FAX. Enter the FAX number of your place of business.
Appears in 7 contracts
Samples: Pre Enrollment Instructions, Submitter/Provider Relationship Edi Agreement, Electronic Remittance Advice (Era) Edi Agreement, Pre Enrollment Instructions
FAX. Enter the FAX number of your the provider's place of business.
Appears in 4 contracts
Samples: Pre Enrollment Instructions, Submitter/Provider Relationship Edi Agreement, Electronic Remittance Advice (Era) Edi Agreement, Pre Enrollment Instructions