NCTracks Carrier Codes

EIS code NCFast Carrier Name Address line 1 City State Zip Phone 1
Code

NOTE: NCFast codes require lead zeros to make a six-digit number

AAA- LIFE INSURANCE COMPANY 8774341141
KB6 1630 17250 NEWBURGH ROAD LIVONIA MI 48152
AARP HEALTHCARE OPTIONS - UNITED HLTHCARE 303740819 8005235800
579 205 CLAIMS UNIT PO BOX 740819 ATLANTA GA 906300083 8888675575
KT4 1717 AARP MEDICARE RX PO BOX 6083 CYPRESS CA 7048651201
V00 2019 AB CARTER, INC. PO BOX 518 GASTONIA NC 28053
274033666 8002225780
P10 1931 ABCO 100, INC.
AC CORPORATION/ CO MBS 7 TERRANCE WAY STE. C GREENSBORO NC 271145987 8007951023
GL0 1146 ACACIA MUTUAL LIFE INS CO PO BOX 25987 WINSTON SALEM NC 2026284506
003 2 51 LOUISIANA AVENUE NW WASHINGTON DC 20001
JY6 1578 ACCORDIA NATIONAL
ACEC HEALTHPLAN INS./PRUDUE/WELLFARGO
SERVICES P O BOX 2801 CHARLESTON WV 253302801 8668695597
8888137099
IA4 1440 PO BOX 44109 LAS VEGAS NV 89116 8006248605
B86 465 ACORDIA NATIONAL PO BOX 3262 CHARLESTON WV 25332
253313043 8003324732
BU3 529 ACORDIA NATIONAL PO BOX 3043 CHARLESTON WV 253292451 8003324732
JK9 1513 ACORDIA NATIONAL PO BOX 2451 CHARLESTON WV 253391064 8004354351
X28 2081 ACORDIA NATIONAL
ACS CONSULTING SERVICES, INC. PO BOX 11064 CHARLESTON WV 271022000 8008495370
D80 693 ACS HEALTHNET OF NORTHEAST PO BOX 2000 WINSTON-SALEM NC 8006854542
W74 2062 PO BOX 14700 LEXINGTON KY 40512 8004387886
JN5 1525 ACS/HEALTH NET SYSTEMS RESEARCH
ADMINISTRATION PO BOX 14700 LEXINGTON KY 40512
495166392 8009682449
R85 1995 ADMINISTRATIVE CONCEPTS INC PO BOX 6392 GRAND RAPIDS MI 190871802 8004525772
KL8 1688 ADMINISTRATIVE SERVICES, INC. 994 OLD EAGLE SCHOOL RD STE 1005 WAYNE PA
A12 352 ADMINISTRATIVE SYSTEMS RESEARCH 5950 FAIRVIEW RD. CHARLOTTE NC 28210 6169571751
DE8 717 PO BOX 6392 GRAND RAPIDS MI 49516 8882916372
GQ3 1170 ADVANCE PCS 2700 MILAN CT BIRMINGHAM AL 35211 8007111607
KX8 1739 ADVANTRA FREEDOM PO BOX 7154 LONDON KY 40742
209144759 8006380589
HO2 1358 ADVENTIST RISK MGMT PO BOX 4759 SILVER SPRING MD 8006240756
073 30 AETNA 151 FARMINGTON AVE. HARTFORD CT 06156
405124079 8004457175
A19 354 AETNA PO BOX 14079 LEXINGTON KY 799981107 8006455677
BK2 500 AETNA PO BOX 981107 EL PASO TX 8006441142
BK6 501 AETNA PO BOX 50065 SAN BERNADINO CA 92412
405124586 8004286111
BL2 505 AETNA PO BOX 14586 LEXINGTON KY 405124079 8002386236
BL5 507 AETNA PO BOX 14079 LEXINGTON KY 061150409 8006434301
BR0 522 AETNA PO BOX 150409 HARTFORD CT 405124079 8009425210
C50 560 AETNA PO BOX 14079 LEXINGTON KY 8008330220
CR1 628 AETNA PO BOX 1630 COLUMBUS OH 43216
405124586 8004373666
CY2 657 AETNA PO BOX14586 LEXINGTON KY 405124079 8886323862
GR0 1177 AETNA PO BOX 14079 LEXINGTON KY 8774534037
GS2 1183 AETNA PO BOX 981109 EL PASO TX 7998 8008433661
GT9 1191 AETNA PO BOX 14066 LEXINGTON KY 40512
799981106 8002475482
GY8 1219 AETNA PO BOX 981106 EL PASO TX 405124100 8775805018
H15 1235 AETNA PO BOX 14100 LEXINGTON KY 405124586
HF0 1292 AETNA PO BOX 14586 LEXINGTON KY 405124100 8775805018
HI5 1316 AETNA PO BOX 14100 LEXINGTON KY 405124027 8002386200
JR6 1544 AETNA CASUALTY AND SURETY COMPANY
AETNA PO BOX 14027 LEXINGTON KY 405124079 7043717581
F67 935 PO BOX 14079 LEXINGTON KY 8884429886
HZ0 1414 AETNA DENTAL PO BOX 14094 LEXINGTON KY 40512
799981543 8002475482
MA8 1810 AETNA GLOBAL BENEFITS PO BOX 981543 EL PASO TX 921129107 8008489993
H69 1254 AETNA HEALTH PLANS PO BOX 129107 SAN DIEGO CA

Page 1 of 46
 NCTracks Carrier Codes
EIS code NCFast Carrier Name Address line 1 City State Zip Phone 1
Code
AETNA INSURANCE COMPANY 405124079 8009425210
007 3 AETNA INSURANCE COMPANY PO BOX 14079 LEXINGTON KY 8002537207
X57 2087 PO BOX 12340 FRESNO CA 93765
405124079 8008723862
AY5 439 AETNA LIFE & CASUALTY PO BOX 14079 LEXINGTON KY 405124079 8882386277
I96 1438 AETNA LIFE
AETNA LIFE &
& CASUALTY
CASUALTY CO. PO BOX 14079 LEXINGTON KY 336313450 8008435869
H46 1248 AETNA LIFE & CASUALTY UNIT 75 PO BOX 31450 TAMPA FL 181950521 8003312363
I14 1420 AETNA LIFE AND CASUALTY 3541 WINCHESTER ROAD ALLENTOWN PA 8002370575
V06 2021 PO BOX 26053 GREENSBORO NC 27420 5024297620
H81 1257 AETNA
AETNA LIFE
LIFE INSURANCE
INSURANCE CO. PO BOX 35890 LOUISVILLE KY 40232
199031512 8008233084
BG2 489 AETNA LIFE INSURANCE CO. PO BOX 7064 DOVER DE 8006261987
G67 1084 AETNA LIFE INSURANCE COMPANY PO BOX 5569 AKRON OH 44334 6123405250
N29 1907 AETNA LIFE INSURANCE COMPANY PO BOX 2907, LOOP STATION MINNEAPOLIS MN 55402
405124586 8004335302
P38 1935 AETNA LIFE INSURANCE COMPANY PO BOX 14586 LEXINGTON KY 405124552 5039370500
Q96 1978 AETNA LIFE INSURANCE COMPANY PO BOX 14552 LEXINGTON KY 8006261987
R29 1988 AETNA LIFE INSURANCE COMPANY PO BOX 5569 AKRON OH 44334 8003566285
R92 1997 AETNA LIFE INSURANE COMPANY PO BOX 16516 COLUMBUS OH 43216
926680900 8183852600
V89 2043 AETNA PHARMACY MANAGEMENT PO BOX 1900 ORANGE CA 8887928742
EB0 816 AETNA PHARMACY MANAGEMENT PO BOX 36185 MINNEAPOLIS MN 55435 8002386279
FR7 1022 AETNA PHARMACY MGMT PO BOX 14024 LEXINGTON KY 40512 8002386279
HE8 1290 PO BOX 14024 LEXINGTON KY 40512 8009425210
EE3 825 AETNA U. S. HEALTHCARE PO BOX 27098 GREENSBORO NC 27420 8886323862
EF3 832 AETNA U. S. HEALTHCARE PO BOX 14586 LEXINGTON KY 40512 8002386221
EJ2 849 AETNA U. S. HEALTHCARE PO BOX 52122 MINNEAPOLIS MN 55402
181060932 8003312363
EK3 857 AETNA U. S. HEALTHCARE PO BOX 3932 ALLENTOWN PA 274026190 8009425210
J04 1442 AETNA U. S. HEALTHCARE PO BOX 26190 GREENSBORO NC 405124586 8004373666
582 208 AETNA U.S. HEALTHCARE PO BOX 14586 LEXINGTON KY 405124079 8009425210
A08 350 AETNA U.S. HEALTHCARE PO BOX 14079 LEXINGTON KY 405124079 8886323862
BA5 472 AETNA U.S. HEALTHCARE PO BOX 14079 LEXINGTON KY 405124079 3362737706
BH6 492 AETNA U.S. HEALTHCARE PO BOX 14079 LEXINGTON KY 061150431 8002900640
DA8 702 AETNA U.S. HEALTHCARE PO BOX 150431 HARTFORD CT 274026107 8009425210
DJ1 735 AETNA U.S. HEALTHCARE PO BOX 26107 GREENSBORO NC 336313538 8004710351
ED6 823 AETNA U.S. HEALTHCARE PO BOX 31538 TAMPA FL 8006240756
ER0 885 AETNA U.S. HEALTHCARE PO BOX 1125 BLUE BELL PA 19422 8003239930
ES6 891 AETNA U.S. HEALTHCARE PO BOX 1125 BLUE BELL PA 19422 8004244047
EU1 896 AETNA U.S. HEALTHCARE PO BOX 660239 DALLAS TX 75266
405124079 8886323862
FG1 973 AETNA U.S. HEALTHCARE PO BOX 14079 LEXINGTON KY 181060930 8002328825
FM2 1001 AETNA U.S. HEALTHCARE PO BOX 3930 ALLENTOWN PA 8007520246
GD0 1103 AETNA U.S. HEALTHCARE PO BOX 3933 ALLENTOWN PA 18106
405124027 8609525527
GF4 1118 AETNA U.S. HEALTHCARE PO BOX 14027 LEXINGTON CT 799981107 8002783106
H17 1236 AETNA U.S. HEALTHCARE PO BOX 981107 EL PASO TX 274026190 8009425210
H19 1237 AETNA U.S. HEALTHCARE PO BOX 26190 GREENSBORO NC 199031512 8003387807
I68 1433 AETNA U.S. HEALTHCARE PO BOX 7012 DOVER DE 061150437 8002900640
K74 1608 AETNA U.S. HEALTHCARE PO BOX 150437 HARTFORD CT 799981107 8005319878
L22 1756 AETNA U.S. HEALTHCARE PO BOX 981107 EL PASO TX 061150409 8002900640
M26 1782 AETNA U.S. HEALTHCARE PO BOX 150409 HARTFORD CT 8138706670
N33 1910 AETNA U.S. HEALTHCARE PO BOX 31450 TAMPA FL 33631
274026107 3362737706
N36 1911 AETNA U.S. HEALTHCARE PO BOX 26107 GREENSBORO NC 760150055 8008723862
Q10 1955 AETNA U.S. HEALTHCARE PO BOX 91555 ARLINGTON TX 405124079 3362737706
T47 2009 AETNA U.S. HEALTHCARE PO BOX 14079 LEXINGTON KY 274026107 8009425210
FD8 958 AETNA US HEALTHCARE PO BOX 26107 GREENSBORO NC

Page 2 of 46
 NCTracks Carrier Codes
EIS code NCFast Carrier Name Address line 1 City State Zip Phone 1
Code
799981107 8004672006
FE4 962 AETNA US HEALTHCARE PO BOX 981107 EL PASO TX 8773686605
GD6 1106 AETNA US HEALTHCARE PO BOX 353 GRAND RAPIDS MI 49501
405124079 8004457175
GE1 1109 AETNA US HEALTHCARE PO BOX 14079 LEXINGTON KY 799981107 8002456738
GE5 1112 AETNA US HEALTHCARE PO BOX 981107 EL PASO TX 8008723862
GH0 1121 AETNA US HEALTHCARE PO BOX 14094 LEXINGTON KY 40512
405124094 8772773368
GL7 1152 AETNA US HEALTHCARE PO BOX 14094 LEXINGTON KY 405124110 8774404708
GM7 1157 AETNA US HEALTHCARE PO BOX 14110 LEXINGTON KY 8886323862
GX0 1205 AETNA US HEALTHCARE PO BOX 14079 LEXINGTON KY 40512 8008273986
GY0 1213 AETNA US HEALTHCARE PO BOX 14089 LEXINGTON KY 40512 8008433088
GY4 1217 AETNA US HEALTHCARE PO BOX 14091 LEXINGTON KY 40512
152420423 8009626842
GY9 1220 AETNA US HEALTHCARE PO BOX 16423 PITTSBURGH PA 799980000 8005440526
GZ1 1221 AETNA US HEALTHCARE PO BOX 981107 EL PASO TX 8886323862
JA3 1469 AETNA US HEALTHCARE PO BOX 981204 EL PASO TX 79998
405124079 3368542050
DU7 769 AETNA/U.S. HEALTHCARE PO BOX 14079 LEXINGTON KY 194228265 8008479017
EB2 817 AETNA/US HEALTHCARE PO BOX 2245 BLUE BELL PA 100280082 8662475678
MD3 1825 AFFINITY HEALTH
AFFORDABLE PLAN ADMIN.
BENEFIT PO BOX 811 NEW YORK NY 915700787 8003500148
CB5 576 PO BOX 10787 BURBANK CA 319997251 8009923522
029 9 AFLAC
AID ASSOCIATION FOR LUTHERANS 1932 WYNNTON ROAD COLUMBUS GA 549190001 4147345721
796 285 AIR CONTROL MECHANICAL, INC. 4321 N. BALLARD RD. APPLETON WI 280532636 7044852125
111 48 ALAGAP DATA SYSTEMS, INC. PO BOX 2636 GASTONIA NC 8004105805
DN7 749 PO DRAWER 800107 LA GRANGE GA 30241 4105794219
JR4 1543 ALLEGIS GROUP 7301 PARKWAY DRIVE HANOVER MD 21706 8002779476
CG1 592 ALLIANCE HEALTH PLAN 139 S. TRYON RD CHARLOTTE NC 28202
217050993 8003312102
Q17 1959 ALLIANCE PPO
ALLIANCE/HEALTH MARKET INSURANCE CO PO BOX 993 FREDERICK MD 217050934 8007331110
DF3 720 ALLIANT HEALTH PLANS INC. PO BOX 934 FREDERICK MD 8008114793
MN7 1873 PO BOX 3708 CORPUS CHRISTI TX 78463 8002882078
CM9 615 ALLIED BENEFIT SYSTEM 208 S. LASALLE ST. STE 1300 CHICAGO IL 60604 3129068080
JY8 1579 ALLIED
ALLIED BENEFIT SYSTEM
MAINTENANCE CO. HEALTH PLAN P O BOX 909786 CHICAGO IL 60690 9192914275
699 256 ALLIS CHALMERS RETIREE' HEALTH PLAN PO BOX 1139 WILSON NC 27893 8006190621
DQ2 754 11270 WEST PARK PLACE MILWAUKEE WI 53224
601433150 6309633580
CC7 579 ALLMERICA FINANCIALWORKFORCE DIVISION
ALLSTATE FINANCIAL 333 W. PIERCE RD. # 310 ITASCA IL 322033067 8005213535
KP8 1706 ALLSTATE FINANCIAL WORKPLACE DIVISON PO BOX 43067 JACKSONVILLE FL 750853916 8009377039
039 15 ALLSTATE HEALTH INSURANCE PO BOX 853916 RICHARDSON TX 750853916 8009377039
KJ6 1673 PO BOX 853916 RICHARDSON TX
016 4 ALLSTATE INDEMNITY CO. 60 ALLSTATE PLAZA NORTHBROOK IL 60062
017 5 ALLSTATE INSURANCE CO. 60 ALLSTATE PLAZA NORTHBROOK IL 60062
641140530 8008072805
FH4 978 ALTA HEALTH AND LIFE PO BOX 8530 KANSAS CITY MO 2124735700
L03 1750 AMALGAMATED
AMALGAMATED LIFE
LIFE & HEALTH INS. 730 BROADWAY ST NEW YORK NY 10003 8003235000
607 219 AMALGAMATED LIFE INSURANCE CO. 333 ASHELAND BLVD. CHICAGO IL 60607 8005434723
EW4 902 PO BOX 1451 NEW YORK NY 10116
837071186 8007867930
FH7 979 AMERIBENCHOICE
AMERICA SOLUTIONS
HEALTH PO BOX 7186 BOISE ID
HK4 1331 AMERICA FIDELITY ASSURANCE CO/WEB-TPA 7083 GRAND NATIONAL DR. #104 ORLANDO FL 19406
760999706 8889082432
LU4 1771 AMERICAHEALTH CARE (PBM) PO BOX 99906 GRAPEVINE TX 8008728276
KC5 1635 AMERICAN ADVANTAGE CO. 2217 PLAZA DRIVE, STE 100 ROCKLIN CA 95765 7044525437
K45 1597 PO BOX 505 WAYNESVILLE NC 28786
761025313 8007251407
023 6 AMERICAN BANKERS
AMERICAN BANKERS LIFE OF FLORIDA 777 MAIN ST., STE. 900 FORT WORTH TX 9196823051
025 7 AMERICAN BARMAG-BOULIGNY CO. PO BOX 3866 DURHAM NC 27702
282417046
762 273 AMERICAN BENEFITS MANAGEMENT PO BOX 7046 CHARLOTTE NC 452505804
EP7 877 PO BOX 145804 CINCINNATI OH

Page 3 of 46
 NCTracks Carrier Codes
EIS code NCFast Carrier Name Address line 1 City State Zip Phone 1
Code
AMERICAN BENEFITS MANAGEMENT 8004564002
X72 2089 AMERICAN COMMERICAL BARGE LINES 6520 WHIPPLE AVE., NW CANTON OH 44720 8005487689
G42 1074 AMERICAN COMMUNITY MUTUAL INSURANCE PO BOX 610 JEFFERSONVILLE IN 47130 3135919000
D21 671 AMERICAN CONTINENTAL LIFE INSURANCE PO BOX 3329 LIVONIA MI 48152 8002224774
AT3 426 AMERICAN DENTAL PLAN OF NC PO BOX 796 DEERFIELD IL 60015
HA4 1266 AMERICAN EMPLOYERS INS. CO. 130 EDINBURGH SOUTH SUITE 107 CARY NC 27511 6177256000
028 8 AMERICAN FAMILY INSURANCE ONE BEACON STREET BOSTON MA 02108 6082492111
G90 1088 AMERICAN FIDELITY ASSURANCE 3099 E. WASHINGTON AVE. MADISON WI 53783
731250523 4055232000
030 10 AMERICAN FIDELITY ASSURANCE CO/WEB-TPA PO BOX 25523 OKLAHOMA CITY OK 760999706 8009531942
LW7 1772 AMERICAN FIDELITY ASSURANCE COMPANY PO BOX 99906 GRAPEVINE TX 4055232000
C55 561 AMERICAN FIRE AND CASUALTY PO BOX 25160 OKLAHOMA CITY OK 73125 5138673000
031 11 AMERICAN FOUNDERS LIFE INS. 136 N. THIRD ST. HAMILTON OH 45025 8005315067
033 12 AMERICAN FREIGHTWAYS, INC. PO BOX 52121 PHOENIX AZ 85072
726020840 8005461900
BY7 542 PO BOX 840 HARRISON AR 772104373 8002313655
034 13 AMERICAN GENERAL PO BOX 4373 HOUSTON TX 190470307 8008710260
229 81 AMERICAN GENERAL PO BOX 307 LANGHORNE PA 6157491000
253 90 AMERICAN GENERAL AMERICAN GENERAL CENTER NASHVILLE TN 37250
372021500 6157491000
B99 470 AMERICAN GENERAL
AMERICAN GENERAL LIFE AND ACCIDENT PO BOX 1500 NASHVILLE TN 337578845 8008710260
GK6 1144 AMERICAN GREETINGS IND. BENEFIT PLAN PO BOX 10845 CLEARWATER FL
872 316 AMERICAN GROUP ADMINISTRATORS, INC. PINE STREET FOREST CITY NC 28043 8003466509
GB0 1095 AMERICAN HEALTH & LIFE INS. CO. 260W. MAIN STREET, STE 215 HENDERSONVILLE TN 37075
038 14 AMERICAN HEALTH GROUP 300 ST. PAUL PLACE BALTIMORE MD 21202 8008615770
FL7 997 AMERICAN HEALTH HOLDINGS/MEDCOST PO BOX 1500 MAUMEE OH 43537 8006415566
HJ8 1326 PO BOX 25307 WINSTON SALEM NC 27114 8008728276
JP3 1531 AMERICAN HEALTHCARE
AMERICAN HEALTHCARE ALLIANCE 2217 PLAZA DRIVE, SUITE 100 ROCKLIN CA 95765
641140530 8003172324
FZ0 1053 PO BOX 8530 KANSAS CITY MO
GU5 1195 AMERICAN HEARTLAND HEALTH ADMINISTRATORS PO BOX 218967 HOUSTON TX 772188967 2182987770
AMERICAN HERITAGE BENEFITS IN A CARD 8009377039
JV8 1563 AMERICAN HERITAGE LIFE INSURANCE 1776 AMERICAN HERITAGE LIFE DRIVE JACKSONVILLE FL 32224 8007803724
JE7 1487 AMERICAN HERITAGE LIFE INSURANCE CO. PO BOX 10811 CLEARWATER FL 33757
750853916 8009377639
KK8 1682 AMERICAN HOME ASSURANCE CO. PO BOX 853916 RICHARDSON TX 2127707000
040 16 AMERICAN INCOME LIFE INS. CO. 70 PINE ST. NEW YORK NY 10270 8004333405
041 17 AMERICAN INSURANCE COMPANY PO BOX 2608 WACO TX 76797
878 318 3333 CALIFORNIA STREET SAN FRANCISCO CA 94119 2059871407
045 18 AMERICAN LIBERTY
AMERICAN INS. CO. CO.
LIFE INSURANCE PO BOX 1568 BIRMINGHAM AL 35201 2125811200
046 19 AMERICAN MEDICAL AND LIFE INSURANCE 810 SEVENTH AVENUE NEW YORK NY 10019 5163782000
AX8 436 AMERICAN MEDICAL LIFE INSURANCE 35 BROADWAY HICKSVILLE NY 11801 8882641512
KJ8 1674 AMERICAN MEDICAL SECURITY COMPANY PO BOX 1235 FREDERICK MD 21702
543079032 8002325432
N08 1902 AMERICAN NATIONAL FIRE INS. CO. PO BOX 19032 GREEN BAY WI 5133695000
051 20 AMERICAN NATIONAL INS. CO. 580 WALNUT ST. CINCINNATTI OH 45202 4097634661
052 21 AMERICAN NATIONAL LIFE OF TEXAS ONE MOODY PLAZA GALVESTON TX 77550 8008996520
053 22 AMERICAN PATRIOT HEALTH INS. PO BOX 1520 GALVESTON TX 77553
577 204 AMERICAN PIONEER LIFE INS. CO. PO BOX 3509 ORLANDO FL 32802 4076281776
054 23 AMERICAN POSTAL WORKERS UNION (APWU) PO BOX 12407 PENSACOLA FL 32591 4104241500
744 267 PO BOX 1358 GLEN BURNIE MD 21060
650 238 AMERICAN PROGRESSIVE LIFE & HEALTH INS. CO. 6 INTERNATIONAL DRIVE SUITE 190 RYE BROOK NY 10573 9149348300
AMERICAN PROTECTION INS. CO. 3125402000
055 24 AMERICAN REPUBLIC INS. CO. RT. 22 LONG GROVE IL 60049
527332975 8006410366
056 25 AMERICAN REPUBLIC INSURANCE COMPANY PO BOX 2975 CLINTON IA 8006409016
JB3 1473 601 6TH AVENUE DES MOINES IA 50334

Page 4 of 46
 NCTracks Carrier Codes
EIS code NCFast Carrier Name Address line 1 City State Zip Phone 1
Code
AMERICAN RESERVE INS. CO.
057 26 163 ASYLUM ST. HARTFORD CT 06102
HM8 1347 AMERICAN ROLLER BEARING CO. HEALTHCARE PLAN P0 BOX 117 HIDDENITE NC 28636 8037365088
AMERICAN SENTINEL INSURANCE 7172384559
C16 551 AMERICAN STATES LIFE INS. CO. PO BOX 61140 HARRISBURG PA 17105 3172626262
060 27 AMERICAN STATES LIFE INS. CO. 500 N. MERIDIAN ST. INDIANAPOLIS IN 46204 3172626262
061 28 AMERICAN TRIAL LAWYER'S ASS./ATLA 500 N. MERIDIAN ST. INDIANAPOLIS IN 46204 8004249883
G06 1060 AMERICAN TRUST ADMINISTRATORS 1255 23RD ST., NW SUITE 300 WASHINGTON DC 20037 9134514900
X42 2084 AMERICAN VETERANS GROUP INS. TRUST PO BOX 87 SHAWNEE MISSION KS 66201 2156485000
682 248 AMERICAN-AMICABLE LIFE INS CO NATIONAL HOME ASSURANCE CO. VALLEY FORGE PA 19493
767022549 8007367311
JP2 1530 AMERICA'S CHOICE HEALTHPLAN PO BOX 2549 WACO TX 772922043 8772243627
FA1 944 PO BOX 922043 HOUSTON TX 8037366463
HU4 1392 AMERICORP C/O SRC PO BOX 23907 COLUMBIA SC 29224
462030757 8008478217
GQ6 1173 AMERICORPS PO BOX 33757 INDIANAPOLIS IN 8887325555
EK6 858 AMERIHEALTH ADMINISTRATORS
AMERIHEALTH PO BOX 41574 PHILADELPHIA PA 19101
190440975 8004805031
EL0 861 AMERITAF FINANCIAL SERVICE 720 BLAIR MILL ROAD HORSHAM PA 4024671122
080 35 AMERITAS LIFE INSURANCE COMPANY 5900 "O" STREET LINCOLN NE 68510 8004875553
K49 1599 PO BOX 82520 LINCOLN NE 68501
685012520 8004875553
KN9 1700 AMERITAS-DENTAL PO BOX 82520 LINCOLA NE 9104833185
C04 547 AMES INSURANCE
AMEX CO. CO.
LIFE ASSURANCE PO BOX 2069 FAYETTEVILLE NC 28302
W68 2061 1650 LOS GAMOS DR. SAN RAFAEL CA 94903 4023444500
074 31 AMOCO INSURANCE CO. 306 SOUTH 15TH ST. OMAHA NE 68102
402337180 8004357618
CL7 610 ANTHEM BC/BS OF OHIO PO BOX 37180 LOUISVILLE KY 8005533164
HR7 1377 ANTHEM BCBS PO BOX 14046 ROANOKE VA 24038
432180197 8005335240
JH5 1501 ANTHEM BCBS PO BOX 18197 COLUMBUS OH 402337180 8003675894
M16 1780 ANTHEM BCBS PO BOX 37180 LOUISVILLE KY 802175747 8005429402
MA6 1809 ANTHEM BCBS PO BOX 5747 DENVER CO 930319274 8004533622
KD1 1640 ANTHEM BCBS DENTAL P O BOX 9274 OXNARD CA 8003330912
991 345 ANTHEM
ANTHEM BCBS
BCBS OF
OF CA
VIRGINIA 21555 OXNARD ST WOODLAND HILLS CA 91367 8004457490
600 217 ANTHEM BCBS OF VIRGINIA PO BOX 27401 RICHMOND VA 23279 8004510361
HI9 1320 ANTHEM BLUE CROSS AND BLUE SHEILD PO BOX 27401 ROANOKE VA 23279
631784882 8004906145
KH6 1666 ANTHEM BLUE CROSS BLUE SHIELD PO BOX 14882 ST LOUIS MO 5024268423
EM4 865 ANTHEM BLUE CROSS BLUE SHIELD PO BOX 37010 LOUISVILLE KY 40233 8008584948
FZ8 1056 ANTHEM BLUE CROSS BLUE SHIELD PO BOX 37690 LOUISVILLE KY 40233
064734201 8006762583
GN1 1159 ANTHEM BLUE CROSS BLUE SHIELD 370 BASSETT ROAD NORTH HAVEN CT 8007495386
MJ5 1851 ANTHEM HEALTH AND LIFE PO BOX 105187 ATLANTA, GA 30348 ATLANTA GA 30348 8003241288
EU5 898 10000 N. CENTRAL EXPRESSWAY STE.800 DALLAS TX 75231
332839000 8002745466
AB6 374 ANTHEM LIFE
ANTHEM LIFE INSURANCE CO. PO BOX 839000 MIAMI FL 8008888024
J54 1455 PO BOX 101511 SAN ANTONIO TX 78201
HH7 1309 ANTHEM PRESCRIPTION MGT/WELLPOINT NET RX PO BOX 145433 CINCINNATI OH 45250 8665959848
8664524479
KU3 1721 ANTHEM RX
ANTHEM RX PHARMACY/WELLPOINT NET RX PO BOX 54159 LOS ANGELES CA 90054 8665959848
EA9 815 PO BOX 145433 CINCINNATI OH 45220 8008333650
FT6 1029 APA PARTNERS PO BOX 1506 LATHAM NY 12110
700 257 APAC
APPALACHIAN BENEFIT ADMINISTRATORS PO BOX 21088 GREENSBORO NC 27420 8282352404
GW8 1203 APPALACHIAN BENEFIT ADMINISTRATORS PO BOX 1449 CANTON NC 28716
287860780 8289264040
JH6 1502 PO BOX 780 WAYNESVILLE NC 8005227487
HE9 1291 ARGUS
ARKANSAS BEST CORPORATION PO BOX 419019 DEPT 173 KANSAS CITY MO 64141 5014516907
V36 2030 PO BOX 48 FORT SMITH AZ 72902 8007563003
CR7 630 ARROW TRUCKING CO. PO BOX 3097 TULSA OK 74101

Page 5 of 46
 NCTracks Carrier Codes
EIS code NCFast Carrier Name Address line 1 City State Zip Phone 1
Code
392364997 8008664142
FD2 957 ARTHUR J. GALLAGHER PO BOX 14997 JACKSON MS 3018160045
T00 1998 ASI
ASPLUNDH TREE EXPERT CO. PO BOX 2510 ROCKVILLE MD 20847
190901701 2157844345
K21 1587 ASSOCIATED LIFE INSURANCE COMPANY BLAIR MILL RD. WILLOW GROVE PA 4147975000
732 265 ASSOCIATION GROUP ADMIN. PO DRAWER 240 MILWAUKEE WI 53201
200906987 8008084516
BW5 532 ASSOCIATION PLAN ADMINISTRATORS, INC. PO BOX 96987 WASHINGTON DC 8006242564
FY7 1051 2858 W. MARKET ST. #N AKRON OH 44333 8004427742
KD2 1641 ASSURANT DENTAL P O BOX 2941 CLINTON IA 52733 8008002412
KD5 1644 ASSURANT HEALTH P O BOX 42033 HAZELWOOD MO 63042 8008001212
KW6 1732 ASSURANT HEALTH PO BOX 624 MILWAUKEE WI 53201 8008002412
MK5 1857 ASSURANT
ASSURANT HEALTH
HEALTH INSURANCE CO. PO BOX 2806 CLINTON, IA 52733 CLINTON IA 52733
799981602 8005537654
E16 787 PO BOX 981602 EL PASO TX 604403448 8007597422
GB7 1096 ASSURECARE
ASSURED BENEFIT ADMINISTRATORS 340 QUADRANGLE DR. BOLINGBROOK IL 9155322100
EX3 908 ASSURITY SECURITY GROUP AT WORK 4100 RIO BRAVO SUITE 211 EL PASO TX 79902 8662897337
KE4 1648 ATLANTIC COAST HEALTH INS. PO BOX 80926 LINCOLN NE 68501 7574618091
BN0 512 ATLANTIC COAST HEALTH PLAN 5305 VIRGINIA BEACH BLVD. NORFOLK VA 23502 7574618091
BE5 482 ATLANTIC LIFE INSURANCE CO. 5305 VIRGINIA BEACH BLVD. NORFOLK VA 23502
336313450 8002133905
CX2 651 ATLANTICARE HEALTH SYSTEMS PO BOX 31450 TAMPA FL 8007729599
CB6 577 PO BOX 1071 HAMMONTON NJ 08037
447060910 8003448858
AU7 428 AULTCARE
AUTO ZONE BENEFITS DEPT. PO BOX 6910 CANTON OH 9013254600
G91 1089 AUTO-OWNERS LIFE INS. CO. 3030 POPLAR AVE., DP 8204-2 MEMPHIS TN 03811
489098160 5173231200
071 29 PO BOX 30660 LANSING MI 8009526674
HK3 1330 AVESIS INC. PO BOX 7777 PHOENIX AZ 85011 8002739166
KG2 1657 AVIA PARTNERS (RX ONLY) 20427 N. 27TH AVE. PHOENIX AZ 85027
606909720 8006216360
Q41 1962 AVMA PO BOX 909720 CHICAGO IL 326022939 8008165465
AX9 437 AVMED PO BOX 2939 GAINESVILLE FL
801 286 BAKERY & CONFECTIONARY UNION & INDUSTRY INT. 10401 CONNECTICUT AVE. KENSINGTON MD 208953960 3014683731
722031460 8662782402
KQ5 1710 BALDOR/USABLE ADMIN PO BOX 1460 LITTLE ROCK AR
G52 1078 BALI COMPANY PO BOX 219 GASTONIA NC 28053 6174342465
D27 673 BANK OFFIDELITY
BANKER BOSTON LIFE INS. CO. 100 FEDERAL STREET BOSTON MA 02105 4042665500
077 32 BANKERS LIFE AND CASUALTY 4370 PEACHTREE ST. NE ATLANTA GA 30319
606660927 8006543072
GZ2 1222 BANKERS LIFE AND CASUALTY CO. PO BOX 66927 CHICAGO IL 460821935 3123966000
078 33 BANKERS NATIONAL LIFE INS. CO. PO BOX 1935 CARMEL IN 3175736300
082 36 BANKERS STANDARD INS. CO. PO BOX 11911 CARMEL IN 46032 9047697668
084 37 BANKERS UNITED LIFE INVESTORS 1900 BISCAYNE BLVD. MIAMI FL 33132 3193988511
085 38 BARCOLOUNGER CLAIMS UNIT 4333 EDGEWOOD RD., NE CEDAR RAPIDS IA 52499
292023184
HG3 1299 BASSETT FURNITURE/BCBS NC PO BOX 100184 COLUMBIA SC 8004457490
697 255 BASSETTS FAMILY PLAN/BCBS OF VA PO BOX 35 DURHAM NC 27702
956 331 PO BOX 27401 RICHMOND VA 23279 5025688269
G09 1062 BATUS PO BOX 35090 LOUISVILLE KY 40232
944 329 BAXTER LABORATORIES PO BOX 1390 MARION NC 28752
271145987 8007951023
928 326 BB&T PO BOX 25987 WINSTON-SALEM NC 352830279 8002928802
998 346 BC/BS
BC/BS OF
OF ALABAMA
NC - DENTAL ONLY PO BOX 830279 BIRMINGHAM AL 8003056638
FX6 1044 PO BOX 2100 WINSTON SALEM NC 27102
094 42 BC/BS OF NORTH CAROLINA/MEDCO HEALTH-RX DRUGS PO BOX 14713 LEXINGTON KY 40512
ONLY
8009424254
GN7 1162 BC/BS OF ROCHESTER 165 COURT STREET ROCHESTER NY 14647 8008821178
KN5 1698 BCBS- DENTAL BLUE
BCBS FEDERAL EMPLOYEE PROGRAM PO BOX 986005 BOSTON MA 02298 8002224739
649 237 PO BOX 2291 DURHAM NC 27702

