CARRIER CODE

LAM1R032

RUN: 06/08/24

13:29:43

LOUISIANA MEDICAID MANAGEMENT INFORMATION SYSTEMS

LOUISIANA DEPARTMENT OF HEALTH - MEDICAL ASSISTANCE PROGRAM

TP-0-32-2

PAGE:

1

TPL CARRIER FILE LISTING

CARRIER NAME

CARRIER

CODE

AAA LIFE INSURANCE COMPANY

AARP

AARP HEALTH CARE OPTIONS

AAU USA SPORTS

ACCREDO

ACE AMERICAN INSURANCE

ACUITY GROUP

0001-00

3763-00

0522-00

3702-00

4182-00

4214-00

4353-00

ADMINISTRATIVE CONCEPTS INC

0030-14

ADMINISTRATIVE SYSTEMS RESEARCH CORP

ADVANTAGE HEALTH

ADVANTICA BENEFITS

ADVANTRA FREEDOM

AETNA

AETNA DENTAL

AETNA HEALTH MANAGEMENT

AETNA LIFE AND CASUALTY

AETNA PHARMACY MANAGEMENT

AFLAC

AIG LIFE INSURANCE COMPANY

AIG-DENTAL BENEFIT PROVIDERS

AITHER HEALTH

ALIERA HEALTHCARE

ALL SAVERS

ALLEGIANCE BENEFIT PLAN MANAGEMENT

ALLIANT HEALTH PLANS

ALLIED BENEFITS SYSTEMS INC

ALLIED NATIONAL

ALLSTATE

ALLWELL MEDICARE ADVANTAGE

ALTA HEALTH STRATEGIES

ALTERNATIVE BENEFITS INC

ALTERNATIVE INSURANCE RESOURCES INC

ALTERNATIVE RISK MANAGEMENT LTD

ALTRISK

ALWAYSCARE BENEFITS INC

AMALGAMATED LIFE INSURANCE COMPANY

AMBETTER

2188-00

2841-00

3843-00

H084-60

1050-00

3757-00

H573-60

0828-00

3413-00

0026-00

0002-00

3398-00

4315-00

4230-00

4205-00

3407-00

3289-00

3033-00

4107-00

3594-00

H213-00

0907-00

4262-00

2976-00

2651-00

4304-00

3428-00

1449-00

4367-00

AMBETTER ESSENTIAL CARE

AMBETTER FROM BUCKEYE COMMUNITY HEA

4366-00

4216-00

AMBETTER FROM LOUISIANA HEALTHCARE

4368-00

AMBETTER FROM MAGNOLIA HEALTH

4197-00

AMBETTER FROM SUPERIOR HEALTH

AMERCO INSURANCE

AMERI HEALTH MERCY OF LOUISIANA

AMERIBEN

4296-00

3167-00

4027-00

3662-00

CARRIER ADDRESS-LINE 1

CARRIER ADDRESS-LINE 2

17900 N LAUREL PARK DR

PO BOX 13999

PO BOX 740819

PO BOX 189

10400 N 25TH AVE

436 WALNUT ST

1022 HWY COLONY PKWY

SUITE 202

994 OLD EAGLE SCHOOL RD

STE 1005

PO BOX 6392

839 ST CHARLES AVE

PO BOX 981607

PO BOX 7154

PO BOX 14079

PO BOX 14094

PO BOX 981107

151 FORMINGTON AVE

PO BOX 398106

1932 WYNNTON RD

PO BOX 305800

PO BOX 1581

P O BOX 211440

P O BOX 16818

P O BOX 31375

PO BOX 3018

PO BOX 3708

PO BOX 909786

PO BOX 29186

1776 AMERICAN HERITAGE

8585 ARCHIVES AVE/STE 310

PO BOX 671088

2601 FLOWERS RD

PO BOX 660787

814 W NORTHWEST HWY

P O BOX 21053

PO BOX 98100

770 BROADWAY

P O BOX 5010

ATTN CLAIMS

P O BOX 5010

4349 EASTON WAY

STE 300

P O BOX 5010

CLAIMS DEPARTMENT

111 E CAPITOL ST

#500

P O BOX 5010

2721 N CENTRAL AVE

PO BOX 7322

PO BOX 7887

CITY

ST

ZIP

PHONE

LIVONIA

PHILADELPHIA

ATLANTA

BRIGHTON

PHOENIX

PHILADEPHIA

RIDGELAND

MI

PA

GA

ME

AZ

PA

MS

48152

19187

30374

04009

85021

19106

39157

888-422-7020

800-523-5800

800-523-5800

000-000-0000

800-803-2523

800-839-1959

855-563-9396

WAYNE

PA

19087

888-293-9229

GRAND RAPIDS

NEW ORLEANS

EL PASO

LONDON

