FAX : 800 - 594 - 4184

Pay to Address
physical address

S.No

Insurance Name

1
2
3
4
5
6
7
8
9

AARP
AETNA
Aetna HMO
Alliance PPO
Accordia
Amerigroup
Anchor benefits
Anthem BCBS
APWU

10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30

Associated admin
Assurity Ins
Availity
Avmed
Avmed
AXA Assistance
Bankers life
Bankers life and casualty
BCBS
BCBS South carolana
BCBS
BCBS
BCBS FL PPO
BCBS of AL
BCBS of Fl
BCBS OF Horizon
BCBS OF IL
BCBS OF IL
BCBS OF IL
BCBS of MI
BCBS OF CAREFIRST

31
32

Beth (Univ HC)
Black lung US Dept

33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49

Connecticut
Caremark
CBCA Administrators
CBSA
ChampVA
Cigna
Cigna international
CITRUS
Citrus healthcare
Coventry Health care
conseco
Conseco
CPT UPDATE
Electronic Data interchange (MCAID)
Empire BCBS
empire plan united HC
empire plan united HC
Enginerrs

50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75

Evercare
First commercial claim
First commercial claim
mail Handlers
First health
GEICHO
GEICO
GERBER
GHI
Golden rule
Greatwest
Guardian
Health alliance
Health America
Health Mart
Healthease
Heritage consultants
High Mark BCBS
HIGHMARK BCBS
Horizon
Humana
Healthy palm beach
IRON workers
IUOE
IUOE NJ
James Haley VA hospital

76
77
78
79
80
81
82
83

MCAID Provider Enrol
MCR Ec claims dept for MCR
Medicaid
Medical mutual
MEDICARE
MEDICARE COMPLETE
MMSI
Mondial assiastance

84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118

monumental life
NALC HEALTH BENEFIT PLAN
One Health Plan
PGCS
PHC FAX
Physicians health care plan Benefits
Physicians Healthcare Plan
Physicians united plan
polk healthcare
Polk Healthcare
Principal Life ins
Preffered Care
Prvider Relations BCBS
QHP Phar
Quality health plans
RR MCR
State FARM
State farm Auto FL
Staywell/Wellcare
Strategic resource
Tricare ec dept
Tricare for life
Tricare Prime fl
Tricare Prime (South Region)
UHC
UNICARE
UNITED AM INS
United Americans Care
United communications corp
UHC
UNITED MEDICAL RESOURCES
United teachers ass.
Universal HC Direct
Universal health care
Wausau Benefits

119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169

Wausau Benefits
Well care
Liberty Mutual
POMCO
New Era Life Ins
Self Insured Plan
Lifewise Health plan Of AZ
Independent Health
Unison Health Plan
Meritain
Private health care systems
Fall on Community Plan
PHCS
Magnacare
Metcare
MMM HealthCare
Advantage care
mail Handlers
Staywell
PYRAMID LIFE INSURANCE
Group Resources
Antham BCBS
JPFARLEY
JA Halley Verterans
Health Choice
First SouthCare
Herrington Benefit
Fiserv Health
Advantra freedom
Summit claims center
AIG
Partnercare
State Farm Auto
Gallagher Bassett Service
Harrington Benefit
CMS Network
CMS Network Green wood Ave
Vista
Preffered Medicare
Good shepered
FHHS
Freedom Medicare
TSA
LifePath Hospice
Diversified
Veterans Administration
Veterans Administration
Kaiser
Star HRG
MidWest National
Unicare

170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215

800 368 3653/ 210 558 2150 benefits .
Southeast Florida Labourers
Selfpay
Wellcare
Corporate Benefit
Todays Options
Assurant Health
Amerihealth
Amerihealth Adm
Florida Laborers Health Fund
Health Care Credit Union Association
Tricare Overseas
Evercare
Secure Horizons
Unisource Administrators
Mutual Of Ohio
Pacificare
NGSC American
Preferred Health
Health First
Sun life ins
Deseret Mutual
Pan American
Champus (North Region)
Mutual of Omaha
www.mytricare.com
MEDICAL MUTUAL OF OHIO
UNIVERA HEALTHCARE PPO
CoreSource
Aarp
Senior Partner
Bravo
ASSURED ASSISTANCE INC
American Progressive Health
Joseph: Login:puru Password:broji948
JPC Login: kalyan, Pw:brkalyan
Tax ID#593323183
MCR (PA)
Keystone (PA)
Aetna
BCBS( Federal)Start with R
BCBS for yhq, NJP( POS)
Tax ID#043621542
Availity Login & Password for JPC
Cavale Navinet Login & PW