Page 6 of 46
 NCTracks Carrier Codes
EIS code NCFast Carrier Name Address line 1 City State Zip Phone 1
Code
8004457490
CC8 580 BCBS NC PO BOX 35 DURHAM NC 27702
352952294 8005176425
HF2 1294 BCBS OF ALABAMA PO BOX 2294 BIRMINGHAM AL 850023466 6028644100
C09 548 BCBS OF ARIZONA PO BOX 13466 PHOENIX AZ 722032181 5013782000
A97 368 BCBS OF ARKANSAS PO BOX 2181 LITTLE ROCK AR 8004442726
Y36 2112 BCBS OF CA PO BOX 70000 VAN NUYS CA 91470 8002340111
HR9 1378 BCBS OF CA/WELLPOINT PO BOX 4109 WOODLAND HILLS CA 91365
930316666 8003330912
584 209 BCBS
BCBS OF
OF CALIFORNIA
CENTRAL NEW YORK PO BOX 6666 OXNARD CA 8006345204
H70 1255 PO BOX 4809 SYRACUSE NY 38001 3038312131
936 327 BCBS OF COLORADO 700 BROADWAY DENVER CO 80273 2032394911
981 340 BCBS OF CONNECTICUT 370 BASSETT ROAD NORTH HAVEN CT 06473 3024290260
632 231 BCBS OF DELAWARE PO BOX 1991 WILMINGTON DE 19899 8009266565
MC7 1822 BCBS OF FL PO BOX 44160 JACKSONVILLE FL 32231 9047916111
613 222 BCBS OF FLORIDA PO BOX 1798 JACKSONVILLE FL 32202
331221932 8009553589
DZ4 781 BCBS OF FLORIDA 8400 N.W. 33RD ST. MIAMI FL 319089988 8004412273
715 261 BCBS OF GEORGIA PO BOX 9907 COLUMBUS GA 8004412273
R19 1986 BCBS OF GEORGIA PO BOX 9907 COLUMBUS GA 31908
319086007 8008333033
Y41 2115 BCBS OF GEORGIA PO BOX 9907 COLUMBUS GA 8006271188
B85 464 BCBS
BCBS OF
OF IDAHO
IL PRES. DRUG PROGRAM PO BOX 7408 BOISE ID 83707
930319082 8007533620
JE1 1483 PO BOX 9082 OXNARD CA 8003278497
675 244 BCBS OF ILLINOIS PO BOX 1220 CHICAGO IL 60690 8008762533
MA9 1811 BCBS OF IN- ANTHEM PO BOX 37010 LOUISVILLE KY 40353
462066174 8004535747
827 296 BCBS OF INDIANA PO BOX 6174 INDIANAPOLIS IN 8003622218
D16 668 BCBS OF IOWA 636 GRAN AVENUE DES MOINES IA 50309
666290001
803 288 BCBS OF KANSAS 1133 SOUTHWEST TOPEKA BLVD. TOPEKA KS 8004226804
CT6 639 BCBS OF KANSAS PO BOX 419169 KANSAS CITY MO 64141 5024269000
692 252 BCBS OF KENTUCKY 13550 TRITON PARK BLVD. LOUISVILLE KY 40223 5042915370
A46 363 BCBS OF LOUISIANA PO BOX 98029 BATON ROUGE LA 70898 6178325000
595 214 BCBS OF MA PO BOX 986025 BOSTON MA 02298 2078227272
F40 931 BCBS OF MAINE 2 GANNETT DRIVE SOUTH PORTLAND ME 04106 3014945555
B20 450 BCBS
BCBS OF
OF MARYLAND
MARYLAND/ CARE FIRST PO BOX 9836 BALTIMORE MD 21204
211175559 8002960724
841 305 BCBS OF MASSACHUSETTES P O BOX 804 OWINGS MILLS MD 8004134123
V77 2042 PO BOX 986025 BOSTON MA 02298 8003448525
679 246 BCBS OF MICHIGAN 600 LAFAYETTE EAST DETROIT MI 48226
482313015 8004823146
GQ9 1176 BCBS OF MICHIGAN PO BOX 2500 DETROIT MI 6124568000
D76 691 BCBS OF MINNESOTA PO BOX 64338 ST. PAUL MN 55164
551840560 8668700411
HH5 1307 BCBS OF MINNESOTA PO BOX 64338 ST PAUL MN 392151043 6019323704
C92 571 BCBS OF MISSISSIPPI PO BOX 1043 JACKSON MS 631032231 8008482625
T24 2003 BCBS
BCBS OF
OF MISSOURI
MISSOURI (ALLIANCE BCBS) 1831 CHESTNUT ST. ST. LOUIS MO 631784882 3149234500
B66 459 BCBS OF N. HAMPSHIRE/VERMONT PO BOX 14882 ST. LOUIS MO 8002252666
C48 559 3000 GOFFS FALLS ROAD MANCHESTER NH 03111
681800001 8003563485
F38 930 BCBS OF
BCBS OF NEBRASKA
NEW HAMPSHIRE PO BOX 3248 OMAHA NE 8002252666
B71 461 3000 GOFFS FALLS ROAD MANCHESTER NH 03111 2014562000
646 236 BCBS OF NEW JERSEY 3 PENN PLAZA EAST NEWARK NJ 07105
071012200 8004147427
BX8 539 BCBS OF NEW JERSEY PO BOX 1609 NEWARK NJ 8006241110
JG2 1493 BCBS OF NEW JERSEY PO BOX 820 NEWARK NJ 07101 8779942583
MR8 1895 BCBS OF NEW MEXICO PO BOX 11968 ALBUQUERQUE NM 87192 7163253630
614 223 BCBS
BCBS OF
OF NEW YORK
NORTH CAROLINA 150 E. MAIN STREET ROCHESTER NY 14647 8002225028
091 41 PO BOX 35 DURHAM NC 27702 8003424718
X14 2073 BCBS OF NORTH DAKOTA 4510 13TH AVENUE, SW FARGO ND 58121

Page 7 of 46
 NCTracks Carrier Codes
EIS code NCFast Carrier Name Address line 1 City State Zip Phone 1
Code
BCBS OF NORTHWEST OHIO 4194737100
F33 929 PO BOX 943 TOLEDO OH 43656 2166877000
641 233 BCBS OF OHIO 2060 E. NINTH STREET CLEVELAND OH 44115 5138728100
K87 1615 BCBS OF OHIO 1351 WILLIAM HOWARD TAFT RD. CINCINNATI OH 45206 9185603500
920 325 BCBS OF OKLAHOMA PO BOX 3283 TULSA OK 74102 5032255336
960 334 BCBS OF OREGON PO BOX 1271 PORTLAND OR 97207 8005277290
B16 449 BCBS OF RHODE ISLAND 444 WESTMINSTER ST. PROVIDENCE RI 02903
AE6 382 BCBS OF S. CAROLINA PIEDMONT SERVICE CENTER - PO BOX 6000 GREENVILLE SC 29606 8032974665
292600605 8008682520
BC0 477 BCBS OF S. CAROLINA PO BOX 100605 COLUMBIA SC
HW3 1398 BCBS OF
BCBS OF SOUTH
SC DIRECT REIMBURSEMENT - DENTAL
CAROLINA PO BOX 71519 NEWNAN GA 30271 8007944668
8003342583
658 243 1-20 A ALPINE RD. COLUMBIA SC 29219 8008314818
N69 1917 BCBS OF
BCBS OF SOUTH DAKOTA
SOUTHWEST VIRGINIA PO BOX 1677 SIOUX CITY IA 51102 7039855000
824 295 PO BOX 13047 ROANOKE VA 24045 4237555600
615 224 BCBS OF TENNESSEE PO BOX 180150 CHATTANOOGA TN 37402 8009247141
E52 799 BCBS OF TENNESSEE PO BOX 180150 CHATTANOOGA TN 37401
752660044 9727666900
596 215 BCBS OF TEXAS PO BOX 660044 DALLAS TX 8005212227
685 250 BCBS OF TEXAS PO BOX 660044 DALLAS TX 75266
752660044 9727666900
BJ9 498 BCBS OF TEXAS PO BOX 660044 DALLAS TX 752650204 8005212227
HJ1 1322 BCBS OF TEXAS PO BOX 650204 DALLAS TX 8006246519
F74 938 BCBS
BCBS OF
OF UTAH
UTICA-WATERTOWN, INC. PO BOX 30270 SALT LAKE CITY UT 84130 3157984200
M97 1805 12 RHOADS DRIVE UTICA NY 13502
AW0 429 BCBS OF VIRGINIA (TRIGON) PO BOX 27287 RICHMOND VA 23261 8005238316
834 299 BCBS OF W. VIRGINIA PO BOX 1353 CHARLESTON WV 25325 4142265000
A03 349 BCBS OF WISCONSIN 401 W. MICHIGAN ST. MILWAUKEE WI 53203 3076344780
X22 2079 BCBS
BCBS OF WYOMING
UNITED OF WISCONSIN 4000 HOUSE AVE. CHEYENNE WY 82001
532012025 8008102583
A22 357 PO BOX 2025 MILWAUKEE WI 8006241110
MP6 1879 BCBSNJ PRIME THERAPEUTICS (WAL MART)
BCBSXX PO BOX 280 NEWARK NJ 7101 8004231973
JW4 1568 PO BOX 64812 ST PAUL MN 55164 7086927020
F01 921 BEATRICE FOODS 1030 HIGGINS ST., SUITE 200 PARK RIDGE IL 60068
ME9 1834 BEECH STREET 7600 S.W. MOHAWK ST. TUALATIN, OR 97062 TUALATIN OR 97062 5034543820
750853928 8003275926
JW3 1567 BEECHSTREETHEALTH
BEHAVIORAL CORP RESOURCES PO BOX 853925 RICHARDSON TX 8002666167
HQ4 1370 BELK EMPLOYEE INSURANCE COMPANY 3333 SILAS CREEK PARKWAY WINSTON SALEM NC 27103 7043571064
581 207 BELL SOUTH DEDICATED SERVICE CENTER 2801 W. TYVOLA RD. CHARLOTTE NC 28217 8002928802
E21 792 BELLSOUTH C/OBCBS OF ALABAMA PO BOX C 279 BIRMINGHAM AL 35283 8002928802
808 291 BENEFIT ADMINISTRATION SYSTEMS PO BOX 2294 BIRMINGHAM AL 35201 7087997400
Q02 1953 BENEFIT ADMINISTRATIVE SYSTEMS, LLC 17475 JOVANNA DR., # 1B HOMEWOOD IL 60430
532012920 8005230582
ME7 1832 BENEFIT ADMINISTRATORS PO BOX 2920 MILWAUKEE, WI 53201-2920 MILWAUKEE WI 8144533633
AF1 384 BENEFIT ADMINISTRATORS AND COMPANY PO BOX 6279 ERIE PA 16512 8037390001
CU5 644 PO BOX 21308 COLUMBIA SC 29221 6103372600
EW6 903 BENEFIT CONCEPTS
BENEFIT MANAGEMENT CORP. (BMC) PO BOX 60608 KING OF PRUSSIA PA 19406
333269000 8002629175
FP4 1012 BENEFIT MANAGEMENT CORPORATION PO BOX 269000 WESTON FL 3053841000
J12 1444 BENEFIT MANAGEMENT SERVICES PO BOX 269000 WESTON FL 33326 8002281803
G49 1077 BENEFIT MANAGEMENT SERVICES, INC. PO BOX 1178 MATTHEWS NC 28106 7048455608
F49 933 BENEFIT MGMNT. OF MAINE, INC. PO BOX 1178 MATTHEWS NC 28106 2077221601
B15 448 BENEFIT PLAN MANAGEMENT PO BOX 3859 PORTLAND ME 04104 8776427500
GD4 1105 PO BOX 536 ROCKLAND MA 02370 9108892003
655 242 BENEFIT PLAN SERVICES PO BOX 2793 HIGH POINT NC 27261

Page 8 of 46
 NCTracks Carrier Codes
EIS code NCFast Carrier Name Address line 1 City State Zip Phone 1
Code
FJ4 987 BENEFIT SERVICES (LOCAL UNION 475- ELECT. WRKRS.) 1601 MARKET ST. STE 1575 PHILADELPHIA PA 19103 8003309340
8286324970
CE1 583 BENEFIT SOLUTIONS, INC. PO BOX 385 TAYLORSVILLE NC 28681
286810385 7048726611
N24 1904 BENEFIT SOLUTIONS, INC. PO BOX 385, 577 NC 16 S, SUITE A TAYLORSVILLE NC 8007774782
J76 1462 BENEFIT
BENEFIT SUPPORT,
SYSTEMS &INC.
SERVICES, INC. PO BOX 2977 GAINSVILLE GA 30503 7087892082
J41 1451 BENEFITS ADMINISTRATIVE SERVICES 760 PASQUINELLI DR., SUITE 320 WESTMONT IL 60559
611104509 8002497947
GQ1 1169 PO BOX 4509 ROCKFORD IL 8009081702
MC3 1819 BENEFITS IN A
BENESCRIPT CARD
(RX ONLY), ATTN: CLAIMS 300 E MCBEE AVE STE 300 GREENVILLE SC 29061 8003453189
DN9 750 PO BOX 921229 NORCROSS GA 30010 8003621116
GJ5 1138 BENESIGHT PO BOX 330 PUEBLO CO 81002 4134994321
089 40 BERKSHIRE
BERNHARDTLIFE INS. CO. COMPANY
FURNITURE 700 SOUTH ST. PITTSFIELD MA 01201 7047589811
K94 1619 BLACK LUNG BENEFITS ACT - DEPT. OF LAB PO BOX 740 LENOIR NC 28645 3017315116
A33 360 200 CONSTITUTION NW WASHINGTON DC 20210 8006626667
GU9 1197 BLUE CARE NETWORK PO BOX 68710 GRAND RAPIDS MI 49516
495168767 8006626667
Q03 1954 BLUE
BLUE CARE
CROSSNETWORK
BLUE SHIELD OF ALABAMA PO BOX 68767 GRAND RAPIDS MI 352890001 8005176425
FM1 1000 BLUE CROSS BLUE SHIELD OF ALABAMA PO BOX 2294 BIRMINGHAM AL 352360508 8003349041
FU3 1033 BLUE CROSS BLUE SHIELD OF CALIFORNIA PO BOX 360508 BIRMINGHAM AL 8006776669
KJ4 1671 BLUE CROSS BLUE SHIELD OF DELAWARE PO BOX 60007 LOS ANGELES CA 90060 8006332563
GN3 1160 BLUE CROSS BLUE SHIELD OF FLORIDA PO BOX 8830 WILMINGTON DE 19899
322314028 8002974991
EF0 829 BLUE CROSS BLUE SHIELD OF GA PO BOX 44028 JACKSONVILLE FL 8882064697
KM5 1692 PO BOX 535314 ATLANTA GA 30353
GL1 1147 BLUE CROSS
BLUE CROSS BLUE
BLUE SHIELD
SHIELD OF
OF NEW
MASSACHUSETTS
YORK PO BOX 9198 NORTH QUINCY MA 02171 8003487921
2124767888
GH7 1126 BLUE CROSS BLUE SHIELD OF OREGON PO BOX 3598 CHURCH ST. STATION NEW YORK NY 10008 8002785331
FY3 1049 PO BOX 900 PORTLAND OR 97207
FU7 1035 BLUE CROSS BLUE SHIELD OF PENNSYLVANIA (65 PO BOX 898845 CAMP HILL PA 17089 8003679378
SPECIAL)
EZ5 919 BLUE CROSS
BLUE BLUE SHIELD
CROSS BLUE OF TEXAS
SHIELD OF SOUTH CAROLINA PO BOX 100300 COLUMBIA SC 29202
752660044 8008682500
8004510287
GL4 1149 BLUE CROSS BLUE SHIELD OF WISCONSIN PO BOX 660044 DALLAS TX 8002429035
GI1 1130 BLUE CROSS HOSPITAL SERVICE, INC. PO BOX 1582 MILWAUKEE WI 53201 3043485950
A29 359 BLUE CROSS OF CALIFORNIA 900 PENNSYLVANIA AVE. CHARLESTON WV 25302 8002583091
FM8 1004 BLUE CROSS OF N. EASTERN PENNSYLVANIA PO BOX 7168 SAN FRANCISCO CA 94120 7178298500
R75 1993 BLUE CROSS OF W. PENNSYLVANIA 70 N. MAIN STREET WILKES BARRE PA 18711
152223099 8002354999
B91 467 BLUE CROSS OF WASHINGTON AND ALASKA 120 FIFTH AVE., FIFTH AVE. PLACE PITTSBURGH PA 981110327 8003456784
GE9 1115 BLUE CROSS OF WESTERN NEW YORK, INC. PO BOX 327 SEATTLE WA 142400080 8009500051
CN1 616 BLUE CROSS PUERTO RICO PO BOX 80 BUFFALO NY 8006762583
GS3 1184 BLUE SHIELD OF CALIFORNIA PO BOX 366068 SAN JUAN PR 00936
959272560 8003349849
AR5 419 BLUE SHIELD OF NORTHEASTERN NY PO BOX 272520 CHICO CA 8008881238
F89 941 BLUECROSS BLUESHIELD OF IL PO BOX 15013 ALBANY NY 12212
606804112 8007308434
KM8 1695 PO BOX 805107 CHICAGO IL 405222738 8007872680
HO0 1357 BLUGRASS FAMILY HEALTH PO BOX 22889 LEXINGTON KY 8008214398
GR2 1179 BMS B'RITH MEMBERS INSURANCE
B'NAI PO BOX 1317 MATTHEWS NC 28106
616146498 8007232624
C91 570 PROSPECT AT GLEN PEORIA IL
CF9 590 BOARD OF PENSIONS EVANGELICAL LUTHERAN CHURCH 800 MARQUETTE AVE., STE. 1050 MINNEAPOLIS MN 554022885 8003622876
BOARD OF PENSIONS/PRESBYTERIAN CHURCH 8005218507
969 337 BODDIE NOELL ENTERPRISES PO BOX 13896 PHILADELPHIA PA 19101 3367744400
DZ1 780 PO BOX 25987 WINSTON-SALEM NC 27114
M35 1589 BOILERMAKER'S NATIONAL HEALTH & WELFARE FUND 754 MINNESOTA AVE., SUITE 522 KANSAS CITY KS 661012766 9133426555

Page 9 of 46
 NCTracks Carrier Codes
EIS code NCFast Carrier Name Address line 1 City State Zip Phone 1
Code
K27 1786 BOILERMAKERS NATIONAL HEALTH & WELFARE FUND 754 MINNESOTA AVE., STE. 522 KANSAS CITY KS 661012766 9133426555
8662670092
MH9 1848 BOLLINGER INSURANCE
BOON-CHAPMAN BENEFITS PO BOX 727 SHORT HILLS, NJ 07078 SHORT HILLS NJ 7078 8002529653
M57 1791 BORDEN HEALTH BENEFITS PLAN PO BOX 9201 AUSTIN TX 78766 8008486181
B83 463 PO BOX 189 COLUMBUS OH 43215 8005561570
KR6 1714 BRAVO HEALTH
BRIDGESTONE/FIRESTONE, INC. PO BOX 4433 BALTIMORE MD 21223 8002378447
AI4 400 BRISTOL MYERS SQUIBB C/O METRAHEALTH PO BOX 247 SHELDON IA 51201 8004638667
983 342 BROKER'S NATIONAL LIFE ASSURANCE CO. PO BOX 6135 UTICA NY 13504 8006534427
MK8 1860 BROWN WOOTEN MILLS PO BOX 1028 HOUSTON, TX 77251 HOUSTON TX 77251 9107868379
J91 1466 BRUNSWICK ELECTRIC MEMBERSHIP CORP. PO BOX 1046 MT. AIRY NC 27030 9107544391
X76 2090 PO BOX 826 SHALLOTTE NC 28459 8034321400
733 266 BUILDERS TRANSPORT
BURLINGTON INDURSTRIES PO BOX 7005 CAMDEN SC 29020
280532048 8002557476
844 307 BUTLER BENEFIT SERVICE INC (BBSI) PO BOX 2048 GASTONIA NC 528083310 5633272280
JN9 1529 PO BOX 3310 DAVENPORT IA 926906080 8885248778
KL5 1685 CAIC
CAPITAL ADMINISTRATORS PO BOX 6080-179 MISSION VEIJO CA 8886506566
GF0 1116 CAPITAL BLUE CROSS OF PENNSYLVANIA PO BOX 346 ALPHARETTA GA 30009
171779503 8009622242
820 294 PO BOX 779503 HARRISBURG PA 8002965555
W17 2048 CAPITAL
CAPITAL CARE, INC.PHYSICIANS HLTH PLAN
DISTRICT 550 12TH ST., SW WASHINGTON DC 20065
122066602
JV7 1562 CAPITAL SECURITY INSURANCE PO BOX 66602 ALBANY NY 8035373002
DM6 743 PO BOX 472 CHERAW SC 29520 8005385512
GX4 1208 CAPP CARE PO BOX 6240 NEWPORT BEACH CA 92658 9194626664
DY4 776 CARDINAL
CARE FIRSTIPA/NCMM
ADMINISTRATORS 107 EDINBURGH SOUTH, STE. 216 CARY NC 27511 8004239791
FJ0 984 CARE FIRST ADMINISTRATORS PO BOX 13303 BALTIMORE MD 21203 8004239791
FJ1 985 PO BOX 1196 BALTIMORE MD 21297
405124115 8006288548
839 304 CARE FIRST/BCBS
CAREFIRST BCBS OF NATIONAL CAPITAL AREA PO BOX 14115 LEXINGTON KY 8009502583
836 301 CAREFIRST BLUECROSS BLUESHIELD NCAS 550 12TH STREET SW WASHINGTON DC 20065
220388004 8666076272
KP4 1702 PO BOX 10104 FAIRFAX VA 405124116 8008425975
KN6 1699 CAREFIRST-BCBS PO BOX 14116 LEXINGTON KY 850722196 9197747925
AC5 377 CAREMARK PO BOX 52195 PHOENIX AZ 8008415550
BX0 536 CAREMARK PO BOX 52195 PHOENIX AZ 85072 8007722301
CW9 650 CAREMARK PO BOX 52195 PHOENIX AZ 85072 8008415550
CZ9 662 CAREMARK PO BOX 52195 PHOENIX AZ 85072
850722196
JF2 1488 CAREMARK PO BOX 52196 PHOENIX AZ 8008415550
T91 2017 CAREMARK PO BOX 52195 PHOENIX AZ 85072 8008415550
X38 2082 CAREMARK
CAREMARK FORMERLY ADVANCE PCS PO BOX 52195 PHOENIX AZ 85072 4803914600
P45 1939 PO BOX 52195 PHOENIX AZ 85072
DD8 713 CAREMARK -FORMERLY ECKERD HEALTH SERVICES PO BOX 52195 PHOENIX AZ 85072 8002223383
CAREMARK/ FORMERLYPHARMACARE 850722010 8007771023
BX2 537 CAREMARK/ADVANCE PCS PO BOX 52010 PHOENIX AR 8008415550
AB1 371 CAREMARK/ADVANCE PCS PO BOX 52195 PHOENIX AZ 85072 8009292524
BX9 540 CAREMARK/ADVANCE PCS PO BOX 52195 PHOENIX AZ 85072 8008415550
EH7 844 CAREMARK/ADVANCE PCS PO BOX 52195 PHOENIX AZ 85072 8886937750
GI2 1131 CAREMARK/FORMERLY/PHARMACARE PO BOX 52195 PHOENIX AZ 85072
850722010 8886459303
JE3 1485 CAREMARK/PHARMACARE PO BOX 52010 PHOENIX AZ 8007771023
CU6 645 695 GEORGE WASHINGTON HIGHWAY LINCOLN RI 02865
DK6 766 CAREMARK-FORMERLY ECKERD'S HEALTH SERVICES PO BOX 52195 PHOENIX AZ 85072 8003771693

DU1 741 CAREMARK-FORMERLY ECKERDS HEALTH SERVICES PO BOX 52195 PHONEIX AZ 85072 8002223383

Page 10 of 46
 NCTracks Carrier Codes
EIS code NCFast Carrier Name Address line 1 City State Zip Phone 1
Code
CARITEN INSURANCE COMPANY 8002840042
DP5 752 CAROLINA & WESTERN EXPRESS PO BOX 22987 KNOXVILLE TN 37933
729 264 CAROLINA BENEFIT ADMINISTRATORS PO BOX 3995 GASTONIA NC 28052
271145566 3367650297
G57 1081 PO BOX 25566 WINSTON-SALEM NC 9192723121
F13 923 CAROLINA BY-PRODUCTS PO BOX 20687 GREENSBORO NC 27420 8007479995
FY6 1050 CAROLINA CARE PLAN PO BOX 100234 COLUMBIA SC 29202
292023234 8008686734
HP0 1360 CAROLINA CARE PLAN, INC PO BOX 100234 COLUMBIA SC 282311691 8666976800
KL7 1687 CAROLINA CARE RX PO BOX 31691 CHARLOTTE NC
EP9 879 CAROLINA HEALTHCARE/MEDCOST BENEFIT SERVCES PO BOX 25987 WINSTON-SALEM NC 271145987 8007951023

AF4 385 CAROLINA STALITE COMPANY PO BOX 1040 SALISBURY NC 281451037 7046365231
FC7 954 CAROLINA SUMMIT HEALTHCARE, INC. PO BOX 14669 CINCINNATI OH 45250 8772786481
D08 665 CAROLINA VA MEAT CUTTERS HEALTH & WELFARE FUND 5305 VA. BEACH BLVD. NORFOLK VA 22502 7574618091
CAROLINA-VA MEAT CUTTERS UNION 7574618091
962 336 5305 VIRGINIA BEACH BLVD. NORFOLK VA 22502
328197819 8666976800
LA3 1768 CAROLINE CARE
CARSON, INC. RX
(GROUP BENEFIT PLAN) P O BOX 691569 ORLANDO FL 272633243 3364311101
761 272 PO BOX 14186 ARCHDALE NC 3368820186
884 320 CASCADE DIE PO BOX 8045 HIGH POINT NC 27264
CD7 582 CATALYST (FORMERLY PHARMACY ADVANTAGE PO BOX 1069 ROCKVILLE MD 208491069 8887275560
SYSTEMS)
8003317108
HC4 1279 CATALYST RX PO BOX 100759 FORT LAUDERDALE FL 33310
208491069 8009973784
HF3 1295 CATALYST RX PO BOX 1069 ROCKVILLE MD 208491069 8887275560
JM6 1518 CATALYST RX PO BOX 1069 ROCKVILLE MD 208491069 9198764642
L76 1764 CATALYST RX PO BOX 1069 ROCKVILLE MD
GZ8 1227 CATALYST RX (FORMERLY PHARMACY ADVANTAGE PO BOX 1069 ROCKVILLE MD 208491069 8887275560
SOLUTIONS)
8156263445
HM9 1348 CBA ADMINISTRATORS PO BOX 520 ROCK FALLS IL 61071
554409387 8003358288
CP6 622 CBCA PO BOX 9387 MINNEAPOLIS MN 413110902 8007220498
JM9 1520 CBCA ADMINISTRATORS PO BOX 902 BEATTYVILLE KY 8003652735
P65 1944 CC SYSTEMS PO BOX 64668 ST. PAUL MN 55164
336755190 8007491422
JV9 1564 CCN PO BOX 5190 TAMPA FL 278022387 9199772131
G56 1080 CECO BUILDINGS DIVISON PO DRAWER 2387 ROCKY MOUNT NC 462030839 8004777870
HC7 1280 CELTIC INDIVIDUAL HEALTH PO BOX 33839 INDIANAPOLIS IN 8002373968
MQ4 1884 CELTIC INDIVIDUAL HEALTH PO BOX 26440 LITTLE ROCK AR 72221
606808073
E81 806 CELTIC LIFE INSURANCE PO BOX 8073 CHICAGO IL 8004777870
EA1 811 CELTIC
CELTIC LIFE
LIFE INSURANCE
INSURANCE CO.
COMPANY PO BOX 7130 ROSEMONT IL 60018
462030839 3123325401
V22 2027 P O BOX 33839 INDIANAPOLIS IN 8007662525
LA6 1770 CELTICS BENEFIT SERVICES
CENTRA P O BOX 46338 MADISON WI 53744
750869041 8006546208
G04 1059 PO BOX 869041 - DEPT. 198 PLANO TX 752619055 8776167424
KU5 1723 CENTRAL BENEFITS PO BOX 619055 DALLAS TX 4192381010
101 43 CENTRAL MUTUAL INS. CO. 800 S. WASHINGTON ST. VAN WERT OH 45891
KR5 1713 CENTRAL PENNSYLVANIA TEAMSTER HEALTH & WELFARE PO BOX 15224 READING PA 196125224 8003310420
FUND
8003213997
G44 1075 CENTRAL RESERVE LIFE 17800 ROYALTON RD. STRONGSVILLE OH 44136 8003213997
K68 1605 CENTRAL RESERVE
CENTRAL RESERVE LIFE
LIFE INS. CO. 17800 ROYALTON RD. STRONGSVILLE OH 44136
662019190 8009458554
JX9 1574 CENTRAL SECURITY LIFE INSURANCE CO. P O BOX 29190 SHAWANEE MISSION KS 750833879 2146992770
Q82 1972 PO BOX 833879 RICHARDSON TX 600175103 8003235000
J42 1452 CENTRAL STATES PO BOX 5116 DES PLAINES IL
104 44 CENTRAL STATES HEALTH & LIFE CO. OF OMAHA 1212 N. 96TH ST. OMAHA NE 68114 4023971111

Page 11 of 46
 NCTracks Carrier Codes
EIS code NCFast Carrier Name Address line 1 City State Zip Phone 1
Code
HY4 1410 CENTRAL STATES HEALTH & WELFARE - DENTAL ONLY PO BOX 5104 DES PLAINES IL 60017 8003232190

