
Get the free In October 2008, the Department of Health Services (DHS)
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1304 Vermilion Street ? Hastings, MN 55033
pH 800-482-3518 ? Fax 651-389-9152
www.edsedi.com
Wisconsin Medicaid
DENTAL ELECTRONIC REMITTANCE ADVICE (ERA) ENROLLMENT REGISTRATION
CKWI1
PAYER ID NUMBERS
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