VISTA (MCD, FHK, LTC) (428) PAYER (365.12)
Name
Value
PAYER NAME
VISTA (MCD, FHK, LTC)
VA NATIONAL ID
VA904
EDI ID NUMBER - PROF
55248
EDI ID NUMBER - INST
55248
APPLICATION
EIV
NATIONALLY ENABLED: Not Enabled
*AUTO-ACCEPT: NO
*IDENT REQUIRES SUBSCRIBER ID: NO
*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: NO
FUTURE SERVICE DAYS: 90
PAST SERVICE DAYS: 545