HY9 1413 CENTRAL STATES HEALTH & WELFARE - VISION ONLY PO BOX 5105 DES PLAINES IL 60017 8003232190

590 210 CENTRAL STATES, SE & SW HEALTH. & WELFARE FUND PO BOX 590 DES PLAINES IL 600175103 8003232190
772925309 8006699030
450 156 CENTRAL UNITED LIFE PO BOX 925309 HOUSTON TX 772522728 8006699030
451 157 CENTRAL UNITED LIFE PO BOX 2728 HOUSTON TX 2032655656
105 45 CENTRY INSURANCE
CENTURY CO. PLAN
HEALTH CARE 1800 NORTHPOINT DR. STEVENS POINT WI 54481 7043281851
691 251 PO BOX 608 HICKORY NC 28603 8776852432
MM5 1864 CENTURY HEALTHCARE PO BOX 2256 GRAPEVINE, TX 76099 GRAPEVINE TX 76099 8009824367
W41 2053 CGA INSURANCE PLANS PO BOX 97 SCANTON PA 18504
802069025 8888201726
KY8 1745 CHAMP VA-SPINA
CHAMPION BIFIDA
INTERNATIONAL PO BOX 65025 DENVER CO 7046462128
832 298 CHAMPION INTERNATIONAL MAIN STREET CANTON NC 28716 9195376011
N39 1912 PO BOX 580 ROANOKE RAPIDS NC 27870
802069024 8007338387
Y68 2125 CHAMPVA
CHARLES F. CATES & SONS, INC. PO BOX 65024 DENVER CO 8002225028
I80 1436 CHARLESTON HOISERY, INC. PO BOX 35 DURHAM NC 27702
373202190 4234725095
GY3 1216 PO BOX 2190 CLEVELAND TN 282295335 7045370212
G30 1070 CHARLOTTE AIRCRAFT PO BOX 25555 CHARLOTTE NC 2032770111
108 47 CHARTER
CHEROKEEOAK FIRE INS. CO.
INSURANCE CO. ONE TOWER SQUARE HARTFORD CT 06115 8002010450
GE0 1108 PO BOX 159 WARREN MI 28090 8005275504
MP7 1880 CHESAPEAKE LIFE
CHESTERFIELD INS.
RESOURCES, INC. PO BOX 60 FRISCO TX 75034 8003210935
G99 1092 CHICAGO RAWHIDE INDUSTRIES PO BOX 1884 AKRON OH 44309 8004294201
C57 563 CHICKERING CLAIMS ADMIN. 900 NORTH STATE STREET ELGIN IL 60123
022150014 8009667772
BQ4 519 PO BOX 15708 BOSTON MA 8009928088
DG6 727 CHICOPEE, INC. PO BOX 6125 GREENVILLE SC 29606
809706149 8873214412
JR3 1542 CHOICE NET PO BOX 76149 COLORADO SPRINGS CO
FA3 945 CHRISTIAN BROTHERS EMPLOYEE BENEFIT TRUST 1205 WINDHAM PARKWAY ROMEOVILLE IL 604461694 8005452858
CHRISTIAN FIDELITY LIFE INSURANCE 2149374420
T60 2011 CHRISTIAN HOSPITILIZATION AID 2001 BATES DRIVE WAXAHACHIE TX 75165 3168462286
V91 2044 PO BOX 336 MONTEZUMA KS 67867
276118187 8009486759
A00 347 CIGNA PO BOX 28187 RALEIGH NC 8005424294
AM8 407 CIGNA PO BOX 2048 GASTONIA NC 28052
374017149 8006357749
AR8 420 CIGNA PO BOX 180149 CHATTANOOGA TN 198505408 8004417150
AS2 422 CIGNA PO BOX 15408 WILMINGTON DE 276118127 8009486759
BF1 485 CIGNA PO BOX 28127 RALEIGH NC 8006549631
BS5 525 CIGNA PO BOX 800 UNIONVILLE CT 06085 8003251404
BW6 533 CIGNA PO BOX 8819 BRISTOL TN 37621
374227576 8002225026
BX5 538 CIGNA PO BOX 182576 CHATTANOOGA TN 374228007 8002404648
C72 567 CIGNA PO BOX 188007 CHATTANOOGA TN 282333668 8002572702
CI5 601 CIGNA PO BOX 33668 CHARLOTTE NC 8002352840
CJ0 602 CIGNA PO BOX 9317 DES MOINES IA 50306 7046799109
CQ4 624 CIGNA 2000 REGENCY EXECUTIVE PARK CHARLOTTE NC 28217 7045444368
CS3 632 CIGNA PO BOX 47068 CHARLOTTE NC 28247
276118125 8008499000
D59 685 CIGNA PO BOX 28125 RALEIGH NC 8008438953
DB6 706 CIGNA PO BOX 182553 CHATTANOOGA TN 37422
503060447 8003670524
DL2 742 CIGNA PO BOX 10447 DES MOINES IA 9198548100
DR1 756 CIGNA 701 CORPORATE CENTER DRIVE RALEIGH NC 27607 8004568700
DY7 777 CIGNA PO BOX 3058 BOURBONNAIS IL 60914

Page 12 of 46
 NCTracks Carrier Codes
EIS code NCFast Carrier Name Address line 1 City State Zip Phone 1
Code
276118087 8008499000
E19 790 CIGNA PO BOX 28087 RALEIGH NC 381871841 8003632434
EF6 834 CIGNA PO BOX 171841 MEMPHIS TN 8002446224
EH6 843 CIGNA PO BOX 5200 SCRANTON PA 18505 8002510669
EH8 845 CIGNA PO BOX 188002 CHATTANOOGA TN 37422 8005424296
EP0 874 CIGNA PO BOX 188002 CHATTANOOGA TN 37422
282333668 8002572702
ER6 887 CIGNA PO BOX 33668 CHARLOTTE NC 8004383970
EX9 913 CIGNA PO BOX 49350 ATLANTA GA 30359 8005902233
EZ0 917 CIGNA PO BOX 9313 SHERMAN TX 75091 8004627486
FN5 1008 CIGNA PO BOX 8014 PLAINVILLE CT 06062
374228013 4233214400
FP1 1010 CIGNA PO BOX 188013 CHATTANOOGA TN 374228003 8002510670
FP5 1013 CIGNA PO BOX 188003 CHATTANOOGA TN 8002510670
FP6 1014 CIGNA PO BOX 182558 CHATTANOOGA TN 37422 8008457822
FP7 1015 CIGNA PO BOX 188004 CHATTANOOGA TN 37422 8007201970
FP9 1016 CIGNA PO BOX 188023 CHATTANOOGA TN 37422 8002446224
G89 1087 CIGNA PO BOX 6185, STATION B GREENVILLE SC 29606 8002522091
GC1 1100 CIGNA PO BOX 5019 VISALIA CA 93278
553446270 8004622135
GI8 1135 CIGNA PO BOX 46270 EDEN PRAIRIE MN 8002510670
GJ8 1140 CIGNA PO BOX 182223 CHATTANOOGA TN 37422 8008323211
GN6 1161 CIGNA PO BOX 9300 SHERMAN TX 75091 8002510669
GX7 1210 CIGNA PO BOX 188033 CHATTANOOGA TN 37422
374010000 8002446224
GZ3 1223 CIGNA PO BOX 12047 CHATTANOOGA TN 374228014 8003356278
H42 1245 CIGNA PO BOX 188014 CHATTANOOGA TN 8007220443
H63 1253 CIGNA PO BOX 8015 PLAINVILLE CT 06062
374227223 8002446224
HN4 1352 CIGNA PO BOX 182223 CHATTANOOGA TN 4107856800
I48 1427 CIGNA PO BOX 807 HUNT VALLEY MD 21030
117538905 5164967840
I74 1434 CIGNA PO BOX 9005 JERICHO NY 8002446224
JU5 1553 CIGNA PO BOX 5008 VISALIA CA 93278 8002271277
K15 1584 CIGNA PO BOX 85455 SAN DIEGO CA 92186
489097651 8002844512
K85 1614 CIGNA PO BOX 30151 LANSING MI 8002433280
L40 1761 CIGNA PO BOX 964 BRISTOL CT 06010
750919341 8003829797
L79 1765 CIGNA PO BOX 9341 SHERMAN TX 381871806 8008457822
L88 1766 CIGNA PO BOX 171806 MEMPHIS TN 4239687541
M27 1783 CIGNA 1241 VOLUNTEER PARKWAY BRISTOL TN 37620
198505408 8004417150
M36 1787 CIGNA PO BOX 15408 WILMINGTON DE 8009623368
N26 1905 CIGNA PO BOX 850 JAMAICA NY 11430 8008882033
N32 1909 CIGNA PO BOX 2005 FARMINGTON CT 06032 8002470355
R54 1991 CIGNA PO BOX 10365 DES MOINES I 50306
198505538 8002822471
T27 2004 CIGNA PO BOX 15538 WILMINGTON DE 282333683
X17 2075 CIGNA PO BOX 33683 CHARLOTTE NC 374227530 6154993400
Y55 2121 CIGNA PO BOX 182508 CHATTANOOGA TN 374228003 8003555965
EI3 847 CIGNA DENTAL PO BOX 188045 CHATTANOOGA TN 198505558 8004417150
GU2 1192 CIGNA DENTAL PO BOX 15558 WILMINGTON DE 8887225505
HH3 1305 CIGNA DENTAL PO BOX 188040 CHATTANOOGA TN 37422 8889195225
HH9 1311 CIGNA DENTAL PO BOX 5030 VISALIA CA 93278 8002446224
HP4 1363 CIGNA DENTAL PO BOX 188037 CHATTANOOGA TN 37422
374228036 8002446224
HT6 1387 CIGNA DENTAL
CIGNA DENTAL HEALTH PLAN PO BOX 188036 CHATTANOOGA TN 333189062 3054235800
W97 2069 PO BOX 189062 PLANTATION FL 374228034 8003555970
853 312 CIGNA HEALTHCARE PO BOX 188034 CHATTANOOGA TN 374228008 8002510670
EK7 859 CIGNA HEALTHCARE PO BOX 188008 CHATTANOOGA TN

Page 13 of 46
 NCTracks Carrier Codes
EIS code NCFast Carrier Name Address line 1 City State Zip Phone 1
Code
8002844512
EP5 876 CIGNA HEALTHCARE PO BOX 188030 CHATTANOOGA TN 37422 8003710196
FG9 977 CIGNA HEALTHCARE PO BOX 36125 CHARLOTTE NC 28233 8004417150
FM4 1002 CIGNA HEALTHCARE PO BOX 15554 WILMINGTON DE 19850
282322894 8002451066
JV2 1557 CIGNA HEALTHCARE PO BOX 32894 CHARLOTTE NC 8005331708
X55 2086 CIGNA
CIGNA HEALTHCARE
HEALTHPLAN OF SOUTH FLORIDA PO BOX 31353 RICHMOND VA 23294 8009422471
AA6 369 CIGNA PHARMACY OPERATIONS PO BOX 49400 ATLANTA GA 30359
185050598 8008824462
JR2 1541 PO BOX 3598 SCRANTON PA 8008590086
MB6 1815 CIGNA PPO-VOLUNTARY PO BOX 5909 SCRANTON PA 18505 8774787557
KL6 1686 CIGNA -VISION
CINCINNATI LIFE INSURANCE CO. PO BOX 997561 SACRAMENTO CA 95899 5138610700
CX5 654 PO BOX 145496 CINCINNATI OH 45250 8008471148
KY6 1743 CINERGY
CINERGY HEALTH INSURANCE 1844 N NOB HILL RD STE 623 PLANTATION FL 33322 8008471148
MB8 1817 CITIZENS SECURITY LIFE INSURANCE CO 1844 N NOB HILL RD # 623 PLANTATION FL 33322
402536149 8002421515
Y14 2104 PO BOX 436149 LOUISVILLE KY 5166830500
113 49 CITY AGENCY INS. CO. 900 ELLISON AVE. WEST BERRY NY 11590
274026120 9103732504
T82 2015 CITY OF MANAGEMENT
CLAIMS GREENSBORO SERVICES, INC. PO BOX 26120 GREENSBORO NC 543070888 8004727130
CE7 586 PO BOX 10888 GREEN BAY WI 170890500 8005412039
HU3 1391 CLARITY VISION PO BOX 890500 CAMP HILL PA 8002624725
G13 1064 CNA
CNA CONTINENTAL CASUALTY COMPANY PO BOX 305181 NASHVILLE TN 37230
327946760 8005284582
KE7 1649 COASTAL LUMBER COMPANY P O BOX 946760 MAITLAND FL 9195364211
N91 1923 COCHRANE FURNITURE CLAIMS PO BOX 829 WELDON NC 27890 8009917401
HQ9 1373 PO BOX 100184 COLUMBIA SC 29202
000000000
HC2 1278 CODE NO LONGER VALID ZZZZZZZZZZZZZZZZ ZZZZZZZZZZZ ZZ 8003347591
FZ4 1054 COLE VISION
COLONIAL CARE ADMINISTRATORS
BENEFIT PO BOX 8056 TWINSBURG OH 44087
207913770 3017318855
D34 676 COLONIAL INSURANCE COMPANY PO BOX 3770 CAPITOL HEIGHTS MD 2168615970
G27 1069 COLONIAL LIFE & ACCIDENT INS. CO. 310 PARK BUILDING CLEVELAND OH 44114 8003252467
117 51 COLONIAL PENN FRANKLIN INS. CO. PO BOX 100195 COLUMBIA SC 29202
191811250 8005234000
119 52 COLONIAL PENN LIFE INS. CO. 19TH & MARKET ST. PHILADELPHIA PA 191811250 2159888000
121 53 COLUMBIA ACCIDENT & HEALTH INS. 5 PENN CENTER PLAZA PHILADELPHIA PA 6077242472
592 212 COMBINED ACCIDENT INS. CO. OF AMERICA PO BOX 1381 BINGHAMTON NY 13902
863 315 COMBINED AMERICAN LIFE INSURANCE CO. 5050 BROADWAY CHICAGO IL 60640 2157523122
C27 553 COMBINED INS. CO. OF AMERICA PO BOX 1009 LONGHORNE PA 19047 7732758000
124 54 5050 N. BROADWAY ST. CHICAGO IL 60640
185050700 8004901322
MN6 1872 COMBINED
COMBINED INSURANCE
INSURANCE OF AMERICA PO BOX 6700 SCRANTON PA 8005445531
HX8 1407 COMBINED MUTUAL CASUALTY CO. PO BOX 638 BELLINGHAM WA 98227 3122758000
838 303 COMMERCE BENEFITS GROUP 5050 BROADWAY CHICAGO IL 60640 8002225026
FH9 980 COMMERCIAL TRAVELERS MUTUAL INS. PO BOX 900 ELYRIA OH 44036 3157975200
126 55 COMMONWEALTH NATIONAL INSURANCE COMMERCIAL TRAVELERS BLDG. UTICA NY 13502 6018439091
P04 1927 PO BOX 1560 CLEVELAND MS 38732 8005442583
978 339 COMMUNITY BCBS 1901 MAIN STREET BUFFALO NY 14240 8882544290
HL1 1336 COMMUNITY EYE CARE 2359 PERIMETER POINTE PKWY, STE 150 CHARLOTTE NC 28208 8882544290
HE4 1286 COMMUNITY EYECARE
COMMUNITY HEALTH PLAN 2359 PERIMETER POINTE PKWY, STE 150 CHARLOTTE NC 28208 8009909247
GW4 1200 COMP BENEFITS / VISION CARE 801 FARAON STREET ST. JOSEPH MO 64501 8007495855
HW5 1399 COMPANION HEALTHCARE ATTN: CLAIMS, PO BOX 30349 TAMPA FL 33630
292606170 8003273183
GK2 1143 PO BOX 6170 COLUMBIA SC 292023133 8037351251
W37 2051 COMPANION LIFEHEALTH PLAN
COMPASS ROSE PO BOX 100102 COLUMBIA SC 8773705324
MM9 1868 PO BOX 6430 ANNAPOLIS MD 21401
KZ6 1748 COMPHENSIVE BENEFITS-MEDICARE SUPPLEMENTAL PO BOX 9009 MELVILLE NY 11747 8669143768
COVERAGE
COMPLETE BENEFIT SOLUTIONS 8662702316
JH4 1500 PO BOX 3649 GREENVILLE SC 29608

Page 14 of 46
 NCTracks Carrier Codes
EIS code NCFast Carrier Name Address line 1 City State Zip Phone 1
Code
COMPREHENSIVE BENEFITS ADMINISTRATOR 054072365 8005258788
D51 682 COMPREHENSIVE CARE SERVICES PO BOX 2365 SOUTH BURLINGTON VT 8003652735
DA9 703 PO BOX 64668 SAINT PAUL MN 55164
717317015 5018631638
CY0 656 CONAGRA POULTRY
CONCORDIA HEALTHCO.
PLAN PO BOX 7015 ELDORADO AR 8002481930
B44 454 PO BOX 26676 ST. LOUIS MO 63122 8002517722
CM5 614 CONNECTICARE
CONNECTICUT BLUE CROSS, INC. 30 BATTERSON PARK RD. FARMINGTON CT 06032 2032394961
902 323 CONNECTICUT GENERAL LIFE INSURANCE PO BOX 504 NORTH HAVEN CT 06473
AG2 388 CONNECTICUT MUTUAL LIFE INS. CO. PO BOX 34336 CHARLOTTE NC 28234 8609876500
132 56 140 GARDEN ST. HARTFORD CT 06115
HK6 1333 CONNECTICUT GENERAL LIFE INSURANCE CO-RX PO BOX 3598 SCRANTON PA 185050598 8005412254
D17 669 CONSECO PO BOX 1957 CARMEL IN 46082
535475151 8009500084
FK3 990 CONSECO PO BOX 5151 JAMESVILLE WI 8778778052
FK3 1045 CONSECO HEALTH INSURANCE
CONSECO 399 MARKET DR. PHILADELPHIA PA 19181
460821957 8005411225
FX7 870 CONSECO HEALTH INSURANCE PO BOX 1957 CARMEL IN 8159870409
EN2 907 CONSECO HEALTH INSURANCE (PIONEER LIFE) PO BOX 1250 ROCKFORD IL 61105
460822034 8005412254
DS0 758 CONSECO HEALTH INSURANCE CO PO BOX 2034 CARMEL IN 606660904 8005412254
HQ0 1367 CONSECO MEDICAL INSURANCE COMPANY PO BOX 66904 CHICAGO IL 8159870409
GP6 1166 PO BOX 1250 ROCKFORD IL 61105
460822034 8009470319
DH7 731 CONSECO SERVICES
CONSOLIDATED LLC
BENEFITS PO BOX 2034 CARMEL IN 8037365088
EH2 842 CONSOLIDATED BENEFITS, INC./MEDCOST PO BOX 24889 COLUMBIA SC 29224 8037365088
G74 1085 CONSOLIDATED HEALTH PLANS PO BOX 25307 WINSTON-SALEM NC 27114 8006337867
GG5 1120 195 STAFFORD ST. SPRINGFIELD MA 01104 3122831100
134 57 CONSTITUTION
CONSUMER LIFE INS.
HEALTH CO.
SOLUTIONS 4423 WEST LAWRENCE AVE. CHICAGO IL 60630
293043492 8775739541
JP8 1534 CONTINENTAL AMERICAN PO BOX 3492 SPARTANBURG SC 8032566265
HQ2 1369 CONTINENTAL AMERICAN INSURANCE CO 2801 DEVINE ST COLUMBIA SC 29205
292020427 8004333036
JQ2 1536 CONTINENTAL AMERICAN LIFE INS. CO. PO BOX 427 COLUMBIA SC 3024545000
136 58 PO BOX 15750 WILMINGTON DE 19899 8002522148
FF4 969 CONTINENTAL CASUALTY
CONTINENTAL CASUALTY CO. PO BOX 3020 SAN CAROLOS CA 94070
138 59 CONTINENTAL GENERAL INSURANCE CO. PO BOX 13925 ORLANDO FL 32859
681247007 4023973200
D20 670 PO BOX 247007 OMAHA NE 3363868151
DN5 747 CONTINENTAL GRAIN PO BOX 383 DOBSON NC 27017 4042793800
139 60 CONTINENTAL
CONTINENTAL INS.
LIFE CO.
INSURANCE 3700 CRESTWOOD PARKWAY DULUTH GA 30136 6153771300
CL9 611 COOPERATIVE BENEFIT ADMIN. INC. 101 CONTINENTAL PLACE BRENTWOOD TN 37027 8002459440
C63 565 CORE ADMINISTRATIVE SERVICES PO BOX 6249 LINCOLN NE 68508
312020090 8887412673
EQ2 882 CORE HEALTH PLANS SERVICE PO BOX 90 MACON GA 752610190 8002792290
MC6 1821 PO BOX 610190 DALLAS TX 7045520900
789 282 CORE SOURCE 6100 FAIRVIEW RD., STE. 1000 CHARLOTTE NC 28210 8002233943
C41 556 CORESOURCE 400 FIELD DR LAKEFOREST IL 17603
722218215 8886049397
DH1 729 CORESOURCE PO BOX 8215 LITTLE ROCK AR 527332920 8002532107
DN4 746 CORESOURCE PO BOX 2920 CLINTON IA 430866118 8002823920
ES2 890 CORESOURCE PO BOX 6118 WESTERVILLE OH 604430168 8008483012
FK2 989 CORESOURCE PO BOX 168 MADISON WI 527332920 8002233943
JY3 1575 CORESOURCE PO BOX 2920 CLINTON IA 8004446965
K80 1611 CORESOURCE PO BOX 1195 MINNEAPOLIS MN 55440 8002233943
K91 1618 CORESOURCE 400 FIELD DR LAKEFOREST IL 60045 8009723025
X93 2095 CORESOURCE
CORESOURCE (WAS:CORESTAR) PO BOX 8002 LITTLE ROCK AR 72203
561439511 8002746965
FF1 967 146 INDUSTRIAL PARK JACKSON MN 4109315060
CM1 612 CORESOURCE, INC. 4940 CAMPBELL BLVD., STE. 200 BALTIMORE MD 21236
176083301 7172959201
W51 2056 CORESOURCE,
CORNING INC. /INC.
UNITED HEALTHCARE PO 83301 LANCASTER PA 8776444334
P70 1945 PO BOX 740800 ALANTA GA 30374

Page 15 of 46
 NCTracks Carrier Codes
EIS code NCFast Carrier Name Address line 1 City State Zip Phone 1
Code
9103957200
M84 1799 CORNING,
CORPORATEINC.
BENEFIT SERVICES 310 N. COLLEGE ROAD WILMINGTON NC 28405 7043730447
EW7 904 PO BOX 12953 CHARLOTTE NC 28220
EX6 910 CORPORATE BENEFIT SERVICES OF AMERICA (CBSA) P.O BOX 27267 MINNEAPOLIS MN 554270267 8009252272
CORPORATE BENEFTIS SERVICE, INC. 7043730447
D36 677 145 SCALEYBARD RD., STE. B CHARLOTTE NC 28202
617022000 3095573000
BJ6 497 COUNTRY LIFE INS.
COUNTRYWIDE CARECO.
BENEFIT TRUST PO BOX 2000 BLOOMINGTON IL 8002933480
EQ1 881 100 B. CHURCH ST. MILLERSBURG PA 17061 8004934570
HJ0 1321 COVENTRY
COVENTRY HEALTH/SUNBLET BEVERAGE PO BOX 8400 LONDON KY 40742 8004472471
GP4 1165 COVENTRY HEALTHCARE PO BOX 8400 LONDON KY 40742 8008891457
DW5 772 COVENTRY HEALTHCARE PO BOX 7715 LONDON KY 40742 8003952545
FC0 951 COVENTRY HEALTHCARE PO BOX 7711 LONDON KY 40742 8008891947
FF7 971 COVENTRY HEALTHCARE OF GA PO BOX 7715 LONDON KY 40747 8003952545
HJ3 1324 COVENTRY HEALTHPLAN OF THE CAROLINAS PO BOX 7711 LONDON KY 40742 8008891947
EY8 916 PO BOX 7102 LONDON KY 40742
MK7 1859 CRESCENT HEALTH SOLUTIONS 1200 RODGERFIELD BLVD. SUITE 215 ASHEVIL ASHVILLE NC 28806 8007077726
CRESENT - TPA EXCHANGE 320854363 8772248061
KK2 1676 CROSS AMERICA HEALTH PLAN PO BOX 4363 ST AUGUSTINE FL 8663027332
KJ9 1675 PO BOX 5778 PARSIPPANY NJ 07054 8002458813
HE2 1284 CTI ADMINISTARTORS 100 COURT AVE STE 306 DES MOINES IA 50309 8002421510
A09 351 CUDDY FOODS C/O EBS PO BOX 1929 FORT MILL SC 29716 7027339938
L34 1760 CULINARY INSURANCE 1933 LAS VEGAS BLVD., S. LAS VEGAS NV 89104
272612686 3368895161
EE7 827 CULP, INC.
CUMBERLAND LIFE INSURANCE CO. PO BOX 2686 HIGH POINT NC
652 240 CUNA MUTUAL INS. SOCIETY 401 BROADWAY NASHVILLE TN 37201 6082385851
147 61 PO BOX 1648 MADISON WI 53701 8009928088
BZ7 546 CWI BENEFITS PO BOX 6125 GREENVILLE SC 29606 6053344000
Y75 2126 DAKOTA CARE DESIGN 1323 S MINNESOTA AVE SIOUX FALLS SD 57105
ME3 1830 DAKOTACARE PO BOX 7406 SIOUX FALLS, SD 57117-7406 SIOUX FALLS, SD 571177406 8008310785
DALLAS GENERAL LIFE INS. CO. 8003279961
AZ9 446 PO BOX 1080 DALLAS TX 75221 7048646711
HI4 1315 DANA CORP
DART MANAGEMENT CORPORATION 2900 NW BLVD GASTONIA NC 28052
488540318 8002480457
V61 2036 PO BOX 318 MASON MI 9198286260
H40 1244 DAVIDSON AND JONES PO BOX 19067 RALEIGH NC 27619 8006320011
HI0 1312 DAVIS VISION PO BOX 1527 LATHAM NY 12110 8663334648
JU4 1552 DEFINITY HEALTHCARE PO BOX 740810 ATLANTA GA 30374 8003921167
DA4 700 DELTA DENTAL PO BOX 8690 ST. LOUIS MO 63126
HE5 1287 DELTA DENTAL PO BOX 15965 NORTH LITTLE ROCK AR 72231
483339085 8005240149
JF4 1490 DELTA DENTAL PO BOX 9085 FARMINGTON HILLS MI 554401609 8006628856
KK5 1679 DELTA
DELTA DENTAL
DENTAL INSURANCE CO. PO BOX 1609 MINNEAPOLIS MN 300231809 8005212651
EF4 833 DELTA DENTAL OF COLORADO PO BOX 1809 ALPHARETTA GA 802173803 3037419300
JY5 1577 P O BOX 173803 DENVER CO 8003987203
GU4 1194 DELTA DENTAL
DELTA DENTAL OF
OF ILLINOIS
RHODE ISLAND PO BOX 5402 LISLE IL 60532
029011517 8008433582
EL4 862 PO BOX 1517 PROVIDENCE RI 8006273961
JK4 1510 DELTA DENTAL OF SD PO BOX 1157 PIERRE SD 57501 8009320783
DC7 707 DELTA DENTAL PLAN 1 DELTA DR. MECHANICSBURG PA 17055 8008720500
FL5 995 DELTA DENTAL PLAN PO BOX 9695 BOSTON MA 02114 4159728300
Y06 2099 DELTA DENTAL
DELTA DENTAL PLAN
PLAN OF ARIZONA PO BOX 7736, MS14I SAN FRANCISCO CA 94120 8003526132
T07 2001 DELTA DENTAL PLAN OF ARKANSAS, INC. PO BOX 43000 PHOENIX AZ 85080
722316450 5018353400
H55 1250 DELTA DENTAL PLAN OF CA PO BOX 15965 NORTH LITTLE ROCK AR 958997330 8883358227
JM3 1516 PO BOX 997330 SACRAMENTO CA

Page 16 of 46
 NCTracks Carrier Codes
EIS code NCFast Carrier Name Address line 1 City State Zip Phone 1
Code
DELTA DENTAL PLAN OF CALIFORNIA 958537007 8883363260
HD3 1281 DELTA DENTAL PLAN OF KANSAS CITY PO BOX 537007 SACRAMENTO CA 8002343375
HP2 1361 DELTA DENTAL PLAN OF KENTUCKY PO BOX 49198 WICHITA KS 67201
402242810 8009552030
HE6 1288 DELTA DENTAL PLAN OF KENTUCKY PO BOX 242810 LOUISVILLE KY 5024269000
Q67 1966 DELTA DENTAL PLAN OF MICHIGAN 9901 LINN STATION LOUISVILLE KY 40223
483389086 3034892240
H89 1259 DELTA DENTAL PLAN OF NC INC. PO BOX 9086 FARMINGTON HILLS MI 9197878626
148 62 DELTA DENTAL PLAN OF NEBRASKA 2310 MYRON DR. RALEIGH NC 27606 8003281188
N09 1903 DELTA DENTAL PLAN OF NORTH CAROLINA 7807 CREEK RIDGE CIRCLE MINNEAPOLIS MN 55440 8006628856
GS6 1185 DELTA DENTAL PLAN OF VIRGINIA 343 SIX FORKS ROAD, STE 180 RALEIGH NC 27609
240144010 8002376060
CW7 648 DELTA DENTAL PLAN OF WISCONSIN 4818 STARKEY ROAD ROANOKE VA 8002363712
FP3 1011 DELTA DENTALPLAN OF TENNESSEE PO BOX 828 STEVENS POINT WI 54481 6152553175
R90 1996 240 VENTURE CIRCLE NASHVILLE TN 37228
LW8 1773 DELTA DENTAL-WASHINGTON DENTAL SERVICE PO BOX 75983 SEATTLE WA 981750983 8005541907
8003465377
DK0 739 DELTA USA PO BOX 222 PARSIPPANY NJ 07054 8004483815
FU2 1032 DELTA USA PO BOX 59238 MINNEAPOLIS MN 55459
554401435 8776164587
KB7 1631 DELTA
DENTALUSA
BLUE/BCBSNC CLAIMS UNIT P O BOX 1435 MINNEAPOLIS MN 271022100 8003056638
JJ6 1507 PO BOX 2100 WINSTON SALEM NC
MJ9 1854 DENTAL CARE PLUS 100 CROWNE POINT PLACE CINICINNATI, OH 4 CINICINNATI OH 45241 8003679466
8005323327
MH6 1845 DENTAL EXPRESS
DENTAL NETWORK OF AMERICA PO BOX 36549 CHARLOTTE, NC 28236 CHARLOTTE NC 28236
622230060 8008209994
HZ4 1415 PO BOX 23060 BELLEVILLE IL 8006270004
JR8 1546 DENTAL SERVICES BCBS PO BOX 9201 OXNARD CA 93021
261027003 8007521547
JJ3 1505 DENTEMAX
DESERET MUTUAL BENEFIT ADMIN. PO BOX 7003 PARKERSBURG WV 8007773622
X16 2074 DIVERSIFIED GROUP BROKERAGE PO BOX 45530 SALT LAKE CITY UT 84145
064470299 8602950238
I98 1439 DIVERSIFIED PHARMACEUTICAL SERVICES PO BOX 299 MARBOROUGH CT
CQ1 623 DOCFIRST-LBA HEALTH PLAN MAIL ROUTE 2133, PO BOX 4999 INTERNATIONAL FALLS MN 56649 8003604817
KP6 1704 PO BOX 981801 EL PASO TX 79998 8775077360
GJ1 1137 DOCTORS DIRECT PO BOX 14669 CINCINNATI OH 45250 8004762303
AQ8 418 DOCTORS HEALTHPLAN 2828 CROASDAILE DR. DURHAM NC 27705 8003263284
DJ7 738 DOUG YOUNG GROUP PO BOX 17786 RALEIGH NC 27619 9199447101
R07 1980 DOXEY FURNITURE
DUKE HEALTH SERVICES/WELLPATH PO BOX 277 ABERDEEN NC 28315 9194931210
D70 689 PO BOX 7102 LONDON KY 40742 8003853636
AZ3 443 DUKE SELECT/WELLPATH PO BOX 7102 LONDON KY 40742
531510436 4147842630
X44 2085 DURHAM
EASTERN LIFE
AVIATION & MARINE INS. CO. PO BOX 51436 NEWBERLIN WI
759 271 EASTERN BENEFIT SYSTEMS 411 AVIATION WAY FREDERICK MD 21701 8005240227
F45 932 EASTERN LIFE & HEALTH INSURANCE CO 200 FREEWAY DRIVE, EAST EAST ORANGE NJ 07018
176083888 8002330307
JV5 1560 EATON BENEFITS C/O FIRST HEALTH PO BOX 83888 LANCASTER PA 4122691178
F27 926 PO BOX 8402 LONDON KY 40742 5024230505
I52 1430 EBC MID-AMERICA 9200 SHELBYVILLE RD. LOUISVILLE KY 40222 4062453575
FX8 1046 EBMS PO BOX 21367 BILLINGS MT 59104
H28 1242 ECU PHYSICIANS
EDUCATORS MUTUAL LIFE INS. CO.
152 64 PO BOX 3149 LANCASTER PA 17604
100081407 2124767111
701 258 EMPIRE BCBS PO BOX 1407 NEW YORK NY 109409035 8007329762
882 319 EMPIRE BCBS PO BOX 5035 MIDDLETOWN NY 109409068 8773782448
HQ1 1368 EMPIRE BCBS PO BOX 5068 MIDDLETOWN NY 8007134173
R20 1987 EMPIRE
EMPIRE BCBS
BLUE CROSS BLUE SHIELD PO BOX 5047 MIDDLETOWN NY 10940
100081434 8002615962
EJ5 851 EMPIRE BLUE CROSS BLUE SHIELD PO BOX 1407 NEW YORK NY 109409075 8773782449
GY6 1218 EMPIRE BLUE CROSS BLUE SHIELD PO BOX 5075 MIDDLETOWN NY 109409076 8662198692
JV3 1558 EMPIRE BLUE CROSS BLUE SHIELD PO BOX 5076 MIDDLETOWN NY 109409035 8007134173
T01 1999 PO BOX 5078 MIDDLETOWN NY

