RFP Attachment - 210 MCO TPL Report Sample.xlsx

XLSX spreadsheet 512 KB Posted Jun 30, 2026

Attached to: Medicaid Third Party Liability (TPL), Recovery Audit Contracting (RAC), and Medicaid Estate Recovery
Solicitation number: 41NHA-S3818
Issued by: Nevada

About this file

Written by GovTribe AI · Jul 1, 2026

This is an RFP attachment providing data dictionary instructions and format specifications for the Nevada Health Authority's Medicaid Third Party Liability (TPL) Recovery reporting requirements. The document outlines mandatory submission of monthly CSV files containing TPL claim information from the Facility_Professional_Pharmacy reporting tab. The submission format requires specific data fields including Medicaid member identification, provider NPI, dates of service, member demographics, third-party insurance policy holder information, claim payment amounts, and recovery status tracking. The data dictionary specifies 20 fields as mandatory for matching purposes, including member ID, provider NPI, member date of birth, member name and SSN, service dates, paid amounts, claim types, carrier codes, submitted charges, amounts recovered, and claim status codes. Optional fields for third-party policy holder details and claim-level identifiers are also defined with specific formatting requirements, maximum byte sizes, and acceptable null value parameters.

The submission requirements reference an NV State Carrier Table containing carrier codes and contact information for numerous insurance carriers, with examples provided for carriers including AETNA Life, Blue Cross Blue Shield entities, CIGNA Healthcare, Delta Dental, and numerous other regional and national insurance providers. All data must be submitted in proper date formats (YYYY-MM-DD), with numeric fields requiring leading zeros where applicable. The data dictionary includes three crosswalk tables defining acceptable claim type codes (P for pharmacy, U for UB institutional claims, H for HCFA professional claims, D for dental), status codes (Open, Denied, Paid), and complete carrier information with addresses and phone numbers. No specific pricing terms, award dates, or contract duration information is provided in this attachment, as it functions solely as a technical specification document for data reporting standards.

View the file

Other files

File	Type	Posted
RFP Attachment - SLA TPL Vendor Checklist.xlsx	XLSX spreadsheet	Jun 30, 2026
RFP Attachment - TPL Comparision Report Sample.xlsx	XLSX spreadsheet	Jun 30, 2026
41NHA-S3818 SOWs Final 06.08.26.docx	DOCX document	Jun 30, 2026
RFP Attachment - 213 MCO Subrogation Sample.xlsx	XLSX spreadsheet	Jun 30, 2026
Standard-form-contract~3.docx	DOCX document	Jun 30, 2026
RFP Attachment - Vendor Recovery Recoup Checklist.xlsx	XLSX spreadsheet	Jun 30, 2026
41NHA-S3818-Request-for-Proposals.docx	DOCX document	Jun 30, 2026
41NHA-S3818-Reference-Questionnaire.docx	DOCX document	Jun 30, 2026
41NHA-S3818 - Insurance Schedule - RFP.docx	DOCX document	Jun 30, 2026
Terms-and-conditions-for-services~5.pdf	PDF	Jun 30, 2026
41NHA-S3818 - Cost Schedule Final 06.09.26.xlsx	XLSX spreadsheet	Jun 30, 2026
41NHA-S3818 - Business Associate Addendum.docx	DOCX document	Jun 30, 2026
Certification-regarding-lobbying~5.pdf	PDF	Jun 30, 2026

Show all 13

On GovTribe

Work with this file

Download the original file
Contacts named in this file
Similar government files
Ask GovTribe AI about this file

Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

Data Dictionary_Instructions

Definitions and Instructions
Report Header	This does not need to be completed at this time. We only need the report in .csv format.
INSTRUCTIONS	Create a CSV file with the information within the Facility_Professional_Pharmacy tab using the DATA DICTIONARY FORMAT BELOW and send through SFTP

***Please submit the .csv file submitted monthly*** Do not change the format of this template.

DATA DICTIONARY

COLOR FIELDS:

OPTIONAL FIELD

MANDATORY FIELD

SUGGESTED

	Field Name	Required	Data Type	Format	Max Byte Size	Null Values Acceptable	Description	Example Response
	Medicaid
Member ID	Y	Alphanumeric	Text	11	N	State Medicaid Member ID Number (please include leading zeros)	123456789
	Pay to Provider
NPI	Y	Numeric	Integer	10	N	NPI of the provider billing Medicaid (please include leading zeros)	1234567891
	Member
DOB	Y	Date	YYYY-MM-DD	10	N	Medicaid Member Date of Birth FORMAT YYYY-MM-DD	2023-01-01
	Member Last
Name	Y	Alphanumeric	Text	20	N	Medicaid Member Last Name	Smith
	Member First Name	Y	Alphanumeric	Text	15	N	Medicaid Member First Name	Thomas
	Member SSN	Y	Numeric	Integer	9	N	Medicaid Member SSN without dashes	123456789
	Begin DOS	Y	Date	YYYY-MM-DD	10	N	Beginning Date of Service of the claim FORMAT YYYY-MM-DD	2023-01-01
	Policy
Holder Last Name	N	Alphanumeric	Text	20	N	Third Party Insurance Policy Holder Last Name	Smith
	Policy Holder First Name	N	Alphanumeric	Text	15	N	Third Party Insurance Policy Holder First Name	Thomas
	Policy Holder Middle Initial	N	Alphanumeric	Text	1	N	Third Party Insurance Policy Holder Middle Initial	A
	Policy Holder DOB	N	Date	YYYY-MM-DD	10	N	Third Party Insurance Policy Holder Date of Birth FORMAT YYYY-MM-DD	2023-01-01
	Policy Holder SSN	N	Numeric	Integer	9	N	Third party Insurance Policy Holder SSN without dashes	123456789
	Paid Amount	Y	Numeric	Decimal	15,2	N	Amount MCO Paid on claim	10.00
	Claim Type	Y	Alpha	Text	1	N	Reference Claim Type Crosswalk table for acceptable values	P
	Carrier Code	Y	Alphanumeric	Text	5	Y	NV State Carrier Codes - See NV Carrier Table	09856
	Carrier Name	Y	Alphanumeric	Text	40	Y	NV State Carrier Name - See NV Carrier Table	CVS/CAREMARK
	Submitted Charge	Y	Numeric	Decimal	15,2	N	Dollar Amount Billed to Third Party Insurance	10.00
	Amount Recovered	Y	Numeric	Decimal	15,2	N	Dollar Amount Recovered from Third Party Insurance	5.00
	Provider/Carrier
Last date Billed	Y	Date	YYYY-MM-DD	10	Y	Last date of outreach to Third Party Carrier FORMAT YYYY-MM-DD	2023-01-01
	Status	Y	Alpha	Text	6	N	Reference the Status Code Crosswalk table for acceptable values	Paid
	Response Date	Y	Date	YYYY-MM-DD	10	Y	Date Third Party Insurance Responded to claim FORMAT YYYY-MM-DD	2023-01-01
	ICN	Y, one or the other	Alphanumeric	Text	40	Y, one or the other	Report Required to be aggregated at BASE ICN (CLAIM) level	12345678910121300
	TCN		Alphanumeric	Text	40		Report Required to be aggregated at BASE ICN (CLAIM) level	12345678910121300

Facility_Professional_Pharmacy

Mandatory for match

Optional for match

Mandatory for match

Suggested for claim level reporting

Medicaid

Member ID

Pay to Provider

NPI

Member

DOB

Member Last

Name

Member First Name

Member SSN

Begin DOS

Policy

Holder Last Name

Policy Holder First Name

Policy Holder Middle Initial

Policy Holder DOB

Policy Holder SSN

Paid Amount

Claim Type

Carrier Code

Carrier Name

Submitted Charge

Amount Recovered

Provider/Carrier

Last date Billed

Status

Response Date

ICN

TCN

Reference - Claim Type

Claim Type	Description
P	Pharmacy Claims
U	Claims filed on a UB claim form Typically used for Instutional Claim Billing
H	Claims filed on a HCFA or CMS-1500 claim form Typically used for Professional Claim Billing
D	Dental claims

Reference - Status Code

Status	Description
Open	Claim has been submitted to third party insurance however payment has yet to be remitted
Denied	Claim has been rejected by the third party insurer
Paid	Claim has been paid by third party insurer

