Click on alphabetic checkboxes to the left to select claims contact information to view below.

ADVANTAGE Health Solutions, Inc. - HMO
9490 Priority Way, West Drive
Indianapolis, IN 46240
(888) 806-1029
(800) 743-3333 TDD
www.advantageplan.com

ADVANTAGE Health Solutions, Inc
Appeals & Grievances Coordinator
9490 Priority Way, West Drive
Indianapolis, IN 46240
(888) 806-1029
(800) 743-3333 TDD

AETNA US HealthCare - Dental
Complaints/Appeals
Dental CRT
P.O. Box 14049
Lexington, KY 40512-4094
(800) 843-3661
www.aetna.com

HMO
Member Appeals
1000 Middle Street, MC 15
Middletown, CT 06457

PPO
Aetna Health Care Plan Open Choice
Aetna U.S. Healthcare
P. O. Box 182756
Columbus, OH 43218-2756
(800) 454-2239
www.aetna.com

PPO
Aetna Health Care Plan Open Choice
Aetna U.S. Healthcare
Attention: Appeals
P.O.Box 123123
Albany, NY 12212

Blue Care Network - HMO Claims
P.O. Box 68710
Grand Rapids, MI 49502
(800) 382-2000
www.bcbsm.com/bcn

Blue Care Network - HMO Claims
Appeals and Grievances
Mail Code - B848
25925 Telegraph Road
P.O. Box 284
Southfield, MI 48037-9887

Blue Cross Blue Shield of Michigan
Appeals
Auto/National Appeals Unit
600 East Lafayette
Mail Code 1605
Detroit, MI 48226-2998
(800) 521-0488
www.bcbsm.com

Blue Cross Blue Shield of Delaware
One Brandywine Gateway
Wilmington, DE 19899
(800) 346-1138

Blue Preferred Plus PPO
Blue Cross Blue Shield of Michigan
P.O. Box 400
Southfield, MI 48037
(800) 521-5990

Blue Plus of Minnesota - HMO
Appeals/Inquiries
P.O. Box 64179
St. Paul, MN 55164
(800) 382-2000
www.bluecrossmn.com

Care Choices - HMO
Member Services
P.O. Box 9087
Farmington Hills, MI 48333-9087
(800) 852-9780
www.carechoices.com

CO/OP Optical Vision Designs
Customer Service
UAW/DaimlerChrysler Dept.
2424 East Eight Mile Rd.
Detroit, MI 48234
(800) 368-5160
www.coopoptical.com

Davis Vision
Quality Assurance/Patient Advocate
Department
159 Express Street
Plainview, NY 11803
800-999-5431
www.davisvision.com

Delta Dental Plan
Appeals/Claims
P.O. Box 9085
Farmington Hills,, MI 48333-9085
888-293-8271

DentaCap (Illinois)
Claims/Appeals
Administrator
Dental Network of America
P. O. Box 23089
Belleville, IL 62223-0089
(800) 942-9085
www.dnoa.com

DentaCare of Wisconsin
Claims/Appeals
12695 West National Ave
New Berlin, WI 53151-4057
(888) 223-9575
www.bluecrosswisconsin.com

ESIS, DaimlerChrysler Corporation Unit
P.O. Box 5183
Southfield, MI 48086-5183
(888) 322-4462

Family Health Plan
Claims Processing
P.O. Box 4708
Toledo, OH 43610

Family Health Plan - HMO
Appeals & Grievance Coordinator
2200 Jefferson Avenue
6th Floor
Toledo, OH 43624
(800) 231-8274
www.familyhealthplan.org

Health Alliance Plan - HMO
Appeals/Inquiries
Grievance Department
2850 West Grand Blvd
Detroit, MI 48202
(800) 422-4641
www.hapcorp.org

Help Line Mental Health/Substance Abuse
Appeals
Blue Cross Blue Shield of Michigan
Auto National Appeals Unit - Mail Code 1605
600 Lafayette East
Detroit, MI, 48226-2998

Help Line Mental Health/Substance Abuse
Inquiries/Claims
DaimlerChrysler Service Center
P. O. Box 1618
Detroit, MI 48231-1618

Humana HMO
Grievance & Appeals
P.O. Box14546
Lexington, KY 40512-2456

Humana HMO Claims Office
Claims
P.O. Box 14601
Lexington, KY 40512
(877) 857-7551 - Wisconsin and
Illinois
www.humana.com

JLT Services Corporation
P. O. Box 945
Schenectady, NY 12301-0945
(800) 758-8778
www.benservices.com

Kaiser Foundation Health Plan of Colorado - HMO
P.O. Box 372970
Denver, Colorado 80237-6970
(303) 338-3800
www.kp.org

Kaiser Foundation Health Plan, Inc. - HMO
Claims Department
P.O. Box 12923
Oakland, CA 94604-2923
(800) 464-4000
www.kp.org

