Payor List - Cleveland

Payor List

Payor 1-888 Ohio Comp 21 st Century Insurance 3-HAB, LTD AAA Insurance AAA Insurance Company AARP ABC TAXI Acceptance Insurance Ace Taxi Services, Inc ACE USA Acordia Employers Service Acuity Insurance Co. ADMINISTRATIVE SERVICES CONSULTANTS Advocare Inc Aetna - American Continental Ins Co Aetna Better Health MyCare of Ohio Aetna Better Health of Michigan Aetna HMO Medicare Aetna Life & Casualty Co Aetna Senior Supplemental Insurance AIG Personal Lines Claims AIG Claim Services Alfa Specialty Insurance Co. ALLSTATE INSURANCE CO ALPS Compcare Ambetter from Buckeye American Family Insurance American Health Medicare / Medicare Platino American Landmark Properties American Select American Steamship Co AMERIPRISE AUTO & HOME INS. Amica Insurance Co Anthem Secondary Anthem Senior Advantage Apex (UH Employee Consumer Select) Arch Insurance Associated Compensation Resources Auto - Owners Insurance Avalon Insurance Avatar Bristol West Insurance Group

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Address 2900 CARNEGIE AVE P.O. BOX 268994 P.O. BOX 429540 1 AUTO CLUB DR 25510 W 11TH MILE RD PO BOX 740819 8722 HARRISON ST P.O. BOX 150769 1798 E 55TH ST PO BOX 5117

City CLEVELAND OKLAHOMA CITY CINCINNATI DEARBORN SOUTHFIELD ATLANTA SANDY NASHVILLE CLEVELAND SCRANTON

P.O. BOX 58 P O BOX 928 25001 EMERY RD SUITE 300 PO BOX 680579 PO BOX 64205 1333 GRATIOT AVE STE 400 P.O. BOX 981106 P O BOX 981107 PO BOX 14770 P O BOX 15997 P O BOX 25588 PO BOX 1324 6500 EMERALD PKWY SUITE 300 10653 CHESTER RD P.O. BOX 5010 6000 AMERICAN PKY PO BOX 11860 1100 SUPERIOR AVE STE 620 1 N LEROY RD 500 ESSJAY RD P.O. BOX 19018 25000 COUNTRY CLUB BLVD PO BOX 105187 PO BOX 105187 P O BOX 3620 300 PLAZE THREE 9237 MENTOR AVE P.O. BOX 5444 PO BOX 772610 PO BOX 9869 P.O. BOX 258807

SHEBOYGAN FINDLAY CLEVELAND FRANKLIN PHOENIX DETROIT EL PASO EL PASO LEXINGTON WILIMINGTON SHAWNEE MISSION BRENTWOOD DUBLIN CINCINNATI FARMINGTON MADISON SAN JUAN CLEVELAND WESTFIELD CENTER WILLIAMSVILLE GREEN BAY NO OLMSTEAD ATLANTA ATLANTA AKRON JERSEY CITY MENTOR AKRON HARRISBURG CINCINNATI OKLAHOMA CITY