Reference - NV Carrier Table

CDE_CARRIER	NAM_BUS	ADR_MAIL_STRT1	ADR_MAIL_STRT2	ADR_MAIL_CITY	ADR_MAIL_STATE	ADR_MAIL_ZIP	ADR_MAIL_ZIP_4	NUM_PHONE
00002	21ST CENTURY HEALTH AND BENEFITS, INC	1845 WALNUT ST 23RD FL		PHILADELPHIA	PA	19103	4723	2159639321
00005	A-1 LIFE INSURANCE CO	80 PINE ST 13TH FL		NEW YORK	NY	10005	1702	2127707000
00007	A.G.I.A., INC	PO BOX 21208		SANTA BARBARA	CA	93121	1208	8055669191
00008	A.I.A. INSURANCE	ONE LEWIS CLARK PLZ	PO BOX 538	LEWISTON	ID	83501	0538	2087999000
00010	AAA LIFE INSURANCE CO	1000 AAA DR		HEATHROW	FL	32746	5063	4074448550
00012	AARP CLAIMS UNIT	BOX 13999		PHILADELPHIA	PA	19187	0216	8005235880
00018	ACADEMY INSURANCE GROUP	6600 PEACHTREE-DUNWOODY RD	PO BOX 105634	ATLANTA	GA	30348	5634	4046987000
00026	ACS INVESTORS, INC	2828 N HASKEL		DALLAS	TX	75204		2148268148
00031	ADMIN AMERICAN CORP	PO BOX 338		COLUMBIA	MD	21045	0338	4107206236
00032	ADMINISTRATION & INSURANCE OFFICE	1220 SW MORRISON STE 300		PORTLAND	OR	97205	2222	5032240048
00033	ADMINISTRATION SERVICES, INC	BOX 5434	WEST 111 CATALDO STE 110	SPOKANE	WA	99205		5093280300
00034	ADMINISTRATION SYSTEMS RESEARCH CORP	3033 ORCHARD VISTA DR SE		GRAND RAPIDS	MI	49546	7000	6169571751
00036	ADMINISTRATIVE CONCEPTS	2809 E 56TH ST		INDIANAPOLIS	IN	46220		3172539939
00037	ADMINISTRATIVE CONCEPTS, INC	6250 S BAY RD	PO BOX 3580	SYRACUSE	NY	13220		3156995809
00038	ADMINISTRATIVE CONSULTANTS, INC	92 BROOKSIDE RD		WATERBURY	CT	06708		2037568061
00039	ADMINISTRATIVE ENTERPRISES, INC	7122 N 27TH AVE STE 102	PO BOX 56219	PHOENIX	AZ	85079	6219	6027891170
00040	ADMINISTRATIVE MANAGEMENT GROUP	3800 N WILKE RD STE 250		ARLINGTON HEIGHTS	IL	60004	1266	7085776000
00043	ADMINISTRATIVE SERVICES OF IN	6910 N MAIN ST		GRANGER	IN	46530		2192725168
00044	ADMINISTRATIVE SERVICES, INC	PO BOX 839000		MIAMI	FL	33283	9000	3055954040
00052	ADVANCED SOLUTIONS	400 INTERSTATE N PKY STE 1400		ATLANTA	GA	30339		4049516674
00053	ADVANTAGE HEALTH	121 SEVENTH ST		PITTSBURGH	PA	15222		4123919300
00054	ADVANTAGE PLAN ADMINISTRATORS	3540 S 4000 W		WEST VALLEY CITY	UT	84120		8019661701
00055	ADVENTIST RISK MANAGEMENT HEALTHCARE SER	PO BOX 8007	FAX BACK 800 638 0589	RIVERSIDE	CA	92515	8007	9098244386
00057	AETNA LIFE	BOX 1111		MIDDLETOWN	CT	06457	1111	2032984000
00058	AETNA LIFE	100 N RIVERSIDE PLZ 20TH FL		CHICAGO	IL	60606	1518	3124413000
00059	AETNA LIFE	3900 N CAUSEWAY BLVD STE 410		METAIRIE	LA	70002	7283	5048334344
00060	AETNA LIFE	1111 BAYHILL DR STE 300		SAN BRUNO	CA	94066	3092	4159522005
00061	AETNA LIFE	BOX 31023	4890 W KENNEDY #545	TAMPA	FL	33630	3123	8138706670
00062	AETNA LIFE	2700 WESTCHESTER AVE		PURCHASE	NY	10577	2554	9142510600
00065	AETNA US HEALTHCARE	PO BOX 150409		HARTFORD	CT	06115	0409	2032730123
00069	AFFORDABLE BENEFIT ADMINISTRATORS	444 IRVING DR STE 202		BURBANK	CA	91504	2400	8188420147
00071	AFLAC OF NEW YORK INSURANCE	PO BOX 15087		ALBANY	NY	12212		5184380764
00081	AID ASSOCIATION FOR LUTHERANS	4321 N BALLARD RD		APPLETON	WI	54919	0001	4147345721
00086	ALBERT H. WOHLERS & CO	1440 N NORTHWEST HGY		PARK RIDGE	IL	60068	1400	7088033100
00089	ALDEN ASSOCIATES, INC	1525 HAMILTON AVE		WATERBURY	CT	06706	2401	2037543333
00097	ALLEN MEDICAL CLAIMS ADMINISTRATORS	PO BOX 978		FT VALLEY	GA	31030	0978	9128255406
00099	ALLIANCE HEALTH CARE	3033 E 1ST AVE STE 810		DENVER	CO	80206		3033336767
00101	ALLIED ADMINISTRATORS, INC	2831 CAMINO DEL RIO S STE 311		SAN DIEGO	CA	92108	3829	6192978235
00102	ALLIED BENEFIT SYSTEMS, INC	222 S RIVERSIDE PLZ STE 1500		CHICAGO	IL	60606	6001	3129068080
00103	ALLIED BENEFITS ADMINISTRATORS	605 9TH ST STE 101	PO BOX 59	HUNTINGTON	WV	25706	0059	3045292345
00105	ALLMERICA FINANCIAL	440 LINCOLN ST		WORCESTER	MA	01653	0001	5088551000
00109	ALTERNATIVE HEALTH DELIVERY SYSTEMS, INC	9901 LINN STATION RD		LOUISVILLE	KY	40223	3808	5024235994
00110	ALTERNATIVE RISK MANAGEMENT, INC	2200 HICKS RD STE 125		ROLLING MEADOWS	IL	60008		7083941700
00111	AMALGAMATED LIFE & HEALTH INSURANCE CO	PO BOX 1451NON HOSP CLAIMS	1600 W BROADWAY RD #385 TEMPE AZ 85282	TEMPE	AZ	85282		7023824919
00114	AMERAPLAN, INC	22500 METROPOLITAN PKY STE 100		CLINTON TOWNSHIP	MI	48035		3137924000
00119	AMERICAN BENEFIT MANAGEMENT	6520 WHIPPLE AVE NW		NORTH CANTON	OH	44720	7340	2169665500
00123	AMERICAN CLAIMS EVALUATION, INC	222 LAS COLINAS BLVD W STE 1252		IRVING	TX	75039		2144322850
00125	AMERICAN COMMUNITY MUTUAL INSURANCE CO	39201 SEVEN MILE RD		LIVONIA	MI	48152	1056	3135919000
00128	AMERICAN DENTAL EXAMINERS, INC	370 7TH AVE STE 1206		NEW YORK	NY	10001	3907	2124650900
00129	AMERICAN DENTAL PLAN, INC	PO BOX 566967		ATLANTA	GA	31156	6967	4045527101
00134	AMERICAN FAMILY INSURANCE	6000 AMERICAN PKY		MADISON	WI	53783	0001	6082492111
00135	AMERICAN FAMILY LIFE ASSURANCE COMPANY O	1932 WYNNTON RD		COLUMBUS	GA	31999		7063233431
00136	AMERICAN FIDELITY ASSURANCE CO	PO BOX 268898		OKLAHOMA CITY	OK	73126	8898	4054167750
00137	AMERICAN FIDELITY ASSURANCE CO	PO BOX 25523		OKLAHOMA CITY	OK	73125	0523	4055232000
00141	AMERICAN FREIGHTWAYS, INC	2200 FORWARD DR	PO BOX 840	HARRISON	AR	72602	0840	5017419000
