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Payer ID Payer Name Enrollment - ABILITY Network
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eClaims Dental Payer List Information
Webcomplete enrollment form under payer ID 95044) 23037 Y AMERIHEALTH HMO TRUE G AmeriHealth NorthEast (Dates of Service on or before Dec. 31, 2024, may continue to … Web111-AM Segment Identification Ø4 M Insurance Segment 3Ø2-C2 Cardholder ID M 3Ø1-C1 Group ID R As printed on the ID card or as communicated 3Ø3-C3 Person Code R As printed on the ID card or as communicated ... 339-6C Other Payer ID Qualifier R 34Ø-7C Other Payer ID R Required for identification of the Other Payer when necessary for WebPayer ID Payer Name Req. Enroll. NULL No 59069 21st Century Health (MedsavUSA)(NJ) No ... AFSDC AFS Insurance Service (PO Box 30430 SLC, UT No 37280 AGA (Automated Group Admin (Fort Wayne, IN) No ... 81040 Allegiance Benefit Plan (Missoula, MT) No CX016 Allen Medical Claims Administrator (Fort Valley, GA) No purpose of a hatchet