Membership Information Sheet
Last updated - April 21, 2011
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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 |
Employers' Health Choice |
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 15951 Lubbock, TX 79490-5951 |
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 |
Employers' Health Choice |
Healthscope Benefits PO Box 99006 Lubbock, TX 79490-9006 |
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 |
Employers' Health Choice |
Healthscope Benefits PO Box 99006 Lubbock, TX 79490-9006 |
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 15951 Lubbock TX 79490-5951 |
866-868-7406 |
888-847-0274 |
866-905-7786 |
888-847-0274 |
UMR PO Box 690450 San Antonio, TX 78269-0450 |
52429 |
52429 |
|
| City of Hot Springs |
Employers' Health Choice |
Healthscope Benefits PO Box 99006 Lubbock, TX 79490-9006 |
800-817-5851 |
800-817-5851
|
800-817-5851 |
800-817-5851 |
Healthscope Benefits 27 Corporate Hill Drive Little Rock, AR 72205 |
71063 |
71063 |
| Cloyes Gear |
Employers' Health Choice |
Healthscope Benefits PO Box 99006 Lubbock, TX 79490-9006 |
866-905-6298 |
866-905-6298 |
866-905-6298 |
866-905-6298 |
Healthscope Benefits 27 Corporate Hill Drive Little Rock, AR 72205 |
71063 |
71063 |
| Community Counseling Services |
Employers' Health Choice |
Healthscope Benefits PO Box 99006 Lubbock, TX 79490-9006 |
800-530-2105 |
800-530-2105 |
800-530-2105 |
800-530-2105 |
Healthscope Benefits 27 Corporate Hill Drive Little Rock, AR 72205 |
71063 |
71063 |
| Forsgren | Employers' Health Choice |
HealthScope Benefits, Inc. PO Box 99006 Lubbock, TX 79490-9006 |
800-936-8613 |
800-936-8613 |
800-936-8613 |
800-936-8613 |
Healthscope Benefits 27 Corporate Hill Drive Little Rock, AR 72205 |
71063 |
71063 |
| Harry G. Barr |
Employers' Health Choice |
Healthscope Benefits PO Box 99006 Lubbock, TX 79490-9006 |
800-530-1726 |
800-530-1726 |
800-530-1726 |
800-530-1726 |
Healthscope Benefits 27 Corporate Hill Drive Little Rock, AR 72205 |
71063 |
71063 |
| Hot Springs Village Property Owners Association |
Employers' Health Choice |
Healthscope Benefits PO Box 99006 Lubbock, TX 79490-5951 |
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 |
Employers' Health Choice |
Healthscope Benefits PO Box 99006 Lubbock, TX 759490-9006 |
800-864-2669 |
800-864-2669 |
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) |
EHC Claims Repricing Center PO Box 15951 Lubbock, TX 79490-5951 |
888-860-3835 |
800-477-4625 |
888-860-3835 |
888-860-3835 |
Boon Chapman PO Box 9201 Austin, TX 78766 |
52429 |
74238 |
|
| Prescotech | EHC Claims Repricing Center PO Box 15951 Lubbock, TX 79490-5951 |
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 |
Employers' Health Choice |
EHC Claims Repricing Center PO Box 15951 Lubbock, TX 79490-5951 |
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 |
| Sebastian County |
Employers' Health Choice |
Healthscope Benefits PO Box 99006 Lubbock, TX 79490-9006 |
800-778-5023 |
800-778-5023 |
800-778-5023 |
800-778-5023 |
Healthscope Benefits 27 Corporate Hill Drive Little Rock, AR 72205 |
71063 |
71063 |
| Triumph Fabrications - Hot Springs |
Employers' Health Coalition |
Healthscope Benefits PO Box 99006 Lubbock, TX 79490-9006 |
877-883-5361 |
877-883-5361 |
877-883-5361 |
877-883-5361 |
Healthscope Benefits 27 Corporate Hill Drive Little Rock, AR 72205 |
71063 |
71063 |
| Triumph Airborne Structures |
Employers' Health Choice |
Healthscope Benefits PO Box 99006 Lubbock, TX 79490-9006 |
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 |
Employers' Health Choice |
Healthscope Benefits PO Box 99006 Lubbock, TX 79490-9006 |
800-824-9938 |
800-824-9938 |
800-824-9938 |
800-824-9938 |
Healthscope Benefits 27 Corporate Hill Drive Hittle Rock, AR 72205 |
71063 |
71063 |
| Weldon Williams & Lick |
Employers' Health Coalition |
Healthscope Benefits PO Box 99006 Lubbock, TX 79490-9006 |
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 | Healthscope Benefits
PO Box 99006
Lubbock, TX 79490-9006 |
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) |
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 |