00142	AMERICAN GENERAL LIFE & ACCIDENT INSURAN	AMERICAN GENERAL CTR		NASHVILLE	TN	37250	0001	6157491000
00143	AMERICAN GROUP ADMINISTRATORS	3010 WESTCHESTER AVE		PURCHASE	NY	10577		9146941200
00144	AMERICAN GROUP ADMINISTRATORS, INC	PO BOX 1349		HENDERSONVILLE	TN	37077	1349	6158247931
00147	AMERICAN HEALTHCARE PROVIDERS	PO BOX 1719	4801 SOUTHWICK DR STE 500	MATTESON	IL	60443		8002213231
00148	AMERICAN HERITAGE LIFE INSURANCE CO	1776 AMERICAN HERITAGE LIFE DR		JACKSONVILLE	FL	32224		9043541776
00151	AMERICAN INCOME LIFE INSURANCE CO	PO BOX 2608		WACO	TX	76797	0001	8177518600
00157	AMERICAN INSURANCE ADMINISTRATORS, INC	PO BOX 960		COLUMBUS	OH	43216	0960	6144865388
00172	AMERICAN LIFE & HEALTH INSURANCE CO	PO BOX 3680		LAGUNA HILLS	CA	82654	3680	7143800880
00177	AMERICAN MEDICAL & LIFE INSURANCE CO	35 BROADWAY		HICKSVILLE	NY	11801	4236	5168228700
00178	AMERICAN MEDICAL SECURITY	PO BOX 19032		GREEN BAY	WI	54307	9032
00185	AMERICAN NATIONAL INSURANCE CO	ONE MOODY PLZ	PO BOX 1520	GALVESTON	TX	77553	1520	4097634661
00187	AMERICAN NATIONAL SERVICES GROUP	800 ROOSEVELT RD BLG E STE 200		GLEN ELLYN	IL	60137	2449
00189	AMERICAN PHYSICIANS LIFE INSURANCE CO	PO BOX 16182		COLUMBUS	OH	43216	6182	6148643900
00190	AMERICAN PIONEER LIFE INSURANCE CO	PO BOX 958465		LAKE MARY	FL	32795		4079958000
00192	AMERICAN POSTAL WORKERS UNION HEALT	PO BOX 1358		GLEN BURNIE	MD	21060
00193	AMERICAN PROGRESSIVE BENEFITS	155 FRANKLIN RD STE 250		BRENTWOOD	TN	37027		6153772000
00194	AMERICAN PROGRESSIVE LIFE & HEALTH	PO BOX 95845		LAKE MARY	NY	32795		4079958000
00195	AMERICAN PUBLIC LIFE INSURANCE CO	PO BOX 925		JACKSON	MS	39205	0925	6019366600
00197	AMERICAN REPUBLIC INSURANCE CO	BOX 10/NATIONAL HEADQUARTERS		DES MOINES	IA	50301	0010	5152452000
00201	AMERICAN SELFCARE CORP	233 12TH ST		COLUMBUS	GA	31901		7063241170
00203	AMERICAN SERVICE LIFE INSURANCE COMPANY	PO BOX 809095		DALLAS	TX	75380	9095	2149919929
00206	AMERICAN STATES INSURANCE CO	500 N MERIDIAN ST	PO BOX 1636	INDIANAPOLIS	IN	46206	1636	3172626262
00209	AMERICAN TRUST ADMINISTRATORS, INC	BOX 87	CLAIMS DEPARTMENT	SHAWNEE MISSION	KS	66201		9134514900
00210	AMERICAN UNDERWRITERS LIFE INSURANCE CO	PO BOX 9510		WICHITA	KS	67277	0510	3167942200
00220	AMERITAS	400 RELLA BLVD STE 214		SUFFERN	NY	10901		9143573604
00221	AMERITAS GROUP	PO BOX 82520	WWW.YOURDENTALSOLUTIONS.COM	LINCOLN	NE	68501	2520	8004875553
00234	ANTHEM BENEFIT SERVICES OF FLORIDA	PO BOX 47900		JACKSONVILLE	FL	33247	0001	9043637600
00235	ANTHEM HEALTH PLAN OF INDIANA, INC	333 N ALABAMA ST STE 370		INDIANAPOLIS	IN	46204	2151	3172624577
00246	ARIZONA PHYSICIANS, IPA, INC	4041 N CENTRAL AVE BLDG A		PHOENIX	AZ	85012	3330	6022746102
00247	ARIZONA PIPE TRADES	3109 N 24TH ST BLDG B		PHOENIX	AZ	85016	7396	6029561894
00257	ARS BENEFITS, INC	4501 CIRCLE 75 PKY NW STE C-320	PO BOX 1553	SMYRNA	GA	30081		4049801908
00260	ASSOCIATED ADMINISTRATORS, INC	2929 NW 31ST		PORTLAND	OR	97210	1721	5032233185
00261	ASSOCIATED DOCTORS HEALTH & LIFE INSURAN	500 BEACON PKY W	PO BOX 10487	BIRMINGHAM	AL	35289	0002	2059409008
00268	ASSOCIATES INSURANCE CO	PO BOX 660028		DALLAS	TX	75266	0028	2145413800
00290	AULTCARE	PO BOX 6910		CANTON	OH	44706	0910	8003448858
00296	AV-MED HEALTH PLAN, INC	9400 S DADELAND BLVD		MIAMI	FL	33156	2817	3056655437
00298	AVEMCO INSURANCE CO	411 AVIATION WAY		FREDERICK	MD	21701	4756	3016945700
00299	BABB, INC	850 RIDGE AVE		PITTSBURGH	PA	15212	6095	4122372020
00301	BAKERY & CONFECTIONARY UNION	10401 CONNECTICUT AVE		KENSINGTON	MD	20895		3014683700
00302	BALBOA INSURANCE CO	3349 MICHELSON DR	PO BOX 19702	IRVINE	CA	92713	9702	7145530700
00303	BALL CORP	345 S HIGH ST	PO BOX 2407	MUNCIE	IN	47307	0407	3177476100
00305	BANKERS COMMERCIAL LIFE INSURANCE CO	5720 LBJ FWY STE 200	PO BOX 809047	DALLAS	TX	75240	9699	2149801151
00307	BANKERS FIDELITY LIFE INSURANCE CO	PO BOX 190750		ATLANTA	GA	31119	0750	4042665500
00309	BANKERS INSURANCE GROUP	360 CENTRAL AVE	PO BOX 15707	ST PETERSBURG	FL	33733	5707	8135794000
00310	BANKERS LIFE & CASUALTY CO	222 MERCHANDISE MARK PLZ		CHICAGO	IL	60654	2001	3123966000
00311	BANKERS MULTIPLE LINE INSURANCE CO	PO BOX 655433		DALLAS	TX	75265	5433	2149390821
00312	BANKERS SECURITY LIFE INSURANCE SOCIETY	4601 FAIRFAX DR	PO BOX 3700	ARLINGTON	VA	22203		7038753500
00318	BASSETT FURNITURE INDUSTRIES, INC	PO BOX 626		BASSETT	VA	24055	0626	7036296469
00320	BCS LIFE INSURANCE CO	676 N SAINT CLAIR ST		CHICAGO	IL	60611	2923	3129517700
00323	BEAULIEU OF AMERICA, INC	600 5TH AVE	PO BOX 4539	DALTON	GA	30721		7062754432
00324	STATELINE TPA INC	BOX 17719	2 ADA ST #200	IRVINE	CA	92713	7719	7147279300
00330	BENEFIT ADMINISTRATION CORP	770 E SHAW AVE STE 200		FRESNO	CA	93710		2092253030
00332	BENEFIT ADMINISTRATIVE SYSTEMS, LTD	43 ORLAND SQUARE DR STE 303		ORLAND PARK	IL	60462	6593	7084602100
00333	BENEFIT ADMINISTRATORS OF AMERICA	BOX 9120	207 CROCKER ST	DES MOINES	IA	50309		5152433210
00334	BENEFIT ADMINISTRATORS, INC	PO BOX 21308		COLUMBIA	SC	29221	1308	8037320001
