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DEPARTMENT OF HEALTH SERVICES Division of Health Care Access and Accountability F-13393 (07/12) 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:

01
Access the trading partner portal or platform where the designation form is available.
02
Provide your business or organization's relevant information, such as name, address, contact details, and Tax Identification Number (TIN).
03
Specify the desired trading partner 835 designation and indicate the purpose or reason for the designation.
04
Review the terms and conditions associated with the trading partner 835 designation, ensuring compliance with any regulatory requirements or industry standards.
05
Attach any necessary supporting documents, such as a W-9 form or certification documentation if required.
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Double-check all entered information for accuracy and completeness before submitting the designation form.

Who needs trading partner 835 designation:

01
Healthcare providers: Hospitals, doctors, clinics, and other healthcare entities may need trading partner 835 designation to receive electronic remittance (ERA) files from health insurance plans or payers.
02
Payers or insurance companies: Payers may require trading partner 835 designation to send electronic remittance advice (ERA) files to their provider network, allowing for efficient claims payment and reconciliation processes.
03
Clearinghouses or billing services: Third-party intermediaries that handle claims processing for healthcare providers may need trading partner 835 designation to receive and process electronic remittance advice (ERA) files on their clients' behalf.
Overall, the trading partner 835 designation is essential for streamlining the electronic exchange of payment and remittance information between healthcare providers, payers, and their authorized intermediaries.
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Trading partner 835 designation is a unique identifier assigned to a specific entity that is involved in the electronic exchange of healthcare claim payment information.
Healthcare entities that participate in electronic transactions involving healthcare claim payments are required to file trading partner 835 designation.
Trading partner 835 designation can be filled out through the designated online portal provided by the relevant healthcare regulatory body.
The purpose of trading partner 835 designation is to ensure secure and efficient electronic exchange of healthcare claim payment information between different entities.
Trading partner 835 designation typically includes information such as entity name, address, contact information, and other relevant identifiers.
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