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1 Health Care VALUE Management Products Claims filing deadline Authorizations/ Precertification Provider Relations Medical Services Website National PPO 180 days Services requiring authorization may vary by client. Call the phone number on the member s ID card for prior authorization requirements. Will vary depending on client. Call number on member s ID card. Will vary depending on client. Call number on member s ID card. 2/7/2003
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6 Acordia National, Inc Virginia Street P.O Box 3262 (800) (800) (800) Charlestown, WV Advanced Benefit Resources P.O. Box 350 (866) (866) (800) Woodbury, NY AIG (American International Group) P.O. Box (800) (800) (800) Wilmington, DE Ameriben Solutions P.O. Box 7186 (800) (800) (800) Boise, ID American Benefit Administrative Services, Inc Park Street (800) (800) (800) Suite #300 Naperville, IL American Healthcare Alliance P.O. Box 8530 (800) (800) (800) Kansas City, MO American National Insurance Company P.O. Box 1790 (800) (800) (800) Galveston, TX American Trust Administrators PO Box 87 (800) (800) (800) Shawnee Mission, KS /02/ of 12
7 AmeriHealth Administrators 720 Blair Mill Road (800) (800) (800) Horsham, PA Associated Plan Administrators P.O. Box 1100 (800) (800) (800) Beattyville, KY Atlantic Administrators Beaver St. (800) (800) (800) Waltham, MA BeneFirst, LLC Plain Street (877) (877) (877) Marshfield, MA Benefit Concepts/Brokerage Concepts P.O. Box C (800) (800) (800) Warminster, PA Benefit Planners P.O. Box (866) (866) (866) San Antonio, TX Benesight P.O. Box 370 (800) (800) (800) Pueblo, CO /02/ of 12
8 Boston Plasters' & Cement Masons' Local 534 Seven Frederika Street (617) (617) (800) Benefits Office Boston, MA Business Administrators & Consultants 6331 East Livingston Avenue (800) (800) (800) Reynoldsburg, OH CAM Administrative Service Northwestern Highway Suite 700 (800) (800) (800) Southfield, MI Canadian Medical Network East Beaver Creek Road Richmond Hill See Patient Identification Card Ontario, L4B2N Canada CBA-VT/Comprehensive Benefit Admin Bowdoin Street PO Box 2365 (800) (800) (800) South Burlington, VT CBCA/USI Administrators P.O. Box 1326 (800) (800) (800) Fort Worth, TX Chesapeake Ins/Soho America/MidWest National59224 PO Box (800) (800) (800) North Richland Hills, TX /02/ of 12
9 Christian Brothers Religious Medical / CBRMP Windham Parkway (800) (800) (800) Romeoville, IL Consolidated Health Plans 195 Stafford Street (800) (800) (800) Springfield, MA Core Management Resources Group, Inc P.O. Box 90 (888) (888) (888) Macon, GA CoreSource-Lancaster,PA PO Box (800) (800) (800) Lancaster, PA CTI Administrators, Inc Court Avenue Suite 306 (800) (800) (800) Des Moines, IA Definity Health P.O. Box 9525 (866) (866) (866) Amherst, NY Diversified Administration Corporation / DAC PO Box 299 (888) (888) (800) Marlborough, CT Eastern Benefit Systems 200 Freeway Drive (800) (800) (800) East Orange, NJ /02/ of 12
10 EBPA P.O. Box 2000 (800) (800) (800) Exeter, NH EBS/Employee Benefit Solutions,LLC 47 Old Ridgefield Road (877) (877) (800) Wilton, CT Employee Benefit Strategies, LLC (EBS,MI) 229 East Michigan Ave. (800) (800) (800) Suite #235 Kalamazoo, MI Fortis Healthcare PO Box 3131 (800) (800) (800) Milwaukee, WI Gallagher Benefit Admin P.O. Box (800) (800) (800) San Antonio, TX GE Group Administrators (GEGA)/Phoenix P.O. Box (800) (800) (800) Arlington, TX GISC/Group Insurance Service Center P.O. Box 9120 (800) (800) (800) Marshfield, MA Group Administrators, LTD North Roselle Road (866) (866) (800) Schaumburg, IL /02/ of 12
11 Health Claim Services, Inc South Military Trail (800) (800) (800) Deerfield Beach, FL Health Plans Inc P.O. Box 5199 (800) (800) (866) Westborough, MA IAA / Insurance Administrator of America, Inc P.O. Box 5082 (888) (888) (888) Mount Laurel, NJ IBEW Local # Freeport Street (617) (617) (800) nd Floor Dorchester, MA IBEW Local # PO Box 271 (877) (877) (800) Pierce Street Dover, NH Internat'l Union of Operating Engineers # P.O. Box 4 (888) (888) (800) Lexington, MA Iron-Clad (Iron Workers D.C. of New England) 161 Granite Avenue (866) (866) (800) Dorchester, MA J.F. Molloy & Associates, Inc Principle Life Insurance Co. P.O. Box (800) (800) (800) Colorado Springs, CO /02/ of 12
