EDI Sender’s Trading Partner Profile Forms
Form Name | EDI Sender’s Trading Partner Profile |
Form # | WC170 |
Form Revision | 7/02 |
Category | Jurisdiction Guides/Notices » Jurisdiction Guides/Notices |
Downloads | |
Form State | Colorado |
Language | English |
State Description | This is an EDI worksheet used by insurers to communicate to the Division, the Sender's contact information. |
Claimwire Description | n/a |