SELECT * FROM #Request.prefix_db_agency#.Payer WHERE Payer_Id = '#url.Id#' SELECT StateName, StateAbbr FROM #Request.prefix_db_lookup#.States ORDER BY StateName SELECT Agency_ID, Agency_Name FROM #Request.prefix_db_lookup#.Agency WHERE Agency_ID = #url.AID# SELECT Authority_Level as AuthorityLevelID, AuthorityLevelDesc FROM #Request.prefix_db_lookup#.AuthorityLevels Payer Information

Change Payer Information

Agency: #getA.Agency_Name#
MHCB BILLS THIS PAYER
MHCB does not bill this payer.


Payer Information
Payer Name
Payer Type Home Health
Hospice
Payer ID
Provider ID
Address
City
State
Zip
Contact
Contact Phone
IVANS or Quadax
IVANS Application
Submitter ID
Submitter Password
DDE Username
DDE Password
Output Type