Trading Partner Registration Procedure

The Health Insurance Portability and Accountability Act (HIPAA) requires that all healthcare organizations that exchange HIPAA transaction data electronically with the Indiana Health Coverage Programs (IHCP) establish an electronic data interchange (EDI) relationship. Entities with this EDI relationship are referred to as trading partners. The IHCP has prepared the following information to assist entities with becoming IHCP trading partners.

Providers that are NOT required to become IHCP Trading Partners

Billing providers that exchange data with the IHCP exclusively using the following methods do NOT need to become IHCP trading partners:

  • Clearinghouse that has been approved by the IHCP
  • Billing service that has been approved by the IHCP
  • Value-added network (VAN) that has been approved by the IHCP
  • Web interChange
  • Automated Voice Response (AVR)

Providers must use a software vendor, billing service, clearinghouse, or VAN that has been approved by the IHCP to exchange data. Providers must review the IHCP-approved software developers to ensure that their vendor has been approved. There is no affiliation between the IHCP and any of the companies on the approved vendor list. It is the responsibility of the provider to select a vendor based on specific business needs.

Providers developing their own software must follow the Software Testing Procedures before becoming a trading partner.

Billing providers that directly exchange data electronically with the IHCP must become IHCP trading partners by doing the following:

1. Complete a Trading Partner Profile

The IHCP requires billing providers exchanging data directly with the IHCP to complete and submit the IHCP Trading Partner Profile to initiate the process for becoming a trading partner. The IHCP Trading Partner Profile is the tool providers must use to notify the IHCP about the types of transactions they will exchange and the software they will use.

The IHCP Trading Partner Profile is also used to inform the IHCP of any changes to trading partners' vendor software, billing service, or clearinghouse selection.

2. Complete a Trading Partner Agreement

The IHCP Trading Partner Agreement is a contract between parties that have chosen to become electronic business partners. The Trading Partner Agreement stipulates the general terms and conditions under which the partners agree to exchange information electronically. If billing providers send multiple transaction types electronically, only one signed Trading Partner Agreement is required. Billing providers must print and complete a copy of the Trading Partner Agreement. It must be printed, signed, and mailed to Hewlett Packard Enterprise at the following address:

Trading Partner Agreement
950 North Meridian Street
Suite 1150
Indianapolis, IN 46204

On receiving the IHCP Trading Partner Profile form and the signed IHCP Trading Partner Agreement, the billing provider will be evaluated for exchanging production data. The trading partner will receive written notification of approval.