Provider Street Address. Enter the physical street address of the provider’s place of business or service address as it is registered with DXC Technology. This MUST be a physical address. If a P. O. Box is entered in this area, the document will be rejected and returned for correction.
Appears in 5 contracts
Samples: Pre Enrollment Instructions, Submitter/Provider Relationship Edi Agreement, Electronic Remittance Advice (Era) Edi Agreement, Edi Agreement
