Get the free PAYER ID: 52280 SUBMITTER ID: 521409791 Emdeon Claims Provider Information Form *Thi...
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PAYER ID 52280 SUBMITTER ID 521409791 Emdeon Claims Provider Information Form This form is to ensure accuracy in updating the appropriate account Provider Organization Practice/ Facility Name Provider Name Tax ID Client ID Site ID Address City/State Zip Code Contact Name E-mail Address Telephone Fax Vendor Emdeon certified vendor used to submit files to Emdeon Vendor Submitter ID Vendor Name Division ID Payer 52280 NEBRASKA MEDICAL MUTUAL OF OMAH...
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Healthcare providers who bill for services rendered to patients.
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