[PDF] Medical Claim - HonorHealth
AmeriBen, PO Box 7186, Boise ID 83707 includes patient name, date of service, total charges, the provider's tax ID number and procedure code(s) PART 1:
[PDF] Medical Claim Form - Cochise Combined Trust
P O Box 7186 Boise, ID 83707 Phone (208) 344-7900 Toll Free (800) 786- 7930 www myameriben com Medical, Dental Vision Claim Form
[PDF] Appeals for members - Bynder – Be on Brand
dental provider appeals information is available in the Appeals for providers section of this manual P O Box 7186 Boise, ID 83707 U A Union Local No 290 Customer Service can provide the member with a form for a written appeal
[PDF] Payer Name Claims Address Contact Numbers EDI Claims
Refer to the "Provider" tab for eligibility and benefit information AmeriBen P O Box 7186, Boise, ID 83707 Customer Service: 800-786-7930 Payer ID: 75137
[PDF] Payer Connection Payer List
Payer Connection - Electronic Claims Payer List Name Payer ID ERA AMERIBEN SOLUTIONS INC 75137 N P O BOX 7186 BOISE ID 83707 America's
[PDF] CARRIER NAME CARRIER CODE CARRIER STREET ADDRESS 1
ATTN CLAIMS PROCESSING PO D69 PO BOX 7186 BOISE ID 83707-0000 AMERICAN ADMINISTRATIVE GROUP F16 NO RICHLAND HILLS TX
[PDF] CARRIER CODE CARRIER NAME CARRIER PHONE NUMBER
CARRIER PHONE NUMBER PO BOX 52115 ATTN: MAIL CODE 12 8 PHOENIZ AZ 85072-2115 D8M UPS CLAIMS PO BOX 26053 GREENSBORO AMERIBEN SOLUTIONS (800) 786-7930 PO BOX 7186 BOISE ID 83707 252
[PDF] North Slope Borough School District Employee Benefit Plan Plan
Amendment No 3 Effective July 1, 2017, Medical Claims Administrator / Third Party Administrator P O Box 7186 Boise, ID 83707 1-208-344-7900 or
[PDF] CC CarrierName Address1 City State Zip Phone Comments 1010
Phone Comments 1010 BCBS of MICHIGAN PO BOX 2888 DETROIT MI 48231- UNDERWRITERS SAFETY CLAIMS INSURANCE PO LOCAL NO BLUE CROSS of IDAHO PO BOX 7408 BOISE ID 83707-0000 (800) 627- 1188 (800) 638-0589 0063 AMERIBEN SOLUTIONS PO BOX 7186 BOISE ID
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