00336	BENEFIT AND RISK MANAGEMENT SERVICES	8880 CAL CENTER DR STE 285		SACRAMENTO	CA	95826		9163686767
00338	BENEFIT CLAIMS PAYORS, INC	BOX 37400	1717 W NORTHERN AVE STE 200	PHOENIX	AZ	85069	7400	6028616868
00340	BENEFIT COORDINATORS CORP	1195 WASHINGTON AVE		BRIDGEVILLE	PA	15017		4125636720
00344	BENEFIT MANAGEMENT SERVICES, INC	PO BOX 1178		MATTHEWS	NC	28106	1178	7048455608
00345	BENEFIT MANAGEMENT, INC	PO BOX 5989		NORTH LITTLE ROCK	AR	72119		5013755500
00346	BENEFIT MANAGEMENT, INC	PO BOX 3810		JOPLIN	MO	64803	3810	4176233860
00347	BENEFIT PLAN ADMINISTRATION	13255 W BLUEMOUND RD STE 207		BROOKFIELD	WI	53005	6245	4147977383
00351	BENEFIT PLAN ADMINISTRATORS	BOX 2793		HIGH POINT	NC	27261	2793	9108892003
00352	BENEFIT PLANNERS, INC	PO BOX 690450		SAN ANTONIO	TX	78269	0450	2106991872
00353	BENEFIT PLANNING SERVICES, INC	PO BOX 1227		SPARTANBURG	SC	29304	1227	8035854338
00355	BENEFIT RESOURCES	PO BOX 4900		SCOTTSDALE	AZ	85261	4900	6028608121
00362	BENEFITSOURCE, INC	230 HURON VIEW BLVD		ANN ARBOR	MI	48103		3139944445
00364	BENEPLAN STRATEGIES, INC	PO BOX 1391		DAYTON	OH	45401	1391	5132268610
00366	BENICORP INSURANCE OF INDIANA	PO BOX 68917	5285 W LAKEVIEW PKY S DR	INDIANAPOLIS	IN	46268	0000	3172901205
00372	BEST LIFE ASSURANCE COMPANY OF CALIFORNI	PO BOX 19721		IRVINE	CA	92713	9721	7142534080
00373	BESTEEL INDUSTRIES	15279 ALTON PKY		IRVINE	CA	92718		7147274155
00376	BIOMET, INC	PO BOX 587		WARSAW	IN	46581	0587	2192676639
00378	BLUE CARE NETWORK	G-3245 BEECHER RD		FLINT	MI	48532	3687	3137339500
00379	BLUE CARE NETWORK HEALTH CENTRAL	1403 CREYTS RD		LANSING	MI	48917	0001	5173228000
00380	BLUE CARE NETWORK OF SOUTHEAST MICHIGAN	25925 TELEGRAPH RD	PO BOX 5043	SOUTHFIELD	MI	48086	5043	3133547450
00381	BLUE CARE NETWORK OF WEST MICHIGAN	PO BOX 840	611 CASCADE W PKWY SE	GRAND RAPIDS	MI	49546	2107	6169575057
00382	BLUE CHOICE	150 E MAIN ST		ROCHESTER	NY	14647	0001	7164541700
00383	BLUE CROSS BLUE SHIELD GA	PO BOX 9907	2357 WARM SPRINGS RD	COLUMBUS	GA	31908	6007	7065715371
00384	BLUE CROSS BLUE SHIELD OH	1351 WILLIAM HOWARD TAFT RD		CINCINNATI	OH	45206	1775	5137213388
00385	BLUE CROSS BLUE SHIELD PA	1901 MARKET ST		PHILADELPHIA	PA	19103	1480
00386	BLUE CROSS BLUE SHIELD OR	PO BOX 12625		SALEM	OR	97309		5033713249
00387	BLUE CROSS BLUE SHIELD NY	12 RHOADS DRK		UTICA	NY	13502	6398	3157970104
00388	BLUE CROSS BLUE SHIELD MI	PO BOX 64179	8005316679 EX 5004	ST PAUL	MN	55164	0179	6514565004
00390	BLUE LINCS (HMO)	PO BOX 21128	WWW.BCBSOK.COM	TULSA	OK	74121	1128	9185619900
00391	BMA SELECTCARE, INC	BMA TOWER	PO BOX 419458	KANSAS CITY	MO	64141		8167538000
00395	BOON-CHAPMAN	PO BOX 9783	888-538-9333	AUSTIN	TX	78766		4155389331
00397	BOSTON MUTUAL LIFE INSURANCE CO	120 ROYALL ST		CANTON	MA	02021	1028	6178287000
00399	BRADFORD NATIONAL LIFE INSURANCE CO	PO BOX 880		JACKSON	MS	39205	0880	6019493100
00404	BRICKLAYERS & STONE MASONS LOCAL 20	2751 W WASHINGTON ST		WAUKEGAN	IL	60085		7082443685
00405	BRICKLAYERS BENEFIT PLANS OF DE VALLEY	PO BOX 688		JENKINTOWN	PA	19046		2155727800
00409	BROKERAGE CONCEPTS, INC	651 ALLENDALE RD	PO BOX 608	KING OF PRUSSIA	PA	19406	0608	2153372600
00422	BUSINESS ADMINISTRATORS & CONSULTANTS, I	6331 E LIVINGTON AVE	PO BOX 107	REYNOLDSBURG	OH	43068	0107	6148638780
00427	C & O EMPLOYEE HOSPITAL ASSOC.	543 CHURCH ST		CLIFTON FORGE	VA	24422	1199	7038625728
00430	C.F.S. HEALTH GROUP	EQUITABLE BANK CTR TOWER II	100 S CHARLES ST 5TH FL	BALTIMORE	MD	21201	2720	4105287000
00435	CALFARM INSURANCE CO	PO BOX 15016	1601 EXPOSITION BLVE	SACRAMENTO	CA	95851	1016	8772342727
00437	CALIFORNIA BENEFITS DENTAL PLAN	4911 WARNER AVE STE 208		HUNTINGTON BEACH	CA	92649	4473	7148402852
00438	CALIFORNIA CASUALTY INSURANCE CO	1900 ALAMEDA DE LAS PULGAS	PO BOX M	SAN MATEO	CA	94402	0080	4155744000
00440	CALIFORNIA MEDICAL RESEARCH	6480 WEATHERS PL STE 240		SAN DIEGO	CA	92121	3912	6195359053
00446	CANADA LIFE ASSURANCE CO, THE	8201 Preston Rd		Dallas	TX	75225		4165971456
00450	BLUE CROSS PA	DEPT 778995		HARRISBURG	PA	17177	8995	7175417000
00452	CAPITAL DISTRICT PHYSICIANS HEALTH PLAN	ONE COLUMBIA CIR		ALBANY	NY	12203	5156	5184521941
00457	CAPITOL ADMINISTRATORS	PO BOX 2848		PATERSON	NJ	07509	2848	2012789400
00458	CAPITOL AMERICAN LIFE INSURANCE CO	1001 LAKESIDE AVE	PO BOX 94953	CLEVELAND	OH	44101	4953	2166966400
00463	CARE AMERICA	6300 CANOGA AVE	PO BOX 946	WOODLAND HILLS	CA	91365		8182285050
00465	CARE CHOICES HEALTH PLANS	600 4TH ST TERRE CENTRE STE 401		SOUIX CITY	IA	51101	1748	7122522344
00466	CAREFIRST BLUE CROSS BLUE SHIELD MARYLAN	PO BOX 819	10455 MILL RUN CIRCLE	OWINGS MILLS	MD	21117		8005533745
00468	CARECHOICE	4510 13TH AVE SW		FARGO	ND	58121	0002	7012821100
00469	CARENETWORK, INC	111 W PLEASANT ST		MILWAUKEE	WI	53212		4142233300
00472	CARLSON COMPANY EMPLOYEE BENEFIT TRUST	PO BOX 1755		MINNEAPOLIS	MN	55440	1755	6125405183
00475	CAROLINA CONTINENTAL INSURANCE CO	PO BOX 427		COLUMBIA	SC	29202	0427	8032566265
00477	CATHOLIC KNIGHTS OF AMERICA	3525 HAMPTON AVE		ST LOUIS	MO	63139	1917	3143511029
00482	CENTENNIAL LIFE INSURANCE CO	PO BOX 470		SHAWNEE MISSION	KS	66201	0470	9136778800
