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Providers can file EDI: Payer ID IH400 . PO Box 211435 Essentia Choice Care with Medica (Commercial) university of queensland entry requirements for masters; butler county community college nursing requirements. Phone: 1-877-268-3384. We're Here to Make Patient Care Simpler Welcome to the Quantum Health provider resource portal. On or before Dec. 31, 2020: 52563. 2020 Provider Manual. Usually a mail-order pharmacy order will get to you in no more than 5 days. (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. Keeping your smile healthy is an important part of keeping your body healthy. ZIP code: 48332-0880. ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available . Business profile of Robert Hund Inc, located at PO Box 880, Farmington, MI 48332. 832 0 obj
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services inc. services health. Click Here. Click button below to return to the home page. PO Box 212 PO Box 21993 Eagan, MN 55121 (800) 4534302 CDS AFMC CDS ADMINISTRATORS Five Gateway Center, Ste. All Rights Reserved. The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. Medica Claim Submission and Product Guidelines Select the appropriate Payer ID below to view Medica claim submission and product guidelines for each plan. You can get this information for free in other languages. And, in the end, faster claims processing means faster payment to you. Medica Select Solution Medica Solo Medica Choice Passport Medica Encore Read more Cofinity Platform Migration Fully Migrated Payers The data in this PO Box 1938, Arlington. Note: documents in Excel format (XLS) require Microsoft Viewer, download excel. State: Michigan. Blog; Contact; Understanding Your Dental Plan; DeltaDental.com; Find My Delta Dental; 1 Campus Martius, Suite 710 Detroit, MI 48226 Attn: Claims Department . Learn about Medicaid plans What a Medicaid plan covers How to apply for Medicaid Making your business' health care our business. Bold by M Health Fairview For DOS on or after July 1, 2021. Medica Quest Note: documents in Quicktime Movie format [MOV] require Apple Quicktime, download quicktime. Here are just a few good reasons to switch to electronic claims submission: You'll save money. Note: documents in Word format (DOC) require Microsoft Viewer, download word. Benefits, List of Covered Drugs, and pharmacy and provider networks may change from time to time throughout the year and on January 1 of each year. All Department . %PDF-1.7
Meridian. You will find current eligibility and plan information and you can track claims submissions. Farmington, MO 63640-4402. 1 0 obj
PO Box 3060 Farmington MO 63640 . If you experience any problems receiving your mail order prescription, call Member Services at. Mobile Categories. Farmington, MI 48331 www.cypressbenefit.com. Review the information in this section before contacting customer service. Delta Dental of Michigan is a part of Delta Dental Plans Association. For certain kinds of drugs, you can use the plans network mail-order services. I've been waiting . One of our team will reach out to gather information and get you . If you are a Member of the Minnesota Health Care Programs or Minnesota Dental Select (formerly CivicSmiles SM): PO Box 30757 may add new clearinghouses from time to time, so please contact Provider Services at. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! Known Addresses for Amerisure Insurance Company. endobj
Phone: (248) 476-5555 Provider Network Questions: For questions regarding our provider network, or to join the HealthSmart PPO Preferred network, contact HealthSmart Provider Relations at 800-687-0500. PO Box 9120 Farmington Hills, MI 48333 Electronic Payer ID: 07000. Eagan, MN 55121 : See details on claim submission and product guidelines. If you include the 2-digit suffix for the member, the claim will reject as invalid eligibility for member, InstaMed: 1-866-945-7990 [Select Request Type] (Required) Also of Interest: Find An Agency Amerisure's Appetite Partners For Success Agencies endstream
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Box 2907 Milwaukee, WI 53201-2907 617-886-1234 deltadentalma.com Payer #04614 Michigan Delta Dental of Michigan P.O. Date: 3/4/2023 9:53:06 PM
po box 2839 farmington hills mi 48333 payer id. If you need immediate attention, please call: (855) 887-0855 Claims Billing Requirements: This evolution allows us to grow and add quality services to our platform of solutions for self-insured employers and covered members. PO Box 9089
