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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S14 PRO AMERICA P O BOX 201487 ARLINGTON, TX 76006 (800) 255-8102<br />
P20 PRO AMERICA P O BOX 90603 ARLINGTON, TX 76006-8089 (800) 523-3669<br />
W28 PRO AMERICA P O BOX 16610 ST LOUIS, MO 63155<br />
F80 PRODUCERS EXCHANGE BENEFIT SERVICE, INC 400 BELET LINE RD STE 160 ADDISON, TX 75001-5846 (214) 744-1100<br />
R47 PROFESSIONAL BENEFIT SERVICES 6475 28TH ST P&B 159 GRAND RAPIDS, MI 49546 (800) 732-3412<br />
G60 PROFESSIONAL CLAIMS ADMIN 10560 WAYZATA BLVD MINNETONKA, MN 55305 (800) 562-5453<br />
G65 PROFESSIONAL CLAIMS ADMIN# 10560 WAYZATA BLVD MINNETOKA, MN 55305 (800) 562-0310 DO NOT USE - USE G60<br />
636 PROHEALTH# P O BOX 21367 BILLINGS, MT 59104-1367 (800) 654-8335 DO NOT USE - USE 438<br />
D95 PROTECTIVE LIFE P O BOX 3129 BRENTWOOD, TN 37024 (800) 866-3808<br />
384 PROTECTIVE LIFE INSURANCE P O BOX 830626 BIRMINGHAM, AL 35283 (205) 879-9230<br />
996 PROTECTIVE LIFE INSURANCE CO# P O BOX 830626 BIRMINGHAM, AL 35283 (205) 879-9230 DO NOT USE - USE 384<br />
V18 PROVANTAGE P O BOX 1662 WAUKESHA, WI 53187<br />
W58 PROVIDENCE HEALTH PLAN P O BOX 4447 PORTLAND, OR 97208-4447 (800) 878-4445<br />
H77 PROVIDENCE HEALTHCARE P O BOX 3125 PORTLAND, OR 97208-3125 (800) 443-0996<br />
730 PROVIDENCE PREFERRED P O BOX 127<strong>07</strong> SEATTLE, WA 98111-47<strong>07</strong> (206) 622-6111 DO NOT USE<br />
Z86 PROVIDENCE PREFERRED P O BOX 3236 PORTLAND, OR 97208<br />
B51 PROVIDENT C\O RUBBERMAID P O BOX 652 WINFIELD, KS 67156 (316) 221-2230<br />
D49 PROVIDENT AMERICAN INSURANCE CO 10501 NORTH CENTRAL EXPRESSWAY SUITE 200 DALLAS, TX 75231 (214) 696-9091<br />
E35 PROVIDENT INDEMNITY P O BOX 511 NORRISTOWN, PA 19404-0511<br />
C14 PROVIDENT INSURANCE P O BOX 8902 BRISTOL, TN 37620 (800) 252-4677<br />
893 PROVIDENT LIFE & ACCIDENT P O BOX 1983 ORANGE, CA 92668-0983 (714) 524-5000<br />
475 PROVIDENT LIFE & ACCIDENT MEDICAL CLAIMS OFFICE P O BOX 219700 HOUSTON, TX 72218 (800) 423-3341<br />
889 PROVIDENT LIFE & ACCIDENT P O BOX 105165 ATLANTA, GA 30348<br />
362 PROVIDENT LIFE & ACCIDENT P O BOX 406323 CINCINNATI, OH 45240<br />
E96 PROVIDENT LIFE AND ACCIDENT P O BOX 219733 HOUSTON, TX 77218-9733<br />
336 PROVIDENT LIFE INS P O BOX 188004 CHATTANOOGA, TN 37422-8004<br />
146 PROVIDENT MUTUAL LIFE INSURANCE COMPANY P O BOX 15750 WILMINGTON, DE 19850 (800) 523-4681<br />
G04 PROVIDENT VANTAGE PPO P O BOX 13129 PORTLAND, OR 97213 (800) 333-3959<br />
