EDI Request Form Clause Samples

The EDI Request Form clause establishes the requirement for parties to use a specific form when requesting electronic data interchange (EDI) services or transactions. In practice, this clause ensures that all requests for EDI are standardized, typically by mandating the completion and submission of a designated form that captures necessary details such as the type of data, format, and timing. By formalizing the request process, this clause helps prevent miscommunication, streamlines workflow, and ensures that both parties have a clear record of EDI requests and requirements.
EDI Request Form. The EDI Request Form may be found on the TennCare website. It outlines all transactions used between applicable TennCare programs and the Trading Partner including HIPAA transactions and proprietary formats. For most proprietary formats, the transaction name is sufficient identification information; however, a file format and/or additional clarification data for any proprietary format may be appended to the EDI Request Form, if necessary. All completed EDI Request Forms and related questions should be directed to the TennCare EDI Unit via mail or email at the address below. 7.1.1 Updates to the EDI Request Form may be made at any time by mutual agreement of both parties. Each update of the EDI Request Form supersedes all prior versions; therefore, each EDI Request Form must contain all transactions between both parties.
EDI Request Form. The EDI Request Form may be found on the TennCare website. It outlines all transactions used between applicable HCFA programs and the Trading Partner including HIPAA transactions and proprietary formats. For most proprietary formats, the transaction name is sufficient identification information; however, a file format and/or additional clarification data for any proprietary format may be appended to the EDI Request Form, if necessary. 7.1.1 Updates to the EDI Request Form may be made at any time by mutual agreement of both parties. Each update of the EDI Request Form supersedes all prior versions; therefore, each EDI Request Form must contain all transactions between both parties.