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List of Automatic Crossover Trading Partner (Insurers) In ProductionDo Not Include Number Shown Below on Incoming ClaimsCoordination of Benefits AgreementNational Crossover ProcessSupplemental Payers and Insurers (Trading Partners)Trading PartnerGHI HMOWELLMARK BCBS FEPWELLMARK BCBS FEPWELLMARK BCBS FEPWELLMARK BCBSTHE REGENCE GROUP IDAHOTHE REGENCE GROUP BLUE SHIELDTHE REGENCE GROUP UTAHTHE REGENCE GROUP OREGONTRANSAMERICA PREMIER LIFE INSCONNECTICUT GENERAL INSURANCE COHORIZON BCBS OF NEW JERSEYWELLMARK BCBS OF IAWELLMARK BCBS OF SDWELLMARK BCBS OF SDWPS-COMMERCIALWPS-COMMERCIALBCBS OF MICHIGANBCBS OF ALABAMABCBS OF SOUTH CAROLINAHIGHMARK INCHIGHMARK INCGHI PPOGHI PPOGHI PPOGHI PPOGHI PPOGHI PPOHCSC-BCBS OF IL,OTHER B ONLYHCSC-BCBS OF NM-OTHER B ONLYHCSC-BCBS OF TX-OTHER B ONLYBCBS OF MICHIGANAETNA, INC.BCBS OF MICHIGANBLUE CARE NETWORKBCBS OF MISSISSIPPIBCBS OF MISSISSIPPIMETROPOLITAN HEALTH PLANTRIPLE-S INCCAREFIRST DC PART A ONLYCAREFIRST DC PART B ONLYBCBS OF NORTH DAKOTAUpdated: 06/30/2019Identification 0074000750007600077Customer ContactCustomer ServiceCustomer/Provider ServicesProvider ServicesCustomer ServiceCustomer ServiceCustomer ServiceCustomer ServiceCustomer ServiceCustomer ServiceCustomer ServiceCustomer ServiceCustomer ServiceCustomer ServiceCustomer/Provider ServicesCustomer/Provider ServicesCustomer ServiceCustomer ServiceCustomer ServiceCustomer ServiceCustomer ServiceCustomer ServiceCustomer/Provider ServicesCustomer ServiceCustomer ServiceCustomer ServiceCustomer ServiceCustomer ServiceCustomer ServiceCustomer ServiceCustomer ServiceCustomer ServiceCustomer ServiceCustomer ServiceCustomer ServiceCustomer ServiceCustomer ServiceCustomer ServiceMarilee MoritzNayda CruzProvider ServicesProvider ServicesGina BercherlContact Number(877) 244-4466(800) 584-9242(800) 524-9242(800) 373-5348(800) 524-9242(800) 343-8915(800) 343-8915(800) 343-8915(800) 343-8915(800) 854-0186(800) 244-6224(800) 624-1110(800) 524-9242(800) 524-9242(800) 524-9242(888) 253-2694(888) 253-2694(313) 225-9000(205) 988-2200(800) 760-9290(800) 345-3806(800) 345-3806(212) 501-4444(212) 501-4444(212) 501-4444(212) 501-4444(212) 501-4444(212) 501-4444(888) 762-2189(888) 762-2189(888) 762-2189(313) 225-9000(860) 273-0123(313) 225-9000(800) 450-3680(800) 257-5825(800) 257-5825(612) 543-1245(787) 749-4949(410) 998-4599(410) 998-4599(701) 277-2081
List of Automatic Crossover Trading Partner (Insurers) In ProductionDo Not Include Number Shown Below on Incoming ClaimsCoordination of Benefits AgreementNational Crossover ProcessSupplemental Payers and Insurers (Trading Partners)Trading PartnerBCBS OF WYOMINGBCBS OF NORTH DAKOTAMEDICAL MUTUAL OF OHIOBCBS OF TENNESSEE - SUPPLEMENTALUNITEDHEALTHCAREUNITEDHEALTHCAREKAISER FOUNDATION HEALTH OF WAEMPIRE BLUE CROSS BLUE SHIELD IEMPIRE BLUE CROSS BLUE SHIELD IIBCBS OF KANSASANTHEM BCBS CONNECTICUTANTHEM BCBS NEW HAMPSHIREANTHEM BCBS MAINEBLUE CROSS BLUE SHIELD OF LANORTHEAST CARPENTERS HEALTH F226WEA INSURANCE CORPORATIONCAREFIRST DC PART A ONLYCAREFIRST DC PART B ONLYCAREFIRST MD PART B ONLYEMPIRE BLUE CROSS BLUE SHIELD IIEMPIRE BLUE CROSS BLUE SHIELD IICARPENTERS TRUSTS OF W.WASHINGTONBLUE CROSS BLUE SHIELD OF NCCAPITAL BLUE CROSSBLUE CROSS BLUE SHIELD OF WNYBLUE CROSS BLUE SHIELD OF WNYBLUE CROSS BLUE SHIELD OF WNYBLUE CROSS BLUE SHIELD OF WNYBLUE CROSS BLUE SHIELD OF WNYBLUE CROSS BLUE SHIELD OF WNYBLUE CROSS BLUE SHIELD OF WNYHIGHMARK BCBS OF