Get a Form or Publication: power of attorney
Your search for "power of attorney" returned 1 documents.
See also
| Title | Type | Number |
|---|---|---|
| Power of Attorney for Electronic Remittance Advice
Providers complete this form to authorize a clearinghouse or third party to receive the EDI 835 Electronic Remittance Advice file from L&I's Provider Express Billing (PEB). |
Form | F248-355-000 |
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