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June 07 Carrier Codes - Montana Medicaid Provider Information

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E22 HARRINGTON BENEFIT SERVICES P O BOX 1391 DAYTON, OH 45401-1391 (800) 222-2733<br />

V43 HARRINGTON BENEFIT SERVICES DARDEN RESTAURANTS P O BOX 720 PUEBLO, CO 81002 (800) 446-8182<br />

P40 HARRINGTON BENEFIT SERVICES P O BOX 197159 LOUISVILLE, KY 40259 (800) 533-1833<br />

P51 HARRINGTON BENEFIT SERVICES P O BOX 3690 JOPLIN, MO 64803 (800) 826-6912 DO NOT USE-MR<br />

G35 HARRINGTON BENEFIT SERVICES P O BOX 182101 COLUMBUS, OH 43218-2101 (800) 848-4623<br />

H68 HARRINGTON BENEFIT SERVICES P O BOX 1352 DAYTON, OH 45401-1352 (888) 233-6724<br />

E10 HARRINGTON BENEFITS 3501 FRONTAGE ROAD P O BOX 30367 TAMPA, FL 33630-3367 (813) 289-1000<br />

E92 HARRINGTON BROOKFIELD P O BOX 909772 CHICAGO, IL 60690 (312) 714-8750<br />

225 HARTFORD P O BOX 2905 PHOENIX, AZ 85062 (800) 811-4832<br />

R55 HARTFORD INSURANCE P O BOX 690450 SAN ANTONIO, TX 78269-0450 (800) 368-3653<br />

4<strong>07</strong> HARTFORD INSURANCE P O BOX 29164 SHAWNEE MISSION, KS 66201 (913) 451-2324 MAIL RETURNED 10/28/98 NO FORWARD ADDRESS LR<br />

H45 HARVARD COMM HEALTH PLAN WATERTOWN HEALTH CENTER WATERTOWN, PA MR-DO NOT USE<br />

K42 HARVARD PILGRIM HEALTH CARE P O BOX 699183 QUINCY, MA 02269-9183<br />

AN8 HASTINGS HEALTH 1601 PLAINS BLVD AMARILLO, TX 79102<br />

G78 HASTINGS HEALTH PLAN# P O BOX 619028 DALLAS, TX 75261 (800) 284-6983 11/25/2005 MR-DO NOT USE<br />

Z93 HAWAII DENTAL SERVICE(HDS) 700 BISHOP ST #700 HONOLULU, HI 96813<br />

H46 HAWAII MEDICAL SERVICES P O BOX 4720 HONOLULU, HI 96812 (800) 237-1644<br />

E52 HAWKEYE UNITED SECURITY INS 5950 S WILLOW DR P O BOX 5150 DENVER, CO 80217-5150 (303) 779-1998<br />

S29 HEALTH ADMINISTRATION SERVICE P O BOX 672488 HOUSTON, TX 77267-2488 (800) 865-55<strong>07</strong><br />

P17 HEALTH ADVANTAGE ATTN: CLAIMS P O BOX 8069 LITTLE ROCK, AR 72203-8069 (800) 843-1329<br />

Z68 HEALTH ALLIANCE PLAN-HAP 2850 W GRAND BLVD DETROIT, MI 48202<br />

R64 HEALTH AMERICA 120 E KENSINGER DR CRANBERRY TOWNSHIP, P 16066 (800) 735-4404<br />

B23 HEALTH AMERICA-LINCOLN MUTUAL OF OMAHA HEALTH PLANS 220 SO 17TH STREET LINCOLN, NE 68508 (402) 473-7897 DO NOT USE-MR<br />

X67 HEALTH ASSURANCE CLAIMS SUBMISSION P O BOX 7088 LONDON, KY 4<strong>07</strong>42 (800) 735-4404<br />

