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Alpha Magellan Carrier Codes - southcarolina.fhsc.com

Alpha Magellan Carrier Codes Carrier CODE Carrier CC CROSSWALK Carrier TPL NAME Carrier ADDRESS LINE Carrier CITY STATE ZIP Carrier PHONE NO Carrier COMMENT. 100 90303 AETNA US HEALTHCARE PO BOX 14079 LEXINGTON KY 40512 8003334432. 101 90304 INTERNATIONAL CLAIMS SERVICES 27092 BURBANK ST FOOTHILL RANCH CA 92610 8779167920 ASSIGNED BY SCHA. 102 90305. 103 90306 UNITED CLAIMS SOLUTIONS 10835 N. 25TH AVE. 105 PHOENIX AZ 85029 8667448482 CODE ASSIGNED BY SCHA. 104 90307 KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CA. BOX 7004 DOWNEY CA 90242 8003903510 CODE ASSIGNED BY SCHA. 105 90308 ATHENE ANNUITY AND life ASSURANCE company POST OFFICE BOX 19038 GREENVILLE SC 29602 8646091000.

149 90353 insurance company of north america (ina) 195 broadway 11th floor new york ny 100073100 2126184000 150 90354 american general life and accident ins co p.o. box 1500 nashville tn 372021500 8008882452

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Transcription of Alpha Magellan Carrier Codes - southcarolina.fhsc.com

1 Alpha Magellan Carrier Codes Carrier CODE Carrier CC CROSSWALK Carrier TPL NAME Carrier ADDRESS LINE Carrier CITY STATE ZIP Carrier PHONE NO Carrier COMMENT. 100 90303 AETNA US HEALTHCARE PO BOX 14079 LEXINGTON KY 40512 8003334432. 101 90304 INTERNATIONAL CLAIMS SERVICES 27092 BURBANK ST FOOTHILL RANCH CA 92610 8779167920 ASSIGNED BY SCHA. 102 90305. 103 90306 UNITED CLAIMS SOLUTIONS 10835 N. 25TH AVE. 105 PHOENIX AZ 85029 8667448482 CODE ASSIGNED BY SCHA. 104 90307 KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CA. BOX 7004 DOWNEY CA 90242 8003903510 CODE ASSIGNED BY SCHA. 105 90308 ATHENE ANNUITY AND life ASSURANCE company POST OFFICE BOX 19038 GREENVILLE SC 29602 8646091000.

2 106 90309 AMERICAN FIDELITY ASSURANCE BENEFITS POST OFFICE BOX 25160 OKLAHOMA CITY OK 731250160 8006548489. 107 90310 MUTUAL OF OMAHA MUTUAL OF OMAHA PLAZA OMAHA NE 68175 8002289090 DO NOT USE FOR MED ADV. THIS CODE IS ONLY USED FOR HEALTH RELATED COVERAGE. 108 90311 METROPOLITAN life insurance company BOX 981282 EL PASO TX 79998 8006386626. 109 90312 JEFFERSON PILOT insurance company POST OFFICE BOX 26011 GREENSBORO NC 27420 3366913000. 110 90313 AMERIHEALTH HMO, INC. BOX 41574 PHILADELPHIA PA 191011574 8886323862 CODE ASSIGNED BY SCHA. 111 90315 PRUDENTIAL insurance company OF AMERICA 841 PRUDENTIAL DRIVE JACKSONVILLE FL 32207 8003463778 THIS Carrier BOUGHT OUT BY AETNA CC100.

3 112 90316 TRAVELERS insurance company P O BOX 473500 CHARLOTTE NC 282473500 7045443665 USE CODE 113 UNITED HEALTHCARE INACTIVE 8-02. 113 90317 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 303740800 8778423210. 114 90318 CLAIMEDIX INC. BOX 140067 KANSAS CITY MO 64114 8009224262 CODE ASSIGNED BY SCHA. 115 90319 ALLSTATE insurance BOX 7068 COLUMBIA SC 29202 8003668997 THIS CODE NOT REQUESTED BY MEDICAID. ASSIGNED BY SCHA. 116 90320 WILLIS CORROON ADMINISTRATIVE SERVICES POST OFFICE BOX 305154 NASHVILLE TN 372305154 8002558109. 117 90321 HEWITT COLEMAN AND ASSOCIATES P O BOX 6708 GREENVILLE SC 29606 8642405840. 118 90322 AMERICAN HEALTH & life insurance 300 ST. PAUL PLACE BALTIMORE MD 21202 3013323000.

