Get the free For your convenience the Emdeon Form used to connect to Virginia Premier Health Plan...
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1755 Telstar Drive Ste 400 Colorado Springs CO 80920 www. optum.com 54176 Thank you for choosing Electronic Network Systems Clearinghouse a division of Optum to submit your Claims/ERAs. 885. 3713 This COV must be attached to a ERA Provider Set-Up Form PSF http //www. emdeon.com/enrollment/index. Php - Emdeon Set-Up Forms Step 3 Emdeon will make the change in the appropriate Emdeon systems. Confirmation will be sent to the individual indicated within the ERA PSF when the set up is complete...
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