Arkansas Medicare Services: Medigap Inkey Listing
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http://arkmedicare.com/provider/Inkey/defaultpf.asp
Medigap Insurance Approved Listing Medigap Inkeys are used by participating providers to indicate which Medigap insurance company the patient has for a supplemental insurance. When filed correctly, we automatically cross over claim payment information to the Medigap insurance company. The use of the 5-digit INKEY is mandatory. Claims will not be sent to the Medigap insurer if the 5-digit INKEY is not on the claim. The Medigap Inkeys may also be downloaded as a comma delimited text file. You may also view the Complimentary Crossover Listing.
INKEY ID NUMBER 00001
00007
00027
02004
00073
00965
00051
INSURER’S NAME AARP AARP Healthcare Options UMC Clms Division PO Box 1011 Montgomeryville, PA 18936-1011 Acordia Senior Benefits PO Box 7025 Indianapolis, IN 46207 Aid Association for Lutherans (AAL) 4321 N. Ballard Road Appleton, WI 54919-0001 Allianz Life Ins. 5701 Golden Hills Dr. Minneapolis, MN 55403-2115 American Community Mutual Ins. 39201 Seven Mile Road Livonia, MI 48152 American Family Mutual Ins. 6000 American Parkway Madison, WI 53783-0001 American Income Life PO Box 2608 Waco, TX 76797
INKEY ID NUMBER 02005
02006
00111
02007
00024
00049
00055
INSURER’S NAME Academy Life Ins. PO Box 650 Taylor, PA 18517 AFBA Life Ins. PO Box 450 Taylor, PA 18517 Alabama, BCBS of PO Box 995 Birmingham, AL 35298 American Capitol Ins. PO Box 42814 Houston, TX 77242 American Family Life Assurance Co. of Columbus (AFLAC) 1932 Wynnton Road Columbus, GA 31999 American General Life American General Center Nashville, TN 37250 American Insurance Co. of Texas 110 W. Seventh Street Fort Worth, TX 76102
00081
American Pioneer Life PO Box 130 Pensacola, FL 32591
02055
American Progressive Life PO Box 130 Pensacola, FL 32591-0130
00069
American Republic Ins. PO Box 10 Des Moines, IA 50301
02002
American Travelers Life Ins. 222 Merchandise Mart Plaza Chicago, IL 60654-2001
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Arkansas Medicare Services: Medigap Inkey Listing
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INKEY ID NUMBER 00176
00103
00102
INSURER’S NAME Arizona, BCBS of PO Box 2924 Phoenix, AZ 85062-2924 Bankers Commercial Life Ins. PO Box 28770 Austin, TX 78755-8770 Bankers Life & Casualty 222 Merchandise Mart Plaza 19th Floor Chicago, IL 60654-2013
http://arkmedicare.com/provider/Inkey/defaultpf.asp
INKEY ID NUMBER 00140
Arkansas, BCBS of PO Box 2181 Little Rock, AR 72203
00107
Bankers Fidelity Life Ins. PO Box 190240 Atlanta, GA 31119-0240
00983
Bankers Multiple Life Ins. PO Box 28770 Austin, TX 78755-8770
02012
Bankers Multiple Line Ins. PO Box 3160 Omaha, NE 68103-0160
01255
02082
BCBS, National Capitol 550 12th Street SW Washington, DC 20024-2104
00233
00280
01094
California, Blue Shield of PO Box 272540 Chico, CA 95927-2540 Central Benefits National Life Ins. PO Box 16526 Columbus, OH 43216
INSURER’S NAME
00314
00318
Bankers United Life Assurance PO Box 97 Scranton, PA 18504 California, Blue Cross of PO Box 9063 Attn: Medigap Teresa Oxnard, CA 93031 Celtic Life Ins. PO Box 46337 Madison, WI 53744-6377 Central Security Life Ins. PO Box 833879 Richardson, TX 75083-3879
00316
Central States Health & Life PO Box 34350 Omaha, NE 68134-4350
02078
Centris Life Ins. 650 Town Center Drive Suite 1600 Costa Mesa, CA 92626
00331
Christian Fidelity 5840 West IH20 Suite 140 Arlington, TX 76017
01099
Colonial Life & Accident Ins. PO Box 100220 Columbia, SC 29202-3220
00114
00346