State

Zip

OH

44115

OK

73126

OH

45242

MI

48126

MI

48034

GA

30374

UT

84070

TN

37215

OH

44103

PA

18505

Speedcode OC

AARP ACE

WI

53082

OH

45839

AS2

OH

44128

ADV

TN

37068

AZ

85082

MI

48207

TX

79998-1106

AHM

TX

79998

ALC

KY

40512

DE

19850-5997

AIG2

KS

66225

AIG

TN

37024

OH

43016

AL1

OH

45215

ALPS

MO

63640

WI

53783-0001

AFI

PR

00922

AHMP

OH

44114

OH

44251

NY

14221

WI

54307

OH

44070

AMICA

GA

30348

GA

30348

ASA

OH

44309

APEX

NJ

07311

OH

44060

ACR

OH

44334

PA

17177

OH

45209-0869

AV

OK

73125

Printed On: 8/31/2017

Contact 27 months

ContactPhone (888) 644-6266 Ext. (888) 244-6163 Ext. (800) 869-1871 Ext. (800) 222-6424 Ext. (800) 207-7947 Ext. (800) 523-5800 Ext. (877) 585-2849 Ext. (800) 779-2103 Ext. (216) 361-4700 Ext. (800) 403-1077 Ext. (000) 000-0000 Ext. (800) 242-7666 Ext. (800) 523-5789 Ext. (800) 659-4025 Ext. (800) 264-4000 Ext. (855) 364-0974 Ext. (855) 676-5772 Ext. (800) 624-0756 Ext. (800) 624-0756 Ext. (800) 264-4000 Ext. (888) 244-6163 Ext. 2386 (000) 000-0000 Ext. (615) 000-0000 Ext. (800) 255-7828 Ext. (800) 835-2577 Ext. (877) 687-1189 Ext. (000) 000-0000 Ext. (888) 620-1919 Ext. (216) 771-5020 Ext. (330) 887-0101 Ext. (716) 000-0000 Ext. (222) 239-9953 Ext. (800) 242-6422 Ext. (866) 594-0521 Ext. (800) 467-1199 Ext. (800) 996-8401 Ext. (201) 743-4000 Ext. (216) 731-8215 Ext. (330) 000-0000 Ext. (800) 535-8727 Ext. (800) 791-9281 Ext. (800) 274-7865 Ext.

Page 1

Payor List

Payor Broadspire Buckeye Advantage Medicare Buckeye Community Health Plan Cambridge Intergrated Service Group Care Plus Health Plans Caresource CareSource Advantage Careworks Consultants, Inc Careworks Of Ohio Catholic Diocese of Cleveland Cavalier Distributing Co Inc CCF International Billing ChampVA 469064 Chaney Consulting Group Charter Oak Fire Insurance Co Cherokee Insurance Co Chesterfield Services Inc Cigna - American Retirement Life Ins Co Cincinnati Insurance Co. Claims Management Inc. (Wal-Mart) Cleve Metropolitan Housing Authority Cleveland Clinic Foundation Dept of Safety CNA ClaimPlus Service Center Cofinity Insurance Colonial Penn Life Compensable Benefits Compensation Consultant, Inc CompManagement Inc Compmanagement Incorporated Comprehensive Risk Management CONIFER INSURANCE Connecticare Medicare Constitution Life Insurance Co. Corvel Corporation CorVel Corporation Coventry Health Care of WV CPM Risk Management CRA Managed Care Inc Crawford & Company Custom Design Benefits Dairyland Insurance Donley, Inc

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Address P.O. BOX 14645 PO BOX 3060 PO BOX 6200 P O BOX 2305 PO BOX 14697 P.O. BOX 8730 PO BOX 1307 P.O. BOX 8101 P O BOX 182726 1404 E 9TH ST 8TH FL 4650 LAKE FOREST DR STE 580 6801 BRECKSVILLE RD PO BOX 469064 6060 ROCKSIDE WOODS BLVD #330 ONE TOWER SQUARE PO BOX 159 3520 FOREST LAKE DR PO BOX 30010 P.O. BOX 145496 PO BOX 1288 1441 W 25 ST 9500 EUCLID AVE P O BOX 7251 PO BOX 2720 PO BOX 1935 1422 EUCLID AVE SUITE 505 P O BOX 8101 PO BOX 14661 PO BOX 9063 6480 ROCKSIDE WOODS BLVD #390 550 W. MERRILL ST STE 200 PO BOX 4000 PO BOX 130 7530 LUCERNE DR SUITE 400 P.O BOX 2910 PO BOX 7822 3740 CARNEGIE AVE PO BOX 261107 7271 ENGLE RD PLZA SO III #303 5589 CHEVIOT RD 225 BRAE BLVD 5430 WARNER RD