Kaiser Permanente - HMO
Claims
P.O. Box 5316
Cleveland, Ohio 44101-9774

Kaiser Permanente - HMO - Appeals
Customer Relations Department
P.O. Box 5309
Cleveland, OH 44101
(800) 686-7100
www.kp.org

Kaiser Permanente NW - HMO
Claims/Appeals Administration
500 NE Multnomah Street
Suite 100
Portland, OR 97232
(503) 813-2000
www.kp.org

M Plan - HMO
Member Services Department
8802 North Meridian Street
Suite 100
Indianapolis, In 46260-5371
(800) 816-7526

M Plan - Complaints & Appeals
Consumer Services Division
Indiana Department of Insurance
311 West Washington Street
Suite 200
Indianapolis, IN 46202-2787
(317) 232-2385

Mental Health/Substance Abuse Appeals
DaimlerChrysler Service Center
P.O. Box 1618
Detroit, MI 48231-1618

Midwestern Dental Plans
Member Services & Appeals
5050 Schaefer Rd.
Dearborn, MI 48126
(800) 544-6374
www.midwesterndental.com

Milwaukee Market Office
Utilization Department
N 19W 24133 Riverwood Dr.
Ste 300
Waukesha, WI 53188-1174

National Foot Care Program, Inc.
Member Services
P.O. Box 760547
Lathrup Village, MI 48076-9894
(800) 922 1695
www.nationalfootcare.com

National Foot Care
Inquiry & Grievance Appeal Unit
17117 West Nine Mile Road #1050
Southfield, MI 48075-9436

National Vision Administrator
Wisconsin Appeals
1200 Route 46 West
Clifton, NJ 07015
(888) 478-3722
www.e-nva.com

OmniCare Health Plan - HMO
Appeals/Claims
Grievance Coordinator
1155 Brewery Park Blvd.
Ste. 250
Detroit, MI 48207
(313) 393-2000
www.ochp.com

Preferrred Care Plan - Alabama
Blue Cross Blue Shield of Alabama
Attention: NASCO
P.O. Box 13427
Birmingham, AL 35202
(800) 423-3559

Preferrred Care Plan - Alabama
Blue Cross Blue Shield of Alabama - Appeals
Blue Cross Blue Shield of Michigan
Auto/National Appeals Unit
600 East Lafayette - Mail Code 1605
Detroit, MI 48226-2998

Preferred Care Georgia (Blue Choice)
Blue Cross Blue Shield of Georgia
Capital City Plaza
3350 Peachtree Road NE
Atlanta, GA 30326
(800) 833-3033

Preferred Care Georgia (Blue Choice)
Blue Cross Blue Shield of Georgia - Appeals
Blue Cross Blue Shield of Michigan
Auto/National Appeals Unit
600 East Lafayette - Mail Code 1605
Detroit, MI 48226-2998

Preferred Patient Care
Blue Cross Blue Shield of Florida
P.O. Box 2988
Jacksonville, FL 32232
(800) 355-6278

Preferred Patient Care
Blue Cross Blue Shield of Florida - Appeals
Blue Cross Blue Shield of Michigan
Auto/National Appeals Unit
600 East Lafayette - Mail Code 1605
Detroit, MI 48226-2998

Preferred Provider Plan
Regence Blue Cross Blue Shield of Oregon
100 S.W. Market Street
Portland, OR 97201
(800) 628-3481

Preferred Provider Plan
Regence Blue Cross Blue Shield of Oregon - Appeals
Blue Cross Blue Shield of Michigan
Auto/National Appeals Unit
600 East Lafayette - Mail Code 1605
Detroit, MI 48226-2998

PPOM
Claims Processing
P.O. Box 2720
Farmington Hills, MI 48333
(800) 521-1321

PPOM Appeals
DaimlerChrysler/ABS
P.O. Box 37506
Oak Park, MI 48237-0506

Super Med Plus
Medical Mutual of Ohio - Eastern Office
2060 E. Ninth Street
Cleveland, OH 44114
(419) 473-7605
www.mmoh.com

Super Med Plus
Medical Mutual of Ohio - Western Office
3737 Sylvania Avenue
Toledo, OH 43623
(800) 473-7605
www.mmoh.com

Super Med Plus Appeals
Blue Cross Blue Shield of Michigan
Auto/National Appeals Unit
600 East Lafayette - Mail Code 1605
Detroit, MI 48226-2998

United Concordia - Dental Claims
P.O. Box 69416
Harrisburg, PA 17106
(800) 937-6432
www.ucci.com

United Concordia Appeals
Dental Customer Service
P.O. Box 69420
Harrisburg, PA 17106

United Health Care
(St. Louis, Missouri)
(866) 249-7487

United Health Care
Appeals & Inquiries
P.O. Box 740816
Atlanta, GA 30374-081