Electronic Trading Partner Agreement Sample Contracts

ELECTRONIC TRADING PARTNER AGREEMENT
Electronic Trading Partner Agreement • April 9th, 2014

This Electronic Trading Partner Agreement (“Agreement”) is made as of the day of , 201 (“Effective Date”), by and between Blue Cross & Blue Shield of Rhode Island (“Company”), and

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This Electronic Trading Partner Agreement (“Agreement”) is entered into as of the
Electronic Trading Partner Agreement • September 23rd, 2020 • South Carolina

and Blue Shield of South Carolina and its subsidiaries, (hereinafter referred to collectively as “BCBSSC”), and (“Trading Partner”) located at

ELECTRONIC TRADING PARTNER AGREEMENT
Electronic Trading Partner Agreement • May 25th, 2016 • North Dakota

This Agreement provides the terms and conditions governing electronic transfers of data communications and funds between North Dakota Department of Human Services (DHS) and Trading Partner (collectively “Parties”) by direct digital or electronic transmission over communication lines to accomplish the Parties’ business objectives regarding the provision and acquisition of products and services and the transfer of funds. This Agreement will remain in effect until terminated according to its terms.

ELECTRONIC TRADING PARTNER AGREEMENT
Electronic Trading Partner Agreement • August 13th, 2019

To file a monthly Wyoming motor fuel tax return or report electronically, a Wyoming motor fuel licensee must have a signed trading partner agreement on file with Wyoming Fuel Tax Administration. Please specify your company name and contact information below. Electronic acknowledgements of received motor fuel tax returns and reports will be sent to the specified email address. Please print!

ELECTRONIC TRADING PARTNER AGREEMENT
Electronic Trading Partner Agreement • April 22nd, 2020 • Hawaii

This Agreement is by and between all provider practices wishing to submit electronic claims to University Health Alliance (“UHA”).

ELECTRONIC TRADING PARTNER AGREEMENT
Electronic Trading Partner Agreement • June 26th, 2007

This Electronic Trading Partner Agreement (“Agreement”) is made as of the day of , 200 (“Effective Date”), by and between Blue Cross & Blue Shield of Rhode Island (“Company”), and

ELECTRONIC TRADING PARTNER AGREEMENT
Electronic Trading Partner Agreement • May 9th, 2019 • Wisconsin

This Electronic Trading Partner Agreement (“Agreement”) is made as of the day of , 20 (“Effective Date”), by and between [company names], located at 840 Carolina Street, Sauk City, WI, 53583, (collectively, “Companies”) and , (“Trading Partner”), a

• Electronic Trading Partner Agreement
Electronic Trading Partner Agreement • October 26th, 2021 • Hawaii

• Call 800-377-4672 and provide them with the provider’s name and HMSA provider ID. Ask if the provider has been linked to Office Ally’s Submitter ID OFF001.

Electronic Trading Partner Agreement
Electronic Trading Partner Agreement • October 26th, 2021 • Hawaii

- After the allotted turnaround timeframe, contact the payer by emailing edisupport@hmsa.com or calling 800-377-4672 to ask if the EDI Enrollment request has processed and the provider is now linked to Office Ally’s Submitter ID OFF001.

ELECTRONIC TRADING PARTNER AGREEMENT
Electronic Trading Partner Agreement • May 5th, 2020

WHEREAS, DMH and Trading Partner exchange information and data electronically in connection with certain healthcare transactions; and

ELECTRONIC TRADING PARTNER AGREEMENT
Electronic Trading Partner Agreement • October 15th, 2003

WHEREAS, Fund, itself and through any agent it may designate (“Designee”), and Trading Partner desire to electronically exchange information and data in connection with certain healthcare transactions; and

ELECTRONIC TRADING PARTNER AGREEMENT
Electronic Trading Partner Agreement • March 11th, 2015 • South Carolina

This Electronic Trading Partner Agreement (“Agreement”) is made as of the day of , 20 (“Effective Date”), by and between, PGBA, LLC, a subsidiary of Blue Cross Blue Shield of South Carolina, located at I-20 Alpine Road, Columbia, South Carolina 29219,and

ELECTRONIC TRADING PARTNER AGREEMENT
Electronic Trading Partner Agreement • November 15th, 2013 • Wyoming

This Agreement provides the terms and conditions governing electronic transfers of data communications and funds between BCBSWY and Trading Partner (collectively “Parties”) by direct digital or electronic transmission over communication lines to accomplish the Parties’ business objectives regarding the provision and acquisition of products and services and the transfer of funds. This Agreement will remain in effect until terminated according to its terms.

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