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1755 Telstar Drive Ste 400 Colorado Springs CO 80920 www. optum.com OKMCD Thank you for choosing Electronic Network Systems Clearinghouse a division of Optum to submit your ERAs. Hcg. eds. com EDI Application Provider Revised 05/28/2014 OPTUM ERA Setup Form Please complete the requested information below. Section III Signature Date Authorized Signature Date Please submit form by mail or fax to HP Enterprise Services Attn EDI Department 2401 NW 23rd St. Suite 11 Oklahoma City OK 73107 Fax...

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