LEXINGTON

LEXINGTON

EL PASO

HARTFORD

MINNEAPOLIS

COLUMBUS

NASHVILLE

NEPTUNE

EAGAN

LUBBOCK

SALT LAKE CITY

MISSOULA

CORPUS CHRISTI

CHICAGO

SHAWNEE MISSION

JACKSONVILLE

BATON ROUGE

HOUSTON

ATLANTA

BIRMINGHAM

ARLINGTON HEIGHTS

EAGAN

BATON ROUGE

NEW YORK

FARMINGTON

MI

LA

TX

KY

KY

KY

TX

CT

MN

GA

TN

NJ

MN

TX

UT

MT

TX

IL

KS

FL

LA

TX

GA

AL

IL

MN

LA

NY

MO

49516

70130

79998

40742

40512

40512

79998

06156

55439

31999

37230

07754

55121

79490

84131

59806

78463

60690

66201

32224

70809

77267

30341

35266

60004

55121

70898

10003

63640

800-968-3033

866-586-1755

800-507-3800

800-713-5095

800-800-8121

859-264-7354

888-632-3862

888-632-3862

800-238-6279

800-992-3522

212-770-7000

212-770-7000

833-665-7444

800-252-3684

800-291-2634

800-877-1122

800-811-4793

800-288-2078

800-825-7531

800-521-3535

885-766-1572

000-000-0000

404-451-0376

800-451-4318

847-394-1700

800-392-1770

888-729-5433

212-473-5700

945-241-9999

FARMINGTON

COLUMBUS

MO

OH

61640

43219

877-687-1196

877-687-1189

FARMINGTON

MO

63640

194-524-1629

JACKSON

MS

39201

877-687-1187

FARMINGTON

PHOENIX

LONDON

BOISE

MO

AZ

KY

ID

63640

85004

40742

83707

877-687-1196

877-469-3073

866-681-7373

800-786-7930

LAM1R032

RUN: 06/08/24

13:29:43

LOUISIANA MEDICAID MANAGEMENT INFORMATION SYSTEMS

LOUISIANA DEPARTMENT OF HEALTH - MEDICAL ASSISTANCE PROGRAM

TP-0-32-2

PAGE:

2

TPL CARRIER FILE LISTING

CARRIER NAME

CARRIER

CODE

AMERIBEN SOLUTIONS

AMERICA FIRST INSURANCE CO

AMERICA'S FIRST CHOICE

3083-00 PO BOX 5347

3161-00 PO BOX 16708

4293-00 250 BERRYHILL RD

#311

3495-00 PO BOX 93670

3981-00 PO BOX 1188

1584-00 3099 EAST WASHINGTON AVE

0027-00 PO BOX 25523

0839-00 PO BOX 660238

0033-00 1776 AMERICAN HERITAGE DR

0034-00 PO BOX 2608

2628-00 1100 POYDRAS ST

STE 2600

2796-00 PO BOX 35

1946-00 PO BOX 19032

0041-00 ONE MOODY PLZ

4260-00 P O BOX 1520

3695-00 PO BOX 130

4356-00 18 HEYWARD ST

0706-00 PO BOX 3279

0045-00 PO BOX 925

0046-00 PO BOX 21670

3992-00 PO BOX 300100

3475-00 PO BOX 61140

3325-00 PO BOX 26103

3804-00 PO BOX 23907

H283-00 P O BOX

3193-00 720 BLAIR MIL RD

2110-00 PO BOX 82520

3745-00 PO BOX 1358

3584-00 920 PIERREMONT RD

STE 506

H570-00 PO BOX 4946

3388-00 PO BOX 419090

0930-00 PO BOX 21734

4312-00 P O BOX 37705

4333-00 P O BOX 6392

4188-00 509 S LENOLA RD

3450-00 PO BOX 2940

3317-00 PO BOX 91604

4237-00 8150 N CENTRAL EXPRESSWAY

STE 1700

3908-00 PO BOX 2397

3302-00 PO BOX 82533

4291-00 18861 90TH AVE

STE A

4383-00 5300 S BROADBAND LN

3479-00 PO BOX 6910

3936-00 424 1ST AVE NE

STE 200

3893-00 9400 SOUTH DADELAND BLVD

AMERICAN

AMERICAN

AMERICAN

AMERICAN

AMERICAN

AMERICAN

AMERICAN

AMERICAN

ADMINISTRATIVE GROUP

CONTINENTAL INSURANCE

FAMILY INSURANCE

FIDELITY ASSURANCE CO.