City LEXINGTON FARMINGTON FARMINGTON MT CLEMENS LEXINGTON DAYTON DAYTON DUBLIN COLUMBUS CLEVELAND BLUE ASH INDEPENDENCE DENVER INDEPENDENCE HARTFORD WARREN UNIONTOWN AUSTIN CINCINNATI BENTONVILLE CLEVELAND CLEVELAND INDIANAPOLIS FARMINGTON HILLS CARMEL CLEVELAND DUBLIN LEXINGTON DUBLIN CLEVELAND BIRMINGHAM FARMINGTON PENSACOLA CLEVELAND GLEN ALLEN LONDON CLEVELAND COLUMBUS CLEVELAND CINCINNATI PARK RIDGE GARFIELD

State

Zip

Speedcode

KY

40512-4645

BR

MO

63640

MO

63640

BCH

MI

48046

CIS

KY

40512

OH

45401

CS

OH

45401

CSA

OH

43016

OH

43218-2726

CWO

OH

44114

CD

OH

45242

OH

44131

CO

80246

OH

44131

CT

06183

MI

48090

OH

44685

CRI

TX

78755

OH

45250

AR

72712

OH

44113

CMHA

OH

44195

IN

46207-7251

CNA

MI

48333

IN

46082

OH

44115

CB

OH

43016-2101

CCI

KY

40512

CMI2

OH

43017

CMI

OH

44131

CRM

MI

48009

CT

06034

FL

32591

OH

44130-6557

CVC

VA

23058

KY

40742

OH

44115

CPM

OH

43226

CRA

OH

44130

CC

OH

45247

NJ

07656

OH

44125

DONLEY

Printed On: 8/31/2017

Contact Kathy Pierce Adam Cass

RicMedCheck@ Linda Soltesz

ContactPhone (440) 243-8636 Ext. (866) 296-8731 Ext. (866) 296-8731 Ext. (800) 686-2762 Ext. (866) 313-7587 Ext. (800) 488-0134 Ext. (800) 708-8729 Ext. (614) 764-7600 Ext. (888) 627-7586 Ext. (216) 696-6525 Ext. 3400 (513) 247-9222 Ext. (216) 636-8598 Ext. (800) 733-8387 Ext. (216) 532-0177 Ext. (800) 238-6208 Ext. (800) 201-0450 Ext. (330) 896-4311 Ext. (866) 459-1755 Ext. (513) 870-2000 Ext. (888) 247-7799 Ext. (000) 000-0000 Ext. (000) 000-0000 Ext. (317) 575-5260 Ext. (248) 000-0000 Ext. (800) 800-2254 Ext. (216) 619-0660 Ext. (800) 837-3200 Ext. (800) 825-6755 Ext. (800) 825-6755 Ext. (216) 901-0066 Ext. (248) 559-0840 Ext. (877) 244-8230 Ext. (850) 000-0000 Ext. (800) 275-6463 Ext. (800) 275-8130 Ext. (888) 365-6052 Ext. (216) 426-2276 Ext. (000) 000-0000 Ext. (440) 243-8636 Ext. (800) 598-2929 Ext. (800) 334-0090 Ext. (216) 524-6800 Ext.

Page 2

Payor List

Payor eClusive Employee Benefit Management Sym Encompass Insurance Co. Erie Insurance Co Esurance Ins Services eSurance Insurance Services Inc. Family Health Plan Farmers Insurance Farmers Insurance Co Federated Mutual Ins Co First Energy Service Co First Health (gr H8236) First Health Insurance (GR# 272600) Ford Motor Company Founders Insurance Co Frank Gates / Avizent GAB Robins Risk Management Serv Gallagher Bassett Services Gates McDonald Health Plus Inc GateWay Auto Insurance Gateway Health Plan - Medicare Geico Ins Geico Insurance Co Genex Care Georgia Medicaid GEORGIA PACIFIC GIANT EAGLE INC Global Life and Accident Ins Co GMP-Employers Retiree Trust Good 2 Go Auto Insurance Grange Ins Grange Insurance Guarantee Trust and Life Insurance Co. Hanover Insurance Group Inc. Hartford Accident & Indemnity Co Hartland Insurance Hastings Mutual Ins Co Health Design Plus-RTA Health Equity, Inc. Health First Health Plans Health Management Solutions Health Plan MCO

