EDI Sender’s Trading Partner Profile Forms


Form NameEDI Sender’s Trading Partner Profile
Form #WC170
Form Revision7/02
CategoryJurisdiction Guides/Notices » Jurisdiction Guides/Notices
Downloads
Form StateColorado
LanguageEnglish
State DescriptionThis is an EDI worksheet used by insurers to communicate to the Division, the Sender's contact information.
Claimwire Descriptionn/a
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