Membership Information Sheet

Last updated - January 4, 2010

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Employer

Network

(Click a network to find an in-network provider)

Mail Claims To:
To Verify Eligibility Benefits
To Pre-Certify Treatment
To Check Repricing Status
To Check Payment Status
TPA Name & Address
Electronic Claims Payor #
Electronic Claims Facility Payor #
Arkansas Poly

SB Howard

PO Box 1627

Rogers, AR 72757-1627

479-636-0198
866-412-8252
479-636-0198
479-636-0198

SB Howard

PO Box 1627

Rogers, AR 72757-1627

Contact SB Howard
479-636-0198
Bekaert Steel

EHC Claims Repricing Center

PO Box 610950

Dallas, TX 75261-0950

800-331-1096
800-700-0124
866-905-7786
800-331-1096

Klais & Company

1867 West Market Street

Akron, OH 44313

52429

52429

BKB-Boyd Metals

BKB-Kopco

BKB-Butler & Cook

EHC Choice

or

HealthLink

Healthscope Benefits

PO Box 619055

Dallas, TX 75261-9055

800-539-2971

800-530-2971

800-530-2971
800-530-2971

Healthscope Benefits

27 Corporate Hill Drive

Little Rock, AR 72205

71063
71063

Carco

or

HealthLink

Healthscope Benefits

PO Box 619055

Dallax, TX 75261-9055

800-884-0454

800-884-0454

800-884-0454
800-884-0454

Healthscope Benefits

27 Corporate Hill Drive

Little Rock, AR 72205

71063
71063
City of Fort Smith

EHC Claims Repricing Center

PO Box 610950

Dallas TX 75261-0950

888-847-0274
888-847-0274
866-905-7786
888-847-0274

UMR

PO Box 690450

San Antonio, TX 78269-0450

52429

52429

City of Hot Springs

EHC Hot Springs

or

HealthLink

Healthscope Benefits

PO Box 619055

Dallas, TX 75261-9055

800-817-5851

800-700-0124

option #2

800-817-5851
800-817-5851

Healthscope Benefits

27 Corporate Hill Drive

Little Rock, AR 72205

71063
71063
Cloyes Gear

EHC Choice

or

HealthLink

Healthscope Benefits

PO Box 619055

Dallas, TX 75261-9055

866-905-6298
800-609-6418
866-905-6298
866-905-6298

Healthscope Benefits

27 Corporate Hill Drive

Little Rock, AR 72205

71063
71063
Community Counseling Services

EHC Hot Springs

or

HealthLink

CoreSource

PO Box 8215

Little Rock, AR 72221-8215

888-604-9397
866-292-8108
888-604-9397

888-604-9397

CoreSource

PO Box 8215

Little Rock, AR 72221-8215

75136
75136
Harry G. Barr

SB Howard

PO Box 1627

Rogers, AR 72757-1627

479-636-0198
866-412-8252
479-636-0198
479-636-0198

SB Howard

PO Box 1627

Rogers AR 72757

Contact SB Howard
479-636-0198
Hot Springs Village Property Owners Association

EHC Hot Springs

or

HealthLink

Healthscope Benefits

PO Box 619055

Dallas, TX 75261-9055

800-508-5144
800-609-6418
800-508-5144
800-508-5144

Healthscope Benefits

27 Corporate Hill Drive

Little Rock, AR 72205

71063

71063

OK Industries

EHC Premier

or

HealthLink

Healthscope Benefits

PO Box 619055

Dallas, TX 75261-9055

800-864-2669
479-784-6437
800-864-2669
800-864-2669

HealthScope Benefits

27 Corporate Hill Drive

Little Rock, AR 72205

71063
71063

Pernod-Ricard

(aka Allied Domec)

(aka Hiram Walker)

Boon Chapman

PO Box 9201

Austin, TX 78766

888-860-3835
800-477-4625
888-860-3835
888-860-3835

Boon Chapman

PO Box 9201

Austin, TX 78766

74238
74238
Prescotech

EHC Claims Repricing Center

PO Box 610950

Dallax, TX 75261-0950

1-615-256-3561

ext. 148

Med Cert

800-356-7126

866-905-7786

1-615-256-3561

ext. 148

Nort America Administrators

PO Box 1984

Nashville, TN 37202

52429
52429
Riverside

EHC Choice

or

HealthLink

EHC Claims Repricing Center

PO Box 610950

Dallas, TX 75261-0950

800-995-3569
479-784-6418
866-905-7786
800-995-3569

Group Benefit Services, Inc.

1736 E. Sunshine Ste. 200

Springfield, MO 65804

52429

52429

Triumph Fabrications - Hot Springs

EHC Hot Springs

or

HealthLink

Healthscope Benefits

PO Box 619055

Dallas, TX 75261-9055

877-883-5361
800-609-6418
877-883-5361
877-883-5361

Healthscope Benefits

27 Corporate Hill Drive

Little Rock, AR 72205

71063
71063
Triumph Airborne Structures

EHC Hot Springs

or

HealthLink

Healthscope Benefits

PO Box 619055

Dallas, TX 75261-9055

877-226-2056

800-700-0124

option 2

877-226-2056
877-226-2056

Healthscope Benefits

27 Corporate Hill Drive

Little Rock, AR 72205

71063
71063
UA Fort Smith

EHC Choice

or

HealthLink

Boon Chapman

PO Box 9201

Austin, TX 78766

888-860-3835

Care First

800-700-0124

479-784-6418

888-860-3835
888-860-3835

Boon Chapman

PO Box 9201

Austin, TX 78766

74238
74238
Weldon Williams & Lick

EHC Choice

or

HealthLink

Healthscope Benefits

PO Box 619055

Dallas, TX 75261-9055

800-508-9515
800-609-6418
800-508-9515
800-508-9515

Healthscope Benefits

27 Corporate Hill Drive

Little Rock, AR 72205

71063

71063

Whirlpool

EHC Choice

or

HealthLink

Healthscope Benefits
PO Box 619055
Dallas, TX 75261-9055
800-660-6212
800-660-6212
800-660-6212
800-660-6212

Healthscope Benefits

27 Corporate Hill Drive

Little Rock, AR 72205

71063
71063

Whirlpool Retirees

(Over 65)

EHC Choice

or

HealthLink

Healthscope Benefits
PO Box 619055
Dallas, TX 75261-9055
800-660-6212
800-660-6212
800-660-6212
800-660-6212

Healthscope Benefits

27 Corporate Hill Drive

Little Rock, AR 72205

71063
71063