GENERAL GROUP INSURANCE COMPANY

HERITAGE LIFE

INCOME LIFE INS. CO.

LIFE CARE

AMERICAN MARITIME OFFICERS MEDICAL PLAN

AMERICAN MEDICAL SECURITY

AMERICAN NATIONAL INS. CO.

AMERICAN NATIONAL INSURANCE

AMERICAN PIONEER

AMERICAN PLAN ADMINISTRATORS

AMERICAN POSTAL WORKERS UNION

AMERICAN PUBLIC LIFE INS. CO.

AMERICAN REBUBLIC INS. CO.

AMERICAN RETIREMENT LIFE INS CO

AMERICAN SENTINEL

AMERICAN STERLING INSURANCE CO

AMERICORPS BENEFITS

AMERIGROUP

AMERIHEALTH ADMINISTRATORS

AMERITAS LIFE INSURANCE CORP

APWU

ARCADIAN COMMUNITY CARE

ARCADIAN HEALTH PLAN

ARGUS

ARKLA GAS CO

ASCENSION SMARTHEALTH

ASR HEALTH BENEFITS

ASRM CORP

ASSURANT EMPLOYEE BENEFITS

ASSURANT HEALTH

ASSURED BENEFITS ADMINISTRATORS

ASSURED LIFE ASSOC (WOODMEN OF THE WORLD)

ASSURITY LIFE INSURANCE

ATLAS (ZENITH ADMINISTRATORS)

AUERA HEALTH PLANS

AULTCARE

AUXIANT

AV MED

CARRIER ADDRESS-LINE 1

CARRIER ADDRESS-LINE 2

CITY

ST

ZIP

PHONE

BOISE

JACKSON

COLUMBIA

ID

MS

SC

83705

39236

29210

800-786-7930

800-800-1397

888-563-3289

LUBBOCK

BRENTWOOD

MADISON

OKLAHOMA CITY

DALLAS

JACKSONVILLE

WACO

NEW ORLEANS

TX

TN

WI

OK

TX

FL

TX

LA

79493

37027

53704

73125

75266

32224

76797

70163

800-323-1726

800-264-4000

800-374-0008

888-454-9783

800-888-2452

800-535-8086

000-000-0000

504-681-3600

DANIA

GREEN BAY

GALVESTON

GALVESTON

PENSACOLA

BROOKLYN

SILVER SPRING

JACKSON

EAGAN

AUSTIN

HARRISBURG

OVERLAND PARK

COLUMBIA

LOS ANGELES

HORSHAM

LINCOLN

GLEN BURNIE

SHREVEPORT

FL

WI

TX

TX

FL

NY

MD

MS

MN

TX

PA

KS

SC

CA

PA

NE

MD

LA

33004

54307

77550

77553

32591

11249

20918

39205

55121

78755

17106

66225

29224

90054

19044

68501

21060

71106

800-348-6515

800-232-5432

318-234-5191

800-899-6503

800-999-2224

718-834-1256

800-222-2798

601-981-8681

515-247-2435

800-633-6752

800-692-7338

000-000-0000

803-736-6463

800-600-5552

866-681-7373

800-487-5553

800-222-2798

318-865-1061

COVINA

KANSAS CITY

SHREVEPORT

OAK PARK

GRAND RAPIDS

MOORESTOWN

CLINTON

LUBBOCK

DALLAS

CA

MO

LA

MI

MI

NJ

IA

TX

TX

91723

64141

71151

48237

49516

08057

52733

79490

75206

800-573-8597

800-792-7487

800-272-7243

800-225-9369

800-968-3033

800-359-7475

800-328-4316

800-553-7654

800-247-7114

OMAHA

LINCOLN

MOKENA

NE

NE

IL

68103

68501

60448

877-492-5870

800-535-6373

312-649-1200

SIOUX FALLS

CANTON

CEDAR RAPIDS

SD

OH

IA

57108

44706

52401

000-000-0000

800-505-2858

800-475-2232

MIAMI

FL

33156

305-671-5437

LAM1R032

RUN: 06/08/24

13:29:43

LOUISIANA MEDICAID MANAGEMENT INFORMATION SYSTEMS

LOUISIANA DEPARTMENT OF HEALTH - MEDICAL ASSISTANCE PROGRAM

TP-0-32-2

PAGE:

