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23 Sep 2016 ... MEDICAL OFFICE PROVIDER ENROLLMENT FORM ... IDs may not be used on the claims, they are often required for EDI enrollment. ... Managed Healthcare Administration — EPS.
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All states payer list is a compilation of payers who have made payments to recipients in multiple states.
Any payer who has made payments to recipients in multiple states is required to file the all states payer list.
The all states payer list can be filled out electronically through the appropriate tax filing system or by paper form.
The purpose of the all states payer list is to provide accurate information to each state regarding payments made within their jurisdiction.
The all states payer list must include the payer's identification information, the recipient's identification information, and details of the payments made.
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