Submitter Address. Enter the physical street address of the Provider or Billing Agent/Service receiving the electronic remittance information. 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: Submitter/Provider Relationship Edi Agreement, Electronic Remittance Advice (Era) Edi Agreement, Pre Enrollment Instructions, Pre Enrollment Instructions