We’re enabling
a better, more efficient
healthcare system

156K

Registered Users

193M+

Lives Supported

1.7T+

Billed Claim Value Processed (Annually)

5/5

Top US healthcare payers

4K+

Registered RCM Companies

278+

Plans Served

14.8M+

Charts Coded (Annually)

$34.8M+

Under Payment Identified

2.7K+

Medical Lockboxes

40+

Years of 
experience

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