TRANSACTION STANDARD TRADING PARTNER AGREEMENT/ADDENDUMTransaction Standard Trading Partner Agreement • January 26th, 2011
Contract Type FiledJanuary 26th, 2011This Trading Partner Agreement (“TPA”) is entered into between HP Enterprise Services (“HP”), 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 , 2011.