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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101 PRUDENTIAL INSURANCE COMPANY NORTHERN TELECOM P O BOX 30000 ATLANTA, GA 30359-0999 (800) 523-5322<br />
B77 PRUDENTIAL INSURANCE COMPANY OF AMERICA P O BOX 411006 ST LOUIS, MO 63141-3006 (816) 756-0404<br />
A28 PRUDENTIAL INSURANCE COMPANY P O BOX 2957 JACKSONVILLE, FL 32232 (904) 391-3937<br />
184 PRUDENTIAL INSURANCE# GATEWAY GROUP CLAIM DIVISION P O BOX 200 MONROEVILLE, PA 15146 (800) 842-8000 DO NOT USE - USE 092<br />
414 PRUDENTIAL OF AMERICA CLM SERVICE PROV/GARDEN ST GRP HEALTH CLAIMS DIV-P O BOX ISELIN, NJ 08830 (201) 632-7000<br />
C09 PRUDENTIAL# BUTTREY FOOD & DRUG P O BOX 2<strong>07</strong>005 STOCKTON, CA 95267 (800)248-4841 DO NOT USE - USE D48<br />
628 PRUDENTIAL-CONNECTICUT LIFE INSURANCE P O BOX 33668 CHARLOTTE, NC 28233-3668 (800) 257-2702<br />
Y22 PUBLIC EMP BENEFIT PROGRAM 400 W KING ST STE 300 CARSON CITY, NV 89703 (800) 326-3496<br />
B88 PUBLIC EMPLOYEE HEALTH PROGRAM UTAH RETIREMENT SYSTEM 560 E 200 S SALT LAKE CITY, UT 84102-2004 (801) 366-7500 USES PAID FOR RX<br />
760 PUDGET SOUND MULTI TRADE SO HEALTH & WELFARE TRUST P O BOX C34030 SEATTLE, WA 98124<br />
H29 PUGET SOUND ELEC WORKERS P O BOX 34203 SEATTLE, WA 98124-1203 (800) 732-1121<br />
SHARES P O BOX W/ N23<br />
800-331-6158<br />
P77 PUGET WEST CORP# P O BOX 3535 ARLINGTON, WA 98232 DO NOT USE-NOT AN INS COMPANY<br />
019 PYRAMID LIFE INS CO 6201 JOHNSON DRIVE P O BOX 772 SHAWNEE MISSION, KS 66201 (800) 444-0321<br />
M36 QUAD MED CLAIMS W 224 N 3322 DUPLAINVILLE RD PEWAUKEE, WI 53<strong>07</strong>2 (800) 937-2230<br />
G37 QUAL MED HEALTH & LIFE INS CO P O BOX 115 PUEBLO, CO 81002-0115 (800) 847-1528<br />
D17 QUAL MED HEALTH AND LIFE FOUNDATION HEALTH SYSTEMS P O BOX 600 PUEBLO, CO 81002 (509) 326-8820 800-845-7881<br />
E28 QUALCHOICE 6000 PARKLAND BLVD CLEVELAND, OH 44124<br />
224 QUALEX INC ATTN: TARA P O BOX 35900 BILLINGS, MT 591<strong>07</strong> (406) 256-3300 DO NOT USE-MR<br />
F44 QUAL-MED 6100 UPTOWN BLVD NE STE 400 ALBUQUERQUE, NM 87110 (800) 365-0009<br />
J64 QUAL-MED OREGON CLAIMS P O BOX 640 PUEBLO, CO 81002 (800) 991-6691<br />
K36 QUAL-MED 1<strong>07</strong>00 NORTHUPWAY SUITE 280 BELLEVUE, WA 98009-3387<br />
A01 R E HARRINGTON INC DENTAL CLAIMS P O BOX 6125 WESTERVILLE, OH 43081 (800) 848-2644<br />
986 R E HARRINGTON INC MEDICAL CLAIMS P O BOX 16789 COLUMBUS, OH 43216 (800) 848-2664<br />
G50 R Y TIMBER P O BOX 990 LIVINGSTON, MT 59047 (406) 222-3360<br />
C73 RAVALLI COUNTY ELECTRIC CO-OP P O BOX 190 CORVALLIS, MT 59828 (406) 961-3001<br />