DELAWAREHEALTH ALLIANCE PLANBCBS OF ARIZONAALLEGIANCE BENEFIT PLAN MANAGEMENTEMPLOYEE BENEFIT MGMT CAREANTHEM CENTRAL - FACETSANTHEM NATIONAL BCBS OHIO CTRLANTHEM NATIONAL BCBS KY CONTROLANTHEM NATIONAL BCBS IN CONTROLANTHEM BCBS MAINEANTHEM BCBS NEW HAMPSHIREUpdated: 06/30/2019Identification 0134001360013900140Customer ContactAmber ZowadaGina BercherlSue RobinsonCustomer ServiceCustomer ServiceCustomer ServiceTammy FrancisRefer To Back Of ID CardRefer To Back Of ID CardCustomer ServiceRefer To Back Of ID CardRefer To Back Of ID CardRefer To Back Of ID CardCustomer ServiceRachel CorradiRebecca JohnsonAndrea ButlerAndrea ButlerAndrea ButlerRefer To Back Of ID CardRefer To Back Of ID CardMin-Sug (Darren) KongeSolutions Help DeskMolly KuntzBuffalo (CNY West)Albany Region IIAlbany (CNY East)Traditional MemberManaged Care MemberProvider ServicesMelissa DebothCustomer ServiceMichia PippinRebecca GarciaCustomer ServiceCustomer ServiceRefer To Back Of ID CardRefer To Back Of ID CardRefer To Back Of ID CardRefer To Back Of ID CardRefer To Back Of ID CardRefer To Back Of ID CardContact Number(307) 432-2743(701) 277-2081(216) 687-6108(800) 553-8158(866) 633-2446(866) 633-2446(509) 241-7106(800) 432-3990(800) 599-2583(732) 417-3900 ext. 272(608) 661-6620(410) 998-7830(410) 998-7830(410) 998-7830(206) 441-6514(888) 333-8594(717) 703-8672(866) 638-9011(800) 945-0566(800) 856-0480(800) 888-1238(800) 459-7587(800) 444-4552(716) 887-8443(800) 485-2889(313) 664-8031(602) 864-4818(406) 721-2222(800) 993-3262
List of Automatic Crossover Trading Partner (Insurers) In ProductionDo Not Include Number Shown Below on Incoming ClaimsCoordination of Benefits AgreementNational Crossover ProcessSupplemental Payers and Insurers (Trading Partners)Trading PartnerANTHEM BCBS CONNECTICUTANTHEM BCBS VIRGINIAMODA HEALTH PLAN INCARKANSAS BCBSHEALTH ADVANTAGEPITTMAN & ASSOCIATES, INC.HEALTH ALLIANCE MEDICAL PLANSGRAPHIC COMMUNICATIONS NAT'LANTHEM BCBS OF NEVADAANTHEM BCBS OF COLORADOBLUE CROSS OF CALIFORNIAUNICARE LIFE & HEALTH INSURANCEHEALTH NET OF CALIFORNIA, INC.RESERVE NATIONAL INSURANCE COBLUE CROSS OF IDAHOBLUE CROSS OF IDAHOALLIED BENEFIT SYSTEMS, INCALLIED BENEFIT SYSTEMS, INCNGS AMERICAN, INCHIGHMARK WEST VIRGINIAHIGHMARK WEST VIRGINIAUMRPA EMPLOYEES BENEFIT TRUST FUNDPREMERA BLUE CROSSBCBS OF MASSACHUSETTS INC.HEALTHSMARTBCBS OF VERMONT - SUPPLEMENTALOXFORD HEALTH PLANSUNITEDHEALTHCAREC & R CONSULTINGCORESOURCE, INCCORESOURCE, INCCORESOURCE, INCBCBS OF KANSAS CITYBLUE CROSS BLUE SHIELD OF RIUNITED HEALTHCAREMERITAIN HEALTHASURISREGENCE BLUESHIELD OF UTAHREGENCE BLUESHIELDREGENCE BCBS OF OREGONREGENCE BLUESHIELD OF IDAHOUpdated: 06/30/2019Identification 0249002500025100252Customer ContactRefer To Back Of ID CardRefer To Back Of ID CardEDI DepartmentMia MooreDee McKeeAndy GlanklerLisa ParkerTeresa BauerRefer To Back Of ID CardRefer To Back Of ID CardRefer To Back Of ID CardRefer To Back Of ID CardCustomer ServiceJuanita PhelpsCustomer ServiceCustomer ServiceOutside ILIL ResidentCustomer ServiceCustomer ServiceCustomer ServiceCustomer ServiceRest of U.S.Customer ServiceCustomer ServiceContact NumberChantal ParentProvider MembershipStewart McGeheeC&R CustomerOne Beacon Ins GrpCrompton CorpAll othersKathy CurreyCustomer ServiceStewart McGeheeCustomer ServiceRebecca ThornRebecca ThornRebecca ThornRebecca ThornRebecca Thorn(802) 371-3611(800) 666-1353(336) 540-7563(212) 819-0792(866) 889-7286(866) 318-7173(800) 223-3943(816) 395-3877(800) 267-0439(336) 540-7563(800) 828-6922(503) 375-4341(503) 375-4341(503) 375-4341(503) 375-4341(503) 375-4344(800) 852-5195(501) 502-1686(501) 212-8520(901) 473-3344(217) 902-8353(412) 201-2242(800) 641-7761(800) 654-9106(866) 482-2253(866) 482-2253(800) 288-2078(312) 906-8080(800) 521-1555(800) 543-7822(800) 543-7822(800) 826-9781(800) 522-7279(800) 508-4722(800) 258-2226
