CareFirst Third Party Administrator/Network Lease Accounts Only

CareFirst Third Party Administrator (TPA)/Network Lease Accounts Only

CareFirst contracts with Third Party Administrators to the Network claims product. Please send all correspondence and non-claim inquiries to the TPA addresses below. Please submit claims electronically using EDI Payer Codes: Professional ? 580, Facility ? 190.

Prefix Group

A11

A12 A121

A17 SM62

A22 2003

A23 W33P

A25 W33F

Group Name

TPA Name & Address

NCAS MULTIPLE GROUPS

Group Benefit Services

Delta Chemical Group

Employee Security/NEA

Timonium Toyota NEA's, Tenax,

Atlantic Builders

Maryland Electrical Health Fund

WEPCO Federal Credit Union UFCW

Local 27

Sterling Care Frostburg Village

NCAS PO Box 981610 El Paso, TX 79998

Group Benefit Services 6 North Park Dr. Suite 310

Hunt Valley, MD 21030

Employee Securities 10400 Little Patuxent Pkwy.

Suite 260 Columbia, MD 21044-3518

Benefits Administration Corporation, Inc. (BACI) 9411 Philadelphia RD.

Suite S Baltimore, MD 21237 UFCW National Health and

Welfare Fund 66 Grand Ave. Englewood, NJ 07631

UFCW Local 27 66 Grand Ave. Englewood, NJ 07631

Claims Filing Address

PO Box 981610 El Paso, TX 79998-1633 P.O. Box 981633 El Paso, TX 79998-1633

Claims & Benefit Contact Name Customer Service

Customer Service

Phone Number

800-888-6227

410-832-1300

P.O. Box 981633 El Paso, TX 79998-1633

Customer Service

410-997-3300

P.O. Box 981633 El Paso, TX 79998-1633

P.O. Box 981633 El Paso, TX 79998-1633 P.O. Box 981633 El Paso, TX 79998-1633

Customer Service Customer Service Customer Service

410-444-8516 800-352-2741

888-773-8329

888-773-8329

Filing Limit Customer Service Call TPA

Call TPA

Call TPA Call TPA Call TPA

Electronic Payer ID Number Prof. 580/Inst. 190 Prof. 580/Inst. 190

Prof. 580/Inst. 190

Prof. 580/Inst. 190 Prof. 580/Inst. 190 Prof. 580/Inst. 190

Prefix Group

A26 W33G

A36 L026

A38 W31A

A39 486W W31B

A42 W31F

A47 W31R

A48 W29F

Group Name

TPA Name & Address

Frostburg Village Assisted Living

UFCW Local 27 66 Grand Ave. Englewood, NJ 07631

Seagram's ? UFCW Fund

Social Security Fund/UFCW

Construction Workers Trust

Plumbers & Steamfitters Local

486

Teamsters Local #355

Truck Drivers & Helpers

International Alliance of

Theatrical Stage Employees Local 22 Pension & Welfare

Fund (IATSE)

Sheet Metal Workers Local 100 TERM 04/01/2022

UFCW National Fund ? Contributing Employer Groups

66 Grand Ave. Englewood, NJ 07631

BeneSys, Inc. 7130 Columbia Gateway Dr.

Suite A Columbia, MD 21046 Benefits Administration Corporation, Inc. (BACI) 9411 Philadelphia RD.

Suite S Baltimore, MD 21237 Benefits Administration Corporation, Inc. (BACI) 9411 Philadelphia RD.

Suite S Baltimore, MD 21237

Benefits Administration Corporation, Inc. (BACI) 9411 Philadelphia RD.

Suite S Baltimore, MD 21237

Benefits Administration Corporation, Inc. (BACI) 9411 Philadelphia RD.