Page 17 of 46
 NCTracks Carrier Codes
EIS code NCFast Carrier Name Address line 1 City State Zip Phone 1
Code
EMPIRE BLUE CROSS BLUE SHIELD 101635577
V21 2026 EMPIRE BLUE CROSS BLUE SHIELD OF NY PO BOX 5577 NEW YORK NY 8002386597
M74 1796 EMPIRE BLUE CROSS/BLUE SHIELD PO BOX 5012 MIDDLETOWN NY 10940
109409047 8006352184
EE8 828 EMPIRE BLUE CROSS/BLUE SHIELD PO BOX 5047 MIDDLETOWN NY 122110800 5184479166
K07 1582 EMPIRE PHARMACY MANAGEMENT PO BOX 11800 ALBANY NY 8008398442
FF6 970 EMPLOYEE BENEFIT ADMINISTRATORS PO BOX 5099 MIDDLETOWN NY 10941
910062804 8008263724
HN0 1349 EMPLOYEE BENEFIT CLAIMS, INC. 424 N FIRST AVE ARCADIA CA 8009224966
M24 1781 EMPLOYEE BENEFIT CONSULTANTS 820 PARISH STREET PITTSBURGH PA 15220 8005235789
P85 1947 EMPLOYEE BENEFIT MANAGEMENT CORP. PO BOX 928 FINDLAY OH 45839
430171599 8005520455
H34 1243 EMPLOYEE BENEFIT MANAGEMENT SERVICES 4789 RINGS RD. DUBLIN OH 591041367 4068695555
GN9 1163 EMPLOYEE BENEFIT SERVICES PO BOX 21367 BILLINGS MT 8002421510
BR3 523 EMPLOYEE BENEFIT SERVICES PO BOX 1929 FORT MILL SC 29716 8002421510
H23 1239 EMPLOYEE BENEFIT SERVICES,INC PO BOX 1929 FORT MILL SC 29716 8002421510
HI8 1319 EMPLOYEE RESOURCE NETWORK PO BOX 241108 CHARLOTTE NC 28217 8003250755
DG7 728 EMPLOYER BENEFIT SERVICES 3200 COLLINGSWORTH STREET FT. WORTH TX 76107 8004565615
GF7 1119 EMPLOYER BENEFIT SERVICES PO BOX 2568 MANSFIELD OH 44906 3184241987
GI7 1134 EMPLOYERS DIRECT HEALTH PO BOX 70100 SHREVEPORT LA 71137
762443909 8005508009
HE3 1285 EMPLOYERS DIRECT/MEDCOST 5050 SPRING VALLEY RD DALLAS TX 8008729934
HI7 1318 EMPLOYERS HEALTH INSURANCE PO BOX 25307 WINSTON-SALEM NC 27114 8002323040
E28 793 EMPLOYERS HEALTH INSURANCE 1100 EMPLOYERS BLVD. GREEN BAY WI 54344
543440001 8002323040
E56 801 1100 EMPLOYERS BLVD. GREENBAY WI 502667771 8005113389
DD0 709 ENCOMPASS
ENGINEERED CONTROLS INTL., INC. 6000 WESTOWN PKWY # 350E DEPT. 100 WEST DES MOINES IA 9194497707
G07 1061 PO BOX 247 ELON COLLEGE NC 27244 8003614542
JY4 1576 ENVISION RX P O BOX 1298 TWINSBURG OH 44087 8003323742
JW7 1569 EPIC - PRESCRIPTION PLAN PO BOX 15024 ALBANY NY 12212 8003770555
GC2 1101 EPOCH GROUP 5317 HIGHGATE DR. STE 114 DURHAM NC 27713
731720460 8007492631
FF0 966 EPS PO BOX 720460 OKLAHOMA CITY OK 8042731100
D56 684 EQUICOR HEALTH PLAN PO BOX 31353 RICHMOND VA 23205 4048858000
990 344 EQUIFAX
EQUITABLE LIFE & CASUALTY INS. PO BOX 4081 ATLANTA GA 30302 8015212500
B68 460 PO BOX 2460 SALT LAKE CITY UT 84110 6157491761
163 65 EQUITABLE
EQUITY LIFELIFE INS. CO.INSURANCE
& ANNUITY AMERICAN GENERAL CENTER NASHVILLE TN 37250
593 213 ERIN GROUP ADMINISTRATORS 501 WOOD LANE LITTLE ROCK AR 72203 7172991201
X20 2077 PO BOX 7777 LANCASTER PA 17604
232605612 8042326793
BM0 508 ESTES EXPRESS LINES PO BOX 25612 RICHMOND VA 2122658522
MP5 1878 EURO-CENTER USA 140 WEST 57TH AVE. STE. 6B NEW YORK NY 10019
KB2 1628 EVERCARE ( FORMERLY UNITED HEALTH GROUP) PO BOX 31362 SALT LAKE CITY UT 84131 8003620655
8008102583
KX4 1736 EXCELLUS
EXCELLUS BCBS
BENEFIT SERVICES, INC. PO BOX 22999 ROCHESTER NY 14692 8008035773
FL4 994 EXECUTIVE RISK CONSULTANTS, INC. PO BOX 22999 ROCHESTER NY 14692
327916580 8008834000
X64 2088 PO BOX 916580 LONGWOOD FL 554390873 8007131983
CM3 613 EXPRESS SCRIPTS PO BOX 390873 BLOOMINGTON MN 554390873 8004516245
CP0 621 EXPRESS SCRIPTS PO BOX 390873 BLOOMINGTON MN 554390873 8008925119
EW8 905 EXPRESS SCRIPTS PO BOX 390873 BLOOMINGTON MN 554390873 8009554879
FC2 952 EXPRESS SCRIPTS PO BOX 390873 BLOOMINGTON MN 554390873 8007723980
FF9 972 EXPRESS SCRIPTS PO BOX 390873 BLOOMINGTON MN 554390873 8002354357
FG5 975 EXPRESS SCRIPTS PO BOX 390873 BLOOMINGTON MN 554390873
FK4 991 EXPRESS SCRIPTS PO BOX 390873 BLOOMINGTON MN 631666773 8884348533
HX7 1406 EXPRESS SCRIPTS PO BOX 66773 ST. LOUIS MO 8008925119
KQ3 1708 EXPRESS SCRIPTS PO BOX 66583 ST LOUIS MO 63166 8004516245
KY5 1742 EXPRESS SCRIPTS 13736 RIVERPORT DRIVE MARYLAND HEIGHTS MO 63043
554390873 8004516245
R80 1994 EXPRESS SCRIPTS PO BOX 390873 BLOOMINGTON MN

Page 18 of 46
 NCTracks Carrier Codes
EIS code NCFast Carrier Name Address line 1 City State Zip Phone 1
Code
554390873 8007131983
T92 2018 EXPRESS SCRIPTS PO BOX 390873 BLOOMINGTON MN 606731216
KU9 1725 EXPRESS SCRIPTS
EXPRESS SCRIPTS,INC
INC TRICARE CLAIMS 21653 NETWORK PLACE CHICAGO IL 8773631303
MS6 1900 PO BOX 52132 PHOENIX AZ 85082 8005213605
JJ7 1508 EY MED
EYE CARE PLAN OF AMERICA PO BOX 8504 MASON OH 45040 8008433272
FW0 1038 EYE CARE PLAN OF AMERICA PO BOX 51810 PHOENIX AZ 85076
452490000 8008433272
GZ6 1225 FALLON COMMUNITY HEALTH PLAN PO BOX 498488 CINCINNATI OH 8662753247
KC8 1638 P O BOX 15121 WORCESTER MA 01615
KR8 1716 FAMILY HERITAGE LIFE INSURANCE CO OF AMERICA PO BOX 470608 CLEVELAND OH 44147 4409225200
FAMILY HERITAGE LIFE INSURANCE CO. 2165202800
GD9 1107 3 SUMMIT PARK DRIVE CLEVELAND OH 44131
772925568 8008777703
MQ8 1888 FAMILY
FAMILY LIFE INSURANCE
PROTECTION CO.
INSURANCE CO. PO BOX 925568 HOUSTON TX
721 263 FARM BUREAU OF WAYNE CO. PARK PLACE SEATTLE WA 98101 9197341283
575 202 FCE HEALTH AND WELFARE FUND PO DRAWER 1958 GOLDSBORO NC 27533
782181608 2103499801
I27 1423 4615 WALZEM ROAD, STE 300 SAN ANTONIO TX 8009651032
HL5 1339 FCHN 511 RUIN CREEK RD STE B-1 HENDERSON NC 27536
171 67 FEDERAL KEMPER INS. CO. 20001 E. MOUND RD. DECATUR IL 62526 9106552211
F73 937 FEDERAL PAPER BOARD PO BOX 57 RIEGELWOOD NC 28456
750850958 8003372363
ET4 893 FEDERATED BENEFITS PO BOX 850958 RICHARDSON TX 5074555200
175 68 FEDERATED LIFE
FEDERATED INS. INS.
MUTUAL CO. CO. 129 E. BROADWAY OWATONNA MN 55050 8132870155
176 69 FEDERATED MUTUAL INSURANCE PO BOX 31716 TAMPA FL 33631 8774124477
KF9 1656 FEDERATED MUTUAL INSURANCE PO BOX 50487 INDIANAPOLIS IN 46250
336313716 8002378292
L89 1767 PO BOX 31716 TAMPA FL 8002558215
G11 1063 FELKER BENEFIT
FERGUSON SERVICES
COPELAND, LTD HEALTH PLAN PO BOX 8955 ST. LOUIS MO 63102
271145987 3367744400
FY0 1047 PO BOX 25987 WINSTON-SALEM NC
MM4 1863 FHHS (FLORIDA HOSPITAL HEALTHCARE SYSTEM) PO BOX 536847 ORLANDO, FL 32853 ORLANDO FL 32853 8007414810
142260845 8883433547
JW2 1566 FIDELIS CARE NEW YORK PO BOX 845 AMHERST NY 8008217303
E68 803 FIDELITY SECURITY LIFE 3130 BROADWAY KANSAS CITY NC 64011 7043730447
783 280 FIELDCREST MILLS
FIELDCREST MILLS C/O
C/O CBS
CORPORATE BENEFITS PO BOX 33429 CHARLOTTE NC 28233 7043730447
C36 554 PO BOX 33429 CHARLOTTE NC 28233 8007245033
KG5 1659 FINGER LAKE RX PO BOX 22999 ROCHESTER NY 14692
184 70 FIREMAN'S FUND
FIRESTONE TIRE &INS. CO. COMPANY
RUBBER 333 CALIFORNIA ST. SAN FRANCISCO CA 94911 9192914275
C56 562 PO BOX 1139 WILSON NC 27893
511020479 8002060827
K88 1616 FIRST ADMINISTRATORS PO BOX 9900 SIOUX CITY IA 8008113298
FD0 956 FIRST CAROLINA CARE PO BOX 381686 BIRMINGHAM AL 35238 8008113298
FS6 1026 FIRST CAROLINA CARE PO BOX 381686 BIRMINGHAM AL 35238 9102151572
HD8 1282 FIRST CAROLINA
FIRST CARE, INC
CHOICE BENEFITS MGMT. PO BOX 909 PINEHURST NC 28370 8003035770
BY5 541 FIRST CHOICE HEALTH/ UEBT PO BOX 658 BELOIT WI 53512 8002232449
MD5 1826 PO BOX 8130 TACOMA WA 98419
770322347 8008335914
E63 802 FIRST HEALTH 15710 JOHN F. KENNEDY BLVD. HOUSTON TX 857343817 8003343342
GD2 1104 FIRST HEALTH PO BOX 23817 TUSCON AZ 8003213997
GW5 1201 FIRST HEALTH PO BOX 247002 OMAHA NE 68124 8472969625
H02 1230 FIRST HEALTH 10700 W. HIGGINS RD. ROSEMONT IL 60018
857344160 8009952126
JF5 1491 FIRST HEALTH PO BOX 24160 TUCSON AZ 8003218388
M95 1804 FIRST HEALTH PO BOX 945480 MAITLAND FL 32794
212012762 3015390411
P89 1948 FIRST HEALTH 100 S. CHARLES STREET BALTIMORE MD 2083423513
T05 2000 FIRST HEALTH PO BOX GG BOISE ID 83707
151086923 4122691178
V42 2032 FIRST HEALTH PO BOX 2900 CORAOPOLIS PA 151086923 8008480938
X19 2076 FIRST HEALTH PO BOX 2900 CORAOPOLIS PA

Page 19 of 46
 NCTracks Carrier Codes
EIS code NCFast Carrier Name Address line 1 City State Zip Phone 1
Code
857343070 8003210297
FT5 1028 FIRST HEALTH NETWORK PO BOX 11855 TUCSON AZ 232615042 8002254423
FU1 1031 FIRST HEALTH RX PO BOX 85042 RICHMOND VA 8006274759
HT3 1384 FIRST
FIRST HEALTH RX
HEALTH/CONAGRA INC. PO BOX 23815 TUSCON AZ 85734
407428507 8008722257
KC2 1633 FIRST NATIONAL LIFE INSURANCE CO. P O BOX 8507 LONDON KY 325910130 9044321700
Q15 1958 FIRST PROTECTION LIFE INS. CO. PO BOX 130 PENSACOLA FL
191 71 FIRST SERVICE ADMINISTRATORS PO BOX 30279 RALEIGH NC 27612 8632930785
H56 1251 3035 LAKELAND HILLS BLVD LAKELAND FL 33805 8043575355
B90 466 FIRST
FIRST SERVICE INSURANCECOMPANY
UNITED INSURANCE PO BOX 2 ISLE OF WIGHT VA 23397
132203125 3154512544
W59 2058 PO BOX 3125 SYRACUSE NY 810020520 8002357160
JR9 1547 FISERR HEALTH - KANSAS PO BOX 520 PUEBLO CO 544028077 8008269781
HA0 1264 FISERV HEALTH PO BOX 8077 WAUSAU WI 8008269781
642 234 FISERV-WAUSAU
FLEETWOOD HOMES/PRINCIPAL FINANCIAL PO BOX 450 PUBELO CO 81002 8002474695
J80 1464 4021 S. 700 E., STE. 500 SALT LAKE CITY UT 84107
292023135 8772039921
JN1 1521 FLORIDA COMBINED PO BOX 100135 COLUMBIA SC 8005520053
HU9 1394 FLRX PHARMACY PO BOX 41965 ROCHESTER NY 14604
662255946 8009909058
EX7 911 FMH BENEFIT SERVICES PO BOX 25946 OVERLAND PARK KS 8774925870
MS5 1899 FORE THOUGHT
FOREMOST INSURANCE CO. PO BOX 981721 EL PASO TX 79998 8008478217
GH6 1125 PO BOX 1659 PORTLAND OR 97207 8008002000
BL1 504 FORTIS BENEFITS 501 W. MICHIGAN ST. MILWAUKEE WI 53203
407427146 8005537654
EI6 848 FORTIS BENEFITS PO BOX 7146 LONDON KY 8004514531
Y18 2105 FORTIS
FORTIS BENEFITS
BENEFITS INSURANCE PO BOX 419876 KANSAS CITY MO 64141
532013195 8005537654
P27 1933 FORTIS BENEFITS INSURANCE COMPANY PO BOX 3195 MILWAUKEE WI 6127384000
N31 1908 PO BOX 64582 ST. PAUL MN 55164 8008358953
FZ9 1057 FORTIS FAMILY INSURANCE PO BOX 19061 GREENVILLE SC 29602 8003258385
ES0 889 FORTIS INSURANCE CO. PO BOX 2940 CLINTON IA 52733
KA4 1622 FOUNDATION BENEFITS ADMINISTRATORS 6300 BRIDGEPOINT PARKWAY, BLDG.3 AUSTIN TX 78730 8668688035
STE.400
392253096 6013645255
Y52 2119 FOX-EVERETT INC. PO BOX 23096 JACKSON MS 8005281057
D89 696 FREEDOM LIFE
FREEDOM LIFE INS. CO. OF AMERICA 110 W. 7TH ST. STE.300 FORT WORTH TX 76102 8003879027
MN4 1870 FRESENIUS MEDICAL CARE 2080 N HWY 360 SUITE 375 GRAND PRAIRIE TX 75050
022153326 7043763892
KA7 1624 FSAMET C/O HUNT INSURANCE 401 PARK DRIVE;MAIL STOP 01-06 BOSTON MA 323172969 8007634868
JC6 1478 PO BOX 12969 TALLAHASSEE FL 9195920181
L02 1749 FUJICONE PO BOX 349 CLINTON NC 28328
982 341 FURLONG INSURANCE
FUTUREPOINT ADMINISTRATIVE SERVICES 4300 SW 74TH AVE. MIAMI FL 33155 8004499137
GA2 1093 215 CENTER PARK DR. STE. 1600 KNOXVILLE TN 37922 8886787012
KH7 1667 FUTURESCRIPTS
G E GROUP ADMINISTRATORS PO BOX 419019, DEPT 0382 KANSAS CITY MO 64141 8003976241
JG4 1494 PO BOX 150809 FT WORTH TX 76185
DE0 714 G.E. FINANCIAL ASSURANCE CO. EMPLOYER SERVICES PO BOX 1477 GREENFIELD MA 01302 8004512513
GROUP
GE FINANICIAL ASSURANCE 337578821 8778259337
HA5 1267 GE HEALTHCARE PREFERRED/BCBS OF AL PO BOX 10821 CLEARWATER FL 8882175224
KP9 1707 PO BOX 2208 BIRMINGHAM AL 35201 8006358056
ER7 888 GE LIFE
GE AND ANNUITY
PENSIONER BENEFIT CLAIM CENTER PO BOX 276901 RICHMOND VA 23261 8008488406
DU6 768 PO BOX 740801 ATLANTA GA 30374 8004339375
GL5 1150 GE VISION
GEM CARE
GROUP-VISION AND DENTAL PO BOX 1440 LATHAM NY 12110 8666076272
KP5 1703 GENERAL AMERICA LIFE INS. CO. 1200 THREE GATEWAY CENTER PITTSBURGH PA 15222 3142311700
201 72 PO BOX 396 ST. LOUIS MO 63166
638573749 8889899890
CY9 661 GENERAL
GENERAL AMERICAN
AMERICAN LIFE INSURANCE CO. 716 TEACO RD., STE. B KENNATT MO 638573749 8889899890
J34 1449 719 TEACO RD. #B KENNETT MO
EM9 869 GENERAL ELECTRIC FINANCIAL ASSURANCE CO. PO BOX 8021 SAN RAFAEL CA 94912 8004567766

Page 20 of 46
 NCTracks Carrier Codes
EIS code NCFast Carrier Name Address line 1 City State Zip Phone 1
Code
GENERAL PRESCRIPTIONS 8003412234
GE3 1110 305 MADISON AVE. STE. 1166 B NEW YORK NY 10165 8002644000
MM8 1867 GENWORTH LIFE & HEALTH INSURANCE CO.
GENWORTH PO BOX 7051 BRENTWOOD TN 37024 8004512513
KH4 1664 PO BOX 40011 LYNCHBURG VA 24506 9195282576
AB5 373 GEORGIA PACIFIC
GEORGIA POWER COMPANY PO BOX 489 CREEDMOOR NC 27522 8002486708
T71 2013 PO BOX 4545 ATLANTA GA 30302 9196425041
J23 1448 GEORGIA-PACIFIC
GERBER LIFE INSURANCE CO. PO BOX 589 WHITEVILLE NC 28472 8002533074
B93 468 GERBER LIFE INSURANCE COMPANY 66 CHURCH STREET WHITE PLAINS NY 10601 0000000000
W60 2059 GERRARD TIRE COMPANY PO BOX 2088 GRAND RAPIDS MI 49501 7043349789
H07 1231 420 W. SIXTH STREET CHARLOTTE NC 28202
101162832 2125014444
BE0 481 GHI PO BOX 2832 NEW YORK NY
DA0 698 GIC INDEMNITY PLAN COMMONWEALTH SERVICE PO BOX 9016 ANDOVER MA 01810 8004429300
CENTER
8002844267
BE7 483 GILSBAR, INC. PO BOX 2947 COVINGTON LA 70434 8007111507
F82 940 GLEN RAVEN MILLS 1831 N. PARK AVE. GLEN RAVEN NC 27217 9195279036
619 225 GLENN RAVEN
GLOBE LIFE MILLS
& ACCIDENT INS. PO BOX 3485 KINSTON NC 28501 4052701400
214 73 GLOBE LIFE & ACCIDENT INS. GLOBE LIFE CENTER OKLAHOMA CITY OK 73184 4052705500
215 74 GLOBE LIFE AND ACCIDENT INSURANCE CO. GLOBE LIFE CENTER OKLAHOMA CITY OK 73184
750708080 9725406986
FY2 1048 GMP EMPLOYERS RETIREE TRUST PO BOX 8080 MCKINNEY TX 339075998 8139366242
K43 1596 5245 BIG PINE WAY, SE FORT MYERS FL 9419366242
DK4 740 GMP RETIREE TRUST 5245 BIG PINEWAY S.E. FORT MYERS FL 33907 9197747333
G48 1076 GOLDEN
GOLDEN POULTRY
RULE INSURANCE CO. PO BOX 3668 SANFORD NC 27330
462781719 3172974123
B33 452 GOLDEN RULE INSURANCE CO. 7440 WOODLAND DR. INDIANAPOLIS IN 624392395 6189435465
FM7 1003 GOLDEN STATE MUTUAL LIFE 712 ELEVENTH ST. LAWRENCEVILLE IL 2137311131
C61 564 GOLDEN STATE MUTUAL LIFE INSURANCE PO BOX 2332 LOS ANGELES CA 90018 8002255476
L21 1755 1999 W ADAMS BLVD LOS ANGELES CA 90018 7066354991
T36 2005 GOLDKIST, INC. PO BOX M ELLIJAY GA 30540 8008580723
JE2 1484 GOLDNET
GOOD SAMARITAN PROGRAM 1020 DISCOVERY ROAD, SUITE 100 EAGAN MN 55121 8009539150
L32 1759 GOODYEAR MEDICAL BENEFITS PROGRAM PO BOX 90 NEW PALESTINE IN 46163 8003349395
945 330 GOODYEAR TIRE & RUBBER COMPANY PO BOX 677 AKRON OH 44309
272030556 9104952238
A38 361 GOSHEN RUBER EMPL. BENEFIT PLAN 890 PINEVIEW ROAD ASHEBORO NC 9192376171
B53 456 GOVERNMENT EMPLOYEES HOSPITAL ASSOC. 2600 WILCO BLVD. WILSON NC 27893 8162575500
984 343 GOVERNMENT WIDE INDEMNITY PO BOX 4665 INDEPENDENCE MO 64051 8002224739
612 221 PO BOX 2291 DURHAM NC 27702
EQ4 883 GOVERNMENTAL
GREAT AMERICANEMPLOYEES HOSPITAL ASSOC
LIFE INS. CO. PO BOX 4665 INDEPENDENCE MO 640514665
787559002 8008216136
8008802745
220 75 PO BOX 559002 AUSTIN TX
MJ8 1853 GREAT AMERICAN SUPPLEMENTAL PO BOX 30010 AUSTIN, TX 78755-3010 AUSTIN TX 787553010 8664594272
BENEFITS/CONTINENTAL GENERAL
GREAT LAKES EMPLOYER ASSOCIATION 095703760 6163432611
CW2 646 GREAT SOUTHERN LIFE INS. CO. PO BOX 19040 KALAMAZOO MI 7138714600
223 76 3121 BUFFALO SPEEDWAY HOUSTON TX 77098 8006638081
AK1 402 GREAT WEST PO BOX 11111 FORT SCOTT KS 66701 8006334671
HH1 1304 GREAT WEST 1000 GREAT WEST DR KENNETT1 MO 63857
638573749 8006638081
Q62 1964 GREAT WEST
GREAT WEST BENEFIT PLAN 1000 GREAT WEST DRIVE KENNETT MO 3037901993
BP0 516 GREAT WEST CARE HEALTH PLAN 8505 E. ORCHARD RD. ENGLEWOOD CO 80111
638573749 8004442908
782 279 GREAT WEST CARE HEALTH PLAN 1000 GREAT WEST DRIVE KENNETT MO 8006638081
AQ6 417 GREAT WEST HEALTH CARE PLAN PO BOX 11111 FORT SCOTT KS 66701 8006638081
J13 1445 GREAT WEST HEALTH PLAN PO BOX 11111 FORT SCOTT KS 66701 8006638081
BF6 487 GREAT WEST HEALTH SERVICE PO BOX 11111 FORT SCOTT KS 66701
638573749 8006638081
EY1 914 GREAT WEST INSURANCE CO. 1000 GREAT WEST DRIVE KENNETT MO 3038391710
AT2 425 PO BOX 1080 DENVER CO 80201

Page 21 of 46
 NCTracks Carrier Codes
EIS code NCFast Carrier Name Address line 1 City State Zip Phone 1
Code
8006638081
CK7 606 GREAT
GREAT WEST
WEST LIFE
LIFE & ANNUITY/MEDCOST PO BOX 11111 FORT SCOTT KS 66701
271145307 8006248605
HS6 1381 GREAT WEST LIFE ASSURANCE PO BOX 25307 WINSTON-SALEM NC 638573749 8006638081
224 77 1000 GREAT WEST DR KENNETT MO 638573749 8006638081
BN4 513 GREAT WEST
GREAT WEST LIFE
LIFE HEALTH
INSURANCE 1000 GREAT WEST DRIVE KENNETT MO 8008216210
K59 1602 GREAT WEST LIFE INSURANCE CO. 455 MARKET ST., SUITE 2000 SAN FRANCISCO CA 94105
638573749 8006638081
BL0 503 GREAT WEST LIFE INSURANCE CO. 1000 GREAT WEST DR KENNETT MO 638573749 8006638081
FG3 974 GREAT-WEST LIFE & ANNUITY CO. 1000 GREAT WEST DR KENNETT MO 638573749 8008547309
GQ5 1172 GREEN SHIELD OF CANADA 719 TEACO ROAD KENNETT MO 000000000 8887111119
KV6 1729 GREENVILLE NC GROUP BENEFIT PLAN PO BOX 1606 (ZIPCODE N9A6W1) WINDSOR ON 9198304492
695 253 GROUP ADMINISTRATORS PO BOX 7207 GREENVILLE NC 27835
601734540 8003231683
R61 1992 GROUP AND PENSION ADMINISTRATORS 450 REMINGOTN ROAD SCHAUMBURG IL 2142387900
Y39 2114 GROUP BENEFIT SERVICES (GBS) 300 MUNICIPAL DR RICHARDSON TX 75080 8006386085
AP8 415 GROUP HEALTH COOPERATIVE PO BOX 4368 LUTHERVILLE MD 21094
981241585 2063263360
V45 2034 PO BOX 34585 SEATTLE WA 5184468000
748 268 GROUP
GROUP HEALTH
HEALTH INC.
INSURANCE (GHI) 80 WOLF ROAD ALBANY NY 12205 8003585500
BB3 475 PO BOX 3000 NEW YORK NY 10116 8007553901
KA3 1621 GROUP HEALTH
GROUP PLAN
INSURANCE SERVICES P O BOX 7374 LONDON KY 40742 9194904391
M09 1777 GROUP MANAGEMENT SERVICES PO BOX 2291 DURHAM NC 27702
531872263 4147842630
151 63 PO BOX 2263 WAUKESHA WI 300969343 8007499963
FA0 943 GROUP RESOURCES PO BOX 100043 DULUTH GA 7706238383
I53 1431 GROUP RESOURCES PO BOX 100043 DULUTH GA 30096 8003238764
225 78 GUARANTEE RESERVE
GUARANTEE TRUST LIFE INS. CO. 530 RIVER OAKS CALUMET CITY IL 60409 8476990600
226 79 GUARANTEED TRUST LIFE INS. CO. 1275 MILWAUKEE AVE. GLENVIEW IL 60075 8476990600
CL2 609 1275 MILWAUKEE AVE. GLENVIEW IL 60025 8006244050
JE4 1486 GUARDIAN
GUARDIAN LIFE INS. CO. OF AMERICA PO BOX 8017 APPLETON WI 10003 8008734542
228 80 GUARDIAN LIFE INSURANCE PO BOX 8017 APPLETON WI 10003 8008734542
HH6 1308 PO BOX 8007 APPLETON WI 54912 8006828520
843 306 HACKNEY
HAMMARYSONS, INC. COMPANY
FURNITURE PO BOX 27889 WASHINGTON NC 27889 7047283231
D73 690 PO BOX 760 LENOIR NC 28645
MH3 1842 HAMMERMAN AND GAINER 909 LAKE CAROLYN PKWY. SWT. 1900 IRVING, IRVING TX 75039 8004934240
7047659011
W75 2063 HAMPSHIREINC.
HAMRICK'S HOSIERY
EMPLOYEE BENEFIT PLAN PO BOX 528 SPRUCE PINE NC 28777 8034896095
Q76 1970 742 PEACHOID RD. GAFFNEY SC 29341 9107444349
812 292 HANES CORPORATION
HARRINGTON BENEFIT SERVICES PO BOX 1413 WINSTON-SALEM NC 27102 3123462626
AN8 410 HARRINGTON BENEFIT SERVICES PO BOX 909772 CHICAGO IL 60690
648033660 8882336724
DZ6 782 HARRINGTON BENEFIT SERVICES PO BOX 3660 JOPLIN MO 8004468182
JR1 1540 HARRINGTON BENEFIT SERVICES PO BOX 720 PUEBLO CO 81002
810020765 8006546208
JX7 1573 HARRINGTON BENEFITS/PSI PO BOX 765 PUEBLO CO 8007825218
CG9 594 PO BOX 730 PUEBLO CO 81002
841300544 8007853420
MB3 1812 HARRINGTON HEALTH
HARRINGTON/HEALTHCHOICE PO BOX 30544 SALT LAKE CITY UT 4054994920
KC4 1634 HARTFORD ACCIDENT AND HEALTH CLAIMS P O BOX 24870 OKLAHOMA CITY OK 73124 7039142400
DA6 701 4900 SEMINARY RD. ALEXANDRIA VA 22311 8003683653
234 82 HARTFORD INS. CO. PO BOX 2999 HARTFORD CT 06104 8003683653
236 83 HARTFORDPILGRAM
HARVARD INS. CO. HEALTHCARE PO BOX 2999 HARTFORD CT 06104
022699180 8883334742
CX3 652 PO BOX 699180 QUINCY MA 327956003 8002530856
DP2 751 HARVEST LIFE INSURANCE PO BOX 956003 LAKE MARY FL 3096737330
ED1 821 HCH ADMINISTRATION
HEALTH & WELFARE BENEFIT SYSTEMS, INC. PO BOX 1986 PEORIA IL 61656 8002834927
K38 1594 PO BOX 21109 ROANOKE VA 24018
722038069 8008431329
ED2 822 HEALTH ADVANTAGE PO BOX 8069 LITTLE ROCK AR

Page 22 of 46
 NCTracks Carrier Codes
EIS code NCFast Carrier Name Address line 1 City State Zip Phone 1
Code
HEALTH ALLIANCE MEDICAL PLAN 8008513379
KY7 1744 PO BOX 6003 URBANA IL 61801 8104234195
CG0 591 HEALTH ALLIANCE
HEALTH PLAN
AMERICA/ASSURANCE 2850 W. GRAND BLVD. DETROIT MI 48202
407420000 8007354404
CE6 585 HEALTH AND WELFARE FUND/LOCAL 218 PO BOX 7088 LONDON KY 303108027 4047555665
W42 2054 HEALTH ASSURANCE/HEALTH AMERICA PO BOX 115027 ATLANTA GA 8007886445
KW4 1731 PO BOX 7088 LONDON KY 40742 8004427247
HN3 1351 HEALTH COMP PO BOX 45018 FRESNO CA 93718
458395085 8008775762
HL7 1340 HEALTH DESIGN PLUS PO BOX 5085 FINDLAY OH
D09 666 HEALTH MAINTENANCE ORGANIZATION OF PO BOX 1109 BLUE BELL PA 19422 2155428900
PENNSYLVANIA
011441006 4137874000
CF2 587 HEALTH NEW ENGLAND ONE MONARCH PLACE SPRINGFIELD MA 554401289 9528836000
KQ4 1709 HEALTH
HEALTH PARTNERS
PLAN ADMINISTRATORS, INC. PO BOX 1289 MINNEAPOLIS MN 611322638 8156335800
FY8 1052 PO BOX 2638 ROCKFORD IL 8666158366
KH9 1669 HEALTH PLANS, INC. PO BOX 5199 WESTBOROUGH MA 01581 8006353121
K71 1607 HEALTH PLUS 7601 ORA GLEN DRIVE, SUITE 200 GREENBELT MD 20770
L26 1757 HEALTH SPECIAL RISK ACCIDENT UNDERWRITERS HSR PLAZA 4001 N. JOSEY LANE CARROLLTON TX 75007 2142339787
HEALTHAMERICA PSU HEALHTPASS 8003666433
JH1 1498 HEALTHCARE ADMINISTRATIVE SERVICES PO BOX 7089 LONDON KY 40742 8008333650
Q46 1963 HEALTHCARE MANAGEMENT ADMIN. 3000 TROY-SCHENECTADY ROAD SCHENECTADY NY 12309
980155008 8008697093
CH4 596 PO BOX 85008 BELLEVUE WA 982275348 8006454585
DW6 773 HEALTHCARE, INC. PO BOX 5348 BELLINGHAM WA 8009607247
EZ4 918 HEALTHCOMP PO BOX 45018 FRESNO CA 93718
CU0 641 HEALTHCOST SOLUTIONS/ WILLIAM C. BEELER CO. PO BOX 1439 HENDERSONVILLE TN 37077 6158220483