List of Automatic Crossover Trading Partner (Insurers) In ProductionDo Not Include Number Shown Below on Incoming ClaimsCoordination of Benefits AgreementNational Crossover ProcessSupplemental Payers and Insurers (Trading Partners)Trading PartnerHCSC-BCBS OF IL-OTHER A ONLYHCSC-BCBS OF NM-OTHER A ONLYHCSC-BCBS OF TX-OTHER A ONLYKIDNEY DISEASE PROGRAM OF MDAMALAGAMATED LIFE/ALICAREHUMANA, INC.THE J.P. FARLEY CORPORATIONFEDERATED ALLIED RETIREE ASSOCC&O EMPLOYEES HOSPITAL ASSOCPIPE FITTERS WELFARE FUNDCONNECTICUT GENERAL INSURANCE COPLUMBERS WELFARE FUND,LCL 130 UANATL ELEVATOR INDUSTRY HEALTH BEBLUE CROSS BLUE SHIELD OF NCANTHEM BCBS VIRGINIATHE LOOMIS COMPANYBCBS OF WYOMINGWEBTPA EMPLOYER SERVICESSECURITY HEALTH PLAN OF WI, INCHCSC-BCBS OF OK -OTHER A ONLYHCSC-BCBS OF OK-OTHER B ONLYCAPITAL DISTRICT PHYSICIANS H PWEBTPA EMPLOYER SERVICESLIFETIME BENEFIT SOLUTIONS, INC.TIC - IBEW LOCAL 461 WELFARE FUNELECTRONIC WORKERS BENEFIT FUNDBLUE CARE COOPERATIVEPLUMBERS & PIPEFITTERS WELFAREDANA NON UNION RETIREE VEBA TRUSTG.M.P. - EMPLOYERS RETIREE TRUSTMEDICA, PART B ONLYMEDICA PART A ONLYCONNECTICUT GENERAL INSURANCE COVANTAGE HEALTH PLAN, INC.AVMED HEALTH PLANSPIPELINE INDUSTRY BENEFIT FUNDTHE WILLIAM C. EARHART CO., INCMID CENTRAL OPERATING ENGINEERS HEALTH & WELFARE FUNDSOUTHWEST LIFE & HEALTH INS.CO.FIRSTCAREWABASH MEMORIAL HOSPITAL ASSOC.AMERICAN BENEFIT CORPORATIONUpdated: 06/30/2019Identification 0377003780037900380Customer ContactCustomer ServiceCustomer ServiceCustomer ServiceCarol ManningCustomer ServiceCustomer ServiceAmanda SmolkaLorraine PiazzaAnna BrooksContact Number(888) 762-2189(888) 762-2189(888) 762-2189(410) 767-5004(212) 539-5111(866) 427-7478(440) 250-4316(631) 249-0500(540) 862-5728Customer Service(800) 244-6224ESolutions Help DeskRefer To Back Of ID Card(888)333-8594Amber ZowadaLisa SmithKen BaurCustomer ServiceCustomer ServiceBrian FreerLisa SmithTeresa BehmSusan EsterhaiKim WrightCathy StitzerNancy WinerLorraine PiazzaDebra FulmerStephanie KellyStephanie KellyCustomer ServiceShanna WatersCustomer ServiceClaims SupervisorAnn MottKatricia HeltonMelinda RodriguezGabriel RamirezAngie VortiesLinda Sites(307) 432-2743(469) 417-1854(715) 221-9556(888) 762-2189(888) 762-2189(518) 641-3820(469) 417-1854(315) 448-9001(866) 461-4239(317) 923-4577(570) 200-4540(314) 355-1000(631) 249-0500(239) 936-6242(952) 992-2592(952) 992-2592(800) 244-6224(318) 361-0990(800) 882-8633(918) 280-4800(503) 535-1431(812) 232-4384(806) 784-4378(254) 298-3551(217) 429-5246(304) 525-0331
List of Automatic Crossover Trading Partner (Insurers) In ProductionDo Not Include Number Shown Below on Incoming ClaimsCoordination of Benefits AgreementNational Crossover ProcessSupplemental Payers and Insurers (Trading Partners)Trading PartnerTIC – NECA IBEW LOCAL 364 HEALTHRIGHT CHOICE BENEFIT ADMIN.BCBS OF NEBRASKABCBS OF NEBRASKAADC 1 WELFARE FUNDSFEW HEALTH & WELFARE TRUSTIE SCHAFFER & COC & R CONSULTINGARKANSAS BCBSEMBLEMHEALTH SVC COMPANY, LLC-HIPPLUMBERS & PIPEFITTERS LOCAL 630OE LOCAL 139 HBFPIPE TRADES INDUSTRY H&W PLANHEALTH NET OF ARIZONA, INC.C&R CONSULTINGBLUE SHIELD OF CALIFORNIASCPT