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Address

City

State

Zip

Speedcode

7700 EQUITABLE DR

EDEN PRAIRIE

MN

55344

P O BOX 21367

BILLINGS

MT

59104

EBMS

P.O. BOX 660187

DALLAS

TX

75266

P O BOX 9031

CANTON

OH

44711-9031

EI

PO BOX 2869

CLINTON

IA

52733

MAIL STOP MITCHELL ESURANCE 1356C8L0INTON

IA

52733

PO BOX 4708

TOLEDO

OH

43610

FHP

PO BOX 268994

OKLAHOMA CITY

OK

73126

FI

P O BOX 216

PAINSVILLE

OH

44077

FAR

PO BOX 991/HC01

OWATONNA

MN

55060

76 S MAIN ST

AKRON

OH

44308

PO BOX 22410

TUSCON

AZ

85734

FH

PO BOX 23806

TUCSON

AZ

85734

PO BOX 182364

COLUMBUS

OH

43218

PO BOX 5100

DES PLAINES

IL

60017-5100

FIM

P O BOX 182364

COLUMBUS

OH

43218

FGS

2929 KENNY RD SUITE 230

COLUMBUS

OH

43221

GRR

545 METRO PLACE SUITE 250

DUBLIN

OH

43017-5367

GB1

P O BOX 182720

COLUMBUS

OH

48218

GMD

15 NW POINT BLVD

ELK GROVE VILLAGE IL

60007

PO BOX 830500

BIRMINGHAM

AL

35283-0500

ONE GEICO CENTER

MACON

GA

31296-0001

GEICO

750 WOODBURY RD

WOODBURY

NY

11797

GEICO2

1329 KEMPER RD SUITE 4218

CINCINNATI

OH

45246

GSI

PO BOX 105208

TUCKER

GA

30085

4600 BROOKPARK AVE

CLEVELAND

OH

44134

GP

5300 RICHMOND RD

BEDFORD

OH

44146

GEI

PO BOX 8080

MCKINNEY

TX

75070

5245 BIG PINE WAY SE

FORT MYERS

FL

33907

PO BOX 105396

ATLANTA

GA

30348

P O BOX 183245

COLUMBUS

OH

43218-2373

GI2

650 S FRONT ST PO BOX 1218

COLUMBUS

OH

43216-1218

GI

PO BOX 1144

GLENVIEW

IL

60025

440 LINCOLN STREET

WORCESTER

MA

01653

PO BOX 14269

LEXINGTON

KY

40512

HAI

7785 E STATE RD M 36

HAMBURG

MI

48139

404 E WOODLAWN AVE

HASTINGS

MI

49058

PO BOX 2582

HUDSON

OH

44236

15 W. SCENIC POINT DR STE 100

DRAPER

UT

84020

PO BOX 219612

KANSAS CITY,

MO

64121

2545 FARMERS DR

COLUMBUS

OH

43235

HMS

P.O. BOX 97

ST CLAIRSVILLE

OH

43950

Printed On: 8/31/2017

Contact

ContactPhone (952) 400-7600 Ext. (406) 245-3575 Ext. (800) 588-7400 Ext. (800) 362-6541 Ext. (800) 378-7262 Ext. (800) 378-7262 Ext. (888) 222-5692 Ext. (800) 435-7764 Ext. (000) 000-0000 Ext. (877) 612-4477 Ext. (330) 000-0000 Ext. (800) 633-6645 Ext. (800) 571-4501 Ext. (614) 000-0000 Ext. (888) 676-4342 Ext. (800) 777-4283 Ext. (614) 538-1405 Ext. (614) 764-7616 Ext. 200 (800) 642-7587 Ext. (847) 472-6700 Ext. (888) 447-4370 Ext. (800) 861-8380 Ext. (800) 645-7550 Ext. (800) 447-6250 Ext. 651 (800) 766-4456 Ext. (216) 459-0614 Ext. (216) 591-2923 Ext. (800) 742-6787 Ext. (239) 936-6242 Ext. (888) 851-3816 Ext. (800) 686-8532 Ext. 268 (800) 686-8532 Ext. (800) 338-7452 Ext. (800) 628-0250 Ext. (877) 230-3084 Ext. (810) 355-1381 Ext. (800) 442-8277 Ext. (800) 220-1663 Ext. (877) 713-7710 Ext. (800) 716-7737 Ext. (888) 202-3515 Ext. (888) 847-7810 Ext.

