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CareFirst Third Party Administrator (TPA)/Network Lease Accounts OnlyCareFirst contracts with Third Party Administrators to the Network claims product. Please send all correspondence and non-claim inquiries tothe TPA addresses below. Please submit claims electronically using EDI Payer Codes: Professional – 580, Facility – 190.PrefixGroupA11A12A121A17SM62Group NameNCAS MULTIPLEGROUPSGroup BenefitServicesDelta ChemicalGroupEmployeeSecurity/NEATimonium ToyotaNEA’s, Tenax,Atlantic BuildersA222003Maryland ElectricalHealth FundA25W33FSterling CareFrostburg VillageA26W33GFrostburg VillageAssisted LivingTPA Name & AddressNCASPO Box 981610El Paso, TX 79998Group Benefit Services6 North Park Dr.Suite 310Hunt Valley, MD 21030Employee Securities10400 Little Patuxent Pkwy.Suite 260Columbia, MD 21044-3518Benefits AdministrationCorporation, Inc. (BACI)9411 Philadelphia RD.Suite SBaltimore, MD 21237UFCW Local 2766 Grand Ave.Englewood, NJ 07631UFCW Local 2766 Grand Ave.Englewood, NJ 07631Claims FilingAddressClaims & BenefitContact NamePhoneNumberFiling LimitElectronic PayerID NumberPO Box 981610El Paso, TX79998-1633Customer Service800-888-6227CustomerServiceProf. 580/Inst. 190P.O. Box 981633El Paso, TX79998-1633Customer Service410-832-1300Call TPAProf. 580/Inst. 190P.O. Box 981633El Paso, TX79998-1633Customer Service410-997-3300Call TPAProf. 580/Inst. 190P.O. Box 981633El Paso, TX79998-1633Customer Service410-444-8516800-352-2741Call TPAProf. 580/Inst. 190Customer Service888-773-8329Call TPAProf. 580/Inst. 190Customer Service888-773-8329Call TPAProf. 580/Inst. 190P.O. Box 981633El Paso, TX79998-1633P.O. Box 981633El Paso, TX79998-1633

PrefixGroupGroup NameA27W33PWEPCO FederalCredit Union/UFCWA36L026Seagram’s – UFCWFundSocial kers TrustPlumbers &Steamfitters Local486A42W31FTeamsters Local#355Truck Drivers &HelpersA47W31RInternationalAlliance ofTheatrical StageEmployees Local 22Pension & WelfareFund (IATSE)TPA Name & AddressUFCW National Health andWelfare Fund66 Grand Ave.Englewood, NJ 07631UFCW National Fund –Contributing EmployerGroups66 Grand Ave.Englewood, NJ 07631BeneSys, Inc.7130 Columbia Gateway Dr.Suite AColumbia, MD 21046Benefits AdministrationCorporation, Inc. (BACI)9411 Philadelphia RD.Suite SBaltimore, MD 21237Benefits AdministrationCorporation, Inc. (BACI)9411 Philadelphia RD.Suite SBaltimore, MD 21237Benefits AdministrationCorporation, Inc. (BACI)9411 Philadelphia RD.Suite SBaltimore, MD 21237Claims FilingAddressClaims & BenefitContact NamePhoneNumberFiling LimitElectronic PayerID NumberP.O. Box 981633El Paso, TX79998-1633Customer Service888-773-8329Call TPAProf. 580/Inst. 190P.O. Box 981633El Paso, TX79998-1633Customer Service888-773-8329Call TPAProf. 580/Inst. 190P.O. Box 981633El Paso, TX79998-1633Customer Service410-884-1406Call TPAProf. 580/Inst. 190P.O. Box 981633El Paso, TX79998-1633Customer Service410-254-4800855-505-0462Call TPAProf. 580/Inst. 190P.O. Box 981633El Paso, TX79998-1633Customer Service443-573-3632866-621-7974Call TPAProf. 580/Inst. 190P.O. Box 981633El Paso, TX79998-1633Customer Service410-319-7264800-941-2752Call TPAProf. 580/Inst. 190

