The First Health Network Outpatient Care Network DISTRICT ... · FCE BENEFIT ADMINISTRATORS (800)...

PAYOR NAME

DISTRICT OF COLUMBIA Comprehensive Client List

Billing / Claims Submission

Eligibility/ Benefits/ Compensability

UM/Pre-Certification and/or Referral Management Billing/Claims

The First Health® Network Outpatient Care Network

SELECT BENEFIT ADMINISTRATORS, INC.(800) 397-0427

SELECT BENEFIT ADMINISTRATORS, INC.

66 FEDERAL CREDIT UNIONAffiliated With: SELECT BENEFIT ADMINISTRATORS, INC.

Fund No:PlanType: Group Health

SELECT BENEFIT ADMINISTRATORS, INC.(800) 397-0427

SELECT BENEFIT ADMINISTRATORS, INC.3001 Westown Pkwy.WEST DES MOINES IA 50266

BUTLER BENEFIT SERVICES(563) 327-2240

CHECK BENEFIT CARDA & D MANAGEMENT CO INCAffiliated With: SISCO/Cottingham & Butler


BUTLER BENEFIT SERVICES(563) 327-2240

BUTLER BENEFIT SERVICESPO Box 3310Davenport IA 52808-3310

THE LOOMIS COMPANY(866) 663-2365

CHECK BENEFIT CARDA C HOUSTON LUMBERAffiliated With: THE LOOMIS COMPANY



THE LOOMIS COMPANY850 N PARK RDWYOMISSING PA 19610


UM NOT APPLICABLEA C HOUSTON LUMBERAffiliated With: THE LOOMIS COMPANY



THE LOOMIS COMPANYPO Box 7011WYOMISSING PA 19610-6011

CHECK BENEFIT CARD CHECK BENEFIT CARDA G ADMINISTRATORSAffiliated With: A G ADMINISTRATORS


CHECK BENEFIT CARD CHECK BENEFIT CARD

Info as of 12/27/2007

www.firsthealth.com

For further information, contact Provider Relations at (800) 937-6824

Page CCL DC-1• Patients using benefit cards with any AFFORDABLE logo should be recognized as having access to The First Health® Network. • * Indicates payor information has been revised since the last reporting period. • Providers may not be eligible for participation in certain Coventry or First Health network products due to client requirements or restrictions. Patient eligibility, benefits and compensability coverage MUST be confirmed by calling the telephone numbers and/or employer indicated under the "Eligibility/Benefits/Compensability" section.

PAYOR NAME






DELTA HEALTH SYSTEMS(209) 939-3403

DELTA TEAM CARE(800) 336-0123

A L GILBERT COMPANYAffiliated With: DELTA HEALTH SYSTEMS



DELTA HEALTH SYSTEMS1234 W OAK STSTOCKTON CA 95201

AMERA-NET(517) 631-3469

AMERA-NETA&G/AMERA-NETAffiliated With: AMERA-NET


AMERA-NET(517) 631-3469

AMERA-NET2805 Dallas Pkwy STE 140PLANO TX 75093

American Administrative Group Inc.(800) 221-4582

CHECK BENEFIT CARDA1 COPELAND INVESTMENTSAffiliated With: AMERICAN ADMINISTRATIVE GROUP


American Administrative Group Inc.(800) 221-4582

American Administrative Group Inc.PO Box 93670LUBBOCK TX 79493-3670

CHECK BENEFIT CARD CHECK BENEFIT CARDABACUS PROJECT MANAGEMENT INC

Affiliated With: ADVANCED BENEFIT SOLUTIONS LLC



EBMC(614) 766-5800

CHECK BENEFIT CARDABETIC CORPORATIONAffiliated With: EMPLOYEE BENEFIT MANAGEMENT CORP


EBMC(614) 766-5800

EBMC4789 Rings RdDublin OH 43017-1599

Info as of 12/27/2007

www.firsthealth.com



PAYOR NAME






GROUP INSURANCE SERVICE CENTER(800) 242-4472

GISC TOTALCARE(866) 598-3973

ABFB CORPORATION DBA THE WHITE MARKET

Affiliated With: GROUP INSURANCE SERVICE CENTER


GROUP INSURANCE SERVICE CENTER(800) 242-4472

GROUP INSURANCE SERVICE CENTER20 WINTER STPEMBROKE MA 02359

PEARCE ADMINISTRATION(843) 622-6001

CHECK BENEFIT CARDABRAHAM BALDWIN AGRICULTURAL COLLEGE AIH0057867

Affiliated With: MAKSIN MANAGEMENT CORP #14005



PEARCE ADMINISTRATIONPO Box 2271Florence SC 29503


CHECK BENEFIT CARDABRAHAM BALDWIN AGRICULTURAL COLLEGE AIH0057877

Affiliated With: MAKSIN MANAGEMENT CORP #14005





UM NOT APPLICABLEABRAHAM BALDWIN AGRICULTURAL COLLEGE UNDERGRAD MANDATORY

Affiliated With: MAKSIN MANAGEMENT CORP



PEARCE ADMINISTRATION

419 S. COIT STFLORENCE SC 29501

Attn: WHIT WALTERS

Info as of 12/27/2007

www.firsthealth.com



PAYOR NAME






ASSURECARE(800) 968-6616

CARELINE(763) 383-4800

ABTREX INDUSTRIESAffiliated With: ASSURECARE



ASSURECARE4040 HUNSAKER STE 110LANSING MI 38823

CHECK BENEFIT CARD CHECK BENEFIT CARDACADEMY OF ART COLLEGEAffiliated With: ADMINISTRATIVE CONCEPTS INC



PREFERRED CARE, INC.(215) 639-6208

PREFERRED CARE, INC.ACCESSAffiliated With: PREFERRED CARE


PREFERRED CARE, INC.(215) 639-6208

PREFERRED CARE, INC.6 Neshaminy Interplex #205TREVOSE PA 19053

NHBC(888) 621-7900

CHECK BENEFIT CARDACCESS ADMINISTRATORS , INCAffiliated With: NATIONAL HEALTH BENEFITS CORPORATION (NHBC)


