INLAND EMPIRE HEALTH (377) PAYER (365.12)
Name
Value
PAYER NAME
INLAND EMPIRE HEALTH
VA NATIONAL ID
VA497
EDI ID NUMBER - PROF
IEHP1
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: 31
*PAST SERVICE DAYS: 365
AUTO-UPDATE: NO
270 REQUIRES SUB ID: YES
FUTURE SERVICE DAYS: 31
PAST SERVICE DAYS: 365