Page 3

Payor List

Payor

Address

City

State

Zip

Speedcode

Health Tradition Health Plan

4001 41ST ST NW

ROCHESTER

MN

55901

HEALTHFIRST-Medicare

PO BOX 5168

NEW YORK

NY

10274

Healthsmart Accel (UFCW)

P.O. BOX 94807

LUBBOCK

TX

79493

Healthsmart Preferred

PO BOX 42096

OKLAHOMA CITY

OK

73123

Helmsman Management Services

PO BOX 307230

COLUMBUS

OH

43230

HMM

Horace Mann Insurance Company

3005 CARRINGTON MILLS BLVD

MORRISVILLE

NC

27560

Illinois Medicaid

PO BOX 19485

SPRINGFIELD

IL

62794-9485

IMG - International Medical Group

2960 N MERIDIAN ST

INDIANAPOLIS

IN

46208

Independent Adjusters Inc.

P.O BOX 5070

POLAND

OH

44514

James Rivers Insurance Comp

6641 WEST BROADSTREET STE 300 RICHMOND

VA

23230

Kaiser Foundation

PO BOX 24010

OAKLAND

CA

94623

Kemper Services

PO BOX 189110

PLANTATION

FL

33318-9110

KS

Key Corp Workers' Compensation

127 PUBLIC SQUARE

CLEVELAND

OH

44126

KB

KKSG & Associates, Inc

14600 DETROIT AVE SUITE 450

LAKEWOOD

OH

44107

KK

Klais & Company, Inc

1867 W MARKET ST

AKRON

OH

44313-6977

KC

Lancer Insurance Co.

734 ALPHA DRIVE

CLEVELAND

OH

44143

Liberty Mutual / WC

2501 WILMINGTON

NEW CASTLE

PA

16105

LM

Liberty Mutual Insurance Co.

