MultiPlan Products Claims filing deadline Authorizations/ Precertification Provider Relations Medical Services Website National PPO 60 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. http://www.multiplan.com 2/7/2003
21st Century Health & Benefits Inc Cherry Hill NJ Administrative Concepts Inc Wayne PA Administrators and Consultants Ltd Lancaster PA Aetna Health Plans Middletown CT AFTRA Health & Retirement Fund New York NY Agva Welfare Trust Fund New York NY Allen J Flood Companies Inc Larchmont NY Allied Trades Council Health Fund Englewood Cliff NJ Allied Trades Council Health Fund Englewood Cliff NJ Allied Trust Fund Englewood Cliff NJ ALTA Services Hamilton NJ Amalgamated Life Insurance Co New York NY Amalgamated Workers of N Amer Welf Fund Yonkers NY American Healthcare Group Pittsburgh PA American Medical & Life Ins Co Hicksville NY American Special Risk Management Moorestown NJ AmeriFlex LLC Cherry Hill NJ AmeriHealth Admin Horsham PA AON Select Horsham PA APA Partners Latham NY Associated Plan Administrators Hamden CT Atlanticare Administrators Inc Hammonton NJ Atlantis Health Plan New York NY BABB Pittsburgh PA BAC Local One NY Bricklayers Fund Rego Park NY Basil Castrovinci Associates Inc Jersey City NJ Benefit Coordinators Corp Pittsburgh PA Benefit Services of PA Philadelphia PA Benetech Claim Tech Latham NY Best Health Solutions Orange CT Board of Pensions Presbyterian Church Philadelphia PA Brokerage Concepts Inc King Of Prussia PA C & C Claims Service Inc Englewood Cliffs NJ Capital District Physicians Health Plan Albany NY Page 1 of 6
Cement and Concrete Workers Welfare Fund Flushing NY Central PA Teamsters Hlth & Welfare Fund Wyomissing PA Chickering Claims Administrators Inc Cambridge MA Churchill Administrators Englewood Cliffs NJ Citizens Health LLC Boston MA Combined Welfare Fund Glendale NY Commercial Travelers Mutual Ins Co Utica NY Comprehensive Benefits Melville NY Comprehensive Benefits Admin Inc South Burlington VT Connecticare Inc & Affiliates Farmington CT Connecticut Group Health Insurance Company Essex CT Consolidated Claims Services Cherry Hill NJ Consolidated Claims Services Cherry Hill NJ Consolidated Health Plans Inc Springfield MA Continental Casualty Company Melville NY CoreSource Lancaster PA Crossroads Healthcare Management LLC Staten Island NY D C 1707 Health & Benefit Fund New York NY D H Evans & Associates Inc Harrisburg PA Daniel Cook Associates New York NY Dayton T Brown Inc Bohemia NY Dickinson Webber Garden City NY District 5 Health & Welfare Fund Plan II New York NY Diversified Admin Marlborough CT Eastern Benefit Systems Inc East Orange NJ EBS East Orange NJ Employee Benefit Solutions Wilton CT Erin Group Administrators Inc Lancaster PA Fallon Community Health Plan Worcester MA Frank J Siracusa & Son Atlantic City NJ GAB/ITS New York NY Page 2 of 6
Geisinger Health Plan Danville PA Gem Group Pittsburgh PA Gettysburg Health Administrators Gettysburg PA Group Health Incorporated New York NY Group Insurance Service Center Inc Marshfield MA Guardian NEW YORK New York NY Harvard Pilgrim Health Plan Brookline MA Health Care Payors Coalition Edison NJ Health Choice Inc Newton NJ Health Economics Group Inc Rochester NY Health Insurance Plan of Greater NY New York NY Health Network America Inc W Long Branch NJ Health New England Springfield MA Health Source Massachusetts Worcester MA Health Systems Technology Hanover PA Healthsource Maine Inc Freeport ME Healthsource New Hampshire Inc Concord NH Hollow Metal Trust Fund Jamaica NY Horizon Healthcare Newark NJ Horizon Healthcare of New York New York NY I E Shaffer & Co West Trenton NJ Independent Health Assoc Inc Buffalo NY Insurance Administrator Mt. Laura NJ Insurance Design Administrator Oakland NJ International Benefit Administrators LLC Garden City NY International SOS Assistance Inc Philadelphia PA Intl Educational Exchange Services Ithaca NY IUOE Local 25 Marine Div Med Plan Monroe Township NJ J C Seifts & Co dba Foundation for Advancement of Legislative R Poughkeepsie NY Life Benefit Plan Brooklyn NY Local 1115 Welfare Trust Fund Westbury NY Local 1199 National Benefit Fund New York NY Local 1205 IBT Welfare Fund Farmingdale NY Local 1430 Welfare Fund North Whte Plains NY Page 3 of 6