K06 REGENCE BC/BS P O BOX 21267 SEATTLE, WA 98101 (800) 544-4246 800-330-7206<br />
X15 REGENCE BC/BS OF OREGON P O BOX 1271 PORTLAND, OR 972<strong>07</strong>-1271 (800) 777-3168<br />
B85 REGENCE BC/BS OF UTAH VALUE CARE P O BOX 30272 SALT LAKE CITY, UT 84125-0272 (800) 662-0876 800-624-6519 named regence bc/bs of ut<br />
R93 REGENCE BLUE SHIELD 333 E GILKEY RD BURLINGTON, WA 98233 (360) 755-4000<br />
566 REGENCE BLUE SHIELD P O BOX 21267 SEATTLE, WA 98111-1267 (800) 422-7713 206-464-0255<br />
M73 REGENCE BLUE SHIELD P O BOX 91008 SEATTLE, WA 96111-9108 (800) 472-2270 206-464-8080<br />
W02 REGENCE BLUE SHIELD P O BOX 31603 SALT LAKE CITY, UT 84131-0603 (800) 632-2022<br />
Y91 REGENCE BLUE SHIELD 610 HUBBARD STE 129 COEUR D'ALENE, ID 83814<br />
T98 REGENCE BLUE SHIELD OF UTAH P O BOX 30009 SALT LAKE CITY, UT 84130-0009 (801)333-5578 DO NOT USE-MR<br />
K18 REGENCE BLUE SHIELD# P O BOX 21267 SEATTLE, WA 98111 (425) 641-7762 DO NOT USE-USE K06<br />
763 REGENCE BLUE SHIELD# P O BOX 91015 SEATTLE, WA 98111-9115 (800) 422-7713 DO NOT USE - USE 566<br />
AA6 REGENCE BS OF IDAHO 1602 21 ST AVE LEWISTON, ID 83501 (800) 632-2022<br />
518 REGENCE BS OF IDAHO P O BOX 31603 SALT LAKE CITY, UT 84131-0603 (800) 632-2022 PHONE FOR ARGUS RX - 800-522-7487 (NOT ALL CLIENTS<br />
K90 REGENCE CARE HM37 1800 TERY AVENUE P O BOX 91057 SEATTLE, WA 98111<br />
J86 REGENCE CARE/BLUE SHIELD 1800 NINTH AVENUE P O BOX 2088 SEATTLE, WA 98101 (800) 222-6129<br />
206-389-6721<br />
888-675-6570<br />
N39 REGENCE HMO OF OREGON P O BOX 30805 SALT LAKE CITY, UT 84130-0805 (800) 228-0978<br />
610 REGENCE LIFE & HLTH INSUR P O BOX 30805 SALT LAKE CITY, UT 84130-0805 (800) 245-9272<br />
F28 REGENCE NW HEALTH P O BOX 1297 WALLA WALLA, WA 99362 (800) 462-5680<br />
655 REGENCE WASHINGTON HEALTH P O BOX 2915 TACOMA, WA 98401-2915 (800) 929-0897<br />
M61 REGIONAL CARE INC 905 W 27TH ST SCOTTSBLUFF, NE 69361-1545 (800) 795-7772 308-635-2260<br />
R74 REGIONAL TRANSPORTATION DIST AMALGATED TRANSIT UNION 10620 E BETHANY DR AURORA, CO 80014 (303) 745-7004<br />
H56 RELIANCE STANDARD LIFE 1512 LARIMER ST DENVER, CO 80201 (800) 644-1103<br />
B90 RELIANCE SURETY CO# 620 FREEDOM BUSINESS CENTER DR KING OF PRUSSIA, PA 19406-1330 (800) 859-5655 MR-DO NOT USE<br />
400 RESERVE LIFE INS CO 403 SOUTH AKARD DALLAS, TX 75222 (214) 670-9700 DO NOT USE-MR<br />
609 RESERVE NATIONAL INS P O BOX 26620 OKLAHOMA CITY, OK 73126-0620 (800) 654-9106<br />
E73 RETAIL CLERKS DRAWER 9000 WALNUT CREEK, CA 94598 (510) 746-7530<br />
