareSource	Plan Name West Virginia claims	Plan Type Other Payers	State OH	Address PO BOX 804 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 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 CHESTERFIELD RESOURCES	Plan Name CHESTERFIELD RESOURCES	Plan Type Other Payers	State OH	Address 3520 4TH LAKE DRIVE Zip- 44685 City- UNIONTOWN
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 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 UNITED COMMERCIAL TRAVELLERS	Plan Name UNITED COMMERCIAL TRAVELLERS	Plan Type Other Payers	State OH	Address PO BOX 159019 Zip- 43215 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 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 MUTUAL HEALTH SERVICES	Plan Name MUTUAL HEALTH SERVICES	Plan Type Other Payers	State OH	Address PO BOX 5700 Zip- 44101 City- CLEVELAND
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 HEALTHCARE SOLUTIONS GROUP	Plan Name HEALTHCARE SOLUTIONS GROUP	Plan Type Other Payers	State OK	Address PO BOX 1309 Zip- 74402 City- MUSKOGEE
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 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 Centene	Plan Name FIRST HEALTH NETWORK	Plan Type Other Payers	State OK	Address PO BOX 4070 Zip- 74006-4070 City- BARTLESVILLE
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 GLOBAL HEALTH	Plan Name GLOBAL HEALTH	Plan Type Other Payers	State OK	Address PO BOX 2328 Zip- 73101-232 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 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 BCBS ILLINOIS	Plan Name BCBS ILLINOIS	Plan Type Other Payers	State OK	Address 4845 S 83RD EAST AVENUE Zip- 74145 City- TULSA
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 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 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 PACIFICSOURCE HEALTH PLANS	Plan Name PACIFICSOURCE HEALTH PLANS	Plan Type Other Payers	State OR	Address PO BOX 7068 Zip- 97401 City- EUGENE
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 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 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 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 SHASTA ADMINISTRATIVE SERVICE	Plan Name SHASTA ADMINISTRATIVE SERVICE	Plan Type Other Payers	State OR	Address PO BOX 1747 Zip- 97756 City- REDMOND
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 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 TEXAN PLUS MCR	Plan Type Other Payers	State PA	Address PO BOX 52846 Zip- 19115-7846 City- PHILADELPHIA
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 CIGNA	Plan Name CIGNA	Plan Type Other Payers	State PA	Address PO BOX 5200 Zip- 18505 City- SCRANTON
Payer Name Centene	Plan Name OPTUM WELLCARE	Plan Type Other Payers	State PA	Address PO BOX 52846 Zip- 19115-7846 City- PHILADELPHIA
Payer Name HIGHMARK BCBS	Plan Name HIGHMARK BCBS	Plan Type Other Payers	State PA	Address 120 FIFTH AVENUE Zip- 152223000 City- PITTSBURGH
Payer Name HIGHMARK BC	Plan Name HIGHMARK BC	Plan Type Other Payers	State PA	Address 120 5TH AVENUE Zip- 15222 City- PITTSBURGH
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 Centene	Plan Name AMBETTER	Plan Type Other Payers	State PA	Address PO BOX 99577 Zip- 15233-4577 City- PITTSBURGH
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 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 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 UPMC	Plan Name UPMC	Plan Type Other Payers	State PA	Address PO BOX 2999 Zip- 15230 City- PITTSBURGH
Payer Name CIGNA	Plan Name CIGNA	Plan Type Other Payers	State PA	Address 53 GLENMAURA NATIONAL BLVD Zip- 185072132 City- MOOSIC
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 MCR HMO	Plan Type Other Payers	State PA	Address PO BOX 52846 Zip- 19115-7846 City- PHILADELPHIA
Payer Name AMERIHEALTH	Plan Name AMERIHEALTH	Plan Type Other Payers	State PA	Address 1901 MARKET STREET 18 FLOOR Zip- 19103 City- PHILADELPHI
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 DELTA DENTAL	Plan Name DELTA DENTAL	Plan Type Other Payers	State PA	Address PO BOX 2105 Zip- 17055 City- MECHANICSBU
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 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 ERIN GROUP ADMINISTRATORS	Plan Name ERIN GROUP ADMINISTRATORS	Plan Type Other Payers	State PA	Address PO BOX 7777 Zip- 17604 City- LANCASTER
Payer Name LUMENOS	Plan Name LUMENOS	Plan Type Other Payers	State PA	Address PO BOX 69309 Zip- 171069309 City- HARRISBURG