Battle
Moore
DrNasir
Dr.Moore

Dr.Joseph
Dr. Gill

Ridge Medical Associates
Tax ID 593718147
PO box 65 lake wales Fl 33859
405 S 11th st. Lake Wales FL 33853
MCR Grp ID# K2890
MCAID Grp ID#266558100

Tel #
(1800) 523-5800
(1888) 632-3862
(1800) 624-0756
800 342 3289
1888-440-7342
(1800) 454-3730
(1888) 522-7742
(1800) 422-4304
1 800 222 2798
800 638 2972
(866) 289-7337
(1800) 282-4548
(1800) 432-6676
(1800) 816-5465
(1800) 646-6162
312-396-6000
(1800) 773-4760
1800 676 2583
1800 868 2500
(1800) 323-2190
(1800) 676-2583
1800 727 2227
(1800) 517-6425
(1800) 727-2227
(1800) 355-2583
(1800) 203-0584
(1630) 978-7878
(1800) 458-6024
(1800) 482-3146
1800-842-5975
1-863-513-2488
800-638-7072

(1800) 421-3973
(1800) 859-5355
952 541 0444
(1800) 733-8387
(1800) 244-6224
1800-441-2668
1 877 624 8787
(1866) 769-1159
1800-833-7423
(312) 396-7500
800-541-2254
(1800) 634-6922
(1800) 829-0218
(1212) 476-1000
(1518) 367-4737
(1800) 942-4640
(1315) 492-1796
(1800) 393-0993
786 621 3130
(1813) 872-9400
(1800) 410-7778
(1888) 636-6252
(1800) 648-2493
(800) 841-3000
(1800) 409-2595
800-358-5500
1(317)297-4189
1800-663-8081
800-873-4542
313-664-8000
(1866) 351-5946
(1800) 687-0500
(800) 351-8777
1800-282-2460
800-547-3627
(1412) 544-7000
(1800) 624-1110
(1800) 448-6262
866-930-0035
(1212) 684-1586
(1800) 877-5051
(1856) 321-1110
813-972-2000

(1800) 377-8216
(1904) 791-8767
(1800) 289-7799
800-362-1279
Rep(1866 454 9007)
(1866) 872-1667
(1800) 848-3258
519-742-1691

(1800) 638-3080
(1703) 729-4677
(1800) 663-8081
(1800) 237-6617
(1863) 519-4711
(1866) 220-5448
(1866) 313-7587
(1866) 571-0693
(1863) 534-5378
(1863) 533-1111
1800 - 447 - 4701
1800 999 3920
(1800) 545-6565
(1800) 699-3542
(1866) 747-2700
(1877) 288-7600
866 734 4584
800-627-4028
18132906200//1800-278--0656
1803-736-1999
(1800) 325-5920
(1866) 773-0404
(1800) 444-5445
(1800) 403-3950
(1800) 438-3378
(1877) 864-2273
(1972) 529-5085
972-529-5085
800-236-8672
1877 842 3210
(1800) 950-4867
(1800) 880-8824
(1727) 456-2982
(1866) 690-4842
877-233-1800

(1800) 826-9781
(1813) 290-6200
617-357-9500

1.636.527.3942
(281) 368-7200
(1239) 403-7884
(1800) 592-6795
1800-736-5771
(800) 600-9007
877-506-4356
1800-231-9045
1800-868-5200
1800-877-5870
1718-591-2000
1877-874-1234
787-622-3000
1-866-692-3822
1-800-410-7778
1-866-231-1821
1-800-444- 0321
(1800) 749-9963
(1800) 514-4538
(813) 972-7009
800-990-9058
1800-446-5439
(800) 654-6208
1877 233 1800
1800 713 5095
1800 282 7644
1888 244 6163
888-901-9208

(1866) 537-2718
(1800) 548-6040
(1800) 654-6208
(1800) 340 8354, 561-881-5040
(866) 847-8235
(1866) 516-7700
1800 753 1880
1800 741 4810
1800 401 2740
1800 591 6764
1800 209 2200
1800 642 1628
1813 979 3576
(1813) 910-3080
1800 777 7904
1800 700 3957
888 756 3534
1800 814 0041

(1800) 831-4914
(1863) 697-1400
(888) 888-9355
888 259 7022
1866 568 8921
(1800) 553-7654
1800-877-9829
(1800) 480-5033
1800 831 4914
1866 227 5400
(888) 777-8343
(1800) 393-0993
888 867 5581
(1888) 457-1400
704-853-7900, 402-351-7600
800-584-0117
800-521-1555
(1888) 524-2777
(800) 716-7737