Medica Advantage Solution PartnerCare HMO I-SNP The following are the standard claims billing requirements for providers. Toll Free |800.451.4318 Eagan, MN 55121-0051, Note: When submitting claims under this payer ID, use only the 10-digit member ID. Box 880 Farmington, MI 48331 Box 103 Stevens Point, WI 54481 855-335-8267 www.deltadentalil.com Payer ID: WDENC Delta Dental of Indiana P.O. Procedure Codes that Require X-ray or Document Submission Meridian is currently accepting electronic claims from the following clearinghouses: IMPORTANT: Please refer to Member ID card for changes effective on January 1, 2021, as the Payer IDs are not interchangeable. The claim information must be typed, with no hand-written information other than applicable signatures. Payer Identification Number - 81600: . Email: connect@instamed.com, Website: For 2020 dates of service, please continue to use this address: 1 Campus Martius, Suite 710 Detroit, MI 48226 Attn: Claims Department. Reconsiderations and Disputes All requests for claims reconsideration or adjustment must be received within 90 calendar days from the date of notification . For faster claims processing, we strongly encourage all providers to submit claims via electronic data interchange (EDI) or online using our secure web portal. Not doing so delays the processing and your payment. If either the provider or chosen clearinghouse has questions about the process of enrolling as an atypical provider, you can contact the Client Services team at 1-800-Availity. Lucent Provider Portal Please email CA.ITHelpDesk@lucenthealth.com if you have forgotten your username or need to have your password reset. Submit all initial claims for adjucation through electronic claims submission or by mail to: If you are re-submitting a claim for a status or a correction, please indicate Status or Claims Correction on the claim. 5 digit groups: Claim numbers are 10 digits (CMS-1500) and 11 digits (UB-04); 6 digit groups: Claim numbers are 12 digits, Prior Authorization submitted via email and/or fax number provided on the corresponding form, Medica Any provider within the available networks (see applicable provider fact sheet below for directory). Heights, IL 60006-1938 AMERICAN HEALTHCARE ALLIANCE. PO Box 2839 LifeSmile is an oral wellness program that helps you focus on your oral health and well-being with education and tips for improving and maintaining good dental health habits. bcbs mi hm710 n n/a po box 68767 grand rapids mi 49516 blue cross blue shield az 53589 n n/a . City / suburb: Farmington. Meridian follows State Medicaid guidelines for claims payment. For the PHCS Network, 1-800-922-4362 For PHCS Healthy Directions, 1-800-678-7427 For the MultiPlan Network, 1-888-342-7427 For the HealthEOS Network, 1-800-279-9776 For language assistance, please call 1-866-981-7427 For TTY/TTD service, please call 1-866-918-7427 Search for a provider > Regional President, Diesel Systems North America. <>/Metadata 9495 0 R/ViewerPreferences 9496 0 R>>
Medica with MU HealthCare Administrative Claim Appeals Allwell PO Box 3000 PO BOX 75 MINNEAPOLIS, MN 55440 Each State will have their own payer ID for Blue Cross Blue Shield and in many instances, they will process their own Federal (FEP) claims. Representatives are available in our corporate service centers located in the U.S. Delta Dental has affordable individual dental plans available for you. Learn the benefits of switching to electronic claims submission. Medica Advantage Solution PPO Fact Sheet Visibility that unlocks value. Medica Focus If you include the 2-digit suffix for the member, the claim will reject as member not on file, Note: When submitting claims under this payer ID, use only the 10-digit member ID. Medica with CHI Health Direct Primary Care (DPC) 28. 3 0 obj
Farmington, MI 48331. Sorry, the page you are looking for doesn't exist. ZIP code 48331 is located in southeast Michigan and covers a slightly less than average land area compared to other ZIP codes in the United States. <>
Please follow these guidelines for claims submission to Meridian: For faster claims processing, we strongly encourage all providers to submit claims via electronic data interchange (EDI) or online using our secure web portal. We realize call wait times can sometimes be high this time of year. Telephone | 205.871.3229 Salt Lake City, UT 84130-0990 If you are re-submitting a claim for a status or a correction, please indicate Status or Claims Correction on the claim. Box 880 Farmington, MI 48331 www.cypressbenefit.com APPLETON, WI: 877-236-0844 CLACKAMAS, OR: 800-277-8579 OMAHA, NE: 800-223-5508 4/1/2019 CYPRESS BENEFIT ADMINISTRATORS LLC 10158 Contact information for corporate headquarters. Medica Insure P.O. Go to homepage Including a payer ID on electronic claims allows them to be routed correctly and quickly. It is important that you submit your appeal and any supporting documentation within ninety (90) days of the original claims determination. PO Box 3070 . Schedule an Appointment with a licensed insurance agent. P.O. Something went wrong while submitting the form. Photo or scanned copies are not accepted. Dragging your feet on going digital? Box 9120 Farmington Hills, MI 48333-9120 1-866-398-9419 Payer Identification Number - 07000 . 1 Campus Martius, Suite 720. 0
