Name Payer ID ERA Paper* Address City State Zip

assurant employee benefits - formerly fortis assur n po box 624 milwaukee wi 53201 ... connecticut general conng n p o box 29000 atlanta ga 30359 ... coordinated benefit plan 14829 n po box 20594 tampa fl 33622 coordinated care 68069 n po box 4030 farmington mo 63640 ................
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