P.O. BOX 1052

MONTGOMERYVILLE PA

18936

Liberty Mutual/WC

PO BOX 7203

LONDON

KY

40742

Local #880 United Food & Comm Wkrs Healthsmart Eccel P.O BOX 94807

LUBBOCK

TX

79493

UFCW

Loya Insurance

1800 LEE TREVINO DR

EL PASO

TX

79936

Luba Workers' Comp

P O BOX 98082

BATON ROUGE

LA

70898-9082

LUBA

MAC Risk Management

P O BOX 2000001

WOODSTOCK

GA

30189

mrm

Mail Handlers Insurance

P O BOX 8402

LONDON

KY

40742

MHI

Managed Medical Assurance

4150 BELDEN VILLAGE STE 503 CANTON

OH

44718

MMA

MAPFRE INSURANCE

11 GORE RD

WEBSTER

MA

01570

Marc Glassman, Inc

5841 W 130TH ST

CLEVELAND

OH

44130

Marriott International Inc

P.O. BOX 29206

HOT SPRINGS

AR

71903-9206

MIT

MassHealth Medicaid

PO BOX 4405

TAUNTON

MA

02780

Medi-Cal

PO BOX 15507

SACRAMENTO

CA

95852

Medicaid

P O BOX 2644

COLUMBUS

OH

43266

Mcd

Medical Mutual of Ohio Advantage Plan

PO BOX 6018

CLEVELAND

OH

44101-6018

MOAP

Medicare

P O BOX 20018

NASHVILLE

TN

37202

NM

Medico Corp Life Insurance Co

P.O. BOX 10482

DES MOINES

IA

50306-3546

Mercy Work Soluions, Inc

P O BOX 4802

TOLEDO

OH

43610

MW

MHBP

PO BOX 8402

LONDON

KY

40742

MI Medicaid

PO BOX 30238

LANSING

MI

48909

Minute Men HR Risk

3740 CARNEGIE AVE #200

CLEVELAND

OH

44115

MK CALIMS

2555 KINGSTON ROAD, STE. 260

YORK

PA

17402

Molina Healthcare of Ohio, Inc

PO BOX 22712

LONG BEACH

CA

90801

MHO

Molina Medicare HMO

PO BOX 22811

LONG BEACH

CA

90801

Money2 for Health

PO BOX 790036

SAINT LOUIS

MO

63179

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Printed On: 8/31/2017

Contact

SHEILA RODGERS Korole Thuler

ContactPhone (877) 832-1823 Ext. (888) 801-1660 Ext. (000) 000-0000 Ext. (800) 825-3540 Ext. (800) 267-9558 Ext. (800) 999-1030 Ext. (800) 634-8540 Ext. (317) 655-4500 Ext. (330) 953-2923 Ext. (804) 281-3113 Ext. (800) 390-3510 Ext. (000) 000-0000 Ext. (000) 000-0000 Ext. (216) 221-0560 Ext. (330) 867-8443 Ext. (800) 521-6155 Ext. (800) 368-5095 Ext. 327 (800) 225-2467 Ext. (800) 500-7044 Ext. (216) 241-2828 Ext. (915) 590-5692 Ext. (888) 884-5822 Ext. (800) 288-8415 Ext. (800) 410-7778 Ext. (000) 000-0000 Ext. (866) 351-2548 Ext. (440) 000-0000 Ext. (847) 292-1000 Ext. (800) 841-2900 Ext. (916) 636-1960 Ext. (800) 686-1516 Ext. (866) 575-5396 Ext. (866) 276-9558 Ext. (515) 000-0000 Ext. (888) 222-5691 Ext. (800) 410-7778 Ext. (800) 292-2550 Ext. (216) 426-2276 Ext. (866) 930-9742 Ext. (800) 642-4168 Ext. (855) 322-4079 Ext. (877) 305-0942 Ext.

Page 4

Payor List

Payor Motorist Mutual Insurance Co. MUTUAL HEALTH SERVICES Mutual Health Services - CCF Employeees Mutual of Omaha My Care Caresource National Assoc of Letter Carriers National Casualty Ins Co. National Continental Ins Co. National General Ins. Co. NATIONAL INDEMNITY INS. Nationwide Auto Insurance Nationwide Mutual Insurance Comp NE OH REGIONAL SEWER New York Marine Insurance New York Medicaid Nippon Life Insurance Co. of America Nonprofits Insurance Alliance Group North Coast Container Coorporation Northbridge Ins NorthWest Administrators Oh Bureau Of Workers' Compensation Ohio Comp Choice Ohio Employee Health Partnership Omni Insurance Group Orlando Baking Co. Pacific Medical Centers Paramount Advantage Pekin Insurance Co. Permanent General Assurance Corp Personal Services Insurance Philadelphia Insurance Premier Comp of Hometown Healthnet Premier Managed Care Services Prime Holdings Insurance Services PROFESSIONAL CLAIMS MANAGEMENT Progressive Ins. Prosight Ins PROTEGRITY SERVICE INC Railroad Medicare Regional Transit Authority Rental Insurance Services RepWest Insurance