HEALTH & WELFARE FUNDLIBERTY NATL LIFE INS CO - GMSGUNDERSEN LUTHERAN HEALTH PLANSENTARA HEALTH PLANS INC.INDIANA LABORERS WELFARE FUNDINDIANA LABORERS WELFARE FUNDAMERICAN BENEFIT CORPORATIONBLUE CROSS BLUE SHIELD OF LAHEALTH CARE SERVICE CORP, BCBSHEALTH CARE SERVICE CORP, BCBSKAISER PERMANENTE MID-ATLANTICINDEPENDENCE BLUE CROSSOPERATING ENGINEERS H&W FUNDTIC-NECA IBEW LCL 150 FRINGE BFDELTA HEALTH SYSTEMSEXCELLUS HEALTH PLANSHARRINGTON HEALTH SERVICES, INC.BLUE CROSS/SHIELD OF GA KCSUPBLUE CROSS/SHIELD OF GA KCSUPEIGHTH DISTRICT ELECTRICAL BENEFMEDICAL ASSOC HEALTH PLAN INCW MICH PLUMBERS LOCAL 174 HEALTHNATIONAL BCBS GEORGIADESERET MUTUALREGENCE BLUE SHIELDWISCONSIN PHYSICIANS SERVICEUpdated: 06/30/2019Identification 0485004860048900493Customer ContactMedical Claims DepartmentCustomer Service Right ChoiceCustomer Service CenterCustomer Service CenterYolanda AlzatiLisa SchultzTerri TrasattiContact Number(800) 228-0048(800) 365-9036(800) 991-7392(800) 991-7392(630) 617-8630(415) 263-3670(609) 883-6688Mia MooreMichele PodolakAmanda RatcliffAnnette KusickMegan LucasHealthnet Provider Service(501) 502-1686(315) 434-2447(954) 266-6322(262) 549-9190(812) 877-2581(800) 977-7522Tammy RuttersNahuel CostillaCustomer Service DepartmentDebra SchiffmanMedicare Customer Service LineMelissa WadeMelissa WadeLinda SitesCustomer ServiceBlue Cross Blue ShieldBlue Cross Blue ShieldMember ServiceCustomer ServiceElisabeth SchaeferJan SmithChristine Dugger-PraetJennifer BartonCustomer ServiceRefer To Back Of ID CardRefer To Back Of ID CardMary KempLaura BogeCustomer ServiceRefer To Back Of ID CardDonna McreavyRebecca ThornKit Lee(530) 351-6019(213) 385-6161(972) 529-5085(608) 643-1408(800) 927-6048(812) 238-2551(812) 238-2551(304) 525-0331(800) 599-2583(888) 762-2189(888) 762-2189(800) 777-7902(800) 645-3965(626) 356-3560(877) 478-4542(559) 228-4185(315) 671-6985(800) 216-2166(801) 973-1001(563) 556-8070(219) 769-6944(801) 578-5621(503) 374-4341(608) 226-3369
List of Automatic Crossover Trading Partner (Insurers) In ProductionDo Not Include Number Shown Below on Incoming ClaimsCoordination of Benefits AgreementNational Crossover ProcessSupplemental Payers and Insurers (Trading Partners)Trading PartnerWISCONSIN PHYSICIANS SERVICEDUNN & ASSOCIATES BENEFIT ADMINHEALTHLINK HMO, INCINDEPENDENCE BLUE CROSSPEHPHEALTH CARE SERVICE CORPORATIONHEALTH CARE SERVICE CORPORATIONWELLMARK BCBS OF SDWELLMARK BCBS OF IAMIDWEST OPERATING ENGINEERS HEALTHNEW YORK ISGNEVADA ISGMAINE ISGWISSONSIN ISGKENTUCKY ISGVIRGINIA ISGNEW HAMPSHIRE ISGMISSOURI ISGOHIO ISGCALIFORNIA ISGCOLORADO ISGCONNECTICUT ISGINDIANA ISGCONNECTICUT WGSINDIANA WGSKENTUCKY WGSMISSOURI WGSNEW YORK WGSOHIO WGSVIRGINIA WGSWISCONSIN WGSINDEPENDENCE BLUE CROSSINDEPENDENCE BLUE CROSSBLUE CROSS BLUE SHIELD OF NCBLUE SHIELD OF CALIFORNIAAFTRA HEALTH FUNDUSABLE MUTUAL INS COMPANYBCBS of MINNESOTABCBS of MINNESOTATEAMSTERS MEDICARE TRUST FOR RET.ANTHEM KYANTHEM MOUpdated: 06/30/2019Identification 0545005550055600557Customer ContactKit LeeTammy ShawKaren GotschCustomer ServiceJosie HallBlue Cross/Blue ShieldBlue Cross/Blue ShieldCustomer/Provider ServicesCustomer/Provider ServicesBarbara GlembinRefer To Back Of ID CardRefer To Back Of ID CardRefer To Back Of ID CardRefer To Back Of ID CardRefer To Back Of ID CardRefer To Back Of ID CardRefer To Back Of ID CardRefer To Back Of ID CardRefer To Back Of ID CardRefer To Back Of ID CardRefer To Back Of ID CardRefer To Back Of ID CardRefer To Back Of