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PAYER ID: 12K64 SUBMITTER ID: 146175381 Change Healthcare ERA Provider Information Form *This form is to ensure accuracy in updating the appropriate account 1 Provider Organization Practice/ Facility
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What is payer id 12k64?
Payer ID 12k64 is a unique identifier assigned to a specific payer or entity.
Who is required to file payer id 12k64?
Any entity or individual who makes payments subject to reporting requirements is required to file payer ID 12k64.
How to fill out payer id 12k64?
Payer ID 12k64 should be filled out with accurate and complete information regarding the payer and the payments made.
What is the purpose of payer id 12k64?
The purpose of payer ID 12k64 is to facilitate the reporting and tracking of payments made by a specific payer.
What information must be reported on payer id 12k64?
Information such as the payer's name, address, contact information, and details of the payments made should be reported on payer ID 12k64.
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