Payer Specific Bill ID/Submitter ID
The Department of Labor Black Lung payer ID is 77104.
This payer requires a payer assigned ID number. This value can be sent in block 33b, bill_id Loop 2010AA, REF02, REF01=G2. This submitter ID value will be acquired during enrollment or by contacting Noridian EDISS. This submitter ID value will be acquired during enrollment or by contacting Noridian EDISS.
