HEALTHCARE INC. (PROMINA) (369) PAYER (365.12)
Name
Value
PAYER NAME
HEALTHCARE INC. (PROMINA)
VA NATIONAL ID
VA36
EDI ID NUMBER - PROF
25145
EDI ID NUMBER - INST
25145
APPLICATION
EIV
NATIONALLY ENABLED: Not Enabled
*AUTO-ACCEPT: NO
*IDENT REQUIRES SUBSCRIBER ID: YES
*TRANSMIT SSN: NO
DATE/TIME CREATED: 2016-10-28 15:06:21
*FUTURE SERVICE DAYS: 90
*PAST SERVICE DAYS: 545
AUTO-UPDATE: NO
270 REQUIRES SUB ID: YES
FUTURE SERVICE DAYS: 90
PAST SERVICE DAYS: 545