NHBC(888) 621-7900

NHBC8990 E. Raintree Dr.Scottsdale AZ 85260


DELTA TEAM CARE(800) 356-2395

ACCESS NURSES INCAffiliated With: DELTA HEALTH SYSTEMS



DELTA HEALTH SYSTEMSPO Box 80Stockton CA 95201

Info as of 12/27/2007

www.firsthealth.com



PAYOR NAME






Accident Fund Insurance Company of America(517) 367-1771


Accident Fund Insurance Company of America

Affiliated With: ACCIDENT FUND OF AMERICA

Fund No:PlanType: Workers' Compensation


Accident Fund Insurance Company of America232 S Capitol AveLansing MI 48901-7990

American Administrative Group(800) 877-7474

First Health(800) 346-3220

ACCO ManagementAffiliated With: American Administrative Group


American Administrative Group(800) 877-7474

American Administrative GroupPO Box 93670LUBBOCK TX 79493-3670

P5 E HEALTH SERVICES, INC.(800) 397-3685

P5 PROVIDER REVIEW(200) 633-1988

ACCOR NORTH AMERICA, INC.Affiliated With: P5 E HEALTH SVCS, INC. (MOTEL 6 & RED ROOF INNS)


P5 E HEALTH SERVICES, INC.(800) 397-3685

P5 E HEALTH SERVICES, INC.2455 E. Parleys Way #300Salt Lake City UT 84109

TALL TREE ADMINISTRATORS(801) 274-8100

CORVEL(801) 269-8723

ACE DISPOSAL COMPANYAffiliated With: TALL TREE ADMINISTRATORS


TALL TREE ADMINISTRATORS(801) 274-8100

TALL TREE ADMINISTRATORS802 E WINCHESTER RD STE 205SALT LAKE CITY UT 84107

TRUE CHOICE USA(800) 785-2446

CHECK BENEFIT CARDACE INTERNATIONAL UNIVERSITY OF NORTH TEXAS

Affiliated With: ACADEMIC RISK MANAGEMENT

Term Effective: 8/31/2007Fund No:PlanType: Group Health

TRUE CHOICE USA(800) 785-2446

TRUE CHOICE USAPO Box 700307DALLAS TX 75370

Info as of 12/27/2007

www.firsthealth.com



PAYOR NAME






MUTUAL ASSURANCE ADMINISTRATORS(800) 825-3540

CHECK BENEFIT CARDACKERMAN MCQUEENAffiliated With: MUTUAL ASSURANCE ADMINISTRATORS



MUTUAL ASSURANCE ADMINISTRATORSPO Box 42096Oklahoma City OK 73123-3096

GLOBALCARE, INC. GLOBALCARE, INC.ACMGAffiliated With: GLOBALCARE, INC.


GLOBALCARE, INC. GLOBALCARE, INC.6875 Shiloh Rd EALPHARETTA GA 30005



ACROM PUBLISHINGAffiliated With: ASSURECARE



ASSURECARE1742 GEORGETOWN RD STE EHUDSON OH 44224

CHECK BENEFIT CARD CHECK BENEFIT CARDACS BENEFIT SERVICES INCAffiliated With: NATIONAL HEALTH BENEFITS COUNCIL



REWARDS ADMINISTRATION CENTER

HEALTH INTERNATIONAL

ACS HEALTH ADVANTAGE PLAN


HEALTH INTERNATIONAL REWARDS ADMINISTRATION CENTERPO Box 10219SCOTTSDALE AZ 85271

Info as of 12/27/2007

www.firsthealth.com



PAYOR NAME






CHECK BENEFIT CARD8002779476

CHECK BENEFIT CARDACTARISAffiliated With: CORPORATE BENEFITS SERVICE INC



CHECK BENEFIT CARD

CHECK BENEFIT CARD CHECK BENEFIT CARDActerna Corp Administrators, Inc.Affiliated With: Gallagher Benefit Administrators, Inc.



FCE BENEFIT ADMINISTRATORS(800) 899-9355

CHECK BENEFIT CARDADA S MCKINLEYAffiliated With: FCE BENEFIT ADMINISTRATORS INC #10388

*


FCE BENEFIT ADMINISTRATORS INC(800) 899-9355

FCE BENEFIT ADMINISTRATORS INC4615 WALZEN RD STE 300SAN ANTONIO TX 78218


CARELINE(763) 383-4800

ADAMS-REMCOAffiliated With: ASSURECARE



ASSURECARE4040 HUNSAKER STE 110LANSING MI 38823

FMH BENEFIT SERVICES INC(800) 990-9058

HCM(800) 990-9058

ADKNOWLEDGE, INCAffiliated With: FMH BENEFIT SERVICES, A DIVISION OF CORESOURCE


FMH BENEFIT SERVICES INC(800) 990-9058

FMH BENEFIT SERVICES INCPO Box 25946OVERLAND PARK KS 66225-5946

Info as of 12/27/2007

www.firsthealth.com



PAYOR NAME






MARSH ADVANTAGE AMERICA(800) 426-9786

CHECK BENEFIT CARDADVANCE AMERICA CASH ADVANCE

Affiliated With: MARSH ADVANTAGE AMERICA


MARSH ADVANTAGE AMERICA(800) 949-5945

MARSH ADVANTAGE AMERICAONE W. THIRD ST #900TULSA OK 74103

EBPA(800) 525-8788

CHECK BENEFIT CARDADVANCE MANUFACTURING COMPANY WRAP JMS

Affiliated With: COMPREHENSIVE BENEFIT ADMINISTRATORS INC (EBPA)


EBPA(802) 846-8060

EBPAPO Box 2365SOUTH BURLINGTON VT 05403


CHECK BENEFIT CARDADVANCED FINANCIAL TECHNOLOGY

Affiliated With: MUTUAL ASSURANCE ADMINISTRATORS




PITTMAN & ASSOCIATES, INC.(800) 238-1344

PITTMAN & ASSOCIATES, INC.

