Trading Partner Registration Procedure
The Health Insurance Portability and Accountability Act (HIPAA) requires that all
healthcare organizations exchanging 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 an IHCP trading partner.
Providers who are NOT required to become an IHCP Trading
Partner
Billing providers, who exchange data with IHCP exclusively using
the following methods, do NOT need to become an IHCP trading
partner:
- IHCP Clearinghouse
- IHCP Billing Service
- IHCP VAN
- Web interChange
- Automated Voice Response (AVR)
Providers must use an IHCP software vendor, billing service,
clearinghouse, or VAN 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
prior to becoming a trading partner.
Billing providers who directly exchange data electronically with
IHCP must become an IHCP trading partner by completing 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 the
provider 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 their vendor software, billing service, or
clearinghouse selection.
2. Complete a Trading Partner Agreement
The IHCP Trading
Partner Agreement is a contract between parties who 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
the following address:
HP Enterprise Services
Trading Partner Agreement
950 North Meridian Street
Suite 1150
Indianapolis, IN 46204
Upon 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.