EDI Sender’s Transmission Profile Forms
Form Name | EDI Sender’s Transmission Profile |
Form # | WC169 |
Form Revision | 07/02 |
Category | Jurisdiction Guides/Notices » Jurisdiction Guides/Notices |
Downloads | |
Form State | Colorado |
Language | English |
State Description | This is an EDI form used by insurers to inform the Division of all allowable options in which data will be provided. |
Claimwire Description | n/a |