27.10.2014 Views

June 07 Carrier Codes - Montana Medicaid Provider Information

June 07 Carrier Codes - Montana Medicaid Provider Information

June 07 Carrier Codes - Montana Medicaid Provider Information

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

M40 BENEFIT SYSTEMS INC P O BOX 6001 INDIANAPOLIS, IN 46206-6001 (317) 573-2004<br />

Y82 BENEFITS ADMINISTRATION INSURANCE COMPANY 6477 HWY 93 S #409 WHITEFISH, MT 59937<br />

J90 BENEFITS BY CHOICE# BROWN/WILLIAMSON TOBACCO CORP P O BOX 35980 LOUISVILLE, KY 40232-5980 DO NOT USE-MR<br />

W50 BENEFITS RESOURCES 105 THREE ALLEGHANY CENTER PITTSBURGH, PA 15212 (412) 553-4988<br />

H25 BENESIGHT P O BOX 375 PUEBLO, CO 81002 (206) 464-4900 800-543-9<strong>07</strong>3<br />

R66 BENESIGHT P O BOX 52174 PHOENIX, AZ 85<strong>07</strong>2 (800) 223-5228<br />

V62 BENESIGHT P O BOX 395 PUEBLO, CO 81002 (800) 874-5693<br />

X92 BENESIGHT P O BOX 385 PUEBLO, CO 81002 (866) 452-5039<br />

N75 BENESIGHT HUMANA INSURANCE P O BOX 14610 LEXINGTON, KY 40512-4610 (888) 413-0941 ALSO USE P O BOX 310 & 330 PUEBLO, CO<br />

V59 BENESIGHT# C/O GOODMAN GRP #EP603 P O BOX 64560 ST PAUL, MN 55164 (800)223-5228<br />

P94 BENESIGHT# P O BOX 330 PUEBLO, CO 81002 (888) 891-1976 DO NOT USE-USE N75<br />

V87 BENESIGHT# P O BOX 395 PUEBLO, CO 81002 DO NOT USE-USE V62<br />

AE4 BENICORP P O BOX 68917 INDIANAPOLIS, IN 46268-0917<br />

NO VALID PHONE # AVAILABLE<br />

G11 BERGEN BRUNSWIG CORP# P O BOX 268000 CLEVELAND, OH 44126-8000<br />

DO NOT USE<br />

AJ4 BEST P O BOX 3100 NEWPORT BEACH, CA 92658-9027<br />

469 BEST LIFE ASSURANCE OF CA P O BOX 19721 IRVINE, CA 92713 (714) 253-4080<br />

F<strong>07</strong> BEST LIFE INS OF CA# P O BOX 19721 IRVINE, CA 92713-9721 (714) 253-4080 DO NOT USE - USE 469<br />

J27 BETTER BUSINESS SYSTEMS# HEALTHCARE PLAN P O BOX 1400 PORTLAND, OR 972<strong>07</strong>-1400 WENT OUT OF BUSINESS IN 2000<br />

K89 BIAW HEALTH INSURANCE 15375 SOUTHEAST 30TH PLACE SUITE 380 BELLEVUE, WA 980<strong>07</strong> (800)545-7011<br />

HA0 BIG SKY COLONY 1657 MERIWETHER CUT BANK, MT 59427 (406) 336-3690<br />

N08 BIG SKY INSURANCE SERVICES# 221 COTTONWOOD GROVE GLENDIVE, MT 59330 (406) 365-6306 DO NOT USE-MR<br />

HA1 BIG STONE COLONY P O BOX 70 SAND COULEE, MT 59472 (406) 736-5401<br />

HA2 BIRCH CREEK COLONY P O BOX 246 VALIER, MT 59486 (406) 279-3586 DO NOT USE-MR<br />

G70 BLACK GOULD & ASSOC P O BOX 36858 PHOENIX, AZ 85067-6858 (800) 4<strong>07</strong>-0376<br />

