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.
-
Aspire Health Plan 837P.pdf
100 KB Download
-
Aspire Health Plan 837I.pdf
100 KB Download
-
Capitol Dental Care 837D.pdf
100 KB Download
-
Clackamas General Fund 837P.pdf
100 KB Download
-
Dental3 837D.pdf
100 KB Download
-
Multhomah Treatment Fund 837P.pdf
100 KB Download
-
Providence Health Assurance 837P.pdf
100 KB Download
-
Providence Health Assurance 837I.pdf
100 KB Download
-
Providence Health Assurance Medicare Supplement 837I.pdf
100 KB Download
-
Providence Health Assurance Medicare Supplement 837P.pdf
100 KB Download
-
Providence PACE CA OR WA 837I.pdf
100 KB Download
-
Providence PACE CA OR WA 837P.pdf
100 KB Download
-
Providence PACE Dental 837D.pdf
100 KB Download
-
Umpqua Health Alliance CCO 837P.pdf
100 KB Download
-
Umpqua Health Alliance CCO 837I.pdf
100 KB Download
-
WCHHS-GF 837P.pdf
100 KB Download
-
YCCO 837P.pdf
100 KB Download
-
YCCO 837I.pdf
100 KB Download