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Doc Type 4126DXC Technology EDI Submitter Update FormTelephone: 770.325.9590 or Toll Free: 877.261.8785 website: www.mmis.georgia.govA. Submitter Identification InformationPlease indicate your Provider
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How to fill out hp edi submitter update
How to fill out hp edi submitter update
01
To fill out the HP EDI Submitter Update form, follow these steps:
02
Open the HP EDI Submitter Update form.
03
Provide your organization's name, address, and contact information in the specified fields.
04
Indicate whether your organization is already an HP submitter or a new submitter.
05
If you are a new submitter, provide the requested information related to your first electronic claim submission.
06
If you are an existing submitter, provide any necessary updates or changes to your information.
07
Review the completed form to ensure accuracy and completeness.
08
Submit the form to HP electronically or via mail as per the instructions provided.
09
Keep a copy of the submitted form for your records.
Who needs hp edi submitter update?
01
Any organization that is involved in electronic claim submission to HP needs to fill out the HP EDI Submitter Update form. This includes both existing submitters who need to update their information and new submitters who are submitting electronic claims to HP for the first time.
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What is hp edi submitter update?
Hp EDI submitter update is a process where submitter information is updated in the Health Plan's Electronic Data Interchange system.
Who is required to file hp edi submitter update?
All health plan EDI submitters are required to file hp edi submitter update to ensure accurate and up-to-date information.
How to fill out hp edi submitter update?
Hp edi submitter update can be filled out electronically through the health plan's designated portal or online platform.
What is the purpose of hp edi submitter update?
The purpose of hp edi submitter update is to maintain accurate contact and submission information for EDI submitters.
What information must be reported on hp edi submitter update?
Hp edi submitter update typically requires information such as contact details, company information, and submission preferences.
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