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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133 HUTTERITE MEDICAL FUND P O BOX 1750 GREAT FALLS, MT 59403 (800) 628-2992<br />
406-373-5700<br />
MR-UNDELIVERABLE<br />
S75 HWBS HEALTH-WELFARE BENEFIT SYSTEMS P O BOX 21109 ROANOKE, VA 24018 (800) 283-4927<br />
Y73 I A B P O BOX 224767 DALLAS, TX 75222 (800) 800-7616<br />
Y94 I A C P O BOX 828 PARK RIDGE, IL 60068<br />
888 I B P INC# INVALID CARRIER CALL 406-443-1365 DO NOT USE<br />
C<strong>07</strong> I H C INTERMOUNTAIN HEALTH CARE P O BOX 30192 SALT LAKE CITY, UT 84130-0192 (800) 538-5099<br />
S30 I H N P O BOX 20490 INDIANAPOLIS, IN 46220-0490<br />
S68 I M A OF LOUISIANA P O BOX 71120 BOSSLER CITY, LA 71171-1120<br />
R50 I S T A 143 W MARKET ST 2ND FLOOR INDIANAPOLIS, IN 46204 (317) 263-3330<br />
091 I T P E NMU HEALTH & WELFARE P O BOX 23679 SAVANNAH, GA 31403 (912) 352-7169<br />
264 IAC ATTN: HEALTH CLAIMS P O BOX 39119 PHOENIX, AZ 85069-9119 (877) 663-8963<br />
A72 IBEW LOCAL 640 AZ CHAPTER NECA HEALTH & WELFARE TRUST 5818 NO SEVENTH ST, STE 106PHOENIX, AZ 85014 (602) 234-0524<br />
X40 IBEW/NECA SOUND & COMMUNICATION SELF FUNDED MEDICAL PLAN P O BOX 5057 SAN JOSE, CA 95150-5157 (408) 288-4452<br />
W43 IBU HEALTH TRUST 1220 SW MORRISON PORTLAND, OR 97205 (503) 224-0048<br />
H85 IDAHO PIPE TRADES TRUST P O BOX 1150 POCATELLO, ID 83204 (208) 232-6808<br />
J06 IDAHO PREFERRED HEALTHCARE P O BOX 8262 BOISE, ID 837<strong>07</strong> (800) 627-6654<br />
952 IDS LIFE INSURANCE IDS TOWER 10 MINNEAPOLIS, MN 55440 (612) 372-2874<br />
B76 IEC BENEFIT ADMINISTRATORS P O BOX 7186 BOISE, ID 837<strong>07</strong>-1186 (208) 344-7910<br />
D31 IL DEPARTMENT OF PUBLIC AIDE BUREAU OF CLAIMS PROCESSING 201 S GRAND AVE EAST SPRINGFIELD, IL 62763<br />
S35 ILLINOIS CENTRAL HOSPITAL ASSOC 18501 MAPLE CREEK DR STE 100 TINLEY PARK, IL 60477<br />
Z59 ILWU-PMA COASTWISE CLAIMS 814 MISSION ST STE 300 SAN FRANCISCO, CA 94103<br />
P57 IMPERIAL PALACE INSURANCE BENEFITS P O BOX 97979 LAS VEGAS, NV 89193 (702) 794-3283<br />
X43 INC GROUP INSURANCE PLAN SPECTERA VISION P O BOX 26618 BALTIMORE, MD 212<strong>07</strong> (800) 638-3120<br />
903 INDEPENDANT ADMINISTRATION CO# 10801 WAYZATA BLVD MINNETONKA, MN 55343 DO NOT USE-MR<br />
772 INDEPENDENCE BLUE CROSS# 1901 MARKET STREET PHILADELPHIA, PA 19103 (800) 626-8144<br />
D86 INDIANA ST COUNCIL H&W P O BOX 5769 LAYFAYETTE, IN 47903-5769 (800) 552-6550<br />
