TRICARE (294) PAYER (365.12)
Name
Value
PAYER NAME
TRICARE
VA NATIONAL ID
VA63
EDI ID NUMBER - PROF
57106
EDI ID NUMBER - INST
57106
APPLICATION
EIV
NATIONALLY ENABLED: Enabled
*AUTO-ACCEPT: YES
*IDENT REQUIRES SUBSCRIBER ID: YES
*TRANSMIT SSN: NO
DATE/TIME CREATED: 2016-10-28 15:06:21
*FUTURE SERVICE DAYS: 0
*PAST SERVICE DAYS: 0
AUTO-UPDATE: YES
270 REQUIRES SUB ID: YES
FUTURE SERVICE DAYS: 0
PAST SERVICE DAYS: 0
