EDI Sender’s Transmission Profile Forms


Form NameEDI Sender’s Transmission Profile
Form #WC169
Form Revision07/02
CategoryJurisdiction Guides/Notices » Jurisdiction Guides/Notices
Downloads
Form StateColorado
LanguageEnglish
State DescriptionThis is an EDI form used by insurers to inform the Division of all allowable options in which data will be provided.
Claimwire Descriptionn/a
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