ASURIS NORTHWEST HEALTH (25) PAYER (365.12)
Name
Value
PAYER NAME
ASURIS NORTHWEST HEALTH
VA NATIONAL ID
VA1284
EDI ID NUMBER - PROF
SX179
EDI ID NUMBER - INST
SX179
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: 42
*PAST SERVICE DAYS: 730
AUTO-UPDATE: YES
270 REQUIRES SUB ID: YES
FUTURE SERVICE DAYS: 42
PAST SERVICE DAYS: 730