ID CardRefer To Back Of ID CardRefer To Back Of ID CardRefer To Back Of ID CardRefer To Back Of ID CardRefer To Back Of ID CardRefer To Back Of ID CardRefer To Back Of ID CardRefer To Back Of ID CardCustomer ServiceCustomer ServiceNakia HarringtonTammy RuttersKaren OrtolaniDeb GunterCustomer ServiceCustomer ServiceInsurance TeamstersRefer To Back Of ID CardRefer To Back Of ID CardContact Number(608) 226-3369(812) 378-9960(314) 925-6166(800) 645-3965(801) 366-7519(888) 762-2189(888) 762-2189(800) 584-9242(800) 584-9242(708) 579-6603(800) 645-3965(800) 645-3965(877) 258-3334(530) 351-6109(800) 562-4690(501) 210-9043(800) 531-6686(800) 531-6686(314) 513-5888
List of Automatic Crossover Trading Partner (Insurers) In ProductionDo Not Include Number Shown Below on Incoming ClaimsCoordination of Benefits AgreementNational Crossover ProcessSupplemental Payers and Insurers (Trading Partners)Trading PartnerANTHEM WIANTHEM CAANTHEM NVANTHEM COANTHEM VAANTHEM NYANTHEM CTANTHEM NHANTHEM GAANTHEM MEANTHEM INANTHEM OHANTHEM GREENMERCER HEALTH & BENEFITS ADM. LLDMONROE PLUMBERS LOCAL UNION 671IBEW LOCAL 701 HEALTH WELFARE FUNDKY RURAL ELEC. COOP. EMP. BENEFITNASI WELFARE FUNDNEW JERSEY EDUCATION ASSOCIATIONWELLMARK BCBS OF SD MED SUPWELLMARK BCBS OF IA MED SUPTOLEDO ELECTRICAL WELFARE FUNDGROUP HEALTH COOP OF EAU CLAIREUNITY HEALTH PLANS INSURANCEUSABLE MUTUAL INS. COMPANYINFINEUMIBEW LOCAL NO 1 HEALTH & WELFARENECA IBEW WELFARE TRUST FUNDBLUE CROSS BLUE SHIELD OF VERMONTSC BAPTIST CONVENTIONHEALTH PARTNERSMCLAREN HEALTH ADVANTAGEBLUE CROSS BLUE SHIELD OF NDBLUE CROSS BLUE SHIELD OF NDBLUE CROSS BLUE SHIELD OF WYBLUE CROSS BLUE SHIELD OF WYTHE HEALTH PLANANTHEM INC.FCHPMMSI, INC. D/B/A MEDICA HPSHOMETOWN HEALTH PLANBCBS OF ALABAMAHEALTH TRADITION HEALTH PLANWI PIPE TRADES HEALTH FUNDUpdated: 06/30/2019Identification 06050060600610006110061500618Customer ContactRefer To Back Of ID CardRefer To Back Of ID CardRefer To Back Of ID CardRefer To Back Of ID CardRefer To Back Of ID CardRefer To Back Of ID CardRefer To Back Of ID CardRefer To Back Of ID CardRefer To Back Of ID CardRefer To Back Of ID CardRefer To Back Of ID CardRefer To Back Of ID CardRefer To Back Of ID CardDee GreenPeggy WarnerBeverly HarrisonKathy HarleyCustomer ServiceGabriella MerulloCustomer/Provider ServicesCustomer/Provider ServicesCustomer ServiceKrysta ZellDebra SchiffmanKim BurgessLaJuan BryantStephanie LabanonKevin CopeDebbie GoodwinRoney WilliamsProvider Customer ServiceCustomer ServiceTracey CompsonTracey CompsonAmber ZowadaAmber ZowadaKim GearyRefer To Back Of ID CardCustomer ServiceStephanie KellyAmy BehbehaniRusty RedfordRebecca JohnsonJackie TradContact Number(515) 365-6374(517) 327-2161(630) 393-1701(859) 721-0799(301) 429-4999(800) 257-2038(800) 584-9242(800) 584-9242(419) 666-4450(715) 852-5718(608) 643-1408(501) 502-1691(813) 324-2948(314) 752-2330(217) 875-0254(802) 371-3331(800) 922-4966(888) 663-6464(888) 327-0671(701) 282-1378(701) 282-1378(307) 432-2743(307) 432-2743(740) 695-7616(800) 868-5200(952) 992-2592(775) 982-2726(205) 220-7839(608) 661-6620(414) 577-3700
