Common Contracts
1 similar Electronic Data Interchange Enrollment Agreement contracts
CMS Federal Program Contractor’sLogo HereElectronic Data Interchange Enrollment Agreement • September 16th, 2008
This Agreement notifies (fill in contractor name here) of the provider’s consent to participate in Electronic Data Interchange (EDI). EDI may include claims and claims attachments, remittances, eligibility/benefits, claim status, and any other electronic information for Centers for Medicare and Medicaid Services (CMS) federal program data (including but not limited to Title XVIII of the Social Security Act (Medicare), and/or Section 1011 of the Medicare Modernization Act) covered under Health Insurance Portability and Accountability Act (HIPAA) Transactions and Code Sets or Section 1011 of the Medicare Modernization Act (MMA) legislation.
