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Optum360 837 Claims Enrollment Updated: 3/29/2019Payer Name: Independence Administrators (P)Payer ID: TA720Overview Complete all forms as instructed below and return them via email or fax for the
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How to fill out payer name independence administrators

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Open the payer name independence administrators form
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Locate the field for 'Payer Name'
03
Enter the desired payer name in the field
04
Double-check the entered name for accuracy
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Who needs payer name independence administrators?

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Any individual or organization that requires the services of independence administrators and wants to specify the payer name would need payer name independence administrators.
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Payer name independence administrators is typically the entity or individual who is responsible for managing and ensuring the independence of financial transactions or information.
Entities or individuals involved in financial transactions or information management may be required to file payer name independence administrators.
Payer name independence administrators can be filled out by providing the necessary information about the entity or individual responsible for financial transactions or information management.
The purpose of payer name independence administrators is to ensure transparency and accountability in financial transactions.
Information such as the name of the payer, details of the financial transaction, and the relationship between the payer and the payee must be reported on payer name independence administrators.
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