PrefixGroupGroup NameA48W29FSheet MetalWorkers Local 100A49W29JTeamsters #570Health FundA52W29LOperatingEngineers Local 99A54W29MOperatingEngineers Local 37A56W29PUFCW &Participating FoodIndustry EmployersTri-State Health &Welfare FundA58W31WBricklayers & AlliedCraftsmenTPA Name & AddressBenefits AdministrationCorporation, Inc. (BACI)9411 Philadelphia RD.Suite SBaltimore, MD 21237Teamsters #570 HealthFund1005 North Point Blvd.Suite 726Baltimore, MD 21224Decision Sciences3615 North Point Blvd.Suite CBaltimore, MD 21222Decision Sciences3615 North Point Blvd.Suite CBaltimore, MD 21222United Food & CommercialWorkers (UFCW Health &Welfare27 Roland Ave.Suite 100Mt Laurel, NJ 08054Zenith American Solutions3 Gateway Center401 Liberty Ave.Suite 1200Pittsburgh, PA 15222-1024Claims FilingAddressClaims & BenefitContact NamePhoneNumberFiling LimitElectronic PayerID NumberP.O. Box 981633El Paso, TX79998-1633Customer Service443-573-3635888-805-7996Call TPAProf. 580/Inst. 190P.O. Box 981633El Paso, TX79998-1633Customer Service410-282-0510Call TPAProf. 580/Inst. 190P.O. Box 981633El Paso, TX79998-1633Customer Service410-254-9595Call TPAProf. 580/Inst. 190P.O. Box 981633El Paso, TX79998-1633Customer Service410-254-9595Call TPAProf. 580/Inst. 190P.O. Box 981633El Paso, TX79998-1633Customer Service800-228-7484Call TPAProf. 580/Inst. 190P.O. Box 981633El Paso, TX79998-1633Customer Service410-828-5282Call TPAProf. 580/Inst. 190

PrefixGroupA59W31YGroup NameFELRATPA Name & AddressAssociated Administrators911 Ridgebrook RD.Sparks, MD 21152-9451Zenith American Solutions3 Gateway Center401 Liberty Ave.Suite 1200Pittsburgh, PA 15222-1024Zenith American Solutions3 Gateway Center401 Liberty Ave.Suite 1200Pittsburgh, PA 15222-1024Claims FilingAddressClaims & BenefitContact NamePhoneNumberFiling LimitElectronic PayerID NumberP.O. Box 981633El Paso, TX79998-1633Customer Service800-638-2972Call TPAProf. 580/Inst. 190P.O. Box 981633El Paso, TX79998-1633Customer Service800-242-8923Call TPAProf. 580/Inst. 190P.O. Box 981633El Paso, TX79998-1633Customer Service800-242-8923Call TPAProf. 580/Inst. 190A62W32ABeverage Worker’sLocal 67A63W32BIron Workers Local#5A64W32COperatingEngineer’s Local 77Associated Administrators911 Ridgebrook RD.Sparks, MD 21152-9451P.O. Box 981633El Paso, TX79998-1633Customer Service877-850-0977Call TPAProf. 580/Inst. 190Plumbers &Pipefitters Local # 5BeneSys, Inc.7130 Columbia Gateway Dr.Suite AColumbia, MD 21046P.O. Box 981633El Paso, TX79998-1633Customer Service410-872-9500800-741-9249Call TPAProf. 580/Inst. 190Heating Piping &RefrigerationBenefits AdministrationCorporation, Inc. (BACI)9411 Philadelphia RD.Suite SBaltimore, MD 21237P.O. Box 981633El Paso, TX79998-1633Customer Service410-444-3756800-618-2879Call TPAProf. 580/Inst. 190A65W32DA66W32E

PrefixGroupGroup NameTPA Name & AddressClaims FilingAddressClaims & BenefitContact NamePhoneNumberFiling LimitElectronic PayerID NumberA67W32FRodman Local 201Zenith American Solutions3 Gateway Center401 Liberty Ave.Suite 1200Pittsburgh, PA 15222-1024A68W32GWashington D.C.Cement MasonsBeneSys, Inc.7130 Columbia Gateway Dr.Suite AColumbia, MD 21046P.O. Box 981633El Paso, TX79998-1633Customer Service410-872-9500Call TPAProf. 580/Inst. 190A70W32JStone and MarbleMasonsBeneSys, Inc.7130 Columbia Gateway Dr.Suite AColumbia, MD 21046P.O. Box 981633El Paso, TX79998-1633Customer Service410-872-9500Call TPAProf. 580/Inst. 190A71W32KMan-U-ServiceBeneSys, Inc.7130 Columbia Gateway Dr.Suite AColumbia, MD 21046P.O. Box 981633El Paso, TX79998-1633Customer Service410-872-9500Call TPAProf. 580/Inst. 190A73W32MWashingtonWholesalers Healthand Welfare FundBeneSys, Inc.7130 Columbia Gateway Dr.Suite AColumbia, MD 21046P.O. Box 981633El Paso, TX79998-1633Customer Service410-872-9500Call TPAProf. 580/Inst. 190A74W32NHagerstownTeamstersEffective 9/1/2020P.O. Box 981633El Paso, TX79998-1633Customer Service301-733-2602Call TPAProf. 580/Inst. 190A75W32PDC PaversP.O. Box 981633El Paso, TX79998-1633Customer Service410-872-9500Call TPAProf. 580/Inst. 190Zenith American Solutions10312 Remington DriveHagerstown, MD 21740BeneSys, Inc.7130 Columbia Gateway Dr.Suite AColumbia, MD 21046P.O. Box 981633El Paso, TX79998-1633Customer Service412-471-2885800-242-8923Call TPAProf. 580/Inst. 190