ADVANCED SERVICES, INC.Affiliated With: PITTMAN & ASSOCIATES, INC.



PITTMAN & ASSOCIATES, INC.PO Box 111047MEMPHIS TN 38111

Info as of 12/27/2007

www.firsthealth.com



PAYOR NAME







CHECK BENEFIT CARDADVANCED SYSTEMS TECHNOLOGY

Affiliated With: MUTUAL ASSURANCE ADMINISTRATORS




SIERRA HEALTH & LIFE/HEALTH PLAN OF NEVADA(702) 242-7700


ADVANSTAFFAffiliated With: SIERRA HEALTH & LIFE / HEALTH PLAN OF NEVADA



SIERRA HEALTH & LIFE/HEALTH PLAN OF NEVADAPO Box 15645LAS VEGAS NV 89114

SIERRA HEALTH & LIFE / HEALTH PLAN(702) 242-7700


ADVANSTAFF TRAVELAffiliated With: SIERRA HEALTH & LIFE / HEALTH PLAN OF NEVADA


SIERRA HEALTH & LIFE / HEALTH PLAN(702) 242-7700

SIERRA HEALTH & LIFE / HEALTH PLANPO Box 15645LAS VEGAS NV 89114

CONTACT EMPLOYER CONTACT EMPLOYERAdvantageAffiliated With: ADVANTAGE


CompIQ Corporation(800) 293-3131

CONTACT EMPLOYER

Attn:

CHECK BENEFIT CARD CHECK BENEFIT CARDAdvantage Consulting ServicesAffiliated With: ADVANTAGE CONSULTING SERVICES



Info as of 12/27/2007

www.firsthealth.com



PAYOR NAME






HEALTH PLAN INC(508) 752-2480

CARE MANAGEMENT SERVICES(866) 325-1550

ADVANTAGE GASES AND TOOLSAffiliated With: HEALTH PLANS, INC.


HEALTH PLAN INC(508) 752-2480

HEALTH PLAN INCPO Box 5199WESTBOROUGH MA 01581

ADVENTIST HEALTH SYSTEM WEST

CHECK BENEFIT CARDADVENTIST HEALTH SYSTEM / WEST-CORPORATE OFFICE

Affiliated With: ADVENTIST HEALTH SYSTEM/WEST


ADVENTIST HEALTH SYSTEM WEST

ADVENTIST HEALTH SYSTEM WESTPO Box 619031ROSEVILLE CA 95661-9002

ADVENTIST RISK MANAGEMENT, INC.(888) 276-4732

CHECK BENEFIT CARDADVENTIST RISK MANAGEMENT, INC.

Affiliated With: ADVENTIST RISK MANAGEMENT, INC.



ADVENTIST RISK MANAGEMENT, INC.PO Box 4759Silver Spring MD 20914


CHECK BENEFIT CARDADVENTSOURCEAffiliated With: ADVENTIST RISK MANAGEMENT, INC.



ADVENTIST RISK MANAGEMENT, INC.11291 Pierce St.RIVERSIDE CA 92515-8007

Advocate Case Management(405) 601-2498

CHECK BENEFIT CARDAdvocate Case ManagementAffiliated With: CompIQ


Advocate Case Management(405) 601-2498

Advocate Case Management809 S Agnew Ste HOklahoma City OK 73108

Info as of 12/27/2007

www.firsthealth.com



PAYOR NAME






PARAGON BENEFITS, INC.(703) 279-9218

AMERICAN HEALTH HOLDINGS(703) 279-9218

AEROTRON AIRPOWERAffiliated With: PARAGON BENEFITS INC


PARAGON BENEFITS, INC.(703) 279-9218

PARAGON BENEFITS, INC.PO Box 12288COLUMBUS GA 31917

AFFILIATED HEALTHCARE INC

CHECK BENEFIT CARDAFFILIATED HEALTH CARE INC - DIRECT PEPM BUSINESS

Affiliated With: AFFILIATED HEALTH CARE INC



AFFILIATED HEALTHCARE INC2 GREENWAY PLAZA STE 502HOUSTON TX 77046


CHECK BENEFIT CARDAFFILIATED HEALTHCARE INC - TRAVEL PEPM BUSINESS






Careline UR(763) 383-4800

AG SUPPLYAffiliated With: ASSURECARE



ASSURECARE1742 GEORGETOWN RD STE EHUDSON OH 44224


CHECK BENEFIT CARDAGIA INCAffiliated With: HEALTHCOMP ADMINISTRATORS INC



CHECK BENEFIT CARD

Info as of 12/27/2007

www.firsthealth.com



PAYOR NAME






EMPLOYEE BENEFIT ADMIN. & MGMT. (EBA&M)(714) 668-8920

HINES & ASSOCIATES(800) 528-2498

AGRI-CEL INCAffiliated With: EMPLOYEE BENEFITS ADMINISTRATION & MANAGEMENT


EMPLOYEE BENEFIT ADMIN. & MGMT. (EBA&M)(714) 668-8920

EMPLOYEE BENEFIT ADMIN. & MGMT. (EBA&M)PO Box 5079WESTLAKE VILLAGE CA 91359

CONSOCIATE, INC. C/O CCN(800) 798-2422

CHECK BENEFIT CARDAGRI-FAB, INC.Affiliated With: CONSOCIATE, INC.


