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Select Payer 13162: 1199 National Benefit Fund P.O. Box 1007 New York NY 10108 87726: Aarp (UHC Advantage) P.O. Box 31362 Salt Lake City UT 84131-0362 36273: AARP (UHC Claims Division) P.O. Box 740819 Atlanta GA 30374-1657 60054: Aetna P.O. Box 14079 Lexington KY 40512 60054: Aetna Advantage P.O. Box 981106 El Paso TX 79998 00601: Anthem BCBS P.O. Box 105370 Atlanta GA 30348 00601: Anthem BlueCross (Federal) P.O. Box 105557 Atlanta GA 30348-5557 00601: BCBS HEALTHCARE PLAN OF GA 62308: Cigna P.O. Box 182223 Chattanooga TN 37422-6061 62308: Cigna P.O. Box 188061 Chattanooga TN 37422-6061 Paper: CNA - Valley Forge Ins. Company P.O. Box 8317 Chicago IL 60680-8317 Paper: Employers P.O. Box 32036 Lakeland FL 33802-2036 Paper: G.A.D.A. 2060 Powers Ferry Rd Atlanta GA 30339 Paper: Gallagher Bassett P.O. Box 2831 Clinton IA 52733-2831 37602: Golden Rule (UHC1) 712 Eleventh Street Lawrenceville IL 62439-2316 Paper: Hartford Insurance P.O. Box 14170 Lexington KY 40512 56144: Healthgram P.O Box 188061 Chattanooga TN 37422-8061 61101: Humana P.O. Box 14601 Lexington KY 40512 21313: Kaiser P.O. Box 370010 Denver CO 80237 Paper: Liberty Mutual P.O. Box 7203 London KY 40742 SMGA0: Medicare P.O. Box 3018 Savannah GA 31402 41124: Meritain P.O. Box 27267 Minneapolis MN 55427 14165: MVP Healthcare PO Box 2207 Scheneclady NY 12301-2207 Oscar: Oscar 06111: Oxford Health (UHC) P.O. Box 29130 Hot Springs AR 71903 62308: Samba P.O. Box 188007 Chattanooga TN 37422 Paper: Sedgwick Claims Management P.O. Box 14437 Lexington KY 40512-4514 SELFPAY: SELF-PAY Paper: State Farm P.O. Box 106171 Atlanta GA 30348-6171 Paper: Transamerica P.O. Box 30541 Salt Lake City UT 84130-0541 Paper: Travelers P.O. Box 660456 Dallas TX 75266-0456 TREST: Tricare East P.O. Box 7981 Madison WI 53707 87726: UHC 52133: UHC Global P.O. Box 30526 Salt Lake City UT 84130-0526 39026: UMR (Freedom Life) P.O. Box 30541 Salt Lake City UT 84130-0541 Crossover: United American Ins Co P.O. Box 8080 McKinney TX 75070-8080 74227: United Healthcare P.O. Box 809025 Dallas TX 75380-9025 87726: United Healthcare P.O. Box 740800 Atlanta GA 30374-0800 87726: United Healthcare P.O. Box 30555 Salt Lake City UT 84130-0555 87726: United Healthcare Medicare Solutions P.O. Box 31362 Salt Lake City UT 84131-0362 74095: USAA Life Insurance Company P.O. Box 9800 Fredericksburg Company San Antonio TX 78288 SX176: WPS Tricare for Life P.O. Box 7890 Madison WI 53707 Paper: Zenith P.O. Box 1558 Sarasota FL 34230 Paper: ZNAT P.O. Box 1558 Sarasota FL 34230

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