Payer Details
Payer: ACS - DEPT OF LABOR - MEDICAID Payer ID: 77044 - Enter the payer ID in the Payer Library (Tools > Payer Library) State(s): TN Web Site: http://www.acs-gcro.com/Non-Medicaid_Accounts/Department_of_Labor/Enrollment/enrollment.html 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:
DEPARTMENT of LABOR
P.O. BOX 14600
TALLAHASSEE, FL 32317-4600
2010AA - Provider ID# - Use Provider Commerical Number, Tax ID# or SY#
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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): |
DEPARTMENT OF LABOR |
| Receiver ID NM109 (Loop 1000B): |
77044 |
| Receiver Code GS03: |
77044 |
| Interchange Receiver ID ISA08: |
77044 |
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EZClaim's ANSI 837 Reference Guide
Payer List