4 119 90323 AMERICAN HERITAGE life insurance 1776 AMERICAN HERITAGE life DRIVE. JACKSONVILLE FL 32224 8005358086. 120 90324 AMERICAN NATIONAL insurance company P O BOX 1790 GALVESTON TX 77553 8008996803. 121 90325 GREATER HEALTHCARE BOX 3400 MONROE NC 28110 7042258887. 122 90326 ATLANTIC COAST life insurance company PO BOX 20010 CHARLESTON SC 294130010 8437638680. 123 90327 BANKERS life & CASUALTY PO BOX 66927 CHICAGO IL 606660927 8006213724. 124 90328 UNITED COMMERCIAL TRAVELERS OF AMERICA BOX 159019 COLUMBUS OH 43215 8008480123. 125 90329 AMERICAN TRAVELERS life insurance company 3220 TILLMAN DRIVE BEN SALEM PA 19020 2152441600. 126 90330 HEALTH PLAN SERVICES (COVENTRY HEALTH CARE) BOX 24146 SEATTLE WA 98124 8008610056 CODE ASSIGNED BY SCHA.

5 127 90331 BENEFITSOURCE, INC BOX 240 MONROE MI 48161 8004231028 CODE ASSIGNED BY SCHA. 128 90332 CAPITOL life insurance company BXO 1200 DENVER CO 80201 8005252115 PER HOSP. ASSO. 07/02, THIS IS STILL A VALID Carrier . 129 90333 INTERGROUP SERVICES CORPORATION 101 LINDENWOOD DR, STE 150 MALVERN PA 19355 8005379389. 130 90334 EMPLOYERS life insurance company BOX 6305 SPARTANBURG SC 29304 8889628437 Carrier WAS COASTAL STATE life INS. CO. 131 90335 USI POST OFFICE BOX 9888 SAVANNAH GA 31412 9126911551 THIS Carrier BOUGHT JONES, HILL & MERCER INS. 132 90336 COLONIAL life AND ACCIDENT insurance company POST OFFICE BOX 1365 COLUMBIA SC 29202 8037987000. 133 90337 COMBINED insurance company OF AMERICA PO BOX 6700 SCRANTON PA 18505 8002254500.

6 134 90338 CIGNA BOX 182223 CHATTANOOGA TN 374227223 8008824462 DO NOT USE FOR CODE IS ONLY USED FOR HEALTH RELATED COVERAGE. 135 90339 ALLIED NATIONAL, INC. BOX 419233 KANSAS CITY MO 641416233 8008257531 Carrier WAS ALLIED GROUP insurance TRUST. 136 90340 CIGNA FLEXCARE BOX 30575 CHARLOTTE NC 282303211 CODE ASSIGNED BY SCHA. 137 90341 EDUCATORS MUTUAL life insurance company POST OFFICE BOX 3149 LANCASTER PA 17601 7173972751. 138 90342 LIFEWELL HEALTH PLANS PO BOX 16203 LUBBOCK TX 79490 8775433935 SUBSIDIARY OF HEALTHSCOPE. 139 90343 FISERV HEALTH P. O. BOX 30541 SALT LAKE CITY UT 841300541 8008269781 WAS WAUSAU INS. CO. 140 90344 STERLING OPTION I (PFFS) BOX 5348 BELLINGHAM WA 982270010 MEDICARE ADVANTAGE PLAN.

