Electronic Remittance Advice Enrollment Form PROVIDER INFORMATION Provider Name Doing Business As Name (DBA) - Enrollment Act - Document - PDFSEARCH.IO

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	Electronic Remittance Advice Enrollment Form PROVIDER INFORMATION Provider Name Doing Business As Name (DBA) Add to Reading List Document Date: 2014-11-05 18:12:42 Open Document File Size: 107,16 KB Share Result on Facebook City Phoenix / / Country United States / / / / IndustryTerm covered healthcare providers / Web Service SFTP / healthcare providers / software / healthcare clearinghouses / / / ProvinceOrState Arizona / / SocialTag Health Insurance Portability and Accountability Act Privacy law National Provider Identifier Law Computing Email Fax Unique physician identification number Remittance advice Identifiers

Electronic Remittance Advice Enrollment Form PROVIDER INFORMATION Provider Name Doing Business As Name (DBA)Add to Reading List