Billing Version 0.0089897

Payer Groups

Payer Group Code (required)

Description (required)

ISA05 Qualifier

ISA Sender ID

ISA07 Qualifier

ISA Receiver ID

GS Sender ID

GS Receiver ID

Sender ID 1000A

Output Directory

Available to Company

1 Selected

Break File

Split by POS

Is Active

Payers

	Payer Group Code	Description
	MCDCA	Medicaid California (Medi Cal)
	MCDCA	Medicaid California (Medi Cal)

Payers (Through current company override)

	Payer Group Code	Description
	MCDCA	Medicaid California (Medi Cal)
	MCDCA	Medicaid California (Medi Cal)