EDI Trading Partner Forms

Letter to Vendors 5/13/2019 (PDF, 66.07 KB)

Claim Volume (PDF, 28.02 KB)

EDI Transmission Profile - Receiver Specifications (PDF, 20.83 KB)

Trading Partner Agreement (PDF, 26.26 KB)

Trading Partner Insurer List (UPDATED 5/13/2019) (DOC, 20.79 KB)

Trading Partner Profile - Sender Specifications (UPDATED 5/13/2019) (DOC, 70 KB)