These submitter checklists are for use with the commercial, contracted Coordinated Care Organizations and other payer programs.
The attached files below are the check lists for EDI customers of Ayin.
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AllCare CCOA Dental 837D EFF 20130701 Check List.pdf
200 KB Download
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Capitol Dental 837D Submitter Check List.pdf
60 KB Download
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Access Dental 837D Submitter Check List.pdf
60 KB Download
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Dental3 837D Submitter Check List.doc.pdf
80 KB Download
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HEALTHSHARE OF OREGON CCOE EFF 0901.pdf
80 KB Download
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HEALTHSHARE OF OREGON CCOE PA REF EFF 0901.pdf
80 KB Download
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HealthShare CCO Dental 837D EFF 20140101 Check List.pdf
200 KB Download
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HEALTHSHARE OF OREGON CCOE INST EFF 0901.pdf
80 KB Download
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IHN CCO Dental 837D EFF 20131001 Check List.pdf
200 KB Download
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Managed Dental 837D Submitter Check List.pdf
60 KB Download
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MULT TREATMENT FUND 837P Submitter Check List.pdf
60 KB Download
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MULTNOMAH OTHER 837P Submitter Check List.pdf
80 KB Download
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Aspire Health Plan 837I Submitter Check List.pdf
200 KB Download
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Aspire Health Plan 837P Submitter Check List.pdf
200 KB Download
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CMHO General Fund 837P Submitter Check List.pdf
60 KB Download
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WCHHS-GF 837P Submitter Check List.pdf
80 KB Download
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WCHHS-GF 837I Submitter Check List.pdf
80 KB Download
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UMPQUA HEALTH ALLIANCE CCO INST Eff 20171216 - Clearinghouse.pdf
80 KB Download
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UMPQUA HEALTH ALLIANCE CCO INST Eff 20171216.pdf
200 KB Download
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UMPQUA HEALTH ALLIANCE CCO PROF Eff 20171216.pdf
200 KB Download
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UMPQUA HEALTH ALLIANCE CCO PROF Eff 20171216 - Clearinghouse.pdf
80 KB Download
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YAMHILL CCO INST PHYS EFF 20180911.pdf
80 KB Download
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YAMHILL CCO INST MH EFF 20180911.pdf
80 KB Download
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YAMHILL CCO PROF MH EFF 20180911.pdf
80 KB Download
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YAMHILL CCO PROF MH DIRECT EFF 20180911.pdf
80 KB Download
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YAMHILL CCO PROF PHYS EFF 20180911.pdf
80 KB Download
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YAMHILL CCO PROF PHYS DIRECT EFF 20180911.pdf
80 KB Download
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Providence Health Assurance Inst Clearinghouse.pdf
100 KB Download
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Providence Health Assurance Prof Clearinghouse.pdf
100 KB Download
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Providence Health Assurance Inst.pdf
100 KB Download
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Providence Health Assurance Prof.pdf
100 KB Download
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Providence Health Assurance Medicare Supplement Inst Clearinghouse.pdf
100 KB Download
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Providence Health Assurance Medicare Supplement Prof Clearinghouse.pdf
100 KB Download
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Western Health Advantage 837I Submitter Check List - Clearinghouse.pdf
100 KB Download
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Western Health Advantage 837I Submitter Check List.pdf
100 KB Download
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Western Health Advantage 837P Submitter Check List - Clearinghouse.pdf
100 KB Download
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Western Health Advantage 837P Submitter Check List.pdf
100 KB Download
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Providence PACE California Prof.pdf
100 KB Download
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Providence PACE California Inst.pdf
100 KB Download