List of Automatic Crossover Trading Partner (Insurers) In ProductionDo Not Include Number Shown Below on Incoming ClaimsCoordination of Benefits AgreementNational Crossover ProcessSupplemental Payers and Insurers (Trading Partners)Trading PartnerPLUMBERS LOCAL 75 HEALTH FUNDMADISON AREA CONSTRU EMPLOYEESIRONWORKERS LOCAL 383 HCPWISCONSIN MASONS HEALTH FUNDZENITH AMERICAN SOLUTIONSBCBS OF MINNESOTATRANSAMERICA PREMIER LIFE INSUNITEDHEALTH GROUPWELLMARK BCBS OF SDWELLMARK BCBS OF IATRANSAMERICA PREMIER LIFE INSHORIZON BCBS OF NEW JERSEYBCBS OF SOUTH CAROLINAHIGHMARK INCHIGHMARK INCGHI PPOGHI PPOHCSC-BCBS OF IL-NON-STD A & BHCSC-BCBS OF IL-STD A & BHCSC-BCBS OF NM-NON STD A & BHCSC-BCBS OF NM-STD A & BHCSC-BCBS OF TEXAS-NON STD A&BHCSC-BCBS OF TEXAS-STD A & BLIBERTY NATL LIFE INS CO - GMSLIBERTY NATL LIFE INS CO - GMSGLOBE LIFE & ACCIDENTAL INS COAMERICAN INCOME LIFE INS COUNITED AMERICAN INSURANCE COGLOBAL LIFE INSURANCE COMPANY NYEQUI LIFE & CASUALTY INSBCBS OF MISSISSIPPITRIPLE S, INC. - MEDIGAPBCBS OF WYOMINGBCBS OF NORTH DAKOTABCBS OF TENNESSEE-MEDIGAPUNITED COMMERCIAL TRAVELERSSTANDARD LIFE AND ACCIDENT INSAM. NATIONAL LIFE INS CO OF TXLOYAL AMERICAN LIFE INSURANCE COGUARANTEE TRUST LIFE INS COEMPIRE BLUE CROSS BLUE SHIELD IMEDICAL MUTUAL OF OHIOBCBS OF KANSASUpdated: 06/30/2019Identification 005430055300563006030062Customer ContactJackie TradVickie WilkinVickie WilkinVickie WilkinAmy CookCustomer ServiceJennifer SaliCustomer ServiceCustomer/Provider ServicesProvider ServicesJennifer SaliCustomer ServiceJudith MurrayCustomer ServiceCustomer ServiceMichele PodolakMichele PodolakCustomer ServiceCustomer ServiceCustomer ServiceCustomer ServiceCustomer ServiceCustomer ServiceCustomer ServiceCustomer ServiceCustomer ServiceCustomer ServiceCustomer ServiceCustomer ServiceTristen GaertnerCustomer ServiceNayda CruzAmber ZowadaGina BercherlCustomer ServiceJose Viri-DunahueJill DavisJill DavisCustomer ServiceMark PytelRefer To Back Of ID CardSue RobinsonCustomer ServiceContact Number(414) 577-3700(608) 278-9500(608) 278-9500(608) 278-9500(203) 949-3239(800) 531-6686(610) 648-4990(800) 523-5800(800) 524-9242(800) 524-9242(610) 648-4990(800) 624-1110(803) 264-3889(800) 345-3806(800) 345-3806(315) 434-2447(315) 434-2447(888) 762-2189(888) 762-2189(888) 762-2189(888) 762-2189(888) 762-2189(888) 762-2189(972) 529-5085(972) 529-5085(972) 529-5085(972) 529-5085(972) 529-5085(972) 529-5085(801) 579-3797(800) 257-5825(787) 749-4949(307) 432-2743(701) 277-2081(800) 553-8158(614) 487-9680(281) 538-4890(281) 538-4890(866) 459-4272(847) 904-5375(216) 687-6108(800) 432-3990
List of Automatic Crossover Trading Partner (Insurers) In ProductionDo Not Include Number Shown Below on Incoming ClaimsCoordination of Benefits AgreementNational Crossover ProcessSupplemental Payers and Insurers (Trading Partners)Trading PartnerBANKERS LIFE AD CASUALITYWASHINGTON NATIONAL INSURANCE COANTHEM BCBS NORTHEAST REGIONCONSECO SERVICES - COLONIAL PENNSANFORD HEALTH PLAN OF MINNESOTASANFORD HEALTH PLANHEALTH ALLIANCE MEDICAL PLANSCONTINENTAL LIFE INS OF BRENTWOOAMERICAN CONTINENTAL INSU.PHYSICIANS MUTUAL INS.CODEAN HEALTH PLANCAREFIRST PART A ONLYPARAMOUNT HEALTH CAREUPMC HEALTH BENEFITS, INCCAPITAL BLUE CROSSBLUE CROSS BLUE SHIELD OF WNYBLUE CROSS BLUE SHIELD OF WNYMUTUAL OF OMAHA INSURANCE COMPMUTUAL OF OMAHA INSURANCE COMPHIGHMARK BCBS OF DELAWAREEVERENCE ASSN A FRATERNALBCBS OF ARIZONASIERRA HEALTH & LIFE INSURANCE CBCBS OF NORTH DAKOTAANTHEM CENTRAL - FACETSGUARANTEE TRUST LIFE INS COANTHEM BCBS NORTHEAST - PART BMODA HEALTH PLAN INCARKANSAS BCBSINDEPENDENCE BLUE CROSSCENTRAL UNITED LIFE INSURANCEAFLACAFLAC-NEW YORKHIGHMARK WEST VIRGINIAHIGHMARK WEST VIRGINIAUNIFIED LIFE INSURANCE COMPANYANTHEM BCBS OF NEVADAANTHEM BCBS OF COLORADOBLUE CROSS OF CALIFORNIAUNICARE LIFE & HEALTH INSURANCERESERVE NATIONAL INSURANCE COAMERICAN INSURANCE