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Electronic claims for our self-funded accounts can now be submitted by your provider. Fitzharris’s Payer number is 11244 for dental and vision claims only. Please Note: This number is for our self-funded plans only. If your plan is fully-insured with G.E. or another carrier, please have your provider submit your electronic claims under that Carrier’ payer number which should be listed on there EDI clearinghouse information. The forms below are in Adobe PDF format. To view or print PDF files from this web site, you must have Adobe Acrobat Reader. Download for FREE now! ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
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800 - 635 - 5651 |
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