Power of Attorney for Electronic Remittance Advice


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Title Power of Attorney for Electronic Remittance Advice
Description Providers complete this form to authorize a clearinghouse or third party to receive the EDI 835 Electronic Remittance Advice file from L&I's Provider Express Billing (PEB).
Document number F248-355-000
How to get this document
Keywords attorney, billing, bills, electronic billing, power of attorney, provider
Alt Language(s)
Valid dates 04/2007
Contact information Fee Schedules
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