Payer Details
Payer: TRAILBLAZER HEALTH ENTERPRISES - J4 - MEDICARE Payer ID: 041022 - Enter the payer ID in the Payer Library (Tools > Payer Library) State(s): CO Web Site: http://www.trailblazerhealth.com EDI Specs: Payer EDI Specifications Minimum EZClaim Version and Release: Advanced 7 Release 22 or higher
(To check your version and release, click the Support/Help menu and select About EZClaim. The first line shows the version and release.)
Carrier Specific Instructions:
EZClaim Vendor Code - #V05225
Uses GPNET BBS - must have a modem to connect.
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Location: Tools menu > Options > Submitter Info > Submitter/Receiver
Library button
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Submitter/Receiver Library Entries |
| Export Format: |
ANSI 837 W/~ |
| Receiver Name NM103 (Loop 1000B): |
TRAILBLAZER |
| Receiver ID NM109 (Loop 1000B): |
04102 |
| Receiver Code GS03: |
04102 |
| Interchange Receiver ID ISA08: |
04102 |
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EZClaim's ANSI 837 Reference Guide
Payer List
