Payer List As of August 18, 2014 Allied National-Global Care, Inc. Claims Address: PO Box 247 Alpharetta, GA 30009-0247 Benefit and Claims: 866-323-2985 EDI Claims Submission: Payer ID #07689 Web TPA Additional Information: www.alliednational.com for on-line service Claims Address: P.O. Box 99906 Grapevine, TX 76099-9706 EDI Claims Submission: WebMD/Envoy: Payer ID #75261 Additional Information: Employee & Provider Portal: www.webtpa.com Refer to the provider tab for eligibility and benefit information. Each client will have a specific number for eligibility and claims. Frates Benefit Administrators Claims Address: PO Box 269001 Oklahoma City, OK 73126 Customer Service: 800-850-7166 EDI Claims Submission: Information will be forthcoming. Additional Information: Provider Portal: http://www.clfrates.com/fba/ providers.html Healthcare Solutions Group (HSG) Claims Address: P.O. Box 1309 Muskogee, OK 74402 Customer Service: 800-749-1422 EDI Claims Submission: Payer ID #73147 Additional Information: Provider Portal: https://www.myhealthclaims.com Caprock HealthPlans Claims Address: PO Box 21548 Eagan, MN 55121-0548 Customer Service: (t) 800-747-9446 (t) 806-783-9995; (f) 806-783-9991 Submit EDI claims to: CAPHP AmeriBen Claims Address: P.O. Box 7186 Boise, ID 83707 Customer Service: (t) 800-786-7930 www.ameriben.com Submit EDI claims to: Payer ID #75137 Additional Information: Providers may utilize the IVR, 800-661-7683, or the website at www.caprockhp.com, to obtain benefits, eligibility, and claim status Patients/Groups: www.caprockhp.com