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 CONSECO INSURANCE	Plan Name CONSECO INSURANCE	Plan Type Other Payers	State PA	Address 399 MARKET STREET Zip- 19181 City- PHILADELPHI
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 PRUDENTIAL LTC	Plan Name PRUDENTIAL LTC	Plan Type Other Payers	State PA	Address 2101 WELSH RD Zip- 19025 City- DRESCHER
Payer Name Centene	Plan Name OPTUM	Plan Type Other Payers	State PA	Address PO BOX 52846 Zip- 19115-7846 City- PHILADELPHIA
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 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 HEALTHNET FEDERAL SERVICES	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 202100 Zip- 29502-2100 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 TRICARE CHAMPUS	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 HEALTHNET FEDERA	Plan Type Other Payers	State SC	Address PO BOX 870140 Zip- 29587-9740 City- SURFSIDE BEACH
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 Centene	Plan Name TRICARE FOR LIFE	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 PRIME	Plan Type Other Payers	State SC	Address PO BOX 202112 Zip- 29502-2112 City- FLORENCE
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 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 HEALTHNET FED SVC	Plan Type Other Payers	State SC	Address PO BOX 202100 Zip- 29502-2100 City- FLORENCE
Payer Name Centene	Plan Name TRICARE EAST	Plan Type Other Payers	State SC	Address PO BOX 202100 Zip- 29502-2100 City- FLORENCE
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 ANTHEM BCBS	Plan Name ANTHEM BCBS	Plan Type Other Payers	State SC	Address PO BOX 100300 Zip- 29202 City- COLUMBIA
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 WPS CHAMPUS TRICARE TRIWEST	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 TRIWEST CLAIMS	Plan Type Other Payers	State SC	Address PO BOX 202112 Zip- 29502-2112 City- FLORENCE
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 REGION	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 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 PO BOX 7406 Zip- 571177406 City- SIOUX FALLS
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 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 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 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 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 HEALTH COST SOLUTION	Plan Name HEALTH COST SOLUTION	Plan Type Other Payers	State TN	Address PO BOX 1439 Zip- 370771439 City- HENDERSONVI
Payer Name CIGNA	Plan Name CIGNA	Plan Type Other Payers	State TN	Address PO BOX 182223 Zip- 374227223 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 EBMC (CIGNA)	Plan Name EBMC (CIGNA)	Plan Type Other Payers	State TN	Address PO BOX 188061 Zip- 37422-806 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 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 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 PLUMBERS AND STEAMFITTERS	Plan Name PLUMBERS AND STEAMFITTERS	Plan Type Other Payers	State TN	Address 2001 CALDWELL DRIVE Zip- 37072 City- GOODLETTSVI
Payer Name NALC	Plan Name NALC	Plan Type Other Payers	State TN	Address PO BOX 188021 Zip- 37422 City- CHATTANOOGA
Payer Name CIGNA DENTAL	Plan Name CIGNA DENTAL	Plan Type Other Payers	State TN	Address PO BOX 188037 Zip- 37422 City- CHATTANOOGA
Payer Name CNA	Plan Name CNA	Plan Type Other Payers	State TN	Address 100 CNA DRIVE Zip- 37214 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 EMERALD HEALTH	Plan Name EMERALD HEALTH	Plan Type Other Payers	State TX	Address 222 WEST LAS COLINAS 600N Zip- 75039 City- IRVING
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 Centene	Plan Name FIRST HEALTH	Plan Type Other Payers	State TX	Address PO BOX 91608 Zip- 79490-1608 City- LUBBOCK
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 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 CHC	Plan Name Christus Health Plan Medicaid	Plan Type Other Payers	State TX	Address PO BOX 981638 Zip- 79998 City- El Paso
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 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 CareFirst Administrators NC	Plan Type Other Payers	State TX	Address PO BOX 981608 Zip- 79998-1633 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 Bravo Health Inc	Plan Type Other Payers	State TX	Address PO BOX 981706 Zip- 79998 City- El Paso