00483	CENTRAL BENEFITS MUTUAL INSURANCE CO	PO BOX 16526	255 E MAIN ST	COLUMBUS	OH	43216	6526	6144645848
00485	CENTRAL FREIGHT LINES, INC	5601 W WACO DR	PO BOX 2638	WACO	TX	76702	2638	8177722120
00493	CENTRAL RESERVE LIFE INS CO OF NO AMERIC	PO NOX 247002	WWW.CENTRALRESERVE.COM	OMAHA	NE	68124	7002	8002537709
00495	CENTRAL STATES HEALTH & LIFE INSURANCE C	PO BOX 34350		OMAHA	NE	68134	0350	4023971111
00499	CENTURY MEDICAL HEALTH PLAN	6101 BLUE LAGOON DR STE 300		MIAMI	FL	33126	2040	3052676633
00501	CERTIFIED LIFE INSURANCE CO	222 MERCHANDISE MART PLZ		CHICAGO	IL	60654	2001	3123966000
00504	TRICARE/CHAMPUS	PO BOX 870020		SURFSIDE BEACH	SC	29587	8720	6082594848
00505	CHARTER BENEFIT ADMINISTRATORS	PO BOX 681329		FRANKLIN	TN	37068	1329	6157940001
00508	CHEROKEE NATIONAL LIFE INSURANCE CO	2960 RIVERSIDE DR	PO BOX 6097	MACON	GA	31213	1399	9124770400
00509	CHESAPEAKE HEALTH PLAN	814 LIGHT ST		BALTIMORE	MD	21230	3945	4105398622
00511	CHESTERFIELD RESOURCES	PO BOX 1884		AKRON	OH	44309	1884	2168962232
00513	CHICAGO DISTRICT COUNCIL OF CARPENTERS	12 E ERIE ST		CHICAGO	IL	60611		3127879455
00516	CHOICECARE	655 EDEN PARK DR STE 400		CINCINNATI	OH	45202	6056	5137845200
00517	CHOICECARE LONG ISLAND	395 N SERVICE RD		MELVILLE	NY	11747	3171	5166944000
00522	CHUBB LIFE AMERICA	ONE GRANITE PL	PO BOX 515	CONCORD	NH	03301		6032265000
00523	CHURCH LIFE INSURANCE CO	445 FIFTH AVE		NEW YORK	NY	10016		2126616700
00526	CIGNA HEALTHCARE	TWO LIBERTY PL	1601 CHESTNUT ST	PHILADELPHIA	PA	19192		2157611000
00527	CIGNA HEALTHCARE	1601 CHESTNUT ST	LIBERTY PL	PHILADELPHIA	PA	19192		2157611000
00528	CIGNA HEALTHCARE	4050 INNSLAKE DR		GLEN ALLEN	VA	23060	3327	8042731100
00529	CIGNA HEALTHCARE	PO BOX 9321		SHERMAN	TX	75091	9321
00530	CIGNA HEALTHCARE	BOX 2100	21 HERITAGE DR	BOURBONNAIS	IL	60914
00531	CIGNA HEALTHCARE	PO BOX 9303		SHERMAN	TX	66205
00532	CIGNA HEALTHCARE	7400 W 110TH ST STE 600		OVERLAND PARK	KS	66210	2500	9134519389
00533	CIGNA HEALTHCARE	4220 SHAWNEE MISSION PKY STE 302 B		SHAWNEE MISSION	KS	66205		9133844600
00534	CIGNA HEALTHCARE	PO BOX 354	PO BOX 352	AVON	CT	06001
00535	CIGNA HEALTHCARE	PO BOX 15538		WILMINGTON	DE	19850		4107205800
00536	CIGNA HEALTHCARE	1010 NORTHERN BLVD STE 324		GREAT NECK	NY	11021	5306
00537	CIGNA HEALTHCARE	PO BOX 9310		SHERMAN	TX	75091	9310
00538	CIGNA HEALTHCARE	PO BOX 9305		SHERMAN	TX	75091	9305
00539	CIGNA HEALTHCARE	PO BOX 5064		VISALIA	CA	93278	5064
00540	CIGNA HEALTHCARE	PO BOX 9025		SHERMAN	TX	75091	9025	9038928167
00541	CIGNA HEALTHCARE	PO BOX 30389		TAMPA	FL	33630	3389	8132811300
00542	CIGNA HEALTHCARE	MIDTOWN PLZ II	1349 W PEACHTREE ST NE STE 1300	ATLANTA	GA	30309		4048819779
00543	CIGNA HEALTHCARE	PO BOX 9305		SHERMAN	TX	75091	9305
00544	CIGNA HEALTHCARE	PO BOX 32864		CHARLOTTE	NC	28232		9198397800
00545	CIGNA HEALTHCARE	PO BOX 9022		SHERMAN	TX	75091		8008824462
00546	CIGNA HEALTHCARE	1000 POLARIS PKY		COLUMBUS	OH	43240
00547	CIGNA HEALTHCARE	5100 N BROOKLINE STE 900 9TH FL	CIGNA CENTER	OKLAHOMA CITY	OK	73112	3615	4059437711
00548	CIGNA HEALTHCARE	PO BOX 49400		ATLANTA	GA	30359
00549	CIGNA HEALTHCARE	PO BOX 8903		BRISTOL	TN	37620
00550	CIGNA HEALTHCARE	5295 S 320 W STE 280		SALT LAKE CITY	UT	84107	4719	8012652784
00551	CIGNA HEALTHCARE	CONNECTICUT GENERAL BLDG		HARTFORD	CT	06152		2037266000
00552	CIGNA HEALTHCARE	PO BOX 15050		WILMINGTON	DE	19850	5050	3024796000
00567	CLAIM MANAGEMENT SERVICES, INC	975 HANSEN RD	PO BOX 10888	GREEN BAY	WI	54307	0888	4144971589
00569	CLAIMS ADMINISTRATION SERVICES, INC	6401 CONGRESS AVE STE 230		BOCA RATON	FL	33487		4072419500
00572	CLINICARE	7124 WINDSOR LAKES PKY		ROCKFORD	IL	61111	3862	8156543600
00573	CNY-PATIENTS NETWORK	PO BOX 1498		SYRACUSE	NY	13201	1498	3154491100
00575	COAST BENEFITS	PO BOX 80040	4000 FLAMINGO RD	LAS VEGAS	NV	89180		8003181963
00577	COASTAL BEND HEALTH PLAN, INC	2502 MORGAN	PO BOX 3457	CORPUS CHRISTI	TX	78463	3457	5128870101
00582	COLONIAL LIFE & ACCIDENT INSURANCE CO	PO BOX 1365		COLUMBIA	SC	29202	1365	8037987000
00583	COLONIAL PENN GROUP, INC	1818 MARKET ST		PHILADELPHIA	PA	19181	0002	2159888000
00593	COMBINED INSURANCE COMPANY OF AMERICA	5050 N BROADWAY		CHICAGO	IL	60640	3007	3122758000
00594	COMBINED LIFE INSURANCE COMPANY OF AMERI	4860 STREET RD		TREVOSE	PA	19049	8503	2159534000
00596	COMBINED UNDERWRITERS LIFE INSURANCE CO	PO BOX 2503		TYLER	TX	75710	2503	9035973761
00597	COMCAR INDUSTRIES, INC	PO DRAWER 67		AUBURNDALE	FL	33823		8139671101
00601	COMMERCIAL LIFE INSURANCE CO	15 CORPORATE PL S		PISCATAWAY	NJ	08854	6149	9085622400
00602	COMMERCIAL TRAVELERS MUTUAL INSURANCE CO	70 GENESEE ST		UTICA	NY	13502	3503	3157975200
00604	COMMONWEALTH HEALTH ALLIANCE	PO BOX 1323		CHARLOTTESVILLE	VA	22902		8049771867
00607	COMMUNITY BLUE	1901 MAIN ST	PO BOX 159	BUFFALO	NY	14240	0159	7168842800
00608	COMMUNITY HEALTH CARE PLAN	221 WHITNEY AVE		NEW HAVEN	CT	06511	3760	2037814100
00610	COMMUNITY HEALTH PLAN	1202 TROY SCHENECTADY RD		LATHAM	NY	12110	1007	5187831864
00615	COMPANION LIFE INSURANCE CO	300 ARBOR LAKE DR STE 1100	PO BOX 100102	COLUMBIA	SC	29202	3102	8037351251