Local 174 UFCW WELFARE FUND New York NY Local 1964 I L A Health and Insurance Fu Ridgefield Park NJ Local 1D Wine & Liquor Distillers Fund Brooklyn NY Local 282 Welfare Trust Fund Lake Success NY Local 29 Welfare Fund Astoria NY Local 298 Valley Stream NY Local 338 Welfare Fund Rego Park NY Local 413 welfare Trust Fund Brooklyn NY Local 464A UFCW Welfare Fund Neversink NY Local 475 Steamfitters Welfare Fund Warren NJ Local 475 Steamfitters Welfare Fund Warren NJ Local 707 Welfare Fund Hempstead NY Local 723 I B T Welfare Fund Montville NJ Local 723 I B T Welfare Fund Montville NJ Local 734 L I U of N A Rochelle Park NJ Local 8 Roofers Welfare Fund Brooklyn NY Loomis Companies Wyomissing PA Machigonne Benefit Administrators Portland ME Maher Terminals Inc Berkley NJ Maksin Management Corporation Tennsauken NJ Maksin Management Corporation Pennsauken NJ Maloney Associates Inc Lynbrook NY Managed Care of America Pittsburgh PA Managed Health Inc DBA Health First New York NY Mashantucket Pequot Tribal Nation Ledyard CT Maxon Company Neversink NY MDNY HealthCare Melville NY MedAdmin Solutions Atlanta NY MedSave USA Inc Garden City NY Montgomery Management Corporation Blue Bell PA Morrison Manage Care & Associates Livingston NJ Mosaic & Terrazo Welfare Fund Valley Stream NY Mutual Association Administrators Huntington NY N O I T U Insurance Trust Fund Jamaica NY Page 4 of 6
National Benefit Administrators Inc Parsippany NJ National Health Administrators Inc Peekskill NY NCAS Pennsylvania Lemoyne PA New York Bus Service Bronx NY North American Health Plans Inc Amherst NY Northern General Services South Portland ME NOVA Healthcare Administrators Grand Island NY NPPN Middletown NY NylCare Health Plans of New York East Elmhurst NY Oasis Health Care Jersey City NJ On Call International Salem NH Oxford Health Plans Trumbull CT Pioneer Mgmnt Systems Inc Holyoke MA Pointers Cleaners & Caulkers Welfare Fund Local 66 Rego Park NY POMCO Syracuse NY Preferred Care Rochester NY Preferred Care Inc Trevose PA Prime Benefits Inc Ambler PA Profile Commercial Corporation Ronkonkoma NY QualCare Preferred Providers Piscataway NJ Quantum Care Inc Woodbury NJ Rapp & Company Haddonfield NJ Self Funded Services Inc Ocean City NJ Service Employees International Union Long Island City NY SIEBA Ltd Endicott NY Social Security Fund UFCW Intl Englewood NJ South Central Preferred York PA Spectrum Administrators Inc Allentown PA St Lawrence Lewis Cnty School Dist Emp Richville NY Starline USA E Falmouth MA Stirling & Stirling Milford CT Storeworkers Security Plan New York NY Sun Life Assurance Company of Canada Wellesley Hills MA Page 5 of 6
Syntonic Systems Inc New York NY T R Paul Inc Newtown CT TMCA New York NY Tri-Union Health Fund Westbury NY Two River Benefits Consultants Shrewsbury NJ Two River Benefits Consultants Shrewsbury NJ U S Life Insurance Company Neptune NJ UltraBenefits Inc Worcester MA Union Administrator East Hanover NJ United Food & Commercial Workers L1245 Montville NJ United Food & Commercial Workers L1245 Montville NJ United Health and Welfare Fund Bronx NY United Optical Workers Insurance Fund New York NY Upstate Administrative Svcs Syracuse NY UPWU Local 17-18 Brooklyn NY US Family Health Plan New York NY Vytra Health Plans Melville NY WellCare of Connecticut Inc Newburgh NY Page 6 of 6