June 07 Carrier Codes - Montana Medicaid Provider Information
June 07 Carrier Codes - Montana Medicaid Provider Information
June 07 Carrier Codes - Montana Medicaid Provider Information
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379 EPIC LIFE INS 6525 GRAND TETON PLAZA MADISON, WI 53719<br />
X04 EPISCOPAL CHURCH MEDICAL TRUST 445 FIFTH AVE NEW YORK, NY 10016-0109 (866) 273-4545<br />
M53 EPOCH GROUP P O BOX 12170 OVERLAND PARK, KS 66282 (800) 255-6065<br />
D78 EPOCH GROUP INSURANCE 1<strong>07</strong>95 WATSON ROAD ST LOUIS, MO 63127 (314) 821-3957<br />
857 EQUICOR P O BOX 10365 DES MOINES, IA 50306 (515) 223-<strong>07</strong>54<br />
829 EQUICOR P O BOX 24028 FRESNO, CA 93779-4028 (800) 356-2753 MR<br />
525 EQUICOR P O BOX 12500 FRESNO, CA 93778 (800) 782-8920<br />
705 EQUICOR P O BOX 2-V RICHMOND, VA 23205 (804) 771-1800<br />
974 EQUICOR WESTINGHOUSE P O BOX 187 PITTSBURGH, PA 15230<br />
119 EQUICOR INC CLAIMS SERVICE CENTER 4420 SHAWNEE MISSION PARSHAWNEE MISSION, KS 662<strong>07</strong> (913) 384-4600<br />
304 EQUICOR INC- CLAIMS DEPT 9200 INDIAN CREEK PARKWAY SUITE 200 OVERLAND PARK, KS 66210 MR-UNABLE TO FORWARD 8/2/00<br />
A46 EQUICOR INS 95 HIGHLAND AVE BETHLEHEM, PA 18017 (215) 866-7122<br />
G83 EQUIFAX/EHAS# MEDICAL CLAIM DEPT P O BOX 561408 DALLAS, TX 75356 (800) 445-8845 DO NOT USE-MR 5/15/00<br />
A96 EQUITABLE P O BOX 3000 LANCASTER, SC 29721-3000 (800) 782-9355<br />
947 EQUITABLE / EQUICOR NORTHGATE STATION P O BOX 75984 SEATTLE, WA 98125<br />
145 EQUITABLE EQUICOR HCA CORP P O BOX 10392 DES MOINES, IA 50306 (515) 223-9600<br />
845 EQUITABLE LIFE P O BOX 10370 DES MOINES, IA 50206<br />
034 EQUITABLE LIFE & CASUALTY ATTN CLAIMS P O BOX 2460 SALT LAKE CITY, UT 84110 (800) 352-5150<br />
837 EQUITABLE LIFE & CASUALTY# P O BOX 2460 SALT LAKE CITY, UT 84110 (800) 352-5150 DO NOT USE - USE 034<br />
602 EQUITABLE LIFE ASSURANCE SOC FOUR GATEWAY CENTER DIV OF BENEFITS OFC PITTSBURGH, PA 15222 MR 10/31/00<br />
714 EQUITABLE LIFE ASSURANCE# SOCIETY OF THE U S P O BOX 2803 COLORADO SPRINGS, CO 80901 DO NOT USE-MR<br />
615 EQUITABLE LIFE INS SOC SAGA PLUS-GROUP/BENEFIT OFC P O BOX 24009 FRESNO, CA 93779<br />
168 EQUITABLE LIFE# 348 EAST SO TEMPLE P O BOX 2460 SALT LAKE CITY, UT 84110 (800) 352-5150 DO NOT USE - USE 034<br />
640 EQUITABLE LIFE# MOUNTAIN BELL P O BOX 3317 STATION D ALBUQUERQUE, NM 87190 (800) 782-9883 DO NOT USE - USE 843<br />
