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STATE OF TENNESSEE DEPARTMENT OF FINANCE AND ADMINISTRATION DIVISION OF HEALTH CARE FINANCE AND ADMINISTRATION BUREAU OF TENURE 310 GREAT CIRCLE ROAD NASHVILLE, TENNESSEE 37243 Trading Partner Agreement
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How to fill out tenncare trading partner agreement

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How to fill out tenncare trading partner agreement?

01
Gather all necessary information: Before starting to fill out the tenncare trading partner agreement, make sure you have all the required information at hand. This includes your organization's name, contact details, Tax Identification Number, and any other relevant details.
02
Download the form: Visit the official website of TennCare or the designated platform where the tenncare trading partner agreement is available. Download the form in the preferred format (usually in PDF).
03
Read the instructions: Take the time to carefully read through the instructions provided with the form. Familiarize yourself with the purpose and requirements of the agreement.
04
Complete the basic information: Fill in the basic information section of the agreement, such as your organization's name, address, phone number, and email. Ensure accuracy and consistency in providing these details.
05
Provide company-specific details: Depending on your type of organization and the nature of your partnership with TennCare, you may be required to provide additional information. This can include details about the specific services you offer, your organization's structure, and any relevant certifications or accreditations.
06
Review and double-check: Once you have completed all the required sections, review the entire agreement to ensure accuracy and correctness. Double-check that all the information provided is up to date and matches the supporting documents, if required.
07
Sign and submit: After thoroughly reviewing the agreement, sign it using the authorized signatory of your organization. Make a copy of the signed agreement for your records, and then submit the original agreement through the designated method specified in the instructions.

Who needs tenncare trading partner agreement?

01
Healthcare providers: Healthcare providers such as hospitals, clinics, physicians, and other medical practitioners who participate in TennCare programs may need to have a tenncare trading partner agreement.
02
Managed care organizations: Managed care organizations (MCOs) that have contracts with TennCare to provide healthcare services and manage the care of TennCare recipients may also require a tenncare trading partner agreement.
03
Ancillary service providers: Ancillary service providers such as laboratories, pharmacies, medical equipment suppliers, and other healthcare support services that collaborate with TennCare and its participating providers may need to enter into a tenncare trading partner agreement.
Note: The specific requirement for a tenncare trading partner agreement may vary based on individual circumstances and agreements with TennCare. It is recommended to consult the official TennCare resources or contact TennCare directly for precise information tailored to your organization's needs.
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The TennCare trading partner agreement is a contract between TennCare and a business entity that conducts electronic transactions related to healthcare services.
Any business entity that conducts electronic transactions related to healthcare services with TennCare is required to file the TennCare trading partner agreement.
To fill out the TennCare trading partner agreement, the business entity must provide information about their organization, contact details, and agree to comply with TennCare's electronic transaction requirements.
The purpose of the TennCare trading partner agreement is to establish the terms and conditions for electronic transactions between TennCare and the business entity.
The TennCare trading partner agreement typically requires information such as organization name, contact information, agreement to comply with electronic transaction requirements, and signatures of authorized representatives.
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