Suite S Baltimore, MD 21237

Claims Filing Address

P.O. Box 981633 El Paso, TX 79998-1633 P.O. Box 981633 El Paso, TX 79998-1633 P.O. Box 981633 El Paso, TX 79998-1633

P.O. Box 981633 El Paso, TX 79998-1633

P.O. Box 981633 El Paso, TX 79998-1633

P.O. Box 981633 El Paso, TX 79998-1633

P.O. Box 981633 El Paso, TX 79998-1633

Claims & Benefit Contact Name Customer Service Customer Service Customer Service Customer Service

Customer Service

Customer Service

Customer Service

Phone Number

888-773-8329

888-773-8329

410-884-1406

410-254-4800 855-505-0462

443-573-3632 866-621-7974

410-319-7264 800-941-2752

443-573-3635 888-805-7996

Filing Limit Call TPA Call TPA Call TPA Call TPA Call TPA Call TPA Call TPA

Electronic Payer ID Number Prof. 580/Inst. 190 Prof. 580/Inst. 190 Prof. 580/Inst. 190 Prof. 580/Inst. 190

Prof. 580/Inst. 190

Prof. 580/Inst. 190

Prof. 580/Inst. 190

Prefix Group

A49 W29J

A52 W29L

A54 W29M

A55 W29N

A56 W29P

A58 W31W

A59 W31Y

Group Name

TPA Name & Address

Teamsters #570 Health Fund

Operating Engineers Local 99

Operating Engineers Local 37

Asbestos Workers Local 24 Medical

Fund (Eff. 9/1/21)

UFCW & Participating Food Industry Employers Tri-State Health &

Welfare Fund Termed 01/01/21

Bricklayers & Allied Craftsmen

FELRA

Teamsters #570 Health Fund 1005 North Point Blvd. Suite 726 Baltimore, MD 21224 Decision Sciences 3615 North Point Blvd. Suite C Baltimore, MD 21222 Decision Sciences 3615 North Point Blvd. Suite C Baltimore, MD 21222 BeneSys, Inc.

7130 Columbia Gateway Dr. Suite A

Columbia, MD 21046 United Food & Commercial Workers (UFCW Health &

Welfare 27 Roland Ave.

Suite 100 Mt Laurel, NJ 08054 Zenith American Solutions 3 Gateway Center

401 Liberty Ave. Suite 1200

Pittsburgh, PA 15222-1024

Associated Administrators 911 Ridgebrook RD.

Sparks, MD 21152-9451

Claims Filing Address

P.O. Box 981633 El Paso, TX 79998-1633 P.O. Box 981633 El Paso, TX 79998-1633 P.O. Box 981633 El Paso, TX 79998-1633 P.O. Box 981633 El Paso, TX 79998-1633

Claims & Benefit Contact Name Customer Service

Customer Service

Customer Service

Customer Service

Phone Number

410-282-0510

410-254-9595

410-254-9595

410-872-9500

P.O. Box 981633 El Paso, TX 79998-1633

Customer Service

800-228-7484

P.O. Box 981633 El Paso, TX 79998-1633

P.O. Box 981633 El Paso, TX 79998-1633

Customer Service Customer Service

410-828-5282 800-638-2972

Filing Limit Call TPA Call TPA Call TPA Call TPA Call TPA

Call TPA Call TPA

Electronic Payer ID Number Prof. 580/Inst. 190 Prof. 580/Inst. 190 Prof. 580/Inst. 190 Prof. 580/Inst. 190

Prof. 580/Inst. 190

Prof. 580/Inst. 190

Prof. 580/Inst. 190

Prefix Group

A62 W32A

A63 W32B

A64 W32C

A65 W32D

A66 W32E

A67 W32F

Group Name

TPA Name & Address

Beverage Worker's Local 67

Iron Workers Local #5

Effect 07/01/2022 with WPAS

Welfare & Pension Administration Services INC

Operating Engineer's Local 77

Zenith American Solutions 3 Gateway Center 401 Liberty Ave. Suite 1200

Pittsburgh, PA 15222-1024

WPAS Iron Workers Local 5

P.O.Box 34945 Seattle, WA 98124-1945

Associated Administrators 911 Ridgebrook RD.

