PACIFICARE OF COLORADO (HMO) (401)    PAYER (365.12)

Name Value
PAYER NAME PACIFICARE OF COLORADO (HMO)
VA NATIONAL ID VA135
EDI ID NUMBER - PROF 95962
EDI ID NUMBER - INST 95962
APPLICATION
  • EIV
    NATIONALLY ENABLED:   Not Enabled
    *AUTO-ACCEPT:   YES
    *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:   YES
    270 REQUIRES SUB ID:   YES
    FUTURE SERVICE DAYS:   31
    PAST SERVICE DAYS:   365