ROCKY MOUNTAIN HEALTH PLAN (270) PAYER (365.12)
Name
Value
PAYER NAME
ROCKY MOUNTAIN HEALTH PLAN
VA NATIONAL ID
VA487
EDI ID NUMBER - PROF
SX141
EDI ID NUMBER - INST
84065
APPLICATION
EIV
NATIONALLY ENABLED: Enabled
*AUTO-ACCEPT: NO
*IDENT REQUIRES SUBSCRIBER ID: NO
*TRANSMIT SSN: NO
DATE/TIME CREATED: 2016-10-28 15:06:20
*FUTURE SERVICE DAYS: 31
*PAST SERVICE DAYS: 365
AUTO-UPDATE: NO
270 REQUIRES SUB ID: NO
FUTURE SERVICE DAYS: 31
PAST SERVICE DAYS: 365