MM3 1862 HEALTHEZ PO BOX 398220 MINNEAPOLIS, MN 55439- MINNEAPOLIS MN 554398220 8002265116
8220
757130187 8004772287
EK9 860 HEALTHFIRST TPA PO BOX 130187 TYLER TX 631419104 8162637932
Y37 2113 HEALTHLINK, INC. PO BOX 419104 ST. LOUIS MO 7148968746
K12 1583 HEALTH-NET PO BOX 9103 VAN NUYS CA 91409
372024070
AB8 376 HEALTHNET PO BOX 20000 NASHVILLE TN 8004387886
AW4 430 HEALTHNET PO BOX 14700 LEXINGTON KY 40512
554401289 8008832177
EB7 819 HEALTHPARTNERS
HEALTHPLAN OF NEVADA, INC. PO BOX 1289 MINNEAPOLIS MN 891145645 7022427300
BJ3 495 HEALTHPLAN SERVICES, INC. PO BOX 15645 LAS VEGAS NV 336303367 8004468182
CY3 658 HEALTHPLEX-LOCAL 1964 DENTAL PO BOX 30367 TAMPA FL 8004680600
KT7 1720 11TEANECK RD RIDGEFIELD PARK NJ 07660
752619059 8003335711
JS1 1548 HEALTHSCOPE BENEFITS PO BOX 619059 DALLAS TX 8008840307
KA2 1620 HEALTHSCOPE BENEFITS P O BOX 2860 LITTLE ROCK AR 72203
794909005 8772262058
MH8 1847 HEALTHSCOPE BENEFITS
HEALTHSCOPE BENEFITS/MEDCOST PO BOX 99005 LUBBOCK, TX 79490-9005 LUBBOCK TX 5012251551
CH6 598 HEALTHSMART PREFERRED CARE, INC PO BOX 25307 WINSTON SALEM NC 27114
794533010 8667556400
HN6 1353 PO BOX 53010 LUBBOCK TX 606660930 7736937827
CG5 593 HEALTHSTAR PO BOX 66930 CHICAGO IL
HA1 1265 HEARTLAND HEALTH PLAN SCHALLER ANDERSON PO BOX 61958 PHOENIX AZ 85082 4052392030
HEWITT COLEMAN AND ASSOCIATES 8882986828
HU1 1390 HEWITT, COLEMAN & ASSOCIATES, INC. PO BOX 6708 GREENVILLE SC 29606
296065500 8642405840
806 289 HEWITT, COLEMAN AND ASSOCIATES PO BOX 5500 GREENVILLE SC 8642405840
FU8 1036 HICKORY PRINTING GROUP PO BOX 6528 GREENSVILLE SC 29606 7043223431
837 302 HICKORY SPRINGS MANUFACTURING CO. PO BOX 69 HICKORY NC 28601 7043282201
F03 922 HICKORY SPRINGS MFG. COMPANY 235 2ND AVE., NW HICKORY NC 28601 9198275133
P54 1941 PO BOX 556 PINETOPS NC 27864

Page 23 of 46
 NCTracks Carrier Codes
EIS code NCFast Carrier Name Address line 1 City State Zip Phone 1
Code
EK2 856 HIGHMARK ADM./BCBS OF WESTERN PENNSYLVANIA PO BOX 535052 PITTSBURGH PA 152535052 8002452763
HIGHMARK BLUE CROSS BLUE SHIELD 8003461593
EU3 897 HIGHMARK BLUE CROSS BLUE SHIELD PO BOX 1210 PITTSBURGH PA 15230 8005715710
EU8 900 HIGHMARK BLUE CROSS BLUE SHIELD PO BOX 2700 PITTSBURGH PA 15230 4125447000
GH9 1128 HIGHMARK BLUE CROSS/BLUE SHIELD PO BOX 2085 PITTSBURGH PA 15230 8003461593
E54 800 PO BOX 2700 PITTSBURGH PA 15230
170890173 8009880668
KR4 1712 HIGHMARK BLUE SHEILD PO BOX 890173 CAMP HILL PA 170890062 8667636695
611 220 HIGHMARK
HIGHMARK BLUE SHIELDBLUESHIELD
BLUECROSS PO BOX 898845 CAMP HILL PA 8002452763
Y54 2120 PO BOX 3355 PITTSBURGH PA 15230
152535078 8002792624
FI3 982 HIGHMARK SERVICES PO BOX 535078 PITTSBURGH PA 285020400 2525231210
D78 692 HILLCO, LTD PLAN OF NEW YORK
HIP HEALTH PO BOX 400 KINSTON NC 101162803 8004478255
KW9 1735 HIP/HEALTH INSURANCE PLAN PO BOX 2803 NEW YORK NY 101162845 8004478255
F99 942 HIP/HEALTH INSURANCE PLAN PO BOX 2845 NEW YORK NY 100418190 8004478275
Q81 1971 55 WATER ST NEW YORK NY
JC5 1477 HMAA CLAIMS (HAWAII MGMT ALLIANCE ASSOCIATION) PO BOX 32580 HONOLULU HI 968032580 8006216998
968080860 8089486280
AH8 398 HMSA/ BC/BS OF HAWAII PO BOX 860 HONOLULU HI
240 84 HOLIDAY LIFE INS. CO. PO BOX 1009 LONGHORNE PA 19847 9192852136
D69 688 HOLT HOSIERY
HOLY MILLS, INC
CROSS SHARED SERVICES, INC. PO BOX 38 WILLARD NC 28478
466190898 8003482616
T46 2008 PO BOX 3898 SOUTH BEND IN 8043588431
241 85 HOME BENEFICIAL LIFE INS. PO BOX 27572 RICHMOND VA 23261
243 86 HOME INS. CO.
HOMELAND HEALTH CARE 59 MAIDEN LN. NEW YORK NY 10038 8775039095
KQ6 1711 HORACE MANN LIFE INS. CO. PO BOX 3726 SEATTLE WA 98124
246 88 1 HORACE MANN PLAZA SPRINGFIELD IL 62715 8668059195
HF6 1297 HORIZON BCBS OF NJ PO BOX 1219 NEWARK NJ 07110
071011184 8882764299
JA8 1470 HORIZON
HORIZON BCBS OF NJ BLUE SHIELD OF NJ
BLUE CROSS PO BOX 1184 NEWARK NJ 071010247 8006244758
JA2 1468 PO BOX 247, DEPT V NEWARK NJ 8668059195
JF3 1489 HORIZON HEALTHCARE PO BOX 79 NEWARK NJ 07101
753542077 8009372036
EM2 864 HOUSING BENEFITS PLAN PO BOX 542077 DALLAS TX 8005730009
HT4 1385 HSR ADMINISTRATORS 6730 ROOSAVELT AVE. SUITE 304 FRANKLIN OH 45005 8005584444
CT8 640 HUMANA PO BOX 5620 MADISON WI 53705
405124601 8003677587
EX8 912 HUMANA PO BOX 14601 LEXINGTON KY 405124603 8006382639
GC5 1102 HUMANA PO BOX 14603 LEXINGTON KY 405124603 8592218340
GE4 1111 HUMANA PO BOX 14603 LEXINGTON KY 406124610 8664277478
GM3 1155 HUMANA PO BOX 14610 LEXINGTON KY 405124610 8009920678
GM6 1156 HUMANA PO BOX 14610 LEXINGTON KY 405124635 8008336917
MG4 1836 HUMANA PO BOX 14635 LEXINGTON, KY 40512-4635 LEXINGTON KY 5025808075
HZ8 1418 HUMANA
HUMANA CLAIMS
HEALTH OFFICE
CARE PLANS PO BOX 14602 LEXINGTON KY 40512
402017463 8003677587
D40 679 HUMANA HEALTH INS. OF FL, INC. (PPO) PO BOX 740063 LOUISVILLE KY 8004574608
D66 687 PO BOX 19080 F JACKSONVILLE FL 32245 8008529554
E94 808 HUMANA HEALTH PLAN PO BOX 14603 LEXINGTON KY 40512 8005584444
EW9 906 HUMANA HEALTH PLAN 1100 EMPLOYERS BLVD. GREEN BAY WI 54344
405124611 8005584444
GU3 1193 HUMANA HEALTH PLAN PO BOX 14611 LEXINGTON KY 2052705542
Y29 2109 HUMANA HEALTHCARE
HUMANA INSURANCE COMPANY 2350 FAIRLANE DR., SUITE 120 MONTGOMERY AL 36116 8003677587
AN9 411 PO BOX 14601 LEXINGTON KY 40512
271145307 8005584444
HJ4 1325 HUMANA/MEDCOST
HUNTER CONSULTING CO. PO BOX 25307 WINSTON SALEM NC 9373824168
CN9 620 IAC (INSURERES ADMIN. CORPORATION) PO BOX 829 WILMINGTON OH 45177
850699119 6028701400
W40 2052 PO BOX 39119 PHOENIX AZ 8003224239
E17 788 IBEX BENEFITS, INC. PO BOX 37627 RALEIGH NC 27627

Page 24 of 46
 NCTracks Carrier Codes
EIS code NCFast Carrier Name Address line 1 City State Zip Phone 1
Code
8137911369
J65 1459 IDEALIFE INSURANCE CO. PO BOX 9100 CLEARWATER FL 34618
249 89 IDS LIFE INS. CO. IDS TOWER MINNEAPOLIS MN 55402 7043285301
I61 1432 IFH COMPANY PO DRAWER 2947 HICKORY NC 28603
841479956 8005385038
T18 2002 IHC HEALTH
ILCO UNICANPLAN
CORPORATION PO BOX 11670 SALT LAKE CITY UT 9194463321
P39 1936 ILLINOIS MUTUAL LIFE & CASUALTY 400 JEFFRIES RD. ROCKY MOUNT NC 27804 3096748255
A57 364 300 S. W. ADAMS STREET PEORIA IL 61634
527332920 8666652117
KX5 1737 INCLUSIVE HEALTH
INDEPENDENCE ADMINISTRATORS PO BOX 2920 CLINTON IA 8883567899
MA5 1808 INDEPENDENCE BCBS/PERSONAL CHOICE PO BOX 1010 HORSHAM PA 19044 8002752583
JQ9 1539 INDEPENDENCE BLUE CROSS PO BOX 69352 HARRISBURG PA 17106 2152412400
769 275 INDEPENDENCE BLUE CROSS 1901 MARKET STREET PHILADELPHIA PA 19103
P50 1940 1901 MARKET ST. PHILADELPHIA PA 19103 8005013439
HR6 1376 INDEPENDENT HEALTH PO BOX 9066 BUFFALO NY 14231 7166318701
M93 1803 INDPENDENT HEALTH
INFINGER TRANSPORTATION CO., INC. 511 FARBER LAKES DR. BUFFALO NY 14221 8035544433
AH0 393 INGLES DISTRIBUTION C/O BMS PO BOX 70689 CHARLESTON SC 29414 7048455608
EM5 866 INGLES RETAIL DIVISION C/O BMS PO BOX 1178 MATTHEWS NC 28106 7048455608
B57 458 PO BOX 1178 MATTHEWS NC 28106
544028082 8775592955
JG7 1497 INNOVIANT ADMIN SERVICE-IAS
INSURANCE PO BOX 8082 WAUSAU WI 8005333499
KY4 1741 PO BOX 96 MINNEAPOLIS MN 55440
GI6 1133 INSURANCE ADMINISTRATOR OF AMERICA/EQUITY ONE PO BOX 5082 MOUNT LAUREL NJ 08054 8885991515
INSURANCE SERVICES OF LUBBOCK 8008402161
JF9 1492 INSURANCE TPA/CORE HEALTH 4601 66TH STREET, SUITE C LUBBOCK TX 79414 8002792290
MM7 1866 INSURANCE TRUST/DELTA RETIREES PO BOX 15953 LUBBOCK, TX 79490 LUBBOCK TX 79490 8773257265
MQ7 1887 INSURERS ADMIN. CORPORATION PO BOX 10432 DES MOINES IA 50306
551210518 8665131479
MN9 1875 PO BOX 21518 EAGAN MN 7704281604
KM4 1691 INTEGRITY BENEFITS
INTERACTIVE MEDICALINC
SYSTEMS PO BOX 4537 MARIETTA GA 30061 9198779933
847 309 INTERACTIVE MEDICAL SYSTEMS PO BOX 19108 RALEIGH NC 27619 8004268739
MN8 1874 INTERCONTINENTAL LIFE INSURANCE PO BOX 1349 WAKE FOREST NC 27588
787149138 8009256000
773 277 INTER-COUNTY HOSPITALIZATION PLAN PO BOX 149138 AUSTIN TX
705 259 INTER-COUNTY HOSPITALIZATION PLAN 720 BLAIR MILL ROAD HORSHAM PA 19044 8004922385
Q92 1977 INTERNAITONAL MEDICAL GROUP 720 BLAIR MILL RD. HORSHAM PA 19044 8006284664
R00 1979 INTERNATIONAL MANAGED CARE SERVICES 135 N. PENNSYLVANIA AVE., STE. 1730 INDIANAPOLIS IN 46204 3054639696
KF4 1652 7205 NW 19 STREET MIAMI FL 33126
973 338 INTERNATIONAL MINERAL & CHEMICAL CO./UNITED PO BOX 30555 SALT LAKE CITY UT 841300555 8774681019
HEALTHCARE
HX0 1402 INTERNATIONAL PAPER C/O WAUSAU BENEFITS PO BOX 8032 WAUSAU WI 544028032 8003432737
MB7 1816 INTERNATIONAL UNION OF BRICKLAYERS AND ALLIED 620 F STREET NW WASHINGTON DC 20004 8005814222
CRAFTWORKERS
J59 1457 INTERNATIONAL UNION OF OPERATING ENGINEERS 166 W. KELLY METUCHEN NJ 088402952 9085489118
INTERSTATE BRANDS - MERITA 9199773400
AD1 379 INVALID CODE - PRICING COMPANY ONLY PO BOX 591 ROCKY MOUNT NC 27802
W83 2065 INVALID CODE (O/BUS) MASTERPIECE 0000000000
E29 794 INVESTORS CONSOLIDATED INS. PO BOX 926 MORGANTON NC 28655 9192863116
264 91 PO DRAWER 30 DURHAM NC 27702 5022332361
267 92 INVESTORS HERITAGE LIFE 200 CAPITAL AVE. FRANKFORT KY 40602
314160817 8003275926
HM0 1343 ITPE/HEALTH WELFARE PO BOX 13817 SAVANNAH GA 8003683653
Q85 1974 ITT HARTFORD PO BOX 11910 ALEXANDRIA VA 22312
441458022 8006340173
AP5 414 J.P.
J.W.FARLEY
TERRALCORP.
BENEFITS ADMINISTRATORS PO BOX 458022 WESTLAKE OH 8004675982
MJ4 1850 JAMES M. JOHNSON AGENCY, INC. PO BOX 6877 CHESTERFIELD, MO 63006 CHESTERFIELD MO 63006 6077462133
B37 453 10 COURT STREET DELHI NY 13753

Page 25 of 46
 NCTracks Carrier Codes
EIS code NCFast Carrier Name Address line 1 City State Zip Phone 1
Code
8005279027
270 93 JC PENNY INS. CORP. 2700 W. PLANO PKWY. PLANO TX 75075 9109822114
CB2 573 JEFFERSON APPAREL PO BOX 235 JEFFERSON NC 28640
522 182 JEFFERSON NATIONAL LIFE PO BOX 1951 CARMEL IN 46032
GR9 1180 JEFFERSON PILOT FINANCIAL/LINCOLN FINANCIAL DENTAL CLAIMS PO BOX 2640 OMAHA NE 681032640 8008423729
GROUP
JEFFERSON PILOT INSURANCE CO. 9196913918
421 149 JELD-WEN HEALTH BENEFIT PLAN PO BOX 20727 GREENSBORO NC 27420 5033851461
W96 2068 JOHN ALDEN LIFE INSURANCE CO PO BOX 1747 REDMOND OR 97756
837011599 2083687770
Y45 2116 JOHN ALDEN LIFE INSURANCE CO. PO BOX 1599 BOISE ID 8003284316
FB3 948 JOHN DEERE HEALTHPLAN PO BOX 1599 BOISE ID 83701 8005274390
GC0 1099 3800 23RD AVE. STE. 200 MOLINE IL 61265 8002316969
HL8 1341 JOHN HANCOCK
JORDAN LUMBERLIFE
& SUPPLY COMPANY ATTN: CLAIMS PO BOX 111 BOSTON MA 02117 9194396121
I31 1424 PO BOX 98 MT.GILEAD NC 27306 7706831050
HJ2 1323 JSL ADMINISTRATORS PO BOX 71489 NEWMAN GA 30271 7706831050
HY6 1411 JSL ADMINISTRATORS PO BOX 72749 NEWNAN GA 30271
208496217 3014686000
AG7 391 KAISER PERMANENTE PO BOX 6217 ROCKVILLE MD 8002212131
DH5 730 KAISER PERMANENTE PO BOX 500489 ATLANTA GA 31150 9193193070
E20 791 KAISER PERMANENTE PO BOX 4069 RALEIGH NC 27629
208496233
HO9 1359 KAISER PERMANENTE PO BOX 6233 ROCKVILLE MD 090040916
K42 1595 KAISER PERMANENTE PO BOX 41916 LOS ANGELES CA 4042612590
Q83 1973 KAISER PERMANENTE 3495 PIEDMONT RD., BLDG. 9 ATLANTA GA 30305 2028985100
Q90 1976 KAISER PERMANENTE 1011 NORTH CAPITAL ST., NE WASHINGTON DC 20002 5109873040
Y07 2100 KAISER PERMANENTE 1800 HARRISON ST. 10TH FLOOR OAKLAND CA 94612 8004644000
Y08 2101 KAISER PERMANENTE 450 N. LAKE AVE. PASADENA CA 91101 8008221275
HG8 1301 KANAWHA PO BOX 25307 WINSTON-SALEM NC 27114 8008490274
V08 2022 KANAWHA
KANAWHA EMPLOYEE BEN. ADMIN. PO BOX 610 LANCASTER SC 29720 8004765150
BP3 517 PO BOX 5150 GREENVILLE SC 29606 8032835300
275 94 KANAWHA INS. CO. PO BOX 610 LANCASTER SC 29720 8008221274
FT9 1030 KANAWHA
KANAWHA INSURANCE
INSURANCE COMPANY PO BOX 1000 LANCASTER SC 29721
297212000 8773781505
JB2 1472 PO BOX 2000 LANCASTER SC 641219325 8008745254
277 95 KANSAS
KANSAS CITY
CITY LIFE
LIFE INS.
INSURANCE CO. PO BOX 219325 KANSAS CITY MO 641416325 8008745254
DP8 753 KENTUCKY CENTRAL LIFE INS. PO BOX 419325 KANSAS CITY MO 8592535082
279 96 KENTUCKY LIFE INSURANCE COMPANY 300 W. VINE ST., KINCAID TOWERS LEXINGTON KY 40507 6062535111
591 211 KENTUCKY CENTRAL BUILDING LEXINGTON KY 40507 9193325151
AL1 404 KERR GROUP/BCBS
KEWAUNEE OF VA
SCIENTIFIC CORP. PO BOX 127401 RICHMOND VA 23279 7048732284
G59 1082 KEY BENEFIT ADMINISTRATORS PO BOX 5400 STATESVILLE NC 28677 8004467261
DS7 762 KEY BENEFIT ADMINISTRATORS 118 EAST LUDWIG, STE. 100 FORT WAYNE IN 46825
297161279 8668676883
JX2 1571 KEY BENEFIT ADMINISTRATORS PO BOX 1279 FT MILL SC 3172553822
L58 1762 KEYSTONE HEALTHPLAN EAST PO BOX 55210 INDIANAPOLIS IN 46205
191018339 8002273114
Y11 2103 KINCAID FURNITURE C/O BCBS OF NC PO BOX 8339 PHILADELPHIA PA 8004377458
C40 555 PO BOX 35 DURHAM NC 27702 3308678443
I22 1422 KLAIS COPPER
KOBE & COMPANY
PRODUCTS INC./CO MBS 1867 W. MARKET STREET AKRON OH 44313
271145987 3367744400
FS1 1025 KOHLER GROUP MEDICAL BENEFITS PO BOX 25987 WINSTON-SALEM NC 530441544 8004561675
EN6 873 444 HIGHLAND DR. KOHLER WI 8005527114
KC1 1632 KPS HEALTH PLANS P O BOX 339 BREMERTON WA 98337
937792772 2094856480
C75 568 L & H ASSOCIATES
LABOR TRUST FUND OF NORTH CAROLINA PO BOX 12772 FRESNO CA
816 293 PO BOX 13487 ROANOKE VA 24034 3362945233
B54 457 LADD FURNITURE CO. PO BOX 7405 GREENSBORO NC 27417 9198890333
J90 1465 LADD FURNITURE,
LAUREL INC.CO. - EMPL. BEN. PLAN
HEALTH CARE ONE PLAZA CTR., BOX HP3 HIGH POINT NC 27261 3178480529
CK8 607 PO BOX 55210 INDIANAPOLIS IN 46205

Page 26 of 46
 NCTracks Carrier Codes
EIS code NCFast Carrier Name Address line 1 City State Zip Phone 1
Code
LEGGETT & PLATT EMPLOYEE BENEFIT FUND 4173588131
AK9 403 PO BOX 757 CARTHAGE MO 64836 4173588131
835 300 LEGGETT & PLATT, INC. P O BOX 757 CARTHAGE MO 64836 4173588131
D43 680 LEGGETT & PLATT,
LEGIONNAIRE INC.
INSURANCE TRUST PO BOX 657 CARTHAGE MO 64836
931211908 8002356943
K70 1606 PO BOX 21908 SANTA BARBARA CA
F19 924 LENOX
LIBERTYCHINA
LIFE ASSURANCE OF BOSTON PO BOX 987 OXFORD MC 27565
284 97 175 BERKELEY SQUARE BOSTON MA 02117 2053252722
288 99 LIBERTY
LIFE NATIONAL
CARE CENTERSLIFE
OF INS.
AMERICA, INC. PO BOX 2612 BIRMINGHAM AL 35202 8882295020
C12 549 3520 KEITH STREET, NW CLEVELAND TN 37311 8002825300
AH2 394 LIFE CARE PLUS 7720 RIVERS EDGE DR. COLUMBUS OH 43235 2055432022
290 100 LIFE INS. CO. OF ALABAMA PO BOX 349 GADSDEN AL 35902
292 102 LIFE INS. CO. OF N. AMERICA 1600 ARCH ST. PHILADELPHIA PA 19101 8042816000
293 103 LIFE INS.
LIFE CO. OF VA
INSURANCE COMPANY OF GEORGIA PO BOX 27601 RICHMOND VA 23261
303485006 4049805100
N90 1922 PO BOX 105006 ATLANTA GA 402336580 8662422806
JD2 1480 LIFE INVESTORS PO BOX 36580 LOUISVILLE KY 5013725000
164 66 LIFE
LIFE INVESTORS
INVESTORS INS.
INS. CO.
OF AMERICA PO BOX 2900 LITTLE ROCK AR 72203 3193988511
294 104 LIFE OF AMERICA, WORTHAM TOWER 4333 EDGEWOOD RD., NE CEDAR RAPIDS IA 52499 8006699030
807 290 2727 ALLEN PARKWAY, 6TH FLOOR HOUSTON TX 77019
303485006 8889685433
291 101 LIFE OF GEORGIA
LINCOLN FINANCIAL GROUP PO BOX 105006 ATLANTA GA 681032640 8008423729
FL6 996 PO BOX 2640 OMAHA NE 337578843 8002877319
MC8 1823 LINCOLN HERITAGE PO BOX 10843 CLEARWATER FL
296 105 LINCOLN
LINCOLN INCOME LIFE
NATIONAL INS.
INSURANE CO. PO BOX 1173 LOUISVILLE KY 40201 8008683539
H58 1252 LINE CONSTRUCTION BENEFIT FUND PO BOX 19103 RALEIGH NC 27619 8003237268
H27 1241 LIONS INDUSTRIES FOR THE BLIND 2000 SPRINGER DR. LOMBARD IL 60148 2525231019
ER1 886 LOCAL HEALTH AND WELFARE FUND 2600 W. VERNON AVE. KINSTON NC 28501
101161432 4047555665
621 226 LOCKARD & WILLIAMS INSURANCE SERVICES PO BOX 1432 NEW YORK NY 395681688 2287622500
LW9 1774 PO BOX 1688 PASCAGOULA MS 6103744040
AB4 372 LOOMIS COMPANY PO BOX 6843 WYOMISSING PA 19610
787553010 5125311599
301 107 LOYAL
LOYAL AMERICAN
AMERICAN LIFE
LIFE INS.
INSURANCE PO BOX 30010 AUSTIN TX 8006336752
KD8 1645 LUMBEE RIVER ELECTRIC MEMBERSHIP CORP. P O BOX 559004 AUSTIN TX 78755 9108434131
CN4 618 LUMBERMENS MUTUAL INS. 605 E. 4TH AVE. RED SPRINGS NC 28377
303 108 LUMBERMENS HEIGHTS MANSFIELD OH 44901
KM7 1694 LUME 171069309 8775548969
HY7 1412 LUMENOS
LUTHERAN BROTHERHOOD PO BOX 69309 HARRISBURG PA 6123408686
858 314 MAGNACARE/MAGNAPREFERRED DIRECT 625 FOURTH AVENUE, SOUTH MINNEAPOLIS MN 33415 8003526465
HT5 1386 MAIL HAMDLERS/ COVENTRY 825 EAST GATE BLVD., PO BOX DP-1001 GARDEN CITY NY 11530 8004107778
JT6 1550 PO BOX 8402 LONDON KY 40742 8004107778
EA6 813 MAIL HANDLERS
MAIL HANDLERS BENEFIT PLAN PO BOX 8402 LONDON KY 40742
322314242 8004107778
718 262 PO BOX 44242 JACKSONVILLE FL
DA2 699 MAILHANDLERS (PRESCRIPTION DRUGS ONLY) C/O PCS PO BOX 8404 LONDON KY 40742 8004107778
MAILHANDLERS BENEFIT PLAN 322314242 8004107778
794 284 MAILHANDLERS MEDICAL CLAIMS ONLY PO BOX 44242 JACKSONVILLE FL 8004107778
KF8 1655 PO BOX 8402 LONDON KY 40742
217050993 8002576458
EJ3 850 MAMSI PO BOX 993 FREDRICK MD
HW7 1401 MAMSI LIFE - PHARMACY / DENTAL CLAIMS ONLY PO BOX 940 FREDERICK MD 21705 8003312102
217050993 8003312102
BK9 502 MAMSI LIFEHEALTHCARE
MANAGED & HEALTH CONCEPTS PO BOX 930 FREDERICK MD 8007369059
K17 1585 MANAGED PHARMACY BENEFITS (MBP) PO BOX 77436 ATLANTA GA 30357 8006729540
GH8 1127 MANAGED PRESCRIPTION SERVICE 1100 N. LINDBERGH SAINT LOUIS MO 63132
852606719 8007596959
CR2 629 9501 E SHEA BLVD #2 SCOTTSDALE AZ

Page 27 of 46
 NCTracks Carrier Codes
EIS code NCFast Carrier Name Address line 1 City State Zip Phone 1
Code
MANAGEMENT HEALTH NETWORK 4154917200
HF4 1296 MANAGING UNDERWRITERS 1600 LOS GAMOS DR STE 300 SAN RAFAEL CA 94903 6156500220
DB2 704 MANATEE HEALTH NETWORK PO BOX 171120 NASHVILLE TN 37217 9417412960
KJ3 1670 PO BOX 530 ST AUGUSTINE FL 32085 6099353000
C69 566 MANNINGTON
MARKEL MILLS, INC.
UNDERWRITERS PO BOX 30 SALEM NJ 08079
230582039 8045272700
CJ8 604 MARQUETTE NATIONAL LIFE INSURANCE CO. PO BOX 2039 GLEN ALLEN VA 8006268913
MD7 1827 MARSH ADVANTAGE AMERICA PO BOX 399127 CAMBRIDGE, MA 02139 CAMBRIDGE, MA 2139 8645854338
HF8 1298 MARYLAND PHYSICIAN CARE 145 N CHURCH ST STE 200 SPARTANBURG SC 29306 8009538854
MP3 1876 509 PROGRESS ST. LINTHICUM MD 21090 6177288000
311 109 MASS. CASUALTY INS. 711 ATLANTIC AVE. BOSTON MA 02205 8003332770
314 110 MASS. MUTUAL
MASSACHUSETTS MUTUAL LIFE INS. CO. 1295 STATE STREET SPRINGFIELD MA 01111
945205280 8003332280
Y33 2111 1320 WILLOW PASS RD., STE. 300 CONCORD CA 8008580723
MR5 1892 MASTER BRAND
MASTERS MATESTRADE
& PILOTS HEALTH & BEN PO BOX 14624 LEXINGTON KY 40512 4108508611
DY9 778 MATURE AMERICAN INSURANCE CO. 5700 HAMMONDS FERRY RD. LINTHICUM HEIGHT MD 21090 2023936600
E07 784 734 15TH ST., NW, SUITE 500 WASHINGTON DC 20005 8006870707
JH8 1504 MAXOR PLUS 320 S. POLK, SUITE 200 AMARILLO TX 79101
271145987 3367744400
FF2 968 MBS PO BOX 25987 WINSTON-SALEM NC
830 297 MCDOWELL GENERAL HOSPITAL/PENN WESTERN PO BOX 7834 GREENSBORO NC 27407 8887927828
Q75 1969 MDIPA
MECHANICS' LOCAL 701 WELFARE FUND PO BOX 75223 BALTIMORE MD 21275 8007046270
KK9 1683 500 W. PLAINFIELD ROAD COUNTRYSIDE IL 60525 8668478279
EK1 855 MED IMPACT-RX 10680 TREENA STREET SAN DIEGO CA 92131
MB9 1818 MED SURE SERVICE LTD 1206 LIBERTY SQUARE BLDG E 12TH 208 SILO BANGKOK TH 19500 0863292246
MEDCO HEALTH SOLUTIONS 8007110917
KP7 1705 MEDCO HEALTH SOLUTIONS INC PO BOX 14713 LEXINGTON KY 40512 8008828879
DG4 726 MEDCO HEALTH SOLUTIONS INC. PO BOX 14713 LEXINGTON KY 40512 8008828879
CJ2 603 MEDCO HEALTH SOLUTIONS INC. PO BOX 14713 LEXINGTON KY 40512 8008828879
L16 1752 MEDCO HEALTH SOLUTIONS, INC. PO BOX 14713 LEXINGTON KY 40512 8008828879
BC1 478 MEDCO HEALTH SOLUTIONS, INC. PO BOX 14713 LEXINGTON KY 40512 8008828879
DS3 759 MEDCO HEALTH SOLUTIONS, INC. PO BOX 14713 LEXINGTON KY 40512 8008828879
ED8 824 MEDCO HEALTH SOLUTIONS, INC. PO BOX 14713 LEXINGTON KY 40512 8008828879
EM8 868 MEDCO HEALTH SOLUTIONS/PROVANTAGE PO BOX 14713 LEXINGTON KY 40512 8008828879
CC5 578 PO BOX 14713 LEXINGTON KY 40512
KF3 1651 MEDCO HLTH SOLUTIONS NC STATE EMPLOYEES HLTH PO BOX 14713 LEXINGTON KY 40512 8003365933
PP0 PLAN (RX ONLY)
322470269 8005237542
EU7 899 MEDCOM SERVICES, INC. PO BOX 10269 JACKSONVILLE FL 271145987 8008527040
H99 1263 MEDCOST PO BOX 25987 WINSON SALEM NC
HI6 1317 MEDCOST PO BOX 25307 WINSTON-SALEM NC 27114 8008729934
HL2 1337 MEDCOST BENEFIT SERVICES LLC
MEDCOST PO BOX 25307 WINSTON SALEM NC 27114
271145987 8007951023
HK7 1334 MEDCOST PREFERRED/ACORDIA NATIONAL PO BOX 25987 WINSTON SALEM NC 271145307 8006248605
HW1 1396 PO BOX 25307 WINSTON-SALEM NC
FE9 965 MEDCOST PREFERRED/STATIC CONTROL COMPONENTS PO BOX 25987 WINSTON-SALEM NC 271145987 3367744400
MEDICA CHOICE (MEDICAL) 8009523455
GB8 1097 MEDICAL BENEFITS MANAGEMENT INC. PO BOX 30990 SALT LAKE CITY UT 84130 8006332383
Y88 2129 MEDICAL CLAIMS MANAGEMENT PO BOX 36269 CANTON OH 44735
282202951 8003340609
E41 797 MEDICAL CLAIMS SERVICE, INC. PO BOX 12995 CHARLOTTE NC 022690513 6174268893
H00 1229 MEDICAL MUTUAL OF OHIO PO BOX 513 QUINCY MA 441011018 8003627100
DM8 744 MEDICAL SECURITY CARD CO. RX DIV. PO BOX 6018 CLEVELAND OH 8007003957
DS5 761 PO BOX 31178 TUCSON AZ 85751 4023916900
EJ9 854 MEDICO 1515 S. 75TH STREET OMAHA NE 68124 8002642562
MK6 1858 MEDI-SHARE PO BOX 674 STERLING, IL 61081 STERLING IL 61081