CONSOCIATE, INC. C/O CCN(800) 798-2422

CONSOCIATE, INC. C/O CCNPO Box 3000SCOTTSDALE AZ 85271-3000

PRINCIPAL FINANCIAL GROUP(800) 533-5044

CHECK BENEFIT CARDAGUA CALIENTE BAND OF CAHUILLA INDIANS

Affiliated With: PRINCIPAL FINANCIAL GROUP



PRINCIPAL FINANCIAL GROUPPO Box 5319TAMPA FL 33675-5319

AFFILIATED HEALTHCARE INC(713) 914-3400

CHECK BENEFIT CARDAHI - BUNKIE GENERAL HOSPITALAffiliated With: AFFILIATED HEALTH CARE INC



AFFILIATED HEALTHCARE INC2 GREENWAY STE 502HOUSTON TX 77046



AHI - CHEM AIR INCAffiliated With: AFFILIATED HEALTH CARE INC




Info as of 12/27/2007

www.firsthealth.com



PAYOR NAME







CHECK BENEFIT CARDAHI - CITY OF OPELOUSASAffiliated With: AFFILIATED HEALTH CARE INC





CHECK BENEFIT CARDAHI - DEEP SOUTHAffiliated With: AFFILIATED HEALTH CARE INC




CHECK BENEFIT CARD CHECK BENEFIT CARDAHI - GRAY AND COMPANY, INCAffiliated With: AFFILIATED HEALTH CARE INC




CHECK BENEFIT CARDAHI - LOST HIGHWAYAffiliated With: AFFILIATED HEALTH CARE, INC.





CHECK BENEFIT CARDAHI - ST MARTIN PARISH SCHOOL BOARD





Info as of 12/27/2007

www.firsthealth.com



PAYOR NAME







CHECK BENEFIT CARDAHI - TEMBEC USAAffiliated With: AFFILIATED HEALTH CARE INC





CHECK BENEFIT CARDAHI ABBEVILLE GENERAL HOSPITAL





CHECK BENEFIT CARD AFFILIATED HEALTHCARE INC

AHI ADAMS DIST CO INCAffiliated With: AFFILIATED HEALTHCARE INC



CHECK BENEFIT CARD CHECK BENEFIT CARDAHI AIR EVAC EMSAffiliated With: AFFILIATED HEALTHCARE INC



CHECK BENEFIT CARD CHECK BENEFIT CARDAHI AMERICAN INSURANCE CO OF TEXAS




Info as of 12/27/2007

www.firsthealth.com



PAYOR NAME






CHECK BENEFIT CARD CHECK BENEFIT CARDAHI ARIZONA TRAILS INCAffiliated With: AFFILIATED HEALTHCARE INC



CHECK BENEFIT CARD CHECK BENEFIT CARDAHI ARKANSAS DENTAL ASSOCIATION




CHECK BENEFIT CARD CHECK BENEFIT CARDAHI ASBESTOS WORKERS LOCAL NO 53 WELFARE FUND




CHECK BENEFIT CARD CHECK BENEFIT CARDAHI BEAUREGARD MEMORIAL HOSPITAL

Affiliated With: AFFILIATED HEALTHCARE INC



AFFILIATED HEALTHCARE INC7139143400


AHI BOBCAT INCAffiliated With: AFFILIATED HEALTHCARE INC



AFFILIATED HEALTHCARE INC11200 WESTHEIMERHOUSTON TX 77042

Info as of 12/27/2007

www.firsthealth.com



PAYOR NAME






CHECK BENEFIT CARD CHECK BENEFIT CARDAHI CALCASIEU PARISH POLICE JURY AND THE PORT OF ST CHARLES




CHECK BENEFIT CARD CHECK BENEFIT CARDAHI CALVERT OIL COAffiliated With: AFFILIATED HEALTHCARE INC




CHECK BENEFIT CARDAHI CAMERON PARISH POLICE JURY

Affiliated With: AFFILIATED HEALTHCARE, INC




CHECK BENEFIT CARD CHECK BENEFIT CARDAHI CASE ASSOCIATESAffiliated With: AFFILIATED HEALTHCARE INC



CHECK BENEFIT CARD CHECK BENEFIT CARDAHI CHAMBERS LIBERTY COUNTIES NAVIGATION




Info as of 12/27/2007

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PAYOR NAME






CHECK BENEFIT CARD CHECK BENEFIT CARDAHI CHUGACH DEVELOPMENTAffiliated With: AFFILIATED HEALTHCARE INC




CHECK BENEFIT CARDAHI CITY OF MONROEAffiliated With: AFFILIATED HEALTH CARE INC




CHECK BENEFIT CARD CHECK BENEFIT CARDAHI CITY OF RUSTONAffiliated With: AFFILIATED HEALTHCARE INC



CHECK BENEFIT CARD CHECK BENEFIT CARDAHI CITY OF WEST MONROEAffiliated With: AFFILIATED HEALTHCARE INC




CHECK BENEFIT CARDAHI CLETEX TRUCKINGAffiliated With: AFFILIATED HEALTHCARE, INC.




