Common Contracts

ELECTRONIC PROVIDER TRADING PARTNER AGREEMENT

Electronic Trading Partner Agreement • November 17th, 2003 • West Virginia

• Contract Type
  Electronic Trading Partner Agreement
• Filed
  November 17th, 2003
• Jurisdiction
  West Virginia

This Electronic Trading Partner Agreement (hereinafter “Agreement”) is made by and between Mountain State Blue Cross Blue Shield (“MSBCBS”), and (“Provider”), a licensed health care provider further identified on the EDI Transaction Application.