Colorado, Anthem BCBS of 700 Broadway Denver, CO 80273 Combined Underwriters Life Ins. P.O. Box 149151 Austin, TX 78714-9151
00343
00171
Combined Ins. Co. of America PO Box 638 Bellingham, WA 98227 Connecticut, Anthem BCBS of 370 Bassett Rd. North Haven, CT 06473
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Arkansas Medicare Services: Medigap Inkey Listing
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INKEY ID NUMBER 02009
02011
00366
INSURER’S NAME Conseco Direct Life Ins. 399 Market Street Philadelphia, PA 19181 Conseco Senior Health Ins. PO Box 66949 Chicago, IL 60666-0949 Continental General Ins. PO Box 247007 Omaha, NE 68124
http://arkmedicare.com/provider/Inkey/defaultpf.asp
INKEY ID NUMBER 02010
01256
01263
00376
Country Life Ins. PO Box 2000 Bloomington, IL 61702-2000
01030
00400
Equitable Life & Casualty Ins. PO Box 2460 Salt Lake City, UT 84110-2460
01264
00988
00162
00453
00459
Florida, BCBS of PO Box 1798 Jacksonville, FL 32231-0014 Georgia, BCBS of PO Box 9907 Columbus, GA 31908 Globe Life Ins. PO Box 8080 McKinney, TX 75070-8080 Golden State Mutual Ins. PO Box 512332 Los Angeles, CA 90018-0332
00443
00451
00460
00482
00483
Guardian Life Ins. PO Box 26105 Lehigh Valley, PA 18002
02014
00491
Hartford Life & Accident PO Box 11910 Alexandria, VA 22312
01018
INSURER’S NAME Conseco Health Ins. PO Box 66909 Chicago, IL 60666-0909 Constitution Life Ins. PO Box 9112 Clearwater, FL 33785-9112 Continental Life Ins. Co. of Brentwood, TN PO Box 1188 Brentwood, TN 37024-1188 Delaware, BCBS of One Brandywine Gateway PO Box 8830 Wilmington, DE 19899-8830 Federal Home Life Ins. Medicare Claims Proc. Cntr. PO Box 10821 Clearwater, FL 33757-8821 GE Life & Annuity Assurance Co. PO Box 10821 Clearwater, FL 33757-8821 Gerber Life Ins. 66 Church Street White Plains, NY 10601 Golden Rule Ins., AR,LA,OK,MO 712 Eleventh Street Lawrenceville, IL 62439 Guarantee Trust Life Ins. PO Box 1144 Glenview, IL 60025 Guideone Life Ins. 1111 Ashworth Road W. Des Moines, IA 50265 Hawaii, BCBS of PO Box 860 Attn: Steven Kranz Honolulu, HI 96808-0860
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INKEY ID NUMBER 01265
00530
01071
01252
01266
00560
00117
01146
00580
00137
00120 00624
INSURER’S NAME Health & Life Ins. Co. of America 1750 E. Golf Road Suite 1000 Schaumburg, IL 60173 Humana Ins. PO Box 2180 Louisville, KY 40201 Idaho, Regence Blue Shield of PO Box 1106 Lewiston, ID 83501 Illinois, BCBS of 1400 North 30th Street Quincy, IL 62301 Investors Insurance Co. PO Box 56050 Bldg. 1, Suite 390 Jacksonville, FL 32241 Kanawha Ins. PO Box 1000 Lancaster, SC 29721 Kansas, BCBS of 1133 Topeka Blvd. Topeka, KS 66629-0001 Life & Health of America 220 W. Germantown Pike #200 Plymouth Meeting, PA 19462-1406 Life Investors PO Box 97 Scranton, PA 18504 Maine, Anthem BCBS of 2 Gannett Drive South Portland, ME 04106 Massachusetts, BCBS of PO Box 9198 North Quincy, MA 02171-9198 Mennonite Mutual Aid Association PO Box 483
http://arkmedicare.com/provider/Inkey/defaultpf.asp
INKEY ID NUMBER 00232
00986
00535
INSURER’S NAME Highmark Blue Shield Medigap Claims PO Box 898845 Camp Hill, PA 17011 Idaho, Blue Cross of PO Box 7408 Boise, ID 83707 Idealife Ins. PO Box 9100 Clearwater, FL 34618-9100
00205
Indiana, Anthem BCBS of PO Box 37010 Louisville, KY 40233
00116
Iowa, Wellmark BCBS of 636 Grand Avenue Des Moines, IA 50309
00186
02000
02051
00118
00119
02003 00121
Kansas City, MO, BCBS of 2301 Main Kansas City, MO 64108 Kentucky, Anthem BCBS of PO Box 37690 Louisville, KY 40233 Life Ins. Co. of Georgia PO Box 8119 Fort Washington, PA 19030 Louisiana, BCBS of PO Box 98029 Baton Rouge, LA 70898-9029 Maryland, CareFirst BCBS of 10455 Mill Run Circle Owings Mills, MD 21117 Medico Life PO Box 3477 Omaha, NE 68103-0477 Michigan, BCBS of PO Box 2500
