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2171 PHCS - PRIVATE HEALTH CARE SYSTEMS PO BOX 1439 HENDERSON TN 37077-0000 (800) 352-42162261 SUMMA CARE PO BOX 3620 AKRON OH 44309-0000 (800) 996-84012347 BCBS of VERMONT PO BOX 186 MONTPELIER VT 05601-0000 (800) 247-2583 emdeon online2645 IAA INSURANCE ADMINISTRATORS OF AMERICA PO BOX 5082 MOUNT LAUREL NJ 08054-0000 (888) 599-15152832 ASSURANT HEALTH PO BOX 42033 HAZELWOOD MO 63042-0000 (800) 800-1212 mdeon3041 PRIME THERAPUTIC RX [BCBS of TX] PO BOX 64812 ST PAUL MN 55164-0000 (800) 423-1973 emdeon online3408 GEISHP GEISINGER HEALTH PLAN PO BOX 82200 TANVILLE PA 17822-0000 (800) 447-40003871 SOUTHERN BENEFITS ADMINISTRATORS 5305 VIRGINIA BEACH BLVD NORFOLK VA 23502-0000 (757) 461-80914043 SCRIPT CARE 5380 FOLSOM DRIVE BEAUMONT TX 77706-0000 (800) 880-99885271 BLUE SHIELD of CA PHARMACY PO BOX 7168 SAN FRANCISCO CA 94120-0000 (800) 535-94815911 MADISON NATIONAL LIFE INSURANCE CO PO BOX 828 PARK RIDGE IL 60068-0000 (800) 843-31066408 AULTRA ADMINISTRATIVE GROUP PO BOX 6060 CANTON OH 44706-0000 (888) 653-70886800 BCBS of NEW JERSEY DENTAL PO BOX 1938 NEWARK NJ 07101-0000 (800) 433-6825 emdeon online6820 FUTURE SCRIPTS (Pharmacy) PO BOX 419019 KANSAS CITY MO 64141-0000 (888) 678-70127369 BCBS of RHODE ISLAND 444 WESTMINSTER ST.P.O BX 1507 PROVIDENCE RI 02903-0000 (800) 637-3718 emdeon online7399 IRON WORKERS HEALTH & WELFARE FUND 119 SOUTH CENTRE ST, ROOM 6 CUMBERLAND MD 21502-0000 (301) 777-77708044 ARGUS HEALTH SYSTEMS PO Box 419019 Kansas City MO 64141-0000 (800) 732-9331 DO NOT USE AS THIS IS A PRICING COMPANY ONLY & CAN'T VERIFY BENEFITS8078 HEALTH PLAN SERVICES PO Box 30075 Tampa FL 33607-0000 (800) 529-4344 DO NOT USE AS THIS IS A PRICING COMPANY ONLY & CAN'T VERIFY BENEFITS8455 DELTA DENTAL of NJ PO BOX 222 PARSIPPANY NJ 07054-0000 (800) 452-9310 Teresa Ross fax #602-328-40198456 STARBRIDGE-CIGNA VOLUNTARY PO BOX 5909 SCRANTON PA 00001-8505 (602) 328-4019 only part a & b supplement plcys8457 TRICARE FOR LIFE / WISCONSIN PHYSICIAN SERVICES PO BOX 7890 MADISON WI 00005-3707 (866) 773-04048461 AAG BENEFIT PLAN ADMINISTRATORS PO BOX 230 EPHRAIM UT 84627-0230 (800) 641-22148505 HEALTHSCOPE / CENTRAL BENEFITS MUTUAL INS PO BOX 182424 COLUMBUS OH 43218-2424 (800) 333-5711 alternative #877-WVA-CHIP9000 ADVANTRA FREEDOM (PEIA M-HMO) PO BOX 7154 LONDON KY 40742-0000 (877) 337-41789001 THE HEALTH PLAN (M-HMO) 52160 NATIONAL ROAD, EAST ST CLAIRSVILLE OH 43950-0000 (800) 624-69619006 HEALTH SPRING of TENNESSEE (M-HMO) PO BOX 20000 NASHVILLE TN 37202-0000 (888) 501-39659007 HHIC FREEDOM BLUE PPO (M-HMO) PO BOX 7026 WHEELING WV 26003-0000 (888) 759-70209008 UNIV of PITTSBURGH (M-HMO) PO BOX 2997 PITTSBURGH PA 15230-0000 (877) 539-30809015 NATIONAL ASSOC OF LETTER CARRIERS (NALC) (M-HMO) 20547 WAVERLY COURT ASHBURN VA 20149-0000 (888) 636-6252
9016 STERLING LIFE INSURANCE (M-HMO) PO BOX 69314 HARRISBURG PA 17106-0000 (888) 858-85519017 UNISOM ADVANTAGE (M-HMO) 890 WILLOW TREE CIRCLE CORDOVA TN 38018-0000 (800) 290-40099020 MVP HEALTH PLAN OF NY PO BOX 2207 SCHENECTADY NY 12301-2207 [800] 777-47939023 PLUMBERS & PIPEFITTERS LOCAL 354 THREE GATEWAY CENTER, SUITE 1625 401 PITTSBURGH LIBERTY AVE PA 15222-0000 [866] 520-9189
Page 1 and 2: Active Carrier Code History FileCC
Page 3: 3810 UNDERWRITERS SAFETY & CLAIMS I
Page 6 and 7: 7281 DELTA DENTAL OF ARKANSAS PO BO
Page 8 and 9: 7821 SRC STRATEGIC RESOURCE CO. PO
Page 10 and 11: 8165 EYE MED VISION CARE PO BOX 850
Page 12 and 13: 8320 CIGNA PHARMACY PO BOX 3598 SCR
Page 14 and 15: 0031 DELTA DENTAL PO BOX 9085 FARMI
Page 16 and 17: 0158 HEALTH SMART LLC PO BOX 6742 L
Page 18 and 19: 0223 QUALCARE 30 KNIGHTSBRIDGE ROAD

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