M28 EQUITABLE PLAN SERVICES P O BOX 720460 OKLAHOMA CITY, OK 73172-0460 (800) 749-2631 (405) 755-2929<br />
E59 EQUITY LEAGUE WELFARE TRUST FUND 165 W 46TH ST 14TH FLOOR NEW YORK, NY 10036 (212) 685-5959<br />
B08 ERISA ADMINISTRATIVE SERVICES 5818 N 7TH ST #106 PHOENIX, AZ 85014 (800) 279-9096<br />
783 ESCO BAR FIRST INTERGRATED HEALTH P O BOX 5279 TORRANCE, CA 90510-5279 (800) 433-3554<br />
AI9 ESSENTIAL STAFF CARE P O BOX 6702 COLUMBIA, SC 29260<br />
N29 ESSILOR OF AMERICA 2400 118TH AVE N ST PETERSBURG, FL 33716<br />
G64 ETHIX NATIONAL P O BOX 5095 MIDDLETOWN, NY 10940-9095 (800) 828-8012<br />
K80 ETHIX NORTHWEST P O BOX 91023 SEATTLE, WA 98111-9123 (800) 654-3250<br />
K38 EUCON HEALTHCARE P O BOX 1400 PORTLAND, OR 972<strong>07</strong> (503) 279-9943<br />
RX-USES PROVANTAGE<br />
800-784-0881-PROVANTAGE<br />
S78 EVEREST P O BOX 19002 PROVO, UT 84605 (800) 286-4160<br />
540 EXCELLUS BC/BS 165 COURT ST ROCHESTER, NY 14647 (800) 847-1200<br />
800-828-6560<br />
www.excellusbcbs.com<br />
C51 EXPRESS SCRIPTS P O BOX 390870 BLOOMINGTON, MN 55439-0870 (800) 955-1171<br />
V<strong>07</strong> EXPRESS SCRIPTS P O BOX 66773 ST LOUIS, MO 63166-6773<br />
V24 EXPRESS SCRIPTS INC P O BOX 27226 ALBUQUERQUE, NM 87125-7226 (505) 345-8080<br />
Y96 EYE MED ECPA MANAGED CARE CLAIMS P O BOX 8504 MASON, OH 45040-7111 (800) 521-3605<br />
F25 F H P CLAIMS P O BOX 3697 SEAL BEACH, CA 9<strong>07</strong>40 (800) 358-4347<br />
F57 F H P OF COLORADO P O BOX 441170 AURORA, CO 80044 (800) 831-4388 MR-DO NOT USE<br />
856 F.H. STOLZE LUMBER# ATTN: INSURANCE CLERK P.O. BOX 1429 COLUMBIA FALLS, MT 59912 (612) 340-5250 DO NOT USE USE 701<br />
HA7 FAIRHAVEN COLONY P O BOX 389 ULM, MT 59435 (406) 866-3350<br />
HE5 FALLON RANCH COLONY P O BOX 102 FALLON, MT 59326 (406) 486-5458<br />
AG8 FARM BUREAU INSURANCE ATTN: DONNY 1205 BUTTE AVENUE HELENA, MT 59601<br />
022 FARMERS INSURANCE CONTACT 1-800-624-3958 FOR CORRECT ADDRESS DO NOT USE<br />
F19 FARMER-STOCKMAN INS SERVICE# P O BOX 10821 CLEARWATER, FL 33757-8821 (509) 459-5385 DO NOT USE - USE 499<br />
D63 FARMLAND INDUSTRIES INC EMPLOYEE BENFIT PLAN DEPT 39 P O BOX 7305 KANSAS CITY, MO 64116 (816) 459-6846<br />
A19 FARMLAND INSURANCE 1963 BELL AVE DES MOINES, IA 50315 (515) 245-8800<br />
173 FARM-RANCH LIFE INS CO# P O BOX 18238 WICHITA, KS 67218 DO NOT USE-MR<br />
177 FARWEST AMERICAN ASSUR P O BOX 8738 PORTLAND, OR 97208 VERIFY/MH 8-13-99-B MR 8-26 DO NOT USE 5/22/00<br />
AJ3 FCI BENEFITS ADMINISTRATION DENTAL CLAIMS P O BOX 156 HYDE PARK, UT 84328<br />
