Hospital and Physician Trading Partner Agreement

The Provider Trading Partner Agreement is for use by hospitals, doctors and other health care professionals who intend on transmitting HIPAA-compliant transactions directly to us. Completing this form will allow you to send and receive HIPAA-compliant transactions when you will not be using a clearinghouse to process transactions. Please be sure to complete the entire agreement and Exhibit A, the EDIG Enrollment form, which follows the agreement.

Important Information: If you plan to use a vendor or clearinghouse to conduct your HIPAA transactions, please have them contact us as soon as possible if they have not already done so.  Find clearinghouse information.

Or, you can download the EDIG Trading Partner Enrollment form.