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Select a Payor * Indicates Required Field *Payor: AITHER HEALTH - 8026 ANCHOR BENEFIT CONSULTING, INC. - 370 ANCHOR BENEFIT CONSULTING, INC.VIA CLAIMSBRIDGE - 8051 AUTOMATED GROUP ADMINISTRATION INC - 110 BENICOMP HEALTH SOLUTIONS - 8027 COVENANT ADMINISTRATORS AKA 90 DEGREES BENEFITS - 479 EBMS - 8042 ENTERPRISE GROUP PLANNING, INC - 8013 EVOLUTIONS NETWORK SOLUTIONS - 8003 GLOBAL EXCEL - 958 HEALTH CARE DISTRICT OF PALM BEACH COUNTY - 8024 HHC GROUP - 480 HNAS HEALTHNOW ADMINISTRATIVE SERVICES - 8048 HRGI - 1022 IBG - TAYLOR BENEFIT RESOURCE - 8058 J P FARLEY - 8029 MAP DELPHI MEDICAL ADVOCATE PROGRAM - 8023 PRIME HEALTH SERVICES INC - 998 PRO-CLAIM PLUS, INC. - 224 PROFESSIONAL BENEFIT ADMINISTRATORS (PBA) - 8039 ROSENSURE - 8049 SANUS HEALTH - 3011 TOTAL CLAIMS CAPTURE & CONTROL AKA CHANGE HEALTHCARE - 427 WEB TPA - 8037 ZELIS FKA GLOBALCARE - 990 Employer: (Optional)