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A Code HealthNow NY, Inc., DMERC A PO Box 6800 Wilkers-Barre PA 18777-9458 866-419-9458 Toll Free www.umd.nycpic.com Payment: $60.21 Massachusetts Maine New Jersey Vermont New Hampshire New York Payment: $68.07 Connecticut Payment: $70.84 Rhode Island Delaware Pennsylvania |
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B Code AdminaStar Federal, Inc. PO Box 7078 Indianapolis IN 46207-7078 877-299-7900 www.astar-federal.com Payment: $60.21 Illinois Indiana Michigan Minnesota Payment: $70.84 Washington D.C. Wisconsin Maryland Ohio West Virginia Virginia |
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C Code Medicare DMERC Operations Palmetto Gov't Benefits Admin PO Box 100141 Columbia SC 29202-3141 866-238-9650 www.palmettogba.com Payment: $60.21 Alabama Kentucky South Carolina Florida Oklahoma Mississippi Virgin Islands Georgia New Mexico Payment: $70.84 North Carolina Louisiana Tennessee Arkansas Colorado Texas Payment: $109.02 Puerto Rico |
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D Code Connecticut General Life Ins. (CIGNA Medicare) PO Box 690 Nashville TN 37202 877-320-0390 www.cignamedicare.com Payment: $60.21 Montana Oregon Utah Payment: $64.13 Arizona Nevada Payment: $70.84 North Dakota Wyoming South Dakota California Idaho Iowa Washington Nebraska Kansas Missouri Payment: $81.16 Alaska Payment: $86.80 Hawaii |