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 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 Zing Health	Plan Type Other Payers	State TX	Address PO BOX 981718 Zip- 79998 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 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 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 MAGNOLIA R FOX	Plan Type Other Payers	State TX	Address 9304 SILK OAK CV Zip- 78748-5000 City- AUSTIN
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 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 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 Value Based Brandman	Plan Type Other Payers	State TX	Address PO BOX 981751 Zip- 79998 City- El Paso
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 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 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 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 Centene	Plan Name FIRST HEALTH NETWORK	Plan Type Other Payers	State TX	Address PO BOX 16327 Zip- 79490-6327 City- LUBBOCK
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 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 CHC	Plan Name Advantica EyeCare	Plan Type Other Payers	State TX	Address PO BOX 981607 Zip- 79998-1607 City- El Paso
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 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 Centene	Plan Name WELLCARE OF TEXAS	Plan Type Other Payers	State TX	Address 4888 LOOP CENTRAL DR Zip- 77081-2227 City- HOUSTON
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 CIGNA	Plan Name CIGNA	Plan Type Other Payers	State TX	Address PO BOX 2546 Zip- 750910000 City- SHERMAN
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 INSURANCE MANAGMENT SERVICES	Plan Name INSURANCE MANAGMENT SERVICES	Plan Type Other Payers	State TX	Address PO BOX 15688 Zip- 79105 City- AMARILLO
Payer Name WEB TPA	Plan Name WEB TPA	Plan Type Other Payers	State TX	Address PO BOX 1928 Zip- 76099 City- GRAPEVINE
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 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 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 BCBS ILLINOIS	Plan Name BCBS ILLINOIS	Plan Type Other Payers	State TX	Address PO BOX 660044 Zip- 75266-004 City- DALLAS
Payer Name UNITED AMERICAN	Plan Name UNITED AMERICAN	Plan Type Other Payers	State TX	Address PO BOX 8080 Zip- 75070 City- MCKINNEY
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 FIRST CONTINENTAL LIFE	Plan Name FIRST CONTINENTAL LIFE	Plan Type Other Payers	State TX	Address 2302 SMITH STREET Zip- 77006 City- HOUSTON
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 AMERICA'S TPA AMTPA	Plan Type Other Payers	State TX	Address PO BOX 981623 Zip- 79998-1623 City- El Paso
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 REFUNDS SUPERIOR HEALTHPLANS	Plan Type Other Payers	State TX	Address 5900 E BEN WHITE BLVD Zip- 78741-7502 City- AUSTIN
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 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 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 BOON CHAPMAN ADMINISTRATORS	Plan Name BOON CHAPMAN ADMINISTRATORS	Plan Type Other Payers	State TX	Address PO BOX 9201 Zip- 78766 City- AUSTIN
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 MISC MEDICARE ADVANTAGE	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 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 EBEN CONCEPTS	Plan Name EBEN CONCEPTS	Plan Type Other Payers	State TX	Address 5050 SPRING VALLEY ROAD Zip- 75244 City- DALLAS
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 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 Christus Health Texas	Plan Type Other Payers	State TX	Address PO BOX 981654 Zip- 79998-1654 City- El Paso
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 HEALTHSCOPE BENEFITS	Plan Name HEALTHSCOPE BENEFITS	Plan Type Other Payers	State TX	Address PO BOX 91603 Zip- 794901603 City- LUBBOCK
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 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 CLOVER HEALTH	Plan Type Other Payers	State TX	Address PO BOX 981704 Zip- 79998-163 City- EL PASO
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 CHC	Plan Name Clearspring Health	Plan Type Other Payers	State TX	Address PO BOX 981731 Zip- 79998-1731 City- El Paso
