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PA PROMISe
Provider Handbook
Provider Internet ePEAP User Manual
Step Action
Result
4
Click the Address Information link.
The ePEAP Provider Address Information
window opens.
5
Click the Change Address link.
The Manage Active Addresses window
opens.
6
Click the Add to List link.
The Add New Pay-To, Mail-To, and/or
Home Office Address window opens. This
window is used to specify a new address
and assign it to replace the current Pay-to,
Mail-to, and/or Home Office address for
your service location.
To Update Address Information
Step Action
Result
1
Enter the new information in the Address
field.
Two lines are provided for the address; one
line must be completed at a minimum.
2
Enter the City.
3
Select a State from the drop-down list.
4
Enter the ZIP Code.
5
Click the County drop-down list and select
the Pennsylvania county for this address.
6
Enter the Phone Number.
Include area code and extension if
applicable.
7
Enter the Fax Number.
Enter the fax number if available.
8
Enter Yes or No for Handicap Access.
9
Assign to Current Location nnnn as:
Pay to Address
Mail to Address
Home Office Address
Check all boxes that apply.
10
Click the Continue button.
The Review Your Changes window opens.
The first five digits are required; the next
four (ZIP+4) are optional.
Other Options
Step Action
Result
1
The update is cancelled and returns to the
Manage Pay-to, Mail-to, and/or Home
Office Address window.
Click the Cancel button.
Provider Internet ePEAP User Manual
April 18, 2011
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