Info as of 12/27/2007

www.firsthealth.com



PAYOR NAME






CHECK BENEFIT CARD CHECK BENEFIT CARDAHI COACH USAAffiliated With: AFFILIATED HEALTHCARE INC



CHECK BENEFIT CARD CHECK BENEFIT CARDAHI COLUMBIA LIGHTHOUSE FOR THE BLIND




CHECK BENEFIT CARD CHECK BENEFIT CARDAHI COMBINED UNDERWRITERSAffiliated With: AFFILIATED HEALTHCARE INC



CHECK BENEFIT CARD CHECK BENEFIT CARDAHI CRISTI CLEANING SERVICES LIMITED




CHECK BENEFIT CARD CHECK BENEFIT CARDAHI DATSAffiliated With: AFFILIATED HEALTHCARE INC



Info as of 12/27/2007

www.firsthealth.com



PAYOR NAME






CHECK BENEFIT CARD CHECK BENEFIT CARDAHI DUSTPRO INCAffiliated With: AFFILIATED HEALTHCARE INC



CHECK BENEFIT CARD CHECK BENEFIT CARDAHI ENERGY DYNAMICS INDUSTRIES INC




CHECK BENEFIT CARD CHECK BENEFIT CARDAHI FCE BENEFIT ADMINISTRATORS




CHECK BENEFIT CARD CHECK BENEFIT CARDAHI FEDERAL HOME PRODUCTSAffiliated With: AFFILIATED HEALTHCARE INC



CHECK BENEFIT CARD CHECK BENEFIT CARDAHI FLINT OIL CO INCAffiliated With: AFFILIATED HEALTHCARE INC



Info as of 12/27/2007

www.firsthealth.com



PAYOR NAME






CHECK BENEFIT CARD CHECK BENEFIT CARDAHI FRANK W MURPHY MANUFACTURE




CHECK BENEFIT CARD CHECK BENEFIT CARDAHI FREEDOM LIFE INSURANCE COMPANY




CHECK BENEFIT CARD CHECK BENEFIT CARDAHI GREENS PRESSURE TESTINGAffiliated With: AFFILIATED HEALTHCARE INC



CHECK BENEFIT CARD CHECK BENEFIT CARDAHI GROWERS OIL COAffiliated With: AFFILIATED HEALTHCARE INC



CHECK BENEFIT CARD CHECK BENEFIT CARDAHI GULF COAST ENTERPRISESAffiliated With: AFFILIATED HEALTHCARE INC



Info as of 12/27/2007

www.firsthealth.com



PAYOR NAME






CHECK BENEFIT CARD CHECK BENEFIT CARDAHI GULF COAST ENTERPRISES MAJOR




CHECK BENEFIT CARD CHECK BENEFIT CARDAHI HARRIS GALVESTON COASTAL SUBSIDENCE DIST




CHECK BENEFIT CARD CHECK BENEFIT CARDAHI HITNEY SOLAR PRODUCTSAffiliated With: AFFILIATED HEALTHCARE INC



CHECK BENEFIT CARD CHECK BENEFIT CARDAHI INDUSTRIAL INSULATION GROUP




CHECK BENEFIT CARD CHECK BENEFIT CARDAHI INDUSTRIAL SPECIALTY CONTRACTORS




Info as of 12/27/2007

www.firsthealth.com



PAYOR NAME






CHECK BENEFIT CARD CHECK BENEFIT CARDAHI INTERMOUNTAIN REFININGAffiliated With: AFFILIATED HEALTHCARE INC



CHECK BENEFIT CARD CHECK BENEFIT CARDAHI JOHN H CARTER CO INCAffiliated With: AFFILIATED HEALTHCARE INC



CHECK BENEFIT CARD CHECK BENEFIT CARDAHI JUDD AUTO SERVICEAffiliated With: AFFILIATED HEALTHCARE INC




CHECK BENEFIT CARDAHI K TEK LLCAffiliated With: AFFILIATED HEALTHCARE




CHECK BENEFIT CARD CHECK BENEFIT CARDAHI LAMB SERVICESAffiliated With: AFFILIATED HEALTHCARE INC



Info as of 12/27/2007

www.firsthealth.com



PAYOR NAME






CHECK BENEFIT CARD CHECK BENEFIT CARDAHI LIFE OF AMERICAAffiliated With: AFFILIATED HEALTHCARE INC



CHECK BENEFIT CARD CHECK BENEFIT CARDAHI LIFESHARE BLOOD CENTERAffiliated With: AFFILIATED HEALTHCARE INC





AHI LIVINGSTON PARISH SHERIFF'S OFFICE






CHECK BENEFIT CARDAHI M A PATOUT & SON LTDAffiliated With: AFFILIATED HEALTHCARE INC




CHECK BENEFIT CARD CHECK BENEFIT CARDAHI MATLOCK GAS AND EQUIPMENT CO




Info as of 12/27/2007

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PAYOR NAME







CHECK BENEFIT CARDAHI MCDONALD'S B. R. MANAGEMENT CO.





