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CENTERS FOR MEDICARE & MEDICAID SERVICESCOBA ATTACHMENT Medicaid(Insert Plan Legal Name)MAP TRADING PARTNER NAME: NY ___ TIN/EIN:___NATURE OF ACTION ON THIS ATTACHMENT TRADING PARTNER/COB AID: CHANGES
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Obtain a copy of the trading partner agreement enrollment form.
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Fill in all required fields accurately and completely.
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Who needs trading partner agreement enrollment?

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Any individual or entity looking to establish a trading partnership with another party will need to fill out a trading partner agreement enrollment.
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Trading partner agreement enrollment is a formal agreement between two parties who agree to trade services or goods with each other.
Any businesses or individuals who are entering into a trading partnership are required to file a trading partner agreement enrollment.
To fill out a trading partner agreement enrollment, you will need to provide information about the parties involved, the terms of the agreement, and any other relevant details.
The purpose of trading partner agreement enrollment is to establish the terms and conditions of the trading partnership, and to ensure that both parties are aware of their rights and responsibilities.
Information such as the names and contact information of the parties involved, the goods or services being traded, and the duration of the agreement must be reported on trading partner agreement enrollment.
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