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INKEY ID NUMBER
00262
00033
01161
01168
00662
00663
02070
02074
00172
01014
00194
INSURER’S NAME Goshen, IN 46526 Minnesota, BCBS of PO Box 64560 St. Paul, MN 55164-0560 Missouri, BCBS of 1831 Chestnut Street St. Louis, MO 63103-2275 Monumental Life PO Box 97 Scranton, PA 18504 Mutual Protective PO Box 3477 Omaha, NE 68103-0477 National Foundation Life Ins. 110 W. Seventh Street Fort Worth, TX 76102-0703 National States 1830 Craig Park Court PO Box 46925 St. Louis, MO 63146 Nationalcare Ins. PO Box 26620 Oklahoma City, OK 73126 Nevada, Anthem BCBS of PO Box 173690 Denver, CO 80217-3690 New Hampshire, Anthem BCBS of 3000 Goff Fall Road Manchester, NH 03111-0001 New Mexico, BCBS of PO Box 27630 Albuquerque, NM 87125-7630 New York, BCBS of Central NY 344 S. Warren Street PO Box 4809 Syracuse, NY 13221-4809
http://arkmedicare.com/provider/Inkey/defaultpf.asp
INKEY ID NUMBER
00113
00122
00648
00679
00671
INSURER’S NAME Detroit, MI 48231-2550 Mississippi , BCBS of PO Box 1043 Jackson, MS 39215-1043 Montana, BCBS of PO Box 5004 Great Falls, MT 59403 Mutual of Omaha Mutual of Omaha Plaza Omaha, NE 68175 National Financial Ins. 110 W. Seventh Street Fort Worth, TX 76102 National Health Ins. PO Box 619999 Dallas, TX 75261
00664
National Travelers 820 Keosaugua Way Des Moines, IA 50309-1575
00239
Nebraska, BCBS of PO Box 3248 Omaha, NE 68180
00696
00148
New Era Life Ins. PO Box 4884 Houston, TX 77210 New Jersey, Horizon BCBS of PO Box 820 Newark, NJ 07101
01177
New York Life Mutual of Omaha Plaza Omaha, NE 68175
01006
New York, BCBS of the Rochester Area 165 Court Street Rochester, NY 14647
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INKEY ID NUMBER
INSURER’S NAME
http://arkmedicare.com/provider/Inkey/defaultpf.asp
INKEY ID NUMBER
00139
New York, BCBS of Utica-Watertown Utica Business Park 12 Rhoads Drive Utica, NY 13502
02075
New York, Blue Shield of Northeastern New York 187 Wolf Road Albany, NY 12205
00389
00715
North American Ins. PO Box 44160 Madison, WI 53744-4160
01009
00127
00145
North Dakota, BCBS of 4510 13th Ave. SW Fargo, ND 58121 Oklahoma, BCBS of 1215 S. Boulder PO Box 3283 Tulsa, OK 74102-3283
00242
02013
Old American PO Box 418573 Kansas City, MO 64141
00129
02025
Oxford Life Ins. PO Box 46518 Madison, WI 53744-6518
02056
02076
Pennsylvania, Blue Cross of Northeastern 70 N. Main Street Wilkes-Barre, PA 18711
01090
00234
Pennsylvania, Independence Blue Cross/Philadelphia 1901 Market Street Philadelphia, PA 19103-1480
00771
00744
New York, Empire BCBS P.O. Box 1407 Church Street Station New York, NY 10008 North Carolina, BCBS of PO Box 35 Durham, NC 27702 Ohio, Anthem BCBS of PO Box 37180 Louisville, KY 40233
Old Surety Life Ins. PO Box 54407 Oklahoma City, OK 73154
PFL Life Ins. PO Box 97 Scranton, PA 18504 Physicians Mutual Ins. 2600 Dodge Street Omaha, NE 68131
New York, BCBS of Western New York PO Box 80 Buffalo, NY 14240-0080
00215
00724
00737
INSURER’S NAME
01259
00752
Oregon, BCBS of PO Box 1271 Portland, OR 97207-1271 Penn Treaty Life Ins. C/O AON Select Inc. 110 Gibraltar Horsham, PA 19044-2302 Pennsylvania, Capital Blue Cross – Harrisburg Medigap Claims Department 775223 Harrisburg, PA 17177-5223 Peoples Benefit Life Ins. Attn: Claim Svc. Division Valley Forge, PA 19493 Philadelphia American Life Ins. PO Box 4884 Houston, TX 77210 Pioneer Life Ins. (Changed to Conseco) PO Box 5150 Attn: Policy Benefit Dept.
