Payer Information
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Providence PACE CA, OR & WA Elderplace
Payer ID: 77250
Electronic Services Available (EDI)
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Professional/1500 Claims
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No Enrollment Required
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Institutional/UB Claims
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No Enrollment Required
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This insurance is also known as:
| 8830 |
| 4088 |
| 77255 |
| 77240 |
| 77245 |