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PAYER ID: 61125SUBMITTER ID: 7GW0171TN3Change Healthcare CLAIM Provider Information Form *This form is to ensure accuracy in updating the appropriate account1Provider OrganizationPractice/ Facility
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Payer ID 61125 is a unique identification number assigned to a specific payer.
Any entity or individual who has payments to report related to Payer ID 61125 is required to file.
Payer ID 61125 must be filled out with accurate payment information, including amounts, dates, and recipient details.
The purpose of Payer ID 61125 is to track and report payments made by a specific entity or individual.
Information such as payment amounts, dates, recipient details, and any relevant tax information must be reported on Payer ID 61125.
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