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Directory Results for PAYER ID: 12X43 SUBMITTER ID: 11722 Emdeon Claims Provider Ination Form *This form is to ensure accuracy in updating the appropriate account 1 Provider Organization Practice/ Facility Name Provider Name Tax ID Client ID Site ID Address to PAYER ID: 23228

PAYER ID: 12X43 SUBMITTER ID: 11722 Emdeon Claims Provider Ination Form *This form is to ensure accuracy in updating the appropriate account 1 Provider Organization Practice/ Facility Name Provider Name Tax ID Client ID Site ID Address
PAYER ID: 13010 SUBMITTER ID: Emdeon Claims Provider Ination Form *This form is to ensure accuracy in updating the appropriate account 1 Provider Organization Practice/ Facility Name Provider Name Tax ID Client ID Site ID Address
PAYER ID: 23228