7 141 90345 NEOA HEALTH BENEFITS FUND 428 E SCOTT AVENUE - P O BOX 3070. KNOXVILLE TN 37927 - 142 90346 SC DEPT OF DISABILITIES AND SPECIAL NEEDS BOX 4706 COLUMBIA SC 29240 8038989795 CODE ASSIGNED BY SCHA. 143 90347 UMR BOX 30541 SALT LAKE CITY UT 841300541 8008269781. 144 90348 GLOBE life & ACCIDENT insurance 204 N. ROBINSON OKLAHOMA CITY OK 73102 9725406542. 145 90349 GMP EMPLOYERS RETIREE TRUST 5245 BIG PINE WAY SE FORT MYERS FL 33907 9419366242. 146 90350 HARTFORD insurance GROUP P O BOX 25600 CHARLOTTE NC 28212 7045366230. 147 90351 STATE MUTUAL insurance BOX 10811 CLEARWATER FL 337578811 8887806388. 148 90352 TRANSAMERICA PREMIER life insurance company POST OFFICE BOX 742502 CINCINNATI OH 45274 8004445431.

8 149 90353 insurance company OF NORTH AMERICA (INA) 195 BROADWAY 11TH FLOOR NEW YORK NY 100073100 2126184000. 150 90354 AMERICAN GENERAL life AND ACCIDENT INS CO BOX 1500 NASHVILLE TN 372021500 8008882452. 151 90355 CARELINK BOX 7373 LONDON KY 40742 8003482922 MEDICAID HMO. 152 90356 MEDICA BOX 30990 SALT LAKE CITY UT 84130 8009523455 CODE NOT REQUESTED BY MEDICAID ASSIGNED BY SCHA. 153 90357 KANAWHA life insurance company POST OFFICE BOX 6000 LANCASTER SC 29721 8032862440. 154 90358 CONSUMER DRIVEN BENEFITS ASSO. BOX 6080-228 MISSION VIEIO CA 926906080 8884114208 CODE ASSIGNED BY SCHA. 155 90359 CROSSAMERICA HEALTH PLAN BOX 5778 PARSIPPANY NJ 07054 8663027332 CODE NOT REQUESTED BY MEDICAID.

9 ASSIGNED BY SCHA. 156 90360 life insurance company OF GEORGIA POST OFFICE BOX 105006 ATLANTA GA 303485006 7709805100. 157 90361 life insurance company OF VIRGINIA, THE P O BOX 27601 RICHMOND VA 23230 8042816000. 158 90362 LINCOLN NATIONAL life insurance company P O BOX 614008 ORLANDO FL 32861 8004232765. 159 90363 MAKSIN MANAGMENT CORP CN98000 PENNSAUKEN NJ 08110 8002570625. 160 90364 UNI-CARE HEALTH AND life insurance CO BOX 4458 CHICAGO IL 606804458 8772179677 WAS MASS MUTUAL. 161 90365 AMA insurance AGNECY, INC. PO BOX 804238 CHICAGO IL 60680 8004585736 CODE NOT REQUESTED BY MEDICAID. SCHA ASSIGNED. 162 90366 HARVARD PILGRIM HEALTHCARE 656653 SAN ANTONIO TX 82655 8004213550 THIS CODE NOT REQUESTED BY MEDICAID.

10 ASSIGNED BY SCHA. 163 90367 NATIONWIDE life insurance company POST OFFICE BOX 182202 COLUMBUS OH 432182202 6142497111. 164 90368 AMERICAN PROGRESSIVE insurance BOX 130 PENSACOLA FL 325910130 8006268913. 165 90369 NEW YORK life insurance company POST OFFICE BOX 105095 ATLANTA GA 30348 8003884580. 166 90370 CAPITOL AMERICAN life insurance company BOX 94953 CLEVELAND OH 441014953 2166966400. 167 90371 AMERICAN INTERNATIONAL GROUP (AIG) ACCIDENT BOX 26050 OVERLAND PARK KS 66225 8887221668. 168 90372 PRECISE BENEFIT ADMINISTRATORS BOX 9064 JERICHO NY 11753 5163906000. 169 90373 CROWN CORK & SEAL company , INC. 930 BEAUMONT AVENUE SPARTANBURG SC 29303 8645856456. 170 90374 OCCIDENTAL life insurance company OF NC PO BOX 10324 RALEIGH NC 27605 9198318189.


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