Z39 HEALTH BENEFIT FUND LOCAL 17 451 B LITTLE BRITAIN RD NEWBURGH, NY 12550<br />

V76 HEALTH BENEFITS PLAN P O BOX 2506 BILLINGS, MT 59103<br />

DO NOT USE-USE V51<br />

ALL PROCESSING BY HEALTH INFONET<br />

Z78 HEALTH BENEFITS TRUST STATE OF ALASKA P O BOX 5434 SPOKANE, WA 99205<br />

G77 HEALTH CARE ADVANTAGE# P O BOX 56069 NEW ORLEANS, LA 70113 (504) 568-9009 DO NOT USE-MR<br />

F61 HEALTH CARE BENEFIT INSURANCE# P O BOX 833889 RICHARDSON, TX 75083-3889 (800) 522-4422 DO NOT USE-NO LONGER IN BUSINESS<br />

R41 HEALTH CARE INSURANCE ADMIN 17613 VIERRA CANYON RD SALINAS, CA 939<strong>07</strong> (831) 663-9600<br />

X<strong>07</strong> HEALTH CARE RESOURCE GROUP P O BOX 177 SOUTH BEND, IN 46624 (800) 283-0505<br />

W14 HEALTH CARE SOLUTIONS GRP P O BOX 1309 MUSKOGEE, OK 74402 (800) 749-1422<br />

AJ6 HEALTH CHOICE P O BOX 24110 OKLAHOMA CITY, OK 73124<br />

H42 HEALTH CHOICE OF CT 231 FARMINGTON AVE FARMINGTON, CT 06032 (800) 842-2214 MR-DO NOT USE<br />

W06 HEALTH CLAIMS SERVICES P O BOX 1067 BOISE, ID 83701-1067 (888)427-9732<br />

H52 HEALTH CONNECTIONS# P O BOX 548 KALISPELL, MT 59903 (406) 256-6556<br />

DO NOT USE-USE 868<br />

PPO-PRICES CLAIMS<br />

B50 HEALTH DESIGN PLUS CLAIMS DIVISION C. S. 5060 FINDLAY, OH 45839-5060 (419) 429-4900<br />

Y59 HEALTH DESIGN PLUS P O BOX 3265 SCOTTSDALE, AZ 85271-3265 (877) 286-3553<br />

W51 HEALTH DYNAMICS INC ATTN WAUSAU CLAIMS PROCESSING P O BOX 31758 BILLINGS, MT 591<strong>07</strong>-1758 (800) 544-9121<br />

AL4 HEALTH EASE 6800 N DALE MABRY TAMPA, FL 33614<br />

K40 HEALTH EAST HEALTH CLAIMS P O BOX 64773 ST PAUL, MN 55164 (888) 628-6844 RX-UES PCS<br />

D16 HEALTH ECONOMICS CORPORATION CLAIMS DEPARTMENT P O BOX 42820 HOUSTON, TX 77242-2820 (800) 228-4912<br />

K63 HEALTH EZ/ARAZ P O BOX 398220 MINNEAPOLIS, MN 55439-8220 (888) 588-6516<br />

Y72 HEALTH FIRST P O BOX 130217 TYLER, TX 75713 (800) 477-2287<br />

S62 HEALTH FIRST P O BOX 5169 NEW YORK, NY 10274-5169 (800) 580-8540<br />

X62 HEALTH FIRST HEALTH PLAN 6450 US HWY 1 ROCKLEDGE, FL 32955 (321) 434-5665<br />

866-368-7325<br />

V51 HEALTH INFONET# P O BOX 20559 BILLINGS, MT 59103 (800) 297-8040 DO NOT USE-USE P27<br />

P64 HEALTH LINK P O BOX 411580 ST LOUIS, MO 63141-1580<br />

A26 HEALTH NET 9494 S W FREEWAY SUITE 300 HOUSTON, TX 77<strong>07</strong>4 (800) 776-2881 713-972-1102--new #<br />