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 Centene	Plan Name FIRST HEALTH NETWORK	Plan Type Other Payers	State TX	Address PO BOX 93670 Zip- 79493-3670 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 COMBINED	Plan Type Other Payers	State TX	Address PO BOX 981625 Zip- 79998-1625 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 InforMed	Plan Type Other Payers	State TX	Address PO BOX 981637 Zip- 79998-1637 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 LBA HEALTH PLANS	Plan Type Other Payers	State TX	Address PO BOX 981801 Zip- 79998 City- El Paso
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 Medcore Health Plan	Plan Type Other Payers	State TX	Address PO BOX 981694 Zip- 79998 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 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 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 FORETHOUGHT	Plan Type Other Payers	State TX	Address PO BOX 981721 Zip- 79998 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 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 CHC	Plan Name Dominion Dental	Plan Type Other Payers	State TX	Address PO BOX 981743 Zip- 79998-1743 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 CHC	Plan Name Evicore	Plan Type Other Payers	State TX	Address PO BOX 981807 Zip- 79998-2329 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 CHC	Plan Name Fulcrum Health	Plan Type Other Payers	State TX	Address PO BOX 981808 Zip- 79998-1808 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 PLUMBERS LOCAL 68	Plan Name PLUMBERS LOCAL 68	Plan Type Other Payers	State TX	Address 468 LINK ROAD Zip- 77249 City- HOUSTON
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 Harbor Health Choice	Plan Type Other Payers	State TX	Address PO BOX 981745 Zip- 79998-1745 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 HEALTHSPRING INC	Plan Type Other Payers	State TX	Address PO BOX 981804 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 MedSolutions, Inc.	Plan Type Other Payers	State TX	Address PO BOX 981612 Zip- 79998 City- El Paso
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 SCOTT & WHITE	Plan Type Other Payers	State TX	Address PO BOX 981727 Zip- 79998-1727 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 Sanford Health	Plan Type Other Payers	State TX	Address PO BOX 981813 Zip- 79998-1813 City- El Paso
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 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 HEALTHFIRST TPA	Plan Name HEALTHFIRST TPA	Plan Type Other Payers	State TX	Address PO BOX 132317 Zip- 75713 City- TYLER
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 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 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 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 PAN-AMERICAN LIFE	Plan Type Other Payers	State TX	Address PO BOX 981644 Zip- 799981644 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 Centene	Plan Name JASON HALLMARK	Plan Type Other Payers	State TX	Address 216 BLAZING STAR DR Zip- 78737-4578 City- AUSTIN
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 Network Leasing (NCAS)	Plan Type Other Payers	State TX	Address PO BOX 981633 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 Nascentia Health-RAM	Plan Type Other Payers	State TX	Address PO BOX 981814 Zip- 79998-1814 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 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 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 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 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 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 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 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 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 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 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 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 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 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 DESERET MUTUAL	Plan Name DESERET MUTUAL	Plan Type Other Payers	State UT	Address PO BOX 45530 Zip- 84145 City- SALT LAKE C
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 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 MEDICARE SELECT HEALTH NETWORK	Plan Type Other Payers	State UT	Address PO BOX 30196 Zip- 84130-0196 City- SALT LAKE CITY
Payer Name MEDICA	Plan Name MEDICA	Plan Type Other Payers	State UT	Address PO BOX 30990 Zip- 84130 City- SALT LAKE C