3

TPL CARRIER FILE LISTING

CARRIER NAME

CARRIER

CODE

AV MED OF LOUISIANA

AVERA HEALTH PLAN

AVMA GROUP HEALTH & LIFE

AXA EQUITABLE LIFE INSURANCE COMPANY

BANKERS FIDELITY

BANKERS LIFE AND CASUALTY

BANKERS UNITED LIFE ASSURANCE CO.

BAY BRIDGE

BCS INSURANCE COMPANY

0988-00

4249-00

4228-00

0148-00

4283-00

3812-00

0070-00

4303-00

4327-00

BEACON HEALTH OPTIONS

BENEFIT & RISK MANAGENT SERVICES

3163-00

4359-00

BENEFIT ADMINISTRATION SERVICES

BENEFIT ADMINISTRATION SERVICES,LTD

4232-00

0868-00

BENEFIT ADMINISTRATIVE SYSTEMS, LLC

BENEFIT ADMINISTRATORS

3512-00

1937-00

BENEFIT

BENEFIT

BENEFIT

BENEFIT

BENEFIT

MANAGEMENT INC

MANAGEMENT SERVICES

MANAGEMENT SYSTEM

PLAN ADMINISTRATORS

PLAN SERVICES

1869-00

1321-00

3323-00

1489-00

4370-00

BENEFIT SERVICES INC

BENEFIT SUPPORT,INC

BENESYS INC/BASS ADMINISTRATORS

BENICOMP

BLUE ADVATAGE ADMINISTRATION OF AR

BLUE BELL BENEFITS TRUST

BLUE CARE NETWORK

BLUE CROSS (REGENCE GROUP ADMIN)

BLUE CROSS BLUE SHIELD

BLUE CROSS FEB (ANTHEM)

BLUE CROSS OF ALABAMA

BLUE CROSS OF ALASKA (PREMERA)

BLUE CROSS OF ARIZONA

BLUE CROSS OF ARKANSAS

BLUE CROSS OF ARKANSAS (FEP

BLUE CROSS OF ARKANSAS (MED REPL)

BLUE CROSS OF CALIFORNIA (ANTHEM)

BLUE CROSS OF CALIFORNIA (MED REPL)

BLUE CROSS OF COLORADO

BLUE CROSS OF CONNECTICUT

BLUE CROSS OF DELAWARE

BLUE CROSS OF FLORIDA

BLUE CROSS OF GEORGIA

BLUE CROSS OF GEORGIA (FEP)