CHECK BENEFIT CARD CHECK BENEFIT CARDAHI MCNEECE BROS OILAffiliated With: AFFILIATED HEALTHCARE INC




CHECK BENEFIT CARDAHI METRO AVIATIONAffiliated With: AFFILIATED HEALTH CARE INC




CHECK BENEFIT CARD CHECK BENEFIT CARDAHI MISC KILLMERAffiliated With: AFFILIATED HEALTHCARE INC



CHECK BENEFIT CARD CHECK BENEFIT CARDAHI MMR GROUPAffiliated With: AFFILIATED HEALTHCARE INC



Info as of 12/27/2007

www.firsthealth.com



PAYOR NAME







CHECK BENEFIT CARDAHI NATCHITOCHES REGIONAL MEDICAL CENTER





CHECK BENEFIT CARD CHECK BENEFIT CARDAHI NATIONAL FOUNDATION LIFE INSURANCE COMPA




CHECK BENEFIT CARD CHECK BENEFIT CARDAHI NEIL CORPORATIONAffiliated With: AFFILIATED HEALTHCARE INC



CHECK BENEFIT CARD CHECK BENEFIT CARDAHI OUTDOOR CAP COMPANY INC




CHECK BENEFIT CARD CHECK BENEFIT CARDAHI PARKER OIL COAffiliated With: AFFILIATED HEALTHCARE INC



Info as of 12/27/2007

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PAYOR NAME






CHECK BENEFIT CARD CHECK BENEFIT CARDAHI PORT TERMINAL RAILROAD ASSOC EBPT





CHECK BENEFIT CARDAHI RACELAND RAW SUGAR CORP





CHECK BENEFIT CARD CHECK BENEFIT CARDAHI REPUBLIC AMERICAN LIFE INSURANCE CO




CHECK BENEFIT CARD CHECK BENEFIT CARDAHI SCHMELZIA OIL COMPANYAffiliated With: AFFILIATED HEALTHCARE INC



CHECK BENEFIT CARD CHECK BENEFIT CARDAHI SECURIGUARDAffiliated With: AFFILIATED HEALTHCARE INC



Info as of 12/27/2007

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PAYOR NAME






CHECK BENEFIT CARD CHECK BENEFIT CARDAHI SERVICE SOURCEAffiliated With: AFFILIATED HEALTHCARE INC




CHECK BENEFIT CARDAHI SHANNON HARDWARE COMPANY





CHECK BENEFIT CARD CHECK BENEFIT CARDAHI SHAY OIL COAffiliated With: AFFILIATED HEALTHCARE INC




CHECK BENEFIT CARDAHI SHEARMAN COMPANY, LLCAffiliated With: AFFILIATED HEALTHCARE, INC





CHECK BENEFIT CARDAHI SIA MANAGEMENTAffiliated With: AFFILIATED HEALTHCARE INC




Info as of 12/27/2007

www.firsthealth.com



PAYOR NAME








AHI ST JAMES PARISH SCHOOL BOARD






CHECK BENEFIT CARDAHI STAR SERVICESAffiliated With: AFFILIATED HEALTH CARE INC





CHECK BENEFIT CARDAHI STEIN LLCAffiliated With: AFFILIATED HEALTH CARE INC





CHECK BENEFIT CARDAHI STERLING SUGARS INCAffiliated With: AFFILIATE HEALTHCARE INC



LIFEWISE HEALTH PLAN OF OREGON2 GREENWAY STE 502HOUSTON TX 77046

CHECK BENEFIT CARD CHECK BENEFIT CARDAHI STULLER INCAffiliated With: AFFILIATED HEALTHCARE INC



Info as of 12/27/2007

www.firsthealth.com



PAYOR NAME






CHECK BENEFIT CARD CHECK BENEFIT CARDAHI SUN WEST CONTAINER COAffiliated With: AFFILIATED HEALTHCARE INC



CHECK BENEFIT CARD CHECK BENEFIT CARDAHI SUNBELT INDUSTRIESAffiliated With: AFFILIATED HEALTHCARE INC




CHECK BENEFIT CARDAHI THE NEUROMEDICAL CENTER INC





CHECK BENEFIT CARD CHECK BENEFIT CARDAHI TRIPLEX INCAffiliated With: AFFILIATED HEALTHCARE INC





AHI VALLENCOURT CONSTRUCTION COMPANY




AFFILIATED HEALTHCARE INC11200 WESTHEIMERHOUSTON TX 77042

Info as of 12/27/2007

www.firsthealth.com



PAYOR NAME







CHECK BENEFIT CARDAHI VERNON PARISH POLICE JURY





CHECK BENEFIT CARD CHECK BENEFIT CARDAHI VOCATIONAL GUIDANCE SERVICES




CHECK BENEFIT CARD CHECK BENEFIT CARDAHI VOCATIONAL TRAININGAffiliated With: AFFILIATED HEALTHCARE INC



CHECK BENEFIT CARD CHECK BENEFIT CARDAHI WEST CALCASIEU CAMERON HOSPITAL




CHECK BENEFIT CARD CHECK BENEFIT CARDAHI WILL STAFF WORLDWIDE INCAffiliated With: AFFILIATED HEALTHCARE INC



Info as of 12/27/2007

www.firsthealth.com



PAYOR NAME







CHECK BENEFIT CARDAHI-ABELL CORPORATIONAffiliated With: AFFILIATED HEALTH CARE INC





CHECK BENEFIT CARDAHI-AMITE FOUNDRY & MACHINE INC





CONTACT EMPLOYER CONTACT EMPLOYERAIG Claim Services IncAffiliated With: Genex Services, Inc.


CONTACT EMPLOYER CONTACT EMPLOYER

Attn:

CONTACT EMPLOYER CONTACT EMPLOYERAir Force TheAffiliated With: Genex Services, Inc.



Attn:

QUALIFIED BENEFIT SERVICES LLC(800) 853-3234

UM NOT APPLICABLEAIR TERMINAL INCAffiliated With: QUALIFIED BENEFIT SERVICES


QUALIFIED BENEFIT SERVICES LLC(800) 853-3234

QUALIFIED BENEFIT SERVICES LLCPO Box 5000SPRINGVILLE UT 84663

Info as of 12/27/2007

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PAYOR NAME






CONTACT EMPLOYER CONTACT EMPLOYERAirforce Insurance FundAffiliated With: Genex Services, Inc.



Attn:

DAN R. WAGNON & ASSOCIATES, INC.(800) 362-5894

DAN R. WAGNON & ASSOCIATES, INC.

AK-CHIN INDIAN COMMUNITY/FARMS

Affiliated With: DAN R. WAGNON & ASSOCIATES, INC.


DAN R. WAGNON & ASSOCIATES, INC.(800) 362-5894

DAN R. WAGNON & ASSOCIATES, INC.3825 N. 24th St.PHOENIX AZ 85016

PREFERRED BENEFIT ADMINISTRATORS INC(407) 786-2777

HINES AND ASSOCIATES(800) 866-0105

AKIMEKA, LLCAffiliated With: PREFERRED BENEFIT ADMINISTRATORS, INC.


PREFERRED BENEFIT ADMINISTRATORS INC(407) 786-2777

PREFERRED BENEFIT ADMINISTRATORS INCPO Box 916188LONGWOOD FL 32791-6188

MEDICAL CLAIMS SERVICES8882250522

INTRACORP(972) 302-2700

AL TYLER & SONS, INC.Affiliated With: MEDICAL CLAIMS SERVICE, INC.