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INKEY ID NUMBER
INSURER’S NAME
http://arkmedicare.com/provider/Inkey/defaultpf.asp
INKEY ID NUMBER
00756
Principal Life Ins. 711 High Street Des Moines, IA 50392
00765
Providential Life 399 Market Street Philadelphia, PA 19181
00282
00777
Pyramid Life Ins. PO Box 772 Shawnee Mission, KS 66201
00788
00138
00811
00213
00827
00837
02080
00159
02081
Rhode Island, BCBS of 444 Westminster Street Providence, RI 02903 Shelter Life Ins. 1817 W. Broadway Columbia, MO 65218 South Carolina, BCBS of PO Box 100300 Attn: Medicare Sup.Clms Dpt. Columbia, SC 29202 Standard Life & Accident Ins. PO Box 1800 Galveston, TX 77553 State Mutual Ins. 33 N. Garden Avenue Suite 1100 Clearwater, FL 33755-6606 Stonebridge Ins. 2700 West Plano Pkwy. Plano, TX 75075 Texas, BCBS of PO Box 660044 Dallas, TX 75266 Unicare Life & Health Ins. PO Box 70000 Van Nuys, CA 91470
02015
02071
00814
INSURER’S NAME Janesville, WI 53201 Protective Life PO Box 3129 Brentwood, TN 37024-3129 Puerto Rico, BCBS of Oficina Central Carr. Estatal #1 Km.17.3 Rio Piedras, PR 00927 Reserve National Ins. PO Box 26620 Oklahoma City, OK 73126-0620 Security Life Ins. Co. of America PO Box 5348 Bellingham, WA 98227 Sierra Health & Life Ins. PO Box 14396 Las Vegas, NV 89114
02077
South Dakota, Wellmark BCBS PO Box 5023 Sioux Falls, SD 57117
00828
State Farm Mutual Automobile Ins. (Arkansas & Louisiana) 22 State Farm Drive Monroe, LA 71208
02072
Sterling Life Ins. PO Box 5348 Bellingham, WA 98227
00131
Tennessee, BCBS of 801 Pine Street Chattanooga, TN 37402
00853
00873
Time Insurance PO Box 3064 Milwaukee, WI 53201-3064 Union Bankers Ins. PO Box 9110 Clearwater, FL 33758-9110
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INKEY ID NUMBER 01217
00453
00001
00903
02022
00909
00161
00859
01189
00183
00173
INSURER’S NAME Union Fidelity Life Ins. PO Box 10821 Clearwater, FL 33757-8821 United American Ins. PO Box 8080 McKinney, TX 75070-8080 United Healthcare (AARP) AARP Healthcare Options UMC Clms Division PO Box 1011 Montgomeryville, PA 18936-1011 United Security PO Box 149151 Austin, TX 78714 Universal Fidelity Life Ins. 2211 N Highway 81 Duncan, OK 73533 USAble Ins. Co. PO Box 44160 Madison, WI 53744 Vermont, BCBS of PO Box 186 Montpelier, VT 05602 Virginia, Trigon BCBS of Senior Markets PO Box 13087 Roanoke, VA 24031-3087 Washington, Regence Blue Shield – Seattle PO Box 21267 Seattle, WA 98111-3267 Wisconsin, BCBS of PO Box 167 Stevens Point, WI 54481-0167 Wyoming, BCBS of PO Box 2266 Cheyenne, WY 82003
http://arkmedicare.com/provider/Inkey/defaultpf.asp
INKEY ID NUMBER
INSURER’S NAME
00807
Union Labor Life Ins. 111 Massachusetts Ave.,NW Washington, DC 20001
00889
United Commercial Travelers P.O. Box 159019 Colombus, OH 43215
02057
United National Life Ins. PO Box 7901 Mt. Prospect, IL 60056
01262
00906
00149
02073
00193
00235
00945
United Teachers Assoc. Ins. PO Box 26580 Austin, TX 78755-0580 USAA Life Ins. 9800 Fredericksburg Rd. San Antonio, TX 78288 Utah, Regence BCBS of PO Box 30269 Salt Lake City, UT 84130 Veterans Life Ins. PO Box 650 Taylor, PA 18517 Washington, Premera Blue Cross Senior Partners PO Box 327 Seattle, WA 98111-0327 West Viriginia, Mountain State BCBS PO Box 7026 Wheeling, WV 26003 World Insurance PO Box 3160 Omaha, NE 68103-0160
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