Report : TPL-0021-M STATE OF ARKANSAS Run Date: 07/06/2024
Process : TPLJM002 MMIS REPORTING SYSTEM Run Time: 00:08:07
Location: TPL0021M CARRIER MASTER FILE - ALPHA Page: 15
REPORT PERIOD: 06/01/2024 - 06/30/2024
CARRIER NAME ADDRESS LINE 1 ADDRESS LINE 2 CITY ST ZIP
L44 BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA I 20 E AT ALPINE RD COLUMBIA SC 29219
L73 BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA 1601 W MADISON SIOUX FALLS SD 57104-5710
ME BLUE CROSS BLUE SHIELD OF WESTERN PA P O BOX 19 UNIT 4004 PITTSBURGH PA 15230
MK BLUE CROSS BLUE SHIELD OF WASHINGTON ALASKA P O BOX 327 SEATTLE WA 98111-0327
M22 BLUE CROSS BLUE SHIELD 4000 HOUSE AVENUE P O BOX 2266 CHEYENNE WY 82003
NX BLUE CROSS BLUE SHIELD OF MISSISSIPPI P O BOX 23071 JACKSON MS 39215-3071
N49 BLUE CROSS BLUE SHIELD OF MICHIGAN 600 E LAFAYETTE BLVD DETROIT MI 48226-2998
OT BLUE CROSS BLUE SHIELD 85 N DANNY THOMAS BLVD P O BOX 79 MEMPHIS TN 38101
PH BLUE CROSS BLUE SHIELD OF ARIZONA P O BOX 13466 PHOENIX AZ 85002
QD BLUE CROSS BLUE SHIELD CUSTOMER SERVICE P O BOX 98029 BATON ROUGE LA 70898-8029
RO BLUE CROSS BLUE SHIELD OF CONNECTICUT P O BOX 504 NORTH HAVEN CT 64730
F37 BLUE CROSS BLUE SHIELD 10455 RUN MILL CIRCLE OWINGS MILLS MD 21117
F96 BLUE CROSS BLUE SHIELD P O BOX 210 MONTICELLO AR 71655
GA2 BLUE CROSS BLUE SHIELD OF OHIO 13550 TRITON PARK BLVD LOUISVILLE KY 40223
GD BLUE CROSS BLUE SHIELD NATIONAL ACCOUNT SERV CTR P O BOX 1870 INDIANAPOLIS IN 46206-1870
GW5 BLUE CROSS BLUE SHIELD DENTAL P O BOX 9201 OXNARD CA 93031-9201
HH BLUE CROSS BLUE SHIELD BELLSOUTH DEDICATED SERV P O BOX 830279 BIRMINGHAM AL 35283-0279
HK BLUE CROSS BLUE SHIELD OF OKLAHOMA P O BOX 3283 TULSA OK 74102-3283
HQ5 BLUE CROSS BLUE SHIELD OF OKLAHOMA DENTAL CLAIMS PO BOX 23100 BELLEVILLE IL 62223
H12 BLUE CROSS BLUE SHIELD P O BOX 2709 2400 MARKET SQUARE YOUNGSTOWN OH 44507
H4 BLUE CROSS BLUE SHIELD OF COLORADO 700 BROADWAY DENVER CO 80273
H8 BLUE CROSS BLUE SHIELD OF GEORGIA P O BOX 9907 COLUMBUS GA 31908-6007
II0 BLUE CROSS BLUE SHIELD DENTAL CLAIMS PO BOX 69436 HARRISBURG PA 17106-9436
I17 BLUE CROSS BLUE SHIELD OF WESTERN PENNSYLVANIA P O BOX 3355 PITTSBURGH PA 15230
DH1 BLUE CROSS BLUE SHIELD OF ILLINOIS P O BOX 1220 CHICAGO IL 60690
D19 BLUE CROSS BLUE SHIELD 3405 LIBERTY DRIVE SPRINGFIELD IL 62704
D30 BLUE CROSS BLUE SHIELD NEW HAMPSHIRE AND VERMONT 2 PILLSBURY STRET CONCORD NH 33060
EA8 BLUE CROSS BLUE SHIELD OF TEXAS P O BOX 660152 DALLAS TX 75266-2227
EA9 BLUE CROSS BLUE SHIELD NASCO SERVICE UNIT P O BOX 2988 JACKSONVILLE FL 32232-9925
EB7 BLUE CROSS BLUE SHIELD PREFERRED CARE 450 RIVERCHASE PKWY EAST BIRMINGHAM AL 35205
EF9 BLUE CROSS BLUE SHIELD OF MICHIGAN PO BOX 2500 DETROIT MI 48231
EN1 BLUE CROSS BLUE SHIELD OF KENTUCKY P O BOX 23300 LEXINGTON KY 40223
EO BLUE CROSS BLUE SHIELD OF ALABAMA P O BOX 995 BIRMINGHAM AL 35298
EO8 BLUE CROSS BLUE SHIELD KMART CLAIMS P O BOX 33249 DETROIT MI 48232
EP BLUE CROSS BLUE SHIELD EMPLOYEE RETIREMENT SYSTE P O BOX 13207 AUSTIN TX 78711-3207
EP2 BLUE CROSS BLUE SHIELD OF TEXAS P O BOX 655488 DALLAS TX 75265
EQ9 BLUE CROSS BLUE SHIELD 818 KEEAUMOKO ST PO BOX 860 HONOLULU HI 96814-2365
EW BLUE CROSS BLUE SHIELD OF TEXAS P O BOX 833888 RICHARDSON TX 75083-3888
E15 BLUE CROSS BLUE SHIELD OF NEW JERSEY THREE PENN PLAZA E NEWARK NJ 71052-247
FB BLUE CROSS BLUE SHIELD 233 NORTH MICHIGAN AV PO BOX 1220 CHICAGO IL 60690-1220
FE2 BLUE CROSS BLUE SHIELD OF WESTERN PA P O BOX 176 PITTSBURG PA 15230
FL BLUE CROSS BLUE SHIELD P O BOX 2141 MILWAUKEE WI 53201
FM7 BLUE CROSS BLUE SHIELD OF MICHIGAN PO BOX 2089 DETROIT MI 48231
FQ8 BLUE CROSS BLUE SHIELD PO BOX 3001 LANCASTER PA 17604-3001
FT6 BLUE CROSS BLUE SHIELD OF TENNESSEE PO BOX 182277 CHATTANOOGA TN 37422-7277
FT7 BLUE CROSS BLUE SHIELD OF MICHIGAN PO BOX 1528 DETROIT MI 48231
FZ7 BLUE CROSS BLUE SHIELD OF INDIANA PO BOX 37010 LOUISVILLE KY 40233
FZ8 BLUE CROSS BLUE SHIELD OF KENTUCKY PO BOX 37690 LOUISVILLE KY 40233-7690
FZ9 BLUE CROSS BLUE SHIELD OF MASSACHUSETTS 100 HANCOCK STREET NORTH QUINCY MA 21710
AA5 BLUE CROSS BLUE SHIELD C/O COBRA SVC NAT SVC CTR P.O. BOX 9061 CLEARWATER FL 34616-9061
AD2 BLUE CROSS BLUE SHIELD 1831 CHESTNUTT ST LOUIS MO 63103