Page 28 of 46
 NCTracks Carrier Codes
EIS code NCFast Carrier Name Address line 1 City State Zip Phone 1
Code
MEDOCST PERFERRED PROVIDER-GUARDIAN 277145307 8008247406
HQ5 1371 PO BOX 25307 WINSTON SALEM NC 8007779087
M14 1779 MED-PAY, INC. PO BOX 10909 SPRINGFIELD MO 65808 8003479355
CR0 627 MED-TAC
MEDTRACKCLAIMS CENTER
SERVICES (RX DRUGS) PO BOX 9110 NEWTONVILLE MA 02160 8007714648
GI0 1129 6400 GLENWOOD STE. 104 OVERLAND PARK KS 66202 8007714648
HH0 1303 MEDTRAK 6310 LAMAR AVE STE 230 OVERLAND PARK KS 66202
761828009 8005275504
EJ8 853 MEGA LIFE & HEALTH PO BOX 982009 NORTH RICHLAND HILLS TX 4058480179
770 276 MEGA LIFE AND HEALTH PO BOX 548801 OKLAHOMA CITY OK 73154
761828017 8007338880
W56 2057 MEGA LIFE AND HEALTH PO BOX 982017 NORTH RICHLAND HILLS TX 731548801 8007257887
AJ8 401 MEGALIFE & HEALTH PO BOX 548801 OKLAHOMA CITY OK 761828009 8005272845
J08 1443 MEGALIFE
MENNONITE& MUTUAL
HEALTH AID ASSOCIATION PO BOX 982009 NORTH RICHLAND HILLS TX 8003487468
T64 2012 MERCER ADMINISTRATORS PO BOX 483 GOSHEN IN 46526 8008687526
H09 1232 701 MARKET ST. STE 1350 SAINT LOUIS MO 63101
658184568 8003270763
JN3 1523 MERCY HEALTH
MERIT LIFE PLANS COMPANY
INSURANCE PO BOX 4568 SPRINGFIELD MO
316 111 PO BOX 39 EVANSVILLE IN 47701 8003972122
HS2 1379 MERITAIN HEALTH 300 CORPORATE PARKWAY AMHERST NY 14226
750853921 8008286922
KG8 1662 MERITAIN HEALTH PO BOX 853921 RICHARDSON TX 8002265116
MB5 1814 MERTAIN HEALTH PO BOX 27267 MINNEAPOLIS MN 55427 8008420854
DH8 732 MET
MET LIFE
LIFE DENTAL CLAIMS CENTER PO BOX 8740 DAYTON OH 45401 8883282158
EP4 875 METAL CREATIONS, INC./HEALTH BENEFI PO BOX 981282 EL PASO TX 79998
696 254 PO BOX 1104 HIGH POINT NC 27261 8004514720
AS5 424 METLIFE PO BOX 495 WARWICK RI 02887
801500125 8006383933
BW7 534 METLIFE PO BOX 2925 ENGLEWOOD CO 3146210040
Y51 2118 METLIFE PO BOX 9007 ST. LOUIS MO 63101
300670044 8002419964
AI2 399 METLIFE CLAIMS OFFICE PO BOX 672588 MARIETTA GA 405124093 8776383379
FL9 999 METLIFE DENTAL PO BOX 14093 LEXINGTON KY 799981282 8883282158
HZ7 1417 METLIFE DENTAL
METLIFE/LONG CLAIMS
TERM CARE INS. PO BOX 981282 EL PASO TX 8886870977
MH4 1843 METRAHEALTH/UNITED HEALTHCARE PO BOX 14407 LEXINGTON, KY 40512 LEXINGTON KY 40512 8008582345
BS8 526 METRO MACHINE CORPORATION PO BOX 740800 ATLANTA GA 30374 8045436801
M33 1785 PO BOX 1860 NORFOLK VA 23501
405124093 8002754638
BU5 530 METROPOLITAN
MID-AMERICA SOFT DRINK BOTTLING PO BOX 14093 LEXINGTON KY
A61 366 PO BOX 966 MADISONVILLE KY 24231 6053355700
321 114 MIDLAND NATL. LIFE INS. 1 MIDLAND PLAZA SIOUX FALLS SD 57193
293041634 8645832904
322 115 MID-SOUTH INSURANCE
MIDWEST NATIONAL LIFE INSURANCE CO. PO BOX 1634 SPARTANBURG SC 8005275504
FZ7 1055 PO BOX 982017 N. RICHLAND HILLS TX 76182
EH9 846 MIDWEST NATIONAL LIFE INSURANCE CO. OF PO BOX 982017 N. RICHLAND HILLS TX 761828017 8007331110
TENNESSEE
MIDWEST SECURITY ADMINISTRATORS 543079035 8002362515
X98 2098 MIDWEST SECURITY ADMINISTRATORS, INC. PO BOX 19035 GREEN BAY WI 546508764 8002368672
DJ2 736 MINISTERS LIFE, A MUTUAL LIFE INS. 2700 MIDWEST DRIVE ONALASKA WI 554590093 6123337651
708 260 PO BOX 59093 MINNEAPOLIS MN 6122983500
329 116 MINN. MUTUAL
MNU CLAIMS LIFE INS.
DEPT/CARECORPS 400 ROBERT ST. ST. PAUL MN 55101
462060863 3172622132
JK7 1512 MOHAWK HEALTH CARE PLAN PO BOX 863 INDIANAPOLIS IN 9197524126
BH0 491 PO BOX 1707 GREENVILLE NC 27834 8009917401
AM3 406 MOHAWK
MOHAWK INDUSTRIES
INDUSTRIES C/O ACORDIA NATIONAL PO BOX 100184 COLUMBIA SC 29202 8662815751
HU5 1393 MOHAWK: KARASTAN BIGELOW PO BOX 2621 CHARLESTON WV 25329 8034573391
AH3 395 MOLINA HEALTHCARE OF WASHINGTON INC PO BOX 459 LANDRUM SC 29356 8008697165
KM3 1690 PO BOX 1469 BOTHELL WA 98041
332 117 MONARCH LIFE WARD
MONTGOMERY INS. LIFE INS. 1250 STATE STREET SPRINGFIELD MA 01101
601975008 8006210393
333 118 MONUMENTAL GENERAL LIFE INSURANCE PO BOX 5008 CAROLS STREAM IL 8004239369
M04 1775 PO BOX 97 SCRANTON PA 18504

Page 29 of 46
 NCTracks Carrier Codes
EIS code NCFast Carrier Name Address line 1 City State Zip Phone 1
Code
8004445431
245 87 MONUMENTAL
MONUMENTAL LIFE
LIFE INS
INSURANCE PO BOX 61 DURHAM NC 27702 8007529797
334 119 1111 N. CHARLES STREET BALTIMORE MD 21202 8002289737
N76 1920 MOTOROLA BENEFITS
MOUNTAIN CLAIMS MANAGEMENT PO BOX 29005 PHOENIX AZ 85038 8669527979
JC4 1476 PO BOX 1008 FRUITLAND ID 83619 8006886568
X41 2083 MOUNTAIN STATE BC/BS PO BOX 1388 PARKERSBURG WV 26102 8006545028
N68 1916 MOUNTAIN STATE BCBS PO BOX 7026 WHEELING WV 26003
774870029 4032328545
MQ9 1889 MSH INTERNATIONAL
MULTIPLAN/LOCAL 1964 HEALTH INS PO BOX 29 SUGARLAND TX 8004371964
KT5 1718 11TEANECK RD RIDGEFIELD PARK NJ 07660
541156090 8008712335
HB1 1271 MULTIPLAN/WPPN
MUNICIPAL INSURANCE TRUST OF NC PO BOX 6090 DEPERE WI 9197157973
885 321 MUTUAL ASSURANCE ADMINISTRATORS PO BOX 1310 RALEIGH NC 27602
731232096 8008253540
HS3 1380 PO BOX 42096 OKLAHOMA CITY OK 8005216029
338 121 MUTUAL OF OMAHA MUTUAL OF OMAHA PLAZA OMAHA NE 68131 8004622877
DT8 765 MUTUAL
MUTUAL OF
OF OMAHA
OMAHA CLAIMS PO BOX 9 WOODWARD OK 73802 8006340069
X91 2094 MUTUAL OF OMAHA INSURANCE CO. PO BOX 668329 CHARLOTTE NC 28266 8003344661
W04 2046 MUTUAL OF OMAHA PLAZA OMAHA NE 68131
GW9 1204 MUTUAL OF OMAHA OMAHA HEALTH CARE SVC CTR MUTUAL OF OMAHA PLAZA OMAHA NE 681755300 8003278870
MUTUAL OF OMAHA/UNITED WORLD LIFE INS 8776175587
KK7 1681 MUTUAL PROTECTIVE INSURANCE 3316 FARMAN STREET OMAHA NE 68175 4023980881
B98 469 1515 S. 75TH STREET OMAHA NE 68101
123012207 8886876277
AH7 397 MVP HEALTH PLAN PO BOX 2207 SCHENECTADY NY 9196829201
376 135 N.C. MUTUAL LIFE INS. 411 W. CHAPEL HILL ST. DURHAM NC 27701
MA3 1806 NAHGA-NATIONAL ACCIDENT & HEALTH GENERAL PO BOX 189 BRIDGTON ME 04009 8009524320
NALC PRESCRIPTION DRUG PROGRAM 850722192 8009336252
KX9 1740 PO BOX 52192 PHOENIX AZ
HR0 1374 NAPP 10333 HARWIN DR. STE 225 HOUSTON TX 77036
EQ9 884 NATIONAL
NATIONAL ASBESTOS
ASSOC. OF WORKERS MEDICAL FUND
LETTER CARRIERS 4600 POWDER MILL ROAD BELTSVILLE MD 20705 3019379300
8886366252
604 218 NATIONAL ASSOCIATION FOR SELF EMPLOYED 20547 WAVERLY PL. ASHBURN VA 20149
761828009 8005275504
JH2 1499 NATIONAL BENEFIT ADMINISTRATORS PO BOX 982009 N RICHLAND HILLS TX 8004826736
AY9 441 NATIONAL BENEFIT ADMINISTRATORS PO BOX 690903 CHARLOTTE NC 28227 8007362734
W94 2066 PO BOX 690903 CHARLOTTE NC 28227 8005757771
JU3 1551 NATIONAL BENEFIT FUND PO BOX 1007 NEW YORK NY 10036 2123077500
A14 353 NATIONAL BENEFIT
NATIONAL BENEFITSTRUST
ADMINISTRATOR INC 310 WEST 43RD STREET NEW YORK NY 10036 8004826736
CR9 631 NATIONAL ELEVATOR INDUSTRIES PO BOX 690903 CHARLOTTE NC 28227 8005234702
X83 2093 NATIONAL EMPLOYEE BENEFITS COMPANY PO BOX 477 NEWTOWN SQUARE PA 19073 8002421991
KA6 1623 144 METRO CENTER BLVD. STE.100 WARWICK RI 02886
761025313 8007251407
F66 934 NATIONAL
NATIONAL FINANCIAL
FINANCIAL INSURANCE CO 777 MAIN ST., STE. 900 FORT WORTH TX 8178783304
JP4 1532 NATIONAL HEALTH INSURANCE CO. 801 CHERRY STREET, UNIT 33 FT WORTH TX 76102
752619999 8002371900
F75 939 NATIONAL INSURANCE SERVICES PO BOX 619999 DALLAS/FT. WORTH TX 336303324 8006665550
N27 1906 NATIONAL MARITIME UNION OF AMERICA ITPE PO BOX 30324 TAMPA FL 8003275926
683 249 NATIONAL MEDICAL HEALTH CARD PO BOX 13817 SAVANNAH GA 31416 8006453332
EP8 878 PO BOX 1170 PORT WASHINGTON NY 11050
HG9 1302 NATIONAL MEDICAL HEALTH CARD-ATTN: PHARMACY PO BOX 1170 PORT WASHINGTON NY 11050 8008801188
CLAIMS
NATIONAL TEACHER ASSOCIATES 8008255682
CT2 636 PO BOX 802207 DALLAS TX 75380
K58 1601 NATIONAL TELEPHONE COOPERATIVE ASSOCIATION ONE WEST PACK SQUARE STE 600 ASHEVILLE NC 28801 8282529776
NATIONAL VISION ADMINISTRATORS, LLC 8006727723
MG7 1839 PO BOX 2187 CLIFTON, NJ 07015 CLIFTON NJ 7015
432182202 8005433747
362 130 NATIONWIDE PO BOX 182202 COLUMBUS OH 8774536023
MR6 1893 NATIONWIDE DENTAL PO BOX 24206 SEATTLE WA 98124

Page 30 of 46
 NCTracks Carrier Codes
EIS code NCFast Carrier Name Address line 1 City State Zip Phone 1
Code
NATIONWIDE HEALTH PLAN (NHP) 8006356585
KH5 1665 NATIONWIDE HEALTH PLANS PO BOX 8006 DUBLIN OH 43016
958511016 8772342727
JN8 1528 NATIONWIDE INSURANCE PO BOX 15016 SACRAMENTO CA 8006723159
361 129 NATIONWIDE LIFE INSURANCE CO PO BOX 182690 COLUMBUS OH 43218 8888031780
364 131 NATIONWIDE SPECIALTY HEALTH PO BOX 130 PENSACOLA FL 32591 8006356585
KK3 1677 NATIONWIDE/CHCS SERVICES PO BOX 420 SPRINGFIELD MA 01101
325912467 8888031780
JR7 1545 NATIONWIDE/PROVIDENT LIFE INSURANCE PO BOX 12467 PENSACOLA FL 432182928 8006885177
D86 695 NATL. FOUNDATION LIFE INS. P O BOX 182928 COLUMBUS OH 8178783300
347 123 777 MAIN STREET FT. WORTH TX 76102
351 125 NATL. INDEPENDENCE INS. LIBERTY PARK FAZER PA 19355 8003311494
357 126 NATL. SAVINGS LIFE INS. PO BOX 1338 MURFREESBORO TN 37130
358 127 NATL.
NATL. SECURITY
TELEPHONECORP.
COOP. ASSOC. 200 W. MONROE STREET CHICAGO IL 60606
288013457 7042529776
BG0 488 NATL. UNION FIRE INS. CO. OF PITTSBURGH, PA BB&T BLDG., SUITE 300 ASHEVILLE NC
359 128 NC COMPREHENSIVE MAJOR MEDICAL 70 PINE STREET NEW YORK NY 10270
277023111 8004224658
MC9 1824 NC HOME BUILDERS HEALTH BENEFIT TRUST PO BOX 30111 DURHAM NC 276277429 8007222030
A60 365 NC LEAGUE OF MUNICIPALITIES PO BOX 37429 RALEIGH NC 9198341311
914 324 PO BOX 3069 RALEIGH NC 27602
KF2 1650 NC STATE EMPLOYEES HEALTH (PPO PLAN) C/O BCBS NC PO BOX 2291 DURHAM NC 27702 8882342416

784 281 NC TEACHERS & STATE EMPLOYEES HEALTH PLAN PO BOX 30025 DURHAM NC 27702 8004224658
7043643865
G95 1090 NCAS PO BOX 220367 CHARLOTTE NC 28222 8003643865
GQ8 1175 NCAS PO BOX 221209 CHARLOTTE NC 28222
220300136 7043643865
HY2 1409 NCAS PO BOX 10136 FAIRFAX VA 7043643865
P96 1952 NCAS PO BOX 220887 CHARLOTTE NC 28222 8002553604
B08 447 NCNB PO BOX 20727 GREENSBORO NC 27420 8005414119
BW9 535 NEA MEMBER CARE 1255 23RD ST. NW, STE. 300 WASHINGTON DC 20037
MH5 1844 NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND 299 PROMENADE ST PROVIDENCE, RI 02908 PROVIDENCE RI 2908 8004596019
NEIGHBORHOOD HEALTHPLAN 022100000 8004335556
GZ7 1226 NEW ERA LIFE INSURANCE CO. 253 SUMMER ST BOSTON MA 772104884 8005527879
901 322 NEW MARKET DIMENSIONS PO BOX 4884 HOUSTON TX 8009727038
JQ5 1537 PO BOX 4339 HOUSTON TX 77210 8009955991
369 132 NEW YORK
NEW YORK LIFE
LIFE INSURANCE CO. 51 MADISON AVENUE NEW YORK NY 10010
681753150 8009955991
FR6 1021 NEW YORK LUMBERMEN'S HEALTHCARE 3316 FARNAM ST. OMAHA NE 140312092 7167599606
DB5 705 NEW YORK STATE RETIRED TEACHERS 9600 MAIN ST., STE. 3 CLARENCE NY 5184620715
D03 664 NEW YORK UNDERWRITERS 150 STATE STREET ALBANY NY 12207
370 133 NEWALLIANCE HEALTH PLAN HARTFORD PLAZA HARTFORD CT 06104 8007524165
HP7 1364 PO BOX 318 ERIE PA 16512
371 134 NGM FIRE & CASUALTY INS. 55 WEST STREET KEENE NH 03431 8104163000
D93 697 NGS AMERICA
NIPPON LIFE INS. CO. OF AMERICA PO BOX 7676 ST. CLAIR SHORES MI 48087
809493910 8009376542
AY2 438 NJ CARPENTERS HEALTH FUND PO BOX 39710 COLORADO SPRINGS CO 088187818 8006243096
HN7 1354 NORANDAL USA C/O AETNA RARITAN PLAZA II PO BOX 7818 EDISON NJ 274026102 8009425210
Q68 1967 PO BOX 26102 GREENSBORO NC
MG6 1838 NORIDIAN BENEFIT PLAN/PREMIER DENTAL GROUP PO BOX 47126 PLYMOUTH, MN 55447-0126 PLYMOUTH MN 554470126 8003923112

EW2 901 NORTH AMERICAN ADMIN (FORMERLY MERITAIN PO BOX 853921 RICHARDSON TX 750853921 8008286922
HEALTH)
NORTH AMERICAN ADMINISTRATION INC. 142269501 7164465500
P90 1949 NORTH AMERICAN ADMINISTRATORS PO BOX 9501 AMHERST NY 6152563561
X78 2091 NORTH AMERICAN LIFE PLAN ADMIN. PO BOX 1984 NASHVILLE TN 37202
T88 2016 734 15TH STREET NW, SUITE 500 WASHINGTON DC 20005

Page 31 of 46
 NCTracks Carrier Codes
EIS code NCFast Carrier Name Address line 1 City State Zip Phone 1
Code
NORTHERN HOSPITAL OF SURRY COUNTY 271145987 8007951023
GQ7 1174 NOVA HEALTH ADMINISTRATORS PO BOX 25987 WINSTON-SALEM NC 8003333195
V14 2024 NOVENT HEALTH DENTAL PLAN 2680 GRAND ISLAND BLVD. GRAND ISLAND NY 14072 8003683804
HB3 1273 PO BOX 15 WINSTON SALEM NC 27102
K77 1610 NPA (NATIONAL PRESCRIPTION ADMINISTRATORS) 400 MARKET STREET PHILADELPHIA PA 19106 8004672006
8002832524
EJ7 852 NPPN 407 E. MAIN ST. MIDDLETOWN NY 10940
344 122 NTL.
NY PREMIUM
STATE & EMPLOYEE
GOV'T BENEFIT ADMINISTRATIVE
INS. PROGRAM CO. 8877 N. GAINEY CTR. DR. SCOTTSDALE AZ 852582108
122012384 8002258258
8004284292
D02 663 10 CORPORATE WOODS DR. ALBANY NY 9198340751
385 136 OCCIDENTAL LIFE OF NC 1001 WADE AVE. RALEIGH NC 27605 8004521058
HY1 1408 ODS 601 SOUTHWEST 2ND AVENUE PORTLAND OR 97207 8008525192
W95 2067 ODS
OHIOHEALTH PLAN
STATE LIFE INSURANCE CO. PO BOX 40384 PORTLAND OR 97240 8004495433
389 137 OLD AMERICAN INSURANCE COMPANY PO BOX 410288 KANSAS CITY MO 64199 8167534900
390 138 OMEGA ADMINISTRATORS (DENTAL ONLY) PO BOX 418573 KANSAS CITY MO 64141 8669921849
MK9 1861 ONE HEALTH PLAN/GREAT WEST PO BOX 6007 SHERWOOD, AT 72124 SHEROOD AT 72124
638573749 8006638081
FQ5 1017 ONENET (PRICING COMPANY) 1000 GREAT WEST KENNETT MO 217050934 8002576458
KW7 1733 PO BOX 934 FREDERICK MD 946230980 5102710222
GX9 1212 OPERATING ENGINEERS
OPERATING ENGINEERS LOCAL 465 PO BOX 23980 OAKLAND CA 4162549595
FI0 981 OPERATING ENGINEERS TRUST FUND 5901 HARFORD ROAD BALTIMORE MD 21214 3014599300
AH4 396 8401 COPORATE DR., SUITE 200 LANDOVER MD 20785 8003686740
FJ9 988 OPTICARE PO BOX 7548 ROCKY MOUNT NC 27084 8002571153
DW0 771 OPTIMA HEALTHPLAN 4417 CORPORATION LANE VIRGINIA BEACH VA 23462
480075028 8002298822
HP3 1362 OPTIMA HLTHCARE PO BOX 5028 TROY MI 8004828770
MG5 1837 OPTIMED 4 TERRY DR. SUITE 1 NEWTON, PA 18940 NEWTOWN PA 18940 8003426141
V23 2028 OPTIMUM CHOICE PO BOX 75223 BALTIMORE MD 21275 8003471965
GR1 1178 OPTIMUM
OPTIMUM CHOICE
CHOICE OF
OF NC
THE CAROLINAS 627 DAVIS DRIVE SUITE 100 MORRISVILLE NC 27560
217050993 8003312102
CY4 659 PO BOX 993 FREDERICK MD 8006383120
MB4 1813 OPTUM HEALTH PO BOX 30978 SALT LAKE CITY UT 84130
397 139 ORDER OF UNITED COMMERCIAL TRAVELERS OF 632 N. PARK STREET COLUMBUS OH 43215
AMERICA
066017082 8006661353
AG3 389 OXFORD HEALTH PLANS PO BOX 7082 BRIDGEPORT CT
LA5 1769 OXFORD HLTH PLAN/THE FIRST HLTH NETWORK P O BOX 2083 NASHUA NH 030612083
537446518 2127266000
8774693073
D32 675 OXFORD LIFE PO BOX 46518 MADISON WI 537446518 8774693073
FG8 976 OXFORD
OXFORD LIFE
LIFE INSURANCE COMPANY PO BOX 46518 MADISON WI
A20 355 OZARK NATIONAL LIFE INSURANCE COMPANY 2721 N. CENTAL AVE. PHOENIX AZ 85004
641062627 8168426300
KK4 1678 500 EAST 9TH STREET KANSAS CITY MO 8002520972
JQ8 1538 PACIFIC DENTAL BENEFTIS 1445 NORTH LOOP WEST, STE 500 HOUSTON TX 77008
399 140 PACIFIC FIDELITY LIFE 10100 SANTA MONICA BLVD. LOS ANGELES CA 90067
850673699 8007298545
AC7 378 PACIFIC LIFE & ANNUITY PO BOX 33699 PHOENIX AZ 987019509 8007333223
Q37 1961 PACIFIC MUTUAL BENEFITS PO BOX 95009 AUBURN WA 8006248822
M32 1784 PACIFICARE PO BOX 6006 CYPRESS CA 90630
HX2 1403 PACIFICARE PPO 2507 PACIFICARE MEDICAL CLAIMS PO BOX 6099 CYPRESS CA 90630 8006248822
9196632182
N67 1915 PALM HARBOR HOMES HIGHWAY 421 NORTH SILER CITY NC 27344
296029090 8646094777
106 46 PAN AMERICAN
PAN AMERICAN LIFE
LIFE INS/CLAIMS PO BOX 19090 GREENVILLE SC 701611070 8666686299
JK1 1509 PAN AMERICAN LIFE INSURANCE CO. PO BOX 61070 NEW ORLEANS LA 296029090 8646094777
BJ2 494 PO BOX 19090 GREENVILLE SC 5045661300
403 141 PAN-AMERICAN LIFE PO BOX 60219 NEW ORLEANS LA 70160
794909007 8774954616
MR9 1896 PAN-AMERICAN LIFE INS. CO. PO BOX 99007 LUBBOCK TX 9123861751
J68 1460 PARADIGM CARE PLAN PO BOX 1268 TIFTON GA 31793

Page 32 of 46
 NCTracks Carrier Codes
EIS code NCFast Carrier Name Address line 1 City State Zip Phone 1
Code
8002779218
M85 1800 PARAGON BENEFITS PO BOX 12288 COLUMBUS GA 31907
319172288 4045221501
W15 2047 PARAGON BENEFITS, INC. PO BOX 12288 COLUMBUS GA 271167268 8009425695
HH4 1306 PARTNERS
PARTNERS HEALTH PLAN OF ALABAMA PO BOX 17268 WINSTON-SALEM NC 352830602 2059681000
V10 2023 PARTNERS NATIONAL HEALTH PO BOX 830602 BIRMINGHAM AL 271167268 3367604822
563 197 PARTNERS NATIONAL HEALTH CARE PO BOX 17268 WINSTON-SALEM NC 271167268 3367604822
A21 356 PO BOX 17268 WINSTON-SALEM NC
E48 798 PARTNERS NATIONAL HEALTH PLAN/ CUSTOMER PO BOX 17509 WINSTON-SALEM NC 271167509 8009425695
SERVICE CENTER
8006594112
HS7 1382 PARTNERS RX
PARTNERS RX MANAGEMENT 47 POSTAL PARKWAY NEWNAN GA 30263 8006594112
HR5 1375 PARTNERS RX MANAGEMENT PO BOX 12119 SCOTTSDALE AZ 85260 8006594112
KF6 1654 PO BOX 12119 SCOTTSDALE AZ 85260 8006594112
HN9 1356 PARTNERS RX PLAN 1717 W. NORTHERN STE. 200 PHOENIX AZ 85021
958262563 8007770074
FR8 1023 PCN
PEARCE ADMINISTRATORS 9343 TECH CENTER DR., STE. 200 SACRAMENTO CA 8887221668
JN2 1522 PO BOX 2439 FLORENCE SC 29503 9108828135
AG4 390 PEARSON COMPANYCOOPERATIVE INC.
PEE DEE ELECTRIC PO BOX 2838 HIGH POINT NC 27261 8036654070
E12 785 PO BOX 491 DARLINGTON SC 29532 2156299854
408 143 PENN MUTUAL LIFE 530 WALNUT STREET PHILADELPHIA PA 19172
FE7 964 PENN TREATY NETWORK AMERICAN INSURANCE CO. 3440 LEHIGH ST. ALLENTOWN PA 18103 8002223469
PENN WESTERN BENEFITS INC. 3366659400
959 333 PENN. EMPLOYEES BENEFIT TRUST FUND PO BOX 7834 GREENSBORO NC 27407
171115700 8006280174
BA8 473 150 S. 43RD STREET, SUITE 1 HARRISBURG PA 8002757366
AN4 409 PENNCORP FINANCIAL
PENNISULAR INC.
LIFE INSURANCE CO. 1001 WADE AVE. RALEIGH NC 27605 9043586000
407 142 PO BOX 2667 JACKSONVILLE FL 32203 8002756667
409 144 PENNSYLVANIA LIFE
PENNSYLVANIA NATIONAL LIFE INS. PO BOX 130 PENSACOLA FL 32591 7172344941
410 145 PENSION & GROUP SERVICES INC. 1900 DERRY STREET HARRISBURG PA 17105
490021564 6163820300
D10 667 5250 LOVERS LANE KALAMAZOO MI 7185912000
EA0 810 PENSION HOSPITILIZATION 158-11 HARRY VAN ARSDALE DR. FLUSHING NY 11368
576 203 PENTECOSTAL FREE WILL BAPTIST MUTUAL PO BOX 1568 DUNN NC 28334 9198924161
BENEVOLENT
8006676914
CN3 617 PEOPLES BENEFIT LIFE ATTN: CUSTOMER SERVICE VALLEY FORGE PA 19493
194933333 8003566271
EG4 838 PEOPLES
PEOPLES BENEFIT
BENEFIT LIFE
SERVICES ATTN: CLAIMS SERVICE VALLEY FORGE PA 8006676914
GF2 1117 PO BOX 78761 PHOENIX AZ 85062 9196828131
412 146 PEOPLES
PEOPLES LIFE
LIFE INSURANCE COMPANY PO BOX 61 DURHAM NC 27702 8032926886
K82 1613 PERDUE / CIGNA HEALTHCARE PO BOX 2668 GREENVILLE SC 29609 8002404648
HE1 1283 PO BOX 188007 CHATTANOOGA TN 37422
761828009 8005275504
L68 1763 PFL LIFE INSURANCE CO. PO BOX 982009 N. RICHLAND HILL TX 641412735 9132625920
DT0 763 PHARMA LINK PO BOX 412735 KANSAS CITY MO 8664750056
KU4 1722 PHARMACARE
PHARMACY DATA MANAGEMENT PO BOX 619055 PHOENIX AZ 85072 8007674226
DR0 755 940 WINDHAM COURT, SUITE 1 BOARDMAN OH 44512 8009333734
MQ5 1885 PHARMAVAIL 3380 TRICKUM RD. BLDG. 400 UNIT 100 WOODSTOCK GA 310188
JB4 1474 PHCS (PRIVATE HEALTH CARE SYSTEMS) VYTRA PPO PO BOX 1607 DES PLAINES IL 600171607 8004265880
PHILADELPHIA AMERICAN LIFE INS. 8007134680
G65 1083 PHILADELPHIA-UNITED LIFE INS. 4625 WASHINGTON AVE. RACINE WI 53405
416 147 PHILLIPS ADMINISTRATIVE SERVICES 4500 CITY AVENUE PHILADELPHIA PA 19131 8003569822
JA9 1471 PHYSICIANS CARE NETWORK PO BOX 218 ALBANY OR 97321
292111111 8778400936
GU7 1196 PO BOX 101111 COLUMBIA SC 292108438 8037507400
HG5 1300 PHYSICIANS
PHYSICIANS HEALTH
HEALTH PLAN
SERVICES 201 EXECUTIVE CENTER DR STE 300 COLUMBIA SC 066010981 8008484747
Y64 2123 PHYSICIANS LIFE INSURANCE COMPANY PO BOX 981 BRIDGEPORT CT 281720053 4026331111
T39 2006 PO BOX 3272 OMAHA NE

Page 33 of 46
 NCTracks Carrier Codes
EIS code NCFast Carrier Name Address line 1 City State Zip Phone 1
Code
PHYSICIANS MUTUAL INSURANCE 681032018 8002289100
420 148 PHYSICIANS PLUS INSURANCE CORP. PO BOX 2018 OMAHA NE 544028085 8002367742
EA8 814 PO BOX 8085 WAUSAU WI 913595004 8004684343
FE6 963 PIA
PIEDMONT AMERICAN LIFE PO BOX 5004 THOUSAND OAKS CA 3027925900
F71 936 PIEDMONT BENEFITS MANAGEMENT 1100 CARR ROAD WILMINGTON DE 19809
286030843 8002765786
GQ0 1168 PIEDMONT COMMUNITY HEALTH PLAN PO BOX 349 HICKORY NC 8886743368
EY7 915 PIERCE AND PIERCE INSURANCE COMPANY PO BOX 14408 CINCINNATI OH 45250 8036699846
P06 1928 PO DRAWER 2270 FLORENCE SC 29503
022699176 8004433950
CH5 597 PILGRIM
PIONEERADVANTAGE
LIFE INSURANCE CO OF IL PO BOX 699183 QUINCY MA 8159875000
D28 674 PIONEER LIFE INSURANCE COMPANY 304 N. MAIN STREET ROCKFORD IL 61101 8159875000
622 227 PIONEER MANAGEMENT 304 N. MAIN STREET ROCKFORD IL 61101
010411400 8004667600
G40 1073 PIPE FITTERS WELFARE FUND LOCAL 597 PO BOX 1400 HOLYOKE MA 3128294191
GY1 1214 PITTMAN AND ASSOCIATES 45 N OGDEN AVE CHICAGO IL 60607
381110047 8002381344
FU4 1034 PO BOX 111047 MEMPHIS TN 2023936600
N72 1918 PLAN ADMINISTRATOR
PLAN ADMINISTRATORS INCORPORATION 734 15TH STREET NW, SUITE 500 WASHINGTON DC 20005
292606702 8886456410
JX6 1572 PLANNED ADMINISTRATORS PO BOX 6702 COLUMBIA SC 8007684387
H87 1258 PLANNED ADMINISTRATORS PO BOX 6927 COLUMBIA SC 29260 8007684387
Y19 2106 PLATINUM ROTISSERE CORP. PO BOX 6927 COLUMBIA SC 29260 9106595000
AB0 370 100 CAMBRIDGE PARK WINSTON-SALEM NC 27104
FN1 1005 PLUMBERS & PIPEFITTERS LOCAL NO. 421 HEALTH & PO BOX 840 MACON GA 312020840 8887412673
WELFARE FUND
333453219 8004415501
DX0 774 POINT OF SERVICE PO BOX 45-3219 MIAMI FL 8006955170
J63 1458 POMCO PO BOX 6329 SYRACUSE NY 13217 8668344765
KC9 1639 POMCO P O BOX 186 SYRACUSE NY 13206 7044342261
F28 927 PPG INDUSTRIES ROUTE 4 SHELBY NC 28150
794088802 8889651180
KM6 1693 PPO PLUS, LLC
PREFERRED ADMINISTRATIVE SERVICES PO BOX 90802 LUBBOCK TX 8009993920
JP5 1533 259 MONROE AVENUE ROCHESTER NY 14607 6186542371
X04 2072 PREFERRED CARE
PREFERRED HEALTH NETWORK PO BOX 16610 SAINT LOUIS MO 63105 9143432100
AY8 440 PREFERRED HEALTH PLAN 1099 WINTERSON ROAD LINTICUM MD 21090
402537017 5023397500
V54 2035 PO BOX 437017 LOUISVILLE KY 672019318 8006608114
EM7 867 PREFERRED PLUSADMINISTRATIVE SERVICES
PREFERREDONE PO BOX 49318 WICHITA KS 554590212 8009971750
GS9 1187 PO BOX 59212 MINNEAPOLIS MN 981119159 8006761411
KC7 1637 PREMERACLUB
PREMIER BLUE BENEFITS/MEDCOST
CROSS P O BOX 91059 SEATTLE WA 8885323467
KE2 1646 PREMIER HEALTH SYSTEMS, INC. PO BOX 25307 WINSTON SALEM NC 27114
292021640 8002250892
CW8 649 PREMIER PHARMACY PLAN PO BOX 1640 COLUMBIA SC 8002474526
DD6 712 PRESCRIPTION SOLUTIONS PO BOX 5824 SPARTANBURG SC 29304 8007979791
CA2 572 PO BOX 6037 CYPRESS CA 90630
282201088 8004725001
H43 1246 PRIMARY PHYSICIAN CARE PO BOX 11088 CHARLOTTE NC 7045232758
KL9 1689 PRIMARY PHYSICIAN CARE PO BOX 11088 CHARLOTTE NC 28220
282201499 7045232758
P92 1950 PRIMARY PHYSICIAN
PRIMARY SELECT/DOCCARE
FIRST PO BOX 11499 CHARLOTTE NC 211177098 8008158240
GX3 1207 PRIME THERAPEUTICS/GOLDNET PO BOX 17098 OWLINGS MILLS MD 8008580723
HW0 1395 PO BOX 64812 ST. PAUL MN 55164
532260649 8008790071
FN7 1009 PRIMECARE 10701 W. RESEARCH DR. MILWAUKEE WI 752650041 8004231973
KH3 1663 PRIMETHERAPEUTICS PO BOX 650041 DALLAS TX 809493910 8008474695
E74 804 PRINCIPAL FINANCIAL PO BOX 39710 COLORADO SPRINGS CO 809493910 8002474695
I76 1435 PRINCIPAL FINANCIAL PO BOX 39710 COLORADO SPRINGS CO 8002474695
J97 1467 PRINCIPAL FINANCIAL PO BOX 39710 COLORADO SPRINGS CO 80949
809493910 8002474695
M12 1778 PRINCIPAL
PRINCIPAL FINANCIAL
FINANCIAL GROUP PO BOX 39710 COLORADO SPRINGS CO 5152475111
079 34 PRINCIPAL FINANCIAL GROUP 711 HIGH ST. DES MOINES IO 50309 8002474695
AP4 413 PO BOX 39710 COLORADO SPRINGS CO 80949