J77 BLUE CARE NETWORK 1401 S CREYTS RD LANSING, MI 48917 (517) 322-4000<br />

K68 BLUE CARE NETWORK 25925 TELEGRAPH ROAD P O BOX 5043 SOUTHFIELD, MI 48086-5043<br />

D27 BLUE CARE NETWORK-GT LK 611 CASCADE WEST PKWY SE GRAND RAPIDS, MI 49546 (616) 957-5057 800-344-8525<br />

AL5 BLUE CROSS P O BOX 91131 SEATTLE, WA 98111<br />

P21 BLUE CROSS OF CA 2000 CORPORATE CENTER DR NEWBURY PARK, CA 91320<br />

P93 BLUE CROSS OF CALIFORNIA CENTRAL VALLEY TRUST P O BOX 1190 RANCHO CORDOVA, CA 95741-1190 (559) 276-<strong>07</strong>66<br />

E14 BLUE CROSS OF CALIFORNIA P O BOX 9<strong>07</strong>1 OXNARD, CA 93031-9<strong>07</strong>1 (800) 333-0912<br />

M10 BLUE CROSS OF CALIFORNIA P O BOX 9043 OXNARD, CA 93031-9043 (800) 333-3883<br />

465 BLUE CROSS OF CALIFORNIA CALIFORNIA CARE MEMBER P O BOX 4152 WOODLAND HILLS, CA 91365 (800) 627-8797<br />

PHONE NUMBER IS ALSO A FAX BACK NUMBER<br />

MR-UTF 12/5/2006<br />

R94 BLUE CROSS OF CALIFORNIA P O BOX 70000 VAN NUYS, CA 91499-4252 (800) 676-2583<br />

B22 BLUE CROSS OF CALIFORNIA P O BOX 3190 RANCHO CORDOVA, CA 95741 (800) 999-3643<br />

K50 BLUE CROSS OF CALIFORNIA P O BOX 600<strong>07</strong> LOS ANGELES, CA 90060-00<strong>07</strong> (877) 737-7776 ABOVE IS ALSO FAXBACK #<br />

medicaid call number for verification 800-627-1188<br />

bcidaho.com<br />

517 BLUE CROSS OF IDAHO P O BOX 7408 BOISE, ID 837<strong>07</strong> (800) 627-6655 benefits to be obtained from website<br />

526 BLUE CROSS OF LOUISIANA P O BOX 15699 BATON ROUGE, LA 70895 RETURNED MAIL 11/10/98-NO FORWARD ADDRESS LR<br />

800-634-3569<br />

001 BLUE CROSS OF MONTANA 3360 10TH AVE S P O BOX 5004 GREAT FALLS, MT 59403<br />

FEDERAL POLICIES ONLY<br />

508 BLUE CROSS OF NORTHERN CALIFORNIA 2101 WEBSTER ST OAKLAND, CA 94659 (800) 999-3643<br />

D26 BLUE CROSS OF NORTHERN CA P O BOX 9061 OXNARD, CA 93031 (805) 487-9970<br />

546 BLUE CROSS OF OHIO IN NORTHEAST 2066 EAST NINTH ST CLEVELAND, OH 44115 (800) 822-1152<br />

548 BLUE CROSS OF OHIO IN NORTHWEST P O BOX 943 TOLEDO, OH 43656<br />

543 BLUE CROSS OF OHIO-CANTON P O BOX 8590 CANTON, OH 44711 DO NOT USE-MR<br />

B14 BLUE CROSS OF PA WESTINGHOUSE ADMIN UNIT P O BOX 919 PITTSBURGH, PA 15230 (800) 242-1740<br />

H81 BLUE CROSS OF PUERTO RICO# 383 AVE SE ROOSEVELT SAN JUAN, PR 00918 (800) 314-3121<br />

5<strong>07</strong> BLUE CROSS OF SOUTHERN CA P O BOX 5555 OXNARD, CA 93031-5555<br />