00619	COMPENSATION PROGRAMS OF OHIO, INC	PO BOX 230		NILES	OH	44446		2166529821
00620	UNITED HEALTHCARE OF MISSISSIPPI	PO BOX 830647		BIRMINGHAM	AL	35283	0647
00622	COMPREHENSIVE BENEFITS ADMINISTRATION, I	PO BOX 2365		SOUTH BURLINGTON	VT	05407	2365	8028648321
00624	COMPREHENSIVE REHABILITATION ASSOC.	312 UNION WHARF		BOSTON	MA	02109		6173672163
00640	CONSOLIDATED HEALTH PLANS	2077 ROOSEVELT AVE	195 STAFFORD STREET	SPRINGFIELD	MA	01104	3500	4137330300
00644	CONSTRUCTION INDUSTRY WELFARE FUND	34 E SPRINGFIELD AVE		CHAMPAIGN	IL	61820		2173525269
00651	CONTINENTAL GENERAL INSURANCE CO	8901 INDIAN HILLS DR	PO BOX 247007	OMAHA	NE	68124	7007	4023973200
00660	COOK GROUP HEALTH PLAN TRUST	925 S CURRY PIKE	PO BOX 489	BLOOMINGTON	IL	47402		8123392235
00663	COOPERATIVE BENEFIT ADMINISTRATORS	PO BOX 6249		LINCOLN	NE	68506	0249	4024839200
00667	CORPORATE BENEFIT SERVICES	PO BOX 12953	139 S TRYON ST STE 609	CHARLOTTE	NC	28220	2953	7043730447
00668	CORPORATE BENEFIT SERVICES	BOX 27267		MINNEAPOLIS	MN	55427	0267	6125410444
00672	CORVEL CORP	2121 SW BROADWAY STE 333		PORTLAND	OR	97201		5032223144
00673	COST CONTROL ADVOCATES, INC	PO BOX 526146		SALT LAKE CITY	UT	84152	6146	8014854359
00675	COTTAGE HOSPITAL	2400 BATH ST	PO BOX 689	SANTA BARBARA	CA	93102		8055697213
00682	COX-GREEN ASSOCIATES, INC	ONE CHERRY HILL STE 909		CHERRY HILL	NJ	08002		6096675500
00686	CULLEN & ASSOCIATES	6001 RIVER RD STE 405		COLUMBUS	GA	31904		7063235204
00694	DAKOTACARE	1323 S MINNESOTA AVE		SOUIX FALLS	SD	57105	0624	6053344000
00695	DALLAS NATIONAL LIFE INSURANCE CO	BOX 809059	5001 LBJ FWY STE#200	DALLAS	TX	75380		2143859300
00698	DBA PROCLAIM SERVICES	157 WOODRUFF ST		WATERTOWN	NY	13601		3157855775
00701	DCA HEALTHCARE MANAGEMENT GROUP	13100 WAYZATA BLVD		MINNETONKA	MN	55305	1840	6125417500
00704	DEANCARE HMO	2711 ALLEN BLVD	PO BOX 56099	MADISON	WI	53705		6088281301
00705	DEKALB GENETIS CORP	3100 SYCAMORE RD		DEKALB	IL	60115	9621	8157583461
00707	DELMARVA HEALTH PLAN, INC	106 MARLBORO RD		EASTON	MD	21601	2706	4108227223
00709	DELTA DENTAL	3405 PIEDMONT RD NE STE 400	PO BOX 12449	ATLANTA	GA	30355		4042318762
00710	DELTA DENTAL NY	ONE DELTA DR		MECHANICSBURG	PA	17055		7177668500
00711	DELTA DENTAL	PO BOX 1517		PROVIDENCE	RI	02901	1517	4014530808
00712	DELTA DENTAL AZ	PO BOX 43026	15648 N 35TH AVE STE 111	PHOENIX	AZ	85080	3000	6029383131
00713	DELTA DENTAL	BOX 16450		N LITTLE ROCK	AR	72231	6430	5018353400
00714	DELTA DENTAL	BOX 7736	100 1ST ST	SAN FRANCISCO	CA	94120		4159728300
00715	DELTA DENTAL	2675 S ABILENE ST		AURORA	CO	80014		3036710220
00716	DELTA DENTAL	PO BOX 2870 CLAIMS@DELTADENTALID.COM	200 N FOURTH ST STE 102	BOISE	ID	83701		2083444546
00717	DELTA USA	PO BOX 9150	2001 BUTTERFIELD RD STE 900	DOWNERS GROVE	IL	60515	9150	7089642400
00718	DELTA DENTAL	636 GRAND AVE STE 76		DES MOINES	IA	50309		5152454536
00719	DELTA KS - DENTAL	PO BOX 49198		WICHITA	KS	67201	9198	8002343375
00720	DELTA KY - DENTAL	PO BOX 242810		LOUISVILLE	KY	40223		5024231863
00721	DELTA DENTAL	SIX LOUDON RD		CONCORD	NH	03301	5395	6032280533
00722	DELTA DENTAL	PO BOX 9104	10 PRESIDENTS LNDG	MEDFORD	MA	02155	9104	6173931234
00723	DELTA DENTAL	PO BOX 9085		FARMINGTON HILLS	MI	48333	9085	5173496000
00724	DELTA USA	PO BOX 1407	7807 CREEKBRIDGE CR	MINNEPAOLIS	MN	55440	1407	6129445252
00725	DELTA DENTAL	PO BOX 16921		ST LOUIS	MO	63105		3149939090
00726	DELTA DENTAL	8601 W DODGE RD STE 116		OMAHA	NE	68114		4023974878
00727	DELTA DENTAL	SIX LOUDON RD		CONCORD	NH	03301	5395	6032280533
00728	DELTA DENTAL	PO BOX 222	929 ROUTE 46	PARSIPPANY	NJ	07054		2013346300
00729	DELTA DENTAL	2500 LOUISIANA BLVD NE STE 600		ALBUQUERQUE	NM	87110		5058834777
00731	DELTA DENTAL	2500 CORPORATE EXCHANGE DR	PO BOX 29979	COLUMBUS	OH	43229		6148901117
00732	DELTA DENTAL	3501 LAKESIDE DR	PO BOX 54709	OKLAHOMA CITY	OK	73179		4056821992
00734	DELTA DENTAL	729 EUDLID AVE	PO BOX 1157	PIERRE	SD	57501		6052247393
00735	DELTA DENTAL	95 WHITE BRIDGE RD STE 506		NASHVILLE	TN	37205		6153563175
00736	DELTA DENTAL	SIX LOUDON RD		CONCORD	NH	03301	5395	6032280533
00737	DELTA DENTAL	3807 BRANDON AVE SW STE 360		ROANOKE	VA	24018		7039898000
00738	DELTA DENTAL / DELTA USA	PO BOX 8280	EAST HWY 10	STEVENS POINT	WI	54481		7153446087
00739	DELTA DENTAL	320 W 25TH ST STE 301		CHEYENNE	WY	82001		3076323313
00741	DENTAL BENEFIT PROVIDERS	PO BOX 389		ROCKVILLE	MD	20848		3019865600
00746	DMBA DESERET MUTUAL BENEFIT ADMIN	PO BOX 45530	60 EAST SOUTH TEMPLE	SALT LAKE CITY	UT	84145	0530	8015785600
00747	DIAL CORP, THE	DIAL TOWER	1850 N CENTRAL	PHOENIX	AZ	85077		6022074000
00748	DIMENSION HEALTH, INC	6303 BLUE LAGOON DR STE 225		MIAMI	FL	33126		3052662166
00750	DIVERSIFIED BENEFIT PLANS, INC	37190 COLORADO AVE		AVON	OH	44011	1500	2169341033
00752	DIVERSIFIED GROUP ADMINISTRATORS	PO BOX 330		CANONSBURG	PA	15317	0330	4127468700
00753	DIVERSIFIED GROUP BROKERAGE CORP	369 N MAIN ST	PO BOX 180	MARLBOROUGH	CT	06447	0180	2032959583
00756	DONOVAN BENEFIT SYSTEMS, INC	440 LOUISIANA ST STE 1600		HOUSTON	TX	77002	1634	7132249483
