PHYSICIANS MUTUAL INSURANCE CO (255)    PAYER (365.12)

Name Value
PAYER NAME PHYSICIANS MUTUAL INSURANCE CO
VA NATIONAL ID VA404
EDI ID NUMBER - PROF 47027
EDI ID NUMBER - INST 47027
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