PrefixGroupA77W32RA80SHPSUCHAOCA81W32WGroup NameUFCW Unions &ParticipationEmployers Health &Welfare Fund(NONFOOD)TPA Name & AddressClaims FilingAddressClaims & BenefitContact NamePhoneNumberFiling LimitElectronic PayerID NumberAssociated Administrators911 Ridgebrook RD.Sparks, MD 21152-9451P.O. Box 981633El Paso, TX79998-1633Customer Service800-638-2972Call TPAProf. 580/Inst. 190AllegeantPO Box 981801El Paso, TX 79998PO Box 981801El Paso, TX 79998Customer Service800-553-8635Call TPAProf. 580/Inst. 190P.O. Box 981633El Paso, TX79998-1633Customer Service800-242-8923Call TPAProf. 580/Inst. 190P.O. Box 981633El Paso, TX79998-1633Customer Service888-773-8329Call TPAProf. 580/Inst. 190P.O. Box 981633El Paso, TX79998-1633Customer Service800-638-2972Call TPAProf. 580/Inst. 190P.O. Box 981633El Paso, TX79998-1633Customer Service800-228-7484Call TPAProf. 580/Inst. 190Sheppard PrattUpper ChesapeakeAscend OneDistrict Council #51 Health dministrators –Employee GroupA95W33EUFCWZenith American Solutions3 Gateway Center401 Liberty Ave.Suite 1200Pittsburgh, PA 15222-1024UFCW National Fund –Sun ProductsCorporation Retirees66 Grand Ave.Englewood, NJ 07631Associated Administrators911 Ridgebrook RD.Sparks, MD 21152-9451United Food & CommercialWorkers (UFCW Health &Welfare27 Roland Ave.Suite 100Mt Laurel, NJ 08054

PrefixGroupA96W33LA97W33MA98W33NGroup NameTransport WorkersUnion Health andWelfare PlanTeamsters Local922 Health TrustBakery and SalesDrivers Local 33Industry WelfareFundTPA Name & AddressBenefits AdministrationCorporation, Inc. (BACI)9411 Philadelphia RD.Suite SBaltimore, MD 21237BeneSys, Inc.7130 Columbia Gateway Dr.Suite AColumbia, MD 21046Benefits AdministrationCorporation, Inc. (BACI)9411 Philadelphia RD.Suite SBaltimore, MD 21237Claims FilingAddressClaims & BenefitContact NamePhoneNumberFiling LimitElectronic PayerID NumberP.O. Box 981633El Paso, TX79998-1633Customer Service410-444-0659800-618-2879Call TPAProf. 580/Inst. 190P.O. Box 981633El Paso, TX79998-1633Customer Service410-872-9500Call TPAProf. 580/Inst. 190P.O. Box 981633El Paso, TX79998-1633Customer Service410-444-3750800-922.0602Call TPAProf. 580/Inst. 190PRD1065 (6/22)CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueCross BlueShield Medicare Advantage is the shared business name of CareFirst Advantage, Inc. and CareFirstAdvantage DSNP, Inc. CareFirst BlueCross BlueShield Community Health Plan Maryland is the business name of CareFirst Community Partners, Inc. CareFirst BlueCross BlueShield Community Health Plan District of Columbia is the business name of Trusted Health Plan(District of Columbia), Inc. In the District of Columbia and Maryland, CareFirst MedPlus is the business name of First Care, Inc. In Virginia, CareFirst MedPlus is the business name of First Care, Inc. of Maryland (used in VA by: First Care, Inc.). CareFirst of Maryland, Inc.,Group Hospitalization and Medical Services, Inc., CareFirst Advantage, Inc., CareFirst Advantage DSNP, Inc., CareFirst Community Partners, Inc., Trusted Health Plan (District of Columbia), Inc., CareFirst BlueChoice, Inc., First Care, Inc., and The Dental Network, Inc. areindependent licensees of the Blue Cross and Blue Shield Association. BLUE CROSS , BLUE SHIELD and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue ShieldPlans.