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DEPARTMENT OF HEALTH SERVICES Division of Health Care Access and Accountability F-13393 (08/08) STATE OF WISCONSIN FORWARDHEALTH TRADING PARTNER 835 DESIGNATION Instructions: The Trading Partner 835
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How to fill out trading partner 835 designation

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How to fill out trading partner 835 designation:

01
Start by obtaining the necessary form or documentation required to designate a trading partner for the 835 electronic transaction. This can typically be obtained from the organization or entity requesting the designation.
02
Fill out the form or documentation with accurate and up-to-date information. Provide all required details such as your company or organization's name, address, contact information, and any other information requested.
03
Ensure that you accurately identify the specific trading partner for whom you are requesting the designation. This may include providing their name, organization or company details, and any other relevant information.
04
Review the form or documentation to double-check that all the information provided is correct and complete. Make sure there are no spelling errors, missing information, or inaccuracies that could cause issues with the designation process.
05
Submit the completed form or documentation to the appropriate authority or organization. This may involve mailing it to a specific address, submitting it online through a designated portal, or delivering it in person to the relevant office.

Who needs trading partner 835 designation:

01
Healthcare providers: Healthcare providers such as hospitals, clinics, and medical practices may need to designate trading partners for the 835 electronic transaction in order to receive electronic remittance advice (ERA) and payment information from insurance companies or other payers.
02
Insurance companies: Insurance companies may need to designate trading partners for 835 electronic transactions to send electronic remittance advice (ERA) and payment information to healthcare providers.
03
Clearinghouses: Clearinghouses act as intermediaries between healthcare providers and insurance companies, processing and transmitting electronic healthcare transactions. They may need to designate trading partners for 835 transactions to facilitate the exchange of payment and remittance information.
04
Government agencies: Government agencies involved in healthcare programs, such as Medicare and Medicaid, may require trading partner 835 designations for electronic payment and remittance processes.
05
Other entities involved in healthcare billing and payments: Various other entities within the healthcare industry, such as billing companies, payment processors, and financial institutions, may also need to designate trading partners for 835 transactions to ensure smooth and efficient processing of payment and remittance information.
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Trading partner 835 designation is the unique identifier assigned to a trading partner for electronic healthcare transactions.
Healthcare providers, insurance companies, and clearinghouses are required to file trading partner 835 designation.
Trading partner 835 designation can be filled out online through the designated portal provided by the relevant healthcare authority.
The purpose of trading partner 835 designation is to ensure secure and accurate electronic healthcare transactions between trading partners.
Trading partner 835 designation must include company name, address, contact information, and other relevant details for identification purposes.
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Relevant keywords

WISCONSIN EDI FORWARDHEALTH X12 LLC F-13393A F-13393 ZIP4 III certifies DESIGNATION Interchange providers Accountability WI completing transactions II IV provider Completion

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