00757	DONREY MEDIA GROUP	3600 WHEELER AVE	PO BOX 17017	FORT SMITH	AR	72917	7017	5017857886
00761	E.B.A.& M. CORP	PO BOX 5079		WESTLAKE VILLAGE	CA	91359	5079	8054974581
00764	EASTERN BENEFIT SYSTEMS, INC	200 FREEWAY DR E		EAST ORANGE	NJ	07018		2016766100
00768	EDUCATORS MUTUAL INSURANCE ASSOCIATION	852 E ARROWHEAD LN		MURRAY	UT	84107	5298	8012627476
00769	EDUCATORS MUTUAL LIFE INSURANCE CO	202 N PRINCE ST	PO BOX 83888	LANCASTER	PA	17608	3888	7173972751
00772	ELECTRIC MUTUAL BENEFIT ASSOCIATION	PO BOX 27008		SALT LAKE CITY	UT	84127	0008	8019727500
00774	ELI LILLY & CO	LILLY CORPORATE CTR		INDIANAPOLIS	IN	46285	0001	3172764824
00776	EMPIRE BLUE CROSS & BLUE SHIELD	PO BOX 11800		ALBANY	NY	12211	0800	5183674737
00777	EMPIRE BLUE CROSS & BLUE SHIELD HEALTHNE	622 3RD AVE		NEW YORK	NY	10017	6707	2124677500
00778	EMPIRE FIRE & MARINE INSURANCE CO	1624 DOUGLAS ST		OMAHA	NE	68102	1449	4023410135
00782	EMPLOYEE BENEFIT MANAGEMENT SERVICES	PO BOX 21367		BILLINGS	MT	59104	1367	4062453575
00783	EMPLOYEE BENEFIT PLAN	1717 S BOULDER AVE STE 420		TULSA	OK	74119	4833	9185851590
00785	EMPLOYEE BENEFIT PLAN ADMINISTRATORS	263 DRAKESIDE RD	PO BOX 2000	HAMPTON	NH	03842	0060	6039264566
00787	EMPLOYEE BENEFIT SYSTEMS CORP	1701 MT PLEASANT ST STE 1		BURLINGTON	IA	52601	2799	3197523200
00792	HUMANA EMPLOYERS HEALTH	1100 EMPLOYERS BLVD	PO BOX 1100	GREEN BAY	WI	54344		4143361100
00793	EMPLOYERS LIFE INSURANCE COMPANY OF WAUS	PO BOX 8013		WAUSAU	WI	54402	8013	7158455211
00794	EMPLOYERS REINSURANCE CORP	5200 METCALF AVE		OVERLAND PARK	KS	66202	1265	9136765200
00795	EMS ADMINISTRATIVE SERVICE CORP	1115 W LANCASTER AVE		FORT WORTH	TX	76102	4509	8173352582
00800	EQUITABLE LIFE AND CASUALTY INSURANCE CO	PO BOX 2460		SALT LAKE CITY	UT	84110	2460	8015212500
00801	EQUITABLE PLAN SERVICES, INC	12312 SAINT ANDREWS DR		OKLAHOMA CITY	OK	73120	8604	4057552929
00805	ERIN GROUP ADMINISTRATORS, INC	PO BOX 7777		LANCASTER	PA	17604	7777	7172991201
00811	EXCLUSIVE HEALTHCARE, INC	BOX 31488		OMAHA	NE	68131	0488
00822	FAMILY HEALTH PLAN OF PENNSYLVANIA	ERWIN BLDG	PO BOX 1010	SOUTHEAST	PA	19398	1010	2159710404
00825	FAMILY LIFE INSURANCE COMPANY	PO BOX 149138		AUSTIN	TX	78714	9138	5124045000
00826	FAMILY LIFE INSURANCE COMPANY OF TEXAS	PO BOX 20757		WACO	TX	76702		8177573393
00832	FARMERS INSURANCE GROUP	4680 WILSHIRE BLVD	PO BOX 2478	LOS ANGELES	CA	90051	0478	2139323200
00835	FEDERAL EXPRESS CORP	4009 AIRWAYS BLVD		MEMPHIS	TN	38116	6119	9013693600
00851	FIDELITY SECURITY LIFE INSURANCE CO	3130 BROADWAY		KANSAS CITY	MO	64111		8167561060
00861	FIRST AMERICAN ADMINISTRATORS	PO BOX 8150		RAPID CITY	SD	57709	8150	6053432509
00870	FIRST HEALTH	6975 UNION PARK CTR STE 600		MIDVALE	UT	84047		8015685500
00873	FIRST INTEGRATED HEALTH	PO BOX 5279	19191 S VERMONT STE 700	TORRANCE	CA	90510	5279	3105328887
00874	FIRST LIFE INSURANCE CO	PO BOX 26841		OKLAHOMA CITY	OK	73126	0841	4058480179
00879	FIRST UNITED AMERICAN LIFE INSURANCE CO	PO BOX 3125		SYRACUSE	NY	13220	3125	3154512544
00883	FLEXIBLE BENEFITS CORP	PO BOX 6225		FEDERAL WAY	WA	98063	6225	2068388779
00892	FOREIGN SERVICE BENEFIT PLAN	1716 N ST NW		WASHINGTON	DC	20036	2907	2028334910
00898	FOUNDATION HEALTH	BOX 1660	3400 DATA DR	RANCHO CORDOVA	CA	95670		9166315000
00900	FOUNDATION HEALTH	PO BOX 289005		FAIR OAKS	CA	95628		4158138500
00901	FOX EVERETT INC	PO BOX 6006		RIDGELAND	MS	39158	0188	8774766327
00912	FRINGE BENEFITS DESIGN, INC	5101 COLLEGE BLVD STE 100		LEAWOOD	KS	66211		9134510100
00923	GALLAGHER-BASSETT SERVICES, INC	GALLAGHER CTR	TWO PIERCE PL	ITASCA	IL	60143	3141	7087733800
00931	GEM INS CO C%O FHS	930 N FINANCE CTR DR		TUCSON	AZ	85710	1342	8015217164
00933	GENELCO, INC	BOX 66743	1600 S BRENTWOOD BLVS STE 500	ST LOUIS	MO	63166		3149622040
00936	GENAM BENEFITS/GREAT-WEST	719 TEACO RD B		KENNETT	MO	63857	3749	3148438700
00949	GIBBENS COMPANY, INC	P.O. BOX 71210		RENO	NV	89570		7758266600
00951	GILSBAR, INC	PO BOX 2947	2100 COVINGTON CENTRE	COVINGTON	LA	70434	2947	8882159841
00953	GLOBE LIFE & ACCIDENT INSURANCE CO	204 N ROBINSON		OKLAHOMA CITY	OK	73102	6803	4052701400
00954	GOLDEN RULE LIFE INSURANCE CO	712 11TH ST		LAWRENCEVILLE	IL	62439	2395	6189438000
00955	GOLDEN STATE MUTUAL LIFE INSURANCE CO	PO BOX 2332		LOS ANGELES	CA	90051	0332	2137311131
00959	GOVERNMENT EMPLOYEES BENEFIT ASSOCIATION	PO BOX 206		ANNAPOLIS JUNCTIO	MD	20701	0206	3016887912
00960	GOVERNMENT EMPLOYEES HOSPITAL ASSOCIATIO	PO BOX 10304		KANSAS CITY	MO	64111	0304	8167531260
00969	GREAT AMERICAN RESERVE LIFE INSURANCE CO	PO BOX 1911		CARMEL	IN	46032	4951	3175713700
00976	GREAT REPUBLIC LIFE INSURANCE CO	226 2ND AVE W		SEATTLE	WA	98119	4221	2062851422
00990	GROUP ADMINISTRATORS, INC	10440 N CENTRAL EXPY STE 300		DALLAS	TX	75231	2206	2143737887
00992	GROUP AND PENSION ADMINISTRATORS	300 MUNICIPAL DR	PO BOX 740488	DALLAS	TX	75374	0488	9722387900
00993	GROUP BENEFIT ADMINISTRATORS	PO BOX 30749		SALT LAKE CITY	UT	84130	0749	8019721177
00997	GROUP HEALTH CO-OP OF EAU CLAIRE	PO BOX 3217		EAU CLAIRE	WI	54702	3217	7158368552