BLUE CROSS OF HAWAII

BLUE CROSS OF IDAHO

3099-00

4233-00

2245-00

4323-00

3506-00

4357-00

2770-00

3797-00

H014-70

3740-00

3463-00

3756-00

0532-00

0548-00

3894-00

H584-90

3558-00

H056-40

0835-00

1697-00

2888-00

0537-00

0979-00

3926-00

1936-00

1234-00

CARRIER ADDRESS-LINE 1

CARRIER ADDRESS-LINE 2

2900 RIDGELAKE DR

3816 S ELMWOOD AVE

P O BOX 8789

PO BOX 1547

P O BOX 105652

PO BOX 1935

PO BOX 1447

1101 S CAPITAL OF TEXAS H

2 MID AMERICA PLAZA

SUITE 200

200 STATE ST

80 IRON POINT CIRCLE

STE 200

P O BOX 21515

613 CRESCENT CIRCLE

STE 201

17475 JOVANNA DR

9999 BREWSTER LN

STE 100

PO BOX 3001

PO BOX 98044

PO BOX 3859

PO BOX 130217

1022 HUTTON LN

SUITE 103

PO BOX 4138

P O BOX 2977

PO BOX 81189

8310 CLINTON PARK DR

PO BOX 1460

P O BOX 605

25925 TELEGRAPH RD

PO BOX 52890

PO BOX 98029

PO BOX 27401

450 RIVER CHASE PKWY E

PO BOX 240609

PO BOX 13466

601 S GAINES ST

PO BOX 2181

PO BOX 2181

PO BOX 60007

PO BOX 60007

PO BOX 5368

PO BOX 533

PO BOX 1991

PO BOX 1798

PO BOX 9907

PO BOX 105557

PO BOX 860

PO BOX 7408

CITY

ST

ZIP

PHONE

METAIRIE

SIOUX FALLS

SCOTTSDALE

SEACAUCUS

ATLANTA

CARMEL

CEDAR RAPIDS

AUSTIN

OAKBROOK TERRACE

LA

SD

AZ

NJ

GA

IN

IA

TX

IL

70002

57105

85252

07096

30348

46082

52406

78746

60181

305-671-5437

888-322-2115

800-621-6360

800-782-9355

866-458-7499

317-817-6300

800-637-6318

512-329-5069

630-472-7700

BOSTON

FOLSOM

MA

CA

02109

95630

617-747-1100

916-467-1401

EAGAN

RIDGELAND

MN

MS

41205

39157

800-788-8771

601-605-0072

HOMEWOOD

POWELL

IL

OH

60430

43065

708-799-7400

614-336-2700

JOPLIN

BATON ROUGE

PORTLAND

TYLER

HIGH POINT

MO

LA

ME

TX

NC

64803

70898

04104

75713

27262

417-782-1515

704-845-5608

800-242-6226

701-237-4787

225-987-4561

AKRON

GAINESVILLE

LAFAYETTE

FORT WAYNE

LITTLE ROCK

BRENHAM

SOUTHFIELD

BELLEVUE

BATON ROUGE

RICHMOND

BIRMINGHAM

ANCHORAGE

PHOENIX

LITTLE ROCK

LITTLE ROCK

LITTLE ROCK

LOS ANGELES

LOS ANGELES

DENVER

NORTH HAVEN

WILMINGTON

JACKSONVILLE

COLUMBUS

ATLANTA

HONOLULU

BOISE

OH

GA

LA

IN

AR

TX

MI

WA

LA

VA

AL

AK

AZ

AR

AR

AR

CA

CA

CO

CT

DE

FL

GA

GA

HI

ID

44321

30503

70598

46825

72203

77834

48034

98015

70898

23279

35298

99524

85002

72203

72203

72203

90060

90060

80217

06473

19899

32231

31908

30348

96808

83707

330-666-0337

770-532-2690

248-813-9800

260-482-7400

800-370-5790

979-830-7388

800-810-2583

000-000-0000

800-599-2583

800-599-2583

855-525-7283

800-722-1471

800-528-0716

800-827-4814

800-827-4814

800-827-4814

800-777-6000

800-777-6000

800-533-5643

800-922-6621

800-633-2563

877-352-2583

800-718-8831

800-282-2473

800-776-4672

800-274-4018

LAM1R032

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LOUISIANA MEDICAID MANAGEMENT INFORMATION SYSTEMS

LOUISIANA DEPARTMENT OF HEALTH - MEDICAL ASSISTANCE PROGRAM

TP-0-32-2

PAGE:

4

TPL CARRIER FILE LISTING

CARRIER NAME

BLUE

BLUE

BLUE

BLUE

BLUE

BLUE

BLUE

BLUE

BLUE

BLUE

BLUE

BLUE

BLUE

BLUE

BLUE

BLUE

BLUE

BLUE

BLUE

BLUE

BLUE

BLUE

BLUE

BLUE

BLUE

BLUE

BLUE

BLUE

BLUE

BLUE

BLUE

BLUE

BLUE

BLUE

BLUE

BLUE

BLUE

BLUE

BLUE

BLUE

BLUE

BLUE

BLUE

BLUE

BLUE

BLUE

BLUE

BLUE

BLUE

BLUE

BLUE

CROSS

CROSS

CROSS

CROSS

CROSS

CROSS

CROSS

CROSS

CROSS

CROSS

CROSS

CROSS

CROSS

CROSS

CROSS

CROSS

CROSS

CROSS

CROSS

CROSS

CROSS

CROSS

CROSS

CROSS

CROSS

CROSS

CROSS

CROSS

CROSS

CROSS

CROSS

CROSS

CROSS

CROSS

CROSS

CROSS

CROSS

CROSS

CROSS

CROSS

CROSS

CROSS

CROSS

CROSS

CROSS

CROSS

CROSS

CROSS

CROSS

CROSS

CROSS

OF

OF

OF

OF

OF

OF

OF

OF

OF

OF

OF

OF

OF

OF

OF

OF

OF

OF

OF

OF

OF

OF

OF

OF

OF

OF

OF

OF

OF

OF

OF

OF

OF

OF

OF

OF

OF

OF

OF

OF

OF

OF

OF

OF

OF

OF

OF

OF

OF

OF

OF

CARRIER

CODE

IDAHO (FEP)