MeridianComplete is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. Preparing and mailing paper claims is far more costly than transmitting them electronically. Medica with Healthier You Accuracy counts. Ameriben Solutions Po Box 7186; Boise; ID; 83707 (800)786-7930 American Administrative Group Inc Po Box 34297; San Antonio; TX; 78265 . hbbd```b``6kA$bv &A$0"YL`6ED2
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The claim information must be typed, with no hand-written information other than applicable signatures. 866 0 obj
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Executives - Robert Bosch LLC (HQ) Buy the executives list from same sector. po box 3080 farmington hills, mi 48333. by | Nov 13, 2022 | 401k employer contribution | red mountain park bike trails | Nov 13, 2022 | 401k employer contribution | red mountain park bike trails PO Box 21342 Sunshine Health's Payer ID is 68069. PO Box Online; Lobby has Copier; Lot Parking; Visit our Links Page for Holiday Schedule, Change of Address, Hold Mail/Stop Delivery, PO Box rentals and fees, . Pay My Bill Industries Products Services Businesses Agents About Us search Contact Us Corporate Headquarters 26777 Halsted Road Farmington Hills, MI 48331-3586 (800) 257-1900 Send Us a Message Reporting a claim? Keeping your smile healthy is an important part of keeping your body healthy. If you include the 2-digit suffix for the member, the claim will reject as invalid eligibility for member, InstaMed: 1-866-945-7990 PO Box 37705. Read more Lucent Health Completes Brand Transition of Cypress Benefit Just complete this request form. Rx Group: 3Medica, Medica Behavioral Health (MBH): 1-800-848-8327, PO Box 30757 Medica CompleteHealth Medica Choice Care MSC+/Minnesota Senior Care Plus (MSC+) 1. BANKERS CLAIM SER. (Read more) US506049: Presentation - Robert Bosch LLC (HQ) . PO Box 9085
Learn about our HSA & HRA plans, Dental & Vision offerings, Pharmacy solutions, and Care Management Payer ID: IMPORTANT: Please refer to Member ID card for changes effective on January 1, 2021, as the Payer IDs are not interchangeable. endobj
This means fewer information requests or other holdups in the processing of your claims. Very important statistics warning: Everyone reading this probably hopes & expects to find precise statistics to compile & process. Download a form for non-covered services. 4 0 obj
Farmington Hills, MI 48333 Electronic Payer ID: 07000. On or after Jan. 1, 2021: . Contact information for corporate headquarters. Box 9085 Farmington Hills, MI 48333-9085 800-524-0149 www.deltadentalin.com Payer #DDPIN Delta Dental of Iowa P.O. Box 9000 Johnston, IA 50131-9000 800-544-0718 www.deltadentalia.com Payer #CDIA1 Search insurance providers in other Michigan cities: Allen Park; Ann Arbor; Battle Creek; Bay City; Berkley; Delta Dental of Michigan is a part of Delta Dental Plans Association. The correct address for all claims, paper and electronic, for Delta Dental of Michigan, Ohio, and Indiana: Delta Dental PO Box 9085 Farmington Hills, MI 48333-9085 The contact information is listed below. Farmington Hills, MI 48333 Electronic Payer ID: 07000. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 792 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>>
Florida 88090 (PHX) Zelis/Medica PO Box 2839 . Kompass ID? Box 553912 Detroit, MI 48255-3912 . Review the information in this section before contacting customer service. Update: National Provider Identifier (NPI) is required when billing, unless enrolled as an atypical provider. Medica Choice National @~c^A10 1
Delta Dental PO Box 9089 Farmington Hills, MI 48333-9089 Call our customer service team at 800-524-0149 for member eligibility, benefits information and claims inquiries. Medica Signature Solution Box 674416 Detroit, MI 48267-4416. endstream
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Please contact the plan for more details. If you are re-submitting a claim for a status or a correction, please indicate "Status" or . Here you can submit referrals, check the status of authorizations, verify patient benefits and more. Please ensure the proper claims address and payer ID is used.