Page 34 of 46
 NCTracks Carrier Codes
EIS code NCFast Carrier Name Address line 1 City State Zip Phone 1
Code
PRINCIPAL FINANCIAL GROUP 809493910 8003312557
CQ5 625 PRINCIPAL FINANCIAL GROUP PO BOX 39710 COLORADO SPRINGS CO 8884212917
FA8 946 PRINCIPAL FINANCIAL GROUP PO BOX 39710 COLORADO SPRINGS CO 80949 8884212917
V97 2045 PRINCIPAL FINANCIAL INSURANCE CO. PO BOX 39710 COLORADO SPRINGS CO 80949 8002474695
M72 1795 PO BOX 39710 COLORADO SPRINGS CO 80949
809493910 8005335044
HA7 1269 PRINCIPAL
PRINCIPAL LIFE
LIFE INSURANCE
INSURANCE CO PO BOX 39710 COLORADO SPRINGS CO 337578826
HB0 1270 PO BOX 10826 CLEARWATER FL 809493910 7195484000
H80 1256 PRINCIPAL MUTUAL PO BOX 39710 COLORADO SPRINGS CO 809493910 8002474695
K89 1617 PRINCIPAL MUTUAL PO BOX 39710 COLORADO SPRINGS CO 8002474695
MP9 1882 PRINCIPAL MUTUAL
PRINCIPAL MUTUAL INSURANCE COMPANY PO BOX 10357 DES MOINES IA 50306 8002474695
W77 2064 PRINCIPAL MUTUAL LIFE INS. CO. PO BOX 39710 COLORADO SPRINGS CO 80949
809499710 8002474695
DE6 716 PRINCIPAL MUTUAL LIFE INSURANCE PO BOX 39710 COLORADO SPRINGS CO 809493910 8008261820
M89 1802 PO BOX 39710 COLORADO SPRINGS CO 495010232 8009561954
FC9 955 PRIORITY HEALTH
PROFESSIONAL BENEFIT ADMINISTRATORS PO BOX 232 GRAND RAPIDS MI 8009964640
HW2 1397 2040 FRONT STREET CUYAHOGA FALLS OH 44221
EG6 839 PROFESSIONAL BENEFIT ADMINISTRATORS (PBA) PO BOX 4687 OAKBROOK IL 605224687 8004355694

X21 2078 PROFESSIONAL CLAIMS MANAGEMENT SERVICES PO BOX 35276 CANTON OH 44735 8005417846
PROGENY MARKETING INNOVATIONS 372040606 8004776452
JV1 1556 PO BOX 40606 NASHVILLE TN 930319085 8009627378
EG8 841 PROSERVE
PROTECTIVE LIFE INSURANCE CO. PO BOX 9085 OXNARD CA 352830626 8779388920
427 150 PROTECTIVE LIFE INSURANCE CO. PO BOX 830626 BIRMINGHAM AL 8008663808
JC7 1479 PROTECTIVE LIFE INSURANCE COMPANY PO BOX 3129 BRENTWOOD TN 37024
352830626 8008665050
V40 2031 PO BOX 830626 BIRMINGHAM AL 7145530700
428 151 PROVIDENT ALLIANCE
PROVIDENT LIFEINS.
MUTUAL LIFE 3349 MICHELSON DR. IRVINE CA 92715 2136365000
432 152 PO BOX 7378 PHILADELPHIA PA 19101 8005237900
350 124 PROVIDIAN LIFE INS. CO. VALLEY FORGE PA 19493 8005411805
435 153 PRUDENTIAL PO BOX 4578 HOUSTON TX 77210
322314221 8002205470
BI7 493 PRUDENTIAL PO BOX 44221 JACKSONVILLE FL 8006433609
DS4 760 PRUDENTIAL INSURANCE COMPANY
PRUDENTIAL PO BOX 45096 JACKSONVILLE FL 32232 8005093566
AG0 386 PRUDENTIAL INSURANCE COMPANY PO BOX 8000 LINWOOD NJ 08221 8009522227
AG9 392 PRUDENTIAL INSURANCE COMPANY PO BOX 2229 JACKSONVILLE FL 32231
452011759 5137847500
K19 1586 PO BOX 1759 CINCINNATI OH
KF5 1653 PRUDENTIAL INSURANCE COMPANY OF AMERICA PO BOX 8519 PHILADELPHIA PA 19171 8007320416
PRUDENTIAL-AETNA INSURANCE COMPANY 405124586 8008087277
K34 1592 PTRX PHARMACY SERVICES PO BOX 14586 LEXINGTON KY 8774697879
KX6 1738 PUBLIC SAVINGS LIFE INSURANCE PO BOX 6286 SAN ANTONIO TX 78209 8035373002
625 228 PO BOX 472 CHERAW SC 29520
325912922 8004440321
KG6 1660 PYRAMID
PYRAMID INSURANCE
LIFE INSURANCE CO PO BOX 12922 PENSACOLA FL 8004440321
KY9 1746 PYRAMID LIFE INSURANCE CO. PO BOX 391885 CAMBRIDGE MA 02139 9137221616
A23 358 PYRAMID LIFE INSURANCE CO. 6201 JOHNSON DRIVE SHAUNEE MISSION KS 66201
077111211
EN5 872 210 EUCLID AVENUE ALLENHURST NJ 088550249 8009926613
GX2 1206 QUALCARE PO BOX 249 PISCATAWAY NJ 8002067279
HP8 1365 QUALCHOICE 6000 PARKLAND BLVD CLEVELAND OH 44124 8008160911
Y30 2110 QUALCHOICE
QUALITY MILLS, INCOME SECURITY CORP. 2000 W 1ST ST., STE. 210 WINSTON-SALEM NC 27102
629 230 SOUTH STREET MT. AIRY NC 27030 7048255314
G19 1066 R.L. STOWE MILLS, INC. PO BOX 351 BELMONT NC 28012 3149822647
AS1 421 RALSTON PURINA
RANISSANCE CO. DENTAL
PASSPORT PO BOX 1606 ST. LOUIS MO 63188 8008663908
KN3 1697 PO BOX 17250 INDIANAPOLIS IN 46217 8005518354
285 98 RBC LIBERTY LIFE INS. PO BOX 789 GREENVILLE SC 29602

Page 35 of 46
 NCTracks Carrier Codes
EIS code NCFast Carrier Name Address line 1 City State Zip Phone 1
Code
753749014 8007430122
HL9 1342 REASSURE
REASSURE AMERICA
AMERICAN INSURANCE PO BOX 749014 DALLAS TX 8882755676
300 106 PO BOX2586 FORT WAYNE IN 46801
961 335 REELO (SELF-INSURED) 2241 ASHEBORO STREET GREENSBORO NC 27406
981113267 8003456784
F29 928 REGENCE HOME
REGENCY BLUE SHIELD
FASHIONS PO BOX 21267 SEATTLE WA 7044640152
J43 1453 REGIONAL MEDICAL ADMINISTRATORS PO BOX 878 NEWTON NC 28658 8007111507
EU0 895 PO BOX 4128 GLEN RAVEN NC 27215 9194997707
751 270 REGO COMPANY PO BOX 247 ELON COLLEGE NC 27244
441 154 RELIABLE
RELIANCE LIFE INSURANCE
STANDARD INSURANCE CO. 231 W. LOCKWOOD WEBSTER GROVES MO 63119 8004977044
EA4 812 RELIANCE STANDARD LIFE INSURANCE PO BOX 82510 LINCOLN NE 68501
685012510 8004977044
DR2 757 PO BOX 82510 LINCOLN NE 8663750775
KM9 1696 RELIANT STANDARD 505 SOUTH LANOLA STE 231 MOORESTOWN NJ 08057 8008511015
CF7 589 RELIASTARLIFE C/O NATL. FINANCIAL
RESERVE PO BOX 5300 TACOMA WA 98415 8007251407
448 155 RESERVE NATIONAL INSURANCE CO. 801 CHERRY ST UNIT 33 FORT WORTH TX 76102 4058487931
H13 1234 6100 GRAND BLVD. OKLAHOMA CITY OK 73118
530950758 8002481062
CU2 643 RESTAT
RETAIL PHARMACY PROGRAM PO BOX 758 WEST BEND WI 8006245060
HK5 1332 RETIREE MEDICAL INSURANCE PO BOX 52057 PHOENIX AZ 85072 8882874101
MR4 1891 PO BOX 10439 DES MOINES IA 50306
132176309 3154748200
M46 1790 RMSCO,
ROBERT INC.
BOSCH CORPORATION PO BOX 6309 SYRACUSE NY 9196334133
E32 796 ROCKY MOUNTIAN UFCW HEALTH BENEFIT 100 BOSCH BLVD. NEW BERN NC 28560
800300157 8005271647
N95 1925 ROYAL DEVELOPMENT CO. C/O MEDCOST PO BOX 157 WESTMINSTER CO 3368892569
IA8 1441 RURAL LETTER CARRIERS ASSOC. (NRLCA) PO BOX 25307 WINSTON-SALEM NC 27114
282668239 8006388432
634 232 PO BOX 668329 CHARLOTTE NC 8882347747
EB3 818 RUSH PRUDENTIAL
RUTHERFORD HOSPITAL (EBP) C/O ACORDIA PO BOX 5597 CHICAGO IL 60680 8006248605
849 310 PO BOX 3262 CHARLESTON WV 25332
352555728 8006338906
G17 1065 RWDSU FUND OFFICE PO BOX 55728 BIRMINGHAM AL 8007708014
CS9 634 RX AMERICA 221 N. CHARLES LINDBURGH DR. SALT LAKE CITY UT 84116
554392604
CS7 633 RX NET 6625 W. 78TH ST. MINNEAPOLIS MN 8006225579
BB0 474 RX
S &PRIME
S HEALTHCARE STRATEGIES, LTD. PO BOX 3598 SCRANTON PA 18505
452501097 8662661110
BQ2 518 PO BOX 141097 CINCINNATI OH 7048731086
HC1 1277 SACKNER
SAGAMORESOUTHEAST
HEALTH NETWORK 166 ORBIT RD STATESVILLE NC 28677 8003200015
MK4 1856 PO BOX 6051 INDIANAPOLIS, IN 46206 INDIANAPOLIS IN 46206
271145987 8007951023
EQ0 880 SAMARITANSHEALTH
SANDFORD PURSE PLAN PO BOX 25987 WINSTON-SALEM NC 8776292999
KG7 1661 PO BOX 5074 SIOUX FALLS SD 57117 8002283108
HS9 1383 SAVE-RX 224 NORTH PARK AVENUE FREMONT NE 68205 8662334239
KJ5 1672 SAVERX
SCOTT & WHITE HEALTH PLAN PO BOX 8 FREEMONT NE 68026 8003217947
HL3 1338 2401 S 31ST ST TEMPLE TX 76508 8008809988
BN6 514 SCRIPT CARE, INC. 6380 FOLSOM DRIVE BEAUMONT TX 77706 8777748729
KA8 1625 SCRIPTRAX 255 CHARLOIS BLVD WINSTON SALEM NC 27103 8005624023
V43 2033 SEABURY AND
SEAFARERS SMITH, PLAN
WELFARE INC. PO BOX 1520 IOWA CITY IA 52244 8002524674
DC8 708 PO BOX 380 PINEY POINT MD 20674
680 247 SECURE CARE
SECURE HORIZONS DIRECT NATIONAL HOME LIFE INS. CO. VALLEY FORGE PA 19493 0000000
8009509355
GW6 1202 SECURIAN DENTAL PLANS PO BOX 400055 SAN ANTONIO TX 78229
554409385 8002349009
KD4 1643 P O BOX 9385 MINNEAPOLIS MN
HQ7 1372 SECURITY LIFE
SECURITY LIFE/DENTAL & DAVIS VISION PO BOX 5002 SCHENECTADY NY 12309 8003009566
GZ5 1224 SELECT BENEFIT ADMINISTRATORS PO BOX 1527 LATHAM NY 12110
772104250 8004973699
MS3 1897 PO BOX 4250 HOUSTON TX 8004973699
FI9 983 SELECT BENEFITS,
SELF FUNDED GROUPINC.INSURANCE PO BOX 440 ASHLAND WI 54806
490051719 8003361340
X27 2080 PO BOX 51719 KALAMAZOO MI 8004248611
H94 1261 SELF FUNDING ADMIN. PO BOX 6596 ANNAPOLIS MD 21401

Page 36 of 46
 NCTracks Carrier Codes
EIS code NCFast Carrier Name Address line 1 City State Zip Phone 1
Code
SELF-INSURED BENEFIT ADMINISTRATORS 8133470082
K33 1591 PO BOX 47338 ST. PETERSBURG FL 33743 7575527410
G26 1068 SENTARA 4417 CORPORATION LANE VIRGINIA BEACH VA 23462 8885100668
MN5 1871 SENTINEL SECURITY PO BOX 16960 CLEARWATER FL 33766 8004267234
463 158 SENTRYCORNER/AMERICORPS
SEVEN LIFE VISTA PO BOX 8025 STEVENS POINT WI 54481
460823430 8666994186
ME8 1833 SHAW MEDICAL CLAIMS - WELLS FARGO PO BOX 3430 CARMEL, IN 46082-3430 CARMEL, IN 253391522 8003211855
KK6 1680 SHAW MEDICAL CLAIMS CENTER PO BOX 11522 CHARLESTON WV 311468389 8003211855
DD1 710 PO BOX 468389 ATLANTA GA
CU1 642 SHEET METAL WORKERS NATIONAL HEALTH FUND PO BOX 1449 GOODLETTSVILLE TN 370701449 8008314914

P19 1932 SHEET METAL WORKERS NATIONAL HEALTH TRUST 601 N. FAIRFAX ST., SUITE 500 ALEXANDRIA VA 22314 7037397000
FUND
W45 2055 SHEET METAL WORKERS-LOCAL 85/SBA WELFARE FUND 2300 HENDERSON MILL RD. NE GOODLETTSVILLE TN 370701449 8008314914
8004441153
HU0 1389 SHENANDOAH DENTAL
SHENANDOAH LIFE INSURANCE PO BOX 11807 ROANOKE VA 24022
464 159 PO BOX 12847 ROANOKE VA 24029 7047824143
B45 455 SHOE SHOW 776 FLORENCE PLANCE, NW CONCORD NC 28025
137615000 8002524624
X94 2096 SIEBACOORDINATED
SIHO LTD. CARE NETWORK PLAN PO BOX 5000 ENDICOTT NY 8123787070
Q88 1975 SIOUX VALLEY HEALTH PLAN PO BOX 1787 COLUMBUS IN 47202 8007525863
FX1 1041 PO BOX 91110 SIOUX FALLS SD 57109 8004574726
I51 1429 SISCO PO BOX 389 DUBUQUE IA 52052
753809059 2143853077
E78 805 SJA BROKERAGE PO BOX 809059 DALLAS TX 8008672582
KB1 1627 SMITH ADMINISTRATORS P O BOX 161125 FORT WORTH TX 76161 8043573131
E83 807 SMITHFIELD
SMITHFIELD FOODS
FOODS HEALTH CARE PLAN PO BOX 1580 SMITHFIELD VA 23430 8008095916
C45 558 PO BOX 158 SMITHFIELD VA 23431 2525224777
C44 557 SMITHFIELD PACKINGCOMPANY
SONOCO PRODUCTS 2602 W. VERNON AVE. KINSTON NC 28501 7047350424
AD2 380 SOUTERN HEALTH SERVICES PO BOX 717 LINCOLNTON NC 28093 8049751212
BS9 527 SOUTH CAROLINA INSURANCE COMPANY PO BOX 7704 LONDON KY 40742
846 308 PO BOX 1 COLUMBIA SC 29202
332569000 8002280660
Q13 1957 SOUTH FLORIDA AV-MED
SOUTHEASTERN BENEFIT PLAN PO BOX 569000 MIAMI FL 282174246 7045295400
R52 1990 SOUTHEASTERN CONTAINER 335 ARCHDALE DRIVE CHARLOTTE NC
I49 1428 SOUTHERN ADMINISTRATIVE SERVICES PO BOX 34609 ENKA NC 28728
319088069 8002228271
H25 1240 PO BOX 8069 COLUMBUS GA 8003448412
J72 1461 SOUTHERN BENEFITS 5305 VIRGINIA BEACH BLVD. NORFOLK VA 23502
FX2 1042 SOUTHERN CALIFORNIA PIPE TRADE TRUST FUND 501 SHATTO PLACE 5TH FLOOR LOS ANGELES CA 90020 2133856161
7043942346
CL1 608 SOUTHERN CONCRETE PO BOX 33038 CHARLOTTE NC 28233 7042536421
P44 1938 SOUTHERN CONCRETE
SOUTHERN ELECTRICAL HEALTH FUND 500 NORTH RICHLAND STREET WAYNESVILLE NC 28787 6158992593
M42 1788 SOUTHERN FARM BUREAU LIFE 3928 VOLUNTEER DRIVE CHATTANOOGA TN 37416
466 160 SOUTHERN FOODS/MEDCOST PO BOX 78 JACKSON MS 39205 8008095916
HK2 1329 SOUTHERN GROUP ADMINISTRATORS PO BOX 25307 WINSTON SALEM NC 27114 8003348159
A01 348 SOUTHERN GROUP ADMINISTRATORS 200 S. MARSHALL ST. WINSTON-SALEM NC 27101 8003348159
A81 367 SOUTHERN GROUP ADMINISTRATORS 200 S. MARSHALL STREET WINSTON-SALEM NC 27101 9107247111
D26 672 SOUTHERN HEALTH SERVICES, INC 200 S. MARSHALL ST. WINSTON-SALEM NC 27101 8006274872
HA6 1268 SOUTHERN LIFE INS. C/O LIBERTY LIFE PO BOX 7704 LONDON KY 40742 8646098111
467 161 PO BOX 789 GREENVILLE SC 29602 8002925386
R09 1982 SOUTHWEST CAR PO BOX 690450 SAN ANTONIO TX 78269 8006383120
FQ6 1018 SPECTARA
SPECTERA -- CLAIMS
UNITED DEPT.
HEALTHCARE DENTAL PO BOX 30978 SALT LAKE CITY UT 84130
212150003 4102656033
KD3 1642 P O BOX 2618 BALTIMORE MD 292243759 8008690808
K35 1593 SRC SERVICES, INS. PO BOX 23759 COLUMBIA SC

Page 37 of 46
 NCTracks Carrier Codes
EIS code NCFast Carrier Name Address line 1 City State Zip Phone 1
Code
ST JOHNS CLAIMS ADMINISTRATOR 658140230 4178413825
JM1 1514 STANDARD INSURANCE COMPANY (DENTAL) PO BOX 14230 SPRINGFIELD MO 685012622 8005479515
JV6 1561 PO BOX 82622 LINCOLN NE
627 229 STANDARD LIFE & ACCIDENT CO. OF OKLAHOMA CITY PO BOX 1800 GALVESTON TX 775531800 8883501488
STANDARD LIFE & CASUALTY 297161514 8035483657
474 162 STANDARD LIFE INSURANCE CO. PO BOX 1514 FORT MILL SC 8008272524
EN4 871 PO BOX 1800 GALVESTON TX 77553 8008223906
MN3 1869 STANDARD
STANLEY SECURITY LIFE
FURNITURE/UNITED HEALTHCARE PO BOX 21156 EAGAN MN 55121
303740800 8002728970
G80 1086 STANLY MEMORIAL HOSPITAL PO BOX 740800 ATLANTA GA 7049835111
E30 795 STAR ADMINISTRATIVE SERVICES PO BOX 1489 ALBEMARLE NC 28001
850785270 6029978400
EG2 837 PO BOX 55270 PHOENIX AZ
K02 1580 STAR AMINISTRATIVE SERVICES - THE PANTRY INC. PO BOX 55270 PHOENIX AZ 850785270 8004767574
850785270 8007622727
EF2 831 STAR HRG PO BOX 55270 PHOENIX AZ 850784150 8002881474
JT3 1549 STAR HRG/WALMART
STARBRIDGE ADMINISTRATIVE SERVICES PO BOX 54150 PHOENIX AZ 850785270 8003085948
GT8 1190 PO BOX 55270 PHOENIX AZ 527332942 8005221246
GH4 1123 STARMARK PO BOX 2942 CLINTON IA 600457922 7086151313
P43 1937 STARMARK PO BOX 7922 LAKE FOREST IL 8048725886
479 164 STATE FARM 1500 STATE FARM BLVD. CHARLOTTESVILLE VA 22909
617022700 8668551212
HE7 1289 STATE FARM
STATE FARM FIRE & CASUALTY PO BOX 2700 ATTN GM ID BLOOMINGTON IL
478 163 STATE FARM HEALTH INSURANCE COMPANY 112 E. WASHINGTON STREET BLOOMINGTON IL 61701 7045246461
877 317 1500 STATE FARM BLVD. CHARLOTTESVILLE VA 22909
430583070 8668551212
HN8 1355 STATE FARM
STATE FARM INS CO
INSURANCE COMPANY PO BOX 3070 NEWARK OH 430583070 8668551212
V74 2040 PO BOX 3070 NEWARK OH 229090001 8049725000
480 165 STATE FARM
STATE FARM LIFE
MUTUAL AUTO INS. 1500 STATE FARM BLVD. CHARLOTTESVILLE VA 3097662311
481 166 STATE FARM-HEALTH OPERATIONS ONE STATE FARM PLAZA BLOOMINGTON IL 61701
430583070 6147752162
JJ4 1506 PO BOX 3070 NEWARK OH 6158961502
749 269 STATE LIFE
STATE & HEALTH
MUTUAL INS. CO.
INSURANCE COMPANY PO BOX 1338 MURFREESBORO TN 37130 8003233359
X00 2070 STATE MUTUAL LIFE ASSURANCE 1100 31ST STREET DOWNERS GROVE IL 60451 5088521000
483 167 440 LINCOLN STREET WORCESTER MA 01605
C89 569 STATE OF FLORIDA EMP. GROUP HEALTH SELF INS. PLAN PO BOX 2896 JACKSONVILLE FL 322322896
STATE OF GEORGIA HLTH. BENEFIT PLAN 8007363464
852 311 PO BOX 740806 ATLANTA GA 30334
064603361 8004476689
BU7 531 STERLING & STERLING, INC. 20 ARMORY LANE MILFORD CT 8888588551
KE3 1647 STERLING LIFE LIFE
STONEBRIDGE INSURANCE
INSURANCE CO. PO BOX 69314 HARRISBURG PA 17106 8006222923
JX1 1570 2700 WEST PLANO PARKWAY PLANO TX 75075 7048243551
644 235 STOWE PHARR
STRATEGIC MILLS, INC. INC.
OUTSOURCING, PO BOX 1939 MCADENVILLE NC 28101 8888367764
GK8 1145 PO BOX 241508 CHARLOTTE NC 28224
FL8 998 STRATEGIC OUTSOURCING, INC. C/O KEY PARTNERS, PO BOX 241508 CHARLOTTE NC 282241508 8888367764
INC.
STRATEGIC RESOURCE CO. 8033331000
DM9 745 STUDENT ASSURANCE SERVICES PO BOX 23759 COLUMBIA SC 29224 6514397098
MS4 1898 STUDENT INSURANCE/UNITED HEALTHCARE PO BOX 196 STILLWATER MN 55082
753809025 8007670700
GH5 1124 STUYVESANT INSURANCE COMPANY PO BOX 809025 DALLAS TX
490 168 SUMMACARE HEALTH PLAN 1105 HAMILTON STREET ALLENTOWN PA 18101
443093620 8009968701
HM1 1344 PO BOX 3620 AKRON OH 8009551991
AX5 434 SUMMIT
SUN LIFEAMERICA
ASSURANCE OF CANADA 7400 COLLEGE BLVD. OVERLAND KS 66210
493 169 PO BOX 6075 MONTREAL, QUEBEC CN H2X3M7
KV7 1730 SUN LIFE FINANCIAL PO BOX 3425 STATION D ( ZIPCODE K1P1G9) OTTAWA ON 000000000 8002682893
SUN LIFE INSURANCE OF AMERICA
494 170 ONE SUN LIFE EXECUTIVE PARK ELLESLEY HILLS MA 02181

Page 38 of 46
 NCTracks Carrier Codes
EIS code NCFast Carrier Name Address line 1 City State Zip Phone 1
Code
8007861791
KT6 1719 SUN RX 6 EXECUTIVE CAMPUS STE 600 CHERRY HILL NJ 08002 9197564187
M62 1793 SUNNYSIDE EGGS PO BOX 1946 GREENVILLE NC 27834 8005073800
GW0 1198 SUPERIOR VISION PLAN PO BOX 967 RANCHO CORDOVA CA 95741 8003371421
KH8 1668 SURE HEALTH PLANS PO BOX 15398 PLANTATION FL 33318 8002823232
MJ3 1849 SXC HEALTH
SYSTEMS SOLUTIONS
MANUFACTURING PO BOX 5206 LISLE, IL 60532 LISLE IL 60532 9194929595
E18 789 PO BOX 559 HENDERSON NC 27536 8006459303
HH8 1310 TDI MANAGED CARE SERVICE
TDI 100 DELTA DR PITTSBURGH PA 15238 8005815300
BL3 506 620 EPSILON DRIVE PITTSBURGH PA 15238
600175116 8003235000
BJ4 496 TEAMCARECORPORATION
TELAMON PO BOX 5116 DES PLAINES IL 9198517611
N01 1901 TEXTILEASE CORPORATION PO BOX 33315 RALEIGH NC 27636 7045239593
791 283 TEXTILEASE CORPORATION 4700 DWIGHT EVANS RD. CHARLOTTE NC 28210 9197345341
R10 1983 800 S JOHN ST GOLDSBORO NC 27530 8004239791
E13 786 TEXTILEASE/CAREFIRST
THAXTON MANAGEMENT, INC. PO BOX 1196 BALTIMORE MD 21297
H12 1233 PO BOX 1069 LANCASTER SC 29720
122040410 8006065479
AZ5 444 THE FUNDS PO BOX 4410 ALBANY NY 992102459 8005417846
BM7 509 THE GUARDIAN PO BOX 2459 SPOKANE WA 549128007 8006854542
BT7 528 THE GUARDIAN PO BOX 8007 APPLETON WI 549128019 8006246215
CX8 655 THE GUARDIAN PO BOX 8019 APPLETON WI 549128007 8008734542
D53 683 THE GUARDIAN PO BOX 8007 APPLETON WI 549128024 8008734542
KC6 1636 THE GUARDIAN P O BOX 8024 APPLETON WI 549128007 8008734542
V62 2037 THE GUARDIAN PO BOX 8007 APPLETON WI 549128007 8008734542
V63 2038 THE GUARDIAN
THE GUARDIAN LIFE INSURANCE PO BOX 8007 APPLETON WI 8006244050
766 274 THE GUARDIAN LIFE INSURANCE CO. PO BOX 8017 APPLETON WI 54913
992102458 8005417846
AE9 383 THE GUARDIAN LIFE INSURANCE CO. PO BOX 2458 SPOKANE WA 992102450 8003341332
K46 1598 THE HARTFORD SYRACUSE HEALTH PO BOX 2450 SPOKANE WA 8004485813
K05 1581 PO BOX 4925 SYRACUSE NY 13221
GP8 1167 THE HEALTH PLAN OF UPPER OHIO VALLEY, INC. 52160 NATIONAL ROAD EAST SAINT CLAIRSVILLE OH 43950
196123845 8006246961
8662256090
JG6 1496 THE LOOMIS CO/SKFUSA PO BOX 13845 READING PA 196107011 8007820392
T72 2014 THE LOOMIS
THE COMPANY
MAIL HANDLERS BENEFIT PLAN PO BOX 7011 WYOMISSING PA 8004107778
HK1 1328 THE MEGA LIFE & HEALTH INS. CO. PO BOX 8402 LONDON KY 40742 8887570703
MM6 1865 THE MUTUAL LIFE INSURANCE CO. PO BOX 981606 EL PASO, TX 79998 EL PASO TX 79998 8002214014
337 120 PO BOX 4728 SYRACUSE NY 13221
K24 1588 THE NEW ENGLAND EMPLOYEE BENEFIT GROUP HEALTH PO BOX 30466 TAMPA FL 33630 8006541731
PLAN
THE PRESBYTERIAN HOME OF HIGH POINT 9198839111
M79 1797 THE SYNTHETIC GROUP FINISHING 201 GREENSBORO RD., BOX 500 HIGH POINT NC 27260 7043285522
M88 1801 PO BOX 2141 HICKORY NC 28602 8008759355
HX4 1405 THE WELLNESS
THOMAS COOPERPLAN
& COMPANY PO BOX 02577 DETROIT MI 48202 8008153314
CT4 637 THOMAS JEFFERSON LIFE OF AMERICA PO BOX 22557 CHARLESTON SC 29413
501 171 THOMPSON-ARTHUR PAVING COMPANY PO BOX 986 CHAMPAIGN IL 61820 9192745413
599 216 THREE RIVERS BENEFIT CORP. PO BOX 21088 GREENSBORO NC 27420 7122581525
GN0 1158 THRIVENT-MEDICARE SUPPLEMENT PO BOX 3440 SIOUX CITY IA 51102
549190001 8008474836
KW8 1734 TIDWELL EMPLOYEE BENEFIT TRUST 4321 N BALLARD RD APPLETON WI 7042795531
802 287 TIME INSURANCE COMPANY BOX 637 ROCKWELL NC 28138 4142713011
502 172 TOWER LIFE INSURANCE COMPANY 515 WEST WILLS MILWAUKEE WI 53201
782053164 2105544400
580 206 310 S. SAINT MARY'S ST., SUITE 400 SAN ANTONIO TX 300670092 8005627079
BF2 486 TPA PO BOX 121212 MARIETTA GA 281061043 8772248061
MA4 1807 TPA EXCHANGE PO BOX 1043 MATTHEWS NC 8005505287
MD8 1828 TRANSAMERICA
TRANSAMERICA/AEGON USA PO BOX 99906 GRAPEVINE, TX 76099 GRAPEVINE, TX 76099 8003220426
K76 1609 PO BOX 8063 LITTLE ROCK AR 72203

