CORESOURCE (LITTLE ROCK) (120) PAYER (365.12)
Name
Value
PAYER NAME
CORESOURCE (LITTLE ROCK)
VA NATIONAL ID
VA77
EDI ID NUMBER - PROF
75136
EDI ID NUMBER - INST
75136
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: 9999
*PAST SERVICE DAYS: 9999
AUTO-UPDATE: YES
270 REQUIRES SUB ID: YES
FUTURE SERVICE DAYS: 9999
PAST SERVICE DAYS: 9999
