Eagan city code

    • [PDF File]A Guide for Completing the UB-04 Form

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      Eagan, MN 55121-0800 . SAMPLE R C R RC R R R NR RC R RR R R R R R R R R C CC C C C CNR C CNR C C C C C C C C C C C C NR NR NR NR NR NR SW SW SW SW C C C C C NR NR NR NR NR NR NR NR . KEY ... CODE CODE 29 ACDT 30 STATE OCCURRENCE SPAN OCCURRENCE DATE 36 OCCURRENCE OCCURRENCE DATE CODE ... city, state and zip code ofthe party responsible for …

    • [PDF File]Worldwide Station Directory - Forward Air

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      Jun 15, 2021 · Kansas City, MO 64153 FIRMS CODE: K740 _FA_MCI@forwardair.com MCO - FORWARD AIR, INC. (407) 857-9212 FAX: (407) 857-9926 1851 Cypress Lake Drive Orlando, FL 32837 CFS Station FIRMS CODE: M836 _FA_MCO@forwardair.com MDT – FORWARD AIR, INC. (717) 558-0158 FAX: (717) 558-0594 3500 Industrial Rd. Harrisburg, PA 17110 FIRMS CODE: C913

    • [PDF File]TACS: Time and Attendance Collection System Supervisor ...

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      ¾ City T&A Processing System (CTAPS) ¾ PC-City T&A Processing System (PC-CTAPS) ... Clock System (ETC) ¾ Postal Source Data System (PSDS) TACS is a web-based system residing in a central location (Eagan MN) with highly reliable hardware and software that maintains all program and data files. ... Activity-Based Costing requires information at ...

    • [PDF File]Brand Address City State Zip Code Bubba Gump Shrimp Co ...

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      Brand Address City State Zip Code Bubba Gump Shrimp Co. 2393-8882 170 St NW, West Edmonton Mall Edmonton AB T5T 4M2 Houlihan's Restaurant + Bar 225 Red Wolf Blvd Jonesboro AR 72405 Claim Jumper 3063 W Agua Fria Freeway Phoenix AZ 85027 Claim Jumper 10125 W McDowell Rd Avondale AZ 85392 Claim Jumper 3761 E Broadway Blvd Tuscon AZ 85716

    • [PDF File]Prior Authorization Fax Form

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      Eagan, MN 55121 TOLL FREE CONFIDENTIALITY NOTICE: This communication is intended only for the use of the individual entity to which it is addressed, and may contain information that is privileged or confidential. If the reader of this message is not the intended recipient, you are hereby notified that any

    • [PDF File]TO BE COMPLETED BY PATIENT PATIENT INFORMATION

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      eagan, mn 55121 to be completed by patient patient information: 1. patient’s name (last) (first) (middleinitial) 2. patient’s address (street) (city) (state) (zip code) 3. member identification number 4. patient’s phone number ( ) area code 5. 6.patient’s birth date patient’ssex male female 7. patient’s relationship to member

    • [PDF File]CARRIER ADDRESS CARRIER NAME CARRIER STREET ADDRESS …

      https://info.5y1.org/eagan-city-code_1_3509b3.html

      code carrier street address 1 carrier street address 2 carrier city carrier state carrier address zip code ‐ 9 a.h.c. 11 po box 981 brookfield wi 53008‐0981 aarp / united healthcare 44 united healthcare clm. po box 740819 atlanta ga 30374‐0819

    • [PDF File]CARRIER CODE

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      0070-00 po box 1447 cedar rapids ia 52406 bay bridge beacon health options benefit administration services 4232-00 p o box 21515 eagan mn 41205 louisiana medicaid management information systems tp-0-32-2 tpl carrier file listing carrier carrier address-line 1 city st zip code carrier address-line 2 0033-00 1776 american heritage dr jacksonville ...

    • [PDF File]TPL Code Directory - Illinois

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      po box 21801 eagan: mn 55121: 475 american federation govt empl 80 f street nw: washington dc: 20001 042 american fidelity assurance: 2000 classen center oklahoma city: ok 73106: 103 american gen life & accident p o box 1500 health claims: nashville tn: 37202 105 …

    • [PDF File]GEHA Medical Claim Form

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      purchase. Mail to PO Box 21542, Eagan, MN 55121. If you need assistance with completing this form, please contact GEHA at 800.821.6136. In-network medical claims: When you use a health care provider that is in GEHA's network, you will not have to fill out any claim forms in most cases. GEHA's in-network providers and facilities

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