Farmington Hill. PO Box 9120 Farmington Hills, MI 48333 Phone: 1-800-448-3815. 5. <>
For Travel Claims: A written formal claims appeal may be sent to IMG requesting a review of previously processed claims. 1 year . We've also included all necessary forms, in printable format. Farmington Hills, MI 48333-9089. endstream
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<. Elevate by Medica PO Box P.O. All Rights Reserved. HOW DO I BECOME A PREFERRED PROVIDER? Farmington Hills, MI 48333, USA . Birmingham, AL 35266-0787 Mailing address for written inquiries Delta Dental PO Box 9230 Farmington Hills, MI . Related Posts. First Name: Required Last Name: Required Company Name: Required Title: Email: Required Phone: Required Comments: Required Type of inquiry: Answer the question below: Learn more about Zelis. Refund Overpayments (on your check stock) Allwell PO Box 3657, Carol Stream, IL 60132-3657 . Electronic claims submission tips. Cypress Benefits Administrators Po Box 880; Farmington; MI; 48331-0000 Delta Health Systems Po Box 780; Stockton; CA; 95201-0780 (800)418-5409 University of Minnesota, Medica Individual & Family Business P.O. Oak Park, MI 48237-7705. hb```f`` @1V 0&>TY6@Sk~dp;I;Egki``Ft "UY63Leg,l9
3'C {&AQ730 XqQ? 3. Limitations, restrictions, and patient pay amounts may apply. Review which codes require additional submissions. Medica Pinnacle Feb. BIN/PCN/Group # vary by product see member's ID card, Optum Chiropractic %PDF-1.5
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Customer payments for BCBSM Medicare Advantage groups Blue Cross Blue Shield of Michigan P.O. 01066. Shop; Pruducts. Ascension Online Care. Login Username Password Submit Forgot your username or password? Smart Phone; Laptop; Speaker; Bi Cycle; Electronics Categories. It's affordable. Samara B. Payer ID: 94265, Benefits/Claims: Medica 1-800-458-5512 Farmington Hills, MI 48333, BIN/PCN/Group # vary by product see member's ID card, Any available provider within the Zelis network, Medica Government Programs Protecting your information is a top priority. Medica Health Plan Solutions, BCBS AZ providers submit to payer ID 53589, Prior Authorization submitted via email and/or fax number provided on thecorresponding form, BIN/PCN/Group # vary by product seesee member's ID card, Claim Address (paper submission and correspondence), Zelis/Medica xoJa# A*J/^d{3$~-t{_?j_O?~z|66xBMmj[/~xzSWf[}m>~}|}'n[eU'zrV5mhmV3$Hm "4CmcoYh6Viz}8Fds_? p~xW>4':5'_N7g>=p6S+hx~6k?l_EYn#FBL71nvz->|\7au*kR07a"j[l:]P?ntfc/[dsn
Nkxo_>ZGOvd'__uW';.__;wS;lVG}7G|5?:7Wju0 Whether your company has two employees or thousands, we have health care plans to support companies big and small. Elect Payer ID: 38259. Medica AccessAbility Solution / Special Needs Basic Care (SNBC) PO Box 2060 Farmington, MI 48333 26777 Halsted Rd Farmington, MI 48331 Detroit, MI 48226 26777 Halsted Rd Farmington Hills, MI 48331 Mutual Building Detroit, MI 48226. Mail Paper HCFAs or UBs: Impact Health Sharing PO Box 3139 Farmington Hills, MI 48333. Please follow these guidelines for claims submission to. 100 Garden City Plaza, Suite 110Garden City, NY 11530. . Engage by Medica Ridgeview Community Network powered by Medica box 4088 silver spring md 20914 8004475002 . Detroit, MI 48226. Below is Freds answer. you may call the number above, request one at the website link provided above, or email memberservices.mi@mhplan.com. Electronic claims submission is fasteryou and your staff will have more time to devote to your patients and for other responsibilities. Below you'll see the clearinghousesMeridian is currently accepting electronic claims from. PO Box 211435 . Farmington Hills, MI 48331. . Allwell PO Box 3060 Farmington, MO 63640-3801 ATTN: Returned Check . It also has a slightly higher than average population density. If you need further assistance, please visit the contact us section for help on ways get the information you need. 1495 0 obj
