EDI Trading Partner Business Center
Update Trading Partner Administrator/Delegate

The Highmark Gateway, managed and maintained by Highmark, provides EDI capabilities for the payers listed below:

  • Independence Blue Cross (54704), including products issued by Keystone Health Plan East (95056), or administered by Independence Administrators (TA720); see www.ibx.com/edi for greater detail.
  • AmeriHealth−affiliated companies, including products issued by AmeriHealth HMO (95044), AmeriHealth Insurance Company of New Jersey including AmeriHealth PPO and Comprehensive Major Medical (60061), QCC Insurance Company d/b/a AmeriHealth Insurance Company including AmeriHealth DE − PPO (93688), or products administered by AmeriHealth Administrators (54763); see www.amerihealth.com/edi for greater detail.

Changes made on this form will update your trading partner information used for conducting business with only the payers listed above via the Highmark Gateway. You may have multiple Trading Partner IDs for use with Highmark and the payers it serves but this form applies only to the DataStream Trading Partner ID used for the payers listed above.


Trading Partner Information

Trading Partner Number*:
Trading Partner Name*:
Request Type*

Update Administrator Add Delegate Update Delegate Delete Delegate

All requests must be submitted by the Trading Partner Administrator, except when a Delegate uses Update Delegate to add his or her own security question/answer pair.

Administrator/Delegate Information

Your Name*:    
Your Title*:    
Your Company Name*:    
Your Telephone Number*: -- Extension:
Your Email Address*:    

For security purposes, EDI Operations will contact you and use your security question and answer to confirm your identity.



In the following section, the Trading Partner Administrator can identify an additional Trading Partner Delegate who may act on the Trading Partner's behalf to request basic changes or information for this trading partner. An existing Trading Partner Delegate may use this section to provide a security question/answer that will streamline your future EDI support.

Delegate Information

Delegate Name:    
Delegate Title/Function:    
Delegate Telephone Number: --
Delegate Email Address:    


FOR DELEGATE USE ONLY: In order to confirm your identity for security purposes, please choose one of the following security questions and provide your corresponding security answer. The security answer will enable us to more quickly provide you with trading partner support and information.


Security Question:
Your Security Answer:
Security Answer:
Confirm Answer:
Additional Comments

Please use this space for additional description or instructions.