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1755 Telstar Drive Ste 400 Colorado Springs CO 80920 www. optum.com COMCD Thank you for choosing Electronic Network Systems Clearinghouse a division of Optum to submit your Claims/ERAs. The Submission Method Section 3 and Report Retrieval Section 4 have been prepopulated for ENS as your clearinghouse. This form is for Optum use only and will not be forwarded on to the payer with your Optum user ID Contact Name Group Name Group Billing TIN Group Legacy ID Please list all providers for this...
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