ILLINOIS

ILLINOIS (CHICAGO)

ILLINOIS (DENTAL)

INDIANA

IOWA

KANSAS

KENTUCKY (ANTHEM)

LOUISIANA

LOUISIANA (FEP)

MAINE

MARYLAND

MASSACHUSETTS

MICHIGAN

MICHIGAN (MED REPL)

MINNESOTA

MISSISSIPPI

MISSOURI (ANTHEM)

MISSOURI (KC)

MISSOURI (ST LOUIS)

MONTANA

NEBRASKA

NEVADA

NEW JERSEY

NEW JERSEY (EXCELLUS)

NEW MEXICO

NEW YORK (EMPIRE)

NEW YORK (EXCELLUS)

NEW YORK (NORTHEASTERN)

NEW YORK (ROCHESTER)

NEW YORK (WESTERN)

NORTH CAROLINA

NORTH DAKOTA

OHIO

OHIO (ANTHEM)

OKLAHOMA

OREGON

PENNSYLVANIA

PENNSYLVANIA (HGHMRK)

PENNSYLVANIA (IND)

RHODE ISLAND

SOUTH CAROLINA

SOUTH DAKOTA

TENNESSEE

TEXAS

UTAH

VERMONT

VIRGINIA-ANTHEM

WASHINGTON (KING COUNTY MEDICAL)

WASHINGTON (PREMERA)