12 John T. Riley Insurance/American Mgt Advisors P.O. Box 356 (800) (800) (800) West Boylston, MA Klais & Company W Market Street (800) (800) (800) Akron, OH London Health Admin./Stop & Shop Commercial Way (800) (800) (800) East Providence, RI Loomis Company/Health Administrators, Inc. P.O. Box 7011 (800) (800) (800) Wyomissing, PA Machigonne Benefit Administrators (MBA) P.O. Box 3859 (800) (800) (800) Portland, ME Massachusetts Bricklayers & Masons Trust Fund 645 Morrissey Blvd. (617) (617) (800) Dorchester, MA Massachusetts Laborers H & W Fund 14 New England Executive Park (800) (800) (800) Suite 200 Burlington, MA /02/ of 12
13 Massachusetts State Carpenters P.O. Box 7075 Wilmington, MA (800) (800) (800) MED TAC PO Box 9110 (800) (800) (800) Newtonville, MA Medical Benefits Administrators (MBA) of 3103 Emmerton Road (800) (888) (800) Maryland, Inc. Abingdon, MD Medical Claims Service, Inc One Wall Street (888) (888) (888) Ravenswood, WV Mega Life Ins./PFL/NASE P.O. Box (888) (800) (800) North Richland Hills, TX MEGA Life-Student Health Insurance PO Box (800) (800) (800) Dallas, TX MHF Insurance Administrators, Inc. P.O. Box (800) (800) (800) Jacksonville, FL /02/ of 12
14 Mid South Administrative Group, LLC P.O. Box 3080 Cordova, TN (800) (800) (800) Mid West National Life Insurance Co P.O. Box (800) (800) (800) North Richland Hills, TX Mountain States Administrative Services P.O. Box (800) (800) (800) Phoenix, AZ MVPPO/Integrated Healthcare Solutions, LLC Grand National Drive Suite 104 (800) (800) (800) Orlando, FL NE Electrical Workers/Insurance Programmers P.O. Box 5817 (800) (800) (800) North Main Street Wallingford, CT New Bedford Fishermen's Welfare Fund P.O. Box 380 (508) (800) (800) Piney Point, MD NGS American P.O. Box 7676 (877) (877) (800) Saint Clair Shores, MI North American Administrators / NAHP PO Box 9501 (800) (800) (800) Amherst, NY /02/ of 12
15 PAI/Patient Advocates,LLC P.O. Box 8236 Portland, ME (800) (800) (800) Painters District Council # Colgate Road (617) (617) (800) Suite 204 Roslindale, MA Paradigm Care Plans/ Hub Folding Box P.O. Box 1268 (800) (800) (800) Tifton, GA Performax/BCI P.O. Box (888) (888) (888) King of Prussia, PA Performax/NAA P.O. Box 1065 (877) (877) (800) Amherst, NY Pioneer Management Systems PO Box 6600 (800) (800) (800) Holyoke, MA Plumbers & Steamfitters Local # 131 Insurance Programmers, Inc. (800) (800) (800) PO Box 5827 Wallingford, CT Primary PhysicianCare, Inc P.O. Box (800) (800) (800) Charlotte, NC /02/ of 12
16 Principal Financial Group CCN Managed Care P.O. Box 5319 (800) (800) (800) Tampa, FL S&S Healthcare Strategies, LTD P.O. Box (888) (888) (888) Cincinnati, OH Shaws&Star Markets/UFCW National H&W Fund P.O. Box 751 (888) (888) (800) Englewood, NJ Stirling & Stirling 20 Armory Lane (800) (800) (800) Milford, CT SunMed International N.W. 88th Court Suite 201 (888) (888) (888) Miami, FL Superien Health Network/Chandler Group Darrow Road Suite 2400 (800) (800) (800) Stow, OH Teamsters Local # 59 Ullicare (877) (877) (800) P.O. Box Norristown, PA /02/ of 12
17 TR Paul Group Services, Inc Commerce Road (800) (800) (800) Newtown, CT UltraBenefits, Inc. P.O. Box 763 (866) (866) (866) Westborough, MA UMR/United Medical Resources P.O. Box (800) (800) (800) Cincinnati, OH Union Labor Life Insurance Co P.O. Box (877) (877) (877) King of Prussia, PA Upstate Administrative Services, Inc. P.O. Box 6589 (800) (800) (800) Syracuse, NY Willis of Kansas, Inc.(Fiserv Health-Kansas) P.O. Box West Douglas Ave. - 8th Flr. (800) (800) (800) Wichita, KS /02/ of 12
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AK - Anchorage 93.0% 90.9% -210-2.2% $1,035 $1,018-1.7% 93.0% 90.9% -210-2.2% $1,035 $1,018-1.7% AK - Misc. AK 90.3% 86.8% -350-3.8% $1,218 $1,245 2.3% 90.3% 86.8% -350-3.8% $1,218 $1,245 2.3% Alaska Average
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