Trading Partner Application

Completing the Application

A representative of your organization with appropriate authority ("Trading Partner Administrator") to enter into a Trading Partner Agreement must complete the Application. Completing the Application should take 10 - 15 minutes.

The Application includes the following sections:

• Administrator & Delegates Information (including Security Question)
• Trading Partner Name and Contact (including Tax ID Number)
• Trading Partner Types
• Software Vendor Information
• Acceptance and Submission (including Trading Partner Agreements)

What to Expect

Highmark EDI Operations will review and validate your submitted Application, typically within five business days. Please keep in mind that submitting complete and accurate information will ensure that your Application is processed in a timely manner. Upon successful validation, the following information will be sent via secure email to the Trading Partner Administrator:

• Trading Partner ID
• Login ID ("V" login)
• Login Password
• Written authorization for the trading partner to submit production EDI transactions

The Login ID and password provide access to Highmark's eDelivery system for the uploading and downloading of files.

Trading partners by default are enabled only for batch transactions. To inquire about real-time connectivity, call the eBusiness Hotline at 215-640-7410.

More information about the Application

Trading Partner Administrator & Delegates

The Trading Partner Administrator is the primary representative of the trading partner entity (provider office, billing service, clearinghouse, etc.) that is authorized by the trading partner to conduct all electronic business on behalf of the trading partner, including entering into Trading Partner Agreements, modifying trading partner capabilities, and conducting inquiries about electronic transactions. The Trading Partner Administrator must complete the Application.

The Delegate is a representative of the Trading Partner Administrator that has been authorized by the trading partner/Trading Partner Administrator to conduct certain activities on behalf of the trading partner, such as requesting the addition or deletion of affiliated providers or conducting inquiries about electronic transactions.

Trading Partner Types

A trading partner may identify itself as a provider entity, billing service, or clearinghouse.

A trading partner may be enabled only for professional or institutional claims transactions. If your entity intends to conduct both professional and institutional claims transactions, you will need to register a separate trading partner for each transaction type.

A trading partner type of software vendor/developer also is available; however, this type is used for testing purposes only and will not be enabled for production transmissions.

Trading Partner Agreements

Contained within the Application is a Trading Partner Agreement with Highmark that must be accepted before the Application can be submitted. The Trading Partner Agreement, among other things, sets forth the general terms and conditions under which the trading partner agrees to exchange information electronically.

Still have questions? Please contact us. If you are ready, continue to the Application.