00998	GROUP HEALTH CO-OP OF PUGET SOUND H	PO BOX 34585	521 WALL ST SEATTLE WA 98121-1524	SEATTLE	WA	98124	1585	8887674670
01000	GROUP HEALTH MANAGERS	26205 FIVE MILE RD		REDFORD	MI	48239	3154	3135357100
01001	GROUP HEALTH NORTHWEST	BOX 204	WEST 5615 SUNSET HWY	SPOKANE	WA	99210	0204	5098389100
01003	GROUP HEALTH PLAN, INC	11475 OLDE CABIN RD STE 200E		ST LOUIS	MO	63141	7130	3149935955
01007	GUAM MEMORIAL HEALTH PLAN	142 W SEATON BLVD		AGANA	GU	96910	5136	6714724647
01009	GUARANTEE RESERVE LIFE INSURANCE CO	530 RIVER OAKS W		CALUMET CITY	IL	60409	5407	7088684232
01010	A REALCARE HEALTH PLAN	PO BOX 97357		LAS VEGAS	NV	89193		7024387325
01016	GULF SOUTH HEALTH PLANS, INC	PO BOX 14449		BATON ROUGE	LA	70898	4449	5049277212
01018	CULINARY HLTH WELF	1901 LAS VEGAS BLVD SO STE 107		LAS VEGAS	NV	89104		7027339938
01019	BLUE CROSS BLUE SHIELD KANSAS CITY	PO BOX 419315		KANSAS CITY	MO	64141	6315	8163953077
01026	HARTFORD SENIOR MEDICAL	PO BOX 5036	690 AYSLUM AVE	HARTFORD	CT	06102	5036	2035478806
01028	HARVARD COMMUNITY HEALTH PLAN	20 OVERLAND ST		BOSTON	MA	02215		6174218709
01029	HARVARD UNIVERSITY GROUP HEALTH PLAN	75 MT AUBURN ST		CAMBRIDGE	MA	02138	4901	6174952008
01032	HAWAII MEDICAL SERVICE ASSN	PO BOX 860		HONOLULU	HI	96808	0860	8089442110
01038	HEALTH & WELFARE FUND LOCAL 716	849 S MERIDIAN SR		INDIANAPOLIS	IN	46225		3172660314
01040	HEALTH ADVANTAGE	10816 EXECUTIVE CENTER DR STE 300		LITTLE ROCK	AR	72211	4383	5012211800
01041	HEALTH AGENCIES OF THE WEST, INC	500 N STATE COLLEGE BLVD STE 1450		ORANGE	CA	92668	1604	7146347550
01042	HEALTH ALLIANCE MEDICAL PLANS	102 E MAIN ST STE 200	PO BOX 6003	URBANA	IL	61801	8903	2173378010
01044	HEALTH ALLIANCE MEDICAL PLANS, INC	102 E MAIN ST		URBANA	IL	61801		2173378012
01045	HEALTH ALLIANCE PLAN OF MICHIGAN	2850 W GRAND BLVD		DETROIT	MI	48202	2692	3138727070
01049	HEALTH CARE ADMINISTRATORS	PO BOX 1309		MUSKOGEE	OK	74402		9186871261
01051	HEALTH CARE BENEFITS, INC	1201 S SHERMAN ST STE 200		RICHARDSON	TX	75081	6598	2146694660
01052	HEALTH CARE FINANCING	6101 YELLOWSTONE RD RM 259B		CHEYENNE	WY	82002	0001	3077777531
01055	HEALTH CARE PLAN, INC	900 GUARANTY BLDG		BUFFALO	NY	14202		7168471480
01056	HEALTH CARE SERVICE CORP	A MUTUAL LEGAL RESERVE CO	PO BOX 1364	CHICAGO	IL	60690		3129387500
01060	HEALTH CLAIM SERVICES, INC	BOX 59054		MINNEAPOLIS	MN	55459	0054
01063	HEALTH ECONOMICS CORP	PO BOX 42820		HOUSTON	TX	77242	2820	7137850095
01068	HEALTH GUARD SERVICES, INC	PO BOX 5348		BELLINGHAM	WA	98227		2066473849
01071	HEALTH KEEPERS OF VIRGINIA, INC	PO BOX 26623		RICHMOND	VA	23261	6623	8043543860
01073	HEALTH MAINTENANCE OF INDIANA	333 N ALABAMA ST STE 300		INDIANAPOLIS	IN	46204	2151	3172624557
01074	HEALTH MAINTENANCE OF OREGON	PO BOX 12625		SALEM	OR	97309		5032740761
01075	HEALTH MANAGEMENT ASSOCIATES	PO BOX 276		COTTONWOOD	AZ	86326	0276	6026342216
01076	HEALTH MANAGEMENT ASSOCIATES	1600 W BROADWAY RD STE 385		TEMPE	AZ	85282		6029218944
01077	HEALTH MANAGEMENT SERVICES OF ISAC	PO BOX 025457		MIAMI	FL	33102	5457	3055912500
01078	HEALTH NET PPO	PO BOX 10223		VAN NUYS	CA	91410	0223	8006417761
01079	HEALTH NETWORK AMERICA, INC	27 BEACH RD		MONMOUTH BEACH	NJ	07750		9082222229
01080	HEALTH NETWORK OF COLORADO SPRINGS	PO BOX 828		COLORADO SPRINGS	CO	80901		7194755025
01081	HEALTH NETWORK, INC	1420 KENSINGTON RD STE 203	PO BOX 5105	OAK BROOK	IL	60521		7089542900
01086	HEALTH PARTNERS	PO BOX 1309		MINNEAPOLIS	MN	55440	1309	6128836000
01087	HEALTH PARTNERS OF ALABAMA	600 BEACON PKY W STE 500		BIRMINGHAM	AL	35209	3120	2059425787
01088	HEALTH PLAN ADMINISTRATORS	3703 N MAIN ST	PO BOX 2638	ROCKFORD	IL	61132		8156335800
01089	HEALTH PLAN ADMINISTRATORS, INC	PO BOX 3169		DANBURY	CT	06813	3169	2037941703
01090	HEALTH PLAN HAWAII	PO BOX 860		HONOLULU	HI	96808		8089442372
01091	HPN HEALTH PLAN OF NEVADA, INC	PO BOX 15645		LAS VEGAS	NV	89114	5645	7022427300
01092	HEALTH PLAN OF THE REDWOODS	3033 CLEVELAND AVE		SANTA ROSA	CA	95403	2126	7075442273
01093	HEALTH PLAN OF UPPER OHIO VALLEY	52160 NATIONAL RD E		ST CLAIRSVILLE	OH	43950	9306	8006246961
01094	HEALTH PLAN SOUTHEAST	3520 THOMASVILLE RD STE 200		TALLAHASSEE	FL	32308	3469	9046683000
01095	HEALTH PLANS, INC	331 VERANDA ST	PO BOX 9746	PORTLAND	ME	04104	5040	2077745801
01096	HEALTH PLUS OF MICHIGAN, INC	2050 S LINDEN RD	PO BOX 1700	FLINT	MI	48501	1700	3132302000
01099	HEALTH PROGRAM MANAGERS, INC	7801 FOLSOM BLVD STE 103		SACRAMENTO	CA	95826	9042	9163811212
01105	HEALTHSOURCE	4000 AERIAL CENTER PKY	PO BOX 28087	RALEIGH	NC	27611	8087	9194601610
01106	HEALTH SPECIAL RISK, INC	16479 DALLAS PKY STE 150		DALLAS	TX	75248		2149313087
01110	HEALTHCARE MANAGEMENT ALTERNATIVES, INC	5070 PARKSIDE AVE STE 6200		PHILADELPHIA	PA	19131	4747	2154737511
01111	HEALTHCARE PARTNERS MEDICAL GROUP, INC	1605 HOPE ST STE 230		SOUTH PASADENA	CA	91030	2628	8184034709
01114	HEALTHPLAN MANAGEMENT, INC	101 N WAUKEGAN RD STE 700		LAKE BLUFF	IL	60044		7082348870
01115	HEALTHPLEX, INC	60 CHARLES LINDBERGH BLVD		UNIONDALE	NY	11553	3608	5167943000
01121	HEALTHWISE

File details come from the government source that posted it. Updated Jul 1, 2026.