AL8 FEDERAL BC/BS P O BOX 33932 SEATTLE, WA 98133<br />
C56 FEDERAL EXPRESS BENEFITS# UNITED HEALTH CARE P O BOX 740800 ATLANTA, GA 30374 (800) 638-0153 USE 934<br />
915 FEDERAL EXPRESS CORP METLIFE P O BOX 6089 UTICA, NY 13504-6089 (800) 525-4478<br />
M30 FEDERAL HOME LIFE INS# P O BOX 10821 CLEARWATER, FL 33757-8821 (888) 345-4242 DO NOT USE-USE 269<br />
269 FEDERAL HOME LIFE INSURANCE CO P O BOX 10821 CLEARWATER, FL 33757-8821 (800) 253-0856<br />
V15 FEDERAL PCS RETAIL PHARMACY PROGRAM P O BOX 52057 PHOENIX, AZ 85<strong>07</strong>2-2057 (800) 624-5060<br />
Z76 FEDERATED INSURANCE P O BOX 6090 DE PERE, WI 54115<br />
<strong>07</strong>0 FEDERATED LIFE INS CO P O BOX 328 OWATONNA, MN 55060 (512) 345-3200<br />
(5<strong>07</strong>)455-5200 ANSWERS FEDERATED OPERATOR<br />
800-533-0472<br />
N20 FEDERATED MUTUAL P O BOX 390850 MINNEAPOLIS, MN 55439-0850 (913) 451-1962<br />
830 FEDERATED MUTUAL INS CO P O BOX 444 KANSAS CITY, MO 64141 (913) 451-1962<br />
B<strong>07</strong> FEDERATED MUTUAL INS CO# P O BOX 39850 EDINA, MN 55439 (612) 831-4300 DO NOT USE-USE <strong>07</strong>0<br />
<br />
G01 FERGUS ELECTRIC CO-OP C/O CO-OP BENEFIT ADMIN P O BOX 6249 LINCOLN, NE 68506-0249<br />
F01 FHP HEALTH CARE 410 N 44TH ST PHOENIX, AZ 85<strong>07</strong>2 (602) 244-8200<br />
D02 FHP LIFE INSURRANCE P O BOX 20840 FOUNTAIN VALLEY, CA 92708-0840 (800) 333-4347<br />
890 FHP UTAH INC ATTN: CLAIMS 35 W BROADWAY SALT LAKE CITY, UT 84101 (800) 365-1334 MR-DO NOT USE<br />
J63 FIDELITY GROUPS# P O BOX 22112 GREAT NECK, NY 11022-2112 (800) 783-5525 DO NOT USE-MR<br />
380 FIDELITY SECURITY LIFE INS CO 3130 BROADWAY KANSAS CITY, MO 64141 (800) 821-7303<br />
836 FINOVA LOAN ADMIN P O BOX 58369 SALT LAKE CITY, UT 84158-0369 please close not a valid insurance company. no longer in business<br />
188 FIREMANS FUND AMERICAN LIFE INSURANCE 1650 GAMOS DRIVE SAN RAFAEL, CA 94903<br />
732 FIREMANS FUND INSURANCE CO P O BOX 18025 TAMPA, FL 33679<br />
N28 FIRST ADMINISTRATORS P O BOX 9120 DES MOINES, IA 50306 (800) 344-5822<br />
P24 FIRST AMERICAN ADMINISTRATORS P O BOX 898 SIOUX FALLS, SD 57101-0898 (605) 334-7240<br />
202 FIRST AMERICAN ADMINISTRATORS P O BOX 8150 RAPID CITY, SD 57709-8150 (605) 343-2509<br />
AG3 FIRST CARE 12940 N HWY 183 AUSTIN, TX 78750<br />
Y43 FIRST CHOICE HARRINGTON BENEFIT SERVICE P O BOX 700 PUEBLO, CO 81002-<strong>07</strong>00 (800) 772-9641
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