800-361-6212.
1877 220 0110
866-373-6366
(1877) 874-2273
1877-617-5587
(800)362-1279
1(800)558-4320
866-373-9608
https://aarpprovideronlinetool.uhc.com/PROD/pw/index.html
888-991-9023
1888 667 7367
(800)222-9978
1888 445 8699

Jacksonwille primary care pa
Avmed ID#219758
(866) 488-0548
800 227 3119
(1800) 624-0756
(1800) 727-2227
(1866) 763-3608
1800 624 1110
JAXPRIMARY & Billed123
bright3 & endodoc19053

Login:ramana, PW:brgent21
ramana & brmoore12
bruser1 & bruser1
user name : billed4, password: Billed@2
rachit, brmoore2
Login:ramana & broji111
puru & brgill71

618-236-5120 Valerie

CLIA# : 10D0992626

(1407) 745-1849
(1863) 232-5744

UPIN:H74227 DR H
UPIN: G77478 DR N
BCBS ID#51547 DR H
MCAID ID#070257900 DR N

FL LICENSE: ME85714 DR H
FL LICENSE:ME74564 DR N
BCBS ID#44347 DR N
MCAID ID#266557300 DR H

CB NO

Extras
1800 227 7789
888-632-3862
(1800) 624-0756

Extras
ggurkirpal
sunil1
18009362602

207427--K,217579--M
(1800) 845-7629
(1800) 533-1120

AVMED ID
(1800) 432-6676
(1312) 935-3550

225463-kundlas

www.bcbssc.com

sbalaji

gcm003/gcm119
34570 GRP#
1-904-791-6111

ID#SBO,XJG,xjj, xjb

(1800) 344-8525

Univ HC 150 2nd ave. N Suite#400 St
petersburg FL 33701
http://owcp.dol.acs-inc.com

FAX#863-299-7847 ATT:Beth.

Claudy-37159 www.cigna.com

c1i2g3

Citrus PROV NO.

10337801-Kundlas

National A/C-1800-398-5654

Pls verify Insurance on Gaines,charles scheduled atr 8.30

(1888) 685-8480
305 403 4000

http://evercarehealthplans.com/
contact_us.jsp

ebonline.com
(1866) 477-5465

1800 265 0155

1800 657 8205

(1800) 457-4708

18775115000

(1813) 979-3588

mevsnet.com

(813) 871-7600

(1877) 847-4992
18888675585-Hope
www.mmsiservices.com

ctc2006

(1800) 752-9797
Payer ID : 53011
FAX : 321 832 1448
http://doctorline.com/flahmo.htm

863 519 4711

http://www.monlife.com/ml/cont
acttype.asp

ATT :Marie Louis
All HMO's

Bea,ATT claims,EXT 2806

Alabama 18006887989
www.qualityhealthplans.com
(888) 355-9165
(1866) 855-1212

pcp0072

Staywell /Wellcare ID 1-866-334-7927

187906 SN

www.human,militaryc
8667730404( Secondary)
(1877) 769-7447

UBR2007

rep-18004383378

(1727) 822-3446
www.univhc.com

EXT.6533
SHARMA7091

BS24595
904-363-0099

billed@right

www.selfinsuredplans.com/

https://edisecure.jpfarley.com/reqelip.htm
8139727010

WW W.advantrafreedom.com

(888) 772-9682

For DA (1800 446 8182)
Dr.Joseph -18637011151

1800 741 4808

18003085948
18003333304

5590

18003462513
Lola

8777025110

18006248822
jpc2008 & billed123

User Id: bavashia
Password: hrcc1234
4108644400

6028 Bennett Rd Jacksonville FL 32216-5004

18664673126

Extras
aarpnet1
billedright2
66575

Extras
Indeminity :18887729682

207427

593-557-599

Avmed Pin

7632

icici100

psi456

brmcd123

Humana HMO:1800 477 6931

df79c9a6fb

IVR to Check Elg:(1800)239 7560
Billedright2008

MD Med Choice-800-457-4708

viki-2803

niha18405

170-Jeanane

N212707

kundlas2008

vachon1260, Billedright1

10E8307E

MM no copay for pcp,PF copay$5,Spl$25

billedright1

billed@right

icici100

Kundlas2007

American Holidays Url
http://www.smart.net/~mmontes/ushols.html

www.brainyzip.com/
1800922TALK
dvazterence@yahoo.co.in

S.No

Insurance
1 AARP
2 Aetna
3 Availity
Availity
Availity
Availity
4 Amerigroup
5 Avmed
6 BCBS
7 BCBS
8 BCBS
9 Cigna
10 Citrus
11 Webmd
12 FMH
13 GHI

