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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B16 OPERATING ENGINEERS HEALTH BENEFIT FUND P O BOX 160 PEWAUKEE, WI 53<strong>07</strong>2-0160 (800) 242-7018<br />
A21 OPERATING ENGINEERS P O BOX 34684 SEATTLE, WA 98124 (800) 331-6158<br />
162 OPERATING ENGINEERS HEALTH AND WELFARE FUND P O BOX 7067 PASADENA, CA 91109 (818) 356-1004<br />
N41 OPERATING ENGINEERS LOCAL 49 7645 METRO BLVD MINNEAPOLIS, MN 55439-3060 SEE F93<br />
<strong>07</strong>5 OPERATING ENGINEERS H & W TRUST P O BOX 11337 RENO, NV 89510 (775) 826-7200 COMPANY NAME DEPENDS UPON GROUP COVERED<br />
960 OPERATING ENGINEERS INTL UNION# GBR P O BOX 24019 FRESNO, CA 93779-2722 DO NOT USE-USE 971<br />
359 OPERATING ENGINEERS# P O BOX 5434 SPOKANE, WA 99205 (509) 328-0300 DO NOT USE - USE 639<br />
E61 OPTIC CHOICE INC 4 TAFT COURT ROCKVILLE, MD 20850 (800) 331-2102<br />
AB6 OPTICHOICE VISION P O BOX 89050 CAMPHILL, PA 17089<br />
S37 OPTIMA FIRST HEALTH P O BOX 30086 SALT LAKE CITY, UT 84130<br />
AK5 OPTIMA HEALTH INSURANCE P O BOX 791130 BALTIMORE, MD 21279<br />
B47 OPTIONS HEALTH CARE INC 1100 OLIVE WAY STE 1200 P O BOX 930 SEATTLE, WA 98111-0930 (800) 542-9172<br />
094 OR TEAMSTERS EMPLOYERS TRUST P O BOX 3470 PORTLAND, OR 97208 (800) 452-8812 PROCESSED W/REGENCE BC-BS 582 ?<br />
H33 OREGON PROCESSORS EMPLOYEES TRUST P O BOX 4247 PORTLAND, OR 97208 (800) 533-3001 503-364-5943<br />
652 OREGON-PACIFIC STATES INS# P O BOX 190 PORTLAND, OR 97201 (800) 245-9272 DO NOT USE - USE 610<br />
F03 ORNDA HEALTH CORP P O BOX 218969 HOUSTON, TX 77218<br />
W56 OSCHNER HEALTH PLAN-HMO P O BOX 98 METAIRIE, LA 70004-0098 (888) 882-9806<br />
R17 OTR TRUCKERS ASSOCIATION 3777 SCHOOL LANE PLYMOUTH MEETING, PA 19462<br />
X49 OUTSOURCE ONE P O BOX 9780 SALT LAKE CITY, UT 84109 (877) 655-8467<br />
228 OWENS & HURST LUMBER CO INC P O BOX 1316 EUREKA, MT 59917 (406) 296-3114<br />
T21 OXFORD HEALTH PLAN P O BOX 7082 BRIDGEPORT, CT 06601 (800) 444-6222<br />
G33 OXFORD LIFE INS CO P O BOX 5031 NORWALK, CT 06856-5031 (800) 528-0463<br />
M84 OXFORD LIFE INSURANCE AMERICO MEDICAL PLAN 2721 N CENTRAL AVE PHOENIX, AZ 85004 (888) 757-3732<br />
T68 P B S I# 4800 SW MACADAM AVE STE 245 PORTLAND, OR 97239 (503) 223-4408 NOT AN INSURANCE<br />
G05 P C A FAMILY HEALTH PLANS 6101 BLUE LAGOON DR STE 300 P O BOX 527500 MIAMI, FL 33102 (305) 267-6633<br />
S08 P E B T F PA EMP BENEFIT TRUST FUND 150 S 43RD ST STE 1 HARRISBURG, PA 17111-5700 (800) 628-0174<br />
