Common Contracts

1 similar Edi Enrollment Agreement contracts

EDI ENROLLMENT AGREEMENT INSTRUCTIONS
Edi Enrollment Agreement • September 12th, 2016

The Railroad EDI Enrollment Form (commonly referred to as the EDI Agreement) should be submitted when enrolling for electronic billing. It should be reviewed and signed by the provider, administrator or legal representative to ensure each provider is knowledgeable of the enrollment request and the associated requirements.

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