ADMINISTRATORBANKERS FIDELITY LIFE INS COUpdated: 06/30/2019Identification 013630137301493015130152Customer ContactCustomer ServiceCustomer ServiceRefer To Back Of ID CardCustomer ServiceTami HabererTami HabererLisa ParkerEllen MartinEllen MartinCarolyn BrownMurielle SagoProvider ServicesDonya HensleyMember ServicesMolly KuntzMelissa DebothMelissa DebothCustomer ServiceCustomer ServiceCustomer ServiceCustomer ServiceRebecca GarciaGina BercherlRefer To Back Of ID CardMark PytelRefer To Back Of ID CardEDI DepartmentMia MooreCustomer ServiceCustomer ServiceCustomer ServiceCustomer ServiceCustomer ServiceCustomer ServiceJana ShrumRefer To Back Of ID CardRefer To Back Of ID CardRefer To Back Of ID CardRefer To Back Of ID CardJuanita PhelpesBob FabbiContact Number(800) 621-3724(800) 621-3724(800) 523-4000(605) 328-6860(605) 328-6860(217) 902-8353(800) 264-4000(800) 264-4000(402) 633-5757(608) 827-4432(800) 842-5975(419) 887-2437(866) 400-5077(717) 703-8672(716) 887-8443(716) 887-8443(800) 775-1000(800) 775-1000(800) 485-2889(574) 533-9511 ext. 380(602) 864-4818(701) 277-2081(847) 904-5375(503) 228-6554(501) 502-1686(800) 645-3965(800) 669-9030(800) 992-3522(800) 992-3522(800) 543-7822(800) 543-7822(913) 871-7312(800) 654-9106(727) 726-0726
List of Automatic Crossover Trading Partner (Insurers) In ProductionDo Not Include Number Shown Below on Incoming ClaimsCoordination of Benefits AgreementNational Crossover ProcessSupplemental Payers and Insurers (Trading Partners)Trading PartnerBLUE CROSS OF IDAHOBLUE CROSS OF IDAHONORTH AMERICAN INSURANCE COMPANYPEKIN LIFE INSURANCE COMPANYSTATE FARM AUTOMOBILE INSUR CO.THRIVENT FINANCIAL FOR LUTHERANSTHRIVENT FINANCIAL FOR LUTHERANSBCBS OF MASSACHUSETTS INC.BCBS OF VERMONT - SUPPLEMENTALBCBS OF KANSAS CITYAMERICAN REPUBLIC/ENTERPRISEWORLD INSURANCECENTRAL STATES HEALTH & LIFEBLUE CROSS BLUE SHIELD OF RIASURISREGENCE BLUESHIELD OF UTAHREGENCE BLUESHIELDREGENCE BLUESHIELD OF IDAHOBCBS OF FLORIDA - FEPBCBS OF FLORIDA - SUPPAMERI HEALTH ADMINISTRATORCOMMUNITYCARE LIFE & HEALTH INS.AMERICAN REPUBLIC/ENTERPRISEREGENCE BCBS OF OREGONBLUE CROSS BLUE SHIELD OF WIBCBS OF WYOMINGAMERICAN REPUBLIC/ENTERPRISEAMERICAN REPUBLIC/ENTERPRISEROCKY MOUNTAIN HEALTH PLANSOLD SURETY LIFE INSURANCE COMPHEALTH ALLIANCE PLANUNITED AMERICAN INSURANCE COMEDICO INSURANCE COMPANYMEDICO INSURANCE COMPANYMEDICO INSURANCE COMPANYMEDICO INSURANCE COMPANYBCBS OF MINNESOTAACTUARIAL MANAGEMENT RESOURCESFIRST COMMUNITY HEALTH PLAN, INCHEALTH CARE SERVICE BCBS-STDHCSC,BCBS NON-STDBCBS OF NEBRASKABCBS OF NEBRASKAUpdated: 06/30/2019Identification 025030253302543025530256Customer ContactDavid PetersonDavid PetersonJulie TauberCustomer ServiceCustomer ServiceLisa AlbertstonLisa AlbertstonDebra WilsonChantal ParentKathy CurreyCustomer ServiceCustomer ServiceMelissa MatthysJason FurlanRebecca ThornRebecca ThornRebecca ThornRebecca ThornCustomer ServiceCustomer ServiceExperience AH CustomerShannon BryanCustomer ServiceRebecca ThornRefer To Back Of ID CardAmber ZowadaCustomer ServiceCustomer ServiceKris MaleanContact Number(986) 224-3150(986) 224-3150(800) 627-4282(800) 322-0160(866) 855-1212(920) 628-4293(920) 628-4293(617) 246-7665(802) 371-3611(816) 395-3877(800) 247-2190(800) 786-5443(281) 368-7131(401) 459-2297(503) 375-4341(503) 375-4341(503) 375-4341(503) 375-4341(800) 352-2583(800) 352-2583(844) 352-1706(918) 594-5295(800) 247-2190(503) 375-4341Michia PippinCustomer ServiceCustomer ServiceCustomer ServiceCustomer ServiceCustomer ServiceCustomer ServiceDonna Coleman-FulkRegina RatleyCustomer ServiceCustomer ServiceCustomer Service CenterCustomer Service Center(313) 664-8031(972) 529-5085(800) 247-2190(800) 247-2190(800) 247-2190(800) 247-2190(800) 531-6686(833) 657-1452(256) 532-2786(888) 762-2189(888) 762-2189(800) 991-7392(800) 991-7392(307) 432-2743(800) 247-2190(800) 247-2190(970) 248-5056
