Get the free PAYER ID: 12X29 SUBMITTER ID: 99053 Emdeon ERA Provider Information Form *This form ...
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PAYER ID: 12×29 SUBMITTER ID: 99053Edenn ERA Provider Information Form *This form is to ensure accuracy in updating the appropriate account 1 Provider Organization Practice/ Facility Name Provider
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How to fill out payer id 12x29 submitter
How to fill out payer id 12x29 submitter:
01
Obtain the payer id 12x29 submitter form from the appropriate source.
02
Carefully read the instructions provided on the form to understand the required information.
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Begin by entering the relevant identification details such as name, address, and contact information in the designated fields.
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Next, provide the specific payer id code "12x29" in the appropriate section of the form.
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Ensure that all other required fields, such as submission date and any additional information requested, are correctly filled out.
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Review the completed form for any errors or missing information before submitting it.
Who needs payer id 12x29 submitter:
01
Healthcare providers or organizations that are required to submit claims or other related information to the payer with the identification code "12x29" need to obtain and fill out the payer id 12x29 submitter form.
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Insurance companies or other entities responsible for processing the claims may also require the use of this specific payer id code.
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It is advisable to consult relevant guidelines, regulations, or instructions from the payer or insurance company to determine if the payer id 12x29 submitter is necessary for a particular situation.
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