BCBS OF INDIANA (45) PAYER (365.12)
Name
Value
PAYER NAME
BCBS OF INDIANA
VA NATIONAL ID
VA444
EDI ID NUMBER - PROF
SB630
EDI ID NUMBER - INST
12B09
APPLICATION
EIV
NATIONALLY ENABLED: Enabled
*AUTO-ACCEPT: YES
*IDENT REQUIRES SUBSCRIBER ID: YES
*TRANSMIT SSN: NO
DATE/TIME CREATED: 2016-10-28 15:06:19
*FUTURE SERVICE DAYS: 31
*PAST SERVICE DAYS: 1095
AUTO-UPDATE: YES
270 REQUIRES SUB ID: YES
FUTURE SERVICE DAYS: 31
PAST SERVICE DAYS: 1095