PROVIDENCE HEALTH PLAN (264)    PAYER (365.12)

Name Value
PAYER NAME PROVIDENCE HEALTH PLAN
VA NATIONAL ID VA486
EDI ID NUMBER - PROF SX133
APPLICATION
  • EIV
    NATIONALLY ENABLED:   Enabled
    *AUTO-ACCEPT:   YES
    *IDENT REQUIRES SUBSCRIBER ID:   NO
    *TRANSMIT SSN:   NO
    DATE/TIME CREATED:   2016-10-28 15:06:20
    *FUTURE SERVICE DAYS:   31
    *PAST SERVICE DAYS:   547
    AUTO-UPDATE:   YES
    270 REQUIRES SUB ID:   NO
    FUTURE SERVICE DAYS:   31
    PAST SERVICE DAYS:   547