AMERITAS - STANDARD INSURANCE (DENTAL) (22) PAYER (365.12)
Name
Value
PAYER NAME
AMERITAS - STANDARD INSURANCE (DENTAL)
VA NATIONAL ID
VA2723
EDI ID NUMBER - PROF
47009
EDI ID NUMBER - INST
47009
APPLICATION
EIV
NATIONALLY ENABLED: Enabled
*AUTO-ACCEPT: NO
*IDENT REQUIRES SUBSCRIBER ID: YES
*TRANSMIT SSN: NO
DATE/TIME CREATED: 2016-10-28 15:06:19
*FUTURE SERVICE DAYS: 0
*PAST SERVICE DAYS: 0
AUTO-UPDATE: NO
270 REQUIRES SUB ID: YES
FUTURE SERVICE DAYS: 0
PAST SERVICE DAYS: 0
