BLUE CROSS OF PENNSYLVANIA (INDEPENDENCE) (89)    PAYER (365.12)

Name Value
PAYER NAME BLUE CROSS OF PENNSYLVANIA (INDEPENDENCE)
VA NATIONAL ID VA424
EDI ID NUMBER - PROF SX083
EDI ID NUMBER - INST 12X26
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:   730
    AUTO-UPDATE:   YES
    270 REQUIRES SUB ID:   YES
    FUTURE SERVICE DAYS:   31
    PAST SERVICE DAYS:   730