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PAYER ID: 12K35 SUBMITTER ID: B547300 Eden ERA Provider Information Form *This form is to ensure accuracy in updating the appropriate account 1 Provider Organization Provider Name Client ID City/State
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The src electronic emdeon number is a unique identifier assigned to a specific electronic submission made through the Emdeon system.
Any entity or individual that intends to make an electronic submission through the Emdeon system is required to file src electronic emdeon number.
To fill out the src electronic emdeon number, you need to provide the required information and submit it through the Emdeon system. The exact process may vary depending on the specific guidelines provided by Emdeon.
The purpose of src electronic emdeon number is to provide a unique identifier for electronic submissions made through the Emdeon system. It helps in tracking and managing the submissions effectively.
The specific information required to be reported on src electronic emdeon number may vary depending on the nature of the submission and the guidelines provided by Emdeon. It could include details such as sender information, recipient information, submission type, and relevant data pertaining to the specific submission.
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