K10 PROVIDENT# P O BOX 31498 TAMPA, FL 33631-3498 DO NOT USE-MR<br />
ZZZ PROVIDER BILLING DUMP CODE<br />
703 PROVIDERS FIDELITY LIFE INS P O BOX 1120 BLUE BELL, PA 19422<br />
028 PROVIDIAN LIFE & HEALTH ATTN: CLAIMS P O BOX 484 VALLEY FORGE, PA 19493 (800) 523-7900<br />
G20 PRU CARE P O BOX 44097 JACKSONVILLE, FL 32231-4097 (904) 391-5495<br />
H26 PRUCARE OF CALIFORNIA P O BOX 54748 LOS ANGELES, CA 90054-<strong>07</strong>48 (800) 998-3242<br />
A24 PRUDENTIAL ATTN CLAIMS P O BOX 7590 SAN MATEO, CA 94403 (415) 571-1225 800-443-2882 OR 800-552-4545<br />
H13 PRUDENTIAL P O BOX 85192 SAN DIEGO, CA 92186 (800) 225-0161 PHONE/FAX # NO LONGER IN SERVICE<br />
N15 PRUDENTIAL P O BOX 2688 JACKSONVILLE, FL 32232 (800) 432-5859<br />
N63 PRUDENTIAL P O BOX 4711 HOUSTON, TX 77210-4711 (800) 448-6295<br />
879 PRUDENTIAL P O BOX 2<strong>07</strong>005 STOCKTON, CA 95219 (800) 727-9092<br />
F66 PRUDENTIAL P O BOX 45177 JACKSONVILLE, FL 32232 (800) 813-6667 904-391-5495<br />
J84 PRUDENTIAL ONE EMARCADERO CNTR STE 300 SAN FRANCISCO, CA 94111<br />
B49 PRUDENTIAL WESTERN HOME OFFICE 5800 CANOGA AVE WOODLAND HILLS, CA 91367<br />
154 PRUDENTIAL CLAIM SERVICE# LOUISVILLE CLAIM OFFICE P O BOX 34680 LOUISVILLE, KY 40232 DO NOT USE-MR 5/18/00<br />
111 PRUDENTIAL GROUP INSURANCE# HEALTH CLAIMS DIVISION P O BOX 34680 LOUISVILLE, KY 40232 (502) 267-3285 DO NOT USE THIS NUMBER 154<br />
M66 PRUDENTIAL HEALTH P O BOX 4578 HOUSTON, TX 77210-4578 (800) 426-0623<br />
N25 PRUDENTIAL HEALTHCARE P O BOX 4804 HOUSTON, TX 77210-4804 (800) 345-8310<br />
S02 PRUDENTIAL HEALTHCARE NORTHERN TRUST COMPANY P O BOX 54469 LOS ANGELES, CA 90054 (800) 711-5943<br />
K61 PRUDENTIAL HEALTHCARE P O BOX 54339 LOS ANGELES, CA 90054-0339 (800) 843-3661<br />
K09 PRUDENTIAL HEALTHCARE P O BOX 2229 JACKSONVILLE, FL 32231 (904) 351-3121<br />
P23 PRUDENTIAL HEALTHCARE P O BOX 60547 LOS ANGELES, CA 90054<br />
P11 PRUDENTIAL HEALTHCARE P O BOX 1206 WILKES-BARRE, PA 18703-1206<br />
R80 PRUDENTIAL HEALTHCARE OF NJ P O BOX 6020 MILLVILLE, NJ 08332 (918) 664-9593<br />
356 PRUDENTIAL HEALTHCARE# P O BOX 45160 JACKSONVILLE, FL 32231-5160 (800) 527-8623 DO NOT USE-USE A15<br />
P42 PRUDENTIAL HMO OF ORLANDO# P O BOX 950 HORSHAM, PA 19044 DO NOT USE-MR<br />
E88 PRUDENTIAL INS P O BOX 85081 SAN DIEGO, CA 92186 (619) 279-2411<br />
794 PRUDENTIAL INS CO DENVER GROUP CLAIM OFFICE P O BOX 378710 DENVER, CO 80237 (303) 994-3199 VERIFY/MENTAL HEALTH/8-13-99-B<br />