AK8 HEALTH NET 15950 SW MILIKAN WAY BEAVERTON, OR 97006<br />

N91 HEALTH NET 8320 WARD PKWY KANSAS CITY, MO 64114-2027<br />

Y20 HEALTH NET P O BOX 14702 LEXINGTON, KY 40512<br />

J83 HEALTH NET P O BOX 9103 VAN NUYS, CA 91409-9103 NON-PPO PROVIDERS<br />

X69 HEALTH NET HMO 21281 BURBANK BLVD BLDG C-4 WOODLAND HILLS, CA 91367 (800) 522-0088<br />

AH9 HEALTH NET OF ARIZONA INDIVIDUAL & FAMILY PLAN P O BOX 904 SHELTON, CT 06484<br />

696 HEALTH NET OF OREGON 13221 SW 68TH PKWY STE 200 TIGARD, OR 97223-8328 (888) 802-7001 (503)222-7464<br />

W73 HEALTH NET OF OREGON 13221 SW 68TH PKWY STE 200 TIGARD, OR 77223 (888) 802-70<strong>07</strong><br />

R75 HEALTH NET PPO P O BOX 10223 VAN NUYS, CA 91410-0223 (800) 641-7761<br />

X76 HEALTH NET PPO P O BOX 14130 LEXINGTON, KY 40512 (888) 802-7001<br />

R46 HEALTH NETWORK AMERICA LEE ENTERPRISES P O BOX 310 WEST LONG BRANCH, NJ <strong>07</strong>764 (877)846-0847<br />

M31 HEALTH NETWORK AMERICA 187 MONMOUTH PKWY P O BOX 65 WEST LONG BRANCH, NJ <strong>07</strong>764 (888) 563-1564 W.R. GRACE<br />

S92 HEALTH NETWORK FOR LA LA CHH/BHSS REGION VII 3020 9TH ST STE 260B SHREVEPORT, LA 71105<br />

AC8 HEALTH NEW ENGLAND-HNE 1 MONARCH PLACE STE 1500 SPRINGFIELD, MA 01144 (800) 842-4464<br />

W83 HEALTH ONE NATIONWIDE BENEFITS ASSOC 10333 HARMON STE 475 HOUSTON, TX 77036<br />

Y49 HEALTH OPTIONS OF S FLORIDA P O BOX 025314 MIAMI, FL 33102 (800) 283-8268<br />

404 HEALTH PARTNERS 8100 34TH AVE S P O BOX 1309 BLOOMINGTON, MN 55440 (613) 896-1200<br />

K83 HEALTH PLAN ADMINISTRATORS P O BOX 15250 ROCKFORD, IL 61132-5250<br />

Y34 HEALTH PLAN INC P O BOX 15440 PORTLAND, OR 04112 (877) 888-1616<br />

E03 HEALTH PLAN MANAGEMENT# P O BOX 42242 CINCINNATI, OH 45242 (513) 326-4674 DO NOT USE-MR<br />

165 HEALTH PLAN OF NEVADA P O BOX 15645 LAS VEGAS, NV 89114-5645 (702) 242-7300<br />

W52 HEALTH PLAN OF NEVADA P O BOX 1388 LAS VEGAS, NV 89114-5645 (800) 839-7460<br />

B91 HEALTH PLAN SOUTHEAST ATTN CLAIMS DEPT 3520 THOMASVILLE RD STE 2 TALLAHASSEE, FL 32308 (904) 668-3000<br />

X01 HEALTH PLANS INC P O BOX 15700 WORCESTER, MA 01615 (877) 888-1616<br />

B97 HEALTH PLUS P O BOX 2113 SEATTLE, WA 98111-2113 (425) 771-3111 ABOVE # HAS VR ELIG<br />

Z85 HEALTH PLUS OF LOUISIANA P O BOX 32625 SHREVEPORT, LA 71130<br />

H31 HEALTH RISK MANAGEMENT# P O BOX 571890 SALT LAKE CITY, UT 84157-1890 (800) 713-1062 DO NOT USE-USE H78<br />

W91 HEALTH SELECT P O BOX 6109 ABILENE, TX 79608-6109 (800) 252-8039<br />

P83 HEALTH SELECT PLUS HMO BLUE P O BOX 90211 SAN ANGELO, TX 76902-8011 (888) 585-9393

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