Provider Name. Enter the BUSINESS name of the provider as they are registered with DXC Technology.
Appears in 5 contracts
Sources: Pre Enrollment Instructions, Submitter/Provider Relationship Edi Agreement, Electronic Remittance Advice (Era) Edi Agreement, Electronic Remittance Advice Edi Agreement
Provider Name. Enter PRINT CLEARLY the BUSINESS name of the provider as they are registered with DXC Technology.
Appears in 4 contracts
Sources: Pre Enrollment Instructions, Submitter/Provider Relationship Edi Agreement, Electronic Remittance Advice (Era) Edi Agreement, Electronic Remittance Advice Edi Agreement