A58 PRUDENTIAL INS CO 600 HOLIDAY PLAZA STE 510 P O BOX 537 MATTESON, IL 60443 (800) 445-1796<br />
956 PRUDENTIAL INS CO ADIRONDACK GRP HLTH DIVISION P O BOX 15045 ALBANY, NY 12212<br />
948 PRUDENTIAL INS CO MARAMAR CLAIM OFFICE P O BOX 85479 SAN DIEGO, CA 92138<br />
C22 PRUDENTIAL INS CO OF AM ANNUITY BOARD OF THE LUTHERN P O BOX 1086 ST LOUIS, MO 63188-1086 (609) 323-7384<br />
818 PRUDENTIAL INS CO OF AMERICA ANTARES MANAGEMENT SOLUTIONS P O BOX 7001 PARKERSBURG, WV 26102-7001 (800) 828-0153 904-313-0153<br />
026 PRUDENTIAL INS CO OF AMERICA# ATTN: GRP HLTH CLAIMS DIVISION P O BOX 10100 HIGH POINT, NC 27261-3100 (612)553-6000 DO NOT USE - USE A15<br />
729 PRUDENTIAL INS CO# P O BOX 45160 JACKSONVILLE, FL 32231-5160 (612) 553-6000<br />
DO NOT USE - USE A15<br />
MR-UTF 12/5/2006<br />
909 PRUDENTIAL INS CO# P O BOX 5400 MILLVILLE, NJ 08332-0100 (800) 426-0338 DO NOT USE-MR<br />
811 PRUDENTIAL INS CO# P O BOX 3016 MILLVILLE, NJ 08332-9010 (800) 772-0118 DO NOT USE - USE 364<br />
390 PRUDENTIAL INS CO/AMER PRUDENTIAL PLAZA NEWARK, NJ <strong>07</strong>101 VERIFY/MENTAL HEALTH/8-13-99-B<br />
858 PRUDENTIAL INSURANCE P O BOX 85080 SAN DIEGO, CA 92186 (619) 279-2411 MR-DO NOT USE<br />
877 PRUDENTIAL INSURANCE MARRIOTT CLAIMS DIVISION P O BOX 45081 JACKSONVILLE, FL 32232 (800) 633-8255<br />
B93 PRUDENTIAL INSURANCE P O BOX 3038 CINCINNATI, OH 45201-3038 (813) 784-7500<br />
881 PRUDENTIAL INSURANCE 3003 BUTTERFIELD ROAD OAK BROOK, IL 60521<br />
A48 PRUDENTIAL INSURANCE CO ALBUQUERQUE GRP CLAIM COMPLEX 6200 UPTOWN BLVD, STE 200 ALBUQUERQUE, NM 87110 (505) 884-6591 800814-7422<br />
084 PRUDENTIAL INSURANCE CO 1 IMESON PARK BLVD BLDG 100 JACKSONVILLE, FL 32218-5696 (713) 276-3400<br />
A15 PRUDENTIAL INSURANCE CO P O BOX 45160 JACKSONVILLE, FL 32231-5160 (800) 336-8003<br />
328 PRUDENTIAL INSURANCE CO 530 WELLS FARGO DRIVE SUITE 301 P O BOX 1567 HOUSTON, TX 77251<br />
983 PRUDENTIAL INSURANCE CO (FLINT ENGINEERING) P O BOX 1567 HOUSTON, TX 77251<br />
722 PRUDENTIAL INSURANCE CO P O BOX 365 PITTSBURGH, PA 15222 DO NOT USE-MR<br />
271 PRUDENTIAL INSURANCE CO# OF AMERICA P O BOX 9700 LINWOOD, NJ 08221 (609) 926-2400 MR-DO NOT USE<br />
243 PRUDENTIAL INSURANCE CO# P O BOX 2<strong>07</strong>005 STOCKTON, CA 952<strong>07</strong> (800) 727-9092 MR-DO NOT USE<br />
391 PRUDENTIAL INSURANCE CO# P O BOX 44123 JACKSONVILLE, FL 32231-4123 (904) 391-3711<br />
C39 PRUDENTIAL INSURANCE COMPANY P O BOX 15055 ALBANY, NY 12212 (518) 783-1838
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