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Payer ID provider number reference — Professional

Payer ID provider number reference Professional Rev. January 2022 Use this guide as a reference tool when submitting Professional claims. The information was current at the time of publication. We will announce changes on the provider News Center and the provider Engagement, Analytics & Reporting (PEAR) portal. Prefix Product name Payer information for electronic claims Emdeon Payer information* Paper claim mailing address Billing provider ISA-08 GS-03 Keystone Health Plan East independence QCG Keystone Health Plan East POS 54704 95056 SX055 Claims Receipt Center Box 211184 Eagan, MN 55121 Valid and registered NPI is required.

Payer ID provider number reference — Professional Author: Independence Blue Cross Subject: This document is intended to assist providers in the submission of professional claims. Keywords: payer, id, grid, provider, professional Created Date: 1/10/2022 3:39:26 PM

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