MEDICAL CLAIMS SERVICES(800) 557-1755

MEDICAL CLAIMS SERVICESONE WALL ST STE 2ARAVENSWOOD WV 26164

HEALTHCOMP(800) 442-7247


ALAMEDA HOSPITALAffiliated With: HEALTHCOMP TPA



HEALTHCOMPPO Box 45018Fresno CA 93718

Info as of 12/27/2007

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PAYOR NAME






GROUP & PENSION ADMINISTRATORS(800) 827-7223

CHECK BENEFIT CARDAlamo Cement (TRAVEL)Affiliated With: GROUP & PENSION ADMINISTRATORS

*



GROUP & PENSION ADMINISTRATORS12770 MERIT DR STE 200DALLAS TX 75251

SRT ADMINISTRATORS, INC.


ALAMO NAVAJO SCHOOL BOARDAffiliated With: SRT ADMINISTRATORS, INC.



SRT ADMINISTRATORS, INC.PO Box 25160SCOTTSDALE AZ 85255-0102

CONTACT EMPLOYER CONTACT EMPLOYERAlbanyAffiliated With: New York State Insurance Fund

*



Attn:

ALBANY (STRATTON) VA MEDICAL CENTER

CHECK BENEFIT CARDALBANY (STRATTON) VA MEDICAL CENTER 3520

Affiliated With: HEALTH NET FEDERAL SERVICES




113 HOLLAND AVEALBANY NY 12208

Attn: FEE BASIS 136E

MBA OF WYOMING C/O CCN


ALBANY COUNTY SCHOOL DISTRICT 1

Affiliated With: MBA OF WYOMING/MERRILL BOSTROM ASSOCIATES



MBA OF WYOMING C/O CCNPO Box 3000SCOTTSDALE AZ 85271

Info as of 12/27/2007

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PAYOR NAME







CHECK BENEFIT CARDALBANY STATE UNIV AIH0057887Affiliated With: MAKSIN MANAGEMENT CORP #14005





CHECK BENEFIT CARDALBANY STATE UNIV AIH0058897Affiliated With: MAKSIN MANAGEMENT CORP #14005





UM NOT APPLICABLEALBANY STATE UNIVERSITY UNDERGRAD MANDATORY

Affiliated With: MAKSIN MANAGEMENT CORP



PEARCE ADMINISTRATION

419 S. COIT STFLORENCE SC 29501

Attn: WHIT WALTERS

ALBUQUERQUE VAMC CHECK BENEFIT CARDALBUQUERQUE VAMC 3170Affiliated With: HEALTH NET FEDERAL SERVICES


ALBUQUERQUE VAMC ALBUQUERQUE VAMC

1501 SAN PEDRO SEALBUQUERQUE NM 87108

Attn: FMS-04

RBMS, LLC(907) 561-3740

MRC(509) 328-9700

ALEUT CORPORATIONAffiliated With: RISK AND BENEFIT MANAGEMENT SERVICES, LLC


RBMS, LLC(907) 561-3740

RBMS, LLC510 L STREET, STE 650ANCHORAGE AK 99501

Info as of 12/27/2007

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PAYOR NAME






TRUSTEED PLANS SERVICE GROUP(800) 345-8563

QUALIS(800) 783-8606

ALEUTIAN SPRAY FISHERIESAffiliated With: TRUSTEED PLANS SERVICE CORPORATION


TRUSTEED PLANS SERVICE GROUP(800) 426-9786

TRUSTEED PLANS SERVICE GROUPPO Box 1894TACOMA WA 98406-1705

CHECK BENEFIT CARD CHECK BENEFIT CARDALEXANDRIA MOULDING INCAffiliated With: MERCER ADMINISTRATION



ALEXANDRIA VAMC CHECK BENEFIT CARDALEXANDRIA VAMC 3102Affiliated With: HEALTH NET FEDERAL SERVICES


ALEXANDRIA VAMC ALEXANDRIA VAMC

SHREVEPORT HWYALEXANDRIA LA 71306

Attn: FEE BASIS - BLDG 5, Rm 225

EBPA(802) 846-8060

CHECK BENEFIT CARDALICE PECK DAY HEALTH SYSTEMS JMS

Affiliated With: COMPREHENSIVE BENEFIT ADMINISTRATORS INC (EBPA)


EBPA(802) 846-8060

EBPAPO Box 2365SOUTH BURLINGTON VT 05403

CHECK BENEFIT CARD CHECK BENEFIT CARDALICO INCAffiliated With: SELF INSURED PLANS LLC

Fund No:PlanType: Auto


Info as of 12/27/2007

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PAYOR NAME






KEMPTON GROUP ADMINISTRATORS INC(405) 521-1711

QUANTUM CARE(866) 412-8252

ALL AMERICAN BOTTLING COAffiliated With: THE KEMPTON GROUP INC


KEMPTON GROUP ADMINISTRATORS INC(405) 521-1711

KEMPTON GROUP ADMINISTRATORS INCPO Box 54889OKLAHOMA CITY OK 73154

ULTRABENEFITS INC(866) 858-7223

CHECK BENEFIT CARDALL STAR GASAffiliated With: ULTRABENEFITS, INC.

*


ULTRABENEFITS INC(508) 438-0007

ULTRABENEFITS INCPO Box 763WESTBOROUGH MA 01581


HEALTH WATCH(972) 238-7900

ALL TECH INSPECTIONS, INC. TRAVEL

Affiliated With: GROUP & PENSION ADMINISTRATORS



GROUP & PENSION ADMINISTRATORS12770 MERIT DR STE 200DALLAS TX 75251

GROUP & PENSION ADMINISTRATORS INC(800) 827-7223

HEALTH WATCH(972) 238-7900

ALLEN SAMUELS AUTO GROUPAffiliated With: GROUP & PENSION ADMINISTRATORS


GROUP & PENSION ADMINISTRATORS INC(972) 238-7900

GROUP & PENSION ADMINISTRATORS INC12770 MERIT DR STE 200DALLAS TX 75251


MUTUAL ASSURANCE ADVANTAGE(800) 825-3540

ALLENS, INCAffiliated With: MUTUAL ASSURANCE ADMINISTRATORS



MUTUAL ASSURANCE ADMINISTRATORS3121 QUAIL SPRINGS PKWYOKLAHOMA CITY OK 73134

Info as of 12/27/2007

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PAYOR NAME






ALLIED NATIONAL(800) 825-7531

CHECK BENEFIT CARDALLIED NATIONAL INCAffiliated With: ALLIED NATIONAL INC


GLOBALCARE, INC.(800) 825-7531

GLOBALCARE, INC.6875 SHILOH RD EALPHARETTA GA 30005

BENEFIT CONCEPTS, INC.(610) 491-4992


ALLSTATE POWER VACAffiliated With: BENEFIT CONCEPTS INC



BENEFIT CONCEPTS, INC.1021 W 8TH AVEKING OF PRUSSIA PA 19406

AFFORDABLE BENEFIT ADMINISTRATORS, INC.