378 INDIVIDUAL ASSOCIATION CO ADMINISTRATION OFFICE P O BOX 25326 OVERLAND PARK, KS 66225<br />
9<strong>07</strong> INDIVIDUAL ASSURANCE CO# ADMINISTRATION OFFICE P O BOX 25326 OVERLAND PARK, KS 66225 DO NOT USE-USE 378<br />
F95 INDUSTRIAL INDEMNITY COMPANY PUTNAM & ASSOCIATES 536 W RESERVE KALISPELL, MT 59901 (800) 823-1583 MR-DO NOT USE<br />
P25 INLAND EMPIRE TEAMSTERS TRUST P O BOX 5433 SPOKANE, WA 99205 (800) 872-8979<br />
Z70 INSURANCE ADMIN SERVICES P O BOX 96 MINNEAPOLIS, MN 55440<br />
S99 INSURANCE ADMINISTRATOR OF AMER IAA P O BOX 5082 MT LAUREL, NJ 08054 (888) 599-1515<br />
T61 INSURANCE CENTER P O BOX 982017 N RICHLAND HILLS, TX 76182 (888) 756-3534<br />
P71 INSURANCE DESIGN ADMINISTRATORS P O BOX 875 OAKLAND, NJ <strong>07</strong>436 (800) 225-1345<br />
X38 INSURANCE MANAGEMENT ADMINI P O BOX 71120 BOSSIER CITY, LA 71171-1120 (800) 742-9944<br />
A17 INSURANCE MANAGEMENT SERVICES P O BOX 71 ELKO, NV 89801 (702) 738-5108<br />
B78 INSURANCE MANAGEMENT SERVICES P O BOX 15688 AMARILLO, TX 79105 (806) 373-5944<br />
K88 INSURANCE MARKETING RESOURCES# P O BOX 65500 LUBBOCK, TX 79464 (800) 333-1195 DO NOT USE-MR<br />
273 INSURANCE SERVICE CENTER P O BOX 982009 N RICHLAND HILLS, TX 76182-8009 (888) 757-<strong>07</strong>03 MAY ALSO BE PFL OR NASE<br />
F75 INSURED ADMINISTRATIVE CORP P O BOX 39119 PHOENIX, AZ 85069-9119 (800) 843-3106 NON-PPO PROVIDERS ONLY<br />
P08 INSURED ADMINISTRATIVE CORP (PPO PROVIDERS) P O BOX 38579 PHOENIX, AZ 85069-8579 (800) 843-3106<br />
AM3 INSURERS ADMINISTRATION 2101 W PEORIA AVE STE 100 PHOENIX, AZ 85029 (800) 318-4510<br />
J62 INSUREX BENEFIT ADMIN P O BOX 41779 MEMPHIS, TN 38174 (901) 725-6435<br />
C59 INSURNATIONAL P O BOX 619021 DALLAS, TX 75261 (214) 696-6962<br />
292 INSURNATIONAL INS ADMIN (NORTHROP CORPORATION) P O BOX 6200 COSTA MESA, CA 92628 MR-FOE 8/02/00<br />
Y75 INTEGRATED BENEFIT MANAGEMENT P O BOX 3819 CHATSWORTH, CA 91313 (800) 874-2155<br />
F46 INTEGRITY BENEFIT NETWORK P O BOX 4537 MARIETTA, GA 30061-4537 (404) 428-1604<br />
P67 INTER AMERICAS INSURANCE P O BOX 9510 WICHITA, KS 67277 (800) 333-2525<br />
109 INTER CONTINENTAL LIFE INSURACE P O BOX 1729 JACKSON, MS 39215 MR-UNFORWARDABLE 4/28/00<br />
H37 INTER COUNTY HEALTH PLAN 720 BLAIR MILL ROAD HORSHAM, PA 19044 (800) 480-5036<br />
S67 INTERCARE HEALTH PLANS P O BOX 2728 ELKO, NV 89803-2728 (800) 426-7453<br />
J69 INTERGROUP HMO 930 N FINANCE CENTER DRIVE TUCSON, AZ 85710 (800) 289-2818<br />
J58 INTERGROUP OF ARIZONA INC 950 N FINANCE CENTER DR TUCSON, AZ 85710-1362 (800) 289-2818<br />