Page 39 of 46
 NCTracks Carrier Codes
EIS code NCFast Carrier Name Address line 1 City State Zip Phone 1
Code
TRANSCONTINENTAL INSURANCE
503 173 CNA PLAZA CHICAGO IL 60685
211529390 8004545909
KB3 1629 TRANSHEALTH
TRANSPORT LIFE INSURANCE CO. 910 RIDGEBROOK ROAD SPARKS MD 8004412251
507 174 TRAVELERS PLAN ADMIN. OF FORT WORTH/TPA 714 MAIN STREET FORT WORTH TX 76102
761012068 8003380327
V34 2029 TRAVENOL LABRATORIES INC. PO BOX 901068 FORT WORTH TX
958 332 PO DRAWER 1390 MARION NC 29752
170898218 8008668499
DF0 718 TRICARE DENTAL PO BOX 898218 CAMP HILL PA 8667730404
JW1 1565 TRICARE FOR LIFE PO BOX 7890 MADISON WI 53707
537077890 8667730404
EZ9 920 TRICARE
TRICARE FOR LIFE
NORTH (TFL) SERVICES
REGION PO BOX 7890 MADISON WI 295879740 8778742273
000 1 TRICARE NORTH REGION SERVICES PO BOX 870140 SURFSIDE BEACH SC 295879740 8778742273
EC6 820 TRICARE NORTH REGION SERVICES PO BOX 870141 SURFSIDE BEACH SC 295879740 8778742273
GT6 1189 TRICARE SOUTH/HUMANA MILITARY PO BOX 870140 SURFSIDE BEACH SC 290207031 8004445445
MG9 1841 TRIDENT PLAN ADMINISTRATORS PO BOX 7031 CAMDEN, SC 29020-7031 CAMDEN SC 850166512 6022402404
JH7 1503 TRIGON ADMINISTRATORS 3825 N. 24TH STREET PHOENIX AZ 8005236796
BD9 480 TRIGON ADMINISTRATORS, INC. PO BOX 85639 RICHMOND VA 23285
232617287 8005236796
DF5 721 TRIGON BLUE CROSS BLUE SHIELD PO BOX 27287 RICHMOND VA 8004533622
GH2 1122 TRIGON HEALTHKEEPERS 555 MIDDLE CREEK PARKWAY MS425 COLORADO SPRINGS CO 80921 8005335592
GS0 1181 TRIPLE S-SALUD/BCBS OF PUERTO RICO PO BOX 26623 RICHMOND VA 23261
009368299 7877746060
MC5 1820 PO BOX 70299 SAN JUAN PR 8006834856
MG8 1840 TRUE CHOICE USA PO BOX 251369 PLANO, TX 75025 PLANO TX 75025
600457900 7082345900
088 39 TRUSTMARK PO BOX 7900 LAKE FOREST IL 445139055 8005447312
FK7 992 TRUSTMARK PO BOX 9055 BOARDMAN OH 527332942 8005447312
L27 1758 TRUSTMARK PO BOX 2942 CLINTON IA 600457905 7082345900
R32 1989 TRUSTMARK PO BOX 7905 LAKE FOREST IL 8006183384
GL8 1153 TRUSTMARK DENTAL PO BOX 420 FREEPORT IL 61032 8476151500
MP8 1881 TRUSTMARK
TRUSTMARK DENTAL
INSURANCE CO PO BOX 2980 CLINTON IA 52733
527332942 8005447312
JN4 1524 PO BOX 2942 CLINTON IA
573 200 TUCKER ADMINISTRATORS 3800 ARCO CORPORATION DRIVE, SUITE 450 CHARLOTTE NC 28273 8003471232
TUCKER ADMINSTRATORS 8003471232
A39 362 TUFTS ASSOCIATED HEALTH PLANS 3800 ARCO CORP. DRIVE, SUITE 450 CHARLOTTE NC 28273
022549112 6174669410
AE4 381 PO BOX 9112 WALTHAM MA 8004420422
FR0 1019 TUFTS HEALTHPLAN
TWIN CITY FIRE INSURANCE PO BOX 9163 WATERTOWN MA 02471
516 179 HARTFORD PLAZA HARTFORD CT 06115 4792904361
HN2 1350 TYSON FOODS ATTN: COBRA PO BOX 2020 SPRINGDALE AR 72765 7042837571
J39 1450 TYSON FOODS PO BOX 965 MONROE NC 28111
286970088 3368382171
R08 1981 TYSON FOODS PO BOX 88 WILKESBORO NC 9197974123
L09 1751 TYSON FOODS, INC. ROUTE 1, BOX 200 CRESWELL NC 27928 3128292156
MQ6 1886 UFCW LOCAL 1546 1649-57 W.ADAMS ST. CHICAGO IL 60612
Q66 1965 UFCW UNION & FOOD EMPLOYER JOINT TRUST FUND PO BOX 6010 CYPRESS CA 90630 7142202297
327958447 8009894481
JM5 1517 UHC SERVICES INC PO BOX 958447 LAKE MARY FL 8668587223
HM6 1346 ULTRA BENEFITS PO BOX 763 WESTBORO MA 01581
452505804 8009504867
BN7 515 UMR PO BOX 14804 CINCINNATI OH 407428300 8778845294
GI3 1132 UMR PO BOX 8300 LONDON KY 8668810800
GX6 1209 UMR PO BOX 30541 SALT LAKE CITY UT 84130
841300530 8004468182
JD3 1481 UMR PO BOX 30530 SALT LAKE CITY UT 8004468182
KR7 1715 UMR PO BOX 30530 SALT LAKE CITY UT 84130
841300541 8008426475
KL3 1684 UMR-DENTAL PO BOX 30541 SALT LAKE CITY UT 752619741 8888655290
654 241 UMWA
UNDERWRITERS LIFE INSURANCE COMPANY PO BOX 619099 DALLAS TX 752481363 2147334955
K63 1603 6210 CAMPBELL RD., SUITE 200 DALLAS TX

Page 40 of 46
 NCTracks Carrier Codes
EIS code NCFast Carrier Name Address line 1 City State Zip Phone 1
Code
018100193 9726996539
AB7 375 UNICARE PO BOX 1993 ANDOVER MA 8477064050
B30 451 UNICARE 7025 ALBERT PICK RD., 5TH FLOOR GREENSBORO NC 27409
930128603 8009698509
BB6 476 UNICARE 5171 VERDUGO WAY CAMARILLO CA 604405037 8002320117
BG6 490 UNICARE PO BOX 5037 BOLINGBROOK IL 606804458 8003333304
D39 678 UNICARE PO BOX 4458 CHICAGO IL 601684046 8004543262
DN6 748 UNICARE PO BOX 4046 SCHAUMBURG IL 8778642273
EG7 840 UNICARE PO BOX 4458 CHICAGO IL 60680
930319125 8002888630
EL8 863 UNICARE PO BOX 9125 OXNARD CA 8006892690
FA9 947 UNICARE PO BOX 833835 RICHARDSON TX 75083 8004543262
FJ3 986 UNICARE PO BOX 1500 MAUMEE OH 43537 8002349778
FR1 1020 UNICARE PO BOX 9178 OXNARD CA 93031
606804458 8004543262
FW8 1039 UNICARE PO BOX 4458 CHICAGO IL 8002888630
GL6 1151 UNICARE PO BOX 9201 OXNARD CA 93031
606804458 8009922037
GS1 1182 UNICARE PO BOX 4458 CHICAGO IL 8008140041
HJ9 1327 UNICARE PO BOX 51180 INDIAN ORCHARD MA 01151
750833933 8003333304
I05 1419 UNICARE PO BOX 833933 RICHARDSON TX 604992700 8004386105
JN6 1526 UNICARE PO BOX 2700 BEDFORD PARK IL 2133801200
M44 1789 UNICARE PO BOX 60866 LOS ANGELES CA 90060 9726996500
N75 1919 UNICARE LIFE AND HEALTH INSURANCE CO.
UNICARE PO BOX 795180 SAN ANTONIO TX 78279 8004543262
FD9 959 UNICARE PHARMACY ACCESS PO BOX 4068 SCHAUMBURG IL 60173 8008224542
ET3 892 PO BOX 3010 ANDOVER MA 01810 8002915837
DZ0 779 UNIFIED GROUP
UNIFIED SERVICESCO
LIFE INSURANCE PO BOX 10 PENDLETON IN 46064
662255326 8668469993
KV5 1728 PO BOX 25326 OVERLAND PARK KS 981241850 8007626004
DI6 734 UNIFORM MEDICAL PLAN PO BOX 34850 SEATTLE WA 681032555 8887819555
EX5 909 UNION
UNION BANKERS
BANKERS INSURANCE COMPANY P.O. BOX 2555 OMAHA NE 325910130 8007896364
518 180 PO BOX 130 PENSACOLA FL 337578841 8778259336
GK0 1141 UNION FIDELITY
UNION FIDELITY LIFE INSURANCE PO BOX 10841 CLEARWATER FL 8005235758
520 181 4850 STREET ROAD TREVOSE PA 19047 8004438087
HK9 1335 UNION LABOR
UNION LABOR LIFE
LIFE INSURANCE CO. 111 MASSACHUSETTE AVE. NW WASHINGTON DC 20001 8005797345
D84 694 PO BOX 61813 KING OF PRUSSIA PA 19406 2077802211
523 183 UNION
UNION MUTUAL
SECURITYLIFE
LIFE INSURANCE PO BOX 548 PORTLAND MA 04112
525 184 PO BOX 50355 ATLANTA GA 30302
294171190 8035710510
855 313 UNISON INS. CO. LIFE INSURANCE CO.
UNITED AMERICAN PO BOX 31190 CHARLESTON SC 750708080 9725295085
526 185 UNITED AMERICAN LIFE INSURANCE CO. PO BOX 8080 MCKINNEY TX 750708080 9725295085
527 186 UNITED BENEFITS INC/ROYAL DEVELOPMENT PO BOX 8080 MCKINNEY TX 321730561 3368892569
JC2 1475 UNITED CHEMI-CON HEALTH PLAN PO BOX 730561 ORMOND FL 271145987 3367744400
FX0 1040 UNITED COMMERICIAL TRAVELERS C/O PO BOX 25987 WINSTON-SALEM NC 8008480123
M69 1794 UNITED COMPANIES LIFE INSURANCE PO BOX 159019 COLUMBUS OH 43215
529 187 UNITED CONCORDIA COMPANIES, INC. PO BOX 1591 BATON ROUGE LA 70821 8004339906
GQ4 1171 UNITED FIDELITY LIFE INSURANCE PO BOX 69421 HARRISBURG PA 17106 8173901011
531 188 PO BOX 1778 FT. WORTH TX 76102 8005667273
BM9 511 UNITED HEALTH CARE PO BOX 30555 ST LAKE CITY UT 84130
303740813 8778423210
JN7 1527 UNITED HEALTH CARE PO BOX 740813 ATLANTA GA
MK3 1855 UNITED HEALTH CARE WEST PO BOX 30968 SALT LAKE CITY, UT 84130-09 SALT LAKE CITY UT 841300968 8006248822
UNITED HEALTH CARE/BCBS OF CA 841300568 8778163596
HW6 1400 UNITED HEALTH PLANS OF NEW ENGLAND PO BOX 30568 SALT LAKE CITY UT 8004221404
AT5 427 475 KILVERT ST., SUITE 310 WARWICK RI 02886
303740800 8778423210
317 112 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 4018272586
318 113 UNITED HEALTHCARE PO BOX 495 WARWICK RI 02887

Page 41 of 46
 NCTracks Carrier Codes
EIS code NCFast Carrier Name Address line 1 City State Zip Phone 1
Code
303740802 8005778567
508 175 UNITED HEALTHCARE PO BOX 740802 ATLANTA GA 8003433743
510 176 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 30374
841300985 8008425252
511 177 UNITED HEALTHCARE PO BOX 30985 SALT LAKE CITY UT 061836090 2032770111
512 178 UNITED HEALTHCARE ONE TOWER SQUARE HARTFORD CT 061031801 8607025000
651 239 UNITED HEALTHCARE 450 COLUMBUS BLVD. HARTFORD CT 303740800 8007418805
AG1 387 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 124010600 9143827500
AM2 405 UNITED HEALTHCARE PO BOX 1600 KINGSTON NY 8004325925
AQ1 416 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 30374 6028709773
AS4 423 UNITED HEALTHCARE PO BOX 29050 PHOENIX AZ 85038
303740800 8772224261
AW5 431 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 8006387443
AX6 435 UNITED HEALTHCARE PO BOX 8050 LANCASTER SC 29721
841300985 8013930843
AZ1 442 UNITED HEALTHCARE PO BOX 30985 SALT LAKE CITY UT 8009928354
AZ6 445 UNITED HEALTHCARE 116 WASHINGTON AVE. NORTH HAVEN CT 06473
303740800 8005537360
BA1 471 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 303740800 8772224261
BC2 479 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 152301630 8006387785
BE8 484 UNITED HEALTHCARE PO BOX 1630 PITTSBURGH PA 303740800 8772224261
BK0 499 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 8008745693
BM8 510 UNITED HEALTHCARE PO BOX 3098 NAPERVILLE IL 60566
303740800 8772224261
BQ6 520 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 303740800 8007418805
BQ9 521 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 841300555 8005667273
BS3 524 UNITED HEALTHCARE PO BOX 30555 SALT LAKE CITY UT 8005667273
BZ1 543 UNITED HEALTHCARE PO BOX 30555 SALT LAKE CITY UT 84130
303740800 8772224261
BZ3 544 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 927137709
BZ4 545 UNITED HEALTHCARE PO BOX 17719 IRVINE CA 8007721180
C25 552 UNITED HEALTHCARE 2307 WEST CONE BLVD., SUITE 200 GREENSBORO NC 27408 8007418805
CB3 574 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 30374 8006311900
CD4 581 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 30374
303740800 8007418805
CE2 584 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 558169080 2186246500
CF6 588 UNITED HEALTHCARE PO BOX 169080 DULUTH MN 303740802 7709375500
CI4 600 UNITED HEALTHCARE PO BOX 31426 ATLANTA GA 8003466340
CK2 605 UNITED HEALTHCARE PO BOX 3030 UTICA NY 13504
274386304 8009991147
CN5 619 UNITED HEALTHCARE PO BOX 26304 GREENSBORO NC 303740800 8772224261
CT5 638 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 841300555 8003238520
CW3 647 UNITED HEALTHCARE PO BOX 30555 SALT LAKE CITY UT 8006213000
CY8 660 UNITED HEALTHCARE PO BOX 30555 SALT LAKE CITY UT 84130 8002419964
DD3 711 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 30374
274386303 8009991147
DE3 715 UNITED HEALTHCARE PO BOX 26303 GREENSBORO NC 303740802 7709375500
DF2 719 UNITED HEALTHCARE PO BOX 740802 ATLANTA GA 303740800 8772224261
DF6 722 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 303740800 8007418805
DG0 725 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 841300551 8019443722
DI0 733 UNITED HEALTHCARE PO BOX 30551 SALT LAKE CITY UT 841300555 8005667273
DJ4 737 UNITED HEALTHCARE PO BOX 30555 SALT LAKE CITY UT 8008090453
DX1 775 UNITED HEALTHCARE PO BOX 30304 SALT LAKE CITY UT 84130 8013930843
EE4 826 UNITED HEALTHCARE PO BOX 30555 SALT LAKE CITY UT 84130
303740880 8778423210
EF7 835 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 8882448761
ET5 894 UNITED HEALTHCARE PO BOX 26404 GREENSBORO NC 27404
782659741 8009991147
FU9 1037 UNITED HEALTHCARE PO BOX 659741 SAN ANTONIO TX 8008262211
G21 1067 UNITED HEALTHCARE PO BOX 105312 ATLANTA GA 30348 8008426563
G55 1079 UNITED HEALTHCARE PO BOX 30555 SALT LAKE CITY UT 84130

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 NCTracks Carrier Codes
EIS code NCFast Carrier Name Address line 1 City State Zip Phone 1
Code
303740800 8772224261
G96 1091 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 303740801 8005523232
GI9 1136 UNITED HEALTHCARE PO BOX 740801 ATLANTA GA 783659738 8002393214
GJ7 1139 UNITED HEALTHCARE PO BOX 654738 SAN ANTONIO TX 303740803 8003344515
GK1 1142 UNITED HEALTHCARE PO BOX 740803 ATLANTA GA 8008488406
GP2 1164 UNITED HEALTHCARE PO BOX 30996 SALT LAKE CITY UT 84130
336303343 8006387452
H21 1238 UNITED HEALTHCARE PO BOX 30430 TAMPA FL 303740800 8007321086
H44 1247 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 303740800 8006387392
H47 1249 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 303740800 8007418805
H92 1260 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 841300555 8006540079
H95 1262 UNITED HEALTHCARE PO BOX 30555 SALT LAKE CITY UT 8009991147
HB2 1272 UNITED HEALTHCARE PO BOX 659741 SAN ANTONIO TX 78265
303740802
HB5 1275 UNITED HEALTHCARE PO BOX 7408027 ATLANTA GA 8778423210
HM5 1345 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 30374
303740800 8772224261
I15 1421 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA
I36 1425 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 30374
041300555 8006540079
I40 1426 UNITED HEALTHCARE PO BOX 30555 SALT LAKE CITY UT 8003310265
I87 1437 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 30374
841300555 8003238520
J20 1447 UNITED HEALTHCARE PO BOX 30555 SALT LAKE CITY UT 4048551386
J52 1454 UNITED HEALTHCARE PO BOX 10066 AUGUSTA GA 30999
841300555 8013930843
J55 1456 UNITED HEALTHCARE PO BOX 30555 SALT LAKE CITY UT 5138596100
J78 1463 UNITED HEALTHCARE 9797 SPRINGSBORO PIKE DAYTON OH 45470
782659744 8778423210
JP9 1535 UNITED HEALTHCARE PO BOX 659744 SAN ANTONIO TX 799981502 8778423210
JU7 1554 UNITED HEALTHCARE PO BOX 981502 EL PASO TX 8003238520
K29 1590 UNITED HEALTHCARE PO BOX 30555 SALT LAKE CITY UT 84130
303485380 7709353000
K50 1600 UNITED HEALTHCARE PO BOX 105380 ATLANTA GA 8008426563
K64 1604 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 30374 8003238520
K81 1612 UNITED HEALTHCARE PO BOX 30555 SALT LAKE CITY UT 84130
303740800 8772224261
L17 1753 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 8003342400
L19 1754 UNITED HEALTHCARE PO BOX 7579 GREENSBORO NC 27417
303740800 8778423210
M05 1776 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA
ME6 1831 UNITED HEALTHCARE PO BOX 30557 SALT LAKE CITY, UT 84130-05 SALT LAKE CITY, UT 841300557 8667059767
8778423210
MP4 1877 UNITED HEALTHCARE PO BOX 30884 SALT LAKE CITY UT 84130
303740831 8665405920
MR7 1894 UNITED HEALTHCARE PO BOX 740831 ATLANTA GA 8005537360
N93 1924 UNITED HEALTHCARE PO BOX 6101 AUBURN NY 13021
752650403 8008423710
P08 1929 UNITED HEALTHCARE PO BOX 650403 DALLAS TX 6153733207
P09 1930 UNITED HEALTHCARE 5214 MARYLAND WAY, SUITE 207 BRENTWOOD TN 37027
841300555 8005667273
P31 1934 UNITED HEALTHCARE PO BOX 30555 SALT LAKE CITY UT 8015236446
P61 1942 UNITED HEALTHCARE PO BOX 30985 SALT LAKE CITY UT 84130
303485312 8008262211
P84 1946 UNITED HEALTHCARE PO BOX 105312 ATLANTA GA 8006484480
P95 1951 UNITED HEALTHCARE PO BOX 7045 ROCKFORD IL 61126 8008262211
Q11 1956 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 30374
303740800 8772224261
Q18 1960 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 782659741 8009991147
Q70 1968 UNITED HEALTHCARE PO BOX 65971 SAN ANTONIO TX 303740800 8007418805
R14 1984 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 8007829883
R16 1985 UNITED HEALTHCARE PO BOX 27448 ALBUQUERQUE NM 87125
841300555 8008420116
T43 2007 UNITED HEALTHCARE PO BOX 30555 SALT LAKE CITY UT 7045443500
T54 2010 UNITED HEALTHCARE PO BOX 473500 CHARLOTTE NC 28247
841300985 8008425252
V03 2020 UNITED HEALTHCARE PO BOX 30985 SALT LAKE CITY UT

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 NCTracks Carrier Codes
EIS code NCFast Carrier Name Address line 1 City State Zip Phone 1
Code
8772224261
V76 2041 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 30374
841300555 8008420116
W28 2050 UNITED HEALTHCARE PO BOX 30555 SALT LAKE CITY UT 454018740 9374398961
W61 2060 UNITED HEALTHCARE PO BOX 8740 DAYTON OH 841300555 8005488947
X01 2071 UNITED HEALTHCARE PO BOX 30555 SALT LAKE CITY UT 303740800 8885252083
X79 2092 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 303740800 4049828901
X97 2097 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 8007321086
Y10 2102 UNITED HEALTHCARE PO BOX 2258 BREA CA 92622
303740800 8007418805
Y20 2107 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 8006484480
Y48 2117 UNITED HEALTHCARE PO BOX 7045 ROCKFORD IL 61126
303740800 8007418805
Y67 2124 UNITED HEALTHCARE PO BOX 740800 ATLANTA GA 8003433743
Y76 2127 UNITED
UNITED HEALTHCARE
HEALTHCARE DENTAL CLAIMS PO BOX 740800 ATLANTA GA 30374 8778163596
FE2 1199 UNITED HEALTHCARE INTEGRATED SERVICES PO BOX 30567 SALT LAKE CITY UT 84130 8665968447
GW2 1835 UNITED HEALTHCARE OF FLORIDA PO BOX 30783 SALT LAKE CITY, UT 84130 SALT LAKE CITY, UT 84130 8002506177
MG3 635 PO BOX 740800 ATLANTA GA 30374
CT1 950 UNITED HEALTHCARE PHARMACY PLAN/EXPRESS PO BOX 390873 BLOOMINGTON MN 554390873 8008422038
SCRIPTS
UNITED HEALTHCARE PLUS CLAIMS DEPT. 8102741220
FB8 961 UNITED HEALTHCARE/CATERPILLAR P.O. BOX 1378 TROY MI 48099
303740800 8662284215
GE7 1114 UNITED HEALTHCARE/GE MEDICAL BENEFITS PO BOX 740800 ATLANTA GA 8005523232
G34 1071 UNITED HEALTHCARE-STUDENT RESOURCES PO BOX 740801 ATLANTA GA 30374
753809027 8882516160
KP3 1701 UNITED INS. CO. OF AMERICA PO BOX 809027 DALLAS TX 8007778467
114 50 ONE E. WACKER DR. CHICAGO IL 60601 8007650550
CB4 575 UNITED INS.
UNITED OF AMERICA
INSURANCE CLAIMS 12115 LACKLAND RD ST LOUIS MO 63146 8009996685
DT6 764 UNITED INSURANCE CO. OF AMERICA PO BOX 3956 WILMINGTON NC 28406 3126614500
533 189 UNITED INSURANCE COMPANY ONE E. WACKER DR. CHICAGO IL 60601 9199466459
AX2 433 UNITED MEDICAL RESOURCES PO BOX 1118 WASHINGTON NC 27889
451902815 5136513737
E97 809 UNITED MEDICAL RESOURCES 2343 AUBURN AVE. CINCINNATI OH 8008269781
MQ3 1883 UNITED MEDICAL RESOURCES PO BOX 266 ONALASKA WI 54650
452505804 8009504867
V65 2039 UNITED MEDICAL RESOURCES PO BOX 145804 CINCINNATI OH 452505804 8009504867
Y58 2122 UNITED OF OMAHA INSURANCE CO. PO BOX 145804 CINCINNATI OH
574 201 UNITED PHARMACY NETWORK MUTUAL OF OMAHA PLAZA OMAHA NE 68175 2164971816
Y86 2128 UNITED PROVIDER SERVICES PO BOX 2740 N. CANTON OH 44720 8005198374
FX3 1043 UNITED STATES INS. COMPANY PO BOX 820277 FORT WORTH TX 76182
077541581 8002213480
JD9 1482 UNITED STATES LIFE INSURANCE CO. PO BOX 1581 NEPTUNE NJ 752350844 2146312422
P62 1943 UNITED TEACHER INSURANCE COMPANY PO BOX 35844 DALLAS TX 787550580 5124512224
N87 1921 UNITED TEACHERS ASSOCIATION PO BOX 26580 AUSTIN TX 787553010 8008678986
FL3 993 UNITED TRANS. UNION INS. ASSOC. PO BOX 30010 AUSTIN TX 2162289400
V20 2025 UNIVERSAL UNDERWRITERS 14600 DETROIT AVE. CLEVELAND OH 44117 9133391000
539 192 6363 COLLEGE BLVD. OVERLAND PARK KS 66211 8662655983
JM8 1519 UNIVRAFLEXIBLE
UNUM HEALTH CARE
BENEFITS PLAN PO BOX 23000 ROCHESTER NY 14692 8006934988
G39 1072 UPMC HEALTH PLAN SERVICES 2211 CONGRESS STREET PORTLAND ME 04122
152302999 8888762756
FT3 1027 PO BOX 2999 CHATHAM CENTER STE 88 PITTSBURGH PA
537 190 US FIRE INSURANCE PO BOX 2387 MORRISTOWN NJ 07960 8002451206
N62 1913 US
US HEALTHCARE
LIFE INSURANCE IN NEW YORK PO BOX 3013 BLUE BELL PA 19422
538 191 125 MAIDEN LANE NEW YORK NY 10038
KA9 1626 US NOW CLAIMS DEPARTMENT 8350 N CENTRAL EXPRESSWAY; STE.650A DALLAS TX 75206 8006949888
8004608988
KZ4 1747 US SCRIPTS PHARMACY 2425 WEST SHAW AVE FRESNO CA 93711
787160300 8007684387
DF9 724 USA HEALTHCARE PO BOX 160300, DEPT. 7090 AUSTIN TX
542 193 USAA LIFE INSURANCE CO. USAA BUILDING SAN ANTONIO TX 78288

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 NCTracks Carrier Codes
EIS code NCFast Carrier Name Address line 1 City State Zip Phone 1
Code
USABLE LIFE GROUP HEALTH 8005192583
MH7 1846 USA-CIVIL SERVICE RETIREMENT PROGRAM PO BOX 1151 LITTLE ROCK, AR 72203 LITTLE ROCK AR 72203 2026327700
677 245 1900 E. NORTHWEST STREET WASHINGTON DC 20415 8778893715
HB8 1276 USI ADMINISTRATORS
VA HEALTH ADMINISTRATION CENTER PO BOX 776 MELVILLE NY 11747
802469065 8888201756
MJ7 1852 VA MUTUAL BENEFIT LIFE INSURANCE CO. PO BOX 469065 DENVER, CO 80246-9065 DENVER CO 8042721992
779 278 4480 COX ROAD GLEN ALLEN VA 23060
554390873 8008799911
CQ9 626 VALUE
VALUE RX
RX CHOICE DIAGNOSTIC PO BOX 390873 BLOOMINGTON MN 8008544469
AP1 412 PO BOX 390873 BLOOMINGTON MN 55439
Y25 2108 VALUE RX/EMPIRE PLAN PRESCRIPTION DRUG PROGRAM 433 RIVER STREET, SUITE 800 TROY NY 121809864 8006266270
VANBREDA INTERNATIONAL 000000000 3232176846
KV4 1727 PO BOX 69.2140 ANTWERPEN BE
MD9 1829 VETERAN'S AFFAIRS (DIVISION OF CENTRALIZED UNIT) 1988 ROANOKE BLVD. SALEM, VA 24153 SALEM, VA 24153 8009367540
VETERANS LIFE INSURANCE COMPANY 8008728387
937 328 VFCW OF CAROLINA AND VIRGINA ATTN: CLAIMS SERVICE DIVISION VALLEY FORGE PA 19495 8006784656
G02 1058 VIRGINIA HEALTH NETWORK 5305 VIRGINIA BEACH BLVD. NORFOLK VA 23502 3367592013
EF1 830 VISION BENEFITS OF AMERICA 7400 BEAUFONT SPRINGS DR., STE. 505 RICHMOND VA 23225 8004324966
HP9 1366 300 WEYMAN PLAZA STE. 400 PITTSBURG PA 15236 4144751875
HZ5 1416 VISION INSURANCE PLAN PO BOX 44077 MILWAUKEE WI 53214 8888774426
FC3 953 VISION SERVICE PLAN PO BOX 997105 SACRAMENTO CA 95899
958997100 8008777196
FN3 1006 VISION SERVICE PLAN PO BOX 997100 SACRAMENTO CA 8008777195
GA6 1094 VISION SERVICE PLAN 3333 QUALITY DR. RANCHO CORDOVA CA 95670
958997105 8008777195
GZ9 1228 VISION SERVICE PLAN PO BOX 997105 SACRAMENTO CA 8008777195
N63 1914 VISIONLIFE
VISTA SERVICE PLAN COMPANY
INSURANCE PO BOX 2487 COLUMBUS OH 43216
552 194 THE AMERICAN RD. DEARBORN MI 48121
333453219 8004415501
JM2 1515 VISTA SOUTH
VYTRA FLORIDA(SUFFOLK CO. HEA
CORP. CENTER PO BOX 453279 SUNRISE FL 117473127 8004265880
DZ8 783 WAFFLE HOUSE EMPLOYEE BENEFIT PLAN 395 N. SERVICE RD. MELVILLE NY 7707295700
C14 550 WALGREEN HEALTH INITIATIVE PO BOX 6450 NORCROSS GA 30091 8002072568
HX3 1404 PO BOX 545 DEERFIELD IL 60015 8002072568
KU6 1724 WALGREENS
WALGREEN'S HEALTH INITIATIVE PO BOX 269 DEERFIELD IL 60015 8002072568
HB4 1274 WALMART EMPLOYEE'S HEALTH PLAN 2275 HALFDAY DR. STE 250 BANNOCKBURN IL 60015
727523206 5016212929
D47 681 WAL-MART PRESCRIPTION PLAN 922 W. WALNUT STE. A ROGERS AR 8009720943
F23 925 WASHINGTON EMPLOYERS TRUST 702 SOUTH WEST 8TH STREET BENTONVILLE AR 72716 8007838606
KG3 1658 WASHINGTON NATIONAL PO BOX 850898 RICHARDSON TX 75085 8009470319
DF8 723 WASHINGTON NATIONAL INSURANCE PO BOX 740 WHITEWATER WI 53190 6022647451
M59 1792 2929 N. CENTRAL AVE. PHOENIX AZ 85012
611051250 8002751896
556 195 WASHINGTON
WASHINGTON NATL. INS.
WHOLESALERS PO BOX 1250 ROCKFORD IL 8008458518
JV4 1559 7130 COLUMBIA GATEWAY DR STE A COLUMBIA MD 21046
544028013 8007566938
JG5 1495 WAUSAU BENEFITS
WAUSAU DENTAL ADMINISTRATORS PO BOX 8013 WAUSAU WI 544028014
HT7 1388 WAUSAU INSURANCE CO. PO BOX 8014 WAUSAU WI 544028092 8884593013
EF9 836 WAUSAU INSURANCE CO. PO BOX 8092 WAUSAU WI 544028079 8005233578
FB4 949 WAUSAU PHARMACY BENEFITS PO BOX 8079 WAUSAU WI
HF1 1293 PO BOX 8046 WAUSAU WI 54402 7032362984
M82 1798 WEBB FURNITURE, INC. PO BOX 1277 GALAX VA 24333 8662352770
GS8 1186 WELLCARE
WELLMARK ADMINISTRATORS PO BOX 4438 SCRANTON PA 18505 8005265710
FR9 1024 PO BOX 9900 SIOUX CITY IO 51102 8007740384
GB9 1098 WELLMARK BC/BS 1601 W. MADISON AVE. SIOUX FALLS SD 57104 8005166000
KV3 1726 WELLMARK BCBS
WELLMARK BLUE DENTAL PO BOX 9291 STATION 39 DES MOINES IA 50306 8773330164
JK5 1511 PO BOX 9354 DES MOINES IA 50306 8009357284
CI2 599 WELLPATH PO BOX 7102 LONDON KY 40742 8009357284
DU4 767 WELLPATH PO BOX 7102 LONDON KY 40742

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 NCTracks Carrier Codes
EIS code NCFast Carrier Name Address line 1 City State Zip Phone 1
Code
GY2 1215 WELLPATH SELECT, INC C/O COVENTRY HEALTH CARE PO BOX 7102 LONDON KY 40742 8665335155
WELLPATH/COVENTRY HEALTHCARE 8008891947
CH0 595 PO BOX 7102 LONDON KY 40742 8882184844
GL2 1148 WELLPOINT PO BOX 9085 OXNARD CA 93031
930319080 8009627378
GM2 1154 WELLPOINT PO BOX 9080 OXNARD CA 8009627378
HI1 1313 WELLPOINT PO BOX 9081 OXNARD CA 93031 8882097852
HI3 1314 WELLPOINT
WELLPOINT DENTAL
PHARMACY MANAGEMENT/PROSE PO BOX 9066 OXNARD CA 93031 8007002541
DU8 770 WELLPOINT PHARMACY MGMT PO BOX 4165 WOODLAND HILLS CA 91365
913654496 8668418954
AW6 432 PO BOX 4496 WOODLAND HILLS CA 8884062232
FE0 960 WELLS FARGO PO BOX 2857 FAYETTEVILLE NC 28311
253323262 8006248605
CX4 653 WELLS FARGO TPA PO BOX 3262 CHARLESTON WV 9198788411
W19 2049 WEST BROTHERS
WESTERN & SOUTHERN LIFE PO BOX 6365 RALEIGH NC 27628 5136291800
561 196 WESTERN CAROLINA WELL CARE 400 BROADWAY CINCINNATTI OH 45202 8666530338
JU8 1555 WESTERN SOUTHERN LIFE PO BOX 6927 COLUMBIA SC 29260
450215735 5136291800
GX8 1211 WEYCO, INC., BENEFIT MANAGEMENT PO BOX 5735 400 BROADWAY ST CINCINNATI OH 5173497010
J15 1446 WILLIS CORROON CORP. OF KS PO BOX 30132 LANSING MI 48909 8002357160
P03 1926 PO BOX 2697 WITCHITA KS 67201 3162684775
GT0 1188 WILLIS OF KANSAS, INC. PO BOX 2697 WICHITA KS 67201
212970417 8004239791
B79 462 WILSE & COOK
WILSON ASSOCIATES,
MEDICALINC.
PLAN, INC. PO BOX 13303 BALTIMORE MD 8002454707
AN3 408 WISCONSIN PHYSICIAN SERVICES 4900 BETHANIA STATION RD. WINSTON-SALEM NC 27105 8888749378
MR3 1890 WOODMEN OF THE WORLD LIFE INS. PO BOX 77028 MADISON WI 53707
681720052 3034968000
566 198 WOODS AND GROOMS 1700 FARNAM STREET OMAHA NE 8123729955
D61 686 PO BOX 2549 COLUMBUS IN 47202
681032558
FN4 1007 WORLD INSURANCE
WORLD INSURANCE COMPANY PO BOX 2558 OMAHA NE 681030160 8882083526
567 199 Z. V. PATE GROUP SELF INSURANCE FUND PO BOX 3160 OMAHA NE 9104622122
GE6 1113 PO BOX 159 LAUREL HILL NC

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