ALLTRADE, INC.Affiliated With: AFFORDABLE BENEFIT ADMINISTRATORS, INC. (ABA)



AFFORDABLE BENEFIT ADMINISTRATORS, INC.PO Box 10787BURBANK CA 91510

Alpha Review Corporation(630) 305-8108


Alpha Review CorporationAffiliated With: Alpha Review Corporation



Alpha Review Corporation1807 Diehl RdNaperville IL 60563



Alpha Review Corporation AutoAffiliated With: Alpha Review Corporation

Fund No:PlanType: Auto


Alpha Review Corporation1807 Diehl RdNaperville IL 60563

Info as of 12/27/2007

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PAYOR NAME






REGIONAL CARE INC(308) 635-2260

HINES ASSOCIATES(308) 635-2260

ALPINE RESOURCES GROUP INCAffiliated With: REGIONAL CARE INC 19254


REGIONAL CARE INC(308) 635-2260

REGIONAL CARE INC905 W 27th StScottsbluff NE 69361

AMERIBEN SOLUTIONS(800) 953-1801

CHECK BENEFIT CARDALSCOAffiliated With: AMERIBEN SOLUTIONS


AMERIBEN SOLUTIONS(800) 953-1801

AMERIBEN SOLUTIONSPO Box 7186BOISE ID 83707

CHECK BENEFIT CARD CHECK BENEFIT CARDALTA BATES SUMMIT MEDICAL CENTER

Affiliated With: BENEFIT AND RISK MANAGEMENT SERVICES



ALTA HEALTHCARE SYSTEMS, LLC


ALTA HEALTHCARE SYSTEM LLCAffiliated With: ZENITH ADMINISTRATORS INC PHOENIX OFFICE



ALTA HEALTHCARE SYSTEMS, LLC2001 W. Camelback Rd. #350PHOENIX AZ 85015

BENEFIT ADMINISTRATIVE SYSTEMS(708) 647-3433

CHECK BENEFIT CARDALTOM TRANSPORT INCAffiliated With: BENEFIT ADMINISTRATIVE SYSTEMS #10329


BENEFIT ADMINISTRATIVE SYSTEMS(708) 647-3433

BENEFIT ADMINISTRATIVE SYSTEMS17475 Jovanna Dr. STE 1BHOMEWOOD IL 60430

Info as of 12/27/2007

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PAYOR NAME






ALTOONA VAMC CHECK BENEFIT CARDALTOONA VAMC 3122Affiliated With: HEALTH NET FEDERAL SERVICES


ALTOONA VAMC ALTOONA VAMC

2907 PLEASANT VALLEY BLVDALTOONA PA 16602

Attn: FEE BASIS (14F)

EMPLOYEE BENEFIT CONSULTANTS(800) 523-5789

CHECK BENEFIT CARDALTO-SHAAM INCAffiliated With: HEALTH DATA SERVICES


EMPLOYEE BENEFIT CONSULTANTS(800) 523-5789

EMPLOYEE BENEFIT CONSULTANTSPO Box 928FINDLAY OH 45839


PITTMAN & ASSOCIATES, INC.

ALUSUISSE COMPOSITES, INC.Affiliated With: PITTMAN & ASSOCIATES, INC.



PITTMAN & ASSOCIATES, INC.PO Box 111047MEMPHIS TN 38111

RBMS, LLC(907) 561-3740

MEDICAL REHABILITATION CONSULTANTS(800) 827-5058

Alutiiq, LLCAffiliated With: RBMS LLC


RBMS, LLC(907) 561-3740

RBMS, LLC510 L STREET, STE 650ANCHORAGE AK 99501

CHECK BENEFIT CARD CHECK BENEFIT CARDALVERNO CLINICAL LABORATORIES, INC.




Info as of 12/27/2007

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PAYOR NAME







CHECK BENEFIT CARDALVERNO INFORMATION SERVICES




PRINCIPAL FINANCIAL GROUPPO Box 5319TAMPA FL 33675-5319

RIVERSIDE FOUNDATION FOR MEDICAL CARE(909) 686-9049

RIVERSIDE FOUNDATION FOR MEDICAL CARE

ALVORD UNIFIED SCHOOL DISTRICT

Affiliated With: ALVORD UNIFIED SCHOOL DISTRICT


RIVERSIDE FOUNDATION FOR MEDICAL CARE(909) 686-9049

RIVERSIDE FOUNDATION FOR MEDICAL CARE3993 JurupaRIVERSIDE CA 92506

Amalgamated Life Insurance Co. - Clothing Fund(212) 539-5105


Amalgamated Clothing FundAffiliated With: Amalgamated Life Insurance Co.



For electronic claims submission ID, refer to Benefit Card. Mail all other claims to: Amalgamated Life Insurance Co - Clothing FundPO Box 1449New York NY 10116-1449ECS Payor ID 13550

Amalgamated Life Insurance Co. - Cotton Fund(212) 539-5100


Amalgamated Cotton FundAffiliated With: Amalgamated Life Insurance Co.



For electronic claims submission ID, refer to Benefit Card. Mail all other clai

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