Common Contracts
1 similar Electronic Data Interchange Enrollment Agreement contracts
Electronic Data Interchange (EDI) Enrollment FormElectronic Data Interchange Enrollment Agreement • August 16th, 2012
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 Medicare data covered under Health Insurance Portability and Accountability Act (HIPAA) Transactions and Code Sets legislation.