E97 INTERGROUP# 930 N FINANCE CENTER DR STE 100 TUCSON, AZ 85710-1362 (602) 721-4444 DO NOT USE-USE J58<br />
AL2 INTERMOUNTAIN CLAIMS WORK COMP CLAIMS 1200 S RESERVE STE D MISSOULA, MT 59801<br />
7/12/00<br />
351 INTERMOUNTAIN CLAIMS OF MT# P O BOX 50626 BILLINGS, MT 59105 (406) 248-9303 DO NOT USE-PHONE DISC.<br />
P80 INTERMOUNTAIN HEALTH CARE# P O BOX 30192 SALT LAKE CITY, UT 84130-0192 (801) 442-5515 DO NOT USE-USE C<strong>07</strong><br />
241 INTERMOUNTAIN IRONWORKERS 2156 WEST 2200 SOUTH P O BOX 30124 SALT LAKE CITY, UT 84130-0124 (801) 263-2692 DIF CO'S-SAME P O BOX PH # CHANGED TO 1-888-867-9510<br />
AI1 INTERMOUNTAIN PENSION TRUST HEALTH & WELFARE P O BOX 2793 GREAT FALLS, MT 59401<br />
925 INTERMOUNTAIN RETAIL STORE# EMPLOYEES P O BOX 30918 BILLINGS, MT 59116 MR-DO NOT USE<br />
782 INTERMOUNTAIN UNITED FOOD & COMMERCIAL WORKERS 4885 S 900 EAST, STE 202 SALT LAKE CITY, UT 84117<br />
268 INTERNATIONAL BENEFIT SERVICES P O BOX 1326 FORT WORTH, TX 76101 (800) 759-0101<br />
M82 INTERNATIONAL MEDICAL GROUP 4<strong>07</strong> N FULTON ST INDIANAPOLIS, IN 46202 (800) 628-4664<br />
317-636-4721<br />
FAX: 317-687-9272<br />
W70 INTERWEST/STARMARK P O BOX 8629 MISSOULA, MT 598<strong>07</strong> (800) 522-1246<br />
G22 INT'L UNION-OPER ENGINEERS 7370 CHEF MENTEUR HWY NEW ORLEANS, LA 70126 (800) 238-4863<br />
020 INVESTORS INS CORP 6700 SW SANDBURG ST P O BOX 23035 PORTLAND, OR 97223 DO NOT USE<br />
246 INVESTORS LF INS/NB# P O BOX 57 WATERTOWN, SD 57201 DO NOT USE-MR 7/24/00<br />
459 IOWA BENEFITS INC P O BOX 7<strong>07</strong> AMES, IA 50010 (515) 232-8585<br />
297 IPB INC 800 STEVENSPORT DR DAKOTA DUNES, SD 57049 (402) 494-2061<br />
M35 IRON WORKERS TRUST P O BOX 30124 SALT LAKE CITY, UT 84130-0124 (800) 453-6228<br />
DO NOT USE-USE 241<br />
DIF CO'S-SAME P O BOX<br />
502 IRONWORKERS #1 7700 INDUSTRIAL DRIVE FOREST PARK, IL 60130 (708) 366-3331<br />
G88 ITS BENEFITS 5005 ROCKSIDE RD STE 1200 CLEVELAND, OH 44131 (216) 642-4522<br />
F82 ITT HARTFORD C\O JIM SWAN P O BOX 2348 GREAT FALLS, MT 59403 (406) 761-3006<br />
D09 ITT HARTFORD P O BOX 15106 SACRAMENTO, CA 94841-1106<br />
181 ITT LIFE INSURANCE COMPANY P O BOX 9302 MINNEAPOLIS, MN 55440 (612) 545-2100<br />
706 J B RESTAURANT INS. TRUST 1010 W 2610 SOUTH SALT LAKE CITY, UT 84119-9990<br />
250 J C PENNEY FINANCIAL SERVICES 2700 WEST PLANO PARKWAY PLANO, TX 75<strong>07</strong>5-8200 (800) 692-5246
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