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1755 Telstar Drive Ste 400 Colorado Springs CO 80920 www. optum.com SCMCD Thank you for choosing Electronic Network Systems Clearinghouse a division of Optum to submit your Claims/ERAs. Leave blank unless you have an X12 Submitter ID. Select the checkbox if you have read understand and are in agreement with TPA terms and conditions. Enter the provider s NPI or TIN EIN or SSN in the space provided. Only one type may be selected. Note In most cases this will be the NPI unless the provider is...
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