AMERIGROUP CORPORATION (20) PAYER (365.12)
Name
Value
PAYER NAME
AMERIGROUP CORPORATION
VA NATIONAL ID
VA264
EDI ID NUMBER - PROF
2751N
EDI ID NUMBER - INST
2751N
APPLICATION
EIV
NATIONALLY ENABLED: Enabled
*AUTO-ACCEPT: YES
*IDENT REQUIRES SUBSCRIBER ID: YES
*TRANSMIT SSN: NO
DATE/TIME CREATED: 2016-10-28 15:06:19
*FUTURE SERVICE DAYS: 9999
*PAST SERVICE DAYS: 9999
AUTO-UPDATE: YES
270 REQUIRES SUB ID: YES
FUTURE SERVICE DAYS: 9999
PAST SERVICE DAYS: 9999