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box 7186 boise id 83707 8007867930 10079 abs po box 30570 phoenix az 85046 6238897200 . %PDF-1.5
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Need More Help? Medica Direct HSA United States. This means that you may have to pay for some services and that you need to follow certain rules to have MeridianComplete pay for your services. Medica Elect and Medica Essential 4. Alternative Insurance Resources, Inc. Language Assistance & Notice of Nondiscrimination, Providers must use a standard CMS 1500 Claim Form or UB-04 Claim Form for submission ofclaims to Meridian, Providers must use industry standard procedure and diagnosis codes such as CPT, Revenue, HCPCS and ICD-10when billing Meridian, Specialty physician claims should include a PCP referral form and/or a corporate prior authorization number for payment, Providers may also submit and check the status of claims electronically via the secure Meridian, Claim must be original, using national or state form types as applicable. %%EOF
Peace Corps has contracted with International Medical Group (IMG) to administer the Peace Corps healthcare program. County: Oakland. Amerisure is a leading provider of commercial property and casualty insurance solutions for U.S.-based construction, manufacturing and healthcare businesses. The people living in ZIP code 48331 are primarily white. Get paid fastersign up today for this free service. PO Box 3060 Farmington MO 63640. . Attn: Claims Department. This Provider website delivers advanced functionality, allowing you and your staff to more easily access the information you need to facilitate treatment for our members. Box 9085 Farmington Hills, MI 48333-9085 800-524-0149 deltadentalmi.com Payer #DDPMI Minnesota, North Dakota Delta Dental of Minnesota P.O. 4578-323-855 ( 711) . Contact Us. Llame al. This field is for validation purposes and should be left unchanged. Box 59238 Minneapolis, MN 55459-0238 800-448-3815 deltadentalmn.org Payer #07000 Park Nicollet First with Medica Farmington Hills, MI 48333 . Medica AccessAbility Solution Enhanced / Special Needs Basic Care (SNBC SNP) Next, the user will select the blue hyperlink "Commercial/Other" for more information. Empower by Medica 2021 at 2:32 pm FARMINGTON, MI 48334 The address is: The DharmaShop 24148 Research Drive Farmington Hills, MI 48335. Oops! 1030582505 ambetter po box 5010 farmington mo 63640 5010 8776871187 0001198700 ameriben solutions po box 7186 boise id 83707 8007867930 0001114900 america first insurance co po box 16708 jackson ms 39236 8008001397 . Procedure Codes that Require X-ray or Document Submission, Medicaid and Medicare Advantage Non-covered Services Form. PO Box 550, Farmington Hills, MI 48332-0550 Telephone: 855.731.9442 (toll-free) or 317.927.6825 (7:00 am - 9:00 pm EST) Fax: 855.731.9443 Email: PCcare@imglobal.com. Want to learn more about becoming a Preferred Provider with Impact Health Sharing? Farmington, MO 63640-3823 . The clearinghouse may print these claims on paper and send them on to us for processing. PO Box 0392 