List of Automatic Crossover Trading Partner (Insurers) In ProductionDo Not Include Number Shown Below on Incoming ClaimsCoordination of Benefits AgreementNational Crossover ProcessSupplemental Payers and Insurers (Trading Partners)Trading PartnerBLUE CROSS BLUE SHIELD OF NCHEARTLAND NATIONAL LIFE INS., CO.INSURANCE ADMINISTRATIVE SOLUTIONS, LLCINSURANCE ADMINISTRATIVE SOLUTIONS, LLCINSURANCE ADMINISTRATIVE SOLUTIONS, LLCINSURANCE ADMINISTRATIVE SOLUTIONS, LLCINSURANCE ADMINISTRATIVE SOLUTIONS, LLCINSURANCE ADMINISTRATIVE SOLUTIONS, LLCINSURANCE ADMINISTRATIVE SOLUTIONS, LLCINSURANCE ADMINISTRATIVE SOLUTIONS, LLCINSURANCE ADMINISTRATIVE SOLUTIONS, LLCINSURANCE ADMINISTRATIVE SOLUTIONS, LLCIdentification 0276302763027630276INSURANCE ADMINISTRATIVE SOLUTIONS, LLC30276INSURANCE ADMINISTRATIVE SOLUTIONS, LLCINSURANCE ADMINISTRATIVE SOLUTIONS, LLCINSURANCE ADMINISTRATIVE SOLUTIONS, LLCINSURANCE ADMINISTRATIVE SOLUTIONS, LLCINSURANCE ADMINISTRATIVE SOLUTIONS, LLCINSURANCE ADMINISTRATIVE SOLUTIONS, LLCINSURANCE ADMINISTRATIVE SOLUTIONS, LLCINSURANCE ADMINISTRATIVE SOLUTIONS, CE ADMINISTRATIVE SOLUTIONS, LLCINSURANCE ADMINISTRATIVE SOLUTIONS, LLCAMERICAN REPUBLIC/ENTERPRISEAMERICAN REPUBLIC/ENTERPRISEAMERICAN REPUBLIC/ENTERPRISEAMERICAN REPUBLIC/ENTERPRISEASSURED LIFE ASSOCIATIONTUFTS INSURANCE COMPANYARKANSAS BCBSGERBER LIFE INS. CO.STANDARD LIFE AND ACCIDENT INS.UNITED NAT'L LIFE INS CO OF AMERUNITED NATIONAL LIFE INSURANCE COMPANYBLUE CROSS OF CALIFORNIABLUE CROSS OF COLORADOBLUE CROSS OF GEORGIABLUE CROSS OF NEVADABLUE CROSS OF pdated: 06/30/2019Customer ContactNakia HarringtonTristen GaertnerSee Designated GroupPuritan LifeLincoln Heritage LifePrincipalLifeInsuranceRoyal Neighbors of AmericaShenandoah Life InsuranceState Mutual InsuranceErie Family Life Insuracne CompanyLumico Life Ins.KSKJ LifeContact Number(877) 258-3334(801) 579-3797Central States Indemnity Co. of OmahaAmerico Financial Life And AnnuityInsuranceCSI Life Insurance CompanyCountry FinancialEverest Reinsurance CompanyCSI Life Insurance CompanyCountry FinancialSBLI USA Life Insurance CompanyS. USA Life Insurance CompanyCentral States Health & Life Co. ofOmahaGreat Southern Life Ins. Co.Customer ServiceCustomer ServiceCustomer ServiceCustomer ServiceCustomer ServiceEDI OperationsAngela WinstonCustomer ServiceJill DavisMark PytelMark PytelRefer To Back Of ID CardRefer To Back Of ID CardRefer To Back Of ID CardRefer To Back Of ID CardRefer To Back Of ID Card(855) 664-5517(866) 398-9305(888) 586-8810(800) 447-4701(877) 815-8877(866) 322-2856(877) 872-5500(855) 774-4494(855) 774-4491(866) 671-5755(877) 212-2346(855) 664-5517(855) 304-2858(844) 301-0395(855) 664-5517(855) 304-2858(866) 322-2856(866) 322-2856(833) 522-4874(877) 212-2346(888) 755-3064(888) 755-3064(888) 755-3064(888) 755-3064(877) 223-4244(617) 972-9400(501) 210-2074(877) 656-5424(281) 538-4890(847) 904-5375(847) 904-5375
List of Automatic Crossover Trading Partner (Insurers) In ProductionDo Not Include Number Shown Below on Incoming ClaimsCoordination of Benefits AgreementNational Cro
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