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 SELECT HEALTH	Plan Name SELECT HEALTH	Plan Type Other Payers	State UT	Address PO BOX 30192 Zip- 84120 City- SALT LAKE CITY
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 DELTA DENTAL VIRGINIA	Plan Name DELTA DENTAL VIRGINIA	Plan Type Other Payers	State VA	Address 4818 STARKEY ROAD Zip- 24018 City- ROANOKE
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 Centene	Plan Name AMERIGROUP IOWA	Plan Type Other Payers	State VA	Address PO BOX 61010 Zip- 23466-1010 City- VIRGINIA BEACH
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 BCBS VIRGINIA FEP	Plan Name BCBS VIRGINIA FEP	Plan Type Other Payers	State VA	Address PO BOX 27401 Zip- 23279 City- RICHMOND
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 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 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 BCBS VERMONT	Plan Name BCBS VERMONT	Plan Type Other Payers	State VT	Address PO BOX 1862 Zip- 05601 City- MONTPELIER
Payer Name KAISER WA	Plan Name KAISER WA	Plan Type Other Payers	State WA	Address 601 UNION STREET 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 PREMERA BCBS WASHINGTON	Plan Name PREMERA BCBS WASHINGTON	Plan Type Other Payers	State WA	Address PO BOX 91080 Zip- 98111 City- SEATTLE
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 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 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 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 TRUSTEED ADMIN	Plan Name TRUSTEED ADMIN	Plan Type Other Payers	State WA	Address PO BOX 2950 Zip- 98401 City- TACOMA
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 ASURIS	Plan Name ASURIS	Plan Type Other Payers	State WA	Address PO BOX 91130 Zip- 981119230 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 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 SYMETRA FINANCIAL	Plan Name SYMETRA FINANCIAL	Plan Type Other Payers	State WI	Address 118 3RD ST E Zip- 54806 City- ASHLAND
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 SELECT BENEFITS ADMINISTRATOR	Plan Name SELECT BENEFITS ADMINISTRATOR	Plan Type Other Payers	State WI	Address PO BOX 440 Zip- 54806 City- ASHLAND
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 ZENITH ADMINISTRATORS	Plan Name ZENITH ADMINISTRATORS	Plan Type Other Payers	State WI	Address 2001 N MAYFAIR ROAD Zip- 53226 City- MILWAUKEE
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 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 GUARDIAN	Plan Name GUARDIAN	Plan Type Other Payers	State WI	Address PO BOX 8007 Zip- 54912-800 City- APPLETON
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 ASSURANT HEALTH	Plan Name ASSURANT HEALTH	Plan Type Other Payers	State WI	Address PO BOX 624 Zip- 532010624 City- MILWAUKEE
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 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 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 Centene	Plan Name FIRST HEALTH NETWORK	Plan Type Other Payers	State WI	Address PO BOX 3252 Zip- 53201-3252 City- MILWAUKEE
Payer Name Centene	Plan Name MEDICARE IOWA	Plan Type Other Payers	State WI	Address PO BOX 8550 Zip- 53708-8550 City- MADISON
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 WISCONSIN PHYSICIAN SERVICE	Plan Name WISCONSIN PHYSICIAN SERVICE	Plan Type Other Payers	State WI	Address PO BOX 8190 Zip- 537088190 City- MADISON
Payer Name Centene	Plan Name FIRST HEALTH NETWORK	Plan Type Other Payers	State WI	Address PO BOX 5600 Zip- 53705 City- MADISON
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 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 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 HIGHMARK WEST VIRGINIA	Plan Name HIGHMARK WEST VIRGINIA	Plan Type Other Payers	State WV	Address PO BOX 7026 Zip- 26003 City- WHEELING
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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healthcare system

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193M+

1.7T+

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278+

14.8 M+

$34.8M+

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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+

14.8 M+

$34.8M+

2.7k+

40+

Payers

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COMPANY

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We’re enabling
a better, more efficient
healthcare system