738 RETAIL CLERKS WELFARE TRUST ZENITH ADMINISTRATORS P O BOX 2265 SEATTLE, WA 98111 (206) 282-4100<br />
P68 RETAIL CLERKS WELFARE TRUST ZENITH ADMINISTRATORS P O BOX 1420 PORTLAND, OR 972<strong>07</strong> (800) 547-5900<br />
P72 RETAIL DRUG EMPLOYEE TRUST P O BOX 34927 SEATTLE, WA 98124-1927 (800) 331-6158<br />
997 REYNOLDS METAL COMPANY 6601 WEST BROADSTREET RICHMOND, VA 23230<br />
564 REYNOLDS METALS CO 520 LINCOLN AVE DOWNING TOWN, PA 19335 (215) 873-5013<br />
343 RHONE-POULENC# P O BOX 2241 BLUE BELL, PA 19422 (406) 782-1215 DO NOT USE - USE 867<br />
HC3 RIMROCK COLONY P O BOX 159 SUNBURST, MT 59482 (406) 937-3045<br />
124 RIO GRANDE EMPLOYEE HOSP ASSOC 1675 CARR ST STE 200 S LAKEWOOD, CO 80215 (303) 274-2312<br />
F64 RISK AND BENEFIT MANAGEMENT SERVICES P O BOX 241569 ANCHORAGE, AK 99524-1569 (888) 743-7998<br />
(9<strong>07</strong>) 561-3740<br />
www.rbmsllc.com<br />
D92 RISK MANAGEMENT P O BOX 1900 RENO, NV 89505 (702) 334-2433 902-825-6040<br />
918 RIVENDELL OF AMERICA JOHN HANCOCK 200 HANNOVER PARK RD ATLANTA, GA 30350<br />
HC4 RIVERVIEW COLONY P O BOX 230 CHESTER, MT 59522 (406) 456-3336<br />
870 RKI GROUP PLANS 14325 WILLARD RD CHANTILLY, VA 20151-2199 (800) 336-3316 DO NOT USE-MR<br />
P88 ROBERSON TRANS MEDICAL PLAN 1100 ROBERSON DR MALTOMET, IL 61850<br />
N90 ROBERSON TRANSPORTATION HEALTH & DENTAL P O BOX 9800 CHAMPAIGN, IL 61826<br />
P59 ROBERT FELD FINANCIAL WYO-BEN INC MEDICAL PLAN P O BOX 1117 BILLINGS, MT 59103 (406) 255-8682<br />
S23 ROCKFORD HEALTH PLANS 3401 N PERRYVILLE RD ROCKFORD, IL 61114<br />
HC5 ROCKPORT COLONY P O BOX 100 PENDROY, MT 59467 (406) 469-2284<br />
J54 ROCKY MOUNTAIN HMO 2775 CROSSROADS BLVD P O BOX 10600 GRAND JUNCTION, CO 81502-5500 (800) 843-<strong>07</strong>19<br />
Y58 ROCKY MOUNTAIN INSURANCE ATTN MEL SANO 2619 ST JOHNS STE B BILLINGS, MT 59602 (406) 655-1711<br />
X99 ROCKY MOUNTAIN INSURANCE IBEW LOCAL 532 2619 ST JOHN'S STE B BILLINGS, MT 59102<br />
C41 ROCKY MOUNTAIN UFCW P O BOX 157 WESTMINSTER, CO 80030-0157 (303) 430-1118<br />
M75 ROLLINGS INC GROUP MEDICAL PLAN 2170 PIEDMONT RD N E ATLANTA, GA 30324 (404) 888-2264<br />
W20 RR MAINTENANCE & INDUSTRIAL HEALTH & WELFARE FUND 2205 W WABASH AVE STE 211 SPRINGFIELD, IL 62704 (800) 258-6534<br />
8<strong>07</strong> RURAL CARRIER BENEFITS PLAN P O BOX 668329 CHARLOTTE, NC 28266-8329 (301) 738-1260 VERIFY/MENTAL HEALTH/8-13-99-B<br />
V28 RX AMERICA 221 N CHARLES LINDBERGH DR SALT LAKE CITY, UT 84116 (800)770-8014<br />
V19 RX GOLD P O BOX 64812 ST PAUL, MN 55164
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