STAYWELL (285) PAYER (365.12)
Name
Value
PAYER NAME
STAYWELL
VA NATIONAL ID
VA2252
EDI ID NUMBER - PROF
14163
EDI ID NUMBER - INST
14163
APPLICATION
EIV
NATIONALLY ENABLED: Enabled
*AUTO-ACCEPT: NO
*IDENT REQUIRES SUBSCRIBER ID: NO
*TRANSMIT SSN: NO
DATE/TIME CREATED: 2016-10-28 15:06:21
*FUTURE SERVICE DAYS: 0
*PAST SERVICE DAYS: 365
AUTO-UPDATE: NO
270 REQUIRES SUB ID: NO
FUTURE SERVICE DAYS: 0
PAST SERVICE DAYS: 365
