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Emdeon.com/enrollment/index. php - Emdeon Set-Up Forms Step 4 Emdeon will make the change in the appropriate Emdeon systems. 1755 Telstar Drive Ste 400 Colorado Springs CO 80920 phone 719 277-7545 fax 877 630-2064 www. ingenix. Ingenix submitter information is pre-populated on this form for your convenience. Last Updated 09/24/2010 This form may be submitted to Ingenix via the following methods Fax 877-630-2064 Email enrollments enshealth. The letter is required when the provider changes from...
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