F06 BLUE CROSS OF WA & ALASKA P O BOX 91080 SEATTLE, WA 98111-9180 (800) 345-6784<br />

752 BLUE CROSS OF WA/AK (NON-CHAMPUS) P O BOX 91010 SEATTLE, WA 98111 (800) 345-6784<br />

DO NOT USE - USE J35<br />

555 BLUE CROSS OF WESTERN PENNSYLVANIA P O BOX 3355 PITTSBURGH, PA 15230 (800) 829-1918<br />

523 BLUE CROSS OF WESTERN# IOWA AND SOUTH DAKOTA P O BOX 1677 SIOUX CITY, IA 51102 (712) 277-3081 DO NOT USE - USE 560<br />

W77 BLUE CROSS# FORMULA CORP 3265 NORTHWOOD CIRCLE #17EAGAN, MN 55121 DO NOT USE-ADDRESS IS FOR THE EMPLOYER<br />

552 BLUE CROSS/PENNSYLVANIA CAPITAL BLUE CROSS HARRISBURG, PA 17177 (610) 437-9085<br />

557 BLUE CROSS/PENNSYLVANIA NORTHEASTERN 70 NORTH MAIN ST WILKES-BARRE, PA 18711 (717) 829-6011 717-829-6011 NO GOOD<br />

E87 BLUE CROSS\BLUE SHIELD OF LA FEDERAL EMPLOYEE PROGRAM P O BOX 98029 BATON ROUGE, LA 70898-9029<br />

N80 BLUE LINCS 1400 S BOSTON P O BOX 21128 TULSA, OK 74121 (918)592-9452<br />

560 BLUE SHIELD NORTH DAKOTA 4510 13TH AVE SW FARGO, ND 58121-0001 (800) 676-2583<br />

D74 BLUE SHIELD OF CA UNIVERSITY OF CAL-DAVIS P O BOX 10540 GRASS VALLEY, CA 95945-4440 (800) 334-9849<br />

509 BLUE SHIELD OF CA SERVICE CENTER P O BOX 272530 CHICO, CA 95927-2530 (800) 444-2595<br />

V63 BLUE SHIELD OF CA FILE 85331 LOS ANGELES, CA 90<strong>07</strong>4 (800) 444-2595<br />

H67 BLUE SHIELD OF CA P O BOX 1505 RED BLUFF, CA 96080-1505 (800) 444-2595<br />

V56 BLUE SHIELD OF CA 3400 CENTRAL AVE STE 300 RIVERSIDE, CA 92506<br />

B35 BLUE SHIELD OF CA P O BOX 3308 SONORA, CA 95370-3308<br />

284 BLUE SHIELD OF CALIFORNIA P O BOX 272540 CHICO, CA 95927-2540 (800) 444-1409<br />

A63 BLUE SHIELD OF CALIFORNIA P O BOX 272570 CHICO, CA 95927-2570 (800) 622-0632<br />

D41 BLUE SHIELD OF CALIFORNIA P O BOX 3637 SAN FRANCISCO, CA 94119<br />

E41 BLUE SHIELD OF CALIFORNIA# P O BOX 769014 WOODLAND, CA 95776 (800) 358-9556 DO NOT USE-MR<br />

T04 BLUE SHIELD OF CALIFORNIA# P O BOX 639013 FOLSOM, CA 95763-9013 (800) 431-2809 DO NOT USE-MR<br />

12/06/00 VERIF SENT OUT<br />

516 BLUE SHIELD OF HAWAII P O BOX 860 HONOLULU, HI 96808 (808) 942-1111 PHONE DISCONNECTED<br />

T13 BLUE SHIELD OF IDAHO 3000 PINE MERIDIAN, ID 83642<br />

533 BLUE SHIELD OF NEVADA P O BOX 10330 RENO, NV 89520 (800) 992-69<strong>07</strong> NO LONGER PROCESSES CLAIMS<br />

906 BLUE SHIELD OF PUERTO RICO CARREO GENEAL APRT 3628 SAN JUAN, PR 00936<br />

553 BLUE SHIELD/PENNSYLVANIA P O BOX 890062 CAMPHILL, PA 17089 (800) 345-3806<br />

R20 BLUE SHIELD-CALIFORNIA SANTA CRUZ CLAIMS 2880 SOQUEL AVE STE 1 SANTA CRUZ, CA 95062

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!