WASHINGTON & ALASKA

4211-00

0543-00

0535-00

3840-00

0964-00

0539-00

0837-00

3551-00

0546-00

2601-00

1405-00

0542-00

0545-00

0544-00

H231-90

1708-00

0515-00

1366-00

1251-00

0533-00

2441-00

1402-00

2051-00

0947-00

3451-00

2916-00

0928-00

3809-00

0536-00

1023-00

0746-00

1058-00

3181-00

2693-00

3448-00

0521-00

1270-00

1657-00

3498-00

3481-00

1158-00

3492-00

3145-00

0880-00

3537-00

1818-00

2856-00

4229-00

1276-00

3672-00

1196-00

CARRIER ADDRESS-LINE 1

CARRIER ADDRESS-LINE 2

3000 E PINE AVE

233 N MICHIGAN AVE

PO BOX 805107

PO BOX 23059

PO BOX 62509

636 GRAND AVE

PO BOX 239

PO BOX 37180

PO BOX 98029

PO BOX 98029

PO BOX 8884

PO BOX 14115

PO BOX 986030

600 LAFAYETTE EAST

PO BOX 440

PO BOX 64061

PO BOX 1043

PO BOX 14882

PO BOX 419169

444 FOREST PARK

PO BOX 50004

PO BOX 3248

PO BOX 10330

PO BOX 420

165 COURT ST

PO BOX 27630

PO BOX 3877

PO BOX 22999

PO BOX 15013

343 STATE ST

PO BOX 80

PO BOX 35

4510 13TH AVE SW

PO BOX 94754

9075 CENTRE POINT DR

PO BOX 3283

PO BOX 1271

PO BOX 62

PO BOX 3355

1901 MARKET ST

444 WESTMINSTER MALL

PO BOX 100605

1601 WEST MADISON

801 PINE ST

PO BOX 660044

PO BOX 30272

PO BOX 186

P O BOX 27401

PO BOX 91015

PO BOX 91059

PO BOX 327

CITY

ST

ZIP

PHONE

MERIDIAN

CHICAGO

CHICAGO

BELLEVILLE

VIRGINIA BEACH

DES MOINES

TOPEKA

LOUISVILLE

BATON ROUGE

BATON ROUGE

PORTLAND

LEXINGTON

BOSTON

DETROIT

SOUTHFIELD

ST PAUL

JACKSON

SAINT LOUIS

KANSAS CITY

ST LOUIS

BUTTE

OMAHA

RENO

NEWARK

ROCHESTER

ALBUQUERQUE

NEW YORK

ROCHESTER

ALBANY

ROCHESTER

BUFFALO

DURHAM

FARGO

CLEVELAND

WESTCHESTER

TULSA

PORTLAND

CAMPHILL

PITTSBURGH

PHILADELPHIA

PROVIDENCE

COLUMBIA

SIOUX FALLS

CHATTANOOGA

DALLAS

SALT LAKE CITY

MONTPELIER

RICHMOND

SEATTLE

SEATTLE

SEATTLE

ID

IL

IL

IL

VA

IA

KS

KY

LA

LA

ME

KY

MA

MI

MI

MN

MS

MO

MO

MO

MT

NE

NV

NJ

NY

NM

NY

NY

NY

NY

NY

NC

ND

OH

OH

OK

OR

PA

PA

PA

RI

SC

SD

TN

TX

UT

VT

VA

WA

WA

WA

83642

60601

60680

62223

23466

50307

66601

40233

70898

70898

04104

40512

02298

48226

48037

55164

39205

63178

64141

63108

59701

68180

89520

07101

14647

87125

10008

14692

12212

14650

14240

27702

58121

44101

45069

74102

97207

17001

15230

19101

02901

29260

57104

37402

75266

23279

05601

23279

98111

98111

98111

800-627-6656

800-538-8833

312-653-6000

877-860-2837

800-382-5520

800-362-2218

888-989-8842

800-880-2583

800-599-2583

800-599-2583

800-422-4304

410-581-3000

800-262-2583

313-225-9000

313-225-9000

800-382-2000

800-222-8046

800-932-4480

800-451-2348

800-932-4480

406-447-8600

800-821-4787

800-727-4060

800-624-5078

800-201-8868

800-835-8699

212-476-1000

800-524-2461

800-888-1238

800-676-2583

800-856-0480

800-922-6621

800-874-2656

800-282-1016

800-282-1016

800-722-3130

866-227-0913

800-235-4999

800-544-6679

800-555-1514

800-327-6712

800-222-7156

800-831-4818

800-565-9140

800-521-2227

800-624-6519

800-344-6690

804-358-1551

800-875-4422

800-875-4422

206-670-4000

LAM1R032

RUN: 06/08/24

13:29:43

LOUISIANA MEDICAID MANAGEMENT INFORMATION SYSTEMS

LOUISIANA DEPARTMENT OF HEALTH - MEDICAL ASSISTANCE PROGRAM

TP-0-32-2

PAGE:

5

TPL CARRIER FILE LISTING

CARRIER NAME

CARRIER

CODE

CARRIER ADDRESS-LINE 1

CARRIER ADDRESS-LINE 2

BLUE CROSS OF WEST VIRGINIA

BLUE CROSS OF WISCONSIN (ANTHEM)

BLUE CROSS OF WYOMING

BLUE CROSS PENNSYLVANIA (WESTERN)

BLUE SHIELD OF CALIFORNIA

BLUE SHIELD OF PUERTO RICO

BMI BENEFIT

BOLLINGER EMPLOYEES HEALTHCARE PLAN

BOON CHAPMAN

BOON GROUP

BRECKPOINT INSURANCE

1432-00

3998-00

1190-00

0538-00

4270-00

2822-00

4288-00

3729-00

0971-00

4175-00

4246-00

BRIGHT HEALTHCARE

BROKERAGE CONCEPTS

BUSINESS ADMINISTRATORS AND CONSULTANTS INC

CALIFORNIA IRONWORKERS FIELD WELFARE PLAN

CAPITAL BLUECROSS

CAPITAL RX

4334-00

3931-00

2952-00

0855-00

4199-00

4342-00

CAPITOL ADMINISTRATORS

4236-00

CAPITOL DISTRICT PHYSICIANS HEALTH

CAPROCK HEALTH GROUP

CAREFIRST

CAREINGTON INTERNATIONAL

CAREMARK

CAREMORE

CAREPLUS HEALTH PLANS INC

CARESOURCE

CARPENTERS HEALTH & SECURITY TRUST

CATALYST RX

CBA BLUE

CBCA ADMINISTRATORS

CCMSI

4274-00

4243-00

3340-00

3009-00

3744-00

H054-40

H101-00

4360-00

3723-00

3220-00

3850-00

3305-00

3210-00

CELTIC INSURANCE COMPANY

CELTIC LIFE INS. CO.

3914-00

0086-00

CENTRAL STATES HEALTH & LIFE CO. OF OMAHA

CENTRAL STATES INDEMNITY

CENTRAL STATES INS CO CENTURY HEALTHCARE

CERNER HEALTH PLANS

CERPASS RX

CHEROKEE INSURANCE COMPANY

CHEROKEE NATIONAL LIFE INS. CO.