Sparks, MD 21152-9451

Plumbers & Pipefitters Local # 5

Heating Piping & Refrigeration

Rodman Local 201

BeneSys, Inc. 7130 Columbia Gateway Dr.

Suite A Columbia, MD 21046

Benefits Administration Corporation, Inc. (BACI) 9411 Philadelphia RD.

Suite S Baltimore, MD 21237 Zenith American Solutions

3 Gateway Center 401 Liberty Ave.

Suite 1200 Pittsburgh, PA 15222-1024

Claims Filing Claims & Benefit Phone

Address

Contact Name Number

P.O. Box 981633 El Paso, TX 79998-1633

Customer Service

800-242-8923

P.O. Box 981633 El Paso, TX 79998-1633

Customer Service

877-367-0541

P.O. Box 981633 El Paso, TX 79998-1633

P.O. Box 981633 El Paso, TX 79998-1633

P.O. Box 981633 El Paso, TX 79998-1633

P.O. Box 981633 El Paso, TX 79998-1633

Customer Service Customer Service Customer Service Customer Service

877-850-0977

410-872-9500 800-741-9249

410-444-3756 800-618-2879

412-471-2885 800-242-8923

Filing Limit Call TPA Call TPA Call TPA Call TPA Call TPA Call TPA

Electronic Payer ID Number Prof. 580/Inst. 190

Prof. 580/Inst. 190

Prof. 580/Inst. 190 Prof. 580/Inst. 190 Prof. 580/Inst. 190 Prof. 580/Inst. 190

Prefix Group

A68 W32G

A70 W32J

A71 W32K

A73 W32M

A74 W32N

A75 W32P

A77 W32R

Group Name

TPA Name & Address

Washington D.C. Cement Masons

Stone and Marble Masons

Man-U-Service

Washington Wholesalers Health and Welfare Fund

Hagerstown Teamsters Effective 9/1/2020

DC Pavers

UFCW Unions & Participation

Employers Health & Welfare Fund (NONFOOD)

BeneSys, Inc. 7130 Columbia Gateway Dr.

Suite A Columbia, MD 21046

BeneSys, Inc. 7130 Columbia Gateway Dr.

Suite A Columbia, MD 21046

BeneSys, Inc. 7130 Columbia Gateway Dr.

Suite A Columbia, MD 21046

BeneSys, Inc. 7130 Columbia Gateway Dr.

Suite A Columbia, MD 21046

Zenith American Solutions 10312 Remington Drive Hagerstown, MD 21740

BeneSys, Inc. 7130 Columbia Gateway Dr.

Suite A Columbia, MD 21046

Associated Administrators 911 Ridgebrook RD.

Sparks, MD 21152-9451

Claims Filing Address

P.O. Box 981633 El Paso, TX 79998-1633

P.O. Box 981633 El Paso, TX 79998-1633

P.O. Box 981633 El Paso, TX 79998-1633

P.O. Box 981633 El Paso, TX 79998-1633 P.O. Box 981633 El Paso, TX 79998-1633 P.O. Box 981633 El Paso, TX 79998-1633

Claims & Benefit Contact Name Customer Service

Customer Service

Customer Service

Customer Service Customer Service Customer Service

Phone Number

410-872-9500

410-872-9500

410-872-9500

410-872-9500 301-733-2602 410-872-9500

P.O. Box 981633 El Paso, TX 79998-1633

Customer Service

800-638-2972

Filing Limit Call TPA Call TPA Call TPA Call TPA Call TPA Call TPA Call TPA

Electronic Payer ID Number Prof. 580/Inst. 190 Prof. 580/Inst. 190 Prof. 580/Inst. 190 Prof. 580/Inst. 190 Prof. 580/Inst. 190 Prof. 580/Inst. 190

Prof. 580/Inst. 190

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