TRANSACTION STANDARD TRADING PARTNER AGREEMENT/ADDENDUMTrading Partner Agreement • July 9th, 2019
Contract Type FiledJuly 9th, 2019This Trading Partner Agreement (“TPA”) is entered into between DXC Technology Services LLC (“DXC Services”), as an agent for the Connecticut Department of Social Services (“DSS”) and _ , a Billing Agent, a Health Care Clearinghouse or a Provider who transmits any health information in electronic form in connection with a transaction covered by 45 C.F.R. Parts 160 and 162 (“Trading Partner”). If the Trading Partner is a Provider participating in the Connecticut Medical Assistance Program, this TPA is made an addendum to the Provider Enrollment Agreement on this day of , 20