CHESTERFIELD RESOURCES INC

CHITIMACHA EMPLOYEES HEALTH PLAN

CHRISTIAN BROTHERS

CHRISTIAN CARE MEDI-SHARE

CHRISTIAN FIDELITY LIFE INS COMPANY

0091-00

4013-00

0090-01

3489-00

3980-00

4213-00

4110-00

0095-00

1350-00

2774-00

0885-00

3482-00

0949-00

PO BOX 7026

PO BOX 105187

PO BOX 2266

PO BOX 358

4203 TOWN CENTER BLVD

PO BOX 363628

P O BOX 511

PO BOX 706

PO BOX 9201

P O BOX 559017

5130 S FORT APACHE

#215-365

P O BOX 16275

801 LAKEVIEW DR

PO BOX 107

475 HUNTINGTON DR

P O BOX 211457

228 PARK AVE

STE 87234

10951 WHITE ROCK RD

STE 100

17 COLUMBIA CIRCLE

11467 HUEBNER RD/STE 3

10455 MILL RUN CIRCLE

13155 NOEL RD

PO BOX 52196

PO BOX 366

PO BOX 14697

P O BOX 8738

PO BOX 1929

PO BOX 44036

PO BOX 2365

PO BOX 16579

2 EAST MAIN ST

TOWN CENTRE BUILDING

PO BOX 26440

208 S LASALLE ST

STE 1644

PO BOX 34350

1212 N 96TH ST

10425 W NORTH AVE

PO BOX 2256

PO BOX 188061

ONE COWBOYS WAY/STE 290

34200 MOUND RD

1122 GRAY HWY

PO BOX 1884

PO BOX 39

1205 WINDHAM PKWY

P O BOX 981652

2001 BATES DR

CITY

ST

ZIP

PHONE

WHEELING

ATLANTA

CHEYENNE

PITTSBURGH

EL DORADO HILLS

SAN JUAN

MATAWAN

SHORT HILLS

AUSTIN

AUSTIN

LAS VEGAS

WV

GA

WY

PA

CA

PR

NJ

NJ

TX

TX

NV

26105

30348

72211

15230

95762

00936

07747

07078

87866

78755

89148

800-535-5266

800-242-7164

307-634-1393

215-241-2400

800-393-6130

877-357-9777

800-445-3126

800-526-1379

800-252-9653

800-368-2666

800-638-5216

READING

BLUE BELL

REYNOLDSBURG

SAN MARINO

EAGAN

NEW YORK

PA

PA

OH

CA

MN

NY

19612

19422

21060

91108

55121

10003

877-714-3222

877-224-3486

614-863-8780

213-385-0551

800-962-2242

888-832-2779

RANCHO CORDOVA

CA

95670

800-654-6701

ALBANY

SAN ANTONIO

OWINGS MILL

DALLAS

PHOENIX

ARTESIA

LEXINGTON

DAYTON

SEATTLE

BATON ROUGE

SOUTH BURLINGTON

SAVANNAH

DANVILLE

NY

TX

MD

TX

AZ

CA

KY

OH

WA

LA

VT

GA

IL

12203

78230

21117

75240

85072

90702

40512

45401

98111

70804

05407

31416

61832

800-926-7526

800-747-9446

410-581-3000

800-290-0523

800-929-2524

800-499-2793

800-794-5907

800-488-0134

877-738-6655

888-869-4600

888-222-9206

800-824-3882

800-252-5059

LITTLE ROCK

CHICAGO

AR

IL

72221

60604

800-477-7870

800-477-7870

OMAHA

OMAHA

WAUWATOSA

GRAPEVINE

CHATTANOOGA

FRISCO

STERLING HEIGHTS

MACON

AKRON

CHARENTON

ROMEOVILLE

EL PASO

WAXAHACHIE

NE

NE

WI

TX

TN

TX

MI

GA

OH

LA

IL

TX

TX

68134

68114

53226

76099

37422

75034

48310

31201

44309

70523

60446

79998

75167

800-323-2190

800-323-2190

800-323-2190

888-444-1995

877-765-1033

844-636-7506

800-201-0450

800-201-0450

330-896-2232

337-923-4343

800-807-0400

800-772-5623

866-641-9999

 ................
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