PROFESSIONAL BENEFITS ADMIN (263)    PAYER (365.12)

Name Value
PAYER NAME PROFESSIONAL BENEFITS ADMIN
VA NATIONAL ID VA225
EDI ID NUMBER - PROF 36331
EDI ID NUMBER - INST 36331
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:   0
    *PAST SERVICE DAYS:   0
    AUTO-UPDATE:   YES
    270 REQUIRES SUB ID:   YES
    FUTURE SERVICE DAYS:   0
    PAST SERVICE DAYS:   0