W08 P O M C O P O BOX 6329 SYRACUSE, NY 13217 (866) 277-4237<br />
J55 P POM 28588 NORTHWESTERN HWY STE 800 SOUTHFIELD, MI 48034<br />
M42 P S ELECTRONIC HEALTH SERVICES# P O BOX 445 ROY, UT 84067 MR-DO NOT USE<br />
P27 P5 ELECTRONIC HEALTH SERVICES P O BOX 9554 SALT LAKE CITY, UT 84109 (888) 212-0244<br />
D80 PACC HEALTH PLANS# P O BOX 1500 CLACKAMAS, OR 97015 (800) 568-5628 DO NOT USE-MR<br />
151 PACIFIC ASSOC TRUST# P O BOX 33910 SEATTLE, WA 98133 DO NOT USE-MR 5/17/00<br />
G58 PACIFIC CARE P O BOX 400055 SAN ANTONIO, TX 78229 (800) 545-0389<br />
E72 PACIFIC COAST ADMINISTRATORS 2100 WEST ORANGEWOOD AVE ORANGE, CA 92668-1952 (800) 877-2528<br />
982 PACIFIC FIDELITY LIFE INSURANCE ALLIED BENEFIT TRUST 911 BROADWAY KANSAS CITY, MO 64111<br />
B64 PACIFIC GROCERS EMPLOYEE BENEFITS TRUST/HMA P O BOX 85008 BELLEVUE, WA 98015-5008 (425) 462-1000<br />
F71 PACIFIC GROUP MEDICAL ASSOC 1440 KAPIOLANI BLVD STE 1225 P O BOX 3620 HONOLULU, HI 96811 (808) 536-3933<br />
709 PACIFIC HEALTH & LIFE P O BOX 7709 BEND, OR 97708 (503) 388-33<strong>07</strong><br />
800-777-1502<br />
541-388-8375<br />
756 PACIFIC HEALTH & LIFE# P O BOX 7709 BEND, OR 97708 (503) 882-2450 DO NOT USE - USE 709<br />
D87 PACIFIC HEALTH AND LIFE# 1133 N W WALLSTREET P O BOX 7709 BEND, OR 97708-7709 (503) 388-33<strong>07</strong> DO NOT USE-USE 709<br />
755 PACIFIC HERITAGE ADMIN P O BOX 1020 PORTLAND, OR 972<strong>07</strong>-1020 (503) 221-6700<br />
108 PACIFIC HERITAGE ADMIN# H & O FOODS P O BOX 7780 SALT LAKE CITY, UT 841<strong>07</strong> DO NOT USE-MR<br />
W35 PACIFIC LIFE 2300 MAIN ST IRVINE, CA 92614 (800) 733-7020<br />
679 PACIFIC LIFE AND ANNUITY P O BOX 34799 PHOENIX, AZ 85067 (800) 733-2285 FAX Verification requests 602-263-0545<br />
X14 PACIFIC LIFE ANNUITY P O BOX 7010 NEWPORT BEACH, CA 92658-7010 (800) 800-8612<br />
H97 PACIFIC MUTUAL CO 7650 COURTNEY CAUSEWAY STE 210 TAMPA, FL 336<strong>07</strong>-1432<br />
F49 PACIFIC MUTUAL INSURANCE P O BOX 16200 COVINGTON, KY 41016-0200 (800) 733-3225<br />
016 PACIFIC MUTUAL LIFE INS 700 NEWPORT CENTER DR P O BOX 2890 NEWPORT BEACH, CA 92658-9010 (714) 760-4420<br />
B48 PACIFIC NORTHWEST GRAIN & FEED P O BOX 4705 PORTLAND, OR 97208 (503) 227-0234<br />
365 PACIFIC NORTHWEST LIFE INS CO# P O BOX 8369 PORTLAND, OR 972<strong>07</strong> MR-DO NOT USE<br />
AF2 PACIFIC SOURCE P O BOX 70088 EUGENE, OR 97401 (541) 686-1242<br />
F15 PACIFIC SOURCE 250 COUNTRY CLUB ROAD P O BOX 7068 EUGENE, OR 97401-2224 (800) 624-6052<br />