14 Great West

15 UHC
UHC
16 Self insured
17 Univer HC
18 Wellcare
Wellcare
19 South carolana
20 gateway
21 QHP
22 PUP
PUP
21 Fiserv health
22 Unicare
Unicare
23 Jpfarley
24 Vista
25 mcd
26 Magnacare
27 Humana / Tricare
28 Advabtrafreedom

29 NGS American
30 Tricare

Website
https://aarpprovideronlinetool.uhc.com/PROD/pw/index.html
https://www.aetna.com/provweb/
https://apps.availity.com/availity/common/login.jsp

Login
sunil1
JAXPRIMARY
peds07
cregan
saurin
southlake2008
207427
297009
gcm003
bright2
bright3
c1i2g3
brmcd123
ctc2006
not req
223809317
203864030

https://www1.amerigroupcorp.com/Providers/?LOG=Timeout
https://www.avmed.org/applications/pso/ssl_pages/login.asp
http://www.ecare.com/
https://navinet.navimedix.com/Main.asp
https://navinet.navimedix.com/Main.asp
http://www.cigna.com/
http://www.citrushc.com/Default.aspx
https://office.emdeon.com/secure/scripts/inq.dll?MfcISAPICommand=LogIn
https://www.f-m-h.com/providers.html
http://www.ghi.com/Providers.aspx
ghi
https://www5.greatwesthealthcare.com/providers/Login.aspx?ReturnUrl=%2fProviders
%2fspp%2fSPPHome.aspx
gill9652
great west
kundlas2008
https://www.unitedhealthcareonline.com/b2c/CmaAction.do?viewKey=PreLoginMain&f
orwardToken=PreLoginMain
UBR2007
billedjp3
https://secure.healthx.com//v2app//public/login.aspx?bc={4d947b2e-dc06-4892-a8e3-c9bc059e862e}&orgid={4840e739-f38c-4
https://www.univhc.com/Index.asp
SHARMA7091
https://provider.wellcare.com/Providers/Home.aspx?ReturnUrl=%2fProviders%2fPrivat
e%2fInquiries%2fProviderEligibilityAndCopay.aspx
BS24595
Nandra226061
rbataille1
https://www.southcarolinablues.com/bcbs/bcbs_redo.nsf
sbalaji
www.gatewayedi.com
12vb
billed right
www.qualityhealthplans.com
pcp0072
http://www.pupcorp.com/ProviderHomePage.aspx#
ez_ojoseph
PUP
ez_emoore
www.fiservhealth.com
billedright08
https://provider2.unicare.com/wps/myportal/ebpmyunc
balaji123
kalyan08
https://edisecure.jpfarley.com/webport
5590
https://www.vistahealthplan.com/VistaParSecure/ParApplications/ProviderLogin.aspx?
ReturnUrl=/VistaParSecure/ParApplications/ProviderHome.aspx
gmaadmin1
http://www.ehdl.com/indexLogin.asp
vachon
https://clm.magnacare.com
593557599
http://www.humana-military.com/
billedright08

https://www.directprovider.com/Provider/appmanager/coventry/extUsers?_nfpb=true&portlet_20_1_actionOverride=%2Fportlet
ne2001ar

www.NGS.com
www.tricare4u.com

JPC2008
JPC2008

Password
JPC2008
billedright2
Billed123
peds05
broji124
kundlas2008
nasir08
593557599
1594
gcm020
br2007
billing1
psi456
df79c9a6fb
Kundlas2008
not req
PR143659
JO107374

JPC
PSI
JPC
Kalon
Dr.Joseph
PSI
Nasir

JPC
Cavale
PSI
PSI
PSI

Gill
PSI

kundlas2008
uhcjpc159

PSI
JPC
PSI
PSI

billedright1
password77
elmo53
icici100
kkumaroj
Kalyanji07
niha18405
4pupel1g156
4pupel1g155
billed123
Kundlas1
brkahlon08
icici100

PSI
Nandra
Batallie
PSI
Joseph
PSI

sat1ne
gentle
not req
kundlas_08

gma1260

Billed123

pay website

Rajan Patel
Joseph

password77
billed123

10E8307E

PENDING

city of birth

Polk
not working
PSI
favorite game
PSI

fl

cricket

PSI

pay website
PSI
PSI
Tracking
#55961

not active
Pr Id#307209

Cavale

berth placepa

BILLED123

JPC
JPC

Pending
where were you born

chennai

pending