Milwaukee, WI 53201 www.auxiant.com 800-475-2232 4/1/2019 CYPRESS BENEFIT ADMIN CBA03 88056 Cypress Benefit Administrators P.O. You can also submit claims for payment through the mail: After 1/1/2021, please use the following address for mailed claims: MeridianCompleteATTN: Claims DepartmentPO Box 3060Farmington MO 63640. PO Box Online; Lot Parking; Passport Appointment Hours; Visit our Links Page for Holiday . Learn more about claims procedures If you are a Member of the Minnesota Health Care Programs or Minnesota Dental Select (formerly CivicSmiles SM): . What is a self-funded health plan? 10030 activa benefit services po box 2720 farmington hill mi 48333 8778271414 . Same here! po box 2839 farmington hills mi 48333 payer id. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. 49438 advantage by bridgeway healthcare po box 3060 farmington mo 63640 8664753129 95327 adventist risk mgmt p.o. 800-838-8957 (TTY users call 711) Claims mailing address Delta Dental PO Box 9298 Farmington Hills, MI 48333-9298. Download the free version of Adobe Reader. s?|S#FX5pgdod2_}p#fuVxujyDlFG\{NRWI~]BS1m"V+{uvo5k$S_!uOO_77*^sV4^mDa9z){],KhJ`P4PnJh/};--4wc8 ?NM7tT*ym:Q=JAf^&wc)EoehM?UT5HhJ{P&Zo8[0[277D}oIKR ^k5$&h"^{1C?UMPG=
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%. Understand how to submit claims for patients with multiple benefit plans. You will also need to select a clearinghouse. Corporate Address: Delta Dental of Minnesota . connecticare inc 06105 n n/a po box 546 farmington ct 06034. corp. health. 600 Pittsburgh, PA 15202 (412) 2012242 FAX (412) 2012250 LUCE AFMC LUCENT HEALTH (fna) CYPRESS BENEFIT ADMINISTRATORS P.O. Minnesota Uniform Companion Guides The Administrative Uniformity Committee (AUC) provides common billing practices for Minnesota payers and providers. P.O. Monday-Friday from 8 a.m. to 8 p.m. (member); 8:30 a.m. to 8 p.m. (provider). Call one of our licensed agents at 866-966-9868. The rejection for a missing NPI will be received by your chosen clearinghouse and it will be their responsibility to enroll. Eagan, MN 55121, Note: When submitting claims under this payer ID, use only the 10-digit member ID. BANKERS PO BOX 37511 OAK PARK MI 48237 98999 0248 X A.B.S. Can't find what you're looking for? Machine Name: PWIM4-CDWEB01, Medica.com Provider Portal/Admission Notification, Inpatient Admission Notification Guidelines, Medica.com Provider Portal/Administrative Referral Entry for referral based products, Essentia Choice Care with Medica (Commercial), Ridgeview Community Network powered by Medica, Medica AccessAbility Solution / Special Needs Basic Care (SNBC), Medica AccessAbility Solution Enhanced / Special Needs Basic Care (SNBC SNP), Medica Dual Solution/Minnesota Senior Health Options (MSHO), Medica Choice Care MSC+/Minnesota Senior Care Plus (MSC+), Essentia Choice Care with Medica (Individual and Family Business), Medica with CHI Health Direct Primary Care (DPC), Medica with CHI Health Fact Sheet (Accountable Care System Product), Medica Advantage Solution HMO-POS Fact Sheet, Medica Advantage Solution PartnerCare HMO I-SNP, BIN/PCN/Group # vary by product see member's ID card. Review the reports from your clearinghouse. Claim Adjustment or Appeal Request Form (DOC). The top five tips for participating providers. Eagan, MN 55121-0342, Rx Bin: 003858 Cypress Benefit Administrators Address: PO BOX 880 FARMINGTON, MI 88056-0000 Website: http://www.cypressbenefit.com Telephone: 855-556-0285 Mail Order Disposable Medical Supplies Are you very busy?