CMS (112) PAYER (365.12)
Name
Value
PAYER NAME
CMS
VA NATIONAL ID
VA2086
EDI ID NUMBER - PROF
SMTX1
EDI ID NUMBER - INST
12M61
APPLICATION
EIV
NATIONALLY ENABLED: Enabled
*AUTO-ACCEPT: YES
*IDENT REQUIRES SUBSCRIBER ID: YES
*TRANSMIT SSN: NO
DATE/TIME CREATED: 2016-10-28 15:06:20
*FUTURE SERVICE DAYS: 120
*PAST SERVICE DAYS: 820
AUTO-UPDATE: YES
270 REQUIRES SUB ID: YES
FUTURE SERVICE DAYS: 120
PAST SERVICE DAYS: 820