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Address

City

P.O. BOX 182476

COLUMBUS

PO BOX 5700

CLEVELAND

P O BOX 89472

CLEVELAND

MUTUAL OF OMAHA PLAZA

OMAHA

P.O. BOX 8730

DAYTON

20547 WAVERLY CT

ASHBURN

P.O. BOX 4120

SCOTTSDALE

103 MORGAN LANE

PLAINSBORO

P.O. BOX 1623

WINSTON-SALEM

P.O. BOX 31361

OMAHA

P. O. BOX 26005

DAPHNE

1 NATIONWIDE PLZ

COLUMBUS

3900 EUCLID AVE

CLEVELAND

412 MT KEMBLE AVE STE 300C

MORRISTOWN

PO BOX 4601

RENSSELAER

PO BOX 25951

SHAWNEE MISSION

333 FRONT ST #200

SANTA CRUZ

8806 CRANE AVE

CLEVELAND

346B WEST OXFORD ST

PONTOTOC

2323 EASTLAKE AVE E

SEATTLE

30 W SPRING ST

COLUMBUS

P O BOX 1441

POWELL

445 HUTCHINSON AVE #205

COLUMBUS

P.O. BOX 105019

ATLANTA

7777 GRAND AVE

CLEVELAND

1200 12TH AVE S

SEATTLE

PO BOX 928

TOLEDO

2505 COURT STREET

PEKIN

P O BOX 305195

NASHVILLE

PO BOX 105019

ATLANTA

ONE BALA PLAZA STE 100

BALA CYNWYD

P O BOX 1124

MASSILLON

PO BOX 609

LEWIS CENTER

P.O. BOX 4439

SANDY

P O BOX 35276

CANTON

P.O. BOX 512926

LOS ANGELES

412 MOUNT KEMBLE AVE STE 300- C MORRISTOWN

P O BOX 141217

CINCINNATI

P O BOX 10066

AUGUSTA

1240 W 6TH ST

CLEVELAND

P.O. BOX 4158

CHESTERFIELD

PO BOX 24463

PHOENIX

Printed On: 8/31/2017

State

Zip

Speedcode

OH

43218

OH

44101

OH

44101-6472

ANT

NE

68175

MO

OH

45401-8730

VA

20149

NALC

AZ

85261

NJ

08536

NC

27102

NE

68131

AL

36526

NAI

OH

432152226

OH

44115

NJ

07960

NY

12144

KS

66225

CA

95060

OH

44105

MS

38863

WA

98102

OH

43215

BWC

OH

43065

OCC

OH

43235

OEHP

GA

30348

OH

44104

WA

98144

OH

43697-0928

PHC

IL

61558

TN

37230

PG

GA

30348

PA

19004

OH

44648

PCH

OH

43035

PMC

UT

84091

OH

44735-8424

PCM

CA

90051

pro

NJ

07960

OH

45214

PSI

GA

30999

RRMC

OH

44113

RTA

MO

63006

AZ

85074

Contact Irene

ContactPhone (800) 876-8766 Ext. (800) 367-3762 Ext. (800) 451-7929 Ext. (800) 775-1000 Ext. (000) 000-0000 Ext. (888) 636-6252 Ext. (800) 423-7675 Ext. (800) 678-2624 Ext. (800) 325-1088 Ext. (800) 356-5750 Ext. (800) 421-3535 Ext. (000) 000-0000 Ext. (216) 881-6600 Ext. 6422 (212) 551-0600 Ext. (800) 505-5678 Ext. (800) 374-1835 Ext. (831) 459-0980 Ext. (216) 441-6214 Ext. (662) 489-5641 Ext. (800) 872-5439 Ext. (000) 000-0000 Ext. (877) 856-9213 Ext. (888) 844-0039 Ext. (866) 300-6433 Ext. (216) 361-1872 Ext. (206) 000-0000 Ext. (800) 462-3589 Ext. (309) 000-0000 Ext. (800) 280-1466 Ext. (800) 282-9416 Ext. (800) 765-9749 Ext. (800) 776-4771 Ext. (800) 510-4155 Ext. (801) 304-5530 Ext. (800) 325-8424 Ext. (888) 737-0535 Ext. (973) 532-1900 Ext. (800) 974-1902 Ext. (888) 355-9165 Ext. (216) 781-4404 Ext. (636) 329-9133 Ext. (888) 898-5985 Ext.

Page 5

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