Common Contracts
1 similar Electronic Data Interchange Enrollment Agreement contracts
Direct Data Entry (DDE) Electronic Data Interchange (EDI) Enrollment FormElectronic Data Interchange Enrollment Agreement • December 13th, 2017
This Agreement notifies Wisconsin Physicians Service Insurance Corporation 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 the Centers for Medicare & 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.