581 PACIFIC SOURCE 110 INTERNATIONAL WAY SPRINGFIELD, OR 97477-1034 (800) 624-6052<br />
366 PACIFIC STANDARD LIFE INS# P O BOX 1796 SACRAMENTO, CA 95808<br />
G66 PACIFICARE P O BOX 6019 CYPRESS, CA 90630 (209) 956-0282<br />
X24 PACIFICARE P O BOX 6098 CYPRESS, CA 90630 (714) 952-1121<br />
157 PACIFICARE P O BOX 3853 ENGLEWOOD, CO 80155-3853 (800) 255-1139<br />
Y16 PACIFICARE P O BOX 98319 LAS VEGAS, NV 89193 (800) 459-3224<br />
Y56 PACIFICARE P O BOX 535<strong>07</strong> PHOENIX, AZ 85<strong>07</strong>2-35<strong>07</strong> (800) 711-8230<br />
T09 PACIFICARE P O BOX 29127 SAN ANTONIO, TX 78229 (800) 825-9355<br />
W18 PACIFICARE 5701 KATELLA AVE MAIL STOP CY24-515 CYPRESS, CA 90630 (800) 913-9133<br />
H22 PACIFICARE P O BOX 3005 HILLSBORO, OR 97123 (800) 932-3004<br />
V66 PACIFICARE SENIOR SUPPLEMENT PLAN P O BOX 6<strong>07</strong>2 CYPRESS, CA 90630-0<strong>07</strong>2 (800)854-3802<br />
X17 PACIFICARE P O BOX 6099 CYPRESS, CA 90630 (866) 316-9776<br />
W79 PACIFICARE 6455 S YOSEMITE ST #206 GREENWOOD VILLAGE, CO 80111 (866) 316-9776<br />
Y64 PACIFICARE 2300 CLAYTON RD CONCORD, CA 94520<br />
V90 PACIFICARE DEPT 1581 LOS ANGELES, CA 90088-1581 PROVIDER 800-542-8789 PPO 866-863-9776<br />
H48 PACIFICARE P O BOX 30057 SALT LAKE CITY, UT 84142<br />
Y99 PACIFICARE DENTAL/VISION ADMINISTRATORS P O BOX 25182 SANTA ANA, CA 92799<br />
B36 PACIFICARE BENEFITS ADMIN P O BOX 9004 MERCER ISLAND, WA 98040-9004 (800) 647-6400<br />
X77 PACIFICARE HEALTH P O BOX 69313 HARRISBURG, PA 17106-9313 (886) 867-<strong>07</strong>00<br />
J78 PACIFICARE OF ARIZONA P O BOX 52<strong>07</strong>8 PHOENIX, AZ 85<strong>07</strong>2-2<strong>07</strong>8 (800) 347-8600<br />
T26 PACIFICARE OF CA P O BOX 6006 CYPRESS, CA 90630 (800) 624-8822<br />
D20 PACIFICARE OF OR & WA P O BOX 30<strong>07</strong> HILLSBORO, OR 97123 (800) 922-1444 MR-DO NOT USE<br />
W85 PACIFICARE OF OREGON P O BOX 4100-2 PORTLAND, OR 97208 (209) 236-1117<br />
V97 PACIFICARE OF OREGON P O BOX 6090 CYPRESS, CA 90630 (800)932-3004<br />
R01 PACIFIC-CARE P O BOX 95638 LAS VEGAS, NV 89193-5638 (800) 347-8600<br />
350 PAINTERS & DECORATORS WELFARE FUND 1785 E SAHARA STE 350 LAS VEGAS, NV 89104 (702) 737-7163<br />
W39 PAINTERS BENEFIT TRUST 3813 ILLINOIS AVE STE 102 ST CHARLES, IL 60174 (888) 519-9500<br />
M39 PAINTERS LOCAL 460 HEALTH AND WELFARE FUND 2111 W LINCOLN HWY MERRILLVILLE, IN 46410 (800) 759-6944
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